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Katrina report slams CDC

Investigators: Agency failed to protect victims from fumes

By ALISON YOUNG
The Atlanta Journal-Constitution
Published on: 04/01/08

Officials at the Centers for Disease Control and Prevention failed in "almost every respect" to protect Hurricane Katrina's victims from dangerous formaldehyde fumes, despite knowing the trailers the government gave them were contaminated, according to a new report by congressional investigators.

Citing what they called "fundamental failings," confusion and poor science at CDC's environmental health arm, the House Committee on Science and Technology's investigations subcommittee today will hold a hearing to examine the Atlanta agency's response.

"They certainly didn't act with any urgency when they knew that people living in those trailers were exposed to a pretty serious health risk," U.S. Rep. Brad Miller (D-N.C.), the subcommittee chairman, said Monday.

In February —more than a year and a half after CDC was first asked about formaldehyde dangers inside Katrina victims' trailers — the agency announced that thousands must move as soon as possible because of the threat.

CDC spokesman Tom Skinner said Monday the agency's staff did a lot of good work responding to Hurricane Katrina. "Unfortunately, there were also some opportunities missed testing these trailers," said Skinner. The agency has changed some procedures as a result, he said, and welcomes today's hearing as a way to learn more.

The subcommittee's report is especially critical of the performance of Dr. Howard Frumkin, director of CDC's Agency for Toxic Substances and Disease Registry. It portrays Frumkin as doing little to respond to the concerns of a top agency toxicologist, Christopher De Rosa. Records show De Rosa repeatedly pushed for actions to protect people living in the trailers. Frumkin and De Rosa are scheduled to testify at the hearing.

In February 2007, after bypassing a review by De Rosa, ATSDR gave Federal Emergency Management Agency a report examining only the risks of short-term exposure to formaldehyde — when risks of long-term exposure are well known to the agency, investigators said. Based on the report, the investigators said, FEMA officials told Congress and the public there was no health risk if residents opened windows and vents.

When De Rosa became aware of the report, he pushed top agency officials to correct its misleading nature.

Last fall, De Rosa was removed from his job as director of ATSDR's division of toxicology and environmental medicine.

Among the key questions the hearing will explore, according to the report: "How can the public and Congress trust an agency ... that treated one of the most important public health issues of the agency's recent past so wantonly, with so little urgency, insight, sound scientific [advice] or concern?"

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Symptoms of Formaldehyde Exposure:

Asthma Attacks
Blurred Vision
Eye irritiation
Shortness of Breath
Sinus Infections
Skin rashes
Coughing
Dizziness
Headaches
Nausea
Nosebleeds
Wheezing
Formaldehyde has been classified as a human carcinogen (cancer-causing substance) by the International Agency for Research on Cancer and as a probable human carcinogen by the U.S. Environmental Protection Agency

What is Formaldehyde?

Formaldehyde is an important industrial chemical used to make other chemicals, building materials, and household products. It is one of the large family of chemical compounds called volatile organic compounds or 'VOCs'. The term volatile means that the compounds vaporize, that is, become a gas, at normal room temperatures.

What are the short-term health effects of formaldehyde exposure?

When formaldehyde is present in the air at levels exceeding 0.1 ppm, some individuals may experience health effects such as watery eyes; burning sensations of the eyes, nose, and throat; coughing; wheezing; nausea; and skin irritation. Some people are very sensitive to formaldehyde, while others have no reaction to the same level of exposure.

Can formaldehyde cause cancer?


Although the short-term health effects of formaldehyde exposure are well known, less is known about its potential long-term health effects. In 1980, laboratory studies showed that exposure to formaldehyde could cause nasal cancer in rats. This finding raised the question of whether formaldehyde exposure could also cause cancer in humans. In 1987, the U.S. Environmental Protection Agency (EPA) classified formaldehyde as a probable human carcinogen under conditions of unusually high or prolonged exposure (1). Since that time, some studies of industrial workers have suggested that formaldehyde exposure is associated with nasal cancer and nasopharyngeal cancer, and possibly with leukemia. In 1995, the International Agency for Research on Cancer (IARC) concluded that formaldehyde is a probable human carcinogen. However, in a reevaluation of existing data in June 2004, the IARC reclassified formaldehyde as a known human carcinogen (2).
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