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Gas fracking: do we understand the potential health consequences?


UNEP has just released a new bulletin on Hydrological fracturing (fracking). The document introduces the topic, and then analyses it in the context of climate change and energy consumption needs.  Among the  aspects addressed there are a few very relevant for HIA and public health practitioners. There is also a bibliography for those interested in further information.
Environmental and health concerns
UG exploitation and production may have unavoidable environmental impacts (see Figure 4). Some risks result if the technology is not used adequately, but others will occur despite proper use of technology (EU, 2011). UG production has the potential to generate considerable GHG emissions, can strain water resources, result in water contamination, may have negative impacts on public health (through air and soil contaminants; noise pollution), on biodiversity (through land clearance), food supply (through competition for land and water resources), as well as on soil (pollution, crusting). The sections below further outline the potential environmental and health impacts

Risk on public health
When occurring in densely populated areas, UG production raises several specific threats to well-being. The most direct concern is the risk of explosion from the construction of new pipelines (Rahm, 2011). Other consequences have a slower onset, such as release of toxic substances into air, soil and water. In Texas, emissions from shale gas operations are being checked for contaminants after blood and urine samples taken from household residents near shale wells revealed that toluene was present in 65% of those tested and xylene present in 53% (Rahm 2011). Both of these chemicals are commonly present in fracking fluid and known for being toxic. The biocide substances which are also contained in fracking fluid, and may be released during surface water leaks, can lead to serious damage to the surrounding habitat (IEA, 2012).
More common nuisances include noise pollution, primarily associated with drilling and fracking (which is a non-stop operation over several weeks), but also from truck transport (Rahm, 2011).
Fracturing fluid consists of large amounts of water mixed with chemicals and sand. In most countries the chemicals used in fracking fluid are considered trade secrets (Zoback et al., 2010). If companies are not required to publicly disclose the full list of chemicals used, assessing potential short- and long-term impacts on public health will be difficult. Colborn and others (2011) compiled a list of products (about 1000) used in fracking fluid. They carried out literature review on 353 chemicals and found that "more than 75% of the chemicals could affect the skin, eyes, and other sensory organs, and the respiratory and gastrointestinal systems. Approximately 40–50% could affect the brain/nervous system, immune and cardiovascular systems, and the kidneys; 37% could affect the endocrine system; and 25% could cause cancer and mutations." (Colborn et al., 2011).
Nonylphenol, for example, which is commonly used in fracking fluid, mimics estrogen, and can cause the feminization of fish, even at concentrations not detected by normal monitoring of the fluid (NYS-WRI, 2011). The consequence of the feminization of fish is an imbalance between male and female populations, resulting in a deficit of fertilization and potentially leading to a rapid decline of these fish populations.

Papua New Guinea Health Secretary ask for HIA to be performed routinely


An interesting article published this week in the PNG Post Courier. The Health Secretary ask companies operating with natural resources in the country to conduct HIA as part of their project management. The Health Secretary recognises that while environmental and social impact assessments are national requirements, HIA is not yet part of the mining code. The Health department might approach the government and ask to emend the mining code and he envisages a bigger role for the health sector in the management of the non-renewable resources.
Resource challenge

"THE Health Department is calling on all resource sector partners to provide health impact assessments.
That's according to Health Secretary Pasco Kase at the 48th medical symposium which started yesterday.
Mr Kase said the Health Department wanted to plan in advance with the resource sector on how best both parties could mitigate negative impacts and ensure the positive benefits were realised.
Mr Kase said currently the PNG Mining Act required companies to undertake environment and social impact assessments but did not require health impact assessments.
International best practices guidelines to implement health impact assessments have been established and are documented by both the international Council on mining and metals and the international finance corporations and both can be implemented in developing a policy framework for PNG.
The secretary noted that there were a number of countries throughout the South East Asia region such as the Philippines and Indonesia as well as Africa who had already chosen to enact laws that specifically ensure that a health impact assessment was carried out as part of mining project approvals.
This has allowed for better management of potential health risks on both mining company employees and also the surrounding communities.
"We will be approaching the Government to consider amending the mining act to ensure that Health Impact Assessments are undertaken as part of the licensing approval process,'' he said.
"This should start well before mine operations commence, as during pre-feasibility and feasibility- you are impacting on communities and the health system.''
Mr Kase said he wanted to ensure health impacts were identified early and systems were put in place to manage and mitigate the social impact, the potential severity of these impact on the livelihood of people and surrounding communities was vital for the mine, the community and the Government.
While acknowledging companies like Oil Search, Ok Tedi, Porgera Joint Venture and Lihir that support community health programs, he said the health sector wanted full participation with Government and other stakeholders.
He noted some of the potential health impacts of mining and these were:
* Infectious diseases: malaria, HIV and influence;
* Chronic diseases: heart disease, cancer, bronchitis and asthma;
* Nutrition disorders: malnutrition, vitamin deficiency and obesity;
* Physical injuries: accidents, poisoning and violence;
* Mental health and wellbeing: depression, stress and anxiety and;
* Health equity/inequalities: infant mortality and life expectancy between rich and poor, between groups and between other vulnerable people." 

Ghana Health Service recruits HIA and other health experts for a consultancy

The Ghana Health Service will conduct a strategic Health Impact Assessment (sHIA) of the country’s oil and gas development plan. The objectives of the sHIA are to:

  • Generate a comprehensive review of human risks associated with different development scenarios for oil and gas sector, for example in the context of chemical spills, changes in communicable disease patterns, workplace based accidents and injuries etc.;
  • Identify which interventions and response capacities would be needed to address those issues, including so as to not overwhelm existing health systems capacities;
  • Establish a population health baseline, framework for use in monitoring and reporting of health impacts (both positive and negative) generated as a result of the growth of the petroleum industry;
  • Develop Ghana’s institutional capacity for the use of HIA tools and methods for the eventual application to other sector policies, plans and projects, for example in mining, energy or agriculture.
The Ghana Health Service now invites eligible Consultants (Health Impact Assessment Specialists, Occupational Health and Safety Specialists and Chemical Safety Specialists) to indicate their interest in providing the services. Interested Consultants should provide information indicating they are qualified to perform the services (brochures, description of similar assignments, experience in similar conditions, availability of appropriate skills among staff, curriculum vitae etc) Consultants may associate to enhance their qualifications.

A consultant will be selected in accordance with the procedures set out in the Public Procurement Act, 2003 (Act 663) of the Republic of Ghana.

Interested consultants may obtain further information at the address below from 08.00hrs to 17.00 hrs GMT.

Expressions of interest must be delivered to the address below on or before 14.00 hrs GMT, on September 03, 2012              
THE PROCUREMENT DEPARTMENT
GHANA HEALTH SERVICE
LIMB FITTING CENTRE, TEMA STATION
NEAR RENT CONTROL
P.M.B. MINISTRIES

Tel:  (233) 0302 687853
Fax:  (233) 0302 687853 (for queries only)
E-mail: procurement@ghsmail.org

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