Evidence map›Paper›PMID 41020388›Full record

ArticleDisaster medicine and public health preparedness2025

Long-Term Mental Health Findings and Concerns After Potential Exposure to Petroleum in Drinking Water on Joint Base Pearl Harbor-Hickam, November 20, 2021-February 24, 2023.

Katharine E Saunders, Lilanthi Balasuriya, David Carranza, Nicholas V Titelbaum, Daniel D Nguyen, Cristin E McArdle, Amy Fothergill, Izraelle I McKinnon, Jack Pfeiffer, T Christy Hallett and 3 more

Abstract read
PubMed Full text at PMC Publisher
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. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing 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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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

13 authors.

Katharine E Saundershttps://ror.org/042twtr12U.S. Centers for Disease Control and Prevention, Epidemic Intelligence Service.ORCID 0000-0003-2886-6909
Lilanthi Balasuriyahttps://ror.org/042twtr12U.S. Centers for Disease Control and Prevention, Epidemic Intelligence Service.
David Carranzahttps://ror.org/042twtr12U.S. Centers for Disease Control and Prevention, Epidemic Intelligence Service.
Nicholas V Titelbaumhttps://ror.org/0045x2741Agency for Toxic Substances and Disease Registry, Office of Capacity Development and Applied Prevention Science.ORCID 0000-0002-2150-6030
Daniel D Nguyenhttps://ror.org/042twtr12U.S. Centers for Disease Control and Prevention, Epidemic Intelligence Service.ORCID 0000-0001-6748-4677
Cristin E McArdlehttps://ror.org/042twtr12U.S. Centers for Disease Control and Prevention, Epidemic Intelligence Service.
Amy Fothergillhttps://ror.org/042twtr12U.S. Centers for Disease Control and Prevention, Epidemic Intelligence Service.ORCID 0000-0001-7976-1096
Izraelle I McKinnonhttps://ror.org/042twtr12U.S. Centers for Disease Control and Prevention, Epidemic Intelligence Service.
Jack Pfeifferhttps://ror.org/042twtr12U.S. Centers for Disease Control and Prevention, Epidemic Intelligence Service.
T Christy HallettNational Center for Environmental Health, Division of Environmental Health Science and Practice.
Asha S Choudhuryhttps://ror.org/042twtr12U.S. Centers for Disease Control and Prevention, Epidemic Intelligence Service.
Maureen F OrrAgency for Toxic Substances and Disease Registry, Office of Innovation and Analytics.
Stacey L KonkleAgency for Toxic Substances and Disease Registry, Office of Innovation and Analytics.ORCID 0000-0001-5192-7269

Funding

Intramural CDC HHS CC999999
6 · The paper itself

Abstract

objectiveAn estimated 93,000 persons were potentially exposed to drinking water contaminated with petroleum jet propellant (JP)-5 fuel after a November 20, 2021, leak at the Red Hill Bulk Fuel Storage Facility on Oahu, Hawaii. Previous investigations identified the need to evaluate long-term mental health effects associated with JP-5 exposure.

methodsWe identified adults potentially exposed to jet fuel-contaminated water during November 20, 2021-March 18, 2022, who sought care within the military health system through February 24, 2023. We abstracted a sample of electronic medical records and categorized documented mental health conditions and symptoms as "worsening preexisting" or "persistent new." We also assessed mental health-related medication use before and after November 20, 2021.

resultsWe abstracted medical charts for 411 adults potentially exposed to jet fuel-contaminated water. Of this cohort, 123 (29.9%) had documented worsening preexisting mental health conditions or symptoms, 86 (20.9%) had persistent new mental health conditions or symptoms, and 109 (26.5%) had at least one mental health-related medication prescribed after the exposure event.

conclusionsThese results highlight mental health needs during and after water contamination events. Continued access to mental health care services and monitoring for long-term mental health effects is recommended.

Indexed as

Drinking WaterEnvironmental ExposureMental DisordersMental HealthPetroleumAdultCohort StudiesFemaleHawaiiHumansMaleMiddle AgedDrinking WaterPetroleumdisaster planningdrinking waterenvironmental exposureMental healthmilitary medicine

Identifiers

PMID41020388
PMCPMC12771560

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Registered trials

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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.