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TOM DAVIS, Virginia, Chairman DAN BURTON, Indiana

HENRY A. WAXMAN, California CHRISTOPHER SHAYS, Connecticut

TOM LANTOS, California ILEANA ROS-LEHTINEN, Florida

MAJOR R. OWENS, New York JOHN M. MCHUGH, New York

EDOLPHUS TOWNS, New York JOHN L. MICA, Florida

PAUL E. KANJORSKI, Pennsylvania MARK E. SOUDER, Indiana

CAROLYN B. MALONEY, New York STEVEN C. LATOURETTE, Ohio

ELIJAH E. CUMMINGS, Maryland DOUG OSE, California

DENNIS J. KUCINICH, Ohio RON LEWIS, Kentucky

DANNY K. DAVIS, Illinois JO ANN DAVIS, Virginia

JOHN F. TIERNEY, Massachusetts TODD RUSSELL PLATTS, Pennsylvania WM. LACY CLAY, Missouri CHRIS CANNON, Utah

DIANE E. WATSON, California ADAM H. PUTNAM, Florida

STEPHEN F. LYNCH, Massachusetts EDWARD L. SCHROCK, Virginia

CHRIS VAN HOLLEN, Maryland JOHN J. DUNCAN, JR., Tennessee

LINDA T. SANCHEZ, California JOHN SULLIVAN, Oklahoma

C.A. “DUTCH” RUPPERSBERGER, Maryland NATHAN DEAL, Georgia

ELEANOR HOLMES NORTON, District of CANDICE S. MILLER, Michigan

Columbia TIM MURPHY, Pennsylvania

JIM COOPER, Tennessee
MICHAEL R. TURNER, Ohio

CHRIS BELL, Texas
JOHN R. CARTER, Texas
WILLIAM J. JANKLOW, South Dakota BERNARD SANDERS, Vermont
MARSHA BLACKBURN, Tennessee

(Independent)

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PETER SIRH, Staff Director
MELISSA WOJCIAK, Deputy Staff Director

ROB BORDEN, Parliamentarian

TERESA AUSTIN, Chief Clerk
PHILIP M. SCHILIRO, Minority Staff Director

SUBCOMMITTEE ON NATIONAL SECURITY, EMERGING THREATS AND INTERNATIONAL

RELATIONS

CHRISTOPHER SHAYS, Connecticut, Chairman

MICHAEL R. TURNER, Ohio
DAN BURTON, Indiana
STEVEN C. LATOURETTE, Ohio
RON LEWIS, Kentucky
TODD RUSSELL PLATTS, Pennsylvania
ADAM H. PUTNAM, Florida
EDWARD L. SCHROCK, Virginia
JOHN J. DUNCAN, JR., Tennessee
TIM MURPHY, Pennsylvania
WILLIAM J. JANKLOW, South Dakota

DENNIS J. KUCINICH, Ohio
TOM LANTOS, California
BERNARD SANDERS, Vermont
STEPHEN F. LYNCH, Massachusetts
CAROLYN B. MALONEY, New York
LINDA T. SANCHEZ, California
C.A. “DUTCH” RUPPERSBERGER, Maryland
CHRIS BELL, Texas
JOHN F. TIERNEY, Massachusetts

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Ex OFFICIO
TOM DAVIS, Virginia

HENRY A. WAXMAN, California
LAWRENCE J. HALLORAN, Staff Director and Counsel
KRISTINE MCELROY, Professional Staff Member

ROBERT A. BRIGGS, Clerk
DAVID RAPALLO, Minority Counsel

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CONTENTS

Page

1

103

140

37

Hearing held on October 28, 2003

Statement of:

Gilman, Dr. Paul, Assistant Administrator_for Research and Develop-

ment, Environmental Protection Agency; Diane Porter, Deputy Direc-

tor, National Institute for Occupational Safety and Health (NIOSH),

accompanied by Dr. Gregory Wagner, Director of the Division of Res-

piratory Disease Studies, National Institute for Occupational Safety

and Health; Pat Clark, area office director for New York, New York

Occupational Safety and Health Administration, accompanied by Dr.

David Williamson, Ph.D, Agency for Toxic Substances Disease Registry

Herbert, Dr. Robin, co-director of the World Trade Center Worker and

Volunteer Medical Screening Program, medical co-director of Mount

Sinai; Dr. Stephen Levin, co-director of the World Trade Center Worker

and Volunteer Medical Screening Program; Commissioner Thomas

Frieden, a doctor at New York Department of Health and Mental

Hygiene; Dr. Michael Weiden, medical officer, New York Fire Depart-

ment; Phil McArdle, health and safety officer, Uniformed Firefighters

Association; Jimmy Willis, vice chair for conductors, assistant to the

president, Transportation Workers Union; John Graham, health and

safety instructor, Carpenters Union; and David Rapp, former worker

at the World Trade Center site

Letters, statements, etc., submitted for the record by:

Clark, Pat, area office director for New York, New York Occupational

Safety and Health Administration, prepared statement of
Frieden, Commissioner Thomas, a doctor at New York Department of

Health and Mental Hygiene, prepared statement of
Gilman, Dr. Paul, Assistant Administrator for Research and Develop-

ment, Environmental Protection Agency, prepared statement of

Graham, John, health and safety instructor, Carpenters Union, prepared

statement of

Herbert, Dr. Robin, co-director of the World Trade Center Worker and

Volunteer Medical Screening Program, medical co-director of Mount

Sinai, prepared statement of

McArdle, Phil, health and safety officer, Uniformed Firefighters Associa-

tion, prepared statement of

Maloney, Hon. Carolyn B., a Representative in Congress from the State

of New York:

Article dated October 28, 2003

Prepared statement of

Owens, Hon. Major R., a Representative in Congress from the State

of New York, prepared statement of Ms. Mount

Porter, Diane, Deputy Director, National Institute for Occupational Safe-

ty and Health (NIOSH), prepared statement of

Rapp, David, former worker at the World Trade Center site, prepared

statement of .

hays, Hon. Christopher, a Representative in Congress from the State

of Connecticut, prepared statement of

Towns, Hon. Edolphus, a Representative in Congress from the State

of New York, article dated August 23, 2002

Weiden, Dr. Michael, medical officer, New York Fire Department, pre-

pared statement of

Willis, Jimmy, vice chair for conductors, assistant to the president,

Transportation Workers Union, prepared statement of

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