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The development of both pipelines and CAFOs (confined animal feeding operations) in eastern NC have prompted action from justice organizations such as the North Carolina Environmnetal Justice Network (NCEJN). To address the ongoing problem of CAFOs, NCEJN has provided a number of resources on their site, as well as ways to take action by signing a petition to stop the use of hog waste as fertilizer. Prior to the Atlantic Coast Pipeline (ACP) being canceled in 2020, NCEJN played a role in organizing protests and taking legal actions- in conjunction with many other community member and activist groups- against Dominion and Duke Energy, the companies responsible for the ACP's construction. 

• "Chronic disaster syndrome thus refers in this analysis to the cluster of trauma-and posttrauma-related phenomena that are at once individual, social, and political and that are associated with disaster as simultaneously causative and experiential of a chronic condition of distress in relation to displacement."
• "Despite the overwhelming need for mental health services, few residents were able to access mental health support for their symptoms, simply because health care facilities and health care personnel were so scarce. Most health personnel were themselves experiencing the trauma of displacement, and few clinical facilities survived the disaster."
• "Families had to find a place to live, a way to replace lost income, a place for their children to go to school, a way to obtain their prescription medications and telephones, a way to pay mounting unpaid bills for homes they no longer inhabited. Without their personal documents, they had to try to track insurance policies, if they had them, bank accounts, and health records, to begin the slow process of accessing government or insurance funds to help pay for their displacement and their hoped-for recovery."