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Context of 'June 1, 2002: Journal Article Discusses Rare Lung Disease in Ground Zero Rescue Worker'

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Phillip Landrigan, chairman of the Department of Community and Preventive Medicine at the Mount Sinai Medical Center in New York, and a leading expert on occupational diseases, tells the Minnesota Star Tribune that acute exposure to dust and soot could cause bronchitis, eye injuries and asthma-like breathing difficulties in the short term. Landrigan says that workers who inhale the dust increase their risk of developing life-threatening asbestos-related lung diseases, like mesothelioma, an incurable cancer. [Star Tribune (Minneapolis), 9/14/2001]

Entity Tags: Phillip Landrigan

Timeline Tags: Environmental Impact of 9/11

New York City Fire Commissioner Thomas Von Essen says that almost 4,000 firefighters who have participated in the rescue efforts at the World Trade Center have complained of respiratory problems, but adds that long term effects of working at Ground Zero are uncertain. “We won’t know for a long period of time if there is any long term effect. Some might lead to asthma, some might lead to lung conditions,” One firefighter has been treated for allergic alveolitis, a rare lung inflammation. Von Essen’s comments follow a Newsweek interview with Dr. David Prezant, the chief pulmonary physician for the city’s fire department. Prezant explained to the magazine that thousands of firefighters require medical care for a range of illnesses, including coughs, sinus infections, lung trauma and severe asthma. Prezant, a professor at the Albert Einstein School of Medicine, has referred to these ailments collectively as the “World Trade Center cough.” [CNN, 10/29/2001; CNN, 10/29/2001; New York Post, 10/29/2001; Newsday, 10/30/2001; BBC, 10/31/2001; New York Daily News, 11/20/2001 pdf file]

Entity Tags: David J. Prezant, Thomas Von Essen

Timeline Tags: Environmental Impact of 9/11

An article published in the Environmental Health Perspectives journal, titled, “Environmental Aftermath,” suggests that the collapse of the World Trade Center towers “may have serious long term environmental health effects on those in harm’s way, including children, office workers, rescuers and residents.” It cites “asbestos, lead and PCBs (or polychlorinated biphenyls) present in the dust created by the Twin Towers collapse as among the most potentially serious lingering exposures to the community, including rescue workers, office workers and the more than 20,000 residents, and 3,000 children, who live within half a mile of Ground Zero.” [Environmental Health Perspectives, 11/2001; Environmental Health Perspectives, 12/4/2001]

Timeline Tags: Environmental Impact of 9/11

The Journal of the American Dental Association publishes a study concluding that Bextra, a new drug manufactured by Pharmacia, offers relief to the acute pain patients feel after dental surgery. [Daniels et al., 2002] Just six months before, the FDA investigated the claim and found no evidence to support it. [New York Times, 11/22/2002] Bextra is only approved to treat pain caused by arthritis or painful menstrual cycles. [US Food and Drug Administration, 11/22/2002] During the three-month period following the article’s publication, Bextra sales increase by 60 percent. It is later learned that the authors of the article were not independent scientists, but rather employees of Scirex, a research company owned partially by Omnicom, one of the world’s largest advertising firms. When the New York Times asks three doctors to review the Scirex article, the doctors say its conclusions are not persuasive. “All three said that one of Scirex’s conclusions was insignificant: that one dose of Bextra worked longer than a single dose of a medicine containing oxycodone and acetaminophen, a combination often sold under the brand name Percocet. Patients rarely receive just one dose of that combination drug, the doctors said, because it wears off in four to six hours.” One of the doctors, Eric J. Topol, says the studies cited in the article make “a contrived comparison.” He notes that patients in the study had an average age of 23, which is not representative of the age group that would mostly likely use the drug. Judy Glova, a spokeswoman for Pharmacia, denies in a statement to the New York Times, that the article was an attempt to bypass the FDA regulation. And Pat Sloan of Omnicom insists the company has “nothing to do with the design of clinical studies.” [New York Times, 11/22/2002]

Entity Tags: Pharmacia & Upjohn Inc, Eric Topol, Omnicom, Scirex

Timeline Tags: US Health Care

An article in the American Journal of Respiratory and Critical Care Medicine summarizes the condition of a New York City firefighter who has contracted acute eosinophilic pneumonia, a rare disease caused by acute high dust exposure. Tests indicate that the firefighter—who worked 16-hour days for 2 weeks at the World Trade Center site—had fly ash, degraded glass, as well as chrysotile and amosite asbestos fibers in his lungs. [American Journal of Respiratory and Critical Care Medicine, 2002]

Timeline Tags: Environmental Impact of 9/11

At a New York Academy of Medicine briefing, doctors discuss how the environmental conditions at Ground Zero during the recovery effort have so far impacted the health of those who worked at the site. Dr. Steven Levin of the Occupational Medical Center at Mt. Sinai Medical Center explains that several of the more than 1,000 workers he has seen “have developed inflammatory responses” in their lungs and adds that he has seen only a few recover. Dr. Kerry Kelly, chief medical officer for the NYC Fire Department, says that while only 3 percent of New York City firefighters had respiratory problems prior to September 11, this number has since increased to 15.6 percent. Another speaker at the briefing, Lung Chi Chen of the NYU Department of Environmental Medicine, suggests that either the pulverized glass, the high pH level (see September 20, 2001), or a combination of the two, probably causes the World Trade Center cough. “We can show that human cells can tolerate acidic exposure very well,” Chen says in an interview. “But the cell cannot tolerate alkali exposure. You shift the pH up and the impact is devastating.” [Newsday, 9/10/2002; Newsday, 9/30/2002]

Entity Tags: Kerry Kelly, Lung Chi Chen, Stephen Levin MD

Timeline Tags: Environmental Impact of 9/11

The journal Chest publishes an article summarizing the case of a 37-year-old male engineer who is diagnosed with cough and dyspnea three weeks after being exposed to dust at Ground Zero. The patient’s lung biopsy contained large quantities of silicates. The authors of the study suggest “that exposure to one or more materials resulting from the WTC catastrophe may be implicated in the development of granulomatous pulmonary disease.” [B.H. et al., 1/2003]

Timeline Tags: Environmental Impact of 9/11

The Manhattan Supreme Court orders the City of New York to pay New York City Officer Richard Lahm a tax-free disability pension, ruling that environmental conditions at Ground Zero exacerbated his tonsil cancer. Earlier in the year, Lahm retired from the 46th Precinct in the Bronx after his terminal tonsil cancer worsened. His doctors argued that toxins released at the WTC actually caused his condition. [New York Daily News, 6/24/2004]

Entity Tags: Richard Lahm

Timeline Tags: Environmental Impact of 9/11

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