Trends in respiratory diagnoses and symptoms of firefighters exposed to the World Trade Center disaster: 2005-2010

Jessica Weakley, Mayris P. Webber, Jackson Gustave, Kerry Kelly, Hillel W. Cohen, Charles B. Hall, David J. Prezant

Research output: Contribution to journalArticle

37 Citations (Scopus)

Abstract

Objectives: To compare the prevalence of self-reported respiratory diagnoses in World Trade Center-exposed Fire Department of New York City firefighters to the prevalence in demographically similar National Health Interview Survey participants by year; and, 2) to describe the prevalence of World Trade Center-related symptoms up to 9. years post-9/11. Methods: We analyzed 45,988 questionnaires completed by 10,999 firefighters from 10/2/2001 to 9/11/2010. For comparison of diagnosis rates, we calculated 95% confidence intervals around yearly firefighter prevalence estimates and generated odds ratios and confidence intervals to compare the odds of diagnoses in firefighters to the National Health Interview Survey prevalence, by smoking status. Results: Overall, World Trade Center-exposed firefighters had higher respiratory diagnosis rates than the National Health Interview Survey; Fire Department of New York City rates also varied less by smoking status. In 2009, bronchitis rates in firefighters aged 45-65 were 13.3 in smokers versus 13.1 in never-smokers while in the National Health Interview Survey, bronchitis rates were doubled for smokers: 4.3 vs. 2.1. In serial cross-sectional analyses, the prevalence of most symptoms stabilized by 2005, at ~. 10% for cough to ~. 48% for sinus. Conclusions: We found generally higher rates of respiratory diagnoses in World Trade Center-exposed firefighters compared to US males, regardless of smoking status. This underscores the impact of World Trade Center exposure and the need for continued monitoring and treatment of this population.

Original languageEnglish (US)
Pages (from-to)364-369
Number of pages6
JournalPreventive Medicine
Volume53
Issue number6
DOIs
StatePublished - Dec 1 2011

Fingerprint

Firefighters
Disasters
Health Surveys
Interviews
Bronchitis
Smoking
Respiratory Rate
Confidence Intervals
Cough
Cross-Sectional Studies
Odds Ratio

Keywords

  • Disaster medicine
  • Firefighters
  • Gastroesophageal reflux symptoms (GERS)
  • National Health Interview Survey (NHIS)
  • Rescue workers
  • Respiratory diagnoses
  • Respiratory symptoms
  • World Trade Center

ASJC Scopus subject areas

  • Public Health, Environmental and Occupational Health
  • Epidemiology

Cite this

Trends in respiratory diagnoses and symptoms of firefighters exposed to the World Trade Center disaster : 2005-2010. / Weakley, Jessica; Webber, Mayris P.; Gustave, Jackson; Kelly, Kerry; Cohen, Hillel W.; Hall, Charles B.; Prezant, David J.

In: Preventive Medicine, Vol. 53, No. 6, 01.12.2011, p. 364-369.

Research output: Contribution to journalArticle

@article{3cf961a728ca4adaada6b0e6296a7cfa,
title = "Trends in respiratory diagnoses and symptoms of firefighters exposed to the World Trade Center disaster: 2005-2010",
abstract = "Objectives: To compare the prevalence of self-reported respiratory diagnoses in World Trade Center-exposed Fire Department of New York City firefighters to the prevalence in demographically similar National Health Interview Survey participants by year; and, 2) to describe the prevalence of World Trade Center-related symptoms up to 9. years post-9/11. Methods: We analyzed 45,988 questionnaires completed by 10,999 firefighters from 10/2/2001 to 9/11/2010. For comparison of diagnosis rates, we calculated 95{\%} confidence intervals around yearly firefighter prevalence estimates and generated odds ratios and confidence intervals to compare the odds of diagnoses in firefighters to the National Health Interview Survey prevalence, by smoking status. Results: Overall, World Trade Center-exposed firefighters had higher respiratory diagnosis rates than the National Health Interview Survey; Fire Department of New York City rates also varied less by smoking status. In 2009, bronchitis rates in firefighters aged 45-65 were 13.3 in smokers versus 13.1 in never-smokers while in the National Health Interview Survey, bronchitis rates were doubled for smokers: 4.3 vs. 2.1. In serial cross-sectional analyses, the prevalence of most symptoms stabilized by 2005, at ~. 10{\%} for cough to ~. 48{\%} for sinus. Conclusions: We found generally higher rates of respiratory diagnoses in World Trade Center-exposed firefighters compared to US males, regardless of smoking status. This underscores the impact of World Trade Center exposure and the need for continued monitoring and treatment of this population.",
keywords = "Disaster medicine, Firefighters, Gastroesophageal reflux symptoms (GERS), National Health Interview Survey (NHIS), Rescue workers, Respiratory diagnoses, Respiratory symptoms, World Trade Center",
author = "Jessica Weakley and Webber, {Mayris P.} and Jackson Gustave and Kerry Kelly and Cohen, {Hillel W.} and Hall, {Charles B.} and Prezant, {David J.}",
year = "2011",
month = "12",
day = "1",
doi = "10.1016/j.ypmed.2011.09.001",
language = "English (US)",
volume = "53",
pages = "364--369",
journal = "Preventive Medicine",
issn = "0091-7435",
publisher = "Academic Press Inc.",
number = "6",

