Tag Archives: Lead Poisoning

Michigan officials knew of Legionnaires’ outbreak long before warning

DETROIT (Reuters) – State government officials knew about an outbreak of Legionnaires’ disease and its suspected link to contaminated water in impoverished Flint, Michigan, at least 10 months before a public announcement was made, documents released on Friday showed.

The disclosure of the documents, among thousands of pages of emails and other material released, comes as Michigan’s Republican Governor Rick Snyder faces pressure to resign over his administration’s handling of the Flint water crisis.

Michigan’s Genesee County, which includes Flint, had 87 cases of Legionnaires’ from June 2014 to November 2015, 10 of them fatal.

Flint’s water supply was contaminated by lead, a serious public health threat, after its water supply was switched from Detroit to the Flint River in April 2014 in a cost-cutting move when the city was under a state-appointed emergency manager.

Friday’s documents echoed previous disclosures showing that high-ranking state officials knew about an increase in Legionnaires’ disease in Genesee County and a possible link to Flint’s water 10 months before the governor said he got information about the outbreak.

Stephen Busch, a district manager in the drinking water division for Michigan Department of Environmental Quality, wrote in an email on March 17, 2015 that the city should take action to optimize water quality to help limit the potential for occurrence of Legionella, the bacteria that causes Legionnaires’.

Emails also show Busch tussling with county health officials over the issue and saying it was premature to link the public water system with Legionella. Busch was suspended last month and his job status is currently on review, a state official said.

The U.S. Centers for Disease Control and Prevention was approached by Genesee County health officials in February 2015 about an increase in reported Legionnaires’ disease cases, but state officials subsequently told the agency they would handle the investigation into the matter themselves, a CDC spokeswoman said.

In January 2016, state officials asked for the CDC’s help in the matter.

Liberal group Progress Michigan said Friday’s release of documents and emails was all for show, and called on Snyder to release those of his and his executive staff’s.

“If the governor is serious about wanting to be transparent, he will release every single document and communication regarding the Flint Water Crisis, including those of his executive staff,” Lonnie Scott, executive director of Progress Michigan, said in a statement.

Flint, a predominantly black city of about 100,000 people, switched back to Detroit water in October after tests found high levels of lead in samples of children’s blood. Water from the Flint River was more corrosive and leached more lead from the city pipes than Detroit water did. Lead can damage the nervous system.

Snyder, who has apologized for the state’s poor handling of the water crisis, alerted the public to the Legionnaires’ outbreak on Jan. 13 and said he had only heard about it two days earlier.

“Gov. Snyder first became aware of the Legionnaires’ Disease outbreak in mid-January of this year,” his press secretary Dave Murray said. “He’s made it clear that he wants to be made aware of such issues more quickly, and already made some changes in some state departments.”

On Friday, a U.S. House of Representatives oversight panel said Snyder would testify on the Flint water crisis next month. Darnell Earley, who was Flint’s state-appointed emergency manager when the city switched from Detroit’s water system, will also testify.

Snyder said in a Friday statement in which the state released emails and other documents from several state departments that “all levels of government failed the people of Flint. This crisis never should have happened.” He said by making the documents public, anyone could review them.

The Legionella bacteria is found in certain plumbing systems, including hot tubs, humidifiers, cooling towers and hot water tanks. Legionnaires’ is spread by breathing in mist from water, and cannot be spread from person to person.

(Additional reporting by Dave McKinney, Fiona Ortiz, Karen Pierog, Karl Plume, P.J. Huffstutter and Justin Madden in Chicago, David Shepardson and Timothy Gardner in Washington; Editing by Phil Berlowitz and Tom Brown)

House passes bill requiring EPA actions on lead-laced water

WASHINGTON (Reuters) – The U.S. House of Representatives on Wednesday easily passed a bill requiring federal environmental regulators to act faster when lead contamination is found in drinking water.

The bill passed 416-2. It was crafted by Michigan Representatives Dan Kildee, a Democrat, and Fred Upton, a Republican, in the wake of Flint’s drinking water crisis.

The measure requires the Environmental Protection Agency to notify the public when concentrations of lead in drinking water rise above mandated levels and to create a plan to improve communication between the agency, utilities, states, and consumers.

In 2014, under a state-appointed emergency manager, Flint, a city of 100,000, switched water supplies to the Flint River, from Detroit’s system as part of a plan to save money in the poverty-stricken city.

