Red Hill Public Health Information

Last Updated: April 10, 2024
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​Red Hill Fuel Release Public Health Information

Empowering Health

​Welcome to the Red Hill Fuel Release Public Health Information webpage. Defense Health Agency (DHA) – Public Health​ is working to understand any potential long-term health problems related t​o the ​November 2021 fuel releaseExternal Link. Our goal is to pro​​vide you with essential health information and resources. ​​


Table of Contents

Health Concerns and Health Care

Fuel exposure may make you sick. It can cause headaches, nausea, stomachaches, and skin rashes. These symptoms usually go away on their own, but if they do not, see a doctor.​​


  • Secretarial Designation (SECDES) Updated and Extended for Red Hill Fuel Release Health Concerns
    Deadline extended to March 10, 2025.
    • What is SECDES?
      Secretarial Designation authorizes medical assessment and care at Hawaii Medical Treatment Facilities​External Link as part of the DOD response to the November 2021, Red Hill fuel release.
    • To qualify for SECDES, a person must meet one of the following—
      • Permanent residence in housing served by the JBPHH Water Distribution System between Nov. 20, 2021, and March 18, 2022
      • Full- or part-time work in any facility served by the JBPHH Water Distribution System any time between Nov. 20, 2021, and March 18, 2022
      • Attended school or daycare served by JBPHH Water Distribution System any time between Nov. 20, 2021, and March 18, 2022
      • Current resident of military family housing served by the JBPHH Water Distribution System
      • Be experiencing persistent, worsening, or new symptoms you attribute to either the November 2021 JP-5 fuel release or current concerns over drinking water quality in military family housing served by the JBPHH Water Distribution System

"​​Everyone has a story that experienced the fuel release. Everyone has a journey; for some that journey is short, for others it is long, and for some that journey has not ended. I know that there are a lot of concerns and a lot of frustrations. We are going to do what we can to try to get answers no matter where those answers may lie. We do not know what it is like to be in your shoes, but we can be present, listen to your concerns and do what we can. At the end of the day, we can bear witness to what you have been through and resolve to take the information and try to help you. That will continue to inform what we do every day here at the DHA."

​-Col. John Oh, Chief, Occupational and Environmental Health Division, Defense Health Agency Public Health.

​ ​

Medical Testing

There are no recommended tests for persons exposed to the Red Hill fuel release. However, your doctor may order tests for any symptoms you may be experiencing.

Still Feeling Sick?

Some people exposed to the Red Hill fuel release have reported still feeling sick. Even after many doctor visits and tests, it's still not clear why they feel this way.

We know this is a difficult time for those who are sick and their families. We want to understand how the fuel release might be affecting your health, both now and in the future.

We are still looking into this public health issue and will let you know what we find out.

If you are a healthcare worker and you have seen unusual sicknesses that you think could be related to the fuel release, we want to hear from you. Email us at Provide your contact information, and one of our clinical team members will call you. Please don't include any private health details in the email.

Long-Term Health and the Red Hill Registry

Doctor holding patients hands

Long-Term Health

We understand there is concern about what may happen to your long-term health because of the fuel exposure. The research on the long-term health effects specifically associated with fuel (JP-5) exposure is limited. We do not yet know if there is a higher risk of specific long-term diseases or conditions that would justify screening to detect problems at an early stage. We also do not know how much JP-5 a person may have been exposed to.

If any evidence of long-term health risk emerges, we will inform the community potentially exposed to the Red Hill fuel release and specify what actions you and your healthcare provider should take. Everyone potentially exposed to the fuel release should establish a partnership with a trusted healthcare provider. You should undergo your regular check-ups and health risk assessments.

Red Hill Registry and Incident Report

Independent Red Hill Registry
We are in the early stages of setting up a separate independent Red Hill registry. A third party will operate the registry. The purpose of this registry is to—

    1. Track your health over time,
    2. Investigate any health effects, and
    3. Provide information and support to those potentially exposed during the Red Hill fuel release.
    • Who will be able to join the independent Red Hill registry?
      Everyone who was potentially exposed may join the registry:  local populations as well as those associated with the DOD. 
    • How to participate?
      When the registry is ready, you will receive information on the advantages of enrolling and how to enroll. Sign-up is voluntary.
    • What to expect in the future?
      We are fully committed to making this registry a valuable resource for all those affected. We will provide more information on the specifics and enrollment procedures.
    • Your involvement matters!
      Your active participation in the independent Red Hill registry will be vital to our efforts to understand and address the impacts of JP-5 exposure. Together, we can make a significant difference in public health and contribute to evidence-based decision making for health care options.

