Viral hemorrhagic fevers (VHFs) are a group of illnesses caused by four families of viruses. These include the Ebola and Marburg, Lassa fever, and yellow fever viruses. VHFs have common features: they affect many organs, they damage the blood vessels, and they affect the body’s ability to regulate itself. Some VHFs cause mild disease, but some, like Ebola or Marburg, cause severe disease and death.

VHFs are found around the world. Specific diseases are usually limited to areas where the animals that carry them live. For example, Lassa fever is limited to rural areas of West Africa where rats and mice carry the virus.

The risk for travelers is low, but you should avoid visiting areas where there are disease outbreaks. Because there are no effective treatments for some of these viral infections, there is concern about their use in bioterrorism.

These diseases most commonly occur in tropical areas. In the United States, people who get them usually have recently traveled to one of those areas.

There’s no cure for viral hemorrhagic fevers. There are vaccines for only a few types. Until additional vaccines are developed, the best approach is prevention.

Symptoms

Signs and symptoms of viral hemorrhagic fevers vary by disease. In general, early signs and symptoms can include:

• Fever
• Fatigue, weakness or general feeling of being unwell
• Dizziness
• Muscle, bone or joint aches
• Nausea and vomiting
• Diarrhea

Symptoms that can become life-threatening

More-severe symptoms include:

• Bleeding under the skin, in internal organs, or from the mouth, eyes or ears
• Nervous system malfunctions
• Coma
• Delirium
• Kidney failure
• Respiratory failure
• Liver failure

Causes

Viral hemorrhagic fevers are spread by contact with infected animals or insects. The viruses that cause viral hemorrhagic fevers live in a variety of animal and insect hosts. Most commonly the hosts include mosquitoes, ticks, rodents or bats.

Some viral hemorrhagic fevers can also be spread from person to person.

Stayed tune tomorrow learning more in Part II on Hemorrhagic Fever!

“COVID-19, which is caused by the 2019 coronavirus, has been dominate news starting 2019. However, you may have first become familiar with the term coronavirus during the severe acute respiratory syndrome (SARS) outbreak in 2003.

Both COVID-19 and SARS are caused by coronaviruses. The virus that causes SARS is known as SARS-CoV, while the virus that causes COVID-19 is known as SARS-CoV-2. There are also other types of human coronaviruses.

Despite similar names, there are several differences between the coronaviruses that cause COVID-19 and SARS.

The MERS virus causes flu-like symptoms, with most patients developing pneumonia as a secondary infection. MERS is caused by a virus in the coronavirus family, and the syndrome is also called MERS-Coronavirus (MERS-CoV). MERS is passed primarily to people from infected camels.  The first generation of Covid.”

The Library of Medicine (SARS, MERS and CoVID-19: An overview and comparison of clinical, laboratory and radiological features – PMC)

SARS, MERS, and Corona Viruses  are all caused by some CORONA VIRUS!

Through the National Library of Medicine they state:

“In the 21^st century, we have seen a total of three outbreaks by members of the coronavirus family. Although the first two outbreaks did not result in a pandemic, the third and the latest outbreak of Severe Acute Respiratory Syndrome Coronavirus 2 (SARS-CoV-2) culminated in a pandemic. This pandemic has been extremely significant on a social and international level. As these viruses belong to the same family, they are closely related. Despite their numerous similarities, they have slight distinctions that render them distinct from one another!”

Both COVID-19 and SARS are caused by coronaviruses. The virus that causes SARS is known as SARS-CoV, while the virus that causes COVID-19 is known as SARS-CoV-2.  So what does this mean?  A severe respiratory illness that is caused by a coronavirus (Severe acute respiratory syndrome-related virus of the genus Betacoronavirus) 

SARS is caused by Betacoronavirus that is one of four genera of coronaviruses. Member viruses are enveloped, positive-strand RNA viruses that infect mammals, including humans.  The first generation of covid.

COVID-19, which is caused by the 2019 coronavirus, has been dominate news starting 2019. However, you may have first become familiar with the term coronavirus during the severe acute respiratory syndrome (SARS) outbreak in 2003.

