“If there are discrepancies, I want to know about them. If people have been feeding information into our data bank that is not accurate or for which they wish to escape, I want to know about it. If there’s been fraud, I want to know about it,” Hellerstein said, looking out over the plaintiffs’ lawyers seated in front of him, “and so does the United States attorney.”
   He also demanded transparency, accountability, and judicial control over the settlement process. Then, just about half an hour after he had stood up to address the court room, Hellerstein was finished. “That is the end of the program,” he told the stunned lawyers. He thanked them, and quickly left.
   Hellerstein’s impassioned tirade blew up the settlement that had taken two years to draft, and left both sides bewildered and concerned. After weighing their options, the city and its contractors challenged Hellerstein’s authority to interfere in the settlement, filing an appeal that bounced the matter back to the Second Circuit Court of Appeals. It had become clearer than ever that no matter what legal routes could be navigated, the city would continue to be burdened for the foreseeable future with the uncertainties of 9/11 and its afterclap. The judge’s strong reaction would undoubtedly make it more difficult to reach the kind of consensus that a broad settlement requires, although few doubted that a settlement eventually would emerge. Some plaintiffs praised Hellerstein for literally standing up for them in court, yet they were left even more confused than ever about what would happen to them, and how long they would have to wait for help to arrive.
   For a brief time, the draft settlement had seemed to offer a way out of the darkness. It did not answer the burning questions about the dust, but it did provide a framework for getting on with life in a city that had spent too long already in the shadows of that day at the dawn of the new millennium. Science hadn’t upended the settlement. Neither had the law. It was scuttled because Hellerstein stood up and declared that the system had not worked. Nearly a decade after the towers fell, the courts had not proved liability on the part of the city or its contractors, and had not produced scientific evidence linking the dust to serious disease. Regardless, Hellerstein believed that the $1 billion ought to be spent. The fixes he demanded in essence created a successor to the original compensation fund, but one that would end up burning through as much as $400 million in legal fees to distribute the money. This outcome made it clear that putting up such a bounty may be the least effective way of providing help in the aftermath of a disaster. By avoiding the tough decisions, by winking at the law and bypassing the science, Hellerstein earnestly hoped to satisfy the public’s concern that justice be done. But it won’t be clear for a long time whether what he did really satisfied anyone.
   Index
   Symbols
   $1 billion fund, 273
   lawsuits, 264–265
   21 MC 100, 256–259
   50-H hearings, 266
   1975 fire at telephone company switching station, 90
   1993 World Trade Center attack, 104
   9/11 studies
   reliability, 217
   results of
   Mount Sinai studies, 223–225
   Mount Sinai study 2006, 218–223
   A
   Abadie, James, 60, 268
   accelerated latency, 246
   advocacy, 305, 307
   afterclap, 313, 315
   Agency for Toxic Substances and Disease Registry, 154
   Agent Orange, 274
   air monitors, 77
   air quality, 37, 39–40
   Air Transportation Safety and System Stabilization Act, 256
   air-monitoring equipment, 49
   Airborne Visible/Infrared Imaging Spectrometer (AVIRIS), 22
