“Stop the Water Shutoffs!”

Newly released epidemic disease data was withheld from community

by Eric T. Campbell

research assistance by Tulani Pryor

republished to riverwisedetroit.org on 2/27/2019 at 10:00am EST

“There exists a positive causal relationship in shut off water and waterborne disease and the proposition is plausible. The case is based on three interrelated facts: 1) Epidemic rates at the time of as many as 80,000 shutoffs, 2) A study that showed that a patient with waterborne disease was 1.48 times more likely to be living on a block with water shut-offs and 3) Without running water to clean and to wash hands the sanitation of a residency is set up for diseases existing and growing. Recommendation: Stop the water shutoffs”


— Summary and conclusion of the report,
Three Waterborne Outbreaks In Detroit,
by George Gaines, MSW, MPH

The summary of George Gaines’s recent report on waterborne disease is direct in its message: Rampant water shutoffs have advanced the spread of water-related diseases in Detroit. Gaines, a former public health official, has compiled data showing a drastic increase in reported waterborne illnesses during 2016-2017. His ongoing work is part of a growing body of community-produced research indicating serious threats to the health in our city.  In addition to Gaines’s findings, there exists a recent study by Henry Ford Hospital establishing a connection between rates of reported illnesses and neighborhood water shutoffs, providing evidence that an existing public health crisis continues to grow. City and state health officials, however, are ignoring that evidence.

Retiring from the Detroit Department of Public Health after 19 years of service, Gaines has stayed active in the field by following public health issues and regularly tracking data related to communicable disease. He’s also active with We The People of Detroit, a grassroots organization advocating for a sustainable water future and affordable water services.

Earlier this year, during a routine look at the data compiled by the Michigan Department of Health and Human Services, Gaines noticed a dramatic increase in the number of reported cases for three waterborne diseases: campylobacter, shigellosis, and giardiasis.

He compiled his report based on the data that the City of Detroit is required to submit to the state on communicable diseases. Gaines described the process to Riverwise, saying,  “I went into the State computer and got copies of the waterborne diseases in Detroit for 2012-2017. And I took the four years, 2012-2016 and averaged it to get what is known in public health as the endemic rate, or the usual rate. Then I compared that rate to the 2017 data, which is after they had the 90,000 water shutoffs. And that’s where the epidemic showed.”

Gaines has sought peer review of his report from members of the Detroit medical community to improve and advance the study. Thus far, those with whom he has shared his work have been reluctant to support it publically. Students from the Wayne State University MPH (Masters in Public Health) program have attended meetings with We The People’s Water Board, where the report has been discussed, but they have not offered critique or feedback. Henry Ford Hospital health officials failed to attend a 2017 news conference at Wayne State University’s Damon J. Keith Center for Civil Rights to present their ‘preliminary study’, which found that patients who lived on blocks with water shutoffs were more likely to be diagnosed with a waterborne illness.(Experts See Public Health Crisis In Detroit Water Shutoffs,  Detroit Free Press, July 26, 2017)

Closely related to Gaines’s findings, the Ford study is the key to understanding the relationship between the shutoffs and waterborne illness. Gaines also looked at the data from the Ford study, which surveyed 37,400 people admitted into Ford hospital for waterborne diseases, and found that people who had their water shut off were 1.5 times more likely to have a waterborne disease.

“We know that the water shutoffs are related, the Ford study showed this,  to vulnerable populations, or low-income populations,” Gaines says. “A low-income person has his or her water shut off, they have a water borne disease, they work at a fast-food restaurant— is that why we’re seeing an increase in GI (gastrointestinal) clusters? That’s the reason I mapped the paper. From a public health point of view, not even dealing with the moral point of view, or the practical point of view— the public health point of view is, you’re causing insanitation. Insanitation causes disease.”

City of Detroit officials have all but ignored the recent epidemic numbers arising from newer studies. Gaines told Riverwise that he met former Detroit Health Department Director Abdul Al-Sayed four times and urged him to approach Mayor Duggan with evidence that a public health epidemic was arising and to ask the Water Department director to address the crisis.

“We showed Al-Sayed the data, and he acknowledged that there is a relationship between the water shutoffs and waterborne disease. He couldn’t get to first base with the Mayor, and he quit. That’s one of the reasons he left.”

