Evidence map›Paper›PMID 37515565›Full record

ArticleJournal of water and health2023

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

Shanna Miko, Alex R Poniatowski, Alyssa N Troeschel, Diana J Felton, Shireen Banerji, Michele L F Bolduc, Alvin C Bronstein, Alyson M Cavanaugh, Charles Edge, Abigail L Gates and 8 more

Abstract read
In one paragraph

Article in Journal of water and health, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed, 4 pooled it
–field-weighted citation impact
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

11 citing papers in PubMed, 4 syntheses or guidelines pooled it.

  1. Pooled it
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  5. 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

18 authors.

Shanna MikoU.S. Centers for Disease Control and Prevention, 1600 Clifton Rd NE, Atlanta, GA 30333, USA E-mail: rhu6@cdc.gov.ORCID 0000-0001-7382-6119
Alex R PoniatowskiNational Center for Environmental Health/Agency for Toxic Substances and Disease Registry, Office of the Director, Atlanta, GA, USA.
Alyssa N TroeschelNational Center for Environmental Health/Agency for Toxic Substances and Disease Registry, Office of the Director, Atlanta, GA, USA.
Diana J FeltonHawaii State Department of Health, Oahu, HI, USA.
Shireen BanerjiRocky Mountain Poison and Drug Safety, Denver, CO, USA.
Michele L F BolducU.S. Centers for Disease Control and Prevention, 1600 Clifton Rd NE, Atlanta, GA 30333, USA.
Alvin C BronsteinHawaii State Department of Health, Oahu, HI, USA.
Alyson M CavanaughU.S. Centers for Disease Control and Prevention, 1600 Clifton Rd NE, Atlanta, GA 30333, USA.
Charles EdgeU.S. Centers for Disease Control and Prevention, 1600 Clifton Rd NE, Atlanta, GA 30333, USA.
Abigail L GatesU.S. Centers for Disease Control and Prevention, 1600 Clifton Rd NE, Atlanta, GA 30333, USA.
Madeline JarvisHawaii State Department of Health, Oahu, HI, USA.
Nicole A MintzHawaii State Department of Health, Oahu, HI, USA.
Vidisha ParasramU.S. Centers for Disease Control and Prevention, 1600 Clifton Rd NE, Atlanta, GA 30333, USA.
Jamie RaymanNational Center for Environmental Health/Agency for Toxic Substances and Disease Registry, Office of the Director, Atlanta, GA, USA.
Amanda R SmithU.S. Centers for Disease Control and Prevention, 1600 Clifton Rd NE, Atlanta, GA 30333, USA.
Jared C WagnerHawaii State Department of Health, Oahu, HI, USA.
Benjamin G GerhardsteinNational Center for Environmental Health/Agency for Toxic Substances and Disease Registry, Office of the Director, Atlanta, GA, USA.
Maureen F OrrNational Center for Environmental Health/Agency for Toxic Substances and Disease Registry, Office of the Director, Atlanta, GA, USA.

Funding

Intramural CDC HHS CC999999
6 · The paper itself

Abstract

backgroundIn 2021, a large petroleum leak contaminated a water source that supplied drinking water to military and civilians in Oahu, Hawaii.

methodsWe 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.

resultsAmong 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.

Indexed as

Drinking WaterPetroleumPoisonsChildChild, PreschoolHawaiiHumansPublic HealthDrinking WaterPetroleumPoisons

Identifiers

PMID37515565
PMCPMC11318283

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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.