A Review of Acute Chemical Releases in School Settings
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1 A Review of Acute Chemical Releases in School Settings LCDR Ayana R. Anderson, MPH Public Health Analyst National Conference of State Legislatures Webinar October 16, 2015 U.S. Department of Health and Human Services Agency for Toxic Substances and Disease Registry
2 BACKGROUND
3 Agency for Toxic Substances and Disease Registry (ATSDR) A federal agency of the U.S. Department of Health and Human Services Sister agency of the CDC, responsible for environmental healthrelated issues Co-located in Atlanta with CDC
4 Interstate Chemical Threats Workgroup (ICTW) webinars ICTW is a local, state, and federal health agencies network for sharing of knowledge, materials, and resources to define the role of state and local health agencies in a chemical terrorism event. Joint ATSDR/ICTW series of webinars about policies/ strategies to reduce of chemical exposure in school settings Mercury Cleaning products Pesticides Chemicals in school labs
5 KEY MESSAGES FROM THE WEBINARS
6 Mercury A shiny, odorless liquid found in thermometers, barometers, batteries Good operating practices Brochures-New York State Department of Health Don t Mess with Mercury-ATSDR State Laws Reducing Chemicals in Schools Webinar Proceedings
7 Cleaning Products Some products have asthmagens (e.g. bleach, ammonia, acids, etc) Good operating practices California Dept. of Public Health: Cleaning for Asthma Safe Schools Green cleaning product school act State green cleaning policies Reducing Chemicals in Schools Webinar Proceedings
8 Pesticides Use to keep environments free of unwanted pest Some can be a health risk to students and school personnel Pesticide drift Good operating practices Integrated Pest Management (IPM) California County Agricultural Commissioners Reducing Chemicals in Schools Webinar Proceedings
9 School Labs Mercury most commonly released in labs Other chemicals can be corrosive and cause respiratory, skin, and eye irritation Good operating practice Integrated Chemical Management Program (ICM) Reducing Chemicals in Schools Webinar Proceedings
10 ASTDR FINDINGS Hazardous Substance Emergency Events Surveillance (HSEES)/ National Toxic Substance Incidents Program (NTSIP)
11 HSEES to NTSIP HSEES existed from Cooperative agreements with 14 states Collect public health data for acute non-petroleum chemical releases (=<72 hours) Entered in a web-based database NTSIP began in 2010 State partners National database Incident investigations: Assessment of Chemical Exposure Hazardous Substance Emergency Events Surveillance National toxic substance incidents programs
12 Summary of Evacuations Comparing School Chemical Incidents With Non-School Incidents, HSEES/NTSIP, Category School Chemical Incidents Non-School Incidents Total Total incidents ,413 24,748 Evacuations ordered Total people evacuated Average number of people evacuated (range) Total evacuation hours Average evacuation hours (range) 192 (57.3%) 3,172 (13.0%) 3,364 (13.6%) 47, , , (2-3,000 evacuees/incident) 80 (1-15,000 evacuees/incident) 108 (1-15,000 evacuees/incident) 2,689 27,145 29, (15 min-1,392 hours) 7.1 (15 min-720 hours) 13.3 (15 min-1,392 hours)
13 1,362 Evacuation hours; What happened? In New York, 2009: 56 days and 18 hours Elementary school Beaker instrument fell from student and teacher s hand, released mercury Students moved to another room HAZMAT team restricted room and section of hallway, ventilation shut down No injuries Classroom reopened 11/11/ 2009
14 Summary of Injured Persons Comparing School Chemical Incidents With Non-School Incidents, HSEES/NTSIP, Category School Chemical Incidents Non-School Incidents Total Total incidents ,413 24,748 Incidents with injured persons 119 (35.5%) 3,173 (13.0%) 3,292 (13.3%) Injured persons 712 7,644 8,356 Average number of injured persons (range) 6 (1-61 injured persons/incident) 5 (1-54 injured persons/incident) 3 (1-61 injured persons/incident)
15 61 Injured Persons; What happened? Tennessee 1/14/2013 (Monday) Carbon monoxide released at a private school Evacuation ordered Students suffered from carbon monoxide poisoning Students and staff returned to school Friday
16 Top 5 Chemicals Released in School Settings, HSEES/NTSIP, , N=335 Substance Incidents Incidents with evacuations Total people evacuated Incidents with injured persons Injured persons Natural gas , Mercury , Carbon monoxide Hydrochloric acid , Pepper spray ,
17 Other Noteworthy Areas in School Settings, HSEES/NTSIP Substance Incidents Incidents with evacuations Total people evacuated Incidents with injured persons Injured persons School lab , Cleaning products/ disinfectants Pool chemicals , ,
18 Injured Person Disposition Comparing Students vs. Non-Students, HSEES/NTSIP, Disposition Students # (%) Non-Students # (%) Total # (%) Treated at hospital (not admitted) 282 (63.8) 126 (46.7) 408 (57.3) Treated on scene 62 (14.0) 27 (10.0) 89 (12.5) Observation at hospital, no treat Treated at hospital (admitted) Treated at hospital (unk. admittance) Seen by private physician Injury reported by officials 47 (10.6) 4 (1.5) 51 (7.2) 22 (5.0) 40 (14.8) 62 (8.7) 17 (3.9) 55 (20.4) 72 (10.1) 8 (1.8) 10 (3.7) 18 (2.5) 4 (0.9) 8 (2.9) 12 (1.7) Total 442 (100.0) 270 (100.0) 712 (100.0)
19 Top Injuries/Symptoms Reported Comparing Students vs. Non-Students, HSEES/NTSIP, Injury/symptom type Respiratory irritation Gastrointestinal issues Students # (%) Non-Student # (%) Total # (%) 174 (27.8) 155 (39.9) 329 (32.5) 107 (17.1) 21 (5.4) 128 (12.6) Eye irritation 98 (15.7) 67 (17.3) 165 (16.3) Headache 56 (9.4) 33 (8.5) 89 (8.8) Dizziness/ central nervous issues 54 (8.6) 31 (8.0) 85 (8.4) Burns 29 (4.6) 23 (5.9) 52 (5.1)
20 ATSDR FUTURE STEPS TO MITIGATING CHEMICAL RELEASES IN SCHOOLS
21 Raise Awareness Opportunities Webinar proceedings report Acute school chemical release manuscript Summarize National Toxic Substance Incidents Program (NTSIP) data about acute chemical releases in school settings Commentary Effective strategies to prevent acute chemical release in school settings Workgroup possibility? White paper?
22 Thank you ATSDR, Division of Toxicology and Human Health Sciences LCDR Ayana R Anderson ing9@cdc.gov Website: For more information please contact Agency for Toxic Substances and Disease Registry 4770 Buford Highway NE, Chamblee, GA Telephone: CDC-INFO ( )/TTY: cdcinfo@cdc.gov Web: The findings and conclusions in this report are those of the authors and do not necessarily represent the official position of the Agency for Toxic Substances and Disease Registry. U.S. Department of Health and Human Services Agency for Toxic Substances and Disease Registry
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