Environment
Original Article
Risk factors for persistence of lower respiratory symptoms among community members exposed to the 2001 World Trade Center terrorist attacks Hannah T Jordan,1 Stephen M Friedman,1 Joan Reibman,2 Roberta M Goldring,2 Sara A Miller Archie,1 Felix Ortega,1 Howard Alper,1 Yongzhao Shao,2 Carey B Maslow,1 James E Cone,1 Mark R Farfel,1 Kenneth I Berger2 ABSTRACT Objectives We studied the course of lower respiratory symptoms (LRS; cough, wheeze or dyspnoea) among community members exposed to the 9/11/2001 World Trade Center (WTC) attacks during a period of 12–13 1 World Trade Center Health years following the attacks, and evaluated risk factors for Registry, New York City LRS persistence, including peripheral airway dysfunction Department of Health and Mental Hygiene, New York, New and post-traumatic stress disorder (PTSD). Methods Non-smoking adult participants in a York, USA 2 Department of Medicine, case-control study of post-9/11-onset LRS (exam 1, New York University School of 2008–2010) were recruited for follow-up (exam 2, Medicine, New York, New York, 2013–2014). Peripheral airway function was assessed USA with impulse oscillometry measures of R5 and R5-20. Probable PTSD was a PTSD checklist score ≥44 on a Correspondence to 2006–2007 questionnaire. Dr Hannah T Jordan, Deputy Medical Director, World Trade Results Of 785 exam 1 participants, 545 (69%) Center Health Registry; New completed exam 2. Most (321, 59%) were asymptomatic York City Department of Health at all assessments. Among 192 participants with initial LRS, and Mental Hygiene; 125 symptoms resolved for 110 (57%) by exam 2, 55 (29%) Worth Street, 10th floor, CN 6W; New York, NY 10013, USA; had persistent LRS and 27 (14%) had other patterns. The hjordan1@health.nyc.gov proportion with normal spirometry increased from 65% at exam 1 to 85% at exam 2 in the persistent LRS group Received 21 October 2016 (p
Original Article
Risk factors for persistence of lower respiratory symptoms among community members exposed to the 2001 World Trade Center terrorist attacks Hannah T Jordan,1 Stephen M Friedman,1 Joan Reibman,2 Roberta M Goldring,2 Sara A Miller Archie,1 Felix Ortega,1 Howard Alper,1 Yongzhao Shao,2 Carey B Maslow,1 James E Cone,1 Mark R Farfel,1 Kenneth I Berger2 ABSTRACT Objectives We studied the course of lower respiratory symptoms (LRS; cough, wheeze or dyspnoea) among community members exposed to the 9/11/2001 World Trade Center (WTC) attacks during a period of 12–13 1 World Trade Center Health years following the attacks, and evaluated risk factors for Registry, New York City LRS persistence, including peripheral airway dysfunction Department of Health and Mental Hygiene, New York, New and post-traumatic stress disorder (PTSD). Methods Non-smoking adult participants in a York, USA 2 Department of Medicine, case-control study of post-9/11-onset LRS (exam 1, New York University School of 2008–2010) were recruited for follow-up (exam 2, Medicine, New York, New York, 2013–2014). Peripheral airway function was assessed USA with impulse oscillometry measures of R5 and R5-20. Probable PTSD was a PTSD checklist score ≥44 on a Correspondence to 2006–2007 questionnaire. Dr Hannah T Jordan, Deputy Medical Director, World Trade Results Of 785 exam 1 participants, 545 (69%) Center Health Registry; New completed exam 2. Most (321, 59%) were asymptomatic York City Department of Health at all assessments. Among 192 participants with initial LRS, and Mental Hygiene; 125 symptoms resolved for 110 (57%) by exam 2, 55 (29%) Worth Street, 10th floor, CN 6W; New York, NY 10013, USA; had persistent LRS and 27 (14%) had other patterns. The hjordan1@health.nyc.gov proportion with normal spirometry increased from 65% at exam 1 to 85% at exam 2 in the persistent LRS group Received 21 October 2016 (p
