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A survey of early health effects of the Eyjafjallajokull 2010 eruption in Iceland: a population-based study.

ABSTRACT: To estimate physical and mental health effects of the Eyjafjallajökull volcanic eruption on nearby residents.Cross-sectional study.The Icelandic volcano Eyjafjallajökull erupted on 14 April 2010. The eruption lasted for about 6 weeks and was explosive, ejecting some 8 million tons of fine particles into the atmosphere. Due to prevailing winds, the ash spread mostly to the south and south-east, first over the rural region to the south, later over the Atlantic Ocean and Europe, closing European air space for several days.Residents (n=207) of the most ash-exposed rural area south and east of the volcano.The study period was from 31 May to 11 June 2010. Participants were examined by a physician. To ascertain respiratory health, standardised spirometry was performed before and after the use of a bronchodilator. All adult participants answered questionnaires about mental and physical health, their children's health and the use of protective equipment.Every other adult participant reported irritation in eyes and upper airway when exposed to volcanic ash. Adults (n=26) and children (n=5) with pre-existing asthma frequently reported worsening of their symptoms. No serious health problems requiring hospitalisation could be attributed to the eruption. The majority of the participants reported no abnormal physical or mental symptoms to the examining physician. Compared to an age- and gender-matched reference group, the ash-exposed participants reported lower smoking rates and were less likely to have ventilation impairment. Less than 10% of the participants reported symptoms of stress, anxiety or depression.Short-term ash exposure was associated with upper airway irritation symptoms and exacerbation of pre-existing asthma but did not contribute to serious health problems. The exposure did not impair respiratory function compared to controls. Outdoor use of protective glasses and face masks was considered protective against irritation in eyes and upper airway.

SUBMITTER: Carlsen HK

PROVIDER: S-EPMC3298836 | biostudies-other | 2012

REPOSITORIES: biostudies-other

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A survey of early health effects of the Eyjafjallajokull 2010 eruption in Iceland: a population-based study.

Carlsen Hanne Krage HK Gislason Thorarinn T Benediktsdottir Bryndis B Kolbeinsson Thorir Bjorn TB Hauksdottir Arna A Thorsteinsson Throstur T Briem Haraldur H

BMJ open 20120308 2

<h4>Objective</h4>To estimate physical and mental health effects of the Eyjafjallajökull volcanic eruption on nearby residents.<h4>Design</h4>Cross-sectional study.<h4>Setting</h4>The Icelandic volcano Eyjafjallajökull erupted on 14 April 2010. The eruption lasted for about 6 weeks and was explosive, ejecting some 8 million tons of fine particles into the atmosphere. Due to prevailing winds, the ash spread mostly to the south and south-east, first over the rural region to the south, later over t ...[more]

PMID: 22403340

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Project description:Background & aimsThe incidence of cirrhosis in Iceland has been the lowest in the world with only 3 cases per 100,000 inhabitants. Alcohol consumption has almost doubled in Iceland from 1980 to 2016. Obesity has also risen and hepatitis C virus has spread among people who inject drugs in Iceland. The aim of this study was to evaluate the effects of these risk factors on the incidence and aetiology of cirrhosis in Iceland.MethodsThe study included all patients diagnosed with cirrhosis for the first time during 2010-2015. Diagnosis was based on liver histology or 2 of 4 criteria: cirrhosis on imaging, ascites, varices, and/or elevated INR.ResultsOverall, 157 patients were diagnosed, 105 (67%) males, mean age 61 years. The overall incidence was 9.7 cases per 100,000 inhabitants annually. Alcohol was the only underlying cause in 48/157 (31%), non-alcoholic fatty liver disease (NAFLD) in 34/157(22%), and alcohol and hepatitis C together in 23/157(15%) were the most common causes. Only 6% of patients had an unknown cause of cirrhosis. Upon diagnosis, the median model for end-stage liver disease score was 11 (IQR 8-15), 53% were of Child-Pugh class A whereas 61 (39%) had ascites, 11% encephalopathy, and 8% variceal bleeding. In all, 25% of deaths were from HCC and 25% from liver failure.ConclusionA major increase in incidence of cirrhosis has occurred in Iceland associated with increases in alcohol consumption, obesity, and hepatitis C. In a high proportion NAFLD was the aetiology and very few had unknown cause of cirrhosis. The highest death rate was from HCC.Lay summaryIn a nationwide population-based study from Iceland, including all patients diagnosed with cirrhosis of the liver over a period of 5 years, we found the incidence of new cases had increased 3-fold compared with a previous study 20 years ago. The increase is attributable to increased alcohol consumption, an epidemic of diabetes and obesity, and infection with the hepatitis C virus. Furthermore, we found that with thorough investigations, a specific cause for cirrhosis could be found in 94% of patients. Patients with cirrhosis frequently die of liver cancer and other complications related to their liver disease.

