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"content": "\u003cp>Oakland is at risk of financial insolvency if it does not significantly slash its spending by the end of the calendar year, a top city official warned this week, raising the stakes of \u003ca href=\"https://www.kqed.org/news/12010521/oaklands-fiscal-crisis-budget-cuts-coming-even-with-coliseum-sale\">a budget crisis that has threatened major cuts\u003c/a>.\u003c/p>\n\u003cp>The dire warning came at a special City Council meeting on Tuesday, where council members were told that Oakland is looking at a $93 million budget shortfall for the fiscal year that ends in June if the city continues to spend at its current rate.\u003c/p>\n\u003cp>“We have a significant preexisting structural issue as an organization…. Now is the time that we have to take action to solve it,” City Administrator Jestin Johnson said. “We must take action over the course of the next month and a half to preserve our solvency.”\u003c/p>\n\u003cp>For a few days, the fiscal crisis raised the specter of bankruptcy after a draft of the city’s latest financial report was erroneously posted Friday, mentioning the Chapter 9 process as a possibility. Oakland officials now say the city is not discussing bankruptcy, and the city has removed the language from its report — and clarified that the discussion is “premature.”\u003c/p>\n\u003cp>Still, \u003ca href=\"https://www.kqed.org/news/12009486/oaklands-finances-significant-risk-report-warns-coliseum-sale-raises-questions\">Oakland’s money problems are real\u003c/a> and must be addressed quickly. Here’s what that could look like.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003ch2>Where does Oakland stand?\u003c/h2>\n\u003cp>During the 2023–24 fiscal year, the city overspent by more than $27.5 million and had to dip into emergency reserves to pay its bills. City policy requires that these reserves stay above 7.5% of the city’s general purpose fund. If it isn’t restored by the end of this fiscal year, Oakland will have to declare a fiscal emergency.\u003c/p>\n\u003cp>According to a resolution adopted in 2023 on the use of one-time revenues to plug budget holes, Oakland defines a fiscal emergency as the “last and most severe stage of a government entity’s financial solvency problems.”\u003c/p>\n\u003cp>“An unusual, unanticipated and seemingly insurmountable event or hardship of the city, one such as a natural disaster, ‘acts of god’ or war, public emergency or other unforeseen catastrophic event requiring the use of Emergency Reserves to sustain the most basic operations,” the definition continues.\u003c/p>\n\u003cp>Oakland Finance Director Erin Roseman said the City Council will need to identify roughly $115 million in cuts to balance this year’s budget and replenish the emergency fund.\u003c/p>\n\u003cp>To avoid an irrecoverable financial state, the council will need to make these decisions before the end of December, according to Johnson.\u003c/p>\n\u003cfigure id=\"attachment_12006776\" class=\"wp-caption aligncenter\" style=\"max-width: 2000px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-12006776\" src=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2024/09/240926-LAST-AS-HOME-GAME-MD-09KQED-5.jpg\" alt=\"\" width=\"2000\" height=\"1333\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2024/09/240926-LAST-AS-HOME-GAME-MD-09KQED-5.jpg 2000w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/09/240926-LAST-AS-HOME-GAME-MD-09KQED-5-800x533.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/09/240926-LAST-AS-HOME-GAME-MD-09KQED-5-1020x680.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/09/240926-LAST-AS-HOME-GAME-MD-09KQED-5-160x107.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/09/240926-LAST-AS-HOME-GAME-MD-09KQED-5-1536x1024.jpg 1536w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/09/240926-LAST-AS-HOME-GAME-MD-09KQED-5-1920x1280.jpg 1920w\" sizes=\"(max-width: 2000px) 100vw, 2000px\">\u003cfigcaption class=\"wp-caption-text\">The Oakland Coliseum in Oakland on Sept. 26, 2024. \u003ccite>(Martin do Nascimento/KQED)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003ch2>What’s going on with the Coliseum sale?\u003c/h2>\n\u003cp>Oakland already triggered a contingency budget plan that made some fairly drastic cuts in September after the city \u003ca href=\"https://www.kqed.org/news/12007771/new-oakland-coliseum-sale-deal-raises-questions-about-delayed-payment-and-citys-budget\" target=\"_blank\" rel=\"noopener\">amended its deal to sell its share of the Oakland Coliseum\u003c/a>. Revenue from that sale to the African American Sports and Entertainment Group was budgeted to fill this year’s shortfall, but now, the funds won’t be available until May at the earliest.\u003c/p>\n\u003cp>Under the contingency, which Johnson previously described as pulling the “\u003ca href=\"https://www.kqed.org/news/12009486/oaklands-finances-significant-risk-report-warns-coliseum-sale-raises-questions\">emergency brake\u003c/a>” on spending, Oakland has implemented a hiring freeze, delayed a police academy class, halted unfinalized contracts and grant agreements and more.\u003c/p>\n\u003cp>It has not made the significant public safety cuts included in the contingency plan yet, but Johnson said that since the police and fire departments are the city’s biggest spenders, that will become unavoidable. The Fire Department is expected to exceed its budget by $34 million this fiscal year, and the Police Department is on track to overspend by $52 million.\u003c/p>\n\u003cp>There is also a question of whether that sale could fall through altogether. AASEG sent the city a first payment of $5 million upon signing the deal in July but has missed originally scheduled payments since.\u003c/p>\n\u003cp>The \u003ca href=\"https://www.kqed.org/news/12007771/new-oakland-coliseum-sale-deal-raises-questions-about-delayed-payment-and-citys-budget\">revised sale agreement\u003c/a> with AASEG pushed back the payment schedule and consolidated it so that the deal would close within the fiscal year, but it also delayed a payment expected in September, triggering the contingency. Under the new schedule, the second payment was due Nov. 7. That $10 million still has not been received by the city.\u003c/p>\n\u003cp>Oakland said this is because AASEG is also buying the Oakland A’s 50% stake in the Coliseum, which can only be sold with the Alameda County Board of Supervisors’ approval. That body has delayed setting a time to vote on approving the deal, and it is unclear if it will happen before the end of the year. Supervisor David Haubert told ABC 7 News on Nov. 12 that he is pushing for the \u003ca href=\"https://abc7news.com/post/alameda-county-board-supervisors-delay-approval-oakland-coliseum-sale/15541600/\">vote within weeks\u003c/a>, not months.\u003c/p>\n\u003ch2>So why are people talking about bankruptcy?\u003c/h2>\n\u003cp>The draft of Oakland’s first-quarter fiscal report that the city posted Friday said the quarter’s spending indicated that immediate action was needed to “avoid the Chapter 9 process,” referring to filing for bankruptcy.\u003c/p>\n\u003cp>“Failure to take dramatic and immediate steps to reduce expenditures will almost certainly result in insolvency,” it continued.\u003c/p>\n\u003cp>Though the report was quickly replaced by a new version without mention of Chapter 9, Johnson very clearly told council members on Tuesday that they needed to take swift and strong budget action.\u003c/p>\n\u003cp>He also noted looming federal changes under the second \u003ca href=\"https://www.kqed.org/news/tag/donald-trump\">Donald Trump\u003c/a> administration that could hurt Oakland’s budget, including a potential reduction of federal funds for \u003ca href=\"https://www.kqed.org/news/12009791/california-congressman-fights-to-protect-head-start-amid-project-2025-concerns\">programs like Head Start\u003c/a> and Community Development Block Grants, as well as impacts to the local economy and the city’s spending costs if President-elect Trump’s tariff plan is executed.\u003c/p>\n\u003cp>If Trump carries out planned mass deportations, it could have even more dire consequences, Johnson said.\u003c/p>\n\u003cp>“The economic impacts of a tenth of that action will make the other things I mentioned look small,” he said. “None of that is factored in. There are downside impacts that we have to consider as well.”\u003c/p>\n\u003cfigure id=\"attachment_98178\" class=\"wp-caption aligncenter\" style=\"max-width: 3000px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-98178\" src=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2013/05/vallejo.jpg\" alt=\"\" width=\"3000\" height=\"1978\">\u003cfigcaption class=\"wp-caption-text\">Georgia Street in downtown Vallejo, which filed for bankruptcy in 2008. (Justin Sulivan/Getty Images)\u003c/figcaption>\u003c/figure>\n\u003ch2>Is this precedented?\u003c/h2>\n\u003cp>If Oakland were to file for bankruptcy, it would be the fourth major California city to do so and the third in Northern California. In the throes of the Great Recession, \u003ca href=\"https://www.kqed.org/forum/2010101864150/forum-on-the-road-vallejos-bankruptcy-10-years-later\">Vallejo filed for bankruptcy in 2008\u003c/a>, and Stockton wasn’t far behind in 2012.\u003c/p>\n\u003cp>Both of those cities have worked their way back to fiscal health, and now Stockton’s budget is larger than Oakland’s. But according to former Stockton Mayor \u003ca href=\"https://www.kqed.org/news/tag/michael-tubbs\">Michael Tubbs\u003c/a>, it has been a long road.\u003c/p>\n\u003cp>“We had to work together and make really hard, painful, difficult decisions that the city is still recovering from,” said Tubbs, who joined the City Council in 2013 and served as mayor while the city was exiting bankruptcy, from 2017 to 2021.\u003c/p>\n\u003cp>“One thing that’s for certain is that those would be painful cuts, and there will be sort of a baseline level of service delivery that will be very meager,” he continued. “And that is not what the citizens deserve.”\u003c/p>\n\u003ch2>What happens in a municipal bankruptcy?\u003c/h2>\n\u003cp>When a city files for bankruptcy, it has to enter into a settlement agreement with all of its claimants — the people or entities to whom the city owes or pays money. These include bondholders, bargaining units, individuals or companies who have pending litigation with the city and capital market creditors, among others.\u003c/p>\n\u003cp>A bankruptcy judge must approve all of the settlements as part of the city’s plan of adjustment.\u003c/p>\n\u003cp>At the same time, Tubbs said, city officials have to make significant budget reductions, which he called “draconian.”\u003c/p>\n\u003cfigure id=\"attachment_11777793\" class=\"wp-caption aligncenter\" style=\"max-width: 1920px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-11777793\" src=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2019/10/Michael-Tubbs-Stockton.jpg\" alt=\"Stockton Mayor Michael Tubbs, 29, stands in front of City Hall. Soon his staff will move out to make way for new lofts and other downtown developments. Tubbs says the key to revitalizing the city is lifting people out of poverty.\" width=\"1920\" height=\"1280\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2019/10/Michael-Tubbs-Stockton.jpg 1920w, https://cdn.kqed.org/wp-content/uploads/sites/10/2019/10/Michael-Tubbs-Stockton-160x107.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2019/10/Michael-Tubbs-Stockton-800x533.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2019/10/Michael-Tubbs-Stockton-1020x680.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2019/10/Michael-Tubbs-Stockton-1200x800.jpg 1200w\" sizes=\"(max-width: 1920px) 100vw, 1920px\">\u003cfigcaption class=\"wp-caption-text\">Michael Tubbs, then Stockton’s mayor, in front of City Hall. \u003ccite>(Andrew Nixon/California Dream)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003ch2>What could get cut?\u003c/h2>\n\u003cp>This includes service reductions pretty much across the board.\u003c/p>\n\u003cp>“We had to close down libraries, cut parks and recreation programs, we weren’t able to do maintenance,” Tubbs said.\u003c/p>\n\u003cp>Stockton also had to lay off city staff, including roughly a third of public safety officers, Tubbs said.\u003c/p>\n\u003cp>“We saw longer response times. We saw a triage situation where officers weren’t able to respond to all crimes and had to really prioritize violent crimes,” he told KQED.\u003c/p>\n\u003cp>When Vallejo declared bankruptcy, it had to close three of its eight fire stations, according to an \u003ca href=\"https://www.npr.org/2012/07/11/156621232/what-happens-when-a-city-declares-bankruptcy#:~:text=For%20example%2C%20when%20the%20city,medical%20emergency%20or%20a%20fire.\">interview\u003c/a> with then-City Manager Phil Batchelor on NPR’s \u003cem>Talk of the Nation\u003c/em> in 2012.\u003c/p>\n\u003cp>Oaklanders are especially concerned with cuts to the fire and police departments. The city already has a struggling \u003ca href=\"https://www.kqed.org/news/12003276/oaklands-beleaguered-911-dispatch-still-far-behind-state-standards-but-improving\">911 dispatch system\u003c/a>, and multiple council members pointed out that a \u003ca href=\"https://www.kqed.org/news/12010151/oakland-fire-spreads-to-nearby-homes-amid-dry-windy-conditions\">five-alarm fire in the Oakland Hills\u003c/a> last month would have been nearly impossible to fight with the contingency budget’s cuts in place.\u003c/p>\n\u003ch2>Other side effects?\u003c/h2>\n\u003cp>Tubbs said bankruptcy also carries a stigma. Fewer businesses want to come into the city, and residents are less trusting of the government — and, therefore, less likely to pass tax measures that would increase its revenue.\u003c/p>\n\u003cp>In Stockton, he said, “Every time there’s a tax measure, it’s a fight. The tax measure we ran to fund our bankruptcy [recovery] didn’t get 90% of the vote. I think it passed like 53% to 52%. It becomes very difficult to earn back trust.”\u003c/p>\n\u003cp>Recovery is possible, though. Stockton now has one of the most solvent budgets in the state and has instituted policies that protect it from dipping into dangerous spending again.\u003c/p>\n\u003cp>Tubbs said the keys are not spending one-time funds on long-term costs — one of the largest criticisms of the Coliseum deal — along with having a reserve equal to a third of the city’s budget and creating a tool that provides a long-range forecast of how new spending would affect cash flow long term.\u003c/p>\n\u003cfigure id=\"attachment_12010225\" class=\"wp-caption aligncenter\" style=\"max-width: 2000px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-12010225\" src=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2024/10/241018-KELLER-FIRE-MD-06-KQED.jpg\" alt=\"\" width=\"2000\" height=\"1333\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2024/10/241018-KELLER-FIRE-MD-06-KQED.jpg 2000w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/10/241018-KELLER-FIRE-MD-06-KQED-800x533.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/10/241018-KELLER-FIRE-MD-06-KQED-1020x680.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/10/241018-KELLER-FIRE-MD-06-KQED-160x107.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/10/241018-KELLER-FIRE-MD-06-KQED-1536x1024.jpg 1536w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/10/241018-KELLER-FIRE-MD-06-KQED-1920x1280.jpg 1920w\" sizes=\"(max-width: 2000px) 100vw, 2000px\">\u003cfigcaption class=\"wp-caption-text\">Oakland Mayor Sheng Thao (left) and Oakland Fire Chief Damon Covington address the press at the Keller Fire in Oakland on Oct. 18, 2024. \u003ccite>(Martin do Nascimento/KQED)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003ch2>What will happen in Oakland?\u003c/h2>\n\u003cp>There are lots of unknowns surrounding what the next few make-or-break weeks will look like for Oakland.\u003c/p>\n\u003cp>At Tuesday’s meeting, Councilmember Rebecca Kaplan set an agenda item for December to consider moving up to $30 million from the city’s self-insurance liability fund to its general purpose fund reserve to patch the leftover deficit and avoid a fiscal emergency. Council President Nikki Fortunato Bas seemed to show support for the move, but Councilmember Dan Kalb said he wouldn’t feel comfortable moving a full $30 million for that purpose.\u003c/p>\n\u003cp>There will also be big leadership changes before the end of the year. After Mayor Sheng Thao was \u003ca href=\"https://www.kqed.org/news/12012357/sheng-thao-accepts-defeat-in-contentious-oakland-mayoral-recall\">recalled by voters\u003c/a> this month, Bas is set to take over as interim mayor until a special election is held. This could be thrown into question, though, since she is awaiting final results in a race for the \u003ca href=\"https://www.kqed.org/news/12014241/what-happens-now-oaklands-mayor-recalled-could-get-messy\">Alameda County Board of Supervisors\u003c/a> that is still too close to call.\u003c/p>\n\u003cp>If she is elected supervisor, she could theoretically serve as interim mayor for a few weeks, but once sworn onto the board in January, the city will have to appoint a different interim leader at this critical time.\u003c/p>\n\u003cp>Still, Oakland officials and Tubbs expressed that there’s still time for the city to back off of its fiscal cliff — if it navigates the situation urgently and carefully.\u003c/p>\n\u003cp>“Oakland is too important of a city for California to be left bankrupt,” Tubbs said. “We have to get this right in Oakland…. It’s a place of culture. It’s a place of activism. It’s a place where justice is found. It’s a place of creativity. It’s a place of diversity. It’s a place that is so important, particularly at this moment. So we have to make sure that it works.”\u003c/p>\n\u003cp>[ad floatright]\u003c/p>\n",
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"excerpt": "Oakland’s budget crisis has left it needing to significantly slash spending by the end of the year, a top city official warned this week. Here’s what that means.",
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"title": "Oakland Is at Risk of Financial Insolvency. Is Bankruptcy on the Table? | KQED",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>Oakland is at risk of financial insolvency if it does not significantly slash its spending by the end of the calendar year, a top city official warned this week, raising the stakes of \u003ca href=\"https://www.kqed.org/news/12010521/oaklands-fiscal-crisis-budget-cuts-coming-even-with-coliseum-sale\">a budget crisis that has threatened major cuts\u003c/a>.\u003c/p>\n\u003cp>The dire warning came at a special City Council meeting on Tuesday, where council members were told that Oakland is looking at a $93 million budget shortfall for the fiscal year that ends in June if the city continues to spend at its current rate.\u003c/p>\n\u003cp>“We have a significant preexisting structural issue as an organization…. Now is the time that we have to take action to solve it,” City Administrator Jestin Johnson said. “We must take action over the course of the next month and a half to preserve our solvency.”\u003c/p>\n\u003cp>For a few days, the fiscal crisis raised the specter of bankruptcy after a draft of the city’s latest financial report was erroneously posted Friday, mentioning the Chapter 9 process as a possibility. Oakland officials now say the city is not discussing bankruptcy, and the city has removed the language from its report — and clarified that the discussion is “premature.”\u003c/p>\n\u003cp>Still, \u003ca href=\"https://www.kqed.org/news/12009486/oaklands-finances-significant-risk-report-warns-coliseum-sale-raises-questions\">Oakland’s money problems are real\u003c/a> and must be addressed quickly. Here’s what that could look like.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003ch2>Where does Oakland stand?\u003c/h2>\n\u003cp>During the 2023–24 fiscal year, the city overspent by more than $27.5 million and had to dip into emergency reserves to pay its bills. City policy requires that these reserves stay above 7.5% of the city’s general purpose fund. If it isn’t restored by the end of this fiscal year, Oakland will have to declare a fiscal emergency.\u003c/p>\n\u003cp>According to a resolution adopted in 2023 on the use of one-time revenues to plug budget holes, Oakland defines a fiscal emergency as the “last and most severe stage of a government entity’s financial solvency problems.”\u003c/p>\n\u003cp>“An unusual, unanticipated and seemingly insurmountable event or hardship of the city, one such as a natural disaster, ‘acts of god’ or war, public emergency or other unforeseen catastrophic event requiring the use of Emergency Reserves to sustain the most basic operations,” the definition continues.\u003c/p>\n\u003cp>Oakland Finance Director Erin Roseman said the City Council will need to identify roughly $115 million in cuts to balance this year’s budget and replenish the emergency fund.\u003c/p>\n\u003cp>To avoid an irrecoverable financial state, the council will need to make these decisions before the end of December, according to Johnson.\u003c/p>\n\u003cfigure id=\"attachment_12006776\" class=\"wp-caption aligncenter\" style=\"max-width: 2000px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-12006776\" src=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2024/09/240926-LAST-AS-HOME-GAME-MD-09KQED-5.jpg\" alt=\"\" width=\"2000\" height=\"1333\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2024/09/240926-LAST-AS-HOME-GAME-MD-09KQED-5.jpg 2000w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/09/240926-LAST-AS-HOME-GAME-MD-09KQED-5-800x533.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/09/240926-LAST-AS-HOME-GAME-MD-09KQED-5-1020x680.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/09/240926-LAST-AS-HOME-GAME-MD-09KQED-5-160x107.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/09/240926-LAST-AS-HOME-GAME-MD-09KQED-5-1536x1024.jpg 1536w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/09/240926-LAST-AS-HOME-GAME-MD-09KQED-5-1920x1280.jpg 1920w\" sizes=\"(max-width: 2000px) 100vw, 2000px\">\u003cfigcaption class=\"wp-caption-text\">The Oakland Coliseum in Oakland on Sept. 26, 2024. \u003ccite>(Martin do Nascimento/KQED)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003ch2>What’s going on with the Coliseum sale?\u003c/h2>\n\u003cp>Oakland already triggered a contingency budget plan that made some fairly drastic cuts in September after the city \u003ca href=\"https://www.kqed.org/news/12007771/new-oakland-coliseum-sale-deal-raises-questions-about-delayed-payment-and-citys-budget\" target=\"_blank\" rel=\"noopener\">amended its deal to sell its share of the Oakland Coliseum\u003c/a>. Revenue from that sale to the African American Sports and Entertainment Group was budgeted to fill this year’s shortfall, but now, the funds won’t be available until May at the earliest.\u003c/p>\n\u003cp>Under the contingency, which Johnson previously described as pulling the “\u003ca href=\"https://www.kqed.org/news/12009486/oaklands-finances-significant-risk-report-warns-coliseum-sale-raises-questions\">emergency brake\u003c/a>” on spending, Oakland has implemented a hiring freeze, delayed a police academy class, halted unfinalized contracts and grant agreements and more.\u003c/p>\n\u003cp>It has not made the significant public safety cuts included in the contingency plan yet, but Johnson said that since the police and fire departments are the city’s biggest spenders, that will become unavoidable. The Fire Department is expected to exceed its budget by $34 million this fiscal year, and the Police Department is on track to overspend by $52 million.\u003c/p>\n\u003cp>There is also a question of whether that sale could fall through altogether. AASEG sent the city a first payment of $5 million upon signing the deal in July but has missed originally scheduled payments since.\u003c/p>\n\u003cp>The \u003ca href=\"https://www.kqed.org/news/12007771/new-oakland-coliseum-sale-deal-raises-questions-about-delayed-payment-and-citys-budget\">revised sale agreement\u003c/a> with AASEG pushed back the payment schedule and consolidated it so that the deal would close within the fiscal year, but it also delayed a payment expected in September, triggering the contingency. Under the new schedule, the second payment was due Nov. 7. That $10 million still has not been received by the city.\u003c/p>\n\u003cp>Oakland said this is because AASEG is also buying the Oakland A’s 50% stake in the Coliseum, which can only be sold with the Alameda County Board of Supervisors’ approval. That body has delayed setting a time to vote on approving the deal, and it is unclear if it will happen before the end of the year. Supervisor David Haubert told ABC 7 News on Nov. 12 that he is pushing for the \u003ca href=\"https://abc7news.com/post/alameda-county-board-supervisors-delay-approval-oakland-coliseum-sale/15541600/\">vote within weeks\u003c/a>, not months.\u003c/p>\n\u003ch2>So why are people talking about bankruptcy?\u003c/h2>\n\u003cp>The draft of Oakland’s first-quarter fiscal report that the city posted Friday said the quarter’s spending indicated that immediate action was needed to “avoid the Chapter 9 process,” referring to filing for bankruptcy.\u003c/p>\n\u003cp>“Failure to take dramatic and immediate steps to reduce expenditures will almost certainly result in insolvency,” it continued.\u003c/p>\n\u003cp>Though the report was quickly replaced by a new version without mention of Chapter 9, Johnson very clearly told council members on Tuesday that they needed to take swift and strong budget action.\u003c/p>\n\u003cp>He also noted looming federal changes under the second \u003ca href=\"https://www.kqed.org/news/tag/donald-trump\">Donald Trump\u003c/a> administration that could hurt Oakland’s budget, including a potential reduction of federal funds for \u003ca href=\"https://www.kqed.org/news/12009791/california-congressman-fights-to-protect-head-start-amid-project-2025-concerns\">programs like Head Start\u003c/a> and Community Development Block Grants, as well as impacts to the local economy and the city’s spending costs if President-elect Trump’s tariff plan is executed.\u003c/p>\n\u003cp>If Trump carries out planned mass deportations, it could have even more dire consequences, Johnson said.\u003c/p>\n\u003cp>“The economic impacts of a tenth of that action will make the other things I mentioned look small,” he said. “None of that is factored in. There are downside impacts that we have to consider as well.”\u003c/p>\n\u003cfigure id=\"attachment_98178\" class=\"wp-caption aligncenter\" style=\"max-width: 3000px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-98178\" src=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2013/05/vallejo.jpg\" alt=\"\" width=\"3000\" height=\"1978\">\u003cfigcaption class=\"wp-caption-text\">Georgia Street in downtown Vallejo, which filed for bankruptcy in 2008. (Justin Sulivan/Getty Images)\u003c/figcaption>\u003c/figure>\n\u003ch2>Is this precedented?\u003c/h2>\n\u003cp>If Oakland were to file for bankruptcy, it would be the fourth major California city to do so and the third in Northern California. In the throes of the Great Recession, \u003ca href=\"https://www.kqed.org/forum/2010101864150/forum-on-the-road-vallejos-bankruptcy-10-years-later\">Vallejo filed for bankruptcy in 2008\u003c/a>, and Stockton wasn’t far behind in 2012.\u003c/p>\n\u003cp>Both of those cities have worked their way back to fiscal health, and now Stockton’s budget is larger than Oakland’s. But according to former Stockton Mayor \u003ca href=\"https://www.kqed.org/news/tag/michael-tubbs\">Michael Tubbs\u003c/a>, it has been a long road.\u003c/p>\n\u003cp>“We had to work together and make really hard, painful, difficult decisions that the city is still recovering from,” said Tubbs, who joined the City Council in 2013 and served as mayor while the city was exiting bankruptcy, from 2017 to 2021.\u003c/p>\n\u003cp>“One thing that’s for certain is that those would be painful cuts, and there will be sort of a baseline level of service delivery that will be very meager,” he continued. “And that is not what the citizens deserve.”\u003c/p>\n\u003ch2>What happens in a municipal bankruptcy?\u003c/h2>\n\u003cp>When a city files for bankruptcy, it has to enter into a settlement agreement with all of its claimants — the people or entities to whom the city owes or pays money. These include bondholders, bargaining units, individuals or companies who have pending litigation with the city and capital market creditors, among others.\u003c/p>\n\u003cp>A bankruptcy judge must approve all of the settlements as part of the city’s plan of adjustment.\u003c/p>\n\u003cp>At the same time, Tubbs said, city officials have to make significant budget reductions, which he called “draconian.”\u003c/p>\n\u003cfigure id=\"attachment_11777793\" class=\"wp-caption aligncenter\" style=\"max-width: 1920px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-11777793\" src=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2019/10/Michael-Tubbs-Stockton.jpg\" alt=\"Stockton Mayor Michael Tubbs, 29, stands in front of City Hall. Soon his staff will move out to make way for new lofts and other downtown developments. Tubbs says the key to revitalizing the city is lifting people out of poverty.\" width=\"1920\" height=\"1280\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2019/10/Michael-Tubbs-Stockton.jpg 1920w, https://cdn.kqed.org/wp-content/uploads/sites/10/2019/10/Michael-Tubbs-Stockton-160x107.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2019/10/Michael-Tubbs-Stockton-800x533.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2019/10/Michael-Tubbs-Stockton-1020x680.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2019/10/Michael-Tubbs-Stockton-1200x800.jpg 1200w\" sizes=\"(max-width: 1920px) 100vw, 1920px\">\u003cfigcaption class=\"wp-caption-text\">Michael Tubbs, then Stockton’s mayor, in front of City Hall. \u003ccite>(Andrew Nixon/California Dream)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003ch2>What could get cut?\u003c/h2>\n\u003cp>This includes service reductions pretty much across the board.\u003c/p>\n\u003cp>“We had to close down libraries, cut parks and recreation programs, we weren’t able to do maintenance,” Tubbs said.\u003c/p>\n\u003cp>Stockton also had to lay off city staff, including roughly a third of public safety officers, Tubbs said.\u003c/p>\n\u003cp>“We saw longer response times. We saw a triage situation where officers weren’t able to respond to all crimes and had to really prioritize violent crimes,” he told KQED.\u003c/p>\n\u003cp>When Vallejo declared bankruptcy, it had to close three of its eight fire stations, according to an \u003ca href=\"https://www.npr.org/2012/07/11/156621232/what-happens-when-a-city-declares-bankruptcy#:~:text=For%20example%2C%20when%20the%20city,medical%20emergency%20or%20a%20fire.\">interview\u003c/a> with then-City Manager Phil Batchelor on NPR’s \u003cem>Talk of the Nation\u003c/em> in 2012.\u003c/p>\n\u003cp>Oaklanders are especially concerned with cuts to the fire and police departments. The city already has a struggling \u003ca href=\"https://www.kqed.org/news/12003276/oaklands-beleaguered-911-dispatch-still-far-behind-state-standards-but-improving\">911 dispatch system\u003c/a>, and multiple council members pointed out that a \u003ca href=\"https://www.kqed.org/news/12010151/oakland-fire-spreads-to-nearby-homes-amid-dry-windy-conditions\">five-alarm fire in the Oakland Hills\u003c/a> last month would have been nearly impossible to fight with the contingency budget’s cuts in place.\u003c/p>\n\u003ch2>Other side effects?\u003c/h2>\n\u003cp>Tubbs said bankruptcy also carries a stigma. Fewer businesses want to come into the city, and residents are less trusting of the government — and, therefore, less likely to pass tax measures that would increase its revenue.\u003c/p>\n\u003cp>In Stockton, he said, “Every time there’s a tax measure, it’s a fight. The tax measure we ran to fund our bankruptcy [recovery] didn’t get 90% of the vote. I think it passed like 53% to 52%. It becomes very difficult to earn back trust.”\u003c/p>\n\u003cp>Recovery is possible, though. Stockton now has one of the most solvent budgets in the state and has instituted policies that protect it from dipping into dangerous spending again.\u003c/p>\n\u003cp>Tubbs said the keys are not spending one-time funds on long-term costs — one of the largest criticisms of the Coliseum deal — along with having a reserve equal to a third of the city’s budget and creating a tool that provides a long-range forecast of how new spending would affect cash flow long term.\u003c/p>\n\u003cfigure id=\"attachment_12010225\" class=\"wp-caption aligncenter\" style=\"max-width: 2000px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-12010225\" src=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2024/10/241018-KELLER-FIRE-MD-06-KQED.jpg\" alt=\"\" width=\"2000\" height=\"1333\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2024/10/241018-KELLER-FIRE-MD-06-KQED.jpg 2000w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/10/241018-KELLER-FIRE-MD-06-KQED-800x533.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/10/241018-KELLER-FIRE-MD-06-KQED-1020x680.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/10/241018-KELLER-FIRE-MD-06-KQED-160x107.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/10/241018-KELLER-FIRE-MD-06-KQED-1536x1024.jpg 1536w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/10/241018-KELLER-FIRE-MD-06-KQED-1920x1280.jpg 1920w\" sizes=\"(max-width: 2000px) 100vw, 2000px\">\u003cfigcaption class=\"wp-caption-text\">Oakland Mayor Sheng Thao (left) and Oakland Fire Chief Damon Covington address the press at the Keller Fire in Oakland on Oct. 18, 2024. \u003ccite>(Martin do Nascimento/KQED)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003ch2>What will happen in Oakland?\u003c/h2>\n\u003cp>There are lots of unknowns surrounding what the next few make-or-break weeks will look like for Oakland.\u003c/p>\n\u003cp>At Tuesday’s meeting, Councilmember Rebecca Kaplan set an agenda item for December to consider moving up to $30 million from the city’s self-insurance liability fund to its general purpose fund reserve to patch the leftover deficit and avoid a fiscal emergency. Council President Nikki Fortunato Bas seemed to show support for the move, but Councilmember Dan Kalb said he wouldn’t feel comfortable moving a full $30 million for that purpose.\u003c/p>\n\u003cp>There will also be big leadership changes before the end of the year. After Mayor Sheng Thao was \u003ca href=\"https://www.kqed.org/news/12012357/sheng-thao-accepts-defeat-in-contentious-oakland-mayoral-recall\">recalled by voters\u003c/a> this month, Bas is set to take over as interim mayor until a special election is held. This could be thrown into question, though, since she is awaiting final results in a race for the \u003ca href=\"https://www.kqed.org/news/12014241/what-happens-now-oaklands-mayor-recalled-could-get-messy\">Alameda County Board of Supervisors\u003c/a> that is still too close to call.\u003c/p>\n\u003cp>If she is elected supervisor, she could theoretically serve as interim mayor for a few weeks, but once sworn onto the board in January, the city will have to appoint a different interim leader at this critical time.\u003c/p>\n\u003cp>Still, Oakland officials and Tubbs expressed that there’s still time for the city to back off of its fiscal cliff — if it navigates the situation urgently and carefully.\u003c/p>\n\u003cp>“Oakland is too important of a city for California to be left bankrupt,” Tubbs said. “We have to get this right in Oakland…. It’s a place of culture. It’s a place of activism. It’s a place where justice is found. It’s a place of creativity. It’s a place of diversity. It’s a place that is so important, particularly at this moment. So we have to make sure that it works.”\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"title": "Can a New Vote Tracker Help Dispel Fears About California's Slow Election Process?",
