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(Photo by Paul Hennessy/SOPA Images/LightRocket via Getty Images)","imgSizes":{"medium":{"file":"https://ww2.kqed.org/app/uploads/sites/10/2021/11/gettyimages-1234604861_custom-e7ac7c37957cc416b4618e535d272c0d1e5ce34c-1-800x515.jpg","width":800,"height":515,"mimeType":"image/jpeg"},"large":{"file":"https://ww2.kqed.org/app/uploads/sites/10/2021/11/gettyimages-1234604861_custom-e7ac7c37957cc416b4618e535d272c0d1e5ce34c-1-1020x657.jpg","width":1020,"height":657,"mimeType":"image/jpeg"},"thumbnail":{"file":"https://ww2.kqed.org/app/uploads/sites/10/2021/11/gettyimages-1234604861_custom-e7ac7c37957cc416b4618e535d272c0d1e5ce34c-1-160x103.jpg","width":160,"height":103,"mimeType":"image/jpeg"},"1536x1536":{"file":"https://ww2.kqed.org/app/uploads/sites/10/2021/11/gettyimages-1234604861_custom-e7ac7c37957cc416b4618e535d272c0d1e5ce34c-1-1536x989.jpg","width":1536,"height":989,"mimeType":"image/jpeg"},"2048x2048":{"file":"https://ww2.kqed.org/app/uploads/sites/10/2021/11/gettyimages-1234604861_custom-e7ac7c37957cc416b4618e535d272c0d1e5ce34c-1-2048x1319.jpg","width":2048,"height":1319,"mimeType":"image/jpeg"},"post-thumbnail":{"file":"https://ww2.kqed.org/app/uploads/sites/10/2021/11/gettyimages-1234604861_custom-e7ac7c37957cc416b4618e535d272c0d1e5ce34c-1-672x372.jpg","width":672,"height":372,"mimeType":"image/jpeg"},"twentyfourteen-full-width":{"file":"https://ww2.kqed.org/app/uploads/sites/10/2021/11/gettyimages-1234604861_custom-e7ac7c37957cc416b4618e535d272c0d1e5ce34c-1-1038x576.jpg","width":1038,"height":576,"mimeType":"image/jpeg"},"full-width":{"file":"https://ww2.kqed.org/app/uploads/sites/10/2021/11/gettyimages-1234604861_custom-e7ac7c37957cc416b4618e535d272c0d1e5ce34c-1-1920x1236.jpg","width":1920,"height":1236,"mimeType":"image/jpeg"},"kqedFullSize":{"file":"https://ww2.kqed.org/app/uploads/sites/10/2021/11/gettyimages-1234604861_custom-e7ac7c37957cc416b4618e535d272c0d1e5ce34c-1-scaled.jpg","width":2560,"height":1649}},"fetchFailed":false,"isLoading":false}},"audioPlayerReducer":{"postId":"stream_live"},"authorsReducer":{"byline_news_11931281":{"type":"authors","id":"byline_news_11931281","meta":{"override":true},"slug":"byline_news_11931281","name":"\u003ca href=\"https://www.npr.org/people/919093243/will-stone\">Will Stone\u003c/a>, \u003ca href=\"https://www.npr.org/people/729920828/pien-huang\">Pien Huang\u003c/a>","isLoading":false},"byline_news_11913751":{"type":"authors","id":"byline_news_11913751","meta":{"override":true},"slug":"byline_news_11913751","name":"Nell Greenfieldboyce, Becky Sullivan","isLoading":false},"byline_news_11896575":{"type":"authors","id":"byline_news_11896575","meta":{"override":true},"slug":"byline_news_11896575","name":"\u003ca href=\"https://www.npr.org/people/935764762/brian-mann\">Brian Mann\u003c/a>","isLoading":false},"byline_news_11895150":{"type":"authors","id":"byline_news_11895150","meta":{"override":true},"slug":"byline_news_11895150","name":"\u003ca href=\"https://edsource.org/author/cjones\">Carolyn Jones\u003c/a>","isLoading":false},"byline_news_11894855":{"type":"authors","id":"byline_news_11894855","meta":{"override":true},"slug":"byline_news_11894855","name":"Carmel Wroth and Joe Neel","isLoading":false},"jmcevoy":{"type":"authors","id":"231","meta":{"index":"authors_1591205172","id":"231","found":true},"name":"Julia McEvoy","firstName":"Julia","lastName":"McEvoy","slug":"jmcevoy","email":"jmcevoy@KQED.org","display_author_email":true,"staff_mastheads":["news"],"title":"KQED Senior Editor","bio":"Julia McEvoy is KQED's Senior Editor, Education Equity.\r\n\r\nJulia heads KQED’s education coverage examining inequities students face in Bay Area and California schools, and reports on what it will take to educate the next generation.\r\n\r\nJulia's editorial work has received a Peabody Award, a Casey Medal for Coverage of Children and Families, several Edward R. 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His work has appeared on Newsweek.com, Slate.com, CBSNews.com, MotherJones.com, DailyKos.com and NPR’s web site. Fiore’s political animation has appeared on CNN, Frontline, Bill Moyers Journal, Salon.com and cable and broadcast outlets across the globe.\r\n\r\nBeginning his professional life by drawing traditional political cartoons for newspapers, Fiore’s work appeared in publications ranging from the Washington Post to the Los Angeles Times. In the late 1990s, he began to experiment with animating political cartoons and, after a short stint at the San Jose Mercury News as their staff cartoonist, Fiore devoted all his energies to animation.\r\nGrowing up in California, Fiore also spent a good portion of his life in the backwoods of Idaho. It was this combination that shaped him politically. Mark majored in political science at Colorado College, where, in a perfect send-off for a cartoonist, he received his diploma in 1991 as commencement speaker Dick Cheney smiled approvingly.\r\nMark Fiore was awarded the Pulitzer Prize for political cartooning in 2010, a Robert F. Kennedy Journalism Award in 2004 and has twice received an Online Journalism Award for commentary from the Online News Association (2002, 2008). Fiore has received two awards for his work in new media from the National Cartoonists Society (2001, 2002), and in 2006 received The James Madison Freedom of Information Award from The Society of Professional Journalists.","avatar":"https://secure.gravatar.com/avatar/fc4e2a612b15b67bad0c6f0e1db4ca9b?s=600&d=blank&r=g","twitter":"MarkFiore","facebook":null,"instagram":"https://www.instagram.com/markfiore/?hl=en","linkedin":null,"sites":[{"site":"arts","roles":["contributor"]},{"site":"news","roles":["editor"]},{"site":"futureofyou","roles":["editor"]},{"site":"science","roles":["editor"]}],"headData":{"title":"Mark Fiore | KQED","description":"KQED News Cartoonist","ogImgSrc":"https://secure.gravatar.com/avatar/fc4e2a612b15b67bad0c6f0e1db4ca9b?s=600&d=blank&r=g","twImgSrc":"https://secure.gravatar.com/avatar/fc4e2a612b15b67bad0c6f0e1db4ca9b?s=600&d=blank&r=g"},"isLoading":false,"link":"/author/markfiore"},"carlysevern":{"type":"authors","id":"3243","meta":{"index":"authors_1591205172","id":"3243","found":true},"name":"Carly Severn","firstName":"Carly","lastName":"Severn","slug":"carlysevern","email":"csevern@kqed.org","display_author_email":false,"staff_mastheads":["news"],"title":"Senior Editor, Audience News ","bio":"Carly is KQED's Senior Editor of Audience News on the Digital News team, and has reported for the California Report Magazine, Bay Curious and KQED Arts. She's formerly the host of \u003ca href=\"http://ww2.kqed.org/pop/category/the-cooler/\" rel=\"noopener noreferrer\">The Cooler\u003c/a> podcast.","avatar":"https://secure.gravatar.com/avatar/2d8d6765f186e64c798cf7f0c8088a41?s=600&d=blank&r=g","twitter":"teacupinthebay","facebook":null,"instagram":null,"linkedin":null,"sites":[{"site":"","roles":["editor"]},{"site":"arts","roles":["editor"]},{"site":"news","roles":["administrator"]},{"site":"pop","roles":["editor"]},{"site":"futureofyou","roles":["editor"]},{"site":"about","roles":["administrator"]},{"site":"mindshift","roles":["editor"]},{"site":"bayareabites","roles":["editor"]},{"site":"stateofhealth","roles":["editor"]},{"site":"science","roles":["editor"]},{"site":"food","roles":["contributor"]},{"site":"forum","roles":["editor"]},{"site":"perspectives","roles":["administrator"]}],"headData":{"title":"Carly Severn | KQED","description":"Senior Editor, Audience News ","ogImgSrc":"https://secure.gravatar.com/avatar/2d8d6765f186e64c798cf7f0c8088a41?s=600&d=blank&r=g","twImgSrc":"https://secure.gravatar.com/avatar/2d8d6765f186e64c798cf7f0c8088a41?s=600&d=blank&r=g"},"isLoading":false,"link":"/author/carlysevern"},"lesleymcclurg":{"type":"authors","id":"11229","meta":{"index":"authors_1591205172","id":"11229","found":true},"name":"Lesley McClurg","firstName":"Lesley","lastName":"McClurg","slug":"lesleymcclurg","email":"lmcclurg@KQED.org","display_author_email":false,"staff_mastheads":["news","science"],"title":"KQED Health Correspondent","bio":"Lesley McClurg is a health correspondent and fill-in host. Her work is regularly rebroadcast on numerous NPR and PBS shows. She has won several regional Emmy awards, a regional and a national Edward R. Murrow award. The Association for Health Journalists awarded Lesley best beat coverage. The Society of Professional Journalists has recognized her reporting several times. The Society of Environmental Journalists spotlighted her ongoing coverage of California's historic drought. Before joining KQED in 2016, she covered food and sustainability for Capital Public Radio, the environment for Colorado Public Radio, and reported for both KUOW and KCTS9 in Seattle. When not hunched over her laptop Lesley enjoys skiing with her daughter, cycling with her partner or scheming their next globetrotting adventure. Before motherhood she relished dancing tango till sunrise. When on deadline she fuels herself almost exclusively on chocolate chips.\r\n\r\n ","avatar":"https://secure.gravatar.com/avatar/3fb78e873af3312f34d0bc1d60a07c7f?s=600&d=blank&r=g","twitter":"lesleywmcclurg","facebook":null,"instagram":null,"linkedin":null,"sites":[{"site":"arts","roles":["author"]},{"site":"news","roles":["editor"]},{"site":"futureofyou","roles":["editor"]},{"site":"stateofhealth","roles":["author"]},{"site":"science","roles":["editor"]},{"site":"forum","roles":["author"]}],"headData":{"title":"Lesley McClurg | KQED","description":"KQED Health Correspondent","ogImgSrc":"https://secure.gravatar.com/avatar/3fb78e873af3312f34d0bc1d60a07c7f?s=600&d=blank&r=g","twImgSrc":"https://secure.gravatar.com/avatar/3fb78e873af3312f34d0bc1d60a07c7f?s=600&d=blank&r=g"},"isLoading":false,"link":"/author/lesleymcclurg"},"ccabreralomeli":{"type":"authors","id":"11708","meta":{"index":"authors_1591205172","id":"11708","found":true},"name":"Carlos Cabrera-Lomelí","firstName":"Carlos","lastName":"Cabrera-Lomelí","slug":"ccabreralomeli","email":"ccabreralomeli@KQED.org","display_author_email":true,"staff_mastheads":["news"],"title":"Community Reporter","bio":"Carlos Cabrera-Lomelí is a community reporter with KQED's digital engagement team. He also reports and co-produces for KQED's bilingual news hub KQED en Español. He grew up in San Francisco's Mission District and has previously worked with Univision, 48 Hills and REFORMA in Mexico City.","avatar":"https://secure.gravatar.com/avatar/e95ff80bb2eaf18a8f2af4dcf7ffb54b?s=600&d=blank&r=g","twitter":"@LomeliCabrera","facebook":null,"instagram":null,"linkedin":null,"sites":[{"site":"arts","roles":["editor"]},{"site":"news","roles":["editor"]},{"site":"about","roles":["editor"]},{"site":"science","roles":["editor"]},{"site":"perspectives","roles":["editor"]},{"site":"elections","roles":["editor"]}],"headData":{"title":"Carlos Cabrera-Lomelí | KQED","description":"Community Reporter","ogImgSrc":"https://secure.gravatar.com/avatar/e95ff80bb2eaf18a8f2af4dcf7ffb54b?s=600&d=blank&r=g","twImgSrc":"https://secure.gravatar.com/avatar/e95ff80bb2eaf18a8f2af4dcf7ffb54b?s=600&d=blank&r=g"},"isLoading":false,"link":"/author/ccabreralomeli"}},"breakingNewsReducer":{},"campaignFinanceReducer":{},"firebase":{"requesting":{},"requested":{},"timestamps":{},"data":{},"ordered":{},"auth":{"isLoaded":false,"isEmpty":true},"authError":null,"profile":{"isLoaded":false,"isEmpty":true},"listeners":{"byId":{},"allIds":[]},"isInitializing":false,"errors":[]},"navBarReducer":{"navBarId":"news","fullView":true,"showPlayer":false},"navMenuReducer":{"menus":[{"key":"menu1","items":[{"name":"News","link":"/","type":"title"},{"name":"Politics","link":"/politics"},{"name":"Science","link":"/science"},{"name":"Education","link":"/educationnews"},{"name":"Housing","link":"/housing"},{"name":"Immigration","link":"/immigration"},{"name":"Criminal Justice","link":"/criminaljustice"},{"name":"Silicon Valley","link":"/siliconvalley"},{"name":"Forum","link":"/forum"},{"name":"The California Report","link":"/californiareport"}]},{"key":"menu2","items":[{"name":"Arts & Culture","link":"/arts","type":"title"},{"name":"Critics’ Picks","link":"/thedolist"},{"name":"Cultural Commentary","link":"/artscommentary"},{"name":"Food & Drink","link":"/food"},{"name":"Bay Area Hip-Hop","link":"/bayareahiphop"},{"name":"Rebel Girls","link":"/rebelgirls"},{"name":"Arts Video","link":"/artsvideos"}]},{"key":"menu3","items":[{"name":"Podcasts","link":"/podcasts","type":"title"},{"name":"Bay Curious","link":"/podcasts/baycurious"},{"name":"Rightnowish","link":"/podcasts/rightnowish"},{"name":"The Bay","link":"/podcasts/thebay"},{"name":"On Our Watch","link":"/podcasts/onourwatch"},{"name":"Mindshift","link":"/podcasts/mindshift"},{"name":"Consider This","link":"/podcasts/considerthis"},{"name":"Political Breakdown","link":"/podcasts/politicalbreakdown"}]},{"key":"menu4","items":[{"name":"Live Radio","link":"/radio","type":"title"},{"name":"TV","link":"/tv","type":"title"},{"name":"Events","link":"/events","type":"title"},{"name":"For Educators","link":"/education","type":"title"},{"name":"Support KQED","link":"/support","type":"title"},{"name":"About","link":"/about","type":"title"},{"name":"Help Center","link":"https://kqed-helpcenter.kqed.org/s","type":"title"}]}]},"pagesReducer":{},"postsReducer":{"stream_live":{"type":"live","id":"stream_live","audioUrl":"https://streams.kqed.org/kqedradio","title":"Live Stream","excerpt":"Live Stream information currently unavailable.","link":"/radio","featImg":"","label":{"name":"KQED Live","link":"/"}},"stream_kqedNewscast":{"type":"posts","id":"stream_kqedNewscast","audioUrl":"https://www.kqed.org/.stream/anon/radio/RDnews/newscast.mp3?_=1","title":"KQED Newscast","featImg":"","label":{"name":"88.5 FM","link":"/"}},"news_11931281":{"type":"posts","id":"news_11931281","meta":{"index":"posts_1591205157","site":"news","id":"11931281","score":null,"sort":[1667746842000]},"guestAuthors":[],"slug":"cdc-issues-new-opioid-prescribing-guidance-giving-doctors-more-leeway-to-treat-pain","title":"CDC Issues New Opioid Prescribing Guidance, Giving Doctors More Leeway to Treat Pain","publishDate":1667746842,"format":"standard","headTitle":"NPR | KQED News","labelTerm":{"term":253,"site":"news"},"content":"\u003cp>The Centers for Disease Control and Prevention has issued \u003ca href=\"https://www.cdc.gov/mmwr/volumes/71/rr/rr7103a1.htm?s_cid=rr7103a1_w\">new guidance \u003c/a>for clinicians on how and when to prescribe opioids for pain. Released Thursday, this revamps the agency's 2016 recommendations which some doctors and patients have criticized for promoting a culture of austerity around opioids.\u003c/p>\n\u003cp>CDC officials say that doctors, insurers, pharmacies and regulators sometimes misapplied the older guidelines, causing some patients significant harm, including \"untreated and undertreated pain, serious withdrawal symptoms, worsening pain outcomes, psychological distress, overdose, and [suicide],\" according to the updated guidance.\u003c/p>\n\u003cp>The 100-page document and its topline recommendation serve as a roadmap for prescribers who are navigating the thorny issue of treating pain, including advice on handling pain relief after surgery and managing chronic pain conditions, which are estimated to affect as many as one in every five people in the U.S.\u003c/p>\n\u003cp>The 2016 guidelines proved immensely influential in shaping policy — fueling a push by insurers, state medical boards, politicians and federal law enforcement to curb prescribing of opioids.\u003c/p>\n\u003cp>The fallout, doctors and researchers say, is hard to overstate: a crisis of untreated pain. Many patients with severe chronic pain saw their longstanding prescriptions rapidly reduced or cut off altogether, sometimes with dire consequences, like suicide or overdose as they turned to the tainted supply of illicit drugs.\u003c/p>\n\u003cp>Federal agencies had tried to course correct, making it clear that the older voluntary guidelines were not intended to become strict policies or laws. But doctors and patient advocates also held out hope that the CDC's updated guidelines would undo some of the unintended consequences of the earlier guidance.\u003c/p>\n\u003cp>This was clearly on the mind of CDC health officials when they announced the new clinical guidelines on Thursday.[pullquote align=\"right\" size=\"medium\" citation=\"Dr. Samer Narouze, president, American Society of Regional Anesthesia and Pain Medicine\"]'You can tell the culture around the 2016 guidelines was just to cut down opioids, that opioids are bad. It's the opposite here, you can sense they are more caring more about patients living in pain. It's directed more towards relieving their pain and their suffering.'[/pullquote]\"The guideline recommendations are voluntary and meant to guide shared decision-making between a clinician and patient,\" said Christopher Jones, acting head of the CDC's National Center for Injury Prevention and Control and a co-author of the updated guidelines, during a media briefing. \"It's not meant to be implemented as absolute limits of policy or practice by clinicians, health systems, insurance companies, governmental entities.\"\u003c/p>\n\u003cp>The change in outlook is evident all over the new guidelines, says \u003ca href=\"https://www.asra.com/about-asra\">Dr. Samer Narouze\u003c/a>, the president of the American Society of Regional Anesthesia and Pain Medicine.\u003c/p>\n\u003cp>\"You can tell the culture around the 2016 guidelines was just to cut down opioids, that opioids are bad,\" he says. \"It's the opposite here, you can sense they are more caring more about patients living in pain. It's directed more towards relieving their pain and their suffering.\"\u003c/p>\n\u003ch2>A new focus on individualized care\u003c/h2>\n\u003cp>Opioid prescribing started to decline in 2012 and that trend continued after the 2016 guidelines were released. There's widespread agreement that opioids should be used cautiously because of the risks associated with addiction and overdose. But today, the \u003ca href=\"https://www.cdc.gov/nchs/pressroom/nchs_press_releases/2022/202205.htm\">majority of overdose deaths\u003c/a> are not due to prescription opioids, but rather illicit fentanyl and other illegal drugs.\u003c/p>\n\u003cp>Battling the street drugs driving the overdose crisis today is \"not the aim of this guideline,\" Jones said, describing those efforts as a separate but parallel \"whole of government\" approach. Instead, the focus is on pain patients. \"The goal is to advance pain, function and quality of life [for patients] while also reducing misuse, diversion, consequences of prescription opioid misuse,\" Jones said.\u003c/p>\n\u003cp>The new guidelines still emphasize that opioids should not be the go-to treatment in many cases, pointing to evidence that other treatments and approaches are often comparable for improving pain and function. However, the recommendations make clear the guidance should not replace clinical judgment and that clinicians can work with patients who are in pain, even if that means continuing them on opioids.\u003c/p>\n\u003cp>\"Every patient is a different story and deserves individualized care,\" says Narouze. \"This is what I like most about the new guidelines.\"\u003c/p>\n\u003ch2>More work to be done\u003c/h2>\n\u003cp>While the voluntary guidelines are a welcome step, their impact depends largely on how state and federal agencies and other authorities respond to them, says \u003ca href=\"https://law.northeastern.edu/faculty/beletsky/\">Leo Beletsky\u003c/a>, professor of law and health sciences at Northeastern University and director of the \u003ca href=\"https://www.healthinjustice.org/\">Health in Justice Action Lab\u003c/a> there.\u003c/p>\n\u003cp>\"CDC needs to be a lot more proactive than just putting out this update and trying to walk back some of the misinterpretation of the previous version,\" he says. The agency needs to work with other federal agencies, he says, including Health and Human Services and the Drug Enforcement Administration, as well as law enforcement to implement these guidelines.[aside label='Related Articles' tag='opioid']For example, Beletsky points to how the definition of high-dosage opioid use — described as 90 or more \u003ca href=\"https://www.cdc.gov/drugoverdose/pdf/Guidelines_At-A-Glance-508.pdf\">morphine milligram equivalents (PDF)\u003c/a> daily \u003ca href=\"https://www.cdc.gov/mmwr/volumes/65/rr/rr6501e1.htm\">in the 2016 recommendations\u003c/a> — was used to establish legal limits. \"The [2016] guideline itself was clear that this was not a bright line rule,\" he says, \"But it became a de facto label, separating appropriate and inappropriate prescribing,\" he says. And this led law enforcement in some states to use the limit \"as a sword to go after prescribers.\"\u003c/p>\n\u003cp>These doses and limits — set without much scientific evidence to back them up — have had a chilling effect on doctors, says \u003ca href=\"https://uspainfoundation.org/about-us/our-team/\">Cindy Steinberg\u003c/a>, a patient advocate with U.S. Pain Foundation.\u003c/p>\n\u003cp>\"Most people that I know — and I know a lot of people living with chronic pain — have already been taken off their medication. Doctors are incredibly fearful of prescribing at all.\" From Steinberg's perspective, the new CDC guidelines remain overly restrictive and won't make much difference to the patients who have already been harmed.\u003c/p>\n\u003ch2>Specific dose and duration limits are out\u003c/h2>\n\u003cp>The most consequential changes in the new guidance come in the form of 12 bullet points that lay out general principles related to prescribing.\u003c/p>\n\u003cp>Unlike the 2016 version, those takeaways no longer include specific limits on the dose and duration of an opioid prescription that a patient can take, although deeper in the document it does warn against prescribing above a certain threshold. The new recommendations also explicitly caution physicians against rapidly tapering or discontinuing the prescriptions of patients who are already taking opioids — unless there are indications of a life-threatening issue.\u003c/p>\n\u003cp>\"I think they are very comprehensive and compassionate,\" says \u003ca href=\"https://www.nwh.org/find-a-doctor/find-a-doctor-profile/antje-barreveld-m-md\">Dr. Antje Barreveld\u003c/a>, medical director of the Pain Management Services at Newton Wellesley Hospital. \"Those arbitrary marks of what's acceptable and not acceptable is what got us into trouble with the 2016 guidelines, because it made this blanket cutoff for our patients and that's not what pain management is about.\"\u003c/p>\n\u003cp>The direction on reducing opioids when possible still raises some concerns for clinicians like \u003ca href=\"https://www.uab.edu/news/experts/all-experts-category/item/4678-kertesz-stefan\">Stefan Kertesz\u003c/a>, a professor of medicine at the University of Alabama at Birmingham.\u003c/p>\n\u003cp>\"I would emphasize that when you take a stable patient and reduce [their prescription], you're engaged in an experiment,\" says Kertesz. \"Dose reduction is simply an uncertain intervention that sometimes helps and sometimes causes the patient to die. So I would rather they have said, 'Look, this is an uncertain intervention.'\"\u003c/p>\n\u003cp>However, he adds that the strength of the new guidance is its repeated emphasis that a specific dose should not be used by agencies, law enforcement and payers to enforce a one-size fits all approach.\u003c/p>\n\u003ch2>Unravelling rigid opioid prescribing policies\u003c/h2>\n\u003cp>It's uncertain if the new guidance will translate into substantive changes for patients who are struggling to have their pain treated.\u003c/p>\n\u003cp>Many patients currently can't find treatment, in the aftermath of the 2016 guidelines, says Barreveld, because doctors are wary of prescribing at all.\u003c/p>\n\u003cp>She remembers one recent instance when an elderly patient of hers was suffering from severe arthritis in her neck and knees. \"I recommended to the primary care doctor to start low-dose opioids and the primary care doctor said 'no,'\" Barreveld says. \"What happened? The patient was admitted to the hospital, thousands of dollars a day for eight days, and what was she discharged on? Two to three pills of an opioid a day.\"\u003c/p>\n\u003cp>The previous guidelines led to restrictions on prescribing being codified as policy or law. It's not clear those rules will be re-written in light of the new guidelines even though they state they're \"not intended to be implemented as absolute limits for policy or practice.\"\u003c/p>\n\u003cp>\"That is a good idea, and it will have absolutely no effect unless three major agencies take action immediately,\" says Kertesz. \"The DEA, the National Committee for Quality Assurance, and the Centers for Medicare and Medicaid Services, all three agencies use the dose thresholds from the 2016 guideline as the basis for payment quality metrics and legal investigation.\"\u003c/p>\n\u003cp>The ability to coordinate and fix the harms that came from the 2016 guidance relies on leadership from the CDC — an agency whose credibility and authority has taken a hit during the COVID-19 pandemic, Beletsky says. Still, the agency has learned from the criticisms and harms from the last round of guidance. \"So my hope is that CDC is now better equipped and prepared to take the guideline and translate it to the ground level,\" he says.\u003c/p>\n\u003cp>The quality of life for many patients living with chronic pain will depend on it.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>[ad floatright]\u003c/p>\n","blocks":[],"excerpt":"The federal government's new opioid prescribing guidelines may help doctors better manage patients with chronic pain who need consistent doses of pain medicines.","status":"publish","parent":0,"modified":1667695370,"stats":{"hasAudio":false,"hasVideo":false,"hasChartOrMap":false,"iframeSrcs":[],"hasGoogleForm":false,"hasGallery":false,"hasHearkenModule":false,"hasPolis":false,"paragraphCount":32,"wordCount":1616},"headData":{"title":"CDC Issues New Opioid Prescribing Guidance, Giving Doctors More Leeway to Treat Pain | KQED","description":"The federal government's new opioid prescribing guidelines may help doctors better manage patients with chronic pain who need consistent doses of pain medicines.","ogTitle":"","ogDescription":"","ogImgId":"","twTitle":"","twDescription":"","twImgId":"","schema":{"@context":"http://schema.org","@type":"NewsArticle","headline":"CDC Issues New Opioid Prescribing Guidance, Giving Doctors More Leeway to Treat Pain","datePublished":"2022-11-06T15:00:42.000Z","dateModified":"2022-11-06T00:42:50.000Z","image":"https://cdn.kqed.org/wp-content/uploads/2020/02/KQED-OG-Image@1x.png","isAccessibleForFree":"Y","publisher":{"@type":"NewsMediaOrganization","@id":"https://www.kqed.org/#organization","name":"KQED","url":"https://www.kqed.org","logo":"https://cdn.kqed.org/wp-content/uploads/2020/02/KQED-OG-Image@1x.png"}}},"disqusIdentifier":"11931281 https://ww2.kqed.org/news/?p=11931281","disqusUrl":"https://ww2.kqed.org/news/2022/11/06/cdc-issues-new-opioid-prescribing-guidance-giving-doctors-more-leeway-to-treat-pain/","disqusTitle":"CDC Issues New Opioid Prescribing Guidance, Giving Doctors More Leeway to Treat Pain","nprByline":"\u003ca href=\"https://www.npr.org/people/919093243/will-stone\">Will Stone\u003c/a>, \u003ca href=\"https://www.npr.org/people/729920828/pien-huang\">Pien Huang\u003c/a>","excludeFromSiteSearch":"Include","showOnAuthorArchivePages":"No","path":"/news/11931281/cdc-issues-new-opioid-prescribing-guidance-giving-doctors-more-leeway-to-treat-pain","audioTrackLength":null,"parsedContent":[{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003cp>The Centers for Disease Control and Prevention has issued \u003ca href=\"https://www.cdc.gov/mmwr/volumes/71/rr/rr7103a1.htm?s_cid=rr7103a1_w\">new guidance \u003c/a>for clinicians on how and when to prescribe opioids for pain. Released Thursday, this revamps the agency's 2016 recommendations which some doctors and patients have criticized for promoting a culture of austerity around opioids.\u003c/p>\n\u003cp>CDC officials say that doctors, insurers, pharmacies and regulators sometimes misapplied the older guidelines, causing some patients significant harm, including \"untreated and undertreated pain, serious withdrawal symptoms, worsening pain outcomes, psychological distress, overdose, and [suicide],\" according to the updated guidance.\u003c/p>\n\u003cp>The 100-page document and its topline recommendation serve as a roadmap for prescribers who are navigating the thorny issue of treating pain, including advice on handling pain relief after surgery and managing chronic pain conditions, which are estimated to affect as many as one in every five people in the U.S.\u003c/p>\n\u003cp>The 2016 guidelines proved immensely influential in shaping policy — fueling a push by insurers, state medical boards, politicians and federal law enforcement to curb prescribing of opioids.\u003c/p>\n\u003cp>The fallout, doctors and researchers say, is hard to overstate: a crisis of untreated pain. Many patients with severe chronic pain saw their longstanding prescriptions rapidly reduced or cut off altogether, sometimes with dire consequences, like suicide or overdose as they turned to the tainted supply of illicit drugs.\u003c/p>\n\u003cp>Federal agencies had tried to course correct, making it clear that the older voluntary guidelines were not intended to become strict policies or laws. But doctors and patient advocates also held out hope that the CDC's updated guidelines would undo some of the unintended consequences of the earlier guidance.\u003c/p>\n\u003cp>This was clearly on the mind of CDC health officials when they announced the new clinical guidelines on Thursday.\u003c/p>\u003c/div>","attributes":{"named":{},"numeric":[]}},{"type":"component","content":"'You can tell the culture around the 2016 guidelines was just to cut down opioids, that opioids are bad. It's the opposite here, you can sense they are more caring more about patients living in pain. It's directed more towards relieving their pain and their suffering.'","name":"pullquote","attributes":{"named":{"align":"right","size":"medium","citation":"Dr. Samer Narouze, president, American Society of Regional Anesthesia and Pain Medicine","label":""},"numeric":[]}},{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\"The guideline recommendations are voluntary and meant to guide shared decision-making between a clinician and patient,\" said Christopher Jones, acting head of the CDC's National Center for Injury Prevention and Control and a co-author of the updated guidelines, during a media briefing. \"It's not meant to be implemented as absolute limits of policy or practice by clinicians, health systems, insurance companies, governmental entities.\"\u003c/p>\n\u003cp>The change in outlook is evident all over the new guidelines, says \u003ca href=\"https://www.asra.com/about-asra\">Dr. Samer Narouze\u003c/a>, the president of the American Society of Regional Anesthesia and Pain Medicine.\u003c/p>\n\u003cp>\"You can tell the culture around the 2016 guidelines was just to cut down opioids, that opioids are bad,\" he says. \"It's the opposite here, you can sense they are more caring more about patients living in pain. It's directed more towards relieving their pain and their suffering.\"\u003c/p>\n\u003ch2>A new focus on individualized care\u003c/h2>\n\u003cp>Opioid prescribing started to decline in 2012 and that trend continued after the 2016 guidelines were released. There's widespread agreement that opioids should be used cautiously because of the risks associated with addiction and overdose. But today, the \u003ca href=\"https://www.cdc.gov/nchs/pressroom/nchs_press_releases/2022/202205.htm\">majority of overdose deaths\u003c/a> are not due to prescription opioids, but rather illicit fentanyl and other illegal drugs.\u003c/p>\n\u003cp>Battling the street drugs driving the overdose crisis today is \"not the aim of this guideline,\" Jones said, describing those efforts as a separate but parallel \"whole of government\" approach. Instead, the focus is on pain patients. \"The goal is to advance pain, function and quality of life [for patients] while also reducing misuse, diversion, consequences of prescription opioid misuse,\" Jones said.