NEW YORK — Respiratory ailments, mental trauma and other problems that arose after the Sept. 11 attacks are costing the U.S. health care system $393 million per year, according to an analysis that city officials released Tuesday.

The estimate was part of a report by a panel that Mayor Michael Bloomberg convened last year to study Sept. 11 health effects and treatment programs, which are said to be running out of funding 5½ years after the attacks.

The panel noted the liability fight as another mounting expense. At least 6,000 federal lawsuits have been filed by emergency workers who aided in the rescue operation and nine-month cleanup, alleging that the city and its contractors were negligent in monitoring the air.

Thousands more lawsuits are expected, and the city already has spent millions fighting the claims. That money has come from the WTC Captive Insurance Co., which Congress funded with $1 billion in 2004 to provide liability coverage against claims.

Instead of using the money in court, the mayor’s panel recommended that Congress change the law to let the city put the money into a compensation program for sick workers, an idea that members of New York’s delegation have already floated.

“We’re not about to abandon the men and women who helped lift our city back onto its feet during our time of greatest need,” Bloomberg said. “They deserve first-class care without exception, and we will work to ensure that they get it.”

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