The predominantly Black River Parishes along the 85-mile stretch of the Mississippi River between New Orleans and Baton Rouge are overrun with over 150 plants and refineries. This area was once dubbed Cancer Alley by residents and media because of the clusters of cancer patients in the area. Now residents are calling it Death Alley because of the significant amount of deaths by cancer and other illnesses among the residents who live near the industrial pollution.

“You put poison in the land, water and in the air, the result is sickness and death. The planned killing of any group is genocide,” Pat Bryant, the son of sharecroppers and a resident of New Orleans, said frankly. Bryant started Justice and Beyond in 2012 as a response to social and environmental injustice along the Louisiana parishes.

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After Emancipation, in 1863, many formerly enslaved Americans remained in the South, occupied fertile plots of land, and built themselves small shanties along the curvatures of the serpent-like Mississippi River, not far from the plantations that once enslaved them. These communities represented freedom and prosperity long fought for.

Descendants of enslaved Americans who, against all odds, made lives for themselves along the Mississippi have found themselves next door to refineries, chemical plants, and waste dumps in one of the most heavily polluted areas of the country. Cities like Morrisonville, Diamond, Mossville, Sunrise, and Revilletown, all founded by formerly enslaved Americans, have all been erased by environmental racism. Each town was devastated by the toxins emitted into the air, water, and soil surrounding their communities by multinational petrochemical companies like Shell and Georgia Gulf Corp. that inevitably seeped onto their land, into their homes, and poisoned their bodies. Those who didn’t fall ill and die were eventually bought out or moved.

The town of Morrisonville, founded in the late 1870s after the Civil War, was wiped off the map by the 1980s. “Morrisonville is one of the sad stories that had so much promise at the end of slavery and fell to such tough circumstances during Reconstruction. The people were able to make a living. They built houses. They educated their families when there was no public education for African Americans. And some of them were able to send their kids to college to build a better life,” Bryant told me.

Today, Dow Louisiana, the largest petrochemical company in the state, resides there, and the only thing left of the historic community of Morrisonville is the town cemetery and its more than 100 years of familial ties. The exploitation and genocide of Black Americans may look different in the 21st century, but there is no denying that racism, environmental and otherwise, plays a powerful role in the fates of these predominately Black Louisiana parishes, and much of America.

Every family along the River Parishes has lost droves of loved ones to cancer and other pollution-related ailments. Many have joined or created activist groups opposing large petrochemical companies, but their cries are being dismissed and pushed aside while people are getting sick and dying at alarming rates.

Resident Mary Hampton started Concerned Citizens of St. John as a result of the lack of action from public officials and the deadly effects of chloroprene coming from the Denka plant to the residents of St. John. In 2016, the EPA’s National Air Toxics Assessment revealed that residents living near the Denka Performance Elastomer plant were 800 times more likely to get cancer. Denka is the sole source of chloroprene in the United States. Since rule-making is such a long and strenuous process, the EPA does not prioritize compounds that are not present in more than one community.

“My father had prostate cancer, my two sisters-in-law died with breast cancer, my son-in-law died from bone cancer, my other brother died of bone cancer. So many members of my immediate family that I have lost,” Hampton said of Denka’s legacy in St. John. Her voice broke as she detailed many of those close to her who passed before their time and the children they left behind. “We just want a safe place to live, that’s all.”

According to a report by the Center for Public Integrity, in the Environmental Protection Agency’s “22-year history of processing environmental discrimination complaints, the office has never once made a formal finding of a Title VI (prohibits discrimination on the base of race, color, or national origin) violation.” Latinx Americans are exposed to 63 percent more pollution than they create and Black Americans are exposed to 56 percent, in comparison with white Americans, who are exposed to 17 percent less, according to the Proceedings of the National Academy of Science. People of color contribute less to the overall effects of pollution but carry the bulk of the burden.

Stephanie Cooper, a 50-year-old teacher of 29 years, is Vice President of RISE St. James, an activist group fighting to block Formosa Plastics. Cooper’s family has lived in St. James Parish for four generations. Her father, Oliver Cooper Sr., purchased their land when she was just eight years old. During this same time, he challenged the status quo by running for St. James Councilman — a seat that he kept well into his 70s.

Now, Formosa plans to build a massive ethane cracker complex a mile from the local public school which would emit ethylene oxide, a toxic chemical that causes cancers like non-Hodgkin’s lymphoma, leukemia, and breast cancer.

“We used to enjoy just sitting outside or with the screen door [open] but you can’t do that anymore. The door has to be closed,” Cooper explained. The pollution in the area is so bad that the beautiful garden her family once had is no longer possible and the critters have all but left. “We used to catch butterflies with butterfly nets and catch dragonflies on the fences, but you don’t see too much of that anymore. Now you’d be lucky if you see a pigeon.”