Both COVID-19 and SARS are caused by coronaviruses. The virus that causes SARS is known as SARS-CoV, while the virus that causes COVID-19 is known as SARS-CoV-2. There are also other types of human coronaviruses.

Despite similar names, there are several differences between the coronaviruses that cause COVID-19 and SARS.

Copyright © 2020 European Society of Clinical Microbiology and Infectious Diseases. Published by Elsevier Ltd. All rights reserved.”

Their references:

“As summer winds down and Labor Day approaches, many people are eager to squeeze in a few last moments outdoors. But, while tick activity has tapered off a bit since peaking in June, the risk for bites remains unusually high, especially in the Northeast and around Philadelphia.

Penn Today spoke with Sharon Tsay, an assistant professor of clinical medicine in the Department of Infectious Diseases at the Perelman School of Medicine, to discuss the tiny arachnids that attach themselves to the skin when they bite and can carry disease-causing germs.

Avoid them, what to do if bitten, including how to recognize the early symptoms of tick-borne illnesses such as Lyme disease:

Tip 1: Wear protective clothing such as long pants, socks, and shoes (not sandals), especially in high grass and/or wooded areas.

Tip 2: Use insect repellent.

Tip 3: Wash clothes and shower within an hour or two after returning from outdoor activity and remove any ticks found.

Tip 4: Be alert to symptoms such as rash, fever, and other flu-like symptoms.

Tick bites aren’t just irritating; they can transmit disease-causing agents, which is the bigger concern. One prominent example is the bacterium that causes Lyme disease, which is regularly found in this area.”

Penn Today (Ticks are still out there—here’s how to avoid them | Penn Today)

Ticks bite into the skin, then dig into it. Lastly, fills up the blood sac for food. 

The mark the tick leaves behind on the arm it bit.

A tick typically feeds for several days until it becomes fully engorged with blood. As it fills, its body swells, changing from a flat, seed-like appearance to a plump, globular form. Once engorged, the tick naturally detaches from its host.

This detachment is usually passive; the tick simply releases its grip and falls off. After detaching, the tick seeks a secluded and protected environment. It retreats to areas like leaf litter, cracks, or crevices, where it is less vulnerable to predators or environmental extremes.

Next Stages in the Tick’s Life Cycle

The blood meal a tick consumes is fundamental for its development and reproduction. Different tick life stages have distinct outcomes following engorgement.

For larval and nymphal ticks, a blood meal is a prerequisite for molting into the next developmental stage. After feeding, a six-legged larva transforms into an eight-legged nymph, and a nymph molts into an adult. This transformation allows the tick to grow and progress, preparing it for its next blood meal.

For adult female ticks, the blood meal provides the energy and nutrients necessary for egg production. Once fully fed, a female tick detaches and seeks a sheltered location to lay her eggs. She can lay thousands of eggs, often ranging from 1,000 to 8,000, after which she typically dies.

Male ticks may take smaller, more frequent blood meals. Their primary purpose after feeding is to find a mate. The male tick feeds before mating as well, but he’s often a fraction of the size of the engorged female when mating takes place. Often, the male dies after mating, and the female dies after laying anywhere from 2,000 to 18,000 eggs. Soft ticks are an exception. Many species of soft tick eat several smaller blood meals and lay eggs several times. This is one reason soft ticks don’t consume as much blood in one sitting or swell to the extent that hard ticks do.

In 2013, there were more than 25,000 confirmed cases of Lyme disease reported across the country, according to the Center For Disease Control And Prevention.

Lyme disease is of course a potentially debilitating infection spread by ticks. A special conference this weekend, now in it’s fourth year — is hoping to help raise awareness.

On Saturday, September 12, the Mt. Valley Lyme Disease Awareness Coalition will hold it’s 4th Annual Lyme Conference. This year’s day long event will be held at Telstar Regional High School in Bethel and is open to the public. Donations at that door to help in their researching.

