Repository for Oil and Gas Energy Research (ROGER)

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Workers may be exposed to dust containing high levels of respirable crystalline silica during hydraulic fracturing.

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Community health nurses (CHNs) have an opportunity and responsibility to address potential environmental health issues related to shale drilling, even in the face of scientific uncertainty. Potential health impacts to air and water quality related to shale drilling are addressed within the context of the CHNs role of educator, case finder, advocate and researcher. Since 2005, an estimated 5,500 unconventional natural gas wells have been drilled in Pennsylvania's Marcellus Shale (Pennsylvania Department of Environmental Protection [PA DEP], n.d.), resulting in tremendous controversy throughout the state regarding impacts to human health and the environment. Although there are numerous anecdotal reports of illnesses in humans and animals living in drilling areas, there is a notable lack of peer-reviewed research on the impacts. Research efforts are underway to study these issues, including a proposed retrospective study of hospital and clinic data by Geisinger Health System's Weis Center for Research (Begos, 2012). However, CHNs have the opportunity and the responsibility to help address potential environmental health issues related to shale drilling, even in the face of scientific uncertainty. This responsibility is highlighted by the American Nurses Association's (ANA) (2003, p. 2) adoption of the Precautionary Principle, which states that "when an activity raises threats of harm to human health or the environment, precautionary measures should be taken even if some cause and effect relationships are not fully established scientifically." CHN practice includes the promotion and preservation of health, and the prevention of disease, as well as assisting people in their response to illness (Maurer & Smith, 2009). In Pennsylvania's Marcellus Shale regions, CHNs must assume the critical nursing roles of educator, case finder, advocate and researcher when addressing the health needs in shale drilling communities. Unfortunately, CHNs practicing within these regions may feel unprepared to take on these roles related to unconventional gas extraction. The following discusses these CHN roles in the context of environmental health impacts of shale drilling on air and water quality.

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This article presents an overview of the Marcellus Shale gas well drilling project in northeast Pennsylvania and serves as a model for how nurses can evaluate such problems in their own communities. Resources to help nurses become involved in the environmental health advocacy process are made available.

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Concerns have arisen recently as to whether the upstream oil and gas (UOG) sector — responsible for exploration, production, and some processing of raw fossil fuels — is negatively impacting human (and environmental) health in northeast British Columbia (NEBC). The region has experienced increased rates of cancers and other illnesses that have been linked to the contaminants and stressors associated with UOG. Contaminants reach human receptors through environmental pathways, namely air, soil, water, and food. Each contaminant or stressor has specific sources, transport, exposure mechanisms, and biochemistry; and each can impact health both directly and indirectly. Of particular concern are airborne sulphur and nitrogen oxides, hazardous volatile organic compounds, hydrogen sulphide, ozone, noise, and radiation; as well as soil- or water-borne hydrocarbons, heavy metals, and radiation — some of which can also impact human health through food pathways. It has been determined that UOG is negatively impacting human health in NEBC; however, further information, such as environmental monitoring, is required before the actual health risks and impacts posed by UOG can be quantified.

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Technological advances (e.g. directional drilling, hydraulic fracturing), have led to increases in unconventional natural gas development (NGD), raising questions about health impacts. OBJECTIVES: We estimated health risks for exposures to air emissions from a NGD project in Garfield County, Colorado with the objective of supporting risk prevention recommendations in a health impact assessment (HIA). METHODS: We used EPA guidance to estimate chronic and subchronic non-cancer hazard indices and cancer risks from exposure to hydrocarbons for two populations: (1) residents living >½ mile from wells and (2) residents living ≤ ½ mile from wells. RESULTS: Residents living ≤ ½ mile from wells are at greater risk for health effects from NGD than are residents living >½ mile from wells. Subchronic exposures to air pollutants during well completion activities present the greatest potential for health effects. The subchronic non-cancer hazard index (HI) of 5 for residents ≤ ½ mile from wells was driven primarily by exposure to trimethylbenzenes, xylenes, and aliphatic hydrocarbons. Chronic HIs were 1 and 0.4. for residents ≤ ½ mile from wells and >½ mile from wells, respectively. Cumulative cancer risks were 10 in a million and 6 in a million for residents living ≤ ½ mile and >½ mile from wells, respectively, with benzene as the major contributor to the risk. CONCLUSIONS: Risk assessment can be used in HIAs to direct health risk prevention strategies. Risk management approaches should focus on reducing exposures to emissions during well completions. These preliminary results indicate that health effects resulting from air emissions during unconventional NGD warrant further study. Prospective studies should focus on health effects associated with air pollution.

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Background: The Marcellus Shale is a vast natural gas field underlying parts of Pennsylvania, New York, West Virginia, Virginia, and Maryland. Rapid development of this field has been enabled by advances in hydrofracking techniques that include injection of chemical and physical agents deep underground. Response to public concern about potential adverse environmental and health impacts has led to the formation of state and national advisory committees., Objectives: We review the extent to which advisory committees formed in 2011 by President Obama and governors of the states of Maryland and Pennsylvania contain individuals with expertise pertinent to human environmental public health. We also analyze the extent to which human health issues are of concern to the public by reviewing presentations at the public meeting of the Secretary of Energy Advisory Board (SEAB) Natural Gas Subcommittee formed by the U.S. President’s directive., Results: At a public hearing held by the SEAB Natural Gas Subcommittee 62.7% of those not in favor of drilling mentioned health issues. Although public health is specified to be a concern in the executive orders forming these three advisory committees, we could identify no individuals with health expertise among the 52 members of the Pennsylvania Governor’s Marcellus Shale Advisory Commission, the Maryland Marcellus Shale Safe Drilling Initiative Advisory Commission, or the SEAB Natural Gas Subcommittee., Conclusions: Despite recognition of the environmental public health concerns related to drilling in the Marcellus Shale, neither state nor national advisory committees selected to respond to these concerns contained recognizable environmental public health expertise.

