Health Consequences of the World Trade Center Disaster

CUNY School of Public Health, 2180 3rd Ave, Room 537, New York, NY 10035, USA.
JAMA The Journal of the American Medical Association (Impact Factor: 35.29). 09/2011; 306(10):1133-4. DOI: 10.1001/jama.2011.1289
Source: PubMed
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    • "Often, additional funds that were made available to discharge disaster response services are withdrawn. This presents challenges because the people who have long-term mental health needs may still require active interventions [68, 69]. All-too-often, the prevalence and impacts of past and future disasters and other major incidents within affected communities are underestimated as is the role of the psychological trauma that stems from disasters in determining the patterns of background psychiatric morbidity in affected communities. "
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    ABSTRACT: Disasters test civil administrations' and health services' capacity to act in a flexible but well-coordinated manner because each disaster is unique and poses unusual challenges. The health services required differ markedly according to the nature of the disaster and the geographical spread of those affected. Epidemiology has shown that services need to be equipped to deal with major depressive disorder and grief, not just posttraumatic stress disorder, and not only for victims of the disaster itself but also the emergency service workers. The challenge is for specialist advisers to respect and understand the existing health care and support networks of those affected while also recognizing their limitations. In the initial aftermath of these events, a great deal of effort goes into the development of early support systems but the longer term needs of these populations are often underestimated. These services need to be structured, taking into account the pre-existing psychiatric morbidity within the community. Disasters are an opportunity for improving services for patients with posttraumatic psychopathology in general but can later be utilized for improving services for victims of more common traumas in modern society, such as accidents and interpersonal violence.
    Depression research and treatment 07/2012; 2012:970194. DOI:10.1155/2012/970194
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    ABSTRACT: The Great East Japan Earthquake and the subsequent tsunami that occurred in the afternoon of March 11, 2011, destroyed large parts of Japan's Tohoku district. Owing to the unfavorable living environment, many diabetic patients in the refuges lost control of their blood glucose levels, and in addition, the high-calorie food provided led to severe postprandial hyperglycemia. We recommend that diabetic patients keep personal stocks of medical supplies and the medication that they require daily, as well as records of their medication. We also recommend the creation of basic guidelines to facilitate the practical prescription of medication for diabetic patients under various conditions that may arise in the aftermath of a natural disaster.
    PLoS Currents 05/2012; 4:e4facf9d99b997. DOI:10.1371/4facf9d99b997
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    American Journal of Respiratory and Critical Care Medicine 06/2012; 185(11):1166-70. DOI:10.1164/rccm.201202-0324UP · 13.00 Impact Factor
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