Mount Sinai School of Medicine, World Trade Center Health Program, New York, NY.
New York University School of Medicine, Department of Psychiatry, New York, NY.
Ann Glob Health. 2014 Jul-Aug;80(4):320-31. doi: 10.1016/j.aogh.2014.08.215. Epub 2014 Nov 25.
The response to 9/11 continues into its 14th year. The World Trade Center Health Program (WTCHP), a long-term monitoring and treatment program now funded by the Zadroga Act of 2010, includes >60,000 World Trade Center (WTC) disaster responders and community members ("survivors"). The aim of this review is to identify several elements that have had a critical impact on the evolution of the WTC response and, directly or indirectly, the health of the WTC-exposed population. It further explores post-disaster monitoring efforts, recent scientific findings from the WTCHP, and some implications of this experience for ongoing and future environmental disaster response.
Transparency and responsiveness, site safety and worker training, assessment of acute and chronic exposure, and development of clinical expertise are interconnected elements determining efficacy of disaster response.
Even in a relatively well-resourced environment, challenges regarding allocation of appropriate attention to vulnerable populations and integration of treatment response to significant medical and mental health comorbidities remain areas of ongoing programmatic development.
对 911 事件的应对已经进入第 14 个年头。世界贸易中心健康计划（WTCHP）是一个长期监测和治疗计划，现由 2010 年的扎德罗加法案提供资金，其中包括超过 60000 名世界贸易中心（WTC）灾难应对人员和社区成员（“幸存者”）。本综述旨在确定几个对 WTC 应对工作的演变具有关键影响的因素，并直接或间接地对暴露于 WTC 环境下的人群的健康产生影响。它进一步探讨了灾难后的监测工作、WTCHP 的最新科学发现，以及这一经验对正在进行的和未来的环境灾难应对的一些影响。
透明度和响应性、场地安全和工人培训、急性和慢性暴露评估以及临床专业知识的发展是决定灾难应对效果的相互关联的因素。
即使在资源相对充足的环境中，如何适当关注弱势群体，以及如何将治疗反应与重大的医疗和心理健康合并症结合起来，仍然是项目持续发展的领域。
