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Welcome to The Monitor's new health newsletter.
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Good morning!


Welcome to The Maine Monitor’s new health newsletter. I’m Rose Lundy, senior public health reporter. Every two weeks, I’ll be in your inbox with original reporting, context for recent health news and a roundup of stories I’m watching. 


To start, let me tell you a little about how I came to this beat: I moved from Washington state to Maine in May 2020 — right in the middle of the pandemic. I had been covering local government at a small-town daily newspaper, but this new role meant diving into public health reporting, which felt more urgent than ever. At a time when there was a lot of confusion over the many metrics being used to track COVID-19 cases, one of my first stories explained how to navigate and understand the numbers


The pandemic highlighted gaps in our health care infrastructure, particularly when it comes to older adults — an issue that is especially pronounced in Maine, where we have the oldest population in the country. 


One story made a deep impression on me: Frank Slason used to visit his wife of 64 years every day at her nursing home 15 minutes from the home they built together in Somerville. When her nursing home closed, in part due to pandemic-related staffing shortages, and she was moved to a facility 30 miles away, Slason was devastated. He still made the drive, but could visit only three times a week. Since then, even more homes have closed: in 2021 there were 93 nursing homes in Maine. Now there are 79.


As these homes have closed, more and more people have ended up in institutions that offer lower levels of care. In June 2022, I received an anonymous tip about two deaths at a residential care facility. That tip led me to embark on an 18-month investigation with ProPublica, where we dove into these facilities, which are increasingly caring for older Mainers with higher medical needs yet face less regulation and oversight than nursing homes, even in response to serious cases of abuse and neglect.


To report the story, I submitted more than a dozen records requests, analyzed 331 inspection documents and knocked on many doors in communities near facilities where serious incidents occurred. Just last month, the Department of Health and Human Services proposed major changes to staffing requirements in these facilities.


While much of my work has focused on aging issues and the long-term care industry, I’ve also reported on other public health challenges, including the underregulated medical cannabis industry and the growing strain on family caregivers. Over the past few years, I’ve come to appreciate the ways in which public health touches so many aspects of life – from housing and food security to heating costs and transportation


There’s much more I’m eager to dig into, and while I’ve shared a lot about myself today, future newsletters will focus on stories that matter to you. Let me know what you think I should tackle — I’m all ears. 


An investigation by ProPublica found that formaldehyde causes more cancer than any other air pollutant and is more widespread than previously known: “The public health risks from formaldehyde are greater and more prevalent than widely understood — and any hope of fully addressing them may well be doomed, at least for the foreseeable future.”


A former EPA scientist who spent years calculating the leukemia risk told ProPublica the real problem was cowardice in the EPA.


“In the end, they chickened out,” she told reporters. “It was kind of heartbreaking.”


The story includes a tool that allows readers to look up the risk of exposure in a given neighborhood. I found that the incremental lifetime risk of cancer from formaldehyde on my block is 1 in 87,000. 


“According to ProPublica’s analysis of the EPA’s 2020 AirToxScreen data, some 320 million people live in areas of the U.S. where the lifetime cancer risk from outdoor exposure to formaldehyde is 10 times higher than the agency’s ideal.”


While The Maine Monitor does not place its content behind paywalls, some newsrooms we link to in this newsletter may. 


It’s getting harder for Mainers to give birth | Bangor Daily News


After 34 years, court oversight of Maine’s mental health services has officially ended | Press Herald


ICYMI: Maine proposes major staffing changes for assisted living and residential care facilities | The Maine Monitor (Or read a shorter version on ProPublica's site)


Owners of Maine’s ‘last resort’ psychiatric hospital in South Carolina declare bankruptcy | Press Herald


Maine reaches settlement in federal lawsuit over behavioral health services for children | Maine Public


Maine hires firm to review DHHS programs following abuse at Hampden care homes | Bangor Daily News


ICYMI: For Mainers on one state plan, few home care coordination options remain | The Maine Monitor


Damariscotta Planning Board approves plan for assisted living facility in town | WGME


Get in touch: If you have any story suggestions or tips, please never hesitate to reach out to me. I love hearing from readers: rose@themainemonitor.org


The Maine Monitor is a publication of the Maine Center for Public Interest Reporting, an independent and nonpartisan nonprofit news organization that produces investigative journalism. We believe news is a public good and keep our news free to access. We have no paywall and do not charge for our newsletters. If you value the reporting we do for Maine, please consider making a donation! We cannot do this reporting without your support.

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