Infinite Unknown

“We know people were exposed to carcinogens. There was benzene, dioxin, asbestos,” said her colleague Dr. Philip Landrigan. “There’s reason to be concerned, so we’re engaged in watchful waiting. So far, there’s no excess.”

“There’s a serious health crisis related to 9-11,” Ms. Romero-Alston said. “Doctors don’t know what’s going on. What was initially all respiratory, is not all respiratory now.”

She said doctors are now seeing increasing numbers of cancer cases and blood diseases in those exposed to 9-11 contaminants, along with more complaints about skin, digestive and gynecological problems.

“They’re not doing anything about it,” Ms. Correa said. “We don’t understand why the government doesn’t want to acknowledge us.”
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More than 360 workers who dealt with the aftermath of the World Trade Center disaster are known to have died, New York health officials said in May. Of the more than 600 diagnosed with cancer (other than blood cancer), 80 are included in the death count. Other deaths were traced to blood cancers and heart and circulatory diseases. Five ex-workers committed suicide, said Kitty Gelberg, who is tracking the deaths for the state’s World Trade Center Responder Fatality Investigation Program.

Officials have determined the cause of death of 154 of the responders and volunteers who toiled at Ground Zero, the blocks nearby and at the Fresh Kills landfill, where debris from the site was taken. “It’s the tip of the iceberg,” said David Worby, who is representing 10,000 workers who say they got sick after working on rescue and recovery efforts.

“These statistics bear out how toxic that site was, Worby said. Most of the deadly tumors were in the lungs and digestive system, according to the tally from the state’s program. Ms. Gelberg said she had not yet determined whether the number of cancer deaths was more or less than those typically occurring in men in their 20s to 50s who work as cops, firefighters or laborers-the majority of 9-11 workers. Continue reading »

Tags: 9/11, asbestos, Benzene, cancer, contamination, Department of Health, dioxin, Government, U.S., WTC

Doctors know some patients needing lifesaving care won’t get it in a flu pandemic or other disaster. The gut-wrenching dilemma will be deciding who to let die.

Now, an influential group of physicians has drafted a grimly specific list of recommendations for which patients wouldn’t be treated. They include the very elderly, seriously hurt trauma victims, severely burned patients and those with severe dementia.

The suggested list was compiled by a task force whose members come from prestigious universities, medical groups, the military and government agencies. They include the Department of Homeland Security, the Centers for Disease Control and Prevention and the Department of Health and Human Services.

The proposed guidelines are designed to be a blueprint for hospitals “so that everybody will be thinking in the same way” when pandemic flu or another widespread health care disaster hits, said Dr. Asha Devereaux. She is a critical care specialist in San Diego and lead writer of the task force report.

The idea is to try to make sure that scarce resources - including ventilators, medicine and doctors and nurses - are used in a uniform, objective way, task force members said.

Their recommendations appear in a report appearing Monday in the May edition of Chest, the medical journal of the American College of Chest Physicians.

“If a mass casualty critical care event were to occur tomorrow, many people with clinical conditions that are survivable under usual health care system conditions may have to forgo life-sustaining interventions owing to deficiencies in supply or staffing,” the report states.

To prepare, hospitals should designate a triage team with the Godlike task of deciding who will and who won’t get lifesaving care, the task force wrote. Those out of luck are the people at high risk of death and a slim chance of long-term survival. But the recommendations get much more specific, and include:

- People older than 85.

- Those with severe trauma, which could include critical injuries from car crashes and shootings.

- Severely burned patients older than 60.

- Those with severe mental impairment, which could include advanced Alzheimer’s disease.

- Those with a severe chronic disease, such as advanced heart failure, lung disease or poorly controlled diabetes.

Dr. Kevin Yeskey, director of the preparedness and emergency operations office at the Department of Health and Human Services, was on the task force. He said the report would be among many the agency reviews as part of preparedness efforts. Continue reading »

Tags: Department of Health, G. W. Bush, Health, Homeland Security, Martial Law, Medicare, Military, New Scientist, pandemic, SARS, U.S., vaccination

Climate change could lead to a heatwave in the south-east of England killing 3,000 people within the next decade, a Department of Health report said today.It put the chances of a heatwave of that severity happening by 2017 at 25%.

Without preventative action, the report said that a nine-day heatwave, with temperatures averaging at least 27 degrees over 24 hours, would cause 3,000 immediate deaths, with another 3,350 people dying from heat-related conditions during the summer.

It predicted that there would be an increase in skin cancers due to increased exposure to sunlight and that, over the next half century, air pollution could lead to an extra 1,500 deaths and hospital admissions a year.

While malaria outbreaks were likely to remain rare, the report - Health Effects of Climate Change in the UK 2008 - said health authorities would need to be alert to the dangers posed by possible larger outbreaks of malaria in continental Europe.

Eggborough power station, near Selby. The report says climate change
could lead to a heatwave in the south-east of England killing 3,000 people.
Photograph: John Giles/PA

Continue reading »

Tags: climate change, Department of Health, Global Warming, Health Effects, Health Protection Agency, Heat Wave, Malaria, pollution, skin cancer, U.K.