Gina Doyle has lived in Piketon all her life. She keeps a running list of the people she knows who have battled cancer: the nurses she used to work with at Pleasant Hill Nursing Home, her neighbor across the street, a cousin, an aunt, a friend鈥檚 mother.
Some have died, others recovered, and many 鈥 like a local two-year-old 鈥 are still battling the disease.
鈥淚 could go on and on and on with who I know who I'm praying for right now,鈥 she said. 鈥淭here's a lot. It鈥檚 overwhelming at times.鈥
Like the rest of , are among the highest in the state.
The region has a lot of . People there are more likely to smoke and be obese 鈥 both other cancer risk factors.
But Doyle attributes the high cancer rates to the once booming cornerstone of the community, now a relic of the Cold War: the Portsmouth Gaseous Diffusion Plant.
Piketon鈥檚 sick workers
The in Piketon enriched uranium during the 1950s and 60s for the nation鈥檚 nuclear weapons program, and in the decades following for commercial nuclear reactors.
Many of the people who worked there were exposed to toxic and radioactive chemicals.
鈥淚 feel violated. They said I would get more radiation by getting on the plane than working out here.鈥Vina Colley, former plant worker
鈥淲hen I got hired here, I was a completely healthy worker,鈥 said Vina Colley, an electrician at the plant. 鈥淏ut after working here even three years, I started breaking out in rashes and I was getting sick.鈥
She鈥檚 battled health problems ever since: beryllium disease, chronic bronchitis, chronic obstructive pulmonary disease, neuropathy and heart failure.
She blames it all on her exposure at the plant.
鈥淚 feel violated,鈥 she said. 鈥淭hey knew it. They didn't tell me. They said I would get more radiation by getting on the plane than working out here.鈥
After years of making her case, Colley has received hundreds of thousands of dollars for lost wages and medical care.
The Department of Energy didn鈥檛 comment on her case specifically, but it like her, who have diseases that could have been caused by exposure, through the and the .
But the federal government does not compensate people who live in the area immediately surrounding the plant 鈥 even though many locals believe they were exposed too.
Did the plant contaminate the surrounding area?
At a creek just just down the road from the plant, Michael Ketterer bends down to scoop up samples of water and sediment.

鈥淚 want to measure the concentrations and isotope compositions of uranium, neptunium, plutonium and technetium-99,鈥 he explained.
Ketterer is a chemist and professor emeritus with Northern Arizona University. He studies environmental radioactivity at nuclear sites all over the country, and started taking samples here back in 2018.
He鈥檚 found evidence of enriched uranium 鈥 which the plant produced 鈥 in water, air monitors and homes within a 10- to 15-mile radius of it.
鈥淭here's clear evidence of contamination from the plant there,鈥 he said to a roomful of concerned citizens in early March.
In response to concerns like these, the Department of Energy consulted with the Agency for Toxic Substances and Disease Registry and released last month.
It also found evidence of the radionuclides Ketterer reported on, but says they鈥檙e in such low concentrations that they don鈥檛 pose a health risk.
鈥淔or the various uranium radionuclides, the radiological concentrations were within background concentration ranges of radionuclides found in Ohio and across the globe,鈥 the report read. 鈥淔or the environmental samples with transuranic radionuclides detected above screening values and above background levels, the measured concentrations resulted in estimated radiological doses that are more than 30,000 times lower than doses that have been observed to cause adverse health effects in human studies.鈥
Current legislation
Right now, that passed the senate would, among other things, give people who live around the country鈥檚 two other gaseous diffusion plants 鈥 in Oak Ridge, TN and Paducah, KY 鈥 lump sum payments of $50,000.
But Piketon is left out of the bill.
鈥淭hat's two out of three gaseous diffusion plants,鈥 Ketterer said. 鈥淲hy the hell not three out of three?鈥
It鈥檚 unclear exactly why Piketon wasn鈥檛 included.
Republican congressman Brad Wenstrup, who represents the area, says he鈥檚 concerned by the bill precisely because there鈥檚 no clear criteria for inclusion.
鈥淧reviously, this benefit only applied to areas contaminated by atmospheric weapons testing,鈥 his office said in a statement. 鈥淩ep. Wenstrup is concerned by this approach and will work with House leadership to fix these issues if the bill moves forward.鈥
In the meantime, Ohio Senator Sherrod Brown to work to include affected Pike and Scioto County residents in the legislation. Sen. J.D. Vance did not respond to a request for comment.
The bill faces an uncertain future in the House. And even if it does become law, $50,000 isn鈥檛 a lot of money in the face of large medical bills.
But many locals want to be included anyway.
It鈥檚 not just about the money, said Gina Doyle.
鈥淚t acknowledges that we're here, we're suffering, and you're the reason.鈥