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"content": "\u003cp>California has a notoriously slow ballot counting process — one that Kim Alexander describes as “a pig in the python.”\u003c/p>\n\u003cp>“This giant wad of ballots that all arrive at once, that all have to move through the process, and you can’t speed it up,” said Alexander, president of the nonpartisan California Voter Foundation. “You have to do every single step, otherwise you lose the integrity of the process.”\u003c/p>\n\u003cp>To help voters understand and trust that process, Alexander’s group launched a tracker this election that monitors the vote count in California’s close contests between Election Day and certification of county results.\u003c/p>\n\u003cp>Dubbed the Close Count Transparency Project, the tracker — which debuted as a \u003ca href=\"https://www.calvoter.org/content/close-count-transparency-project#2022\">pilot program in 2022\u003c/a> — \u003ca href=\"https://www.calvoter.org/content/close-count-transparency-project\">provides daily updates\u003c/a> on the results of 11 competitive U.S. House races and seven state legislative races, as well as the statewide vote count status. The tool tracks candidates’ vote share, votes counted and the number of unprocessed ballots in each county the districts cover.\u003c/p>\n\u003cp>As of late Tuesday, an estimated \u003ca href=\"https://electionresults.sos.ca.gov/unprocessed-ballots-status\">570,500 ballots statewide\u003c/a> were yet to be counted, according to the Secretary of State’s office. More than 126,000 ballots needed to be “cured” — they had been rejected for missing or mismatched signatures, and \u003ca href=\"https://elections.cdn.sos.ca.gov/statewide-elections/2024-primary/trusted-info-mismatched-signature.pdf\">voters had time to submit a form to verify their signatures\u003c/a>.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>A total of eight key contests remained uncalled by the Associated Press as of late Tuesday, including \u003ca href=\"https://www.kqed.org/news/12012387/california-will-help-decide-control-of-congress-but-multiple-seats-too-close-to-call\">two congressional races\u003c/a>, \u003ca href=\"https://calmatters.org/politics/elections/2024/11/california-election-results-november-2024/\">five legislative races\u003c/a> and \u003ca href=\"https://www.kqed.org/news/12012822/california-prop-roundup-heres-what-passed-and-what-got-rejected\">one statewide ballot measure.\u003c/a> (CalMatters and other news outlets use AP to declare winners while the vote count is ongoing.)\u003c/p>\n\u003cp>By making the vote count more transparent, the close contest tracker aims to inoculate against unfounded conspiracy theories about election fraud in California, Alexander said.\u003c/p>\n\u003cp>Some prominent conservatives, including GOP U.S. Rep. Marjorie Taylor Greene, are spreading unproven claims that \u003ca href=\"https://x.com/mtgreenee/status/1858001277851926844\">Democrats are “stealing” the 45th Congressional District race\u003c/a> in Southern California, where Democrat Derek Tran is leading by a razor-thin margin over Republican Rep. Michelle Steel after trailing her for days.\u003c/p>\n\u003cp>“We wanted to create a record of where the vote count stood each day so that if someone came along later and said, ‘Something hinky is going on here,’ there would be a reliable source of information people could turn to to see how the vote count evolved over time,” Alexander said.\u003c/p>\n\u003cp>The tracker also comes as frustration about the lengthy process grows in California. State Assemblymember \u003ca href=\"https://digitaldemocracy.calmatters.org/legislators/joe-patterson-133512?_gl=1*1g0qcdr*_gcl_au*MTM4NjY4NjMyNi4xNzI4OTIxNDUy*_ga*NDc4MzA3MTIxLjE3Mjg5MjE0NTI.*_ga_5TKXNLE5NK*MTczMjEyNDU0MC4xOS4xLjE3MzIxMjYzODUuNDcuMC4w*_ga_DX0K9PCWYH*MTczMjEyNDU0MC4yMC4xLjE3MzIxMjYzODQuMC4wLjA.*_ga_GNY4L81DZE*MTczMjEyNDU0MC4xOS4xLjE3MzIxMjYzODQuMC4wLjA.\">Joe Patterson\u003c/a>, a Rocklin Republican, \u003ca href=\"https://x.com/Patterdude/status/1858253695991029779\">called the procedure “dumb”\u003c/a> on social media, arguing that winners of state legislative races will be sworn in on Dec. 2 before the results are certified by the Secretary of State. The lengthy process “sows distrust” in the state’s election system, \u003ca href=\"https://www.kcra.com/article/californias-vote-count-secretary-of-state-2024/62912146\">he told KCRA\u003c/a>.\u003c/p>\n\u003cp>The state Assembly and Senate already held a joint freshman orientation last week for incoming lawmakers, while the five legislative races remain too close to call, Assembly Republicans spokesperson Jim Stanley confirmed to CalMatters.\u003c/p>\n\u003cp>“It’s a real problem for incoming lawmakers if they miss out on that,” Alexander said.\u003c/p>\n\u003ch3>Why it takes so long to count — and how to speed it up\u003c/h3>\n\u003cp>While voters and campaigns want to see results sooner, it is particularly challenging in California, Alexander said.\u003c/p>\n\u003cp>The state is home to more than \u003ca href=\"https://elections.cdn.sos.ca.gov/ror/15day-gen-2024/complete-ror.pdf\">22 million registered voters\u003c/a>, according to the state Secretary of State’s office. As of Tuesday afternoon, a total of \u003ca href=\"https://electionresults.sos.ca.gov/unprocessed-ballots-status\">15 million ballots\u003c/a> had been counted — a number bigger than the populations of 46 other states, \u003ca href=\"https://www.census.gov/popclock/\">Census data shows\u003c/a>.\u003c/p>\n\u003cp>California has also made it easier for voters to cast their ballots in recent years. \u003ca href=\"https://leginfo.legislature.ca.gov/faces/billTextClient.xhtml?bill_id=202120220AB37\">A 2021 law\u003c/a> made universal vote-by-mail permanent in California, meaning every registered voter receives a mail-in ballot roughly a month before Election Day, and the ballots are counted as long as they arrive at county elections offices within seven days after Election Day. In the March primary, almost 90% of all voters voted by mail, \u003ca href=\"https://www.sos.ca.gov/elections/historical-absentee\">according to the Secretary of State\u003c/a>.\u003c/p>\n\u003cp>The widespread use of vote-by-mail slows down the vote count, Alexander said, because they take longer to process.\u003c/p>\n\u003cp>“We have to open the envelopes, we have to verify the signature, and all of those things before we can actually accept that ballot,” \u003ca href=\"https://drive.google.com/file/d/1Vn2uVIDC4n3CtN8rXzBx1tDj4Gc3Am3w/view\">Secretary of State Shirley Weber\u003c/a> said in a press conference last week.\u003c/p>\n\u003cp>Additionally, election officials have to first complete counting mail-in ballots before they move onto ballots cast by voters who register the same day they voted to make sure no voter votes twice, said Jesse Salinas, president of the California Association of Clerks and Election Officials and clerk-recorder in Yolo County. The number of same-day registered voters has grown over the years, further slowing down the vote count, he said.\u003c/p>\n\u003cp>[aside postID=news_12013684]\u003c/p>\n\u003cp>But the slow vote count is also because races are closer than more than a decade ago, Alexander said. The state’s independent redistricting commission drew more competitive districts after the 2020 Census, she said, and the \u003ca href=\"https://calmatters.org/politics/2022/06/california-primary-top-two/\">top-two primary process\u003c/a> was designed to boost candidates who could appeal to a broader range of voters in the general election.\u003c/p>\n\u003cp>Between 2002 and 2010, before voters approved the independent redistricting commission, there was an average of one or two close congressional races per general election, Alexander said. But following the 2011 redistricting and the 2012 adoption of the top-two primary, there was an average of five close contests per election cycle, she said.\u003c/p>\n\u003cp>“People would be less patient with our long vote count if we had more decisive victories, but we don’t,” she said.\u003c/p>\n\u003cp>Still, county election officials could benefit from more staffing and funding for better equipment, Alexander said. Kern County, for example, has acquired \u003ca href=\"https://www.turnto23.com/news/in-your-neighborhood/bakersfield/kern-county-prepares-for-election-day-testing-the-future-of-voting\">high-speed ballot scanners\u003c/a> to tabulate votes faster, she said. As of Tuesday, Kern had processed nearly 280,000 ballots and had only about 8,500 to go.\u003c/p>\n\u003cp>The state could also benefit from spending big on voter outreach, urging voters to mail in their ballots sooner, which would help county officials pre-process more ballots and reduce the workload post-election, Alexander said.\u003c/p>\n\u003cp>But more importantly, she said, the state should allow voters to opt out of vote-by-mail if they want, although she acknowledged that \u003ca href=\"https://leginfo.legislature.ca.gov/faces/billNavClient.xhtml?bill_id=202320240AB626\">under current law\u003c/a>, voters have the option to cast the ballot they received in the mail in person instead.\u003c/p>\n\u003cp>“A lot of people don’t want to vote by mail, and then you are stuck with this ballot, and that confuses voters,” she said.\u003c/p>\n\u003cp>[ad floatright]\u003c/p>\n\u003cp>\u003cem>CalMatters reporter \u003ca href=\"https://calmatters.org/author/sameea-kamal/\">Sameea Kamal\u003c/a> contributed to this story.\u003c/em>\u003c/p>\n\n",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>California has a notoriously slow ballot counting process — one that Kim Alexander describes as “a pig in the python.”\u003c/p>\n\u003cp>“This giant wad of ballots that all arrive at once, that all have to move through the process, and you can’t speed it up,” said Alexander, president of the nonpartisan California Voter Foundation. “You have to do every single step, otherwise you lose the integrity of the process.”\u003c/p>\n\u003cp>To help voters understand and trust that process, Alexander’s group launched a tracker this election that monitors the vote count in California’s close contests between Election Day and certification of county results.\u003c/p>\n\u003cp>Dubbed the Close Count Transparency Project, the tracker — which debuted as a \u003ca href=\"https://www.calvoter.org/content/close-count-transparency-project#2022\">pilot program in 2022\u003c/a> — \u003ca href=\"https://www.calvoter.org/content/close-count-transparency-project\">provides daily updates\u003c/a> on the results of 11 competitive U.S. House races and seven state legislative races, as well as the statewide vote count status. The tool tracks candidates’ vote share, votes counted and the number of unprocessed ballots in each county the districts cover.\u003c/p>\n\u003cp>As of late Tuesday, an estimated \u003ca href=\"https://electionresults.sos.ca.gov/unprocessed-ballots-status\">570,500 ballots statewide\u003c/a> were yet to be counted, according to the Secretary of State’s office. More than 126,000 ballots needed to be “cured” — they had been rejected for missing or mismatched signatures, and \u003ca href=\"https://elections.cdn.sos.ca.gov/statewide-elections/2024-primary/trusted-info-mismatched-signature.pdf\">voters had time to submit a form to verify their signatures\u003c/a>.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>A total of eight key contests remained uncalled by the Associated Press as of late Tuesday, including \u003ca href=\"https://www.kqed.org/news/12012387/california-will-help-decide-control-of-congress-but-multiple-seats-too-close-to-call\">two congressional races\u003c/a>, \u003ca href=\"https://calmatters.org/politics/elections/2024/11/california-election-results-november-2024/\">five legislative races\u003c/a> and \u003ca href=\"https://www.kqed.org/news/12012822/california-prop-roundup-heres-what-passed-and-what-got-rejected\">one statewide ballot measure.\u003c/a> (CalMatters and other news outlets use AP to declare winners while the vote count is ongoing.)\u003c/p>\n\u003cp>By making the vote count more transparent, the close contest tracker aims to inoculate against unfounded conspiracy theories about election fraud in California, Alexander said.\u003c/p>\n\u003cp>Some prominent conservatives, including GOP U.S. Rep. Marjorie Taylor Greene, are spreading unproven claims that \u003ca href=\"https://x.com/mtgreenee/status/1858001277851926844\">Democrats are “stealing” the 45th Congressional District race\u003c/a> in Southern California, where Democrat Derek Tran is leading by a razor-thin margin over Republican Rep. Michelle Steel after trailing her for days.\u003c/p>\n\u003cp>“We wanted to create a record of where the vote count stood each day so that if someone came along later and said, ‘Something hinky is going on here,’ there would be a reliable source of information people could turn to to see how the vote count evolved over time,” Alexander said.\u003c/p>\n\u003cp>The tracker also comes as frustration about the lengthy process grows in California. State Assemblymember \u003ca href=\"https://digitaldemocracy.calmatters.org/legislators/joe-patterson-133512?_gl=1*1g0qcdr*_gcl_au*MTM4NjY4NjMyNi4xNzI4OTIxNDUy*_ga*NDc4MzA3MTIxLjE3Mjg5MjE0NTI.*_ga_5TKXNLE5NK*MTczMjEyNDU0MC4xOS4xLjE3MzIxMjYzODUuNDcuMC4w*_ga_DX0K9PCWYH*MTczMjEyNDU0MC4yMC4xLjE3MzIxMjYzODQuMC4wLjA.*_ga_GNY4L81DZE*MTczMjEyNDU0MC4xOS4xLjE3MzIxMjYzODQuMC4wLjA.\">Joe Patterson\u003c/a>, a Rocklin Republican, \u003ca href=\"https://x.com/Patterdude/status/1858253695991029779\">called the procedure “dumb”\u003c/a> on social media, arguing that winners of state legislative races will be sworn in on Dec. 2 before the results are certified by the Secretary of State. The lengthy process “sows distrust” in the state’s election system, \u003ca href=\"https://www.kcra.com/article/californias-vote-count-secretary-of-state-2024/62912146\">he told KCRA\u003c/a>.\u003c/p>\n\u003cp>The state Assembly and Senate already held a joint freshman orientation last week for incoming lawmakers, while the five legislative races remain too close to call, Assembly Republicans spokesperson Jim Stanley confirmed to CalMatters.\u003c/p>\n\u003cp>“It’s a real problem for incoming lawmakers if they miss out on that,” Alexander said.\u003c/p>\n\u003ch3>Why it takes so long to count — and how to speed it up\u003c/h3>\n\u003cp>While voters and campaigns want to see results sooner, it is particularly challenging in California, Alexander said.\u003c/p>\n\u003cp>The state is home to more than \u003ca href=\"https://elections.cdn.sos.ca.gov/ror/15day-gen-2024/complete-ror.pdf\">22 million registered voters\u003c/a>, according to the state Secretary of State’s office. As of Tuesday afternoon, a total of \u003ca href=\"https://electionresults.sos.ca.gov/unprocessed-ballots-status\">15 million ballots\u003c/a> had been counted — a number bigger than the populations of 46 other states, \u003ca href=\"https://www.census.gov/popclock/\">Census data shows\u003c/a>.\u003c/p>\n\u003cp>California has also made it easier for voters to cast their ballots in recent years. \u003ca href=\"https://leginfo.legislature.ca.gov/faces/billTextClient.xhtml?bill_id=202120220AB37\">A 2021 law\u003c/a> made universal vote-by-mail permanent in California, meaning every registered voter receives a mail-in ballot roughly a month before Election Day, and the ballots are counted as long as they arrive at county elections offices within seven days after Election Day. In the March primary, almost 90% of all voters voted by mail, \u003ca href=\"https://www.sos.ca.gov/elections/historical-absentee\">according to the Secretary of State\u003c/a>.\u003c/p>\n\u003cp>The widespread use of vote-by-mail slows down the vote count, Alexander said, because they take longer to process.\u003c/p>\n\u003cp>“We have to open the envelopes, we have to verify the signature, and all of those things before we can actually accept that ballot,” \u003ca href=\"https://drive.google.com/file/d/1Vn2uVIDC4n3CtN8rXzBx1tDj4Gc3Am3w/view\">Secretary of State Shirley Weber\u003c/a> said in a press conference last week.\u003c/p>\n\u003cp>Additionally, election officials have to first complete counting mail-in ballots before they move onto ballots cast by voters who register the same day they voted to make sure no voter votes twice, said Jesse Salinas, president of the California Association of Clerks and Election Officials and clerk-recorder in Yolo County. The number of same-day registered voters has grown over the years, further slowing down the vote count, he said.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>But the slow vote count is also because races are closer than more than a decade ago, Alexander said. The state’s independent redistricting commission drew more competitive districts after the 2020 Census, she said, and the \u003ca href=\"https://calmatters.org/politics/2022/06/california-primary-top-two/\">top-two primary process\u003c/a> was designed to boost candidates who could appeal to a broader range of voters in the general election.\u003c/p>\n\u003cp>Between 2002 and 2010, before voters approved the independent redistricting commission, there was an average of one or two close congressional races per general election, Alexander said. But following the 2011 redistricting and the 2012 adoption of the top-two primary, there was an average of five close contests per election cycle, she said.\u003c/p>\n\u003cp>“People would be less patient with our long vote count if we had more decisive victories, but we don’t,” she said.\u003c/p>\n\u003cp>Still, county election officials could benefit from more staffing and funding for better equipment, Alexander said. Kern County, for example, has acquired \u003ca href=\"https://www.turnto23.com/news/in-your-neighborhood/bakersfield/kern-county-prepares-for-election-day-testing-the-future-of-voting\">high-speed ballot scanners\u003c/a> to tabulate votes faster, she said. As of Tuesday, Kern had processed nearly 280,000 ballots and had only about 8,500 to go.\u003c/p>\n\u003cp>The state could also benefit from spending big on voter outreach, urging voters to mail in their ballots sooner, which would help county officials pre-process more ballots and reduce the workload post-election, Alexander said.\u003c/p>\n\u003cp>But more importantly, she said, the state should allow voters to opt out of vote-by-mail if they want, although she acknowledged that \u003ca href=\"https://leginfo.legislature.ca.gov/faces/billNavClient.xhtml?bill_id=202320240AB626\">under current law\u003c/a>, voters have the option to cast the ballot they received in the mail in person instead.\u003c/p>\n\u003cp>“A lot of people don’t want to vote by mail, and then you are stuck with this ballot, and that confuses voters,” she said.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>\u003cem>CalMatters reporter \u003ca href=\"https://calmatters.org/author/sameea-kamal/\">Sameea Kamal\u003c/a> contributed to this story.\u003c/em>\u003c/p>\n\n\u003c/div>\u003c/p>",
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"content": "\u003cp>Police in \u003ca href=\"https://www.kqed.org/news/tag/alameda-county\">Alameda County\u003c/a> are more likely to handcuff Black children experiencing a mental health crisis — particularly girls — than children of other races, according to a new study out of UCSF Benioff Children’s Hospital Oakland.\u003c/p>\n\u003cp>When a parent calls 911 because their child is experiencing severe emotional distress, police often arrive before an ambulance, lead study author Dr. Kenshata Watkins said.\u003c/p>\n\u003cp>“Police aren’t really trained to handle these types of emergencies, right?” Watkins said. “And so they get there, and they \u003ca href=\"https://www.youtube.com/watch?v=itYl07TqrDg\">do what police do\u003c/a>\u003cem>.\u003c/em>”\u003c/p>\n\u003cp>On average, according to the study data, police handcuffed a child experiencing a mental health crisis more than twice a week in Alameda County.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>The study, published last week \u003ca href=\"https://jamanetwork.com/journals/jamanetworkopen/fullarticle/2825944\">in the journal JAMA Network Open\u003c/a>, looked at over 10,400 youth behavioral health emergencies handled by the county’s Emergency Medical Services Agency between 2012 and mid-2019. Of those cases for which researchers had race and location data, 7.6% of children were handcuffed before an ambulance arrived, but rates were disproportionately high for Black children and those in more disadvantaged neighborhoods.\u003c/p>\n\u003cp>As a UCSF pediatric emergency physician, Watkins was interested in what happens before a child ends up in the hospital, a context he refers to as “social determinants of health,” but he said law enforcement response, such as handcuffing, is largely invisible.\u003c/p>\n\u003cp>“It doesn’t show up really at the hospital because those handcuffs are gone,” Watkins said.\u003cem> \u003c/em>\u003c/p>\n\u003cp>[aside postID=news_12014858 hero='https://cdn.kqed.org/wp-content/uploads/sites/10/2024/10/241021-OaklandPDDrunkDriving-06-BL_qed-1020x680.jpg']\u003c/p>\n\u003cp>For clues, Watkins’ team shifted their focus to Emergency Medical Services. As the first medical responders on scene, EMS staff take notes on a child’s blood pressure and heart rate, as well as a short description of what was happening when they arrived.\u003c/p>\n\u003cp>By analyzing tens of thousands of these narratives and searching for terms related to handcuffing, the researchers found 833 handcuffing events involving \u003ca href=\"https://www.kqed.org/news/11926978/many-california-families-cant-access-mental-health-care-for-kids-this-east-palo-alto-mom-found-a-way\">kids in crisis\u003c/a>. Police were 1.8 times more likely to handcuff Black children than their white counterparts — a disparity that climbed to 2.6 times more likely for Black girls — and they were 1.5 times more likely to do so in disadvantaged neighborhoods.\u003c/p>\n\u003cp>“If anyone else were doing it, it would be a form of child abuse — it would be recognized as such,” said UC Berkeley African American studies professor Nikki Jones, a sociologist-criminologist who’s spent a decade studying policing and violence in urban neighborhoods. “But because the police are doing it and because they have this logic that’s based on their expertise, then we are supposed to read it as something other than extremely damaging to a child.”\u003c/p>\n\u003cp>Jones rode along with police in an unnamed California jurisdiction as part of her own Army Office of Research-funded \u003ca href=\"https://journals.sagepub.com/doi/full/10.1177/15356841221123820\">study on race and law enforcement attitudes\u003c/a> published last year. Jones said police often view children of color as older and less vulnerable than they are and focus on obedience — a tall order when a child is mentally unwell.\u003c/p>\n\u003cp>“Once they’re in field training and once they begin to do the work of policing, they develop what they consider to be their own expertise,” Jones said. “Officers responding in a more aggressive way to people who live in certain neighborhoods — they don’t think about that as biased. They think about that as the kind of expertise that a morally competent police officer would have.\u003cem>”\u003c/em>\u003c/p>\n\u003cp>The study recommends taking an alternative approach to responding to mental health emergencies by expanding programs that \u003ca href=\"https://www.kqed.org/news/11985965/we-approach-in-peace-are-barts-outreach-efforts-to-help-people-in-crisis-working\">send out mental health experts\u003c/a> instead, such as Alameda County’s \u003ca href=\"https://www.acbhcs.org/acute-integrated-health-care/acute-crisis-services/\">Mobile Crisis Team\u003c/a> and San Francisco’s \u003ca href=\"https://www.sf.gov/street-crisis-response-team\">Street Crisis Response Team\u003c/a>.\u003c/p>\n\u003cp>Meanwhile, UCSF researchers hope to undertake a follow-up study examining the longer-term outcomes of children who are handcuffed during mental and behavioral health crises.\u003c/p>\n\u003cp>\u003cem>Nov. 20: This article was updated to clarify which program in Alameda County sends mental health experts to emergency calls as an alternative to police.\u003c/em>\u003c/p>\n\u003cp>\u003c/p>\n",
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"excerpt": "Researchers looked at over 10,000 mental health emergencies in Alameda County and found that Black children — particularly girls — were disproportionately handcuffed.",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>Police in \u003ca href=\"https://www.kqed.org/news/tag/alameda-county\">Alameda County\u003c/a> are more likely to handcuff Black children experiencing a mental health crisis — particularly girls — than children of other races, according to a new study out of UCSF Benioff Children’s Hospital Oakland.\u003c/p>\n\u003cp>When a parent calls 911 because their child is experiencing severe emotional distress, police often arrive before an ambulance, lead study author Dr. Kenshata Watkins said.\u003c/p>\n\u003cp>“Police aren’t really trained to handle these types of emergencies, right?” Watkins said. “And so they get there, and they \u003ca href=\"https://www.youtube.com/watch?v=itYl07TqrDg\">do what police do\u003c/a>\u003cem>.\u003c/em>”\u003c/p>\n\u003cp>On average, according to the study data, police handcuffed a child experiencing a mental health crisis more than twice a week in Alameda County.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>The study, published last week \u003ca href=\"https://jamanetwork.com/journals/jamanetworkopen/fullarticle/2825944\">in the journal JAMA Network Open\u003c/a>, looked at over 10,400 youth behavioral health emergencies handled by the county’s Emergency Medical Services Agency between 2012 and mid-2019. Of those cases for which researchers had race and location data, 7.6% of children were handcuffed before an ambulance arrived, but rates were disproportionately high for Black children and those in more disadvantaged neighborhoods.\u003c/p>\n\u003cp>As a UCSF pediatric emergency physician, Watkins was interested in what happens before a child ends up in the hospital, a context he refers to as “social determinants of health,” but he said law enforcement response, such as handcuffing, is largely invisible.\u003c/p>\n\u003cp>“It doesn’t show up really at the hospital because those handcuffs are gone,” Watkins said.\u003cem> \u003c/em>\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>For clues, Watkins’ team shifted their focus to Emergency Medical Services. As the first medical responders on scene, EMS staff take notes on a child’s blood pressure and heart rate, as well as a short description of what was happening when they arrived.\u003c/p>\n\u003cp>By analyzing tens of thousands of these narratives and searching for terms related to handcuffing, the researchers found 833 handcuffing events involving \u003ca href=\"https://www.kqed.org/news/11926978/many-california-families-cant-access-mental-health-care-for-kids-this-east-palo-alto-mom-found-a-way\">kids in crisis\u003c/a>. Police were 1.8 times more likely to handcuff Black children than their white counterparts — a disparity that climbed to 2.6 times more likely for Black girls — and they were 1.5 times more likely to do so in disadvantaged neighborhoods.\u003c/p>\n\u003cp>“If anyone else were doing it, it would be a form of child abuse — it would be recognized as such,” said UC Berkeley African American studies professor Nikki Jones, a sociologist-criminologist who’s spent a decade studying policing and violence in urban neighborhoods. “But because the police are doing it and because they have this logic that’s based on their expertise, then we are supposed to read it as something other than extremely damaging to a child.”\u003c/p>\n\u003cp>Jones rode along with police in an unnamed California jurisdiction as part of her own Army Office of Research-funded \u003ca href=\"https://journals.sagepub.com/doi/full/10.1177/15356841221123820\">study on race and law enforcement attitudes\u003c/a> published last year. Jones said police often view children of color as older and less vulnerable than they are and focus on obedience — a tall order when a child is mentally unwell.\u003c/p>\n\u003cp>“Once they’re in field training and once they begin to do the work of policing, they develop what they consider to be their own expertise,” Jones said. “Officers responding in a more aggressive way to people who live in certain neighborhoods — they don’t think about that as biased. They think about that as the kind of expertise that a morally competent police officer would have.\u003cem>”\u003c/em>\u003c/p>\n\u003cp>The study recommends taking an alternative approach to responding to mental health emergencies by expanding programs that \u003ca href=\"https://www.kqed.org/news/11985965/we-approach-in-peace-are-barts-outreach-efforts-to-help-people-in-crisis-working\">send out mental health experts\u003c/a> instead, such as Alameda County’s \u003ca href=\"https://www.acbhcs.org/acute-integrated-health-care/acute-crisis-services/\">Mobile Crisis Team\u003c/a> and San Francisco’s \u003ca href=\"https://www.sf.gov/street-crisis-response-team\">Street Crisis Response Team\u003c/a>.\u003c/p>\n\u003cp>Meanwhile, UCSF researchers hope to undertake a follow-up study examining the longer-term outcomes of children who are handcuffed during mental and behavioral health crises.\u003c/p>\n\u003cp>\u003cem>Nov. 20: This article was updated to clarify which program in Alameda County sends mental health experts to emergency calls as an alternative to police.\u003c/em>\u003c/p>\n\u003cp>\u003c/p>\n\u003c/div>\u003c/p>",
