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"content": "\u003cp>\u003cem>Updated at 7:45 p.m.\u003c/em>\u003c/p>\n\u003cp>California's top public health official has resigned, just days after the state \u003ca href=\"https://www.latimes.com/california/story/2020-08-07/california-coronavirus-reporting-backlog-cases\">announced how it plans to fix a glitch\u003c/a> that had caused a lag in reporting coronavirus test results used to make decisions about reopening businesses and schools.\u003c/p>\n\u003cp>Dr. Sonia Angell said in a resignation letter made public late Sunday that she's departing from her role as director and state public health officer at the California Department of Public Health.\u003c/p>\n\u003cp>Her letter to staff, released by the California Health and Human Services Agency, did not give a specific reason for her departure. Angell often appeared during news conferences about California's response to the pandemic alongside Gov. Gavin Newsom, who had appointed her to the dual roles.\u003c/p>\n\u003cp>“Decisions were made, and we’re moving forward,” Newsom said of the Sunday night resignation. “No one’s trying to hide that, no one’s trying to mask that. We’re owning that.”\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>The remarks came during Newsom’s first news conference since county and state health officials revealed the data error, which led to a lag in the reporting of nearly 300,000 coronavirus test results. The backlog has been resolved and the state expects to be able to finish updating its statewide virus trends in the next two to three days, he said.\u003c/p>\n\u003cp>Newsom did not answer Monday when reporters inquired whether he asked her to resign. But he said that he and Dr. Mark Ghaly, secretary of the California Health and Human Services Agency, made “changes” and “adjustments” to the state’s leadership team. Angell could not be reached for comment.\u003c/p>\n\u003cp>In a statement, Newsom thanked Angell \"for her service to the state and her work to help steer our public health system during this global pandemic, while never losing sight of the importance of health equity.\"\u003c/p>\n\u003cp>Marin County Public Health Officer Dr. Matt Willis said he was saddened and surprised by the announcement, but applauded Angell's work steering public health policy for the whole state.\u003c/p>\n\u003cp>\"We’re really experiencing a series of different epidemics across the state. It’s not possible to design a uniform response given the varied demographics, economies, cultures, politics and COVID-19 burden across the largest and most diverse state,\" Willis told KQED.\u003c/p>\n\u003cp>\"Dr. Angell knew that and always listened to local health officers,\" Willis said. \"She knew how important it is to stay connected to the front lines when you’re developing policy at the state.\"\u003c/p>\n\u003cp>Sandra Shewry, vice president of external engagement for the California Health Care Foundation, will fill the role of acting health director, the Health and Human Services department said. Dr. Erica Pan, who was recently appointed state epidemiologist, will be the acting state public health officer.\u003c/p>\n\u003cp>[aside label='Coronavirus Coverage' tag='coronavirus']Angell's announcement comes after California Health and Human Services Secretary Dr. Mark Ghaly said the test results glitch caused up to 300,000 records to be backlogged, though not all were coronavirus cases and some could be duplicates. The problem affected the California Reportable Disease Information Exchange, which is also known as CalREDIE.\u003c/p>\n\u003cp>\"I am grateful to Dr. Angell for her service to the people of California,\" Ghaly said in his statement late Sunday. \"Her leadership was instrumental as Californians flattened the curve once and in setting us on a path to do so again.\"\u003c/p>\n\u003cp>COVID-19 cases topped 554,000 in California on Sunday, state officials said. There have been more than 10,200 deaths statewide, with the great majority in Los Angeles County. However, the number of infections is thought to be higher because many people have not been tested, and studies suggest people can be infected with the virus without feeling sick. \u003c/p>\n\u003cp>For most people, the coronavirus causes mild or moderate symptoms, such as fever and cough that clear up in two to three weeks. For some — especially older adults and people with existing health problems — it can cause more severe illness, including pneumonia, and death.\u003c/p>\n\u003cp>Dr. Eric Topol, head of the Scripps Research Translational Institute in San Diego, said the data collection problem was part of a bigger issue: The state’s failure to stay closed longer.\u003c/p>\n\u003cp>“It’s not just reopening early that led to a surge but reopening early led to a lack of data flow that was optimal. This is far from optimal. This is embarrassing,” he said.\u003c/p>\n\u003cp>He noted that it’s surprising that California, which has the best information technology concentration in the world, was unprepared.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>\u003cem>This story includes reporting from The Associated Press.\u003c/em>\u003c/p>\n\n",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>\u003cem>Updated at 7:45 p.m.\u003c/em>\u003c/p>\n\u003cp>California's top public health official has resigned, just days after the state \u003ca href=\"https://www.latimes.com/california/story/2020-08-07/california-coronavirus-reporting-backlog-cases\">announced how it plans to fix a glitch\u003c/a> that had caused a lag in reporting coronavirus test results used to make decisions about reopening businesses and schools.\u003c/p>\n\u003cp>Dr. Sonia Angell said in a resignation letter made public late Sunday that she's departing from her role as director and state public health officer at the California Department of Public Health.\u003c/p>\n\u003cp>Her letter to staff, released by the California Health and Human Services Agency, did not give a specific reason for her departure. Angell often appeared during news conferences about California's response to the pandemic alongside Gov. Gavin Newsom, who had appointed her to the dual roles.\u003c/p>\n\u003cp>“Decisions were made, and we’re moving forward,” Newsom said of the Sunday night resignation. “No one’s trying to hide that, no one’s trying to mask that. We’re owning that.”\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>The remarks came during Newsom’s first news conference since county and state health officials revealed the data error, which led to a lag in the reporting of nearly 300,000 coronavirus test results. The backlog has been resolved and the state expects to be able to finish updating its statewide virus trends in the next two to three days, he said.\u003c/p>\n\u003cp>Newsom did not answer Monday when reporters inquired whether he asked her to resign. But he said that he and Dr. Mark Ghaly, secretary of the California Health and Human Services Agency, made “changes” and “adjustments” to the state’s leadership team. Angell could not be reached for comment.\u003c/p>\n\u003cp>In a statement, Newsom thanked Angell \"for her service to the state and her work to help steer our public health system during this global pandemic, while never losing sight of the importance of health equity.\"\u003c/p>\n\u003cp>Marin County Public Health Officer Dr. Matt Willis said he was saddened and surprised by the announcement, but applauded Angell's work steering public health policy for the whole state.\u003c/p>\n\u003cp>\"We’re really experiencing a series of different epidemics across the state. It’s not possible to design a uniform response given the varied demographics, economies, cultures, politics and COVID-19 burden across the largest and most diverse state,\" Willis told KQED.\u003c/p>\n\u003cp>\"Dr. Angell knew that and always listened to local health officers,\" Willis said. \"She knew how important it is to stay connected to the front lines when you’re developing policy at the state.\"\u003c/p>\n\u003cp>Sandra Shewry, vice president of external engagement for the California Health Care Foundation, will fill the role of acting health director, the Health and Human Services department said. Dr. Erica Pan, who was recently appointed state epidemiologist, will be the acting state public health officer.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>Angell's announcement comes after California Health and Human Services Secretary Dr. Mark Ghaly said the test results glitch caused up to 300,000 records to be backlogged, though not all were coronavirus cases and some could be duplicates. The problem affected the California Reportable Disease Information Exchange, which is also known as CalREDIE.\u003c/p>\n\u003cp>\"I am grateful to Dr. Angell for her service to the people of California,\" Ghaly said in his statement late Sunday. \"Her leadership was instrumental as Californians flattened the curve once and in setting us on a path to do so again.\"\u003c/p>\n\u003cp>COVID-19 cases topped 554,000 in California on Sunday, state officials said. There have been more than 10,200 deaths statewide, with the great majority in Los Angeles County. However, the number of infections is thought to be higher because many people have not been tested, and studies suggest people can be infected with the virus without feeling sick. \u003c/p>\n\u003cp>For most people, the coronavirus causes mild or moderate symptoms, such as fever and cough that clear up in two to three weeks. For some — especially older adults and people with existing health problems — it can cause more severe illness, including pneumonia, and death.\u003c/p>\n\u003cp>Dr. Eric Topol, head of the Scripps Research Translational Institute in San Diego, said the data collection problem was part of a bigger issue: The state’s failure to stay closed longer.\u003c/p>\n\u003cp>“It’s not just reopening early that led to a surge but reopening early led to a lack of data flow that was optimal. This is far from optimal. This is embarrassing,” he said.\u003c/p>\n\u003cp>He noted that it’s surprising that California, which has the best information technology concentration in the world, was unprepared.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>\u003cem>This story includes reporting from The Associated Press.\u003c/em>\u003c/p>\n\n\u003c/div>\u003c/p>",
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"content": "\u003cp>Places of worship in California can reopen for services, but only after they make major modifications based on a set of guidelines released Monday by state health officials.\u003c/p>\n\u003cp>The guidelines, issued by the California Department of Public Health, leave it to the discretion of individual counties to decide whether religious gatherings in their jurisdictions can resume. If local officials give the go-ahead, places of worship must limit attendance to 25% capacity or a maximum of 100 attendees — whichever is lower — for at least the first 21 days after reopening.\u003c/p>\n\u003cp>Most houses of worship have been limited to online and remote services since March, when Gov. Gavin Newsom issued a stay-at-home order to slow the spread of the coronavirus.\u003c/p>\n\u003cp>“Together, our actions have helped bend the curve and reduce infections in our state,” said Dr. Sonia Angell, state health officer and California Department of Public Health director, in a statement. “As sectors continue to open with changes that aim to lower risk, remember that COVID-19 is still present in our communities.”\u003c/p>\n\u003cp>Churches, synagogues, mosques and other houses of worship are also required to create COVID-19 prevention plans and establish protocols for screening workers and volunteers. The guidelines detail how to clean and disinfect high-traffic areas such as pews and lobbies, and items such as microphones and stands. Religious leaders and volunteers are urged to wear gloves and to continue enforcing social distancing by reconfiguring seating and avoiding large gatherings such as concerts and celebrations.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>The guidelines ask worshippers to wear masks, avoid sharing prayer books or prayer rugs and skip the collection plate. They also say to avoid food-sharing events and large gatherings for holidays, weddings and funerals, warning that activities such as singing or group recitation \"negate” the benefits of social distancing as they may increase coronavirus \"transmission through exhaled droplets.\"\u003c/p>\n\u003cp>Even with physical distancing, the guidelines caution that in-person worship carries a higher risk of transmitting the virus and increasing the numbers of hospitalizations and deaths and recommend houses of worship shorten services and continue offering remote options for participation.\u003c/p>\n\u003cp>Read the full guidelines \u003ca href=\"https://covid19.ca.gov/pdf/guidance-places-of-worship.pdf\">here\u003c/a>.\u003c/p>\n\u003cp>State officials on Monday also released guidelines for resuming in-store retail shopping, again based on approval by individual county health officials.\u003c/p>\n\u003cp>It’s not immediately clear how soon in-person religious services will resume. Counties that are having success controlling the virus are likely to move quickly. Others with outbreaks — such as Los Angeles County, which has about 60% of California’s roughly 3,800 deaths — may choose to delay.\u003c/p>\n\u003cp>Many congregations have been anxiously awaiting an announcement on religious services, a source of growing tension after Newsom began relaxing constraints on stores and other secular outlets earlier this month as part of a four-phase plan to reopen the economy.\u003c/p>\n\u003cp>The Roman Catholic Diocese of Orange announced last week that it is phasing in public masses beginning June 14, starting with restricted numbers of worshippers. At first, choirs will be banned, fonts won’t contain holy water and parishioners won’t perform rituals where they must touch each other.\u003c/p>\n\u003cp>“We know that God is with us, but at the same time we have to be careful and make sure that we protect each other in this challenging time,\" Bishop Kevin Vann said Friday.