title: Long term health complaints following the Amsterdam Air Disaster in police officers and fire-fighters.
abstract: BACKGROUND
  On 4 October 1992, a cargo aircraft crashed into apartment buildings in Amsterdam, the Netherlands. Fire-fighters and police officers assisted with the rescue work.
  
  
  OBJECTIVE
  To examine the long term health complaints in rescue workers exposed to a disaster.
  
  
  METHODS
  A historical cohort study was performed among police officers (n = 834) and fire-fighters (n = 334) who performed at least one disaster related task and reference groups of their non-exposed colleagues (n = 634 and n = 194, respectively). The main outcome measures included digestive, cardiovascular, musculoskeletal, nervous system, airway, skin, post-traumatic stress, fatigue, and general mental health complaints; haematological and biochemical laboratory values; and urinalysis outcomes.
  
  
  RESULTS
  Police officers and fire-fighters who were professionally exposed to a disaster reported more physical and mental health complaints, compared to the reference groups. No clinically relevant statistically significant differences in laboratory outcomes were found.
  
  
  CONCLUSIONS
  This study is the first to examine long term health complaints in a large sample of rescue workers exposed to a disaster in comparison to reference groups of non-exposed colleagues. Findings show that even in the long term, and in the absence of laboratory abnormalities, rescue workers report more health complaints.
authors.affiliation: Erasmus Medical Center, Department of Child and Adolescent Psychiatry, Rotterdam, Netherlands. a.c.huizink@erasmusmc.nl
authors.forename: A C
authors.initials: AC
authors.lastname: Huizink
authors.forename: P
authors.initials: P
authors.lastname: Slottje
authors.forename: A B
authors.initials: AB
authors.lastname: Witteveen
authors.forename: J A
authors.initials: JA
authors.lastname: Bijlsma
authors.forename: J W R
authors.initials: JW
authors.lastname: Twisk
authors.forename: N
authors.initials: N
authors.lastname: Smidt
authors.forename: I
authors.initials: I
authors.lastname: Bramsen
authors.forename: W
authors.initials: W
authors.lastname: van Mechelen
authors.forename: H M
authors.initials: HM
authors.lastname: van der Ploeg
authors.forename: L M
authors.initials: LM
authors.lastname: Bouter
authors.forename: T
authors.initials: T
authors.lastname: Smid
mesh_terms: D000060:Accidents, Aviation / Q000523:psychology; D000328:Adult; D015331:Cohort Studies; D005260:Female; D005390:Fires / Q000517:prevention & control; D006801:Humans; D008297:Male; D008875:Middle Aged; D009426:Netherlands / Q000453:epidemiology; D016273:Occupational Exposure / Q000009:adverse effects*; D016495:Police; D011788:Quality of Life; D018635:Rescue Work; D013313:Stress Disorders, Post-Traumatic / Q000453:epidemiology / Q000209:etiology*; D011795:Surveys and Questionnaires