Assessing September 11th Health Effects


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Preparing for the Psychological Consequences of Terrorism


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The Oklahoma City bombing, intentional crashing of airliners on September 11, 2001, and anthrax attacks in the fall of 2001 have made Americans acutely aware of the impacts of terrorism. These events and continued threats of terrorism have raised questions about the impact on the psychological health of the nation and how well the public health infrastructure is able to meet the psychological needs that will likely result. Preparing for the Psychological Consequences of Terrorism highlights some of the critical issues in responding to the psychological needs that result from terrorism and provides possible options for intervention. The committee offers an example for a public health strategy that may serve as a base from which plans to prevent and respond to the psychological consequences of a variety of terrorism events can be formulated. The report includes recommendations for the training and education of service providers, ensuring appropriate guidelines for the protection of service providers, and developing public health surveillance for preevent, event, and postevent factors related to psychological consequences.




Compensation for Losses from the 9/11 Attacks


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The terrorist attacks of September 11, 2001, caused tremendous loss of life, property, and income, and the resulting response from public and private organizations was unprecedented. This monograph examines the benefits received by those who were killed or seriously injured on 9/11 and the benefits provided to individuals and businesses in New York City that suffered losses from the attack on the World Trade Center. The authors examine the performance of the compensation system--insurance, tort, government programs, and charity--in responding to the losses stemming from 9/11.




Registries for Evaluating Patient Outcomes


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This User’s Guide is intended to support the design, implementation, analysis, interpretation, and quality evaluation of registries created to increase understanding of patient outcomes. For the purposes of this guide, a patient registry is an organized system that uses observational study methods to collect uniform data (clinical and other) to evaluate specified outcomes for a population defined by a particular disease, condition, or exposure, and that serves one or more predetermined scientific, clinical, or policy purposes. A registry database is a file (or files) derived from the registry. Although registries can serve many purposes, this guide focuses on registries created for one or more of the following purposes: to describe the natural history of disease, to determine clinical effectiveness or cost-effectiveness of health care products and services, to measure or monitor safety and harm, and/or to measure quality of care. Registries are classified according to how their populations are defined. For example, product registries include patients who have been exposed to biopharmaceutical products or medical devices. Health services registries consist of patients who have had a common procedure, clinical encounter, or hospitalization. Disease or condition registries are defined by patients having the same diagnosis, such as cystic fibrosis or heart failure. The User’s Guide was created by researchers affiliated with AHRQ’s Effective Health Care Program, particularly those who participated in AHRQ’s DEcIDE (Developing Evidence to Inform Decisions About Effectiveness) program. Chapters were subject to multiple internal and external independent reviews.




Part I: Assessing the Impact of September 11th, 2001, on Children, Youth, and Parents in the United States


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These two special issues of Applied Developmental Science include eight major studies of the impacts of the September 11th, 2001, terrorist attacks on children, youth, and their parents. Issue 1 includes a report of the impact of September 11th on New York City youth in comparison with that of everyday violence, as well as three studies which demonstrate the impact of the attacks on the metal health and coping strategies of adolescents throughout the country, despite being physically distant from the event. Issue 2 includes a study of separation anxiety in school age children in New York City following the attacks, the results from two national surveys of parents' roles in helping children respond to or process the attacks, and a study of the impact of such a "distant trauma" on rural youth.




Report from Ground Zero


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The tragic events of September 11, 2001, forever altered the American landscape, both figuratively and literally. Immediately after the jets struck the twin towers of the World Trade Center, Dennis Smith, a former firefighter, reported to Manhattan’s Ladder Co. 16 to volunteer in the rescue efforts. In the weeks that followed, Smith was present on the front lines, attending to the wounded, sifting through the wreckage, and mourning with New York’s devastated fire and police departments. This is Smith’s vivid account of the rescue efforts by the fire and police departments and emergency medical teams as they rushed to face a disaster that would claim thousands of lives. Smith takes readers inside the minds and lives of the rescuers at Ground Zero as he shares stories about these heroic individuals and the effect their loss had on their families and their companies. “It is,” says Smith, “the real and living history of the worst day in America since Pearl Harbor.” Written with drama and urgency, Report from Ground Zero honors the men and women who—in America’s darkest hours—redefined our understanding of courage.




Healthy, Resilient, and Sustainable Communities After Disasters


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In the devastation that follows a major disaster, there is a need for multiple sectors to unite and devote new resources to support the rebuilding of infrastructure, the provision of health and social services, the restoration of care delivery systems, and other critical recovery needs. In some cases, billions of dollars from public, private and charitable sources are invested to help communities recover. National rhetoric often characterizes these efforts as a "return to normal." But for many American communities, pre-disaster conditions are far from optimal. Large segments of the U.S. population suffer from preventable health problems, experience inequitable access to services, and rely on overburdened health systems. A return to pre-event conditions in such cases may be short-sighted given the high costs - both economic and social - of poor health. Instead, it is important to understand that the disaster recovery process offers a series of unique and valuable opportunities to improve on the status quo. Capitalizing on these opportunities can advance the long-term health, resilience, and sustainability of communities - thereby better preparing them for future challenges. Healthy, Resilient, and Sustainable Communities After Disasters identifies and recommends recovery practices and novel programs most likely to impact overall community public health and contribute to resiliency for future incidents. This book makes the case that disaster recovery should be guided by a healthy community vision, where health considerations are integrated into all aspects of recovery planning before and after a disaster, and funding streams are leveraged in a coordinated manner and applied to health improvement priorities in order to meet human recovery needs and create healthy built and natural environments. The conceptual framework presented in Healthy, Resilient, and Sustainable Communities After Disasters lays the groundwork to achieve this goal and provides operational guidance for multiple sectors involved in community planning and disaster recovery. Healthy, Resilient, and Sustainable Communities After Disasters calls for actions at multiple levels to facilitate recovery strategies that optimize community health. With a shared healthy community vision, strategic planning that prioritizes health, and coordinated implementation, disaster recovery can result in a communities that are healthier, more livable places for current and future generations to grow and thrive - communities that are better prepared for future adversities.




Fresh Kills


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Fresh Kills—a monumental 2,200-acre site on Staten Island—was once the world’s largest landfill. From 1948 to 2001, it was the main receptacle for New York City’s refuse. After the 9/11 attacks, it reopened briefly to receive human remains and rubble from the destroyed Twin Towers, turning a notorious disposal site into a cemetery. Today, a mammoth reclamation project is transforming the landfill site, constructing an expansive park three times the size of Central Park. Martin V. Melosi provides a comprehensive chronicle of Fresh Kills that offers new insights into the growth and development of New York City and the relationship among consumption, waste, and disposal. He traces the metamorphoses of the landscape, following it from salt marsh to landfill to cemetery and looks ahead to the future park. By centering the problem of solid-waste disposal, Melosi highlights the unwanted consequences of mass consumption. He presents the Fresh Kills space as an embodiment of massive waste, linking consumption to the continuing presence of its discards. Melosi also uses the landfill as a lens for understanding Staten Island’s history and its relationship with greater New York City. The first book on the history of the iconic landfill, Fresh Kills unites environmental, political, and cultural history to offer a reflection on material culture, consumer practices, and perceptions of value and worthlessness.




9/11 Health Effects


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Progress since September 11th


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