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A pot of unspent federal money could have prevented Jackson’s water crisis

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Thursday, May 23, 2024

Late in the summer of 2022, the Environmental Protection Agency sent the Mississippi state government a routine report assessing its use of federal funding for water infrastructure. The agency concluded with the words: “no findings” — that is, the EPA found no issue with how Mississippi was spending its money. The very next day, on August 29, as many as 180,000 residents in the Jackson area lost access to clean drinking water and Mississippi Governor Tate Reeves and Jackson Mayor Chokwe Lumumba both declared a state of emergency.  More than twelve inches of rain had fallen across the region, causing the Pearl River, which begins about 75 miles northeast of Jackson and flows south to the Gulf Coast, to flood. Jackson’s main water treatment plant was overrun. Water pressure throughout the system plunged, leaving residents — along with hospitals and fire stations — without safe drinking water. Many homes had no water at all. Images of the National Guard distributing cases of bottled water to residents in miles-long queues flashed across headlines. Contrary to the EPA’s conclusion, now available in a new report by researchers at the Project for Government Oversight, or POGO, the state’s capital was one heavy rainfall away from a public health crisis that captured the attention of the nation.  Nearly two years later, thousands of residents across Jackson are still contending with low pressure and brown water. While blame for the crisis has largely fallen on the state and local governments, POGO’s report spotlights the EPA’s role. The researchers obtained hundreds of documents that reveal a “troubling trend”: EPA officials knew that federal funding was not being dispersed by the state to Jackson for infrastructure improvements, and they failed to make note of these practices in their assessments.  “EPA oversight is very important,” said Nick Schwellenbach, one of the researchers on POGO’s report. “The agency can’t force states to spend money in a certain way, but its oversight can nudge and prod states towards best practices.” The investigation highlights a breakdown in communication between different arms of the EPA: While the agency has been diligent about flagging drinking water issues in Jackson — suing the city in 2020 for violating the Safe Drinking Water Act — its supervision of the state’s use of federal dollars for water infrastructure updates has been limited.  “There’s a lot that EPA oversight can do to head off disaster,” Schwellenbach said. “EPA was saying [to Jackson], ‘You’re out of compliance with federal law’ but wasn’t going to the state and saying, ‘What are you doing to help?’” A Mississippi National Guard member directs traffic at a water distribution site in Jackson, Mississippi in September, 2022. Rory Doyle for The Washington Post via Getty Images Long before the heavy rains that set off Jackson’s water crisis, the city’s infrastructure had been crumbling due to decades of neglect. Like many other mid-sized cities across the country — Memphis, St. Louis, Pittsburgh — Jackson experienced a decline in the late twentieth century after its white, middle-class residents moved to the suburbs, severely limiting tax dollars available for infrastructure improvements. Today, Jackson is more than 80 percent Black, up from 50 percent in the 1980s, and a quarter of its residents live in poverty. As a result of the shifting demographics, the city council became majority-Black and Democrat, and by the 1980s friction with the mostly white Republican state government had developed.  When Congress amended the Safe Drinking Water Act in 1996, it established a program whereby municipalities could use federal funding to update their beleaguered water infrastructure. The Drinking Water State Revolving Fund is administered by state environment departments, which review applications by local governments and distribute funding in the form of loans each year. In accordance with the Fund, the EPA is responsible for making annual reports on where the money is going. According to the agency, its audits are parts of a “circle of accountability,” and are meant to “guide funding decisions and program management policies.” But in the case of Jackson, the reports seem to have functioned as a “rubber stamp” of Mississippi’s management of the fund, POGO researchers wrote.  Multiple arms of the EPA flagged issues with the agency’s oversight of the fund over the past decade. The Office of Inspector General, the agency’s internal watchdog, found issues with the reports stretching back to 2011 and as recently as last year. In a 2014 document, the OIG noted that the EPA’s audits often do little to ensure that federal dollars from the fund go to communities with the greatest public health need or to disadvantaged communities — which, as POGO researchers pointed out, are often one and the same. Then, in a 2017 internal memo that the POGO report surfaced, EPA officials cited an unspent pool of money in Mississippi that represented “unrealized potential to protect public health.” That year, the agency’s regional office sent Mississippi a gleaming audit.   While Mississippi has historically enjoyed generous allocations from the Fund, with more than $260 million allotted between 2017 and 2021 alone, the city of Jackson has not reaped the benefits. In a civil rights complaint filed with the EPA in 2022, the NAACP noted that Jackson has received loans just three times in the program’s 25-year history. The Bear Creek Water Authority in the largely rural and white Madison County, by comparison, received funds nine out of the past 25 years. (The EPA dismissed the NAACP complaint earlier this month.)  The Mississippi state government has denied that Jackson received less funding than other parts of the state, with Governor Tate Reeves writing in 2022 that there is “no factual basis whatsoever to suggest that there has been an ‘underinvestment’ in the City.” His account, the POGO researchers noted, does not acknowledge the state’s historically unforgiving loan program and the city’s wariness of taking on debt.  Part of the problem, Schwellenbach noted, is that the EPA does not proactively make its oversight reports public. To complete its investigation, Schwellenbach’s team had to request hundreds of records through a freedom of information request and pay a fee to have them processed. In addition to reviewing the EPA’s program assessments for dozens of states, which they compared to Mississippi, the researchers read through internal EPA memos and inspector general reports and interviewed EPA staffers to develop a comprehensive picture of the agency’s knowledge of conditions in Jackson.  “The EPA’s reviews of state programs are something of a black hole,” Janet Pritchard, the director of water infrastructure policy for the Environmental Policy Innovation Center, told POGO. “While some states have recently revised how they define ‘disadvantaged communities’ and other policies that govern the distribution of state revolving fund awards … the extent or impact of EPA engagement remains unclear.” Johnnie Purify, an EPA staffer in the Region 4 office, which oversees Mississippi, told POGO that he “has no concerns with making EPA oversight reports public, and said they would be helpful to external parties and the public at large.” The EPA’s failure to alert Mississippi about its uneven distribution of federal funds has had severe consequences for the people of Jackson, where brown-tinged water continues to flow out of taps across the city. These days, as little as a powerful thunderstorm can upset the fragile water infrastructure and upend residents’ lives for weeks. The ongoing crisis has also contributed to further population decline: Last year, the Clarion Ledger reported that Jackson is the fastest shrinking city in the nation. The City of Jackson’s O.B. Curtis Water Plant in September, 2022 AP Photo/Steve Helber In November 2022, a federal judge appointed Ted Henifin, an engineer by training, to manage the city’s water system. Local advocates initially felt hopeful that Henifin’s expertise would go far towards improving conditions in the water system, but over time, they became frustrated by what they perceived as a lack of transparency in his decision-making.  In December 2022, the Biden Administration announced a $600 million allocation in the Bipartisan Infrastructure Law for Jackson to repair its water system, a historic sum that Henifin has the authority to use as he chooses. In early 2023, Henifin established JXN Water, a private company, to update the city’s water system, prompting fears from the public that the system itself may soon be privatized, and fueling concerns about transparency, as corporations are not subject to public disclosure laws. Repeated requests by local advocates for data on water sampling efforts have gone unanswered. Local advocates also became frustrated after Henifin inexplicably fired Tariq Abdul-Tawwab, a long-time community advocate and the only Black employee at JXN Water. Last summer, Henifin told a federal judge that there was “no health risk” in the drinking water that he was aware of, despite reports that some residents’ tap water was still the color of tea. After his firing, Abdul-Tawwab began managing the Mississippi Rapid Response Coalition’s ground support team, a group of emergency responders that work on “anything that the community needs help with that the state is not helping them with, and that the city may not have the resources to help with,” he told Grist. Residents call in to request assistance on a range of issues — leaky roofs, burst sewage pipes — but the most common complaint is the drinking water. Members of Abdul-Tawwab’s team spend much of their time delivering bottled water and filters and testing residents’ taps for heavy metals like lead or bacteria like E-Coli. The results often come back positive.  While he was careful not to get into the details of his firing, Abdul-Tawwab was open about his frustrations with Henifin’s management of Jackson’s financial resources. Journalists occasionally visit Jackson to report on the decrepit infrastructure, he said, but hardly ask questions about where the federal money meant to help residents is actually going.  “Anyone in the United States of America reading this story needs to understand that the state of Mississippi is taking steps to make sure that Jackson doesn’t get what it needs,” Abdul-Tawwab said. In an email, Henifin told Grist  that he stood by his statement that Jackson’s water is clean, noting that JXN Water conducts regular tests in accordance with federal permitting requirements. He also stated that brown water complaints are investigated as soon as they are received through the company’s call center, and that they don’t occur often.  “JXN Water posts all Quarterly Reports on our website, hosts quarterly public meetings to address questions, and regularly speaks to community groups when invited to participate in their meetings,” he wrote. “Transparency is not an issue.” However, the many Jackson residents that Grist has interviewed point out that while the water coming out of the city’s treatment plants may be clean, after it has traveled through the thousands of miles of pipes, the water comes out of their faucets in a vastly different condition. Requests for extensive testing of the network of pipes have sometimes gone unanswered, said Brooke Floyd, a director at the People’s Advocacy Institute, the organization that launched the Mississippi Rapid Response Coalition. She said she found it hard to believe that, as Henifin told Grist, residents were not reporting contaminated water to JXN Water’s call center, since the ground team gets frequent reports of water “with stuff floating in it.”  Floyd acknowledged that JXN Water is proactive about posting its reports on its Facebook page, but said that advocates’ concerns about transparency go beyond the quarterly paperwork — they want to be involved in making decisions. Last month, a federal judge granted advocates at the Mississippi Poor Peoples’ Campaign and the Peoples’ Advocacy Institute their request to become parties to the EPA’s lawsuit against the city of Jackson. A seat at the table of the legal proceedings, they hope, will allow them to have a say in how federal funds are spent and ward off threats of privatization. “When Henifin leaves, and the DOJ and the EPA leave, because they will, whatever is done — we will have to live with that,” Floyd said. She pointed to Flint, Michigan, where more than a decade after that city’s lead water crisis began, the system is still not fixed. Schwellenbach, the POGO researcher, pointed out that the situation in Jackson is emblematic of a systemic problem, and could be a harbinger of worse things to come if the EPA does not step up its oversight. He pointed to Memphis, where the aging water system is coming under stress from climate-related impacts and years of disinvestment. The Bipartisan Infrastructure Law represented a massive infusion of federal dollars to help cities update their water infrastructure, but to make sure the funds are used to actually help communities, the EPA needs to step up its involvement.  “The EPA could have raised red flags earlier and more aggressively to push the states to do the right thing,” he said. “I think the most important thing here is to learn lessons from what went wrong so we don’t have these kinds of crises in the future.” This story was originally published by Grist with the headline A pot of unspent federal money could have prevented Jackson’s water crisis on May 23, 2024.

