Evidence map›Paper›PMID 34150702›Full record

ReviewFrontiers in public health2021

Beirut Ammonium Nitrate Blast: Analysis, Review, and Recommendations.

Samar Al-Hajj, Hassan R Dhaini, Stefania Mondello, Haytham Kaafarani, Firas Kobeissy, Ralph G DePalma

Open access · goldAbstract readReview
In one paragraph

Review in Frontiers in public health, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 22 papers.

0numbers the graph read from it
0cells of the map it votes in
22citing papers in PubMed
18.4field-weighted citation impact, top 1% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

22 citing papers in PubMed, 84 citations in OpenAlex.

  1. Respiratory Emergencies in Disasters: A Narrative Review.Thoracic research and practice · 2026
    Article
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  7. Review
  8. Disaster Preparedness among Healthcare Professionals in Lebanon.International journal of environmental research and public health · 2024
    Observational
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  18. Review
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors at 4 institutions in 3 countries.

Samar Al-HajjHealth Management and Policy, Faculty of Health Sciences, American University of Beirut, Beirut, Lebanon.
Hassan R DhainiDepartment of Environmental Health, Faculty of Health Sciences, American University of Beirut, Beirut, Lebanon.
Stefania MondelloDepartment of Biomedical and Dental Sciences and Morphofunctional Imaging, University of Messina, Messina, Italy.
Haytham KaafaraniDivision of Trauma, Emergency Surgery and Surgical Critical Care. Massachusetts General Hospital, Boston, MA, United States.
Firas KobeissyDepartment of Biochemistry & Molecular Genetics, Faculty of Medicine, American University of Beirut, Beirut, Lebanon.
Ralph G DePalmaOffice of Research and Development, Department of Veterans Affairs, Washington, DC, United States.
American University of Beirut · LBMassachusetts General Hospital · USUniversity of Messina · ITVA Office of Research and Development · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

A massive chemical detonation occurred on August 4, 2020 in the Port of Beirut, Lebanon. An uncontrolled fire in an adjacent warehouse ignited ~2,750 tons of Ammonium Nitrate (AN), producing one of the most devastating blasts in recent history. The blast supersonic pressure and heat wave claimed the lives of 220 people and injured more than 6,500 instantaneously, with severe damage to the nearby dense residential and commercial areas. This review represents one of the in-depth reports to provide a detailed analysis of the Beirut blast and its health and environmental implications. It further reviews prior AN incidents and suggests actionable recommendations and strategies to optimize chemical safety measures, improve emergency preparedness, and mitigate the delayed clinical effects of blast and toxic gas exposures. These recommended actionable steps offer a starting point for government officials and policymakers to build frameworks, adopt regulations, and implement chemical safety protocols to ensure safe storage of hazardous materials as well as reorganizing healthcare system disaster preparedness to improve emergency preparedness in response to similar large-scale disasters and promote population safety. Future clinical efforts should involve detailed assessment of physical injuries sustained by blast victims, with systemic mitigation and possible treatment of late blast effects involving individuals, communities and the region at large.

Indexed as

DisastersNitratesExplosionsHumansLebanonammonium nitrateNitratesammonium nitrate explosionBeirutblast injuryemergency preparednesshealth hazardtraumatic brain injury

Identifiers

PMID34150702
PMCPMC8212863
OpenAlexW3172447811

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.