April 20, 2010 Explosion aboard Deepwater Horizon 11 lives lost, 17 injured April 22, 2010 Deepwater Horizon sinks into Gulf of Mexico April 28, 2010

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3 April 20, 2010 Explosion aboard Deepwater Horizon 11 lives lost, 17 injured April 22, 2010 Deepwater Horizon sinks into Gulf of Mexico April 28, 2010 BP named as the Responsible Party by US Coast Guard April 30, 2010 Incident Command centers activated in Houma, La and Mobile, Al July 16, 2010 Deepwater Horizon well was capped and the recovery began

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6 Outlaw Convention Center in Mobile Leased JIC, States command centers, Finance, Logistics, Operations, Planning 24 hr operating period Briefings given throughout the day 4 meals a day, laundry services, lodging, stress relief, equipment loans Public Health desk staffed with 2 state level and 2 county level

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10 Public Health Unit within the planning section of Unified Command Subject Matter Experts participating in daily teleconferences Joint Information Center State EOC Providing detailed reports to Health Officials Local support on the coast plus town hall meeting coordination

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13 FDA, Florida, Mississippi, and Alabama Departments of Public Health, Agency for Toxic Substances and Disease Registry (ATSDR), National Park Service Tasked by Planning Chief as well as other sections of ICS concerning Health Issues related to the spill Developed plans, call scripts, and strategies to offset possible Public Health Issues Food Water Air Waste

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24 Odor complaints Fears of tainted Seafood Dispersant concerns Vessels used in clean up contaminating bays after avoiding/ unsuccessful decontamination

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26 Orange Streamer

27 Old Boom Orange Streamers And Emulsified Oil

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34 1 Tar fall west of pier in Gulf Shores on the afternoon of June 24, Same beach area photographed the next morning on June 25, A screen machine was worked during the night (when the tar is more solidified) to remove the tar.

35 1 Tar fall with absorbent boom, west of pier in Gulf Shores on the afternoon of June 24, Same beach area photographed the next morning on June 25, A screen machine was worked during the night (when the tar is more solidified) to remove the tar.

36 1 Tar fall west of pier in Gulf Shores on the afternoon of June 24, Clean up crew in PPE observed collecting unsaturated white absorbent boom. 2 Same beach area photographed the next morning on June 25, A screen machine was worked during the night (when the tar is more solidified) to remove the tar. Notice citizens walking along beach and swimming in water.

37 Lines left from screen machine used to clean tar during night.

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39 Clean-up crews use fish nets to filter sand and remove smaller tar balls.

40 Committees to establish thresholds for odor, toxicity, Input from State Health Departments States Department of Marine Resources sampling Finding lab difficult with NOAA protocol

41 Areas were closed to keep potentially tainted seafood from being caught and brought to market. Before closed waters can be opened, there must be no oil present, and every seafood sample collected there must pass a two-pronged test. Now, the closure in federal waters is 1,041 mi 2, about 0.4% of the federal waters of the Gulf.

42 When the oil is gone from an area, NOAA boats and ships and those hired by NOAA head out to sample. They are looking for any of the about 40 commercially and recreationally important species in the Gulf that occur in that particular area.

43 All samples go in front of a panel of NOAA and FDA sensory experts. One piece of seafood is analyzed 21 times by each of the seven panelists, for raw odor, cooked odor, and cooked taste. The panel is routinely tested with hidden blank and intentionally spiked samples, to prove they can correctly identify them. Their sensitivities are extremely low because of natural abilities and training.

44 Seafood tissue samples are prepared and put into labeled jars, which are passed on to chemical analysis. Chemical analysis looks for components of oil that are of concern for human health. All samples must pass both sensory and chemical tests before an area can be opened. All the samples tested in federal waters have easily passed, and are well below the level of concern, routinely 100 to 1000 times below that level. All testing data is available publicly.

45 Available information indicates that dispersants in seafood do not pose a human health concern. Sensory experts have proven they can detect dispersant alone to 10 parts per million, or mixed with oil to 1 ppm, and would fail a sample in which it was detected. On October 29, NOAA and FDA announced a chemical test for dispersant in seafood, which re-confirmed the safety of seafood. We will continue to use the new test to help support consumer confidence.

46 NOAA samples areas even after they are open, to further support consumer confidence. NOAA s port agents have also collected hundreds of dockside samples from fishermen bringing in catch. NOAA s Seafood Inspection Program continues to test samples at primary processing facilities (even beyond the Gulf) and certify they meet FDA standards.

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51 Oil Spill Responders and Clean-up Workers: Health Follow-Up Respiratory issues (lung problems) Skin issues (rashes to malinomas) Mental Health issues (depression to anxiety) * Are these conditions any different from other disasters?

52 Initial Recreational Water Warnings

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54 Ongoing Water Sampling

55 Describe the Community Assessment for Public Health Emergency Response (CASPER) Describe self-reported changes in household activity and income in 2010 and 2011 Discuss differences in quality of life, mental health and social context measures by income change in 2010 and 2011

56 Epidemiologic technique designed to provide quick and low cost, household-based information about an affected community s needs after a disaster in a simple format to decision-makers. Slide credit: CDC

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60 Boats designed for commercial fish harvest used for oil clean up Creation of a plan for returning fishing vessels to normal operation State and federal input received

61 Oil Spill Statistics In perspective million gallons (4.9 million barrels) 62,000 barrels per day Oil value $398,000, miles of coastline contaminated 16.5 million gallons of dispersant used 6.2 million gallons skimmed (3%) 10.4 million feet of boom ~38,000 people worked the oil spill 57,539 square miles of gulf closed to fishing Unknown economic impact (est. $ billions)

62 So, where is the oil? Skimmed and Collected Subsurface Reabsorbed Marshes Sand Sea Floor (90 mile shelf) Broken up & Whipped Baked Eaten Dispersed Bioaccumulated?

63 Long term? Is 5 years (scientifically speaking) is a short amount of time to do a reputable and replicable (solid) studies. 1,885 days (today) is only about half of the time needed to gauge the full impact of this disaster

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65 Gulf Coast Ad Campaign

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67 ADPH.ORG Website set up for up-to-date and accurate public health related information

68 Federal Notification (NRC) State Notification or local ADEM office during normal working hours. Montgomery Mobile Birmingham Decatur

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70 Gulf Shores, Alabama July 4, 2015

71 QUESTIONS Tim Hatch, MPA, REHS Director of Logistics and Environmental Programs Alabama Department of Public Health Center for Emergency Preparedness (334)