Introduction: In double disaster cohorts responders are exposed to two potentially hazardous situations. Experience with one disaster may affect how responders behave in the second. We evaluate associations of injuries and exposures, with rescue work performed by WTC responders enrolled in the WTCHR who responded 11 years later to Superstorm Sandy.
Methods: An 84 question Sandy survey was given to 8870 WTCHR enrollees. Outcome measures included total number of injuries, extremity sprains and lacerations and the exposures encountered. A "home danger" variable includes all the reparation and clean- up activities. All analyses were conducted with SAS 9.4. Using multivariable logistic regression, unadjusted and adjusted odds ratios were calculated to estimate association strength between work and volunteer status, age, race, gender, education and 9/11 rescue worker status.
Results: A total of 4558 (51%) of enrollees participated. 56% were male, 45-64 years of age (62.9%), non-Hispanic white (71.1%) and 44.28% had 2010 income > $75,000. Among 1,044 Sandy responders, 64% of paid workers and 42% of volunteers were also 9/11 workers. Volunteers had increased odds ratios for >1 injury: adjusted odds ratio (aOR) 2.42(95% CI: 1.60-3.64), compared to non-rescue workers. Exposure to Home Danger hazards had an adjusted odds ratio of 7.53 (5.16-10.99) for multiple injuries, suggesting the importance of evacuation and hazard education
Discussion: Our study shows that volunteers exposed to Sandy have increased odds of having more than one injury and for extremity injury.
|School:||Icahn School of Medicine at Mount Sinai|
|School Location:||United States -- New York|
|Source:||MAI 56/05M(E), Masters Abstracts International|
|Keywords:||Extremity injuries, First responders, Volunteers|
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