Resources

Without changes to Pennsylvania law addressing the environmental and public health impacts of natural gas extraction, more families will suffer. MAD-FACTS advocates for greater protections against the natural has industry so that no more of our neighbors or family members are harmed by living near fracking and infrastructure again. 

Studies and Research

Overviews of the Impacts of Unconventional Oil and Gas Development

Unconventional oil and gas development and health outcomes: A scoping review of the epidemiological research
The review found that 25 of the 29 studies reported at least one statistically significant association between the UOG exposure metric and an adverse health outcome.
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9th Compendium of Scientific, Medical, and Media Findings Demonstrating Risks and Harms of Fracking and Associated Gas and Oil Infrastructure
This is a fully-referenced compilation of evidence outlining the risks and harms of fracking. The public, open-access document is housed on the websites of Concerned Health Professionals of New York and Physicians for Social Responsibility.
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2023 Shale & Public Health Conference
This yearly conference, hosted by the University of Pittsburgh Graduate School of Public Health, features a large variety of experts speaking about topics related to shale gas drilling.
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Oil and Natural Gas Production Health (ONGP) Concerns
The Pennsylvania Division of Environmental Health Epidemiology responds to questions and concerns related to oil and natural gas production (ONGP).
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Studies by Impact

PA Health and Environmental Study
Study from the University of Pittsburgh found that children who lived within 1 mile of one or more hydraulically fractured wells had approximately 5 to 7 times the chance of developing lymphoma.
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Unconventional Oil and Gas Development Exposure and Risk of Childhood Acute Lymphoblastic Leukemia: A Case-Control Study in Pennsylvania, 2009-2017
Identified an increased odds of developing acute lymphoblastic leukemia in children with at least one UOGD well within 2 km of their birth residence during the periods of time of 3 months preconception to 1 year prior to diagnosis and 3 months preconception to birth.
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Hospitalisations for Cardiovascular and Respiratory Disease Among Older Adults Living Near Unconventional Natural Gas Development: a Difference-in-Differences Analysis
Found PA ZIP codes with UOGD activity that started in 2008-10 were associated with higher hospitalizations for cardiovascular diseases in older adults in 2012-15.
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Acute Myocardial Infarction Associated with Unconventional Natural Gas Development: A Natural Experiment
Found that 100 cumulative wells drilled in a county were associated with a 1.4-2.8% increase in acute myocardial infarction (AMI) hospitalizations and a 5.4% increase in AMI mortality in middle-aged men.
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Unconventional Natural Gas Development and Hospitalization for Heart Failure in Pennsylvania
Identified increased odds of hospitalization among individuals with heart failure across multiple UOGD phases and levels of UOGD activity. Associations were higher in individuals with more severe heart disease.
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Unconventional natural gas development and pediatric asthma hospitalizations in Pennsylvania
Found that community-level UOGD activity was associated increased odds of pediatric asthma hospitalizations.
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Association Between Unconventional Natural Gas Development in the Marcellus Shale and Asthma Exacerbations
Found that residential UOGD activity was associated with an increased risk of mild, moderate, and severe asthma exacerbations.
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Hydraulic fracturing and infant health: New evidence from Pennsylvania
Found an increased probability of having a child with low birth weight with a maternal residence of within 3 kilometers of fracking sites, with the largest impact within 1 kilometer.
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There’s a World Going on Underground—Infant Mortality and Fracking in Pennsylvania
Identified an increase in early infant deaths in ten heavily fracked counties following fracking initiation (2007-2010) compared to a control period of 2003-2006. Unconventional natural gas development and birth outcomes in Pennsylvania, USA
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Unconventional natural gas development and birth outcomes in Pennsylvania, USA
Found an association between unconventional natural gas development activity and preterm birth (OR = 1.4, 95% CI 1.0-1.9). In a post-hoc analysis, also found an association with physician-recorded high-risk pregnancy (OR = 1.3, 95% CI 1.1-1.7).
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PA Health and Environment Study
A 2023 study by the University of Pittsburgh found an increased, but not significant, risk of small for gestational age and decreased birth weight.
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Fracking and Pediatric Health
Resource from the Pennsylvania Department of Health acknowledging health impacts and includes guidance for physicians.
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The Association of Unconventional Natural Gas Development with Diagnosis and Treatment of Internalizing Disorders Among Adolescents in Pennsylvania using Electronic Health Records
Identified increased odds of new onset internalizing disorders in females in areas with higher UOGD activity during years with highest UOGD activity (2010-2016).
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Exposure Assessment of Adults Living Near Unconventional Oil and Natural Gas Development and Reported Health Symptoms in Southwest Pennsylvania, USA
Reviewed a survey containing self-reported symptoms and found itching or burning eyes, stress, dry skin, difficulty sleeping, and lightheadedness/dizziness to be statistically significantly associated to the cumulative wellsite density within 5 km of respondents’ homes.
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Health Conditions in Retired Manual Labor Miners and Oil and Gas Extraction Workers: National Health Interview Survey, 2007–2017
Found that retired oil and gas workers experienced a significantly higher prevalence of both hearing loss and self-reported poor health status than all other retirees.
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Particulate Matter and Mental Health 
The study found that higher PM2.5 exposure was strongly associated with higher risk of depression and anxiety. 
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Suicide Rates by Industry and Occupation — National Violent Death Reporting System, 32 States, 2016
In 2016, the CDC analyzed violent death data among 20 major industry groups and found men working in the "Mining, Quarrying, and Oil and Gas Extraction" field had the highest suicide rates.
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Radium in our water from fracking: Radioactivity from oil and gas produced water accumulated in freshwater mussels 
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Drinking Water, Fracking, and Infant Health
Found consistent and robust evidence that drilling shale gas wells negatively impacts both drinking water quality and infant health.
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EPA's Study of Hydraulic Fracturing and Its Potential Impact on Drinking Water Resources
EPA found scientific evidence that hydraulic fracturing activities can impact drinking water resources under some circumstances. 
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Air Pollution and Health Impacts of Oil & Gas Production in the United States
This article highlights the substantial air quality and health impacts of oil and gas production in the US in 2016, including significant contributions to asthma exacerbations, childhood asthma cases, and premature deaths, totaling $77 billion in health impacts.
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Air Quality Impacts of Shale Gas Development in Pennsylvania
Utilizing a high frequency, high resolution satellite-based measure of PM pollution between 2000 and 2018, we identify causal increases in PM2.5 concentration ranging from 0.017 μg/m3 to 0.062 μg/m3 in the vicinity of over 20,000 wells, resulting in approximately 20 additional deaths between 2010 and 2017.
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