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"content": "\u003cp>Bay Area health officials from five counties announced Friday that they’re implementing a new stay-at-home order ahead of the state’s timeline announced by Gov. Gavin Newsom on Thursday.\u003c/p>\n\u003cp>Health officers in five of the Bay Area region’s 11 counties didn’t want to wait. On Friday, they adopted the state’s stay-at-home order. The changes begin to take effect Sunday night in San Francisco, Santa Clara, Marin, Alameda and Contra Costa counties, as well as the city of Berkeley.\u003c/p>\n\u003cp>“We don’t think we can wait for the state’s new restrictions to go into effect. … This is an emergency,” Contra Costa Health Officer Chris Farnitano said.\u003c/p>\n\u003cp>“Our biggest fear all along — that we won’t have a bed for you or your mother or your grandmother or grandfather when they get sick — is the reality we’ll be facing unless we slow the spread,” San Francisco Mayor London Breed said.\u003c/p>\n\u003cp>The Bay Area order will last at least through Jan. 4, a week longer than the state’s timeline, and came as the state recorded another daily record number of new cases with 22,018. Hospitalizations topped 9,000 for first time, and ICU patients were at a record 2,152.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>In addition, the vast region of Southern California, much of the San Francisco Bay area and a large swath of the Central Valley are about to be placed under a sweeping new lockdown in an urgent attempt to slow the rapid rise of coronavirus cases.\u003c/p>\n\u003cp>The California Department of Public Health said Saturday the intensive care unit capacity in Southern California and Central Valley hospitals had fallen below a 15% threshold that triggers the new measures, which include strict closures for businesses and a ban on gathering with anyone outside of your own household. The new measures will take effect Sunday evening and remain in place for at least three weeks, meaning the lockdown will cover the Christmas holiday.\u003c/p>\n\u003cp>Much of the state is on the brink of the same restrictions. Some counties have opted to impose them even before the mandate kicks in, including five San Francisco Bay Area counties where the measures also take effect starting Sunday.\u003c/p>\n\u003cp>With a new lockdown looming, many rushed out to supermarkets Saturday and lined up outside salons to squeeze in a haircut before the orders kicked in.\u003c/p>\n\u003cp>San Francisco resident Michael Duranceau rushed to a market to load up on supplies.\u003c/p>\n\u003cp>“I’m just stocking up before Sunday — the basics, bread, eggs,” he told KGO-TV, clutching a heavy grocery bag and a baguette.\u003c/p>\n\u003cp>Gov. Gavin Newsom announced the new plan Thursday. It is the most restrictive order since he imposed the country’s first statewide stay-at-home rule in March. But the situation is bleaker than in March.\u003c/p>\n\u003cp>“The risk of contracting COVID in the community now is higher now than it has ever been,” Dr. Eric McDonald, the medical director for San Diego County, told reporters Saturday. He and other officials urged the public to bear down, heed the rules and help the state get through the latest and worst wave of cases the state has seen.\u003c/p>\n\u003cp>California has tallied a staggering total of 1.3 million COVID-19 cases since the pandemic started, setting a new daily record on Friday when 25,068 confirmed cases were recorded.\u003c/p>\n\u003cp>The new order divides the state into five regions and uses ICU capacity as the trigger for closures.\u003c/p>\n\u003cp>The measures bar all on-site restaurant dining and close hair and nail salons, movie theaters and many other businesses, as well as museums and playgrounds. It says people may not congregate with anyone outside their household and must always wear masks when they go outside.\u003c/p>\n\u003cp>Under the new order, schools that are currently open can continue to provide in-person instruction; retailers including supermarkets and shopping centers can operate with just 20% customer capacity.\u003c/p>\n\u003cp>The 11-county Southern California region, which includes the cities of Los Angeles and San Diego, had only 12.5% of its ICU beds available, the California Department of Public Health reported Saturday. The figure was 8.6% for the San Joaquin Valley region, composed of a dozen counties in the agricultural Central Valley and rural areas of the Sierra Nevada.\u003c/p>\n\u003cp>Together the two regions are home to more than half of California’s population of 40 million.\u003c/p>\n\u003cp>“We are at a point where surging cases and hospitalizations are not letting up,” said Dr. Salvador Sandoval, public health officer for the Central Valley city of Merced. “I can’t emphasize this enough – everyone must take personal steps to protect themselves and protect others.”\u003c/p>\n\u003cp>The other three regions — Greater Sacramento, Northern California and San Francisco Bay Area — were all around 21% capacity.\u003c/p>\n\u003cp>The new shutdowns were a gut-wrenching move for small businesses that have struggled to survive over nearly a year in which they were repeatedly ordered to close, then allowed to reopen but with complex safety precautions.\u003c/p>\n\u003cp>Michelle Saunders James was in tears Friday at the thought of closing down her Oakland nail salon just five weeks after reopening it.\u003c/p>\n\u003cp>“We wear (face) shields. We take temperatures. We do everything we are told to do so everyone feels safe, including our staff and team,” she told KGO-TV. “So I don’t understand why it’s not enough, and I’m terribly sad and afraid.”\u003c/p>\n\u003cp>Critics say the broad statewide order unfairly lumps too many disparate counties together into regions.\u003c/p>\n\u003cp>“I feel like it’s absurd. That’s how I feel. It’s a joke. I mean, first of all we are 220 miles away from Los Angeles. And we are geographically isolated and we have no problem … with overfilled ICU beds,” said Assemblyman Jordan Cunningham, a Republican who represents San Luis Obispo.\u003c/p>\n\u003cp>He asked why his county should be lumped in with Southern California counties like Los Angeles and Riverside when the San Luis Obispo hospital has just one COVID patient in the ICU. The effect on business has already been devastating, he said. “We’ve got small businesses that are losing everything, everything they have.”\u003c/p>\n\u003cp>The explosive rise in COVID-19 infections that began in October is being blamed largely on people ignoring safety measures and socializing with others.\u003c/p>\n\u003cp>Berkeley Health Officer Lisa Hernandez said people should not meet in person with anyone they don’t live with, “even in a small group, and even outdoors with precautions.”\u003c/p>\n\u003cp>“If you have a social bubble, it is now popped,” Hernandez said. “Do not let this be the last holiday with your family.”\u003c/p>\n\u003cp>In the inland Central Valley, Fresno County had just 10 of its 150 ICU beds available. Health officials described a grim picture with hospitals struggling to stay staffed because of coronavirus infections and exposures. One hospital is holding ICU patients in the emergency department until beds open up, Emergency Medical Services Director Daniel Lynch said Friday.\u003c/p>\n\u003cp>The county has requested help from the state with staffing for a couple of weeks. But so far only one or two additional workers have shown up at three local hospitals as the whole state struggles with staffing.\u003c/p>\n\u003cp>___\u003c/p>\n\u003cp>[ad floatright]\u003c/p>\n\u003cp>\u003cem>Associated Press writers Olga R. Rodriguez and Juliet Williams in San Francisco, Robert Jablon and Brian Melley in Los Angeles and Adam Beam in Sacramento contributed.\u003c/em>\u003c/p>\n\n",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>Bay Area health officials from five counties announced Friday that they’re implementing a new stay-at-home order ahead of the state’s timeline announced by Gov. Gavin Newsom on Thursday.\u003c/p>\n\u003cp>Health officers in five of the Bay Area region’s 11 counties didn’t want to wait. On Friday, they adopted the state’s stay-at-home order. The changes begin to take effect Sunday night in San Francisco, Santa Clara, Marin, Alameda and Contra Costa counties, as well as the city of Berkeley.\u003c/p>\n\u003cp>“We don’t think we can wait for the state’s new restrictions to go into effect. … This is an emergency,” Contra Costa Health Officer Chris Farnitano said.\u003c/p>\n\u003cp>“Our biggest fear all along — that we won’t have a bed for you or your mother or your grandmother or grandfather when they get sick — is the reality we’ll be facing unless we slow the spread,” San Francisco Mayor London Breed said.\u003c/p>\n\u003cp>The Bay Area order will last at least through Jan. 4, a week longer than the state’s timeline, and came as the state recorded another daily record number of new cases with 22,018. Hospitalizations topped 9,000 for first time, and ICU patients were at a record 2,152.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>In addition, the vast region of Southern California, much of the San Francisco Bay area and a large swath of the Central Valley are about to be placed under a sweeping new lockdown in an urgent attempt to slow the rapid rise of coronavirus cases.\u003c/p>\n\u003cp>The California Department of Public Health said Saturday the intensive care unit capacity in Southern California and Central Valley hospitals had fallen below a 15% threshold that triggers the new measures, which include strict closures for businesses and a ban on gathering with anyone outside of your own household. The new measures will take effect Sunday evening and remain in place for at least three weeks, meaning the lockdown will cover the Christmas holiday.\u003c/p>\n\u003cp>Much of the state is on the brink of the same restrictions. Some counties have opted to impose them even before the mandate kicks in, including five San Francisco Bay Area counties where the measures also take effect starting Sunday.\u003c/p>\n\u003cp>With a new lockdown looming, many rushed out to supermarkets Saturday and lined up outside salons to squeeze in a haircut before the orders kicked in.\u003c/p>\n\u003cp>San Francisco resident Michael Duranceau rushed to a market to load up on supplies.\u003c/p>\n\u003cp>“I’m just stocking up before Sunday — the basics, bread, eggs,” he told KGO-TV, clutching a heavy grocery bag and a baguette.\u003c/p>\n\u003cp>Gov. Gavin Newsom announced the new plan Thursday. It is the most restrictive order since he imposed the country’s first statewide stay-at-home rule in March. But the situation is bleaker than in March.\u003c/p>\n\u003cp>“The risk of contracting COVID in the community now is higher now than it has ever been,” Dr. Eric McDonald, the medical director for San Diego County, told reporters Saturday. He and other officials urged the public to bear down, heed the rules and help the state get through the latest and worst wave of cases the state has seen.\u003c/p>\n\u003cp>California has tallied a staggering total of 1.3 million COVID-19 cases since the pandemic started, setting a new daily record on Friday when 25,068 confirmed cases were recorded.\u003c/p>\n\u003cp>The new order divides the state into five regions and uses ICU capacity as the trigger for closures.\u003c/p>\n\u003cp>The measures bar all on-site restaurant dining and close hair and nail salons, movie theaters and many other businesses, as well as museums and playgrounds. It says people may not congregate with anyone outside their household and must always wear masks when they go outside.\u003c/p>\n\u003cp>Under the new order, schools that are currently open can continue to provide in-person instruction; retailers including supermarkets and shopping centers can operate with just 20% customer capacity.\u003c/p>\n\u003cp>The 11-county Southern California region, which includes the cities of Los Angeles and San Diego, had only 12.5% of its ICU beds available, the California Department of Public Health reported Saturday. The figure was 8.6% for the San Joaquin Valley region, composed of a dozen counties in the agricultural Central Valley and rural areas of the Sierra Nevada.\u003c/p>\n\u003cp>Together the two regions are home to more than half of California’s population of 40 million.\u003c/p>\n\u003cp>“We are at a point where surging cases and hospitalizations are not letting up,” said Dr. Salvador Sandoval, public health officer for the Central Valley city of Merced. “I can’t emphasize this enough – everyone must take personal steps to protect themselves and protect others.”\u003c/p>\n\u003cp>The other three regions — Greater Sacramento, Northern California and San Francisco Bay Area — were all around 21% capacity.\u003c/p>\n\u003cp>The new shutdowns were a gut-wrenching move for small businesses that have struggled to survive over nearly a year in which they were repeatedly ordered to close, then allowed to reopen but with complex safety precautions.\u003c/p>\n\u003cp>Michelle Saunders James was in tears Friday at the thought of closing down her Oakland nail salon just five weeks after reopening it.\u003c/p>\n\u003cp>“We wear (face) shields. We take temperatures. We do everything we are told to do so everyone feels safe, including our staff and team,” she told KGO-TV. “So I don’t understand why it’s not enough, and I’m terribly sad and afraid.”\u003c/p>\n\u003cp>Critics say the broad statewide order unfairly lumps too many disparate counties together into regions.\u003c/p>\n\u003cp>“I feel like it’s absurd. That’s how I feel. It’s a joke. I mean, first of all we are 220 miles away from Los Angeles. And we are geographically isolated and we have no problem … with overfilled ICU beds,” said Assemblyman Jordan Cunningham, a Republican who represents San Luis Obispo.\u003c/p>\n\u003cp>He asked why his county should be lumped in with Southern California counties like Los Angeles and Riverside when the San Luis Obispo hospital has just one COVID patient in the ICU. The effect on business has already been devastating, he said. “We’ve got small businesses that are losing everything, everything they have.”\u003c/p>\n\u003cp>The explosive rise in COVID-19 infections that began in October is being blamed largely on people ignoring safety measures and socializing with others.\u003c/p>\n\u003cp>Berkeley Health Officer Lisa Hernandez said people should not meet in person with anyone they don’t live with, “even in a small group, and even outdoors with precautions.”\u003c/p>\n\u003cp>“If you have a social bubble, it is now popped,” Hernandez said. “Do not let this be the last holiday with your family.”\u003c/p>\n\u003cp>In the inland Central Valley, Fresno County had just 10 of its 150 ICU beds available. Health officials described a grim picture with hospitals struggling to stay staffed because of coronavirus infections and exposures. One hospital is holding ICU patients in the emergency department until beds open up, Emergency Medical Services Director Daniel Lynch said Friday.\u003c/p>\n\u003cp>The county has requested help from the state with staffing for a couple of weeks. But so far only one or two additional workers have shown up at three local hospitals as the whole state struggles with staffing.\u003c/p>\n\u003cp>___\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cp>As the cooler weather takes hold, a viral pandemic is blanketing the U.S. with infection rates like we’ve never seen.