{"doi":"10.2166/wh.2023.109","title":"Community health impacts after a jet fuel leak contaminated a drinking water system: Oahu, Hawaii, November 2021","abstract":"BACKGROUND: In 2021, a large petroleum leak contaminated a water source that supplied drinking water to military and civilians in Oahu, Hawaii. 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 ≥1 new or worsening symptom, 75% of which lasted ≥30 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 ≤2 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.","journal":"Journal of Water and Health","year":2023,"id":342925,"datarank":0.0,"base_score":0.0,"endowment":0.0,"self_citation_contribution":0.0,"citation_network_contribution":0.0,"self_endowment_contribution":0.0,"citer_contribution":0.0,"corpus_percentile":null,"corpus_rank":null,"citation_count":14,"citer_count":0,"citers_with_citation_signal":0,"citers_with_endowment":0,"datacite_reuse_total":0,"is_dataset":false,"is_dataset_confidence":0.7213,"is_data_producer":false,"deposit_databanks":null,"is_oa":true,"file_count":0,"downloads":0,"has_version_chain":false,"published_date":"2023-01-01","fair_score":null,"fair_percentile":null,"algorithm_id":"datarank_citation_only_1hop_v6","ranking_scope":"data_only","authors":[{"id":1080443,"name":"Alex Poniatowski","orcid":null,"position":1,"is_corresponding":false},{"id":903093,"name":"Alyssa N. Troeschel","orcid":"0000-0003-1564-3642","position":2,"is_corresponding":false},{"id":1080444,"name":"Diana Felton","orcid":null,"position":3,"is_corresponding":false},{"id":1079984,"name":"Shireen Banerji","orcid":"0000-0001-8917-9913","position":4,"is_corresponding":false},{"id":1079985,"name":"Michele L.F. Bolduc","orcid":"0000-0002-1261-0290","position":5,"is_corresponding":false},{"id":874690,"name":"Alvin C. Bronstein","orcid":"0000-0002-8615-0995","position":6,"is_corresponding":false},{"id":462063,"name":"Alyson M. Cavanaugh","orcid":"0000-0001-7512-2860","position":7,"is_corresponding":false},{"id":783398,"name":"Charles Edge","orcid":null,"position":8,"is_corresponding":false},{"id":1065809,"name":"Abigail Gates","orcid":"0000-0002-7123-2760","position":9,"is_corresponding":false},{"id":1080445,"name":"Madeline Jarvis","orcid":null,"position":10,"is_corresponding":false},{"id":1080446,"name":"Nicole A. Mintz","orcid":null,"position":11,"is_corresponding":false},{"id":1079986,"name":"Vidisha Parasram","orcid":"0000-0003-1305-078X","position":12,"is_corresponding":false},{"id":663354,"name":"Jamie Rayman","orcid":"0000-0002-8952-6345","position":13,"is_corresponding":false},{"id":388208,"name":"Amanda R. Smith","orcid":"0000-0001-7348-1499","position":14,"is_corresponding":false},{"id":1080447,"name":"Jared C. Wagner","orcid":null,"position":15,"is_corresponding":false},{"id":1080448,"name":"Benjamin G. Gerhardstein","orcid":null,"position":16,"is_corresponding":false},{"id":782968,"name":"Maureen F. Orr","orcid":"0000-0001-7612-5916","position":17,"is_corresponding":false},{"id":1079983,"name":"Shanna Miko","orcid":"0000-0001-7382-6119","position":0,"is_corresponding":true}],"reference_count":27,"raw_metadata":null,"created_at":"2026-07-19T01:11:17.288563Z","pmid":"37515565","pmcid":null,"fwci":null,"citation_percentile":null,"influential_citations":0,"oa_status":null,"license":null,"views":0,"total_file_size_bytes":0,"version_count":0,"fair_f":null,"fair_a":null,"fair_i":null,"fair_r":null,"fair_zscore":null,"fair_rationale":null,"fair_model":null,"fair_agent_version":null,"fair_fulltext_source":null,"fair_has_llm":null,"fair_computed_at":null,"clinical_trials":[],"software_tools":[],"db_accessions":[],"linked_datasets":[],"topics":[]}