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Adverse Health Complaints of Adults Exposed to Benzene After a Flaring Disaster at the BP Refinery Facility in Texas City, Texas

Published online by Cambridge University Press:  07 September 2017

Mark A. D’Andrea
Affiliation:
University Cancer and Diagnostic Centers, Houston, Texas
G. Kesava Reddy*
Affiliation:
University Cancer and Diagnostic Centers, Houston, Texas
*
Correspondence and reprint requests to G. Kesava Reddy, PhD, MHA, University Cancer and Diagnostic Centers, 12811 Beamer Road, Houston, TX 77089 (e-mail: kreddy_usa@yahoo.com).

Abstract

Objective

The objective of this study was to assess the adverse health symptoms experienced by adult subjects who were exposed to benzene after a flaring disaster at the BP refinery in Texas City, Texas.

Methods

A total of 2162 adults aged 18 years or older and exposed to benzene were included. Using the patients’ medical charts, we collected and analyzed data on health complaints as well as the patients’ serum levels of beta-2-microglobulin and urinary excretion of phenol.

Results

A total of 11,368 health symptom complaints were reported in 2162 adults exposed to benzene. Neurological symptoms occurred most frequently (174%), followed upper respiratory symptoms (115%), cough (31%), painful joints (30%), cardiac symptoms (28%), dermatological symptoms (28%), gastrointestinal symptoms (27%), diarrhea (25%), vision symptoms (21%), and nausea/vomiting (19%). Logistic regression analysis indicated that urinary symptoms (R2=0.65) and painful joints (R2=0.44) were positively associated with increasing age in benzene-exposed subjects.

Conclusion

Adult subjects exposed to benzene experience a range of adverse health symptoms and an altered profile of urinary phenol, thus indicating they are at high risk of developing serious future health complications. (Disaster Med Public Health Preparedness. 2018;12:232–240)

Type
Original Research
Copyright
Copyright © Society for Disaster Medicine and Public Health, Inc. 2017 

