{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,2,10]],"date-time":"2026-02-10T16:22:22Z","timestamp":1770740542163,"version":"3.49.0"},"reference-count":12,"publisher":"Cambridge University Press (CUP)","issue":"4","license":[{"start":{"date-parts":[[2016,3,2]],"date-time":"2016-03-02T00:00:00Z","timestamp":1456876800000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/www.cambridge.org\/core\/terms"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Disaster med. public health prep."],"published-print":{"date-parts":[[2016,8]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec id=\"S193578931500186X_abs1\" sec-type=\"general\"><jats:title>Objective<\/jats:title><jats:p>On April 17, 2013, a fire and subsequent explosion occurred at the West Fertilizer Company plant in West, Texas, and caused extensive damage to the adjacent neighborhood. This investigation described the fatal and nonfatal injuries caused by the explosion.<\/jats:p><\/jats:sec><jats:sec id=\"S193578931500186X_abs2\" sec-type=\"methods\"><jats:title>Methods<\/jats:title><jats:p>Persons injured by the fertilizer plant explosion were identified through death certificates, medical examination reports, medical records, and survivor interviews. Data on patient characteristics, type of injury, and location of injury were collected.<\/jats:p><\/jats:sec><jats:sec id=\"S193578931500186X_abs3\" sec-type=\"results\"><jats:title>Results<\/jats:title><jats:p>Medical record review indicated that 252 individuals sought medical care for nonfatal injuries directly related to the explosion immediately after the explosion. Fifteen patients died of injuries sustained by the blast. Almost one-quarter of patients were admitted for treatment of injuries. Injuries sustained in the explosion included abrasions\/contusions, lacerations\/penetrating trauma, traumatic brain injuries\/concussions, tinnitus\/hearing problems, eye injuries, and inhalational injuries. Patients located closer to the explosion were more likely to be admitted to the hospital for treatment of injuries than were those who were located further away.<\/jats:p><\/jats:sec><jats:sec id=\"S193578931500186X_abs4\" sec-type=\"conclusion\"><jats:title>Conclusion<\/jats:title><jats:p>Explosions of this magnitude are rare, but can inflict severe damage to a community and its residents. This investigation could be a useful planning resource for other communities, public health agencies, first responders, and medical facilities. (<jats:italic>Disaster Med Public Health Preparedness<\/jats:italic>. 2016;10:583\u2013590)<\/jats:p><\/jats:sec>","DOI":"10.1017\/dmp.2015.186","type":"journal-article","created":{"date-parts":[[2016,3,2]],"date-time":"2016-03-02T04:47:25Z","timestamp":1456894045000},"page":"583-590","source":"Crossref","is-referenced-by-count":6,"title":["Epidemiologic Investigation of Injuries Associated With the 2013 Fertilizer Plant Explosion in West, Texas"],"prefix":"10.1017","volume":"10","author":[{"given":"Kristi","family":"Metzger","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-2882-2335","authenticated-orcid":false,"given":"Hammad","family":"Akram","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Bonnie","family":"Feldt","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kahler","family":"Stone","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Stephanie","family":"Alvey","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sandi","family":"Henley","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Alicia","family":"Hernandez","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sharon","family":"Melville","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Tracy","family":"Haywood","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"David","family":"Zane","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"56","published-online":{"date-parts":[[2016,3,2]]},"reference":[{"key":"S193578931500186X_ref9","doi-asserted-by":"publisher","DOI":"10.1017\/S1049023X0003733X"},{"key":"S193578931500186X_ref5","unstructured":"US Environmental Protection Agency website. Chemical accident investigation report: Terra Industries, Inc., Nitrogen Fertilizer Facility Port, Neal, Iowa. http:\/\/www.epa.gov\/oem\/docs\/chem\/cterra.pdf. Published January 1996. Accessed January 14, 2015."},{"key":"S193578931500186X_ref8","unstructured":"Centers for Disease Control and Prevention; American College of Emergency Physicians. Medical record abstraction form for domestic bombing events. http:\/\/www.acep.org\/uploadedFiles\/ACEP\/Practice_Resources\/disater_and_EMS\/Medical%20Record%20Abstraction%20Form.pdf. Accessed May 12, 2015."},{"key":"S193578931500186X_ref4","doi-asserted-by":"publisher","DOI":"10.1001\/jama.1996.03540050042021"},{"key":"S193578931500186X_ref1","unstructured":"Annual estimates of the resident population: April 1, 2010 to July 1, 2013. US Census Bureau Web site. http:\/\/factfinder.census.gov\/faces\/nav\/jsf\/pages\/index.xhtml. Accessed February 8, 2016."},{"key":"S193578931500186X_ref2","unstructured":"Texas State Fire Marshall\u2019s Office. Firefighter Fatality Investigation. Investigation FFF FY 13-06. http:\/\/www.tdi.texas.gov\/reports\/fire\/documents\/fmloddwest.pdf. Published May 16, 2014. Accessed May 14, 2015."},{"key":"S193578931500186X_ref12","unstructured":"US Department of Health and Human Services. Healthcare Preparedness Capabilities: National Guidance for Healthcare System Preparedness. http:\/\/www.phe.gov\/Preparedness\/planning\/hpp\/reports\/Documents\/capabilities.pdf. Published January 2012. Accessed October 30, 2015."},{"key":"S193578931500186X_ref7","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0083038"},{"key":"S193578931500186X_ref10","doi-asserted-by":"publisher","DOI":"10.1017\/S1049023X00004593"},{"key":"S193578931500186X_ref6","doi-asserted-by":"publisher","DOI":"10.1016\/0002-9610(49)90318-9"},{"key":"S193578931500186X_ref3","doi-asserted-by":"publisher","DOI":"10.1016\/j.jhazmat.2004.02.039"},{"key":"S193578931500186X_ref11","unstructured":"Centers for Disease Control and Prevention. Public Health Preparedness Capabilities: National Standards for State and Local Planning. http:\/\/www.cdc.gov\/phpr\/capabilities\/dslr_capabilities_july.pdf. Published March 21, 2011. Accessed October 30, 2015."}],"container-title":["Disaster Medicine and Public Health Preparedness"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.cambridge.org\/core\/services\/aop-cambridge-core\/content\/view\/S193578931500186X","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2019,4,18]],"date-time":"2019-04-18T21:43:18Z","timestamp":1555623798000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.cambridge.org\/core\/product\/identifier\/S193578931500186X\/type\/journal_article"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2016,3,2]]},"references-count":12,"journal-issue":{"issue":"4","published-print":{"date-parts":[[2016,8]]}},"alternative-id":["S193578931500186X"],"URL":"https:\/\/doi.org\/10.1017\/dmp.2015.186","relation":{},"ISSN":["1935-7893","1938-744X"],"issn-type":[{"value":"1935-7893","type":"print"},{"value":"1938-744X","type":"electronic"}],"subject":[],"published":{"date-parts":[[2016,3,2]]}}}