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September 11 Survivor Fights for Health and Compensation

Former modeling agency owner Anne-Marie Principe shares her experience of surviving the September 11 attacks and her ongoing fight for victim compensation.

September 11 Survivor Fights for Health and Compensation

Anne-Marie Principe was walking to work in Lower Manhattan on September 11, 2001, when the first hijacked airliner struck the World Trade Center. Principe, who at the time owned a modeling agency and was organizing New York Fashion Week, heard a sharp sound like thunder as the plane slammed into the skyscraper. Shortly after stepping outside into clear morning weather, she watched a second aircraft fly directly overhead and crash into the second tower, realizing immediately that the city was under a coordinated terrorist attack.



The attack on September 11, 2001, became the deadliest act of terrorism in history, resulting in the deaths of 2,996 people, including the hijackers. Nearly 50,000 workers typically occupied the Twin Towers each weekday morning. As flames and smoke engulfed the upper floors, Principe stood frozen near the complex as debris and people fell from the windows. Within two hours of impact, both towers collapsed, causing the ground to shake beneath her feet and forcing her to flee amidst deafening noise and falling rubble.




Uncertainty and panic spread across Lower Manhattan following the collapses, as survivors feared that biological or radioactive weapons might have been present on the aircraft. Communications failed throughout the area because primary cellular transmitters were located atop the World Trade Center towers, leaving television and radio channels inactive. Military jet aircraft flew overhead, heightening fear among survivors who could not tell whether the planes were defenders or attackers. Principe walked roughly two kilometers west to reach a ferry terminal where boats were evacuating residents. The public transportation system was paralyzed and roads were blocked by authorities seeking to secure the area.

Principe reached her family around 6:00 p.m., approximately nine hours after the initial strike on the North Tower. By that evening, reports confirmed that another hijacked aircraft had struck the Pentagon building in Virginia. Experiencing severe shaking and respiratory difficulty that medication could not soothe, Principe spent a sleepless night fearing additional attacks across the nation.

Return to Ground Zero and Toxic Air Exposure




On September 12, 2001, Principe returned to Lower Manhattan to inspect her agency office located near the disaster site. Although her building survived, the surrounding neighborhood had transformed into a military zone occupied by armed soldiers, heavy machinery, machine guns, and canvas medical tents. Shattered glass, pulverized building materials, ash, and dead birds covered the streets around Ground Zero. Fires within the ruins burned for months, producing toxic smoke and dust that affected everyone in the vicinity. Principe recalled that ash and grey dust were later excreted through her skin as she breathed the air.

In the days following the disaster, officials encouraged workers and residents to return to Lower Manhattan to demonstrate economic resilience. The Environmental Protection Agency assured the public that the air was safe, leading hundreds of thousands of people back to the area. However, approximately 400,000 individuals subsequently reported health complications linked to toxic exposure, including respiratory illnesses, cancers, and psychological distress. For years, government authorities denied that physical illnesses were linked to the site, attributing symptoms to psychological trauma. Former Environmental Protection Agency Administrator Christie Todd Whitman later issued an apology in 2008 for early statements regarding air safety.

Legislative Advocacy for Terror Victims





Following the disaster, Principe closed her modeling agency and transitioned into full-time advocacy for victims. She joined campaigns lobbying the United States Congress to pass legislation securing healthcare benefits and financial compensation for survivors and emergency responders. Despite advice from her therapist to focus on personal recovery, Principe spent years walking congressional halls alongside affected workers, several of whom died before legislation was enacted. Congress ultimately passed a compensation and healthcare assistance bill in 2018.

Principe faced multiple severe health conditions linked to her exposure at Ground Zero. In 2018, she received a breast cancer diagnosis while continuing her legislative work in Washington. Respiratory damage required her to use specialized breathing equipment and masks, producing a heavy wheeze that hindered her ability to spend time outdoors with her daughter. Doctors later identified a tumor in the occipital lobe of her brain after she experienced incapacitating headaches. Because her impaired lung function prevented the use of general anesthesia, surgeons performed the brain surgery while she remained awake, playing background music throughout the procedure. She continues to manage memory loss and lung complications that affect ongoing cancer care.

Long-term Impact and Foreign Policy Views





Despite holding a pilot license earned prior to 2001 out of a childhood love for aviation, Principe developed a lasting fear of flying after the attacks. She relies on anti-anxiety medication, wine, conversation, and anger over the loss of her business and fellow citizens to endure commercial flights, stating that she hears the screams of tower victims whenever she boards a plane. She noted that security procedures permanently changed daily life in New York City, introducing routine identification checks, vehicle inspections, and heightened vigilance.



Reflecting on international events following September 11, Principe questioned the United States military intervention in Afghanistan, noting that 15 of the 19 hijackers were Saudi Arabian citizens. She expressed relief when United States Special Forces killed Al-Qaeda leader Osama bin Laden on May 2, 2011, but noted that military campaigns brought widespread suffering without restoring lost lives. She cited the withdrawal of United States troops from Afghanistan in August 2021, which resulted in the deaths of 13 United States service members and hundreds of Afghan civilians in an attack near Kabul airport, as evidence of continuing tragedy. Following the 2001 attacks, Principe also ceased watching horror films, stating that real-world events made fictional horror unnecessary.

One World Trade Center, built on the site of the destroyed towers. Photo: Andrew Kelly / Reuters
One World Trade Center, built on the site of the destroyed towers. Photo: Andrew Kelly / Reuters

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