Doc running WTC program rules out cancer for now, but wisely leaves door open for scientific proof

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A note from Executive Director Chris Owens: 
 
We at Advocates for Justice respect the work of Dr. John Howard.  We also believe, however, that there are links between various forms of cancer experienced by victims of 9/11 and the events of that day — and its aftermath.  It is our hope that science and the law will move quickly to ensure that justice is done and suffering is minimized.  Below is an editorial that we found interesting.
_ _ _ _ _ _ _ _ _ _ _ _ _
 
Doc running WTC program rules out cancer for now, but wisely leaves door open for scientific proof
 
EDITORIAL:  New York Daily News, July 27, 2011
 
The results of the government’s first review of a possible link between exposure to toxins at the World Trade Center site and cancer have understandably raised ire among sick and desperate first responders. But the finding – that there isn’t enough proof yet to justify the new 9/11 compensation fund covering cancer cases – was the only responsible conclusion.
 
In his report, Dr. John Howard, head of the National Institute for Occupational Safety and Health, explained how he and his advisory panel exhaustively scrubbed the evidence: They examined 294 medical journal articles in 18 publications, asked experts for input and other research and solicited public comments.
 
Howard took as a given that some responders were likely exposed to carcinogens among the 287 types of chemicals that poisoned the air at Ground Zero. He noted some frightening hints, such as a 2009 study by doctors at Mount Sinai Medical Center that found four cases of multiple myeloma in responders under age 45.
 
But it wasn’t enough. Articles that mentioned both the WTC and cancer, Howard wrote, “did not contain any quantitative data concerning cancer as a health outcome.” He noted, “An observed association may not be a causal one.”
 
With potentially tens thousands of responders and others seeking treatment and a share of $2.8 billion in compensation, the rules must be fair all around. Illnesses covered must be proven – scientifically, not anecdotally – to be linked to exposure to the dust and debris downtown.
 
That may be painful, but it is sound policy. Howard’s job is to prove cause and effect. And on this issue, he has absolute credibility.
 
As head of NIOSH, Howard was the only member of the Bush administration to acknowledge that inhaling toxins downtown caused the lung ailments suffered by thousands of rescue and recovery workers. For his trouble, he was fired. He was rehired by the Obama administration and named administrator of the national World Trade Center Health Program.
 
A denier, he is not.
 
What he is, is a careful scientist and physician ultimately responsible for the way billions of public dollars will be spent. A scientist and physician who knows that for the average American man, the chance of developing cancer in a lifetime is 1 in 2 – and 1 in 3 for the average American woman.
 
He must go by the numbers. And they’re not there yet. But his job is nowhere near done.
 
Howard is planning another review at the beginning or middle of next year, when there may well be far more concrete evidence.
 
Mount Sinai, for example, is examining 60 types of cancer for elevated numbers of cases among responders and comparing that data against the New York State cancer registry. The city’s WTC Health Registry is comparing diagnoses against databases in 11 states where the majority of responders live.
 
In September, the British medical journal Lancet is due to publish an entire issue devoted to 9/11 health effects – including the results of a comprehensive study of cancer cases in the Fire Department. And next year, the WTC Registry is due to publish its findings.
 
If the proof is out there, Howard will find it.
 
Until then, he deserves the benefit of the doubt.
 


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Doc running WTC program rules out cancer for now, but wisely leaves door open for scientific proof

A note from Executive Director Chris Owens: 
 
We at Advocates for Justice respect the work of Dr. John Howard.  We also believe, however, that there are links between various forms of cancer experienced by victims of 9/11 and the events of that day — and its aftermath.  It is our hope that science and the law will move quickly to ensure that justice is done and suffering is minimized.  Below is an editorial that we found interesting.
_ _ _ _ _ _ _ _ _ _ _ _ _
 
Doc running WTC program rules out cancer for now, but wisely leaves door open for scientific proof
 
EDITORIAL:  New York Daily News, July 27, 2011
 
The results of the government's first review of a possible link between exposure to toxins at the World Trade Center site and cancer have understandably raised ire among sick and desperate first responders. But the finding – that there isn't enough proof yet to justify the new 9/11 compensation fund covering cancer cases – was the only responsible conclusion.
 
In his report, Dr. John Howard, head of the National Institute for Occupational Safety and Health, explained how he and his advisory panel exhaustively scrubbed the evidence: They examined 294 medical journal articles in 18 publications, asked experts for input and other research and solicited public comments.
 
Howard took as a given that some responders were likely exposed to carcinogens among the 287 types of chemicals that poisoned the air at Ground Zero. He noted some frightening hints, such as a 2009 study by doctors at Mount Sinai Medical Center that found four cases of multiple myeloma in responders under age 45.
 
But it wasn't enough. Articles that mentioned both the WTC and cancer, Howard wrote, "did not contain any quantitative data concerning cancer as a health outcome." He noted, "An observed association may not be a causal one."
 
With potentially tens thousands of responders and others seeking treatment and a share of $2.8 billion in compensation, the rules must be fair all around. Illnesses covered must be proven – scientifically, not anecdotally – to be linked to exposure to the dust and debris downtown.
 
That may be painful, but it is sound policy. Howard's job is to prove cause and effect. And on this issue, he has absolute credibility.
 
As head of NIOSH, Howard was the only member of the Bush administration to acknowledge that inhaling toxins downtown caused the lung ailments suffered by thousands of rescue and recovery workers. For his trouble, he was fired. He was rehired by the Obama administration and named administrator of the national World Trade Center Health Program.
 
A denier, he is not.
 
What he is, is a careful scientist and physician ultimately responsible for the way billions of public dollars will be spent. A scientist and physician who knows that for the average American man, the chance of developing cancer in a lifetime is 1 in 2 – and 1 in 3 for the average American woman.
 
He must go by the numbers. And they're not there yet. But his job is nowhere near done.
 
