Mona Hanna-Attisha, a pediatrician in Flint, Michigan, exposed lead poisoning in the city
Her data showed a sharp rise in lead poisoning following a change in city's water supply
Initially accused of spreading hysteria, she is now working with officials to mitigate crisis
If Dr. Mona Hanna-Attisha hadn’t had a friend over to dinner in August, the public might still be in the dark about the lead contamination poisoning the water supply in Flint, Michigan.
Her friend was a water expert who had worked for the Environmental Protection Agency when the District of Columbia encountered similar issues there more than a decade ago.
When she told Hanna-Attisha that she had heard the city of Flint wasn’t doing “corrosion control” to prevent lead in aging pipes from leaching into the water supply, the doctor didn’t need to be told twice about the gravity of the potential consequences.
“When pediatricians hear anything about lead, we absolutely freak out,” says Hanna-Attisha, director of the pediatric residency program at Hurley Medical Center, a public hospital in Flint.
“Lead is a potent known neurotoxin. The CDC, the AAP, everybody tells us that there is no safe level of lead,” she says, referring to the Centers for Disease Control and Prevention and the American Academy of Pediatrics.
Lead poisoning affects “your cognition and your behavior. It actually drops your IQ,” she says.
“The very next day I started our crusade to see if that lead in the water was getting into the bodies of children,” says the doctor-turned-campaigner who became the first to sound the alarm about the water crisis afflicting the struggling city.
Brown, smelly water and rashes
Through her work, Hanna-Attisha already had heard complaints from Flint residents since officials switched the city’s water supply from Lake Huron to the dirty Flint River in April 2014 as a cost-cutting measure.
The water was brown, and it smelled and tasted bad. Residents reported developing rashes and eye irritations, and had been advised to boil their water because of the presence of E. coli.
The prospect of lead in the water made her realize urgent action was needed. Her response, she says, was to undertake “the easiest research project I’ve ever done.”
The hospital routinely screened children – who are most vulnerable to lead exposure – at ages 1 and 2 for the substance, monitoring levels among infants who may have ingested the neurotoxin through eating paint chips in their homes, for example.
Her research involved comparing the lead levels in samples taken before and after the switch in the water supply.
What she found was incontrovertible.
Lead poisoning doubled in Flint children, doctor says
The percentage of children in Flint with lead poisoning had doubled, she says.
“In some neighborhoods, it actually tripled. (In) one specific neighborhood, the percentage of kids with lead poisoning went from about 5%, to almost 16% of the kids that were tested,” she says.
“It directly correlated with where the water lead levels were the highest.”
The findings went against trends across the country, which had seen lead levels dropping every year.
“Our mouths were ajar, and we couldn’t believe that in 2016 now, in the middle of the Great Lakes, we couldn’t guarantee a population access to good drinking water,” she says.
Flint is about 70 miles from the shores of the Great Lakes, the largest group of freshwater bodies in the world.
Having uncovered the shocking data, Hanna- Attisha took the unconventional step of sharing the findings at a September press conference, flanked by medical colleagues.
“Research is not supposed to be shared at press conferences. It is supposed to be published in peer-reviewed journals, which it is now,” she says.
“We had an ethical, professional, moral responsibility to alert our community (to) what was going on.”
’Denial, denial, denial’
The news understandably created a big splash – but an equally large backlash.
“We were attacked,” Hanna-Attisha recalls.
She was labeled an “unfortunate researcher” and accused of causing hysteria. Critics said her figures did not line up with the state’s findings.
Even though General Motors stopped using the city’s water supply because it was corroding engine parts, the official reaction, Hanna-Attisha says, was one of “denial, denial, denial.”
The criticism, she says, took its toll.
“I was physically ill. I think my heart rate went up to 200. You know, you check and you double-check, and you know your research is right. The numbers didn’t lie, but when the state is telling you you’re wrong, it’s hard not to second-guess yourself.”
A turning point came, however, through a conversation with a state health official who reached out, asking how she had come to her findings.
“They re-looked at their data and found, ‘You know what? Our findings are consistent with your findings,’ ” she says.
Now Hanna-Attisha is working with former critics to address the crisis. “The state has apologized,” she says. “I’ve accepted their apology.”
Attempting to mitigate the impact of an irreversible neurotoxin on a community requires a complex response – one that a financially struggling city such as Flint is poorly equipped to provide.
“There’s no treatment, but there’s a lot of things that we can put in place for these children,” Hanna-Attisha says, citing universal preschool, nutrition, education and health services.
“It’s all of these wraparound services that we need to throw at these children now. That is why I feel that we’re in a state of emergency, because if we don’t