We’re constantly hearing about the threat of Lyme disease when it comes to our pets. However, sometimes it takes star power in order to bring a dangerous condition into the “Lyme-light” for humans. This is exactly what Yolanda Foster, from the reality television show, Real Housewives of Beverly Hills, and wife of composer David Foster, did after suffering unexplainable symptoms—such as emotional outbursts, nervous system abnormalities, skin issues, and loss brain function. Her diagnoses: chronic Lyme disease.

Lyme disease is a bacterial illness that is spread by the borrelia burgdorferi bacteria in tick insect bites. Once infected, the victim (human or animal) will suffer the consequences in multiple stages that stretch from the first bite to the spread of Lyme antibodies within the blood, and the symptoms.

The most common tick-borne illness in North America and Europe, Lyme disease is transmitted by the bite of an infected blacklegged tick.

The most common signs or symptoms indicating Lyme Disease:

You have flu-like symptoms

One of the common symptoms of Lyme disease is feeling like you have a flu. This means that you’ll begin suffering from a runny nose, fevers, chills, and shaking. All the symptoms you associate with the flu can also indicate that you are in the early stages of Lyme disease and it’s at this point that you should go and see a doctor.

Many people will simply brush off the conditions and take medication bought over the counter, but if you can catch the disease at this stage, it’s far simpler to treat.

You have a stiff neck

If your neck is sore and you have the above-mentioned flu-like symptoms, it’s possible that you have developed Lyme disease. A stiff neck is a really common indicator of having recently contracted the disease. The reason it begins is because of the infection traveling around the body and if you find yourself with this pain, it’s important to get checked right away. Not only that but the pain involved with it can also get worse, making it almost unbearable. At this stage you should definitely see a doctor.

Headaches

On top of the above two symptoms, headaches will usually begin when you are in the early stages of developing the condition. A checkup is essential at this stage, your doctor will be able to provide you with treatment that is more effective the sooner after you contract the disease.

Muscle numbness

Muscle numbness occurs even during the early stages of Lyme disease making it difficult to move and creating either a numbness or a tingling feeling in muscles all over the body. Another common complaint is that the individual has shooting pains that go from the top of the leg to the bottom.

These symptoms are worrisome whether you have Lyme disease or not, so be sure to speak to your doctor as soon as you start experiencing these kinds of serious symptoms.

Fatigue

One of the signature symptoms of Lyme disease that most people have heard about is fatigue. This symptom occurs later on in the disease and is actually known as ‘post-Lyme syndrome’. It is far more than just feeling tired – it makes the muscles completely incapable of moving.

Along with the fatigue, the individual will suffer great pain in their muscles, bones, and joints.

Swelling

This symptom is more common during the early stages of the disease and it includes the swelling of the muscles, joints, and anywhere else in the body. The effect occurs as the body tries to protect itself from the bacteria that has invaded. Swelling is a natural response to many conditions and, as time goes by, the individual will find that the swelling can get worse and worse.

Heart problems

If you have heart problems and your family doesn’t have a history of it, this could be an indicator that you have Lyme disease and simply haven’t realized it yet. This is far less common than other symptoms, but in some cases an irregular heartbeat can actually suggest that you have Lyme disease and left it untreated for a long period of time.

If you have an irregular heartbeat, there’s no need to assume that you have Lyme disease – but you should of course go ahead with all the tests that your doctors want you to go ahead with.

Muscle numbness

Muscle numbness occurs even during the early stages of Lyme disease making it difficult to move and creating either a numbness or a tingling feeling in muscles all over the body. Another common complaint is that the individual has shooting pains that go from the top of the leg to the bottom.

These symptoms are worrisome whether you have Lyme disease or not, so be sure to speak to your doctor as soon as you start experiencing these kinds of serious symptoms.

Bull’s eye rash

The bull’s eye rash is the first sign of Lyme disease, and it occurs around the region that the tick originally embedded itself into the skin. There are lots of ways that this rash might appear, with the first being the obvious bull’s eye shape, with a blistering lesion in the middle and surrounding circles of redness. Some lesions may have a uniform red color, others may be disseminated and others may appear blue-red. The thing to look out for is a large circular rash that appears dark red.

