Following the BP oil disaster, federal agencies took steps that may have further compromised the health of cleanup workers and Gulf Coast residents.

A special Facing South investigation by Sue Sturgis and Chris Kromm

Riki-Ott_small.jpgWhen BP's Deepwater Horizon oil rig blew up a year ago in the Gulf of Mexico, triggering the largest oil spill in U.S. history, Riki Ott -- a marine toxicologist from Alaska -- had a sinking feeling: Here we go again.

Ott (photo at right) was touring the United States to promote her book Not One Drop, the story of what until then was the nation's worst oil spill -- the 1989 Exxon Valdez disaster, which spilled up to 32 million gallons of crude oil into Alaska's Prince William Sound after a tanker ran aground.

Back then, Ott was working as a commercial salmon fisher in the area. She wrote extensively about the environmental and social fallout from Exxon Valdez, and founded several nonprofits to help Alaskan communities deal with the impact.

When BP's failed rig began gushing oil into the Gulf, Ott's first instinct was to turn away. "I didn't want to go," Ott told Facing South. "It hurt too much."

But Ott managed to stay away for only 10 days. From news reports, she became convinced that many of the post-spill mistakes made in Alaska were being repeated in the Gulf -- and putting the health of thousands of Gulf Coast residents in serious jeopardy.

Over the last year, Ott has been crisscrossing Gulf communities from Louisiana to Florida, collecting stories from hundreds of people. What she has learned has led her to believe there is an environmental health crisis unfolding in the Gulf that was exacerbated by the federal government's failure to take appropriate action to protect cleanup workers and coastal residents.

"There are a lot of sick people in the Gulf, with reports of respiratory problems, skin rashes and other issues that won't go away," she says. "The federal government has done a huge disservice by pretending this isn't a problem."

exxonvaldez_cleanup_workers.jpgLacking a plan

Exhibit A of the government's failure to address the BP disaster's public health aftermath, Ott and others contend, are the medical problems now afflicting many of the workers mobilized to clean up the spill.

There are a potentially large number of people affected, as about 100,000 people went through cleanup worker safety training, according to the National Institute of Environmental Health Sciences.

The National Institutes of Health is currently undertaking a study looking at impacts of the BP spill on cleanup workers. But that research is geared toward helping prepare for future incidents that put workers at risk and not to helping those affected by the BP disaster.

The reported illnesses should have come as no surprise: People who were involved in the Exxon Valdez cleanup two decades ago (photo above) reported a flu-like respiratory illness that was dubbed "Valdez Crud," the symptoms of which -- coughing, burning eyes, chest pain, etc. -- are consistent with exposure to toxic chemicals found in crude oil.

Over time, the acute health problems suffered by Exxon Valdez cleanup workers morphed into more chronic conditions including memory loss and cancer, which are long-term consequences of toxic chemical exposure.

Though there were no published, peer-reviewed studies conducted on Exxon Valdez cleanup workers, an unpublished pilot study done by a Yale graduate student in 2003 included a phone survey of 169 workers that found those with significant oil exposure or exposure to oil fumes were more likely to report symptoms of chronic airway disease than those with less exposure. Based on that finding, Ott told Congress that she estimates as many as 3,000 former Exxon Valdez cleanup workers suffer from spill-related health problems.
More recently, a study by Spanish scientists published last August in the Annals of Internal Medicine looking at fishermen who responded to the 2002 spill of 20 million gallons of oil from the Prestige tanker off the northwestern coast of Spain found that participation in the cleanup was associated with persistent respiratory problems such as coughing and shortness of breath.

The Spanish cleanup workers also showed chromosomal abnormalities in their white blood cells that increased with intensity of exposure.

The U.S. Agency for Toxic Substances and Disease Registry, a division of the Centers for Disease Control and Prevention, reports that exposure to benzene, a component of crude oil, causes damage to the blood, immune system and reproductive organs, and can lead to leukemia.

The Occupational Safety and Health Administration (OSHA), the federal agency in charge of protecting workers from on-the-job hazards, deployed personnel to the Gulf the week after the rig exploded. But even at the height of the cleanup effort, the cash-strapped agency had at most only 50 personnel assigned solely to the oil cleanup -- far too few to comprehensively monitor the massive effort that stretched from Texas to Florida.

OSHA also worked with the National Institute on Occupational Safety and Health (NIOSH), a division of the Centers for Disease Control and Prevention, to establish rules regarding protective equipment and training for cleanup workers. But those rules were not always followed. Last July, for example, OSHA sounded an alarm over shortcuts in the required 40-hour training for cleanup supervisors.