\u003c/p>\n\u003cp>As of early December, there are more than 200,000 \u003ca href=\"https://www.npr.org/sections/health-shots/2020/09/01/816707182/map-tracking-the-spread-of-the-coronavirus-in-the-u-s\">new U.S. cases\u003c/a> reported and more than 1,800 deaths from COVID-19 on average every day. And although we know this illness is dangerous, the \u003ca href=\"https://www.cdc.gov/coronavirus/2019-ncov/covid-data/covidview/index.html#:~:text=The%20overall%20cumulative%20COVID%2D19,aged%2065%20years%20and%20older.\">hospitalization rate\u003c/a> is about 243 hospital stays per 100,000 infections, which means masses of people are having to manage less severe cases at home, too.\u003c/p>\n\u003cp>Patients are facing time alone with a notoriously unpredictable virus — and that can feel scary, confusing and overwhelming. Those are all sentiments I’ve heard a lot in my own practice as a family doctor lately.\u003c/p>\n\u003cp>If you’ve gotten a positive test result, here’s advice from doctors about how to handle a mild to moderate, or even asymptomatic, case on your own — and when you need to seek emergency help.\u003c/p>\n\u003ch3>\u003cstrong>Isolate yourself from others, starting as quickly as you can\u003c/strong>\u003c/h3>\n\u003cp>You’ve probably heard this one plenty, but it’s as important as ever: The Centers for Disease Control and Prevention \u003ca href=\"https://www.cdc.gov/coronavirus/2019-ncov/if-you-are-sick/isolation.html\">recommends 10 days of isolation\u003c/a> after a positive coronavirus test if you’re asymptomatic, or at least 10 days of isolation from the start of symptoms if you have them. If your positive test was \u003cem>after\u003c/em> symptoms started, isolation days would still start counting from the first day of symptoms.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>If you’re in this situation and live with other people, it takes a bit of planning to follow that advice. It’s important to stay in separate rooms (including during meals and sleep), and everyone else in the house should wear a mask in common areas. Also, be sure to step up the sanitizing of shared surfaces and avoid sharing things such as cups and towels.\u003c/p>\n\u003ch3>\u003cstrong>Members of your household and your close contacts need to quarantine, too\u003c/strong>\u003c/h3>\n\u003cp>If you’ve tested positive for the virus, everyone you live with has been exposed, so they, too, \u003ca href=\"https://www.cdc.gov/coronavirus/2019-ncov/if-you-are-sick/quarantine.html#:~:text=Stay%20home%20for%2014%20days,from%20COVID%2D19.\">will need to quarantine\u003c/a> as well as anyone you had close contact with in the two days leading up to your positive test being collected or the start of symptoms.\u003c/p>\n\u003cp>So what’s close contact? The CDC says 15 \u003cem>cumulative\u003c/em> minutes of exposure to the sick person and within 6 feet of them — even with masks on. It’s fair to assume anyone who has been gathering with you, especially indoors, was exposed, so plan to reach out to close contacts and ask them to quarantine.\u003c/p>\n\u003cp>But there’s \u003ca href=\"https://www.npr.org/2020/12/02/941355347/cdc-shortens-its-covid-19-quarantine-recommendations\">new recommendations\u003c/a> for how many days they need to quarantine. The CDC still maintains a full 14 days of quarantine after being exposed is the best method to keep from spreading COVID-19, but it now offers alternatives if that’s not possible. Exposed people can quarantine 10 days from the exposure if there’s no testing and symptoms don’t develop, or as few as seven days if there are no symptoms \u003cem>and\u003c/em> they get a negative test.\u003c/p>\n\u003cp>If the shorter quarantine schedule is followed, exposed people should keep watching closely for symptoms for a full 14 days since an infection can \u003ca href=\"https://www.who.int/news-room/q-a-detail/coronavirus-disease-covid-19\">take that long to develop\u003c/a>. But keep in mind, these are general recommendations and may differ from state to state depending on the number of cases, so be sure to look up local guidance.\u003c/p>\n\u003ch3>\u003cstrong>Assess your symptom severity and know when to seek emergency care\u003c/strong>\u003c/h3>\n\u003cp>If your symptoms are the common nasal congestion, dry cough, body aches, loss of taste or smell or headache, it’s suitable to stay home and treat yourself with rest and plenty of liquids. But be alert to changing symptoms, says \u003ca href=\"https://doctors.umiamihealth.org/provider/Roger+Argelio+Alvarez/525365\">Roger Alvarez\u003c/a>, a pulmonologist and professor of clinical medicine at the University of Miami’s Miller School of Medicine. He says that although mild to moderate COVID-19 cases can be managed at home, symptoms that start out mild can wax, wane and evolve into severe symptoms that need treatment at a hospital.\u003c/p>\n\u003cp>Red flag symptoms that suggest you need to call 911 no matter how many days you’ve been sick include (but aren’t limited to): trouble breathing, chest pain, blue lips, confusion, being unable to tolerate food or drink, weakness or feeling like you can’t stay awake.\u003c/p>\n\u003cp>Consider getting a basic oxygen monitor — \u003ca href=\"https://www.npr.org/sections/goatsandsoda/2020/05/01/848400469/coronavirus-faqs-whats-a-pulse-oximeter-is-it-a-good-idea-to-buy-one\">a pulse oximeter\u003c/a> — for your finger at home, watching for a drop in your oxygen levels down to 94% or below. When levels drop below this, it’s time to call your doctor immediately. If you don’t have a primary care provider, go to an urgent care or emergency room — or, if you feel like you can’t breathe, call 911. Similarly, a high fever (above 103 F) that doesn’t get lower with fever-reducing medicines is another reason to call, or visit, a doctor.\u003c/p>\n\u003cp>But don’t get too caught up in the numbers: If you get a feeling that “something’s not right,” don’t delay medical care.\u003c/p>\n\u003ch3>\u003cstrong>Reach out to your doctor, but know there’s no magic pill\u003c/strong>\u003c/h3>\n\u003cp>If you’ve just tested positive and started isolating, it’s a good time to reach out to your primary care doctor or other health care provider (if you haven’t already) and get advice tailored to your symptoms and medical history. This is especially important for patients with any chronic illnesses such as lung disease or diabetes, but also for healthy people.\u003c/p>\n\u003cp>The good news? Doctors are easier to reach than ever with the popularity of \u003ca href=\"https://www.npr.org/2020/03/16/816344287/during-coronavirus-outbreak-virtual-doctor-visits-are-encouraged\">telephone and video visits\u003c/a>, so no need to leave your home to talk to them. The bad news is that the coronavirus is a virus, just like the flu, which means \u003ca href=\"https://www.cdc.gov/patientsafety/features/be-antibiotics-aware.html#:~:text=Antibiotics%20do%20not%20work%20on,infections%20get%20better%20without%20antibiotics.\">an antibiotic won’t stop the illness or the symptoms\u003c/a>.\u003c/p>\n\u003cp>\u003ca href=\"https://www.uwhealth.org/findadoctor/profile/matthew-c-anderson-md/10003\">Dr. Matthew Anderson\u003c/a>, senior medical director of primary care at the University of Wisconsin, tells NPR that he sometimes gives oral steroids to patients with chronic lung disease who get COVID-19 and are wheezing. But he says steroids or other drugs you may have heard about — including one of the \u003ca href=\"https://www.npr.org/sections/health-shots/2020/11/10/933444237/fda-oks-eli-lilly-covid-19-drug-but-supplies-will-be-limited\">monoclonal antibody cocktails\u003c/a> or \u003ca href=\"https://www.npr.org/sections/latest-updates-trump-covid-19-results/2020/10/03/919883050/trump-is-taking-remdesivir-heres-how-it-works-to-control-the-coronavirus\">remdesivir\u003c/a> — “aren’t the standard of care” for mild or moderate COVID-19, and might do more harm than good in those cases. While there’s been lots of talk about those drugs given to patients with severe illness who are hospitalized – maybe most famously, \u003ca href=\"https://www.npr.org/2020/10/03/919831018/how-president-trump-is-treating-covid-19\">President Trump\u003c/a> – these treatments aren’t currently recommended for milder cases that are best managed at home.\u003c/p>\n\u003ch3>\u003cstrong>Make an isolation and care plan early, and ask for help \u003c/strong>\u003c/h3>\n\u003cp>Doctors and health care teams that include nurses and care navigators can also be a good resource for figuring out and lining up the sort of logistical help you’ll need to isolate yourself. You won’t want to run out of your routine medications, so ask your health team about how to get them via mail order or from pharmacies that deliver.\u003c/p>\n\u003cp>Also important: How will you and your quarantining housemates get and keep groceries, toilet paper and other goods in the house? Most cities now have grocery delivery services you can access online; typically health care systems also have social workers that can connect you with other food services if you need them. Make a list of your needs and ask friends for help. If you’re isolated and sick, pets will still need to be walked, snow shoveled and bills paid.\u003c/p>\n\u003ch3>\u003cstrong>Rest and rehydrate but try to avoid lingering in bed\u003c/strong>\u003c/h3>\n\u003cp>It can feel frustrating if you’ve got a positive coronavirus test with mild symptoms such as a runny nose or sore throat for which there’s no definitive treatment. But that just means you should stick to the well-worn advice for healing from any viral infection: Get extra rest, drink plenty of fluids and take an over-the-counter fever-reducing medicine such as acetaminophen if you need it.\u003c/p>\n\u003cp>Fluids may also be hard to gulp down when you’re feeling bad, but dehydration can land people in the hospital on its own. That’s especially true for children and older folks, so try to sip plenty of water, juice, soup or electrolyte drinks throughout the day. Non-caffeinated tea with \u003ca href=\"https://www.npr.org/sections/health-shots/2020/02/08/802750225/for-kids-coughs-swap-the-over-the-counter-syrups-for-honey\">honey might soothe your sore throat\u003c/a>, but avoid drinks with lots of sugar or caffeine.\u003c/p>\n\u003cp>Rest is also important to recovery, but be wary of the urge to stay in bed. “You don’t want to overwork yourself but avoid strict bed rest – we don’t want patients to be totally sedentary because we know that patients who move around seem to do better,” says Alvarez, who has recovered from a case of COVID-19 himself. He encourages patients to walk around their homes as they’re able or sit upright on the couch – all things that help expand the lungs and improve the movement of air.\u003c/p>\n\u003ch3>\u003cstrong>Don’t forget your mental health\u003c/strong>\u003c/h3>\n\u003cp>Whether or not you’ve got symptoms, getting a positive test for the coronavirus can be stressful, and isolating alone can make that even worse. When it comes to isolation, adding structure to your days can help a lot, says \u003ca href=\"https://ubhc.rutgers.edu/about-us/leadership/frank-ghinassi.xml\">Dr. Frank Ghinassi\u003c/a>, president and CEO of Rutgers University Behavioral Health Care and senior vice president at RWJBarnabas Health. Ghinassi recommends scheduling sleep and meals at the same time every day and penciling in at least one thing that provides pleasure daily — even if it’s as simple as streaming a movie.\u003c/p>\n\u003cp>The most important part is “actually making the schedule,” Ghinassi says. And be sure to include some socializing — virtual socializing, that is. Also put a bit of simple exercise on the calendar if you’re \u003ca href=\"https://newsnetwork.mayoclinic.org/discussion/covid-19-exercise-when-ill-whats-okay-and-whats-not/\">feeling up to it\u003c/a> — 30 minutes of light physical activity several times a week will help lift your mood. Maybe take a video exercise class or, if you’re asymptomatic or have mild symptoms, climbing stairs will get your heart rate up in a good way. And if you’re unwell and stairs are too much, try taking a room-to-room stroll within your home. Every little bit counts.\u003c/p>\n\u003ch3>\u003cstrong>If your symptoms linger longer than 10 days, keep isolating\u003c/strong>\u003c/h3>\n\u003cp>Unfortunately, you can’t schedule how long symptoms might last when it comes to the coronavirus. Doctors have been studying the nitty-gritty of statistics and numbers for months, and although the \u003ca href=\"https://www.cdc.gov/coronavirus/2019-ncov/hcp/duration-isolation.html\">CDC recommends\u003c/a> isolating at least 10 days from when mild or moderate symptoms started (or 10 days from a positive test if you never had symptoms), there’s no definite number of days to isolate if you’ve still got symptoms after that.\u003c/p>\n\u003cp>The CDC says you can stop isolating if you’ve been free of fever without fever-reducing medicines for 24 hours and your symptoms are “improving.” But if you’re fever-free and still feeling bad with symptoms such as cough, headache or body aches, it’s best to keep staying away from people longer – at least until symptoms have continued to improve significantly for a few days.\u003c/p>\n\u003cp>For otherwise healthy people who test positive for the coronavirus, there’s no need to retest before stopping isolation with or without symptoms. But it \u003cem>is\u003c/em> important to go right back to your mask-wearing, hand-washing and social-distancing routines after that isolation period. And be sure to follow up with your primary care providers – they can help counsel you about your health needs after COVID-19 and about becoming a part of clinical trials that can help researchers learn more about the virus and its treatment.\u003c/p>\n\u003ch3>\u003cstrong>Tell your cautionary tale\u003c/strong>\u003c/h3>\n\u003cp>If you’re out of the woods after a positive coronavirus test, you might consider passing along your experience to friends and family — especially any words of cautious wisdom if you traced your own case back to a pandemic-fatigued moment of weakness, such as going to a gathering or forgoing your mask. But let’s not make it a shame game: We are all human, and talking openly about your story might encourage others to keep their guard up.\u003c/p>\n\u003cp>And be sure to consider sharing acts of kindness and lending a virtual ear or hand to family, friends and neighbors you hear about who test positive later on. The best treatment for all of us to give and get right now may be looking out for each other – no prescription needed.\u003c/p>\n\u003cp>[ad floatright]\u003c/p>\n\u003cp>\u003cem>Kristen Kendrick is a board-certified family physician in Washington, D.C., and a health and media fellow at NPR and Georgetown University School of Medicine.\u003c/em>\u003c/p>\n\u003cdiv class=\"fullattribution\">Copyright 2020 NPR. To see more, visit https://www.npr.org.\u003cimg decoding=\"async\" src=\"https://www.google-analytics.com/__utm.gif?utmac=UA-5828686-4&utmdt=What+To+Do+If+You+Test+Positive+For+The+Coronavirus+This+Winter&utme=8(APIKey)9(MDAxOTAwOTE4MDEyMTkxMDAzNjczZDljZA004)\">\u003c/div>\n\n",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>As the cooler weather takes hold, a viral pandemic is blanketing the U.S. with infection rates like we’ve never seen.\u003c/p>\n\u003cp>As of early December, there are more than 200,000 \u003ca href=\"https://www.npr.org/sections/health-shots/2020/09/01/816707182/map-tracking-the-spread-of-the-coronavirus-in-the-u-s\">new U.S. cases\u003c/a> reported and more than 1,800 deaths from COVID-19 on average every day. And although we know this illness is dangerous, the \u003ca href=\"https://www.cdc.gov/coronavirus/2019-ncov/covid-data/covidview/index.html#:~:text=The%20overall%20cumulative%20COVID%2D19,aged%2065%20years%20and%20older.