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For an index
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- Fire
Dept. Not Coming Clean on Asbestos Risk? - Staten Island Advance, August 27, 2002
- Do Lower
Manhattan Cleanup Right
- Daily News, August 23, 2002
- Health
Workshop for S. Asian Workers in N.Y. - News India-Times, June 28, 2002
- Forget
the Forklift: Desk Work is Risky Business - USA Today, June 7, 2002
- 9/11
Cleanup Zeroes in on Health Risks Facing Immigrant Workers - Church World Service Immigration and
Refugees, June 1, 2002
- Fire
Truck Danger: Union Says WTC Dust on Rigs a Health Risk - Daily News, May 15, 2002
- EPA
Rapped for NYC Cleaning Program
- Associated Press, May 14, 2002
- Cleaning
Up After 9/11: Respirators, Power and Politics - Occupational Hazards, May 10, 2002
- EPA
to Clean WTC Apartments
- United Press International, May 8, 2002
- WTC
Minority Workers' Ills Persist
- Newsday, April 28, 2002
- PSC Pair
Honored for Their Safety Vigilance: Profs Are Monitoring CUNY
Air Quality, Construction
- New York Teacher, April 10, 2002
- Trabajadores
sin protección
- Hoy, 8 de abril de 2002
- Bill:
Workers' Comp For WTC Laborers
- Associated Press, April 8, 2002
- Rules
For Job Safety Will Be Voluntary
- Newsday, April 6, 2002
- OSHA
Backs Away From Controversial Statement On Asbestos - InsideHealthPolicy.com Daily Updates,
April 3, 2002

Fire
Dept. Not Coming Clean on Asbestos Risk?
By Robert Gavin
Staten Island Advance
August 27, 2002
http://www.silive.com/news/advance/index.ssf?/xml/
story.ssf/html_standard.xsl?/base/news/1030455903270242.xml
The Staten Island fire company
hit hardest on Sept. 11 may be riding a contaminated truck.
Contrary to Fire Department findings,
asbestos was detected in the Rescue Co. 5 truck in testing done
after Sept. 11, a report obtained by the Advance has revealed.
The front and rear cabins of
the specialized rig -- which returned from the World Trade Center
without the 11 firefighters who rode it to Manhattan immediately
after the terrorist attacks -- carried asbestos in a compartment
near an air-conditioner pipe, and in a right-seat radio section,
according to a March 7 study by the LEW Corporation, an environmental
company based in Livingston, N.J.
Traces of asbestos, a known carcinogen,
were also found in a tools compartment on the rig, the report
said.
"Samples were collected
of presumed asbestos dust observed at the site," the findings,
released later in March, stated. "The bulk samples were
collected in various locations observed throughout the truck."
The report contradicts FDNY statements
from March, when a department spokesman said only four of the
nearly 200 trucks which responded to Ground Zero on Sept. 11
had been contaminated with asbestos. The spokesman also said
none of those rigs were from Staten Island. The four trucks that
did test positive for asbestos had been decontaminated, the spokesman
added.
Word of the Rescue 5 contamination
follows the release of tests commissioned by the New York Environmental
Law and Justice Project at the request of the Uniformed Firefighters
Association (UFA), the city firefighters' union, which found
asbestos in excess of federal safety standards in five other
trucks.
Compounding the confusion over
how many vehicles were actually contaminated, fire officials
released a document yesterday stating that six FDNY vehicles
that responded to the World Trade Center exceeded federal airborne
asbestos levels. All were decontaminated, the document said.
Rescue 5 was among the 11 fire
units from Staten Island that rushed to Ground Zero on Sept.
11. Several cars from the Island's 21st Battalion and Division
8 were also at the Trade Center.
"There's a credibility problem
with the department. First they said there's four rigs [contaminated],
now we're hearing there is a whole bunch of them," said
Phil McArdle, a UFA health and safety officer. "We obviously
want the thing cleaned up."
Firefighters are torn between
"doing their jobs and long-term health effects this is going
to have," said McArdle.
The LEW Corporation, which calls
itself "the Environmental Company," made no immediate
comment when contacted yesterday.
The corporation found materials
in Rescue 5's right-seat radio compartment, located in the rig's
front cabin, to be 3.8 percent asbestos. Asbestos levels were
1.4 percent in the air-conditioner compartment, which is in a
back cabin. And it was .73 percent in the truck's tools compartment,
according to the report.
Federal guidelines consider anything
above 1 percent to be asbestos-containing, noted Carrie Loewenherz,
an industrial hygienist with the New York Committee for Occupational
Safety and Health, a not-for-profit organization.
The FDNY document said many of
the trucks at the Trade Center were found with "caked debris."
While such vehicles could test positive for asbestos in a wipe
test, such a finding does not spell peril, it said.
"The fact that asbestos
is present does not constitute an immediate health hazard,"
the department document said. "Asbestos is only a hazard
when it becomes friable and airborne."
Even material at 6 percent asbestos
is not a health hazard if in caked form, the document said.
Still, Ms. Loewenherz noted,
caked asbestos is hardly "behind a wall." And she said
no one should be working in asbestos-contaminated vehicles, regardless
of the contamination level.
"Even [asbestos] below 1
percent is nothing to sneeze at. Just because it's below 1 percent
doesn't mean you're not going to have exposure to it," she
said, citing the LEW report obtained by the Advance.
"It's just more evidence
that if it was cleaned, it wasn't cleaned properly. It's just
more evidence that they haven't been using proper cleanup and
abatement techniques. People have been downplaying the possibility
of vehicles being contaminated," Ms. Loewenherz said.
Rescue 5 suffered the worst casualties
of any Island firehouse on Sept. 11 and was among the hardest
hit citywide.
Among the other Island vehicles
at the disaster scene were Engine Cos. 152, 155, 156, 160, 161,
164 and 165, and Ladder Cos. 78, 79 and 84.
One Fire Department source expressed
concern about firefighters using the Rescue 5 rig until it's
replaced, saying, "Until then, it's going to be contaminated."
Copyright 2002 Staten Island
Live. All Rights Reserved.

Do Lower Manhattan Cleanup Right
By William F. Henning Jr.
New York Daily News Oped
Friday, August 23, 2002
http://www.nydailynews.com/news/ideas_opinions/story/12975p-12314c.html
Next month, the Environmental
Protection Agency will finally begin cleaning hundreds of apartments
in lower Manhattan.
It's a shame that the agency
isn't going to do it right.
The EPA's aim, of course, is
to rid these apartments of the asbestos and other toxic materials
thrown into the air by the collapse of the twin towers and the
fires that burned for four months afterward.
When the EPA announced in June
that it would do this, it was reversing the position it held
ever since Sept. 11. For eight long months, the EPA insisted
no cleanup was necessary. Then, when at last it agreed that,
okay, maybe one was, it said the cleanup was "to reduce
the safety concerns of residents."
As if the release of hundreds
of tons of asbestos, fiberglass, lead, highly alkaline concrete
dust and many other toxic substances wasn't a real public health
hazard, just the concern of some worrywarts.
The indoor cleanup should have
started right after the collapse, at the same time the outdoor
cleanup began. It is now too late to prevent the exposures that
have already occurred, but it is not too late to prevent future
harmful exposures.
How? First off, the scope of
the EPA cleanup - limited to residences below Canal St., and
then only when the occupant requests it - is too narrow. The
contamination is not limited to residences. It is present in
workplaces and public spaces and in residences where the owner
does not request a cleanup. All contaminated places should be
cleaned up on a building-by-building basis.
Then, too, the cleanup must be
conducted by properly trained and protected personnel. Our previous
calls for protection of all cleanup workers were ignored, with
the result that more than 400 day laborers face the prospect
of long-term respiratory illness.
As we learned last week, the
EPA itself was guilty of a shocking oversight lapse when it permitted
a cleanup contractor to spew asbestos into the air by vacuuming
downtown streets with improperly equipped trucks.
The EPA should ensure that similar
failures do not recur by requiring contractors to prove their
workers have been properly trained and equipped. And then theEPA
should take full charge of the cleanup.
Though the EPA has the sole responsibility
for the cleanup, it perversely rejects its mandated role. Instead,
it is calling the cleanup a "collaborative" effort
of federal, state and city agencies.
Only the federal government has
the resources and expertise to clean lower Manhattan. The EPA
can and should call on other agencies to assist in this effort,
but not to co-manage it.
However belated, it is good that
the EPA has agreed to a partial cleanup of lower Manhattan. But
the cleanup will only be effective if it includes all contaminated
places, including, in particular, workplaces.
It is not too late to do it right.
Henning is chair of the
New York Committee for Occupational Safety and Health. www.nycosh.org

Health
Workshop for S. Asian Workers in N.Y.
