Kay Gaudet, the village pharmacist, started keeping her list a year ago. The first name on it was Peggy, her younger sister. The next nine were friends and neighbors. All had been pregnant about the same time, but there were no babies to show for it, only the private agony of miscarriage.
Gaudet was concerned and curious. Was it coincidence? How many other women in St. Gabriel, population 2,100, had suffered similar fates? Gaudet spread the word at her drugstore, at the Roman Catholic church where she prayed each day, and up and down the oak-lined river roads: Anyone who has had a miscarriage, tell Kay.
Week by week, the list grew: Alice, Angie, Belinda, Charlotte, Dayna, Dell, Elizabeth, Emma, Irma, Karen, Matlin, Pam, Rhonda, Sandy, Sherri, Tammy, Terri, Tina, Tyra, Vera.
Today the names total 63.
St. Gabriel lies along an 85-mile industrial corridor where about one-fifth of America's petrochemicals are produced. It begins in Baton Rouge, with the giant Tinkertoy maze of pipes, stacks and catcrackers in the shadows of Huey Long's skyscraper Capitol, and follows the Mississippi River down to the southeastern rim of New Orleans.
The air, ground and water along this corridor are so full of carcinogens, mutagens and embryotoxins that an environmental-health specialist defined living here as "a massive human experiment," the state attorney general called the pollution "a modern form of barbarism," and a chemical-union leader now refers to it as "the national sacrifice zone."
As it rolls south, the Mississippi is an endless progression of wide loops. Seen from the sky, they resemble colossal question marks--right-side up and upside down--each quizzical turn lined with petrochemical plants, refineries and toxic-waste dumps, and dotted at bottom or top by a town. Question marks loom large in many of these towns, not just in the poetic sweep of the river, but in the life-and-death concerns of the people.
In Plaquemine, they wonder why Tiger Joe Gulotta and six other people came down with lung, brain or kidney cancer on one small span of Delacroix Street. Their parish (or county), Iberville, is one of 10 in the southeastern one-third of Louisiana that rank in the top 10% of lung cancer deaths nationwide, and although the percentage of cigarette smokers here is high, public health specialists think there might be more to it. Tiger Joe, who died of lung cancer three years ago, never smoked.
In Chalmette, Elda Trapini would like to know why the street she lives on, Jacobs Drive, became known as "Cancer Alley," with 15 cancer victims in two blocks, and why, half a mile away on Decomine Street, her sister and nephew were among seven cancer victims on one block.
On Coco Road in Geismar, whose yellowish-green industrial plume can be seen 20 miles away, they ask why cats and dogs have lost their fur, why aluminum screens rust soon after they are installed and why teen-age and middle-age men are dying of kidney and testicular cancer.
In the old company town of Norco, naturalist Milton Cambre puzzles over the disappearance of Spanish moss from the live oak stands and crawfish from the ponds, puddles, marshes and canals.
And in St. Gabriel, they want to know why there are so many names on Gaudet's list.
Her figures mean that one of every three pregnancies there since 1983 has ended in fetal death, more than double the Louisiana average. As the numbers grew, Gaudet and many others here began to think what was once unthinkable: Perhaps the local chemical plants--18 of them within five miles of town, eight more across the river in Plaquemine--had something to do with it.
Nearly 400 million pounds of toxic pollutants are released into the atmosphere here each year, including 506,000 pounds of vinyl chloride, an ingredient of plastic that is a carcinogen and suspected embryotoxin.
This hypothesis was not easily posed in St. Gabriel. For decades, the town's economic health has been tied to the chemical and petroleum refinery companies lured to Louisiana after World War II, providing half of its manufacturing income.
Some husbands of the miscarrying women worked in those plants, which employ one of every five laborers in the state. Gaudet grew up in a company village at the huge Exxon refinery in Baton Rouge, where her father still operates the pipes. From birth, she was accustomed to the sights and smells of heavy industry.
But to be familiar, she decided, is not to be immune.
"I'm not trying to be a hell-raiser or a goody-goody; I just think we have a situation that needs answering," said Gaudet, 37, whose pharmacy just past the stoplight on Route 74 has become a clearinghouse and meeting place.
"When I first started with the list, some people wanted me to say right away that the chemicals were at fault. But I didn't want to say anything that I didn't know to be true. Then last summer, it started to get out of control. When four women miscarried in eight days, I realized that something was very wrong here.