"We have received reports that some are offering this training in significantly less than 40 hours, showing video presentations and offering only limited instruction," U.S. Assistant Secretary of Labor for Occupational Safety and Health Dr. David Michaels announced last July.

A report [pdf] released last year by the Center for Progressive Reform (CPR), a nonprofit public and environmental health watchdog group, identified the "original sin" behind the compromise of cleanup workers' health and safety as the limited role that OSHA and NIOSH played in the oil spill planning process laid out under the Oil Pollution Act of 1990.

Passed by Congress in the wake of the Exxon Valdez disaster, the act creates a National Contingency Plan that gives OSHA inspection authority after a spill and a role on national and regional response teams. However, the plan simply states that response actions should comply with OSHA standards but doesn't set out any clear compliance mechanism. As a consequence, CPR found, too few cleanup workers were given adequate training on the use of personal protective equipment such as respirators.

"When cleanup crews first got to work on the beaches and on the water, there was no carefully considered plan for what protections they needed for the oil fumes and heat," says CPR President Rena Steinzor, a professor at the University of Maryland School of Law.

But a lack of training about how to use protective gear wasn't the only problem: In some cases, BP failed to even make gear available.

Kellie Fellows was one of hundreds of workers hired by BP to help clean up beaches in Mississippi last summer, and she later shared the story about her experience with the Louisiana Environmental Action Network (LEAN). During training Fellows and her co-workers were told that safety was a priority and that they would be provided with respirators and other protective gear.

But when it was time to go to work, there were no respirators provided -- even though there was a strong smell of oil on the beach. Initially they were given Tyvek protective suits to wear but were instructed to pull them up only partway and to tie the arms around their waists; eventually they were told there was no danger and sent out without the suits. They were given only straw hats, safety glasses and gloves and sent to work.

Fellows' job was to hold a trash bag while two men shoveled in tar balls. Once they collected about 20 pounds of tar balls, her assignment was to tie off the bag in a knot. But in order to do that, her bare arms repeatedly touched the oil-smeared bag. Eventually her arms became covered with oil, which also worked its way down inside her gloves. Her skin began burning.

"I wanted to be in a Tyvek [suit]. And they refused."

When she reported the contamination to her superiors, no one seemed to know what to do. They ended up washing her hands with soap and bottled water, rubbing on a couple packets of burn cream, and sending her home for the rest of the day.

Fellows has been left with lingering headaches she attributes to the toxic exposures, and she believes many others are still experiencing health-damaging consequences -- even though the managers denied the clean-up had anything to do with it.

"Everyone was given excuses," Fellows says, "Oh, you have the flu, it's going around, that kind of thing. Bronchial issues? Oh, well, it's allergies. Every excuse known to man was given except for them to actually say this is coming from the oil."

Louis Bayhi, a Louisiana charter boat captain, heard the same story after he was hired by BP to shuttle divers and scientists to the spill site, and later worked for BP's Vessels of Opportunity program in direct cleanup.

Bayhi says he was told he didn't have to wear a respirator since he wouldn't be directly touching the oil, though he says the fumes still sickened him and his crew. Two co-workers passed out on his boat, were taken for emergency treatment, and never returned. He still doesn't know what happened to them.

When crews would arrive back at shore, Bayhi says, BP medical staff would ask them how they were feeling. When they described headaches and other problems, they were told it was seasickness.

"I've been offshore pretty much all my life and I got sick one time because I ate Froot Loops and beer for breakfast. Other than that, I really don't remember a time I got seasick."

Plus, seasickness doesn't continue onshore for months on end -- but Bayhi's symptoms have. Earlier this month, he spent five days in the hospital with severe abdominal pain. The doctors couldn't figure out what's wrong with him, but he suspects it's related to his oil exposure.

Environmental health advocates say the kind of exposures cleanup workers suffered is unthinkable in this day and age.

"The workplace environment cleanup people were put in was totally unacceptable for 2010," Wilma Subra, an environmental chemist who works with LEAN, told Facing South. "You had a responsible party with resources, and it should not have happened."

chemical_dispersant_spraying.jpg'Human health hazards: acute'

Adding to the toxic stew in the Gulf -- and the health risks to cleanup workers and coastal residents -- was the approach BP used, with government approval, to disperse the massive oil slicks stemming from the disaster.