\u003c/p>\n\u003cp>However, some church leaders aren't eager to reopen. The Rev. Amos Brown, pastor of Third Baptist Church in San Francisco and head of the local NAACP chapter, led a protest Monday against reopening.\u003c/p>\n\u003cp>“We are not going to be rushing back to church,” he said by phone, noting that many leaders of his denomination have been sickened or died nationwide. Freedom of religion is “not the freedom to kill folks, not the freedom to put people in harm’s way. That’s insane,” he said.\u003c/p>\n\u003cp>Some 47 of the state's 58 counties have received permission to move deeper into the reopening by meeting standards for controlling the virus.\u003c/p>\n\u003cp>[aside label=\"related coverage\" tag=\"coronavirus\"]In California, most houses of worship have complied with social distancing, making do with online, remote and a few drive-in services.\u003c/p>\n\u003cp>In the Roman Catholic Archdiocese of Los Angeles, Archbishop José Gomez called on parishes to celebrate Pentecost — a major religious day for many Christians — next Sunday by holding food and blood drives.\u003c/p>\n\u003cp>“I think it is important for all us of to be aware that this is a very dangerous illness, and we are making sure that everything is OK when we come back and celebrate the Eucharist together,” he said.\u003c/p>\n\u003cp>But several thousand churches have vowed to defy the current restrictions on Pentecost, next Sunday, arguing they can do so safely. They have been \u003ca href=\"https://apnews.com/8a34b6599602dbd751f2c1fcb93387fe\">bolstered by President Trump\u003c/a>, who on Friday called churches \"essential\" and said governors should allow them to reopen.\u003c/p>\n\u003cp>Two church services that already were held without authorization have \u003ca href=\"https://www.kqed.org/news/11820576/officials-say-2-church-services-sources-of-virus-outbreaks-newsom-prepares-to-release-guidelines-for-religious-institutions\">been sources of outbreaks\u003c/a>; one in Mendocino County and the other in Butte County.\u003c/p>\n\u003cp>Newsom's cautious approach to reopening has angered opponents who claim the rules violate religious freedoms.\u003c/p>\n\u003cp>A Pentecostal church in San Diego County lost a federal appeal Friday in its quest to reopen immediately and filed an appeal with the U.S. Supreme Court.\u003c/p>\n\u003cp>The nonprofit Center for American Liberty, which has filed several lawsuits over church restrictions, said the guidelines don’t go far enough.\u003c/p>\n\u003cp>Newsom “lacks authority to dictate to California’s faithful how they may worship,” said Harmeet Dhillon, a San Francisco lawyer and the group’s CEO. “Let people who wish to worship safely and together, do so.”\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>\u003cem>This article includes reporting from Robert Jablon of The Associated Press.\u003c/em>\u003c/p>\n\n",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>Places of worship in California can reopen for services, but only after they make major modifications based on a set of guidelines released Monday by state health officials.\u003c/p>\n\u003cp>The guidelines, issued by the California Department of Public Health, leave it to the discretion of individual counties to decide whether religious gatherings in their jurisdictions can resume. If local officials give the go-ahead, places of worship must limit attendance to 25% capacity or a maximum of 100 attendees — whichever is lower — for at least the first 21 days after reopening.\u003c/p>\n\u003cp>Most houses of worship have been limited to online and remote services since March, when Gov. Gavin Newsom issued a stay-at-home order to slow the spread of the coronavirus.\u003c/p>\n\u003cp>“Together, our actions have helped bend the curve and reduce infections in our state,” said Dr. Sonia Angell, state health officer and California Department of Public Health director, in a statement. “As sectors continue to open with changes that aim to lower risk, remember that COVID-19 is still present in our communities.”\u003c/p>\n\u003cp>Churches, synagogues, mosques and other houses of worship are also required to create COVID-19 prevention plans and establish protocols for screening workers and volunteers. The guidelines detail how to clean and disinfect high-traffic areas such as pews and lobbies, and items such as microphones and stands. Religious leaders and volunteers are urged to wear gloves and to continue enforcing social distancing by reconfiguring seating and avoiding large gatherings such as concerts and celebrations.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>The guidelines ask worshippers to wear masks, avoid sharing prayer books or prayer rugs and skip the collection plate. They also say to avoid food-sharing events and large gatherings for holidays, weddings and funerals, warning that activities such as singing or group recitation \"negate” the benefits of social distancing as they may increase coronavirus \"transmission through exhaled droplets.\"\u003c/p>\n\u003cp>Even with physical distancing, the guidelines caution that in-person worship carries a higher risk of transmitting the virus and increasing the numbers of hospitalizations and deaths and recommend houses of worship shorten services and continue offering remote options for participation.\u003c/p>\n\u003cp>Read the full guidelines \u003ca href=\"https://covid19.ca.gov/pdf/guidance-places-of-worship.pdf\">here\u003c/a>.\u003c/p>\n\u003cp>State officials on Monday also released guidelines for resuming in-store retail shopping, again based on approval by individual county health officials.\u003c/p>\n\u003cp>It’s not immediately clear how soon in-person religious services will resume. Counties that are having success controlling the virus are likely to move quickly. Others with outbreaks — such as Los Angeles County, which has about 60% of California’s roughly 3,800 deaths — may choose to delay.\u003c/p>\n\u003cp>Many congregations have been anxiously awaiting an announcement on religious services, a source of growing tension after Newsom began relaxing constraints on stores and other secular outlets earlier this month as part of a four-phase plan to reopen the economy.\u003c/p>\n\u003cp>The Roman Catholic Diocese of Orange announced last week that it is phasing in public masses beginning June 14, starting with restricted numbers of worshippers. At first, choirs will be banned, fonts won’t contain holy water and parishioners won’t perform rituals where they must touch each other.\u003c/p>\n\u003cp>“We know that God is with us, but at the same time we have to be careful and make sure that we protect each other in this challenging time,\" Bishop Kevin Vann said Friday.\u003c/p>\n\u003cp>However, some church leaders aren't eager to reopen. The Rev. Amos Brown, pastor of Third Baptist Church in San Francisco and head of the local NAACP chapter, led a protest Monday against reopening.\u003c/p>\n\u003cp>“We are not going to be rushing back to church,” he said by phone, noting that many leaders of his denomination have been sickened or died nationwide. Freedom of religion is “not the freedom to kill folks, not the freedom to put people in harm’s way. That’s insane,” he said.\u003c/p>\n\u003cp>Some 47 of the state's 58 counties have received permission to move deeper into the reopening by meeting standards for controlling the virus.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>In California, most houses of worship have complied with social distancing, making do with online, remote and a few drive-in services.\u003c/p>\n\u003cp>In the Roman Catholic Archdiocese of Los Angeles, Archbishop José Gomez called on parishes to celebrate Pentecost — a major religious day for many Christians — next Sunday by holding food and blood drives.\u003c/p>\n\u003cp>“I think it is important for all us of to be aware that this is a very dangerous illness, and we are making sure that everything is OK when we come back and celebrate the Eucharist together,” he said.\u003c/p>\n\u003cp>But several thousand churches have vowed to defy the current restrictions on Pentecost, next Sunday, arguing they can do so safely. They have been \u003ca href=\"https://apnews.com/8a34b6599602dbd751f2c1fcb93387fe\">bolstered by President Trump\u003c/a>, who on Friday called churches \"essential\" and said governors should allow them to reopen.\u003c/p>\n\u003cp>Two church services that already were held without authorization have \u003ca href=\"https://www.kqed.org/news/11820576/officials-say-2-church-services-sources-of-virus-outbreaks-newsom-prepares-to-release-guidelines-for-religious-institutions\">been sources of outbreaks\u003c/a>; one in Mendocino County and the other in Butte County.\u003c/p>\n\u003cp>Newsom's cautious approach to reopening has angered opponents who claim the rules violate religious freedoms.\u003c/p>\n\u003cp>A Pentecostal church in San Diego County lost a federal appeal Friday in its quest to reopen immediately and filed an appeal with the U.S. Supreme Court.\u003c/p>\n\u003cp>The nonprofit Center for American Liberty, which has filed several lawsuits over church restrictions, said the guidelines don’t go far enough.\u003c/p>\n\u003cp>Newsom “lacks authority to dictate to California’s faithful how they may worship,” said Harmeet Dhillon, a San Francisco lawyer and the group’s CEO. “Let people who wish to worship safely and together, do so.”\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>\u003cem>This article includes reporting from Robert Jablon of The Associated Press.\u003c/em>\u003c/p>\n\n\u003c/div>\u003c/p>",
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"content": "\u003cp>During a press briefing on COVID-19 in mid-March, Gov. Gavin Newsom was asked how well he thinks California responds to emergency situations. His answer was definitive.\u003c/p>\n\u003cp>“We’re second to none,\" Newsom said. He explained that the state responds to all big disasters in the same way, be it an earthquake, wildfire or pandemic.\u003c/p>\n\u003cp>\"We have an all-hazards approach to suppression, mitigation and recovery,\" Newsom said.\u003c/p>\n\u003cp>Dr. Tony Iton, senior vice president of Healthy Communities with the California Endowment, agrees California has one of the best public health infrastructures in the country. But there are some caveats. [aside tag=\"coronavirus\" label=\"more coverage\"]\u003c/p>\n\u003cp>\"Even for having the best in the United States, it's not saying very much,\" Iton said. \"Because that core infrastructure of local public health has been frayed over the past decade.”\u003c/p>\n\u003cp>Public health in California are largely run by the counties. That \u003ca href=\"https://www.caphld.org/network-laboratories\">includes 29\u003c/a> county laboratories that test for things like sexually transmitted diseases, tuberculosis and West Nile Virus.\u003c/p>\n\u003cp>State Sen. Richard Pan, D-Sacramento, chairs the Senate Health Committee. He said county health departments are key to protecting the public, but their job is to stop outbreaks before they start. That made them vulnerable to budget cuts during the Great Recession, which began in December 2007.\u003c/p>\n\u003cp>“Public health took cuts,\" Pan said. \"Because, after all, when something isn’t happening, you go, 'Well, do you need these people right now? We kind of need people for other things, so we should lay off these people.' ”\u003c/p>\n\u003cp>California created a standalone Department of Public Health in 2007. But the department’s seen \u003ca href=\"/Users/korr/AppData/Local/Temp/Temp1_Public%20Health%20Funding.zip/Public%20Health%20Funding.html\">drops in funding from both the state and federal governments\u003c/a>. The state Legislative Analyst’s Office said if spending had been maintained at 2007 levels, the department would have had a nearly $4 billion budget today. Instead it’s closer to $3 billion.\u003c/p>\n\u003cp>There has been some reinvestment by the state. In last year's budget, \u003ca href=\"http://www.ebudget.ca.gov/2019-20/pdf/Enacted/BudgetSummary/HealthandHumanServices.pdf\">lawmakers allocated $40 million\u003c/a> for the prevention and control of infectious diseases.\u003c/p>\n\u003cp>Iton said, despite the cuts, the state’s leaders have done a good job reacting to the coronavirus so far. But he’s worried about medical responders being stretched too thin.\u003c/p>\n\u003cp>“You’re going to start to see fatigue in the folks that are on the front lines of this,\" Iton said. \"And because there's so few of them, and they don't have the reinforcements, and they haven't had the essential infrastructure support that they've needed over time, you're going to start to see cracks in the system.”\u003c/p>\n\u003cp>And how big those cracks get will depend on how long the outbreak continues.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>\u003c/p>\n",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>\"Even for having the best in the United States, it's not saying very much,\" Iton said. \"Because that core infrastructure of local public health has been frayed over the past decade.”\u003c/p>\n\u003cp>Public health in California are largely run by the counties. That \u003ca href=\"https://www.caphld.org/network-laboratories\">includes 29\u003c/a> county laboratories that test for things like sexually transmitted diseases, tuberculosis and West Nile Virus.\u003c/p>\n\u003cp>State Sen. Richard Pan, D-Sacramento, chairs the Senate Health Committee. He said county health departments are key to protecting the public, but their job is to stop outbreaks before they start. That made them vulnerable to budget cuts during the Great Recession, which began in December 2007.\u003c/p>\n\u003cp>“Public health took cuts,\" Pan said. \"Because, after all, when something isn’t happening, you go, 'Well, do you need these people right now? We kind of need people for other things, so we should lay off these people.' ”\u003c/p>\n\u003cp>California created a standalone Department of Public Health in 2007. But the department’s seen \u003ca href=\"/Users/korr/AppData/Local/Temp/Temp1_Public%20Health%20Funding.zip/Public%20Health%20Funding.html\">drops in funding from both the state and federal governments\u003c/a>. The state Legislative Analyst’s Office said if spending had been maintained at 2007 levels, the department would have had a nearly $4 billion budget today. Instead it’s closer to $3 billion.