During business hours, please call the Provider Hotline at 866-692-3641. Please let the hotline operator know that you are a physician calling regarding a suspicious case, and they will refer your call to a NYCDOH or CDC physician consultant.
If you are unable to get through, please call one of the following temporary numbers for the Communicable Disease Program:
212-295-5658 212-295-5670 212-295-5665 212-295-5671 212-295-5675
After hours, please call the Poison Control Center at 212-764-7667. (If that number is not working, please call 1-800-222-1222).
Please Share this Alert with the Following Key Staff at Your Hospital:
|TO:||Emergency Medicine Directors, Infection Control Practitioners and Infectious Disease Physicians, and Other Persons on the NYCDOH Broadcast Facsimile Alert|
|FROM:||Marcelle Layton, MD, Assistant Commissioner New York City Department of Health|
We are sending this broadcast alert to update you on urgent public health issues following the terrorist attack at the World Trade Center on Tuesday, September 11, 2001.
Communicable Disease Issues: 212-447-2676 or 212-578-0823
FAX: 212-532-5241 or 212-447-2678
Environmental Issues: 212-684-1710 or 212-684-1896
For other Urgent Public Health Issues, or if above numbers do not answer: 212-684-1628
If you experience difficulty getting through to any of these numbers, please call the NYC Poison Control Center at 212-764-7667 (212-POISONS).
Routine communicable disease reports (i.e., paper reports) should be sent by mail, as they will be forwarded to us.
At a minimum, anyone who needs to enter the affected area should wear a disposable cup-type (i.e., not fan-folded or duck-bill) N100 or P100 respirator and goggles. Workers in contact with debris or surface dust in the affected area should contact their employers or the NYCDOH (212-684-1710 or 212-684-1896) for specific recommendations regarding needed protective equipment.
Increased particulate matter and dust released during recent days may cause eye and/or respiratory irritation, particularly for persons with underlying pulmonary disease, including asthma or COPD. Individuals who have a history of heart and lung conditions and who are in areas where smoke or dust is visible are advised to remain indoors with the windows shut. It is advised that air conditioners be operated on the "recirculate" mode, so that outside air is not pumped inside, or if this is not possible, that they be turned off. Persons who experience difficulty breathing or chest pain are advised to seek medical care immediately.
Environmental testing is continuing to better characterize levels of asbestos and other potentially hazardous materials within the affected site and in other off-site locations.
However, we do request that you be especially alert to ANY unusual disease issues over the next three weeks. Urgent health issues for which we would want to be notified immediately include:
Please report immediately to the Surveillance Office at the NYC Department of Health (interim telephone number: 212-447-2676 or 212-578-0823) if you evaluate patients with any of these suspected illnesses or conditions. If you cannot get through to these numbers, please call the NYC Poison Control Center at 212-764-7667.
The NYC Department of Health also has established an active surveillance program with sentinel hospitals throughout the city. Collaborating with emergency department staff, we will be monitoring for increases in patients presenting with certain disease syndromes (e.g., respiratory disease with fevers, gastrointestinal illness, neurological syndromes, and fever with rash), and other illnesses (e.g., asthma exacerbations) that may be associated with this attack. We anticipate that this surveillance will continue for 2-3 weeks.
NYC Health Department Burial Desk
Central Harlem Health Center
2238 Fifth Avenue (at 135th Street)
New York, NY 10035
Telephone: 212-926-2150 or 212-368-6538
Public Health Laboratories
455 First Avenue (between 26 and 28th St)
Serum specimens should be kept refrigerated; cerebrospinal fluid specimens should be kept frozen at -70 oC. The West Nile case report form should be completed and a copy included with each clinical sample. A copy of the case report form should also be faxed to 212-532-5241. Please call the laboratory at the number listed above if you have any questions regarding proper specimen transport.
We appreciate your cooperation and understanding as we all work together to deal with the ongoing consequences of this tremendous tragedy.