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Sleep Care

Obstructive Sleep Apnea, PTSD, and 9/11

As America still mourns those who were lost on September 11, 2011 during the attacks on the World Trade Center recent research has shown that there may be a link between obstructive sleep apnea (OSA), post-traumatic stress disorder (PTSD), and the first responders who so bravely rushed to the scene. The first responders were exposed to many different levels of material in the air such as dust, glass fibers, smoke, heavy metals, and even cement dust. This debris compromised cardiovascular function in the short term and now long term effects are starting to surface. PoliceObstructive sleep apnea is a blockage of the airway while sleeping causing a desaturation of blood oxygen to the body. Mary Ann McLaughlin, MD, MPH at Mount Sinai led a team of researchers who followed a group of 800 people for the study. While taking into consideration the time of arrival, duration of time spent at the scene, proximity from Ground Zero, and level of exposure to airborne materials (very high, high, intermediate, and low) the participants were studied from January 2011 through September 2013. This exposure to the different forms of particles and dusts led to upper airway inflammation which can contribute to making an airway smaller. By decreasing the airway the risk of suffering

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from OSA is increased. Dr. McLaughlin stated, “There is strong evidence in our study data showing a significant risk of inhaled particulate matter exposure and risk of obstructive sleep apnea in the studied group of WTC first responders.” The Mayo Clinic defines PTSD by stating, “post-traumatic stress disorder (PTSD) is a mental health condition that’s triggered by a terrifying event — either experiencing it or witnessing it. Symptoms may include flashbacks, nightmares and severe anxiety, as well as uncontrollable thoughts about the event.” Researchers discovered that of the individuals who participated in the study, those who experienced very high or high exposure had a higher likelihood of suffering from PTSD. This group also had the airway inflammation and increased risk for cardiovascular disease linking them to having a high prevalence of OSA as well. McLaughlin acknowledged, “High levels of exposure to particulate matter may lead to sleep apnea and PTSD, and as a result a high risk factor for cardiovascular disease.” She went on to say, ”As a result of our new study findings, we plan to further closely monitor our WTC first responders for heart disease warning signs.” It is important to note this research was funded by the Center for Disease Control and the National Institute for Occupational Safety and Health. It will be vital to continue to study the effects of particle inhalation from 9/11 and health dangers associated with it.

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