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IJERPH
Volume 16
Issue 10
10.3390/ijerph16101727
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Article

Post-9/11 Peripheral Neuropathy Symptoms among World Trade Center-Exposed Firefighters and Emergency Medical Service Workers

by
Hilary L. Colbeth
1,2,
Rachel Zeig-Owens
1,2,3,*,
Mayris P. Webber
1,3,4,
David G. Goldfarb
1,2,
Theresa M. Schwartz
1,2,
Charles B. Hall
3,5 and
David J. Prezant
1,6
1
Fire Department of the City of New York, Bureau of Health Services, 9 Metrotech Center, Brooklyn, NY 11201, USA
2
Department of Medicine, Pulmonology Division, Montefiore Medical Center, Bronx, NY 10467, USA
3
Department of Epidemiology and Population Health, Albert Einstein College of Medicine, Bronx, NY 10461, USA
4
Department of Epidemiology and Population Health, Montefiore Medical Center, Department of Epidemiology and Population Health, Bronx, New York, NY 10467, USA
5
Saul R. Korey Department of Neurology, Albert Einstein College of Medicine, Bronx, NY 10461, USA
6
Department of Medicine, Pulmonology Division, Albert Einstein College of Medicine, Bronx, NY 10461, USA
*
Author to whom correspondence should be addressed.
Int. J. Environ. Res. Public Health 2019, 16(10), 1727; https://doi.org/10.3390/ijerph16101727
Received: 26 April 2019 / Revised: 8 May 2019 / Accepted: 14 May 2019 / Published: 16 May 2019
(This article belongs to the Special Issue Long-Term Health Effects of the 9/11 Disaster)
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Abstract

Peripheral neuropathy can result from numerous conditions including metabolic disorders, inflammatory disease, or exposure to environmental or biological toxins. We analyzed questionnaire data from 9239 Fire Department of the City of New York (FDNY) World Trade Center (WTC)-exposed firefighters and emergency medical service workers (EMS) to evaluate the association between work at the WTC site and subsequent peripheral neuropathy symptoms using the validated Diabetic Neuropathy Symptom (DNS) score. We grouped the population into an “Indicated” group with conditions known to be associated with paresthesia (N = 2059) and a “Non-Indicated” group without conditions known to be associated (N = 7180). The level of WTC exposure was categorized by time of arrival to the WTC. Overall, 25% of workers aged 40 and older reported peripheral neuropathy symptoms: 30.6% in the Indicated and 23.8% in the Non-Indicated groups, respectively. Multivariable logistic models performed on the Non-Indicated group, and on the Non-Indicated in comparison with non-WTC exposed National Health and Nutrition Examination Survey (NHANES), found that the highest level of WTC-exposure was significantly associated with DNS positive outcomes, after controlling for potential confounders. In conclusion, this study suggests that symptoms of peripheral neuropathy and paresthesias are common and are associated with WTC-exposure intensity. View Full-Text
Keywords: peripheral neuropathy; prevalence; World Trade Center; rescue/recovery workers; occupational exposure peripheral neuropathy; prevalence; World Trade Center; rescue/recovery workers; occupational exposure
This is an open access article distributed under the Creative Commons Attribution License which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
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MDPI and ACS Style

Colbeth, H.L.; Zeig-Owens, R.; Webber, M.P.; Goldfarb, D.G.; Schwartz, T.M.; Hall, C.B.; Prezant, D.J. Post-9/11 Peripheral Neuropathy Symptoms among World Trade Center-Exposed Firefighters and Emergency Medical Service Workers. Int. J. Environ. Res. Public Health 2019, 16, 1727. https://doi.org/10.3390/ijerph16101727

AMA Style

Colbeth HL, Zeig-Owens R, Webber MP, Goldfarb DG, Schwartz TM, Hall CB, Prezant DJ. Post-9/11 Peripheral Neuropathy Symptoms among World Trade Center-Exposed Firefighters and Emergency Medical Service Workers. International Journal of Environmental Research and Public Health. 2019; 16(10):1727. https://doi.org/10.3390/ijerph16101727

Chicago/Turabian Style

Colbeth, Hilary L., Rachel Zeig-Owens, Mayris P. Webber, David G. Goldfarb, Theresa M. Schwartz, Charles B. Hall, and David J. Prezant. 2019. "Post-9/11 Peripheral Neuropathy Symptoms among World Trade Center-Exposed Firefighters and Emergency Medical Service Workers" International Journal of Environmental Research and Public Health 16, no. 10: 1727. https://doi.org/10.3390/ijerph16101727

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