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Understanding the origins of gut microbes could improve understanding of their role in human health

Understanding the origins of gut microbes could improve understanding of their role in human health

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Mounting Scientific Evidence Rekindles Fracking Health Concerns

This story was originally published by Yale E360 and is reproduced here as part of the Climate Desk collaboration. Almost 20 years after the adoption of hydraulic fracturing began to supercharge US production of oil and gas, there’s growing evidence of a correlation between the industry’s activities and an array of health problems ranging from childhood cancer and the […]

This story was originally published by Yale E360 and is reproduced here as part of the Climate Desk collaboration. Almost 20 years after the adoption of hydraulic fracturing began to supercharge US production of oil and gas, there’s growing evidence of a correlation between the industry’s activities and an array of health problems ranging from childhood cancer and the premature death of elderly people to respiratory issues and endocrine disruption. While the oil and gas industry insists its processes are safe, and regulators have set rules designed to prevent the contamination of air and water by “fracking” technology, advocates for stricter limits on the practice, or even an outright ban, point to an increasing number of studies suggesting that fracking poses a threat to public health. “The risks and harms of fracking for public health and the climate are real and growing.” A paper by the Yale School of Public Health this summer showed that children living near Pennsylvania wells that use fracking to harvest natural gas are two to three times more likely to contract a form of childhood leukemia than their peers who live farther away. That followed a Harvard study in January that found elderly people living near or downwind from gas pads have a higher risk of premature death than seniors who don’t live in that proximity. In April, the nonprofit Physicians for Social Responsibility and Concerned Health Professionals of New York, which consists of health professionals, scientists, and medical organizations, published its most recent compendium of investigations into risks and harms linked with fracking. Since 2014, the compendium has tallied 2,239 peer-reviewed papers that found evidence of harm, with nearly 1,000 of those papers published since 2018. “The risks and harms of fracking for public health and the climate are real and growing,” said the authors of the compilation. “Despite the continuing challenges of exposure assessments, the results of recent studies confirm and extend the validity of earlier findings.” According to the 577-page document, 79 percent of US natural gas and 65 percent of crude oil is now produced by fracking, with more than 17.6 million people living within a mile of a fracked oil or gas well. The result, says the report, is a public health crisis. US energy companies have been under fire from environmentalists and public health advocates since the mid-2000s, when the US fracking boom got underway. The opposition goes beyond concerns that emissions from natural gas contribute to climate change. Critics say that the cocktails of chemicals injected a mile or more underground to crack open gas-bearing fissures in shale threaten groundwater supplies—including drinking water—and that diesel fumes from trucks and generators on well pads erode air quality. Commonly reported health effects that are increasingly linked to fracking include some cancers, low birth weight, disruptions to the endocrine system, nose bleeds, headaches, nausea, and weight gain. One study found that young children living near gas wells in heavily fracked Pennsylvania counties were two to three times more likely to be diagnosed with leukemia. Outside the United States, concerns about the safety of fracking have prompted bans in France, Ireland, and Bulgaria and have led other countries or regions to place restrictions on the practice. In late October, Britain’s new Prime Minister, Rishi Sunak, said he will continue a national moratorium on fracking for natural gas, reversing a plan by his predecessor, Liz Truss, to lift the ban in an effort to curb soaring energy prices. The industry says its well bores are built with multiple layers of steel and concrete, ensuring that chemical-laden water can’t escape into groundwater. The Marcellus Shale Coalition, a Pennsylvania-based trade group for the natural gas industry, cites academic and government studies showing no clear evidence that fracking harms public health or contaminates groundwater with chemicals. The coalition also argues that the increasing use of cleaner-burning natural gas, replacing coal and oil, helps to curb climate change by cutting carbon emissions. “Research confirms natural gas is safely and responsibly developed in Pennsylvania,” it said. But the industry’s defenses are rebutted by recent research. In August, the Yale School of Public Health published a study in Environmental Health Perspectives that found children between the ages of two and seven living near gas wells in four heavily