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"content": "\u003cp>During the stressful teen years, most adolescents experience emotional highs and lows, but for more than \u003ca href=\"https://www.nami.org/learn-more/mental-health-by-the-numbers\" target=\"_blank\" rel=\"noopener\">20 percent\u003c/a> of teenagers, their worries and sad feelings turn into something more serious, like anxiety or depression. \u003ca href=\"https://www.bmj.com/content/349/bmj.g5954\" target=\"_blank\" rel=\"noopener\">Studies\u003c/a> show that 13 percent to 18 percent of distressed teens physically injure themselves via cutting, burning or other forms of self-harm as a way to cope with their pain.[contextly_sidebar id=”DrtrOIrhwdXvJWg13P3oHysKbwZZeMlt”]\u003c/p>\n\u003cp>Recent research and clinical psychologists now suggest that some adolescents are engaging in a newer form of self-aggression — \u003ca href=\"http://www.jahonline.org/article/S1054-139X(17)30313-0/fulltext\" target=\"_blank\" rel=\"noopener\">digital self-harm\u003c/a>. They’re anonymously posting mean and derogatory comments about themselves on social media.\u003c/p>\n\u003cp>Child psychologist \u003ca href=\"http://denverchildtherapy.com/about-us/sheryl-ziegler/\" target=\"_blank\" rel=\"noopener\">Sheryl Gonzalez-Ziegler\u003c/a> of Denver says it’s a growing problem among teens whom she counsels. One recent client, an adolescent girl, told Gonzalez-Ziegler that she anonymously cyberbullied herself because, as a gay teen, she felt vulnerable and exposed.\u003c/p>\n\u003cp>“She set up ghost accounts on Instagram and posted mean comments about herself, saying things like, ‘I think you’re creepy and gay’ and ‘Don’t sit next to me again,’ ” Ziegler says.\u003c/p>\n\u003cp>“She said these things because she feared being mocked by her peers,” the psychologist explains. “She thought their teasing wouldn’t be so bad if she beat them to the punch.”\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>According to a survey \u003ca href=\"http://www.jahonline.org/article/S1054-139X(17)30313-0/fulltext\" target=\"_blank\" rel=\"noopener\">published\u003c/a> late last year in the \u003cem>Journal of Adolescent Health\u003c/em>, teens are bullying themselves online as a way to manage feelings of sadness and self-hatred and to gain attention from their friends. For the study, 5,593 middle and high school students from across the U.S., ages 12 to 17, completed a series of questionnaires that asked about their experiences with digital self-harm and cyberbullying.\u003c/p>\n\u003cp>[contextly_sidebar id=”HCX9vH8V4cXCVb46T0BO94RkguEqSp86″]”We were alarmed to learn that 6 percent of the youth who participated in our study engaged in some form of digital self-harm,” says \u003ca href=\"http://hinduja.org/\" target=\"_blank\" rel=\"noopener\">Sameer Hinduja\u003c/a>, co-author of the study and a professor of criminology at Florida Atlantic University. He is also the co-director of the \u003ca href=\"https://cyberbullying.org/\" target=\"_blank\" rel=\"noopener\">Cyberbullying Research Center\u003c/a>.\u003c/p>\n\u003cp>Hinduja and a colleague found that more than half the teens who cyberbullied themselves had done so more than once. When asked why they had participated in this behavior, the teens said things like, “I already felt bad about myself, and I wanted to make myself feel worse” and “I wanted to see if someone was really my friend.”\u003c/p>\n\u003cp>Psychologists have seen inklings of this type of self-aggression before. In a smaller, \u003ca href=\"https://webhost.bridgew.edu/marc/DIGITAL%20SELF%20HARM%20report.pdf\" target=\"_blank\" rel=\"noopener\">2012\u003c/a> study of 617 high school freshmen, researchers found that 9 percent of the teens had bullied themselves online. Teens who participated in that study reported harming themselves as a way to encourage others to worry about them, to prove how “tough” they were or to get an adult’s attention.\u003c/p>\n\u003cp>[contextly_sidebar id=”4WLViXQpKTG5m375AY6olZ1s9VjHu8hm”]”Because teens’ online and offline worlds overlap, digital self-harm is a concern for some youth, making online self-harm an emerging area of research,” says, \u003ca href=\"https://cehs.unl.edu/edpsych/faculty/susan-swearer/\" target=\"_blank\" rel=\"noopener\">Susan Swearer\u003c/a>, a professor of psychology at the University of Nebraska, Lincoln who also studies bullying.\u003c/p>\n\u003cp>A \u003ca href=\"https://jamanetwork.com/journals/jama/article-abstract/2664031\" target=\"_blank\" rel=\"noopener\">statistical analysis\u003c/a> by the Centers for Disease Control and Prevention of more than a decade’s worth of emergency room visits in the U.S. suggests that since 2009, the number of girls ages 10 to 14 years who are physically harming themselves has been rising steadily.\u003c/p>\n\u003cp>According to \u003ca href=\"http://www.apa.org/monitor/2015/07-08/who-self-injures.aspx\" target=\"_blank\" rel=\"noopener\">the American Psychological Association\u003c/a>, teens who physically injure themselves often struggle with depression, post-traumatic stress disorder or difficulties with emotional regulation. Not all adolescents who cyberbully themselves have a psychiatric illness, Ziegler notes, but that doesn’t mean their behavior should be taken lightly.\u003c/p>\n\u003cp>“Similar to teens who self-harm by cutting, kids who cyberbully themselves often suffer silently, feeling like they don’t have a friend or adult to confide in,” says Ziegler.\u003c/p>\n\u003cp>If these teens don’t receive mental health treatment, she says, their feelings of loneliness and sadness can cause them to become depressed and, in rare cases, suicidal.\u003c/p>\n\u003cp>Because the advent of social media has changed the way many teens form and experience relationships, normal adolescent feelings of insecurity, anxiety and loneliness can become magnified as they scroll through their peers’ social media reels. Hinduja says some teens cope with that distress by turning their angst on themselves online.\u003c/p>\n\u003cp>While some parents are quick to limit a teen’s social media use in response, that doesn’t adequately address the problem, Hinduja says.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>“One of the best thing parents can do is to promote open, nonjudgmental lines of communication with their kids,” he says. “Validating a teen’s experience can encourage them to confide in adults about their distressing experiences — offline or online.”\u003c/p>\n\u003cdiv class=\"fullattribution\">Copyright 2018 NPR. To see more, visit http://www.npr.org/.\u003cimg decoding=\"async\" src=\"https://www.google-analytics.com/__utm.gif?utmac=UA-5828686-4&utmdt=When+Teens+Cyberbully+Themselves&utme=8(APIKey)9(MDAxOTAwOTE4MDEyMTkxMDAzNjczZDljZA004)\">\u003c/div>\n\n",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>According to a survey \u003ca href=\"http://www.jahonline.org/article/S1054-139X(17)30313-0/fulltext\" target=\"_blank\" rel=\"noopener\">published\u003c/a> late last year in the \u003cem>Journal of Adolescent Health\u003c/em>, teens are bullying themselves online as a way to manage feelings of sadness and self-hatred and to gain attention from their friends. For the study, 5,593 middle and high school students from across the U.S., ages 12 to 17, completed a series of questionnaires that asked about their experiences with digital self-harm and cyberbullying.\u003c/p>\n\u003cp>\u003c/p>\u003cp>\u003c/p>\u003cp>”We were alarmed to learn that 6 percent of the youth who participated in our study engaged in some form of digital self-harm,” says \u003ca href=\"http://hinduja.org/\" target=\"_blank\" rel=\"noopener\">Sameer Hinduja\u003c/a>, co-author of the study and a professor of criminology at Florida Atlantic University. He is also the co-director of the \u003ca href=\"https://cyberbullying.org/\" target=\"_blank\" rel=\"noopener\">Cyberbullying Research Center\u003c/a>.\u003c/p>\n\u003cp>Hinduja and a colleague found that more than half the teens who cyberbullied themselves had done so more than once. When asked why they had participated in this behavior, the teens said things like, “I already felt bad about myself, and I wanted to make myself feel worse” and “I wanted to see if someone was really my friend.”\u003c/p>\n\u003cp>Psychologists have seen inklings of this type of self-aggression before. In a smaller, \u003ca href=\"https://webhost.bridgew.edu/marc/DIGITAL%20SELF%20HARM%20report.pdf\" target=\"_blank\" rel=\"noopener\">2012\u003c/a> study of 617 high school freshmen, researchers found that 9 percent of the teens had bullied themselves online. Teens who participated in that study reported harming themselves as a way to encourage others to worry about them, to prove how “tough” they were or to get an adult’s attention.\u003c/p>\n\u003cp>\u003c/p>\u003cp>\u003c/p>\u003cp>”Because teens’ online and offline worlds overlap, digital self-harm is a concern for some youth, making online self-harm an emerging area of research,” says, \u003ca href=\"https://cehs.unl.edu/edpsych/faculty/susan-swearer/\" target=\"_blank\" rel=\"noopener\">Susan Swearer\u003c/a>, a professor of psychology at the University of Nebraska, Lincoln who also studies bullying.\u003c/p>\n\u003cp>A \u003ca href=\"https://jamanetwork.com/journals/jama/article-abstract/2664031\" target=\"_blank\" rel=\"noopener\">statistical analysis\u003c/a> by the Centers for Disease Control and Prevention of more than a decade’s worth of emergency room visits in the U.S. suggests that since 2009, the number of girls ages 10 to 14 years who are physically harming themselves has been rising steadily.\u003c/p>\n\u003cp>According to \u003ca href=\"http://www.apa.org/monitor/2015/07-08/who-self-injures.aspx\" target=\"_blank\" rel=\"noopener\">the American Psychological Association\u003c/a>, teens who physically injure themselves often struggle with depression, post-traumatic stress disorder or difficulties with emotional regulation. Not all adolescents who cyberbully themselves have a psychiatric illness, Ziegler notes, but that doesn’t mean their behavior should be taken lightly.\u003c/p>\n\u003cp>“Similar to teens who self-harm by cutting, kids who cyberbully themselves often suffer silently, feeling like they don’t have a friend or adult to confide in,” says Ziegler.\u003c/p>\n\u003cp>If these teens don’t receive mental health treatment, she says, their feelings of loneliness and sadness can cause them to become depressed and, in rare cases, suicidal.\u003c/p>\n\u003cp>Because the advent of social media has changed the way many teens form and experience relationships, normal adolescent feelings of insecurity, anxiety and loneliness can become magnified as they scroll through their peers’ social media reels. Hinduja says some teens cope with that distress by turning their angst on themselves online.\u003c/p>\n\u003cp>While some parents are quick to limit a teen’s social media use in response, that doesn’t adequately address the problem, Hinduja says.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>“One of the best thing parents can do is to promote open, nonjudgmental lines of communication with their kids,” he says. “Validating a teen’s experience can encourage them to confide in adults about their distressing experiences — offline or online.”\u003c/p>\n\u003cdiv class=\"fullattribution\">Copyright 2018 NPR. To see more, visit http://www.npr.org/.\u003cimg decoding=\"async\" src=\"https://www.google-analytics.com/__utm.gif?utmac=UA-5828686-4&utmdt=When+Teens+Cyberbully+Themselves&utme=8(APIKey)9(MDAxOTAwOTE4MDEyMTkxMDAzNjczZDljZA004)\">\u003c/div>\n\n\u003c/div>\u003c/p>",
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"content": "\u003cp>California’s poor students performed worse on a national exam than needy kids from all but one other state, according to results released this week by the National Center for Education Statistics.\u003c/p>\n\u003cp>Congratulations, folks. We beat Alaska.\u003c/p>\n\u003cp>These students’ lackluster \u003ca href=\"https://nces.ed.gov/nationsreportcard/\">scores\u003c/a> on the most recent National Assessment of Educational Progress come despite the state’s $31.2 billion investment in their learning under a new school funding method championed by Gov. Jerry Brown in 2013.\u003c/p>\n\u003cp>And although the average California fourth-grader from a low-income family scored a few points higher on this most recent test than a decade ago, poor students’ scores on the test have declined since the state’s investment.\u003c/p>\n\u003cp>CALmatters \u003ca href=\"https://calmatters.org/articles/california-big-investment-needy-students-few-signs-achievement-gap-closing/\">reported\u003c/a> last year that Brown’s school funding policy, known as the Local Control Funding Formula, has largely failed to bridge the academic achievement gap between the state’s poor students and their wealthier peers.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>\u003ca href=\"https://e.infogram.com/js/dist/embed.js?uqt\">https://e.infogram.com/js/dist/embed.js?uqt\u003c/a>\u003c/p>\n\u003cp>Poor black boys’ performance on the exam is driving down the disadvantaged students’ average score.\u003c/p>\n\u003cp>African-American fourth-graders from low-income families scored 210 on a 500-point scale in math—10 points worse than poor Hispanic boys and almost 15 points worse than poor white boys.\u003c/p>\n\u003cp>CALmatters recently \u003ca href=\"https://calmatters.org/articles/san-francisco-states-worst-county-black-student-achievement/\">examined\u003c/a> these disparities in San Francisco, a hub for technological innovation that also happens to be the state’s worst county for black student achievement.\u003c/p>\n\u003cp>California’s black boys are struggling the most of all, the national test data show.\u003c/p>\n\u003cp>\u003ca href=\"https://e.infogram.com/js/dist/embed.js?wX1\">https://e.infogram.com/js/dist/embed.js?wX1\u003c/a>\u003c/p>\n\u003cp>Poor fourth-grade African-American boys scored almost 10 points below their female counterparts, a phenomenon CALmatters \u003ca href=\"https://calmatters.org/articles/data-exclusive-75-of-black-california-boys-dont-meet-reading-standards/\">examined\u003c/a> last year as well.\u003c/p>\n\u003cp>\u003ca href=\"https://e.infogram.com/js/dist/embed.js?ol3\">https://e.infogram.com/js/dist/embed.js?ol3\u003c/a>\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>\u003cem>CALmatters.org is a nonprofit, nonpartisan media venture explaining California policies and politics.\u003c/em>\u003c/p>\n\n",
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"content": "\u003cp>The first large-scale, national study of transgender children, including some as young as 3, is poised to expand thanks to a five-year, $1 million grant awarded Thursday by the National Science Foundation to the professor leading the project.\u003c/p>\n\u003cp>University of Washington psychologist Kristina Olson, 36, was named winner of the NSF's annual Alan T. Waterman Award, the government's highest honor for scientists still in the early phases of their careers. The NSF said the choice was unanimous, and noted that pediatricians are already using her findings to raise awareness about gender diversity.\u003c/p>\n\u003cp>While the award citation honors Olson for a broad range of her research on children's perceptions, she has become best known as creator and leader of the TransYouth Project, which is widely considered the most ambitious long-term study of transgender children being conducted in the U.S.\u003c/p>\n\u003cp>Launched in 2013, the project has recruited more than 300 children ages 3-12 from 45 states, with the goal of tracking their development over 20 years. The NSF grant will help Olson maintain the study as many of the children go through adolescence; she hopes to continue it into their adulthood.\u003c/p>\n\u003cp>\"'Transgender children' is a category we have so little scientific knowledge about,\" says Olson. \"I'm interested in their experience of feeling you are in a social category that other people don't think you're a part of.\"\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>Some of the study's early findings were reported two years ago in the journal Pediatrics — notably that the 73 children being tracked at that time had rates of depression and anxiety no higher than non-transgender children in control groups. The trans children were supported by their families and allowed to live openly as the gender they identify with — suggesting to Olson that family support was a key to avoiding the mental health problems identified in studies of other transgender youths.\u003c/p>\n\u003cp>\"In a very scientific way, our study shows that this group of kids is doing really, really well,\" she said in a telephone interview.\u003c/p>\n\u003cp>She hopes the NSF grant will enable her to expand the study to encompass youths who are in the process of gender transition but haven't completed it. Some of the funds will be used for Olson's work on other topics, including race and inequality, and also to support research opportunities for undergraduates.\u003c/p>\n\u003cp>The TransYouth Project received positive coverage following the Pediatrics article, but Olson's research also has been the target of criticism. An article last year in The Federalist, a conservative online magazine, asserted that it was \"utterly ridiculous\" to open a study on gender identity to a 3-year-old child \"who is just learning to use the bathroom, spell his name, and the days of the week.\"\u003c/p>\n\u003cp>However, Olson said children of that age, whether transgender or not, show awareness of gender identity in many ways, through their self-descriptions, what they wear, who they prefer to play with.\u003c/p>\n\u003cp>\"People frequently compare early-identifying trans children with those who go through phases of believing they are cats or dinosaurs or who have imaginary friends,\" Olson wrote recently. \"Yet decades of work on gender development suggests these are precisely the ages at which nearly all kids are coming to understand their own and others' gender identities.\"\u003c/p>\n\u003cp>Olson said some critics incorrectly concluded that gender-altering surgery is being performed on the prepubescent children in her study.\u003c/p>\n\u003cp>She also stresses that the parents of the children already had decided to help them make a gender-identity transition — she's not the one advocating for that. Even before she met the children, they were identifying with a gender different from the one they were born with — often adopting a new name, and different clothing, toys, activities and friends.\u003c/p>\n\u003cp>Among those skeptical of the study is Andrew Walker, a parent of two small children who is director of policy studies for the Southern Baptist Convention's Ethics & Religious Liberty Commission.\u003c/p>\n\u003cp>\"I am highly suspect of allowing children to be mature agents in determining this level of self-understanding,\" he said. \"That seems to be highly problematic and borderline reckless... putting drastically catastrophic decisions about a child's life in the child's hands.\"\u003c/p>\n\u003cp>He also questioned the appropriateness of investing federal funds in \"what is ultimately an ideological, contestable issue — the notion of gender fluidity.\"\u003c/p>\n\u003cp>Olson said the vitriol directed at her, via email and social media, became so extreme that she avoided talking to the media for about eight months.\u003c/p>\n\u003cp>\"It doesn't feel good to have people saying negative things about you,\" she said. \"You just have to keep going.\"\u003c/p>\n\u003cp>Cheryl Kaiser, chair of the UW psychology department, described Olson's foray into the project as a \"striking act of bravery.\"\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>Olson is the first psychologist to receive the Waterman Award, which was established by Congress in 1975.\u003c/p>\n\n",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>The first large-scale, national study of transgender children, including some as young as 3, is poised to expand thanks to a five-year, $1 million grant awarded Thursday by the National Science Foundation to the professor leading the project.\u003c/p>\n\u003cp>University of Washington psychologist Kristina Olson, 36, was named winner of the NSF's annual Alan T. Waterman Award, the government's highest honor for scientists still in the early phases of their careers. The NSF said the choice was unanimous, and noted that pediatricians are already using her findings to raise awareness about gender diversity.\u003c/p>\n\u003cp>While the award citation honors Olson for a broad range of her research on children's perceptions, she has become best known as creator and leader of the TransYouth Project, which is widely considered the most ambitious long-term study of transgender children being conducted in the U.S.\u003c/p>\n\u003cp>Launched in 2013, the project has recruited more than 300 children ages 3-12 from 45 states, with the goal of tracking their development over 20 years. The NSF grant will help Olson maintain the study as many of the children go through adolescence; she hopes to continue it into their adulthood.\u003c/p>\n\u003cp>\"'Transgender children' is a category we have so little scientific knowledge about,\" says Olson. \"I'm interested in their experience of feeling you are in a social category that other people don't think you're a part of.\"\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>Some of the study's early findings were reported two years ago in the journal Pediatrics — notably that the 73 children being tracked at that time had rates of depression and anxiety no higher than non-transgender children in control groups. The trans children were supported by their families and allowed to live openly as the gender they identify with — suggesting to Olson that family support was a key to avoiding the mental health problems identified in studies of other transgender youths.\u003c/p>\n\u003cp>\"In a very scientific way, our study shows that this group of kids is doing really, really well,\" she said in a telephone interview.\u003c/p>\n\u003cp>She hopes the NSF grant will enable her to expand the study to encompass youths who are in the process of gender transition but haven't completed it. Some of the funds will be used for Olson's work on other topics, including race and inequality, and also to support research opportunities for undergraduates.\u003c/p>\n\u003cp>The TransYouth Project received positive coverage following the Pediatrics article, but Olson's research also has been the target of criticism. An article last year in The Federalist, a conservative online magazine, asserted that it was \"utterly ridiculous\" to open a study on gender identity to a 3-year-old child \"who is just learning to use the bathroom, spell his name, and the days of the week.\"\u003c/p>\n\u003cp>However, Olson said children of that age, whether transgender or not, show awareness of gender identity in many ways, through their self-descriptions, what they wear, who they prefer to play with.\u003c/p>\n\u003cp>\"People frequently compare early-identifying trans children with those who go through phases of believing they are cats or dinosaurs or who have imaginary friends,\" Olson wrote recently. \"Yet decades of work on gender development suggests these are precisely the ages at which nearly all kids are coming to understand their own and others' gender identities.\"\u003c/p>\n\u003cp>Olson said some critics incorrectly concluded that gender-altering surgery is being performed on the prepubescent children in her study.\u003c/p>\n\u003cp>She also stresses that the parents of the children already had decided to help them make a gender-identity transition — she's not the one advocating for that. Even before she met the children, they were identifying with a gender different from the one they were born with — often adopting a new name, and different clothing, toys, activities and friends.\u003c/p>\n\u003cp>Among those skeptical of the study is Andrew Walker, a parent of two small children who is director of policy studies for the Southern Baptist Convention's Ethics & Religious Liberty Commission.\u003c/p>\n\u003cp>\"I am highly suspect of allowing children to be mature agents in determining this level of self-understanding,\" he said. \"That seems to be highly problematic and borderline reckless... putting drastically catastrophic decisions about a child's life in the child's hands.\"\u003c/p>\n\u003cp>He also questioned the appropriateness of investing federal funds in \"what is ultimately an ideological, contestable issue — the notion of gender fluidity.\"\u003c/p>\n\u003cp>Olson said the vitriol directed at her, via email and social media, became so extreme that she avoided talking to the media for about eight months.\u003c/p>\n\u003cp>\"It doesn't feel good to have people saying negative things about you,\" she said. \"You just have to keep going.\"\u003c/p>\n\u003cp>Cheryl Kaiser, chair of the UW psychology department, described Olson's foray into the project as a \"striking act of bravery.\"\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>Olson is the first psychologist to receive the Waterman Award, which was established by Congress in 1975.\u003c/p>\n\n\u003c/div>\u003c/p>",
