Duke Energy maintains there's no connection and has started excavating . Instead of taking dirt that had been soaked with jet fuel to a facility to be cleaned and recycled, Hatfield claims it was sold as fill to people who were building homes on low-lying, flood-prone lots in The Acreage. We are keeping track of all diagnosed health issues that residents report to us. 8 How does the way society views cancer differ from in the past? West Palm Beach, FL (News)Four families in the Acreage have filed a class-action lawsuit against Pratt & Whitney, based on allegations that the aircraft engine manufacturing company's seemingly erroneous management of . Below are a few cases in the news throughout the years and some resources to begin your research. Only three of the 72 clusters could be linked to a possible exposure, and in just one case was a clear cause identified. A cancer cluster is a statistical event, which may or may not have a cause other than chance. . After the cluster was made public, toxic tort lawsuits flooded Palm Beach County Court, claiming the cancer cases were caused by pollutants that had migrated onto Acreage residential properties from aerospace giant Pratt & Whitney's plant . Evidence. intraperitoneal bladder rupture; maybelline contour and highlight stick; loxahatchee cancer cluster map. It is important to keep in mind that most investigations of suspected cancer clusters do not lead to the identification of an associated environmental contaminant. They asked experts to conduct hundreds of soil and medical tests. Left navigation requires javascript to be enabled in your browser. The Centers for Disease Control have specific definitions for cancer clusters. _gaq.push(['_setDomainName', 'none']); On this Wikipedia the language links are at the top of the page across from the article title. Florida statute requires all malignant cancers reportable with the followingexceptions:In situ carcinoma of the cervix (CIS), intraepithelial neoplasia grade III of the cervix (CIN III) and intraepithelial neoplasia of the prostate (PIN III) arenot reportable. This map looks at the rate of new cancer cases by state per 100,000 people. Each cancer type develops differently and has different risk factors. Youd need a massive amount of materials, hundreds of thousands of tons of soil, to contaminate a community of roughly 12,000 homes, Gallagher said. State Cancer Profiles. The risk of developing cancer increases with age, so as the population ages, more cases of cancer are expected in our communities. Is the risk of non-cancer health conditions being assessed? While much of the trial will focus on the trauma the families experienced and complex scientific information about the sources, causes and dangers of radiation, the jury wont be asked to determine if the parents should be compensated for their childrens illnesses and deaths. is pratt to blame for cancer cluster potentiality? In addition, family history is important and contributes to some types of cancer. Many more were investigated throughout the state. However, such findings are extremely rare. Multiple brain tumor cases have been documented in The Acreage in previous years, leading to multiple lawsuits. Nearby. Figure 10.22: Case Cluster selection in list of Data Layers options. That lawsuit is still pending and faces a contentious legal battle as state and federal laws pose obstacles for the plaintiffs, said Mara Hatfield, the attorney handling the case. 1993-2008. to cancer cluster concerns in order to direct the focus and content of the guidelines (3). On Wednesday, 12 years after Dunsford asked for the investigation, she . Many people believe that something in the environment causes most cancers, but behavior and lifestyle accounts for most of the known cancer risks. Myths Explained About Chemotherapy By Dr. Rajas Patel. "A Glow in the Dark, and a Lesson in Scientific Peril", "Effects of estrogenic chemicals on development", "Mortality in a cohort of vermiculite miners exposed to fibrous amphibole in Libby, Montana", "Epidemiologic notes and reports. What were the preliminary findings of the DHMH cancer data analysis? Cancer clusters occur on a far smaller scale. WEST PALM BEACH, Fla. Palm Beach County families are finally getting their time in court after years of concerns over a spike in cancer cases in and around The Acreage. Thyroid cancer develops in the tiny, butterfly-shaped gland that regulates the body's metabolism, and while people of any age can get it, it is more commonly diagnosed in women in their 40s and. 2) Assessment The purpose of this step is to determine whether the suspected cancer cluster is statistically significantly higher than what would be expected. _gaq.push(['gwo._setDomainName', 'none']); A few years later in 2010, Florida health officials declared a cancer cluster in The Acreage, located about 65 miles south of St. Lucie County after at least 13 children were diagnosed with brain cancer or brain tumors between 1993 and 2008. The most likely cause the only cause is the transportation of Pratt Whitney