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Years after massive sewage spill, El Segundo still stinks. Why can't L.A. fix the problem?

News Feed
Monday, December 16, 2024

On the worst days, Tamara Kcehowski said, she has thrown up when the stench from Los Angeles’ nearby sewage plant overwhelms her El Segundo apartment. She said her dog, Maggie, has even retched alongside her. On the not-so-bad days, she says she often deals with a dull headache or burning eyes. Some mornings, she wakes up gagging or coughing. None of this was part of Kcehowski’s life before July 2021, when major failures at the nearby Hyperion Water Reclamation Plant dumped millions of gallons of untreated sewage into Santa Monica Bay and released high levels of hydrogen sulfide, a gas that smells like rotten eggs and can cause health issues.At the time, Kcehowski was hopeful the facility’s response would be swift and that her community would suffer the stinky mess for only a few days — or at worst a few weeks. But now, more than three years later, the noxious odors and elevated hydrogen sulfide emissions persist, despite repeated complaints and appeals to the city of Los Angeles, air quality regulators and local officials. Although she’s lived in El Segundo with her daughter since the early 2000s, she now wonders if her only recourse is to move.“You’ve had three years to take care of this issue, and you still haven’t,” said Kcehowski, 58. “We’re still suffering, why?” Tamara Kcehowski is frustrated by smells emanating from the Hyperion Water Reclamation Plant. She said the smells have been sickening and continue now more than three years later. (Genaro Molina/Los Angeles Times) Hyperion — the largest wastewater treatment facility west of the Rockies — sprawls across 200 acres of oceanfront Los Angeles and sits just outside the city limits of El Segundo. Every day, 4 million inhabitants of L.A. and 29 other cities — including El Segundo — flush a quarter-billion gallons of wastewater into Hyperion’s treatment tanks. While most people are blissfully ignorant of their wastewater’s journey after showering or using the toilet, it’s become an unpleasant fact of life for many El Segundo residents. Many complain the city of Los Angeles has ignored their plight and has failed to make needed changes to limit, and track, odors. They worry their concerns will always be outweighed by the sanitation needs of millions.“There’s no question it’s worse than it ever has been, at least going back to the early ’90s when it was really bad,” said El Segundo Mayor Drew Boyles. “It’s incredibly frustrating. ... It doesn’t feel like the city of L.A. is taking this matter as seriously as they should.”For its part, the facility has slowly addressed a laundry list of needed improvements in the aftermath of the July 2021 spill, some of which have dramatically improved odors. “It’s services cannot be stopped, diverted or stored,” said Tonya Shelton, a spokesperson for L.A. Sanitation and Environment, the city department that manages the sewage plant. “Hyperion will nonetheless continue to work closely with both the [South Coast Air Quality Management District] and the City of El Segundo to ensure that operations are not only compliant, but reflect a spirit of partnership for the surrounding community.”Odor complaints still upIn the three years before the July 2021 spill, residents complained fewer than 150 times about odors around Hyperion.But in the three months after the spill — which officials found was likely caused by equipment failures, operational missteps and staffing issues — more than 2,500 odor complaints flooded regulators, according to South Coast AQMD data. Although community concern peaked in those initial months, Hyperion continues to be barraged by odor complaints, which routinely reach into the hundreds each month.The alarming uptick in complaints led to increased oversight by the local air district beginning in 2022, when regulators determined L.A. Sanitation was “unable to contain the sewage odors at Hyperion and cannot conduct operations at the wastewater treatment plant without being in violation” of district rules and regulations.An abatement order required the plant to improve infrastructure, operations and monitoring. It was aimed at minimizing smells primarily from hydrogen sulfide, a known byproduct of wastewater treatment facilities released during the breakdown of organic matter. It can be deadly at high levels, according to the Environmental Protection Agency, but both lower and longer-term exposure can also cause health symptoms, particularly for the respiratory and nervous systems. After more than two years under the order, L.A. Sanitation and AQMD officials reported last month that Hyperion had successfully met all the mandated conditions — but members of the air quality hearing board