“If Formosa come in, that’s it,” Milton Cayette told me. Cayette’s great-great-grandfather bought 17 acres of land in the late 1800s, which Cayette tends to and lives on to this day. “They said that if anything would happen people would need to be at least a one-mile radius from the center of the plant. They built it 300 feet from my house and there’s nothing I can do about it.”

The Taiwanese Formosa Plastics Group was awarded The Black Planet Award in 2009, an award meant for companies creating the most ecological damage on a global level, by Ethecon Foundation. Ethecon cited “a continuing sequence of social and ecological foul play throughout the world.” In fact, one quarter of Taiwan’s greenhouse gas emissions could be tied back to FPG.

Yet, state and local officials offered FPG an estimated $1.5 billion in incentives to bring the chemical complex to St. James Parish, without disclosing any information to residents.

Earlier this year, Duarte contacted me after reading an op-ed I’d written about the widely used pesticide chlorpyrifos. I’d discovered that the likely reason for each of my three children’s brain malformations was due to my acute exposure, in 1989, to a flea “bomb” containing chlorpyrifos. Duarte believes his ADHD and impulsivity issues are the result of his chronic exposure to chlorpyrifos in his home, school and work environments.

Human and animal studies link chlorpyrifos exposure to structural damage to the brain, neurobehavioral deficits, asthma, diminished IQ, and a wide range of developmental disabilities in children. It has also been linked to heart disease, lung cancer, Parkinson’s disease, and the lowering of sperm counts in adults. Based on my investigative research, and interviews with Duarte along with dozens of other residents in the San Joaquin Valley, I’m left to draw the all-too-obvious conclusion that communities with a higher percentage of residents who are low income are at greater risk of being exposed to harmful pesticides and other environmental toxins. And the issue of race is an inextricable co-factor.

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Duarte’s alcoholic father abandoned the family when Duarte was nine, about the time his mother was diagnosed with leukemia. (Both pediatric and adult leukemias have also been linked to pesticide exposure.) Duarte, the third of four children, became the man of the house and remembers making meals for his sick mother and biking to the pharmacy to pick up prescriptions for his mom and younger brother, who had severe asthma.

Both Duarte and his brother were diagnosed with ADHD by a school psychologist at Di Giorgio Elementary School. Duarte does not recall being provided treatment or support from the school, which likely speaks to Di Giorgio School District being highly under-resourced, given the district’s meager tax base. Like their home on Richardson Road, the school abuts an orchard where pesticides are routinely sprayed.

And if exposure at home and school weren’t enough, before leaving the family, the boys’ father was a fieldworker who would have likely brought home pesticide residue on his clothing and shoes. Duarte himself worked as a field hand as a teenager and also at a golf course collecting stray golf balls. (Chlorpyrifos is widely used in non-agricultural settings like golf courses and golf balls are commonly thought to be a source of pesticide residue.)

The EPA banned chlorpyrifos in household products in 2000. However, its use in agriculture was allowed to continue. It’s often small, rural, low-income communities of color that bear the cumulative impacts of pesticide exposure and environmental degradation.

Nowhere is this more evident than in communities like Arvin, located in Kern County at the southern tip of the San Joaquin Valley — the most productive agricultural region in the country. Millions of pounds of chlorpyrifos are used each year nationwide. In 2016, 1.1 million pounds were used in California; more than a quarter of that total was used in Kern County alone.

According to the 2010 Census — about the time Duarte would have been taking on the man-of-the-house role — Hispanic or Latinx persons made up 92.7 percent of Arvin residents. Arvin’s average per capita income in 2010 was $9,241, or only 19 percent of the U.S. average of $48,880 at the time. Today, the percentage of families living below the poverty line in Arvin is more than double the national average.

That low-income communities of color are disproportionately impacted by the health effects of chemical toxins such as chlorpyrifos is not news, nor is it an accident. People of color disproportionately hold the most physically demanding, unpleasant, and low-paying jobs. The roots of the problem trace back to the legacy of state-sanctioned racial segregation. For instance, communities with high Latinx representation such as Salinas, Visalia, Santa Rosa, and San Luis Obispo, California, rank among the lowest U.S. metropolitan areas in employment opportunity. Not only have low-income families and people of color been segregated according to residence and work, they’ve consequently been forced to play host to the worst kinds of environmental burdens.