Facial drooping

This is one of the most serious symptoms of Lyme disease and is pretty uncommon, but it’s important to know about nonetheless. This symptom includes the dropping of the face, where muscles stop working and you find it difficult to speak. Some individuals have experienced this symptom, known as facial palsy, to the extent that it resembles a stroke. This is of course something very serious and something you should go straight to hospital about should you begin experiencing it.

Facts to know about lyme disease:

-Lyme disease is caused by bacteria called Borrelia burgdorferi that is only transmitted to humans when they are bitten by an infected tick.

-To infect its host, a tick typically must be attached to the skin for at least 36 hours.

-Most cases of Lyme disease occur in late spring and early summer.

– The most common symptoms of Lyme disease include a red, circular “bulls-eye” rash often accompanied by muscle and joint aches. About 70 to 80 percent of people infected develop the rash, which shows up several days to weeks after the tick bite.

-Lyme disease is diagnosed by medical history, physical exam, and sometimes a blood test. It may take four to six weeks for the human immune system to make antibodies against Borrelia burgdorferi and therefore show up in a positive blood test. That is why patients with the Lyme rash usually have a negative blood test and diagnosis is based on the characteristic appearance of the rash. Patients with other clinical manifestations such as Lyme arthritis will usually have a blood test.  Anyone who has symptoms for longer than six weeks and who has never been treated with antibiotics is unlikely to have Lyme disease if the blood test is negative.

–Most cases of Lyme disease are successfully treated with a few weeks of antibiotics. Using antibiotics for a very long time (months or years) does not offer superior results and in fact can be dangerous, because it can cause potentially fatal complications.

-Approximately 95 percent of all cases of Lyme disease occur in the Northeast and the Upper Midwest.

-Researchers didn’t identify the cause of Lyme disease and connect it with ticks until 1981. The bacterium that causes the disease is named in honor of Willy Burgdorfer, the scientist who made the connection.

-There were nearly 30,000 confirmed cases of Lyme disease in 2009 and more than 8,500 probable cases. The number has risen steadily since 1995, when there were only 11,700 confirmed cases.

– The best treatment for Lyme disease is prevention: Be cautious when walking in the woods, avoiding bushy and grassy areas. Wear long pants and long-sleeved shirts and wear insect repellent containing DEET on exposed skin. After walking in wooded areas, thoroughly check the skin for ticks!  Today in 2022 CDC states “A new active ingredient, discovered and developed by the Centers for Disease Control and Prevention (CDC), has been registered by the Environmental Protection Agency (EPA) for use in insecticides and insect repellents.

The new ingredient, nootkatone, repels and kill ticks, mosquitoes, and a wide variety of other biting pests. Nootkatone is responsible for the characteristic smell and taste of grapefruit and is widely used in the fragrance industry to make perfumes and colognes. It is found in minute quantities in Alaska yellow cedar trees and grapefruit skin.

Nootkatone can now be used to develop new insect repellents and insecticides for protecting people and pets. CDC’s licensed partner, Evolva, is in advanced discussions with leading pest control companies for possible commercial partnerships. Companies interested in developing brand name consumer products will be required to submit a registration package to EPA for review, and products could be commercially available as early as 2022.

“CDC is proud to have led the research and development of nootkatone,” said Jay C. Butler, MD, Deputy Director for Infectious Diseases. “Providing new alternatives to existing bite-prevention methods paves the way to solving one of biggest challenges in preventing vector-borne diseases—preventing bites.”

The E.P.A. has approved nootkatone, which is found in cedars and grapefruit. It repels ticks, mosquitoes and other dangerous bugs for hours, but is safe enough to eat.

“These are words a parent never wants to hear: “Your child has cancer.”

While relatively rare, pediatric cancers are the leading cause of death from disease among children in the United States.

Over the past several decades, the five-year survival rate for pediatric cancer has improved, increasing from around 58-68% in the 1970s to 83-88% in recent years.