were not convinced the problem had been resolved. “Everything that is being done is not getting rid of the odors,” Cynthia Verdugo-Peralta, a board member, said at the late November hearing. “The problem still remains — the odors are still affecting the public in such a negative way. ... The city of El Segundo, especially, is still suffering.”At that hearing, a South Coast AQMD air quality inspector testified that there were no remaining shortcomings related to the abatement order. However, he said that during his recent visits to El Segundo there “are pockets that I can consistently detect odors in the community.”The board members voted unanimously to extend oversight of Hyperion through at least next August, instead of terminating the abatement order in January. Boyles said he was in “disbelief” that the board even considered lifting the abatement order, but was glad it stood by his city’s concerns.Still, he and the El Segundo City Council are considering filing a lawsuit against the city of L.A. It’s something Boyles considers a last resort, but the city has taken that route in the past when conditions around the sewage plant have deteriorated. El Segundo Mayor Drew Boyles and City Manager Darrell George, from left, are photographed near the Hyperion Water Reclamation Plant. (Christina House/Los Angeles Times) Two groups of residents have already filed suit against L.A.’s sanitation department over air quality issues immediately after the spill, one specifically alleging the city’s failure to monitor noxious gases. Those cases remain in litigation.After the spill, Hyperion officials admitted that there were several shortcomings and repairs were needed. L.A. has since spent an estimated $114 million on improvements, including placing new covers on a tank that AQMD officials found to be a principal source of odors, Shelton said. The plant has also enhanced employee training, implemented an air monitoring system along its perimeter, increased neighborhood checks for odors and, most recently, hired environmental nonprofit Heal the Bay to improve community relations.An external review of the plant after the spill called for 33 immediate fixes, of which about 85% have been completed, the city has reported. But Shelton emphasized that an odor-free plant handling millions of gallons of sewage a day is not realistic. “Despite the completion of these projects, and though Hyperion continues to put concentrated effort into minimizing odors, odors are a part of work at any wastewater treatment plant, and the presence of odors does not always mean there is a problem to remedy or changes to implement,” Shelton said in a statement. “Hyperion continues to work with the community on this issue.”Air quality compliance issuesFor decades, a single air quality violation in a year was rare for Hyperion. But since the 2021 sewage spill, Hyperion has seen a surge in compliance issues. In just the last six months, the South Coast AQMD has issued the facility eight such nuisance violations, which indicate a discharge of air contaminants causing odors traced back to Hyperion, according to recent inspector testimony. Officials have also issued some violations tied to hydrogen sulfide emissions. While Hyperion historically tested for the colorless toxic gas in certain scenarios, it was only in May 2022 — after months of complaints and violations — that Hyperion began consistently monitoring for hydrogen sulfide along its eastern border with El Segundo neighborhoods.Since then, there have been several occasions when levels of the compound have spiked above 30 parts per billion on average for an hour — California’s standard for acute risk from hydrogen sulfide. Such high levels were recorded three times in 2022, four times in 2023 and once in February of this year, Shelton said. In one instance from June 2023, hydrogen sulfide reached a one-hour average of 64 ppb — more than double California’s standard — when Hyperion operators had turned off pollution control devices, or scrubbers, for maintenance. Shelton noted that during several of the other spikes, there were issues at the plant or heightened winds that likely influenced the hydrogen sulfide measurements, but some were unexplained. However, Shelton noted that “Hyperion is consistently well below” the 30 ppb level.In recent months, the monitors have regularly recorded the gas at much lower levels, around 1 to 3 ppb, though spikes have occurred. The state of California considers a long-term average of 7 ppb, across several months, to be dangerous. Officials have found that people can detect hydrogen sulfide at levels from 0.05 ppb to 30 ppb, though it’s not exactly clear the levels at which symptoms occur, and this likely varies by person. Research on the effects of chronic or low-level exposure remains limited. The Los Angeles County