Environmental and Medical Geochemistry in Urban Disaster Response and Preparedness Geoffrey S. Plumlee1, Suzette A. Morman1, and Angus Cook2 1811-5209/12/0008-0451$2.50 DOI: 10.2113/gselements.8.6.451 H istory abounds with accounts of cities that were destroyed or significantly damaged by natural or anthropogenic disasters, such as volcanic eruptions, earthquakes, wildland–urban wildfires, hurricanes, tsunamis, floods, urban firestorms, terrorist attacks, and armed conflicts. Burgeoning megacities place ever more people in the way of harm from future disasters. In addition to the physical damage, casualties, and injuries they cause, sudden urban disasters can also release into the environment large volumes of potentially hazardous materials. Environmental and medical geochemistry investigations help us to (1) understand the sources and environmental behavior of disaster materials, (2) assess potential threats the materials pose to the urban environment and health of urban populations, (3) develop strategies for their cleanup/disposal, and (4) anticipate and mitigate potential environmental and health effects from future urban disasters. KEYWORDS : urban disasters, hazardous materials, environmental processes, environmental impacts, health impacts INTRODUCTION “Far more attention needs to be given to urban risk in a world which is urbanizing rapidly and where, for the first time, over half the world’s population lives in cities and towns.” (IFRC 2010) Potentially hazardous materials produced by sudden disasters are one of many risks faced by expanding urban populations worldwide. These disaster materials can be geogenic (e.g. volcanic ash, landslide deposits), geoanthropogenic (e.g. polluted flood sediments, smoke and ash from wildland–urban fi res), and anthropogenic (e.g. industrial chemical releases, dusts or debris from building collapses, smoke from building fi res). Emergency responders have to rapidly assess the types and amounts of hazardous materials produced by a disaster and whether these materials are present in levels that pose a significant threat to the environment or human health. However, these assessments may not fully reveal (1) the range of potentially hazardous materials produced by these extreme events, (2) how these mixtures of materials change physically or chemically in response to environmental processes, and (3) how such changes may influence the materials’ toxicity and health impacts on exposed ecosystems and humans. 1 U.S. Geological Survey, MS964 Denver Federal Center Denver, CO 80225, USA E-mail: [email protected]; [email protected] This paper illustrates how environmental and medical geochemistry insights can help reduce uncertainties in urban disaster response and preparedness. In a separate paper, Plumlee et al. (2013) review the environmental and medical geochemistry of many types of materials produced by urban and nonurban disasters. They also summarize sample collection and analytical methods used to characterize disaster materials from environmental and health perspectives. ENVIRONMENTAL IMPACTS OF URBAN DISASTERS Many cities have predisaster environmental baseline conditions marked by elevated concentrations of elemental, mineral, organic, and pathogenic contaminants in diverse media, such as house or street dusts, soils, surface waters, groundwaters, and air (see other papers in this issue; Mielke et al. 2004). Disasters can redistribute preexisting contamination and further contaminate these same media and the built (human-made) environment with hazardous materials containing pathogens and solid, aqueous, liquid, and gaseous toxicants (Young et al. 2004; Cook et al. 2008; Plumlee et al. 2013). Many processes can transform the materials once in the environment, such as downwind dispersion, dilution by and reaction with water, oxidation, condensation or absorption of gaseous species, evaporation or volatilization, photolytic transformation, microbial degradation, plant uptake, and sediment sequestration. Physical impacts can include destruction of the built environment, erosion, and burial by flood sediments, landslides, or debris flows. PUBLIC HEALTH IMPACTS OF URBAN DISASTERS Urban disasters can cause immediate fatalities and injuries arising from physical impacts of building collapses, fi re/ thermal stress (including incineration, asphyxiation, or smoke inhalation), drowning in floodwaters, burial by landslides or debris flows, and exposure to toxic chemicals (Wisner and Adams 2002; Young et al. 2004). Exposures to high levels of inhalable (<~10–20 µm) to respirable (<2.5 µm) smoke or dusts can trigger acute respiratory and cardiovascular problems. 