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"disqusTitle": "Can Gubernatorial Candidates Tackle Childhood Poverty?",
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"content": "\u003cp>Living in poverty is hard. If anyone knows that it’s Jessica Bartholow, with the \u003ca href=\"https://wclp.org/\">Western Center on Law & Poverty\u003c/a>.\u003c/p>\n\u003cp>“There were times we went without food. We moved a lot because we couldn’t afford rent,\" she said.\u003c/p>\n\u003cp>Bartholow grew up in a working-class family in Northern California. But then her father got injured and began to struggle with addiction. Her mom began working less so she could take care of him. Before long, the family could no longer make ends meet.\u003c/p>\n\u003cp>\"We went bankrupt because there were medical emergencies that couldn’t be paid for,\" she said. \"There were medical emergencies that we didn’t seek help for.”\u003c/p>\n\u003cp>Bartholow says the goal for the next governor shouldn’t be to make poverty more bearable for people through assistance programs -- it should be to end poverty completely. In California nearly 2 million kids, or 20 percent, \u003ca href=\"https://www.childrennow.org/files/7715/1613/3234/Children_Now_2018_Report_Card.pdf\">live in poverty\u003c/a>.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>And while Bartholow said the situation is dire, the current governor’s race gives her some hope.\u003c/p>\n\u003cp>“We have candidates who have long-standing campaign goals to address poverty,\" she said. \"We have candidates who have stepped forward in a big way to call for the end of childhood poverty.”\u003c/p>\n\u003cfigure id=\"attachment_11625372\" class=\"wp-caption aligncenter\" style=\"max-width: 800px\">\u003cimg class=\"size-medium wp-image-11625372\" src=\"https://ww2.kqed.org/news/wp-content/uploads/sites/10/2017/10/RS27686_Gov-Forum-qut-800x815.jpg\" alt=\"(L-R) Lt. Gov. Gavin Newsom, former State Superintendent of Public Instruction Delanie Eastin, state treasurer John Chiang, and former Los Angeles Mayor Antonio Villaraigosa participated in a governor candidate forum on Sunday, October 22, 2017.\" width=\"800\" height=\"815\" srcset=\"https://ww2.kqed.org/app/uploads/sites/10/2017/10/RS27686_Gov-Forum-qut-800x815.jpg 800w, https://ww2.kqed.org/app/uploads/sites/10/2017/10/RS27686_Gov-Forum-qut-160x163.jpg 160w, https://ww2.kqed.org/app/uploads/sites/10/2017/10/RS27686_Gov-Forum-qut-1020x1039.jpg 1020w, https://ww2.kqed.org/app/uploads/sites/10/2017/10/RS27686_Gov-Forum-qut-1180x1203.jpg 1180w, https://ww2.kqed.org/app/uploads/sites/10/2017/10/RS27686_Gov-Forum-qut-960x978.jpg 960w, https://ww2.kqed.org/app/uploads/sites/10/2017/10/RS27686_Gov-Forum-qut-240x245.jpg 240w, https://ww2.kqed.org/app/uploads/sites/10/2017/10/RS27686_Gov-Forum-qut-375x382.jpg 375w, https://ww2.kqed.org/app/uploads/sites/10/2017/10/RS27686_Gov-Forum-qut-520x530.jpg 520w, https://ww2.kqed.org/app/uploads/sites/10/2017/10/RS27686_Gov-Forum-qut-32x32.jpg 32w, https://ww2.kqed.org/app/uploads/sites/10/2017/10/RS27686_Gov-Forum-qut-50x50.jpg 50w, https://ww2.kqed.org/app/uploads/sites/10/2017/10/RS27686_Gov-Forum-qut-64x64.jpg 64w, https://ww2.kqed.org/app/uploads/sites/10/2017/10/RS27686_Gov-Forum-qut.jpg 1256w\" sizes=\"(max-width: 800px) 100vw, 800px\">\u003cfigcaption class=\"wp-caption-text\">(L-R) Lt. Gov. Gavin Newsom, former state Superintendent of Public Instruction Delaine Eastin, state Treasurer John Chiang, and former Los Angeles Mayor Antonio Villaraigosa participated in a governor candidate forum on Sunday, Oct. 22, 2017. \u003ccite>(Photos courtesy of Wikicommons)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>Former Los Angeles Mayor Antonio Villaraigosa grew up poor. He said he’d take on child poverty in several ways, including scrutinizing the state’s welfare system, known as CalWORKS.\u003c/p>\n\u003cp>“I intend to focus on early child education, critical, on universal preschool, on full-day kindergarten,\" he said. \"I think we need to make sure CalWORKS is working for people.”\u003c/p>\n\u003cp>Lt. Gov. Gavin Newsom believes intervention needs to start between the ages of zero and 3 to ensure kids are ready for school.\u003c/p>\n\u003cp>\"When our state and society allows kids to waste their God-given potential because they aren't given the tools to succeed, then we are only hurting ourselves,\" Newsom said. \"Ending childhood poverty will be the North Star of my administration because it's the right thing to do.\"\u003c/p>\n\u003cp>[contextly_sidebar id=\"ccxarDx0cPN946pf8C8M2w8GkX2HO3tk\"]\u003c/p>\n\u003cp>State Treasure John Chiang said California has an obligation to address childhood poverty and that he would take a comprehensive approach.\u003c/p>\n\u003cp>\"I strongly support the \u003ca href=\"https://leginfo.legislature.ca.gov/faces/billTextClient.xhtml?bill_id=201720180AB1520\">Lifting Children and Families Out of Poverty Act\u003c/a>, as well as robust investments in home visiting programs, after-school and summer school programs, workforce development and affordable housing,\" he said. \"I also strongly support free child care and universal pre-kindergarten that provide children with every opportunity to succeed and achieve the American Dream, and school meal and summer food programs that address hunger and food security in our communities.\"\u003c/p>\n\u003cp>Former State Superintendent of Public Instruction Delaine Eastin has an eight-point plan to address child poverty. It includes getting homeless children off the streets, building more affordable housing, offering three months of fully paid maternity leave and providing access to child care and universal preschool.\u003c/p>\n\u003cp>\"Child care and preschool costs as much as rent or college in California,\" she said. \"So we need to take away this burden from poor families, while offering young children from all economic backgrounds the chance for their best start.\"\u003c/p>\n\u003cp>Of course, paying for all these noble ideas is the hard part.\u003c/p>\n\u003cp>When candidates or advocates talk about \"changing priorities,\" that means spending \u003cem>less\u003c/em> on something else. But what?\u003c/p>\n\u003cfigure id=\"attachment_11418994\" class=\"wp-caption aligncenter\" style=\"max-width: 639px\">\u003cimg class=\"size-full wp-image-11418994\" src=\"https://ww2.kqed.org/news/wp-content/uploads/sites/10/2017/04/Cox.jpg\" alt=\"Republican venture capitalist John Cox is running for California governor in 2018.\" width=\"639\" height=\"720\" srcset=\"https://ww2.kqed.org/app/uploads/sites/10/2017/04/Cox.jpg 639w, https://ww2.kqed.org/app/uploads/sites/10/2017/04/Cox-160x180.jpg 160w, https://ww2.kqed.org/app/uploads/sites/10/2017/04/Cox-240x270.jpg 240w, https://ww2.kqed.org/app/uploads/sites/10/2017/04/Cox-375x423.jpg 375w, https://ww2.kqed.org/app/uploads/sites/10/2017/04/Cox-520x586.jpg 520w\" sizes=\"(max-width: 639px) 100vw, 639px\">\u003cfigcaption class=\"wp-caption-text\">Republican venture capitalist John Cox is running for California governor in 2018. \u003ccite>(Courtesy John Cox Campaign)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>Republican businessman John Cox says California’s Democratic leaders are waging a war on the poor and middle class.\u003c/p>\n\u003cp>\"Our schools are failing underprivileged children because the politicians care more about teacher union contributions than they do about kids,\" he said. \"They disproportionately attack the poor with regressive gas and sales taxes, while imposing regulations that have made it impossible to build affordable housing.\"\u003c/p>\n\u003cp>Two other Republican candidates -- Assemblyman Travis Allen and former congressman Doug Ose -- did not reply to a request for comment by publication time.\u003c/p>\n\u003cp>Alissa Anderson, senior policy analyst with the \u003ca href=\"http://calbudgetcenter.org/\">California Budget & Policy Center\u003c/a>, said there are a number of good policy options for reducing child poverty in the state.\u003c/p>\n\u003cp>[contextly_sidebar id=\"Pb0DnFaU54yhjyNHVHpaVuA8BPf3uind\"]\u003c/p>\n\u003cp>\"Among the best approaches would be further strengthening the California Earned Income Tax Credit to reach more working families and provide larger credits,\" she said, \"increasing CalWORKs grants to help families moving from welfare to work, and funding more early care and education slots, which would free up family income for other expenses and help mitigate poverty's effects on children.\"\u003c/p>\n\u003cp>Ted Lempert, president of \u003ca href=\"https://www.childrennow.org/\">Children Now\u003c/a>, is thrilled the candidates are talking about poverty. He says increasing access to affordable child care, expanding state-funded preschool and transitional kindergarten, and connecting more new parents with home visiting programs are critical. But perhaps the most crucial element is ensuring the campaign trail talk translates to action.\u003c/p>\n\u003cp>“These are not insurmountable problems,\" he said. \"Let’s band together and really prioritize solving this because the resources are there, just our prioritization is off.”\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>Lempert said between a projected state budget surplus and some potential tax measures, the state should be able to direct more money toward ending child poverty. He and other advocates are hopeful California’s next governor will do just that.\u003c/p>\n\n",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>Living in poverty is hard. If anyone knows that it’s Jessica Bartholow, with the \u003ca href=\"https://wclp.org/\">Western Center on Law & Poverty\u003c/a>.\u003c/p>\n\u003cp>“There were times we went without food. We moved a lot because we couldn’t afford rent,\" she said.\u003c/p>\n\u003cp>Bartholow grew up in a working-class family in Northern California. But then her father got injured and began to struggle with addiction. Her mom began working less so she could take care of him. Before long, the family could no longer make ends meet.\u003c/p>\n\u003cp>\"We went bankrupt because there were medical emergencies that couldn’t be paid for,\" she said. \"There were medical emergencies that we didn’t seek help for.”\u003c/p>\n\u003cp>Bartholow says the goal for the next governor shouldn’t be to make poverty more bearable for people through assistance programs -- it should be to end poverty completely. In California nearly 2 million kids, or 20 percent, \u003ca href=\"https://www.childrennow.org/files/7715/1613/3234/Children_Now_2018_Report_Card.pdf\">live in poverty\u003c/a>.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>And while Bartholow said the situation is dire, the current governor’s race gives her some hope.\u003c/p>\n\u003cp>“We have candidates who have long-standing campaign goals to address poverty,\" she said. \"We have candidates who have stepped forward in a big way to call for the end of childhood poverty.”\u003c/p>\n\u003cfigure id=\"attachment_11625372\" class=\"wp-caption aligncenter\" style=\"max-width: 800px\">\u003cimg class=\"size-medium wp-image-11625372\" src=\"https://ww2.kqed.org/news/wp-content/uploads/sites/10/2017/10/RS27686_Gov-Forum-qut-800x815.jpg\" alt=\"(L-R) Lt. Gov. Gavin Newsom, former State Superintendent of Public Instruction Delanie Eastin, state treasurer John Chiang, and former Los Angeles Mayor Antonio Villaraigosa participated in a governor candidate forum on Sunday, October 22, 2017.\" width=\"800\" height=\"815\" srcset=\"https://ww2.kqed.org/app/uploads/sites/10/2017/10/RS27686_Gov-Forum-qut-800x815.jpg 800w, https://ww2.kqed.org/app/uploads/sites/10/2017/10/RS27686_Gov-Forum-qut-160x163.jpg 160w, https://ww2.kqed.org/app/uploads/sites/10/2017/10/RS27686_Gov-Forum-qut-1020x1039.jpg 1020w, https://ww2.kqed.org/app/uploads/sites/10/2017/10/RS27686_Gov-Forum-qut-1180x1203.jpg 1180w, https://ww2.kqed.org/app/uploads/sites/10/2017/10/RS27686_Gov-Forum-qut-960x978.jpg 960w, https://ww2.kqed.org/app/uploads/sites/10/2017/10/RS27686_Gov-Forum-qut-240x245.jpg 240w, https://ww2.kqed.org/app/uploads/sites/10/2017/10/RS27686_Gov-Forum-qut-375x382.jpg 375w, https://ww2.kqed.org/app/uploads/sites/10/2017/10/RS27686_Gov-Forum-qut-520x530.jpg 520w, https://ww2.kqed.org/app/uploads/sites/10/2017/10/RS27686_Gov-Forum-qut-32x32.jpg 32w, https://ww2.kqed.org/app/uploads/sites/10/2017/10/RS27686_Gov-Forum-qut-50x50.jpg 50w, https://ww2.kqed.org/app/uploads/sites/10/2017/10/RS27686_Gov-Forum-qut-64x64.jpg 64w, https://ww2.kqed.org/app/uploads/sites/10/2017/10/RS27686_Gov-Forum-qut.jpg 1256w\" sizes=\"(max-width: 800px) 100vw, 800px\">\u003cfigcaption class=\"wp-caption-text\">(L-R) Lt. Gov. Gavin Newsom, former state Superintendent of Public Instruction Delaine Eastin, state Treasurer John Chiang, and former Los Angeles Mayor Antonio Villaraigosa participated in a governor candidate forum on Sunday, Oct. 22, 2017. \u003ccite>(Photos courtesy of Wikicommons)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>Former Los Angeles Mayor Antonio Villaraigosa grew up poor. He said he’d take on child poverty in several ways, including scrutinizing the state’s welfare system, known as CalWORKS.\u003c/p>\n\u003cp>“I intend to focus on early child education, critical, on universal preschool, on full-day kindergarten,\" he said. \"I think we need to make sure CalWORKS is working for people.”\u003c/p>\n\u003cp>Lt. Gov. Gavin Newsom believes intervention needs to start between the ages of zero and 3 to ensure kids are ready for school.\u003c/p>\n\u003cp>\"When our state and society allows kids to waste their God-given potential because they aren't given the tools to succeed, then we are only hurting ourselves,\" Newsom said. \"Ending childhood poverty will be the North Star of my administration because it's the right thing to do.\"\u003c/p>\n\u003cp>\u003c/p>\u003cp>\u003c/p>\u003cp>\u003c/p>\n\u003cp>State Treasure John Chiang said California has an obligation to address childhood poverty and that he would take a comprehensive approach.\u003c/p>\n\u003cp>\"I strongly support the \u003ca href=\"https://leginfo.legislature.ca.gov/faces/billTextClient.xhtml?bill_id=201720180AB1520\">Lifting Children and Families Out of Poverty Act\u003c/a>, as well as robust investments in home visiting programs, after-school and summer school programs, workforce development and affordable housing,\" he said. \"I also strongly support free child care and universal pre-kindergarten that provide children with every opportunity to succeed and achieve the American Dream, and school meal and summer food programs that address hunger and food security in our communities.\"\u003c/p>\n\u003cp>Former State Superintendent of Public Instruction Delaine Eastin has an eight-point plan to address child poverty. It includes getting homeless children off the streets, building more affordable housing, offering three months of fully paid maternity leave and providing access to child care and universal preschool.\u003c/p>\n\u003cp>\"Child care and preschool costs as much as rent or college in California,\" she said. \"So we need to take away this burden from poor families, while offering young children from all economic backgrounds the chance for their best start.\"\u003c/p>\n\u003cp>Of course, paying for all these noble ideas is the hard part.\u003c/p>\n\u003cp>When candidates or advocates talk about \"changing priorities,\" that means spending \u003cem>less\u003c/em> on something else. But what?\u003c/p>\n\u003cfigure id=\"attachment_11418994\" class=\"wp-caption aligncenter\" style=\"max-width: 639px\">\u003cimg class=\"size-full wp-image-11418994\" src=\"https://ww2.kqed.org/news/wp-content/uploads/sites/10/2017/04/Cox.jpg\" alt=\"Republican venture capitalist John Cox is running for California governor in 2018.\" width=\"639\" height=\"720\" srcset=\"https://ww2.kqed.org/app/uploads/sites/10/2017/04/Cox.jpg 639w, https://ww2.kqed.org/app/uploads/sites/10/2017/04/Cox-160x180.jpg 160w, https://ww2.kqed.org/app/uploads/sites/10/2017/04/Cox-240x270.jpg 240w, https://ww2.kqed.org/app/uploads/sites/10/2017/04/Cox-375x423.jpg 375w, https://ww2.kqed.org/app/uploads/sites/10/2017/04/Cox-520x586.jpg 520w\" sizes=\"(max-width: 639px) 100vw, 639px\">\u003cfigcaption class=\"wp-caption-text\">Republican venture capitalist John Cox is running for California governor in 2018. \u003ccite>(Courtesy John Cox Campaign)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>Republican businessman John Cox says California’s Democratic leaders are waging a war on the poor and middle class.\u003c/p>\n\u003cp>\"Our schools are failing underprivileged children because the politicians care more about teacher union contributions than they do about kids,\" he said. \"They disproportionately attack the poor with regressive gas and sales taxes, while imposing regulations that have made it impossible to build affordable housing.\"\u003c/p>\n\u003cp>Two other Republican candidates -- Assemblyman Travis Allen and former congressman Doug Ose -- did not reply to a request for comment by publication time.\u003c/p>\n\u003cp>Alissa Anderson, senior policy analyst with the \u003ca href=\"http://calbudgetcenter.org/\">California Budget & Policy Center\u003c/a>, said there are a number of good policy options for reducing child poverty in the state.\u003c/p>\n\u003cp>\u003c/p>\u003cp>\u003c/p>\u003cp>\u003c/p>\n\u003cp>\"Among the best approaches would be further strengthening the California Earned Income Tax Credit to reach more working families and provide larger credits,\" she said, \"increasing CalWORKs grants to help families moving from welfare to work, and funding more early care and education slots, which would free up family income for other expenses and help mitigate poverty's effects on children.\"\u003c/p>\n\u003cp>Ted Lempert, president of \u003ca href=\"https://www.childrennow.org/\">Children Now\u003c/a>, is thrilled the candidates are talking about poverty. He says increasing access to affordable child care, expanding state-funded preschool and transitional kindergarten, and connecting more new parents with home visiting programs are critical. But perhaps the most crucial element is ensuring the campaign trail talk translates to action.\u003c/p>\n\u003cp>“These are not insurmountable problems,\" he said. \"Let’s band together and really prioritize solving this because the resources are there, just our prioritization is off.”\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>Lempert said between a projected state budget surplus and some potential tax measures, the state should be able to direct more money toward ending child poverty. He and other advocates are hopeful California’s next governor will do just that.\u003c/p>\n\n\u003c/div>\u003c/p>",
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"disqusTitle": "Large Shareholders Ask Apple to Help Wean Digital-Addicted Youths",
"title": "Large Shareholders Ask Apple to Help Wean Digital-Addicted Youths",
"headTitle": "The California Report | KQED News",
"content": "\u003cp>Citing the popularity of Apple's phones and tablets among children and teenagers, two large investors say the company should do more to help parents protect their kids from the risks of digital addiction and the side effects of social media.\u003c/p>\n\u003cp>Together, California's teacher pension fund, or CalSTRS, and the Jana Partners investment group own more than $2 billion in Apple stock. In a letter to the tech giant's board, they're calling on Apple to give parents options beyond a \"binary\" system in which tools and functions are either freely available or closed off.\u003c/p>\n\u003cp>Warning against handing a child or teenager \"the same phone as a 40-year-old,\" the investors had these suggestions for Apple:\u003c/p>\n\u003cblockquote>\u003cp>\"For example, the initial setup menu could be expanded so that, just as users choose a language and time zone, parents can enter the age of the user and be given age-appropriate setup options based on the best available research including limiting screen time, restricting use to certain hours, reducing the available number of social media sites, setting up parental monitoring, and many other options.\"\u003c/p>\u003c/blockquote>\n\u003cp>Better controls, CalSTRS and Jana said, could help minimize \"unintentional negative consequences\" of overusing digital devices and spending too much time on social media. They urged Apple to apply its knack for innovation to help protect the physical and mental health of its youngest users.\u003c/p>\n\u003cp>[contextly_sidebar id=\"MCK6QauIuLkz04mJMRuleQv4IAD6Pj8Z\"]\u003c/p>\n\u003cp>\"The average American teenager who uses a smart phone receives her first phone at age 10 and spends over 4.5 hours a day on it (excluding texting and talking),\" the investors wrote, adding that \"78 percent of teens check their phones at least hourly and 50 percent report feeling 'addicted' to their phones.\"\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>To spread awareness of the issue, CalSTRS and Jana created a website, \u003ca href=\"https://thinkdifferentlyaboutkids.com\">Think Differently About Kids\u003c/a>.\u003c/p>\n\u003cp>Detailing some of the consequences of heavy smartphone use, the investors cited an inability to focus in class, along with a greater risk of depression and anxiety. Their letter to Apple also said researchers have found that \"U.S. teenagers who spend 3 hours a day or more on electronic devices are 35 percent more likely, and those who spend 5 hours or more are 71 percent more likely, to have a risk factor for suicide than those who spend less than 1 hour.\"\u003c/p>\n\u003cp>The letter cited work by Jean Twenge, a psychology professor at San Diego State University who has written a book called \u003cem>iGen\u003c/em>, about what she has called troubling trends in teens feeling isolated, depressed and helpless, as she told \u003ca href=\"http://www.kpbs.org/news/2017/aug/29/sdsu-professor-how-smartphones-have-changed-teens/\">member station KPBS\u003c/a> last year.\u003c/p>\n\u003cp>\"The happiest teens have phones but use them < 2 hrs/day,\" \u003ca href=\"https://twitter.com/jean_twenge/status/950133154597150721\">Twenge said in a tweet\u003c/a> welcoming the Apple investors' letter. She added, \"More parents would buy phones if they were easier to set up safely for kids. Win-win both ethically & financially.\"\u003c/p>\n\u003cfigure id=\"attachment_11640843\" class=\"wp-caption aligncenter\" style=\"max-width: 800px\">\u003cimg class=\"size-medium wp-image-11640843\" src=\"https://ww2.kqed.org/news/wp-content/uploads/sites/10/2018/01/KidWIphoneX-800x517.jpg\" alt=\"A child tries out an iPhone X at an Apple store in Japan.\" width=\"800\" height=\"517\" srcset=\"https://ww2.kqed.org/app/uploads/sites/10/2018/01/KidWIphoneX-800x517.jpg 800w, https://ww2.kqed.org/app/uploads/sites/10/2018/01/KidWIphoneX-160x103.jpg 160w, https://ww2.kqed.org/app/uploads/sites/10/2018/01/KidWIphoneX-1020x659.jpg 1020w, https://ww2.kqed.org/app/uploads/sites/10/2018/01/KidWIphoneX.jpg 1920w, https://ww2.kqed.org/app/uploads/sites/10/2018/01/KidWIphoneX-1180x762.jpg 1180w, https://ww2.kqed.org/app/uploads/sites/10/2018/01/KidWIphoneX-960x620.jpg 960w, https://ww2.kqed.org/app/uploads/sites/10/2018/01/KidWIphoneX-240x155.jpg 240w, https://ww2.kqed.org/app/uploads/sites/10/2018/01/KidWIphoneX-375x242.jpg 375w, https://ww2.kqed.org/app/uploads/sites/10/2018/01/KidWIphoneX-520x336.jpg 520w\" sizes=\"(max-width: 800px) 100vw, 800px\">\u003cfigcaption class=\"wp-caption-text\">A child tries out an iPhone X at an Apple store in Japan. \u003ccite>(Tomohiro Ohsumi/Getty Images)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>Acknowledging that social media companies try to make their apps and websites \"as addictive and time-consuming as possible,\" CalSTRS and Jana said Apple could boost both goodwill from parents and demand for its products if it did more to minimize the chances of harm and overuse.\u003c/p>\n\u003cp>The two investors said Apple should study how technology affects child development and report its findings, much as it would handle environmental and supply chain issues.\u003c/p>\n\u003cp>As smartphones and social media have become ubiquitous, they've also been identified as bringing a new suite of potential problems into play for those who overuse them.\u003c/p>\n\u003cp>\u003ca href=\"https://www.npr.org/sections/health-shots/2017/05/18/527799301/is-internet-addiction-real\">NPR's Shots blog\u003c/a> reported last year:\u003c/p>\n\u003cblockquote>\u003cp>\" 'Digital addictions,' whether to social media, video games, texting, shopping or pornography, are not official mental disorders listed in the latest edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-V), and there's a debate among psychologists about whether that should change.\u003c/p>\n\u003cp>\".... Some people studying the condition compare the development of an Internet addiction to that of a gambling disorder (sometimes called gambling addiction), which \u003cem>is\u003c/em> included in the DSM-V. With gambling, even though most of the time when you're sitting in front of a slot machine you don't win, every once in a while you do. And that intermittent reward is what hooks people.\"\u003c/p>\u003c/blockquote>\n\u003cp>[contextly_sidebar id=\"dVVpgvOHcwuMfh7o8pLJDf9vAYrs1x4q\"]\u003c/p>\n\u003cp>Overuse of digital devices has prompted a debate over whether tablets and phones are the problem — or if the addiction is best ascribed to either the internet itself or to social media.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>With their letter to Apple, CalSTRS and Jana said they are suggesting that an approach to all three of those areas could begin by focusing on just one of them.\u003c/p>\n\u003cdiv class=\"fullattribution\">Copyright 2018 NPR. To see more, visit http://www.npr.org/.\u003cimg src=\"https://www.google-analytics.com/__utm.gif?utmac=UA-5828686-4&utmdt=Large+Shareholders+Ask+Apple+To+Help+Wean+Digital-Addicted+Youths&utme=8(APIKey)9(MDAxOTAwOTE4MDEyMTkxMDAzNjczZDljZA004)\">\u003c/div>\n\n",
