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EPA funded citizen science to address gaps in air monitoring. Will it result in cleaner air?

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Thursday, September 26, 2024

Reporting for this story was supported by the Nova Institute for Health. In the decades since Congress passed the Clean Air Act in the early 1960s, air quality monitoring has become one of the EPA’s central tools to ensure the agency delivers on the promise to protect people from polluted air. The EPA, in partnership with state regulators, oversees a network of roughly 4,000 monitors across the country that measure the levels of six pollutants detrimental to human health, including ozone, sulfur dioxide, and particulate matter. But the network was primarily set up to track pollution from automobiles and industrial facilities such as coal-fired power plants near large population centers; as a result, the monitors are not evenly distributed across the United States. Of consequence, a 2020 analysis by the environmental group Natural Resources Defense Council found that more than 100 counties modeled to have unhealthy levels of particulate matter did not have an air quality monitor to track Clean Air Act compliance. And, research indicates that communities of color are often in closer proximity to industrial polluters and are disproportionately exposed to air pollution. Even the growing network of non-EPA, low-cost air quality sensors, such as PurpleAir, which are used to crowdsource real-time air quality data, are located predominantly in affluent White communities that can better afford them.  To better address these monitoring gaps, the EPA awarded $53 million in grants to 133 community groups in 2022. Earlier this year, many of these groups began setting up their own air quality monitors to identify pollution from a variety of sources including industrial operations, waste burning, and oil and gas development. The program is funded by the Inflation Reduction Act and the American Rescue Plan and was designed to invest in public health with a focus “on communities that are underserved, historically marginalized, and overburdened by pollution.” “One of the best things EPA can do is continue to work closely with communities and state and local air agencies to address air issues in and around environmental justice areas,” said Chet Wayland, director of the EPA’s air quality assessment division. “I’ve been at the agency for 33 years; this is the biggest shift in monitoring capabilities that I’ve seen because of all this technology.” But despite the funding, the groups that received EPA grants have no guarantee that their data will drive change. For one, some state lawmakers have passed legislation that blocks local regulators from utilizing monitoring data collected by community groups. While the EPA encouraged grantees to partner with regulatory bodies, they don’t require regulators to incorporate the data groups are collecting into their decision-making either. As a result, states could simply ignore the data. The program also places a burden on the very communities experiencing the country’s worst air quality who now have to figure out how to site, operate, and maintain monitors, tasks that require technical expertise.  Chemical plants in southeastern Louisiana emit dozens of pollutants that harm public health, but the state’s monitors do not adequately capture these emissions, community groups say. Giles Clarke / Getty Images Micah 6:8 was one of the dozens of community groups awarded an EPA grant to purchase an air quality monitor. The group was founded six years ago by Cynthia Robertson to serve the residents of Sulphur, Louisiana, located in southwest Louisiana’s sprawling petrochemical corridor. The low-income majority African-American community is exposed to toxic emissions from industrial polluters and is one of the state’s cancer hotspots, but, the Louisiana Department of Environmental Quality, or LDEQ, the state environmental agency, maintains just four air monitors in the region. None are positioned to detect levels of particulate matter from a cluster of nearby polluting plants. “We knew we needed air monitors,” said Robertson. Yet Robertson’s data from the EPA-funded monitor will almost certainly not lead to regulatory changes. In May, Louisiana’s Republican Governor Jeff Landry signed legislation prohibiting the use of community air monitoring data for regulatory or legal affairs. The chief defenders of the bill were representatives from the Louisiana Chemical Association, a trade group representing the petrochemical industry. (State lawmakers passed a similar bill championed by industry in the West Virginia House, but it died earlier this year without Senate consideration.) “I already know that my data won’t be heeded by LDEQ,” said Robertson. “In this state, it’s a pointless conversation [with regulators].”  LDEQ did not respond to a request for comment. The EPA declined to comment on the Louisiana law. “We strongly encouraged community groups to partner with a local or state agency that they could feed the data back to, but we recognize that this can vary across states,” said Wayland. Still, collecting air quality data, Robertson said, has value. The EPA grant requires community groups to share their data with stakeholders, including local governments and the public. And even if the regulators won’t acknowledge her data, Robertson wants data to inform her community about what they are being exposed to. She is working with researchers at Carnegie Mellon to build a community-friendly website that will explain the data visually. If her neighbors have accurate information, she hopes it will shape who they vote for.  “[Having this data] will enable us to make grassroots changes,” she said. “When you have an upwelling of protest and distress from communities, then things will start to change.” In Texas, Air Alliance Houston, a non-profit advocacy group, has been trying to get the state environmental agency to take its community-based monitoring data seriously with little success. Since 2018, the group has installed roughly 60 monitors to inform community members, identify advocacy opportunities to reduce pollution, and to provide evidence for the need for more regulatory monitoring. Air Alliance’s executive director, Jennifer Hadayia, said the Texas Commission on Environmental Quality, or TCEQ, disregarded their data when making permitting decisions for new industrial facilities. For example, she said, TCEQ relied on a particulate matter monitor in Galena Park, a suburb east of Houston, to renew a permit for a concrete batch plant in a neighborhood more than 15 miles away. It was “nowhere near the impact of the concrete batch plant,” she said.  In May, the group along with 11 other organizations including the Houston Department of Transportation, sent the TCEQ requests for changes to its proposed air monitoring plan for the state. The group highlighted the need for more air quality monitors in communities of color in Port Arthur, Beaumont, and north Houston. Data they collected near Houston’s Fifth Ward documented that the region’s air quality did not meet federal air quality standards for particulate matter on more than 240 days last year. In addition, the group noted the lack of independent monitors for ethylene oxide, a toxic chemical released by facilities that convert fracked gas into other chemical products, despite an increase in the number of these plants in Texas. (In addition to the six air pollutants monitored nationwide, the EPA and state environmental agencies also regulate 188 hazardous air pollutants emitted by industrial facilities. While 26 ambient air monitors exist around the country to detect these pollutants, none are located in Texas or Louisiana.)  