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How to Communicate Climate Change Effectively

By Leila Waid.

The climate change crisis worsens year by year, yet somehow, it feels like not enough progress is ever achieved. Frustratingly, there are many people who choose to ignore the issue, don’t believe it is real, or simply don’t think that there is anything they can do about it. So, how can environmental justice advocates reach these groups of people who don’t want to discuss the issue, let alone even think about it?

Researchers from all different fields of studies, not just those in environmental health, have spent years trying to understand what makes people tick – what kinds of messages are the most impactful, what will impact people’s behavior the most, and, most importantly, what will inspire behavior change? In the public health field alone, decades of research have been conducted to understand what motivates behaviors and, in turn, how they can be changed. For example, consider smoking and the astronomical decline in use that has occurred since the 1960s, when smoking was at an all-time high. A variety of factors led to the rapid reduction in smoking rates – from the Surgeon General report of 1963, to increased policy restrictions, and an understanding of the health effects of secondary smoke. All of these factors influenced the public perception of smoking. Public health researchers were able to utilize these factors to influence behavior change. By creating health communication campaigns based on theories of change, they were able to shift the tides to turn smoking from something that was seen as cool and desirable to socially unacceptable. And that’s really the key to behavior change – you have to make the desired behavior the norm. 

Of course, it is important to not oversimplify an issue – smoking and climate change action are two completely different areas of focus. Thus, they require entirely different communication and outreach efforts. However, I think that, at its core, the lessons that were learned from the successful smoking cessation campaigns (one of the biggest public health challenges of the 20th century) can be translated to the work that is being done on climate change (one of the biggest public health challenges of the 21stcentury). Most public health theories of behavior change – such as the Health Belief Model and Social Cognitive Theory – have a component focused on self-efficacy. Self-efficacy is the belief that an individual is capable of change. For example, self-efficacy could be manifested in their confidence to quit smoking. Before any change can occur, a person’s self-efficacy must be raised. In a climate change context, self-efficacy can manifest as a person’s belief that their actions can help reduce climate change risks. A study by Bostrom et al. found that “self-efficacy beliefs are both directly and indirectly associated with greater support for reducing the risks of climate change, even after controlling for ideology and causal beliefs about climate change.”

When crafting outreach messaging for climate change, it is crucial to focus on this construct of self-efficacy. If we want people actively engaged in climate change issues, then we need to increase their self-confidence in their ability to do so. Many climate change messages tend to have a very pessimistic tone. Of course, climate change is a dire issue that needs immediate attention, but bombarding your audience with messages of doom and gloom doesn’t get anyone riled up to act. Instead, there needs to be a focus on positivity. An audience member needs to believe that there are concrete steps they can take to help this issue. In an age of information, this is even more important. You need to be able to catch your audience’s attention, convey to them the seriousness of the situation, and also make them feel empowered enough to take action on it. It’s not an easy ask. But achieving this balance is one of the most effective ways to change people’s attitudes and influence behaviors. And then maybe one day, climate change actions (such as policies, reducing a person’s carbon footprint, pressuring companies to go green) will no longer be a point of cultural contention but, instead, can become a social norm. After all, up until the 90s, you could smoke on an airplane – now the idea would seem preposterous. Why? Because social norms changed. They changed based on science and backed by effective policy action. For climate change, the science is there – it has been there for a long time and continues to build exponentially every day. Now, it is time for policy to catch up. We need to address social norms around climate change and make people realize that this is something that everyone needs to focus on. Everyone’s voice matters. Everyone’s actions matter. No one person can tackle the issue of climate change. But every person needs to contribute. 

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Toxic Tuesdays

Linking Exposure and Health Outcomes

Toxic Tuesdays

CHEJ highlights several toxic chemicals and the communities fighting to keep their citizens safe from harm.

Linking Exposure and Health Outcomes

One of the hardest things for a public health scientist to do is to link a specific health problem that a person is suffering from to a specific exposure to a toxic chemical(s). People who have been exposed to toxic chemicals, whether they lived at Love Canal, NY, Flint, MI or East Palestine, OH, want to know if their cancer, diabetes or other illness was caused by exposure to toxic chemicals. This is a reasonable question for people to ask, and it is one we hear all the time from people in the communities we work with. Unfortunately, the answer is not so clear. 