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"title": "San José City Council Approves Special Election for Torres’ Seat",
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"content": "\u003cp>The San José City Council voted Tuesday to schedule a special election to \u003ca href=\"https://www.kqed.org/news/12014643/omar-torres-resigns-from-san-jose-city-council-is-arrested\">fill a seat vacated due to scandal\u003c/a>, sending voters in the downtown, Japantown and Northside neighborhoods back to the polls next year for an election that could decide the balance of power at City Hall.\u003c/p>\n\u003cp>The special election will fill the seat held by Omar Torres, who is resigning from his District 3 seat as \u003ca href=\"https://www.kqed.org/news/12013122/san-jose-councilmember-omar-torres-resigns-arrested\">he faces multiple criminal charges of sexual abuse\u003c/a>. The decision to fill the vacancy with an election, rather than picking a replacement to serve until the next regular election, is a marked reversal from 2022, when \u003ca href=\"https://www.kqed.org/news/11934261/san-jose-council-to-fill-vacancies-with-appointments-not-special-elections\">the council opted to fill two vacancies through appointments\u003c/a>.\u003c/p>\n\u003cp>“This will ensure the voice as well as the vision of District 3 residents and community is part of the progress of this great city,” said Meenakshi Nieto, a D3 resident who told the council she supported a special election.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>The election could take place as soon as April, according to a memo presented by the city clerk. If no candidate receives a majority of votes, a runoff will be held between the top two finishers, with the winner likely taking office in August.\u003c/p>\n\u003cp>Politically, the special election could swing the balance of power in city government and give Mayor Matt Mahan a clear majority of allies on the council.\u003c/p>\n\u003cp>Torres was a progressive who was largely backed by organized labor. A victory in District 3 by a business-aligned moderate could give Mahan a reliable sixth vote in step with his agenda on the city budget and issues such as homelessness.\u003c/p>\n\u003cp>Early next year, the council will make a placeholder appointment to the District 3 seat. The council agreed to delay that selection until after the candidate filing period for the special election closes in order to prevent anyone running for the seat from being considered for the caretaker role.\u003c/p>\n\u003cp>Just two years ago, the council voted against scheduling special elections to fill two vacancies and instead appointed current Councilmembers Domingo Candelas in District 8 and Arjun Batra in District 10. This time around, council members opted for an election in an 8–2 vote.\u003c/p>\n\u003cp>“I completely understand the merits of an appointment more than most,” Candelas said. “I think it’s important and imperative for our community to have a voice through a special election, and this special election, most importantly, is going to help rebuild that trust in our city.”\u003c/p>\n\u003cp>Torres has been absent from his council duties for weeks since San José police said he was the subject of an investigation involving sexual misconduct with a minor.\u003c/p>\n\u003cp>On Nov. 5, Torres was arrested in a different case and charged with three counts of child molestation, including sodomy, oral copulation, and lewd and lascivious acts on a minor under the age of 14. Prosecutors said Torres assaulted a teenage relative in 1999 when he was 18.\u003c/p>\n\u003cp>Hours before the arrest, Torres submitted his resignation, effective Nov. 27.[aside postID=news_12014643 hero='https://cdn.kqed.org/wp-content/uploads/sites/10/2024/10/241016-OMAR-TORRES-GH-1-KQED.jpg']\u003c/p>\n\u003cp>Councilmember Dev Davis, who voted for appointments in 2022, said she believed the Torres scandal entitled D3 residents to a “do-over” vote.\u003c/p>\n\u003cp>The council members who voted against the special election — Sergio Jimenez and David Cohen — argued that the election would burden the city with added costs and leave residents with a representative immediately focused on running for reelection. District 3 voters will select a representative for a full, four-year term in 2026.\u003c/p>\n\u003cp>“When we’re running for reelection, we’re not always present, both mentally and physically,” Jimenez said. “If we go down the road of a special election, you’re going to have a group of people perpetually running for office.”\u003c/p>\n\u003cp>Residents who spoke at the meeting said Torres left the city’s largest business district without a voice on the council. In recent weeks, Torres’ staff has handled constituent services with assistance from the mayor’s office.\u003c/p>\n\u003cp>“We’re greatly concerned about the lack of representation D3 has endured in the past month,” said Alex Stettinski, CEO of the San José Downtown Association. “We need someone who understands our downtown community, including our property owners, small businesses and residents.\u003c/p>\n\u003cp>“The representative should not be polarizing, as the community needs someone who can lead the charge — united — and will find a path of healing and recovery for our downtown.”\u003c/p>\n\u003cp>\u003c/p>\n",
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"excerpt": "The balance of power in San José City Hall could be decided in the special election for the seat vacated by Omar Torres, who resigned in the face of sexual abuse charges.",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>The San José City Council voted Tuesday to schedule a special election to \u003ca href=\"https://www.kqed.org/news/12014643/omar-torres-resigns-from-san-jose-city-council-is-arrested\">fill a seat vacated due to scandal\u003c/a>, sending voters in the downtown, Japantown and Northside neighborhoods back to the polls next year for an election that could decide the balance of power at City Hall.\u003c/p>\n\u003cp>The special election will fill the seat held by Omar Torres, who is resigning from his District 3 seat as \u003ca href=\"https://www.kqed.org/news/12013122/san-jose-councilmember-omar-torres-resigns-arrested\">he faces multiple criminal charges of sexual abuse\u003c/a>. The decision to fill the vacancy with an election, rather than picking a replacement to serve until the next regular election, is a marked reversal from 2022, when \u003ca href=\"https://www.kqed.org/news/11934261/san-jose-council-to-fill-vacancies-with-appointments-not-special-elections\">the council opted to fill two vacancies through appointments\u003c/a>.\u003c/p>\n\u003cp>“This will ensure the voice as well as the vision of District 3 residents and community is part of the progress of this great city,” said Meenakshi Nieto, a D3 resident who told the council she supported a special election.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>The election could take place as soon as April, according to a memo presented by the city clerk. If no candidate receives a majority of votes, a runoff will be held between the top two finishers, with the winner likely taking office in August.\u003c/p>\n\u003cp>Politically, the special election could swing the balance of power in city government and give Mayor Matt Mahan a clear majority of allies on the council.\u003c/p>\n\u003cp>Torres was a progressive who was largely backed by organized labor. A victory in District 3 by a business-aligned moderate could give Mahan a reliable sixth vote in step with his agenda on the city budget and issues such as homelessness.\u003c/p>\n\u003cp>Early next year, the council will make a placeholder appointment to the District 3 seat. The council agreed to delay that selection until after the candidate filing period for the special election closes in order to prevent anyone running for the seat from being considered for the caretaker role.\u003c/p>\n\u003cp>Just two years ago, the council voted against scheduling special elections to fill two vacancies and instead appointed current Councilmembers Domingo Candelas in District 8 and Arjun Batra in District 10. This time around, council members opted for an election in an 8–2 vote.\u003c/p>\n\u003cp>“I completely understand the merits of an appointment more than most,” Candelas said. “I think it’s important and imperative for our community to have a voice through a special election, and this special election, most importantly, is going to help rebuild that trust in our city.”\u003c/p>\n\u003cp>Torres has been absent from his council duties for weeks since San José police said he was the subject of an investigation involving sexual misconduct with a minor.\u003c/p>\n\u003cp>On Nov. 5, Torres was arrested in a different case and charged with three counts of child molestation, including sodomy, oral copulation, and lewd and lascivious acts on a minor under the age of 14. Prosecutors said Torres assaulted a teenage relative in 1999 when he was 18.\u003c/p>\n\u003cp>Hours before the arrest, Torres submitted his resignation, effective Nov. 27.\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>Councilmember Dev Davis, who voted for appointments in 2022, said she believed the Torres scandal entitled D3 residents to a “do-over” vote.\u003c/p>\n\u003cp>The council members who voted against the special election — Sergio Jimenez and David Cohen — argued that the election would burden the city with added costs and leave residents with a representative immediately focused on running for reelection. District 3 voters will select a representative for a full, four-year term in 2026.\u003c/p>\n\u003cp>“When we’re running for reelection, we’re not always present, both mentally and physically,” Jimenez said. “If we go down the road of a special election, you’re going to have a group of people perpetually running for office.”\u003c/p>\n\u003cp>Residents who spoke at the meeting said Torres left the city’s largest business district without a voice on the council. In recent weeks, Torres’ staff has handled constituent services with assistance from the mayor’s office.\u003c/p>\n\u003cp>“We’re greatly concerned about the lack of representation D3 has endured in the past month,” said Alex Stettinski, CEO of the San José Downtown Association. “We need someone who understands our downtown community, including our property owners, small businesses and residents.\u003c/p>\n\u003cp>“The representative should not be polarizing, as the community needs someone who can lead the charge — united — and will find a path of healing and recovery for our downtown.”\u003c/p>\n\u003cp>\u003c/p>\n\u003c/div>\u003c/p>",
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"slug": "bay-area-5-days-rain-atmospheric-river-storm",
"title": "Bay Area Braces for 5 Days of Rain, Possible Flooding From Atmospheric River Storm",
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"content": "\u003cp>\u003cem>Updated 12:25 p.m. Tuesday\u003c/em>\u003c/p>\n\u003cp>After a dry fall, the Bay Area is bracing for heavy rain this week, raising the risk of flooding in parts of the North Bay and pushing much of Northern California ahead of its seasonal average rainfall for this time of year.\u003c/p>\n\u003cp>The season’s first \u003ca href=\"https://www.kqed.org/science/1935067/rivers-in-the-sky-what-you-need-to-know-about-atmospheric-river-storms\">atmospheric river\u003c/a> will arrive Tuesday night, bringing five days of fairly continuous rain to the Bay Area, according to National Weather Service meteorologist Nicole Sarment. The North Bay will be hit hardest and first, with Napa and Sonoma expected to get 4–6 inches of rain inland and 7 inches on the coast between Wednesday and Thursday night. Up to 10 inches could fall in areas north of Healdsburg.\u003c/p>\n\u003cp>San Francisco could also be hit with up to an inch and a half of rainfall during the first wave of the storm, which is made up of two low-pressure systems, according to Sarment.\u003c/p>\n\u003cp>She said that after the first sweeps through midweek, the second is expected to begin Friday and extend through the weekend, reaching farther south and inland.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>Significant rainfall is again likely in the North Bay and San Francisco this weekend. Both regions are forecast to get about the same amount of rain as earlier in the week, if not slightly less. As the storm pushes south, it’s expected to lose steam, with total rainfall predictions under an inch in the South Bay, except for the Santa Cruz Mountains.\u003c/p>\n\u003cp>Despite early forecasts that flooding risk was low, a flood watch has been put in place in Napa, Sonoma and Marin counties for Wednesday through Friday morning. Dial Hoang, a meteorologist with the National Weather Service, said that risk will increase in the latter days of the storm since soil that has been dried during the summer season will become wetter.\u003c/p>\n\u003cp>“As we go through Wednesday and Thursday, the soils will begin to saturate and small creeks and streams will begin to fill up,” Hoang said. “So we really see the flooding concerns increase through Friday and the weekend, even after the intensity of the rain begins to drop off.”\u003c/p>\n\u003cp>The storm could set Northern California ahead of its seasonal rainfall average for mid-November — which had appeared unlikely after a \u003ca href=\"https://www.kqed.org/news/tag/weather\">drier-than-usual fall\u003c/a>.\u003c/p>\n\u003cp>“It would definitely put us above normal,” Sarment said.\u003c/p>\n\u003cp>San Francisco usually sees about 2.4 inches of rain by this point in the year but has only gotten about 0.6 inches since the water year began on Oct. 1. After the storm, the city is predicted to be at about 3.6 inches.\u003c/p>\n\u003cp>[aside postID=news_12014470 hero='https://cdn.kqed.org/wp-content/uploads/sites/10/2024/11/WhoopingCoughGetty-1020x680.jpg']\u003c/p>\n\u003cp>The North Bay could also shoot past its seasonal averages, which are about 3.5 inches in Sonoma and 1.7 inches in Napa.\u003c/p>\n\u003cp>“Our winter and our rainy season is definitely early here in Sonoma County,” said Jeff DuVall, the county’s director of emergency management.\u003c/p>\n\u003cp>While urban and small spring flooding could occur, officials do not expect major rivers like the Russian River to approach the monitor stage, at which preparations for potential flooding would be recommended.\u003c/p>\n\u003cp>San Francisco tends to see higher risk when rain falls at a rate above an inch at a time, making it unlikely this week will see flooding there, barring blocked drains or an unexpected road obstruction.\u003c/p>\n\u003cp>“I’m not trying to undercut what we’re expecting, but [that’s] the good news,” Sarment told KQED.\u003c/p>\n\u003cp>Still, people should prepare for rainy, windy conditions as much as they can. Sarment advised people to clean out gutters, identify any trees that might have loose branches or roots on their property, and secure outdoor furniture that could be blown away.\u003c/p>\n\u003cp>Once the storm starts, it’s important to look out for downed power lines that could be active and avoid driving into flooded areas.\u003c/p>\n\u003cp>“Honestly, it would just be a good weekend to stay home and just stay out of the way,” she said. “I’m sure there’ll be trees down, power lines down, and all that kind of stuff.”\u003c/p>\n\u003cp>\u003cem>KQED’s \u003ca href=\"https://www.kqed.org/author/eromero\">Ezra David Romero\u003c/a> contributed to this report.\u003c/em>\u003c/p>\n\u003cp>\u003c/p>\n",
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"excerpt": "Heavy rainfall from the season’s first atmospheric river is forecast to turn Northern California’s dry fall into a wetter-than-average start to the rainy season.",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>\u003cem>Updated 12:25 p.m. Tuesday\u003c/em>\u003c/p>\n\u003cp>After a dry fall, the Bay Area is bracing for heavy rain this week, raising the risk of flooding in parts of the North Bay and pushing much of Northern California ahead of its seasonal average rainfall for this time of year.\u003c/p>\n\u003cp>The season’s first \u003ca href=\"https://www.kqed.org/science/1935067/rivers-in-the-sky-what-you-need-to-know-about-atmospheric-river-storms\">atmospheric river\u003c/a> will arrive Tuesday night, bringing five days of fairly continuous rain to the Bay Area, according to National Weather Service meteorologist Nicole Sarment. The North Bay will be hit hardest and first, with Napa and Sonoma expected to get 4–6 inches of rain inland and 7 inches on the coast between Wednesday and Thursday night. Up to 10 inches could fall in areas north of Healdsburg.\u003c/p>\n\u003cp>San Francisco could also be hit with up to an inch and a half of rainfall during the first wave of the storm, which is made up of two low-pressure systems, according to Sarment.\u003c/p>\n\u003cp>She said that after the first sweeps through midweek, the second is expected to begin Friday and extend through the weekend, reaching farther south and inland.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>Significant rainfall is again likely in the North Bay and San Francisco this weekend. Both regions are forecast to get about the same amount of rain as earlier in the week, if not slightly less. As the storm pushes south, it’s expected to lose steam, with total rainfall predictions under an inch in the South Bay, except for the Santa Cruz Mountains.\u003c/p>\n\u003cp>Despite early forecasts that flooding risk was low, a flood watch has been put in place in Napa, Sonoma and Marin counties for Wednesday through Friday morning. Dial Hoang, a meteorologist with the National Weather Service, said that risk will increase in the latter days of the storm since soil that has been dried during the summer season will become wetter.\u003c/p>\n\u003cp>“As we go through Wednesday and Thursday, the soils will begin to saturate and small creeks and streams will begin to fill up,” Hoang said. “So we really see the flooding concerns increase through Friday and the weekend, even after the intensity of the rain begins to drop off.”\u003c/p>\n\u003cp>The storm could set Northern California ahead of its seasonal rainfall average for mid-November — which had appeared unlikely after a \u003ca href=\"https://www.kqed.org/news/tag/weather\">drier-than-usual fall\u003c/a>.\u003c/p>\n\u003cp>“It would definitely put us above normal,” Sarment said.\u003c/p>\n\u003cp>San Francisco usually sees about 2.4 inches of rain by this point in the year but has only gotten about 0.6 inches since the water year began on Oct. 1. After the storm, the city is predicted to be at about 3.6 inches.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>The North Bay could also shoot past its seasonal averages, which are about 3.5 inches in Sonoma and 1.7 inches in Napa.\u003c/p>\n\u003cp>“Our winter and our rainy season is definitely early here in Sonoma County,” said Jeff DuVall, the county’s director of emergency management.\u003c/p>\n\u003cp>While urban and small spring flooding could occur, officials do not expect major rivers like the Russian River to approach the monitor stage, at which preparations for potential flooding would be recommended.\u003c/p>\n\u003cp>San Francisco tends to see higher risk when rain falls at a rate above an inch at a time, making it unlikely this week will see flooding there, barring blocked drains or an unexpected road obstruction.\u003c/p>\n\u003cp>“I’m not trying to undercut what we’re expecting, but [that’s] the good news,” Sarment told KQED.\u003c/p>\n\u003cp>Still, people should prepare for rainy, windy conditions as much as they can. Sarment advised people to clean out gutters, identify any trees that might have loose branches or roots on their property, and secure outdoor furniture that could be blown away.\u003c/p>\n\u003cp>Once the storm starts, it’s important to look out for downed power lines that could be active and avoid driving into flooded areas.\u003c/p>\n\u003cp>“Honestly, it would just be a good weekend to stay home and just stay out of the way,” she said. “I’m sure there’ll be trees down, power lines down, and all that kind of stuff.”\u003c/p>\n\u003cp>\u003cem>KQED’s \u003ca href=\"https://www.kqed.org/author/eromero\">Ezra David Romero\u003c/a> contributed to this report.\u003c/em>\u003c/p>\n\u003cp>\u003c/p>\n\u003c/div>\u003c/p>",
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"slug": "the-first-us-clade-i-mpox-case-has-been-found-in-the-bay-area-heres-what-to-know",
"title": "The 1st US Clade I Mpox Case Has Been Found in the Bay Area. Here’s What to Know",
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"headTitle": "The 1st US Clade I Mpox Case Has Been Found in the Bay Area. Here’s What to Know | KQED",
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"content": "\u003cp>Health officials confirmed this weekend that \u003ca href=\"https://www.kqed.org/news/12014826/san-mateo-county-reports-first-known-u-s-case-of-emerging-mpox-strain\">the first U.S. case of a new mpox strain had been detected in the Bay Area\u003c/a>.\u003c/p>\n\u003cp>This variant of mpox — formerly called monkeypox — is known as clade I and has been \u003ca href=\"https://www.kqed.org/news/12000319/mpox-is-declared-a-global-emergency-again-heres-what-to-know\">circulating in eastern and central Africa over the last year\u003c/a>, where it’s caused sickness among children and adults and even deaths. The disease usually spreads through close skin-to-skin contact, including sex.\u003c/p>\n\u003cp>The Centers for Disease Control and Prevention (CDC) announced Saturday that \u003ca href=\"https://www.cdc.gov/media/releases/s1116-california-first-clade.html\">the U.S.’s first known clade I case had recently returned from travel\u003c/a> to the African continent and was treated for mpox symptoms at a medical facility in San Mateo County.\u003c/p>\n\u003cp>Clade I is a more severe strain of mpox compared to the \u003ca href=\"https://www.kqed.org/news/11919070/monkeypox-in-the-bay-area-from-symptoms-to-how-to-find-a-vaccine-heres-what-we-know\">clade II strain that caused an outbreak in the Bay Area in 2022\u003c/a> and that is still circulating at low levels. But the CDC has said that the risk of clade I mpox to the general public within the U.S. “remains low.” \u003ca href=\"https://www.cdc.gov/mpox/vaccines/index.html\">A two-dose vaccine for mpox\u003c/a>, which offers protection against both clade I and clade II, remains available for eligible people at higher risk of infection.\u003c/p>\n\u003cp>\u003cstrong>Jump straight to: \u003c/strong>\u003c/p>\n\u003cul>\n\u003cli>\u003cstrong>\u003ca href=\"#find-mpox-vaccine-near-me\">Who’s eligible for an mpox vaccine in the Bay Area?\u003c/a>\u003c/strong>\u003c/li>\n\u003cli>\u003cstrong>\u003ca href=\"#who-risk-mpox\">Who is most at risk from mpox?\u003c/a>\u003c/strong>\u003c/li>\n\u003c/ul>\n\u003cp>Keep reading for what we know about this new U.S. case of clade I mpox, how mpox spreads, what symptoms to be aware of and who should get an \u003ca href=\"#find-mpox-vaccine-near-me\">mpox vaccine\u003c/a>.\u003cbr>\n[ad fullwidth]\u003c/p>\n\u003ch2>What do we know about this first clade I mpox case in the U.S.?\u003c/h2>\n\u003cp>Not a great deal — because health officials don’t want to release details that could identify this person.\u003c/p>\n\u003cp>We know that \u003ca href=\"https://www.cdph.ca.gov/Programs/OPA/Pages/NR24-036.aspx\">the patient received medical care at a facility in San Mateo County\u003c/a> and had recently returned from travel to Eastern Africa. The patient is now isolating at home, the CDC said — although their home county hasn’t been disclosed — and their symptoms are improving. “It has not been a severe illness” for this patient, San Mateo County health officer Dr. Kismet Baldwin-Santana said.\u003c/p>\n\u003cp>“People who had close contact with this individual are being contacted by public health workers, but there is no concern or evidence that mpox clade I is currently spreading between individuals in California or the United States,” the California Department of Public Health (CDPH) said in a statement.\u003c/p>\n\u003cp>Baldwin-Santana said that officials were also “actively working” with San Mateo health care staff “that have been exposed.”\u003c/p>\n\u003cp>Dr. Peter Chin-Hong, an infectious disease expert at UCSF, said that the first U.S. case of clade I was “expected,” owing to the scale not just of the outbreak in eastern and central Africa but of international travel. “It was only a matter of time before we saw cases in the U.S. from people who traveled there,” he said.\u003c/p>\n\u003cfigure id=\"attachment_11949273\" class=\"wp-caption alignnone\" style=\"max-width: 1920px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-11949273\" src=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2023/05/RS65506_GettyImages-1428290091-1-qut.jpg\" alt=\"Small circular patterns float in a dense, thick brown substance.\" width=\"1920\" height=\"1523\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2023/05/RS65506_GettyImages-1428290091-1-qut.jpg 1920w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/05/RS65506_GettyImages-1428290091-1-qut-800x635.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/05/RS65506_GettyImages-1428290091-1-qut-1020x809.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/05/RS65506_GettyImages-1428290091-1-qut-160x127.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/05/RS65506_GettyImages-1428290091-1-qut-1536x1218.jpg 1536w\" sizes=\"(max-width: 1920px) 100vw, 1920px\">\u003cfigcaption class=\"wp-caption-text\">Colorized transmission electron micrograph of mpox virus particles (orange) found within an infected cell (brown) cultured in a laboratory. \u003ccite>(NIH-NIAID/Image Point FR/BSIP/Universal Images Group via Getty Images)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003ch2>What is clade I mpox, and where is it spreading?\u003c/h2>\n\u003cp>The mpox virus spreads through close contact with someone who is infected and causes mpox disease. As the name might suggest, the virus is related to the smallpox virus, but it’s generally less severe and much less contagious than smallpox, according to CDPH. In addition to fever, chills, headache and muscle pain, mpox can cause a painful rash — also known as lesions — that appear on many parts of the body.\u003c/p>\n\u003cp>In August, the World Health Organization (WHO) declared a \u003ca href=\"https://www.kqed.org/news/11988079/2024-mpox-vaccine-formerly-monkeypox-symptoms-rash\">clade I mpox outbreak\u003c/a> in eastern and central Africa a \u003ca href=\"https://www.kqed.org/news/12000319/mpox-is-declared-a-global-emergency-again-heres-what-to-know\">global emergency\u003c/a>. Historically, this strain has caused more severe illness and higher fatality rates than the other type of mpox, clade II.\u003c/p>\n\u003cp>The Democratic Republic of the Congo (DRC), which has been the \u003ca href=\"https://www.cdc.gov/mpox/outbreaks/2023/index.html\">epicenter of the outbreak\u003c/a>, has reported more than 9,000 confirmed clade I mpox cases and more than 40 deaths since Jan. 1. \u003ca href=\"https://wwwnc.cdc.gov/travel/notices/level2/clade-1-mpox-central-eastern-africa\">Clade I mpox has also spread\u003c/a> to Burundi, Central African Republic, Republic of the Congo, Rwanda and Uganda. Very few doses of the \u003ca href=\"#find-mpox-vaccine-near-me\">mpox vaccine\u003c/a> were originally available on the African continent, but \u003ca href=\"https://www.unicef.org/press-releases/democratic-republic-congo-starts-mpox-vaccination-high-priority-provinces\">in October, 265,000 doses arrived in the DRC\u003c/a> for distribution among vulnerable groups.\u003c/p>\n\u003cp>In August, \u003ca href=\"https://apnews.com/article/mpox-sweden-congo-9923d0ee8deb362b2af5416bb273d629\">the first clade I mpox case outside the African continent was detected in Sweden\u003c/a>. Subsequent cases of people who had recently traveled to affected regions in Africa have also been detected in Germany, India, Kenya, Thailand, the United Kingdom, Zambia and Zimbabwe — and now the U.S.\u003c/p>\n\u003ch2>How is clade I different from the type of mpox that hit the Bay Area in 2022?\u003c/h2>\n\u003cp>\u003ca href=\"https://www.kqed.org/news/11919070/monkeypox-in-the-bay-area-from-symptoms-to-how-to-find-a-vaccine-heres-what-we-know\">The 2022 mpox outbreak in the United States\u003c/a> — which particularly affected gay and bisexual men, as well as trans and nonbinary people who have sex with men — was caused by clade II mpox, the less severe strain. \u003ca href=\"https://www.kqed.org/news/12000319/mpox-is-declared-a-global-emergency-again-heres-what-to-know#mpox-wastewater\">Read more about the 2022 outbreak\u003c/a>.\u003c/p>\n\u003cp>2024’s clade I mpox is also different because it’s “not really in a \u003ca href=\"https://prevention.ucsf.edu/research-project/sexual-networks\">sexual network\u003c/a> per se,” UCSF’s Chin-Hong said — that is, groups of people who are connected to one another sexually. In 2022, clade II “was engineered, almost, to be very efficiently spread within a sexual network, and it was amplified by \u003ca href=\"https://www.kqed.org/news/11988079/2024-mpox-vaccine-formerly-monkeypox-symptoms-rash\">a lot of things happening at the same time, like Pride events\u003c/a>.”\u003c/p>\n\u003cp>The clade I strain that’s been spreading in eastern and central Africa “primarily affects heterosexual people and children within households,” Chin-Hong said — but with the caveat that this exposure within a home has to be “intensive.”\u003c/p>\n\u003cp>\u003cspan style=\"margin: 0px; padding: 0px;\">\u003ca href=\"https://data.wastewaterscan.org/tracker/?charts=CjEQASABSABSBmU5ZTg3ZVIGMzc0MzBhWgpNUFhWX0cyUl9HeIkBigEGOTY3NzIwwAEB&selectedChartId=967720\" target=\"_blank\" rel=\"noopener\">Data from Stanford University’s WastewaterSCAN project\u003c/a>, which monitors the presence of viruses, including mpox, in human sewage across the U.S., shows that more than two years after the initial 2022 outbreak, clade II of mpox is still occasionally detected in the Bay Area’s wastewater.\u003c/span>\u003c/p>\n\u003cp>Dr. Julia Janssen, deputy director of the HIV/STI Prevention and Control Branch at the San Francisco Department of Public Health, stressed that the city had seen 31 confirmed cases this year — and that \u003ca href=\"https://www.cdc.gov/mpox/hcp/clinical-overview/index.html\">Bay Area residents at higher risk of infection \u003c/a>should still stay vigilant for clade II mpox by \u003ca href=\"#find-mpox-vaccine-near-me\">getting their mpox vaccine.\u003c/a>\u003c/p>\n\u003cfigure id=\"attachment_11988132\" class=\"wp-caption alignnone\" style=\"max-width: 1920px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-11988132\" src=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2024/05/GettyImages-1412778743.jpg\" alt=\"\" width=\"1920\" height=\"1315\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2024/05/GettyImages-1412778743.jpg 1920w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/05/GettyImages-1412778743-800x548.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/05/GettyImages-1412778743-1020x699.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/05/GettyImages-1412778743-160x110.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/05/GettyImages-1412778743-1536x1052.jpg 1536w\" sizes=\"(max-width: 1920px) 100vw, 1920px\">\u003cfigcaption class=\"wp-caption-text\">A pharmacist prepares a dose of the Jynneos mpox vaccine at a pop-up vaccination clinic opened by the Los Angeles County Department of Public Health at the West Hollywood Library on Aug. 3, 2022, in West Hollywood, California. \u003ccite>(Mario Tama/Getty Images)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003ch2>\u003ca id=\"who-risk-mpox\">\u003c/a>Who is at higher risk of getting clade I mpox?\u003c/h2>\n\u003cp>“Nothing has led us to believe up till now that there is a heightened risk to the general public” from clade I mpox, San Mateo County’s Baldwin-Santana said, echoing the CDC and CDPH. “Most people in the public really should not be too concerned at this point in time.”\u003c/p>\n\u003cp>The CDC said that the large number of children getting clade I in eastern and central Africa likely shows that it’s spreading within households and between family members. “Based on what we know right now, \u003ca href=\"https://www.cdc.gov/mpox/situation-summary/index.html\">we don’t expect to see the same sort of risk if mpox were introduced in the United States for several reasons\u003c/a>, including different household makeup and size, access to disinfecting products and improved access to medical care,” the agency said.