Oil dispersants are a mix of surfactants and industrial solvents that cause oil to form into droplets and fall to the ocean floor. Less than a month after the Deepwater Horizon explosion, BP reported spraying more than 400,000 gallons of dispersant on the slick and wellhead itself -- primarily two versions of Corexit, manufactured by Illinois-based Nalco.

Corexit EC9500A and Corexit EC9527A were both on the list of 18 dispersants approved for use on oil spills by the Environmental Protection Agency. However, as The New York Times reported, the EPA's own data showed that Corexit was far more toxic -- and far less effective -- than other alternatives in handling southern Louisiana crude:

Of 18 dispersants whose use EPA has approved, 12 were found to be more effective on southern Louisiana crude than Corexit, EPA data show. Two of the 12 were found to be 100 percent effective on Gulf of Mexico crude, while the two Corexit products rated 56 percent and 63 percent effective, respectively. The toxicity of the 12 was shown to be either comparable to the Corexit line or, in some cases, 10 or 20 times less, according to EPA.

Considered a trade secret, the precise contents of dispersants like Corexit were initially hidden from public view and revealed to the Environmental Protection Agency last June only after extensive negotiations. However, OSHA requires that any ingredients which may be harmful to exposed workers be listed on readily available Material Safety Data Sheets. For both forms of Corexit used by BP -- Corexit EC9500A and EC9527A -- the data sheets include this warning: "Human health hazards: acute."

OSHA's data sheet for Corexit EC9527A [pdf] details the potential health consequences: "[E]xcessive exposure may cause central nervous system effects, nausea, vomiting, anesthetic or narcotic effects." It also notes that this version of Corexit includes 2-butoxyethanol, stating that "repeated or excessive exposure to butoxyethanol may cause injury to red blood cells (hemolysis), kidney or the liver ... Prolonged and/or repeated exposure through inhalation or extensive skin contact with EGBE [butoxyethanol] may result in damage to the blood and kidneys."

By September 2010, BP reported spraying about 2 million gallons of dispersants for the spill -- an unprecedented amount. And some Gulf scientists believe there is already evidence that it's having adverse health impacts.

In July 2010, Dr. Susan Shaw -- founder and director of the Marine Environmental Research Institute -- told CNN about a shrimper who had water splash onto his skin:

...[H]e got a headache that lasted for three weeks. He had heart palpitations. He had muscle spasms and ... bleeding from the rectum.

And that's what Corexit does. It ruptures red blood cells, causes internal bleeding, and liver and kidney damage.

This stuff is so toxic combined [with oil] ... it goes right through skin.

As with the risks to cleanup workers, the hazards posed by Corexit were already known. The United Kingdom had famously banned the used of the dispersant. A version of Corexit was also used after the Exxon Valdez disaster and implicated by cleanup workers and environmental advocates for the health problems they suffered after that disaster.

Even when faced with growing criticism about the use of such toxic elements on such an untested scale -- especially near cleanup workers and coastal communities -- government regulators appeared slow to address the hazards.

On May 26, the EPA and U.S. Coast Guard issued a directive telling BP to stop using surface dispersants -- except in "rare cases where there may have to be an exception." Yet as Rep. Edward Markey (D-Mass.) noted in a strongly worded letter sent to Adm. Thad Allen, the spill recovery commander, on July 30, exemptions were being routinely granted:

An analysis of the exemption request letters submitted by both the BP and Houma Unified Command, as well as other documents provided to me by the USCG, reveals that since the Directive was issued on May 26th, more than 74 exemption requests have been submitted and, usually within the same day, approved by the USCG. On 5 separate occasions BP submitted requests for pre-authorized exemptions to deviate from EPA and USCG instructions by applying 6,000 gallons of dispersant per day to the ocean surface for an entire week ... In every instance this weekly request was approved by the USCG, and on many of these days, BP still used more than double its new 6,000 gallon limit.

The result? Dispersant use declined only 9 percent -- even after federal officials had formally directed BP to stop using them in all but the most extreme circumstances.

Aside from the threats posed by immediate exposure, there's concern about how long Corexit will linger. Dr. Shaw warns that such chemicals readily bioaccumulate -- meaning they get stored in the fat tissue of marine organisms and get passed up the food chain, including to humans who eat fish.

And there were reports that dispersants were still being used and posing a health threat long after the spraying was supposed to have stopped. "I have received hundreds of reports about improper spraying," says Subra with the group LEAN. "It was ongoing, and people are being made very, very sick."