The more corrosive river water leached lead from aging pipes. Thousands of children are believed to have ingested dangerous levels of lead, a toxin that can harm brains and cause other health problems.

The bill “wouldn’t have prevented Flint, but it would have caught it far sooner,” Kildee, who is from Flint, said after the vote. The measure must be passed by the Senate and signed by President Barack Obama before becoming law.

Other measures in Congress to provide Flint with millions of dollars in aid to deal with the crisis face an uncertain future. Kildee has also introduced a bill to provide about $700 million in federal aid, with a match in funding from Michigan. That and other measures languished as Democrats and Republicans struggled to agree on where the funds would come from.

The Department of Agriculture said on Thursday it would temporarily allow Michigan to use funds from its Women, Infants and Children program for low income citizens to conduct lead testing. The department estimated some 3,800 people could get tested in this way.

(Reporting by Timothy Gardner; Editing by Sandra Maler)

Flint mayor vows to replace lead pipes, seeks help with $55 million tab

DETROIT (Reuters) – The mayor of Flint, Michigan, which is struggling to cope with dangerous levels of lead in its drinking water, said on Tuesday the city would replace all residents’ pipes and was counting on state and federal help to foot the estimated $55 million bill.

The city of some 100,000 people was under control of a state-appointed emergency manager in 2014 when it switched its source of water from Detroit’s municipal system to the Flint River to save money.

That move has provoked a national controversy and prompted several lawsuits by parents who say their children are showing dangerously high blood levels of lead, which can cause development problems. Lead can be toxic and children are especially vulnerable.

“We’re going to restore safe drinking water one house at a time, one child at a time,” the city’s Democratic mayor, Karen Weaver, told reporters, adding she expected the state’s Republican governor, Rick Snyder, to back the move.

Snyder spokesman Dave Murray said the governor’s office was reviewing Weaver’s request. However, experts have said the best plan is to first coat existing pipes with phosphates to inhibit corrosion, then conduct a study to determine which need to be replaced, he said.

Flint switched back to Detroit water in October after tests found high levels of lead in samples of children’s blood. The more corrosive water from the river leached more lead from the city pipes than Detroit water did.

The former Wayne County prosecutor tapped to lead the state’s investigation into the crisis said on Tuesday he was looking to see whether any of the officials who signed off on the change acted criminally.

“We’re here to investigate what possible crimes there are, anything from involuntary manslaughter … to misconduct in office,” the investigator, Todd Flood said in Lansing. He said the probe is underway but declined to provide details.

Snyder has repeatedly apologized for the state’s poor handling of the crisis.

The U.S. Attorney’s Office in Detroit also is investigating the crisis.

On Monday, the state Board of Canvassers approved a recall petition for Snyder. It calls for his removal from office due to an executive order he signed last year related to the move of the school reform office away from the state education department, a secretary of state spokesman said.

The board of canvassers previously rejected recall petitions related to the Flint water crisis, the spokesman said.

(Reporting by Ben Klayman; Editing by James Dalgleish and Lisa Shumaker)

Michigan emails show officials knew of Flint water disease risk

(Reuters) – Emails between high-ranking Michigan state officials show they knew about an uptick in Legionnaires’ disease and that it could be linked to problems with Flint water long before Governor Rick Snyder said he got information on the outbreak.

Snyder said in January he had just learned about the rise in Legionnaires cases. However, emails obtained by the liberal group Progress Michigan and released to reporters on Thursday show Snyder’s principal adviser, Harvey Hollins, was made aware of the outbreak and a possible link to the use of Flint River water last March.

A spokesman for Snyder could not be reached for comment.

“Are we to believe that a top staffer with years of experience would not inform Governor Snyder of a possibly deadly situation?” Progress Michigan executive director Lonnie Scott said in a statement.

The group cited an email from March 13, 2015, that showed Hollins and Dan Wyant, the former head of the state department of environmental quality, were aware of the increase in Legionnaires’ disease in Genesee County, where Flint is located, and that a county health official was attributing the cases to the Flint River.

State officials on Jan. 13, 2016, announced the spike in the disease resulting in 10 deaths possibly linked to the water crisis.

Flint, a city near Detroit, was under the control of a state-appointed emergency manager when it switched the source of its tap water from Detroit’s system to the Flint River in April 2014.

