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Environmental Heat Exposure and Heat-Related Symptoms in United States Coast Guard Deepwater Horizon Disaster Responders

Published online by Cambridge University Press:  06 November 2018

Elizabeth A. Erickson ,
Lawrence S. Engel ,
Kate Christenbury ,
Laura Weems ,
Erica G. Schwartz  and
Jennifer A. Rusiecki
Elizabeth A. Erickson*
Affiliation:
Department of Preventive Medicine and Biostatistics, F. Edward Hebert School of Medicine, Uniformed Services University of the Health Sciences, Bethesda, Maryland
Lawrence S. Engel
Affiliation:
Department of Epidemiology, Gillings School of Global Public Health, University of North Carolina, Chapel Hill, North Carolina
Kate Christenbury
Affiliation:
Social & Scientific Systems, Durham, North Carolina
Laura Weems
Affiliation:
; Safety and Occupational Health Office, United StatesArmy Corps of Engineers, Little Rock, Arkansas
Erica G. Schwartz
Affiliation:
Directorate of Health, Safety and Work Life, United StatesCoast Guard, Washington, DC
Jennifer A. Rusiecki
Affiliation:
Department of Preventive Medicine and Biostatistics, F. Edward Hebert School of Medicine, Uniformed Services University of the Health Sciences, Bethesda, Maryland
*
Correspondence and reprint requests to Elizabeth A. Erickson, 4301 Jones Bridge Road, Bldg. A, Room 1040A, Bethesda, MD 20814-4799 (e-mail: [email protected]).
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Abstract

Objectives

The response to the 2010 Deepwater Horizon oil spill was impacted by heat. We evaluated the association between environmental heat exposure and self-reported heat-related symptoms in US Coast Guard Deepwater Horizon disaster responders.

Methods

Utilizing climate data and postdeployment survey responses from 3648 responders, we assigned heat exposure categories based on both wet bulb globe temperature (WBGT) and heat index (HI) measurements (median, mean, maximum). We calculated prevalence ratios (PRs) and 95% confidence intervals (CIs) via adjusted Poisson regression models with robust error variance to estimate associations with reported heat-related symptoms. We also evaluated the association between use of personal protective equipment (PPE) and heat-related symptoms.

Results

Those in the highest WBGT median–based heat exposure category had increased prevalence of heat-related symptoms compared to those in the lowest category (PR=2.22 [95% CI: 1.61, 3.06]), and there was a significant exposure-response trend (P<.001). Results were similar for exposure categories based on WBGT and HI metrics. Analyses stratified by use of PPE found significantly stronger associations between environmental heat exposure and heat-related symptoms in those who did not use PPE (PR=2.23 [95% CI: 1.10, 4.51]) than in those who did (PR=1.64 [95% CI: 1.14, 2.36]).

Conclusions

US Coast Guard Deepwater Horizon disaster responders who experienced higher levels of environmental heat had higher prevalences of heat-related symptoms. These symptoms may impact health, safety, and mission effectiveness. As global climate change increases the frequency of disasters and weather extremes, actions must be taken to prevent heat-related health impacts among disaster responders. (Disaster Med Public Health Preparedness. 2019;13:561-569)

Keywords

disaster responseheat exposureheat illnessDeepwater Horizonoil spill response
Type
Original Research
Information
Disaster Medicine and Public Health Preparedness , Volume 13 , Issue 3 , June 2019 , pp. 561 - 569
Copyright
Copyright © 2018 Society for Disaster Medicine and Public Health, Inc. 

