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It's no secret, most of us would like to stay in our own home as we age. Yet, sometimes our loved ones just need a little extra help to remain comfortable at home. That's where Always Best Care can help....we are dedicated to exceeding expectations....always.

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Home Care In East Palestine, OH

Home Care East Palestine, OH

They say that your golden years are the best years of your life. For most older Americans, that's how it should be - a time to relax, reflect, and live life in a familiar place. After all, senior citizens in the U.S. have worked tirelessly to build a better economy, serve their communities, and raise families.

Unfortunately, many older Americans aren't able to rely on their adult children for help. The reality in today's world is that family members do not have the skills or time to dedicate to caring for their parents. That's where Always Best Care Senior Services comes in.

Our in-home care services are for people who prefer to stay at home as they grow older but need ongoing care that family or friends cannot provide. More and more older adults prefer to live far away from long-term, institutionalized facilities and closer to the place where they feel most comfortable - their home. Home care in East Palestine, OH is a safe, effective way to give your loved ones the care they need when they need it the most.

 In-Home Care East Palestine, OH

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The Always Best Care Difference

Since 1996, Always Best Care has provided non-medical in-home care for seniors to help them maintain a healthy lifestyle as they get older. We are proud to have helped more than 25,000 seniors maintain higher levels of dignity and respect. We focus on providing seniors with the highest level of in-home care available so that they may live happily and independently.

Unlike some senior care companies, we genuinely want to be included in our clients' lives. We believe that personalized care is always the better option over a "one size fits all" approach. To make sure our senior clients receive the best care possible, we pair them with compassionate caregivers who understand their unique needs. That way, they may provide care accordingly without compromising their wellbeing.

The Always Best Care difference lies in life's little moments - where compassionate care and trustworthy experience come together to help seniors live a fruitful, healthy life. Whether you are an aging adult that can't quite keep up with life's daily tasks or the child of a senior who needs regular in-home services, Always Best Care is here to help.

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TESTIMONIALS

“I Work for always best care and I love it the clients are great the people in the office are wonderful and they work with you .. They give people a chance to better there lifes and make a living by help others and I just love everyone in this company. I will retire from here ????”

velinda C.
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TESTIMONIALS

“I have been with ALWAYS BEST CARE for about 10 years. The staff has always worked to make sure the Caregiver and I are a good match. One morning my Caregiver was unable to come. The owner of the company came to be my Caregiver that morning!! I have never had that happen with any other company. I ❤ ALWAYS BEST CARE!!! I recommend this company to everyone who needs a Caregiver!!!”

LOLA P.
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“I work there and the company tries as hard they can can't blame the company when the ppl call off I love this company and very proud to be here.......”

Tracy S.
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TESTIMONIALS

“This company has a very kind team working very hard to make a difference in people's lives. Clients and staff. Owner has worked hard and professionally to give everyone the respect and chance they deserve!”

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TESTIMONIALS

“Always Best Care has been taking care of my mom for almost two years now and we really appreciate their dedication and compassionate care. Thank you for everything.”

Habib N.

What is Non-Medical Senior Care in East Palestine, OH?

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Home is where the heart is. While that saying can sound a tad cliche, it is especially true for many seniors living in America. When given a choice, older adults most often prefer to grow older at home. An AARP study found that three out of four adults over the age of 50 want to stay in their homes and communities as they age.

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When you begin to think about why, it makes sense. Home offers a sense of security, comfort, and familiarity.

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The truth is, as we age, we begin to rely on others for help. When a family is too busy or lives too far away to fulfill this role, in-home senior care is often the best solution. Home care services allow seniors to enjoy personal independence while also receiving trustworthy assistance from a trained caregiver.

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At Always Best Care, we offer a comprehensive range of home care services to help seniors stay healthy while they get the help they need to remain independent. As your senior loved one gets older, giving them the gift of senior care is one of the best ways to show your love, even if you live far away.

 Senior Care East Palestine, OH

Types of Elderly Care in East Palestine, OH

To give our senior clients the best care possible, we offer a full spectrum of in-home care services:

Personal Care

Personal Care Services

If your senior loved one has specific care needs, our personal care services are a great choice to consider. Personal care includes the standard caregiving duties associated with companion care and includes help with tasks such as dressing and grooming. Personal care can also help individuals with chronic conditions like diabetes.

