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"content": "\u003cp>The devastation brought on by the wildfires blazing through Los Angeles — ash-covered rubble, the air clouded in a smoky haze — is a scene that’s all too familiar to Jeff Okrepkie.\u003c/p>\n\u003cp>When the 2017 Tubbs Fire first spread into his community of Coffey Park in Santa Rosa, “an ember roughly the size of a golf ball hit the ground and rolled in front of my house, setting off other embers,” Okrepkie said. “And that’s when I was like, ‘All right, time to get out.’”\u003c/p>\n\u003cp>The Tubbs Fire is considered one of the most \u003ca href=\"https://34c031f8-c9fd-4018-8c5a-4159cdff6b0d-cdn-endpoint.azureedge.net/-/media/calfire-website/our-impact/fire-statistics/top20_destruction.pdf?rev=8d25d868e50f40aea60833642d65b449&hash=1DBAA251C9CC52EDC5AAEA2358158664\">destructive\u003c/a> wildfires in California history, destroying 5,600 structures, including around 5% of Santa Rosa’s housing stock. (The most destructive fire remains the 2018 Camp Fire that devastated the town of Paradise.)\u003c/p>\n\u003cp>Where the fires in Los Angeles fit in this grim record will likely take a while to work out. Multiple fires have burned over 35,000 acres, as of Friday morning, and have destroyed thousands of structures across several neighborhoods. At least 10 people have died.\u003c/p>\n\u003cfigure id=\"attachment_12021672\" class=\"wp-caption alignright\" style=\"max-width: 528px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-medium wp-image-12021672\" src=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2025/01/06WUNfLv-e1736558884543.jpg\" alt=\"A middle aged white male with graying hair and goatee beard smiles at the camera standing in a park on a sunny day, crossing his arms, and wearing a light blue and gray suit and an open button shirt with no tie.\" width=\"528\" height=\"688\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2025/01/06WUNfLv-e1736558884543.jpg 528w, https://cdn.kqed.org/wp-content/uploads/sites/10/2025/01/06WUNfLv-e1736558884543-160x208.jpg 160w\" sizes=\"auto, (max-width: 528px) 100vw, 528px\">\u003cfigcaption class=\"wp-caption-text\">Jeff Okrepkie. \u003ccite>(Courtesy of Jeff Okrepkie)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>For many caught up in this disaster, they’re beginning to process the reality that they’ve lost their entire homes — an experience Okrepkie shares, too.\u003c/p>\n\u003cp>“One of the things that I always hated to hear was, ‘Well, it’s just stuff. And you have your lives, right?’” he said.\u003c/p>\n\u003cp>“Of course, having that is paramount to anything else. But it’s not just the physical object. It’s the memories that come with those — whether it be Christmas ornaments or baby pictures. “It is a long and difficult process and it is extremely emotional.”\u003c/p>\n\u003cp>For other Bay Area residents, like Crystal Johnson, the fires can serve as a reminder of how vulnerable Californians are to the threat of climate disasters. She’s originally from Redondo Beach and has been checking in with family and friends.\u003c/p>\n\u003cp>“Don’t wait. Get your important papers together, medications, you know, important contacts, information, all that kind of stuff. \u003ca href=\"https://www.kqed.org/news/11833686/what-to-pack-in-your-emergency-bag-with-covid-19-in-mind\">Have it ready to go so that if something happens\u003c/a>. Have a plan in place,” Johnson said.\u003c/p>\n\u003cp>In the long term, given the scale of destruction in Los Angeles, the road to recovery could take years. Okrepkie, who started a nonprofit to rebuild his community of Coffey Park in Santa Rosa, offered the following advice:\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003ch2>\u003cstrong>‘Do not go through it alone’\u003c/strong>\u003c/h2>\n\u003cp>A wildfire can be a life-threatening event, taking a toll on people’s physical and emotional health.\u003c/p>\n\u003cp>According to a 2023 \u003ca href=\"https://www.mdpi.com/1660-4601/18/4/1487\">study\u003c/a> by researchers at the University of California, San Diego, “climate trauma” led to increased instances of chronic mental health problems, like post-traumatic stress disorder and depression.\u003c/p>\n\u003cp>If you know someone who needs help coping in the aftermath of the Los Angeles fires, here’s a \u003ca href=\"https://www.kqed.org/science/1928658/wildfires-reignite-old-trauma-for-survivors-of-last-octobers-devastation\">list\u003c/a> of what you can do.\u003c/p>\n\u003cp>For Okrepkie, he said one of the most helpful approaches was to seek support among others who’ve gone through a similar experience.\u003c/p>\n\u003cp>“Everyone’s method of going through this and coping with it is going to be different,” he said. “But I will say: Do not go through it alone. Find a group that you can go through this together with.”\u003c/p>\n\u003cp>Okrepkie said he’s seen the difference that a community working together can have, after seeing his nonprofit help to raise $1 million to rebuild Coffey Park. He said he was inspired to do this after seeing misinformation on social media about rebuilding — a dynamic that he sees similarly playing out with the Los Angeles fires currently.\u003c/p>\n\u003ch2>\u003cstrong>‘It takes patience’\u003c/strong>\u003c/h2>\n\u003cp>The long-term financial impacts of major wildfires can take years to resolve.\u003c/p>\n\u003cp>“The responses that are needed — whether it be more firefighting resources to information to funds for those that have lost everything — never ceases,” said Okrepkie. “So it’s not just helping them in the first couple of days after. It’s going to be an ongoing thing for weeks, months and likely years.”[aside label=\"Related Stories\" postID=\"news_12021019,news_12021150,news_12021308\"]Damage from the Tubbs Fires is estimated at over $10 billion, according to one consulting \u003ca href=\"https://vertexeng.com/insights/economic-fallout-of-tubbs-wildfire-santa-rosa/\">group\u003c/a> involved in California wildfire response.\u003c/p>\n\u003cp>Okrepkie, an insurance agent, said the best thing to do is be patient. He moved back into his new rebuilt home in 2020, around three years after Tubbs Fire burned down his home. He said he’s happy his family is cared for and back in their home neighborhood of Coffey Park.\u003c/p>\n\u003cp>“I know that there is a natural urge to get back into your home and want to do it as quickly as possible. But it’s going to take patience because everybody is going to be learning for the first time — or relearning — things,” he said.\u003c/p>\n\u003ch2>\u003cstrong>Where to begin with the insurance claims?\u003c/strong>\u003c/h2>\n\u003cp>Okrepkie himself said he had no fewer than nine insurance adjusters to sort out all his claims.\u003c/p>\n\u003cp>He has the following advice to get started:\u003c/p>\n\u003cul>\n\u003cli>Document everything. “Do not agree to anything over the phone,” he said.\u003c/li>\n\u003cli>Follow up phone conversations over email to confirm the verbal exchange.\u003c/li>\n\u003cli>Accept that the process is complex. Disaster adjusters, typically working out of state, may be reassigned throughout the process — and an adjustor is assigned to a specific line of coverage, from property to additional living expenses. “In case adjuster A leaves and an adjuster B comes in and it’s not documented on their end, you can show them ‘This is what was discussed and this is what was agreed to.’”\u003c/li>\n\u003c/ul>\n\u003cp>An additional complication is that in recent years, \u003ca href=\"https://www.kqed.org/science/1985175/insurance-in-california-is-changing-heres-how-it-may-affect-you\">insurance companies have pulled back from homeowner policies in California\u003c/a>. As for the fires in Los Angeles, there are concerns that the damage could \u003ca href=\"https://www.kqed.org/news/12021019/la-fires-threaten-california-insurance-market-stability-housing-costs\">overextend\u003c/a> the state’s FAIR Plan — the state’s insurer of last resort.\u003c/p>\n\u003cp>You can find more details on navigating insurance claims and wildfires \u003ca href=\"https://laist.com/news/housing-homelessness/cheat-sheet-what-to-do-if-you-need-to-make-a-fire-insurance-claim\">here\u003c/a>.\u003c/p>\n\u003cp>\u003cem>Farida Jhabvala Romero and Brian Watt contributed to this report.\u003c/em>\u003c/p>\n\u003cp>\u003c/p>\n",
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"excerpt": "Jeff Okrepkie urges Los Angeles residents to lean on each other, as he did when the 2017 Tubbs Fire burned down his home.",
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"title": "3 Things That Folks Facing Los Angeles Fires Can Do, From a Fellow California Wildfire Survivor | KQED",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>The devastation brought on by the wildfires blazing through Los Angeles — ash-covered rubble, the air clouded in a smoky haze — is a scene that’s all too familiar to Jeff Okrepkie.\u003c/p>\n\u003cp>When the 2017 Tubbs Fire first spread into his community of Coffey Park in Santa Rosa, “an ember roughly the size of a golf ball hit the ground and rolled in front of my house, setting off other embers,” Okrepkie said. “And that’s when I was like, ‘All right, time to get out.’”\u003c/p>\n\u003cp>The Tubbs Fire is considered one of the most \u003ca href=\"https://34c031f8-c9fd-4018-8c5a-4159cdff6b0d-cdn-endpoint.azureedge.net/-/media/calfire-website/our-impact/fire-statistics/top20_destruction.pdf?rev=8d25d868e50f40aea60833642d65b449&hash=1DBAA251C9CC52EDC5AAEA2358158664\">destructive\u003c/a> wildfires in California history, destroying 5,600 structures, including around 5% of Santa Rosa’s housing stock. (The most destructive fire remains the 2018 Camp Fire that devastated the town of Paradise.)\u003c/p>\n\u003cp>Where the fires in Los Angeles fit in this grim record will likely take a while to work out. Multiple fires have burned over 35,000 acres, as of Friday morning, and have destroyed thousands of structures across several neighborhoods. At least 10 people have died.\u003c/p>\n\u003cfigure id=\"attachment_12021672\" class=\"wp-caption alignright\" style=\"max-width: 528px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-medium wp-image-12021672\" src=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2025/01/06WUNfLv-e1736558884543.jpg\" alt=\"A middle aged white male with graying hair and goatee beard smiles at the camera standing in a park on a sunny day, crossing his arms, and wearing a light blue and gray suit and an open button shirt with no tie.\" width=\"528\" height=\"688\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2025/01/06WUNfLv-e1736558884543.jpg 528w, https://cdn.kqed.org/wp-content/uploads/sites/10/2025/01/06WUNfLv-e1736558884543-160x208.jpg 160w\" sizes=\"auto, (max-width: 528px) 100vw, 528px\">\u003cfigcaption class=\"wp-caption-text\">Jeff Okrepkie. \u003ccite>(Courtesy of Jeff Okrepkie)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>For many caught up in this disaster, they’re beginning to process the reality that they’ve lost their entire homes — an experience Okrepkie shares, too.\u003c/p>\n\u003cp>“One of the things that I always hated to hear was, ‘Well, it’s just stuff. And you have your lives, right?’” he said.\u003c/p>\n\u003cp>“Of course, having that is paramount to anything else. But it’s not just the physical object. It’s the memories that come with those — whether it be Christmas ornaments or baby pictures. “It is a long and difficult process and it is extremely emotional.”\u003c/p>\n\u003cp>For other Bay Area residents, like Crystal Johnson, the fires can serve as a reminder of how vulnerable Californians are to the threat of climate disasters. She’s originally from Redondo Beach and has been checking in with family and friends.\u003c/p>\n\u003cp>“Don’t wait. Get your important papers together, medications, you know, important contacts, information, all that kind of stuff. \u003ca href=\"https://www.kqed.org/news/11833686/what-to-pack-in-your-emergency-bag-with-covid-19-in-mind\">Have it ready to go so that if something happens\u003c/a>. Have a plan in place,” Johnson said.\u003c/p>\n\u003cp>In the long term, given the scale of destruction in Los Angeles, the road to recovery could take years. Okrepkie, who started a nonprofit to rebuild his community of Coffey Park in Santa Rosa, offered the following advice:\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003ch2>\u003cstrong>‘Do not go through it alone’\u003c/strong>\u003c/h2>\n\u003cp>A wildfire can be a life-threatening event, taking a toll on people’s physical and emotional health.\u003c/p>\n\u003cp>According to a 2023 \u003ca href=\"https://www.mdpi.com/1660-4601/18/4/1487\">study\u003c/a> by researchers at the University of California, San Diego, “climate trauma” led to increased instances of chronic mental health problems, like post-traumatic stress disorder and depression.\u003c/p>\n\u003cp>If you know someone who needs help coping in the aftermath of the Los Angeles fires, here’s a \u003ca href=\"https://www.kqed.org/science/1928658/wildfires-reignite-old-trauma-for-survivors-of-last-octobers-devastation\">list\u003c/a> of what you can do.\u003c/p>\n\u003cp>For Okrepkie, he said one of the most helpful approaches was to seek support among others who’ve gone through a similar experience.\u003c/p>\n\u003cp>“Everyone’s method of going through this and coping with it is going to be different,” he said. “But I will say: Do not go through it alone. Find a group that you can go through this together with.”\u003c/p>\n\u003cp>Okrepkie said he’s seen the difference that a community working together can have, after seeing his nonprofit help to raise $1 million to rebuild Coffey Park. He said he was inspired to do this after seeing misinformation on social media about rebuilding — a dynamic that he sees similarly playing out with the Los Angeles fires currently.\u003c/p>\n\u003ch2>\u003cstrong>‘It takes patience’\u003c/strong>\u003c/h2>\n\u003cp>The long-term financial impacts of major wildfires can take years to resolve.\u003c/p>\n\u003cp>“The responses that are needed — whether it be more firefighting resources to information to funds for those that have lost everything — never ceases,” said Okrepkie. “So it’s not just helping them in the first couple of days after. It’s going to be an ongoing thing for weeks, months and likely years.”\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>Damage from the Tubbs Fires is estimated at over $10 billion, according to one consulting \u003ca href=\"https://vertexeng.com/insights/economic-fallout-of-tubbs-wildfire-santa-rosa/\">group\u003c/a> involved in California wildfire response.\u003c/p>\n\u003cp>Okrepkie, an insurance agent, said the best thing to do is be patient. He moved back into his new rebuilt home in 2020, around three years after Tubbs Fire burned down his home. He said he’s happy his family is cared for and back in their home neighborhood of Coffey Park.\u003c/p>\n\u003cp>“I know that there is a natural urge to get back into your home and want to do it as quickly as possible. But it’s going to take patience because everybody is going to be learning for the first time — or relearning — things,” he said.\u003c/p>\n\u003ch2>\u003cstrong>Where to begin with the insurance claims?\u003c/strong>\u003c/h2>\n\u003cp>Okrepkie himself said he had no fewer than nine insurance adjusters to sort out all his claims.\u003c/p>\n\u003cp>He has the following advice to get started:\u003c/p>\n\u003cul>\n\u003cli>Document everything. “Do not agree to anything over the phone,” he said.\u003c/li>\n\u003cli>Follow up phone conversations over email to confirm the verbal exchange.\u003c/li>\n\u003cli>Accept that the process is complex. Disaster adjusters, typically working out of state, may be reassigned throughout the process — and an adjustor is assigned to a specific line of coverage, from property to additional living expenses. “In case adjuster A leaves and an adjuster B comes in and it’s not documented on their end, you can show them ‘This is what was discussed and this is what was agreed to.’”\u003c/li>\n\u003c/ul>\n\u003cp>An additional complication is that in recent years, \u003ca href=\"https://www.kqed.org/science/1985175/insurance-in-california-is-changing-heres-how-it-may-affect-you\">insurance companies have pulled back from homeowner policies in California\u003c/a>. As for the fires in Los Angeles, there are concerns that the damage could \u003ca href=\"https://www.kqed.org/news/12021019/la-fires-threaten-california-insurance-market-stability-housing-costs\">overextend\u003c/a> the state’s FAIR Plan — the state’s insurer of last resort.\u003c/p>\n\u003cp>You can find more details on navigating insurance claims and wildfires \u003ca href=\"https://laist.com/news/housing-homelessness/cheat-sheet-what-to-do-if-you-need-to-make-a-fire-insurance-claim\">here\u003c/a>.\u003c/p>\n\u003cp>\u003cem>Farida Jhabvala Romero and Brian Watt contributed to this report.\u003c/em>\u003c/p>\n\u003cp>\u003c/p>\n\u003c/div>\u003c/p>",
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"slug": "wildfire-los-angeles-price-gouging-palisades-eaton-hurst-lidia-sunset-fires",
"title": "Yes, Price Gouging During LA Fires Is Illegal — and Here's How You Can Report It",
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"headTitle": "Yes, Price Gouging During LA Fires Is Illegal — and Here’s How You Can Report It | KQED",
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"content": "\u003cp>\u003cem>Updated 9:20 a.m. Friday\u003c/em>\u003c/p>\n\u003cp>\u003ca href=\"https://www.kqed.org/news/12021150/where-to-donate-help-los-angeles-wildfire-eaton-fire-palisades-pasadena\">The devastating wildfires\u003c/a> continuing to rage through Los Angeles County have claimed at least 10 lives so far according to officials, \u003ca href=\"https://www.latimes.com/california/live/pacific-palisades-fire-updates-los-angeles\">destroyed over 9,000 buildings\u003c/a> and forced around 180,000 people to flee their homes under mandatory \u003ca href=\"https://www.kqed.org/news/11834901/fire-evacuation-what-actually-happens-and-how-can-you-plan\">evacuation orders\u003c/a>.\u003c/p>\n\u003cp>And as a huge number of people displaced by the Palisades, Eaton, Hurst, Lidia and Sunset fires now try to meet their basic needs — including shelter, food and water, medical supplies and gasoline — California Attorney General Rob Bonta has issued a reminder that price gouging during disasters like this remains illegal in California.\u003c/p>\n\u003cp>\u003cstrong>Jump straight to:\u003c/strong>\u003c/p>\n\u003cul>\n\u003cli>\u003cstrong>\u003ca href=\"#price-gouging-definition\">What counts as price gouging?\u003c/a>\u003c/strong>\u003c/li>\n\u003cli>\u003cstrong>\u003ca href=\"#how-to-report-price-gouging\">How can I report price gouging during the L.A. fires?\u003c/a>\u003c/strong>\u003c/li>\n\u003c/ul>\n\u003cp>California defines price gouging as \u003ca href=\"https://oag.ca.gov/consumers/pricegougingduringdisasters#1C\">when sellers try “to take unfair advantage of consumers\u003c/a> during an emergency or disaster by greatly increasing prices for essential consumer goods and services.” During the L.A. wildfires, this might look like hotels charging more than their usual rates for evacuees seeking a room or a grocery market, hugely increasing the price of bottled water.\u003c/p>\n\u003cp>The state’s Department of Justice is now urging people to report any examples of price gouging they see and warns that sellers found to be violating this law can be prosecuted, fined and imprisoned. So if you’re an L.A. County resident who’s been forced to evacuate their home right now — or you have loved ones in the region you want to ensure aren’t being taken advantage of — keep reading for what you need to know about spotting price gouging, and how to report it.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003ch2>\u003cstrong>When do price gouging laws come into effect?\u003c/strong>\u003c/h2>\n\u003cp>The state’s law against price gouging under Penal Code Section 396 kicks in when a statewide or local state of emergency is declared — \u003ca href=\"https://www.gov.ca.gov/2025/01/07/governor-newsom-proclaims-state-of-emergency-meets-with-first-responders-in-pacific-palisades-amid-dangerous-fire-weather/\">which happened on Tuesday\u003c/a>, as announced by Gov. Gavin Newsom.\u003c/p>\n\u003cp>These protections can last well beyond the initial outbreak of a disaster situation: The Office of the Attorney General says that they \u003ca href=\"https://oag.ca.gov/consumers/pricegougingduringdisasters#3C\">“generally apply for 30 days after a declaration of emergency\u003c/a>, although for reconstruction services and emergency cleanup services,\u003ca href=\"https://www.caloes.ca.gov/office-of-the-director/policy-administration/legal-affairs/price-gouging/\"> protections apply for 180 days after a declaration of emergency.\u003c/a>”\u003c/p>\n\u003cp>\u003ca href=\"https://dcba.lacounty.gov/newsroom/during-emergency-report-suspected-price-gouging/\">L.A. County also has its own laws against price gouging\u003c/a>, which similarly remain in effect for 30 days until after an emergency declaration (in this case, Feb. 6) and 180 days for contractor-related services.\u003c/p>\n\u003ch2>\u003ca id=\"price-gouging-definition\">\u003c/a>What kind of price rise is considered ‘gouging’ under the law?\u003c/h2>\n\u003cp>In a nutshell, sellers don’t have to be outright doubling their prices to be regarded as participating in price gouging. In fact, “California law generally prohibits charging a price that exceeds, by more than 10%, the price a seller charged for an item before a state or local declaration of emergency,” Bonta said.\u003c/p>\n\u003cfigure id=\"attachment_12021342\" class=\"wp-caption alignright\" style=\"max-width: 800px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-medium wp-image-12021342\" src=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2025/01/GettyImages-2189976029-800x534.jpg\" alt=\"\" width=\"800\" height=\"534\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2025/01/GettyImages-2189976029-800x534.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2025/01/GettyImages-2189976029-1020x680.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2025/01/GettyImages-2189976029-160x107.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2025/01/GettyImages-2189976029.jpg 1024w\" sizes=\"auto, (max-width: 800px) 100vw, 800px\">\u003cfigcaption class=\"wp-caption-text\">California Attorney General Rob Bonta speaks to the press at the offices of Asian Americans Advancing Justice in Los Angeles on Dec. 17, 2024. \u003ccite>(Genaro Molina/Los Angeles Times via Getty Images)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>That means if a local store owner was selling a case of bottled water for $10 before Jan. 7 but hiked the price to $13 on Jan. 8, that 30% price rise would generally be regarded as gouging.\u003c/p>\n\u003cp>And if a seller only began selling an item \u003cem>after \u003c/em>an emergency declaration, “the law generally prohibits charging a price that exceeds the seller’s cost of the item by more than 50%,” the Department of Justice said.\u003c/p>\n\u003cp>You can \u003ca href=\"http://percentagecalculator.net\">use an online tool like PercentageCalculator.net\u003c/a> to calculate the percentage rise in the cost of an item.\u003c/p>\n\u003ch2>\u003cstrong>Do price gouging laws only apply to L.A. County right now?\u003c/strong>\u003c/h2>\n\u003cp>Actually, no — despite the state’s price gouging law being brought into effect by \u003ca href=\"https://www.caloes.ca.gov/office-of-the-director/policy-administration/legal-affairs/price-gouging/\">specific emergency declarations for individual disasters around California\u003c/a>, these protections aren’t restricted to the city or county where that emergency is taking place.\u003c/p>\n\u003cp>As well as applying to L.A. County, \u003ca href=\"https://oag.ca.gov/consumers/pricegougingduringdisasters#7C\">the law “is intended to prevent price gouging elsewhere\u003c/a> in the state where there is increased consumer demand as a result of the declared emergency,” the Office of the Attorney General said.\u003c/p>\n\u003cp>The specific example it gives: “If a fire in San Diego County causes residents to evacuate to neighboring Imperial County, hotels in Imperial County may not raise rates by more than 10% to take advantage of the increase in demand for lodging.”\u003c/p>\n\u003ch2>\u003cstrong>What kinds of purchases do the price gouging laws apply to?\u003c/strong>\u003c/h2>\n\u003cp>According to the Department of Justice, the price gouging law applies to people who sell food, emergency supplies, medical supplies, building materials, gasoline and hotel rooms.\u003c/p>\n\u003cp>But it also applies to:\u003c/p>\n\u003cul>\n\u003cli>Repair or reconstruction services.\u003c/li>\n\u003cli>Emergency cleanup services.\u003c/li>\n\u003cli>Transportation.\u003c/li>\n\u003cli>Freight and storage services.\u003c/li>\n\u003c/ul>\n\u003cp>You can \u003ca href=\"https://oag.ca.gov/consumers/pricegougingduringdisasters#5C\">see more examples of goods that are subject to the price gouging law\u003c/a>. There \u003cem>are \u003c/em>exceptions to the law, the Department of Justice said: “For example, [if] the price of labor, goods, or materials has increased for the business.”\u003c/p>\n\u003ch2>\u003cstrong>Do price gouging laws cover rental properties?\u003c/strong>\u003c/h2>\n\u003cp>Yes, and there are also \u003ca href=\"https://oag.ca.gov/consumers/pricegougingduringdisasters#8C1\">specific protections around price gouging for rental housing\u003c/a>, which apply to services like Airbnb and VRBO. For example, the law also prohibits a landlord from evicting a tenant and “then re-renting the property at a rate that the landlord would have been prohibited from charging the evicted tenant under the price gouging statute.”\u003c/p>\n\u003cp>Airbnb is currently partnering with 211 LA to offer\u003ca href=\"https://news.airbnb.com/airbnb-org-offers-temporary-housing-to-people-impacted-by-the-los-angeles-wildfires/\"> free accommodation to people displaced by the fires in L.A\u003c/a>., although 211 LA warns that due to high demand, you could be waiting a while to get a response. \u003ca href=\"https://211la.org/LA-Wildfires\">Apply for free accommodation through Airbnb and 211 LA here.\u003c/a>\u003c/p>\n\u003ch2>\u003ca id=\"how-to-report-price-gouging\">\u003c/a>If I think I’ve been a victim of price gouging during the L.A. wildfires — or if I spot it in the wild — what can I do?\u003c/h2>\n\u003cp>First, make sure you keep all your records and receipts — which may also include taking time-stamped photos of price labels if necessary. The Los Angeles County Department of Consumer and Business Affairs also recommends comparing those prices to pre-emergency declaration prices “and in areas not affected by the disaster.” You could \u003ca href=\"http://percentagecalculator.net\">use an online tool like PercentageCalculator.net\u003c/a> to calculate the percentage rise in the cost of an item to see if you may indeed have been a victim of price gouging.[aside label=\"Related Stories\" postID=\"news_12021150,news_12021107,news_12021203\"]Then, Bonta urged anyone who spots or experiences price gouging to “immediately” file a complaint with the Office of the Attorney General at \u003ca href=\"http://oag.ca.gov/report\">oag.ca.gov/report\u003c/a> or by calling 800-952-5225. The online form requires giving your full contact details. You can also contact your local police department or sheriff’s office, Bonta said.\u003c/p>\n\u003cp>Sellers who are found to be violating California’s price gouging statute can be subject to criminal prosecution and could be imprisoned for one year in county jail — and/or a fine of up to $10,000. “Violators are also subject to civil enforcement actions, including civil penalties of up to $2,500 per violation, injunctive relief, and mandatory restitution,” the Department of Justice said.\u003c/p>\n\u003cp>You can also \u003ca href=\"https://dcba.lacounty.gov/newsroom/during-emergency-report-suspected-price-gouging/\">file a complaint to the Los Angeles County Department of Consumer and Business Affairs (DCBA)\u003c/a> using their online complaint form or by phone at 800-593-8222.\u003c/p>\n\u003cp>Bear in mind that the attorney general’s office said it \u003cem>can’t \u003c/em>give you legal advice or represent individuals, although it may “on behalf of the public” investigate or prosecute a person who’s been price gouging.\u003c/p>\n\u003cp>The attorney general’s office said that “if you believe that you might have a claim for price gouging, you might consider contacting an attorney to explore your options.” You can \u003ca href=\"http://www.calbar.ca.gov\">find a referral to a lawyer through the State Bar\u003c/a> or \u003ca href=\"http://www.lsc.gov\">find a free legal aid office near you\u003c/a>.\u003c/p>\n\u003cp>A spokesperson for Bonta’s office could not comment on whether the Department of Justice had already received any complaints from the public about price gouging during the L.A. fires due to the possibility of eventual investigations.\u003c/p>\n\u003cp>[ad floatright]\u003c/p>\n",