 

“We showed [then Detroit Health Department Director Abdul] Al-Sayed the data, and he acknowledged that there is a relationship between the water shutoffs and waterborne disease. He couldn’t get to first base with the Mayor [Mike Duggan], and he quit. That’s one of the reasons he left.”

The fact that water is a human right and a necessity to live has not slowed the city from its shutoff policy. Mayor Duggan dismissed the findings of United Nations rapporteurs who investigated the Detroit shutoff crisis in 2014. The delegation pointed out that the City was violating human rights by denying water to citizens because they cannot pay, and called for immediate restoration of water service where there were shutoffs. Nevertheless, the only relief offered by the City to date is its policy of payment plans— proven to be ineffective among low-income customers.

Gaines and many other water activists are perplexed why the City continues to deny implementing a water affordability plan, which would keep water flowing to needy families, allow for infrastructure maintenance, and provide more income for the city. Philadelphia has provided a working model for such a plan.

“When you factor in all the variables, one major variable is, once you shut off people’s water, you lose that customer,” Gaines says. “So your customer base is shrinking and you’re not getting any income. The question is, wouldn’t it be better to charge them less and have some money coming in rather than shutting it off and having no money come in?  So there’s a good rationale for a water affordability plan.”

According to We The People of Detroit, over 100,000 Detroit homes were disconnected from water service between the years 2014-2016. State-appointed emergency manager Kevyn Orr initiated the shutoff campaign supposedly to address outstanding water bills during the city bankruptcy proceedings. Orr was attempting to shed DWSD (Detroit Water and Sewage Department ) liability in the form of unpaid water bills in order to make it financially viable to potential suburban partners.

The risk of waterborne disease only adds to the list of hardships endured by households living without water. Dehydration, poor hygiene, mental health problems, and improper food preparation are known health issues associated with a lack of access to clean water. Elders and children carry the burden of these hardships disproportionately, as they are more likely to be infected by contaminated water. And the health risks are just the beginning for some families. The possibility of being forcibly separated keeps many families from even reporting shutoffs and the health issues they create.

According to Gaines, “When they shut off water now… the city, through Building and Safety, would indicate that the home is uninhabitable, in conjunction with the Health Department. And they would notify DSS (Department of Social Services)  that there are children in the home, and there’s no water, and they can take the children. I’ve been expecting this. I’m surprised it’s just started. So people who have their water shut off are not going to be real forthcoming. They could lose their children.”

Gaines’s research has added to the body of evidence coming from various sources working with suffering communities. His recommendation is to turn the water back on wherever there have been shutoffs, and enact a moratorium on water shutoffs entirely. He counsels that we must figure out a way to work collectively, not punitively, to assure that low-income families can live with dignity.

To read the full report produced by George Gaines continue below

Youth Activists Test for Water Safety

by Eric T. Campbell

republished to riverwisedetroit.org on 2/25/2019 at 2:49pmEST

We The Youth Detroit, an outgrowth of We The People Detroit (WTP), and DAYUM (Detroit Area Youth United Michigan) met early at the Cass Commons before heading out to collect water samples on a chilly November morning. This youth-led effort to mobilize around school water issues began in October on Count Day. Instead of attending school, student protesters gathered for classes on water testing and youth activism.

Youth organizers, mostly students from the Detroit Public Schools, are continuing to raise awareness around access to safe drinking water in school buildings and surrounding communities. They are raising their voices in response to a lack of planning by Detroit Public Schools (now DPSCD, or Detroit Public School Community District) in the face of yet another water-related public health crisis. Their education is growing beyond the confines of the classroom as they explore grassroots organizing and political self-awareness.

On August 24, DPS officials ordered drinking water in all Detroit public schools to be shut off after the most recent water-testing revealed toxic levels of lead and copper. Two-thirds of the schools tested (16 out of 24) were beyond acceptable levels, prompting the shutoffs. Subsequent testing found additional schools were also affected. Thus far, 57 of 86 schools tested have shown high levels of lead and/or copper. All Detroit public schools are utilizing bottled water and water coolers for drinking while more test results are pending.