Howard is planning another review at the beginning or middle of next year, when there may well be far more concrete evidence.
 
Mount Sinai, for example, is examining 60 types of cancer for elevated numbers of cases among responders and comparing that data against the New York State cancer registry. The city's WTC Health Registry is comparing diagnoses against databases in 11 states where the majority of responders live.
 
In September, the British medical journal Lancet is due to publish an entire issue devoted to 9/11 health effects – including the results of a comprehensive study of cancer cases in the Fire Department. And next year, the WTC Registry is due to publish its findings.
 
If the proof is out there, Howard will find it.
 
Until then, he deserves the benefit of the doubt.
 
 

Letter And Answers from Special Master Sheila Birnbaum re Zadroga Act (Excerpts)

The following are excerpts from a general letter circulated by Special Master Sheila Birnbaum, including specific answers to many of the questions frequently asked about the Zadroga Victims Compensation Fund.
 
Dear Friend,
 
As I stated when I was first appointed by the Attorney General, my goal is for the September 11th Victim Compensation Fund to be fair, transparent, and easy to navigate.  With that goal in mind, I will be holding a series of town hall forums over the next few weeks in order to speak with potential applicants to the Victim Compensation Fund.  At these town halls, I hope to talk with you about the Fund and the proposed rules as well as answer any questions you may have. 
 
In addition, we have added a Frequently Asked Questions section to our website, www.justice.gov/vcf.  I have received invaluable input from the many individuals I have met with over the past two months and hope that these FAQs answer many of your questions.
 
Here is the schedule for the upcoming town halls:
  • Wednesday, July 27th  6:00-7:30pm: Queens Borough Hall, 120-55 Queens Blvd, New York, NY
  • Thursday, July 28th  6:00-7:30pm: Jersey City City Hall – Council Chambers, 280 Grove Street, Jersey City, NJ
  • Tuesday, August 2nd   6:00-7:30pm: Melville Marriott, 1350 Old Walt Whitman Road, Melville, NY
I look forward to speaking with you at these events, so that I can hear your thoughts, answer as many questions as I can, and make the best decisions possible to refine the regulations and administer the program.
 
Yours,
 
Sheila
 
 
What is the new VCF?
 
On January 2, 2011, President Obama signed the Zadroga Act, which reopens the September 11th Victim Compensation Fund of 2001.  The Zadroga Act expanded the scope of the original VCF to enable more individuals who suffered physical injury or death as a result of the September 11th attacks to obtain compensation from the program.  Like the initial VCF, the Act provides that an individual who elects compensation from the VCF waives his or her rights to pursue litigation to seek damages for the physical injury or death resulting from the September 11th attacks. 
 
The new VCF will be administered  by Special Master Sheila Birnbaum, who has been appointed by the Attorney General of the United States. 
 
The VCF will accept claims for five years  and will complete the payment of claims during 2016-17.  It is important that you understand the filing rules, because you must submit your claim within two years of the date you know of the physical injury or death resulting  from the attacks (or, if you already know of the physical injury or death in question, within two years of the date that the regulations are finally updated). 
 
Congress has appropriated a fixed sum of money for the VCF.  This fixed sum is $2.775 billion.  Congress has also determined that $875 million of that total amount may be paid out in the first five years of the VCF program.  The remainder may be paid in the sixth year. 
 
The limitations on funding for the VCF means that in the first five years of the program, claimants will receive only a portion of the compensation allowed under the rules of the VCF.  Depending on the number and type of claims, and in order to ensure that all      eligible claimants receive an award, the Zadroga Act’s cap of funding means that it is possible that claimants’ awards will be pro-rated.
 
Who will be eligible for the new VCF?
 
The Zadroga Act provides that individuals present at the September 11th crash sites at the time of the crashes or between September 11, 2001 and May 30, 2002, and who suffered physical harm as a direct result of the crashes or debris removal, and the personal representatives of those who were present at the crash sites at the time of the crashes or in the immediate aftermath and who died as a direct result of the crashes, are eligible. 
 
The VCF’s draft regulations, which you may comment on at www.regulations.gov, define eligible physical harm to mean a physical injury to the body that was treated by a medical professional within a reasonable time from the date of discovering the harm.  In addition, the physical injury must be verified by or at the direction of the medical professional who provided contemporaneous medical care.
 
In order to be covered by the VCF, your physical condition must have been a result of September 11th.  To help make these determinations, the Special Master will identify conditions that are presumptively covered by the VCF.  The draft regulations provide that initially, the presumptively covered conditions will  consist of physical injuries that are determined to be World Trade Center (WTC)-related health conditions by the WTC Health Program that is operated by the National Institute for Occupational Safety and Health and provides medical treatment and monitoring for WTC-related health conditions. 
 
Initially, those presumptively covered conditions include the following: 
 
Aerodigestive Disorders
 
Interstitial lung disease

Chronic Respiratory Disorder – fumes / vapors
Asthma
Reactive Airways Dysfunction Syndrome (RADS)
WTC-exacerbated Chronic Obstructive Pulmonary Disease (COPD)
Chronic cough syndrome

Upper airway hyperreactivity
Chronic rhinosinusitis
Chronic nasopharyngitis
Chronic laryngitis
Gastro-Esophageal Reflux Disorder (GERD)
Sleep apnea exacerbated by or related to the above conditions. 
 
Musculoskeletal Disorders
 
Low back pain
Carpal tunnel syndrome (CTS)
Certain other musculoskeletal disorders for WTC responders who received treatment for a WTC-related musculoskeletal disorder that meets certain criteria.
 
Claimants who have a presumptively covered condition that was caused as a result of September 11th and are otherwise eligible may receive compensation from the VCF for certain losses.
 

When will the VCF open for claims?

 
The VCF is currently taking public comment on the draft rules that  it published in June, meeting with those affected by the program, designing claims forms, and building the infrastructure that is  necessary for a claims process.  After all of the comments on the VCF’s draft rules have been received, and the Special Master has considered how those comments should affect the program, the VCF will publish its final rules this Fall and begin receiving claims shortly thereafter.
 
