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Sheltering Near Fracking

Health + Wellness
Across the country, millions of people live within half a mile of fracking sites, like this one in Frederick, Colorado. milehightraveler / Getty Images

By Emily Pontecorvo and Naveena Sadasivam

On a spring weekend morning a few weeks ago, Judy Kelly stepped outside of her house in Broomfield, Colorado, to grab the newspaper when her nose perked up. It smelled like something was burning.

Kelly, who's 73, lives in an upscale, 55-and-up retirement community called Anthem Ranch, which sits below the foothills of the Rocky Mountains. The 1,300-home development is manicured and quiet, with green lawns and landscaped roads that flower out into smaller cul-de-sacs. Its active residents enjoy their own private fitness center, pool, movie theater, and more than 90 clubs that meet in a central community center. But about a quarter of a mile away from the southern border of this retirement dreamland sits a circle of fortress-like walls that enclose the Livingston fracking site, which contains 18 wells owned by Extraction Oil and Gas.

Kelly is among more than 200 Broomfield residents who have submitted complaints to the city since November, reporting chemical smells and symptoms like headaches, burning eyes, and nosebleeds that they believe are caused by oil and gas activity in the area.

An excerpt from an email sent to the city by a resident concerned about the Livingston fracking site.

When she notified the city about the smell that morning, she was told that a city inspector had been on the site already and nothing was wrong. But Kelly was on high alert. Just a few days earlier, Extraction had begun "flowback," a part of the fracking process that is associated with some of the highest emission rates of carcinogenic chemicals like benzene. Even under normal circumstances, flowback scared Kelly, who had followed the devastation in neighboring Weld County when one of Extraction's wells exploded during the process in 2017, causing a major fire and injuring a worker. Kelly and her husband, who has pulmonary interstitial fibrosis, a lung disease, had planned on leaving town to stay with their son when flowback at Livingston began.

The COVID-19 pandemic threw a wrench in those plans. On March 25, when Colorado Governor Jared Polis issued a statewide stay-at-home order to stop the coronavirus's spread, Kelly and her neighbors were suddenly trapped, trying to avoid one health hazard while worrying about being exposed to another. After all, fracking remained a "critical" business, according to the state.

"Where am I going to go?" Kelly asked. "I can't go to a hotel. I can't risk that with my husband. I have nowhere to go now."

Kelly's dilemma is not unique. Across the country, millions of people live within half a mile of fracking sites and other oil and gas activity and are exposed to a slew of toxic chemicals in their day-to-day lives. Researchers have found that those living close to fracking are more likely to suffer from cardiovascular and respiratory illnesses — the very underlying conditions that make them more vulnerable to the most severe outcomes from COVID-19. While many residents may have found ways to seek respite from these toxic emissions during normal times — whether it was working or going to school elsewhere, or simply moving in with friends and family during the most intense periods of activity — those options went out the window when state governors began announcing stay-at-home orders.

For its part, Extraction says that Anthem Ranch residents have nothing to worry about. The company did not respond to Grist's detailed list of questions, but in legal filings and public testimony it has stated that the new technology it uses for flowback has been shown to keep emissions far below the levels associated with traditional techniques. In a complaint filed in a Colorado court, the company's lawyers said that the "anxiety and stress" experienced by Broomfield residents was "self-induced."

Broomfield vs. Extraction

The unsettling bind that the stay-at-home order put many residents in was not lost on Laurie Anderson, a Broomfield city councilwoman who lives just half a mile from the fracking site in another neighborhood called Anthem Highlands. The night Governor Polis' order came down, a special meeting of the city council was scheduled to discuss the potential dangers of work continuing at the Livingston site during the pandemic. The council decided to draft a proposal ordering Extraction to postpone flowback — a process where the chemical-laden water used to fracture open the shale flows back to the surface and must be collected, treated, and disposed of — until the stay-at-home order was lifted.

"The thought was to protect these residents, to delay flowback, understanding that it has to happen because they've already fracked these wells," said Anderson, who is also an organizer for Moms Clean Air Force, a national advocacy group that fights polluters. "It was only going to delay them for a couple weeks."

