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From poisoning to skin diseases: multiple effects of sargassum on health

News Feed
Wednesday, April 24, 2024

This is a republishing collaboration with Centro de Periodismo Investigativo, where this originally published. See the full series, Caribbean People at Risk from Sargassum Invasion.In the quiet seaside village of Capesterre on Marie-Galante island in Guadeloupe on April 18, 2023, the air-quality monitoring institute Gwad’Air issued a “red alert” to warn people away from coastal areas.The culprit was sargassum. After washing ashore for days, the floating seaweed was emitting a dangerous level of hydrogen sulfide gas as it rotted on the beach. To read a version of this story in Spanish click here. Haz clic aquí para leer este reportaje en español.The problem was not new for residents of Marie-Galante, a sleepy agricultural island of 11,000 inhabitants that is part of Guadeloupe’s biosphere reserve.Since the first mass strandings more than ten years ago, rotting sargassum has frequently plagued residents and tourists and forced several businesses and restaurants to close their doors for months at a time.Among the struggling proprietors are sisters Marie-Louise and Lyselène Bade, who recently shuttered their small hotel Le Soleil Levant. Though they still operate a bakery and grocery store they inherited from their mother, Marie-Louise said a Gwad’Air technician recently asked her a worrying question: “How do you manage to stay here?” She often wonders the same thing. “You know, I love wearing costume jewelry, but now I can’t keep it on my skin for more than a quarter of an hour. They oxidize and make my skin itch. When you see what it does to electrical equipment and metal, you wonder what it does inside your body, to your lungs,” she said. Thanks to recent research carried out in the French Caribbean — much of which has struggled with similar problems as Marie-Galante — scientists can now better answer that question. They paint a bleak picture. Their studies suggest that the hydrogen sulfide and ammonia gasses released by rotting sargassum can endanger pregnant women, exacerbate respiratory issues like asthma, and cause headaches and memory loss, among other serious health problems. But this knowledge has not been enough to protect Bade and many other Guadeloupe residents. Even as the French Caribbean has emerged as a regional leader in the fight against sargassum, researchers such as Martinique-based doctor Dabor Resiere have said response efforts there have fallen far short. As a result, many residents regularly face dangerous health risks — and the French government has turned to the world stage to call for an international response to address sargassum as a global problem.‘Airborne poisoning outbreak’By the time 2018 brought a record sargassum influx to Caribbean shorelines, the health effects of the rotting seaweed had become much better known. In December of that year, a group of sargassum researchers in Martinique issued a stark warning. In a letter published in The Lancet medical journal, they noted that doctors in Martinique and Guadeloupe — French islands with a combined population of nearly 800,000 — had recently recorded more than 11,000 cases of acute sargassum toxicity during an eight-month period. Among them were three cases admitted to intensive care. “To mitigate this emerging airborne poisoning outbreak, the French government has already promised €10 million [US $10,835,600] to supply equipment that can be used to remove the seaweed within 48 hours, to monitor hydrogen sulfide concentrations on the affected shores, to train doctors, and to assign experts in toxicology in affected areas,” wrote Resiere and 10 other researchers based in Martinique and France. “Despite this commendable first effort by the French government, a mitigation plan to address this enigmatic sargassum invasion should urgently be discussed at an international level to boost marine research, pool resources, and consolidate local political priorities,” Resiere said. The French government — which for decades has struggled with algae washing ashore on its European coasts — has launched two national sargassum plans funded with about $26 million for 2018-2022 and about $40 million for 2022-2026. Millions more were spent by local authorities in sargassum collection operations and investment in dedicated equipment. “You know, I love wearing costume jewelry, but now I can’t keep it on my skin for more than a quarter of an hour. They oxidize and make my skin itch." - Marie-Louise Bade, owner of the small hotel Le Soleil LevantAs a result, the French islands of Guadeloupe, Martinique, Saint Martin and Saint Barthelemy have launched some of the most extensive response efforts in the Caribbean in recent years. Besides the ongoing research, these efforts have included air-quality-monitoring programs, clean-up initiatives, and one of the rare national response strategies that has been officially adopted by the government. In 2019, Guadeloupe also hosted the first International Sargassum Conference, where the Guadeloupe Region — in partnership with the French government, the French National Research Agency and two Brazilian agencies — launched a call for projects with financial support from the European Union and other sources. This effort ultimately funded 12 projects — the results of which were presented on Feb. 28, 2024 — as part of the National Sargassum Prevention and Control Plan. Besides probing the algae cycle and the environmental effects of sargassum, these projects have also investigated health impacts. One of the outcomes, the SargaCare project, led to a July 2022 study on more than 3,000 pregnant women on Martinique, which reported finding evidence of a higher risk of potentially fatal preeclampsia in expectant mothers exposed to sargassum fumes. A later SargaCare study suggested that prolonged exposure to the fumes increases the risk of patients developing sleep apnea.