Richard Richter, a spokesperson for TCEQ, said that while comments from Hadayia’s organization and others were “thoroughly reviewed, no changes were made to the draft 2024 plan based on the comments received.”  Richter noted that TCEQ has responded on multiple occasions to questions regarding externally-collected air monitoring data, despite having no dedicated resources to do so. But he did not share any evidence of taking action in response to community data when asked for examples. “In general, the TCEQ’s discussions with external parties about their air monitoring data will include topics such as data quality assurance, measurement accuracy, if the data can be evaluated from a health perspective (and if it can be evaluated, how to do so), and explanations about how community air monitoring data are often different from the monitoring data requirements for comparison to federal air quality standards,” he said in an emailed comment.  The agency’s attitude toward community air quality data could affect John Beard’s monitoring efforts. Beard is the founder of the Port Arthur Community Action Network, an environmental justice organization that has been advocating for better regulation of the petrochemical industry. He partnered with Micah 6:8 on a joint grant from the EPA and received one of two identical air quality monitors earlier this year. John Beard, an environmental justice activist, is setting up an air quality monitor in Port Arthur, Texas with EPA funding. Virginia Gewin Port Arthur is home to the largest refinery in the country, Motiva Enterprises, which produces 640,000 barrels of oil a day. Last year, a Grist investigation found TCEQ allows Motiva and other companies to release over a billion pounds of sulfur dioxide, hydrogen sulfide, cancer-causing benzene, and other pollutants. Only 8 percent of such “excess emission” incidents, which typically occur due to machinery malfunctions, hurricanes, or power outages, received any penalty.  Given its track record, Beard said he doesn’t trust TCEQ or believe they will utilize the data his organization collects to inform regulatory changes. “They have an obligation to protect us, and they aren’t doing a very good job of it,” he said. As the federal agency in charge of implementing and enforcing environmental laws, the EPA has considerable authority over local regulatory programs — but it cannot dictate where states place monitors. Funding community groups directly is the agency’s attempt to fill monitoring gaps, particularly in communities of color.  “EPA could have plowed a bunch of money into the state regulatory frameworks, and nothing would have changed,” said Matthew Tejada, senior vice president for environmental health at the Natural Resources Defense Council. He helped craft the EPA grant program when he was director of the agency’s office of environmental justice. Community science, on the other hand, can help democratize environmental health protection, he said. “It’s not going to be quick,” he added. “It’s not going to be painless.” And ultimately it depends on communities’ ability to produce compelling, accurate data. To help communities produce the best data possible, the EPA required grant recipients to draft quality assurance plans and obtain approval from the agency prior to data collection. These plans ensure that the data being collected is replicable. EPA also provided all grantees with free contractor support for the development and review of those plans and other technical questions.  Richard Peltier, an atmospheric chemist at the University of Massachusetts Amherst who also works with community groups, said laws barring the use of data are detrimental to communities engaged in scientific research and undermine the state’s responsibility to protect its residents. The community-based air monitors, which are often lower quality, may produce noisy data which has greater variability compared to more tightly-controlled regulatory monitors, said Peltier, but they will still help identify hot spots of pollution in areas where researchers have never looked before. “The real strength of these community grants is that we will get data coming from where the people are, not where the monitors are,” said Peltier. But it will require scientific capacity that some communities may struggle to access. Some groups found the requirements to assemble the expertise to site, run, and produce quality controlled, robust data, which must be shared online, too onerous. As a result of administrative or technological challenges, seven grantees didn’t move forward, according to the EPA. Lake County Environmental Works, an environmental advocacy organization in Lindenhurst, Illinois, that Peltier advised, was one such group. The funding would have supplied a monitor to track ethylene oxide, a carcinogenic chemical that is used to sterilize medical equipment and notoriously difficult to measure. Ultimately John Aldrin, an engineer and founder of Lake County Environmental Works, determined he couldn’t volunteer the time necessary to manage a $160,000 ethylene oxide monitor that would require a significant amount of maintenance to produce sound data. “I think community groups need technical support from the EPA,” said Aldrin.  As it stands, Peltier added, the EPA community air monitor approach seems like a “do-it-yourself approach to public health.” Darren Riley, co-founder of Just Air Solutions based in Detroit, Michigan, installs an air quality monitor. His organization is working with several EPA-funded groups to set up monitors. Courtesy of Darren Riley Tejada joined the Natural Resources Defense Council last fall to help use community science to “support more and more communities doing good science that drives toward rules that are more protective, permits that limit pollution in a meaningful way, and make sure enforcement happens.” He advised community groups to get scientists involved to properly site the air monitors and develop a robust quality assurance data plan. “EPA can and should do more” to help communities use their monitors to produce robust data, said Tejada, but they are constrained by limited funding, personnel, and statutory authority.  To meet the demand for scientific expertise, a cottage industry is developing to help community organizations use these monitors. Darren Riley, co-founder of Just Air Solutions based in Detroit, Michigan, is working with five different EPA community air monitor grantees around the country in addition to county and city officials. Riley said while it can be difficult to assemble the expertise in a community-based endeavor, he sees a resurgence of fight and energy and hopefulness that things are finally going to change. “EPA is sending a signal. People feel as though they are seen, which has helped morale,” he said. For communities, it’s a feeling of empowerment. “I hear the term ‘our data’,” he added.  And that, said Tejada, is the goal. “Community-based air quality monitors could finally deliver on the promise of the Clean Air Act,” he said.  Editor’s note: Natural Resources Defense Council is an advertiser with Grist. Advertisers have no role in Grist’s editorial decisions. This story was originally published by Grist with the headline EPA funded citizen science to address gaps in air monitoring. Will it result in cleaner air? on Sep 26, 2024.