The city switched back last October after tests found high levels of lead in blood samples taken from children. The more corrosive water from the river leached more lead from the city pipes than Detroit water did. Lead is a toxic agent that can damage the nervous system.

Legionnaires is a type of pneumonia caused by inhaling mist infected with the bacteria Legionella. The mist may come from air-conditioning units for large buildings, hot tubs or showers.

On Wednesday at a hearing in Washington, U.S. lawmakers criticized environmental officials for not acting sooner when they saw drinking water in Flint was polluted with dangerously high lead levels. Several Democratic lawmakers on Thursday invited Snyder to Washington to testify on the Flint water crisis on Feb. 10.

Senate Democrats also teamed up with Republicans to block a wide-ranging U.S. energy bill in a fight over aid to help Flint cope with the crisis.

(Reporting by Mary Wisniewski in Chicago and Ben Klayman in Detroit; Editing by Andrew Hay)

U.S. lawmakers chastise officials at all levels over Flint water crisis

WASHINGTON (Reuters) – U.S. lawmakers criticized environmental officials at a hearing on Wednesday for not acting sooner when they saw a report that drinking water in Flint, Michigan was polluted with dangerously high levels of lead.

“I never thought this could happen in America,” and in a state, “surrounded by fresh water of the Great Lakes,” Brenda Lawrence, a Democrat of Michigan, said at a House Oversight panel examining the water crisis in Flint, a city of 100,000.

The panel issued subpoenas to officials who did not show up to testify about water found to have lead levels that hamper brain development and cause other health problems. Thousands of children are believed to have ingested the polluted water in Flint, a mostly African American and Latino suburb near Detroit.

Lawrence asked Keith Creagh, head of the Michigan Department of Environmental Quality, why his agency did not act on a report by a federal Environmental Protection Agency expert that showed the water was polluted. She did not get a clear answer.

“We all share responsibility in the Flint water crisis, whether it is the city the state or the federal government, we all let the citizens of Flint down,” said Creagh, who took the job last month.

Marc Edwards, a water engineer who first raised the issue of Flint’s lead contamination, told the panel the EPA broke laws by not notifying the public about a report of tainted water. “If it’s not criminal, I don’t know what is.”

EPA water official Joel Beauvais said he did not know why his agency did not tell the public.

Representative Elijah Cummings of Maryland, the top Democrat on the committee, complained that the Republican-led panel did not invite Michigan Governor Rick Snyder, a Republican, to testify at the hearing.

Representative Matt Cartwright of Pennsylvania criticized Snyder and his hand-picked emergency managers for Flint who were responsible for switching the source of Flint’s tap water from Detroit’s system to the Flint River, a dumping area, in April 2014.

Flint is grappling with the health and political fallout over the switch after the more corrosive river water leached lead from old pipes into the system.

“He got caught red handed poisoning the children of Flint,” Cartwright, a Democrat, said of Snyder. “There’s no two ways about it. That’s the headline here.”

A Snyder spokesman responded in an email: “It’s unfortunate when people who are not working toward a solution inject partisan politics and incendiary rhetoric into an emergency that can best be addressed by people working together.”

Snyder will ask state lawmakers in his next budget proposal to approve a $30 million water payment relief plan for Flint residents to keep their water service on and reimburse them for lead-contaminated water they cannot drink, his office said.

A busload of Flint residents traveled to Washington to attend the hearing. “We’re serious about making sure that the people responsible for this manmade disaster are held accountable,” said Bernadel Jefferson, a bishop.

Lawmakers also slammed the EPA for not sending Administrator Gina McCarthy to Flint until this week, even though the agency has known about the crisis for months. An EPA spokeswoman said the agency had formed a Flint task force last October, and has had a team there for weeks.

The head of the oversight panel, Representative Jason Chaffetz of Utah, a Republican, said he subpoenaed EPA’s Susan Hedman to appear at a deposition in Washington later this month.

Hedman, who announced last month that she would resign on Feb. 1, had played down the memo by the EPA’s Miguel del Toral that said tests had shown high levels of lead, telling Flint and Michigan administrators it was only a draft report.

The EPA has agreed to provide all of Hedman’s emails by the end of the week, Chaffetz said.

Chaffetz said his panel had also issued a second subpoena to Darnell Earley, who was Flint’s state-appointed emergency manager when the city switched from Detroit’s system.

