Baltimore Sun Sunday

Hopkins study links fracking to asthma

Sufferers who live near wells are up to four times more likely to have an attack

- By Meredith Cohn

Asthma sufferers who live near wells in which hydraulic fracturing is used to extract natural gas are up to four times more likely to have an asthma attack than those who live farther away, according to new research from the Johns Hopkins University.

The findings are the latest in a string of studies that have linked health problems to proximity to such wells, and come as Maryland prepares to lift a moratorium next year and issue permits for the controvers­ial method of extraction known as “fracking.”

“Ours is the first to look at asthma, but we now have several studies suggesting adverse health outcomes related to the drilling of unconventi­onal natural gas wells,” said Sara G. Rasmussen, a study leader and doctoral candidate in the department of environmen­tal health sciences at Hopkins’ Bloomberg School of Public Health.

“Going forward, we need to focus on the exact reasons why these things are happening,” she said, “because if we know why, we can help make the industry safer.”

Hydraulic fracturing involves drilling deep wells and injecting water, sand and chemicals at high pressure to break up rock and release natural gas.

The method is needed to access natural gas in the Marcellus shale rock formation, which extends from New York through Allegany and Garrett counties to Ohio and West Virginia and is believed to be the largest onshore reserve of natural gas in the United States.

Under then-Gov. Martin O’Malley, a Democrat, Maryland imposed a moratorium on fracking in 2011 out of concerns about possible groundwate­r contaminat­ion, air pollution and earthquake activity. Under Gov. Larry Hogan, a Republican, the state recently released draft rules for use when the moratorium expires in the fall of 2017.

Critics call the rules insufficie­nt to protect air and water quality, while supporters say they are among the nation’s most stringent.

While New York has banned highvolume wells using the process, other states have active industries, including Pennsylvan­ia, where the Hopkins study was conducted between 2005 and 2012.

Fracking proponents deny that the wells cause health problems, and point to various measures of air quality, which the Hopkins study did not assess.

Rasmussen and other investigat­ors agree that more study is needed to determine the cause of the negative health outcomes. Other research has connected proximity to the wells to pre-term births and lower birth weights, respirator­y and skin irritation, and increased hospitaliz­ations in neurology, oncology and urology.

The Hopkins study looked at the health records of 35,000 asthma patients in the Geisinger Health System and found there were more mild attacks requiring inhalers, more moderate attacks requiring an emergency room visit and more severe attacks requiring hospitaliz­ation.

The attacks occurred during most points in developmen­t and operation of the wells, though researcher­s found the risk was greater during the production phase, which can last many years.

Other factors that can worsen asthma, including proximity to major roads, family history, smoking and socioecono­mics were accounted for in the study, published in July in the Journal of the American Medical Associatio­n Internal Medicine.

Rasmussen said air pollution and stress from added noise, vibrations and truck traffic could explain the risk. She said asthma complicati­ons manifest quickly after exposure to triggers, making the disease a good bellwether for potential health effects.

A recent analysis of more than 685 published peer-reviewed health and environmen­tal studies involving fracking found that most concluded that there were potential problems.

More studies are planned to assess whether fracking is responsibl­e for the observed health problem, said Seth Shonkoff, executive director of PSE Healthy Energy, an energy science and policy organizati­on that produced the analysis.

“We’re in kind of dot-connecting time in this field,” said Shonkoff, also a visiting scholar in the University of California, Berkeley’s department of environmen­tal science, policy and management. “But there

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