Funding communities burdened by pollution to monitor air quality is the “do-it-yourself approach to public health," one researcher said.

Reporting for this story was supported by the Nova Institute for Health.

In the decades since Congress passed the Clean Air Act in the early 1960s, air quality monitoring has become one of the EPA’s central tools to ensure the agency delivers on the promise to protect people from polluted air. The EPA, in partnership with state regulators, oversees a network of roughly 4,000 monitors across the country that measure the levels of six pollutants detrimental to human health, including ozone, sulfur dioxide, and particulate matter.

But the network was primarily set up to track pollution from automobiles and industrial facilities such as coal-fired power plants near large population centers; as a result, the monitors are not evenly distributed across the United States. Of consequence, a 2020 analysis by the environmental group Natural Resources Defense Council found that more than 100 counties modeled to have unhealthy levels of particulate matter did not have an air quality monitor to track Clean Air Act compliance. And, research indicates that communities of color are often in closer proximity to industrial polluters and are disproportionately exposed to air pollution. Even the growing network of non-EPA, low-cost air quality sensors, such as PurpleAir, which are used to crowdsource real-time air quality data, are located predominantly in affluent White communities that can better afford them. 

To better address these monitoring gaps, the EPA awarded $53 million in grants to 133 community groups in 2022. Earlier this year, many of these groups began setting up their own air quality monitors to identify pollution from a variety of sources including industrial operations, waste burning, and oil and gas development. The program is funded by the Inflation Reduction Act and the American Rescue Plan and was designed to invest in public health with a focus “on communities that are underserved, historically marginalized, and overburdened by pollution.”

“One of the best things EPA can do is continue to work closely with communities and state and local air agencies to address air issues in and around environmental justice areas,” said Chet Wayland, director of the EPA’s air quality assessment division. “I’ve been at the agency for 33 years; this is the biggest shift in monitoring capabilities that I’ve seen because of all this technology.”

But despite the funding, the groups that received EPA grants have no guarantee that their data will drive change. For one, some state lawmakers have passed legislation that blocks local regulators from utilizing monitoring data collected by community groups. While the EPA encouraged grantees to partner with regulatory bodies, they don’t require regulators to incorporate the data groups are collecting into their decision-making either. As a result, states could simply ignore the data. The program also places a burden on the very communities experiencing the country’s worst air quality who now have to figure out how to site, operate, and maintain monitors, tasks that require technical expertise. 

Petrochemical facility in Cancer Alley
Chemical plants in southeastern Louisiana emit dozens of pollutants that harm public health, but the state’s monitors do not adequately capture these emissions, community groups say. Giles Clarke / Getty Images

Micah 6:8 was one of the dozens of community groups awarded an EPA grant to purchase an air quality monitor. The group was founded six years ago by Cynthia Robertson to serve the residents of Sulphur, Louisiana, located in southwest Louisiana’s sprawling petrochemical corridor. The low-income majority African-American community is exposed to toxic emissions from industrial polluters and is one of the state’s cancer hotspots, but, the Louisiana Department of Environmental Quality, or LDEQ, the state environmental agency, maintains just four air monitors in the region. None are positioned to detect levels of particulate matter from a cluster of nearby polluting plants. “We knew we needed air monitors,” said Robertson.

Yet Robertson’s data from the EPA-funded monitor will almost certainly not lead to regulatory changes. In May, Louisiana’s Republican Governor Jeff Landry signed legislation prohibiting the use of community air monitoring data for regulatory or legal affairs. The chief defenders of the bill were representatives from the Louisiana Chemical Association, a trade group representing the petrochemical industry. (State lawmakers passed a similar bill championed by industry in the West Virginia House, but it died earlier this year without Senate consideration.)

“I already know that my data won’t be heeded by LDEQ,” said Robertson. “In this state, it’s a pointless conversation [with regulators].” 

LDEQ did not respond to a request for comment. The EPA declined to comment on the Louisiana law. “We strongly encouraged community groups to partner with a local or state agency that they could feed the data back to, but we recognize that this can vary across states,” said Wayland.

Still, collecting air quality data, Robertson said, has value. The EPA grant requires community groups to share their data with stakeholders, including local governments and the public. And even if the regulators won’t acknowledge her data, Robertson wants data to inform her community about what they are being exposed to. She is working with researchers at Carnegie Mellon to build a community-friendly website that will explain the data visually. If her neighbors have accurate information, she hopes it will shape who they vote for. 

“[Having this data] will enable us to make grassroots changes,” she said. “When you have an upwelling of protest and distress from communities, then things will start to change.”

