“…However, some respond- Table 2 Asthma and lower respiratory symptoms (N, %) among exposed (n = 578) and non-exposed (n = 702) participants, WTC asthma study, NYS, 2003 WTC World Trade Center, NYS New York State a Symptoms experienced in the absence of a respiratory infection b 5 exposed and 10 non-exposed participants did not answer this question Exposed Non-exposed p value ( 2 test) Table 3 Lower respiratory symptoms among exposed versus non-exposed participants with no previous diagnosis of asthma, by mean exposure algorithm score, WTC asthma study, NYS, 2003 Symptoms experienced in the absence of a respiratory infection WTC World Trade Center, NYS New York State, POR prevalence odds ratio, CI conWdence interval a 22 participants were excluded from these analyses for lack of exposure algorithm scores b Model is adjusted for race, ethnicity, smoking, education, a history of allergy or eczema, a family history of asthma, and report of any psychological symptom Cahill et al (2004) reported that, under certain meteorological conditions, the plumes could ventilate to the ground, leading to periods of sharply elevated coarse, Wne, and very Wne particulate mass over periods of hours 1.8 km from the collapse site and beyond. They also stated that a person could, in a few hours, be subject to materials in amounts and composition they would not have to endure in years of typical ambient conditions (Cahill et al 2004). Thus, although most of our population was not on-site during the initial days after the attack, it is likely that some NYS responders endured signiWcant intermittent exposures to dust and smoke, both on the debris pile and in surrounding areas.…”