title: FDNY and 9/11: Clinical services and health outcomes in World Trade Center-exposed firefighters and EMS workers from 2001 to 2016.
abstract: After the World Trade Center (WTC) attacks on September 11, 2001, the Fire Department of the City of New York (FDNY) instituted a WTC medical monitoring and treatment program and established a data center to document health outcomes in the WTC-exposed workforce of ∼16,000 firefighters and EMS workers.
  
  
  
  FDNY schedules routine monitoring exams every 12-18 months and physical and mental health treatment appointments, as required.
  
  
  
  FDNY research studies have consistently found that early arrival to work and/or prolonged work at the WTC-site increased the risks for adverse physical and mental health outcomes. To date, a substantial proportion has been diagnosed with obstructive airways disease, chronic rhinosinusitis, and gastroesophageal reflux disease; a quarter has two or more of these conditions.
  
  
  
  While much has been learned, the entire spectrum and trajectory of WTC-related disorders and their mechanisms of onset and persistence remain to be fully described. Am. J. Ind. Med. 59:695-708, 2016. © 2016 Wiley Periodicals, Inc.
authors.affiliation: Department of Medicine, Montefiore Medical Center, Bronx, New York.|Bureau of Health Services, Fire Department of the City of New York, Brooklyn, New York.
authors.forename: Jennifer
authors.initials: J
authors.lastname: Yip
authors.affiliation: Bureau of Health Services, Fire Department of the City of New York, Brooklyn, New York.|Department of Epidemiology and Population Health, Albert Einstein College of Medicine, Bronx, New York.
authors.forename: Mayris P
authors.initials: MP
authors.lastname: Webber
authors.affiliation: Department of Medicine, Montefiore Medical Center, Bronx, New York.|Bureau of Health Services, Fire Department of the City of New York, Brooklyn, New York.
authors.forename: Rachel
authors.initials: R
authors.lastname: Zeig-Owens
authors.affiliation: Department of Medicine, Montefiore Medical Center, Bronx, New York.|Bureau of Health Services, Fire Department of the City of New York, Brooklyn, New York.
authors.forename: Madeline
authors.initials: M
authors.lastname: Vossbrinck
authors.affiliation: Department of Medicine, Montefiore Medical Center, Bronx, New York.|Bureau of Health Services, Fire Department of the City of New York, Brooklyn, New York.
authors.forename: Ankura
authors.initials: A
authors.lastname: Singh
authors.affiliation: Bureau of Health Services, Fire Department of the City of New York, Brooklyn, New York.
authors.forename: Kerry
authors.initials: K
authors.lastname: Kelly
authors.affiliation: Bureau of Health Services, Fire Department of the City of New York, Brooklyn, New York.|Pulmonary Medicine Division, Montefiore Medical Center, Bronx, New York.
authors.forename: David J
authors.initials: DJ
authors.lastname: Prezant
mesh_terms: D015897:Comorbidity; D004632:Emergency Medical Services / Q000706:statistics & numerical data*; D061388:Firefighters / Q000706:statistics & numerical data*; D005764:Gastroesophageal Reflux / Q000453:epidemiology*; D006296:Health Services / Q000706:statistics & numerical data; D006801:Humans; D008603:Mental Health; D015508:Nasal Obstruction / Q000453:epidemiology; D009369:Neoplasms / Q000453:epidemiology*; D009519:New York City / Q000453:epidemiology; D009784:Occupational Diseases / Q000453:epidemiology*; D011159:Population Surveillance; D012140:Respiratory Tract Diseases / Q000453:epidemiology* / Q000503:physiopathology; D012179:Retirement; D047851:September 11 Terrorist Attacks; D013577:Syndrome
keywords: September 11 terrorist attacks; ems workers; firefighters; occupational health; world trade center