{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,30]],"date-time":"2026-07-30T12:11:24Z","timestamp":1785413484188,"version":"3.56.0"},"reference-count":13,"publisher":"Cambridge University Press (CUP)","license":[{"start":{"date-parts":[[2025,9,29]],"date-time":"2025-09-29T00:00:00Z","timestamp":1759104000000},"content-version":"unspecified","delay-in-days":271,"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=\"S1935789325102073_sec1\">\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>An estimated 93,000 persons were potentially exposed to drinking water contaminated with petroleum jet propellant (JP)-5 fuel after a November 20, 2021, leak at the Red Hill Bulk Fuel Storage Facility on Oahu, Hawaii. Previous investigations identified the need to evaluate long-term mental health effects associated with JP-5 exposure.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec id=\"S1935789325102073_sec2\" sec-type=\"methods\">\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>We identified adults potentially exposed to jet fuel-contaminated water during November 20, 2021-March 18, 2022, who sought care within the military health system through February 24, 2023. We abstracted a sample of electronic medical records and categorized documented mental health conditions and symptoms as \u201cworsening preexisting\u201d or \u201cpersistent new.\u201d We also assessed mental health-related medication use before and after November 20, 2021.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec id=\"S1935789325102073_sec3\" sec-type=\"results\">\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>We abstracted medical charts for 411 adults potentially exposed to jet fuel-contaminated water. Of this cohort, 123 (29.9%) had documented worsening preexisting mental health conditions or symptoms, 86 (20.9%) had persistent new mental health conditions or symptoms, and 109 (26.5%) had at least one mental health-related medication prescribed after the exposure event.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec id=\"S1935789325102073_sec4\" sec-type=\"conclusions\">\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>These results highlight mental health needs during and after water contamination events. Continued access to mental health care services and monitoring for long-term mental health effects is recommended.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1017\/dmp.2025.10207","type":"journal-article","created":{"date-parts":[[2025,9,29]],"date-time":"2025-09-29T11:09:32Z","timestamp":1759144172000},"source":"Crossref","is-referenced-by-count":0,"title":["Long-Term Mental Health Findings and Concerns After Potential Exposure to Petroleum in Drinking Water on Joint Base Pearl Harbor-Hickam, November 20, 2021\u2013February 24, 2023"],"prefix":"10.1017","volume":"19","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-2886-6909","authenticated-orcid":false,"given":"Katharine E.","family":"Saunders","sequence":"first","affiliation":[{"id":[{"id":"https:\/\/ror.org\/042twtr12","id-type":"ROR","asserted-by":"publisher"}],"name":"U.S. Centers for Disease Control and Prevention, Epidemic Intelligence Service"}],"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":"U.S. Centers for Disease Control and Prevention, Epidemic Intelligence Service"},{"id":[{"id":"https:\/\/ror.org\/05xf94514","id-type":"ROR","asserted-by":"publisher"}],"name":"U.S. Public Health Service"}],"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":"U.S. Centers for Disease Control and Prevention, Epidemic Intelligence Service"},{"id":[{"id":"https:\/\/ror.org\/05xf94514","id-type":"ROR","asserted-by":"publisher"}],"name":"U.S. Public Health Service"}],"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":"Agency for Toxic Substances and Disease Registry, Office of Capacity Development and Applied Prevention Science"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6748-4677","authenticated-orcid":false,"given":"Daniel D.","family":"Nguyen","sequence":"additional","affiliation":[{"id":[{"id":"https:\/\/ror.org\/042twtr12","id-type":"ROR","asserted-by":"publisher"}],"name":"U.S. Centers for Disease Control and Prevention, Epidemic Intelligence Service"},{"id":[{"id":"https:\/\/ror.org\/05xf94514","id-type":"ROR","asserted-by":"publisher"}],"name":"U.S. Public Health Service"},{"name":"Hawaii State Department of Health"}],"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":"U.S. Centers for Disease Control and Prevention, Epidemic Intelligence Service"}],"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":"U.S. Centers for Disease Control and Prevention, Epidemic Intelligence Service"}],"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":"U.S. Centers for Disease Control and Prevention, Epidemic Intelligence Service"}],"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":"U.S. Centers