\u003c/p>\n\u003cp>There has been some reinvestment by the state. In last year's budget, \u003ca href=\"http://www.ebudget.ca.gov/2019-20/pdf/Enacted/BudgetSummary/HealthandHumanServices.pdf\">lawmakers allocated $40 million\u003c/a> for the prevention and control of infectious diseases.\u003c/p>\n\u003cp>Iton said, despite the cuts, the state’s leaders have done a good job reacting to the coronavirus so far. But he’s worried about medical responders being stretched too thin.\u003c/p>\n\u003cp>“You’re going to start to see fatigue in the folks that are on the front lines of this,\" Iton said. \"And because there's so few of them, and they don't have the reinforcements, and they haven't had the essential infrastructure support that they've needed over time, you're going to start to see cracks in the system.”\u003c/p>\n\u003cp>And how big those cracks get will depend on how long the outbreak continues.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cp>As huge swaths of California burned last fall, federal health officials descended on 20 California nursing homes to determine whether they were prepared to protect their vulnerable residents from fires, earthquakes and other disasters.\u003c/p>\n\u003cp>[pullquote size='medium' align='right' citation=\"Mike Connors, California Advocates for Nursing Home Reform\"]‘The fact that one of the nursing homes inspected was later destroyed by a wildfire speaks to the grave danger residents are facing today.’[/pullquote]\u003c/p>\n\u003cp>The results of their surprise inspections, which took place from September to December of 2018, were disturbing: Auditors found hundreds of potentially life-threatening violations of safety and emergency requirements, including blocked emergency exit doors, unsafe use of power strips and extension cords, and inadequate fuel for emergency generators, according to a \u003ca href=\"https://oig.hhs.gov/oas/reports/region9/91802009.pdf\" target=\"_blank\" rel=\"noopener noreferrer\">report\u003c/a> released Thursday by the Office of the Inspector General of the U.S. Department of Health and Human Services.\u003c/p>\n\u003cp>The nursing home residents “were at increased risk of injury or death during a fire or other emergency,” the report concluded.\u003c/p>\n\u003cp>The threat is not theoretical in a state that has been ravaged by natural disasters: One of the nursing homes that was inspected ended up burning down in a subsequent wildfire, so the report includes results only for the 19 remaining facilities, none of which are identified.\u003c/p>\n\u003cp>“The fact that one of the nursing homes inspected was later destroyed by a wildfire speaks to the grave danger residents are facing today,” said Mike Connors of the advocacy group California Advocates for Nursing Home Reform. He called the findings alarming but not surprising.\u003c/p>\n\u003cp>Even though the report didn’t name the nursing home that was destroyed, the California Association of Health Facilities, which represents most of the state’s skilled nursing facilities, identified it as one that burned down in the Nov.ember 2018 Camp Fire, the \u003ca href=\"https://www.washingtonpost.com/nation/2018/11/25/camp-fire-deadliest-wildfire-californias-history-has-been-contained/\" target=\"_blank\" rel=\"noopener noreferrer\">deadliest wildfire in the state’s history\u003c/a>.\u003c/p>\n\u003cp>Craig Cornett, CEO and president of the association, said all the residents were evacuated safely from that home — and from \u003ca href=\"https://www.mcknights.com/news/camp-fire-destroys-three-skilled-nursing-facilities/\">two others destroyed\u003c/a> in the same fire. Hundreds of other nursing homes also have responded to emergencies in the past three years without loss of life, he said, which shows that “the deficiencies in the report do not reflect true facility readiness.”\u003c/p>\n\u003cp>The association is concerned about safely violations, he added, but “this is an example of bureaucracy equipped with blinders.”\u003c/p>\n\u003cp>The federal inspectors said the violations occurred because of poor oversight by management and high staff turnover at the homes. But they also criticized the California Department of Public Health, the agency responsible for overseeing nursing homes in the state, for not ensuring the facilities complied with federal safety and emergency requirements.\u003c/p>\n\u003cp>In some cases, the state’s own inspectors had previously cited nursing homes for the same problems, but did not inspect the facilities again to ensure they had been fixed, the report said.\u003c/p>\n\u003cp>The department “can reduce the risk of resident injury or death by improving its oversight,” the report said. For example, it could “conduct more frequent site surveys at nursing homes to follow up on deficiencies previously cited rather than relying on reviews of documentation submitted by nursing homes.”\u003c/p>\n\u003cp>[aside label=\"related coverage\" tag=\"elderly\"]Officials from the state public health department told the auditors it had followed up with the 19 remaining homes to ensure they were addressing the problems identified. But the state disagreed with the report’s recommendation to inspect nursing homes more frequently, responding in a letter that federal rules don’t require on-site visits to determine whether problems have been fixed — and that the agency simply does not have enough inspectors.\u003c/p>\n\u003cp>The department declined a California Healthline request for comment.\u003c/p>\n\u003cp>The HHS inspector general is auditing nursing homes across the nation that receive payments from the public health insurance programs Medicare or Medicaid to determine whether the facilities meet the stricter federal safety and emergency guidelines adopted in 2016. The auditors did not choose the 20 nursing homes randomly out of the approximately 1,200 statewide, but rather selected those in fire- and earthquake-prone regions, as well as ones already on notice for health and safety violations.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>The inspectors found a total of 325 violations at the 19 homes. Among them:\u003c/p>\n\u003cul>\n\u003cli>Two of the homes had pathways leading to emergency exit doors that were blocked, including one exit door blocked by a pallet.\u003c/li>\n\u003cli>Sixteen had violations related to their fire alarm and sprinkler systems, including two that didn’t have their fire alarm systems routinely tested and maintained.\u003c/li>\n\u003cli>All had violations related to electrical equipment, including using power strips that did not meet requirements or were unsafely connected to appliances or other power strips.\u003c/li>\n\u003cli>Eight had not properly inspected, tested and maintained their emergency generators, which provide electricity for critical medical equipment during a power outage.\u003c/li>\n\u003cli>Two didn’t have enough generator fuel to last 96 hours. Generator power has become critical for nursing homes in recent months amid \u003ca href=\"https://californiahealthline.org/news/california-hospitals-and-nursing-homes-brace-for-wildfire-blackouts/\" target=\"_blank\" rel=\"noopener noreferrer\">widespread power shutdowns\u003c/a> aimed at preventing wildfires.\u003c/li>\n\u003cli>Three nursing homes’ emergency plans didn’t address evacuations.\u003c/li>\n\u003c/ul>\n\u003cp>“We don’t want reports like this,” said state Sen. John Moorlach, R-Costa Mesa. “It sounds like maybe we need to ask the state auditor to see if the site visits done by the state are being done thoroughly.”\u003c/p>\n\u003cp>\u003cem>This \u003ca href=\"https://khn.org/\">KHN\u003c/a> story first published on \u003ca href=\"http://www.californiahealthline.org/\">California Healthline\u003c/a>, a service of the \u003ca href=\"http://www.chcf.org/\">California Health Care Foundation\u003c/a>.\u003c/em>\u003c/p>\n\u003cp>\u003cem>\u003ca href=\"http://www.kaiserhealthnews.org/\">Kaiser Health News\u003c/a> (KHN) is a national health policy news service. It is an editorially independent program of the \u003ca href=\"http://www.kff.org/\">Henry J. Kaiser Family Foundation\u003c/a> which is not affiliated with Kaiser Permanente.\u003c/em>\u003c/p>\n\u003cp>\u003c/p>\n",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>As huge swaths of California burned last fall, federal health officials descended on 20 California nursing homes to determine whether they were prepared to protect their vulnerable residents from fires, earthquakes and other disasters.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "‘The fact that one of the nursing homes inspected was later destroyed by a wildfire speaks to the grave danger residents are facing today.’",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>The results of their surprise inspections, which took place from September to December of 2018, were disturbing: Auditors found hundreds of potentially life-threatening violations of safety and emergency requirements, including blocked emergency exit doors, unsafe use of power strips and extension cords, and inadequate fuel for emergency generators, according to a \u003ca href=\"https://oig.hhs.gov/oas/reports/region9/91802009.pdf\" target=\"_blank\" rel=\"noopener noreferrer\">report\u003c/a> released Thursday by the Office of the Inspector General of the U.S. Department of Health and Human Services.\u003c/p>\n\u003cp>The nursing home residents “were at increased risk of injury or death during a fire or other emergency,” the report concluded.\u003c/p>\n\u003cp>The threat is not theoretical in a state that has been ravaged by natural disasters: One of the nursing homes that was inspected ended up burning down in a subsequent wildfire, so the report includes results only for the 19 remaining facilities, none of which are identified.\u003c/p>\n\u003cp>“The fact that one of the nursing homes inspected was later destroyed by a wildfire speaks to the grave danger residents are facing today,” said Mike Connors of the advocacy group California Advocates for Nursing Home Reform. He called the findings alarming but not surprising.\u003c/p>\n\u003cp>Even though the report didn’t name the nursing home that was destroyed, the California Association of Health Facilities, which represents most of the state’s skilled nursing facilities, identified it as one that burned down in the Nov.ember 2018 Camp Fire, the \u003ca href=\"https://www.washingtonpost.com/nation/2018/11/25/camp-fire-deadliest-wildfire-californias-history-has-been-contained/\" target=\"_blank\" rel=\"noopener noreferrer\">deadliest wildfire in the state’s history\u003c/a>.\u003c/p>\n\u003cp>Craig Cornett, CEO and president of the association, said all the residents were evacuated safely from that home — and from \u003ca href=\"https://www.mcknights.com/news/camp-fire-destroys-three-skilled-nursing-facilities/\">two others destroyed\u003c/a> in the same fire. Hundreds of other nursing homes also have responded to emergencies in the past three years without loss of life, he said, which shows that “the deficiencies in the report do not reflect true facility readiness.”\u003c/p>\n\u003cp>The association is concerned about safely violations, he added, but “this is an example of bureaucracy equipped with blinders.”\u003c/p>\n\u003cp>The federal inspectors said the violations occurred because of poor oversight by management and high staff turnover at the homes. But they also criticized the California Department of Public Health, the agency responsible for overseeing nursing homes in the state, for not ensuring the facilities complied with federal safety and emergency requirements.\u003c/p>\n\u003cp>In some cases, the state’s own inspectors had previously cited nursing homes for the same problems, but did not inspect the facilities again to ensure they had been fixed, the report said.\u003c/p>\n\u003cp>The department “can reduce the risk of resident injury or death by improving its oversight,” the report said. For example, it could “conduct more frequent site surveys at nursing homes to follow up on deficiencies previously cited rather than relying on reviews of documentation submitted by nursing homes.”\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>Officials from the state public health department told the auditors it had followed up with the 19 remaining homes to ensure they were addressing the problems identified. But the state disagreed with the report’s recommendation to inspect nursing homes more frequently, responding in a letter that federal rules don’t require on-site visits to determine whether problems have been fixed — and that the agency simply does not have enough inspectors.\u003c/p>\n\u003cp>The department declined a California Healthline request for comment.\u003c/p>\n\u003cp>The HHS inspector general is auditing nursing homes across the nation that receive payments from the public health insurance programs Medicare or Medicaid to determine whether the facilities meet the stricter federal safety and emergency guidelines adopted in 2016. The auditors did not choose the 20 nursing homes randomly out of the approximately 1,200 statewide, but rather selected those in fire- and earthquake-prone regions, as well as ones already on notice for health and safety violations.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>The inspectors found a total of 325 violations at the 19 homes. Among them:\u003c/p>\n\u003cul>\n\u003cli>Two of the homes had pathways leading to emergency exit doors that were blocked, including one exit door blocked by a pallet.\u003c/li>\n\u003cli>Sixteen had violations related to their fire alarm and sprinkler systems, including two that didn’t have their fire alarm systems routinely tested and maintained.\u003c/li>\n\u003cli>All had violations related to electrical equipment, including using power strips that did not meet requirements or were unsafely connected to appliances or other power strips.\u003c/li>\n\u003cli>Eight had not properly inspected, tested and maintained their emergency generators, which provide electricity for critical medical equipment during a power outage.\u003c/li>\n\u003cli>Two didn’t have enough generator fuel to last 96 hours. Generator power has become critical for nursing homes in recent months amid \u003ca href=\"https://californiahealthline.org/news/california-hospitals-and-nursing-homes-brace-for-wildfire-blackouts/\" target=\"_blank\" rel=\"noopener noreferrer\">widespread power shutdowns\u003c/a> aimed at preventing wildfires.\u003c/li>\n\u003cli>Three nursing homes’ emergency plans didn’t address evacuations.\u003c/li>\n\u003c/ul>\n\u003cp>“We don’t want reports like this,” said state Sen. John Moorlach, R-Costa Mesa. “It sounds like maybe we need to ask the state auditor to see if the site visits done by the state are being done thoroughly.”\u003c/p>\n\u003cp>\u003cem>This \u003ca href=\"https://khn.org/\">KHN\u003c/a> story first published on \u003ca href=\"http://www.californiahealthline.org/\">California Healthline\u003c/a>, a service of the \u003ca href=\"http://www.chcf.org/\">California Health Care Foundation\u003c/a>.\u003c/em>\u003c/p>\n\u003cp>\u003cem>\u003ca href=\"http://www.kaiserhealthnews.org/\">Kaiser Health News\u003c/a> (KHN) is a national health policy news service. It is an editorially independent program of the \u003ca href=\"http://www.kff.org/\">Henry J. Kaiser Family Foundation\u003c/a> which is not affiliated with Kaiser Permanente.\u003c/em>\u003c/p>\n\u003cp>\u003c/p>\n\u003c/div>\u003c/p>",
