Morbidities Associated with Drinking Water Contamination After a 2021 Petroleum Leak - Oahu, Hawaii, March 2023.

IF 1.8 4区 医学 Q3 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH
Daniel D Nguyen, Cristin E McArdle, Katharine E Saunders, David Carranza, Lilanthi Balasuriya, Izraelle I McKinnon, Amy Fothergill, Jack Pfeiffer, Nicholas V Titelbaum, T Christy Hallett, Maureen F Orr, Stacey Konkle
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引用次数: 0

Abstract

Objective: On November 20, 2021, petroleum fuel contaminated the Red Hill well, which provides water to about 93 000 persons on Oahu, Hawaii. Initial investigations recommended further evaluations of long-term health effects of petroleum exposure in drinking water. We reviewed electronic health records of those potentially exposed to contaminated water to understand prevalence of conditions and symptoms.

Methods: A sample of persons potentially exposed during November 20, 2021-March 18, 2022 who sought care within the military health system through February 24, 2023 was identified. Abstracted records were categorized as worsening preexisting or persistent new for conditions and symptoms.

Results: Of 653 medical charts reviewed, 357 (55%) had worsening preexisting or persistent new conditions or symptoms. Most-documented conditions included worsening preexisting migraine (8%; 50/653) and chronic pain (4%; 26/653), and persistent new migraine (2%; 14/653) and adjustment disorder (2%; 13/653). Most-documented symptoms included worsening preexisting headache (8%; 49/653) and anxiety (6%; 42/653), and persistent new rash (7%; 46/653) and headache (5%; 34/653).

Conclusions: Approximately half of the abstracted medical records demonstrated worsening preexisting or persistent new conditions or symptoms and might benefit from sustained access to physical, mental, and specialized health care support systems. Continued monitoring for long-term health outcomes is recommended.

2021年石油泄漏后与饮用水污染相关的发病率-夏威夷瓦胡岛,2023年3月。
目标:2021年11月20日,石油燃料污染了红山井,该井为夏威夷瓦胡岛约93,000人提供水。初步调查建议进一步评估饮用水中石油暴露对健康的长期影响。我们回顾了那些可能接触到污染水的人的电子健康记录,以了解疾病和症状的普遍性。方法:确定了2021年11月20日至2022年3月18日期间在军队卫生系统寻求治疗的潜在暴露者样本,直至2023年2月24日。摘要记录被分类为恶化的先前存在或持续新的条件和症状。结果:在653张医学图表中,357(55%)有恶化的先前存在或持续的新疾病或症状。记录最多的疾病包括先前存在的偏头痛恶化(8%;50/653)和慢性疼痛(4%;26/653)和持续性新发偏头痛(2%;14/653)和适应障碍(2%;13/653)。记录最多的症状包括先前存在的头痛加重(8%;49/653)和焦虑(6%;42/653)和持续性新发皮疹(7%;46/653)和头痛(5%;34/653)。结论:大约一半的医疗记录显示既往存在的恶化或持续的新疾病或症状,并可能受益于持续获得身体,精神和专门的卫生保健支持系统。建议继续监测长期健康结果。
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来源期刊
Disaster Medicine and Public Health Preparedness
Disaster Medicine and Public Health Preparedness PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH-
CiteScore
4.40
自引率
7.40%
发文量
258
审稿时长
6-12 weeks
期刊介绍: Disaster Medicine and Public Health Preparedness is the first comprehensive and authoritative journal emphasizing public health preparedness and disaster response for all health care and public health professionals globally. The journal seeks to translate science into practice and integrate medical and public health perspectives. With the events of September 11, the subsequent anthrax attacks, the tsunami in Indonesia, hurricane Katrina, SARS and the H1N1 Influenza Pandemic, all health care and public health professionals must be prepared to respond to emergency situations. In support of these pressing public health needs, Disaster Medicine and Public Health Preparedness is committed to the medical and public health communities who are the stewards of the health and security of citizens worldwide.
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