\u003c/p>\n\u003cp>Based on its own models, the CDC also said that close-contact transmission within and between households “is \u003ca href=\"https://www.cdc.gov/forecast-outbreak-analytics/about/modeling-forecasting/mpox-transmission.html\">unlikely to result in a large number of mpox clade I cases\u003c/a>” nationally.\u003c/p>\n\u003cp>Clade I is “nothing to worry about for the general population” in the Bay Area, UCSF’s Chin-Hong said. “It’s still very hard to get mpox, even from somebody with active lesions. It requires close skin-to-skin contact or intensive household contact — so you can’t get it from Muni or from yoga or from going to Trader Joe’s.”\u003c/p>\n\u003cp>Clade II mpox remains a much more real threat in the Bay Area right now than this one clade I case, Chin-Hong said, since that strain is still circulating at low levels in the region. It’s “a great reminder for people to continue to pay attention to that — that is, people in the LGBTQ community — to really make sure they’re up to date on\u003ca href=\"#find-mpox-vaccine-near-me\"> vaccines\u003c/a>,” he said, reminding folks that gay and bisexual men and other men who have sex with men, as well as transgender, nonbinary and gender-diverse people, are at greater risk for a clade II infection. Jump to \u003ca href=\"#find-mpox-vaccine-near-me\">where to find an mpox vaccine. \u003c/a>\u003c/p>\n\u003ch3>What are the symptoms of mpox, and how does it spread?\u003c/h3>\n\u003cp>The mpox virus spreads through close — usually skin-to-skin — contact with someone who is infected. This could be direct contact with the infectious rashes or scabs someone with mpox develops, scabs, having intimate physical contact with someone who has mpox, such as kissing, cuddling or sex. Coming into contact with infected bodily fluids or items that have been touched by rashes or fluids from an infected person can also expose you to the virus.\u003c/p>\n\u003cp>The symptoms of clade I and clade II mpox are similar, SFDPH’s Janssen said, and they can often start as flu-like conditions — which is worth bearing in mind as the Bay Area enters respiratory virus season.\u003c/p>\n\u003cp>The mpox virus also appears as a rash or sores or spots that can resemble pimples or blisters on the skin anywhere on the body, including the face, inside the mouth, hands, feet, chest, genitals and anus. These spots often start as red, flat spots that then become bumps before the bumps become filled with pus and turn into scabs when they break. These symptoms can be extremely painful. \u003ca href=\"https://www.cdc.gov/poxvirus/mpox/symptoms/index.html\">If you’re unsure about recognizing an mpox rash, the CDC has a photo guide\u003c/a>.\u003c/p>\n\u003cp>\u003ca href=\"https://www.cdc.gov/poxvirus/mpox/symptoms/index.html\">Mpox can have a long incubation period\u003c/a> — that is, the time between when you’re exposed to mpox and when you start to develop symptoms — that can range from three to 17 days, according to the CDC.\u003c/p>\n\u003cp>If you suspect you might have mpox symptoms — even if they’re subtle — see your health care provider right away or \u003ca href=\"https://www.sf.gov/get-mpox-vaccines-testing-and-medicine\">consult one of SFPDH’s clinics for mpox testing\u003c/a>. See more on \u003ca href=\"https://sf.gov/information/mpox\">what to do if you suspect you have mpox\u003c/a>.\u003c/p>\n\u003cfigure id=\"attachment_12000320\" class=\"wp-caption alignnone\" style=\"max-width: 1024px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-12000320\" src=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2024/08/GettyImages-1414098149.jpg\" alt=\"A woman wearing glasses, a face mask and a visor with blue surgical gloves holds a syringe and a small bottle.\" width=\"1024\" height=\"646\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2024/08/GettyImages-1414098149.jpg 1024w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/08/GettyImages-1414098149-800x505.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/08/GettyImages-1414098149-1020x643.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/08/GettyImages-1414098149-160x101.jpg 160w\" sizes=\"(max-width: 1024px) 100vw, 1024px\">\u003cfigcaption class=\"wp-caption-text\">Licensed Vocational Nurse (LVN) Gabriela Solis prepares a dose of the Jynneos mpox vaccine at an L.A. County vaccination site in East Los Angeles on Aug. 10, 2022. \u003ccite>(Mario Tama/Getty Images)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003ch3>\u003ca id=\"find-mpox-vaccine-near-me\">\u003c/a>Who’s eligible for an mpox vaccine in the Bay Area?\u003c/h3>\n\u003cp>The vaccine currently available in the U.S. (brand name: Jynneos) is a two-dose series, with roughly a month between doses. Maximal immunity will build two weeks after your second dose. If you only got one dose previously, go ahead and seek out your second dose ASAP.[aside tag=\"mpox, health\" label=\"More Related Stories\"]\u003c/p>\n\u003cp>The U.S. Department of Health and Human Services said in a statement that people who have received both doses of the mpox vaccine — along with people who have already had clade II mpox — “are \u003ca href=\"https://www.hhs.gov/about/news/2024/08/14/united-states-governments-response-clade-i-mpox-outbreak-democratic-republic-congo-other-countries-region.html\">expected to be protected against severe illness from clade I mpox\u003c/a>” as well.\u003c/p>\n\u003cp>The CDC recommends the two-dose mpox vaccine to gay and bisexual men and other men who have sex with men, as well as transgender, nonbinary or gender-diverse people who in the past 6 months, have had:\u003c/p>\n\u003cul>\n\u003cli>More than one sexual partner and/or\u003c/li>\n\u003cli>A new diagnosis of one or more sexually transmitted infections.\u003c/li>\n\u003c/ul>\n\u003cp>The CDC’s vaccine recommendations also include anyone who has had sex at a commercial sex venue like a sex club or bathhouse. \u003ca href=\"https://www.cdc.gov/mpox/vaccines/index.html\">See the full mpox vaccine eligibility recommendations from the CDC\u003c/a>.\u003c/p>\n\u003cp>\u003ca href=\"https://www.sf.gov/get-mpox-vaccines-testing-and-treatment\">San Francisco additionally recommends vaccination\u003c/a> for anyone living with HIV, anyone taking PrEP or who’s eligible to take it and sex workers.\u003c/p>\n\u003cp>The CDC has recently updated its vaccination recommendations to extend to people traveling to countries with clade I outbreaks, which as of Nov. 16 include Burundi, Central African Republic, Democratic Republic of the Congo, Republic of the Congo, Rwanda and Uganda. The agency recommends getting both doses of the vaccine “if you anticipate experiencing any of the following” while traveling to these countries:\u003c/p>\n\u003cul>\n\u003cli>Sex with a new partner\u003c/li>\n\u003cli>Sex at a commercial sex venue, such as a sex club or bathhouse\u003c/li>\n\u003cli>Sex in exchange for money, goods, drugs or other trade\u003c/li>\n\u003cli>Sex in association with a large public event, such as a rave, party or festival.\u003c/li>\n\u003c/ul>\n\u003cp>The mpox vaccine was also originally only available for people aged 18 and older, but in 2022 the Food and Drug Administration (FDA) issued an emergency-use authorization that allows providers to also give the vaccine to young people under 18 who are “determined to be at high risk” of infection.\u003c/p>\n\u003ch3>Where can I find an mpox vaccine?\u003c/h3>\n\u003cp>If you have a regular health care provider, SFDPH recommends you ask them first about getting the mpox vaccine. Your vaccine will be free, but you may be charged a regular copay for seeing your provider.\u003c/p>\n\u003cp>If you’re eligible for the vaccine, your health insurance should cover the costs \u003ca href=\"https://www.cdc.gov/mpox/vaccines/index.htmla\">thanks to the CDC’s recommendations\u003c/a>. If you don’t have a regular health care provider or insurance, you can find the mpox vaccine free at clinics around the Bay Area. You can opt to schedule an appointment or choose a walk-in clinic, depending on what works best for you.\u003c/p>\n\u003cp>(As with the COVID-19 vaccine, receiving an mpox vaccine won’t make you \u003ca href=\"https://documentedny.com/2021/04/04/public-charge-rule-explained/\">a public charge\u003c/a> or affect any future immigration processes you may enter into, and you won’t be asked about your immigration status to receive the mpox vaccine.)\u003c/p>\n\u003cp>\u003cstrong>If you live in or near San Francisco:\u003c/strong>\u003c/p>\n\u003cp>See \u003ca href=\"https://sf.gov/information/mpox-vaccine\">a full list of mpox vaccine sites near you in San Francisco\u003c/a>. SFDPH confirms that you don’t have to be a city resident in San Francisco to get vaccinated for mpox.\u003c/p>\n\u003cp>\u003cstrong>Mpox vaccination sites elsewhere in the Bay Area and California:\u003c/strong>\u003c/p>\n\u003cul>\n\u003cli>Find an mpox vaccine clinic near you using \u003ca href=\"https://npin.cdc.gov/DynWidgets/index.html?chost=www.cdc.gov&cpath=/lgbthealth/summer/index.html&csearch=&chash=&ctitle=Get%20Healthy%20and%20Ready%20for%20Summer%20%7C%20LGBT%20Health%20%7C%20CDC&wn=DynWidgets&wf=/DynWidgets/&wid=DynWidgets1&mMode=widget&mPage=&mChannel=&componentName=MpoxLocator#/\">the CDC’s Vaccine Locator\u003c/a>\u003c/li>\n\u003cli>Find an mpox vaccine clinic near you using \u003ca href=\"https://myturn.ca.gov/\">the state’s myturn.ca.gov site\u003c/a>\u003c/li>\n\u003c/ul>\n\u003cp>\u003cstrong>Getting an mpox vaccine at a pharmacy\u003c/strong>\u003c/p>\n\u003cp>Some pharmacies offer mpox vaccination appointments online, along with other vaccines like COVID-19 and flu. But if you choose this route, you’ll be asked for insurance details — and it’s important to verify with your insurer ahead of time that they’ll cover the cost of an mpox vaccine at a pharmacy like CVS or Walgreens, as the out-of-pocket costs you’ll be quoted may be steep. If you find your insurance doesn’t fully cover the cost, \u003ca href=\"https://www.sf.gov/get-mpox-vaccines-testing-and-treatment\">SFDPH said you can seek your vaccine at one of their clinics while supplies last\u003c/a>.\u003c/p>\n\u003cp>If you get your health care through a health system like Kaiser Permanente, it’s unlikely you’ll be able to get your mpox vaccine covered by insurance at a pharmacy like CVS or Walgreens — the way you can’t get your COVID-19 or flu shot covered by Kaiser at a pharmacy either — and may have to seek it directly from a Kaiser provider.\u003c/p>\n\u003cp>If you’re able to make an appointment online at a pharmacy for your mpox vaccine, you should consider calling that location ahead of time to verify that they do indeed have supply in stock.\u003c/p>\n\u003cp>\u003cem>This story includes reporting from KQED’s Billy Cruz, Carlos Cabrera-Lomelí and Nisa Khan.\u003c/em>\u003c/p>\n\u003cp>[ad floatright]\u003c/p>\n",
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"excerpt": "What to know about the new U.S. case of clade I mpox, how mpox spreads, what symptoms to be aware of and who should get an mpox vaccine.",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>Health officials confirmed this weekend that \u003ca href=\"https://www.kqed.org/news/12014826/san-mateo-county-reports-first-known-u-s-case-of-emerging-mpox-strain\">the first U.S. case of a new mpox strain had been detected in the Bay Area\u003c/a>.\u003c/p>\n\u003cp>This variant of mpox — formerly called monkeypox — is known as clade I and has been \u003ca href=\"https://www.kqed.org/news/12000319/mpox-is-declared-a-global-emergency-again-heres-what-to-know\">circulating in eastern and central Africa over the last year\u003c/a>, where it’s caused sickness among children and adults and even deaths. The disease usually spreads through close skin-to-skin contact, including sex.\u003c/p>\n\u003cp>The Centers for Disease Control and Prevention (CDC) announced Saturday that \u003ca href=\"https://www.cdc.gov/media/releases/s1116-california-first-clade.html\">the U.S.’s first known clade I case had recently returned from travel\u003c/a> to the African continent and was treated for mpox symptoms at a medical facility in San Mateo County.\u003c/p>\n\u003cp>Clade I is a more severe strain of mpox compared to the \u003ca href=\"https://www.kqed.org/news/11919070/monkeypox-in-the-bay-area-from-symptoms-to-how-to-find-a-vaccine-heres-what-we-know\">clade II strain that caused an outbreak in the Bay Area in 2022\u003c/a> and that is still circulating at low levels. But the CDC has said that the risk of clade I mpox to the general public within the U.S. “remains low.” \u003ca href=\"https://www.cdc.gov/mpox/vaccines/index.html\">A two-dose vaccine for mpox\u003c/a>, which offers protection against both clade I and clade II, remains available for eligible people at higher risk of infection.\u003c/p>\n\u003cp>\u003cstrong>Jump straight to: \u003c/strong>\u003c/p>\n\u003cul>\n\u003cli>\u003cstrong>\u003ca href=\"#find-mpox-vaccine-near-me\">Who’s eligible for an mpox vaccine in the Bay Area?\u003c/a>\u003c/strong>\u003c/li>\n\u003cli>\u003cstrong>\u003ca href=\"#who-risk-mpox\">Who is most at risk from mpox?\u003c/a>\u003c/strong>\u003c/li>\n\u003c/ul>\n\u003cp>Keep reading for what we know about this new U.S. case of clade I mpox, how mpox spreads, what symptoms to be aware of and who should get an \u003ca href=\"#find-mpox-vaccine-near-me\">mpox vaccine\u003c/a>.\u003cbr>\n\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003ch2>What do we know about this first clade I mpox case in the U.S.?\u003c/h2>\n\u003cp>Not a great deal — because health officials don’t want to release details that could identify this person.\u003c/p>\n\u003cp>We know that \u003ca href=\"https://www.cdph.ca.gov/Programs/OPA/Pages/NR24-036.aspx\">the patient received medical care at a facility in San Mateo County\u003c/a> and had recently returned from travel to Eastern Africa. The patient is now isolating at home, the CDC said — although their home county hasn’t been disclosed — and their symptoms are improving. “It has not been a severe illness” for this patient, San Mateo County health officer Dr. Kismet Baldwin-Santana said.\u003c/p>\n\u003cp>“People who had close contact with this individual are being contacted by public health workers, but there is no concern or evidence that mpox clade I is currently spreading between individuals in California or the United States,” the California Department of Public Health (CDPH) said in a statement.\u003c/p>\n\u003cp>Baldwin-Santana said that officials were also “actively working” with San Mateo health care staff “that have been exposed.”\u003c/p>\n\u003cp>Dr. Peter Chin-Hong, an infectious disease expert at UCSF, said that the first U.S. case of clade I was “expected,” owing to the scale not just of the outbreak in eastern and central Africa but of international travel. “It was only a matter of time before we saw cases in the U.S. from people who traveled there,” he said.\u003c/p>\n\u003cfigure id=\"attachment_11949273\" class=\"wp-caption alignnone\" style=\"max-width: 1920px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-11949273\" src=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2023/05/RS65506_GettyImages-1428290091-1-qut.jpg\" alt=\"Small circular patterns float in a dense, thick brown substance.\" width=\"1920\" height=\"1523\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2023/05/RS65506_GettyImages-1428290091-1-qut.jpg 1920w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/05/RS65506_GettyImages-1428290091-1-qut-800x635.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/05/RS65506_GettyImages-1428290091-1-qut-1020x809.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/05/RS65506_GettyImages-1428290091-1-qut-160x127.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/05/RS65506_GettyImages-1428290091-1-qut-1536x1218.jpg 1536w\" sizes=\"(max-width: 1920px) 100vw, 1920px\">\u003cfigcaption class=\"wp-caption-text\">Colorized transmission electron micrograph of mpox virus particles (orange) found within an infected cell (brown) cultured in a laboratory. \u003ccite>(NIH-NIAID/Image Point FR/BSIP/Universal Images Group via Getty Images)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003ch2>What is clade I mpox, and where is it spreading?\u003c/h2>\n\u003cp>The mpox virus spreads through close contact with someone who is infected and causes mpox disease. As the name might suggest, the virus is related to the smallpox virus, but it’s generally less severe and much less contagious than smallpox, according to CDPH. In addition to fever, chills, headache and muscle pain, mpox can cause a painful rash — also known as lesions — that appear on many parts of the body.\u003c/p>\n\u003cp>In August, the World Health Organization (WHO) declared a \u003ca href=\"https://www.kqed.org/news/11988079/2024-mpox-vaccine-formerly-monkeypox-symptoms-rash\">clade I mpox outbreak\u003c/a> in eastern and central Africa a \u003ca href=\"https://www.kqed.org/news/12000319/mpox-is-declared-a-global-emergency-again-heres-what-to-know\">global emergency\u003c/a>. Historically, this strain has caused more severe illness and higher fatality rates than the other type of mpox, clade II.\u003c/p>\n\u003cp>The Democratic Republic of the Congo (DRC), which has been the \u003ca href=\"https://www.cdc.gov/mpox/outbreaks/2023/index.html\">epicenter of the outbreak\u003c/a>, has reported more than 9,000 confirmed clade I mpox cases and more than 40 deaths since Jan. 1. \u003ca href=\"https://wwwnc.cdc.gov/travel/notices/level2/clade-1-mpox-central-eastern-africa\">Clade I mpox has also spread\u003c/a> to Burundi, Central African Republic, Republic of the Congo, Rwanda and Uganda. Very few doses of the \u003ca href=\"#find-mpox-vaccine-near-me\">mpox vaccine\u003c/a> were originally available on the African continent, but \u003ca href=\"https://www.unicef.org/press-releases/democratic-republic-congo-starts-mpox-vaccination-high-priority-provinces\">in October, 265,000 doses arrived in the DRC\u003c/a> for distribution among vulnerable groups.\u003c/p>\n\u003cp>In August, \u003ca href=\"https://apnews.com/article/mpox-sweden-congo-9923d0ee8deb362b2af5416bb273d629\">the first clade I mpox case outside the African continent was detected in Sweden\u003c/a>. Subsequent cases of people who had recently traveled to affected regions in Africa have also been detected in Germany, India, Kenya, Thailand, the United Kingdom, Zambia and Zimbabwe — and now the U.S.\u003c/p>\n\u003ch2>How is clade I different from the type of mpox that hit the Bay Area in 2022?\u003c/h2>\n\u003cp>\u003ca href=\"https://www.kqed.org/news/11919070/monkeypox-in-the-bay-area-from-symptoms-to-how-to-find-a-vaccine-heres-what-we-know\">The 2022 mpox outbreak in the United States\u003c/a> — which particularly affected gay and bisexual men, as well as trans and nonbinary people who have sex with men — was caused by clade II mpox, the less severe strain. \u003ca href=\"https://www.kqed.org/news/12000319/mpox-is-declared-a-global-emergency-again-heres-what-to-know#mpox-wastewater\">Read more about the 2022 outbreak\u003c/a>.\u003c/p>\n\u003cp>2024’s clade I mpox is also different because it’s “not really in a \u003ca href=\"https://prevention.ucsf.edu/research-project/sexual-networks\">sexual network\u003c/a> per se,” UCSF’s Chin-Hong said — that is, groups of people who are connected to one another sexually. In 2022, clade II “was engineered, almost, to be very efficiently spread within a sexual network, and it was amplified by \u003ca href=\"https://www.kqed.org/news/11988079/2024-mpox-vaccine-formerly-monkeypox-symptoms-rash\">a lot of things happening at the same time, like Pride events\u003c/a>.”\u003c/p>\n\u003cp>The clade I strain that’s been spreading in eastern and central Africa “primarily affects heterosexual people and children within households,” Chin-Hong said — but with the caveat that this exposure within a home has to be “intensive.”\u003c/p>\n\u003cp>\u003cspan style=\"margin: 0px; padding: 0px;\">\u003ca href=\"https://data.wastewaterscan.org/tracker/?charts=CjEQASABSABSBmU5ZTg3ZVIGMzc0MzBhWgpNUFhWX0cyUl9HeIkBigEGOTY3NzIwwAEB&selectedChartId=967720\" target=\"_blank\" rel=\"noopener\">Data from Stanford University’s WastewaterSCAN project\u003c/a>, which monitors the presence of viruses, including mpox, in human sewage across the U.S., shows that more than two years after the initial 2022 outbreak, clade II of mpox is still occasionally detected in the Bay Area’s wastewater.\u003c/span>\u003c/p>\n\u003cp>Dr. Julia Janssen, deputy director of the HIV/STI Prevention and Control Branch at the San Francisco Department of Public Health, stressed that the city had seen 31 confirmed cases this year — and that \u003ca href=\"https://www.cdc.gov/mpox/hcp/clinical-overview/index.html\">Bay Area residents at higher risk of infection \u003c/a>should still stay vigilant for clade II mpox by \u003ca href=\"#find-mpox-vaccine-near-me\">getting their mpox vaccine.\u003c/a>\u003c/p>\n\u003cfigure id=\"attachment_11988132\" class=\"wp-caption alignnone\" style=\"max-width: 1920px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-11988132\" src=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2024/05/GettyImages-1412778743.jpg\" alt=\"\" width=\"1920\" height=\"1315\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2024/05/GettyImages-1412778743.jpg 1920w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/05/GettyImages-1412778743-800x548.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/05/GettyImages-1412778743-1020x699.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/05/GettyImages-1412778743-160x110.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/05/GettyImages-1412778743-1536x1052.jpg 1536w\" sizes=\"(max-width: 1920px) 100vw, 1920px\">\u003cfigcaption class=\"wp-caption-text\">A pharmacist prepares a dose of the Jynneos mpox vaccine at a pop-up vaccination clinic opened by the Los Angeles County Department of Public Health at the West Hollywood Library on Aug. 3, 2022, in West Hollywood, California. \u003ccite>(Mario Tama/Getty Images)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003ch2>\u003ca id=\"who-risk-mpox\">\u003c/a>Who is at higher risk of getting clade I mpox?\u003c/h2>\n\u003cp>“Nothing has led us to believe up till now that there is a heightened risk to the general public” from clade I mpox, San Mateo County’s Baldwin-Santana said, echoing the CDC and CDPH. “Most people in the public really should not be too concerned at this point in time.”\u003c/p>\n\u003cp>The CDC said that the large number of children getting clade I in eastern and central Africa likely shows that it’s spreading within households and between family members. “Based on what we know right now, \u003ca href=\"https://www.cdc.gov/mpox/situation-summary/index.html\">we don’t expect to see the same sort of risk if mpox were introduced in the United States for several reasons\u003c/a>, including different household makeup and size, access to disinfecting products and improved access to medical care,” the agency said.\u003c/p>\n\u003cp>Based on its own models, the CDC also said that close-contact transmission within and between households “is \u003ca href=\"https://www.cdc.gov/forecast-outbreak-analytics/about/modeling-forecasting/mpox-transmission.html\">unlikely to result in a large number of mpox clade I cases\u003c/a>” nationally.\u003c/p>\n\u003cp>Clade I is “nothing to worry about for the general population” in the Bay Area, UCSF’s Chin-Hong said. “It’s still very hard to get mpox, even from somebody with active lesions. It requires close skin-to-skin contact or intensive household contact — so you can’t get it from Muni or from yoga or from going to Trader Joe’s.”\u003c/p>\n\u003cp>Clade II mpox remains a much more real threat in the Bay Area right now than this one clade I case, Chin-Hong said, since that strain is still circulating at low levels in the region. It’s “a great reminder for people to continue to pay attention to that — that is, people in the LGBTQ community — to really make sure they’re up to date on\u003ca href=\"#find-mpox-vaccine-near-me\"> vaccines\u003c/a>,” he said, reminding folks that gay and bisexual men and other men who have sex with men, as well as transgender, nonbinary and gender-diverse people, are at greater risk for a clade II infection. Jump to \u003ca href=\"#find-mpox-vaccine-near-me\">where to find an mpox vaccine. \u003c/a>\u003c/p>\n\u003ch3>What are the symptoms of mpox, and how does it spread?\u003c/h3>\n\u003cp>The mpox virus spreads through close — usually skin-to-skin — contact with someone who is infected. This could be direct contact with the infectious rashes or scabs someone with mpox develops, scabs, having intimate physical contact with someone who has mpox, such as kissing, cuddling or sex. Coming into contact with infected bodily fluids or items that have been touched by rashes or fluids from an infected person can also expose you to the virus.\u003c/p>\n\u003cp>The symptoms of clade I and clade II mpox are similar, SFDPH’s Janssen said, and they can often start as flu-like conditions — which is worth bearing in mind as the Bay Area enters respiratory virus season.\u003c/p>\n\u003cp>The mpox virus also appears as a rash or sores or spots that can resemble pimples or blisters on the skin anywhere on the body, including the face, inside the mouth, hands, feet, chest, genitals and anus. These spots often start as red, flat spots that then become bumps before the bumps become filled with pus and turn into scabs when they break. These symptoms can be extremely painful. \u003ca href=\"https://www.cdc.gov/poxvirus/mpox/symptoms/index.html\">If you’re unsure about recognizing an mpox rash, the CDC has a photo guide\u003c/a>.\u003c/p>\n\u003cp>\u003ca href=\"https://www.cdc.gov/poxvirus/mpox/symptoms/index.html\">Mpox can have a long incubation period\u003c/a> — that is, the time between when you’re exposed to mpox and when you start to develop symptoms — that can range from three to 17 days, according to the CDC.\u003c/p>\n\u003cp>If you suspect you might have mpox symptoms — even if they’re subtle — see your health care provider right away or \u003ca href=\"https://www.sf.gov/get-mpox-vaccines-testing-and-medicine\">consult one of SFPDH’s clinics for mpox testing\u003c/a>. See more on \u003ca href=\"https://sf.gov/information/mpox\">what to do if you suspect you have mpox\u003c/a>.\u003c/p>\n\u003cfigure id=\"attachment_12000320\" class=\"wp-caption alignnone\" style=\"max-width: 1024px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-12000320\" src=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2024/08/GettyImages-1414098149.jpg\" alt=\"A woman wearing glasses, a face mask and a visor with blue surgical gloves holds a syringe and a small bottle.\" width=\"1024\" height=\"646\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2024/08/GettyImages-1414098149.jpg 1024w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/08/GettyImages-1414098149-800x505.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/08/GettyImages-1414098149-1020x643.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/08/GettyImages-1414098149-160x101.jpg 160w\" sizes=\"(max-width: 1024px) 100vw, 1024px\">\u003cfigcaption class=\"wp-caption-text\">Licensed Vocational Nurse (LVN) Gabriela Solis prepares a dose of the Jynneos mpox vaccine at an L.A. County vaccination site in East Los Angeles on Aug. 10, 2022. \u003ccite>(Mario Tama/Getty Images)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003ch3>\u003ca id=\"find-mpox-vaccine-near-me\">\u003c/a>Who’s eligible for an mpox vaccine in the Bay Area?\u003c/h3>\n\u003cp>The vaccine currently available in the U.S. (brand name: Jynneos) is a two-dose series, with roughly a month between doses. Maximal immunity will build two weeks after your second dose. If you only got one dose previously, go ahead and seek out your second dose ASAP.\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>The U.S. Department of Health and Human Services said in a statement that people who have received both doses of the mpox vaccine — along with people who have already had clade II mpox — “are \u003ca href=\"https://www.hhs.gov/about/news/2024/08/14/united-states-governments-response-clade-i-mpox-outbreak-democratic-republic-congo-other-countries-region.html\">expected to be protected against severe illness from clade I mpox\u003c/a>” as well.\u003c/p>\n\u003cp>The CDC recommends the two-dose mpox vaccine to gay and bisexual men and other men who have sex with men, as well as transgender, nonbinary or gender-diverse people who in the past 6 months, have had:\u003c/p>\n\u003cul>\n\u003cli>More than one sexual partner and/or\u003c/li>\n\u003cli>A new diagnosis of one or more sexually transmitted infections.\u003c/li>\n\u003c/ul>\n\u003cp>The CDC’s vaccine recommendations also include anyone who has had sex at a commercial sex venue like a sex club or bathhouse. \u003ca href=\"https://www.cdc.gov/mpox/vaccines/index.html\">See the full mpox vaccine eligibility recommendations from the CDC\u003c/a>.\u003c/p>\n\u003cp>\u003ca href=\"https://www.sf.gov/get-mpox-vaccines-testing-and-treatment\">San Francisco additionally recommends vaccination\u003c/a> for anyone living with HIV, anyone taking PrEP or who’s eligible to take it and sex workers.\u003c/p>\n\u003cp>The CDC has recently updated its vaccination recommendations to extend to people traveling to countries with clade I outbreaks, which as of Nov. 16 include Burundi, Central African Republic, Democratic Republic of the Congo, Republic of the Congo, Rwanda and Uganda. The agency recommends getting both doses of the vaccine “if you anticipate experiencing any of the following” while traveling to these countries:\u003c/p>\n\u003cul>\n\u003cli>Sex with a new partner\u003c/li>\n\u003cli>Sex at a commercial sex venue, such as a sex club or bathhouse\u003c/li>\n\u003cli>Sex in exchange for money, goods, drugs or other trade\u003c/li>\n\u003cli>Sex in association with a large public event, such as a rave, party or festival.\u003c/li>\n\u003c/ul>\n\u003cp>The mpox vaccine was also originally only available for people aged 18 and older, but in 2022 the Food and Drug Administration (FDA) issued an emergency-use authorization that allows providers to also give the vaccine to young people under 18 who are “determined to be at high risk” of infection.\u003c/p>\n\u003ch3>Where can I find an mpox vaccine?\u003c/h3>\n\u003cp>If you have a regular health care provider, SFDPH recommends you ask them first about getting the mpox vaccine. Your vaccine will be free, but you may be charged a regular copay for seeing your provider.\u003c/p>\n\u003cp>If you’re eligible for the vaccine, your health insurance should cover the costs \u003ca href=\"https://www.cdc.gov/mpox/vaccines/index.htmla\">thanks to the CDC’s recommendations\u003c/a>. If you don’t have a regular health care provider or insurance, you can find the mpox vaccine free at clinics around the Bay Area. You can opt to schedule an appointment or choose a walk-in clinic, depending on what works best for you.\u003c/p>\n\u003cp>(As with the COVID-19 vaccine, receiving an mpox vaccine won’t make you \u003ca href=\"https://documentedny.com/2021/04/04/public-charge-rule-explained/\">a public charge\u003c/a> or affect any future immigration processes you may enter into, and you won’t be asked about your immigration status to receive the mpox vaccine.)\u003c/p>\n\u003cp>\u003cstrong>If you live in or near San Francisco:\u003c/strong>\u003c/p>\n\u003cp>See \u003ca href=\"https://sf.gov/information/mpox-vaccine\">a full list of mpox vaccine sites near you in San Francisco\u003c/a>. SFDPH confirms that you don’t have to be a city resident in San Francisco to get vaccinated for mpox.\u003c/p>\n\u003cp>\u003cstrong>Mpox vaccination sites elsewhere in the Bay Area and California:\u003c/strong>\u003c/p>\n\u003cul>\n\u003cli>Find an mpox vaccine clinic near you using \u003ca href=\"https://npin.cdc.gov/DynWidgets/index.html?chost=www.cdc.gov&cpath=/lgbthealth/summer/index.html&csearch=&chash=&ctitle=Get%20Healthy%20and%20Ready%20for%20Summer%20%7C%20LGBT%20Health%20%7C%20CDC&wn=DynWidgets&wf=/DynWidgets/&wid=DynWidgets1&mMode=widget&mPage=&mChannel=&componentName=MpoxLocator#/\">the CDC’s Vaccine Locator\u003c/a>\u003c/li>\n\u003cli>Find an mpox vaccine clinic near you using \u003ca href=\"https://myturn.ca.gov/\">the state’s myturn.ca.gov site\u003c/a>\u003c/li>\n\u003c/ul>\n\u003cp>\u003cstrong>Getting an mpox vaccine at a pharmacy\u003c/strong>\u003c/p>\n\u003cp>Some pharmacies offer mpox vaccination appointments online, along with other vaccines like COVID-19 and flu. But if you choose this route, you’ll be asked for insurance details — and it’s important to verify with your insurer ahead of time that they’ll cover the cost of an mpox vaccine at a pharmacy like CVS or Walgreens, as the out-of-pocket costs you’ll be quoted may be steep. If you find your insurance doesn’t fully cover the cost, \u003ca href=\"https://www.sf.gov/get-mpox-vaccines-testing-and-treatment\">SFDPH said you can seek your vaccine at one of their clinics while supplies last\u003c/a>.\u003c/p>\n\u003cp>If you get your health care through a health system like Kaiser Permanente, it’s unlikely you’ll be able to get your mpox vaccine covered by insurance at a pharmacy like CVS or Walgreens — the way you can’t get your COVID-19 or flu shot covered by Kaiser at a pharmacy either — and may have to seek it directly from a Kaiser provider.\u003c/p>\n\u003cp>If you’re able to make an appointment online at a pharmacy for your mpox vaccine, you should consider calling that location ahead of time to verify that they do indeed have supply in stock.\u003c/p>\n\u003cp>\u003cem>This story includes reporting from KQED’s Billy Cruz, Carlos Cabrera-Lomelí and Nisa Khan.\u003c/em>\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"title": "Bay Area’s Potential 1st Bird Flu Case Reported in Alameda County Child",