Common personal care services include assistance with:

  • Eating
  • Mobility Issues
  • Incontinence
  • Bathing
  • Dressing
  • Grooming

Respite Care East Palestine, OH
Home Helper

Home Helper Services

Sometimes, seniors need helpful reminders to maintain a high quality of life at home. If you or your senior has trouble with everyday tasks like cooking, our home helper services will be very beneficial.

Common home helper care services include assistance with:

  • Medication Reminders
  • Meal Preparation
  • Pet Care
  • Prescription Refills
  • Morning Wake-Up
  • Walking
  • Reading
 Caregivers East Palestine, OH
Companionship Services

Companionship Services

Using this kind of care is a fantastic way to make life easier for you or your senior loved one. At Always Best Care, our talented caregivers often fill the role of a companion for seniors.

Common companionship services include:

  • Grocery Shopping
  • Transportation to Appointments
  • Nutritional Assistance
  • Conversation
  • Planning Outings
  • Completing Errands
  • Transportation to Community
  • Events and Social Outings
Home Care East Palestine, OH
Respite Care

Respite Care Services

According to AARP, more than 53 million adults living in the U.S. provide care to someone over 50 years old. Unfortunately, these caregivers experience stress, exhaustion, and even depression. Our respite care services help family caregivers address urgent obligations, spend time with their children, and enjoy nearby activities. Perhaps more importantly, respite care gives family members time to recharge and regroup. Taking personal time to de-stress reduces the risk of caregiver burnout. Doing so is great for both you and your loved one.

At the end of the day, our goal is to become a valuable part of your senior's daily routine. That way, we may help give them the highest quality of life possible. We know that staying at home is important for your loved one, and we are here to help make sure that is possible.

If you have been on the fence about non-medical home care, there has never been a better time than now to give your senior the care, assistance, and companionship they deserve.

 In-Home Care East Palestine, OH

Benefits of Home Care in East Palestine, OH

Always Best Care in-home services are for older adults who prefer to stay at home but need ongoing care that friends and family cannot provide. In-home care is a safe, effective way for seniors to age gracefully in a familiar place and live independent, non-institutionalized lives. The benefits of non-medical home care are numerous. Here are just a few reasons to consider senior care services from Always Best Care:

Always Best Care offers a full array of care options for patients at all levels of health. With our trusted elderly care services, your loved one will receive the level of care necessary for them to enjoy the highest possible quality of life.

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Aging in Place: The Preferred Choice for Most Seniors

While it's true that some seniors have complicated medical needs that prevent them from staying at home, aging in place is often the best arrangement for seniors and their families. With a trusted caregiver, seniors have the opportunity to live with a sense of dignity and do so as they see fit - something that is unavailable to many older people today.

In-home care makes it possible for millions of seniors to age in place every year. Rather than moving to a strange nursing home, seniors have the chance to stay at home where they feel the happiest and most comfortable.

Here are just a few of the reasons why older men and women prefer to age at home:

How much does a senior's home truly mean to them?

A study published by the American Society on Aging found that more than half of seniors say their home's emotional value means more than how much their home is worth in monetary value. It stands to reason, then, that a senior's home is where they want to grow old.

With the help of elderly care in East Palestine, OH, seniors don't have to age in a sterilized care facility. Instead, they can age gracefully in the place they want to be most: their home. In contrast, seniors who move to a long-term care facility must adapt to new environments, new people, and new systems that the facility implements. At this stage in life, this kind of drastic change can be more harmful than helpful.

Institutional care facilities like nursing homes often put large groups of people together to live in one location. On any given day, dozens of staff members and caregivers run in and out of these facilities. Being around so many new people in a relatively small living environment can be dangerous for a seniors' health and wellbeing. When you consider that thousands of seniors passed away in nursing homes during the COVID-19 pandemic, opting for in-home care is often a safer, healthier choice for seniors.

Aging in place has been shown to improve seniors' quality of life, which helps boost physical health and also helps insulate them from viral and bacterial risks found in elderly living facilities.

For many seniors, the ability to live independently with assistance from a caregiver is a priceless option. With in-home care, seniors experience a higher level of independence and freedom - much more so than in other settings like a nursing home. When a senior has the chance to age in place, they get to live life on their own terms, inside the house that they helped make into a home. More independence means more control over their personal lives, too, which leads to increased levels of fulfillment, happiness, and personal gratification. Over time, these positive feelings can manifest into a healthier, longer life.

