Health Canada (Emergency Management Guide for Crude Oil Incidents)

Page 51

Guidance for the Environmental Public Health Management of Crude Oil Incidents

Section 3. PUBLIC HEALTH RISK MANAGEMENT

Checklist 6: Specialized medical and toxicological resources to inform a response to hazmat incidents Medical management

Poison Control Centres [http://www.capcc.ca/en] for regional number.

Chemical Hazards Emergency Medical Management (CHEMM) — Enable first responders, first receivers, other healthcare providers, and planners to plan for, respond to, recover from, and mitigate the effects of mass-casualty incidents involving chemicals [https://chemm.nlm.nih.gov/index.html]

Medical Management Guidelines for Acute Exposures [https://www.atsdr.cdc.gov/MMG/index.asp]

U.S. Department of Health and Human Services (DHHS) Chemical Hazards Emergency Medical Management CHEMM Decontamination Procedures [https://chemm.nlm.nih.gov/decontamination.htm]

U.S. Department of Health and Human Services (DHHS /U.S. Department of Homeland Security (DHS) Patient Decontamination in a Mass Chemical Exposure Incident: National Planning Guidance for Communities [https://www.dhs.gov/sites/default/files/publications/Patient%20Decon%20National%20Pla nning%20Guidance_Final_December%202014.pdf]

U. S. Environmental Protection Agency (EPA): Acute Exposure Guideline Levels (AEGLs) for airborne chemicals [https://www.epa.gov/aegl].

U.S. Department of Energy (DOE) Protective Action Criteria (PAC) with AEGLs, ERPGs, and TEELs: Rev. 29 for Chemicals of Concern — [https://energy.gov/ehss/protective-actioncriteria-pac-aegls-erpgs-teels-rev-29-chemicals-concern-may-2016]

Drinking water quality

Guidance for Issuing and Rescinding Drinking Water Avoidance Advisories in Emergency Situations [https://www.canada.ca/en/health-canada/services/publications/healthyliving/guidance-issuing-rescinding-drinking-water-avoidance-advisories-emergencysituations.html]

Toxicology and hazardous material properties

US NIH – NLM Toxnet [https://toxnet.nlm.nih.gov/] includes the Hazardous Substances Data Bank (HSDB) which provides information on human exposure, industrial hygiene, emergency handling procedures, and environmental fate. [http://toxnet.nlm.nih.gov/cgibin/sis/htmlgen?HSDB].

CDC Emergency Preparedness and Response — information on specific chemical agents, case definitions, toxic syndrome description, toxicological profiles, emergency response cards [https://emergency.cdc.gov/chemical/]

Agency for Toxic Substances and Disease Registry (ATSDR), Toxicological Profiles — detailed information about contaminants found at hazardous waste sites [https://www.atsdr.cdc.gov/toxprofiles/index.asp)

Assessment of Chemical Exposure (ACE) Toolkit — surveys, consent forms, training materials, and Epi Info ™ 7 databases [https://www.atsdr.cdc.gov/ntsip/ace_toolkit.html]

Community Assessment for Public Health Emergency Response (CASPER) — epidemiologic technique designed to provide quickly and at low-cost household based information about a community [https://www.cdc.gov/nceh/hsb/disaster/casper/default.htm]

Rapid Acquisition of Pre- and Post-Incident Disaster Data Study (RAPIDD Study) — prepositioned protocol intended to minimize the time needed to begin collecting health data and biological samples from disaster response workers who may be exposed to environmental contaminants. RAPIDD includes all the documents and procedures needed to create a registry of workers. [https://dr2.nlm.nih.gov/protocols#rapidd]

Human Decontamination

Air quality

Epidemiogical toolkits

Version 1.0 – August 2018

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Annex J2: Major international crude oil spills involving pipeline/storage tank/ onshore wells

5min
pages 149-151

Annex G: Guidance on onsite response to pipeline incidents, derailments and marine incidents

5min
pages 132-134

4.4 CASE STUDY (marine oil spill): Marathassa Incident, April 2015

2min
page 68

Annex F: Epidemiological studies on mental health effects related to exposure to oil spills

36min
pages 108-131

Annex E: Epidemiological studies on physical/physiological effects experienced by humans exposed to oil spills

32min
pages 87-107

4.2 CASE STUDY (pipeline incident): Marshall, MI, pipeline spill, 25 July, 2010

2min
page 66

Annex B: Crude oil pipelines in Canada and the United States

1min
page 83

Seaforth Channel, October 2016

1min
page 67

Figure 11: Causes and contributing factors to Lac-Mégantic derailment

1min
page 65

Figure 10: Lac-Mégantic derailment

3min
pages 63-64

4.1 CASE STUDY (rail incident): Lac-Mégantic derailment, 6 July 2013

5min
pages 61-62

Table 16: Crude oil releases that resulted in significant changes in regulations

1min
page 60

3.3.1 Population health follow-up research considerations

4min
pages 56-57

Checklist 8: Human decontamination and treatment considerations

1min
page 54

Checklist 9: Data collection considerations from participants in follow-up studies

1min
page 58

Checklist 7: Evacuations vs sheltering-in-place considerations

2min
page 53

Checklist 3: Typical local hazmat response activities undertaken by first responders

1min
page 49

Checklist 6: Specialized medical and toxicological resources to inform a response to hazmat incidents

1min
page 51

Checklist 2: Health-related concerns in the event of a major crude oil release

1min
page 48

Figure 9: Major symptoms experienced by oil spill clean-up workers engaged in the Deepwater Horizon clean up along the coast of Louisiana following exposure to oil spill and dispersant

1min
page 33

Checklist 1: Proposed activities to better prepare communities to the risk of a crude oil release

2min
page 45

Box 4: What are the reference values for assessing health risks from acute exposure to air pollutants?

3min
page 37

1.9 What happens when crude oil is released into the environment?

2min
pages 28-29

their community for the risk of a crude oil release?

1min
page 44

Box 6: What is the Incident Command System (ICS)?

1min
page 47

3.2 What actions should to be taken if a sudden major crude oil release occurs?

1min
page 46

1.8.2 Rail

1min
page 26
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