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Emergency room visits during heat waves available to the public in ‘near-real time’ in L.A. County

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Emergency room visits during heat waves available to the public in ‘near-real time’ in L.A. County

For the first time, Los Angeles County residents can see how many people are ending up in emergency rooms, their bodies pushed past the limit, during heat waves.

The county Department of Public Health says its new Heat-Related Illness and Mortality Dashboard will provide heat illness counts in “near real time,” which means weekly. That might seem like a lag, but until now the data were only provided upon request and in ad hoc reports.

Heat is the leading cause of weather-related death in the United States and heat waves are only getting more frequent and intense as the climate changes.

Public health experts called the tracker a meaningful step toward assessing how well county programs are addressing heat risks.

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“It’s showing the county’s commitment to reducing the burden of heat on people’s health,” said David Eisenman, director of UCLA’s Center for Public Health and Disasters. “As the county puts more resources into that, this is a metric that allows the public to judge the effectiveness of the work.”

“There’s a handful of other places that also do this, but they’re all relatively new,” said Bharat Venkat, director of the UCLA Heat Lab, noting as examples Imperial and Riverside counties in California, Harris County in Texas and Maricopa County in Arizona. “It is very much welcome.”

The tracker takes heat illness data from patient complaints and doctor diagnoses provided by a countywide monitoring project that was previously available only to public health officials. The website says that what it provides is an undercount. The records often fail to count people when heat exacerbates more obvious health problems.

“Heat piggybacks off of preexisting health conditions,” Venkat said. “Say you go to the ER and you’re experiencing an intense psychotic episode, or a heart attack or a stroke. It’s very likely that the doctor is going to diagnose that as a psychotic episode, heart attack or stroke, and less likely that they’ll note that heat is contributing to that.”

Heat-related deaths are counted from death certificates, which present similar issues for undercounting. Those numbers will be reported monthly on the dashboard.

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L.A. County has a recently approved heat action plan that aims to educate the public and reduce indoor and outdoor temperatures with strategies such as opting for shade and air conditioning.

The new tracker breaks down daily heat-related emergency room visits and deaths by age group, geography, and race and ethnicity.

It shows that people over 65 are more vulnerable to heat illness. For Black residents, heat is disproportionately fatal. And people in the San Fernando, San Gabriel, and Antelope valleys see the most heat-related emergency room visits.

Kelly Turner, a professor of urban planning at UCLA, stressed that heat sickness tracks closely with social inequality and is preventable.

“A heat death or heat illness is dependent on who you are and what assets you have,” Turner said. “If you have air conditioning or not, if you work outside or you don’t, all of those factors factor in.”

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She noted that there is more risk in the San Fernando and San Gabriel valleys because of the combination of hotter days and more people who are unprotected. “When you map those two things on top of each other, you get a hot spot of vulnerability,” she said.

California already has a tool called CalHeatScore that uses historical hospital records and temperatures to forecast risk for different ZIP Codes in the state during heat events.

Public health officials hope to use the new dashboard to target messaging and public outreach when extreme heat strikes.

“If we’re having an extended heat event we can show that, ‘Hey, we’re having heat impacts’ as they’re happening,” said Dr. Nicole Quick, chief science officer at the L.A. County Department of Public Health.

Venkat said he would like to see the tool become more robust, in line with Maricopa County’s dashboard, widely viewed as the current gold standard for heat illness and mortality tracking. He said the Arizona county, which includes Phoenix, dives deeper into health records and conditions surrounding hospitalizations and deaths to better reflect the role of heat.

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“They do scene investigations and send someone out to take notes about where the body was found,” Venkat said. “What was going on? Did they have air conditioning? Were they outside? Did they have access to water? What medications were they taking? All those things provide important context.”

Eisenman said he would like to see the county train physicians on recording heat-related illness, as it has been “clear for a long time” that doctors don’t make the diagnosis enough.

“It would have to be more than just a handout or a few slides. You’d really have to have each institution make some effort to change physicians’ behaviors,” Eisenman said. He added that it probably hasn’t been done because of the costs involved.

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New Winged Robot Can Fly and Swim Like a Puffin

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Scientists hoped for years to make a machine that could emulate the movements of diving birds, such as puffins, and offer an affordable, unobtrusive way to monitor fragile marine ecosystems. A team of researchers at M.I.T. has been able to create such a waterproof winged robot, according to a study published July 9 in the journal Science.

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Anger grows in Boyle Heights as warehouse fire leaves stench, flies and vermin in its wake

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Anger grows in Boyle Heights as warehouse fire leaves stench, flies and vermin in its wake

Nearly one month after a fire destroyed a massive cold-storage facility in Boyle Heights, the neighborhood has been overcome by the stomach-churning stench of rotting food.

As facility operator Lineage works to remove more than 85 million tons of weeks-old food from its 500,000-square-feet warehouse, the rancid odors have attracted throngs of rats and swarms of flies, as a foul-smelling brownish liquid pours from the seams of the building.

Now, with a heat wave descending over much of Southern California, residents worry the odor could get even worse and scores of residents have called air quality regulators to complain. At the same time, environmental groups are accusing Lineage representatives and emergency responders of downplaying the risks pose by chemicals released during the fire.

Boyle Heights, a neighborhood that has been subjected to decades of toxic pollution from rail yards and other industries, has again become the center of attention in another environmental disaster. Already, the official response to the Lineage fire has eroded trust in government agencies, residents say.

Remediation work continues at a Lineage facility in Boyle Heights, where residents and nearby businesses have complained of a rotting food odor for weeks.

