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Fedan JS, Thompson JA, Sager TM, Roberts JR, Joseph P, Krajnak K, Kan H, Sriram K, Weatherly LM, Anderson SE. Toxicological Effects of Inhaled Crude Oil Vapor. Curr Environ Health Rep 2024; 11:18-29. [PMID: 38267698 PMCID: PMC10907427 DOI: 10.1007/s40572-024-00429-8] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 01/11/2024] [Indexed: 01/26/2024]
Abstract
PURPOSE OF REVIEW The purpose of this review is to assess the toxicological consequences of crude oil vapor (COV) exposure in the workplace through evaluation of the most current epidemiologic and laboratory-based studies in the literature. RECENT FINDINGS Crude oil is a naturally occuring mixture of hydrocarbon deposits, inorganic and organic chemical compounds. Workers engaged in upstream processes of oil extraction are exposed to a number of risks and hazards, including getting crude oil on their skin or inhaling crude oil vapor. There have been several reports of workers who died as a result of inhalation of high levels of COV released upon opening thief hatches atop oil storage tanks. Although many investigations into the toxicity of specific hydrocarbons following inhalation during downstream oil processing have been conducted, there is a paucity of information on the potential toxicity of COV exposure itself. This review assesses current knowledge of the toxicological consequences of exposures to COV in the workplace.
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Affiliation(s)
- Jeffrey S Fedan
- Health Effects Laboratory Division, National Institute for Occupational Safety and Health, 1095 Willowdale Road, Morgantown, WV, 26505, USA
| | - Janet A Thompson
- Health Effects Laboratory Division, National Institute for Occupational Safety and Health, 1095 Willowdale Road, Morgantown, WV, 26505, USA.
| | - Tina M Sager
- Health Effects Laboratory Division, National Institute for Occupational Safety and Health, 1095 Willowdale Road, Morgantown, WV, 26505, USA
| | - Jenny R Roberts
- Health Effects Laboratory Division, National Institute for Occupational Safety and Health, 1095 Willowdale Road, Morgantown, WV, 26505, USA
| | - Pius Joseph
- Health Effects Laboratory Division, National Institute for Occupational Safety and Health, 1095 Willowdale Road, Morgantown, WV, 26505, USA
| | - Kristine Krajnak
- Health Effects Laboratory Division, National Institute for Occupational Safety and Health, 1095 Willowdale Road, Morgantown, WV, 26505, USA
| | - Hong Kan
- Health Effects Laboratory Division, National Institute for Occupational Safety and Health, 1095 Willowdale Road, Morgantown, WV, 26505, USA
| | - Krishnan Sriram
- Health Effects Laboratory Division, National Institute for Occupational Safety and Health, 1095 Willowdale Road, Morgantown, WV, 26505, USA
| | - Lisa M Weatherly
- Health Effects Laboratory Division, National Institute for Occupational Safety and Health, 1095 Willowdale Road, Morgantown, WV, 26505, USA
| | - Stacey E Anderson
- Health Effects Laboratory Division, National Institute for Occupational Safety and Health, 1095 Willowdale Road, Morgantown, WV, 26505, USA
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Hwang SH, Lee YJ, Choi YH, Huh DA, Kang MS, Moon KW. Long-term effects of the Hebei Spirit oil spill on the prevalence and incidence of allergic disorders. THE SCIENCE OF THE TOTAL ENVIRONMENT 2024; 912:168801. [PMID: 38008335 DOI: 10.1016/j.scitotenv.2023.168801] [Citation(s) in RCA: 2] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 06/02/2023] [Revised: 10/25/2023] [Accepted: 11/20/2023] [Indexed: 11/28/2023]
Abstract
The Hebei Spirit oil spill accident occurred in December 2007, approximately 10 km off the coast of Taean, South Korea, a location notably close to residential areas. Crude oil substances have been detected in various environmental mediums since the accident, yet previous studies have primarily focused on the acute effects of oil exposure due to the short latency period of allergic diseases. Therefore, this study evaluated the long-term effects of oil spill exposure on allergic disorders. Our study included adult residents who had participated in the Health Effects Research on Hebei Spirit Oil Spill (HEROS) study up to five years post-incident, which was a prospective cohort to monitor the health status of Taean residents. We used two indicators to assess oil spill exposure, namely the distance from the initial contaminated coastline to each participant's residence and the number of days participants had engaged in oil clean-up work. Current symptoms such as asthma, allergic rhinitis, atopic dermatitis, allergic conjunctivitis, and multimorbidity were considered allergic disorders. In the baseline survey, the prevalence of asthma, allergic rhinitis, atopic dermatitis, allergic conjunctivitis, and allergic multimorbidity symptoms was associated with both exposure indicators; however, these associations were not observed in the two consecutive surveys. Significant longitudinal associations between oil spill exposure indicators and the four allergic disorders, as well as multimorbidity incidences, were observed during a five-year follow-up period. Our results suggest that oil spill exposure can affect acute and long-term allergic symptoms in residents near the accident site.
