The public health impact of industrial disasters


  • Mark E. Keim, MD



industrial disasters, technological disasters, emergency response, public health emergency, hazardous materials


The recent Deepwater Horizon oil spill and Japanese earthquake/tsunami radiation disaster have increased public concerns regarding the public health impact of industrial disasters. Industrial disasters are known to impose a unique set of challenges for public health emergency response. There are critical gaps in scientific knowledge regarding assessment and control of public health disasters related to industrial releases of hazardous materials. There is also a fundamental lack of familiarity regarding industrial disasters among the public health and medical communities, in general. There are few sources in the current public health literature that review this disaster phenomenon in a comprehensive manner. This article offers a review of the public health impact and unique considerations related to industrial disasters.

Author Biography

Mark E. Keim, MD

Senior Science Advisor, Office of Terrorism Preparedness and Emergency Response, National Center of Environmental Health, Agency for Toxic Substances and Disease Registry, Centers for Disease Control & Prevention, Atlanta, Georgia; Adjunct Professor, Emory University, Rollins School of Public Health, Atlanta, Georgia.


Hull D, Grindlinger G, Hirsch E: The clinical consequences of an industrial plant explosion. J Trauma. 1985; 25(4): 303-307.

Duclos P, Sanderson L, Thompson F, et al.: Community evacuation following a chlorine release, Mississippi. Disasters. 1987; 11(4): 286-289.

Lillibridge S: Industrial disasters. In: Noji ER (ed.): The Public Health Consequences of Disasters. New York: Oxford University Press, 1997: 354-372.

Lagadec P: Accidents, crises, breakdowns. Paper presented at the Society of Chemical Industry, London, January 9, 1998.

Keim M: Intentional chemical disasters. In Hogan D, Burstein J (eds.): Disaster Medicine. Philadelphia: Lippincott, Williams & Wilkins, 2002: 340-348.

Slovic P: Perception of risk. Science. 1987; 236: 280-285.

Quarantelli E, Gray J: Research findings on community and organizational preparations for and responses to acute chemical emergencies. Public Manag. 1986; 68: 11-13.

Bertazzi P: Industrial disasters and epidemiology. Scan J Work Environ Health. 1989; 15: 85-100.

Glickman TS, Golding D, Silverman ED: Acts of God and Acts of Man: Major Trends in Natural Disasters and Major Industrial Accidents [discussion paper]. Washington, DC: Center for Risk Management, Resources for the Future, 1991.

Hogan D, Burstein J: General concepts. In Hogan D, Burstein J (eds.): Disaster Medicine. 2nd ed. Philadelphia, PA: Lippincott, Williams & Wilkins, August 2007: 8.

Schipper L, Pelling M: Disaster risk, climate change and international development: Scope for, and challenges to, integration. Disasters. 2006; 30(1): 19-38.

World Bank: Natural Hazards, Un-natural Disasters. Washington, DC:World Bank, 2010. Available at Accessed March 24, 2011.

International Federation of Red Cross and Red Crescent Societies (IFRC): World Disasters Report 2001. Geneva, Switzerland: IFRC, 2001.

Wijkman A, Timberlake L: Natural Disasters: Acts of God or Acts of Man. New York: Earthscan Paperback, 1984.

Berren M, Beigel A, Ghertner S: Typology for the classification of disasters. Community Health J. 1980; 16: 103-111.

Showalter PS, Myers MF: Natural disasters in the United States as release agents of oil, chemicals, or radiological materials between 1980-1989: Analysis and recommendations. Risk Anal. 1994; 14: 169-182.

Velimirovic B: Non-natural disasters—An epidemiological review. Disasters. 1980; 4: 237-246.

Young S, Balluz L, Malilay J: Natural and technological hazardous material releases during and after natural disasters. Sci Total Environ. 2004; 322: 3-20.

Sancio R: Disaster in Venezuela: The floods and landslides of December 1999. Nat Hazards Obs. 2000; 24(4): 1.Available at Accessed March 25, 2011.

Larsen M, Wieczorek G, Eaton L, et al.: Natural Hazards on Alluvial Fans: The Venezuela Debris Flow and Flash Flood Disaster. US Department of the Interior; US Geological Survey Fact Sheet 103- 01. Available at Accessed March 25, 2011.

Anonymous:Venezuela seeks contractors for hazardous cleanup. Hazardous Substances Spill Report.Vol. 3, No. 2, January 27, 2000.

Keim M, Humphrey A, Dreyfus A, et al.: Situation assessment report involving the hazardous material disaster site at LaGuaira Port,Venezuela. CDC Report to Office of Foreign Disaster Assistance, US Agency for International Development, January 10, 2000.

United Nations Office for the Coordination of Humanitarian Affairs (OCHA): Japan earthquake and tsunami Situation Report No. 1 and No. 12. March 2011. Available at Accessed March 24, 2011.

Japan Prime Minister’s Office: Report of the Japanese Government to the IAEA Ministerial Conference on Nuclear Safety. Available at Accessed September 2, 2011: VI1-7.