\">hospitalization rate\u003c/a> is about 243 hospital stays per 100,000 infections, which means masses of people are having to manage less severe cases at home, too.\u003c/p>\n\u003cp>Patients are facing time alone with a notoriously unpredictable virus — and that can feel scary, confusing and overwhelming. Those are all sentiments I’ve heard a lot in my own practice as a family doctor lately.\u003c/p>\n\u003cp>If you’ve gotten a positive test result, here’s advice from doctors about how to handle a mild to moderate, or even asymptomatic, case on your own — and when you need to seek emergency help.\u003c/p>\n\u003ch3>\u003cstrong>Isolate yourself from others, starting as quickly as you can\u003c/strong>\u003c/h3>\n\u003cp>You’ve probably heard this one plenty, but it’s as important as ever: The Centers for Disease Control and Prevention \u003ca href=\"https://www.cdc.gov/coronavirus/2019-ncov/if-you-are-sick/isolation.html\">recommends 10 days of isolation\u003c/a> after a positive coronavirus test if you’re asymptomatic, or at least 10 days of isolation from the start of symptoms if you have them. If your positive test was \u003cem>after\u003c/em> symptoms started, isolation days would still start counting from the first day of symptoms.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>If you’re in this situation and live with other people, it takes a bit of planning to follow that advice. It’s important to stay in separate rooms (including during meals and sleep), and everyone else in the house should wear a mask in common areas. Also, be sure to step up the sanitizing of shared surfaces and avoid sharing things such as cups and towels.\u003c/p>\n\u003ch3>\u003cstrong>Members of your household and your close contacts need to quarantine, too\u003c/strong>\u003c/h3>\n\u003cp>If you’ve tested positive for the virus, everyone you live with has been exposed, so they, too, \u003ca href=\"https://www.cdc.gov/coronavirus/2019-ncov/if-you-are-sick/quarantine.html#:~:text=Stay%20home%20for%2014%20days,from%20COVID%2D19.\">will need to quarantine\u003c/a> as well as anyone you had close contact with in the two days leading up to your positive test being collected or the start of symptoms.\u003c/p>\n\u003cp>So what’s close contact? The CDC says 15 \u003cem>cumulative\u003c/em> minutes of exposure to the sick person and within 6 feet of them — even with masks on. It’s fair to assume anyone who has been gathering with you, especially indoors, was exposed, so plan to reach out to close contacts and ask them to quarantine.\u003c/p>\n\u003cp>But there’s \u003ca href=\"https://www.npr.org/2020/12/02/941355347/cdc-shortens-its-covid-19-quarantine-recommendations\">new recommendations\u003c/a> for how many days they need to quarantine. The CDC still maintains a full 14 days of quarantine after being exposed is the best method to keep from spreading COVID-19, but it now offers alternatives if that’s not possible. Exposed people can quarantine 10 days from the exposure if there’s no testing and symptoms don’t develop, or as few as seven days if there are no symptoms \u003cem>and\u003c/em> they get a negative test.\u003c/p>\n\u003cp>If the shorter quarantine schedule is followed, exposed people should keep watching closely for symptoms for a full 14 days since an infection can \u003ca href=\"https://www.who.int/news-room/q-a-detail/coronavirus-disease-covid-19\">take that long to develop\u003c/a>. But keep in mind, these are general recommendations and may differ from state to state depending on the number of cases, so be sure to look up local guidance.\u003c/p>\n\u003ch3>\u003cstrong>Assess your symptom severity and know when to seek emergency care\u003c/strong>\u003c/h3>\n\u003cp>If your symptoms are the common nasal congestion, dry cough, body aches, loss of taste or smell or headache, it’s suitable to stay home and treat yourself with rest and plenty of liquids. But be alert to changing symptoms, says \u003ca href=\"https://doctors.umiamihealth.org/provider/Roger+Argelio+Alvarez/525365\">Roger Alvarez\u003c/a>, a pulmonologist and professor of clinical medicine at the University of Miami’s Miller School of Medicine. He says that although mild to moderate COVID-19 cases can be managed at home, symptoms that start out mild can wax, wane and evolve into severe symptoms that need treatment at a hospital.\u003c/p>\n\u003cp>Red flag symptoms that suggest you need to call 911 no matter how many days you’ve been sick include (but aren’t limited to): trouble breathing, chest pain, blue lips, confusion, being unable to tolerate food or drink, weakness or feeling like you can’t stay awake.\u003c/p>\n\u003cp>Consider getting a basic oxygen monitor — \u003ca href=\"https://www.npr.org/sections/goatsandsoda/2020/05/01/848400469/coronavirus-faqs-whats-a-pulse-oximeter-is-it-a-good-idea-to-buy-one\">a pulse oximeter\u003c/a> — for your finger at home, watching for a drop in your oxygen levels down to 94% or below. When levels drop below this, it’s time to call your doctor immediately. If you don’t have a primary care provider, go to an urgent care or emergency room — or, if you feel like you can’t breathe, call 911. Similarly, a high fever (above 103 F) that doesn’t get lower with fever-reducing medicines is another reason to call, or visit, a doctor.\u003c/p>\n\u003cp>But don’t get too caught up in the numbers: If you get a feeling that “something’s not right,” don’t delay medical care.\u003c/p>\n\u003ch3>\u003cstrong>Reach out to your doctor, but know there’s no magic pill\u003c/strong>\u003c/h3>\n\u003cp>If you’ve just tested positive and started isolating, it’s a good time to reach out to your primary care doctor or other health care provider (if you haven’t already) and get advice tailored to your symptoms and medical history. This is especially important for patients with any chronic illnesses such as lung disease or diabetes, but also for healthy people.\u003c/p>\n\u003cp>The good news? Doctors are easier to reach than ever with the popularity of \u003ca href=\"https://www.npr.org/2020/03/16/816344287/during-coronavirus-outbreak-virtual-doctor-visits-are-encouraged\">telephone and video visits\u003c/a>, so no need to leave your home to talk to them. The bad news is that the coronavirus is a virus, just like the flu, which means \u003ca href=\"https://www.cdc.gov/patientsafety/features/be-antibiotics-aware.html#:~:text=Antibiotics%20do%20not%20work%20on,infections%20get%20better%20without%20antibiotics.\">an antibiotic won’t stop the illness or the symptoms\u003c/a>.\u003c/p>\n\u003cp>\u003ca href=\"https://www.uwhealth.org/findadoctor/profile/matthew-c-anderson-md/10003\">Dr. Matthew Anderson\u003c/a>, senior medical director of primary care at the University of Wisconsin, tells NPR that he sometimes gives oral steroids to patients with chronic lung disease who get COVID-19 and are wheezing. But he says steroids or other drugs you may have heard about — including one of the \u003ca href=\"https://www.npr.org/sections/health-shots/2020/11/10/933444237/fda-oks-eli-lilly-covid-19-drug-but-supplies-will-be-limited\">monoclonal antibody cocktails\u003c/a> or \u003ca href=\"https://www.npr.org/sections/latest-updates-trump-covid-19-results/2020/10/03/919883050/trump-is-taking-remdesivir-heres-how-it-works-to-control-the-coronavirus\">remdesivir\u003c/a> — “aren’t the standard of care” for mild or moderate COVID-19, and might do more harm than good in those cases. While there’s been lots of talk about those drugs given to patients with severe illness who are hospitalized – maybe most famously, \u003ca href=\"https://www.npr.org/2020/10/03/919831018/how-president-trump-is-treating-covid-19\">President Trump\u003c/a> – these treatments aren’t currently recommended for milder cases that are best managed at home.\u003c/p>\n\u003ch3>\u003cstrong>Make an isolation and care plan early, and ask for help \u003c/strong>\u003c/h3>\n\u003cp>Doctors and health care teams that include nurses and care navigators can also be a good resource for figuring out and lining up the sort of logistical help you’ll need to isolate yourself. You won’t want to run out of your routine medications, so ask your health team about how to get them via mail order or from pharmacies that deliver.\u003c/p>\n\u003cp>Also important: How will you and your quarantining housemates get and keep groceries, toilet paper and other goods in the house? Most cities now have grocery delivery services you can access online; typically health care systems also have social workers that can connect you with other food services if you need them. Make a list of your needs and ask friends for help. If you’re isolated and sick, pets will still need to be walked, snow shoveled and bills paid.\u003c/p>\n\u003ch3>\u003cstrong>Rest and rehydrate but try to avoid lingering in bed\u003c/strong>\u003c/h3>\n\u003cp>It can feel frustrating if you’ve got a positive coronavirus test with mild symptoms such as a runny nose or sore throat for which there’s no definitive treatment. But that just means you should stick to the well-worn advice for healing from any viral infection: Get extra rest, drink plenty of fluids and take an over-the-counter fever-reducing medicine such as acetaminophen if you need it.\u003c/p>\n\u003cp>Fluids may also be hard to gulp down when you’re feeling bad, but dehydration can land people in the hospital on its own. That’s especially true for children and older folks, so try to sip plenty of water, juice, soup or electrolyte drinks throughout the day. Non-caffeinated tea with \u003ca href=\"https://www.npr.org/sections/health-shots/2020/02/08/802750225/for-kids-coughs-swap-the-over-the-counter-syrups-for-honey\">honey might soothe your sore throat\u003c/a>, but avoid drinks with lots of sugar or caffeine.\u003c/p>\n\u003cp>Rest is also important to recovery, but be wary of the urge to stay in bed. “You don’t want to overwork yourself but avoid strict bed rest – we don’t want patients to be totally sedentary because we know that patients who move around seem to do better,” says Alvarez, who has recovered from a case of COVID-19 himself. He encourages patients to walk around their homes as they’re able or sit upright on the couch – all things that help expand the lungs and improve the movement of air.\u003c/p>\n\u003ch3>\u003cstrong>Don’t forget your mental health\u003c/strong>\u003c/h3>\n\u003cp>Whether or not you’ve got symptoms, getting a positive test for the coronavirus can be stressful, and isolating alone can make that even worse. When it comes to isolation, adding structure to your days can help a lot, says \u003ca href=\"https://ubhc.rutgers.edu/about-us/leadership/frank-ghinassi.xml\">Dr. Frank Ghinassi\u003c/a>, president and CEO of Rutgers University Behavioral Health Care and senior vice president at RWJBarnabas Health. Ghinassi recommends scheduling sleep and meals at the same time every day and penciling in at least one thing that provides pleasure daily — even if it’s as simple as streaming a movie.\u003c/p>\n\u003cp>The most important part is “actually making the schedule,” Ghinassi says. And be sure to include some socializing — virtual socializing, that is. Also put a bit of simple exercise on the calendar if you’re \u003ca href=\"https://newsnetwork.mayoclinic.org/discussion/covid-19-exercise-when-ill-whats-okay-and-whats-not/\">feeling up to it\u003c/a> — 30 minutes of light physical activity several times a week will help lift your mood. Maybe take a video exercise class or, if you’re asymptomatic or have mild symptoms, climbing stairs will get your heart rate up in a good way. And if you’re unwell and stairs are too much, try taking a room-to-room stroll within your home. Every little bit counts.\u003c/p>\n\u003ch3>\u003cstrong>If your symptoms linger longer than 10 days, keep isolating\u003c/strong>\u003c/h3>\n\u003cp>Unfortunately, you can’t schedule how long symptoms might last when it comes to the coronavirus. Doctors have been studying the nitty-gritty of statistics and numbers for months, and although the \u003ca href=\"https://www.cdc.gov/coronavirus/2019-ncov/hcp/duration-isolation.html\">CDC recommends\u003c/a> isolating at least 10 days from when mild or moderate symptoms started (or 10 days from a positive test if you never had symptoms), there’s no definite number of days to isolate if you’ve still got symptoms after that.\u003c/p>\n\u003cp>The CDC says you can stop isolating if you’ve been free of fever without fever-reducing medicines for 24 hours and your symptoms are “improving.” But if you’re fever-free and still feeling bad with symptoms such as cough, headache or body aches, it’s best to keep staying away from people longer – at least until symptoms have continued to improve significantly for a few days.\u003c/p>\n\u003cp>For otherwise healthy people who test positive for the coronavirus, there’s no need to retest before stopping isolation with or without symptoms. But it \u003cem>is\u003c/em> important to go right back to your mask-wearing, hand-washing and social-distancing routines after that isolation period. And be sure to follow up with your primary care providers – they can help counsel you about your health needs after COVID-19 and about becoming a part of clinical trials that can help researchers learn more about the virus and its treatment.\u003c/p>\n\u003ch3>\u003cstrong>Tell your cautionary tale\u003c/strong>\u003c/h3>\n\u003cp>If you’re out of the woods after a positive coronavirus test, you might consider passing along your experience to friends and family — especially any words of cautious wisdom if you traced your own case back to a pandemic-fatigued moment of weakness, such as going to a gathering or forgoing your mask. But let’s not make it a shame game: We are all human, and talking openly about your story might encourage others to keep their guard up.\u003c/p>\n\u003cp>And be sure to consider sharing acts of kindness and lending a virtual ear or hand to family, friends and neighbors you hear about who test positive later on. The best treatment for all of us to give and get right now may be looking out for each other – no prescription needed.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>\u003cem>Kristen Kendrick is a board-certified family physician in Washington, D.C., and a health and media fellow at NPR and Georgetown University School of Medicine.\u003c/em>\u003c/p>\n\u003cdiv class=\"fullattribution\">Copyright 2020 NPR. To see more, visit https://www.npr.org.\u003cimg decoding=\"async\" src=\"https://www.google-analytics.com/__utm.gif?utmac=UA-5828686-4&utmdt=What+To+Do+If+You+Test+Positive+For+The+Coronavirus+This+Winter&utme=8(APIKey)9(MDAxOTAwOTE4MDEyMTkxMDAzNjczZDljZA004)\">\u003c/div>\n\n\u003c/div>\u003c/p>",
