NYT: Navy’s Vieques Training May be Tied to Health Risks

http://www.nytimes.com/2009/11/14/science/earth/14vieques.html?_r=1

Navy’s Vieques Training May Be Tied to Health Risks

By MIREYA NAVARRO

Published: November 13, 2009

The federal agency that assesses health hazards at sites designated for Superfund environmental cleanups said Friday that it had reversed its conclusion that contamination at a former United States Navy training ground in Puerto Rico posed no health risks to residents.

As a result, it said, it plans to recommend monitoring to determine whether residents of the island of Vieques, the site of decades of live fire and bombing exercises, have been exposed to harmful chemicals and at what levels.

“Much has been learned since we first went to Vieques a decade ago, and we have identified gaps in environmental data that could be important in determining health effects,” Dr. Howard Frumkin, director of the Agency for Toxic Substances and Disease Registry, said in a statement posted on the agency’s Web site late Friday afternoon. “The gaps we found indicate that we cannot state unequivocally that no health hazards exist in Vieques.”

In a finding in 2003, the agency had said that levels of heavy metals and explosive compounds found in Vieques’s soil, groundwater, air and fish did not pose a health risk.

The action on Friday is a vindication of the 9,300 residents of the small island off the mainland of northeastern Puerto Rico, who are pursuing claims against the United States government for contamination and illnesses. Puerto Rico’s health department has found disproportionately high rates of illnesses like cancer, hypertension and liver disease on the island. In their claims, residents assert that the illnesses are linked to pollutants released in Navy exercises that continued until 2003.

The Environmental Protection Agency has said hazardous substances associated with ordnance may be present in Vieques. In 2005 the training ground was designated a Superfund site, giving the E.P.A. the authority to order a cleanup by the Navy.

The Navy has begun removing hazardous unexploded munitions from its old training ground, but its practice of detonating them in the open air has sowed more fear among residents.

At the request of Congress, the toxic substances agency said this year said that it would “rigorously” review its 2003 finding that metals and explosive compounds found at Vieques did not pose a health risk. Dr. Frumkin and his staff met with residents in August and held meetings last week in Atlanta with scientists from Puerto Rico whose research contradicted agency conclusions.

“Withdrawing this conclusion sends a strong signal to Washington that there’s a health and environmental crisis that’s credible,” said John Eaves Jr., the lawyer representing the residents in a federal lawsuit.

“Based on this action today,” he said, “I believe there will be a comprehensive plan to address the crisis in Vieques.”

ATSDR to Change its Early Conclusions on Environmental Assessment in Vieques

The Agency for Toxic Substances and Disease Registry (ATSDR) is notorious for discounting the environmental health concerns of communities. In several cases, the agency has been forced to redo its studies due to faulty or biased data and conclusions.  The people of Vieques initially boycotted the ATSDR because of its bad reputation.  In Hawai’i ATSDR has a similar track record, dismissing concerns about cancer in Wai’anae, and waving through military depleted uranium and Pearl Harbor sediment health risk assessments. If scientists and medical professionals in Hawai’i did more to investigate the contamination and health issues, we might be able to force a re-evaluation of ATSDR findings for Hawai’i.  But the scientific and medical professions have sadly been kept on a short leash due to sources of funding being so closely tied to military appropriations.

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http://www.atsdr.cdc.gov/news/displaynews.asp?PRid=2455

Federal Agency to Change its Early Conclusions on Environmental Assessment in Vieques

Geographic Location: —Vieques, Puerto Rico
Posted: — Friday, November 13, 2009 View page in Spanish (Español) ATLANTA-The Agency for Toxic Substances and Disease Registry (ATSDR) has signaled its intent to modify some of its earlier conclusions about health risks to residents of the Island of Vieques.  The decision was shared during a meeting with scientists from Puerto Rico and followed a thorough review of ATSDR public health assessments finalized in 2003 and other environmental studies of the island conducted in the intervening years.  ATSDR’s re-examination of the data comes as part of a “fresh look” the federal public health agency pledged to island residents and Congress.

“A thorough and objective review of the available data is an important step in our commitment to the people of Vieques”, said Dr. Howard Frumkin, agency director.  “Much has been learned since we first went to Vieques a decade ago, and we have identified gaps in environmental data that could be important in determining health effects.”  We are committed to using the best technology and scientific expertise to help find answers for the people of Vieques.

“The gaps we found indicate that we cannot state unequivocally that no health hazards exist in Vieques.  We have found reason to pose further questions,” Frumkin said.

As a result of the scientific consultation and its document review, ATSDR expects to:

  • change some of its earlier conclusions regarding the safety of environmental exposures on Vieques;
  • recommend biomonitoring to determine whether persons living on Vieques have been exposed to harmful chemicals, and, if so, at what levels those chemicals may be in their bodies;
  • work with Puerto Rican health officials to conduct more in-depth evaluation of health outcomes;
  • work with community members and Puerto Rican health officials to issue science-based, precautionary recommendations to protect public health;
  • work with partners in the Puerto Rican health care community to encourage improved access to health care for residents of Vieques; and
  • coordinate an inclusive, accountable process featuring participation of Puerto Rican community members and professionals in moving forward.

ATSDR scientists will prepare a summary report of the previous environmental health work done for Vieques, including recommendations developed from the scientific consultation.  As part of the scientific process, this report will be peer reviewed by independent experts.  Once peer review is completed, ATSDR will provide detailed recommendations about future activities.

“ATSDR greatly appreciates the scientists taking time to travel to Atlanta and share their findings and perspectives.  We salute the independent scientists and community leaders for their dedication to the health of the people of Vieques, and we look forward to working with them as we move forward with our fresh look at Vieques,” Frumkin said.

A current progress report is available on the ATSDR Web site at www.atsdr.cdc.gov/sites/vieques.  To learn more about the activities planned for Vieques, community members may contact:

  • Lisa Hayes, Lead Environmental Health Scientist, at 770-488-0737or via email at lih1@cdc.gov, or call 1-800-CDC-INFO
  • Ricardo R. Beato, Health Communication Specialist at 770-488-0625 or via email at hwf4@cdc.gov

ATSDR, a federal public health agency of the U.S. Department of Health and Human Services, evaluates the human health effects of exposure to hazardous substances.

New Law Limits Military use of Open Burn Pits

Doug from Seacoast Anti-Pollution League in Portsmouth, New Hampshire sent a post to the Military Toxics Project listserve about a new law to limit the military use of open burn pits overseas.  However, as Doug notes the law “Doesn’t cover domestic bases, nor everything we’d want left unburned, but DoD has to develop a plan to eliminate burning so it’s a start!”

Open Burn/Open Detonation (OB/OD) pits have been a commonly used method for the military to dispose of old munitions and other waste.  OB/OD was used in Makua valley as recently as 1994.  The Wai’anae community organized with leadership from Malama Makua to oppose the Army’s permit application to the EPA to conduct routine OB/OD disposal in Makua. (Up to that point, unpermitted OB/OD disposal was conducted under the auspices of “training”.)  The Army was forced to abandon its OB/OD plans and close the disposal site, which has not been decontaminated.

Here’s the article on the Newsweek blog about this new law:

http://blog.newsweek.com/blogs/thegaggle/archive/2009/10/28/obama-to-sign-law-protecting-troops-from-toxic-fumes.aspx

Posted Wednesday, October 28, 2009 11:30 AM

Obama to Sign Law Protecting Troops From Toxic Fumes

Katie Connolly

A few months ago I wrote a short piece about the startling practice of using open-air burn pits to incinerate waste on U.S. military bases in Iraq and Afghanistan. The toxic fumes from these pits have been linked to a host of debilitating illnesses in troops and contractors who worked near them. Here’s an excerpt from my original piece:

Josh Eller, a military contractor stationed in Iraq in 2006, was driving through Balad Air Base when he spotted the wild dog. He wasn’t sure what was in its mouth—but when Eller saw two bones, he knew he was looking at a human arm. The dog had pulled the limb from an open-air “burn pit” on the base used to incinerate waste. Eller says it’s “one of the worst things I have seen.”