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"excerpt": "Suggestions range from entering the user's age when setting up a phone to setting time limits on screen time and confining the use of iPhones and iPads to certain hours.",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>Citing the popularity of Apple's phones and tablets among children and teenagers, two large investors say the company should do more to help parents protect their kids from the risks of digital addiction and the side effects of social media.\u003c/p>\n\u003cp>Together, California's teacher pension fund, or CalSTRS, and the Jana Partners investment group own more than $2 billion in Apple stock. In a letter to the tech giant's board, they're calling on Apple to give parents options beyond a \"binary\" system in which tools and functions are either freely available or closed off.\u003c/p>\n\u003cp>Warning against handing a child or teenager \"the same phone as a 40-year-old,\" the investors had these suggestions for Apple:\u003c/p>\n\u003cblockquote>\u003cp>\"For example, the initial setup menu could be expanded so that, just as users choose a language and time zone, parents can enter the age of the user and be given age-appropriate setup options based on the best available research including limiting screen time, restricting use to certain hours, reducing the available number of social media sites, setting up parental monitoring, and many other options.\"\u003c/p>\u003c/blockquote>\n\u003cp>Better controls, CalSTRS and Jana said, could help minimize \"unintentional negative consequences\" of overusing digital devices and spending too much time on social media. They urged Apple to apply its knack for innovation to help protect the physical and mental health of its youngest users.\u003c/p>\n\u003cp>\u003c/p>\u003cp>\u003c/p>\u003cp>\u003c/p>\n\u003cp>\"The average American teenager who uses a smart phone receives her first phone at age 10 and spends over 4.5 hours a day on it (excluding texting and talking),\" the investors wrote, adding that \"78 percent of teens check their phones at least hourly and 50 percent report feeling 'addicted' to their phones.\"\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>To spread awareness of the issue, CalSTRS and Jana created a website, \u003ca href=\"https://thinkdifferentlyaboutkids.com\">Think Differently About Kids\u003c/a>.\u003c/p>\n\u003cp>Detailing some of the consequences of heavy smartphone use, the investors cited an inability to focus in class, along with a greater risk of depression and anxiety. Their letter to Apple also said researchers have found that \"U.S. teenagers who spend 3 hours a day or more on electronic devices are 35 percent more likely, and those who spend 5 hours or more are 71 percent more likely, to have a risk factor for suicide than those who spend less than 1 hour.\"\u003c/p>\n\u003cp>The letter cited work by Jean Twenge, a psychology professor at San Diego State University who has written a book called \u003cem>iGen\u003c/em>, about what she has called troubling trends in teens feeling isolated, depressed and helpless, as she told \u003ca href=\"http://www.kpbs.org/news/2017/aug/29/sdsu-professor-how-smartphones-have-changed-teens/\">member station KPBS\u003c/a> last year.\u003c/p>\n\u003cp>\"The happiest teens have phones but use them < 2 hrs/day,\" \u003ca href=\"https://twitter.com/jean_twenge/status/950133154597150721\">Twenge said in a tweet\u003c/a> welcoming the Apple investors' letter. She added, \"More parents would buy phones if they were easier to set up safely for kids. Win-win both ethically & financially.\"\u003c/p>\n\u003cfigure id=\"attachment_11640843\" class=\"wp-caption aligncenter\" style=\"max-width: 800px\">\u003cimg class=\"size-medium wp-image-11640843\" src=\"https://ww2.kqed.org/news/wp-content/uploads/sites/10/2018/01/KidWIphoneX-800x517.jpg\" alt=\"A child tries out an iPhone X at an Apple store in Japan.\" width=\"800\" height=\"517\" srcset=\"https://ww2.kqed.org/app/uploads/sites/10/2018/01/KidWIphoneX-800x517.jpg 800w, https://ww2.kqed.org/app/uploads/sites/10/2018/01/KidWIphoneX-160x103.jpg 160w, https://ww2.kqed.org/app/uploads/sites/10/2018/01/KidWIphoneX-1020x659.jpg 1020w, https://ww2.kqed.org/app/uploads/sites/10/2018/01/KidWIphoneX.jpg 1920w, https://ww2.kqed.org/app/uploads/sites/10/2018/01/KidWIphoneX-1180x762.jpg 1180w, https://ww2.kqed.org/app/uploads/sites/10/2018/01/KidWIphoneX-960x620.jpg 960w, https://ww2.kqed.org/app/uploads/sites/10/2018/01/KidWIphoneX-240x155.jpg 240w, https://ww2.kqed.org/app/uploads/sites/10/2018/01/KidWIphoneX-375x242.jpg 375w, https://ww2.kqed.org/app/uploads/sites/10/2018/01/KidWIphoneX-520x336.jpg 520w\" sizes=\"(max-width: 800px) 100vw, 800px\">\u003cfigcaption class=\"wp-caption-text\">A child tries out an iPhone X at an Apple store in Japan. \u003ccite>(Tomohiro Ohsumi/Getty Images)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>Acknowledging that social media companies try to make their apps and websites \"as addictive and time-consuming as possible,\" CalSTRS and Jana said Apple could boost both goodwill from parents and demand for its products if it did more to minimize the chances of harm and overuse.\u003c/p>\n\u003cp>The two investors said Apple should study how technology affects child development and report its findings, much as it would handle environmental and supply chain issues.\u003c/p>\n\u003cp>As smartphones and social media have become ubiquitous, they've also been identified as bringing a new suite of potential problems into play for those who overuse them.\u003c/p>\n\u003cp>\u003ca href=\"https://www.npr.org/sections/health-shots/2017/05/18/527799301/is-internet-addiction-real\">NPR's Shots blog\u003c/a> reported last year:\u003c/p>\n\u003cblockquote>\u003cp>\" 'Digital addictions,' whether to social media, video games, texting, shopping or pornography, are not official mental disorders listed in the latest edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-V), and there's a debate among psychologists about whether that should change.\u003c/p>\n\u003cp>\".... Some people studying the condition compare the development of an Internet addiction to that of a gambling disorder (sometimes called gambling addiction), which \u003cem>is\u003c/em> included in the DSM-V. With gambling, even though most of the time when you're sitting in front of a slot machine you don't win, every once in a while you do. And that intermittent reward is what hooks people.\"\u003c/p>\u003c/blockquote>\n\u003cp>\u003c/p>\u003cp>\u003c/p>\u003cp>\u003c/p>\n\u003cp>Overuse of digital devices has prompted a debate over whether tablets and phones are the problem — or if the addiction is best ascribed to either the internet itself or to social media.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>With their letter to Apple, CalSTRS and Jana said they are suggesting that an approach to all three of those areas could begin by focusing on just one of them.\u003c/p>\n\u003cdiv class=\"fullattribution\">Copyright 2018 NPR. To see more, visit http://www.npr.org/.\u003cimg src=\"https://www.google-analytics.com/__utm.gif?utmac=UA-5828686-4&utmdt=Large+Shareholders+Ask+Apple+To+Help+Wean+Digital-Addicted+Youths&utme=8(APIKey)9(MDAxOTAwOTE4MDEyMTkxMDAzNjczZDljZA004)\">\u003c/div>\n\n\u003c/div>\u003c/p>",
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"slug": "are-tens-of-thousands-of-california-kids-about-to-lose-their-health-care",
"title": "Are Tens of Thousands of California Kids About to Lose Their Health Care?",
"publishDate": 1513900788,
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"headTitle": "Are Tens of Thousands of California Kids About to Lose Their Health Care? | KQED",
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"content": "\u003cp>When Alice Mayall rushed her daughter Hannah to the hospital for a head injury after a water polo tournament a few years ago, she didn’t think twice about whether she could afford it. Her daughter was covered by the Children’s Health Insurance Program.\u003c/p>\n\u003cp>Mayall is a self-employed psychologist in Livermore, in the Bay Area, and the mostly federally funded program has helped her get through tough economic times over the years by insuring her twins. It has kept her kids healthy when she needed to give up work hours to be at home with her son Owen, who is autistic.\u003c/p>\n\u003cp>“What ends up being an ongoing issue with any of these publicly funded programs is the uncertainty, especially with what is going on right now,” she said.\u003c/p>\n\u003cp>She was referring to the question of whether Congress will reauthorize funding for \u003ca href=\"https://www.medicaid.gov/chip/index.html\">CHIP\u003c/a>, a program that covers more than 1.3 million California children, including hers, but now hangs in the balance. Federal funding expired in September, and state officials are considering what to do if Congress doesn’t act soon—perhaps this week. Coverage for about 32,000 residents is at risk most immediately.\u003c/p>\n\u003cp>CHIP has benefited from bipartisan support since its inception in 1997, and lawmakers from both sides of the aisle in Washington say they want to renew it. But there’s been disagreement over where the money should come from, and Congress has lately been focused on the tax overhaul.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>\u003c!-- iframe plugin v.4.3 wordpress.org/plugins/iframe/ -->\u003cbr>\n\u003ciframe loading=\"lazy\" src=\"https://e.infogram.com/07c11dda-cfbe-4978-82e2-54cf61d85939?src=embed\" title=\"CHIP children age\" width=\"800\" height=\"700\" scrolling=\"no\" frameborder=\"0\" style=\"border:none;\" allowfullscreen=\"allowfullscreen\" class=\"iframe-class\">\u003c/iframe>\u003c/p>\n\u003cp>CHIP covers children and pregnant women in families that earn too much to qualify for Medi-Cal, the federal and state health care program for California’s lowest-income residents, but not enough to afford private insurance. These families earn between 108 percent and 266 percent of the \u003ca href=\"http://www.dhcs.ca.gov/services/medi-cal/eligibility/Documents/ACWDL2017/ACWDL17-10.pdf\">federal poverty level\u003c/a>, up to about $65,000 for a family of four, depending on the children’s ages.\u003c/p>\n\u003cp>Without congressional action, California expects its federal funds to run out by early January, if not sooner, leaving state officials to figure out how to make up the difference, which could involve taking money from other programs.\u003c/p>\n\u003cp>“It’s a Sophie’s choice we shouldn’t have to make,” said Anthony Wright, executive director of \u003ca href=\"http://health-access.org/\">Health Access California\u003c/a>, which advocates for consumers. “Part of the evil genius of this is that the cuts show up at the state level and forces state lawmakers to make tough choices.”\u003c/p>\n\u003caside class=\"pullquote alignright\">‘I believe we need to make sure these children are insured. I can’t imagine that we would not make up the difference.’\u003ccite>Ed Hernandez, Calif. Senate Committee on Health chairman\u003c/cite>\u003c/aside>\n\u003cp>California received $3.1 billion from the federal government for the program for the last federal fiscal year, which ended Sept. 30. Those funds make up 88 percent of the costs, said H.D. Palmer, spokesman for the Department of Finance. The state picks up the rest, about $734 million.\u003c/p>\n\u003cp>Families in some other states have begun receiving notices that their insurance is going to end. But not in California.\u003c/p>\n\u003cp>When California expanded Medi-Cal under the Affordable Care Act in 2014, it \u003ca href=\"https://www.medicaid.gov/CHIP/Downloads/CA/CACurrentStatePlan.pdf\">rolled\u003c/a> in nearly all CHIP recipients for administrative purposes. The state \u003ca href=\"https://ccf.georgetown.edu/wp-content/uploads/2017/05/MOE-fact-sheet-FINAL.pdf\">agreed\u003c/a> with the federal government to keep them enrolled through September 2019.\u003c/p>\n\u003cp>The remaining 32,000 are in families with slightly higher incomes—up to $79,000 for four—and would no longer be eligible for any publicly funded coverage if CHIP, which in California used to be called Healthy Families, were eliminated. This group includes recipients in three county programs, in San Francisco, Santa Clara and San Mateo Counties, said Anthony Cava, spokesman for California’s Department of Health Care Services.\u003c/p>\n\u003cp>If the state decides to continue covering them, its options include absorbing all of the costs or helping the families pay for insurance on the Obamacare exchange, according to Wright.\u003c/p>\n\u003cp>What it would cost to cover the majority of the 1.3 million recipients if Congress demurs is unclear. Palmer noted that the state could be on the hook for the entire $3.1 billion that Washington had been providing if California is required to maintain most of its current coverage, or the federal government could agree to pay half, as it does for regular Medi-Cal patients.\u003c/p>\n\u003cp>\u003c!-- iframe plugin v.4.3 wordpress.org/plugins/iframe/ -->\u003cbr>\n\u003ciframe loading=\"lazy\" src=\"https://e.infogram.com/f50abe23-4352-450a-84a0-68027585a343?src=embed\" title=\"Chidren's Health Insurance\" width=\"800\" height=\"700\" scrolling=\"no\" frameborder=\"0\" style=\"border:none;\" allowfullscreen=\"allowfullscreen\" class=\"iframe-class\">\u003c/iframe>\u003c/p>\n\u003cp>“The worst-case scenario is that the kids still stay in Medi-Cal and we do the 50/50 match,” said Democratic state Sen. Ed Hernandez of Azusa, chairman of the Senate \u003ca href=\"http://shea.senate.ca.gov/\">Committee\u003c/a> on Health. “I believe we need to make sure these children are insured. I can’t imagine that we would not make up the difference.”\u003c/p>\n\u003cp>The Legislature anticipated a cut in the federal funding and budgeted an extra $396 million for CHIP through June 30, which could allow the program to limp along until the next budget is worked out in mid-2018, Hernandez said. Gov. Jerry Brown will give the Legislature his proposal for that budget by January 10. It is likely to contain possibilities for CHIP funding, especially if Congress’ intentions remain murky, Palmer said.\u003c/p>\n\u003cp>Hernandez said that if the state has to fund the program, “then something else has to suffer.”\u003c/p>\n\u003cp>The state could reduce the cost by altering eligibility requirements for adults, lowering payments to doctors, hospitals and other health care providers or changing the menu of benefits, said Kelly Hardy, senior managing director of health policy at Children Now, a research and advocacy organization. She said none of those are great options.\u003c/p>\n\u003cp>However, she said, “the state has made a commitment toward a culture of coverage. I would be really surprised if the state went back on that promise.”\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>\u003cem>CALmatters.org is a nonprofit, nonpartisan media venture explaining California policies and politics\u003c/em>\u003c/p>\n\n",
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"excerpt": "Federal funding for CHIP, which covers more than 1.3 million California kids, expired in Sept. State officials are considering what to do if Congress doesn’t act soon.",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>When Alice Mayall rushed her daughter Hannah to the hospital for a head injury after a water polo tournament a few years ago, she didn’t think twice about whether she could afford it. Her daughter was covered by the Children’s Health Insurance Program.\u003c/p>\n\u003cp>Mayall is a self-employed psychologist in Livermore, in the Bay Area, and the mostly federally funded program has helped her get through tough economic times over the years by insuring her twins. It has kept her kids healthy when she needed to give up work hours to be at home with her son Owen, who is autistic.\u003c/p>\n\u003cp>“What ends up being an ongoing issue with any of these publicly funded programs is the uncertainty, especially with what is going on right now,” she said.\u003c/p>\n\u003cp>She was referring to the question of whether Congress will reauthorize funding for \u003ca href=\"https://www.medicaid.gov/chip/index.html\">CHIP\u003c/a>, a program that covers more than 1.3 million California children, including hers, but now hangs in the balance. Federal funding expired in September, and state officials are considering what to do if Congress doesn’t act soon—perhaps this week. Coverage for about 32,000 residents is at risk most immediately.\u003c/p>\n\u003cp>CHIP has benefited from bipartisan support since its inception in 1997, and lawmakers from both sides of the aisle in Washington say they want to renew it. But there’s been disagreement over where the money should come from, and Congress has lately been focused on the tax overhaul.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>\u003c!-- iframe plugin v.4.3 wordpress.org/plugins/iframe/ -->\u003cbr>\n\u003ciframe loading=\"lazy\" src=\"https://e.infogram.com/07c11dda-cfbe-4978-82e2-54cf61d85939?src=embed\" title=\"CHIP children age\" width=\"800\" height=\"700\" scrolling=\"no\" frameborder=\"0\" style=\"border:none;\" allowfullscreen=\"allowfullscreen\" class=\"iframe-class\">\u003c/iframe>\u003c/p>\n\u003cp>CHIP covers children and pregnant women in families that earn too much to qualify for Medi-Cal, the federal and state health care program for California’s lowest-income residents, but not enough to afford private insurance. These families earn between 108 percent and 266 percent of the \u003ca href=\"http://www.dhcs.ca.gov/services/medi-cal/eligibility/Documents/ACWDL2017/ACWDL17-10.pdf\">federal poverty level\u003c/a>, up to about $65,000 for a family of four, depending on the children’s ages.\u003c/p>\n\u003cp>Without congressional action, California expects its federal funds to run out by early January, if not sooner, leaving state officials to figure out how to make up the difference, which could involve taking money from other programs.\u003c/p>\n\u003cp>“It’s a Sophie’s choice we shouldn’t have to make,” said Anthony Wright, executive director of \u003ca href=\"http://health-access.org/\">Health Access California\u003c/a>, which advocates for consumers. “Part of the evil genius of this is that the cuts show up at the state level and forces state lawmakers to make tough choices.”\u003c/p>\n\u003caside class=\"pullquote alignright\">‘I believe we need to make sure these children are insured. I can’t imagine that we would not make up the difference.’\u003ccite>Ed Hernandez, Calif. Senate Committee on Health chairman\u003c/cite>\u003c/aside>\n\u003cp>California received $3.1 billion from the federal government for the program for the last federal fiscal year, which ended Sept. 30. Those funds make up 88 percent of the costs, said H.D. Palmer, spokesman for the Department of Finance. The state picks up the rest, about $734 million.\u003c/p>\n\u003cp>Families in some other states have begun receiving notices that their insurance is going to end. But not in California.\u003c/p>\n\u003cp>When California expanded Medi-Cal under the Affordable Care Act in 2014, it \u003ca href=\"https://www.medicaid.gov/CHIP/Downloads/CA/CACurrentStatePlan.pdf\">rolled\u003c/a> in nearly all CHIP recipients for administrative purposes. The state \u003ca href=\"https://ccf.georgetown.edu/wp-content/uploads/2017/05/MOE-fact-sheet-FINAL.pdf\">agreed\u003c/a> with the federal government to keep them enrolled through September 2019.\u003c/p>\n\u003cp>The remaining 32,000 are in families with slightly higher incomes—up to $79,000 for four—and would no longer be eligible for any publicly funded coverage if CHIP, which in California used to be called Healthy Families, were eliminated. This group includes recipients in three county programs, in San Francisco, Santa Clara and San Mateo Counties, said Anthony Cava, spokesman for California’s Department of Health Care Services.\u003c/p>\n\u003cp>If the state decides to continue covering them, its options include absorbing all of the costs or helping the families pay for insurance on the Obamacare exchange, according to Wright.\u003c/p>\n\u003cp>What it would cost to cover the majority of the 1.3 million recipients if Congress demurs is unclear. Palmer noted that the state could be on the hook for the entire $3.1 billion that Washington had been providing if California is required to maintain most of its current coverage, or the federal government could agree to pay half, as it does for regular Medi-Cal patients.\u003c/p>\n\u003cp>\u003c!-- iframe plugin v.4.3 wordpress.org/plugins/iframe/ -->\u003cbr>\n\u003ciframe loading=\"lazy\" src=\"https://e.infogram.com/f50abe23-4352-450a-84a0-68027585a343?src=embed\" title=\"Chidren's Health Insurance\" width=\"800\" height=\"700\" scrolling=\"no\" frameborder=\"0\" style=\"border:none;\" allowfullscreen=\"allowfullscreen\" class=\"iframe-class\">\u003c/iframe>\u003c/p>\n\u003cp>“The worst-case scenario is that the kids still stay in Medi-Cal and we do the 50/50 match,” said Democratic state Sen. Ed Hernandez of Azusa, chairman of the Senate \u003ca href=\"http://shea.senate.ca.gov/\">Committee\u003c/a> on Health. “I believe we need to make sure these children are insured. I can’t imagine that we would not make up the difference.”\u003c/p>\n\u003cp>The Legislature anticipated a cut in the federal funding and budgeted an extra $396 million for CHIP through June 30, which could allow the program to limp along until the next budget is worked out in mid-2018, Hernandez said. Gov. Jerry Brown will give the Legislature his proposal for that budget by January 10. It is likely to contain possibilities for CHIP funding, especially if Congress’ intentions remain murky, Palmer said.\u003c/p>\n\u003cp>Hernandez said that if the state has to fund the program, “then something else has to suffer.”\u003c/p>\n\u003cp>The state could reduce the cost by altering eligibility requirements for adults, lowering payments to doctors, hospitals and other health care providers or changing the menu of benefits, said Kelly Hardy, senior managing director of health policy at Children Now, a research and advocacy organization. She said none of those are great options.\u003c/p>\n\u003cp>However, she said, “the state has made a commitment toward a culture of coverage. I would be really surprised if the state went back on that promise.”\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>\u003cem>CALmatters.org is a nonprofit, nonpartisan media venture explaining California policies and politics\u003c/em>\u003c/p>\n\n\u003c/div>\u003c/p>",
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"title": "California Could Lose $2.7 Billion in Kids' Health Funding - and There's No Backup Plan",