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"content": "\u003cp>\u003cb>California Surgeon General Dr. Nadine Burke Harris\u003cbr>\n\u003c/b>\u003cspan style=\"font-weight: 400\">Regional and state leaders this week imposed strict new stay-at-home orders in an effort to curb rapidly rising rates of infection — even as the promise of not just one, but potentially two, COVID-19 vaccines offer glimmers of a light at the end of the tunnel. California’s first-ever surgeon general, Dr. Nadine Burke Harris, was recently appointed to chair the state’s Community Vaccine Advisory Committee to help ensure that the vaccine is distributed in an equitable manner, especially among communities that have faced historic injustice. She also weighs in on the new public health orders.\u003c/span>\u003c/p>\n\u003cp>\u003cspan style=\"font-weight: 400\">Guest:\u003c/span>\u003c/p>\n\u003cul>\n\u003cli style=\"font-weight: 400\">\u003cspan style=\"font-weight: 400\">Dr. Nadine Burke Harris, California surgeon general\u003c/span>\u003c/li>\n\u003c/ul>\n\u003cp>\u003cb>California Churches Fight to Stay Open\u003cbr>\n\u003c/b>\u003cspan style=\"font-weight: 400\">The U.S. Supreme Court intervened Thursday on behalf of several California churches who are petitioning to be allowed to hold indoor services despite Gov. Gavin Newsom’s public health orders limiting them during the pandemic. With tighter restrictions looming statewide this month, we talk to church leaders about why they believe conducting indoor services is important.\u003c/span>\u003c/p>\n\u003cp>\u003cspan style=\"font-weight: 400\">Guests: \u003c/span>\u003c/p>\n\u003cul>\n\u003cli style=\"font-weight: 400\">\u003cspan style=\"font-weight: 400\">Bishop Arthur Hodges, South Bay United Pentecostal Church\u003c/span>\u003c/li>\n\u003cli style=\"font-weight: 400\">\u003cspan style=\"font-weight: 400\">Archbishop Salvatore Cordileone, Roman Catholic Archdiocese of San Francisco\u003c/span>\u003c/li>\n\u003c/ul>\n\u003cp>\u003cb>Something Beautiful: Marin County Civic Center\u003cbr>\n\u003c/b>\u003cspan style=\"font-weight: 400\">The Marin County Civic Center was designed by Frank Lloyd Wright in the late 1950s. However, the architect did not live to see the completion of the structure, which eventually received the honor of being both a California and a national historic landmark.\u003c/span>\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\u003cp>\u003c/p>\n",
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"slug": "surging-coronavirus-more-dangerous-for-nursing-homes-with-black-latino-residents",
"title": "Surging Coronavirus More Dangerous for Nursing Homes With Black, Latino Residents",
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"content": "\u003cp>\u003ca href=\"https://www.kqed.org/news/11850234/creciente-covid-19-podria-afectar-mas-a-hogares-para-adultos-mayores-con-residentes-afroamericanos-y-latinos\">\u003cem>Leer en espa\u003cspan style=\"font-weight: 400\">ñol\u003c/span>\u003c/em>\u003c/a>\u003c/p>\n\u003cp>As the coronavirus surges again, it is especially dangerous for people in nursing homes caring for more Black and Latino residents, according to a new analysis from the California Health Care Foundation.\u003c/p>\n\u003cp>Researchers found that skilled nursing facilities with a greater share of Black and Latino residents had higher rates of COVID-19 cases and deaths — and that disparity is growing.\u003c/p>\n\u003cp>“We asked [our] advisory group, how do you explain this disparity?” said Dr. Bruce Spurlock, executive director of \u003ca href=\"https://calhospitalcompare.org/about/\">Cal Hospital Compare\u003c/a>, and a study co-author. “And nobody really knows. And that’s kind of the part that we really need to figure out.”\u003c/p>\n\u003cp>\u003cb>A Shift Over Time\u003c/b>\u003c/p>\n\u003cp>Skilled nursing facilities have borne much of the weight of the pandemic. More than one quarter of reported COVID-related deaths in California have happened in nursing homes, even though their residents make up less than half a percent of the state’s population.\u003c/p>\n\u003cfigure id=\"attachment_11849674\" class=\"wp-caption alignright\" style=\"max-width: 800px\">\u003ca href=\"https://ww2.kqed.org/app/uploads/sites/10/2020/12/RS42756_RS42754_alt_1003-qut.jpg\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-medium wp-image-11849674\" src=\"https://ww2.kqed.org/app/uploads/sites/10/2020/12/RS42756_RS42754_alt_1003-qut-800x581.jpg\" alt=\"Costell Akrie holds a small baby in his room.\" width=\"800\" height=\"581\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2020/12/RS42756_RS42754_alt_1003-qut-800x581.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2020/12/RS42756_RS42754_alt_1003-qut-1020x741.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2020/12/RS42756_RS42754_alt_1003-qut-160x116.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2020/12/RS42756_RS42754_alt_1003-qut-1536x1115.jpg 1536w, https://cdn.kqed.org/wp-content/uploads/sites/10/2020/12/RS42756_RS42754_alt_1003-qut.jpg 1920w\" sizes=\"(max-width: 800px) 100vw, 800px\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">Costell Akrie died after contracting coronavirus in corporate-owned Gateway Care and Rehabilitation Center in Alameda County. A new study has found that staffing levels worsened outbreaks in facilities like his. \u003ccite>(Courtesy of John Burris Law Offices)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>Beyond demographics, the new study analyzed state and federal data about ownership status, size, type of patient, staffing levels and geography to identify factors associated with the hardest-hit nursing homes.\u003c/p>\n\u003cp>And those factors changed as the pandemic wore on. Back in May, “you could tell that the larger the facility, the for-profit facilities, were doing worse than the smaller and nonprofit facilities,” Spurlock said.\u003c/p>\n\u003cp>By late summer, he said, facilities struggling to control the virus were in counties with high COVID-19 rates.\u003c/p>\n\u003cp>“Age, gender, race and ethnicity were a much bigger predictor of who was doing worse in the August time frame,” Spurlock said.\u003c/p>\n\u003cp>Nursing home residents over 85, and men, have been more vulnerable to the virus throughout California. And while Latinos account for about \u003ca href=\"https://covid19.ca.gov/state-dashboard/\">60% of California’s positive coronavirus tests\u003c/a>, they represent less than 40% of the state’s population. But across the state, COVID-positive tests for Blacks have been a disproportionately small part of the total.\u003c/p>\n\u003cp>\u003c!-- iframe plugin v.4.3 wordpress.org/plugins/iframe/ -->\u003cbr>\n\u003ciframe loading=\"lazy\" title=\"Nursing Homes With More Latino Residents Have More COVID-19 Cases\" aria-label=\"Interactive line chart\" id=\"datawrapper-chart-3Mtcb\" src=\"https://datawrapper.dwcdn.net/3Mtcb/8/\" scrolling=\"no\" frameborder=\"0\" style=\"width: 0; min-width: 100% !important; border: none;\" height=\"400\" width=\"100%\" class=\"iframe-class\">\u003c/iframe>\u003cbr>\n[datawrapper]\u003c/p>\n\u003cp>\u003c!-- iframe plugin v.4.3 wordpress.org/plugins/iframe/ -->\u003cbr>\n\u003ciframe loading=\"lazy\" title=\"Nursing Homes With More Black Residents Have More COVID-19 Cases\" aria-label=\"Interactive line chart\" id=\"datawrapper-chart-HxpFR\" src=\"https://datawrapper.dwcdn.net/HxpFR/3/\" scrolling=\"no\" frameborder=\"0\" style=\"width: 0; min-width: 100% !important; border: none;\" height=\"400\" width=\"100%\" class=\"iframe-class\">\u003c/iframe>\u003cbr>\n[datawrapper]\u003c/p>\n\u003cp>\u003cb>Lower Risk in Bay Area Nursing Homes\u003c/b>\u003c/p>\n\u003cp>All together, the research suggests a story of how the coronavirus has moved through skilled nursing facilities statewide. That story is slightly different in the Bay Area.\u003c/p>\n\u003cp>Outbreaks the region experienced during late spring and summer tracks with the study’s overall conclusions about nursing homes. Windsor Vallejo, a Contra Costa County care home operated by a limited liability corporation, saw 100 cases of the coronavirus in May. A month earlier, corporate-owned Gateway Care and Rehabilitation Center in Hayward saw \u003ca href=\"https://www.kqed.org/science/1962559/state-lists-dont-reveal-all-the-senior-care-homes-with-covid-19-outbreaks\">at least 65 cases\u003c/a> of COVID-19. Complaints from family members have so far prompted a lawsuit and an investigation by the Alameda County district attorney.\u003c/p>\n\u003cp>But Bay Area nursing homes have fewer Latino residents than the rest of the state. The region’s nursing homes are generally smaller than the state average, and fewer are run by corporations for profit. About a third of Marin County nursing homes are nonprofit, for example.\u003c/p>\n\u003cp>\u003c!-- iframe plugin v.4.3 wordpress.org/plugins/iframe/ -->\u003cbr>\n\u003ciframe loading=\"lazy\" title=\"Percent of Investor-owned and Non-profit Nursing Homes \" aria-label=\"chart\" id=\"datawrapper-chart-5Bj0h\" src=\"https://datawrapper.dwcdn.net/5Bj0h/3/\" scrolling=\"no\" frameborder=\"0\" style=\"width: 0; min-width: 100% !important; border: none;\" height=\"400\" width=\"100%\" class=\"iframe-class\">\u003c/iframe>\u003cbr>\n[datawrapper]\u003c/p>\n\u003cp>“The report is great. My response to it is ‘duh,’ ” said Scott Akrie, whose father Costell tested positive for coronavirus while at Gateway and died within weeks. Akrie, who is suing Gateway, points out that the facility has been repeatedly cited by state regulators and sued, so far with little consequence. “Just because these people are elderly, they are not forgotten souls that can be taken for granted.”\u003c/p>\n\u003cp>County by county, as the coronavirus surges, health officers are now are modifying orders related to long-term care homes. In Santa Clara County, \u003ca href=\"https://www.sccgov.org/sites/covid19/Pages/mandatory-directives-long-care-facilities.aspx\">the latest guidelines\u003c/a> keep visitors to care home residents outside as much as possible, and require visitors present a negative test within 72 hours of a socially distanced visit indoors.\u003c/p>\n\u003cp>In Alameda County, where the Centers for Disease Control and Prevention reports the case rate per capita has risen 24% in the last week, seven nursing homes report COVID-19 outbreaks as of Dec. 2. Nine facilities currently report outbreaks in Santa Clara County, where the case rate has risen more than 50% in the last week.\u003c/p>\n\u003cp>[ad fullwidth]\u003cbr>\n\u003cb>Some Recommendations Easier Than Others\u003c/b>\u003c/p>\n\u003cp>Researchers make several recommendations to stanch the spread of the virus in nursing homes. Some are tactical; actions that could be taken immediately, like asking the Department of Public Health to enforce testing and training requirements week after week. Some are more complex: The authors suggest that the Department of Health Care Services should demand more financial transparency from all related entities controlling nursing homes, which would require amending law and regulation.\u003c/p>\n\u003cp>[aside postID=\"news_11849594,news_11813696,science_1968093\" label=\"More Coronavirus Coverage\"]The California Department of Public Health says it has used predictive analysis to identify facilities that seem to be headed for trouble, and follows up with facilities in outbreak to address urgent needs. In a statement, CDPH says it has prioritized mitigation and infection control, as well as the investigation of complaints and incidents that nursing homes themselves report, over routine inspections and enforcement.\u003c/p>\n\u003cp>Nursing homes with higher levels of staffing have fared better throughout the pandemic, but staffing levels remain “a very controversial area,” according to Spurlock. Federal and state rules set minimum hour requirements for nurses, assistants and other staffers at skilled nursing facilities. In the Bay Area, patient advocates allege that understaffing has contributed to outbreaks, especially in Alameda County.\u003c/p>\n\u003cp>In a statement, the California Association of Health Facilities calls staffing a “critical” problem for the nursing homes it represents, pointing out that when a worker tests positive and must quarantine, other workers must often work double shifts.\u003c/p>\n\u003cp>“It’s incredibly difficult to find staff right now and require them to work in a dangerous environment,” said California Association of Health Facilities spokeswoman Deborah Pacyna.\u003c/p>\n\u003cp>Researchers recommend that regulators require facilities to meet the staffing standards they’re supposed to. They also suggest designating family members as “essential workers” as the pandemic continues. Doing that would permit relatives into facilities, which could boost care and minimize isolation and anxiety in a time of crisis.\u003c/p>\n\u003cp>[pullquote align=\"right\" citation=\"Scott Akrie\"]“Just because these people are elderly, they are not forgotten souls that can be taken for granted.”[/pullquote]The authors also put forward a more involved proposal to restructure the state’s low-income health subsidy, to boost nursing home salaries and staffing even further than it does now. Such a move would prompt debate and require litigation.\u003c/p>\n\u003cp>“Any suggestion that staff levels should be increased needs to be coupled with additional state reimbursement for wages,” said Pacyna.\u003c/p>\n\u003cp>“With staffing, we know the changes to make” that would help, said Spurlock. “With health equity, we still are unsure about what actions that we need to take to reduce the disparity.”\u003c/p>\n\u003cp>Among the researchers’ health equity-related recommendations is that vaccines should be directed toward skilled nursing facilities most at-risk, which right now means facilities with higher numbers of Black and Latino residents.\u003c/p>\n\u003cp>As of now, federal and state guidelines prioritize vaccines for health care workers on the front lines most at risk of contracting COVID-19. California counties are still developing their specific plans for distributing vaccines that are sure to be in short supply. And Spurlock acknowledges that this recommendation is a controversial one. But he says that the evidence points toward a need for change, and for multiple, large-scale solutions being enacted simultaneously.\u003c/p>\n\u003cp>“The pandemic has really ripped open some vulnerabilities in a population that’s extremely dangerous, that something like this can go through very rapidly and ravage people that are near and dear to our hearts,” Spurlock said. “I don’t think we’re going back.”\u003c/p>\n\u003cp>[ad floatright]\u003c/p>\n",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>\u003ca href=\"https://www.kqed.org/news/11850234/creciente-covid-19-podria-afectar-mas-a-hogares-para-adultos-mayores-con-residentes-afroamericanos-y-latinos\">\u003cem>Leer en espa\u003cspan style=\"font-weight: 400\">ñol\u003c/span>\u003c/em>\u003c/a>\u003c/p>\n\u003cp>As the coronavirus surges again, it is especially dangerous for people in nursing homes caring for more Black and Latino residents, according to a new analysis from the California Health Care Foundation.\u003c/p>\n\u003cp>Researchers found that skilled nursing facilities with a greater share of Black and Latino residents had higher rates of COVID-19 cases and deaths — and that disparity is growing.\u003c/p>\n\u003cp>“We asked [our] advisory group, how do you explain this disparity?” said Dr. Bruce Spurlock, executive director of \u003ca href=\"https://calhospitalcompare.org/about/\">Cal Hospital Compare\u003c/a>, and a study co-author. “And nobody really knows. And that’s kind of the part that we really need to figure out.”\u003c/p>\n\u003cp>\u003cb>A Shift Over Time\u003c/b>\u003c/p>\n\u003cp>Skilled nursing facilities have borne much of the weight of the pandemic. More than one quarter of reported COVID-related deaths in California have happened in nursing homes, even though their residents make up less than half a percent of the state’s population.\u003c/p>\n\u003cfigure id=\"attachment_11849674\" class=\"wp-caption alignright\" style=\"max-width: 800px\">\u003ca href=\"https://ww2.kqed.org/app/uploads/sites/10/2020/12/RS42756_RS42754_alt_1003-qut.jpg\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-medium wp-image-11849674\" src=\"https://ww2.kqed.org/app/uploads/sites/10/2020/12/RS42756_RS42754_alt_1003-qut-800x581.jpg\" alt=\"Costell Akrie holds a small baby in his room.\" width=\"800\" height=\"581\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2020/12/RS42756_RS42754_alt_1003-qut-800x581.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2020/12/RS42756_RS42754_alt_1003-qut-1020x741.