A new report surfaces a trail of red flags that the EPA didn’t raise.

Late in the summer of 2022, the Environmental Protection Agency sent the Mississippi state government a routine report assessing its use of federal funding for water infrastructure. The agency concluded with the words: “no findings” — that is, the EPA found no issue with how Mississippi was spending its money.

The very next day, on August 29, as many as 180,000 residents in the Jackson area lost access to clean drinking water and Mississippi Governor Tate Reeves and Jackson Mayor Chokwe Lumumba both declared a state of emergency. 

More than twelve inches of rain had fallen across the region, causing the Pearl River, which begins about 75 miles northeast of Jackson and flows south to the Gulf Coast, to flood. Jackson’s main water treatment plant was overrun. Water pressure throughout the system plunged, leaving residents — along with hospitals and fire stations — without safe drinking water. Many homes had no water at all. Images of the National Guard distributing cases of bottled water to residents in miles-long queues flashed across headlines. Contrary to the EPA’s conclusion, now available in a new report by researchers at the Project for Government Oversight, or POGO, the state’s capital was one heavy rainfall away from a public health crisis that captured the attention of the nation. 

Nearly two years later, thousands of residents across Jackson are still contending with low pressure and brown water. While blame for the crisis has largely fallen on the state and local governments, POGO’s report spotlights the EPA’s role. The researchers obtained hundreds of documents that reveal a “troubling trend”: EPA officials knew that federal funding was not being dispersed by the state to Jackson for infrastructure improvements, and they failed to make note of these practices in their assessments. 

“EPA oversight is very important,” said Nick Schwellenbach, one of the researchers on POGO’s report. “The agency can’t force states to spend money in a certain way, but its oversight can nudge and prod states towards best practices.” The investigation highlights a breakdown in communication between different arms of the EPA: While the agency has been diligent about flagging drinking water issues in Jackson — suing the city in 2020 for violating the Safe Drinking Water Act — its supervision of the state’s use of federal dollars for water infrastructure updates has been limited. 

“There’s a lot that EPA oversight can do to head off disaster,” Schwellenbach said. “EPA was saying [to Jackson], ‘You’re out of compliance with federal law’ but wasn’t going to the state and saying, ‘What are you doing to help?’”

A Mississippi National Guard member directs traffic at a water distribution site at the Mississippi State Fairgrounds in Jackson, Mississippi on September, 1, 2022.
A Mississippi National Guard member directs traffic at a water distribution site in Jackson, Mississippi in September, 2022. Rory Doyle for The Washington Post via Getty Images

Long before the heavy rains that set off Jackson’s water crisis, the city’s infrastructure had been crumbling due to decades of neglect. Like many other mid-sized cities across the country — Memphis, St. Louis, Pittsburgh — Jackson experienced a decline in the late twentieth century after its white, middle-class residents moved to the suburbs, severely limiting tax dollars available for infrastructure improvements. Today, Jackson is more than 80 percent Black, up from 50 percent in the 1980s, and a quarter of its residents live in poverty. As a result of the shifting demographics, the city council became majority-Black and Democrat, and by the 1980s friction with the mostly white Republican state government had developed. 

