Alliance of Nurses for Healthy Environments

Washington, D.C. | May 18, 2026— Today, the U.S. Environmental Protection Agency (EPA) issued a proposed rollback, removing 4 PFAS from their 2024 national, legally enforceable, and scientifically supported Per- and Polyfluoroalkyl Substances (PFAS) drinking water standards while also proposing a two year delay, until 2031, for drinking water systems to comply with the enforceable limits.

The four PFAS slated for removal from the drinking water regulations include “GenX,” the forever chemical that replaced PFOA, which is widely used and has contaminated the drinking water source of 500,000 people in North Carolina and the Ohio River; PFHxS and PFNA, which are found in the blood of more than 95 percent of people living in the U.S., and PFBS which is a replacement for PFOS and still actively being produced and used in the U.S. These four PFAS have been linked to adverse effects on the liver, kidneys, and immune system, developmental and reproductive harm, and hormone disruption. 

In response to the announcement of today’s standard, the Alliance of Nurses for Healthy Environments Executive Director Katie Huffling, DNP, RN, CNM, FAAN issued the following statement: 

“PFAS chemicals are associated with many expensive, harmful chronic diseases and there are a myriad of PFAS in drinking water besides PFOA and PFOS, including the 4 PFAS whose standards EPA is proposing to repeal. There are thousands of additional PFAS that could be contaminating our drinking water that EPA does not currently monitor for. The EPA cannot be confident that simply monitoring and treating for only PFOA and PFOS will be sufficient as this is not supported by the evidence. With the Administration simultaneously proposing a 52% cut in EPA’s budget and the Drinking Water State Revolving Funds receiving an 87% cut, these actions will result in a huge step backwards and will not make America healthy again. Nurses will continue to fight for health protective science-based regulations.”

Most people are exposed to mixtures of PFAS and there is sufficient evidence that certain PFAS are associated with negative health outcomes including decreased antibody responses and dyslipidemia in both adults and children as well as decreased infant and fetal growth and increased risk of kidney cancer in adults. There will be a 60-day public comment period, and EPA will hold a public hearing on July 7, 2026. 

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Alliance of Nurses for Healthy Environments (ANHE) is the leading global nursing organization focused on the intersection of human and planetary health.  ANHE champions nurses as critical to promoting and protecting human health from environmental harm associated with degradation and disruption of Earth’s natural systems, especially for populations that are disproportionately exposed and overburdened. ANHE leads in engaging, educating, and mobilizing nurses in support of environmental health equity and justice.

http://enviRN.org

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May 15th, 2026

FOR IMMEDIATE RELEASE

Contact

Milagros R. Elia

Program Manager, Climate and Clean Energy Advocacy

Alliance of Nurses for Healthy Environments

milagros@envirn.org

914.455.1165

Nurses Opposes EPA’s  Proposed 2-year delay  of Vehicle Criteria Pollutant Standards 

[Washington, D.C.] Yesterday May 14th, 2026, The U.S. Environmental Protection Agency (EPA) has proposed a delay in enforcement of limits on health-harming tailpipe pollution from cars and trucks for two years until the 2029 model year.

In response to the proposal, the Alliance of Nurses for Healthy Environments Executive Director Katie Huffling, DNP, RN, CNM, FAAN issued the following statement:

“Pollution from cars and trucks is linked to catastrophic health consequences including asthma and respiratory disease ,cancer, high blood pressure, blood clots, stroke, and heart attacks, among other illnesses. For children, long-term chronic exposure to tailpipe pollution can lead to permanently impairing lung development.

“As nurses we strongly urge the EPA to uphold its promise of access to clean air for all and fulfill its mission to protect human health and the environment. The proposed delay announced today does the opposite and will lead to preventable illness and rising healthcare costs.”

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The Alliance of Nurses for Healthy Environments is the only national nursing organization focused solely on the intersection of health and the environment. The mission of the Alliance is to support nurses in promoting planetary health and equity globally by educating and leading the nursing profession, advancing research, incorporating planet-safe practice, and influencing policy.

http://enviRN.org

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Every year, Health Care Without Harm and the Alliance of Nurses for Healthy Environments come together to honor a nurse who sees beyond the bedside – someone who understands that true healing requires clean air, safe water, and a stable climate. A nurse whose environmental activism and accomplishments have made a significant contribution to environmental health.

We are thrilled to announce Yasna Palmeiro-Silva, Ph.D.,  MPH,RN, as the 2026 Charlotte Brody Award recipient. A registered nurse from Chile, Palmeiro-Silva has transformed her experience in ICU bedside care into a powerful nurse-scientist voice at the intersection of climate change, population health, and global policy. 

Palmeiro-Silva didn’t start out as a climate researcher. She began her career as an ICU nurse, primarily working with cardiovascular disease and surgery patients – but something kept nagging at her.