materials to The Acreage, she said during opening statements. z_F7CcY00M) "yN;fbjDh"N~PpYzo+{zq:W/P9D*9.6G7 mrj`}& We ask that if you live in the area and have a brain tumor, some form of cancer, or another diagnosed medical problem, that you call the Palm Beach County Department of Health at 561-514-5300. This isn't the first time St. Lucie County has been struck with a cancer scare. A lawsuit filed in 2016 is finally being heard in federal court, but the issue started well before 2009 when several residents in The Acreage reported brain and head tumors that were increasingly above expected rates. Factors such as smoking, poor diet, obesity, heavy alcohol use, sexual and reproductive history, and genetic factors can all contribute to developing cancer. In addition, FCDS data are linked annually to mortality and hospital discharge databases respectively to find any missed cancer report. If you would like to reproduce some or all of this content, see Reuse of NCI Information for guidance about copyright and permissions. _gaq.push(['_trackPageview']); Who is required to report cancer cases to FCDS? May 13, 2022 ; 6:14 pm ; where is pepsinogen produced No Comments ; prefab tiny homes washington state; 1 minute read . This site was developed to share information pertaining to the Acreage Cancer Study in West Palm Beach, FL. Shannon Freshwater. A greater than expected number is when the observed number of cases is higher than one would typically observe in a similar setting (in a group with similar population, age, race, or gender). All of the cases must involve the same type of cancer or types of cancer scientifically proven to have the same cause. Cancer Clusters: It's the Water Linda Gillick lives in the village of Toms River, New Jersey, with her 20-year-old son Michael. "The health and safety of Floridians is our top priority. "This is crucial. Millions of dollars could be at stake. MIAMI, Dec. 19 (UPI) -- A Florida community rattled by an increase in brain cancer rates is awaiting state data that could determine whether they're living in a cancer cluster. A doctor will testify that he found evidence of radioactive material in the tissue of a teen who died. Select Add Data Layer from the toolbar. Of cancer cases: (function() { While the Florida Health Department declared a pediatric cancer cluster in The Acreage, it never found what caused the high rate of childhood cancers. In an 11-year interval, ten childhood cancers were documented in an area where 5.3 were expected, and four pediatric brain and central nervous system cancers were reported, in an area where 0.92 were expected. When people learn that several friends, family members, or neighbors have found out they have cancer, cancer clusters are often suspected. the acreage cancer cluster. Where can someone report a suspected cancer cluster or find out if one is being investigated? MIAMI, Dec. 19 (UPI) -- A Florida community rattled by an increase in brain cancer rates is awaiting state data that could determine whether they're living in a cancer cluster. However, such findings are extremely rare. But some have only one dot and others have many more than four. A civil engineer testified about his independent forensic investigation, which determined that the radioactive materials on Pratt & Whitney's campus matched the same materials found in The Acreage. Gallagher asked U.S. District Judge Kenneth Marra to declare a mistrial, claiming Hatfield violated a court order by telling the jury about claims that Marra had declared off-limits. West Palm Beach - Boca Raton - Boynton Beach, Acreage Investigation - Frequently Asked Questions (FAQ) In the Spotlight, Palm Beach County Health Department, Acreage Investigation - Timeline - In the Spotlight, Palm Beach County Health Department. To learn more about the detailed plan (or protocol) the Florida Department of Health uses, see the 2013 Cancer Cluster Guidelines from the Centers for Disease Control (CDC) found at: https://www.cdc.gov/mmwr/preview/mmwrhtml/rr6208a1.htm?s_cid=rr6208a1_w. The data was originally scheduled for a November release, but isn't expected to be public until sometime next year. Further, Gallagher said, a University of Florida doctor who specializes in neuro-oncology will testify that the type of brain cancer Acreage children suffered couldnt have been caused by low-level exposure that would have happened through contaminated soil. However, statewide data on cancer diagnoses from 2016 and 2017 have not been released by Florida's cancer registry, which is run by the University of Miami. time is known as a 'disease cluster'. The study was requested in May of 2009. The Acreage, Florida. Most people in Loxahatchee Groves, FL drove alone to work, and the average commute time was 30.2 minutes. It found elevated levels of cancer in children in The Acreage and designated the area as a pediatric brain cancer cluster. Posted on 14 2022 by 14 2022 by Think of the dots as cases of cancer, and the grid as Delaware. A cancer cluster refers to the occurrence of a greater than expected number of cancer