Researchers at the Yale School of Public Health have discovered that the rates of two major sexually transmitted infections (STIs), gonorrhea and chlamydia, are 21% and 19% higher, respectively, in Ohio counties with high shale gas activity (“fracking”), compared to counties without any fracking. Rates of a third STI, syphilis, were not elevated.
Shale gas extraction is associated with large influxes of specialized, trained workers into rural areas to meet the labor demands of the drilling rigs, and commonly involves the formation of “work camps” composed of relatively young men. The influx of workers in these situations is thought to increase STI risk because male workers typically live and socialize in communities with masculinized social norms, do not bring families and thus have opportunities to seek other sex partners, and may have few emotional ties to the local community.
“Beyond some of the more familiar concerns about water quality and earthquakes, this report of increased rates of two major sexually transmitted infections suggests another potential health impact in communities hosting the emerging shale gas industry,” said lead author Nicole Deziel, Ph.D., assistant professor at the Yale School of Public Health.
The study examined new well permits and reported STI cases, obtained from publicly available datasets, in all 88 Ohio counties from 2000 to 2016; this long follow-up period covered both pre- and post-fracking periods to account for any pre-existing trends in STI rates. The researchers accounted for several other factors, such as population density and age, using variables obtained from the US Census.
“Similar patterns have been observed for other migratory labor movements, but the idea that this could be occurring for the current situation of increased hydraulic fracturing in the United States is only beginning to emerge,” said senior author Linda Niccolai, Ph.D., Professor at the Yale School of Public Health. “These findings point to the potential importance of new shale gas extraction activities as a social determinant of health, one that changes the collective fabric of communities in a way that increases the risk for STI transmission.”
The fracking industry has rapidly expanded over the past decade, particularly in Pennsylvania, Ohio, Colorado, Texas, and North Dakota. In contrast, other states, such as New York and Maryland, have banned the practice.
“The link between fracking and STIs needs to be studied in other regions before it could be considered conclusive; however, our results may be useful in informing local public health officials and policy makers, as there are effective community-level interventions for reducing transmission of STIs,” said Deziel. “Further, this study adds to the growing body of evidence of other possible health problems in populations living near fracking sites, such as asthma symptoms or premature births.”
Other Yale School of Public Health authors on the study include Zoe Humeau, Elise Elliott, and Joshua Warren.
Reference: “Shale gas activity and increased rates of sexually transmitted infections in Ohio, 2000–2016” by Nicole C. Deziel, Zoe Humeau, Elise G. Elliott, Joshua L. Warren and Linda M. Niccolai, 23 March 2018, PLOS One.