\u003c/p>\n\u003cp>The new guidelines still emphasize that opioids should not be the go-to treatment in many cases, pointing to evidence that other treatments and approaches are often comparable for improving pain and function. However, the recommendations make clear the guidance should not replace clinical judgment and that clinicians can work with patients who are in pain, even if that means continuing them on opioids.\u003c/p>\n\u003cp>\"Every patient is a different story and deserves individualized care,\" says Narouze. \"This is what I like most about the new guidelines.\"\u003c/p>\n\u003ch2>More work to be done\u003c/h2>\n\u003cp>While the voluntary guidelines are a welcome step, their impact depends largely on how state and federal agencies and other authorities respond to them, says \u003ca href=\"https://law.northeastern.edu/faculty/beletsky/\">Leo Beletsky\u003c/a>, professor of law and health sciences at Northeastern University and director of the \u003ca href=\"https://www.healthinjustice.org/\">Health in Justice Action Lab\u003c/a> there.\u003c/p>\n\u003cp>\"CDC needs to be a lot more proactive than just putting out this update and trying to walk back some of the misinterpretation of the previous version,\" he says. The agency needs to work with other federal agencies, he says, including Health and Human Services and the Drug Enforcement Administration, as well as law enforcement to implement these guidelines.\u003c/p>\u003c/div>","attributes":{"named":{},"numeric":[]}},{"type":"component","content":"","name":"aside","attributes":{"named":{"label":"Related Articles ","tag":"opioid"},"numeric":[]}},{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>For example, Beletsky points to how the definition of high-dosage opioid use — described as 90 or more \u003ca href=\"https://www.cdc.gov/drugoverdose/pdf/Guidelines_At-A-Glance-508.pdf\">morphine milligram equivalents (PDF)\u003c/a> daily \u003ca href=\"https://www.cdc.gov/mmwr/volumes/65/rr/rr6501e1.htm\">in the 2016 recommendations\u003c/a> — was used to establish legal limits. \"The [2016] guideline itself was clear that this was not a bright line rule,\" he says, \"But it became a de facto label, separating appropriate and inappropriate prescribing,\" he says. And this led law enforcement in some states to use the limit \"as a sword to go after prescribers.\"\u003c/p>\n\u003cp>These doses and limits — set without much scientific evidence to back them up — have had a chilling effect on doctors, says \u003ca href=\"https://uspainfoundation.org/about-us/our-team/\">Cindy Steinberg\u003c/a>, a patient advocate with U.S. Pain Foundation.\u003c/p>\n\u003cp>\"Most people that I know — and I know a lot of people living with chronic pain — have already been taken off their medication. Doctors are incredibly fearful of prescribing at all.\" From Steinberg's perspective, the new CDC guidelines remain overly restrictive and won't make much difference to the patients who have already been harmed.\u003c/p>\n\u003ch2>Specific dose and duration limits are out\u003c/h2>\n\u003cp>The most consequential changes in the new guidance come in the form of 12 bullet points that lay out general principles related to prescribing.\u003c/p>\n\u003cp>Unlike the 2016 version, those takeaways no longer include specific limits on the dose and duration of an opioid prescription that a patient can take, although deeper in the document it does warn against prescribing above a certain threshold. The new recommendations also explicitly caution physicians against rapidly tapering or discontinuing the prescriptions of patients who are already taking opioids — unless there are indications of a life-threatening issue.\u003c/p>\n\u003cp>\"I think they are very comprehensive and compassionate,\" says \u003ca href=\"https://www.nwh.org/find-a-doctor/find-a-doctor-profile/antje-barreveld-m-md\">Dr. Antje Barreveld\u003c/a>, medical director of the Pain Management Services at Newton Wellesley Hospital. \"Those arbitrary marks of what's acceptable and not acceptable is what got us into trouble with the 2016 guidelines, because it made this blanket cutoff for our patients and that's not what pain management is about.\"\u003c/p>\n\u003cp>The direction on reducing opioids when possible still raises some concerns for clinicians like \u003ca href=\"https://www.uab.edu/news/experts/all-experts-category/item/4678-kertesz-stefan\">Stefan Kertesz\u003c/a>, a professor of medicine at the University of Alabama at Birmingham.\u003c/p>\n\u003cp>\"I would emphasize that when you take a stable patient and reduce [their prescription], you're engaged in an experiment,\" says Kertesz. \"Dose reduction is simply an uncertain intervention that sometimes helps and sometimes causes the patient to die. So I would rather they have said, 'Look, this is an uncertain intervention.'\"\u003c/p>\n\u003cp>However, he adds that the strength of the new guidance is its repeated emphasis that a specific dose should not be used by agencies, law enforcement and payers to enforce a one-size fits all approach.\u003c/p>\n\u003ch2>Unravelling rigid opioid prescribing policies\u003c/h2>\n\u003cp>It's uncertain if the new guidance will translate into substantive changes for patients who are struggling to have their pain treated.\u003c/p>\n\u003cp>Many patients currently can't find treatment, in the aftermath of the 2016 guidelines, says Barreveld, because doctors are wary of prescribing at all.\u003c/p>\n\u003cp>She remembers one recent instance when an elderly patient of hers was suffering from severe arthritis in her neck and knees. \"I recommended to the primary care doctor to start low-dose opioids and the primary care doctor said 'no,'\" Barreveld says. \"What happened? The patient was admitted to the hospital, thousands of dollars a day for eight days, and what was she discharged on? Two to three pills of an opioid a day.\"\u003c/p>\n\u003cp>The previous guidelines led to restrictions on prescribing being codified as policy or law. It's not clear those rules will be re-written in light of the new guidelines even though they state they're \"not intended to be implemented as absolute limits for policy or practice.\"\u003c/p>\n\u003cp>\"That is a good idea, and it will have absolutely no effect unless three major agencies take action immediately,\" says Kertesz. \"The DEA, the National Committee for Quality Assurance, and the Centers for Medicare and Medicaid Services, all three agencies use the dose thresholds from the 2016 guideline as the basis for payment quality metrics and legal investigation.\"\u003c/p>\n\u003cp>The ability to coordinate and fix the harms that came from the 2016 guidance relies on leadership from the CDC — an agency whose credibility and authority has taken a hit during the COVID-19 pandemic, Beletsky says. Still, the agency has learned from the criticisms and harms from the last round of guidance. \"So my hope is that CDC is now better equipped and prepared to take the guideline and translate it to the ground level,\" he says.\u003c/p>\n\u003cp>The quality of life for many patients living with chronic pain will depend on it.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>","attributes":{"named":{},"numeric":[]}},{"type":"component","content":"","name":"ad","attributes":{"named":{"label":"fullwidth"},"numeric":["fullwidth"]}},{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>\u003c/p>\u003c/div>","attributes":{"named":{},"numeric":[]}},{"type":"component","content":"","name":"ad","attributes":{"named":{"label":"floatright"},"numeric":["floatright"]}},{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003c/div>\u003c/p>","attributes":{"named":{},"numeric":[]}}],"link":"/news/11931281/cdc-issues-new-opioid-prescribing-guidance-giving-doctors-more-leeway-to-treat-pain","authors":["byline_news_11931281"],"categories":["news_457","news_8"],"tags":["news_22221","news_27921","news_22774"],"affiliates":["news_253"],"featImg":"news_11931285","label":"news_253"},"news_11919070":{"type":"posts","id":"news_11919070","meta":{"index":"posts_1591205157","site":"news","id":"11919070","score":null,"sort":[1659051309000]},"guestAuthors":[],"slug":"monkeypox-in-the-bay-area-from-symptoms-to-how-to-find-a-vaccine-heres-what-we-know","title":"Mpox in the San Francisco Bay Area: What We Know About Symptoms, Cases and Spread","publishDate":1659051309,"format":"image","headTitle":"Mpox in the San Francisco Bay Area: What We Know About Symptoms, Cases and Spread | KQED","labelTerm":{"site":"news"},"content":"\u003cp>\u003cstrong>Update, 12:20 p.m. October 20: \u003c/strong>The San Francisco Department of Public Health has announced it will end the city’s state of emergency around monkeypox (MPX) on October 31.\u003c/p>\n\u003cp>SF health officials said that MPX cases “have slowed to less than one case per day,” and that more than 27,000 city residents have now received the MPX vaccine.\u003c/p>\n\u003cp>San Francisco originally declared this public health emergency for MPX back in July, and was the first U.S. city to do so.\u003c/p>\n\u003cp>\u003cstrong>Original post:\u003c/strong>\u003c/p>\n\u003cp>\u003cstrong>A note: Several public health organizations, including the California Department of Public Health, have chosen to refer to monkeypox as “MPX” (pronounced “em-pox”) with the aim of \u003ca href=\"https://www.latimes.com/science/story/2022-08-26/many-say-the-name-is-racist-so-what-do-you-call-monkeypox\">reducing homophobic and racial stigma surrounding the virus\u003c/a>. For the rest of this story, we use “MPX” for these reasons, except in direct quotes or other cases where it would confuse readers.\u003c/strong>\u003c/p>\n\u003cp>Back on August 4, \u003ca href=\"https://www.kqed.org/news/11921618/white-house-declares-monkeypox-a-public-health-emergency\">the White House declared MPX a public health emergency\u003c/a>. At the time of this announcement, there were more than 6,616 cases reported in the U.S.\u003c/p>\n\u003cp>As of Sept. 14, \u003ca href=\"https://www.cdc.gov/poxvirus/monkeypox/response/2022/us-map.html\">the CDC now reports 22,630 cases nationwide\u003c/a>. And because of limited testing, this figure most likely still represents something of an undercount.\u003c/p>\n\u003cul>\n\u003cli>\u003cstrong>Looking for where to find an MPX vaccine near you? \u003ca href=\"https://www.kqed.org/news/11920455/where-can-i-find-a-monkeypox-vaccine-near-me\">Read our full guide to the MPX vaccine in the Bay Area.\u003c/a>\u003c/strong>\u003c/li>\n\u003c/ul>\n\u003cp>“We are prepared to take our response to the next level in addressing this virus and we urge every American to take monkeypox seriously,” Health and Human Services Secretary Xavier Becerra said. Read more about \u003ca href=\"https://www.kqed.org/news/11921618/white-house-declares-monkeypox-a-public-health-emergency\">what the public health emergency means.\u003c/a>\u003c/p>\n\u003cp>On August 1, Gov. Gavin Newsom \u003ca href=\"https://www.kqed.org/news/11921185/newsom-declares-statewide-emergency-amid-rapid-spread-of-monkeypox-virus\">declared a State of Emergency over the MPX outbreak in California\u003c/a>. A week prior, \u003ca href=\"https://www.kqed.org/news/11920764/an-epicenter-for-the-country-san-francisco-declares-state-of-emergency-over-monkeypox-outbreak\">San Francisco had declared its own state of emergency over MPX\u003c/a>. State and local health officials have affirmed that cases are rapidly rising and have asked the federal government to make MPX vaccines more widely available.\u003c/p>\n\u003cp>\u003cstrong>Jump to a specific answer:\u003c/strong>\u003c/p>\n\u003cul>\n\u003cli>\u003cstrong>\u003ca href=\"#monkeypoxsymptoms\">What are the symptoms of MPX?\u003c/a>\u003c/strong>\u003c/li>\n\u003cli>\u003cstrong>\u003ca href=\"#monkeypoxcases\">How many MPX cases are in the Bay Area?\u003c/a>\u003c/strong>\u003c/li>\n\u003cli>\u003cstrong>\u003ca href=\"#monkeypoxtreament\">What should I do if I think I have MPX?\u003c/a>\u003c/strong>\u003c/li>\n\u003cli>\u003cstrong>\u003ca href=\"#monkeypoxprevention\">How can I prevent being infected with MPX?\u003c/a>\u003c/strong>\u003c/li>\n\u003c/ul>\n\u003cp>MPX has existed for decades — the first case among humans was registered in 1970 — but we’re now seeing multiple outbreaks across the U.S. \u003ca href=\"https://www.cdc.gov/poxvirus/monkeypox/response/2022/us-map.html\">See how many cases have now been reported nationwide according to the Centers for Disease Control and Prevention.\u003c/a>\u003c/p>\n\u003cp>The majority of infections have been detected among gay and bisexual men, but public health experts have made it clear that MPX is an “equal opportunity disease,” meaning that anybody, regardless of sexual orientation, race, class or other demographic categories, is susceptible to infection.[aside postID=news_11920455 hero='https://ww2.kqed.org/app/uploads/sites/10/2022/07/RS57399_GettyImages-1408879341-qut-1020x765.jpg']\u003c/p>\n\u003cp>However, public health organizations that serve the LGBTQ+ community in the Bay Area are still advising residents to learn more about MPX and how it spreads, particularly in the context of large public events in San Francisco celebrated by the queer community like Pride (the weekend of June 25), Dore Alley Weekend (the weekend of July 30) and Folsom Street Fair (the weekend of September 24) that take place in the summer and fall. \u003ca href=\"https://www.kqed.org/news/11920764/an-epicenter-for-the-country-san-francisco-declares-state-of-emergency-over-monkeypox-outbreak\">San Francisco formally declared the outbreak a public health emergency back on July 28.\u003c/a>\u003c/p>\n\u003cp>KQED spoke to physicians, public health officials and LGBTQ+ health groups to create this guide that includes the latest information on the disease, its transmission and available treatment, and what to do if you become infected. And if you’re looking for vaccine details specifically, you can \u003ca href=\"https://www.kqed.org/news/11920455/where-can-i-find-a-monkeypox-vaccine-near-me\">read our full guide to where to find a MPX vaccine near you.\u003c/a>\u003c/p>\n\u003ch2>What is MPX?\u003c/h2>\n\u003cp>\u003ca href=\"https://sf.gov/information/monkeypox\">MPX is a disease that is caused when a person is infected with the MPX virus\u003c/a>. As the name might suggest, the virus is related to the smallpox virus but it’s generally less severe and “much less contagious” than smallpox, according to the California Department of Public Health (CDPH).\u003c/p>\n\u003cp>Although you might assume MPX is also related to chickenpox, it’s not.\u003c/p>\n\u003ch3>How did MPX get its name?\u003c/h3>\n\u003cp>The disease was called “monkeypox” because \u003ca href=\"https://www.cdc.gov/poxvirus/monkeypox/about.html\">it was first found in 1958 in monkeys\u003c/a>. The Centers for Disease Control and Prevention say that the first human case of MPX was recorded in 1970.\u003c/p>\n\u003cp>Several public health bodies, including the California Department of Public Health and the San Francisco Department of Public Health, have now chosen to refer to the virus as “MPX” to address concerns that \u003ca href=\"https://www.latimes.com/science/story/2022-08-26/many-say-the-name-is-racist-so-what-do-you-call-monkeypox\">the original name furthers both racist and homophobic stigma\u003c/a> around the disease and those who contract it.\u003c/p>\n\u003cp>In speech, MPX is usually pronounced “em-pox,” or the initials “em-pee-ecks.”\u003c/p>\n\u003cp>You may often see “monkeypox” on first usage, and “MPX” thereafter throughout an article or a resource from a public agency. Some official resources may also use “MPOX”. Rest assured these names are referring to the same disease.\u003c/p>\n\u003ch2>How dangerous is MPX?\u003c/h2>\n\u003cp>While it’s less severe than smallpox, MPX can still be a serious disease. The good news is that according to the CDC, MPX is “rarely fatal” — and that “\u003ca href=\"https://www.cdc.gov/poxvirus/monkeypox/faq.html\">over 99% of people who get this form of the disease are likely to survive\u003c/a>.”\u003c/p>\n\u003cp>However, “people with weakened immune systems, children under 8 years of age, people with a history of eczema, and people who are pregnant or breastfeeding may be more likely to get seriously ill or die.”\u003c/p>\n\u003cp>Being sick with MPX typically lasts 2-4 weeks. The symptoms of MPX are similar to smallpox symptoms, but luckily are milder.\u003c/p>\n\u003ch2>\u003ca id=\"monkeypoxcases\">\u003c/a>How many MPX cases are in California and the Bay Area right now?\u003c/h2>\n\u003cp>See \u003ca href=\"https://www.cdph.ca.gov/Programs/CID/DCDC/Pages/monkeypox.aspx\">the number of probable and confirmed MPX cases reported in California right now\u003c/a>, via the California Department of Public Health.\u003c/p>\n\u003cp>See \u003ca href=\"https://sf.gov/information/monkeypox-cases\">the current number of probable and confirmed cases of MPX in San Francisco\u003c/a>, via the San Francisco Public Health Department.\u003c/p>\n\u003cp>See \u003ca href=\"https://www.cdc.gov/poxvirus/monkeypox/response/2022/us-map.html\">the number of nationwide MPX cases state-by-state\u003c/a>, according to the CDC’s map.\u003c/p>\n\u003cfigure id=\"attachment_11919133\" class=\"wp-caption alignnone\" style=\"max-width: 1920px\">\u003cimg decoding=\"async\" loading=\"lazy\" class=\"size-full wp-image-11919133\" src=\"https://ww2.kqed.org/app/uploads/sites/10/2022/07/RS57172_GettyImages-1400054668-qut.jpg\" alt=\"A woman wearing a white lab coat and blue surgical gloves is photographed from behind over her left shoulder as she prepared a medical sample on a white table.\" width=\"1920\" height=\"1280\" srcset=\"https://ww2.kqed.org/app/uploads/sites/10/2022/07/RS57172_GettyImages-1400054668-qut.jpg 1920w, https://ww2.kqed.org/app/uploads/sites/10/2022/07/RS57172_GettyImages-1400054668-qut-800x533.jpg 800w, https://ww2.kqed.org/app/uploads/sites/10/2022/07/RS57172_GettyImages-1400054668-qut-1020x680.jpg 1020w, https://ww2.kqed.org/app/uploads/sites/10/2022/07/RS57172_GettyImages-1400054668-qut-160x107.jpg 160w, https://ww2.kqed.org/app/uploads/sites/10/2022/07/RS57172_GettyImages-1400054668-qut-1536x1024.jpg 1536w\" sizes=\"(max-width: 1920px) 100vw, 1920px\">\u003cfigcaption class=\"wp-caption-text\">A nurse prepares a PCR test for MPX testing. \u003ccite>(Carlos Lujan/Europa Press via Getty Images)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003ch2>\u003ca id=\"monkeypoxsymptoms\">\u003c/a>What are the symptoms of MPX?\u003c/h2>\n\u003cp>According to the World Health Organization, \u003ca href=\"https://www.who.int/news-room/fact-sheets/detail/monkeypox\">the incubation period of MPX\u003c/a>— that is, the amount of time between getting infected with MPX and actually developing the symptoms — is usually from six to 13 days. It can, however, range from five to 21 days.\u003c/p>\n\u003cp>The CDC says that \u003ca href=\"https://www.cdc.gov/poxvirus/monkeypox/clinicians/clinical-recognition.html\">you aren’t contagious during this incubation period.\u003c/a>\u003c/p>\n\u003cp>After that initial incubation period, a person who’s infected with MPX will start to develop symptoms and become contagious to others. The CDC says that symptoms of MPX can include:\u003c/p>\n\u003cul>\n\u003cli>A rash (also known as lesions) that can look like pimples or blisters that appears on the face, inside the mouth, and on other parts of the body, like the hands, feet, chest, genitals or anus. The rash goes through different stages before healing completely.\u003c/li>\n\u003cli>Fever\u003c/li>\n\u003cli>Headache\u003c/li>\n\u003cli>Muscle aches and backache\u003c/li>\n\u003cli>Swollen lymph nodes\u003c/li>\n\u003cli>Chills\u003c/li>\n\u003cli>Exhaustion\u003c/li>\n\u003c/ul>\n\u003cp>Much like with COVID, symptoms can present quite differently in different people. According to the CDC, some people get a rash first, and other symptoms follow. Other folks will only experience the rash itself.\u003c/p>\n\u003cp>The symptoms of MPX that aren’t the rash — like chills, fatigue and headache — are similar to symptoms of COVID. This means it’s entirely possible you could initially mistake a MPX infection for a COVID infection (or you could assume it’s another illness entirely, if you then test for COVID and get a negative result). This is why watching out for a rash is really important.\u003c/p>\n\u003cp>The San Francisco Department of Public Health says that usually, that \u003ca href=\"https://sf.gov/information/monkeypox\">MPX rash will start in the form of red, flat spots\u003c/a>, which then become bumps. The bumps then become filled with fluid, which will then break and crust over into a scab.\u003c/p>\n\u003cp>In addition to the itch they can cause, MPX lesions can be very painful, especially in genital areas or the anus. The CDC notes that people also can have permanent scarring after the rash.\u003c/p>\n\u003cp>\u003ca href=\"https://www.who.int/news-room/fact-sheets/detail/monkeypox\">The symptoms of MPX can last two to four weeks.\u003c/a> This means that, with an incubation period that could be as short as five days or as long as 21 days, a person could be dealing with an MPX infection for anywhere from under three weeks to almost two months.\u003c/p>\n\u003ch2>Who can get MPX?\u003c/h2>\n\u003cp>Anyone can get MPX.\u003c/p>\n\u003cp>As more details emerge of the outbreak in the U.S., it appears that \u003ca href=\"https://www.who.int/publications/m/item/monkeypox-public-health-advice-for-men-who-have-sex-with-men\">MPX infections are particularly affecting communities of gay and bisexual men\u003c/a>, and men who have sex with men.\u003c/p>\n\u003cp>The World Health Organization notes that \u003ca href=\"https://www.who.int/news/item/25-05-2022-monkeypox--public-health-advice-for-gay--bisexual-and-other-men-who-have-sex-with-men\">trans people and gender-diverse people “may also be more vulnerable\u003c/a> in the context of the current outbreak.”\u003c/p>\n\u003cp>San Francisco Health Officer Susan Philip says that LGBTQ+ folks currently being at higher risk for MPX has “nothing to do with sexual orientation or gender identity,” but is more about “being part of these networks and having close contact within those networks.” People in these networks “will likely then have expanded eligibility, expanded access to [an MPX] vaccine,” she says.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003ch2>How does MPX spread?\u003c/h2>\n\u003cp>According to the CDC, the MPX virus can spread from person to person in the following ways:\u003c/p>\n\u003cp>\u003cstrong>From contact with an infected person:\u003c/strong>\u003cbr>\nThis could be direct contact with the infectious rash, scabs or body fluids, or during intimate physical contact, such as kissing, cuddling or sex. It could also spread via respiratory droplets during prolonged, face-to-face contact (even talking with someone at very close range).\u003c/p>\n\u003cp>The CDC says that right now, it’s “not known” if MPX can spread through semen or vaginal fluids.\u003c/p>\n\u003cp>\u003cstrong>From contact with an item that’s previously touched the rash or fluids of an infected person:\u003c/strong>\u003cbr>\nThis could include touching or sharing clothes, bedsheets or towels. SFDPH notes that according to the CDC, studies show the MPX virus can live on surfaces for as long as 15 days and still infect someone — but that you’d need to touch that surface “for a pretty long time.”\u003c/p>\n\u003cp>You can get MPX from an infected animal, either through a scratch or bite, or by preparing or eating meat or products from an infected animal. Pregnant people also can spread the virus to their fetus.\u003c/p>\n\u003cp>\u003cstrong>How you \u003cem>cannot\u003c/em> get MPX: \u003c/strong>\u003cbr>\nFrom casual conversations, or by passing someone with MPX (say, in a store) or briefly touching surfaces like doorknobs.\u003c/p>\n\u003cfigure id=\"attachment_11919136\" class=\"wp-caption alignnone\" style=\"max-width: 1920px\">\u003cimg decoding=\"async\" loading=\"lazy\" class=\"size-full wp-image-11919136\" src=\"https://ww2.kqed.org/app/uploads/sites/10/2022/07/RS57173_A-couple-holding-hands-on-a-couch-qut-1.jpg\" alt=\"A seated couple holding hands. One person wears a dark plaid shirt, the other person wears dark blue jeans. Both of their faces are obscured.\" width=\"1920\" height=\"1282\" srcset=\"https://ww2.kqed.org/app/uploads/sites/10/2022/07/RS57173_A-couple-holding-hands-on-a-couch-qut-1.jpg 1920w, https://ww2.kqed.org/app/uploads/sites/10/2022/07/RS57173_A-couple-holding-hands-on-a-couch-qut-1-800x534.jpg 800w, https://ww2.kqed.org/app/uploads/sites/10/2022/07/RS57173_A-couple-holding-hands-on-a-couch-qut-1-1020x681.jpg 1020w, https://ww2.kqed.org/app/uploads/sites/10/2022/07/RS57173_A-couple-holding-hands-on-a-couch-qut-1-160x107.jpg 160w, https://ww2.kqed.org/app/uploads/sites/10/2022/07/RS57173_A-couple-holding-hands-on-a-couch-qut-1-1536x1026.jpg 1536w\" sizes=\"(max-width: 1920px) 100vw, 1920px\">\u003cfigcaption class=\"wp-caption-text\">Talking about health, and especially sexual health, is paramount. \u003ccite>(Zackary Drucker/The Gender Spectrum Collection via Creative Commons)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003ch2>How contagious is MPX?\u003c/h2>\n\u003cp>The California Department of Public Health says that MPX is “far less contagious” than COVID.\u003c/p>\n\u003cp>You can be contagious with MPX — meaning you can spread the virus to another person — from the time your symptoms start until the time any scabs have fully dropped off and the rash has fully healed (i.e., until a fresh layer of skin has formed over them). The illness typically lasts 2-4 weeks.\u003c/p>\n\u003cp>Can you have — and spread — MPX without having symptoms (also known as being asymptomatic)? This is an area where what we know about MPX is still evolving.\u003c/p>\n\u003cp>The CDC’s current guidance says that people who don’t have MPX symptoms cannot spread the virus to others. But the World Health Organization also says “the extent to which asymptomatic infection may occur is unknown.”\u003c/p>\n\u003ch2>Is MPX a sexually transmitted infection/disease (STI/STD)?\u003c/h2>\n\u003cp>MPX is not strictly an STI.\u003c/p>\n\u003cp>MPX can spread through close, skin-to-skin contact and \u003ca href=\"https://www.cdc.gov/poxvirus/monkeypox/symptoms.html\">coming into contact with objects and fabrics used by somebody infected with MPX\u003c/a>. This also includes coming into contact with the rashes and sores that can develop on an infected person’s skin and even inside their mouth. The virus can also spread through respiratory droplets and saliva.\u003c/p>\n\u003cp>This makes it possible for MPX to spread during sex and other intimate actions, like kissing and cuddling. But it can also spread through nonsexual behavior, like using a towel or bedsheets previously used by an infected person that have not been washed yet.\u003c/p>\n\u003cp>When someone tests positive for MPX, health officials will work with them to contact their close contacts, similar to the contact tracing method used for sexually transmitted infection, says Dr. Peter Chin-Hong, an infectious disease specialist at UCSF.\u003c/p>\n\u003cp>“That’s the highest priority for vaccines right now,” he says, “the contacts of people who are known cases.”\u003c/p>\n\u003cp>Chin-Hong also encourages sexual partners to talk about MPX before having sex.\u003c/p>\n\u003cp>“Whenever you have a new partner, you should have a very frank and open conversation that’s health-positive, and open-ended,” he explains. This can include things like possible HIV exposures and HIV test results, and asking about any potential MPX symptoms.\u003c/p>\n\u003cp>“‘Have you noticed any rash or anything like that recently or have you been in contact with anyone [with symptoms]?’,” he suggests as possible questions. “They are the people who are weighing the risks and benefits in different ways. So I think that … open and honest conversation is really important, not just to MPX, but just as a good practice in general.”\u003c/p>\n\u003ch2>\u003ca id=\"monkeypoxtreament\">\u003c/a>What should I do if I suspect I have MPX?\u003c/h2>\n\u003cp>If you’re experiencing the \u003ca href=\"#monkeypoxsymptoms\">symptoms of MPX\u003c/a>, or you’ve been informed you could have been exposed to MPX, it’s important you take action as soon as possible. Here are the steps:\u003c/p>\n\u003cp>\u003cstrong>Contact a health care provider right away\u003c/strong>\u003c/p>\n\u003cp>If you have health insurance, reach out to your regular provider ASAP, or call your provider’s medical hotline if they have one.\u003c/p>\n\u003cp>If you don’t have health insurance, you should contact your county’s public health department to ask for their guidance:\u003c/p>\n\u003cul>\n\u003cli>\u003ca href=\"https://sf.gov/information/monkeypox\">San Francisco community clinics\u003c/a>\u003c/li>\n\u003cli>\u003ca href=\"https://acphd.org/clinics/\">Alameda County community clinics\u003c/a>\u003c/li>\n\u003cli>\u003ca href=\"https://cchealth.org/centers-clinics/\">Contra Costa County community clinics\u003c/a>, or call Contra Costa Public Health at (925) 313-6740\u003c/li>\n\u003cli>\u003ca href=\"https://sonomacounty.ca.gov/health-and-human-services/health-services/divisions/public-health/disease-control/immunizations/community-clinics\">Sonoma County community clinics\u003c/a>\u003c/li>\n\u003cli>\u003ca href=\"https://www.smchealth.org/smmc-find-location\">San Mateo County community clinics\u003c/a>\u003c/li>\n\u003cli>\u003ca href=\"https://www.solanocounty.com/depts/ph/fhs/primary_care_clinics/default.asp\">Solano County community clinics\u003c/a>\u003c/li>\n\u003cli>\u003ca href=\"https://www.marinhhs.org/community-resource-guide/marin-community-clinics-5-locations-larkspur-novato-san-rafael\">Marin County community clinics\u003c/a>\u003c/li>\n\u003cli>\u003ca href=\"https://chpscc.org/member-clinics/\">Santa Clara community clinics\u003c/a>, or call the County Patient Access Department at (866) 967-4677\u003c/li>\n\u003cli>\u003ca href=\"https://www.rchc.net/napa-county-health-centers/\">Napa County community clinics\u003c/a>, or call Napa County Public Health at (707) 253-4270\u003c/li>\n\u003c/ul>\n\u003cp>The San Francisco Department of Public Health recommends that if you live in the city and you don’t have a provider, or have difficulty scheduling an appointment, you can be seen at SF City Clinic at 7th Street (628-217-6600) or at Strut at 470 Castro Street (415-581-1600).\u003c/p>\n\u003cp>\u003cstrong>Learn whether you can get tested for MPX\u003c/strong>\u003c/p>\n\u003cp>The test for MPX is a swab test, in which a swab is rubbed on your skin and then sent to a specialized laboratory.\u003c/p>\n\u003cp>The test results will take a few days, during which period you should isolate from other people and animals, and take steps to reduce the chances of spreading the disease yourself.\u003c/p>\n\u003cp>But right now, you may need to meet certain criteria to get a MPX test — San Francisco, for example, says that \u003ca href=\"https://sf.gov/information/monkeypox-faq\">SF residents must have a rash or spots present to get a MPX test\u003c/a>.\u003c/p>\n\u003cp>“Monkeypox is circulating here in our community,” says Tyler TerMeer, CEO of the San Francisco AIDS Foundation, but he stresses that testing isn’t available for everyone who wants it — yet. “This is different than some other viral infections,” says TerMeer. “You actually have to have an active lesion or rash that we can take a sample from in order to test to confirm whether it’s monkeypox or not.”\u003c/p>\n\u003cp>\u003cstrong>Find out whether you can get a MPX vaccine\u003c/strong>\u003c/p>\n\u003cp>A vaccine for MPX is being offered to people who may have been exposed to the virus, which is most effective given within the first four days of infection. \u003ca href=\"https://www.kqed.org/news/11920455/where-can-i-find-a-monkeypox-vaccine-near-me\">Read our full guide to how to find a MPX vaccine near you. \u003c/a>\u003c/p>\n\u003cp>\u003cstrong>Contact anyone you’ve had close physical contact with\u003c/strong>\u003c/p>\n\u003cp>Ask health providers about formal contact tracing, but in the meantime, reach out by calling or texting anyone you’ve been physically close to since your symptoms started.