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(Allen J. Schaben / Los Angeles Times)

On Tuesday, Sen. Alex Padilla (D-Calif.) visited the gutted warehouse alongside L.A. Fire Chief Jaime Moore and representatives of the South Coast Air Quality Management District and a contingent of environmental organizations. Padilla, along with Sen. Adam Schiff (D-Calif.) and Rep. Jimmy Gomez (D-Los Angeles), wrote a letter to the U.S. Environmental Protection Agency, calling on the agency to return to the cleanup zone to monitor air and water quality.

“Given the materials present in the warehouse, we are concerned about the long-term health and environmental impacts from contaminated smoke and water runoff on communities surrounding the warehouse,” the letter read.

Joe Lyou, president of nonprofit Coalition for Clean Air, told Padilla that he has heard of people becoming sick in the weeks after the event.

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“I think that pointed to a problem with the messaging while the event first happened,” Lyou said. “It wasn’t consistent [with] if you smell smoke, see ash to get out and protect yourself — make sure you’re not exposed to it. There were different messages coming from different people, and we need to fix that.”

“The whole community was completely overwhelmed … and concerned about the ammonia, concerned about burning plastic, concerned about all sorts of other [emissions] that are really hard, difficult, expensive to measure. But … we’ll just never know some of those things,” Lyou said.

A street vendor in a straw hat pushes a food cart with an umbrella.

Street vendor Lupe Gonzalez pushes her cart away from a gutted warehouse in Boyle Heights.

(Allen J. Schaben / Los Angeles Times)

Chief Moore has faced criticism for his decision to advise residents to shelter indoors rather than to evacuate during the blaze. That stood in sharp contrast with Orange County fire officials, who evacuated tens of thousands of residents near an overheating chemical tank in Garden Grove in May.

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On Tuesday, Moore told Padilla that the two incidents were very different. Moore said he had discussed the dilemma with TJ McGovern, the interim fire chief for the Orange County Fire Authority.

“He says everybody got mad at him because he evacuated everybody and nothing blew up,” Moore told Padilla. “But everybody’s mad at you because of the shelter-in-place [order] and it smells.”

Moore said that “there was nothing in the air that was hazardous” and that firefighters “never had a threat of an explosion.”

However, environmental experts said 14,000 pounds of flammable anhydrous ammonia were stored in tanks and used as refrigerant at the Lineage warehouse and posed a significant risk of explosion until it was removed days into the fire.

Environmental and community groups said L.A. fire officials also repeatedly emphasized the risks from ammonia in their radio communications. On the first day of the fire, a group of firefighters was hit by a plume of ammonia gas, and fire command quickly organized medical help.

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“The majority of my division got exposed to ammonia gas. We’ll need to get them assessed.”

On Tuesday, Moore said no amount of ammonia was detected.

“When [firefighters] opened those doors, there was what looked like a big vapor cloud that came out,” Moore said. “That was the cold air mixing with the hot air that caused a vapor. It wasn’t ammonia.”

But residents remain skeptical.

Padilla’s visit follows a notice of violation that the South Coast Air Quality Management District issued to Lineage. The notice of violation was issued on July 12, after the agency received more than 40 public complaints of rotten, sour, garbage-type odors in the area. Inspectors confirmed the odors with community members and traced them back to cleanup operations at the facility, according to the air quality agency.

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Boyle Heights residents are calling on Gov. Gavin Newsom to declare a mandatory evacuation of their community, saying the fire and the toxic aftermath are continuing to pose health risks. Without an evacuation order, they said, insurance companies won’t help residents who want to relocate with rent or mortgage relief.

“For nearly a month, a cold-storage warehouse fire has poisoned the air over the Eastside and Los Angeles County and City officials have refused to issue a mandatory evacuation,” read a statement from the community group Protect LA Now. “That refusal forces victims to pay their own way out, and leaves those who can’t afford to leave trapped in gases and toxins that no agency will name.”

A man holds his nose.

Joe Lyou, president of the Coalition for Clean Air, explains how smell is affecting his health while talking to the media near a fire-gutted Lineage facility Tuesday.

(Allen J. Schaben / Los Angeles Times)

Tensions have been building in the community since the fire broke out on June 17 and burned for days.

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At a contentious town meeting last week, Los Angeles Mayor Karen Bass struggled to open the meeting over the loud boos and yelling of community members, actions that were repeated as other elected officials took the microphone. The crowd grew even louder when Lineage Chief Operating Officer Jeff Rivera took to the stage and was met with shouts of “Liar!”

Air quality has been a constant concern for the community since the incident began. Beyond the health hazards of breathing in smoke from a building fire, there was a brief, temporary scare when an ammonia line that helped keep the building refrigerated was compromised, though Lineage has said the chemical was not detected in the air. Additionally, 85 million pounds of food thawed, burned and spoiled inside, creating a terrible smell that emanated from the property.

Nora Saenz, a resident of Bell, said she believed local leaders when they said there was no threat. During the fire, she took her niece and nephew to a community event in La Mirada, which was downwind of the fire.

Now Saenz fears what they might’ve breathed in.

“The day of the fire, we were told that the air was safe to breathe,” she recalled. “To this day, I don’t know what I exposed my niece and my nephew to.”

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Times staff writers Salvador Hernandez, Clara Harter and Seamus Bozeman contributed to this report.

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China Launches Reusable Rocket in Race With SpaceX

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Video released by Chinese state media shows a state-owned aerospace company launching a rocket and recovering part of it on Friday. The successful launch of a reusable rocket was a major step for China toward challenging SpaceX’s satellite internet dominance.

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