The latest American Cancer Society research estimates more than 139,000 Texans will be diagnosed with some form of cancer in 2022. One of the "hot spots" for industrial air pollution is the Port Arthur area, where residents are voicing their health concerns.

Southeast Texas is home to three large oil refineries and other industrial facilities. These businesses are touted as the sources of living-wage jobs.

John Beard Jr., founder and CEO of the Port Arthur Community Action Network (PACAN), said the pollution they emit can be fatal to the residents of the mostly Black community. He calls it a "sacrifice zone."

"We challenge any and all expansions of the industry -- whether it be by pipeline or new petrochemical facilities, or LNG facilities -- we challenge their air permits," Beard explained. "We also challenge them, with regard to their federal permitting on the environmental level and on the environmental justice level, as well as the community impact."

PACAN filed a complaint last August with the U.S. Environmental Protection Agency against the Oxbow Carbon plant, which releases as much as 22 million pounds of sulfur dioxide into Jefferson County air. The complaint has not yet been resolved.

A recent ProPublica analysis lists Port Arthur as one of more than 1,000 hot spots in the nation for cancer-causing industrial pollution.

The ProPublica research found pollution levels of each individual facility might be "acceptable," but the combined output of multiple facilities increases cancer risk.

Beard wants the county and state to stop downplaying those risks.

"We were declared a 'cancer cluster' in 2010 by the U.S. EPA," Beard pointed out. "Basically, Port Arthur then was declared a showcase environmental city. Being given this title, we were also told that Port Arthur had more than twice the state and national average of cancer, heart, lung and kidney diseases."

The cancer mortality rate for Black residents of Jefferson County is about 40% higher than for Texans overall, according to the Environmental Integrity Project.

With a historic budget for parks and recreation, New York City is crafting strategic plans to increase tree canopy through an environmental justice lens.

New York City's $624 million parks budget includes funding for capital projects such as planting 20,000 new trees. City Council recently held an oversight hearing on increasing tree canopy, which gave residents the chance to provide input on shade access in their community.

Council Member representing Elmhurst and Jackson Heights, Shekar Krishnan - who chairs the Committee on Parks and Recreation - said the hearing can inform solutions to addressing disparities of tree presence in different neighborhoods.

"In particular, low-income communities of color have far less tree-canopy coverage than other neighborhoods do," said Krishnan, "and that directly results in hotter temperatures known as the 'urban heat island' effect. And so the brunt of the lack of tree-canopy coverage isn't shared equally."

The budget also includes funding for stump removal, which can make way for new trees. A report from The Nature Conservancy found that as of 2017, the city's overall tree canopy was about 22%.

Victoria Sanders - research analyst with the New York City Environmental Justice Alliance - said as New York City moves forward with plans for improving tree-canopy equity across the city, communities that have long been disinvested due to racially discriminatory policies such as redlining must be prioritized.

"There's all this red tape that impacts the way funds can be used," said Sanders. "A lot of the trees that are being planted are replacing trees that already exist. So I think there needs to be maybe some pushback so that a larger amount of the money can be put toward making sure there's equitable tree distribution."

Emily Nobel Maxwell - New York Cities program director for The Nature Conservancy - said she's excited by the budget investments in urban forests, but said there's more work to be done.

"We know that to better ameliorate the impacts of extreme heat, we need more tree canopy," said Maxwell. "It would mean protecting and maintaining the canopy we have. And that requires maintenance funding, laws to protect our canopy, it requires enforcement."

The Forest For All NYC coalition has called for a citywide goal of 30% tree coverage by 2035.

Environmental groups are pushing for changes to North Carolina's industry-permitting process, which they say does not account for the cumulative impacts of environmental pollution.

People exposed to multiple chemical and environmental stressors tend to have higher rates of heart disease, cancer, diabetes and other health problems.

Sherri White-Williamson, environmental justice policy director for the North Carolina Conservation Network, said currently, the state Department of Environmental Protection does not consider cumulative impacts when approving or denying permits for facilities often located in vulnerable communities.

"Within a five-mile range of a particular community in Sampson County, there are two facilities now that have been permitted to convert hog waste into biogas," White-Williamson observed. "There are active concentrated feeding operations, they are within very close proximity to an interstate highway."

Earlier this year North Carolina Gov. Roy Cooper issued an executive order to create an Environmental Justice Lead position at each state agency tasked with collecting feedback on pollution from residents living in underserved communities. The order also directed state agencies to use federal and state funding to clean up impacted communities.

Daisha Williams, environmental justice manager for CleanAire NC, said while fostering conversations with impacted residents is important, state officials should be working toward implementing policies to incorporate and measure cumulative impacts when deciding where to site new polluting sources.

"Communities are still suffering, and we need to have tools and solutions," Williams argued. "Not just something that is kind of there to check off a box in the permitting or remediation process."

Accruing stressors from air pollution and climate change can also affect mental health. Research in the New England Journal of Medicine shows natural disasters and climate-related displacement can increase the risk of mental health disorders, anxiety and depression.

The Infrastructure Act is providing $1.2 trillion for improvement projects across water, energy, building and transportation sectors. A new report looks at how officials can use funds to address environmental justice.

Authored by the National Wildlife Federation, the report provides a framework for front-line and fenceline communities experiencing environmental-justice issues such as frequent flooding to finance solutions through infrastructure dollars.

Tatiana Eaves, an environmental and climate justice policy specialist for the federation, said the Infrastructure Act is an opportunity for decision makers.

"We must always let community leaders speak for themselves," said Eaves, "and trust them as the experts of their own lived experience and for us to listen as many communities already know what the solutions are. They just need the resources to bring them into reality."

This November, New Yorkers will vote on a ballot measure for approval of the $4.2 billion Clean Water, Clean Air, and Green Jobs Environmental Bond Act.

The bond would leverage federal infrastructure dollars to support land conservation, environmental justice and water-quality improvement.

Shawyn Patterson-Howard is mayor of Mount Vernon, New York. For almost two decades, Mount Vernon residents have lived with raw sewage backing up into their homes, flooding streets and polluting local waterways due to old and corroded clay sewer pipes.

Patterson-Howard said the infrastructure dollars could help the Black-majority city with pipe replacement.

"Without proper maintenance and investment over the last few decades, the sewer system and the stormwater system has begun to collapse," said Patterson-Howard. "So we have to find a way to improve regionally our stormwater system, which is definitely being impacted in light of climate change."

Patterson-Howard estimates replacement will cost between $250 and $300 million.

In April, Gov. Kathy Hochul announced $150 million for this project. The report suggests federal infrastructure dollars also could support grants to help low-income homeowners repair failing septic systems.