Red Hill Defense Occupational and Environmental Health Readiness System (DOEHRS) Incident Report
This report was also referred to as the Red Hill Registry during the fuel release response.

    • What is DOEHRS?
      The Defense Occupational and Environmental Health Readiness System, or DOEHRS, is the DOD information system for known and potential occupational and environmental hazardous exposures. Learn more.
    • What is a DOEHRS Incident Report?
      This report is a record of people potentially exposed to an occupational or environmental hazard related to a specific event.
    • What is the Red Hill DOEHRS Incident Report?
      Shortly after the Red Hill fuel release, the U.S. Navy established the Red Hill DOEHRS Incident Report and populated it with the names of people (including family members) living in a military family housing area exposed to the fuel release. DHA recently added rosters of DOD workers served by the Joint Base Pearl Harbor-Hickam water system.
    • Who is eligible for the Red Hill DOEHRS Incident Report?
      DOD-affiliated individuals (military members, their families, DOD civilian employees, and DOD contractors) potentially exposed to JP-5 in the Joint Base Pearl Harbor-Hickam water system through their residence or workplace anytime between November 20, 2021, and March 18, 2022, are eligible for listing in the Red Hill DOEHRS Incident Report.
    • What is the difference between the Red Hill DOEHRS Incident Report and the independent Red Hill registry?
      You can think of the Red Hill DOEHRS Incident Report as a limited “Registry 1.0" without the functionality to send, receive, and store individual health questionnaires. The Red Hill DOEHRS Incident Report also does not include potentially exposed people that are not DOD-affiliated. The independent Red Hill registry will be open to all persons exposed or at risk of exposure to the fuel release and will monitor the health and quality of life of participants over the long-term, mainly through ongoing surveys. DHA is committed to supporting both the Red Hill DOEHRS Incident Report and an independent Red Hill registry.
    • How do I know if I am included in the Red Hill DOEHRS Incident Report?
      In early 2022, sponsors of families in military family housing areas served by the Joint Base Pearl Harbor-Hickam water system received a letter notifying them that they were listed in the Red Hill DOEHRS Incident Report. If you would like to confirm that you and your family are listed, please email us at and include your full name. Do not include any protected health information (PHI) or personally identifiable information (PII) as described in the “Contact Us" section of this webpage. Please provide a phone number in case we need to contact you about your request.

Community Engagement Resources

  • Red Hill Public Health Response Su​mmary​ – This webpage serves as a comprehensive resource for the community. It provides a detailed overview of the public health response to the November 2021 Red Hill fuel release and a questions and answers section. This resource can also be used as a reference during community engagements and as a factual base for discussions on public health initiatives.

Stay Informed

Red Hill Health Webinar #2

This event was held on April 9, 2024, at 1500 ET.  View the Red Hill Webinar #2 Recording​ External Link 

Red Hill Health Webinar #1

This event was held on January 9, 2024, at 1400 ET.  View the Red Hill Health Webinar Recording External Link

Download the webinar slides.

Email Updates

We'll send periodic emails to keep you updated on the latest public health information and upcoming events.

Subscribe or manage your subscription*

*Important note: Due to restrictions on some U.S. Government networks, subscribing or managing your subscription works best from your home network. For the best user experience, we recommend using a personal email address. Some DOD email systems may strip images and links, making it harder to read our messages.

Contact Us


We welcome your feedback and are committed to helping you with your health questions or concerns.

This is not a secure mailbox. Do not include PHI or PII in your message to us. Examples include—

  • Social security numbers,
  • Dates of birth,
  • Health conditions, and
  • Treatments.

If you have a personal health question, contact your doctor.

Additional Resources



DHA Pub​lic Health does not provide medical advice, diagnosis, or treatment specific to any individual. The information on this website, such as text, images, and other materials, is only for general knowledge and should not be used to make decisions about your health. If you have any questions about your health, please talk to your doctor or other qualified healthcare provider. Never ignore or delay medical advice because of something you read on this webpage. Only your doctor can recommend specific tests, treatments, or other care for your individual health needs. The information on this webpage does not guarantee coverage under TRICARE, CHAMPUS, or any other U.S. government healthcare program. Reliance on any information or content on this webpage is solely at your own risk.