2 School of Population Health, The University of Western Australia 35 Stirling Hwy, Crawley, WA 6009, Australia E-mail: [email protected] E LEMENTS , V OL . 8, PP. Dust from the collapse of the World Trade Center buildings in New York City coated indoor surfaces and streets. PHOTO : MARK RUSHING 451–457 451 D ECEMBER 2012 Intermediate- to long-term impacts (Cook et al. 2008) include chronic injuries, exacerbation of preexisting chronic diseases, psychological impacts, and diminished nutritional status. Outbreaks of infectious disease resulting from geophysical disasters are not as common as often perceived (Floret et al. 2006). However, epidemics can result from exposures to pathogens released as a result of disasters, proliferation of rodents and vectors (such as mosquitos) that transmit diseases in disrupted environments, disease transmission in refugee camps, biological contamination of water or food supplies, and loss of health care and sanitation infrastructure (Cook et al. 2008). For example, a cholera outbreak following the 2010 Haiti earthquake sickened >500,000 people and caused >700 deaths (Frerichs et al. 2012). Increased incidences of asthma and other illnesses have been noted following exposures to molds during reoccupation and cleanup of flooded buildings. In the longer term, the potential development of cancer, adverse reproductive effects, immunological disorders, and other health effects from occupational or environmental exposures to toxicants in disaster materials are acknowledged as a risk to public health (e.g. Young et al. 2004). Yet, examples of disasters where exposures to toxicants have been defi nitively linked to adverse health impacts are not particularly common in the literature. Medical geochemistry characterization of disaster materials (Plumlee et al. 2013) helps the public health community better understand such associations. Important factors that influence the uptake of disaster materials into the body, release of their toxicants into the body’s fluids, and resulting toxicity effects include (1) the magnitude and duration of the exposure to the materials; (2) the chemical state (gas, solid, liquid, aqueous) of the materials, including, for solids, the mineralogy, size, shape, and chemical composition; (3) the exposure route (via inhalation, ingestion, or contact with the skin, mucous membranes, or ocular surfaces); (4) the chemical compositions of fluids encountered along the exposure route (e.g. acid gastric fluids, near-neutral-pH intestinal fluids); (5) the biodurability/ biosolubility, chemical/redox bioreactivity, and bioaccessibility of toxicants in various body compartments; (6) integrated toxicological impacts of complex multipletoxicant mixtures in the materials; and (7) inherent risk factors, such as age, gender, nutritional/health status, and personal behaviors (e.g. smoking) (Plumlee and Morman 2011; Plumlee et al. 2013). DISASTER CONTAMINANTS FROM THE GEOLOGIC ENVIRONMENT Geological processes can lead to dramatic impacts on the urban landscape. For example, volcanic eruptions have led to complete destruction by pyroclastic flows (e.g. Pompeii, from the 79 AD eruption of Vesuvius), produced damaging volcanic ashfall (e.g. Manila and other Philippine cities, from the 1991 eruption of Mt. Pinatubo; FIG. 1A), and caused volcanic aerosol effects (e.g. impacts on European cities of sulfur dioxide–rich gases from the 1783 Laki, Iceland, eruption) (Weinstein and Cook 2005). Acute health impacts from exposures to high levels of airborne A B C D A wide range of potentially hazardous materials can be produced by disasters. (A) The 1991 eruption of Mt. Pinatubo caused heavy volcanic ashfall in Manila, Clark Air Force Base, and many other Philippine towns and cities. PHOTO : WILLIE SCOTT, USGS (B) In December 1999, heavy rainfall triggered landslides, the scars of which can be seen on the hills in the background, and debris flows that devastated urban areas located on alluvial fans on the coast of Venezuela. The debris flows picked up debris from damaged buildings, chemical containers, and other anthropogenic material. PHOTO : MATT L ARSEN, USGS FIGURE 1 E LEMENTS (C) The tsunami caused by the March 2011 Tohoku earthquake caused massive damage to low-lying urban areas along the northeastern coast of Japan. Multiple toxicants in the resulting debris pose an