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Affiliation(s)
- Se Hyun Hwang
- Department of Health and Environmental Science, Korea University, Anam-ro 145, Seongbuk-gu, Seoul 02841, Republic of Korea
| | - Yong-Jin Lee
- Regional Environmental Health Center, Soonchunhyang University Cheonan Hospital, 31 Suncheonhyang 6-gil, Dongnam-gu, Cheonan-si 31151, Republic of Korea; Department of Occupational & Environmental Medicine, Soonchunhyang University, 31 Suncheonhyang 6-gil, Dongnam-gu, Cheonan-si 31151, Republic of Korea
| | - Yun-Hee Choi
- Department of Health and Safety Convergence Science, Korea University, Anam-ro 145, Seongbuk-gu, Seoul 02841, Republic of Korea; BK21 FOUR R & E Center for Learning Health System, Korea University, Anam-ro 145, Seongbuk-gu, Seoul 02841, Republic of Korea
| | - Da-An Huh
- Institute of Health Sciences, Korea University, Anam-ro 145, Seongbuk-gu, Seoul 02841, Republic of Korea.
| | - Min-Sung Kang
- Institute of Environmental Medicine, Soonchunhyang University Cheonan Hospital, 31 Suncheonhyang 6-gil, Dongnam-gu, Cheonan-si 31151, Republic of Korea
| | - Kyong Whan Moon
- Department of Health and Environmental Science, Korea University, Anam-ro 145, Seongbuk-gu, Seoul 02841, Republic of Korea; BK21 FOUR R & E Center for Learning Health System, Korea University, Anam-ro 145, Seongbuk-gu, Seoul 02841, Republic of Korea
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Chen D, Lawrence KG, Sandler DP. Nontraditional Occupational Exposures to Crude Oil Combustion Disasters and Respiratory Disease Risk: A Narrative Review of Literature. Curr Allergy Asthma Rep 2023; 23:299-311. [PMID: 37166706 PMCID: PMC10330790 DOI: 10.1007/s11882-023-01078-x] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 04/03/2023] [Indexed: 05/12/2023]
Abstract
PURPOSE OF REVIEW Burning of petroleum products has been consistently associated with adverse respiratory health effects. Combustion of crude oil, specifically, produces toxic byproducts, but there have been relatively few studies of health effects. Burning of crude oil is increasingly employed as a means of mitigating environmental disasters despite the potential health risks to workers involved in clean-up efforts. Here, we review epidemiological studies of respiratory effects following unique crude oil burning events to (1) characterize respiratory health effects from this nontraditional occupational exposure and (2) identify approaches used to characterize exposures that could be applied to future disaster-related studies. RECENT FINDINGS We searched PubMed and EMBASE for references from inception to January 30, 2023. We also manually screened references cited in eligible articles. We identified 14 eligible publications. Our review suggests that exposure to crude oil combustion has adverse respiratory effects, including reduced lung function and increased occurrence of respiratory symptoms and disease. However, the evidence is inconsistent, and quality of data varied across studies. While some studies used quantitative, modeled exposure estimates, most used self-reported proxies of exposure. Although disasters involving crude oil combustion are relatively rare, limited evidence suggests that some worker populations may be at risk for respiratory effects from burning exposures in disaster settings. Future studies that use improved exposure assessment methods (e.g., personal monitors, remote sensing data) may help further quantify the respiratory risk from crude oil burning exposures.
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Affiliation(s)
- Dazhe Chen
- Epidemiology Branch, National Institute of Environmental Health Sciences, Research Triangle Park, NC, USA
| | - Kaitlyn G Lawrence
- Epidemiology Branch, National Institute of Environmental Health Sciences, Research Triangle Park, NC, USA
| | - Dale P Sandler
- Epidemiology Branch, National Institute of Environmental Health Sciences, Research Triangle Park, NC, USA.
