Steven Stellman - Respiratory protective equipment, mask use, and respiratory outcomes among World Trade Center rescue and recovery workers

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      Publication Details (including relevant citation   information):

      Antao, V. C., Pallos, L. L., Shim, Y. K., Sapp, J. H., 2nd,   Brackbill, R. M., Cone, J. E., Stellman, S. D., Farfel, M. R.   54 (12) 897-905-

      Abstract: BACKGROUND: Serious respiratory   illnesses have been reported among rescue/recovery workers (RRW)   following the World Trade Center (WTC) attacks. METHODS: We   studied RRW enrolled in the WTC Health Registry to assess the   effects of different respiratory protection equipment (RPE) types   on respiratory outcomes, such as recurrent respiratory symptoms   and diseases possibly associated with 9/11 exposures. We   performed descriptive and multivariate analyses adjusting for   demographics and exposure variables. RESULTS: A total of 9,296   RRW met inclusion criteria. The strongest predictors of using   adequate RPE were being affiliated with construction, utilities   or environmental remediation organizations and having received   RPE training. Workers who used respirators were less likely to   report adverse respiratory outcomes compared to those who   reported no/lower levels of respiratory protection. CONCLUSIONS:   Level of respiratory protection was associated with the odds of   reporting respiratory symptoms and diseases. Training, selection,   fit testing, and consistent use of RPE should be emphasized among   emergency responders.

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