Since hearing Eller’s story, lawyer Elizabeth Burke has signed on 190 additional clients with complaints about burn pits at 18 military sites in Iraq and Afghanistan. By now, she says, all pits should have been replaced by pollution-controlled incinerators. She’s filed suits in 17 states against KBR, the company contracted to provide waste-disposal services at these bases, accusing it of negligence and harm. Burke was shocked to learn what her clients saw incinerated: Humvees, batteries, unexploded ordnance, gas cans, mattresses, rocket pods, and plastic and medical waste (including body parts, which may explain the arm). Fumes containing carcinogenic dioxins, heavy metals, and particulates, according to an Army–Air Force risk assessment, waft freely across bases.

Burke’s plaintiffs mostly suffer from chronic or unusual medical complications that they believe were caused by burn-pit exposure. Shawn Sheridan, who served two tours at Balad, says black smoke from the pit was so thick at times he couldn’t see through it with night-vision goggles. Sheridan, 26, was healthy when he enlisted six years ago. Now he has a kidney disease, chronic bronchitis, and a painful skin condition. (Read the full story here.)

Today Eller, Sheridan, and the many others affected by these pits are getting some good news, thanks in part to the work of Rep. Tim Bishop, Democrat of New York, and Rep. Carol Shea Porter, Democrat of New Hampshire, who have championed their cause for months. They successfully lobbied for the inclusion of provisions to limit the use of these toxic pits in the National Defense Authorization Act, which the president will sign into law this afternoon. Under this new law, open-air burning of medical and hazardous waste will be prohibited except where the Defense secretary deems there is no alternative, the DoD must justify the use of burn pits to Congress, and it will develop a plan to eliminate the use of burn pits entirely.

The legislation won’t repair Sheridan’s lungs or kidneys, but it will force the DoD to limit troop exposure to potentially hazardous fumes in the future. That really shouldn’t be so hard. According to the Veterans of Foreign Wars, only about half the incinerators the military purchased four years ago to help eliminate the use of burn pits are currently in operation. The public would never stand for having burn pits operate in a residential area in the U.S. Now, eight years into the war in Afghanistan, U.S. service members might start receiving that same courtesy.

(You can read more about burn pits in Kelly Kennedy’s excellent reports for Military Times.)

ATSDR: Change in Public Policy regarding Vieques

PRESS RELEASE

FROM CASA PUEBLO, Adjuntas, Puerto Rico, via Atlanta, GA, USA, to Vieques, Puerto Rico

ATSDR: Change in Public Policy regarding Vieques

Drs. Arturo Massol Deyá of Casa Pueblo de Adjuntas / UPR Mayagüez, Carmen Ortiz Roque, and Carmen Colón de Jorge participated in extensive discovery meetings about scientific investigations of Vieques in the offices of the Agency for Toxic Substances and Disease Registry (ATSDR) in Atlanta on November 5 and 6, 2009.

The Puerto Rican scientists presented their studies about Vieques and confronted their colleagues from the federal agency about the latter’s public policy of not connecting 60 years of US Navy practices with the environmental and health problems in Vieques. In this meeting it was proved beyond a doubt that there is a connection between military practices and the health and environmental contamination in Vieques.  Finally, the ATSDR’s director and his technical advisors accepted the arguments of the the Puerto Rican experts. In light of this development the Puerto Rican scientists asked that the agency officially and publicly express the following:

• Change the agency’s current public policy to recognize the connection between the military practices and the problems of health and contamination in Vieques

• Do not endorse vegetation burning as part of the cleanup process

• Do not permit open air detonation of unexploded bombs

• Initiate a reevaluation of the health situation in Vieques

• Announce publicly that this determination was inspired by a group of Puerto Rican experts

The discussion was based on scientific data presented in five studies by Dr. Arturo Massol Deyá de Casa Pueblo de Adjuntas/UPR Mayagüez in Vieques’ military and civilian zones from 1999 to 2008. The studies examined crabs, vegetation, goats, pigeon peas, marine vegetation and organic cultivation in the civilian zone. The latter showed evidence of the movement of cancer-causing heavy metals from zones of military activity to where viequenses live. In addition, this finding was sustained by powerfully convincing studies by Drs. Carmen Ortiz Roque and Carmen Colón de Jorge. To this they added the resolution from the forum celebrated in Casa Pueblo on October 30, based on additional studies and investigations by Drs. Jorge Colón, University of Puerto Rico–Río Piedras, Carlos J. Rodríguez Sierra, UPR–Medical Sciences Recinto de Ciencias Médicas and Cruz María Nazario, UPR–Medical Sciences.

It is important to note that for years the ATSDR had in its possession the studies of the Puerto Rican scientists, as well as a study by the Puerto Rican Health Department about the higher incidence of cancer in Vieques than in the rest of Puerto Rico, yet both government agencies kept those studies secret. This points to a coverup and racist treatment of 9,000 inhabitants of Vieques, Puerto Rico.

It is also important to recognize the great contribution toward changing the ATSDR’s policy, made by community groups in Vieques, the island’s mayor, and individuals both from Puerto Rico and the United States, in particular Congressman Steven Rothman (D-NJ).

This glorious experience of solidarity came about due to a conversation among Puerto Rican scientists Drs. Cruz María Nazario, Jorge Colón, and Arturo Massol Deyá on Radio Casa Pueblo

WOQI 1020 AM in Adjuntas, Puerto Rico, on October 8, 2009. This inspired the all-day Forum in Casa Pueblo on October 30 as a response to an invitation from the ATSDR to participate in meetings on November 5-6, 20009 in Atlanta. The Forum was transmitted live by Radio Casa Pueblo and by www.telecoqui.net <http://www.telecoqui.net/ <http://www.telecoqui.net/> > for the whole world (video available to viewing).

Today we continue in attention and in struggle for our beloved and glorious People of Vieques.

Casa Pueblo     Tel/Fax 829-4842

http://www.casapueblo.org <http://www.casapueblo.org>

casapueb@coqui.net <casapueb@coqui.net>

PLEASE SHARE THIS NOTICE WIDELY

Navy plans to dissolve Hunters Point Restoration Advisory Board

According to the news story below, the Navy intends to dissolve a Restoration Advisory Board (RAB) for the closed, and highly contaminated military installation at Bayview Hunters Point in San Francisco.  This is a largely poor/working class Black and Latino neighborhood and the site of many environmental justice struggles over the years.   The Navy’s reason is that the meetings had taken on a “hostile tone”.    This incident reveals several things.   First, the RABs are basically powerless, and were intended to be so.  Two, communities still used the RAB as a venue to address military contamination issues, but were shut down when they actually asserted their power.   This is consistent with experiences in Hawai’i. There are several RABs in Hawai’i, including Pearl Harbor, Hickam, Lualualei, Waimanalo, Waikane, and Central Oahu.  Mainly, the RABs are useful for obtaining information and raising questions and concerns.  However, the controlling power resides with the military, as the Hunters Point story indicates.   We need a better system for public accountability and oversight of military clean up projects.

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http://www.ktvu.com/news/21537750/detail.html

Hunters Point Residents Angered At Navy Proposal To Shelve Cleanup Committee

Posted: 10:06 pm PST November 5, 2009

SAN FRANCISCO — Residents of San Francisco’s Bayview District Thursday expressed concern about community involvement in the ongoing toxic cleanup and redevelopment of the former U.S. Navy shipyard at Hunters Point at a Board of Supervisors committee hearing.

The Government Audit and Oversight Committee Thursday afternoon passed a resolution authored by Supervisor John Avalos calling on the Navy to reconsider its plan to dissolve the Restoration Advisory Board (RAB) for Hunters Point.

The Navy earlier this year sent a notice of its intention to end the committee, which includes members of the Bayview community, Navy officials and environmental regulators and met regularly to discuss the ongoing cleanup efforts of the 900-acre former shipyard, which was found to be contaminated by toxic metals and petroleum waste.

