EAST PALESTINE, OH - FEBRUARY 15, 2023: Greg Mascher with his youngest granddaughter, Raylix. It could be months, if ever, before health officials know whether the symptoms suffered by East Palestine residents are directly linked to the derailment.

NEW WATERFORD, OH - FEBRUARY 14, 2023: Residents of East Palestine who were evacuated following the train derailment fill out paperwork at Abundant Life Church where Norfolk and Southern has set up a temporary center to process reimbursement requests provide residents with $1000 checks for their inconvinence.

EAST PALESTINE, OH - FEBRUARY 13, 2023: Efforts to mitigate the chemical runoff from the derailment are ongoing in Sulphur Run, a stream that runs throgh downtown East Palestine.

EAST PALESTINE, OH - FEBRUARY 13, 2023: A residential neighborhood that was evacuated following the controlled burn of chemicals that spilled from the train after its derailment.

EAST PALESTINE, OH - FEBRUARY 18, 2023: Railcars loaded with coal move through the town near the accident site.

EAST PALESTINE, OH - FEBRUARY 15, 2023: Mayor Trent Conaway addresses members of the press after announcing an information session would change format and become a Q&A. Frustration from residents reached a boiling point following the announcement that officials from Norfolk and Southern would not attend due to fears over their safety.

EAST PALESTINE, OH - FEBRUARY 15, 2023: Frustrated residents listen to speakers during a contentious Q&A at the high school.

EAST PALESTINE, OH - FEBRUARY 15, 2023: Residents talk to an Ohio Department of Natural Resources representative at an information session.

EAST PALESTINE, OH - FEBRUARY 15, 2023: Residents listen to speakers during a Q&A at the high school.

NEW WATERFORD, OH - FEBRUARY 14, 2023: Denise Gane stands outside of Abundant Life Church, a temporary processing center by Norfolk and Southern to compensate residents who were evacuated following the train derailment. Denise feels the rail comapny wasn't forthcoming with information following the accident. "They knew more than what they were saying. Norfolk and Southern knew what was in those railcars but they didn't want people to panic."

EAST PALESTINE, OH - FEBRUARY 14, 2023: A crew works to clean the water in Sulphur Run, a small stream that cuts throgh the heart of downtown.

EAST PALESTINE, OH - FEBRUARY 15, 2023: Norfolk and Southern employees look over burned trucks that were being carried by the train that derailed.

EAST PALESTINE, OH - FEBRUARY 14, 2023: Bob Freer and Doris McMillen enjoy lunch at Sprinklz On Top, a popular downtown restaurant.

EAST PALESTINE, OH - FEBRUARY 18, 2023: A Family Dollar employee directs traffic to free water being distributed by the store.

EAST PALESTINE, OH - FEBRUARY 18, 2023: Joann Knight and Lisa Rudloff prepare to serve cake at a community dinner at Our Lady of Lourdes Catholic Church.

EAST PALESTINE, OH - FEBRUARY 18, 2023: Don Elzer, 67, inside one of his greenhouses. “No one wants to come here,” Mr. Elzer, 67, said, adding that he was debating what changes to make to the couple’s stock in anticipation of long-term environmental changes. “There’s no way to counterattack the publicity and perception.”

EAST PALESTINE, OH - FEBRUARY 18, 2023: Ona Kit, 91, celebrates her birthday with a surprise horse ride arranged by her family. The festivities offered a rare moment of unbridled joy amidst the many unknowns residents have about their health and their community.

EAST PALESTINE, OH - FEBRUARY 18, 2023: Sonia Early with one of her horses. Sonia built her life around horses. But since the train derailed, she had to yet to go riding and was still wrestling with the worrying logistics of keeping her herd of 11 horses safely hydrated and fed.

EAST PALESTINE, OH - FEBRUARY 15, 2023: Dead fish in Leslie Run, a small stream south of downtown.

EAST PALESTINE, OH - FEBRUARY 19, 2023: A horse stands in a pasture as the sun sets behind it. On the outskirts of East Palestine, farms and ranches are common, raising concerns about the potential impacts the chemicals spilled during the train derailment could have on the land, water, and animals in the region.

ENON VALLEY, PA - FEBRUARY 19, 2023: Pam Mibuck, 54, with her horses. Mibuck, who works as a custodian at a university, is thinking about leaving her 14 acres.

POLAND, OH - FEBRUARY 20, 2023: Therese Vigliotti, 47, and her son Gabe Vigliotti, 17, pose for a portrait near their home in Poland, Ohio. Therese has experienced a variety of health ailments since the train derailment in nearby East Palestine, Ohio.

EAST PALESTINE, OH - FEBRUARY 17, 2023: Matthew Brickner, 45, is an avid hunter and he worries the white tail deer population will be adversly effected by the chemicals that were released into the local environment.

EAST PALESTINE, OH - FEBRUARY 19, 2023: Mike McKim, 43, poses for a portrait in his winery. Reservations at his event venue which sits a block away from the accident site have dried up and he is uncertain who will want to buy wine that was made with ingredients grown in the region.

EAST PALESTINE, OH - FEBRUARY 20, 2023: Evalynn Albright, 7, plays on the swingset in her backyard. Evalynn was anxious the night of the train derailment and since then her parents have avoided discussing it in front of her.

EAST PALESTINE, OH - FEBRUARY 13, 2023: An idled train sits on the tracks near the main intersection in downtown East Palestine.

EAST PALESTINE, OH - FEBRUARY 19, 2023: Kelly Izotic, 45, poses for a portrait next to the creek that runs through her property a few miles from the train derailment site in East Palestine, Ohio. Kelly and her family have felt unwell since the accident and have been testing the pH levels in their water due to fears of it being contaminated.

EAST PALESTINE, OH - FEBRUARY 19, 2023: Kelly Izotic, 45, embraces her dog in the backyard of her property a few miles from the train derailment site in East Palestine, Ohio. Kelly ano longer lets her dog run free on the property due to concerns that the stream that runs through it may be contaminated.

ENON VALLEY, PA - FEBRUARY 19, 2023: Three crosses sit atop a hill near the Ohio and Pennsylvania border, a few miles from the site of the train derailment.