Health effect research on Hebei Spirit Oil Spill (HEROS) in Korea: a cohort profile

BMJ Open. 2019 Aug 15;9(8):e026740. doi: 10.1136/bmjopen-2018-026740.

Abstract

Purpose: The Hebei Spirit Oil Spill occurred on 7 December 2007 and resulted in the spillage of 12 547 kl of crude oil on the coastline near Taean. Historically, this was the largest oil spill in Korean water. The health effect research on Hebei Spirit Oil Spill (HEROS) is a prospective cohort study that aimed to evaluate the long-term health effects of oil spill exposure on residents in the affected community.

Participants: The Taean Environmental Health Center initially enrolled adults, adolescents and children living in Taean in 2009 and 2010. Follow-up surveys of participating adults and children were conducted every other year. By 2017, a total of 9585 adults and 2216 children and adolescents were enrolled. Of these, 294 adults and 102 children and adolescents were included in all subsequent surveys.

Findings to date: Children who lived closer to the oil spill site exhibited a lower level of pulmonary function and higher prevalence of allergic rhinitis, than those who lived further away from the oil spill site. Adults who lived in a highly exposed area or participated in clean-up work had higher urine levels of the oxidative stress biomarkers malondialdehyde and 8-hydroxydeoxyguanosine. Changes in haematological parameters during a 3-year period were observed in residents of both sexes in highly exposed areas, in addition to increases in respiratory diseases and mental health problems in female and male participants, respectively.

Future plans: The findings of this study will better enable policy makers to develop environmental health policies intended to prevent adverse health effects in residents of communities affected by oil spills, as well as policies regarding the management of future oil accidents. The HEROS study will continue to follow participants in future and will be updated to enable an investigation of long-term health effects.

Keywords: HEROS study; Hebei Spirit Oil Spill; biomarkers; long-term health effects; prospective cohort study.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • 8-Hydroxy-2'-Deoxyguanosine / urine
  • Adolescent
  • Adult
  • Chemical Hazard Release / prevention & control
  • Child
  • Cohort Studies
  • Environmental Exposure / adverse effects
  • Environmental Exposure / analysis
  • Female
  • Health Status Disparities
  • Humans
  • Long Term Adverse Effects* / diagnosis
  • Long Term Adverse Effects* / epidemiology
  • Long Term Adverse Effects* / etiology
  • Male
  • Malondialdehyde / urine
  • Mental Health / statistics & numerical data
  • Petroleum Pollution* / adverse effects
  • Petroleum Pollution* / analysis
  • Prospective Studies
  • Republic of Korea / epidemiology
  • Respiratory Function Tests / methods
  • Respiratory Tract Diseases* / diagnosis
  • Respiratory Tract Diseases* / epidemiology
  • Respiratory Tract Diseases* / etiology
  • Rhinitis, Allergic* / diagnosis
  • Rhinitis, Allergic* / epidemiology
  • Rhinitis, Allergic* / etiology

Substances

  • Malondialdehyde
  • 8-Hydroxy-2'-Deoxyguanosine