THE SEARCH FOR TRUTH ABOUT THE 9/11 PLUME
http://www.nypost.com/seven/05292007/postopinion/editorials/the_search_for_truth_about_the_9_11_plume_editorials_.htm
May 29, 2007 -- Chief Medical Examiner Charles Hirsch this month officially tied the 2002 death of a bystander, Felicia Dunn-Jones, to Ground Zero dust - and thereby heightened fears over the health fallout from the 9/11 attack.
Yes, the ruling provided relief to folks like Dunn-Jones' husband. He had lobbied hard for the designation, and saw it as justice being served.
Others, like Mayor Bloomberg, understandably are concerned that such linkage might unfairly tilt lawsuits filed against City Hall by rescue workers who seek compensation for injuries both real and, sometimes, exaggerated. Ultimately, such cases could cost the city a fortune.
Mayor Mike last week rightly noted one important distinction - between ill workers and folks injured on 9/11 as a direct result of the attacks.
Meanwhile, because Dunn-Jones was exposed to the plume only briefly as she fled the area, the M.E.'s ruling is sparking fears that countless others who breathed the air that day also may have been harmed - and may not even know it.
The question of 9/11's impact on public health is far too important to be decided on the basis of fears, well-meaning sympathy for those who become ill or the financial ramifications of compensating victims.
For New York City and the nation, it is crucial to establish the precise extent of the damage inflicted by the terrorists on that awful day. And to do so solely on the basis of solid evidence - and conclusions that emerge from rigorous, dispassionate scientific inquiry.
This, after all, is a matter of great historical and political import; accuracy and precision count. And neither overstating nor understating the consequences serves the city or the nation.
Alas, emotion and monetary considerations seem to play an increasingly large role in the shaping of this story.
Politicians (no surprise), their minds made up long before any serious investigation ever began, have fueled the trend.
"The city medical examiner has now accepted what thousands of people with 9/11-related illnesses and their doctors have long understood: that Ground Zero dust was harmful and even deadly," Rep. Carolyn Maloney said last week of Hirsch's decision.
Added New York's junior senator and presidential hopeful Hillary Clinton: "This ruling is an important step toward acknowledging . . . the devastating and growing health impact of 9/11."
Who needs an examination of evidence or serious medical probing, in other words? Everyone's long "known" that 9/11 dust sickened countless people. The only thing research can do, they believe, is confirm conclusions that folks like Maloney, Clinton and Rep. Vito Fossella have espoused all along.
Indeed, Maloney and Fossella lobbied Hirsch to link Dunn-Jones' death to 9/11 dust long ago. They challenged him when he ruled in 2004 that there was insufficient proof of any connection.
Last Friday, they - along with Rep. Jerrold Nadler - urged him to review several other cases of people who died after working at Ground Zero.
This may play well politically, of course. But it does truth a big disservice.
Recall the case of Police Officer Cesar Borja. News reports brazenly attributed his death from lung disease to his service as a first-responder at Ground Zero.
This story buoyed those who blamed 9/11 dust for a widespread health crisis. Clinton invited Borja's son to attend the president's State of the Union Address. President Bush had him to the White House.
But later, The New York Times disclosed that, in fact, Borja never worked downtown until Dec. 24, 2001 - well after the plume had cleared. And that he only worked near the World Trade Center, not directly at the pile of rubble.
Now the question is: What made Hirsch suddenly change his opinion in the Dunn-Jones case?
Hirsch says mounting research convinced him. In a letter this month, he wrote that "accumulating evidence indicates that in some persons exposure to World Trade Center dust can cause or contribute to sarcoidosis with cardiac involvement."
That disease, a lung tissue-scarring illness, had earlier been cited as the cause of death in the Dunn-Jones case.
Hirsch said that, based on new research, he "concluded that Mrs. Dunn-Jones' exposure to World Trade Center dust on 9/11/01 contributed to her death and it has been ruled a homicide."
Yet, as it turns out, Dunn-Jones had sarcoidosis before 9/11. Hirsch cited the air as a possible contributing factor because experts believe exposure to dust can cause the disease to flare up - and that could have been what precipitated her death.
But how can anyone be sure it was exposure to 9/11 dust, and not some other factor, that aggravated the disease?
And even if it were the air, isn't it likely that some other irritant eventually might have set it off anyway, even if she'd managed to avoid the 9/11 plume?
The fact is, the underlying cause of death was her pre-existing sarcoidosis.
Did Hirsch succumb to pressure?
Maybe - or maybe not.
But in an emotion-driven, politically fueled climate, New Yorkers can't be sure.
And that does no one any good.
Let's be clear: Felicia Dunn-Jones' death was a tragedy, and our hearts go out to her family.
Rescue workers, too, can only be viewed as true heroes - if for no more than their willingness to risk the consequences and search for survivors.
And should sound research find post-9/11 air to be the primary cause of any illness, New York, and the nation, have a duty to respond to anyone affected.
In that case, the M.E. must establish causal links to determine each case. And he must resist the efforts of politicians and others - some perhaps searching for grounds for a lawsuit - to influence his decisions.
But Dunn-Jones' death simply was not persuasively linked to 9/11 - at least as the medical examiner explained it.
Politics and science rarely mix well.
This finding sets an unhappy precedent; it may serve the interests of the tort bar and like-minded advantage-seekers.
But it does not serve justice.