‘The situation remained unchanged’But despite this work, health researchers have warned that response efforts have not kept pace with the problem in the French Caribbean or the wider region. More than four years after their 2018 warning in The Lancet, Dr. Resiere and seven colleagues upped the ante in a March 2023 letter published in the Journal of Global Health. In Guadeloupe and Martinique, they wrote, “the situation remained unchanged. Despite the French government’s plans to tackle the sargassum problem, these toxic algae are continuing to inundate the coasts of Martinique, Guadeloupe, and French Guiana in ever-greater volumes.” The Covid-19 pandemic, they stated, was partially to blame for the problem because it had sucked up health resources. But they also noted the absence of a coordinated regional health response and warned that Caribbean governments eager to jumpstart their post-pandemic tourism economies may be inclined to downplay the sargassum problem. “The public continues to be adversely affected, some have sold their dream houses which are becoming unlivable, some have abandoned their schools and workplaces for lack of a solution to this scourge,” the researchers wrote. “It is urgent to come to the aid of these families who, in addition to the health consequences due to the significant emanations of hydrogen sulfide, have to bear the material consequences, being often forced to replace all their household appliances or the metal parts of their houses.”2023 seasonBy the time the researchers’ letter was published in March 2023, a new sargassum season was already causing health problems across the French Caribbean. In late January 2023, a 59-year-old woman was treated by emergency services for acute toxicity after taking part in a sargassum clean-up on Tartane beach in Trinité, Martinique. On March 2, the Martinique municipality of Le Robert partially closed the Four à Chaux school due to high exposure to gas released by sargassum.And when the air pollution alert was triggered in Guadeloupe’s Saint-François lagoon area on Sept. 15, people were asked to move away from a populated marina area that hosts hotels, restaurants and tourism businesses offering water activities.Marie-GalanteBack in Marie-Galante, Marie-Louise Bade continued to struggle as well. Bade, who goes by “Malou,” operates multiple businesses on her island, where the economy is powered by tourism, fishing, sugarcane and banana crops, and a rum distillery. “For 11 years, I’ve had to put up with this,” Bade said. “For 11 years, every time I open my doors, I think, ‘My God, what other appliance is going to break down this morning?’ No matter how much we repair, clean, the walls turn gray. Algae eats away at all the plumbing. … So everything is destroyed and there are leaks all the time.” Tourists, she said, stopped coming. “I can’t rent out the rooms anymore,” she said. “People open the windows, they have a view of the sargassum. There’s the smell. And on the walls, the pipes, the air-conditioning: Everything turns black.”Her health has suffered as well. Bade described continuous itching, small pimples appearing on her skin, vision issues, and respiratory problems that now force her to take asthma medication. Various governmental efforts have not provided relief in her day-to-day life, she said. About two years ago, for example, the Guadeloupe regional health agency distributed questionnaires for about a month. But since then, she said, no follow-up action has been taken to her knowledge. The businesswoman said the town doctor regularly monitors the effects of sargassum on the population’s health, and he encourages her to consult him every three months. Last year, residents got a brief respite when booms were installed offshore in August in hopes of preventing the seaweed from reaching the beach. For a while, the solution worked, according to the town’s mayor, Jean-Claude Maes. Residents started walking along the coast again as they hadn’t done for years, and a few entrepreneurs decided to set up new businesses, Maes said. But the respite was short-lived: The booms were swept away last October by swells caused by Hurricane Tammy. Plans to reinstall them by December still have not come to fruition. Though such responsibilities normally fall to towns and cities, the French government has decided to bear 80% of the financial cost of combating sargassum. But the mayor said that funding was slow in coming last year. ‘Irritation and anxiety’While residents suffer, research continues. Professor Dabor Resiere, a sargassum researcher and department head at Martinique University Hospital, said previous studies have focused largely on the effects of acute toxicity caused by high levels of sargassum gasses. But there is a dearth of information on chronic toxicity at lower doses, he said. To learn more, the professor and his team have been visiting patients in the field as part of a Martinique University Hospital monitoring program they plan to export soon to Guadeloupe, St. Lucia and other islands. “We don’t know about the average resident who lives near a stranding site, who receives a small amount of [exposure to sargassum gas] every day,” said Resiere. “We can see that the majority of these patients continue to have trouble sleeping, continue to have generalized fatigue, continue to have conjunctivitis, irritation and anxiety. This anxiety, this depressive syndrome: All these symptoms we observe in patients. But now we need to demonstrate it scientifically.” Other research is continuing as well. After the results of the 2019 call for projects were presented this February, the Guadeloupe Region and its partners launched a new call for projects. This round will continue studying health impacts, as well as addressing other topics including sargassum’s effects on marine ecosystems and the hydrodynamic conditions that affect blooms. But in Marie-Galante, Bade and her sister have more immediate concerns. Currently, the metal roof of their businesses leaks because of holes they blame on corrosion caused by the sargassum gasses. But they are reluctant to invest in repairs as long as they are faced with continued uncertainty. Despite the risks, they have no plans to leave. For Bade, it is inconceivable to close the business bequeathed to her by her mother, in which she and her sister grew up. “What would the town be without a bakery?” she asked. This investigation is the result of a fellowship awarded by the Center for Investigative Journalism’s Training Institute and was made possible in part with the support of Open Society Foundations.

