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Air Today . . . Gone Tomorrow Article Health Woes Follow 9/11
Cleanup Crew
By Kevin Lamb, Dayton
Daily News, September 10, 2002
DAYTON, Ohio - Hardly anyone was sneezing or coughing. To doctors Tim Manuel and Randy
Marriott, medical directors of the Ohio Task Force One unit at the World Trade Center
rubble last September, that silence was ominous. "It told me the dust all around us
was probably very fine particles that were going deep into the lungs," said Marriott,
a Miami Valley Hospital emergency physician who also teaches with Manuel at Wright State
University's School of Medicine.
Sneezing and coughing are reflexes to expel foreign irritants before they travel past the
nose or throat. But like a flour sifter, they don't catch the tiniest material, and the
deeper the irritants go into the airways, '`the more difficulty they can cause,'' Marriott
said.
New Yorkers are calling the collection of respiratory symptoms in Ground Zero workers the
WTC cough. At least 3,000 New York firefighters have the syndrome, and psychological
disorders rank close behind respiratory illnesses in reasons for missed work. The 72 Ohio
task force members who spent 11 days there have been most affected by chronic coughs, sore
throats and runny noses, with lower amounts of asthma and pneumonia, but short-term
illnesses may not be their biggest worry. ``There's some concern that we are not going to
know the long-term consequences until the long term finally gets here,'' said Manuel, an
emergency physician at Springfield's and Urbana's Mercy hospitals. He and Marriott also
are still paramedics, in Bellbrook and Dayton, respectively.
Ground Zero exposure could accelerate long-term diseases that are already surfacing,
Manuel said. New York Police Lt. Robert D. Rice has suffered metastatic lung cancer since
working long shifts at Ground Zero, said his cousin, local resident Joyce Kasprzak.
Oncologists told him the pollutants couldn't have caused cancer so quickly, but they can't
draw on experience with skyscrapers ground to ash. ``We've talked about whether it could
bring on any number of those kinds of cancers,'' Manuel said. ``It very well could. Any
time you get an irritation to a tissue, it's going to do something. Is it going to start
triggering cancers? God, I hope not.''
The towers' collapse left pulverized asbestos, plastic furniture, jet fuel, electrical
equipment, fiberglass, PCBs and computer components in the air. Nobody knows how much is
unsafe for most of those toxins by themselves, let alone in combination with each other or
in uncommonly minute soot. Nor is anybody sure how much gunk people were breathing in
mid-September. ``We were on our own for determining risk as far as levels of exposure,''
Manuel said. ``Not that it would have changed what we did.''
Ohio Task Force One mobilized within an hour of the second tower's collapse on Sept. 11.
Although a state unit, most of the members were from the Dayton area and Cincinnati or
Columbus. They arrived at dawn the next day to see smoke billowing from across the Hudson
River, where the towers had stood.
At least two task force members outside the Miami Valley are battling the state for
workers' compensation benefits with pneumonia, asthma and bronchial spasms, Marriott said,
but the group in general had no short-term health consequences besides upper-respiratory
ailments.
Dr. Steven Stephanides of University Hospital in Cincinnati compared task force members
who made the trip with those who didn't. He said he found no significant difference
through four months in workdays missed, lower-respiratory problems, muscle aches and
prescriptions for antibiotics or chest X-rays. Psychologically, Marriott said, the members
also have been doing ``fairly well.'' All saw counselors after returning. ``Just the
interruption and the pace for 10 days were enough to put you on edge,'' Marriott said.
``And I think to some degree, the recognition we received when we came back was uniformly
considered undeserved. You always have trouble when you're thrust into the role of alleged
heroes. The anniversary might bring about some depression, too.''
The anniversary will trigger depression and anxiety in people who weren't in New York,
too, experts expect. ``The normal reaction to an unfamiliar and life-threatening event _
fear, confusion and flight _ could cause greater damage than the attack itself'' over the
long run, U.S. Department of Veterans Affairs concluded last month in a report about
large-scale terrorism.
For the task force members, not only was the mission a failure to rescue live people,
Marriott said, but the dead New York rescuers included people they knew. ``Firefighters on
the specialty rescue teams were people we had trained with,'' Manuel said. There are only
28 federal emergency Urban Search and Rescue units in the country. They're a tight group.
``That's medicine on the outside of normal boundaries,'' Manuel said. ``You're dealing
where there's no health-care structure because the system has collapsed, and you're
putting yourself on the line. Why? It's an inner drive that's different from what normal
physicians would even consider doing. It just takes a different breed.''
http://www.nursinghands.com/news/newsstories/1003861.asp
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