In Texas, Air Alliance Houston, a non-profit advocacy group, has been trying to get the state environmental agency to take its community-based monitoring data seriously with little success. Since 2018, the group has installed roughly 60 monitors to inform community members, identify advocacy opportunities to reduce pollution, and to provide evidence for the need for more regulatory monitoring. Air Alliance’s executive director, Jennifer Hadayia, said the Texas Commission on Environmental Quality, or TCEQ, disregarded their data when making permitting decisions for new industrial facilities. For example, she said, TCEQ relied on a particulate matter monitor in Galena Park, a suburb east of Houston, to renew a permit for a concrete batch plant in a neighborhood more than 15 miles away. It was “nowhere near the impact of the concrete batch plant,” she said. 

In May, the group along with 11 other organizations including the Houston Department of Transportation, sent the TCEQ requests for changes to its proposed air monitoring plan for the state. The group highlighted the need for more air quality monitors in communities of color in Port Arthur, Beaumont, and north Houston. Data they collected near Houston’s Fifth Ward documented that the region’s air quality did not meet federal air quality standards for particulate matter on more than 240 days last year. In addition, the group noted the lack of independent monitors for ethylene oxide, a toxic chemical released by facilities that convert fracked gas into other chemical products, despite an increase in the number of these plants in Texas. (In addition to the six air pollutants monitored nationwide, the EPA and state environmental agencies also regulate 188 hazardous air pollutants emitted by industrial facilities. While 26 ambient air monitors exist around the country to detect these pollutants, none are located in Texas or Louisiana.) 

Richard Richter, a spokesperson for TCEQ, said that while comments from Hadayia’s organization and others were “thoroughly reviewed, no changes were made to the draft 2024 plan based on the comments received.” 

Richter noted that TCEQ has responded on multiple occasions to questions regarding externally-collected air monitoring data, despite having no dedicated resources to do so. But he did not share any evidence of taking action in response to community data when asked for examples. “In general, the TCEQ’s discussions with external parties about their air monitoring data will include topics such as data quality assurance, measurement accuracy, if the data can be evaluated from a health perspective (and if it can be evaluated, how to do so), and explanations about how community air monitoring data are often different from the monitoring data requirements for comparison to federal air quality standards,” he said in an emailed comment. 

The agency’s attitude toward community air quality data could affect John Beard’s monitoring efforts. Beard is the founder of the Port Arthur Community Action Network, an environmental justice organization that has been advocating for better regulation of the petrochemical industry. He partnered with Micah 6:8 on a joint grant from the EPA and received one of two identical air quality monitors earlier this year.

John Beard stands in front of refinery equipment in Port Arthur
John Beard, an environmental justice activist, is setting up an air quality monitor in Port Arthur, Texas with EPA funding. Virginia Gewin

Port Arthur is home to the largest refinery in the country, Motiva Enterprises, which produces 640,000 barrels of oil a day. Last year, a Grist investigation found TCEQ allows Motiva and other companies to release over a billion pounds of sulfur dioxide, hydrogen sulfide, cancer-causing benzene, and other pollutants. Only 8 percent of such “excess emission” incidents, which typically occur due to machinery malfunctions, hurricanes, or power outages, received any penalty. 

Given its track record, Beard said he doesn’t trust TCEQ or believe they will utilize the data his organization collects to inform regulatory changes. “They have an obligation to protect us, and they aren’t doing a very good job of it,” he said.

As the federal agency in charge of implementing and enforcing environmental laws, the EPA has considerable authority over local regulatory programs — but it cannot dictate where states place monitors. Funding community groups directly is the agency’s attempt to fill monitoring gaps, particularly in communities of color. 

“EPA could have plowed a bunch of money into the state regulatory frameworks, and nothing would have changed,” said Matthew Tejada, senior vice president for environmental health at the Natural Resources Defense Council. He helped craft the EPA grant program when he was director of the agency’s office of environmental justice. Community science, on the other hand, can help democratize environmental health protection, he said. “It’s not going to be quick,” he added. “It’s not going to be painless.”

And ultimately it depends on communities’ ability to produce compelling, accurate data. To help communities produce the best data possible, the EPA required grant recipients to draft quality assurance plans and obtain approval from the agency prior to data collection. These plans ensure that the data being collected is replicable. EPA also provided all grantees with free contractor support for the development and review of those plans and other technical questions. 

Richard Peltier, an atmospheric chemist at the University of Massachusetts Amherst who also works with community groups, said laws barring the use of data are detrimental to communities engaged in scientific research and undermine the state’s responsibility to protect its residents. The community-based air monitors, which are often lower quality, may produce noisy data which has greater variability compared to more tightly-controlled regulatory monitors, said Peltier, but they will still help identify hot spots of pollution in areas where researchers have never looked before. “The real strength of these community grants is that we will get data coming from where the people are, not where the monitors are,” said Peltier.

But it will require scientific capacity that some communities may struggle to access. Some groups found the requirements to assemble the expertise to site, run, and produce quality controlled, robust data, which must be shared online, too onerous. As a result of administrative or technological challenges, seven grantees didn’t move forward, according to the EPA.

Lake County Environmental Works, an environmental advocacy organization in Lindenhurst, Illinois, that Peltier advised, was one such group. The funding would have supplied a monitor to track ethylene oxide, a carcinogenic chemical that is used to sterilize medical equipment and notoriously difficult to measure. Ultimately John Aldrin, an engineer and founder of Lake County Environmental Works, determined he couldn’t volunteer the time necessary to manage a $160,000 ethylene oxide monitor that would require a significant amount of maintenance to produce sound data. “I think community groups need technical support from the EPA,” said Aldrin. 

As it stands, Peltier added, the EPA community air monitor approach seems like a “do-it-yourself approach to public health.”