“During my shifts, I noticed every single time that we were having younger and younger patients,” she reflected. “This is not okay. This is not sustainable. Because of their quality of life, but also because as a society, we cannot afford to have ill people.”

The realization that the hospital could not solve problems rooted in how we live, build our societies, and work drove her to take action. She left the ICU to study public health, then earned her Ph.D. in global health from University College in London. Her thesis linked climate change and public health in Chile. Today, she lives in Seattle, Washington, but her work continues to span continents.

One story Palmeiro-Silva shared stands out as a testament to what one nurse-scientist can achieve.

In Chile, the intersection of climate change, heat, and health was barely discussed until just three years ago. Palmeiro-Silva saw an opportunity – she took her epidemiological skills and produced evidence-based analysis for the policymaking sphere. The result? New policy.

“Right now, we have three or four laws that have been passed,” she said. One law explicitly requires that specific requirements be met to protect people’s health from climate change, now being woven into national and regional climate action plans.

This isn’t just advocacy – it’s systemic change.

When asked how she inspires other nurses to share her passion, Palmeiro-Silva was humble.

“For me, inspiring other people is not something that I consciously do,” she said. “I do it through dialogue and sharing of experiences.”

She notes that nursing education in Chile is heavily focused on clinical practice. By helping nurses understand how the problems they see during their shifts – younger patients, chronic diseases, respiratory distress – are linked to upstream factors like governance, policy, and the environment, she expands their perspective.

She’s spoken to nurses in Turkey, the United Kingdom, Latin America, and the United States, and she’s seeing the movement grow. “They see me as a thought leader who started in the ICU who is now pushing for policy change on a global level.”

Having worked extensively outside the United States, Palmeiro-Silva offered a powerful lesson for any health professional doing climate work here.

“What happens in one country could be totally different from another,” she cautioned. But that doesn’t mean we can’t learn. She advocates for “learning from comparison; not competition.”

Her advice? Keep the big picture in mind. Climate change and health is a large, complicated problem, but it can be solved by various levels and individuals taking action inside their locus of control. “From the country level to the hospital to the nurse in the halls. Every action, no matter how little, matters.”

Palmeiro-Silva shows no signs of slowing down. She’s currently tracking heat measures and their impact on workers’ health, and she’s about to start a new project in Latin America examining the connection between temperature and cognitive performance in children, funded by Wellcome Trust.

Soon, she will begin a new role as a scientific advisor with Lancet Countdown Latin America, advising on how to track the intersection of climate change and population health, from heat mortality to heat action plans and public engagement.

“There is a need to be super active in this sphere and exit our comfort zone to go for the change that needs to happen,” she said.

When asked what or who gives her inspiration, Palmeiro-Silva simply said, “Every single person that I talk to. I am super open to learning from everybody – EVERYBODY.”

That openness, combined with rigorous science and a nurse’s heart, is exactly why Palmeiro-Silva is the 2026 Charlotte Brody Award winner.

Please join us in congratulating Palmeiro-Silva. And let her story remind us: whether you work in an ICU, policy office, or community clinic, you have a role to play in protecting environmental health.

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The Charlotte Brody Award is presented annually by Health Care Without Harm and the Alliance of Nurses for Healthy Environments to honor nurses who demonstrate outstanding leadership in environmental health.

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Mental Health Awareness Month frequently focuses on therapy and diagnosis, but in the Rio Grande Valley, mental health is inseparable from environmental realities. In Hidalgo, Starr, Willacy, and Cameron counties, conditions like extreme heat, air pollution, flooding risk, food insecurity, and limited behavioral health access converge to shape mental health.

These are not abstract public health concerns; they are daily realities that shape anxiety, depression, and recovery across communities. When families worry about whether their homes are safe, their air is clean, and their next meal is secure, mental health cannot be separated from environmental and social conditions.

Mental Health Awareness Month should expand our knowledge of mental health. It is not simply an individual concern; it is essentially shaped by local environmental and organizational factors that produce sustained psychological strain in the Rio Grande Valley.

Across the region, environmental insecurity goes beyond hurricanes, flooding, and extreme heat. Environmental insecurity goes beyond hurricanes, flooding, and extreme heat. It includes poor air quality, unstable housing, food insecurity, and limited behavioral health services. In South Texas, these stressors combine. They lead to chronic stress, fatigue, and psychological distress, often neglected by traditional mental health frameworks. State of the Air report identified the Brownsville–Harlingen–Raymondville area as one of the most polluted regions in the United States for year-round particle pollution, ranking 16th nationally (American Lung Association, 2025). These patterns reflect sustained exposure to fine particulate matter (PM2.5) across parts of the Rio Grande Valley, including surrounding border communities.

PM2.5 exposure is especially concerning because these microscopic particles can penetrate deep into the lungs and enter the bloodstream. Long-term exposure is linked to heart and lung disease and systemic inflammation. This increases the risk of anxiety and depression.