\u003c/p>\n\u003cp>\u003cstrong>Do what you can to manage your symptoms \u003c/strong>\u003c/p>\n\u003cp>The World Health Organization says that the symptoms of MPX, while often painful, normally get better on their own without the need for treatment — but that you should ultimately follow the advice of a health care provider. \u003ca href=\"#monkeypoxtreatment\">Jump to more information about what treatments are available for MPX.\u003c/a>\u003c/p>\n\u003cp>\u003ca href=\"https://www.who.int/news-room/questions-and-answers/item/monkeypox\">The WHO says that medication for pain (analgesics) and fever (antipyretics) can be used\u003c/a> to relieve some symptoms if needed, and that lidocaine can be applied to oral and perianal lesions to relieve pain. Talk to a health care provider about taking these kinds of medications.\u003c/p>\n\u003cp>The WHO also gives these tips for \u003ca href=\"https://www.who.int/news-room/questions-and-answers/item/monkeypox\">managing the symptoms of MPX at home\u003c/a>:\u003c/p>\n\u003cul>\n\u003cli>Avoid scratching your skin.\u003c/li>\n\u003cli>Clean hands before and after touching lesions.\u003c/li>\n\u003cli>Keep your skin dry and uncovered.\u003c/li>\n\u003cli>Keep your rash clean with sterilized water or antiseptic.\u003c/li>\n\u003cli>If you have lesions on your body, take a warm bath with baking soda and Epsom salts.\u003c/li>\n\u003cli>Use saltwater rinses for lesions in your mouth.\u003c/li>\n\u003cli>Stay hydrated, eat well and get enough sleep.\u003c/li>\n\u003c/ul>\n\u003cp>\u003cstrong>Isolate yourself as much as possible\u003c/strong>\u003c/p>\n\u003cp>To avoid infecting other people, isolate yourself from others as much as possible. Avoid sharing your bedding, towels or clothing, as well as utensils and cups. Jump to \u003ca href=\"#monkeypoxprevention\">more information about reducing the spread of MPX\u003c/a>.\u003c/p>\n\u003cp>If you can’t avoid being in the same room as other people, the WHO advises you to keep your rash or lesions covered with clothing or a bandage. The organization also recommends \u003ca href=\"https://www.who.int/news-room/questions-and-answers/item/monkeypox\">keeping your own mental health in mind if you’re self-isolating\u003c/a>, by staying connected to others using technology, and exercising if you feel well enough.\u003c/p>\n\u003cfigure id=\"attachment_11919132\" class=\"wp-caption aligncenter\" style=\"max-width: 1920px\">\u003cimg decoding=\"async\" loading=\"lazy\" class=\"size-full wp-image-11919132\" src=\"https://ww2.kqed.org/app/uploads/sites/10/2022/07/RS57171_GettyImages-1401335558-qut.jpg\" alt=\"The right, blue-gloved hand of a medical technician holds a small vial, into which their other hand (offcamera) is dispensing liquid sample from a long white tool. The cap of the vial is bright green, and there are six vials in the background out of focus, with purple caps.\" width=\"1920\" height=\"1280\" srcset=\"https://ww2.kqed.org/app/uploads/sites/10/2022/07/RS57171_GettyImages-1401335558-qut.jpg 1920w, https://ww2.kqed.org/app/uploads/sites/10/2022/07/RS57171_GettyImages-1401335558-qut-800x533.jpg 800w, https://ww2.kqed.org/app/uploads/sites/10/2022/07/RS57171_GettyImages-1401335558-qut-1020x680.jpg 1020w, https://ww2.kqed.org/app/uploads/sites/10/2022/07/RS57171_GettyImages-1401335558-qut-160x107.jpg 160w, https://ww2.kqed.org/app/uploads/sites/10/2022/07/RS57171_GettyImages-1401335558-qut-1536x1024.jpg 1536w\" sizes=\"(max-width: 1920px) 100vw, 1920px\">\u003cfigcaption class=\"wp-caption-text\">A medical laboratory technician inactivates suspected MPX samples to be PCR-tested in a microbiology laboratory. \u003ccite>(Pablo Blazquez Dominguez/Getty Images)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003ch2>\u003ca id=\"monkeypoxvaccine\">\u003c/a>What is the MPX vaccine, and how can I get it?\u003c/h2>\n\u003cp>The MPX vaccine being offered in the United States right now is called Jynneos. This vaccine is also used to prevent smallpox.\u003c/p>\n\u003cp>The CDC recommends that the MPX vaccine be given to a person within four days of the date they were exposed to MPX, for the best chance of preventing onset of the disease.\u003c/p>\n\u003cp>If a person gets the vaccine between four and 14 days of being exposed, the vaccine may reduce the symptoms of MPX, but may not prevent the disease altogether. This timeliness is another reason it’s important to stay vigilant for possible exposure to MPX and watch for symptoms — and to act quickly.\u003c/p>\n\u003cp>\u003cstrong>\u003ca href=\"https://www.kqed.org/news/11920455/where-can-i-find-a-monkeypox-vaccine-near-me\">Read our full guide to the MPX vaccine in the Bay Area.\u003c/a>\u003c/strong>\u003c/p>\n\u003ch2>\u003ca id=\"monkeypoxtreatment\">\u003c/a>What MPX treatments are available?\u003c/h2>\n\u003cp>Currently, the drug Tecovirimat (also known as TPOXX or ST-246) is being used to treat those experiencing severe MPX. The Food and Drug Administration already has approved Tecovirimat to treat smallpox, and has recently expanded its use for MPX among adults and children.\u003c/p>\n\u003cp>Tecovirimat is usually a two-week treatment and can be administered either through a capsule or an intravenous (IV) injection. The drug works by making it harder for the virus to infect new cells, therefore limiting the infection growth.\u003c/p>\n\u003cp>“Most people will get better on their own but some people will require treatment,” says Chin-Hong of UCSF. Those considered for treatment include immunocompromised people, pregnant people and children under 8.\u003c/p>\n\u003cp>People who don’t have those particular risk factors but still develop severe MPX also can receive treatment, Chin-Hong says. This includes those who develop extensive oral disease, as that makes it very difficult to eat and drink. “It’s like having a bunch of ulcers in your mouth,” he says. Those who develop the disease extensively in the rectal area or near the eyes also can receive treatment.\u003c/p>\n\u003cp>The blisters and sores that develop can be quite painful, he adds: “Treatment is not only about vaccines and drug treatments but also about what specific symptoms the patient’s having.”\u003c/p>\n\u003cp>He recommends talking to your physician about what pain you’re feeling and where. If the disease is in the rectal area, it can be painful to defecate. But there are many options available that can alleviate, or at least reduce, the pain you may be feeling.\u003c/p>\n\u003cp>The MPX vaccine also can act as a sort of treatment, he says, but only when someone receives it shortly after being exposed. “In MPX, the incubation period is longer,” he explains. “So that means if you got a vaccine shortly after exposure — some people think within four days — it can impact and stop you from getting disease, even though you might have been exposed to an infection.”\u003c/p>\n\u003cp>“If you get the vaccine within 14 days of exposure, even though you might get the rash or disease, it will reduce your symptoms.”\u003c/p>\n\u003cfigure id=\"attachment_11919138\" class=\"wp-caption alignnone\" style=\"max-width: 1920px\">\u003cimg decoding=\"async\" loading=\"lazy\" class=\"size-full wp-image-11919138\" src=\"https://ww2.kqed.org/app/uploads/sites/10/2022/07/RS57175_GettyImages-1241638108-qut.jpg\" alt=\"\" width=\"1920\" height=\"1378\" srcset=\"https://ww2.kqed.org/app/uploads/sites/10/2022/07/RS57175_GettyImages-1241638108-qut.jpg 1920w, https://ww2.kqed.org/app/uploads/sites/10/2022/07/RS57175_GettyImages-1241638108-qut-800x574.jpg 800w, https://ww2.kqed.org/app/uploads/sites/10/2022/07/RS57175_GettyImages-1241638108-qut-1020x732.jpg 1020w, https://ww2.kqed.org/app/uploads/sites/10/2022/07/RS57175_GettyImages-1241638108-qut-160x115.jpg 160w, https://ww2.kqed.org/app/uploads/sites/10/2022/07/RS57175_GettyImages-1241638108-qut-1536x1102.jpg 1536w\" sizes=\"(max-width: 1920px) 100vw, 1920px\">\u003cfigcaption class=\"wp-caption-text\">A vial of the Jynneos MPX vaccine. \u003ccite>(Bill O'Leary/The Washington Post via Getty Images)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003ch2>Do we know how MPX interacts with COVID?\u003c/h2>\n\u003cp>The California Department of Public Health stresses that MPX is “a completely different disease” from COVID, and that this outbreak is unrelated to COVID.\u003c/p>\n\u003cp>MPX is much less contagious than COVID and the way it spreads also is very different. SFDPH says this is “partly because people with MPX are generally thought to be contagious to people with whom they’ve had very close contact over a long period of time, and when they have symptoms like a rash.” COVID, on the other hand, spreads through the air and can be spread even when people do not have COVID symptoms.\u003c/p>\n\u003cp>However, UCSF’s Chin-Hong affirms that it’s completely possible to contract COVID-19 and MPX at the same time and adds that the impact that a double infection has on the body is still being studied.\u003c/p>\n\u003ch2>\u003ca id=\"monkeypoxprevention\">\u003c/a>How can folks protect themselves against contracting MPX?\u003c/h2>\n\u003cp>The CDC says the following activities will increase your risk for being infected with MPX, and should be avoided to reduce the risk of infection:\u003c/p>\n\u003cul>\n\u003cli>Close, skin-to-skin contact with someone’s MPX rash\u003c/li>\n\u003cli>Touching the rash or scabs of someone with MPX\u003c/li>\n\u003cli>Kissing, hugging, cuddling or having sex with someone who has MPX\u003c/li>\n\u003cli>Sharing eating utensils or cups\u003c/li>\n\u003cli>Handling or touch the bedding, towels or clothing of someone with MPX\u003c/li>\n\u003c/ul>\n\u003cp>Wash your hands often with soap and water or use an alcohol-based hand sanitizer, especially after contact with people who’ve been infected with MPX. \u003ca href=\"https://www.cdc.gov/poxvirus/monkeypox/pdf/Monkeypox-Interim-Guidance-for-Household-Disinfection-508.pdf\">Read the CDC’s guide to disinfecting spaces to prevent the spread of MPX.\u003c/a>\u003c/p>\n\u003cp>Additionally, the San Francisco Department of Public Health advises you cover exposed skin in crowded settings (whether that’s indoors, like in a bar, or outdoors at a festival or a parade).\u003c/p>\n\u003cp>They also recommend you don’t share bedding or clothing with others generally, even if you aren’t sure if they have MPX, and talk to your close physical and sexual contacts about their health generally, including whether they’re seeing recent rashes or sores on their body.\u003c/p>\n\u003ch2>What are health officials doing to prevent and combat stigma about MPX?\u003c/h2>\n\u003cp>San Francisco AIDS Foundation CEO TerMeer says that vaccine equity is also very much on the minds of advocates right now, “ensuring that we don’t repeat any mistakes of the past so that communities of color or other communities that have traditionally been furthest from access and opportunity in the health care space don’t get left out of the conversation.”\u003c/p>\n\u003cp>“Our predominant advocacy at the moment is just ‘we need vaccines and we need them now,’” says TerMeer. “We are really pushing to try and get at least 1,000 doses of vaccine in the next 30 days so that we can get ahead of the issue and are really hoping to be able to respond effectively, before it grows into a larger issue.”\u003c/p>\n\u003cp>If you are looking for additional health advice on MPX, you also can access:\u003c/p>\n\u003cul>\n\u003cli>\u003cstrong>\u003ca href=\"https://www.sfaf.org/monkeypox/\">Magnet Sexual Health Clinic at Strut\u003c/a> (San Francisco AIDS Foundation): (415) 581-1600\u003c/strong>\u003c/li>\n\u003cli>\u003cstrong>San Francisco Department of Public Health \u003ca href=\"https://sf.gov/information/monkeypox\">info page about MPX\u003c/a>\u003c/strong>\u003c/li>\n\u003cli>\u003cstrong>\u003ca href=\"https://www.cdph.ca.gov/Programs/CID/DCDC/Pages/Monkeypox-Questions-and-Answers.aspx\">California Department of Public Health MPX FAQ\u003c/a>\u003c/strong>\u003c/li>\n\u003c/ul>\n\u003cp>\u003cem>This post includes reporting by KQED’s Vanessa Rancaño, Juan Carlos Lara and Matthew Green. A version of this story was published on July 8.\u003c/em>\u003c/p>\n\u003cp>[ad floatright]\u003c/p>\n","blocks":[],"excerpt":"What is monkeypox? What are the symptoms, how does it spread and how many cases do we know of in the Bay Area? Our guide has answers.","status":"publish","parent":0,"modified":1699385776,"stats":{"hasAudio":false,"hasVideo":false,"hasChartOrMap":false,"iframeSrcs":[],"hasGoogleForm":false,"hasGallery":false,"hasHearkenModule":false,"hasPolis":false,"paragraphCount":102,"wordCount":4186},"headData":{"title":"Mpox in the San Francisco Bay Area: What We Know About Symptoms, Cases and Spread | KQED","description":"What is monkeypox? What are the symptoms, how does it spread and how many cases do we know of in the Bay Area? Our guide has answers.","ogTitle":"","ogDescription":"","ogImgId":"","twTitle":"","twDescription":"","twImgId":"","schema":{"@context":"http://schema.org","@type":"NewsArticle","headline":"Mpox in the San Francisco Bay Area: What We Know About Symptoms, Cases and Spread","datePublished":"2022-07-28T23:35:09.000Z","dateModified":"2023-11-07T19:36:16.000Z","image":"https://cdn.kqed.org/wp-content/uploads/2020/02/KQED-OG-Image@1x.png","isAccessibleForFree":"Y","publisher":{"@type":"NewsMediaOrganization","@id":"https://www.kqed.org/#organization","name":"KQED","url":"https://www.kqed.org","logo":"https://cdn.kqed.org/wp-content/uploads/2020/02/KQED-OG-Image@1x.png"}}},"excludeFromSiteSearch":"Include","articleAge":"0","path":"/news/11919070/monkeypox-in-the-bay-area-from-symptoms-to-how-to-find-a-vaccine-heres-what-we-know","audioTrackLength":null,"parsedContent":[{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003cp>\u003cstrong>Update, 12:20 p.m. October 20: \u003c/strong>The San Francisco Department of Public Health has announced it will end the city’s state of emergency around monkeypox (MPX) on October 31.\u003c/p>\n\u003cp>SF health officials said that MPX cases “have slowed to less than one case per day,” and that more than 27,000 city residents have now received the MPX vaccine.\u003c/p>\n\u003cp>San Francisco originally declared this public health emergency for MPX back in July, and was the first U.S. city to do so.\u003c/p>\n\u003cp>\u003cstrong>Original post:\u003c/strong>\u003c/p>\n\u003cp>\u003cstrong>A note: Several public health organizations, including the California Department of Public Health, have chosen to refer to monkeypox as “MPX” (pronounced “em-pox”) with the aim of \u003ca href=\"https://www.latimes.com/science/story/2022-08-26/many-say-the-name-is-racist-so-what-do-you-call-monkeypox\">reducing homophobic and racial stigma surrounding the virus\u003c/a>. For the rest of this story, we use “MPX” for these reasons, except in direct quotes or other cases where it would confuse readers.\u003c/strong>\u003c/p>\n\u003cp>Back on August 4, \u003ca href=\"https://www.kqed.org/news/11921618/white-house-declares-monkeypox-a-public-health-emergency\">the White House declared MPX a public health emergency\u003c/a>. At the time of this announcement, there were more than 6,616 cases reported in the U.S.\u003c/p>\n\u003cp>As of Sept. 14, \u003ca href=\"https://www.cdc.gov/poxvirus/monkeypox/response/2022/us-map.html\">the CDC now reports 22,630 cases nationwide\u003c/a>. And because of limited testing, this figure most likely still represents something of an undercount.\u003c/p>\n\u003cul>\n\u003cli>\u003cstrong>Looking for where to find an MPX vaccine near you? \u003ca href=\"https://www.kqed.org/news/11920455/where-can-i-find-a-monkeypox-vaccine-near-me\">Read our full guide to the MPX vaccine in the Bay Area.\u003c/a>\u003c/strong>\u003c/li>\n\u003c/ul>\n\u003cp>“We are prepared to take our response to the next level in addressing this virus and we urge every American to take monkeypox seriously,” Health and Human Services Secretary Xavier Becerra said. Read more about \u003ca href=\"https://www.kqed.org/news/11921618/white-house-declares-monkeypox-a-public-health-emergency\">what the public health emergency means.\u003c/a>\u003c/p>\n\u003cp>On August 1, Gov. Gavin Newsom \u003ca href=\"https://www.kqed.org/news/11921185/newsom-declares-statewide-emergency-amid-rapid-spread-of-monkeypox-virus\">declared a State of Emergency over the MPX outbreak in California\u003c/a>. A week prior, \u003ca href=\"https://www.kqed.org/news/11920764/an-epicenter-for-the-country-san-francisco-declares-state-of-emergency-over-monkeypox-outbreak\">San Francisco had declared its own state of emergency over MPX\u003c/a>. State and local health officials have affirmed that cases are rapidly rising and have asked the federal government to make MPX vaccines more widely available.\u003c/p>\n\u003cp>\u003cstrong>Jump to a specific answer:\u003c/strong>\u003c/p>\n\u003cul>\n\u003cli>\u003cstrong>\u003ca href=\"#monkeypoxsymptoms\">What are the symptoms of MPX?\u003c/a>\u003c/strong>\u003c/li>\n\u003cli>\u003cstrong>\u003ca href=\"#monkeypoxcases\">How many MPX cases are in the Bay Area?\u003c/a>\u003c/strong>\u003c/li>\n\u003cli>\u003cstrong>\u003ca href=\"#monkeypoxtreament\">What should I do if I think I have MPX?\u003c/a>\u003c/strong>\u003c/li>\n\u003cli>\u003cstrong>\u003ca href=\"#monkeypoxprevention\">How can I prevent being infected with MPX?\u003c/a>\u003c/strong>\u003c/li>\n\u003c/ul>\n\u003cp>MPX has existed for decades — the first case among humans was registered in 1970 — but we’re now seeing multiple outbreaks across the U.S. \u003ca href=\"https://www.cdc.gov/poxvirus/monkeypox/response/2022/us-map.html\">See how many cases have now been reported nationwide according to the Centers for Disease Control and Prevention.\u003c/a>\u003c/p>\n\u003cp>The majority of infections have been detected among gay and bisexual men, but public health experts have made it clear that MPX is an “equal opportunity disease,” meaning that anybody, regardless of sexual orientation, race, class or other demographic categories, is susceptible to infection.\u003c/p>\u003c/div>","attributes":{"named":{},"numeric":[]}},{"type":"component","content":"","name":"aside","attributes":{"named":{"postid":"news_11920455","hero":"https://ww2.kqed.org/app/uploads/sites/10/2022/07/RS57399_GettyImages-1408879341-qut-1020x765.jpg","label":""},"numeric":[]}},{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>However, public health organizations that serve the LGBTQ+ community in the Bay Area are still advising residents to learn more about MPX and how it spreads, particularly in the context of large public events in San Francisco celebrated by the queer community like Pride (the weekend of June 25), Dore Alley Weekend (the weekend of July 30) and Folsom Street Fair (the weekend of September 24) that take place in the summer and fall. \u003ca href=\"https://www.kqed.org/news/11920764/an-epicenter-for-the-country-san-francisco-declares-state-of-emergency-over-monkeypox-outbreak\">San Francisco formally declared the outbreak a public health emergency back on July 28.\u003c/a>\u003c/p>\n\u003cp>KQED spoke to physicians, public health officials and LGBTQ+ health groups to create this guide that includes the latest information on the disease, its transmission and available treatment, and what to do if you become infected. And if you’re looking for vaccine details specifically, you can \u003ca href=\"https://www.kqed.org/news/11920455/where-can-i-find-a-monkeypox-vaccine-near-me\">read our full guide to where to find a MPX vaccine near you.\u003c/a>\u003c/p>\n\u003ch2>What is MPX?\u003c/h2>\n\u003cp>\u003ca href=\"https://sf.gov/information/monkeypox\">MPX is a disease that is caused when a person is infected with the MPX virus\u003c/a>. As the name might suggest, the virus is related to the smallpox virus but it’s generally less severe and “much less contagious” than smallpox, according to the California Department of Public Health (CDPH).\u003c/p>\n\u003cp>Although you might assume MPX is also related to chickenpox, it’s not.\u003c/p>\n\u003ch3>How did MPX get its name?\u003c/h3>\n\u003cp>The disease was called “monkeypox” because \u003ca href=\"https://www.cdc.gov/poxvirus/monkeypox/about.html\">it was first found in 1958 in monkeys\u003c/a>. The Centers for Disease Control and Prevention say that the first human case of MPX was recorded in 1970.\u003c/p>\n\u003cp>Several public health bodies, including the California Department of Public Health and the San Francisco Department of Public Health, have now chosen to refer to the virus as “MPX” to address concerns that \u003ca href=\"https://www.latimes.com/science/story/2022-08-26/many-say-the-name-is-racist-so-what-do-you-call-monkeypox\">the original name furthers both racist and homophobic stigma\u003c/a> around the disease and those who contract it.\u003c/p>\n\u003cp>In speech, MPX is usually pronounced “em-pox,” or the initials “em-pee-ecks.”\u003c/p>\n\u003cp>You may often see “monkeypox” on first usage, and “MPX” thereafter throughout an article or a resource from a public agency. Some official resources may also use “MPOX”. Rest assured these names are referring to the same disease.\u003c/p>\n\u003ch2>How dangerous is MPX?\u003c/h2>\n\u003cp>While it’s less severe than smallpox, MPX can still be a serious disease. The good news is that according to the CDC, MPX is “rarely fatal” — and that “\u003ca href=\"https://www.cdc.gov/poxvirus/monkeypox/faq.html\">over 99% of people who get this form of the disease are likely to survive\u003c/a>.”\u003c/p>\n\u003cp>However, “people with weakened immune systems, children under 8 years of age, people with a history of eczema, and people who are pregnant or breastfeeding may be more likely to get seriously ill or die.”\u003c/p>\n\u003cp>Being sick with MPX typically lasts 2-4 weeks. The symptoms of MPX are similar to smallpox symptoms, but luckily are milder.\u003c/p>\n\u003ch2>\u003ca id=\"monkeypoxcases\">\u003c/a>How many MPX cases are in California and the Bay Area right now?\u003c/h2>\n\u003cp>See \u003ca href=\"https://www.cdph.ca.gov/Programs/CID/DCDC/Pages/monkeypox.aspx\">the number of probable and confirmed MPX cases reported in California right now\u003c/a>, via the California Department of Public Health.\u003c/p>\n\u003cp>See \u003ca href=\"https://sf.gov/information/monkeypox-cases\">the current number of probable and confirmed cases of MPX in San Francisco\u003c/a>, via the San Francisco Public Health Department.\u003c/p>\n\u003cp>See \u003ca href=\"https://www.cdc.gov/poxvirus/monkeypox/response/2022/us-map.html\">the number of nationwide MPX cases state-by-state\u003c/a>, according to the CDC’s map.\u003c/p>\n\u003cfigure id=\"attachment_11919133\" class=\"wp-caption alignnone\" style=\"max-width: 1920px\">\u003cimg decoding=\"async\" loading=\"lazy\" class=\"size-full wp-image-11919133\" src=\"https://ww2.kqed.org/app/uploads/sites/10/2022/07/RS57172_GettyImages-1400054668-qut.jpg\" alt=\"A woman wearing a white lab coat and blue surgical gloves is photographed from behind over her left shoulder as she prepared a medical sample on a white table.\" width=\"1920\" height=\"1280\" srcset=\"https://ww2.kqed.org/app/uploads/sites/10/2022/07/RS57172_GettyImages-1400054668-qut.jpg 1920w, https://ww2.kqed.org/app/uploads/sites/10/2022/07/RS57172_GettyImages-1400054668-qut-800x533.jpg 800w, https://ww2.kqed.org/app/uploads/sites/10/2022/07/RS57172_GettyImages-1400054668-qut-1020x680.jpg 1020w, https://ww2.kqed.org/app/uploads/sites/10/2022/07/RS57172_GettyImages-1400054668-qut-160x107.jpg 160w, https://ww2.kqed.org/app/uploads/sites/10/2022/07/RS57172_GettyImages-1400054668-qut-1536x1024.jpg 1536w\" sizes=\"(max-width: 1920px) 100vw, 1920px\">\u003cfigcaption class=\"wp-caption-text\">A nurse prepares a PCR test for MPX testing. \u003ccite>(Carlos Lujan/Europa Press via Getty Images)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003ch2>\u003ca id=\"monkeypoxsymptoms\">\u003c/a>What are the symptoms of MPX?\u003c/h2>\n\u003cp>According to the World Health Organization, \u003ca href=\"https://www.who.int/news-room/fact-sheets/detail/monkeypox\">the incubation period of MPX\u003c/a>— that is, the amount of time between getting infected with MPX and actually developing the symptoms — is usually from six to 13 days. It can, however, range from five to 21 days.\u003c/p>\n\u003cp>The CDC says that \u003ca href=\"https://www.cdc.gov/poxvirus/monkeypox/clinicians/clinical-recognition.html\">you aren’t contagious during this incubation period.\u003c/a>\u003c/p>\n\u003cp>After that initial incubation period, a person who’s infected with MPX will start to develop symptoms and become contagious to others. The CDC says that symptoms of MPX can include:\u003c/p>\n\u003cul>\n\u003cli>A rash (also known as lesions) that can look like pimples or blisters that appears on the face, inside the mouth, and on other parts of the body, like the hands, feet, chest, genitals or anus. The rash goes through different stages before healing completely.\u003c/li>\n\u003cli>Fever\u003c/li>\n\u003cli>Headache\u003c/li>\n\u003cli>Muscle aches and backache\u003c/li>\n\u003cli>Swollen lymph nodes\u003c/li>\n\u003cli>Chills\u003c/li>\n\u003cli>Exhaustion\u003c/li>\n\u003c/ul>\n\u003cp>Much like with COVID, symptoms can present quite differently in different people. According to the CDC, some people get a rash first, and other symptoms follow. Other folks will only experience the rash itself.\u003c/p>\n\u003cp>The symptoms of MPX that aren’t the rash — like chills, fatigue and headache — are similar to symptoms of COVID. This means it’s entirely possible you could initially mistake a MPX infection for a COVID infection (or you could assume it’s another illness entirely, if you then test for COVID and get a negative result). This is why watching out for a rash is really important.\u003c/p>\n\u003cp>The San Francisco Department of Public Health says that usually, that \u003ca href=\"https://sf.gov/information/monkeypox\">MPX rash will start in the form of red, flat spots\u003c/a>, which then become bumps. The bumps then become filled with fluid, which will then break and crust over into a scab.\u003c/p>\n\u003cp>In addition to the itch they can cause, MPX lesions can be very painful, especially in genital areas or the anus. The CDC notes that people also can have permanent scarring after the rash.\u003c/p>\n\u003cp>\u003ca href=\"https://www.who.int/news-room/fact-sheets/detail/monkeypox\">The symptoms of MPX can last two to four weeks.\u003c/a> This means that, with an incubation period that could be as short as five days or as long as 21 days, a person could be dealing with an MPX infection for anywhere from under three weeks to almost two months.\u003c/p>\n\u003ch2>Who can get MPX?\u003c/h2>\n\u003cp>Anyone can get MPX.\u003c/p>\n\u003cp>As more details emerge of the outbreak in the U.S., it appears that \u003ca href=\"https://www.who.int/publications/m/item/monkeypox-public-health-advice-for-men-who-have-sex-with-men\">MPX infections are particularly affecting communities of gay and bisexual men\u003c/a>, and men who have sex with men.\u003c/p>\n\u003cp>The World Health Organization notes that \u003ca href=\"https://www.who.int/news/item/25-05-2022-monkeypox--public-health-advice-for-gay--bisexual-and-other-men-who-have-sex-with-men\">trans people and gender-diverse people “may also be more vulnerable\u003c/a> in the context of the current outbreak.”\u003c/p>\n\u003cp>San Francisco Health Officer Susan Philip says that LGBTQ+ folks currently being at higher risk for MPX has “nothing to do with sexual orientation or gender identity,” but is more about “being part of these networks and having close contact within those networks.” People in these networks “will likely then have expanded eligibility, expanded access to [an MPX] vaccine,” she says.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>","attributes":{"named":{},"numeric":[]}},{"type":"component","content":"","name":"ad","attributes":{"named":{"label":"fullwidth"},"numeric":["fullwidth"]}},{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003ch2>How does MPX spread?\u003c/h2>\n\u003cp>According to the CDC, the MPX virus can spread from person to person in the following ways:\u003c/p>\n\u003cp>\u003cstrong>From contact with an infected person:\u003c/strong>\u003cbr>\nThis could be direct contact with the infectious rash, scabs or body fluids, or during intimate physical contact, such as kissing, cuddling or sex. It could also spread via respiratory droplets during prolonged, face-to-face contact (even talking with someone at very close range).\u003c/p>\n\u003cp>The CDC says that right now, it’s “not known” if MPX can spread through semen or vaginal fluids.\u003c/p>\n\u003cp>\u003cstrong>From contact with an item that’s previously touched the rash or fluids of an infected person:\u003c/strong>\u003cbr>\nThis could include touching or sharing clothes, bedsheets or towels. SFDPH notes that according to the CDC, studies show the MPX virus can live on surfaces for as long as 15 days and still infect someone — but that you’d need to touch that surface “for a pretty long time.”\u003c/p>\n\u003cp>You can get MPX from an infected animal, either through a scratch or bite, or by preparing or eating meat or products from an infected animal. Pregnant people also can spread the virus to their fetus.\u003c/p>\n\u003cp>\u003cstrong>How you \u003cem>cannot\u003c/em> get MPX: \u003c/strong>\u003cbr>\nFrom casual conversations, or by passing someone with MPX (say, in a store) or briefly touching surfaces like doorknobs.\u003c/p>\n\u003cfigure id=\"attachment_11919136\" class=\"wp-caption alignnone\" style=\"max-width: 1920px\">\u003cimg decoding=\"async\" loading=\"lazy\" class=\"size-full wp-image-11919136\" src=\"https://ww2.kqed.org/app/uploads/sites/10/2022/07/RS57173_A-couple-holding-hands-on-a-couch-qut-1.jpg\" alt=\"A seated couple holding hands. One person wears a dark plaid shirt, the other person wears dark blue jeans. Both of their faces are obscured.\" width=\"1920\" height=\"1282\" srcset=\"https://ww2.kqed.org/app/uploads/sites/10/2022/07/RS57173_A-couple-holding-hands-on-a-couch-qut-1.jpg 1920w, https://ww2.kqed.org/app/uploads/sites/10/2022/07/RS57173_A-couple-holding-hands-on-a-couch-qut-1-800x534.jpg 800w, https://ww2.kqed.org/app/uploads/sites/10/2022/07/RS57173_A-couple-holding-hands-on-a-couch-qut-1-1020x681.jpg 1020w, https://ww2.kqed.org/app/uploads/sites/10/2022/07/RS57173_A-couple-holding-hands-on-a-couch-qut-1-160x107.jpg 160w, https://ww2.kqed.org/app/uploads/sites/10/2022/07/RS57173_A-couple-holding-hands-on-a-couch-qut-1-1536x1026.jpg 1536w\" sizes=\"(max-width: 1920px) 100vw, 1920px\">\u003cfigcaption class=\"wp-caption-text\">Talking about health, and especially sexual health, is paramount. \u003ccite>(Zackary Drucker/The Gender Spectrum Collection via Creative Commons)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003ch2>How contagious is MPX?\u003c/h2>\n\u003cp>The California Department of Public Health says that MPX is “far less contagious” than COVID.\u003c/p>\n\u003cp>You can be contagious with MPX — meaning you can spread the virus to another person — from the time your symptoms start until the time any scabs have fully dropped off and the rash has fully healed (i.e., until a fresh layer of skin has formed over them). The illness typically lasts 2-4 weeks.\u003c/p>\n\u003cp>Can you have — and spread — MPX without having symptoms (also known as being asymptomatic)? This is an area where what we know about MPX is still evolving.\u003c/p>\n\u003cp>The CDC’s current guidance says that people who don’t have MPX symptoms cannot spread the virus to others. But the World Health Organization also says “the extent to which asymptomatic infection may occur is unknown.”\u003c/p>\n\u003ch2>Is MPX a sexually transmitted infection/disease (STI/STD)?\u003c/h2>\n\u003cp>MPX is not strictly an STI.\u003c/p>\n\u003cp>MPX can spread through close, skin-to-skin contact and \u003ca href=\"https://www.cdc.gov/poxvirus/monkeypox/symptoms.html\">coming into contact with objects and fabrics used by somebody infected with MPX\u003c/a>. This also includes coming into contact with the rashes and sores that can develop on an infected person’s skin and even inside their mouth. The virus can also spread through respiratory droplets and saliva.\u003c/p>\n\u003cp>This makes it possible for MPX to spread during sex and other intimate actions, like kissing and cuddling. But it can also spread through nonsexual behavior, like using a towel or bedsheets previously used by an infected person that have not been washed yet.