HEALTH EFFECTS FROM SEPTEMBER 11 DISASTER

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The world trade center (WTC) terrorist attact and its aftermath exposed hundreds of thousands of people to dust, debris, smoke and fumes. September 11, 2001, among rescue and clean up workers, office workers, building evacuees, and residents of lower Manhattan have shown increased respiratory and other physical health problems. 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 and 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.

For more information about sarcoidosis, see our sarcoidosis fact sheet  .

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. For more information, click here .

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.

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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.        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.

     

If you want to learn how to eat healthy with all four food groups with learning how to lose weight within your body mass index you have come to the right blog. There are 4 food groups with each group having lean, leaner and the leanest type of foods in that group of the 4. If you want to learn more about this than go to my website healthyusa.tsfl.com and peek at what we can offer you through Dr. Wayne Scott Anderson with his book “Dr A’s Habits of Health” and even foods to buy if you want them in the beginning of your diet loss which provides health bars to lunches and dinners to desserts of all kinds to all types of shakes/drinks and so much more foods (low in fat/calories/carbs). Learn how to become healthier for yourself, even spreading the news to family or friends who may become interested and being a great mentor for your children in helping the next generation to be more healthy which would help our health care system to helping our health economy that includes insurance payments for bills at hospitals/doctor’s offices lessened. Helping those who want to become healthier from being effected from 9/11 disaster in 2001 and even our society as a whole is a goal of this blog since it has become so unhealthy in diet causing so many increases in diseases/illnesses, including children, (Obesity, Diabetes II, coronary artery disease, hypertension, and more). Take a look at facebook or UTube with pictures of people in America shopping at Walmart. It may be funny to a some individuals but it is also outright scary with what’s happening to our country. Our country has increased drastically in poor health habits that killed our economy with let alone what our health care system with increase in insurance costs for our society. We could, as a society, turn things around for the better regarding ourselves and others in our country for everyone’s health that would impact every American citizen of all ages in a positive way. I hope I have impacted someone in this country in wanting to learn more about knowing how to become healthier with making a good change for our country as a diversified whole. Society has a responsibility and impact on how things run in each of their respective countries but especially in America, since we live in a democracy. Its common sense if we get better regarding our health overall it will put an impact on our health economy if we don’t our health care system will just get WORSE.

QUOTE FOR THURSDAY:

  The cause of the debilitating, and fatal, brain disease Alzheimer’s is conventionally said to be a mystery”

Dr. Mercola ( a physician who founded Mercola.com which is now the world’s top natural health resource site, with over 1.5 million subscribers.)

QUOTE FOR WEDNESDAY:

” Urinary hesitancy can slowly become a problem over time with BPH. An enlarged prostate can press against the urethra, the tube that carries urine from the bladder. ”

Healthline

Benign Prostatic Hypertrophy

BPH 1

Normal Prostate vs. Benign Prostatic Hyperplasia

                                             Normal Prostate vs. Benign Prostatic Hyperplasia

 

Benign prostatic hyperplasia (BPH) is an enlarged prostate gland camera.gif. The prostate gland surrounds the urethra, the tube that carries urine from the bladder out of the body. As the prostate gets bigger, it may squeeze or partly block the urethra. This often causes problems with urinating.

BPH occurs in almost all men as they age. BPH is not cancer. An enlarged prostate can be a nuisance. But it is usually not a serious problem. About half of all men older than 75 have some symptoms.

Benign prostatic hyperplasia is also known as benign prostatic hypertrophy.

Benign prostatic hyperplasia is probably a normal part of the aging process in men, caused by changes in hormone balance and in cell growth.

BPH causes urinary problems such as:

  • Trouble getting a urine stream started and completely stopped (dribbling).
  • Often feeling like you need to urinate. This feeling may even wake you up at night.
  • A weak urine stream.
  • A sense that your bladder is not completely empty after you urinate.

In a small number of cases, BPH may cause the bladder to be blocked, making it impossible or extremely hard to urinate. This problem may cause backed-up urine (urinary retention), leading to bladder infections or stones, or kidney damage.

BPH does not cause prostate cancer and does not affect a man’s ability to father children. It does not cause erection problems.

Your doctor can diagnose BPH by asking questions about your symptoms and past health and by doing a physical exam. Tests may include a urine test (urinalysis) and a digital rectal exam, which lets your doctor feel the size of your prostate. In some cases, a prostate-specific antigen (PSA) test is done to help rule out prostate cancer. (Prostate cancer and BPH are not related, but they can cause some of the same symptoms.)

Your doctor may ask you how often you have symptoms of BPH, how severe they are, and how much they affect your life. If your symptoms are mild to moderate and do not bother you much, home treatment may be all that you need to help keep them under control. Your doctor may want to see you regularly to check on your symptoms and make sure other problems haven’t come up.

As a rule, you don’t need treatment for BPH unless the symptoms bother you or you have other problems such as backed-up urine, bladder infections, or bladder stones.

