Abstract
Asthma diagnoses in the pediatric population of Manhattan’s Chinatown increased 50% in the year after September 11, 2001. Peak expiratory flow rates were reduced for those previously-diagnosed asthmatics living within 5 miles of Ground Zero, with increased asthma medication use and visits to the pediatrician for asthma. Years later, spirometry values for those alive in the neighborhood on 9/11, those born on 9/11, and those born thereafter are all reduced. The ongoing ambient air pollution with airborne metals suggests a two hit hypothesis with 9/11 plus post-9/11 air pollution, the latter likely related to traffic over the Manhattan Bridge. These studies and those by Trasande suggest a need for long-term monitoring of this vulnerable population.
Access this chapter
Tax calculation will be finalised at checkout
Purchases are for personal use only
References
Rosenbaum E. Racial/ethnic differences in asthma prevalence: the role of housing and neighborhood environments. J Health Soc Behav. 2008;49:131–45.
Szema AM, Khedkar M, Maloney PF, et al. Clinical deterioration in pediatric asthmatic patients after September 11, 2001. J Allergy Clin Immunol. 2004;113(3):420–6.
Lioy PJ, Weisel CP, Millette JR, Eisenreich S, Vallero D, Offenberg J, Buckley B, Turpin B, Zhong M, Cohen MD, Prophete C, Yang I, Stiles R, Chee G, Johnson W, Porcja R, Alimokhtari S, Hale RC, Weschler C, Chen LC. Characterization of the dust/smoke aerosol that settled east of the World Trade Center (WTC) in lower Manhattan after the collapse of the WTC 11 September 2001. Environ Health Perspect. 2002;110(7):703–14.
Lin DH, Au L, Ko D. Asthma prevalence in Lower Manhattan public primary schools. In: American Public Health Association meeting, Washington, DC, 3–7 Nov 2007.
Redline S, Gruchella RS, Wolf ML, et al. Development and validation of school-based asthma and allergy screening questionnaires in a 4-city study. Ann Allergy Asthma Immunol. 2004;93:36–48.
Szema A, Savary K, Ying B, Lai K. Post 9/11: high asthma rates in Manhattan’s Chinatown, New York, AAP. 2009.
Brusasco V, Crapo R, Viegi G, editors. ATS/ERS task force: standardisation of lung function testing. Eur Respir J. 2005;26:319–538.
Polgar C, Promodhat V. Pulmonary function in children: techniques and standards. 3rd ed. Philadelphia, PA: WB Saunders; 1971.
Environmental Protection Agency. Final designations for the 24-hour Fine Particle Standard established in 2006. Available online at www.epa.gov./pmdesignations/2006standards/documents/2008–12-22/factsheet.htm. last Accessed 1 Sept 2009.
Earle CD, King EM, Tsay A, et al. High-throughput fluorescent multiplex array for indoor allergen exposure assessment. J Allergy Clin Immunol. 2007;119:428–33.
Trasande L, Fiorino EK, Attina T, Berger K, Goldring R, Chemtob C, Levy-Carrick N, Shao Y, Liu M, Urbina E, Reibman J. Associations of World Trade Center exposures with pulmonary and cardiometabolic outcomes among children seeking care for health concerns. Sci Total Environ. 2013;444:320–6.
Claudio L, Stingone JA, Godbold J. Prevalence of childhood asthma in urban communities: the impact of ethnicity and income. Ann Epidemiol. 2006;16:332–40.
Nicholas SW, Jean-Louis B, Ortiz B, et al. Addressing the childhood asthma crisis in Harlem: the Harlem children’s zone asthma initiative. Am J Public Health. 2005;95:245–9.
Banauch GI, Izbicki G, Christodovlou V, et al. Pulmonary function after exposure to the world trade center collapse in the New York City Fire Department. Am J Respir Crit Care Med. 2006;174:312–9.
Banauch GI, Izbicki G, Christodovlou V, et al. Trial of prophylactic inhaled steroids to prevent or reduce pulmonary function decline, pulmonary symptoms, and airway hyperreactivity in firefighters at the world trade center site. Disaster Med Public Health Prep. 2008;2:33–9.
Author information
Authors and Affiliations
Corresponding author
Editor information
Editors and Affiliations
Rights and permissions
Copyright information
© 2018 Springer International Publishing AG
About this chapter
Cite this chapter
Szema, A.M. (2018). Asthma in Children from New York City’s Chinatown Post-9/11. In: Szema, A. (eds) World Trade Center Pulmonary Diseases and Multi-Organ System Manifestations. Springer, Cham. https://doi.org/10.1007/978-3-319-59372-2_5
Download citation
DOI: https://doi.org/10.1007/978-3-319-59372-2_5
Published:
Publisher Name: Springer, Cham
Print ISBN: 978-3-319-59371-5
Online ISBN: 978-3-319-59372-2
eBook Packages: MedicineMedicine (R0)