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References

REFERENCES

1. Arbury, S, Jacklitsch, B, Farquah, O, et al. Heat illness and death among workers - United States, 2012-2013. MMWR Morb Mortal Wkly Rep. 2014;63(31):661-665.Google Scholar
2. Gubernot, DM, Anderson, GB, Hunting, KL. The epidemiology of occupational heat exposure in the United States: a review of the literature and assessment of research needs in a changing climate. Int J Biometeorol. 2014;58(8):1779-1788.Google Scholar
3. Gubernot, DM, Anderson, GB, Hunting, KL. Characterizing occupational heat‐related mortality in the United States, 2000–2010: an analysis using the census of fatal occupational injuries database. Am J Ind Med. 2015;58(2):203-211.Google Scholar
4. Kjellstrom, T, Holmer, I, Lemke, B. Workplace heat stress, health and productivity - an increasing challenge for low and middle-income countries during climate change. Glob Health Action. 2009;2:46-51.Google Scholar
5. Intergovernmental Panel on Climate Change. Climate Change 2014: Synthesis Report: Contribution of Working Groups I, II and III to the Fifth Assessment Report of the Intergovernmental Panel on Climate Change. Geneva: Alfred-Wegener-Institut; 2014.Google Scholar
6. US National Response Team, US Coast Guard. On Scene Coordinator Report: Deepwater Horizon Oil Spill. Washington, DC: US Department of Homeland Security; 2011.Google Scholar
7. National Commission on the BP Deepwater Horizon Oil Spill and Offshore Drilling. Deep Water: The Gulf Oil Disaster and the Future of Offshore Drilling. https://nrt.org/sites/2/files/GPO-OILCOMMISSION.pdf. Published 2011. Accessed July 19, 2018.Google Scholar
8. National Oceanic and Atmospheric Administration National Centers for Environmental Information. State of the Climate: National Climate Report for Annual 2010. https://www.ncdc.noaa.gov/sotc/national/201013. Published 2011. Accessed June 4, 2017.Google Scholar
9. King, BS, Gibbins, JD. Health Hazard Evaluation of Deepwater Horizon Response Workers: HETA 2010-0115. Atlanta, GA: National Institute for Occupational Safety and Health, Centers for Disease Control and Prevention; 2010.Google Scholar
10. Michaels, D, Howard, J. Review of the OSHA-NIOSH response to the Deepwater Horizon oil spill: protecting the health and safety of cleanup workers. PLoS Curr. 2012;4:e4fa83b7576b7576e.Google Scholar
11. Deepwater Horizon MC252 New Orleans, Louisiana Unified Area Command. Heat Stress Management Plan. https://static.compliancetrainingonline.com/docs/Heat_Stress_Management_Plan.pdf. Published June 8, 2010. Accessed June 14, 2017.Google Scholar
12. Epstein, Y, Druyan, A, Heled, Y. Heat injury prevention—a military perspective. J Strength Cond Res. 2012;26(suppl 2):S82-S86.Google Scholar
13. National Institute for Occupational Safety and Health (NIOSH). NIOSH Criteria for a Recommended Standard: Occupational Exposure to Heat and Hot Environments. Cincinnati, OH: US Department of Health and Human Services, Center for Disease Control and Prevention, National Institute for Occupational Safety and Health; 2016.Google Scholar
14. Casa, DJ, Armstrong, LE, Kenny, GP, et al. Exertional heat stroke: new concepts regarding cause and care. Curr Sports Med Rep. 2012;11(3):115-123.Google Scholar
15. Wallace, RF, Kriebel, D, Punnett, L, et al. Risk factors for recruit exertional heat illness by gender and training period. Aviat Space Environ Med. 2006;77(4):415-421.Google Scholar
16. Armed Forces Health Surveillance Branch. Update: heat injuries, active component, U.S. Army, Navy, Air Force, and Marine Corps, 2015. MSMR. 2016;23(3):16-19.Google Scholar
17. Budd, GM. Wet-bulb globe temperature (WBGT)—its history and its limitations. J Sci Med Sport. 2008;11(1):20-32.Google Scholar
18. Occupational Safety and Health Administration. Using the Heat Index to Protect Workers. https://www.osha.gov/SLTC/heatillness/heat_index/using_heat_protect_workers.html. Published 2017. Accessed June 1, 2017.Google Scholar
19. Iheanacho, I. Can the USA National Weather Service Heat Index Substitute for Wet Bulb Globe Temperature for Heat Stress Exposure Assessment? Tampa, FL: Scholar Commons, University of South Florida; 2014.Google Scholar
20. US Army Public Health Center. Heat Illness Prevention. https://phc.amedd.army.mil/topics/discond/hipss/Pages/HeatInjuryPrevention.aspx. Published 2017. Accessed May 30, 2017.Google Scholar
21. Bernard, TE. Occupational Heat Stress in USA: Whither We Go? Ind Health. 2014;52(1):1-4.Google Scholar
22. Bernard, TE, Luecke, CL, Schwartz, SW, et al. WBGT clothing adjustments for four clothing ensembles under three relative humidity levels. J Occup Environ Hyg. 2005;2(5):251-256.Google Scholar
23. Garbern, SC, Ebbeling, LG, Bartels, SA. A systematic review of health outcomes among disaster and humanitarian responders. Prehosp Disaster Med. 2016;31(6):635-642.Google Scholar
24. Dellinger, AM, Kachur, PS, Sternberg, E, et al. Risk of heat-related injury to disaster relief workers in a slow-onset flood disaster. J Occup Environ Med. 1996;38(7):689-692.Google Scholar
25. Rusiecki, JA, Thomas, DL, Chen, L, et al. Disaster-related exposures and health effects among US Coast Guard responders to hurricanes Katrina and Rita: a cross-sectional study. J Occup Environ Med. 2014;56(8):820-833.Google Scholar
26. Garzon-Villalba, XP, Mbah, A, Wu, Y, et al. Exertional heat illness and acute injury related to ambient wet bulb globe temperature. Am J Ind Med. 2016;59:1169-1176.Google Scholar
27. Rusiecki, J, Alexander, M, Schwartz, EG, et al. The Deepwater Horizon oil spill Coast Guard Cohort study. Occup Environ Med. 2017;75(3):165-175.Google Scholar
28. Zou, G. A modified Poisson regression approach to prospective studies with binary data. Am J Epidemiol. 2004;159(7):702-706.Google Scholar
29. Thompson, ML, Myers, JE, Kriebel, D. Prevalence odds ratio or prevalence ratio in the analysis of cross sectional data: what is to be done? Occup Environ Med. 1998;55(4):272-277.Google Scholar
30. Costello, A, Abbas, M, Allen, A, et al. Managing the health effects of climate change. Lancet. 2009;373(9676):1693-1733.Google Scholar
31. Watts, N, Adger, WN, Ayeb-Karlsson, S, et al. The Lancet countdown: tracking progress on health and climate change. Lancet. 2017;389(10074):1151-1164.Google Scholar