Psychosomatic effects may be contributing to the symptoms of headaches, fatigue, or respiratory issues being reported by some residents of East Palestine, Ohio, following a hazardous chemical spill last month, experts say.

But “psychosomatic” does not mean that the symptoms are made up, according to experts. There is a body of evidence that suggests that smelling chemicals believed to be dangerous can induce feelings of stress and fear, which may lead to physical symptoms.

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