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"excerpt": "Attorney General Rob Bonta has issued a reminder that price gouging during disasters like this remains illegal in California.",
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"title": "Yes, Price Gouging During LA Fires Is Illegal — and Here's How You Can Report It | KQED",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>\u003cem>Updated 9:20 a.m. Friday\u003c/em>\u003c/p>\n\u003cp>\u003ca href=\"https://www.kqed.org/news/12021150/where-to-donate-help-los-angeles-wildfire-eaton-fire-palisades-pasadena\">The devastating wildfires\u003c/a> continuing to rage through Los Angeles County have claimed at least 10 lives so far according to officials, \u003ca href=\"https://www.latimes.com/california/live/pacific-palisades-fire-updates-los-angeles\">destroyed over 9,000 buildings\u003c/a> and forced around 180,000 people to flee their homes under mandatory \u003ca href=\"https://www.kqed.org/news/11834901/fire-evacuation-what-actually-happens-and-how-can-you-plan\">evacuation orders\u003c/a>.\u003c/p>\n\u003cp>And as a huge number of people displaced by the Palisades, Eaton, Hurst, Lidia and Sunset fires now try to meet their basic needs — including shelter, food and water, medical supplies and gasoline — California Attorney General Rob Bonta has issued a reminder that price gouging during disasters like this remains illegal in California.\u003c/p>\n\u003cp>\u003cstrong>Jump straight to:\u003c/strong>\u003c/p>\n\u003cul>\n\u003cli>\u003cstrong>\u003ca href=\"#price-gouging-definition\">What counts as price gouging?\u003c/a>\u003c/strong>\u003c/li>\n\u003cli>\u003cstrong>\u003ca href=\"#how-to-report-price-gouging\">How can I report price gouging during the L.A. fires?\u003c/a>\u003c/strong>\u003c/li>\n\u003c/ul>\n\u003cp>California defines price gouging as \u003ca href=\"https://oag.ca.gov/consumers/pricegougingduringdisasters#1C\">when sellers try “to take unfair advantage of consumers\u003c/a> during an emergency or disaster by greatly increasing prices for essential consumer goods and services.” During the L.A. wildfires, this might look like hotels charging more than their usual rates for evacuees seeking a room or a grocery market, hugely increasing the price of bottled water.\u003c/p>\n\u003cp>The state’s Department of Justice is now urging people to report any examples of price gouging they see and warns that sellers found to be violating this law can be prosecuted, fined and imprisoned. So if you’re an L.A. County resident who’s been forced to evacuate their home right now — or you have loved ones in the region you want to ensure aren’t being taken advantage of — keep reading for what you need to know about spotting price gouging, and how to report it.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003ch2>\u003cstrong>When do price gouging laws come into effect?\u003c/strong>\u003c/h2>\n\u003cp>The state’s law against price gouging under Penal Code Section 396 kicks in when a statewide or local state of emergency is declared — \u003ca href=\"https://www.gov.ca.gov/2025/01/07/governor-newsom-proclaims-state-of-emergency-meets-with-first-responders-in-pacific-palisades-amid-dangerous-fire-weather/\">which happened on Tuesday\u003c/a>, as announced by Gov. Gavin Newsom.\u003c/p>\n\u003cp>These protections can last well beyond the initial outbreak of a disaster situation: The Office of the Attorney General says that they \u003ca href=\"https://oag.ca.gov/consumers/pricegougingduringdisasters#3C\">“generally apply for 30 days after a declaration of emergency\u003c/a>, although for reconstruction services and emergency cleanup services,\u003ca href=\"https://www.caloes.ca.gov/office-of-the-director/policy-administration/legal-affairs/price-gouging/\"> protections apply for 180 days after a declaration of emergency.\u003c/a>”\u003c/p>\n\u003cp>\u003ca href=\"https://dcba.lacounty.gov/newsroom/during-emergency-report-suspected-price-gouging/\">L.A. County also has its own laws against price gouging\u003c/a>, which similarly remain in effect for 30 days until after an emergency declaration (in this case, Feb. 6) and 180 days for contractor-related services.\u003c/p>\n\u003ch2>\u003ca id=\"price-gouging-definition\">\u003c/a>What kind of price rise is considered ‘gouging’ under the law?\u003c/h2>\n\u003cp>In a nutshell, sellers don’t have to be outright doubling their prices to be regarded as participating in price gouging. In fact, “California law generally prohibits charging a price that exceeds, by more than 10%, the price a seller charged for an item before a state or local declaration of emergency,” Bonta said.\u003c/p>\n\u003cfigure id=\"attachment_12021342\" class=\"wp-caption alignright\" style=\"max-width: 800px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-medium wp-image-12021342\" src=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2025/01/GettyImages-2189976029-800x534.jpg\" alt=\"\" width=\"800\" height=\"534\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2025/01/GettyImages-2189976029-800x534.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2025/01/GettyImages-2189976029-1020x680.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2025/01/GettyImages-2189976029-160x107.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2025/01/GettyImages-2189976029.jpg 1024w\" sizes=\"auto, (max-width: 800px) 100vw, 800px\">\u003cfigcaption class=\"wp-caption-text\">California Attorney General Rob Bonta speaks to the press at the offices of Asian Americans Advancing Justice in Los Angeles on Dec. 17, 2024. \u003ccite>(Genaro Molina/Los Angeles Times via Getty Images)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>That means if a local store owner was selling a case of bottled water for $10 before Jan. 7 but hiked the price to $13 on Jan. 8, that 30% price rise would generally be regarded as gouging.\u003c/p>\n\u003cp>And if a seller only began selling an item \u003cem>after \u003c/em>an emergency declaration, “the law generally prohibits charging a price that exceeds the seller’s cost of the item by more than 50%,” the Department of Justice said.\u003c/p>\n\u003cp>You can \u003ca href=\"http://percentagecalculator.net\">use an online tool like PercentageCalculator.net\u003c/a> to calculate the percentage rise in the cost of an item.\u003c/p>\n\u003ch2>\u003cstrong>Do price gouging laws only apply to L.A. County right now?\u003c/strong>\u003c/h2>\n\u003cp>Actually, no — despite the state’s price gouging law being brought into effect by \u003ca href=\"https://www.caloes.ca.gov/office-of-the-director/policy-administration/legal-affairs/price-gouging/\">specific emergency declarations for individual disasters around California\u003c/a>, these protections aren’t restricted to the city or county where that emergency is taking place.\u003c/p>\n\u003cp>As well as applying to L.A. County, \u003ca href=\"https://oag.ca.gov/consumers/pricegougingduringdisasters#7C\">the law “is intended to prevent price gouging elsewhere\u003c/a> in the state where there is increased consumer demand as a result of the declared emergency,” the Office of the Attorney General said.\u003c/p>\n\u003cp>The specific example it gives: “If a fire in San Diego County causes residents to evacuate to neighboring Imperial County, hotels in Imperial County may not raise rates by more than 10% to take advantage of the increase in demand for lodging.”\u003c/p>\n\u003ch2>\u003cstrong>What kinds of purchases do the price gouging laws apply to?\u003c/strong>\u003c/h2>\n\u003cp>According to the Department of Justice, the price gouging law applies to people who sell food, emergency supplies, medical supplies, building materials, gasoline and hotel rooms.\u003c/p>\n\u003cp>But it also applies to:\u003c/p>\n\u003cul>\n\u003cli>Repair or reconstruction services.\u003c/li>\n\u003cli>Emergency cleanup services.\u003c/li>\n\u003cli>Transportation.\u003c/li>\n\u003cli>Freight and storage services.\u003c/li>\n\u003c/ul>\n\u003cp>You can \u003ca href=\"https://oag.ca.gov/consumers/pricegougingduringdisasters#5C\">see more examples of goods that are subject to the price gouging law\u003c/a>. There \u003cem>are \u003c/em>exceptions to the law, the Department of Justice said: “For example, [if] the price of labor, goods, or materials has increased for the business.”\u003c/p>\n\u003ch2>\u003cstrong>Do price gouging laws cover rental properties?\u003c/strong>\u003c/h2>\n\u003cp>Yes, and there are also \u003ca href=\"https://oag.ca.gov/consumers/pricegougingduringdisasters#8C1\">specific protections around price gouging for rental housing\u003c/a>, which apply to services like Airbnb and VRBO. For example, the law also prohibits a landlord from evicting a tenant and “then re-renting the property at a rate that the landlord would have been prohibited from charging the evicted tenant under the price gouging statute.”\u003c/p>\n\u003cp>Airbnb is currently partnering with 211 LA to offer\u003ca href=\"https://news.airbnb.com/airbnb-org-offers-temporary-housing-to-people-impacted-by-the-los-angeles-wildfires/\"> free accommodation to people displaced by the fires in L.A\u003c/a>., although 211 LA warns that due to high demand, you could be waiting a while to get a response. \u003ca href=\"https://211la.org/LA-Wildfires\">Apply for free accommodation through Airbnb and 211 LA here.\u003c/a>\u003c/p>\n\u003ch2>\u003ca id=\"how-to-report-price-gouging\">\u003c/a>If I think I’ve been a victim of price gouging during the L.A. wildfires — or if I spot it in the wild — what can I do?\u003c/h2>\n\u003cp>First, make sure you keep all your records and receipts — which may also include taking time-stamped photos of price labels if necessary. The Los Angeles County Department of Consumer and Business Affairs also recommends comparing those prices to pre-emergency declaration prices “and in areas not affected by the disaster.” You could \u003ca href=\"http://percentagecalculator.net\">use an online tool like PercentageCalculator.net\u003c/a> to calculate the percentage rise in the cost of an item to see if you may indeed have been a victim of price gouging.\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>Then, Bonta urged anyone who spots or experiences price gouging to “immediately” file a complaint with the Office of the Attorney General at \u003ca href=\"http://oag.ca.gov/report\">oag.ca.gov/report\u003c/a> or by calling 800-952-5225. The online form requires giving your full contact details. You can also contact your local police department or sheriff’s office, Bonta said.\u003c/p>\n\u003cp>Sellers who are found to be violating California’s price gouging statute can be subject to criminal prosecution and could be imprisoned for one year in county jail — and/or a fine of up to $10,000. “Violators are also subject to civil enforcement actions, including civil penalties of up to $2,500 per violation, injunctive relief, and mandatory restitution,” the Department of Justice said.\u003c/p>\n\u003cp>You can also \u003ca href=\"https://dcba.lacounty.gov/newsroom/during-emergency-report-suspected-price-gouging/\">file a complaint to the Los Angeles County Department of Consumer and Business Affairs (DCBA)\u003c/a> using their online complaint form or by phone at 800-593-8222.\u003c/p>\n\u003cp>Bear in mind that the attorney general’s office said it \u003cem>can’t \u003c/em>give you legal advice or represent individuals, although it may “on behalf of the public” investigate or prosecute a person who’s been price gouging.\u003c/p>\n\u003cp>The attorney general’s office said that “if you believe that you might have a claim for price gouging, you might consider contacting an attorney to explore your options.” You can \u003ca href=\"http://www.calbar.ca.gov\">find a referral to a lawyer through the State Bar\u003c/a> or \u003ca href=\"http://www.lsc.gov\">find a free legal aid office near you\u003c/a>.\u003c/p>\n\u003cp>A spokesperson for Bonta’s office could not comment on whether the Department of Justice had already received any complaints from the public about price gouging during the L.A. fires due to the possibility of eventual investigations.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cp>For many of us with family or friends in the Los Angeles area, it’s a scary time right now.\u003c/p>\n\u003cp>\u003ca href=\"https://www.kqed.org/news/12020765/thousands-flee-los-angeles-area-as-wildfires-burn-out-of-control-destroying-homes\">The major wildfires devastating L.A. County communities\u003c/a> have already claimed at least two lives, destroyed more than a thousand homes and buildings and forced at least 70,000 people to evacuate. As the largest fires — the Palisades, Eaton and Hurst — continue to grow, fanned by strong Santa Ana winds, a fourth fire began on Wednesday morning, and Gov. Gavin Newsom has declared a state of emergency.\u003c/p>\n\u003cp>It’s easy to feel helpless when disaster hits the people you care about — especially if you’re far away. But if you’ve got loved ones in the L.A. area who have already been impacted by these fires or who you’re worried could be affected soon, we’ve collected these guides below to coping in a wildfire situation that you can send your family and friends in Southern California. You can also use these guides to familiarize yourself with what happens during an active wildfire situation so you can advise your loved ones if they’re in a tough spot right now.\u003c/p>\n\u003cp>Another thing you can do: Make sure your loved ones are signed up for their county’s emergency alerts right now. Our friends at LAist have a \u003ca href=\"https://laist.com/news/climate-environment/evacuation-orders-warnings-what-they-mean-emergency-wildfire-earthquake\">comprehensive list of emergency alert sign-up links\u003c/a> in their guide to the wildfires raging in Los Angeles County right now. They can also \u003ca href=\"https://www.npr.org/2024/09/25/g-s1-24534/wildfire-app-watch-duty-firefighting\">download the free Watch Duty app\u003c/a> to monitor where fires are burning near them.\u003c/p>\n\u003cp>\u003cstrong>Jump straight to:\u003c/strong>\u003c/p>\n\u003cul>\n\u003cli>\u003cstrong>\u003ca href=\"#emergency-bag-la-fires\">What to pack in an emergency bag\u003c/a>\u003c/strong>\u003c/li>\n\u003cli>\u003cstrong>\u003ca href=\"#air-quality-la-fires\">How to protect yourself from toxic wildfire smoke\u003c/a>\u003c/strong>\u003c/li>\n\u003cli>\u003cstrong>\u003ca href=\"#why-does-my-phone-not-work\">Why our phones can stop working during wildfires\u003c/a>\u003c/strong>\u003c/li>\n\u003c/ul>\n\u003ch2>\u003ca href=\"https://www.kqed.org/news/11834901/fire-evacuation-what-actually-happens-and-how-can-you-plan\">GUIDE: How does fire evacuation work — and how can you plan for it?\u003c/a>\u003c/h2>\n\u003cp>Having to evacuate your home due to the threat of wildfire is a scary prospect — especially if you’ve never had to do it before. Tens of thousands have already evacuated their homes in L.A. County, but fire can travel in highly unpredictable ways, affecting communities that would never have suspected themselves to be under threat of wildfires or evacuation.\u003c/p>\n\u003cp>Even if your loved ones in L.A. haven’t yet had to evacuate or think they’re too far away to be affected, it’s really important that they still know the best procedures for safely leaving their home and to be prepared ahead of time to actually do it. According to L.A. County Fire Chief Anthony Marrone, there have already been “a high number of significant injuries to residents who did not evacuate.”\u003c/p>\n\u003cp>Some of the takeaways:\u003c/p>\n\u003cul>\n\u003cli>An evacuation warning comes before an evacuation order and is a warning that you might need to evacuate soon — that’s the time to prep your emergency bags. The evacuation order is mandatory, i.e., “go time.”\u003c/li>\n\u003cli>Cal Fire recommends that you dress to cover your skin to protect against heat and flying embers while evacuation and says 100% cotton is preferable: long pants, a long sleeve shirt, heavy shoes/boots, a cap, a dry bandana for a face cover and goggles or glasses.\u003c/li>\n\u003cli>If you’re anticipating evacuation, put your emergency bag and supplies in your car, if you have one, then back your car into your driveway with all doors and windows closed — and then carry your car keys with you at all times.\u003c/li>\n\u003c/ul>\n\u003cp>\u003ca href=\"https://www.kqed.org/news/11834901/fire-evacuation-what-actually-happens-and-how-can-you-plan\">Read the full guide to how to evacuate from a wildfire\u003c/a>.\u003c/p>\n\u003cp>\u003c!-- iframe plugin v.4.3 wordpress.org/plugins/iframe/ -->\u003cbr>\n\u003ciframe loading=\"lazy\" src=\"https://kqedsf.maps.arcgis.com/apps/instant/basic/index.html?appid=c7285ba9ce524bbba6c689e96d013112\" width=\"1000\" height=\"700\" scrolling=\"yes\" class=\"iframe-class\" frameborder=\"0\">\u003c/iframe>\u003c/p>\n\u003cp>\u003cem>A map of wildfires currently burning in the Los Angeles area\u003c/em>\u003c/p>\n\u003ch2>\u003ca id=\"emergency-bag-la-fires\">\u003c/a>\u003ca href=\"https://www.kqed.org/news/11833686/what-to-pack-in-your-emergency-bag-with-covid-19-in-mind\">GUIDE: What to pack in your emergency bag to prepare for a wildfire\u003c/a>\u003c/h2>\n\u003cp>A crucial part of being ready to evacuate is having a “go bag” ready. Experts advise keeping such a bag by the front door — or inside a car — so a person can easily grab it and go. If your L.A.-based loved ones do wind up evacuating, they may have to walk to safety and should so choose a bag that’s durable and easy to carry, such as a backpack or duffle bag. For heavier items, such as food and water, using a tub or chest on wheels may make it easier to transport — but they should make sure it’s still light enough to lift.\u003c/p>\n\u003cp>We have comprehensive checklists for an emergency bag — including medications, food and items for pets — \u003ca href=\"https://www.kqed.org/news/11833686/what-to-pack-in-your-emergency-bag-with-covid-19-in-mind\">in this story\u003c/a>, but the personal safety essential items include:\u003c/p>\n\u003cul>\n\u003cli>An extra set of keys to the home\u003c/li>\n\u003cli>Eyeglasses or contact lenses\u003c/li>\n\u003cli>Flashlight\u003c/li>\n\u003cli>A copy of ID and other important documents (birth certificates, passports, etc.)\u003c/li>\n\u003cli>A change of clothes\u003c/li>\n\u003cli>Cash, ideally in small bills\u003c/li>\n\u003cli>A map marked with at least two evacuation routes from your home\u003c/li>\n\u003c/ul>\n\u003cp>\u003ca href=\"https://www.kqed.org/news/11833686/what-to-pack-in-your-emergency-bag-with-covid-19-in-mind\">Read the full guide to preparing an emergency evacuation bag.\u003c/a>\u003c/p>\n\u003cfigure id=\"attachment_12020902\" class=\"wp-caption alignnone\" style=\"max-width: 1920px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-12020902\" src=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2025/01/GettyImages-2192874110_resize.jpg\" alt=\"\" width=\"1920\" height=\"1280\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2025/01/GettyImages-2192874110_resize.jpg 1920w, https://cdn.kqed.org/wp-content/uploads/sites/10/2025/01/GettyImages-2192874110_resize-800x533.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2025/01/GettyImages-2192874110_resize-1020x680.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2025/01/GettyImages-2192874110_resize-160x107.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2025/01/GettyImages-2192874110_resize-1536x1024.jpg 1536w\" sizes=\"auto, (max-width: 1920px) 100vw, 1920px\">\u003cfigcaption class=\"wp-caption-text\">Residents evacuate their home as a brush fire, pushed by gusting Santa Ana winds, burns on Jan. 7, 2025, in Pacific Palisades, Los Angeles, California. A fire in the Pacific Palisades area of Los Angeles has forced some residents to evacuate amid “life-threatening and destructive” winds.\u003c/figcaption>\u003c/figure>\n\u003ch2>\u003ca id=\"air-quality-la-fires\">\u003c/a>\u003ca href=\"https://www.kqed.org/science/1926793/protecting-your-health-from-toxic-wildfire-smoke\">GUIDE: Why protecting yourself from toxic wildfire smoke is so important — and how to do it\u003c/a>\u003c/h2>\n\u003cp>Even brief exposure to wildfire smoke can cause potentially serious health problems for everyone. What we call “wildfire smoke” is actually an ever-changing mix of particles and gasses and many of these compounds are toxic. But the most dangerous thing for your health in wildfire smoke is the fine particulate matter: that is, the tiny pieces of soot and ash that are invisible to the naked eye. These particles — also known as PM 2.5 — are so small and light that they can travel huge distances from a raging wildfire and then cause damage to your body just by entering it, setting off inflammatory reactions that can make breathing difficult.\u003c/p>\n\u003cp>In serious cases, these reactions can even trigger a heart attack or stroke in people already at risk of those events. The particles can travel deep into your lungs, and within a few days, the damage they cause can result in bronchitis or pneumonia. So it’s crucial for your loved ones in L.A. to protect themselves against smoke right now, even if they’re not super close to the fire areas.\u003c/p>\n\u003cp>Some of the takeaways:\u003c/p>\n\u003cul>\n\u003cli>N95 or KN95 masks — the kind you may have stocked up on due to COVID-19 — are still the best option for protecting you against smoke\u003c/li>\n\u003cli>The least effective options are cloth masks and one‐strap paper dust masks or surgical masks that hook around your ears — they don’t protect against inhaling fine particles\u003c/li>\n\u003cli>When it’s smoky from fires, run a portable air purifier indoors if you have one, ideally in a “clean air room” you create. The link to a guide to making your own DIY air purifier is below.\u003c/li>\n\u003c/ul>\n\u003cp>\u003ca href=\"https://www.kqed.org/science/1926793/protecting-your-health-from-toxic-wildfire-smoke\">Read the full guide to protecting yourself against wildfire smoke\u003c/a>.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003ch2>\u003ca id=\"why-does-my-phone-not-work\">\u003c/a>\u003ca href=\"https://www.kqed.org/news/11840047/during-a-disaster-your-phone-might-stop-working-how-can-you-communicate\">GUIDE: Why our phones can stop working during wildfires — and how to communicate when they do\u003c/a>\u003c/h2>\n\u003cp>Phone service can be reduced or vanish altogether during emergencies, as cell towers go down amid power shutoffs or when overhead fiber lines on utility poles are damaged by fire itself.\u003c/p>\n\u003cp>You may have already encountered these kinds of phone blackouts with your loved ones in L.A., and it’s scary when that happens. Service interruptions like these stop people from being able to get in touch with family and friends to confirm their safety and also prevent them from receiving \u003ca href=\"https://laist.com/news/climate-environment/evacuation-orders-warnings-what-they-mean-emergency-wildfire-earthquake\">the very emergency alerts they’re relying on for evacuation updates\u003c/a>.\u003c/p>\n\u003cp>Some of the takeaways:\u003c/p>\n\u003cul>\n\u003cli>In wildfire situations, damaged phone lines will mean calls won’t go through, but texts (which place less demand on cell towers) might\u003c/li>\n\u003cli>Conversely, outages because of power shutoffs mean that smaller cell towers might not get power from the system’s battery backup, meaning cellphone data clogs up and texts can’t get through\u003c/li>\n\u003cli>If neither calls nor texts are working, seek Wi-Fi at places like large stores (think Walmart) or coffee shops, where you’ll be able to pick up the signal outside in the parking lot — or evacuation centers\u003c/li>\n\u003cli>Change your cellphone settings to allow voice calls over Wi-Fi (we have a guide in this link) or make calls using social media apps like Instagram\u003c/li>\n\u003cli>Change your voicemail welcome recording when you get cell or Wi-Fi service, and use it to let anyone who calls know your safety status — even when their calls can’t get through to you.\u003c/li>\n\u003cli>If you spot a payphone, give it a try, as buried landlines are typically more resilient to natural disasters than cell phone towers.\u003c/li>\n\u003c/ul>\n\u003cp>\u003ca href=\"https://www.kqed.org/news/11840047/during-a-disaster-your-phone-might-stop-working-how-can-you-communicate\">Read the full guide to how to make your phone work during a wildfire\u003c/a>.\u003c/p>\n\u003cp>[ad floatright]\u003c/p>\n",
