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Tag: nose and throat disorders

  • As residents near the toxic train wreck in Ohio worry about rashes, sore throats and nausea, the state sets up a health clinic | CNN

    As residents near the toxic train wreck in Ohio worry about rashes, sore throats and nausea, the state sets up a health clinic | CNN

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    CNN
     — 

    While officials have repeatedly sought to assure residents that the water and air in East Palestine, Ohio, are safe after the derailment of a train carrying hazardous materials earlier this month, anxiety has permeated the community amid reports of rashes, nausea and headaches.

    The state now plans to open a health clinic in East Palestine Tuesday for residents concerned about possible symptoms related to the derailment and the Biden administration announced it deployed experts to help assess what dangers remain in the area after Ohio Gov. Mike DeWine requested medical teams from the US Centers for Diseases Control and Prevention and the US Department of Health.

    It’s been over two weeks since a train carrying vinyl chloride derailed in the small community of less than 5,000 people, igniting a dayslong inferno and prompting crews to carry out detonations to the toxic chemical to prevent a potentially deadly explosion.

    The detonations unleashed a black cloud of smoke over the area, where a chemical stench lingered for days. While it was deemed safe for evacuated residents to return home on February 8, community members have questioned how safe their village is and the validity of the air and water tests.

    US Sen. Sherrod Brown said residents are “right to be skeptical.”

    “We think the water’s safe,” Brown told CNN, citing comments made by the administrators of the state and federal Environmental Protection Agencies. “But when you return to your home, you should be tested again for your water and your soil and your air, not to mention those that have their own wells.”

    Testing of air quality in more than 530 homes has shown no detection of contaminants, the US Environmental Protection Agency said Sunday.

    As for the water, no vinyl chloride has been detected in any down-gradient waterways near the train derailment, EPA official Tiffani Kavalec told CNN last week.

    And while some waterways in the area were contaminated – killing thousands of fish downstream – officials have said they believe those contaminants to be contained.

    After crews discovered the contaminated runoff on two surface water streams, Sulphur Run and Leslie Run, Norfolk Southern installed booms and dams to restrict the flow of contaminated water, according to the EPA.

    Still, despite the assurances from officials that the water is safe, some residents are too afraid to drink from their taps and the town has been distributing bottled water.

    Desiree Walker – a 19-year resident of the town who lives just 900 feet from the derailment site – told CNN affiliate WOIO that she refuses to let her children drink the water, fearing it could have long-term health effects.

    “There’s a big concern because they’re young. They’ve got their whole life ahead of them,” Walker said. “I don’t want this to impact them down the road. I want them to have a long, happy life.”

    Walker said her family is feeling symptoms, but doctors tell them they don’t know what to test for.

    “At nighttime especially is when we smell it the most,” she told the station. “Our throats are sore, we’re coughing a lot now. My son, his eyes matted shut.”

    As anger and frustration bubbled in the small town, hundreds of East Palestine residents attended a town hall last week to express concerns over air and water safety in their community.

    Residents reported a variety of issues – including rashes, sore throats, nausea and headaches – and shared worries that the symptoms could potentially be related to chemicals released after a train derailment.

    “Why are people getting sick if there’s nothing in the air or in the water,” one resident yelled during the gathering.

    Ayla Antoniazzi and her family returned to their house less than a mile from the crash site the day after evacuation orders were lifted. The mother made sure to air the house out and wash all the linen before bringing her children home.

    “But the next day when they woke up, they weren’t themselves,” Antoniazzi said. “My oldest had a rash on her face. The youngest did too but not as bad. The 2-year-old was holding her eye and complaining that her eye was hurting. She was very lethargic, so I took them back to my parents’ home.”

    The Ohio Department of Health’s clinic opening Tuesday is meant to help East Palestine recover from the incident, officials said. The clinic will have registered nurses, mental health specialists and, at times, a toxicologist, the agency said.

    “I heard you, the state heard you, and now the Ohio Department of Health and many of our partner agencies are providing this clinic, where people can come and discuss these vital issues with medical providers,” said the department’s director, Dr. Bruce Vanderhoff.

    The decision to conduct controlled detonations at the derailment site on February 6 has also fueled skepticism and questions about safety.

    Ayla Antoniazzi's 4-year-old daughter developed a rash after going back to school in East Palestine.

    Officials said the move was meant to avert an explosion at the site of the derailment by venting the toxic vinyl chloride gas and burning it in a pit, a move that shot up a thick plume of smoke over the town.

    Vinyl chloride – a man-made substance used to make PVC – can cause dizziness, sleepiness and headaches and has also been linked to an increased risk of cancer in the liver, brain, lungs and blood.

    The burning vinyl chloride gas could break down into compounds including hydrogen chloride and phosgene, a chemical weapon used during World War I as a choking agent, according to the US Environmental Protection Agency and CDC.

    After the detonation, crews checked the air for chemicals of concern, including phosgene and hydrogen chloride, as well as butyl acrylate, ethylene glycol monobutyl ether acetate, and 2-ethylhexyl acrylate, according to the EPA, and reported that the data was normal.

    Work now continues to clear the crash site.