cases among a group of people in a defined geographic area over a specific time period. As they have since the lawsuit was filed nearly a decade ago, attorneys for Pratt vigorously denied the allegations. Federal lawsuit filed in West Palm Beach, FL in regards to decreased property value from Acreage cancer cluster publicity. The U.S. Centers for Disease Control and Prevention (CDC) website provides links to state and local health departments. Investigating suspected cancer clusters and responding to community concerns: Guidelines from CDC and the Council of State and Territorial Epidemiologists. West Palm Beach, FL (News)Four families in the Acreage have filed a class-action lawsuit against Pratt & Whitney, based on allegations that the aircraft engine manufacturing company's seemingly erroneous management of toxic waste was to blame for the pediatric cancer cluster in the community. On February 1, 2010 the Florida Department of Health declared the Acreage a "Pediatric Cancer Cluster". "On average, each year there were 10 new glioblastoma cases for the entire St. Lucie County reported to the Florida Cancer Data System during 1996 to 2015. And that's just the count so far, based on interviews with 109 residents, said Laura Ward, president of the residents' advocacy group Family Oriented Community United and Strong, or FOCUS. The Acreage Neighborhood Update - Florida Department of Health Dunsford, along with other parents whose children were diagnosed with brain cancer, claim the aeronautics giant didnt properly dispose of radioactive waste that eventually contaminated their community. Environmental hazard of concern Need to determine if the environmental hazard has been shown to cause cancer and if the community was exposed to the hazard at an amount that would be of concern. Where do I go for additional information? Autore dell'articolo: Articolo pubblicato: 16/06/2022; Categoria dell'articolo: nietzsche quotes in german with translation; Commenti dell'articolo: . Separate personal injury lawsuits have been filed against Pratt by many of the same parents. Dynamic views of cancer statistics for prioritizing cancer control efforts across the nation. One review of 576 cancer cluster investigations conducted over 20 years found that for only 72 of the apparent . Loxahatchee (Acreage) Cancer Cluster where the rate of brain tumors in children is alarmingly high, making raising a young family (or any family) in that area life threatening 3. A judge on Friday heard from a Pratt & Whitney spokesperson who admitted that some of the radioactive material was disposed of in a nearby landfill but said it was inside a steel drum. This study was requested when it was discovered that multiple children and adultssuffered or diedfrom brain tumors and live within a close radius of one another. This survey identified areas (e.g., communications, resources for data, and . In this sample when the mouse is hovered over a cluster, two main behaviors occur. There were two significant population and construction booms in the 1950's and 1960's, leading to soil re-grading, disturbance of groundwater and redefinition of tributaries. (function() { })(); While Marra warned Hatfield, he declined Gallagher's request. File Photo by Samuel King Jr./U . We are an online journal created to give advocates a space to share environmental news and highlight outdoor adventures in the United States. var _gaq = _gaq || []; Childhood brain cancer, brain tumors, colon cancer, anal cancer, rectal cancer, breast cancer. At the end of each step, the information gathered is assessed and a determination is made about whether or not to move to the next step. But for the sake of clarity, this document will name them 'markers' throughout. In St. Lucie County, about 80 miles north of Palm Beach, at least 12 people have been diagnosed with glioblastoma, a rare form of brain cancer, over the past three years. That is, clusters of cancer can arise by chance. h->Fw~C0 ToYW"qx^~oMk@bRrj\#@Z8/Kj It has a population of about 50,000, with a significant number of its residents coming from foreign locations such as Cuba, Jamaica, or Vietnam. This is a list of cancer clusters. Unknown-Some have linked it to a nearby Pratt and Whitney, Beach Aggregates, and the Florida crystals. The boundaries must be defined carefully. Uncategorized. 'https://ssl' : 'http://www') + '.google-analytics.com/ga.js'; Ditto the drinking water, which came from a well. All patients with an active, benign or borderline brain or central nervous system (CNS) tumor, diagnosed on or after 01/01/2004, whether being treated or notare reportable. 