\u003c/p>\n\u003cp>When someone tests positive for MPX, health officials will work with them to contact their close contacts, similar to the contact tracing method used for sexually transmitted infection, says Dr. Peter Chin-Hong, an infectious disease specialist at UCSF.\u003c/p>\n\u003cp>“That’s the highest priority for vaccines right now,” he says, “the contacts of people who are known cases.”\u003c/p>\n\u003cp>Chin-Hong also encourages sexual partners to talk about MPX before having sex.\u003c/p>\n\u003cp>“Whenever you have a new partner, you should have a very frank and open conversation that’s health-positive, and open-ended,” he explains. This can include things like possible HIV exposures and HIV test results, and asking about any potential MPX symptoms.\u003c/p>\n\u003cp>“‘Have you noticed any rash or anything like that recently or have you been in contact with anyone [with symptoms]?’,” he suggests as possible questions. “They are the people who are weighing the risks and benefits in different ways. So I think that … open and honest conversation is really important, not just to MPX, but just as a good practice in general.”\u003c/p>\n\u003ch2>\u003ca id=\"monkeypoxtreament\">\u003c/a>What should I do if I suspect I have MPX?\u003c/h2>\n\u003cp>If you’re experiencing the \u003ca href=\"#monkeypoxsymptoms\">symptoms of MPX\u003c/a>, or you’ve been informed you could have been exposed to MPX, it’s important you take action as soon as possible. Here are the steps:\u003c/p>\n\u003cp>\u003cstrong>Contact a health care provider right away\u003c/strong>\u003c/p>\n\u003cp>If you have health insurance, reach out to your regular provider ASAP, or call your provider’s medical hotline if they have one.\u003c/p>\n\u003cp>If you don’t have health insurance, you should contact your county’s public health department to ask for their guidance:\u003c/p>\n\u003cul>\n\u003cli>\u003ca href=\"https://sf.gov/information/monkeypox\">San Francisco community clinics\u003c/a>\u003c/li>\n\u003cli>\u003ca href=\"https://acphd.org/clinics/\">Alameda County community clinics\u003c/a>\u003c/li>\n\u003cli>\u003ca href=\"https://cchealth.org/centers-clinics/\">Contra Costa County community clinics\u003c/a>, or call Contra Costa Public Health at (925) 313-6740\u003c/li>\n\u003cli>\u003ca href=\"https://sonomacounty.ca.gov/health-and-human-services/health-services/divisions/public-health/disease-control/immunizations/community-clinics\">Sonoma County community clinics\u003c/a>\u003c/li>\n\u003cli>\u003ca href=\"https://www.smchealth.org/smmc-find-location\">San Mateo County community clinics\u003c/a>\u003c/li>\n\u003cli>\u003ca href=\"https://www.solanocounty.com/depts/ph/fhs/primary_care_clinics/default.asp\">Solano County community clinics\u003c/a>\u003c/li>\n\u003cli>\u003ca href=\"https://www.marinhhs.org/community-resource-guide/marin-community-clinics-5-locations-larkspur-novato-san-rafael\">Marin County community clinics\u003c/a>\u003c/li>\n\u003cli>\u003ca href=\"https://chpscc.org/member-clinics/\">Santa Clara community clinics\u003c/a>, or call the County Patient Access Department at (866) 967-4677\u003c/li>\n\u003cli>\u003ca href=\"https://www.rchc.net/napa-county-health-centers/\">Napa County community clinics\u003c/a>, or call Napa County Public Health at (707) 253-4270\u003c/li>\n\u003c/ul>\n\u003cp>The San Francisco Department of Public Health recommends that if you live in the city and you don’t have a provider, or have difficulty scheduling an appointment, you can be seen at SF City Clinic at 7th Street (628-217-6600) or at Strut at 470 Castro Street (415-581-1600).\u003c/p>\n\u003cp>\u003cstrong>Learn whether you can get tested for MPX\u003c/strong>\u003c/p>\n\u003cp>The test for MPX is a swab test, in which a swab is rubbed on your skin and then sent to a specialized laboratory.\u003c/p>\n\u003cp>The test results will take a few days, during which period you should isolate from other people and animals, and take steps to reduce the chances of spreading the disease yourself.\u003c/p>\n\u003cp>But right now, you may need to meet certain criteria to get a MPX test — San Francisco, for example, says that \u003ca href=\"https://sf.gov/information/monkeypox-faq\">SF residents must have a rash or spots present to get a MPX test\u003c/a>.\u003c/p>\n\u003cp>“Monkeypox is circulating here in our community,” says Tyler TerMeer, CEO of the San Francisco AIDS Foundation, but he stresses that testing isn’t available for everyone who wants it — yet. “This is different than some other viral infections,” says TerMeer. “You actually have to have an active lesion or rash that we can take a sample from in order to test to confirm whether it’s monkeypox or not.”\u003c/p>\n\u003cp>\u003cstrong>Find out whether you can get a MPX vaccine\u003c/strong>\u003c/p>\n\u003cp>A vaccine for MPX is being offered to people who may have been exposed to the virus, which is most effective given within the first four days of infection. \u003ca href=\"https://www.kqed.org/news/11920455/where-can-i-find-a-monkeypox-vaccine-near-me\">Read our full guide to how to find a MPX vaccine near you. \u003c/a>\u003c/p>\n\u003cp>\u003cstrong>Contact anyone you’ve had close physical contact with\u003c/strong>\u003c/p>\n\u003cp>Ask health providers about formal contact tracing, but in the meantime, reach out by calling or texting anyone you’ve been physically close to since your symptoms started.\u003c/p>\n\u003cp>\u003cstrong>Do what you can to manage your symptoms \u003c/strong>\u003c/p>\n\u003cp>The World Health Organization says that the symptoms of MPX, while often painful, normally get better on their own without the need for treatment — but that you should ultimately follow the advice of a health care provider. \u003ca href=\"#monkeypoxtreatment\">Jump to more information about what treatments are available for MPX.\u003c/a>\u003c/p>\n\u003cp>\u003ca href=\"https://www.who.int/news-room/questions-and-answers/item/monkeypox\">The WHO says that medication for pain (analgesics) and fever (antipyretics) can be used\u003c/a> to relieve some symptoms if needed, and that lidocaine can be applied to oral and perianal lesions to relieve pain. Talk to a health care provider about taking these kinds of medications.\u003c/p>\n\u003cp>The WHO also gives these tips for \u003ca href=\"https://www.who.int/news-room/questions-and-answers/item/monkeypox\">managing the symptoms of MPX at home\u003c/a>:\u003c/p>\n\u003cul>\n\u003cli>Avoid scratching your skin.\u003c/li>\n\u003cli>Clean hands before and after touching lesions.\u003c/li>\n\u003cli>Keep your skin dry and uncovered.\u003c/li>\n\u003cli>Keep your rash clean with sterilized water or antiseptic.\u003c/li>\n\u003cli>If you have lesions on your body, take a warm bath with baking soda and Epsom salts.\u003c/li>\n\u003cli>Use saltwater rinses for lesions in your mouth.\u003c/li>\n\u003cli>Stay hydrated, eat well and get enough sleep.\u003c/li>\n\u003c/ul>\n\u003cp>\u003cstrong>Isolate yourself as much as possible\u003c/strong>\u003c/p>\n\u003cp>To avoid infecting other people, isolate yourself from others as much as possible. Avoid sharing your bedding, towels or clothing, as well as utensils and cups. Jump to \u003ca href=\"#monkeypoxprevention\">more information about reducing the spread of MPX\u003c/a>.\u003c/p>\n\u003cp>If you can’t avoid being in the same room as other people, the WHO advises you to keep your rash or lesions covered with clothing or a bandage. The organization also recommends \u003ca href=\"https://www.who.int/news-room/questions-and-answers/item/monkeypox\">keeping your own mental health in mind if you’re self-isolating\u003c/a>, by staying connected to others using technology, and exercising if you feel well enough.\u003c/p>\n\u003cfigure id=\"attachment_11919132\" class=\"wp-caption aligncenter\" style=\"max-width: 1920px\">\u003cimg decoding=\"async\" loading=\"lazy\" class=\"size-full wp-image-11919132\" src=\"https://ww2.kqed.org/app/uploads/sites/10/2022/07/RS57171_GettyImages-1401335558-qut.jpg\" alt=\"The right, blue-gloved hand of a medical technician holds a small vial, into which their other hand (offcamera) is dispensing liquid sample from a long white tool. The cap of the vial is bright green, and there are six vials in the background out of focus, with purple caps.\" width=\"1920\" height=\"1280\" srcset=\"https://ww2.kqed.org/app/uploads/sites/10/2022/07/RS57171_GettyImages-1401335558-qut.jpg 1920w, https://ww2.kqed.org/app/uploads/sites/10/2022/07/RS57171_GettyImages-1401335558-qut-800x533.jpg 800w, https://ww2.kqed.org/app/uploads/sites/10/2022/07/RS57171_GettyImages-1401335558-qut-1020x680.jpg 1020w, https://ww2.kqed.org/app/uploads/sites/10/2022/07/RS57171_GettyImages-1401335558-qut-160x107.jpg 160w, https://ww2.kqed.org/app/uploads/sites/10/2022/07/RS57171_GettyImages-1401335558-qut-1536x1024.jpg 1536w\" sizes=\"(max-width: 1920px) 100vw, 1920px\">\u003cfigcaption class=\"wp-caption-text\">A medical laboratory technician inactivates suspected MPX samples to be PCR-tested in a microbiology laboratory. \u003ccite>(Pablo Blazquez Dominguez/Getty Images)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003ch2>\u003ca id=\"monkeypoxvaccine\">\u003c/a>What is the MPX vaccine, and how can I get it?\u003c/h2>\n\u003cp>The MPX vaccine being offered in the United States right now is called Jynneos. This vaccine is also used to prevent smallpox.\u003c/p>\n\u003cp>The CDC recommends that the MPX vaccine be given to a person within four days of the date they were exposed to MPX, for the best chance of preventing onset of the disease.\u003c/p>\n\u003cp>If a person gets the vaccine between four and 14 days of being exposed, the vaccine may reduce the symptoms of MPX, but may not prevent the disease altogether. This timeliness is another reason it’s important to stay vigilant for possible exposure to MPX and watch for symptoms — and to act quickly.\u003c/p>\n\u003cp>\u003cstrong>\u003ca href=\"https://www.kqed.org/news/11920455/where-can-i-find-a-monkeypox-vaccine-near-me\">Read our full guide to the MPX vaccine in the Bay Area.\u003c/a>\u003c/strong>\u003c/p>\n\u003ch2>\u003ca id=\"monkeypoxtreatment\">\u003c/a>What MPX treatments are available?\u003c/h2>\n\u003cp>Currently, the drug Tecovirimat (also known as TPOXX or ST-246) is being used to treat those experiencing severe MPX. The Food and Drug Administration already has approved Tecovirimat to treat smallpox, and has recently expanded its use for MPX among adults and children.\u003c/p>\n\u003cp>Tecovirimat is usually a two-week treatment and can be administered either through a capsule or an intravenous (IV) injection. The drug works by making it harder for the virus to infect new cells, therefore limiting the infection growth.\u003c/p>\n\u003cp>“Most people will get better on their own but some people will require treatment,” says Chin-Hong of UCSF. Those considered for treatment include immunocompromised people, pregnant people and children under 8.\u003c/p>\n\u003cp>People who don’t have those particular risk factors but still develop severe MPX also can receive treatment, Chin-Hong says. This includes those who develop extensive oral disease, as that makes it very difficult to eat and drink. “It’s like having a bunch of ulcers in your mouth,” he says. Those who develop the disease extensively in the rectal area or near the eyes also can receive treatment.\u003c/p>\n\u003cp>The blisters and sores that develop can be quite painful, he adds: “Treatment is not only about vaccines and drug treatments but also about what specific symptoms the patient’s having.”\u003c/p>\n\u003cp>He recommends talking to your physician about what pain you’re feeling and where. If the disease is in the rectal area, it can be painful to defecate. But there are many options available that can alleviate, or at least reduce, the pain you may be feeling.\u003c/p>\n\u003cp>The MPX vaccine also can act as a sort of treatment, he says, but only when someone receives it shortly after being exposed. “In MPX, the incubation period is longer,” he explains. “So that means if you got a vaccine shortly after exposure — some people think within four days — it can impact and stop you from getting disease, even though you might have been exposed to an infection.”\u003c/p>\n\u003cp>“If you get the vaccine within 14 days of exposure, even though you might get the rash or disease, it will reduce your symptoms.”\u003c/p>\n\u003cfigure id=\"attachment_11919138\" class=\"wp-caption alignnone\" style=\"max-width: 1920px\">\u003cimg decoding=\"async\" loading=\"lazy\" class=\"size-full wp-image-11919138\" src=\"https://ww2.kqed.org/app/uploads/sites/10/2022/07/RS57175_GettyImages-1241638108-qut.jpg\" alt=\"\" width=\"1920\" height=\"1378\" srcset=\"https://ww2.kqed.org/app/uploads/sites/10/2022/07/RS57175_GettyImages-1241638108-qut.jpg 1920w, https://ww2.kqed.org/app/uploads/sites/10/2022/07/RS57175_GettyImages-1241638108-qut-800x574.jpg 800w, https://ww2.kqed.org/app/uploads/sites/10/2022/07/RS57175_GettyImages-1241638108-qut-1020x732.jpg 1020w, https://ww2.kqed.org/app/uploads/sites/10/2022/07/RS57175_GettyImages-1241638108-qut-160x115.jpg 160w, https://ww2.kqed.org/app/uploads/sites/10/2022/07/RS57175_GettyImages-1241638108-qut-1536x1102.jpg 1536w\" sizes=\"(max-width: 1920px) 100vw, 1920px\">\u003cfigcaption class=\"wp-caption-text\">A vial of the Jynneos MPX vaccine. \u003ccite>(Bill O'Leary/The Washington Post via Getty Images)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003ch2>Do we know how MPX interacts with COVID?\u003c/h2>\n\u003cp>The California Department of Public Health stresses that MPX is “a completely different disease” from COVID, and that this outbreak is unrelated to COVID.\u003c/p>\n\u003cp>MPX is much less contagious than COVID and the way it spreads also is very different. SFDPH says this is “partly because people with MPX are generally thought to be contagious to people with whom they’ve had very close contact over a long period of time, and when they have symptoms like a rash.” COVID, on the other hand, spreads through the air and can be spread even when people do not have COVID symptoms.\u003c/p>\n\u003cp>However, UCSF’s Chin-Hong affirms that it’s completely possible to contract COVID-19 and MPX at the same time and adds that the impact that a double infection has on the body is still being studied.\u003c/p>\n\u003ch2>\u003ca id=\"monkeypoxprevention\">\u003c/a>How can folks protect themselves against contracting MPX?\u003c/h2>\n\u003cp>The CDC says the following activities will increase your risk for being infected with MPX, and should be avoided to reduce the risk of infection:\u003c/p>\n\u003cul>\n\u003cli>Close, skin-to-skin contact with someone’s MPX rash\u003c/li>\n\u003cli>Touching the rash or scabs of someone with MPX\u003c/li>\n\u003cli>Kissing, hugging, cuddling or having sex with someone who has MPX\u003c/li>\n\u003cli>Sharing eating utensils or cups\u003c/li>\n\u003cli>Handling or touch the bedding, towels or clothing of someone with MPX\u003c/li>\n\u003c/ul>\n\u003cp>Wash your hands often with soap and water or use an alcohol-based hand sanitizer, especially after contact with people who’ve been infected with MPX. \u003ca href=\"https://www.cdc.gov/poxvirus/monkeypox/pdf/Monkeypox-Interim-Guidance-for-Household-Disinfection-508.pdf\">Read the CDC’s guide to disinfecting spaces to prevent the spread of MPX.\u003c/a>\u003c/p>\n\u003cp>Additionally, the San Francisco Department of Public Health advises you cover exposed skin in crowded settings (whether that’s indoors, like in a bar, or outdoors at a festival or a parade).\u003c/p>\n\u003cp>They also recommend you don’t share bedding or clothing with others generally, even if you aren’t sure if they have MPX, and talk to your close physical and sexual contacts about their health generally, including whether they’re seeing recent rashes or sores on their body.\u003c/p>\n\u003ch2>What are health officials doing to prevent and combat stigma about MPX?\u003c/h2>\n\u003cp>San Francisco AIDS Foundation CEO TerMeer says that vaccine equity is also very much on the minds of advocates right now, “ensuring that we don’t repeat any mistakes of the past so that communities of color or other communities that have traditionally been furthest from access and opportunity in the health care space don’t get left out of the conversation.”\u003c/p>\n\u003cp>“Our predominant advocacy at the moment is just ‘we need vaccines and we need them now,’” says TerMeer. “We are really pushing to try and get at least 1,000 doses of vaccine in the next 30 days so that we can get ahead of the issue and are really hoping to be able to respond effectively, before it grows into a larger issue.”\u003c/p>\n\u003cp>If you are looking for additional health advice on MPX, you also can access:\u003c/p>\n\u003cul>\n\u003cli>\u003cstrong>\u003ca href=\"https://www.sfaf.org/monkeypox/\">Magnet Sexual Health Clinic at Strut\u003c/a> (San Francisco AIDS Foundation): (415) 581-1600\u003c/strong>\u003c/li>\n\u003cli>\u003cstrong>San Francisco Department of Public Health \u003ca href=\"https://sf.gov/information/monkeypox\">info page about MPX\u003c/a>\u003c/strong>\u003c/li>\n\u003cli>\u003cstrong>\u003ca href=\"https://www.cdph.ca.gov/Programs/CID/DCDC/Pages/Monkeypox-Questions-and-Answers.aspx\">California Department of Public Health MPX FAQ\u003c/a>\u003c/strong>\u003c/li>\n\u003c/ul>\n\u003cp>\u003cem>This post includes reporting by KQED’s Vanessa Rancaño, Juan Carlos Lara and Matthew Green. A version of this story was published on July 8.\u003c/em>\u003c/p>\n\u003cp>\u003c/p>\u003c/div>","attributes":{"named":{},"numeric":[]}},{"type":"component","content":"","name":"ad","attributes":{"named":{"label":"floatright"},"numeric":["floatright"]}},{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003c/div>\u003c/p>","attributes":{"named":{},"numeric":[]}}],"link":"/news/11919070/monkeypox-in-the-bay-area-from-symptoms-to-how-to-find-a-vaccine-heres-what-we-know","authors":["3243","11708"],"categories":["news_457","news_8","news_356"],"tags":["news_22221","news_29029","news_27989","news_31303","news_18543","news_82","news_20004","news_20003","news_31133","news_31382","news_32353","news_38"],"featImg":"news_11919128","label":"news"},"news_11913751":{"type":"posts","id":"news_11913751","meta":{"index":"posts_1591205157","site":"news","id":"11913751","score":null,"sort":[1652226977000]},"guestAuthors":[],"slug":"firearm-related-homicide-rate-skyrockets-amid-stresses-of-the-pandemic-the-cdc-says","title":"Firearm-Related Homicide Rate Skyrockets Amid Stresses of the Pandemic, the CDC Says","publishDate":1652226977,"format":"standard","headTitle":"KQED News","labelTerm":{},"content":"\u003cp>The rate at which Americans were killed in gun homicides leapt by nearly 35% in 2020 to the highest level in more than 25 years, according to \u003ca href=\"https://www.cdc.gov/media/releases/2022/s0510-vs-firearm-deathrates.html\">new research\u003c/a> by the Centers for Disease Control and Prevention. \u003c/p>\n\u003cp>Amid the pandemic and recession that followed, gun homicide rates grew most among groups that were already at higher risk, researchers found — including people in poor areas, young men, and Black people. \u003c/p>\n\u003cp>In 2020, the firearm homicide rate was 6.1 per 100,000 Americans — up from 4.6 a year earlier. \u003c/p>\n\u003cp>\"These findings underscore the importance of comprehensive approaches that can stop violence now and prevent future deaths,\" said Dr. Debra Houry, the acting principal deputy director of the CDC. \u003c/p>\n\u003cp>No group was affected more than Black people, who die by firearm homicides at a rate far higher than any other racial or ethnic group.[pullquote size=\"medium\" align=\"right\" citation=\"Dr. Debra Houry, the acting principal deputy director of the CDC\"]'We're losing too many of our nation's children and young people — specifically Black boys and young Black men.'[/pullquote]Black men and boys aged 10 to 24 died by gun homicide more than 21 times as often as white males in the same age groups, the report found. \u003c/p>\n\u003cp>Worse, 2020 widened the gap between Black people and other groups: The rate of firearm homicides among non-Hispanic Black people rose by 7.5 percentage points, an increase more than four times larger than any other. \u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>\"We're losing too many of our nation's children and young people — specifically Black boys and young Black men,\" Houry said. \u003c/p>\n\u003cp>More than 19,000 homicides in 2020 involved a firearm — an increase of nearly 5,000 from 2019.[aside label=\"Guns in California\" postID=\"news_11911639,news_11910871,news_11910536\"]The findings follow statistics published last fall by the CDC and FBI showing that the U.S. saw an unprecedented spike in murders in 2020, \u003ca href=\"https://www.npr.org/2021/09/27/1040904770/fbi-data-murder-increase-2020\">a jump of nearly 30% over 2019\u003c/a>. \u003c/p>\n\u003cp>One possible explanation for the leap was stressors related to the COVID-19 pandemic, such as \"changes and disruptions to services and education, social isolation, economic stressors such as job loss, housing instability and difficulty covering daily expenses,\" said Thomas Simon, the associate director for science at the CDC's National Center for Injury Prevention and Control. \u003c/p>\n\u003cp>Deaths by gun have long been linked to economic factors like income inequality, unemployment and housing instability. \u003c/p>\n\u003cp>\"When you look at the pandemic, things like job loss, economic stressors, social isolation — these were already hard hit communities,\" Houry said. \u003c/p>\n\u003cp>Even as the number of gun homicides rose dramatically, most deaths caused by guns in the U.S. remained suicides, researchers said. \u003c/p>\n\u003cp>The rate of suicides using a firearm — about 8 per 100,000 Americans — stayed roughly steady in 2020, a trend that has held for several years. \u003c/p>\n\u003cp>But that finding comes as suicide rates overall trended down in 2020, said Mike Anestis, a professor at Rutgers University and the executive director of the New Jersey Gun Violence Research Center. \u003c/p>\n\u003cp>He pointed to \u003ca href=\"https://www.npr.org/2021/04/26/989699122/1st-time-gun-buyers-help-push-record-u-s-gun-sales-amid-string-of-mass-shootings\">the record gun sales during the pandemic\u003c/a> as one likely factor. More than 20 million guns were sold in 2020, up from 12.4 million sold in 2019. \u003c/p>\n\u003cp>\"I think the understated point in this paper is that the shift in demographics of firearm ownership and the surge in firearm ownership likely played a role in that,\" Anestis said. \u003c/p>\n\u003cp>The overall proportion of homicides and suicides caused by firearms also ticked up, researchers noted. In 2020, 79% of all homicides and 53% of suicides involved guns — both numbers several percentage points higher than in preceding years.\u003c/p>\n\u003cp>\"Both are unacceptably high when you look at the number of people that die from homicide or suicide in the U.S. We've got to do something about this because it's preventable. These deaths are preventable,\" Houry said. \u003c/p>\n\u003chr>\n\u003cp>\u003cem>If you or someone you know may be considering suicide, contact the \u003c/em>\u003ca href=\"http://suicidepreventionlifeline.org/\">\u003cem>National Suicide Prevention Lifeline\u003c/em>\u003c/a>\u003cem> at 1-800-273-8255 (En Español: 1-888-628-9454; Deaf and Hard of Hearing: 1-800-799-4889) or the \u003c/em>\u003ca href=\"http://www.crisistextline.org/\">\u003cem>Crisis Text Line\u003c/em>\u003c/a>\u003cem> by texting HOME to 741741.\u003c/em> \u003c/p>\n\u003cdiv class=\"fullattribution\">Copyright 2022 NPR. To see more, visit https://www.npr.org.\u003cimg src=\"https://www.google-analytics.com/__utm.gif?utmac=UA-5828686-4&utmdt=Firearm-related+homicide+rate+skyrockets+amid+stresses+of+the+pandemic%2C+the+CDC+says&utme=8(APIKey)9(MDAxOTAwOTE4MDEyMTkxMDAzNjczZDljZA004)\">\u003c/div>\n\u003cp>\u003c/p>\n","blocks":[],"excerpt":"The rate of U.S. gun homicides jumped nearly 35% in 2020 to the highest level in more than 25 years. And gaps widened for groups already at the highest risk, especially Black men and boys. ","status":"publish","parent":0,"modified":1652227007,"stats":{"hasAudio":false,"hasVideo":false,"hasChartOrMap":false,"iframeSrcs":[],"hasGoogleForm":false,"hasGallery":false,"hasHearkenModule":false,"hasPolis":false,"paragraphCount":21,"wordCount":713},"headData":{"title":"Firearm-Related Homicide Rate Skyrockets Amid Stresses of the Pandemic, the CDC Says | KQED","description":"The rate of U.S. gun homicides jumped nearly 35% in 2020 to the highest level in more than 25 years. And gaps widened for groups already at the highest risk, especially Black men and boys. ","ogTitle":"","ogDescription":"","ogImgId":"","twTitle":"","twDescription":"","twImgId":"","schema":{"@context":"http://schema.org","@type":"NewsArticle","headline":"Firearm-Related Homicide Rate Skyrockets Amid Stresses of the Pandemic, the CDC Says","datePublished":"2022-05-10T23:56:17.000Z","dateModified":"2022-05-10T23:56:47.000Z","image":"https://cdn.kqed.org/wp-content/uploads/2020/02/KQED-OG-Image@1x.png","isAccessibleForFree":"Y","publisher":{"@type":"NewsMediaOrganization","@id":"https://www.kqed.org/#organization","name":"KQED","url":"https://www.kqed.org","logo":"https://cdn.kqed.org/wp-content/uploads/2020/02/KQED-OG-Image@1x.png"}}},"disqusIdentifier":"11913751 https://ww2.kqed.org/news/?p=11913751","disqusUrl":"https://ww2.kqed.org/news/2022/05/10/firearm-related-homicide-rate-skyrockets-amid-stresses-of-the-pandemic-the-cdc-says/","disqusTitle":"Firearm-Related Homicide Rate Skyrockets Amid Stresses of the Pandemic, the CDC Says","source":"NPR","sourceUrl":"https://www.npr.org","nprImageCredit":"Mongkol Nitirojsakul/EyeEm","nprByline":"Nell Greenfieldboyce, Becky Sullivan","nprImageAgency":"Getty Images","nprStoryId":"1097916487","nprApiLink":"http://api.npr.org/query?id=1097916487&apiKey=MDAxOTAwOTE4MDEyMTkxMDAzNjczZDljZA004","nprHtmlLink":"https://www.npr.org/2022/05/10/1097916487/firearm-homicide-rates-soar-pandemic-cdc-says?ft=nprml&f=1097916487","nprRetrievedStory":"1","nprPubDate":"Tue, 10 May 2022 17:03:00 -0400","nprStoryDate":"Tue, 10 May 2022 13:45:09 -0400","nprLastModifiedDate":"Tue, 10 May 2022 13:45:46 -0400","nprAudio":"https://ondemand.npr.org/anon.npr-mp3/npr/atc/2022/05/20220510_atc_firearm-related_homicide_rate_skyrockets_amid_stresses_of_the_pandemic_the_cdc_says.mp3?orgId=1&topicId=1024&d=125&p=2&story=1097916487&ft=nprml&f=1097916487","nprAudioM3u":"http://api.npr.org/m3u/11098014808-b466dc.m3u?orgId=1&topicId=1024&d=125&p=2&story=1097916487&ft=nprml&f=1097916487","excludeFromSiteSearch":"Include","showOnAuthorArchivePages":"No","path":"/news/11913751/firearm-related-homicide-rate-skyrockets-amid-stresses-of-the-pandemic-the-cdc-says","audioUrl":"https://ondemand.npr.org/anon.npr-mp3/npr/atc/2022/05/20220510_atc_firearm-related_homicide_rate_skyrockets_amid_stresses_of_the_pandemic_the_cdc_says.mp3?orgId=1&topicId=1024&d=125&p=2&story=1097916487&ft=nprml&f=1097916487","audioTrackLength":null,"parsedContent":[{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003cp>The rate at which Americans were killed in gun homicides leapt by nearly 35% in 2020 to the highest level in more than 25 years, according to \u003ca href=\"https://www.cdc.gov/media/releases/2022/s0510-vs-firearm-deathrates.html\">new research\u003c/a> by the Centers for Disease Control and Prevention. \u003c/p>\n\u003cp>Amid the pandemic and recession that followed, gun homicide rates grew most among groups that were already at higher risk, researchers found — including people in poor areas, young men, and Black people. \u003c/p>\n\u003cp>In 2020, the firearm homicide rate was 6.1 per 100,000 Americans — up from 4.6 a year earlier. \u003c/p>\n\u003cp>\"These findings underscore the importance of comprehensive approaches that can stop violence now and prevent future deaths,\" said Dr. Debra Houry, the acting principal deputy director of the CDC. \u003c/p>\n\u003cp>No group was affected more than Black people, who die by firearm homicides at a rate far higher than any other racial or ethnic group.\u003c/p>\u003c/div>","attributes":{"named":{},"numeric":[]}},{"type":"component","content":"'We're losing too many of our nation's children and young people — specifically Black boys and young Black men.'","name":"pullquote","attributes":{"named":{"size":"medium","align":"right","citation":"Dr. Debra Houry, the acting principal deputy director of the CDC","label":""},"numeric":[]}},{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>Black men and boys aged 10 to 24 died by gun homicide more than 21 times as often as white males in the same age groups, the report found. \u003c/p>\n\u003cp>Worse, 2020 widened the gap between Black people and other groups: The rate of firearm homicides among non-Hispanic Black people rose by 7.5 percentage points, an increase more than four times larger than any other. \u003c/p>\n\u003cp>\u003c/p>\u003c/div>","attributes":{"named":{},"numeric":[]}},{"type":"component","content":"","name":"ad","attributes":{"named":{"label":"fullwidth"},"numeric":["fullwidth"]}},{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>\"We're losing too many of our nation's children and young people — specifically Black boys and young Black men,\" Houry said. \u003c/p>\n\u003cp>More than 19,000 homicides in 2020 involved a firearm — an increase of nearly 5,000 from 2019.\u003c/p>\u003c/div>","attributes":{"named":{},"numeric":[]}},{"type":"component","content":"","name":"aside","attributes":{"named":{"label":"Guns in California ","postid":"news_11911639,news_11910871,news_11910536"},"numeric":[]}},{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>The findings follow statistics published last fall by the CDC and FBI showing that the U.S. saw an unprecedented spike in murders in 2020, \u003ca href=\"https://www.npr.org/2021/09/27/1040904770/fbi-data-murder-increase-2020\">a jump of nearly 30% over 2019\u003c/a>. \u003c/p>\n\u003cp>One possible explanation for the leap was stressors related to the COVID-19 pandemic, such as \"changes and disruptions to services and education, social isolation, economic stressors such as job loss, housing instability and difficulty covering daily expenses,\" said Thomas Simon, the associate director for science at the CDC's National Center for Injury Prevention and Control. \u003c/p>\n\u003cp>Deaths by gun have long been linked to economic factors like income inequality, unemployment and housing instability. \u003c/p>\n\u003cp>\"When you look at the pandemic, things like job loss, economic stressors, social isolation — these were already hard hit communities,\" Houry said. \u003c/p>\n\u003cp>Even as the number of gun homicides rose dramatically, most deaths caused by guns in the U.S. remained suicides, researchers said. \u003c/p>\n\u003cp>The rate of suicides using a firearm — about 8 per 100,000 Americans — stayed roughly steady in 2020, a trend that has held for several years. \u003c/p>\n\u003cp>But that finding comes as suicide rates overall trended down in 2020, said Mike Anestis, a professor at Rutgers University and the executive director of the New Jersey Gun Violence Research Center. \u003c/p>\n\u003cp>He pointed to \u003ca href=\"https://www.npr.org/2021/04/26/989699122/1st-time-gun-buyers-help-push-record-u-s-gun-sales-amid-string-of-mass-shootings\">the record gun sales during the pandemic\u003c/a> as one likely factor. More than 20 million guns were sold in 2020, up from 12.4 million sold in 2019. \u003c/p>\n\u003cp>\"I think the understated point in this paper is that the shift in demographics of firearm ownership and the surge in firearm ownership likely played a role in that,\" Anestis said. \u003c/p>\n\u003cp>The overall proportion of homicides and suicides caused by firearms also ticked up, researchers noted. In 2020, 79% of all homicides and 53% of suicides involved guns — both numbers several percentage points higher than in preceding years.\u003c/p>\n\u003cp>\"Both are unacceptably high when you look at the number of people that die from homicide or suicide in the U.S. We've got to do something about this because it's preventable. These deaths are preventable,\" Houry said. \u003c/p>\n\u003chr>\n\u003cp>\u003cem>If you or someone you know may be considering suicide, contact the \u003c/em>\u003ca href=\"http://suicidepreventionlifeline.org/\">\u003cem>National Suicide Prevention Lifeline\u003c/em>\u003c/a>\u003cem> at 1-800-273-8255 (En Español: 1-888-628-9454; Deaf and Hard of Hearing: 1-800-799-4889) or the \u003c/em>\u003ca href=\"http://www.crisistextline.org/\">\u003cem>Crisis Text Line\u003c/em>\u003c/a>\u003cem> by texting HOME to 741741.