This is a republishing collaboration with Centro de Periodismo Investigativo, where this originally published. See the full series, Caribbean People at Risk from Sargassum Invasion.In the quiet seaside village of Capesterre on Marie-Galante island in Guadeloupe on April 18, 2023, the air-quality monitoring institute Gwad’Air issued a “red alert” to warn people away from coastal areas.The culprit was sargassum. After washing ashore for days, the floating seaweed was emitting a dangerous level of hydrogen sulfide gas as it rotted on the beach. To read a version of this story in Spanish click here. Haz clic aquí para leer este reportaje en español.The problem was not new for residents of Marie-Galante, a sleepy agricultural island of 11,000 inhabitants that is part of Guadeloupe’s biosphere reserve.Since the first mass strandings more than ten years ago, rotting sargassum has frequently plagued residents and tourists and forced several businesses and restaurants to close their doors for months at a time.Among the struggling proprietors are sisters Marie-Louise and Lyselène Bade, who recently shuttered their small hotel Le Soleil Levant. Though they still operate a bakery and grocery store they inherited from their mother, Marie-Louise said a Gwad’Air technician recently asked her a worrying question: “How do you manage to stay here?” She often wonders the same thing. “You know, I love wearing costume jewelry, but now I can’t keep it on my skin for more than a quarter of an hour. They oxidize and make my skin itch. When you see what it does to electrical equipment and metal, you wonder what it does inside your body, to your lungs,” she said. Thanks to recent research carried out in the French Caribbean — much of which has struggled with similar problems as Marie-Galante — scientists can now better answer that question. They paint a bleak picture. Their studies suggest that the hydrogen sulfide and ammonia gasses released by rotting sargassum can endanger pregnant women, exacerbate respiratory issues like asthma, and cause headaches and memory loss, among other serious health problems. But this knowledge has not been enough to protect Bade and many other Guadeloupe residents. Even as the French Caribbean has emerged as a regional leader in the fight against sargassum, researchers such as Martinique-based doctor Dabor Resiere have said response efforts there have fallen far short. As a result, many residents regularly face dangerous health risks — and the French government has turned to the world stage to call for an international response to address sargassum as a global problem.‘Airborne poisoning outbreak’By the time 2018 brought a record sargassum influx to Caribbean shorelines, the health effects of the rotting seaweed had become much better known. In December of that year, a group of sargassum researchers in Martinique issued a stark warning. In a letter published in The Lancet medical journal, they noted that doctors in Martinique and Guadeloupe — French islands with a combined population of nearly 800,000 — had recently recorded more than 11,000 cases of acute sargassum toxicity during an eight-month period. Among them were three cases admitted to intensive care. “To mitigate this emerging airborne poisoning outbreak, the French government has already promised €10 million [US $10,835,600] to supply equipment that can be used to remove the seaweed within 48 hours, to monitor hydrogen sulfide concentrations on the affected shores, to train doctors, and to assign experts in toxicology in affected areas,” wrote Resiere and 10 other researchers based in Martinique and France. “Despite this commendable first effort by the French government, a mitigation plan to address this enigmatic sargassum invasion should urgently be discussed at an international level to boost marine research, pool resources, and consolidate local political priorities,” Resiere said. The French government — which for decades has struggled with algae washing ashore on its European coasts — has launched two national sargassum plans funded with about $26 million for 2018-2022 and about $40 million for 2022-2026. Millions more were spent by local authorities in sargassum collection operations and investment in dedicated equipment. “You know, I love wearing costume jewelry, but now I can’t keep it on my skin for more than a quarter of an hour. They oxidize and make my skin itch." - Marie-Louise Bade, owner of the small hotel Le Soleil LevantAs a result, the French islands of Guadeloupe, Martinique, Saint Martin and Saint Barthelemy have launched some of the most extensive response efforts in the Caribbean in recent years. Besides the ongoing research, these efforts have included air-quality-monitoring programs, clean-up initiatives, and one of the rare national response strategies that has been officially adopted by the government. In 2019, Guadeloupe also hosted the first International Sargassum Conference, where the Guadeloupe Region — in partnership with the French government, the French National Research Agency and two Brazilian agencies — launched a call for projects with financial support from the European Union and other sources. This effort ultimately funded 12 projects — the results of which were presented on Feb. 28, 2024 — as part of the National Sargassum Prevention and Control Plan. Besides probing the algae cycle and the environmental effects of sargassum, these projects have also investigated health impacts. One of the outcomes, the SargaCare project, led to a July 2022 study on more than 3,000 pregnant women on Martinique, which reported finding evidence of a higher risk of potentially fatal preeclampsia in expectant mothers exposed to sargassum fumes. A later SargaCare study suggested that prolonged exposure to the fumes increases the risk of patients developing sleep apnea.‘The situation remained unchanged’But despite this work, health researchers have warned that response efforts have not kept pace with the problem in the French Caribbean or the wider region. More than four years after their 2018 warning in The Lancet, Dr. Resiere and seven colleagues upped the ante in a March 2023 letter published in the Journal of Global Health. In Guadeloupe and Martinique, they wrote, “the situation remained unchanged. Despite the French government’s plans to tackle the sargassum problem, these toxic algae are continuing to inundate the coasts of Martinique, Guadeloupe, and French Guiana in ever-greater volumes.” The Covid-19 pandemic, they stated, was partially to blame for the problem because it had sucked up health resources. But they also noted the absence of a coordinated regional health response and warned that Caribbean governments eager to jumpstart their post-pandemic tourism economies may be inclined to downplay the sargassum problem. “The public continues to be adversely affected, some have sold their dream houses which are becoming unlivable, some have abandoned their schools and workplaces for lack of a solution to this scourge,” the researchers wrote. “It is urgent to come to the aid of these families who, in addition to the health consequences due to the significant emanations of hydrogen sulfide, have to bear the material consequences, being often forced to replace all their household appliances or the metal parts of their houses.”2023 seasonBy the time the researchers’ letter was published in March 2023, a new sargassum season was already causing health problems across the French Caribbean. In late January 2023, a 59-year-old woman was treated by emergency services for acute toxicity after taking part in a sargassum clean-up on Tartane beach in Trinité, Martinique. On March 2, the Martinique municipality of Le Robert partially closed the Four à Chaux school due to high exposure to gas released by sargassum.And when the air pollution alert was triggered in Guadeloupe’s Saint-François lagoon area on Sept. 15, people were asked to move away from a populated marina area that hosts hotels, restaurants and tourism businesses offering water activities.Marie-GalanteBack in Marie-Galante, Marie-Louise Bade continued to struggle as well. Bade, who goes by “Malou,” operates multiple businesses on her island, where the economy is powered by tourism, fishing, sugarcane and banana crops, and a rum distillery. “For 11 years, I’ve had to put up with this,” Bade said. “For 11 years, every time I open my doors, I think, ‘My God, what other appliance is going to break down this morning?’ No matter how much we repair, clean, the walls turn gray. Algae eats away at all the plumbing. … So everything is destroyed and there are leaks all the time.” Tourists, she said, stopped coming. “I can’t rent out the rooms anymore,” she said. “People open the windows, they have a view of the sargassum. There’s the smell. And on the walls, the pipes, the air-conditioning: Everything turns black.”Her health has suffered as well. Bade described continuous itching, small pimples appearing on her skin, vision issues, and respiratory problems that now force her to take asthma medication. Various governmental efforts have not provided relief in her day-to-day life, she said. About two years ago, for example, the Guadeloupe regional health agency distributed questionnaires for about a month. But since then, she said, no follow-up action has been taken to her knowledge. The businesswoman said the town doctor regularly monitors the effects of sargassum on the population’s health, and he encourages her to consult him every three months. Last year, residents got a brief respite when booms were installed offshore in August in hopes of preventing the seaweed from reaching the beach. For a while, the solution worked, according to the town’s mayor, Jean-Claude Maes. Residents started walking along the coast again as they hadn’t done for years, and a few entrepreneurs decided to set up new businesses, Maes said. But the respite was short-lived: The booms were swept away last October by swells caused by Hurricane Tammy. Plans to reinstall them by December still have not come to fruition. Though such responsibilities normally fall to towns and cities, the French government has decided to bear 80% of the financial cost of combating sargassum. But the mayor said that funding was slow in coming last year. ‘Irritation and anxiety’While residents suffer, research continues. Professor Dabor Resiere, a sargassum researcher and department head at Martinique University Hospital, said previous studies have focused largely on the effects of acute toxicity caused by high levels of sargassum gasses. But there is a dearth of information on chronic toxicity at lower doses, he said. To learn more, the professor and his team have been visiting patients in the field as part of a Martinique University Hospital monitoring program they plan to export soon to Guadeloupe, St. Lucia and other islands. “We don’t know about the average resident who lives near a stranding site, who receives a small amount of [exposure to sargassum gas] every day,” said Resiere. “We can see that the majority of these patients continue to have trouble sleeping, continue to have generalized fatigue, continue to have conjunctivitis, irritation and anxiety. This anxiety, this depressive syndrome: All these symptoms we observe in patients. But now we need to demonstrate it scientifically.” Other research is continuing as well. After the results of the 2019 call for projects were presented this February, the Guadeloupe Region and its partners launched a new call for projects. This round will continue studying health impacts, as well as addressing other topics including sargassum’s effects on marine ecosystems and the hydrodynamic conditions that affect blooms. But in Marie-Galante, Bade and her sister have more immediate concerns. Currently, the metal roof of their businesses leaks because of holes they blame on corrosion caused by the sargassum gasses. But they are reluctant to invest in repairs as long as they are faced with continued uncertainty. Despite the risks, they have no plans to leave. For Bade, it is inconceivable to close the business bequeathed to her by her mother, in which she and her sister grew up. “What would the town be without a bakery?” she asked. This investigation is the result of a fellowship awarded by the Center for Investigative Journalism’s Training Institute and was made possible in part with the support of Open Society Foundations.