In August 2010, a month after the Joint Command for the oil spill says the spraying was supposed to have ended, Rocky Kistner with the Natural Resources Defense Council documented the presence of of large tanks of Corexit on Gulf beaches. Earlier this year, MSNBC also detailed accounts of Gulf residents who maintain the dispersant spraying continued long after July, with C-130s spraying within sight of beaches at night. 

Subra says she has passed the reports she's received about the spraying to the EPA. However, the agency has refused to discuss the matter with her, saying only that it's part of an ongoing criminal investigation.

lmrk_seafood_sampling.pngJust four jumbo shrimp a week

Another potential health risk for people in the Gulf Coast and beyond is the safety of the region's seafood.

At a press conference held last September, National Oceanic and Atmospheric Administrator Jane Lubchenco declared that seafood from the Gulf was "free of contamination." NOAA echoed the sentiment earlier this month, when it led reporters on a tour of testing facilities in Mississippi and declared that "not one piece of tainted seafood has entered the market" due to the BP spill.

But as Subra points out, test data from the federal government and state agencies contradicted at least the earlier assertions. Twenty-four percent of all Gulf seafood and 43 percent of all Gulf oysters sampled through August 2010 contained polycyclic aromatic hydrocarbons (PAHs), a natural constituent of crude oil and a byproduct of burning fuel. The ATSDR reports that PAHs are known to cause cancer as well as birth defects and damage to the skin and immune system.

While the concentrations detected fell far below the levels of concern established by the Food and Drug Administration, those levels are another source of controversy.

To set its safe consumption levels for Gulf seafood in the wake of the BP oil spill, the FDA measured the levels of PAHs in the seafood against the national average of seafood consumption -- about 3 ounces a week. That's the equivalent of four jumbo shrimp.

But the typical Gulf Coast family -- especially in fishing communities -- eats much more seafood than that. A survey in late 2010 by the Natural Resources Defense Council of 547 seafood eaters in the Gulf found the median consumption was about 20 seafood meals a month. Those at the higher end consumed up to 60 seafood meals a month. And their portions were bigger than just four jumbo shrimp.

"Those levels are clearly not designed to deal with the situation on the Gulf Coast," says Subra. "It's not protective enough."

What's more, the estimate is based on the person eating the seafood weighing an average of 176 pounds. What about children? People who weigh less? Pregnant women and their developing fetuses? Yet federal and state health officials insist their measures are conservative and adequate to protect the public.

LEAN has been conducting its own tests of seafood from the Gulf, looking at PAHs as well as total petroleum hydrocarbons, which the FDA is not testing for. It tested only seafood that appeared pristine and neither looked nor smelled suspicious.

LEAN found that levels of total petroleum hydrocarbons in flounder and speckled trout caught in Louisiana's St. Bernard Parish last August were 21,575 milligrams per kilogram, while oysters caught in Plaquemines Parish showed levels of 12,500 mg/kg. Petroleum levels found in fiddler crabs and periwinkles harvested from Terrebonne Parish on Aug. 19 were 6,916 mg/kg. LEAN notes that there shouldn't be any detectable levels of petroleum hydrocarbons in seafood.

The prospect of contaminated seafood continues today: At a public meeting held late last month in Grand Isle, La. as part of the Natural Resource Damage Assessment process that's now underway, shrimpers reported pulling up nets full of oil from the seafloor and facing the decision of whether to report the oil to the Coast Guard, which would mean throwing away the day's catch, or keeping quiet.

Subra is among those who aren't taking any chances.

"I don't eat seafood now from the Gulf or from coastal areas," she confesses. "I still eat crawfish, but that's freshwater."

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TOMORROW: BP's spill is not the oil industry's only threat to the health of Gulf Coast residents.

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Sue Sturgis is an investigative reporter and editorial director of Facing South, and Chris Kromm is Facing South's publisher. This piece is the second installment in an in-depth, week-long series by Sturgis and Kromm on the growing health crisis in the Gulf in the wake of the BP disaster and the government's failure to respond adequately. To read the first piece, click here.

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(PHOTOS: From top, Riki Ott from www.rikiott.com; Exxon Valdez cleanup workers from NOAA via Wikimedia Commons; C-130 spraying chemical dispersants on BP spill from U.S. Air Force; Gulf seafood being sampled by Jeffrey Dubinsky for the Lower Mississippi Riverkeeper.)