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"excerpt": "From the Eaton fire in Pasadena to the Palisades Fire, devastating wildfires in L.A. have many preparing to evacuate. What you need to know about air quality, evacuation protocol and more.",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>For many of us with family or friends in the Los Angeles area, it’s a scary time right now.\u003c/p>\n\u003cp>\u003ca href=\"https://www.kqed.org/news/12020765/thousands-flee-los-angeles-area-as-wildfires-burn-out-of-control-destroying-homes\">The major wildfires devastating L.A. County communities\u003c/a> have already claimed at least two lives, destroyed more than a thousand homes and buildings and forced at least 70,000 people to evacuate. As the largest fires — the Palisades, Eaton and Hurst — continue to grow, fanned by strong Santa Ana winds, a fourth fire began on Wednesday morning, and Gov. Gavin Newsom has declared a state of emergency.\u003c/p>\n\u003cp>It’s easy to feel helpless when disaster hits the people you care about — especially if you’re far away. But if you’ve got loved ones in the L.A. area who have already been impacted by these fires or who you’re worried could be affected soon, we’ve collected these guides below to coping in a wildfire situation that you can send your family and friends in Southern California. You can also use these guides to familiarize yourself with what happens during an active wildfire situation so you can advise your loved ones if they’re in a tough spot right now.\u003c/p>\n\u003cp>Another thing you can do: Make sure your loved ones are signed up for their county’s emergency alerts right now. Our friends at LAist have a \u003ca href=\"https://laist.com/news/climate-environment/evacuation-orders-warnings-what-they-mean-emergency-wildfire-earthquake\">comprehensive list of emergency alert sign-up links\u003c/a> in their guide to the wildfires raging in Los Angeles County right now. They can also \u003ca href=\"https://www.npr.org/2024/09/25/g-s1-24534/wildfire-app-watch-duty-firefighting\">download the free Watch Duty app\u003c/a> to monitor where fires are burning near them.\u003c/p>\n\u003cp>\u003cstrong>Jump straight to:\u003c/strong>\u003c/p>\n\u003cul>\n\u003cli>\u003cstrong>\u003ca href=\"#emergency-bag-la-fires\">What to pack in an emergency bag\u003c/a>\u003c/strong>\u003c/li>\n\u003cli>\u003cstrong>\u003ca href=\"#air-quality-la-fires\">How to protect yourself from toxic wildfire smoke\u003c/a>\u003c/strong>\u003c/li>\n\u003cli>\u003cstrong>\u003ca href=\"#why-does-my-phone-not-work\">Why our phones can stop working during wildfires\u003c/a>\u003c/strong>\u003c/li>\n\u003c/ul>\n\u003ch2>\u003ca href=\"https://www.kqed.org/news/11834901/fire-evacuation-what-actually-happens-and-how-can-you-plan\">GUIDE: How does fire evacuation work — and how can you plan for it?\u003c/a>\u003c/h2>\n\u003cp>Having to evacuate your home due to the threat of wildfire is a scary prospect — especially if you’ve never had to do it before. Tens of thousands have already evacuated their homes in L.A. County, but fire can travel in highly unpredictable ways, affecting communities that would never have suspected themselves to be under threat of wildfires or evacuation.\u003c/p>\n\u003cp>Even if your loved ones in L.A. haven’t yet had to evacuate or think they’re too far away to be affected, it’s really important that they still know the best procedures for safely leaving their home and to be prepared ahead of time to actually do it. According to L.A. County Fire Chief Anthony Marrone, there have already been “a high number of significant injuries to residents who did not evacuate.”\u003c/p>\n\u003cp>Some of the takeaways:\u003c/p>\n\u003cul>\n\u003cli>An evacuation warning comes before an evacuation order and is a warning that you might need to evacuate soon — that’s the time to prep your emergency bags. The evacuation order is mandatory, i.e., “go time.”\u003c/li>\n\u003cli>Cal Fire recommends that you dress to cover your skin to protect against heat and flying embers while evacuation and says 100% cotton is preferable: long pants, a long sleeve shirt, heavy shoes/boots, a cap, a dry bandana for a face cover and goggles or glasses.\u003c/li>\n\u003cli>If you’re anticipating evacuation, put your emergency bag and supplies in your car, if you have one, then back your car into your driveway with all doors and windows closed — and then carry your car keys with you at all times.\u003c/li>\n\u003c/ul>\n\u003cp>\u003ca href=\"https://www.kqed.org/news/11834901/fire-evacuation-what-actually-happens-and-how-can-you-plan\">Read the full guide to how to evacuate from a wildfire\u003c/a>.\u003c/p>\n\u003cp>\u003c!-- iframe plugin v.4.3 wordpress.org/plugins/iframe/ -->\u003cbr>\n\u003ciframe loading=\"lazy\" src=\"https://kqedsf.maps.arcgis.com/apps/instant/basic/index.html?appid=c7285ba9ce524bbba6c689e96d013112\" width=\"1000\" height=\"700\" scrolling=\"yes\" class=\"iframe-class\" frameborder=\"0\">\u003c/iframe>\u003c/p>\n\u003cp>\u003cem>A map of wildfires currently burning in the Los Angeles area\u003c/em>\u003c/p>\n\u003ch2>\u003ca id=\"emergency-bag-la-fires\">\u003c/a>\u003ca href=\"https://www.kqed.org/news/11833686/what-to-pack-in-your-emergency-bag-with-covid-19-in-mind\">GUIDE: What to pack in your emergency bag to prepare for a wildfire\u003c/a>\u003c/h2>\n\u003cp>A crucial part of being ready to evacuate is having a “go bag” ready. Experts advise keeping such a bag by the front door — or inside a car — so a person can easily grab it and go. If your L.A.-based loved ones do wind up evacuating, they may have to walk to safety and should so choose a bag that’s durable and easy to carry, such as a backpack or duffle bag. For heavier items, such as food and water, using a tub or chest on wheels may make it easier to transport — but they should make sure it’s still light enough to lift.\u003c/p>\n\u003cp>We have comprehensive checklists for an emergency bag — including medications, food and items for pets — \u003ca href=\"https://www.kqed.org/news/11833686/what-to-pack-in-your-emergency-bag-with-covid-19-in-mind\">in this story\u003c/a>, but the personal safety essential items include:\u003c/p>\n\u003cul>\n\u003cli>An extra set of keys to the home\u003c/li>\n\u003cli>Eyeglasses or contact lenses\u003c/li>\n\u003cli>Flashlight\u003c/li>\n\u003cli>A copy of ID and other important documents (birth certificates, passports, etc.)\u003c/li>\n\u003cli>A change of clothes\u003c/li>\n\u003cli>Cash, ideally in small bills\u003c/li>\n\u003cli>A map marked with at least two evacuation routes from your home\u003c/li>\n\u003c/ul>\n\u003cp>\u003ca href=\"https://www.kqed.org/news/11833686/what-to-pack-in-your-emergency-bag-with-covid-19-in-mind\">Read the full guide to preparing an emergency evacuation bag.\u003c/a>\u003c/p>\n\u003cfigure id=\"attachment_12020902\" class=\"wp-caption alignnone\" style=\"max-width: 1920px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-12020902\" src=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2025/01/GettyImages-2192874110_resize.jpg\" alt=\"\" width=\"1920\" height=\"1280\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2025/01/GettyImages-2192874110_resize.jpg 1920w, https://cdn.kqed.org/wp-content/uploads/sites/10/2025/01/GettyImages-2192874110_resize-800x533.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2025/01/GettyImages-2192874110_resize-1020x680.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2025/01/GettyImages-2192874110_resize-160x107.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2025/01/GettyImages-2192874110_resize-1536x1024.jpg 1536w\" sizes=\"auto, (max-width: 1920px) 100vw, 1920px\">\u003cfigcaption class=\"wp-caption-text\">Residents evacuate their home as a brush fire, pushed by gusting Santa Ana winds, burns on Jan. 7, 2025, in Pacific Palisades, Los Angeles, California. A fire in the Pacific Palisades area of Los Angeles has forced some residents to evacuate amid “life-threatening and destructive” winds.\u003c/figcaption>\u003c/figure>\n\u003ch2>\u003ca id=\"air-quality-la-fires\">\u003c/a>\u003ca href=\"https://www.kqed.org/science/1926793/protecting-your-health-from-toxic-wildfire-smoke\">GUIDE: Why protecting yourself from toxic wildfire smoke is so important — and how to do it\u003c/a>\u003c/h2>\n\u003cp>Even brief exposure to wildfire smoke can cause potentially serious health problems for everyone. What we call “wildfire smoke” is actually an ever-changing mix of particles and gasses and many of these compounds are toxic. But the most dangerous thing for your health in wildfire smoke is the fine particulate matter: that is, the tiny pieces of soot and ash that are invisible to the naked eye. These particles — also known as PM 2.5 — are so small and light that they can travel huge distances from a raging wildfire and then cause damage to your body just by entering it, setting off inflammatory reactions that can make breathing difficult.\u003c/p>\n\u003cp>In serious cases, these reactions can even trigger a heart attack or stroke in people already at risk of those events. The particles can travel deep into your lungs, and within a few days, the damage they cause can result in bronchitis or pneumonia. So it’s crucial for your loved ones in L.A. to protect themselves against smoke right now, even if they’re not super close to the fire areas.\u003c/p>\n\u003cp>Some of the takeaways:\u003c/p>\n\u003cul>\n\u003cli>N95 or KN95 masks — the kind you may have stocked up on due to COVID-19 — are still the best option for protecting you against smoke\u003c/li>\n\u003cli>The least effective options are cloth masks and one‐strap paper dust masks or surgical masks that hook around your ears — they don’t protect against inhaling fine particles\u003c/li>\n\u003cli>When it’s smoky from fires, run a portable air purifier indoors if you have one, ideally in a “clean air room” you create. The link to a guide to making your own DIY air purifier is below.\u003c/li>\n\u003c/ul>\n\u003cp>\u003ca href=\"https://www.kqed.org/science/1926793/protecting-your-health-from-toxic-wildfire-smoke\">Read the full guide to protecting yourself against wildfire smoke\u003c/a>.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003ch2>\u003ca id=\"why-does-my-phone-not-work\">\u003c/a>\u003ca href=\"https://www.kqed.org/news/11840047/during-a-disaster-your-phone-might-stop-working-how-can-you-communicate\">GUIDE: Why our phones can stop working during wildfires — and how to communicate when they do\u003c/a>\u003c/h2>\n\u003cp>Phone service can be reduced or vanish altogether during emergencies, as cell towers go down amid power shutoffs or when overhead fiber lines on utility poles are damaged by fire itself.\u003c/p>\n\u003cp>You may have already encountered these kinds of phone blackouts with your loved ones in L.A., and it’s scary when that happens. Service interruptions like these stop people from being able to get in touch with family and friends to confirm their safety and also prevent them from receiving \u003ca href=\"https://laist.com/news/climate-environment/evacuation-orders-warnings-what-they-mean-emergency-wildfire-earthquake\">the very emergency alerts they’re relying on for evacuation updates\u003c/a>.\u003c/p>\n\u003cp>Some of the takeaways:\u003c/p>\n\u003cul>\n\u003cli>In wildfire situations, damaged phone lines will mean calls won’t go through, but texts (which place less demand on cell towers) might\u003c/li>\n\u003cli>Conversely, outages because of power shutoffs mean that smaller cell towers might not get power from the system’s battery backup, meaning cellphone data clogs up and texts can’t get through\u003c/li>\n\u003cli>If neither calls nor texts are working, seek Wi-Fi at places like large stores (think Walmart) or coffee shops, where you’ll be able to pick up the signal outside in the parking lot — or evacuation centers\u003c/li>\n\u003cli>Change your cellphone settings to allow voice calls over Wi-Fi (we have a guide in this link) or make calls using social media apps like Instagram\u003c/li>\n\u003cli>Change your voicemail welcome recording when you get cell or Wi-Fi service, and use it to let anyone who calls know your safety status — even when their calls can’t get through to you.\u003c/li>\n\u003cli>If you spot a payphone, give it a try, as buried landlines are typically more resilient to natural disasters than cell phone towers.\u003c/li>\n\u003c/ul>\n\u003cp>\u003ca href=\"https://www.kqed.org/news/11840047/during-a-disaster-your-phone-might-stop-working-how-can-you-communicate\">Read the full guide to how to make your phone work during a wildfire\u003c/a>.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"title": "These Bay Area Bridge Tolls and Transit Fares Will Rise on New Year's Day",
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"content": "\u003cp>Commuters and day-trippers will find it just a little more expensive to get around the Bay Area in the new year, with tolls going up Jan. 1 for the region’s seven state-owned \u003ca href=\"https://www.kqed.org/news/tag/bridge-tolls\">toll bridges\u003c/a> and fares increasing on its two biggest \u003ca href=\"https://www.kqed.org/news/tag/public-transit\">transit agencies\u003c/a>.\u003c/p>\n\u003cp>Drivers’ cost to cross the \u003ca href=\"https://www.kqed.org/news/12017479/new-bay-bridge-light-installation-underway-after-nearly-2-year-shutdown\">San Francisco-Oakland Bay Bridge\u003c/a> and the Antioch, Benicia, Carquinez, Richmond-San Rafael, San Mateo and Dumbarton spans will rise from $7 to $8. That charge covers two-axle cars and trucks; the toll will range up to $38 for tractor-trailer combinations with seven or more axles.\u003c/p>\n\u003cp>The increase is the third and final $1 hike that \u003ca href=\"https://www.kqed.org/news/11671240/10-things-to-know-regional-measure-3-the-proposed-bay-area-bridge-toll-increase\">voters approved in 2018\u003c/a> as part of Regional Measure 3, with revenue dedicated to a wide array of transit and highway improvements across the Bay Area’s nine counties.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>More toll hikes are already on the horizon. Earlier this month, \u003ca href=\"https://mtc.ca.gov/news/toll-authority-approves-2026-toll-hike-carpool-policy-changes\">bridge officials approved\u003c/a> a five-year series of hikes that will raise tolls 50 cents a year starting Jan. 1, 2026. By 2030, drivers using FasTrak toll tags will pay $10.50 per trip. Money raised from the next series of toll increases is earmarked for bridge maintenance and operations.\u003c/p>\n\u003ch2>Transit fares\u003c/h2>\n\u003cp>Travel is also getting a little more expensive for those using \u003ca href=\"https://www.kqed.org/news/tag/bart\">BART\u003c/a> and \u003ca href=\"https://www.kqed.org/news/tag/muni\">Muni\u003c/a>. Here’s what to know about the increases, as well as fare information for other transit agencies in the Bay Area:\u003c/p>\n\u003cp>\u003ca href=\"https://www.bart.gov/tickets/calculator\">BART\u003c/a>: Fares will go up 5.5% on Jan. 1, marking \u003ca href=\"https://www.kqed.org/liveblog/bay-area-transportation-news#bart-fares-are-going-up-heres-what-youll-pay-and-heres-when-youll-see-the-next-increase\">the 20th increase\u003c/a> since BART carried its first paying passengers in September 1972.\u003c/p>\n\u003cfigure id=\"attachment_11993195\" class=\"wp-caption aligncenter\" style=\"max-width: 1999px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-11993195\" src=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2024/07/240313-BART-CRISIS-INTERVENTION-UNIT-MD-16_qed.jpg\" alt=\"\" width=\"1999\" height=\"1333\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2024/07/240313-BART-CRISIS-INTERVENTION-UNIT-MD-16_qed.jpg 1999w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/07/240313-BART-CRISIS-INTERVENTION-UNIT-MD-16_qed-800x533.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/07/240313-BART-CRISIS-INTERVENTION-UNIT-MD-16_qed-1020x680.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/07/240313-BART-CRISIS-INTERVENTION-UNIT-MD-16_qed-160x107.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/07/240313-BART-CRISIS-INTERVENTION-UNIT-MD-16_qed-1536x1024.jpg 1536w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/07/240313-BART-CRISIS-INTERVENTION-UNIT-MD-16_qed-1920x1280.jpg 1920w\" sizes=\"auto, (max-width: 1999px) 100vw, 1999px\">\u003cfigcaption class=\"wp-caption-text\">A train approaches the station at the San Leandro BART station on March 13, 2024. \u003ccite>(Martin do Nascimento/KQED)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>The one-way fare for the shortest trips — for example, those beginning and ending in San Francisco and most trips within Oakland — will rise from $2.30 to $2.40. The one-way cost for the longest trip on the system — from Antioch to San José’s Berryessa station — will increase from $10.85 to $11.45.\u003c/p>\n\u003cp>For more typical commutes? If your trip is from \u003ca href=\"https://www.bart.gov/stations/dbrk\">Downtown Berkeley\u003c/a> station to any of San Francisco’s four downtown stations, the one-way fare will rise from $4.75 to $5. For a longer trip — say Concord to the downtown San Francisco stops — the one-way fare increases from $6.85 to $7.20. See BART’s \u003ca href=\"https://www.bart.gov/tickets/calculator\">fare calculator\u003c/a> for more.\u003c/p>\n\u003cp>\u003ca href=\"https://www.sfmta.com/getting-around/muni/fares\">Muni\u003c/a>: Clipper fares are rising for the first time since before the pandemic, from $2.50 to $2.75. Most of the agency’s extensive list of special fares — daily, weekly, monthly and income-related discounts — are also going up between 7% and 10%. Muni remains free for youth under 18, eligible adults age 65 and older and for people with disabilities. See \u003ca href=\"https://www.sfmta.com/getting-around/muni/fares\">Muni’s complete fare table\u003c/a> for more.\u003c/p>\n\u003cp>[aside postID=news_12019109 hero='https://cdn.kqed.org/wp-content/uploads/sites/10/2024/12/GettyImages-1245918306-1020x680.jpg']\u003c/p>\n\u003cp>\u003ca href=\"https://www.actransit.org/fares\">AC Transit\u003c/a>: No change. Local fares were set at $2.25 for Clipper and $2.50 for cash in 2019.\u003c/p>\n\u003cp>\u003ca href=\"https://www.vta.org/go/fares\">VTA\u003c/a>: No change. Local fares were set at $2.50 in 2019.\u003c/p>\n\u003cp>\u003ca href=\"https://www.caltrain.com/fares\">Caltrain\u003c/a>: No change. The Peninsula train operator will begin a three-year series of fare increases on July 1.\u003c/p>\n\u003cp>\u003ca href=\"https://www.samtrans.com/fares\">SamTrans\u003c/a>: No change. The agency hasn’t increased its basic local and Clipper fares — $2.25 and $2.05, respectively — since 2016.\u003c/p>\n\u003cp>\u003ca href=\"https://www.goldengate.org/bus/bus-fares-payment/fare-tables/\">Golden Gate Transit\u003c/a>: No change on the system’s buses and ferries. The agency approved a 25-cent increase on all fares that took effect July 1.\u003c/p>\n\u003cp>\u003ca href=\"https://sanfranciscobayferry.com/general-tickets-payment-options/\">San Francisco Bay Ferry\u003c/a>: No change.\u003c/p>\n\u003cp>\u003ca href=\"https://www.sonomamarintrain.org/fares\">SMART:\u003c/a> No change. The rail system remains free for all youth and senior riders — those 18 and under or 65 and older — through June 30, 2025.\u003c/p>\n\u003cp>\u003c/p>\n",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>Commuters and day-trippers will find it just a little more expensive to get around the Bay Area in the new year, with tolls going up Jan. 1 for the region’s seven state-owned \u003ca href=\"https://www.kqed.org/news/tag/bridge-tolls\">toll bridges\u003c/a> and fares increasing on its two biggest \u003ca href=\"https://www.kqed.org/news/tag/public-transit\">transit agencies\u003c/a>.\u003c/p>\n\u003cp>Drivers’ cost to cross the \u003ca href=\"https://www.kqed.org/news/12017479/new-bay-bridge-light-installation-underway-after-nearly-2-year-shutdown\">San Francisco-Oakland Bay Bridge\u003c/a> and the Antioch, Benicia, Carquinez, Richmond-San Rafael, San Mateo and Dumbarton spans will rise from $7 to $8. That charge covers two-axle cars and trucks; the toll will range up to $38 for tractor-trailer combinations with seven or more axles.\u003c/p>\n\u003cp>The increase is the third and final $1 hike that \u003ca href=\"https://www.kqed.org/news/11671240/10-things-to-know-regional-measure-3-the-proposed-bay-area-bridge-toll-increase\">voters approved in 2018\u003c/a> as part of Regional Measure 3, with revenue dedicated to a wide array of transit and highway improvements across the Bay Area’s nine counties.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>More toll hikes are already on the horizon. Earlier this month, \u003ca href=\"https://mtc.ca.gov/news/toll-authority-approves-2026-toll-hike-carpool-policy-changes\">bridge officials approved\u003c/a> a five-year series of hikes that will raise tolls 50 cents a year starting Jan. 1, 2026. By 2030, drivers using FasTrak toll tags will pay $10.50 per trip. Money raised from the next series of toll increases is earmarked for bridge maintenance and operations.\u003c/p>\n\u003ch2>Transit fares\u003c/h2>\n\u003cp>Travel is also getting a little more expensive for those using \u003ca href=\"https://www.kqed.org/news/tag/bart\">BART\u003c/a> and \u003ca href=\"https://www.kqed.org/news/tag/muni\">Muni\u003c/a>. Here’s what to know about the increases, as well as fare information for other transit agencies in the Bay Area:\u003c/p>\n\u003cp>\u003ca href=\"https://www.bart.gov/tickets/calculator\">BART\u003c/a>: Fares will go up 5.5% on Jan. 1, marking \u003ca href=\"https://www.kqed.org/liveblog/bay-area-transportation-news#bart-fares-are-going-up-heres-what-youll-pay-and-heres-when-youll-see-the-next-increase\">the 20th increase\u003c/a> since BART carried its first paying passengers in September 1972.\u003c/p>\n\u003cfigure id=\"attachment_11993195\" class=\"wp-caption aligncenter\" style=\"max-width: 1999px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-11993195\" src=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2024/07/240313-BART-CRISIS-INTERVENTION-UNIT-MD-16_qed.jpg\" alt=\"\" width=\"1999\" height=\"1333\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2024/07/240313-BART-CRISIS-INTERVENTION-UNIT-MD-16_qed.jpg 1999w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/07/240313-BART-CRISIS-INTERVENTION-UNIT-MD-16_qed-800x533.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/07/240313-BART-CRISIS-INTERVENTION-UNIT-MD-16_qed-1020x680.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/07/240313-BART-CRISIS-INTERVENTION-UNIT-MD-16_qed-160x107.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/07/240313-BART-CRISIS-INTERVENTION-UNIT-MD-16_qed-1536x1024.jpg 1536w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/07/240313-BART-CRISIS-INTERVENTION-UNIT-MD-16_qed-1920x1280.jpg 1920w\" sizes=\"auto, (max-width: 1999px) 100vw, 1999px\">\u003cfigcaption class=\"wp-caption-text\">A train approaches the station at the San Leandro BART station on March 13, 2024. \u003ccite>(Martin do Nascimento/KQED)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>The one-way fare for the shortest trips — for example, those beginning and ending in San Francisco and most trips within Oakland — will rise from $2.30 to $2.40. The one-way cost for the longest trip on the system — from Antioch to San José’s Berryessa station — will increase from $10.85 to $11.45.\u003c/p>\n\u003cp>For more typical commutes? If your trip is from \u003ca href=\"https://www.bart.gov/stations/dbrk\">Downtown Berkeley\u003c/a> station to any of San Francisco’s four downtown stations, the one-way fare will rise from $4.75 to $5. For a longer trip — say Concord to the downtown San Francisco stops — the one-way fare increases from $6.85 to $7.20. See BART’s \u003ca href=\"https://www.bart.gov/tickets/calculator\">fare calculator\u003c/a> for more.\u003c/p>\n\u003cp>\u003ca href=\"https://www.sfmta.com/getting-around/muni/fares\">Muni\u003c/a>: Clipper fares are rising for the first time since before the pandemic, from $2.50 to $2.75. Most of the agency’s extensive list of special fares — daily, weekly, monthly and income-related discounts — are also going up between 7% and 10%. Muni remains free for youth under 18, eligible adults age 65 and older and for people with disabilities. See \u003ca href=\"https://www.sfmta.com/getting-around/muni/fares\">Muni’s complete fare table\u003c/a> for more.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>\u003ca href=\"https://www.actransit.org/fares\">AC Transit\u003c/a>: No change. Local fares were set at $2.25 for Clipper and $2.50 for cash in 2019.\u003c/p>\n\u003cp>\u003ca href=\"https://www.vta.org/go/fares\">VTA\u003c/a>: No change. Local fares were set at $2.50 in 2019.\u003c/p>\n\u003cp>\u003ca href=\"https://www.caltrain.com/fares\">Caltrain\u003c/a>: No change. The Peninsula train operator will begin a three-year series of fare increases on July 1.\u003c/p>\n\u003cp>\u003ca href=\"https://www.samtrans.com/fares\">SamTrans\u003c/a>: No change. The agency hasn’t increased its basic local and Clipper fares — $2.25 and $2.05, respectively — since 2016.\u003c/p>\n\u003cp>\u003ca href=\"https://www.goldengate.org/bus/bus-fares-payment/fare-tables/\">Golden Gate Transit\u003c/a>: No change on the system’s buses and ferries. The agency approved a 25-cent increase on all fares that took effect July 1.\u003c/p>\n\u003cp>\u003ca href=\"https://sanfranciscobayferry.com/general-tickets-payment-options/\">San Francisco Bay Ferry\u003c/a>: No change.\u003c/p>\n\u003cp>\u003ca href=\"https://www.sonomamarintrain.org/fares\">SMART:\u003c/a> No change. The rail system remains free for all youth and senior riders — those 18 and under or 65 and older — through June 30, 2025.\u003c/p>\n\u003cp>\u003c/p>\n\u003c/div>\u003c/p>",
