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Methods: We conducted an Assessment of Chemical Exposures (ACE) survey and supplemented that information with complementary data sources: (1) poison center caller records; (2) emergency department visit data; and (3) a key informant questionnaire. Results: Among 2,289 survey participants, 86% reported \u22651 new or worsening symptom, 75% of which lasted \u226530 days, and 37% sought medical care. Most (n = 1,653, 72%) reported new mental health symptoms. Among equally observable symptoms across age groups, proportions of children \u22642 years experiencing vomiting, runny nose, skin rashes, and coughing (33, 46, 56, and 35%, respectively) were higher than other age groups. Poison center calls increased the first 2 weeks after the contamination, while emergency department visits increased in early December 2021. Key informant interviews revealed themes of lack of support, mental health symptoms, and long-term health impact concerns. Discussion: This event led to widespread exposure to petroleum products and negatively affected thousands of people. Follow-up health surveys or interventions should give special consideration to longer-term physical and mental health, especially children due to their unique sensitivity to environmental exposures.<\/jats:p>","DOI":"10.2166\/wh.2023.109","type":"journal-article","created":{"date-parts":[[2023,7,3]],"date-time":"2023-07-03T15:22:09Z","timestamp":1688397729000},"page":"956-971","update-policy":"https:\/\/doi.org\/10.2166\/iwapcrossmarkpolicypage","source":"Crossref","is-referenced-by-count":16,"title":["Community health impacts after a jet fuel leak contaminated a drinking water system: Oahu, Hawaii, November 2021"],"prefix":"10.2166","volume":"21","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-7382-6119","authenticated-orcid":false,"given":"Shanna","family":"Miko","sequence":"first","affiliation":[{"name":"a U.S. Centers for Disease Control and Prevention, 1600 Clifton Rd NE, Atlanta, GA 30333, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Alex R.","family":"Poniatowski","sequence":"additional","affiliation":[{"name":"b National Center for Environmental Health\/Agency for Toxic Substances and Disease Registry, Office of the Director, Atlanta, GA, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Alyssa N.","family":"Troeschel","sequence":"additional","affiliation":[{"name":"b National Center for Environmental Health\/Agency for Toxic Substances and Disease Registry, Office of the Director, Atlanta, GA, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Diana J.","family":"Felton","sequence":"additional","affiliation":[{"name":"c Hawaii State Department of Health, Oahu, HI, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Shireen","family":"Banerji","sequence":"additional","affiliation":[{"name":"d Rocky Mountain Poison and Drug Safety, Denver, CO, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Michele L. F.","family":"Bolduc","sequence":"additional","affiliation":[{"name":"a U.S. Centers for Disease Control and Prevention, 1600 Clifton Rd NE, Atlanta, GA 30333, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Alvin C.","family":"Bronstein","sequence":"additional","affiliation":[{"name":"c Hawaii State Department of Health, Oahu, HI, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Alyson M.","family":"Cavanaugh","sequence":"additional","affiliation":[{"name":"a U.S. Centers for Disease Control and Prevention, 1600 Clifton Rd NE, Atlanta, GA 30333, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Charles","family":"Edge","sequence":"additional","affiliation":[{"name":"a U.S. Centers for Disease Control and Prevention, 1600 Clifton Rd NE, Atlanta, GA 30333, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Abigail L.","family":"Gates","sequence":"additional","affiliation":[{"name":"a U.S. Centers for Disease Control and Prevention, 1600 Clifton Rd NE, Atlanta, GA 30333, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Madeline","family":"Jarvis","sequence":"additional","affiliation":[{"name":"c Hawaii State Department of Health, Oahu, HI, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Nicole A.","family":"Mintz","sequence":"additional","affiliation":[{"name":"c Hawaii State Department of Health, Oahu, HI, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Vidisha","family":"Parasram","sequence":"additional","affiliation":[{"name":"a U.S. Centers for Disease Control and Prevention, 1600 Clifton Rd NE, Atlanta, GA 30333, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jamie","family":"Rayman","sequence":"additional","affiliation":[{"name":"b National Center for Environmental Health\/Agency for Toxic Substances and Disease Registry, Office of the Director, Atlanta, GA, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Amanda R.","family":"Smith","sequence":"additional","affiliation":[{"name":"a U.S. Centers for Disease Control and Prevention, 1600 Clifton Rd NE, Atlanta, GA 30333, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jared C.","family":"Wagner","sequence":"additional","affiliation":[{"name":"c Hawaii State Department of Health, Oahu, HI, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Benjamin G.","family":"Gerhardstein","sequence":"additional","affiliation":[{"name":"b National Center for Environmental Health\/Agency for Toxic Substances and Disease Registry, Office of the Director, Atlanta, GA, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Maureen F.","family":"Orr","sequence":"additional","affiliation":[{"name":"b National Center for Environmental Health\/Agency for Toxic Substances and Disease Registry, Office of the Director, Atlanta, GA, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"945","published-online":{"date-parts":[[2023,7,3]]},"reference":[{"key":"key-10.2166\/wh.2023.109-1","unstructured":"Agency for Toxic Substances and Disease Registry 2013 Principles of Pediatric Environmental Health: What Are Factors Affecting Children's Susceptibility to Exposures? 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