Public Health Department in 2022 reported that “odors alone from hydrogen sulfide cause well-documented physiological responses, including nausea, vomiting, headache, dizziness and other symptoms.” Some studies have also found that experiences with odor can alter sensitivities, as well as increase stress. For those residents who say they smell the gas regularly, chronic exposure is a worry. “I’m concerned with a 1 [ppb] every single day for 365 days a year,” Kcehowski said. “What is this doing for us for this length of time?” Tamara Kcehowski walks through her El Segundo neighborhood, which has been dealing with foul odors from the nearby Hyperion Water Reclamation Plant. (Genaro Molina/Los Angeles Times) Funding an unglamorous jobHyperion has been in operation since 1925, and underwent its last major upgrade in the 1990s. Since that time, it has been instrumental in transforming Los Angeles County beaches from a potential health hazard to a worldwide tourist destination. But even with such an important — albeit unglamorous — role in keeping Santa Monica Bay clean for humans and sealife, accessing the necessary funds for Hyperion’s upkeep has been a challenge, said Elsa Devienne, author of the book “Sand Rush,” which chronicles the history of L.A.’s coast.“Nobody wants to think about sewage, nobody wants to spend a cent on it,” Devienne said. “So investment in those things only happened when things get really, really bad.”Many times, state or federal oversight — often in the form of lawsuits — has been the only surefire way to enact necessary change at the plant, Devienne said. That history again played out this year. A settlement with the U.S. Environmental Protection Agency required L.A. to invest $20 million into improvements at the plant. But notably, that deal focused only on water quality issues — not emissions or air quality.There is, however, some funding on the horizon: for the first time in years, the Los Angeles City Council approved a sewer fee rate hike, which is expected to generate nearly $115 million in additional funds for L.A. Sanitation in its first fiscal year. By 2028, the increases are expected to more than double a typical single-family home’s bimonthly sewer fee, from $72.27 to $155.55, estimates show.“The project lists are long, but they have been working really hard lifting up the odor control projects, to support the city [of El Segundo] to be better neighbors,” said Meredith McCarthy, senior director of community outreach for Heal the Bay. The last few months of improvements have addressed the most urgent issues and what McCarthy called low-hanging fruit, but she said the facility’s maintenance backlog remains “pretty spectacular” and continued investment is needed, especially if Hyperion is going to play its important role in the city’s aggressive shift to recycled water over the next decade. ‘No change, wasted effort’While McCarthy is hopeful the plant is now on the right path, she knows it doesn’t change the last few years of suffering felt by many El Segundo residents.Although overall complaints have decreased, Boyles insists that its not because foul odors are no longer an issue. “Our residents are so fatigued by this matter,” Boyles said. “People are getting worn down. ... We cannot give up on them.”Chuck Espinoza, who lives not far from the plant, is among those who have given up. He was submitting odor complaints most days of the month soon after the spill, when he and his family for the first time started suffering from headaches and burning eyes. But the multi-step complaint process eventually felt like a pointless time-suck.“No change, wasted effort and it’s all for nothing,” Espinoza, 51, said. “Giving up for me has been the best thing for my sanity.”Before the spill, he estimated that his neighborhood smelled funky once a week. But after July 2021 it’s been at least three to four times a week, he said, and he described the recent odors as more chemical.“I don’t think we even know what we’re being exposed to,” Espinoza said. He said he worries about long-term effects, including for his children, but he said he feels “completely powerless to even address what those are.”But for some residents, Hyperion hasn’t changed much about life in the industry-surrounded city. Chuck Nicolai, who lives only a few houses from Espinoza, said he and his wife haven’t noticed any dramatic changes or issues since the spill. When he bought his house in the mid-1980s, Nicolai remembers a horrible smell from the plant. But since it modernized in the 1990s, he said he can’t complain.He considers it a part of life in El Segundo, similar to dealing with fumes from the nearby Chevron plant or the constant noise from the airport. “It’s SoCal coastal, the best climate in the world,” Nicolai, 79, said. “You live here, you get used to the jets and Hyperion.”

