NYC 9/11 Public Portal Document
Major Conclusions of Non-EPA Lessons Learned Reports
Lessons Learned for Public Health from September 11,2001: A One Year Perspective;
Philip J. Landrigan, M.D., M.Sc., Jordan Slutsky, Angali Garg, M.S., Mona Lisa Mouallem,
Lauri Boni; Center for Children’s Health and the Environment of the Mount Sinai School of
Medicine; September 2002:
• Inadequate preparation for disaster as public health authorities had not established
partnerships with agencies outside the health field
• Unclear lines of authority which resulted in poor risk communications, a disorganized
approach to worker health and safety, and failure to agree on who should clean up
residences.
• Neither workers or the public were provided accurate information on health risks in the first
weeks after the attacks.
• Protection of workers was seriously inadequate
• Lack of exposure standards for chemicals in settled dust or on surfaces inside buildings
Lessons Learned on Environmental, Occupational, and Residential Exposures From the
Attack on the World Trade Center; Paul J. Lioy, Ph.D. and Michael Gochfeld, M.D., Ph.D;
American Journal of Industrial Medicine, December 2002:
• Improved data collection for emergencies is needed. This should include development of:
► improved portable and flexible emergency response monitors,
► strategies for the rapid acquisition of settled particulate material samples in
catastrophic events that yield resuspendable dust/smoke, and
► a rapid method for determination of site-specific and event-specific analytes that could
cause acute or chronic effects.
• Need to develop emergency response standards for:
► community evacuation, worker re-entry, and residential/commercial re-entry, in various
community or occupational zones at increasing distances from a disaster site, and
► Short-term exposure in establishing evacuation and restricted entry zones, and
determining an “all clear” based on potential acute health outcomes.
• Need to develop a formal post-disaster cleanup protocol and a lead agency to implement
the program so that cleanup can proceed without delay. Also need to develop a set of
residential dust/smoke clearance levels to permit safe re-entry after cleanup.
• Need to conduct research on the design of respirators to ensure that they will be used in
emergency response. Many of the existing non-air pack respirators are heavy and not
easily worn over the nose and mouth during complex operations.
110 Report No. 2003-P-00012
NYC-WTC_000145630
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