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By Thomas Farley, MD, MPH, NYC Health Commissioner   
9/11-Affected People    
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9/11 Health - Health Care Professionals    
Resources:
Clinical Guidelines for Adults Exposed to the World Trade Center Disaster   PDF Document (Reader Required; Click to Download)
Clinical Guidelines for Children and Adolescents Exposed to the World Trade Center Disaster  PDF Document (Reader Required; Click to Download)
WTC Algorithm   PDF Document (Reader Required; Click to Download)
Released in August 2006 by the New York City Department of Health and Mental Hygiene, these guidelines provide information on the physical and mental health effects of exposure to the World Trade Center (WTC) disaster in a single document with an algorithm charting the evaluation and treatment of persons with chronic cough.  They provide information to help physicians assess exposures, assist in diagnosis and treatment, provide preventive services, and refer for consultation or specialty care.
The guidelines were written and reviewed in collaboration with WTC medical experts, including representatives from the three Centers of Excellence. Drafts of the guidelines were shared with labor and community representatives.
The guidelines will be revised periodically to ensure that they reflect the latest clinical findings and results of epidemiological research.  Pediatric guidelines were released in July 2009.
What You Can Do:
Ask your patients about their exposure to the World Trade Center (WTC) disaster when performing routine patient medical or psychological evaluations, even for those who live outside of the New York City area.  Thousands of workers and volunteers rushed to the scene in the days and weeks following the terrorist attacks to participate in the rescue and recovery operations.  In addition, many commuters and residents of lower Manhattan who may have moved out of New York City following the attacks were exposed.
Refer patients with the symptoms described in the guidelines to one of the three Centers of Excellence. Patients who live outside of the New York metropolitan area should call 888-702-0630 for referral to local clinics.
Refer patients who have questions about the health effects associated with the collapse of the World Trade Center to this website.  Of particular interest is What We Know About the Health Effects of 9/11.
Share your clinical knowledge and experience evaluating and treating patients with WTC-related physical health problems with the New York City Department of Health and Mental Hygiene. Call or e-mail Jim Cone at 212-442-2402 or jcone@health.nyc.gov.
Report the death of any patient with World Trade Center exposure to:
New York State Department of Health
Bureau of Occupational Health
547 River Street, Room 230
Troy, New York 12180
1-866-807-2130 (toll-free in New York State) or 1-518-402-7900
World Trade Center Scientific Bibliography
Resources for Researchers
Printer Version
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