"I started studying the chemicals, such as vinyl chloride, and their possible effects, and it just clicked. I had to raise the question, so I did. My mom is always saying to me: 'Kay, shut up. Didn't you ever see that Silkwood movie? If you're not worried about yourself, what about your kids?' And I say that's exactly what I'm worried about--my kids."
Gaudet and her husband, Chris, have two healthy little girls. The oldest, Christine, 9, has watched her mother so carefully over the last year that she knows the issues, sometimes pretending that she is a television reporter. With imaginary microphone in hand, she asks: "Why are all these babies dying?"
That question is being explored by the Tulane School of Environmental Health, but officials there do not expect to solve the mystery. A few studies done in the United States, Canada and England show an abnormally high rate of spontaneous abortions and birth defects among women whose husbands work near vinyl chloride, or who live downwind from vinyl chloride polymerization plants.
But as Tulane scientist Lu Ann White told the St. Gabriel women at a meeting in late August: "It's very possible you may never get a definitive answer."
Fred Loy and Richard Kreiner of the Louisiana Chemical Assn. say the paucity of definitive scientific evidence makes them feel as if they are "battling ghosts" in responding to charges against the industry.
'They Have No Proof'
Once, when asked about the St. Gabriel situation, Loy said: "Before we can conclude anything, the state has to find out if there is even a problem, how bad it is and what is causing it. . . . They say the chemical plants are causing the miscarriages, but they have no proof. I could say they (make love) too much, and that's the cause of the miscarriages. But then I would have no way to prove that."
The chemical corridor was hewn from a simple rural society in a flat, semitropical wedge of the Mississippi Basin. Vast sugar cane plantations, worked first by slaves, then by tenant farmers, enriched the aristocratic owners of French descent who lived in mansions and enjoyed the society of New Orleans a short steamboat ride away.
Enclaves grew up in the shadow of those estates, pockets of poor blacks and Acadians who fished, hunted and trapped in the bayous and settled on streets named for their families.
When World War II sparked an oil and gas boom elsewhere in the state, industry put its refineries along the river with its shipping lanes. Petrochemicals, made with petroleum provided by refineries and with salt, sulfur and water provided by nature, followed easily.
By the 1970s, the industrial corridor was known as America's Ruhr, producing 60% of the nation's vinyl chloride, 60% of the nitrogen fertilizers and 26% of the chlorine. Today, the river is lined with 136 petrochemical plants and seven oil refineries, nearly one for every half-mile of the Mississippi.
The jobs and money they brought to 10 river parishes transformed one of the poorest, slowest-growing sections of Louisiana into communities of brick houses and shopping centers.
But they also brought pollution. The narrow corridor absorbs more toxic substances annually than do most entire states: carcinogens such as benzene, carbon tetrachloride and ethylene dichloride; experimental mutagens or fetal poisons such as toluene, ethylene oxide and chloroform. Coast Guard divers retrieving sediment samples from a bayou in 1976 suffered second-degree burns on their hands.
St. Gabriel, Geismar and Plaquemine alone--10 square miles--can pollute the air with as much as 25 million pounds per year of these chemicals and dump 75 million pounds of industrial wastes into the Mississippi, according to studies. Another 3.5 million tons of toxic debris--more than 1% of the nation's total--is buried, dumped in landfills and stored in surface ponds or injected through underground metal pipes deep into the earth.
Toxic fumes from a waste site near the Devil's Swamp section of Baton Rouge caused nausea, headaches and vomiting in workers two blocks away during a cleanup effort in December.
Leaves Telltale Tracks
Despite its long-term dilution in the environment, the corridor pollution leaves telltale tracks. In the 1970s, the Environmental Protection Agency found 66 pollutants in New Orleans drinking water and 31 lethal chemicals in the air of Plaquemine.
The ground water of 23 industrial sites along the river is saturated with toxic materials, burrowing toward the drinking-water aquifers of communities served by wells.
Motorists driving down the corridor's main highway are reminded in hyperbole of the ultimate chemical disaster. "Bhopal on the Bayou?" reads a billboard hoisted by workers on strike from one of the petrochemical plants.
Such a region might be expected to resemble a congested, sooty notch on the Rust Belt. Not the chemical corridor, with its neat neighborhoods and forests of shiny pipes.
Pollution registers quietly here--in the oily taste of New Orleans water, which Cajun connoisseurs complain can spoil everything from bourbon to red beans and rice; in the blackened leaves of fruit trees; in the acrid odor and white particulate fallout from the Murphy Oil Refinery in Chalmette; in the evacuation of the town of Good Hope. For 10 years, residents there, including Charles and Barbara Robicheaux, kept their suitcases packed to flee monthly fires at a local refinery.