We The Youth Detroit gathered at the Cass Commons Saturday, November 10 before heading into neighborhoods near affected schools to test the water of concerned households. The effort is part of a growing movement for self-determination in the area of water rights. These students are not satisfied with the notion that the high levels of toxins are limited to the affected school buildings. They want expanded testing in the neighborhoods around the schools, at the very least.Youth participation, says Rejoice Douglas, a co-founder of We The Youth Detroit and board member of DAYUM, is a vital aspect of the mission. “What we’re doing here today is a youth-led water testing because, in October, we did a count-day strike to represent our position as students and show that we have a voice and we can come together because of the water situation that’s going on right now. One of our biggest and most popular demands was to get affordable testing for the citizens of Detroit.Today, that’s what we’re trying to do— we’re going out to people’s homes, testing their water, and being able to give them results back. So we’re really excited to be able to do this project.”

 

Leading up to the November 10 testing, the coalition of youth water-testers studied the list of all of the schools that tested positive for lead and mapped out the schools which showed the highest levels (Cass, Cody and Denby). They surveyed those locations and broke off into teams to canvass affected communities, ultimately spending the November 6 mid-term election day recruiting potential participants from polling stations near those schools. The process resulted in 100 households from those three neighborhoods signing up to have their water tested.

This set the stage for three teams of water-testers to collect one liter of water from those households, to be tested later at the University of Michigan Biological Station in Ann Arbor. Seeing the young people surrounding the large staging table at Cass Commons— going over phone lists,  double-checking forms and releases, boxing empty water bottles, distributing safety vests, hand warmers and other provisions, marshaling adult drivers— was like witnessing a well-trained battalion readying for deployment.

Letia Leonard, an organizer with Freshwater Future, would be one of the generals if the group were indeed a battalion. She helped the coalition members with the very real logistical challenges of carrying out a public water-testing initiative. Leonard says that, though the effort was multi-disciplinary, the students were up to the task.

“With a thousand water issues going on here in Michigan, with lead and everything, my organization has organized a similar water-testing effort in Flint. So we got together with We The People and saw an opportunity for us enact a similar educational, hands-on, youth-led program here at DPS,” Leonard told Riverwise. “Really with this program, it kind of entails a lot of different things we’ve been teaching the kids— being able to teach them how to communicate the scientific stuff about lead, the effects that it has on the body, how to speak to the households, like public speaking, and also just community organizing in general— it takes a lot of effort to do something like this, getting them excited and able to produce something that’s really going to impact their community.”

Cass Tech junior Brooke Solomon told Riverwise that she got involved as a continuation of the DPS Count Day Strike carried out due to the water shutoffs, “And from there we decided that we needed to do more, so this is what that more became. I think that once a lot of people are educated about what’s actually going on in their community, and in their households, then we’ll start to see action. I don’t know what that action will look like, but I think that once people are educated, they’ll be able to go from there.”

 

We The People of Detroit Co-founder and CEO Monica Lewis-Patrick stresses that DPS students, some of whom were part of the WTP youth internship, responded immediately after the announcement that drinking water in their schools was compromised and would have to be shut off.

“So what we began to talk about is their own power and agency as students and as citizens within the city of Detroit,” Lewis-Patrick told Riverwise. “They began to attend meetings with the Mayor, they attended meetings with DWSD (Detroit Water and Sewage Department), they challenged the Mayor, they challenged the Superintendent (DPSCD Superintendent Nikolai P. Vitti), Gary Brown (Director of Detroit Water and Sewage Department), really trying to seek some resolve around the question, how long have you known? What they realized is that all the adults were suppressing their voice. Many of our young people are leaders at their schools— they’re at Cass, they’re at Renaissance and Denby and Mumford. They’re presidents of their student bodies, they are honor roll students, and they were threatened just for asking these questions. They’ve been met with major aggression and hostility.” 

Lewis-Patrick says that the adults at WTP didn’t have to drive the questioning or frame the issue for youth leaders. They just “stayed in the room” and provided support when needed. And what they discovered was an emerging political force who began to see that there was a need for them to find out for themselves, and their communities, what the quality of their water is.

“They just deputized themselves and began to mobilize around trying to find out from the Superintendent what had really happened to the water quality, how long they had known, who had control over the water system within the school,” Patrick said at the November water-testing set-up. “And just by asking those basic questions, they came back to us and asked, what can we do?”

Photo Courtesy of River Network

For more information on We The People of Detroit and youth-led water testing in communities and households lacking access to clean water, visit
www.wethepeopleofdetroit.com/youth, or freshwaterfuture.org.