Three years after a raw sewage spill, residents living near L.A.'s Hyperion wastewater plant say they are still dealing with foul odors and health issues.

On the worst days, Tamara Kcehowski said, she has thrown up when the stench from Los Angeles’ nearby sewage plant overwhelms her El Segundo apartment. She said her dog, Maggie, has even retched alongside her.

On the not-so-bad days, she says she often deals with a dull headache or burning eyes. Some mornings, she wakes up gagging or coughing.

None of this was part of Kcehowski’s life before July 2021, when major failures at the nearby Hyperion Water Reclamation Plant dumped millions of gallons of untreated sewage into Santa Monica Bay and released high levels of hydrogen sulfide, a gas that smells like rotten eggs and can cause health issues.

At the time, Kcehowski was hopeful the facility’s response would be swift and that her community would suffer the stinky mess for only a few days — or at worst a few weeks.

But now, more than three years later, the noxious odors and elevated hydrogen sulfide emissions persist, despite repeated complaints and appeals to the city of Los Angeles, air quality regulators and local officials. Although she’s lived in El Segundo with her daughter since the early 2000s, she now wonders if her only recourse is to move.

“You’ve had three years to take care of this issue, and you still haven’t,” said Kcehowski, 58. “We’re still suffering, why?”

A woman stands in a fenced area with high tension wires in the background.

Tamara Kcehowski is frustrated by smells emanating from the Hyperion Water Reclamation Plant. She said the smells have been sickening and continue now more than three years later.

(Genaro Molina/Los Angeles Times)

Hyperion — the largest wastewater treatment facility west of the Rockies — sprawls across 200 acres of oceanfront Los Angeles and sits just outside the city limits of El Segundo. Every day, 4 million inhabitants of L.A. and 29 other cities — including El Segundo — flush a quarter-billion gallons of wastewater into Hyperion’s treatment tanks.

While most people are blissfully ignorant of their wastewater’s journey after showering or using the toilet, it’s become an unpleasant fact of life for many El Segundo residents. Many complain the city of Los Angeles has ignored their plight and has failed to make needed changes to limit, and track, odors. They worry their concerns will always be outweighed by the sanitation needs of millions.

“There’s no question it’s worse than it ever has been, at least going back to the early ’90s when it was really bad,” said El Segundo Mayor Drew Boyles. “It’s incredibly frustrating. ... It doesn’t feel like the city of L.A. is taking this matter as seriously as they should.”

For its part, the facility has slowly addressed a laundry list of needed improvements in the aftermath of the July 2021 spill, some of which have dramatically improved odors.

“It’s services cannot be stopped, diverted or stored,” said Tonya Shelton, a spokesperson for L.A. Sanitation and Environment, the city department that manages the sewage plant. “Hyperion will nonetheless continue to work closely with both the [South Coast Air Quality Management District] and the City of El Segundo to ensure that operations are not only compliant, but reflect a spirit of partnership for the surrounding community.”

Odor complaints still up

In the three years before the July 2021 spill, residents complained fewer than 150 times about odors around Hyperion.

But in the three months after the spill — which officials found was likely caused by equipment failures, operational missteps and staffing issues — more than 2,500 odor complaints flooded regulators, according to South Coast AQMD data. Although community concern peaked in those initial months, Hyperion continues to be barraged by odor complaints, which routinely reach into the hundreds each month.

The alarming uptick in complaints led to increased oversight by the local air district beginning in 2022, when regulators determined L.A. Sanitation was “unable to contain the sewage odors at Hyperion and cannot conduct operations at the wastewater treatment plant without being in violation” of district rules and regulations.

