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water warrior<br />
Dr. Mona Hanna-Attisha stands up for Flint<br />
BY JOYCE WISWELL<br />
Dr. Mona Hanna-Attisha still<br />
finds the whole Flint water<br />
crisis hard to believe.<br />
“In the middle of the Great Lakes,<br />
in <strong>2015</strong>, we have poisoned a population,”<br />
she said. “It’s shocking.”<br />
The director of Hurley Medical<br />
Center’s Pediatric Residency Program<br />
is not exaggerating when talking<br />
about the scandal of Flint’s water.<br />
In April 2014, the city’s emergency<br />
manager switched from the Detroit<br />
Water System to water from the<br />
Flint River to save money. Though<br />
residents immediately began complaining<br />
about the funny look and<br />
bad taste of the water coming from<br />
their taps, the state kept insisting everything<br />
was fine. But the river’s corrosive<br />
water was allowing lead from<br />
the pipes to leach in.<br />
Hanna-Attisha, whose background<br />
is in public health, wasn’t<br />
buying it, especially after a Virginia<br />
Tech researcher said the water contained<br />
an undeniable presence of<br />
lead. That prompted Hanna-Attisha<br />
to compare blood level test results<br />
for 1,746 children in Flint before and<br />
after April 2014 – and find that the<br />
percentage of kids with elevated levels<br />
of lead had doubled.<br />
“We have gotten the lead out of<br />
paint and out of gas, and every year<br />
the percentage of children with it<br />
decreases. To see an increase was<br />
shocking,” she said. “But when we<br />
announced the results, the state<br />
called me ‘an unfortunate researcher<br />
causing near hysteria,’ an ‘irresponsible<br />
researcher.’”<br />
Hanna-Attisha was horrified –<br />
not only by the presence of lead but<br />
by the state’s stubborn insistence<br />
that the water was safe.<br />
“When you do research you’re always<br />
paranoid — you check, double<br />
check, triple check. The numbers<br />
don’t lie. But when the state says<br />
you’re wrong, you second guess yourself.<br />
I was physically ill,” she said.<br />
“After about a week of criticizing<br />
the work and finally after some good<br />
conversations with some intelligent<br />
people at the state, they realized how<br />
to look at the data and they realized<br />
their numbers were the same,” she<br />
added. “Before that, it was just deny,<br />
deny, deny.”<br />
Local public health officials declared<br />
a public health emergency on<br />
October 1, and the state admitted to<br />
the lead problem the next day. Flint<br />
was switched back to Detroit’s water<br />
system (it plans to join a new system<br />
that gets water from Lake Huron<br />
next year) but the water is still being<br />
piped into homes and businesses via<br />
the city’s old corroded pipes.<br />
On October 15, the state legislature<br />
unanimously passed a bill allocating<br />
$9.3 million to address the<br />
crisis. The city will put corrosion<br />
control agents in the water it buys<br />
from Detroit to help reduce damage<br />
caused to water mains and service<br />
lines. There is another effort underway<br />
in the legislature to allocate $50<br />
million to replace lead service pipes<br />
and provide support and educational<br />
services for children poisoned by the<br />
water.<br />
(And, in continuing fallout, Flint<br />
Mayor Dayne Walling — who had<br />
also insisted the water was safe — was<br />
voted out of office on Election Day<br />
by newcomer Karen Weaver, who<br />
pledges to “rebuild trust” between<br />
residents and their government.)<br />
Hanna-Attisha, a first-generation<br />
Chaldean American, said she hopes<br />
to see legal action on behalf of Flint’s<br />
citizens, who used lead-poisoned water<br />
for more than 16 months.<br />
“People need to go to jail – this<br />
was criminal,” she said. “If I am in<br />
the OR and have a bad outcome I<br />
lose my license and I get sued. This<br />
was clear, irresponsible neglect and<br />
I believe there will be criminal investigations.<br />
There’s been tampering<br />
with data, discarding some samples.<br />
In addition to her medical degrees, Mona Hanna-Attisha has a master’s in public health<br />
and is a former assistant professor at Wayne State University’s Department of Pediatrics.<br />
And it took evidence that children<br />
were being poisoned for anything to<br />
happen.”<br />
Such a disaster would never happen<br />
in a wealthy suburb, Hanna-Attisha<br />
maintains.<br />
“There is a 40 percent poverty<br />
rate in Flint vs. 16 percent for the rest<br />
of the state. This would only happen<br />
in communities like Flint that are already<br />
disenfranchised. It would never<br />
happen in Bloomfield Hills. These<br />
people are so beat down, and then<br />
you give them lead. Just because you<br />
have no money doesn’t mean you are<br />
not entitled to safe drinking water.<br />
If you deliberately wanted to put a<br />
poison in a population to keep them<br />
down, this is what you would do. I<br />
don’t believe it was deliberate, but it<br />
was highly preventible.”<br />
Lead, she explained, is an irreversible<br />
toxin directly linked to violent<br />
offenses, and even small amounts can<br />
cause serious health problems. Children<br />
under the age of 6 are especially<br />
vulnerable to lead poisoning and can<br />
suffer problems in both mental and<br />
physical development.<br />
Lead poisoning causes genetic<br />
changes that last generations. The<br />
effects of the poisoned water will<br />
have repercussions for decades, said<br />
Hanna-Attisha.<br />
“In five years we will likely see<br />
an increase of children who need<br />
special education services,” she said.<br />
“In 10 years we will likely see more<br />
kids with behavior problems and increased<br />
diagnoses of ADHD. In 15<br />
years, we will see more problems in<br />
the criminal justice system. All these<br />
costs are in the multiple billions.”<br />
That’s why, she said, it is essential<br />
that everyone from federal and state<br />
governments to private foundations<br />
join forces to help Flint’s residents,<br />
particularly its children. Hanna-<br />
Attisha is part of the newly formed<br />
Flint Lead Innovation Team, which<br />
the state has assembled to combat<br />
the effects of lead poisoning. This includes<br />
pushing good nutrition (notoriously<br />
lacking in poor populations),<br />
increased early-intervention programs<br />
like Head Start and long-term<br />
follow-ups with physicians.<br />
“We have a really unique opportunity<br />
to build a model health<br />
program where we can buffer these<br />
kids so we don’t see these terrible<br />
consequences,” said Hanna-Attisha.<br />
“But it will take a lot of resources. I’m<br />
angry, but I’m using that to do some<br />
of the secondary prevention work.<br />
Our community has been physically<br />
traumatized and they think that every<br />
kid has been damned. We need<br />
to give them hope.”<br />
Hanna-Attisha, the mother of<br />
two, has taken on hero status as the<br />
water scandal continues to make<br />
news. Her ignored warnings about<br />
the water and refusal to give up has<br />
led to interviews with media as diverse<br />
as the BBC and Al-Jazeera.<br />
“It’s been absolutely surreal – one<br />
day I had seven media interviews. It’s<br />
gone international,” she said of her<br />
newfound fame. “I came to work in<br />
Flint to do pediatric public health.<br />
It’s like this was destined for me to<br />
do this.”<br />
34 CHALDEAN NEWS <strong>DECEMBER</strong> <strong>2015</strong>