Emissions from a petroleum refinery in Oakville, Ont., have been the source
of longstanding health concerns among residents in the surrounding communi
ty. Between 1992 and 1997, the refinery implemented extensive odour reducti
on measures through improvements in waste water treatment, in sulphur recov
ery and combustion. In this paper, we present the main findings of a recent
longitudinal analysis using data from community health surveys conducted i
n 1992 and 1997, before and after implementation of the odour reduction pla
n. The results show a decline in the frequency of odour perception and anno
yance by residents whereas the reporting of cardinal and general symptoms a
mong adults and children was virtually unchanged. Odour perception and anno
yance were strongly related to symptom reporting ip both years supporting t
he hypothesis that the effect of refinery emissions on residents' health is
odour mediated. The findings extend our understanding of the psychosocial
basis of symptom reporting in the vicinity of refineries. (C) 2000 Elsevier
Science Ltd. All rights reserved.