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"disqusTitle": "Commercial Crab Fishing Season Tentatively Delayed, Recreational Warning Issued",
"title": "Commercial Crab Fishing Season Tentatively Delayed, Recreational Warning Issued",
"headTitle": "The California Report | KQED News",
"content": "\u003cp>The start of the commercial \u003ca href=\"http://www.wildlife.ca.gov/crab.\" target=\"_blank\" rel=\"noopener\">Dungeness crab\u003c/a> season will likely be delayed this year in California. Meanwhile, the recreational season starts Saturday — but not without a warning.\u003c/p>\n\u003ch3>Recreational Season\u003c/h3>\n\u003cp>The California Department of Public Health advises people catching crab recreationally not to consume the internal organs or guts of crab caught in two coastal areas due to the presence of domoic acid, a potent neurotoxin.\u003c/p>\n\u003cp>The areas covered by the advisory are Point Reyes in Marin County to Pillar Point in San Mateo County, and Shelter Cove in Humboldt County to Point Arena in Mendocino County.\u003cbr>\n[aside postID=\"news_11759053\" label=\"\"]\u003c/p>\n\u003cp>Low levels of domoic acid can cause nausea, diarrhea and dizziness. Higher levels can cause short-term memory loss, seizures and death.\u003c/p>\n\u003cp>\"Please remember to eviscerate any crab caught in these regions prior to cooking\" to lower the risk of poisoning, the department said.\u003c/p>\n\u003ch3>Commercial Season\u003c/h3>\n\u003cp>The California Department of Fish and Wildlife (CDFW) has tentatively pushed back the start of commercial Dungeness crab season to Nov. 23, originally scheduled for Nov. 15, due to concerns over the presence of whales, which have been increasingly getting entangled in lines.\u003c/p>\n\u003cfigure id=\"attachment_11784660\" class=\"wp-caption alignright\" style=\"max-width: 1920px\">\u003cimg class=\"size-full wp-image-11784660\" src=\"https://ww2.kqed.org/news/wp-content/uploads/sites/10/2019/11/RS19486_IMG_5192-qut.jpg\" alt=\"\" width=\"1920\" height=\"1440\" srcset=\"https://ww2.kqed.org/app/uploads/sites/10/2019/11/RS19486_IMG_5192-qut.jpg 1920w, https://ww2.kqed.org/app/uploads/sites/10/2019/11/RS19486_IMG_5192-qut-160x120.jpg 160w, https://ww2.kqed.org/app/uploads/sites/10/2019/11/RS19486_IMG_5192-qut-800x600.jpg 800w, https://ww2.kqed.org/app/uploads/sites/10/2019/11/RS19486_IMG_5192-qut-1020x765.jpg 1020w, https://ww2.kqed.org/app/uploads/sites/10/2019/11/RS19486_IMG_5192-qut-1200x900.jpg 1200w, https://ww2.kqed.org/app/uploads/sites/10/2019/11/RS19486_IMG_5192-qut-1832x1374.jpg 1832w, https://ww2.kqed.org/app/uploads/sites/10/2019/11/RS19486_IMG_5192-qut-1376x1032.jpg 1376w, https://ww2.kqed.org/app/uploads/sites/10/2019/11/RS19486_IMG_5192-qut-1044x783.jpg 1044w, https://ww2.kqed.org/app/uploads/sites/10/2019/11/RS19486_IMG_5192-qut-632x474.jpg 632w, https://ww2.kqed.org/app/uploads/sites/10/2019/11/RS19486_IMG_5192-qut-536x402.jpg 536w\" sizes=\"(max-width: 1920px) 100vw, 1920px\">\u003cfigcaption class=\"wp-caption-text\">The California Department of Public Health advises people catching crab recreationally not to consume the internal organs or guts in two coastal areas. \u003ccite>(Craig Miller/KQED)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>The agency made the preliminary decision after consulting stakeholders, including \"fishing, environmental and management agencies,\" according to CDFW Director Charlton Bonham.\u003c/p>\n\u003cp>Center for Biological Diversity Oceans Program Litigation Director Kristen Monsell said CDFW's decision is the result of the first scheduled assessment since a settlement was reached in March with the agency.\u003c/p>\n\u003cp>The group sued the state after 71 whales were caught in fishing lines in 2017 — the highest number since National Oceanic and Atmospheric Association (NOAA) Fisheries started keeping records in 1982. The ensuing deal requires the state to periodically assess the risk of entanglement in commercial Dungeness crab gear to whales and sea turtles.\u003c/p>\n\u003cp>\"This will give them extra time to migrate to their breeding grounds before thousands upon thousands of lines are dropped into their habitat.\" said Monsell, who hopes the agency will do another assessment before officially allowing crab fishermen to set their lines. But a second assessment is not legally required until Dec. 15.\u003c/p>\n\u003cp>[aside tag=\"dungeness-crab\" label=\"Related coverage\"]\u003c/p>\n\u003cp>Noah Oppenheim of the Pacific Coast Federation of Fishermen’s Associations said while Thanksgiving crab is still on the menu, the delay will cost its members millions in losses. He says whether the approach will even curb entanglements is a grand \"experiment\".\u003c/p>\n\u003cp>\"Crab fishermen will certainly take this one on the chin, it's been a tough year, it's been a tough half decade for the commercial dungeness crab fishery in California ... without question, the management institutions that we've designed have simply not caught up with the changes we see in the ocean, and the changes we need to implement to make sure that we have a viable fishery here,\" said Oppenheim.\u003c/p>\n\u003cp>\"The people of California are certainly going to be able to get their Thanksgiving crab this year, and that's critically important, so is being protective of marine life, we're committed to both,\" he added.\u003c/p>\n\u003cp>CDFW said it will enforce the delay unless its swayed by new information on Monday.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>\u003c/p>\n",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>The start of the commercial \u003ca href=\"http://www.wildlife.ca.gov/crab.\" target=\"_blank\" rel=\"noopener\">Dungeness crab\u003c/a> season will likely be delayed this year in California. Meanwhile, the recreational season starts Saturday — but not without a warning.\u003c/p>\n\u003ch3>Recreational Season\u003c/h3>\n\u003cp>The California Department of Public Health advises people catching crab recreationally not to consume the internal organs or guts of crab caught in two coastal areas due to the presence of domoic acid, a potent neurotoxin.\u003c/p>\n\u003cp>The areas covered by the advisory are Point Reyes in Marin County to Pillar Point in San Mateo County, and Shelter Cove in Humboldt County to Point Arena in Mendocino County.\u003cbr>\n\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>Low levels of domoic acid can cause nausea, diarrhea and dizziness. Higher levels can cause short-term memory loss, seizures and death.\u003c/p>\n\u003cp>\"Please remember to eviscerate any crab caught in these regions prior to cooking\" to lower the risk of poisoning, the department said.\u003c/p>\n\u003ch3>Commercial Season\u003c/h3>\n\u003cp>The California Department of Fish and Wildlife (CDFW) has tentatively pushed back the start of commercial Dungeness crab season to Nov. 23, originally scheduled for Nov. 15, due to concerns over the presence of whales, which have been increasingly getting entangled in lines.\u003c/p>\n\u003cfigure id=\"attachment_11784660\" class=\"wp-caption alignright\" style=\"max-width: 1920px\">\u003cimg class=\"size-full wp-image-11784660\" src=\"https://ww2.kqed.org/news/wp-content/uploads/sites/10/2019/11/RS19486_IMG_5192-qut.jpg\" alt=\"\" width=\"1920\" height=\"1440\" srcset=\"https://ww2.kqed.org/app/uploads/sites/10/2019/11/RS19486_IMG_5192-qut.jpg 1920w, https://ww2.kqed.org/app/uploads/sites/10/2019/11/RS19486_IMG_5192-qut-160x120.jpg 160w, https://ww2.kqed.org/app/uploads/sites/10/2019/11/RS19486_IMG_5192-qut-800x600.jpg 800w, https://ww2.kqed.org/app/uploads/sites/10/2019/11/RS19486_IMG_5192-qut-1020x765.jpg 1020w, https://ww2.kqed.org/app/uploads/sites/10/2019/11/RS19486_IMG_5192-qut-1200x900.jpg 1200w, https://ww2.kqed.org/app/uploads/sites/10/2019/11/RS19486_IMG_5192-qut-1832x1374.jpg 1832w, https://ww2.kqed.org/app/uploads/sites/10/2019/11/RS19486_IMG_5192-qut-1376x1032.jpg 1376w, https://ww2.kqed.org/app/uploads/sites/10/2019/11/RS19486_IMG_5192-qut-1044x783.jpg 1044w, https://ww2.kqed.org/app/uploads/sites/10/2019/11/RS19486_IMG_5192-qut-632x474.jpg 632w, https://ww2.kqed.org/app/uploads/sites/10/2019/11/RS19486_IMG_5192-qut-536x402.jpg 536w\" sizes=\"(max-width: 1920px) 100vw, 1920px\">\u003cfigcaption class=\"wp-caption-text\">The California Department of Public Health advises people catching crab recreationally not to consume the internal organs or guts in two coastal areas. \u003ccite>(Craig Miller/KQED)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>The agency made the preliminary decision after consulting stakeholders, including \"fishing, environmental and management agencies,\" according to CDFW Director Charlton Bonham.\u003c/p>\n\u003cp>Center for Biological Diversity Oceans Program Litigation Director Kristen Monsell said CDFW's decision is the result of the first scheduled assessment since a settlement was reached in March with the agency.\u003c/p>\n\u003cp>The group sued the state after 71 whales were caught in fishing lines in 2017 — the highest number since National Oceanic and Atmospheric Association (NOAA) Fisheries started keeping records in 1982. The ensuing deal requires the state to periodically assess the risk of entanglement in commercial Dungeness crab gear to whales and sea turtles.\u003c/p>\n\u003cp>\"This will give them extra time to migrate to their breeding grounds before thousands upon thousands of lines are dropped into their habitat.\" said Monsell, who hopes the agency will do another assessment before officially allowing crab fishermen to set their lines. But a second assessment is not legally required until Dec. 15.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>Noah Oppenheim of the Pacific Coast Federation of Fishermen’s Associations said while Thanksgiving crab is still on the menu, the delay will cost its members millions in losses. He says whether the approach will even curb entanglements is a grand \"experiment\".\u003c/p>\n\u003cp>\"Crab fishermen will certainly take this one on the chin, it's been a tough year, it's been a tough half decade for the commercial dungeness crab fishery in California ... without question, the management institutions that we've designed have simply not caught up with the changes we see in the ocean, and the changes we need to implement to make sure that we have a viable fishery here,\" said Oppenheim.\u003c/p>\n\u003cp>\"The people of California are certainly going to be able to get their Thanksgiving crab this year, and that's critically important, so is being protective of marine life, we're committed to both,\" he added.\u003c/p>\n\u003cp>CDFW said it will enforce the delay unless its swayed by new information on Monday.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cp>The number of patients subject to various forms of abuse or had their privacy violated at San Francisco's Laguna Honda Hospital is now 130 — not 23, as \u003ca href=\"https://www.kqed.org/news/11757925/hurtful-offensive-and-heartbreaking-major-patient-abuse-scandal-reported-at-s-f-s-laguna-honda-hospital\" target=\"_blank\" rel=\"noopener\">previously reported by city officials\u003c/a>.\u003c/p>\n\u003cp>The latest incidents were uncovered from a forensic analysis of the cellphones of six former employees, who allegedly carried out the abuse over a three-year period from 2016 to January 2019.\u003c/p>\n\u003cp>[aside postID=\"news_11757925\" label=\"Related coverage\"]\u003c/p>\n\u003cp>The additional evidence means that a total of about 30 patients suffered “some physical, sexual and psychological abuse,” according to Troy Williams, chief quality officer at Zuckerberg San Francisco General Hospital, who is assisting with reform efforts at Laguna Honda.\u003c/p>\n\u003cp>Williams testified Wednesday before an oversight committee of the San Francisco Board of Supervisors.\u003c/p>\n\u003cp>He clarified that there is no evidence of sexual assault or touching, but rather photos taken of nudity. Some patients were also chemically restrained- sometimes drugged for staff convenience using narcotics brought in from outside the facility.\u003c/p>\n\u003cp>Approximately 25 additional patients were photographed or were visible in the background of photographs that were taken without their consent. Another 75 patients had their names disclosed in recordings\u003ci>,\u003c/i> also a privacy violation.\u003c/p>\n\u003cp>Brent Andrew, spokesman for Zuckerberg San Francisco General Hospital supplied the latest tally in an email, to clarify earlier numbers.