Gulf Oil Spill

http://www.nejm.org/doi/full/10.1056/NEJMra1007197

The Gulf Oil Spill

Bernard D. Goldstein, M.D., Howard J. Osofsky, M.D., Ph.D., and Maureen Y. Lichtveld, M.D., M.P.H.

N Engl J Med 2011; 364:1334-1348April 7, 2011

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One year after the Gulf oil spill (also known as the Deepwater Horizon oil spill, the BP oil spill, or the Gulf of Mexico oil spill), the full magnitude of the environmental, economic, and human health effects of this major disaster remain unknown. Despite a growing literature describing the impact of oil spills on health1-28 (Table 1Table 1Studies of Effects of Oil Spills on the Health and Safety of Workers and Communities. and Table 2Table 2Studies of Effects of Oil Spills on Mental Health of Workers and Communities.), it is difficult to respond to the many questions asked by clinicians and the public about this spill or the risk of future spills. The uncertainty is exemplified by the study of 55,000 Gulf oil spill workers by the National Institute of Environmental Health Sciences (NIEHS), which is open-ended rather than focused on a specific number of end points.29 The uncertainty also has consequences for the economic and psychosocial well-being of Gulf Coast residents.

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