Oil spill response workers can face a variety of health concerns when a spill occurs in a remote area.Potential food,water,and disease hazards need to be addressed for both fly-in supervisory personnel and local clean-up crews.Pre-spill planning activities should consider a variety of scenarios covering a range of spills in the geographic areas of responsibility.Topics to address should include medical screening of oil spill response team members,vaccination/shots,travel kits,special clothing needs,disease control informational handouts,food and water sources,evaluation of medical personnel and facilities and identification of medical evacuation plans.Activities occurring during the spill-clean-up period might include medical screening of food handlers and local workers,confirming the availability of local medical facilities and evacuation routes,conducting routine clinic operations,checking the sources and handling of food and water,checking housing conditions,implementing a disease vector control program,and providing training related to local environmental hazards.Post-clean-up activities would include safe disposal of medical and other waste,providing post-spill medical exams,and documenting lessons learned during the spill.Successfully controlling health issues during a spill may only be possible if an appropriate level of planning is carried out.
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