{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,18]],"date-time":"2026-04-18T04:03:25Z","timestamp":1776485005353,"version":"3.51.2"},"reference-count":29,"publisher":"Cambridge University Press (CUP)","issue":"6","license":[{"start":{"date-parts":[[2018,1,21]],"date-time":"2018-01-21T00:00:00Z","timestamp":1516492800000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/www.cambridge.org\/core\/terms"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Disaster med. public health prep."],"published-print":{"date-parts":[[2018,12]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec id=\"S1935789317001409_abs1\" sec-type=\"general\"><jats:title>Objective<\/jats:title><jats:p>In a population with prior exposure to the World Trade Center (WTC) disaster, this study sought to determine the relationship between Hurricane Sandy-related inhalation exposures and post-Sandy lower respiratory symptoms (LRS).<\/jats:p><\/jats:sec><jats:sec id=\"S1935789317001409_abs2\" sec-type=\"methods\"><jats:title>Methods<\/jats:title><jats:p>Participants included 3835 WTC Health Registry enrollees who completed Wave 3 (2011-2012) and Hurricane Sandy (2013) surveys. The Sandy-related inhalational exposures examined were: (1) reconstruction exposure; (2) mold or damp environment exposure; and (3) other respiratory irritants exposure. LRS were defined as wheezing, persistent cough, or shortness of breath reported on \u22651 of the 30 days preceding survey completion. Associations between LRS and Sandy exposures, controlling for socio-demographic factors, post-traumatic stress disorder, and previously reported LRS and asthma were examined using multiple logistic regression.<\/jats:p><\/jats:sec><jats:sec id=\"S1935789317001409_abs3\" sec-type=\"results\"><jats:title>Results<\/jats:title><jats:p>Over one-third of participants (34.4%) reported post-Sandy LRS. Each of the individual exposures was also independently associated with post-Sandy LRS, each having approximately twice the odds of having post-Sandy LRS. We found a dose-response relationship between the number of types of Sandy-related exposures reported and post-Sandy LRS.<\/jats:p><\/jats:sec><jats:sec id=\"S1935789317001409_abs4\" sec-type=\"conclusions\"><jats:title>Conclusions<\/jats:title><jats:p>This study provides evidence that post-hurricane clean-up and reconstruction exposures can increase the risk for LRS. Public health interventions should emphasize the importance of safe remediation practices and recommend use of personal protective equipment. (<jats:italic>Disaster Med Public Health Preparedness<\/jats:italic>. 2018;12:697-702)<\/jats:p><\/jats:sec>","DOI":"10.1017\/dmp.2017.140","type":"journal-article","created":{"date-parts":[[2018,1,21]],"date-time":"2018-01-21T13:27:19Z","timestamp":1516541239000},"page":"697-702","source":"Crossref","is-referenced-by-count":24,"title":["Lower Respiratory Symptoms Associated With Environmental and Reconstruction Exposures After Hurricane Sandy"],"prefix":"10.1017","volume":"12","author":[{"given":"Lisa M.","family":"Gargano","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sean","family":"Locke","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Hannah T.","family":"Jordan","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Robert M.","family":"Brackbill","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"56","published-online":{"date-parts":[[2018,1,21]]},"reference":[{"key":"S1935789317001409_ref9","unstructured":"Federal Emergency Management Agency (FEMA). New York harbor at the b attery hydrograph. NOAA Advanced Hydrologic Prediction Service, 2016. http:\/\/water.weather.gov\/ahps2\/hydrograph.php?wfo=okx&gage=batn6. Accessed March 24, 2016."},{"key":"S1935789317001409_ref11","doi-asserted-by":"publisher","DOI":"10.5600\/mmrr.002.01.a01"},{"key":"S1935789317001409_ref14","doi-asserted-by":"publisher","DOI":"10.1017\/dmp.2015.189"},{"key":"#cr-split#-S1935789317001409_ref13.1","unstructured":"2. Mount Sinai Irving J. Selikoff, Center for Occupational & Environmental Medicine. Diesel exhaust exposure: what to do. 2012"},{"key":"#cr-split#-S1935789317001409_ref13.2","unstructured":"3. http:\/\/www.usa829.org\/Portals\/0\/Documents\/Health-and-Safety\/Safety-Library\/Diesel-Exhaust-Exposure_What-To-Do.pdf. Accessed February 3, 2017."},{"key":"#cr-split#-S1935789317001409_ref1.1","unstructured":"4. Landsea C . The thirty costliest mainland United States tropical cyclones 1900-2013. NOAA HRD Frequently Asked Questions, 2013"},{"key":"#cr-split#-S1935789317001409_ref1.2","unstructured":"5. http:\/\/www.aoml.noaa.gov\/hrd\/tcfaq\/E13.html. Accessed March 24, 2016."},{"key":"S1935789317001409_ref18","doi-asserted-by":"crossref","first-page":"1251","DOI":"10.1002\/ajim.22217","article-title":"Comorbid persistent lower respiratory symptoms and posttraumatic stress disorder 5-6 years post-9\/11 in responders enrolled in the World Trade Center Health Registry","volume":"56","author":"Friedman","year":"2013","journal-title":"Am J Indus Med"},{"key":"#cr-split#-S1935789317001409_ref24.1","unstructured":"6. Occupational Safety and Health Administration. OSAH FactSheet: Mold Hazards during Hurricane Sandy cleanup. 2012"},{"key":"#cr-split#-S1935789317001409_ref24.2","unstructured":"7. https:\/\/www.osha.gov\/Publications\/OSHA-FS-3619.pdf. Accessed November 10, 2016."},{"key":"#cr-split#-S1935789317001409_ref7.1","unstructured":"8. ALIGN, Community Voices Heard, Faith in New York, Make the Road New York, New York Communities for Change, and VOCAL-NY. Sandy's mold legacy: The unmet need six months after the storm. Brooklyn, NY, 2013"},{"key":"#cr-split#-S1935789317001409_ref7.2","unstructured":"9. http:\/\/digitalcommons.ilr.cornell.edu\/cgi\/viewcontent.cgi?article=1021&context=institutes. 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