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Gribble MO, Keshav T, Denic-Roberts H, Engel LS, Rusiecki JA. Exposure patterns among Coast Guard responders to the Deepwater Horizon Oil Spill: A latent class analysis. Environ Epidemiol 2022; 6:e211. [PMID: 35702499 PMCID: PMC9187181 DOI: 10.1097/ee9.0000000000000211] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/30/2021] [Accepted: 04/04/2022] [Indexed: 11/26/2022] Open
Abstract
Background The Deepwater Horizon Oil Spill was an environmental crisis for which multiple groups, including the United States Coast Guard (USCG), provided emergency response services. A cohort of 5,665 USCG oil spill responders completed postdeployment surveys eliciting information on a variety of topics, including oil spill-related exposures and experiences. Our objective was to determine the most common exposure patterns among USCG responders. Methods We used latent class analysis based on six indicator variables reflecting different aspects of the responders' experiences: exposure to oil, exposure to engine exhaust fumes or carbon monoxide, hand sanitizer use, sunblock use, mosquito bites, and level of anxiety. We validated our interpretation of these latent classes using ancillary variables. Results The model distinguished four distinct exposure profiles, which we interpreted as "low overall exposure" (prevalence estimate = 0.18), "low crude oil/exhaust and moderate time outdoors/anxiety (prevalence estimate = 0.18), "high crude oil/exhaust and moderate time outdoors/anxiety" (prevalence estimate = 0.25), and "high overall exposure" (prevalence estimate = 0.38). The validation analysis was consistent with our interpretation of the latent classes. Conclusions The exposure patterns identified in this analysis can help inform future studies of the health impacts of exposure mixtures among USCG oil spill responders.
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Affiliation(s)
- Matthew O. Gribble
- Department of Epidemiology, University of Alabama at Birmingham, Birmingham, Alabama
| | - Taj Keshav
- Department of Preventive Medicine and Biostatistics, Uniformed Services University, Bethesda, Maryland
| | - Hristina Denic-Roberts
- Department of Preventive Medicine and Biostatistics, Uniformed Services University, Bethesda, Maryland
- Oak Ridge Institute for Science and Education, Bethesda, Maryland
| | - Lawrence S. Engel
- Department of Epidemiology, Gillings School of Public Health, University of North Carolina, Chapel Hill, North Carolina
| | - Jennifer A. Rusiecki
- Department of Preventive Medicine and Biostatistics, Uniformed Services University, Bethesda, Maryland
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Mishra S, Chauhan G, Verma S, Singh U. The emergence of nanotechnology in mitigating petroleum oil spills. MARINE POLLUTION BULLETIN 2022; 178:113609. [PMID: 35417809 DOI: 10.1016/j.marpolbul.2022.113609] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 07/25/2021] [Revised: 12/29/2021] [Accepted: 03/23/2022] [Indexed: 06/14/2023]
Abstract
The world has witnessed the circumstances shaped by the oil spill for many decades that cause serious environmental problems and adverse effects on human health. Many techniques and remediation methods are followed for efficient oil spill cleanups but with the limitations and environmental issues, these procedures were not completely efficient. The "nanotechnology" word itself has fascinated not only the researchers but also many industries and the global race is on to tap its potential and to derive benefit from it. Their small size and exceptional properties have proven their potential in providing technological solutions to engineering problems. This study focuses on the scope of nanotechnology in oil spill cleanups and shows how the limitations presented by conventional methodologies can be overcome. This paper categorizes and thoroughly reviews the application of nanotechnology in oil spill cleanups in different forms and also focuses on the environmental aspects of it.
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Affiliation(s)
- Saurabh Mishra
- Energy Science and Technology Program, Centre for Advanced Studies, Lucknow, India.
| | - Geetanjali Chauhan
- Department of Petroleum Engineering, Indian Institute of Petroleum and Energy, Visakhapatnam, India
| | - Samarpit Verma
- Energy Science and Technology Program, Centre for Advanced Studies, Lucknow, India
| | - Ujjawal Singh
- Energy Science and Technology Program, Centre for Advanced Studies, Lucknow, India
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Chen D, Lawrence KG, Pratt GC, Stenzel MR, Stewart PA, Groth CP, Banerjee S, Christenbury K, Curry MD, Jackson WB, Kwok RK, Blair A, Engel LS, Sandler DP. Fine Particulate Matter and Lung Function among Burning-Exposed Deepwater Horizon Oil Spill Workers. ENVIRONMENTAL HEALTH PERSPECTIVES 2022; 130:27001. [PMID: 35103485 PMCID: PMC8805798 DOI: 10.1289/ehp8930] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Received: 01/07/2021] [Revised: 11/01/2021] [Accepted: 01/03/2022] [Indexed: 05/31/2023]
Abstract
BACKGROUND During the 2010 Deepwater Horizon (DWH) disaster, controlled burning was conducted to remove oil from the water. Workers near combustion sites were potentially exposed to increased fine particulate matter [with aerodynamic diameter ≤2.5μm (PM2.5)] levels. Exposure to PM2.5 has been linked to decreased lung function, but to our knowledge, no study has examined exposure encountered in an oil spill cleanup. OBJECTIVE We investigated the association between estimated PM2.5 only from burning/flaring of oil/gas and lung function measured 1-3 y after the DWH disaster. METHODS We included workers who participated in response and cleanup activities on the water during the DWH disaster and had lung function measured at a subsequent home visit (n=2,316). PM2.5 concentrations were estimated using a Gaussian plume dispersion model and linked to work histories via a job-exposure matrix. We evaluated forced expiratory volume in 1 s (FEV1; milliliters), forced vital capacity (FVC; milliliters), and their ratio (FEV1/FVC; %) in relation to average and cumulative daily maximum exposures using multivariable linear regressions. RESULTS We observed significant exposure-response trends associating higher cumulative daily maximum PM2.5 exposure with lower FEV1 (p-trend=0.04) and FEV1/FVC (p-trend=0.01). In comparison with the referent group (workers not involved in or near the burning), those with higher cumulative exposures had lower FEV1 [-166.8mL, 95% confidence interval (CI): -337.3, 3.7] and FEV1/FVC (-1.7, 95% CI: -3.6, 0.2). We also saw nonsignificant reductions in FVC (high vs. referent: -120.9, 95% CI: -319.4, 77.6; p-trend=0.36). Similar associations were seen for average daily maximum PM2.5 exposure. Inverse associations were also observed in analyses stratified by smoking and time from exposure to spirometry and when we restricted to workers without prespill lung disease. CONCLUSIONS Among oil spill workers, exposure to PM2.5 specifically from controlled burning of oil/gas was associated with significantly lower FEV1 and FEV1/FVC when compared with workers not involved in burning. https://doi.org/10.1289/EHP8930.