fracked counties of southwestern Pennsylvania are two to three times more likely to be diagnosed with acute lymphoblastic leukemia (ALL), the most common kind of childhood leukemia, than children who do not live near gas development. A new study found an increased risk of early death among elderly people living near or downwind of fracking operations. The study examined almost 2,500 children statewide. It found that 51 of them lived within 2,000 meters (6,561 feet) of a gas well, and that 14 of those were diagnosed with the disease. Statewide, 405 were found to have the disease. Children whose homes at birth were within that distance of a well were 1.98 times more likely to develop the disease than those without gas wells near their homes, the study found. Children who lived within 2,000 meters of a gas well during the perinatal window—from three months prior to conception until birth—were 2.8 times more likely to contract ALL than those who lived beyond that distance. Long-term survival rates of ALL are high, the study said, but victims may suffer associated illnesses, including developmental and psychological problems. The study suggested that people living near gas wells may be exposed via drinking water to chemicals used in fracking—more formally known as unconventional oil and gas development—or from spills of the millions of gallons of wastewater that is pumped out of wells during the process. “This work adds to mounting evidence of UOGD’s impacts on children’s health, providing additional support for limiting UOGD near residences,” the paper said. “There are enough studies now that show that fracking threatens the health of workers and communities.” The study’s senior author, Nicole Deziel, an associate professor of epidemiology at the Yale School of Public Health, urged companies and regulators to consider increasing the distance between gas wells and homes, given that the young ALL patients were found within a distance that is more than 10 times the 500-foot minimum required by Pennsylvania’s Department of Environmental Protection. “It’s time that states revisit setbacks to reflect the new research,” she said. The Environmental Health Project, a nonprofit based outside Pittsburgh that advocates for public health in the context of shale-gas impacts, recommends setbacks of at least 0.6 miles between homes and smaller shale gas facilities like wells or compressor stations; 1.25 miles or more for larger gas facilities; and 1.25 miles for schools, nursing homes, or other places that house vulnerable populations. Another study published in January from the Harvard T.H. Chan School of Public Health found an increased risk of early death among elderly people living near or downwind of UOGD. The study, which examined more than 15 million Medicare beneficiaries living in all major US gas development regions between 2001 and 2015, determined people’s exposure level to fracking-related air pollutants based on whether they were living close to a gas well or downwind from it, and then adjusted for social, environmental, and demographic factors. Published in the journal Nature Energy, the paper found that subjects who lived closest to wells had a 2.5 percent higher mortality risk than those who didn’t live close to wells, and that those who lived close to wells and also downwind had a higher risk of early death than those who lived upwind. “Our findings suggest the importance of considering the potential health dangers of situating UOGD near or upwind of people’s homes,” said Longxiang Li, lead author of the study, in a statement. The Marcellus Shale Coalition challenged the conclusions of both university studies, saying they relied on statistical modeling rather than actual exposure, and it accused them of seeking to discredit the natural gas industry. “As these so-called studies are published, we must see them for what they so-often are: Efforts to advance an anti-natural gas agenda, drive more dollars to already well-funded activist organizations, and of course—serve as internet click-bait,” the coalition said in a statement reacting to the Yale study. Alison Steele, executive director of Environmental Health Project, dismissed the coalition’s attack on the studies. “I don’t think there’s any legitimacy in calling a well-conducted, peer-reviewed study click-bait,” she said. The industry coalition cited earlier studies, including one by Duke University in 2017, which found no evidence of groundwater contamination over three years, and another by Pennsylvania State University in 2018, which reported no deterioration in groundwater chemistry in Bradford County, a heavily fracked area of northeastern Pennsylvania. Despite the industry pushback, argued Dr. Ned Ketyer, president of Physicians for Social Responsibility Pennsylvania, there’s no longer any doubt that fracking hurts human health. “There are enough studies now that show that fracking threatens the health of workers and communities and threatens the mental and physical health of people who work nearby and children who go to school nearby,” he said. “There’s enough of those associations now between fracking and bad health outcomes that should be informing regulators, politicians, and industry that there needs to be a better way.”

