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.
Those in Hawaii are welcome to visit the Red Hill Clinic. This includes individuals with Secretarial Designation (see
What Is Secretarial Designation?).
Visit the Red Hill Clinic webpage for hours of operation and information on how to make an appointment.
Talk to your doctor about your symptoms and inform them of any potential fuel exposure while you were in Hawaii. DHA healthcare providers may consult
the Red Hill Provider SharePoint site. Any healthcare provider can download the Healthcare Provider Recommendations to Support Patients Exposed to the November 2021 Fuel Release at Red Hill for more information.
What Is Secretarial Designation (SECDES)?
SECDES authorizes eligible members of the community affected by the Red Hill fuel release to access care at the Red Hill Clinic for conditions related to fuel exposure.
To qualify for SECDES, a person must—
- Have lived in housing served by the Joint Base Pearl Harbor-Hickam Water Distribution System at any time from November 20, 2021, through March 18, 2022.
- Have worked full- or part-time on Joint Base Pearl Harbor-Hickam or in any DOD facility served by the Joint Base Pearl Harbor-Hickam Water Distribution System at any time from November 20, 2021, through March 18, 2022.
- Have persistent or worsening symptoms from the fuel (JP-5) contamination of the Joint Base Pearl Harbor-Hickam 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.
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
firstname.lastname@example.org. 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
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—
- Track your health over time,
- Investigate any health effects, and
- 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.
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
email@example.com 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.
Red Hill Health Webinar
This event was held on January 9, 2024, at 1400 ET. View the Red Hill Health Webinar Recording
Download the webinar slides.
We'll send periodic emails to keep you updated on the latest public health information and upcoming events.
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If you have a personal health question, contact your doctor.