St. John's Community Health staff providing assistance outside InnerCity Struggle in Boyle Heights on June 26, 2026. (Photo courtesy of St. John's Community Health)
St. John's Community Health staff providing assistance outside InnerCity Struggle in Boyle Heights on June 26, 2026. (Photo courtesy of St. John's Community Health)

Two months after the Lineage warehouse fire, Maria Mendez is still having trouble sleeping. The 68-year-old Boyle Heights resident has dealt with nausea, respiratory and eye problems, as well as anxiety attacks, since the June 17 blaze.

And she’s not alone. A new report from St. John’s Community Health found that nearly 36% of 1,306 patients seen at its mobile clinics between June 17 and July 31 had serious health problems the organization attributed to exposure to smoke and toxic chemicals.

The findings come weeks after Mayor Karen Bass faced criticism for saying the air was “not dangerous” in the early days of the fire. Bass later apologized for the confusion, saying “all smoke under all circumstances is harmful.”

The report offers an early look at the physical and mental health toll of the fire on residents of Boyle Heights and East Los Angeles. 

The health problems identified included acute upper respiratory infections, eye disorders and conjunctivitis, persistent cough and asthma exacerbation.

Maria Mendez of Boyle Heights talks about the symptoms she has experienced since the Lineage fire. (Alejandra Molina / Boyle Heights Beat)
Maria Mendez of Boyle Heights talks about the symptoms she has experienced since the Lineage fire at a press conference outside InnerCity Struggle on Tuesday, Aug. 18. (Alejandra Molina / Boyle Heights Beat)

“Our community, my friends, my neighbors have suffered in the past two months,” Mendez said, detailing the putrid odors and rat and fly infestation they’ve encountered as Lineage works to clean the food waste left behind by the fire. 

Jim Mangia, president and CEO of St. John’s Community Health, outlined the results at a press conference Tuesday at InnerCity Struggle in Boyle Heights. Among those there were residents, including Mendez, and community leaders Henry Perez, executive director of InnerCity Struggle, and Rudy Espinoza, executive director of Inclusive Action for the City.

Patients were largely Latino (91.7%), female (64.4%) and 50 or older (63.5%). The report found that 26.6% were diagnosed with toxic smoke exposure and 24.5% received hazardous substance diagnoses. 

Dozens of patients were prescribed anxiety and/or sleep medication to treat acute stress after the fire, which, according to St. John’s, was related to the following: environmental exposure, sleep disruption and insomnia, housing instability, lease termination requests, relocation concerns, ongoing uncertainty regarding environmental safety, and psychosocial distress associated with displacement and recovery. 

“What we’re seeing now are the acute impacts, but what we’re not seeing yet are the long term impacts, and that’s where you’re going to see the most damage,” Mangia said. 

“You’re going to see a significant increase in asthma rates in Boyle Heights. You’re going to see an increase in cardiac issues. You’re going to see an increase in mental health issues,” he added.

Cristian Morales walks from his nearby home to watch the fire with his five-year-old son Cristian Morales Jr. He's lived in the neighborhood for five years.
Cristian Morales walks from his nearby home to watch the fire with his five-year-old son Cristian Morales Jr. He’s lived in the neighborhood for five years. (Steve Saldivar/ The LA Local)

In the report, St. John’s noted that in one case, a patient with asthma arrived at a mobile clinic with “worsening shortness of breath.” Providers administered an urgent breathing treatment onsite and supplied inhaler medications to help manage ongoing symptoms, according to the report. 

Providers documented providing hydroxyzine therapy and discussing coping strategies with a patient experiencing anxiety, sleep disruption and environmental stress related to ongoing fire exposure concerns. 

Mangia also pushed back against South Coast AQMD and Lineage for stating that measured ammonia levels do not exceed the state threshold requiring action to protect public health.

“That’s a direct contradiction with what we’re seeing on the ground by serving and providing health care. We’re seeing the health impacts of this fire,” he said. “To claim that it’s not at toxic levels, it’s not at emergency levels, that’s all doublespeak.”

Mangia said they are seeing eye infections “that we can’t get rid of” and asthma attacks in children.

“We always track the health conditions of the people we serve. We tracked it before the fire, and we saw a complete difference in the health conditions from before and now. So, that’s public proof,” Mangia said. 

My background: I was part of the team that launched De Los, a new section of the Los Angeles Times exploring Latino identity. I’ve been a local reporter for The Press-Enterprise in Riverside, The San Gabriel Valley Tribune, and The Orange County Register. You can find my writing on religion, food, and culture in The Atlantic, Eater, the Associated Press, the Washington Post, and Religion News Service. My upbringing spans South Central, El Monte, and Pomona.

What I do: A Report for America corps member, I write about how decisions surrounding immigration, city hall, schools, health, religion and culture impact Boyle Heights and East LA. I do this by spending time with residents and community members, reaching out to civic and elected leaders, and by analyzing related research. I've also mentored Boyle Heights Beat youth journalists.

Why LA: It’s where I’m from. Reporting and living here means appreciating the different neighborhood identities that make up LA. Also, nothing beats walking along the LA River, hiking at Debs Park, or catching a sunset while running on the Sixth Street Bridge in Boyle Heights.

The best way to contact me: My email is alejandra.molina@boyleheightsbeat.org.

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