ArticleJournal of public health management and practice : JPHMP
Short-Term Health Outcomes of the Weaver Fertilizer Plant Fire on the Surrounding Community.
Article in Journal of public health management and practice : JPHMP. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Authors and funding
10 authors.
Funding
Abstract
objectivesTo assess differences in health care utilization, mortality, and incidence of health conditions nearly 2 years after a fertilizer plant fire near a residential area.
designWe performed a longitudinal cohort study.
participantsResidents who lived within a 1-mile radius of the fertilizer plant (exposed cohort, N = 2546) were compared to 2 matched control cohorts based on neighborhood (N = 10 043) or participant-level (N = 10 001) characteristics.
settingWe extracted electronic health record data from January 31, 2020, to November 21, 2023, comprising the "pre" time period from January 31, 2020, to January 31, 2022, and the "post" time period from February 1, 2022, to November 21, 2023.
main outcome measuresOutcomes included health care utilization (number of outpatient clinic visits, ED visits, and hospitalizations in the pre- and postfire periods), mortality (measured for each participant in each cohort in the postperiod only), and incidence of health conditions (development of asthma, cancer, chronic heart disease, diabetes, migraines, nausea, and neurocognitive disorders in the postperiod).
resultsHealth care utilization was highest among the cohort that was exposed to the fire in pre- and postfire periods and decreased over time for all cohorts. There were no significant differences between cohorts with respect to mortality or incidence of health conditions.
conclusionsWe did not identify statistically significantly differences in health outcomes among the exposed, compared to neighborhood- and participant-level matched cohorts. Policymakers and funders should have mechanisms available for rapid funding opportunities for disaster evaluation to follow cohorts and assess long-term health effects.
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