Investigating and diagnosing patients who have been exposed to cabin fume events
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1 FEDERAL INSTITUTE FOR RISK ASSESSMENT Investigating and diagnosing patients who have been exposed to cabin fume events Nina Glaser
2 Federal Institute for Risk Assessment (BfR) Working Fields /Departments Foods Chemicals Cosmetics Commodities Pesticides Zoonosis Poisoning and Product Documentation Nina Glaser, , EAPCCT conference 2016, Madrid pg 2
3 Unit Poisoning and Product Documentation legal basis: 16e German Chemicals Act Para. 1 Manufacturers/ Distributors/ Importers of hazardous mixtures are required to inform BfR of trade name, details on composition, details on use, labelling, first aid and emergency measures Product Database Para. 2 Any physician appointed for the treatment or assessment of consequences of an illness suspected of being ascribable to the effects of hazardous substances must inform the BfR with the appropriate data (age/sex of patient, cause of exposure, amount, symptoms established) Case Database For occupational accidents: empowerment of statutory accident insurance institution to notify these cases Para. 3 Poison Control Centres shall report to the BfR findings of general interest resulting from their activities in relation to poisoning-related illnesses Information from PCC Nina Glaser, , EAPCCT conference 2016, Madrid pg 3
4 Notifications of fume events to BfR Spiegel online, : : : : : : ~ 450 (?) 685 cases Nina Glaser, , EAPCCT conference 2016, Madrid pg 4
5 Germanwings Case - Investigation Report of German Federal Bureau of Aircraft Accident Investigation December 2010: Airbus 319 during decent into Cologne Co-pilot and pilot noticed an electric and sweet smell Both felt physical and cognitive impairment, nausea, paraesthesia and tunnel vision Donning of oxygen mask: pilot felt better; co-pilot s condition worsened Pilot managed to land despite severe impairment; the co-pilot felt almost completely incapable to assist No report of smell or problems from the cabin Both pilots were examined at a nearby hospital and discharged after 2 h Mass media dramatic blood values : oxygen saturation under 80% as remembered by the pilots, written report: 99% Picture: w ww.focus.de Co-pilot: Creatine Kinase extremely high (26,804 U/l) but due to excessive athletic sports Pilot was on duty 4 days later, co-pilot was for 5 weeks on sick leave and suffered then from posttraumatic stress disorder Subsequent check-up by airline s technicians: smell confirmed, described as most likely originating from de-icing fluid ( blob=publicationfile) Nina Glaser, , EAPCCT conference 2016, Madrid pg 5
6 Cases included & excluded Included: All cases notified by physicians regarding patients who reported exposure to a fume in a plane and perception of an abnormal smell or any sign and symptoms by the patient (or somebody else in the plane) And all cases reported by the statutory accident insurance institution under the category fume event Excluded: due to location or source (no fume): 16 cases 8 cases: ammonia gas from the battery used to operate the gangway 2 cases: symptoms after transportation of alkaloids in cargo 3 cases: spraying of unknown substance (poss. insecticides) 1 case: overheated laptop at the airport 1 case: inhalation of fuel vapour outside the plane 1 case: ruptured blood vessel in eye due to air pressure conditions 669 cases Nina Glaser, , EAPCCT conference 2016, Madrid pg 6
7 Out of 669 cases Gender: Female: 402 Male: 228 Unknown: 39 Profession: Flight attendants: 406 Pilots: 121 Unknown: 140 (but professional) Other: 2 (1 x ramp agent, 1x daughter of pilot) No passengers! Monthly distribution: Picture: w ww.welt.de 120 monthly distribution Nina Glaser, , EAPCCT conference 2016, Madrid pg 7
8 Smell perception Smell: Yes: 511 No: 27 Unknown: 131 Description of smell Oil: 82 Dirty socks, musty, :69 Charred: 48 Chemical: 29 Sweetish: 25 Exhaust fumes, smoke: 17 Electric : 8. Most of events: very similar description of smell by all patients, often identical wording 13 events (19 patients) report smoke/steam/fog Nina Glaser, , EAPCCT conference 2016, Madrid pg 8
