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Flint, Michigan, the city portrayed as the embodiment of a rust belt city abandoned by deindustrialization in Michael Moore’s allegorical documentary, Roger & Me, has recently become a morality play of a different sort as it captures national headlines highlighting a controversial series of decisions creating a major public health crisis that threatens the health of Flint’s children.

After numerous complaints of the rising costs of the City of Detroit’s water and sewerage system, which the city had been dependent on for decades, the City of Flint’s controversial, non-elected, state appointed emergency manager decided in 2013 to switch from Detroit’s water system, and obtain water for the city from the Flint River until an alternative source could be developed. The decision insured, if nothing else, that banks and bondholders to which the city is indebted, would be paid.

The decision ended up being a tragic mistake of major proportions. After the switch was made in April 2014 problems soon developed because the Flint River’s water proved to be highly corrosive, releasing lead from the old plumbing fixtures in Flint’s homes, factories, and schools. The water was so corrosive that the local GM engine plant switched their plant’s water system to another supplier because the automaker was concerned that the Flint River water would corrode their auto parts.

Tragically, the situation could have been avoided if the state had followed the EPA mandate to install corrosive preventative measures when lead levels in drinking water exceed recommended levels. State officials further undermined the state’s integrity and the public’s confidence by claiming they were not required to install mandatory corrosive controls.

As lead levels rapidly rose to levels far exceeding the U.S. EPA’s recommended lead levels in public drinking water, Flint residents complained of malodorous, darkly colored water flowing from their home faucets, hair loss, headaches, and itchy eyes. Eventually some residents, including children, were diagnosed with lead poisoning.

Local officials downplayed the residents’ complaints and insisted that the water was safe to drink. For over a year, during which a series of mind-baffling decisions were made by the state, officials continued to downplay and deny the existence of a crisis. In an effort to avoid the scrutiny of the public, researchers, and federal authorities, state officials seemed to have chosen state and bureaucratic interests over and above the public good, creating a vortex of uncertainty and unnecessarily and inexcusably prolonging the crisis. The river water increased the exposure of Flint residents to lead, a potent neurotoxin that crosses the brain’s barrier and can adversely affect nearly every system in the body. Lead endangers the health of both children and adults causing slow growth, learning disabilities, anemia, and hearing problems. Children and pregnant women are especially vulnerable to the adverse effects of lead.

As evidence continued to mount that there was a serious public health problem, local and state officials continued to downplay the situation, deny that there was a problem, and deceive the public even when scientific evidence emerged contradicting their claims . Residents were stunned when documents obtained through the Freedom of Information Act (FOIA) revealed that the Michigan Department of Environmental Quality and state public health officials had, in an effort to deceive the public, altered documents contradicting the officials’ claim that the water was safe to drink.

In the ensuing months as state officials continued their denials and cover-ups local residents and independent public health researchers accused officials of hiding data, misleading the public and ignoring solid scientific research that clearly demonstrated the public was at risk. Independent researchers from the University of Virginia provided robust evidence demonstrating that lead levels in sampled city water exceeded 100 parts per billion.

This was a staggering finding: the EPA allows only 15 parts per billion in drinking water and, in reality, there is really no level that is considered to be safe. Additionally, a team of physicians and public health researchers published a report that showed that elevated lead blood levels increased after the water switch from 2.9% to 4.9% and in some neighborhoods rose as high as 6.3%.

Residents were further shocked when it was eventually revealed, through yet another FOIA request, that city, county, and state officials believed in the aftermath of the water switch that a deadly Legionnaire’s disease outbreak, resulting in the death of ten people, may have been attributable to the switch of the city’s water to the polluted waters of the Flint River.

Outrage continued recently when it was revealed that top administrators in the EPA’s regional Midwest office were aware, as long ago as last April, of Flint’s failure to install mandatory corrosion controls and the potential for adverse public health effects. Instead of informing the public of their concern, they delayed releasing the information to the public for several months while they battled with the state over EPA’s legal authority to enforce the federal mandate requiring Flint to install corrosion controls.

Over a year and a half after the crisis began, the state finally relented. Governor Snyder tardily apologized for the tragedy to the citizens of Flint, declared a state emergency, called out National Guard troops to distribute bottled water, and eventually asked President Obama to declare a national emergency, which would enable the state to receive federal assistance. On January 16, 2016 President Obama declared a ninety-day federal emergency, thereby qualifying the city of Flint to receive bottled water, water filters, filter cartridges and other items. Unfortunately, the declaration does not provide the state of Michigan with an estimated $600 million dollars necessary to replace Flint’s deteriorating water system, which may be the only way to fully alleviate the problem in the long-term.

Local and national media coverage of this tragic event has garnered considerable national attention resulting in calls ranging from a demand for a federal investigation to the arrest of Governor Snyder (a man whose corporate approach to government and reliance on unelected, state appointed emergency managers is thought by many to undermine local democracy). There are even some people who embrace a conspiracy theory that the children of Flint were poisoned intentionally.

Outrage has been propelled not only by what some believe to be gross malfeasance but also because of the fact that Flint, one of the poorest municipalities in the State of Michigan, has long suffered from racial discrimination, and ranks at the bottom of the state in rates of childhood poverty – as well as the glaring fact that 41.5 % of its residents live below the poverty level and nearly 60% of Flint residents are African American (see Hanna, A. J. Le Chance, R.C. Sadler, A. C. Schnepp. 2015 “Elevated lead levels in children associated with the Flint drinking water crisis: A spatial analysis of risk and public health response.” American Journal of Public Health. Available online: http://ajph.aphapublications.org/doi/pdf/10.2105/AJPH.2015.303003); all of which, even upon initial observation, makes a compelling case for a morality play about structural violence.

This article originally appeared in Food Anthropology.