The community that epitomizes the pollution warehouses can bring is Mira Loma.â€œOur quality of life is in the tubes,â€ said Gene Proctor, 73, who has lived in Mira Loma Village for 43 years. â€œI wish people shopping in Tucson, Arizona, in other places, I wish they could see the little kids around here, their respiratory problems.â€ His great-granddaughter has asthma, and his 3-year-old great-grandson, he said, â€œcoughs like a smoker.â€
Population 21,000, Mira Loma is so small and poor it doesnâ€™t have a movie theater, a community center, or even a moderately upscale restaurant. What it does have are 90 warehouses and a whole lot of big rigs: Trucks rumble through 15,000 times every day. In just half an hour on a recent afternoon, 269 trucks passed by the big plate glass window in the front of the Farmer Boys truck stop on Etiwanda Avenue.
That is more than one every seven seconds.
Avol, the professor at the USC Keck School of Medicine, began visiting the town in the early 1990s as part of a study of air pollution and childrenâ€™s health across Southern California. Back then, he said, researchers chose Mira Loma because it sits at the â€œend of the tailpipeâ€ of the Los Angeles basin, meaning the prevailing winds off the Pacific Ocean blow L.A.â€™s infamous smog east until much of it arrives in Mira Loma. So it was rural yet had a lot of ozone and smog. Other places in the study, such as Santa Barbara and Long Beach, were picked because they were thought to boast clean air or because they were in industrial areas.
When the study began, Mira Loma residents complained to researchers about the smell of dairy cows, herds of which clustered on vast pastures and cow yards. But in 1987, Riverside county supervisors revamped the general plan for Mira Loma, clearing the way for massive warehouse development.
â€œIn the course of a few years, the dairies disappeared,â€ and what had been â€œopen pasture became streets and warehouses, lined with trucks,â€ Avol said. â€œMira Loma turned out to be a very interesting place to study.â€
The trucks made the already bad air worse, bringing in diesel particulates, very small particles that can enter the lungs and travel to tissues throughout the body. They are associated with asthma, heart disease, neurological problems, and cancer.
In Mira Loma, children were found to be growing up with stunted lungs compared with children living in places with better air. Their lungs were growing at a rate that was 1 to 1.5% slower, Avol said, so that â€œafter their teen years, they were about 10 to 12% lower in lung function than children who had grown up in cleaner places.â€
He added: â€œWe have no information at this point that supports the idea that they ever catch up.â€
Studies from other Inland Empire communities are also dire. In a neighborhood near the BNSF rail yard in the city of San Bernardino, Loma Linda University researchers found that adults have more respiratory problems, and children alarmingly high rates of asthma, even when compared with other polluted communities.
There are several potential explanations for whatâ€™s going on here. The most likely is that some combination of increasingly infrequent summer snowstorms, wind-blown dust, microbial activity, and forest fire soot led to this yearâ€™s exceptionally dark ice. A more ominous possibility is that what weâ€™re seeing is the start of a cascading feedback loop tied to global warming.
Box mentions this summerâ€™s mysterious Siberian holes and offshore methane bubbles as evidence that the Arctic can quickly change in unpredictable ways.
This year, Greenlandâ€™s ice sheet was the darkest Box (or anyone else) has ever measured. Box gives the stunning stats: â€œIn 2014 the ice sheet is precisely 5.6 percent darker, producing an additional absorption of energy equivalent with roughly twice the US annual electricity consumption.â€
Perhaps coincidentally, 2014 will also be the year with the highest number of forest fires ever measured in Arctic.
Box ran these numbers exclusively for Slate, and what he found shocked him. Since comprehensive satellite measurements began in 2000, never before have Arctic wildfires been as powerful as this year. In fact, over the last two or three years, Box calculated that Arctic fires have been burning at a rate thatâ€™s double that of just a decade ago. Box felt this finding was so important that he didnâ€™t want to wait for peer review, and instead decided to publish first on Slate. Heâ€™s planning on submitting these and other recent findings to a formal scientific journal later this year.
From the CBC
So should Japan be on red alert? “We cannot establish a direct relation of cause and effect between quakes and volcanic eruptions, even if statistically the former lead to an increase in the latter,” Brenguier says. “All we can say is that Mount Fuji is now in a state of pressure, which means it displays a high potential for eruption. The risk is clearly higher.”
