Evidence map›Paper›PMID 40761016›Full record

ArticleDisaster medicine and public health preparedness2025

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

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 and 2 more

Abstract read
In one paragraph

Article in Disaster medicine and public health preparedness, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–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

2 citing papers in PubMed.

  1. Review
  2. Article
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

12 authors.

Daniel D Nguyenhttps://ror.org/042twtr12Epidemic Intelligence Service, Centers for Disease Control and Prevention, Atlanta, Georgia, United States of America.ORCID 0000-0001-6748-4677
Cristin E McArdlehttps://ror.org/042twtr12Epidemic Intelligence Service, Centers for Disease Control and Prevention, Atlanta, Georgia, United States of America.
Katharine E Saundershttps://ror.org/042twtr12Epidemic Intelligence Service, Centers for Disease Control and Prevention, Atlanta, Georgia, United States of America.ORCID 0000-0003-2886-6909
David Carranzahttps://ror.org/042twtr12Epidemic Intelligence Service, Centers for Disease Control and Prevention, Atlanta, Georgia, United States of America.
Lilanthi Balasuriyahttps://ror.org/042twtr12Epidemic Intelligence Service, Centers for Disease Control and Prevention, Atlanta, Georgia, United States of America.
Izraelle I McKinnonhttps://ror.org/042twtr12Epidemic Intelligence Service, Centers for Disease Control and Prevention, Atlanta, Georgia, United States of America.
Amy Fothergillhttps://ror.org/042twtr12Epidemic Intelligence Service, Centers for Disease Control and Prevention, Atlanta, Georgia, United States of America.ORCID 0000-0001-7976-1096
Jack Pfeifferhttps://ror.org/042twtr12Epidemic Intelligence Service, Centers for Disease Control and Prevention, Atlanta, Georgia, United States of America.
Nicholas V Titelbaumhttps://ror.org/0045x2741Office of Capacity Development and Applied Prevention Science, Agency for Toxic Substances and Disease Registry, Atlanta, Georgia, United States of America.ORCID 0000-0002-2150-6030
T Christy Halletthttps://ror.org/042twtr12National Center for Environmental Health, Centers for Disease Control and Prevention, Atlanta, Georgia, United States of America.
Maureen F Orrhttps://ror.org/0045x2741Office of Innovation and Analytics, Agency for Toxic Substances and Disease Registry, Atlanta, Georgia, United States of America.
Stacey Konklehttps://ror.org/0045x2741Office of Innovation and Analytics, Agency for Toxic Substances and Disease Registry, Atlanta, Georgia, United States of America.ORCID 0000-0001-5192-7269

Funding

Intramural CDC HHS CC999999
6 · The paper itself

Abstract

objectiveOn 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.

methodsA 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.

resultsOf 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).

conclusionsApproximately 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.

Indexed as

Drinking WaterPetroleumAdultFemaleHawaiiHumansMaleMiddle AgedMorbidityPrevalenceDrinking WaterPetroleumdisaster planningdrinking waterenvironmental exposuremedical recordsmilitary medicine

Identifiers

PMID40761016
PMCPMC12330894

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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.