When Congress amended the Safe Drinking Water Act in 1996, it established a program whereby municipalities could use federal funding to update their beleaguered water infrastructure. The Drinking Water State Revolving Fund is administered by state environment departments, which review applications by local governments and distribute funding in the form of loans each year. In accordance with the Fund, the EPA is responsible for making annual reports on where the money is going. According to the agency, its audits are parts of a “circle of accountability,” and are meant to “guide funding decisions and program management policies.” But in the case of Jackson, the reports seem to have functioned as a “rubber stamp” of Mississippi’s management of the fund, POGO researchers wrote. 

Multiple arms of the EPA flagged issues with the agency’s oversight of the fund over the past decade. The Office of Inspector General, the agency’s internal watchdog, found issues with the reports stretching back to 2011 and as recently as last year. In a 2014 document, the OIG noted that the EPA’s audits often do little to ensure that federal dollars from the fund go to communities with the greatest public health need or to disadvantaged communities — which, as POGO researchers pointed out, are often one and the same. Then, in a 2017 internal memo that the POGO report surfaced, EPA officials cited an unspent pool of money in Mississippi that represented “unrealized potential to protect public health.” That year, the agency’s regional office sent Mississippi a gleaming audit.  

While Mississippi has historically enjoyed generous allocations from the Fund, with more than $260 million allotted between 2017 and 2021 alone, the city of Jackson has not reaped the benefits. In a civil rights complaint filed with the EPA in 2022, the NAACP noted that Jackson has received loans just three times in the program’s 25-year history. The Bear Creek Water Authority in the largely rural and white Madison County, by comparison, received funds nine out of the past 25 years. (The EPA dismissed the NAACP complaint earlier this month.) 

The Mississippi state government has denied that Jackson received less funding than other parts of the state, with Governor Tate Reeves writing in 2022 that there is “no factual basis whatsoever to suggest that there has been an ‘underinvestment’ in the City.” His account, the POGO researchers noted, does not acknowledge the state’s historically unforgiving loan program and the city’s wariness of taking on debt. 

Part of the problem, Schwellenbach noted, is that the EPA does not proactively make its oversight reports public. To complete its investigation, Schwellenbach’s team had to request hundreds of records through a freedom of information request and pay a fee to have them processed. In addition to reviewing the EPA’s program assessments for dozens of states, which they compared to Mississippi, the researchers read through internal EPA memos and inspector general reports and interviewed EPA staffers to develop a comprehensive picture of the agency’s knowledge of conditions in Jackson. 

“The EPA’s reviews of state programs are something of a black hole,” Janet Pritchard, the director of water infrastructure policy for the Environmental Policy Innovation Center, told POGO. “While some states have recently revised how they define ‘disadvantaged communities’ and other policies that govern the distribution of state revolving fund awards … the extent or impact of EPA engagement remains unclear.” Johnnie Purify, an EPA staffer in the Region 4 office, which oversees Mississippi, told POGO that he “has no concerns with making EPA oversight reports public, and said they would be helpful to external parties and the public at large.”


The EPA’s failure to alert Mississippi about its uneven distribution of federal funds has had severe consequences for the people of Jackson, where brown-tinged water continues to flow out of taps across the city. These days, as little as a powerful thunderstorm can upset the fragile water infrastructure and upend residents’ lives for weeks. The ongoing crisis has also contributed to further population decline: Last year, the Clarion Ledger reported that Jackson is the fastest shrinking city in the nation.

The City of Jackson’s O.B. Curtis Water Plant in September, 2022 AP Photo/Steve Helber

In November 2022, a federal judge appointed Ted Henifin, an engineer by training, to manage the city’s water system. Local advocates initially felt hopeful that Henifin’s expertise would go far towards improving conditions in the water system, but over time, they became frustrated by what they perceived as a lack of transparency in his decision-making. 

In December 2022, the Biden Administration announced a $600 million allocation in the Bipartisan Infrastructure Law for Jackson to repair its water system, a historic sum that Henifin has the authority to use as he chooses. In early 2023, Henifin established JXN Water, a private company, to update the city’s water system, prompting fears from the public that the system itself may soon be privatized, and fueling concerns about transparency, as corporations are not subject to public disclosure laws. Repeated requests by local advocates for data on water sampling efforts have gone unanswered. Local advocates also became frustrated after Henifin inexplicably fired Tariq Abdul-Tawwab, a long-time community advocate and the only Black employee at JXN Water. Last summer, Henifin told a federal judge that there was “no health risk” in the drinking water that he was aware of, despite reports that some residents’ tap water was still the color of tea.

After his firing, Abdul-Tawwab began managing the Mississippi Rapid Response Coalition’s ground support team, a group of emergency responders that work on “anything that the community needs help with that the state is not helping them with, and that the city may not have the resources to help with,” he told Grist. Residents call in to request assistance on a range of issues — leaky roofs, burst sewage pipes — but the most common complaint is the drinking water. Members of Abdul-Tawwab’s team spend much of their time delivering bottled water and filters and testing residents’ taps for heavy metals like lead or bacteria like E-Coli. The results often come back positive. 

While he was careful not to get into the details of his firing, Abdul-Tawwab was open about his frustrations with Henifin’s management of Jackson’s financial resources. Journalists occasionally visit Jackson to report on the decrepit infrastructure, he said, but hardly ask questions about where the federal money meant to help residents is actually going. 

“Anyone in the United States of America reading this story needs to understand that the state of Mississippi is taking steps to make sure that Jackson doesn’t get what it needs,” Abdul-Tawwab said.

In an email, Henifin told Grist  that he stood by his statement that Jackson’s water is clean, noting that JXN Water conducts regular tests in accordance with federal permitting requirements. He also stated that brown water complaints are investigated as soon as they are received through the company’s call center, and that they don’t occur often. 

“JXN Water posts all Quarterly Reports on our website, hosts quarterly public meetings to address questions, and regularly speaks to community groups when invited to participate in their meetings,” he wrote. “Transparency is not an issue.”

However, the many Jackson residents that Grist has interviewed point out that while the water coming out of the city’s treatment plants may be clean, after it has traveled through the thousands of miles of pipes, the water comes out of their faucets in a vastly different condition. Requests for extensive testing of the network of pipes have sometimes gone unanswered, said Brooke Floyd, a director at the People’s Advocacy Institute, the organization that launched the Mississippi Rapid Response Coalition. She said she found it hard to believe that, as Henifin told Grist, residents were not reporting contaminated water to JXN Water’s call center, since the ground team gets frequent reports of water “with stuff floating in it.” 