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2020/12/RS42756_RS42754_alt_1003-qut-160x116.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2020/12/RS42756_RS42754_alt_1003-qut-1536x1115.jpg 1536w, https://cdn.kqed.org/wp-content/uploads/sites/10/2020/12/RS42756_RS42754_alt_1003-qut.jpg 1920w\" sizes=\"(max-width: 800px) 100vw, 800px\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">Costell Akrie died after contracting coronavirus in corporate-owned Gateway Care and Rehabilitation Center in Alameda County. A new study has found that staffing levels worsened outbreaks in facilities like his. \u003ccite>(Courtesy of John Burris Law Offices)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>Beyond demographics, the new study analyzed state and federal data about ownership status, size, type of patient, staffing levels and geography to identify factors associated with the hardest-hit nursing homes.\u003c/p>\n\u003cp>And those factors changed as the pandemic wore on. Back in May, “you could tell that the larger the facility, the for-profit facilities, were doing worse than the smaller and nonprofit facilities,” Spurlock said.\u003c/p>\n\u003cp>By late summer, he said, facilities struggling to control the virus were in counties with high COVID-19 rates.\u003c/p>\n\u003cp>“Age, gender, race and ethnicity were a much bigger predictor of who was doing worse in the August time frame,” Spurlock said.\u003c/p>\n\u003cp>Nursing home residents over 85, and men, have been more vulnerable to the virus throughout California. And while Latinos account for about \u003ca href=\"https://covid19.ca.gov/state-dashboard/\">60% of California’s positive coronavirus tests\u003c/a>, they represent less than 40% of the state’s population. But across the state, COVID-positive tests for Blacks have been a disproportionately small part of the total.\u003c/p>\n\u003cp>\u003c!-- iframe plugin v.4.3 wordpress.org/plugins/iframe/ -->\u003cbr>\n\u003ciframe loading=\"lazy\" title=\"Nursing Homes With More Latino Residents Have More COVID-19 Cases\" aria-label=\"Interactive line chart\" id=\"datawrapper-chart-3Mtcb\" src=\"https://datawrapper.dwcdn.net/3Mtcb/8/\" scrolling=\"no\" frameborder=\"0\" style=\"width: 0; min-width: 100% !important; border: none;\" height=\"400\" width=\"100%\" class=\"iframe-class\">\u003c/iframe>\u003cbr>\n\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>\u003cb>Lower Risk in Bay Area Nursing Homes\u003c/b>\u003c/p>\n\u003cp>All together, the research suggests a story of how the coronavirus has moved through skilled nursing facilities statewide. That story is slightly different in the Bay Area.\u003c/p>\n\u003cp>Outbreaks the region experienced during late spring and summer tracks with the study’s overall conclusions about nursing homes. Windsor Vallejo, a Contra Costa County care home operated by a limited liability corporation, saw 100 cases of the coronavirus in May. A month earlier, corporate-owned Gateway Care and Rehabilitation Center in Hayward saw \u003ca href=\"https://www.kqed.org/science/1962559/state-lists-dont-reveal-all-the-senior-care-homes-with-covid-19-outbreaks\">at least 65 cases\u003c/a> of COVID-19. Complaints from family members have so far prompted a lawsuit and an investigation by the Alameda County district attorney.\u003c/p>\n\u003cp>But Bay Area nursing homes have fewer Latino residents than the rest of the state. The region’s nursing homes are generally smaller than the state average, and fewer are run by corporations for profit. About a third of Marin County nursing homes are nonprofit, for example.\u003c/p>\n\u003cp>\u003c!-- iframe plugin v.4.3 wordpress.org/plugins/iframe/ -->\u003cbr>\n\u003ciframe loading=\"lazy\" title=\"Percent of Investor-owned and Non-profit Nursing Homes \" aria-label=\"chart\" id=\"datawrapper-chart-5Bj0h\" src=\"https://datawrapper.dwcdn.net/5Bj0h/3/\" scrolling=\"no\" frameborder=\"0\" style=\"width: 0; min-width: 100% !important; border: none;\" height=\"400\" width=\"100%\" class=\"iframe-class\">\u003c/iframe>\u003cbr>\n\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>“The report is great. My response to it is ‘duh,’ ” said Scott Akrie, whose father Costell tested positive for coronavirus while at Gateway and died within weeks. Akrie, who is suing Gateway, points out that the facility has been repeatedly cited by state regulators and sued, so far with little consequence. “Just because these people are elderly, they are not forgotten souls that can be taken for granted.”\u003c/p>\n\u003cp>County by county, as the coronavirus surges, health officers are now are modifying orders related to long-term care homes. In Santa Clara County, \u003ca href=\"https://www.sccgov.org/sites/covid19/Pages/mandatory-directives-long-care-facilities.aspx\">the latest guidelines\u003c/a> keep visitors to care home residents outside as much as possible, and require visitors present a negative test within 72 hours of a socially distanced visit indoors.\u003c/p>\n\u003cp>In Alameda County, where the Centers for Disease Control and Prevention reports the case rate per capita has risen 24% in the last week, seven nursing homes report COVID-19 outbreaks as of Dec. 2. Nine facilities currently report outbreaks in Santa Clara County, where the case rate has risen more than 50% in the last week.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cbr>\n\u003cb>Some Recommendations Easier Than Others\u003c/b>\u003c/p>\n\u003cp>Researchers make several recommendations to stanch the spread of the virus in nursing homes. Some are tactical; actions that could be taken immediately, like asking the Department of Public Health to enforce testing and training requirements week after week. Some are more complex: The authors suggest that the Department of Health Care Services should demand more financial transparency from all related entities controlling nursing homes, which would require amending law and regulation.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>The California Department of Public Health says it has used predictive analysis to identify facilities that seem to be headed for trouble, and follows up with facilities in outbreak to address urgent needs. In a statement, CDPH says it has prioritized mitigation and infection control, as well as the investigation of complaints and incidents that nursing homes themselves report, over routine inspections and enforcement.\u003c/p>\n\u003cp>Nursing homes with higher levels of staffing have fared better throughout the pandemic, but staffing levels remain “a very controversial area,” according to Spurlock. Federal and state rules set minimum hour requirements for nurses, assistants and other staffers at skilled nursing facilities. In the Bay Area, patient advocates allege that understaffing has contributed to outbreaks, especially in Alameda County.\u003c/p>\n\u003cp>In a statement, the California Association of Health Facilities calls staffing a “critical” problem for the nursing homes it represents, pointing out that when a worker tests positive and must quarantine, other workers must often work double shifts.\u003c/p>\n\u003cp>“It’s incredibly difficult to find staff right now and require them to work in a dangerous environment,” said California Association of Health Facilities spokeswoman Deborah Pacyna.\u003c/p>\n\u003cp>Researchers recommend that regulators require facilities to meet the staffing standards they’re supposed to. They also suggest designating family members as “essential workers” as the pandemic continues. Doing that would permit relatives into facilities, which could boost care and minimize isolation and anxiety in a time of crisis.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>The authors also put forward a more involved proposal to restructure the state’s low-income health subsidy, to boost nursing home salaries and staffing even further than it does now. Such a move would prompt debate and require litigation.\u003c/p>\n\u003cp>“Any suggestion that staff levels should be increased needs to be coupled with additional state reimbursement for wages,” said Pacyna.\u003c/p>\n\u003cp>“With staffing, we know the changes to make” that would help, said Spurlock. “With health equity, we still are unsure about what actions that we need to take to reduce the disparity.”\u003c/p>\n\u003cp>Among the researchers’ health equity-related recommendations is that vaccines should be directed toward skilled nursing facilities most at-risk, which right now means facilities with higher numbers of Black and Latino residents.\u003c/p>\n\u003cp>As of now, federal and state guidelines prioritize vaccines for health care workers on the front lines most at risk of contracting COVID-19. California counties are still developing their specific plans for distributing vaccines that are sure to be in short supply. And Spurlock acknowledges that this recommendation is a controversial one. But he says that the evidence points toward a need for change, and for multiple, large-scale solutions being enacted simultaneously.\u003c/p>\n\u003cp>“The pandemic has really ripped open some vulnerabilities in a population that’s extremely dangerous, that something like this can go through very rapidly and ravage people that are near and dear to our hearts,” Spurlock said. “I don’t think we’re going back.”\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cp>The Bay Area’s flagship public university, UC Berkeley, is trying to work its way out of an unprecedented \u003ca href=\"https://news.berkeley.edu/2020/07/15/update-on-budget-expense-reduction-measures/\" target=\"_blank\" rel=\"noopener noreferrer\">$340 million deficit\u003c/a> due to the pandemic. And that means some of the hardest-hit departments and individuals on campus are having to fend for themselves.\u003c/p>\n\u003cp>The campus has seen plunging revenue on several fronts, including $35 million gone in tuition fees.\u003c/p>\n\u003cp>\"We had about 800 students that decided not to come back to the fall,\" said Rosemarie Rae, Berkeley's vice chancellor of finance and chief financial officer.\u003c/p>\n\u003cfigure id=\"attachment_11849562\" class=\"wp-caption alignright\" style=\"max-width: 1806px\">\u003cimg class=\"size-full wp-image-11849562\" src=\"https://ww2.kqed.org/app/uploads/sites/10/2020/12/rosemarie-rae-scaled.jpg\" alt='\"\"' width=\"1806\" height=\"2560\" srcset=\"https://ww2.kqed.org/app/uploads/sites/10/2020/12/rosemarie-rae-scaled.jpg 1806w, https://ww2.kqed.org/app/uploads/sites/10/2020/12/rosemarie-rae-800x1134.jpg 800w, https://ww2.kqed.org/app/uploads/sites/10/2020/12/rosemarie-rae-1020x1446.jpg 1020w, https://ww2.kqed.org/app/uploads/sites/10/2020/12/rosemarie-rae-160x227.jpg 160w, https://ww2.kqed.org/app/uploads/sites/10/2020/12/rosemarie-rae-1084x1536.jpg 1084w, https://ww2.kqed.org/app/uploads/sites/10/2020/12/rosemarie-rae-1445x2048.jpg 1445w, https://ww2.kqed.org/app/uploads/sites/10/2020/12/rosemarie-rae-1920x2722.jpg 1920w\" sizes=\"(max-width: 1806px) 100vw, 1806px\">\u003cfigcaption class=\"wp-caption-text\">Rosemarie Rae, Berkeley's vice chancellor of finance and chief financial officer. \u003ccite>(Courtesy of UC Berkeley)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>Then there's the $100 million to $140 million anticipated loss in housing and dining income. Plus $33 million in revenue from sports events.\u003c/p>\n\u003cp>On top of all of the losses, Rae pointed to tens of millions of dollars in additional pandemic-related expenses — from COVID-19 testing and sanitization, to upgrading systems to accommodate remote learning and meetings.\u003c/p>\n\u003cp>That’s a lot of pain.\u003c/p>\n\u003cp>It’s been especially tough for Rae herself, who came in seven years ago to oversee the university’s complex $3 billion budget. She spent those years getting the campus out of a $150 million shortfall caused by declining state support, years of frozen tuition and substantial long-term debt.\u003c/p>\n\u003cp>\"We're fragile,\" Rae said. \"We were already running skinny as we came into COVID-19.\"\u003c/p>\n\u003cp>The university isn't reducing tuition costs — a pain-point for many students who decided to go ahead with their studies during the pandemic.\u003c/p>\n\u003cp>\"A lot of students are frustrated with this because we have a lot of fees here at Berkeley, like campus service fees and student service fees,\" said Victoria Vera, political science major and student union president. \"Their argument is, 'If I'm not on campus and I'm not in the area to utilize these services, why should I pay into them?' \"\u003c/p>\n\u003cp>Rae said the school's strategy for getting back on financial track includes digging into reserves, taking out loans and relying on federal support. Berkeley has received approximately $30 million in federal CARES Act funding.\u003c/p>\n\u003cp>But she said revenue-generating areas like athletics, and housing and dining, are supposed to be self-sustaining. So aside from some loans that UC Berkeley is making available to these areas, they’re largely on their own when it comes to navigating financial challenges.\u003c/p>\n\u003cp>[pullquote size='medium' align='right' citation='Victoria Vera, political science major and student union president']'A lot of students are frustrated with this because we have a lot of fees here at Berkeley, like campus service fees and student service fees ... Their argument is, 'If I'm not on campus and I'm not in the area to utilize these services, why should I pay into them?''[/pullquote]\u003c/p>\n\u003cp>\"My goal is to solve as much of our shortfall as we can through our own internal controls, through reductions to our operating budget, controls on compensation,\" said Tom Lowry, UC Berkeley's senior associate athletics director and chief financial officer. \"But depending on the way this football season plays out, we may need more or less of that borrowing authority to remain solvent.\"\u003c/p>\n\u003cp>Just under one third of the athletics department’s revenue comes from televised athletics events — especially football.\u003c/p>\n\u003cp>Berkeley's Nov. 15 game against UCLA, the first of the season, came after months of pandemic-related cancellations, delays and expenses that threw Cal’s athletics department into financial chaos. The original financial projections, based on an entirely canceled season, were harsh.\u003c/p>\n\u003cp>\"You're talking about losing 50% of your revenue just like that,\" Lowry said.\u003c/p>\n\u003cp>Now that some competitive play has started up again, Lowry said the financial picture is looking less grim. But he said the projections could change again with COVID-19 cases now on the upswing.\u003c/p>\n\u003cp>\"Our employees may sustain some unpaid time off in order to deal with this financial crisis,\" he said. [ad fullwidth]\u003c/p>\n\u003cp>Athletics isn’t the only part of campus taking a long, hard look at workforce costs.\u003c/p>\n\u003cp>CFO Rae said, \"65 percent of our budget is related to salaries and benefits. So if we're going to try to contain our costs, it primarily happens there.\"\u003c/p>\n\u003cp>Rae said the entire campus has implemented a hiring freeze. Some top administrators and senior athletics staff took a 10% dip in pay. And there have been well over 100 temporary layoffs, mainly in the realms of Housing & Dining, and Cal Performances, the university's performing arts presenter.\u003c/p>\n\u003cp>Omar Prevost is one of the people the university temporarily let go. He's lead custodian at The Golden Bear Cafe, one of the few eateries currently open on campus.