Double trouble: health risks of accidental sewage release

Occupational health risks from long-term exposure to sewage are well documented [Am J. Ind. Med. 25 (1994) 59; Ann. Agric. Environ. Med. 81 (2001) 39; Am J. Ind. Med. 40 (2001) 170]. Some studies suggest an increase in the incidence of specific cancers [Am J. Ind. Med. 19 (1991) 75; J. Occup. Med. 36 (1994) 31]. There are also many reports of acute fatalities in confined spaces (sewage chambers and pipes) [H&S at Work 13 (1991), 10; FACE report: sewer worker dies when inflatable sewer plug bursts in Washington, DC, Performer, National Institute For Occupational Safety and Health, 19th July 1990]. In a residential area incidents of sudden sewage release can be regarded as double trouble because both the emergency service personnel and the local residents may be exposed to a galaxy of chemical and microbiological agents present in sewage. However, data on the effects of acute non-occupational exposure due to accidental sewage releases is still very limited. The incidents investigated here took place at two different locations in the southern part of the UK. In both incidents the symptoms experienced by those exposed were more serious than expected by the public health experts.