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"content": "\u003cp>Nearly two months after Congress \u003ca href=\"https://ww2.kqed.org/stateofhealth/2017/10/04/california-frets-over-funding-after-congress-misses-health-care-deadlines/\" target=\"_blank\" rel=\"noopener\">missed its deadline\u003c/a> to renew funding for the Children’s Health Insurance Program (CHIP), California is just a few weeks away from exhausting its reserves, and doesn’t yet have a plan to replace the $2.7 billion in federal support it stands to lose.\u003c/p>\n\u003cp>“The reason that there’s no plan B is that there’s no good options,” said Anthony Wright, executive director of the advocacy group Health Access.\u003c/p>\n\u003cp>CHIP provides Medi-Cal coverage for children whose parents make too much to qualify for the program. The cutoff point is 266 percent of the federal poverty level, or about $65,000 for a family of four.\u003c/p>\n\u003cp>California officials project the state will run out of money for the program around the end of the year. Even if it does, California is legally obligated to continue providing coverage for almost all of the children who qualify. Pregnant women, who make up less than 2 percent of those in the program, would lose their coverage without a new infusion of federal dollars.\u003c/p>\n\u003cp>[contextly_sidebar id=”KktSpouU4WPkvQw6HMHZPmzyc9plkikj”]\u003c/p>\n\u003cp>Last year 2 million California children received health care through CHIP.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>Since the federal government funds 90 percent of the $3 billion program, Gov. Jerry Brown and the state Legislature would have to find new sources for the money elsewhere in the budget.\u003c/p>\n\u003cp>The office of Assemblyman Jim Wood (D-Healdsburg), chairman of the Assembly Health Committee, acknowledged that the Legislature doesn’t have a backup plan at this point. Wood recently attended a Sacramento rally to urge Congress to renew both CHIP and a federal grant program for community health centers.\u003c/p>\n\u003cp>“We wait while health care for these children and adults hangs in the balance,” he said, adding that he came to the rally “to demand that Congress act now to reauthorize this critical funding and recognize that these people are not numbers — they are our family members, our neighbors and our friends.”\u003c/p>\n\u003caside class=\"pullquote alignright\">‘I really don’t see a way for the state to close a budget gap of that size without hurting kids and families.’\u003ccite>Kelly Hardy, Children Now\u003c/cite>\u003c/aside>\n\u003cp>Sen. Ed Hernandez (D-West Covina), chair of the Senate Health Committee, did not respond to requests for comment.\u003c/p>\n\u003cp>If Congress fails to renew the money before it runs out, “the state would be forced into a Sophie’s Choice,” said Wright.\u003c/p>\n\u003cp>Lawmakers would have to make cuts, “if not to children’s coverage then to other critical programs and services,” he said.\u003c/p>\n\u003cp>Kelly Hardy, senior managing director of health policy for the advocacy group Children Now, agreed.\u003c/p>\n\u003cp>“I really don’t see a way for the state to close a budget gap of that size without hurting kids and families,” she said.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>The state doesn’t have a backup plan because it’s counting on Congress — which has backed CHIP for years on a bipartisan basis — to ultimately renew the program, said Wright.\u003c/p>\n\n",
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"excerpt": "The state is counting on Congress to renew the Children’s Health Insurance Program. If not, California will be forced to face some tough choices.",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>Nearly two months after Congress \u003ca href=\"https://ww2.kqed.org/stateofhealth/2017/10/04/california-frets-over-funding-after-congress-misses-health-care-deadlines/\" target=\"_blank\" rel=\"noopener\">missed its deadline\u003c/a> to renew funding for the Children’s Health Insurance Program (CHIP), California is just a few weeks away from exhausting its reserves, and doesn’t yet have a plan to replace the $2.7 billion in federal support it stands to lose.\u003c/p>\n\u003cp>“The reason that there’s no plan B is that there’s no good options,” said Anthony Wright, executive director of the advocacy group Health Access.\u003c/p>\n\u003cp>CHIP provides Medi-Cal coverage for children whose parents make too much to qualify for the program. The cutoff point is 266 percent of the federal poverty level, or about $65,000 for a family of four.\u003c/p>\n\u003cp>California officials project the state will run out of money for the program around the end of the year. Even if it does, California is legally obligated to continue providing coverage for almost all of the children who qualify. Pregnant women, who make up less than 2 percent of those in the program, would lose their coverage without a new infusion of federal dollars.\u003c/p>\n\u003cp>\u003c/p>\u003cp>\u003c/p>\u003cp>\u003c/p>\n\u003cp>Last year 2 million California children received health care through CHIP.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>Since the federal government funds 90 percent of the $3 billion program, Gov. Jerry Brown and the state Legislature would have to find new sources for the money elsewhere in the budget.\u003c/p>\n\u003cp>The office of Assemblyman Jim Wood (D-Healdsburg), chairman of the Assembly Health Committee, acknowledged that the Legislature doesn’t have a backup plan at this point. Wood recently attended a Sacramento rally to urge Congress to renew both CHIP and a federal grant program for community health centers.\u003c/p>\n\u003cp>“We wait while health care for these children and adults hangs in the balance,” he said, adding that he came to the rally “to demand that Congress act now to reauthorize this critical funding and recognize that these people are not numbers — they are our family members, our neighbors and our friends.”\u003c/p>\n\u003caside class=\"pullquote alignright\">‘I really don’t see a way for the state to close a budget gap of that size without hurting kids and families.’\u003ccite>Kelly Hardy, Children Now\u003c/cite>\u003c/aside>\n\u003cp>Sen. Ed Hernandez (D-West Covina), chair of the Senate Health Committee, did not respond to requests for comment.\u003c/p>\n\u003cp>If Congress fails to renew the money before it runs out, “the state would be forced into a Sophie’s Choice,” said Wright.\u003c/p>\n\u003cp>Lawmakers would have to make cuts, “if not to children’s coverage then to other critical programs and services,” he said.\u003c/p>\n\u003cp>Kelly Hardy, senior managing director of health policy for the advocacy group Children Now, agreed.\u003c/p>\n\u003cp>“I really don’t see a way for the state to close a budget gap of that size without hurting kids and families,” she said.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>The state doesn’t have a backup plan because it’s counting on Congress — which has backed CHIP for years on a bipartisan basis — to ultimately renew the program, said Wright.\u003c/p>\n\n\u003c/div>\u003c/p>",
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"content": "\u003cp>\u003cem>This post was originally published in 2017, and therefore doesn’t include COVID-19 safety or social distancing guidance. Please be sure to follow the advice below in a way that keeps your loved ones safe during the pandemic.\u003c/em>\u003c/p>\n\u003cp>First, I am so sorry. As a mother who lost a home two years ago and is currently experiencing the Tubbs Fire, I get it. Surviving an emotional, logistical nightmare may be hard, but navigating a nightmare while simultaneously nurturing children through it is even harder. This is exhausting work.\u003c/p>\n\u003cp>Below are a few things that helped our family survive wildfire evacuation and home loss. I hope a few may be useful in caring for your hurting children … because, truly, the last thing you need right now or a few months from now are children that are completely falling apart. Or worse: shutting down emotionally.\u003c/p>\n\u003cp>\u003cstrong>A. Create opportunities for a sense of control and “container”\u003c/strong>\u003c/p>\n\u003cp>\u003cstrong>1. Keep individually packaged snacks and drinks in your trunk.\u003c/strong> These are useful in giving children a small sense of control over their chaotic world, as well as in keeping blood sugar level when you need a few more minutes at a store or in a meeting.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>\u003cstrong>2. Find a way to create a small space a child can retreat within and keep their few belongings.\u003c/strong> For instance, create a soft, blanketed space under a shelter cot or consider purchasing a pop-up tent designed for play or to fit over a twin bed. These spaces are particularly vital for children with sensitive nervous systems. Blanketed spaces can also be created in a hotel room under a table or in a closet.\u003c/p>\n\u003cp>\u003cstrong>3. Purchase card games or board games to play as a family.\u003c/strong> Games like Uno and Go Fish can be stored in a glove compartment or purse … and require little brainpower for exhausted parents. Games can create a “container of family” at a restaurant, shelter, hotel or sparsely furnished home. If used regularly, games can also create a sense of routine for children overwhelmed by the sudden disorder in their lives.\u003c/p>\n\u003cfigure id=\"attachment_11624647\" class=\"wp-caption aligncenter\" style=\"max-width: 800px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-medium wp-image-11624647\" src=\"https://ww2.kqed.org/news/wp-content/uploads/sites/10/2017/10/RS27590_cspezza02-qut-800x600.jpg\" alt=\"\" width=\"800\" height=\"600\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2017/10/RS27590_cspezza02-qut-800x600.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2017/10/RS27590_cspezza02-qut-160x120.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2017/10/RS27590_cspezza02-qut-1020x765.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2017/10/RS27590_cspezza02-qut-1180x885.jpg 1180w, https://cdn.kqed.org/wp-content/uploads/sites/10/2017/10/RS27590_cspezza02-qut-960x720.jpg 960w, https://cdn.kqed.org/wp-content/uploads/sites/10/2017/10/RS27590_cspezza02-qut-240x180.jpg 240w, https://cdn.kqed.org/wp-content/uploads/sites/10/2017/10/RS27590_cspezza02-qut-375x281.jpg 375w, https://cdn.kqed.org/wp-content/uploads/sites/10/2017/10/RS27590_cspezza02-qut-520x390.jpg 520w, https://cdn.kqed.org/wp-content/uploads/sites/10/2017/10/RS27590_cspezza02-qut.jpg 1280w\" sizes=\"(max-width: 800px) 100vw, 800px\">\u003cfigcaption class=\"wp-caption-text\">The Valley Fire swept through the Spezzas’ rural community of Middletown in Lake County in September 2015, destroying 1,300 homes — including their own. Joe Spezza and his daughters, Vienna (left), and Lucia, are gathered at the family’s former home. \u003ccite>(Courtesy of Carolynn Spezza)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>\u003cstrong>\u003cbr>\nB. Create meaning\u003c/strong>\u003c/p>\n\u003cp>\u003cstrong>1. During mealtime, tell stories from your childhood about when you overcame hardship.\u003c/strong> This communicates to children your family’s legacy of being overcomers. It also communicates your firm belief that they will survive this experience.\u003c/p>\n\u003cp>\u003cstrong>2. Highlight the helpers.\u003c/strong> Routinely begin conversations about the people helping your family and your community. Explain how when bad things happen in life we talk about the hardship, but we also focus on the beauty of kindness and love that flows in to surround that hardship.\u003c/p>\n\u003cp>\u003cstrong>3. Give kids vocabulary to express the feelings in their bodies.\u003c/strong> Use words such as tight, tense, confused, trapped, sad, angry and worried. Also emphasize empowering words such as tenacity, family, community and kindness. Language centers of the brain can go off-line during trauma, yet we need them to make sense of our experience to guard against potential long-term effects from trauma.\u003c/p>\n\u003cfigure id=\"attachment_11624651\" class=\"wp-caption alignnone\" style=\"max-width: 800px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-medium wp-image-11624651\" src=\"https://ww2.kqed.org/news/wp-content/uploads/sites/10/2017/10/RS27593_cspezza06-qut-800x749.jpg\" alt=\"\" width=\"800\" height=\"749\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2017/10/RS27593_cspezza06-qut-800x749.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2017/10/RS27593_cspezza06-qut-160x150.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2017/10/RS27593_cspezza06-qut-1020x954.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2017/10/RS27593_cspezza06-qut-960x898.jpg 960w, https://cdn.kqed.org/wp-content/uploads/sites/10/2017/10/RS27593_cspezza06-qut-240x225.jpg 240w, https://cdn.kqed.org/wp-content/uploads/sites/10/2017/10/RS27593_cspezza06-qut-375x351.jpg 375w, https://cdn.kqed.org/wp-content/uploads/sites/10/2017/10/RS27593_cspezza06-qut-520x487.jpg 520w, https://cdn.kqed.org/wp-content/uploads/sites/10/2017/10/RS27593_cspezza06-qut.jpg 1026w\" sizes=\"(max-width: 800px) 100vw, 800px\">\u003cfigcaption class=\"wp-caption-text\">The Valley Fire swept through the Spezzas’ rural community of Middletown in Lake County in September 2015, destroying 1,300 homes — including their own. Pictured here is Vienna at the site of the family’s former home. \u003ccite>(Courtesy of Carolynn Spezza)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>\u003cstrong>C. Show children how healthy adults handle trauma\u003c/strong>\u003c/p>\n\u003cp>\u003cstrong>1. If two parents are available, take turns being with the children.\u003c/strong> Commit to the parent who is with the children to being off his/her phone as much as logistically possible.\u003c/p>\n\u003cp>\u003cstrong>2. If friends and family are offering to help, work with your children to create a list of ways people can support you.\u003c/strong> Include a short list of your child’s favorite books, meals or outings (if relevant). In doing this together, you are modeling how to proactively turn to relationships and receive kindness during times of stress.\u003c/p>\n\u003cp>\u003cstrong>3. Move your body and get your kids moving theirs.\u003c/strong> Bodies pump out stress hormones during trauma to make extra movement possible. Movement is both helpful and critical during stress to ensure stress hormones do not damage the body. If opportunities for large movement activities such as swimming are restricted, be a fierce leader and spearhead games of running down hallways, seeing who can run in a circle the longest, bear crawls, hopping on one/two feet, or wiggling toes to work out stress. Hopscotch and flat “obstacle” courses can be created using sidewalk chalk, tape, pillows and towels. (I know: Playing with kids may feel like the LAST thing you want to do right now. But time spent moving and playing with your kids will pay dividends in the long haul. Fake it till you make it.)\u003c/p>\n\u003cp>\u003cstrong>D. Take care of your body\u003c/strong>\u003c/p>\n\u003cp>\u003cstrong>1. Challenge yourself to turn away from screens and toward people.\u003c/strong>\u003c/p>\n\u003cp>\u003cstrong>2. Eat vegetables, protein and whole grains.\u003c/strong> You need your body to feel as agile as possible right now.\u003c/p>\n\u003cp>\u003cstrong>3. Stay away from things that will decrease time in “deep sleep.”\u003c/strong> Most importantly: (a) avoid caffeine after lunch, (b) turn off your phone at least one hour before bedtime, and (c) minimize alcohol. Your kids will need you tomorrow and need you to rest. You may technically sleep for a few hours after caffeine, screens and alcohol, but it will not be the deep sleep that rejuvenates your brain. If sleep seems impossible, try focusing your mind on slowly repeating the lines of a favorite verse, poem or calming statement. When you awake in the middle of the night, quickly focus on the words of your simple, calming verse or sentence. (Your mind will drift. Just keep trying.) Again, your children need you to sleep.\u003c/p>\n\u003cp>\u003cstrong>*The Magic of Caring, Responsive Adults\u003c/strong>\u003c/p>\n\u003cp>A growing body of research indicates the No. 1 “protective factor” for resilient children is the presence of caring, responsive adults. During the coming months, you will likely hear adults flippantly minimize children’s experience of powerlessness and chaos with, “Oh, children are resilient.” Please remember, children possess immature nervous systems and need adults to guide them in establishing a sense of stability and in developing healthy coping mechanisms. Wrapping a sense of safety, control and the opportunity to express emotions is critical to ensuring that, in the long term, children will indeed be resilient.\u003c/p>\n\u003cp>Giving children time feels daunting when there are phone calls to return, news to catch up on … and the problem of figuring out how to feed kids their next meal. Consider reminding yourself, “This is what mammals do. We work endlessly for the sake of our kids. I’ve got this.”\u003c/p>\n\u003cfigure id=\"attachment_11624648\" class=\"wp-caption alignright\" style=\"max-width: 480px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"wp-image-11624648 size-full\" src=\"https://ww2.kqed.org/news/wp-content/uploads/sites/10/2017/10/RS27589_cspezza01-qut.jpg\" alt=\"\" width=\"480\" height=\"640\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2017/10/RS27589_cspezza01-qut.jpg 480w, https://cdn.kqed.org/wp-content/uploads/sites/10/2017/10/RS27589_cspezza01-qut-160x213.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2017/10/RS27589_cspezza01-qut-240x320.jpg 240w, https://cdn.kqed.org/wp-content/uploads/sites/10/2017/10/RS27589_cspezza01-qut-375x500.jpg 375w\" sizes=\"(max-width: 480px) 100vw, 480px\">\u003cfigcaption class=\"wp-caption-text\">Lucia (left) and Vienna Spezza at the site of the family’s former home in Middletown in Lake County. \u003ccite>(Courtesy of Gina Tassinari)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>Parenting children in a caring, responsive way while scrambling to survive is a steep mountain to climb. If you find yourself in a position of parenting in the midst of not just evacuation, but also losing your home and rebuilding your life in the wake of a wildfire, your task is even steeper. Perfection is not required, nor is it possible during this time. Instead, consider creating a mental list of three things you can do for your child each day to provide the container of love, stability and “being seen.” According to research, just holding children while listening to them talk or cry can be the most valuable gift of all.\u003c/p>\n\u003cp>Our family offers tender wishes of grace during this most difficult time.\u003c/p>\n\u003cp>Gently,\u003cbr>\nCarolynn Spezza\u003c/p>\n\u003cp>P.S. My younger daughter just reminded me that among the most helpful things we did for her during the Valley Fire was to let her choose a notebook and pencil to have as her very own. With all my exhausting work and failures during that time, it feels curious that a $2 notebook is what stuck with her the most.\u003c/p>\n\u003cp>\u003cem>(NOTE: The Spezzas had to temporarily evacuate their home on Oct. 11, 2017, due to the Tubbs Fire but were later able to return.)\u003c/em>\u003c/p>\n\u003cp>Now, as the smoke outside the window is getting thicker and my children are waiting for attention, I am not allocating time to add references to a few items above. Please forgive me. Most ideas come from my years as a social worker, research associate in youth development, and perhaps most useful, my years as a mama.\u003c/p>\n\u003cp>[ad floatright]\u003c/p>\n\u003cp>\u003cem>Spezza contributed this piece in response to a callout from KQED seeking advice from wildfire survivors to those currently experiencing the California blazes. One year after losing their home, they bought a house in Middletown: “We were too exhausted from the insurance process to rebuild,” Spezza said. \u003c/em>\u003c/p>\n\n",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>\u003cem>This post was originally published in 2017, and therefore doesn’t include COVID-19 safety or social distancing guidance. Please be sure to follow the advice below in a way that keeps your loved ones safe during the pandemic.\u003c/em>\u003c/p>\n\u003cp>First, I am so sorry. As a mother who lost a home two years ago and is currently experiencing the Tubbs Fire, I get it. Surviving an emotional, logistical nightmare may be hard, but navigating a nightmare while simultaneously nurturing children through it is even harder. This is exhausting work.\u003c/p>\n\u003cp>Below are a few things that helped our family survive wildfire evacuation and home loss. I hope a few may be useful in caring for your hurting children … because, truly, the last thing you need right now or a few months from now are children that are completely falling apart. Or worse: shutting down emotionally.\u003c/p>\n\u003cp>\u003cstrong>A. Create opportunities for a sense of control and “container”\u003c/strong>\u003c/p>\n\u003cp>\u003cstrong>1. Keep individually packaged snacks and drinks in your trunk.\u003c/strong> These are useful in giving children a small sense of control over their chaotic world, as well as in keeping blood sugar level when you need a few more minutes at a store or in a meeting.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>\u003cstrong>2. Find a way to create a small space a child can retreat within and keep their few belongings.\u003c/strong> For instance, create a soft, blanketed space under a shelter cot or consider purchasing a pop-up tent designed for play or to fit over a twin bed. These spaces are particularly vital for children with sensitive nervous systems. Blanketed spaces can also be created in a hotel room under a table or in a closet.\u003c/p>\n\u003cp>\u003cstrong>3. Purchase card games or board games to play as a family.\u003c/strong> Games like Uno and Go Fish can be stored in a glove compartment or purse … and require little brainpower for exhausted parents. Games can create a “container of family” at a restaurant, shelter, hotel or sparsely furnished home. If used regularly, games can also create a sense of routine for children overwhelmed by the sudden disorder in their lives.\u003c/p>\n\u003cfigure id=\"attachment_11624647\" class=\"wp-caption aligncenter\" style=\"max-width: 800px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-medium wp-image-11624647\" src=\"https://ww2.kqed.org/news/wp-content/uploads/sites/10/2017/10/RS27590_cspezza02-qut-800x600.jpg\" alt=\"\" width=\"800\" height=\"600\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2017/10/RS27590_cspezza02-qut-800x600.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2017/10/RS27590_cspezza02-qut-160x120.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2017/10/RS27590_cspezza02-qut-1020x765.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2017/10/RS27590_cspezza02-qut-1180x885.jpg 1180w, https://cdn.kqed.org/wp-content/uploads/sites/10/2017/10/RS27590_cspezza02-qut-960x720.jpg 960w, https://cdn.kqed.org/wp-content/uploads/sites/10/2017/10/RS27590_cspezza02-qut-240x180.jpg 240w, https://cdn.kqed.org/wp-content/uploads/sites/10/2017/10/RS27590_cspezza02-qut-375x281.jpg 375w, https://cdn.kqed.org/wp-content/uploads/sites/10/2017/10/RS27590_cspezza02-qut-520x390.jpg 520w, https://cdn.kqed.org/wp-content/uploads/sites/10/2017/10/RS27590_cspezza02-qut.jpg 1280w\" sizes=\"(max-width: 800px) 100vw, 800px\">\u003cfigcaption class=\"wp-caption-text\">The Valley Fire swept through the Spezzas’ rural community of Middletown in Lake County in September 2015, destroying 1,300 homes — including their own. Joe Spezza and his daughters, Vienna (left), and Lucia, are gathered at the family’s former home. \u003ccite>(Courtesy of Carolynn Spezza)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>\u003cstrong>\u003cbr>\nB. Create meaning\u003c/strong>\u003c/p>\n\u003cp>\u003cstrong>1. During mealtime, tell stories from your childhood about when you overcame hardship.\u003c/strong> This communicates to children your family’s legacy of being overcomers. It also communicates your firm belief that they will survive this experience.\u003c/p>\n\u003cp>\u003cstrong>2. Highlight the helpers.\u003c/strong> Routinely begin conversations about the people helping your family and your community. Explain how when bad things happen in life we talk about the hardship, but we also focus on the beauty of kindness and love that flows in to surround that hardship.\u003c/p>\n\u003cp>\u003cstrong>3. Give kids vocabulary to express the feelings in their bodies.\u003c/strong> Use words such as tight, tense, confused, trapped, sad, angry and worried. Also emphasize empowering words such as tenacity, family, community and kindness. Language centers of the brain can go off-line during trauma, yet we need them to make sense of our experience to guard against potential long-term effects from trauma.\u003c/p>\n\u003cfigure id=\"attachment_11624651\" class=\"wp-caption alignnone\" style=\"max-width: 800px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-medium wp-image-11624651\" src=\"https://ww2.kqed.org/news/wp-content/uploads/sites/10/2017/10/RS27593_cspezza06-qut-800x749.jpg\" alt=\"\" width=\"800\" height=\"749\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2017/10/RS27593_cspezza06-qut-800x749.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2017/10/RS27593_cspezza06-qut-160x150.