Despite those advances, approximately 1,600 children and adolescents in the United States die of cancer each year.

The most common types of cancers in children are acute lymphocytic leukemia (ALL), brain and other central nervous system (CNS) tumors, lymphoma, germ cell tumors and neoplasms, soft tissue sarcoma, and neuroblastoma.”

American Association for Cancer Research – AACR (Childhood Cancer Awareness Month | AACR)

Leukemia is the most common cancer in children and teens, accounting for almost 1 out of 3 cancers. Most childhood leukemias are acute lymphocytic leukemia (ALL). Most of the remaining cases are acute myeloid leukemia (AML). Chronic leukemias are rare in children.

A risk factor is anything that affects a person’s chance of getting a disease such as cancer. Different cancers have different risk factors.

Lifestyle-related risk factors such as tobacco use, diet, body weight, and physical activity play a major role in many adult cancers. But these factors usually take many years to influence cancer risk, and they are not thought to play much of a role in childhood cancers, including leukemias.

There are a few known RISK FACTORS for childhood leukemia.

Inherited syndromes

-Some inherited disorders increase a child’s risk of developing leukemia:

• Down syndrome (trisomy 21): Children with Down syndrome have an extra (third) copy of chromosome 21. They are many times more likely to develop either acute lymphocytic leukemia (ALL) or acute myeloid leukemia (AML) than are other children, with an overall risk of about 2% to 3%. Down syndrome has also been linked with transient leukemia (also known as transient myeloproliferative disorder) – a leukemia-like condition within the first month of life, which often resolves on its own without treatment.
• Li-Fraumeni syndrome: This is a rare condition caused by a change in the TP53 tumor suppressor gene. People with this change have a higher risk of developing several kinds of cancer, including leukemia, bone or soft tissue sarcomas, breast cancer, adrenal gland cancer, and brain tumors.

Other genetic disorders (such as neurofibromatosis and Fanconi anemia) also carry an increased risk of leukemia, as well as some other types of cancers.

Siblings (brothers or sisters) with leukemia have a slightly increased chance (2 to 4 times normal) of developing leukemia, but the overall risk is still low. The risk is much higher among identical twins. If one twin develops childhood leukemia, the other twin has about a 1 in 5 chance of getting leukemia as well. This risk is much higher if the leukemia develops in the first year of life.

Having a parent who develops leukemia as an adult does not seem to raise a child’s risk of leukemia.

Exposure to high levels of radiation is a risk factor for childhood leukemia. Japanese atomic bomb survivors had a greatly increased risk of developing AML, usually within 6 to 8 years after exposure. If a fetus is exposed to radiation within the first months of development, there may also be an increased risk of childhood leukemia, but the extent of the risk is not clear.

The possible risks from fetal or childhood exposure to lower levels of radiation, such as from x-ray tests or CT scans, are not known for sure. Some studies have found a slight increase in risk, while others have found no increased risk. Any risk increase is likely to be small, but to be safe, most doctors recommend that pregnant women and children not get these tests unless they are absolutely needed.

What is Leukemia?  First their are types of leukemia, which are cancers of the bone marrow and blood and this is the most common childhood cancers unfortunately.  They account for about 30% of all cancers in children.  The most common types that are found in children they are 1.) acute lymphocytic leukemia (ALL) 2.) acute myelogenous leukemia (AML).

1.)-Acute lymphocytic leukemia (ALL) is a type of cancer of the blood and bone marrow — the spongy tissue inside bones where blood cells are made.

The word “acute” in acute lymphocytic leukemia comes from the fact that the disease progresses rapidly and creates immature blood cells, rather than mature ones. The “lymphocytic” in acute lymphocytic leukemia refers to the white blood cells called lymphocytes, which ALL affects. Acute lymphocytic leukemia is also known as acute lymphoblastic leukemia.

Acute lymphocytic leukemia is the most common type of cancer in children, and treatments result in a good chance for a cure. Acute lymphocytic leukemia can also occur in adults, though the chance of a cure is greatly reduced.