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Affiliation(s)
- Dazhe Chen
- Department of Epidemiology, Gillings School of Global Public Health, University of North Carolina at Chapel Hill, Chapel Hill, North Carolina, USA
| | - Kaitlyn G. Lawrence
- Epidemiology Branch, National Institute of Environmental Health Sciences, Research Triangle Park, North Carolina, USA
| | - Gregory C. Pratt
- Division of Environmental Health, School of Public Health, University of Minnesota, Minneapolis, Minnesota, USA
| | - Mark R. Stenzel
- Exposure Assessment Applications, LLC, Arlington, Virginia, USA
| | | | - Caroline P. Groth
- Department of Epidemiology and Biostatistics, School of Public Health, West Virginia University, Morgantown, West Virginia, USA
| | - Sudipto Banerjee
- Department of Biostatistics, Fielding School of Public Health, University of California–Los Angeles, Los Angeles, California, USA
| | | | | | | | - Richard K. Kwok
- Epidemiology Branch, National Institute of Environmental Health Sciences, Research Triangle Park, North Carolina, USA
- Office of the Director, National Institute of Environmental Health Sciences, Bethesda, Maryland, USA
| | - Aaron Blair
- Occupational and Environmental Epidemiology Branch, Division of Cancer Epidemiology and Genetics, National Cancer Institute, Rockville, Maryland, USA
| | - Lawrence S. Engel
- Department of Epidemiology, Gillings School of Global Public Health, University of North Carolina at Chapel Hill, Chapel Hill, North Carolina, USA
- Epidemiology Branch, National Institute of Environmental Health Sciences, Research Triangle Park, North Carolina, USA
| | - Dale P. Sandler
- Epidemiology Branch, National Institute of Environmental Health Sciences, Research Triangle Park, North Carolina, USA
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Rusiecki JA, Denic-Roberts H, Thomas DL, Collen J, Barrett J, Christenbury K, Engel LS. Incidence of chronic respiratory conditions among oil spill responders: Five years of follow-up in the Deepwater Horizon Oil Spill Coast Guard Cohort study. ENVIRONMENTAL RESEARCH 2022; 203:111824. [PMID: 34364859 PMCID: PMC8616774 DOI: 10.1016/j.envres.2021.111824] [Citation(s) in RCA: 7] [Impact Index Per Article: 3.5] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Received: 03/31/2021] [Revised: 07/30/2021] [Accepted: 07/30/2021] [Indexed: 05/30/2023]
Abstract
BACKGROUND Over ten years after the Deepwater Horizon (DWH) oil spill, our understanding of long term respiratory health risks associated with oil spill response exposures is limited. We conducted a prospective analysis in a cohort of U.S. Coast Guard personnel with universal military healthcare. METHODS For all active duty cohort members (N = 45,193) in the DWH Oil Spill Coast Guard Cohort Study we obtained medical encounter data from October 01, 2007 to September 30, 2015 (i.e., ~2.5 years pre-spill; ~5.5 years post-spill). We used Cox Proportional Hazards regressions to calculate adjusted hazard ratios (aHR), comparing risks for incident respiratory conditions/symptoms (2010-2015) for: responders vs. non-responders; responders reporting crude oil exposure, any inhalation of crude oil vapors, and being in the vicinity of burning crude oil versus responders without those exposures. We also evaluated self-reported crude oil and oil dispersant exposures, combined. Within-responder comparisons were adjusted for age, sex, and smoking. RESULTS While elevated aHRs for responder/non-responder comparisons were generally weak, within-responder comparisons showed stronger risks with exposure to crude oil. Notably, for responders reporting exposure to crude oil via inhalation, there were elevated risks for allsinusitis (aHR = 1.48; 95%CI, 1.06-2.06), unspecified chronic sinusitis (aHR = 1.55; 95%CI, 1.08-2.22), chronic obstructive pulmonary disease (COPD) and other allied conditions (aHR = 1.43; 95%CI, 1.00-2.06), and dyspnea and respiratory abnormalities (aHR = 1.29; 95%CI, 1.00-1.67); there was a suggestion of elevated risk for diseases classified as asthma and reactive airway diseases (aHR = 1.18; 95%CI, 0.98-1.41), including the specific condition, asthma (aHR = 1.35; 95%CI, 0.80-2.27), the symptom, shortness of breath (aHR = 1.50; 95%CI, 0.89-2.54), and the overall classification of chronic respiratory conditions (aHR = 1.18; 95%CI, 0.98-1.43). Exposure to both crude oil and dispersant was positively associated with elevated risk for shortness of breath (HR = 2.24; 95%CI, 1.09-4.64). CONCLUSIONS Among active duty Coast Guard personnel, oil spill clean-up exposures were associated with moderately increased risk for longer term respiratory conditions.
