Assessment and longitudinal analysis of health impacts and stressors perceived to result from unconventional shale gas development in the Marcellus Shale region.

INTRODUCTION: Concerns for health and social impacts have arisen as a result of Marcellus Shale unconventional natural gas development. Our goal was to document the self-reported health impacts and mental and physical health stressors perceived to result from Marcellus Shale development. METHODS: Two sets of interviews were conducted with a convenience sample of community members living proximal to Marcellus Shale development, session 1 March-September 2010 (n = 33) and session 2 January-April 2012 (n = 20). Symptoms of health impacts and sources of psychological stress were coded. Symptom and stressor counts were quantified for each interview. The counts for each participant were compared longitudinally. RESULTS: Participants attributed 59 unique health impacts and 13 stressors to Marcellus Shale development. Stress was the most frequently-reported symptom. Over time, perceived health impacts increased (P = 0·042), while stressors remained constant (P = 0·855). DISCUSSION: Exposure-based epidemiological studies are needed to address identified health impacts and those that may develop as unconventional natural gas extraction continues. Many of the stressors can be addressed immediately.

Public health and high volume hydraulic fracturing.

High-volume horizontal hydraulic fracturing (HVHF) in unconventional gas reserves has vastly increased the potential for domestic natural gas production. HVHF has been promoted as a way to decrease dependence on foreign energy sources, replace dirtier energy sources like coal, and generate economic development. At the same time, activities related to expanded HVHF pose potential risks including ground- and surface water contamination, climate change, air pollution, and effects on worker health. HVHF has been largely approached as an issue of energy economics and environmental regulation, but it also has significant implications for public health. We argue that public health provides an important perspective on policymaking in this arena. The American Public Health Association (APHA) recently adopted a policy position for involvement of public health professionals in this issue. Building on that foundation, this commentary lays out a set of five perspectives that guide how public health can contribute to this conversation.

Assessment of effluent contaminants from three facilities discharging Marcellus Shale wastewater to surface waters in Pennsylvania.

Unconventional natural gas development in Pennsylvania has created a new wastewater stream. In an effort to stop the discharge of Marcellus Shale unconventional natural gas development wastewaters into surface waters, on May 19, 2011 the Pennsylvania Department of Environmental Protection (PADEP) requested drilling companies stop disposing their wastewater through wastewater treatment plants (WWTPs). This research includes a chemical analysis of effluents discharged from three WWTPs before and after the aforementioned request. The WWTPs sampled included two municipal, publicly owned treatment works and a commercially operated industrial wastewater treatment plant. Analyte concentrations were quanitified and then compared to water quality criteria, including U.S. Environmental Protection Agency MCLs and "human health criteria." Certain analytes including barium, strontium, bromides, chlorides, total dissolved solids, and benzene were measured in the effluent at concentrations above criteria. Analyte concentrations measured in effluent samples before and after the PADEP's request were compared for each facility. Analyte concentrations in the effluents decreased in the majority of samples after the PADEP's request (p < .05). This research provides preliminary evidence that these and similar WWTPs may not be able to provide sufficient treatment for this wastewater stream, and more thorough monitoring is recommended.