More independence, a healthier life, and increased comfort are only a few benefits of aging in place. You have to take into consideration the role of cost and convenience. Simply put, it's usually easier and more affordable to help seniors age in place than it is to move them into an institutional care facility. According to the US Department of Housing and Urban Development, seniors who age in the comfort of their homes can save thousands of dollars per month.

In-home care services from Always Best Care, for instance, are often less expensive than long-term solutions, which can cost upwards of six figures per year. To make matters worse, many residential care facilities are reluctant to accept long-term care insurance and other types of payment assistance.

With Always Best Care's home care services, seniors and their families have a greater level of control over their care plans. In-home care gives seniors the chance to form a bond with a trusted caregiver and also receive unmatched care that is catered to their needs. In long-term care facilities, seniors and their loved ones have much less control over their care plan and have less of a say in who provides their care.

 Elderly Care East Palestine, OH

Affordable Care

In-home care is a valuable resource that empowers seniors to age in place on their own terms. However, a big concern for many families and their loved ones is how much in-home care costs. If you're worried that in-home care is too expensive, you may be pleasantly surprised to learn that it is one of the most affordable senior care arrangements available.

Typically, hiring an Always Best Care in-home caregiver for a few hours a week is more affordable than sending your loved one to a long-term care facility. This is true even for seniors with more complex care needs.

At Always Best Care, we will work closely with you and your family to develop a Care Plan that not only meets your care needs, but your budget requirements, too. Once we discover the level of care that you or your senior need, we develop an in-home care plan that you can afford.

In addition to our flexible care options, families should also consider the following resources to help offset potential home care costs:

If your loved one qualifies, Medicaid may help reduce in-home care costs. Review your OH's Medicaid program laws and benefits, and make sure your senior's financial and medical needs meet Medicaid eligibility requirements.
Attendance and aid benefits through military service can cover a portion of the costs associated with in-home care for veterans and their spouses.
Many senior care services like in-home care are included in long-term care insurance options. Research different long-term care solutions to find a plan that provides coverage for senior care.
Home care can be included as part of a senior's private insurance plan. Read over your loved one's insurance policy carefully or speak with their insurance provider to determine if in-home care is covered.
Depending on the life insurance plan, you may be able to apply your policy toward long-term care. You may be able to use long-term-care coverage to help pay for in-home elderly care.
 Senior Care East Palestine, OH

Compassionate Care. Trusted Caregivers.

When you or your senior loved one needs assistance managing daily tasks at home, finding a qualified caregiver can be challenging. It takes a special kind of person to provide reliable care for your senior loved one. However, a caregiver's role involves more than meal preparation and medication reminders. Many seniors rely on their caregivers for companionship, too.

Our companion care services give seniors the chance to socialize in a safe environment and engage in activities at home. These important efforts boost morale and provide much-needed relief from repetitive daily routines. A one-on-one, engaging conversation can sharpen seniors' minds and give them something in which to be excited.

At Always Best Care, we only hire care providers that we would trust to care for our own loved ones. Our senior caregivers in East Palestine, OH understand how important it is to listen and communicate with their seniors. A seemingly small interaction, like a short hug goodbye, can make a major difference in a senior's day. Instead of battling against feelings of isolation, seniors begin to look forward to seeing their caregiver each week.

Understanding the nuances of senior care is just one of the reasons why our care providers are so great at their job.

Unlike some senior care companies, our caregivers must undergo extensive training before they work for Always Best Care. In addition, our caregivers receive ongoing training throughout the year. This training ensures that their standard of care matches up to the high standards we've come to expect. During this training, they will brush up on their communication skills, safety awareness, and symptom spotting. That way, your loved one receives the highest level of non-medical home care from day one.

Assisted Living Referral Services

While it's true that many seniors prefer to age at home, sometimes in-home care isn't the best fit. For those seniors and their families, choosing an assisted living facility makes more sense. Unfortunately, finding the optimal care facility is easier said than done in today's day and age. That's when Always Best Care's assisted living referral services begin to make a lot of sense.

Assisted living is a form of housing intended for seniors who require varying degrees of medical and personal attention. Accommodations may include single rooms, apartments, or shared living arrangements. Assisted living communities are typically designed to resemble a home-like environment and are physically constructed to encourage the independence of residents.


