Public Health Research and Surveillance Priorities from the East Palestine Train Derailment Proceedings of a Workshop–in Brief (2024) / Chapter Skim
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Public Health Research and Surveillance Priorities from the East Palestine Train Derailment: Proceedings of a Workshop - in Brief
Public Health Research and Surveillance Priorities from the East Palestine Train Derailment: Proceedings of a Workshop - in Brief
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the development of very specific actions for all involved Kristen Malecki, a professor and the division director parties to take and address the challenges faced by the of Environmental and Occupational Health Sciences at East Palestine community. the University of Illinois Chicago, opened the workshop emphasizing the development of a research agenda IMPACT OF THE EAST PALESTINE TRAIN DERAILMENT responsive to community questions and concerns across This section covers the physical, emotional, and hazards, exposures, risks, and health impacts to inform social impacts described by community members and strategies for protecting residents now and in the future.
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For example, Bill Sutherin, health services and available research on the long-term the director of the United Methodist Committee on psychological health impacts of similar environmental Relief, stated that among people he spoke with, either disasters. downtown or in church settings, most have not reported problems related to the incident though he acknowledged According to Gretchen Nickell, the chief medical officer at that some community members have experienced anxiety the East Liverpool City Hospital and the medical director related to the event.
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For example, photoionization detectors key data gaps remain regarding long-term monitoring, indicate general VOC levels but cannot pinpoint specific health impacts, risk communication, and chemical sources. Expanding on Durno's and Presto's remarks, mixture exposures that require further research and Andrew Whelton, a professor of civil engineering and analysis.
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Concluding the discussion, Whelton urged data transparency and collaboration so that Erin Haynes, the chair of the Department of affected residents can benefit from monitoring efforts. Epidemiology and Environmental Health at the University of Kentucky, presented preliminary data from a Human Health Impacts community health tracking survey that showed high rates Panelists from government agencies, medical centers, of respiratory, neurological, dermal, and gastrointestinal and academic institutions presented findings from symptoms as well as indicators of stress and PTSD health surveys and exposure assessments conducted in attributed to the derailment.
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Panelists next discussed challenges in disaster risk characterization and risk communication, with various Regarding the acute health effects such as irritant panel members highlighting needs for accessible toxicity symptoms and mental health impacts that were data and meaningful community engagement from reported in community and first responder surveys, diverse perspectives. Keeve Nachman, an associate Caudill said that, based on current knowledge, these professor at the Johns Hopkins Bloomberg School of acute effects are expected to resolve over time.
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Williams highlighted emerging related to the East Palestine train derailment and its computational mixture assessment methods, although potential health impacts. Fenton and Chiu explained that chemical interaction data remain limited.
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Pearson said that the long- Environmental and Health Monitoring 8 Biomonitoring refers to the assessment of human exposures to Several presenters emphasized that analytical methods chemicals by measuring these substances or their metabolites in to identify chemicals and quantify exposures used in biological specimens such as blood or urine. 9 This section is the rapporteurs' summary of points made by the combination with long-term biomonitoring can help individual speakers identified, and the statements have not been endorsed or verified by the National Academies of Sciences, Engineering, reconstruct past exposures and their health impacts and Medicine.
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Chiu noted that analyzing the health risks resident experiences, build trust, and increase research of chemical mixtures like dioxins remains challenging accessibility following the East Palestine incident. due to the large number of potential compounds and Jennifer Horney, a founding director of and professor in limited authoritative sources quantifying their relative the epidemiology program at the University of Delaware, potencies.
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She emphasized the need for research to monitor the longer-term health impacts and how Long-Term Health Impacts and Interventions this event and those that were discussed can support Panelists described studying disease progression, more robust research to advance disaster preparedness mental health impacts, and multigenerational effects particularly for VOCs with short half-lives and unknown and improving provider education as being critical health risks. The community remains divided regarding to addressing long-term physical and psychological the adverse impacts and ongoing issues adding to the consequences in affected communities.
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While ATSDR and other agencies did Nachman, who spotlighted the information chaos and provide information and fact sheets regarding exposures uncertainty concerning health impacts. He recommended and risks from the derailment, poison control center updating evidence-based risk communication strategies responders indicated practitioners on the ground wanted to account for modern barriers related to information more digestible clinical guidance based on community overload and social/political polarization.
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. BOX Potential Strategies for Addressing and Monitoring Community Health Impacts Based on Statements from Individual Speakersa Potential Near-Term Strategies • Maintaining community partnerships, communication, and trust-building while transitioning from response to long-term research and surveillance (Casey, Horney)
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. a This list is the rapporteurs' summary of points made by the individual speakers identified and the statements have not been endorsed or verified by the National Academies of Sciences, Engineering, and Medicine.
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, University of Chicago; Thomas Burke, Johns Hopkins Bloomberg School of Public Health; Carol Cunningham, Ohio Department of Public Safety; Kristen Dickerson, Ohio Department of Health; Erin Haynes, University of Kentucky; Darryl Hood, The Ohio State University; Alex Kemper, Nationwide Children's Hospital; Erika Kinkead, New Brighton Area School District; Roberta Lavin, University of New Mexico; Maureen Lichtveld, University of Pittsburgh School of Public Health; Michele Marcus, Emory University; Julie Miller, Pennsylvania Department of Public Health; Keeve Nachman, Johns Hopkins Bloomberg School of Public Health; Harold "Fritz" Nelson, First United Presbyterian Church of East Palestine; Ivan Rusyn, Texas A&M University; and Andrew Whelton, Purdue University. REVIEWERS To ensure that it meets institutional standards for quality and objectivity, this Proceedings of a Workshop -- in Brief was reviewed by Patrick Breysee, Johns Hopkins University, and Erika Kinkead, New Brighton Areas School District.
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