 A California Department of Public Health (CDPH) update for 2009-2011 concluded that the rates of birth defects in Kettleman City in 2010 and 2011 appear to be returning to the lower rates seen prior to 2008.CDPH reviewed the Birth Defects Registry data from Kettleman City and still did not find a common cause for the birth defects.The issue in Kettleman City has resulted in much discussion over the financial implications for the county, city, and company.