Læknablaðið - 01.10.2016, Page 25
LÆKNAblaðið 2016/102 441
Heimildir
1. Sigmundsson F, Steinþórsson S, Einarsson P, Sæmundsson
K, Jakobsson SP, Larsen G, et al. Ísland: Innræn öfl og upp-
bygging. Í: Sólnes J, Sigmundsson F, Bessason B, Náttúrvá
ritstj. Náttúruvá á Íslandi. Viðlagatrygging Íslands/
Háskólaútgáfan, Reykjavík 2013: 45-71.
2. Sigmundsson F, Gudmundsson MT, Steinþórsson S,
Höskuldsson A, Larsen G, Imsland P, et al. Eldfjallavá.
Í: Sólnes J, Sigmundsson F, Bessason B, ritstj. Náttúruvá
á Íslandi. Viðlagatrygging Íslands/Háskólaútgáfan,
Reykjavík 2013: 73-175.
3. Óskarsson N. Eldfjallagas. Í: Sólnes J, Sigmundsson F,
Bessason B, ritstj. Náttúruvá á Íslandi. Viðlagatrygging
Íslands/Háskólaútgáfan, Reykjavík 2013: 147-155.
4. Larsen G, Gíslason SR. Gjóska. Í: Sólnes J, Sigmundsson
F, Bessason B, ritstj. Náttúruvá á Íslandi. Viðlagatrygging
Íslands/Háskólaútgáfan, Reykjavík 2013: 130-143.
5. Horwell CJ, Baxter PJ. The respiratory health hazards of
volcanic ash: a review for volcanic risk mitigation. Bull
Volcanol 2006; 69: 1-24.
6. Hansell AL, Horwell CJ, Oppenheimer C. The health haz-
ards of volcanoes and geothermal areas. Occup Environ
Med 2006; 63: 149-56.
7. Gudmundsson G. Respiratory health effects of volcanic
ash with special reference to Iceland. A review. Clin Respir
J 2011; 5: 2-9.
8. Monick MM, Baltrusaitis J, Powers LS, Borcherding
JA, Caraballo JC, Mudunkotuwa I, et al. Effects of
Eyjafjallajökull volcanic ash on innate immune system
responses and bacterial growth in vitro. Environ Health
Perspect; 2013; 121: 691-8.
9. Lähde A, Gudmundsdottir SS, Joutsensaari J, Tapper
U, Ruusunen J, Ihalainen M et al. In vitro evaluation
of pulmonary deposition of airborne volcanic ash.
Atmospheric Environ 2013; 70: 18-27.
10. Horwell CJ, Baxter PJ, Hillman SE, Calkins JA, Damby
DE, Delmelle P, et al. Physicochemical and toxicological
profiling of ash from the 2010 and 2011 eruptions of
Eyjafjallajökull and Grímsvötn volcanoes, Iceland using
rapid respiratory hazard assessment protocol. Environ
Res 2013; 127: 63-73.
11. Hansell A, Oppenheimer C. Health hazards from volcanic
gases: a systematic literature review. Arch Environ Health
2004; 59: 628-39.
12. Baxter PJ. Medical effects of volcanic eruptions. Bull
Volcanol 1990; 52: 532–44.
13. Weinstein P, Cook A. Volcanic emissions and health.
In: Komatina MM, editor. Medical Geology: Effects
of Geological Environments on Human Health.
Developments in Earth and Environmental Sciences
Series. Elsevier Science, Amsterdam 2005: 203-26.
14. vinnueftirlit.is/um-vinnueftirlitid/frettir/nr/1170 – júní
2016.
15. osha.gov/SLTC/hydrogensulfide/hazards.html - júní 2016.
16. Fridriksson S. Fluoride problems following volcanic
eruptions. In Fluorides. Effects on vegetation, animals and
humans. Shupe JL, Peterson HB, Leone NC (eds) Paragon
Press, 1983.
17. Thordarson T, Larsen G. Volcanism in Iceland in historical
time: Volcano types, eruption styles and eruptive history.
In: Jacoby WR and Gudmundsson MT (eds): Hotspot
Iceland. J Geodynamics 2007; 43: 118-52.
18. Thorarinsson S. The Öræfajökull eruption of 1362. Acta
Nat Isl 1958; II, 2: 1-100.
19. Jónsson PVK Eyðing Bæjar í Öræfasveit í Öræfa-
jökulsgosinu 1362. Háskóli Íslands, Raun vísinda deild,
Reykjavík 2007.
20. Storm G. Islandske Annaler indtil 1578. Det norske histor-
iske Kildeskriftfond, Christiania 1888: 226.
21. Einarsson BF. Bær við Salthöfða. Eyðibýli í Öræfum.
Skýrsla IV. Fornleifafræðistofan. Reykjavík 2007.
22. Thordarson T, Self S. The Laki (Skaftár Fires) and
Grímsvötn eruptions in 1783-1785. Bull Volcanol 1993; 55:
233-63.
23. Thordarson T, Self S, Oskarsson N, Hulsebosch T. Sulfur,
chlorine, and fluorine degassing and atmospheric load-
ing by the 1783-1784 AD Laki (Skaftár Fires) eruption in
Iceland. Bull Volcanol 1996; 58: 205-25.
24. Thordarson T. Skaftáreldar 1783-1784. Háskólaútgáfan,
Reykjavík 1991.
25. Gislason SR, Stefansdottir G, Pfeffer MA, Barsotti S,
Johannsson Th, Galeczka I et al. Environmental pressure
from the 2014-15 eruption of Bárðarbunga volcano,
Iceland. Geochem Persp Let 2015: 84-93.
