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Medical Screening After a Coal Fly Ash Spill in Roane County, Tennessee

Published online by Cambridge University Press:  24 July 2014

Gregory P. Nichols ,
Donna L. Cragle  and
John G. Benitez
Gregory P. Nichols*
Affiliation:
Oak Ridge Associated Universities, Occupational Exposure and Worker Health Programs, Oak Ridge
Donna L. Cragle
Affiliation:
Oak Ridge Associated Universities, Occupational Exposure and Worker Health Programs, Oak Ridge
John G. Benitez
Affiliation:
Tennessee Poison Center, Vanderbilt University Medical Center, Nashville, Tennessee.
*
Correspondence and reprint requests to Gregory P. Nichols, MPH, CPH, ORAU/Occupational Exposure and Worker Health Programs, PO Box 117/MS-23, Oak Ridge, TN 37831-0117 (e-mail: [email protected]).
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Abstract

Objective

To assess the health of community residents following a coal fly ash spill at the Tennessee Valley Authority Kingston Fossil Plant in Harriman, Tennessee, on December 22, 2008.

Methods

A uniform health assessment was developed by epidemiologists at Oak Ridge Associated Universities and medical toxicologists at Vanderbilt University Medical Center. Residents who believed that their health may have been affected by the coal fly ash spill were invited to participate in the medical screening program.

Results

Among the 214 individuals who participated in the screening program, the most commonly reported symptoms were related to upper airway irritation. No evidence of heavy metal toxicity was found.

Conclusions

This is the first report, to our knowledge, regarding the comprehensive health evaluation of a community after a coal fly ash spill. Because this evaluation was voluntary, the majority of residents screened represented those with a high percentage of symptoms and concerns about the potential for toxic exposure. Based on known toxicity of the constituents present in the coal fly ash, health complaints did not appear to be related to the fly ash. This screening model could be used to assess immediate or baseline toxicity concerns after other disasters. (Disaster Med Public Health Preparedness. 2014;0:1–8)

Keywords

coal fly ashdisaster managementmedical screeningmedical toxicologyKingston Fossil Plant
Type
Original Research
Information
Disaster Medicine and Public Health Preparedness , Volume 8 , Issue 4 , August 2014 , pp. 341 - 348
Copyright
Copyright © Society for Disaster Medicine and Public Health, Inc. 2014 