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"title": "Freelancing in California? Know Your New Rights in 2025",
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"content": "\u003cp>It’s an experience that feels familiar for many freelancers in California: chasing after clients once you’ve turned in the work, to make sure you actually get paid for it.\u003c/p>\n\u003cp>But starting on Jan. 1, 2025, \u003ca href=\"https://www.kqed.org/news/11998844/many-freelancers-dont-get-paid-on-time-this-california-bill-aims-to-fix-that\">the Freelance Worker Protection Act — or State Bill 988 — comes into effect in California\u003c/a>, which could transform not just how freelancers and their clients negotiate compensation, but also give independent workers more protections if they don’t receive payment on time.\u003c/p>\n\u003cp>“Lots of companies and clients don’t have the same pressure to pay independent workers and freelancers on time — or at all,” said Meredith Tannor, policy director with the Freelancers Union, a New York-based group that advocates for freelancers nationwide. According to its own surveys, 74% of Freelancers Union members have experienced a client either paying them late or not paying at all.\u003c/p>\n\u003cp>California’s new Freelance Worker Protection Act will require freelancers and their clients to have a contract in place that clearly defines who is doing what work, how much the client will pay for that work — and allows the California Attorney General to investigate clients who repeatedly breach contracts.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>You don’t need to be a California resident for SB 988 to protect you, as the new law includes freelancers who don’t live in California but are working with clients who do. However, if your freelancing business is based somewhere else, say Colorado, for example, and you’re dealing with a client in Montana, SB 988 does not apply in those situations — the client needs to be based in California.\u003c/p>\n\u003cp>Keep reading to learn how to best prepare for the state’s new laws for freelancers and their clients in 2025 and how this law SB 988 could impact you and your business.\u003c/p>\n\u003ch2>Talking to freelance clients about a contract\u003c/h2>\n\u003cp>It might feel unusual asking clients to sign a contract, especially if you’ve worked with them for a while.\u003c/p>\n\u003cp>But starting Jan. 1, California law will require freelancers and clients to establish some sort of contract that clearly establishes what work is being done and when it will be compensated. Contracts won’t be required in every situation: only if you’re offering professional service equal to or greater than $250. If you’re charging a client a lesser amount than that — let’s say for a single photo headshot — there’s no need to draft up a contract.\u003c/p>\n\u003cp>Your contract doesn’t need to be super complicated, either. According to \u003ca href=\"https://leginfo.legislature.ca.gov/faces/billNavClient.xhtml?bill_id=202320240SB988\">the text of SB 988,\u003c/a> a contract needs to include four things:\u003c/p>\n\u003cul>\n\u003cli>The name and mailing address of both the freelancer and the client.\u003c/li>\n\u003cli>An itemized list of all services provided by the freelancer, including the value of those services and how the client will make payment.\u003c/li>\n\u003cli>The date when the client will pay the freelancer.\u003c/li>\n\u003cli>The date when the freelance worker will submit a list of all the services they provided the client (e.g., an invoice).\u003c/li>\n\u003c/ul>\n\u003cp>“Freelancers should always have a contract,” said Tannor of the Freelancers Union, adding that having a contract isn’t just required by law — it also helps protect the freelancer’s labor and time. The Freelancers Union even has \u003ca href=\"https://freelancersunion.org/contract/\">an online tool where you can easily create a contract\u003c/a> that includes all the information required by SB 988.\u003c/p>\n\u003cp>Another option for a contract could be agreeing on the terms with your client over text message or email, but Tannor stresses that having an actual contract document — that both parties keep — can avoid any confusion in the future.\u003c/p>\n\u003cp>“At least in the beginning, a lot of people won’t know that this is the law,” she said — so Tannor recommends you raise SB 988 with your client first. For example, “you could say that you saw that this new law got passed, and that you want to make sure you’re dotting your I’s and crossing your T’s,” she said.\u003c/p>\n\u003cp>Once you have a contract signed by both your client and yourself, your client can still make additional requests from you — but make sure you document these new requests and how much more you will charge. “Make sure to keep records of all communication,” Tannor said. “If you’re taking a lot of Zoom meetings with the client, just reiterate what was stated over the call in an email to the client after.”\u003c/p>\n\u003ch2>Making sure your client pays you\u003c/h2>\n\u003cp>SB 988 requires that your client pays you the full agreed amount on the date you’ve both established on the contract. And if for whatever reason you and your client did not agree on a date while writing a contract, the law requires that you get paid no later than 30 days after completing your services.\u003c/p>\n\u003cp>But what if pay day comes and goes, and your client has still not paid you? You have two options:\u003c/p>\n\u003cp>\u003cstrong>1. Take your client to small claims or civil court\u003c/strong>\u003c/p>\n\u003cp>In small claims or civil court, you can demand up to double what your client owes you. To file a case, you’ll have to do so with your county courthouse. You don’t need an attorney for this process but a lawyer can provide insight unique to your case, especially if you have little documentation available from the work you provided.\u003c/p>\n\u003cp>Learn more about filing a small claims case in each Bay Area county:\u003c/p>\n\u003cul>\n\u003cli>\u003ca href=\"https://www.alameda.courts.ca.gov/divisions/small-claims\">Filing in Alameda County\u003c/a>\u003c/li>\n\u003cli>\u003ca href=\"https://www.cc-courts.org/small-claims/small-claims.aspx\">Filing in Contra Costa County\u003c/a>\u003c/li>\n\u003cli>\u003ca href=\"https://www.marin.courts.ca.gov/divisions/small-claims\">Filing in Marin County\u003c/a>\u003c/li>\n\u003cli>\u003ca href=\"https://www.napa.courts.ca.gov/divisions/small-claims\">Filing in Napa County\u003c/a>\u003c/li>\n\u003cli>\u003ca href=\"https://sanmateo.courts.ca.gov/divisions/small-claims-division\">Filing in San Mateo County\u003c/a>\u003c/li>\n\u003cli>\u003ca href=\"https://sf.courts.ca.gov/divisions/small-claims\">Filing in San Francisco\u003c/a>\u003c/li>\n\u003cli>\u003ca href=\"https://santaclara.courts.ca.gov/divisions/small-claims-division\">Filing in Santa Clara County\u003c/a>\u003c/li>\n\u003cli>\u003ca href=\"https://solano.courts.ca.gov/divisions/small-claims\">Filing in Solano County\u003c/a>\u003c/li>\n\u003cli>\u003ca href=\"https://sonoma.courts.ca.gov/divisions/small-claims\">Filing in Sonoma County\u003c/a>\u003c/li>\n\u003c/ul>\n\u003cp>Some counties, like Alameda, limit the amount a business can claim ($5,000) and the amount of claims filed per year. If the amount you’re owed exceeds what your county allows for in small claims court, you can consider talking to an attorney to explore other options, like a lawsuit against your client.\u003c/p>\n\u003cp>\u003cstrong>2. Report your client to the California Department of Justice\u003c/strong>\u003c/p>\n\u003cp>According to the office of State Sen. Scott Wiener, the author of SB 988, this new law makes it possible for freelancers to file a complaint directly with California Attorney General Rob Bonta — who can then investigate and initiate civil action proceedings.\u003c/p>\n\u003cp>However, the Attorney General’s Office would most likely step in when the situation involves a large employer that has repeatedly failed to properly pay its clients, Wiener’s office told KQED. \u003ca href=\"https://oag.ca.gov/contact/general-contact-form\">You can reach out to the Attorney General’s Office using an online form.\u003c/a>\u003c/p>\n\u003cp>Keep in mind that as a freelancer, you don’t have the option to file a complaint with other state watchdog agencies, like the Labor Commissioner’s Office, because as a freelancer, you’re not considered an “employee.”\u003c/p>\n\u003cp>Whichever option you choose, this is when you want to have easy access to the paper trail you’ve built with this client, including the contract, any invoices, emails and texts related to the work you’ve provided.\u003c/p>\n\u003cp>[ad floatright]\u003c/p>\n",
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"excerpt": "A new labor law could transform not just how freelancers and their clients negotiate compensation, but also give independent workers more protections if they don’t receive payment on time.",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>It’s an experience that feels familiar for many freelancers in California: chasing after clients once you’ve turned in the work, to make sure you actually get paid for it.\u003c/p>\n\u003cp>But starting on Jan. 1, 2025, \u003ca href=\"https://www.kqed.org/news/11998844/many-freelancers-dont-get-paid-on-time-this-california-bill-aims-to-fix-that\">the Freelance Worker Protection Act — or State Bill 988 — comes into effect in California\u003c/a>, which could transform not just how freelancers and their clients negotiate compensation, but also give independent workers more protections if they don’t receive payment on time.\u003c/p>\n\u003cp>“Lots of companies and clients don’t have the same pressure to pay independent workers and freelancers on time — or at all,” said Meredith Tannor, policy director with the Freelancers Union, a New York-based group that advocates for freelancers nationwide. According to its own surveys, 74% of Freelancers Union members have experienced a client either paying them late or not paying at all.\u003c/p>\n\u003cp>California’s new Freelance Worker Protection Act will require freelancers and their clients to have a contract in place that clearly defines who is doing what work, how much the client will pay for that work — and allows the California Attorney General to investigate clients who repeatedly breach contracts.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>You don’t need to be a California resident for SB 988 to protect you, as the new law includes freelancers who don’t live in California but are working with clients who do. However, if your freelancing business is based somewhere else, say Colorado, for example, and you’re dealing with a client in Montana, SB 988 does not apply in those situations — the client needs to be based in California.\u003c/p>\n\u003cp>Keep reading to learn how to best prepare for the state’s new laws for freelancers and their clients in 2025 and how this law SB 988 could impact you and your business.\u003c/p>\n\u003ch2>Talking to freelance clients about a contract\u003c/h2>\n\u003cp>It might feel unusual asking clients to sign a contract, especially if you’ve worked with them for a while.\u003c/p>\n\u003cp>But starting Jan. 1, California law will require freelancers and clients to establish some sort of contract that clearly establishes what work is being done and when it will be compensated. Contracts won’t be required in every situation: only if you’re offering professional service equal to or greater than $250. If you’re charging a client a lesser amount than that — let’s say for a single photo headshot — there’s no need to draft up a contract.\u003c/p>\n\u003cp>Your contract doesn’t need to be super complicated, either. According to \u003ca href=\"https://leginfo.legislature.ca.gov/faces/billNavClient.xhtml?bill_id=202320240SB988\">the text of SB 988,\u003c/a> a contract needs to include four things:\u003c/p>\n\u003cul>\n\u003cli>The name and mailing address of both the freelancer and the client.\u003c/li>\n\u003cli>An itemized list of all services provided by the freelancer, including the value of those services and how the client will make payment.\u003c/li>\n\u003cli>The date when the client will pay the freelancer.\u003c/li>\n\u003cli>The date when the freelance worker will submit a list of all the services they provided the client (e.g., an invoice).\u003c/li>\n\u003c/ul>\n\u003cp>“Freelancers should always have a contract,” said Tannor of the Freelancers Union, adding that having a contract isn’t just required by law — it also helps protect the freelancer’s labor and time. The Freelancers Union even has \u003ca href=\"https://freelancersunion.org/contract/\">an online tool where you can easily create a contract\u003c/a> that includes all the information required by SB 988.\u003c/p>\n\u003cp>Another option for a contract could be agreeing on the terms with your client over text message or email, but Tannor stresses that having an actual contract document — that both parties keep — can avoid any confusion in the future.\u003c/p>\n\u003cp>“At least in the beginning, a lot of people won’t know that this is the law,” she said — so Tannor recommends you raise SB 988 with your client first. For example, “you could say that you saw that this new law got passed, and that you want to make sure you’re dotting your I’s and crossing your T’s,” she said.\u003c/p>\n\u003cp>Once you have a contract signed by both your client and yourself, your client can still make additional requests from you — but make sure you document these new requests and how much more you will charge. “Make sure to keep records of all communication,” Tannor said. “If you’re taking a lot of Zoom meetings with the client, just reiterate what was stated over the call in an email to the client after.”\u003c/p>\n\u003ch2>Making sure your client pays you\u003c/h2>\n\u003cp>SB 988 requires that your client pays you the full agreed amount on the date you’ve both established on the contract. And if for whatever reason you and your client did not agree on a date while writing a contract, the law requires that you get paid no later than 30 days after completing your services.\u003c/p>\n\u003cp>But what if pay day comes and goes, and your client has still not paid you? You have two options:\u003c/p>\n\u003cp>\u003cstrong>1. Take your client to small claims or civil court\u003c/strong>\u003c/p>\n\u003cp>In small claims or civil court, you can demand up to double what your client owes you. To file a case, you’ll have to do so with your county courthouse. You don’t need an attorney for this process but a lawyer can provide insight unique to your case, especially if you have little documentation available from the work you provided.\u003c/p>\n\u003cp>Learn more about filing a small claims case in each Bay Area county:\u003c/p>\n\u003cul>\n\u003cli>\u003ca href=\"https://www.alameda.courts.ca.gov/divisions/small-claims\">Filing in Alameda County\u003c/a>\u003c/li>\n\u003cli>\u003ca href=\"https://www.cc-courts.org/small-claims/small-claims.aspx\">Filing in Contra Costa County\u003c/a>\u003c/li>\n\u003cli>\u003ca href=\"https://www.marin.courts.ca.gov/divisions/small-claims\">Filing in Marin County\u003c/a>\u003c/li>\n\u003cli>\u003ca href=\"https://www.napa.courts.ca.gov/divisions/small-claims\">Filing in Napa County\u003c/a>\u003c/li>\n\u003cli>\u003ca href=\"https://sanmateo.courts.ca.gov/divisions/small-claims-division\">Filing in San Mateo County\u003c/a>\u003c/li>\n\u003cli>\u003ca href=\"https://sf.courts.ca.gov/divisions/small-claims\">Filing in San Francisco\u003c/a>\u003c/li>\n\u003cli>\u003ca href=\"https://santaclara.courts.ca.gov/divisions/small-claims-division\">Filing in Santa Clara County\u003c/a>\u003c/li>\n\u003cli>\u003ca href=\"https://solano.courts.ca.gov/divisions/small-claims\">Filing in Solano County\u003c/a>\u003c/li>\n\u003cli>\u003ca href=\"https://sonoma.courts.ca.gov/divisions/small-claims\">Filing in Sonoma County\u003c/a>\u003c/li>\n\u003c/ul>\n\u003cp>Some counties, like Alameda, limit the amount a business can claim ($5,000) and the amount of claims filed per year. If the amount you’re owed exceeds what your county allows for in small claims court, you can consider talking to an attorney to explore other options, like a lawsuit against your client.\u003c/p>\n\u003cp>\u003cstrong>2. Report your client to the California Department of Justice\u003c/strong>\u003c/p>\n\u003cp>According to the office of State Sen. Scott Wiener, the author of SB 988, this new law makes it possible for freelancers to file a complaint directly with California Attorney General Rob Bonta — who can then investigate and initiate civil action proceedings.\u003c/p>\n\u003cp>However, the Attorney General’s Office would most likely step in when the situation involves a large employer that has repeatedly failed to properly pay its clients, Wiener’s office told KQED. \u003ca href=\"https://oag.ca.gov/contact/general-contact-form\">You can reach out to the Attorney General’s Office using an online form.\u003c/a>\u003c/p>\n\u003cp>Keep in mind that as a freelancer, you don’t have the option to file a complaint with other state watchdog agencies, like the Labor Commissioner’s Office, because as a freelancer, you’re not considered an “employee.”\u003c/p>\n\u003cp>Whichever option you choose, this is when you want to have easy access to the paper trail you’ve built with this client, including the contract, any invoices, emails and texts related to the work you’ve provided.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"slug": "avian-flu-what-to-know-about-h5n1-virus-risks-beyond-the-headlines",
"title": "Bird Flu: As California Declares State of Emergency, What to Know About Your H5N1 Virus Risks",
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"headTitle": "Bird Flu: As California Declares State of Emergency, What to Know About Your H5N1 Virus Risks | KQED",
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"content": "\u003cp>California state officials officials \u003ca href=\"https://www.kqed.org/news/12018836/newsom-declares-bird-flu-emergency-california-us-confirms-1st-severe-case\">have declared a state of emergency across the state in response to the ongoing bird flu outbreak\u003c/a>.\u003c/p>\n\u003cp>On Dec. 18, Gov. Gavin Newsom confirmed that 34 human bird flu cases have been detected in California and pointed to recent cases detected in dairy cows in Southern California as reason to expand monitoring of the virus.\u003c/p>\n\u003cp>Newsom’s announcement comes on the same day the Centers for Disease Control and Prevention reported \u003ca href=\"https://apnews.com/article/bird-flu-severe-louisiana-2b4a5f55a05cf8be9b169c15e8b9582d\">the country’s first case of severe illness in a person with bird flu living in Louisiana.\u003c/a>\u003c/p>\n\u003cp>A human infection was previously detected in the Bay Area in November, \u003ca href=\"https://www.kqed.org/news/12014955/bay-area-potential-first-bird-flu-case-reported-alameda-county-child\">in a child in Alameda County\u003c/a>.\u003c/p>\n\u003cp>Since April 2024, \u003ca href=\"https://www.cdc.gov/bird-flu/situation-summary/index.html\">the Centers for Disease Control and Prevention (CDC) has confirmed 61 bird flu infections among humans nationwide.\u003c/a>\u003c/p>\n\u003ch2>\u003ca id=\"bayareah5n1outbreak\">\u003c/a>\u003cstrong>What does it mean that California declared a state of emergency over the bird flu outbreak?\u003c/strong>\u003c/h2>\n\u003cp>According to the California Government Code, the governor can declare a state of emergency when the state, or part of it, is \u003ca href=\"https://www.caloes.ca.gov/office-of-the-director/operations/recovery-directorate/proclamation-process/#:~:text=Pursuant%20to%20California%20Government%20Code%20Section%208625%2C%20the%20Governor%20may,to%20cope%20with%20the%20emergency.\">“affected by a natural or manmade disaster”\u003c/a> and \u003ca href=\"https://www.caloes.ca.gov/office-of-the-director/operations/recovery-directorate/proclamation-process/#:~:text=Pursuant%20to%20California%20Government%20Code%20Section%208625%2C%20the%20Governor%20may,to%20cope%20with%20the%20emergency.\">“emergency conditions require the combined forces of a mutual aid region or regions to combat.”\u003c/a>\u003c/p>\n\u003cp>In this way, declaring a State of Emergency allows California to free up resources and change or suspend laws to focus on a public health issue, or damage caused by earthquakes or fires.\u003c/p>\n\u003cp>The state of emergency \u003ca href=\"https://www.kqed.org/news/11929285/newsom-to-end-californias-covid-state-of-emergency-in-february\">declared in March 2020 for COVID-19\u003c/a> lasted for almost three years. In that timespan, Newsom was able to dispense hundreds of orders of varying sizes related to the pandemic, ranging from stay-at-home measures to delaying the tax filing deadline.\u003c/p>\n\u003cp>For context, \u003ca href=\"https://www.caloes.ca.gov/office-of-the-director/policy-administration/legal-affairs/emergency-proclamations/\">there are currently over 50 open State of Emergency proclamations in California\u003c/a> — some statewide and some restricted to counties.\u003c/p>\n\u003cp>Health officials say that no person-to-person spread of bird flu has been detected in California, and that the risk of infection for the general public remains low. But almost five years after the start of the COVID-19 pandemic, these alarming headlines can be alarming to read.\u003c/p>\n\u003cp>The public health experts KQED has spoken throughout the bird flu outbreak affirm that having accurate information about a virus is one way we can all better protect ourselves against future potential threats. “H5N1 is really a metaphor for lots of emerging threats in the future where we need to use the lessons we’ve learned during COVID and apply them again,” said Peter Chin-Hong, infectious disease physician at UC San Francisco. “We are being vigilant but not afraid.”\u003c/p>\n\u003cp>Keep reading for the latest on what researchers know about H5N1 — and how you can think realistically about the risks. Or jump straight to:\u003c/p>\n\u003cul>\n\u003cli>\u003cstrong>\u003ca href=\"#avianflu\">What is bird flu?\u003c/a>\u003c/strong>\u003c/li>\n\u003cli>\u003cstrong>\u003ca href=\"#canitinfecthumans\">If H5N1 is spreading among cattle, how easily can it infect humans?\u003c/a>\u003c/strong>\u003c/li>\n\u003cli>\u003cstrong>\u003ca href=\"#whatarethesymptoms\">How dangerous is H5N1 for humans? What are the symptoms?\u003c/a>\u003c/strong>\u003c/li>\n\u003cli>\u003cstrong>\u003ca href=\"#anotherpandemic\">Is this another COVID-style pandemic?\u003c/a>\u003c/strong>\u003c/li>\n\u003cli>\u003cstrong>\u003ca href=\"#whatcanidonow\">Is there anything I should be doing now to lower my risks?\u003c/a>\u003c/strong>\u003c/li>\n\u003c/ul>\n\u003ch2>\u003ca id=\"avianflu\">\u003c/a>What is bird flu?\u003c/h2>\n\u003cp>Bird flu, or avian flu, has existed among different bird species for centuries and is caused by the influenza A virus. Most of the time, the influenza A virus sticks to birds, but some strains can jump to other species. The seasonal flu we see each year, for example, is caused by the influenza A virus strain, while another strain of that same virus type \u003ca href=\"https://www.npr.org/sections/health-shots/2013/11/26/247379604/2009-flu-pandemic-was-10-times-more-deadly-than-previously-thought#:~:text=2009%20Flu%20Pandemic%20Was%2010%20Times%20More%20Deadly%20Than%20Previously%20Thought,-November%2026%2C%202013&text=By%20the%20World%20Health%20Organization's,the%20so%2Dcalled%20swine%20flu.\">caused the 2009 swine flu pandemic that cost tens of thousands of lives around the world\u003c/a>.\u003c/p>\n\u003cp>Since 2023, a strain of the influenza A virus, H5N1, has mutated enough to infect a wide variety of mammals, including \u003ca href=\"https://pubmed.ncbi.nlm.nih.gov/37535475/#:~:text=Abstract,been%20confirmed%20on%2020%20farms.