Upper and lower respiratory diseases after occupational and environmental disasters

David J. Prezant, Stephen Levin, Kerry J. Kelly, Thomas K. Aldrich

Research output: Contribution to journalArticle

39 Citations (Scopus)

Abstract

Respiratory consequences from occupational and environmental disasters are the result of inhalation exposures to chemicals, particulate matter (dusts and fibers) and/or the incomplete products of combusion that are often liberated during disasters such as fires, building collapses, explosions and volcanoes. Unfortunately, experience has shown that environmental controls and effective respiratory protection are often unavailable during the first days to week after a large-scale disaster. The English literature was reviewed using the key words-disaster and any of the following: respiratory disease, pulmonary, asthma, bronchitis, sinusitis, pulmonary fibrosis, or sarcoidosis. Respiratory health consequences after aerosolized exposures to high-concentrations of particulates and chemicals can be grouped into 4 major categories: 1) upper respiratory disease (chronic rhinosinusitis and reactive upper airways dysfunction syndrome), 2) lower respiratory diseases (reactive [lower] airways dysfunction syndrome, irritant-induced asthma, and chronic obstructive airways diseases), 3) parenchymal or interstitial lung diseases (sarcoidosis, pulmonary fibrosis, and bronchiolitis obliterans, and 4) cancers of the lung and pleura. This review describes several respiratory consequences of occupational and environmental disasters and uses the World Trade Center disaster to illustrate in detail the consequences of chronic upper and lower respiratory inflammation.

Original languageEnglish (US)
Pages (from-to)89-100
Number of pages12
JournalMount Sinai Journal of Medicine
Volume75
Issue number2
DOIs
StatePublished - Mar 2008

Fingerprint

Occupational Diseases
Disasters
Pulmonary Fibrosis
Asthma
Structure Collapse
Bronchiolitis Obliterans
Pulmonary Sarcoidosis
Literature
Inhalation Exposure
Particulate Matter
Pleura
Explosions
Bronchitis
Irritants
Sinusitis
Interstitial Lung Diseases
Sarcoidosis
Dust
Chronic Obstructive Pulmonary Disease
Lung Diseases

Keywords

  • Asthma
  • Chronic rhinosinusitis
  • Disaster medicine
  • Gastroesophageal reflux
  • Occupational medicine
  • Respiratory disease
  • World Trade Center

ASJC Scopus subject areas

  • Medicine(all)

Cite this

Upper and lower respiratory diseases after occupational and environmental disasters. / Prezant, David J.; Levin, Stephen; Kelly, Kerry J.; Aldrich, Thomas K.

In: Mount Sinai Journal of Medicine, Vol. 75, No. 2, 03.2008, p. 89-100.

Research output: Contribution to journalArticle

Prezant, David J. ; Levin, Stephen ; Kelly, Kerry J. ; Aldrich, Thomas K. / Upper and lower respiratory diseases after occupational and environmental disasters. In: Mount Sinai Journal of Medicine. 2008 ; Vol. 75, No. 2. pp. 89-100.
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