environmental health concern and disposal challenge. PHOTO : B RUCE JAFFE, USGS (D) The May 2009 Jesusita fire burned a number of buildings on the outskirts of Santa Barbara, California, USA. Smoke, ash, and debris from burning or burned buildings, particularly from older ones such as shown in this photograph, can contain elevated levels of lead, asbestos, and other toxicants. PHOTO : G EOFF PLUMLEE 452 D ECEMBER 2012 ash and gas particles include increased asthma, irritation and damage to the respiratory system, exacerbation of other preexisting respiratory conditions, and cardiovascular effects. Ash and gas characteristics of environmental and health concern are a complex function of the geologic setting of the volcano, magma composition, eruption type, distance travelled, and other factors (Horwell et al. 2007; Plumlee et al. 2013). Volcanic ash that is rich in respirable crystalline silica or in particles with bioaccessible iron may pose a long-term risk for oxidative stress and related respiratory problems, particularly if there are longer-term repeated exposures to resuspended ash (Horwell et al. 2007). Some magma types can produce fluorine-rich gases and ash, which can be scrubbed or leached by rainwater and contaminate municipal drinking water supplies (Weinstein and Cook 2005). Landslides, debris flows, and lahars have had devastating physical impacts on cities. In December 1999, heavy rainfall triggered landslides and debris flows along the Venezuelan coast that caused up to 30,000 fatalities in urban areas built on narrow alluvial fans (Larsen and Wieczorek 2006; FIG. 1B). Materials contained within or released as dusts from landslide and debris flow deposits may pose potential environmental or health hazards if the source rocks or soils have abundant mineral toxicants (e.g. asbestos), metal toxicants (e.g. metal-rich black shales), or pathogens, or if there is substantial entrained hazardous anthropogenic debris (Plumlee et al. 2013). The 1999 Venezuelan debris flows caused contamination at the port of La Guaira from ruptured chemical containers, and contaminated runoff from the damaged areas resulted in closure of hundreds of kilometers of coast to fishing and swimming. An outbreak of valley fever following the 1994 Northridge, California, earthquake resulted from exposure to dusts containing spores of the soil fungus Coccidioides immitis (Jibson 2002). The earthquake triggered landslides and dust clouds from marine sedimentary rocks with soils that were chemically and physically conducive to the growth of the fungus relative to other soil microbes. INDUSTRIAL CHEMICAL RELEASES AND CHEMICAL FIRES Many disastrous industrial chemical releases and chemical fi res have occurred near urban centers as a result of natural or human causes (ITE 1997; Young et al. 2004). A wide range of organic and inorganic chemicals have been released or burned, each with unique physical, chemical, and toxicological characteristics, such as physical state, density, flammability, water solubility, corrosivity, oxidative capacity, exposure route(s), bioavailability, biological reactivity, and mechanisms of toxicity (NIOSH 2007; NLM 2012). The actual environmental and toxicological impacts of specific chemical releases depend upon many factors, such as the types, amounts, and interactions of chemicals released; the media into which they are released (air, soils, or waters); and the characteristics of the local environment into which they are dispersed (e.g. topography, vegetation, temperature, wind speed, relative humidity, proximity of surface water bodies) (ITE 1997; NLM 2012). For example, 40+ tons of methyl isocyanate (MIC) gas were released catastrophically on December 3, 1984, from a pesticide-manufacturing plant at Bhopal, India. Atmospheric dispersal was limited due to low winds and the fact that MIC’s density is greater than that of air. MIC rapidly reacts exothermically with water, so it is quickly degraded by water in the environment. However, it is highly corrosive when it contacts wet tissues of exposed organisms, and some of its degradation products (e.g. hydrogen cyanide and methylamine) are also highly toxic and/or irritants. All these factors combined to produce several thousand immediate human fatalities (most from pulmonary edema) and, over the longer term, 25,000–30,000 additional fatalities, many acute and chronic respiratory DISASTER CONTAMINANTS DERIVED FROM THE BUILT ENVIRONMENT As shown in TABLE 1, the built environment can be an important