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2017/10/RS27593_cspezza06-qut-1020x954.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2017/10/RS27593_cspezza06-qut-960x898.jpg 960w, https://cdn.kqed.org/wp-content/uploads/sites/10/2017/10/RS27593_cspezza06-qut-240x225.jpg 240w, https://cdn.kqed.org/wp-content/uploads/sites/10/2017/10/RS27593_cspezza06-qut-375x351.jpg 375w, https://cdn.kqed.org/wp-content/uploads/sites/10/2017/10/RS27593_cspezza06-qut-520x487.jpg 520w, https://cdn.kqed.org/wp-content/uploads/sites/10/2017/10/RS27593_cspezza06-qut.jpg 1026w\" sizes=\"(max-width: 800px) 100vw, 800px\">\u003cfigcaption class=\"wp-caption-text\">The Valley Fire swept through the Spezzas’ rural community of Middletown in Lake County in September 2015, destroying 1,300 homes — including their own. Pictured here is Vienna at the site of the family’s former home. \u003ccite>(Courtesy of Carolynn Spezza)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>\u003cstrong>C. Show children how healthy adults handle trauma\u003c/strong>\u003c/p>\n\u003cp>\u003cstrong>1. If two parents are available, take turns being with the children.\u003c/strong> Commit to the parent who is with the children to being off his/her phone as much as logistically possible.\u003c/p>\n\u003cp>\u003cstrong>2. If friends and family are offering to help, work with your children to create a list of ways people can support you.\u003c/strong> Include a short list of your child’s favorite books, meals or outings (if relevant). In doing this together, you are modeling how to proactively turn to relationships and receive kindness during times of stress.\u003c/p>\n\u003cp>\u003cstrong>3. Move your body and get your kids moving theirs.\u003c/strong> Bodies pump out stress hormones during trauma to make extra movement possible. Movement is both helpful and critical during stress to ensure stress hormones do not damage the body. If opportunities for large movement activities such as swimming are restricted, be a fierce leader and spearhead games of running down hallways, seeing who can run in a circle the longest, bear crawls, hopping on one/two feet, or wiggling toes to work out stress. Hopscotch and flat “obstacle” courses can be created using sidewalk chalk, tape, pillows and towels. (I know: Playing with kids may feel like the LAST thing you want to do right now. But time spent moving and playing with your kids will pay dividends in the long haul. Fake it till you make it.)\u003c/p>\n\u003cp>\u003cstrong>D. Take care of your body\u003c/strong>\u003c/p>\n\u003cp>\u003cstrong>1. Challenge yourself to turn away from screens and toward people.\u003c/strong>\u003c/p>\n\u003cp>\u003cstrong>2. Eat vegetables, protein and whole grains.\u003c/strong> You need your body to feel as agile as possible right now.\u003c/p>\n\u003cp>\u003cstrong>3. Stay away from things that will decrease time in “deep sleep.”\u003c/strong> Most importantly: (a) avoid caffeine after lunch, (b) turn off your phone at least one hour before bedtime, and (c) minimize alcohol. Your kids will need you tomorrow and need you to rest. You may technically sleep for a few hours after caffeine, screens and alcohol, but it will not be the deep sleep that rejuvenates your brain. If sleep seems impossible, try focusing your mind on slowly repeating the lines of a favorite verse, poem or calming statement. When you awake in the middle of the night, quickly focus on the words of your simple, calming verse or sentence. (Your mind will drift. Just keep trying.) Again, your children need you to sleep.\u003c/p>\n\u003cp>\u003cstrong>*The Magic of Caring, Responsive Adults\u003c/strong>\u003c/p>\n\u003cp>A growing body of research indicates the No. 1 “protective factor” for resilient children is the presence of caring, responsive adults. During the coming months, you will likely hear adults flippantly minimize children’s experience of powerlessness and chaos with, “Oh, children are resilient.” Please remember, children possess immature nervous systems and need adults to guide them in establishing a sense of stability and in developing healthy coping mechanisms. Wrapping a sense of safety, control and the opportunity to express emotions is critical to ensuring that, in the long term, children will indeed be resilient.\u003c/p>\n\u003cp>Giving children time feels daunting when there are phone calls to return, news to catch up on … and the problem of figuring out how to feed kids their next meal. Consider reminding yourself, “This is what mammals do. We work endlessly for the sake of our kids. I’ve got this.”\u003c/p>\n\u003cfigure id=\"attachment_11624648\" class=\"wp-caption alignright\" style=\"max-width: 480px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"wp-image-11624648 size-full\" src=\"https://ww2.kqed.org/news/wp-content/uploads/sites/10/2017/10/RS27589_cspezza01-qut.jpg\" alt=\"\" width=\"480\" height=\"640\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2017/10/RS27589_cspezza01-qut.jpg 480w, https://cdn.kqed.org/wp-content/uploads/sites/10/2017/10/RS27589_cspezza01-qut-160x213.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2017/10/RS27589_cspezza01-qut-240x320.jpg 240w, https://cdn.kqed.org/wp-content/uploads/sites/10/2017/10/RS27589_cspezza01-qut-375x500.jpg 375w\" sizes=\"(max-width: 480px) 100vw, 480px\">\u003cfigcaption class=\"wp-caption-text\">Lucia (left) and Vienna Spezza at the site of the family’s former home in Middletown in Lake County. \u003ccite>(Courtesy of Gina Tassinari)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>Parenting children in a caring, responsive way while scrambling to survive is a steep mountain to climb. If you find yourself in a position of parenting in the midst of not just evacuation, but also losing your home and rebuilding your life in the wake of a wildfire, your task is even steeper. Perfection is not required, nor is it possible during this time. Instead, consider creating a mental list of three things you can do for your child each day to provide the container of love, stability and “being seen.” According to research, just holding children while listening to them talk or cry can be the most valuable gift of all.\u003c/p>\n\u003cp>Our family offers tender wishes of grace during this most difficult time.\u003c/p>\n\u003cp>Gently,\u003cbr>\nCarolynn Spezza\u003c/p>\n\u003cp>P.S. My younger daughter just reminded me that among the most helpful things we did for her during the Valley Fire was to let her choose a notebook and pencil to have as her very own. With all my exhausting work and failures during that time, it feels curious that a $2 notebook is what stuck with her the most.\u003c/p>\n\u003cp>\u003cem>(NOTE: The Spezzas had to temporarily evacuate their home on Oct. 11, 2017, due to the Tubbs Fire but were later able to return.)\u003c/em>\u003c/p>\n\u003cp>Now, as the smoke outside the window is getting thicker and my children are waiting for attention, I am not allocating time to add references to a few items above. Please forgive me. Most ideas come from my years as a social worker, research associate in youth development, and perhaps most useful, my years as a mama.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>\u003cem>Spezza contributed this piece in response to a callout from KQED seeking advice from wildfire survivors to those currently experiencing the California blazes. One year after losing their home, they bought a house in Middletown: “We were too exhausted from the insurance process to rebuild,” Spezza said. \u003c/em>\u003c/p>\n\n\u003c/div>\u003c/p>",
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"disqusTitle": "Talking to Kids About Violence: Experts Weigh In",
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"content": "\u003cp>The day after \u003ca href=\"https://ww2.kqed.org/news/tag/las-vegas-shooting/\">a shooter in Las Vegas massacred 58 people and wounded hundreds of others at a country music festival\u003c/a>, San Francisco dad Brad Porter braced for a conversation with his teen son about the news.\u003c/p>\n\u003cp>\"We are probably discussing it later tonight,\" said Porter earlier this week. \"You got to have an open dialogue or it can get worse in the mindset of the child, you know?\"\u003c/p>\n\u003cp>Porter was keenly aware of how news about tragedies can cause fear and anxiety in kids. In 2015, Porter was working at a UPS facility just blocks away from the site of \u003ca href=\"https://ww2.kqed.org/news/2015/12/04/authorities-release-names-of-the-14-people-killed-in-san-bernardino-shooting/\">an attack that killed 14 people at a Christmas party\u003c/a> in San Bernardino.\u003c/p>\n\u003cp>His son Marco, a sixth grader at the time, was very worried for his dad's safety. So when Porter returned home, he and his wife sat down to answer their son's questions as honestly as they could, and at the same time reassure him their family was safe.\u003c/p>\n\u003cp>\"It was hard to explain, but he just needed to understand what was happening,\" said Porter, 39, a former substitute teacher. \"It's not about being fearful. It's about being aware.\"\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>Sticking to the facts—mass public shootings in the U.S. are still quite rare—and answering kids' questions in words they can understand is a good strategy for caregivers to help children cope with news of tragedies and avoid becoming unnecessarily fearful, according to psychologists.\u003c/p>\n\u003cp>\"Let your children's questions be your guide,\" said Dr. Stephen Brock, a psychology professor at California State University, Sacramento. \"As children grow and mature, it is appropriate to engage them in more sophisticated and direct conversations.\"\u003c/p>\n\u003cp>Parents can first check-in with their kids to gauge the extent that an event is frightening or confusing to them. Questions such as 'Have you heard about....?' or 'What are your friends saying about...?' should help parents assess how much information kids need and are ready for, said Brock.\u003c/p>\n\u003cp>\"But don't force the conversation,\" said Brock, who helped develop a National Association of School Psychologists\u003ca href=\"https://www.nasponline.org/resources-and-publications/resources/school-safety-and-crisis/talking-to-children-about-violence-tips-for-parents-and-teachers\" target=\"_blank\" rel=\"noopener\"> tip sheet\u003c/a> on talking to children about violence.\u003c/p>\n\u003cp>\"If you ask a child if they've heard about Las Vegas and they say no, just tell them 'OK, if you hear anything let me know. Happy to answer questions for you,'\" he said. \"And then don't push it.\"\u003c/p>\n\u003cp>Still, starting those conversations can be incredibly hard, said Dr. Robin Gurwitch, a psychiatry professor at Duke University who has worked with communities after the Sandy Hook Elementary School shooting and hurricane Katrina.\u003c/p>\n\u003cp>\"We have to take a deep breath and give ourselves a little pep talk to start it,\" said Gurwitch. \"Not talking to children can make things harder for them. \u003cspan style=\"font-weight: 400\">In today's day and age, it is unusual for children to not hear about an event,\u003c/span>\u003cb> \u003c/b>particularly as they get older.\"\u003c/p>\n\u003cp>Gurwitch remembers having to tell her young daughter she was going back to work in the aftermath of the Oklahoma City bombing in 1995, which killed 168 people. Gurwitch and her family lived in the city at the time.\u003c/p>\n\u003cp>\u003cspan style=\"font-weight: 400\">\"She just knew that mommy was going to help. And in her five-year-old mind, she knew I would be safe because I had my cell phone and she could stay connected to me no matter where I was,\" said Gurwitch. \"But it was important to have that conversation with her in words that she could understand about what happened.\"\u003c/span>\u003c/p>\n\u003cp>\u003cspan style=\"font-weight: 400\">Addressing this difficult subject will help children and teens feel that they can be open with their caregivers about other challenges in their lives, said Gurwitch.\u003c/span>\u003c/p>\n\u003cp>\u003cspan style=\"font-weight: 400\">\"Everything from feeling bullied at school to other events that touch our children's lives, they'll know that 'Gosh, my parents can talk about the tough stuff, so I can talk to them about anything,'\" said Gurwitch.\u003c/span>\u003cspan style=\"font-weight: 400\"> \u003c/span>\u003cspan style=\"font-weight: 400\">\u003cbr>\n\u003c/span>\u003c/p>\n\u003cp>Gurwitch also recommends limiting young children's news media exposure, in particular. Last but not least, caregivers should take care of themselves and manage their own stress levels so they can be effective in supporting their kids, she said.\u003c/p>\n\u003cp>\"T\u003cspan style=\"font-weight: 400\">aking our own breaks from media reports, getting sleep, finding things that you enjoy, whether it's taking a walk or playing with your pets,\" she said. \"All that can help us \u003c/span>\u003cspan style=\"font-weight: 400\">when we are feeling stress.\"\u003c/span>\u003cspan style=\"font-weight: 400\">\u003cbr>\n\u003c/span>\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>\u003cem>Gurwitch recommends these additional resources from the American Psychological Association and the National Child Traumatic Stress Network:\u003c/em>\u003c/p>\n\u003cul>\n\u003cli>\u003cem>\u003ca href=\"http://www.apa.org/helpcenter/talking-to-children.aspx\" target=\"_blank\" rel=\"noopener\">How to talk to children about difficult news\u003c/a>\u003c/em>\u003c/li>\n\u003cli>\u003cem>\u003ca href=\"http://www.nctsn.org/sites/default/files/assets/pdfs/parents_guidelines_for_helping_teens_after_the_recent_attacks.pdf\" target=\"_blank\" rel=\"noopener\">Parent guidelines for helping youth after the latest shooting\u003c/a>\u003c/em>\u003c/li>\n\u003cli>\u003cem>\u003ca href=\"http://www.apa.org/helpcenter/mass-shooting.aspx?utm_content=1506951022&utm_medium=social&utm_source=twitter\" target=\"_blank\" rel=\"noopener\">Managing your distress is the aftermath of a shooting\u003c/a>\u003c/em>\u003c/li>\n\u003c/ul>\n\n",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>The day after \u003ca href=\"https://ww2.kqed.org/news/tag/las-vegas-shooting/\">a shooter in Las Vegas massacred 58 people and wounded hundreds of others at a country music festival\u003c/a>, San Francisco dad Brad Porter braced for a conversation with his teen son about the news.\u003c/p>\n\u003cp>\"We are probably discussing it later tonight,\" said Porter earlier this week. \"You got to have an open dialogue or it can get worse in the mindset of the child, you know?\"\u003c/p>\n\u003cp>Porter was keenly aware of how news about tragedies can cause fear and anxiety in kids. In 2015, Porter was working at a UPS facility just blocks away from the site of \u003ca href=\"https://ww2.kqed.org/news/2015/12/04/authorities-release-names-of-the-14-people-killed-in-san-bernardino-shooting/\">an attack that killed 14 people at a Christmas party\u003c/a> in San Bernardino.\u003c/p>\n\u003cp>His son Marco, a sixth grader at the time, was very worried for his dad's safety. So when Porter returned home, he and his wife sat down to answer their son's questions as honestly as they could, and at the same time reassure him their family was safe.\u003c/p>\n\u003cp>\"It was hard to explain, but he just needed to understand what was happening,\" said Porter, 39, a former substitute teacher. \"It's not about being fearful. It's about being aware.\"\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>Sticking to the facts—mass public shootings in the U.S. are still quite rare—and answering kids' questions in words they can understand is a good strategy for caregivers to help children cope with news of tragedies and avoid becoming unnecessarily fearful, according to psychologists.\u003c/p>\n\u003cp>\"Let your children's questions be your guide,\" said Dr. Stephen Brock, a psychology professor at California State University, Sacramento. \"As children grow and mature, it is appropriate to engage them in more sophisticated and direct conversations.\"\u003c/p>\n\u003cp>Parents can first check-in with their kids to gauge the extent that an event is frightening or confusing to them. Questions such as 'Have you heard about....?' or 'What are your friends saying about...?' should help parents assess how much information kids need and are ready for, said Brock.\u003c/p>\n\u003cp>\"But don't force the conversation,\" said Brock, who helped develop a National Association of School Psychologists\u003ca href=\"https://www.nasponline.org/resources-and-publications/resources/school-safety-and-crisis/talking-to-children-about-violence-tips-for-parents-and-teachers\" target=\"_blank\" rel=\"noopener\"> tip sheet\u003c/a> on talking to children about violence.\u003c/p>\n\u003cp>\"If you ask a child if they've heard about Las Vegas and they say no, just tell them 'OK, if you hear anything let me know. Happy to answer questions for you,'\" he said. \"And then don't push it.\"\u003c/p>\n\u003cp>Still, starting those conversations can be incredibly hard, said Dr. Robin Gurwitch, a psychiatry professor at Duke University who has worked with communities after the Sandy Hook Elementary School shooting and hurricane Katrina.\u003c/p>\n\u003cp>\"We have to take a deep breath and give ourselves a little pep talk to start it,\" said Gurwitch. \"Not talking to children can make things harder for them. \u003cspan style=\"font-weight: 400\">In today's day and age, it is unusual for children to not hear about an event,\u003c/span>\u003cb> \u003c/b>particularly as they get older.\"\u003c/p>\n\u003cp>Gurwitch remembers having to tell her young daughter she was going back to work in the aftermath of the Oklahoma City bombing in 1995, which killed 168 people. Gurwitch and her family lived in the city at the time.\u003c/p>\n\u003cp>\u003cspan style=\"font-weight: 400\">\"She just knew that mommy was going to help. And in her five-year-old mind, she knew I would be safe because I had my cell phone and she could stay connected to me no matter where I was,\" said Gurwitch. \"But it was important to have that conversation with her in words that she could understand about what happened.\"\u003c/span>\u003c/p>\n\u003cp>\u003cspan style=\"font-weight: 400\">Addressing this difficult subject will help children and teens feel that they can be open with their caregivers about other challenges in their lives, said Gurwitch.\u003c/span>\u003c/p>\n\u003cp>\u003cspan style=\"font-weight: 400\">\"Everything from feeling bullied at school to other events that touch our children's lives, they'll know that 'Gosh, my parents can talk about the tough stuff, so I can talk to them about anything,'\" said Gurwitch.\u003c/span>\u003cspan style=\"font-weight: 400\"> \u003c/span>\u003cspan style=\"font-weight: 400\">\u003cbr>\n\u003c/span>\u003c/p>\n\u003cp>Gurwitch also recommends limiting young children's news media exposure, in particular. Last but not least, caregivers should take care of themselves and manage their own stress levels so they can be effective in supporting their kids, she said.\u003c/p>\n\u003cp>\"T\u003cspan style=\"font-weight: 400\">aking our own breaks from media reports, getting sleep, finding things that you enjoy, whether it's taking a walk or playing with your pets,\" she said. \"All that can help us \u003c/span>\u003cspan style=\"font-weight: 400\">when we are feeling stress.\"\u003c/span>\u003cspan style=\"font-weight: 400\">\u003cbr>\n\u003c/span>\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>\u003cem>Gurwitch recommends these additional resources from the American Psychological Association and the National Child Traumatic Stress Network:\u003c/em>\u003c/p>\n\u003cul>\n\u003cli>\u003cem>\u003ca href=\"http://www.apa.org/helpcenter/talking-to-children.aspx\" target=\"_blank\" rel=\"noopener\">How to talk to children about difficult news\u003c/a>\u003c/em>\u003c/li>\n\u003cli>\u003cem>\u003ca href=\"http://www.nctsn.org/sites/default/files/assets/pdfs/parents_guidelines_for_helping_teens_after_the_recent_attacks.pdf\" target=\"_blank\" rel=\"noopener\">Parent guidelines for helping youth after the latest shooting\u003c/a>\u003c/em>\u003c/li>\n\u003cli>\u003cem>\u003ca href=\"http://www.apa.org/helpcenter/mass-shooting.aspx?utm_content=1506951022&utm_medium=social&utm_source=twitter\" target=\"_blank\" rel=\"noopener\">Managing your distress is the aftermath of a shooting\u003c/a>\u003c/em>\u003c/li>\n\u003c/ul>\n\n\u003c/div>\u003c/p>",
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"disqusTitle": "Group Aims to Make Safe Places for Low-Income Kids to Play in L.A.",
"title": "Group Aims to Make Safe Places for Low-Income Kids to Play in L.A.",
"headTitle": "The California Report | KQED News",
"content": "\u003cp>For children in low-income urban neighborhoods in California, there's often no safe place to play.\u003c/p>\n\u003cp>Building playgrounds is a start, but a pilot program in Los Angeles wants to take a different approach: putting play where you wouldn't expect it, and where kids can use it.\u003c/p>\n\u003cp>\"Let's Play Everywhere Los Angeles\" is \u003ca href=\"https://kaboom.org/playability/play_everywhere/los_angeles\">launching this summer\u003c/a> in L.A., aiming to convert some of the urban spaces that children visit every day -- like vacant lots, bus stops or laundromats -- into places where they can play. It's the brainchild of KaBOOM, a nonprofit that will build 10 such projects in the city.\u003c/p>\n\u003caside class=\"pullquote alignright\">'Playgrounds are great. But there’s equity issues around play, and sometimes it’s not the easiest option to take your child physically to a playground.'\u003ccite>Jen De Melo, KaBOOM\u003c/cite>\u003c/aside>\n\u003cp>\"Sometimes single-parent families don’t have that luxury to drop off their kids at the park,\" said L.A. Deputy Mayor Barbara Romero, who is tasked with expanding parks and play opportunities in the city's underserved neighborhoods. \"So how do we build interim play areas for kids who can't get to a park?\"\u003c/p>\n\u003cp>In other cities and states where KaBOOM has rolled out projects, people have come up with a variety of answers: A laundromat in Vermont became a puppet theater for kids; a bus stop shelter in the Central Valley was transformed into an interactive game station.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>Many people think of play as a luxury, but for kids it’s a necessity to build the social, physical and emotional skills they need to become healthy adults, said Jen De Melo, of KaBOOM.\u003c/p>\n\u003cp>De Melo builds traditional playgrounds across the country, but she said they aren't the only answer.\u003c/p>\n\u003cp>\"Playgrounds are great, don’t get me wrong, I love them,\" she said. \"But there’s equity issues around play, and sometimes it’s not the easiest choice or the easiest option to take your child physically to a playground.\"\u003c/p>\n\u003cfigure id=\"attachment_11577812\" class=\"wp-caption aligncenter\" style=\"max-width: 800px\">\u003cimg class=\"size-medium wp-image-11577812\" src=\"https://ww2.kqed.org/news/wp-content/uploads/sites/10/2017/07/JenDeMelo-800x579.jpg\" alt=\"Jen De Melo sits at a park in Richmond, which closed off an adjoining street to help open a playground to the neighborhood beyond its normal boundary. De Melo works for the nonprofit Kaboom!, which is sponsoring a pilot program in Los Angeles to fund 10 projects that incorporate play into kids' everyday lives.\" width=\"800\" height=\"579\" srcset=\"https://ww2.kqed.org/app/uploads/sites/10/2017/07/JenDeMelo-800x579.jpg 800w, https://ww2.kqed.org/app/uploads/sites/10/2017/07/JenDeMelo-160x116.jpg 160w, https://ww2.kqed.org/app/uploads/sites/10/2017/07/JenDeMelo-1020x738.jpg 1020w, https://ww2.kqed.org/app/uploads/sites/10/2017/07/JenDeMelo.jpg 1920w, https://ww2.kqed.org/app/uploads/sites/10/2017/07/JenDeMelo-1180x854.jpg 1180w, https://ww2.kqed.org/app/uploads/sites/10/2017/07/JenDeMelo-960x695.jpg 960w, https://ww2.kqed.org/app/uploads/sites/10/2017/07/JenDeMelo-240x174.jpg 240w, https://ww2.kqed.org/app/uploads/sites/10/2017/07/JenDeMelo-375x271.jpg 375w, https://ww2.kqed.org/app/uploads/sites/10/2017/07/JenDeMelo-520x376.jpg 520w\" sizes=\"(max-width: 800px) 100vw, 800px\">\u003cfigcaption class=\"wp-caption-text\">Jen De Melo sits at a park in Richmond, which closed off an adjoining street to help open a playground to the neighborhood beyond its normal boundary. De Melo works for the nonprofit Kaboom, which is sponsoring a pilot program in Los Angeles to fund 10 projects that incorporate play into kids' everyday lives. \u003ccite>(David Gorn/KQED)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>For Janice Galindo, a single mom to a 3-year-old boy, it's not a question of nearby access to a park or playground, it's being able to find the time for kids to play there. She's concerned about safety, too.