   alkalinity of dust, EPA reaction, 296
   AMEC, 58
   American Home Products, 249
   anguish of families, 272
   Anna (rescue dog), 129–131
   anosmia, 305
   apartments, decontaminating, 150
   Armed Forces Institute of Pathology, 182
   Army Corps of Engineers, 55
   asbestos, 15, 19, 102, 296
   dust, 20
   exposure levels, 35
   mesothelioma, 102
   safety standards, 35–37
   aspergillosis, 131
   asthma, 158, 223
   Asthmamoms.com, 146
   AstraZeneca, Budesonide inhalers, 90
   ATC Associates of New York, 70
   Atlas, Sarah, 128–134, 275
   Ausmus, David, 58, 72–74
   autopsies
   guidelines for, 235
   of Zadroga, James, 229–231
   AVIRIS (Airborne Visible/Infrared imaging Spectrometer), 22
   B
   B-cell lymphoma, 140
   Baden, Dr. Michael, 232
   Baker, Al, 210
   Baker, Candiace, 320
   Barash, Michael, 232
   Barbaro, Frank, 109
   Barnett, Tommy, 69
   Bechtel, 58
   Bellone, Michael, 277
   Ben-Veniste, Richard, 152
   Bennett, Kiki, 287
   Bennett, Rick, 199–201, 287
   Benson, Samuel, 49
   benzene, 242
   Bern, Marc, 249
   Bienenfeld, Dr. Laura, 136
   biomonitoring, 93
   Bloomberg, Mayor Michael, 174, 183
   lawsuits, 240
   reaction to 9/11 studies, 221
   victim’s list; Godbee Jr., James, 206
   Zadroga, James, comments on, 235
   bodies, removal of, 61
   Borja, Ceasar, 187–188, 209, 212
   Borja, Cesar A., 186–188, 192, 210, 214
   Times, 210–214
   Borja, Eva, 214
   Bovis, 60
   Abadie, James, 268
   Bovis Lend-Lease, 58
   brawl between firefighters and police officers, 293
   Breton, Dr. Gerard, 183, 192, 229
   Budesonide inhalers, 90
   Burton, Michael, 44–46, 267
   Bush administration
   ground zero health claims, 184
   Howard, Dr. John, 184
   missed opportunities, 294–295
   money, 176–179
   Bush, President George W., 35
   Borja family, 209
   C
   cancer, 304, 307
   cancer policy, 319
   Caporale, Barbara, 161
   Centers for Disease Control, 50
   Central Labor Council, 107, 112
   certainty, 302, 312
   Chan, Sewell, 210
   characteristics of dust, 17
   chemicals, 303
   Chertoff, Michael, 264
   Chevat, Benjamin, 173
   children, dust’s effect on, 158
   chronic obstructive pulmonary disease; Rogers, Kevin, 135
   Church of Scientology, 112
   class-action lawsuit on behalf of public and private employees, 253–259
   Clinton, Bill, 32
   Clinton, Senator Hillary, 107, 152–153, 159, 171–173
   Borja, Ceasar, 187
   reaction to studies of 9/11, 220
   closing schools, 150, 152
   Cohen, Neal L., 28
   Coles, Tony, 44
   collapse of Twin Towers, 16
   proving links to, 191–193
   collecting dust, 12–15
   command structure, 292–293
   Community Board 1, 147
   compensation, 179, 303
   September 11th Victim Compensation Fund, 179–180
   complaints against EPA, 78, 154
   composition of dust, 18–22, 254
   Con Edison’s Brooklyn-Queens Emergency Electric Operations Unit, 134
   Connaughton, James L., 160
   consistency, evidence, 308
   Consolidated Edison, 47
   construction companies, 58
   depositions, 267
   insurance, 61
   construction workers, 99–100
   Mount Sinai Med
ical Center clinic, 106–107, 110
   contractors, construction companies, 58
   insurance, 61
   contracts, safety rules, 54
   Corrigan, Malachy, 92
   coughs, World Trade Center cough, 96
   Council on Environmental Quality, 40
   counterterrorism, 34
   Couric, Katie, 184
   CPK (creatine phosphokinase), 125
   Crisci, Diane, 46
   D
   daily incident action plan, 57
   Daily News, Pulitzer, 214
   Damato, John, 320
   Daniels, Mitch, 176
   Daubert Principles, 246
   de la Hoz, Dr. Rafael, 136
   deaths, New York State Department of Health study, 277–278