source of many potentially toxic metals/metalloids, minerals, and organic compounds, which can be released into the environment by urban disasters (UNCHS 1997; Healthy Building Network 2008). For example, toxicants can be leached from building materials by floodwaters, pulverized into dusts by building collapse, and released or generated by building fi res. The relative mixtures and quantities of potential toxicants in buildings have evolved over time due to changing technology, substitution, and other factors. Recognition of potential health concerns related to many materials used historically (e.g. asbestos, lead, polyvinyl chloride, chromated copper arsenate–treated wood) has led to substantial reduction in their use and, for some, to substantial abatement efforts in older buildings. Nonetheless, these known toxicants can still be present in older buildings and some continue to be found in modern materials and buildings. TABLE 1 EXAMPLES OF POTENTIAL TOXICANTS THAT CAN BE RELEASED FROM THE BUILT ENVIRONMENT BY DISASTERS Source material Potential toxicants Concrete and concretecontaining products Caustic alkalinity, due to Ca and Mg hydroxides Paints Pb*, Cr(VI)*, Hg, PCBs, PAHs Pressure-treated or pesticide-treated wood; soils beneath buildings Cr(VI)*, As*, dieldrin*, aldrin*, chlordane*, other organochlorine pesticides Fluorescent light bulbs Hg Fluorescent light ballasts PCBs*, DEHP Fire-retardant chemicals in building materials, plastics, fabrics Sb, PBDEs PVC pipes Pb, other trace metals; can generate dioxins and other organic toxicants when combusted Plastics Cr(VI), Pb, Cd, other metals; PBDEs; can generate dioxins and other organic toxicants when combusted Insulation, linoleum, wallboard, drywall mud Asbestos* Particle board, wood glues Formaldehyde Thermostats, thermometers Hg* Electronics Pb*, Cd, Ni, Hg, V, other metals or metalloids; PCBs; various organic compounds Toxicants marked by * have been used historically and should either be absent or present in diminished amounts in currently manufactured materials. DEHP = di(2-ethylhexyl) phthalate; PAHs = polycyclic (or polynuclear) aromatic hydrocarbons; PCBs = polychlorinated biphenyls; PBDEs = polybrominated diphenyl ethers; PVC = polyvinyl chloride E LEMENTS 453 D ECEMBER 2012 and ocular illnesses, genotoxicity, reproductive toxicity, and severe psychological disorders in survivors from the initial disaster (Dhara and Dhara 2002). URBAN IMPACTS OF HURRICANES, STORMS, FLOODS, AND TSUNAMIS Extreme weather events, such as precipitation, lightning strikes, runoff, flooding, high winds, tornadoes, and coastal surges associated with hurricanes and extreme storms, can cause extensive damage to and contamination of the urban environment (Young et al. 2004). Tsunamis (Shibata et al. 2012) and non-storm-related floods triggered by rapid snowmelt or dam/levee failures also bring about damage and contamination. Hurricanes Katrina and Rita flooded much of New Orleans, Louisiana, in August and September 2005. Contaminated floodwaters and flood sediments were of substantial environmental and health concern (Plumlee et al. 2013 and references therein). In addition to a known 25,000-gallon oil spill from an oil refi nery, there were multiple flooded or damaged wastewater treatment plants, brownfield sites, industrial/commercial facilities, and older residences. Perhaps because of dilution, most inorganic and organic contaminants were present in measureable but relatively low concentrations in the floodwaters. Fecal coliforms and other pathogens were highly elevated in some floodwater samples but were within the ranges expected for stormwater runoff. After floodwaters were pumped from the city, extensive indoor and outdoor flood-sediment deposits remained; these varied substantially in their makeup and environmental/health implications depending upon their location and source. Flood-sediment samples collected from downtown New Orleans contained high concentrations of lead, arsenic, cadmium, polycyclic aromatic hydrocarbons (PAHs), termiticides, and other metal/organic contaminants indicative of reworked urban soils known to have been contaminated prior to the hurricanes (Mielke et al. 2004). Physiologically based extraction tests using simulated gastric fluids indicated that the lead, arsenic, and cadmium would be highly bioaccessible if incidentally ingested by hand-to-mouth contact. In contrast, marsh-derived flood sediments in suburbs flooded by marine storm surges had low levels of metal and