\">foxes in Finland\u003c/a>, \u003ca href=\"https://wwwnc.cdc.gov/eid/article/29/12/23-0192_article\">sea lions in Peru,\u003c/a> and, most recently, \u003ca href=\"https://www.kqed.org/science/1992816/californians-urged-to-avoid-raw-milk-amid-bird-flu-outbreak-on-dairy-farms\">dairy cows in the U.S\u003c/a>.[aside postID=news_11989505 hero='https://cdn.kqed.org/wp-content/uploads/sites/10/2024/06/GettyImages-992012812-copy-1020x680.jpg']The number of infected cattle herds across the country continues to grow. Since March, the Department of Agriculture (USDA) has confirmed more than \u003ca href=\"https://www.cdc.gov/bird-flu/spotlights/h5n1-response-11152024.html\">800 infections among dairy herds\u003c/a> across 16 U.S. states, the majority in California.\u003c/p>\n\u003cp>But the USDA does not require cattle ranchers to test their herds for H5N1, researchers do not even have a complete picture of how far H5N1 may have spread among American cattle.\u003c/p>\n\u003cp>“The concern about H5N1 has always been there,” said Dr. Jennifer Nuzzo, professor of epidemiology and director of the Pandemic Center at the Brown University School of Public Health. “But in the last couple of years, [the virus] started doing things that have been a bit unusual.”\u003c/p>\n\u003cp>“We’ve seen this virus start to infect mammals and a wide range of mammals,” she said, pointing at the different outbreaks throughout the world. “That’s a concern because humans are mammals, and so mammals are more like us than birds are.”\u003c/p>\n\u003cp>What makes this recent outbreak the most concerning for Nuzzo is that the virus is now capable of infecting cows. “Cows are mammals that humans have a lot more contact with than all the other mammals that we’ve seen get infected,” she said.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003ch2>\u003ca id=\"canitinfecthumans\">\u003c/a>So, if H5N1 spreads among cattle, how easily can it infect humans?\u003c/h2>\n\u003cp>H5N1 \u003ca href=\"https://www.cdc.gov/bird-flu/spotlights/h5n1-analysis-texas.html\">has not yet evolved to effectively spread between humans\u003c/a>, researchers told KQED.\u003c/p>\n\u003cp>At the moment, the vast majority of the confirmed cases among humans were most likely caused by these individuals having previous exposure to an either infected cow or chicken.\u003c/p>\n\u003cp>But if the virus can jump from cow to human, it still needs to evolve a lot more for it to move from human to human. “Certain mutations are necessary for that to happen,” Dr. Abraar Karan, who studies infectious diseases at Stanford University, told KQED in July. Some of those mutations would allow for “the virus remains stable in the air and that it becomes more efficient at infecting certain types of receptors in human lungs.”\u003c/p>\n\u003cfigure id=\"attachment_11990744\" class=\"wp-caption aligncenter\" style=\"max-width: 1920px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-11990744\" src=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2024/06/GettyImages-2153339140.jpg\" alt=\"\" width=\"1920\" height=\"1280\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2024/06/GettyImages-2153339140.jpg 1920w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/06/GettyImages-2153339140-800x533.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/06/GettyImages-2153339140-1020x680.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/06/GettyImages-2153339140-160x107.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/06/GettyImages-2153339140-1536x1024.jpg 1536w\" sizes=\"auto, (max-width: 1920px) 100vw, 1920px\">\u003cfigcaption class=\"wp-caption-text\">Jon Arizti Sanz, PhD, Postdoctoral Fellow, is preparing for the extraction protocol while in the lab. The Broad Institute, Sabeti Lab, is testing purchased milk at area grocery stores for the presence of bird flu. \u003ccite>(David L. Ryan/The Boston Globe via Getty Images)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>Soon after public health officials announced that they were investigating two new H5N1 cases in California, Karan told KQED that if the virus continues to circulate in farms, that raises the risk of what he refers to as “viral reassortment.”\u003c/p>\n\u003cp>Viral reassortment can happen when a human host gets infected with multiple different strains of the virus at once, such as H5N1 and the seasonal flu virus, which are common among humans. “That allows for those strains to exchange genetic material and potentially become more deadly, more transmissible,” Karan explained. “It’s hard to predict what could occur.”\u003c/p>\n\u003cp>It’s also very complicated for researchers to understand the full extent of the H5N1 virus in the cattle industry. Ranchers aren’t required to test their herds for H5N1, which means experts don’t know how many cows have been exposed to the virus — and consequently, how many humans could now be interacting with infected cattle.\u003c/p>\n\u003cp>“We haven’t really contained the virus within dairy cows yet,” UCSF’s Chin-Hong said. “And the more it continues in the dairy cows, the more it’s going to probably result in contact with dairy workers.”\u003c/p>\n\u003cp>Even before the first confirmed human case of H5N1 back in April, the research community pushed federal officials to prioritize the H5N1 outbreak among cattle, specifically to make testing more accessible. On May 30, the USDA announced that it would transfer $824 million from other existing initiatives \u003ca href=\"https://www.usda.gov/media/press-releases/2024/05/30/usda-announces-824-million-new-funding-protect-livestock-health\">in order to launch the Voluntary H5N1 Dairy Herd Status Pilot Program\u003c/a>.\u003c/p>\n\u003ch2>\u003ca id=\"whatarethesymptoms\">\u003c/a>How dangerous is H5N1 for humans? What are the symptoms?\u003c/h2>\n\u003cp>On Dec. 18, the CDC announced the country’s first case of severe bird flu in Louisiana, in a person who was hospitalized after contracting the virus by being exposed to sick and dead birds from a backyard flock.\u003c/p>\n\u003cp>Maurice Pitesky, a professor at UC Davis’ School of Veterinary Medicine, said there are ways to keep yourself and your animals safe.\u003c/p>\n\u003cp>“Washing your hands. Having dedicated clothing and boots that only get used in our backyard coop and don’t get dragged inside,” Pitesky said. “ Because that’s one of the ways, for example, we can transmit other diseases like salmonella.”\u003c/p>\n\u003cp>In the CDC’s monitoring of three Texas farmworkers infected with bird flu earlier this year, two patients \u003ca href=\"https://www.cdc.gov/media/releases/2024/p0401-avian-flu.html\">reported eye redness as their only symptoms, \u003c/a>but \u003ca href=\"https://www.unmc.edu/healthsecurity/transmission/2024/06/04/the-3rd-human-case-of-bird-flu-in-the-us-has-2-new-and-troubling-symptoms/#:~:text=The%20H5N1%20bird%2Dflu%20virus,now%20through%20US%20cattle%20herds.\">the third case reported new symptoms\u003c/a>: a sore throat and a cough.[aside postID=science_1992816 hero='https://cdn.kqed.org/wp-content/uploads/sites/35/2024/05/240513-RAWMILK-01-BL-KQED-1020x680.jpg']\u003c/p>\n\u003cp>According to the CDC, \u003ca href=\"https://www.cdc.gov/bird-flu/virus-transmission/avian-in-humans.html#cdc_causes_how_it_spreads-signs-and-symptoms\">signs and symptoms of bird flu\u003c/a> have previously included not just conjunctivitis but mild flu-like upper respiratory symptoms, pneumonia requiring hospitalization, fever, cough, sore throat, runny or stuffy nose, muscle or body aches, headaches and fatigue.\u003c/p>\n\u003cp>In April, the CDC\u003ca href=\"https://www.cdc.gov/mmwr/volumes/73/wr/mm7321e1.htm#:~:text=From%201997%20through%20late%20April,including%20seven%20deaths%2C%20since%202022.\"> confirmed over 900 H5N1 human infections worldwide since 1997\u003c/a>. 52% of those total cases have been fatal, confirming that H5N1 indeed has the potential to be very dangerous to humans.\u003c/p>\n\u003cp>However, there’s an important context to this. For one thing, this number is a global total spanning a time period of over 25 years. Outbreaks have been scattered throughout the world, and \u003ca href=\"https://www.npr.org/sections/goats-and-soda/2024/06/12/g-s1-4091/avian-flu-cows-chickens-thailand-biosecurity\">health officials have quickly monitored infected individuals to reduce community spread as much as possible\u003c/a>.\u003c/p>\n\u003cp>It’s also very important to remember that, according to researchers, the avian flu virus cannot currently spread from human to human. Only people who work in very close proximity to infected animals, like cows or chickens, run some risk.\u003c/p>\n\u003cp>“If you’re a farmworker,” Karan said, “and you’re feeling symptoms — or feel like you may have the flu — it’s important that you let your doctor or healthcare provider know, ‘Hey, I work pretty closely with animals.’”\u003c/p>\n\u003ch2>\u003ca id=\"anotherpandemic\">\u003c/a>What do officials say at this stage? Could we be looking at another COVID-style pandemic?\u003c/h2>\n\u003cp>The CDC said that the risk of H5N1 to the general public “remains low.”\u003c/p>\n\u003cp>To understand the risk of H5N1, researchers are working to understand the molecular structure of the virus, the way it moves in the air and how human cells respond to exposure. A big part of this work is looking at the genetic information of the virus.[aside label=\"More Health Stories\" tag=\"cdc\"]In April, the CDC \u003ca href=\"https://www.cdc.gov/bird-flu/spotlights/h5n1-analysis-texas.html\">sequenced the genome of the H5N1 virus found in a dairy worker infected in Texas\u003c/a>. Researchers identified some mutations in the virus but not the necessary mutations that would give the virus the tools to jump from one human to another.\u003c/p>\n\u003cp>Researchers point out that the overwhelming majority of H5N1 cases in the past two decades show humans caught the virus from animals, not other humans.\u003c/p>\n\u003cp>“The thing that we’re most worried about right now is the people who work on dairy farms may be exposed to this virus in the course of doing their jobs,” Nuzzo said.\u003c/p>\n\u003cp>“The challenge in understanding what’s going on right now is that we don’t have very good surveillance on cows,” she said, and “we also don’t have great surveillance on the farms of the people who work there.” She attributed this in part to the fact that “there’s a lot of disincentives for having health officials show up and try to test workers on these farms, [who are] somewhat of a disenfranchised group.”\u003c/p>\n\u003ch2>I heard that someone in Alameda County was infected with bird flu and that the virus has been detected in local wastewater. Does that mean there’s an H5N1 outbreak in the Bay Area?\u003c/h2>\n\u003cp>The short answer: \u003ca href=\"https://www.kqed.org/news/11988972/bay-area-researchers-tracking-bird-flu-in-wastewater-see-no-evidence-of-spread-in-sf\">No, there is no H5N1 outbreak in the Bay Area.\u003c/a>\u003c/p>\n\u003cp>In November, \u003ca href=\"https://www.kqed.org/news/12014955/bay-area-potential-first-bird-flu-case-reported-alameda-county-child\">a child in Alameda County was diagnosed with bird flu\u003c/a> with researchers unable to identify how the child was exposed to the virus. That case, which resulted in mild respiratory symptoms, did not spread inside the family or at school. This is the only human bird flu case confirmed in the Bay Area.\u003c/p>\n\u003cp>In order to measure the levels of certain viruses, like COVID-19, among the population, \u003ca href=\"https://www.kqed.org/news/11987343/covid-bay-area-wastewater-variant-symptoms-isolation-guidance\">researchers regularly test the region’s wastewater\u003c/a>. Since the start of the coronavirus pandemic, high levels of COVID-19 in Bay Area wastewater usually match up with spikes of COVID-19 infections.\u003c/p>\n\u003cp>At the end of May, \u003ca href=\"https://www.kqed.org/news/11988972/bay-area-researchers-tracking-bird-flu-in-wastewater-see-no-evidence-of-spread-in-sf\">researchers did indeed detect the H5N1 virus in San Francisco wastewater\u003c/a>, which set off alarms across social media. And while it makes sense why a headline like that can cause panic, digging deeper into the data shows a different story.[aside postID=news_11988972 hero='https://cdn.kqed.org/wp-content/uploads/sites/10/2023/12/GettyImages-1408473939-1020x680.jpg']San Francisco is one of few hundred cities in the country with a combined sewer system, which means stormwater and sewage flow through the same pipes. When researchers collect wastewater samples, that includes water coming from bathrooms, but it also comes mixed with used water from other parts of the city, including businesses and storm drains.\u003c/p>\n\u003cp>The timing of H5N1 in the wastewater matched up with two cases of H5N1 among chickens at a live animal market—sometimes referred to as a wet market—in San Francisco. The infected chickens, which were identified by California food safety regulators and showed no symptoms at the time of testing, were removed from the market. Public health officials have also monitored the market workers who were in contact with the chickens.\u003c/p>\n\u003cp>San Francisco’s health department does not believe that any of the wastewater hits for bird flu are related to human infection. “No one really thinks at this point that the detections are due to human cases of H5N1,” said Dr. George Han, director of the San Francisco Department of Public Health’s communicable disease prevention and control program.\u003c/p>\n\u003cp>If you go to a live market, will you be exposed to H5N1? The experts KQED spoke to said no. “Surveillance of poultry has been going on for a long time, even before this,” Karan said.\u003c/p>\n\u003cp>But he nonetheless recommends that if folks can avoid direct contact with poultry in these settings, they should. “But if you’re going to be near these kinds of birds or near their feces or any kind of secretions they may have,” he said, “wear masks, eye protection and wash your hands.”\u003c/p>\n\u003ch2>\u003ca id=\"whatcanidonow\">\u003c/a>Is there anything I should practically be doing right now to lower my risks?\u003c/h2>\n\u003cp>Most of the recommendations from the CDC are still just for people who work closely with animals that are vulnerable to H5N1 infections, like cows and chickens. This includes recommending people wear personal protective equipment (PPE) when interacting with infected — or potentially infected — animals.\u003c/p>\n\u003cp>However, some early recommendations for the overall population include avoiding interacting with sick or dead animals you may find, like wild birds and chickens. One big recommendation from the CDC: That folks avoid consuming “raw milk,” or milk that has not been pasteurized.[aside postID=news_11986062 hero='https://cdn.kqed.org/wp-content/uploads/sites/10/2024/05/AP24134604431971-1020x680.jpg']Most milk sold in the U.S. is pasteurized, which means that during production, this milk was briefly heated to a certain temperature in order to kill harmful germs that may be present. In April, the FDA reported that \u003ca href=\"https://www.kqed.org/news/11986062/bird-flu-hits-us-dairy-cows-raw-milk-drinkers-arent-deterred\">1 in 5 pasteurized milk products nationwide tested positive for the H5N1 virus\u003c/a> — but since the pasteurization process kills the virus, any H5N1 found was already dead.\u003c/p>\n\u003cp>\u003ca href=\"https://www.kqed.org/news/12017517/california-investigates-possible-marin-county-bird-flu-case-amid-raw-milk-recalls\">California has issued numerous recalls of raw milk due to bird flu contamination in recent weeks\u003c/a>. And while there aren’t any confirmed cases of humans getting sick with H5N1 after drinking raw milk, pasteurizing milk still remains a best practice in the industry to ensure the safety of dairy products and kill not just the H5N1 virus but many other viruses and bacteria that can spread through cow milk and make humans sick.\u003c/p>\n\u003cp>In California, it is legal to sell raw milk, and data shows that \u003ca href=\"https://www.kqed.org/science/1992816/californians-urged-to-avoid-raw-milk-amid-bird-flu-outbreak-on-dairy-farms\">demand for this product has continued to grow\u003c/a>, even after the CDC’s recommendations. “Everybody in California loves farm-to-table and natural foods,” Chin-Hong said, but he adds that if folks are thinking of consuming raw milk, they should also assess the real risks that come with doing so — especially now, as the U.S. watches for any spread of H5N1.\u003c/p>\n\u003cp>“Is the juice worth the squeeze?” he asked, “If you are very old or very young, particularly babies under six months or those who are older, that risk might be too high at this moment.”\u003c/p>\n\u003cp>\u003cem>This story contains reporting by KQED’s Carlos Cabrera-Lomelí, Carly Severn, Nisa Khan, Keith Mizuguchi and Jared Servantez, and was originally published on June 18.\u003c/em>\u003c/p>\n\u003cp>[ad floatright]\u003c/p>\n",
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"excerpt": "In 2024, bird flu mutated enough to cause infections among cattle. With dozens of human cases so far in California, and a state of emergency declared, here's how to think about your risks.",
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"title": "Bird Flu: As California Declares State of Emergency, What to Know About Your H5N1 Virus Risks | KQED",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>California state officials officials \u003ca href=\"https://www.kqed.org/news/12018836/newsom-declares-bird-flu-emergency-california-us-confirms-1st-severe-case\">have declared a state of emergency across the state in response to the ongoing bird flu outbreak\u003c/a>.\u003c/p>\n\u003cp>On Dec. 18, Gov. Gavin Newsom confirmed that 34 human bird flu cases have been detected in California and pointed to recent cases detected in dairy cows in Southern California as reason to expand monitoring of the virus.\u003c/p>\n\u003cp>Newsom’s announcement comes on the same day the Centers for Disease Control and Prevention reported \u003ca href=\"https://apnews.com/article/bird-flu-severe-louisiana-2b4a5f55a05cf8be9b169c15e8b9582d\">the country’s first case of severe illness in a person with bird flu living in Louisiana.\u003c/a>\u003c/p>\n\u003cp>A human infection was previously detected in the Bay Area in November, \u003ca href=\"https://www.kqed.org/news/12014955/bay-area-potential-first-bird-flu-case-reported-alameda-county-child\">in a child in Alameda County\u003c/a>.\u003c/p>\n\u003cp>Since April 2024, \u003ca href=\"https://www.cdc.gov/bird-flu/situation-summary/index.html\">the Centers for Disease Control and Prevention (CDC) has confirmed 61 bird flu infections among humans nationwide.\u003c/a>\u003c/p>\n\u003ch2>\u003ca id=\"bayareah5n1outbreak\">\u003c/a>\u003cstrong>What does it mean that California declared a state of emergency over the bird flu outbreak?\u003c/strong>\u003c/h2>\n\u003cp>According to the California Government Code, the governor can declare a state of emergency when the state, or part of it, is \u003ca href=\"https://www.caloes.ca.gov/office-of-the-director/operations/recovery-directorate/proclamation-process/#:~:text=Pursuant%20to%20California%20Government%20Code%20Section%208625%2C%20the%20Governor%20may,to%20cope%20with%20the%20emergency.\">“affected by a natural or manmade disaster”\u003c/a> and \u003ca href=\"https://www.caloes.ca.gov/office-of-the-director/operations/recovery-directorate/proclamation-process/#:~:text=Pursuant%20to%20California%20Government%20Code%20Section%208625%2C%20the%20Governor%20may,to%20cope%20with%20the%20emergency.\">“emergency conditions require the combined forces of a mutual aid region or regions to combat.”\u003c/a>\u003c/p>\n\u003cp>In this way, declaring a State of Emergency allows California to free up resources and change or suspend laws to focus on a public health issue, or damage caused by earthquakes or fires.\u003c/p>\n\u003cp>The state of emergency \u003ca href=\"https://www.kqed.org/news/11929285/newsom-to-end-californias-covid-state-of-emergency-in-february\">declared in March 2020 for COVID-19\u003c/a> lasted for almost three years. In that timespan, Newsom was able to dispense hundreds of orders of varying sizes related to the pandemic, ranging from stay-at-home measures to delaying the tax filing deadline.\u003c/p>\n\u003cp>For context, \u003ca href=\"https://www.caloes.ca.gov/office-of-the-director/policy-administration/legal-affairs/emergency-proclamations/\">there are currently over 50 open State of Emergency proclamations in California\u003c/a> — some statewide and some restricted to counties.\u003c/p>\n\u003cp>Health officials say that no person-to-person spread of bird flu has been detected in California, and that the risk of infection for the general public remains low. But almost five years after the start of the COVID-19 pandemic, these alarming headlines can be alarming to read.\u003c/p>\n\u003cp>The public health experts KQED has spoken throughout the bird flu outbreak affirm that having accurate information about a virus is one way we can all better protect ourselves against future potential threats. “H5N1 is really a metaphor for lots of emerging threats in the future where we need to use the lessons we’ve learned during COVID and apply them again,” said Peter Chin-Hong, infectious disease physician at UC San Francisco. “We are being vigilant but not afraid.”\u003c/p>\n\u003cp>Keep reading for the latest on what researchers know about H5N1 — and how you can think realistically about the risks. Or jump straight to:\u003c/p>\n\u003cul>\n\u003cli>\u003cstrong>\u003ca href=\"#avianflu\">What is bird flu?\u003c/a>\u003c/strong>\u003c/li>\n\u003cli>\u003cstrong>\u003ca href=\"#canitinfecthumans\">If H5N1 is spreading among cattle, how easily can it infect humans?\u003c/a>\u003c/strong>\u003c/li>\n\u003cli>\u003cstrong>\u003ca href=\"#whatarethesymptoms\">How dangerous is H5N1 for humans? What are the symptoms?\u003c/a>\u003c/strong>\u003c/li>\n\u003cli>\u003cstrong>\u003ca href=\"#anotherpandemic\">Is this another COVID-style pandemic?\u003c/a>\u003c/strong>\u003c/li>\n\u003cli>\u003cstrong>\u003ca href=\"#whatcanidonow\">Is there anything I should be doing now to lower my risks?\u003c/a>\u003c/strong>\u003c/li>\n\u003c/ul>\n\u003ch2>\u003ca id=\"avianflu\">\u003c/a>What is bird flu?\u003c/h2>\n\u003cp>Bird flu, or avian flu, has existed among different bird species for centuries and is caused by the influenza A virus. Most of the time, the influenza A virus sticks to birds, but some strains can jump to other species. The seasonal flu we see each year, for example, is caused by the influenza A virus strain, while another strain of that same virus type \u003ca href=\"https://www.npr.org/sections/health-shots/2013/11/26/247379604/2009-flu-pandemic-was-10-times-more-deadly-than-previously-thought#:~:text=2009%20Flu%20Pandemic%20Was%2010%20Times%20More%20Deadly%20Than%20Previously%20Thought,-November%2026%2C%202013&text=By%20the%20World%20Health%20Organization's,the%20so%2Dcalled%20swine%20flu.\">caused the 2009 swine flu pandemic that cost tens of thousands of lives around the world\u003c/a>.\u003c/p>\n\u003cp>Since 2023, a strain of the influenza A virus, H5N1, has mutated enough to infect a wide variety of mammals, including \u003ca href=\"https://pubmed.ncbi.nlm.nih.gov/37535475/#:~:text=Abstract,been%20confirmed%20on%2020%20farms.\">foxes in Finland\u003c/a>, \u003ca href=\"https://wwwnc.cdc.gov/eid/article/29/12/23-0192_article\">sea lions in Peru,\u003c/a> and, most recently, \u003ca href=\"https://www.kqed.org/science/1992816/californians-urged-to-avoid-raw-milk-amid-bird-flu-outbreak-on-dairy-farms\">dairy cows in the U.S\u003c/a>.\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>The number of infected cattle herds across the country continues to grow. Since March, the Department of Agriculture (USDA) has confirmed more than \u003ca href=\"https://www.cdc.gov/bird-flu/spotlights/h5n1-response-11152024.html\">800 infections among dairy herds\u003c/a> across 16 U.S. states, the majority in California.\u003c/p>\n\u003cp>But the USDA does not require cattle ranchers to test their herds for H5N1, researchers do not even have a complete picture of how far H5N1 may have spread among American cattle.\u003c/p>\n\u003cp>“The concern about H5N1 has always been there,” said Dr. Jennifer Nuzzo, professor of epidemiology and director of the Pandemic Center at the Brown University School of Public Health. “But in the last couple of years, [the virus] started doing things that have been a bit unusual.”\u003c/p>\n\u003cp>“We’ve seen this virus start to infect mammals and a wide range of mammals,” she said, pointing at the different outbreaks throughout the world. “That’s a concern because humans are mammals, and so mammals are more like us than birds are.”\u003c/p>\n\u003cp>What makes this recent outbreak the most concerning for Nuzzo is that the virus is now capable of infecting cows. “Cows are mammals that humans have a lot more contact with than all the other mammals that we’ve seen get infected,” she said.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003ch2>\u003ca id=\"canitinfecthumans\">\u003c/a>So, if H5N1 spreads among cattle, how easily can it infect humans?\u003c/h2>\n\u003cp>H5N1 \u003ca href=\"https://www.cdc.gov/bird-flu/spotlights/h5n1-analysis-texas.html\">has not yet evolved to effectively spread between humans\u003c/a>, researchers told KQED.\u003c/p>\n\u003cp>At the moment, the vast majority of the confirmed cases among humans were most likely caused by these individuals having previous exposure to an either infected cow or chicken.\u003c/p>\n\u003cp>But if the virus can jump from cow to human, it still needs to evolve a lot more for it to move from human to human. “Certain mutations are necessary for that to happen,” Dr. Abraar Karan, who studies infectious diseases at Stanford University, told KQED in July. Some of those mutations would allow for “the virus remains stable in the air and that it becomes more efficient at infecting certain types of receptors in human lungs.”