\u003c/p>\n\u003cp>The news of more incidents of abuse comes as city public health officials attempt to institute a number of reforms at Laguna Honda, one of the country’s largest skilled nursing and rehabilitation centers.\u003c/p>\n\u003cp>The reforms follow revelations made public by Mayor London Breed in June that six, now former, employees allegedly abused 23 patients, including kicking one, having sexual conversations with others, taking nude photos and inappropriately drugging patients.\u003c/p>\n\u003cp>An investigation by the California Department of Public Health (CDPH) found that deficiencies in the hospital’s medication management, workplace safety and hospital leadership were “primary contributing factors” in patient abuse.\u003c/p>\n\u003cp>Details of the abuse were obtained by the \u003ca href=\"https://www.sfexaminer.com/news/sordid-details-emerge-in-abuse-of-patients-at-laguna-honda-hospital/\" target=\"_blank\" rel=\"noopener\">San Francisco Examiner\u003c/a> through a public records request to the CDPH.\u003c/p>\n\u003cp>City officials have said they initially uncovered evidence of the abuse during an investigation of an unrelated staff complaint.\u003c/p>\n\u003cp>Williams said he is currently facilitating interviews between the San Francisco Police Department and Laguna Honda residents to assist in the department’s ongoing criminal investigation.\u003c/p>\n\u003cp>Williams also said his team has been in contact with all the relevant licensing and certification boards because “we don’t feel like those folks [the former employees] should ever work — ever again — in any health care setting.”\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>Supervisor Norman Yee suggested jail would be an appropriate fate.\u003c/p>\n\u003cp>As a result of the scandal, Williams revealed the city is already facing two lawsuits. The city has also paid a $780,000 fine and is expected to be hit with more, due to the additional recordings of abuse, according to Williams.\u003c/p>\n\u003cp>Following the initial revelations, Laguna Honda hospital CEO Mivic Hirose was fired. Margaret Rykowski, the Public Health Department’s chief integrity officer and director of compliance and privacy affairs, is now acting CEO.\u003c/p>\n\u003cp>However, Williams said the hospital is now in full compliance with state and federal regulations. The CDHP’s report this summer found the hospital out of compliance by failing to protect the privacy rights of patients, to ensure they are free of chemical restraints and to protect them from verbal, physical and mental abuse.\u003c/p>\n\u003cp>Yee said hospital officials will need to win back the trust of the city’s residents, “who cannot be asked to entrust the care of their loved ones to any entity that cannot prove that they have an effective system that guarantees the safety and well-being of every single patient.”\u003c/p>\n\u003cp>\u003cem>KQED's Matthew Green contributed to this report.\u003c/em>\u003c/p>\n\u003cp>\u003cem>Editor's note: This story has been edited to correct conflicting information provided by the Department of Public Health about the number of patient abuse cases.\u003c/em>\u003c/p>\n\u003cp>\u003c/p>\n",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>The number of patients subject to various forms of abuse or had their privacy violated at San Francisco's Laguna Honda Hospital is now 130 — not 23, as \u003ca href=\"https://www.kqed.org/news/11757925/hurtful-offensive-and-heartbreaking-major-patient-abuse-scandal-reported-at-s-f-s-laguna-honda-hospital\" target=\"_blank\" rel=\"noopener\">previously reported by city officials\u003c/a>.\u003c/p>\n\u003cp>The latest incidents were uncovered from a forensic analysis of the cellphones of six former employees, who allegedly carried out the abuse over a three-year period from 2016 to January 2019.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>The additional evidence means that a total of about 30 patients suffered “some physical, sexual and psychological abuse,” according to Troy Williams, chief quality officer at Zuckerberg San Francisco General Hospital, who is assisting with reform efforts at Laguna Honda.\u003c/p>\n\u003cp>Williams testified Wednesday before an oversight committee of the San Francisco Board of Supervisors.\u003c/p>\n\u003cp>He clarified that there is no evidence of sexual assault or touching, but rather photos taken of nudity. Some patients were also chemically restrained- sometimes drugged for staff convenience using narcotics brought in from outside the facility.\u003c/p>\n\u003cp>Approximately 25 additional patients were photographed or were visible in the background of photographs that were taken without their consent. Another 75 patients had their names disclosed in recordings\u003ci>,\u003c/i> also a privacy violation.\u003c/p>\n\u003cp>Brent Andrew, spokesman for Zuckerberg San Francisco General Hospital supplied the latest tally in an email, to clarify earlier numbers.\u003c/p>\n\u003cp>The news of more incidents of abuse comes as city public health officials attempt to institute a number of reforms at Laguna Honda, one of the country’s largest skilled nursing and rehabilitation centers.\u003c/p>\n\u003cp>The reforms follow revelations made public by Mayor London Breed in June that six, now former, employees allegedly abused 23 patients, including kicking one, having sexual conversations with others, taking nude photos and inappropriately drugging patients.\u003c/p>\n\u003cp>An investigation by the California Department of Public Health (CDPH) found that deficiencies in the hospital’s medication management, workplace safety and hospital leadership were “primary contributing factors” in patient abuse.\u003c/p>\n\u003cp>Details of the abuse were obtained by the \u003ca href=\"https://www.sfexaminer.com/news/sordid-details-emerge-in-abuse-of-patients-at-laguna-honda-hospital/\" target=\"_blank\" rel=\"noopener\">San Francisco Examiner\u003c/a> through a public records request to the CDPH.\u003c/p>\n\u003cp>City officials have said they initially uncovered evidence of the abuse during an investigation of an unrelated staff complaint.\u003c/p>\n\u003cp>Williams said he is currently facilitating interviews between the San Francisco Police Department and Laguna Honda residents to assist in the department’s ongoing criminal investigation.\u003c/p>\n\u003cp>Williams also said his team has been in contact with all the relevant licensing and certification boards because “we don’t feel like those folks [the former employees] should ever work — ever again — in any health care setting.”\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>Supervisor Norman Yee suggested jail would be an appropriate fate.\u003c/p>\n\u003cp>As a result of the scandal, Williams revealed the city is already facing two lawsuits. The city has also paid a $780,000 fine and is expected to be hit with more, due to the additional recordings of abuse, according to Williams.\u003c/p>\n\u003cp>Following the initial revelations, Laguna Honda hospital CEO Mivic Hirose was fired. Margaret Rykowski, the Public Health Department’s chief integrity officer and director of compliance and privacy affairs, is now acting CEO.\u003c/p>\n\u003cp>However, Williams said the hospital is now in full compliance with state and federal regulations. The CDHP’s report this summer found the hospital out of compliance by failing to protect the privacy rights of patients, to ensure they are free of chemical restraints and to protect them from verbal, physical and mental abuse.\u003c/p>\n\u003cp>Yee said hospital officials will need to win back the trust of the city’s residents, “who cannot be asked to entrust the care of their loved ones to any entity that cannot prove that they have an effective system that guarantees the safety and well-being of every single patient.”\u003c/p>\n\u003cp>\u003cem>KQED's Matthew Green contributed to this report.\u003c/em>\u003c/p>\n\u003cp>\u003cem>Editor's note: This story has been edited to correct conflicting information provided by the Department of Public Health about the number of patient abuse cases.\u003c/em>\u003c/p>\n\u003cp>\u003c/p>\n\u003c/div>\u003c/p>",
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"title": "Nacho Cheese Sauce Tainted With Botulism Kills California Man",
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"content": "\u003cp>A rare outbreak of botulism has hospitalized nine people and killed one man in northern California, health officials say.\u003c/p>\n\u003cp>The outbreak began early last month when several people fell ill after eating nacho cheese sauce bought at a gas station in Walnut Grove, just outside Sacramento.\u003c/p>\n\u003cp>Health officials removed four batches of nacho cheese sauce from the Valley Oak Food and Fuel gas station on May 5. Now, that cheese has tested positive for the botulinum toxin, the California Department of Public Health \u003ca href=\"https://www.cdph.ca.gov/Programs/OPA/Pages/NR17-047.aspx\">says\u003c/a>.\u003c/p>\n\u003cp>In a statement issued Monday, the department said it “believes there is no continuing risk to the public.”\u003c/p>\n\u003cp>The man who died, Martin Galindo, had been in the hospital for several weeks before his death, according to a \u003ca href=\"https://www.gofundme.com/support-for-martins-recovery\">GoFundMe page\u003c/a> created by his family. He had been on a ventilator and eventually fell into a coma.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>Botulism is \u003ca href=\"https://www.cdc.gov/botulism/\">caused by\u003c/a> a toxin secreted by the bacterium \u003cem>Clostridium botulinum. \u003c/em>The toxin attacks the nervous system, causing blurry vision, slurred speech, paralysis and difficulty breathing. In about 3 to 5 percent of cases, botulism is fatal, even when it’s treated with antitoxin.\u003c/p>\n\u003cp>Botulism is rare these days. Each year, there only about 20 cases in adults, linked to food poisoning, \u003ca href=\"https://www.cdc.gov/botulism/surveillance.html\">according to\u003c/a> the Centers for Disease Control and Prevention.\u003c/p>\n\u003cp>The source is often \u003ca href=\"https://www.cdc.gov/botulism/consumer.html\">home-canned food\u003c/a>, although sometimes the toxin does show up in retail products, like chopped garlic in oil, carrot juice and \u003ca href=\"https://www.fda.gov/newsevents/publichealthfocus/ucm179201.htm\">chili pepper sauce\u003c/a>.\u003c/p>\n\u003cp>“As we head into the summer barbecue season, both indoor and outdoor chefs need to be on guard against all foodborne illnesses,” said Dr. Karen Smith of the California Department of Public Health in a \u003ca href=\"https://www.cdph.ca.gov/Programs/OPA/Pages/NR17-047.aspx\">statement\u003c/a> Monday.\u003c/p>\n\u003cp>The U.S. Department of Agriculture gives detailed \u003ca href=\"http://nchfp.uga.edu/publications/publications_usda.html\">instructions\u003c/a> for how to can foods safely, and the CDC has a list of recommendations to help prevent botulism in your canned food. For example:\u003c/p>\n\u003cul>\n\u003cli>Store the food at 50 to 70 degrees Fahrenheit before opening.\u003c/li>\n\u003cli>Use the food within one year after canning.\u003c/li>\n\u003cli>Don’t use cans that are swollen, cracked or squirt liquid or foam when you open them.\u003c/li>\n\u003cli>Boil foods low in acid for 10 minutes before eating. These foods include asparagus, beets, green beans, potatoes, some tomatoes, seafood and meat. High temperature will inactivate the toxin.\u003c/li>\n\u003c/ul>\n\u003cp>\u003c/p>\n\u003cp>For retail products, store oils infused with garlic, chili sauces and canned cheeses in the refrigerator. And don’t use them after their expiration dates.\u003c/p>\n\u003cdiv class=\"fullattribution\">Copyright 2017 NPR. To see more, visit http://www.npr.org/.\u003cimg decoding=\"async\" src=\"https://www.google-analytics.com/__utm.gif?utmac=UA-5828686-4&utmdt=Nacho+Cheese+Sauce+Tainted+With+Botulism+Kills+California+Man&utme=8(APIKey)9(MDAxOTAwOTE4MDEyMTkxMDAzNjczZDljZA004)\">\u003c/div>\n\n",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>A rare outbreak of botulism has hospitalized nine people and killed one man in northern California, health officials say.\u003c/p>\n\u003cp>The outbreak began early last month when several people fell ill after eating nacho cheese sauce bought at a gas station in Walnut Grove, just outside Sacramento.\u003c/p>\n\u003cp>Health officials removed four batches of nacho cheese sauce from the Valley Oak Food and Fuel gas station on May 5. Now, that cheese has tested positive for the botulinum toxin, the California Department of Public Health \u003ca href=\"https://www.cdph.ca.gov/Programs/OPA/Pages/NR17-047.aspx\">says\u003c/a>.\u003c/p>\n\u003cp>In a statement issued Monday, the department said it “believes there is no continuing risk to the public.”\u003c/p>\n\u003cp>The man who died, Martin Galindo, had been in the hospital for several weeks before his death, according to a \u003ca href=\"https://www.gofundme.com/support-for-martins-recovery\">GoFundMe page\u003c/a> created by his family. He had been on a ventilator and eventually fell into a coma.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>Botulism is \u003ca href=\"https://www.cdc.gov/botulism/\">caused by\u003c/a> a toxin secreted by the bacterium \u003cem>Clostridium botulinum. \u003c/em>The toxin attacks the nervous system, causing blurry vision, slurred speech, paralysis and difficulty breathing. In about 3 to 5 percent of cases, botulism is fatal, even when it’s treated with antitoxin.\u003c/p>\n\u003cp>Botulism is rare these days. Each year, there only about 20 cases in adults, linked to food poisoning, \u003ca href=\"https://www.cdc.gov/botulism/surveillance.html\">according to\u003c/a> the Centers for Disease Control and Prevention.\u003c/p>\n\u003cp>The source is often \u003ca href=\"https://www.cdc.gov/botulism/consumer.html\">home-canned food\u003c/a>, although sometimes the toxin does show up in retail products, like chopped garlic in oil, carrot juice and \u003ca href=\"https://www.fda.gov/newsevents/publichealthfocus/ucm179201.htm\">chili pepper sauce\u003c/a>.\u003c/p>\n\u003cp>“As we head into the summer barbecue season, both indoor and outdoor chefs need to be on guard against all foodborne illnesses,” said Dr. Karen Smith of the California Department of Public Health in a \u003ca href=\"https://www.cdph.ca.gov/Programs/OPA/Pages/NR17-047.aspx\">statement\u003c/a> Monday.\u003c/p>\n\u003cp>The U.S. Department of Agriculture gives detailed \u003ca href=\"http://nchfp.uga.edu/publications/publications_usda.html\">instructions\u003c/a> for how to can foods safely, and the CDC has a list of recommendations to help prevent botulism in your canned food. For example:\u003c/p>\n\u003cul>\n\u003cli>Store the food at 50 to 70 degrees Fahrenheit before opening.\u003c/li>\n\u003cli>Use the food within one year after canning.\u003c/li>\n\u003cli>Don’t use cans that are swollen, cracked or squirt liquid or foam when you open them.\u003c/li>\n\u003cli>Boil foods low in acid for 10 minutes before eating. These foods include asparagus, beets, green beans, potatoes, some tomatoes, seafood and meat. High temperature will inactivate the toxin.\u003c/li>\n\u003c/ul>\n\u003cp>\u003c/p>\n\u003cp>For retail products, store oils infused with garlic, chili sauces and canned cheeses in the refrigerator. And don’t use them after their expiration dates.\u003c/p>\n\u003cdiv class=\"fullattribution\">Copyright 2017 NPR. To see more, visit http://www.npr.org/.\u003cimg decoding=\"async\" src=\"https://www.google-analytics.com/__utm.gif?utmac=UA-5828686-4&utmdt=Nacho+Cheese+Sauce+Tainted+With+Botulism+Kills+California+Man&utme=8(APIKey)9(MDAxOTAwOTE4MDEyMTkxMDAzNjczZDljZA004)\">\u003c/div>\n\n\u003c/div>\u003c/p>",
