News from the South - North Carolina News Feed
Water outage, and restoration, took center stage this fall after Helene • Asheville Watchdog
I’ve joked for weeks now that I’m going to sell my own T-shirts in Asheville that read: “Today’s mood: Turbid.”
It’s fair to say “turbidity” is probably the word of the year in these parts. OK, maybe it’s just behind “Helene,” but that is a name that must not be spoken aloud.
When the mountains got a thorough soaking on Sept. 25, in a system preceding Helene, folks were getting a little nervous around here, partly because it takes only about 5 inches of rain to create landslides and flooding. (Ten days before Helene, Asheville Watchdog published a story about Asheville’s increased risk of flooding.)
In 2004, back-to-back remnants from hurricanes Frances and Ivan wreaked havoc on Asheville’s main water supply, the North Fork Reservoir, stripping away the two main transmission lines and leaving customers without service for nearly two weeks.
The city installed a separate bypass line afterward, one capable of delivering water from the reservoir near Black Mountain to customers in Asheville. A 350-acre lake nestled in a 20,000-acre watershed, North Fork provides 80 percent of Asheville’s drinking water.
That 25-foot deep bypass line was no match for Helene when it rolled into the area in the wee hours of Sept. 27.
The city announced Sept. 29 that the storm “severely damaged the production and distribution system of the City of Asheville’s water system.”
“Extensive repairs are required to treatment facilities, underground and aboveground water pipes, and to roads that have washed away which are preventing water personnel from accessing parts of the system,” the announcement said. “Although providing a precise timeline is impossible, it is important to note that restoring service to the full system could potentially take weeks.”
In an interview the next morning, Asheville Mayor Esther Manheimer told me the damage was similar to what occurred in 2004 and was exacerbated by a washed-out road leading to the reservoir.
“What we’re communicating to people is, plan for (the) long-term — we’re talking weeks, not days,” Manheimer said of potential outage time. “We want people to plan for that. Hopefully it won’t be that long.”
It was that long.
The city had to replace the two main transmission lines, 24 and 36 inches in diameter, and the 36-inch auxiliary transmission pipe the city had installed in a different location from the main lines after the 2004 outage.
The city hired multiple contractors who worked around the clock to dig out and replace the two washed-out main transmission pipelines, and the bypass line. They also had to fix the road that leads to North Fork.
Water Resources spokesperson Clay Chandler and Assistant City Manager Ben Woody offered frequent updates throughout the fall, and the photos and videos they aired during the daily briefings told the story: The transmission lines, along with roads and distribution lines, were annihilated. In some cases, workers couldn’t even find the old pipes.
That 25-foot deep bypass line built following the 2004 outage was “engineered and installed to withstand a 2004 event, without a doubt,” according to Woody.
It turns out Helene brought us a 1,000-year rainfall event, though, and 2004 was child’s play comparatively. It also turns out that the city showed vision in completing a major spillway upgrade at North Fork in 2021 that may have prevented the dam from giving way and inundating the Swannanoa Valley and Asheville with a catastrophic cascade.
Non-potable water returned by mid-October
Honestly, after viewing Helene’s power in so many areas, particularly Swannanoa, I’d say it’s a minor miracle that the restoration crews, which included plenty of Water Resources workers, were able to get pipes back in place and restore at least non-potable water by the middle of October. The city opted to replace the bypass transmission line first, and that got the system wet with unfiltered but highly chlorinated lake water.
It was a start, and it at least allowed people to flush commodes and take showers (if they were a little adventurous).
The city’s Bee Tree Reservoir in Swannanoa also sustained heavy damage from Helene, and high turbidity has kept it out of operation all year.
The city’s third drinking water installation, the treatment plant on the Mills River in northern Henderson County, remained operational throughout the crisis, but it’s not able to produce enough water on its own to meet the demand of the city’s 63,000 water customers.
The city steadfastly refused to give any specific timeline on restoring potable water, sticking to the “weeks” estimate. Meanwhile, a boil water notice remained in effect as the city tried to reduce turbidity in North Fork with multiple treatments of chemicals that enhance coagulation, and the installation of “turbidity curtains,” which help still the water in front of the intakes to the treatment system.
Meanwhile, the city had been working with the U.S. Army Corps of Engineers, which had assembled a small pilot plant at North Fork to determine just how much turbidity the reservoir’s direct filtration system could handle.
This brings us to another term we’ve all come to know and love: Nephelometric Turbidity Units, or NTUs.