2.)-Acute myelogenous leukemia (AML) is a cancer of the blood and bone marrow — the spongy tissue inside bones where blood cells are made.

The word “acute” in acute myelogenous leukemia denotes the disease’s rapid progression. It’s called myelogenous (my-uh-LOHJ-uh-nus) leukemia because it affects a group of white blood cells called the myeloid cells, which normally develop into the various types of mature blood cells, such as red blood cells, white blood cells and platelets.

Acute myelogenous leukemia is also known as acute myeloid leukemia, acute myeloblastic leukemia, acute granulocytic leukemia and acute nonlymphocytic leukemia.

2.) Acute myelogenous leukemia (AML) is a cancer of the blood and bone marrow — the spongy tissue inside bones where blood cells are made.

The word “acute” in acute myelogenous leukemia denotes the disease’s rapid progression. It’s called myelogenous (my-uh-LOHJ-uh-nus) leukemia because it affects a group of white blood cells called the myeloid cells, which normally develop into the various types of mature blood cells, such as red blood cells, white blood cells and platelets.

Acute myelogenous leukemia is also known as acute myeloid leukemia, acute myeloblastic leukemia, acute granulocytic leukemia and acute nonlymphocytic leukemia.

Updated 09/07/2025

“In Lower Manhattan on 9/11/01 the plane crashes—which resulted in the collapse of the Twin Towers—created massive dust clouds that filled the air and left hundreds of highly populated city blocks covered with ash, debris, and harmful particles, including asbestos, silica, metals, concrete, and glass. Fires within the debris pile and the collapse of 7 WTC burned through the end of December 2001 with continued flare-ups in 2002, releasing carcinogenic combustion by-products. These contaminants remained in Lower Manhattan and parts of Brooklyn for an undetermined amount of time after 9/11. Responders, local workers, residents, students, and others had potential for acute exposures in the early days and continuing exposure from residual materials—indoors and outside—as well as exposure to toxic gases, smoke, vapors, and combustion by-products from continuing fires.

Officials declared the plane crash in Somerset County near Shanksville, Pennsylvania a crime scene; the crash created hazardous conditions—including fiery hot spots and smoke—for workers and volunteers. At the Pentagon in Arlington, Virginia, responders, cleanup crews, and construction workers were potentially exposed to smoke, jet fuel, heat from the fire, hazardous chemicals, and harmful debris.”

Center for Disease Control and Prevention-CDC / World Trade Health Center (Toxins and Health Impacts: Health Effects of 9/11 – WTC Health Program)

HEALTH EFFECTS FROM SEPTEMBER 11 DISASTER

The world trade center (WTC) terrorist attact and its aftermath exposed hundreds of thousands of people to dust, debris, smoke and fumes.  I was one that went down that day as a volunteer RN to help out my country.  It was a sight I will never forget and thank God nothing like it has happened since including developing anything from being exposed to the environment of this disaster.  September 11, 2001, among rescue and clean up workers, office workers, building evacuees, and residents of lower Manhattan living down their have shown increased respiratory and other physical health problems, like developing cancers after this terrible terrorist tragedy.  Following is a outline of the most common conditions experienced by individuals exposed to the WTC attacks and their aftermath.  The types of conditions are:

Upper Airway Cough Syndrome:  Formerly named postnasal drip syndrome which is commonly caused by continuous irritation or infection of the sinuses and the nose either due to allergies or from environmental irritants.  The signs or symptoms that arise from this are cough, nasal congestion, postnasal drip and frequent need to clear the throat.

Asthma/Reactive Airways Dysfunction Syndrome:  Some people exposed to the WTC disaster area have developed asthma related to exposure to irritants (also called reactive airways dysfunction syndrome [RADS]).  Signs and symptoms include:  Shortness of Breath (SOB); chest tightness, wheezing, coughing, phlegm, possible triggering of symptoms by colds or seasonal allergies or exercise or fragrances or extremes of temperature or humidity, recurrent episodes of respiratory infections requiring antibiotic treatment.

