This story is the sixth and final story in a series examining the aftermath of the Feb. 3, 2023, Norfolk Southern train derailment in East Palestine, Ohio, funded in part by the Fund for Investigative Journalism.
After the Norfolk Southern train derailment, Candice DeSanzo and her family spent months away from their home in East Palestine, Ohio, because being at home made them feel sick â swollen throats, burning eyes, rashes, nosebleeds.
Every time they came back to town, their symptoms would return.
âOne time we were here for two hours and we were driving out, and I look back and there’s blood coming out of my one-year-old’s mouth,â said DeSanzo.
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In August, DeSanzo and her family returned to their home, which sits on a hill less than a mile from the derailment site. She set up half a dozen air filters inside the house and threw out bags of clothes that smelled like chemicals.
Gradually, things improved, but DeSanzo is still worried about contamination inside her house. In one room in her basement, she started feeling symptoms every time she folded laundry there.
âMy toes would start tingling. Then my nose would start running, my throat would start hurting,â DeSanzo said.

DeSanzo got a chemical test in her house, which found dioxins, toxic chemicals associated with the derailment, on her property. She wants the U.S. Environmental Protection Agency to periodically test the inside of her home.
âThey should be testing for 30-plus years here. How do you know what’s going on if you’re not testing?â she said.
But the agency has declined. This baffles her.
âWhy would they not? If there’s only two of us crazies in this town that don’t think it’s safeâtest our homes,â she said.
The EPA has been testing outdoor air all year in East Palestine for volatile organic compounds, or VOCs, like the chemicals released in the derailment.
âNot only are we not seeing the chemicals of concern at low levels, we’re not seeing them at all,â said Mark Durno, a site coordinator in East Palestine for the EPA.
Since the air is clear now, Durno thinks thereâs no way for contaminants to make their way into homes. He also says it would be hard to tell if any detectable chemicals inside homes came from the derailment or from chemicals already present inside homes, from paints, cleaners, fuels and cosmetics.
âIf we do indoor sampling, it’s going to be inconclusive because of all the sources of volatile organics already in homes from all the compounds and lifestyle and structural chemicals.â
Experts weigh in
However, scientists contacted by The Allegheny Front said indoor testing would be a good idea in East Palestine.
Andrew Whelton, a professor of civil, environmental and ecological engineering at Purdue University and vocal critic of the EPAâs response in East Palestine, says chemicals released into the environment can get inside peoplesâ homes through underground aquifers, soil or even sewer lines. He points to the guidance that the EPAâs own scientists have published on this concept, known as vapor intrusion.
âThis occurs near Superfund sites where you have known chemical releases. VOCs get into the sewers, they can come up into the homes and they can cause immediate or long-term health impacts,â said Whelton.

The EPA says it is testing soil and groundwater and that thereâs âno evidence to suggestâ contamination has spread throughout the town.
Still, Kimberly Garrett, an environmental toxicologist and post-doctoral fellow at Northeastern University who has done informal consulting with East Palestine residents, says regulators should have been doing indoor testing from the beginning.
âIt would have been beneficial to collect that data as soon as possible, to collect home samples as soon as possible, and do it repeatedly until they could show that either there wasn’t anything of concern inside the homes,â Garrett said, âor if there was, that we could see it decrease over time, which is what we would expect.â
Michael Bisesi, vice dean of the College of Public Health at Ohio State, where heâs professor and chair of environmental health sciences, is part of a team of researchers analyzing chemical testing in East Palestine conducted by the EPA and others.
He cautions that just because people were exposed to chemicals right after the derailment, that doesnât mean they will suffer long-term effects.
âIn most of those substances that have irreversible or long-term effects, it’s not just the presence of that contaminant that triggers the irritation, the cough, the sneeze. It’s âHow long are you exposed to cumulative exposure over time?ââ Bisesi explained.
From what heâs seen, he doesnât think the level of contamination in East Palestine poses a long-term health threat. But he says thereâs only one way to find out for sure what people are being exposed to inside their homes.
âSometimes it warrants collecting samples to answer the question with data,â Bisesi said.
In a letter from October 20, a bipartisan group of Ohioâs U.S. congressional delegation, including Senators Sherrod Brown and J.D. Vance, called on the EPA to conduct indoor testing to ease the minds of residents who are still concerned. Otherwise, they wrote, âthe EPA risks eroding the trust of many in our community.â

One such resident is Ben Terwilliger, who lives about 900 feet from the derailment. Heâs had neighbors whoâve had their homes tested by Norfolk Southern and EPA.
âThey all came back (saying) ânothing’s wrong – everything’s well within the limits,ââ said Terwilliger, whose eyes burned for months after the derailment and whose wife now has a chronic cough. âWell, we all saw the nuclear cloud. You know, I find that hard to believe.â
The EPA, it turned out, was allowing Norfolk Southern to use an instrument that doesnât adequately detect butyl acrylate, one of the chemicals that spilled in the derailment. Itâs that kind of experience that leads Terwilliger and others to be skeptical about EPAâs testing.
âPersonally, I don’t really trust the EPA to tell the truth,â Terwilliger said.
Both Candice DeSanzo and Ben Terwilliger would like to leave a town they think is polluted., but neither can afford to move.
âNobody wants to be in our house right now,â Terwilliger said. âWhen the train goes by, you hear the whistle; everybody gets anxiety.â
- Ohio derailment reveals gaps in public health response to chemical emergencies, experts say
- A year later, the stream flowing under peoplesâ homes in East Palestine is still polluted
- Scientist questions EPAâs handling of East Palestine cleanup: âThey should have tested correctlyâ
- A Pennsylvania resident impacted by the Norfolk Southern derailment pushes for answers
- Leaving East Palestine: A motherâs story
Special thanks to our Fund for Investigative Journalism mentor, Pete Carey, retired Pulitzer Prize-winning investigative journalist with the Mercury News California, for his advice and guidance on our East Palestine coverage.