An abatement order required the plant to improve infrastructure, operations and monitoring. It was aimed at minimizing smells primarily from hydrogen sulfide, a known byproduct of wastewater treatment facilities released during the breakdown of organic matter. It can be deadly at high levels, according to the Environmental Protection Agency, but both lower and longer-term exposure can also cause health symptoms, particularly for the respiratory and nervous systems.

After more than two years under the order, L.A. Sanitation and AQMD officials reported last month that Hyperion had successfully met all the mandated conditions — but members of the air quality hearing board were not convinced the problem had been resolved.

“Everything that is being done is not getting rid of the odors,” Cynthia Verdugo-Peralta, a board member, said at the late November hearing. “The problem still remains — the odors are still affecting the public in such a negative way. ... The city of El Segundo, especially, is still suffering.”

At that hearing, a South Coast AQMD air quality inspector testified that there were no remaining shortcomings related to the abatement order. However, he said that during his recent visits to El Segundo there “are pockets that I can consistently detect odors in the community.”

The board members voted unanimously to extend oversight of Hyperion through at least next August, instead of terminating the abatement order in January.

Boyles said he was in “disbelief” that the board even considered lifting the abatement order, but was glad it stood by his city’s concerns.

Still, he and the El Segundo City Council are considering filing a lawsuit against the city of L.A. It’s something Boyles considers a last resort, but the city has taken that route in the past when conditions around the sewage plant have deteriorated.

El Segundo Mayor Drew Boyles and City Manager Darrell George stand in front of the Hyperion Water Reclamation Plant.

El Segundo Mayor Drew Boyles and City Manager Darrell George, from left, are photographed near the Hyperion Water Reclamation Plant.

(Christina House/Los Angeles Times)

Two groups of residents have already filed suit against L.A.’s sanitation department over air quality issues immediately after the spill, one specifically alleging the city’s failure to monitor noxious gases. Those cases remain in litigation.

After the spill, Hyperion officials admitted that there were several shortcomings and repairs were needed. L.A. has since spent an estimated $114 million on improvements, including placing new covers on a tank that AQMD officials found to be a principal source of odors, Shelton said. The plant has also enhanced employee training, implemented an air monitoring system along its perimeter, increased neighborhood checks for odors and, most recently, hired environmental nonprofit Heal the Bay to improve community relations.

An external review of the plant after the spill called for 33 immediate fixes, of which about 85% have been completed, the city has reported.

But Shelton emphasized that an odor-free plant handling millions of gallons of sewage a day is not realistic.

“Despite the completion of these projects, and though Hyperion continues to put concentrated effort into minimizing odors, odors are a part of work at any wastewater treatment plant, and the presence of odors does not always mean there is a problem to remedy or changes to implement,” Shelton said in a statement. “Hyperion continues to work with the community on this issue.”

Air quality compliance issues

For decades, a single air quality violation in a year was rare for Hyperion. But since the 2021 sewage spill, Hyperion has seen a surge in compliance issues. In just the last six months, the South Coast AQMD has issued the facility eight such nuisance violations, which indicate a discharge of air contaminants causing odors traced back to Hyperion, according to recent inspector testimony.

Officials have also issued some violations tied to hydrogen sulfide emissions.

While Hyperion historically tested for the colorless toxic gas in certain scenarios, it was only in May 2022 — after months of complaints and violations — that Hyperion began consistently monitoring for hydrogen sulfide along its eastern border with El Segundo neighborhoods.

Since then, there have been several occasions when levels of the compound have spiked above 30 parts per billion on average for an hour — California’s standard for acute risk from hydrogen sulfide. Such high levels were recorded three times in 2022, four times in 2023 and once in February of this year, Shelton said.

In one instance from June 2023, hydrogen sulfide reached a one-hour average of 64 ppb — more than double California’s standard — when Hyperion operators had turned off pollution control devices, or scrubbers, for maintenance. Shelton noted that during several of the other spikes, there were issues at the plant or heightened winds that likely influenced the hydrogen sulfide measurements, but some were unexplained. However, Shelton noted that “Hyperion is consistently well below” the 30 ppb level.