Floyd acknowledged that JXN Water is proactive about posting its reports on its Facebook page, but said that advocates’ concerns about transparency go beyond the quarterly paperwork — they want to be involved in making decisions. Last month, a federal judge granted advocates at the Mississippi Poor Peoples’ Campaign and the Peoples’ Advocacy Institute their request to become parties to the EPA’s lawsuit against the city of Jackson. A seat at the table of the legal proceedings, they hope, will allow them to have a say in how federal funds are spent and ward off threats of privatization.

“When Henifin leaves, and the DOJ and the EPA leave, because they will, whatever is done — we will have to live with that,” Floyd said. She pointed to Flint, Michigan, where more than a decade after that city’s lead water crisis began, the system is still not fixed.

Schwellenbach, the POGO researcher, pointed out that the situation in Jackson is emblematic of a systemic problem, and could be a harbinger of worse things to come if the EPA does not step up its oversight. He pointed to Memphis, where the aging water system is coming under stress from climate-related impacts and years of disinvestment. The Bipartisan Infrastructure Law represented a massive infusion of federal dollars to help cities update their water infrastructure, but to make sure the funds are used to actually help communities, the EPA needs to step up its involvement. 

“The EPA could have raised red flags earlier and more aggressively to push the states to do the right thing,” he said. “I think the most important thing here is to learn lessons from what went wrong so we don’t have these kinds of crises in the future.”

This story was originally published by Grist with the headline A pot of unspent federal money could have prevented Jackson’s water crisis on May 23, 2024.

Read the full story here.
Photos courtesy of

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Major Earthquake Strikes Burma and Thailand, Collapsing Buildings as Rescuers Rush to Find SurvivorsIsraeli Attacks on Gaza Continue After It Broke Ceasefire, Killing More Students and Aid WorkersIsrael Attacks Southern Lebanon, Beirut in Flagrant Breach of CeasefireMarco Rubio Says Rumeysa Ozturk Is One of "More Than 300" Visa Holders Targeted by TrumpU.S. Court in New Jersey Hearing Arguments in Mahmoud Khalil CaseU.S. and Colombia Agree to Share Biometric Data of ImmigrantsProtesters in El Salvador Denounce Nayib Bukele's Human Rights Abuses, Collaboration with TrumpTurkish Authorities Escalate Crackdown on Protesters and the Media Amid Political CrisisU.S. Escalates Yemen Airstrikes, Bringing Total Deaths Since March 15 to at Least 57U.S. Judge Orders Waltz, Vance, Rubio to Preserve Messages from Signal War Group ChatHHS Cutting 10,000 More Jobs as DOGE Carries Out Mission to Gut the Government"We Can Eliminate an Entire District Court": Mike Johnson Escalates Attack on Courts That Defy TrumpTrump Withdraws Elise Stefanik Nom for U.N. Ambassador as GOP Frets Over Slim House MajorityNew York County Clerk Refuses to Enforce Texas Penalty Against NY Abortion ProviderTrump EO Orders Gov't Agencies to End Collective Bargaining with Federal UnionsEPA Created Email So Polluters Can More Easily Obtain Exemptions from Environmental RulesRobert McChesney, Free Press Co-Founder and Staunch Defender of Media and Democracy, Has DiedNew Trump EO Aims to Gut Smithsonian Institution

‘Don’t call it zombie deer disease’: scientists warn of ‘global crisis’ as infections spread across the US

A contagious, fatal illness in deer, elk and moose has taken hold in the US and is now reaching other countries. While it has not infected humans yet, the risk is growingIn a scattershot pattern that now extends from coast to coast, continental US states have been announcing new hotspots of chronic wasting disease (CWD).The contagious and always-fatal neurodegenerative disorder infects the cervid family that includes deer, elk, moose and, in higher latitudes, reindeer. There is no vaccine or treatment. Continue reading...

