Category: Health
August is National Immunization Awareness Month
By Brandi N. Montreuil, Tulalip News
TULALIP -August marks a national health campaign to raise awareness on the importance of immunizations. All throughout this month health professionals along with the Centers for Disease Control and Prevention and the National Center for Immunization and Respiratory Diseases are reaching out to communities to educate and promote vaccines.
According to CDC the use of vaccinations could mean the difference between life and death. Some diseases have become rare or have been eradicated through vaccination use, such as smallpox. However the choice to vaccinate is still optional due to no vaccination law enacted by the federal government, other than the requirement in all 50 states that children receive certain vaccinations before entering public schools. Children are required by most states to receive diphtheria, pertussis, polio, measles, mumps, rubella and tetanus vaccines before entering public school, however, medical exemptions can be given if the child has had an adverse reaction to a prior vaccine or is allergic to a vaccine component
During the August awareness campaign the CDC is seeking to decrease the number of people opting out of vaccination by reaching out to communities through education outreach.
“Vaccines have reduced many diseases to very low levels in the United States. For example, we no longer see polio, a virus that causes paralysis, in our country. Not only do vaccines help the patient, they also protect people who come in contact with the patient. Infants and the elderly have decreased immune systems. Being vaccinated helps protect these populations,” said Dr. Jason McKerry with the Tulalip Karen I. Fryberg Health Clinic on the Tulalip Indian Reservation.
This year, Washington State was among 17 other states that experienced a high percentage of measles cases, a first in 20 years. As of July 30, 585 confirmed cases of measles have been reported throughout the nation, 27 of them in Washington. Similarly, cases involving pertussis, or whooping cough, have been on the rise. As of July 26, Washington State Department of Health reported 219 cases of whooping cough, 6 of those reported in Snohomish County, while Grant, King and Pierce Counties each reported 30 or more.
Through the use of vaccinations the risk of infection is reduced. Vaccinations, explains the CDC website, work “with the body’s natural defenses to help it safely develop immunity to disease.” This means vaccinations aid the development of immunity through imitating infection so when the body does encounter the disease, the body will recognize it and fight the infection with antibodies it has created.
“Serious infections like pneumonia, bacteremia, a bacteria infection that gets in the blood and spreads to the whole body, and meningitis, an infection of the fluid that surrounds the brain and spinal cord, can occur with lack of vaccinations. Most of these diseases can be treated with medicine, if caught early enough, but serious negative outcomes can occur if the infection spreads rapidly. These include brain damage, hearing loss, chronic lung disease and even death. It is best to be safe and vaccinate early, before you have a chance to contract a life-threatening disease,” said Dr. McKerry about the risks associated with not vaccinating.
Vaccinations can be administered at private doctor offices, public community health clinics and community locations, such as schools and pharmacies for a reduced price, however most insurance plans do provide coverage cost for vaccinations.
“I always encourage a patient to obtain vaccines from a primary care provider who knows them best and can offer the most current advice on vaccines,” Dr. McKerry said, who went onto to explain that children should be vaccinated before the age of two. “Your child should be vaccinated against hepatitis A and B, rotavirus, a virus that causes severe vomiting and diarrhea. Diptheria, tetanus and whooping cough, haemophilus influenza B, a virus that causes pneumonia and ear infections, among other infections, pneumococcus, a bacteria that causes pneumonia and ear infections, among other infections, and polio, measles, mumps and rubella (MMR), varicella (chicken pox) and a yearly flu vaccine.”
For more information about immunizations or immunization schedules, please visit the website www.cdc.gov/vaccines/schedules/. Or please contact the Tulalip Karen I. Fryberg Health Clinic at 360-716-4511.
Brandi N. Montreuil: 360-913-5402; bmontreuil@tulalipnews.com
Bats in the home need to be handled with care
Contact Snohomish Health District to prevent rabies
How to forage for wild berries
By Tama Matsuoka Wong, Grist
Cross-posted from Food52
![berries.jpg](http://grist.files.wordpress.com/2014/07/berries.jpg?w=470&h=265&crop=1)
Foraged vegetables are always more fun to cook. So Food52’s resident forager, Tama Matsuoka Wong, is introducing us to the seasonal wild plants we should be looking for, and the recipes that will make our kitchens feel a little more wild.
