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New Jersey Will Be First State to Require Building Permits to Consider the Climate Crisis

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A roller coaster on the Jersey Shore flooded after Hurricane Sandy. Photo credit: Hurricane_Sandy_New_Jersey_Pier.jpg: Master Sgt. Mark C. Olsen / U.S. Air Force / New Jersey National Guard / CC BY 2.0

New Jersey will be the first state in the U.S. to require builders to take the climate crisis into consideration before seeking permission for a project.


Gov. Phil Murphy announced the new regulations Monday as part of the final version of the state's master energy plan, which commits New Jersey to achieving 50 percent clean energy by 2030 and 100 percent by 2050, according to NJ Advance Media. But while The New York Times pointed out that other states have adopted a 2050 100 percent renewable energy goal, New Jersey will be the first to require that projects seeking Department of Environmental Protection (DEP) permits consider both how their projects' emissions will contribute to global warming and how climate change will impact their building plans.

"This is a big deal," director of the water and climate team at the Natural Resources Defense Council Rob Moore told The New York Times. "For New Jersey to step to the forefront and say, 'We're going to look at future climate impacts, and that it's going to be a driver of our decision-making' — that's exactly what all 50 states need to be doing."

New Jersey has a particularly good reason to consider how climate might impact new construction projects. The state has 130 miles of coastline and is especially vulnerable to sea level rise. Murphy cited a Rutgers study that found that the state's sea levels were projected to rise more than one foot by 2030 and two feet by 2050, NJ Advance Media explained.

"Quite frankly, it will be hard for future generations to create their Jersey Shore memories if the Jersey shore becomes only a memory," Murphy said. "We are not gonna let this keep happening without a fight."

To lead this fight, Murphy signed an executive order calling on DEP to craft the the Protecting Against Climate Threat (PACT) rules, the Daily Record reported. Those rules will include the requirement that the permitting process consider sea level rise and greenhouse gas emissions. PACT will also include new air pollution controls and compile a complete picture of New Jersey's emissions so that it can reduce them to 80 percent below 2006 levels by 2050.

Murphy asked the DEP to have the new regulations finalized and ready to be implemented by January 2022, The New York Times explained.

However, some environmental groups criticized that timeline, saying it would allow more than a dozen new fossil fuel projects to slide in before that deadline, according to the Daily Record.

Empower NJ, a coalition of green groups, instead calls for a ban on all new fossil fuel projects.

"Without a moratorium on all new fossil fuel projects, we are losing precious time — time we don't have to waste in the race against climate change," Tracy Carluccio, deputy director of the Delaware Riverkeeper Network, told the Daily Record.

Green groups are also concerned that the 2050 clean energy goal calls for 100 percent "carbon neutral" energy. That means nuclear plants and offset natural gas can still be used.

"The (plan) still defines clean energy to include incinerators, natural gas, biogas and others," Jeff Tittel, director of the New Jersey chapter of the Sierra Club, told NJ Advance Media. "It does not call for a moratorium on new fossil fuel projects or a 45% reduction of emissions by 2030, and will not get the state to zero carbon by 2050."

However, other groups were pleased with the plan.

"Governor Murphy's actions today put New Jersey at the forefront of efforts to reduce greenhouse gas emissions and build a healthier, more prosperous, clean energy future," Tom Gilbert, campaign director of the New Jersey Conservation Foundation and ReThink Energy NJ, told the Daily Record.

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Guillain-Barre syndrome occurs when the body's own immune system attacks and injures the nerves outside of the spinal cord or brain – the peripheral nervous system. Niq Steele / Getty Images

By Sherry H-Y. Chou, Aarti Sarwal and Neha S. Dangayach

The patient in the case report (let's call him Tom) was 54 and in good health. For two days in May, he felt unwell and was too weak to get out of bed. When his family finally brought him to the hospital, doctors found that he had a fever and signs of a severe infection, or sepsis. He tested positive for SARS-CoV-2, the virus that causes COVID-19 infection. In addition to symptoms of COVID-19, he was also too weak to move his legs.

When a neurologist examined him, Tom was diagnosed with Guillain-Barre Syndrome, an autoimmune disease that causes abnormal sensation and weakness due to delays in sending signals through the nerves. Usually reversible, in severe cases it can cause prolonged paralysis involving breathing muscles, require ventilator support and sometimes leave permanent neurological deficits. Early recognition by expert neurologists is key to proper treatment.

We are neurologists specializing in intensive care and leading studies related to neurological complications from COVID-19. Given the occurrence of Guillain-Barre Syndrome in prior pandemics with other corona viruses like SARS and MERS, we are investigating a possible link between Guillain-Barre Syndrome and COVID-19 and tracking published reports to see if there is any link between Guillain-Barre Syndrome and COVID-19.

Some patients may not seek timely medical care for neurological symptoms like prolonged headache, vision loss and new muscle weakness due to fear of getting exposed to virus in the emergency setting. People need to know that medical facilities have taken full precautions to protect patients. Seeking timely medical evaluation for neurological symptoms can help treat many of these diseases.

What Is Guillain-Barre Syndrome?

Guillain-Barre syndrome occurs when the body's own immune system attacks and injures the nerves outside of the spinal cord or brain – the peripheral nervous system. Most commonly, the injury involves the protective sheath, or myelin, that wraps nerves and is essential to nerve function.

Without the myelin sheath, signals that go through a nerve are slowed or lost, which causes the nerve to malfunction.