This is a republishing collaboration with Centro de Periodismo Investigativo, where this originally published. See the full series, Caribbean People at Risk from Sargassum Invasion.


In the quiet seaside village of Capesterre on Marie-Galante island in Guadeloupe on April 18, 2023, the air-quality monitoring institute Gwad’Air issued a “red alert” to warn people away from coastal areas.

The culprit was sargassum. After washing ashore for days, the floating seaweed was emitting a dangerous level of hydrogen sulfide gas as it rotted on the beach.

To read a version of this story in Spanish click here. Haz clic aquí para leer este reportaje en español.

The problem was not new for residents of Marie-Galante, a sleepy agricultural island of 11,000 inhabitants that is part of Guadeloupe’s biosphere reserve.

Since the first mass strandings more than ten years ago, rotting sargassum has frequently plagued residents and tourists and forced several businesses and restaurants to close their doors for months at a time.

Among the struggling proprietors are sisters Marie-Louise and Lyselène Bade, who recently shuttered their small hotel Le Soleil Levant.


environmental justice

Though they still operate a bakery and grocery store they inherited from their mother, Marie-Louise said a Gwad’Air technician recently asked her a worrying question: “How do you manage to stay here?”

She often wonders the same thing.

“You know, I love wearing costume jewelry, but now I can’t keep it on my skin for more than a quarter of an hour. They oxidize and make my skin itch. When you see what it does to electrical equipment and metal, you wonder what it does inside your body, to your lungs,” she said.


sargassum

Thanks to recent research carried out in the French Caribbean — much of which has struggled with similar problems as Marie-Galante — scientists can now better answer that question.

They paint a bleak picture. Their studies suggest that the hydrogen sulfide and ammonia gasses released by rotting sargassum can endanger pregnant women, exacerbate respiratory issues like asthma, and cause headaches and memory loss, among other serious health problems.

But this knowledge has not been enough to protect Bade and many other Guadeloupe residents.

Even as the French Caribbean has emerged as a regional leader in the fight against sargassum, researchers such as Martinique-based doctor Dabor Resiere have said response efforts there have fallen far short.

As a result, many residents regularly face dangerous health risks — and the French government has turned to the world stage to call for an international response to address sargassum as a global problem.

‘Airborne poisoning outbreak’


By the time 2018 brought a record sargassum influx to Caribbean shorelines, the health effects of the rotting seaweed had become much better known. In December of that year, a group of sargassum researchers in Martinique issued a stark warning.

In a letter published in The Lancet medical journal, they noted that doctors in Martinique and Guadeloupe — French islands with a combined population of nearly 800,000 — had recently recorded more than 11,000 cases of acute sargassum toxicity during an eight-month period. Among them were three cases admitted to intensive care.

“To mitigate this emerging airborne poisoning outbreak, the French government has already promised €10 million [US $10,835,600] to supply equipment that can be used to remove the seaweed within 48 hours, to monitor hydrogen sulfide concentrations on the affected shores, to train doctors, and to assign experts in toxicology in affected areas,” wrote Resiere and 10 other researchers based in Martinique and France.

“Despite this commendable first effort by the French government, a mitigation plan to address this enigmatic sargassum invasion should urgently be discussed at an international level to boost marine research, pool resources, and consolidate local political priorities,” Resiere said.

The French government — which for decades has struggled with algae washing ashore on its European coasts — has launched two national sargassum plans funded with about $26 million for 2018-2022 and about $40 million for 2022-2026. Millions more were spent by local authorities in sargassum collection operations and investment in dedicated equipment.

“You know, I love wearing costume jewelry, but now I can’t keep it on my skin for more than a quarter of an hour. They oxidize and make my skin itch." - Marie-Louise Bade, owner of the small hotel Le Soleil Levant

As a result, the French islands of Guadeloupe, Martinique, Saint Martin and Saint Barthelemy have launched some of the most extensive response efforts in the Caribbean in recent years. Besides the ongoing research, these efforts have included air-quality-monitoring programs, clean-up initiatives, and one of the rare national response strategies that has been officially adopted by the government.

In 2019, Guadeloupe also hosted the first International Sargassum Conference, where the Guadeloupe Region — in partnership with the French government, the French National Research Agency and two Brazilian agencies — launched a call for projects with financial support from the European Union and other sources.

This effort ultimately funded 12 projects — the results of which were presented on Feb. 28, 2024 — as part of the National Sargassum Prevention and Control Plan. Besides probing the algae cycle and the environmental effects of sargassum, these projects have also investigated health impacts.

One of the outcomes, the SargaCare project, led to a July 2022 study on more than 3,000 pregnant women on Martinique, which reported finding evidence of a higher risk of potentially fatal preeclampsia in expectant mothers exposed to sargassum fumes.

A later SargaCare study suggested that prolonged exposure to the fumes increases the risk of patients developing sleep apnea.

