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Former New York City Mayor Rudolph Giuliani’s ongoing hospitalization is related to serious health repercussions of his heroism in New York City following the 9/11 terror attacks nearly 25 years ago, and the Republican stalwart’s condition appears to be improving, Fox News Digital has learned.
Giuliani was in the final year of his two-term mayorship when terrorists hijacked airliners and crashed them into the Twin Towers of the World Trade Center in Lower Manhattan, killing thousands. He was two blocks away when the first tower fell at 9:59 a.m. ET on that otherwise sunny Tuesday and felt the effects first-hand, close-up.
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Giuliani spokesman Ted Goodman told Fox News Digital on Monday that the 81-year-old ex-mayor and former presidential candidate is currently recovering from pneumonia and still being monitored at a Florida hospital as a “precautionary measure.”
“On September 11, Mayor Giuliani ran toward the towers to help those in need, which led to a restrictive airway disease diagnosis,” Goodman said in a statement he also later posted to X.

In this Wednesday, Sept. 12, 2001 file photo, New York City Mayor Rudolph Giuliani, center, leads New York Gov. George Pataki, left, and Sen. Hillary Clinton, D-N.Y., on a tour of the site of the World Trade Center disaster. (AP Photo/Robert F. Bukaty, )
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“This disease adds complications to any emerging respiratory issue, and the virus quickly overwhelmed his body, requiring mechanical ventilation to maintain his blood pressure.”
Sometimes called “World Trade Center Cough,” restrictive airway disease is a lung condition caused by inhalation of heavily-alkaline dust from materials like concrete, as well as asbestos and glass that was pulverized when the towers collapsed and shrouded about one-fifth of Manhattan Island in some level of dust-induced darkness.
Thousands of first responders have battled or died from the disease, leading famous Tri-State figures like comedian Jon Stewart to publicly take up the mantle of their cause.

Former President and Republican presidential candidate Donald Trump (L) shakes hands with former New York City Mayor Rudy Giuliani during a remembrance ceremony on the 23rd anniversary of the September 11 terror attack on the World Trade Center at Ground Zero, in New York City on September 11, 2024. (ADAM GRAY/AFP via Getty Images)
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Goodman said Monday that Giuliani is now breathing on his own and has primary medical providers at his side.
“Mayor Giuliani is the ultimate fighter — as he has demonstrated throughout his life — and he is winning this battle,” he said.
“His family deeply appreciates the outpouring of love and support. The mayor believes in the power of prayer, and we are feeling that strength today. He remains in critical but stable condition. Keep the prayers coming.”
Giuliani is reportedly being treated at Good Samaritan Medical Center in West Palm Beach, according to the Palm Beach Post.
Fox News’ Heather Lacy contributed to this report.