Some residents blame the contamination for higher incidences of cancer and asthma in the community.

The Navy said the meetings had taken on a “hostile tone,” and rules of order were not followed, according to Amy Brownell, a San Francisco Department of Public Health environmental engineer and former RAB member, who said today she agreed with the Navy’s perspective.

Other concerns cited by the Navy included lack of diverse input from the community at the meetings, and that the meetings’ focus drifted from cleanup to redevelopment and other issues, Brownell said.

Redevelopment plans include thousands of new housing units, parks and a possible new stadium for the San Francisco 49ers.

Leon Mohammad, a former RAB co-chair, told the committee today that he believes the Navy’s decision was politically motivated and retaliatory against some members “for raising legitimate concerns on behalf of the Bayview-Hunters Point community.”

But Mohammad said the advisory board was necessary to ensure the cleanup effort was responsive to the community’s needs.

Minister Christopher Muhammad said the cleanup had been corrupted by “greedy developers and political expediency.”

Some residents have charged that a plan by San Francisco city officials to make an early transfer of some portions of the cleanup site from the Navy to the city in late 2010 is motivated more by concerns about developing the land than about residents’ health.

“They’ll clean it up, at some point, but at what cost to the existing population?” asked Muhammad.

San Francisco Office of Economic and Workforce Development Director Michael Cohen insisted at the hearing that effective cleanup of the early transfer parcels would be completed.

Cohen said the early transfers were “suggested to us by the federal EPA” and called the idea that the transfers would come at the cost of removal of ground contamination an “unfortunate misconception.”

Avalos has planned a future hearing on the proposed early transfer of lands. The RAB resolution will move to the full board on Nov. 17.

“I think there’s been real questions … the Navy has been real arrogant in running the meetings,” Avalos said after today’s hearing.

“But they have to take in information that they might not necessarily like to hear,” he said.

There was no Navy representative at the hearing, and a spokesperson did not immediately return a call for comment.

On the early transfer proposal, Avalos said he believes “development is driving it.”

“It should be the general safety of people, that drives this,” he said.

Copyright 2009 by KTVU.com and Bay City News. All rights reserved. This material may not be published, broadcast, rewritten or redistributed.

Contaminated Missile Sites

http://www.honoluluadvertiser.com/article/20091011/NEWS08/910110383/Polluted+missile+sites+a+legacy+of+Cold+War

The Honolulu Advertiser carried a story about contaminated missile sites.  Hawai’i has several of these close missile silos, although it is not clear from the article whether any of the contaminated sites are in Hawai’i.   I am aware of Nike missile sites in Waimanalo beach, at Peacock Flats above Mokuleia, and another in Kahuku.    At a total projected cost of $400 million, the U.S. Army Corps of Engineers is cleaning up former missile sites:

The corps has spent $116 million at 44 former Atlas and Titan intercontinental ballistic missile sites and 19 former Nike anti-aircraft missile sites from the early Cold War. The ICBM sites include 14 in Kansas, 10 in Nebraska, seven in Wyoming, seven in Colorado and two in Oklahoma. California, New Mexico, New York and Texas have one contaminated ICBM site each.

The main chemical hazard is trichloroethylene (TCE).  There is TCE and Perchloroethylene (PCE) contamination in the groundwater in Wahiawa and ‘Aiea due to military activities.

Exposure to high concentrations of the chemical could cause nervous system problems, liver and lung damage, abnormal heartbeat, coma and death, according to the Department of Health and Human Services’ Agency for Toxic Substances and Disease Registry. TCE also may cause cancer, other government agencies say.

TCE may have polluted many more missile sites than the corps is aware of.

The TCE standards were not established until after many of the closed  missile sites were evaluated for possible contamination.  This means that many sites may not have been evaluated for TCE contamination, but according to Lenny Siegel of the Center for Public Environmental Oversight, we cannot count on the government to follow through on their own:

“They don’t look too hard for new contamination because if they do, they have to clean it up,” said Lenny Siegel, executive director of the Center for Public Environmental Oversight in Mountain View, Calif.

‘Toxic Waters’ series in the NYT

The New York Times published the first in a series of investigative articles on water pollution and the failures of the EPA to enforce the Clean Water Act.  They have compiled a massive searchable database and map of clean water act violations.   The data for Hawai’i shows Sand Island Wastewater Treatment facility run by the City as the worst violator with 252 violations followed by Pearl Harbor Naval Shipyard with 73 violations.  The Kaneohe Marine Corp Base Hawaii waste water treatment plant and Schofield Barracks wastewater treatment plant come in at 10 and 11 on the list.   The Schofield Barracks R2 wastewater is dumped into an irrigation flume that drains from the ‘Lake Wilson’ reservoir (actually the dammed Kaukonahua Stream) and flows into former pineapple and sugar fields on its way down to Waialua.  Since there is not much agriculture today as in the past, most of this irrigation water is unused and ends up in ditches in Waialua where they eventually flow into the sea.  Along the way, immigrants have stocked the irrigation ditches with freshwater clams and harvest them along Kaukonahua Road.

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Toxic Waters

Clean Water Laws Are Neglected, at a Cost in Suffering

By CHARLES DUHIGG
Published: September 12, 2009

Jennifer Hall-Massey relies on drinking water that is brought in by truck and stored in barrels on her porch near Charleston, W.Va.

In fact, her entire family tries to avoid any contact with the water. Her youngest son has scabs on his arms, legs and chest where the bathwater – polluted with lead, nickel and other heavy metals – caused painful rashes. Many of his brother’s teeth were capped to replace enamel that was eaten away.

Neighbors apply special lotions after showering because their skin burns. Tests show that their tap water contains arsenic, barium, lead, manganese and other chemicals at concentrations federal regulators say could contribute to cancer and damage the kidneys and nervous system.

“How can we get digital cable and Internet in our homes, but not clean water?” said Mrs. Hall-Massey, a senior accountant at one of the state’s largest banks.

She and her husband, Charles, do not live in some remote corner of Appalachia. Charleston, the state capital, is less than 17 miles from her home.

“How is this still happening today?” she asked.

When Mrs. Hall-Massey and 264 neighbors sued nine nearby coal companies, accusing them of putting dangerous waste into local water supplies, their lawyer did not have to look far for evidence. As required by state law, some of the companies had disclosed in reports to regulators that they were pumping into the ground illegal concentrations of chemicals – the same pollutants that flowed from residents’ taps.

But state regulators never fined or punished those companies for breaking those pollution laws.

This pattern is not limited to West Virginia. Almost four decades ago, Congress passed the Clean Water Act to force polluters to disclose the toxins they dump into waterways and to give regulators the power to fine or jail offenders. States have passed pollution statutes of their own. But in recent years, violations of the Clean Water Act have risen steadily across the nation, an extensive review of water pollution records by The New York Times found.

In the last five years alone, chemical factories, manufacturing plants and other workplaces have violated water pollution laws more than half a million times. The violations range from failing to report emissions to dumping toxins at concentrations regulators say might contribute to cancer, birth defects and other illnesses.

However, the vast majority of those polluters have escaped punishment. State officials have repeatedly ignored obvious illegal dumping, and the Environmental Protection Agency, which can prosecute polluters when states fail to act, has often declined to intervene.

Because it is difficult to determine what causes diseases like cancer, it is impossible to know how many illnesses are the result of water pollution, or contaminants’ role in the health problems of specific individuals.

But concerns over these toxins are great enough that Congress and the E.P.A. regulate more than 100 pollutants through the Clean Water Act and strictly limit 91 chemicals or contaminants in tap water through the Safe Drinking Water Act.

Regulators themselves acknowledge lapses. The new E.P.A. administrator, Lisa P. Jackson, said in an interview that despite many successes since the Clean Water Act was passed in 1972, today the nation’s water does not meet public health goals, and enforcement of water pollution laws is unacceptably low. She added that strengthening water protections is among her top priorities. State regulators say they are doing their best with insufficient resources.

