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

Autor:	Miko S; U.S. Centers for Disease Control and Prevention, 1600 Clifton Rd NE, Atlanta, GA 30333, USA E-mail: rhu6@cdc.gov., Poniatowski AR; National Center for Environmental Health/Agency for Toxic Substances and Disease Registry, Office of the Director, Atlanta, GA, USA., Troeschel AN; National Center for Environmental Health/Agency for Toxic Substances and Disease Registry, Office of the Director, Atlanta, GA, USA., Felton DJ; Hawaii State Department of Health, Oahu, HI, USA., Banerji S; Rocky Mountain Poison and Drug Safety, Denver, CO, USA., Bolduc MLF; U.S. Centers for Disease Control and Prevention, 1600 Clifton Rd NE, Atlanta, GA 30333, USA., Bronstein AC; Hawaii State Department of Health, Oahu, HI, USA., Cavanaugh AM; U.S. Centers for Disease Control and Prevention, 1600 Clifton Rd NE, Atlanta, GA 30333, USA., Edge C; U.S. Centers for Disease Control and Prevention, 1600 Clifton Rd NE, Atlanta, GA 30333, USA., Gates AL; U.S. Centers for Disease Control and Prevention, 1600 Clifton Rd NE, Atlanta, GA 30333, USA., Jarvis M; Hawaii State Department of Health, Oahu, HI, USA., Mintz NA; Hawaii State Department of Health, Oahu, HI, USA., Parasram V; U.S. Centers for Disease Control and Prevention, 1600 Clifton Rd NE, Atlanta, GA 30333, USA., Rayman J; National Center for Environmental Health/Agency for Toxic Substances and Disease Registry, Office of the Director, Atlanta, GA, USA., Smith AR; U.S. Centers for Disease Control and Prevention, 1600 Clifton Rd NE, Atlanta, GA 30333, USA., Wagner JC; Hawaii State Department of Health, Oahu, HI, USA., Gerhardstein BG; National Center for Environmental Health/Agency for Toxic Substances and Disease Registry, Office of the Director, Atlanta, GA, USA., Orr MF; National Center for Environmental Health/Agency for Toxic Substances and Disease Registry, Office of the Director, Atlanta, GA, USA.
Jazyk:	angličtina
Zdroj:	Journal of water and health [J Water Health] 2023 Jul; Vol. 21 (7), pp. 956-971.
DOI:	10.2166/wh.2023.109
Abstrakt:	Background: In 2021, a large petroleum leak contaminated a water source that supplied drinking water to military and civilians in Oahu, Hawaii. 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: 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: 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.
Databáze:	MEDLINE
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