For communities facing economic and social stress, pollution adds a further layer to the mental health burden. Households are forced to make tradeoffs between nutrition, housing, utilities, and healthcare; the resulting stress contributes to anxiety, depression, and a persistent sense of instability. For children and families, food insecurity is not only a physical health issue, but also a chronic psychological stressor that affects development, emotional management, and long-term psychological well-being.

For residents in Starr and Willacy counties, where poverty rates remain among the highest in Texas, think Starr and Willacy counties, poverty rates are among the highest in Texas. These problems worsen with limited healthcare and behavioral health services. Ecoanxiety here are real. It reflects distress and uncertainty caused by extreme heat, flooding, and poor air quality. Physiological burden of chronic stress. Elevated allostatic load has been strongly associated with anxiety, depression, and other stress-related conditions (McEwen & Akil, 2020). For many individuals in the Rio Grande Valley, stress is not episodic, it is continuous, formed by environmental and structural conditions that are difficult to avoid.

As we observe Mental Health Awareness Month, it is critical to broaden the conversation. To properly address mental health in the Rio Grande Valley, we must acknowledge the environmental systems that shape it and promote policies that support air quality, climate resilience, food security, and environmental justice as vital factors of mental health. Dealing with these environmental and community factors is essential to reducing the mental health burden in South Texas.

About the Author:

References:

American Lung Association. (2025). State of the air 2025. https://www.lung.org/research/sota

McEwen, B. S., & Akil, H. (2020). Revisiting the stress concept: Implications for affective disorders. Journal of Neuroscience, 40(1), 12–21.

U.S. Environmental Protection Agency. (2024). Health and environmental effects of particulate matter (PM2.5). https://www.epa.gov/pm-pollution

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We need clean, renewable energy to protect our health and to drive down energy costs. As organizations representing public and environmental health as well as frontline healthcare professionals, including the American Lung Association, Alliance of Nurses for Healthy Environments, Concerned Health Professionals of New York, and Physicians for Social Responsibility, we urge Governor Hochul and the New York State Legislature to ensure that renewable energy investments remain a central priority in this year’s state budget negotiations.

At a moment defined by rising energy costs, worsening air quality, and increasing climate-driven health risks, failing to fully fund wind, solar, and geothermal energy would be a profound mistake; one that New Yorkers cannot afford. Our organizations see firsthand how pollution and climate instability harm our communities. Fossil fuel combustion remains a leading contributor to increasing asthma attacks, worsening COPD exacerbations, cardiovascular disease, and premature death across New York State. Rising temperatures and poor air quality have led to more emergency room visits and hospitalizations. These burdens fall disproportionately on low-income communities, communities of color, children, and older adults, populations who already face systemic health inequities.

The fossil fuel-based energy system has created both a climate crisis and a public health crisis that demands courageous and equitable policy action now. Renewable energy is a public health intervention that can help improve patient outcomes. Expanding wind, solar, and geothermal infrastructure will reduce harmful air pollutants, decrease hospitalizations, and improve quality of life for millions of New Yorkers. At the same time, renewable energy is one of the most effective ways to bring down long-term energy costs for everyday residents. Unlike fossil fuels, which are subject to volatile global markets and geopolitical disruptions, renewable sources like wind and solar provide stable, predictable pricing once infrastructure is in place. Investing in these technologies now will shield New Yorkers from future price spikes while reducing reliance on imported fuels.

For example, geothermal systems offer households consistent, efficient heating and cooling, cutting utility bills significantly over time. Leaving these investments out of the state budget would mean locking families into higher, less predictable energy costs for years to come. Renewable energy development drives economic growth and job creation across the state. From offshore wind projects along our coasts, to solar installations in rural and urban communities alike, these investments support thousands of good-paying jobs while strengthening local economies. They also reduce strain on our healthcare system by preventing illness before it begins, an often overlooked but critical form of cost savings.

New York has already positioned itself as a national leader in climate action through the Climate Leadership and Community Protection Act (CLCPA). But leadership requires follow-through. If renewable energy funding is weakened or omitted from the state budget, it will not only delay progress toward our climate goals, it will also jeopardize the health and financial stability of New Yorkers. Governor Hochul and state legislators face a clear choice. Invest in a cleaner, healthier, and more affordable energy future, or allow short-term budget decisions to undermine long-term wellbeing.

The evidence is overwhelming. Renewable energy saves lives, reduces healthcare costs, and puts money back into the pockets of working families. For the sake of public health, economic stability, and environmental justice, New York must not leave renewable energy behind.

Authors:

Max Micallef, NYS Advocacy Manager – Clean Air Initiatives, American Lung Association
Bryanna U. Patterson, MS, FNP, RN-BC, Fellow, Alliance of Nurses for Healthy Environments
Carmi Orenstein, MPH, Program Director, Concerned Health Professionals of NY
Zach Williams, MPH, Associate Director, Environment & Health, Physicians for Social Responsibility

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