\u003c/p>\n\u003cp>But she does see the benefits of having a space where her boy can play: On a recent day at \u003ca href=\"http://parks.lacounty.gov/wps/portal/dpr/Parks/Ruben_F_Salazar_Park\">Ruben Salazar Park\u003c/a> in east L.A., she watched him play with two other kids, which also helps him to improve his social skills.\u003c/p>\n\u003cp>\"Within five minutes, he had two little girlfriends already,\" said Galindo, 26. \"And I was like, 'Wow. This is fun for him.' \"\u003c/p>\n\u003cp>Galindo grew up a few blocks from Ruben Salazar Park, but she almost never played there.\u003c/p>\n\u003cp>\"I didn’t really play at a park because my parents worked a lot,\" she says.\u003c/p>\n\u003cp>That gets to the heart of the Play Everywhere pilot project: Kids often have to tag along with their parents on errands, or join them at work -- meaning play opportunities at playgrounds are limited.\u003c/p>\n\u003cp>That’s the case for every family in her neighborhood, Galindo said. Even though a traditional playground may be just down the block, that doesn't mean kids will use it.\u003c/p>\n\u003cp>Back in her office in L.A.'s city hall, Romero said \"Let's Play Everywhere\" is an idea that might ripple out and take on a life of its own.\u003c/p>\n\u003cp>For instance, if one laundromat with a puppet theater or dress-up play stage starts to draw more parents to it because of its imaginative play area, other laundromats might start installing their own.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>\"Change needs to happen,\" De Melo said. \"Really making play an easy choice by having it in lots of spaces, not just playgrounds.\"\u003c/p>\n\n",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>For children in low-income urban neighborhoods in California, there's often no safe place to play.\u003c/p>\n\u003cp>Building playgrounds is a start, but a pilot program in Los Angeles wants to take a different approach: putting play where you wouldn't expect it, and where kids can use it.\u003c/p>\n\u003cp>\"Let's Play Everywhere Los Angeles\" is \u003ca href=\"https://kaboom.org/playability/play_everywhere/los_angeles\">launching this summer\u003c/a> in L.A., aiming to convert some of the urban spaces that children visit every day -- like vacant lots, bus stops or laundromats -- into places where they can play. It's the brainchild of KaBOOM, a nonprofit that will build 10 such projects in the city.\u003c/p>\n\u003caside class=\"pullquote alignright\">'Playgrounds are great. But there’s equity issues around play, and sometimes it’s not the easiest option to take your child physically to a playground.'\u003ccite>Jen De Melo, KaBOOM\u003c/cite>\u003c/aside>\n\u003cp>\"Sometimes single-parent families don’t have that luxury to drop off their kids at the park,\" said L.A. Deputy Mayor Barbara Romero, who is tasked with expanding parks and play opportunities in the city's underserved neighborhoods. \"So how do we build interim play areas for kids who can't get to a park?\"\u003c/p>\n\u003cp>In other cities and states where KaBOOM has rolled out projects, people have come up with a variety of answers: A laundromat in Vermont became a puppet theater for kids; a bus stop shelter in the Central Valley was transformed into an interactive game station.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>Many people think of play as a luxury, but for kids it’s a necessity to build the social, physical and emotional skills they need to become healthy adults, said Jen De Melo, of KaBOOM.\u003c/p>\n\u003cp>De Melo builds traditional playgrounds across the country, but she said they aren't the only answer.\u003c/p>\n\u003cp>\"Playgrounds are great, don’t get me wrong, I love them,\" she said. \"But there’s equity issues around play, and sometimes it’s not the easiest choice or the easiest option to take your child physically to a playground.\"\u003c/p>\n\u003cfigure id=\"attachment_11577812\" class=\"wp-caption aligncenter\" style=\"max-width: 800px\">\u003cimg class=\"size-medium wp-image-11577812\" src=\"https://ww2.kqed.org/news/wp-content/uploads/sites/10/2017/07/JenDeMelo-800x579.jpg\" alt=\"Jen De Melo sits at a park in Richmond, which closed off an adjoining street to help open a playground to the neighborhood beyond its normal boundary. De Melo works for the nonprofit Kaboom!, which is sponsoring a pilot program in Los Angeles to fund 10 projects that incorporate play into kids' everyday lives.\" width=\"800\" height=\"579\" srcset=\"https://ww2.kqed.org/app/uploads/sites/10/2017/07/JenDeMelo-800x579.jpg 800w, https://ww2.kqed.org/app/uploads/sites/10/2017/07/JenDeMelo-160x116.jpg 160w, https://ww2.kqed.org/app/uploads/sites/10/2017/07/JenDeMelo-1020x738.jpg 1020w, https://ww2.kqed.org/app/uploads/sites/10/2017/07/JenDeMelo.jpg 1920w, https://ww2.kqed.org/app/uploads/sites/10/2017/07/JenDeMelo-1180x854.jpg 1180w, https://ww2.kqed.org/app/uploads/sites/10/2017/07/JenDeMelo-960x695.jpg 960w, https://ww2.kqed.org/app/uploads/sites/10/2017/07/JenDeMelo-240x174.jpg 240w, https://ww2.kqed.org/app/uploads/sites/10/2017/07/JenDeMelo-375x271.jpg 375w, https://ww2.kqed.org/app/uploads/sites/10/2017/07/JenDeMelo-520x376.jpg 520w\" sizes=\"(max-width: 800px) 100vw, 800px\">\u003cfigcaption class=\"wp-caption-text\">Jen De Melo sits at a park in Richmond, which closed off an adjoining street to help open a playground to the neighborhood beyond its normal boundary. De Melo works for the nonprofit Kaboom, which is sponsoring a pilot program in Los Angeles to fund 10 projects that incorporate play into kids' everyday lives. \u003ccite>(David Gorn/KQED)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>For Janice Galindo, a single mom to a 3-year-old boy, it's not a question of nearby access to a park or playground, it's being able to find the time for kids to play there. She's concerned about safety, too.\u003c/p>\n\u003cp>But she does see the benefits of having a space where her boy can play: On a recent day at \u003ca href=\"http://parks.lacounty.gov/wps/portal/dpr/Parks/Ruben_F_Salazar_Park\">Ruben Salazar Park\u003c/a> in east L.A., she watched him play with two other kids, which also helps him to improve his social skills.\u003c/p>\n\u003cp>\"Within five minutes, he had two little girlfriends already,\" said Galindo, 26. \"And I was like, 'Wow. This is fun for him.' \"\u003c/p>\n\u003cp>Galindo grew up a few blocks from Ruben Salazar Park, but she almost never played there.\u003c/p>\n\u003cp>\"I didn’t really play at a park because my parents worked a lot,\" she says.\u003c/p>\n\u003cp>That gets to the heart of the Play Everywhere pilot project: Kids often have to tag along with their parents on errands, or join them at work -- meaning play opportunities at playgrounds are limited.\u003c/p>\n\u003cp>That’s the case for every family in her neighborhood, Galindo said. Even though a traditional playground may be just down the block, that doesn't mean kids will use it.\u003c/p>\n\u003cp>Back in her office in L.A.'s city hall, Romero said \"Let's Play Everywhere\" is an idea that might ripple out and take on a life of its own.\u003c/p>\n\u003cp>For instance, if one laundromat with a puppet theater or dress-up play stage starts to draw more parents to it because of its imaginative play area, other laundromats might start installing their own.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>\"Change needs to happen,\" De Melo said. \"Really making play an easy choice by having it in lots of spaces, not just playgrounds.\"\u003c/p>\n\n\u003c/div>\u003c/p>",
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"disqusTitle": "What About My Kids If I’m Deported? Immigrants Get Help With Powers of Attorney",
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"content": "\u003cp>\"\u003cem>Buenos días\u003c/em>, are you coming for a power of attorney?\"\u003c/p>\n\u003cp>That's how Hugo Salazar recently greeted a woman outside the door of the Orange County Labor Federation office in Anaheim.\u003c/p>\n\u003cp>“\u003cem>Sí\u003c/em>,\" the woman replied, and headed back to her car to round up the rest of her family.\u003c/p>\n\u003cp>Since January, Salazar and his colleagues at the Labor Federation -- an umbrella group for 95 unions in Orange County -- have helped several hundred immigrant families complete power-of-attorney documents designating someone to look after their affairs in case they’re detained by immigration authorities or deported.\u003c/p>\n\u003cp>\"We understood that many of our union members had family members who were undocumented,\" Salazar said, though he declined to estimate how many. \"And we see that literally people were having no plan of action.\"\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>Most clients are using notarized letters to designate someone to look after minor children or to liquidate property. At mass weekend clinics the Labor Federation has held, people have come from San Diego, Imperial and San Bernardino counties -- even Las Vegas -- to establish powers of attorney.\u003c/p>\n\u003cp>“Communities are afraid, they’re anxious. But we’re getting prepared,” said Salazar.\u003c/p>\n\u003cp>[contextly_sidebar id=\"ozhrxIgT3ML0wFvyjde3IUpH4fUGcMLL\"]\u003c/p>\n\u003cp>Orange County is home to some 250,000 people living in the country illegally, according to the \u003ca href=\"http://www.ppic.org/main/publication_show.asp?i=818\">Public Policy Institute of California\u003c/a> -- about one in 12 residents.\u003c/p>\n\u003cp>A month after the Trump administration issued an executive order outlining expanded priorities for deportation, the consequences of the new policy are still taking shape on the ground.\u003c/p>\n\u003cp>Observers say they haven’t seen a spike in deportations in Orange County, but several high-profile incidents -- like the Los Angeles man who was detained by Immigration and Customs Enforcement officers after dropping his daughter off at school -- have put the immigrant community on edge.\u003c/p>\n\u003cp>Many are preparing for the worst, including taking measures to ensure their children will be cared for if immigration officials come knocking.\u003c/p>\n\u003cp>Cecilia Melgoza came to a recent Labor Federation clinic to assign her friend Elizabeth Marcado, a U.S. citizen, to take care of her 4-year-old daughter in case she is detained.\u003c/p>\n\u003cp>Melgoza came to the U.S. four years ago and doesn’t have legal residency.\u003c/p>\n\u003cp>“All the talk of your kids being given up for adoption or put in foster care is really scary,” Melgoza said in Spanish. “I wanted to make sure my daughter would be safe with someone who was born here.”\u003c/p>\n\u003cp>Marcado said she was ready to accept the responsibility of caring for Melgoza's daughter, if need be, until mother and daughter could be reunited. She's the one who suggested Melgoza sign a power of attorney.\u003c/p>\n\u003cp>\"It feels bad to know that it comes to this point where you have to be protected somehow or protect your kids, but I feel that nowadays it's necessary,\" Marcado said.\u003c/p>\n\u003cp>[contextly_sidebar id=\"FpdwuRbiBBtYdgEM30hD08WftK8nWm5i\"]\u003c/p>\n\u003cp>Immigration lawyers are quick to point out that a power of attorney doesn’t transfer custody of a child. It just authorizes someone to care for the child temporarily in the absence of the child’s legal guardian and to make decision on behalf of the guardian.\u003c/p>\n\u003cp>Salazar from the labor federation said he emphasizes to immigrant families that establishing a power of attorney is just one step they should be taking to get prepared. School districts often have their own unique form establishing who can pick a child up from school if the parent is absent.\u003c/p>\n\u003cp>While families waited to sign powers of attorney at the recent clinic, Salazar quizzed clients on what to do if ICE officials show up at their door: Don’t open it; Ask them to slip paperwork under the door; Check to see if it’s a warrant signed by a judge.\u003c/p>\n\u003cp>He handed out a one-page comic illustrating the scenario and told people to put it on their refrigerator or tape it to the front door.\u003c/p>\n\u003cp>His organization has also been handing out lists of resources intended to help people deported to Tijuana, with addresses of shelters, medical centers and government offices.\u003c/p>\n\u003cp>On a recent evening, Jessica Rojas from the ACLU gave an immigrant rights presentation to around 100 people gathered in the auditorium of Savanna High School in Anaheim. Many listened through headsets as a volunteer translated her words into Spanish.\u003c/p>\n\u003cp>\"The first thing I want to mention is that everyone, regardless of citizenship status, is afforded constitutional rights,” she said, talking through bullet points written on a well-worn pad of butcher paper.\u003c/p>\n\u003cp>Afterward, a student group peddled snacks outside to raise funds. Marta Rivera, who attended the event, has lived in the U.S. illegally for 28 years. She and her husband own a home and recently bought a car. They have two daughters who are U.S. citizens.\u003c/p>\n\u003cp>Rivera said she and her husband recently signed a power of attorney giving their 21-year-old daughter authority over their assets in case they’re deported. They also assigned her to care for her 14-year-old sister, if need be.\u003c/p>\n\u003cp>Rivera said she’s constantly worried about getting detained, especially at bus stops as she travels to and from housecleaning jobs. But if she does get deported, she said at least she’d get to see her parents and another of her daughters who lives in Mexico with her two children.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>“As we say, my heart would again be split into two, here and there,” she said.\u003c/p>\n\n",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>\"\u003cem>Buenos días\u003c/em>, are you coming for a power of attorney?\"\u003c/p>\n\u003cp>That's how Hugo Salazar recently greeted a woman outside the door of the Orange County Labor Federation office in Anaheim.\u003c/p>\n\u003cp>“\u003cem>Sí\u003c/em>,\" the woman replied, and headed back to her car to round up the rest of her family.\u003c/p>\n\u003cp>Since January, Salazar and his colleagues at the Labor Federation -- an umbrella group for 95 unions in Orange County -- have helped several hundred immigrant families complete power-of-attorney documents designating someone to look after their affairs in case they’re detained by immigration authorities or deported.\u003c/p>\n\u003cp>\"We understood that many of our union members had family members who were undocumented,\" Salazar said, though he declined to estimate how many. \"And we see that literally people were having no plan of action.\"\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>Most clients are using notarized letters to designate someone to look after minor children or to liquidate property. At mass weekend clinics the Labor Federation has held, people have come from San Diego, Imperial and San Bernardino counties -- even Las Vegas -- to establish powers of attorney.\u003c/p>\n\u003cp>“Communities are afraid, they’re anxious. But we’re getting prepared,” said Salazar.\u003c/p>\n\u003cp>\u003c/p>\u003cp>\u003c/p>\u003cp>\u003c/p>\n\u003cp>Orange County is home to some 250,000 people living in the country illegally, according to the \u003ca href=\"http://www.ppic.org/main/publication_show.asp?i=818\">Public Policy Institute of California\u003c/a> -- about one in 12 residents.\u003c/p>\n\u003cp>A month after the Trump administration issued an executive order outlining expanded priorities for deportation, the consequences of the new policy are still taking shape on the ground.\u003c/p>\n\u003cp>Observers say they haven’t seen a spike in deportations in Orange County, but several high-profile incidents -- like the Los Angeles man who was detained by Immigration and Customs Enforcement officers after dropping his daughter off at school -- have put the immigrant community on edge.\u003c/p>\n\u003cp>Many are preparing for the worst, including taking measures to ensure their children will be cared for if immigration officials come knocking.\u003c/p>\n\u003cp>Cecilia Melgoza came to a recent Labor Federation clinic to assign her friend Elizabeth Marcado, a U.S. citizen, to take care of her 4-year-old daughter in case she is detained.\u003c/p>\n\u003cp>Melgoza came to the U.S. four years ago and doesn’t have legal residency.\u003c/p>\n\u003cp>“All the talk of your kids being given up for adoption or put in foster care is really scary,” Melgoza said in Spanish. “I wanted to make sure my daughter would be safe with someone who was born here.”\u003c/p>\n\u003cp>Marcado said she was ready to accept the responsibility of caring for Melgoza's daughter, if need be, until mother and daughter could be reunited. She's the one who suggested Melgoza sign a power of attorney.\u003c/p>\n\u003cp>\"It feels bad to know that it comes to this point where you have to be protected somehow or protect your kids, but I feel that nowadays it's necessary,\" Marcado said.\u003c/p>\n\u003cp>\u003c/p>\u003cp>\u003c/p>\u003cp>\u003c/p>\n\u003cp>Immigration lawyers are quick to point out that a power of attorney doesn’t transfer custody of a child. It just authorizes someone to care for the child temporarily in the absence of the child’s legal guardian and to make decision on behalf of the guardian.\u003c/p>\n\u003cp>Salazar from the labor federation said he emphasizes to immigrant families that establishing a power of attorney is just one step they should be taking to get prepared. School districts often have their own unique form establishing who can pick a child up from school if the parent is absent.\u003c/p>\n\u003cp>While families waited to sign powers of attorney at the recent clinic, Salazar quizzed clients on what to do if ICE officials show up at their door: Don’t open it; Ask them to slip paperwork under the door; Check to see if it’s a warrant signed by a judge.\u003c/p>\n\u003cp>He handed out a one-page comic illustrating the scenario and told people to put it on their refrigerator or tape it to the front door.\u003c/p>\n\u003cp>His organization has also been handing out lists of resources intended to help people deported to Tijuana, with addresses of shelters, medical centers and government offices.\u003c/p>\n\u003cp>On a recent evening, Jessica Rojas from the ACLU gave an immigrant rights presentation to around 100 people gathered in the auditorium of Savanna High School in Anaheim. Many listened through headsets as a volunteer translated her words into Spanish.\u003c/p>\n\u003cp>\"The first thing I want to mention is that everyone, regardless of citizenship status, is afforded constitutional rights,” she said, talking through bullet points written on a well-worn pad of butcher paper.\u003c/p>\n\u003cp>Afterward, a student group peddled snacks outside to raise funds. Marta Rivera, who attended the event, has lived in the U.S. illegally for 28 years. She and her husband own a home and recently bought a car. They have two daughters who are U.S. citizens.\u003c/p>\n\u003cp>Rivera said she and her husband recently signed a power of attorney giving their 21-year-old daughter authority over their assets in case they’re deported. They also assigned her to care for her 14-year-old sister, if need be.\u003c/p>\n\u003cp>Rivera said she’s constantly worried about getting detained, especially at bus stops as she travels to and from housecleaning jobs. But if she does get deported, she said at least she’d get to see her parents and another of her daughters who lives in Mexico with her two children.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>“As we say, my heart would again be split into two, here and there,” she said.\u003c/p>\n\n\u003c/div>\u003c/p>",
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"disqusTitle": "Hundreds of Babies Reported Harmed by Homeopathic Product",
"title": "Hundreds of Babies Reported Harmed by Homeopathic Product",
"headTitle": "KQED Future of You | KQED Science",
"content": "\u003cp>Case 7682299: Aug. 1, 2010. A mother gives her toddler three homeopathic pills to relieve her teething pain. Within minutes, the baby stops breathing.\u003c/p>\n\u003cp>“My daughter had a seizure, lost consciousness, and stopped breathing about 30 minutes after I gave her three Hyland’s Teething Tablets,” the mother later told the Food and Drug Administration. “She had to receive mouth-to-mouth CPR to resume breathing and was brought to the hospital.”\u003c/p>\n\u003cp>The company, \u003ca href=\"https://www.hylands.com/\" target=\"_blank\">Hyland’s\u003c/a>, promotes “safe, effective, and natural health solutions” that appeal to parents seeking alternative treatments. But the agency would soon hear much more about Hyland’s teething products. Staff at the FDA would come to consider Case 7682299 one of the luckier outcomes.\u003c/p>\n\u003cfigure id=\"attachment_341968\" class=\"wp-caption alignright\" style=\"max-width: 800px\">\u003cimg class=\"wp-image-341968 size-medium\" src=\"https://ww2.kqed.org/futureofyou/wp-content/uploads/sites/13/2017/02/homeopathic-800x800.jpg\" alt=\"A review of FDA records shows that some babies who were given Hyland’s teething products had repeated seizures, became delirious or turned blue and died. \" width=\"800\" height=\"800\" srcset=\"https://ww2.kqed.org/app/uploads/sites/13/2017/02/homeopathic-800x800.jpg 800w, https://ww2.kqed.org/app/uploads/sites/13/2017/02/homeopathic-160x160.jpg 160w, https://ww2.kqed.org/app/uploads/sites/13/2017/02/homeopathic-768x768.jpg 768w, https://ww2.kqed.org/app/uploads/sites/13/2017/02/homeopathic-1020x1020.jpg 1020w, https://ww2.kqed.org/app/uploads/sites/13/2017/02/homeopathic-1180x1180.jpg 1180w, https://ww2.kqed.org/app/uploads/sites/13/2017/02/homeopathic-960x960.jpg 960w, https://ww2.kqed.org/app/uploads/sites/13/2017/02/homeopathic-240x240.jpg 240w, https://ww2.kqed.org/app/uploads/sites/13/2017/02/homeopathic-375x375.jpg 375w, https://ww2.kqed.org/app/uploads/sites/13/2017/02/homeopathic-520x520.jpg 520w, https://ww2.kqed.org/app/uploads/sites/13/2017/02/homeopathic-32x32.jpg 32w, https://ww2.kqed.org/app/uploads/sites/13/2017/02/homeopathic-50x50.jpg 50w, https://ww2.kqed.org/app/uploads/sites/13/2017/02/homeopathic-64x64.jpg 64w, https://ww2.kqed.org/app/uploads/sites/13/2017/02/homeopathic-96x96.jpg 96w, https://ww2.kqed.org/app/uploads/sites/13/2017/02/homeopathic-128x128.jpg 128w, https://ww2.kqed.org/app/uploads/sites/13/2017/02/homeopathic-150x150.jpg 150w, https://ww2.kqed.org/app/uploads/sites/13/2017/02/homeopathic.jpg 1600w\" sizes=\"(max-width: 800px) 100vw, 800px\">\u003cfigcaption class=\"wp-caption-text\">A review of FDA records shows that some babies who were given Hyland’s teething products had repeated seizures, became delirious or turned blue and died. \u003ccite>(Photo from FDA)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>A review of FDA records obtained by STAT under the Freedom of Information Act paints a far grimmer picture: Babies who were given Hyland’s teething products turned blue and died. Babies had repeated seizures. Babies became delirious. Babies were airlifted to the hospital, where emergency room staff tried to figure out what had caused their legs and arms to start twitching.\u003cstrong> \u003c/strong>\u003c/p>\n\u003cp>Over a 10-year period, from 2006 to 2016, the FDA collected reports of “adverse events” in more than 370 children who had used Hyland’s homeopathic teething tablets or gel, a similar product that is applied directly to a baby’s gums. Agency records show eight cases in which babies were reported to have died after taking Hyland’s products, though the FDA says the question of whether those products caused the deaths is still under review.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>(The agency is also investigating two other deaths tied to teething remedies but declined to confirm the manufacturer of the products or provide the case reports.)\u003c/p>\n\u003cp>Following an \u003ca href=\"http://www.fda.gov/NewsEvents/Newsroom/PressAnnouncements/ucm523468.htm\" target=\"_blank\">FDA warning in September\u003c/a>, Hyland’s said that it \u003ca href=\"https://www.hylands.com/hylands-discontinues-teething-tablets-and-gels\" target=\"_blank\">would no longer manufacture\u003c/a> the teething products. But they remained on some store shelves for months, and are still available on the internet. They likely continue to be used in homes nationwide.\u003c/p>\n\u003cp>Hyland’s, a 114-year-old private company based in Los Angeles, is the nation’s largest homeopathic business. It insists its products are safe and says the FDA has failed to show there is a scientific link between them and infant seizures or other complications.\u003c/p>\n\u003cp>“That doesn’t mean that children don’t have a sensitivity to a product. There is a lot of sensitivity on kids’ parts and we have to watch carefully,” said a spokeswoman, Mary Borneman. “It’s not something that condemns the entire product line.”