Extending Vanessa Agard Jones’ powerful conception of “Bodies in the System” (2013), this presentation will share methods for attending to the madness of anthropocenic environmental health.  Revisiting the unrelenting ethnographic challenge of scale, sameness and difference, I will draw out the vitalities of toxic exposure in nuclear St. Louis, Louisiana’s Cancer Alley, and an array of legally designated disadvantaged communities in California. I’ll also address subsequent epistemic and communicative  dissonance and how this challenges environmental health governance.