The Living Heart
Foundation (LHF) was privileged to be invited by
the New York Police Officers to perform heart and lung health
screening of 1,760 officers during the first
month following the 9/11 World Trade Center
terrorist act. The screenings were held on-site
at the Police Academy in New York City. Since
the initial health screenings concluded in
October 2001, the New York Police Department has
been unable to endorse a particular foundation
according to their internal
regulations. Thus, the LHF is acting
independently in its continuing support of the
men and women police officers who consented to
receive health screenings from the LHF. The LHF
continues to track the health conditions of the
surviving officers since the late effects of the
9/11 exposure are unpredictable. Initially, a
randomly selected cohort of 600 individual men
and women members of the initial LHF health
screening group were analyzed for their health
status within less than a month after 9/11.
The clinical findings have been submitted for
presentation and publications. In April 2003, a telephone contact
follow-up was done utilizing 600 surviving members
of New York Police Officers 9/11 responders. These combined
evaluations showed that significant cardiac,
pulmonary, and mental health abnormalities
persist 1.7 years from the 9/11 insult.
The LHF has expanded its medical team since the first
health screenings of the New York Police Officers immediately following
9/11. The Penn State Medical School and its Divisions of
Pulmonary Medicine and Health Sciences have become the
electronic database and scientific analysis partner for
the LHF. The Massachusetts Institute of Technology (MIT)
and its Department of Environmental Medicine is the
particulate inhalation exposure and health
reconstruction investigative team. Monmouth University
and its Division of Psychology in conjunction with the
New York Academy of Medicine has become the mental
health evaluation collaborator for LHF. These new
affiliate institutions join the initial affiliates
including the University of Texas in Galveston, the
University of Arizona, and Mount Sinai Medical School
(NYC) Division of Cardiology as members of the LHF
consortium.
Recently, on May 2, 2003, a public meeting was
sponsored, in New York City, by the National Institute
for Occupational Safety and Health (NIOSH) of the
Centers for Disease Control and Prevention. The purpose
of this meeting was to provide input to NIOSH in
identifying the needs and priorities for providing
long-term medical monitoring to emergency services,
rescue, and recovery personnel who responded to the
September 11, 2001, terrorist attacks at the WTC. Public
Law 108-7, makes available $90 million to administer
baseline and follow-up screening, clinical examination,
long-term health monitoring, and analysis for these
emergency services, rescue, and recovery personnel, of
which $25 million is designated specifically for New
York City firefighters.
At the current time, federally funded programs
related to the long-term evaluation of health effects
related to 9/11 include the Medical Department of the
New York City Firefighters and the Mount Sinai Medical
Center, Department of Occupational and Environmental
Medicine, the directing group for the World Trade Center
Worker and Volunteer Medical Screening Program. In
addition, the New York City Department of Health and
Mental Hygiene (DOHMH) and the Agency for Toxic
Substances and Disease Registry (ATSDR), a federal
public health agency, have created a registry of people
who were exposed to the smoke, dust, and debris around
the World Trade Center disaster and the subsequent
cleanup of the disaster site. Another federal funding
source related to 9/11 has been the National Institute
of Environmental Health Sciences (NIEHS) of the National
Institutes of Health who has supported smaller research
studies related to exposure assessment, epidemiology,
and outreach.
The LHF and the Penn State Medical School have
presented the early post 9/11 health findings in a
preliminary randomized cohort of 600 New York Police Officers
officers. This
presentation was made at NIOSH headquarters in
Morgantown, West Virginia in April 2003. In addition,
preliminary discussions are ongoing between the LHF
consortium and physician members of the Mount Sinai Medical Center concerning
collaboration of the voluntary follow-up screening in
New York City involving the men and women officers
originally screened at ground zero.