Both of Angel Garcia’s parents worked the fields when he was growing up. He is now the head of the Coalition Advocating for Pesticide Safety. “If you drive through the Central Valley from town to town you will realize the proximity of these homes to the fields,” says Garcia. “You can speak to many community residents who will tell you ‘oh, it’s that time of the year where I have to close my windows, shut my door, not let the kids go outside.’ It’s almost normalized but I don’t want to say it’s normalized because I feel like it not normal. It’s just so common.”

Sacrifice zones are hot spots of chemical pollution where residents live or work immediately adjacent to heavily polluted industries or military bases. The Gulf Coast post-Deepwater Horizon, Cancer Alley in Lousiana, a Tesla plant built on a Superfund site in Buffalo, and polluted neighborhoods surrounding Houston’s shipping channel are but a handful of examples of locales where public officials have turned a blind eye to extreme environmental contamination in minority-dominated areas so that society at large can reap the rewards of a robust economy. This pattern of unequal protection constitutes environmental racism.

The San Joaquin Valley in general and Kern County in particular are examples of sacrifice zones. Here, the burden of the vibrant agricultural economy is carried by those predominantly-Latinx workers who pick and pack the fruits and vegetables that feed America. The health risks associated with these jobs and attendant living conditions have been well documented, but perhaps no more strikingly than by the CHARGE study conducted by UC Davis’ MIND Institute, and led by epidemiologist Irva Hertz-Picciotto, PhD.

Dr. Hertz-Picciotto and her team questioned mothers living in California about what their health was like before and during pregnancy, linking this information to another set of data that the state keeps, a pesticide-use reporting system. Their findings — that the incidence of developmental disability increases significantly in areas where pesticides are applied — bolster previous research and have dire implications for families working and living in agricultural communities near where pesticides are applied.

Garcia and others, such as Nayamin Martinez of the Central California Environmental Justice Network, have led recent caravans to Sacramento to lobby their state representatives and organized an environmental bus tour that highlighted hot spots and problem issues throughout the region. To their credit, the tour was attended by the newly appointed Cal EPA director, his director of the Department of Pesticide Regulation (DPR), and a lone local agriculture commissioner.

Garcia and Martinez’s organizations also advocate for larger pesticide-free buffer zones surrounding schools, an Amber Alert-like notification system that would notify residents of pesticide applications in their vicinity, and more sustainable agricultural practices. “We will never stop pushing for greater health protections for low-income people of color,” says Martinez, “but the fact of the matter remains that most of the jobs in this region are agricultural.” Martinez, Garcia, and others in the environmental justice movement recognize they must find a win-win roadmap for both the residents who depend on those jobs and the industry that provides them.

Their largest “victory” to date may provide just such a road map. In April, as a result of the overwhelming scientific evidence and intense lobbying from environmental justice groups, the California Environmental Protection Agency, flying in the face of the federal EPA’s example, directed the state’s DPR to begin the process of banning chlorpyrifos throughout the state. After initial resistance, the chemical industry gave up its fight over the ban, which is now expected to go into effect in early 2020. It is the first time in the history of California that a pesticide’s registration has been revoked. To sweeten the bitter pill that industry is being asked to swallow and to help farmers make the transition away from chlorpyrifos, the state is adding $5.7 million to fund research into safer and more sustainable alternatives.

As for Gabrial Duarte, he is currently awaiting trial at Laredo Pretrial Facility in Kern County on charges stemming from illegal gun possession. He has spent two and a half of the past five years in detention, first in juvenile detention, and currently while awaiting trial. After our first conversation at the prison in July, he asked to be seen by a mental health professional and has since been prescribed medication for his ADHD. He is also attending anger management classes.

“Before, I was a reckless renegade,” he told me over the phone. “Now, I think things through. I ask myself, ‘if I were to do this, how would you view it, how would they view it, and how would I view it’? It [the classes] has helped me to learn empathy.”

The children of Flint and another 3,000 communities across the U.S. with dangerously elevated lead levels in their blood face an uphill, lifelong road littered with lead-induced developmental challenges, caused and exacerbated by long-neglected infrastructure ill-equipped to meet their needs, and a national public seemingly reluctant (if not apathetic) to do anything meaningful about it. Infrastructure might not be the “hottest” policy issue to pursue, but the consequences of ignoring it are all too clearly costly and deadly.

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Five years after Flint entered the national consciousness, the perpetrators of this man-made crisis continue to go unseen and unscathed. And Flint is just the beginning. Because of bad corporate actors, derelict landlords, and governmental neglect and mismanagement at all levels, our nation’s infrastructure has become toxic and dilapidated, in need of more than $2 trillion worth of investments and 21^st century policies that prioritize the most affected and proactive prevention rather than costly yet reactionary and incrementalistic approaches that favor wealthy enclaves.