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References

1. Fenga, C, Gangemi, S, Costa, C. Benzene exposure is associated with epigenetic changes [Review]. Mol Med Rep. 2016;13:3401-3405.CrossRefGoogle ScholarPubMed
2. Protano, C, Scalise, T, Orsi, GB, et al. A systematic review of benzene exposure during pregnancy and adverse outcomes on intrauterine development and birth: still far from scientific evidence. Ann Ig. 2012;24:451-463.Google ScholarPubMed
3. Khalade, A, Jaakkola, MS, Pukkala, E, et al. Exposure to benzene at work and the risk of leukemia: a systematic review and meta-analysis. Environ Health. 2010;9(1):31. https://doi.org/10.1186/1476-069X-9-31.CrossRefGoogle ScholarPubMed
4. Smith, MT. Advances in understanding benzene health effects and susceptibility. Annu Rev Public Health. 2010;31(1):133-148. https://doi.org/10.1146/annurev.publhealth.012809.103646.CrossRefGoogle ScholarPubMed
5. Costantini, AS, Benvenuti, A, Vineis, P, et al. Risk of leukemia and multiple myeloma associated with exposure to benzene and other organic solvents: evidence from the Italian Multicenter Case-control study. Am J Ind Med. 2008;51(11):803-811. https://doi.org/10.1002/ajim.20592.CrossRefGoogle ScholarPubMed
6. Snyder, R. Overview of the toxicology of benzene. J Toxicol Environ Health A. 2000;61(5-6):339-346. https://doi.org/10.1080/00984100050166334.CrossRefGoogle ScholarPubMed
7. Marchetti, F, Eskenazi, B, Weldon, RH, et al. Occupational exposure to benzene and chromosomal structural aberrations in the sperm of Chinese men. Environ Health Perspect. 2012;120(2):229-234. https://doi.org/10.1289/ehp.1103921.CrossRefGoogle ScholarPubMed
8. Chang, CC, Tsai, SS, Chiu, HF, et al. Traffic air pollution and lung cancer in females in Taiwan: petrol station density as an indicator of disease development. J Toxicol Environ Health A. 2009;72(10):651-657. https://doi.org/10.1080/15287390902733515.CrossRefGoogle ScholarPubMed
9. Villeneuve, PJ, Jerrett, M, Brenner, D, et al. A case-control study of long-term exposure to ambient volatile organic compounds and lung cancer in Toronto, Ontario, Canada. Am J Epidemiol. 2014;179(4):443-451. https://doi.org/10.1093/aje/kwt289.CrossRefGoogle ScholarPubMed
10. Costantini, AS, Gorini, G, Consonni, D, et al. Exposure to benzene and risk of breast cancer among shoe factory workers in Italy. Tumori. 2009;95:8-12.CrossRefGoogle ScholarPubMed
11. Hansen, J. Elevated risk for male breast cancer after occupational exposure to gasoline and vehicular combustion products. Am J Ind Med. 2000;37(4):349-352. https://doi.org/10.1002/(SICI)1097-0274(200004)37:4<349::AID-AJIM4>3.0.CO;2-L.3.0.CO;2-L>CrossRefGoogle ScholarPubMed
12. Hystad, P, Villeneuve, PJ, Goldberg, MS, et al. Exposure to traffic-related air pollution and the risk of developing breast cancer among women in eight Canadian provinces: a case-control study. Environ Int. 2015;74:240-248. https://doi.org/10.1016/j.envint.2014.09.004.CrossRefGoogle ScholarPubMed
13. Dundarz, MR, Turkbay, T, Akay, C, et al. Antioxidant enzymes and lipid peroxidation in adolescents with inhalant abuse. Turk J Pediatr. 2003;45:43-45.Google ScholarPubMed
14. Dere, E, Ari, F. Effect of benzene on liver functions in rats (Rattus norvegicus). Environ Monit Assess. 2009;154(1-4):23-27. https://doi.org/10.1007/s10661-008-0374-7.Google ScholarPubMed
15. Kotseva, K, Popov, T. Study of the cardiovascular effects of occupational exposure to organic solvents. Int Arch Occup Environ Health. 1998;71(suppl):S87-S91.Google ScholarPubMed
16. Baslo, A, Aksoy, M. Neurological abnormalities in chronic benzene poisoning. A study of six patients with aplastic anemia and two with preleukemia. Environ Res. 1982;27(2):457-465. https://doi.org/10.1016/0013-9351(82)90100-1.CrossRefGoogle ScholarPubMed
17. Mandiracioglu, A, Akgur, S, Kocabiyik, N, et al. Evaluation of neuropsychological symptoms and exposure to benzene, toluene and xylene among two different furniture worker groups in Izmir. Toxicol Ind Health. 2011;27(9):802-809. https://doi.org/10.1177/0748233711399309.CrossRefGoogle ScholarPubMed
18. Bahadar, H, Mostafalou, S, Abdollahi, M. Current understandings and perspectives on non-cancer health effects of benzene: a global concern. Toxicol Appl Pharmacol. 2014;276(2):83-94. https://doi.org/10.1016/j.taap.2014.02.012.CrossRefGoogle ScholarPubMed
19. Minciullo, PL, Navarra, M, Calapai, G, et al. Cytokine network involvement in subjects exposed to benzene. J Immunol Res. 2014;2014:937987.CrossRefGoogle ScholarPubMed
20. Evans, L. BP’s 40-Day Emissions Event. http://www.propublica.org/documents/item/bps-40-day-emissions-event. Vol. 2012. Published 2010. Accessed June 2014.Google Scholar