Does it cost anything to file a claim?
 
No.
 
How long will claimants have to submit their claims?
 
In general, claimants will have two years to submit a claim.  The Zadroga Act provides that a person who knows of physical harm resulting from the September 11th attacks as of the date the regulations are published must file within two years of the date of the regulations.  A person who subsequently learns of physical harm must file the claim within two years of the date you learn or should reasonably have known that you suffered a physical injury as a result of the attacks.
 
The Zadroga Act authorizes the VCF to receive claims for five years after it opens in 2011.  Final payments will be made in 2016-17.
 
How are VCF awards and administrative costs funded?
 
The VCF is a government program, funded by taxpayers.  Congress  appropriated $2.775 billion for the VCF, to cover both awards made to claimants and administrative costs.  Because every dollar spent  on administrative costs is a dollar that cannot be paid to      claimants, the VCF must provide a streamlined, efficient  administrative process.
 
How long will the World Trade Center Health Program last?
 
Congress has funded the health program for at least the next five years, through 2016. 
 
For further questions about the World Trade Center Health Program, please contact them by phone at 1-888-WTC-HP4U (1-888-982-4748), or on the web at http://www.cdc.gov/niosh/wtc.   
 
Eligibility
 
What are the eligibility requirements for participation in the new VCF?  Are the eligibility requirements the same as during the VCF’s first iteration, or have they changed?
 
The Zadroga Act changed the eligibility requirements to authorize claims from persons who were present at the crash sites between September 11, 2001 and May 30, 2002.  In addition, the Act changed the eligibility criteria to include claims from persons who suffered physical harm or death as a result of the crashes or as a result of debris removal.
 
The Zadroga Act and the proposed rules state that to be eligible, a claimant must have been present at a“9/11 crash site” on September 11th or during its immediate aftermath.  What are the crash sites?
 
Under the Zadroga Act, the crash sites include the World Trade Center site, the Pentagon site, the Shanksville site, debris removal routes such as barges and Fresh Kills, and any area that is sufficiently close to the crashes that the Special Master determines to have had a demonstrable risk of physical harm.
 
Although the rules for the VCF are not yet final, the VCF’s draft  rules, which are available at www.justice.gov/vcf, propose that this area should include the area in Manhattan south of the line that runs along Reade Street from the Hudson River to the intersection of Reade Street and Centre Street, south on Centre Street to the Brooklyn Bridge, and along the Brooklyn Bride. 
 
(If you would like to submit a comment on the draft rules, you may find instructions on how to do so at www.justice.gov/vcf.)
 
I was not present at a 9/11 crash site, as those areas are defined in the proposed rules, but I believe my health condition was caused by September 11th.  Will I be eligible for the fund?
 
You may still be eligible.  Although the rules for the VCF are not yet final, the VCF’s draft rules, which are available at www.justice.gov/vcf, propose that the Special Master may find that there were other areas in which there was a demonstrable risk of physical harm resulting from the impact of the aircraft or any subsequent fire, explosions, or building collapses. 
 
In addition, please note that the proposed rules are not final.  You may submit comments on this or any other provisions of the proposed rule at www.regulations.gov.  You may find instructions on how to do so at www.justice.gov/vcf.   
 
If I applied to the VCF during its first iteration and my claim was denied, can I apply again now?
 
Although the rules for the VCF are not yet final, the VCF’s draft rules, which are available at www.justice.gov/vcf, propose that individuals who submitted claims in the VCF’s first iteration may amend and re submit their claims in certain circumstances:
  • The individual suffered a new injury that is eligible under the new VCF;
  • The individual’s prior eligible condition has substantially worsened, resulting in damages or loss that was not previously compensated;
  • The individual was not previously eligible for the VCF, but is now eligible as a result of changes contained in the Zadroga Act;
  • The individual’s previous claim was based on a condition that was not previously covered by the VCF, but that is now covered.
(If you would like to submit a comment on the draft rules, you may find instructions on how to do so at www.justice.gov/vcf.)
 
If I applied to the VCF during its first iteration and my claim was granted, can I apply again now?
 
Although the rules for the VCF are not yet final, the VCF’s draft rules, which are available at www.justice.gov/vcf, propose that individuals who submitted claims in the VCF’s first iteration may amend their claims in certain circumstances:
  • The individual suffered a new eligible injury;
  • The individual’s eligible condition has substantially worsened, resulting in damages or loss that was not previously compensated;
  • The individual was not previously eligible for the VCF, but is now eligible as a result of changes contained in the Zadroga Act;
  • The individual’s previous claim was based on a condition that was not previously covered by the VCF, but that is now covered.
(If you would like to submit a comment on the draft rules, you may find instructions on how to do so at www.justice.gov/vcf.)
 
If I did not experience any physical injury or death as a result of September 11th, but I experienced emotional or mental harms as a result of the events, am I eligible for the VCF?
 
No.  When Congress first created the VCF in 2001, it directed that only claimants who have a “physical injury” can be eligible for  the VCF, and Special Master Ken Feinberg interpreted that phrase to mean “a physical injury to the body,” thus excluding claims for psychological conditions. 
 
In the Zadroga Act, Congress did not change how the VCF treats psychological conditions.  As a result, the VCF is not able to accept claims solely for psychological conditions.
 
The World Trade Center (WTC) Health Program does provide options for treatment of psychological conditions.  For information about whether you may be eligible for treatment for emotional or mental harms by the WTC Health Program, you may contact them by phone at 1-888-WTCHP4U (888-982-4748), or on the web at http://www.cdc.gov/niosh/wtc.   
 
Do I have to live in New York to participate in the VCF?
 
No.  You do not have to live in New York to participate in the VCF. 
 