The Times obtained hundreds of thousands of water pollution records through Freedom of Information Act requests to every state and the E.P.A., and compiled a national database of water pollution violations that is more comprehensive than those maintained by states or the E.P.A. (For an interactive version, which can show violations in any community, visit www.nytimes.com/toxicwaters.)

In addition, The Times interviewed more than 250 state and federal regulators, water-system managers, environmental advocates and scientists.

That research shows that an estimated one in 10 Americans have been exposed to drinking water that contains dangerous chemicals or fails to meet a federal health benchmark in other ways.

Those exposures include carcinogens in the tap water of major American cities and unsafe chemicals in drinking-water wells. Wells, which are not typically regulated by the Safe Drinking Water Act, are more likely to contain contaminants than municipal water systems.

Because most of today’s water pollution has no scent or taste, many people who consume dangerous chemicals do not realize it, even after they become sick, researchers say.

But an estimated 19.5 million Americans fall ill each year from drinking water contaminated with parasites, bacteria or viruses, according to a study published last year in the scientific journal Reviews of Environmental Contamination and Toxicology. That figure does not include illnesses caused by other chemicals and toxins.

In the nation’s largest dairy states, like Wisconsin and California, farmers have sprayed liquefied animal feces onto fields, where it has seeped into wells, causing severe infections. Tap water in parts of the Farm Belt, including cities in Illinois, Kansas, Missouri and Indiana, has contained pesticides at concentrations that some scientists have linked to birth defects and fertility problems.

In parts of New York, Rhode Island, Ohio, California and other states where sewer systems cannot accommodate heavy rains, untreated human waste has flowed into rivers and washed onto beaches. Drinking water in parts of New Jersey, New York, Arizona and Massachusetts shows some of the highest concentrations of tetrachloroethylene, a dry cleaning solvent that has been linked to kidney damage and cancer. (Specific types of water pollution across the United States will be examined in future Times articles.)

The Times’s research also shows that last year, 40 percent of the nation’s community water systems violated the Safe Drinking Water Act at least once, according to an analysis of E.P.A. data. Those violations ranged from failing to maintain proper paperwork to allowing carcinogens into tap water. More than 23 million people received drinking water from municipal systems that violated a health-based standard.

In some cases, people got sick right away. In other situations, pollutants like chemicals, inorganic toxins and heavy metals can accumulate in the body for years or decades before they cause problems. Some of the most frequently detected contaminants have been linked to cancer, birth defects and neurological disorders.

Records analyzed by The Times indicate that the Clean Water Act has been violated more than 506,000 times since 2004, by more than 23,000 companies and other facilities, according to reports submitted by polluters themselves. Companies sometimes test what they are dumping only once a quarter, so the actual number of days when they broke the law is often far higher. And some companies illegally avoid reporting their emissions, say officials, so infractions go unrecorded.

Environmental groups say the number of Clean Water Act violations has increased significantly in the last decade. Comprehensive data go back only five years but show that the number of facilities violating the Clean Water Act grew more than 16 percent from 2004 to 2007, the most recent year with complete data.

Polluters include small companies, like gas stations, dry cleaners, shopping malls and the Friendly Acres Mobile Home Park in Laporte, Ind., which acknowledged to regulators that it had dumped human waste into a nearby river for three years.

They also include large operations, like chemical factories, power plants, sewage treatment centers and one of the biggest zinc smelters, the Horsehead Corporation of Pennsylvania, which has dumped illegal concentrations of copper, lead, zinc, chlorine and selenium into the Ohio River. Those chemicals can contribute to mental retardation and cancer.

Some violations are relatively minor. But about 60 percent of the polluters were deemed in “significant noncompliance” – meaning their violations were the most serious kind, like dumping cancer-causing chemicals or failing to measure or report when they pollute.

Finally, the Times’s research shows that fewer than 3 percent of Clean Water Act violations resulted in fines or other significant punishments by state officials. And the E.P.A. has often declined to prosecute polluters or force states to strengthen their enforcement by threatening to withhold federal money or take away powers the agency has delegated to state officials.

Neither Friendly Acres Mobile Home Park nor Horsehead, for instance, was fined for Clean Water Act violations in the last eight years. A representative of Friendly Acres declined to comment. Indiana officials say they are investigating the mobile home park. A representative of Horsehead said the company had taken steps to control pollution and was negotiating with regulators to clean up its emissions.

Numerous state and federal lawmakers said they were unaware that pollution was so widespread.

“I don’t think anyone realized how bad things have become,” said Representative James L. Oberstar, a Minnesota Democrat, when told of The Times’s findings. Mr. Oberstar is chairman of the House Transportation and Infrastructure Committee, which has jurisdiction over many water-quality issues.

“The E.P.A. and states have completely dropped the ball,” he said. “Without oversight and enforcement, companies will use our lakes and rivers as dumping grounds – and that’s exactly what is apparently going on.”

The E.P.A. administrator, Ms. Jackson, whose appointment was confirmed in January, said in an interview that she intended to strengthen enforcement of the Clean Water Act and pressure states to apply the law.

“I’ve been saying since Day One I want to work on these water issues pretty broadly across the country,” she said. On Friday, the E.P.A. said that it was reviewing dozens of coal-mining permits in West Virginia and three other states to make sure they would not violate the Clean Water Act.

After E.P.A. officials received detailed questions from The New York Times in June, Ms. Jackson sent a memo to her enforcement deputy noting that the E.P.A. is “falling short of this administration’s expectations for the effectiveness of our clean water enforcement programs. Data available to E.P.A. shows that, in many parts of the country, the level of significant noncompliance with permitting requirements is unacceptably high and the level of enforcement activity is unacceptably low.”

State officials, for their part, attribute rising pollution rates to increased workloads and dwindling resources. In 46 states, local regulators have primary responsibility for crucial aspects of the Clean Water Act. Though the number of regulated facilities has more than doubled in the last 10 years, many state enforcement budgets have remained essentially flat when adjusted for inflation. In New York, for example, the number of regulated polluters has almost doubled to 19,000 in the last decade, but the number of inspections each year has remained about the same.

But stretched resources are only part of the reason polluters escape punishment. The Times’s investigation shows that in West Virginia and other states, powerful industries have often successfully lobbied to undermine effective regulation.

State officials also argue that water pollution statistics include minor infractions, like failing to file reports, which do not pose risks to human health, and that records collected by The Times failed to examine informal enforcement methods, like sending warning letters.

“We work enormously hard inspecting our coal mines, analyzing water samples, notifying companies of violations when we detect them,” said Randy Huffman, head of West Virginia’s Department of Environmental Protection. “When I look at how far we’ve come in protecting the state’s waters since we took responsibility for the Clean Water Act, I think we have a lot to be proud of.”

But unchecked pollution remains a problem in many states. West Virginia offers a revealing example of why so many companies escape punishment.

One Community’s Plight

The mountains surrounding the home of Mrs. Hall-Massey’s family and West Virginia’s nearby capital have long been mined for coal. And for years, the area enjoyed clean well water.

But starting about a decade ago, awful smells began coming from local taps. The water was sometimes gray, cloudy and oily. Bathtubs and washers developed rust-colored rings that scrubbing could not remove. When Mrs. Hall-Massey’s husband installed industrial water filters, they quickly turned black. Tests showed that their water contained toxic amounts of lead, manganese, barium and other metals that can contribute to organ failure or developmental problems.

Around that time, nearby coal companies had begun pumping industrial waste into the ground.

Mining companies often wash their coal to remove impurities. The leftover liquid – a black fluid containing dissolved minerals and chemicals, known as sludge or slurry – is often disposed of in vast lagoons or through injection into abandoned mines. The liquid in those lagoons and shafts can flow through cracks in the earth into water supplies. Companies must regularly send samples of the injected liquid to labs, which provide reports that are forwarded to state regulators.

In the eight miles surrounding Mrs. Hall-Massey’s home, coal companies have injected more than 1.9 billion gallons of coal slurry and sludge into the ground since 2004, according to a review of thousands of state records. Millions more gallons have been dumped into lagoons.