Although home treatment cannot stop your prostate from getting larger, it can help reduce or control your symptoms. Here are some things you can do that may help reduce your symptoms:

  • Practice “double voiding.” Urinate as much as you can, relax for a few moments, and then urinate again.
  • Avoid caffeine and alcohol. They make your body try to get rid of water and can make you urinate more often.
  • If possible, avoid medicines that can make urination difficult, such as over-the-counter antihistamines, decongestants (including nasal sprays), and allergy pills. Check with your doctor or pharmacist about the medicines you take.

If home treatment does not help, BPH can be treated with medicine. Medicine can reduce the symptoms, but it rarely gets rid of them. If you stop taking medicine, symptoms return.

If your symptoms are severe, your doctor may suggest surgery to remove part of your prostate. But few men have symptoms or other problems severe enough to need surgery.

You cannot prevent BPH or the urination problems it may cause. Some people believe that regular ejaculations will help prevent prostate enlargement. But there is no scientific proof that ejaculation helps.

QUOTE FOR TUESDAY:

“The symptoms of ALL and AML are indicative of a reduced production of functional blood cells, because leukemia wastes the resources of the bone marrow that are normally used to produce new, functioning blood cells.”

American Cancer Society

QUOTE FOR MONDAY:

September is National Sickle Cell Disease (SCD) Awareness Month, and Mount Sinai Health System is reminding the community of the importance of newborn screening performed soon after birth with a blood test, education for families with this inherited condition and comprehensive care for children and adults including regular visits with a specialist can reduce complications of this illness.

Mount Sinai Hospital NYC

QUOTE FOR THE WEEKEND:

“If you have norovirus, don’t prepare food for at least two to three days after you feel better. Try not to eat food that has been prepared by someone else who is sick.”

WEB MD.

Can Tight Pants, Tight Ties, Tight Girdles/Pelvic Clothing Be Responsible for Several Apparel-Related Illnesses?

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The answer is yes.

If you have a body you’re proud of, thanks to hours of lifting weights and watching your diet, you may on occasion show it off by wearing something form fitting, but make sure it’s not TOO constrictive. As a recent news story showed, wearing tight clothing, in this case, “skinny jeans” could land you in the hospital.

Are Your Skinny Jeans TOO Tight?

Recently, a woman donned a pair of skinny jeans to help her friend move to a new apartment. While milling around her friend’s old apartment, she squatted down time after time to pick items up with the skinny jeans hugging her legs. By the end of the day, she could no longer feel her legs because of leg swelling and nerve compression, and fell while walking through a park. When she couldn’t get up, she had to crawl to the side of the road and hail a passing taxi to transport her to the hospital.

Sadly, she went on to spend four days in the hospital getting treatment to repair the damage the form-fitting jeans did to her muscles, nerves, and blood vessels. The swelling in her legs was so pronounced that medical personnel had to cut her skinny jeans off. Lab studies showed she had abnormally high levels of creatine kinase, an enzyme that rises when muscles are damaged.

The diagnosis was rhabdomyolysis and compartment syndrome – a condition marked by the build-up of pressure within a muscle.  When muscles swell inside a space that’s too tight, it can quickly damage tissues by blocking the blood supply they need for survival. Muscles are surrounded by fascia, connective tissue that doesn’t stretch or expand easily. So when pressure builds up, it can’t be easily released. People sometimes develop compartment syndrome when they have an arm or leg in a tight cast and less commonly from wearing clothing that’s too tight. Some people are more prone to developing compartment syndrome because their fascia is overly rigid.

Can Wearing Tight Clothing Cause Nerve Damage?

Compartment syndrome from wearing tight clothing is rare, but what isn’t so rare is a condition called meralgia paresthetica, another health problem caused by, among other things, wearing tight pants. With meralgia paresthetica, the lateral femoral cutaneous nerve that supplies sensation to the outer aspect of the thigh is compressed by constrictive clothing, usually a pair of tight pants. Pregnancy, having diabetes, and being overweight are also risk factors for this condition. Fortunately, damage to the nerve usually isn’t permanent, although surgery may occasionally be needed.

If you wear a compression garment or shapewear that makes your tummy and hips look slimmer for a night out on the town, you’re at higher risk for meralgia paresthetica. Better to tone up those areas through exercise than wear something overly constrictive to push in your hips or tummy.

 Can Tight Clothing Cause Spinal Problems?

Ask a chiropractor and they’ll tell you not to wear clothing that limits movement of your hips and core. Why? Doing so tightens the muscles that support your spine and throws off your postural alignment. A study published in Applied Ergonomics showed wearing tight pants restricts movement of the lower hips and trunk. As a result, the lumbar spine has to work harder to compensate. It’s always risky to limit movement of one part of the kinetic chain since another part has to take up the slack.

It’s not just tight pants that are a problem but tube and pencil skirts that force you to take short steps and place greater stress on your joints. Combine a tube skirt with high heels and you make the problem even worse by throwing off your center of gravity. Your risk of injury is higher too when you slip into a tight tube or pencil skirt. Ever tried to squat down or bend over to pick something up in a narrow skirt? It’s not easy – or safe.

Don’t forget – you may not feel the impact wearing tight clothing has on you right away, unless you develop an acute injury. Think of the risk as being cumulative over time. Keep in mind that anything that alters your natural gait and stride can create back and spine problems over time.

