FDNY BHS 9/11 Behavioral Health Screen
The FDNY BHS 9/11 Behavioral Health Screen is once again being
sent out to UFOA members who did not fill it out the first time
and to both UFA and UFOA retirees. The purpose of this health screen
is to evaluate the impact that 9/11 has had on you and your family.
We are continuing to send it out so that we can have an understanding
of a wider segment of our FDNY family. The UFA has supported our
efforts to reach the UFA retirees with this survey. The UFOA has
supported this program for all their members active and retired.
This document remains an important means to have your voice heard.
The surveys are being mailed to members and retirees. They should
be sent back as directed. Answer as many questions as possible or
as many as you feel comfortable.
this department cannot occur without understanding what we
have experienced, how we experienced that grief and how we
are continuing to struggle with past remembrances.
The questions help us understand how you are doing and will
help us develop services that can continue to help you, your family
and your co-workers. The confidentiality of this information remains
intact with a government protection that exists beyond our lifetimes.
Rebuilding this department cannot occur without understanding what
we have experienced, how we experienced that grief and how we are
continuing to struggle with past remembrances. Each person has had
a unique perspective with a shared understanding. This health screen
can serve to help us provide programs now and in the future for
our members and our retirees. It can help us understand how the
members of this department have coped with adversity and how they
continue to deal with problems. Thank you for taking the time to
complete these health screens. BHS and CSU remain committed to programs
that monitor the health and well being of our members.
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Palsy Case Review
BHS is aware of the recent stories with regard to the number
of Bells' Palsy cases, which have occurred in both Engine 76 and
Ladder 22. These stories have highlighted medical problems at both
of these houses and the adjoining NYPD Police Precinct. BHS has
looked at the number of Bells' Palsy cases in all of our FDNY members.
A specific diagnosis code for Bells' Palsy was added to our database
in the year 2000. Prior to this year, the general code for "OTHER
NEUROLOGICAL" could have been used. Since 2000, our records
indicate 13 cases of Bells' Palsy; 12 in firefighters, 1 in the
ems service. The cases involved members from 10 firehouses, in 4
of the 5 boroughs. There were NO clusters of cases, which are defined
as three cases at one time. In three firehouses, 2 cases have occurred.
In one firehouse, the cases occurred several months apart. In one
of the firehouses, the cases occurred over a year apart. In the
3rd house, 2 members had the disorder at the same time. The members
affected live in all five boroughs as well as other counties. Members
have recovered and returned to full duty. The 13 cases were tracked
from 2000 through 2004. Two cases occurred before 9/11/2001. The
remaining cases occurred after 9/11/2001. Bells' Palsy is a neurological
condition that causes the facial nerve to weaken or become paralyzed.
The condition is named for Sir Charles Bell, a Scottish surgeon
who studied the 7th cranial nerve commonly called the facial nerve.
This nerve controls the movement of the facial muscles, the muscles
that control eyelid movement and movement of the cheek and mouth.
This condition affects 40,000 Americans each year. Both men and
women are affected equally. Worldwide statistics show a .02% incidence,
or 1 of every 5000 people may get this disorder. All ages can develop
this condition. Groups at higher risk include:
- Pregnant women
- Individuals with diabetes
- Individuals with influenza
- Individuals with colds or other upper respiratory illnesses
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Other conditions such as sarcoidosis or any conditions that compromise
the immune system will increase the odds for facial paralysis. Viral
and bacterial infections as well as autoimmune disorders appear
to be the most likely cause of Bells' Palsy. Herpes Simplex 1 virus
is seen as the most frequent cause of Bell's Palsy. We are exposed
to this very common virus in childhood. It may take the form of
cold sores or an acute viral infection. This virus can then enter
into a dormant state, residing in the nerve tissue. At a later time,
this latent virus reactivates along the facial nerve and the immune
system begins to produce antibodies, causing an inflammation. Along
the canal where the facial nerve resides, there is little room for
swelling or expansion. As the nerve inflames, there is compression
of the nerve and it shows signs of weakness or paralysis.
Triggers for reactivation of the virus prior to the onset of Bells'
Palsy may be:
- lack of sleep
- minor illness
- upper respiratory infections
- long standing problems such as autoimmune syndromes or diabetes
Treatment for Bells' Palsy includes rest, Prednisone (cortisone),
and antiviral medication. Wearing eyeglasses and ensuring that the
eye does not get dry is also important. This condition is NOT considered
contagious. The time for recovery is usually a few weeks. For others,
the time frame may be longer as regeneration of a nerve may occur
over a time period of a year. This condition recurs in 5-10% of
individuals. BHS remains committed to the good health and well being
of our membership. We will continue to review all charts coded "OTHER
NEUROLOGICAL" prior to the year 2000 for Bells' Palsy incidents.
We will share our findings on a future issue of Connections.
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SEPARATED & DIVORCING MEMBERS
A 10-Session Program for FDNY Employees
Thursdays: January 8 - March 11, 2004
11:00 am - 12:30 pm
CSU-Manhattan, 251 Lafayette Street, 3rd Floor
This group is open to all active and retired FDNY employees
currently in the process of separating or divorcing. The focus
of the group is on how to rebuild your life after a relationship
ends. The group will learn specific "building blocks"
each week in order to help the individual cope and accept
the realities of a separation/divorce.
Please contact Tim Dunnigan at 212-570-1693 if you
are interested in joining the support group for separated
and divorcing members.
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Dr. Kerry Kelly
Chief Medical Officer
Dr. David Prezant
Deputy Chief Medical Officer
Director, FDNY CSU
Mary T. McLaughlin
Director, FDNY BHS