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Affiliation(s)
- Jennifer A Rusiecki
- Department of Preventive Medicine and Biostatistics, Uniformed Services University of the Health Sciences, Bethesda, MD, USA.
| | - Hristina Denic-Roberts
- Department of Preventive Medicine and Biostatistics, Uniformed Services University of the Health Sciences, Bethesda, MD, USA; Oak Ridge Institute for Science and Education, MD, USA
| | - Dana L Thomas
- United States Coast Guard Headquarters, Directorate of Health, Safety, and Work Life, Washington, D.C., USA
| | - Jacob Collen
- Department of Medicine, Uniformed Services University of the Health Sciences, Bethesda, MD, USA
| | - John Barrett
- Department of Preventive Medicine and Biostatistics, Uniformed Services University of the Health Sciences, Bethesda, MD, USA
| | - Kate Christenbury
- Social & Scientific Systems, a DLH Corporation Holding Company, Durham, NC, USA
| | - Lawrence S Engel
- Department of Epidemiology, Gillings School of Global Public Health, University of North Carolina, Chapel Hill, NC, USA
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Takeshita R, Bursian SJ, Colegrove KM, Collier TK, Deak K, Dean KM, De Guise S, DiPinto LM, Elferink CJ, Esbaugh AJ, Griffitt RJ, Grosell M, Harr KE, Incardona JP, Kwok RK, Lipton J, Mitchelmore CL, Morris JM, Peters ES, Roberts AP, Rowles TK, Rusiecki JA, Schwacke LH, Smith CR, Wetzel DL, Ziccardi MH, Hall AJ. A review of the toxicology of oil in vertebrates: what we have learned following the Deepwater Horizon oil spill. JOURNAL OF TOXICOLOGY AND ENVIRONMENTAL HEALTH. PART B, CRITICAL REVIEWS 2021; 24:355-394. [PMID: 34542016 DOI: 10.1080/10937404.2021.1975182] [Citation(s) in RCA: 14] [Impact Index Per Article: 4.7] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/13/2023]
Abstract
In the wake of the Deepwater Horizon (DWH) oil spill, a number of government agencies, academic institutions, consultants, and nonprofit organizations conducted lab- and field-based research to understand the toxic effects of the oil. Lab testing was performed with a variety of fish, birds, turtles, and vertebrate cell lines (as well as invertebrates); field biologists conducted observations on fish, birds, turtles, and marine mammals; and epidemiologists carried out observational studies in humans. Eight years after the spill, scientists and resource managers held a workshop to summarize the similarities and differences in the effects of DWH oil on vertebrate taxa and to identify remaining gaps in our understanding of oil toxicity in wildlife and humans, building upon the cross-taxonomic synthesis initiated during the Natural Resource Damage Assessment. Across the studies, consistency was found in the types of toxic response observed in the different organisms. Impairment of stress responses and adrenal gland function, cardiotoxicity, immune system dysfunction, disruption of blood cells and their function, effects on locomotion, and oxidative damage were observed across taxa. This consistency suggests conservation in the mechanisms of action and disease pathogenesis. From a toxicological perspective, a logical progression of impacts was noted: from molecular and cellular effects that manifest as organ dysfunction, to systemic effects that compromise fitness, growth, reproductive potential, and survival. From a clinical perspective, adverse health effects from DWH oil spill exposure formed a suite of signs/symptomatic responses that at the highest doses/concentrations resulted in multi-organ system failure.