Workers' Awaaz organized the event
for the overall economic and social welfare of domestic workers
By Vaishalee Mishra
New India-Times
June 28, 2002
http://www.newsindia-times.com/2002/06/28/dias-top.html
A group of women crowd into a
small room with multicolored blankets covering the floor. A middle-aged
woman in a green salwar kameez tries to balance in a yoga pose
that requires her to stand on one foot with the other leg elevated.
A giggle escapes her lips as her leg hits the floor with a thud.
The women had gathered for a health workshop on June 17 in Queens,
N.Y., organized by Workers' Awaaz, that advocates economic and
social welfare of South Asian domestic workers and workers from
other industries. It was designed to address specific occupational
health concerns, while also providing general health education.
Seminars on yoga, occupational safety and nutrition were offered.
The workshop was the first in a series of community development
and educational programs that Workers' Awaaz intends to conduct.
Domestic workers' access to health care is sometimes complicated
by economic and cultural factors. Undocumented workers are especially
afraid to seek medical care. "Many times they don't have
access to information and face language barriers," said
Alia Hasan, a community organizer with Workers' Awaaz.
"Since there is no health care in this country that's free,
they often can't afford it. When they go to public hospitals
with subsidized health care, it takes all day and most of them
work six days a week. The only day they can go to the hospital
is on Sunday and it's hard to go and see a doctor on weekends."
The workshop targeted occupational health concerns that are specific
to domestic workers, such as back injuries from repeatedly lifting
heavy loads of laundry or moving furniture, and skin problems
resulting from the use of chemicals and solvents.
"I have a lot of back problems," said a 50-year-old
participant who works 14-15 hours a day, five days a week. Elizabeth
Ouyang from the New York Committee for Occupational Safety and
Health offered tips to prevent back injuries and safe handling
techniques for chemicals.
"If you have to carry a heavy load of laundry from the basement,
think about splitting it into smaller loads and making a few
trips," Ouyang said. The participants also learned how to
practice yoga to alleviate physical and mental stress.
"Members of Workers' Awaaz have so much stress, especially
those who are mothers," said Mona Chopra, who led the workshop's
yoga class. "Many of them have recurring back pain, tension
in their shoulders and neck and recurring stress."

Forget the Forklift: Desk Work is Risky
Business
By Janice Billingsley, HealthScoutNews
Reporter
USA Today
June 7, 2002
http://www.usatoday.com/news/health/2002-06-07-work.htm
Working at an office all day
can be a real pain, and we're not just talking about your annoying
boss.
The discomfort and pain that
can come from sitting at a desk all day, doing the same repetitive
motions, is very real, says Margareta Nordin, program director
of ergonomics and biomechanics at New York University.
"It's a very common problem.
Anyone and everyone who has work that forces them to sit continuously
without changing posture sooner or later will experience some
form of discomfort, which is a precursor to developing pain,"
she says.
Previous studies have shown that
among people who sit all day at their jobs, one of every three
will suffer pain at least once a week, with neck and hand/arm
pain the most commonly reported.
Working for hours without getting
up and walking around, and having a poorly designed workstation
that forces you into uncomfortable positions both contribute
to office-related pain.
Add to that genetic risks, says
Dr. Mark Melhorn, an orthopedic surgeon at the University of
Kansas and an ergonomics expert.
He says that while 35 percent
of the pain experienced by office workers can be blamed on repetitive
motion and office design, as much as 65 percent of the pain can
be traced to individual risk factors.
"Older people are more at
risk for pain because healing capacity drops as you get older.
And women are at higher risk than men because they are on average
6 inches shorter, and all their body parts are smaller,"
he says. "Most everyday objects, like the keyboard layout,
are designed for an average-sized man, so you have a larger percentage
of women whose hands are too small for the keyboard."
Further, he says, people with
diabetes, thyroid conditions and other disabilities that compromise
blood circulation are also at increased risk for pain and injury
when they are sitting in the same positions for long periods
of time.
"Genetic risk impacts how
we respond to musculoskeletal stress," Melhorn says. "If
you have a person at greater risk for pain and then put them
in a job that increases the risk further, you trigger a problem."
The good news, experts say, is
that you can prevent these problems before they start with some
simple changes in your habits.
First, check you workstation,
Melhorn says, so you sit in the most natural position possible.
Your elbows should be at your side, bent at a 90-degree angle
over your keyboard and your wrists should be straight. Your computer
screen should be five to seven degrees below your eye level so
you're looking down at the screen, your chin tucked slightly
down. This decreases stress on the neck.
Your office chair should support
your lower back and have a good-sized seat pad so you can sit
comfortably. Your feet should touch the ground with your knees
bent at a 90-degree angle.
Before you start work, you can
do some simple stretching exercises to get your blood circulating,
Nordin says.
"Start with a skeletal stretch.
Put your hands over your head and really stretch out. Then take
several deep breaths, and let the air out slowly for three to
five seconds," she says.
When you sit down at your desk,
sit up straight. Lift your shoulders up to your neck and then
release them to relax. Roll your shoulders back and forth. Rotate
your wrists gently, both in a circle and up and down. Stretch
your legs out under your desk. Do this throughout the day.
Also key, Nordin and Melhorn
say, is to get up and move during the day.
"Static postures add increased
demands on the body which can be just as disadvantageous as heavy
lifting," Melhorn says. "And you should take a one-
to two-minute rest break every 30 to 45 minutes."
Get up, get a drink of water,
go talk to a colleague, Nordin says: "It's not so bad to
have to get up and get something from the printer."
Also important is to recognize
your symptoms early when they are easy to treat, she adds.
"Most people start out with
non-specific pain that is easily treated with stretching exercises
and rearranging their desktop," she says, "so you need
to take some responsibility for yourself."
What To Do: For some tips on
repetitive stress injuries, visit the New York Committee for
Occupational Safety and Health. An interesting site for parents
about ergonomic recommendations for their children can be found
at Cornell University.
© Copyright 2003 USA TODAY

9/11
Cleanup Zeroes in on Health Risks Facing Immigrant Workers
By Thomas Abraham
Church World Service Immigration and Refugees
June 1, 2002
http://www.churchworldservice.org/Immigration/archives/2002/06/9.html
Like many who helped clean up
at Ground Zero, the man who identified himself as Manuel complained
of a persistent cough. He also had difficulty urinating.
"I knew there was a risk
when I took the job," the 54-year-old Ecuadorian immigrant
told Newsday in March this year. "But I never realized the
magnitude."
Manuel was one of 415 immigrant
clean-up workers and day laborers examined in a medical van stationed
near the World Trade Center site January and February this year.
With no health insurance, and still coughing, most of them came
to the van for free tests two months after cleaning up building
interiors around the site of the attack.
In interviews with the van's
medical staff, workers said they were told to clean offices coated
with dust without respirators. Those who brought their own were
told by employers not to wear them, most likely to allay fears
of asbestos inhalation, according to the van's supervisor Dr.
Steven Markowitz. At last month's City of New York conference
on risks faced by immigrant the Queens College physician said
people exposed to similar occupational hazards usually recover
quickly. But some immigrant workers involved in Ground Zero clean
up were coughing up blood two months later, he said.
Few remain untouched by the events
of 9/11. For the immigrant community, the toll from 9/11 ranges
from high-risk work conditions to a backlash of suspicion, fear
and hate. For some, the price rose sharply to security profiling,
detention without due process, and deportation.
"The backlash demonizes
the whole immigrant population in the US," said Omar Henriquez
of the New York Committee for Occupational Safety and Health.
NYCOSH joined the Latin American Workers Project and Queen's
College's Center for the Biology of Natural Systems in mobilizing
the medical van.
In testimony to the Senate earlier
this year, Henriquez pointed out that three out of four tailors,
cooks and textile workers are immigrants in some states. Nationally,
most taxi drivers, and garment, agricultural and domestic workers
are immigrants. And although immigrants make up more than a tenth
of the US population, Henriquez told the Senate Subcommittee
on Employment, Safety and Training, they face a disproportionate
rate of accidents and fatalities in the workplace.
"Two or three weeks don't
go by without an immigrant worker dying," he said. He added
that the Occupational Safety and Health Administration has acknowledged
a higher rate of on-the-job fatalities among immigrant workers
in New York even though California had far more immigrants.
Immigrants of uncertain legal
status are even more vulnerable. Church World Service will begin
addressing this at-risk population in a new program (see "Putting
the I' back in CWS-IRP," page ??) later this year.
"Hope from the Rubble"
appeal funds from the United Church of Christ (UCC) and support
from other non-profit organizations made the mobile health van
possible at a time anti-immigrant feelings were running high.
For Roger Cook of the UCC's National Disaster Ministries and
director of the Western New York Council on Occupational Safety
and Health, a key issue is the number of volunteers from churches
and other faith-based organizations who were exposed at Ground
Zero. Like many immigrant workers, they were not properly trained
or equipped.
