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Smoke and industrial fumes rising form the refineries and waste-burning plants of Chester, Pennsylvania, a small town south of Philadelphia which has the reputation of being one of the three most polluted, most cancer-prone areas of America.

They had two drag me out of the operating room, says the weary chief surgeon Dr. Robert Muchler. 'We got the sickest kids, 26 of them. There were no infections.'

Juan Carlos Romer, 2, would have died before reaching his teens from his respiratory illness if he hadn't been operated on. Now he is awakened when his mother presses her face against his.

Ruth Quejeba has been moved from surgery to the ICU. As she is being comforted after the successful surgery, nurses and technicians rush to prepare to receive a new patient.

Allowed in the ICU, a mother prays at the bed of her son who's just out of surgery. The surgery was successful.

A child is dead. Dr. Maryanne Kichub and Dr. Tong Rossi comfort eachg other then discuss what occurred in the ICU, trying to figure out what went wrong.

Nurse Tricia Telesco hand pumps air into a patient during an emergency situation. Something has gone wrong with the respirator. There were also frequent electrical and equipment failures and a limited supply of compressed air.

A baby who has been successfully operated on is caught ina cob-web of arterial, intravenious and oxygen supply tubing.

The three doctors are Guatemalan surgeons observing how to accompish the difficult heart surgery.

A couple who has come from El Salvador to have their baby operated on, kiss the child goodbye at the makeshift entrance to the operating room. The child later died in the intensive care unit from possible respiratory failure.