Science, however, has no way of predicting when this might happen. But there is a precedent. The last eruption of Mount Fuji occurred in 1707. It projected almost a billion cubic metres of ash and debris into the atmosphere, some of which reached Tokyo (then called Edo) 100km away. It was preceded, 49 days earlier, by a magnitude 8.7 quake to the south of Japan that, in conjunction with the tidal wave it raised, claimed more than 5,000 lives. This time, more than three years have already passed since the Tohoku quake. But that does not mean that Mount Fuji, under the constant supervision of Japanese geologists, is slumbering.
Come what may, the method developed by the Franco-Japanese team for investigating volcanic areas should improve the accuracy of efforts all over the world to assess the risk of major volcanic eruptions.
It could be we are in a remote part of space that no one cares about. Â We are the Moose Jaw of planets.
The Americas may have been colonized by Europeans long before anyone in a small Inuit tribe in far northern Canada realized it had happened. There could be an urbanization component to the interstellar dwellings of higher species, in which all the neighboring solar systems in a certain area are colonized and in communication, and it would be impractical and purposeless for anyone to deal with coming all the way out to the random part of the spiral where we live.
There are a lot of interesting hypothesis of why we havenâ€™t had our first contact. Â The following is the scariest.
There are scary predator civilizations out there, and most intelligent life knows better than to broadcast any outgoing signals and advertise their location.
This is an unpleasant concept and would help explain the lack of any signals being received by the SETI satellites. It also means that we might be the super naive newbies who are being unbelievably stupid and risky by ever broadcasting outward signals. Thereâ€™s a debate going on currently about whether we should engage in METI (Messaging to Extraterrestrial Intelligenceâ€”the reverse of SETI) or not, and most people say we should not. Stephen Hawking warns, â€œIf aliens visit us, the outcome would be much as when Columbus landed in America, which didnâ€™t turn out well for the Native Americans.â€ Even Carl Sagan (a general believer that any civilization advanced enough for interstellar travel would be altruistic, not hostile) called the practice of METI â€œdeeply unwise and immature,â€ and recommended that â€œthe newest children in a strange and uncertain cosmos should listen quietly for a long time, patiently learning about the universe and comparing notes, before shouting into an unknown jungle that we do not understand.â€ Scary.
The story of modern psychiatry, for many, is triumphant one. The quick-and-dirty history goes like this: Human ingenuity and scientific advances led us from the dark ages of hydrotherapy and solitary confinement to cognitive-behavioral therapy and expertly prescribed medications. While we used to believe the mentally ill were unwell as a result of wayward behavior or demonic possession, we now know that psychic anguish is the result of brain chemistry and nurture, and weâ€™re working harder to analyze the former. We moved, in other words, from mental illness as a moral failure to mental illness as a medical condition.
But if you zoom in on the late 1940s through the early â€™60s, a different battle is being wagedâ€”a battle between those who believed mental illness was biologically located in the brain, and those who thought mental illness was a matter of emotional disturbance. Back then, those intent upon transforming psychiatry into a reputable science (as opposed to a touchy-feely art) worked tirelessly to develop new methods of medical intervention for the mentally ill. The best-known method was â€œpsychosurgeryâ€ (aka lobotomy), which was introduced by neurologist Egas Moniz in 1936. In 1949, Moniz won the Nobel Prize for his work on psychosurgery, and by 1951, the operation had been performed close to 20,000 times.1
Contrast this obsession with the physical brainâ€”slicing it, shocking it, or tranquilizing itâ€”with the ethos held by Chestnut Lodge, the elite private institution where Joanne Greenberg began treatment in 1948. The clinicians at Chestnut Lodge fervently believed that no patient, however psychotic, was impervious to psychotherapy. The champion of this viewpoint was the Lodgeâ€™s most famous employee, the gifted psychoanalyst Frieda Fromm-Reichmann. Fromm-Reichmann was Greenbergâ€™s primary analyst and, in both the novel and in real life, led her from insanity to wellness. In the book, Fromm-Reichmann is â€œDr. Fried,â€ and Greenberg so positively depicted the humble German that for years she received letters from struggling fans desperate to track down Dr. Fried and undergo analysis with her.Â
Fromm-Reichmann immediately recognized something special in her teenaged patient: Greenberg was quick-witted, well-read, and seemed to retain an appetite for life that many of the doctorâ€™s older, chronically ill patients had lost long ago. Greenbergâ€™s symptoms were often referred to as â€œfloridâ€â€”interpretable, extravagant, and suffused with meaning, like a story. When Joanne was struggling, Fromm-Reichmann openly empathized. When she began to retreat, the doctor begged to follow. â€œTake me along with you,â€ Dr. Fried tells Deborah during a session. She insisted to her young patient that they must pose a united front. â€œI believe that you and I,â€ Greenberg has her say in Rose Garden, â€œcan beat this thing.â€ And, together, thatâ€™s just what they did.