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"headTitle": "Bay Area’s Potential 1st Bird Flu Case Reported in Alameda County Child | KQED",
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"content": "\u003cp>California public health officials have identified a possible case of bird flu in a child in \u003ca href=\"https://www.kqed.org/news/tag/alameda-county\">Alameda County\u003c/a>, they said Tuesday morning.\u003c/p>\n\u003cp>If confirmed, it could be the first bird flu case in the Bay Area, but the \u003ca href=\"https://www.kqed.org/news/tag/california-department-of-public-health\">California Department of Public Health\u003c/a> cautioned that it was isolated.\u003c/p>\n\u003cp>The child initially tested positive for the virus, has experienced mild respiratory symptoms and is recovering at home, according to the agency.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>State health officials said the child’s positive test showed a low-level detection of bird flu, indicating that person would not likely infect someone else. None of the child’s relatives tested positive.\u003c/p>\n\u003cp>Subsequent testing on the child four days later showed negative results for the bird flu, so the state is sending the case to the Centers for Disease Control and Prevention for more testing. Additional tests on the child were positive for respiratory viruses that could have been the cause of their symptoms, CDPH said.\u003c/p>\n\u003cp>[aside postID=news_11990735 hero='https://cdn.kqed.org/wp-content/uploads/sites/10/2024/06/CaliforniaCattle082311-1020x656.jpg']\u003c/p>\n\u003cp>The child had no known contact with an infected animal, but public health officials said they are looking into possible exposure to wild birds.\u003c/p>\n\u003cp>“It’s natural for people to be concerned, and we want to reinforce for parents, caregivers and families that based on the information and data we have, we don’t think the child was infectious — and no human-to-human spread of bird flu has been documented in any country for more than 15 years,” CDPH Director Dr. Tomás Aragón said in a statement.\u003c/p>\n\u003cp>Although \u003ca href=\"https://www.kqed.org/news/11990735/avian-flu-what-to-know-about-h5n1-virus-risks-beyond-the-headlines\">human-to-human spread of bird flu is very rare\u003c/a>, state public health officials said they are notifying others who had contact with the child, including caregivers and families at the child’s day care, and offering preventive treatment and testing out of an abundance of caution.\u003c/p>\n\u003cp>Since early last month, there have been 26 confirmed human cases of bird flu in the state, according to CDPH — all of those were from direct contact with infected dairy cows.\u003c/p>\n\u003cp>\u003cem>KQED’s \u003ca href=\"https://www.kqed.org/author/kmizuguchi\">Keith Mizuguchi\u003c/a> and Jared Servantez contributed to this report.\u003c/em>\u003c/p>\n\u003cp>\u003c/p>\n",
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"excerpt": "California public health officials have identified a possible case of bird flu in a child in Alameda County. The child is recovering, and the case is isolated, officials said.",
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"title": "Bay Area’s Potential 1st Bird Flu Case Reported in Alameda County Child | KQED",
"description": "California public health officials have identified a possible case of bird flu in a child in Alameda County. The child is recovering, and the case is isolated, officials said.",
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"headline": "Bay Area’s Potential 1st Bird Flu Case Reported in Alameda County Child",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>California public health officials have identified a possible case of bird flu in a child in \u003ca href=\"https://www.kqed.org/news/tag/alameda-county\">Alameda County\u003c/a>, they said Tuesday morning.\u003c/p>\n\u003cp>If confirmed, it could be the first bird flu case in the Bay Area, but the \u003ca href=\"https://www.kqed.org/news/tag/california-department-of-public-health\">California Department of Public Health\u003c/a> cautioned that it was isolated.\u003c/p>\n\u003cp>The child initially tested positive for the virus, has experienced mild respiratory symptoms and is recovering at home, according to the agency.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>State health officials said the child’s positive test showed a low-level detection of bird flu, indicating that person would not likely infect someone else. None of the child’s relatives tested positive.\u003c/p>\n\u003cp>Subsequent testing on the child four days later showed negative results for the bird flu, so the state is sending the case to the Centers for Disease Control and Prevention for more testing. Additional tests on the child were positive for respiratory viruses that could have been the cause of their symptoms, CDPH said.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>The child had no known contact with an infected animal, but public health officials said they are looking into possible exposure to wild birds.\u003c/p>\n\u003cp>“It’s natural for people to be concerned, and we want to reinforce for parents, caregivers and families that based on the information and data we have, we don’t think the child was infectious — and no human-to-human spread of bird flu has been documented in any country for more than 15 years,” CDPH Director Dr. Tomás Aragón said in a statement.\u003c/p>\n\u003cp>Although \u003ca href=\"https://www.kqed.org/news/11990735/avian-flu-what-to-know-about-h5n1-virus-risks-beyond-the-headlines\">human-to-human spread of bird flu is very rare\u003c/a>, state public health officials said they are notifying others who had contact with the child, including caregivers and families at the child’s day care, and offering preventive treatment and testing out of an abundance of caution.\u003c/p>\n\u003cp>Since early last month, there have been 26 confirmed human cases of bird flu in the state, according to CDPH — all of those were from direct contact with infected dairy cows.\u003c/p>\n\u003cp>\u003cem>KQED’s \u003ca href=\"https://www.kqed.org/author/kmizuguchi\">Keith Mizuguchi\u003c/a> and Jared Servantez contributed to this report.\u003c/em>\u003c/p>\n\u003cp>\u003c/p>\n\u003c/div>\u003c/p>",
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"title": "‘A Culture Shift Needs to Happen’: SF Report Offers Zurich-Style Approach to Drug Crisis",
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"content": "\u003cp>One outgoing supervisor is calling on the city to harmonize public health and law enforcement’s approach to the \u003ca href=\"https://www.kqed.org/news/tag/overdose-crisis\">overdose crisis\u003c/a>.\u003c/p>\n\u003cp>Although overdose deaths have dipped 20% to date this year compared to 2023, San Francisco continues to face an epidemic-level drug overdose crisis. Supervisor Dean Preston, who lost his reelection bid earlier this month, released a report on Tuesday that offers a blueprint for how San Francisco can emulate an approach used in Zurich, Switzerland – one of San Francisco’s sister cities that similarly struggled with an opioid crisis in the 1990s, but has since become an international model for overdose prevention and reducing drug-related crimes.\u003c/p>\n\u003cp>“This is making sure the Department of Public Health, the Police Department, homeless services and others at the table are actually pursuing a unified approach, and we do not have anything like that in San Francisco right now,” Preston told KQED. “My hope is that this is a top priority for not only the new mayor but for incoming supervisors also.”\u003c/p>\n\u003cp>After implementing a “Four Pillars Strategy” that unites prevention, treatment, harm reduction and law enforcement, overdose deaths in Zurich decreased by 50% from 1991 to 2010, according to Stanford Social Innovation Review, along with a 65% decrease in HIV infections, and 80% decrease in new heroin users.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>UCSF addiction expert Daniel Ciccarone has studied safe consumption sites in Zurich and around the globe. He said the report offers a “rational, clear-minded policy analysis that the city needs for this crisis.”\u003c/p>\n\u003cp>“The beauty of this report is it gives us an opportunity to look at evidence-based approaches and move the city forward,” he said. “There is no good ‘Plan B.’ Relying on police interventions is not sustainable, and bribing or threatening people into treatment does not work.”\u003c/p>\n\u003cp>Several differences could make implementation look different between San Francisco and Zurich, including that the Swiss city is about half the size of San Francisco, has a smaller homeless population, and has more medication-assisted treatment options legally available.\u003c/p>\n\u003cp>Inspired by the success in Zurich, Preston requested that the city’s Budget and Legislative Analyst office produce the report on how San Francisco might replicate that success.\u003c/p>\n\u003cfigure id=\"attachment_11997838\" class=\"wp-caption aligncenter\" style=\"max-width: 2000px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-11997838\" src=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2024/07/240613-DeanPreston-02-BL_qed.jpg\" alt=\"\" width=\"2000\" height=\"1333\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2024/07/240613-DeanPreston-02-BL_qed.jpg 2000w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/07/240613-DeanPreston-02-BL_qed-800x533.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/07/240613-DeanPreston-02-BL_qed-1020x680.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/07/240613-DeanPreston-02-BL_qed-160x107.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/07/240613-DeanPreston-02-BL_qed-1536x1024.jpg 1536w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/07/240613-DeanPreston-02-BL_qed-1920x1280.jpg 1920w\" sizes=\"auto, (max-width: 2000px) 100vw, 2000px\">\u003cfigcaption class=\"wp-caption-text\">Supervisor Dean Preston speaks to a local resident at a bus stop at McAllister and Divisadero in San Francisco on June 13, 2024, while campaigning for reelection to the Board of Supervisors District 5. \u003ccite>(Beth LaBerge/KQED)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>“Do we need to do exactly everything that Zurich has done? No. But the defining feature of their Four Pillars approach is that all of these relevant departments are working on each pillar,” he said. “They don’t just work to put Band-Aids on a situation or reactive crisis response. They actually have both a short and long-term plan for success, and that’s what this city has really been lacking.”\u003c/p>\n\u003cp>At the top of the report’s recommendations is a call for all departments working on overdose issues to coordinate – a seemingly simple task but one that the city has struggled to achieve throughout the current overdose crisis. For example, when the city opened up a temporary overdose prevention center in 2022, police fined some drug users for carrying publicly-funded harm reduction supplies that were provided at the site.\u003c/p>\n\u003cp>Mayor-elect Daniel Lurie plans to initiate a state of emergency for the fentanyl crisis when he takes office in January, which Preston said could be an opportunity to implement the report’s recommendations.\u003c/p>\n\u003cp>However, it’s unclear exactly what the incoming mayor will do with the emergency powers. Lurie ran on a platform of increasing drug treatment availability, improving behavioral health interventions and creating more supportive housing, as well as using ankle monitors on first-time drug dealers.\u003c/p>\n\u003cp>“I am in the process of setting up a meeting with Mayor-elect Lurie to go over this,” Preston said. “A culture shift needs to happen, but it’s all doable. And one of the problems right now is we just are not pursuing a unified approach to solve this crisis.”\u003c/p>\n\u003cfigure id=\"attachment_11909488\" class=\"wp-caption aligncenter\" style=\"max-width: 1920px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-11909488\" src=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2022/03/RS53605_010_SanFrancisco_TLLinkageCenter_02082022-qut.jpg\" alt=\"\" width=\"1920\" height=\"1280\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2022/03/RS53605_010_SanFrancisco_TLLinkageCenter_02082022-qut.jpg 1920w, https://cdn.kqed.org/wp-content/uploads/sites/10/2022/03/RS53605_010_SanFrancisco_TLLinkageCenter_02082022-qut-800x533.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2022/03/RS53605_010_SanFrancisco_TLLinkageCenter_02082022-qut-1020x680.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2022/03/RS53605_010_SanFrancisco_TLLinkageCenter_02082022-qut-160x107.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2022/03/RS53605_010_SanFrancisco_TLLinkageCenter_02082022-qut-1536x1024.jpg 1536w\" sizes=\"auto, (max-width: 1920px) 100vw, 1920px\">\u003cfigcaption class=\"wp-caption-text\">People wait in line to get into the Tenderloin Linkage Center in San Francisco on Feb. 8, 2022. \u003ccite>(Beth LaBerge)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>Lurie wouldn’t be the first to declare a state of emergency, which allows the city to bypass certain bureaucratic steps to release and direct urgently needed resources. In December 2021, Mayor London Breed declared an emergency in the Tenderloin, a neighborhood with the highest rate of overdose deaths in the city. It allowed Breed to call in federal law enforcement agencies to help slow the flow of fentanyl into the city and arrest drug dealers.\u003c/p>\n\u003cp>During her emergency order, the city temporarily opened up a safe consumption site in 2022, called the Tenderloin Center, a medically supervised space where drug users could get off the street and get free meals, showers and other basic necessities. More than 300 people visited the center daily, and health professionals reversed 100% of overdoses that occurred on-site.\u003c/p>\n\u003cp>The safe consumption site was intended to be temporary, and the city closed it after about 10 months following public criticism and scrutiny from local businesses who complained about long lines outside extending into United Nations Plaza.\u003c/p>\n\u003cp>That same year, San Francisco released an Overdose Prevention Plan that called for opening up replacement centers in more dispersed wellness hubs around the city. However, today, efforts to open such centers remain at a standstill and political willpower to make them happen has waned in anticipation of President Donald Trump’s second term.\u003c/p>\n\u003cp>[aside postID=news_12000161 hero='https://cdn.kqed.org/wp-content/uploads/sites/10/2024/08/021_SanFrancisco_StFrancisER_08262021_qed-1020x680.jpg']\u003c/p>\n\u003cp>The Budget and Legislative Analyst’s report also recommends that the city open up safe consumption sites and coordinate with law enforcement to help people move safely indoors and reduce drug use in public spaces.\u003c/p>\n\u003cp>Meanwhile, the report also calls for expanding medication-assisted treatment, like buprenorphine, which helps curb cravings and withdrawal symptoms for people struggling with opioid addiction. The city has increased access to this type of therapy by reducing barriers, such as providing medication treatment on demand to residents in permanent supportive housing and expanding the city’s behavioral health pharmacy hours.\u003c/p>\n\u003cp>“We’re starting to see more people accept treatment, whether it’s abstinence-based, buprenorphine or methadone,” Mayor London Breed told reporters at a Monday press conference about the city’s overdose response. “The people are out there doing the work and making sure that folks know it’s not a one-size-fits-all.”\u003c/p>\n\u003cp>According to the report, about 75% of Zurich residents with opioid addiction take medication for opioid use disorder. But in San Francisco, only about 25% of people struggling with opioid use disorder are connected to medication-assisted treatments, according to the BLA report.\u003c/p>\n\u003cp>That’s partly because many people struggling with opioid addiction may not know that the treatment options exist, said San Francisco resident Juliana Gurrola Nuño, who is now part of the city’s public health campaign \u003ca class=\"c-link\" href=\"https://www.kqed.org/news/12014134/sf-launches-media-campaign-to-promote-addiction-treatment-and-recovery-services\" target=\"_blank\" rel=\"noopener noreferrer\" data-stringify-link=\"https://www.kqed.org/news/12014134/sf-launches-media-campaign-to-promote-addiction-treatment-and-recovery-services\" data-sk=\"tooltip_parent\">promoting available drug treatment and stories of San Franciscans\u003c/a> who benefitted from recovery services.\u003c/p>\n\u003cp>“There are services available to help you start your recovery journey, even if it’s just taking the first small step. But not every person struggling with addiction knows about these resources,” she told reporters at the news conference. “I know that when I was in my addiction, I had no idea of any of these services. I want to change that.”\u003c/p>\n\u003cp>[ad floatright]\u003c/p>\n",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>One outgoing supervisor is calling on the city to harmonize public health and law enforcement’s approach to the \u003ca href=\"https://www.kqed.org/news/tag/overdose-crisis\">overdose crisis\u003c/a>.\u003c/p>\n\u003cp>Although overdose deaths have dipped 20% to date this year compared to 2023, San Francisco continues to face an epidemic-level drug overdose crisis. Supervisor Dean Preston, who lost his reelection bid earlier this month, released a report on Tuesday that offers a blueprint for how San Francisco can emulate an approach used in Zurich, Switzerland – one of San Francisco’s sister cities that similarly struggled with an opioid crisis in the 1990s, but has since become an international model for overdose prevention and reducing drug-related crimes.\u003c/p>\n\u003cp>“This is making sure the Department of Public Health, the Police Department, homeless services and others at the table are actually pursuing a unified approach, and we do not have anything like that in San Francisco right now,” Preston told KQED. “My hope is that this is a top priority for not only the new mayor but for incoming supervisors also.”\u003c/p>\n\u003cp>After implementing a “Four Pillars Strategy” that unites prevention, treatment, harm reduction and law enforcement, overdose deaths in Zurich decreased by 50% from 1991 to 2010, according to Stanford Social Innovation Review, along with a 65% decrease in HIV infections, and 80% decrease in new heroin users.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>UCSF addiction expert Daniel Ciccarone has studied safe consumption sites in Zurich and around the globe. He said the report offers a “rational, clear-minded policy analysis that the city needs for this crisis.”\u003c/p>\n\u003cp>“The beauty of this report is it gives us an opportunity to look at evidence-based approaches and move the city forward,” he said. “There is no good ‘Plan B.’ Relying on police interventions is not sustainable, and bribing or threatening people into treatment does not work.”\u003c/p>\n\u003cp>Several differences could make implementation look different between San Francisco and Zurich, including that the Swiss city is about half the size of San Francisco, has a smaller homeless population, and has more medication-assisted treatment options legally available.\u003c/p>\n\u003cp>Inspired by the success in Zurich, Preston requested that the city’s Budget and Legislative Analyst office produce the report on how San Francisco might replicate that success.\u003c/p>\n\u003cfigure id=\"attachment_11997838\" class=\"wp-caption aligncenter\" style=\"max-width: 2000px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-11997838\" src=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2024/07/240613-DeanPreston-02-BL_qed.jpg\" alt=\"\" width=\"2000\" height=\"1333\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2024/07/240613-DeanPreston-02-BL_qed.jpg 2000w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/07/240613-DeanPreston-02-BL_qed-800x533.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/07/240613-DeanPreston-02-BL_qed-1020x680.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/07/240613-DeanPreston-02-BL_qed-160x107.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/07/240613-DeanPreston-02-BL_qed-1536x1024.jpg 1536w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/07/240613-DeanPreston-02-BL_qed-1920x1280.jpg 1920w\" sizes=\"auto, (max-width: 2000px) 100vw, 2000px\">\u003cfigcaption class=\"wp-caption-text\">Supervisor Dean Preston speaks to a local resident at a bus stop at McAllister and Divisadero in San Francisco on June 13, 2024, while campaigning for reelection to the Board of Supervisors District 5. \u003ccite>(Beth LaBerge/KQED)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>“Do we need to do exactly everything that Zurich has done? No. But the defining feature of their Four Pillars approach is that all of these relevant departments are working on each pillar,” he said. “They don’t just work to put Band-Aids on a situation or reactive crisis response. They actually have both a short and long-term plan for success, and that’s what this city has really been lacking.”\u003c/p>\n\u003cp>At the top of the report’s recommendations is a call for all departments working on overdose issues to coordinate – a seemingly simple task but one that the city has struggled to achieve throughout the current overdose crisis. For example, when the city opened up a temporary overdose prevention center in 2022, police fined some drug users for carrying publicly-funded harm reduction supplies that were provided at the site.\u003c/p>\n\u003cp>Mayor-elect Daniel Lurie plans to initiate a state of emergency for the fentanyl crisis when he takes office in January, which Preston said could be an opportunity to implement the report’s recommendations.\u003c/p>\n\u003cp>However, it’s unclear exactly what the incoming mayor will do with the emergency powers. Lurie ran on a platform of increasing drug treatment availability, improving behavioral health interventions and creating more supportive housing, as well as using ankle monitors on first-time drug dealers.\u003c/p>\n\u003cp>“I am in the process of setting up a meeting with Mayor-elect Lurie to go over this,” Preston said. “A culture shift needs to happen, but it’s all doable. And one of the problems right now is we just are not pursuing a unified approach to solve this crisis.”\u003c/p>\n\u003cfigure id=\"attachment_11909488\" class=\"wp-caption aligncenter\" style=\"max-width: 1920px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-11909488\" src=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2022/03/RS53605_010_SanFrancisco_TLLinkageCenter_02082022-qut.jpg\" alt=\"\" width=\"1920\" height=\"1280\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2022/03/RS53605_010_SanFrancisco_TLLinkageCenter_02082022-qut.jpg 1920w, https://cdn.kqed.org/wp-content/uploads/sites/10/2022/03/RS53605_010_SanFrancisco_TLLinkageCenter_02082022-qut-800x533.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2022/03/RS53605_010_SanFrancisco_TLLinkageCenter_02082022-qut-1020x680.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2022/03/RS53605_010_SanFrancisco_TLLinkageCenter_02082022-qut-160x107.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2022/03/RS53605_010_SanFrancisco_TLLinkageCenter_02082022-qut-1536x1024.jpg 1536w\" sizes=\"auto, (max-width: 1920px) 100vw, 1920px\">\u003cfigcaption class=\"wp-caption-text\">People wait in line to get into the Tenderloin Linkage Center in San Francisco on Feb. 8, 2022. \u003ccite>(Beth LaBerge)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>Lurie wouldn’t be the first to declare a state of emergency, which allows the city to bypass certain bureaucratic steps to release and direct urgently needed resources. In December 2021, Mayor London Breed declared an emergency in the Tenderloin, a neighborhood with the highest rate of overdose deaths in the city. It allowed Breed to call in federal law enforcement agencies to help slow the flow of fentanyl into the city and arrest drug dealers.\u003c/p>\n\u003cp>During her emergency order, the city temporarily opened up a safe consumption site in 2022, called the Tenderloin Center, a medically supervised space where drug users could get off the street and get free meals, showers and other basic necessities. More than 300 people visited the center daily, and health professionals reversed 100% of overdoses that occurred on-site.\u003c/p>\n\u003cp>The safe consumption site was intended to be temporary, and the city closed it after about 10 months following public criticism and scrutiny from local businesses who complained about long lines outside extending into United Nations Plaza.\u003c/p>\n\u003cp>That same year, San Francisco released an Overdose Prevention Plan that called for opening up replacement centers in more dispersed wellness hubs around the city. However, today, efforts to open such centers remain at a standstill and political willpower to make them happen has waned in anticipation of President Donald Trump’s second term.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>The Budget and Legislative Analyst’s report also recommends that the city open up safe consumption sites and coordinate with law enforcement to help people move safely indoors and reduce drug use in public spaces.\u003c/p>\n\u003cp>Meanwhile, the report also calls for expanding medication-assisted treatment, like buprenorphine, which helps curb cravings and withdrawal symptoms for people struggling with opioid addiction. The city has increased access to this type of therapy by reducing barriers, such as providing medication treatment on demand to residents in permanent supportive housing and expanding the city’s behavioral health pharmacy hours.\u003c/p>\n\u003cp>“We’re starting to see more people accept treatment, whether it’s abstinence-based, buprenorphine or methadone,” Mayor London Breed told reporters at a Monday press conference about the city’s overdose response. “The people are out there doing the work and making sure that folks know it’s not a one-size-fits-all.”\u003c/p>\n\u003cp>According to the report, about 75% of Zurich residents with opioid addiction take medication for opioid use disorder. But in San Francisco, only about 25% of people struggling with opioid use disorder are connected to medication-assisted treatments, according to the BLA report.\u003c/p>\n\u003cp>That’s partly because many people struggling with opioid addiction may not know that the treatment options exist, said San Francisco resident Juliana Gurrola Nuño, who is now part of the city’s public health campaign \u003ca class=\"c-link\" href=\"https://www.kqed.org/news/12014134/sf-launches-media-campaign-to-promote-addiction-treatment-and-recovery-services\" target=\"_blank\" rel=\"noopener noreferrer\" data-stringify-link=\"https://www.kqed.org/news/12014134/sf-launches-media-campaign-to-promote-addiction-treatment-and-recovery-services\" data-sk=\"tooltip_parent\">promoting available drug treatment and stories of San Franciscans\u003c/a> who benefitted from recovery services.\u003c/p>\n\u003cp>“There are services available to help you start your recovery journey, even if it’s just taking the first small step. But not every person struggling with addiction knows about these resources,” she told reporters at the news conference. “I know that when I was in my addiction, I had no idea of any of these services. I want to change that.”\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cp>\u003cem>Updated 12:55 p.m. Tuesday\u003c/em>\u003c/p>\n\u003cp>A \u003ca href=\"https://www.kqed.org/news/tag/bart\">BART\u003c/a> police officer shot and injured a woman at the Union City station Monday night.\u003c/p>\n\u003cp>The woman who was shot was hospitalized in serious but stable condition, according to police.\u003c/p>\n\u003cp>Shortly before 9 p.m., BART police responded to a report of reckless driving in the parking lot of the station, and two officers carried out a traffic stop, BART Police Chief Kevin Franklin said at a press conference Tuesday. According to Franklin, the driver allegedly assaulted an officer during the stop, leading one of the officers to open fire.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>Franklin declined to describe the nature of the alleged assault on the police officer or give further details about what led up to the shooting, citing an ongoing investigation.\u003c/p>\n\u003cp>Jasmine Gao, 32, was shot in the upper body, Franklin said. She was given first aid, taken into custody and transported to a hospital for treatment, he said. Once medically cleared, Gao will be booked into Santa Rita Jail in Dublin on suspicion of assault on an officer, reckless evading, resisting arrest and willful disobedience of a court order. She also had two outstanding arrest warrants, Franklin said.\u003c/p>\n\u003cp>BART’s Independent Police Auditor is investigating the shooting.\u003c/p>\n\u003cp>The Union City station was shut down Monday night but reopened Tuesday morning.\u003c/p>\n\u003cp>\u003cem>KQED’s \u003ca href=\"https://www.kqed.org/author/tgoldberg\">Ted Goldberg\u003c/a> and \u003ca href=\"https://www.kqed.org/author/shossaini\">Sara Hossaini\u003c/a> contributed to this report.\u003c/em>\u003c/p>\n\u003cp>\u003c/p>\n",
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"excerpt": "After the Monday night shooting at the East Bay transit station, the woman was hospitalized in serious but stable condition, BART police said.",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>\u003cem>Updated 12:55 p.m. Tuesday\u003c/em>\u003c/p>\n\u003cp>A \u003ca href=\"https://www.kqed.org/news/tag/bart\">BART\u003c/a> police officer shot and injured a woman at the Union City station Monday night.\u003c/p>\n\u003cp>The woman who was shot was hospitalized in serious but stable condition, according to police.\u003c/p>\n\u003cp>Shortly before 9 p.m., BART police responded to a report of reckless driving in the parking lot of the station, and two officers carried out a traffic stop, BART Police Chief Kevin Franklin said at a press conference Tuesday. According to Franklin, the driver allegedly assaulted an officer during the stop, leading one of the officers to open fire.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>Franklin declined to describe the nature of the alleged assault on the police officer or give further details about what led up to the shooting, citing an ongoing investigation.\u003c/p>\n\u003cp>Jasmine Gao, 32, was shot in the upper body, Franklin said. She was given first aid, taken into custody and transported to a hospital for treatment, he said. Once medically cleared, Gao will be booked into Santa Rita Jail in Dublin on suspicion of assault on an officer, reckless evading, resisting arrest and willful disobedience of a court order. She also had two outstanding arrest warrants, Franklin said.\u003c/p>\n\u003cp>BART’s Independent Police Auditor is investigating the shooting.\u003c/p>\n\u003cp>The Union City station was shut down Monday night but reopened Tuesday morning.\u003c/p>\n\u003cp>\u003cem>KQED’s \u003ca href=\"https://www.kqed.org/author/tgoldberg\">Ted Goldberg\u003c/a> and \u003ca href=\"https://www.kqed.org/author/shossaini\">Sara Hossaini\u003c/a> contributed to this report.\u003c/em>\u003c/p>\n\u003cp>\u003c/p>\n\u003c/div>\u003c/p>",
