More than two weeks after a toxic train wreck unleashed plumes of black smoke, contaminated the soil and fueled anxiety in East Palestine, Ohio, residents have reported a growing number of ailments – from rashes to nausea to trouble breathing.

Now, the state will open a health clinic Tuesday for residents who worry their symptoms might be linked to the February 3 derailment of a Norfolk Southern freight train and the subsequent release of the toxic chemical vinyl chloride. And medical teams from the US Centers for Diseases Control and Prevention and the US Department of Health will be on the ground in Ohio this week, at the request of Ohio Gov. Mike DeWine. The teams will help assess what dangers might remain in the community of about 5,000 people.

US Environmental Protection Agency Administrator Michael Regan is headed back to East Palestine Tuesday to meet with residents and local and state officials, according to an EPA official with knowledge of the visit. Regan had visited the town last week. It’s unclear what – if any – long-term health problems might arise from the train wreck, the subsequent inferno and the controlled release of vinyl chloride to help avert a catastrophic explosion.

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