\u003c/p>\n\u003cfigure id=\"attachment_11990744\" class=\"wp-caption aligncenter\" style=\"max-width: 1920px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-11990744\" src=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2024/06/GettyImages-2153339140.jpg\" alt=\"\" width=\"1920\" height=\"1280\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2024/06/GettyImages-2153339140.jpg 1920w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/06/GettyImages-2153339140-800x533.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/06/GettyImages-2153339140-1020x680.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/06/GettyImages-2153339140-160x107.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/06/GettyImages-2153339140-1536x1024.jpg 1536w\" sizes=\"auto, (max-width: 1920px) 100vw, 1920px\">\u003cfigcaption class=\"wp-caption-text\">Jon Arizti Sanz, PhD, Postdoctoral Fellow, is preparing for the extraction protocol while in the lab. The Broad Institute, Sabeti Lab, is testing purchased milk at area grocery stores for the presence of bird flu. \u003ccite>(David L. Ryan/The Boston Globe via Getty Images)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>Soon after public health officials announced that they were investigating two new H5N1 cases in California, Karan told KQED that if the virus continues to circulate in farms, that raises the risk of what he refers to as “viral reassortment.”\u003c/p>\n\u003cp>Viral reassortment can happen when a human host gets infected with multiple different strains of the virus at once, such as H5N1 and the seasonal flu virus, which are common among humans. “That allows for those strains to exchange genetic material and potentially become more deadly, more transmissible,” Karan explained. “It’s hard to predict what could occur.”\u003c/p>\n\u003cp>It’s also very complicated for researchers to understand the full extent of the H5N1 virus in the cattle industry. Ranchers aren’t required to test their herds for H5N1, which means experts don’t know how many cows have been exposed to the virus — and consequently, how many humans could now be interacting with infected cattle.\u003c/p>\n\u003cp>“We haven’t really contained the virus within dairy cows yet,” UCSF’s Chin-Hong said. “And the more it continues in the dairy cows, the more it’s going to probably result in contact with dairy workers.”\u003c/p>\n\u003cp>Even before the first confirmed human case of H5N1 back in April, the research community pushed federal officials to prioritize the H5N1 outbreak among cattle, specifically to make testing more accessible. On May 30, the USDA announced that it would transfer $824 million from other existing initiatives \u003ca href=\"https://www.usda.gov/media/press-releases/2024/05/30/usda-announces-824-million-new-funding-protect-livestock-health\">in order to launch the Voluntary H5N1 Dairy Herd Status Pilot Program\u003c/a>.\u003c/p>\n\u003ch2>\u003ca id=\"whatarethesymptoms\">\u003c/a>How dangerous is H5N1 for humans? What are the symptoms?\u003c/h2>\n\u003cp>On Dec. 18, the CDC announced the country’s first case of severe bird flu in Louisiana, in a person who was hospitalized after contracting the virus by being exposed to sick and dead birds from a backyard flock.\u003c/p>\n\u003cp>Maurice Pitesky, a professor at UC Davis’ School of Veterinary Medicine, said there are ways to keep yourself and your animals safe.\u003c/p>\n\u003cp>“Washing your hands. Having dedicated clothing and boots that only get used in our backyard coop and don’t get dragged inside,” Pitesky said. “ Because that’s one of the ways, for example, we can transmit other diseases like salmonella.”\u003c/p>\n\u003cp>In the CDC’s monitoring of three Texas farmworkers infected with bird flu earlier this year, two patients \u003ca href=\"https://www.cdc.gov/media/releases/2024/p0401-avian-flu.html\">reported eye redness as their only symptoms, \u003c/a>but \u003ca href=\"https://www.unmc.edu/healthsecurity/transmission/2024/06/04/the-3rd-human-case-of-bird-flu-in-the-us-has-2-new-and-troubling-symptoms/#:~:text=The%20H5N1%20bird%2Dflu%20virus,now%20through%20US%20cattle%20herds.\">the third case reported new symptoms\u003c/a>: a sore throat and a cough.\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>According to the CDC, \u003ca href=\"https://www.cdc.gov/bird-flu/virus-transmission/avian-in-humans.html#cdc_causes_how_it_spreads-signs-and-symptoms\">signs and symptoms of bird flu\u003c/a> have previously included not just conjunctivitis but mild flu-like upper respiratory symptoms, pneumonia requiring hospitalization, fever, cough, sore throat, runny or stuffy nose, muscle or body aches, headaches and fatigue.\u003c/p>\n\u003cp>In April, the CDC\u003ca href=\"https://www.cdc.gov/mmwr/volumes/73/wr/mm7321e1.htm#:~:text=From%201997%20through%20late%20April,including%20seven%20deaths%2C%20since%202022.\"> confirmed over 900 H5N1 human infections worldwide since 1997\u003c/a>. 52% of those total cases have been fatal, confirming that H5N1 indeed has the potential to be very dangerous to humans.\u003c/p>\n\u003cp>However, there’s an important context to this. For one thing, this number is a global total spanning a time period of over 25 years. Outbreaks have been scattered throughout the world, and \u003ca href=\"https://www.npr.org/sections/goats-and-soda/2024/06/12/g-s1-4091/avian-flu-cows-chickens-thailand-biosecurity\">health officials have quickly monitored infected individuals to reduce community spread as much as possible\u003c/a>.\u003c/p>\n\u003cp>It’s also very important to remember that, according to researchers, the avian flu virus cannot currently spread from human to human. Only people who work in very close proximity to infected animals, like cows or chickens, run some risk.\u003c/p>\n\u003cp>“If you’re a farmworker,” Karan said, “and you’re feeling symptoms — or feel like you may have the flu — it’s important that you let your doctor or healthcare provider know, ‘Hey, I work pretty closely with animals.’”\u003c/p>\n\u003ch2>\u003ca id=\"anotherpandemic\">\u003c/a>What do officials say at this stage? Could we be looking at another COVID-style pandemic?\u003c/h2>\n\u003cp>The CDC said that the risk of H5N1 to the general public “remains low.”\u003c/p>\n\u003cp>To understand the risk of H5N1, researchers are working to understand the molecular structure of the virus, the way it moves in the air and how human cells respond to exposure. A big part of this work is looking at the genetic information of the virus.\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>In April, the CDC \u003ca href=\"https://www.cdc.gov/bird-flu/spotlights/h5n1-analysis-texas.html\">sequenced the genome of the H5N1 virus found in a dairy worker infected in Texas\u003c/a>. Researchers identified some mutations in the virus but not the necessary mutations that would give the virus the tools to jump from one human to another.\u003c/p>\n\u003cp>Researchers point out that the overwhelming majority of H5N1 cases in the past two decades show humans caught the virus from animals, not other humans.\u003c/p>\n\u003cp>“The thing that we’re most worried about right now is the people who work on dairy farms may be exposed to this virus in the course of doing their jobs,” Nuzzo said.\u003c/p>\n\u003cp>“The challenge in understanding what’s going on right now is that we don’t have very good surveillance on cows,” she said, and “we also don’t have great surveillance on the farms of the people who work there.” She attributed this in part to the fact that “there’s a lot of disincentives for having health officials show up and try to test workers on these farms, [who are] somewhat of a disenfranchised group.”\u003c/p>\n\u003ch2>I heard that someone in Alameda County was infected with bird flu and that the virus has been detected in local wastewater. Does that mean there’s an H5N1 outbreak in the Bay Area?\u003c/h2>\n\u003cp>The short answer: \u003ca href=\"https://www.kqed.org/news/11988972/bay-area-researchers-tracking-bird-flu-in-wastewater-see-no-evidence-of-spread-in-sf\">No, there is no H5N1 outbreak in the Bay Area.\u003c/a>\u003c/p>\n\u003cp>In November, \u003ca href=\"https://www.kqed.org/news/12014955/bay-area-potential-first-bird-flu-case-reported-alameda-county-child\">a child in Alameda County was diagnosed with bird flu\u003c/a> with researchers unable to identify how the child was exposed to the virus. That case, which resulted in mild respiratory symptoms, did not spread inside the family or at school. This is the only human bird flu case confirmed in the Bay Area.\u003c/p>\n\u003cp>In order to measure the levels of certain viruses, like COVID-19, among the population, \u003ca href=\"https://www.kqed.org/news/11987343/covid-bay-area-wastewater-variant-symptoms-isolation-guidance\">researchers regularly test the region’s wastewater\u003c/a>. Since the start of the coronavirus pandemic, high levels of COVID-19 in Bay Area wastewater usually match up with spikes of COVID-19 infections.\u003c/p>\n\u003cp>At the end of May, \u003ca href=\"https://www.kqed.org/news/11988972/bay-area-researchers-tracking-bird-flu-in-wastewater-see-no-evidence-of-spread-in-sf\">researchers did indeed detect the H5N1 virus in San Francisco wastewater\u003c/a>, which set off alarms across social media. And while it makes sense why a headline like that can cause panic, digging deeper into the data shows a different story.\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>San Francisco is one of few hundred cities in the country with a combined sewer system, which means stormwater and sewage flow through the same pipes. When researchers collect wastewater samples, that includes water coming from bathrooms, but it also comes mixed with used water from other parts of the city, including businesses and storm drains.\u003c/p>\n\u003cp>The timing of H5N1 in the wastewater matched up with two cases of H5N1 among chickens at a live animal market—sometimes referred to as a wet market—in San Francisco. The infected chickens, which were identified by California food safety regulators and showed no symptoms at the time of testing, were removed from the market. Public health officials have also monitored the market workers who were in contact with the chickens.\u003c/p>\n\u003cp>San Francisco’s health department does not believe that any of the wastewater hits for bird flu are related to human infection. “No one really thinks at this point that the detections are due to human cases of H5N1,” said Dr. George Han, director of the San Francisco Department of Public Health’s communicable disease prevention and control program.\u003c/p>\n\u003cp>If you go to a live market, will you be exposed to H5N1? The experts KQED spoke to said no. “Surveillance of poultry has been going on for a long time, even before this,” Karan said.\u003c/p>\n\u003cp>But he nonetheless recommends that if folks can avoid direct contact with poultry in these settings, they should. “But if you’re going to be near these kinds of birds or near their feces or any kind of secretions they may have,” he said, “wear masks, eye protection and wash your hands.”\u003c/p>\n\u003ch2>\u003ca id=\"whatcanidonow\">\u003c/a>Is there anything I should practically be doing right now to lower my risks?\u003c/h2>\n\u003cp>Most of the recommendations from the CDC are still just for people who work closely with animals that are vulnerable to H5N1 infections, like cows and chickens. This includes recommending people wear personal protective equipment (PPE) when interacting with infected — or potentially infected — animals.\u003c/p>\n\u003cp>However, some early recommendations for the overall population include avoiding interacting with sick or dead animals you may find, like wild birds and chickens. One big recommendation from the CDC: That folks avoid consuming “raw milk,” or milk that has not been pasteurized.\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>Most milk sold in the U.S. is pasteurized, which means that during production, this milk was briefly heated to a certain temperature in order to kill harmful germs that may be present. In April, the FDA reported that \u003ca href=\"https://www.kqed.org/news/11986062/bird-flu-hits-us-dairy-cows-raw-milk-drinkers-arent-deterred\">1 in 5 pasteurized milk products nationwide tested positive for the H5N1 virus\u003c/a> — but since the pasteurization process kills the virus, any H5N1 found was already dead.\u003c/p>\n\u003cp>\u003ca href=\"https://www.kqed.org/news/12017517/california-investigates-possible-marin-county-bird-flu-case-amid-raw-milk-recalls\">California has issued numerous recalls of raw milk due to bird flu contamination in recent weeks\u003c/a>. And while there aren’t any confirmed cases of humans getting sick with H5N1 after drinking raw milk, pasteurizing milk still remains a best practice in the industry to ensure the safety of dairy products and kill not just the H5N1 virus but many other viruses and bacteria that can spread through cow milk and make humans sick.\u003c/p>\n\u003cp>In California, it is legal to sell raw milk, and data shows that \u003ca href=\"https://www.kqed.org/science/1992816/californians-urged-to-avoid-raw-milk-amid-bird-flu-outbreak-on-dairy-farms\">demand for this product has continued to grow\u003c/a>, even after the CDC’s recommendations. “Everybody in California loves farm-to-table and natural foods,” Chin-Hong said, but he adds that if folks are thinking of consuming raw milk, they should also assess the real risks that come with doing so — especially now, as the U.S. watches for any spread of H5N1.\u003c/p>\n\u003cp>“Is the juice worth the squeeze?” he asked, “If you are very old or very young, particularly babies under six months or those who are older, that risk might be too high at this moment.”\u003c/p>\n\u003cp>\u003cem>This story contains reporting by KQED’s Carlos Cabrera-Lomelí, Carly Severn, Nisa Khan, Keith Mizuguchi and Jared Servantez, and was originally published on June 18.\u003c/em>\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"title": "Police say UnitedHealthcare's CEO Was Likely Killed With a Ghost Gun. What Are They?",
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"content": "\u003cp>Luigi Mangione, \u003ca href=\"https://www.npr.org/2024/12/10/nx-s1-5223302/latest-unitedhealthcare-ceo-shooting-case\">the suspect charged\u003c/a> in the murder of UnitedHealthcare CEO Brian Thompson, was carrying a “ghost gun” at the time of his arrest, authorities said.\u003c/p>\n\u003cp>The 26-year-old was “in possession of a ghost gun that had the capability of firing a 9 millimeter round” when he was arrested in Altoona, Pennsylvania, on Monday, New York Police Department (NYPD) Chief of Detectives Joseph Kenny said at a \u003ca href=\"https://www.youtube.com/watch?v=UdaqEezK2Ks\">press briefing\u003c/a>.\u003c/p>\n\u003cp>The NYPD said the gun, which is “consistent with the weapon used in the murder,” may have been made on a 3D printer.\u003c/p>\n\u003cp>“I have no tolerance, nor should anyone, for one man using an illegal ghost gun to murder someone because he thinks his opinion matters most,” Pennsylvania Gov. Josh Shapiro \u003ca href=\"https://x.com/atrupar/status/1866273624711193077\">said on Monday\u003c/a>.\u003c/p>\n\u003cp>Ghost guns, also known as privately made firearms, are \u003ca href=\"https://www.npr.org/2022/04/12/1092063600/what-are-ghost-guns-explained\">assembled by their owners\u003c/a>, either from scratch or through weapon parts kits. They are not marked with serial numbers, making them easy for criminals to acquire and difficult, if not impossible, for law enforcement to trace.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>The Department of Justice Bureau of Alcohol, Tobacco, Firearms and Explosives said in 2022 that within the previous five years, it was only able to successfully trace 0.98% of suspected “ghost guns” back to their individual purchaser.\u003c/p>\n\u003cp>Over the last decade, a growing number of ghost guns have been recovered from crime scenes across the U.S., worrying many authorities. They \u003ca href=\"https://www.bradyunited.org/resources/issues/what-are-ghost-guns\">have been used\u003c/a> in homicides, domestic violence, robberies, killings of law enforcement officers, mass shootings and school shootings, including one that wounded two kindergarteners at a religious school in Oroville in Butte County \u003ca href=\"https://apnews.com/article/butte-county-california-school-shooting-1a183fcd1670d47dedeff81d9f1ce492\">last week\u003c/a>.\u003c/p>\n\u003cp>The advocacy organization Everytown for Gun Safety \u003ca href=\"https://everytownresearch.org/report/ghost-guns-recoveries-and-shootings/?_gl=1*1i0s6ir*_ga*NTg3MDQzNDY4LjE3MzM4MzQwNDA.*_ga_68QYBV181T*MTczMzgzNDAzOS4xLjEuMTczMzgzNDEyOS4wLjAuMA..*_ga_1FTV9KT752*MTczMzgzNDAzOS4xLjAuMTczMzgzNDAzOS4wLjAuMA..\">has called them\u003c/a> “the fastest growing gun safety problem in the country.”\u003c/p>\n\u003cp>While it is legal in the U.S. to build a firearm for personal use, the Biden administration, as well as \u003ca href=\"https://everytownresearch.org/rankings/law/ghost-guns-regulated/\">more than a dozen states\u003c/a>, have tried with varying degrees of success to regulate ghost guns.\u003c/p>\n\u003cp>Here’s what to know.\u003c/p>\n\u003ch2>How are ghost guns made?\u003c/h2>\n\u003cp>There are several main methods for assembling a ghost gun, a process that \u003ca href=\"https://www.everytown.org/arent-ghost-gun-build-kits-expensive/\">gun control advocates\u003c/a> say can take less than an hour and costs only a few hundred dollars.\u003c/p>\n\u003cp>One is to \u003ca href=\"https://thesoufancenter.org/intelbrief-2024-september-20/\">use a 3D printer\u003c/a> — with the instruction manuals and videos easily available online — to create some or most of the parts from scratch.\u003c/p>\n\u003cp>People can also buy the necessary components online, either piece by piece or all together, in what are called buy-build-shoot kits.\u003c/p>\n\u003cp>“Buy-build-shoot kits are weapon parts kits that are essentially pre-manufactured, [disassembled], complete firearms (a firearm in a box),” the U.S. \u003ca href=\"https://www.justice.gov/opa/press-release/file/1493431/dl\">Department of Justice said\u003c/a>.\u003c/p>\n\u003cp>It was legal for retailers to sell those kits without running background checks until 2022, when the Justice Department \u003ca href=\"https://www.justice.gov/opa/pr/frame-and-receiver-rule-goes-effect\">passed a rule\u003c/a> aimed at curbing the growing use of ghost guns in crimes.\u003c/p>\n\u003ch2>How prevalent are ghost guns?\u003c/h2>\n\u003cfigure id=\"attachment_12017476\" class=\"wp-caption alignnone\" style=\"max-width: 1200px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-12017476\" src=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2024/12/NPR2.jpg\" alt=\"\" width=\"1200\" height=\"800\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2024/12/NPR2.jpg 1200w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/12/NPR2-800x533.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/12/NPR2-1020x680.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/12/NPR2-160x107.jpg 160w\" sizes=\"auto, (max-width: 1200px) 100vw, 1200px\">\u003cfigcaption class=\"wp-caption-text\">Ghost guns seized in federal law enforcement actions are displayed at the Bureau of Alcohol, Tobacco, Firearms, and Explosives field office in California in 2022. \u003ccite>(Robyn Beck/AFP via Getty Images)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>Ghost guns have been around in the U.S. at least since the 1990s but have proliferated over the last decade or so.\u003c/p>\n\u003cp>The ATF said it received approximately 45,000 reports of suspected ghost guns recovered by law enforcement in criminal investigations between January 2016 and December 2021. Of those investigations, 692 involved homicides or attempted homicides.\u003c/p>\n\u003cp>Data from the bureau shows the number of suspected ghost guns \u003ca href=\"https://www.justice.gov/opa/pr/justice-department-announces-new-rule-modernize-firearm-definitions\">rising steadily each year\u003c/a> over that period, from 1,758 in 2016 to 19,344 in 2021.\u003c/p>\n\u003cp>State- and city-specific data also sheds light on the growing prevalence of ghost guns in recent years.\u003c/p>\n\u003cp>California \u003ca href=\"https://oag.ca.gov/system/files/media/ogvp-report-ghost-guns.pdf\">data released in October\u003c/a> shows that 8,340 ghost guns were recovered in the state in 2023, compared to just three in 2013.\u003c/p>\n\u003cp>Philadelphia police recovered 575 ghost guns in 2022, reporting a \u003ca href=\"https://www.nbcphiladelphia.com/news/local/at-hearing-state-legislators-learn-ghost-gun-use-growing-on-phillys-streets/3792694/\">311% increase\u003c/a> in their use since 2019. The NYPD reported that officers seized \u003ca href=\"https://ny1.com/nyc/all-boroughs/public-safety/2023/09/20/nypd-unit-combatting-the-growing-problem-of-ghost-guns\">463 ghost guns\u003c/a> in 2022, up from 263 the previous year.\u003c/p>\n\u003cp>“They are extremely dangerous, and we must do more on the federal level to clamp down on the availability of ghost guns,” New York City Mayor Eric Adams said at Monday’s briefing.\u003c/p>\n\u003ch2>How are ghost guns regulated?\u003c/h2>\n\u003cp>Private U.S. citizens are allowed to build guns for personal use under the Gun Control Act of 1968.\u003c/p>\n\u003cp>Even so, some state and federal authorities are taking steps to crack down on ghost guns.\u003c/p>\n\u003cp>Fifteen states \u003ca href=\"https://everytownresearch.org/rankings/law/ghost-guns-regulated/\">have passed laws\u003c/a> to regulate them, with many requiring serial numbers and background checks for component parts and others — including New York — going a step further by requiring ghost guns to be reported to authorities.\u003c/p>\n\u003cp>[aside tag='gun-laws' label='More Coverage' ]\u003c/p>\n\u003cp>In 2022, a Justice Department rule took effect that made weapons parts kits subject to the \u003ca href=\"https://www.justice.gov/opa/pr/frame-and-receiver-rule-goes-effect\">same regulations\u003c/a> as traditional firearms, including requiring commercial sellers to become federally licensed, mark certain parts with serial numbers and run background checks on purchasers.\u003c/p>\n\u003cp>The rule also aims to regulate some of the ghost guns already in circulation by requiring federally licensed dealers and gunsmiths to put serial numbers on any guns they take into inventory that don’t already have them before selling them to another customer.\u003c/p>\n\u003cp>“If you commit a crime [with a] ghost gun, not only are state and local prosecutors going to come after you, but expect federal charges and federal prosecution as well,” President \u003ca href=\"https://www.whitehouse.gov/briefing-room/speeches-remarks/2022/02/03/remarks-by-president-biden-at-a-gun-violence-prevention-task-force-meeting/\">Biden said\u003c/a> that year.\u003c/p>\n\u003cp>Kit manufacturers and sellers challenged the rule in court, arguing the ATF exceeded its authority. The U.S. Supreme Court \u003ca href=\"https://www.npr.org/2023/10/16/1206245991/supreme-court-ghost-guns\">allowed the rule to remain\u003c/a> in place pending litigation and heard the case in October.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>It has not yet made a decision, though NPR’s Nina Totenberg reported that the \u003ca href=\"https://www.npr.org/2024/10/08/nx-s1-5145914/supreme-court-ghost-guns\">justices seemed inclined\u003c/a> to side with the Biden administration.\u003c/p>\n\n",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>Luigi Mangione, \u003ca href=\"https://www.npr.org/2024/12/10/nx-s1-5223302/latest-unitedhealthcare-ceo-shooting-case\">the suspect charged\u003c/a> in the murder of UnitedHealthcare CEO Brian Thompson, was carrying a “ghost gun” at the time of his arrest, authorities said.\u003c/p>\n\u003cp>The 26-year-old was “in possession of a ghost gun that had the capability of firing a 9 millimeter round” when he was arrested in Altoona, Pennsylvania, on Monday, New York Police Department (NYPD) Chief of Detectives Joseph Kenny said at a \u003ca href=\"https://www.youtube.com/watch?v=UdaqEezK2Ks\">press briefing\u003c/a>.\u003c/p>\n\u003cp>The NYPD said the gun, which is “consistent with the weapon used in the murder,” may have been made on a 3D printer.\u003c/p>\n\u003cp>“I have no tolerance, nor should anyone, for one man using an illegal ghost gun to murder someone because he thinks his opinion matters most,” Pennsylvania Gov. Josh Shapiro \u003ca href=\"https://x.com/atrupar/status/1866273624711193077\">said on Monday\u003c/a>.\u003c/p>\n\u003cp>Ghost guns, also known as privately made firearms, are \u003ca href=\"https://www.npr.org/2022/04/12/1092063600/what-are-ghost-guns-explained\">assembled by their owners\u003c/a>, either from scratch or through weapon parts kits. They are not marked with serial numbers, making them easy for criminals to acquire and difficult, if not impossible, for law enforcement to trace.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>The Department of Justice Bureau of Alcohol, Tobacco, Firearms and Explosives said in 2022 that within the previous five years, it was only able to successfully trace 0.98% of suspected “ghost guns” back to their individual purchaser.\u003c/p>\n\u003cp>Over the last decade, a growing number of ghost guns have been recovered from crime scenes across the U.S., worrying many authorities. They \u003ca href=\"https://www.bradyunited.org/resources/issues/what-are-ghost-guns\">have been used\u003c/a> in homicides, domestic violence, robberies, killings of law enforcement officers, mass shootings and school shootings, including one that wounded two kindergarteners at a religious school in Oroville in Butte County \u003ca href=\"https://apnews.com/article/butte-county-california-school-shooting-1a183fcd1670d47dedeff81d9f1ce492\">last week\u003c/a>.