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. 2018 Dec;12(6):697-702.
doi: 10.1017/dmp.2017.140. Epub 2018 Jan 21.

Lower Respiratory Symptoms Associated With Environmental and Reconstruction Exposures After Hurricane Sandy

Lisa M Gargano  1 , Sean Locke  1 , Hannah T Jordan  1 , Robert M Brackbill  1
Affiliations

Lower Respiratory Symptoms Associated With Environmental and Reconstruction Exposures After Hurricane Sandy

Lisa M Gargano et al. Disaster Med Public Health Prep. 2018 Dec.

Abstract

Objective: 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).

Methods: 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 ≥1 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.

Results: 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.

Conclusions: 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. (Disaster Med Public Health Preparedness. 2018;12:697-702).

Keywords: Hurricane Sandy; World Trade Center; respiratory.

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Figures

Figure 1
Figure 1
Adjusted odds ratios* (AOR) for association of lower respiratory symptoms (LRS) and number of types of Hurricane Sandy-related exposures
See this image and copyright information in PMC

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