The Journal of Allergy and Clinical Immunology
Volume 113, Issue 3 , Pages 420-426 , March 2004

Clinical deterioration in pediatric asthmatic patients after September 11, 2001

  • Anthony M Szema, MD

      Affiliations

    • Department of Medicine, State University of New York at Stony Brook School of Medicine, Stony Brook, NY, USA
    • Corresponding Author InformationReprint requests: Anthony M. Szema, MD, Allergy and Asthma Center, Department of Medicine, T16, Room 041, SUNY Stony Brook School of Medicine, Stony Brook, NY 11794-8161
  • ,
  • Meera Khedkar, MD

      Affiliations

    • Department of Medicine, State University of New York at Stony Brook School of Medicine, Stony Brook, NY, USA
  • ,
  • Patrick F Maloney, MD

      Affiliations

    • Department of Medicine, State University of New York at Stony Brook School of Medicine, Stony Brook, NY, USA
  • ,
  • Patricia A Takach, MD

      Affiliations

    • Department of Medicine, State University of New York at Stony Brook School of Medicine, Stony Brook, NY, USA
  • ,
  • Michael S Nickels, MD, PhD

      Affiliations

    • Department of Medicine, State University of New York at Stony Brook School of Medicine, Stony Brook, NY, USA
  • ,
  • Harshit Patel, MD

      Affiliations

    • Department of Medicine, State University of New York at Stony Brook School of Medicine, Stony Brook, NY, USA
  • ,
  • Francesmary Modugno, PhD, MPH

      Affiliations

    • Department of Epidemiology, University of Pittsburgh School of Public Health, Pittsburgh, Pa, USA
  • ,
  • Alan Y Tso, MD

      Affiliations

    • Charles B. Wang Community Health Center, New York, NY, USA
  • ,
  • Deborah H Lin, MD

      Affiliations

    • Charles B. Wang Community Health Center, New York, NY, USA

Received 14 October 2003 ,Revised 20 November 2003 ,Accepted 1 December 2003.

  • Image Result

    Region 1, highlighted in red, indicates zip codes less than or equal to 5 miles from the WTC. Region 2 includes all other zip codes.

    Region 1, highlighted in red, indicates zip codes less than or equal to 5 miles from the WTC. Region 2 includes all other zip codes.

  • Image Result

    Mean percent predicted peak flow. All values in region 2 were within normal limits (>80% predicted) throughout the 2-year study period. In region 1, however, values decreased to less than normal (73.4

    Mean percent predicted peak flow. All values in region 2 were within normal limits (>80% predicted) throughout the 2-year study period. In region 1, however, values decreased to less than normal (73.4%) for the quarter after September 11, 2001, and gradually returned to baseline (within the normal range) 2 quarters after the disaster.

 Supported by a research grant and medical student scholarships from the Chinese-American Medical Society, the SUNY Dean's Clinical Scholar Targeted Research Opportunities Award, the Allergy and Asthma Center of the Stony Brook Foundation, and the Howard Hughes Undergraduate Fellowship Award.Drs Szema, Khedkar, Maloney and Takach contributed equally to this study.

PII: S0091-6749(03)02777-5

doi: 10.1016/j.jaci.2003.12.015

The Journal of Allergy and Clinical Immunology
Volume 113, Issue 3 , Pages 420-426 , March 2004