If you’ve ever found a blueberry or a black raspberry on the side of a trail and popped it in your mouth, you’ve been foraging. Although it’s more convenient to “forage” farmers markets or grocery aisles for cultivated berries, I love the intense flavor of wild berries, as well as the fun of picking them in their natural habitat. Here is a rundown of some of the summer season’s most common wild berries:
Aggregate berries: Raspberries, blackberries, and wineberries
Aggregate berries are distinguished by their tightly packed clusters of fruits, known as carpels. The most common example is the raspberry, which is really a bunch of tiny red fruits clustered together. This sort of formation is a good thing, because each little fruit droplet on its own would hardly be enough for a mouthful!
These berries belong to the rose family, and grow on long arching “canes” that often form dense, brambly thickets. Much like roses, their bristles and thorns can make picking a somewhat prickly adventure — so be prepared!
![berries1](http://grist.files.wordpress.com/2014/07/berries1.jpg?w=470&h=314)
- Wild red raspberries, or Rubus strigosus (above), can be found throughout North America, excluding the Deep South. Unfortunately, I sometimes find that wild raspberries can be quite seedy and dry, depending on the place and the weather. Black raspberries — the eastern Rubus Occidentalis and the western Rubus leucodermis — are native to North America and are found from mid- to late summer.
- When you pick a raspberry from its plant, it leaves behind a small white cone — that’s the “receptacle,” which attaches the fruit to the cane. The blackberry cone receptacle, on the other hand, remains attached to the fruit, which explains why blackberries are flat where they connect with the plant, while raspberries have that hollow bit where the cone once was.
![berries2](http://grist.files.wordpress.com/2014/07/berries2.jpg?w=470&h=314)
- The Asian wineberry, or Rubus phoenicolasius (above), grows on the shady edges of woods throughout most of North America, and is easy to identify because it has very fuzzy, thorn-less canes. Some wineberries are more tart than others, but they all have an incredibly fresh taste and a ruby-colored, jewel-like shine. The fruit emerges from fuzzy cases — which almost look like Christmas lights — which slowly open to reveal bright red berries. Like raspberries, they leave behind a small, white, cone-shaped receptacle when picked. Since wineberries are invasive, I never hesitate to hack away at their canes like a lumbering bear.
![berries3](http://grist.files.wordpress.com/2014/07/berries3.jpg?w=470&h=314)
- Mulberries (above), often found on old farms and in backyards, are also aggregate berries, but they grow from trees. The entire fruit is joined to the stem directly, so there is no white receptacle left behind when they’re picked. The indigenous mulberry tree, Morus Rubra, has been hybridized with the Morus Alba tree from Asia, and now bears both white and red fruit.
“Crown” berries: Blueberries, huckleberries, and juneberries
Wild blueberries and huckleberries are in the Heath family, and grow as bushes or shrubs in soils with low acidity levels. While these are all bluish in color, the key identifier is that the edible blueberries all have a crown at one end.
- Wild blueberries (below) look very similar to the store-bought variety, except they’re much smaller and less plump. What they lack in girth they make up for with incredible flavor: After I’ve been eating a lot of wild ones, I find cultivated blueberries taste bland and watered down.
![berries4](http://grist.files.wordpress.com/2014/07/berries4.jpg?w=470&h=314)
- Huckleberries are quite small, though their seeds are larger than those of blueberries and tend to stick to your teeth. My friend, West Coast-based forager Connie Green, swears by coastal huckleberries, which take on a deep flavor in September. While huckleberries have had a couple of difficult years due to droughts, she reports that this year looks more promising.
- Juneberries, also called serviceberries, are bluish-purple berries that have a crown at one end but grow from trees rather than bushes. The Amelanchier canadensis variety grows wild on the East Coast, while the Amelanchier alnifolia, known as saskatoons, are prevalent in the Pacific Northwest. These berries are plump and juicy, with a sweet-tart taste; like aggregate berries, they are also a part of the rose family. They make great jam, especially when mixed with rose petals.
It is important to note that there are several varieties of poisonous berries: Pokeweed, privet, honeysuckle vine berries, nightshade, and Japanese honeysuckle are all blue or purple in color; red-colored poisonous berries include bush honeysuckle and yew. Neither are aggregate fruits, nor do their berries have crowns. Always be sure to identify your plants, and do not just pop any old berry into your mouth as an experiment.