This is how turbidity, or water murkiness, is measured. Normally, North Fork’s untreated water is around 1.0 NTUs, but it had soared to 79 after Helene.
Water Resources maintained turbidity would have to drop to 1.5 to 2.0 NTUs for North Fork to be able to treat the water. But it turned out the Corps’ pilot plant directly filtered water, the same way the reservoir does.
The Corps and the city discovered that as the muddiness cleared, it could indeed filter higher-turbidity water, in the 10-12 NTUs range. By early-to-mid November, North Fork was pushing out 17 million gallons of treated water, then 20 million and even more.
The city was on the path to restoration of potable water.
The lead issue, and the return to potable water
But on Nov. 14, it dropped a bombshell: Its testing had detected lead in seven schools, after Asheville water didn’t undergo the normal lead mitigation process for nearly three weeks.
The city’s use of the bypass line for water transmission did not allow for the water to pass through the regular treatment process for 19 days. That regular process involves adding zinc orthophosphate and sodium bicarbonate, minerals that coat the insides of pipes, with the zinc material absorbing the lead and keeping it from reacting with the water. The bicarbonate controls pH.
The city re-established corrosion control treatment Oct. 30, but it can take 30 to 90 days for the chemicals to fully work.
While health officials and the city said no students had consumed the water, and flushing pipes typically removes any lead that may have leached into the water, customers were understandably concerned. Within a month, the city had been inundated with requests for lead testing kids, more than 8,000 by mid-December.
The lead issues took some of the shine off of the city’s announcement Nov. 18 that it had restored potable water, and that the EPA said the water is safe to drink. As Asheville Watchdog previously reported, two outside experts expressed concern about the lead, as no level is safe in drinking water, and they urged customers in houses built in 1988 or before, when lead rules changed, to get the testing done before consuming water.
A mobile filtration system, possible improvements in the future
Meanwhile, the Corps of Engineers were working on another project, which Chandler, the Water Resources spokesperson, had announced in October, to bring in a mobile filtration system at North Fork designed to work on high-turbidity water. The Corps spearheaded the project, awarding a six-month, $39 million contract to Ahtna/CDM Smith on Nov. 8. The contract has an option to be extended.
The mobile filtration system became partly operational in early December, and Chandler said Dec. 18 that three of 13 units were operational. Eventually it “will do most of the heavy lifting, with North Fork’s existing processes providing support, to produce the average daily demand of 20-25 million gallons of water,” Chandler had said previously.
On another positive note, the initial batch of lead test results came back in early December, with favorable results. Results for 159 homes showed nine had detectable levels of lead “on the first draw,” Chandler said at the Dec. 9 briefing.
“First draw” means water has sat in the customer’s pipes for at least six hours and a sample is taken without first flushing.
“Of those nine, only three were either at or exceeded the action level of .015 parts per million,” Chandler said then. “Here is the most important part: After flushing for 30 seconds, out of 159 samples taken, zero had detectable levels of lead.”
The news improved Dec. 18 when Chandler noted 305 more tests had come back.
“Out of 464 results that we’ve gotten back so far, 19 had detectable levels of lead on the first draw,” Chandler said. “Of those 19, eight were over the (EPA) action limit of .015 parts per billion.”
Out of 464 flush samples, where customers let the water run for 30 seconds, two have had “very slight detectable levels of lead in them,” Chandler said, noting that one could be the result of the customer mixing up test bottles and the other was in a basement sink where the water had not run in weeks.
And that’s where the system is today — with potable water but officials still urging customers in older homes to let the water flush for at least 30 seconds before consuming it, or until the water temperature changes.
It’s been a long arduous process to bring the water back, and Woody said previously the city is going to have to consider some more system improvements to prevent another long-term outage. Those include a primary water transmission line from North Fork that routes in a different direction than the others — and is not in the path of the spillway.
The city also will have to look at a permanent filtration improvement to North Fork, which could cost in the neighborhood of $100 million. The city already has in its capital improvements plan provisions for upgrading the Mills River treatment facility to increase its capacity.
North Fork typically produces about 21.5 million gallons of water a day, Mills River about 3 million. The city also likely will explore another water source somewhere on the western side of Buncombe County, Woody has said.
Clearly, this outage has been a learning experience for the city, and as I’ve noted before, Water Resources did not have a good handle on just how turbid North Fork water could be and still be treated.