These underground injections have contained chemicals at concentrations that pose serious health risks, and thousands of injections have violated state regulations and the Safe Drinking Water Act, according to reports sent to the state by companies themselves.

For instance, three coal companies – Loadout, Remington Coal and Pine Ridge, a subsidiary of Peabody Energy, one of the largest coal companies in the world – reported to state officials that 93 percent of the waste they injected near this community had illegal concentrations of chemicals including arsenic, lead, chromium, beryllium or nickel.

Sometimes those concentrations exceeded legal limits by as much as 1,000 percent. Those chemicals have been shown to contribute to cancer, organ failures and other diseases.

But those companies were never fined or punished for those illegal injections, according to state records. They were never even warned that their activities had been noticed.

Remington Coal declined to comment. A representative of Loadout’s parent said the company had assigned its permit to another company, which ceased injecting in 2006. Peabody Energy, which spun off Pine Ridge in 2007, said that some data sent to regulators was inaccurate and that the company’s actions reflected best industry practices.

West Virginia officials, when asked about these violations, said regulators had accidentally overlooked many pollution records the companies submitted until after the statute of limitations had passed, so no action was taken. They also said their studies indicated that those injections could not have affected drinking water in the area and that other injections also had no detectable effect.

State officials noted that they had cited more than 4,200 water pollution violations at mine sites around the state since 2000, as well as conducted thousands of investigations. The state has initiated research about how mining affects water quality. After receiving questions from The Times, officials announced a statewide moratorium on issuing injection permits and told some companies that regulators were investigating their injections.

“Many of the issues you are examining are several years old, and many have been addressed,” West Virginia officials wrote in a statement. The state’s pollution program “has had its share of issues,” regulators wrote. However, “it is important to note that if the close scrutiny given to our state had been given to others, it is likely that similar issues would have been found.”

More than 350 other companies and facilities in West Virginia have also violated the Clean Water Act in recent years, records show. Those infractions include releasing illegal concentrations of iron, manganese, aluminum and other chemicals into lakes and rivers.

As the water in Mrs. Hall-Massey’s community continued to worsen, residents began complaining of increased health problems. Gall bladder diseases, fertility problems, miscarriages and kidney and thyroid issues became common, according to interviews.

When Mrs. Hall-Massey’s family left on vacation, her sons’ rashes cleared up. When they returned, the rashes reappeared. Her dentist told her that chemicals appeared to be damaging her teeth and her son’s, she said. As the quality of her water worsened, Mrs. Hall-Massey’s once-healthy teeth needed many crowns. Her son brushed his teeth often, used a fluoride rinse twice a day and was not allowed to eat sweets. Even so, he continued getting cavities until the family stopped using tap water. By the time his younger brother’s teeth started coming in, the family was using bottled water to brush. He has not had dental problems.

Medical professionals in the area say residents show unusually high rates of health problems. A survey of more than 100 residents conducted by a nurse hired by Mrs. Hall-Massey’s lawyer indicated that as many as 30 percent of people in this area have had their gallbladders removed, and as many as half the residents have significant tooth enamel damage, chronic stomach problems and other illnesses. That research was confirmed through interviews with residents.

It is difficult to determine which companies, if any, are responsible for the contamination that made its way into tap water or to conclude which specific chemicals, if any, are responsible for particular health problems. Many coal companies say they did not pollute the area’s drinking water and chose injection sites that flowed away from nearby homes.

An independent study by a university researcher challenges some of those claims.

“I don’t know what else could be polluting these wells,” said Ben Stout, a biology professor at Wheeling Jesuit University who tested the water in this community and elsewhere in West Virginia. “The chemicals coming out of people’s taps are identical to the chemicals the coal companies are pumping into the ground.”

One night, Mrs. Hall-Massey’s 6-year-old son, Clay, asked to play in the tub. When he got out, his bright red rashes hurt so much he could not fall asleep. Soon, Mrs. Hall-Massey began complaining to state officials. They told her they did not know why her water was bad, she recalls, but doubted coal companies had done anything wrong. The family put their house on the market, but because of the water, buyers were not interested.

In December, Mrs. Hall-Massey and neighbors sued in county court, seeking compensation. That suit is pending. To resolve a related lawsuit filed about the same time, the community today gets regular deliveries of clean drinking water, stored in coolers or large blue barrels outside most homes. Construction began in August on a pipeline bringing fresh water to the community.

But for now most residents still use polluted water to bathe, shower and wash dishes.

“A parent’s only real job is to protect our children,” Mrs. Hall-Massey said. “But where was the government when we needed them to protect us from this stuff?”

Regulators ‘Overwhelmed’

Matthew Crum, a 43-year-old lawyer, wanted to protect people like Mrs. Hall-Massey. That is why he joined West Virginia’s environmental protection agency in 2001, when it became clear that the state’s and nation’s streams and rivers were becoming more polluted.

But he said he quickly learned that good intentions could not compete with intimidating politicians and a fearful bureaucracy.

Mr. Crum grew up during a golden age of environmental activism. He was in elementary school when Congress passed the Clean Water Act of 1972 in response to environmental disasters, including a fire on the polluted Cuyahoga River in Cleveland. The act’s goal was to eliminate most water pollution by 1985 and prohibit the “discharge of toxic pollutants in toxic amounts.”

“There were a bunch of us that were raised with the example of the Clean Water Act as inspiration,” he said. “I wanted to be part of that fight.”

In the two decades after the act’s passage, the nation’s waters grew much healthier. The Cuyahoga River, West Virginia’s Kanawha River and hundreds of other beaches, streams and ponds were revitalized.

But in the late 1990s, some states’ enforcement of pollution laws began tapering off, according to regulators and environmentalists. Soon the E.P.A. started reporting that the nation’s rivers, lakes and estuaries were becoming dirtier again. Mr. Crum, after a stint in Washington with the Justice Department and the birth of his first child, joined West Virginia’s Department of Environmental Protection, where new leadership was committed to revitalizing the Clean Water Act.

He said his idealism was tested within two weeks, when he was called to a huge coal spill into a stream.

“I met our inspector at the spill site, and we had this really awkward conversation,” Mr. Crum recalled. “I said we should shut down the mine until everything was cleaned up. The inspector agreed, but he said if he issued that order, he was scared of getting demoted or transferred to the middle of nowhere. Everyone was terrified of doing their job.”

Mr. Crum temporarily shut the mine.

In the next two years, he shut many polluting mines until they changed their ways. His tough approach raised his profile around the state.

Mining companies, worried about attracting Mr. Crum’s attention, began improving their waste disposal practices, executives from that period said. But they also began complaining to their friends in the state’s legislature, they recalled in interviews, and started a whisper campaign accusing Mr. Crum of vendettas against particular companies – though those same executives now admit they had no evidence for those claims.

In 2003, a new director, Stephanie Timmermeyer, was nominated to run the Department of Environmental Protection. One of West Virginia’s most powerful state lawmakers, Eustace Frederick, said she would be confirmed, but only if she agreed to fire Mr. Crum, according to several people who said they witnessed the conversation.

She was given the job and soon summoned Mr. Crum to her office. He was dismissed two weeks after his second child’s birth.

Ms. Timmermeyer, who resigned in 2008, did not return calls. Mr. Frederick died last year.

Since then, hundreds of workplaces in West Virginia have violated pollution laws without paying fines. A half-dozen current and former employees, in interviews, said their enforcement efforts had been undermined by bureaucratic disorganization, a departmental preference to let polluters escape punishment if they promise to try harder, and a revolving door of regulators who leave for higher-paying jobs at the companies they once policed.

“We are outmanned and overwhelmed, and that’s exactly how industry wants us,” said one employee who requested anonymity for fear of being fired. “It’s been obvious for decades that we’re not on top of things, and coal companies have earned billions relying on that.”

In June, four environmental groups petitioned the E.P.A. to take over much of West Virginia’s handling of the Clean Water Act, citing a “nearly complete breakdown” in the state. The E.P.A. has asked state officials to respond and said it is investigating the petition.