organic contaminants but high levels of iron sulfides formed by bacterial sulfate reduction in marshes. If left outdoors or disposed of in an open landfi ll, these sulfidic sediments could weather to produce acid sulfate waters with elevated metals. Time series analyses of flood sediments near the damaged oil refi nery indicated that volatilization, biodegradation, and photodegradation helped degrade oil-related and other organic contaminants. Using polymerase chain reaction (PCR) analysis, Griffi n et al. (2009) found indicators of Bacillus anthracis, the causative agent for the disease anthrax, in multiple Katrina flood-sediment samples but not in soil samples collected from the same sites two years later. No anthrax cases were noted among cleanup workers or residents reoccupying the flooded areas. Hence, the flooding likely enhanced some B. anthracis growth, but the bacteria did not survive in the ensuing dry conditions. In contrast, extremely high exposures to mold and resulting health issues were noted among people reoccupying or cleaning up flooded houses. On March 11, 2011, the Tohoku, Japan, earthquake generated a tsunami that severely damaged the Fukushima Daiichi nuclear power plant and devastated coastal cities in northeastern Japan. The devastation generated massive amounts of debris (FIG. 1C) contaminated by radioactive 137Cs fallout from the nuclear plant (Shibata et al. 2012; Yoshida and Takahashi 2012). Following the disaster, E LEMENTS Shibata et al. (2012) found that debris piles were being stored on vacant land, open to air and rainfall. The debris was a complex mix of building materials, electronics, other anthropogenic materials, and sediments. Analyses by a handheld X-ray fluorescence analyzer found variable but frequently high concentrations of mercury, arsenic, lead, chromium, and copper. In particular, roofi ng tiles contained up to 9000 ppm arsenic and regularly exceeded the detection limit of 100,000 ppm lead. Analysis with a scintillometer found higher levels of radiation from soils and porous debris than from hard surfaces or nonporous debris such as tiles, indicating that rainwater had washed 137Cs from hard surfaces. Given that the removal and sorting of debris in coastal cities is projected to take several years, additional environmental testing on the debris is warranted. Examples include (1) leach tests using simulated landfi ll-leachate fluids (suggested by Shibata et al. 2012) and simulated coastal rainfall leachates containing elevated chloride (to examine leaching of chloride-complexed metals), (2) characterization of organic contaminants (e.g. from damaged oil refi neries or other industrial facilities), and (3) characterization of sediments in the debris to test for possible acid-generating iron sulfides. URBAN FIRES Urban fi restorms can be set off by humans, such as the 1871 Chicago fi re, or by natural disasters, like large earthquakes (Scawthorn 2011). As cities continue to expand into former wildland areas, wildfi res are increasingly devastating communities and the built environment at the wildland–urban interface. In the marginal settlements of lower-income nations, fi restorms remain a common hazard. Residents in these shantytowns rely on indoor fi res for cooking and heating, and the buildings are often constructed from flammable materials and do not comply with safety standards. Environmental and related health concerns from urban fi res have commonly focused on effects from abundant, fi ne particulate matter and toxic components found in smoke. The latter include irritant gases (hydrogen chloride, sulfur dioxide, hydrogen fluoride, hydrogen bromide, nitrogen oxides, and ammonia), asphyxiant gases (carbon monoxide, hydrogen cyanide), organic toxicants (formaldehyde, formalin, PAHs, dioxins—some of which are considered carcinogens), other chemicals such as ozone, and combustion-produced free radicals (Stec and Hull 2010). The ash and debris produced by the combustion of building materials (FIG. 1D) can also contain elevated levels of a wide variety of potential toxicants, such as lead, arsenic, hexavalent chromium, PAHs, dioxins, and pesticides (Plumlee et al. 2013). In vitro bioaccessibility assessments of ash from wildland fi re–burned residences using simulated gastric and lung fluids indicate that the lead and arsenic would be bioaccessible if incidentally ingested, and the hexavalent chromium and arsenic would be bioaccessible if inhaled (Wolf et al. 2011; Plumlee et al. 2013). Ash left