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How did the city of Flint MI experience a change in the water that officials deemed acceptable for use? 

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This study demonstrates associations of tap water quality experiences with reported poor physical and mental health among adults in Flint during the Flint Water Crisis.
These perspectives substantially change how one thinks about the underlying problem of municipal distress, the tool of Emergency Management, initial decisions relating to Flint’s participation in KWA, bond financing for the KWA project, the financially driven decision to use the Flint River as an interim source of drinking water, and the political environment that failed to recognize and respond to the mounting crisis.
This paper argues that the Flint water crisis stems from the city's inability to address the consequences of large-scale population loss, the Flint region's unwillingness to engage in regional planning, and a societal lack of care for infrastructure and shrinking cities.
The water crisis in Flint needs to be understood from a perspective of strategic and structural racism.
The Flint water crisis highlights the need for improved risk communication strategies, and environmental health infrastructure, enhanced surveillance, and primary prevention to identify and respond to environmental threats to the public's health.
The intensity of flint-working as a whole may be one clue to the accessibility of metal in different areas.

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