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"slug": "birth-control-on-your-mind-since-the-election-here-are-your-options",
"title": "Birth Control on Your Mind Since the Election? Here Are Your Options",
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"headTitle": "Birth Control on Your Mind Since the Election? Here Are Your Options | KQED",
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"content": "\u003cp>Former President Donald Trump is returning to the White House in January — and with him,\u003ca href=\"https://www.kqed.org/news/12013256/how-health-care-could-change-under-the-new-trump-administration\"> a new administration\u003c/a> that could further restrict \u003ca href=\"https://www.kqed.org/news/12012326/californian-votes-really-matter-what-the-election-could-mean-for-reproductive-health\">reproductive rights nationally after the overturning of \u003cem>Roe v. Wade\u003c/em>\u003c/a>.\u003c/p>\n\u003cp>\u003ca href=\"https://www.kqed.org/news/11998288/what-is-project-2025-donald-trump-heritage-foundation-director-steps-down\">Project 2025\u003c/a> — a 900-page policy agenda for the next Republican presidency authored and supported by Trump allies, former and current Trump staffers and Vice President-elect JD Vance — details \u003ca href=\"https://slate.com/news-and-politics/2024/11/trump-second-term-abortion-agenda-blue-state-crackdown.html\">a pathway for nationwide attacks\u003c/a> on \u003ca href=\"https://www.guttmacher.org/fact-sheet/how-project-2025-seeks-obliterate-srhr\">abortions, IVF and contraceptives\u003c/a>. And now, some reproductive rights advocates and experts suggest this is a good time for Americans to start conversations with providers about their birth control plans.\u003c/p>\n\u003cp>“It’s just really important that we educate as many people as possible on how to protect themselves [for] the next four years — and perhaps the next decade,” said Dr. Sophia Yen, co-founder of Pandia Health, \u003ca href=\"https://www.pandiahealth.com/\">an organization specializing in reproductive care\u003c/a>. If you’re at an age where you could have children, Yen’s message is: “Get your birth control under control. Maximize it — get the best possible one that you like and can tolerate.”\u003c/p>\n\u003cp>San Francisco gynecologist Dr. Katherine Gregory said her biggest message to people of reproductive age is to start having the conversation about birth control with their provider now, to explain their concerns — rather than quickly making a decision “because of fear.”\u003c/p>\n\u003cp>“I’m kind of always going to try to take the position of ‘What can you do to protect yourself and others?’ And there’s lots” you can do, she said.\u003c/p>\n\u003cul>\n\u003cli>\u003cstrong>Jump straight to: \u003ca href=\"#long-term-birth-control\">What are my options for longer-term birth control?\u003c/a>\u003c/strong>\u003c/li>\n\u003c/ul>\n\u003ch3>Remember: California’s laws still currently favor reproductive rights\u003c/h3>\n\u003cp>California positioned itself as a leader in reproductive care in \u003ca href=\"https://www.gov.ca.gov/2024/06/24/governor-newsom-first-partner-mark-second-anniversary-of-the-overturning-of-roe-v-wade/#:~:text=Governor%20Newsom%20actions%20to%20protect%20abortion%20access%3A&text=June%202022%2C%20Governor%20Newsom%3A,Wade%20was%20overturned.\">the country immediately after the overturning of \u003cem>Roe v. Wade\u003c/em>\u003c/a> — and \u003ca href=\"https://www.kqed.org/news/12013395/newsom-calls-special-session-prepare-california-legal-fight-against-trump\">the state is now doing so again\u003c/a> ahead of a second Trump term. However, California’s autonomy could be at risk with conservative control of all three branches of government, warned Gender Equity Policy Institute’s Nancy Cohen, who told KQED that “federal law will trump state protection.”\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>“States like California and New York that have constitutional protections for abortion rights and reproductive health care in general … those become meaningless” in the light of any national restrictions, Cohen said.\u003c/p>\n\u003cp>Addressing this threat in a statement the day after the election, Gov. Gavin Newsom said that “lawyers from the Attorney General’s Office and my office have been \u003ca href=\"https://www.kqed.org/news/12013535/california-and-the-bay-area-took-on-trump-before-theyre-ready-to-do-it-again\">preparing for a potential second Trump term for more than a year.\u003c/a>” The state, Newsom wrote, was “marshaling the arguments and evidence needed to be ready to challenge in court unconstitutional and unlawful federal policies, and to mount robust and vigorous defenses of California’s laws, policies and programs.”\u003c/p>\n\u003cp>“We’re living in California, and we’re lucky that \u003ca href=\"https://www.kqed.org/news/11917111/even-without-roe-v-wade-abortion-is-still-legal-in-california-heres-what-you-need-to-know\">we feel a bit protected\u003c/a>. But we can’t take that for granted,” Gregory said.\u003c/p>\n\u003cp>Amid all this uncertainty, and before California likely enters new legal territory as it gears up for a fight against the second Trump administration, how can individuals empower themselves around birth control and longer-term reproductive measures?\u003c/p>\n\u003cp>Knowing the best birth control for your body is \u003cem>always\u003c/em> a good idea, regardless of the political climate. Keep reading to learn more about the current contraceptive options open to you and what experts suggest you do to prepare ahead of any possible change in laws governing reproductive freedom.\u003c/p>\n\u003cp>(And as a reminder, \u003ca href=\"https://www.kqed.org/news/12014103/youre-entitled-to-an-abortion-in-california-what-can-you-do-if-youre-denied-one\">abortion remains legal and widely available in California\u003c/a>.)\u003c/p>\n\u003ch3>What will a birth control discussion with a provider look like?\u003c/h3>\n\u003cp>Gregory said that people should start a conversation with their health care provider about the best birth control options for them. If you \u003ca href=\"https://www.plannedparenthood.org/get-care/health-insurance/about-health-insurance#:~:text=Do%20I%20need%20health%20insurance,Parenthood%20health%20center%20near%20you.\">do not have insurance\u003c/a>, Planned Parenthood can offer these services.\u003c/p>\n\u003cp>“There’s lots of things that we talk about with our patients to help them decide on what’s the best contraceptive,” she said. “I hate the thought that — out of fear — young women may not make the right decision for themselves,” Gregory said. For her, taking control of your own reproductive health is inseparable from “having these discussions with a provider.”\u003c/p>\n\u003cp>When talking to a provider, Gregory said patients can come prepared to discuss topics like:\u003c/p>\n\u003cul>\n\u003cli>What they want to see or expect from their contraceptives\u003c/li>\n\u003cli>How long they want their contraceptives to last\u003c/li>\n\u003cli>Their health history\u003c/li>\n\u003c/ul>\n\u003cp>Other questions could include whether the person wants to have children or not — and, if so, whether they have a timeline for starting a family.\u003c/p>\n\u003cp>Even voicing your concerns about upcoming policies under the new Trump administration could help a provider give advice on what birth control to suggest, Gregory said — mindful that “it’s impossible for any provider to predict what will happen.”\u003c/p>\n\u003cp>Advocating for yourself in a doctor’s office isn’t always simple. If you’re concerned about freezing up in front of medical professionals, \u003ca href=\"https://www.npr.org/transcripts/1172843588\">NPR’s Life Kit has a guide\u003c/a> with tactics to get what you need out of your appointment.\u003c/p>\n\u003ch3>\u003ca id=\"long-term-birth-control\">\u003c/a>What are the different birth control options, and how long do they last?\u003c/h3>\n\u003cp>The Centers for Disease Control and Prevention (CDC) has \u003ca href=\"https://www.cdc.gov/mmwr/volumes/65/rr/figures/r6504a1f1.gif?_=69114\">a thorough chart\u003c/a> that ranks the effectiveness of birth control types — with the implant and intrauterine devices listed as the most effective among reversible methods. The \u003ca href=\"https://osg.ca.gov/contraception/#:~:text=Can%20I%20get%20birth%20control,or%20ring%2C%20from%20a%20pharmacist.\">California Surgeon General’s guide\u003c/a> also has a list of methods, benefits and possible side effects.\u003c/p>\n\u003cp>“The higher up on the scale you go, the fewer times you have to think about dealing with it, but also the greater the efficacy,” Yen said. “So maybe switch up for a better one if you can.”\u003c/p>\n\u003cfigure id=\"attachment_12014900\" class=\"wp-caption alignnone\" style=\"max-width: 800px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"wp-image-12014900 size-medium\" src=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2024/11/r6504a1f1-800x594.png\" alt=\"\" width=\"800\" height=\"594\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2024/11/r6504a1f1-800x594.png 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/11/r6504a1f1-160x119.png 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/11/r6504a1f1.png 831w\" sizes=\"(max-width: 800px) 100vw, 800px\">\u003cfigcaption class=\"wp-caption-text\">The most to least effective forms of birth control, according to the Centers for Disease Control and Prevention. \u003ccite>(Courtesy of the Centers for Disease Control and Prevention)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>In order of effectiveness, birth control options — many of which are prescription-based — include:\u003c/p>\n\u003cp>\u003cstrong>Implant\u003c/strong>\u003c/p>\n\u003cp>The implant — also \u003ca href=\"https://www.plannedparenthood.org/learn/birth-control/birth-control-implant-nexplanon\">known as nexplanon\u003c/a> — is a tiny rod inserted in your upper arm. It is good for preventing pregnancies for up to five years.\u003c/p>\n\u003cp>\u003cstrong>Hormonal intrauterine device (IUD)\u003c/strong>\u003c/p>\n\u003cp>A hormonal IUD is a piece of \u003ca href=\"https://www.plannedparenthood.org/learn/birth-control/iud/hormonal-iuds\">flexible plastic that sits in your uterus\u003c/a> and can also help with \u003ca href=\"https://www.plannedparenthood.org/blog/should-i-get-a-copper-or-a-hormonal-iud\">period cramps and heavy flows\u003c/a>.\u003c/p>\n\u003cp>Different hormonal IUDs last for different amounts of time. For example, \u003ca href=\"https://www.mirena-us.com/\">Mirena\u003c/a> and \u003ca href=\"https://www.liletta.com/\">Liletta\u003c/a> IUDs last up to eight years. \u003ca href=\"https://www.kyleena-us.com/\">Kyleena’s\u003c/a> IUD lasts up to five years.\u003c/p>\n\u003cp>“In general, women are turning towards long-term contraception, such as the IUD,” Gregory said. “It’s convenient, it works extremely well … it removes that anxiety for a longer period of time.”\u003c/p>\n\u003cp>For some patients, the procedure of inserting an IUD can range from \u003ca href=\"https://www.yalemedicine.org/news/intrauterine-devices-iud#:~:text=Copper%20IUDs%20may%20increase%20the,IUDs%20are%20rare%2C%20but%20possible.\">uncomfortable\u003c/a> to \u003ca href=\"https://www.plannedparenthood.org/learn/birth-control/iud/whats-an-iud-insertion-like\">painful\u003c/a>. Yen said for many people, scheduling an IUD appointment near the last day of their period can help reduce that discomfort and pain “because the hole [of your cervix] will be already open.”\u003c/p>\n\u003cp>Yen also recommends taking 600mg of ibuprofen (\u003ca href=\"https://www.nhs.uk/medicines/ibuprofen-for-adults/common-questions-about-ibuprofen-for-adults/\">with food\u003c/a>) half an hour before the procedure. (Patients should not take ibuprofen if they have bleeding problems, kidney problems, or are allergic to the medication.) Lastly, Yen said patients can also ask the staff to \u003ca href=\"https://www.yalemedicine.org/news/intrauterine-devices-iud#:~:text=Or%2C%20if%20the%20IUD%20insertion,recommends%20talking%20to%20your%20provider.\">numb their cervix\u003c/a>, emphasizing that people facing pain “don’t have to ‘suck it up.’”\u003c/p>\n\u003cp>\u003cstrong>Copper intrauterine device or IUD\u003c/strong>\u003c/p>\n\u003cp>A copper IUD is \u003ca href=\"https://www.mayoclinic.org/tests-procedures/paragard/about/pac-20391270\">a plastic frame surrounded by copper wire that’s placed in the uterus\u003c/a>. It’s non-hormonal and \u003ca href=\"https://www.plannedparenthood.org/blog/should-i-get-a-copper-or-a-hormonal-iud\">lasts up to 12 years\u003c/a>.\u003c/p>\n\u003cp>\u003cstrong>The birth control shot\u003c/strong>\u003c/p>\n\u003cp>The depo-shot (Depo-Provera) is an injection\u003ca href=\"https://www.plannedparenthood.org/learn/birth-control/birth-control-shot\"> every three months\u003c/a> or four times a year. If a patient gets their \u003cem>first\u003c/em> shot at any other time than the start of their period, they should use another birth control method, like a condom, for a week if they have sex.\u003c/p>\n\u003cp>\u003cstrong>The ring\u003c/strong>\u003c/p>\n\u003cp>The ring is a small flexible hormonal ring a person \u003ca href=\"https://www.plannedparenthood.org/learn/birth-control/birth-control-vaginal-ring-nuvaring/how-do-i-use-nuvaring#NuvaRing\">places inside their vagina\u003c/a> every 3–6 weeks. Planned Parenthood has a guide to \u003ca href=\"https://www.plannedparenthood.org/learn/birth-control/birth-control-vaginal-ring-nuvaring/how-do-i-use-nuvaring#NuvaRing\">correctly inserting a ring on their website\u003c/a>.\u003c/p>\n\u003cp>There are \u003ca href=\"https://www.plannedparenthood.org/learn/birth-control/birth-control-vaginal-ring-nuvaring/how-do-i-use-nuvaring\">two brands of rings\u003c/a>: NuvaRing, which lasts up to five weeks, and Annovera, which lasts up to one year.\u003c/p>\n\u003cp>\u003cstrong>The birth control patch\u003c/strong>\u003c/p>\n\u003cp>A person can wear a birth control patch on \u003ca href=\"https://www.plannedparenthood.org/learn/birth-control/birth-control-patch\">their belly, back, or sometimes arm\u003c/a>, which releases hormones that help prevent pregnancy. There are two brands: the Xulane patch and the Twirla patch. Similarly to the ring, a person would wear \u003ca href=\"https://my.clevelandclinic.org/health/articles/24490-birth-control-patch\">the patch for three weeks\u003c/a> and then take it off for one week, then put on a new patch.\u003c/p>\n\u003cp>\u003cstrong>The pill\u003c/strong>\u003c/p>\n\u003cp>The pill is the birth control medicine you need to take around the same time every day. While there is now \u003ca href=\"https://www.kqed.org/news/11982330/the-first-over-the-counter-birth-control-pill-is-now-available-how-does-it-work\">an “over-the-counter” option\u003c/a> that is a “mini-pill,” meaning it is progestin-only, a “combined pill” with both estrogen and progestin is \u003ca href=\"https://gynraleigh.com/birth-control-progestin-only-pills-vs-combination-pills/#:~:text=One%20of%20the%20main%20advantages,women%20who%20cannot%20take%20estrogen.\">slightly more effective\u003c/a>.\u003c/p>\n\u003cp>Yen said due to the Affordable Care Act, there is “no copay, no deductible for any FDA-approved birth control. If there’s a generic of it that they like or a brand of it that they’ve made a deal with the drug company, you have to go with that one, but it should be the same dose in the same formulation.”\u003c/p>\n\u003cp>Yen recommended getting birth control automated and delivered regularly through your pharmacy in case a person forgets to renew their supply. In California, a person can \u003ca href=\"https://www.essentialaccess.org/about/press-room/new-law-allow-12-month-prescriptions-birth-control-heralded-win-win-women\">request up to a year’s supply\u003c/a>, meaning, for example, physicians write for 13 birth control pill packs — or 17 packs, if one wants to skip their period.\u003c/p>\n\u003cp>In California, a person \u003ca href=\"https://osg.ca.gov/contraception/#:~:text=Can%20I%20get%20birth%20control,or%20ring%2C%20from%20a%20pharmacist.\">does not need a doctor’s prescription\u003c/a> to access to the pill, patch, and ring, which a pharmacist can instead prescribe. \u003ca href=\"https://www.kqed.org/news/11982330/the-first-over-the-counter-birth-control-pill-is-now-available-how-does-it-work\">Read more about over-the-counter birth control options.\u003c/a>\u003c/p>\n\u003cp>[aside postID=news_11982330]\u003c/p>\n\u003ch3>What are the surgical, permanent options to prevent pregnancy?\u003c/h3>\n\u003cp>For people who are done having children or are very sure they do not want children, there are one-time surgical procedures that aim to prevent pregnancy permanently:\u003c/p>\n\u003cp>\u003cstrong>Vasectomy\u003c/strong>\u003c/p>\n\u003cp>Vasectomy is a surgical procedure for a person with a penis and is \u003ca href=\"https://www.plannedparenthood.org/learn/birth-control/vasectomy\">almost 100% effective in preventing pregnancies\u003c/a>.\u003c/p>\n\u003cp>\u003cstrong>Tubal sterilization\u003c/strong>\u003c/p>\n\u003cp>There are \u003ca href=\"https://www.plannedparenthood.org/learn/birth-control/sterilization\">two types of permanent sterilization\u003c/a> when it comes to the fallopian tubes. Tubal ligation is when a person with a uterus has \u003ca href=\"https://www.hopkinsmedicine.org/health/treatment-tests-and-therapies/tubal-ligation\">their fallopian tubes tied or blocked\u003c/a> — more colloquially known as having\u003ca href=\"https://www.mayoclinic.org/tests-procedures/tubal-ligation/about/pac-20388360\"> their tubes tied\u003c/a>. A bilateral salpingectomy is a procedure where the fallopian tubes are \u003ca href=\"https://www.plannedparenthood.org/learn/birth-control/sterilization\">removed entirely\u003c/a> or have a \u003ca href=\"https://www.hopkinsmedicine.org/health/treatment-tests-and-therapies/salpingectomy#:~:text=Bilateral%20salpingectomy%20means%20removal%20of,with%20only%20one%20fallopian%20tube.\">middle section of the tube removed\u003c/a>.\u003c/p>\n\u003cp>\u003ca href=\"https://my.clevelandclinic.org/health/treatments/4933-tubal-ligation\">Neither procedure\u003c/a> will \u003ca href=\"https://www.hopkinsmedicine.org/health/treatment-tests-and-therapies/salpingectomy\">induce menopause\u003c/a>, and a bilateral salpingectomy may also be used to decrease a person’s ovarian cancer risk.\u003c/p>\n\u003cp>\u003cstrong>Who should explore these permanent options?\u003c/strong>\u003c/p>\n\u003cp>Both practitioners stressed the importance of patients working with their providers to be very sure of whether these types of surgical procedures are right for them — both because of their permanent nature and also because of the risks of any kind of surgery.\u003c/p>\n\u003cp>“Surgery like this is very, very safe,” Gregory said. “But it’s surgery, and it can have complications.”\u003c/p>\n\u003cp>Gregory said during the first Trump administration, her practice saw an uptick of women in their 20s and early 30s requesting sterilization. “These were women who very clearly communicated that they have never wanted children,” Gregory said. “They’ve thought about it, and they’ve asked for tubal sterilization.”\u003c/p>\n\u003cp>But providers often still deny people a referral for this type of surgery, usually “because of their age,” Gregory said.\u003c/p>\n\u003cp>Some medical offices \u003ca href=\"https://www.wired.com/story/permanent-birth-control-iuds-post-roe/\">might dissuade or turn away a person\u003c/a> from pursuing this option — or say that someone would need \u003ca href=\"https://www.businessinsider.com/a-woman-needed-husbands-consent-to-get-her-tubes-tied-2020-2#:~:text=According%20to%20federal%20government%20policy,was%20a%20requirement%20decades%20ago.\">their partner’s permission\u003c/a>, which is “not true,” Yen said. (“Feel free to report that provider to the medical board,” she said.) In the aftermath of Trump’s second win, \u003ca href=\"https://docs.google.com/spreadsheets/u/1/d/1Djia_WkrVO3S4jKn6odNwQk7pOcpcL4x00FMNekrb7Q/htmlview?pli=1\">crowdsourced lists\u003c/a> began circulating online listing doctors nationwide who have performed tubal ligations regardless of a patient’s marital status or number of children.\u003c/p>\n\u003cp>Some of these providers may deny a patient on the basis that they may regret the decision, but Gregory said the denial “can’t be that arbitrary.” Physicians should instead refer to the existing scientific research, she said.\u003c/p>\n\u003cp>Gregory said if a young woman in her late 20s comes into her office and “really wants a tubal sterilization,” she would have a “frank discussion” with her to make sure the patient has considered all her options and to “understand how she’s come to this decision.”\u003c/p>\n\u003cp>“She’s an adult, and she can make these decisions about her own body,” Gregory said. “I think that there will be probably another uptick in young women requesting tubal sterilization, and that is their right.”\u003c/p>\n\u003cfigure id=\"attachment_12014910\" class=\"wp-caption alignnone\" style=\"max-width: 800px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-medium wp-image-12014910\" src=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2024/11/GettyImages-1241746190-1-800x533.jpg\" alt=\"\" width=\"800\" height=\"533\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2024/11/GettyImages-1241746190-1-800x533.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/11/GettyImages-1241746190-1-1020x680.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/11/GettyImages-1241746190-1-160x107.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/11/GettyImages-1241746190-1-1536x1024.jpg 1536w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/11/GettyImages-1241746190-1-2048x1365.jpg 2048w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/11/GettyImages-1241746190-1-1920x1280.jpg 1920w\" sizes=\"(max-width: 800px) 100vw, 800px\">\u003cfigcaption class=\"wp-caption-text\">Plan B, emergency contraceptive, on the shelf in a drug store in Annapolis, Maryland, on July 6, 2022. \u003ccite>((Photo by JIM WATSON/AFP via Getty Images))\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003ch3>What are my emergency contraception options?\u003c/h3>\n\u003cp>Emergency contraception can prevent \u003ca href=\"https://www.who.int/news-room/fact-sheets/detail/emergency-contraception#:~:text=Emergency%20contraception%20(EC)%20can%20prevent,assault%20if%20without%20contraception%20coverage.\">95% of pregnancies\u003c/a> within five days of unprotected sex, including if a condom breaks or missing the window of forgiveness with birth control pills.\u003c/p>\n\u003cp>Options include \u003ca href=\"https://www.plannedparenthood.org/learn/morning-after-pill-emergency-contraception/whats-plan-b-morning-after-pill\">morning-after pills like Plan B\u003c/a> and also having \u003ca href=\"https://www.plannedparenthood.org/learn/birth-control/iud/non-hormonal-copper-iud\">the copper IUD\u003c/a> and \u003ca href=\"https://www.plannedparenthood.org/learn/birth-control/iud/hormonal-iuds#:~:text=The%20hormonal%20IUD%20releases%20a,while%20you%27re%20using%20it.\">the hormonal IUD\u003c/a> inserted — with the \u003ca href=\"https://www.plannedparenthood.org/learn/morning-after-pill-emergency-contraception/how-do-iuds-work-emergency-contraception\">IUDs being more effective\u003c/a>.\u003c/p>\n\u003cp>You can find a clinic that offers these services using\u003ca href=\"https://www.plannedparenthood.org/get-care\"> Planned Parenthood’s search tool\u003c/a>. (More on this below.) Planned Parenthood also has \u003ca href=\"https://www.plannedparenthood.org/online-tools/emergency-contraception\">a quiz for people\u003c/a> to see which method of emergency contraception is best for them.\u003c/p>\n\u003cp>A person can get Plan B at a drugstore or pharmacy over the counter or have it prescribed. Plan B has \u003ca href=\"https://www.health.com/news/does-plan-b-expire#:~:text=Plan%20B%2C%20an%20oral%20emergency,of%20when%20the%20medicine%20expires.\">a shelf life of four years\u003c/a> if a person wants to stockpile in case of emergency. (Be sure to check the date on the side of the box to \u003ca href=\"https://www.verywellhealth.com/stockpiling-plan-b-5271334\">confirm this\u003c/a>.)\u003c/p>\n\u003cp>Yen noted that a person’s body mass index will factor into whether or not the over-the-counter emergency contraception is effective. For example, if a person’s BMI is greater than 26 — a medication like Plan B may not work as well. If it is greater than 30, Yen said, it “doesn’t work at all.” Yen said ella — \u003ca href=\"https://www.plannedparenthood.org/learn/morning-after-pill-emergency-contraception/whats-ella-morning-after-pill\">a prescription emergency contraception\u003c/a> (also known as a “morning-after pill”) — is effective with BMIs up to 35. A person can also ask for prescriptions for future use — ella has a shelf life of three years.\u003c/p>\n\u003ch3>Does my insurance cover birth control?\u003c/h3>\n\u003cp>The California Surgeon General has\u003ca href=\"https://osg.ca.gov/contraception/#:~:text=Can%20I%20get%20birth%20control,or%20ring%2C%20from%20a%20pharmacist.\"> a comprehensive list of out-of-pocket costs\u003c/a> for each method of birth control. For example, the patch can range from free to $150, and the implant can cost up to $1,300 out-of-pocket.\u003c/p>\n\u003cp>According to the Surgeon General’s website, plans do not have to cover abortion medication or vasectomies. (However, there are ways for Californians — and people traveling to California — to get the procedure for free, depending on \u003ca href=\"https://www.ineedana.com/blog/how-to-get-a-free-abortion-in-california\">their income background\u003c/a>.)\u003c/p>\n\u003cp>\u003cstrong>Private health insurance\u003c/strong>\u003c/p>\n\u003cp>Thanks to the Affordable Care Act, \u003ca href=\"https://osg.ca.gov/contraception/#:~:text=Can%20I%20get%20birth%20control,or%20ring%2C%20from%20a%20pharmacist.\">contraceptives are a covered benefit\u003c/a> with private health insurance. If someone gets contraceptives within their network, “plans must cover these services without charging a copayment or coinsurance … even if you haven’t met your deductible,” according to the state. (However, \u003ca href=\"https://www.npr.org/2020/07/08/889112788/the-supreme-court-allows-employers-to-opt-out-of-contraception-coverage\">an employer with religious objections\u003c/a> can still request health insurance plans that do not cover contraceptive methods.)\u003c/p>\n\u003cp>\u003cstrong>Medi-Cal\u003c/strong>\u003c/p>\n\u003cp>Medi-Cal (California’s Medicaid) provides \u003ca href=\"https://oag.ca.gov/system/files/attachments/press-docs/Birth%20Control%20Consumer%20Alert.pdf\">free birth control\u003c/a>. \u003cspan style=\"margin: 0px;padding: 0px\">Medi-Cal \u003ca href=\"https://mcweb.apps.prd.cammis.medi-cal.ca.gov/assets/26092CC9-AAAF-432E-A672-85D649215F8A/abort.pdf?access_token=6UyVkRRfByXTZEWIh8j8QaYylPyP5ULO\" target=\"_blank\" rel=\"noopener\">also covers abortion services\u003c/a>\u003c/span>, and state funds are used to completely cover the cost of the procedure.\u003c/p>\n\u003cp>\u003cstrong>Family PACT\u003c/strong>\u003c/p>\n\u003cp>If a person is low-income but does not qualify for Medi-Cal, the \u003ca href=\"https://familypact.org/how-to-become-a-family-pact-client/\" target=\"_blank\" rel=\"noopener\">state’s family planning office,\u003c/a> Family PACT, can assist with free birth control. You can find \u003ca href=\"https://familypact.org/provider-search/\">Family PACT providers\u003c/a> on the state’s website.\u003c/p>\n\u003cp>\u003cstrong>Covered California (aka “Obamacare”)\u003c/strong>\u003c/p>\n\u003cp>Like private insurance plans, insurance plans under \u003ca href=\"https://www.coveredca.com/marketing-blog/health-services-you-can-get-for-free-all-you-need-is-a-plan/\">Covered California\u003c/a> can provide pills, patches and rings for up to 12 months.\u003c/p>\n\u003ch3>What are my birth control options if I am under 18?\u003c/h3>\n\u003cp>In California, \u003ca href=\"https://leginfo.legislature.ca.gov/faces/codes_displaySection.xhtml?lawCode=FAM§ionNum=6925.\">minors have the right to birth control access\u003c/a>. Providers and doctors are not allowed to inform a minor’s parents about their health choices without their consent, and minors do not need to have a parent present to access these services from a provider. The American Civil Liberties Union Northern California has \u003ca href=\"https://www.aclunc.org/our-work/know-your-rights/know-your-rights-student-health-rights\">a comprehensive Q&A\u003c/a> about the rights of minors and their access to birth control.\u003c/p>\n\u003cp>According to the ACLU NorCal, students are allowed to have doctor appointments during school hours — and schools are not allowed to inform parents.\u003c/p>\n\u003ch3>Where can I find birth control or emergency contraceptive providers?\u003c/h3>\n\u003cp>When it comes to getting your birth control changed or renewed, Yen predicts, “There may be a horde of people running right now to go get it done.” With this in mind, you might consider scheduling a visit to your provider’s office sooner rather than later.\u003c/p>\n\u003cp>You can also use the following services to ask about birth control options:\u003c/p>\n\u003cul>\n\u003cli>A \u003ca href=\"https://www.plannedparenthood.org/health-center\">Planned Parenthood health center\u003c/a> (you can go without insurance)\u003c/li>\n\u003cli>A \u003ca href=\"https://reproductivehealthservices.gov/\">Title X clinic\u003c/a>, which are federally funded and service people who are \u003ca href=\"https://opa.hhs.gov/about/news/e-updates/what-are-title-x-family-planning-clinics-and-where-can-you-find-one#:~:text=The%20Title%20X%20program%20is,health%20care%20and%20health%20education.\">low-income or do not have health insurance\u003c/a>\u003c/li>\n\u003cli>Search on \u003ca href=\"https://www.bedsider.org/find-health-care/clinics\">Besider.org\u003c/a>\u003c/li>\n\u003cli>\u003ca href=\"https://freethepill.org/resources/where-can-i-get-birth-control-pills-online\">Online prescribing models\u003c/a>, such as \u003ca href=\"https://www.pandiahealth.com/\">Pandia Health\u003c/a> and \u003ca href=\"https://hellowisp.com/\">Wisp\u003c/a>\u003c/li>\n\u003c/ul>\n\u003cp>Minors can use \u003ca href=\"https://www.teensource.org/condoms/free\">the Teen Source search tool\u003c/a> to find places to get condoms as well.\u003c/p>\n\u003ch3>What about access to abortion pills?\u003c/h3>\n\u003cp>The legal battle over the abortion pill mifepristone \u003ca href=\"https://www.forbes.com/sites/alisondurkee/2024/10/17/gop-states-are-still-trying-to-restrict-abortion-pill-mifepristone-in-court-heres-how/\">rages on\u003c/a> despite the Supreme Court’s \u003ca href=\"https://www.forbes.com/sites/alisondurkee/2024/06/13/supreme-court-upholds-abortion-drug-mifepristone/\">rejection earlier this year\u003c/a> of a lawsuit seeking to roll back its federal approval.\u003c/p>\n\u003cp>And even though abortion pills are currently accessible, health care providers worry that could change once Trump takes office. On the day after Trump’s win, \u003ca href=\"https://aidaccess.org/en/\">a European-based group that prescribes abortion pills\u003c/a> for people around the world, including the United States, said it saw a surge of requests for medication — \u003ca href=\"https://www.msnbc.com/top-stories/latest/abortion-pill-access-trump-rcna179849\">10,000 requests as compared to around 600 on a normal day\u003c/a>.\u003c/p>\n\u003cp>A person can get abortion pills from the following providers:\u003c/p>\n\u003cul>\n\u003cli>\u003ca href=\"https://www.plancpills.org/abortion-pill/california\">Plan C’s abortion pill search tool\u003c/a>\u003c/li>\n\u003cli>\u003ca href=\"https://www.abuzzhealth.com/\">Abuzz Health\u003c/a>\u003c/li>\n\u003cli>\u003ca href=\"https://asafechoicenetwork.com/\">A Safe Choice\u003c/a>\u003c/li>\n\u003cli>\u003ca href=\"https://www.cambridgereproductivehealthconsultants.org/map\">The MAP\u003c/a>\u003c/li>\n\u003cli>\u003ca href=\"https://www.wetakecareof.us/\">We Take Care of Us\u003c/a>\u003c/li>\n\u003cli>\u003ca href=\"https://www.womenonweb.org/en/\">Women on Web\u003c/a>\u003c/li>\n\u003c/ul>\n\u003cp>Plan C — \u003ca href=\"https://www.plancpills.org/in-advance\">a campaign dedicated to abortion pill expansion\u003c/a> in the United States — said providers can provide the medication to their patients in case of future need, as abortion pills can last up to two years when stored in a cool place. The pills usually cost around $25 to $150, depending on the provider and any discounts it may or may not offer.\u003c/p>\n\u003cp>If money is a problem, Yen said a group of people could split the cost among them to have a stockpile of pills in case of emergencies.\u003c/p>\n\u003cp>[ad floatright]\u003c/p>\n\u003cp>“It may be an investment … for every group of friends,” Yen said. “If anyone needs it, then you kind of pass it around, and then you buy another one when [an emergency] happens.”\u003c/p>\n\n",