Similar problems exist in other states, where critics say regulators have often turned a blind eye to polluters. Regulators in five other states, in interviews, said they had been pressured by industry-friendly politicians to drop continuing pollution investigations.

“Unless the E.P.A. is pushing state regulators, a culture of transgression and apathy sets in,” said William K. Reilly, who led the E.P.A. under President George H. W. Bush.

In response, many state officials defend their efforts. A spokeswoman for West Virginia’s Department of Environmental Protection, for instance, said that between 2006 and 2008, the number of cease-operation orders issued by regulators was 10 percent higher than during Mr. Crum’s two-year tenure.

Mr. Huffman, the department’s head, said there is no political interference with current investigations. Department officials say they continue to improve the agency’s procedures, and note that regulators have assessed $14.7 million in state fines against more than 70 mining companies since 2006.

However, that is about equal to the revenue those businesses’ parent companies collect every 10 hours, according to financial reports. (To find out about every state’s enforcement record and read comments from regulators, visit www.nytimes.com/waterdata.)

“The real test is, is our water clean?” said Mr. Huffman. “When the Clean Water Act was passed, this river that flows through our capital was very dirty. Thirty years later, it’s much cleaner because we’ve chosen priorities carefully.”

Some regulators admit that polluters have fallen through the cracks. To genuinely improve enforcement, they say, the E.P.A. needs to lead.

“If you don’t have vigorous oversight by the feds, then everything just goes limp,” said Mr. Crum. “Regulators can’t afford to have some backbone unless they know Washington or the governor’s office will back them up.”

It took Mr. Crum a while to recover from his firing. He moved to Virginia to work at the Nature Conservancy, an environmental conservation group. Today, he is in private practice and works on the occasional environmental lawsuit.

“We’re moving backwards,” he said, “and it’s heartbreaking.”

Shortcomings of the E.P.A.

The memos are marked “DO NOT DISTRIBUTE.”

They were written this year by E.P.A. staff, the culmination of a five-year investigation of states’ enforcement of federal pollution laws. And in bland, bureaucratic terms, they describe a regulatory system – at the E.P.A. and among state agencies – that in many ways simply does not work.

For years, according to one memo, federal regulators knew that more than 30 states had major problems documenting which companies were violating pollution laws. Another notes that states’ “personnel lack direction, ability or training” to levy fines large enough to deter polluters.

But often, the memos say, the E.P.A. never corrected those problems even though they were widely acknowledged. The E.P.A. “may hesitate to push the states” out of “fear of risking their relationships,” one report reads. Another notes that E.P.A. offices lack “a consistent national oversight strategy.”

Some of those memos, part of an effort known as the State Review Framework, were obtained from agency employees who asked for anonymity, and others through Freedom of Information Act requests.

Enforcement lapses were particularly bad under the administration of President George W. Bush, employees say. “For the last eight years, my hands have been tied,” said one E.P.A. official who requested anonymity for fear of retribution. “We were told to take our clean water and clean air cases, put them in a box, and lock it shut. Everyone knew polluters were getting away with murder. But these polluters are some of the biggest campaign contributors in town, so no one really cared if they were dumping poisons into streams.”

The E.P.A. administrators during the last eight years – Christine Todd Whitman, Michael O. Leavitt and Stephen L. Johnson – all declined to comment.

When President Obama chose Ms. Jackson to head the E.P.A., many environmentalists and agency employees were encouraged. During his campaign, Mr. Obama promised to “reinvigorate the drinking water standards that have been weakened under the Bush administration and update them to address new threats.” He pledged to regulate water pollution from livestock operations and push for amendments to the Clean Water Act.

But some worry those promises will not be kept. Water issues have taken a back seat to other environmental concerns, like carbon emissions.

In an interview, Ms. Jackson noted that many of the nation’s waters were healthier today than when the Clean Water Act was passed and said she intended to enforce the law more vigorously. After receiving detailed questions from The Times, she put many of the State Review Framework documents on the agency’s Web site, and ordered more disclosure of the agency’s handling of water issues, increased enforcement and revamped technology so that facilities’ environmental records are more accessible.

“Do critics have a good and valid point when they say improvements need to be made? Absolutely,” Ms. Jackson said. “But I think we need to be careful not to do that by scaring the bejesus out of people into thinking that, boy, are things horrible. What it requires is attention, and I’m going to give it that attention.”

In statements, E.P.A. officials noted that from 2006 to 2008, the agency conducted 11,000 Clean Water Act and 21,000 Safe Drinking Water Act inspections, and referred 146 cases to the Department of Justice. During the 2007 to 2008 period, officials wrote, 92 percent of the population served by community water systems received water that had no reported health-based violations.

The Times’s reporting, the statements added, “does not distinguish between significant violations and minor violations,” and “as a result, the conclusions may present an unduly alarming picture.” They wrote that “much of the country’s water quality problems are caused by discharges from nonpoint sources of pollution, such as agricultural runoff, which cannot be corrected solely through enforcement.”

Ultimately, lawmakers and environmental activists say, the best solution is for Congress to hold the E.P.A. and states accountable for their failures.

The Clean Water Act, they add, should be expanded to police other types of pollution – like farm and livestock runoff – that are largely unregulated. And they say Congress should give state agencies more resources, in the same way that federal dollars helped overhaul the nation’s sewage systems in the 1970s.

Some say changes will not occur without public outrage.

“When we started regulating water pollution in the 1970s, there was a huge public outcry because you could see raw sewage flowing into the rivers,” said William D. Ruckelshaus, who served as the first head of the Environmental Protection Agency under President Richard M. Nixon, and then again under President Ronald Reagan.

“Today the violations are much more subtle – pesticides and chemicals you can’t see or smell that are even more dangerous,” he added. “And so a lot of the public pressure on regulatory agencies has ebbed away.”

Karl Russell contributed reporting.

Source: http://www.nytimes.com/2009/09/13/us/13water.html?_r=1&th=&emc=th&pagewanted=all

Micronesians fight for health care

Micro-managing

Pacific immigrants face a death panel of their own.

by Alan D. McNarie

Sep 2, 2009

Retired cook Calvin Nelson says that when he came to Hawaii from Kwajalein after the United States had seized his home for a new missile range, he was told, “everything will be covered.” But 20 years later, he learned that a new health program that the state government was issuing for himself and thousands of other Micronesian immigrants wouldn’t pay for the kidney dialysis that kept him alive.

He vowed that if that happened, he would go back and reclaim his home on the missile range.

“Well, I guess I don’t have any choice but to go home and to go to heaven. There’s no other way for me to receive treatment,” he told the Weekly.

Trucy James was in a similar situation, except there was no home left for her to return to. It was destroyed in a nuclear bomb blast-one of 67 such nuclear tests that devastated much of the island chain. Now, like Nelson, she faced a cutoff of her dialysis, without which both would be dead in a matter of days.

Nelson, James and approximately 108 other legal Micronesian immigrants on dialysis got a last-minute reprieve from the governor on August 31, when Senior Policy Advisor Linda Schmidt and Health and Human Services Director William Koller told a group of Micronesian protestors outside Lingle’s office that their kidney dialysis would be covered for the next two years.

Not so lucky, perhaps, were 130-160 Micronesians, including Marshallese nuclear test refugees, who need radiation therapy or chemotherapy for cancer. According to a Health and Human Services press release, the dialysis patients could be treated because Federal courts had ruled dialysis an “emergency treatment” and the Federal government would eventually reimburse the State for such treatment-but “We cannot cover chemotherapy in the same way because the Federal Government does not consider it an emergency.”

“We are working with the American Cancer Society and other providers to find a way to continue chemo treatments,” said the press release. Queens Medical Center said Tuesday it will continue to treat Micronesian cancer patients at no cost, for now.

Hundreds of Micronesian immigrants may lose their benefits entirely, because they didn’t file the proper paperwork on time.

Who pays?

