Wednesday, March 1, 2023

Study: Toilet paper adds to ‘forever chemicals’ in wastewater The Hill SHARON UDASIN March 1, 2023, 8:00 AM

 

Study: Toilet paper adds to ‘forever chemicals’ in wastewater

Scientists have identified a surprising new source of “forever chemicals” awash in global wastewater: the ubiquitous paper product dangling next to most of the planet’s toilets.

Toilet paper is the latest product that could be contaminating environments worldwide with cancer-linked per- and polyfluoroalkyl substances (PFAS), according to a study, published Wednesday in Environmental Science & Technology Letters.

Notorious for their presence in jet fuel firefighting foam and industrial discharge, these so-called forever chemicals are linked to a variety of illnesses, such as testicular and kidney cancers.

There are thousands of types of PFAS, many of which are also key ingredients in household items and cosmetics — and some of which end up flowing down the drain.

The study authors, who had recently investigated the presence of a major type of PFAS in biosolids, decided to continue their quest with toilet paper.

“We asked ourselves where is the chemical used, and one product is paper,” corresponding author Timothy Townsend, a professor of environmental engineering at the University of Florida, told The Hill in an email.

“Hence the look at toilet paper,” he said.

Paper production processes often include PFAS as additives during the wood-to-pulp conversion process, the authors explained.

These compounds are used as a wetting agent to boost the efficiency of the pulping process — making paper mills a known source of environmental contamination, according to the study.

Not only might standard toilet paper contain PFAS, but so too could rolls made from recycled paper — as they may be made with contaminated fibers, the authors found.

The researchers asked a volunteer network of students and professors to collect toilet paper sold in North, South and Central America, as well as in Africa and Western Europe. In addition, they evaluated sewage sludge samples from eight wastewater treatment plants in Florida.

They then extracted PFAS from both the paper particles and sludge solids and analyzed them for 34 different compounds, according to the study.

The main substances they detected were “diPAPs” — precursor compounds that can convert into other kinds of PFAS such as the potentially carcinogenic PFOA.

After combining their results with sewage data from other studies and accounting for per capita toilet paper usage, the scientists observed that toilet paper was responsible for about 4 percent of the most common type of diPAP in U.S. and Canadian sewage.

But in Sweden and France, they saw this figure climb to 35 percent and 89 percent, respectively.

“Despite the fact that North Americans use more toilet paper than people living in many other countries, the calculated percentages suggest that most PFAS enter the U.S. wastewater systems from cosmetics, textiles, food packaging or other sources,” the authors stated.

The study, they concluded, identified toilet paper as a source of PFAS pollution in wastewater treatment systems — and a major source of contamination in certain places around the globe.

While the scientists evaluated both nonrecycled and recycled toilet paper, Townsend said they did not assess other alternatives, such as bamboo-based rolls. They determined, however, that diPAP concentration did not differ based on recycled content.

The authors expressed some optimism that consumer product choices and discard practices could ultimately help inform regulations aimed at curbing PFAS content in wastewater.

“This reduction in PFAS is critical, since wastewater effluent and sludge are commonly reused for irrigation and/or land application,” the scientists stated.

“Research has already shown that these two pathways pose a risk for human and environmental exposure to PFAS,” they added.

While Townsend said that his team’s goal was to better understand PFAS sources, he expressed hope that such research could help influence future policy.

“Decision makers will be better equipped to implement changes if we better understand the sources and fate of PFAS entering our wastewater treatment plants and landfills,” he said.

For the latest news, weather, sports, and streaming video, head to The Hill.

Sanders at Supreme Court: Americans shouldn’t have to face financial ruin ‘because you want a damn education’ The Hill JULIA MUELLER February 28, 2023, 11:38 AM

 

Sanders at Supreme Court: Americans shouldn’t have to face financial ruin ‘because you want a damn education’

Sen. Bernie Sanders (I-Vt.) spoke outside of the U.S. Supreme Court on Tuesday as the justices heard oral arguments on the Biden administration’s student loan forgiveness plan.

“In America, we have 45 million Americans, young people, drowning in student debt. And I have talked to people all over this country who literally delay having a family, can’t have any kids, they can’t afford a car, they can’t afford to have a middle class life because they’re drowning in this student debt,” Sanders said, as seen in video footage that also showed protesters outside the court.

“In America, you shouldn’t have to face financial ruin because you want a damn education,” the Vermont senator added.

The majority-conservative Supreme Court is hearing arguments in two back-to-back cases on the Biden administration’s plan to forgive up to $20,000 in federal student loan debt for Pell Grant recipients and up to $10,000 for other borrowers.

Six Republican attorney generals are contending in Biden v. Nebraska that the Health and Economic Recovery Omnibus Emergency Solutions Act, under which the debt forgiveness program was authorized, doesn’t give the Department of Education the authority it needs to carry out the program.

Two student loan borrowers are arguing in Department of Education v. Brown that they were denied the chance to comment on the plan and urge broader eligibility criteria for who can have debt forgiven.

“Today we say to the Supreme Court, listen to the needs of the people, Sanders said on Twitter. “Do the right thing. Support Biden’s proposal to cancel student debt.”

For the latest news, weather, sports, and streaming video, head to The Hill.

