Accidental leaks are commonplace and explosions are frequent. But even when factories are running smoothly, they spew approximately four million pounds of toxic chemicals into the surrounding soil, air, and groundwater each year.12 Before arriving in Mossville, I had heard about cancer and respiratory illnesses, and I knew that some residents have dioxin levels three times the national average. What I was unprepared for were the stories of miscarriages, hysterectomies, and birth defects.