"We need to identify the
people who were exposed and give them access to diagnostic services,
said Cook, who spoke at May 9 conference on Environmental and
Public Health Policy in New York. He added that a registry of
out-of-town volunteers at the World Trade Center site would probably
be one outcome of the conference.
Cook said churches were drawing
on their experience with the Ecumenical Task Force formed to
press government and big industry for answers and remedial action
at Love Canal which was evacuated in 1978 after toxic wastes
dumped over a period of 30 years by Occidental Chemical threatened
the community.
Church World Service, which joined
the Task Force, is partnering with the UCC and NYCOSH to identify
undocumented workers, day laborers and others who cleaned up
at Ground Zero without adequate health and safety safeguards.
In the wake of the attacks, CWS also funded several northeastern
ecumenical and interfaith disaster response programs, and to
organizations serving the Spanish-speaking and small-business
community.
Already, various communities
affected by the World Trade Center attack are coming together
around common health and environmental issues. NYCOSH helped
to bring residents, labor, public health and immigrant groups
into the World Trade Center Environmental Coalition. The umbrella
group demonstrated at City Hall last December, at a Ground Zero
debris disposal site in March this year, and discussed air quality
with commissioners at New York's departments of health and environment.
"It's a golden opportunity
to blur the lines between occupational and environmental concerns
and those concerned with health consequences," said NYCOSH's
David Newman.
The coalition's concerted urging
may be paying off, at least for some of the concerned groups.
In a sharp about-face, the federal Environmental Protection Agency
announced May 8 it would spearhead the cleanup and testing of
apartments south of Canal Street in Lower Manhattan. The government
will also provide $1.3 million to fund studies on the long-term
health effects of 9/11. The studies, by Mt Sinai School of Medicine
and the City University of New York, will see if there is any
link between air quality downtown, birth defects and premature
births.
Whether any of these gains will
ultimately help safeguard the health and safety of immigrants
is another question. None of the findings from the mobile medical
unit translated into any meaningful changes, according to NYCOSH's
Henriquez.

Fire Truck Danger: Union Says WTC Dust on Rigs
a Health Risk
By Greg Gittrich
Daily News
May 15, 2002
http://www.nydailynews.com/2002-05-15/
News_and_Views/City_Beat/a-150930.asp
Hundreds of fire trucks that
responded to the World Trade Center attacks remain contaminated
with potentially toxic dust, posing health risks to firefighters,
union officials charge.
Although the Fire Department
has examined the 200 surviving rigs that were at Ground Zero
on Sept. 11, only four were professionally decontaminated, FDNY
officials acknowledged. The rest were deemed safe and sent back
on the streets.
In contrast, the Environmental
Protection Agency has ordered the destruction of 890 cars laced
with asbestos from the twin towers.
The fire trucks, being used daily
on emergency runs, have been scrubbed and appear almost spotless
from a distance.
A closer look reveals that many
of the rigs' engines, electrical wiring and air-conditioning
systems are coated in dust, firefighters said.
"Our rig was parked on West
St. right in front of the financial buildings and survived,"
said a Manhattan firefighter, who asked not to be named. "Every
time we go on a run, it blows dust in our faces. It's not safe."
Union officials are adamant that
all of the 500 or so fire vehicles used at Ground Zero
not just the trucks there on the first day should be professionally
cleaned.
"This is a serious health
issue," said Thomas Manley, health and safety officer of
the Uniformed Firefighters Association. "It's not being
taken care of for one reason: money."
Manley and Rudy Sanfilippo, the
union's Manhattan trustee, charged that the department decided
not to decontaminate all the rigs when it learned it would cost
$2 million.
"They told us they don't
have the money," Sanfilippo said. "It's pathetic."
The cost of cleaning a truck
would be at least $5,000, asbestos cleaning companies said.
"It's been eight months
and the trucks are still covered in this stuff," Manley
said, displaying a fistful of debris he grabbed from inside of
a rig at Chelsea firehouse. "They're not any different from
the cars that are being destroyed."
FDNY officials maintain the dust
on the rigs poses no health risk. Department spokesman David
Billig said the FDNY decontaminated the four trucks that had
tested positive for dangerous levels of asbestos.
"We are not planning to
decontaminate any more," Billig said.
The twin towers' collapse destroyed
95 FDNY vehicles, including 19 engine trucks and 14 ladder rigs.
Airborne Dust Dangerous
Asbestos is dangerous when it
is airborne. Inhaling the material can cause chronic lung disease
and cancer. The fiber was used as fireproofing in at least 37
floors of the twin towers.
Federal health and safety officials
have said that all the Trade Center dust should be assumed to
contain asbestos.
"There is no safe level
of asbestos exposure," said David Newman, an industrial
hygienist at the New York Committee for Occupational Safety and
Health. "You will not automatically become ill after being
exposed. But as a matter of public health, exposure should be
reduced to the minimum possible level."
Manley said 400 firefighters
have complained about respiratory problems since the attacks.
"I don't want any more getting sick because the trucks haven't
been cleaned," he said.
The union's heightened concern
comes as the EPA and city have become more diligent in handling
the Trade Center dust.
Last week, city and federal environmental
officials agreed to hire professional contractors to scrub the
dust out of as many as 15,000 apartments. And two days ago, the
city flip-flopped on its plan to return hundreds of contaminated
cars towed from around the Trade Center after the attacks. The
vast majority of the vehicles are being shredded.
"The odds are these fire
trucks should be completely taken apart and cleaned," said
Marsha Drachman, president of Spectrum Environmental, a Scarsdale
asbestos abatement company. "Every time the trucks are used,
they could be spreading contaminated dust."

EPA
Rapped for NYC Cleaning Program
By Michael Weissenstein
Associated Press
May 15, 2002
http://story.news.yahoo.com/news?tmpl=story&u=/
ap/20020515/ap_on_re_us/attacks_air_quality_1
The government could spend as much as $100 million to clean downtown
Manhattan apartments of dust from the World Trade Center collapse,
but critics say the program may be coming too late to help those
at greatest risk of health problems.
Federal and city environmental
officials announced last week they would pay for professional
cleaning and air-quality testing of the apartment of any area
resident who requests the work.
"It would have been far,
far better for the EPA to have done this much sooner," said
Jonathan Bennett, spokesman for the nonprofit New York Committee
for Occupational Safety and Health. "It would have given
people protection from things that are now in their lungs that
they can't be protected from now."
Samples of the dust that settled
after the trade center collapse show varying amounts of asbestos,
fiberglass and caustic concrete powder.
Hundreds of cleaning workers
including many who worked with inadequate protective gear
have reported respiratory ailments and other problems
after cleaning dust-laden offices and apartments. Those laborers
face a slightly elevated risk of asbestos-related cancer in coming
decades, scientists said.
Much of the cleanup work ended
months ago, while government agencies were issuing conflicting
but often reassuring assessments of risks posed
by the dust.
The Environmental Protection
Agency (news - web sites) has not estimated an overall cost for
the new cleanup program, spokeswoman Mary Mears said.
But industry officials said professional
asbestos abatement could cost an average of $4,000 per apartment.
The agency also is offering air testing and high-efficiency vacuum
cleaning, which could cost an additional $800 per apartment on
average.
Census figures show 23,700 occupied
housing units below Canal Street, which could drive overall costs
as high as $113 million if every resident asked for cleaning
and testing.
Mears noted the agency believes
far fewer than 23,000 apartment dwellers will request cleanup
so the cost will be well below the top estimates. The Federal
Emergency Management Agency (news - web sites) has pledged unlimited
funds to the cleanup effort.
Despite the concerns of some
residents, scientists and EPA officials say the remaining dust
poses little health risk.
For downtown residents, the risk
of asbestos-related cancer is not much greater than that for
the general population, said Dr. Stephen Levin, medical director
of the Irving J. Selikoff Center for Occupational and Environmental
Medicine at the Mount Sinai School of Medicine.
EPA officials say the program
is designed mainly to reassure jittery residents that their homes
are safe.
"What the scientists have
been telling us is, 'Very low risk, even over a long period of
time,'" EPA regional administrator Jane Kenny said. "Really
what we're trying to do is to make people in lower Manhattan
feel that they're living in a good place and that they're safe
in their homes."
The agency said last week that
there were roughly 15,000 apartments in the affected area. Mears
said that miscommunication between city and federal agencies
led the agency to underestimate the number.

Cleaning
Up After 9/11: Respirators, Power and Politics
Under the extraordinary
pressures of the World Trade Center rescue and cleanup operations,
was worker health added to the list of victims?
By James L. Nash
Occupational Hazards
May 10, 2002
http://www.occupationalhazards.com/news/news_loader.asp?articleid=49664
The Sept. 11 attack on the World
Trade Center (WTC) horrified the nation and the world: 2,800
civilians died in the conflagration, and the subsequent collapse
of the WTC buildings created what was probably the most dangerous
emergency response, rescue and recovery effort in U.S. history.