Man affixes air quality monitor to lamp post
Darren Riley, co-founder of Just Air Solutions based in Detroit, Michigan, installs an air quality monitor. His organization is working with several EPA-funded groups to set up monitors. Courtesy of Darren Riley

Tejada joined the Natural Resources Defense Council last fall to help use community science to “support more and more communities doing good science that drives toward rules that are more protective, permits that limit pollution in a meaningful way, and make sure enforcement happens.” He advised community groups to get scientists involved to properly site the air monitors and develop a robust quality assurance data plan.

“EPA can and should do more” to help communities use their monitors to produce robust data, said Tejada, but they are constrained by limited funding, personnel, and statutory authority. 

To meet the demand for scientific expertise, a cottage industry is developing to help community organizations use these monitors. Darren Riley, co-founder of Just Air Solutions based in Detroit, Michigan, is working with five different EPA community air monitor grantees around the country in addition to county and city officials. Riley said while it can be difficult to assemble the expertise in a community-based endeavor, he sees a resurgence of fight and energy and hopefulness that things are finally going to change. “EPA is sending a signal. People feel as though they are seen, which has helped morale,” he said. For communities, it’s a feeling of empowerment. “I hear the term ‘our data’,” he added. 

And that, said Tejada, is the goal. “Community-based air quality monitors could finally deliver on the promise of the Clean Air Act,” he said. 

Editor’s note: Natural Resources Defense Council is an advertiser with Grist. Advertisers have no role in Grist’s editorial decisions.

This story was originally published by Grist with the headline EPA funded citizen science to address gaps in air monitoring. Will it result in cleaner air? on Sep 26, 2024.

Read the full story here.
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New Flu Variant Could Bring Another Severe U.S. Season

By I. Edwards HealthDay ReporterTHURSDAY, Nov. 20, 2025 (HealthDay News) — A new flu variant spreading overseas may set the stage for another tough...

THURSDAY, Nov. 20, 2025 (HealthDay News) — A new flu variant spreading overseas may set the stage for another tough winter in the United States, experts warn.The strain, called subclade K, has caused a rise in flu cases in the United Kingdom, Canada and Japan. And now signs suggest it is beginning to take hold across the United States as flu activity rises.According to the latest U.S. Centers for Disease Control and Prevention (CDC) FluView report, reported flu activity in the United States remains low but is climbing quickly.Last year’s flu season was the worst the United States had seen in nearly 15 years and led to at least 280 child deaths, according to the CDC.Most cases this year are from the H3N2 virus and about half of those belong to the subclade K variant, the same strain that fueled a difficult flu season in the Southern Hemisphere.Because it wasn’t circulating widely when strains were selected for the vaccine update, this year’s flu shot targets close strains of the virus."It’s not like we’re expecting to get complete loss of protection for the vaccine, but perhaps we might expect a little bit of a drop-off if this is the virus that sort of dominates the season, and early indications are that’s probably going to be the case," Richard Webby, a researcher at St. Jude Children’s Research Hospital in Memphis, Tennessee, told CNN.Early findings from the UK Health Security Agency suggest the variant carries seven genetic changes on a major part of the virus, making it a bit harder for the body's immune system to recognize.Even so, they found that the flu shot has reduced the risk of hospitalization or emergency care by about 75% in children and 30% to 40% in adults so far this season.What worries experts even more is that fewer Americans appear to be getting the flu shot.Data from IQVIA shows that pharmacies gave 26.5 million flu vaccinations from August through October, down from 28.7 million during the same period last year."I’m not surprised," Jennifer Nuzzo, professor of epidemiology and director of the Pandemic Center at Brown University in Providence, Rhode Island, said.She said recent debates about vaccine safety have "left people confused but possibly at the worst have left people worried about getting vaccinated."Australia’s flu shot rates also fell this year and the country went on to record more than 443,000 cases."What they saw in Australia is that they had a bad season. And so it’s concerning for you and us, what’s coming," Dr. Earl Rubin, division director of infectious disease at Montreal Children’s Hospital, told CNN.Several early indicators already show flu levels rising in the U.S.The WastewaterSCAN network found type A flu in 40% of samples in November, up from 18% in October, according to Marlene Wolfe, an assistant professor in the department of environmental health at Emory University in Atlanta.Only four U.S. monitoring sites in Maine, Vermont, Iowa and Hawaii have officially crossed the threshold for declaring flu activity high, but experts say the trend is clear.While it’s not yet clear whether subclade K could cause more severe illness, a rise in infections alone could cause hospitalizations to skyrocket, Rubin noted."It’s not too late. Go and get your flu shot," Dr. Adam Lauring, chief of the division of infectious diseases at the University of Michigan Medical School, in Ann Arbor, said.These results are preliminary and have not yet been peer-reviewed.The Texas Department of State Health Services (DSHS) has more on the flu vaccine.SOURCE: CNN, Nov. 18, 2025Copyright © 2025 HealthDay. All rights reserved.