\u003c/p>\n\u003cp>Behind each of the FDA case numbers are angry and, in some cases, heartbroken parents. But a STAT examination — and the first detailed look at the case reports — also raises questions over the response of regulators.\u003c/p>\n\u003cp>It took four years until the FDA pushed Hyland’s to reformulate its remedies, in 2010. In the seven years since then, there has been a steady stream of reports of adverse events tied to Hyland’s homeopathic teething products.\u003c/p>\n\u003cp>“The FDA could bring the hammer down on them,” said Sarah Sorscher, an attorney for the nonprofit Public Citizen Health Research Group. “But it doesn’t. At the point where you have infants being hospitalized and deaths reported, it’s simply not acceptable for the agency to delay in taking action.”\u003c/p>\n\u003cp>An FDA spokeswoman defended the agency’s handling of the matter.\u003c/p>\n\u003cp>“It is important to note that while adverse event reports give us some information about a product and serious injuries or deaths related to use of a particular product, they often indicate situations that require additional analysis and do not constitute conclusive evidence of a problem with the product,” the spokeswoman, Lyndsay Meyer, said in a statement.\u003c/p>\n\u003cp>Despite the FDA’s difficulty in proving Hyland’s products harmed children, some doctors had no doubt.\u003c/p>\n\u003cp>In case 462749, dated Sept. 15, 2011, a physician sent Hyland’s a handwritten note, stating his patient, a 5-month-old girl, was unresponsive for 45 minutes after taking its teething tablets.\u003c/p>\n\u003cp>“I am sure this was not an allergic reaction,” he wrote. “I would like you to report it, find a contact at the FDA, so we can start an investigation and pull this dangerous, unregulated product from the shelves.”\u003c/p>\n\u003cp>One mother wrote the company to say her son’s pupils dilated “like marbles with big black eyes.” Another described seizures her daughter continued to have after taking the tablets and told the company, “I hate hate hate u for this.”\u003c/p>\n\u003cfigure id=\"attachment_342003\" class=\"wp-caption aligncenter\" style=\"max-width: 800px\">\u003cimg class=\"wp-image-342003 size-medium\" src=\"https://ww2.kqed.org/futureofyou/wp-content/uploads/sites/13/2017/02/homeophathadverse-800x450.jpg\" alt=\"homeophathadverse\" width=\"800\" height=\"450\" srcset=\"https://ww2.kqed.org/app/uploads/sites/13/2017/02/homeophathadverse-800x450.jpg 800w, https://ww2.kqed.org/app/uploads/sites/13/2017/02/homeophathadverse-160x90.jpg 160w, https://ww2.kqed.org/app/uploads/sites/13/2017/02/homeophathadverse-768x432.jpg 768w, https://ww2.kqed.org/app/uploads/sites/13/2017/02/homeophathadverse-1020x574.jpg 1020w, https://ww2.kqed.org/app/uploads/sites/13/2017/02/homeophathadverse.jpg 1920w, https://ww2.kqed.org/app/uploads/sites/13/2017/02/homeophathadverse-1180x664.jpg 1180w, https://ww2.kqed.org/app/uploads/sites/13/2017/02/homeophathadverse-960x540.jpg 960w, https://ww2.kqed.org/app/uploads/sites/13/2017/02/homeophathadverse-240x135.jpg 240w, https://ww2.kqed.org/app/uploads/sites/13/2017/02/homeophathadverse-375x211.jpg 375w, https://ww2.kqed.org/app/uploads/sites/13/2017/02/homeophathadverse-520x293.jpg 520w\" sizes=\"(max-width: 800px) 100vw, 800px\">\u003cfigcaption class=\"wp-caption-text\">Adverse event report on Hyland' teething tablets, sent to FDA. \u003ccite>(Photo by STAT)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>\u003cstrong>An Industry Giant in a Giant Industry\u003c/strong>\u003c/p>\n\u003cp>Hyland’s and its parent company, Standard Homeopathy Co., are considered major players in the homeopathic market. CEO \u003ca href=\"https://www.hylands.com/meet-the-team/jay-borneman\" target=\"_blank\">John P. Borneman\u003c/a> comes from a family that has been in the business for generations, and is president of the industry group that publishes the Homeopathic Pharmacopeia, a compendium that serves as the bible of the industry.\u003c/p>\n\u003cp>The company sells dozens of products for pain relief, stress, sleep problems, allergies, flu, and other maladies.\u003c/p>\n\u003cp>As with all homeopathic treatments, Hyland’s products are based on a theory that patients can benefit from highly diluted natural substances that, in their original form, might make people sick.\u003c/p>\n\u003cp>Despite a lack of scientific evidence that homeopathic remedies work, they are ubiquitous.\u003c/p>\n\u003cp>Homeopathy has become a multibillion-dollar industry. Its products are big sellers around the world, and popular with adherents from Cher to Prince Charles. The industry also has political clout: It has been able to exempt itself from many rules proposed by Congress and the FDA over the years.\u003c/p>\n\u003cp>Unlike pharmaceutical company-produced drugs, homeopathic products don’t have to prove that they are effective at treating anything in particular before going on the market. It is left to the FDA’s drug division to determine whether they are unsafe after they are on the market — a difficult task since the adverse event reports are generally considered to represent only a fraction of the actual incidents and may lack sufficient information to allow for thorough investigations.\u003c/p>\n\u003cp>“If I’m working in the emergency room and I have a family that comes in with a seizing infant, I may not have the wherewithal to get the history of homeopathic use,” said Dr. Edward W. Boyer, a toxicologist in Harvard Medical School’s emergency medicine department.\u003c/p>\n\u003cp>In some cases, parents assume that products described as natural remedies, as is the case with Hyland’s tablets and gels, could not possibly result in complications, and never mention their use to a doctor. Without sufficient evidence of a problem, the FDA lacks what it needs to use the enforcement tools it does have.\u003c/p>\n\u003cp>For Karinna Talbott, a 26-year-old mother in Colorado Springs, the fact that Hyland’s teething products were labeled “natural” made her lower her guard.\u003c/p>\n\u003cp>“When our fourth kiddo comes around and starts teething at three months, we were like, ‘OK, what can we do to give him some relief?’” Talbott said. “Someone told us about the teething tablets and we thought, ‘give them a try.' ’’\u003c/p>\n\u003cp>Shortly after her son began taking the tablets, she said, his hands began twitching.\u003c/p>\n\u003cp>“We didn’t correlate it to the teething tablets,” Talbott said. “And his symptoms got worse, went to his arms and his feet. Sometimes they all happened together.”\u003c/p>\n\u003cp>Talbott said her doctor was at first uncertain as to the cause. But when they stopped giving him the tablets, the seizures also stopped.\u003c/p>\n\u003cp>“The neurologist said, maybe he was a little sensitive to the products in the teething tablet.”\u003c/p>\n\u003cp>\u003cstrong>‘Deadly nightshade’\u003c/strong>\u003c/p>\n\u003cp>In investigating Hyland’s teething products, the FDA focused on an ingredient known as atropa belladonna, an herb known colloquially as “deadly nightshade.”\u003c/p>\n\u003cp>In diluted form, the substance is not expected to pose any health risk. In 2010, however, FDA inspectors who examined Hyland’s facilities criticized the company for substandard manufacturing practices and found inconsistent levels of atropa belladonna in its products.\u003c/p>\n\u003cp>The agency issued a public warning, noting “reports of serious adverse events in children taking this product that are consistent with belladonna toxicity.”\u003c/p>\n\u003cp>It also noted that “infants are very susceptible to the neurotoxicity of drugs” because of how the body distributes and responds to drugs, and noted that “absorption of belladonna from the skin and mouth was fairly rapid.”\u003c/p>\n\u003cp>The company voluntarily took the products off shelves and agreed to reformulate them, although it insisted they were safe.\u003c/p>\n\u003cp>“We felt it was the right thing to do so that parents didn’t have to be concerned about the product,” said Borneman, the spokeswoman.\u003c/p>\n\u003cp>But the number of serious adverse events tied by the FDA to the products kept climbing. Some pediatricians and neurologists concluded the tablets and gels were the cause. Many parents wrote to the FDA, accusingly, asking why the pills were still on the market.\u003c/p>\n\u003cp>“My son had 3 of Hyland’s Teething Tablets,” a mother told FDA on Feb. 13, 2012, noting that the product appeared to have caused several seizures. “I am shocked at the popularity of this product, which is growing, and the lack of knowledge among parents, as well as the lack of warnings on the labels. Parents desperately need to be warned about this product if it is going to stay on the shelves!!!! Please do something!”\u003c/p>\n\u003cp>In September 2016, the \u003ca href=\"http://www.fda.gov/NewsEvents/Newsroom/PressAnnouncements/ucm523468.htm\" target=\"_blank\">FDA announced\u003c/a> that it was investigating more adverse events reports and recommended that consumers stop using Hyland’s and other homeopathic teething products and dispose of any in their possession. Some stores, including Target and CVS, which sold Hyland’s and other homeopathic teething products, pulled them in response.\u003c/p>\n\u003cp>The FDA also asked Hyland’s to recall its products again. But this time Hyland’s stood its ground, and the agency has no authority to enforce a recall of homeopathic products.\u003c/p>\n\u003cp>Borneman said the company’s “pharmacovigilance program,” a product safety review system launched after 2010, offers proof that the treatments are safe.\u003c/p>\n\u003cp>“Homeopathic medicine has a very large margin of safety,” she said. “Our testing ensures there’s not too much belladonna in any bottle” of tablets.\u003c/p>\n\u003cp>At the same time, the company decided to stop manufacturing the teething tablets. In an \u003ca href=\"https://www.hylands.com/hylands-discontinues-teething-tablets-and-gels\" target=\"_blank\">open letter to customers\u003c/a>, Hyland’s said the FDA warning had “created confusion among parents.”\u003c/p>\n\u003cp>“Putting you in a position of having to choose who to trust in the face of contradictory information is burdensome and undermines the FDA,” the company said, while insisting Hyland’s products, “including those you already have, are safe for use.”\u003c/p>\n\u003cp>Several weeks ago, on Jan. 27, the FDA \u003ca href=\"http://www.fda.gov/NewsEvents/Newsroom/PressAnnouncements/ucm538684.htm\" target=\"_blank\">issued another warning\u003c/a>, saying that laboratory analysis of Hyland’s teething tablets found levels of belladonna “sometimes far exceeding the amount claimed on the label.” The agency warned consumers not to use the products and to seek medical care immediately if their child has seizures, difficulty breathing, lethargy, muscle weakness, or other problems after using homeopathic teething products.\u003c/p>\n\u003cp>The FDA also said there was no evidence that they actually worked.\u003c/p>\n\u003cfigure id=\"attachment_342006\" class=\"wp-caption aligncenter\" style=\"max-width: 768px\">\u003cimg class=\"wp-image-342006 size-full\" src=\"https://ww2.kqed.org/futureofyou/wp-content/uploads/sites/13/2017/02/homeopathicevent.jpg\" alt=\"homeopathicevent\" width=\"768\" height=\"432\" srcset=\"https://ww2.kqed.org/app/uploads/sites/13/2017/02/homeopathicevent.jpg 768w, https://ww2.kqed.org/app/uploads/sites/13/2017/02/homeopathicevent-160x90.jpg 160w, https://ww2.kqed.org/app/uploads/sites/13/2017/02/homeopathicevent-240x135.jpg 240w, https://ww2.kqed.org/app/uploads/sites/13/2017/02/homeopathicevent-375x211.jpg 375w, https://ww2.kqed.org/app/uploads/sites/13/2017/02/homeopathicevent-520x293.jpg 520w\" sizes=\"(max-width: 768px) 100vw, 768px\">\u003cfigcaption class=\"wp-caption-text\">Report sent to FDA by a physician. \u003ccite>(Photo by STAT)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>\u003cstrong>Cracks in the FDA’s Authority\u003c/strong>\u003c/p>\n\u003cp>With concerns about toxic levels of belladonna, and the sheer number of cases of adverse events, some critics — and parents — say the FDA should have moved faster in the case of Hyland’s.\u003c/p>\n\u003cp>But they also acknowledge that the episode underlines the cracks in the agency’s regulatory power when it comes to homeopathic products. There is no set mathematical formula or official standard that spells out how many sick or deceased children must be reported before the FDA seizes a company’s inventory or levies fines or shuts it down.\u003c/p>\n\u003cp>Critics say the fact that homeopathic products are generally highly diluted has kept them on the FDA’s back burner.\u003c/p>\n\u003cp>“It’s low on their priority list,” said Dr. Aaron S. Kesselheim, who \u003ca href=\"http://www.nejm.org/doi/full/10.1056/NEJMp1513393#t=article\" target=\"_blank\">coauthored a paper\u003c/a> in the New England Journal of Medicine last year on the subject. “FDA for a long time just kind of deferred on homeopathic products because they are mostly inert and so diluted. The harm comes from people wasting their money, or diverting them from things that do work.”\u003c/p>\n\u003cp>In the case of some of Hyland’s products, however, Kesselheim believes that the toxic levels of belladonna show a substantial safety problem, putting a responsibility on FDA to respond.\u003c/p>\n\u003cp>One problem the FDA has in doing so is a matter of staffing: The agency has a medical officer review each report from manufacturers, but it doesn’t have someone who can routinely follow up with the patient, the patient’s family, or physician for missing records necessary to take a serious enforcement action.\u003c/p>\n\u003cp>“Is it fair to criticize FDA for the time lag between 2010 and now?” says Patricia Zettler, a former FDA counsel and associate law professor at Georgia State University. “I think the agency is in a tough position, with these kinds of products and with adverse event reports in general. They are not necessarily a perfect indication of something happening with a drug.”\u003c/p>\n\u003cp>“That said,” Zettler added, “it does sound like this is a product the agency was concerned about. It’s tough to parse out whether two reports of seizures should have been enough, or three or 10. There’s a balance the agency has to strike between acting quickly on safety information and not overreacting to something that may not actually be caused by the product.”\u003c/p>\n\u003cp>Public Citizen’s Sorscher said criminal cases take years to pursue, so the FDA would much prefer voluntary compliance.\u003c/p>\n\u003cp>“They don’t have a mechanism to say, ‘this ingredient is unsafe, nobody should sell it,’” she said. “It might be time for Congress to give FDA a standard and say, you can issue a regulation saying no one can make it anymore.”\u003c/p>\n\u003cp>Outraged by the standoff between FDA and Hyland’s, Connecticut Democratic Representative Rosa DeLauro \u003ca href=\"https://delauro.house.gov/media-center/press-releases/delauro-introduces-bill-give-fda-mandatory-recall-authority-over-drugs\" target=\"_blank\">introduced a bill last week\u003c/a> called the Recall Unsafe Drugs Act. The proposal would give the FDA mandatory recall authority over homeopathic products and drugs.\u003c/p>\n\u003cp>“Hyland’s refusal to recall its teething tablets, despite numerous health and safety warnings from the FDA, is downright shameful,” DeLauro said, adding that the company “is choosing instead to prioritize the company’s profits and reputation before the safety of our children.”\u003c/p>\n\u003cp>“As it stands the FDA would have to go through an arduous legal process to take action against manufacturers such as Hyland’s. This is unacceptable and threatens the health and safety of American families.’’\u003c/p>\n\u003cp>For the parents of Case 10723317, any action would come too late. A mother reported that on July 9, 2014, her 9-month-old daughter died after being given two teething tablets, crushed, for the first time. She gave her infant the tablets, then a bottle, and then left her to sleep. When she checked on her 45 minutes later, she was dead in her crib, beside a puddle of vomit.\u003c/p>\n\u003cp>Five months later, after reading online reports suggesting babies may experience seizures after taking belladonna, she contacted Hyland’s.\u003c/p>\n\u003cp>“Customer did not request a refund or replacement,” noted the Hyland’s staffer who filed the report with the FDA. Hyland’s also noted that it was not able to test the bottle, because the customer threw it away.\u003c/p>\n\u003cp>“Due to the limited information provided by the reporter no further investigation is possible at this time of this incident,” the company concluded.\u003c/p>\n\u003cp>\u003cem>Ike Swetlitz contributed reporting.\u003c/em>\u003c/p>\n\u003cp>[ad floatright]\u003c/p>\n\u003cp>\u003cem>This \u003ca href=\"https://www.statnews.com/2017/02/21/hylands-homeopathic-teething-fda/\" target=\"_blank\">story\u003c/a> was originally published by STAT, an online publication of Boston Globe Media that covers health, medicine, and scientific discovery.\u003c/em>\u003c/p>\n\n",
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"excerpt": "The FDA has collected reports of 'adverse events' in over 370 children who used Hyland’s homeopathic teething products, and the agency is investigating whether the products caused the deaths of eight babies. ",
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"description": "The FDA has collected reports of 'adverse events' in over 370 children who used Hyland’s homeopathic teething products, and the agency is investigating whether the products caused the deaths of eight babies. ",
"title": "Hundreds of Babies Reported Harmed by Homeopathic Product | KQED",
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"headline": "Hundreds of Babies Reported Harmed by Homeopathic Product",
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"nprByline": "Sheila Kaplan\u003cbr />\u003ca href=\"https://www.statnews.com/\">STAT\u003c/a>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>Case 7682299: Aug. 1, 2010. A mother gives her toddler three homeopathic pills to relieve her teething pain. Within minutes, the baby stops breathing.\u003c/p>\n\u003cp>“My daughter had a seizure, lost consciousness, and stopped breathing about 30 minutes after I gave her three Hyland’s Teething Tablets,” the mother later told the Food and Drug Administration. “She had to receive mouth-to-mouth CPR to resume breathing and was brought to the hospital.”\u003c/p>\n\u003cp>The company, \u003ca href=\"https://www.hylands.com/\" target=\"_blank\">Hyland’s\u003c/a>, promotes “safe, effective, and natural health solutions” that appeal to parents seeking alternative treatments. But the agency would soon hear much more about Hyland’s teething products. Staff at the FDA would come to consider Case 7682299 one of the luckier outcomes.\u003c/p>\n\u003cfigure id=\"attachment_341968\" class=\"wp-caption alignright\" style=\"max-width: 800px\">\u003cimg class=\"wp-image-341968 size-medium\" src=\"https://ww2.kqed.org/futureofyou/wp-content/uploads/sites/13/2017/02/homeopathic-800x800.jpg\" alt=\"A review of FDA records shows that some babies who were given Hyland’s teething products had repeated seizures, became delirious or turned blue and died. \" width=\"800\" height=\"800\" srcset=\"https://ww2.kqed.org/app/uploads/sites/13/2017/02/homeopathic-800x800.jpg 800w, https://ww2.kqed.org/app/uploads/sites/13/2017/02/homeopathic-160x160.jpg 160w, https://ww2.kqed.org/app/uploads/sites/13/2017/02/homeopathic-768x768.jpg 768w, https://ww2.kqed.org/app/uploads/sites/13/2017/02/homeopathic-1020x1020.jpg 1020w, https://ww2.kqed.org/app/uploads/sites/13/2017/02/homeopathic-1180x1180.jpg 1180w, https://ww2.kqed.org/app/uploads/sites/13/2017/02/homeopathic-960x960.jpg 960w, https://ww2.kqed.org/app/uploads/sites/13/2017/02/homeopathic-240x240.jpg 240w, https://ww2.kqed.org/app/uploads/sites/13/2017/02/homeopathic-375x375.jpg 375w, https://ww2.kqed.org/app/uploads/sites/13/2017/02/homeopathic-520x520.jpg 520w, https://ww2.kqed.org/app/uploads/sites/13/2017/02/homeopathic-32x32.jpg 32w, https://ww2.kqed.org/app/uploads/sites/13/2017/02/homeopathic-50x50.jpg 50w, https://ww2.kqed.org/app/uploads/sites/13/2017/02/homeopathic-64x64.jpg 64w, https://ww2.kqed.org/app/uploads/sites/13/2017/02/homeopathic-96x96.jpg 96w, https://ww2.kqed.org/app/uploads/sites/13/2017/02/homeopathic-128x128.jpg 128w, https://ww2.kqed.org/app/uploads/sites/13/2017/02/homeopathic-150x150.jpg 150w, https://ww2.kqed.org/app/uploads/sites/13/2017/02/homeopathic.jpg 1600w\" sizes=\"(max-width: 800px) 100vw, 800px\">\u003cfigcaption class=\"wp-caption-text\">A review of FDA records shows that some babies who were given Hyland’s teething products had repeated seizures, became delirious or turned blue and died. \u003ccite>(Photo from FDA)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>A review of FDA records obtained by STAT under the Freedom of Information Act paints a far grimmer picture: Babies who were given Hyland’s teething products turned blue and died. Babies had repeated seizures. Babies became delirious. Babies were airlifted to the hospital, where emergency room staff tried to figure out what had caused their legs and arms to start twitching.\u003cstrong> \u003c/strong>\u003c/p>\n\u003cp>Over a 10-year period, from 2006 to 2016, the FDA collected reports of “adverse events” in more than 370 children who had used Hyland’s homeopathic teething tablets or gel, a similar product that is applied directly to a baby’s gums. Agency records show eight cases in which babies were reported to have died after taking Hyland’s products, though the FDA says the question of whether those products caused the deaths is still under review.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>(The agency is also investigating two other deaths tied to teething remedies but declined to confirm the manufacturer of the products or provide the case reports.)\u003c/p>\n\u003cp>Following an \u003ca href=\"http://www.fda.gov/NewsEvents/Newsroom/PressAnnouncements/ucm523468.htm\" target=\"_blank\">FDA warning in September\u003c/a>, Hyland’s said that it \u003ca href=\"https://www.hylands.com/hylands-discontinues-teething-tablets-and-gels\" target=\"_blank\">would no longer manufacture\u003c/a> the teething products. But they remained on some store shelves for months, and are still available on the internet. They likely continue to be used in homes nationwide.\u003c/p>\n\u003cp>Hyland’s, a 114-year-old private company based in Los Angeles, is the nation’s largest homeopathic business. It insists its products are safe and says the FDA has failed to show there is a scientific link between them and infant seizures or other complications.\u003c/p>\n\u003cp>“That doesn’t mean that children don’t have a sensitivity to a product. There is a lot of sensitivity on kids’ parts and we have to watch carefully,” said a spokeswoman, Mary Borneman. “It’s not something that condemns the entire product line.”\u003c/p>\n\u003cp>Behind each of the FDA case numbers are angry and, in some cases, heartbroken parents. But a STAT examination — and the first detailed look at the case reports — also raises questions over the response of regulators.\u003c/p>\n\u003cp>It took four years until the FDA pushed Hyland’s to reformulate its remedies, in 2010. In the seven years since then, there has been a steady stream of reports of adverse events tied to Hyland’s homeopathic teething products.\u003c/p>\n\u003cp>“The FDA could bring the hammer down on them,” said Sarah Sorscher, an attorney for the nonprofit Public Citizen Health Research Group. “But it doesn’t. At the point where you have infants being hospitalized and deaths reported, it’s simply not acceptable for the agency to delay in taking action.”\u003c/p>\n\u003cp>An FDA spokeswoman defended the agency’s handling of the matter.\u003c/p>\n\u003cp>“It is important to note that while adverse event reports give us some information about a product and serious injuries or deaths related to use of a particular product, they often indicate situations that require additional analysis and do not constitute conclusive evidence of a problem with the product,” the spokeswoman, Lyndsay Meyer, said in a statement.\u003c/p>\n\u003cp>Despite the FDA’s difficulty in proving Hyland’s products harmed children, some doctors had no doubt.\u003c/p>\n\u003cp>In case 462749, dated Sept. 15, 2011, a physician sent Hyland’s a handwritten note, stating his patient, a 5-month-old girl, was unresponsive for 45 minutes after taking its teething tablets.\u003c/p>\n\u003cp>“I am sure this was not an allergic reaction,” he wrote. “I would like you to report it, find a contact at the FDA, so we can start an investigation and pull this dangerous, unregulated product from the shelves.”