This disaster and the ensuing fires released thousands of tons
of matter - much of it hazardous - into the atmosphere.
As the horrors of that day recede,
many in the safety and health community are taking a closer look
at how well workers were protected as they labored near the former
WTC.
At the center of this re-evaluation
of an extremely complex situation is a simple, disturbing fact:
Four months after the catastrophe, there were reports that half
the workers at Ground Zero, perhaps the most hazardous work site
in the nation, still were not wearing respirators.
Cooperation Gives Way to Mistrust
Any effort to evaluate worker
protections and the use of personal protective equipment (PPE)
during the cleanup effort must begin by recognizing the enormity
of the problems faced by men and women who often worked heroically
to save or protect others. No one was - no one could have been
- prepared to deal with a catastrophe on the scale of 9/11, yet
many observers reported that the disaster evoked an extraordinary
team effort by those in and out of government.
EPA began taking air, dust and
water samples near the WTC soon after the disaster and consistently
has stated that it never detected any pollutants from the fire
and building collapse that are of concern to the general public.
According to poll results released
in March, however, 70 percent of New Yorkers said they did not
believe EPA or other government agencies' reports that the air
quality around Ground Zero is safe.
Rep. Jerrold Nadler, D-N.Y.,
charged that EPA broke the law and misled the public about the
safety of air quality in and around Ground Zero. Nadler issued
a "white paper" March 8 that he said documents illegal
and improper activity. For example, he alleges EPA erred in allowing
New York City (NYC) to handle the testing and remediation of
indoor air matters, claiming the city did an inadequate job at
both tasks. By failing to oversee the city pursuant to the National
Contingency Plan, Nadler said, EPA broke federal law.
Along with these concerns, reports
about possible illnesses among workers at and near the WTC site
began to surface:
- As many as 120 NYC firefighters
are suffering from moderate to severe breathing problems probably
caused by working at Ground Zero, according to Dr. David Prezant,
the Fire Department of New York's deputy chief medical officer.
- Preliminary results showed that
more than 400 day laborers - building maintenance workers who
were examined at a Ground Zero medical van - had nearly identical
symptoms of respiratory distress. Those symptoms were possibly
related to inhalation of toxic substances in WTC dust and debris,
according to Dr. Steven Markowitz, medical director of the operation.
This may be only the beginning.
Industrial hygienists familiar with the site identified asbestos
as the hazard of greatest concern. Because asbestos-related diseases
develop slowly, the real story about workers' illnesses may take
years, or decades, to unfold.
For Whom the PELs Toll
Confusion about the seriousness
of the hazards workers in the WTC area faced were fueled by many
factors. One was the difference between OSHA's permissible exposure
limit (PEL) for asbestos and EPA's "clearance level."
Bruce Lippy, industrial hygienist
for the Operating Engineers National Hazmat Program, was on site
throughout the first five weeks of the cleanup and regularly
thereafter. "We found that 60 percent of our [asbestos]
samples were greater than the EPA clearance level, and that's
the primary reason I urged people to keep their respirators on."
Lippy, along with other occupational
safety professionals, relied on an EPA standard, rather than
the OSHA PEL, to safeguard workers. EPA's clearance level refers
to a test required by the Asbestos Hazard Emergency Response
Act (AHERA) before an asbestos project can be opened to the public.
The level of protection, .02 fibers per cubic centimeter (f/cc),
is used to determine if children may re-enter a school building
after asbestos has been removed or abated.
By March 28, EPA had conducted
7,251 air samples for asbestos in Lower Manhattan, with 18 of
these samples above the agency's standard.
OSHA's PEL for asbestos is less
stringent - 0.1 f/cc. As of Feb. 6, OSHA had conducted more than
1,000 asbestos samples, and results ranged from "none detected"
to .037 - well below OSHA's PEL, yet above EPA's AHERA "school
child" threshold.
If asbestos was the hazard of
greatest concern and if none of OSHA's samples revealed asbestos
levels above the agency's PELs, why should workers heed OSHA's
advice to wear respirators?
According to OSHA Region II Director
Pat Clark, OSHA advised workers inside the "green zone,"
the constantly shrinking area where the rescue and recovery work
went on, to wear respirators because the site was everchanging
and filled with many unknown hazards.
While EPA data showed few samples
above the AHERA clearance level, the agency's data appeared to
conflict with Lippy's results, as well as those of other private
groups.
"I don't care what the sampling
results say. We have a toxic soup down there," said Lee
Clarke, senior safety and health coordinator in District Council
37 of the American Federation of State, County and Municipal
Employees (AFSCME). It's a view widely shared by other experts.
EPA and OSHA tested for hazards
individually, but some health professionals worried about possible
"synergistic effects" among these contaminants. Mercury,
dust, silica, lead, fiberglass, benzene and many other substances
were released into the air when the twin towers collapsed, pulverizing
everything inside of them.
Superfund Site?
Many workers cleaning up the
inside of buildings outside the green zone never faced the temptation
to remove their respirator - because they never had one in the
first place. Soon after Sept. 11, EPA stated the air in Lower
Manhattan outside the green zone was safe, and no respiratory
protection was needed there.
What outraged Congressman Nadler
and many New Yorkers was that EPA issued its statements without
ever testing air inside buildings near the green zone. Sampling
done by private organizations in some buildings found concentrations
of asbestos in dust that far exceeded EPA's 1 percent definitional
threshold for material containing asbestos.
EPA countered that indoor air
quality is outside its mission and that it was up to NYC's Department
of Health (DOH) to handle the matter.
In a Jan. 17 letter, OSHA Administrator
John Henshaw wrote, "Because materials containing asbestos
were used in the construction of the twin towers, the settled
dust from their collapse must be presumed to contain asbestos."
In a series of scathing memos
critical of EPA's response to the disaster, Cate Jenkins, a senior
chemist in EPA's hazardous waste division, argued that asbestos
levels in Lower Manhattan were so high the entire area should
be declared a Superfund site. According to Jenkins, the asbestos
contamination in Lower Manhattan, up to seven blocks away from
Ground Zero, is comparable or higher than that found in Libby,
Mont., a designated Superfund site.
EPA did not respond to repeated
requests for comment on Jenkins' memos.
The economic and political consequences
of declaring Lower Manhattan a Superfund site would have been
profound, a fact that only fueled suspicion about EPA's pronouncements.
"It's not unreasonable to
make the area a Superfund site," said Stephen Levin, M.D.,
medical director of the Mount Sinai I.J. Selikoff Center for
Occupational and Environmental Medicine.
By late January, Levin said he
had already seen more than 100 patients who worked in Lower Manhattan
and developed various respiratory ailments he attributed to breathing
the air without proper respiratory protection.
"The data doesn't really
support making it a Superfund site," countered Kelly McKinney,
DOH associate commissioner. For weeks, he said, EPA and other
agencies collected samples, and the vast majority were below
EPA action levels, especially the air results.
The Wild West?
While public agencies and private
organizations argued, workers, many of them immigrants or undocumented
aliens, hired to clean up the buildings near Ground Zero faced
the risk of exposure to hazards with limited protection. This
is what led the New York Committee for Occupational Safety and
Health (NYCOSH) to push for the medical monitoring done at the
van outside the green zone.
"We expected to screen for
two weeks and see 200 people," Markowitz said. "Demand
was so great we stayed open five weeks and saw 500 people."
"What's happening in Lower
Manhattan in general is an entirely uncoordinated, haphazard
effort," declared David Newman, an industrial hygienist
with NYCOSH, in describing the indoor asbestos cleanup process.
"It's the Wild West out there."
Newman charged that there have
been no protocols or leadership on what kind of testing should
be done prior to cleaning up affected buildings, so that the
cleanup can be designed appropriately. Nor were there protocols
on clearance testing for reoccupancy from any government agency.
Responding to concerns raised
by NYCOSH and other groups that government officials were not
doing enough to protect workers in the area near the former WTC,
OSHA on Jan. 25 began random inspections of buildings in the
area.
By late March, OSHA's Clark had
good news to report. The agency visited 22 buildings near the
site of the former WTC and found cleanup operations in eight
of these buildings. OSHA opened 39 inspections and issued eight
citations, but all were for safety violations.
"We did a variety of tests
- bulk samples and personal samples - for a wide range of hazards,"
she said. "We found nothing that would have required workers
to wear respirators, though they were generally wearing respirators."
OSHA detected no asbestos.
Respirator Response
Especially in the early days
of the disaster, providing the proper respiratory protection
to workers inside the green zone posed a daunting challenge.
Here, where a largely unionized and English-speaking work force
labored around the clock, approximately 800 federal and state
OSHA staffers were on site with them to offer advice, not citations.