‘The situation remained unchanged’


But despite this work, health researchers have warned that response efforts have not kept pace with the problem in the French Caribbean or the wider region.

More than four years after their 2018 warning in The Lancet, Dr. Resiere and seven colleagues upped the ante in a March 2023 letter published in the Journal of Global Health.

In Guadeloupe and Martinique, they wrote, “the situation remained unchanged. Despite the French government’s plans to tackle the sargassum problem, these toxic algae are continuing to inundate the coasts of Martinique, Guadeloupe, and French Guiana in ever-greater volumes.”

The Covid-19 pandemic, they stated, was partially to blame for the problem because it had sucked up health resources. But they also noted the absence of a coordinated regional health response and warned that Caribbean governments eager to jumpstart their post-pandemic tourism economies may be inclined to downplay the sargassum problem.

“The public continues to be adversely affected, some have sold their dream houses which are becoming unlivable, some have abandoned their schools and workplaces for lack of a solution to this scourge,” the researchers wrote. “It is urgent to come to the aid of these families who, in addition to the health consequences due to the significant emanations of hydrogen sulfide, have to bear the material consequences, being often forced to replace all their household appliances or the metal parts of their houses.”

2023 season


By the time the researchers’ letter was published in March 2023, a new sargassum season was already causing health problems across the French Caribbean.

In late January 2023, a 59-year-old woman was treated by emergency services for acute toxicity after taking part in a sargassum clean-up on Tartane beach in Trinité, Martinique.

On March 2, the Martinique municipality of Le Robert partially closed the Four à Chaux school due to high exposure to gas released by sargassum.


environmental justice

And when the air pollution alert was triggered in Guadeloupe’s Saint-François lagoon area on Sept. 15, people were asked to move away from a populated marina area that hosts hotels, restaurants and tourism businesses offering water activities.

Marie-Galante


Back in Marie-Galante, Marie-Louise Bade continued to struggle as well. Bade, who goes by “Malou,” operates multiple businesses on her island, where the economy is powered by tourism, fishing, sugarcane and banana crops, and a rum distillery.

“For 11 years, I’ve had to put up with this,” Bade said. “For 11 years, every time I open my doors, I think, ‘My God, what other appliance is going to break down this morning?’ No matter how much we repair, clean, the walls turn gray. Algae eats away at all the plumbing. … So everything is destroyed and there are leaks all the time.”

Tourists, she said, stopped coming.

“I can’t rent out the rooms anymore,” she said. “People open the windows, they have a view of the sargassum. There’s the smell. And on the walls, the pipes, the air-conditioning: Everything turns black.”


sargassum

Her health has suffered as well.

Bade described continuous itching, small pimples appearing on her skin, vision issues, and respiratory problems that now force her to take asthma medication.

Various governmental efforts have not provided relief in her day-to-day life, she said. About two years ago, for example, the Guadeloupe regional health agency distributed questionnaires for about a month. But since then, she said, no follow-up action has been taken to her knowledge.

The businesswoman said the town doctor regularly monitors the effects of sargassum on the population’s health, and he encourages her to consult him every three months.

Last year, residents got a brief respite when booms were installed offshore in August in hopes of preventing the seaweed from reaching the beach.

For a while, the solution worked, according to the town’s mayor, Jean-Claude Maes. Residents started walking along the coast again as they hadn’t done for years, and a few entrepreneurs decided to set up new businesses, Maes said.

But the respite was short-lived: The booms were swept away last October by swells caused by Hurricane Tammy. Plans to reinstall them by December still have not come to fruition.


oceans sargassum

Though such responsibilities normally fall to towns and cities, the French government has decided to bear 80% of the financial cost of combating sargassum. But the mayor said that funding was slow in coming last year.

‘Irritation and anxiety’


While residents suffer, research continues. Professor Dabor Resiere, a sargassum researcher and department head at Martinique University Hospital, said previous studies have focused largely on the effects of acute toxicity caused by high levels of sargassum gasses.

But there is a dearth of information on chronic toxicity at lower doses, he said. To learn more, the professor and his team have been visiting patients in the field as part of a Martinique University Hospital monitoring program they plan to export soon to Guadeloupe, St. Lucia and other islands.

“We don’t know about the average resident who lives near a stranding site, who receives a small amount of [exposure to sargassum gas] every day,” said Resiere. “We can see that the majority of these patients continue to have trouble sleeping, continue to have generalized fatigue, continue to have conjunctivitis, irritation and anxiety. This anxiety, this depressive syndrome: All these symptoms we observe in patients. But now we need to demonstrate it scientifically.”

Other research is continuing as well. After the results of the 2019 call for projects were presented this February, the Guadeloupe Region and its partners launched a new call for projects. This round will continue studying health impacts, as well as addressing other topics including sargassum’s effects on marine ecosystems and the hydrodynamic conditions that affect blooms.

But in Marie-Galante, Bade and her sister have more immediate concerns.

Currently, the metal roof of their businesses leaks because of holes they blame on corrosion caused by the sargassum gasses. But they are reluctant to invest in repairs as long as they are faced with continued uncertainty.

Despite the risks, they have no plans to leave. For Bade, it is inconceivable to close the business bequeathed to her by her mother, in which she and her sister grew up.

“What would the town be without a bakery?” she asked.

This investigation is the result of a fellowship awarded by the Center for Investigative Journalism’s Training Institute and was made possible in part with the support of Open Society Foundations.