But this was truly an unprecedented event — one that caused flooding that eclipsed the previous benchmark flood of 1916. It claimed 43 lives in Buncombe alone, and more than 100 throughout the region, and it caused billions of dollars of losses in property damage.
Put in that context, restoring potable water in under eight weeks was a remarkable accomplishment, albeit not one without some hiccups along the way.
Asheville Watchdog is a nonprofit news team producing stories that matter to Asheville and Buncombe County. John Boyle has been covering Asheville and surrounding communities since the 20th century. You can reach him at (828) 337-0941, or via email at jboyle@avlwatchdog.org. The Watchdog’s local reporting during this crisis is made possible by donations from the community. To show your support for this vital public service go to avlwatchdog.org/support-our-publication/.
Related
The post Water outage, and restoration, took center stage this fall after Helene • Asheville Watchdog appeared first on avlwatchdog.org
News from the South - North Carolina News Feed
Mission Hospital’s immediate jeopardy sanction highlighted a crisis in care • Asheville Watchdog
Editor’s Note: As 2024 comes to a close, Asheville Watchdog staffers take you back and inside their most memorable stories and news events of the year.
I was driving down I-26 on Jan. 11 when I got the call.
The U.S. Centers for Medicare & Medicaid Services had a document I’d been hunting for months, and I would possess it within minutes.
The caller, a CMS employee, told me he had a letter from the North Carolina Department of Health and Human Services informing CMS of its investigation of Mission Hospital and its recommendation that the hospital be placed in immediate jeopardy, the most severe sanction it could face.
State and federal investigators had descended on the hospital in November and December 2023, interviewing nurses, doctors and administrators about the quality of care being provided to patients.
I knew the investigations were happening, but I didn’t know how severe their findings would be. I certainly didn’t expect a finding of immediate jeopardy, which CMS defines this way:
“Immediate Jeopardy (IJ) represents a situation in which entity noncompliance has placed the health and safety of recipients in its care at risk for serious injury, serious harm, serious impairment or death.”
Unless a hospital fixes the conditions that brought about the immediate jeopardy, it faces the loss of its Medicare and Medicaid funding, which can jeopardize its financial viability. As we have reported, the majority of patients in western North Carolina are on Medicare or Medicaid, or are uninsured.
I called my editors and we started an all-hands-on-deck session of calling sources, writing and editing.
Within a few hours of my receiving the call from CMS, we published our story, making Asheville Watchdog the first media outlet to break this major news.
“We have taken those results seriously, and there are no excuses for our patients receiving anything other than exceptional care,” Mission Health spokesperson Nancy Lindell said in the story. “This is not the standard of care we expect, nor that our patients deserve, and we will work diligently to improve.”
On Feb. 1, CMS made it official with its own letter to HCA North Carolina Division President Greg Lowe. The letter stated that the hospital had 23 days to issue a “plan of correction,” which would need to spell out how it planned to fix the conditions that brought about immediate jeopardy.
On Feb. 15, a scathing 384-page report from CMS detailing what caused the failures was released. Again, The Watchdog was the first to report the findings: 18 people had been harmed, including four who died between 2022 and 2023, all because of violations of federal standards of care. I described the report this way in my story:
It spotlights not only patient deaths and long delays in care but also a lack of available rooms, a lack of governing bodies “responsible for the conduct of the hospital,” and multiple leadership failures.
Following a Feb. 23 visit to Mission by state and federal inspectors, the immediate jeopardy finding was lifted. But a coalition of prominent physicians and patient advocates blasted Mission’s plan of correction, writing a letter to NCDHHS Chief Deputy Secretary Mark Benton in which they demanded to know why the plan didn’t require the hiring of more staff.
Mission’s challenges weren’t over. It still risked losing federal funding if it didn’t address issues in key areas: governing body, patient’s rights, quality assessment and performance improvement programs, nursing services, laboratory services and emergency services. The hospital was ultimately found to be in compliance in late May.
The Watchdog’s reporting on immediate jeopardy was just one component of our coverage of Mission Hospital in 2024. Throughout the year, we investigated numerous angles about the largest hospital in western North Carolina. Many of our stories have been grim and tough to report.
A wave of departures
Nurses and doctors have left the hospital, seeking more promising job opportunities. The Watchdog has investigated the departure of neurologists, urologists, cancer medication doctors, pharmacists, hospitalists, registered nurses and others. We’ve spoken to patients, chaplains, administrators and union leaders.