OSHA personnel from around the
country volunteered to help the over-worked staff from OSHA's
Manhattan area office, an office that was obliterated by the
Sept. 11 attack. Everyone from OSHA escaped from their WTC headquarters
just before it collapsed. For months, OSHA's Manhattan area staff
worked long hours out of a tiny, makeshift office approximately
2 miles uptown from Ground Zero.
Antonio Pietroluongo, OSHA's
assistant area director for safety, said that by Sept. 15, he
was working 17 to 20 hours a day at Ground Zero. "My best
therapy was to be back at work," he said.
Observers on the scene confirmed
that OSHA personnel labored long and hard to ensure the safety
of everyone involved in rescue and recovery at the former WTC.
"The people at OSHA worked very, very hard, and they excelled
at being safety professionals," said Michael J. Fagel, Ph.D.,
CHCM, a technical support specialist contracted to the Department
of Justice's Office of Domestic Preparedness. Fagel was at Ground
Zero from Sept. 17 through Nov. 24.
An early challenge was determining
which type of respiratory protection was appropriate. The National
Institute for Occupational Safety and Health (NIOSH), along with
EPA and OSHA, decided on half-face, negative-pressure respirators
with P-100, organic vapor/acid gas cartridges.
Thousands of samples collected
subsequently have reinforced that this initial choice was correct,"
said Lippy of the Operating Engineers.
NIOSH, along with many safety
equipment manufacturers, helped to meet a second problem: obtaining
and transporting thousands of respirators to New York in a hurry,
at a time when the nation's air transportation system was at
a standstill. NIOSH officials contacted the International Safety
Equipment Association, and manufacturers quickly sent respirators
and other kinds of PPE to New York and Virginia, where the Pentagon
had been hit.
"We were sending stuff out
by the truckload," said Ron Herring, director of marketing
for MSA, a Pittsburgh-based manufacturer of safety equipment
that helped lead the respirator effort.
Acting on its emergency response
plan, Draeger Safety, another Pittsburgh safety equipment company,
did not wait to be asked for help. By Sept. 14, according to
marketing communications manager Shelli Cosmides, Draeger had
sent out four truckloads of equipment to New York City, including
10,000 respirators.
North Safety Products of Cranston,
R.I., sent out a truckload of respirators the afternoon of Sept.
11. Because the company is located so near New York City, the
shipment was one of the first to arrive at Ground Zero.
Many safety equipment companies
also donated products and services. For example, LouAnne Koerschner,
business operations manager at St. Paul-based 3M, said the company
donated $1 million in products, including 65,000 respirators.
During the first weeks after
the attack, OSHA reported it was distributing 4,000 respirators
a day; by early March, the total figure had risen to 113,500.
Choosing the right kind of respirator,
transporting sufficient numbers of them to New York and distributing
the devices to the workers who needed them showed what could
be achieved when businesses and government agencies cooperated.
"There was no turf,"
Fagel said. "It was, 'What do you need?'"
Like Loose Neckties
Safety and health professionals
soon discovered that it was easier to get the right respirators
on site than it was to get workers to wear them or wear them
properly.
From the very beginning of the
operation until months later, many observers pointed to poor
compliance with the requirement to use respirators as one of
the most serious safety and health shortcomings at the site.
The National Institute of Environmental Health Sciences (NIEHS)
directed attention to this problem in its Oct. 6 report on the
early response to the disaster, noting, "respiratory protection
is rare."
According to data compiled by
Lippy, from Oct. 2 to Oct. 16, respirator use by heavy-equipment
operators was never above 50 percent and at times dipped to 20
percent, despite intense education efforts of the union.
A slightly different story comes
from Robert Adams, the director of health and safety for the
city's Department of Design and Construction (DDC), which managed
the site. "We've had compliance as high as 80 percent, and
then it has dipped down to 50 [percent]," Adams said in
a Feb. 1 interview. "It's an ongoing issue we address routinely
every day."
Bob DiBaro, health and safety
director for the International Brotherhood of Teamsters' Local
804, thought he could explain the discrepancy in reported respirator
use. "We had 60 percent to 70 percent compliance when the
inspectors were walking around. In reality, I'd say it was 30
percent to 40 percent."
Lippy complained that, on top
of the long hours and discomfort of wearing the devices, poor
role models abounded at Ground Zero. Supervisory personnel from
many organizations on site regularly entered the restricted zone
without respiratory protection.
"Respirators were worn much
like loose neckties, hanging below the neck," Lippy said.
"Compliance at Ground Zero was generally terrible."
Regulations Out the Window?
By all accounts, OSHA personnel
worked diligently passing out respirators and teaching workers
to perform positive and negative fit checks in the early weeks
of the recovery effort. OSHA, however, did not perform the fit
tests required under its respirator standard until December.
Respirators are not fully effective without fit tests.
According to Lippy, fit tests
for the respirators were not widely offered at Ground Zero until
Oct. 17, or 36 days after the attacks. At this point, the Operating
Engineers arranged for medical testing and quantitative fit testing
with the help of 3M in a special mobile vehicle stationed near
Ground Zero. MSA later pitched in, spending $150,000 to fit test
thousands more after 3M left the site.
"OSHA worked very hard,"
Lippy said, "but one has to ask why, if its own standard
requires this, it took 36 days before it happened?"
A number of labor representatives
privately complained that during health and safety meetings held
on site, OSHA had too little authority. "Because this was
such a horrendous situation, enforcement agencies adopted the
attitude that all regulations went out the window, and that was
totally irresponsible," AFSCME's Clarke contended.
OSHA may have had little choice.
Ultimate control of the site remained in the hands of New York
City. At first, the Fire Department of New York managed the response.
Later, it was DDC. The emotions surrounding the loss of so many
NYC firefighters may have contributed to a crucial decision that
hindered the enforcement of normal safety and health standards
at Ground Zero: The site was always considered to be in a "rescue
and recovery" mode.
Because Ground Zero remained
an emergency site, OSHA never had jurisdiction to impose fines
for worker safety violations.
"There's no legal impediment against them enforcing,"
said Donald Elisburg, a long-time OSHA expert who co-authored
an initial NIEHS report on the response to the WTC disaster.
"But it was a matter of OSHA's policy interpretation, one
that goes back many years, that at a rescue and recovery site,
they did not engage in enforcement activities."
In addition, the unprecedented
complexity of the operation required the use of four contractors,
making the safety effort more difficult.
Safety and Health Plan Delayed
If OSHA's enforcement role at
Ground Zero was circumscribed, it may be unfair to blame the
agency.
In addition to the politics of
emotion that required calling Ground Zero a rescue and recovery
site long after any hope of saving lives had vanished, OSHA's
lack of clout could reflect the Bush administration's emphasis
on a cooperative approach with business. The terrorist attacks,
and the resulting surge of patriotic national unity, did not
increase the appetite in Washington for a confrontational approach
toward private industry. Still, many safety and health experts,
particularly those with labor ties, questioned OSHA's failure
to compel the use of respirators.
One labor representative, who
described himself as a strong supporter of OSHA, attended the
daily safety meetings and complained that the agency had little
clout in decision-making.
"Bechtel, and then Liberty
Mutual, called the shots," he said, referring to the two
firms that supervised safety at the site. "They gave their
run-down of what they felt were the issues, like who should wear
what kind of masks. OSHA really had no participation in that."
Enforcement of respirator use, he added, "never came into
play."
The site had no safety and health
plan until Oct. 29, nearly seven weeks after the attacks.
All of the contractors involved
in the rescue and recovery effort at Ground Zero declined to
answer questions about safety or any other aspect of their operations
at the site. Liberty Mutual also declined to comment on its operations,
referring to a long-standing policy of protecting the privacy
of its clients.
OSHA's Partnership Agreement
A turning point in OSHA's role
at Ground Zero came Nov. 20 with the signing of a partnership
agreement between the agency, the city of New York, contractors
and other organizations. Prior to then, OSHA compliance officers
acted primarily as consultants, offering advice and assistance
- and no citations - to workers and employers.
In the partnership document,
OSHA officially agreed to not issue fines or citations for any
kind of violation, including failure to wear respirators, while
the contractors promised to address the concerns of the compliance
officers.
NYCOSH's Newman pointed out that,
under the agreement, workers lost the right to file complaints
and that its "no citation" element violated OSHA's
rules concerning such agreements.
OSHA's Clark countered that it
was only one of OSHA's "internal directives" that barred
it from dropping its enforcement powers in a partnership agreement.
She argued that the WTC disaster presented a unique set of circumstances
that justified this departure from past practice.
Given the weak hand OSHA held
at Ground Zero, the partnership agreement may have been the best
deal the agency could get. Clark argued that even if OSHA had
tried to use its enforcement powers, the companies could have
fought the citations in court, leaving workers with little immediate
protection.
