Markham, P., Gianato, J., Hoyer, J. (2017). After Action Review: Emergency Response to January 9, 2014 Freedom Industries Chemical Leak.
Several local health departments participated in a review of the response to the 2014 4-methylcyclohexane spill into the Elk River in West Virginia. Interagency communications and public risk communications were listed as challenges, and participants shared that, for example, flushing recommendations were not practical for hospitals (they suggested that in future incidents, hospitals be treated as separate from the business community).