Despite declarations to the contrary, with 2,500 lead-tainted pipes still in use, Flint remains poisoned and we as a nation still haven’t put our money where our mouth is in equitably ensuring that every person has access to clean water and safe homes, free from health hazards. The last major government study conservatively estimated that more half a million kids residing throughout the U.S. have significant levels of lead in their bloodstream as a result of the more than 9 million homes, neighborhoods, and schools that still have lead paint and pipes within their walls.

While Congress banned lead in plumbing systems 33 years ago and the United States, as a whole, has made important investments in reducing overall lead exposure, federal efforts have stopped short of pursuing an aggressive and comprehensive plan to remediate the millions of affected water pipes. Though the poisoning of Flint brought crucial attention to our nation’s tainted water systems, often overshadowed in the national conversation is the fact that lead-based paint is the most common, highly concentrated poisoning source for children in the United States. Despite being federally outlawed in 1978, lead-based paint remains within the crumbling walls, windowsills, and other surfaces of more than 37 million old homes and millions of aging buildings – schools, business spaces, and government offices –  where inhabitants can easily ingest and inhale contaminated dust and paint-chips.

The cost of these man-made infrastructure crises is always more than dollars and cents ­– it’s irreversible nerve and brain damage, unexplained neurological symptoms, hookworms and “neglected tropical diseases,” in the rural South, and lives lost to severe pneumonia and raging wildfires. These, and countless other examples of lives irreparably damaged by deteriorating and ineffective infrastructure, do not exist in isolation.

Poor infrastructure impacts everyone, regardless of race and class status, but – like so many other issues in America – racial minorities and people living in poverty experience the brunt of that pain. More than half of Flint’s population is African American and slightly more than 40 percent of residents live in poverty; similar stories reported in cities like Milwaukee, in rural areas of Kentucky or Alabama, and elsewhere are often in majority black areas and/or where poverty levels are high. Members of the Navajo Tribe continue to deal with gradual poisoning as a result of uranium mining in the 1950s, and towns in Alabama have become a dumping ground for human waste because of our nation’s failing wastewater infrastructure.

When these communities are observed in aggregate, rather than as separate, local issues, we can start to see the disturbing patterns of negligence, apathy and harm. Disasters like in Flint are part of a larger national failure, and our delayed and insufficient response is a public display of a larger, more heinous truth: America still hasn’t decided that clean water and a safe environment is not a privilege, but a right. An investment in our infrastructure and a commitment to maintaining accountability and transparency, when done right, is a commitment to just and equitable policy – and an affirmation that everyone deserves to live in an environment that is safe and healthy.

Even five years later, the Flint water crisis remains a crucial talking point for those looking to highlight the many inadequacies in government responses to disasters. It’s been highlighted by celebrities, Miss America pageant contestants, presidential candidates, and Twitter users expressing their frustration towards what they perceive as less important funding priorities, but that righteous anger hasn’t translated to a fury scaled for the national catastrophe we’re heading towards.

It’s not that the public is wholly apathetic to the dramatic consequences of a lack of investment in our country’s infrastructure. Poll after poll actually indicates that voters support federal spending on infrastructure improvements. In the 2016 and 2018 elections, there were local ballot measures that centered the need for more funding for infrastructure priorities – and many of them passed with voter support. However, that intensity of local support across the nation was focused on transportation issues rather than issues of water and sewage systems, broadband or electric utilities, of which privatization can further complicate matters. And even as voters express support for infrastructure measures, their higher priorities often still lie in policy areas such as the economy, health care, and education — all issues that can feel more immediate and pressing despite their inextricable links to the basic facilities and systems that America relies on.

To ensure that our infrastructure stops poisoning us today and in the future, we must redress the public policies and actions that segregate and neglect communities as well as earnestly hold accountable public officials, corporations, and landlords who put and keep people in harm’s way. And, ultimately, we must prioritize preventing these transgressions in the first place. Government, at all levels, must comprehensively support and provide restitution for the individuals and families poisoned for life because of lead and other preventable toxicant-exposures born from our compromised infrastructure.

Ultimately, Congress must seek to go beyond just getting out of our nation’s $2 trillion repair funding hole or fulfilling the hollow infrastructure promise of the current commander in chief. To truly end the ongoing poisoning and ensure that no community has to ever again suffer from this type of preventable, man-made infrastructure crises, the federal government will need to enact a full-scale, innovative package of national investments that helps harmed communities remediate and rebuild, improves the nation’s standard of living, restores public oversight and reasserts local control over the vital building blocks that make healthy, just, and thriving communities. Without that commitment, we’ll watch crises like Flint continue to unfold across the nation – and this time, we won’t be able to feign surprise. The lives of residents in Flint, and the thousands of other communities just like it, depend on it.