NYC 9/11 Public Portal Document
Studies Will Take
Sept. 11's Measure
In Health Effects
By KIRK JOHNSON
Public health researchers in New York, struggling to
determine the real dimensions of the health threat at the
World Trade Center site, are beginning an ambitious series
of long-term studies to identify and then track a wide range
of people who lived through the nightmare of dust, smoke
and stress when the towers fell.
Two Manhattan hospitals, for instance, are collecting
bloed samples from pregnant women who say they were in
the vicinity of the trade center on the morning of Sept" 11 er
in the đays afterward. Mount Sinai School of Medicine will
send out 3,000 letters to obstetricians in the region as early.
as next week, also seeking pregnant women who were near
ground zero for a related study that will look at the possible
effects of maternal anxiety as well as toxic substances in the
Beginning next Monday, physicians and investigators
from Oueens College will start searching for nonunion day
laborers, many of them now dispersed into the work force,
who 'helped clean up dust-saturated buildings around the
rade center in the weeks just after the attacks. The New
fork Acdlemy of Medicine' is beginning an even more
mbitious task: building a registry of every person - fram
the firefshters,to members of the New York Clty Transit
tunnel crews — who worked, even for a day, at ground zero.
The researchers say that while these studies are, in
certainrespects, the sort of work that invariably follows
major disasters and accidents, they also say that the variety
of the inquiries reflects a disturbing but ever-growing
realization among health experts: four months after the
attacks, very little can be said with scientific certainty about
the health risks that recovery workers or bystanders faced
in the disaster and the cleanup.
That-uncertainty, which some health and environmen-
tal experts now say was perhaps not adequately reflected by
public officials in the days and weeks after the attacks,
underscores how unique the World Trade Center disaster
Granazero
was as a public health emergency.
The blast of dust and smoke - and
stuay is seeking 300 ot them - some
the toxic substances, fibers and ash
more exposed to the ash and dust,
that blew through New York in the
some less - while Mount Sinai is
days afterward - is without prece-
hoping for another 300, with some
dent in medical literature, which
overlap likely between the two.
means that there are no studies to
Cleanup workers, many of them
fall back un for guidance on whether—immigrants who do not betong to
to be alarmed or reassured
labor unions, have gone on to other
The air-monitoring
system that
jobs and may be impossible to find
was set up after the attacks - in-
One cleanup company that had 1,800
deed, the whole science of air moni-
workers two weeks after the attacks
toring - is based chiefly on long-
now has 50, according to Dr. Steven
term exposures associated with ordi-
Markowitz, director of the Center for
nary air pollution or workplace haz-
the Biology of Natural Systems, an
ards. This means that the effects of
environmental
and
occupational
short, intense bursts of pollution -
health research institute at Queens
the sort experienced by many thou-
College, which is leading the search
sands of people on Sept. 11 - are far
for those workers.
Dr. Markowitz said his mobile ex-
less known.
amination vehicle, to be parked near
*There are gaps in our knowledge
base," said Dr. Frederica P. Perera,
City Hall, will have a physician, a
a professor of public health at Co-
breathing-test technician and an in-
lumbia, who is leading one of the
terviewer, all of them fluent in Span-
ish, the language spoken by most of
prenatal projects.
Professor Perera said that based
the cleanup crews. He said that part
of his motivation in starting the
on the evidence already reported,
she does not expect to find wide-
study is the issue of economic disad-
spread health consequences in her
vantage.
*These guys are about the least
prenatal
study.
The
air-quality
likely group to get any medical atten-
measurements for things like asbes-
tion," he said.
"They either don't
tos, PCB's and dioxins, taken in the
have access to health care, or will go
neighborhoods
around the
World
to a neighborhood doctor who doesn't
Trade Center,
have
consistently
have a clue about toxins."
shown little cause for worry abou:
Even defining what "exposed"
long-term health.
means has required rigorous new
But as a scientist, she cannot offe)
methodology. The Mount Sinai study,
any definitive reassurances when ar
for example, has identified three
anxious resident or downtown office
zones around ground zero, each of
worker calls. *Because of the uncer
which - based on existing air moni-
rainty, and the paucity of the data
toring - will figure in the analysis
it's important to lay to rest the anxi-
Meanwhile, researchers at the
eties," she said. "And we'd like to be
University of Medicine and Den-
able 10 provide reassurance based on
tistry of New Jersey and at the La-
data."
mont-Doherty Earth Observatory at
Some $10.5 million was made Columbia are working on pinpointing
available by the federal government
where the smoke plume went in the
alone this week to finance medical days immediately after the attack
and health studies and worker envi- In this way, a zone of exposure in,
ronmental training related to Sept. say, Brooklyn Heights, which was
11.
downwind just after the attacks,
Studies like these are intensely might be better compared to one in
complicated, a difficulty compound- TriBeCa in Manhattan.
ed in New York by the demographics
of an area where residents, tourists
and office workers- many of them
commuters - are mixed together.
No one has any idea how many preg-
nant
women,
example,
were
downtown on Sept. I1. The Columbia
ThE NEWYOrK TIMES
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