Read the full story here.
Photos courtesy of

Nearly Half of Americans Still Live With High Levels of Air Pollution, Posing Serious Health Risks, Report Finds

The most recent State of the Air report by the American Lung Association found that more than 150 million Americans breathe air with unhealthy levels of ozone or particle pollution

Nearly Half of Americans Still Live With High Levels of Air Pollution, Posing Serious Health Risks, Report Finds The most recent State of the Air report by the American Lung Association found that more than 150 million Americans breathe air with unhealthy levels of ozone or particle pollution Lillian Ali - Staff Contributor April 25, 2025 12:50 p.m. For 25 of the 26 years the American Lung Association has reported State of the Air, Los Angeles—pictured here in smog—has been declared the city with the worst ozone pollution in the United States. David Iliff via Wikimedia Commons under CC BY-SA 3.0 Since 2000, the American Lung Association has released an annual State of the Air report analyzing air quality data across the United States. This year’s report, released on Wednesday, found the highest number of people exposed to unhealthy levels of air pollution in a decade. According to the findings, 156 million Americans—or 46 percent of the U.S. population—live with levels of particle or ozone pollution that received a failing grade. “Both these types of pollution cause people to die,” Mary Rice, a pulmonologist at Harvard University, tells NPR’s Alejandra Borunda. “They shorten life expectancy and drive increases in asthma rates.” Particle pollution, also called soot pollution, is made up of minuscule solid and liquid particles that hang in the air. They’re often emitted by fuel combustion, like diesel- and gasoline-powered cars or the burning of wood. Ozone pollution occurs when polluting gases are hit by sunlight, leading to a reaction that forms ozone smog. Breathing in ozone can irritate your lungs, causing shortness of breath, coughing or asthma attacks. The 2025 State of the Air report, which analyzed air quality data from 2021 to 2023, found 25 million more people breathing polluted air compared to the 2024 report. The authors link this rise to climate change. “There’s definitely a worsening trend that’s driven largely by climate change,” Katherine Pruitt, the lead author of the report and national senior director for policy at the American Lung Association, tells USA Today’s Ignacio Calderon. “Every year seems to be a bit hotter globally, resulting in more extreme weather events, more droughts, more extreme heat and more wildfires.” Those wildfires produce the sooty particles that contribute to particulate pollution, while extreme heat creates more favorable conditions for ozone formation, producing smog. While climate change is contributing to heavy air pollution, it used to be much worse. Smog has covered cities like Los Angeles since the early 20th century. At one point, these “hellish clouds” of smog were so thick that, in the middle of World War II, residents thought the city was under attack. The Optimist Club of Highland Park, a neighborhood in northeast Los Angleles, wore gas masks at a 1954 banquet to highlight air pollution in the city. Los Angeles Daily News via Wikimedia Commons under CC-BY 4.0 The passage of the Clean Air Act and the creation of the federal Environmental Protection Agency (EPA) in 1970 marked a turning point in air quality, empowering the government to regulate pollution and promote public health. Now, six key air pollutants have dropped by about 80 percent since the law’s passage, according to this year’s report. But some researchers see climate change as halting—or even reversing—this improvement. “Since the act passed, the air pollution has gone down overall,” Laura Kate Bender, an assistant vice president at the American Lung Association, tells CBS News’ Kiki Intarasuwan. “The challenge is that over the last few years, we’re starting to see it tick back up again, and that’s because of climate change, in part.” At the same time, federal action against climate change appears to be slowing. On March 12, EPA administrator Lee Zeldin announced significant rollbacks and re-evaluations, declaring it “the greatest day of deregulation our nation has seen.” Zeldin argued that his deregulation will drive “a dagger straight into the heart of the climate change religion.” Included in Zeldin’s push for deregulation is a re-evaluation of Biden-era air quality standards, including those for particulate pollution and greenhouse gases. The EPA provided a list of 31 regulations it plans to scale back or eliminate, including limits on air pollution, mercury emissions and vehicles. This week, the EPA sent termination notices to nearly 200 employees at the Office of Environmental Justice and External Civil Rights. “Unfortunately, we see that everything that makes our air quality better is at risk,” Kate Bender tells CBS News, citing the regulation rollbacks and cuts to staff and funding at the EPA. “If we see all those cuts become reality, it’s gonna have a real impact on people’s health by making the air they breathe dirtier.” Get the latest stories in your inbox every weekday.

Nearly Half of Americans Breathe Unhealthy Air, New Report Finds

By I. Edwards HealthDay ReporterFRIDAY, April 25, 2025 (HealthDay News) —Breathing the air in nearly half of the United States could be putting...

FRIDAY, April 25, 2025 (HealthDay News) —Breathing the air in nearly half of the United States could be putting your health at risk.A new American Lung Association report shows that 156 million people live in areas with unhealthy air.The group’s annual "State of the Air" report found that smog and soot pollution are getting worse, not better. The report looked at air quality data from 2021 to 2023. It found that 25 million more people than in the group's last report were breathing "unhealthy levels of air pollution." That's more than in any other "State of the Air" report in the last decade, the association said.Since the Clean Air Act became law in 1970, air pollution has gone down overall, said Laura Kate Bender, an assistant vice president at the lung association, told CBS News."The challenge is that over the last few years, we're starting to see it tick back up again and that's because of climate change, in part," she said. "Climate change is making some of those conditions for wildfires and extreme heat that drive ozone pollution worse for a lot of the country."The city with the worst year-round and short-term particle pollution? Bakersfield, California, for the sixth year in a row.What's more, it was ranked third worst for high ozone days. In contrast, Casper, Wyoming, was listed as the cleanest city for year-round particle pollution, CBS News said.Here are the top 10 cities with the worst year-round particle pollution, according to the association:Bakersfield-Delano, Calif. Visalia, Calif. Fresno-Hanford-Corcoran, Calif. Eugene-Springfield, Ore. Los Angeles-Long Beach, Calif. Detroit-Warren-Ann Arbor, Mich. San Jose-San Francisco-Oakland, Calif. Houston-Pasadena, Texas Cleveland-Akron-Canton, Ohio Fairbanks-College, Ark. The report warned that pollution isn't just an issue in the west. Extreme heat and wildfires are spreading pollution across the country.In fact, smoke from Canada's wildfires in 2023 caused unhealthy air quality even in the eastern parts of the U.S., the report pointed out.Some of the findings came as a surprise, according to Kevin Stewart, the association’s environmental health director."I think we knew that the wildfire smoke would have an impact on air quality in the United States," he told CBS News. "I think we were surprised at the Lung Association by how strong the effect was, especially in the northeastern quadrant of the continental United States." Last month, the U.S. Environmental Protection Agency (EPA) announced it will roll back 31 environmental rules, including ones pertaining to vehicle emissions, CBS News reported.Bender said that puts decades of progress at risk."Unfortunately, we see that everything that makes our air quality better is at risk," she said. "The EPA is at risk — the agency that is protecting our health — through staff cuts, funding cuts. The regulations that have cleaned up our air over time are at risk of being cut. If we see all those cuts become reality, it's gonna have a real impact on people's health by making the air they breathe dirtier."Lee Zeldin, the EPA administrator, argued that, instead, the deregulation will drive "a dagger straight into the heart of the climate change religion to drive down cost of living for American families, unleash American energy, bring auto jobs back to the U.S. and more," according to CBS News."This air pollution is causing kids to have asthma attacks, making people who work outdoors sick and unable to work, and leading to low birth weight in babies," Kezia Ofosu Atta, the Lung Association’s advocacy director, told CBS News.The report also found that Black Americans are more likely to suffer serious health problems from air pollution.SOURCE: CBS News, April 23, 2025Copyright © 2025 HealthDay. All rights reserved.

