Global event-based surveillance of chemical incidents

Background The number of chemicals in our society and in our daily lives continues to increase. Accompanying this is an increasing risk of human exposure to and injury from hazardous substances. Performing regular, structured surveillance of chemical incidents allows a greater awareness of the types of chemical hazards causing injury and the frequency of their occurrence, as well as providing a better understanding of exposures. Objective The objective of performing event-based surveillance (EBS) and capturing chemical incidents is to use this information to increase the situational awareness of chemical incidents, improve the management of these incidents and to inform measures to protect public health. Methods This paper describes a method for EBS for chemical incidents, including the sources used, storing the gathered information and subsequent analysis of potential trends in the data. Results We describe trends in the type of incidents that have been detected, the chemicals involved in these incidents and the health effects caused, in different geographic regions of the world. Significance The methodology presented here provides a rapid and simple means of identifying chemical incidents that can be set up rapidly and with minimal cost, the outputs of which can be used to identify emerging risks and inform preparedness planning, response and training for chemical incidents.

Source Identification of a Chemical Incident in an Urban Area

This work deals aims to present a methodology for source identification of chemical incidents in urban areas. We propose an approximation of the problem within the framework of the optimal control theory and we provide an algorithm for its numerical resolution. Finally, we analyze the validity of the algorithm in several academic situations.

Evaluating the impact of decontamination interventions performed in sequence for mass casualty chemical incidents

The Initial Operational Response (IOR) to chemical incidents is a suite of rapid strategies including evacuation, disrobe and improvised and interim decontamination. IOR and Specialist Operational Response (SOR) decontamination protocols involving mass decontamination units would be conducted in sequence by UK emergency services following a chemical incident, to allow for safe onward transfer of casualties. As part of a series of human volunteer studies, we examined for the first time, the effectiveness of UK IOR and SOR decontamination procedures alone and in sequence. Specifically, we evaluated the additional contribution of SOR, when following improvised and interim decontamination. Two simulants, methyl salicylate (MeS) with vegetable oil and benzyl salicylate (BeS), were applied to participants’ skin. Participants underwent improvised dry, improvised wet, interim wet, specialist decontamination and a no decontamination control. Skin analysis and UV photography indicated significantly lower levels of both simulants remaining following decontamination compared to controls. There were no significant differences in MeS levels recovered between decontamination conditions. Analysis of BeS, a more persistent simulant than MeS, showed that recovery from skin was significantly reduced following combined IOR with SOR than IOR alone. These results show modest additional benefits of decontamination interventions conducted in sequence, particularly for persistent chemicals, supporting current UK operational procedures.

Mobilisation of emergency services for chemical incidents in Sweden - a multi-agency focus group study

Background In chemical incidents, infrequent but potentially disastrous, the World Health Organization calls for inter-organizational coordination of actors involved. Multi-organizational studies of chemical response capacities are scarce. We aimed to describe chemical incident experiences and perceptions of Swedish fire and rescue services, emergency medical services, police services, and emergency dispatch services personnel. Methods Eight emergency service organizations in two distinct and dissimilar regions in Sweden participated in one organization-specific focus group interview each. The total number of respondents was 25 (7 females and 18 males). A qualitative inductive content analysis was performed. Results Three types of information processing were derived as emerging during acute-phase chemical incident mobilization: Unspecified (a caller communicating with an emergency medical dispatcher), specified (each emergency service obtaining organization-specific expert information), and aligned (continually updated information from the scene condensed and disseminated back to all parties at the scene). Improvable shortcomings were identified, e.g. randomness (unspecified information processing), inter-organizational reticence (specified information processing), and downprioritizing central information transmission while saving lives (aligned information processing). Conclusions The flow of information may be improved by automation, public education, revised dispatcher education, and use of technical resources in the field. Future studies should independently assess these mechanism’s degree of impact on mobilisation of emergency services in chemical incidents.

ANTHROPOGENIC DISASTERS ON BULGARIAN TERRITORY: CHEMICAL ACCIDENTS ON LAND AND AT SEA

Natural and anthropogenic disasters become more frequent worldwide. As technology advances, the risk of major industrial accidents increases. Often accidents in the chemical and oil industry, in agriculture, or during transportation, lead to mass poisoning and extensive environmental pollution. The particularities of the medical support in case of such chemical incidents are challenging the healthcare system. The article aims to analyze the chemical accidents and the measures taken to reduce their effect in Bulgaria and in the Black sea aquatory. Historical and documentary methods have been used to gather information on disasters and accidents in Bulgaria, where toxic chemicals have been released into the environment, causing material damage and human casualties. We have researched and analyzed various articles and publications in Bulgarian and foreign scientific journals on the subject. Major industrial and transport accidents in the last 50-60 years on land and water had been selected from the literature sources. Both the reasons that led to them and the measures which were taken to eliminate the consequences were discussed. The major industrial accidents with a release of industrial toxic substances into the environment are relatively common and result in contaminating large areas and many casualties. Chemical accidents at sea are indicative of the need for joint action by different organizations to quickly overcome and avoid environmental impact. The risk of industrial poisonous substances entering the environment is significant and measures to avoid such accidents have to be taken, as well as training of a wide range of health professionals and the general public on the proper behaviour in case of a chemical disaster.

Evaluating the impact of decontamination interventions performed in sequence for mass casualty chemical incidents

The Initial Operational Response (IOR) to chemical incidents is a suite of rapid strategies including evacuation, disrobe and improvised and interim decontamination. IOR and Specialist Operational Response (SOR) decontamination protocols involving mass decontamination units would be conducted in sequence by UK emergency services following a chemical incident, to allow for safe onward transfer of casualties. As part of a series of human volunteer studies, we examined the effectiveness of IOR and SOR decontamination procedures alone and in sequence. Specifically, we evaluated the additional contribution of SOR, when following improvised and interim decontamination. Two simulants, methyl salicylate (MeS) with vegetable oil and benzyl salicylate (BeS), were applied to participants’ skin. Participants underwent improvised dry, improvised wet, interim wet, specialist decontamination and a no decontamination control. Skin analysis and UV photography indicated significantly lower levels of both simulants remaining following decontamination compared to controls. There were no significant differences in MeS levels recovered between decontamination conditions. Analysis of BeS, a more persistent simulant than MeS, showed that recovery from skin was significantly reduced following combined IOR with SOR than IOR alone. These results show modest additional benefits of decontamination interventions conducted in sequence, particularly for persistent chemicals, supporting current UK operational procedures.

Analysis of Safety Culture Weaknesses in Chemical Safety Board Investigation Reports

The U.S. Chemical Safety Board (CSB), an independent, non-regulatory federal agency that investigates the root causes of major chemical incidents, has firstly analyzed safety culture as an important element to maintain process safety in the investigation report of “BP America Refinery Explosion” in 2007. On the same year, the Center for Chemical Process Safety (CCPS) published Risk Based Process Safety (RBPS) in which process safety culture was newly added as an element. The author found six CSB reports which analyzed the weaknesses of safety culture and related them to the essential features of process safety culture in RBPS. Discussions are made on the results of the relations.