   Deborah Heart and Lung Center, 181
   debris, sorting through, 55–56
   debris pile, 53
   decontaminating apartments, 150
   Department of Design and Construction, 44, 292
   Department of Environmental Protection (New York City), 150
   Department of Health and Mental Hygiene, 150
   Department of Sanitation, 55
   depositions, 267–268
   Detectives’ Union, 310
   DiRubbo, Leo, 60
   dose reconstruction, 303
   dose response curve, 308
   doubts about dust, 215–218
   dual nature event, 20
   Dunn-Jones, Felicia Gail, 193–202, 287
   victim’s list, 202–204
   dust
   alkalinity of, EPA reaction, 296
   asbestos, 20
   characteristics of, 17
   collecting, 12–15
   components of, 254
   composition of, 18–22
   effect on children, 158
   effects of replicating, 19
   pH values, 23
   proving links to, 191–193
   samples
   collected by EPA, 33
   collected by Joel Kupferman, 69–72
   EPA results, 75
   storage of, 24
   dust masks, 17
   dust plumes, 23
   dust samples, EPA results, 75
   E
   earthquakes, Mexico City (1985), 43
   Edison crew, 33
   effects of dust on firefighters, 82–83, 90–91
   emergency command center, 27–29
   environmental health, 10
   Environmental Health Perspectives article, 220–222
   EPA (Environmental Protection Agency), 32, 35
   air quality, 39–40
   alkalinity of dust, 296
   asbestos safety standards, 35–37
   complaints, 154
   complaints against, 78
   dust samples, 33, 75
   indoor contamination, 149, 153–157
   clean up, 157–160, 163–165
   missed opportunities, 290–292
   Office of Inspector General, 159
   sampling stations, 49
   withholding of files, 245
   epidemiologists, 300
   ETI Laboratory, 70
   evidence
   certainty, 303
   lack of definitive proof, 308–309
   presumptive proof, 309–311
   proving dust caused problems, 215–218
   self-reported data, 216
   exposure levels, asbestos, 35
   extensive discovery, 280
   F
   fair compensation, 303
   fallout from release of Kupferman’s dust samples results, 72–77
   Feal, John, 215
   federal compensation, 303
   Federal Emergency Management Agency. See FEMA (Federal Emergency Management Agency)
   federal government
   compensation programs, 179
   September 11th Victim Compensation Fund, 179–180
   missed opportunities, 297
   Fein, Dr. Alan, 200
   Feinberg, Kenneth R., 179–180, 200
   Zadroga, James, 226
   FEMA (Federal Emergency Management Agency), 93
   money appropriated for workers, 112
   fen-phen, 249–250
   Fiero, Columbia, 69
   The Filipino Reporter, 213
   fines for safety violations, 54
   fire departments, 50
   firefighter radios, 272–273
   firefighters, 51–52
   brawl with police officers, 293
   command structure, 293
   effects on, 82–83, 90–91
   forest service rangers, 52
   Fossella, Vito, 171
   Fox Lane High School, 241
   fraud, 276–278, 281
   Fresh Kills, 55–56
   Frieden, Dr. Thomas, 297
   Fullam, Dave, 117, 121–124, 127
   Fullam, Marty, 117–124, 127–128, 275, 281
   lung transplant, 126
   polymyositis, 125
   future illnesses, 276
   future liability, 319
   G
   Ganci, Peter, 28–29
   GAO (Government Accountability Office), 178
   gastrointestinal issues, 305
   Gavett, Stephen H., 18
   German Shepherds, 131
   Giuliani, Mayor Rudy, 30–31, 293
   air quality, 30
   emergency command center, 27–29
   firefighters, 293
   liability protection, 175
   Godbee, James, 237
   Godbee Jr., James, 205–206
   Godbee, Michelle Haskett, 205
   Gonzalez, Juan, 71–72, 75, 186
   Government Accountability Office (GAO), 178
   ground zero, 56, 61
   clearing of, 60
   debris pile, 53
   ground zero presumption bill, 142
   Gulack, Robert, 161
   H