In recent months, the monitors have regularly recorded the gas at much lower levels, around 1 to 3 ppb, though spikes have occurred. The state of California considers a long-term average of 7 ppb, across several months, to be dangerous.

Officials have found that people can detect hydrogen sulfide at levels from 0.05 ppb to 30 ppb, though it’s not exactly clear the levels at which symptoms occur, and this likely varies by person. Research on the effects of chronic or low-level exposure remains limited.

The Los Angeles County Public Health Department in 2022 reported that “odors alone from hydrogen sulfide cause well-documented physiological responses, including nausea, vomiting, headache, dizziness and other symptoms.” Some studies have also found that experiences with odor can alter sensitivities, as well as increase stress.

For those residents who say they smell the gas regularly, chronic exposure is a worry.

“I’m concerned with a 1 [ppb] every single day for 365 days a year,” Kcehowski said. “What is this doing for us for this length of time?”

El Segundo resident Tamara Kcehowski walks through her neighborhood.

Tamara Kcehowski walks through her El Segundo neighborhood, which has been dealing with foul odors from the nearby Hyperion Water Reclamation Plant.

(Genaro Molina/Los Angeles Times)

Funding an unglamorous job

Hyperion has been in operation since 1925, and underwent its last major upgrade in the 1990s. Since that time, it has been instrumental in transforming Los Angeles County beaches from a potential health hazard to a worldwide tourist destination.

But even with such an important — albeit unglamorous — role in keeping Santa Monica Bay clean for humans and sealife, accessing the necessary funds for Hyperion’s upkeep has been a challenge, said Elsa Devienne, author of the book “Sand Rush,” which chronicles the history of L.A.’s coast.

“Nobody wants to think about sewage, nobody wants to spend a cent on it,” Devienne said. “So investment in those things only happened when things get really, really bad.”

Many times, state or federal oversight — often in the form of lawsuits — has been the only surefire way to enact necessary change at the plant, Devienne said.

That history again played out this year. A settlement with the U.S. Environmental Protection Agency required L.A. to invest $20 million into improvements at the plant. But notably, that deal focused only on water quality issues — not emissions or air quality.

There is, however, some funding on the horizon: for the first time in years, the Los Angeles City Council approved a sewer fee rate hike, which is expected to generate nearly $115 million in additional funds for L.A. Sanitation in its first fiscal year. By 2028, the increases are expected to more than double a typical single-family home’s bimonthly sewer fee, from $72.27 to $155.55, estimates show.

“The project lists are long, but they have been working really hard lifting up the odor control projects, to support the city [of El Segundo] to be better neighbors,” said Meredith McCarthy, senior director of community outreach for Heal the Bay.

The last few months of improvements have addressed the most urgent issues and what McCarthy called low-hanging fruit, but she said the facility’s maintenance backlog remains “pretty spectacular” and continued investment is needed, especially if Hyperion is going to play its important role in the city’s aggressive shift to recycled water over the next decade.

‘No change, wasted effort’

While McCarthy is hopeful the plant is now on the right path, she knows it doesn’t change the last few years of suffering felt by many El Segundo residents.

Although overall complaints have decreased, Boyles insists that its not because foul odors are no longer an issue.

“Our residents are so fatigued by this matter,” Boyles said. “People are getting worn down. ... We cannot give up on them.”

Chuck Espinoza, who lives not far from the plant, is among those who have given up. He was submitting odor complaints most days of the month soon after the spill, when he and his family for the first time started suffering from headaches and burning eyes. But the multi-step complaint process eventually felt like a pointless time-suck.

“No change, wasted effort and it’s all for nothing,” Espinoza, 51, said. “Giving up for me has been the best thing for my sanity.”

Before the spill, he estimated that his neighborhood smelled funky once a week. But after July 2021 it’s been at least three to four times a week, he said, and he described the recent odors as more chemical.