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"excerpt": "Some reproductive health experts suggest Americans be aware of their current birth control options and proactive about any changes in light of possible anti-abortion policies from the incoming Trump administration.",
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"title": "Birth Control on Your Mind Since the Election? Here Are Your Options | KQED",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>Former President Donald Trump is returning to the White House in January — and with him,\u003ca href=\"https://www.kqed.org/news/12013256/how-health-care-could-change-under-the-new-trump-administration\"> a new administration\u003c/a> that could further restrict \u003ca href=\"https://www.kqed.org/news/12012326/californian-votes-really-matter-what-the-election-could-mean-for-reproductive-health\">reproductive rights nationally after the overturning of \u003cem>Roe v. Wade\u003c/em>\u003c/a>.\u003c/p>\n\u003cp>\u003ca href=\"https://www.kqed.org/news/11998288/what-is-project-2025-donald-trump-heritage-foundation-director-steps-down\">Project 2025\u003c/a> — a 900-page policy agenda for the next Republican presidency authored and supported by Trump allies, former and current Trump staffers and Vice President-elect JD Vance — details \u003ca href=\"https://slate.com/news-and-politics/2024/11/trump-second-term-abortion-agenda-blue-state-crackdown.html\">a pathway for nationwide attacks\u003c/a> on \u003ca href=\"https://www.guttmacher.org/fact-sheet/how-project-2025-seeks-obliterate-srhr\">abortions, IVF and contraceptives\u003c/a>. And now, some reproductive rights advocates and experts suggest this is a good time for Americans to start conversations with providers about their birth control plans.\u003c/p>\n\u003cp>“It’s just really important that we educate as many people as possible on how to protect themselves [for] the next four years — and perhaps the next decade,” said Dr. Sophia Yen, co-founder of Pandia Health, \u003ca href=\"https://www.pandiahealth.com/\">an organization specializing in reproductive care\u003c/a>. If you’re at an age where you could have children, Yen’s message is: “Get your birth control under control. Maximize it — get the best possible one that you like and can tolerate.”\u003c/p>\n\u003cp>San Francisco gynecologist Dr. Katherine Gregory said her biggest message to people of reproductive age is to start having the conversation about birth control with their provider now, to explain their concerns — rather than quickly making a decision “because of fear.”\u003c/p>\n\u003cp>“I’m kind of always going to try to take the position of ‘What can you do to protect yourself and others?’ And there’s lots” you can do, she said.\u003c/p>\n\u003cul>\n\u003cli>\u003cstrong>Jump straight to: \u003ca href=\"#long-term-birth-control\">What are my options for longer-term birth control?\u003c/a>\u003c/strong>\u003c/li>\n\u003c/ul>\n\u003ch3>Remember: California’s laws still currently favor reproductive rights\u003c/h3>\n\u003cp>California positioned itself as a leader in reproductive care in \u003ca href=\"https://www.gov.ca.gov/2024/06/24/governor-newsom-first-partner-mark-second-anniversary-of-the-overturning-of-roe-v-wade/#:~:text=Governor%20Newsom%20actions%20to%20protect%20abortion%20access%3A&text=June%202022%2C%20Governor%20Newsom%3A,Wade%20was%20overturned.\">the country immediately after the overturning of \u003cem>Roe v. Wade\u003c/em>\u003c/a> — and \u003ca href=\"https://www.kqed.org/news/12013395/newsom-calls-special-session-prepare-california-legal-fight-against-trump\">the state is now doing so again\u003c/a> ahead of a second Trump term. However, California’s autonomy could be at risk with conservative control of all three branches of government, warned Gender Equity Policy Institute’s Nancy Cohen, who told KQED that “federal law will trump state protection.”\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>“States like California and New York that have constitutional protections for abortion rights and reproductive health care in general … those become meaningless” in the light of any national restrictions, Cohen said.\u003c/p>\n\u003cp>Addressing this threat in a statement the day after the election, Gov. Gavin Newsom said that “lawyers from the Attorney General’s Office and my office have been \u003ca href=\"https://www.kqed.org/news/12013535/california-and-the-bay-area-took-on-trump-before-theyre-ready-to-do-it-again\">preparing for a potential second Trump term for more than a year.\u003c/a>” The state, Newsom wrote, was “marshaling the arguments and evidence needed to be ready to challenge in court unconstitutional and unlawful federal policies, and to mount robust and vigorous defenses of California’s laws, policies and programs.”\u003c/p>\n\u003cp>“We’re living in California, and we’re lucky that \u003ca href=\"https://www.kqed.org/news/11917111/even-without-roe-v-wade-abortion-is-still-legal-in-california-heres-what-you-need-to-know\">we feel a bit protected\u003c/a>. But we can’t take that for granted,” Gregory said.\u003c/p>\n\u003cp>Amid all this uncertainty, and before California likely enters new legal territory as it gears up for a fight against the second Trump administration, how can individuals empower themselves around birth control and longer-term reproductive measures?\u003c/p>\n\u003cp>Knowing the best birth control for your body is \u003cem>always\u003c/em> a good idea, regardless of the political climate. Keep reading to learn more about the current contraceptive options open to you and what experts suggest you do to prepare ahead of any possible change in laws governing reproductive freedom.\u003c/p>\n\u003cp>(And as a reminder, \u003ca href=\"https://www.kqed.org/news/12014103/youre-entitled-to-an-abortion-in-california-what-can-you-do-if-youre-denied-one\">abortion remains legal and widely available in California\u003c/a>.)\u003c/p>\n\u003ch3>What will a birth control discussion with a provider look like?\u003c/h3>\n\u003cp>Gregory said that people should start a conversation with their health care provider about the best birth control options for them. If you \u003ca href=\"https://www.plannedparenthood.org/get-care/health-insurance/about-health-insurance#:~:text=Do%20I%20need%20health%20insurance,Parenthood%20health%20center%20near%20you.\">do not have insurance\u003c/a>, Planned Parenthood can offer these services.\u003c/p>\n\u003cp>“There’s lots of things that we talk about with our patients to help them decide on what’s the best contraceptive,” she said. “I hate the thought that — out of fear — young women may not make the right decision for themselves,” Gregory said. For her, taking control of your own reproductive health is inseparable from “having these discussions with a provider.”\u003c/p>\n\u003cp>When talking to a provider, Gregory said patients can come prepared to discuss topics like:\u003c/p>\n\u003cul>\n\u003cli>What they want to see or expect from their contraceptives\u003c/li>\n\u003cli>How long they want their contraceptives to last\u003c/li>\n\u003cli>Their health history\u003c/li>\n\u003c/ul>\n\u003cp>Other questions could include whether the person wants to have children or not — and, if so, whether they have a timeline for starting a family.\u003c/p>\n\u003cp>Even voicing your concerns about upcoming policies under the new Trump administration could help a provider give advice on what birth control to suggest, Gregory said — mindful that “it’s impossible for any provider to predict what will happen.”\u003c/p>\n\u003cp>Advocating for yourself in a doctor’s office isn’t always simple. If you’re concerned about freezing up in front of medical professionals, \u003ca href=\"https://www.npr.org/transcripts/1172843588\">NPR’s Life Kit has a guide\u003c/a> with tactics to get what you need out of your appointment.\u003c/p>\n\u003ch3>\u003ca id=\"long-term-birth-control\">\u003c/a>What are the different birth control options, and how long do they last?\u003c/h3>\n\u003cp>The Centers for Disease Control and Prevention (CDC) has \u003ca href=\"https://www.cdc.gov/mmwr/volumes/65/rr/figures/r6504a1f1.gif?_=69114\">a thorough chart\u003c/a> that ranks the effectiveness of birth control types — with the implant and intrauterine devices listed as the most effective among reversible methods. The \u003ca href=\"https://osg.ca.gov/contraception/#:~:text=Can%20I%20get%20birth%20control,or%20ring%2C%20from%20a%20pharmacist.\">California Surgeon General’s guide\u003c/a> also has a list of methods, benefits and possible side effects.\u003c/p>\n\u003cp>“The higher up on the scale you go, the fewer times you have to think about dealing with it, but also the greater the efficacy,” Yen said. “So maybe switch up for a better one if you can.”\u003c/p>\n\u003cfigure id=\"attachment_12014900\" class=\"wp-caption alignnone\" style=\"max-width: 800px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"wp-image-12014900 size-medium\" src=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2024/11/r6504a1f1-800x594.png\" alt=\"\" width=\"800\" height=\"594\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2024/11/r6504a1f1-800x594.png 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/11/r6504a1f1-160x119.png 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/11/r6504a1f1.png 831w\" sizes=\"(max-width: 800px) 100vw, 800px\">\u003cfigcaption class=\"wp-caption-text\">The most to least effective forms of birth control, according to the Centers for Disease Control and Prevention. \u003ccite>(Courtesy of the Centers for Disease Control and Prevention)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>In order of effectiveness, birth control options — many of which are prescription-based — include:\u003c/p>\n\u003cp>\u003cstrong>Implant\u003c/strong>\u003c/p>\n\u003cp>The implant — also \u003ca href=\"https://www.plannedparenthood.org/learn/birth-control/birth-control-implant-nexplanon\">known as nexplanon\u003c/a> — is a tiny rod inserted in your upper arm. It is good for preventing pregnancies for up to five years.\u003c/p>\n\u003cp>\u003cstrong>Hormonal intrauterine device (IUD)\u003c/strong>\u003c/p>\n\u003cp>A hormonal IUD is a piece of \u003ca href=\"https://www.plannedparenthood.org/learn/birth-control/iud/hormonal-iuds\">flexible plastic that sits in your uterus\u003c/a> and can also help with \u003ca href=\"https://www.plannedparenthood.org/blog/should-i-get-a-copper-or-a-hormonal-iud\">period cramps and heavy flows\u003c/a>.\u003c/p>\n\u003cp>Different hormonal IUDs last for different amounts of time. For example, \u003ca href=\"https://www.mirena-us.com/\">Mirena\u003c/a> and \u003ca href=\"https://www.liletta.com/\">Liletta\u003c/a> IUDs last up to eight years. \u003ca href=\"https://www.kyleena-us.com/\">Kyleena’s\u003c/a> IUD lasts up to five years.\u003c/p>\n\u003cp>“In general, women are turning towards long-term contraception, such as the IUD,” Gregory said. “It’s convenient, it works extremely well … it removes that anxiety for a longer period of time.”\u003c/p>\n\u003cp>For some patients, the procedure of inserting an IUD can range from \u003ca href=\"https://www.yalemedicine.org/news/intrauterine-devices-iud#:~:text=Copper%20IUDs%20may%20increase%20the,IUDs%20are%20rare%2C%20but%20possible.\">uncomfortable\u003c/a> to \u003ca href=\"https://www.plannedparenthood.org/learn/birth-control/iud/whats-an-iud-insertion-like\">painful\u003c/a>. Yen said for many people, scheduling an IUD appointment near the last day of their period can help reduce that discomfort and pain “because the hole [of your cervix] will be already open.”\u003c/p>\n\u003cp>Yen also recommends taking 600mg of ibuprofen (\u003ca href=\"https://www.nhs.uk/medicines/ibuprofen-for-adults/common-questions-about-ibuprofen-for-adults/\">with food\u003c/a>) half an hour before the procedure. (Patients should not take ibuprofen if they have bleeding problems, kidney problems, or are allergic to the medication.) Lastly, Yen said patients can also ask the staff to \u003ca href=\"https://www.yalemedicine.org/news/intrauterine-devices-iud#:~:text=Or%2C%20if%20the%20IUD%20insertion,recommends%20talking%20to%20your%20provider.\">numb their cervix\u003c/a>, emphasizing that people facing pain “don’t have to ‘suck it up.’”\u003c/p>\n\u003cp>\u003cstrong>Copper intrauterine device or IUD\u003c/strong>\u003c/p>\n\u003cp>A copper IUD is \u003ca href=\"https://www.mayoclinic.org/tests-procedures/paragard/about/pac-20391270\">a plastic frame surrounded by copper wire that’s placed in the uterus\u003c/a>. It’s non-hormonal and \u003ca href=\"https://www.plannedparenthood.org/blog/should-i-get-a-copper-or-a-hormonal-iud\">lasts up to 12 years\u003c/a>.\u003c/p>\n\u003cp>\u003cstrong>The birth control shot\u003c/strong>\u003c/p>\n\u003cp>The depo-shot (Depo-Provera) is an injection\u003ca href=\"https://www.plannedparenthood.org/learn/birth-control/birth-control-shot\"> every three months\u003c/a> or four times a year. If a patient gets their \u003cem>first\u003c/em> shot at any other time than the start of their period, they should use another birth control method, like a condom, for a week if they have sex.\u003c/p>\n\u003cp>\u003cstrong>The ring\u003c/strong>\u003c/p>\n\u003cp>The ring is a small flexible hormonal ring a person \u003ca href=\"https://www.plannedparenthood.org/learn/birth-control/birth-control-vaginal-ring-nuvaring/how-do-i-use-nuvaring#NuvaRing\">places inside their vagina\u003c/a> every 3–6 weeks. Planned Parenthood has a guide to \u003ca href=\"https://www.plannedparenthood.org/learn/birth-control/birth-control-vaginal-ring-nuvaring/how-do-i-use-nuvaring#NuvaRing\">correctly inserting a ring on their website\u003c/a>.\u003c/p>\n\u003cp>There are \u003ca href=\"https://www.plannedparenthood.org/learn/birth-control/birth-control-vaginal-ring-nuvaring/how-do-i-use-nuvaring\">two brands of rings\u003c/a>: NuvaRing, which lasts up to five weeks, and Annovera, which lasts up to one year.\u003c/p>\n\u003cp>\u003cstrong>The birth control patch\u003c/strong>\u003c/p>\n\u003cp>A person can wear a birth control patch on \u003ca href=\"https://www.plannedparenthood.org/learn/birth-control/birth-control-patch\">their belly, back, or sometimes arm\u003c/a>, which releases hormones that help prevent pregnancy. There are two brands: the Xulane patch and the Twirla patch. Similarly to the ring, a person would wear \u003ca href=\"https://my.clevelandclinic.org/health/articles/24490-birth-control-patch\">the patch for three weeks\u003c/a> and then take it off for one week, then put on a new patch.\u003c/p>\n\u003cp>\u003cstrong>The pill\u003c/strong>\u003c/p>\n\u003cp>The pill is the birth control medicine you need to take around the same time every day. While there is now \u003ca href=\"https://www.kqed.org/news/11982330/the-first-over-the-counter-birth-control-pill-is-now-available-how-does-it-work\">an “over-the-counter” option\u003c/a> that is a “mini-pill,” meaning it is progestin-only, a “combined pill” with both estrogen and progestin is \u003ca href=\"https://gynraleigh.com/birth-control-progestin-only-pills-vs-combination-pills/#:~:text=One%20of%20the%20main%20advantages,women%20who%20cannot%20take%20estrogen.\">slightly more effective\u003c/a>.\u003c/p>\n\u003cp>Yen said due to the Affordable Care Act, there is “no copay, no deductible for any FDA-approved birth control. If there’s a generic of it that they like or a brand of it that they’ve made a deal with the drug company, you have to go with that one, but it should be the same dose in the same formulation.”\u003c/p>\n\u003cp>Yen recommended getting birth control automated and delivered regularly through your pharmacy in case a person forgets to renew their supply. In California, a person can \u003ca href=\"https://www.essentialaccess.org/about/press-room/new-law-allow-12-month-prescriptions-birth-control-heralded-win-win-women\">request up to a year’s supply\u003c/a>, meaning, for example, physicians write for 13 birth control pill packs — or 17 packs, if one wants to skip their period.\u003c/p>\n\u003cp>In California, a person \u003ca href=\"https://osg.ca.gov/contraception/#:~:text=Can%20I%20get%20birth%20control,or%20ring%2C%20from%20a%20pharmacist.\">does not need a doctor’s prescription\u003c/a> to access to the pill, patch, and ring, which a pharmacist can instead prescribe. \u003ca href=\"https://www.kqed.org/news/11982330/the-first-over-the-counter-birth-control-pill-is-now-available-how-does-it-work\">Read more about over-the-counter birth control options.\u003c/a>\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003ch3>What are the surgical, permanent options to prevent pregnancy?\u003c/h3>\n\u003cp>For people who are done having children or are very sure they do not want children, there are one-time surgical procedures that aim to prevent pregnancy permanently:\u003c/p>\n\u003cp>\u003cstrong>Vasectomy\u003c/strong>\u003c/p>\n\u003cp>Vasectomy is a surgical procedure for a person with a penis and is \u003ca href=\"https://www.plannedparenthood.org/learn/birth-control/vasectomy\">almost 100% effective in preventing pregnancies\u003c/a>.\u003c/p>\n\u003cp>\u003cstrong>Tubal sterilization\u003c/strong>\u003c/p>\n\u003cp>There are \u003ca href=\"https://www.plannedparenthood.org/learn/birth-control/sterilization\">two types of permanent sterilization\u003c/a> when it comes to the fallopian tubes. Tubal ligation is when a person with a uterus has \u003ca href=\"https://www.hopkinsmedicine.org/health/treatment-tests-and-therapies/tubal-ligation\">their fallopian tubes tied or blocked\u003c/a> — more colloquially known as having\u003ca href=\"https://www.mayoclinic.org/tests-procedures/tubal-ligation/about/pac-20388360\"> their tubes tied\u003c/a>. A bilateral salpingectomy is a procedure where the fallopian tubes are \u003ca href=\"https://www.plannedparenthood.org/learn/birth-control/sterilization\">removed entirely\u003c/a> or have a \u003ca href=\"https://www.hopkinsmedicine.org/health/treatment-tests-and-therapies/salpingectomy#:~:text=Bilateral%20salpingectomy%20means%20removal%20of,with%20only%20one%20fallopian%20tube.\">middle section of the tube removed\u003c/a>.\u003c/p>\n\u003cp>\u003ca href=\"https://my.clevelandclinic.org/health/treatments/4933-tubal-ligation\">Neither procedure\u003c/a> will \u003ca href=\"https://www.hopkinsmedicine.org/health/treatment-tests-and-therapies/salpingectomy\">induce menopause\u003c/a>, and a bilateral salpingectomy may also be used to decrease a person’s ovarian cancer risk.\u003c/p>\n\u003cp>\u003cstrong>Who should explore these permanent options?\u003c/strong>\u003c/p>\n\u003cp>Both practitioners stressed the importance of patients working with their providers to be very sure of whether these types of surgical procedures are right for them — both because of their permanent nature and also because of the risks of any kind of surgery.\u003c/p>\n\u003cp>“Surgery like this is very, very safe,” Gregory said. “But it’s surgery, and it can have complications.”\u003c/p>\n\u003cp>Gregory said during the first Trump administration, her practice saw an uptick of women in their 20s and early 30s requesting sterilization. “These were women who very clearly communicated that they have never wanted children,” Gregory said. “They’ve thought about it, and they’ve asked for tubal sterilization.”\u003c/p>\n\u003cp>But providers often still deny people a referral for this type of surgery, usually “because of their age,” Gregory said.\u003c/p>\n\u003cp>Some medical offices \u003ca href=\"https://www.wired.com/story/permanent-birth-control-iuds-post-roe/\">might dissuade or turn away a person\u003c/a> from pursuing this option — or say that someone would need \u003ca href=\"https://www.businessinsider.com/a-woman-needed-husbands-consent-to-get-her-tubes-tied-2020-2#:~:text=According%20to%20federal%20government%20policy,was%20a%20requirement%20decades%20ago.\">their partner’s permission\u003c/a>, which is “not true,” Yen said. (“Feel free to report that provider to the medical board,” she said.) In the aftermath of Trump’s second win, \u003ca href=\"https://docs.google.com/spreadsheets/u/1/d/1Djia_WkrVO3S4jKn6odNwQk7pOcpcL4x00FMNekrb7Q/htmlview?pli=1\">crowdsourced lists\u003c/a> began circulating online listing doctors nationwide who have performed tubal ligations regardless of a patient’s marital status or number of children.\u003c/p>\n\u003cp>Some of these providers may deny a patient on the basis that they may regret the decision, but Gregory said the denial “can’t be that arbitrary.” Physicians should instead refer to the existing scientific research, she said.\u003c/p>\n\u003cp>Gregory said if a young woman in her late 20s comes into her office and “really wants a tubal sterilization,” she would have a “frank discussion” with her to make sure the patient has considered all her options and to “understand how she’s come to this decision.”\u003c/p>\n\u003cp>“She’s an adult, and she can make these decisions about her own body,” Gregory said. “I think that there will be probably another uptick in young women requesting tubal sterilization, and that is their right.”\u003c/p>\n\u003cfigure id=\"attachment_12014910\" class=\"wp-caption alignnone\" style=\"max-width: 800px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-medium wp-image-12014910\" src=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2024/11/GettyImages-1241746190-1-800x533.jpg\" alt=\"\" width=\"800\" height=\"533\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2024/11/GettyImages-1241746190-1-800x533.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/11/GettyImages-1241746190-1-1020x680.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/11/GettyImages-1241746190-1-160x107.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/11/GettyImages-1241746190-1-1536x1024.jpg 1536w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/11/GettyImages-1241746190-1-2048x1365.jpg 2048w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/11/GettyImages-1241746190-1-1920x1280.jpg 1920w\" sizes=\"(max-width: 800px) 100vw, 800px\">\u003cfigcaption class=\"wp-caption-text\">Plan B, emergency contraceptive, on the shelf in a drug store in Annapolis, Maryland, on July 6, 2022. \u003ccite>((Photo by JIM WATSON/AFP via Getty Images))\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003ch3>What are my emergency contraception options?\u003c/h3>\n\u003cp>Emergency contraception can prevent \u003ca href=\"https://www.who.int/news-room/fact-sheets/detail/emergency-contraception#:~:text=Emergency%20contraception%20(EC)%20can%20prevent,assault%20if%20without%20contraception%20coverage.\">95% of pregnancies\u003c/a> within five days of unprotected sex, including if a condom breaks or missing the window of forgiveness with birth control pills.\u003c/p>\n\u003cp>Options include \u003ca href=\"https://www.plannedparenthood.org/learn/morning-after-pill-emergency-contraception/whats-plan-b-morning-after-pill\">morning-after pills like Plan B\u003c/a> and also having \u003ca href=\"https://www.plannedparenthood.org/learn/birth-control/iud/non-hormonal-copper-iud\">the copper IUD\u003c/a> and \u003ca href=\"https://www.plannedparenthood.org/learn/birth-control/iud/hormonal-iuds#:~:text=The%20hormonal%20IUD%20releases%20a,while%20you%27re%20using%20it.\">the hormonal IUD\u003c/a> inserted — with the \u003ca href=\"https://www.plannedparenthood.org/learn/morning-after-pill-emergency-contraception/how-do-iuds-work-emergency-contraception\">IUDs being more effective\u003c/a>.\u003c/p>\n\u003cp>You can find a clinic that offers these services using\u003ca href=\"https://www.plannedparenthood.org/get-care\"> Planned Parenthood’s search tool\u003c/a>. (More on this below.) Planned Parenthood also has \u003ca href=\"https://www.plannedparenthood.org/online-tools/emergency-contraception\">a quiz for people\u003c/a> to see which method of emergency contraception is best for them.\u003c/p>\n\u003cp>A person can get Plan B at a drugstore or pharmacy over the counter or have it prescribed. Plan B has \u003ca href=\"https://www.health.com/news/does-plan-b-expire#:~:text=Plan%20B%2C%20an%20oral%20emergency,of%20when%20the%20medicine%20expires.\">a shelf life of four years\u003c/a> if a person wants to stockpile in case of emergency. (Be sure to check the date on the side of the box to \u003ca href=\"https://www.verywellhealth.com/stockpiling-plan-b-5271334\">confirm this\u003c/a>.)\u003c/p>\n\u003cp>Yen noted that a person’s body mass index will factor into whether or not the over-the-counter emergency contraception is effective. For example, if a person’s BMI is greater than 26 — a medication like Plan B may not work as well. If it is greater than 30, Yen said, it “doesn’t work at all.” Yen said ella — \u003ca href=\"https://www.plannedparenthood.org/learn/morning-after-pill-emergency-contraception/whats-ella-morning-after-pill\">a prescription emergency contraception\u003c/a> (also known as a “morning-after pill”) — is effective with BMIs up to 35. A person can also ask for prescriptions for future use — ella has a shelf life of three years.\u003c/p>\n\u003ch3>Does my insurance cover birth control?\u003c/h3>\n\u003cp>The California Surgeon General has\u003ca href=\"https://osg.ca.gov/contraception/#:~:text=Can%20I%20get%20birth%20control,or%20ring%2C%20from%20a%20pharmacist.\"> a comprehensive list of out-of-pocket costs\u003c/a> for each method of birth control. For example, the patch can range from free to $150, and the implant can cost up to $1,300 out-of-pocket.\u003c/p>\n\u003cp>According to the Surgeon General’s website, plans do not have to cover abortion medication or vasectomies. (However, there are ways for Californians — and people traveling to California — to get the procedure for free, depending on \u003ca href=\"https://www.ineedana.com/blog/how-to-get-a-free-abortion-in-california\">their income background\u003c/a>.)\u003c/p>\n\u003cp>\u003cstrong>Private health insurance\u003c/strong>\u003c/p>\n\u003cp>Thanks to the Affordable Care Act, \u003ca href=\"https://osg.ca.gov/contraception/#:~:text=Can%20I%20get%20birth%20control,or%20ring%2C%20from%20a%20pharmacist.\">contraceptives are a covered benefit\u003c/a> with private health insurance. If someone gets contraceptives within their network, “plans must cover these services without charging a copayment or coinsurance … even if you haven’t met your deductible,” according to the state. (However, \u003ca href=\"https://www.npr.org/2020/07/08/889112788/the-supreme-court-allows-employers-to-opt-out-of-contraception-coverage\">an employer with religious objections\u003c/a> can still request health insurance plans that do not cover contraceptive methods.)\u003c/p>\n\u003cp>\u003cstrong>Medi-Cal\u003c/strong>\u003c/p>\n\u003cp>Medi-Cal (California’s Medicaid) provides \u003ca href=\"https://oag.ca.gov/system/files/attachments/press-docs/Birth%20Control%20Consumer%20Alert.pdf\">free birth control\u003c/a>. \u003cspan style=\"margin: 0px;padding: 0px\">Medi-Cal \u003ca href=\"https://mcweb.apps.prd.cammis.medi-cal.ca.gov/assets/26092CC9-AAAF-432E-A672-85D649215F8A/abort.pdf?access_token=6UyVkRRfByXTZEWIh8j8QaYylPyP5ULO\" target=\"_blank\" rel=\"noopener\">also covers abortion services\u003c/a>\u003c/span>, and state funds are used to completely cover the cost of the procedure.\u003c/p>\n\u003cp>\u003cstrong>Family PACT\u003c/strong>\u003c/p>\n\u003cp>If a person is low-income but does not qualify for Medi-Cal, the \u003ca href=\"https://familypact.org/how-to-become-a-family-pact-client/\" target=\"_blank\" rel=\"noopener\">state’s family planning office,\u003c/a> Family PACT, can assist with free birth control. You can find \u003ca href=\"https://familypact.org/provider-search/\">Family PACT providers\u003c/a> on the state’s website.\u003c/p>\n\u003cp>\u003cstrong>Covered California (aka “Obamacare”)\u003c/strong>\u003c/p>\n\u003cp>Like private insurance plans, insurance plans under \u003ca href=\"https://www.coveredca.com/marketing-blog/health-services-you-can-get-for-free-all-you-need-is-a-plan/\">Covered California\u003c/a> can provide pills, patches and rings for up to 12 months.\u003c/p>\n\u003ch3>What are my birth control options if I am under 18?\u003c/h3>\n\u003cp>In California, \u003ca href=\"https://leginfo.legislature.ca.gov/faces/codes_displaySection.xhtml?lawCode=FAM§ionNum=6925.\">minors have the right to birth control access\u003c/a>. Providers and doctors are not allowed to inform a minor’s parents about their health choices without their consent, and minors do not need to have a parent present to access these services from a provider. The American Civil Liberties Union Northern California has \u003ca href=\"https://www.aclunc.org/our-work/know-your-rights/know-your-rights-student-health-rights\">a comprehensive Q&A\u003c/a> about the rights of minors and their access to birth control.\u003c/p>\n\u003cp>According to the ACLU NorCal, students are allowed to have doctor appointments during school hours — and schools are not allowed to inform parents.\u003c/p>\n\u003ch3>Where can I find birth control or emergency contraceptive providers?\u003c/h3>\n\u003cp>When it comes to getting your birth control changed or renewed, Yen predicts, “There may be a horde of people running right now to go get it done.” With this in mind, you might consider scheduling a visit to your provider’s office sooner rather than later.\u003c/p>\n\u003cp>You can also use the following services to ask about birth control options:\u003c/p>\n\u003cul>\n\u003cli>A \u003ca href=\"https://www.plannedparenthood.org/health-center\">Planned Parenthood health center\u003c/a> (you can go without insurance)\u003c/li>\n\u003cli>A \u003ca href=\"https://reproductivehealthservices.gov/\">Title X clinic\u003c/a>, which are federally funded and service people who are \u003ca href=\"https://opa.hhs.gov/about/news/e-updates/what-are-title-x-family-planning-clinics-and-where-can-you-find-one#:~:text=The%20Title%20X%20program%20is,health%20care%20and%20health%20education.\">low-income or do not have health insurance\u003c/a>\u003c/li>\n\u003cli>Search on \u003ca href=\"https://www.bedsider.org/find-health-care/clinics\">Besider.org\u003c/a>\u003c/li>\n\u003cli>\u003ca href=\"https://freethepill.org/resources/where-can-i-get-birth-control-pills-online\">Online prescribing models\u003c/a>, such as \u003ca href=\"https://www.pandiahealth.com/\">Pandia Health\u003c/a> and \u003ca href=\"https://hellowisp.com/\">Wisp\u003c/a>\u003c/li>\n\u003c/ul>\n\u003cp>Minors can use \u003ca href=\"https://www.teensource.org/condoms/free\">the Teen Source search tool\u003c/a> to find places to get condoms as well.\u003c/p>\n\u003ch3>What about access to abortion pills?\u003c/h3>\n\u003cp>The legal battle over the abortion pill mifepristone \u003ca href=\"https://www.forbes.com/sites/alisondurkee/2024/10/17/gop-states-are-still-trying-to-restrict-abortion-pill-mifepristone-in-court-heres-how/\">rages on\u003c/a> despite the Supreme Court’s \u003ca href=\"https://www.forbes.com/sites/alisondurkee/2024/06/13/supreme-court-upholds-abortion-drug-mifepristone/\">rejection earlier this year\u003c/a> of a lawsuit seeking to roll back its federal approval.\u003c/p>\n\u003cp>And even though abortion pills are currently accessible, health care providers worry that could change once Trump takes office. On the day after Trump’s win, \u003ca href=\"https://aidaccess.org/en/\">a European-based group that prescribes abortion pills\u003c/a> for people around the world, including the United States, said it saw a surge of requests for medication — \u003ca href=\"https://www.msnbc.com/top-stories/latest/abortion-pill-access-trump-rcna179849\">10,000 requests as compared to around 600 on a normal day\u003c/a>.\u003c/p>\n\u003cp>A person can get abortion pills from the following providers:\u003c/p>\n\u003cul>\n\u003cli>\u003ca href=\"https://www.plancpills.org/abortion-pill/california\">Plan C’s abortion pill search tool\u003c/a>\u003c/li>\n\u003cli>\u003ca href=\"https://www.abuzzhealth.com/\">Abuzz Health\u003c/a>\u003c/li>\n\u003cli>\u003ca href=\"https://asafechoicenetwork.com/\">A Safe Choice\u003c/a>\u003c/li>\n\u003cli>\u003ca href=\"https://www.cambridgereproductivehealthconsultants.org/map\">The MAP\u003c/a>\u003c/li>\n\u003cli>\u003ca href=\"https://www.wetakecareof.us/\">We Take Care of Us\u003c/a>\u003c/li>\n\u003cli>\u003ca href=\"https://www.womenonweb.org/en/\">Women on Web\u003c/a>\u003c/li>\n\u003c/ul>\n\u003cp>Plan C — \u003ca href=\"https://www.plancpills.org/in-advance\">a campaign dedicated to abortion pill expansion\u003c/a> in the United States — said providers can provide the medication to their patients in case of future need, as abortion pills can last up to two years when stored in a cool place. The pills usually cost around $25 to $150, depending on the provider and any discounts it may or may not offer.\u003c/p>\n\u003cp>If money is a problem, Yen said a group of people could split the cost among them to have a stockpile of pills in case of emergencies.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>“It may be an investment … for every group of friends,” Yen said. “If anyone needs it, then you kind of pass it around, and then you buy another one when [an emergency] happens.”\u003c/p>\n\n\u003c/div>\u003c/p>",
