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漏油事件后与Corexit™ EC9527A/EC9500A相关的呼吸、皮肤和眼部刺激症状:海湾地区研究的结果

Respiratory, Dermal, and Eye Irritation Symptoms Associated with Corexit™ EC9527A/EC9500A following the Oil Spill: Findings from the GuLF STUDY.

作者信息

McGowan Craig J, Kwok Richard K, Engel Lawrence S, Stenzel Mark R, Stewart Patricia A, Sandler Dale P

机构信息

Epidemiology Branch, National Institute of Environmental Health Sciences (NIEHS), National Institutes of Health (NIH), Department of Health and Human Services (DHHS) , Research Triangle Park, North Carolina, USA.

Department of Epidemiology, UNC Gillings School of Global Public Health , Chapel Hill, North Carolina, USA.

出版信息

Environ Health Perspect. 2017 Sep 15;125(9):097015. doi: 10.1289/EHP1677.

Abstract

BACKGROUND

The large quantities of chemical oil dispersants used in the oil spill response and cleanup (OSRC) work following the disaster provide an opportunity to study associations between dispersant exposure (Corexit™ EC9500A or EC9527A) and human health.

OBJECTIVES

Our objectives were to examine associations between potential exposure to the dispersants and adverse respiratory, dermal, and eye irritation symptoms.

METHODS

Using data from detailed Gulf Long-term Follow-up ( GuLF) Study enrollment interviews, we determined potential exposure to either dispersant from participant-reported tasks during the OSRC work. Between 27,659 and 29,468 participants provided information on respiratory, dermal, and eye irritation health. We estimated prevalence ratios (PRs) to measure associations with symptoms reported during the OSRC work and at study enrollment, adjusting for potential confounders including airborne total hydrocarbons exposure, use of cleaning chemicals, and participant demographics.

RESULTS

Potential exposure to either of the dispersants was significantly associated with all health outcomes at the time of the OSRC, with the strongest association for burning in the nose, throat, or lungs [adjusted PR (aPR)=1.61 (95% CI: 1.42, 1.82)], tightness in chest [aPR=1.58 (95% CI: 1.37, 1.81)], and burning eyes [aPR=1.48 (95% CI: 1.35, 1.64). Weaker, but still significant, associations were found between dispersant exposure and symptoms present at enrollment.

CONCLUSIONS

Potential exposure to Corexit™ EC9527A or EC9500A was associated with a range of health symptoms at the time of the OSRC, as well as at the time of study enrollment, 1-3 y after the spill. https://doi.org/10.1289/EHP1677.

摘要

背景

在那场灾难后的石油泄漏应急与清理(OSRC)工作中使用的大量化学油分散剂,为研究分散剂暴露(Corexit™ EC9500A或EC9527A)与人类健康之间的关联提供了契机。

目的

我们的目标是研究潜在的分散剂暴露与不良呼吸、皮肤和眼部刺激症状之间的关联。

方法

利用来自墨西哥湾长期随访(GuLF)研究详细入组访谈的数据,我们根据参与者报告的OSRC工作期间的任务确定了潜在的分散剂暴露情况。27659至29468名参与者提供了有关呼吸、皮肤和眼部刺激健康状况的信息。我们估计了患病率比(PRs),以衡量与OSRC工作期间及研究入组时报告的症状之间的关联,并对包括空气中总烃暴露、清洁化学品使用和参与者人口统计学特征等潜在混杂因素进行了调整。

结果

在OSRC期间,接触任何一种分散剂都与所有健康结果显著相关,其中鼻子、喉咙或肺部灼痛的关联最强[调整后的PR(aPR)=1.61(95%CI:1.42,1.82)],胸部紧绷感[aPR=1.58(95%CI:1.37,1.81)],以及眼睛灼痛[aPR=1.48(95%CI:1.35,1.64)]。在分散剂暴露与入组时出现的症状之间发现了较弱但仍显著的关联。

结论

在OSRC期间以及泄漏事件发生1至3年后研究入组时,潜在接触Corexit™ EC9527A或EC9500A与一系列健康症状相关。https://doi.org/10.1289/EHP1677

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