for Disease Control and Prevention, Epidemic Intelligence Service"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"T. Christy","family":"Hallett","sequence":"additional","affiliation":[{"name":"National Center for Environmental Health, Division of Environmental Health Science and Practice"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Asha S.","family":"Choudhury","sequence":"additional","affiliation":[{"id":[{"id":"https:\/\/ror.org\/042twtr12","id-type":"ROR","asserted-by":"publisher"}],"name":"U.S. Centers for Disease Control and Prevention, Epidemic Intelligence Service"},{"id":[{"id":"https:\/\/ror.org\/05xf94514","id-type":"ROR","asserted-by":"publisher"}],"name":"U.S. Public Health Service"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Maureen F.","family":"Orr","sequence":"additional","affiliation":[{"name":"Agency for Toxic Substances and Disease Registry, Office of Innovation and Analytics"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-5192-7269","authenticated-orcid":false,"given":"Stacey L.","family":"Konkle","sequence":"additional","affiliation":[{"name":"Agency for Toxic Substances and Disease Registry, Office of Innovation and Analytics"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"56","published-online":{"date-parts":[[2025,9,29]]},"reference":[{"key":"S1935789325102073_r7","doi-asserted-by":"publisher","DOI":"10.2166\/wh.2023.109"},{"key":"S1935789325102073_r13","unstructured":"13. ATSDR. Science of Stress and Environmental Contamination. 2024. Accessed August 25, 2025 https:\/\/www.atsdr.cdc.gov\/community-stress-resource-center\/php\/science\/index.html"},{"key":"S1935789325102073_r5","first-page":"284","article-title":"Chemical exposure from the Hebei spirit oil spill accident and its long-term effects on mental health","author":"Kim","year":"2024","journal-title":"Ecotoxicol Environ Saf"},{"key":"S1935789325102073_r9","unstructured":"9. DHA Public Health. Red Hill Public Health Information. March 14, 2025. Accessed June 25, 2025. https:\/\/ph.health.mil\/topics\/campaigns\/red-hill-public-health\/Pages\/default.aspx#reg"},{"key":"S1935789325102073_r2","doi-asserted-by":"publisher","DOI":"10.15585\/mmwr.mm7121a4"},{"key":"S1935789325102073_r1","unstructured":"1. Agency for Toxic Substances and Disease Registry (US). Toxicological Profile for JP-5, JP-8, and JET A Fuels. In: Health Effects. 2017. Accessed May 28, 2024. https:\/\/www.ncbi.nlm.nih.gov\/books\/NBK592022\/"},{"key":"S1935789325102073_r4","doi-asserted-by":"publisher","DOI":"10.4103\/jfmpc.jfmpc_893_19"},{"key":"S1935789325102073_r3","unstructured":"3. Kendall, R , Smith, E , Smith, L , Gibson, R. JP-8 Final Risk Assessment. Air Force Institute for Operational Health, Risk Analysis Directorate; 2001:183. Accessed May 29, 2024. https:\/\/ntrl.ntis.gov\/NTRL\/dashboard\/searchResults\/titleDetail\/ADA443114.xhtml#:~:text=The%20JP-8%20Final%20Risk%20Assessment%20is%20a%20collection,to%20JP-8%20in%20the%20performance%20of%20their%20duties."},{"key":"S1935789325102073_r6","first-page":"36","article-title":"The Assessment of Chemical Exposures (ACE) program: toolkit advances and recent investigations","volume":"86","author":"Konkle","year":"2023","journal-title":"J Environ Health"},{"key":"S1935789325102073_r10","doi-asserted-by":"publisher","DOI":"10.1017\/dmp.2025.10154"},{"key":"S1935789325102073_r11","unstructured":"11. Joint Base Pearl Harbor-Hickam Interagency Drinking Water System Team. Water System Flushing Zone Map. 2022:1. https:\/\/www.cpf.navy.mil\/Portals\/52\/Downloads\/JBPHH-Water-Updates\/20220130_Flushing_Map_Status.pdf?ver=z8TDJP-ippC8g5Qg9j3RKg%3d%3d"},{"key":"S1935789325102073_r12","unstructured":"12. University of Hawai\u2019i System News. Red Hill Health Registry to Support Individuals Exposed to Fuel. Accessed on August 1, 2024. https:\/\/www.hawaii.edu\/news\/2024\/06\/20\/red-hill-health-registry\/#:~:text=The%20University%20of%20Hawai%CA%BBi%20is%20creating%20a%20health%20registry%20to"},{"key":"S1935789325102073_r8","unstructured":"8. Hawaii Department of Health. Navy Water Contamination Follow-Up Survey Results. 2022:1. Accessed May 28, 2024. https:\/\/health.hawaii.gov\/about\/files\/2022\/11\/ATSDR-Follow-Up-Survey-One-Pager.pdf"}],"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\/S1935789325102073","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,9,29]],"date-time":"2025-09-29T11:09:35Z","timestamp":1759144175000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.cambridge.org\/core\/product\/identifier\/S1935789325102073\/type\/journal_article"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025]]},"references-count":13,"alternative-id":["S1935789325102073"],"URL":"https:\/\/doi.org\/10.1017\/dmp.2025.10207","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":"e281"}}