Thousands of US Hazardous Sites Are at Risk of Flooding Because of Sea Level Rise, Study Finds

A new study finds that thousands of hazardous sites across the U.S. are at risk of flooding due to sea level rise that could pose public health threats to neighboring communities

If heat-trapping pollution from burning coal, oil and gas continues unchecked, thousands of hazardous sites across the United States risk being flooded from sea level rise by the turn of the century, posing serious health risks to nearby communities, according to a new study.Researchers identified 5,500 sites that store, emit or handle sewage, trash, oil, gas and other hazards that could face coastal flooding by 2100, with much of the risk already locked in due to past emissions. But more than half the sites are projected to face flood risk much sooner — as soon as 2050. Low-income, communities of color and other marginalized groups are the most at risk.With even moderate reductions to planet-warming emissions, researchers also determined that roughly 300 fewer sites would be at risk by the end of the century. “Our goal with this analysis was to try to get ahead of the problem by looking far out into the future," said Lara J. Cushing, associate professor in the Department of Environmental Health Sciences at the University of California, Los Angeles who co-authored the paper published in the science journal Nature Communications.“We do have time to respond and try to mitigate the risks and also increase resilience," she added, speaking at a media briefing Wednesday ahead of the study's release. The study was funded by the Environmental Protection Agency and builds on previous research from California. Climate change is driving and accelerating sea level rise. Glaciers and ice sheets are melting, and the sea's waters are expanding as they warm. In many places along the coastal U.S., sea level rise is accelerating faster than the global average because of things like erosion and land sinking from groundwater pumping, according to the National Oceanic and Atmospheric Administration. Thomas Chandler, managing director at the National Center for Disaster Preparedness at Columbia University who was not involved in the research, said it’s “a really important study” that the public, policy makers and government agencies “need to make note of.” Derek Van Berkel, an associate professor in the school for environment and sustainability at University of Michigan who was also not involved in the study, wasn't surprised to learn about the disproportionate risks. What was “alarming” was considering the magnitude of “feedback effects” from flooding, he said. How researchers approached the data The study's researchers started by identifying and classifying tens of thousands of hazardous sites near the coasts of Puerto Rico and the 23 states with coastline. Next, they wanted to know each site's projected future flood risk. They did this by calculating how likely each year coastal flooding could inundate a site using historical sea level measurements and projected sea level rise in 2050 and 2100 under low and high emissions scenarios. Lastly, they identified and classified communities as being at-risk if homes are located within 1 kilometer (0.62 miles) of a hazardous site with a high threat of future flooding, and compared those communities' characteristics with other coastal neighborhoods with no at-risk sites nearby. But researchers did not include all types of hazardous facilities, such as oil and gas pipelines, nor did they account for groundwater upwelling or more intense and frequent storms in the future, which could lead to underestimates. On the other end, the flood-risk model they used could have overestimated the number of threatened sites. “It is important to note that previous disasters, such as hurricanes Katrina, Rita and Harvey, did result in a lot of toxic contamination from oil and gas pipelines,” Chandler said. The 5,500 at-risk sites includes 44% that are fossil fuel ports and terminals, 30% power plants, 24% refineries and 22% coastal sewage treatment facilities. Most of the sites — nearly 80% — are in Louisiana, Florida, New Jersey, Texas, California, New York and Massachusetts. Potential health impacts from exposure to hazards People exposed to flood waters near industrial animal farms or sewage treatment plants could be exposed to bacteria like E. coli, said Sacoby Wilson, professor of global, environmental and occupational health at the University of Maryland during the briefing. Symptoms can include bloody or watery diarrhea, severe stomach cramps or vomiting and fever. Those living near industrial sites like refineries could be exposed to heavy metals and chemicals that can cause rashes, burning of the eyes, nose and throat, headaches or fatigue, added Wilson, who was not involved in the study. “For folks who are vulnerable, maybe have an underlying health condition, those health conditions could be exacerbated during those flood events.” Longer term, some of these exposures could contribute to cancer, liver, kidney or other organ damage, or have reproductive effects, he said. For Chandler, the Columbia University director, the study highlights the need to heavily invest in hazard mitigation. “It's really important for federal, state and local governments in the United States to address these factors through multi-stakeholder resilience planning and encouraging local governments to integrate climate risk assessments into their mitigation strategies.”The Associated Press receives support from the Walton Family Foundation for coverage of water and environmental policy. The AP is solely responsible for all content. For all of AP’s environmental coverage, visit https://apnews.com/hub/climate-and-environment.Copyright 2025 The Associated Press. All rights reserved. This material may not be published, broadcast, rewritten or redistributed.Photos You Should See – Nov. 2025

RFK Jr.’s Miasma Theory of Health Is Spreading

The agency is picking up Robert F. Kennedy Jr.’s argument that a healthy immune system can keep even pandemic germs at bay.