A. Scott Bolden, Earley’s lawyer, said his client has not been given enough time to respond to the initial subpoena, which was served last night. Bolden said Earley is “not hiding anywhere” and will honor a subpoena issued with a reasonable response time.

Earley only implemented the plan to change the city’s water source that others had put in place before he started, Bolden said. “There was nothing put before him by the environmental folks, the water testers or anyone connected to ensuring the quality of the water to suggest in any way that a water disaster was looming.”

Political fallout over the crisis could also hold up a wide-ranging bill on energy. Democrats in the Senate threatened to block a bipartisan energy bill if it fails to include immediate aid for Flint.

Federal authorities including the FBI have started a criminal probe into the contamination.

(Additional reporting by Ben Klayman in Detroit and Richard Cowan in Washington)

FBI joins criminal probe into Flint water contamination

WASHINGTON (Reuters) – The Federal Bureau of Investigation said on Tuesday it is joining a criminal investigation into lead contaminated drinking water in Flint, Michigan, exploring whether any laws were broken in a crisis that has captured international attention.

Federal prosecutors in Michigan were working with an investigative team that included the FBI, the U.S. Postal Inspection Service, the U.S. Environmental Protection Agency’s Office of Inspector General, and the EPA’s Criminal Investigation Division, a spokeswoman for the U.S. Attorney’s Office in Detroit said.

An FBI spokeswoman said the agency was determining whether federal laws were broken, but declined further comment.

Also on Tuesday, EPA Administrator Gina McCarthy was meeting with officials and community leaders in Flint.

The city, about 60 miles northwest of Detroit, was under the control of a state-appointed emergency manager when it switched the source of its tap water from Detroit’s system to the Flint River in April 2014.

Flint switched back last October after tests found high levels of lead in blood samples taken from children. The more corrosive water from the river leached more lead from the city pipes than Detroit water did. Lead is a toxic agent that can damage the tissues of the nervous system.

Michigan Governor Rick Snyder, who extended a state of emergency in Flint until April 14, has repeatedly apologized for the state’s poor handling of the matter.

“It’s important to look at missteps at all three levels of government – local, state and federal – so such a crisis doesn’t occur again,” said Dave Murray, a spokesman for Snyder.

Peter Henning, a law professor at Wayne State University in Detroit and a former federal prosecutor, said on Tuesday there was limited ability to seek criminal charges under U.S. environmental laws. Prosecutors would need to find something egregious like a knowingly false statement.

“You need a lie,” he said. “You need something that is false to build a case.”

Simply failing to recognize the seriousness of the situation would not rise to that level, Henning added.

In Washington, Senators Gary Peters and Debbie Stabenow, Democrats from Michigan, pushed for $600 million in aid – mostly in federal funds – to help Flint replace pipes and provide healthcare.

Meanwhile, Senator James Inhofe, an Oklahoma Republican who chairs an environmental committee, said an agreement to help Flint was close and would be a combination of revolving funds and other aid he did not detail. Money from a revolving fund is like a loan, with the money going to the recipient and then being repaid so there is no net cost to U.S. taxpayers.

Senator John Cornyn of Texas, the second-ranking Republican in the Senate, said any aid to Flint must not add to U.S. budget deficits for “what is a local and state problem.”

Flint Mayor Karen Weaver on Tuesday called for the removal of lead pipes in the city, starting with the highest-risk homes.

The U.S. House Oversight and Government Reform Committee will hold a hearing on the Flint crisis on Wednesday and has invited the EPA’s acting deputy assistant administrator in its Office of Water to testify, as well as Keith Creagh, the new director of the Michigan Department of Environmental Quality.

The committee also invited Darnell Earley, the former Flint emergency manager, but he declined to testify. Earley, currently the Detroit Public Schools emergency manager, will step down from that position on Feb. 29.

(Additional reporting by Ben Klayman in Detroit, David Bailey in Minneapolis and Tim Gardner and Richard Cowan in Washington; editing by Jeffrey Benkoe, Grant McCool and G Crosse)

Political fallout from Flint water crisis spreads

WASHINGTON (Reuters) – President Barack Obama is determined to find out what went wrong in the contaminated water crisis in Flint, Michigan, officials said on Wednesday, and environmental regulators were set to provide Congress with information about their role.