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Environmental concerns surrounding drilling for gas are intense due to expansion of shale gas drilling operations. Controversy surrounding the impact of drilling on air and water quality has pitted industry and lease-holders against individuals and groups concerned with environmental protection and public health. Because animals often are exposed continually to air, soil, and groundwater and have more frequent reproductive cycles, animals can be used as sentinels to monitor impacts to human health. This study involved interviews with animal owners who live near gas drilling operations. The findings illustrate which aspects of the drilling process may lead to health problems and suggest modifications that would lessen but not eliminate impacts. Complete evidence regarding health impacts of gas drilling cannot be obtained due to incomplete testing and disclosure of chemicals, and nondisclosure agreements. Without rigorous scientific studies, the gas drilling boom sweeping the world will remain an uncontrolled health experiment on an enormous scale.

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The technology to recover natural gas depends on undisclosed types and amounts of toxic chemicals. A list of 944 products containing 632 chemicals used during natural gas operations was compiled. Literature searches were conducted to determine potential health effects of the 353 chemicals identified by Chemical Abstract Service (CAS) numbers. More than 75% of the chemicals could affect the skin, eyes, and other sensory organs, and the respiratory and gastrointestinal systems. Approximately 40–50% could affect the brain/nervous system, immune and cardiovascular systems, and the kidneys; 37% could affect the endocrine system; and 25% could cause cancer and mutations. These results indicate that many chemicals used during the fracturing and drilling stages of gas operations may have long-term health effects that are not immediately expressed. In addition, an example was provided of waste evaporation pit residuals that contained numerous chemicals on the Comprehensive Environmental Response, Compensation, and Liability Act (CERCLA) and Emergency Planning and Community Right-to-Know Act (EPCRA) lists of hazardous substances. The discussion highlights the difficulty of developing effective water quality monitoring programs. To protect public health we recommend full disclosure of the contents of all products, extensive air and water monitoring, coordinated environmental/human health studies, and regulation of fracturing under the U.S. Safe Drinking Water Act.

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Efforts to identify alternative sources of energy have focused on extracting natural gas from vast shale deposits. The Marcellus Shale, located in western New York, Pennsylvania, and Ohio, is estimated to contain enough natural gas to supply the United States for the next 45 years. New drilling technology-horizontal drilling and high-volume hydraulic fracturing of shale (fracking)-has made gas extraction much more economically feasible. However, this technique poses a threat to the environment and to the public's health. There is evidence that many of the chemicals used in fracking can damage the lungs, liver, kidneys, blood, and brain. We discuss the controversial technique of fracking and raise the issue of how to balance the need for energy with the protection of the public's health.

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To determine if oil- and gas-facility emissions prospectively measured as airborne sulfur dioxide and volatile organic compounds (VOCs) were associated with immunomodulation in neonatal beef calves, veterinarians collected samples from 325 calves from 60 western Canadian herds in the spring of 2002. Researchers assessed immune system effects by enumerating B-lymphocytes and specific T-lymphocyte subtypes (CD4, CD8, gammadelta, and WC1) in peripheral circulation using flow cytometry. They estimated in utero exposure for each calf from the earliest possible breeding date of the dam to the calving date, using air-quality data from passive monitors installed in pastures and wintering areas. Numbers of circulating CD4 and CD8 T-lymphocytes were 42% and 43% lower, respectively, in calves exposed to the highest quartile (> or = 0.378 microg/m3) of VOCs measured as airborne concentrations of benzene compared with calves exposed to concentrations in the lowest quartile (< 0.276 microg/m3). Similarly, the number of CD4 T-lymphocytes was 40% lower in calves exposed to VOCs measured as concentrations of toluene in the highest quartile (> or = 0.713 microg/m3), compared with calves exposed to concentrations in the lowest quartile (< 0.348 microg/m3). There was no statistically significant association between in utero exposure and numbers of B-lymphocytes and gammadelta and WC1 T-lymphocyte subtypes in calf blood samples.

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Researchers assessed the associations between airborne emissions from oil and gas field facilities and the structure and function of the immune system of yearling beef cattle in 27 herds during spring 2002. They evaluated the immune systems of these animals by enumerating B lymphocytes and T-lymphocyte subtypes (CD4, CD8, gammadelta, and WC1) in peripheral circulation and by measuring systemic antibody production in response to vaccination. Researchers prospectively measured exposure to sulfur dioxide, hydrogen sulfide, and volatile organic compounds (VOCs) by using air-quality data from passive monitors installed in pastures and wintering areas. They estimated the mean exposure of each animal over the 6-month period before the start of sample collection. The researchers used mixed models, which adjusted for clustering by herd and accounted for known risk factors, to examine potential associations between exposure to airborne sulfur dioxide, VOCs (measured as concentrations of benzene and toluene) and hydrogen sulfide, as well as proximity to emission sources (well-site density), and the immune system outcomes. Increasing exposure to VOCs measured as toluene was associated with significant CD4 T lymphocytopenia. The number of CD4 T lymphocytes was 30% lower in cattle exposed to VOCs measured as toluene in the highest quartile (> 0.823 microg/m3) than in cattle exposed in the lowest quartile (< 0.406 microg/m3).