\u003c/p>\n\u003cfigure id=\"attachment_11849510\" class=\"wp-caption aligncenter\" style=\"max-width: 800px\">\u003cimg class=\"size-medium wp-image-11849510\" src=\"https://ww2.kqed.org/app/uploads/sites/10/2020/12/RS46183_IMG_4907-qut-800x600.jpg\" alt=\"\" width=\"800\" height=\"600\" srcset=\"https://ww2.kqed.org/app/uploads/sites/10/2020/12/RS46183_IMG_4907-qut-800x600.jpg 800w, https://ww2.kqed.org/app/uploads/sites/10/2020/12/RS46183_IMG_4907-qut-1020x765.jpg 1020w, https://ww2.kqed.org/app/uploads/sites/10/2020/12/RS46183_IMG_4907-qut-160x120.jpg 160w, https://ww2.kqed.org/app/uploads/sites/10/2020/12/RS46183_IMG_4907-qut-1536x1152.jpg 1536w, https://ww2.kqed.org/app/uploads/sites/10/2020/12/RS46183_IMG_4907-qut-1832x1374.jpg 1832w, https://ww2.kqed.org/app/uploads/sites/10/2020/12/RS46183_IMG_4907-qut-1376x1032.jpg 1376w, https://ww2.kqed.org/app/uploads/sites/10/2020/12/RS46183_IMG_4907-qut-1044x783.jpg 1044w, https://ww2.kqed.org/app/uploads/sites/10/2020/12/RS46183_IMG_4907-qut-632x474.jpg 632w, https://ww2.kqed.org/app/uploads/sites/10/2020/12/RS46183_IMG_4907-qut-536x402.jpg 536w, https://ww2.kqed.org/app/uploads/sites/10/2020/12/RS46183_IMG_4907-qut.jpg 1920w\" sizes=\"(max-width: 800px) 100vw, 800px\">\u003cfigcaption class=\"wp-caption-text\">The Golden Bear Cafe. One of few eateries currently open on Berkeley's campus. The school's housing and dining operations have sustained enormous losses as a result of the pandemic. \u003ccite>(Chloe Veltman/KQED)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>\"We're doing simple stuff like coming out every 30 minutes and doing wipe downs on all high contact point areas inside and outside,\" he told KQED while making his rounds one recent lunch time as students chatted and ate around him on the Golden Bear's sunny patio. \"Just trying to stay on pace.\"\u003c/p>\n\u003cp>Prevost said he was out of work for five months while The Golden Bear was closed. According to UC Berkeley's media relations office, just over 100 campus dining services employees were temporarily laid off as a result of the pandemic.\u003c/p>\n\u003cp>\"It was the most challenging time,\" Prevost said. \"I definitely learned something about budgeting.\"\u003c/p>\n\u003cp>Prevost said since he's come back to work, he's been sharing his hard-earned financial know-how with his co-workers.\u003c/p>\n\u003cp>\"Especially with some of the newer people that are working here,\" he said. \"Like, a lot of us don't make a significant amount of money.\"\u003c/p>\n\u003cp>UC Berkeley reports no \u003cem>permanent\u003c/em> layoffs so far. However, that doesn’t take into account the roughly 100 lecturers — non-tenure-track teaching staff, also known as \"adjunct professors\" — who were on payroll last academic year, but not this one. [aside tag=\"higher-education\" label=\"more coverage\"]\u003c/p>\n\u003cp>\"They're usually hired on one-semester or one-year contracts that often aren't renewed,\" said Mia McIver, president of the \u003ca href=\"https://ucaft.org/\" target=\"_blank\" rel=\"noopener noreferrer\">University Council-American Federation of Teachers (UC-AFT)\u003c/a>, the union that advocates for non-tenure-track instructors in the UC system, and a lecturer in the writing program at UCLA.\u003c/p>\n\u003cp>Berkeley has set aside $10 million to minimize COVID-19-related layoffs, especially for low-income staff, funded through faculty and non-union staff pay freezes.\u003c/p>\n\u003cp>Though they praise the administration's handling of COVID-19-related health and safety measures, some of Berkeley's tenure-track professors are not happy with this type of approach to solving the university's short- and long-term financial woes.\u003c/p>\n\u003cp>\"We're concerned that the already uncompetitive salaries that we have — that don't really sustain a reasonable quality of life in the Bay Area for many — are going to be furloughed,\" said history professor and Berkeley Faculty Association co-chair James Vernon.\u003c/p>\n\u003cp>His concerns will not be unfounded if Berkeley moves ahead with further proposed cuts.\u003c/p>\n\u003cp>UC Berkeley's financial challenges mirror what's happening in the UC system overall. Since the onset of COVID-19, the 10 campuses have sustained around $1.4 billion in lost revenue and other costs, according to the UC Office of the President.\u003c/p>\n\u003cp>\"Campuses are using federal CARES Act funding and reserves to mitigate the negative impacts of some of the losses,\" said Office of the President spokesperson Stett Holbrook.\u003c/p>\n\u003cp>Many members of the Berkeley community are saying all of this belt-tightening points to a deeper systemic problem with how we fund higher education.\u003c/p>\n\u003cp>\"We need support as a public institution,\" said student union president Vera. \"We need support from our state government and we need support from our federal government, too.\"\u003c/p>\n\u003cp>[pullquote size='medium' align='right' citation='James Vernon, history professor and Berkeley Faculty Association co-chair']'Our campus leaders haven’t done a good enough job articulating why UC Berkeley education is a public good that should get publicly funded.'[/pullquote]\u003c/p>\n\u003cp>Three decades ago, the state provided half of Berkeley’s revenue. \u003ca href=\"https://calparents.berkeley.edu/the-funding-conundrum-cals-dwindling-state-support/#:~:text=Since%20UC%20Berkeley%20is%20a,vast%20majority%20of%20Cal's%20budget.&text=Today%2C%20the%20state%20funds%20just,other%20sources%20cover%20the%20rest\" target=\"_blank\" rel=\"noopener noreferrer\">Today, it covers roughly one-seventh\u003c/a>. Vernon said instead of focusing on cost-cutting measures and pursuing more commercial income streams, Berkeley should redouble its efforts to make the case for increased public funding.\u003c/p>\n\u003cp>\"Our campus leaders haven’t done a good enough job articulating why UC Berkeley education is a public good that should get publicly funded,\" Vernon said.\u003c/p>\n\u003cp>Rae said the university is continuing to advocate for more state and federal funding.\u003c/p>\n\u003cp>The Budget Act of 2020 included a stipulation that would have enabled campuses to receive up to $169.2 million. According to the UC Office of the President, this would have represented a 5% increase in funding equivalent to the FY20-21 state budget allocation before the pandemic. But Congress did not approve those funds.\u003c/p>\n\u003cp>Rae said Berkeley alone would have received around $40 million from the state if the funding had been approved.\u003c/p>\n\u003cp>Meanwhile, arguably the main reason for Berkeley's existence — its students — are getting hurt as a result of the longstanding drop in state support.\u003c/p>\n\u003cp>\"When we don't get the proper funding we need to maintain our university, that impacts marginalized students in particular,\" Vera said. \"Not having access to tutoring, to retention recruitment programing, to affordable housing, it really impacts what it's like to be a current student, what it's like to live in the Bay Area.\"\u003c/p>\n\u003cp>[ad floatright]\u003c/p>\n",
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"excerpt": "From lost income from televised football games to temporary layoffs for dining services staff, the unprecedented $340 million deficit is impacting all corners of the Bay Area's flagship public university. ",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>The Bay Area’s flagship public university, UC Berkeley, is trying to work its way out of an unprecedented \u003ca href=\"https://news.berkeley.edu/2020/07/15/update-on-budget-expense-reduction-measures/\" target=\"_blank\" rel=\"noopener noreferrer\">$340 million deficit\u003c/a> due to the pandemic. And that means some of the hardest-hit departments and individuals on campus are having to fend for themselves.\u003c/p>\n\u003cp>The campus has seen plunging revenue on several fronts, including $35 million gone in tuition fees.\u003c/p>\n\u003cp>\"We had about 800 students that decided not to come back to the fall,\" said Rosemarie Rae, Berkeley's vice chancellor of finance and chief financial officer.\u003c/p>\n\u003cfigure id=\"attachment_11849562\" class=\"wp-caption alignright\" style=\"max-width: 1806px\">\u003cimg class=\"size-full wp-image-11849562\" src=\"https://ww2.kqed.org/app/uploads/sites/10/2020/12/rosemarie-rae-scaled.jpg\" alt='\"\"' width=\"1806\" height=\"2560\" srcset=\"https://ww2.kqed.org/app/uploads/sites/10/2020/12/rosemarie-rae-scaled.jpg 1806w, https://ww2.kqed.org/app/uploads/sites/10/2020/12/rosemarie-rae-800x1134.jpg 800w, https://ww2.kqed.org/app/uploads/sites/10/2020/12/rosemarie-rae-1020x1446.jpg 1020w, https://ww2.kqed.org/app/uploads/sites/10/2020/12/rosemarie-rae-160x227.jpg 160w, https://ww2.kqed.org/app/uploads/sites/10/2020/12/rosemarie-rae-1084x1536.jpg 1084w, https://ww2.kqed.org/app/uploads/sites/10/2020/12/rosemarie-rae-1445x2048.jpg 1445w, https://ww2.kqed.org/app/uploads/sites/10/2020/12/rosemarie-rae-1920x2722.jpg 1920w\" sizes=\"(max-width: 1806px) 100vw, 1806px\">\u003cfigcaption class=\"wp-caption-text\">Rosemarie Rae, Berkeley's vice chancellor of finance and chief financial officer. \u003ccite>(Courtesy of UC Berkeley)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>Then there's the $100 million to $140 million anticipated loss in housing and dining income. Plus $33 million in revenue from sports events.\u003c/p>\n\u003cp>On top of all of the losses, Rae pointed to tens of millions of dollars in additional pandemic-related expenses — from COVID-19 testing and sanitization, to upgrading systems to accommodate remote learning and meetings.\u003c/p>\n\u003cp>That’s a lot of pain.\u003c/p>\n\u003cp>It’s been especially tough for Rae herself, who came in seven years ago to oversee the university’s complex $3 billion budget. She spent those years getting the campus out of a $150 million shortfall caused by declining state support, years of frozen tuition and substantial long-term debt.\u003c/p>\n\u003cp>\"We're fragile,\" Rae said. \"We were already running skinny as we came into COVID-19.\"\u003c/p>\n\u003cp>The university isn't reducing tuition costs — a pain-point for many students who decided to go ahead with their studies during the pandemic.\u003c/p>\n\u003cp>\"A lot of students are frustrated with this because we have a lot of fees here at Berkeley, like campus service fees and student service fees,\" said Victoria Vera, political science major and student union president. \"Their argument is, 'If I'm not on campus and I'm not in the area to utilize these services, why should I pay into them?' \"\u003c/p>\n\u003cp>Rae said the school's strategy for getting back on financial track includes digging into reserves, taking out loans and relying on federal support. Berkeley has received approximately $30 million in federal CARES Act funding.\u003c/p>\n\u003cp>But she said revenue-generating areas like athletics, and housing and dining, are supposed to be self-sustaining. So aside from some loans that UC Berkeley is making available to these areas, they’re largely on their own when it comes to navigating financial challenges.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "'A lot of students are frustrated with this because we have a lot of fees here at Berkeley, like campus service fees and student service fees ... Their argument is, 'If I'm not on campus and I'm not in the area to utilize these services, why should I pay into them?''",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>\"My goal is to solve as much of our shortfall as we can through our own internal controls, through reductions to our operating budget, controls on compensation,\" said Tom Lowry, UC Berkeley's senior associate athletics director and chief financial officer. \"But depending on the way this football season plays out, we may need more or less of that borrowing authority to remain solvent.\"\u003c/p>\n\u003cp>Just under one third of the athletics department’s revenue comes from televised athletics events — especially football.\u003c/p>\n\u003cp>Berkeley's Nov. 15 game against UCLA, the first of the season, came after months of pandemic-related cancellations, delays and expenses that threw Cal’s athletics department into financial chaos. The original financial projections, based on an entirely canceled season, were harsh.\u003c/p>\n\u003cp>\"You're talking about losing 50% of your revenue just like that,\" Lowry said.\u003c/p>\n\u003cp>Now that some competitive play has started up again, Lowry said the financial picture is looking less grim. But he said the projections could change again with COVID-19 cases now on the upswing.\u003c/p>\n\u003cp>\"Our employees may sustain some unpaid time off in order to deal with this financial crisis,\" he said. \u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>Athletics isn’t the only part of campus taking a long, hard look at workforce costs.\u003c/p>\n\u003cp>CFO Rae said, \"65 percent of our budget is related to salaries and benefits. So if we're going to try to contain our costs, it primarily happens there.\"\u003c/p>\n\u003cp>Rae said the entire campus has implemented a hiring freeze. Some top administrators and senior athletics staff took a 10% dip in pay. And there have been well over 100 temporary layoffs, mainly in the realms of Housing & Dining, and Cal Performances, the university's performing arts presenter.\u003c/p>\n\u003cp>Omar Prevost is one of the people the university temporarily let go. He's lead custodian at The Golden Bear Cafe, one of the few eateries currently open on campus.\u003c/p>\n\u003cfigure id=\"attachment_11849510\" class=\"wp-caption aligncenter\" style=\"max-width: 800px\">\u003cimg class=\"size-medium wp-image-11849510\" src=\"https://ww2.kqed.org/app/uploads/sites/10/2020/12/RS46183_IMG_4907-qut-800x600.jpg\" alt=\"\" width=\"800\" height=\"600\" srcset=\"https://ww2.kqed.org/app/uploads/sites/10/2020/12/RS46183_IMG_4907-qut-800x600.jpg 800w, https://ww2.kqed.org/app/uploads/sites/10/2020/12/RS46183_IMG_4907-qut-1020x765.jpg 1020w, https://ww2.kqed.org/app/uploads/sites/10/2020/12/RS46183_IMG_4907-qut-160x120.jpg 160w, https://ww2.kqed.org/app/uploads/sites/10/2020/12/RS46183_IMG_4907-qut-1536x1152.jpg 1536w, https://ww2.kqed.org/app/uploads/sites/10/2020/12/RS46183_IMG_4907-qut-1832x1374.jpg 1832w, https://ww2.kqed.org/app/uploads/sites/10/2020/12/RS46183_IMG_4907-qut-1376x1032.jpg 1376w, https://ww2.kqed.org/app/uploads/sites/10/2020/12/RS46183_IMG_4907-qut-1044x783.jpg 1044w, https://ww2.kqed.org/app/uploads/sites/10/2020/12/RS46183_IMG_4907-qut-632x474.jpg 632w, https://ww2.kqed.org/app/uploads/sites/10/2020/12/RS46183_IMG_4907-qut-536x402.jpg 536w, https://ww2.kqed.org/app/uploads/sites/10/2020/12/RS46183_IMG_4907-qut.jpg 1920w\" sizes=\"(max-width: 800px) 100vw, 800px\">\u003cfigcaption class=\"wp-caption-text\">The Golden Bear Cafe. One of few eateries currently open on Berkeley's campus. The school's housing and dining operations have sustained enormous losses as a result of the pandemic. \u003ccite>(Chloe Veltman/KQED)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>\"We're doing simple stuff like coming out every 30 minutes and doing wipe downs on all high contact point areas inside and outside,\" he told KQED while making his rounds one recent lunch time as students chatted and ate around him on the Golden Bear's sunny patio. \"Just trying to stay on pace.\"\u003c/p>\n\u003cp>Prevost said he was out of work for five months while The Golden Bear was closed. According to UC Berkeley's media relations office, just over 100 campus dining services employees were temporarily laid off as a result of the pandemic.\u003c/p>\n\u003cp>\"It was the most challenging time,\" Prevost said. \"I definitely learned something about budgeting.\"\u003c/p>\n\u003cp>Prevost said since he's come back to work, he's been sharing his hard-earned financial know-how with his co-workers.