The agreement succeeded in giving
OSHA more clout at the WTC site, according to DiBaro and others.
"There was a significant difference after the partnership
agreement," he said. "OSHA teamed up with the outside
companies, and they did inspections together."
In March, OSHA released data
indicating its approach at the WTC may have succeeded in some
ways. Private contractors working at Ground Zero had a lost workday
injury and illness rate of 2.1 per 100 workers through Dec. 31.
This compares with a 4.3 national average for construction work.
Given the extraordinary hazards
of the WTC site, the numbers suggest a genuine achievement, particularly
with respect to safety hazards.
Yet, it appears the partnership
agreement had little effect on respirator use, and if workers
were exposed to significant health hazards, it could take many
years for the illnesses to show up.
The 90 Percent Solution?
Defenders of the safety and health
compliance effort at Ground Zero argue that it was a uniquely
challenging environment, given the complexity of the various
tasks, the multiple contractors and the pressures of the situation.
Lippy and others, however, point
out that at the Fresh Kills site in Staten Island, where the
Ground Zero debris was sorted and inspected, respirator use was
reported to be consistently near 90 percent.
"The irony is that the debris
is pulled by workers from one of the most dangerous sites I have
ever seen, and then wetted and hauled to a site where the debris
is carefully sorted by workers who are wearing protective equipment
much more consistently," Lippy said.
DOH's McKinney countered that
the partnership agreement at Fresh Kills was virtually identical
to the one in force at Ground Zero.
Several observers said Fresh
Kills was managed just as if it were a HAZWOPER site, "Why,"
Lippy asked, "could we get 90 percent respirator compliance
at Fresh Kills and only 30 percent at Ground Zero?"

EPA to Clean WTC Apartments
By Alex Cukan
United Press International
May 8, 2002
http://upi.com/view.cfm?StoryID=08052002-104047-2874r
After saying for eight months
that there was no significant health risk from the dust from
the collapsed World Trade Center, the U.S. Environmental Protection
Agency announced Wednesday that it will clean the dust from apartments
in Lower Manhattan.
"We are pleased that the
EPA has decided to accept responsibility for protection of residents
of Lower Manhattan," said Joel Shufro, executive director
of The New York Committee for Occupational Safety and Health
(NYCOSH), a coalition of unions and health professionals. "This
is not only a step in the right direction, it is a reversal of
EPA's policy."
During the 34 weeks that have
passed since the attack on the World Trade Center, workers, residents
and students in Lower Manhattan have been exposed to dust that
is contaminated with asbestos, fiberglass, lead, highly alkaline
concrete dust, and many other toxic substances, according to
NYCOSH.
By the end of May, the EPA will
have a hot line available for those who live in the estimated
15,000 potentially contaminated apartments in Lower Manhattan,
to request testing and professional cleaning.
"This is to assuage concerns
from residents in Lower Manhattan who continue to have concerns
over air in their apartments," said Mary Mears, spokeswoman
for Region II of the EPA. "The plan -- covering Manhattan
residential units south of Canal Street and the Manhattan Bridge
approach, river to river -- was developed by the multiagency
Task Force on Indoor Air in Lower Manhattan created by EPA Administrator
Christie Whitman."
Asbestos had been found in some
of the dust and debris samples taken from Lower Manhattan.
"Most of the air samples
taken have been below levels of concern and based on the asbestos
test results received thus far, there are no significant health
risks to occupants in the affected area or to the general public,"
the EPA had said last fall.
The dust from the collapse of
the World Trade Center was largely composed of particles of glass
fibers, gypsum, concrete, paper and other building materials
so it's not surprising that the pH level was high or that high
levels of glass fibers were found, according to Geoff Plumlee,
a research geochemist with the U.S. Geological Survey in Denver.
"Most of the U.S.G.S. samples
had a pH of 9.5 to 10.5, two taken inside a high-rise apartment
and in a gymnasium across from the World Trade Center had a pH
of 11.8 to 12.1 -- equivalent to that of liquid drain cleaner,"
said Plumlee.
"It is a shame that these
measures were not taken at a time when they could have prevented
the heavy exposure to the toxic dust that covered Lower Manhattan,"
said Shufro.
"For nearly 8 months, the
EPA has denied that it has authority to protect people from exposure
to toxic substances indoors," said Shufro. "Now the
EPA is taking responsibility for protecting Lower Manhattan residents
-- an action which it could have taken months ago."
If asbestos is found in an apartment,
workers would have to use abatement measures such as wearing
moon suits and respirators. The EPA said it didn't know how many
people would request the professional cleaning or how much the
cleaning effort would cost. Four private contractors will be
assigned the work and paid by the federal government. No timetable
for the cleanup was provided by the EPA.
No cap has been set on the funding
for this effort, provided by the Federal Emergency Management
Agency, Mears said.
"It's better late than never,
it's a big step in the right direction but many problems remain
and there are many details that have to be worked out,"
Sudhir Jain, of the Lower Manhattan Tenants Coalition, told UPI.
"Schools, businesses and common areas have not been addressed,
and there needs to be some type of oversight function."
The New York City Health Department
advised tenants to clean apartments themselves using a wet rag
or wet mop, but many tenants who attempted to do became ill.
"When we cleaned our apartments,
we'd get sick, and then we couldn't continue cleaning,"
Indira Singh, a Pearl Street resident, told UPI.
According to Shufro, the EPA
plan should include the appointment of an independent advisory
committee, with the authority to intervene if government agencies
are not acting to protect public health, including representatives
of tenants, workers, students and elected officials.
"The EPA plan lacks any
provision for oversight from outside the same government agencies
that have shirked their responsibility for all this time,"
Shufro said. "The EPA plan also lacks any protocols for
testing, cleanup and post-cleanup clearance. Such protocols must
be produced and published."
Copyright © 2002 United
Press International

WTC Minority Workers' Ills Persist
By Margaret Ramirez
Newsday
April 28, 2002
http://www.newsday.com/news/local/newyork/ny-nymedi282686683apr28.story
More than 400 immigrant workers
hired to clean buildings near the World Trade Center site continued
to suffer respiratory and other symptoms months after their first
exposure to the dust, a Queens College physician reported yesterday.
Dr. Steven Markowitz, who supervised a medical monitoring van
near Ground Zero for two months, gave preliminary results of
examinations of 415 building cleanup workers.
The mobile health unit was a
joint project of Queens College's Center for the Biology of Natural
Systems, the New York Committee for Occupational Safety and Health,
and the Latin American Workers Project. It was established for
immigrant workers and day laborers hired to clean office buildings
near Ground Zero after the Sept. 11 attack on the World Trade
Center.
From Jan. 14 to March 1, the
van's medical staff offered free health examinations, which included
breathing tests, collection of blood and urine, and interviews
about work history.
In late February, nearly all
the workers still had health symptoms, which either first appeared
or had worsened after Sept. 11, Markowitz said.
"One of the most striking
findings is the persistence in symptoms, even after they stopped
work and were no longer exposed to dust," Markowitz said
during an immigrant labor conference at the CUNY School of Law
in Flushing. "Many had stopped working [near Ground Zero]
two months earlier, and when they came to the van, they still
had symptoms."
Generally, he said, most recover
quickly after such acute occupational exposure, and those with
persistent symptoms usually are few in number.
"That usual pattern did
not happen in this case," Markowitz said.
Of the 415 people examined, almost
all were Hispanic immigrants, mainly from Colombia and Ecuador.
Virtually none of the workers have health insurance or a personal
physician.
Most workers performed indoor
building cleanup for six to 12 weeks near Ground Zero, Markowitz
said, and had stopped working there about two months before the
medical van opened.
In interviews, workers said they
were given mops, rags and bags and told to remove inches of dust
that coated the floors, walls and desks in offices.
Most said they were not given
protective equipment. Some workers who brought their own respirators
said employers told them not to wear such protection. Markowitz
said he believes such advice was meant to calm workers' fears
about inhalation of asbestos.
Symptoms of sick workers fall
into two broad categories, he said. Most had irritation of the
upper airways, including chronic cough, coughing up of blood,
sore throat, nasal congestion and chest pain. The respiratory
symptoms are attributed to crushed glass in the dust.
Markowitz said others are more
puzzling. Those include headache, fatigue, dizziness and poor
appetite.
"We have no idea what substance
in the dust is causing that," Markowitz said.
Copyright © 2002, Newsday,
Inc.

PSC
Pair Honored for Their Safety Vigilance: Profs Are Monitoring
CUNY Air Quality, Construction
By Liza Frenette
New York Teacher
April 10, 2002
http://www.nysut.org/newyorkteacher/2001-2002/020410safety.html
A pair of faculty health-and-safety
sleuths has earned an award from the New York Committee for Occupational
Safety and Health for their work tracking and solving problems
at the City University of New York - particularly in areas affected
by the Sept. 11 terrorist attacks.