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Affiliation(s)
- Ryan Takeshita
- Conservation Medicine, National Marine Mammal Foundation, San Diego, California, United States
| | - Steven J Bursian
- Department of Animal Science, Michigan State University, East Lansing, Michigan, United States
| | - Kathleen M Colegrove
- College of Veterinary Medicine, Illinois at Urbana-Champaign, Brookfield, Illinois, United States
| | - Tracy K Collier
- Zoological Pathology Program, Huxley College of the Environment, Western Washington University, Bellingham, Washington, United States
| | - Kristina Deak
- College of Marine Sciences, University of South Florida, St. Petersburg, Florida, United States
| | | | - Sylvain De Guise
- Department of Pathobiology and Veterinary Sciences, University of Connecticut, Storrs, Connecticut, United States
| | - Lisa M DiPinto
- Office of Response and Restoration, NOAA, Silver Spring, Maryland, United States
| | - Cornelis J Elferink
- Department of Pharmacology and Toxicology, University of Texas Medical Branch, Galveston, Texas, United States
| | - Andrew J Esbaugh
- Marine Science Institute, University of Texas at Austin, Port Aransas, Texas, United States
| | - Robert J Griffitt
- Division of Coastal Sciences, School of Ocean Science and Engineering, University of Southern Mississippi, Gulfport, Mississippi, United States
| | - Martin Grosell
- RSMAS, University of Miami, Miami, Florida, United States
| | | | - John P Incardona
- NOAA Environmental Conservation Division, Northwest Fisheries Science Center, Seattle, Washington, United States
| | - Richard K Kwok
- Department of Health and Human Services, National Institute of Environmental Health Sciences, National Institutes of Health, North Carolina, United States
| | | | - Carys L Mitchelmore
- University of Maryland Center of Environmental Science, Chesapeake Biological Laboratory, Solomons, Maryland, United States
| | - Jeffrey M Morris
- Health and Environment Division, Abt Associates, Boulder, Colorado, United States
| | - Edward S Peters
- Department of Epidemiology, LSU School of Public Health, New Orleans, Louisiana, United States
| | - Aaron P Roberts
- Advanced Environmental Research Institute and Department of Biological Sciences, University of North Texas, Denton, Texas, United States
| | - Teresa K Rowles
- NOAA Office of Protected Resources, National Marine Fisheries Service, Silver Spring, Maryland, United States
| | - Jennifer A Rusiecki
- Department of Preventive Medicine and Biostatistics, Uniformed Services University, Bethesda, Maryland, United States
| | - Lori H Schwacke
- Conservation Medicine, National Marine Mammal Foundation, San Diego, California, United States
| | - Cynthia R Smith
- Conservation Medicine, National Marine Mammal Foundation, San Diego, California, United States
| | - Dana L Wetzel
- Environmental Laboratory of Forensics, Mote Marine Laboratory, Sarasota, Florida, United States
| | - Michael H Ziccardi
- School of Veterinary Medicine, One Health Institute, University of California, Davis, California, United States
| | - Ailsa J Hall
- Sea Mammal Research Unit, Scottish Oceans Institute, University of St Andrews, St Andrews, UK
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Xiao Z, Wang M, Song Q, Li H. Early Rehabilitation Training Promotes Recovery of Lung Function in Patients with Congenital Heart Disease After Cardiopulmonary Bypass. JOURNAL OF MEDICAL IMAGING AND HEALTH INFORMATICS 2021. [DOI: 10.1166/jmihi.2021.3725] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/23/2022]
Abstract
This article conducts an in-depth study on the recovery of lung function in patients with congenital heart disease after cardiopulmonary bypass through early rehabilitation training, and discusses the effectiveness of early activities after cardiopulmonary bypass in children with congenital
heart disease. The children with congenital heart disease who met the criteria were divided into an intervention group and a control group according to the random number table method, and prospective randomized controlled clinical trials were conducted. The control group was given routine
clinical care. In addition to routine care, the experimental group increased early active intervention. The intervention content mainly includes preoperative early activity education and postoperative child vital signs to provide early activity guide. The rehabilitation was used as indicators
to evaluate the postoperative recovery of the children. Data were collected at the time of discharge and 3 months after discharge, and statistics were performed using SPSS18.0 software analysis. To evaluate the effect of early activity on postoperative recovery in children with congenital
heart disease, it improved the heart and lung function in children, improve their quality of life, promotes postoperative recovery of children, and provide a scientific basis for early active intervention in clinical work.