Respite Care East Palestine, OH

At assisted living communities, seniors receive help with daily activities such as bathing, dressing, and eating. They may also benefit from coordination of services with outside healthcare providers, and monitoring of resident activities to ensure their health, safety, and well-being. Caregivers who work at assisted living communities can also provide medication administration and personal care services for older adults.

Other services offered within assisted living communities can include some or all of the following:

  • Housekeeping
  • Laundry
  • Recreational Activities
  • Social Outings
  • Emergency Medical Response
  • Medication Monitoring
  • Family Visitation
  • Personal Care
 Caregivers East Palestine, OH

At Always Best Care, our representatives can match your senior's emotional, physical, and financial needs with viable assisted living communities nearby. Results are based on comparative data, so you can select the best choice for you or your loved one.

Always Best Care works closely with local senior living communities to gain valuable knowledge that we then use to help seniors and their loved ones make informed decisions. This information can include basic care and rent, resident availability, and services provided. Because Always Best Care is compensated by these communities, we provide senior living referral services at no extra cost to you.

Home Care East Palestine, OH

For many seniors, moving into a senior living community revolves around how and when they want to make a transition to more involved care. Some seniors are more proactive about transitioning to independent living. Others choose to remain home until their care needs or other requirements are satisfied. Remember - our staff is here to help. Contact our office today to learn more about assisted living communities and how we can find a facility that exceeds your expectations.

 In-Home Care East Palestine, OH

Taking the First Step with Always Best Care

The first step in getting quality in-home care starts with a personal consultation with an experienced Always Best Care Care Coordinator. This initial consultation is crucial for our team to learn more about you or your elderly loved one to discover the level of care required. Topics of this consultation typically include:

A discussion of your needs and how our trained caregivers can offer assistance in the most effective way

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A draft of your care plan, which includes highly detailed notes and a framework for the care that you or your senior will receive

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Discuss payment options and help coordinate billing with your insurance provider

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Our caregivers are trained to spot changes that clients exhibit, like mental and physical decline. As your trusted senior care company, we will constantly assess and update your Care Plan to meet any new emotional, intellectual, physical, and emotional needs.

If you have never considered in-home care before, we understand that you and your family may have concerns about your Care Plan and its Care Coordinator. To help give you peace of mind, know that every team member and caregiver must undergo comprehensive training before being assigned to a Care Plan.

At the end of the day, we only hire the best of the best at Always Best Care. Whether you need home care in East Palestine, OH 24-hours a day or only need a respite for a couple of hours, we are here to serve you.

When you're ready, we encourage you to contact your local Always Best Care representative to set up a Care Consultation. Our Care Coordinators would be happy to meet with you in person to get to know you better, discuss your needs, and help put together a personalized Care Plan specific to your needs.

 Elderly Care East Palestine, OH

Latest News in East Palestine, OH

From the wreckage: East Palestine residents penning letters to Vance

EAST PALESTINE — Nearly three years after the February 2023 train derailment changed life forever in East Palestine, the people of East Palestine are once again showing what resiliency and self advocacy looks like.In a powerful act of unity and hope, residents within a 20-mile radius of East Palestine — stretching across both Ohio and Pennsylvania — are writing letters to federal leaders, urging them to ensure that accessible, long-term medical care becomes a reality for every person affected by the disaster.&...

EAST PALESTINE — Nearly three years after the February 2023 train derailment changed life forever in East Palestine, the people of East Palestine are once again showing what resiliency and self advocacy looks like.

In a powerful act of unity and hope, residents within a 20-mile radius of East Palestine — stretching across both Ohio and Pennsylvania — are writing letters to federal leaders, urging them to ensure that accessible, long-term medical care becomes a reality for every person affected by the disaster.

“From the wreckage, we rise,” the campaign’s motto is a simple phrase that symbolizesthe determination for those who call East Palestine home. As East Palestine continues to recover and rebuild, this campaign stands as a reminder that some needs — particularly medical monitoring — remain unmet.

The effort, supported by the Village Council of East Palestine, aims to gather the personal voices of the community — the mothers, fathers, veterans, grandparents, and children who have lived through uncertainty since that night in February 2023. The letters will be sent to Vice President JD Vance and other federal officials for review.

