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. 1986 Mar;76(Suppl):25–37. doi: 10.2105/ajph.76.suppl.25

Immediate public health concerns and actions in volcanic eruptions: lessons from the Mount St. Helens eruptions, May 18-October 18, 1980.

R S Bernstein, P J Baxter, H Falk, R Ing, L Foster, F Frost
PMCID: PMC1651693  PMID: 3946727

Abstract

A comprehensive epidemiological evaluation of mortality and short-term morbidity associated with explosive volcanic activity was carried out by the Centers for Disease Control in collaboration with affected state and local health departments, clinicians, and private institutions. Following the May 18, 1980 eruption of Mount St. Helens, a series of public health actions were rapidly instituted to develop accurate information about volcanic hazards and to recommend methods for prevention or control of adverse effects on safety and health. These public health actions included: establishing a system of active surveillance of cause-specific emergency room (ER) visits and hospital admissions in affected and unaffected communities for comparison; assessing the causes of death and factors associated with survival or death among persons located near the crater; analyzing the mineralogy and toxicology of sedimented ash and the airborne concentration of resuspended dusts; investigating reported excesses of ash-related adverse respiratory effects by epidemiological methods such as cross-sectional and case-control studies; and controlling rumors and disseminating accurate, timely information about volcanic hazards and recommended preventive or control measures by means of press briefings and health bulletins. Surveillance and observational studies indicated that: excess in morbidity were limited to transient increases in ER visits and hospital admissions for traumatic injuries and respiratory problems (but not for communicable disease or mental health problems) which were associated in time, place, and person with exposures to volcanic ash; excessive mortality due to suffocation (76 per cent), thermal injuries (12 per cent), or trauma (12 per cent) by ash and other volcanic hazards was directly proportional to the degree of environmental damage--that is, it was more pronounced among those persons (48/65, or about 74 per cent) who, at the time of the eruption, were residing, camping, or sightseeing (despite restrictions) or working (with permission) closer to the crater in areas affected by the explosive blast, pyroclastic and mud flows, and heavy ashfall; and de novo appearance of ash-related asthma was not observed, but transient excesses in adverse respiratory effects occurred in two high-risk groups--hypersusceptibles (with preexisting asthma or chronic bronchitis) and heavily exposed workers. Laboratory and field studies indicated that: volcanic ash had mild to moderate fibrogenic potential, consisting of greater than 90 per cent (by count) respirable size particles which contained 4-7 per cent (by weight) crystalline free silica (SiO2).(ABSTRACT TRUNCATED AT 400 WORDS)

