Nguyen Daniel D, McArdle Cristin E, Saunders Katharine E, Carranza David, Balasuriya Lilanthi, McKinnon Izraelle I, Fothergill Amy, Pfeiffer Jack, Titelbaum Nicholas V, Hallett T Christy, Orr Maureen F, Konkle Stacey
https://ror.org/042twtr12Epidemic Intelligence Service, Centers for Disease Control and Prevention, Atlanta, Georgia, United States of America.
https://ror.org/05xf94514United States Public Health Service Commissioned Corps, Rockville, Maryland, United States of America.
Disaster Med Public Health Prep. 2025 Aug 5;19:e219. doi: 10.1017/dmp.2025.10154.
On November 20, 2021, petroleum fuel contaminated the Red Hill well, which provides water to about 93 000 persons on Oahu, Hawaii. Initial investigations recommended further evaluations of long-term health effects of petroleum exposure in drinking water. We reviewed electronic health records of those potentially exposed to contaminated water to understand prevalence of conditions and symptoms.
A sample of persons potentially exposed during November 20, 2021-March 18, 2022 who sought care within the military health system through February 24, 2023 was identified. Abstracted records were categorized as worsening preexisting or persistent new for conditions and symptoms.
Of 653 medical charts reviewed, 357 (55%) had worsening preexisting or persistent new conditions or symptoms. Most-documented conditions included worsening preexisting migraine (8%; 50/653) and chronic pain (4%; 26/653), and persistent new migraine (2%; 14/653) and adjustment disorder (2%; 13/653). Most-documented symptoms included worsening preexisting headache (8%; 49/653) and anxiety (6%; 42/653), and persistent new rash (7%; 46/653) and headache (5%; 34/653).
Approximately half of the abstracted medical records demonstrated worsening preexisting or persistent new conditions or symptoms and might benefit from sustained access to physical, mental, and specialized health care support systems. Continued monitoring for long-term health outcomes is recommended.
2021年11月20日，石油燃料污染了红山井，该井为夏威夷瓦胡岛约93000人供水。初步调查建议进一步评估饮用水中石油暴露对健康的长期影响。我们查阅了那些可能接触受污染水的人的电子健康记录，以了解疾病和症状的流行情况。
确定了2021年11月20日至2022年3月18日期间可能接触受污染水、并在2023年2月24日前在军事医疗系统中寻求治疗的人员样本。提取的记录根据疾病和症状分为原有病情恶化或持续出现新情况。
在审查的653份病历中，357份（55%）出现原有病情恶化或持续出现新情况或症状。记录最多的疾病包括原有偏头痛恶化（8%；50/653）和慢性疼痛（4%；26/653），以及持续出现的新偏头痛（2%；14/653）和适应障碍（2%；13/653）。记录最多的症状包括原有头痛恶化（8%；49/653）和焦虑（6%；42/653），以及持续出现的新皮疹（7%；46/653）和头痛（5%；34/653）。
大约一半的提取病历显示原有病情恶化或持续出现新情况或症状，可能需要持续获得身体、心理和专业医疗支持系统的帮助。建议持续监测长期健康结果。
