title: Ten-year cancer incidence in rescue/recovery workers and civilians exposed to the September 11, 2001 terrorist attacks on the World Trade Center.
abstract: Cancer incidence in exposed rescue/recovery workers (RRWs) and civilians (non-RRWs) was previously reported through 2008.
  
  
  
  We studied occurrence of first primary cancer among World Trade Center Health Registry enrollees through 2011 using adjusted standardized incidence ratios (SIRs), and the WTC-exposure-cancer association, using Cox proportional hazards models.
  
  
  
  All-cancer SIR was 1.11 (95% confidence interval (CI) 1.03-1.20) in RRWs, and 1.08 (95% CI 1.02-1.15) in non-RRWs. Prostate cancer and skin melanoma were significantly elevated in both populations. Thyroid cancer was significantly elevated only in RRWs while breast cancer and non-Hodgkin's lymphoma were significantly elevated only in non-RRWs. There was a significant exposure dose-response for bladder cancer among RRWs, and for skin melanoma among non-RRWs.
  
  
  
  We observed excesses of total and specific cancers in both populations, although the strength of the evidence for causal relationships to WTC exposures is somewhat limited. Continued monitoring of this population is indicated. Am. J. Ind. Med. 59:709-721, 2016. © 2016 Wiley Periodicals, Inc.
authors: World Trade Center Health Registry, New York City Department of Health and Mental Hygiene, Long Island City, New York.
authors: Jiehui
authors: J
authors: Li
authors: World Trade Center Health Registry, New York City Department of Health and Mental Hygiene, Long Island City, New York.
authors: Robert M
authors: RM
authors: Brackbill
authors: World Trade Center Health Registry, New York City Department of Health and Mental Hygiene, Long Island City, New York.
authors: Tim S
authors: TS
authors: Liao
authors: Bureau of Cancer Epidemiology, New York State Department of Health, Albany, New York.
authors: Baozhen
authors: B
authors: Qiao
authors: World Trade Center Health Registry, New York City Department of Health and Mental Hygiene, Long Island City, New York.
authors: James E
authors: JE
authors: Cone
authors: World Trade Center Health Registry, New York City Department of Health and Mental Hygiene, Long Island City, New York.
authors: Mark R
authors: MR
authors: Farfel
authors: World Trade Center Health Registry, New York City Department of Health and Mental Hygiene, Long Island City, New York.
authors: James L
authors: JL
authors: Hadler
authors: Bureau of Cancer Epidemiology, New York State Department of Health, Albany, New York.
authors: Amy R
authors: AR
authors: Kahn
authors: World Trade Center Health Registry, New York City Department of Health and Mental Hygiene, Long Island City, New York.
authors: Kevin J
authors: KJ
authors: Konty
authors: Division of Epidemiology and Biostatistics, University of Illinois, Chicago, Illinois.
authors: Leslie T
authors: LT
authors: Stayner
authors: World Trade Center Health Registry, New York City Department of Health and Mental Hygiene, Long Island City, New York.|Department of Epidemiology, Mailman School of Public Health, Columbia University, New York, New York.
authors: Steven D
authors: SD
authors: Stellman
mesh_terms: D000293:Adolescent; D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D002648:Child; D005260:Female; D006801:Humans; D015994:Incidence; D008228:Lymphoma, Non-Hodgkin / Q000453:epidemiology; D008297:Male; D008545:Melanoma / Q000453:epidemiology; D008875:Middle Aged; D009369:Neoplasms / Q000453:epidemiology*; D009519:New York City / Q000453:epidemiology; D009784:Occupational Diseases / Q000453:epidemiology*; D016273:Occupational Exposure / Q000706:statistics & numerical data*; D016016:Proportional Hazards Models; D011471:Prostatic Neoplasms / Q000453:epidemiology; D018635:Rescue Work / Q000706:statistics & numerical data*; D047851:September 11 Terrorist Attacks; D012878:Skin Neoplasms / Q000453:epidemiology; D013964:Thyroid Neoplasms / Q000453:epidemiology; D013997:Time Factors; D001749:Urinary Bladder Neoplasms / Q000453:epidemiology; D055815:Young Adult
keywords: September 11 attacks; World Trade Center; cancer incidence; environmental exposure