After a day spent foraging (and gobbling) berries in the woods, the last thing I want to do is spend a lot of time cooking, which is exactly why I tend to rely on store-bought pie crust for this incredibly simple pie. The pie is all berry, so their wild flavors shine through. It gets its zing from a bit of lemon and cassis, a trick I learned from my friend Betsy. It is also very flexible in terms of berry-to-berry ratios, so if I’ve eaten up most of the blueberries, I can just add more wineberries, and so on.
![pie](http://grist.files.wordpress.com/2014/07/14480120238_256c6b73c8_b.jpg?w=470&h=313)
Mixed Wild Berry Pie with Cassis
See the full recipe (and save it and print it) here.
Makes one double-crust 9-inch pie
1 double pie crust (your favorite recipe, or store-bought)
5 cups mixed wild berries (I used 2 cups wineberries, 2 cups wild blueberries, and 1 cup mulberries)
1/2 cup sugar
1/4 cup cassis
Juice of half a lemon
Zest of 1 lemon
1/3 cup flour
Fruit jam (we used wineberry-blueberry jam from last year)
1 egg yolk (optional)
Raw sugar (optional)
Record attendance at annual health fair
Wait lines for health screens and denials at the blood bus
![Amanda Shelton explores the differences between traditional tobacco use and cigarettes.Photo: Andrew Gobin](http://www.tulalipnews.com/wp/wp-content/uploads/2014/07/MG_0705-e1406830508692.jpg)
Photo: Andrew Gobin/Tulalip News
By Andrew Gobin, Tulalip News
The Tulalip Karen I. Fryberg Health Clinic hosted their annual health fair July 28, with participants lining up at health screening stations, a fair first in 31 years,.
“I think this is the biggest health fair that we’ve ever had, there have been lines all day,” said Jennie Fryberg, front desk supervisor at the clinic. “More than 280 participants signed in, 200 of which were here before lunch.”
Every year, the clinic holds a blood drive simultaneously with the health fair. This year, more than 20 people had scheduled donor times with the Puget Sound Blood Center’s Blood Bus. Walk-ins are always welcomed at the Blood Bus, but there were so many walk-in donors this year, in addition to those with scheduled times, that for the first time at Tulalip, donors were being turned away due to lack of space. Of the 33 people who tried to give blood, 29 were able to.
![Puget Sound Blood Centers Blood BusPhoto: Andrew Gobin/Tulalip News](http://www.tulalipnews.com/wp/wp-content/uploads/2014/07/MG_0735-e1406830672650.jpg)
Photo: Andrew Gobin/Tulalip News
With a record 35 booths, 8 screening stations, and a fun run, there seemed to be more interest in this year’s health fair than in previous years.
“People were here at 8:30 a.m. waiting for booths to open,” said Sonia Sohappy, a bowen therapist for the clinic’s complimentary medicine program.
The day started out busy, and really stayed comfortably crowded throughout the day. People stopped at screening stations, checking blood sugar, vision, blood pressure, tuberculosis, hepatitis, and more.
The annual health fair is one of many open house events at the Tulalip Karen I. Fryberg Clinic throughout the year. Watch for event announcements in the See-Yaht-Sub, on the Tulalip News Facebook page, or contact the clinic by phone at (360) 716-4511 for more information.
![Calendula harvested from the Tulalip Health Clinic's Diabetes garden.Photo: Andrew Gobin/Tulalip News](http://www.tulalipnews.com/wp/wp-content/uploads/2014/07/MG_0747-e1406830994614.jpg)
Photo: Andrew Gobin/Tulalip News
![Rainbow Radishes harvested from the Tulalip Health Clinic's Diabetes garden.Photo: Andrew Gobin/Tulalip News](http://www.tulalipnews.com/wp/wp-content/uploads/2014/07/MG_0744-e1406831050644.jpg)
Photo: Andrew Gobin/Tulalip News
Andrew Gobin is a staff reporter with the Tulalip News See-Yaht-Sub, a publication of the Tulalip Tribes Communications Department.
Email: agobin@tulalipnews.com
Phone: (360) 716.4188
Black and Blue, the Kangen craze
Water that truly unlocks health, or the latest cure all snake oil?
