{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,30]],"date-time":"2026-07-30T17:56:58Z","timestamp":1785434218391,"version":"3.56.0"},"reference-count":10,"publisher":"Cambridge University Press (CUP)","license":[{"start":{"date-parts":[[2025,8,5]],"date-time":"2025-08-05T00:00:00Z","timestamp":1754352000000},"content-version":"unspecified","delay-in-days":216,"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":[[2025]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec id=\"S1935789325101547_sec1\">\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>On November 20, 2021, petroleum fuel contaminated the Red Hill well, which provides water to about 93\u00a0000 persons on Oahu, Hawaii. Initial investigations recommended further evaluations of long-term health effects of petroleum exposure in drinking water. We reviewed electronic health records of those potentially exposed to contaminated water to understand prevalence of conditions and symptoms.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec id=\"S1935789325101547_sec2\" sec-type=\"methods\">\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>A sample of persons potentially exposed during November 20, 2021-March 18, 2022 who sought care within the military health system through February 24, 2023 was identified. Abstracted records were categorized as worsening preexisting or persistent new for conditions and symptoms.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec id=\"S1935789325101547_sec3\" sec-type=\"results\">\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Of 653 medical charts reviewed, 357 (55%) had worsening preexisting or persistent new conditions or symptoms. Most-documented conditions included worsening preexisting migraine (8%; 50\/653) and chronic pain (4%; 26\/653), and persistent new migraine (2%; 14\/653) and adjustment disorder (2%; 13\/653). Most-documented symptoms included worsening preexisting headache (8%; 49\/653) and anxiety (6%; 42\/653), and persistent new rash (7%; 46\/653) and headache (5%; 34\/653).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec id=\"S1935789325101547_sec4\" sec-type=\"conclusions\">\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Approximately half of the abstracted medical records demonstrated worsening preexisting or persistent new conditions or symptoms and might benefit from sustained access to physical, mental, and specialized health care support systems. Continued monitoring for long-term health outcomes is recommended.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1017\/dmp.2025.10154","type":"journal-article","created":{"date-parts":[[2025,8,5]],"date-time":"2025-08-05T07:30:26Z","timestamp":1754379026000},"source":"Crossref","is-referenced-by-count":2,"title":["Morbidities Associated with Drinking Water Contamination After a 2021 Petroleum Leak \u2014 Oahu, Hawaii, March 2023"],"prefix":"10.1017","volume":"19","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-6748-4677","authenticated-orcid":false,"given":"Daniel D.","family":"Nguyen","sequence":"first","affiliation":[{"id":[{"id":"https:\/\/ror.org\/042twtr12","id-type":"ROR","asserted-by":"publisher"}],"name":"Epidemic Intelligence Service, Centers for Disease Control and Prevention"},{"id":[{"id":"https:\/\/ror.org\/05xf94514","id-type":"ROR","asserted-by":"publisher"}],"name":"United States Public Health Service Commissioned Corps"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Cristin E.","family":"McArdle","sequence":"additional","affiliation":[{"id":[{"id":"https:\/\/ror.org\/042twtr12","id-type":"ROR","asserted-by":"publisher"}],"name":"Epidemic Intelligence Service, Centers for Disease Control and Prevention"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-2886-6909","authenticated-orcid":false,"given":"Katharine E.","family":"Saunders","sequence":"additional","affiliation":[{"id":[{"id":"https:\/\/ror.org\/042twtr12","id-type":"ROR","asserted-by":"publisher"}],"name":"Epidemic Intelligence Service, Centers for Disease Control and Prevention"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"David","family":"Carranza","sequence":"additional","affiliation":[{"id":[{"id":"https:\/\/ror.org\/042twtr12","id-type":"ROR","asserted-by":"publisher"}],"name":"Epidemic Intelligence Service, Centers for Disease Control and Prevention"},{"id":[{"id":"https:\/\/ror.org\/05xf94514","id-type":"ROR","asserted-by":"publisher"}],"name":"United States Public Health Service Commissioned Corps"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lilanthi","family":"Balasuriya","sequence":"additional","affiliation":[{"id":[{"id":"https:\/\/ror.org\/042twtr12","id-type":"ROR","asserted-by":"publisher"}],"name":"Epidemic Intelligence Service, Centers for Disease