At the heart of the Micronesian health crisis is the state’s budget crunch and a dispute between the U.S. and the State over who should foot the bill for the immigrants. The U.S. is obligated to provide for Micronesian immigrants’ health needs under the Compact of Free Associations, which guarantees residents of the former U.S. Trust Territories of the Pacific Islands access to some U.S. domestic programs and services in exchange for military concessions from the Federated States of Micronesia, Republic of Palau and Republic of the Marshall Islands-including the missile range at Kwajalein. Under COFA, the federal government also divides $30 million of “Compact Impact” money annually among Hawaii, Guam, American Samoa and Northern Mariana Islands to help defray the cost of providing services to Micronesian immigrants. The Lingle administration maintains that it spent over $101 million to provide such services in 2007, but only got $11 million in Compact Impact payments from the U.S. government.

In response to this gap, the Lingle administration is removing Micronesian immigrants over the age of 18 from a program that provided the equivalent of QUEST (Medicaid) coverage, and is enrolling them instead under a new program called “Basic Care Hawaii,” which provides only a fraction of the former coverage. The administration claims it will save $15 million dollars by making the change. Critics contend, however, the change will force the immigrants be forced to use hospital emergency rooms instead of their former health care providers, thus straining the ER’s ability to provide services to all residents.

From Eniwetok to Ocean View

Particularly hard-hit may be the Big Island-especially the rural district of Kau, where relatively cheap land prices and rental costs have lured thousands of Micronesians. According to Dr. Keola G. K. Dowling, who serves as Care Coordinator for COFA Immigrants at the Big Island’s nonprofit Bay Clinics, the island holds 2,000-3,000 Marshallese, 3,000 Chuukese, 1,500 Kosraeans, 150-300 Yapese, 1,500-1,800 Pohnapeians, and 200 Palauans. But Dowling believes those estimates are low. He says more than a thousand Marshallese reside in the remote Kau community of Ocean View alone.

“Almost all of the Eniwetok refugees live there,” he says. “Some Bikinians too. They definitely consider themselves nuclear refugees.”

The U.S. Eniwetok and Bikini were used as nuclear testing grounds, setting off 67 open-air atomic and hydrogen bomb blasts that equaled, Dowling says, “1.7 hiroshima-sized bombs every morning 12 years…One of the islands in their homeland was turned into white light. It was vaporized.”

“Of 160 Micronesians who are under chemotherapy in Hawaii, most of them are from the Marshall Islands, and most of those came from where they blasted those bombs on Eniwetok and Bikini,” Dowling notes.

Bureaucracy vs. culture

The Micronesians’ supporters also claim that many immigrants didn’t know to register for the new program, thanks to a combination of cross-cultural difficulties and poor government planning.

“Their exposure to bureaucratic systems and the necessity of doing paperwork has been pretty limited,” says retired UH-Hilo Professor Craig Severance, who has lived in Micronesia and who wrote a letter to Lingle supporting a delay in the implementation of the new program. He notes that while “Those that have been here for a while are well adjusted,” newcomers from the outer islands have trouble with bureaucracy, and “part of the trouble is not so much their fault as it is the agencies…It’s the responsibility of the agencies to make that transition easy, and not difficult. It’s also to make the translation and the communication of expectations clear, rather than simply stereotyping all Micronesians as being the same.”

When members and supporters of Micronesians United called an ad hoc to discuss the health crisis, some participants brought stories of immigrants who were stymied in their efforts to get their paperwork in for the transition, because they were referred to automated phone services that were either entirely in English or were so badly translated that Marshallese islanders didn’t recognize the reputed Marshallese phone recordings as their own language.

“A lot of them that did call them said that the recording was automated and ‘We didn’t understand it, says Leilani Resureccion of the nonprofit Alii’s Hale, which works with Pacific islanders in Kau. “If you don’t get your form in, then you will lose your health care for yourself and for your family.”

Both Severance and Resureccion note that state law requires the government to supply translators for those who need them.

But translation wasn’t the only problem. Ocean View has no post office. Many of the immigrants get their mail at post office boxes in Kona, 40-plus miles away, and many do not have cars, so they don’t often check their boxes often. So many may not have gotten the notification letters and forms that were mailed out.

Resureccion notes that the Marshallese are a “very communal” people and that the best way to get the word out was through meetings.

“Did the health workers actually come out here and hold meetings to inform them of the change?” she asks rhetorically. “You know what the answer is? No.”

So the Lingle administration may save even more money than it anticipated, by dropping many members from its health care rolls entirely.

Cream-skimming

Participants at the August 31 meeting accused the Lingle administration of achieving the savings it claimed by essentially cream-skimming-keeping Micronesian patients who were unlikely to cost much and dumping high-expense, chronic care patients. One noted that the State of Hawaii was probably actually making a profit off under-18 Micronesians, who required little health care.

“Migrants under 18 are not being taken off of Quest because they get two-for-one matching funds from the Feds,” he claimed.

Downing also notes that the Lingle Administration could have saved money simply by reducing bureaucratic waste. He notes, for instance that both Bay Clinics and another organization got grants to do redundant studies of the immigrants’ needs.

“There was a third entity called the COFA task force, and they had very big funding. As far as I know, they’ve never published anything of what they did,” he adds.

PR problem

On top of their bureaucratic woes, Micronesians in Hawaii are also battling the same image problems that many immigrant groups face. When the Honolulu Advertiser ran a story about the health care crisis, online comments ran heavily in favor of the cuts; many of those commented made remarks to the effect that the Micronesians were freeloading.

That’s far from the truth, according to their supporters. Resurecion says that in Kau, many of the Micronesians work as macadamia nut and coffee harvesters.

“Most of the Micronesians we know are working and some of them are working in professional capacities,” says Severance.

Downing agrees.

“We do not want people ever to be saying of Micronesians that they were victims.”

Source: http://honoluluweekly.com/feature/2009/09/micro-managing/

‘Hey, can you move the birds?’

Marines drive amphibious assault vehicles through Nu’upia pond, a wetland and Hawaiian fishpond, to help create bird habitat?    “It’s better than a monster-truck rally.”

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Posted on: Monday, January 13, 2003

Mud-churning Marines help birds

By William Cole
Advertiser Military Writer

KANE’OHE BAY – Back in the late 1970s, the Marines used to drive their tanklike amphibious vehicles through the Nu’upia Ponds on base to get to the ocean.

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Marines drive their amphibious-assault vehicles through Nu’upia Ponds during training. The wetlands on the Marine Corps base in Kane’ohe are home to about 50 species of birds, including the endangered Hawaiian stilt. William Cole • The Honolulu Advertiser

But that created a problem: Birds liked to nest in the organism-rich mud churned up by the vehicles’ tank treads in the salty coastal wetlands.

“They called Fish and Wildlife and said, ‘Hey, can you move the birds?’ ” recalls Diane Drigot, senior natural resources manager for Marine Corps Base Hawai’i.

But what could have become a confrontation instead turned into a solution, and one of the more unique environmental partnerships within the U.S. military.

Once a year, Marines of the amphibious-assault vehicle platoon from Combat Support Co., 3rd Marine Regiment, get to churn up the mud of the 482-acre wetlands to their hearts’ content.

The vehicles flatten invasive pickleweed that threaten to choke off the ponds, and create the same kind of mud mounds that nesting birds found to their liking in the 1970s.

Drigot said over the past 200 years, Hawai’i has lost about one-third of the wetlands that once covered 20,000 acres.

“Eighty percent of wetlands left on the island of O’ahu are on this side of the island, and most of them are right here at Nu’upia Ponds,” Drigot said.

In the past 21 years, with help from the Marine Corps, the ponds – part of a wildlife management area – have become home or a stopover spot for 50 different species of birds.

Among them is the endangered Hawaiian stilt.

In 1980 and 1981, only about 60 of the birds lived in the wetlands.

“Now, we have about 130 birds that call Nu’upia Ponds their home,” Drigot said. “Without the help of these 26-ton vehicles, they wouldn’t have any home here at all because of these weeds that have moved in.”

