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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. 

The first hand interviews from first responders are compiled in a way that goes through the stories of what heppened, how health information was released and changed. The first repsonder stories are intermixed with testimonies from the EPA workers, showing differences in the science that was found and the press releases disclosing the health concerns. Many tear up upon realizing how their health will hurt their families. The doctors in the area caught onto the trends in poor health and started a monitoring program to make sure everyone got the medical screening and help they needed. The lives of all of the first responders and their families were changed drastically from their public service.