behind following the relatively complete combustion of vegetation, wood, paper, and other cellulose-containing building materials also contains abundant Ca, Mg, Na, and K hydroxides, which can produce very high levels of damaging caustic alkalinity when they come in contact with water or water-based body fluids. In intense urban fi restorms and wildland–urban interface fi res, powerful updrafts can entrain into the smoke plumes substantial amounts of toxicant-containing ash left from the combustion of building products and vegetation. Airfall ash collected downwind from active fi res contains high levels of respirable ash particles with the various metal toxicants and caustic alkalis noted above. These results collectively 454 D ECEMBER 2012 indicate that more detailed evaluation is needed of the potential environmental and health effects from smokeentrained ash and airfall-ash deposits downwind from active fi res, and of the environmental effects of storm runoff from burned urban areas containing ash and debris with elevated levels of inorganic and organic toxicants. BUILDING COLLAPSE Buildings can collapse catastrophically as a result of earthquakes, fi res, subsurface collapse or excavation, construction failures, confl ict, and terrorist attacks. Although a unique case in terms of the size of the buildings affected, the attacks that caused the tragic collapse of the World Trade Center (WTC) towers in New York City on September 11, 2001, provide a well-documented example of the materials that can be generated, the changes that can occur to the materials over time, and the resulting environmental health concerns (Lioy 2011; WTCHP 2011; Plumlee et al. 2013). The dusts generated by the WTC collapses were a complex and relatively heterogeneous mixture of pulverized materials from the buildings. They were dominated by slag wool (a man-made glass fiber used in ceiling tiles and insulation), gypsum (from wallboard), concrete particles, window-glass shards, paper, and rock fragments (from aggregate used in concrete and decorative stone). A toxicologically significant characteristic of the dusts was the abundance of calcium hydroxide particles from the pulverized concrete, which generated caustic alkalinity when the dusts came into contact with water in the environment or water-based body fluids. Many other potential environmental or human toxicants were present, including crystalline silica (from concrete aggregate and dimension stone), lead (solder, lead oxide from paints, electronics), antimony (used as a fi re retardant), zinc (ductwork, solders, electronics), hexavalent chromium (insulation, combusted fabrics, chrome plating), bismuth (ceiling fi re sprinklers), chrysotile asbestos (1–3 vol% of the total dust, from insulation), and PAHs (combustion products from fi res, other sources). The settled dust deposits had a relatively small proportion of respirable-size particles, but vehicle or foot traffic on dust-covered sidewalks and streets prior to cleanup may have further pulverized the dusts and increased the relative proportion of fi ner particles. Unsheltered outdoor settleddust deposits underwent substantial changes once in the environment, primarily in response to a rainstorm several days after the collapses. Carbonic acid in the rain partially neutralized caustic alkalinity from calcium hydroxide particles. The rainfall leached water-soluble components such as gypsum, thus concentrating relatively water-insoluble toxicants such as lead. Over the long term, reactions with atmospheric moisture and carbon dioxide may have helped neutralize caustic alkalinity from sheltered or indoor dusts, particularly in the case of extremely small particles. Physiologically, the dusts were a complex mix of bioreactive, bioaccessible, and biodurable particles (Plumlee et al. 2013 and references therein). Chemical reactions between inhaled dust particles and near-neutral-pH respiratory tract fluids likely brought about dissolution of gypsum and precipitation of secondary calcium phosphates, and may have solubilized bioaccessible toxicants such as antimony and hexavalent chromium. Biodurable crystalline silica likely escaped dissolution in both the lung fluids and acidic macrophage lysosomal fluids. Incidental ingestion of dusts by hand-to-mouth contact or of dust particles cleared from the respiratory tract may have provided an exposure pathway for gastric-bioaccessible toxicants such as lead. E LEMENTS Subsequent public health investigations are finding a