Of particular concern was Anthem Ranch, where the median age is 70 years old. The city's public health staff drafted up an order and included data showing that people over 65 are more susceptible to COVID-19 complications, that the top symptom reported by older Broomfield residents in the city's oil and gas complaint system was "anxiety/stress," and that stress and anxiety are linked to poor health outcomes in general.

But two days later, before the council could discuss the draft proposal, Extraction headed them off at the pass. The company secured a temporary restraining order from the Seventeenth Judicial District Court in Colorado, which prohibited the city from halting or delaying its operations. According to court documents, Extraction alleged that the city was acting in bad faith, trying to "shut down Extraction's operations not because they pose any real health risk, but because they are unpopular." Then, on March 30, the company filed an official complaint with the district court against the city, seeking damages for a breach of contract.

It's true that this was far from the first time Broomfield had tried to interfere with Extraction's … extraction. The city has battled the company at every stage of the drilling process in response to complaints from residents about odors, health symptoms, and noise.

An excerpt from an email sent to the city by a resident concerned about the Livingston fracking site.

Several times the city has contacted the Colorado Oil and Gas Conservation Commission (COGCC), a state regulatory body, to address those complaints. According to Megan Castle, a COGCC spokesperson, the agency intervened once in response to a noise issue and a second time to request the company swap drilling fluids which were causing odor complaints. Castle said the agency has conducted additional noise monitoring and did not find that the site was out of compliance with state regulations.

Andrew Bare, a spokesperson for the Colorado Department of Public Health and Environment, said that the nature of some of the complaints — such as odors that would likely have dissipated by the time inspectors reached the site — made taking action against Extraction "difficult." Bare said that the agency sent a mobile air monitoring lab to the site in response to residents' concerns and that the lab will remain near the Livingston site for at least another two weeks.

In legal documents, Extraction claims it has gone above and beyond the best management practices required by its operating agreement with the city, including investing more than $250 million on a "Next Generation Flowback" system to reduce emissions during the two to three months flowback is expected to last. At the public meeting last month, representatives from the company explained to the council that instead of storing and processing the flowback fluid on site, the company would ship it via pipeline to a facility in Weld County. They asserted that the design eliminates "99.9 percent of emissions" and significantly reduces the duration of the flowback phase. Later at the meeting, Barbara Ganong, a petroleum engineer who was hired by the city as a consultant, asserted that Extraction's decision to pipe fracking fluids offsite represented a "paradigm shift."

Air quality experts hired by the city gave a presentation showing that without this new closed system, emissions during flowback could have been 31 times higher than during fracking. Still, when they measured emissions during flowback at another Extraction well in a less populated part of town, they said emissions were still double those during fracking, even with the new system.

Broomfield residents interviewed by Grist were not reassured by Extraction's new technology. Kelly said the company told Broomfield that it was using the latest technology in every step of the process so far, but that the city has nevertheless had to step in multiple times after residents complained of noise and health symptoms.

"They've done nothing to make me feel like I can trust them and trust what they say," said Elizabeth Lario, who lives with her husband and daughter in the Wildgrass neighborhood a little less than a mile south of the Livingston site. Lario said she and her family have experienced migraines, nose bleeds, stress and anxiety, and throat irritation since drilling began last summer.

Broomfield fought the company's restraining order, and on April 6, the same judge who originally issued the temporary order agreed to dissolve it. He found that it was granted too soon, considering the city had not even officially taken action to delay or halt Extraction's operations yet. But the judge also issued a warning: If Broomfield exercised its regulatory powers in a way that was "arbitrary and capricious and not rationally related to combating the spread of COVID-19," it would be back where it started, facing more legal action from Extraction.

The judge's warning created a new problem for Broomfield: The city's order was designed to protect public health, but it had nothing to do with preventing the spread of the virus.

Two days after the judge dissolved the restraining order, the city council finally put its public health order to a vote, but by that point, it had become harder to justify. Anderson and other city council members tried to rewrite the order in a way that didn't flout the judge's ruling. If they did, they thought Extraction was likely to take them to court again and the restraining order might be reinstated.

"I kept thinking we'll find a way forward," said Anderson. "But sometime between that Tuesday and Wednesday it became clear that there just wasn't a way forward that wouldn't result in a legal battle."