![Signature Enagic water jugs, the mark of a Kangen user.Photo, Andrew Gobin](http://www.tulalipnews.com/wp/wp-content/uploads/2014/07/IMG_20140722_093127319-e1406761530578.jpg)
Photo, Andrew Gobin/Tulalip News
By Andrew Gobin, Tulalip News
You may have seen the blue and black Enagic water jugs people are packing around these days. You’ve probably heard about Kangen water, and if you yourself are not a Kangen user, you’ve probably wondered what exactly is so special about this water from all other filtered waters. The answer to which often leaves people with many more questions about how it all works, or why Kangen is a better choice. Here you will get an in-depth look at this latest health fad.
Many Kangen users tout this water as the new miracle in naturopathic health. Easily absorbed by the body, this water is supposed to keep you hydrated, in addition to being an antioxidant.
Tulalip tribal member Caleb Woods, a Kangen user, said, “I feel more energized, and toxins flush out of my body faster. I notice I sweat easier, and my acne has been clearing up.”
The effects Woods noted are typical of any well hydrated person, so what makes Kangen different? The answer is not so simple.
What is Kangen water exactly? In a nutshell, it is basic, or alkaline. The machine that filters and produces the water is actually a medical machine developed by a Japanese manufacturer 40 years ago. According to Kangen rep, Shawn Brown, water from the city tap or well goes into the machine, is filtered, and then restructured using electrolysis; a process of running an electric current through the water. Water molecules, which are naturally polarized, cluster in a naturally hexagonal structure, similar to a honeycomb. The restructuring of water arranges the molecules into micro clusters of five to seven molecules, instead of the typical 15. That process also ionizes the water, which makes it basic by creating a negative hydroxyl molecule (HO–) and a positive hydrogen ion (H+), or cation. Micro clusters of hydroxyl molecules are more easily absorbed in the body.
The separation of ions of Kangen water raises the pH, which is a measure of the power, or concentration, of hydrogen ions in any compound. The pH scale runs 1-14, 7 being neutral. As the concentration of hydrogen ions increases, the pH number decreases. Acids have low pH, and bases have high pH. Water typically measures at 7. According to the Snohomish County Health District, city water measures at 7.5 because of the lye added to the water to prevent rusting pipes, both hazardous to health in and of themselves. Kangen water is very basic when it’s ionized, measuring between 8.5 and 11, though agitating the water will return it to a neutral state. Also, if not consumed immediately, the natural interaction between the cations (H+) and hydroxyl (OH–) molecules will return the Kangen water to natural water (H2O).
What is the need for alkaline Kangen water?
Brown said, “Cities put a lot of chemicals in the water to kill bacteria, or to make the water healthy. Essentially, that is dead water. Kangen water is not only filtered, but it has free hydrogen ions, which is a natural antioxidant.”
The hydrogen cations are regulators that catalyze chemical reactions in the body’s systems, drawing out free oxygen molecules, or oxidants. In that way, the water is alive, interacting with the body as you drink it. The abundant of cations join with oxidants, neutralizing them. But Kangen water, as a basic solution, disrupts the body’s cells from doing this naturally by inhibiting the mitochondrial processes. The mitochondria of a cell, which govern metabolism in cells and in turn the body, require oxidants in order to metabolize proteins. Hydroxyl molecules join with free radicals making hyperperoxide in the body, allowing the free cations to seek out oxygen and oxidants to join with. That essentially leads to the depletion of oxygen creating a chemical imbalance in the body and a disruption of natural processes at a cellular level. This leads to premature cell death. The body works to regulate itself, and these processes occur naturally without Kangen water.
“The body is naturally alkaline, the blood is alkaline. If the body is acidic, you’re probably sick,” said Brown.
That is true, though not entirely accurate. The ideal pH of blood is between 7.3 and 7.4. So yes, it is alkaline, but only slightly. The body’s many systems help to regulate the pH of the body, each producing acids and bases, specific to each system. While the body is naturally alkaline by design, it is regulated through the secretion of acids produced in the body. Acids, like lactic and stomach acids, are designed to breakdown sugars and proteins, while bases, various hormones, are designed to specifically regulate systems in the body, many of which produce acids. Systems in the body use water to make hydroxyl and hydrogen cations for the purpose of metabolizing compounds and cleaning the body. It is a delicate balance that can have serious health implications when altered.