variety of long-term health impacts in emergency responders, cleanup workers, and local populations exposed occupationally or environmentally to the smoke, dusts, and debris during and after the disaster (WTCHP 2011). In the short term, the caustic alkalinity caused by calcium hydroxide particles likely contributed to gastroesophageal reflux disease and irritation or damage to the eyes and respiratory tract. Longer-term effects have been documented, including significant declines in lung function, increased rates of interstitial and other lung diseases, and modest increases in cancer rates among fi refighters. A pattern was also noted of small gestational sizes in newborns whose mothers were exposed to the dusts during or soon after the collapses. Linkages between particular toxicants in the dusts and specific diseases continue to be investigated. DISASTER SCENARIOS—HELPING CITIES PREPARE FOR FUTURE DISASTERS Environmental and medical geochemistry can contribute substantially to interdisciplinary disaster scenarios, which are increasingly being used by the natural hazards disciplines to help governments and communities better prepare for future disasters. A recent example is the 2008 Great California ShakeOut Scenario (Porter et al. 2011), which modeled the impacts of a hypothetical 7.8-magnitude earthquake along the southernmost San Andreas fault. First, seismologists modeled the spatial extent and intensity of ground shaking (FIG. 2). Experts from many different fields then estimated the scenario earthquake’s plausible physical effects and economic impacts. The earthquake was estimated to cause US$33 billion in building losses, including the collapse of numerous buildings and damage to roads, bridges, water supplies, and sewage systems. Dams holding back foothill water supplies were predicted to suffer damage necessitating downstream evacuations. The earthquake would likely ignite fi restorms consuming tens to hundreds of city blocks in densely built, older urban residential areas with wood-frame houses (Scawthorn 2011). An estimated 1800 fatalities would occur, along with 750 people severely injured and 50,000 requiring emergency room treatment. Overall economic losses for the affected region were estimated to be US$213 billion. As part of the original ShakeOut exercise, Eguchi and Gosh (2008) examined potential releases of chlorine and ammonia from 22 petroleum refi neries, wastewater treatment plants, and chemical manufacturing plants that would likely be damaged by the scenario earthquake. They estimated that over 175,000 people could be affected by these releases. A broader qualitative analysis suggests that the ShakeOut earthquake could have substantial additional adverse environmental impacts and resulting effects on the health of exposed populations. For example, many industrial plants and other facilities that manufacture, store, or use large volumes of potentially hazardous materials occur within the predicted areas of maximum shaking and a number are located in areas of high population (FIG. 2). Chemical fires and physical damage to pipelines, petroleum refineries or storage facilities, chemical plants, sewage treatment plants, other industrial facilities, and older residential areas could release a wide variety of potentially toxic chemicals, toxic combustion by-products, and sewagerelated toxicants and pathogens into the air, soil, and water. Water supplies would likely become contaminated by a variety of toxicants or sewage-related pathogens. Building collapses could produce dusts and debris that, depending upon building age, could contain a variety of potentially toxic materials (e.g. TABLE 1). Exposures to smoke and ash 455 D ECEMBER 2012 from the fi restorms would likely trigger substantial shortterm increases in respiratory and cardiovascular problems, particularly in individuals with preexisting health conditions. The smoke, resuspended ash, and debris produced by the firestorms would likely contain a wide variety of potential toxicants, such as lead, arsenic, hexavalent chromium, asbestos, PAHs, and dioxins. Fire ash, like concrete dust, would generate caustic alkalinity in rainfall runoff and cause irritation or damage to skin, eyes, and the upper respiratory tracts of exposed humans or other terrestrial organisms. The rapid release of water from reservoirs to ease pressure on earthquake-damaged dams could lead to erosion, transport, and redistribution of soils, sediments, and rock materials. Sediments, debris, contaminants, and