The problem is that scientists know very little about how and why the body responds to toxic chemicals the way it does. While we know a great deal about the mechanism of action for some chemicals such as dioxin and lead, we do not know what is going to happen to an individual who is exposed to 5 parts per trillion (ppt) of dioxin in their food. Or to a child who eats lead paint chips for 3 months. In some cases, scientists can predict what symptoms to expect, but it is rare that they can confidently link specific health outcomes to specific exposures even in obvious situations like the drinking water disaster in Flint, MI.

In fact, there are only two chemicals – asbestos and vinyl chloride – out of the more than 80,000 chemicals in use today, that scientists have been able to clearly link between exposure and specific health problems. In the case of asbestos, if you were exposed to asbestos in the shipping industry and develop a rare cancer of the outer lining of the lungs called mesothelioma, scientists are 99% confident (as close to certain as one can get) that the asbestos caused your lung cancer. In the case of vinyl chloride, if you were exposed to vinyl chloride in a PVC manufacturing plant and develop a rare cancer of the liver called angiosarcoma, scientists are 99% confident that the vinyl chloride caused your liver cancer. In both cases, it was an observant clinician who noticed that the people with these rare cancers all worked at the same place and had similar exposures.   

There are several factors that determine what happens when a person is exposed to chemicals. These factors include an individual’s susceptibility (this varies greatly from person to person), how long exposures occur, how many chemicals a person is exposed to, the concentration of these chemicals, and the toxicity of the chemicals. Add in the reality that people are often exposed to more than one chemical at a time and often repeatedly over time, then the certainty over what is known becomes significantly less. Even if you knew all these factors (which is rare), it is still almost impossible to predict what will happen when a person is exposed. We’ve touched on many of these factors in previous issues of Toxic Tuesday.

In addition, there is no way to fingerprint an exposure to tie it to a specific health outcome. And many symptoms or diseases are not specific to a particular chemical. In most instances, there can be many causes of the symptoms that people are having. And few physicians have experience with exposure to toxic chemicals. Meaning they cannot distinguish whether the headache you are suffering from resulted from the chemicals you were exposed to or whether you had a hard day at work. Often this inexperience leads to blaming the victim for their situation rather than looking at chemicals as a possible explanation. Another problem is determining what the “normal” rate of illness or disease is in a community. Scientists simply cannot decide what is normal. This is in large part because of the many uncertainties already discussed.

Despite the many scientific uncertainties, linking cause and effect has become the standard to achieve before government will take action to address a pollution problem or protect a  community. Over the years, this has meant endless studies and years of research gathering data that has resulted in little or no action on the part of government to protect people and communities exposed to toxic chemicals. This has been the government’s approach since before Love Canal more than 40 years ago. This is what is happening now in East Palestine, OH. This is no longer reasonable nor acceptable.

It is time to acknowledge that scientists do not know very much about how or why exposure to toxic chemicals, especially at low-level mixtures, leads to adverse health outcomes. Instead of trying to link cause and effect, which is virtually impossible to achieve because of the lack of information and understanding, it is time to consider whether there is enough information and evidence about exposure and adverse health problems in a community to take action to protect people exposed to toxic chemicals.

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Are Period Products Harming Our Health?

Photo Credit: USA Today

By Sophie Jackson.

I don’t often question my use of everyday household products. I tend to assume that someone has tested them, and they have been proven safe, hence, why they have ended up in my shopping cart and onto a shelf in my home. However, as I scrolled through the news and came across an article about toxic metals found in tampons, I lost that sense of assurance.

The study analyzed 14 different brands of tampons for the presence of 16 metals. The metals evaluated were detected in each brand. Lead and arsenic are two of the metals highly emphasized in the findings of the study, with arsenic levels higher in organic brands and lead levels higher in non-organic brands. This emphasis is likely due to their harmful health impacts. Common health effects associated with lead exposure are brain, kidney, and reproductive issues. It is also important to note there is no “safe” level of lead exposure. Arsenic exposure is associated with skin, lung, and bladder cancers.