While it is a delicate balance, deviation of pH levels, even slightly, are signs of serious illness in the body. To do this intentionally has many health implications. For example, deviations in body chemistry of any degree affect metabolic systems drastically. A shock of pH imbalance due to raising the alkalinity of your body could lead to alkalosis. Mild alkalosis causes muscle spasms and cramps. Severe alkalosis can lead to tetanus or cardiac arrest. Acidosis, in contrast, causes mild nausea, vomiting, convulsions, and apnea.
Why does it matter, you may wonder? First of all, Kangen water will be available at all youth summer programs, and at the summer school. Parents should be aware that this is being served to your children. For people with strict dietary needs, there are serious health risks associated with altering body chemistry. That’s not saying Kangen is bad, or shouldn’t be used, but parents should be aware of what their children are exposed to. If people, including children, are on medications, they need to know how Kangen water affects them. The Kangen website and virtual demonstration specifically warn that users should not take medications with the alkaline Kangen water, and should refrain from drinking Kangen for an additional two hours afterward.
Second, there has been a large push that this is the answer to a healthier membership. There is a community Kangen machine available to the public for an hour, mornings and afternoons, at the Don Hatch Jr. Youth Center. Some members have machines in their homes. Kangen can only be acquired through the use of these machines, not sold in stores anywhere. These machines run between $2500 and $4000, and can be acquired through a regional Kangen representative. While the benefits of Kangen may outweigh the risks, the truth is, you don’t need Kangen water to be healthy. Similar results can be achieved through choosing organic foods and eliminating processed foods as much as possible, and expanding your diet to include foods that have specific benefits for healthy function of the body’s systems.
There is no magic cure all to ailments. While you can’t drink your way to health, it is beneficial to drink filtered water. To date, however, there is no documented medical suggestion that says basic water is healthier than natural water, in fact the opposite. Whatever water you choose to drink, the importance is to stay hydrated.
More info on Kangen water available online at www.kangenkarma.com. See the demonstration at www.kangendemo.com.
Andrew Gobin is a staff reporter with the Tulalip News See-Yaht-Sub, a publication of the Tulalip Tribes Communications Department.
Email: agobin@tulalipnews.com
Phone: (360) 716.4188
Grief and Loss Support Group Begins August 12
Critics say proposed rules on fish consumption insufficient
Tribal leaders are skeptical of a proposal by Gov. Jay Inslee to set new water-quality standards.
By Lynda V. Mapes, Seattle Times, July 21, 2014
Some tribal leaders and environmental groups say a water-pollution cleanup plan proposed by Gov. Jay Inslee this month is unacceptable because while it tightens the standards on some chemicals discharged to state waters, it keeps the status quo for others.
Inslee is drafting a two-part initiative to update state water-quality standards, to more accurately reflect how much fish people eat, and to propose legislation to attack water pollution at its source. The fish-consumption standards have the effect of setting levels for pollutants in water: The more fish people are assumed to eat, the lower the amount of pollution allowed.
Inslee decided that lowering some standards wouldn’t create a big-enough benefit to human health to justify the economic risk for businesses, said Kelly Susewind, water-quality program manager for the state Department of Ecology.
“The realistic gains on the ground didn’t warrant that concern and disincentive to invest in our state,” Susewind said.
That’s because the rules regulate state permits for dischargers, such as industrial manufacturers and wastewater-treatment plants — but that isn’t where most of the pollution is coming from.
Setting tougher standards for some pollutants would also result in levels too low to detect or manage with existing technology — but would create a regulatory expectation that could cloud future business investment, Susewind said.
“The concern is that we set in motion a chain of events where it is inevitable they can’t comply. If they are worried they will cease to invest in 30 years, they are not going to invest today; that is the long-term picture that caused the uncertainty.”
In the case of PCBs — polychlorinated biphenyls, industrial chemicals used as coolants, insulating materials, and lubricants in electric equipment — setting a limit below the existing limit of 170 parts per quadrillion wouldn’t improve people’s health, Susewind said. That’s because most PCBs are entering waterways from other sources, including runoff. “It is not the most effective place, to put the pinch on dischargers,” Susewind said.
The problem is that the Clean Water Act, under which the standards are issued, doesn’t reach beyond so-called point sources: pollution in water discharged from pipes by industries and others regulated by Ecology and the federal Environmental Protection Agency (EPA).