I’ve spoken with many health care workers who say they feel hamstrung by their circumstances. They say they’re unable to leave because they’ve established roots here yet at the same time don’t want to stay because they are burned out or are forced to make compromises, many related to staffing issues at the hospital.
In July, a broad coalition of physicians, patient advocates, clergy and Democratic state Sen. Julie Mayfield launched Reclaim Healthcare WNC. The initiative calls for HCA to relinquish Mission so it can become a nonprofit hospital, as it was before the Nashville company bought Mission Health in 2019 for $1.5 billion.
Our reporting shows that nurses and doctors are working hard through the tumult to give the best care possible to our community. They worked through enormous challenges following Tropical Storm Helene, with HCA supplying a high level of support.
Some still feel as if the company will continue to cut where it can.
Some of the last stories I wrote in 2024 revealed Mission’s plan to close the region’s only long term acute care hospital, Asheville Specialty Hospital, and to raze the St. Joseph’s Hospital campus, whose origins date back more than a century and which has been expensive for Mission to maintain.
About a year ago, I wrote a year-in-review piece about my investigation into the hospital’s emergency room procedures, which nurses said had endangered patients. The story included this statement about Mission:
Not everything is clear, but after two years of reporting, I believe that whatever is happening there, it’s seismic.
I didn’t realize how accurate that statement would be.
Asheville Watchdog is a nonprofit news team producing stories that matter to Asheville and Buncombe County. Andrew R. Jones is a Watchdog investigative reporter. Email arjones@avlwatchdog.org. The Watchdog’s local reporting during this crisis is made possible by donations from the community. To show your support for this vital public service go to avlwatchdog.org/support-our-publication/.
Related
The post Mission Hospital’s immediate jeopardy sanction highlighted a crisis in care • Asheville Watchdog appeared first on avlwatchdog.org
News from the South - North Carolina News Feed
Year in Review: North Carolina’s 24 in 2024 | North Carolina
SUMMARY: In 2024, North Carolina saw notable developments, including a population increase to 11.1 million and significant political changes. Secretary of State Elaine Marshall, at 79, prepares to serve with a sixth governor. North Carolina also approved sports wagering, generating substantial revenue. Key highlights include Ag Commissioner Steve Troxler’s reelection, major agricultural economic impact, changes in abortion laws, and intensified debates over Title IX regulations. Hurricane Helene struck, causing widespread devastation. Voter behaviors shifted, particularly regarding gubernatorial races, amid discussions on AI’s electoral impact. Economic challenges persisted, with rising household expenses reflecting inflationary pressures.
The post Year in Review: North Carolina’s 24 in 2024 | North Carolina appeared first on www.thecentersquare.com
News from the South - North Carolina News Feed
Early projection adds U.S. House seat for North Carolina | North Carolina
SUMMARY: North Carolina’s population has surpassed 11 million, making it the ninth largest state and fourth in growth for 2023-2024. The U.S. Census Bureau estimates its population at 11,046,024, up from 10,439,388 in 2020, reflecting a gain of 164,835 residents. This growth positions North Carolina to potentially gain a U.S. House seat during the next reapportionment. The South is expected to add nine to ten seats overall. Conversely, states like California and those in the Blue Wall are projected to lose seats. North Carolina’s growth rate of 1.5% is the eighth highest in the nation.
The post Early projection adds U.S. House seat for North Carolina | North Carolina appeared first on www.thecentersquare.com
-
Local News6 days ago
Hard Rock Hotel & Casino Biloxi Honors Veterans with Wreath-Laying Ceremony and Holiday Giving Initiative
-
News from the South - North Carolina News Feed6 days ago
Social Security benefits boosted for millions in bill headed to Biden’s desk • NC Newsline
-
Local News6 days ago
MDOT suspends work, urges safe driving for holiday travel
-
Our Mississippi Home6 days ago
Green Christmas Gifts for Critters and Yourself
-
News from the South - Kentucky News Feed6 days ago
How Kentucky Children's Hospital keeps spirits bright during the holidays
-
News from the South - Missouri News Feed5 days ago
Driver killed by police after driving truck through Texas mall, injuring 5
-
News from the South - Missouri News Feed6 days ago
Eric DeValkenaere’s sentence commuted in Cameron Lamb killing
-
Kaiser Health News7 days ago
In Settling Fraud Case, New York Medicare Advantage Insurer, CEO Will Pay up to $100M