    The train’s operator, Norfolk Southern, is “scrapping and removing rail cars at the derailment location, excavating contaminated areas, removing contaminated liquids from affected storm drains, and staging recovered waste for transportation to an approved disposal facility,” the EPA said Sunday.

    “Air monitoring and sampling will continue until removal of heavily contaminated soil in the derailment area is complete and odors subside in the community,” the agency said.

    US Transportation Secretary Pete Buttigieg sent a letter Sunday to Norfolk Southern CEO Alan Shaw, demanding accountability and calling for greater safety regulations.

    “The people of East Palestine cannot be forgotten, nor can their pain be simply considered the cost of doing business,” Buttigieg wrote to the railway’s chief executive.

    “You have previously indicated to me that you are committed to meeting your responsibilities to this community, but it is clear that area residents are not satisfied with the information, presence, and support they are getting from NorfolkSouthern in the aftermath and recovery,” Buttigieg added.

    Brown also pledged to hold the rail company accountable for the impacts on the community, saying in a news conference he would “make sure Norfolk Southern does what it says it’s going to do, what it’s promised.”

    “All the cleanup, all the drilling, all the testing, all the hotel stays, all of that is on Norfolk Southern. They caused it, there’s no question they caused it,” Brown said, adding the total cost could amount to either tens or hundreds of millions of dollars.

    Norfolk Southern’s CEO posted an open letter Saturday telling East Palestine residents, “I hear you” and “we are here and will stay here for as long as it takes to ensure your safety and to help East Palestine recover and thrive.”

    “Together with local health officials, we have implemented a comprehensive testing program to ensure the safety of East Palestine’s water, air, and soil,” Shaw said in the letter, adding that the company also started a $1 million fund “as a down payment on our commitment to help rebuild.”

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  • East Palestine residents worry rashes, headaches and other symptoms may be tied to chemicals from train crash | CNN

    East Palestine residents worry rashes, headaches and other symptoms may be tied to chemicals from train crash | CNN

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    CNN
     — 

    Some residents of East Palestine, Ohio, say they have developed rashes, sore throats, nausea and headaches after returning to their homes this week, and they’re worried these new symptoms are related to chemicals released after a train derailment two weeks ago.

    The February 3 incident caused a massive fire and prompted officials to evacuate hundreds of people who lived near the site because of fears that a hazardous, highly flammable material might ignite. To prevent a potentially deadly explosion, toxic vinyl chloride gas was vented and burned, releasing a plume of black smoke over the town for days.

    Other chemicals of concern at the site include phosgene and hydrogen chloride, which are released when vinyl chloride breaks down; butyl acrylate; ethylene glycol monobutyl ether acetate; and 2-ethylhexyl acrylate, according to the US Environmental Protection Agency. All these chemicals can change when they break down or react with other things in the environment, creating a stew of potential toxins.

    Residents were given the all-clear to return to their homes February 8 after air monitoring in East Palestine did not detect any elevated chemicals of concern.

    Officials say further testing of indoor air in about 500 homes has also not shown any hazards. Tests of tap water from the municipal system didn’t show any chemicals at levels that would pose a health hazard, although officials are still testing water from rivers, streams and residential wells in the area.

    These test results have failed to reassure some residents, who say something is making them sick – even if officials can’t find it.

    “When we went back on the 10th, that’s when we decided that we couldn’t raise our kids here,” Amanda Greathouse said. There was a terrible, lingering smell that “reminded me of hair perming solution.”

    Greathouse said she was back in their house, about a block from the crash site, for 30 minutes when she developed a rash and nausea.

    “When we left, I had a rash on my skin on my arm, and my eyes were burning for a few days after that,” said Greathouse, who has two preschool-age children.

    She and her husband have returned to their home only twice since the derailment, to pick up paperwork and clothing.

    “The chemical smell was so strong that it made me nauseous,” Greathouse said. “I just wanted to quickly pick up what I needed and leave. I only took a few pieces of clothes because even the clothes smelled like chemicals, and I’m afraid to put them on my kids.”

    She says she’s also kept her children out of preschool since the derailment. Even though her son’s teacher has promised her that students are using only bottled water, she’s worried about other types of contamination.

    “I don’t want to take my son out of the preschool they’re in because I really like the teachers he has, but I’m still scared. Some teachers have even expressed their concerns about the air quality,” Greathouse said.

    “We are very fortunate that we rent our home. Didn’t think I would ever say that. I feel awful for my landlord, but I just can’t risk my family’s health.”

    Ohio Gov. Mike DeWine said a request for medical experts from the US Department of Health and Human Services has been granted, and officials should be arriving early next week to help prop up a clinic for patients.

    “We know the science indicates that this water is safe, the air is safe. But we also know very understandably that residents of East Palestine are concerned,” he said Friday.

    DeWine said he plans to set up a clinic where HHS officials and others will answer questions, evaluate symptoms and provide medical expertise.

    The Agency for Toxic Substances and Disease Registry, part of the US Centers for Disease Control and Prevention, also says it expects to have a team on site Monday, according to a CDC spokesperson who requested that they not be named because they weren’t authorized to share the details. The team will conduct an Assessment of Chemical Exposure investigation, which surveys the impact of a chemical release on people and the community.