In a scattershot pattern that now extends from coast to coast, continental US states have been announcing new hotspots of chronic wasting disease (CWD).The contagious and always-fatal neurodegenerative disorder infects the cervid family that includes deer, elk, moose and, in higher latitudes, reindeer. There is no vaccine or treatment.Described by scientists as a “slow-motion disaster in the making”, the infection’s presence in the wild began quietly, with a few free-ranging deer in Colorado and Wyoming in 1981. However, it has now reached wild and domestic game animal herds in 36 US states as well as parts of Canada, wild and domestic reindeer in Scandinavia and farmed deer and elk in South Korea.In the media, CWD is often called “zombie deer disease” due to its symptoms, which include drooling, emaciation, disorientation, a vacant “staring” gaze and a lack of fear of people. As concerns about spillover to humans or other species grow, however, the moniker has irritated many scientists.“It trivialises what we’re facing,” says epidemiologist Michael Osterholm. “It leaves readers with the false impression that this is nothing more than some strange fictional menace you’d find in the plot of a sci-fi film. Animals that get infected with CWD do not come back from the dead. CWD is a deathly serious public and wildlife health issue.”Five years ago, Osterholm, the director of the Center for Infectious Disease Research and Policy at the University of Minnesota, delivered what he hoped would be a wake-up call before the Minnesota legislature, warning about “spillover” of CWD transmission from infected deer to humans eating game meat. Back then, some portrayed him as a scaremonger.Today, as CWD spreads inexorably to more deer and elk, more people – probably tens of thousands each year – are consuming infected venison, and a growing number of scientists are echoing Osterholm’s concerns.In January 2025, researchers published a report, Chronic Wasting Disease Spillover Preparedness and Response: Charting an Uncertain Future. A panel of 67 experts who study zoonotic diseases that can move back and forth between humans and animals concluded that spillover to humans “would trigger a national and global crisis” with “far-reaching effects on the food supply, economy, global trade and agriculture”, as well as potentially devastating effects on human health. The report concludes that the US is utterly unprepared to deal with spillover of CWD to people, and that there is no unifying international strategy to prevent CWD’s spread.Wyoming has wilfully chosen to ignore conservationists, scientists, disease experts and prominent wildlife managers who were all saying the same thing: stop the feedingLloyd Dorsey, conservationistSo far, there has not been a documented case of a human contracting CWD, but as with BSE (or mad cow disease) and its variant strain that killed people, long incubation times can mask the presence of disease. CWD, which is incurable, can be diagnosed only after a victim dies. Better surveillance to identify disease in people and game animals is more urgent than ever, experts say. Osterholm says the Trump administration’s proposed cuts to public health funding and research, and the US’s withdrawal from international institutions, such as the World Health Organization, could not be happening at a worse time.The risk of a CWD spillover event is growing, the panel of experts say, and the risk is higher in states where big game hunting for the table remains a tradition. In a survey of US residents by the Centers for Disease Control and Prevention, 20% said they had hunted deer or elk, and more than 60% said they had eaten venison or elk meat.Tens of thousands of people are probably eating contaminated game meat either because they do not think they are at risk or they are unaware of the threat. “Hunters sharing their venison with other families is a widespread practice,” Osterholm says. The Centers for Disease Control and Prevention advises people who suspect they have killed an animal infected with CWD not to eat it, and states advise any hunters taking animals from infected regions to get them tested. Many, however, do not.A biologist with the Wisconsin Department of Natural Resources removes lymph nodes from deer in a hunter’s truck, to test for CWD. Photograph: Scott Takushi/APThe movement of meat around the country also raises concerns of environmental contamination. CWD is not caused by bacteria or a virus, but by “prions”: abnormal, transmissible pathogenic agents that are difficult to destroy. Prions have demonstrated an ability to remain activated in soils for many years, infecting animals that come in contact with contaminated areas where they have been shed via urination, defecation, saliva and decomposition when an animal dies. Analysis by the US Geological Survey has shown that numerous carcasses of hunted animals, many probably contaminated with CWD, are transported across state lines, accelerating the scope of prion dispersal.In states where many thousands of deer and elk carcasses are disposed of, some in landfill, there is concern among epidemiologists and local public health officials that toxic waste sites for prions could be created.Every autumn, Lloyd Dorsey has hunted elk and deer to put meat on the table, but now he is concerned about its safety. “Since CWD is now in elk and deer throughout Greater Yellowstone, the disease is on everybody’s mind,” he says. Dorsey has spent decades as a professional conservationist for the Sierra Club, based in Jackson Hole in Wyoming, and he has pressed the state and federal governments to shut down feedgrounds for deer – where cervids gather and disease can easily spread.A sign in Montana warns of CWD in an attempt to prevent its spread via animal carcasses. Photograph: Courtesy of Montana Wildlife Federation“Wyoming has wilfully chosen to ignore conservationists, scientists, disease experts and prominent wildlife managers who were all saying the same thing: stop the feeding,” he says.What’s happening was predictable and we’re living with the consequences of some decisions that were rooted in denialTom Roffe, former US Fish and Wildlife Service chiefApart from the grave concerns about CWD reaching people, scientists describe it as “an existential threat” to wild cervid populations, which are central to American hunting traditions. Nowhere is there more at stake than in the region surrounding the country’s most famous nature preserve, Yellowstone.A new study that tracked 1,000 adult white-tailed deer and fawns in south-west Wisconsin mirrors what research elsewhere suggests: over time infected animals die at rates that outpace natural reproduction, meaning some populations could disappear. No animals have demonstrated immunity to CWD and there is no vaccine.If depopulating herds becomes necessary to reduce disease presence, it could have devastating consequences for people who rely on those animals and who have a connection to them.Studies show that having healthy wild carnivores on a landscape can help weed out sick CWD-carrying elk and deer, but states in the northern Rockies have adopted policies aimed at dramatically reducing wolves, bears and mountain lions.CWD has been detected in the National Elk Refuge in Yellowstone national park, where thousands of elk gather. Photograph: USFWSOther policies continue to contradict scientific advice. Wyoming has attracted national criticism for refusing to shutter nearly two dozen feedgrounds where tens of thousands of elk and deer gather in close confines every winter and are fed artificial forage to bolster their numbers.One of the largest feedgrounds is operated by the federal government: the National Elk Refuge, where more than 8,000 elk cluster, and CWD has already been detected. Tom Roffe, former chief of animal health for the US Fish and Wildlife Service, which manages the refuge, and Bruce Smith, a former refuge senior biologist, have said Wyoming has created ripe conditions for an outbreak of the disease, with consequences that will negatively ripple throughout the region.