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Affiliation(s)
- Zhirong Xiao
- Department of Pediatric Cardiology, Hunan Children’s Hospital, Changsha, 410007, China
| | - Min Wang
- ENT (HN Surgery Department), Hunan Children’s Hospital, Changsha, 410007, China
| | - Qingqing Song
- Department of Pediatric Cardiology, Hunan Children’s Hospital, Changsha, 410007, China
| | - Hui Li
- Department of Pediatric Cardiology, Nanjing Children’s Hospital, Nanjing, 210000, China
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Clougherty JE, Rider CV. Integration of psychosocial and chemical stressors in risk assessment. CURRENT OPINION IN TOXICOLOGY 2020. [DOI: 10.1016/j.cotox.2020.07.005] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/01/2022]
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Amor-Carro Ó, White KM, Fraga-Iriso R, Mariñas-Pardo LA, Núñez-Naveira L, Lema-Costa B, Villarnovo M, Verea-Hernando H, Ramos-Barbón D. Airway Hyperresponsiveness, Inflammation, and Pulmonary Emphysema in Rodent Models Designed to Mimic Exposure to Fuel Oil-Derived Volatile Organic Compounds Encountered during an Experimental Oil Spill. ENVIRONMENTAL HEALTH PERSPECTIVES 2020; 128:27003. [PMID: 32074461 PMCID: PMC7064321 DOI: 10.1289/ehp4178] [Citation(s) in RCA: 12] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 05/07/2023]
Abstract
BACKGROUND Fuel oil-derived volatile organic compounds (VOCs) inhalation is associated with accidental marine spills. After the Prestige petroleum tanker sank off northern Spain in 2002 and the Deepwater Horizon oil rig catastrophe in 2009, subjects involved in environmental decontamination showed signs of ongoing or residual lung disease up to 5 y after the exposure. OBJECTIVES We aimed at investigating mechanisms driving persistent respiratory disease by developing an animal model of inhalational exposure to fuel oil-derived VOCs. METHODS Female Wistar and Brown Norway (BN) rats and C57BL mice were exposed to VOCs produced from fuel oil mimicking the Prestige spill. Exposed animals inhaled the VOCs 2 h daily, 5 d per week, for 3 wk. Airway responsiveness to methacholine (MCh) was assessed, and bronchoalveolar lavage (BAL) and lung tissues were analyzed after the exposure and following a 2-wk washout. RESULTS Consistent with data from human studies, both strains of rats that inhaled fuel oil-derived VOCs developed airway hyperresponsiveness that persisted after the washout period, in the absence of detectable inflammation in any lung compartment. Histopathology and quantitative morphology revealed the development of peripherally distributed pulmonary emphysema, which persisted after the washout period, associated with increased alveolar septal cell apoptosis, microvascular endothelial damage of the lung parenchyma, and inhibited expression of vascular endothelial growth factor (VEGF). DISCUSSION In this rat model, fuel oil VOCs inhalation elicited alveolar septal cell apoptosis, likely due to DNA damage. In turn, the development of a peculiar pulmonary emphysema pattern altered lung mechanics and caused persistent noninflammatory airway hyperresponsiveness. Such findings suggest to us that humans might also respond to VOCs through physiopathological pathways different from those chiefly involved in typical cigarette smoke-driven emphysema in chronic obstructive pulmonary disease (COPD). If so, this study could form the basis for a novel disease mechanism for lasting respiratory disease following inhalational exposure to catastrophic fuel oil spills. https://doi.org/10.1289/EHP4178.
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Affiliation(s)
- Óscar Amor-Carro
- Respiratory Research Unit, Complexo Hospitalario Universitario and the Instituto de Investigación Biomédica de A Coruña, A Coruña, Spain
- Respiratory Department, Hospital de la Santa Creu i Sant Pau and the Biomedical Research Institute (IIb Sant Pau), Barcelona, Spain
| | - Kathryn M. White
- Respiratory Research Unit, Complexo Hospitalario Universitario and the Instituto de Investigación Biomédica de A Coruña, A Coruña, Spain
| | - Rebeca Fraga-Iriso
- Respiratory Research Unit, Complexo Hospitalario Universitario and the Instituto de Investigación Biomédica de A Coruña, A Coruña, Spain
- Respiratory Department, Hospital de la Santa Creu i Sant Pau and the Biomedical Research Institute (IIb Sant Pau), Barcelona, Spain
| | - Luis A. Mariñas-Pardo
- Respiratory Research Unit, Complexo Hospitalario Universitario and the Instituto de Investigación Biomédica de A Coruña, A Coruña, Spain
| | - Laura Núñez-Naveira
- Respiratory Research Unit, Complexo Hospitalario Universitario and the Instituto de Investigación Biomédica de A Coruña, A Coruña, Spain
| | - Beatriz Lema-Costa
- Respiratory Research Unit, Complexo Hospitalario Universitario and the Instituto de Investigación Biomédica de A Coruña, A Coruña, Spain
| | - Marta Villarnovo
- Respiratory Research Unit, Complexo Hospitalario Universitario and the Instituto de Investigación Biomédica de A Coruña, A Coruña, Spain
| | - Héctor Verea-Hernando
- Respiratory Research Unit, Complexo Hospitalario Universitario and the Instituto de Investigación Biomédica de A Coruña, A Coruña, Spain
| | - David Ramos-Barbón
- Respiratory Research Unit, Complexo Hospitalario Universitario and the Instituto de Investigación Biomédica de A Coruña, A Coruña, Spain
- Respiratory Department, Hospital de la Santa Creu i Sant Pau and the Biomedical Research Institute (IIb Sant Pau), Barcelona, Spain
