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East Palestine Derailment 1 of 3 by Justin Merriman

A mannequin is displayed on a porch with a sign that reads ‘We Are Fine’ on February 28, 2023 in East Palestine, Ohio.

Carly Tunno of Darlington, Pa., stands outside of Sprinklz on Top, a restaurant where EPA Administrator Michael S. Regan was meeting with community business leaders and Trent Conaway, mayor of East Palestine, on February 28, 2023 in East Palestine, Ohio. She hoped to ask them questions about issues that deeply concern her.

“I get it. Somebody messed up. I don't care. Somebody messed up. I get nobody's going to take blame for this. I get that, but somebody needs to tell people it is dangerous. It's dangerous to be here. It is dangerous to live and raise your children here,” she said as she wiped tears from her eyes.

Toxic chemicals float on the surface of Leslie Run creek on February 25, 2023 in East Palestine, Ohio. On February 3rd, a Norfolk Southern Railways train carrying toxic chemicals derailed causing an environmental disaster. Thousands of residents were ordered to evacuate after the area was placed under a state of emergency and temporary evacuation orders.

“Every morning I get up and my chest's killing me. I never did have chest pains. Now I got chest pains, and my nose is always running… Burning all the time,” says Lee Jenkins, 71, of Negley, Ohio, as he picks up water for his elderly neighbors with Matthew Mazza, 61, of Negley, (left) in the neighboring town of East Palestine on February 28, 2023. “I know what's going to happen. The railroad company going to go bankrupt. They ain't going to pay nobody. What can you do? You can't do nothing. It happened. It's over with. You know, you got to live from day to day.”

Contractors with Norfolk Southern work on cleaning toxic chemicals from Sulphur Run on February 28, 2023 in East Palestine, Ohio.

Trent Conaway, mayor of East Palestine, (center) sits with EPA Administrator Michael S. Regan as they meet with community business leaders at Sprinklz on Top, a popular restaurant, on February 28, 2023 in East Palestine, Ohio.

Courtney Miller gets her blood drawn for Dr. Beatrice Golomb Research Group as her children, Eliana, 6, and Mathias, 10, watch on at the Main Street Theater in Columbiana, Ohio on February 3, 2024. The study’s title is: Uncovering the Public Health Impact of Toxin Release in East Palestine, Ohio. The lab checked blood, urine, hair, fingernails and lung capacity as well as gathering other stats and info.

A Norfolk Southern train passes though the center of East Palestine, Ohio on Wednesday, March 1, 2023.

Wayne O’Connell, 66, and his wife, Lori, 59, sit in the kitchen of their home in Darlington, Pa., on January 19, 2024.

Norfolk Southern has agreed to pay $600 million in a class-action lawsuit settlement related to the train derailment in East Palestine, Ohio, in February 2023.

The settlement, if approved by a court, would pay class action claims within a 20-mile radius of the accident and personal injury claims within a 10-mile radius.

Residents, many of which still complain about respiratory issues, anxiety, unexplained rashes, and nosebleeds, fear it isn’t enough and doesn’t take into account potential costs from long-term health impacts of the derailment that spilled more than a million pounds of hazardous chemicals into the soil, water and air.

View full gallery here.

East Palestine Derailment 2 of 3 by Justin Merriman

Jami Cozza yells, “Help us,” as President Biden’s motorcade passes by on February 16, 2024 in East Palestine, Ohio.

David Lonsbrough, 40, loads his suitcase into a friend’s truck after finishing packing to move from his apartment on Wednesday, March 1, 2023 in East Palestine, Ohio. Lonsbrough who lives and works just blocks from the site of the Feb. 3 derailment says “It took about two weeks, once the evacuation was lifted and we came back and it still smelled terrible. But the trains were running. So as soon as that happened, I was like, they don't care about us, so I'm leaving. I'm getting out of town." Lonsbrough is staying with a friend for a few days in Warren, Ohio before moving to Texas.

David Lonsbrough, 40, gives the middle finger to a Norfolk Southern train as it passes in East Palestine, Ohio on Thursday, Feb. 16, 2023.

U.S. Congressman Bill Johnson (OH-6) stands with Ohio Senator Sherrod Brown and U.S. Congressman Chris Deluzio (PA-17), take questions from media at a press conference on February 16, 2023 in East Palestine, Ohio.

Lonnie Miller becomes emotional as she stands in the living room at her home along East Clark street in East Palestine, Ohio on February 2, 2024. She has put her home on the market; although, it has gotten no interest in 100 days.

Jami Wallace, 46, holds a container that holds the ashes of her father, best friend and sister-in-law, as her daughter, Kyla, 3, watches her from the steps at a B&B where she is staying on March 23, 2023 in Columbiana, Ohio. Wallace and her husband are fearful of returning to their home after the Norfolk Southern train derailment in East Palestine, Ohio on Feb. 3. The remains of her loved ones was one of the few things she took with her when she evacuated her home.

Local newspapers sit on the counter of Sprinklz on Top, a popular restaurant in East Palestine, Ohio on Friday, March 3, 2023.

Crews continue to cleanup at the site of a Norfolk Southern train derailment on February 24, 2023 in East Palestine, Ohio.

Tracy Hager, 44, talks with Greg Kildare, senior director of claims and risk management for Norfolk Southern, at an open house for East Palestine residents on March 23, 2023 at the East Palestine High School in East Palestine, Ohio. The open house gives residents a chance to speak with agencies involved in the Norfolk Southern train derailment cleanup as well as community resources.

Hager was concerned about getting reimbursed for purchases of clothing, shoes, and cat food as she stays at a cabin in a campground with her family while they are fearful of returning to their home.

“I cried everyday for three weeks,” she says.

“We R Sick” is painted on the front of Courtney Miller’s old home along East Taggart Street in East Palestine, Ohio on January 21, 2024.

Norfolk Southern has agreed to pay $600 million in a class-action lawsuit settlement related to the train derailment in East Palestine, Ohio, in February 2023.

The settlement, if approved by a court, would pay class action claims within a 20-mile radius of the accident and personal injury claims within a 10-mile radius.

Residents, many of which still complain about respiratory issues, anxiety, unexplained rashes, and nosebleeds, fear it isn’t enough and doesn’t take into account potential costs from long-term health impacts of the derailment that spilled more than a million pounds of hazardous chemicals into the soil, water and air.

View full gallery here.

Beto O'Rourke by Justin Merriman

Beto O’Rourke, the former three-term Texas congressman and Senate hopeful, campaigns at Penn State University a week into his presidential bid on Tuesday, March 19, 2019 in State College, Pa. O’Rourke’s stop in Pennsylvania follows visits to Ohio, Wisconsin, and Michigan before heading to New Hampshire.

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Read more about this story on NBC News.

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20181221 Nick Grimes 02.jpg

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To view more images visit Getty Images.