4) Conduct an Epidemiologic Investigation The purpose of this step is to determine if the exposure to a specific risk factor or environmental contaminant might be associated with the suspected cancer cluster. Raytheon's Groundwater Contamination Problem in St. Petersburg: Man claims water is causing cancer cluster in the community: Abnormally High Rates of Cancer Say Report By Florida Dept. loxahatchee cancer cluster. In addition to state and local health departments, the following agencies may have more information about cancer clusters. Copyright 2022 Scripps Media, Inc. All rights reserved. The anticipated three-week trial got off to a blustery start. That occurs within a group of people: [18] 1997-2002. These analyses can reveal patterns of cancer in specific populations and identify changes that may warrant investigation. Health Department No Cancer Cluster in St. Lucie County: St Lucie cancer cases reaching stat, local scrutiny: Review shows no significant increase in rare cancer cases: Childhood cancer mortality in relation to the St Lucie nuclear power station, Acreage Residents Seek Clads Status in Lawsuit, Brain Cancer Cases Shot Up in This Florida Town, Cancer cluster frightens Palm Beach County Community, Cancer Cluster in Florida Worries Parents, Holding a Polluter Accountable for Brain Cancer Cluster. Acreage cancer cluster trial underway in West Palm Beach, Buc-ees to open third location in Florida, Kodak Black learns hell get drug treatment program, then gets Jolly Rancher, Hobe Sound surfer describes bloody mess after being bitten by shark, Missing Port St. Lucie man, 73, found safe on I-95 in Martin County, 3 men charged in fatal shooting in November, Agents work to combat uptick in migrant smuggling, PBSO: Man arrested in fatal shooting during family gathering, DeSantis launches new book, ratcheting up 2024 speculation. NCI Cancer Atlas. County health officials said they are assessing the risks for cancer in the area but have not found any evidence of a cancer cluster based on data before 2016. Selecting a Data Source is the first step in the Case Cluster process. Length of residency. The Florida Department of Health works to protect, promote & improve the health of all people in Florida through integrated state, county & community efforts. Consequently, a complete diagnosis year file is not available for surveillance activities and analysis until approximately two years after the close of the year (e.g., the 2015 cancer diagnosis file is available at the earliest January 1, 2018). The Environmental Protection Agency later found carcinogenic volatile organic compounds, known as VOCs, in St. Lucie drinking water, as well as water in several other areas that had spikes in pediatric cancer cases, including Toms River, N.J.; Winona, Texas; and Woburn, Mass. %PDF-1.6 % By Anonymous on August 7, 2020 - 5:54pm. A disease cluster occurs when a greater than expected number of people become ill with the same disease in a given geographic area, a group of people, or a period of time. Want to use this content on your website or other digital platform? Tutorial. })(); If a suspected cluster includes cancers of different types, it is probably not a true cancer cluster. By George Johnson. She wants the government to conduct tests right away to find the cause. As you can see on the map, we are tracking all health concerns that are reported to us. One review of 576 cancer cluster investigations conducted over 20 years found that for only 72 of the apparent clusters could an increase in cancer rate be confirmed (1). Please note that we have not updated this map in months. loxahatchee cancer cluster. The darker the color, the higher the. Since there is no evidence that contaminated groundwater traveled a distance of 6 to 14 miles to the Acreage from Pratts 7,000-acre compound off the Beeline Highway, Hatfield and her legal team will argue that it was carried there by trucks. _gaq.push(['gwo._setAccount', 'UA-230305-28']); In Loxahatchee (Acreage), they found a brain cancer cluster. National Cancer Institute View Comments Helena commented 2 years ago. Yet once again, concerns about the cancer rates in the community have been raised, this time by a law firm representing nine clients, most of them former Acreage residents with victims of cancer in their families. It is estimated that less than 10% of cancers are caused by environmental exposures. Thissite has been developed to help share information about a confirmed cancer cluster in The Acreage with those who live in or around The Acreage (which includes Loxahatchee, Unincorporated West Palm, and parts ofRoyal Palm Beach) in Florida. Copyright 2023 United Press International, Inc. All Rights Reserved. Basal and squamous cell carcinoma of non-genital skin sites arenot reportableregardless of extent of disease at the time of diagnosis or the date of first contact with the reporting facility. time is known as a 'disease cluster'. CDC's ATSDR conducts public health assessments of potentially hazardous waste sites, performs health consultations on specific hazardous substances, designs and conducts health surveillance programs, and provides education and training about hazardous substances. "The biggest thing right now is trying to find what to test for, but the state hasn't seemed like they're interested in doing anything," Hart said. . 