CDC expects to launch probe into derailment aftermath

From: POLITICO Pulse - Tuesday Feb 21,2023 03:02 pm
Delivered daily by 10 a.m., Pulse examines the latest news in health care politics and policy.
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By Krista Mahr and Daniel Payne

With help from Daniel Lippman 

Driving the Day

Ohio National Guard members prepare to assess hazards where crews released and burned toxic chemicals from a derailed train.

State and federal teams are scrambling to assess the health risks in East Palestine, Ohio. | Ohio National Guard via AP

CDC TEAM HEADS TO OHIO — CDC epidemiologists and environmental health scientists are in Ohio this week, Krista has learned. They’re helping assess and investigate the health risk after a 150-car train derailed in the small town of East Palestine earlier this month carrying dangerous chemicals.

Staff from the CDC’s Agency for Toxic Substances and Disease Registry were set to arrive Monday to help the EPA and the state’s health department conduct the emergency response, assess the contamination and communicate the risks they pose to the public.

What’s happened so far: On Feb. 3, a Norfolk Southern train derailed in East Palestine, near the Pennsylvania border, sending five tanker trucks off the tracks. The cars carried several hazardous materials, including vinyl chloride, butyl acrylate and ethylene glycol monobutyl ether.

EPA Administrator Michael Regan visited the site last week, vowing to hold Norfolk Southern responsible. The agency has been inspecting homes for vinyl chloride and hydrogen chloride, two of the most dangerous chemicals on the train, and monitoring the air. State and local agencies are running tests for contaminants in drinking water; officials, in the meantime, have told residents to drink bottled water.

The blowback: Residents and lawmakers alike have criticized the Biden administration’s response to the accident — Regan was the first senior administration official to visit the site — and asked for additional help from federal health officials as an increasing number of residents have reported feeling sick.

Sen. J.D. Vance (R-Oh.) said last week during a visit to East Palestine that he was “very frustrated” with the CDC. “We’ve been going back and forth with them for a couple of days, asking them, ‘What are the acceptable levels of contamination here before this becomes endangering to human health?’” the Republican said. “We have not yet gotten a good answer, and it’s something we’re going to keep hammering on.”

What’s next: The CDC expects to send a separate team to the area to conduct an Assessment of Chemical Exposure investigation, which is a “rapid epidemiological assessment” to determine the impact of chemical releases on residents’ health. The agency has previously conducted similar investigations when chemicals have been released on other train derailments, at manufacturing plants and in resorts.

WELCOME TO TUESDAY PULSE — Why does the zebra have its stripes? Here’s why. Any other questions? Send them to kmahr@politico.com and dpayne@politico.com, along with your big news and hot tips for the week.

TODAY ON OUR PULSE CHECK PODCAST, host Katherine Ellen Foley talks with Krista about America’s nursing homes, which have been at the epicenter of the Covid pandemic, and what's behind their low rates of Covid-19 booster shots among residents and staff.

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In Congress

Boxes of Moderna COVID-19 vaccine in carton at McKesson distribution center

Moderna says it will continue providing free vaccines to the uninsured. | Pool photo by Paul Sancya

‘AMAZING COINCIDENCE’ — Sen. Bernie Sanders (I-Vt.) speculated that maybe it was “just a wild and crazy coincidence” that the drug company Moderna announced a plan to give free Covid vaccines to uninsured Americans right as a Senate committee asked it to testify, POLITICO’s Olivia Olander reports.

“Amazing coincidence — that happened the same exact day we announced that we were inviting them to testify,” the chair of the Senate Health, Education, Labor and Pensions Committee, said on CBS’ “Face the Nation” on Sunday. Nevertheless, he said, it’s “a step in the right direction.”

Backstory: Last week, the committee asked Moderna CEO Stéphane Bancel to appear before a panel next month examining proposed plans to raise the Covid vaccine’s list price ranging from $110 to $130 a dose. On Wednesday, Moderna said people in the U.S. will be able to access vaccines “regardless of ability to pay.”

Public Health

LEAD FROM THE SKY — Small aircraft still use leaded gasoline three decades after the U.S. banned the fuel for cars, E&E’s Ariel Wittenberg reports.

Efforts since then to develop unleaded — or even less heavily leaded fuel for small airplanes — have depended on the approval of oil and aviation experts who meet through the nonprofit standards organization ASTM International.

That panel has repeatedly rejected proposals to create unleaded fuels for small aircraft, an investigation by POLITICO’s E&E News found, and the FAA has failed over multiple administrations to achieve a policy goal to move American fliers to cleaner fuels.

At the same time, major oil companies have protected their small-but-profitable market for leaded aviation gas, according to interviews with nearly a dozen former members of the fuel-standards committee and documents reviewed by E&E News.

Coronavirus

FREE TESTS FOR OLDER ADULTS? The looming end to the Covid-19 public health emergency is prompting calls from Democrats and public health experts for Medicare to continue providing free rapid tests to older adults, POLITICO’s David Lim and Ben Leonard report.

They worry that without ready access to no-cost, over-the-counter tests, older Americans most vulnerable to severe disease won’t get rapid diagnosis and treatment and argue that maintaining requirements that Medicare and private insurers reimburse for eight rapid tests a month is a critical public health measure as thousands of Americans continue to die from the virus each week.

The problem: Medicare coverage of the tests sunsets when the emergency declaration ends on May 11. Older adults’ “medically necessary” PCR and antigen tests will still be covered without cost-sharing when ordered by a provider, and some Medicare Advantage plans might also elect to continue covering the tests.

What HHS says: HHS told POLITICO it’s working with Congress to get the “necessary authorities” to continue offering free OTC tests for Medicare beneficiaries when the emergency ends, as Medicare doesn’t typically cover over-the-counter services.

Names in the News

Gavin Proffitt is now a professional staff member with the House Energy and Commerce Committee. He previously was a Medicaid demonstrations specialist at CMS.

What We're Reading

Why aren’t there better treatments out there for cramps? Stat reports.

The Associated Press reports on the push in some parts of the nursing home industry to end the staff vaccine mandate.

The Washington Post looks back on Jimmy Carter’s role in helping contain a melting nuclear reactor.

 

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