Sanderson L: Toxicologic disasters: Natural and technologic. In Sullivan JB, Krieger GR (eds.): Hazardous Materials Toxicology: Clinical Principles of Environmental Health. Baltimore:Williams & Wilkins, 1992.

National Environmental Law Center and the US Public Research Interest Group: Chemical Releases Statistics.Washington, DC: Associated Press International, 1994.

Binder S: Deaths, injuries and evacuations from acute hazardous materials releases. Am J Public Health. 1989; 79: 1042-1044.

Agency for Toxic Substances and Disease Registry: HSEES Annual Report. Hazardous Substances Emergency Events Surveillance (HSEES). Atlanta: US Department of Health and Human Services, 2007-2008. Available at Accessed March 25, 2011.

Elliott M, Wang Y, Lowe R, et al.: Environmental justice: Frequency and severity of US chemical industry accidents and the socio-economic status of surrounding communities. J Epidemiol Community Health. 2004; 58: 24-30.

NOAA Office of Response and Restoration: Oil and Chemical Spills. National Oceanic and Atmospheric Administration. Washington, DC: US Department of Commerce. Available at Accessed March 25, 2011.

Etkin DS: Oil Spills from Vessels (1960-1995): An International Historical Perspective. Cambridge, MA: Cutter Information Corporation, 1997: 72.

US Coast Guard: Oil Pollution Control Act. Available at Accessed March 25, 2011.

International Tanker Owners Pollution Federation, Limited: Statistics. London: International Tanker Owners Pollution Federation, Limited. Available at Accessed March 25, 2011.

Mariner Group: Oil Spill History. Singapore: The Mariner Group. Available at http://www. Accessed March 25, 2011.

San Joaquin Geological Society: 23 September 2002.Available at Accessed March 25, 2011.

Firpo de Souza Porto M, Machado de Freitas C: Major chemical accidents and industrializing countries: The socio-political amplification of risk. Risk Anal. 1996; 16(1): 19-29.

Glickman T, Golding D, Terry K: Fatal Hazardous Materials Accidents in Industry: Domestic and Foreign Experience from 1945 to 1991.Washington, DC: Center for Risk Management, 1993.

Brown H, Himelberger J, White A: Development of environment interactions in the export of hazardous technologies. Technol Forecast Soc Change. 1993; 43: 125-155.

Clack Z, Keim M, MacIntyre A, et al.: Emergency health and risk management in sub-Saharan Africa: A lesson from the embassy bombings in Tanzania and Kenya. Prehosp Disaster Med. 2002; 17(2): 59-66.

Mehta PS, Mehta AS, Mehta SJ, et al.: Bhopal tragedy’s health effects. JAMA. 1990; 264(21): 2781-2787.

Centre for Research on the Epidemiology of Disasters (CRED): EM-DAT, the international disaster database. Brussels: Centre for Research on the Epidemiology of Disasters, 2011. Available at Accessed March 25, 2011.

McCunney R: Emergency response to environmental toxic incidents: The role of the occupational physician. Occup Med. 1996; 46(5): 397-401.

Doyle C, Upfal M, Little N: Disaster management of possible toxic exposure. In Haddad L (ed.): Clinical Management of Poisoning and Drug Overdose. Philadelphia: WB Saunders, 1990: 483-500.

Baxter P: 1991 Major chemical disasters: Britain’s health services are poorly prepared. BMJ. 1991; 302: 61-62.

Falk H: Industrial/chemical disasters: Medical care, public health and epidemiology in the acute phase. In Bourdeau P, Green G (eds.): Methods for Assessing and Reducing Injury from Chemical Accidents. New York: John Wiley and Sons, 1989: 105-114.

Ghilarducci DP, Pirrallo RG, Hegmann KT: Hazardous materials readiness of United States Level 1 trauma centers. J Occup Environ Med. 2000; 42(7): 683-692.

Keim M, Pesik N, Twum-Danso N: Lack of hospital preparedness for chemical terrorism in a major US city: 1996-2000. Prehosp Disaster Med. 2003; 18(3): 193-199.

Dart RC, Stark Y, Fulton B: Insufficient stocking of poisoning antidotes in hospital pharmacies. JAMA. 1996; 276: 1508-1510.

Chyka PA, Conner HG:Availability of antidotes in rural and urban hospitals in Tennessee. Am J Hosp Pharm. 1994; 51: 1346-1348.

Wetter DC, Daniell WE, Treser CD: Hospital preparedness for victims of chemical or biological terrorism. Am J Pub Health. 2001; 91: 710-716.

Woolf AD, Chrisanthus K: On-site availability of selected antidotes: Results of a survey of Massachusetts hospitals. Am J Emerg Med. 1997; 15: 62-66.



How to Cite

Keim, MD, M. E. “The Public Health Impact of Industrial Disasters”. American Journal of Disaster Medicine, vol. 6, no. 5, Sept. 2011, pp. 265-72, doi:10.5055/ajdm.2011.0065.