WTC exposure survey form for four distinct populations, October 2006

NYC 9/11 Public Portal Document

Confidential For Internal Agency use Only

F. Provide any available data that shows whether exposed City employees, contractors’ employees, volunteers and/or clients and other constituencies:

(1) Have been diagnosed with a known WTC-related health condition; or —

Have no known health condition in connection with exposure to the WTC site; or —

(3) Whose health status is unknown.

G. Since the completion of the rescue and recovery efforts, please explain how your agency has collected, reviewed, reported and disseminated trend data or other information about the health of exposed City employees, contractors’ employees, volunteers and/or clients and other constituencies. =>-

H. [For City employees and contractors’ employees only] Since September 11, 2001, has any person, organization or entity (e^, a labor union that represents exposed employees, a FOIL request, etc.) requested and has your agency provided any information regarding WTC-related health effects pertaining to City employees or contractors’ employees?

II. Does your agency generate any reports or other compilation of information regarding . WTC-related illness with respect to your agency’s employees, clients, volunteers or other clients or constituencies?

A. How is such information shared among City agencies and between your agency and any state or federal government entity or any other group?

B. Please provide any suggestions to improve existing channels of communication for such information or to establish new means of communicating such information

III. Please provide any other information not specifically requested, but that may be relevant to the issues covered in this survey.

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