Blame is swirling after a switch in the water supply to the city north of Detroit led to elevated levels of lead in drinking water.

“The president is absolutely determined to figure out what went wrong, generally speaking,” White House spokesman Eric Schultz told reporters traveling with Obama on Air Force One. Schultz noted that the matter was under investigation.

Facing protests, lawsuits and calls for his resignation, Michigan Governor Michigan Governor Rick Snyder, a Republican, apologized to the city’s residents on Tuesday and called for the state to spend $28 million on fixes.

But the U.S. Environmental Protection Agency, while saying it was reviewing its handling of the crisis and could have acted faster to inform the state of what measures it should take, also blamed the state on Tuesday. It said the agency’s oversight was hampered by “failures and resistance at the state and local levels.”

Flint, financially strapped and under a state-appointed emergency manager, switched to Flint River water in April 2014 from a Detroit-run water system to save money.

Complaints about the water began within a month of the switch. But Flint did not return to Detroit water until October 2015 after tests showed elevated levels of lead, which can cause brain damage and other health problems, in Flint tap water and in some children. Corrosive water from the river, known locally as a dumping ground, caused more lead to leach from Flint pipes than Detroit water did.

“This is something nobody should have to deal with. Everybody should have clean water … Resources are being sent to Flint as we speak,” Flint Mayor Karen Weaver told a conference in Washington on Wednesday.

She was interrupted by a protester shouting “I need some water.”

In his state of the state speech on Tuesday, Snyder said federal, state and local leaders had failed residents.

He asked Michigan lawmakers to authorize $28 million in spending on diagnostic tests, health treatment for children and adolescents, replacement of old fixtures in Flint schools and day care centers and a study of the city’s water pipes.

Snyder, who has faced questions on how soon he acted after learning about the water problem in Flint, promised to release his Flint-related emails from 2014 and 2015 on Wednesday.

A group of bipartisan lawmakers including Michigan Republican Fred Upton, of the U.S. House of Representatives Energy and Commerce Committee, wrote last week to Environmental Protection Agency head Gina McCarthy, requesting a briefing about the Flint contamination. That briefing to congressional staffers was scheduled for Thursday.

The House committee letter mentioned reports that said people in Flint have been exposed to dangerous biological pathogens and chemicals in the drinking water. Although Flint has now switched back to Detroit’s water system, lead levels in the city’s water are still elevated.

Several lawsuits have been filed in the case. The latest on Tuesday asked a judge to stop Flint from issuing shutoff notices to residents, who are still receiving bills for water declared undrinkable.

(Reporting by Timothy Gardner; Additional reporting by David Shepardson, Lacey Johnson, Ian Simpson; Editing by Kevin Drawbaugh and Frances Kerry)

Michigan governor asks Obama for federal aid in Flint water crisis

DETROIT (Reuters) – Michigan Governor Rick Snyder has asked President Barack Obama to declare both an emergency and an expedited major disaster in the county where the city of Flint has been dealing with the fallout from lead-contaminated drinking water.

Snyder said in a statement released shortly before midnight on Thursday that he requested federal aid in Genesee County to protect the safety of Flint residents. Earlier this week, he sent the Michigan National Guard to distribute bottled water and other supplies.

The financially strapped city was under control of a state-appointed emergency manager when it switched its source of tap water from Detroit’s system to the nearby Flint River in April 2014 to save money.

Flint, which is about 60 miles northwest of Detroit, returned to using that city’s water in October after tests found elevated levels of lead in the water and in the blood of some children.

The more corrosive water from the Flint River leached lead from the city pipes more than Detroit water did, leading to the problems.

“We are utilizing all state resources to ensure Flint residents have access to clean and safe drinking water,” Snyder said, “and today I am asking President Obama to provide additional resources.”

On Friday, Michigan Attorney General Bill Schuette said he would investigate whether any laws were violated in the crisis. “No one should have to fear something as basic as turning on the kitchen faucet.”

The assistance Snyder has requested could include grants for temporary housing, home repairs and other needs. The Federal Emergency Management Agency will review the request and advise Obama.

The White House said on Friday it would consider Snyder’s request, which was being reviewed by FEMA. A FEMA spokesman said the agency will give its recommendation to the president as soon as possible.

Some Flint residents sued Snyder, other officials, Michigan and the city on Jan. 7 in Genesee County court and are seeking class action status covering all residents.

