220279 Trends and Public Health Consequences in Hazardous Substance Incidents Involving the Most Commonly Released Chemicals

Wednesday, November 10, 2010

Natalia Melnikova, MD, PhD , Division of Health Studies, Atlanta, GA
Ayana Anderson, MPH , Division of Health Studies, CDC/ATSDR, Atlanta, GA
Every year thousands of hazardous substance releases cause injuries and deaths, and result in costly public health actions in the US. The analysis of trends and public health consequences of these events is critical to identify areas to target for prevention. ATSDR's Hazardous Substances Emergency Events Surveillance (HSEES) data were used to analyze the trends and public health consequences of acute hazardous substances events caused by the top five chemicals released during 2001 to 2008. Of the 59,192 HSEES single chemicals events reported from 2001-2008, 6.1% were related to ammonia, 3.2% to carbon monoxide, 2.5% to mercury, 2.9% to paint, and 2.2% to sodium hydroxide releases. From 2001 to 2008, the frequency of reported ammonia, carbon monoxide, mercury, and sodium hydroxide related events increased slightly from 6.0% to 7.2%, from 2.2% to 3.09%, from 2.5% to 3.1%, from 2.2% to 2.8%, respectfully. The percent of paint-related events increased sharply from 1.7% to 4.9%. Of the 4,531 victims in these incidents, 67% were related to carbon monoxide, 27.3% ammonia, 2.9% sodium hydroxide, 1.1% mercury, and 0.6% paint releases. Members of the general public and employees were the most common victims. Percentage of events with injuries increased from 12.9% in 2001 to 16.0% in 2008. These five substances caused approximately 17% of events and 31% of all victims from 2001 to 2008. These chemicals, particularly carbon monoxide and ammonia, should become a priority for states to develop preventive strategies to minimize against acute releases and related injuries.

Learning Areas:
Environmental health sciences
Implementation of health education strategies, interventions and programs

Learning Objectives:
Analyze the trends and public health consequences of top five common hazardous chemical releases from 2001 to 2008.

Keywords: Surveillance, Hazards

Presenting author's disclosure statement:

Qualified on the content I am responsible for because: I am qualified to present because I managing and oversee environmental safety and public health prevention programs over 20 years.
Any relevant financial relationships? No

I agree to comply with the American Public Health Association Conflict of Interest and Commercial Support Guidelines, and to disclose to the participants any off-label or experimental uses of a commercial product or service discussed in my presentation.