“This has been a slowly expanding epidemic with a growth curve playing out on a decades scale, but now we’re seeing the deepening consequences and they could be severe,” Roffe says. “Unfortunately, what’s happening with this disease was predictable and we’re living with the consequences of some decisions that were rooted in denial.”Roffe and others say the best defence is having healthy landscapes where unnatural feeding of wildlife is unnecessary and where predators are not eliminated but allowed to carry out their role of eliminating sick animals.“As Yellowstone has been for generations, it is the most amazing and best place to get wildlife conservation right,” Dorsey says. “It would be such a shame if we continued doing something as foolish as concentrating thousands of elk and deer, making them more vulnerable to catching and spreading this catastrophic disease, when we didn’t have to.”Find more age of extinction coverage here, and follow the biodiversity reporters Phoebe Weston and Patrick Greenfield in the Guardian app for more nature coverage

Tonnes of microplastics infiltrate Australia’s agricultural soils each year, study shows

Without swift and effective action, composting may become an environmental crisis, rather than a solution.

Gary D Chapman/ShutterstockCompost applied to agricultural soils in Australia each year contains tonnes of microplastics, our research has revealed. These microplastics can harm soil and plant health and eventually enter food crops, potentially posing a risk to humans. In Australia, more than 51% of organic waste – including garden and food waste from households – is recovered and processed. Much of it is turned into compost. However, every kilogram of compost we sampled in our study contained thousands of tiny pieces of plastic, invisible to the naked eye. They come from a range of potential sources, including compostable waste bags used by households to store food scraps. Without swift and effective action, composting may become an environmental crisis, rather than a solution. The research revealed every kilogram of compost contains thousands of tiny pieces of plastic. SIVStockStudio/Shutterstock The problem with microplastics in compost As Australia’s landfill sites become exhausted, finding new uses for organics waste has become crucial. Composting is widely promoted as a solution to managing organic waste. It is comprised of decomposed plant and food waste and other organic materials, which is applied to farms and gardens to enrich the soil and improve plant growth. Many local councils provide residents with kitchen caddies and “compostable” plastic bags to collect food waste. These bags can also be bought from supermarkets. These bags usually contain some plant-based substances. However, some contain fossil-fuel based material. Others may contain “bioplastics” such as that made from corn starch or sugarcane, which require very specific conditions to break down into their natural materials. Research shows some compostable bags are a source of microplastics – plastic particles smaller than 5 millimetres. Some compostable bags are a source of microplastics. Hurricanehank/Shutterstock Once applied to soil, microplastics can accumulate over time, posing risks to soil health. For example, research shows microplastics can alter soil structure, limit plant growth, hinder the cycling of nutrients and disrupt microbial communities. This in turn may affect farm productivity. Microplastics can also further degrade into “nanoplastics” small enough to be absorbed by plant roots. From there they can enter stems, leaves, and fruits of agricultural products consumed by humans, posing potential health risks. Internationally, evidence is growing that compost can introduce significant amounts of microplastics into soil. However, little is known about whether organics applied to farm soils in Australia contain microplastics. This study sought to shed light on this. What we found My colleagues and I investigated microplastics in processed organic waste. We took samples from 11 composting facilities in Victoria. We found every kilogram of compost contains between 1,500 and 16,000 microplastic particles. In weight, this equates to between 7 and 760 milligrams of microplastics per kilogram of compost. In Australia, about 26% of compost produced at organic waste processing facilities is used in agriculture. So, we estimate that between 2.7 and 206 tonnes of microplastics is being transported to Australian agricultural land from compost each year. Most microplastic particles we found were “microfibres” and “microfragments”. Microfibres usually derive from synthetic fabrics. Microfragments come from larger plastics, such as packaging material. We then analysed bin bags marketed as compostable or biodegradable, and found their physical and chemical characteristics were very similar to some microfragments we found in organic waste. The microfragments may be coming from other sources as well, such as plastic containers and bags, and plant string scooped into the bin when people collect garden waste. Various microplastic particles from compost samples as seen under the microscope. Hsuan-Cheng Lu Where to now? This study provides the first evidence of microplastics in processed organic waste in Australia. It underscores the need to better understand what happens to microplastics during the composting processes, and how microplastics affect soil health. Policies such as the National Plastic Plan and the National Waste Policy Action Plan promote composting as a key strategy for reducing landfill waste and supporting a circular economy. But these policies do not adequately address the risks of contaminants such as microplastics. In fact, there are no national standards in Australia regulating microplastics in processed organics. The absence of clear guidelines leaves composting facilities, waste processors, and end users vulnerable to unintended plastic pollution. To address this serious environmental issue, urgent action is needed. Authorities should take steps to limit the flow of microplastics into compost, including developing guidelines for composting facilities, waste management companies and households. Monitoring should also be used to track microplastic levels in processed organics, identify their sources and assess the impact on soils and food safety. Shima Ziajahromi receives funding from EPA Victoria, EPA NSW, Water Research Australia, Queensland Government through an Advance Queensland Industry Research Project, co-sponsored by Urban Utilities, Sydney Water, SA Water, Water Corporation (WA) and Eurofins Environment Testing Australia. This project was funded by EPA, Victoria.Frederic Leusch receives funding from the Australian Research Council, EPA Victoria, EPA NSW, Qld DESTI, Water Research Australia, Seqwater, Urban Utilities, Sydney Water, SA Water, Water Corporation and the Global Water Research Coalition. This project was funded by EPA Victoria.Hsuan-Cheng Lu receives funding from EPA Victoria. This project was funded by EPA, Victoria.