Always Ready to Flee
"We always kept our valuables in a safe place where we could grab them at a moment's notice," recalled Charles Robicheaux, 54. The 100 families of Good Hope devised a warning system, knocking at each others' doors to rouse neighbors, often in the middle of the night. They would meet at the Presbyterian church, where they kept their cars facing the river--the path of escape.
The refinery bought out the Robicheaux family and other residents in the early 1980s, and today Good Hope consists of a few abandoned structures and weeds.
From whole communities, the disruption devolves to the individual trauma of Jesse Billings, an asthmatic from Plaquemine, who was felled while riding her lawn mower last August by a bluish cloud of chlorine, which, she said, was released without warning by the Dow Chemical plant 300 yards from her back yard. Hospitalized for three weeks with respiratory ailments, Billings, 60, said: "I respect chlorine just like I respect a gun."
Her thick-skinned defense is de rigueur in the chemical corridor, where pollution is woven into life patterns much the way noise becomes part of communities in the path of jetliners. But the threat of catastrophic disease has turned these river settlements into a corridor of fear.
Gaudet's list of miscarriages is only the latest manifestation of that fear. More detailed, scientific lists document cancer death rates that grew as the chemical corridor grew. By the late 1970s, the area had enjoyed and endured 15 to 20 years of industrialization, the estimated latency period for carcinogens.
Highest Cancer Death Rate
Statistics compiled by the National Cancer Institute show that the state has the nation's highest lung cancer mortality rate for white males, 25% higher than the national average during the 1970s.
Six river parishes ranked among the top 10% of U.S. counties for such deaths, and New Orleans, in a 1974-78 survey of nine other tumor registries, scored 45% higher than average.
Mortality rates have increased 2.5% annually since 1960, and 80 of every 100,000 white males died of the disease in the 1970s compared to 52 per 100,000 from 1950 to 1969. At least one river parish ranks among the top 5% nationwide of deaths caused by cancer of the lung, stomach, gall bladder, intestine, liver, pancreas, bladder, thyroid, esophagus and skin.
Pollution's role in the corridor's cancer profile is open to debate. Studies by Dr. Marise S. Gottlieb of the Tulane University School of Medicine showed that people who drink water from the Mississippi have "significantly higher" rates of rectal cancer than consumers of well water and that residents within 1 mile of large petrochemical plants have a 4.5 times higher chance of getting lung cancer than those living 1 to 3 miles away.
Industry officials say the studies are flawed because they are based on death certificates that often contain erroneous data. Dr. Walter Hulon, associate medical director of Ethyl Corp. in Baton Rouge, said that although extreme chemical exposures might lead to cancer and other serious diseases, he does not believe the levels here are high enough to have "an adverse effect on health."
Fear of Ongoing Exposure
But at the Ochsner Clinic in New Orleans, Dr. Velma Campbell said the studies suggest a "positive correlation" between the high cancer rates and pollution. Many physicians are concerned about "ongoing exposure . . . to low levels of cancer-causing products simply because we know that exposure to carcinogens at any level raises the risk," she said.
Campbell said corridor residents have been subjected to a "massive human experiment" in which "large quantities of a wide variety of substances have been discharged into the air and water. Now we are standing back and seeing what the outcome will be."
The question in St. Gabriel and some neighboring towns is not what, but how bad, the outcome will be. In Plaquemine, Etta Lee Gulotta started assessing the damage three years ago.
Her husband, Tiger Joe, healthy all his life, died suddenly of lung cancer, and Etta Lee surveyed other households on her 3-block street. Seven cancers, four of them fatal. Then she canvassed within a 5-block radius. Forty more cancers. Many of the victims were young.
"It's just in every block of this small town" of 10,000 people, said Gulotta, a city councilwoman. "Everywhere you turn, you find somebody's got cancer."
She has heard some experts pin the cancers on smoking, but Gulotta knows that Tiger Joe never smoked. She also knows that since Dow Chemical opened in the 1960s, and other companies followed, the lightning bugs she caught as a little girl in Plaquemine have disappeared. So have the dragonflies and the river shrimp, once plentiful. The pecan trees in her backyard bore deformed nuts this year.
"It has helped the economy," Gulotta said. "But if it's going to kill us all, what good is it?"