\u003c/em> \u003c/p>\n\u003cdiv class=\"fullattribution\">Copyright 2022 NPR. To see more, visit https://www.npr.org.\u003cimg src=\"https://www.google-analytics.com/__utm.gif?utmac=UA-5828686-4&utmdt=Firearm-related+homicide+rate+skyrockets+amid+stresses+of+the+pandemic%2C+the+CDC+says&utme=8(APIKey)9(MDAxOTAwOTE4MDEyMTkxMDAzNjczZDljZA004)\">\u003c/div>\n\u003cp>\u003c/p>\n\u003c/div>\u003c/p>","attributes":{"named":{},"numeric":[]}}],"link":"/news/11913751/firearm-related-homicide-rate-skyrockets-amid-stresses-of-the-pandemic-the-cdc-says","authors":["byline_news_11913751"],"categories":["news_8"],"tags":["news_22221","news_27989","news_19317","news_2795","news_22711","news_1393","news_4015"],"featImg":"news_11913752","label":"source_news_11913751"},"news_11911566":{"type":"posts","id":"news_11911566","meta":{"index":"posts_1591205157","site":"news","id":"11911566","score":null,"sort":[1650411480000]},"guestAuthors":[],"slug":"politicizing-public-health-decisions-again","title":"Politicizing Public Health Decisions ... Again","publishDate":1650411480,"format":"aside","headTitle":"Mark Fiore: Drawn to the Bay | KQED News","labelTerm":{"term":18515,"site":"news"},"content":"\u003cp>\u003ca href=\"https://ww2.kqed.org/app/uploads/sites/10/2022/04/flightattendant_041922_final.png\">\u003cimg class=\"alignnone size-full wp-image-11911575\" src=\"https://ww2.kqed.org/app/uploads/sites/10/2022/04/flightattendant_041922_final.png\" alt='Cartoon: a flight attendant blows into a tube on an inflatable judge holding a gavel as shocked passengers look on. Over the intercom we read, \"in the event of a mask mandate, flight attendants are instructed to deploy a trump-appointed judge from Florida.\"' width=\"1920\" height=\"1378\" srcset=\"https://ww2.kqed.org/app/uploads/sites/10/2022/04/flightattendant_041922_final.png 1920w, https://ww2.kqed.org/app/uploads/sites/10/2022/04/flightattendant_041922_final-800x574.png 800w, https://ww2.kqed.org/app/uploads/sites/10/2022/04/flightattendant_041922_final-1020x732.png 1020w, https://ww2.kqed.org/app/uploads/sites/10/2022/04/flightattendant_041922_final-160x115.png 160w, https://ww2.kqed.org/app/uploads/sites/10/2022/04/flightattendant_041922_final-1536x1102.png 1536w\" sizes=\"(max-width: 1920px) 100vw, 1920px\">\u003c/a>\u003c/p>\n\u003cp>On Monday, U.S. District Judge Kathryn Kimball Mizelle \u003ca href=\"https://bit.ly/fioremaskmandatestruck\">struck down the federal mandate requiring passengers to wear masks on airplanes, trains, buses and other types of public transportation\u003c/a>, ruling that it \"exceeds the CDC's statutory authority.\"\u003c/p>\n\u003cp>At this point in the pandemic, it should be no surprise that this is yet another case of politicized lawyers, judges and advocacy groups battling scientists and public health officials.\u003c/p>\n\u003cp>The case was brought by the \u003ca href=\"https://healthfreedomdefense.org/\">Health Freedom Defense Fund\u003c/a>, an advocacy group based in Wyoming that has been battling mask and vaccine mandates across the country.\u003c/p>\n\u003cp>They found a friendly judge in Mizelle, from Florida, who was \u003ca href=\"https://www.npr.org/2022/04/19/1093566982/florida-mask-mandate-judge-kathryn-mizelle\">appointed by Donald Trump after he lost the election in 2020\u003c/a>.\u003c/p>\n\u003cp>She was narrowly confirmed by the Senate along partisan lines, even after the American Bar Association said she was unqualified for the district court because she had such limited experience practicing law.\u003c/p>\n\u003cp>I don't trust Mizelle or the Health Freedom Defense Fund to make public health policy ... and I plan to keep my mask on while jammed onto a plane, train or bus, thank you very much.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>\u003c/p>\n","blocks":[],"excerpt":"A U.S. district judge in Florida struck down the federal mandate requiring passengers to wear masks on airplanes, trains, buses and other types of public transportation, ruling that it 'exceeds the CDC's statutory authority.'","status":"publish","parent":0,"modified":1650413104,"stats":{"hasAudio":false,"hasVideo":false,"hasChartOrMap":false,"iframeSrcs":[],"hasGoogleForm":false,"hasGallery":false,"hasHearkenModule":false,"hasPolis":false,"paragraphCount":9,"wordCount":187},"headData":{"title":"Politicizing Public Health Decisions ... Again | KQED","description":"A U.S. district judge in Florida struck down the federal mandate requiring passengers to wear masks on airplanes, trains, buses and other types of public transportation, ruling that it 'exceeds the CDC's statutory authority.'","ogTitle":"","ogDescription":"","ogImgId":"","twTitle":"","twDescription":"","twImgId":"","schema":{"@context":"http://schema.org","@type":"NewsArticle","headline":"Politicizing Public Health Decisions ... Again","datePublished":"2022-04-19T23:38:00.000Z","dateModified":"2022-04-20T00:05:04.000Z","image":"https://cdn.kqed.org/wp-content/uploads/2020/02/KQED-OG-Image@1x.png","isAccessibleForFree":"Y","publisher":{"@type":"NewsMediaOrganization","@id":"https://www.kqed.org/#organization","name":"KQED","url":"https://www.kqed.org","logo":"https://cdn.kqed.org/wp-content/uploads/2020/02/KQED-OG-Image@1x.png"}}},"disqusIdentifier":"11911566 https://ww2.kqed.org/news/?p=11911566","disqusUrl":"https://ww2.kqed.org/news/2022/04/19/politicizing-public-health-decisions-again/","disqusTitle":"Politicizing Public Health Decisions ... Again","excludeFromSiteSearch":"Include","path":"/news/11911566/politicizing-public-health-decisions-again","audioTrackLength":null,"parsedContent":[{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003cp>\u003ca href=\"https://ww2.kqed.org/app/uploads/sites/10/2022/04/flightattendant_041922_final.png\">\u003cimg class=\"alignnone size-full wp-image-11911575\" src=\"https://ww2.kqed.org/app/uploads/sites/10/2022/04/flightattendant_041922_final.png\" alt='Cartoon: a flight attendant blows into a tube on an inflatable judge holding a gavel as shocked passengers look on. Over the intercom we read, \"in the event of a mask mandate, flight attendants are instructed to deploy a trump-appointed judge from Florida.\"' width=\"1920\" height=\"1378\" srcset=\"https://ww2.kqed.org/app/uploads/sites/10/2022/04/flightattendant_041922_final.png 1920w, https://ww2.kqed.org/app/uploads/sites/10/2022/04/flightattendant_041922_final-800x574.png 800w, https://ww2.kqed.org/app/uploads/sites/10/2022/04/flightattendant_041922_final-1020x732.png 1020w, https://ww2.kqed.org/app/uploads/sites/10/2022/04/flightattendant_041922_final-160x115.png 160w, https://ww2.kqed.org/app/uploads/sites/10/2022/04/flightattendant_041922_final-1536x1102.png 1536w\" sizes=\"(max-width: 1920px) 100vw, 1920px\">\u003c/a>\u003c/p>\n\u003cp>On Monday, U.S. District Judge Kathryn Kimball Mizelle \u003ca href=\"https://bit.ly/fioremaskmandatestruck\">struck down the federal mandate requiring passengers to wear masks on airplanes, trains, buses and other types of public transportation\u003c/a>, ruling that it \"exceeds the CDC's statutory authority.\"\u003c/p>\n\u003cp>At this point in the pandemic, it should be no surprise that this is yet another case of politicized lawyers, judges and advocacy groups battling scientists and public health officials.\u003c/p>\n\u003cp>The case was brought by the \u003ca href=\"https://healthfreedomdefense.org/\">Health Freedom Defense Fund\u003c/a>, an advocacy group based in Wyoming that has been battling mask and vaccine mandates across the country.\u003c/p>\n\u003cp>They found a friendly judge in Mizelle, from Florida, who was \u003ca href=\"https://www.npr.org/2022/04/19/1093566982/florida-mask-mandate-judge-kathryn-mizelle\">appointed by Donald Trump after he lost the election in 2020\u003c/a>.\u003c/p>\n\u003cp>She was narrowly confirmed by the Senate along partisan lines, even after the American Bar Association said she was unqualified for the district court because she had such limited experience practicing law.\u003c/p>\n\u003cp>I don't trust Mizelle or the Health Freedom Defense Fund to make public health policy ... and I plan to keep my mask on while jammed onto a plane, train or bus, thank you very much.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>","attributes":{"named":{},"numeric":[]}},{"type":"component","content":"","name":"ad","attributes":{"named":{"label":"fullwidth"},"numeric":["fullwidth"]}},{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>\u003c/p>\n\u003c/div>\u003c/p>","attributes":{"named":{},"numeric":[]}}],"link":"/news/11911566/politicizing-public-health-decisions-again","authors":["3236"],"series":["news_18515"],"categories":["news_457","news_8","news_13","news_1397"],"tags":["news_22221","news_23099","news_20949","news_29535","news_29575","news_25007"],"featImg":"news_11911575","label":"news_18515"},"news_11906730":{"type":"posts","id":"news_11906730","meta":{"index":"posts_1591205157","site":"news","id":"11906730","score":null,"sort":[1646078489000]},"guestAuthors":[],"slug":"california-relaxes-mask-mandate-in-schools-leaving-decision-to-local-districts","title":"California Relaxes Mask Mandate in Schools, Leaving Decision to Local Districts","publishDate":1646078489,"format":"standard","headTitle":"KQED News","labelTerm":{"site":"news"},"content":"\u003cp>California will soon lift its requirement that students wear masks inside schools and child care facilities, leaving it up to local communities and public health officials to determine their own rules on masking. Students can begin attending schools without masks (in districts that allow it) on March 12.\u003c/p>\n\u003cp>The governor’s office made the announcement this morning, citing low COVID-19 cases and hospitalization rates as a reason for the policy shift. While no longer requiring masks inside schools, the state is still recommending them.\u003c/p>\n\u003cp>“Masks are an effective tool to minimize spread of the virus and future variants, especially when transmission rates are high,” Gov. Gavin Newsom said in the statement. “We cannot predict the future of the virus, but we are better prepared for it and will continue to take measures rooted in science to keep California moving forward.”\u003c/p>\n\u003cp>The move follows an announcement on Friday by the Centers for Disease Control and Prevention that mask mandates are not needed where case rates and hospitalizations are low or moderate. In the Bay Area, only \u003ca href=\"https://www.cdc.gov/coronavirus/2019-ncov/your-health/covid-by-county.html\">Napa and Solano counties were designated by the CDC\u003c/a> as still having high enough rates to merit continued masking in schools.\u003c/p>\n\u003cp>Newsom has come under pressure from Republicans and other critics to ease the mandates. Over the weekend in San Francisco, a group calling itself Parents for Mask Choice in California Schools protested, saying masking of younger children is disrupting learning and is a psychological stress.[pullquote size=\"medium\" align=\"right\" citation=\"Gov. Gavin Newsom\"]'We cannot predict the future of the virus, but we are better prepared for it and will continue to take measures rooted in science to keep California moving forward.'[/pullquote]\u003c/p>\n\u003cp>During a press conference Monday, California Health and Human Services Secretary Dr. Mark Ghaly shared that the state has been seeing encouraging trends over the last two weeks in the sharp decrease in case, hospitalization and test positivity rates. New COVID cases dropped by 66% from Feb. 14 to Feb. 28, he said.. In that same time period, hospitalizations dropped by 48%, and test positivity rates dropped by more than half, to 2.9%.\u003c/p>\n\u003cp>\"I think those local details, those local conditions are really going to guide,\" said Ghaly. \"We are saying at the state level that if the conditions warrant it and the conversations go to it, those districts, those jurisdictions should feel empowered to keep masking in place because that is the decision that they're making to keep their community safe.\"\u003c/p>\n\u003cp>Ghaly also noted how the state's approach has helped California keep schools open, with the percentage of closures far lower than the national average.\u003c/p>\n\u003cp>But he acknowledged that some parents may still be frustrated with the state's school masking decisions.\u003c/p>\n\u003cp>\"I will tell you that we know for each person out there who may have one view of the decision today that there is another family, another young person who has a different view,\" Ghaly said. \"So public health is not necessarily about balance, it's about leading with data and science and communicating clearly.\"\u003c/p>\n\u003cp>In Ventura County, Simi Valley Unified School District Superintendent Jason Peplinski welcomed the news, saying his school board would have allowed kids to go maskless inside schools months ago if it hadn't been for the state's restrictions.\u003c/p>\n\u003cp>\"We've had a lot of angst around this topic for the last few months and it was increasingly less civil,\" said Peplinski, adding that most of his school community is grateful for the policy shift.\u003c/p>\n\u003cp>\"Now the other side of this topic is there are still parents that probably would prefer that all kids are masked,\" said Peplinski. \"There probably are still employees that would prefer that all students wear masks. So, you know, we're going to have a conversation about this one way or the other.\"\u003c/p>\n\u003cp>Kerry Huffman has a son with autism at Richmond’s Mira Vista elementary school in West Contra Costa Unified. She said he would learn better without the mask but she is torn.[aside postID=\"news_11905165,mindshift_59058,news_11906215\" label=\"Related Posts\"]\"It is a step in the right direction in general, but I do have some concerns and it goes back to fear as a parent because we are still not out of it. I literally lost someone just last week that I know in my industry to COVID,\" she said.\u003c/p>\n\u003cp>In Oakland Unified, parent Pecolia Manigo said when the state leaves it up to districts and local public health officials to decide what is safe, it puts the responsibility on families and on students to have to defend what they believe is safe for them.\u003c/p>\n\u003cp>\"It also truly creates racial tensions, in the middle school, in the high schools,\" said Manigo. \"Because, you know, the students who are not feeling safe are not backed up and not reaffirmed by often staff who may have their own opinions shared or not. And so it's an unfortunate situation. It's unfortunate because it tells certain communities that even though you might have a right to feel safe, we're not going to protect that right.\"\u003c/p>\n\u003cp>Last week’s federal guidance shift on masks in schools came two weeks after several states controlled by Democrats, including Oregon, Massachusetts, Connecticut and New Jersey, already relaxed their school masking rules. On Sunday, New York’s governor said the state would lift its mask mandate on March 2. Several states have banned masks in schools.\u003c/p>\n\u003cp>National teachers organizations welcomed the CDC’s move away from universal masking. The American Federation of Teachers president Randi Weingarten cautioned, however, against bullying those who want to remain masked.\u003c/p>\n\u003cp>“Some parents, students and educators will still choose to wear masks, and there should be no stigma for those who do so. We have a duty to protect vulnerable populations and their right to attend school in person, and there should also be a limited remote option for those who require it,” she wrote in a statement.\u003c/p>\n\u003cp>In reaction to today’s rule change, the California Teachers Association President E. Toby Boyd said in a statement that reaction would be mixed.\u003c/p>\n\u003cp>“While some students are ready to immediately remove their masks, others remain very afraid. We urge local school districts to continue to work with educators and families and to act cautiously while prioritizing the safety of students, educators, and their families,” Boyd said.\u003c/p>\n\u003cp>In San Francisco, Cassondra Curiel, who heads the teachers union, also welcomed a way to ease mask requirements, stating that United Educators of San Francisco would work with the district and the city to \"meet the needs of San Francisco students, families, staff, and educators. \"\u003c/p>\n\u003cp>In a UC Berkeley Institute of Governmental Studies poll out last week, of nearly 9,000 California registered voters, 65% approved of requiring masks in schools. In the Bay Area, 74% approved. However, opinions split radically along party lines, with 87% of Democrats approving and just 26% of Republicans.\u003c/p>\n\u003cp>And parents who continue to lack confidence that their children are safe from the virus while in school may balk at any lifting of mask restrictions.\u003c/p>\n\u003cp>According to the Berkeley IGS poll, Latino and Black parents expressed less confidence than white and Asian parents that their child was safe from the virus while in school.\u003c/p>\n\u003cp>Any divide over making masks optional could cause problems inside schools. \u003ca href=\"https://calmatters.org/education/k-12-education/2022/02/california-mask-mandate-student-life/\">CalMatters reported\u003c/a> on tensions between groups of students at Nevada Joint Union High, south of Nevada City, last week over whether masks should be worn. CalMatters reported that so many of the district’s teachers called in sick in response to the district voting to lift its mask mandate, several schools were shut down.\u003c/p>\n\u003cp>In Oakland, Halima Watson, a first-year student at Oakland Technical High School, said that even if her district lifts the mask mandate, she’ll keep her mask on to keep others safe. \"Because everyone reacts differently to COVID,\" she said. \"I have a friend who had it and she has had neurological problems and she’s had shaking with her body. I feel like it’s better to keep masking, but I feel like there are a lot of kids who don’t wear their masks properly so I don’t know if it will make much of a difference.\"\u003c/p>\n\u003cp>Halima said there are already tensions inside her school about kids who don’t take the masking rule seriously. “There’s this kid who I sit next to in geometry who is very, like, whenever another kid has their mask off, he’s like, ‘Put your mask on.’ A lot of people would probably be very against it [lifting the mask mandate].”\u003c/p>\n\u003cp>Halima’s mom, Kim Watson, predicts if the district has a stricter set of rules than the CDC and the state, it is going to be difficult for teachers trying to insist kids wear their masks. “It could cause tension between peers and also between educators and students,” Watson said.\u003c/p>\n\u003cp>Some districts across California are already allowing students not to wear masks inside, defying state rules. Other local districts like Berkeley Unified have begun adjusting mask policies in consultation with local health officials and labor partners.\u003c/p>\n\u003cp>Beginning Feb. 28, BUSD students can go maskless outside. Superintendent Brent Stephens notified parents that the district will review today’s guidance from the state before announcing any planned indoor masking changes.\u003c/p>\n\u003cp>The Alameda County Office of Education also said it would be reviewing the state's guidance before making any decisions.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>[ad floatright]\u003c/p>\n","blocks":[],"excerpt":"State officials announced they would lift the school mask-wearing requirement by March 12, citing major drops in COVID-19 cases, hospitalizations and positivity rates.","status":"publish","parent":0,"modified":1646169888,"stats":{"hasAudio":false,"hasVideo":false,"hasChartOrMap":false,"iframeSrcs":[],"hasGoogleForm":false,"hasGallery":false,"hasHearkenModule":false,"hasPolis":false,"paragraphCount":34,"wordCount":1614},"headData":{"title":"California Relaxes Mask Mandate in Schools, Leaving Decision to Local Districts | KQED","description":"State officials announced they would lift the school mask-wearing requirement by March 12, citing major drops in COVID-19 cases, hospitalizations and positivity rates.","ogTitle":"","ogDescription":"","ogImgId":"","twTitle":"","twDescription":"","twImgId":"","schema":{"@context":"http://schema.org","@type":"NewsArticle","headline":"California Relaxes Mask Mandate in Schools, Leaving Decision to Local Districts","datePublished":"2022-02-28T20:01:29.000Z","dateModified":"2022-03-01T21:24:48.000Z","image":"https://cdn.kqed.org/wp-content/uploads/2020/02/KQED-OG-Image@1x.png","isAccessibleForFree":"Y","publisher":{"@type":"NewsMediaOrganization","@id":"https://www.kqed.org/#organization","name":"KQED","url":"https://www.kqed.org","logo":"https://cdn.kqed.org/wp-content/uploads/2020/02/KQED-OG-Image@1x.png"}}},"disqusIdentifier":"11906730 https://ww2.kqed.org/news/?p=11906730","disqusUrl":"https://ww2.kqed.org/news/2022/02/28/california-relaxes-mask-mandate-in-schools-leaving-decision-to-local-districts/","disqusTitle":"California Relaxes Mask Mandate in Schools, Leaving Decision to Local Districts","audioUrl":"https://omny.fm/shows/kqed-segmented-audio/california-eases-mask-requirements-for-schools","excludeFromSiteSearch":"Include","path":"/news/11906730/california-relaxes-mask-mandate-in-schools-leaving-decision-to-local-districts","audioTrackLength":null,"parsedContent":[{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003cp>California will soon lift its requirement that students wear masks inside schools and child care facilities, leaving it up to local communities and public health officials to determine their own rules on masking. Students can begin attending schools without masks (in districts that allow it) on March 12.\u003c/p>\n\u003cp>The governor’s office made the announcement this morning, citing low COVID-19 cases and hospitalization rates as a reason for the policy shift. While no longer requiring masks inside schools, the state is still recommending them.\u003c/p>\n\u003cp>“Masks are an effective tool to minimize spread of the virus and future variants, especially when transmission rates are high,” Gov. Gavin Newsom said in the statement. “We cannot predict the future of the virus, but we are better prepared for it and will continue to take measures rooted in science to keep California moving forward.”\u003c/p>\n\u003cp>The move follows an announcement on Friday by the Centers for Disease Control and Prevention that mask mandates are not needed where case rates and hospitalizations are low or moderate. In the Bay Area, only \u003ca href=\"https://www.cdc.gov/coronavirus/2019-ncov/your-health/covid-by-county.html\">Napa and Solano counties were designated by the CDC\u003c/a> as still having high enough rates to merit continued masking in schools.\u003c/p>\n\u003cp>Newsom has come under pressure from Republicans and other critics to ease the mandates. Over the weekend in San Francisco, a group calling itself Parents for Mask Choice in California Schools protested, saying masking of younger children is disrupting learning and is a psychological stress.\u003c/p>\u003c/div>","attributes":{"named":{},"numeric":[]}},{"type":"component","content":"'We cannot predict the future of the virus, but we are better prepared for it and will continue to take measures rooted in science to keep California moving forward.'","name":"pullquote","attributes":{"named":{"size":"medium","align":"right","citation":"Gov. Gavin Newsom","label":""},"numeric":[]}},{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>During a press conference Monday, California Health and Human Services Secretary Dr. Mark Ghaly shared that the state has been seeing encouraging trends over the last two weeks in the sharp decrease in case, hospitalization and test positivity rates. New COVID cases dropped by 66% from Feb. 14 to Feb. 28, he said.. In that same time period, hospitalizations dropped by 48%, and test positivity rates dropped by more than half, to 2.9%.\u003c/p>\n\u003cp>\"I think those local details, those local conditions are really going to guide,\" said Ghaly. \"We are saying at the state level that if the conditions warrant it and the conversations go to it, those districts, those jurisdictions should feel empowered to keep masking in place because that is the decision that they're making to keep their community safe.\"\u003c/p>\n\u003cp>Ghaly also noted how the state's approach has helped California keep schools open, with the percentage of closures far lower than the national average.\u003c/p>\n\u003cp>But he acknowledged that some parents may still be frustrated with the state's school masking decisions.\u003c/p>\n\u003cp>\"I will tell you that we know for each person out there who may have one view of the decision today that there is another family, another young person who has a different view,\" Ghaly said. \"So public health is not necessarily about balance, it's about leading with data and science and communicating clearly.\"\u003c/p>\n\u003cp>In Ventura County, Simi Valley Unified School District Superintendent Jason Peplinski welcomed the news, saying his school board would have allowed kids to go maskless inside schools months ago if it hadn't been for the state's restrictions.\u003c/p>\n\u003cp>\"We've had a lot of angst around this topic for the last few months and it was increasingly less civil,\" said Peplinski, adding that most of his school community is grateful for the policy shift.\u003c/p>\n\u003cp>\"Now the other side of this topic is there are still parents that probably would prefer that all kids are masked,\" said Peplinski. \"There probably are still employees that would prefer that all students wear masks. So, you know, we're going to have a conversation about this one way or the other.\"\u003c/p>\n\u003cp>Kerry Huffman has a son with autism at Richmond’s Mira Vista elementary school in West Contra Costa Unified. She said he would learn better without the mask but she is torn.\u003c/p>\u003c/div>","attributes":{"named":{},"numeric":[]}},{"type":"component","content":"","name":"aside","attributes":{"named":{"postid":"news_11905165,mindshift_59058,news_11906215","label":"Related Posts "},"numeric":[]}},{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\"It is a step in the right direction in general, but I do have some concerns and it goes back to fear as a parent because we are still not out of it. I literally lost someone just last week that I know in my industry to COVID,\" she said.\u003c/p>\n\u003cp>In Oakland Unified, parent Pecolia Manigo said when the state leaves it up to districts and local public health officials to decide what is safe, it puts the responsibility on families and on students to have to defend what they believe is safe for them.\u003c/p>\n\u003cp>\"It also truly creates racial tensions, in the middle school, in the high schools,\" said Manigo. \"Because, you know, the students who are not feeling safe are not backed up and not reaffirmed by often staff who may have their own opinions shared or not. And so it's an unfortunate situation. It's unfortunate because it tells certain communities that even though you might have a right to feel safe, we're not going to protect that right.\"\u003c/p>\n\u003cp>Last week’s federal guidance shift on masks in schools came two weeks after several states controlled by Democrats, including Oregon, Massachusetts, Connecticut and New Jersey, already relaxed their school masking rules. On Sunday, New York’s governor said the state would lift its mask mandate on March 2. Several states have banned masks in schools.\u003c/p>\n\u003cp>National teachers organizations welcomed the CDC’s move away from universal masking. The American Federation of Teachers president Randi Weingarten cautioned, however, against bullying those who want to remain masked.\u003c/p>\n\u003cp>“Some parents, students and educators will still choose to wear masks, and there should be no stigma for those who do so. We have a duty to protect vulnerable populations and their right to attend school in person, and there should also be a limited remote option for those who require it,” she wrote in a statement.\u003c/p>\n\u003cp>In reaction to today’s rule change, the California Teachers Association President E. Toby Boyd said in a statement that reaction would be mixed.\u003c/p>\n\u003cp>“While some students are ready to immediately remove their masks, others remain very afraid. We urge local school districts to continue to work with educators and families and to act cautiously while prioritizing the safety of students, educators, and their families,” Boyd said.\u003c/p>\n\u003cp>In San Francisco, Cassondra Curiel, who heads the teachers union, also welcomed a way to ease mask requirements, stating that United Educators of San Francisco would work with the district and the city to \"meet the needs of San Francisco students, families, staff, and educators. \"\u003c/p>\n\u003cp>In a UC Berkeley Institute of Governmental Studies poll out last week, of nearly 9,000 California registered voters, 65% approved of requiring masks in schools. In the Bay Area, 74% approved. However, opinions split radically along party lines, with 87% of Democrats approving and just 26% of Republicans.\u003c/p>\n\u003cp>And parents who continue to lack confidence that their children are safe from the virus while in school may balk at any lifting of mask restrictions.\u003c/p>\n\u003cp>According to the Berkeley IGS poll, Latino and Black parents expressed less confidence than white and Asian parents that their child was safe from the virus while in school.\u003c/p>\n\u003cp>Any divide over making masks optional could cause problems inside schools. \u003ca href=\"https://calmatters.org/education/k-12-education/2022/02/california-mask-mandate-student-life/\">CalMatters reported\u003c/a> on tensions between groups of students at Nevada Joint Union High, south of Nevada City, last week over whether masks should be worn. CalMatters reported that so many of the district’s teachers called in sick in response to the district voting to lift its mask mandate, several schools were shut down.\u003c/p>\n\u003cp>In Oakland, Halima Watson, a first-year student at Oakland Technical High School, said that even if her district lifts the mask mandate, she’ll keep her mask on to keep others safe. \"Because everyone reacts differently to COVID,\" she said. \"I have a friend who had it and she has had neurological problems and she’s had shaking with her body. I feel like it’s better to keep masking, but I feel like there are a lot of kids who don’t wear their masks properly so I don’t know if it will make much of a difference.\"\u003c/p>\n\u003cp>Halima said there are already tensions inside her school about kids who don’t take the masking rule seriously. “There’s this kid who I sit next to in geometry who is very, like, whenever another kid has their mask off, he’s like, ‘Put your mask on.’ A lot of people would probably be very against it [lifting the mask mandate].”\u003c/p>\n\u003cp>Halima’s mom, Kim Watson, predicts if the district has a stricter set of rules than the CDC and the state, it is going to be difficult for teachers trying to insist kids wear their masks. “It could cause tension between peers and also between educators and students,” Watson said.\u003c/p>\n\u003cp>Some districts across California are already allowing students not to wear masks inside, defying state rules. Other local districts like Berkeley Unified have begun adjusting mask policies in consultation with local health officials and labor partners.\u003c/p>\n\u003cp>Beginning Feb. 28, BUSD students can go maskless outside. Superintendent Brent Stephens notified parents that the district will review today’s guidance from the state before announcing any planned indoor masking changes.\u003c/p>\n\u003cp>The Alameda County Office of Education also said it would be reviewing the state's guidance before making any decisions.