To diagnose Guillain-Barre Syndrome, neurologists perform a detailed neurological exam. Due to the nerve injury, patients often may have loss of reflexes on examination. Doctors often need to perform a lumbar puncture, otherwise known as spinal tap, to sample spinal fluid and look for signs of inflammation and abnormal antibodies.

Studies have shown that giving patients an infusion of antibodies derived from donated blood or plasma exchange – a process that cleans patients' blood of harmful antibodies - can speed up recovery. A very small subset of patients may need these therapies long-term.

The majority of Guillain-Barre Syndrome patients improve within a few weeks and eventually can make a full recovery. However, some patients with Guillain-Barre Syndrome have lingering symptoms including weakness and abnormal sensations in arms and/or legs; rarely patients may be bedridden or disabled long-term.

Guillain-Barre Syndrome and Pandemics

As the COVID-19 pandemic sweeps across the globe, many neurologic specialists have been on the lookout for potentially serious nervous system complications such as Guillain-Barre Syndrome.

Though Guillain-Barre Syndrome is rare, it is well known to emerge following bacterial infections, such as Campylobacter jejuni, a common cause of food poisoning, and a multitude of viral infections including the flu virus, Zika virus and other coronaviruses.

Studies showed an increase in Guillain-Barre Syndrome cases following the 2009 H1N1 flu pandemic, suggesting a possible connection. The presumed cause for this link is that the body's own immune response to fight the infection turns on itself and attacks the peripheral nerves. This is called an "autoimmune" condition. When a pandemic affects as many people as our current COVID-19 crisis, even a rare complication can become a significant public health problem. That is especially true for one that causes neurological dysfunction where the recovery takes a long time and may be incomplete.

The first reports of Guillain-Barre Syndrome in COVID-19 pandemic originated from Italy, Spain and China, where the pandemic surged before the U.S. crisis.

Though there is clear clinical suspicion that COVID-19 can lead to Guillain-Barre Syndrome, many important questions remain. What are the chances that someone gets Guillain-Barre Syndrome during or following a COVID-19 infection? Does Guillain-Barre Syndrome happen more often in those who have been infected with COVID-19 compared to other types of infections, such as the flu?

The only way to get answers is through a prospective study where doctors perform systematic surveillance and collect data on a large group of patients. There are ongoing large research consortia hard at work to figure out answers to these questions.

Understanding the Association Between COVID-19 and Guillain-Barre Syndrome

While large research studies are underway, overall it appears that Guillain-Barre Syndrome is a rare but serious phenomenon possibly linked to COVID-19. Given that more than 10.7 million cases have been reported for COVID-19, there have been 10 reported cases of COVID-19 patients with Guillain-Barre Syndrome so far – only two reported cases in the U.S., five in Italy, two cases in Iran and one from Wuhan, China.

It is certainly possible that there are other cases that have not been reported. The Global Consortium Study of Neurological Dysfunctions in COVID-19 is actively underway to find out how often neurological problems like Guillain-Barre Syndrome is seen in hospitalized COVID-19 patients. Also, just because Guillain-Barre Syndrome occurs in a patient diagnosed with COVID-19, that does not imply that it was caused by the virus; this still may be a coincident occurrence. More research is needed to understand how the two events are related.

Due to the pandemic and infection-containment considerations, diagnostic tests, such as a nerve conduction study that used to be routine for patients with suspected Guillain-Barre Syndrome, are more difficult to do. In both U.S. cases, the initial diagnosis and treatment were all based on clinical examination by a neurological experts rather than any tests. Both patients survived but with significant residual weakness at the time these case reports came out, but that is not uncommon for Guillain-Barre Syndrome patients. The road to recovery may sometimes be long, but many patients can make a full recovery with time.

Though the reported cases of Guillain-Barre Syndrome so far all have severe symptoms, this is not uncommon in a pandemic situation where the less sick patients may stay home and not present for medical care for fear of being exposed to the virus. This, plus the limited COVID-19 testing capability across the U.S., may skew our current detection of Guillain-Barre Syndrome cases toward the sicker patients who have to go to a hospital. In general, the majority of Guillain-Barre Syndrome patients do recover, given enough time. We do not yet know whether this is true for COVID-19-related cases at this stage of the pandemic. We and colleagues around the world are working around the clock to find answers to these critical questions.

Sherry H-Y. Chou is an Associate Professor of Critical Care Medicine, Neurology, and Neurosurgery, University of Pittsburgh.

Aarti Sarwal is an Associate Professor, Neurology, Wake Forest University.

Neha S. Dangayach is an Assistant Professor of Neurology and Neurosurgery, Icahn School of Medicine at Mount Sinai.

Disclosure statement: Sherry H-Y. Chou receives funding from The University of Pittsburgh Clinical Translational Science Institute (CTSI), the National Institute of Health, and the University of Pittsburgh School of Medicine Dean's Faculty Advancement Award. Sherry H-Y. Chou is a member of Board of Directors for the Neurocritical Care Society. Neha S. Dangayach receives funding from the Bee Foundation, the Friedman Brain Institute, the Neurocritical Care Society, InCHIP-UConn Center for mHealth and Social Media Seed Grant. She is faculty for emcrit.org and for AiSinai. Aarti Sarwal does not work for, consult, own shares in or receive funding from any company or organization that would benefit from this article, and has disclosed no relevant affiliations beyond their academic appointment.

Reposted with permission from The Conversation.