While the contamination source is currently unknown, researchers believe likely possibilities are manufacturing-related metal additions or the bioaccumulation of metals in cotton exposed to contaminated waters or soils.

Unfortunately, there are many unknowns. There is currently no research available to determine if metal presence in tampons is leading to an actual exposure to these metals or related to conditions like endometriosis, polycystic ovary syndrome, cervical cancer, or infertility.

With an average of 52-86% of women in the US using tampons, these findings should be of interest to a majority of women. Many have been using tampons since their early teens and for a period of 3-7 days each month, thus facing a fairly regular risk of potential exposure.

This leaves women with many questions. Is this contamination a recent occurrence or have women potentially been exposed for years or even decades? Is tampon usage actually leading to metal exposure and does this result in accumulation of metals in the body? If so, which metals are more likely to accumulate? Answers to these questions are vital to provide clarity and create proper guidance for women.

To lower the potential for exposure, women can opt for alternative menstrual products. Pads and menstrual cups are two common options. However, studies must still be conducted to determine if pads face the same metal contamination as tampons, potentially acting as an additional exposure risk for women. Menstrual cups are another option. Although they are initially more expensive, they are cost-effective long term.

It is important to acknowledge that alternative products may not be accessible to all women. With 21% of women in the U.S. facing difficulty affording period products every month, precautionary actions are not always a valid option. These disparities carry over when addressing access to toxin exposure screenings and reproductive healthcare. While women wait to see the potential ramifications of these findings, we must do more to test everyday products and protect all groups of people from harmful chemical exposures.

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Unseen and Unending: The story of Forever chemicals

Photo Credit: Clean Water Action

By Prasa Thapa.

On a Sunday morning, as I flipped eggs in my non-stick Cuisinart pan, I recalled an article I had read the previous week about the “forever chemicals” and its presence in the non-stick cookware. This sparked a curiosity about the items I won that might have forever chemicals and I couldn’t resist myself as I started looking for articles as I had my breakfast.


Forever chemicals, also known as per- and polyfluoroalkyl substances (PFAS) are synthetic compounds known for their exceptional durability and resistance to degradation. These substances are present in most household items like-cleaning products, shampoos, cosmetics, nail polish, paints, fast-food wrappers, non-stick cookware, water resistance clothing, candy wrappers and even water. These synthetic chemicals do not break down naturally or easily in the environment and are known to accumulate in the human body, hence, they are known as forever chemicals.

In the US, approximately, 98% of the people have PFAS in their bodies. PFAS contamination have been detected in coastal waters, rivers and lakes, including drinking water supplies, which is a significant public health risk. Research also shows that people who consume high amounts of white rice, coffee, milk and seafood have been associated with higher level of toxic chemicals in their blood. In recent research done at WVU, several forever chemical hotspots were identified where “socioeconomic attributes like housing density, income and raw water intake sources” determined the level of PFAS. Communities that have manufacturing industries and the communities that use aquifers rather than natural source for water had higher levels of these chemicals. The identified hot spots were different counties in Alabama, Georgia, Tennessee, New Jersey, Pennsylvania, New York, Delaware, Connecticut, border of North Carolina and South Carolina, and Colorado.

A study predicted that the tap water in half of the states in the US are contaminated with at least one PFAS. EPA states that “There is no safe level of exposure to PFAS without health impacts.” The exposure to these chemicals is linked to wide range of health issues, including cancer, high-blood pressure, reproductive defects, thyroid, liver disease, compromised immune system etc. To lower the exposure, one can take steps for themselves. Filtering drinking water, avoiding food in paper/plastic containers, avoiding Teflon cookware and even limiting the consumption of fish from local freshwater could be few steps to minimize the exposure.

