Risk factors for post-9/11 chronic rhinosinusitis in Fire Department of the City of New York workers

ObjectivesChronic rhinosinusitis (CRS) has high socioeconomic burden but underexplored risk factors. The collapse of the World Trade Center (WTC) towers on 11 September 2001 (9/11) caused dust and smoke exposure, leading to paranasal sinus inflammation and CRS. We aim to determine which job tasks ar...

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Bibliographic Details
Published in:Occupational and environmental medicine (London, England) England), 2018-12, Vol.75 (12), p.884-889
Main Authors: Putman, Barbara, Zeig-Owens, Rachel, Singh, Ankura, Hall, Charles B, Schwartz, Theresa, Webber, Mayris P, Cohen, Hillel W, Prezant, David J, Bachert, Claus, Weiden, Michael D
Format: Article
Language:English
Subjects:
Adult
Asthma
Blood
Chronic Disease
Data recovery
Demographics
Demography
Disease
Dust
Emergency medical services
Exposure
Female
Firefighters
Firefighters - statistics & numerical data
Fires
Follow-Up Studies
Health services
Humans
Longitudinal studies
Male
Medical personnel
Middle Aged
Multivariate Analysis
New York City - epidemiology
Occupational exposure
Occupational Exposure - adverse effects
ORIGINAL ARTICLE
Outdoor air quality
Paranasal sinus
Population
Rescue Work
Rhinitis
Rhinosinusitis
Risk analysis
Risk Factors
September 11 Terrorist Attacks
Sinus
Sinusitis
Sinusitis - epidemiology
Smoke
Socioeconomic factors
Surgery
Systematic review
Workers
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Summary:ObjectivesChronic rhinosinusitis (CRS) has high socioeconomic burden but underexplored risk factors. The collapse of the World Trade Center (WTC) towers on 11 September 2001 (9/11) caused dust and smoke exposure, leading to paranasal sinus inflammation and CRS. We aim to determine which job tasks are risk factors for CRS in WTC-exposed Fire Department of the City of New York (FDNY) firefighters and emergency medical services (EMS) workers.MethodsThis cohort study included a 16-year follow-up of 11 926 WTC-exposed FDNY rescue/recovery workers with data on demographics, WTC exposure, job tasks and first post-9/11 complete blood counts. Using multivariable Cox regression, we assessed the associations of WTC exposure, work assignment (firefighter/EMS), digging and rescue tasks at the WTC site and blood eosinophil counts with subsequent CRS, adjusting for potential confounders.ResultsThe rate of CRS was higher in firefighters than EMS (1.80/100 person-years vs 0.70/100 person-years; p
ISSN:1351-0711
1470-7926
DOI:10.1136/oemed-2018-105297