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>","attributes":{"named":{},"numeric":[]}},{"type":"component","content":"","name":"ad","attributes":{"named":{"label":"fullwidth"},"numeric":["fullwidth"]}},{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>\u003c/p>\u003c/div>","attributes":{"named":{},"numeric":[]}},{"type":"component","content":"","name":"ad","attributes":{"named":{"label":"floatright"},"numeric":["floatright"]}},{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003c/div>\u003c/p>","attributes":{"named":{},"numeric":[]}}],"link":"/news/11906730/california-relaxes-mask-mandate-in-schools-leaving-decision-to-local-districts","authors":["231"],"categories":["news_18540","news_457","news_8"],"tags":["news_26942","news_22221","news_27626","news_30701"],"featImg":"news_11906745","label":"news"},"news_11896575":{"type":"posts","id":"news_11896575","meta":{"index":"posts_1591205157","site":"news","id":"11896575","score":null,"sort":[1637192084000]},"guestAuthors":[],"slug":"a-cry-for-help-drug-overdose-death-toll-reaches-100000-in-the-u-s-for-the-first-time","title":"'A Cry for Help': Drug Overdose Death Toll Reaches 100,000 in the U.S. for the First Time","publishDate":1637192084,"format":"standard","headTitle":"KQED News","labelTerm":{},"content":"\u003cdiv class=\"storyMajorUpdateDate\">\u003cem>Updated 9:05 a.m. Wednesday\u003c/em>\u003c/div>\n\u003cdiv>\u003c/div>\n\u003cp>More than 100,000 people died over a 12-month period from drug overdoses for the first time in U.S. history, according to new data from the Centers for Disease Control and Prevention.\u003c/p>\n\u003cp>\"To all those families who have mourned a loved one and to all those people who are facing addiction or are in recovery: you are in our hearts,\" President Biden said in \u003ca href=\"https://www.whitehouse.gov/briefing-room/statements-releases/2021/11/17/statement-by-president-joe-biden-on-surpassing-100000-american-overdose-deaths-in-the-past-year/\">a statement issued by the White House\u003c/a>. \"Together, we will turn the tide on this epidemic.\"[pullquote size='medium' align='right' citation='Dr. Rahul Gupta, head of the White House Office of National Drug Control Policy']'An overdose is a cry for help. For far too many people, that cry goes unanswered. This requires a whole lot of government response and evidence-based strategies.'[/pullquote]\"This tragic milestone represents an increase of 28.5%\" over the same period just a year earlier, said Dr. Deb Houry with the CDC in a call with reporters Wednesday.\u003c/p>\n\u003cp>Dr. Rahul Gupta, who heads the White House Office of National Drug Control Policy, called the surge in drug fatalities \"unacceptable.\"\u003c/p>\n\u003cp>\"An overdose is a cry for help,\" Gupta said during the press conference. \"For far too many people, that cry goes unanswered. This requires a whole lot of government response and evidence-based strategies.\"\u003c/p>\n\u003cp>Experts blame the continuing surge on the spread of more dangerous street drugs and on disruptions to drug treatment programs caused by the pandemic.\u003c/p>\n\u003cp>\"[Overdoses] are driven both by fentanyl and also by methamphetamines,\" said Dr. Nora Volkow, who heads the National Institute on Drug Abuse, part of the National Institutes of Health.\u003c/p>\n\u003cp>She predicted the surge of fatalities would continue because of the spread of more dangerous street drugs.\u003c/p>\n\u003cp>\"They are among the most addictive drugs that we know of and the most lethal,\" Volkow said.\u003c/p>\n\u003cp>In recent years, Mexican drug cartels have pivoted to manufacturing and distributing fentanyl and methamphetamines, which are cheaper to produce and can be shipped in small quantities that are difficult to detect.\u003c/p>\n\u003cp>Anne Milgram, head of the Drug Enforcement Administration, acknowledged Wednesday that efforts to slow trafficking of these drugs haven't worked.\u003c/p>\n\u003cp>\"This year alone DEA has seized enough fentanyl to provide every member of the U.S. population with a lethal dose,\" Milgram said. \"We are still seizing more fentanyl each and every day.\"[aside postID='news_11894981,news_11896375,news_11881276' label='Related Posts']The Biden administration is calling on Congress to approve more than $10 billion in funding for drug treatment and interdiction programs. The White House also asked states to relax rules that complicate access to Naloxone, a medication that can reverse overdoses caused by fentanyl and other opioids.\u003c/p>\n\u003cp>But the Biden administration has sent mixed signals on how committed it is to following science-based \"harm reduction\" strategies proven to help keep people with addiction alive.\u003c/p>\n\u003cp>In an interview last month with NPR, Health and Human Services \u003ca href=\"https://www.npr.org/2021/10/27/1049245787/biden-hhs-tackle-drug-overdose-deaths\">Secretary Xavier Becerra initially signaled that the federal government would drop opposition to safe drug injection and consumption sites\u003c/a>.\u003c/p>\n\u003cp>\"We're not going to say, 'But you can't do these other type of supervised consumption programs that you think work or that evidence shows work,'\" Becerra said.\u003c/p>\n\u003cp>But HHS officials quickly walked back that statement and say the question of whether people with substance use disorder should be allowed to use drugs under medical supervision will be decided by the courts.\u003c/p>\n\u003cp>The DEA has also drawn fire in recent weeks for taking a tough stance with \u003ca href=\"https://www.npr.org/sections/health-shots/2021/11/08/1053579556/dea-suboxone-subutex-pharmacies-addiction\">pharmacies that distribute buprenorphine\u003c/a>, another medication with a strong track record of helping people with addiction avoid relapse and overdose.\u003c/p>\n\u003cdiv class=\"fullattribution\">Copyright 2021 NPR. To see more, visit npr.org.\u003cimg src=\"https://www.google-analytics.com/__utm.gif?utmac=UA-5828686-4&utmdt=Drug+overdose+deaths+in+the+U.S.+have+topped+100%2C000+for+the+first+time&utme=8(APIKey)9(MDAxOTAwOTE4MDEyMTkxMDAzNjczZDljZA004)\">\u003c/div>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>\u003c/p>\n","blocks":[],"excerpt":"The Biden administration scrambles to respond as new data from the Centers for Disease Control and Prevention show overdose deaths surged to more than 100,000 fatalities.","status":"publish","parent":0,"modified":1637281421,"stats":{"hasAudio":false,"hasVideo":false,"hasChartOrMap":false,"iframeSrcs":[],"hasGoogleForm":false,"hasGallery":false,"hasHearkenModule":false,"hasPolis":false,"paragraphCount":18,"wordCount":617},"headData":{"title":"'A Cry for Help': Drug Overdose Death Toll Reaches 100,000 in the U.S. for the First Time | KQED","description":"The Biden administration scrambles to respond as new data from the Centers for Disease Control and Prevention show overdose deaths surged to more than 100,000 fatalities.","ogTitle":"","ogDescription":"","ogImgId":"","twTitle":"","twDescription":"","twImgId":"","schema":{"@context":"http://schema.org","@type":"NewsArticle","headline":"'A Cry for Help': Drug Overdose Death Toll Reaches 100,000 in the U.S. for the First Time","datePublished":"2021-11-17T23:34:44.000Z","dateModified":"2021-11-19T00:23:41.000Z","image":"https://cdn.kqed.org/wp-content/uploads/2020/02/KQED-OG-Image@1x.png","isAccessibleForFree":"Y","publisher":{"@type":"NewsMediaOrganization","@id":"https://www.kqed.org/#organization","name":"KQED","url":"https://www.kqed.org","logo":"https://cdn.kqed.org/wp-content/uploads/2020/02/KQED-OG-Image@1x.png"}}},"disqusIdentifier":"11896575 https://ww2.kqed.org/news/?p=11896575","disqusUrl":"https://ww2.kqed.org/news/2021/11/17/a-cry-for-help-drug-overdose-death-toll-reaches-100000-in-the-u-s-for-the-first-time/","disqusTitle":"'A Cry for Help': Drug Overdose Death Toll Reaches 100,000 in the U.S. for the First Time","source":"NPR","sourceUrl":"https://www.npr.org/","nprImageCredit":"Patrick T. Fallon","nprByline":"\u003ca href=\"https://www.npr.org/people/935764762/brian-mann\">Brian Mann\u003c/a>","nprImageAgency":"AFP via Getty Images","nprStoryId":"1056484849","nprApiLink":"http://api.npr.org/query?id=1056484849&apiKey=MDAxOTAwOTE4MDEyMTkxMDAzNjczZDljZA004","nprHtmlLink":"https://www.npr.org/2021/11/17/1056484849/drug-overdose-deaths-100000-us?ft=nprml&f=1056484849","nprRetrievedStory":"1","nprPubDate":"Wed, 17 Nov 2021 15:24:00 -0500","nprStoryDate":"Wed, 17 Nov 2021 11:11:00 -0500","nprLastModifiedDate":"Wed, 17 Nov 2021 15:24:18 -0500","nprAudio":"https://ondemand.npr.org/anon.npr-mp3/npr/me/2021/11/20211117_me_drug_deaths_100k.mp3?orgId=1&topicId=1003&d=255&p=3&story=1056484849&ft=nprml&f=1056484849","nprAudioM3u":"http://api.npr.org/m3u/11056519359-d020ba.m3u?orgId=1&topicId=1003&d=255&p=3&story=1056484849&ft=nprml&f=1056484849","excludeFromSiteSearch":"Include","path":"/news/11896575/a-cry-for-help-drug-overdose-death-toll-reaches-100000-in-the-u-s-for-the-first-time","audioUrl":"https://ondemand.npr.org/anon.npr-mp3/npr/me/2021/11/20211117_me_drug_deaths_100k.mp3?orgId=1&topicId=1003&d=255&p=3&story=1056484849&ft=nprml&f=1056484849","audioTrackLength":null,"parsedContent":[{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003cdiv class=\"storyMajorUpdateDate\">\u003cem>Updated 9:05 a.m. Wednesday\u003c/em>\u003c/div>\n\u003cdiv>\u003c/div>\n\u003cp>More than 100,000 people died over a 12-month period from drug overdoses for the first time in U.S. history, according to new data from the Centers for Disease Control and Prevention.\u003c/p>\n\u003cp>\"To all those families who have mourned a loved one and to all those people who are facing addiction or are in recovery: you are in our hearts,\" President Biden said in \u003ca href=\"https://www.whitehouse.gov/briefing-room/statements-releases/2021/11/17/statement-by-president-joe-biden-on-surpassing-100000-american-overdose-deaths-in-the-past-year/\">a statement issued by the White House\u003c/a>. \"Together, we will turn the tide on this epidemic.\"\u003c/p>\u003c/div>","attributes":{"named":{},"numeric":[]}},{"type":"component","content":"'An overdose is a cry for help. For far too many people, that cry goes unanswered. This requires a whole lot of government response and evidence-based strategies.'","name":"pullquote","attributes":{"named":{"size":"medium","align":"right","citation":"Dr. Rahul Gupta, head of the White House Office of National Drug Control Policy","label":""},"numeric":[]}},{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\"This tragic milestone represents an increase of 28.5%\" over the same period just a year earlier, said Dr. Deb Houry with the CDC in a call with reporters Wednesday.\u003c/p>\n\u003cp>Dr. Rahul Gupta, who heads the White House Office of National Drug Control Policy, called the surge in drug fatalities \"unacceptable.\"\u003c/p>\n\u003cp>\"An overdose is a cry for help,\" Gupta said during the press conference. \"For far too many people, that cry goes unanswered. This requires a whole lot of government response and evidence-based strategies.\"\u003c/p>\n\u003cp>Experts blame the continuing surge on the spread of more dangerous street drugs and on disruptions to drug treatment programs caused by the pandemic.\u003c/p>\n\u003cp>\"[Overdoses] are driven both by fentanyl and also by methamphetamines,\" said Dr. Nora Volkow, who heads the National Institute on Drug Abuse, part of the National Institutes of Health.\u003c/p>\n\u003cp>She predicted the surge of fatalities would continue because of the spread of more dangerous street drugs.\u003c/p>\n\u003cp>\"They are among the most addictive drugs that we know of and the most lethal,\" Volkow said.\u003c/p>\n\u003cp>In recent years, Mexican drug cartels have pivoted to manufacturing and distributing fentanyl and methamphetamines, which are cheaper to produce and can be shipped in small quantities that are difficult to detect.\u003c/p>\n\u003cp>Anne Milgram, head of the Drug Enforcement Administration, acknowledged Wednesday that efforts to slow trafficking of these drugs haven't worked.\u003c/p>\n\u003cp>\"This year alone DEA has seized enough fentanyl to provide every member of the U.S. population with a lethal dose,\" Milgram said. \"We are still seizing more fentanyl each and every day.\"\u003c/p>\u003c/div>","attributes":{"named":{},"numeric":[]}},{"type":"component","content":"","name":"aside","attributes":{"named":{"postid":"news_11894981,news_11896375,news_11881276","label":"Related Posts "},"numeric":[]}},{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>The Biden administration is calling on Congress to approve more than $10 billion in funding for drug treatment and interdiction programs. The White House also asked states to relax rules that complicate access to Naloxone, a medication that can reverse overdoses caused by fentanyl and other opioids.\u003c/p>\n\u003cp>But the Biden administration has sent mixed signals on how committed it is to following science-based \"harm reduction\" strategies proven to help keep people with addiction alive.\u003c/p>\n\u003cp>In an interview last month with NPR, Health and Human Services \u003ca href=\"https://www.npr.org/2021/10/27/1049245787/biden-hhs-tackle-drug-overdose-deaths\">Secretary Xavier Becerra initially signaled that the federal government would drop opposition to safe drug injection and consumption sites\u003c/a>.\u003c/p>\n\u003cp>\"We're not going to say, 'But you can't do these other type of supervised consumption programs that you think work or that evidence shows work,'\" Becerra said.\u003c/p>\n\u003cp>But HHS officials quickly walked back that statement and say the question of whether people with substance use disorder should be allowed to use drugs under medical supervision will be decided by the courts.\u003c/p>\n\u003cp>The DEA has also drawn fire in recent weeks for taking a tough stance with \u003ca href=\"https://www.npr.org/sections/health-shots/2021/11/08/1053579556/dea-suboxone-subutex-pharmacies-addiction\">pharmacies that distribute buprenorphine\u003c/a>, another medication with a strong track record of helping people with addiction avoid relapse and overdose.\u003c/p>\n\u003cdiv class=\"fullattribution\">Copyright 2021 NPR. To see more, visit npr.org.\u003cimg src=\"https://www.google-analytics.com/__utm.gif?utmac=UA-5828686-4&utmdt=Drug+overdose+deaths+in+the+U.S.+have+topped+100%2C000+for+the+first+time&utme=8(APIKey)9(MDAxOTAwOTE4MDEyMTkxMDAzNjczZDljZA004)\">\u003c/div>\n\u003cp>\u003c/p>\u003c/div>","attributes":{"named":{},"numeric":[]}},{"type":"component","content":"","name":"ad","attributes":{"named":{"label":"fullwidth"},"numeric":["fullwidth"]}},{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>\u003c/p>\n\u003c/div>\u003c/p>","attributes":{"named":{},"numeric":[]}}],"link":"/news/11896575/a-cry-for-help-drug-overdose-death-toll-reaches-100000-in-the-u-s-for-the-first-time","authors":["byline_news_11896575"],"categories":["news_457","news_8"],"tags":["news_22221","news_26003","news_23051","news_3163","news_30252"],"featImg":"news_11896576","label":"source_news_11896575"},"news_11895788":{"type":"posts","id":"news_11895788","meta":{"index":"posts_1591205157","site":"news","id":"11895788","score":null,"sort":[1636639239000]},"guestAuthors":[],"slug":"catching-covid-twice-taught-this-large-family-why-vaccines-matter","title":"Catching COVID Twice Taught This Large Family Why Vaccines Matter","publishDate":1636639239,"format":"audio","headTitle":"KQED News","labelTerm":{"site":"news"},"content":"\u003cp>On a Friday afternoon in early October, 8-year-old Maricia Redondo came home from her third grade class in San Pablo with puffy eyes, a runny nose and a cough.\u003c/p>\n\u003cp>“On Saturday morning we both got tested,” said Vanessa Quintero, Maricia’s 31-year-old mother. “Our results came back Monday that we were both positive.”\u003c/p>\n\u003cp>Vanessa stared at her phone in shock and called the Kaiser result hotline again, in disbelief.[pullquote size=\"medium\" align=\"right\" citation=\"Petra Gonzales\"]'There were times when I'd fall asleep and I was OK if I didn't wake up.’[/pullquote]“This is wrong,” she thought. “I hung up and dialed again. It’s positive. This is wrong. I hung up again. And then I did it again!”\u003c/p>\n\u003cp>She was freaking out for two reasons. First, her large, extended family fought a harrowing battle against COVID-19 last fall. Four generations live next door to each other in three different houses in San Pablo, all connected by a backyard. The virus traveled fast and furious through their homes this time last year.\u003c/p>\n\u003cp>Second, Vanessa couldn’t fathom another round of treatment against a more dangerous variant. Delta is currently the predominant variant in the U.S., according to the \u003ca class=\"c-link\" href=\"https://www.cdc.gov/coronavirus/2019-ncov/variants/delta-variant.html#:~:text=%E2%80%A2%20Some%20data%20suggest%20the,the%20original%20virus%20strains.\" target=\"_blank\" rel=\"noopener noreferrer\" data-stringify-link=\"https://www.cdc.gov/coronavirus/2019-ncov/variants/delta-variant.html#:~:text=%E2%80%A2%20Some%20data%20suggest%20the,the%20original%20virus%20strains.\" data-sk=\"tooltip_parent\">U.S. Centers for Disease Control and Prevention\u003c/a>. It's twice as contagious and can potentially cause more severe illnesses than previous variants in unvaccinated people.\u003c/p>\n\u003cfigure id=\"attachment_11895938\" class=\"wp-caption aligncenter\" style=\"max-width: 1920px\">\u003ca href=\"https://ww2.kqed.org/app/uploads/sites/10/2021/11/RS52412_021_SanPablo_FamilyCOVIDTwice_11032021-qut.jpg\">\u003cimg class=\"wp-image-11895938 size-full\" src=\"https://ww2.kqed.org/app/uploads/sites/10/2021/11/RS52412_021_SanPablo_FamilyCOVIDTwice_11032021-qut.jpg\" alt=\"Three women stand by each other having a conversation on the sidewalk in front of a pink house.\" width=\"1920\" height=\"1280\" srcset=\"https://ww2.kqed.org/app/uploads/sites/10/2021/11/RS52412_021_SanPablo_FamilyCOVIDTwice_11032021-qut.jpg 1920w, https://ww2.kqed.org/app/uploads/sites/10/2021/11/RS52412_021_SanPablo_FamilyCOVIDTwice_11032021-qut-800x533.jpg 800w, https://ww2.kqed.org/app/uploads/sites/10/2021/11/RS52412_021_SanPablo_FamilyCOVIDTwice_11032021-qut-1020x680.jpg 1020w, https://ww2.kqed.org/app/uploads/sites/10/2021/11/RS52412_021_SanPablo_FamilyCOVIDTwice_11032021-qut-160x107.jpg 160w, https://ww2.kqed.org/app/uploads/sites/10/2021/11/RS52412_021_SanPablo_FamilyCOVIDTwice_11032021-qut-1536x1024.jpg 1536w\" sizes=\"(max-width: 1920px) 100vw, 1920px\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">Three generations (from left to right): Vanessa Quintero, Petra Gonzales and Genoveva Calloway talk in front of their side-by-side homes in San Pablo on Nov. 3, 2021. \u003ccite>(Beth LaBerge/KQED)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>The family’s bad luck was uncanny. \u003ca href=\"https://pubmed.ncbi.nlm.nih.gov/34126625/\">Research\u003c/a> suggests immunity against a natural infection lasts about a year. And here it was almost exactly the same time of year and the family was fighting COVID again.\u003c/p>\n\u003cp>“Reinfection is a thing,” said UCSF infectious disease expert Dr. Peter Chin-Hong. “It probably manifests itself more when the variant in town looks different enough from the previous variants. Or enough time has elapsed since you first got it where immunity has waned.”[aside label=\"related coverage\" tag=\"covid\"]He says a second infection is still not common, but doctors are starting to see more cases.\u003c/p>\n\u003cp>“The second time it was scarier because I'm vaccinated,” said Vanessa. “Her dad's vaccinated. We're protected in that sense, but she’s [Maricia] not.”\u003c/p>\n\u003cp>Her 8-year-old daughter was too young to qualify for a vaccine. The little girl lay in bed wheezing. Vanessa tripled down on Maricia’s asthma medication and the family isolated themselves inside. Vanessa shuddered at the prospect of telling her mother and grandma about a second round of positive test results.\u003c/p>\n\u003cp>During a family gathering on Halloween last fall, Maricia complained she wasn’t feeling good. Over the next few days Vanessa, her partner, mother, two cousins, two aunts, an uncle and two grandmothers tested positive for COVID. Eventually 13 family members caught the bug.\u003c/p>\n\u003cp>It was not long before family members started racing to the hospital.\u003cbr>\nVanessa, who also suffers from asthma, was the first person in the family to rush to the emergency room. “I was on the floor,” she said. “I couldn't even say I'm hungry without coughing.”\u003c/p>\n\u003cp>Then Vanessa’s 51-year-old mother, Petra Gonzales, almost blacked out.\u003c/p>\n\u003cp>“I got a really high fever,” said Petra. “There were times when I'd fall asleep and I was OK if I didn't wake up.”\u003c/p>\n\u003cfigure id=\"attachment_11895822\" class=\"wp-caption aligncenter\" style=\"max-width: 1920px\">\u003ca href=\"https://ww2.kqed.org/app/uploads/sites/10/2021/11/RS52406_015_SanPablo_FamilyCOVIDTwice_11032021-qut.jpg\">\u003cimg class=\"size-full wp-image-11895822\" src=\"https://ww2.kqed.org/app/uploads/sites/10/2021/11/RS52406_015_SanPablo_FamilyCOVIDTwice_11032021-qut.jpg\" alt=\"A woman wearing red glasses and a pink hoodie stares out a window.\" width=\"1920\" height=\"1280\" srcset=\"https://ww2.kqed.org/app/uploads/sites/10/2021/11/RS52406_015_SanPablo_FamilyCOVIDTwice_11032021-qut.jpg 1920w, https://ww2.kqed.org/app/uploads/sites/10/2021/11/RS52406_015_SanPablo_FamilyCOVIDTwice_11032021-qut-800x533.jpg 800w, https://ww2.kqed.org/app/uploads/sites/10/2021/11/RS52406_015_SanPablo_FamilyCOVIDTwice_11032021-qut-1020x680.jpg 1020w, https://ww2.kqed.org/app/uploads/sites/10/2021/11/RS52406_015_SanPablo_FamilyCOVIDTwice_11032021-qut-160x107.jpg 160w, https://ww2.kqed.org/app/uploads/sites/10/2021/11/RS52406_015_SanPablo_FamilyCOVIDTwice_11032021-qut-1536x1024.jpg 1536w\" sizes=\"(max-width: 1920px) 100vw, 1920px\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">Genoveva Calloway looks out the front window of her home in San Pablo on Nov. 3, 2021. When she had COVID-19, friends and family would stop by to visit from outside the window. \u003ccite>(Beth LaBerge/KQED)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>Petra landed in the ER at Kaiser in Richmond with severe dehydration. Soon she heard that her 71-year-old mother, Genoveva Calloway, needed hospital care for dangerously low oxygen levels and was being treated at Kaiser Oakland.\u003c/p>\n\u003cp>Unlike Petra and Vanessa, who were not admitted for an extended stay at the hospital and slowly recovered at home, Genoveva's condition was critical. She spent day after day under close supervision from doctors and nurses.\u003c/p>\n\u003cp>“It was really painful not to be able to help my family, because we always help each other,” said Genoveva as her voice cracked with emotion. “We are always there for each other. It was so horrible.”\u003c/p>\n\u003cp>Finally, after nearly two weeks in the hospital, Genoveva was discharged. She was still connected to an oxygen machine as nurses shuffled her out. When Genoveva and Petra greeted each other on the street, they embraced fiercely.\u003c/p>\n\u003cp>“She hugged me so tight,” said Genoveva. “I’ll never forget that. We missed each other so much.”\u003c/p>\n\u003cp>A year later, though, Genoveva is still recovering. She’s now plagued by interstitial lung disease. That’s why another round of the virus is a terrifying possibility.[pullquote size=\"medium\" align=\"right\" citation=\"Julie Parsonnet, professor of medicine and infectious diseases at Stanford University\"]'Each exposure we have, whether it's from the infection or whether it's from the vaccine, improves our ability to combat an infection the next time around.’[/pullquote]\u003c/p>\n\u003cp>Fortunately the family’s worst fears did not unfold. Genoveva was out of town when her great-granddaughter, Maricia, brought the virus home, and Maricia herself recovered. And the other adults did not develop symptoms. They credit their vaccinations.\u003c/p>\n\u003cp>“Each exposure we have, whether it's from the infection or whether it's from the vaccine, improves our ability to combat an infection the next time around,” said Julie Parsonnet, professor of medicine and infectious diseases at Stanford University. But Parsonnet says there are a lot of variables at play. First, immunity wanes. Second, the virus can mutate. Third, vaccines are not foolproof.\u003c/p>\n\u003cp>“There are certain people, including the elderly, people who are immunocompromised and people on dialysis, who really can't mount a good immune response,” said Parsonnet. “They're always also going to be at risk. So every child getting vaccinated helps protect all those other people in the family that they may live with or their neighbors.”\u003c/p>\n\u003cp>This is really common where Genoveva lives in San Pablo. The city is a hot spot in \u003ca href=\"https://www.latimes.com/projects/california-coronavirus-cases-tracking-outbreak/contra-costa-county/\">Contra Costa County\u003c/a>, where 1 out of 11 people have tested positive. \u003cspan style=\"font-weight: 400\">At the height of the pandemic, nearly \u003ca href=\"https://www.coronavirus.cchealth.org/overview\">800 people\u003c/a> tested positive every day. \u003c/span>\u003c/p>\n\u003cp>“Our neighborhood has three, four generations living in the same house,” Genoveva said.\u003c/p>\n\u003cp>She looks forward to the day when her great-grandchildren and her whole community are finally vaccinated.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>[ad floatright]\u003c/p>\n","blocks":[],"excerpt":"A family is on the road to recovery after catching COVID for a second time, almost one year after first being infected. Here's what they experienced. ","status":"publish","parent":0,"modified":1637277317,"stats":{"hasAudio":false,"hasVideo":false,"hasChartOrMap":false,"iframeSrcs":[],"hasGoogleForm":false,"hasGallery":false,"hasHearkenModule":false,"hasPolis":false,"paragraphCount":27,"wordCount":1149},"headData":{"title":"Catching COVID Twice Taught This Large Family Why Vaccines Matter | KQED","description":"A family is on the road to recovery after catching COVID for a second time, almost one year after first being infected. Here's what they experienced. ","ogTitle":"","ogDescription":"","ogImgId":"","twTitle":"","twDescription":"","twImgId":"","schema":{"@context":"http://schema.org","@type":"NewsArticle","headline":"Catching COVID Twice Taught This Large Family Why Vaccines Matter","datePublished":"2021-11-11T14:00:39.000Z","dateModified":"2021-11-18T23:15:17.000Z","image":"https://cdn.kqed.org/wp-content/uploads/2020/02/KQED-OG-Image@1x.png","isAccessibleForFree":"Y","publisher":{"@type":"NewsMediaOrganization","@id":"https://www.kqed.org/#organization","name":"KQED","url":"https://www.kqed.org","logo":"https://cdn.kqed.org/wp-content/uploads/2020/02/KQED-OG-Image@1x.png"}}},"disqusIdentifier":"11895788 https://ww2.kqed.org/news/?p=11895788","disqusUrl":"https://ww2.kqed.org/news/2021/11/11/catching-covid-twice-taught-this-large-family-why-vaccines-matter/","disqusTitle":"Catching COVID Twice Taught This Large Family Why Vaccines Matter","audioUrl":"https://traffic.omny.fm/d/clips/0af137ef-751e-4b19-a055-aaef00d2d578/ffca7e9f-6831-4[…]f-aaef00f5a073/2f9c1abb-98a2-43da-a5da-adda01753877/audio.mp3","excludeFromSiteSearch":"Include","path":"/news/11895788/catching-covid-twice-taught-this-large-family-why-vaccines-matter","audioTrackLength":null,"parsedContent":[{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003cp>On a Friday afternoon in early October, 8-year-old Maricia Redondo came home from her third grade class in San Pablo with puffy eyes, a runny nose and a cough.\u003c/p>\n\u003cp>“On Saturday morning we both got tested,” said Vanessa Quintero, Maricia’s 31-year-old mother. “Our results came back Monday that we were both positive.”\u003c/p>\n\u003cp>Vanessa stared at her phone in shock and called the Kaiser result hotline again, in disbelief.\u003c/p>\u003c/div>","attributes":{"named":{},"numeric":[]}},{"type":"component","content":"'There were times when I'd fall asleep and I was OK if I didn't wake up.’","name":"pullquote","attributes":{"named":{"size":"medium","align":"right","citation":"Petra Gonzales","label":""},"numeric":[]}},{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>“This is wrong,” she thought. “I hung up and dialed again. It’s positive. This is wrong. I hung up again. And then I did it again!”\u003c/p>\n\u003cp>She was freaking out for two reasons. First, her large, extended family fought a harrowing battle against COVID-19 last fall. Four generations live next door to each other in three different houses in San Pablo, all connected by a backyard. The virus traveled fast and furious through their homes this time last year.\u003c/p>\n\u003cp>Second, Vanessa couldn’t fathom another round of treatment against a more dangerous variant. Delta is currently the predominant variant in the U.S., according to the \u003ca class=\"c-link\" href=\"https://www.cdc.gov/coronavirus/2019-ncov/variants/delta-variant.html#:~:text=%E2%80%A2%20Some%20data%20suggest%20the,the%20original%20virus%20strains.\" target=\"_blank\" rel=\"noopener noreferrer\" data-stringify-link=\"https://www.cdc.gov/coronavirus/2019-ncov/variants/delta-variant.html#:~:text=%E2%80%A2%20Some%20data%20suggest%20the,the%20original%20virus%20strains.\" data-sk=\"tooltip_parent\">U.S. Centers for Disease Control and Prevention\u003c/a>. It's twice as contagious and can potentially cause more severe illnesses than previous variants in unvaccinated people.\u003c/p>\n\u003cfigure id=\"attachment_11895938\" class=\"wp-caption aligncenter\" style=\"max-width: 1920px\">\u003ca href=\"https://ww2.kqed.org/app/uploads/sites/10/2021/11/RS52412_021_SanPablo_FamilyCOVIDTwice_11032021-qut.jpg\">\u003cimg class=\"wp-image-11895938 size-full\" src=\"https://ww2.kqed.org/app/uploads/sites/10/2021/11/RS52412_021_SanPablo_FamilyCOVIDTwice_11032021-qut.jpg\" alt=\"Three women stand by each other having a conversation on the sidewalk in front of a pink house.\" width=\"1920\" height=\"1280\" srcset=\"https://ww2.kqed.org/app/uploads/sites/10/2021/11/RS52412_021_SanPablo_FamilyCOVIDTwice_11032021-qut.jpg 1920w, https://ww2.kqed.org/app/uploads/sites/10/2021/11/RS52412_021_SanPablo_FamilyCOVIDTwice_11032021-qut-800x533.jpg 800w, https://ww2.kqed.org/app/uploads/sites/10/2021/11/RS52412_021_SanPablo_FamilyCOVIDTwice_11032021-qut-1020x680.jpg 1020w, https://ww2.kqed.org/app/uploads/sites/10/2021/11/RS52412_021_SanPablo_FamilyCOVIDTwice_11032021-qut-160x107.jpg 160w, https://ww2.kqed.org/app/uploads/sites/10/2021/11/RS52412_021_SanPablo_FamilyCOVIDTwice_11032021-qut-1536x1024.jpg 1536w\" sizes=\"(max-width: 1920px) 100vw, 1920px\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">Three generations (from left to right): Vanessa Quintero, Petra Gonzales and Genoveva Calloway talk in front of their side-by-side homes in San Pablo on Nov. 3, 2021. \u003ccite>(Beth LaBerge/KQED)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>The family’s bad luck was uncanny. \u003ca href=\"https://pubmed.ncbi.nlm.nih.gov/34126625/\">Research\u003c/a> suggests immunity against a natural infection lasts about a year. And here it was almost exactly the same time of year and the family was fighting COVID again.\u003c/p>\n\u003cp>“Reinfection is a thing,” said UCSF infectious disease expert Dr. Peter Chin-Hong. “It probably manifests itself more when the variant in town looks different enough from the previous variants. Or enough time has elapsed since you first got it where immunity has waned.”\u003c/p>\u003c/div>","attributes":{"named":{},"numeric":[]}},{"type":"component","content":"","name":"aside","attributes":{"named":{"label":"related coverage ","tag":"covid"},"numeric":[]}},{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>He says a second infection is still not common, but doctors are starting to see more cases.\u003c/p>\n\u003cp>“The second time it was scarier because I'm vaccinated,” said Vanessa. “Her dad's vaccinated. We're protected in that sense, but she’s [Maricia] not.”\u003c/p>\n\u003cp>Her 8-year-old daughter was too young to qualify for a vaccine. The little girl lay in bed wheezing. Vanessa tripled down on Maricia’s asthma medication and the family isolated themselves inside. Vanessa shuddered at the prospect of telling her mother and grandma about a second round of positive test results.