Dave Kotelchuck and Joan Greenbaum,
Health and Safety Committee co-chairpeople for the Professional
Staff Congress, received honors at the NYCOSH annual awards celebration
in New York City in April. Their work took on urgency in the
aftermath of the terrorist attacks on New York City, when the
47-story No. 7 World Trade Center toppled into the side of Fiterman
Hall at the Borough of Manhattan Community College. Fiterman
Hall, the largest classroom building at BMCC, was severely damaged
and remains closed. Since then, Greenbaum and Kotelchuck have
been involved in uncovering many health concerns at that site.
Their credits also include building
a membership structure with active health and safety committees
on CUNY campuses. Addressing indoor air quality and problems
with construction have kept them busy.
PSC President Barbara Bowen said
the pair has "taken our efforts in this area beyond where
I ever imagined or hoped - and of course no one could have anticipated
how they would be called on by the catastrophe of Sept. 11. What
accounts for their success, I think, is that they've found intellectual
as well as a political urgency in their work."
She noted that both have called
on their academic training in public health and environmental
design "in order to become fierce, informed advocates for
our members."
Kotelchuck is an associate professor
in the environmental health and safety department at Hunter College.
Greenbaum is a professor in the computer information sciences
department at LaGuardia Community College.
Fiterman Hall has not reopened
while CUNY decides whether to clean and rebuild it, or raze it
and start anew.
Dioxin in Fiterman Hall
Dioxin has been detected, in
some cases at high levels, in Fiterman Hall, said Kotelchuck,
who also serves on the NYCOSH board. Dioxin is a cancer-causing
substance found in herbicides, produced by incineration of chlorine-containing
plastics, as may have happened in the intense fires at the World
Trade Center on Sept. 11, Kotelchuck said. He and Greenbaum have
found many BMCC members experiencing physical problems and psychological
stress. They helped PSC initiate action with four other unions
to urge the National Institute of Occupational Safety and Health
to study several workplaces, including Stuyvesant High School
and BMCC. Preliminary results are expected in May.
Elsewhere in the CUNY system,
problems are monitored by committee members who are "our
eyes and ears on every campus to find out about problems and
resolve them," Kotelchuck said.
"We are receiving many reports
of problems such as air ducts which have not been cleaned in
years; construction being done during working hours, and leaks
and molds," Greenbaum said. "All of these problems
are serious as they affect our members' difficulties in trying
to go about their normal teaching responsibilities." The
committee is also monitoring repairs at Queens College, new ventilation
diffusers in teacher offices at Brooklyn Educational Opportunity
Center, and mold remediation in a LaGuardia photo lab.
The NYCOSH award, Kotelchuck
and Greenbaum said in a prepared statement, "is a recognition
both of the greater level of these activities by our union, and
the accomplishments of our campus and CUNY-wide health and safety
committees during the past two years, under our new union leadership."

Trabajadores
sin protección
By Rodolfo Castillo
Hoy
8 de abril de 2002
http://www.holahoy.com/internet.nsf/All/pg027116.htm
"Todos sabemos que los trabajadores
inmigrantes deberían estar mucho más protegidos
de los peligros por medio de una reglamentación fuerte,
en vez de una promesa para implementar directrices voluntariamente",
dijo Omar Henríquez, coordinador de programas para la
juventud y para los inmigrantes de NYCOSH.
NYCOSH, un comité que
trabaja en favor de la seguridad y salud de los obreros representa
a más de 250 sindicatos, ambientalistas y activistas que
trabajan por la salud y la seguridad de los trabajadores en su
lugar de trabajo. Funcionarios de la administración Bush
dijeron el viernes que las directrices a seguir para reducir
los accidentes de trabajo en industrias no especificadas deberán
ser adoptadas voluntariamente por los empresarios.
Las medidas adoptadas de inmediato generaron críticas
de las organizaciones que agrupan a los trabajadores, diciendo
que se ha hecho poco para aliviar los problemas de seguridad
en el año anterior. John Sweeney, presidente de la coalición
AFL-CIO, acusó a la administración Bush de "servir
a los intereses especiales de las corporaciones, ignorando las
necesidades de los trabajadores".
Estas medidas entrarán
en vigor en vez de las regulaciones obligatorias propuestas por
la administración Clinton, las que podrían haber
costado $4.6 millones al año a los negocios, para brindar
mayor seguridad en los sitios de trabajo.
"Este plan mejora el reglamento
antiguo porque puede prevenir lesiones costosas antes que éstas
ocurran y alcancen un número mucho más alto de
trabajadores en riesgo", dijo Elaine Chao de la Secretaría
de Trabajo, pero los funcionarios de ese ministerio no dijeron
cuántos trabajadores serán cubiertos, diciendo
que los detalles serán dados a conocer en los próximos
meses.
"El plan es demasiado pequeño
y llega muy tarde", dijeron algunos defensores de los trabajadores.
"Los trabajadores necesitan protección para evitar
que sufran lesiones reforzando las regulaciones, no por medio
de directrices voluntarias", dijo Jonathan Bennett, vocero
de NYCOSH. Benett dijo que más de 600.000 trabajadores
resultarán perjudicados.
Durante las audiencias públicas
que tuvieron lugar en Washington recientemente, el reportero
de Newsday Thomas Maier dijo que investigó durante 10
meses y que "muchas de las muertes de trabajadores inmigrantes
en el lugar de trabajo nunca fueron investigadas".
La serie publicada por Maier
en Newsday incluyó el informe sobre la muerte de dos obreros
salvadoreños en una planta de reciclaje de Babylon.
Arturo Rodríguez, presidente
de una asociación de trabajadores agrícolas dijo
que en las granjas los trabajadores corren el riesgo del cáncer
debido a los pesticidas.
Lesiones y cuidados de salud
a obreros significaron 50 mil millones de dólares a la
economía del país, de acuerdo a la Academia Nacional
de Ciencias.
La nueva política incluye
un programa diseñado para educar a los trabajadores inmigrantes,
principalmente hispanos. Expertos en ergonomía dicen que
los programas educacionales podrían ayudar a los trabajadores
para reconocer los riesgos en el lugar de trabajo, pero que resultará
difícil reforzar las medidas de seguridad.
"Ayudar a los trabajadores
hispanos es muy importante", dijo Cynthia Roth, ejecutiva
de una corporación de tecnología ergonómica
en Syosett, Long Island. "La clave para incrementar la productividad
y ganancias de los negocios es educar a los trabajadores acerca
de la seguridad ergonómica".
Algunos empresarios de Long Island
dijeron que "administrar un negocio cuando existen demasiadas
regulaciones resulta improductivo".

Bill:
Workers' Comp For WTC Laborers
ASSOCIATED PRESS
April 8, 2002
http://www.newsday.com/mynews/ny-nywork082659938apr08001421.story
Albany - A new bill in the State
Legislature would extend workers' compensation benefits to rescue
and recovery personnel at the World Trade Center in an effort
to deal with any long-term health affects from debris.
"All those clean-up workers
are experiencing these other-than-normal infections, and it was
the result of some unique work," said State Sen. Guy Velella,
(R-Bronx) chairman of the Senate's labor committee. "If
they do happen to be contaminated, they should certainly be covered."
The bill would classify any ailment
linked to the trade center as an occupational disease, providing
the same benefits as if a worker had suffered an injury on the
job. A preliminary list of possible health problems includes
pulmonary fibrosis, interstitial lung disease, bronchitis, cancer
and gastrointestinal disorders.
Among the substances that escaped
from the 1.2 million tons of debris at Ground Zero were asbestos,
benzene, dioxin and polychlorinated biphenyls (PCBs). These are
linked to cancer, although experts say in many cases the exposures
were low enough that the risk appears to be small.
A few hundred firefighters who
raced to save victims of the terror attacks are on medical leave
or working light duty because of respiratory illnesses, including
asthma, persistent cough and diminished lung capacity, according
to firefighter officials.
"I don't think anyone knows
the extent to which people are ill," said Joel Shufro, director
of the New York Committee for Occupational Safety and Health.
"We do know that of the firefighters, one quarter of them
have had respiratory problems."
Shufro, whose organization helped
sponsor medical exams for workers in a camper near Ground Zero,
said it will be a challenge in some cases to trace particular
diseases to the trade center.
The bill is sponsored in the
Assembly by Catherine Nolan, a Queens Democrat and the chairwoman
of her chamber's labor committee. She said insurance companies
have resisted the legislation, but she wanted to move quickly
after learning that workers' compensation cases for rescue workers
from the 1993 terrorist bombing of the trade center were still
being argued.
"We have to make provisions
for workers who will come in five or 10 years from now with diseases
that probably will be caused by this," Nolan said.
Velella said he sponsored the
bill at the urging of unions. AFL-CIO officials said they did
not know how many workers have had trouble securing workers'
compensation.
