
NAACCR Online Education
Cancer in World Trade Center Rescue & Recovery Workers: Past Findings, Current Research and the Future
Recorded On: 09/11/2019
The collapse of the World Trade Center (WTC)
towers due to the terrorist attacks on September 11, 2001 created an
unprecedented mixture of hazardous materials including known and suspected
carcinogens including, but not limited to, asbestos, polycyclic aromatic
hydrocarbons, polychlorinated biphenyls, and dioxins. Three research
centers that follow cohorts of rescue/recovery workers since the WTC disaster
include: the Fire Department of the City of New York (FDNY); the Icahn School
of Medicine at Mount Sinai (ISMMS); and the New York City Department of Health
and Mental Hygiene (DOHMH). These centers have reported mostly
non-significantly elevated cancer rates post-exposure to the WTC-site.
Challenges of determining the causal relationship between WTC exposure and
cancer in rescue/recovery workers include: lack of individual-level exposure
data for specific chemicals, different exposure ascertainment methodologies for
the three cohorts, loss to follow-up, inadequate power for cohort-specific
analyses, demographic heterogeneity between the cohorts, and the lack of a viable
comparison cohort.
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