Ultimately, Anderson and the majority of the council voted the public health order down 9 to 1.

It was a devastating blow for Kelly and some other residents. As a member of the League of Oil and Gas Impacted Coloradans, a nonprofit representing community groups and residents affected by fracking, Kelly has been at the forefront of the battle with Extraction, and in the past, the city has taken bold action to protect residents. While her home is about a mile from the Livingston site, she said she's most worried about some of her neighbors who are as close as a quarter-mile from the site.

"People that I've gotten to know over the last … almost seven years, who I really care about, are very close to it," she said. "And it scares me to death."

‘Why Didn’t You Protect Us?’

Leading up to that final vote, the city council was flooded with emails begging them to forge ahead with the public health order. After it decided to drop the issue, community members were on edge. Kelly said she understands why the city did what it did. But others are incredibly frustrated with the outcome. "I get so many calls from people that say, 'why didn't you protect us?'" she said. "They're so concerned about their health that they would have rather seen us in court."

One concern is what residents will do in case there is an emergency, like a major emissions release or an explosion like the one in Weld County. The Broomfield police department has told families that live within a half-mile of the site to keep a bag packed in case an evacuation is necessary. But Elizabeth Lario is not sure where her family would go. Under normal circumstances, the city's emergency shelter is its recreation center, but as long as social distancing is necessary, that no longer feels like a safe option. "The evacuation plan is to wait and hear what the evacuation plan is," Lario said.

An excerpt from an email sent to the city by a resident concerned about the Livingston fracking site.

On April 13, the Broomfield Office of Emergency Management held a telephone town hall to present evacuation instructions. Residents told Grist that instructions on where they should go were not very clear, and that the evacuation plan was fluid depending on the scale of emergency and the status of the pandemic. "It was a plan left in chaos, in my opinion, that fortunately hasn't had to be used," said Anderson.

The Broomfield police department told Grist that it uses a cell phone alert system for emergency notification. An "Emergency Management Update" powerpoint created by the department instructs residents to "follow the instructions you receive" and monitor the situation on the city's social media accounts. In the case of an evacuation, it says to go to the home of a family member or friend — and to go to the recreation center only if needed. The department advises that residents who do elect to evacuate to the recreation center remain in their cars "if quarantined/isolated."

Not all of Broomfield's citizens are worried about the fracking site. In fact, some actively opposed the city's idea to delay Extraction's work. Anderson said there had been pressure from residents who felt that the city was already wasting too many public dollars on its clashes with the company, and worried that another lawsuit could bankrupt the city. A former council member accused the city of conducting a witch hunt.

Broomfield has indeed spent a significant amount of money on oil and gas oversight, including hiring additional personnel, outside counsel, and consultants. It has also deployed systems to monitor air quality and noise. The Broomfield Enterprise, a local newspaper, reported that the city spent $1.8 million in 2018, $1.5 million in 2019, and is expected to spend $3.1 million this year just on oil and gas-related personnel and programs. The city has approved approximately $1.5 million for air quality monitoring contracts in 2020 alone.

Broomfield's air monitoring system is impressive, given that it's a city of only about 70,000 people. The city currently has 11 new sensors set up to monitor emissions, as well as two mobile air quality laboratories and a mobile "plume tracker" — a Chevy Tahoe equipped to measure real-time methane concentrations in the air — from Colorado State University that will be deployed periodically. The city's sensors do not measure the specific amount of benzene and other harmful compounds in the air, but they set off "triggers" to take an air sample any time they register a spike in emissions.

Anderson hopes that collecting this data will give the town a clearer picture of the public health risks fracking poses to residential communities. She said that part of the reason the town's order was abandoned was due to a lack of data showing that flowback would put residents at greater risk. Now they are collecting that data — but by the time any potential harms come into focus, it will be too late. Residents will have been exposed.

"This community feels like guinea pigs, and I'm right there with them," she said. "We're doing things that we don't have the data to show that it's safe."

This story originally appeared in Grist and is republished here as part of Covering Climate Now, a global journalism collaboration strengthening coverage of the climate story.

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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.

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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.

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"There is no going back," Franco added. "Not an inch, not a step. We must only move forward from here."

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