Project description:The study aimed to determine whether exposure to a volcanic eruption was associated with increased prevalence of physical and/or mental symptoms. Cohort, with non-exposed control group. Natural disasters like volcanic eruptions constitute a major public-health threat. The Icelandic volcano Eyjafjallajökull exposed residents in southern Iceland to continuous ash fall for more than 5 weeks in spring 2010. This study was conducted during November 2010-March 2011, 6-9 months after the Eyjafjallajökull eruption. Adult (18-80 years of age) eruption-exposed South Icelanders (N=1148) and a control population of residents of Skagafjörður, North Iceland (N=510). The participation rate was 72%. Physical symptoms in the previous year (chronic), in the previous month (recent), General Health Questionnaire (GHQ-12) measured psychological morbidity. The likelihood of having symptoms during the last month was higher in the exposed population, such as; tightness in the chest (OR 2.5; 95% CI 1.1 to 5.8), cough (OR 2.6; 95% CI 1.7 to 3.9), phlegm (OR 2.1; 95% CI 1.3 to 3.2), eye irritation (OR 2.9; 95% CI 2.0 to 4.1) and psychological morbidity symptoms (OR 1.3; 95% CI 1.0 to 1.7). Respiratory symptoms during the last 12 months were also more common in the exposed population; cough (OR 2.2; 95% CI 1.6 to 2.9), dyspnoea (OR 1.6; 95% CI 1.1 to 2.3), although the prevalence of underlying asthma and heart disease was similar. Twice as many in the exposed population had two or more symptoms from nose, eyes or upper-respiratory tract (24% vs 13%, p<0.001); these individuals were also more likely to experience psychological morbidity (OR 4.7; 95% CI 3.4 to 6.5) compared with individuals with no symptoms. Most symptoms exhibited a dose-response pattern within the exposed population, corresponding to low, medium and high exposure to the eruption. 6-9 months after the Eyjafjallajökull eruption, residents living in the exposed area, particularly those closest to the volcano, had markedly increased prevalence of various physical symptoms. A portion of the exposed population reported multiple symptoms and may be at risk for long-term physical and psychological morbidity. Studies of long-term consequences are therefore warranted.

Project description:BACKGROUND:Cross-national comparisons of the associations of socioeconomic and religious factors with health can facilitate our understanding of differences in health determinants between countries and the development of policies to reduce health differentials appropriate to each country. However, very few such studies have been conducted in East Asia. METHODS:This study set out to compare the associations of socioeconomic and religious factors with health in China and Korea using the 2010 East Asian Social Survey, which was based on nationally representative samples. The study participants included 4980 individuals, 3629 in China and 1351 in Korea, aged ?20?years. The dependent variable, individuals' self-rated health, was categorized into poor, good, and excellent. Socioeconomic (education, employment, household income, and self-assessed social class) and religious factors (affiliation) were used as independent variables of interest. A multinomial logistic regression was performed with and without adjustments for factors such as demographics, health-related risks, the health system, and social capital. RESULTS:According to the results, China had a higher proportion of individuals who reported excellent health than did Korea (57.4% vs. 52.0%). After adjusting for all studied confounders, we found that the employment, household income, and social class gradient in health were significant in China, whereas the education and religion gradients in health were significant in Korea. For example, the odds ratio for poor health versus excellent health among those in the highest social class was 0.47 (95% CI, 0.27-0.84), compared to that of people in the lowest social class in China; and this odds ratio in people with college education or higher was 0.28 (95% CI, 0.14-0.59) compared to that of people with elementary school education or lower in Korea. CONCLUSIONS:These findings demonstrate the important role of socioeconomic and religious factors in health in China and Korea as well as clear differences in this regard. Further cross-national studies are needed to provide a better understanding of the relationship between socioeconomic and religious factors and health and to draft appropriate health improvement policies in both countries.

Project description:The 2014-2015 Holuhraun eruption, on the Bárðarbunga volcanic system in central Iceland, was one of the best-monitored basaltic fissure eruptions that has ever occurred, and presents a unique opportunity to link petrological and geochemical data with geophysical observations during a major rifting episode. We present major and trace element analyses of melt inclusions and matrix glasses from a suite of ten samples collected over the course of the Holuhraun eruption. The diversity of trace element ratios such as La/Yb in Holuhraun melt inclusions reveals that the magma evolved via concurrent mixing and crystallization of diverse primary melts in the mid-crust. Using olivine-plagioclase-augite-melt (OPAM) barometry, we calculate that the Holuhraun carrier melt equilibrated at 2.1 ± 0.7 kbar (7.5 ± 2.5 km), which is in agreement with the depths of earthquakes (6 ± 1 km) between Bárðarbunga central volcano and the eruption site in the days preceding eruption onset. Using the same approach, melt inclusions equilibrated at pressures between 0.5 and 8.0 kbar, with the most probable pressure being 3.2 kbar. Diffusion chronometry reveals minimum residence timescales of 1-12 days for melt inclusion-bearing macrocrysts in the Holuhraun carrier melt. By combining timescales of diffusive dehydration of melt inclusions with the calculated pressure of H2O saturation for the Holuhraun magma, we calculate indicative magma ascent rates of 0.12-0.29 m s-1. Our petrological and geochemical data are consistent with lateral magma transport from Bárðarbunga volcano to the eruption site in a shallow- to mid-crustal dyke, as has been suggested on the basis of seismic and geodetic datasets. This result is a significant step forward in reconciling petrological and geophysical interpretations of magma transport during volcano-tectonic episodes, and provides a critical framework for the interpretation of premonitory seismic and geodetic data in volcanically active regions.

Dataset Information

A survey of early health effects of the Eyjafjallajokull 2010 eruption in Iceland: a population-based study.

Publications

A survey of early health effects of the Eyjafjallajokull 2010 eruption in Iceland: a population-based study.

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