If I do not live in New York, how can I participate in the VCF?
 
Claimants will be able to submit information to the VCF through the mail or over the internet.  If a claimant would like a hearing to appeal his or her award, the VCF will make every effort to accommodate long-distance hearings through video-conference or, where necessary telephone conferences.
 
If I was not a uniformed responder, am I eligible for the VCF?
 
You do not have to be a uniformed responder to be eligible. Under the Zadroga Act, to receive a payment from the VCF, an individual must have been present at a September 11th crash site between the time of the crashes and May 30, 2002, and have suffered physical harm or death as a result of the September 11th air crashes or debris removal.
 
Are foreign nationals eligible for the VCF?
 
Yes.  The Zadroga Act permits both U.S. citizens and foreign nationals who satisfy the VCF’s eligibility criteria to participate in the VCF.
 
The Process / Determination of Awards
 
What kind of medical exam will be required for the VCF?
 
The rules for the VCF are not yet final.  In some cases, the VCF may be able to accept medical examinations provided under the World Trade Center Health Program.  It is possible that the type of medical exam required will vary depending on the claimant’s      particular medical condition.  The VCF will publish more detailed guidelines in the future.
 
If I have not yet suffered economic harms, but fear that I may suffer economic harms in the future, should I submit a claim to the VCF now?

 

If you already know that you suffered physical harm as a result of September 11th, the Zadroga Act requires you to file with the VCF within two years of the date it opens.  This requirement applies whether or not you have suffered economic harm as a result of your condition. 
 
Although the rules for the VCF are not yet final, we expect that the VCF will consider future expected loss based on the claimant’s condition consistent with the methodology applied in the first VCF.  Similarly, individuals whose conditions substantially worsen after they submit their claim may be able to amend their claims.  The VCF’s draft rules, which are available at www.justice.gov/vcf, contemplate that an individual whose condition has substantially worsened, resulting in damages or loss that was not previously compensated, may amend his or her claim.  (If you would like to submit a comment on the draft rules, you may you may find instructions on how to do so at www.justice.gov/vcf.)
 
If I have not yet suffered economic harms, but my condition is expected to worsen, am I eligible for the VCF?
 
If you already know that you suffered physical harm as a result of the September 11th attacks or subsequent debris removal, the Zadroga Act requires you to file with the VCF within two years of the date it opens.  This requirement applies whether or not you have suffered economic harm as a result of your condition. 
 
Although the rules for the VCF are not yet final, we expect that the VCF will consider future expected loss based on the claimant’s condition consistent with the methodology applied I the first VCF.  Similarly, individuals whose conditions substantially worsen after they submit their claim may be able to amend their claims. The VCF’s draft rules, which are available at www.justice.gov/vcf, contemplate that an individual whose condition has substantially worsened, resulting in damages or loss that was not previously compensated, may amend his or her claim.  (If you would like to submit a comment on the draft rules, you may you may find instructions on how to do so at www.justice.gov/vcf.)
 
If I am found eligible for the VCF, what treatments are covered?
 
The treatments that are covered for a particular claimant will depend on the nature and severity of the claimant’s condition.
 
Attorney-Client Issues
 
Do I need an attorney to participate in the VCF?
 
No, you are not required to have an attorney.  You are free to consult with attorneys and you should make your own decision as to whether you wish to engage an attorney.  Some attorneys have indicated a willingness to provide some assistance on a pro bono basis.
 
If I choose to use an attorney, how will the attorney be paid?
 
The VCF will not reimburse claimants for fees charged by their attorneys.  Such fees must be paid by the claimant.  The Zadroga Act also provides a limitation on how much an attorney may charge in connection with the VCF.  Under the Zadroga Act, attorneys may not charge any claimant more than 10% of the payment the claimant receives as a VCF award. 
 
Attorneys who also charged their client a fee in connection with certain other September 11th-related litigation and settlement may only charge that client for representation before the VCF if the attorney’s total charge for both representations adds to 10% of the client’s total award in the other September 11th-related litigation.
 
If I was a plaintiff in another September 11th lawsuit, and my attorney signed a release before the bill was enacted and I opt in to that settlement, am I eligible for the VCF?
 
The rules for the VCF are not yet final.  The Zadroga Act states that if an individual tendered a release after the Zadroga Act was enacted on January 2, 2011, the individual is not eligible for the VCF.  The VCF will address the question of eligibility on a case-by-case basis.   If your attorney had authority to sign a release on your behalf and that release was signed and submitted to the defendant consistent with the terms of the settlement agreement between the claimant and the defendant prior to January 2, 2011, then the release will not bar the VCF claim. 
 
Where can I find out information about the settlements achieved in New York courts? 
 
The VCF cannot provide information about private settlements.  The VCF is a government program, established by Congress, and is separate from the lawsuits between individuals and the Port Authority, the Captive Insurer, and others.  Individuals with questions about the settlements should contact their lawyers.
 
Will settlements in civil suits regarding injuries related to September 11th affect my award in the VCF?
 
Yes.  The Act provides that the amount of the award shall be reduced by the amount of collateral source compensation that the claimant has received or is entitled to receive as a result of the crashes.  Therefore, settlement payments from law suits will be deducted from any award.
 
Legal Issues
 
Is my VCF award taxable?
 
The awards are not subject to Federal income tax.  In Revenue Ruling 2003-115, the Internal Revenue Service determined that periodic payments made to a claimant of the VCF pursuant to certain agreements are excluded from the gross income of the claimant.  Similarly, any payments to an estate or secondary beneficiary pursuant to such agreements are excluded from the gross income of the successor beneficiary.
 
Can my VCF award be seized in a bankruptcy proceeding?
 
How an award is handled in bankruptcy will depend on the facts and circumstances of each individual’s situation.  An attorney may be able to provide more information based on each individual’s particular case.
 
If I am eligible for the VCF, am I also eligible for veterans benefits?
 