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References

REFERENCES

1. Agency for Toxic Substances and Disease Registry. Tennessee Valley Authority Kingston Fossil Plant coal ash release: public health assessment; September 7, 2010. https://health.state.tn.us/environmental/PDFs/pha-e-TVA_Kingston_Fossil_Plant_Final.pdf.Google Scholar
2. Ash slide at TVA Kingston Fossil Plant: metals and polynuclear aromatic hydrocarbons results; January 6-7, 2009. Tennessee Department of Environment and Conservation website. http://tn.gov/environment/kingston/metals.shtml. Accessed August 2013.Google Scholar
3. Agency for Toxic Substances and Disease Registry. US Department of Health and Human Services. Toxicological profile for selenium; September 2003. http://www.atsdr.cdc.gov/toxprofiles/tp92.pdf.Google Scholar
4. Agency for Toxic Substances and Disease Registry. Toxicological profile for thallium. 1992. usa.gov website. http://www.atsdr.cdc.gov/toxprofiles/tp.asp?id=309&tid=49.Google Scholar
5. Knudson, RJ, Lebowitz, MD, Holberg, CJ, Burrows, B. Changes in the normal maximal expiratory flow-volume curve with growth and aging. Am Rev Respir Dis. 1983; 127(6):725-734.Google Scholar
6. Hsu, KHK, Jenkins, DE, His, BP, et al. Ventilatory functions of normal children and young adults – Mexican-American, white, and black. I. spirometry. J Pediatr. 1979; 95(1):14-23.Google Scholar
7. SAS version 9.2 [computer program]. Cary, North Carolina: SAS Institute Inc., 2009.Google Scholar
8. Agency for Toxic Substances and Disease Registry. US Department of Health and Human Services. Toxicological profile for arsenic; August 2007. http://www.atsdr.cdc.gov/toxprofiles/tp2.pdf.Google Scholar
9. Agency for Toxic Substances and Disease Registry. US Department of Health and Human Services. Public health statement for arsenic; August 2007. http://www.atsdr.cdc.gov/toxprofiles/tp2.pdf.Google Scholar
10. Office of Dietary Supplements, National Institutes of Health. Dietary supplement fact sheet: selenium; July 2013. usa.gov. http://ods.od.nih.gov/factsheets/Selenium-HealthProfessional/. Accessed August 2013.Google Scholar
11. Brook, RD, Rajagopalan, S, Pope, CA, et al. Particulate matter air pollution and cardiovascular diseases: an update to the scientific statement from the American Heart Association. Circulation. 2010; 121:2331-2378.Google Scholar
12. Kingston ash slide: air quality information; December 5, 2013. Tennessee Valley Authority website. http://www.tva.com/kingston/air/index.htm. Accessed August 2013.Google Scholar
13. Tennessee Valley Authority. Kingston ash recovery project non-time-critical removal action embayment/dredge cell engineering evaluation/cost analysis (EE/CA); January 15, 2010.Google Scholar
14. AECOM. Root cause analysis of TVA Kingston dredge pond failure on December 22, 2008; June 25, 2009.Google Scholar
15. Andrews, SC, Robinson, AK, Rodriguez-Quinones, F. Bacterial iron homeostasis. FEMS Microbiol Rev. 2003; 27(2-3):215-237.Google Scholar
16. Smith, KR, Veranth, JM, Kodavanti, UP, Aust, AE, Pinkerton, KE. Acute pulmonary and systemic effects of inhaled coal fly ash in rats: comparison to ambient environmental particles. Toxicol Sci. 2006; 93(2):390-399.Google Scholar
17. Antonini, JM, Roberts, JR, Jernigan, MR, Yang, HM, Ma, JY, Clarke, RW. Residual oil fly ash increases the susceptibility to infection and severely damages the lungs after pulmonary challenge with a bacterial pathogen. Toxicol Sci. 2002; 70:110-119.Google Scholar
18. Gao, F, Barchowsky, A, Nemec, AA, Fabisiak, JP. Microbial stimulation by Mycoplasma fermentans synergistically amplifies IL-6 release by human lung fibroblasts in response to residual oil fly ash (ROFA) and nickel. Toxicol Sci. 2004; 81:467-479.Google Scholar
19. Costa, DL, Dreher, KL. Bioavailable transition metals in particulate matter mediate cardiopulmonary injury in healthy and compromised animal models. Environ Health Perspect . 1997; 105(suppl 5):1053-1060.Google Scholar
20. Baumgardner, DJ. Fungal infection after evacuation or natural disaster. Wilderness Environ Med. 1997; 8:177.Google Scholar
21. Schneider, E, Hajjeh, RA, Spiegel, RA, et al. A coccidioidomycosis outbreak following the Northridge, Calif, earthquake. JAMA. 1997; 277(11):904-908.Google Scholar
22. Zakai, NE, McClure, LA, Prineas, R, et al. Correlates of anemia in American blacks and whites: the REGARDS renal ancillary study. Am J Epidemiol. 2009; 169:355-364.Google Scholar
23. de Romana, DL, Olivares, M, Uauy, R, Araya, M. Risks and benefits of copper in light of new insights of copper homeostasis. J Trace Elem Med Biol. 2011; 25:3-13.Google Scholar
24. Buchwald, A. Serum copper elevation from estrogen effect, masquerading as fungicide toxicity. J Med Toxicol. 2008; 4:30-32.Google Scholar
25. Cockel, KA, Bertinato, J, L’Abbe, MR. Regulatory frameworks for copper considering chronic exposures of the population. Am J Clin Nutr.. 2008; 88(suppl 3):863S-866S.Google Scholar
26. Longnecker, MP, Taylor, PR, Levander, OA, et al. Selenium in diet, blood, and toenails in relation to human health in a seleniferous area. Am J Clin Nutr. 1991; 53:1288-1294.Google Scholar
27. Agency for Toxic Substances and Disease Registry. US Department of Health and Human Services. Coal fly ash landslide Forward Township, Allegheny County, Pennsylvania: health consultation; June 2006.Google Scholar