El Salton Sea es el lago más amenazado de California. ¿Puede una nueva reserva natural frenar la situación?

Una nueva entidad de conservación supervisará las obras para mejorar la vegetación, la calidad del agua y el hábitat natural en Salton Sea.

Read this story in English La neblina se cernía sobre el lago Salton Sea en un reciente día de invierno, mientras las cigüeñuelas de cuello negro y los kildeer vadeaban en las aguas poco profundas, picoteando crustáceos.  Algo más surgió unos pasos más cerca de la orilla del lago: un hedor a huevo podrido y salado que flotaba desde el agua.  Salton Sea está casi el doble de salado que el océanoargado de escorrentía agrícola y susceptible a la proliferación de algas que expulsan sulfuro de hidrógeno, un gas nocivo. También es un refugio para más de 400 especies de aves y una parada clave en la ruta migratoria del Pacífico, una de las principales rutas migratorias de aves de América del Norte.  Los funcionarios estatales han luchado con el deterioro de la condición del mar a medida que sus aguas se vuelven más sucias y su huella se reduce, exponiendo el polvo tóxico que flota a través de la región.  Este año, el estado dio un paso hacia una solución: creó la nueva Reserva de Salton Sea y destinó casi 500 millones de dólares para revitalizar el cuerpo de agua en deterioro. Si bien los fondos ayudarán a restaurar la vegetación nativa y mejorar la calidad del agua, algunos organizadores comunitarios creen que, en última instancia, se necesitarán decenas de miles de millones de dólares para salvarlo. Y la reserva por sí sola no puede abordar el impacto de su contaminación en la salud humana, incluyendo las elevadas tasas de asma entre los residentes de la zona.  “El Salton Sea es una de las crisis de salud ambiental más urgentes en el estado de California”, dijo el Senador estatal Steve Padilla, el demócrata de Chula Vista que escribió el Proyecto de ley para crear la entidad conservacionista el año pasado. “Es un desastre ecológico y de salud pública… Salton Sea Conservancy garantizará la permanencia de nuestras inversiones en limpieza y restauración”. El bono climático de California, aprobado por los votantes en noviembre, destina 170 millones de dólares a la restauración del Salton Sea, incluyendo 10 millones para establecer la reserva. El Fondo Estatal para la Reducción de Gases de Efecto Invernadero también destina 60 millones de dólares y la Oficina Federal de Recuperación aportará otros 250 millones, según Padilla. Se espera que el gobernador Gavin Newsom, la Legislatura, los distritos de agua locales, los gobiernos tribales y las organizaciones sin fines de lucro designen a 15 miembros para la entidad conservacionista antes del 1 de enero.  La nueva entidad conservacionista administrará los derechos sobre la tierra y el agua y supervisará el trabajo de restauración detallado en el Programa de Gestión de Salton Sea de 2018, un plan de 10 años para construir 30,000 acres de hábitat para la vida silvestre y proyectos de supresión de polvo.  “La conservación es necesaria para garantizar su finalización, pero también para mantener y gestionar permanentemente esa restauración”, dijo Padilla. “Esto no es algo que se hace solo una vez y listo”. Con 35 kilómetros de largo y 15 kilómetros de ancho, Salton Sea es el lago más grande de California. Su forma más reciente se formó en 1905, cuando el río Colorado rompió un canal de riego y millones de litros de agua dulce inundaron la cuenca, creando un lago interior que abarca los valles de Coachella e Imperial. Los pelícanos alzan vuelo en el Refugio Nacional de Vida Silvestre Sonny Bono Salton Sea en Calipatria el 15 de julio de 2021. Foto de Marcio José Sánchez, AP Photo Pero ese no fue realmente su comienzo. Aunque Salton Sea tiene fama de ser un accidente agrícola, se ha llenado y drenado de forma natural durante los últimos milenios.  Versiones antiguas de lo que se llamó Lago Cahuilla han aparecido cada pocos siglos desde tiempos prehistóricos. En sus configuraciones más antiguas y grandes, los nativos americanos colocaron trampas para peces a lo largo de la costa. Se llenó tan recientemente como en 1731, estudio de hidrología de la Universidad Estatal de San Diego encontrado. Esa historia natural demuestra su valor para la región, dicen los defensores. “Necesitamos tratar Salton Sea como un ecosistema importante para el medio ambiente en el que vivimos”, dijo Luis Olmedo, director ejecutivo del Comité Cívico del Valle, una organización comunitaria con sede en Brawley. Durante su apogeo en la década de 1960, el lago salado era un zona de juegos acuática para las celebridades del Rat Pack, incluyendo a Frank Sinatra y Dean Martin. A finales del siglo pasado, su salinidad aumentó y la calidad del agua se desplomó, lo que provocó… muertes masivas de peces y aves, incluidos los pelícanos pardos en peligro de extinción.  Residentes del área sufren de problemas respiratorios, mientras el polvo del lecho del lago expuesto se arremolina en las comunidades vecinas. El año pasado, un estudio realizado por la Universidad del Sur de California descubrió que casi una cuarta parte de los niños que viven cerca de Salton Sea padecen asma, aproximadamente entre tres y cinco veces el promedio nacional. Un próspero punto de encuentro para las aves A pesar de su contaminación, el lago sigue siendo un hábitat clave para la vida silvestre. Un conteo de aves de Audubon en agosto de 2023 arrojó un récord de 250,000 aves playeras avistadas en un solo día, según Camila Bautista, gerente del programa de Salton Sea y el desierto de Audubon California. Si bien la contaminación del agua del mar y la disminución de la pesca lo hacen menos acogedor para las aves piscívoras, como los pelícanos, las aves que anidan en el suelo, como los chorlitos nevados, proliferan en la costa en expansión.  “El Salton Sea sigue siendo un lugar de gran importancia para las aves, y estos proyectos de restauración son importantes para garantizar que siga siendo así”, afirmó Bautista. El Programa de Gestión de Salton Sea de California enumera 18 proyectos de restauración, incluyendo algunas iniciativas clave que ya están en marcha. Estas incluyen proyectos masivos de restauración acuática, así como iniciativas de revegetación, según la subsecretaria de la Agencia de Recursos Naturales, Samantha Arthur, quien supervisa el programa de gestión. En el extremo sur del lago, el proyecto estatal de conservación de hábitats ha añadido casi 5,000 acres de estanques, cuencas y otras fuentes de agua, según el rastreador de proyectos del programa de gestión. Las imágenes del sitio parecen un mundo acuático de ciencia ficción, donde la maquinaria de movimiento de tierras transforma la costa en una red de pozas de 10 metros de profundidad.  Los trabajadores mezclarán agua altamente salina del mar con agua dulce de su principal afluente, el Río Nuevo, para alcanzar una salinidad objetivo de 20 a 40 partes por mil, explicó Arthur. A ese nivel, el agua puede albergar al pez cachorrito del desierto, un pez importado adaptado al agua salobre que antaño prosperaba en todo el mar.  “Estamos diseñando una salinidad objetivo para sustentar a los peces y luego atraer a las aves”, dijo.  Cubrir el suelo expuesto con agua también debería mejorar la calidad del aire al suprimir el polvo, afirmó Arthur. Ese proyecto comenzó en 2020 y está previsto que finalice este año. Una ampliación del hábitat de conservación de especies añadiría 14,900 acres adicionales de hábitat acuático para aves piscívoras, con islas de anidación y descanso y estanques de distintas profundidades. Se prevé su finalización en 2027.  El plan de manejo también incluye plantar vegetación nativa alrededor de la costa o fomentar las plantas que ya existen allí.  “Vemos 8,000 acres de humedales que han surgido naturalmente a lo largo de la orilla del mar”, dijo Arthur. “Lo mejor de esto es que proporciona un hábitat permanente para las especies de aves”. El estado está ayudando a lograrlo plantando vegetación nativa en el lado oeste del mar, para crear hábitat y reducir el polvo. Creando soluciones basadas en la naturaleza Bombay Beach es una aldea artesanal situada en el lado este del Salton Sea, salpicada de remolques oxidados, automóviles abandonados e instalaciones de arte emergentes. Primera foto: El mar de Salton en Bombay Beach el 4 de febrero de 2023. Segunda foto: Gente en el Mar de Salton en Bombay Beach el 4 de febrero de 2023. Fotos de Ariana Drehsler para CalMatters También es el sitio de un proyecto de restauración encabezado por Audubon California, que añadirá 564 acres de humedal para 2028. Creará bermas en la costa para permitir que el agua se acumule de forma natural, formando estanques poco profundos que atraen aves acuáticas y playeras, dijo Bautista. “El mensaje de este proyecto es hacer que sea lo más autosuficiente posible y trabajar con soluciones basadas en la naturaleza para que no sea algo superdiseñado”, dijo Bautista. Estos proyectos forman las primeras fases de un esfuerzo de restauración más grande, dijo Arthur.  Mientras los funcionarios estatales y los socios sin fines de lucro están apuntalando los humedales y plantando vegetación, el Cuerpo de Ingenieros del Ejército está estudiando soluciones a largo plazo para Salton Sea Olmedo cree que los 500 millones de dólares asignados ahora son sólo una pequeña parte de lo que en última instancia se necesita para salvar el mar.  “Todo cuesta más y no es descabellado pensar que tenemos un pasivo de 60 mil millones de dólares”, dijo. “Quiero ver miles de millones de dólares invertidos en infraestructura”. Silvia Paz, directora ejecutiva del grupo comunitario Alianza Coachella Valley, con sede en Coachella, señaló que la reserva se centra principalmente en la restauración del hábitat, pero que los riesgos para la salud humana derivados de su contaminación aún requieren atención. Desea que se incluyan más estudios y servicios de salud pública en los planes a largo plazo para Salton Sea “Es un gran logro que hayamos establecido la reserva”, dijo. “En cuanto a abordar los impactos generales en la salud, el medio ambiente y la economía, la reserva no fue diseñada para eso, y aún tenemos mucho camino por recorrer para encontrar la manera de abordarlo”. Este artículo fue publicado originalmente por CalMatters.

Elderly and suffer from hoarding disorder? Support groups fight stigma, isolation

Clutter creates physical risks. A cramped and disorderly home is especially dangerous for older adults because the risk of falling and breaking a bone increases with age. And having too many things in one space can be a fire hazard.