26. Steingrimson J. Lítið ágrip um nýja eldsuppkomu í vest-
araparti Skaftafellssýslu og þess verkanir sem fram komn-
ar eru. Skaftáreldar 1783-1784. Mál og menning, Reykjavík
1984: 272-4.
27. Steffensen J. Menning og meinsemdir. Sögufélag,
Reykjavík 1975.
28. Hálfdanarson G. Mannfall í Móðuharðindum. Skaftáreldar
1783-1784. Mál og menning, Reykjavík 1984: 140-62.
29. Gudmundsson MT, Larsen G, Hoskuldsson A, Gylfason
AG. Volcanic hazards in Iceland. Jökull. 2008; 58: 251-68.
30. Larsen G, Gudmundsson MT, Sigmundsson F,
Hoskuldsson A, Jakobsdottir SS, Oddsson B, et al.
Eyjafjallajökull. Í: Sólnes J, Sigmundsson F, Bessason
B, ritstj. Náttúruvá á Íslandi. Viðlagatrygging Íslands/
Háskólaútgáfan, Reykjavík 2013: 299-311
31. Gudmundsson MT, Thordarson T, Hoskuldsson A,
Larsen G, Bjornsson H, Prata FJ, et al. Ash generation
and distribution from the April-May 2010 eruption of
Eyjafjallajökull, Iceland. Sci Rep 2012; 2: 572.
32. Carlsen HK, Gislason T, Benediktsdottir B, Kolbeinsson
TB, Hauksdottir A, Thorsteinsson T, Briem H. A survey
of early health effects of the Eyjafjallajokull 2010 eruption
in Iceland: a population-based study. BMJ Open 2012; 2:
e000343.
33. Carlsen HK, Hauksdottir A, Valdimarsdottir UA, Gíslason
T, Einarsdottir G, Runolfsson H et al. Health effects
following the Eyjafjallajokull volcanic eruption: a cohort
study. BMJ Open 2012; 2. pii: e001851.
34. Carlsen HK, Gislason T, Forsberg B, Meister K,
Thorsteinsson T, Jóhannsson T, et al. Emergency hospital
visits in association with volcanic ash, dust storms and
other sources of ambient particles: a time-series study in
Reykjavík, Iceland. Int J Environ Res Public Health 2015;
12: 4047-59.
35. Gudmundsson MT, Hoskuldsson A, Larsen G, Thordarson
T, Oladottir BA, Oddsson B, et al. Grímsvatnagosið 2011.
Vorráðstefna, ágrip erinda og veggspjalda. Jarðfræðafélag
Íslands 2015.
36. Oudin A, Carlsen HK, Forsberg B, Johansson C. Volcanic
ash and daily mortality in Sweden after the Icelandic
volcano eruption of May 2011. Int J Environ Res Public
Health 2013; 10: 6909-19.
37. landlaeknir.is/servlet/file/store93/item24681/Tafla_
SO2%20fr%C3%A1%20eldgosum_%C3%81hrif%20
%C3%A1%20heilsufar%20manna-final.pdf – febrúar 2016.
38. landlaeknir.is/um-embaettid/frettir/frett/item14000/
Eldgos-i-Eyjafjallajokli--Abendingar-vegna-ahrifa-
oskufalls-a-heilsu – febrúar 2016.
ENGLISH SUMMARY
Volcanic eruptions are common in Iceland and have caused health
problems ever since the settlement of Iceland. Here we describe
volcanic activity and the effects of volcanic gases and ash on human
health in Iceland. Volcanic gases expelled during eruptions can be
highly toxic for humans if their concentrations are high, irritating the
mucus membranes of the eyes and upper respiratory tract at lower
concentrations. They can also be very irritating to the skin. Volcanic
ash is also irritating for the mucus membranes of the eyes and upper
respiratory tract. The smalles particles of volcanic ash can reach the
alveoli of the lungs. Described are four examples of volcanic eruptions
that have affected the health of Icelanders. The eruption of Laki volcanic
fissure in 1783-1784 is the volcanic eruption that has caused the highest
mortality and had the greatest effects on the well-being of Icelanders.
Despite multiple volcanic eruptions during the last decades in Iceland
mortality has been low and effects on human health have been limited,
although studies on longterm effects are lacking. Studies on the effects
of the Eyjafjallajökul eruption in 2010 on human health showed increased
physical and mental symptoms, especially in those having respiratory
disorders. The Directorate of Health in Iceland and other services have
responded promptly to recurrent volcanic eruptions over the last few
years and given detailed instructions on how to minimize the effects on
the public health.
Effects of volcanic eruptions on human health in Iceland. Review
Gunnar Guðmundsson, Guðrún Larsen
1Department of Respiratory Medicine and Sleep, Landspitali University Hospital, Faculty of Medicine, University of Iceland, 2Institute of Earth Sciences, University of Iceland, Askja
building, 101 Reykjavík.
Key words: volcanic eruptions, Iceland, volcanic ash, volcanic gases, health effects, mortality.
Correspondence: Gunnar Guðmundsson, ggudmund@landspitali.is
bergi vegna eldgosa og áhrifa þeirra á heilsufar. Undanfarið hafa
Almannavarnadeild Ríkislögreglustjóra, Embætti landlæknis og
aðrir viðbragðsaðilar brugðist skjótt og yfirvegað við þegar eld-
gos hafa orðið og gefið vandaðar ráðleggingar til almennings og
heilbrigðisstofnana.38 Mikilvægt er að halda áfram að vera á verði
gagnvart eldgosum og bregðast skjótt við eins og gert hefur ver-
ið undanfarin ár. Þá er mikilvægt að halda áfram rannsóknum á
heilsufarsáhrifum eldgosa á menn, sérstaklega langtímaáhrifum.
Y F I R L I T S G R E I N