Panel Classification of Self-Reported Exposure Histories: A Useful Exposure Index after a Mass-Casualty Event

Sickle, David Van; Wenck, Mary Anne; Wenck, Anne; Belflower, Amy; Drociuk, Dan; Ferdinands, Jill

doi:10.1177/003335490712200609

Cited by 4 publications

(6 citation statements)

References 10 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Extensive epidemiological assessments of Graniteville residents affected by the chlorine release were conducted by several investigators (Wenck et al, 2007;Van Sickle et al, 2007;Van Sickle et al, 2009). Wenck et al (2007) determined exposure morbidity outcomes based on interviews with several hundred people who sought medical care after the chlorine exposure.…”

Section: Comparisons Of Scipuff Results To Health and Environmental Ementioning

confidence: 99%

“…Wenck et al (2007) determined exposure morbidity outcomes based on interviews with several hundred people who sought medical care after the chlorine exposure.…”

Section: Comparisons Of Scipuff Results To Health and Environmental Ementioning

confidence: 99%

“…Affected individuals were assigned an exposure outcome rating ranging from 1 for no exposure to 5 for extreme exposure causing hospitalization for more than three nights, or death (Wenck et al, 2007). Therefore, an extreme outcome is generally consistent with the definition of the AEGL-3 threshold concentration.…”

Section: Comparisons Of Scipuff Results To Health and Environmental Ementioning

confidence: 99%

“…Over the next three hours, this dense chlorine cloud spread through gravitational settling, diffused into the ambient atmosphere, and was subsequently transported out of the area by the prevailing southsouthwesterly wind. The resulting statistics on mortality, morbidity, and environmental damage included 9 fatalities and 71 hospitalizations, several hundred deaths of animal and fish, and a severe bleaching of vegetation within a radius of approximately 1 km of the accident scene (Allen and Thomason, 2005;Buckley et al, 2007;Wenck et al, 2007). A previous modeling study (Buckley et al, 2007) examined the release of chlorine from an emergency response perspective and provides further background information.…”

Section: Introductionmentioning

confidence: 99%

See 3 more Smart Citations

A case study of chlorine transport and fate following a large accidental release

Buckley

Hunter

Werth

et al. 2012

Atmospheric Environment

View full text Add to dashboard Cite

Section: Comparisons Of Scipuff Results To Health and Environmental Ementioning

confidence: 99%

“…Wenck et al (2007) determined exposure morbidity outcomes based on interviews with several hundred people who sought medical care after the chlorine exposure.…”

Section: Comparisons Of Scipuff Results To Health and Environmental Ementioning

confidence: 99%

Section: Comparisons Of Scipuff Results To Health and Environmental Ementioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

A case study of chlorine transport and fate following a large accidental release

Buckley

Hunter

Werth

et al. 2012

Atmospheric Environment

View full text Add to dashboard Cite

“…During the analysis, the categories were dichotomized by combining the no-to-mild exposure ratings and moderateto-extreme exposure ratings. A complete description of the process of assigning the ratings has been reported elsewhere [2].…”

Section: Exposure and Outcome Measures Used In The Rapid Assessmentmentioning

confidence: 99%

Follow-Up Assessment of Health Consequences after a Chlorine Release from a Train Derailment—Graniteville, SC, 2005

et al. 2011

Self Cite

View full text Add to dashboard Cite

Introduction After a train derailment released chlorine gas in Graniteville, South Carolina, in 2005, a multiagency team performed an epidemiologic assessment of chlorine exposure and resulting health effects. Five months later, participants were resurveyed to determine their health status and needs and to assist in planning additional interventions in the community. Methods Questionnaires were mailed to 279 patients interviewed in the initial assessment; follow-up telephone calls were made to nonresponders. The questionnaire included questions regarding duration of symptoms experienced after exposure and a posttraumatic stress disorder (PTSD) assessment tool. Results Ninety-four questionnaires were returned. Seventysix persons reported chronic symptoms related to the chlorine exposure, 47 were still under a doctor's care, and 49 were still taking medication for chlorine-related problems. Agreement was poor between the first and second questionnaires regarding symptoms experienced after exposure to the chlorine (κ=0.30). Forty-four respondents screened positive for PTSD. PTSD was associated with post-exposure hospitalization for three or more nights [relative risk (RR) = 1.7; 95% confidence interval (CI) = 1.1-2.6] and chronic symptoms (RR=9.1; 95% CI=1.3-61.2), but not with a moderate-to-extreme level of chlorine exposure (RR=1.2; 95% CI=0.8-1.8).Conclusions Some victims of this chlorine exposure event continued to experience physical symptoms and continued to require medical care 5 months later. Chronic mental health symptoms were prevalent, especially among persons experiencing the most severe or persistent physical health

show abstract

Providing Advice to those Exposed to Combustion Products

Murray¹

2015

Toxicology, Survival and Health Hazards of Combustion Products

View full text Add to dashboard Cite

Coordinating planning and response by emergency services linking to public health and local authorities with the relevant governmental agencies is vital to enable appropriate procedures to implement the best strategies to protect the health of the population—one such of concern is the provisions of advice to those exposed to combustion products. Public health advice relates to sheltering using the message “go in, stay in, tune in” and to evacuation using the message of “get out, stay out and call 999”. This chapter, by describing eight case studies documented by the UK Health Protection Agency, shows that this advice is a complex but poorly researched area. These eight case studies illustrate the dilemmas identified by emergency services in providing the best advice to the public and the difficulties in making decisions in a multi-agency and timely way. Implementing these decisions may also be contentious, particularly when individuals may refuse to leave their homes. It was also noted that this advice is sometimes not shared clearly or well communicated. Many gaps in research are identified on the provisions of advice to those exposed to combustion products, including the need for a systematic study of the evidence base on the provision of advice to those exposed to combustion products and the need for standardised documentation of each event to allow improved assessment of the guidance offered and of its efficacy. It would be useful to broaden this systematic literature review to include all incidents, fire, chemical spills and other events, such as extreme weather events and other natural hazards, where sheltering and evacuation guidance is given to the public.

show abstract

Panel Classification of Self-Reported Exposure Histories: A Useful Exposure Index after a Mass-Casualty Event

Cited by 4 publications

References 10 publications

A case study of chlorine transport and fate following a large accidental release

A case study of chlorine transport and fate following a large accidental release

Follow-Up Assessment of Health Consequences after a Chlorine Release from a Train Derailment—Graniteville, SC, 2005

Providing Advice to those Exposed to Combustion Products

Contact Info

Product

Resources

About