Umbilical Cord Could Contain Clues For Child's Future Health

By Dennis Thompson HealthDay ReporterFRIDAY, April 25, 2025 (HealthDay News) -- Doctors might be able to predict a newborn's long-term health...

By Dennis Thompson HealthDay ReporterFRIDAY, April 25, 2025 (HealthDay News) -- Doctors might be able to predict a newborn's long-term health outlook, by analyzing their umbilical cord blood, a new study says.Genetic clues found in cord blood can offer early insight into which infants are at higher risk for health problems like diabetes, stroke and liver disease later in life, researchers will report at the upcoming Digestive Disease Week meeting in San Diego.“We’re seeing kids develop metabolic problems earlier and earlier, which puts them at higher risk for serious complications as adults,” lead researcher Dr. Ashley Jowell, a resident physician in internal medicine at Duke University Health System in Durham, N.C., said in a news release. “If we can identify that risk at birth, we may be able to prevent it.”For the study, researchers performed genetic analysis on the umbilical cord blood of 38 children enrolled in a long-term study based in North Carolina.The analysis looked for chemical patterns in infants’ DNA that switch genes on or off. When these switches occur in critical parts of DNA, their health effects can persist through fetal development and into later life.The research team compared these DNA changes to the kids’ health at ages 7 to 12, and identified multiple areas where genes in cord blood predicted health problems in childhood.For example, changes in a gene called TNS3 were linked to fatty liver, liver inflammation or damage, and excess belly fat as measured by waist-to-hip ratio, results show.Changes in other genes were connected to blood pressure, waist-to-hip ratio, and liver inflammation or damage, researchers said.“These epigenetic signals are laid down during embryonic development, potentially influenced by environmental factors such as nutrition or maternal health during pregnancy,” co-researcher Dr. Cynthia Moylan, an associate professor in the division of gastroenterology at Duke University Health System, said in a news release.Researchers noted that the sample size was small, but the links so powerful that these findings warrant further investigation. A larger follow-up study funded by the National Institutes of Health is underway.“If validated in larger studies, this could open the door to new screening tools and early interventions for at-risk children,” Moylan added.Jowell said disease may be preventable even with these markers."Just because you're born with these markers doesn't mean disease is inevitable," she said. "But knowing your risk earlier in life could help families and clinicians take proactive steps to support a child’s long-term health."Researchers are scheduled to present their findings May 4. Findings presented at medical meetings are considered preliminary until published in a peer-reviewed journal.SOURCE: American Gastroenterological Association, news release, April 25, 2025Copyright © 2025 HealthDay. All rights reserved.

Biden let California get creative with Medicaid spending. Trump is signaling that may end

California uses Medicaid to pay for a range of nontraditional health care services, including housing. The Trump administration wants to scale back those programs.

In summary California uses Medicaid to pay for a range of nontraditional health care services, including housing. The Trump administration wants to scale back those programs. In 2022, California made sweeping changes to its Medi-Cal program that reimagined what health care could look like for some of the state’s poorest and sickest residents by covering services from housing to healthy food. But the future of that program, known as CalAIM, could be at risk under the Trump administration.  In recent weeks, federal officials have signaled that support for creative uses of Medi-Cal funding is waning, particularly uses that California has invested in such as rent assistance and medically tailored meals. Medi-Cal is California’s name for Medicaid. The moves align with a narrower vision of Medicaid espoused by newly confirmed Centers for Medicare and Medicaid Services head Dr. Mehmet Oz, who said during his swearing-in ceremony that Medicaid spending was crowding out spending on education and other services in states with the federal government “paying most of the bill.” “This one really bothers me. There are states who are using Medicaid — Medicaid dollars for people who are vulnerable — for services that are not medical,” Oz said. It also fits with broader GOP calls to slim down the federal government. Medicaid is under scrutiny as part of a GOP-led budget process in the House of Representatives that calls for $880 billion in cuts over 10 years to programs including Medicaid. “The messaging that we want to go back to the basics of Medicaid puts all of these waiver programs in jeopardy,” said John Baackes, former chief executive of L.A. Care, the state’s largest Medi-Cal health insurer. CalAIM is authorized under a federal waiver that allows states to experiment with their Medicaid programs to try to save money and improve health outcomes. Under the waiver, California added extra benefits for high-cost users to help with food insecurity, housing instability,  substance use and behavioral health challenges. Roughly half of all Medi-Cal spending can be attributed to 5% of high-cost users, according to state documents. But in March, the federal government rescinded guidelines supporting Medi-Cal spending for social services. It also sent states a letter in April indicating that the Centers for Medicare and Medicaid Services would no longer approve a funding mechanism that helps support CalAIM, although that money will continue until 2026. Together, these moves should worry states that operate programs like CalAIM, said Kathy Hempstead, senior policy officer at the Robert Wood Johnson Foundation. “Under the Biden administration states were encouraged to experiment with things like that: To prescribe people prescriptions to get healthy food, to refer people to community-based services,” Hempstead said. “This administration is not receptive at all to … that vision of the Medicaid program.” In a press release, CMS said it is putting an end to spending that isn’t “directly tied to health care services.” “Mounting expenditures, such as covering housekeeping for individuals who are not eligible for Medicaid or high-speed internet for rural healthcare providers, distracts from the core mission of Medicaid, and in some instances, serves as an overly-creative financing mechanism to skirt state budget responsibilities,” the press release states. These signals from the federal government apply to future applications for Medicaid changes, and do not change California’s current programs or funding. The state’s CalAIM waiver expires at the end of 2026, and another similar waiver that supports California’s efforts to improve behavioral health care expires in 2029. According to a statement from the Department of Health Care Services, the agency that oversees Medi-Cal, all programs “remain federally approved and operational.” “We appreciate our Medi-Cal providers and community partners, and together we will push full steam ahead to transform our health system and improve health outcomes,” the department said. Physician assistant Brett Feldman checks his patient, Carla Bolen’s, blood pressure while in her encampment at the Figueroa St. Viaduct above Highway 110 in Elysian Valley Park in Los Angeles on Nov. 18, 2022. Photo by Larry Valenzuela, CalMatters/CatchLight Local Paul Shafer, co-director of the Boston University Medicaid Policy Lab, said decades of public health research show that people have worse health outcomes that require more expensive treatment when their social needs aren’t met. “We’ve spent the last few decades in public health and health policy, arguing that so much of health and medical costs is driven by environmental factors — people’s living conditions, income, etc.” Shafer said. But, Shafer said, programs like CalAIM are relatively recent and the research hasn’t had enough time to show whether paying for non-traditional services saves money. For example, California’s street medicine doctors who take care of people who are homeless say that their patients often cycle in and out of the emergency room — the most expensive point of service in the health care system. They have no place to recover from medical procedures, no address to deliver medications, and the constant exposure to the elements takes years off of their lives, doctors say.  CalAIM gives them options to help their clients find housing.  The federal government’s decision not to fund programs like this in the future is a “step backward,” Shafer said.  “I think we can all read the tea leaves and say that that means they’re sort of unlikely to be renewed,” he said. Supported by the California Health Care Foundation (CHCF), which works to ensure that people have access to the care they need, when they need it, at a price they can afford. Visit www.chcf.org to learn more. more on california health care They live in California’s Republican districts. They feel betrayed by looming health care cuts March 11, 2025March 12, 2025 California has big plans for improving mental health. Medicaid cuts could upend them April 7, 2025April 7, 2025

