EAST PALESTINE, Ohio - Headache, anxiety, coughing, fatigue, and irritation, pain, and burning of the skin continue to be the most common symptoms reported by residents in the East Palestine, according to state health officials.

Ohio Department of Health Director, Dr. Bruce Vanderhoff, who last week released the initial results of 168 completed After Chemical Exposures surveys, said that as of Monday, a total of 320 surveys had been completed, and the top five symptoms had not changed.

The median age of respondents is 58 and most participants are over the age of 18 (95%).

Health Department officials use the information provided to better understand how the derailment incident may be impacting residents and determine appropriate public health response.

Residents complete the surveys either at the East Palestine Health Assessment Clinic operated by the Ohio Department of Health and the Columbiana County Health District or through door-to-door visits conducted by representatives from the U.S. Department of Health and Human Services.