As the awareness regarding the risks of forever chemicals grow, there have been efforts to regulate and mitigate the use and impact of forever chemicals. Government, different organizations, stakeholder, researchers and public health department are working to understand the full extent of these chemicals, their alternative as well as safe disposal. However, the fight against these chemicals is ongoing and hopefully, there is a future where these persistent chemicals

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Toxic Tuesdays

Particulate Matter and Mental Health

Toxic Tuesdays

CHEJ highlights several toxic chemicals and the communities fighting to keep their citizens safe from harm.

Particulate Matter and Mental Health

Outdoor air pollution is one of the biggest environmental threats to public health, causing an estimated 4 million premature deaths worldwide each year. One common component of air pollution is particulate matter (PM), which is a mixture of dust, chemicals, and liquid droplets. PM is primarily released into the air by industrial facilities that perform mixing and combustion. When people inhale PM in the air, it gets into their lungs and bloodstream, worsening existing lung diseases and even causing lung disease, heart disease, and lung cancer. Very fine particulate matter less then 2.5 micrometers in diameter – called PM2.5 – is especially dangerous. It can penetrate deep into the lungs and bloodstream, eventually reaching many other organs. PM2.5 exposure can cause lung and heart diseases and is also associated with diabetes, cognitive impairment, and dementia. PM2.5 exposure also increases the chance of dying from COVID-19 infection.

While the effects of long-term PM2.5 exposure on physical health are well established, less is known about how it affects psychological and mental health. A recent study in the journal Environmental Health used mental health data from The Irish Longitudinal Study on Ageing (TILDA), a nationally-representative study of 8,504 adults age 50 and over in Ireland. Data on TILDA participants has been collected every 2 years since 2009 and includes many health and wellness factors. It also includes information about participants’ residential addresses throughout their lives. The study in Environmental Health matched TILDA participants’ reported residential addresses from 1998 to 2014 with the average annual PM2.5 concentration at those addresses. It then assessed how that average annual PM2.5 exposure was related to participants’ 2014 self-reported mental health indicators in the TILDA: depression, anxiety, worry, stress, and overall quality of life. The study controlled for demographic and socioeconomic factors like age, sex, marital status, employment status, education, and health status to better attribute differences in mental health to PM2.5 exposure.

The study found that higher PM2.5 exposure was strongly associated with higher risk of depression and anxiety. PM2.5 exposure was not associated with differences in worry, stress, or overall quality of life. The authors speculate that different aspects of mental health may be differentially impacted by factors such as length of exposure, age at exposure, and exposure to other pollutants. While the association between PM2.5 exposure and depression and anxiety is striking, it is important to note that the study is not designed to determine if PM2.5 exposure directly caused depression and anxiety.

Several studies in the past few years have suggested that short-term PM2.5 exposure is associated with mental health changes such as depression, anxiety, bipolar disorder, schizophrenia, and suicidality. However, this study is one of the few that has assessed the effects of long-term PM2.5 exposure, which is particularly relevant because most real-life exposure to PM2.5 tends to persist for long periods of time. It adds to a growing body of scientific evidence that environmental hazards are associated with decreased mental health and wellbeing.

This study is also an important advance because it demonstrates that exposure to low PM2.5 levels can still have harmful effects on health. The average annual PM2.5 exposure in this study was 7.67 μg/m3. In contrast, the national average PM2.5 level in the US is 8.4 μg/m3, and 90% of the world population live in areas with average annual PM2.5 levels above 10 μg/m3. (The EPA’s interactive air quality map that shows current PM pollution can be found here.)

The National Ambient Air Quality Standards has determined that the maximum safe concentration of PM2.5 in outdoor air to be 9 μg/m3. The results from this study suggest that this is not a health protective standard, and adverse mental health effects can occur at PM2.5 levels below this value. The World Health Organization’s global air quality guidelines recommend a maximum annual PM2.5 level of 5 μg/m3. This standard is more health protective, but this study demonstrates that long-term exposure to low levels of PM2.5 can still significantly impact health.

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Toxic Tuesdays

Nitrates

Toxic Tuesdays

CHEJ highlights several toxic chemicals and the communities fighting to keep their citizens safe from harm.