This narrative is a little too pat for our contemporary sensibilities. Perhaps thatâ€™s why the book is not as well known as, say, Sylvia Plathâ€™s The Bell Jar. (The Bell Jar still sells briskly; the fiftieth-anniversary paperback edition is ranked 1,730 on Amazon, compared to Rose Gardenâ€™s 21,792.2) But Rose Garden does not appeal for another reason: Itâ€™s easier to think of the psychiatry of yore as entirely backward and as the poetic casualties of itâ€”Plath, Arbus, Sextonâ€”as victims of that ignorance. Their tragic stories, paradoxically, make us feel more secure in the march of psychiatric progress.
The demise of these womenâ€”and the subsequent autopsy of past mental healthcare failures that their paper trails encouragesâ€”permits us to rest serenely in the knowledge that the world is moving steadily toward a more scientific, humane psychiatry. But, one has to wonder if this is entirely the case. Frieda Fromm-Reichmann spent four years with Joanne Greenberg; she hiked up to the Disturbed Ward to see patients when they were lying limp in restraints. Now, psychiatrists evaluate patients for 45 minutes before diagnosing them and sending them off to fill prescriptions, and many patients go months between appointments. Efficiency is the goal here; medication the cure, meaningful human connection a distant second priority. It is increasingly rare to find a psychiatrist who also performs talk therapy, despite its many proven benefits.
This might be an even greater tragedy with regard to treatment of schizophrenia, where holistic treatmentâ€”that is, one that recognizes both the medical and the emotional components and allows for feedback between the twoâ€”might hold particular promise. According to Dr. Allen J. Frances of Duke Medical School and the author of Saving Normal: An Insider’s Revolt Against Out-of-Control Psychiatric Diagnosis, DSM-5, Big Pharma, and the Medicalization of Ordinary Life, â€œCognitive therapy and social skills therapy are very valuable in treating schizophrenia, but they are rarely available.â€ And the idea of â€œcomplete recoveryâ€ is downplayed.
If you are a regular reader of this blog, you know that my wife Wendy has struggled with depression for most of her life. Â As she has written about before, like many others, she was sexually abused for an extended period growing up and it took a toll on her as she has grown older. It has never gone away and returns with a vengeance each and every summer and causes chaos and pain around here until fall.
This is the process we have to go through to get help.
She needs to go to her family doctor who prescribes depression medication and then writes a referral to the psychiatrist. Â Since that is a year to two year wait, she goes back to her family doctor who ups her medication, ups it again, ups it again and then realizes it doesnâ€™t work. Â So then she is weaned off her medication and then the doctor does it again. Â If that doesnâ€™t work. Â Repeat.
Finally she gets to see the psychiatrist (18 months later), she walks in, explains her situation, he tells her she has PTSD and then gives her a prescription for a stronger medication. Â Out in 10 minutes. Â
That medication may or may not work. Â If not, she can go back and is back out in five minutes with a new prescription. Â If it does work, it works for about 8 months and then when she tries to go back, she is told that her file is closed. Â She needs another referral (and a year wait).
That is what is covered by Saskatchewan Health. Â What she really needs is talk therapy as well which is not covered by Saskatchewan Health and runs over $100 a session. Â Since it isnâ€™t part of her health care or any kind of continuum of care, the therapist and psychiatrist donâ€™t talk which means that once summer went spent thousands on therapy that did nothing because Wendyâ€™s medication was off.
What we are told is that Wendyâ€™s condition will be with her for the rest of her life and she just needs to keep taking her medication. Â In some ways that may be correct but the reality is that it doesnâ€™t have to be as bad as it is or as costly if we spent the resources to treat mental illness like we do other illnesses. Â I think that is what makes people so uncomfortable, we know we can do better but do not because of a shortage of psychiatrists and clinical psychologists in our system. Â Heck we donâ€™t even benchmark mental illness treatment in Saskatchewan. Â How do we hope to get better when we donâ€™t define success?
Itâ€™s been a frustrating process to see Wendy struggle like this. Â Her public presence like many is far different then her private one and I have been more than willing to move to get her treatment. Â We have explored selling the house and our stuff and moving south to the United States but the equity in our house wonâ€™t touch long term treatment costs. Â So like a lot of families and people who struggle with depression, we stay and try our best to work in the cycle of madness and fight the assumption that mental illness canâ€™t he cured.