Literature DB >> 11027203

Community exposures to chemical incidents: development and evaluation of the first environmental public health surveillance system in europe.

H J Bowen1, S R Palmer, H M Fielder, G Coleman, P A Routledge, D L Fone.   

Abstract

OBJECTIVE: To describe the frequency, nature and location of acute chemical incidents in Wales, and the morbidity in employees, emergency responders and the general public who were exposed.
DESIGN: Active multi-agency community-based surveillance system.
SETTING: Wales, 1993-5. MAIN OUTCOME MEASURES: Frequency, nature and location of incidents, populations potentially exposed and with symptoms.
RESULTS: Most of the 402 incidents identified were not associated with sites governed by the Control of Industrial Major Accident Hazard Regulations but with smaller industrial sites and commercial premises. About two in every thousand of the estimated 236 000 members of the public considered to be at risk from exposure reported symptoms, which were mainly nausea, headaches, and irritation of the eye, skin and respiratory tract. The most commonly reported chemicals that members of the public were exposed to were smoke toxins, miscellaneous organics, toxic gases and flammable gases. A health authority was reported to be involved in only 34 (8%) of the incidents and in only 3 of the 29 incidents where more than 100 members of the public were exposed.
CONCLUSION: A geographically defined, multi-agency surveillance system can identify high risk locations and types of incidents, together with the chemicals most likely to be involved. Such ongoing surveillance information is essential for appropriate policy making, emergency planning, operational management and training.

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Year:  2000        PMID: 11027203      PMCID: PMC1731586          DOI: 10.1136/jech.54.11.870

Source DB:  PubMed          Journal:  J Epidemiol Community Health        ISSN: 0143-005X            Impact factor:   3.710


  13 in total

1.  National recording of environmental incidents in Scotland.

Authors:  G I Forbes
Journal:  J R Soc Health       Date:  1993-12

2.  Surveillance systems and the role of a preventive medical team in chemical incidents.

Authors:  R Philipp
Journal:  Occup Environ Med       Date:  1996-07       Impact factor: 4.402

3.  Risk factors for hazardous substance releases that result in injuries and evacuations: data from 9 states.

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Journal:  Am J Public Health       Date:  1996-06       Impact factor: 9.308

Review 4.  Surveillance in environmental public health: issues, systems, and sources.

Authors:  S B Thacker; D F Stroup; R G Parrish; H A Anderson
Journal:  Am J Public Health       Date:  1996-05       Impact factor: 9.308

5.  Medical planning for toxic releases into the community: the example of chlorine gas.

Authors:  P J Baxter; P C Davies; V Murray
Journal:  Br J Ind Med       Date:  1989-04

6.  Deaths, injuries, and evacuations from acute hazardous materials releases.

Authors:  S Binder
Journal:  Am J Public Health       Date:  1989-08       Impact factor: 9.308

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8.  How should another Camelford be managed?

Authors:  R T Mayon-White
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9.  The public health physician's role in chemical incidents.

Authors:  D J Gunnell
Journal:  J Public Health Med       Date:  1993-12

10.  An epidemiological study after a water contamination incident near Worcester, England in April 1994.

Authors:  S E Fowle; C E Constantine; D Fone; B McCloskey
Journal:  J Epidemiol Community Health       Date:  1996-02       Impact factor: 3.710

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  10 in total

1.  Environmental justice: frequency and severity of US chemical industry accidents and the socioeconomic status of surrounding communities.

Authors:  M R Elliott; Y Wang; R A Lowe; P R Kleindorfer
Journal:  J Epidemiol Community Health       Date:  2004-01       Impact factor: 3.710

2.  Industry, incidents and casualties in South West England: what is their relationship and are there social inequalities in their distribution?

Authors:  Paul Scott; Paul Brown; Julia Verne; Jody James; Alistair Gordon; Joyshri Sarangi; Jonathan A C Sterne
Journal:  Environ Geochem Health       Date:  2008-11-25       Impact factor: 4.609

Review 3.  A review of the literature on the validity of mass casualty triage systems with a focus on chemical exposures.

Authors:  Joan M Culley; Erik Svendsen
Journal:  Am J Disaster Med       Date:  2014

4.  Assessing human vulnerability in industrial chemical accidents: a qualitative and quantitative methodological approach.

Authors:  Ali Ardalan; Farin Fatemi; Benigno Aguirre; Nabiollah Mansouri; Iraj Mohammdfam
Journal:  Environ Monit Assess       Date:  2019-07-24       Impact factor: 2.513

5.  Inter-rater agreement in defining chemical incidents at the National Poisons Information Service, London.

Authors:  I Abubakar; G S Leonardi; N Edwards; N Herriott
Journal:  J Epidemiol Community Health       Date:  2004-08       Impact factor: 3.710

6.  Areal location of hazardous atmospheres simulation on toxic chemical release: A scenario-based case study from Ray, Iran.

Authors:  Farin Fatemi; Ali Ardalan; Benigno Aguirre; Nabiollah Mansouri; Iraj Mohammadfam
Journal:  Electron Physician       Date:  2017-10-25

7.  Constructing the Indicators of Assessing Human Vulnerability to Industrial Chemical Accidents: A Consensus-based Fuzzy Delphi and Fuzzy AHP Approach.

Authors:  Farin Fatemi; Ali Ardalan; Benigno Aguirre; Nabiollah Mansouri; Iraj Mohammadfam
Journal:  PLoS Curr       Date:  2017-04-10

8.  A U.S. partnership with India and Poland to track acute chemical releases to serve public health.

Authors:  Perri Zeitz Ruckart; Maureen Orr; Anna Pałaszewska-Tkacz; Aruna Dewan; Vikas Kapil
Journal:  Int J Environ Res Public Health       Date:  2009-09-03       Impact factor: 3.390

9.  Building national public health capacity for managing chemical events: a case study of the development of health protection services in the United Kingdom.

Authors:  Stephen Palmer; Gary Coleman
Journal:  J Public Health Policy       Date:  2013-02-28       Impact factor: 2.222

10.  Respiratory symptoms and lung function 8-10 months after community exposure to chlorine gas: a public health intervention and cross-sectional analysis.

Authors:  Kathleen A Clark; Debjani Chanda; Pallavi Balte; Wilfried J Karmaus; Bo Cai; John Vena; Andrew B Lawson; Lawrence C Mohr; James J Gibson; Erik R Svendsen
Journal:  BMC Public Health       Date:  2013-10-09       Impact factor: 3.295

  10 in total

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