\u003c/p>\n\u003cp>One mother wrote the company to say her son’s pupils dilated “like marbles with big black eyes.” Another described seizures her daughter continued to have after taking the tablets and told the company, “I hate hate hate u for this.”\u003c/p>\n\u003cfigure id=\"attachment_342003\" class=\"wp-caption aligncenter\" style=\"max-width: 800px\">\u003cimg class=\"wp-image-342003 size-medium\" src=\"https://ww2.kqed.org/futureofyou/wp-content/uploads/sites/13/2017/02/homeophathadverse-800x450.jpg\" alt=\"homeophathadverse\" width=\"800\" height=\"450\" srcset=\"https://ww2.kqed.org/app/uploads/sites/13/2017/02/homeophathadverse-800x450.jpg 800w, https://ww2.kqed.org/app/uploads/sites/13/2017/02/homeophathadverse-160x90.jpg 160w, https://ww2.kqed.org/app/uploads/sites/13/2017/02/homeophathadverse-768x432.jpg 768w, https://ww2.kqed.org/app/uploads/sites/13/2017/02/homeophathadverse-1020x574.jpg 1020w, https://ww2.kqed.org/app/uploads/sites/13/2017/02/homeophathadverse.jpg 1920w, https://ww2.kqed.org/app/uploads/sites/13/2017/02/homeophathadverse-1180x664.jpg 1180w, https://ww2.kqed.org/app/uploads/sites/13/2017/02/homeophathadverse-960x540.jpg 960w, https://ww2.kqed.org/app/uploads/sites/13/2017/02/homeophathadverse-240x135.jpg 240w, https://ww2.kqed.org/app/uploads/sites/13/2017/02/homeophathadverse-375x211.jpg 375w, https://ww2.kqed.org/app/uploads/sites/13/2017/02/homeophathadverse-520x293.jpg 520w\" sizes=\"(max-width: 800px) 100vw, 800px\">\u003cfigcaption class=\"wp-caption-text\">Adverse event report on Hyland' teething tablets, sent to FDA. \u003ccite>(Photo by STAT)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>\u003cstrong>An Industry Giant in a Giant Industry\u003c/strong>\u003c/p>\n\u003cp>Hyland’s and its parent company, Standard Homeopathy Co., are considered major players in the homeopathic market. CEO \u003ca href=\"https://www.hylands.com/meet-the-team/jay-borneman\" target=\"_blank\">John P. Borneman\u003c/a> comes from a family that has been in the business for generations, and is president of the industry group that publishes the Homeopathic Pharmacopeia, a compendium that serves as the bible of the industry.\u003c/p>\n\u003cp>The company sells dozens of products for pain relief, stress, sleep problems, allergies, flu, and other maladies.\u003c/p>\n\u003cp>As with all homeopathic treatments, Hyland’s products are based on a theory that patients can benefit from highly diluted natural substances that, in their original form, might make people sick.\u003c/p>\n\u003cp>Despite a lack of scientific evidence that homeopathic remedies work, they are ubiquitous.\u003c/p>\n\u003cp>Homeopathy has become a multibillion-dollar industry. Its products are big sellers around the world, and popular with adherents from Cher to Prince Charles. The industry also has political clout: It has been able to exempt itself from many rules proposed by Congress and the FDA over the years.\u003c/p>\n\u003cp>Unlike pharmaceutical company-produced drugs, homeopathic products don’t have to prove that they are effective at treating anything in particular before going on the market. It is left to the FDA’s drug division to determine whether they are unsafe after they are on the market — a difficult task since the adverse event reports are generally considered to represent only a fraction of the actual incidents and may lack sufficient information to allow for thorough investigations.\u003c/p>\n\u003cp>“If I’m working in the emergency room and I have a family that comes in with a seizing infant, I may not have the wherewithal to get the history of homeopathic use,” said Dr. Edward W. Boyer, a toxicologist in Harvard Medical School’s emergency medicine department.\u003c/p>\n\u003cp>In some cases, parents assume that products described as natural remedies, as is the case with Hyland’s tablets and gels, could not possibly result in complications, and never mention their use to a doctor. Without sufficient evidence of a problem, the FDA lacks what it needs to use the enforcement tools it does have.\u003c/p>\n\u003cp>For Karinna Talbott, a 26-year-old mother in Colorado Springs, the fact that Hyland’s teething products were labeled “natural” made her lower her guard.\u003c/p>\n\u003cp>“When our fourth kiddo comes around and starts teething at three months, we were like, ‘OK, what can we do to give him some relief?’” Talbott said. “Someone told us about the teething tablets and we thought, ‘give them a try.' ’’\u003c/p>\n\u003cp>Shortly after her son began taking the tablets, she said, his hands began twitching.\u003c/p>\n\u003cp>“We didn’t correlate it to the teething tablets,” Talbott said. “And his symptoms got worse, went to his arms and his feet. Sometimes they all happened together.”\u003c/p>\n\u003cp>Talbott said her doctor was at first uncertain as to the cause. But when they stopped giving him the tablets, the seizures also stopped.\u003c/p>\n\u003cp>“The neurologist said, maybe he was a little sensitive to the products in the teething tablet.”\u003c/p>\n\u003cp>\u003cstrong>‘Deadly nightshade’\u003c/strong>\u003c/p>\n\u003cp>In investigating Hyland’s teething products, the FDA focused on an ingredient known as atropa belladonna, an herb known colloquially as “deadly nightshade.”\u003c/p>\n\u003cp>In diluted form, the substance is not expected to pose any health risk. In 2010, however, FDA inspectors who examined Hyland’s facilities criticized the company for substandard manufacturing practices and found inconsistent levels of atropa belladonna in its products.\u003c/p>\n\u003cp>The agency issued a public warning, noting “reports of serious adverse events in children taking this product that are consistent with belladonna toxicity.”\u003c/p>\n\u003cp>It also noted that “infants are very susceptible to the neurotoxicity of drugs” because of how the body distributes and responds to drugs, and noted that “absorption of belladonna from the skin and mouth was fairly rapid.”\u003c/p>\n\u003cp>The company voluntarily took the products off shelves and agreed to reformulate them, although it insisted they were safe.\u003c/p>\n\u003cp>“We felt it was the right thing to do so that parents didn’t have to be concerned about the product,” said Borneman, the spokeswoman.\u003c/p>\n\u003cp>But the number of serious adverse events tied by the FDA to the products kept climbing. Some pediatricians and neurologists concluded the tablets and gels were the cause. Many parents wrote to the FDA, accusingly, asking why the pills were still on the market.\u003c/p>\n\u003cp>“My son had 3 of Hyland’s Teething Tablets,” a mother told FDA on Feb. 13, 2012, noting that the product appeared to have caused several seizures. “I am shocked at the popularity of this product, which is growing, and the lack of knowledge among parents, as well as the lack of warnings on the labels. Parents desperately need to be warned about this product if it is going to stay on the shelves!!!! Please do something!”\u003c/p>\n\u003cp>In September 2016, the \u003ca href=\"http://www.fda.gov/NewsEvents/Newsroom/PressAnnouncements/ucm523468.htm\" target=\"_blank\">FDA announced\u003c/a> that it was investigating more adverse events reports and recommended that consumers stop using Hyland’s and other homeopathic teething products and dispose of any in their possession. Some stores, including Target and CVS, which sold Hyland’s and other homeopathic teething products, pulled them in response.\u003c/p>\n\u003cp>The FDA also asked Hyland’s to recall its products again. But this time Hyland’s stood its ground, and the agency has no authority to enforce a recall of homeopathic products.\u003c/p>\n\u003cp>Borneman said the company’s “pharmacovigilance program,” a product safety review system launched after 2010, offers proof that the treatments are safe.\u003c/p>\n\u003cp>“Homeopathic medicine has a very large margin of safety,” she said. “Our testing ensures there’s not too much belladonna in any bottle” of tablets.\u003c/p>\n\u003cp>At the same time, the company decided to stop manufacturing the teething tablets. In an \u003ca href=\"https://www.hylands.com/hylands-discontinues-teething-tablets-and-gels\" target=\"_blank\">open letter to customers\u003c/a>, Hyland’s said the FDA warning had “created confusion among parents.”\u003c/p>\n\u003cp>“Putting you in a position of having to choose who to trust in the face of contradictory information is burdensome and undermines the FDA,” the company said, while insisting Hyland’s products, “including those you already have, are safe for use.”\u003c/p>\n\u003cp>Several weeks ago, on Jan. 27, the FDA \u003ca href=\"http://www.fda.gov/NewsEvents/Newsroom/PressAnnouncements/ucm538684.htm\" target=\"_blank\">issued another warning\u003c/a>, saying that laboratory analysis of Hyland’s teething tablets found levels of belladonna “sometimes far exceeding the amount claimed on the label.” The agency warned consumers not to use the products and to seek medical care immediately if their child has seizures, difficulty breathing, lethargy, muscle weakness, or other problems after using homeopathic teething products.\u003c/p>\n\u003cp>The FDA also said there was no evidence that they actually worked.\u003c/p>\n\u003cfigure id=\"attachment_342006\" class=\"wp-caption aligncenter\" style=\"max-width: 768px\">\u003cimg class=\"wp-image-342006 size-full\" src=\"https://ww2.kqed.org/futureofyou/wp-content/uploads/sites/13/2017/02/homeopathicevent.jpg\" alt=\"homeopathicevent\" width=\"768\" height=\"432\" srcset=\"https://ww2.kqed.org/app/uploads/sites/13/2017/02/homeopathicevent.jpg 768w, https://ww2.kqed.org/app/uploads/sites/13/2017/02/homeopathicevent-160x90.jpg 160w, https://ww2.kqed.org/app/uploads/sites/13/2017/02/homeopathicevent-240x135.jpg 240w, https://ww2.kqed.org/app/uploads/sites/13/2017/02/homeopathicevent-375x211.jpg 375w, https://ww2.kqed.org/app/uploads/sites/13/2017/02/homeopathicevent-520x293.jpg 520w\" sizes=\"(max-width: 768px) 100vw, 768px\">\u003cfigcaption class=\"wp-caption-text\">Report sent to FDA by a physician. \u003ccite>(Photo by STAT)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>\u003cstrong>Cracks in the FDA’s Authority\u003c/strong>\u003c/p>\n\u003cp>With concerns about toxic levels of belladonna, and the sheer number of cases of adverse events, some critics — and parents — say the FDA should have moved faster in the case of Hyland’s.\u003c/p>\n\u003cp>But they also acknowledge that the episode underlines the cracks in the agency’s regulatory power when it comes to homeopathic products. There is no set mathematical formula or official standard that spells out how many sick or deceased children must be reported before the FDA seizes a company’s inventory or levies fines or shuts it down.\u003c/p>\n\u003cp>Critics say the fact that homeopathic products are generally highly diluted has kept them on the FDA’s back burner.\u003c/p>\n\u003cp>“It’s low on their priority list,” said Dr. Aaron S. Kesselheim, who \u003ca href=\"http://www.nejm.org/doi/full/10.1056/NEJMp1513393#t=article\" target=\"_blank\">coauthored a paper\u003c/a> in the New England Journal of Medicine last year on the subject. “FDA for a long time just kind of deferred on homeopathic products because they are mostly inert and so diluted. The harm comes from people wasting their money, or diverting them from things that do work.”\u003c/p>\n\u003cp>In the case of some of Hyland’s products, however, Kesselheim believes that the toxic levels of belladonna show a substantial safety problem, putting a responsibility on FDA to respond.\u003c/p>\n\u003cp>One problem the FDA has in doing so is a matter of staffing: The agency has a medical officer review each report from manufacturers, but it doesn’t have someone who can routinely follow up with the patient, the patient’s family, or physician for missing records necessary to take a serious enforcement action.\u003c/p>\n\u003cp>“Is it fair to criticize FDA for the time lag between 2010 and now?” says Patricia Zettler, a former FDA counsel and associate law professor at Georgia State University. “I think the agency is in a tough position, with these kinds of products and with adverse event reports in general. They are not necessarily a perfect indication of something happening with a drug.”\u003c/p>\n\u003cp>“That said,” Zettler added, “it does sound like this is a product the agency was concerned about. It’s tough to parse out whether two reports of seizures should have been enough, or three or 10. There’s a balance the agency has to strike between acting quickly on safety information and not overreacting to something that may not actually be caused by the product.”\u003c/p>\n\u003cp>Public Citizen’s Sorscher said criminal cases take years to pursue, so the FDA would much prefer voluntary compliance.\u003c/p>\n\u003cp>“They don’t have a mechanism to say, ‘this ingredient is unsafe, nobody should sell it,’” she said. “It might be time for Congress to give FDA a standard and say, you can issue a regulation saying no one can make it anymore.”\u003c/p>\n\u003cp>Outraged by the standoff between FDA and Hyland’s, Connecticut Democratic Representative Rosa DeLauro \u003ca href=\"https://delauro.house.gov/media-center/press-releases/delauro-introduces-bill-give-fda-mandatory-recall-authority-over-drugs\" target=\"_blank\">introduced a bill last week\u003c/a> called the Recall Unsafe Drugs Act. The proposal would give the FDA mandatory recall authority over homeopathic products and drugs.\u003c/p>\n\u003cp>“Hyland’s refusal to recall its teething tablets, despite numerous health and safety warnings from the FDA, is downright shameful,” DeLauro said, adding that the company “is choosing instead to prioritize the company’s profits and reputation before the safety of our children.”\u003c/p>\n\u003cp>“As it stands the FDA would have to go through an arduous legal process to take action against manufacturers such as Hyland’s. This is unacceptable and threatens the health and safety of American families.’’\u003c/p>\n\u003cp>For the parents of Case 10723317, any action would come too late. A mother reported that on July 9, 2014, her 9-month-old daughter died after being given two teething tablets, crushed, for the first time. She gave her infant the tablets, then a bottle, and then left her to sleep. When she checked on her 45 minutes later, she was dead in her crib, beside a puddle of vomit.\u003c/p>\n\u003cp>Five months later, after reading online reports suggesting babies may experience seizures after taking belladonna, she contacted Hyland’s.\u003c/p>\n\u003cp>“Customer did not request a refund or replacement,” noted the Hyland’s staffer who filed the report with the FDA. Hyland’s also noted that it was not able to test the bottle, because the customer threw it away.\u003c/p>\n\u003cp>“Due to the limited information provided by the reporter no further investigation is possible at this time of this incident,” the company concluded.\u003c/p>\n\u003cp>\u003cem>Ike Swetlitz contributed reporting.\u003c/em>\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>\u003cem>This \u003ca href=\"https://www.statnews.com/2017/02/21/hylands-homeopathic-teething-fda/\" target=\"_blank\">story\u003c/a> was originally published by STAT, an online publication of Boston Globe Media that covers health, medicine, and scientific discovery.\u003c/em>\u003c/p>\n\n\u003c/div>\u003c/p>",
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"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.",
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},
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"info": "KQED’s statewide radio news program providing daily coverage of issues, trends and public policy decisions.",
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"order": 8
},
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"airtime": "SUN 1pm-2pm, TUE 10pm, WED 1am",
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"source": "City Arts & Lectures"
},
"link": "https://www.cityarts.net",
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"order": 1
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"info": "\u003cem>Code Switch\u003c/em>, which listeners will hear in the first part of the hour, has fearless and much-needed conversations about race. Hosted by journalists of color, the show tackles the subject of race head-on, exploring how it impacts every part of society — from politics and pop culture to history, sports and more.\u003cbr />\u003cbr />\u003cem>Life Kit\u003c/em>, which will be in the second part of the hour, guides you through spaces and feelings no one prepares you for — from finances to mental health, from workplace microaggressions to imposter syndrome, from relationships to parenting. The show features experts with real world experience and shares their knowledge. Because everyone needs a little help being human.\u003cbr />\u003cbr />\u003ca href=\"https://www.npr.org/podcasts/510312/codeswitch\">\u003cem>Code Switch\u003c/em> offical site and podcast\u003c/a>\u003cbr />\u003ca href=\"https://www.npr.org/lifekit\">\u003cem>Life Kit\u003c/em> offical site and podcast\u003c/a>\u003cbr />",
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"id": "commonwealth-club",
"title": "Commonwealth Club of California Podcast",
"info": "The Commonwealth Club of California is the nation's oldest and largest public affairs forum. As a non-partisan forum, The Club brings to the public airwaves diverse viewpoints on important topics. The Club's weekly radio broadcast - the oldest in the U.S., dating back to 1924 - is carried across the nation on public radio stations and is now podcasting. Our website archive features audio of our recent programs, as well as selected speeches from our long and distinguished history. This podcast feed is usually updated twice a week and is always un-edited.",
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"source": "Commonwealth Club of California"
},
"link": "/radio/program/commonwealth-club",
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"info": "KQED’s live call-in program discussing local, state, national and international issues, as well as in-depth interviews.",
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"imageSrc": "https://cdn.kqed.org/wp-content/uploads/2024/04/Forum-Podcast-Tile-703x703-1.jpg",
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"order": 9
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"info": "A live production of NPR and WBUR Boston, in collaboration with stations across the country, Here & Now reflects the fluid world of news as it's happening in the middle of the day, with timely, in-depth news, interviews and conversation. Hosted by Robin Young, Jeremy Hobson and Tonya Mosley.",
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"hidden-brain": {
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"info": "Shankar Vedantam uses science and storytelling to reveal the unconscious patterns that drive human behavior, shape our choices and direct our relationships.",
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"airtime": "SUN 7pm-8pm",
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"source": "NPR"
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"how-i-built-this": {
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"info": "Guy Raz dives into the stories behind some of the world's best known companies. How I Built This weaves a narrative journey about innovators, entrepreneurs and idealists—and the movements they built.",
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"airtime": "SUN 7:30pm-8pm",
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"hyphenacion": {
"id": "hyphenacion",
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"tagline": "Where conversation and cultura meet",
"info": "What kind of no sabo word is Hyphenación? For us, it’s about living within a hyphenation. Like being a third-gen Mexican-American from the Texas border now living that Bay Area Chicano life. Like Xorje! Each week we bring together a couple of hyphenated Latinos to talk all about personal life choices: family, careers, relationships, belonging … everything is on the table. ",
"imageSrc": "https://cdn.kqed.org/wp-content/uploads/2025/03/Hyphenacion_FinalAssets_PodcastTile.png",
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},
"jerrybrown": {
"id": "jerrybrown",
"title": "The Political Mind of Jerry Brown",
"tagline": "Lessons from a lifetime in politics",
"info": "The Political Mind of Jerry Brown brings listeners the wisdom of the former Governor, Mayor, and presidential candidate. Scott Shafer interviewed Brown for more than 40 hours, covering the former governor's life and half-century in the political game – and Brown has some lessons he'd like to share. ",
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"order": 18
},
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},
"latino-usa": {
"id": "latino-usa",
"title": "Latino USA",
"airtime": "MON 1am-2am, SUN 6pm-7pm",
"info": "Latino USA, the radio journal of news and culture, is the only national, English-language radio program produced from a Latino perspective.",
"imageSrc": "https://ww2.kqed.org/radio/wp-content/uploads/sites/50/2018/04/latinoUsa.jpg",
"officialWebsiteLink": "http://latinousa.org/",
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},
"link": "/radio/program/latino-usa",
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"apple": "https://itunes.apple.com/WebObjects/MZStore.woa/wa/viewPodcast?s=143441&mt=2&id=79681317&at=11l79Y&ct=nprdirectory",
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"rss": "https://feeds.npr.org/510016/podcast.xml"
}
},
"marketplace": {
"id": "marketplace",
"title": "Marketplace",
"info": "Our flagship program, helmed by Kai Ryssdal, examines what the day in money delivered, through stories, conversations, newsworthy numbers and more. Updated Monday through Friday at about 3:30 p.m. PT.",
"airtime": "MON-FRI 4pm-4:30pm, MON-WED 6:30pm-7pm",
"imageSrc": "https://cdn.kqed.org/wp-content/uploads/2024/04/Marketplace-Podcast-Tile-360x360-1.jpg",
"officialWebsiteLink": "https://www.marketplace.org/",
"meta": {
"site": "news",
"source": "American Public Media"
},
"link": "/radio/program/marketplace",
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"rss": "https://feeds.publicradio.org/public_feeds/marketplace-pm/rss/rss"
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},
"masters-of-scale": {
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"title": "Masters of Scale",
"info": "Masters of Scale is an original podcast in which LinkedIn co-founder and Greylock Partner Reid Hoffman sets out to describe and prove theories that explain how great entrepreneurs take their companies from zero to a gazillion in ingenious fashion.",
"airtime": "Every other Wednesday June 12 through October 16 at 8pm (repeats Thursdays at 2am)",
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"officialWebsiteLink": "https://mastersofscale.com/",
"meta": {
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"source": "WaitWhat"
},
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"rss": "https://rss.art19.com/masters-of-scale"
}
},
"mindshift": {
"id": "mindshift",
"title": "MindShift",
"tagline": "A podcast about the future of learning and how we raise our kids",
"info": "The MindShift podcast explores the innovations in education that are shaping how kids learn. Hosts Ki Sung and Katrina Schwartz introduce listeners to educators, researchers, parents and students who are developing effective ways to improve how kids learn. We cover topics like how fed-up administrators are developing surprising tactics to deal with classroom disruptions; how listening to podcasts are helping kids develop reading skills; the consequences of overparenting; and why interdisciplinary learning can engage students on all ends of the traditional achievement spectrum. This podcast is part of the MindShift education site, a division of KQED News. KQED is an NPR/PBS member station based in San Francisco. You can also visit the MindShift website for episodes and supplemental blog posts or tweet us \u003ca href=\"https://twitter.com/MindShiftKQED\">@MindShiftKQED\u003c/a> or visit us at \u003ca href=\"/mindshift\">MindShift.KQED.org\u003c/a>",
"imageSrc": "https://cdn.kqed.org/wp-content/uploads/2024/04/Mindshift-Podcast-Tile-703x703-1.jpg",
"imageAlt": "KQED MindShift: How We Will Learn",
"officialWebsiteLink": "/mindshift/",
"meta": {
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"source": "kqed",
"order": 12
},
"link": "/podcasts/mindshift",
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"google": "https://podcasts.google.com/feed/aHR0cHM6Ly9mZWVkcy5tZWdhcGhvbmUuZm0vS1FJTkM1NzY0NjAwNDI5",
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"stitcher": "https://www.stitcher.com/podcast/kqed/stories-teachers-share",
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}
},
"morning-edition": {
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