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"content": "\u003cfigure id=\"attachment_20919\" class=\"wp-caption aligncenter\" style=\"max-width: 640px\">\u003ca href=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2014/08/79997774-e1408556674718.jpg\">\u003cimg class=\"size-large wp-image-20919\" title=\"\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2014/08/79997774-640x426.jpg\" alt=\"Ebola virus magnified 108,000 times. (Getty Images)\" width=\"640\" height=\"426\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">Ebola virus magnified 108,000 times. (Getty Images)\u003c/figcaption>\u003c/figure>\n\u003cp>A\u003ca href=\"http://ww2.kqed.org/stateofhealth/2014/08/20/kaiser-sacramento-patient-being-tested-for-possible-exposure-to-ebola/\" target=\"_blank\"> patient admitted to a Kaiser hospital\u003c/a> in South Sacramento has tested negative for the Ebola virus, said Dr. Ron Chapman, director of the California Department of Public Health (CDPH) in a brief press conference Thursday evening.\u003c/p>\n\u003cp>Chapman said the results came in from the Centers for Disease Control and Prevention earlier in the day. Chapman, Kaiser officials and Sacramento County health officials refused to answer other questions about the patient, citing privacy laws.\u003c/p>\n\u003cp>\u003ca href=\"http://ww2.kqed.org/stateofhealth/2014/08/20/kaiser-sacramento-patient-being-tested-for-possible-exposure-to-ebola/\" target=\"_blank\">Earlier this week\u003c/a>, CDPH called the patient \"low risk\" and said the testing was occurring out of an \"abundance of caution.\" Chapman said CDPH and Kaiser made the determination that the patient was low risk by \u003ca href=\"http://www.cdc.gov/vhf/ebola/hcp/case-definition.html\" target=\"_blank\">following established CDC assessment tools\u003c/a>, available to any health care worker.\u003c/p>\n\u003cp>Chapman stressed that Ebola is \"a very difficult infection to spread.\" It does not spread through air, food or water. The virus can only be spread through direct physical contact with an infected person's bodily fluid, including blood and sweat.\u003c/p>\n\u003cp>There are no reported cases of Ebola in California. In West Africa, \u003ca href=\"http://www.cdc.gov/vhf/ebola/outbreaks/guinea/index.html\" target=\"_blank\">the disease has killed 1,350 people\u003c/a>.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\u003cp>\u003c/p>\n",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cfigure id=\"attachment_20919\" class=\"wp-caption aligncenter\" style=\"max-width: 640px\">\u003ca href=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2014/08/79997774-e1408556674718.jpg\">\u003cimg class=\"size-large wp-image-20919\" title=\"\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2014/08/79997774-640x426.jpg\" alt=\"Ebola virus magnified 108,000 times. (Getty Images)\" width=\"640\" height=\"426\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">Ebola virus magnified 108,000 times. (Getty Images)\u003c/figcaption>\u003c/figure>\n\u003cp>A\u003ca href=\"http://ww2.kqed.org/stateofhealth/2014/08/20/kaiser-sacramento-patient-being-tested-for-possible-exposure-to-ebola/\" target=\"_blank\"> patient admitted to a Kaiser hospital\u003c/a> in South Sacramento has tested negative for the Ebola virus, said Dr. Ron Chapman, director of the California Department of Public Health (CDPH) in a brief press conference Thursday evening.\u003c/p>\n\u003cp>Chapman said the results came in from the Centers for Disease Control and Prevention earlier in the day. Chapman, Kaiser officials and Sacramento County health officials refused to answer other questions about the patient, citing privacy laws.\u003c/p>\n\u003cp>\u003ca href=\"http://ww2.kqed.org/stateofhealth/2014/08/20/kaiser-sacramento-patient-being-tested-for-possible-exposure-to-ebola/\" target=\"_blank\">Earlier this week\u003c/a>, CDPH called the patient \"low risk\" and said the testing was occurring out of an \"abundance of caution.\" Chapman said CDPH and Kaiser made the determination that the patient was low risk by \u003ca href=\"http://www.cdc.gov/vhf/ebola/hcp/case-definition.html\" target=\"_blank\">following established CDC assessment tools\u003c/a>, available to any health care worker.\u003c/p>\n\u003cp>Chapman stressed that Ebola is \"a very difficult infection to spread.\" It does not spread through air, food or water. The virus can only be spread through direct physical contact with an infected person's bodily fluid, including blood and sweat.\u003c/p>\n\u003cp>There are no reported cases of Ebola in California. In West Africa, \u003ca href=\"http://www.cdc.gov/vhf/ebola/outbreaks/guinea/index.html\" target=\"_blank\">the disease has killed 1,350 people\u003c/a>.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"disqusTitle": "Whooping Cough Reaches 'Epidemic' Level in California",
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"content": "\u003cfigure id=\"attachment_139103\" class=\"wp-caption alignright\" style=\"max-width: 640px\">\u003ca href=\"http://ww2.kqed.org/news/wp-content/uploads/sites/10/2014/06/RS8622_104228158-lpr.jpg\">\u003cimg class=\"size-medium wp-image-139103\" src=\"http://ww2.kqed.org/news/wp-content/uploads/sites/10/2014/06/RS8622_104228158-lpr-640x425.jpg\" alt=\"A vial containing pertussis vaccine. (Robyn Beck/AFP-Getty Images)\" width=\"640\" height=\"425\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">A vial containing pertussis vaccine. (Robyn Beck/AFP-Getty Images) \u003ccite>(Robyn Beck/AFP-Getty Images)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>California health officials announced Friday that \u003ca href=\"http://www.cdc.gov/pertussis/\" target=\"_blank\">whooping cough (also known as pertussis\u003c/a>) has reached epidemic levels in the state. The \u003ca href=\"http://www.cdph.ca.gov/programs/immunize/Documents/Pertussis_Report_6-10-2014.pdf\" target=\"_blank\">Department of Public Health reported 809 new cases of the infection\u003c/a>, bringing the 2014 total to 3,458. That's 1,000 more cases than all of last year.\u003c/p>\n\u003cp>Four Bay Area communities have been hit particularly hard: Sonoma, Napa and Marin counties and Berkeley, which reports separately from the rest of Alameda County.\u003c/p>\n\u003cp>The overall state incidence rate is about 9 cases per 100,000 people, the CDPH says. But for Sonoma County the rate is 103 per 100,000; in Napa it's 65, and in Marin it's 53. Berkeley's rate is lower — 25 per 100,000; but that's three times higher than the rate for Alameda County as a whole. The rest of the Bay Area reports rates between a low of 6 per 100,000 in Santa Clara County and 17 per 100,000 in Solano County.\u003c/p>\n\u003cp>The CDPH said this year's epidemic is due at least in part to the cyclical nature of pertussis, which officials say peaks every three to five years. The last peak was in 2010, when the state had more than 9,000 cases and recorded 10 infant deaths connected to the disease.\u003c/p>\n\u003cp>But health officials say other factors may be at play, too. One suspected problem is the widespread use of acellular pertussis vaccines, which cause fewer negative reactions in patients than earlier vaccines but may not provide the long-lasting immunity.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>Another widely discussed factor is that fewer children in some communities are receiving vaccinations for pertussis and other illnesses. That's because parents fearing potential harm from the vaccines are increasingly seeking \"personal belief exemptions\" (PBEs) that allow them to enroll children in school without getting state-required vaccinations. \u003ca href=\"http://ww2.kqed.org/news/2013/08/21/marin-vaccinations/\" target=\"_blank\">As we reported last summer\u003c/a>, Marin County had a 7.8 percent PBE rate, the highest in the nine-county Bay Area. The statewide rate is 2.8 percent\u003c/p>\n\u003cp>But those PBE numbers alone don't appear to explain the pertussis spike in some locales. Santa Cruz County has a 9.6 percent personal-belief-exemption rate. But today's state figures show the county reporting a pertussis incidence rate of 11 per 100,000 — far below the North Bay counties and relatively close to the statewide rate. If you want to look up that PBE rate for schools in your community, \u003ca href=\"http://blogs.kqed.org/stateofhealth/2013/09/06/more-california-parents-opting-out-of-vaccines-look-up-your-school-online/\" target=\"_blank\">search the database that KQED's State of Health blog posted last year\u003c/a>.\u003c/p>\n\u003cp>Here's the latest Associated Press report on the whooping cough story:\u003c/p>\n\u003cp>\u003cstrong>Associated Press\u003c/strong>\u003c/p>\n\u003cp>LOS ANGELES — The number of whooping cough cases in California is now at an epidemic level, state health officials said Friday.\u003c/p>\n\u003cp>More than 800 whooping cough cases were reported over the past two weeks, suggesting that\u003ca href=\"http://www.cdc.gov/pertussis/\" target=\"_blank\"> the infection, which is also known as pertussis\u003c/a>, is spreading rapidly, according to a statement by the California Department of Public Health.\u003c/p>\n\u003cp>As of June 10, there were 3,458 reported cases — more than in all of 2013. There have been two reported infant deaths.\u003c/p>\n\u003cp>The infection is cyclical and peaks every three to five years, officials said. The previous whooping cough peak was in 2010, when an epidemic struck 9,159 people and killed 10 infants in the state.\u003c/p>\n\u003cp>Infants are most susceptible to the disease, so parents are encouraged to vaccinate their children as early as possible. Pregnant women are also encouraged to get vaccinated.\u003c/p>\n\u003cp>The disease has also raised national concerns. Although California is the only state to declare an epidemic, there has been a 24 percent increase of reported pertussis cases nationally from this time last year, according to the Centers for Disease Control and Prevention.\u003c/p>\n\u003cp>Whooping cough begins with cold-like symptoms and can progress to severe coughing fits that leave people gasping for breath.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>California officials said they were working closely with local health departments and schools to inform the public of the importance of vaccinations.\u003c/p>\n\n",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cfigure id=\"attachment_139103\" class=\"wp-caption alignright\" style=\"max-width: 640px\">\u003ca href=\"http://ww2.kqed.org/news/wp-content/uploads/sites/10/2014/06/RS8622_104228158-lpr.jpg\">\u003cimg class=\"size-medium wp-image-139103\" src=\"http://ww2.kqed.org/news/wp-content/uploads/sites/10/2014/06/RS8622_104228158-lpr-640x425.jpg\" alt=\"A vial containing pertussis vaccine. (Robyn Beck/AFP-Getty Images)\" width=\"640\" height=\"425\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">A vial containing pertussis vaccine. (Robyn Beck/AFP-Getty Images) \u003ccite>(Robyn Beck/AFP-Getty Images)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>California health officials announced Friday that \u003ca href=\"http://www.cdc.gov/pertussis/\" target=\"_blank\">whooping cough (also known as pertussis\u003c/a>) has reached epidemic levels in the state. The \u003ca href=\"http://www.cdph.ca.gov/programs/immunize/Documents/Pertussis_Report_6-10-2014.pdf\" target=\"_blank\">Department of Public Health reported 809 new cases of the infection\u003c/a>, bringing the 2014 total to 3,458. That's 1,000 more cases than all of last year.\u003c/p>\n\u003cp>Four Bay Area communities have been hit particularly hard: Sonoma, Napa and Marin counties and Berkeley, which reports separately from the rest of Alameda County.\u003c/p>\n\u003cp>The overall state incidence rate is about 9 cases per 100,000 people, the CDPH says. But for Sonoma County the rate is 103 per 100,000; in Napa it's 65, and in Marin it's 53. Berkeley's rate is lower — 25 per 100,000; but that's three times higher than the rate for Alameda County as a whole. The rest of the Bay Area reports rates between a low of 6 per 100,000 in Santa Clara County and 17 per 100,000 in Solano County.\u003c/p>\n\u003cp>The CDPH said this year's epidemic is due at least in part to the cyclical nature of pertussis, which officials say peaks every three to five years. The last peak was in 2010, when the state had more than 9,000 cases and recorded 10 infant deaths connected to the disease.