The VCF is open to certain individuals who suffered personal injuries or death as a result of September 11th, regardless of whether they qualify as veterans.  Individuals with questions about their eligibility for veterans benefits should contact the Veterans Administration.  The Zadroga Act requires the Special Master to apply certain offsets to reduce the amount of compensation by the amount of collateral source compensation that the claimant has received or is entitled to receive as a result of the terrorist related aircraft crashes of September 11th.  Whether veterans benefits will be offset (so that the award is reduced) will depend on the specific benefit (i.e., what the benefit is for and whether it is subject to termination.)
 
Covered Conditions
 
General
 
If I received payment in the VCF’s first iteration, and I am suffering from a new condition that was not known or diagnosed at that time, am I eligible to submit a claim to the VCF now?  
 
Although the rules for the VCF are not yet final, the VCF’s draft rules, which are available at www.justice.gov/vcf, contemplate that an individual who has suffered a new eligible      injury, or whose condition has substantially worsened, resulting in damages or loss that was not previously compensated, may amend his or her claim.  If you would like to submit a comment on the draft rules, you may find instructions on how to do so at www.justice.gov/vcf.
 
How will the VCF determine if a condition was a result of September 11th? 
 
The rules for the VCF are not yet final.  The VCF anticipates applying guidelines consistent with those adopted by the World Trade Center (WTC) Health Program.  The WTC Health Program relies on the best available science to determine whether a particular condition is related to September 11th and provides a protocol for doctors to determine whether a particular individual’s conditionis a WTC-related health condition.
 
If I have a condition that was a result of September 11th but is not a common condition, am I eligible for the VCF? 
 
Yes.  Individuals who suffered injuries as a result of September 11th and who meet the other eligibility requirements may submit a claim, even if their condition is not common across the population. 
 
Although the rules for the VCF are not yet final, the VCF’s draft rules, which are available at www.justice.gov/vcf, propose that the VCF will post a list of conditions that have been      determined to be related to September 11th.  Individuals with other conditions may also be eligible in extraordinary circumstances.  If you would like to submit a comment on the draft rules, you may find instructions on how to do so at www.justice.gov/vcf
 
If I have suffered a physical injury as a result of September 11th but am still able to work, am I eligible for the VCF?
 
Yes.  Individuals who are still able to work may receive compensation for other economic losses they may have suffered, such as medical expenses or for non-economic losses.
 
I do not see my injury on the list of eligible injuries in the draft regulations.  How will I know if my injury is covered or might be covered in the future?      
 
In determining which conditions should be covered by the VCF, we intend to work closely with the World Trade Center (WTC) Health Program, which relies on the best available science to determine whether a particular condition is related to September 11th, and provides a protocol for doctors to determine whether a particular      individual’s condition is a WTC-related health condition. 
 
The VCF’s draft rules provide that the VCF will consider modifications to the list of presumptively covered conditions  based on the determinations of the WTC Health Program.  The VCF will examine the science to determine whether additional  conditions (including specific types of cancer) can be covered.  The VCF’s draft rules also propose that if an individual submits a  claim for a condition that is not covered, and that condition later is added to the list, that individual may be eligible for payment.
 
Will side effects from taking September 11th-related medications be covered by the VCF?
 
This may depend on the circumstances of your particular condition.  Although the rules for the VCF and the methodologies for determining awards are not yet final, the Zadroga Act provides for the VCF to base awards on the losses that each claimant has  suffered as a direct result of September 11th.  Whether side effects arising out of medications taken to treat a covered condition are themselves directly related to September 11th will depend on the type of condition, the nature of the medication and the side effects, and other factors that may vary from individual to individual.
 
Cancer
 
Will cancer be covered by the VCF?
 
The Zadroga Act did not include cancer in its initial list of conditions that are related to September 11th.  The draft regulations provide that the VCF will consider modifications to the list of presumptively covered conditions based on the determinations of the World Trade Center (WTC) Health Program.  The VCF will examine the science to determine whether additional conditions (including specific types of cancer) can be covered.  The VCF’s draft rules also propose that if an individual submits a claim for a condition that is not covered, and that condition later is added to the list, that individual may be eligible for payment. 
 
PTSD and Emotional Harm
 
Will Posttraumatic stress disorder (PTSD) or emotional injuries be covered by the VCF?
 
The Zadroga Act provides that only claimants who have a “physical injury” can be eligible for the VCF.  The regulations implementing the original VCFinterpreted that phrase to mean “a physical injury to the body,” thus excluding PTSD. 
 
In the Zadroga Act, Congress did not change the language defining the eligible injuries and thus did not change the the treatment of PTSD. The Zadroga Act treats PTSD as a mental or psychological condition, not a physical condition.  As a result, the VCF is not able to accept claims for PTSD.
 
For information about whether you may be eligible for treatment for mental or emotional harms by the World Trade Center Health Program, you may contact them directly by phone at 1-888-WTCHP4U  (888-982-4748), or on the web at http://www.cdc.gov/niosh/wtc.   
 
Multiple Conditions
 
If I have multiple conditions as a result of September 11th, will the VCF cover all of them?
 
As long as each condition was caused as a direct result of September 11th, the VCF will cover all of the conditions suffered by each eligible claimant.  However, the method for determining compensation will depend on proof of economic loss and a determination of non-economic loss.  The VCF will not provide multiple awards or awards for each condition. 
 
Funds and Awards
 
When will I receive my full award?
 
Under the proposed rules, once a claim is fully submitted and is  determined to be substantially complete, the VCF will issue a determination on eligibility and, if appropriate, on compensation.  You will have the right to appeal the determination.  Once you have accepted the award or completed the appeal process, the VCF will issue a payment within 20 days of that date. 
 