Nitrates

Nitrates are a class of compounds that contain nitrogen. They can occur naturally in air, water, and soil, and living things need them to survive. Nitrates are used for industrial purposes to make fertilizers, ammunition, and explosives. They are also used to preserve food, most commonly in the process of curing meat. Many vegetables we eat are naturally rich in nitrates as well.

When nitrate-containing fertilizers are used on crops or yards, the nitrates can easily migrate into surface water and groundwater. This means that people who work with these fertilizers or live near where they are applied could be exposed to nitrates in their drinking water. For most of the population, nitrate exposure happens through the food we eat. The amount of nitrates consumed in a normal diet is generally considered safe, and much of the nitrates our bodies ingest or make naturally are excreted every day. However, people may be exposed to high levels of nitrates by eating lots of foods rich in nitrates such as spinach, lettuce, cured meat, processed meat, fish, and beer.

Once consumed, the body can convert nitrates into similar compounds called nitrites. High levels of nitrites can decrease the blood’s ability to carry oxygen to our cells. This can cause dizziness, headaches, cramps, vomiting, decreased blood pressure, increased heart rate, and death. Infants seem to be more sensitive to the health effects of nitrite exposure than adults.

Once nitrates get converted into nitrites in the body, they can be further converted into compounds called nitrosamines, which are known to cause cancer. For this reason, the International Agency for Research on Cancer has determined that ingesting nitrates probably causes cancer in humans. Because nitrates occur in nature and are made naturally by our bodies, it can be hard to know our exposure risk from dietary and industrial sources. This makes it particularly important for the federal government to regulate nitrates from sources such as fertilizers and food preservation in order to keep people safe from the adverse health effects of exposure.

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How Climate Change Disproportionately Affects Disabled People

Photo Credit: Gerald Herbert / AP Photo

By Claire Robinson.

In the summer, I love spending as much time outdoors as I possibly can. But in recent years, climate change has increased the frequency and severity of wildfires such that their smoke sometimes spreads even to states far away. This is how I found that wildfire smoke gives me migraines so serious that I have to stay inside. I am far from the only one whose disability is exacerbated by the effects of climate change. Krystal Vasquez, who has a chronic illness, similarly says that wildfire smoke makes her feel “really fatigued, really achy, really sore.”

For disabled people, the consequences of climate change are numerous and can sometimes be severe or even fatal. Indeed, disabled people are two to four times more likely to die in climate emergencies. People with limited or no mobility may not be able to evacuate from an area quickly or at all, which could make a wildfire or flood deadly for them. Even disabled people who do evacuate may lack access to vital medical equipment or medications at emergency shelters. 

Disabled people are also much more likely to be low-income and thus to face issues like food insecurity, issues that are worsened by climate change. Worldwide, 80% of disabled people live in low-and middle-income countries, meaning that these people are likely not just to be low-income but also to live in places that are especially affected by climate change.

These are just a few of the means through which disabled people are uniquely affected by climate change; there are many other ways as well. For example, immunocompromised people are particularly at risk from mosquito-borne illnesses, illnesses which will affect people in more locations as the earth warms, and people with mental health-related disabilities are three times more likely to die during heatwaves.

Disabled people are the world’s largest minority group: over a billion people worldwide are disabled. When the risks or impacts of climate change are calculated, though, disabled people often are not considered. Recently, human rights organizations have called for governments to include disabled participants when creating climate plans and policies, and scientists have stated that climate change research should include disabled people. Still, much of that work is yet to be done.


A note on identity-first language: In this post, I chose to refer to“disabled people,” not “people with disabilities.” Nowadays, this identity-first language is preferred by many, though not all, people in the disabled community. I personally prefer the term “disabled person” to “person with a disability” because my disability is inextricably part of me.

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Backyard Monthly

Backyard Monthly – July 2024

July 2024
CHEJ's "All In" - Spotlight of the Month

Residents of East Palestine, Ohio, affected by the February 2023 Norfolk Southern train derailment, had until July 1, 2024, to opt out of a proposed $600 million class action settlement. The derailment involved a train carrying hazardous chemicals, which led to a controlled burn and significant exposure to toxic substances for the local community. This proposed settlement is intended to compensate those who lived, worked, or owned property within a 20-mile radius of the derailment site between February 3, 2023, and April 26, 2024. 

