Crisp Carolyn A, Parasram Vidisha D, Shi Dallas S, Omari Amel, Madera-Garcia Valerie, Faherty Emily A G, Dulcey Melissa, Burr Kathryn, Gichuhi Beatrice, Goldsworthy Lisa A, Dowell Chad H, Chiu Sophia K, Dickerson Kristen, Dewart Courtney M, Watkins Sharon M, Harduar-Morano Laurel, Babich Remy, Shugart Jill, Orr Maureen F
Epidemic Intelligence Service, CDC, Atlanta, Georgia, United States of America.
Division of Environmental Health Science and Practice, National Center for Environmental Health, CDC, Atlanta, Georgia, United States of America.
Disaster Med Public Health Prep. 2025 May 22;19:e121. doi: 10.1017/dmp.2024.291.
To understand the potential human health effects of exposure to hazardous substances among first responders from the East Palestine train derailment, an electronic self-administered Assessment of Chemical Exposures (ACE) survey was created and available to first responders between February-March 2023. Among the 339 completed responder surveys analyzed, most reported working at least 1 day during the incident between February 3-8, 2023. Most (79%) reported inhaling, touching, or swallowing potentially harmful substances and did not report using a face mask or respirator while working (75%). Nearly half reported at least 1 new or worsening physical symptom after incident response. These findings support several recommendations to mitigate exposure to hazardous substances among first responders during future incidents, including using a hierarchy of controls framework to reduce exposure to hazards, timely communication of possible hazardous substances involved in the event, and using the Emergency Responder Health Monitoring Surveillance (ERHMS) framework.
为了解东巴勒斯坦火车脱轨事件中急救人员接触有害物质对人类健康的潜在影响，2023年2月至3月期间创建了一份电子自我管理的化学暴露评估（ACE）调查问卷，并提供给急救人员。在分析的339份已完成的应答者调查问卷中，大多数人报告在2023年2月3日至8日事件期间至少工作了1天。大多数人（79%）报告吸入、接触或吞咽了潜在有害物质，并且在工作时未报告使用面罩或呼吸器（75%）。近一半的人报告在事件响应后至少出现了1种新的或加重的身体症状。这些发现支持了多项建议，以减轻未来事件中急救人员接触有害物质的情况，包括使用控制层级框架来减少接触危害、及时通报事件中可能涉及的有害物质，以及使用应急响应者健康监测监督（ERHMS）框架。