Last week, the two top officials at the National Institutes of Health—the world’s largest public funder of biomedical research—debuted a new plan to help Americans weather the next pandemic: getting everyone to eat better and exercise.The standard pandemic-preparedness playbook “has failed catastrophically,” NIH Director Jay Bhattacharya and NIH Principal Deputy Director Matthew J. Memoli wrote in City Journal, a magazine and website published by the Manhattan Institute for Policy Research, a conservative think tank. The pair argue that finding and studying pathogens that could cause outbreaks, then stockpiling vaccines against them, is a waste of money. Instead, they say, the United States should encourage people to improve their baseline health—“whether simply by stopping smoking, controlling hypertension or diabetes, or getting up and walking more.”On its own, Bhattacharya and Memoli’s apparently serious suggestion that just being in better shape will carry the U.S. through an infectious crisis is reckless, experts told me—especially if it’s executed at the expense of other public-health responses. In an email, Andrew Nixon, the director of communications at the Department of Health and Human Services—which oversees the NIH—wrote that the agency “supports a comprehensive approach to pandemic preparedness that recognizes the importance of both biomedical tools and the factors individuals can control.” But more broadly, Bhattacharya and Memoli’s proposal reflects the spread of a dangerous philosophy that Robert F. Kennedy Jr., the secretary of HHS, has been pushing for years: a dismissal of germ theory, or the notion that infectious microbes are responsible for many of the diseases that plague humankind.In his 2021 book, The Real Anthony Fauci: Bill Gates, Big Pharma, and the Global War on Democracy and Public Health, Kennedy, a longtime anti-vaccine activist, argues that modern scientists have blamed too much of infectious disease on pathogens, which he suggests are rarely problematic, unless the immune system has been compromised by poor nutrition, toxins, and other environmental stressors. He credits sanitation and nutrition for driving declines in infectious-disease deaths during the 20th century; vaccination, he has baselessly claimed, was largely ineffective and unnecessary. In his view, germs don’t pose a substantial threat to people who have done the work of “fortifying the immune system”—essentially, those who have taken their health into their own hands.In terms of general health, most Americans would benefit from improvements in diet and exercise. A strong emphasis on both has been core to the Make America Healthy Again movement, and in one important aspect, Kennedy and his allies are correct: The immune system, like other bodily systems, is sensitive to nutritional status, and when people are dealing with chronic health issues, they often fare less well against infectious threats, Melinda Beck, a nutrition and infectious-disease researcher who recently retired from the University of North Carolina, told me. Conditions such as obesity and diabetes, for instance, raise the risk of severe COVID and flu; malnutrition exacerbates the course of diseases such as tuberculosis and measles.But applied to widespread infectious outbreaks, the MAHA prescription is still deeply flawed. Being generally healthy doesn’t guarantee survival, or even better outcomes against infectious diseases—especially when an entire population encounters a pathogen against which it has no immunity. Although some evidence suggests that the 1918 flu pandemic strongly affected certain groups of people who were less healthy at baseline—including undernourished World War I soldiers—“relatively healthy people, as far as we could understand, were the main victims,” Naomi Rogers, a historian of medicine at Yale, told me. Smallpox, too, infected and killed indiscriminately. HIV has devastated many communities of young, healthy people.In his book, Kennedy relies heavily on the term miasma theory as a shorthand for preventing disease “through nutrition and by reducing exposures to environmental toxins and stresses.” He’s employing that phrase incorrectly: Historically, at least, miasma theory referred to the notion that epidemics are caused by bad air—such as toxic emanations from corpses and trash—and was the predominant way of describing disease transmission until scientists found definitive proof of infectious microbes in the late 19th century. But his choice of words is also revealing. In pitting his ideas against germ theory, he plays on a centuries-old tension between lifestyle and microbes as roots of illness.In its early days, germ theory struggled to gain traction even among physicians, many of whom dismissed the idea as simplistic, Nancy Tomes, a historian at Stony Brook University, told me. After the idea became foundational to medicine, scientists still had to work to convince some members of the public that microbes could fell healthy people, too. In the early days of polio vaccination, when the virus still ran rampant in the U.S., some vaccine-skeptical Americans insisted that children were falling seriously ill primarily because their parents weren’t managing their kids’ nutrition well and “had disrupted the child’s internal health,” Rogers told me.Over time, as pharmaceutical companies made global businesses out of selling antibiotics, vaccines, and antivirals, the products became a symbol, for some people, of how germ theory had taken over medicine. Accepting vaccines came to represent trust in scientific expertise, Rogers said; misgivings about the industry, in contrast, might translate into rejecting those offerings. In that skeptical slice of the American public and amid the rise of alternative-wellness practitioners, Kennedy has found purchase for his ideas about nutrition as a cure-all.Since taking over as health secretary, he has on occasion made that distrust in germ theory national policy. In his book, he wrote that “when a starving African child succumbs to measles, the miasmist attributes the death to malnutrition; germ theory proponents (a.k.a. virologists) blame the virus.” Earlier this year, when measles raged through undervaccinated regions of West Texas, the secretary acted out his own miasmist theory of the outbreak, urging Americans to rely on vitamin-A supplementation as a first-line defense, even though deficiency of that vitamin is rare here.But germ theory is key to understanding why outbreaks become pandemics—not because people’s general health is wanting, but because a pathogen is so unfamiliar to so many people’s immune systems at once that it is able to spread unchecked. Pandemics then end because enough people acquire sufficient immunity to that pathogen. Vaccination, when available, remains the safest way to gain that immunity—and, unlike lifestyle choices, it can represent a near-universal strategy to shore up defenses against disease. Not all of the risk factors that worsen disease severity are tunable by simply eating better or working out more. For COVID and many other respiratory diseases, for instance, old age and pregnancy remain some of the biggest risk factors. Genetic predispositions to certain medical conditions, or structural barriers to changing health habits—not just lack of willpower—can make people vulnerable to disease, too.In their article, Bhattacharya and Memoli purport to be arguing against specific strategies of pandemic preparedness, most prominently the controversial type of gain-of-function research that can involve altering the disease-causing traits of pathogens, and has been restricted by the Trump administration. But the pair also mischaracterize the country’s current approach to pandemics, which, in addition to calling for virus research and vaccine development, prioritizes measures such as surveillance, international partnerships, and improved health-care capacity, Nahid Bhadelia, the director of the Center on Emerging Infectious Diseases at Boston University, told me. And Bhattacharya and Memoli’s alternative approach cuts against the most basic logic of public health—that the clearest way to help keep a whole population healthy is to offer protections that work on a societal level and that will reach as many people as possible. Fixating on personal nutrition and exercise regimens as pandemic preparedness would leave many people entirely unprotected. At the same time, “we’re basically setting up society to blame someone” in the event that they fall ill, Jennifer Nuzzo, the director of the pandemic center at the Brown University School of Public Health, told me.Kennedy’s book bemoans that the “warring philosophies” of miasma and germ theory have become a zero-sum game. And yet, at HHS, he and his officials are presenting outbreak preparedness—and the rest of public health—as exactly that: The country should worry about environment or pathogens; it should be either pushing people to eat better or stockpiling vaccines. Over email, Nixon told me that “encouraging healthier habits is one way to strengthen resilience alongside vaccines, treatments, and diagnostics developed through NIH-funded research.” But this year, under pressure from the Trump administration, the NIH has cut funding to hundreds of vaccine- and infectious-disease focused research projects; elsewhere at HHS, officials canceled nearly half a billion dollars’ worth of contracts geared toward developing mRNA vaccines.The reality is that both environment and pathogens often influence the outcome of disease, and both should be addressed. Today’s public-health establishment might not subscribe to the 19th-century version of miasma theory, but the idea that environmental and social factors shape people’s health is still core to the field. “They’re saying you can only do one thing at a time,” Bhadelia told me. “I don’t think we have to.”