\u003c/p>\n\u003cp>\"Especially with some of the newer people that are working here,\" he said. \"Like, a lot of us don't make a significant amount of money.\"\u003c/p>\n\u003cp>UC Berkeley reports no \u003cem>permanent\u003c/em> layoffs so far. However, that doesn’t take into account the roughly 100 lecturers — non-tenure-track teaching staff, also known as \"adjunct professors\" — who were on payroll last academic year, but not this one. \u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>\"They're usually hired on one-semester or one-year contracts that often aren't renewed,\" said Mia McIver, president of the \u003ca href=\"https://ucaft.org/\" target=\"_blank\" rel=\"noopener noreferrer\">University Council-American Federation of Teachers (UC-AFT)\u003c/a>, the union that advocates for non-tenure-track instructors in the UC system, and a lecturer in the writing program at UCLA.\u003c/p>\n\u003cp>Berkeley has set aside $10 million to minimize COVID-19-related layoffs, especially for low-income staff, funded through faculty and non-union staff pay freezes.\u003c/p>\n\u003cp>Though they praise the administration's handling of COVID-19-related health and safety measures, some of Berkeley's tenure-track professors are not happy with this type of approach to solving the university's short- and long-term financial woes.\u003c/p>\n\u003cp>\"We're concerned that the already uncompetitive salaries that we have — that don't really sustain a reasonable quality of life in the Bay Area for many — are going to be furloughed,\" said history professor and Berkeley Faculty Association co-chair James Vernon.\u003c/p>\n\u003cp>His concerns will not be unfounded if Berkeley moves ahead with further proposed cuts.\u003c/p>\n\u003cp>UC Berkeley's financial challenges mirror what's happening in the UC system overall. Since the onset of COVID-19, the 10 campuses have sustained around $1.4 billion in lost revenue and other costs, according to the UC Office of the President.\u003c/p>\n\u003cp>\"Campuses are using federal CARES Act funding and reserves to mitigate the negative impacts of some of the losses,\" said Office of the President spokesperson Stett Holbrook.\u003c/p>\n\u003cp>Many members of the Berkeley community are saying all of this belt-tightening points to a deeper systemic problem with how we fund higher education.\u003c/p>\n\u003cp>\"We need support as a public institution,\" said student union president Vera. \"We need support from our state government and we need support from our federal government, too.\"\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>Three decades ago, the state provided half of Berkeley’s revenue. \u003ca href=\"https://calparents.berkeley.edu/the-funding-conundrum-cals-dwindling-state-support/#:~:text=Since%20UC%20Berkeley%20is%20a,vast%20majority%20of%20Cal's%20budget.&text=Today%2C%20the%20state%20funds%20just,other%20sources%20cover%20the%20rest\" target=\"_blank\" rel=\"noopener noreferrer\">Today, it covers roughly one-seventh\u003c/a>. Vernon said instead of focusing on cost-cutting measures and pursuing more commercial income streams, Berkeley should redouble its efforts to make the case for increased public funding.\u003c/p>\n\u003cp>\"Our campus leaders haven’t done a good enough job articulating why UC Berkeley education is a public good that should get publicly funded,\" Vernon said.\u003c/p>\n\u003cp>Rae said the university is continuing to advocate for more state and federal funding.\u003c/p>\n\u003cp>The Budget Act of 2020 included a stipulation that would have enabled campuses to receive up to $169.2 million. According to the UC Office of the President, this would have represented a 5% increase in funding equivalent to the FY20-21 state budget allocation before the pandemic. But Congress did not approve those funds.\u003c/p>\n\u003cp>Rae said Berkeley alone would have received around $40 million from the state if the funding had been approved.\u003c/p>\n\u003cp>Meanwhile, arguably the main reason for Berkeley's existence — its students — are getting hurt as a result of the longstanding drop in state support.\u003c/p>\n\u003cp>\"When we don't get the proper funding we need to maintain our university, that impacts marginalized students in particular,\" Vera said. \"Not having access to tutoring, to retention recruitment programing, to affordable housing, it really impacts what it's like to be a current student, what it's like to live in the Bay Area.\"\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cp>California is planning its rollout of a coronavirus vaccine. Healthcare workers have already been prioritized, but figuring out who comes next and how that decision will be made is now in the hands of an advisory committee made up of health and community leaders. One factor they’ll use to decide who gets the vaccine next? A look at the nation’s history of social injustice, and which groups have been overlooked, and wronged, in the past.\u003c/p>\n\u003cp>Guest: \u003ca href=\"https://www.kqed.org/author/adembosky\" target=\"_blank\" rel=\"noopener noreferrer\">April Dembosky\u003c/a>, Health Correspondent for KQED\u003c/p>\n\u003cp>\u003c!-- iframe plugin v.4.3 wordpress.org/plugins/iframe/ -->\u003cbr>\n\u003ciframe loading=\"lazy\" frameborder=\"0\" height=\"200\" scrolling=\"no\" src=\"https://playlist.megaphone.fm?e=KQINC3390746488&light=true\" width=\"100%\" class=\"iframe-class\">\u003c/iframe>\u003c/p>\n\u003cp>Read the transcript \u003ca href=\"https://bit.ly/3lCZRQT\" target=\"_blank\" rel=\"noopener noreferrer\">here\u003c/a>.\u003c/p>\n\u003cp>\u003ca href=\"https://www.kqed.org/thebaynewsletter\" target=\"_blank\" rel=\"noopener noreferrer\">\u003cem>Sign up for our weekly newsletter! \u003c/em>\u003c/a>\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\u003cp>\u003c/p>\n",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>California is planning its rollout of a coronavirus vaccine. Healthcare workers have already been prioritized, but figuring out who comes next and how that decision will be made is now in the hands of an advisory committee made up of health and community leaders. One factor they’ll use to decide who gets the vaccine next? A look at the nation’s history of social injustice, and which groups have been overlooked, and wronged, in the past.\u003c/p>\n\u003cp>Guest: \u003ca href=\"https://www.kqed.org/author/adembosky\" target=\"_blank\" rel=\"noopener noreferrer\">April Dembosky\u003c/a>, Health Correspondent for KQED\u003c/p>\n\u003cp>\u003c!-- iframe plugin v.4.3 wordpress.org/plugins/iframe/ -->\u003cbr>\n\u003ciframe loading=\"lazy\" frameborder=\"0\" height=\"200\" scrolling=\"no\" src=\"https://playlist.megaphone.fm?e=KQINC3390746488&light=true\" width=\"100%\" class=\"iframe-class\">\u003c/iframe>\u003c/p>\n\u003cp>Read the transcript \u003ca href=\"https://bit.ly/3lCZRQT\" target=\"_blank\" rel=\"noopener noreferrer\">here\u003c/a>.\u003c/p>\n\u003cp>\u003ca href=\"https://www.kqed.org/thebaynewsletter\" target=\"_blank\" rel=\"noopener noreferrer\">\u003cem>Sign up for our weekly newsletter! \u003c/em>\u003c/a>\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cp>Dr. Anthony Fauci, director of the National Institute of Allergy and Infectious Diseases, joins Marisa Lagos and Scott Shafer to discuss California’s new regional stay-at-home order, the politicization of vaccines and the “spectacular” advances in their development, and lessons he learned from fighting the HIV/AIDS epidemic. Then, San Francisco Chronicle health reporter Erin Allday joins to discuss the new statewide order and how public health guidance has evolved since the spring.\u003c/p>\n\u003cp>Here are some highlights from our interview with Dr. Fauci:\u003c/p>\n\u003ch3>On California’s new shelter-in-place order\u003c/h3>\n\u003cp>Fauci, the nation’s leading infectious disease specialist, enthusiastically supports Gov. Gavin Newsom’s new order, which calls for \u003ca href=\"https://www.kqed.org/news/11849487/newsom-to-impose-sweeping-new-stay-at-home-order-as-covid-19-rates-soar\">regional shutdowns of some businesses and other activities\u003c/a> once ICU hospital bed capacity drops to 15%.\u003c/p>\n\u003cp>Fauci said he consulted with California health authorities ahead of the announcement, and called it “a prudent and correct decision.”\u003c/p>\n\u003cp>“The reason is that you are all on a brink, literally on the threshold of getting the almost unimaginable situation of getting the health care system overrun. You just can’t let that happen. That is unimaginable and unacceptable,” Fauci said. “I spoke to some of his health people and I said I would back them in that decision. So I certainly back what the governor’s doing.”\u003c/p>\n\u003cp>[aside postID=\"news_11849487\" label=\"California's New Shelter-in-Place Order\"]\u003c/p>\n\u003cp>Fauci warned that while hospitals across the nation are already filling up, we have not “seen the full brunt of what we expect to be yet again, another surge, hopefully a mini surge, as opposed to a major one.”\u003c/p>\n\u003cp>“There almost invariably will be a surge associated with what went on last week, with Thanksgiving, with the travel … and the congregate settings of dinners,” he said. “The trouble is, the spike won’t come for about two and a half to three weeks after the Thanksgiving holiday, which would put it right before the Christmas and Hanukkah holiday, which is kind of a double whammy. So we are in a really precarious situation. And because of the stress on the health care system, I think what the governor did was both prudent and advisable.”\u003c/p>\n\u003ch3>On the nation’s inconsistent approach and mixed messaging\u003c/h3>\n\u003cp>Fauci, who’s careful not to get too political, said this: “Mixed messages are bad. One of the problems inherent in mixed messages is that [it] provides license for people to do things according to their own preconceived notions. Because if they hear that going left is right, going right is right, then they say: ‘I’m going to go wherever I want to go because it’s a 50-50 chance.’ that’s not good. We need consistent messages at all levels.”\u003c/p>\n\u003cp>Asked where we stand now as compared to where he thought we would be when the pandemic started, Fauci was blunt.\u003c/p>\n\u003cp>[pullquote size='medium' align='right' citation='Dr. Anthony Fauci']‘There’s no doubt in my mind that … uniform mask wearing, distancing, avoiding crowds or the kinds of shutdowns that you’re talking about, it does make a difference and you should be assured of that.’[/pullquote]\u003c/p>\n\u003cp>“I think I would have to say honestly, worse,” he said. “I thought that we were going to have a uniform public health response that would not have allowed us to never get below a precarious baseline. And every time we try to do something like open up the economy, we’d slip up and then come down. And then we do this, we slip up, and now we’re going into winter, we’re going into the holidays and we’re seeing the same thing.”\u003c/p>\n\u003cp>He also acknowledged that governing a large state like California — and ensuring a consistent message across its diverse 58 counties — is difficult. But, he said, even though the entire nation is seeing a surge in cases right now, places like California are in a better position to tackle the increase because of our stricter state guidelines around mask wearing and social distancing.\u003c/p>\n\u003cp>“I think initially you may think you’re seeing the same result, but when it really plays out, there’s no doubt in my mind that … uniform mask wearing, distancing, avoiding crowds or the kinds of shutdowns that you’re talking about, it does make a difference and you should be assured of that,” he said.\u003c/p>\n\u003ch3>On the vaccine and his hope for the coming months\u003c/h3>\n\u003cp>Fauci encouraged Americans not to lose hope, saying we need to hang on for just a few more months.\u003c/p>\n\u003cp>[aside tag=\"covid-vaccines\" label=\"more vaccine coverage\"]\u003c/p>\n\u003cp>“Help is on the way because we have extraordinarily efficacious vaccines, plural, more than one vaccine that will start to be implemented and distributed in the middle and end of December. And then as we get into January, February, March, more and more and more people will be vaccinated so that by the time we get to April, it will be available for the general public,” he said.\u003c/p>\n\u003cp>Fauci said he’s confident we will “crush this outbreak” and urged the nation to double down, to make difficult sacrifices as we head into the holidays — knowing that there’s light at the end of the tunnel.\u003c/p>\n\u003cp>“Once we get a substantial proportion of the population vaccinated, we’ll get that umbrella of herd immunity and that will ultimately crush this outbreak,” he said. “That to me is an incentive … to double down even more and say [that] although things like the lockdown, things that the governor is trying to do are difficult and straining your comfort, your economy and all those things, the fact is that at the end of the day it will get us through. And then when a vaccine comes in full blast, we’re going to be out of this.” [ad fullwidth]\u003c/p>\n\u003ch3>On vaccine skepticism\u003c/h3>\n\u003cp>With regular Americans as well as health care workers expressing concern about the safety of a vaccine created in record time, Fauci urged everyone to examine the scientific record and consider the independence of our regulators.\u003c/p>\n\u003cp>“These skepticisms are understandable when there are mixed messages,” he said, noting that people have concern about both how quickly the vaccines were developed and whether they are safe and effective.\u003c/p>\n\u003cp>“The fact that we were able to go from the recognition of a brand new virus in January to a vaccine that’s able to be distributed by December is a completely unprecedented accomplishment,” he said. “It is spectacular not because it was rushed by compromising safety or scientific integrity, because of the extraordinary scientific advances that have been made in vaccine platform technologies, which is the fruit of basic and applied research that’s been going on for decades.”\u003c/p>\n\u003cp>Fauci said it’s not as if the underlying science and technology “just popped up.”\u003c/p>\n\u003cp>“This is people who have been working throughout the country, in the world, for decades on exquisite technologies that have allowed us to do things in weeks to months that a decade ago would have taken several years. So the speed does not compromise anything,” he said.\u003c/p>\n\u003cp>What about the safety and the efficacy? Fauci said he knows some people are skeptical that the Trump administration may be trying to prove something, or that the vaccine manufacturers are just trying to make money.\u003c/p>\n\u003cp>[pullquote size='medium' align='right' citation='Dr. Anthony Fauci']‘We’ve got to be able to communicate that to the American public, that even though there’s a lot of skepticism, the [vaccine] process is independent and transparent, period’[/pullquote]\u003c/p>\n\u003cp>“It’s neither of the two, and here’s why,” he said. “Because the determination of safety and efficacy is made by an independent data and safety monitoring board that has allegiance, not to the president, not to the administration and not to the company. It has an allegiance to the American public.”\u003c/p>\n\u003cp>Fauci noted that the process starts with a group of independent scientists, statisticians, ethicists and vaccinology experts who examine the data for safety and efficacy.