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"title": "Alameda County DA Pamela Price Concedes Recall Defeat After Long Holdout",
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"headTitle": "Alameda County DA Pamela Price Concedes Recall Defeat After Long Holdout | KQED",
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"content": "\u003cp>Alameda County District Attorney \u003ca href=\"https://www.kqed.org/news/tag/pamela-price\">Pamela Price\u003c/a> conceded her recall election on Monday, speaking publicly about the results for the first time since Election Day and accepting a defeat that had appeared all but certain for over a week.\u003c/p>\n\u003cp>More than 63% of Alameda County voters chose to remove her from office just two years into her term. The \u003cem>Associated Press\u003c/em> \u003ca href=\"https://www.kqed.org/news/12013442/alameda-county-voters-recall-district-attorney-pamela-price\">called the race on Nov. 8\u003c/a>, when the pro-recall vote hovered around 65%, but Price remained defiant as she urged supporters to await fuller results.\u003c/p>\n\u003cp>Price’s recall comes amid a slew of election outcomes that show Californians \u003ca href=\"https://www.kqed.org/news/12013987/after-voter-backlash-whats-next-for-the-criminal-justice-reform-movement\">turning against progressive criminal justice\u003c/a> measures and candidates that won in recent years. Price told supporters, though, that the fight for change isn’t over.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>“It is up to you and me to make sure that future leaders of this office remain independent decision makers and stay the course of holding public officials accountable and law enforcement officers accountable for their actions,” she said Monday, flanked by more than a dozen supporters, some donning her original 2022 campaign shirts. “Our challenges are too great to be divided.”\u003c/p>\n\u003cp>Price’s ouster comes just two years after San Francisco recalled its progressive district attorney, \u003ca href=\"https://www.kqed.org/news/11916212/chesa-boudin-recall-sf-voters-on-track-to-oust-district-attorney\">Chesa Boudin\u003c/a>, and as Oakland voters \u003ca href=\"https://www.kqed.org/news/12012357/sheng-thao-accepts-defeat-in-contentious-oakland-mayoral-recall\">recalled Mayor Sheng Thao\u003c/a>. Statewide, voters overwhelmingly passed \u003ca href=\"https://www.kqed.org/news/12012656/proposition-36-californias-newest-tough-on-crime-measure-appears-headed-for-victory\">Proposition 36\u003c/a>, which rolls back lower penalties for certain petty theft and drug possession crimes that voters had passed a decade ago.\u003c/p>\n\u003cp>During the somber press conference, Price spoke about her administration’s efforts to push forward reform during its two years. Under Price, the Alameda County district attorney’s office secured its first-ever indictment against a corporate polluter in connection to a \u003ca href=\"https://www.kqed.org/news/11996994/west-oakland-steel-recycler-charged-with-10-crimes-after-toxic-fire-last-summer\">toxic fire\u003c/a> last year. She also touted the creation of a public accountability unit to review cases of police misconduct and an investigation into past administrations’ practice of \u003ca href=\"https://www.kqed.org/news/11995937/alameda-county-da-seeks-new-sentences-for-3-people-on-death-row-amid-misconduct-record-destruction-claims\">excluding Black and Jewish jurors\u003c/a> from death penalty cases.\u003c/p>\n\u003cp>“In November of 2022, Alameda County took a huge step forward toward a better criminal legal system,” she told reporters. “In January of 2023, I took office, and since then, I’ve fought to bring change and help to a broken criminal justice system. Under my leadership as district attorney, we made incredible strides towards serving the victims in this county.”\u003c/p>\n\u003cp>During her tenure, Price \u003ca href=\"https://www.kqed.org/news/12011550/as-recall-vote-nears-alameda-county-da-says-shes-faced-resistance-her-entire-term\">faced scrutiny\u003c/a> for allowing the statute of limitations to expire on at least hundreds of misdemeanor cases. She also recently came under fire after her office missed the deadline to charge two officers in the \u003ca href=\"https://www.kqed.org/news/12009076/mario-gonzalez-supporters-call-das-error-a-shame-as-2-officers-avoid-charges\">death of Mario Gonzalez\u003c/a>, an unarmed man who died after being pinned to the ground by police in 2021. His was one of the cases her office reopened under the new accountability unit.\u003c/p>\n\u003cp>[aside postID=news_12014282 hero='https://cdn.kqed.org/wp-content/uploads/sites/10/2024/09/20240830-AAPIVOTERS-JY-004-KQED-1020x680.jpg']\u003c/p>\n\u003cp>The Rev. Laurie Manning of Skyline Community Church and Jean Moses, a representative of the Interfaith Coalition for Justice in our Jails, spoke about Price’s work to bring charges against Santa Rita Jail staffers accused of negligence that led to the death of an inmate, \u003ca href=\"https://www.kqed.org/news/12014238/11-charged-in-alameda-county-jail-death-but-recall-leaves-case-up-in-the-air\">Maurice Monk\u003c/a>, in 2021. They applauded Price’s commitment to exposing a pattern of misconduct and cover-up at the infamously dangerous jail.\u003c/p>\n\u003cp>Chief Assistant District Attorney Royl Roberts will take over as interim district attorney when the election results are certified, which will happen sometime before Dec. 5. He will serve while the Board of Supervisors works to select a replacement to serve until 2026 when voters will elect a district attorney to serve out the remainder of Price’s term — which had been set for a longer-than-usual six years to align district attorney elections with the presidential cycle.\u003c/p>\n\u003cp>“Going forward, we are hoping that the Board of Supervisors really weighs what is going to be needed to get the department on the level of functionality because right now it is not,” recall organizer Brenda Grisham said, adding that she and the other leaders of the recall campaign would be weighing in on the selection, but that the decision would ultimately be up to the board.\u003c/p>\n\u003cp>“I do wish her well in whatever her next position is,” Grisham told KQED.\u003c/p>\n\u003cp>Price said her team is “working internally to ensure a smooth transition and with the responsible county officials to provide my successor with as much information as possible.”\u003c/p>\n\u003cp>“I appreciate the opportunity to serve my community and to have made history in Alameda County, and I leave this office in a much better place than how we found it,” she said.\u003c/p>\n\u003cp>\u003c/p>\n",
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"excerpt": "Price’s recall in the East Bay, which appeared all but certain for over a week, comes amid a wave of voter backlash against progressive criminal justice measures and candidates.",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>Alameda County District Attorney \u003ca href=\"https://www.kqed.org/news/tag/pamela-price\">Pamela Price\u003c/a> conceded her recall election on Monday, speaking publicly about the results for the first time since Election Day and accepting a defeat that had appeared all but certain for over a week.\u003c/p>\n\u003cp>More than 63% of Alameda County voters chose to remove her from office just two years into her term. The \u003cem>Associated Press\u003c/em> \u003ca href=\"https://www.kqed.org/news/12013442/alameda-county-voters-recall-district-attorney-pamela-price\">called the race on Nov. 8\u003c/a>, when the pro-recall vote hovered around 65%, but Price remained defiant as she urged supporters to await fuller results.\u003c/p>\n\u003cp>Price’s recall comes amid a slew of election outcomes that show Californians \u003ca href=\"https://www.kqed.org/news/12013987/after-voter-backlash-whats-next-for-the-criminal-justice-reform-movement\">turning against progressive criminal justice\u003c/a> measures and candidates that won in recent years. Price told supporters, though, that the fight for change isn’t over.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>“It is up to you and me to make sure that future leaders of this office remain independent decision makers and stay the course of holding public officials accountable and law enforcement officers accountable for their actions,” she said Monday, flanked by more than a dozen supporters, some donning her original 2022 campaign shirts. “Our challenges are too great to be divided.”\u003c/p>\n\u003cp>Price’s ouster comes just two years after San Francisco recalled its progressive district attorney, \u003ca href=\"https://www.kqed.org/news/11916212/chesa-boudin-recall-sf-voters-on-track-to-oust-district-attorney\">Chesa Boudin\u003c/a>, and as Oakland voters \u003ca href=\"https://www.kqed.org/news/12012357/sheng-thao-accepts-defeat-in-contentious-oakland-mayoral-recall\">recalled Mayor Sheng Thao\u003c/a>. Statewide, voters overwhelmingly passed \u003ca href=\"https://www.kqed.org/news/12012656/proposition-36-californias-newest-tough-on-crime-measure-appears-headed-for-victory\">Proposition 36\u003c/a>, which rolls back lower penalties for certain petty theft and drug possession crimes that voters had passed a decade ago.\u003c/p>\n\u003cp>During the somber press conference, Price spoke about her administration’s efforts to push forward reform during its two years. Under Price, the Alameda County district attorney’s office secured its first-ever indictment against a corporate polluter in connection to a \u003ca href=\"https://www.kqed.org/news/11996994/west-oakland-steel-recycler-charged-with-10-crimes-after-toxic-fire-last-summer\">toxic fire\u003c/a> last year. She also touted the creation of a public accountability unit to review cases of police misconduct and an investigation into past administrations’ practice of \u003ca href=\"https://www.kqed.org/news/11995937/alameda-county-da-seeks-new-sentences-for-3-people-on-death-row-amid-misconduct-record-destruction-claims\">excluding Black and Jewish jurors\u003c/a> from death penalty cases.\u003c/p>\n\u003cp>“In November of 2022, Alameda County took a huge step forward toward a better criminal legal system,” she told reporters. “In January of 2023, I took office, and since then, I’ve fought to bring change and help to a broken criminal justice system. Under my leadership as district attorney, we made incredible strides towards serving the victims in this county.”\u003c/p>\n\u003cp>During her tenure, Price \u003ca href=\"https://www.kqed.org/news/12011550/as-recall-vote-nears-alameda-county-da-says-shes-faced-resistance-her-entire-term\">faced scrutiny\u003c/a> for allowing the statute of limitations to expire on at least hundreds of misdemeanor cases. She also recently came under fire after her office missed the deadline to charge two officers in the \u003ca href=\"https://www.kqed.org/news/12009076/mario-gonzalez-supporters-call-das-error-a-shame-as-2-officers-avoid-charges\">death of Mario Gonzalez\u003c/a>, an unarmed man who died after being pinned to the ground by police in 2021. His was one of the cases her office reopened under the new accountability unit.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>The Rev. Laurie Manning of Skyline Community Church and Jean Moses, a representative of the Interfaith Coalition for Justice in our Jails, spoke about Price’s work to bring charges against Santa Rita Jail staffers accused of negligence that led to the death of an inmate, \u003ca href=\"https://www.kqed.org/news/12014238/11-charged-in-alameda-county-jail-death-but-recall-leaves-case-up-in-the-air\">Maurice Monk\u003c/a>, in 2021. They applauded Price’s commitment to exposing a pattern of misconduct and cover-up at the infamously dangerous jail.\u003c/p>\n\u003cp>Chief Assistant District Attorney Royl Roberts will take over as interim district attorney when the election results are certified, which will happen sometime before Dec. 5. He will serve while the Board of Supervisors works to select a replacement to serve until 2026 when voters will elect a district attorney to serve out the remainder of Price’s term — which had been set for a longer-than-usual six years to align district attorney elections with the presidential cycle.\u003c/p>\n\u003cp>“Going forward, we are hoping that the Board of Supervisors really weighs what is going to be needed to get the department on the level of functionality because right now it is not,” recall organizer Brenda Grisham said, adding that she and the other leaders of the recall campaign would be weighing in on the selection, but that the decision would ultimately be up to the board.\u003c/p>\n\u003cp>“I do wish her well in whatever her next position is,” Grisham told KQED.\u003c/p>\n\u003cp>Price said her team is “working internally to ensure a smooth transition and with the responsible county officials to provide my successor with as much information as possible.”\u003c/p>\n\u003cp>“I appreciate the opportunity to serve my community and to have made history in Alameda County, and I leave this office in a much better place than how we found it,” she said.\u003c/p>\n\u003cp>\u003c/p>\n\u003c/div>\u003c/p>",
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"content": "\u003cp>San Francisco Mayor-elect \u003ca href=\"https://www.kqed.org/news/tag/daniel-lurie\">Daniel Lurie\u003c/a> is bringing on big names to help transition City Hall leadership, ranging from OpenAI founder Sam Altman to former Stockton Mayor Michael Tubbs.\u003c/p>\n\u003cp>A political newcomer who ran against what he called “City Hall insiders,” \u003ca href=\"https://www.kqed.org/news/12013464/daniel-lurie-clinches-victory-become-sfs-next-mayor-unseating-london-breed\">Lurie’s win\u003c/a> marked a shift for San Francisco leadership. The nonprofit founder and Levi Strauss heir was the only leading candidate with no government experience and campaigned on rooting out corruption and citywide issues like public safety, affordability and homelessness.\u003c/p>\n\u003cp>“I’m excited to introduce this talented and diverse team who will help guide our transition and lay the groundwork for the change San Franciscans demand,” Mayor-elect Lurie said in a statement. “Every one of these incredible leaders brings a track record of shaking up the status quo to deliver results.”\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>The team gives us a first look at what a Lurie administration might prioritize. They will advise the mayor-elect as he assembles his official leadership team and sketches out plans for his first 100 days in office.\u003c/p>\n\u003cp>Government and nonprofit veteran Sara Fenske Bahat, who helped steer 9/11 recovery projects in New York City, will lead the transition team. Until recently she served as the interim CEO of the Yerba Buena Center for the Arts, but \u003ca href=\"https://www.kqed.org/arts/13953653/ybca-ceo-resigns-after-pro-palestinian-protest-and-boycott\">resigned in March\u003c/a> in the wake of pro-Palestinian protests and calls to boycott the museum. To help navigate the city’s complex bureaucracy, Lurie recruited several seasoned city staffers, such as former City Controller Ben Rosenfield, retired SFPD Commander Paul Yep and former Fire Chief Joanne Hayes-White.\u003c/p>\n\u003cp>[aside postID=news_12014282 hero='https://cdn.kqed.org/wp-content/uploads/sites/10/2024/09/20240830-AAPIVOTERS-JY-004-KQED-1020x680.jpg']\u003c/p>\n\u003cp>Nancy Tung, San Francisco Democratic Party chair, also joined the team. Others on the team include José A. Quiñonez, CEO of Mission Asset Fund, attorney and former Chief of Staff to Gov. Gavin Newsom, Ann O’Leary, and Ned Segal, the former CFO at Twitter who co-chaired Lurie’s campaign.\u003c/p>\n\u003cp>On the campaign trail, Lurie promised voters he would usher in a new era of accountability in City Hall in the form of increased audits of nonprofits and other contracted work and tighter scrutiny for department heads.\u003c/p>\n\u003cp>“My transition co-chairs share my commitment to building an accountable, effective government to tackle the many challenges confronting our great city,” Lurie said.\u003c/p>\n\u003cp>He’ll face many of the same challenges incumbent Mayor London Breed did, including \u003ca href=\"https://www.kqed.org/news/11998404/breed-signs-15-9-billion-sf-budget-that-boosts-police-funding-cuts-from-public-health\">a nearly $800 million budget deficit\u003c/a> and the need to collaborate with the Board of Supervisors and other city agencies.\u003c/p>\n\u003cp>He’ll have the added challenge of leading the city during Donald Trump’s second term as President, something \u003ca href=\"https://www.kqed.org/news/12013186/san-franciscans-react-trumps-win\">city\u003c/a> and \u003ca href=\"https://www.kqed.org/news/12013395/newsom-calls-special-session-prepare-california-legal-fight-against-trump\">state leaders\u003c/a> have already started to gear up legal defenses for.\u003c/p>\n\u003cp>“I have serious disagreements with President Donald Trump,” \u003ca href=\"https://www.kqed.org/news/12013667/daniel-lurie-san-franciscos-next-mayor-what-will-that-look-like\">Lurie told a crowd of reporters earlier this month at his first press conference as mayor-elect\u003c/a>. “But I will never let those disagreements get in the way of addressing the problems facing San Francisco.”\u003c/p>\n\u003cp>\u003c/p>\n",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>San Francisco Mayor-elect \u003ca href=\"https://www.kqed.org/news/tag/daniel-lurie\">Daniel Lurie\u003c/a> is bringing on big names to help transition City Hall leadership, ranging from OpenAI founder Sam Altman to former Stockton Mayor Michael Tubbs.\u003c/p>\n\u003cp>A political newcomer who ran against what he called “City Hall insiders,” \u003ca href=\"https://www.kqed.org/news/12013464/daniel-lurie-clinches-victory-become-sfs-next-mayor-unseating-london-breed\">Lurie’s win\u003c/a> marked a shift for San Francisco leadership. The nonprofit founder and Levi Strauss heir was the only leading candidate with no government experience and campaigned on rooting out corruption and citywide issues like public safety, affordability and homelessness.\u003c/p>\n\u003cp>“I’m excited to introduce this talented and diverse team who will help guide our transition and lay the groundwork for the change San Franciscans demand,” Mayor-elect Lurie said in a statement. “Every one of these incredible leaders brings a track record of shaking up the status quo to deliver results.”\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>Nancy Tung, San Francisco Democratic Party chair, also joined the team. Others on the team include José A. Quiñonez, CEO of Mission Asset Fund, attorney and former Chief of Staff to Gov. Gavin Newsom, Ann O’Leary, and Ned Segal, the former CFO at Twitter who co-chaired Lurie’s campaign.\u003c/p>\n\u003cp>On the campaign trail, Lurie promised voters he would usher in a new era of accountability in City Hall in the form of increased audits of nonprofits and other contracted work and tighter scrutiny for department heads.\u003c/p>\n\u003cp>“My transition co-chairs share my commitment to building an accountable, effective government to tackle the many challenges confronting our great city,” Lurie said.\u003c/p>\n\u003cp>He’ll face many of the same challenges incumbent Mayor London Breed did, including \u003ca href=\"https://www.kqed.org/news/11998404/breed-signs-15-9-billion-sf-budget-that-boosts-police-funding-cuts-from-public-health\">a nearly $800 million budget deficit\u003c/a> and the need to collaborate with the Board of Supervisors and other city agencies.\u003c/p>\n\u003cp>He’ll have the added challenge of leading the city during Donald Trump’s second term as President, something \u003ca href=\"https://www.kqed.org/news/12013186/san-franciscans-react-trumps-win\">city\u003c/a> and \u003ca href=\"https://www.kqed.org/news/12013395/newsom-calls-special-session-prepare-california-legal-fight-against-trump\">state leaders\u003c/a> have already started to gear up legal defenses for.\u003c/p>\n\u003cp>“I have serious disagreements with President Donald Trump,” \u003ca href=\"https://www.kqed.org/news/12013667/daniel-lurie-san-franciscos-next-mayor-what-will-that-look-like\">Lurie told a crowd of reporters earlier this month at his first press conference as mayor-elect\u003c/a>. “But I will never let those disagreements get in the way of addressing the problems facing San Francisco.”\u003c/p>\n\u003cp>\u003c/p>\n\u003c/div>\u003c/p>",
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"rss": "https://podcasts.files.bbci.co.uk/p02nq0gn.rss"
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},
"californiareport": {
"id": "californiareport",
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"tagline": "California, day by day",
"info": "KQED’s statewide radio news program providing daily coverage of issues, trends and public policy decisions.",
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"officialWebsiteLink": "/californiareport",
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"order": 8
},
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},
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"title": "The California Report Magazine",
"tagline": "Your state, your stories",
"info": "Every week, The California Report Magazine takes you on a road trip for the ears: to visit the places and meet the people who make California unique. The in-depth storytelling podcast from the California Report.",
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"source": "City Arts & Lectures"
},
"link": "https://www.cityarts.net",
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"order": 1
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"info": "\u003cem>Code Switch\u003c/em>, which listeners will hear in the first part of the hour, has fearless and much-needed conversations about race. Hosted by journalists of color, the show tackles the subject of race head-on, exploring how it impacts every part of society — from politics and pop culture to history, sports and more.\u003cbr />\u003cbr />\u003cem>Life Kit\u003c/em>, which will be in the second part of the hour, guides you through spaces and feelings no one prepares you for — from finances to mental health, from workplace microaggressions to imposter syndrome, from relationships to parenting. The show features experts with real world experience and shares their knowledge. Because everyone needs a little help being human.\u003cbr />\u003cbr />\u003ca href=\"https://www.npr.org/podcasts/510312/codeswitch\">\u003cem>Code Switch\u003c/em> offical site and podcast\u003c/a>\u003cbr />\u003ca href=\"https://www.npr.org/lifekit\">\u003cem>Life Kit\u003c/em> offical site and podcast\u003c/a>\u003cbr />",
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"id": "commonwealth-club",
"title": "Commonwealth Club of California Podcast",
"info": "The Commonwealth Club of California is the nation's oldest and largest public affairs forum. As a non-partisan forum, The Club brings to the public airwaves diverse viewpoints on important topics. The Club's weekly radio broadcast - the oldest in the U.S., dating back to 1924 - is carried across the nation on public radio stations and is now podcasting. Our website archive features audio of our recent programs, as well as selected speeches from our long and distinguished history. This podcast feed is usually updated twice a week and is always un-edited.",
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"source": "Commonwealth Club of California"
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"title": "Forum",
"tagline": "The conversation starts here",
"info": "KQED’s live call-in program discussing local, state, national and international issues, as well as in-depth interviews.",
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"imageSrc": "https://cdn.kqed.org/wp-content/uploads/2024/04/Forum-Podcast-Tile-703x703-1.jpg",
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"order": 9
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"meta": {
"site": "radio",
"source": "WNYC"
},
"link": "/radio/program/freakonomics-radio",
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"id": "fresh-air",
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"info": "A live production of NPR and WBUR Boston, in collaboration with stations across the country, Here & Now reflects the fluid world of news as it's happening in the middle of the day, with timely, in-depth news, interviews and conversation. Hosted by Robin Young, Jeremy Hobson and Tonya Mosley.",
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"hidden-brain": {
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"info": "Shankar Vedantam uses science and storytelling to reveal the unconscious patterns that drive human behavior, shape our choices and direct our relationships.",
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"meta": {
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"source": "NPR"
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"how-i-built-this": {
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"info": "Guy Raz dives into the stories behind some of the world's best known companies. How I Built This weaves a narrative journey about innovators, entrepreneurs and idealists—and the movements they built.",
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"airtime": "SUN 7:30pm-8pm",
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"hyphenacion": {
"id": "hyphenacion",
"title": "Hyphenación",
"tagline": "Where conversation and cultura meet",
"info": "What kind of no sabo word is Hyphenación? For us, it’s about living within a hyphenation. Like being a third-gen Mexican-American from the Texas border now living that Bay Area Chicano life. Like Xorje! Each week we bring together a couple of hyphenated Latinos to talk all about personal life choices: family, careers, relationships, belonging … everything is on the table. ",
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},
"jerrybrown": {
"id": "jerrybrown",
"title": "The Political Mind of Jerry Brown",
"tagline": "Lessons from a lifetime in politics",
"info": "The Political Mind of Jerry Brown brings listeners the wisdom of the former Governor, Mayor, and presidential candidate. Scott Shafer interviewed Brown for more than 40 hours, covering the former governor's life and half-century in the political game – and Brown has some lessons he'd like to share. ",
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"order": 18
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},
"latino-usa": {
"id": "latino-usa",
"title": "Latino USA",
"airtime": "MON 1am-2am, SUN 6pm-7pm",
"info": "Latino USA, the radio journal of news and culture, is the only national, English-language radio program produced from a Latino perspective.",
"imageSrc": "https://ww2.kqed.org/radio/wp-content/uploads/sites/50/2018/04/latinoUsa.jpg",
"officialWebsiteLink": "http://latinousa.org/",
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"link": "/radio/program/latino-usa",
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"apple": "https://itunes.apple.com/WebObjects/MZStore.woa/wa/viewPodcast?s=143441&mt=2&id=79681317&at=11l79Y&ct=nprdirectory",
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},
"marketplace": {
"id": "marketplace",
"title": "Marketplace",
"info": "Our flagship program, helmed by Kai Ryssdal, examines what the day in money delivered, through stories, conversations, newsworthy numbers and more. Updated Monday through Friday at about 3:30 p.m. PT.",
"airtime": "MON-FRI 4pm-4:30pm, MON-WED 6:30pm-7pm",
"imageSrc": "https://cdn.kqed.org/wp-content/uploads/2024/04/Marketplace-Podcast-Tile-360x360-1.jpg",
"officialWebsiteLink": "https://www.marketplace.org/",
"meta": {
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"source": "American Public Media"
},
"link": "/radio/program/marketplace",
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},
"masters-of-scale": {
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"title": "Masters of Scale",
"info": "Masters of Scale is an original podcast in which LinkedIn co-founder and Greylock Partner Reid Hoffman sets out to describe and prove theories that explain how great entrepreneurs take their companies from zero to a gazillion in ingenious fashion.",
"airtime": "Every other Wednesday June 12 through October 16 at 8pm (repeats Thursdays at 2am)",
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"officialWebsiteLink": "https://mastersofscale.com/",
"meta": {
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"source": "WaitWhat"
},
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"rss": "https://rss.art19.com/masters-of-scale"
}
},
"mindshift": {
"id": "mindshift",
"title": "MindShift",
"tagline": "A podcast about the future of learning and how we raise our kids",
"info": "The MindShift podcast explores the innovations in education that are shaping how kids learn. Hosts Ki Sung and Katrina Schwartz introduce listeners to educators, researchers, parents and students who are developing effective ways to improve how kids learn. We cover topics like how fed-up administrators are developing surprising tactics to deal with classroom disruptions; how listening to podcasts are helping kids develop reading skills; the consequences of overparenting; and why interdisciplinary learning can engage students on all ends of the traditional achievement spectrum. This podcast is part of the MindShift education site, a division of KQED News. KQED is an NPR/PBS member station based in San Francisco. You can also visit the MindShift website for episodes and supplemental blog posts or tweet us \u003ca href=\"https://twitter.com/MindShiftKQED\">@MindShiftKQED\u003c/a> or visit us at \u003ca href=\"/mindshift\">MindShift.KQED.org\u003c/a>",
"imageSrc": "https://cdn.kqed.org/wp-content/uploads/2024/04/Mindshift-Podcast-Tile-703x703-1.jpg",
"imageAlt": "KQED MindShift: How We Will Learn",
"officialWebsiteLink": "/mindshift/",
"meta": {
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"source": "kqed",
"order": 12
},
"link": "/podcasts/mindshift",
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"google": "https://podcasts.google.com/feed/aHR0cHM6Ly9mZWVkcy5tZWdhcGhvbmUuZm0vS1FJTkM1NzY0NjAwNDI5",
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}
},
"morning-edition": {
"id": "morning-edition",
"title": "Morning Edition",
"info": "\u003cem>Morning Edition\u003c/em> takes listeners around the country and the world with multi-faceted stories and commentaries every weekday. Hosts Steve Inskeep, David Greene and Rachel Martin bring you the latest breaking news and features to prepare you for the day.",
"airtime": "MON-FRI 3am-9am",
"imageSrc": "https://cdn.kqed.org/wp-content/uploads/2024/04/Morning-Edition-Podcast-Tile-360x360-1.jpg",
"officialWebsiteLink": "https://www.npr.org/programs/morning-edition/",
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"link": "/radio/program/morning-edition"
},
"onourwatch": {
"id": "onourwatch",
"title": "On Our Watch",
"tagline": "Deeply-reported investigative journalism",
"info": "For decades, the process for how police police themselves has been inconsistent – if not opaque. In some states, like California, these proceedings were completely hidden. After a new police transparency law unsealed scores of internal affairs files, our reporters set out to examine these cases and the shadow world of police discipline. On Our Watch brings listeners into the rooms where officers are questioned and witnesses are interrogated to find out who this system is really protecting. Is it the officers, or the public they've sworn to serve?",
"imageSrc": "https://cdn.kqed.org/wp-content/uploads/2024/04/On-Our-Watch-Podcast-Tile-703x703-1.jpg",
"imageAlt": "On Our Watch from NPR and KQED",
"officialWebsiteLink": "/podcasts/onourwatch",
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