Clinicians can help address environmental toxics in reproductive health, international experts say

In a recent opinion paper published in the International Journal of Gynecology & Obstetrics, the International Federation of Obstetrics and Gynecology (FIGO) addresses how exposures to environmental toxics — including endocrine disrupting chemicals — have a wide range of impacts on reproductive health, and how clinicians can play a role in addressing this issue.In short: Extensive research has linked exposure to environmental toxics with an increased risk of polycystic ovary syndrome (PCOS), endometriosis, uterine fibroids, hormonally mediated cancers, menopause, and both female and male infertility. The key mechanisms behind these impacts include hormone disruption, oxidative stress, inflammation, and epigenetic changes that can affect multiple generations.FIGO emphasizes that harm from environmental toxics can be addressed, and that clinicians play a crucial role in ensuring environmental factors are meaningfully considered as a part of patient care. Key quote: “As trusted health advisors, obstetricians and gynecologists (OBGYNs) have an essential role in integrating environmental health into routine gynecologic and fertility care.” Why this matters: In this opinion paper, FIGO argues that clinicians should incorporate environmental health into routine care, and provides practical strategies to do so. Some of these strategies include taking environmental histories, counseling patients on risk reduction and healthy lifestyles, recognizing high-risk settings (e.g., occupational exposures), and advising patients on simple steps to reduce exposure — particularly during sensitive windows like preconception, pregnancy, puberty, and menopause. Clinicians should be aware of regional environmental health alerts, such as air quality advisories or contamination events. In addition, clinicians can advocate for policy change.Related EHN coverage: Chemical mixtures may impact fertility and IVF success, new study findsUnderstanding how the environment affects pregnant people’s healthMore resources: Additional International Federation of Obstetrics and Gynecology (FIGO) statements and opinions relating to the environment:FIGO opinion on reproductive health impacts of exposure to toxic environmental chemicalsFIGO calls for removal of PFAS from global useRemoval of glyphosate from global usageClimate Crisis and HealthStatement on Draft Strategy on health, environment and climate changeToxic chemicals and environmental contaminants in prenatal vitaminsDeNicola, Nathaniel et al. for International Journal of Gynecology & Obstetrics. Sept. 26, 2025

In a recent opinion paper published in the International Journal of Gynecology & Obstetrics, the International Federation of Obstetrics and Gynecology (FIGO) addresses how exposures to environmental toxics — including endocrine disrupting chemicals — have a wide range of impacts on reproductive health, and how clinicians can play a role in addressing this issue.In short: Extensive research has linked exposure to environmental toxics with an increased risk of polycystic ovary syndrome (PCOS), endometriosis, uterine fibroids, hormonally mediated cancers, menopause, and both female and male infertility. The key mechanisms behind these impacts include hormone disruption, oxidative stress, inflammation, and epigenetic changes that can affect multiple generations.FIGO emphasizes that harm from environmental toxics can be addressed, and that clinicians play a crucial role in ensuring environmental factors are meaningfully considered as a part of patient care. Key quote: “As trusted health advisors, obstetricians and gynecologists (OBGYNs) have an essential role in integrating environmental health into routine gynecologic and fertility care.” Why this matters: In this opinion paper, FIGO argues that clinicians should incorporate environmental health into routine care, and provides practical strategies to do so. Some of these strategies include taking environmental histories, counseling patients on risk reduction and healthy lifestyles, recognizing high-risk settings (e.g., occupational exposures), and advising patients on simple steps to reduce exposure — particularly during sensitive windows like preconception, pregnancy, puberty, and menopause. Clinicians should be aware of regional environmental health alerts, such as air quality advisories or contamination events. In addition, clinicians can advocate for policy change.Related EHN coverage: Chemical mixtures may impact fertility and IVF success, new study findsUnderstanding how the environment affects pregnant people’s healthMore resources: Additional International Federation of Obstetrics and Gynecology (FIGO) statements and opinions relating to the environment:FIGO opinion on reproductive health impacts of exposure to toxic environmental chemicalsFIGO calls for removal of PFAS from global useRemoval of glyphosate from global usageClimate Crisis and HealthStatement on Draft Strategy on health, environment and climate changeToxic chemicals and environmental contaminants in prenatal vitaminsDeNicola, Nathaniel et al. for International Journal of Gynecology & Obstetrics. Sept. 26, 2025

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