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  1. #1
    FIREMAN 1st GRADE E40FDNYL35's Avatar
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    Default Eyes on 9/11 responders' cancer data

    July 16, 2011 by RIDGELY OCHS / ridgely.ochs@newsday.com

    A decade after the terror attacks on the World Trade Center, the fear of cancer stalks first responders who worked in the toxic, debris-filled air. "We're waiting for the shoe to fall and hoping it doesn't," said Dr. Philip Landrigan, director of the World Trade Center Monitoring and Treatment Program at Mount Sinai Medical Center in Manhattan, which coordinates the seven clinical centers that have screened more than 30,000 first responders since 2002 and is tracking cancer cases.

    Cancers take a slow route
    "The data aren't showing an increase but I would add the word 'yet,' " Landrigan said. Many forms of the disease can take decades to develop. And because Sept. 11 was an unprecedented event that exposed thousands to a unique toxic brew, no one can predict the long-term effect. "We don't really know the complexity and the constituents that people were exposed to," said Dr. Benjamin Luft, director of the Long Island World Trade Center Medical Monitoring and Treatment Program, which follows about 5,000 Long Islanders. Even without large published studies, the early signs are troubling. Hundreds of cancers have been reported among first responders, and some deaths have been classified as presumed linked to work at Ground Zero under a 2005 state law that entitles families to receive line of duty death benefits and pensions. The death of former FDNY Fire Marshal Steven Mosiello of Massapequa Friday from esophageal cancer is classified as presumed linked to the attacks' aftermath, the FDNY said.

    A crucial report
    In the next week, the National Institute for Occupational Safety and Health is expected to release a review of scientific and medical data to date on cancer and its effect on the nearly 60,000 people who worked at Ground Zero after the attacks. The issue is crucial because of the fear that the human toll from Sept. 11 could continue to rise. What's more, the potential financial cost could be huge: Under the $4.3-billion James Zadroga 9/11 Health and Compensation Act, cancer is not covered. That could change with a major study that shows an increase in cancer. But so far no large study has been published that has looked at the cancers developing among first responders to see whether more have occurred than expected compared with a similar demographic. There aren't even complete numbers publicly available on how many first responders have the disease.A New York State Department of Health study -- the only one by a health department in the tri-state area -- following all deaths among first responders stopped tracking them in 2009, when federal funding ran out. Firefighters being studied. The most anticipated study is one following 16,000 city firefighters. Dr. David Prezant, chief medical officer for FDNY, denied a published report in May that claimed the study had found an increased incidence of cancer among those being monitored. Prezant, who would not comment for this article, said at the time no conclusions had been reached. He would not comment recently on whether the study was to be published in the medical journal The Lancet, which has put out a call for papers for a special issue dedicated to research about Sept. 11.

    Showcase of new research
    A conference is also planned for mid-October by a World Trade Center consortium of researchers to present new research. Having timely and reliable information about cancer is key to enabling first responders to get on with their lives, Luft said. Marvin Bethea, 51, a former paramedic from West Hempstead who survived the collapse of both towers, reflects the fear of many first responders. He said that having his asthma, sinusitis, depression and post-traumatic stress disorder treated and covered is "a godsend." But cancer is his big worry. "People are dying," he said. "I pray to God every day I don't get cancer." There's no indication that Bethea's medical conditions put him or others like him at increased risk of cancer, Luft said. Rather, it's the exposure at Ground Zero that is the cause for concern. "When you're talking about the World Trade Center, you have a number of scenarios: the actual exposure directly causes cancer; the actual exposure works in synergy with something else, or it accelerates something [bad] that is already there," he said. Having good information on cancer also has financial ramifications. Under the Zadroga Act, signed into law Jan. 2, cancer is not treated by the monitoring and treatment centers. Nor is it one of the diseases covered by the newly reopened $2.775-billion Victim Compensation Fund. However, Special Master Sheila Birnbaum has said that if emerging science shows a correlation between exposure at Ground Zero and cancers, she is open to reconsidering that. Some are impatient with doctors and officials, believing they should be less concerned with publishing pristine data and more with helping those suffering and dying by allowing cancer to be treated and compensated for under the Zadroga Act. "When is there going to be enough data? When they're all dead?" asked labor lawyer Victor Fusco of Woodbury, who has represented about 830 first responders. "We're between a rock and a hard place," said Dr. Jacqueline Moline, director of the Queens World Trade Center monitoring program and chair of population health at North Shore-Long Island Jewish Health System. "Responders are trying to find answers and wondering if what they did caused cancer. As clinicians, we want to give them answers, but as epidemiologists we have to be concerned about how the data are gathered. . . . What standards do you hold it up to?" Luft said he supported not waiting decades before all the data are in. "To establish a clear association scientifically is a very high hurdle and in the interim many patients may suffer," he said. "I think as a society we need to ask ourselves whether people who act altruistically on our behalf deserve special consideration." Any major study that shows an increase in cancers among first responders could increase the burden on the limited funds allocated in the Zadroga Law. "Adding cancer . . . will prove that $2.8 billion is not enough," said John Feal, head of the FealGood Foundation, a first responders' advocacy group. He said that of 847 responders who filled out forms for the foundation in 2009, 78 reported having cancer. "If they truly want to compensate for these people getting sick and dying, they need to add a couple of zeros," he said.
    ALL GAVE SOME BUT SOME GAVE ALL
    NEVER FORGET 9-11-01
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    Charleston 9
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    *******************CLICK HERE*****************


  2. #2
    Forum Member rescue10lt's Avatar
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    "between a rock and a hard place"....Thanks for all the information that you pass along, we appreciate it.

