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GAO-11-243R 1 (2010-12-03)

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United States Government Accountability Office
Washington, DC 20548


          December 3, 2010

          The Honorable Frank Pallone, Jr.
          Chairman
          Subcommittee on Health
          Committee on Energy and Commerce
          House of Representatives

          The Honorable Eliot L. Engel
          House of Representatives

          The Honorable Carolyn B. Maloney
          House of Representatives

          The Honorable Jerrold Nadler
          House of Representatives

          The Honorable Anthony D. Weiner
          House of Representatives

          Subject: September 11: World Trade Center Health Programs Business Process Center
                  Proposal and Subsequent Data Collection

          From the September 11, 2001, attack on the World Trade Center (WTC) through fiscal year
          2010, approximately $475 million in federal funds was made available for screening,
          monitoring, or treating responders' for illnesses and conditions-such as asthma and
          depression-related to the WTC disaster.' Within the Department of Health and Human
          Services, the Centers for Disease Control and Prevention's (CDC) National Institute for
          Occupational Safety and Health (NIOSH) awards funds to and oversees the programs that
          provide screening, monitoring, and treatment services for responders to the WTC attack. The
          two largest programs, which we refer to here as the WTC health programs, are the New York
          City Fire Department's (FDNY) WTC Medical Monitoring and Treatment Program, and the



          'In this report, responders refers to anyone involved in rescue, recovery, or cleanup activities at or
          near the vicinity of the WTC or the Staten Island site, the landfill that is the off-site location of the WTC
          recovery operation. Responders included New York City Fire Department (FDNY) personnel, federal
          government personnel, and other government and private-sector workers and volunteers from New
          York and elsewhere.
          2See Congressional Research Service, Comparison of the Current World Trade Center Medical
          Monitoring and Treatment Program and the World Trade Center Health Program Proposed by Title I
          of H.R. 84 7, R41292 (Washington D.C.: Oct. 15, 2010), and GAO, September 11: HHS Needs to Develop
          a Plan That Incorporates Lessons from the Responder Health Programs, GAO-08-610 (Washington,
          D.C.: May 30, 2008).


GAO-11-243R WTC Health Programs

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