   Handerson, James A., 258
   Hariton, D’Angelo, 250
   Hauber, Raymond, 281
   Hayden, Deputy Chief Peter, 51–52
   “Health for Heroes,” 136
   heart problems, 305
   Heintz, Mark, 120
   Hellerstein, Judge Alvin K., 255–259, 272–274
   settlement, 320–324
   Henderson, James, 279
   Herbert, Dr. Robin, 218–219
   Heyward, Leon, 313
   Hill, Sir Austin Bradford, 308
   Hirsch, Dr. Charles S., 46, 191, 239
   autopsies, 235
   Dunn-Jones, Felicia Gail, 202–204
   Godbee, Jr., James, 205–206
   victim’s list, reconsiderations, 225, 229–234
   Holden, Kenneth, 45, 59–60
   Hon, Jeffrey, 295
   Howard, Dr. John, 183–184, 218, 240, 297
   autopsy guidelines, 235
   reaction to 9/11 study, 222
   research, 301
   Hughes, Catherine McVay, 145, 313
   Hughes, Tom, 148
   human hair, 21
   I
   idiopathic anaphylaxis, 132
   illnesses, future illnesses, 276
   immunity, New York City, 268–272
   indoor contamination, 152–153
   EPA, 149, 153–157
   clean up, 157–160, 163–165
   schools, 152
   closing of, 150–152
   Fox Lane High School, 241
   Stuyvesant High School, 151
   Inspector General for the EPA, 40
   insurance, construction companies, 61
   insurance company created to defend NYC from 9/11 lawsuits, 263
   International Association of Firefighters, 92
   It’s Time to Sue, 243
   J
   J. Selikoff Center for Occupational and Environmental Medicine, 100, 107, 110
   James Zadroga Act, 185, 236
   Jenkins, Kate, 245
   Jimmy Nolan’s law, 282
   Jones, Joseph, 196–198, 287–288
   Judge, Father Mychal, 120
   K
   Kayle
e (rescue dog), 132
   Kelly, Commissioner Raymond, 237
   Kelly, Dr. Kerry, 82–83, 88–91, 95, 97, 306
   Kenny, Jane M., 155–156
   Kerik, Bernard, 28
   Kilbourne, Dr. Edwin, 154
   Kupferman, Joel, 65–69, 78
   class action lawsuit, 164
   dust samples, 69–72
   L
   labs
   ATC Associates of New York, 70
   ETI Laboratory, 70
   Landrigan, Dr. Philip, 24, 108–114, 154, 219–221
   Responders, number of, 217
   latency periods, 246
   Latham & Watkins, 264
   lawsuits, 164, 240–241, 263, 270–271
   $1 billion fund, 264–265, 273
   class-action lawsuit on behalf of public and private employees, 253–259
   culling the cases, 280–281
   depositions, 267–268
   fen-phen, 249–250
   future illnesses, 276
   Jimmy Nolan’s law, 282
   limited discovery, 279
   medical records, 275–276
   motion to dismiss, 268
   settlement, 274–275
   negotiations, 282–283
   summary judgment, 266
   Walcott, John, 242–244
   lead, 162
   leadership, Rudy Giuliani. See Giuliani, Rudy
   Leavitt, Michael, 159, 184
   leukemia, 244
   Levin, Dr. Stephen M., 101–107, 218
   respirators, 104
   Levy, Harold O., 150
   liability, future liability, 319
   liability protection, 175
   Libby, Montana; asbestos contamination, 156
   Liberty Mutual Insurance Company, 59
   life expectancy, loss of, 303–306
   Lilis, Dr. Ruth, 109
   limited discovery, 279
   Lioy, Dr. Paul J., 9–11, 25, 97, 160, 313
   dust masks, 17
   litigation, 271
   lower-respiratory problems, 305
   lung transplants; Fullam, Marty, 126
   Luongo, Deputy Inspector James, 55
   M
   mainliner’s lung, 231
   Maloney, Rep. Carolyn, 153, 171–179
   response to James Zadroga’s denial to victim’s list, 233
   Zadroga bill, 309
   Manhattan Project, 303
   Martin, Robert, 154–155
   Mattei, Suzanne, 38, 245
   Mayo Clinic, fen-phen, 249
   McKinney, Kelly, 46–49, 78
   McVay Hughes, Catherine, 146–149, 152–153, 163, 166
   panel to study aftermath of World Trade Center attacks, 160–166
   McVay, Scott, 146
   medical records, lawsuits, 275–276
   Melius, Dr. James, 110
   
 
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