\u003c/p>\n\u003cp>During a family gathering on Halloween last fall, Maricia complained she wasn’t feeling good. Over the next few days Vanessa, her partner, mother, two cousins, two aunts, an uncle and two grandmothers tested positive for COVID. Eventually 13 family members caught the bug.\u003c/p>\n\u003cp>It was not long before family members started racing to the hospital.\u003cbr>\nVanessa, who also suffers from asthma, was the first person in the family to rush to the emergency room. “I was on the floor,” she said. “I couldn't even say I'm hungry without coughing.”\u003c/p>\n\u003cp>Then Vanessa’s 51-year-old mother, Petra Gonzales, almost blacked out.\u003c/p>\n\u003cp>“I got a really high fever,” said Petra. “There were times when I'd fall asleep and I was OK if I didn't wake up.”\u003c/p>\n\u003cfigure id=\"attachment_11895822\" class=\"wp-caption aligncenter\" style=\"max-width: 1920px\">\u003ca href=\"https://ww2.kqed.org/app/uploads/sites/10/2021/11/RS52406_015_SanPablo_FamilyCOVIDTwice_11032021-qut.jpg\">\u003cimg class=\"size-full wp-image-11895822\" src=\"https://ww2.kqed.org/app/uploads/sites/10/2021/11/RS52406_015_SanPablo_FamilyCOVIDTwice_11032021-qut.jpg\" alt=\"A woman wearing red glasses and a pink hoodie stares out a window.\" width=\"1920\" height=\"1280\" srcset=\"https://ww2.kqed.org/app/uploads/sites/10/2021/11/RS52406_015_SanPablo_FamilyCOVIDTwice_11032021-qut.jpg 1920w, https://ww2.kqed.org/app/uploads/sites/10/2021/11/RS52406_015_SanPablo_FamilyCOVIDTwice_11032021-qut-800x533.jpg 800w, https://ww2.kqed.org/app/uploads/sites/10/2021/11/RS52406_015_SanPablo_FamilyCOVIDTwice_11032021-qut-1020x680.jpg 1020w, https://ww2.kqed.org/app/uploads/sites/10/2021/11/RS52406_015_SanPablo_FamilyCOVIDTwice_11032021-qut-160x107.jpg 160w, https://ww2.kqed.org/app/uploads/sites/10/2021/11/RS52406_015_SanPablo_FamilyCOVIDTwice_11032021-qut-1536x1024.jpg 1536w\" sizes=\"(max-width: 1920px) 100vw, 1920px\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">Genoveva Calloway looks out the front window of her home in San Pablo on Nov. 3, 2021. When she had COVID-19, friends and family would stop by to visit from outside the window. \u003ccite>(Beth LaBerge/KQED)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>Petra landed in the ER at Kaiser in Richmond with severe dehydration. Soon she heard that her 71-year-old mother, Genoveva Calloway, needed hospital care for dangerously low oxygen levels and was being treated at Kaiser Oakland.\u003c/p>\n\u003cp>Unlike Petra and Vanessa, who were not admitted for an extended stay at the hospital and slowly recovered at home, Genoveva's condition was critical. She spent day after day under close supervision from doctors and nurses.\u003c/p>\n\u003cp>“It was really painful not to be able to help my family, because we always help each other,” said Genoveva as her voice cracked with emotion. “We are always there for each other. It was so horrible.”\u003c/p>\n\u003cp>Finally, after nearly two weeks in the hospital, Genoveva was discharged. She was still connected to an oxygen machine as nurses shuffled her out. When Genoveva and Petra greeted each other on the street, they embraced fiercely.\u003c/p>\n\u003cp>“She hugged me so tight,” said Genoveva. “I’ll never forget that. We missed each other so much.”\u003c/p>\n\u003cp>A year later, though, Genoveva is still recovering. She’s now plagued by interstitial lung disease. That’s why another round of the virus is a terrifying possibility.\u003c/p>\u003c/div>","attributes":{"named":{},"numeric":[]}},{"type":"component","content":"'Each exposure we have, whether it's from the infection or whether it's from the vaccine, improves our ability to combat an infection the next time around.’","name":"pullquote","attributes":{"named":{"size":"medium","align":"right","citation":"Julie Parsonnet, professor of medicine and infectious diseases at Stanford University","label":""},"numeric":[]}},{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>Fortunately the family’s worst fears did not unfold. Genoveva was out of town when her great-granddaughter, Maricia, brought the virus home, and Maricia herself recovered. And the other adults did not develop symptoms. They credit their vaccinations.\u003c/p>\n\u003cp>“Each exposure we have, whether it's from the infection or whether it's from the vaccine, improves our ability to combat an infection the next time around,” said Julie Parsonnet, professor of medicine and infectious diseases at Stanford University. But Parsonnet says there are a lot of variables at play. First, immunity wanes. Second, the virus can mutate. Third, vaccines are not foolproof.\u003c/p>\n\u003cp>“There are certain people, including the elderly, people who are immunocompromised and people on dialysis, who really can't mount a good immune response,” said Parsonnet. “They're always also going to be at risk. So every child getting vaccinated helps protect all those other people in the family that they may live with or their neighbors.”\u003c/p>\n\u003cp>This is really common where Genoveva lives in San Pablo. The city is a hot spot in \u003ca href=\"https://www.latimes.com/projects/california-coronavirus-cases-tracking-outbreak/contra-costa-county/\">Contra Costa County\u003c/a>, where 1 out of 11 people have tested positive. \u003cspan style=\"font-weight: 400\">At the height of the pandemic, nearly \u003ca href=\"https://www.coronavirus.cchealth.org/overview\">800 people\u003c/a> tested positive every day. \u003c/span>\u003c/p>\n\u003cp>“Our neighborhood has three, four generations living in the same house,” Genoveva said.\u003c/p>\n\u003cp>She looks forward to the day when her great-grandchildren and her whole community are finally vaccinated.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>","attributes":{"named":{},"numeric":[]}},{"type":"component","content":"","name":"ad","attributes":{"named":{"label":"fullwidth"},"numeric":["fullwidth"]}},{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>\u003c/p>\u003c/div>","attributes":{"named":{},"numeric":[]}},{"type":"component","content":"","name":"ad","attributes":{"named":{"label":"floatright"},"numeric":["floatright"]}},{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003c/div>\u003c/p>","attributes":{"named":{},"numeric":[]}}],"link":"/news/11895788/catching-covid-twice-taught-this-large-family-why-vaccines-matter","authors":["11229"],"categories":["news_457","news_8"],"tags":["news_22221","news_29058","news_27989","news_27504","news_29644","news_23011"],"featImg":"news_11895820","label":"news"},"news_11895150":{"type":"posts","id":"news_11895150","meta":{"index":"posts_1591205157","site":"news","id":"11895150","score":null,"sort":[1636061108000]},"guestAuthors":[],"slug":"here-are-the-next-steps-for-schools-now-that-vaccines-for-kids-ages-5-11-are-here","title":"Now That Vaccines for Kids Age 5-11 Are Here, Here's What's Next for Schools","publishDate":1636061108,"format":"standard","headTitle":"KQED News","labelTerm":{},"content":"\u003cp>With this week’s approval of a COVID vaccine for children, California schools and parents began looking ahead to a new era — one that might mean fewer mask and testing requirements, but where deep ideological divisions remain.\u003c/p>\n\u003cp>A day after the Centers for Disease Control gave preliminary approval for children age 5 to 11 to receive the Pfizer-BioNTech vaccine, California followed suit and allowed children in California to begin receiving jabs as soon as Thursday. Some counties, including Santa Clara, have already started accepting appointments for children.\u003c/p>\n\u003cp>“This is going to give a lot of parents peace of mind,” said Dr. Norma Perez, a pediatrician and medical director of AltaMed Health Services in Los Angeles. “We’re 20 months into this pandemic, and this is a really important step to get us back to a state of normalcy.”\u003c/p>\n\u003cp>Vaccinating children will be a crucial step toward achieving herd immunity, where virus transmission tapers off because so many people have been exposed through vaccination or by becoming infected, Perez said.\u003c/p>\n\u003cp>The federal government plans to give California 1.2 million doses of the children’s vaccine, enough to vaccinate all 5- to 11-year-olds in the next few weeks, health authorities said. Vaccines will be available at more than 4,000 clinics and schools across California, and the state is launching a public information campaign to encourage children and their parents to get vaccinated.[aside postID=news_11894138,news_11893985,news_11894903 label='Related Posts']\u003c/p>\n\u003cp>“Vaccines are how we end this pandemic, and the ability to vaccinate more children who have remained vulnerable to Covid-19 strengthens our fight against this deadly virus. Californians ages 5-11 can now get the same robust protection that has helped save countless lives,” California Health and Human Services Agency Secretary Dr. Mark Ghaly and director of the California Department of Public Health and State Public Health Officer Dr. Tomás J. Aragón said in a joint statement Wednesday.\u003c/p>\n\u003cp>“Last year’s winter surge was devastating in our state, and it is critically important that all eligible Californians supercharge their protection against COVID-19 ahead of the winter months,” they said.\u003c/p>\n\u003cp>School districts are also encouraging parents to get their children vaccinated, but so far it appears no districts — except Culver City Unified — are requiring it. Gov. Gavin Newsom announced last month that COVID vaccinations will be required for children to attend school the first semester after the Food and Drug Administration grants full approval to the vaccines.\u003c/p>\n\u003cp>Los Angeles Unified, San Francisco Unified and Fresno Unified are among the districts that will be offering free COVID vaccines for 5-to-11-years-olds over the next few weeks.\u003c/p>\n\u003cp>“We are delighted to be able to offer voluntary vaccine access to students in this age group,” Los Angeles Unified announced Wednesday. “The COVID-19 vaccine is highly encouraged for children ages 5-11. … COVID-19 vaccines are safe, effective and the best way to protect our students, staff and families, and public schools are natural sites for our students and families to receive this life-saving vaccine.”\u003c/p>\n\u003cp>Meanwhile, parents’ response to the vaccine approval for children is mixed. Only 27% of parents of 5- to-11-year-olds nationwide said they’d immediately get their child vaccinated against COVID-19 once a vaccine is available, according to a survey released Oct. 28 by the Kaiser Family Foundation. About one-third said they’d never get their child vaccinated, and the rest said they’d wait and see.\u003c/p>\n\u003cp>In some parts of California, such as Shasta County, students and parents have staged school walkouts to protest vaccine requirements, saying vaccines should be a personal choice, not a public health mandate.\u003c/p>\n\u003cp>Some parents have expressed concern about possible side effects from the vaccine, including a rare heart inflammation called myocarditis. In trials, no children age 5 to 11 contracted the illness, although older children, especially boys, are more susceptible, according to the CDC. Most cases are mild and patients recover at home, Perez said.\u003c/p>\n\u003cp>So far, the most common side effects of the COVID vaccine, for children and adults, are sore arms, fatigue and mild fever, Perez said.\u003c/p>\n\u003cfigure id=\"attachment_11894985\" class=\"wp-caption aligncenter\" style=\"max-width: 2000px\">\u003ca href=\"https://ww2.kqed.org/app/uploads/sites/10/2021/11/2021_11_03_kidsvaccines-4_enl-7bd33b028df4a92b33352e537059aad79f7dad93.jpg\">\u003cimg class=\"wp-image-11894985 size-full\" src=\"https://ww2.kqed.org/app/uploads/sites/10/2021/11/2021_11_03_kidsvaccines-4_enl-7bd33b028df4a92b33352e537059aad79f7dad93.jpg\" alt=\"A nurse wearing gloves pushes a needle into a preteen's arm.\" width=\"2000\" height=\"1331\" srcset=\"https://ww2.kqed.org/app/uploads/sites/10/2021/11/2021_11_03_kidsvaccines-4_enl-7bd33b028df4a92b33352e537059aad79f7dad93.jpg 2000w, https://ww2.kqed.org/app/uploads/sites/10/2021/11/2021_11_03_kidsvaccines-4_enl-7bd33b028df4a92b33352e537059aad79f7dad93-800x532.jpg 800w, https://ww2.kqed.org/app/uploads/sites/10/2021/11/2021_11_03_kidsvaccines-4_enl-7bd33b028df4a92b33352e537059aad79f7dad93-1020x679.jpg 1020w, https://ww2.kqed.org/app/uploads/sites/10/2021/11/2021_11_03_kidsvaccines-4_enl-7bd33b028df4a92b33352e537059aad79f7dad93-160x106.jpg 160w, https://ww2.kqed.org/app/uploads/sites/10/2021/11/2021_11_03_kidsvaccines-4_enl-7bd33b028df4a92b33352e537059aad79f7dad93-1536x1022.jpg 1536w, https://ww2.kqed.org/app/uploads/sites/10/2021/11/2021_11_03_kidsvaccines-4_enl-7bd33b028df4a92b33352e537059aad79f7dad93-1920x1278.jpg 1920w\" sizes=\"(max-width: 2000px) 100vw, 2000px\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">A 10-year-old child receives the Pfizer-BioNTech COVID-19 vaccine for 5- to 11-year-olds, at Hartford Hospital in Hartford, Conn., on Nov. 2, 2021. \u003ccite>(Joseph Prezioso/AFP via Getty Images)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>Megan Bacigalupi, director of a statewide parents’ group that advocated for schools in California to reopen, said she was thrilled about the vaccine approval but wants to see the state lift mask requirements for children at school and ease up on COVID testing.\u003c/p>\n\u003cp>“We have kids getting vaccinated, teachers getting booster shots, adults getting vaccinated at high rates. Schools are becoming incredibly safe,” she said. “I cannot imagine the uproar in, say, eight weeks when people see 18,000 fans at Chase Center not wearing masks but meanwhile a group of 6-year-olds who’ve all been vaccinated still have to wear masks. … It shows we are not prioritizing the needs of children.”\u003c/p>\n\u003cp>On Oct. 20, the state Department of Public Health said it would consider updating its mask requirements for children by Nov. 1, but so far has not issued any changes to the requirement that children wear masks indoors and outdoors while at school.\u003c/p>\n\u003cp>It’s probably too early to relax mask and testing protocols because of the looming flu and cold season, Perez said. Also, it will likely take a few months before all children receive their COVID vaccine.\u003cbr>\nBut for now, the CDC’s approval of the COVID vaccine for children age 5-11 is something to celebrate, Perez said.\u003c/p>\n\u003cp>“The CDC would not have approved this vaccine if it was not safe and effective,” she said. “This is something we’ve been looking forward to for months. … How does it feel to finally be here? It feels wonderful.”\u003c/p>\n\u003cp>\u003cem>\u003ca href=\"https://edsource.org/2021/districts-anticipate-major-hits-to-their-2022-23-budgets-as-enrollments-drop/662448\">This story originally appeared in EdSource.\u003c/a>\u003c/em>\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>\u003c/p>\n","blocks":[],"excerpt":"A day after the CDC gave preliminary approval for children age 5 to 11 to receive the Pfizer-BioNTech vaccine, California has allowed children to begin receiving jabs as soon as Thursday.","status":"publish","parent":0,"modified":1636070884,"stats":{"hasAudio":false,"hasVideo":false,"hasChartOrMap":false,"iframeSrcs":[],"hasGoogleForm":false,"hasGallery":false,"hasHearkenModule":false,"hasPolis":false,"paragraphCount":22,"wordCount":1028},"headData":{"title":"Now That Vaccines for Kids Age 5-11 Are Here, Here's What's Next for Schools | KQED","description":"A day after the CDC gave preliminary approval for children age 5 to 11 to receive the Pfizer-BioNTech vaccine, California has allowed children to begin receiving jabs as soon as Thursday.","ogTitle":"","ogDescription":"","ogImgId":"","twTitle":"","twDescription":"","twImgId":"","schema":{"@context":"http://schema.org","@type":"NewsArticle","headline":"Now That Vaccines for Kids Age 5-11 Are Here, Here's What's Next for Schools","datePublished":"2021-11-04T21:25:08.000Z","dateModified":"2021-11-05T00:08:04.000Z","image":"https://cdn.kqed.org/wp-content/uploads/2020/02/KQED-OG-Image@1x.png","isAccessibleForFree":"Y","publisher":{"@type":"NewsMediaOrganization","@id":"https://www.kqed.org/#organization","name":"KQED","url":"https://www.kqed.org","logo":"https://cdn.kqed.org/wp-content/uploads/2020/02/KQED-OG-Image@1x.png"}}},"disqusIdentifier":"11895150 https://ww2.kqed.org/news/?p=11895150","disqusUrl":"https://ww2.kqed.org/news/2021/11/04/here-are-the-next-steps-for-schools-now-that-vaccines-for-kids-ages-5-11-are-here/","disqusTitle":"Now That Vaccines for Kids Age 5-11 Are Here, Here's What's Next for Schools","source":"EdSource","sourceUrl":"https://edsource.org","nprByline":"\u003ca href=\"https://edsource.org/author/cjones\">Carolyn Jones\u003c/a>","excludeFromSiteSearch":"Include","path":"/news/11895150/here-are-the-next-steps-for-schools-now-that-vaccines-for-kids-ages-5-11-are-here","audioTrackLength":null,"parsedContent":[{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003cp>With this week’s approval of a COVID vaccine for children, California schools and parents began looking ahead to a new era — one that might mean fewer mask and testing requirements, but where deep ideological divisions remain.\u003c/p>\n\u003cp>A day after the Centers for Disease Control gave preliminary approval for children age 5 to 11 to receive the Pfizer-BioNTech vaccine, California followed suit and allowed children in California to begin receiving jabs as soon as Thursday. Some counties, including Santa Clara, have already started accepting appointments for children.\u003c/p>\n\u003cp>“This is going to give a lot of parents peace of mind,” said Dr. Norma Perez, a pediatrician and medical director of AltaMed Health Services in Los Angeles. “We’re 20 months into this pandemic, and this is a really important step to get us back to a state of normalcy.”\u003c/p>\n\u003cp>Vaccinating children will be a crucial step toward achieving herd immunity, where virus transmission tapers off because so many people have been exposed through vaccination or by becoming infected, Perez said.\u003c/p>\n\u003cp>The federal government plans to give California 1.2 million doses of the children’s vaccine, enough to vaccinate all 5- to 11-year-olds in the next few weeks, health authorities said. Vaccines will be available at more than 4,000 clinics and schools across California, and the state is launching a public information campaign to encourage children and their parents to get vaccinated.\u003c/p>\u003c/div>","attributes":{"named":{},"numeric":[]}},{"type":"component","content":"","name":"aside","attributes":{"named":{"postid":"news_11894138,news_11893985,news_11894903","label":"Related Posts "},"numeric":[]}},{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>“Vaccines are how we end this pandemic, and the ability to vaccinate more children who have remained vulnerable to Covid-19 strengthens our fight against this deadly virus. Californians ages 5-11 can now get the same robust protection that has helped save countless lives,” California Health and Human Services Agency Secretary Dr. Mark Ghaly and director of the California Department of Public Health and State Public Health Officer Dr. Tomás J. Aragón said in a joint statement Wednesday.\u003c/p>\n\u003cp>“Last year’s winter surge was devastating in our state, and it is critically important that all eligible Californians supercharge their protection against COVID-19 ahead of the winter months,” they said.\u003c/p>\n\u003cp>School districts are also encouraging parents to get their children vaccinated, but so far it appears no districts — except Culver City Unified — are requiring it. Gov. Gavin Newsom announced last month that COVID vaccinations will be required for children to attend school the first semester after the Food and Drug Administration grants full approval to the vaccines.\u003c/p>\n\u003cp>Los Angeles Unified, San Francisco Unified and Fresno Unified are among the districts that will be offering free COVID vaccines for 5-to-11-years-olds over the next few weeks.\u003c/p>\n\u003cp>“We are delighted to be able to offer voluntary vaccine access to students in this age group,” Los Angeles Unified announced Wednesday. “The COVID-19 vaccine is highly encouraged for children ages 5-11. … COVID-19 vaccines are safe, effective and the best way to protect our students, staff and families, and public schools are natural sites for our students and families to receive this life-saving vaccine.”\u003c/p>\n\u003cp>Meanwhile, parents’ response to the vaccine approval for children is mixed. Only 27% of parents of 5- to-11-year-olds nationwide said they’d immediately get their child vaccinated against COVID-19 once a vaccine is available, according to a survey released Oct. 28 by the Kaiser Family Foundation. About one-third said they’d never get their child vaccinated, and the rest said they’d wait and see.\u003c/p>\n\u003cp>In some parts of California, such as Shasta County, students and parents have staged school walkouts to protest vaccine requirements, saying vaccines should be a personal choice, not a public health mandate.\u003c/p>\n\u003cp>Some parents have expressed concern about possible side effects from the vaccine, including a rare heart inflammation called myocarditis. In trials, no children age 5 to 11 contracted the illness, although older children, especially boys, are more susceptible, according to the CDC. Most cases are mild and patients recover at home, Perez said.\u003c/p>\n\u003cp>So far, the most common side effects of the COVID vaccine, for children and adults, are sore arms, fatigue and mild fever, Perez said.\u003c/p>\n\u003cfigure id=\"attachment_11894985\" class=\"wp-caption aligncenter\" style=\"max-width: 2000px\">\u003ca href=\"https://ww2.kqed.org/app/uploads/sites/10/2021/11/2021_11_03_kidsvaccines-4_enl-7bd33b028df4a92b33352e537059aad79f7dad93.jpg\">\u003cimg class=\"wp-image-11894985 size-full\" src=\"https://ww2.kqed.org/app/uploads/sites/10/2021/11/2021_11_03_kidsvaccines-4_enl-7bd33b028df4a92b33352e537059aad79f7dad93.jpg\" alt=\"A nurse wearing gloves pushes a needle into a preteen's arm.\" width=\"2000\" height=\"1331\" srcset=\"https://ww2.kqed.org/app/uploads/sites/10/2021/11/2021_11_03_kidsvaccines-4_enl-7bd33b028df4a92b33352e537059aad79f7dad93.jpg 2000w, https://ww2.kqed.org/app/uploads/sites/10/2021/11/2021_11_03_kidsvaccines-4_enl-7bd33b028df4a92b33352e537059aad79f7dad93-800x532.jpg 800w, https://ww2.kqed.org/app/uploads/sites/10/2021/11/2021_11_03_kidsvaccines-4_enl-7bd33b028df4a92b33352e537059aad79f7dad93-1020x679.jpg 1020w, https://ww2.kqed.org/app/uploads/sites/10/2021/11/2021_11_03_kidsvaccines-4_enl-7bd33b028df4a92b33352e537059aad79f7dad93-160x106.jpg 160w, https://ww2.kqed.org/app/uploads/sites/10/2021/11/2021_11_03_kidsvaccines-4_enl-7bd33b028df4a92b33352e537059aad79f7dad93-1536x1022.jpg 1536w, https://ww2.kqed.org/app/uploads/sites/10/2021/11/2021_11_03_kidsvaccines-4_enl-7bd33b028df4a92b33352e537059aad79f7dad93-1920x1278.jpg 1920w\" sizes=\"(max-width: 2000px) 100vw, 2000px\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">A 10-year-old child receives the Pfizer-BioNTech COVID-19 vaccine for 5- to 11-year-olds, at Hartford Hospital in Hartford, Conn., on Nov. 2, 2021. \u003ccite>(Joseph Prezioso/AFP via Getty Images)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>Megan Bacigalupi, director of a statewide parents’ group that advocated for schools in California to reopen, said she was thrilled about the vaccine approval but wants to see the state lift mask requirements for children at school and ease up on COVID testing.\u003c/p>\n\u003cp>“We have kids getting vaccinated, teachers getting booster shots, adults getting vaccinated at high rates. Schools are becoming incredibly safe,” she said. “I cannot imagine the uproar in, say, eight weeks when people see 18,000 fans at Chase Center not wearing masks but meanwhile a group of 6-year-olds who’ve all been vaccinated still have to wear masks. … It shows we are not prioritizing the needs of children.”\u003c/p>\n\u003cp>On Oct. 20, the state Department of Public Health said it would consider updating its mask requirements for children by Nov. 1, but so far has not issued any changes to the requirement that children wear masks indoors and outdoors while at school.\u003c/p>\n\u003cp>It’s probably too early to relax mask and testing protocols because of the looming flu and cold season, Perez said. Also, it will likely take a few months before all children receive their COVID vaccine.\u003cbr>\nBut for now, the CDC’s approval of the COVID vaccine for children age 5-11 is something to celebrate, Perez said.\u003c/p>\n\u003cp>“The CDC would not have approved this vaccine if it was not safe and effective,” she said. “This is something we’ve been looking forward to for months. … How does it feel to finally be here? It feels wonderful.”\u003c/p>\n\u003cp>\u003cem>\u003ca href=\"https://edsource.org/2021/districts-anticipate-major-hits-to-their-2022-23-budgets-as-enrollments-drop/662448\">This story originally appeared in EdSource.\u003c/a>\u003c/em>\u003c/p>\n\u003cp>\u003c/p>\u003c/div>","attributes":{"named":{},"numeric":[]}},{"type":"component","content":"","name":"ad","attributes":{"named":{"label":"fullwidth"},"numeric":["fullwidth"]}},{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>\u003c/p>\n\u003c/div>\u003c/p>","attributes":{"named":{},"numeric":[]}}],"link":"/news/11895150/here-are-the-next-steps-for-schools-now-that-vaccines-for-kids-ages-5-11-are-here","authors":["byline_news_11895150"],"categories":["news_457","news_8"],"tags":["news_22221","news_29058","news_30194","news_29785"],"featImg":"news_11895160","label":"source_news_11895150"},"news_11894855":{"type":"posts","id":"news_11894855","meta":{"index":"posts_1591205157","site":"news","id":"11894855","score":null,"sort":[1635901238000]},"guestAuthors":[],"slug":"cdc-recommends-pfizers-covid-vaccine-for-children-ages-5-to-11","title":"CDC Recommends Pfizer's COVID Vaccine for Children Ages 5 to 11","publishDate":1635901238,"format":"standard","headTitle":"KQED News","labelTerm":{},"content":"\u003cp>The Centers for Disease Control and Prevention is recommending that all children ages 5 through 11 get a low-dose COVID-19 vaccine made by Pfizer-BioNTech.\u003c/p>\n\u003cp>The move clears the way for shots to begin as soon as tomorrow, though it may be a few days before the vaccine is widely available.\u003c/p>\n\u003cul>\n\u003cli>\u003cstrong>\u003ca href=\"https://www.kqed.org/news/11894546/pfizer-covid-vaccine-kids-5-11-near-me\">Find a Pfizer COVID vaccine for kids age 5-11 in the Bay Area\u003c/a>\u003c/strong>\u003c/li>\n\u003c/ul>\n\u003cp>CDC Director Rochelle Walensky issued the recommendation Tuesday, just hours after a unanimous vote by the CDC's Advisory Committee on Immunization Practices supporting the use of the vaccine in this age group.\u003c/p>\n\u003cp>Walensky's decision means that approximately 28 million children in this age group will be eligible for the shot.\u003c/p>\n\u003cp>President Biden called the decision \"a turning point in our battle against COVID-19.\"\u003c/p>\n\u003cp>Shipments of the vaccine have already started following last Friday's decision by the Food and Drug Administration to authorize the vaccine in this age group. White House COVID-19 response coordinator Jeffrey Zients says the federal government has purchased enough of the low-dose children's vaccine for everyone. Some 15 million doses are being shipped this week, he said, and the federal program for distributing the vaccine \"will be fully operational\" by next Monday, November 8th.[aside postID=news_11893985,news_11894138,news_11890825 label='Related Posts']\u003c/p>\n\u003cp>Some school districts have already scheduled vaccination drives in coming weeks, before the Thanksgiving holiday, though some districts have said they will not be providing the vaccines through schools.\u003c/p>\n\u003cp>The Pfizer-BioNTech pediatric vaccine is one-third the adult dose and, like the adult formulation, is given in two doses, three weeks apart. The lower dose was chosen to minimize side effects and still produce strong immunity, Pfizer says.\u003c/p>\n\u003cp>Before the committee vote, at the start of the Tuesday advisory meeting, Walensky called this \"a monumental day\" as she urged the panel to consider the toll that COVID-19 has had on children. The \u003ca href=\"https://covid.cdc.gov/covid-data-tracker/#demographics\">CDC's latest data\u003c/a> show that 172 children ages 5 to 11 have died from COVID-19 and more than 8,300 have been hospitalized.\u003c/p>\n\u003cp>\"We also know that beyond the clinical impact of COVID on children, there have been detrimental social and mental health impacts that we are just beginning to fully understand,\" Walensky said in giving her charge to the panel. \"It is our ongoing responsibility to make sure as many people as possible are vaccinated and protected from COVID-19.\"\u003c/p>\n\u003cp>Her statements left little doubt that she supports a broad recommendation to vaccinate all children 5 to 11 years old. Her decision is expected soon.\u003c/p>\n\u003cp>During a Monday briefing, White House COVID-19 response coordinator Jeffrey Zients said that the government has purchased enough of the low-dose children's vaccine for everyone in this age group. Zients said that the company began filling and labeling the vials and started shipping 15 million doses when the Food and Drug Administration authorized the vaccine last Friday.\u003c/p>\n\u003cp>The federal program for distributing the vaccine \"will be fully operational\" by next Monday, Nov. 8, Zients said, with some doses possibly available by the end of this week.\u003c/p>\n\u003cp>The vaccine is being shipped to pediatricians' and family doctors' offices, Zients said, as well as to community health centers, pharmacies, tribal health centers and other providers. School-based vaccine administration sites will also be included in some areas.\u003c/p>\n\u003cp>Some school districts have already scheduled vaccinations before the Thanksgiving holiday. And some clinics say they're ready to begin the shots Wednesday.\u003c/p>\n\u003cp>Parents will not need a doctor's order to get a vaccine, Zients said, though parents with questions may want to discuss the vaccine with a trusted health provider.[pullquote size=\"medium\" align=\"right\" citation=\"Rochelle Walensky, CDC director\"]'We also know that beyond the clinical impact of COVID on children, there have been detrimental social and mental health impacts that we are just beginning to fully understand.’[/pullquote]\u003c/p>\n\u003cp>During the Tuesday meeting of the CDC's Advisory Committee on Immunization Practices, panel members reviewed and discussed the science behind the FDA's Friday authorization of the vaccine in all children 5 to 11 years old. That authorization was based mostly on a Pfizer-BioNTech study of 4,600 children worldwide, of whom approximately 3,100 got the low-dose vaccine and about 1,500 got a placebo.\u003c/p>\n\u003cp>These studies showed that the vaccine is about 91% effective against COVID-19. The immune system response to the vaccine, as measured by antibodies, was comparable to the response seen in 16- to 25-year-olds.\u003c/p>\n\u003cp>The advisers spent considerable time weighing the public health need of a children's vaccine for a disease that is not as often severe or deadly as it is in adults. In the end, the prevalence of COVID-19 across the U.S. and the number of severe cases and deaths led them to recommend universal use of the vaccine in the 5-11 age group.\u003c/p>\n\u003cp>The most recent CDC data from September 2021 show that 38% of children in the 5-11 age group have antibodies to the virus that causes COVID-19, indicating that they've been infected. Dr. Jefferson Jones, a medical officer with the CDC, said that young children are at least as likely to be infected as adults. More than 1.9 million cases have been reported in 5- to 11-year-olds.\u003c/p>\n\u003cfigure id=\"attachment_11894869\" class=\"wp-caption aligncenter\" style=\"max-width: 1920px\">\u003ca href=\"https://ww2.kqed.org/app/uploads/sites/10/2021/11/GettyImages-1333795933.jpg\">\u003cimg class=\"size-full wp-image-11894869\" src=\"https://ww2.kqed.org/app/uploads/sites/10/2021/11/GettyImages-1333795933.jpg\" alt=\"A woman wearing a mask and dress holds the hand of her daughter wearing a white button up shirt who is seated as a nurse with gloves administers a vaccination shot.