“I don’t think we even know what we’re being exposed to,” Espinoza said. He said he worries about long-term effects, including for his children, but he said he feels “completely powerless to even address what those are.”

But for some residents, Hyperion hasn’t changed much about life in the industry-surrounded city.

Chuck Nicolai, who lives only a few houses from Espinoza, said he and his wife haven’t noticed any dramatic changes or issues since the spill. When he bought his house in the mid-1980s, Nicolai remembers a horrible smell from the plant. But since it modernized in the 1990s, he said he can’t complain.

He considers it a part of life in El Segundo, similar to dealing with fumes from the nearby Chevron plant or the constant noise from the airport.

“It’s SoCal coastal, the best climate in the world,” Nicolai, 79, said. “You live here, you get used to the jets and Hyperion.”

Read the full story here.
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Trying to Quit Smoking? These Expert-Backed Tips Can Help

By David Hill, MD, Chair, Board of Directors, American Lung Association HealthDay ReporterTHURSDAY, July 10, 2025 (HealthDay News) — According to...

THURSDAY, July 10, 2025 (HealthDay News) — According to the U.S. Centers for Disease Control and Prevention (CDC), in 2022, the majority of the 28.8 million U.S. adults who smoked cigarettes wanted to quit; approximately half had tried to quit, but fewer than 10% were successful.Many folks say quitting smoking was the hardest thing they have ever done. This includes people who have climbed mountains, corporate ladders, tackled childbirth and raised families.Successfully overcoming tobacco addiction is a process, and it takes time. It can’t be done at once. Individuals taught themselves how to smoke, vape or chew tobacco products and practiced for so long that the behavior became as automatic as breathing, eating or sleeping.Quitting, then, is a process of overcoming addiction and learned behaviors. Individuals must learn to manage nicotine addiction, unlearn their automatic behavior of tobacco use, and replace it with healthy new alternatives.Because tobacco dependence is a chronic relapsing condition, Freedom From Smoking® identifies quitting tobacco use and maintaining abstinence as a process in which a person may cycle through multiple periods of relapse and remission before experiencing long-term lifestyle and behavior change.The CDC suggests that it takes eight to 11 attempts before quitting permanently.It’s essential to understand three challenges associated with quitting and create a plan to address each with proven-effective strategies:1. Psychological Link of Nicotine Addiction Over time, using tobacco products becomes an automatic behavior that needs to be unlearned.  After quitting, emotions can overwhelm a person.  Grief can also play an important role in the quitting process.  Create support systems through counseling classes, and among family, friends and co-workers. Mark a calendar for every day you are tobacco-free and reward yourself for days you avoid use. Use positive self-talk when cravings arise, such as “the urge will pass whether I smoke or not” or “smoking is not an option for me.”2. Sociocultural Link of Nicotine AddictionCertain activities and environmental cues can trigger the urge to smoke. As people mature, social factors or cues play a role in continuing use.  People who use tobacco may be reluctant to give up those connections or routines.  Identify your triggers and use replacements such as cinnamon sticks, doodling on a notepad or finding another activity to keep your hands busy. Create change and break routine by using the 3 A’s — AVOID (the situation), ALTER (the situation) or ALTERNATIVE (substitute something else). Keep a quit kit/survival kit with you at all times with items you can use to replace tobacco product use when the urge comes.3. Biological (Physical) Link of Nicotine AddictionAddiction occurs when a substance — like nicotine, alcohol or cocaine — enters the brain and activates the brain’s receptors for that substance, producing pleasure.  When a person quits, the brain’s nicotine receptors activate, creating cravings and withdrawal symptoms.  Over time, the receptors become inactive, and the withdrawal symptoms and urges to use fade away. Use cessation medications approved by the U.S. Food and Drug Administration (prescription or over-the-counter) in the proper doses for the full time period recommended by a clinician. Do not stop treatment early. Exercise alternative ways to release dopamine such as physical activity or listening to music.  Use stress management techniques, including deep breathing and relaxation exercises, daily if possible.Nearly 2 in 3 adults who have ever smoked cigarettes have successfully quit, according to the CDC You can, too! To learn more about strategies for countering the challenges associated with the three-link chain of nicotine addiction, visit Quit Smoking & Vaping | American Lung Association.Dr. David Hill is a member of the Lung Association's National Board of Directors and is the immediate past chair of the Northeast Regional Board of the American Lung Association. He serves on the Leadership Board of the American Lung Association in Connecticut and is a former chair of that board. He is a practicing pulmonary and critical care physician with Waterbury Pulmonary Associates and serves as their director of clinical research. He is an assistant clinical professor of medicine at the Yale University School of Medicine, an assistant clinical professor at the Frank Netter School of Medicine at Quinnipiac University, and a clinical instructor at the University of Connecticut School of Medicine.Copyright © 2025 HealthDay. All rights reserved.