\u003c/p>\n\u003cp>But health officials say other factors may be at play, too. One suspected problem is the widespread use of acellular pertussis vaccines, which cause fewer negative reactions in patients than earlier vaccines but may not provide the long-lasting immunity.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>Another widely discussed factor is that fewer children in some communities are receiving vaccinations for pertussis and other illnesses. That's because parents fearing potential harm from the vaccines are increasingly seeking \"personal belief exemptions\" (PBEs) that allow them to enroll children in school without getting state-required vaccinations. \u003ca href=\"http://ww2.kqed.org/news/2013/08/21/marin-vaccinations/\" target=\"_blank\">As we reported last summer\u003c/a>, Marin County had a 7.8 percent PBE rate, the highest in the nine-county Bay Area. The statewide rate is 2.8 percent\u003c/p>\n\u003cp>But those PBE numbers alone don't appear to explain the pertussis spike in some locales. Santa Cruz County has a 9.6 percent personal-belief-exemption rate. But today's state figures show the county reporting a pertussis incidence rate of 11 per 100,000 — far below the North Bay counties and relatively close to the statewide rate. If you want to look up that PBE rate for schools in your community, \u003ca href=\"http://blogs.kqed.org/stateofhealth/2013/09/06/more-california-parents-opting-out-of-vaccines-look-up-your-school-online/\" target=\"_blank\">search the database that KQED's State of Health blog posted last year\u003c/a>.\u003c/p>\n\u003cp>Here's the latest Associated Press report on the whooping cough story:\u003c/p>\n\u003cp>\u003cstrong>Associated Press\u003c/strong>\u003c/p>\n\u003cp>LOS ANGELES — The number of whooping cough cases in California is now at an epidemic level, state health officials said Friday.\u003c/p>\n\u003cp>More than 800 whooping cough cases were reported over the past two weeks, suggesting that\u003ca href=\"http://www.cdc.gov/pertussis/\" target=\"_blank\"> the infection, which is also known as pertussis\u003c/a>, is spreading rapidly, according to a statement by the California Department of Public Health.\u003c/p>\n\u003cp>As of June 10, there were 3,458 reported cases — more than in all of 2013. There have been two reported infant deaths.\u003c/p>\n\u003cp>The infection is cyclical and peaks every three to five years, officials said. The previous whooping cough peak was in 2010, when an epidemic struck 9,159 people and killed 10 infants in the state.\u003c/p>\n\u003cp>Infants are most susceptible to the disease, so parents are encouraged to vaccinate their children as early as possible. Pregnant women are also encouraged to get vaccinated.\u003c/p>\n\u003cp>The disease has also raised national concerns. Although California is the only state to declare an epidemic, there has been a 24 percent increase of reported pertussis cases nationally from this time last year, according to the Centers for Disease Control and Prevention.\u003c/p>\n\u003cp>Whooping cough begins with cold-like symptoms and can progress to severe coughing fits that leave people gasping for breath.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>California officials said they were working closely with local health departments and schools to inform the public of the importance of vaccinations.\u003c/p>\n\n\u003c/div>\u003c/p>",
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"content": "\u003cfigure id=\"attachment_124156\" class=\"wp-caption aligncenter\" style=\"max-width: 640px\">\u003ca href=\"http://ww2.kqed.org/news/wp-content/uploads/sites/10/2014/01/RS6635_MD002506.jpg\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-medium wp-image-124156 \" src=\"http://ww2.kqed.org/news/wp-content/uploads/sites/10/2014/01/RS6635_MD002506-640x640.jpg\" alt=\"State are looking into a backlog of elder abuse cases after advocates complained of years of questionable practices. ((Keith Brofsky/Thinkstock)\" width=\"640\" height=\"640\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">State lawmakers are looking into a backlog of elder abuse cases after advocates complained about years of questionable practices (Keith Brofsky/Thinkstock) \u003ccite>(Keith Brofsky/Thinkstock)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>\u003cstrong>By Rachael Bale\u003c/strong>\u003c/p>\n\u003cp>\u003ca href=\"http://cironline.org/\" target=\"_blank\" rel=\"noopener\">The Center For Investigative Reporting\u003c/a>\u003c/p>\n\u003cp>Officials from the California Department of Public Health and long-term care advocates clashed today at an Assembly oversight hearing over regulators’ ability to process complaints of abuse against nursing assistants.\u003c/p>\n\u003cp>They couldn’t even agree on the number of abuse allegations that have yet to be investigated.\u003c/p>\n\u003cp>[contextly_sidebar id=”894bc74afd27f07541a2b316812935d3″]\u003c/p>\n\u003cp>Evon Lenerd, a state health department official whose branch oversees investigations into caregiver abuse, said the state has a backlog of about 700 complaints that are more than a year old.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>“What’s taking so long? It’s just the process,” Lenerd told lawmakers. “We are investigating every complaint we receive.”\u003c/p>\n\u003cp>But Patricia L. McGinnis, the executive director of California Advocates for Nursing Home Reform, said she had received private assurances from people within Lenerd’s professional certification branch that there were nearly 10,000. McGinnis said the department has been “extraordinarily unresponsive and has a long history of noncompliance.”\u003c/p>\n\u003cp>“Their pattern has been to do nothing and hope no one notices,” she testified.\u003c/p>\n\u003cp>Another witness at today’s hearing, the state ombudsman for long-term care, Joseph Rodrigues, said local ombudsmen have problems with their complaint referrals getting stuck on desks at the public health department and not having phone calls returned. Once, one was told to stop investigating a complaint even though allegations continued to come in from that particular facility.\u003c/p>\n\u003cfigure id=\"attachment_124160\" class=\"wp-caption alignright\" style=\"max-width: 300px\">\u003ca href=\"http://ww2.kqed.org/news/wp-content/uploads/sites/10/2014/01/CIR-Public-Health_6.jpg\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-thumbnail wp-image-124160\" src=\"http://ww2.kqed.org/news/wp-content/uploads/sites/10/2014/01/CIR-Public-Health_6-300x300.jpg\" alt=\"California Advocates for Nusing Home Reform Executive Director Pat McGinnis speaks a the Joint Oversight Hearing of the Assembly Committee on Aging & Long-Term Care and Assembly Committee on Health held at the State Captiol on Tuesday, January 21, 2014. (Randy Allen/The Center for Investigative Reporting)\" width=\"300\" height=\"300\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">California Advocates for Nusing Home Reform Executive Director Pat McGinnis speaks a the Joint Oversight Hearing of the Assembly Committee on Aging & Long-Term Care and Assembly Committee on Health held at the State Captiol on Tuesday, January 21, 2014. (Randy Allen/The Center for Investigative Reporting)\u003c/figcaption>\u003c/figure>\n\u003cp>The backlog is especially problematic, both officials and advocates testified, because as time goes on, substantiating allegations becomes more difficult as staff moves, evidence disappears and those who complain die.\u003c/p>\n\u003cp>The hearing, held by the Assembly Committee on Health and Committee on Aging and Long-Term Care, comes four months after The Center for Investigative Reporting \u003ca href=\"http://cironline.org/reports/quick-dismissal-caregiver-abuse-cases-puts-calif-patients-risk-5158\" target=\"_blank\" rel=\"noopener\">found state health regulators had routinely conducted delayed and superficial investigations\u003c/a> into complaints of abuse and neglect at the state’s long-term care facilities for the elderly and developmentally disabled.\u003c/p>\n\u003cp>At the hearing, Assemblyman Dr. Richard Pan, D-Sacramento, asked where the choke points of the investigative process were, saying his goal was to determine how the Legislature could assist the department.\u003c/p>\n\u003cp>Ron Chapman, the director of the Department of Public Health, did not provide specifics, though the committee and officials set a March deadline for a progress report on an improvement plan.\u003c/p>\n\u003cp>“There are significant process complexities that are involved here,” he said. Chapman testified that the department is looking to hire more staff members to help process complaints but that past staff hires haven’t helped the backlog significantly.\u003c/p>\n\u003cp>The \u003ca href=\"http://cironline.org/reports/quick-dismissal-caregiver-abuse-cases-puts-calif-patients-risk-5158\" target=\"_blank\" rel=\"noopener\">CIR investigation\u003c/a> focused on the role of public health department investigators within the Licensing and Certification division, which has oversight over the quality of care in residential facilities.\u003c/p>\n\u003cfigure id=\"attachment_124162\" class=\"wp-caption alignleft\" style=\"max-width: 300px\">\u003ca href=\"http://ww2.kqed.org/news/wp-content/uploads/sites/10/2014/01/CIR-Public-Health.jpg\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-thumbnail wp-image-124162\" src=\"http://ww2.kqed.org/news/wp-content/uploads/sites/10/2014/01/CIR-Public-Health-300x300.jpg\" alt=\"Ron Chapman, MD, State Health Officer and Director of the California Department of Public Health speaks a the Joint Oversight Hearing of the Assembly Committee on Aging & Long-Term Care and Assembly Committee on Health held at the State Captiol on Tuesday, January 21, 2014. (Randy Allen/The Center for Investigative Reporting)\" width=\"300\" height=\"300\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">Ron Chapman, MD, State Health Officer and Director of the California Department of Public Health speaks a the Joint Oversight Hearing of the Assembly Committee on Aging & Long-Term Care and Assembly Committee on Health held at the State Captiol on Tuesday, January 21, 2014. (Randy Allen/The Center for Investigative Reporting)\u003c/figcaption>\u003c/figure>\n\u003cp>Over the past several years, the Department of Public Health has closed the vast majority of abuse and misconduct cases without action, CIR found. And the agency mostly has stopped referring cases to the California Department of Justice for prosecution and cut back on revoking licenses of nursing aides suspected of abuse.\u003c/p>\n\u003cp>In Southern California, abuse cases often are sent to Sacramento headquarters, where investigators rarely receive approval from supervisors to make site visits. During a mass dismissal of nearly 1,000 cases in 2009, many complaints were closed with a single phone call from the investigator, CIR learned.\u003c/p>\n\u003cp>When asked about this mass dismissal, Lenerd said that not every complaint warrants a site visit but that all 1,000 cases were investigated.\u003c/p>\n\u003cp>“At no time did we dismiss complaints with just one phone call. There were investigation steps used for every complaint allegation received,” she said. “As the cases got older, there (was) less evidence, less witnesses to interview. But we investigated every complaint allegation received.”\u003c/p>\n\u003cp>California law requires that the Department of Public Health perform on-site, in-person investigations.\u003c/p>\n\u003cp>Assemblywoman Mariko Yamada, D-Davis, requested a disposition of the 1,000 cases, which Chapman said he would provide.\u003c/p>\n\u003cp>In one case from 2008, which demonstrates the department’s slow investigative process, nursing aide Jason Joslin physically abused at least one patient at a facility in Riverside County. Although the public health department opened an investigation right away, it wasn’t until 2011 that \u003ca href=\"https://www.documentcloud.org/documents/782744-cna-jjoslin-status.html\" target=\"_blank\" rel=\"noopener\">the state took away his certification\u003c/a> and decided to add him to a nationwide exclusion list.\u003c/p>\n\u003cp>But by then, Joslin had moved to Seattle, obtained a temporary nursing assistant license from Washington and was fully credentialed within months.\u003c/p>\n\u003cfigure id=\"attachment_124164\" class=\"wp-caption alignright\" style=\"max-width: 300px\">\u003ca href=\"http://ww2.kqed.org/news/wp-content/uploads/sites/10/2014/01/RS6633_photo.jpg\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-thumbnail wp-image-124164\" src=\"http://ww2.kqed.org/news/wp-content/uploads/sites/10/2014/01/RS6633_photo-300x300.jpg\" alt=\"Elsie Fossum’s nieces and nephews look at family photos of their aunt, on the seventh anniversary of her death. (Mina Kim/KQED)\" width=\"300\" height=\"300\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">Elsie Fossum’s nieces and nephews look at family photos of their aunt, on the seventh anniversary of her death. (Mina Kim/KQED)\u003c/figcaption>\u003c/figure>\n\u003cp>Another particularly egregious case involved the suspicious death of Elsie Fossum in 2006, who was then 95 and living at Claremont Place Assisted Living in Southern California. She was found severely injured on the floor of her bedroom. Several caregivers at the facility made it clear that they believed a nursing assistant had attacked Fossum. But the health department dismissed it as an accidental fall from her bed.\u003c/p>\n\u003cp>Because of the severity of her mouth injuries, Fossum died of dehydration a few weeks later.\u003c/p>\n\u003cp>The case was closed as unsubstantiated. The nursing assistant, who had in the past made disparaging comments about the elderly, quit soon after the incident and took a job at a nearby facility.\u003c/p>\n\u003cp>Seven years after Fossum’s death, the Los Angeles County Sheriff’s Department opened a criminal investigation, in part, following questions from reporters. The case remains unsolved, and the nursing assistant has not been charged with a crime.