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Research

Research outcomes

Studies conducted since 9/11 on the health effects of WTC exposure, with a focus on first responders, rescue workers, and long-term monitoring.

FDNY members at the World Trade Center site research imagery

FDNY WTC Health Program Updates

25th Anniversary Update: WTC Health Impacts on FDNY Members

On the 25th anniversary of the attacks, this report reflects on the long-term physical and mental health consequences of exposure, the program’s continued monitoring, and the lasting burden on FDNY members and families.

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Health Impacts on FDNY Rescue/Recovery Workers β€” 20 Years: 2001–2021

Marking the 20th anniversary, this update reports that nearly 16,000 FDNY members were exposed during the rescue and recovery effort, and more than 200 have since died of WTC-related illness.

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An Update 15 Years Later: September 2001–September 2016

Documents rising rates of cancers and autoimmune disease among the workforce β€” findings that helped extend the Zadroga Act's federal funding for 75 more years.

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WTC Health Impacts on FDNY Rescue Workers: A Six-Year Assessment

Shares what the Department gathered on the physical and mental health effects of 9/11 on its membership, 2001–2007.

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Respiratory Research

Persistent Hyperreactivity and Reactive Airway Dysfunction in Firefighters

A longitudinal study of whether bronchial hyperreactivity persisted after the collapse, and whether early measures predicted reactive airway disease at 6 months.

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Obstructive Airways Disease With Air Trapping

Airway obstruction was the leading physiologic finding behind reduced lung function in FDNY rescue workers evaluated after 9/11.

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WTC "Sarcoid-Like" Granulomatous Pulmonary Disease

Examines whether WTC dust exposure increased the incidence of sarcoidosis or sarcoid-like granulomatous pulmonary disease in FDNY rescue workers.

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Pulmonary Function After the WTC Collapse

Tracks respiratory symptoms and lung function changes among first responders and rescue workers following the collapse.

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Lung Function in Rescue Workers, 7 Years Later

Characterizes longer-term trends in forced expiratory volume (FEV1) among FDNY rescue workers across the 7 years after 9/11.

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Symptoms, Respirator Use, and Pulmonary Function Changes

Looks at whether arrival time at the WTC site and respirator use were associated with symptoms and pulmonary function changes.

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Accelerated Spirometric Decline With Ξ±1-Antitrypsin Deficiency

Examines AAT deficiency, a known risk factor for obstructive airway disease, in the context of WTC-related lung function decline.

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Emerging Exposures and Respiratory Health: WTC Dust

Reports on cough, dyspnea, reflux, and a significant one-year decline in lung volumes among exposed firefighters.

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Mental Health Research

Trends of Elevated PTSD Risk, 2001–2005

Tracks PTSD risk trends among WTC-exposed firefighters in relation to exposure, social support, and functional health.

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Trends in Probable PTSD, 2001–2010

The longest published follow-up of probable PTSD among FDNY firefighters who took part in the rescue and recovery effort.

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Risk Factors in PTSD and Depression Comorbidity

Identifies distinct risk factors behind the high rates of comorbid depression and PTSD reported in earlier WTC studies.

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Performance of the PTSD Checklist in Retired Firefighters

Evaluates the self-report PTSD Checklist against clinician-administered interviews in firefighters who worked at Ground Zero.

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Occupational & Autoimmune Research

Occupational
Impact on FDNY Retirement, Disability, and Pensions

Analyzes how the WTC attack and recovery effort affected firefighter retirements and the FDNY pension system's finances.

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Autoimmune
Systemic Autoimmune Disease in WTC Rescue/Recovery Workers

Tests whether acute and chronic WTC site exposure was associated with new-onset systemic autoimmune disease.

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