Control and Prevention"},{"id":[{"id":"https:\/\/ror.org\/05xf94514","id-type":"ROR","asserted-by":"publisher"}],"name":"United States Public Health Service Commissioned Corps"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Izraelle I.","family":"McKinnon","sequence":"additional","affiliation":[{"id":[{"id":"https:\/\/ror.org\/042twtr12","id-type":"ROR","asserted-by":"publisher"}],"name":"Epidemic Intelligence Service, Centers for Disease Control and Prevention"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7976-1096","authenticated-orcid":false,"given":"Amy","family":"Fothergill","sequence":"additional","affiliation":[{"id":[{"id":"https:\/\/ror.org\/042twtr12","id-type":"ROR","asserted-by":"publisher"}],"name":"Epidemic Intelligence Service, Centers for Disease Control and Prevention"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jack","family":"Pfeiffer","sequence":"additional","affiliation":[{"id":[{"id":"https:\/\/ror.org\/042twtr12","id-type":"ROR","asserted-by":"publisher"}],"name":"Epidemic Intelligence Service, Centers for Disease Control and Prevention"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-2150-6030","authenticated-orcid":false,"given":"Nicholas V.","family":"Titelbaum","sequence":"additional","affiliation":[{"id":[{"id":"https:\/\/ror.org\/0045x2741","id-type":"ROR","asserted-by":"publisher"}],"name":"Office of Capacity Development and Applied Prevention Science, Agency for Toxic Substances and Disease Registry"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"T. Christy","family":"Hallett","sequence":"additional","affiliation":[{"id":[{"id":"https:\/\/ror.org\/042twtr12","id-type":"ROR","asserted-by":"publisher"}],"name":"National Center for Environmental Health, Centers for Disease Control and Prevention"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Maureen F.","family":"Orr","sequence":"additional","affiliation":[{"id":[{"id":"https:\/\/ror.org\/0045x2741","id-type":"ROR","asserted-by":"publisher"}],"name":"Office of Innovation and Analytics, Agency for Toxic Substances and Disease Registry"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-5192-7269","authenticated-orcid":false,"given":"Stacey","family":"Konkle","sequence":"additional","affiliation":[{"id":[{"id":"https:\/\/ror.org\/0045x2741","id-type":"ROR","asserted-by":"publisher"}],"name":"Office of Innovation and Analytics, Agency for Toxic Substances and Disease Registry"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"56","published-online":{"date-parts":[[2025,8,5]]},"reference":[{"key":"S1935789325101547_r1","unstructured":"1. ATSDR. Toxicological profile for JP-5, JP-8, and jet a fuels. 2017. https:\/\/www.atsdr.cdc.gov\/toxprofiles\/tp121.pdf"},{"key":"S1935789325101547_r2","doi-asserted-by":"publisher","DOI":"10.1097\/00043764-199707000-00007"},{"key":"S1935789325101547_r3","first-page":"49","article-title":"Human exposure to the jet fuel, JP-8","volume":"75","author":"Tu","year":"2004","journal-title":"Aviat Space Environ Med."},{"key":"S1935789325101547_r10","doi-asserted-by":"publisher","DOI":"10.1186\/s12889-024-20394-z"},{"key":"S1935789325101547_r9","doi-asserted-by":"publisher","DOI":"10.21236\/ADA443114"},{"key":"S1935789325101547_r6","doi-asserted-by":"publisher","DOI":"10.2166\/wh.2023.109"},{"key":"S1935789325101547_r5","first-page":"71","article-title":"Notes from the field: self-reported health symptoms following petroleum contamination of a drinking water system\u2014Oahu, Hawaii, November 2021\u2013February 2022","author":"Troeschel","year":"2022","journal-title":"MMWR Morbidity and Mortality Weekly Report."},{"key":"S1935789325101547_r4","doi-asserted-by":"publisher","DOI":"10.1289\/ehp.02110805"},{"key":"S1935789325101547_r7","unstructured":"7. DHA Public Health. Red Hill Public Health Information. May 16, 2024. Accessed May 25, 2024. https:\/\/ph.health.mil\/topics\/campaigns\/red-hill-public-health\/Pages\/default.aspx#reg"},{"key":"S1935789325101547_r8","doi-asserted-by":"publisher","DOI":"10.1016\/j.neuro.2011.06.010"}],"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\/S1935789325101547","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,8,5]],"date-time":"2025-08-05T07:30:29Z","timestamp":1754379029000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.cambridge.org\/core\/product\/identifier\/S1935789325101547\/type\/journal_article"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025]]},"references-count":10,"alternative-id":["S1935789325101547"],"URL":"https:\/\/doi.org\/10.1017\/dmp.2025.10154","relation":{},"ISSN":["1935-7893","1938-744X"],"issn-type":[{"value":"1935-7893","type":"print"},{"value":"1938-744X","type":"electronic"}],"subject":[],"published":{"date-parts":[[2025]]},"article-number":"e219"}}