Background – tyre fires • EU Landfill Directive bans disposal of tyres, whole or shredded to landfill – have to be recycled • 10 large tyre dumps across the UK contain 13m tyres • Total UK annual estimates vary – approximately 500,000t 2011 – Swansea 2010 – Wem (Shropshire) Mexborough (Yorkshire) 2009 – Baglan, Port Talbot • SIGNIFICANT PUBLIC HEALTH RISK • ILLEGAL STOCKPILING INCREASING PROBLEM Fforestfach tyre fire • Tyre fire at warehouse on industrial estate (16611) • Source material est. 5,000 tonnes of tyre flock • Dark, dense smoke plume • Burned for over 3 weeks • Air quality monitoring established at outset (AQC) • Met conditions varied over time • Plausible that all within a 2km radius were exposed • Novel fire fighting techniques required • Major incident declared
Trang 1Public Health Wales
Fforestfach tyre fire: the public health
response
Professor David Russell, The WHO Collaborating Centre for Chemical Incidents
Trang 2Public Health Wales
Background – tyre fires
Health Protection Agency
• EU Landfill Directive bans disposal of tyres, whole or
shredded to landfill – have to be recycled
• 10 large tyre dumps across the UK contain 13m tyres
• Total UK annual estimates vary – approximately 500,000t
- 2011 – Swansea
- 2010 – Wem (Shropshire) & Mexborough (Yorkshire)
- 2009 – Baglan, Port Talbot
• SIGNIFICANT PUBLIC HEALTH RISK
• ILLEGAL STOCKPILING INCREASING PROBLEM
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Public Health Wales
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Public Health Wales
Trang 7Fforestfach tyre fire
Health Protection Agency
• Tyre fire at warehouse on industrial estate (16/6/11)
• Source material est 5,000 tonnes of tyre flock
• Dark, dense smoke plume
• Burned for over 3 weeks
• Air quality monitoring established at outset (AQC)
• Met conditions varied over time
• Plausible that all within a 2km radius were exposed
• Novel fire fighting techniques required
• Major incident declared
Trang 8Questions; Hazard Identification
• What chemicals could have been
released?
• What are the hazardous properties?
Public Health Wales
Trang 9Questions: Hazard Characterisation
• What properties of the chemical(s) have the potential to cause adverse health
effects?
• Do guidelines from international
organisations exist for the chemical(s)?
• What assumptions are made about
exposure and dose?
• Do these assumptions reflect the local population?
Public Health Wales
Trang 10Sensitive Receptors
Areas and specific buildings under
plume that may have residents more
sensitive to pollutants including
• Schools / nurseries (children)
• Care Homes (elderly / infirm)
• Hospitals / health centres (ill/pregnant)
Other Receptors
• General Residential Communities
• Commercial Properties
Schools Sheltered Complexes Nursing Homes
Receptors
X
Trang 12Use Met and chemical data to predict direction and distance travelled by
plume incorporating
• Wind direction / Speed
• Ambient Temperature / Pressure
Health Protection Agency
Public Health Wales
Trang 13Air quality monitoring
General principles:
• Environmental monitoring (sampling) during acute chemical incidents informs public health risk assessment
• Monitoring provides a measure of the environmental
concentrations of selected chemicals over time
• Monitoring is most useful when carried out at receptor
locations (i.e places where people are - exposed)
• Environmental concentrations can be compared to based exposure standards
health-• Monitoring can provide reassurance
Health Protection Agency
Trang 14Particulates
• PM10 near source over 6000 μg/m 3
• Peaks above Trigger 1 and Trigger 2
• 24 hour means exceeding Trigger 1
• No 24 hour means above Trigger 2
•Plume shifting with changing wind direction reducing exposure time for each area affected
Gases
• Odours detected over very wide areas
• No values above AEGL 2
Asbestos
• Controls for safe removal and disposal of wastes
Results and observations
Trang 15Monitoring Data – Particulates (Running 24 Hour Means)
PM 10 monitoring results
Trang 16Air Quality Index
activities
reduce strenuous outdoor activity outdoors
reduce activity + those experiencing
discomfort
avoid physical exertion plus reduction in others who experience
Chemical Hazards & Poisons Division (Cardiff)
www.hpa.org.
k
Trang 17Threshold Levels
•Action levels developed in 2009.
•Guidelines based on scientific theory
•24-hour average values of
160-180ug/m3 identified as levels to
consider evacuation vs sheltering.
•24-hour values of 320-360 ug/m3
identified as threshold for which
immediate public health intervention
may be needed.
• Based on prolonged duration i.e
d Chemical Hazards & Poisons Division (Cardiff)k
www.hpa.org.
k
Trang 18Health Based Standards / Triggers
Particulates – 24 hour running means
(ug/m 3 15 min mean)
Carbon Monoxide
(mg/m 3 8 hour mean)
130 or more
1064 or more
23.2 or more
Department of Health
*AEGL-2 is the airborne concentration above which it is predicted that the general population, including susceptible individuals,
could experience irreversible or other serious, long-lasting, adverse health effects or an impaired ability to escape.
Data interpretation
Trang 19Questions: Risk Characterisation
• How do the concentrations compare with the guideline values?
Public Health Wales
Trang 20Potential emissions
• Potential impacts on health and environment
• Gaseous pollutants, smoke and particulates
• Plume constituents vary – uncertainties about nature of burning material, fire characteristics, combustion
temperature, oxygen availability, ventilation
• Generally: PM; SO2; heavy metals; CO; PAHs; organics e.g benzene, phenols, styrene; inorganic irritants e.g Polychlorinated dibenzo-p-dioxins and dibenzofurans
Health Protection Agency
Trang 21Public Health Wales
Public health context
health and development, birth outcomes?
to biological interactions and cancers
exposure linked to lung and skin cancer
Health Protection Agency
Trang 22Questions: Risk mitigation
• What could be done to reduce the risk to the public?
Public Health Wales
Trang 23Public Health Wales
Trang 28Epidemiological evidence
Studies indicate 10 µg/m3 increase in PM10 (24-hour average) is associated with a 0.75%
increase in all-cause mortality (COMEAP)
Health Protection Agency
Trang 29Public Health Wales
Public health messages
• Widespread advice to shelter
• When outdoor concentrations of PM10 are predicted to be greater than an
average of 160µg/m 3 over a 24 hour period in an area then schools, nurseries, day care facilities for the elderly and similar facilities should be closed
• When outdoor concentrations of PM10 in an area have been greater than an average of 320µg/m 3 over a 24 hour period, AND it is predicted that
concentrations of greater than an average of 320µg/m 3 over a 24 hour period will continue for at least another 24 hours then adverse health effects are likely
to be significant and evacuation of that area should be considered
• Decision to return should NOT be based on a simple reversal of criteria.
Trang 30Public Health Wales
Public health follow-up
Cross sectional survey
• To measure the mental health impacts associated with the Fforestfach fire
• To assess what information and advice about the incident was received by
people in affected areas, and what sources of information were
• To identify a cohort of individuals that can be followed up in the future to assess psychological morbidity associated with the Fforestfach fire in the medium (12 months) and longer term (2 years)
Prospective cohort study
• To determine impact of the Fforestfach fire on acute and chronic health
outcomes within the local population, using routinely collected information held
in health and other datasets
Health Protection Agency
Trang 31Public Health Wales
Trang 32Fforestfach tyre fire: the public health
response
Huw Brunt, Public Health Wales