22. Evans, L. Texas Commission on Environmental Quality Investigation Report. Emissions Event (Incident No. 138052) Review on British Petroleum products, North America (Investigation No. 824714). Austin, TX: Texas Commission on Environmental Quality; 2010.Google Scholar
23. D’Andrea, MA, Reddy, GK. Health effects of benzene exposure among children following a flaring incident at the British Petroleum Refinery in Texas City. Pediatr Hematol Oncol. 2014;31(1):1-10. https://doi.org/10.3109/08880018.2013.831511.CrossRefGoogle ScholarPubMed
24. D’Andrea, MA, Reddy, GK. Hematological and hepatic alterations in nonsmoking residents exposed to benzene following a flaring incident at the British petroleum plant in Texas City. Environ Health. 2014;13(1):115. https://doi.org/10.1186/1476-069X-13-115.CrossRefGoogle Scholar
25. D’Andrea, MA, Reddy, GK. Detrimental health effects of benzene exposure in adults after a flaring disaster at the BP refinery plant in Texas City. Disaster Med Public Health Prep. 2016;10(02):233-239. https://doi.org/10.1017/dmp.2015.160.CrossRefGoogle Scholar
26. D’Andrea, MA, Reddy, GK. Organ toxicity from benzene exposure among elderly subjects after a flaring disaster at the BP refinery plant in Texas City. J Clin Gerontol Geriatrics. 2017;8(1):27-34.Google Scholar
27. D’Andrea, MA, Reddy, GK. Benzene exposure from the BP refinery flaring incident alters hematological and hepatic functions in smoking subjects. Int J Occup Med Environ Health. In Press.Google Scholar
28. D’Andrea, MA, Singh, O, Reddy, GK. Health consequences of involuntary exposure to benzene following a flaring incident at British Petroleum refinery in Texas City. Am J Disaster Med. 2013;8:169-179. https://doi.org/10.5055/ajdm.2013.0124.CrossRefGoogle ScholarPubMed
29. D’Andrea, MA, Reddy, GK. Illness symptoms experienced by children exposed to benzene after a flaring incident at the BP refinery facility in Texas City. Clin Pediatr (Phila). 2016;55(12):1143-1151. https://doi.org/10.1177/0009922816641463.CrossRefGoogle Scholar
30. Glass, DC, Gray, CN, Jolley, DJ, et al. Leukemia risk associated with low-level benzene exposure. Epidemiology. 2003;14(5):569-577. https://doi.org/10.1097/01.ede.0000082001.05563.e0.CrossRefGoogle ScholarPubMed
31. Kirkeleit, J, Riise, T, Bratveit, M, Moen, BE. Increased risk of acute myelogenous leukemia and multiple myeloma in a historical cohort of upstream petroleum workers exposed to crude oil. Cancer Causes Control. 2008;19(1):13-23. https://doi.org/10.1007/s10552-007-9065-x.CrossRefGoogle Scholar
32. McHale, CM, Zhang, L, Smith, MT. Current understanding of the mechanism of benzene-induced leukemia in humans: implications for risk assessment. Carcinogenesis. 2012;33(2):240-252. https://doi.org/10.1093/carcin/bgr297.CrossRefGoogle ScholarPubMed
33. Steinmaus, C, Smith, AH, Jones, RM, et al. Meta-analysis of benzene exposure and non-Hodgkin lymphoma: biases could mask an important association. Occup Environ Med. 2008;65(6):371-378. https://doi.org/10.1136/oem.2007.036913.CrossRefGoogle ScholarPubMed
34. Bassig, BA, Friesen, MC, Vermeulen, R, et al. Occupational exposure to benzene and non-Hodgkin lymphoma in a population-based cohort: the Shanghai Women’s Health Study. Environ Health Perspect. 2015;123(10):971-977. https://doi.org/10.1289/ehp.1408307.CrossRefGoogle Scholar
35. Lynge, E, Andersen, A, Nilsson, R, et al. Risk of cancer and exposure to gasoline vapors. Am J Epidemiol. 1997;145(5):449-458. https://doi.org/10.1093/oxfordjournals.aje.a009127.CrossRefGoogle ScholarPubMed
36. Gordian, ME, Stewart, AW, Morris, SS. Evaporative gasoline emissions and asthma symptoms. Int J Environ Res Public Health. 2010;7(8):3051-3062. https://doi.org/10.3390/ijerph7083051.CrossRefGoogle ScholarPubMed
37. Tunsaringkarn, T, Ketkaew, P, Siriwong, W, et al. Benzene exposure and its association with sickness exhibited in gasoline station workers. International Journal of Environmental Pollution and Solutions. 2013;1:1-8.Google Scholar
38. Bethea, M, Forman, DT. Beta 2-microglobulin: its significance and clinical usefulness. Ann Clin Lab Sci. 1990;20:163-168.Google ScholarPubMed
39. Rainsford, SG, Davies, TA. Urinary excretion of phenol by men exposed to vapour of benzene: a screening test. Br J Ind Med. 1965;22:21-26.Google ScholarPubMed
40. Docter, HJ, Zielhuis, RL. Phenol excretion as a measure of benzene exposure. Ann Occup Hyg. 1967;10:317-326.Google ScholarPubMed
41. McDonald, TA, Holland, NT, Skibola, C, et al. Hypothesis: phenol and hydroquinone derived mainly from diet and gastrointestinal flora activity are causal factors in leukemia. Leukemia. 2001;15(1):10-20. https://doi.org/10.1038/sj.leu.2401981.CrossRefGoogle ScholarPubMed
42. Inoue, O, Seiji, K, Kasahara, M, et al. Quantitative relation of urinary phenol levels to breathzone benzene concentrations: a factory survey. Br J Ind Med. 1986;43:692-697.Google ScholarPubMed