Chattanooga Just Became North America's First National Park City. Here's What That Means

The designation was awarded by a London-based charity that aims to make cities more like national parks: "greener, healthier and wilder"

Chattanooga Just Became North America’s First National Park City. Here’s What That Means The designation was awarded by a London-based charity that aims to make cities more like national parks: “greener, healthier and wilder” Sarah Kuta - Daily Correspondent April 23, 2025 4:20 p.m. Chattanooga was once one of the most polluted cities in the country. Now, it's North America's first National Park City. larrybraunphotography.com via Getty Images Chattanooga has been named North America’s first National Park City, a designation that acknowledges the city’s abundant green spaces and commitment to environmental stewardship. The city in southeast Tennessee, home to roughly 190,000 residents, is now the third National Park City in the world, following behind London and Adelaide, Australia. The title comes from the National Park City Foundation, a London-based charity that envisions a better future by thinking of cities more like national parks. The movement is not connected to the National Park Service, the federal agency that manages America’s national parks, monuments, historic sites and other protected lands. “[National parks] are special places where we have a better relationship with nature, culture and heritage and can enjoy and develop ourselves,” according to the foundation. “Combining the long-term and large-scale vision of national parks with cities has the potential to shift our collective understanding of what and who a city is for.” In Chattanooga, city leaders have used the initiative to encourage residents to “think about Chattanooga as a city in a park, rather than a city with some parks in it,” says Tim Kelly, the mayor of Chattanooga, in a video announcing the designation. “The outdoors is our competitive advantage,” he adds. “It’s at the heart of our story of revitalization, and it’s at the core of our identity as Chattanoogans. We’ve always known how special Chattanooga’s connection to the outdoors is, and now it’s going to be recognized around the world.” Chattanooga has been working toward the designation for nearly two years, per a statement from the city. In late 2023, officials collected more than 5,600 signatures of support and created a National Park City charter. Then, they filed an application describing how Chattanooga met the nonprofit’s criteria—such as being “a place, vision and community that aims to be greener, healthier and wilder.” Last month, delegates from the foundation visited Chattanooga to experience it first-hand. They toured an urban farm, explored several parks and met with various community leaders, per NOOGAtoday’s Haley Bartlett. The foundation’s experts were impressed by Chattanooga’s “culture of outdoor activity,” its “unrivaled access to nature,” its commitment to “inclusive and sustainable development” and its food and agriculture scene, among other factors. “We saw first-hand the extraordinary breadth and depth of engagement with the Chattanooga National Park City vision informed by outstanding experts in design, ecology, culture and arts,” says Alison Barnes, a trustee of the foundation, in a statement. “National Park City status introduces a new chapter for a city with a long history of revitalization and renewal through connecting its unique landscape and the history of its people.” Chattanooga has come a long way since 1969, when the federal government declared it the worst city in the nation for particulate air pollution. Hazy skies were the norm back then, as factories and railroads spewed unregulated emissions into the air, according to the Chattanooga/Hamilton County Air Pollution Control Bureau. Air pollution was so bad that residents sometimes had to drive with their headlights on in the middle of the day. But the pollution was more than just an eyesore. It was also causing the city’s residents to become sick—and sometimes die—from diseases like tuberculosis. Eventually, voters approved aggressive new rules to reduce emissions. By 1989, Chattanooga’s air quality had improved so much that it met all federal health standards. Today, it’s a vibrant, outdoorsy city with more than 100 parks and more than 35 miles of trails—plus many more within a short drive. The once-neglected riverfront downtown has been revitalized, and Chattanooga has experienced steady population growth in recent years. What does the National Park City designation mean for the city’s future? That remains to be seen. But officials hope it will help guide policy decisions and “help city government and community partners prioritize connecting more people to the outdoors that have long defined our identity,” according to a statement from the Chattanooga Area Chamber. It will also encourage citizens and leaders to embrace “all aspects of outdoor life,” from forests and lakes to native plants, according to the chamber. Mark McKnight, who serves as the president and CEO of Chattanooga’s Reflection Riding Arboretum and Nature Center, hopes that the new status will “yield some really cool stuff that we can’t even imagine today.” “Hopefully, we’re having this conversation in ten years, and it’s like, ‘Oh, wow, we never knew we would get to there,’” he tells the Chattanooga Times Free Press’ Sam Still. Get the latest stories in your inbox every weekday.

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