An analysis of health data collected through the World Trade Center Health Program of the Icahn School of Medicine at Mount Sinai Medical Center in Manhattan’s Upper East Side, has found cancer incidence rates statistically higher than expected among World Trade Center rescue and recovery workers.

Elevations were found for cancers in all areas of the the human body combined, as well as for specific cancers that attack the thyroid, prostate, blood, lymphoid and soft tissues.

The research found cancer rates were the highest in those highly-exposed responders trapped in the dust cloud that resulted when the World Trade Center towers collapsed or who worked a significant number of days at the WTC site, otherwise known as Ground Zero.

The study, “Cancer Incidence in World Trade Center Rescue and Recovery Workers, 2001-2008,” was founded on self-reported health information, along with follow-up medical testing data from 20,984 consenting participants in the WTC Health Program.

A total 575 cancers were diagnosed in 552 individuals.

Released online April 23 in the journal Environmental Health Perspectives, the findings were in agreement with previous research on firefighters conducted by the New York City Fire Department and with research on New York City residents conducted by the New York City Department of Health and Mental Hygiene’s WTC Health Registry.

But, while “previous studies have looked at cancer incidence rates after September 11,” they overlooked the linkages between time, place and levels of exposure, said study co-author Philip Landrigan, MD. “This study is significant because for the first time it examines associations between several types of cancers in a specific population – WTC rescue and recovery workers – and levels of exposure to the dust on the debris pile in lower Manhattan.”

Cancers among the 20,984 consenting participants in the WTC Health Program were identified through state tumor registries in New York, New Jersey, Connecticut, and Pennsylvania.

Standardized incidence rates were calculated to compare cancers diagnosed in responders to predicted numbers for the general population.
“The findings of this study, while significant, should be interpreted with caution given the short follow-up and long latency period for most cancers,” said corresponding study author Samara Solan, MD, an Instructor of Preventive Medicine at Mount Sinai’s Icahn School of Medicine. “However, our findings strongly highlight the need for continued follow-up and medical surveillance of WTC responders.”

The World Trade Center Medical Monitoring and Treatment Program stands as the federal government’s principal public health response to 9/11 and continues to coordinate the NY-NJ Consortium of occupational medicine providers of program services.

With funding from the federal government, the treatment program offers free and confidential medical and mental health evaluation, long-term monitoring and treatment for eligible WTC rescue, recovery and clean-up workers, including volunteers, who responded to the September 11, 2001 terrorist attacks in New York City.

Since its July 2002 kickoff, the program has medically screened over 30,000 WTC rescue and recovery workers and volunteers in all 50 states.

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According to a report by the Daily News, security issues and making sure that all of the victims’ families will be able to participate in the 10th anniversary of 9/11, contributed to first responders not being invited to the ceremony.

Phil, a construction worker at Ground Zero, says the city needs to figure out a way to have first responders at this anniversary.

“I think that they should be allowed to go because too many of their brothers and sisters lost their lives and they should be the first ones that are included,” he said. “They should make it happen. I’m sure there are going to be a lot of people here who shouldn’t be here.”

First responders will be given a separate ceremony at a later date.

Both President Barack Obama and former president George W. Bush will be at this year’s ceremony as well as former mayor Rudy Giuliani and other dignitaries, meaning extra security will be on hand.

In addition, only a limited number of lawmakers from the Tri-state area will be allowed to attend.

On Friday, House Speaker Rep. John Boehner said the government would be paying for representatives from New York, New Jersey and Connecticut to attend the ceremony.

An estimated 91,000 police, firefighters and other first responders helped with the search and rescue efforts in the wake of the September 11th attacks.

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The James Zadroga 9/11 Health and Compensation Act, which amends the Public Health Service Act to provide extra medical and other benefits to first-responders at the site of the Sept. 11 attacks, was one of the last measures Congress passed before adjourning in December.

“We will never forget the selfless courage demonstrated by the firefighters, police officers and first responders who risked their lives to save others,” Obama said in a statement. “I believe this is a critical step for those who continue to bear the physical scars of those attacks.”

The bill is named after a New York Police Department detective who worked at Ground Zero and died of a respiratory illness in 2006.

Zadroga and others were exposed to clouds of toxic fumes, dust and smoke. Many have since fallen very ill and dozens have died, with exposure to toxic chemicals at the site believed to be a major factor.

The bill faced opposition in Congress as Republicans repeatedly blocked the legislation. Some called it a New York slush fund, while others opposed increasing Washington’s already massive deficit of $1.3 trillion US.

They dropped their opposition after lawmakers struck a compromise to reduce the costs.

The $4.2 billion measure will be paid for with a fee on some foreign companies that get U.S. government procurement contracts.

Obama signed the bill from Hawaii where he is vacationing.

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The 9/11 Health and Compensation Act was first introduced in Congress in February of 2009. The bill’s sponsors want it to pay for long-term medical needs associated with chronic respiratory and digestive problems that doctors and researchers have linked to toxins at Ground Zero following the terrorist attacks. The legislation would also pay for treatment of mental health issues and compensate people for economic losses.

According to Congresswoman Carolyn Maloney, one of the bill’s co-sponsors, more than 13,000 people are being treated for illnesses related to September 11 and nearly 53,000 take part in a medical monitoring program.

When the bill was first introduced, it had a price tag of $10.5 billion. That has since been shaved down to $7.4 billion. CNN’s Steve Kastenbaum spoke with Gabriele Pacino, a construction worker who took part in the clean-up effort, as well the man’s doctor.

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See also:

GOP Opposes Medical Funding for 9/11 Victims
I was under the impression that the emergency teams who responded to the terrorist attacks of 9/11 are considered American heroes.

The 9/11 Responder Bill … What Is It?
So, what actually happened with the squashed bill giving aid to 9/11 first responders and why were Rep. Anthony Weiner and Rep. Peter King arguing over it?: Our Insiders wanted to know what was in it and why it was killed, here is what our Brainroom came up with . . .

Playing Politics with 9/11
Why House Democrats Forced a 2/3 Majority Vote on 9/11 Responders Bill
Last night in the House, a bill to provide $7.4 billion in funding over 10 years to those whose health was affected by the World Trade Center attack got 255 votes–well above a simple majority. But the bill failed because Democrats suspended the rules, which denied the Republicans the chance to offer any amendments and required a 2/3 majority to pass.

Congress rejects Zadroga 9/11 Health and Compensation Act
Congress turned thumbs down on the Zadroga 9/11 Health and Compensation Act on Thursday night, raising doubts it will ever pass.  Most Republicans refused to back the measure, calling it a “slush fund,” and saying it was another example of Democratic overreach and an “insatiable” appetite for taxpayers’ money.

9/11 Health Bill’s Defeat is a ‘Disgrace,’ Say First Responders, Local Pols
Allan Tannenbaum, a TriBeCa resident who documented first responder illnesses through a project called “9/11: Still Killing,” said he was “disgusted” with both parities.  “I’m wondering what kind of country we live in where we can’t come together and do the right thing,” Tannenbaum said. “Congress passed huge bailouts of billions of dollars to banks, and yet they can’t find a way to provide health maintenance and monitoring?”

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