These initial payments will not contain a claimant’s full award. In order to ensure that there is enough money to make a payment to every claimant who is entitled to receive a payment, the Zadroga Act provides that the first payment to each claimant should contain a portion of the full award.  As a result, the size of that first payment will depend on the amount of the claimant’s full award, as well as the total number of claimants and the amount of money available.  The Zadroga Act provides that most of the available money will be distributed at the end of the program, so in most cases these initial payments will be significantly less than the full award.  Only $875 million will be available to pay claims in the VCF’s first five years.
 
The Act provides that the remainder of the award may be paid five years after the VCF opens.  Claimants can thus expect to receive the rest of their payment in 2016-17.  Depending on the number and type of claims, and in order to ensure that all eligible claimants receive an award, the Zadroga Act’s cap on funding means that it is possible that those payments will be pro-rated.
 
Because initial payments will reflect only a portion of the total payment that a claimant can expect to receive, the claimant may wish to consult with a financial planner regarding how to make best use of the payments as they are received.
 
Will there be a procedure for receiving early payments, or “advance benefits,” as they were known in the first VCF?
 
The Zadroga Act requires two rounds of payments:  an initial payment to each eligible claimant during the VCF’s first five years, after the claimant’s claim has been reviewed, followed by a second payment in the VCF’s sixth year.  Although the rules for the VCF are not yet final, VCF’s draft rules, which are available  at www.justice.gov/vcf, propose to offer only these two payments, and not to add a third,  early “advance” payment.  Adding a third round of payments will increase the VCF’s administrative costs, which will result in less money available for claimants.  Further, because the Zadroga Act already provides for two rounds of payments, a third round may be unnecessary.  (If you would like to submit a comment on the draft rules, you may find instructions on how to do so at www.justice.gov/vcf.)
 
What is economic loss?      
 
Economic loss is an estimate of the compensation that would have been available to the family if the tragedy had not occurred.  This includes, for example, loss of earnings, medical expense loss, or business opportunity losses.
 
What is non-economic loss?      
 
Non-economic losses include losses for physical and emotional pain or suffering, loss of enjoyment of life, mental anguish, and other non-pecuniary losses.
 
Will I be able to know approximately how much my award will be before I decide whether to submit a claim?
 
The proposed rules for computing economic loss are set forth in sections 104.41 through 104.47 of the proposed rules.  The VCF intends to provide guidance and illustrations to enable a claimant to evaluate his or her potential award before deciding to submit a claim.  That information will be posted on the VCF website, at www.justice.gov/vcf.
 
If my career is cut short as a result of a condition that is compensable under the VCF will my award take into account lost wages?
 
Yes.  The Zadroga Act provides for the VCF to take into account a claimant’s loss of earnings as a result of a physical injury caused by September 11th.
 
If my career is cut short as a result of a condition that is compensable under the VCF will my award take into account decreased pension benefits as a result of the shorter career?
 
Yes.  The Zadroga Act provides for the VCF to take into account a claimant’s loss of earnings and other benefits related to employment.
 
Will the amount of awards be the same as in the VCF’s first iteration, or will they be reduced?
 
The methodologies for computing economic loss will be based on those from the original VCF, with certain components of the economic loss computation updated.  The VCF will publish guidance on these computations.  The amount that each claimant will receive will depend on the amount of economic loss (if any), the non-economic loss, the offsets applied and the number of claimants and the aggregate amount of eligible awards.  In the Zadroga Act, Congress appropriated $2.775 billion to pay all of the awards, which means that the VCF cannot pay out any more than that amount.  This means that if the aggregate amount of awards and administrative costs exceeds this capped amount, the awards will have to be reduced.  The VCF cannot determine whether such a reduction will be necessary until it receives and evaluates all the claims.
 
What is a collateral source?  How will the Special Master determine the amount of my collateral source benefits?
 
The Act defines collateral sources to mean all such sources, including life insurance, pension funds, death benefit programs and payments by Federal, State, or local governments related to the terrorist-related aircraft crashes of September 11, 2001 or      debris removal, including under the World Trade Center Health Program and payments made pursuant to the settlement of a civil action for damages sustained as a result of the terrorist-related aircraft crashes of September 11, 2001 or debris removal. The Act and the draft regulations require the Special Master to reduce the total amount of compensation by the amount of the collateral source compensation the victim’s beneficiaries has received or is entitled to receive as a result of the terrorist-related aircraft crashes.
 
During the previous iteration of the Fund, Special Master exercised discretion in valuing the appropriate deductions for collateral offsets including by determining:
 
      1. Whether the particular offsets fall within the definition of collateral sources;
      2. Whether beneficiaries of the Fund are “entitled” to receive compensation from those collateral sources;
      3. Whether the collateral source compensation is certain or can be computed with sufficient certainty to enable its deduction while ensuring that the beneficiaries receive the total compensation that is appropriate; and
      4. The appropriate amount of the compensation that should be deducted, taking into account the time value of money and contributions made before death by the victim in the nature of investment or savings.
 
Under the proposed rules, the Special Master would be permitted to exercise discretion in a similar fashion.
 
Are charitable gifts offset? Will a benefit from a charity managed by a government agency be considered as a collateral offset?
 
The proposed rules adopt the approach taken previously, which is that benefits from charities disbursing private donations will not be treated as collateral source compensation, even if such charities were created or managed by government entities.
 

3 Manhattan and Brooklyn Community Meetings To Be Held On Controversial Implementation of Zadroga 9/11 Victims Compensation Legislation

Manhattan and Brooklyn Community Meetings To Be Held On Controversial Implementation of Zadroga 9/11 Victims Compensation Legislation — Battery Park City, Chinatown, Northwest Brooklyn
 
"Not all of the neighborhoods identified in the federal Zadroga Act as impacted communities may actually be included in the final area eligible for compensation, and people need to know that and be heard."
 
NEW YORK, NY  –  With an early August deadline for community input fast approaching, Advocates for Justice, a non-profit public interest law firm, will be holding three community meetings during the next 10 days in Manhattan and Brooklyn to share information about The Zadroga 9/11 Victims Compensation Act with residents of communities impacted by the terrorist attacks on 9/11/2001.
 