'They should be charged': Thousands of nurses obtained fake diplomas and provided care without proper training Yahoo News JAYLA WHITFIELD-ANDERSON February 27, 2023, 3:04 PM

 

'They should be charged': Thousands of nurses obtained fake diplomas and provided care without proper training

Fake nursing degrees. (Photo illustration: Kelli R. Grant/Yahoo News; photos: Getty Images)
Fake nursing degrees. (Photo illustration: Kelli R. Grant/Yahoo News; photos: Getty Images)

More than 7,600 aspiring nurses cheated the health care system and obtained fraudulent nursing degrees from three South Florida nursing schools, according to federal authorities, in a scheme health care professionals say could undermine trust in the profession.

Some 2,600 of those individuals used fake diplomas to take the nursing board exam (NCLEX) and passed, giving them access to work in health care facilities across the country. The diplomas were issued by Siena College in Broward County, the Palm Beach School of Nursing in Palm Beach County and Sacred Heart International Institute in Broward County — all of which are now closed. Though the scheme involved Florida schools, it affected multiple states.

“I'm in South Florida. It's a hotbed of fraud, whether it's identity fraud, or PPP fraud, and health care fraud, but this is something that we have not seen before,” Fernando Porras, assistant special agent in charge, told Yahoo News. Porras is leading the oversight investigation for the U.S. Department of Health and Human Services.

The investigation, known as Operation Nightingale, found that the national scheme began in 2016 and ended in 2021, accumulating more than $100 million.

“We sent in — on several occasions — undercover agents to purchase these degrees as they were explained to us and they were able to purchase the degrees having no medical background or having taken any course —they just paid the amount [$17,000],” Porras explained.

On Jan. 25, the U.S. Attorney's Office of the Southern District of Florida indicted 25 individuals in Delaware, New York, New Jersey, Texas and Florida who were allegedly working as recruiters for the illegal licensing scheme.

“You don't just wake up one morning and find out that the Palm Beach School of Nursing [or Siena College and Sacred Heart International Institute] is issuing fake degrees. You don't see that publicized in an infomercial. You find out about it because you are told by a recruiter,” Porras said.

The 25 defendants are each facing up to 20 years in prison for allegedly participating in a wire fraud scene that created the shortcuts for thousands to receive bogus nursing diplomas.

According to Porras, the Florida schools that were issuing the fake diplomas were once “legitimate schools.”

“They were certified by the state of Florida to provide nursing degrees,” he said. “They got to a point that their passing rate was dismal. And so they were put on probation. And then shortly after, their certification was revoked. So once they were revoked, and they could no longer issue any diplomas, "they would back-date the attendance of these students. So, let's say they were revoked in 2019; then they would issue the certificate and the diploma as if the student had attended between 2016 and 2017."

Now, state licensing boards nationwide have annulled the licenses of dozens of nurses who were practicing with fake degrees.

In November, Delaware revoked 26 licenses of nurses tied to the scheme, but officials say there could still be more nurses who need to be let go.

“We have heard accounts of additional individuals that have been sent to the Board of Nursing for investigation regarding concern with attendance at those [three South Florida] schools,” Christopher Otto, executive director of the Delaware Nursing Association, told Yahoo News.

And some of the individuals who obtained illegal registered nursing (RN) degrees were already licensed practical nurses (LPNs).

“For those individuals, their RN or registered nurse license is the one that is annulled. But if they have met the licensing requirements to practice as an LPN, that LPN license is still, in most cases, active,” Otto said.

In Georgia, 22 working nurses obtained fake licenses and diplomas. According to local Atlanta TV station WSB-TV, the Georgia Board of Nursing sent letters to the nurses asking them to surrender their fraudulent nursing licenses on Jan 17, but they haven't yet. Yahoo News was not able to immediately reach the board for comment.

Brenda Hage, the director of nursing at Florida Gulf Coast University, which is about two hours away from the South Florida schools that were shut down, told Yahoo News that the scheme is offensive to real nurses.

“I think I feel more dismayed than surprised,” Hage said. “We work so hard as nurses to be credible and to be viewed as ethical by the patients that we care for, and then when somebody tries to game the system, or do something illegal like this, it really offends and concerns all nurses.”

But Hage said her biggest concern is the individuals who passed the national nursing board exam (NCLEX) without the proper education or training.

“This creates a false sense of information to the public, that somehow it's really easy to sit for the NCLEX exam to become a licensed registered nurse, and nothing can be further from the truth,” Hage said.

According to Hage, the NCLEX exam is rigorous and usually takes up to five hours to complete.

“This is not something that you can bypass,” Jennifer Kennedy, the president of the American Nurses Association, told Yahoo News.

But Kennedy says she is not surprised that a scandal like this occurred in the health care industry because some states have cut their regulatory requirements.

“So we're hoping through this scandal that we can leverage this and can restore some of the authority that legislatures have stripped from boards of nursing throughout this country,” Kennedy said.

A recent Gallup poll found that over 79% of U.S adults believe nurses have very high honesty and ethical standards compared with more than a dozen other professions. But now health care officials say the degree scandal will push them to win back Americans' trust.

“We have to reassure the public that this has been dealt with. We'll monitor for harm, and I can’t guarantee it, but we'll do everything possible to prevent it from happening again,” Otto said.

So far there have been no reports of patient harm from the nurses with fake degrees, and none of the fake nurses have been charged.

“Just because an error or an adverse outcome wasn't reported doesn't mean that there weren't any misses,” Hage said. “I think they should be charged. The fact that they knew that this was a fraudulent practice, and they engaged in fraud, makes them culpable.”

Health care officials say the years-long scheme is unprecedented and could have affected anyone who visits a health care facility.

“This case potentially could affect any one of us — we go to emergency rooms, we have loved ones in hospice, in skilled nursing facilities, that can potentially be receiving care from someone that is not properly trained,” Porras said.

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