\u003c/p>\n\u003cp>The legislative hearing came about a week after a task force convened by the California Health and Human Services Agency, which oversees the Department of Public Health, \u003ca href=\"http://www.chhs.ca.gov/DCTFDocs/PlanfortheFutureofDevelopmentalCenters.pdf\" target=\"_blank\" rel=\"noopener\">released a report\u003c/a> on the future of California’s developmental centers.\u003c/p>\n\u003cp>Essentially, the agency’s goal is for state-operated residential facilities to play a decreasing role in caring for the California’s developmentally disabled residents. As such, the task force’s report focuses on how to transition more residents from the state’s five board-and-care facilities into smaller, more specialized community programs.\u003c/p>\n\u003cp>In particular, it recommends establishing health resource centers where people who have transitioned to community homes would receive coordinated health services, ranging from mental health care to medication management to medical equipment and other services.\u003c/p>\n\u003cp>The report also recommends that the state operate smaller acute crisis facilities and crisis response teams, provide funding to regional facilities to expand care for those with enduring and advanced medical needs, and continue operating the Canyon Springs Community Facility and the Porterville Developmental Center’s Secure Treatment Program for those in the criminal justice system.\u003c/p>\n\u003cp>[ad floatright]\u003c/p>\n\u003cp>\u003cem>This story was edited by Robert Salladay and copy edited by Nikki Frick and Christine Lee.\u003c/em>\u003c/p>\n\n",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cfigure id=\"attachment_124156\" class=\"wp-caption aligncenter\" style=\"max-width: 640px\">\u003ca href=\"http://ww2.kqed.org/news/wp-content/uploads/sites/10/2014/01/RS6635_MD002506.jpg\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-medium wp-image-124156 \" src=\"http://ww2.kqed.org/news/wp-content/uploads/sites/10/2014/01/RS6635_MD002506-640x640.jpg\" alt=\"State are looking into a backlog of elder abuse cases after advocates complained of years of questionable practices. ((Keith Brofsky/Thinkstock)\" width=\"640\" height=\"640\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">State lawmakers are looking into a backlog of elder abuse cases after advocates complained about years of questionable practices (Keith Brofsky/Thinkstock) \u003ccite>(Keith Brofsky/Thinkstock)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>\u003cstrong>By Rachael Bale\u003c/strong>\u003c/p>\n\u003cp>\u003ca href=\"http://cironline.org/\" target=\"_blank\" rel=\"noopener\">The Center For Investigative Reporting\u003c/a>\u003c/p>\n\u003cp>Officials from the California Department of Public Health and long-term care advocates clashed today at an Assembly oversight hearing over regulators’ ability to process complaints of abuse against nursing assistants.\u003c/p>\n\u003cp>They couldn’t even agree on the number of abuse allegations that have yet to be investigated.\u003c/p>\n\u003cp>\u003c/p>\u003cp>\u003c/p>\u003cp>\u003c/p>\n\u003cp>Evon Lenerd, a state health department official whose branch oversees investigations into caregiver abuse, said the state has a backlog of about 700 complaints that are more than a year old.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>“What’s taking so long? It’s just the process,” Lenerd told lawmakers. “We are investigating every complaint we receive.”\u003c/p>\n\u003cp>But Patricia L. McGinnis, the executive director of California Advocates for Nursing Home Reform, said she had received private assurances from people within Lenerd’s professional certification branch that there were nearly 10,000. McGinnis said the department has been “extraordinarily unresponsive and has a long history of noncompliance.”\u003c/p>\n\u003cp>“Their pattern has been to do nothing and hope no one notices,” she testified.\u003c/p>\n\u003cp>Another witness at today’s hearing, the state ombudsman for long-term care, Joseph Rodrigues, said local ombudsmen have problems with their complaint referrals getting stuck on desks at the public health department and not having phone calls returned. Once, one was told to stop investigating a complaint even though allegations continued to come in from that particular facility.\u003c/p>\n\u003cfigure id=\"attachment_124160\" class=\"wp-caption alignright\" style=\"max-width: 300px\">\u003ca href=\"http://ww2.kqed.org/news/wp-content/uploads/sites/10/2014/01/CIR-Public-Health_6.jpg\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-thumbnail wp-image-124160\" src=\"http://ww2.kqed.org/news/wp-content/uploads/sites/10/2014/01/CIR-Public-Health_6-300x300.jpg\" alt=\"California Advocates for Nusing Home Reform Executive Director Pat McGinnis speaks a the Joint Oversight Hearing of the Assembly Committee on Aging & Long-Term Care and Assembly Committee on Health held at the State Captiol on Tuesday, January 21, 2014. (Randy Allen/The Center for Investigative Reporting)\" width=\"300\" height=\"300\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">California Advocates for Nusing Home Reform Executive Director Pat McGinnis speaks a the Joint Oversight Hearing of the Assembly Committee on Aging & Long-Term Care and Assembly Committee on Health held at the State Captiol on Tuesday, January 21, 2014. (Randy Allen/The Center for Investigative Reporting)\u003c/figcaption>\u003c/figure>\n\u003cp>The backlog is especially problematic, both officials and advocates testified, because as time goes on, substantiating allegations becomes more difficult as staff moves, evidence disappears and those who complain die.\u003c/p>\n\u003cp>The hearing, held by the Assembly Committee on Health and Committee on Aging and Long-Term Care, comes four months after The Center for Investigative Reporting \u003ca href=\"http://cironline.org/reports/quick-dismissal-caregiver-abuse-cases-puts-calif-patients-risk-5158\" target=\"_blank\" rel=\"noopener\">found state health regulators had routinely conducted delayed and superficial investigations\u003c/a> into complaints of abuse and neglect at the state’s long-term care facilities for the elderly and developmentally disabled.\u003c/p>\n\u003cp>At the hearing, Assemblyman Dr. Richard Pan, D-Sacramento, asked where the choke points of the investigative process were, saying his goal was to determine how the Legislature could assist the department.\u003c/p>\n\u003cp>Ron Chapman, the director of the Department of Public Health, did not provide specifics, though the committee and officials set a March deadline for a progress report on an improvement plan.\u003c/p>\n\u003cp>“There are significant process complexities that are involved here,” he said. Chapman testified that the department is looking to hire more staff members to help process complaints but that past staff hires haven’t helped the backlog significantly.\u003c/p>\n\u003cp>The \u003ca href=\"http://cironline.org/reports/quick-dismissal-caregiver-abuse-cases-puts-calif-patients-risk-5158\" target=\"_blank\" rel=\"noopener\">CIR investigation\u003c/a> focused on the role of public health department investigators within the Licensing and Certification division, which has oversight over the quality of care in residential facilities.\u003c/p>\n\u003cfigure id=\"attachment_124162\" class=\"wp-caption alignleft\" style=\"max-width: 300px\">\u003ca href=\"http://ww2.kqed.org/news/wp-content/uploads/sites/10/2014/01/CIR-Public-Health.jpg\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-thumbnail wp-image-124162\" src=\"http://ww2.kqed.org/news/wp-content/uploads/sites/10/2014/01/CIR-Public-Health-300x300.jpg\" alt=\"Ron Chapman, MD, State Health Officer and Director of the California Department of Public Health speaks a the Joint Oversight Hearing of the Assembly Committee on Aging & Long-Term Care and Assembly Committee on Health held at the State Captiol on Tuesday, January 21, 2014. (Randy Allen/The Center for Investigative Reporting)\" width=\"300\" height=\"300\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">Ron Chapman, MD, State Health Officer and Director of the California Department of Public Health speaks a the Joint Oversight Hearing of the Assembly Committee on Aging & Long-Term Care and Assembly Committee on Health held at the State Captiol on Tuesday, January 21, 2014. (Randy Allen/The Center for Investigative Reporting)\u003c/figcaption>\u003c/figure>\n\u003cp>Over the past several years, the Department of Public Health has closed the vast majority of abuse and misconduct cases without action, CIR found. And the agency mostly has stopped referring cases to the California Department of Justice for prosecution and cut back on revoking licenses of nursing aides suspected of abuse.\u003c/p>\n\u003cp>In Southern California, abuse cases often are sent to Sacramento headquarters, where investigators rarely receive approval from supervisors to make site visits. During a mass dismissal of nearly 1,000 cases in 2009, many complaints were closed with a single phone call from the investigator, CIR learned.\u003c/p>\n\u003cp>When asked about this mass dismissal, Lenerd said that not every complaint warrants a site visit but that all 1,000 cases were investigated.\u003c/p>\n\u003cp>“At no time did we dismiss complaints with just one phone call. There were investigation steps used for every complaint allegation received,” she said. “As the cases got older, there (was) less evidence, less witnesses to interview. But we investigated every complaint allegation received.”\u003c/p>\n\u003cp>California law requires that the Department of Public Health perform on-site, in-person investigations.\u003c/p>\n\u003cp>Assemblywoman Mariko Yamada, D-Davis, requested a disposition of the 1,000 cases, which Chapman said he would provide.\u003c/p>\n\u003cp>In one case from 2008, which demonstrates the department’s slow investigative process, nursing aide Jason Joslin physically abused at least one patient at a facility in Riverside County. Although the public health department opened an investigation right away, it wasn’t until 2011 that \u003ca href=\"https://www.documentcloud.org/documents/782744-cna-jjoslin-status.html\" target=\"_blank\" rel=\"noopener\">the state took away his certification\u003c/a> and decided to add him to a nationwide exclusion list.\u003c/p>\n\u003cp>But by then, Joslin had moved to Seattle, obtained a temporary nursing assistant license from Washington and was fully credentialed within months.\u003c/p>\n\u003cfigure id=\"attachment_124164\" class=\"wp-caption alignright\" style=\"max-width: 300px\">\u003ca href=\"http://ww2.kqed.org/news/wp-content/uploads/sites/10/2014/01/RS6633_photo.jpg\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-thumbnail wp-image-124164\" src=\"http://ww2.kqed.org/news/wp-content/uploads/sites/10/2014/01/RS6633_photo-300x300.jpg\" alt=\"Elsie Fossum’s nieces and nephews look at family photos of their aunt, on the seventh anniversary of her death. (Mina Kim/KQED)\" width=\"300\" height=\"300\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">Elsie Fossum’s nieces and nephews look at family photos of their aunt, on the seventh anniversary of her death. (Mina Kim/KQED)\u003c/figcaption>\u003c/figure>\n\u003cp>Another particularly egregious case involved the suspicious death of Elsie Fossum in 2006, who was then 95 and living at Claremont Place Assisted Living in Southern California. She was found severely injured on the floor of her bedroom. Several caregivers at the facility made it clear that they believed a nursing assistant had attacked Fossum. But the health department dismissed it as an accidental fall from her bed.\u003c/p>\n\u003cp>Because of the severity of her mouth injuries, Fossum died of dehydration a few weeks later.\u003c/p>\n\u003cp>The case was closed as unsubstantiated. The nursing assistant, who had in the past made disparaging comments about the elderly, quit soon after the incident and took a job at a nearby facility.\u003c/p>\n\u003cp>Seven years after Fossum’s death, the Los Angeles County Sheriff’s Department opened a criminal investigation, in part, following questions from reporters. The case remains unsolved, and the nursing assistant has not been charged with a crime.\u003c/p>\n\u003cp>The legislative hearing came about a week after a task force convened by the California Health and Human Services Agency, which oversees the Department of Public Health, \u003ca href=\"http://www.chhs.ca.gov/DCTFDocs/PlanfortheFutureofDevelopmentalCenters.pdf\" target=\"_blank\" rel=\"noopener\">released a report\u003c/a> on the future of California’s developmental centers.\u003c/p>\n\u003cp>Essentially, the agency’s goal is for state-operated residential facilities to play a decreasing role in caring for the California’s developmentally disabled residents. As such, the task force’s report focuses on how to transition more residents from the state’s five board-and-care facilities into smaller, more specialized community programs.\u003c/p>\n\u003cp>In particular, it recommends establishing health resource centers where people who have transitioned to community homes would receive coordinated health services, ranging from mental health care to medication management to medical equipment and other services.\u003c/p>\n\u003cp>The report also recommends that the state operate smaller acute crisis facilities and crisis response teams, provide funding to regional facilities to expand care for those with enduring and advanced medical needs, and continue operating the Canyon Springs Community Facility and the Porterville Developmental Center’s Secure Treatment Program for those in the criminal justice system.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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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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"soldout": {
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"title": "SOLD OUT: Rethinking Housing in America",
"tagline": "A new future for housing",
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"info": "",
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