“A lot of our challenge is finding ourselves with only one tool,” said Carol Kraege, who leads toxics reduction at Ecology. “Getting toxics out of our water with just the Clean Water Act is not enough.”
To gain new tools to clean up state waters, Inslee has asked Ecology to put together legislation to expand its authority to ban certain chemicals, to keep them from getting in the water in the first place. The legislation, which is still being drafted, is intended to address so-called non-point sources of pollution.
The governor has said he won’t submit a final water-quality rule to the EPA for approval until after the legislature acts.
Christie True, director of King County Natural Resources and Parks, which runs the county’s wastewater-treatment plants, said she was encouraged by the governor’s approach. “We have to be focused on outcomes,” True said.
“The thing I was really happy about was he said we can’t just rely on regulating the same old sources if we want to improve water quality. I know it is going to be very challenging to take these issues to the Legislature, but that is where we need to head to have a better outcome.”
The debate now under way arose from the state’s need to update the water-quality standards that address health effects for humans from eating fish. The state’s rules today assume a level of consumption so low — 6.5 grams a day, really just a bite — that it is widely understood to be inadequately protective, especially for tribes and others who eat a lot of fish from local waters.
The standard also incorporates an incremental increase in cancer risk in that level of consumption.
Inslee has proposed greatly increasing the fish-consumption standard in the new rule, to 175 grams per day, a little less than a standard dinner serving. But he also upped the cancer risk, from 1 in 1 million under current law, to 1 in 100,000 in the new standard. That was to avoid imposing tighter standards for some pollutants.
That isn’t good enough for tribal leaders who say they want tougher protection now — for all pollutants, not just some. “Holding the line isn’t good enough,” said Dianne Barton, water-quality coordinator for the Columbia River Intertribal Fish Commission.
Counting on the Legislature to grant new authority to Ecology and money to back it up is also a shaky proposition, some said. “That is a big gamble,” said Chris Wilke, executive director of Puget Soundkeeper, a nonprofit environmental group that sued the EPA to force Washington to update its standards. Delay, meanwhile, “is more business as usual,” Wilke said.
Brian Cladoosby, chairman of the Association of Washington Tribes and the Swinomish Indian Tribal Community, said tribes are going to take their case directly to the feds both at Region 10 EPA and in the EPA administrator’s office in Washington, D.C., and insist no change be made in the cancer risk.
“In our minds, the bar hasn’t moved that much,” Cladoosby said. “It took 100 years to screw up the Salish Sea; hopefully, it won’t take another 100 years to clean it up. But we have to start somewhere.”
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Wash. To Host First Public Meeting On Inslee’s Fish Consumption Rate Proposal
Washington is slowly moving ahead with a long-delayed plan to update its water quality rules. Tuesday’s will be the first public meeting on Gov. Jay Inslee’s proposal to dramatically increase the fish consumption rate, which determines how clean discharged water must be. But some say the proposal doesn’t go far enough.
The governor’s plan would increase the fish consumption rate to about a meal a day, rather than a meal a month. It would increase the current rate of 6.5 grams per day to 127 grams per day. That’s the same rate recently adopted by Oregon, which has the strictest rate in the country.
“Well, yes, but it’s important to remember that that’s just one part of this equation,” said Chris Wilke with Puget Soundkeeper Alliance, one of four groups that sued the federal government last year to force it to make the state comply with the Clean Water Act.
Wilke says the plaintiffs are glad to see a more realistic fish consumption rate. But at the same time, he points out that Inslee’s proposal also lowers the bar on the allowable risk for cancer by a factor of 10, from one in a million to one in 100,000.
“It appears the state has kind of engineered the standards to come out where they want them to be or where might be acceptable to business interests,” Wilke said.
The state Department of Ecology says the Governor felt the compromise is necessary, because businesses have warned tightening the standard too much would prompt them to move jobs elsewhere.
And instead of just cleaning up the aftermath, Inslee is pushing for additional policies to discourage use of the chemicals in the first place, to “shift people away from using these kinds of things that are so problematic for the permit holders,” said Carol Kraege, who leads the state Department of Ecology’s toxics reduction efforts.
But the plaintiffs who brought suit for cleaner water say such policies might not make it through the Legislature. And they say a similar compromise was recently put forward in Idaho and rejected by the Environmental Protection Agency.