Community health impacts after a jet fuel leak contaminated a drinking water system: Oahu, Hawaii, November 2021.


Journal

Journal of water and health
ISSN: 1477-8920
Titre abrégé: J Water Health
Pays: England
ID NLM: 101185420

Informations de publication

Date de publication:
Jul 2023
Historique:
medline: 31 7 2023
pubmed: 29 7 2023
entrez: 29 7 2023
Statut: ppublish

Résumé

In 2021, a large petroleum leak contaminated a water source that supplied drinking water to military and civilians in Oahu, Hawaii. We conducted an Assessment of Chemical Exposures (ACE) survey and supplemented that information with complementary data sources: (1) poison center caller records; (2) emergency department visit data; and (3) a key informant questionnaire. Among 2,289 survey participants, 86% reported ≥1 new or worsening symptom, 75% of which lasted ≥30 days, and 37% sought medical care. Most (n = 1,653, 72%) reported new mental health symptoms. Among equally observable symptoms across age groups, proportions of children ≤2 years experiencing vomiting, runny nose, skin rashes, and coughing (33, 46, 56, and 35%, respectively) were higher than other age groups. Poison center calls increased the first 2 weeks after the contamination, while emergency department visits increased in early December 2021. Key informant interviews revealed themes of lack of support, mental health symptoms, and long-term health impact concerns. This event led to widespread exposure to petroleum products and negatively affected thousands of people. Follow-up health surveys or interventions should give special consideration to longer-term physical and mental health, especially children due to their unique sensitivity to environmental exposures.

Sections du résumé

BACKGROUND BACKGROUND
In 2021, a large petroleum leak contaminated a water source that supplied drinking water to military and civilians in Oahu, Hawaii.
METHODS METHODS
We conducted an Assessment of Chemical Exposures (ACE) survey and supplemented that information with complementary data sources: (1) poison center caller records; (2) emergency department visit data; and (3) a key informant questionnaire.
RESULTS RESULTS
Among 2,289 survey participants, 86% reported ≥1 new or worsening symptom, 75% of which lasted ≥30 days, and 37% sought medical care. Most (n = 1,653, 72%) reported new mental health symptoms. Among equally observable symptoms across age groups, proportions of children ≤2 years experiencing vomiting, runny nose, skin rashes, and coughing (33, 46, 56, and 35%, respectively) were higher than other age groups. Poison center calls increased the first 2 weeks after the contamination, while emergency department visits increased in early December 2021. Key informant interviews revealed themes of lack of support, mental health symptoms, and long-term health impact concerns.
DISCUSSION CONCLUSIONS
This event led to widespread exposure to petroleum products and negatively affected thousands of people. Follow-up health surveys or interventions should give special consideration to longer-term physical and mental health, especially children due to their unique sensitivity to environmental exposures.

Identifiants

pubmed: 37515565
pmc: wh_2023_109
doi: 10.2166/wh.2023.109
doi:

Substances chimiques

Drinking Water 0
Petroleum 0
Poisons 0

Types de publication

Journal Article

Langues

eng

Sous-ensembles de citation

IM

Pagination

956-971

Auteurs

Shanna Miko (S)

U.S. Centers for Disease Control and Prevention, 1600 Clifton Rd NE, Atlanta, GA 30333, USA E-mail: rhu6@cdc.gov.

Alex R Poniatowski (AR)

National Center for Environmental Health/Agency for Toxic Substances and Disease Registry, Office of the Director, Atlanta, GA, USA.

Alyssa N Troeschel (AN)

National Center for Environmental Health/Agency for Toxic Substances and Disease Registry, Office of the Director, Atlanta, GA, USA.

Diana J Felton (DJ)

Hawaii State Department of Health, Oahu, HI, USA.

Shireen Banerji (S)

Rocky Mountain Poison and Drug Safety, Denver, CO, USA.

Michele L F Bolduc (MLF)

U.S. Centers for Disease Control and Prevention, 1600 Clifton Rd NE, Atlanta, GA 30333, USA.

Alvin C Bronstein (AC)

Hawaii State Department of Health, Oahu, HI, USA.

Alyson M Cavanaugh (AM)

U.S. Centers for Disease Control and Prevention, 1600 Clifton Rd NE, Atlanta, GA 30333, USA.

Charles Edge (C)

U.S. Centers for Disease Control and Prevention, 1600 Clifton Rd NE, Atlanta, GA 30333, USA.

Abigail L Gates (AL)

U.S. Centers for Disease Control and Prevention, 1600 Clifton Rd NE, Atlanta, GA 30333, USA.

Madeline Jarvis (M)

Hawaii State Department of Health, Oahu, HI, USA.

Nicole A Mintz (NA)

Hawaii State Department of Health, Oahu, HI, USA.

Vidisha Parasram (V)

U.S. Centers for Disease Control and Prevention, 1600 Clifton Rd NE, Atlanta, GA 30333, USA.

Jamie Rayman (J)

National Center for Environmental Health/Agency for Toxic Substances and Disease Registry, Office of the Director, Atlanta, GA, USA.

Amanda R Smith (AR)

U.S. Centers for Disease Control and Prevention, 1600 Clifton Rd NE, Atlanta, GA 30333, USA.

Jared C Wagner (JC)

Hawaii State Department of Health, Oahu, HI, USA.

Benjamin G Gerhardstein (BG)

National Center for Environmental Health/Agency for Toxic Substances and Disease Registry, Office of the Director, Atlanta, GA, USA.

Maureen F Orr (MF)

National Center for Environmental Health/Agency for Toxic Substances and Disease Registry, Office of the Director, Atlanta, GA, USA.

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Classifications MeSH