Vance, who was a junior U.S. Senator at the time of the disaster, made numerous trips to the village before winning the vice presidency last November. During those trips, Vance advocated for more federal action for East Palestine and criticized Biden’s decision to not declare a Presidential Disaster for East Palestine which would have unlocked key resources for those impacted.

As a senator, Vance asked the EPA to explore the applicability of the Comprehensive Environmental Response, Compensation, and Liability Act (CERCLA) to make a determination whether the crisis caused by Norfolk Southern’s derailment meets the criteria of a public health emergency under the law. CERCLA allows the EPA such authority when any hazardous substance is released into the environment and may present an imminent or substantial danger to the public health or welfare. It would also allow Social Security Act 1881a — a little known clause in the Affordable Care Act grants free Medicare to citizens exposed to environmental disasters — to be enacted in the village and other areas affected by the rail disaster.

Vance made that request to the EPA via a letter. Residents are following his lead and now reaching out to him in the same way.

Campaign organizers are asking residents to write about what local medical care means to them and why it’s vital for the community’s future. Organizers stress that every voice matters — whether the letter is signed or anonymous — and that this campaign is not just about the lingering health concerns from the derailment, but about being heard after years of struggle.

Letters are being collected until Nov. 15, and should be addressed to “The Office of the Vice President of the United States” or “Vice President Vance.” Submissions can be mailed or dropped off at the East Palestine Municipal Office, 85 N. Market St., East Palestine, OH 44413.

After the deadline, council will gather and forward all submissions to the appropriate federal offices starting Nov. 16.

Residents within the 20-mile radius of East Palestine are invited to write a short letter explaining why medical care access matters to them and their neighbors.

Letters should:

— Not include personal information, just a name on the outside of a sealed envelope, or they can be signed “Anonymous.”

— Be addressed to The Office of the Vice President of the United States or Vice President Vance.

— Be delivered or mailed to Misti Martin, Village Manager, East Palestine Municipal Office, 85 N. Market St., East Palestine, OH 44413, no later than Nov. 15, 2025.

Norfolk Southern announces completion of East Palestine site restoration following 2023 toxic train derailment

'Site restoration activities are complete, and the associated particulate air monitoring has concluded in accordance with approved plans.'EAST PALESTINE, Ohio — Norfolk Southern has announced that the site restoration in East Palestine following the 2023 toxic train derailment has been completed."Site restoration activities are complete, and the associated particulate air monitoring has concluded in accordance with approved plans," the company posted on its East Palestine site progress website. "Demobilizat...

'Site restoration activities are complete, and the associated particulate air monitoring has concluded in accordance with approved plans.'

EAST PALESTINE, Ohio — Norfolk Southern has announced that the site restoration in East Palestine following the 2023 toxic train derailment has been completed.

"Site restoration activities are complete, and the associated particulate air monitoring has concluded in accordance with approved plans," the company posted on its East Palestine site progress website. "Demobilization of equipment and work trailers continues, and efforts will be made to not interfere with Village traffic."

A Norfolk Southern freight train carrying hazardous chemicals derailed on Feb. 3, 2023, causing a number of toxic materials to burn into the air or seep into nearby waterways. Officials eventually conducted a controlled release of several cars carrying vinyl chloride, a move the National Transportation Safety Board said was likely unnecessary despite Norfolk Southern's assertions of safety concerns.

Norfolk Southern also reported that final assessments of two affected waterways, Sulphur and Leslie Runs, showed no sign of derailment-related sheen, indicating "achievement of the work plan goals."

"Data from the March/April 2025 stream reassessment were reported to EPA on June 20. No human health risks related to the derailment were identified in surface water in the two previous assessments performed in 2024," the company added, "The details for previously completed mitigation activities, and the results of final stream sheen assessment and sediment sampling are being compiled and will be reported to EPA in the coming weeks.

Norfolk Southern indicated that work still remains in the aftermath of the derailment. "Sitewide surface water, groundwater, sediments, and drinking water monitoring, including activities in the East End, continues per the schedules defined in the associated work plans."

According to the website, Norfolk Southern says it has achieved the following cleanup results in East Palestine:

Last year, Norfolk Southern reached a $600 million class-action settlement for those eligible people who lived, worked, owned property, or owned or operated a business within 20 miles of the East Palestine derailment. The company also says it has provided $115 million in community support, plus an additional $25 million pledge to renovate the village's park.

