Elsevier

Public Health

Volume 127, Issue 10, October 2013, Pages 889-893
Public Health

Review Paper
The implications of unconventional drilling for natural gas: a global public health concern

https://doi.org/10.1016/j.puhe.2013.07.005Get rights and content

Abstract

Unconventional drilling for natural gas by means of high volume horizontal hydraulic fracturing (fracking) is an important global public health issue. Given that no sound epidemiologic study has been done to assess the extent of exposure-related adverse health effects among populations living in areas where natural gas extraction is going on, it is imperative that research be conducted to quantify the potential risks to the environment and to human health not just in the short-term, but over a longer time period since many diseases (i.e., cancers) appear years after exposure. It should not be concluded that an absence of data implies that no harm is being done.

Section snippets

Environmental concerns

There is a growing concern that the serious and dirty downside to natural gas needs to be addressed before irreparable damage is done to the environment and to human health. For example, there are significant concerns surrounding its implications for the climate. Natural gas is mostly methane, a potent greenhouse gas, which when emitted raises concerns about contributing to global warning. Studies have shown that approximately 3.6–7.9% of the methane from shale gas production escapes to the

Adverse health effects

The paucity of scientific evidence looking at the public health impact of natural gas extraction complicates the issue. It is difficult to formulate policy and regulations in a vacuum absent data. While there have been anecdotal reports of adverse health effects ranging from minor to serious among those living in close proximity to shale gas drilling, there is a paucity of objective, evidence-based epidemiologic research. To date, for example, there have been no extensive epidemiological

Policy implications

The economic needs of society need to be appropriately balanced with the protection of the environment and public health. At present, the natural gas industry operates in a world where health and environmental safety measures are self-regulated and laws in the United States are protective of the industry rather than for those living in close proximity to drilling sites. Despite an EPA study of groundwater contamination near Pavillion, Wyoming that suggests a pathway for exposure,18 no state has

Domestic and global reaction

Response to the potential for harm to human and animal health has been varied within the United States and internationally. In the US, the EPA is studying the safety of hydrofracking, but its final report is not expected until 2014. Meanwhile, many states have taken action including New York State, which has imposed a moratorium on drilling (unlike neighbouring Pennsylvania where drilling continues unabated). Gov. Andrew M. Cuomo's proposal, announced in June 2012, was to permit hydraulic

Concluding thoughts

Until research is properly conducted, the unconventional development of natural gas from shale formations should not occur in places where it is currently prohibited, e.g., New York and Maryland. In places now under development it should be constrained with strong regulations in direct proportion to inspection capability and closely monitored for its impact on the health of populations. There is one comprehensive epidemiologic study currently underway by Geisinger Health Systems that may help

Acknowledgements

The authors wish to thank Dr Adam Law, Principle of Physicians Scientists and Engineers for Healthy Energy and Endocrinologist at Cayuga Medical Center, Ithaca, NY for his comments on the manuscript.

Ethical approval

None sought.

Funding

None declared.

Competing interests

None declared.

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