At a time when military training areas are increasingly coming under fire from environmentalists, the Nu’upia Ponds program has become a poster child for the type of partnership that can exist.

This year it will be featured in just that way – on a national Marine Corps conservation effort poster.

On the Marine Corps side, the AAV platoon of 16 vehicles gets training driving in the mud and in recovery operations when they get stuck.

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The vehicles used at Nu’upia Ponds help to flatten invasive pickleweed; if not for the Marine drive-throughs, “you’d have pickleweed up to your waist,” said one official. William Cole • The Honolulu Advertiser

Plus, it’s fun.

“It’s awesome. It’s better than a monster-truck rally – you can actually do it yourself,” said Sgt. Jared Genco, 22, an AAV driver. “No matter how bad of an off-road machine you might get – an SUV, whatever, it will never go through stuff like this.”

That “stuff like this” is knee-deep mud and water.

The AAVs, armed with .50-caliber machine guns and 40 mm grenade launchers and capable of carrying up to 20 combat-ready Marines, made quick work of pickleweed control last week during two days of training.

The outings are timed to precede the March and April breeding season for stilts.

“Basically, the idea is you’re going in a crisscross pattern, and just covering all the ground that you can,” said 2nd Lt. Houston Evans, 24, the AAV platoon commander.

“(The Marines) have told me in a lot of places in Hawai’i they have to do very controlled training and stick to a straight line and make sure they don’t damage anything because Marines care about the sensitive environment,” Drigot said. “But right here, we let them go full throttle and have a little more fun, because that helps the environment.”

Evans calls the mud the most challenging land environment to drive in. In the ocean, the tank treads aren’t used; water jets push the AAV along.

“Just driving along the road or swimming in the ocean – that’s a completely different environment (than the wetlands),” Evans said.

The AAVs get to drive up to 15 mph through Nu’upia Ponds. Top speed on land is about 45 mph.

These days, the Marines bypass the wetlands to reach the ocean for training.

The once-a-year opportunity in the ponds is all the Marines get.

“We’d like to do it more,” Evans said.

Of the 482 acres, about one-third is covered in pickleweed, which was brought to Hawai’i from Argentina, Drigot said.

“It’s just taken over Hawai’i’s habitat for these birds,” she said.

The stilts live on bugs, crustaceans and little fish, and use mud mounds surrounded by water moats to lay their eggs.

“If we didn’t do this operation, you’d have pickleweed up to your waist,” Drigot said.

Endangered Hawaiian ducks, black-crowned night heron and golden plover can be found at Nu’upia Ponds, which is a bird spotters’ paradise.

During training last week, Drigot spotted a rare pair of Caspian terns.

“Without the help of the (amphibious-assault vehicle) platoon here at Marine Corps Base Hawai’i, the birds would have gone away a long time ago,” Drigot said.

Reach William Cole at wcole@honoluluadvertiser.com or 525-5459.

Source: http://the.honoluluadvertiser.com/article/2003/Jan/13/mn/mn02a.html

Fallout from nuclear tests leads to health crisis

Sep. 6, 2009 4:33 PM EDT

Fallout from nuclear tests leads to health crisis

MARK NIESSE
Associated Press Writer

HONOLULU (AP) – Pius Henry fears his adopted government will kill him, that the United States won’t live up to a health care obligation to people from Pacific islands where it tested nuclear bombs.

Henry, a diabetic from the Marshall Islands, has received free dialysis treatments three times a week for years, but the cash-strapped state of Hawaii has threatened to cut off him and others to save money.

Like thousands of legal migrants to Hawaii from independent Pacific nations, Henry believes the United States has a responsibility to provide health care to compensate for the radioactive fallout of 67 nuclear weapons tests from 1946 to 1958.

“I don’t have any option. I’m asking the government to help us,” Henry said. “They say we’re like U.S. citizens, but then they don’t treat us the same. It’s really unfair.”

A federal judge’s ruling Sept. 1 temporarily prevented Hawaii from halting critical dialysis and chemotherapy treatments to hundreds of migrants from three nations: Micronesia, the Marshall Islands and Palau. His order lasts at least until October.

Those three countries are beneficiaries of the Compact of Free Association, a 1986 pact with the United States granting it the right to use defense sites in exchange for financial assistance and migration rights.

With doctors and medical facilities lacking in their own countries, many with life-threatening conditions have moved to Hawaii seeking better health care, education and quality of life.

The islanders have struggled adjusting to American culture and their new home. They fill public housing projects and a disproportionate share of homeless shelters, according to a 2007 study. Without college degrees or a command of the English language, many work in fast-food or hotel jobs, which still pay far better than they could earn in their home countries.

“We’re the last immigrants,” said Innocenta Sound-Kikku, a Micronesian whose father, Manuel Sound, suffers from diabetes. “We come here for the same thing everyone else came here for – the chance for the American dream. The U.S. has an obligation after what they’ve done to us.”

The nuclear testing occurred in the Marshall Islands, carrying the explosive power of 7,200 Hiroshima bombs, said Dr. Neal Palafox, chairman of the Department of Family Medicine and Community Health at the University of Hawaii. The blasts contaminated thousands of miles across the Pacific Ocean.

The residual radioactivity led to high rates of leukemia and thyroid, lung, stomach, skin and brain cancers, Palafox said. Fallout exposure could result in about a 9 percent increase in cancer in the Marshall Islands, according to a 2004 National Cancer Institute estimate provided to a U.S. Senate committee.

“It’s a monster increase in cancer rates no matter how you look at it,” Palafox said.

He said that while the high rate of diabetes isn’t directly connected to the nuclear tests, fast foods and processed meats introduced by the U.S. led to worsening diets in a culture that was dependent on fishing.

The migrants also widely believe the United States owes them for their various illnesses because of the destruction to their homelands and the displacement and agony they have suffered.

While living with diabetes and high blood pressure, Manuel Sound takes about 11 pills daily and said he feels wary of death. If he missed any of his 3½-hour, thrice-weekly dialysis treatments, his health would be in danger.

“One day you miss, and the poison begins to circulate in your bloodstream. I could die if I’m not careful,” said Sound, who has lived in Hawaii for seven years after migrating from Micronesia. “With these budget cuts, I really thought I was going to go.”

The state of Hawaii sought to save $15 million by cutting health services to more than 7,000 migrants, who are treated as legal residents lacking citizenship. Their ambiguous status, as well as their cost to taxpayers, led to the state’s proposed health reductions.

Both the Hawaii government and the migrants argue that the U.S. government should take responsibility for their health treatments.

But federal Medicaid funding to the migrant islanders was slashed when welfare reform passed in 1996, resulting in Hawaii picking up the tab. U.S. Rep. Neil Abercrombie, D-Hawaii, said he is trying to reinstate Medicaid benefits for compact migrants as part of the pending health care legislation.

“The United States cannot wash its hands clear of this responsibility because the islands will still have that nuclear testing effect for the next 2,000 years,” said William Swain of the Marshallese community organization Pa Emman Kabjere, which means “don’t let go of a good hand.”

In Swain’s family, 15 siblings on his father’s side died from cancer, with the men suffering from thyroid cancer and the women from urine and breast cancer, he said. His 12-year-old niece has been diagnosed with thyroid cancer, and his older brother died from thyroid cancer two months ago.

While the government lacks data showing how quickly people are moving from these island nations, there were about 12,215 migrants of the Compact of Free Association states living in Hawaii in 2008, according to the U.S. Census Bureau.

Many of the migrants said it’s racially discriminatory for the U.S. government to grant lifesaving health coverage to poor Americans while denying it to them.

“It’s wrong for people to be so prejudiced,” said Tita Raed of Micronesians United. “Most of the people in Hawaii moved here. This is not their native island, but they’re upset when other people move here.”

Source: http://hosted2.ap.org/HIHON/513d3d78dabe49cd99f8480d90b4f0a2/Article_2009-09-06-US-Health-Bomb/id-p071afd5f28b24c89baf4f2dfa5adc740