  3. #3
    FIREMAN 1st GRADE E40FDNYL35's Avatar
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    ALL GAVE SOME BUT SOME GAVE ALL
    NEVER FORGET 9-11-01
    343
    CAPT. Frank Callahan Ladder 35 *
    LT. John Ginley Engine 40
    FF. Bruce Gary Engine 40
    FF. Jimmy Giberson Ladder 35
    FF. Michael Otten Ladder 35 *
    FF. Steve Mercado Engine 40 *
    FF. Kevin Bracken Engine 40 *
    FF. Vincent Morello Ladder 35
    FF. Michael Roberts Ladder 35 *
    FF. Michael Lynch Engine 40
    FF. Michael Dauria Engine 40

    Charleston 9
    "If my job was easy a cop would be doing it."
    *******************CLICK HERE*****************

  4. #4
    FIREMAN 1st GRADE E40FDNYL35's Avatar
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    Committee To Recommend Cancer Care In First Responder Law
    The Huffington Post 3/23/12
    Michael McAuliff

    WASHINGTON -- The grim uncertainty facing the men and women who toiled among the wreckage of the World Trade Center hit home once again Thursday with the revelation that some 20 cancers may be added to the list of diseases caused by the terrorist attacks. That possibility is contained in a draft report set to be discussed next week that recommends adding cancers that attack organs -- such as the esophagus, stomach, colon, liver, skin, lungs, kidneys and others -- to the ailments covered by the James Zadroga 9/11 Health and Compensation Act. Also released Thursday were the email discussions of members of the scientific and technical advisory committee that was weighing which cancers are likely to be the result of service at Ground Zero. They starkly illuminate the difficulty in assessing such contentious decisions, even as they make clear the unprecedented catastrophe that has left thousands of responders at risk for the rest of their lives. "The collapse of massive skyscrapers and the resulting pulverization of their substance and contents, the uncontrolled combustion for many months (that among other toxics, emitted the largest ever recorded releases of dioxins), the range and intensity of exposures that occurred in the morning of 9/11, and also those that occurred for weeks, months and in the case of indoor environments, for years," wrote Kimberly Flynn, co-chair of the WTC Survivors Steering Committee, in one exchange discussing whether prostate cancer should be included. "We know that responders and survivors were exposed simultaneously to complex mixtures, including multiple carcinogens, which have the potential to act synergistically," she wrote. "And most people were not wearing [personal protective equipment] when they were exposed." By most estimates, there were some 72 different carcinogens that people in the area were exposed to, perhaps all at once, including asbestos, PCBs, dioxin, cadmium, mercury and arsenic. "The materials posted today on the NIOSH website show that we are making real progress in adding coverage for cancers under the Zadroga Act," said a statement by the act's first sponsors, Reps. Carolyn Maloney (D-N.Y.), Jerrold Nadler (D-N.Y.) and Peter King (R-N.Y.). “Our heroes are sick and literally dying from cancers obtained by breathing the toxins at Ground Zero," said Sens. Chuck Schumer (D-N.Y.) and Kirsten Gillibrand (D-N.Y), also in a statement. "For too many first responders and community survivors, this program could be the difference between life and death. It is time to provide the care these heroes deserve, and we will not rest until cancer is included on the list of eligible diseases for treatment and compensation by the 9/11 health bill.” Including cancer would be a major victory for 9/11 survivors, especially since as many become sick and unable to work, they often lose insurance. Even with insurance, cancer is extremely expensive to treat. Having the ailment covered guarantees care. But it also likely means that the $1.5 billion set aside for treatment in the Zadroga law will run out sooner rather than later. It also means that when the funding runs out with the five-year expiration of the bill, Congress will have to pass a new measure -- which is not a guarantee as the emotions inspired by 9/11 drift further into the past. John Feal, a 9/11 responder and advocate, pledged to start that fight as soon as it's clear that it's needed. "We have enough money to start, but we're not going to know what the full picture is until cancer is covered for awhile," said Feal, who runs the Fealgood Foundation, with a list of 305 9/11 responders who have died from cancer. "When we know what the situation is, then we'll have to go back to D.C," Feal said. The 9/11 scientific and technical advisory committee will meet March 28 and April 2 before making its final recommendation. It is then up to officials in the Department of Health and Human Services to decide which cancers ultimately are covered. "I never knew anybody with brain cancer before 9/11. Now I know of over 40," Feal said. "I'm confident at least some of these cancers will be added. But listen, nobody ever thought we would get this bill passed. We put pressure on them to get the bill passed, and if we have to, we'll put pressure on them to get cancer added. This is about people's lives."
    ALL GAVE SOME BUT SOME GAVE ALL
    NEVER FORGET 9-11-01
    343
    CAPT. Frank Callahan Ladder 35 *
    LT. John Ginley Engine 40
    FF. Bruce Gary Engine 40
    FF. Jimmy Giberson Ladder 35
    FF. Michael Otten Ladder 35 *
    FF. Steve Mercado Engine 40 *
    FF. Kevin Bracken Engine 40 *
    FF. Vincent Morello Ladder 35
    FF. Michael Roberts Ladder 35 *
    FF. Michael Lynch Engine 40
    FF. Michael Dauria Engine 40

    Charleston 9
    "If my job was easy a cop would be doing it."
    *******************CLICK HERE*****************

  5. #5
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    Bro peeps don't understand their is fall out or so called collateral damage. You have been all that on this site! GOD BLESS you MY Brother! all that needs to be said here

  6. #6
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    Well Info. God Bless all who hearten from 9/11.

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