Copyright © 2002, Newsday,
Inc.
Rules
For Job Safety Will Be Voluntary
By Matthew Miller
Newsday
April 6, 2002
http://www.newsday.com/news/health/ny-bzosha062657600apr06.story
As part of a new Labor Department
policy, the Bush administration said Friday that it will issue
voluntary guidelines aimed at reducing repetitive-stress injuries
in certain unspecified industries.
The new ergonomics policy generated
harsh criticism from labor groups, who said the administration
has done little to alleviate worker safety problems in the past
year.
The guidelines come instead of
mandatory regulations by the Clinton administration that would
have cost businesses $4.6 billion a year to make workplaces safer.
The tougher Clinton regulations were overturned by Congress last
year.
"This plan is a major improvement
over the rejected old rule because it will prevent ergonomic
injuries before they occur and reach a much larger number of
at-risk workers," said Labor Secretary Elaine Chao in a
statement. Labor officials did not provide the number of workers
covered and other specifics, saying details would be developed
over the next few months.
Occupational Safety & Health
Administration officials said the guidelines would be designed
around practices already used in some industries to prevent injuries
such as carpal tunnel syndrome and back strain.
OSHA administrator John Henshaw
said the plan would be "comprehensive and practical"
in its attempt to reduce workplace injuries.
But labor advocates said the
plan was too little and too late.
"Workers need protection
from ergonomic injuries through enforced regulation, not voluntary
guidelines," said Jonathan Bennett, spokesman for the New
York Committee for Occupational Safety and Health, a labor advocacy
group.
Bennett said 600,000 workers
had lost time due to ergonomic injuries since the Bush administration
pressured Congress to throw out the Clinton plan last year. Such
injuries cost the U.S. economy $50 billion annually in work-related
costs, according to the National Academy of Sciences.
John Sweeney, president of labor
coalition AFL-CIO, accused the Bush administration of "catering
to corporate special interests" and ignoring worker needs.
The new policy also includes
new enforcement standards for targeting ergonomic violations
and an outreach program designed at educating Hispanic and other
immigrant workers.
Ergonomics experts say that educational
programs could help workers recognize some workplace dangers,
but that enforcing guidelines designed to protect them would
be difficult.
"Helping Hispanic and immigrant
workers makes a great deal of sense," said Cynthia Roth,
chief executive of Ergonomics Technologies Corp. in Syosett.
"The key to increasing worker productivity and business
profitability is educating workers about ergonomic safety."
Roth warned that the "enforcement
pieces of the plan will be tricky," saying that OSHA would
have a difficult time prosecuting violators of the guidelines
because they were not legally binding regulations.
Leslie Bennett, who represents
management interests as an attorney for McMillan, Rather, Bennett
& Rigano in Melville, said he is unsure how effective voluntary
guidelines will be.
"Guidelines are not an active
enforcement vehicle," said Bennett. "Workers need some
form of regulation."
Some business interests seemed
pleased with the proposed guidelines being used over the more
expensive regulations. The National Federation of Independent
Businesses lauded the approach as a "helping hand."
Huntington business attorney
Andrew Ligit said "it is more expensive to run a business
when you have more regulations."
Copyright © 2002, Newsday,
Inc.

OSHA
Backs Away From Controversial Statement On Asbestos
InsideHealthPolicy.com Daily
Updates
By Kevin Maurer
April 3, 2002
© Inside Washington Publishers
After issuing a statement that
triggered strong criticism, OSHA has distanced itself from the
findings of a literature review conducted by a second-year medical
resident concluding that short asbestos fibers do not contribute
to asbestos-related disease. OSHA, which referred to the resident's
findings in its April online newsletter, stresses that the conclusions
do not represent agency policy.
Medical experts and union officials
are puzzled by the findings of the literature review. Many safety
and health experts argue that the debate over the hazards of
asbestos exposure is not resolved and say it is "irresponsible"
for OSHA to issue conclusions that are debatable.
In the April 1 issue of Quick
Takes, an electronic agency newsletter, OSHA reported under the
headline "Short Asbestos Fibers Not Linked To Disease"
that "an extensive review of the scientific literature over
the past 60 years found no reliable evidence indicating that
short asbestos fibers contribute to asbestos-related diseases."
The findings stem from work performed by Dan Barnett, a second-year
resident in preventive medicine at Johns Hopkins University.
Some medical experts refuted
Barnett's conclusions, noting that the debate over the health
effects of short fibers has not been resolved, and that there
is compelling evidence that short fibers do have an impact on
the health of workers exposed. Union officials also questioned
why OSHA issued the conclusions, calling the move "irresponsible."
However, an industry source says
the resident's conclusions are consistent with their understanding
of the issue.
Barnett completed the review
as part of a two-month internship with OSHA's Office of Occupational
Medicine. One of the program's requirements is to research a
topic and present it to staffers, according to an agency spokesperson.
Barnett was working on asbestos-related issues before coming
to OSHA and decided to continue his research at the agency, says
the spokesperson. OSHA did not assign him the literature review.
It is unclear how Barnett conducted the review, and OSHA could
not provide specifics at press time.
According to the newsletter,
Barnett found "that both epidemiological and animal data
indicate asbestos-related lung disease is associated with longer,
thinner fibers." The agency notes that Barnett conducted
the review "in light of concerns expressed in the wake of
the World Trade Center disaster about the potential threat of
lung disease among workers and residents who might have been
exposed to short asbestos fibers." Barnett did not return
calls at press time.
An OSHA spokesperson said that
the conclusions expressed in the newsletter are not a statement
of OSHA policy. Responding to the outcry by some stakeholders,
OSHA released a statement saying, "...the article on asbestos
in the current issue of Quick Takes, the discussion was based
on a literature review that was presented to OSHA staffers in
February. The review does not represent a statement of policy
by OSHA. This brief article was presented for information only
to our readers."
However, an organized labor source
argues that OSHA is treating a significant health issue "casually"
by releasing the results of Barnett's review in the newsletter.
The source also says that it appeared the review did not undergo
peer review, and added that the agency's decision to publish
the conclusions pose a "serious question of judgment."
Many OSHA staffers did not support the conclusion, said the union
source.
Occupational medicine researchers
expressed doubts about the review's conclusion. Rokho Kim, an
adjunct assistant professor of occupational medicine at Harvard's
School of Public Health said that he could "not believe"
Barnett's conclusions, adding that "the current conclusions
in the occupational medicine community agree that small size
asbestos is hazardous to a worker's health."
Yasunosuke Suzuki, research professor
in the Department of Community and Preventive Medicine for New
York's Mount Sinai School of Medicine and a recognized expert
on the issue, also disagreed referring to his paper "Asbestos
Tissue Burden Study on Human Malignant Mesothelioma," published
last year in Industrial Health.
Suzuki concludes that "short,
thin asbestos fibers should not be excluded from those contributing
to the induction of human malignant mesothelioma," a disease
caused almost exclusively by exposure to asbestos according to
the paper. Suzuki further concludes that since short, thin fibers
"were the majority among asbestos fibers detected"
in the lungs of his subjects, these fibers "should not be
categorically excluded from carcinogenic fibers."
In addition, Mearl Stanton concluded
in his 1981 paper, "Relation of Particle Dimension to Carcinogenicity
in Amphibole Asbestoses and Other Fibrous Minerals" that
"it is conceivable that sufficiently abundant fine short
fibers can defeat the phagocytic activity and also induce tumors."
He adds, "What is perhaps more likely than the existence
of a narrow range of sizes within which particles are carcinogenic
and outside of which they are not, is that the probability of
tumor falls as particle diameter increases and length decreases."
But an industry lawyer argues
that the "findings are consistent with my knowledge of the
issue -- they are supported by other scientific literature that
shows only those fibers with significant aspect ratios are related
to disease causation."
David Newman, an industrial hygienist
with the New York Committee for Occupational Safety and Health
(NYCOSH), said that the group is "concerned that OSHA has
chosen to address this issue in such a brief and offhanded manner."
Newman adds that the agency's brief article "mischaracterizes"
the debate over the apparent dangers of exposure to asbestos
short fibers. "It is NYCOSH's understanding that the scientific
debate is still unresolved," he said. NYCOSH would like
to see OSHA conduct a public debate on the issue.
Michael Wright, director of Health,
Safety and Environment for the United Steelworkers of America,
said, "It's hard to comment on what appears to have been
a verbal briefing, but what I know of the asbestos literature
leads me to conclude that we certainly cannot declare short fibers
safe." While Wright notes that the results appeared "in
an item buried in an internal OSHA newsletter" that was
"not a published study or a statement of regulatory policy,"
he argues, "given that it did appear in print, it would
be useful if OSHA clarified its official view."
© Inside Washington Publishers
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updated on April 9, 2003.
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