East Palestine train derailment: Long-term study of health concerns starting

EAST PALESTINE, Ohio (WJW) — More than two years after the toxic derailment of a Norfolk Southern train in East Palestine, many residents continue to report they suffer from various health-related problems.“When the derailment first happened, I would say within the first six weeks, and it’s very well documented, many residents faced acute symptoms like respiratory symptoms, congestion, nose bleeds, rashes, things like that and my family and I were not immune,” said Misti Allison, whose home was approximately a ...

EAST PALESTINE, Ohio (WJW) — More than two years after the toxic derailment of a Norfolk Southern train in East Palestine, many residents continue to report they suffer from various health-related problems.

“When the derailment first happened, I would say within the first six weeks, and it’s very well documented, many residents faced acute symptoms like respiratory symptoms, congestion, nose bleeds, rashes, things like that and my family and I were not immune,” said Misti Allison, whose home was approximately a mile from where the derailment happened.

Immediately after the derailment, a half-mile-long section of the train erupted in flames, sending billowing smoke from various train cars over the village, which had not yet been evacuated.

Water poured on the fires washed a cocktail of chemicals from the cars into local streams and into the soil.

Several days later, tank cars carrying thousands of gallons of vinyl chloride were intentionally detonated, resulting in a massive mushroom cloud of toxic materials that spread over miles.

The derailment is believed to have released a number of hazardous chemicals, including vinyl chloride, butyl acrylate, ethylene glycol, and benzene residue into and over the community, several of which are known to cause cancer.

Jami Wallace lived very close to where the derailment happened. In the months afterward, her family was living in a hotel until residents were told it was safe to return to their homes.

“As soon as I pulled into my driveway, my faith in the EPA collapsed. My face was on fire, my skin was breaking out, turning red in a rash. I couldn’t breathe, I was coughing and I looked at the creek that runs 10 steps from my front door and I seen chemicals flowing down it,” said Wallace who has since become a nationally-recognized advocate for those in East Palestine who continue to experience health problems they report did not exist before the derailment.

She and others have worked through the Freedom of Information Act, demanding to discover documents she believes contradict what was being stated publicly about the safety of the air and groundwater in the immediate area of the derailment.

“It’s not just my thoughts; we have now proven through research that our town was contaminated for at least four months,” she said.

Wallace showed Fox 8 photos of Sulfur Run Creek she claims were taken just this past June that still show a chemical sheen on the top of the water there.

She claims to have experienced thyroid problems, asthma, paradental disease and more since the derailment. They are symptoms that, when shared on social media, she says she has found are shared with numerous other residents of East Palestine.

“You can’t tell me this is a coincidence,” she said.

Erin Haynes, professor of preventive medicine and environmental health at the University of Kentuck,y has been conducting research in East Palestine since shortly after the derailment.

“So far, we have conducted a series of surveys looking at health, so our survey is called a health tracking survey and we have been asking residents about their health experiences since right after the derailment began in February,” she said.

The study, to date, has focused on roughly 400 adults in the community. Haynes says 60-70% of them have reported some ill effects since the derailment that they did not experience before it happened.

Just this month, the National Institute of Environmental Health Sciences has awarded her program $1.5 million to begin a long-term study of residents in and around East Palestine to dive deeper into the long-term effects of the derailment.

The university said it is the first year of an expected 5-year, $9 million program to research the long-term health effects.

The study will look into the medical records of willing participants before the derailment

The study will also attempt to obtain baseline information from residents of a comparison group, a similar community in Guernsey County, well away from East Palestine, to compare the results.

It will also attempt to include the effects of the derailment on children.

Haynes tells FOX 8 News she is in the process of assembling teams. The study, she says, would include experts from Yale University, looking at groundwater and from Pittsburgh University who have expertise in studying liver and thyroid function.

She expects the study to expand in its scope to include willing participants within as much as a 50-mile radius of East Palestine.

A statement for this story regarding the study and continued health concerns was requested from Norfolk Southern Railroad. The response did not provide a specific statement, directing us to the railroad’s website about its efforts in East Palestine.

In the meantime, Haynes hopes the study will continue well beyond even her tenure at UK.

“We want our data not to fall flat or be on a shelf but to really make an impact for the community,” said Haynes

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