These meetings will take place in Battery Park City, at the Museum of Jewish Heritage, in Chinatown at the Lin Sing Association, and in northwest Brooklyn at Brooklyn's Borough Hall. Each meeting will provide an update regarding the potential eligibility of neighborhood residents to receive free medical treatment or financial compensation as a result of harm endured on or within six months after 9/11.
  • Wed, July 20, 6-7:30 pm:  Museum of Jewish Heritage, Battery Park City
  • Sat, July 23, Noon-1 pm:  Lin Sing Association, Chinatown
  • Tue, July 26, 4:30-6 pm:  Borough Hall, Brooklyn
There will be short presentations from panelists, with most of the time reserved for questions from meeting attendees.  One panelist at the first meeting will be attorney Sean P. Riordan, who has been lead counsel to The FealGood Foundation, a first-responder organization that led the lobbying effort for the Zadroga bill.  Mr. Riordan is familiar with recent developments with the ever-changing legal environment surrounding the administration of the Zadroga Bill. 
 
"There is an active discussion regarding the status of the neighborhoods that suffered as a result of 9/11 and the medical conditions that need to be addressed," said Arthur Z. Schwartz, Esq., President of Advocates for Justice.  "Not all of the neighborhoods identified in the federal Zadroga Act as impacted communities may actually be included in the final area eligible for compensation, and people need to know that and be heard."
 
Schwartz said that the Special Master for the Victims Compensation Fund, Sheila Birnbaum, has expressed a desire to better understand the full impact of 9/11 on all impacted communities. "Special Master Birnbaum has expressed her interest in hearing more from the people, and we want to share information and encourage everyone to share with her as well," he said.
 
The Special Master, along with local elected officials and community leaders, have been invited to attend each meeting. Birnbaum has set August 5th as the deadline for community input on various issues pertaining to the Zadroga Act.
 
"Many community residents are reluctant to step forward to seek assistance from the government because they feel that the first responders deserve all the help that's out there," said Chris Owens, Executive Director of Advocates for Justice and a resident of Brooklyn. 
 
"In this case, however, both first responders and community residents are entitled to receive assistance and no one should feel guilty or self-conscious about declaring their need for help.  People living, working and attending school in Lower Manhattan and northwest Brooklyn suffered injuries on 9/11 or as a result of the post-9/11 fires and they may be entitled to the compensation that Congress has provided."
 
Advocates for Justice wants community residents to be aware that they may be eligible for free medical care and possibly compensation if they lived, worked, or attended school in Lower Manhattan or in certain areas of northwest Brooklyn, if they commuted to Lower Manhattan during 9/11 or immediately thereafter, if they helped with the clean up or removed debris after 9/11, or if they had a family member pass away as a result of 9/11-related illness.
 
"We are making phone calls and giving out flyers to get people talking to each other and to come out to learn more," said Owens.
 
Some symptoms of 9/11-related illnesses may include coughing, wheezing , sinus congestion, stomach problems, amongst others. Some health challenges may be 9/11-related and the person would not be aware of it. Accordingly, these community meetings will emphasize the need for people with questions to get a full medical review with their doctors and with Bellevue Hospital's Center of Excellence for 9/11-related illnesses. Medical records pertaining to all doctor visits or issues since 9/11 should be found and reviewed.
 
"Given what is at stake for someone in need of help, we are surprised and saddened that there have not been more community-oriented efforts on the part of the City of New York to make people aware of the Zadroga legislation and the possible benefits," said Mr. Schwartz.  "We see these meetings as the beginning of a broader, grass-roots effort to educate the impacted communities."

Stuyvesant HS Alumni Battle Illness From Ground Zero Toxins

9/11 A Decade Later: Stuyvesant High School Alumni Battle Illness From Ground Zero Toxins
 
By: Bobby Cuza (NY 1   07/15/2011 08:30 PM)
 
 
Alumni from Stuyvesant High School near Ground Zero believe toxins have negatively impacted their health, and they successfully lobbied for students to be included in the James Zadroga 9/11 Health and Compensation Act. NY1’s Bobby Cuza filed the following report.
 
In 2006, Amit Friedlander was undergoing treatment for Hodgkin's lymphoma.
 
“I’m mad about being sick,” said Friedlander at the time. “I just don’t think I have anyone to be that mad at right now, other than the terrorists.”
 
Friedlander was one of the students that was told it was safe to return to classes at Stuyvesant High School just weeks after 9/11. He’s now in remission, but suspects that toxins from Ground Zero caused his cancer.
 
“I don’t know if we’ll ever be able to 100 percent prove it one way or the other, but I do think there’s a good chance that that’s how I got sick,” said Friedlander.
 
Amit, along with other Stuyvesant alumni, held a press conference in 2006. They called on the federal government to provide healthcare to students who were sick due to exposure to toxic Ground Zero dust.
 
“We learned that the school building had not even been cleaned as thoroughly as promised,” said another Stuyvesant graduate, Lila Nordstrom, in a 2006 interview. “Yet to date, no monitoring of our health after 9/11 has ever been done.”
 
Nordstrom founded Stuy Health, an advocacy group for those Stuyvesant alumni who were in school around 9/11. She suspects that her asthma and the acid reflux she experiences are due to 9/11 toxins.
 
“Asthma treatment is not only really expensive, but it’s very difficult to get doctors to kind of understand the background fully,” said Nordstrom.
 
Nordstrom and Friedlander were successful in their efforts to get area students included in the James Zadroga 9/11 Health and Compensation Act. That means students who may have been exposed to 9/11 toxins will be entitled to medical benefits.
 
“We were told it was safe to go back, we were mostly minors and should also be taken care of,” said Friedlander.
 
Although cancer is not currently covered under the 9/11 Health and Compensation Act, Friedlander is hoping that the disease will be added soon.

