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dc.contributor.authorWright, Rosemary
dc.contributor.authorMuma, Richard D.
dc.identifier.citationWright, Rosemary; Muma, Richard D. 2018. High-volume hydraulic fracturing and human health outcomes a scoping review. Journal of Occupational and Environmental Medicine, vol. 60:no. 5:pp 424–429en_US
dc.descriptionClick on the DOI link to access the article (may not be free).en_US
dc.description.abstractObjective: Examine extent of peer-reviewed literature exploring human health effects of hydraulic fracturing (HVHF). Methods: A scoping review methodology was used to examine peer-reviewed studies published from 2000 through 2017 that empirically examine direct health impacts of hydraulic fracturing. Results: Through September 2017, only 18 studies were found published in peer-reviewed journals that met our requirements for inclusion in the review. Most of these studies resulted in positive or mixed findings of health outcomes. Conclusions: The paucity of studies reflects the difficulty in drawing direct connections between HVHF and human health outcomes. Many health outcomes may take years to emerge, exposure often occurs in lightly populated rural areas with older, poorer, and sicker residents, and diagnosis is difficult without physician knowledge of prior exposure. Primary care providers should record thorough histories to help guide future treatment.en_US
dc.publisherWolters Kluwer Health, Inc.en_US
dc.relation.ispartofseriesJournal of Occupational and Environmental Medicine;v.60:no.5
dc.subjectClinical judgments under uncertaintyen_US
dc.subjectHigh-volume hydraulic fracturingen_US
dc.subjectHuman health outcomesen_US
dc.subjectOil and gasen_US
dc.subjectPrimary careen_US
dc.subjectScoping reviewen_US
dc.titleHigh-volume hydraulic fracturing and human health outcomes a scoping reviewen_US
dc.rights.holder© 2018 American College of Occupational and Environmental Medicine.en_US

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