pathogens redistributed by landslides and floodwaters could become available for further redistribution by human disturbance and wind transport. It is plausible that an outbreak of valley fever similar to that following the 1994 Northridge earthquake would also occur, as the rock formations that sourced the Northridge landslides and fungus-containing dust clouds occur in several areas of predicted maximum ground shaking from the ShakeOut earthquake. SUMMARY Urban disasters can involve large volumes of hazardous materials with diverse physicochemical characteristics of potential environmental and health concern. Depending In this figure, we combined a published USGS shakemap of the greater Los Angeles area for the ShakeOut Scenario earthquake (Porter et al. 2011; lower-left legend shows scale of shaking/damage intensity) with US census tract boundaries and locations of environmentally significant facilities (EPA Facilities Registry System database, www.epa.gov/enviro). Many areas of highest shaking are in sedimentary basins with relatively low topographic relief and resulting high population density (small census tract size), and include large numbers of environmental facili- FIGURE 2 E LEMENTS upon the disaster, these materials can be produced from a single source or multiple sources and can involve a single chemical or complex mixtures of many different components. In response to environmental processes, the materials can undergo substantial changes in their physical and chemical makeup, both spatially away from their source(s) and over time following a disaster. These changes can significantly influence the materials’ environmental impacts and alter potential exposure pathways and toxicity to urban populations. Traditional environmental geochemistry and other Earth science investigations provide crucial information to assist with disaster response. They can characterize in detail the physical, chemical, and microbial makeup of disaster materials; fi ngerprint and assess relative contributions of materials from multiple sources; and monitor, map, and model dispersal and evolution of disaster materials in the environment. The process-oriented approach used widely in environmental geochemistry plays a key role in elucidating how environmental processes modify disaster materials and in characterizing pre- and postdisaster environmental conditions. Geochemical information also helps identify appropriate disposal options for disaster materials to minimize additional health impacts or exposures. Medical geochemistry investigations are needed to understand the characteristics that influence disaster materials’ exposure pathways and toxicity to urban populations ties. Earthquake or firestorm damage to relatively small numbers of larger facilities (e.g. petroleum facilities, chemical manufacturing plants, and wastewater treatment plants shown here), collectively large numbers of smaller facilities, and residential areas can release large volumes of hazardous materials into the environment. This geospatial analysis using national-scale databases has limitations (Plumlee et al. 2011), but is a useful first step to help anticipate and prepare for environmental contamination and resulting health impacts from future disasters. 456 D ECEMBER 2012 and ecosystems. With this information, associations (or lack thereof) between exposures to disaster materials and environmental health impacts will be better understood for various types of urban disasters. ACKNOWLEDGMENTS The authors thank USGS reviewers and Elements reviewers and editors for their helpful comments, which substantially improved the manuscript. Finally, geochemical and other Earth science insights learned from past disasters are essential to help estimate, prepare for, and increase the resilience of cities to the environmental and related health impacts of future disasters. REFERENCES Cook A, Watson J, van Buynder P, Robertson A, Weinstein P (2008) Natural disasters and their long-term impacts on the health of communities. Journal of Environmental Monitoring 10: 167-175 Dhara VR, Dhara R (2002) The Union Carbide disaster in Bhopal: A review of health effects. Archives of Environmental Health 57: 391-404 Eguchi RT, Gosh S (2008) The ShakeOut Scenario Supplemental Study— Hazardous Materials. USGS Open File Report 2008-1150, 10 pp Floret N, Viel J-F, Mauny F, Hoen B, Piarroux R (2006) Negligible risk for epidemics after geophysical disasters. 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