Environmental Health Research Team, Taean Environmental Health Center, Taean, Chungnam, Republic of Korea.
Department of Preventive Medicine, Dankook University College of Medicine, Cheonan, Republic of Korea.
BMJ Open. 2019 Aug 15;9(8):e026740. doi: 10.1136/bmjopen-2018-026740.
The Hebei Spirit Oil Spill occurred on 7 December 2007 and resulted in the spillage of 12 547 kl of crude oil on the coastline near Taean. Historically, this was the largest oil spill in Korean water. The health effect research on Hebei Spirit Oil Spill (HEROS) is a prospective cohort study that aimed to evaluate the long-term health effects of oil spill exposure on residents in the affected community.
The Taean Environmental Health Center initially enrolled adults, adolescents and children living in Taean in 2009 and 2010. Follow-up surveys of participating adults and children were conducted every other year. By 2017, a total of 9585 adults and 2216 children and adolescents were enrolled. Of these, 294 adults and 102 children and adolescents were included in all subsequent surveys.
Children who lived closer to the oil spill site exhibited a lower level of pulmonary function and higher prevalence of allergic rhinitis, than those who lived further away from the oil spill site. Adults who lived in a highly exposed area or participated in clean-up work had higher urine levels of the oxidative stress biomarkers malondialdehyde and 8-hydroxydeoxyguanosine. Changes in haematological parameters during a 3-year period were observed in residents of both sexes in highly exposed areas, in addition to increases in respiratory diseases and mental health problems in female and male participants, respectively.
The findings of this study will better enable policy makers to develop environmental health policies intended to prevent adverse health effects in residents of communities affected by oil spills, as well as policies regarding the management of future oil accidents. The HEROS study will continue to follow participants in future and will be updated to enable an investigation of long-term health effects.
2007 年 12 月 7 日发生的河北精神溢油事件导致大天安附近海岸溢油 12547 千升。从历史上看，这是韩国水域发生的最大溢油事件。河北精神溢油事件健康影响研究（HEROS）是一项前瞻性队列研究，旨在评估溢油暴露对受影响社区居民的长期健康影响。
大天安环境健康中心最初于 2009 年和 2010 年在大天安招募成年人、青少年和儿童。对参与的成年人和儿童进行了每两年一次的随访调查。到 2017 年，共有 9585 名成年人和 2216 名儿童和青少年被招募。其中，294 名成年人和 102 名儿童和青少年参加了所有后续调查。
居住在离溢油地点较近的儿童的肺功能水平较低，过敏性鼻炎的患病率较高，而居住在离溢油地点较远的儿童则较低。居住在高度暴露地区或参与清理工作的成年人尿液中氧化应激生物标志物丙二醛和 8-羟基脱氧鸟苷的水平较高。在高度暴露地区，男女居民在 3 年内观察到血液参数的变化，此外，女性和男性参与者分别出现呼吸疾病和心理健康问题增加。
本研究的结果将使决策者能够更好地制定旨在预防受溢油影响社区居民健康不良影响的环境健康政策，以及管理未来石油事故的政策。HEROS 研究将继续跟踪未来的参与者，并将进行更新，以调查长期健康影响。
Zotero 插件