9 Symptoms Organ Most frequently reported symptoms: Smell, taste (78%) Unpleasant smell (76%), unpleasant taste (3%) CNS/PNS (49%) Headache (34%), dizziness (22%), tingling sensations (8 %), drowsiness (6%), difficulties in concentrating (5%), numbness (3 %), ataxia (2%), tremor (2%) Respiratory system (26%) Respiratory tract irritation (17%), breathing difficulty (4%), chest pain (4%), cough (3%), dyspnoea (2%) Neurological examination: Gastrointestinal system (26%) Nausea (20%), dry mouth (4%), tongue disorder (2%), In 205 cases a neurological examination sore throat (2%) was performed 5 patients showed abnormalities in neurological examination: 3x disturbance of sharp/blunt discrimination, 2 x reduced reflexes, 2 x ataxia, 1x pallesthesia, 1x hyperesthesia of tongue Eye (12%) Ocular irritation (8%), sight disorder (4%) General (9%) Weakness (9%) Red blood cells (9%) CO-Hb increased (8%), Met-Hb (4%) Skin (4%) Erythema (2%), irritation of skin (1%) Picture: intranet.tdmu.edu.ua Cardiovascular system (3%) Palpitation (1%), circulatory dysregulation (1%) Nina Glaser, , EAPCCT conference 2016, Madrid pg 9
10 Symptoms Sometimes cluster of patients with similar symptoms - e.g. case X: 8 patients, oil smell: Headache: 6 Sore throat: 5 reddening of the throat: 3 (+ other symptoms reported: 1-2 x each) But generally very different symptoms: e.g. case Y: Patient No symptoms CNS PNS Respiratory system A (Stewardess) disturbances of consciousness, sight disorder B (Pilot) no symptoms C (Pilot) dizziness paresthesia chest pain D (Stewardess) dizziness chest pain flickering in eyes E (Stewardess) Eye burning of eyes Cardiovascularsystem Gastrointestinal system F (Stewardess) dizziness, sight disorder paresthesia reddening of throat tachycardia nausea Nina Glaser, , EAPCCT conference 2016, Madrid pg 10
11 Severity and treatment Poison Severity Score: None: 26% Minor: 63 % Moderate: 3% Severe: 0% Not able to determine: 8% 21 moderate cases: 8 cases: severe/long-lasting headache 4 cases: circulatory collapse/severe circulatory problems 2 cases: severe vomiting 1 case each: severe disturbances of consciousness, severe cough, cardiac arrhythmia, severe sore throat, long-lasting and severe muscle pain Treatment: Ambulant: 92% In-patient: 3% Unknown: 5% Nina Glaser, , EAPCCT conference 2016, Madrid pg 11
12 Blood analysis Blood gas analysis O 2 : low saturation (< 95%): 1/67 cases (91%) CO: increased values (> 2 % Co-Hb for non-smokers/unknown smoker-status) 54/155 (exclusion of results from one lab: 29/128) Maximal value measured: 10 % CO-Hb (exclusion of results from one lab:7.3 %(non-smoker!)) For the majority no information on smoker-status Met-Hb: increased values (> 2 % Met-Hb) 28/114 (exclusion of results from one lab: 4/87) Maximal measured value: 12.2 % Met-Hb (exclusion of results from one lab: 2.5%) CO 2 : one case decreased, hyperventilation hypothesised (drowsiness, headache, tingling sensation) Cholinesterase: 4/61 cases decreased Nina Glaser, , EAPCCT conference 2016, Madrid pg 12
13 Causes discussed Tricresyl phosphate (TCP) Disappearing from discussion??? 2013: 22.0 % suspected in doctors report, 2014: 3.7 % Organophosphorus compounds (e.g. in flame retardants) Carbon monoxide (CO) Lack of oxygen Hyperventilation/hypocapnia Ozone Deicing fluid Volatile organic compounds (VOCs), aldehydes, organic acids ( smell) Smell: food, burnt particles in stove, perspiration, General working conditions: dry air, changing pressure, long working shifts, night shifts, jetlag Picture: ww.airportzentrale.de Nina Glaser, , EAPCCT conference 2016, Madrid pg 13
14 Involvement of BfR in current national activities Contribution to branch conference: Air quality in commercial aircraft, spring 2014, organised by German statutory accident insurance institution for transport industry Fume and smell events in focus for cabin air quality Fact-finding Workshop, organised by German Aerospace Center (DLR), Summer 2016 Cooperation in an approach of German Aviation Association (BDL) to improve standardised notification procedure for fume events Cooperation with Institute for Occupational and Social Medicine, University of Göttingen, Germany and ongoing case analysis (450 cases for 2015!) Nina Glaser, , EAPCCT conference 2016, Madrid pg 14
15 FEDERAL INSTITUTE FOR RISK ASSESSMENT Thank you for your attention Nina Glaser Federal Institute for Risk Assessment Max-Dohrn-Str Berlin Phone Fax
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