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James Zadroga spent 16 hours a day toiling in the World Trade Center ruins for a month, breathing in debris-choked air. Timothy Keller said he coughed up bits of gravel from his lungs after the towers fell on Sept. 11, 2001. Felix Hernandez spent days at the site helping to search for victims.

All three men died in the last seven months of what their families and colleagues say are persistent respiratory illnesses directly caused by their work at ground zero.
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The New York Daily News has learned that an additional 22 men, mostly in their 30s and 40s, have died from causes their families say were accelerated by the toxic mix of chemicals that lodged in their bodies as they searched for survivors or participated in the cleanup after the Sept. 11, 2001, terrorist attacks.
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Zadroga was far from alone, of course, at Ground Zero. Thousands of others, from across the city and across the country, had arrived at the smouldering crevice in Lower Manhattan to do the same, in what was a long, long clean-up and debris-trucking process. How many of them are ailing now? How many of them might die because of illnesses attributable to the contaminants they inhaled, or the particles absorbed into their skin, at a time when many frantic responders weren't even wearing proper protective gear or respiratory apparatus?

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One survey, of 1,138 responders, from the period of July to December 2002, showed 60 per cent reported lower airway breathing problems and 74 per cent reported upper airway breathing problems.

Federal employees were told not to participate in the Mount Sinai program, that a separate monitoring agency would be established for them. But such an agency appeared and disappeared with fewer than 600 people seen, according to one of the 9/11 civilian watchdog groups.

In the 10 days immediately after 9/11, the Environmental Protection Agency put out five press releases reassuring the public that air and soil samples indicated no heightened levels of cancer-causing agents in the air or soil anywhere beyond the immediate Ground Zero area. Some EPA officials have since admitted those assurances were unfounded and may have been influenced by political pressure. Certainly the Sierra Club has alleged a cover-up of what was clearly an acute environmental disaster, even though the environment was hardly foremost in people's minds at the time, as relatives searched for loved ones and the White House planned a military response. What became quickly known as the "WTC cough" was prevalent among emergency responders. A later study undertaken by a private environmental firm — at the behest of a company contracted to perform some of the cleanup — found more alarming developments, with positive tests for significant asbestos levels. That firm suggested the sheer force of the tower explosions shattered asbestos into fibres so small they evaded the EPA's ordinary testing methods.

Ground Zero inhalation tests of ambient air showed WTC dust consisted predominantly (95 per cent) of coarse particles and pulverized cement, with glass fibres, asbestos, lead, polycyclic aromatic hydrocarbons (PAHs), polychlorinated biphenyls (PCBs) and polychlorinated furans and dioxins.

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