}

TY - JOUR

T1 - Trends in respiratory diagnoses and symptoms of firefighters exposed to the World Trade Center disaster

T2 - 2005-2010

AU - Weakley, Jessica

AU - Webber, Mayris P.

AU - Gustave, Jackson

AU - Kelly, Kerry

AU - Cohen, Hillel W.

AU - Hall, Charles B.

AU - Prezant, David J.

PY - 2011/12/1

Y1 - 2011/12/1

N2 - Objectives: To compare the prevalence of self-reported respiratory diagnoses in World Trade Center-exposed Fire Department of New York City firefighters to the prevalence in demographically similar National Health Interview Survey participants by year; and, 2) to describe the prevalence of World Trade Center-related symptoms up to 9. years post-9/11. Methods: We analyzed 45,988 questionnaires completed by 10,999 firefighters from 10/2/2001 to 9/11/2010. For comparison of diagnosis rates, we calculated 95% confidence intervals around yearly firefighter prevalence estimates and generated odds ratios and confidence intervals to compare the odds of diagnoses in firefighters to the National Health Interview Survey prevalence, by smoking status. Results: Overall, World Trade Center-exposed firefighters had higher respiratory diagnosis rates than the National Health Interview Survey; Fire Department of New York City rates also varied less by smoking status. In 2009, bronchitis rates in firefighters aged 45-65 were 13.3 in smokers versus 13.1 in never-smokers while in the National Health Interview Survey, bronchitis rates were doubled for smokers: 4.3 vs. 2.1. In serial cross-sectional analyses, the prevalence of most symptoms stabilized by 2005, at ~. 10% for cough to ~. 48% for sinus. Conclusions: We found generally higher rates of respiratory diagnoses in World Trade Center-exposed firefighters compared to US males, regardless of smoking status. This underscores the impact of World Trade Center exposure and the need for continued monitoring and treatment of this population.

AB - Objectives: To compare the prevalence of self-reported respiratory diagnoses in World Trade Center-exposed Fire Department of New York City firefighters to the prevalence in demographically similar National Health Interview Survey participants by year; and, 2) to describe the prevalence of World Trade Center-related symptoms up to 9. years post-9/11. Methods: We analyzed 45,988 questionnaires completed by 10,999 firefighters from 10/2/2001 to 9/11/2010. For comparison of diagnosis rates, we calculated 95% confidence intervals around yearly firefighter prevalence estimates and generated odds ratios and confidence intervals to compare the odds of diagnoses in firefighters to the National Health Interview Survey prevalence, by smoking status. Results: Overall, World Trade Center-exposed firefighters had higher respiratory diagnosis rates than the National Health Interview Survey; Fire Department of New York City rates also varied less by smoking status. In 2009, bronchitis rates in firefighters aged 45-65 were 13.3 in smokers versus 13.1 in never-smokers while in the National Health Interview Survey, bronchitis rates were doubled for smokers: 4.3 vs. 2.1. In serial cross-sectional analyses, the prevalence of most symptoms stabilized by 2005, at ~. 10% for cough to ~. 48% for sinus. Conclusions: We found generally higher rates of respiratory diagnoses in World Trade Center-exposed firefighters compared to US males, regardless of smoking status. This underscores the impact of World Trade Center exposure and the need for continued monitoring and treatment of this population.

KW - Disaster medicine

KW - Firefighters

KW - Gastroesophageal reflux symptoms (GERS)

KW - National Health Interview Survey (NHIS)

KW - Rescue workers

KW - Respiratory diagnoses

KW - Respiratory symptoms

KW - World Trade Center

UR - http://www.scopus.com/inward/record.url?scp=83155180373&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=83155180373&partnerID=8YFLogxK

U2 - 10.1016/j.ypmed.2011.09.001

DO - 10.1016/j.ypmed.2011.09.001

M3 - Article

C2 - 21930151

AN - SCOPUS:83155180373

VL - 53

SP - 364

EP - 369

JO - Preventive Medicine

JF - Preventive Medicine

SN - 0091-7435

IS - 6

ER -