 Digestive Issues and Yeast Infections

Wearing tight clothing around your waist or abdomen increases the pressure inside your abdomen cavity. This pressure pushes up on your diaphragm and can trigger or worsen acid reflux symptoms. So, if you have heartburn, indigestion or bloating after a meal, check to see if your pants are too tight, and if you have on tight clothing, watch how much you eat! Clothing with tight waistbands and belts that constrict your waist or tummy are common culprits as are compression garments like Spanx.

Finally, tight clothing that reduces air flow to your “private parts” place you at greater risk for vaginal yeast infections. When you walk around in tight pants, moisture builds up in your crotch area and serves as a breeding ground for Candida, the fungi that cause yeast infections.

The Bottom Line

Not only is constrictive clothing uncomfortable, it may be hazardous to your health. If you wear something tight, keep it on for the least amount of time possible. Just as you save your stilettos for a special occasion, treat tight clothing the same way. It’s not comfy nor is it healthy. Wearing pants that are tight around the calves is especially risky when it’s warm outside and you’re standing or sitting a lot. The warm weather and standing can cause leg swelling and with tight pants on, your calves can only expand so much, leading to a build-up of pressure.

The take-home message? Be fashionable but sensible about what you put on.

Some clothing-related maladies go by mundane-sounding names that hardly hint at their potential to sicken. For example, a middle-aged or older man whose belly hangs below the waist of his pants may suffer from “tight pants syndrome,” a term coined in a 1993 article by Dr. Octavio Bessa, an internist in Stamford, Conn.

Bessa described a collection of gastrointestinal symptoms including abdominal pain, heartburn and reflux a few hours after meals that he would see in 20 to 25 men every year. The common thread: All wore ill-fitting pants with waistbands several inches smaller than their bellies, Bessa reported in the Archives of Internal Medicine.

Three years later, two diagnostic imaging specialists from Wales described a “sporting variant” of tight-pants syndrome that they linked to tight Neoprene bike shorts worn to prevent muscular injury. Drs. Charles G.F. Robinson and Nigel Jowett recounted how the shorts blocked venous blood flow in the legs of a 25-year-old man after his workout on a stationary bike. The doctors determined he’d suffered deep venous thrombosis (DVT), clotting probably exacerbated by a hip fracture four years earlier.

Despite treatment with blood thinners, the patient later developed a dangerous pulmonary embolism, indicating a clot had traveled to his lungs.

                                                                                                                                                                                                              Pants that are too snug can lead to certain health issues, research suggests. Meaning you can be fit not just overweight.

Women suffer their own tight-pants agonies, too. A gynecological variation can foster yeast infections, pelvic pain, itching and irritations easily mistaken for a sexually transmitted disease. The solution? Looser, cotton clothing.

The way a woman wears her slacks might leave her prone to the breakdown of fatty tissue at the outside of the thighs, called lipoatrophia semicircularis, dermatologists say. “Persistent mechanical pressure” exerted by “strangling folds” of too-tight trousers can impair circulation and set the stage for this condition, especially in women who sit for long periods, according to a study from Chile’s Universidad Andres Bello in the June 2007 Journal of Dermatology.

Wearing tight neckties and shirts with constricting collars can impede blood flow through neck veins and arteries and may affect vision. In a 2003 study of 40 men, half with glaucoma, three minutes with a tightened tie raised eye pressure among the majority of those with and without the disease. Elevated eye pressure is a key element of diagnosing and monitoring glaucoma, a leading cause of blindness.

The lead researcher, Dr. Robert Ritch, a glaucoma specialist at New York Eye and Ear Infirmary, maintained in the study in the British Journal of Ophthalmology that the transient rise in pressure readings “could affect the diagnosis and management of glaucoma.” But several prominent glaucoma specialists said the study failed to establish that transient high pressure from the tightened ties could cause glaucoma.

                                                                                                                                                                                                          Believe it or not but too-tight neckties might impede proper circulation in severe cases, research suggests.

Tight neckties also can limit neck movement and raise muscle tension in the upper back and neck, researchers at Korea’s Yonsei University reported last year in “Work: A Journal of Prevention, Assessment and Rehabilitation.” They tested 30 computer workers when wearing and not wearing tight neckties and concluded that “it is especially important for male workers to select and tie neckties appropriately” to prevent musculoskeletal injuries.

Although clothing-related pain and dysfunction can affect almost everyone, Avitzur said women have a tendency to overlook discomfort, for the sake of appearance. An admitted fashion health victim, Avitzur said she had worn ill-fitting boots and “too-heavy earrings that tore through one of my lobes.”

She got the idea for a blog about skinny jeans while at the office of the plastic surgeon who repaired the damage from her poor earring choice.

 

References:

Applied Ergonomics xxx (2013) 1e9. “Effects of restrictive clothing on lumbar range of motion and trunk muscle activity in young adult worker manual material handling”

Medical Daily. “Fashion Victim In Tight Pants Experiences Nerve And Muscle Damage: Medical Conditions Caused By Skinny Jeans” June 22, 2015.

ABC News.go.com