GASTROESOPHAGEAL REFLUX DISEASE OR LARYNGOPHARYNGEAL REFLUX DISEASE:  Some people exposed to the WTC disaster developed this condition.  GERD results from the flow back or return (reflux) of stomach contents into the esophagus. LPRD results from the reflux of stomach contents into the voice box or throat.

Symptoms of GERD: Heartburn, acid regurgitation, upset stomach, cough made worse with meals or at night

Symptoms of LPRD: Hoarseness or other vocal changes, sore throat, cough, sensation of having a lump in the throat

Long-Term Physical Health Concerns:

There has been increased concern about sarcoidosis and cancer among individuals who were highly exposed during the WTC disaster. The NYC Department of Health and Mental Hygiene, in conjunction with other programs, is closely monitoring these conditions in order to detect any increases in these diseases.

At this time, there is no evidence of an increased rate of cancer among individuals highly exposed to the WTC disaster. Increased rates of sarcoidosis have been documented among fire department personnel ( Izbicki G, Chavko R, Banauch, GI, et al. World Trade Center “Sarcoid-Like” Granulomatous Pulmonary Disease in New York City Fire Department Workers. Chest. 2007;3:131;1414-1423). Rates of sarcoidosis among other groups are currently under investigation.

Sarcoidosis is difficult to verify because NYC providers are not required by law to report sarcoidosis cases to the Health Department.  Based on New York City death certificate records over the   past 10 years, there have been an average of 32 sarcoidosis deaths per year, with the annual number remaining the same since the WTC attacks. During the   same period, there have been between 362 and 439 sarcoidosis-related hospitalizations per year in NYC (five per 100,000 people), with the annual   rate remaining the same since the disaster.

* Breathing in beryllium, other metal dust or fumes or moldy materials can cause lung disease, which may resemble sarcoidosis.

.Sarcoidosis

Sarcoidosis* is an auto-immune disease that can attack any organ   of the body, although it often starts in the lungs or lymph nodes. It mainly   affects people between 20 and 40 years of age, with African-Americans three  times more likely to develop the condition than Caucasians and women twice as   likely to develop it as men. While most sarcoidosis patients recover without treatment, less than one-third develop chronic debilitating sarcoidosis and  fewer than 5% die from the disease. The exact cause of sarcoidosis is unknown.

Sarcoidosis and World Trade Center (WTC) Dust Exposure

While studies have not definitively linked dust exposure from   the WTC disaster to new-onset sarcoidosis among exposed workers, the data   does suggest elevated levels of sarcoidosis among firefighters.

There have been a few reported sarcoidosis cases among rescue   workers that may be related to Ground Zero dust exposure. In May 2007, the New York City Chief Medical Examiner determined that dust exposure from the disaster contributed to a sarcoidosis death, based on published epidemiologic findings among exposed firefighters.

Cancers

The collapse and burning of the WTC and neighboring buildings   released a complex mixture of irritant dust, smoke and gases. The dust cloud   also contained heavy metals, as well as asbestos and other carcinogens. In   addition, smoke released from the fires contained hazardous and potentially   cancer-causing substances.

Because of these exposures, there has been concern about the   possibility of increased cancer rates among WTC-exposed people. The NYC   Department of Health and Mental Hygiene, the Fire Department of New York and   other researchers are carefully monitoring cancer rates among highly exposed   people.

In 2007, the NYC Department of Health and Mental Hygiene brought together a panel of experts, including representatives from FDNY, the Mount Sinai School of Medicine, the New York State Department of Health and the National Institute for Occupational Safety and Health, to discuss the potential impact of the WTC disaster on cancer rates and mortality.

In 2010, after beginning the process of confirming cancer   diagnoses within their cohorts, the NYC Department of Health and Mental   Hygiene and FDNY co-chaired another conference of outside experts, including biostatisticians, environmental health scientists and cancer epidemiologists,   to help address the complex methodological questions associated with their   preliminary cancer investigations. The conference produced several   recommendations which are described in the 2010 WTC Medical Working group annual report.