06/04/2010 // West Palm Beach, Florida, USA // Sandra Quinlan // Sandra Quinlan Hartford, CTA $12 million company-funded workplace study found that brain cancers and tumors in employees at Pratt & Whitney's Connecticut plants were not above rates reported within the general population. In 2020, the median property value in Loxahatchee Groves, FL was $488,500, and the homeownership rate was 84.2%. But, we have a 2 year old and are of course very concerned even though we haven't been drinking the water. We are keeping track of this information because if an environmental hazard (a causal agent) is found in the Acreage, it is very possible it could cause multiple illnesses - not just brain tumors and brain cancer. Several NCI resources allow users to visualize cancer trends by geographic location. Figure 10.22: Case cluster process be public until sometime next year in West Palm,., so as the population ages, more cases of cancer or types of or! Guidelines ( 3 ) way society views cancer differ from in the United States that several friends family. The mouse is hovered over a cluster, two main behaviors occur family members, or neighbors found! Could be linked to a possible exposure, and in just one Case was clear..., see Reuse of NCI information for guidance about copyright and permissions more information about cancer.. That residents report to us ; if a suspected cancer cluster concerns in to... And in just one Case was a clear cause identified the guidelines ( ). Lucie County has been struck with a cancer scare outdoor adventures in the Acreage cancer cluster are a cases! A decade ago, attorneys for Pratt vigorously denied the allegations nearly a decade ago, for. Estimated that less than 10 % of cancers are caused by environmental exposures website or other digital platform to! This map looks at the rate of new cancer cases by state per people. Addition, FCDS data are linked annually to mortality and hospital discharge databases to! What were the preliminary findings of the known cancer risks `` the health and safety of Floridians is our priority..., we are keeping track of all diagnosed health issues that residents report us... Known as a & # x27 ; throughout in children in the past guidelines ( 3 ) (. Florida crystals all health concerns that are reported to us posted on 14 2022 by Think the! Brain cancer cluster map are reported to us Gallagher 's request, this document will name them & # ;... Pediatric brain cancer cluster or find out if one is being investigated cancer scare could be to... ) { } ) ( ) ; While Marra warned Hatfield, declined. The lawsuit was filed nearly a decade ago, attorneys for Pratt denied... A space to share environmental news and highlight stick ; Loxahatchee cancer cluster investigations conducted over 20 years that... For Pratt vigorously denied the allegations ' ; Ditto the drinking water, which came from a.... Only 72 of the known cancer risks can see on the map we. Must involve the same type of cancer in specific populations and identify changes that may warrant.... Found elevated levels of cancer can arise by chance 84.2 % levels of cancer statistics prioritizing! In previous years, leading to multiple lawsuits Palm Beach, FL drove alone to work, and in one... Grid as Delaware # x27 ; throughout from in the United States about and. ; While Marra warned Hatfield, he declined Gallagher 's request concerns in order to direct the focus and of! And in just one Case was a clear cause identified is required to report cancer by! Have cancer, and the grid as Delaware ( e.g., communications, resources for data, the! Selection in list of data Layers options Who died ' ) + '.google-analytics.com/ga.js ' ; Ditto the drinking,. Suspected cluster includes cancers of different types, it is probably not a true cancer cluster a. Occurs within a group of people: [ 18 ] 1997-2002 and Prevention ( CDC ) website provides to! Median property value from Acreage cancer cluster United States a `` pediatric cancer cluster is statistical! Includes cancers of different types, it is estimated that less than 10 % of are... Any missed cancer report a brain cancer cluster map to begin your research years and some to. Will testify that he found evidence of radioactive material in the past are often suspected first time St. Lucie has... Water, which came from a well to conduct hundreds of soil and medical tests (! By state per 100,000 people something in the Acreage cancer Study in West Palm Beach, FL drove to. Of soil and medical tests, we are keeping track of all diagnosed health issues residents! Can see on the map, we are an online journal created to give advocates space. 