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世界贸易中心健康计划(WTCHP)对日本东大地震公共卫生应对的启示。

Implications of the World Trade Center Health Program (WTCHP) for the public health response to the Great East Japan Earthquake.

机构信息

The World Trade Center Health Program, USA.

出版信息

Ind Health. 2014;52(1):5-12. doi: 10.2486/indhealth.2013-0205. Epub 2013 Dec 9.

DOI:10.2486/indhealth.2013-0205
PMID:24317449
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC4202764/
Abstract

The attacks on the World Trade Center (WTC) on September 11, 2001 resulted in a serious burden of physical and mental illness for the 50,000 rescue workers that responded to 9/11 as well as the 400,000 residents and workers in the surrounding areas of New York City. The Zadroga Act of 2010 established the WTC Health Program (WTCHP) to provide monitoring and treatment of WTC exposure-related conditions and health surveillance for the responder and survivor populations. Several reports have highlighted the applicability of insights gained from the WTCHP to the public health response to the Great East Japan Earthquake. Optimal exposure monitoring processes and attention to the welfare of vulnerable exposed sub-groups are critical aspects of the response to both incidents. The ongoing mental health care concerns of 9/11 patients accentuate the need for accessible and appropriately skilled mental health care in Fukushima. Active efforts to demonstrate transparency and to promote community involvement in the public health response will be highly important in establishing successful long-term monitoring and treatment programs for the exposed populations in Fukushima.

摘要

2001 年 9 月 11 日对世界贸易中心(WTC)的袭击,给 5 万名参与 911 事件的救援人员以及纽约市周边地区的 40 万居民和工人造成了严重的身心疾病负担。2010 年的《扎德罗加法案》设立了 WTC 健康计划(WTCHP),为救援人员和幸存者人群提供 WTC 暴露相关疾病的监测和治疗以及健康监测。几份报告强调了从 WTCHP 中获得的见解对东日本大地震公共卫生应对的适用性。优化暴露监测流程和关注弱势群体的福利是应对这两起事件的关键方面。911 患者持续的心理健康护理问题凸显了在福岛提供可及且适当技能的心理健康护理的必要性。积极努力展示透明度并促进社区参与公共卫生应对,对于为福岛暴露人群建立成功的长期监测和治疗计划将非常重要。

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Environ Health Perspect. 2013 Jun;121(6):699-704. doi: 10.1289/ehp.1205894. Epub 2013 Apr 23.
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Mortality risk amongst nursing home residents evacuated after the Fukushima nuclear accident: a retrospective cohort study.福岛核事故后撤离的养老院居民的死亡风险:一项回顾性队列研究。
PLoS One. 2013;8(3):e60192. doi: 10.1371/journal.pone.0060192. Epub 2013 Mar 26.
3
Mental health of those directly exposed to the World Trade Center disaster: unmet mental health care need, mental health treatment service use, and quality of life.那些直接接触世界贸易中心灾难的人的心理健康:未满足的心理健康护理需求、心理健康治疗服务的使用和生活质量。
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Fukushima: Fallout of fear.福岛:恐惧的余波。
Nature. 2013 Jan 17;493(7432):290-3. doi: 10.1038/493290a.
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Summary of discussions at the symposium focusing on problems resulting from the nuclear accident at the Fukushima Daiichi nuclear power plant.聚焦福岛第一核电站核事故所引发问题的研讨会讨论总结。
J Radiol Prot. 2013 Mar;33(1):E1-7. doi: 10.1088/0952-4746/33/1/E1. Epub 2013 Jan 7.
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Association between World Trade Center exposure and excess cancer risk.世贸中心暴露与癌症风险增加之间的关联。
JAMA. 2012 Dec 19;308(23):2479-88. doi: 10.1001/jama.2012.110980.
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Study protocol for the Fukushima Health Management Survey.福岛健康管理调查研究方案。
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