Although cancer associated with specific exposures takes a long   time to develop, three early cancer studies based on verified diagnoses   within their cohorts through 2008 (the latest year for which data was   available when these analyses began) have been published:

• FDNY found that nearly 9,000 firefighters with WTC exposure may be at greater risk for cancer than firefighters  who weren’t exposed.
• The WTC Health Registry found small increases in rates of prostate cancer, thyroid cancer and multiple myeloma, a blood cancer, among nearly 34,000 WTC rescue and recovery workers in comparison to rates among New York State residents after adjusting for age, race/ethnicity and sex.
• Prostate and thyroid cancer rates were higher than expected among nearly 21,000 rescue and recovery workers enrolled in the WTC Health Program in comparison to rates in New York, New Jersey, Connecticut and Pennsylvania where the majority  of workers lived.

Cancer analyses continue at FDNY, the WTC Health Registry and at   the Mount Sinai School of Medicine.

In 2012, the National Institute for Occupational Safety and Health  added many different types of cancers to the list of conditions that can be treated at the World Trade Center Health Program.

What the New York City  Health Department Is Doing:

Through the World Trade Center (WTC) Health Registry, the Health Department is conducting a cancer study that will help determine if cancer rates are higher among those exposed to the WTC disaster. Results of   the study will appear on this Web site and will be submitted to peer-reviewed scientific journals.

The Department is also conducting a broader public awareness campaign about cancer testing, and is working with its clinical partners to offer free cancer screenings. Identifying cancer early in the course of the disease reduces the risk of developing disability from cancer. Department efforts to reduce the rates of smoking among WTC disaster-exposed people also help reduce their risk for developing cancer and other diseases.

What You Can Do

Seek medical care.

If you were exposed to the WTC disaster and have developed symptoms or conditions you feel are related to this exposure, tell your doctor and bring the Clinical Guidelines for Physicians Treating Adults   Exposed to the WTC Disaster to   help your doctor diagnose and treat your symptoms. The Health Department also   released clinical guidelines  for   health care providers on how to treat children and adolescents exposed to the WTC disaster.

If you or your doctor believe that you require more specialized   care, you may be eligible for free treatment at a WTC   Center of Excellence or affiliated facility.

Practice preventive   health.

Whether or not you are currently experiencing symptoms, there   are things you can do to maintain your current health status, prevent   worsening of your health, and detect any new conditions. Suggested measures include:

1. 1. If you smoke, quit! Tobacco is known to cause   cancer and make existing respiratory conditions worse. If you currently   smoke, there are programs in place to help you quit.
   2. Lead a healthy lifestyle by drinking alcohol   in moderation and avoiding more than moderate sun exposure. Increase physical   activity, keep your weight down and eat a healthful and nutritious diet.
   3. Have a physical exam every year that includes a   complete blood count (CBC). Be sure your exam includes all tests appropriate   for your sex and age, including cancer screenings.
   4. Avoid risks at work and during leisure time. If you have any respiratory conditions  try to reduce your exposure to irritants such as dust, pollen, grass and smoke both at home and at work. Consider giving up activities that expose you to irritants, and if activities cannot be avoided, wear personal protective   equipment to minimize exposure.

“Ovarian cancer affects 1 in 70 women across their lifetime and is the second most common type of gynecologic cancer in the United States. The most common risk factor is age. About two-thirds of all ovarian cancers are diagnosed in women between ages 50-75. Only 5 percent of ovarian cancers diagnosed occur in women under the age of 30.

About 1 in 10 women who are diagnosed will have either a strong family history of ovarian cancer or a mutation in a gene that increases risk of the disease.

Ovarian cancer rarely has noticeable symptoms when it is in its earliest stages. As the cancer progresses, subtle signs begin to appear, but you might not notice them right away, or they may be blamed on other common conditions.”

Memorial Sloan Kettering Cancer Center (Ovarian Cancer | Memorial Sloan Kettering Cancer Center)