Other Flint residents late last year filed a federal lawsuit. Genesee County also has seen a spike of Legionnaires’ disease resulting in 10 deaths that may or may not be related to the water crisis, state officials previously said.

Also on Friday, Snyder said he supports the return of more executive powers to Flint Mayor Karen Weaver. Since the city is in receivership, a city administrator is currently responsible for day-to-day operations.

(Additional reporting by Julia Edwards and Jeff Mason in Washington; Editing by Lisa Von Ahn, Bill Trott and Meredith Mazzilli)

Legionnaires’ spike in Michigan county dealing with water crisis

(Reuters) – The Michigan county already reeling from lead-contaminated drinking water in the city of Flint has seen a spike of Legionnaires’ disease resulting in 10 deaths that may or may not be related to the water crisis, officials said on Wednesday.

Genesee County, which includes Flint, had 87 cases of Legionnaires’ from June 2014 to November 2015. State officials told a news conference they could not conclude that the increase was due to a switch in the source of Flint’s water.

“That just adds to the disaster we already are facing with respect to elevated lead levels,” Governor Rick Snyder said.

About half the cases were connected to Flint water and half were not, according to Nick Lyon, director of the Michigan Department of Health and Human Services.

Legionnaires is a type of pneumonia caused by inhaling mist infected with the bacteria Legionella. The mist may come from air-conditioning units for large buildings, hot tubs or showers.

Genesee County and Michigan health departments are investigating the increase as are the U.S. Centers for Disease Control and Prevention and the U.S. Environmental Protection Agency, Snyder said.

Snyder called in Michigan National Guard troops, who arrived on Wednesday to help distribute bottled water, water filters, testing kits and other supplies to Flint residents.

The governor, who has been accused of waiting too long to intervene in the crisis, also requested support from the Federal Emergency Management Agency, which has appointed a disaster recovery coordinator to help Michigan.

Financially strapped Flint was under the control of a state-appointed emergency manager when it switched its source of tap water to the nearby Flint River in April 2014 from Detroit’s water system 60 miles to the southeast to save money.

Flint returned to the Detroit water system in October after tests found some children had elevated levels of lead in their blood and lead was found in higher-than-acceptable levels in the water. The city said in December lead levels remained well above acceptable levels.

Snyder has apologized for the state’s mishandling of the situation and declared a state of emergency in Genesee County to bring in additional state resources.

Last week, the U.S. Attorney’s Office in Detroit said it was investigating the lead contamination of Flint’s water. Flint residents have filed a federal lawsuit accusing the city and state of endangering their health.

Michigan governor to request federal aid in Flint water crisis

DETROIT (Reuters) – Michigan Governor Rick Snyder on Monday said the state was beginning to put together a request for federal assistance in dealing with the lead-contaminated drinking water in the city of Flint.

“We also have engaged FEMA in this process,” the governor said at a news conference in Flint. A spokesman for the governor said Federal Emergency Management Agency (FEMA) officials were already in Flint providing technical assistance on the issue.

“We actually have liaison officers from FEMA in dialogue already,” Snyder said. “We have not made a specific request of assistance yet, but we are in dialogue with the Federal Emergency Management Agency, and talking to them about how we can best work together.”

The financially strapped city was under the control of a state-appointed emergency manager when it switched its source of tap water to the nearby Flint River in April 2014 from Detroit’s water system to save money.

Flint, about 60 miles northwest of Detroit, returned to Detroit water in October after tests found some children had elevated levels of lead in their blood and lead was found in higher-than-acceptable levels in the water.

While the process has begun, the state needs to determine the full extent of the needs in Flint before a request for federal aid is made and that could take a period of time that he did not specify, said Dave Murray, press secretary for the governor.

Snyder apologized again on Monday for the state’s mishandling of the situation. In late December, he accepted the resignation of the state official whose agency, the Department of Environmental Quality, oversees water quality.

Last week, the U.S. Attorney’s Office in Detroit said it was investigating the lead contamination of Flint’s water and Snyder declared a state of emergency in Gennessee County, which includes Flint, authorizing additional state resources to address health and safety issues.

Flint residents have filed a federal lawsuit accusing the city and state of endangering their health.

(Reporting by Suzannah Gonzales and Ben Klayman; Writing by Ben Klayman; Editing by Sandra Maler)