A dozen people seated around folding tables clap heartily for a beaming woman: She’s donated two 13-gallon garbage bags full of clothes, including several Christmas sweaters and a couple of pantsuits, to a Presbyterian church.A closet cleanout might not seem a significant accomplishment. But as the people in this Sunday-night class can attest, getting rid of stuff is agonizing for those with hoarding disorder.People with the diagnosis accumulate an excessive volume of things such as household goods, craft supplies, even pets. In extreme cases, their homes become so crammed that moving between rooms is possible only via narrow pathways.These unsafe conditions can also lead to strained relationships.“I’ve had a few relatives and friends that have condemned me, and it doesn’t help,” said Bernadette, a Pennsylvania woman in her early 70s who has struggled with hoarding since retiring and no longer allows guests in her home.This article is from a partnership that includes Spotlight PA, NPR, and KFF Health News. People who hoard are often stigmatized as lazy or dirty. NPR, Spotlight PA and KFF Health News agreed to use only the first names of people with hoarding disorder interviewed for this article because they fear personal and professional repercussions if their condition is made public.As Baby Boomers age into the group most affected by hoarding disorder, the psychiatric condition is a growing public health concern. Effective treatments are scarce. And because hoarding can require expensive interventions that drain municipal resources, more funding and expertise is needed to support those with the diagnosis before the issue grows into a crisis.For Bernadette, the 16-week course is helping her turn over a new leaf.The program doubles as a support group and is provided through Fight the Blight. The Westmoreland County, Pennsylvania, organization started offering the course at a local Masonic temple after founder Matt Williams realized the area lacked hoarding-specific mental health services.Fight the Blight uses a curriculum based on cognitive behavioral therapy to help participants build awareness of what fuels their hoarding. People learn to be more thoughtful about what they purchase and save, and they create strategies so that decluttering doesn’t become overwhelming.Perhaps more important, attendees say they’ve formed a community knitted together through the shared experience of a psychiatric illness that comes with high rates of social isolation and depression.“You get friendship,” said Sanford, a classmate of Bernadette’s.After a lifetime of judgment, these friendships have become an integral part of the changes that might help participants eventually clear out the clutter.Clutter catches up to Baby BoomersStudies have estimated that hoarding disorder affects around 2.5% of the general population — a higher rate than schizophrenia.The mental illness was previously considered a subtype of obsessive-compulsive disorder, but in 2013 it was given its own diagnostic criteria in the Diagnostic and Statistical Manual of Mental Disorders, the DSM-5.The biological and environmental factors that may drive hoarding are not well understood. Symptoms usually appear during the teenage years and tend to be more severe among older adults with the disorder. That’s partly because they have had more time to acquire things, said Kiara Timpano, a University of Miami psychology professor.“All of a sudden you have to downsize this huge home with all the stuff and so it puts pressures on individuals,” she said. In Bernadette’s case, her clutter includes a collection of VHS tapes, and spices in her kitchen that she said date back to the Clinton administration.But it’s more than just having decades to stockpile possessions; the urge to accumulate strengthens with age, according to Catherine Ayers, a psychiatry professor at the University of California-San Diego.Researchers are working to discern why. Ayers and Timpano theorize that age-related cognitive changes — particularly in the frontal lobe, which regulates impulsivity and problem-solving — might exacerbate the disorder.“It is the only mental health disorder, besides dementia, that increases in prevalence and severity with age,” Ayers said.Tristen Williams helps remove clutter from the home of someone with hoarding disorder in Greensburg, Pennsylvania. The homeowner asked for help with the cleanout after attending a course and support group offered by the nonprofit Fight the Blight, founded by Williams' father. (Matt Williams/Fight the Blight)Matt Williams/Fight the BlightAs the U.S. population ages, hoarding presents a growing public health concern: Some 1 in 5 U.S. residents are Baby Boomers, all of whom will be 65 or older by 2030.This population shift will require the federal government to address hoarding disorder, among other age-related issues that it has not previously prioritized, according to a July report by the Democratic staff of the U.S. Senate Special Committee on Aging, chaired then by former Sen. Bob Casey, D-Pa..Health hazards of hoardingClutter creates physical risks. A cramped and disorderly home is especially dangerous for older adults because the risk of falling and breaking a bone increases with age. And having too many things in one space can be a fire hazard.Last year, the National Fallen Firefighters Foundation wrote to the Senate committee’s leadership that “hoarding conditions are among the most dangerous conditions the fire service can encounter.” The group also said that cluttered homes delay emergency care and increase the likelihood of a first responder being injured on a call.The Bucks County Board of Commissioners in Pennsylvania told Casey that hoarding-related mold and insects can spread to adjacent households, endangering the health of neighbors.Due to these safety concerns, it might be tempting for a family member or public health agency to quickly empty someone’s home in one fell swoop.That can backfire, Timpano said, as it fails to address people’s underlying issues and can be traumatic.“It can really disrupt the trust and make it even less likely that the individual is willing to seek help in the future,” she said.It’s more effective, Timpano said, to help people build internal motivation to change and help them identify goals to manage their hoarding.For example, at the Fight the Blight class, a woman named Diane told the group she wanted a cleaner home so she could invite people over and not feel embarrassed.Sanford said he is learning to keep his documents and record collection more organized.Bernadette wants to declutter her bedroom so she can start sleeping in it again. Also, she’s glad she cleared enough space on the first floor for her cat to play.“Because now he’s got all this room,” she said, “he goes after his tail like a crazy person.”Ultimately, the home of someone with hoarding disorder might always be a bit cluttered, and that’s OK. The goal of treatment is to make the space healthy and safe, Timpano said, not to earn Marie Kondo’s approval.Lack of treatment leaves few optionsA 2020 study found that hoarding correlates with homelessness, and those with the disorder are more likely to be evicted.Housing advocates argue that under the Fair Housing Act, tenants with the diagnosis are entitled to reasonable accommodation. This might include allowing someone time to declutter a home and seek therapy before forcing them to leave their home.But as outlined in the Senate aging committee’s report, a lack of resources limits efforts to carry out these accommodations.Hoarding is difficult to treat. In a 2018 study led by Ayers, the UCSD psychiatrist, researchers found that people coping with hoarding need to be highly motivated and often require substantial support to remain engaged with their therapy.The challenge of sticking with a treatment plan is exacerbated by a shortage of clinicians with necessary expertise, said Janet Spinelli, the co-chair of Rhode Island’s hoarding task force.Could changes to federal policy help?Casey, the former Pennsylvania senator, advocated for more education and technical assistance for hoarding disorder.In September, he called for the Substance Abuse and Mental Health Services Administration to develop training, assistance, and guidance for communities and clinicians. He also said the Centers for Medicare & Medicaid Services should explore ways to cover evidence-based treatments and services for hoarding.This might include increased Medicare funding for mobile crisis services to go to people’s homes, which is one way to connect someone to therapy, Spinelli said.Another strategy would involve allowing Medicaid and Medicare to reimburse community health workers who assist patients with light cleaning and organizing; research has found that many who hoard struggle with categorization tasks.Williams, of Fight the Blight, agrees that in addition to more mental health support, taxpayer-funded services are needed to help people address their clutter.When someone in the group reaches a point of wanting to declutter their home, Fight the Blight helps them start the process of cleaning, removing, and organizing.The service is free to those earning less than 150% of the federal poverty level. People making above that threshold can pay for assistance on a sliding scale; the cost varies also depending on the size of a property and severity of the hoarding.Also, Spinelli thinks Medicaid and Medicare should fund more peer-support specialists for hoarding disorder. These mental health workers draw on their own life experiences to help people with similar diagnoses. For example, peer counselors could lead classes like Fight the Blight’s.Bernadette and Sanford say courses like the one they enrolled in should be available all over the U.S.To those just starting to address their own hoarding, Sanford advises patience and persistence.“Even if it’s a little job here, a little job there,” he said, “that all adds up.”This article is from a partnership that includes Spotlight PA, NPR, and KFF Health News.Spotlight PA is an independent, nonpartisan, and nonprofit newsroom producing investigative and public-service journalism that holds power to account and drives positive change in Pennsylvania. Sign up for its free newsletters.

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