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Selected References

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  1. Baxter P. J. Health hazards of volcanic eruptions. J R Coll Physicians Lond. 1983 Jul;17(3):180–182. [PMC free article] [PubMed] [Google Scholar]
  2. Baxter P. J., Ing R., Falk H., French J., Stein G. F., Bernstein R. S., Merchant J. A., Allard J. Mount St Helens eruptions, May 18 to June 12, 1980. An overview of the acute health impact. JAMA. 1981 Dec 4;246(22):2585–2589. [PubMed] [Google Scholar]
  3. Baxter P. J., Ing R., Falk H., Plikaytis B. Mount St. Helens eruptions: the acute respiratory effects of volcanic ash in a North American community. Arch Environ Health. 1983 May-Jun;38(3):138–143. doi: 10.1080/00039896.1983.10543994. [DOI] [PubMed] [Google Scholar]
  4. Baxter P. J., Stoiber R. E., Williams S. N. Volcanic gases and health: Masaya Volcano, Nicaragua. Lancet. 1982 Jul 17;2(8290):150–151. doi: 10.1016/s0140-6736(82)91109-6. [DOI] [PubMed] [Google Scholar]
  5. Boushey H. A., Holtzman M. J., Sheller J. R., Nadel J. A. Bronchial hyperreactivity. Am Rev Respir Dis. 1980 Feb;121(2):389–413. doi: 10.1164/arrd.1980.121.2.389. [DOI] [PubMed] [Google Scholar]
  6. Buist A. S. Are volcanoes hazardous to your health? What have we learned from Mount St Helens? West J Med. 1982 Oct;137(4):294–301. [PMC free article] [PubMed] [Google Scholar]
  7. Castranova V., Bowman L., Shreve J. M., Jones G. S., Miles P. R. Volcanic ash: toxicity to isolated lung cells. J Toxicol Environ Health. 1982 Feb;9(2):317–325. doi: 10.1080/15287398209530164. [DOI] [PubMed] [Google Scholar]
  8. Crandell D. R., Mullineaux D. R., Rubin M. Mount st. Helens volcano: recent and future behavior. Science. 1975 Feb 7;187(4175):438–441. doi: 10.1126/science.187.4175.438. [DOI] [PubMed] [Google Scholar]
  9. Eisele J. W., O'Halloran R. L., Reay D. T., Lindholm G. R., Lewman L. V., Brady W. J. Deaths during the May 18, 1980, eruption of Mount St. Helens. N Engl J Med. 1981 Oct 15;305(16):931–936. doi: 10.1056/NEJM198110153051606. [DOI] [PubMed] [Google Scholar]
  10. Ferris B. G., Jr, Dockery D. W., Ware J. H., Speizer F. E., Spiro R., 3rd The Six-City Study: examples of problems in analysis of the data. Environ Health Perspect. 1983 Oct;52:115–123. doi: 10.1289/ehp.8352115. [DOI] [PMC free article] [PubMed] [Google Scholar]
  11. Ferris B. G., Jr Health effects of exposure to low levels of regulated air pollutants: a critical review. J Air Pollut Control Assoc. 1978 May;28(5):482–497. doi: 10.1080/00022470.1978.10470621. [DOI] [PubMed] [Google Scholar]
  12. Fraunfelder F. T., Kalina R. E., Buist A. S., Bernstein R. S., Johnson D. S. Ocular effects following the volcanic eruptions of Mount St Helens. Arch Ophthalmol. 1983 Mar;101(3):376–378. doi: 10.1001/archopht.1983.01040010376003. [DOI] [PubMed] [Google Scholar]
  13. Green F. H., Bowman L., Castranova V., Dollberg D. D., Elliot J. A., Fedan J. S., Hahon N., Judy D. J., Major P. C., Mentnech M. S. Health implications of the Mount St. Helen's eruption: laboratory investigations. Ann Occup Hyg. 1982;26(1-4):921–933. [PubMed] [Google Scholar]
  14. Green F. H., Vallyathan V., Mentnech M. S., Tucker J. H., Merchant J. A., Kiessling P. J., Antonius J. A., Parshley P. Is volcanic ash a pneumoconiosis risk? Nature. 1981 Sep 17;293(5829):216–217. doi: 10.1038/293216a0. [DOI] [PubMed] [Google Scholar]
  15. Holland W. W., Bennett A. E., Cameron I. R., Florey C. V., Leeder S. R., Schilling R. S., Swan A. V., Waller R. E. Health effects of particulate pollution: reappraising the evidence. Am J Epidemiol. 1979 Nov;110(5):527–659. doi: 10.1093/oxfordjournals.aje.a112836. [DOI] [PubMed] [Google Scholar]
  16. Johnson K. G., Loftsgaarden D. O., Gideon R. A. The effects of Mount St. Helens volcanic ash on the pulmonary function of 120 elementary school children. Am Rev Respir Dis. 1982 Dec;126(6):1066–1069. doi: 10.1164/arrd.1982.126.6.1066. [DOI] [PubMed] [Google Scholar]
  17. Kerr R. A. Volcanoes to Keep an Eye on: The western United States has scores of volcanoes likely to erupt in the future; some of them may be waking from long slumbers. Science. 1983 Aug 12;221(4611):634–635. doi: 10.1126/science.221.4611.634. [DOI] [PubMed] [Google Scholar]
