East Palestine Train Derailment

CDC and ATSDR continue to aid state and federal partners on emergency response, emergency management, and assessing the health impact of chemicals from the train derailment in East Palestine, Ohio.

If you or your loved ones were affected by the incident in East Palestine, you may have a lot of questions and concerns. This page can offer information and resources to help you learn more.

Health care professionals, please refer to the Regional Poison Control Clinical Guidance for clinical concerns related to the chemical spill.

What should I do if I experience symptoms or have concerns about my health?


For Ohio and Pennsylvania Residents:

If you are experiencing symptoms or have health concerns, please contact your healthcare provider; call the dedicated Poison Control East Palestine Support Line at 877-603-0170; or visit the Poison Control website.

For Ohio Residents:

The East Palestine Clinic (operated by East Liverpool City Hospital and in collaboration with Ohio Department of Health) is providing comprehensive primary care (treatment, prescriptions, lab testing, consultation with specialists, and referrals if needed).  It is free for those without insurance coverage and available to any residents with concerns. The clinic is located at 139 North Walnut St., East Palestine, OH, 44413. It is open Monday through Friday from 9 AM to 5 PM (Eastern Time). To make an appointment, or for more information, call 330-362-4920.

For more Ohio-specific information, visit the Ohio Emergency Management Agency Website.

For Pennsylvania Residents:

If you have health concerns, please call the Department of Health Hotline (877-PA-HEALTH) to connect with a nurse and find appropriate local health care services.

For more Pennsylvania-specific information, visit the Pennsylvania Emergency Management Agency website.

What resources are available to help me manage my stress?

It is natural to feel stress, anxiety, grief, and worry during and after an emergency.

These resources are available to help:

For more information on managing stress, visit this web page:

How has CDC/ATSDR supported the derailment response?

CDC/ATSDR has assisted state partners in Ohio and Pennsylvania, on the ground and remotely, to conduct an Assessment of Chemical Exposures (ACE). The ACE surveys closed on March 31, 2023.

CDC/ATSDR continues to provide technical assistance and support to state and federal partners.

What is an Assessment of Chemical Exposures Investigation (ACE)?

ACE Investigations are rapid assessments that state health departments conduct with help from ATSDR. An ACE Investigation assesses the potential health impacts of a chemical release on individuals and the community.

During an ACE investigation, the team interviews people who may have been exposed to the chemicals of concern. The team collects detailed information on exposure history, symptoms experienced, medical history, and health services used.

Information gathered by the team can help public health responders understand how the derailment incident may be impacting the health of residents in the affected communities and inform decision making.

Whom should I contact if I have questions about air monitoring, water sampling, or cleaning services for my home or office?

You can visit the U.S. Environmental Protection Agency’s (EPA) East Palestine Welcome Center, located at 25 North Market St., East Palestine, OH, 44413. You can also call the U.S. EPA East Palestine information line at 330-775-6517. Both the center and the hotline are open Monday through Friday from 9:00 AM to 6:00 PM and Saturday from 10:00 AM to 4:00 PM (Eastern Time).