Hostname: page-component-cd9895bd7-jn8rn Total loading time: 0 Render date: 2024-12-18T14:41:42.289Z Has data issue: false hasContentIssue false
  • English
  • Français

Hospital Impact After a Chemical Spill That Compromised the Potable Water Supply: West Virginia, January 2014

Published online by Cambridge University Press:  06 March 2017

Joy Hsu ,
Maria C. del Rosario ,
Erica Thomasson ,
Danae Bixler ,
Loretta Haddy  and
Mary Anne Duncan
Joy Hsu*
Affiliation:
Epidemic Intelligence Service, Office of Public Health Scientific Services, Centers for Disease Control and Prevention, Atlanta, Georgia Air Pollution and Respiratory Health Branch, Division of Environmental Hazards and Health Effects, National Center for Environmental Health, Centers for Disease Control and Prevention, Atlanta, Georgia
Maria C. del Rosario
Affiliation:
Division of Infectious Disease Epidemiology, Office of Epidemiology and Prevention Services, West Virginia Bureau for Public Health, Charleston, West Virginia
Erica Thomasson
Affiliation:
Epidemic Intelligence Service, Office of Public Health Scientific Services, Centers for Disease Control and Prevention, Atlanta, Georgia Career Epidemiology Field Officer Program, Division of State and Local Readiness, Office of Public Health Preparedness and Response, Centers for Disease Control and Prevention Office of Environmental Health Services, West Virginia Bureau for Public Health, Charleston, West Virginia
Danae Bixler
Affiliation:
Division of Infectious Disease Epidemiology, Office of Epidemiology and Prevention Services, West Virginia Bureau for Public Health, Charleston, West Virginia
Loretta Haddy
Affiliation:
Office of Epidemiology and Prevention Services, West Virginia Bureau for Public Health, Charleston, West Virginia
Mary Anne Duncan
Affiliation:
Environmental Health Surveillance Branch, Division of Toxicology and Human Health Sciences, Agency for Toxic Substances and Disease Registry, Atlanta, Georgia
*
Correspondence and reprint request to Dr Joy Hsu, Medical Officer, Air Pollution and Respiratory Health Branch, Division of Environmental Hazards and Health Effects, National Center for Environmental Health, Centers for Disease Control and Prevention, 4770 Buford Highway Mailstop F-60, Atlanta, GA 30341 (e-mail: [email protected]).
Get access Rights & Permissions [Opens in a new window]

Abstract

In January 2014, a chemical spill of 4-methylcyclohexanemethanol and propylene glycol phenyl ethers contaminated the potable water supply of approximately 300,000 West Virginia residents. To understand the spill’s impact on hospital operations, we surveyed representatives from 10 hospitals in the affected area during January 2014. We found that the spill-related loss of potable water affected many aspects of hospital patient care (eg, surgery, endoscopy, hemodialysis, and infection control of Clostridium difficile). Hospital emergency preparedness planning could be enhanced by specifying alternative sources of potable water sufficient for hemodialysis, C. difficile infection control, and hospital processing and cleaning needs (in addition to drinking water). (Disaster Med Public Health Preparedness. 2017;11:621–624)

Keywords

4-Methylcyclohexanemethanolchemical spillpotable wateremergency responsehospital
Type
Report from the Field
Information
Disaster Medicine and Public Health Preparedness , Volume 11 , Issue 5 , October 2017 , pp. 621 - 624
Copyright
Copyright © Society for Disaster Medicine and Public Health, Inc. 2017 

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

1. Thomasson, ED, Scharman, EJ, Fechter-Leggett, E, et al. Acute health effects after the Elk River chemical spill, West Virginia, January 2014 [published online February 9, 2017]. Public Health Rep. https://doi.org/ 10.1177/0033354917691257.Google Scholar
2. Agency for Toxic Substances and Disease Registry. Assessment of Chemical Exposures (ACE) Program. ATSDR website. http://www.atsdr.cdc.gov/ntsip/ace.html. Accessed August 12, 2015.Google Scholar
3. Centers for Disease Control and Prevention, American Water Works Association. Emergency Water Supply Planning Guide for Hospitals and Health Care Facilities. http://www.cdc.gov/healthywater/pdf/emergency/emergency-water-supply-planning-guide.pdf. Published 2012. Accessed August 12, 2015.Google Scholar
4. Centers for Disease Control and Prevention. Public Health Preparedness Capabilities: National Standards for State and Local Planning. CAPABILITY 13: Public Health Surveillance and Epidemiological Investigation. http://www.cdc.gov/phpr/capabilities/capability13.pdf. Accessed August 12, 2015.Google Scholar
5. Kamei, D, Kuno, T, Sato, S, et al. Impact of the Fukushima Daiichi Nuclear Power Plant accident on hemodialysis facilities: an evaluation of radioactive contaminants in water used for hemodialysis. Ther Apher Dial. 2012;16(1):87-90. https://doi.org/10.1111/j.1744-9987.2011.01029.x.CrossRefGoogle ScholarPubMed
6. Stymiest, DL. High dry. Managing water failures in health care facilities. Health Facil Manage. 2004;17(3):20-24.Google ScholarPubMed
7. Milsten, A. Hospital responses to acute-onset disasters: a review. Prehosp Disaster Med. 2000;15(1):40-53. https://doi.org/10.1017/S1049023X00024900.CrossRefGoogle ScholarPubMed
8. Leffler, DA, Lamont, JT. Clostridium difficile infection. N Engl J Med. 2015;373(3):287-288.Google ScholarPubMed
9. Department of Homeland Security. National Infrastructure Protection Plan: 2010 Water Sector-Specific Plan. http://www.dhs.gov/xlibrary/assets/nipp-ssp-water-2010.pdf. Published 2010. Accessed August 12, 2015.Google Scholar
10. United States Environmental Protection Agency. Water & Healthcare Sector Interdependencies: Working Together Towards Resiliency. https://nepis.epa.gov/Exe/ZyPDF.cgi/P100DP7G.PDF?Dockey=P100DP7G.pdf. Published December 2010. Accessed October 6, 2016.Google Scholar
11. Centers for Disease Control and Prevention Long-Term Care Services in the United States: 2013 Overview. Vital Health Stat. 2013;3(37). http://www.cdc.gov/nchs/data/nsltcp/long_term_care_services_2013.pdf. Accessed August 12, 2015.Google Scholar