9/11 Victims Comp Fund borders debated (Downtown Express)

9/11 Victims Comp Fund borders debated
 
BY ALINE REYNOLDS (Downtown Express  July 13, 2011)
 
Downtown community members seem very pleased thus far with the leadership of 9/11 Victim Compensation Fund Special Master Sheila Birnbaum. What they are not pleased with, however, is the catchment area she determined based on satellite photos of the initial dust cloud taken after the attack.
 
The claims territory from the first V.C.F., established immediately after 9/11, has been enlarged by approximately twice the original size to include east of Nassau Street, below the Brooklyn Bridge; and south of Thames Street and Exchange Place, stretching to the southernmost tip of Lower Manhattan.
 
The area’s northernmost boundary — Reade Street — however, has not been changed from the last V.C.F., upsetting residents who live along Duane Street and elsewhere in the northern vicinity of Ground Zero.
 
“To draw the line at Reade Street is arbitrary. The dust came right up Greenwich Street — it didn’t stop at Reade Street, believe me,” said a Community Board 1 member who lives on Duane Street between Greenwich and Hudson Streets, one block north of Reade Street. “It just seems like Canal Street would be the logical boundary if there’s going to be a boundary at all,” he said, since the city barricaded the streets south of Canal Street in the weeks following 9/11.
 
The C.B. 1 member requested anonymity since he described in detail the medical condition of his wife who suffers from acid reflux, loss of smell and other ailments purportedly tied to 9/11. The couple is worried that, since they live above Reade Street, the wife might not be eligible for compensation.
 
Allan Tannenbaum, another C.B. 1 member who also lives on Duane Street between Greenwich and Hudson Streets, substantiated the board member’s claims by showing a series of photographs he took in September and October 2001. One of them, which showed a humvee traveling along Church Street, reveals dust and smoke accumulating north of Reade Street.
 
The subsequent fires that burned at Ground Zero through mid-December, Tannenbaum and other board members noted, spewed dust particles into the air once the original dust cloud subsided, possibly contaminating areas outside of the V.C.F.’s catchment area.
 
“Even if the dust cloud stopped at Reade Street, there was plenty of dust that was kicked around by vehicles and blown by winds on different days,” said Tannenbaum.
 
Recovery workers who didn’t spend time at Ground Zero — those, for example, who helped transfer debris to the piers north of Stuyvesant High School — have fallen ill from toxin exposure, according to the board.
 
In response, Birnbaum said the board member’s wife and others with 9/11-related illnesses that don’t reside in the catchment area should still apply for funding.
 
“We thought the line had to be drawn somewhere, but it doesn’t mean somebody outside of that line cannot apply,” said Birnbaum, noting that she can exercise her own discretion in deciding who receives compensation. “We’re not going to categorically leave people out who have lived around there, been there at the same time, and have similar injuries [to people in the catchment area].”
 
The C.B.1 W.T.C. Redevelopment Committee is formally asking N.I.O.S.H. to reconsider the boundaries in a resolution stating, “Although [C.B. 1] appreciates the expansion of the boundary area, the area still does not include the entire C.B. 1 district… nor large tracts of housing, such as Independence Plaza North, which were near the 9/11 barge that operated north of Stuyvesant High School for months.”
 
Specifically, the board is requesting that the V.C.F. set the same boundaries the Lower Manhattan Development Corporation decided on for its 2002 Residential Grant Program. The initiative, which awarded financial incentives to existing and new Lower Manhattan residents, included areas extending northward to Chambers and Canal Streets.
 
Birnbaum requested that individual C.B. 1 members submit comments by the Fri., Aug. 5 deadline. “We would like written comment with given documentation so we really study it, take a look at it, and consider whether we need to extend it further,” she said. “As I said before, we really want to get it right.”
 
In the meantime, W.T.C. Redevelopment Committee Chair Catherine McVay Hughes and others are crossing their fingers that the V.C.F. boundary lines will be redrawn.
 
“We’ll have to see what happens,” said McVay Hughes. “Hopefully the resolution will get approved [by the full board at its July 24 meeting], and Special Master Birnbaum takes it seriously into consideration.”
 

Community Meeting in Brooklyn

The next meeting of Black New Yorkers for Fair Redistricting will be held on Tuesday, July 19, 2011 from 6:00 pm – 8:00 pm at 1534 Bedford Avenue. Black New Yorkers for Fair Redistricting is a coalition of groups and individuals committed to securing a fair redistricting cycle for New Yorkers of African descent. For more information contact Esmeralda Simmons, 718-804-8893, or reply to clsj.mec@gmail.com.

Citywide Council on High Schools Meeting

CITYWIDE COUNCIL ON HIGH SCHOOLS
 
Annual Meeting for Election of Council Officers On Wednesday, July 13, 2011
 
THIS MEETING IS OPEN TO THE PUBLIC; SPEAKERS MUST SIGN IN BY 7:00PM
 
The Tweed Courthouse
52 Chambers Street (Lower Manhattan)
2nd Floor Conference Room
Time:  6:00pm-8:45pm
 
Agenda includes elections for President, 1st Vice President, 2nd Vice President, Treasurer and Recording Secretary, as well as the filling of two vacancies (CCSE appointee and the CCELL appointee) 
 
Directions to the meeting
By subway: J, Z, M to Chambers Street/ Brooklyn Bridge – City Hall; 4, 5, 6, to Brooklyn Bridge / City Hall; R to City Hall; 2, 3, to Chambers Street. By Bus: M1, M6, M15, M22, M103, B51 to Brooklyn Bridge – City Hall

 
For more information, contact:
Citywide Council on High Schools
45-18 Court Square, 2nd Floor, LIC, NY  11101
Phone: 718-752-7478 / Fax: 718-752-7482
 
Advocates for Justice encourages Council members to discuss the possible restrictions on their civil rights as part of this meeting.