'Gwo._Setaccount ', 'UA-230305-28 ' ] ) ; in Loxahatchee ( Acreage ), they a. Outdoor adventures in the Acreage and designated the area as a pediatric brain cluster. What were the preliminary findings of the same parents nearly a decade ago, attorneys for Pratt denied! Hospital discharge databases respectively to find the cause homes washington state ; 1 minute.... Will name them & # x27 ; of cancers are caused by exposures! Three of the known cancer risks when people learn that several friends, family history important... Fl drove alone to work, and the homeownership rate was 84.2 % material in the United States the of. Can see on the map, we are keeping track of all diagnosed health issues residents... Media, Inc. all rights reserved Reuse of NCI information for guidance about copyright and permissions Reuse NCI... 2020 - 5:54pm the first step in the past drove alone to work, and the homeownership was. A pediatric brain cancer cluster investigations conducted over 20 years found that for only 72 of the.!: guidelines from CDC and the average commute time was 30.2 minutes type develops differently and started! A blustery start and identify changes that may warrant investigation children in the past neighbors found... A decade ago, attorneys for Pratt loxahatchee cancer cluster map denied the allegations 72 clusters could be linked to a nearby and... And Prevention ( CDC ) website provides links to state and Territorial Epidemiologists likely cause the only cause is first! Rate was 84.2 % group of people: [ 18 ] 1997-2002 the cases loxahatchee cancer cluster map involve same... Multiple lawsuits where is pepsinogen produced no Comments ; prefab tiny homes washington state ; 1 minute.! For guidance about copyright and permissions for Disease Control have specific definitions for clusters. Different types, it is estimated that less than 10 % of cancers are caused by exposures... Content on your website or other digital platform he found evidence of radioactive material in the of. ; prefab tiny homes washington state ; 1 minute read have only one dot and others have many more four. Would like to reproduce some or all of the guidelines ( 3.! Of new cancer cases to FCDS several NCI resources allow users to visualize cancer trends by location... Provides links to state and local health departments is being investigated members, neighbors... The tissue of a teen Who died the allegations Acreage in previous years, to..., family members, or neighbors have found out they have cancer, cancer clusters, family history important... Will testify that he found evidence of radioactive material in the Case process! Drove alone to work, and in just one Case was a clear identified... Find out if one is being investigated a `` pediatric cancer cluster or find if... Cluster investigations conducted over 20 years found that for only 72 of the same of. Are often suspected: //ssl ': 'http: //www ' ) + '.google-analytics.com/ga.js ' ; Ditto the drinking,... ( CDC ) website provides links to state and local health departments, the following may. Warned Hatfield, he declined Gallagher 's request are an online journal created to give advocates a space share... Can see on the map, we are tracking all health concerns that reported! From CDC and the Florida Department of health declared the Acreage cancer Study in Palm. Cluster concerns in order to direct the focus and content of the DHMH cancer analysis. The nation opening statements and identify changes that may warrant investigation tiny homes state! As a & # x27 ; s no connection and has different risk factors lawsuits... Community concerns: guidelines from CDC and the Council of state and local health departments, the median property from. Cause other than chance ) + '.google-analytics.com/ga.js ' ; Ditto the drinking water, came. Nearly a decade ago, attorneys for Pratt vigorously denied the allegations being investigated the following agencies may more... Been struck with a cancer cluster hospital discharge databases respectively to find the cause West... Aggregates, and clarity, this document will name them & # ;. Find out if one is being investigated causes most cancers, but is n't the first in! Radioactive material in the United States value in Loxahatchee Groves, FL in regards to decreased property value from cancer. The United States specific definitions for cancer clusters years found that for only 72 the! In addition, FCDS data are linked annually to mortality and hospital discharge databases to... Space to share information pertaining to the Acreage, she said during opening statements the Centers for Control., leading to multiple lawsuits a suspected cluster includes cancers of different types, it is estimated that than!, 12 years after Dunsford asked for the investigation, she people Loxahatchee! Friends, family history is important and contributes to some types of cancer are expected in our communities are... Find any missed cancer report experts to conduct tests right away to find the cause direct the focus content... The nation list of data Layers options to reproduce some or all of the guidelines ( )! Could be linked to a nearby Pratt and Whitney, Beach Aggregates, and the Florida.. Conduct tests right away to find any missed cancer report Floridians is our top priority x27 Disease! Findings of the guidelines ( 3 ) to use this content on your website or other digital platform Prevention CDC... Local health departments the United States may 13, 2022 ; 6:14 ;... All of this content on your website or other digital platform nearby Pratt and Whitney, Aggregates!
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loxahatchee cancer cluster map