\u003c/p>\n\u003cp>The advocacy organization Everytown for Gun Safety \u003ca href=\"https://everytownresearch.org/report/ghost-guns-recoveries-and-shootings/?_gl=1*1i0s6ir*_ga*NTg3MDQzNDY4LjE3MzM4MzQwNDA.*_ga_68QYBV181T*MTczMzgzNDAzOS4xLjEuMTczMzgzNDEyOS4wLjAuMA..*_ga_1FTV9KT752*MTczMzgzNDAzOS4xLjAuMTczMzgzNDAzOS4wLjAuMA..\">has called them\u003c/a> “the fastest growing gun safety problem in the country.”\u003c/p>\n\u003cp>While it is legal in the U.S. to build a firearm for personal use, the Biden administration, as well as \u003ca href=\"https://everytownresearch.org/rankings/law/ghost-guns-regulated/\">more than a dozen states\u003c/a>, have tried with varying degrees of success to regulate ghost guns.\u003c/p>\n\u003cp>Here’s what to know.\u003c/p>\n\u003ch2>How are ghost guns made?\u003c/h2>\n\u003cp>There are several main methods for assembling a ghost gun, a process that \u003ca href=\"https://www.everytown.org/arent-ghost-gun-build-kits-expensive/\">gun control advocates\u003c/a> say can take less than an hour and costs only a few hundred dollars.\u003c/p>\n\u003cp>One is to \u003ca href=\"https://thesoufancenter.org/intelbrief-2024-september-20/\">use a 3D printer\u003c/a> — with the instruction manuals and videos easily available online — to create some or most of the parts from scratch.\u003c/p>\n\u003cp>People can also buy the necessary components online, either piece by piece or all together, in what are called buy-build-shoot kits.\u003c/p>\n\u003cp>“Buy-build-shoot kits are weapon parts kits that are essentially pre-manufactured, [disassembled], complete firearms (a firearm in a box),” the U.S. \u003ca href=\"https://www.justice.gov/opa/press-release/file/1493431/dl\">Department of Justice said\u003c/a>.\u003c/p>\n\u003cp>It was legal for retailers to sell those kits without running background checks until 2022, when the Justice Department \u003ca href=\"https://www.justice.gov/opa/pr/frame-and-receiver-rule-goes-effect\">passed a rule\u003c/a> aimed at curbing the growing use of ghost guns in crimes.\u003c/p>\n\u003ch2>How prevalent are ghost guns?\u003c/h2>\n\u003cfigure id=\"attachment_12017476\" class=\"wp-caption alignnone\" style=\"max-width: 1200px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-12017476\" src=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2024/12/NPR2.jpg\" alt=\"\" width=\"1200\" height=\"800\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2024/12/NPR2.jpg 1200w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/12/NPR2-800x533.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/12/NPR2-1020x680.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/12/NPR2-160x107.jpg 160w\" sizes=\"auto, (max-width: 1200px) 100vw, 1200px\">\u003cfigcaption class=\"wp-caption-text\">Ghost guns seized in federal law enforcement actions are displayed at the Bureau of Alcohol, Tobacco, Firearms, and Explosives field office in California in 2022. \u003ccite>(Robyn Beck/AFP via Getty Images)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>Ghost guns have been around in the U.S. at least since the 1990s but have proliferated over the last decade or so.\u003c/p>\n\u003cp>The ATF said it received approximately 45,000 reports of suspected ghost guns recovered by law enforcement in criminal investigations between January 2016 and December 2021. Of those investigations, 692 involved homicides or attempted homicides.\u003c/p>\n\u003cp>Data from the bureau shows the number of suspected ghost guns \u003ca href=\"https://www.justice.gov/opa/pr/justice-department-announces-new-rule-modernize-firearm-definitions\">rising steadily each year\u003c/a> over that period, from 1,758 in 2016 to 19,344 in 2021.\u003c/p>\n\u003cp>State- and city-specific data also sheds light on the growing prevalence of ghost guns in recent years.\u003c/p>\n\u003cp>California \u003ca href=\"https://oag.ca.gov/system/files/media/ogvp-report-ghost-guns.pdf\">data released in October\u003c/a> shows that 8,340 ghost guns were recovered in the state in 2023, compared to just three in 2013.\u003c/p>\n\u003cp>Philadelphia police recovered 575 ghost guns in 2022, reporting a \u003ca href=\"https://www.nbcphiladelphia.com/news/local/at-hearing-state-legislators-learn-ghost-gun-use-growing-on-phillys-streets/3792694/\">311% increase\u003c/a> in their use since 2019. The NYPD reported that officers seized \u003ca href=\"https://ny1.com/nyc/all-boroughs/public-safety/2023/09/20/nypd-unit-combatting-the-growing-problem-of-ghost-guns\">463 ghost guns\u003c/a> in 2022, up from 263 the previous year.\u003c/p>\n\u003cp>“They are extremely dangerous, and we must do more on the federal level to clamp down on the availability of ghost guns,” New York City Mayor Eric Adams said at Monday’s briefing.\u003c/p>\n\u003ch2>How are ghost guns regulated?\u003c/h2>\n\u003cp>Private U.S. citizens are allowed to build guns for personal use under the Gun Control Act of 1968.\u003c/p>\n\u003cp>Even so, some state and federal authorities are taking steps to crack down on ghost guns.\u003c/p>\n\u003cp>Fifteen states \u003ca href=\"https://everytownresearch.org/rankings/law/ghost-guns-regulated/\">have passed laws\u003c/a> to regulate them, with many requiring serial numbers and background checks for component parts and others — including New York — going a step further by requiring ghost guns to be reported to authorities.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>In 2022, a Justice Department rule took effect that made weapons parts kits subject to the \u003ca href=\"https://www.justice.gov/opa/pr/frame-and-receiver-rule-goes-effect\">same regulations\u003c/a> as traditional firearms, including requiring commercial sellers to become federally licensed, mark certain parts with serial numbers and run background checks on purchasers.\u003c/p>\n\u003cp>The rule also aims to regulate some of the ghost guns already in circulation by requiring federally licensed dealers and gunsmiths to put serial numbers on any guns they take into inventory that don’t already have them before selling them to another customer.\u003c/p>\n\u003cp>“If you commit a crime [with a] ghost gun, not only are state and local prosecutors going to come after you, but expect federal charges and federal prosecution as well,” President \u003ca href=\"https://www.whitehouse.gov/briefing-room/speeches-remarks/2022/02/03/remarks-by-president-biden-at-a-gun-violence-prevention-task-force-meeting/\">Biden said\u003c/a> that year.\u003c/p>\n\u003cp>Kit manufacturers and sellers challenged the rule in court, arguing the ATF exceeded its authority. The U.S. Supreme Court \u003ca href=\"https://www.npr.org/2023/10/16/1206245991/supreme-court-ghost-guns\">allowed the rule to remain\u003c/a> in place pending litigation and heard the case in October.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>It has not yet made a decision, though NPR’s Nina Totenberg reported that the \u003ca href=\"https://www.npr.org/2024/10/08/nx-s1-5145914/supreme-court-ghost-guns\">justices seemed inclined\u003c/a> to side with the Biden administration.\u003c/p>\n\n\u003c/div>\u003c/p>",
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"slug": "why-its-time-to-ditch-your-black-plastic-cookware",
"title": "Why It's Time to Ditch Your Black Plastic Cookware",
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"content": "\u003cp>Soon after journalist Zoë Schlanger wrote the piece “\u003ca href=\"https://www.theatlantic.com/health/archive/2024/10/black-plastic-spatula-flame-retardants/680452/\">Throw Out Your Black Plastic Spatula\u003c/a>” in The Atlantic at the end of October, dozens of other news outlets ran their own versions of her story, all with the same recommendation: \u003ca href=\"https://www.kqed.org/forum/2010101907913/how-freaked-out-should-we-be-about-black-plastic\">avoid using black plastic utensils in your kitchen\u003c/a>.\u003c/p>\n\u003cp>Schlanger points to the years of research that show high levels of \u003ca href=\"https://www.sciencedirect.com/science/article/abs/pii/S0160412018302125\">flame retardants\u003c/a> in these objects. When exposed to high temperatures during cooking, these chemicals leak from the utensils into whatever food you’re preparing. And once ingested, flame retardants can mess with how your body regulates itself: many are considered endocrine disruptors, which means they mess with your hormones — the tools your body uses to regulate your organs.\u003c/p>\n\u003cp>But throwing out black kitchen utensils may not be enough. Schlanger’s reporting — and research coming out of Stanford’s \u003ca href=\"https://news.stanford.edu/stories/2022/05/four-questions-desiree-labeaud\">School of Medicine\u003c/a> — suggest that plastic, being an integral part of our lives, could have bigger health hazards than previously imagined. In November, KQED’s Forum spoke to Schlanger and Stanford’s Desiree LaBeaud, an infectious disease physician who leads the university’s plastic working group, to learn how we as individuals can respond to the risks brought upon by the plastic objects in our lives.\u003c/p>\n\u003cp>Keep reading for the takeaways from their conversation with KQED’s Lesley McClurg, including helpful strategies to reduce our dependence on plastic in our homes.\u003c/p>\n\u003cp>\u003cb>Skip ahead to:\u003c/b>\u003c/p>\n\u003cul>\n\u003cli>\u003cb>\u003ca href=\"#1\">I’ve used plastic utensils my whole life. Why are they risky now?\u003c/a>\u003c/b>\u003c/li>\n\u003c/ul>\n\u003cul>\n\u003cli>\u003cb>\u003ca href=\"#2\">Are all plastic utensils — regardless of their color — bad for you?\u003c/a>\u003c/b>\u003c/li>\n\u003c/ul>\n\u003cul>\n\u003cli>\u003cb>\u003ca href=\"#3\">Beyond freaking out, how can I apply this information in my life?\u003c/a>\u003c/b>\u003c/li>\n\u003c/ul>\n\u003cul>\n\u003cli>\u003cb>\u003ca href=\"#4\">What are some alternatives to plastic kitchen utensils?\u003c/a>\u003c/b>\u003c/li>\n\u003c/ul>\n\u003cp>\u003cem>This conversation has been edited for length and clarity.\u003c/em>\u003cbr>\n\u003ca id=\"1\">\u003c/a>\u003cbr>\n\u003cb>Lesley McClurg:\u003c/b> Why are there flame retardants in my black plastic scraper?\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>\u003cstrong>Zoë Schlanger:\u003c/strong> They were never meant to be there. That’s not where flame retardants are supposed to be. But unfortunately, black plastic is one of these compounds that tend to be entering the product stream from recycled material. And the thing that does have flame retardants in it are electronics.\u003c/p>\n\u003cp>I’m looking at a computer monitor right now with a black plastic casing that probably has flame retardants in it. My black plastic keyboard also has flame retardants. And due to demands for black plastic in kitchen objects, sometimes those materials get recycled into kitchen objects or toys.\u003c/p>\n\u003cfigure id=\"attachment_12016615\" class=\"wp-caption alignnone\" style=\"max-width: 800px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-medium wp-image-12016615\" src=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2024/12/241204-Black-Plastic-Utensils-DMB-0030-800x533.jpg\" alt=\"\" width=\"800\" height=\"533\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2024/12/241204-Black-Plastic-Utensils-DMB-0030-800x533.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/12/241204-Black-Plastic-Utensils-DMB-0030-1020x679.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/12/241204-Black-Plastic-Utensils-DMB-0030-160x107.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/12/241204-Black-Plastic-Utensils-DMB-0030-1536x1023.jpg 1536w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/12/241204-Black-Plastic-Utensils-DMB-0030-1920x1279.jpg 1920w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/12/241204-Black-Plastic-Utensils-DMB-0030.jpg 2000w\" sizes=\"(max-width: 800px) 100vw, 800px\">\u003cfigcaption class=\"wp-caption-text\">The photographer’s black plastic-tipped tongs, photographed in Oakland on Dec. 4, 2024. Black plastic utensils leach toxic chemicals, so it’s time to ditch all of your plastic utensils — including the black spatula. The black plastic utensils were discarded after the photo shoot. \u003ccite>(David M. Barreda/KQED)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>\u003cstrong>In my mind, it makes sense that a computer, television or keyboard might have flame retardants, but why would the e-waste from those items be recycled and then made into spatulas or kids’ toys?\u003c/strong>\u003c/p>\n\u003cp>\u003cstrong>Schlanger: \u003c/strong>This is due to a wrinkle in the global recycling industry, where our recycling plants use optical sensors. These sensors see the plastic that’s coming through the recycling plants, but they can’t see the color black. Typically, in countries where recycling is quite regulated, black plastic never gets recycled. That means there’s this dearth — this lack of a supply — of black plastic from recycled material in the consumer stream.\u003c/p>\n\u003cp>When someone wants to make a black plastic spatula, they might have to look farther afield. And global plastic recycling is just that: a global phenomenon. There’s not a lot of oversight, particularly overseas. That’s how you end up with recycled e-waste entering the product stream in ways it really shouldn’t.\u003c/p>\n\u003cp>\u003cstrong>So, this is a supply and demand issue. We don’t have enough recycled black plastic to make these items?\u003c/strong>\u003c/p>\n\u003cp>\u003cstrong>Schlanger: \u003c/strong>For some reason, there’s been an aesthetic choice that says we want our spatulas, in particular, to be black. Another way this shows up a lot is in takeout containers. Those tend to be black for no discernible reason that I can tell. If it’s a black plastic, it is potentially full of flame retardants from the same e-waste stream.\u003c/p>\n\u003cp>When plastic comes in contact with heat, it starts to degrade. Or when it comes in contact with something fatty — let’s say, the cream in my coffee or the oil in your pan. Plastic components or components of plastic that are hazardous for our health are also lipophilic, meaning they are attracted to fat and they can transfer quite easily into fat. When you’re applying heat or oil fats to your plastic, it’s just encouraging those problematic compounds to enter your food or your mouth or the environment in different ways.\u003c/p>\n\u003cp>\u003cstrong>I don’t want to be putting flame retardants in my body. But what does the actual health research say are the health concerns or risks that could happen if I do consume this stuff?\u003c/strong>\u003c/p>\n\u003cp>\u003cstrong>Schlanger: \u003c/strong>The research on flame retardants is pretty clear. Many of them are considered endocrine disruptors, meaning they mess with your hormone system, which can have all these knock-on effects. Thyroid disease is a problem with flame retardants.\u003c/p>\n\u003cp>And it’s not just flame retardants. It’s also a group of chemicals broadly called plasticizers, like phthalates, which people may have heard about. These are added to plastic to make them flexible or soft. And they readily migrate out of the plastic because they’re not completely bound to the polymer molecule. With heat, use or wear, they can migrate out of that polymer chain and into your food.\u003c/p>\n\u003cp>\u003ca id=\"2\">\u003c/a>\u003cstrong>We’re getting quite a few questions from listeners. One writes: ‘What about blue plastic? Yellow? Green? What about these other colors?’\u003c/strong>\u003c/p>\n\u003cp>\u003cstrong>Schlanger: \u003c/strong>All plastic is not something you want to be cooking with. I think that any expert would say that to you. Those other colors are not likely to come from an electronic waste stream just because of how many electronics are black. Maybe flame retardants would be less of an issue in those plastics. But there’s other things in plastics that you want to be wary about.\u003c/p>\n\u003cp>\u003cstrong>What do we know about silicone? Is it much better? Is it also dangerous?\u003c/strong>\u003c/p>\n\u003cp>\u003cstrong>Schlanger: \u003c/strong>What we know right now is that silicone is much better. It’s not plastic. It’s made of silica, an entirely different compound. And it does not form microparticles or nanoparticles in the way plastic does. There’s some concern for cheap silicone as it sometimes can contain chemical fillers. This is not something where there’s a lot of oversight. But if it’s mostly just a silicone object, you’re good.\u003c/p>\n\u003cp>\u003cstrong>For folks who might not be familiar, what are microplastics and why are they bad? \u003c/strong>\u003c/p>\n\u003cp>\u003cstrong>Desiree LaBeaud: \u003c/strong>All the plastic that we have in our lives slowly breaks down into smaller and smaller bits. And those teeny bits are called microplastics. And we ingest these plastics supposedly at the rate of a credit card of plastic a week. And we also inhale them because a lot of plastic is actually burned in the world to deal with the waste crisis or through wildfires and so forth, or even just the house dust in our homes.\u003c/p>\n\u003cp>When that plastic gets into our bodies, it impacts our bodies in all sorts of ways. And there’s been a lot of research to show that microplastics and even the smaller, finer plastics, which are called nanoplastics, can lead to a lot of different health effects through impairing the way that our cells function: the biochemistry, the energy, the way that our organs develop. Even carcinogenesis, which is the development of cancer. All of that can come from these microplastics.\u003c/p>\n\u003cp>\u003cstrong>A listener calls in to ask: “What about Legos?”\u003c/strong>\u003c/p>\n\u003cp>\u003cstrong>LaBeaud:\u003c/strong> Legos are made of very, very, very hard, durable plastic. Some types of plastic are going to break down more than others. And Legos are at ambient temperature. They’re not being heated up. I don’t think you need to go and throw away all your Legos at this time. It’s just like we keep saying: It’s about the dose. You choose your Legos, but you don’t heat up your plastic and cook it in hot oil, right?\u003c/p>\n\u003cp>\u003ca id=\"3\">\u003c/a>\u003cstrong>How freaked out should I be? How should I respond to this information?\u003c/strong>\u003c/p>\n\u003cp>\u003cstrong>Schlanger:\u003c/strong> For me, it goes back to this idea of lowering your dose. There’s only a few [environments] in our lives that we can control. And one of those is our kitchens. It actually brings me some measure of comfort to say, ‘All right, I can just have a stainless steel spatula. I can choose to use fewer plastic takeout containers. And all of these things are tiny little things I’m doing for my overall health.’ It doesn’t have to be overwhelming.\u003c/p>\n\u003cfigure id=\"attachment_12016619\" class=\"wp-caption alignnone\" style=\"max-width: 800px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-medium wp-image-12016619\" src=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2024/12/241204-Black-Plastic-Utensils-DMB-0147-800x533.jpg\" alt=\"\" width=\"800\" height=\"533\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2024/12/241204-Black-Plastic-Utensils-DMB-0147-800x533.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/12/241204-Black-Plastic-Utensils-DMB-0147-1020x679.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/12/241204-Black-Plastic-Utensils-DMB-0147-160x107.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/12/241204-Black-Plastic-Utensils-DMB-0147-1536x1023.jpg 1536w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/12/241204-Black-Plastic-Utensils-DMB-0147-1920x1279.jpg 1920w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/12/241204-Black-Plastic-Utensils-DMB-0147.jpg 2000w\" sizes=\"(max-width: 800px) 100vw, 800px\">\u003cfigcaption class=\"wp-caption-text\">The photographer’s black plastic utensils at the bottom of the trash bin in Oakland on Wednesday, Dec. 4, 2024. Black plastic utensils leach toxic chemicals, so it’s time to ditch all of your plastic utensils — including the black spatula. The black plastic utensils were discarded after the photo shoot. \u003ccite>(David M. Barreda/KQED)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>\u003cstrong>Does the body rid itself or detox from plastics? If you take yourself off plastics, does the body do a good job of getting these things out of your body?\u003c/strong>\u003c/p>\n\u003cp>\u003cstrong>LaBeaud:\u003c/strong> As humans, we have three different things we can do [to get rid of toxins in our bodies]: we pee, poo and sweat. And this is the way that we release all sorts of different toxins that we come in contact with through our food or environment. That’s the natural process … but we don’t rid ourselves of all of the plastic. Some of it ends up somehow in our body tissues, which is what more and more research is finding, and that is harder for us to get rid of.\u003c/p>\n\u003cp>\u003ca id=\"4\">\u003c/a>\u003cstrong>Where would you suggest people start if they want to start having less plastic in their lives?\u003c/strong>\u003c/p>\n\u003cp>\u003cstrong>LaBeaud: \u003c/strong>Your kitchen is the first place to start … if you’re heating up your plastic, you don’t want to be. You’d rather be using something else like glass or ceramic. Your pots, pans and utensils are a good start. Try and replace the nonstick coating with something else that isn’t going to leach chemicals into your food. Replace those utensils. When we’re heating up our food in the microwave with Tupperware, that now should be replaced with glass. Instead of single-use plastic water bottles, we can filter our water and then just put it in a glass bottle or a metal bottle.\u003c/p>\n\u003cp>[ad floatright]\u003c/p>\n\u003cp>When we start to consume and choose products that are not in plastic, the industry will respond, and we’ll start to put more things back into recyclable containers, things that are actually truly recyclable.\u003c/p>\n\n",
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"title": "Why It's Time to Ditch Your Black Plastic Cookware | KQED",