  18. LANGMUIR A. D. The surveillance of communicable diseases of national importance. N Engl J Med. 1963 Jan 24;268:182–192. doi: 10.1056/NEJM196301242680405. [DOI] [PubMed] [Google Scholar]
  19. Lebowitz M. D. Utilization of data from human population studies for setting air quality standards: evaluation of important issues. Environ Health Perspect. 1983 Oct;52:193–205. doi: 10.1289/ehp.8352193. [DOI] [PMC free article] [PubMed] [Google Scholar]
  20. Merchant J. A., Baxter P., Bernstein R., McCawley M., Falk H., Stein G., Ing R., Attfield M. Health implications of the Mount St. Helen's eruption: epidemiological considerations. Ann Occup Hyg. 1982;26(1-4):911–919. [PubMed] [Google Scholar]
  21. Murphy S. A. After Mount St. Helens. Disaster stress research. J Psychosoc Nurs Ment Health Serv. 1984 Jul;22(7):8-11, 15-8. doi: 10.3928/0279-3695-19840701-05. [DOI] [PubMed] [Google Scholar]
  22. Nania J., Bruya T. E. In the wake of Mount St Helens. Ann Emerg Med. 1982 Apr;11(4):184–191. doi: 10.1016/s0196-0644(82)80495-2. [DOI] [PubMed] [Google Scholar]
  23. Nolan R. P., Langer A. M., Harington J. S., Oster G., Selikoff I. J. Quartz hemolysis as related to its surface functionalities. Environ Res. 1981 Dec;26(2):503–520. doi: 10.1016/0013-9351(81)90226-7. [DOI] [PubMed] [Google Scholar]
  24. Parshley P. F., Kiessling P. J., Antonius J. A., Connell R. S., Miller S. H., Green F. H. Pyroclastic flow injury. Mount St. Helens, May 18, 1980. Am J Surg. 1982 May;143(5):565–568. doi: 10.1016/0002-9610(82)90163-5. [DOI] [PubMed] [Google Scholar]
  25. Samet J. M., Bishop Y., Speizer F. E., Spengler J. D., Ferris B. G., Jr The relationship between air pollution and emergency room visits in an industrial community. J Air Pollut Control Assoc. 1981 Mar;31(3):236–240. doi: 10.1080/00022470.1981.10465214. [DOI] [PubMed] [Google Scholar]
  26. Shy C. M. Epidemiologic evidence and the United States air quality standards. Am J Epidemiol. 1979 Dec;110(6):661–671. doi: 10.1093/oxfordjournals.aje.a112847. [DOI] [PubMed] [Google Scholar]
  27. Swanson D. A., Casadevall T. J., Dzurisin D., Malone S. D., Newhall C. G., Weaver C. S. Predicting eruptions at mount st. Helens, june 1980 through december 1982. Science. 1983 Sep 30;221(4618):1369–1376. doi: 10.1126/science.221.4618.1369. [DOI] [PubMed] [Google Scholar]
  28. Thibodeau L. A., Reed R. B., Bishop Y. M., Kammerman L. A. Air pollution and human health: a review and reanalysis. Environ Health Perspect. 1980 Feb;34:165–183. doi: 10.1289/ehp.8034165. [DOI] [PMC free article] [PubMed] [Google Scholar]
  29. Vallyathan V., Mentnech M. S., Stettler L. E., Dollberg D. D., Green F. H. Mount St. Helens' volcanic ash: hemolytic activity. Environ Res. 1983 Apr;30(2):349–360. doi: 10.1016/0013-9351(83)90220-7. [DOI] [PubMed] [Google Scholar]
  30. Vallyathan V., Mentnech M. S., Tucker J. H., Green F. H. Pulmonary response to Mount St. Helens' volcanic ash. Environ Res. 1983 Apr;30(2):361–371. doi: 10.1016/0013-9351(83)90221-9. [DOI] [PubMed] [Google Scholar]
  31. Vallyathan V., Robinson V., Reasor M., Stettler L., Bernstein R. Comparative in vitro cytotoxicity of volcanic ashes from Mount St. Helens, El Chichon, and Galunggung. J Toxicol Environ Health. 1984;14(5-6):641–654. doi: 10.1080/15287398409530614. [DOI] [PubMed] [Google Scholar]
  32. Weiss S. T., Tager I. B., Weiss J. W., Munoz A., Speizer F. E., Ingram R. H. Airways responsiveness in a population sample of adults and children. Am Rev Respir Dis. 1984 Jun;129(6):898–902. doi: 10.1164/arrd.1984.129.6.898. [DOI] [PubMed] [Google Scholar]
  33. Weniger B. G., Blaser M. J., Gedrose J., Lippy E. C., Juranek D. D. An outbreak of waterborne giardiasis associated with heavy water runoff due to warm weather and volcanic ashfall. Am J Public Health. 1983 Aug;73(8):868–872. doi: 10.2105/ajph.73.8.868. [DOI] [PMC free article] [PubMed] [Google Scholar]
  34. Whittemore A. S., Korn E. L. Asthma and air pollution in the Los Angeles area. Am J Public Health. 1980 Jul;70(7):687–696. doi: 10.2105/ajph.70.7.687. [DOI] [PMC free article] [PubMed] [Google Scholar]

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