CDC: Home births surged during pandemic

The pandemic caused a 30-year high in U.S. births at home in 2021 as people avoided hospitals that were being swamped with COVID-19 cases, the Centers for Disease Control reported on Thursday.Why it matters: The findings offered another view of the pandemic’s effects on maternal health and how, of the nearly 52,000 home births recorded last year, the greatest increases were among Black and Hispanic women. What they found: While home births rose an average of 2% from 1990 to 2019, they jumped 22% between 2019 and 2020, said Elizabeth Gregory, a researcher who co-authored the report.The overall percentage of people giving birth at home in 2021 — 1.41% — was the highest level since at least 1990.It was as high as 1.51% in January 2021, when COVID vaccines weren’t widely available and one person in the U.S. was dying from the virus every 28 seconds.What they’re saying: “For the first time in my whole career, women were more afraid of the hospital than afraid of birth,” said Maria Iorillo, a licensed midwife in San Francisco who has been assisting in home births for nearly 40 years.Iorillo told Axios how she began fielding six calls a day in the early months of the pandemic asking about home births. She normally received perhaps three a week.Home births were a comforting, more cost-effective alternative for low-risk pregnant patients, Iorillo added, especially when hospitals were restricting who could accompany people.A home setting also offers more autonomy to people of color, who can face discrimination and structural racism that result in lower quality hospital care, per an April report from the National Partnership for Women and Families.Flashback: COVID played a role in 1 in 4 maternal deaths the first two years of the pandemic, with Black pregnant women facing a mortality rate that was nearly three times higher than their white peers, according to an oversight report to Congress.For the first time in at least 14 years, Latinas have a higher maternal mortality rate than white women.Zoom in: A growing number of hospital closures and a lack of access to obstetric services in rural areas have previously caused a spike in out-of-hospital births, according to CMS data covering 2004-2014.At an average of $4,650, home births can cost a fraction of hospital stays, which can be upward of nearly $19,000. But that figure fluctuates depending on location.U.S. Americans could see $321 million in savings for every 1% that shifts toward home births instead of hospitals, estimates a report from the International Journal of Environmental Research and Public Health. Yes, but: Iorillo has seen the interest in home birth slow down as the pandemic enters a different phase and birth rates continue to decline.

The pandemic caused a 30-year high in U.S. births at home in 2021 as people avoided hospitals that were being swamped with COVID-19 cases, the Centers for Disease Control reported on Thursday.Why it matters: The findings offered another view of the pandemic’s effects on maternal health and how, of the nearly 52,000 home births recorded last year, the greatest increases were among Black and Hispanic women. What they found: While home births rose an average of 2% from 1990 to 2019, they jumped 22% between 2019 and 2020, said Elizabeth Gregory, a researcher who co-authored the report.The overall percentage of people giving birth at home in 2021 — 1.41% — was the highest level since at least 1990.It was as high as 1.51% in January 2021, when COVID vaccines weren’t widely available and one person in the U.S. was dying from the virus every 28 seconds.What they’re saying: “For the first time in my whole career, women were more afraid of the hospital than afraid of birth,” said Maria Iorillo, a licensed midwife in San Francisco who has been assisting in home births for nearly 40 years.Iorillo told Axios how she began fielding six calls a day in the early months of the pandemic asking about home births. She normally received perhaps three a week.Home births were a comforting, more cost-effective alternative for low-risk pregnant patients, Iorillo added, especially when hospitals were restricting who could accompany people.A home setting also offers more autonomy to people of color, who can face discrimination and structural racism that result in lower quality hospital care, per an April report from the National Partnership for Women and Families.Flashback: COVID played a role in 1 in 4 maternal deaths the first two years of the pandemic, with Black pregnant women facing a mortality rate that was nearly three times higher than their white peers, according to an oversight report to Congress.For the first time in at least 14 years, Latinas have a higher maternal mortality rate than white women.Zoom in: A growing number of hospital closures and a lack of access to obstetric services in rural areas have previously caused a spike in out-of-hospital births, according to CMS data covering 2004-2014.At an average of $4,650, home births can cost a fraction of hospital stays, which can be upward of nearly $19,000. But that figure fluctuates depending on location.U.S. Americans could see $321 million in savings for every 1% that shifts toward home births instead of hospitals, estimates a report from the International Journal of Environmental Research and Public Health. Yes, but: Iorillo has seen the interest in home birth slow down as the pandemic enters a different phase and birth rates continue to decline.

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