Lead Exposure Can Harm Kids' Memory, Study Says

By Dennis Thompson HealthDay ReporterTHURSDAY, July 10, 2025 (HealthDay News) — Even low levels of lead exposure can harm kids' working memory,...

By Dennis Thompson HealthDay ReporterTHURSDAY, July 10, 2025 (HealthDay News) — Even low levels of lead exposure can harm kids' working memory, potentially affecting their education and development, according to a new study.Exposure to lead in the womb or during early childhood appears to increase kids' risk of memory decay, accelerating the rate at which they forget information, researchers reported July 9 in the journal Science Advances.“There may be no more important a trait than the ability to form memories. Memories define who we are and how we learn,” said senior researcher Dr. Robert Wright, chair of environmental medicine at the Icahn School of Medicine at Mount Sinai in New York City.“This paper breaks new ground by showing how environmental chemicals can interfere with the rate of memory formation,” Wright said in a news release.For the study, researchers took blood lead measurements from the mothers of 576 children in Mexico during the second and third trimester of pregnancy. Later, the team took samples directly from the kids themselves, at ages 4 to 6.Between 6 and 8 years of age, the kids took a test called the delayed matching-to-sample task, or DMST, to measure their rate of forgetting.In the test, kids had to remember a simple shape for up to 32 seconds after it had been briefly shown to them, and then choose it from three offered options.The test lasted for 15 minutes, with correct responses rewarding the child with tokens that could be exchanged for a toy at the end of the experiment.“Children with higher levels of blood lead forgot the test stimulus faster than those with low blood lead levels,” Wright said.Researchers noted that the Mexican children in the study had higher median blood lead levels than those typically found in U.S. kids 6 to 10 years old – 1.7 Ug/dL versus 0.5 Ug/dL. (Median means half were higher, half were lower.)Children in Mexico are exposed to lead through commonly used lead-glazed ceramics used to cook, store and serve food, researchers said.However, the Mexican kids’ blood lead levels were still lower than the 3.5 Ug/dL level used by the U.S. Centers for Disease Control and Prevention to identify kids in the United States with more lead exposure than others, researchers added.“In the U.S., the reduction of environmental exposures to lead, such as lead-based paint in homes, lead pipes, and lead in foods such as spices, is still of continued importance as even low levels of lead can have detrimental effects on children’s cognitive function and development,” researchers wrote in their paper.This study also shows that the DMST test can be used to help test the effect of other environmental hazards on kids’ memory, researchers said.“Children are exposed to many environmental chemicals, and this model provides a validated method to further assess the effect of additional environmental exposures, such as heavy metals, air pollution, or endocrine disruptors, on children’s working memory,” co-lead researcher Katherine Svensson, a postdoctoral fellow in environmental medicine at the Icahn School of Medicine at Mount Sinai, said in a news release.SOURCES: Mount Sinai, news release, July 9, 2025; Science Advances, July 9, 2025Copyright © 2025 HealthDay. All rights reserved.

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.

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