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David Vlahov, PhD, Sandro Galea, MD, DrPH, Jennifer Ahern, MPH, Heidi Resnick, PhD and Dean Kilpatrick, PhD

David Vlahov, Sandro Galea, and Jennifer Ahern are with the Center for Urban Epidemiologic Studies, New York Academy of Medicine, New York, NY. Heidi Resnick and Dean Kilpatrick are with the National Crime Victims’ Research and Treatment Center, Medical University of South Carolina, Charleston, SC.

Correspondence: Requests for reprints should be sent to David Vlahov, PhD, Center for Urban Epidemiologic Studies, New York Academy of Medicine, 1216 Fifth Avenue, New York, NY 10029 (e-mail: dvlahov{at}nyam.org).

We compared reports of increased substance use in Manhattan 1 and 6 months after the September 11, 2001, terrorist attacks. Data from 2 random-digit-dial surveys conducted 1 and 6 months after September 11 showed that 30.8% and 27.3% of respondents, respectively, reported increased use of cigarettes, alcohol, or marijuana. These sustained increases in substance use following the September 11 terrorist attacks suggest potential long-term health consequences as a result of disasters.

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