"description": "Soon after journalist Zoë Schlanger wrote the piece “Throw Out Your Black Plastic Spatula” in The Atlantic at the end of October, dozens of other news outlets ran their own versions of her story, all with the same recommendation: avoid using black plastic utensils in your kitchen. Schlanger points to the years of research that",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>Soon after journalist Zoë Schlanger wrote the piece “\u003ca href=\"https://www.theatlantic.com/health/archive/2024/10/black-plastic-spatula-flame-retardants/680452/\">Throw Out Your Black Plastic Spatula\u003c/a>” in The Atlantic at the end of October, dozens of other news outlets ran their own versions of her story, all with the same recommendation: \u003ca href=\"https://www.kqed.org/forum/2010101907913/how-freaked-out-should-we-be-about-black-plastic\">avoid using black plastic utensils in your kitchen\u003c/a>.\u003c/p>\n\u003cp>Schlanger points to the years of research that show high levels of \u003ca href=\"https://www.sciencedirect.com/science/article/abs/pii/S0160412018302125\">flame retardants\u003c/a> in these objects. When exposed to high temperatures during cooking, these chemicals leak from the utensils into whatever food you’re preparing. And once ingested, flame retardants can mess with how your body regulates itself: many are considered endocrine disruptors, which means they mess with your hormones — the tools your body uses to regulate your organs.\u003c/p>\n\u003cp>But throwing out black kitchen utensils may not be enough. Schlanger’s reporting — and research coming out of Stanford’s \u003ca href=\"https://news.stanford.edu/stories/2022/05/four-questions-desiree-labeaud\">School of Medicine\u003c/a> — suggest that plastic, being an integral part of our lives, could have bigger health hazards than previously imagined. In November, KQED’s Forum spoke to Schlanger and Stanford’s Desiree LaBeaud, an infectious disease physician who leads the university’s plastic working group, to learn how we as individuals can respond to the risks brought upon by the plastic objects in our lives.\u003c/p>\n\u003cp>Keep reading for the takeaways from their conversation with KQED’s Lesley McClurg, including helpful strategies to reduce our dependence on plastic in our homes.\u003c/p>\n\u003cp>\u003cb>Skip ahead to:\u003c/b>\u003c/p>\n\u003cul>\n\u003cli>\u003cb>\u003ca href=\"#1\">I’ve used plastic utensils my whole life. Why are they risky now?\u003c/a>\u003c/b>\u003c/li>\n\u003c/ul>\n\u003cul>\n\u003cli>\u003cb>\u003ca href=\"#2\">Are all plastic utensils — regardless of their color — bad for you?\u003c/a>\u003c/b>\u003c/li>\n\u003c/ul>\n\u003cul>\n\u003cli>\u003cb>\u003ca href=\"#3\">Beyond freaking out, how can I apply this information in my life?\u003c/a>\u003c/b>\u003c/li>\n\u003c/ul>\n\u003cul>\n\u003cli>\u003cb>\u003ca href=\"#4\">What are some alternatives to plastic kitchen utensils?\u003c/a>\u003c/b>\u003c/li>\n\u003c/ul>\n\u003cp>\u003cem>This conversation has been edited for length and clarity.\u003c/em>\u003cbr>\n\u003ca id=\"1\">\u003c/a>\u003cbr>\n\u003cb>Lesley McClurg:\u003c/b> Why are there flame retardants in my black plastic scraper?\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>\u003cstrong>Zoë Schlanger:\u003c/strong> They were never meant to be there. That’s not where flame retardants are supposed to be. But unfortunately, black plastic is one of these compounds that tend to be entering the product stream from recycled material. And the thing that does have flame retardants in it are electronics.\u003c/p>\n\u003cp>I’m looking at a computer monitor right now with a black plastic casing that probably has flame retardants in it. My black plastic keyboard also has flame retardants. And due to demands for black plastic in kitchen objects, sometimes those materials get recycled into kitchen objects or toys.\u003c/p>\n\u003cfigure id=\"attachment_12016615\" class=\"wp-caption alignnone\" style=\"max-width: 800px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-medium wp-image-12016615\" src=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2024/12/241204-Black-Plastic-Utensils-DMB-0030-800x533.jpg\" alt=\"\" width=\"800\" height=\"533\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2024/12/241204-Black-Plastic-Utensils-DMB-0030-800x533.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/12/241204-Black-Plastic-Utensils-DMB-0030-1020x679.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/12/241204-Black-Plastic-Utensils-DMB-0030-160x107.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/12/241204-Black-Plastic-Utensils-DMB-0030-1536x1023.jpg 1536w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/12/241204-Black-Plastic-Utensils-DMB-0030-1920x1279.jpg 1920w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/12/241204-Black-Plastic-Utensils-DMB-0030.jpg 2000w\" sizes=\"(max-width: 800px) 100vw, 800px\">\u003cfigcaption class=\"wp-caption-text\">The photographer’s black plastic-tipped tongs, photographed in Oakland on Dec. 4, 2024. Black plastic utensils leach toxic chemicals, so it’s time to ditch all of your plastic utensils — including the black spatula. The black plastic utensils were discarded after the photo shoot. \u003ccite>(David M. Barreda/KQED)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>\u003cstrong>In my mind, it makes sense that a computer, television or keyboard might have flame retardants, but why would the e-waste from those items be recycled and then made into spatulas or kids’ toys?\u003c/strong>\u003c/p>\n\u003cp>\u003cstrong>Schlanger: \u003c/strong>This is due to a wrinkle in the global recycling industry, where our recycling plants use optical sensors. These sensors see the plastic that’s coming through the recycling plants, but they can’t see the color black. Typically, in countries where recycling is quite regulated, black plastic never gets recycled. That means there’s this dearth — this lack of a supply — of black plastic from recycled material in the consumer stream.\u003c/p>\n\u003cp>When someone wants to make a black plastic spatula, they might have to look farther afield. And global plastic recycling is just that: a global phenomenon. There’s not a lot of oversight, particularly overseas. That’s how you end up with recycled e-waste entering the product stream in ways it really shouldn’t.\u003c/p>\n\u003cp>\u003cstrong>So, this is a supply and demand issue. We don’t have enough recycled black plastic to make these items?\u003c/strong>\u003c/p>\n\u003cp>\u003cstrong>Schlanger: \u003c/strong>For some reason, there’s been an aesthetic choice that says we want our spatulas, in particular, to be black. Another way this shows up a lot is in takeout containers. Those tend to be black for no discernible reason that I can tell. If it’s a black plastic, it is potentially full of flame retardants from the same e-waste stream.\u003c/p>\n\u003cp>When plastic comes in contact with heat, it starts to degrade. Or when it comes in contact with something fatty — let’s say, the cream in my coffee or the oil in your pan. Plastic components or components of plastic that are hazardous for our health are also lipophilic, meaning they are attracted to fat and they can transfer quite easily into fat. When you’re applying heat or oil fats to your plastic, it’s just encouraging those problematic compounds to enter your food or your mouth or the environment in different ways.\u003c/p>\n\u003cp>\u003cstrong>I don’t want to be putting flame retardants in my body. But what does the actual health research say are the health concerns or risks that could happen if I do consume this stuff?\u003c/strong>\u003c/p>\n\u003cp>\u003cstrong>Schlanger: \u003c/strong>The research on flame retardants is pretty clear. Many of them are considered endocrine disruptors, meaning they mess with your hormone system, which can have all these knock-on effects. Thyroid disease is a problem with flame retardants.\u003c/p>\n\u003cp>And it’s not just flame retardants. It’s also a group of chemicals broadly called plasticizers, like phthalates, which people may have heard about. These are added to plastic to make them flexible or soft. And they readily migrate out of the plastic because they’re not completely bound to the polymer molecule. With heat, use or wear, they can migrate out of that polymer chain and into your food.\u003c/p>\n\u003cp>\u003ca id=\"2\">\u003c/a>\u003cstrong>We’re getting quite a few questions from listeners. One writes: ‘What about blue plastic? Yellow? Green? What about these other colors?’\u003c/strong>\u003c/p>\n\u003cp>\u003cstrong>Schlanger: \u003c/strong>All plastic is not something you want to be cooking with. I think that any expert would say that to you. Those other colors are not likely to come from an electronic waste stream just because of how many electronics are black. Maybe flame retardants would be less of an issue in those plastics. But there’s other things in plastics that you want to be wary about.\u003c/p>\n\u003cp>\u003cstrong>What do we know about silicone? Is it much better? Is it also dangerous?\u003c/strong>\u003c/p>\n\u003cp>\u003cstrong>Schlanger: \u003c/strong>What we know right now is that silicone is much better. It’s not plastic. It’s made of silica, an entirely different compound. And it does not form microparticles or nanoparticles in the way plastic does. There’s some concern for cheap silicone as it sometimes can contain chemical fillers. This is not something where there’s a lot of oversight. But if it’s mostly just a silicone object, you’re good.\u003c/p>\n\u003cp>\u003cstrong>For folks who might not be familiar, what are microplastics and why are they bad? \u003c/strong>\u003c/p>\n\u003cp>\u003cstrong>Desiree LaBeaud: \u003c/strong>All the plastic that we have in our lives slowly breaks down into smaller and smaller bits. And those teeny bits are called microplastics. And we ingest these plastics supposedly at the rate of a credit card of plastic a week. And we also inhale them because a lot of plastic is actually burned in the world to deal with the waste crisis or through wildfires and so forth, or even just the house dust in our homes.\u003c/p>\n\u003cp>When that plastic gets into our bodies, it impacts our bodies in all sorts of ways. And there’s been a lot of research to show that microplastics and even the smaller, finer plastics, which are called nanoplastics, can lead to a lot of different health effects through impairing the way that our cells function: the biochemistry, the energy, the way that our organs develop. Even carcinogenesis, which is the development of cancer. All of that can come from these microplastics.\u003c/p>\n\u003cp>\u003cstrong>A listener calls in to ask: “What about Legos?”\u003c/strong>\u003c/p>\n\u003cp>\u003cstrong>LaBeaud:\u003c/strong> Legos are made of very, very, very hard, durable plastic. Some types of plastic are going to break down more than others. And Legos are at ambient temperature. They’re not being heated up. I don’t think you need to go and throw away all your Legos at this time. It’s just like we keep saying: It’s about the dose. You choose your Legos, but you don’t heat up your plastic and cook it in hot oil, right?\u003c/p>\n\u003cp>\u003ca id=\"3\">\u003c/a>\u003cstrong>How freaked out should I be? How should I respond to this information?\u003c/strong>\u003c/p>\n\u003cp>\u003cstrong>Schlanger:\u003c/strong> For me, it goes back to this idea of lowering your dose. There’s only a few [environments] in our lives that we can control. And one of those is our kitchens. It actually brings me some measure of comfort to say, ‘All right, I can just have a stainless steel spatula. I can choose to use fewer plastic takeout containers. And all of these things are tiny little things I’m doing for my overall health.’ It doesn’t have to be overwhelming.\u003c/p>\n\u003cfigure id=\"attachment_12016619\" class=\"wp-caption alignnone\" style=\"max-width: 800px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-medium wp-image-12016619\" src=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2024/12/241204-Black-Plastic-Utensils-DMB-0147-800x533.jpg\" alt=\"\" width=\"800\" height=\"533\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2024/12/241204-Black-Plastic-Utensils-DMB-0147-800x533.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/12/241204-Black-Plastic-Utensils-DMB-0147-1020x679.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/12/241204-Black-Plastic-Utensils-DMB-0147-160x107.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/12/241204-Black-Plastic-Utensils-DMB-0147-1536x1023.jpg 1536w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/12/241204-Black-Plastic-Utensils-DMB-0147-1920x1279.jpg 1920w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/12/241204-Black-Plastic-Utensils-DMB-0147.jpg 2000w\" sizes=\"(max-width: 800px) 100vw, 800px\">\u003cfigcaption class=\"wp-caption-text\">The photographer’s black plastic utensils at the bottom of the trash bin in Oakland on Wednesday, Dec. 4, 2024. Black plastic utensils leach toxic chemicals, so it’s time to ditch all of your plastic utensils — including the black spatula. The black plastic utensils were discarded after the photo shoot. \u003ccite>(David M. Barreda/KQED)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>\u003cstrong>Does the body rid itself or detox from plastics? If you take yourself off plastics, does the body do a good job of getting these things out of your body?\u003c/strong>\u003c/p>\n\u003cp>\u003cstrong>LaBeaud:\u003c/strong> As humans, we have three different things we can do [to get rid of toxins in our bodies]: we pee, poo and sweat. And this is the way that we release all sorts of different toxins that we come in contact with through our food or environment. That’s the natural process … but we don’t rid ourselves of all of the plastic. Some of it ends up somehow in our body tissues, which is what more and more research is finding, and that is harder for us to get rid of.\u003c/p>\n\u003cp>\u003ca id=\"4\">\u003c/a>\u003cstrong>Where would you suggest people start if they want to start having less plastic in their lives?\u003c/strong>\u003c/p>\n\u003cp>\u003cstrong>LaBeaud: \u003c/strong>Your kitchen is the first place to start … if you’re heating up your plastic, you don’t want to be. You’d rather be using something else like glass or ceramic. Your pots, pans and utensils are a good start. Try and replace the nonstick coating with something else that isn’t going to leach chemicals into your food. Replace those utensils. When we’re heating up our food in the microwave with Tupperware, that now should be replaced with glass. Instead of single-use plastic water bottles, we can filter our water and then just put it in a glass bottle or a metal bottle.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>When we start to consume and choose products that are not in plastic, the industry will respond, and we’ll start to put more things back into recyclable containers, things that are actually truly recyclable.\u003c/p>\n\n\u003c/div>\u003c/p>",
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"content": "\u003cp>As Bay Area families make last-minute \u003ca href=\"https://www.kqed.org/arts/13968602/easy-thanksgiving-recipes-to-prepare-in-advance-turkey-confit-gravy-dan-souza\">preparations for their Thanksgiving celebrations\u003c/a>, organizations all over the region are also getting ready to provide warm meals to those who are facing difficult moments during the holiday.\u003c/p>\n\u003cp>“Everyone is welcome to come — it doesn’t matter what zip code you live in or what your situation is,” said Demone Carter, director of community engagement at one of those organizations: Sacred Heart Community Services, a San José-based nonprofit that organizes a food box distribution each Thanksgiving. This year, the group plans to give away food boxes to thousands of families — and has already given away more than 1,300 on Monday alone. All you need to do is show up at the Sacred Heart offices on either Tuesday or Wednesday at the designated time (more below) to claim their box.\u003c/p>\n\u003cp>\u003cstrong>Jump straight to where to find Thanksgiving meals in: \u003c/strong>\u003c/p>\n\u003cul>\n\u003cli>\u003cstrong>\u003ca href=\"#sanfrancisco\">San Francisco\u003c/a>\u003c/strong>\u003c/li>\n\u003cli>\u003cstrong>\u003ca href=\"#eastbay\">East Bay\u003c/a>\u003c/strong>\u003c/li>\n\u003cli>\u003cstrong>\u003ca href=\"#southbay\">South Bay\u003c/a>\u003c/strong>\u003c/li>\n\u003c/ul>\n\u003cp>Keep reading for a list of more places that are offering either hot meals or food boxes to folks in need this Thanksgiving week.\u003c/p>\n\u003cp>Keep in mind that not all groups listed below will serve their Thanksgiving meals on Thursday, but rather a day or two before. We’ll continue to update the list as we find more information.\u003c/p>\n\u003ch3>\u003ca id=\"sanfrancisco\">\u003c/a>Thanksgiving meals in San Francisco\u003c/h3>\n\u003cp>\u003cstrong>Martin de Porres House of Hospitality\u003c/strong>, 225 Potrero Ave.\u003c/p>\n\u003cul>\n\u003cli>A late morning meal will be served on Thanksgiving Day between noon and 2 p.m. Volunteers are also welcome: complete a\u003ca href=\"https://martindeporres.org/thanksgiving/\"> sign-up form.\u003c/a>\u003c/li>\n\u003c/ul>\n\u003cp>\u003cstrong>St. Anthony’s Dining Room\u003c/strong>, 121 Golden Gate Ave.\u003c/p>\n\u003cul>\n\u003cli>Turkey, trimmings and fruit crumble will be served on Thanksgiving Day between 10 a.m. and 1:30 p.m. “To go” meals will then be available after 2 p.m.\u003c/li>\n\u003c/ul>\n\u003cp>\u003cstrong>GLIDE\u003c/strong>, 330 Ellis St.\u003c/p>\n\u003cul>\n\u003cli>Both breakfast and lunch will be served on Thanksgiving Day: breakfast from 7:30 a.m. to 9 a.m., followed by an optional church celebration at 10 a.m. and lunch from 11 a.m. to 1 p.m.\u003c/li>\n\u003c/ul>\n\u003cp>\u003cstrong>CityTeam\u003c/strong>, : 164 6th St.\u003c/p>\n\u003cul>\n\u003cli>Warm meals will be available for pick-up on Thanksgiving Day from 8 a.m. to 2 p.m.\u003c/li>\n\u003c/ul>\n\u003ch3>\u003ca id=\"eastbay\">\u003c/a>Thanksgiving meals in the East Bay\u003c/h3>\n\u003cp>\u003cstrong>East Oakland Collective\u003c/strong>, 7800 MacArthur Blvd., Oakland\u003c/p>\n\u003cul>\n\u003cli>Family meal kits will be distributed to 50 families on Wednesday, Nov. 27, from 10 a.m. to 12 p.m. while supplies last. Advanced reservation is required: Call 510-990-0775 to reserve your meal kit.\u003c/li>\n\u003c/ul>\n\u003cp>\u003cstrong>CityTeam\u003c/strong>, 722 Washington St., Oakland\u003c/p>\n\u003cul>\n\u003cli>Warm meals will be served on Thanksgiving Day from 11 a.m. to 4 p.m. A comfortable space to watch football and socialize will also be available, along with free haircuts.\u003c/li>\n\u003c/ul>\n\u003cp>\u003cstrong>Lake Merritt United Methodist Church\u003c/strong>, enter either at 1330 Lakeshore Ave. or 1255 First Ave., Oakland\u003c/p>\n\u003cul>\n\u003cli>Warm meals, which include turkey, will be served on Thanksgiving Day between noon and 1:30 p.m. Volunteers are also welcome: \u003ca href=\"https://www.signupgenius.com/go/20F0F45A5A72AA3F49-50712895-lmumc#/\">complete a sign-up form\u003c/a>.\u003c/li>\n\u003c/ul>\n\u003ch3>\u003ca id=\"southbay\">\u003c/a>Thanksgiving meals in the South Bay\u003c/h3>\n\u003cp>\u003cstrong>Sacred Heart Community Service\u003c/strong>, 1381 S. First St., San José\u003c/p>\n\u003cul>\n\u003cli>Food boxes will be distributed on Tuesday, Nov. 26, from 9 a.m. to 6 p.m. and Wednesday, Nov. 27, from 9 a.m. to 12 p.m. Boxes will include one of three kinds of protein: turkey, ham, or chicken. No pre-registration is required.\u003c/li>\n\u003c/ul>\n\u003cp>\u003cstrong>Salvation Army\u003c/strong>, 359 N. Fourth St., San José\u003c/p>\n\u003cul>\n\u003cli>A warm meal will be served on Wednesday, Nov. 26, for seniors starting at 11:30 a.m. and for everyone else at noon.\u003c/li>\n\u003c/ul>\n\u003cp>\u003cstrong>CityTeam\u003c/strong>, 580 Charles St., San José\u003c/p>\n\u003cul>\n\u003cli>Warm meals will be served on Thanksgiving Day from 11 a.m. to 5 p.m.\u003c/li>\n\u003c/ul>\n\u003cp>[ad fullwidth]\u003c/p>\u003cp>\u003c/p>\n",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>As Bay Area families make last-minute \u003ca href=\"https://www.kqed.org/arts/13968602/easy-thanksgiving-recipes-to-prepare-in-advance-turkey-confit-gravy-dan-souza\">preparations for their Thanksgiving celebrations\u003c/a>, organizations all over the region are also getting ready to provide warm meals to those who are facing difficult moments during the holiday.\u003c/p>\n\u003cp>“Everyone is welcome to come — it doesn’t matter what zip code you live in or what your situation is,” said Demone Carter, director of community engagement at one of those organizations: Sacred Heart Community Services, a San José-based nonprofit that organizes a food box distribution each Thanksgiving. This year, the group plans to give away food boxes to thousands of families — and has already given away more than 1,300 on Monday alone. All you need to do is show up at the Sacred Heart offices on either Tuesday or Wednesday at the designated time (more below) to claim their box.\u003c/p>\n\u003cp>\u003cstrong>Jump straight to where to find Thanksgiving meals in: \u003c/strong>\u003c/p>\n\u003cul>\n\u003cli>\u003cstrong>\u003ca href=\"#sanfrancisco\">San Francisco\u003c/a>\u003c/strong>\u003c/li>\n\u003cli>\u003cstrong>\u003ca href=\"#eastbay\">East Bay\u003c/a>\u003c/strong>\u003c/li>\n\u003cli>\u003cstrong>\u003ca href=\"#southbay\">South Bay\u003c/a>\u003c/strong>\u003c/li>\n\u003c/ul>\n\u003cp>Keep reading for a list of more places that are offering either hot meals or food boxes to folks in need this Thanksgiving week.\u003c/p>\n\u003cp>Keep in mind that not all groups listed below will serve their Thanksgiving meals on Thursday, but rather a day or two before. We’ll continue to update the list as we find more information.\u003c/p>\n\u003ch3>\u003ca id=\"sanfrancisco\">\u003c/a>Thanksgiving meals in San Francisco\u003c/h3>\n\u003cp>\u003cstrong>Martin de Porres House of Hospitality\u003c/strong>, 225 Potrero Ave.\u003c/p>\n\u003cul>\n\u003cli>A late morning meal will be served on Thanksgiving Day between noon and 2 p.m. Volunteers are also welcome: complete a\u003ca href=\"https://martindeporres.org/thanksgiving/\"> sign-up form.\u003c/a>\u003c/li>\n\u003c/ul>\n\u003cp>\u003cstrong>St. Anthony’s Dining Room\u003c/strong>, 121 Golden Gate Ave.\u003c/p>\n\u003cul>\n\u003cli>Turkey, trimmings and fruit crumble will be served on Thanksgiving Day between 10 a.m. and 1:30 p.m. “To go” meals will then be available after 2 p.m.\u003c/li>\n\u003c/ul>\n\u003cp>\u003cstrong>GLIDE\u003c/strong>, 330 Ellis St.\u003c/p>\n\u003cul>\n\u003cli>Both breakfast and lunch will be served on Thanksgiving Day: breakfast from 7:30 a.m. to 9 a.m., followed by an optional church celebration at 10 a.m. and lunch from 11 a.m. to 1 p.m.\u003c/li>\n\u003c/ul>\n\u003cp>\u003cstrong>CityTeam\u003c/strong>, : 164 6th St.\u003c/p>\n\u003cul>\n\u003cli>Warm meals will be available for pick-up on Thanksgiving Day from 8 a.m. to 2 p.m.\u003c/li>\n\u003c/ul>\n\u003ch3>\u003ca id=\"eastbay\">\u003c/a>Thanksgiving meals in the East Bay\u003c/h3>\n\u003cp>\u003cstrong>East Oakland Collective\u003c/strong>, 7800 MacArthur Blvd., Oakland\u003c/p>\n\u003cul>\n\u003cli>Family meal kits will be distributed to 50 families on Wednesday, Nov. 27, from 10 a.m. to 12 p.m. while supplies last. Advanced reservation is required: Call 510-990-0775 to reserve your meal kit.\u003c/li>\n\u003c/ul>\n\u003cp>\u003cstrong>CityTeam\u003c/strong>, 722 Washington St., Oakland\u003c/p>\n\u003cul>\n\u003cli>Warm meals will be served on Thanksgiving Day from 11 a.m. to 4 p.m. A comfortable space to watch football and socialize will also be available, along with free haircuts.\u003c/li>\n\u003c/ul>\n\u003cp>\u003cstrong>Lake Merritt United Methodist Church\u003c/strong>, enter either at 1330 Lakeshore Ave. or 1255 First Ave., Oakland\u003c/p>\n\u003cul>\n\u003cli>Warm meals, which include turkey, will be served on Thanksgiving Day between noon and 1:30 p.m. Volunteers are also welcome: \u003ca href=\"https://www.signupgenius.com/go/20F0F45A5A72AA3F49-50712895-lmumc#/\">complete a sign-up form\u003c/a>.\u003c/li>\n\u003c/ul>\n\u003ch3>\u003ca id=\"southbay\">\u003c/a>Thanksgiving meals in the South Bay\u003c/h3>\n\u003cp>\u003cstrong>Sacred Heart Community Service\u003c/strong>, 1381 S. First St., San José\u003c/p>\n\u003cul>\n\u003cli>Food boxes will be distributed on Tuesday, Nov. 26, from 9 a.m. to 6 p.m. and Wednesday, Nov. 27, from 9 a.m. to 12 p.m. Boxes will include one of three kinds of protein: turkey, ham, or chicken. No pre-registration is required.\u003c/li>\n\u003c/ul>\n\u003cp>\u003cstrong>Salvation Army\u003c/strong>, 359 N. Fourth St., San José\u003c/p>\n\u003cul>\n\u003cli>A warm meal will be served on Wednesday, Nov. 26, for seniors starting at 11:30 a.m. and for everyone else at noon.\u003c/li>\n\u003c/ul>\n\u003cp>\u003cstrong>CityTeam\u003c/strong>, 580 Charles St., San José\u003c/p>\n\u003cul>\n\u003cli>Warm meals will be served on Thanksgiving Day from 11 a.m. to 5 p.m.\u003c/li>\n\u003c/ul>\n\u003cp>\u003c/p>\u003c/div>",
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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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"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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"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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"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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"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.",
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"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>",
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"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?",
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"tagline": "Politics from a personal perspective",
"info": "Political Breakdown is a new series that explores the political intersection of California and the nation. Each week hosts Scott Shafer and Marisa Lagos are joined with a new special guest to unpack politics -- with personality — and offer an insider’s glimpse at how politics happens.",
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"possible": {
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"info": "Possible is hosted by entrepreneur Reid Hoffman and writer Aria Finger. Together in Possible, Hoffman and Finger lead enlightening discussions about building a brighter collective future. The show features interviews with visionary guests like Trevor Noah, Sam Altman and Janette Sadik-Khan. Possible paints an optimistic portrait of the world we can create through science, policy, business, art and our shared humanity. It asks: What if everything goes right for once? How can we get there? Each episode also includes a short fiction story generated by advanced AI GPT-4, serving as a thought-provoking springboard to speculate how humanity could leverage technology for good.",
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"radiolab": {
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"reveal": {
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"info": "Created by The Center for Investigative Reporting and PRX, Reveal is public radios first one-hour weekly radio show and podcast dedicated to investigative reporting. Credible, fact based and without a partisan agenda, Reveal combines the power and artistry of driveway moment storytelling with data-rich reporting on critically important issues. The result is stories that inform and inspire, arming our listeners with information to right injustices, hold the powerful accountable and improve lives.Reveal is hosted by Al Letson and showcases the award-winning work of CIR and newsrooms large and small across the nation. In a radio and podcast market crowded with choices, Reveal focuses on important and often surprising stories that illuminate the world for our listeners.",
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},
"rightnowish": {
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"title": "Rightnowish",
"tagline": "Art is where you find it",
"info": "Rightnowish digs into life in the Bay Area right now… ish. Journalist Pendarvis Harshaw takes us to galleries painted on the sides of liquor stores in West Oakland. We'll dance in warehouses in the Bayview, make smoothies with kids in South Berkeley, and listen to classical music in a 1984 Cutlass Supreme in Richmond. Every week, Pen talks to movers and shakers about how the Bay Area shapes what they create, and how they shape the place we call home.",
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},
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"info": "Science Friday is a weekly science talk show, broadcast live over public radio stations nationwide. Each week, the show focuses on science topics that are in the news and tries to bring an educated, balanced discussion to bear on the scientific issues at hand. Panels of expert guests join host Ira Flatow, a veteran science journalist, to discuss science and to take questions from listeners during the call-in portion of the program.",
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"snap-judgment": {
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