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12
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Ferguson A, Solo-Gabriele H, Mena K. Assessment for oil spill chemicals: Current knowledge, data gaps, and uncertainties addressing human physical health risk. MARINE POLLUTION BULLETIN 2020; 150:110746. [PMID: 31910518 DOI: 10.1016/j.marpolbul.2019.110746] [Citation(s) in RCA: 24] [Impact Index Per Article: 6.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 07/24/2019] [Revised: 10/29/2019] [Accepted: 11/15/2019] [Indexed: 06/10/2023]
Abstract
Limited models are available to estimate human physical health risks (e.g., probability of outcomes such as lung disease, cancer, skin disease) from exposure to chemicals resulting from oil spills that may occur offshore and later impact coastline spills. An approach is presented to assess physical health risks from oil spills that involves establishing a platform capable of assessing aggregate health risk (via inhalation, ingestion, and dermal exposure routes). Gaps include the need to develop models reflecting oil spill concentration distributions given the influence from environmental, physical, biological and chemical factors. Human activities need to be quantified for different populations including emergency response workers, fishermen, shellfish consumers, and children who play at beaches that may be impacted by oil spills. Work is also needed in developing comprehensive toxicological profiles for the majority of chemicals - including dispersants found in oil spills - and to estimate toxicity from mixtures.
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Affiliation(s)
- Alesia Ferguson
- University of North Carolina Agriculatural and Technical State University (NCAT), Built Environment Department, Greensboro, NC 27411, United States.
| | - Helena Solo-Gabriele
- University of Miami, Department of Civil, Architectural, and Environmental Engineering, Coral Gables, FL 33146, United States.
| | - Kristina Mena
- University of Texas - Houston, School of Public Health, Houston, TX 77030.
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13
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Kwok RK, Miller AK, Gam KB, Curry MD, Ramsey SK, Blair A, Engel LS, Sandler DP. Developing Large-Scale Research in Response to an Oil Spill Disaster: a Case Study. Curr Environ Health Rep 2019; 6:174-187. [PMID: 31376082 PMCID: PMC6699641 DOI: 10.1007/s40572-019-00241-9] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/26/2022]
Abstract
Research conducted in the wake of a disaster can provide information to help mitigate health consequences, support future recovery efforts, and improve resilience. However, a number of barriers have prevented time-sensitive research responses following previous disasters. Furthermore, large-scale disasters present their own special challenges due to the number of people exposed to disaster conditions, the number of groups engaged in disaster response, and the logistical challenges of rapidly planning and implementing a large study. In this case study, we illustrate the challenges in planning and conducting a large-scale post-disaster research study by drawing on our experience in establishing the Gulf Long-term Follow-up (GuLF) Study following the 2010 Deepwater Horizon disaster. We describe considerations in identifying at-risk populations and appropriate comparison groups, garnering support for the study from different stakeholders, obtaining timely scientific and ethics review, measuring and characterizing complex exposures, and addressing evolving community health concerns and unmet medical needs. We also describe the NIH Disaster Research Response (DR2) Program, which provides a suite of resources, including data collection tools, research protocols, institutional review board guidance, and training materials to enable the development and implementation of time-critical studies following disasters and public health emergencies. In describing our experiences related to the GuLF Study and the ongoing efforts through the NIH DR2 Program, we aim to help improve the timeliness, quality, and value of future disaster-related data collection and research studies.
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Affiliation(s)
- Richard K Kwok
- Epidemiology Branch, National Institute of Environmental Health Sciences (NIEHS), NIH, Research Triangle Park, North Carolina, USA.
| | | | - Kaitlyn B Gam
- Epidemiology Branch, National Institute of Environmental Health Sciences (NIEHS), NIH, Research Triangle Park, North Carolina, USA
| | - Matthew D Curry
- Social & Scientific Systems, Inc., Durham, North Carolina, USA
| | - Steven K Ramsey
- Social & Scientific Systems, Inc., Durham, North Carolina, USA
| | - Aaron Blair
- Occupational and Environmental Epidemiology Branch, Division of Cancer Epidemiology and Genetics, National Cancer Institute, NIH, Rockville, Maryland, USA
| | - Lawrence S Engel
- Epidemiology Branch, National Institute of Environmental Health Sciences (NIEHS), NIH, Research Triangle Park, North Carolina, USA
- Department of Epidemiology, University of North Carolina Gillings School of Global Public Health, Chapel Hill, North Carolina, USA
| | - Dale P Sandler
- Epidemiology Branch, National Institute of Environmental Health Sciences (NIEHS), NIH, Research Triangle Park, North Carolina, USA
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