\" width=\"1920\" height=\"1266\" srcset=\"https://ww2.kqed.org/app/uploads/sites/10/2021/11/GettyImages-1333795933.jpg 1920w, https://ww2.kqed.org/app/uploads/sites/10/2021/11/GettyImages-1333795933-800x528.jpg 800w, https://ww2.kqed.org/app/uploads/sites/10/2021/11/GettyImages-1333795933-1020x673.jpg 1020w, https://ww2.kqed.org/app/uploads/sites/10/2021/11/GettyImages-1333795933-160x106.jpg 160w, https://ww2.kqed.org/app/uploads/sites/10/2021/11/GettyImages-1333795933-1536x1013.jpg 1536w\" sizes=\"(max-width: 1920px) 100vw, 1920px\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">LaToya Feltus holds the hand of her daughter Amya, 13, as she receives a COVID-19 vaccination dose at a clinic operated by DePaul Community Health Center on Aug. 12, 2021 in New Orleans, Louisiana. \u003ccite>(Mario Tama/Getty Images)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>Overall, there have been more than 8,300 children ages 5 to 11 hospitalized with COVID-19 or a related illness called MIS-C, a severe condition that affects multiple organs and can be fatal. The 5-11 age group had the highest number of cases of MIS-C among children.\u003c/p>\n\u003cp>Hospitalization rates for COVID-19 in this age group have been similar to what has been seen in past years for influenza, according to Jones. Severity was similar for children with COVID-19 and those with influenza who needed hospitalization.\u003c/p>\n\u003cp>Hospitalization rates for COVID-19 are three times higher for non-Hispanic Black, non-Hispanic American Indian/Alaska Native, and Hispanic children compared with non-Hispanic white children, Jones said.\u003c/p>\n\u003cp>One relatively rare side effect that generated considerable discussion at Tuesday's meeting is myocarditis, a form of heart inflammation. It also occurs as a complication of several viral infections, including COVID-19, and is most often seen in adolescent boys and young men. It typically clears up within weeks or a few months.\u003c/p>\n\u003cp>The CDC has confirmed 877 cases of myocarditis after the Pfizer or Moderna vaccine in people age 30 or younger, but there have been no deaths, said Dr. Matthew Oster, who studies myocarditis for the CDC and is a pediatric cardiologist at Children's Healthcare of Atlanta. He explained that COVID-19 itself can cause myocarditis and other heart-related issues, including MIS-C, which often affects the heart.\u003c/p>\n\u003cp>\"The bottom line is getting COVID, I think, is much riskier to the heart than getting this vaccine,\" Oster said.\u003c/p>\n\u003cp>As regards safety, some who testified during a public comment period, as well as other commentators, have questioned whether the study used by the FDA to grant emergency use authorization is large enough to assure parents that the vaccine is safe in young children.\u003c/p>\n\u003cfigure id=\"attachment_11894875\" class=\"wp-caption aligncenter\" style=\"max-width: 1920px\">\u003ca href=\"https://ww2.kqed.org/app/uploads/sites/10/2021/11/GettyImages-1236306624.jpg\">\u003cimg class=\"size-full wp-image-11894875\" src=\"https://ww2.kqed.org/app/uploads/sites/10/2021/11/GettyImages-1236306624.jpg\" alt='A boy wearing a blue shirt and mask sits at a desk to the left with a page with nine pink stickers to the right that says \"I got the shot!\"' width=\"1920\" height=\"1278\" srcset=\"https://ww2.kqed.org/app/uploads/sites/10/2021/11/GettyImages-1236306624.jpg 1920w, https://ww2.kqed.org/app/uploads/sites/10/2021/11/GettyImages-1236306624-800x533.jpg 800w, https://ww2.kqed.org/app/uploads/sites/10/2021/11/GettyImages-1236306624-1020x679.jpg 1020w, https://ww2.kqed.org/app/uploads/sites/10/2021/11/GettyImages-1236306624-160x107.jpg 160w, https://ww2.kqed.org/app/uploads/sites/10/2021/11/GettyImages-1236306624-1536x1022.jpg 1536w\" sizes=\"(max-width: 1920px) 100vw, 1920px\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">Stickers for children are seen to receive the Pfizer-BioNTech Covid-19 vaccine at Hartford Hospital in Hartford, Connecticut on Nov. 2, 2021. \u003ccite>(Joseph Prezioso/AFP via Getty Images)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>In response, \u003ca href=\"https://www.fda.gov/media/144450/download\">Dr. Doran Fink\u003c/a>, clinical deputy director of the FDA's Division of Vaccines and Related Products Applications, told the meeting that the safety database size for this age group is \"at the upper end — or even beyond — of the safety database size that it has supported licensure of other preventive vaccines for infectious diseases.\"\u003c/p>\n\u003cp>Vaccinations of 5- to 11-year-olds starting this month could potentially prevent 600,000 cases of COVID-19 by March of next year, according to CDC models, said Dr. Sara Oliver of the CDC. Vaccination of 5- to 11-year-olds \"would dampen, but not eliminate,\" the possibility that a new variant might emerge, she said.\u003c/p>\n\u003cp>Acknowledging that some parents are hesitant to have their children vaccinated right away, Dr. Matthew Daley, a member of the advisory committee, said, \"We hear you loud and clear.\"\u003c/p>\n\u003cp>\"Of course you only want what's best for your child,\" he said. \"I encourage you to talk to your family physician or pediatrician, [so] they can walk through this with you.\"\u003c/p>\n\u003cp>\u003cem>Jane Greenhalgh contributed to this report.\u003c/em>\u003c/p>\n\u003cdiv class=\"fullattribution\">Copyright 2021 NPR. To see more, visit https://www.npr.org.\u003cimg src=\"https://www.google-analytics.com/__utm.gif?utmac=UA-5828686-4&utmdt=CDC+recommends+Pfizer%27s+COVID+vaccine+for+children+ages+5+through+11&utme=8(APIKey)9(MDAxOTAwOTE4MDEyMTkxMDAzNjczZDljZA004)\">\u003c/div>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>[ad floatright]\u003c/p>\n","blocks":[],"excerpt":"Kids ages 5 to 11 will soon be able to get Pfizer's low-dose COVID vaccine. CDC director Rochelle Walensky agreed with a unanimous decision of a team of advisers that the benefits outweigh the risks.","status":"publish","parent":0,"modified":1635956115,"stats":{"hasAudio":false,"hasVideo":false,"hasChartOrMap":false,"iframeSrcs":[],"hasGoogleForm":false,"hasGallery":false,"hasHearkenModule":false,"hasPolis":false,"paragraphCount":34,"wordCount":1468},"headData":{"title":"CDC Recommends Pfizer's COVID Vaccine for Children Ages 5 to 11 | KQED","description":"Kids ages 5 to 11 will soon be able to get Pfizer's low-dose COVID vaccine. CDC director Rochelle Walensky agreed with a unanimous decision of a team of advisers that the benefits outweigh the risks.","ogTitle":"","ogDescription":"","ogImgId":"","twTitle":"","twDescription":"","twImgId":"","schema":{"@context":"http://schema.org","@type":"NewsArticle","headline":"CDC Recommends Pfizer's COVID Vaccine for Children Ages 5 to 11","datePublished":"2021-11-03T01:00:38.000Z","dateModified":"2021-11-03T16:15:15.000Z","image":"https://cdn.kqed.org/wp-content/uploads/2020/02/KQED-OG-Image@1x.png","isAccessibleForFree":"Y","publisher":{"@type":"NewsMediaOrganization","@id":"https://www.kqed.org/#organization","name":"KQED","url":"https://www.kqed.org","logo":"https://cdn.kqed.org/wp-content/uploads/2020/02/KQED-OG-Image@1x.png"}}},"disqusIdentifier":"11894855 https://ww2.kqed.org/news/?p=11894855","disqusUrl":"https://ww2.kqed.org/news/2021/11/02/cdc-recommends-pfizers-covid-vaccine-for-children-ages-5-to-11/","disqusTitle":"CDC Recommends Pfizer's COVID Vaccine for Children Ages 5 to 11","source":"NPR","sourceUrl":"https://www.npr.org/","nprImageCredit":"Paul Hennessy","nprByline":"Carmel Wroth and Joe Neel","nprImageAgency":"SOPA Images/LightRocket via Getty","nprStoryId":"1051301705","nprApiLink":"http://api.npr.org/query?id=1051301705&apiKey=MDAxOTAwOTE4MDEyMTkxMDAzNjczZDljZA004","nprHtmlLink":"https://www.npr.org/sections/health-shots/2021/11/02/1051301705/cdc-advisors-recommend-pfizers-covid-vaccine-for-children-ages-5-through-11?ft=nprml&f=1051301705","nprRetrievedStory":"1","nprPubDate":"Tue, 02 Nov 2021 20:23:00 -0400","nprStoryDate":"Tue, 02 Nov 2021 17:04:31 -0400","nprLastModifiedDate":"Tue, 02 Nov 2021 20:23:16 -0400","excludeFromSiteSearch":"Include","path":"/news/11894855/cdc-recommends-pfizers-covid-vaccine-for-children-ages-5-to-11","audioTrackLength":null,"parsedContent":[{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003cp>The Centers for Disease Control and Prevention is recommending that all children ages 5 through 11 get a low-dose COVID-19 vaccine made by Pfizer-BioNTech.\u003c/p>\n\u003cp>The move clears the way for shots to begin as soon as tomorrow, though it may be a few days before the vaccine is widely available.\u003c/p>\n\u003cul>\n\u003cli>\u003cstrong>\u003ca href=\"https://www.kqed.org/news/11894546/pfizer-covid-vaccine-kids-5-11-near-me\">Find a Pfizer COVID vaccine for kids age 5-11 in the Bay Area\u003c/a>\u003c/strong>\u003c/li>\n\u003c/ul>\n\u003cp>CDC Director Rochelle Walensky issued the recommendation Tuesday, just hours after a unanimous vote by the CDC's Advisory Committee on Immunization Practices supporting the use of the vaccine in this age group.\u003c/p>\n\u003cp>Walensky's decision means that approximately 28 million children in this age group will be eligible for the shot.\u003c/p>\n\u003cp>President Biden called the decision \"a turning point in our battle against COVID-19.\"\u003c/p>\n\u003cp>Shipments of the vaccine have already started following last Friday's decision by the Food and Drug Administration to authorize the vaccine in this age group. White House COVID-19 response coordinator Jeffrey Zients says the federal government has purchased enough of the low-dose children's vaccine for everyone. Some 15 million doses are being shipped this week, he said, and the federal program for distributing the vaccine \"will be fully operational\" by next Monday, November 8th.\u003c/p>\u003c/div>","attributes":{"named":{},"numeric":[]}},{"type":"component","content":"","name":"aside","attributes":{"named":{"postid":"news_11893985,news_11894138,news_11890825","label":"Related Posts "},"numeric":[]}},{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>Some school districts have already scheduled vaccination drives in coming weeks, before the Thanksgiving holiday, though some districts have said they will not be providing the vaccines through schools.\u003c/p>\n\u003cp>The Pfizer-BioNTech pediatric vaccine is one-third the adult dose and, like the adult formulation, is given in two doses, three weeks apart. The lower dose was chosen to minimize side effects and still produce strong immunity, Pfizer says.\u003c/p>\n\u003cp>Before the committee vote, at the start of the Tuesday advisory meeting, Walensky called this \"a monumental day\" as she urged the panel to consider the toll that COVID-19 has had on children. The \u003ca href=\"https://covid.cdc.gov/covid-data-tracker/#demographics\">CDC's latest data\u003c/a> show that 172 children ages 5 to 11 have died from COVID-19 and more than 8,300 have been hospitalized.\u003c/p>\n\u003cp>\"We also know that beyond the clinical impact of COVID on children, there have been detrimental social and mental health impacts that we are just beginning to fully understand,\" Walensky said in giving her charge to the panel. \"It is our ongoing responsibility to make sure as many people as possible are vaccinated and protected from COVID-19.\"\u003c/p>\n\u003cp>Her statements left little doubt that she supports a broad recommendation to vaccinate all children 5 to 11 years old. Her decision is expected soon.\u003c/p>\n\u003cp>During a Monday briefing, White House COVID-19 response coordinator Jeffrey Zients said that the government has purchased enough of the low-dose children's vaccine for everyone in this age group. Zients said that the company began filling and labeling the vials and started shipping 15 million doses when the Food and Drug Administration authorized the vaccine last Friday.\u003c/p>\n\u003cp>The federal program for distributing the vaccine \"will be fully operational\" by next Monday, Nov. 8, Zients said, with some doses possibly available by the end of this week.\u003c/p>\n\u003cp>The vaccine is being shipped to pediatricians' and family doctors' offices, Zients said, as well as to community health centers, pharmacies, tribal health centers and other providers. School-based vaccine administration sites will also be included in some areas.\u003c/p>\n\u003cp>Some school districts have already scheduled vaccinations before the Thanksgiving holiday. And some clinics say they're ready to begin the shots Wednesday.\u003c/p>\n\u003cp>Parents will not need a doctor's order to get a vaccine, Zients said, though parents with questions may want to discuss the vaccine with a trusted health provider.\u003c/p>\u003c/div>","attributes":{"named":{},"numeric":[]}},{"type":"component","content":"'We also know that beyond the clinical impact of COVID on children, there have been detrimental social and mental health impacts that we are just beginning to fully understand.’","name":"pullquote","attributes":{"named":{"size":"medium","align":"right","citation":"Rochelle Walensky, CDC director","label":""},"numeric":[]}},{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>During the Tuesday meeting of the CDC's Advisory Committee on Immunization Practices, panel members reviewed and discussed the science behind the FDA's Friday authorization of the vaccine in all children 5 to 11 years old. That authorization was based mostly on a Pfizer-BioNTech study of 4,600 children worldwide, of whom approximately 3,100 got the low-dose vaccine and about 1,500 got a placebo.\u003c/p>\n\u003cp>These studies showed that the vaccine is about 91% effective against COVID-19. The immune system response to the vaccine, as measured by antibodies, was comparable to the response seen in 16- to 25-year-olds.\u003c/p>\n\u003cp>The advisers spent considerable time weighing the public health need of a children's vaccine for a disease that is not as often severe or deadly as it is in adults. In the end, the prevalence of COVID-19 across the U.S. and the number of severe cases and deaths led them to recommend universal use of the vaccine in the 5-11 age group.\u003c/p>\n\u003cp>The most recent CDC data from September 2021 show that 38% of children in the 5-11 age group have antibodies to the virus that causes COVID-19, indicating that they've been infected. Dr. Jefferson Jones, a medical officer with the CDC, said that young children are at least as likely to be infected as adults. More than 1.9 million cases have been reported in 5- to 11-year-olds.\u003c/p>\n\u003cfigure id=\"attachment_11894869\" class=\"wp-caption aligncenter\" style=\"max-width: 1920px\">\u003ca href=\"https://ww2.kqed.org/app/uploads/sites/10/2021/11/GettyImages-1333795933.jpg\">\u003cimg class=\"size-full wp-image-11894869\" src=\"https://ww2.kqed.org/app/uploads/sites/10/2021/11/GettyImages-1333795933.jpg\" alt=\"A woman wearing a mask and dress holds the hand of her daughter wearing a white button up shirt who is seated as a nurse with gloves administers a vaccination shot.\" width=\"1920\" height=\"1266\" srcset=\"https://ww2.kqed.org/app/uploads/sites/10/2021/11/GettyImages-1333795933.jpg 1920w, https://ww2.kqed.org/app/uploads/sites/10/2021/11/GettyImages-1333795933-800x528.jpg 800w, https://ww2.kqed.org/app/uploads/sites/10/2021/11/GettyImages-1333795933-1020x673.jpg 1020w, https://ww2.kqed.org/app/uploads/sites/10/2021/11/GettyImages-1333795933-160x106.jpg 160w, https://ww2.kqed.org/app/uploads/sites/10/2021/11/GettyImages-1333795933-1536x1013.jpg 1536w\" sizes=\"(max-width: 1920px) 100vw, 1920px\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">LaToya Feltus holds the hand of her daughter Amya, 13, as she receives a COVID-19 vaccination dose at a clinic operated by DePaul Community Health Center on Aug. 12, 2021 in New Orleans, Louisiana. \u003ccite>(Mario Tama/Getty Images)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>Overall, there have been more than 8,300 children ages 5 to 11 hospitalized with COVID-19 or a related illness called MIS-C, a severe condition that affects multiple organs and can be fatal. The 5-11 age group had the highest number of cases of MIS-C among children.\u003c/p>\n\u003cp>Hospitalization rates for COVID-19 in this age group have been similar to what has been seen in past years for influenza, according to Jones. Severity was similar for children with COVID-19 and those with influenza who needed hospitalization.\u003c/p>\n\u003cp>Hospitalization rates for COVID-19 are three times higher for non-Hispanic Black, non-Hispanic American Indian/Alaska Native, and Hispanic children compared with non-Hispanic white children, Jones said.\u003c/p>\n\u003cp>One relatively rare side effect that generated considerable discussion at Tuesday's meeting is myocarditis, a form of heart inflammation. It also occurs as a complication of several viral infections, including COVID-19, and is most often seen in adolescent boys and young men. It typically clears up within weeks or a few months.\u003c/p>\n\u003cp>The CDC has confirmed 877 cases of myocarditis after the Pfizer or Moderna vaccine in people age 30 or younger, but there have been no deaths, said Dr. Matthew Oster, who studies myocarditis for the CDC and is a pediatric cardiologist at Children's Healthcare of Atlanta. He explained that COVID-19 itself can cause myocarditis and other heart-related issues, including MIS-C, which often affects the heart.\u003c/p>\n\u003cp>\"The bottom line is getting COVID, I think, is much riskier to the heart than getting this vaccine,\" Oster said.\u003c/p>\n\u003cp>As regards safety, some who testified during a public comment period, as well as other commentators, have questioned whether the study used by the FDA to grant emergency use authorization is large enough to assure parents that the vaccine is safe in young children.\u003c/p>\n\u003cfigure id=\"attachment_11894875\" class=\"wp-caption aligncenter\" style=\"max-width: 1920px\">\u003ca href=\"https://ww2.kqed.org/app/uploads/sites/10/2021/11/GettyImages-1236306624.jpg\">\u003cimg class=\"size-full wp-image-11894875\" src=\"https://ww2.kqed.org/app/uploads/sites/10/2021/11/GettyImages-1236306624.jpg\" alt='A boy wearing a blue shirt and mask sits at a desk to the left with a page with nine pink stickers to the right that says \"I got the shot!\"' width=\"1920\" height=\"1278\" srcset=\"https://ww2.kqed.org/app/uploads/sites/10/2021/11/GettyImages-1236306624.jpg 1920w, https://ww2.kqed.org/app/uploads/sites/10/2021/11/GettyImages-1236306624-800x533.jpg 800w, https://ww2.kqed.org/app/uploads/sites/10/2021/11/GettyImages-1236306624-1020x679.jpg 1020w, https://ww2.kqed.org/app/uploads/sites/10/2021/11/GettyImages-1236306624-160x107.jpg 160w, https://ww2.kqed.org/app/uploads/sites/10/2021/11/GettyImages-1236306624-1536x1022.jpg 1536w\" sizes=\"(max-width: 1920px) 100vw, 1920px\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">Stickers for children are seen to receive the Pfizer-BioNTech Covid-19 vaccine at Hartford Hospital in Hartford, Connecticut on Nov. 2, 2021. \u003ccite>(Joseph Prezioso/AFP via Getty Images)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>In response, \u003ca href=\"https://www.fda.gov/media/144450/download\">Dr. Doran Fink\u003c/a>, clinical deputy director of the FDA's Division of Vaccines and Related Products Applications, told the meeting that the safety database size for this age group is \"at the upper end — or even beyond — of the safety database size that it has supported licensure of other preventive vaccines for infectious diseases.\"\u003c/p>\n\u003cp>Vaccinations of 5- to 11-year-olds starting this month could potentially prevent 600,000 cases of COVID-19 by March of next year, according to CDC models, said Dr. Sara Oliver of the CDC. Vaccination of 5- to 11-year-olds \"would dampen, but not eliminate,\" the possibility that a new variant might emerge, she said.\u003c/p>\n\u003cp>Acknowledging that some parents are hesitant to have their children vaccinated right away, Dr. Matthew Daley, a member of the advisory committee, said, \"We hear you loud and clear.\"\u003c/p>\n\u003cp>\"Of course you only want what's best for your child,\" he said. \"I encourage you to talk to your family physician or pediatrician, [so] they can walk through this with you.\"\u003c/p>\n\u003cp>\u003cem>Jane Greenhalgh contributed to this report.\u003c/em>\u003c/p>\n\u003cdiv class=\"fullattribution\">Copyright 2021 NPR. To see more, visit https://www.npr.org.\u003cimg src=\"https://www.google-analytics.com/__utm.gif?utmac=UA-5828686-4&utmdt=CDC+recommends+Pfizer%27s+COVID+vaccine+for+children+ages+5+through+11&utme=8(APIKey)9(MDAxOTAwOTE4MDEyMTkxMDAzNjczZDljZA004)\">\u003c/div>\n\u003cp>\u003c/p>\u003c/div>","attributes":{"named":{},"numeric":[]}},{"type":"component","content":"","name":"ad","attributes":{"named":{"label":"fullwidth"},"numeric":["fullwidth"]}},{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>\u003c/p>\u003c/div>","attributes":{"named":{},"numeric":[]}},{"type":"component","content":"","name":"ad","attributes":{"named":{"label":"floatright"},"numeric":["floatright"]}},{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003c/div>\u003c/p>","attributes":{"named":{},"numeric":[]}}],"link":"/news/11894855/cdc-recommends-pfizers-covid-vaccine-for-children-ages-5-to-11","authors":["byline_news_11894855"],"categories":["news_457","news_8"],"tags":["news_22221","news_25537","news_29058","news_20402","news_27626","news_28919"],"featImg":"news_11894856","label":"source_news_11894855"}},"programsReducer":{"possible":{"id":"possible","title":"Possible","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.","airtime":"SUN 2pm","imageSrc":"https://cdn.kqed.org/wp-content/uploads/2024/04/Possible-Podcast-Tile-360x360-1.jpg","officialWebsiteLink":"https://www.possible.fm/","meta":{"site":"news","source":"Possible"},"link":"/radio/program/possible","subscribe":{"apple":"https://podcasts.apple.com/us/podcast/possible/id1677184070","spotify":"https://open.spotify.com/show/730YpdUSNlMyPQwNnyjp4k"}},"1a":{"id":"1a","title":"1A","info":"1A is home to the national conversation. 1A brings on great guests and frames the best debate in ways that make you think, share and engage.","airtime":"MON-THU 11pm-12am","imageSrc":"https://ww2.kqed.org/radio/wp-content/uploads/sites/50/2018/04/1a.jpg","officialWebsiteLink":"https://the1a.org/","meta":{"site":"news","source":"npr"},"link":"/radio/program/1a","subscribe":{"npr":"https://rpb3r.app.goo.gl/RBrW","apple":"https://itunes.apple.com/WebObjects/MZStore.woa/wa/viewPodcast?s=143441&mt=2&id=1188724250&at=11l79Y&ct=nprdirectory","tuneIn":"https://tunein.com/radio/1A-p947376/","rss":"https://feeds.npr.org/510316/podcast.xml"}},"all-things-considered":{"id":"all-things-considered","title":"All Things Considered","info":"Every weekday, \u003cem>All Things Considered\u003c/em> hosts Robert Siegel, Audie Cornish, Ari Shapiro, and Kelly McEvers present the program's trademark mix of news, interviews, commentaries, reviews, and offbeat features. Michel Martin hosts on the weekends.","airtime":"MON-FRI 1pm-2pm, 4:30pm-6:30pm\u003cbr />SAT-SUN 5pm-6pm","imageSrc":"https://cdn.kqed.org/wp-content/uploads/2024/04/All-Things-Considered-Podcast-Tile-360x360-1.jpg","officialWebsiteLink":"https://www.npr.org/programs/all-things-considered/","meta":{"site":"news","source":"npr"},"link":"/radio/program/all-things-considered"},"american-suburb-podcast":{"id":"american-suburb-podcast","title":"American Suburb: The Podcast","tagline":"The flip side of gentrification, told through one town","info":"Gentrification is changing cities across America, forcing people from neighborhoods they have long called home. Call them the displaced. Now those priced out of the Bay Area are looking for a better life in an unlikely place. American Suburb follows this migration to one California town along the Delta, 45 miles from San Francisco. But is this once sleepy suburb ready for them?","imageSrc":"https://cdn.kqed.org/wp-content/uploads/2024/04/American-Suburb-Podcast-Tile-703x703-1.jpg","officialWebsiteLink":"/news/series/american-suburb-podcast","meta":{"site":"news","source":"kqed","order":"13"},"link":"/news/series/american-suburb-podcast/","subscribe":{"npr":"https://rpb3r.app.goo.gl/RBrW","apple":"https://itunes.apple.com/WebObjects/MZStore.woa/wa/viewPodcast?mt=2&id=1287748328","tuneIn":"https://tunein.com/radio/American-Suburb-p1086805/","rss":"https://ww2.kqed.org/news/series/american-suburb-podcast/feed/podcast","google":"https://podcasts.google.com/feed/aHR0cHM6Ly9mZWVkcy5tZWdhcGhvbmUuZm0vS1FJTkMzMDExODgxNjA5"}},"baycurious":{"id":"baycurious","title":"Bay Curious","tagline":"Exploring the Bay Area, one question at a time","info":"KQED’s new podcast, Bay Curious, gets to the bottom of the mysteries — both profound and peculiar — that give the Bay Area its unique identity. And we’ll do it with your help! You ask the questions. You decide what Bay Curious investigates. And you join us on the journey to find the answers.","imageSrc":"https://cdn.kqed.org/wp-content/uploads/2024/04/Bay-Curious-Podcast-Tile-703x703-1.jpg","imageAlt":"\"KQED Bay Curious","officialWebsiteLink":"/news/series/baycurious","meta":{"site":"news","source":"kqed","order":"4"},"link":"/podcasts/baycurious","subscribe":{"apple":"https://podcasts.apple.com/us/podcast/bay-curious/id1172473406","npr":"https://www.npr.org/podcasts/500557090/bay-curious","rss":"https://ww2.kqed.org/news/category/bay-curious-podcast/feed/podcast","google":"https://podcasts.google.com/feed/aHR0cHM6Ly93dzIua3FlZC5vcmcvbmV3cy9jYXRlZ29yeS9iYXktY3VyaW91cy1wb2RjYXN0L2ZlZWQvcG9kY2FzdA","stitcher":"https://www.stitcher.com/podcast/kqed/bay-curious","spotify":"https://open.spotify.com/show/6O76IdmhixfijmhTZLIJ8k"}},"bbc-world-service":{"id":"bbc-world-service","title":"BBC World Service","info":"The day's top stories from BBC News compiled twice daily in the week, once at weekends.","airtime":"MON-FRI 9pm-10pm, TUE-FRI 1am-2am","imageSrc":"https://cdn.kqed.org/wp-content/uploads/2024/04/BBC-World-Service-Podcast-Tile-360x360-1.jpg","officialWebsiteLink":"https://www.bbc.co.uk/sounds/play/live:bbc_world_service","meta":{"site":"news","source":"BBC World Service"},"link":"/radio/program/bbc-world-service","subscribe":{"apple":"https://itunes.apple.com/us/podcast/global-news-podcast/id135067274?mt=2","tuneIn":"https://tunein.com/radio/BBC-World-Service-p455581/","rss":"https://podcasts.files.bbci.co.uk/p02nq0gn.rss"}},"code-switch-life-kit":{"id":"code-switch-life-kit","title":"Code Switch / Life Kit","info":"\u003cem>Code Switch\u003c/em>, which listeners will hear in the first part of the hour, has fearless and much-needed conversations about race. Hosted by journalists of color, the show tackles the subject of race head-on, exploring how it impacts every part of society — from politics and pop culture to history, sports and more.\u003cbr />\u003cbr />\u003cem>Life Kit\u003c/em>, which will be in the second part of the hour, guides you through spaces and feelings no one prepares you for — from finances to mental health, from workplace microaggressions to imposter syndrome, from relationships to parenting. The show features experts with real world experience and shares their knowledge. Because everyone needs a little help being human.\u003cbr />\u003cbr />\u003ca href=\"https://www.npr.org/podcasts/510312/codeswitch\">\u003cem>Code Switch\u003c/em> offical site and podcast\u003c/a>\u003cbr />\u003ca href=\"https://www.npr.org/lifekit\">\u003cem>Life Kit\u003c/em> offical site and podcast\u003c/a>\u003cbr />","airtime":"SUN 9pm-10pm","imageSrc":"https://cdn.kqed.org/wp-content/uploads/2024/04/Code-Switch-Life-Kit-Podcast-Tile-360x360-1.jpg","meta":{"site":"radio","source":"npr"},"link":"/radio/program/code-switch-life-kit","subscribe":{"apple":"https://podcasts.apple.com/podcast/1112190608?mt=2&at=11l79Y&ct=nprdirectory","google":"https://podcasts.google.com/feed/aHR0cHM6Ly93d3cubnByLm9yZy9yc3MvcG9kY2FzdC5waHA_aWQ9NTEwMzEy","spotify":"https://open.spotify.com/show/3bExJ9JQpkwNhoHvaIIuyV","rss":"https://feeds.npr.org/510312/podcast.xml"}},"commonwealth-club":{"id":"commonwealth-club","title":"Commonwealth Club of California Podcast","info":"The Commonwealth Club of California is the nation's oldest and largest public affairs forum. As a non-partisan forum, The Club brings to the public airwaves diverse viewpoints on important topics. The Club's weekly radio broadcast - the oldest in the U.S., dating back to 1924 - is carried across the nation on public radio stations and is now podcasting. Our website archive features audio of our recent programs, as well as selected speeches from our long and distinguished history. This podcast feed is usually updated twice a week and is always un-edited.","airtime":"THU 10pm, FRI 1am","imageSrc":"https://cdn.kqed.org/wp-content/uploads/2024/04/Commonwealth-Club-Podcast-Tile-360x360-1.jpg","officialWebsiteLink":"https://www.commonwealthclub.org/podcasts","meta":{"site":"news","source":"Commonwealth Club of California"},"link":"/radio/program/commonwealth-club","subscribe":{"apple":"https://itunes.apple.com/us/podcast/commonwealth-club-of-california-podcast/id976334034?mt=2","google":"https://podcasts.google.com/feed/aHR0cDovL3d3dy5jb21tb253ZWFsdGhjbHViLm9yZy9hdWRpby9wb2RjYXN0L3dlZWtseS54bWw","tuneIn":"https://tunein.com/radio/Commonwealth-Club-of-California-p1060/"}},"considerthis":{"id":"considerthis","title":"Consider This","tagline":"Make sense of the day","info":"Make sense of the day. Every weekday afternoon, Consider This helps you consider the major stories of the day in less than 15 minutes, featuring the reporting and storytelling resources of NPR. Plus, KQED’s Bianca Taylor brings you the local KQED news you need to know.","imageSrc":"https://cdn.kqed.org/wp-content/uploads/2024/04/Consider-This-Podcast-Tile-703x703-1.jpg","imageAlt":"Consider This from NPR and KQED","officialWebsiteLink":"/podcasts/considerthis","meta":{"site":"news","source":"kqed","order":"7"},"link":"/podcasts/considerthis","subscribe":{"apple":"https://podcasts.apple.com/podcast/id1503226625?mt=2&at=11l79Y&ct=nprdirectory","npr":"https://rpb3r.app.goo.gl/coronavirusdaily","google":"https://podcasts.google.com/feed/aHR0cHM6Ly9mZWVkcy5ucHIub3JnLzUxMDM1NS9wb2RjYXN0LnhtbA","spotify":"https://open.spotify.com/show/3Z6JdCS2d0eFEpXHKI6WqH"}},"forum":{"id":"forum","title":"Forum","tagline":"The conversation starts here","info":"KQED’s live call-in program discussing local, state, national and international issues, as well as in-depth interviews.","airtime":"MON-FRI 9am-11am, 10pm-11pm","imageSrc":"https://cdn.kqed.org/wp-content/uploads/2024/04/Forum-Podcast-Tile-703x703-1.jpg","imageAlt":"KQED Forum with Mina Kim and Alexis Madrigal","officialWebsiteLink":"/forum","meta":{"site":"news","source":"kqed","order":"8"},"link":"/forum","subscribe":{"apple":"https://podcasts.apple.com/us/podcast/kqeds-forum/id73329719","google":"https://podcasts.google.com/feed/aHR0cHM6Ly9mZWVkcy5tZWdhcGhvbmUuZm0vS1FJTkM5NTU3MzgxNjMz","npr":"https://www.npr.org/podcasts/432307980/forum","stitcher":"https://www.stitcher.com/podcast/kqedfm-kqeds-forum-podcast","rss":"https://feeds.megaphone.fm/KQINC9557381633"}},"freakonomics-radio":{"id":"freakonomics-radio","title":"Freakonomics Radio","info":"Freakonomics Radio is a one-hour award-winning podcast and public-radio project hosted by Stephen Dubner, with co-author Steve Levitt as a regular guest. 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One of public radio's most popular programs, Fresh Air features intimate conversations with today's biggest luminaries.","airtime":"MON-FRI 7pm-8pm","imageSrc":"https://cdn.kqed.org/wp-content/uploads/2024/04/Fresh-Air-Podcast-Tile-360x360-1.jpg","officialWebsiteLink":"https://www.npr.org/programs/fresh-air/","meta":{"site":"radio","source":"npr"},"link":"/radio/program/fresh-air","subscribe":{"npr":"https://rpb3r.app.goo.gl/4s8b","apple":"https://itunes.apple.com/WebObjects/MZStore.woa/wa/viewPodcast?s=143441&mt=2&id=214089682&at=11l79Y&ct=nprdirectory","tuneIn":"https://tunein.com/radio/Fresh-Air-p17/","rss":"https://feeds.npr.org/381444908/podcast.xml"}},"here-and-now":{"id":"here-and-now","title":"Here & Now","info":"A live production of NPR and WBUR Boston, in collaboration with stations across the country, Here & Now reflects the fluid world of news as it's happening in the middle of the day, with timely, in-depth news, interviews and conversation. 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