Under the terms of the proposed settlement, compensation will vary based on proximity to the derailment site and the severity of the impact. Households within two miles of the site could receive up to $70,000 for property damage and $10,000 for personal injury, while those further away will receive significantly less. Businesses can also claim losses, and there are provisions for extraordinary injuries. Some residents have expressed concerns that the compensation might not be sufficient to cover all damages and long-term health impacts. The final approval hearing for the settlement is scheduled for September 25, 2024, with the deadline to submit claims set for August 22, 2024.

New EPA Museum

The new EPA Museum in Washington D.C., situated in the William Jefferson Clinton Building, provides an interactive exploration of the history of environmental regulation and conservation in the United States.

One notable exhibit focuses on Lois Gibbs and the Love Canal disaster, showcasing her crucial role in advocating for the cleanup of the toxic waste site in Niagara Falls, New York. This exhibit delves into Gibbs’ grassroots activism, which led to the evacuation and relocation of hundreds of families and eventually the establishment of the Superfund program. Her story highlights the impact of community activism on environmental policy and serves as a powerful reminder of the need for ongoing vigilance in protecting public health and the environment.

Toxic Tuesday

1,2-dichloroethane (1,2-D) – also called ethylene dichloride – is a clear, oily liquid with a sweet smell that is man-made and not found in nature. It is used in the production of plastic and vinyl products like polyvinyl chloride (PVC) pipes, upholstery, automobile parts, and housewares. It is also added to the leaded gasoline… [Read more]

CHEJ has previously written about the importance of considering multiple chemical exposures when assessing the toxicity of exposure to toxic chemicals. In addition, it is also important to consider the duration of exposure. How long was a person exposed? What was the concentration of the substance… [Read more]

Training Calls

Judith LeBlanc, director of the Native Organizers Alliance (NOA), shares her insights, victories, and advice as an organizer working with Native peoples and for the environmental protection of Native land. 

She details the holistic approach her organizing has adopted to integrate the cultural, spiritual, and communal elements of the nation’s indigenous peoples in her and her organization’s work on environmental justice. She also shares her experiences protesting the Keystone Pipeline at Standing Rock, fighting for water rights on the Missouri River, and the cross-country trek of the Red Road to D.C…. [Watch now]

Backyard Talk Blogs

By Sharon Franklin. On March 27, 2024, the American Heart Association released new research stating that people who live in areas with social and environmental adversities may have up to twice the increased risk for developing[Read more]

By Leila Waid. The beginning of summer has already brought immense heat waves throughout the world. Countries in Southeast Asia, such as India and Thailand, already had extreme heat waves in April—with UNICEF[Read more]

By Gregory Kolen II. Juneteenth, celebrated on June 19th, marks the day in 1865 when enslaved African Americans in Texas were informed of their emancipation, two and a half years after the Emancipation Proclamation.[Read more]

Do you find this information useful? Please consider pitching in and making a contribution to CHEJ. We appreciate your support!

Last month, we commemorated Juneteenth, reflecting on the historic struggle for freedom and equality for African Americans. This reminds us not only of past triumphs but also of the ongoing battles that many communities of color face today, particularly in the realm of environmental justice. Despite significant progress, environmental racism remains a critical issue, with marginalized communities disproportionately affected by pollution, hazardous waste, and lack of access to clean air and water. The fight for environmental justice is a continuation of the pursuit of equality and civil rights, ensuring that all communities have the right to a healthy and safe environment.

We are reminded that the journey towards true freedom and equity is far from over. Your support is crucial in addressing these environmental injustices. By contributing, you help us advocate for fair policies, support community-driven solutions, and provide resources to those most affected by environmental disparities. Together, we can fight for a future where every community, regardless of race or socioeconomic status, enjoys the fundamental right to a clean and healthy environment. Please consider making a donation today to continue this vital work.

Thank you, your support is greatly appreciated!