    The volatile organic compounds released by the controlled explosion can cause symptoms similar to those reported by some East Palestine residents, including headache, sore throat, and nose and eye irritation, but experts say it’s extremely difficult to connect chemical exposures to health effects.

    “That is a major challenge,” says Erin Haynes, chair of the Department of Epidemiology and Environmental Health at the University of Kentucky.

    “The community is now exposed to a mixture of numerous petroleum-based volatile organic compounds, so it may not just be one, it could be the mixture of them,” Haynes said.

    Haynes, who has experience investigating toxic exposures in communities, says she is seeking approval from her university’s Institutional Review Board to start a study in East Palestine to help give residents more information on their chemical exposures in air, water and soil.

    “They need all the help they can get,” she said. “This is a major emergency. This is a major disaster. They need all the assistance that we all can provide.

    “The evidence of a toxic exposure could very well be the rashes,” she said.

    Audrey DeSanzo would like some answers, too.

    “How safe is it, really?” said DeSanzo, who lives about half a mile from the derailment with her two grade-school-age children. “It’s not in all these people’s heads that are getting rashes, that are having the conjunctivitis, the pinkeye, from chemicals.”

    “You have a sore throat when you’re staying here. It smells out here.”

    After the derailment, DeSanzo evacuated with her kids just over the state line in Pennsylvania, where her uncle had an empty duplex. They slept on the floor and the couch.

    When she came home this week, DeSanzo says, she aired out her house, changed the furnace filter and washed their sheets and clothes. Even so, she says, they all recently went to a local immediate care clinic because her kids were coughing, and “our throats were raw.”

    Tests for strep throat were negative. The doctor prescribed cough medicine for the kids and told DeSanzo that the chemicals were probably to blame.

    The doctor said she had seen a number of East Palestine residents with similar symptoms, DeSanzo said, and advised them to call poison control and go to the local hospital for a blood test. She hasn’t gotten the blood test yet.

    Debbie Pietrzak, a spokesperson for Salem Regional Medical Center, which runs the clinic DeSanzo went to, confirmed that it has treated a small number of residents with symptoms like sore throats and respiratory problems. The hospital’s emergency room has seen fewer than 10 patients from East Palestine, she said.

    “Our facilities and primary care providers stand ready to help anyone who is seeking medical attention, and we are working closely with the County’s Health Department and other local, state and federal agencies, which are monitoring the situation,” Pietrzak said in an email.

    Natalie Rine, a pharmacist who directs the Central Ohio Poison Center, said the state’s poison control centers are getting calls from East Palestine residents, too. Experts who staff the help lines are trained in toxicology and can help if chemicals are a health concern.

    DeSanzo says she wants to leave but can’t afford to. Her mortgage is about $400 a month, less than half of those of other homes she’s found in the area that are farther from the accident site.

    “I make $14 an hour. Where am I supposed to go?” she said. “I don’t want to be here now with with my kids.”

    Ayla and Tyler Antoniazzi and their two daughters have been living in East Palestine since April. After the train crash, they weren’t sure about moving out, Ayla says, but they’re now considering it.

    The Antoniazzis returned to their house less than a mile from the accident site the day after the evacuation notice was lifted.

    “Before bringing my kids back home, I washed all the linen and a bunch of clothes, cleaned surfaces and aired the house out,” Ayla said. “But the next day when they woke up, they weren’t themselves. My oldest had a rash on her face. The youngest did too but not as bad. The 2-year-old was holding her eye and complaining that her eye was hurting. She was very lethargic, so I took them back to my parents’ home.”

    Ayla says her daughters are staying with her parents in Leetonia, about 20 minutes west of East Palestine, until the couple is able to make sure their home is safe.

    The kids’ symptoms got better in Leetonia, she said, but one got another rash when she returned to school in East Palestine on February 13.

    Ayla Antoniazzi's 4-year-old daughter developed a rash after going back to school in East Palestine.

    “I did allow my 4-year-old to return to preschool, which is in the East Palestine Elementary School. She went back for two days and developed another rash on her hands and started complaining of itching, so I pulled her back out,” Ayla said.

    Ayla has scheduled a medical appointment with her daughters for next week to discuss their symptoms and testing options, she said.

    That’s the right thing to do, says Dr. Kari Nadeau, an allergist and chair of the Department of Environmental Health at Harvard’s TH Chan School of Public Health.

    Nadeau says rashes, sore throat, and headaches can be clinical signs of a chemical sensitivity.

    “There are people that are highly sensitive to chemicals and can feel it before necessarily a monitor can pick it up,” Nadeau said. “There’s not a great diagnostic pathway for chemical sensitivities. A lot of it is based off clinical symptoms, including rashes.”

    Nadeau and other environmental health experts advise people who are having symptoms to see a health care provider, primarily for medical care but also so their case can be documented.

    “So that if there is a cluster, or if there’s a group of people that all of a sudden have complained about a rash or given symptoms, that really helps doctors come together with institutions like the CDC and do a little bit more fact-finding,” she said.

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