\u003c/p>\n\u003cp>“They then, and only then, release it to the company, which then examines it and gives it to the [Food and Drug Administration], where career scientists — not politicians but career scientists who do this every day for decades — examine the data and then in accordance with their advisory committee, which is another independent committee, determine if it’s safe and able to be given to the American public. So you have a process that is not only independent, it’s completely transparent.”\u003c/p>\n\u003cp>Fauci noted that “nobody can hide anything,” because the data will ultimately be published in a peer-reviewed journal.\u003c/p>\n\u003cp>“So we’ve got to be able to communicate that to the American public, that even though there’s a lot of skepticism, the process is independent and transparent, period,” he said.\u003c/p>\n\u003ch3>On his own personal journey\u003c/h3>\n\u003cp>Fauci also discussed his remarkable career — he has been at the National Institute of Allergy and Infectious Diseases since 1972 and was appointed director in 1984.\u003c/p>\n\u003cp>While this pandemic has made Fauci a household name, many in the public health community first got to know him in the 1980s as the nation struggled with another new, mysterious, deadly and terrifying virus: HIV.\u003c/p>\n\u003cp>Fauci recognized the threat before many of his colleagues and began researching the virus. But by 1988, he and other government scientists were also becoming the subject of protests by AIDS activists — mostly young, gay men — who felt the government wasn’t doing enough to let infected Americans try new treatments and that they didn’t have a seat at the table.\u003c/p>\n\u003cp>Fauci invited them in, and ended up traveling the country to talk to gay communities stricken by AIDS. Their inclusion and input helped change the way the government approached experimental HIV and AIDS treatments — and more broadly, how we approach medicine in the U.S.\u003c/p>\n\u003cp>We asked Fauci what he learned from that experience.\u003c/p>\n\u003cp>“Well, that was really one of the more transforming periods in my own professional career, in my own life, in which I made a decision — which retrospectively it really turned out to be a good decision — to reach out to the community,” he said.\u003c/p>\n\u003cp>[pullquote size='medium' align='right' citation='Dr. Anthony Fauci']‘Once you start getting involved in ideology and political things, you just lose any credibility. So I have stayed completely away from the politics and focused on what my job is, which is public health and the safety and the health of the American public. You do that, you’re in good shape’[/pullquote]\u003c/p>\n\u003cp>“In this case, it was dominated by young gay men in San Francisco and in New York and in Los Angeles. Because they had some very valid points that the government, the scientific and regulatory community just did not fully appreciate the situation they were in, and they excluded the constituents from participation in important decision making that had a great impact on their lives and their deaths. And yet no one was listening to them.”\u003c/p>\n\u003cp>The activists’ exclusion, Fauci said, made them “iconoclastic, theatrical, confrontative, which unfortunately turned off the government and the scientific and regulatory community even more.”\u003c/p>\n\u003cp>What he did — putting aside the theatrical protests and sitting down with them — “was one of the better things I’ve ever done in my career.”\u003c/p>\n\u003cp>“It became eminently clear to me that what they were saying really made sense, and if I were in their shoes, I would have been doing exactly what they were doing. And that’s when I said I need to sit down and start talking to these people. And once we did that, we found out that we had a lot in common. And that’s when the bonds of collaboration began decades ago to the point now that is a very productive component of what we do,” he said.\u003c/p>\n\u003cp>Fauci, who will be serving his seventh presidential administration as NIAID director when Joe Biden is sworn in next month, has survived Republicans and Democrats, as well as numerous outbreaks: HIV/AIDS, Ebola, Zika, H1N1 and now the coronavirus. What has he learned?\u003c/p>\n\u003cp>“As a scientist and as a public health person, it’s absolutely essential that I stay above and beyond the politics and focus completely on the public health, the scientific issues, because that’s what I’m supposed to be doing,” he said. “Once you start getting involved in ideology and political things, you just lose any credibility. So I have stayed completely away from the politics and focused on what my job is, which is public health and the safety and the health of the American public. You do that, you’re in good shape.”\u003c/p>\n\u003cp>\u003cem>This interview has been lightly edited for clarity.\u003c/em>\u003c/p>\n\u003cp>[ad floatright]\u003c/p>\n",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>Dr. Anthony Fauci, director of the National Institute of Allergy and Infectious Diseases, joins Marisa Lagos and Scott Shafer to discuss California’s new regional stay-at-home order, the politicization of vaccines and the “spectacular” advances in their development, and lessons he learned from fighting the HIV/AIDS epidemic. Then, San Francisco Chronicle health reporter Erin Allday joins to discuss the new statewide order and how public health guidance has evolved since the spring.\u003c/p>\n\u003cp>Here are some highlights from our interview with Dr. Fauci:\u003c/p>\n\u003ch3>On California’s new shelter-in-place order\u003c/h3>\n\u003cp>Fauci, the nation’s leading infectious disease specialist, enthusiastically supports Gov. Gavin Newsom’s new order, which calls for \u003ca href=\"https://www.kqed.org/news/11849487/newsom-to-impose-sweeping-new-stay-at-home-order-as-covid-19-rates-soar\">regional shutdowns of some businesses and other activities\u003c/a> once ICU hospital bed capacity drops to 15%.\u003c/p>\n\u003cp>Fauci said he consulted with California health authorities ahead of the announcement, and called it “a prudent and correct decision.”\u003c/p>\n\u003cp>“The reason is that you are all on a brink, literally on the threshold of getting the almost unimaginable situation of getting the health care system overrun. You just can’t let that happen. That is unimaginable and unacceptable,” Fauci said. “I spoke to some of his health people and I said I would back them in that decision. So I certainly back what the governor’s doing.”\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>Fauci warned that while hospitals across the nation are already filling up, we have not “seen the full brunt of what we expect to be yet again, another surge, hopefully a mini surge, as opposed to a major one.”\u003c/p>\n\u003cp>“There almost invariably will be a surge associated with what went on last week, with Thanksgiving, with the travel … and the congregate settings of dinners,” he said. “The trouble is, the spike won’t come for about two and a half to three weeks after the Thanksgiving holiday, which would put it right before the Christmas and Hanukkah holiday, which is kind of a double whammy. So we are in a really precarious situation. And because of the stress on the health care system, I think what the governor did was both prudent and advisable.”\u003c/p>\n\u003ch3>On the nation’s inconsistent approach and mixed messaging\u003c/h3>\n\u003cp>Fauci, who’s careful not to get too political, said this: “Mixed messages are bad. One of the problems inherent in mixed messages is that [it] provides license for people to do things according to their own preconceived notions. Because if they hear that going left is right, going right is right, then they say: ‘I’m going to go wherever I want to go because it’s a 50-50 chance.’ that’s not good. We need consistent messages at all levels.”\u003c/p>\n\u003cp>Asked where we stand now as compared to where he thought we would be when the pandemic started, Fauci was blunt.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "‘There’s no doubt in my mind that … uniform mask wearing, distancing, avoiding crowds or the kinds of shutdowns that you’re talking about, it does make a difference and you should be assured of that.’",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>“I think I would have to say honestly, worse,” he said. “I thought that we were going to have a uniform public health response that would not have allowed us to never get below a precarious baseline. And every time we try to do something like open up the economy, we’d slip up and then come down. And then we do this, we slip up, and now we’re going into winter, we’re going into the holidays and we’re seeing the same thing.”\u003c/p>\n\u003cp>He also acknowledged that governing a large state like California — and ensuring a consistent message across its diverse 58 counties — is difficult. But, he said, even though the entire nation is seeing a surge in cases right now, places like California are in a better position to tackle the increase because of our stricter state guidelines around mask wearing and social distancing.\u003c/p>\n\u003cp>“I think initially you may think you’re seeing the same result, but when it really plays out, there’s no doubt in my mind that … uniform mask wearing, distancing, avoiding crowds or the kinds of shutdowns that you’re talking about, it does make a difference and you should be assured of that,” he said.\u003c/p>\n\u003ch3>On the vaccine and his hope for the coming months\u003c/h3>\n\u003cp>Fauci encouraged Americans not to lose hope, saying we need to hang on for just a few more months.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>“Help is on the way because we have extraordinarily efficacious vaccines, plural, more than one vaccine that will start to be implemented and distributed in the middle and end of December. And then as we get into January, February, March, more and more and more people will be vaccinated so that by the time we get to April, it will be available for the general public,” he said.\u003c/p>\n\u003cp>Fauci said he’s confident we will “crush this outbreak” and urged the nation to double down, to make difficult sacrifices as we head into the holidays — knowing that there’s light at the end of the tunnel.\u003c/p>\n\u003cp>“Once we get a substantial proportion of the population vaccinated, we’ll get that umbrella of herd immunity and that will ultimately crush this outbreak,” he said. “That to me is an incentive … to double down even more and say [that] although things like the lockdown, things that the governor is trying to do are difficult and straining your comfort, your economy and all those things, the fact is that at the end of the day it will get us through. And then when a vaccine comes in full blast, we’re going to be out of this.” \u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003ch3>On vaccine skepticism\u003c/h3>\n\u003cp>With regular Americans as well as health care workers expressing concern about the safety of a vaccine created in record time, Fauci urged everyone to examine the scientific record and consider the independence of our regulators.\u003c/p>\n\u003cp>“These skepticisms are understandable when there are mixed messages,” he said, noting that people have concern about both how quickly the vaccines were developed and whether they are safe and effective.\u003c/p>\n\u003cp>“The fact that we were able to go from the recognition of a brand new virus in January to a vaccine that’s able to be distributed by December is a completely unprecedented accomplishment,” he said. “It is spectacular not because it was rushed by compromising safety or scientific integrity, because of the extraordinary scientific advances that have been made in vaccine platform technologies, which is the fruit of basic and applied research that’s been going on for decades.”\u003c/p>\n\u003cp>Fauci said it’s not as if the underlying science and technology “just popped up.”\u003c/p>\n\u003cp>“This is people who have been working throughout the country, in the world, for decades on exquisite technologies that have allowed us to do things in weeks to months that a decade ago would have taken several years. So the speed does not compromise anything,” he said.\u003c/p>\n\u003cp>What about the safety and the efficacy? Fauci said he knows some people are skeptical that the Trump administration may be trying to prove something, or that the vaccine manufacturers are just trying to make money.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "‘We’ve got to be able to communicate that to the American public, that even though there’s a lot of skepticism, the [vaccine] process is independent and transparent, period’",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>“It’s neither of the two, and here’s why,” he said. “Because the determination of safety and efficacy is made by an independent data and safety monitoring board that has allegiance, not to the president, not to the administration and not to the company. It has an allegiance to the American public.”\u003c/p>\n\u003cp>Fauci noted that the process starts with a group of independent scientists, statisticians, ethicists and vaccinology experts who examine the data for safety and efficacy.\u003c/p>\n\u003cp>“They then, and only then, release it to the company, which then examines it and gives it to the [Food and Drug Administration], where career scientists — not politicians but career scientists who do this every day for decades — examine the data and then in accordance with their advisory committee, which is another independent committee, determine if it’s safe and able to be given to the American public. So you have a process that is not only independent, it’s completely transparent.”\u003c/p>\n\u003cp>Fauci noted that “nobody can hide anything,” because the data will ultimately be published in a peer-reviewed journal.\u003c/p>\n\u003cp>“So we’ve got to be able to communicate that to the American public, that even though there’s a lot of skepticism, the process is independent and transparent, period,” he said.\u003c/p>\n\u003ch3>On his own personal journey\u003c/h3>\n\u003cp>Fauci also discussed his remarkable career — he has been at the National Institute of Allergy and Infectious Diseases since 1972 and was appointed director in 1984.\u003c/p>\n\u003cp>While this pandemic has made Fauci a household name, many in the public health community first got to know him in the 1980s as the nation struggled with another new, mysterious, deadly and terrifying virus: HIV.\u003c/p>\n\u003cp>Fauci recognized the threat before many of his colleagues and began researching the virus. But by 1988, he and other government scientists were also becoming the subject of protests by AIDS activists — mostly young, gay men — who felt the government wasn’t doing enough to let infected Americans try new treatments and that they didn’t have a seat at the table.\u003c/p>\n\u003cp>Fauci invited them in, and ended up traveling the country to talk to gay communities stricken by AIDS. Their inclusion and input helped change the way the government approached experimental HIV and AIDS treatments — and more broadly, how we approach medicine in the U.S.\u003c/p>\n\u003cp>We asked Fauci what he learned from that experience.\u003c/p>\n\u003cp>“Well, that was really one of the more transforming periods in my own professional career, in my own life, in which I made a decision — which retrospectively it really turned out to be a good decision — to reach out to the community,” he said.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "‘Once you start getting involved in ideology and political things, you just lose any credibility. So I have stayed completely away from the politics and focused on what my job is, which is public health and the safety and the health of the American public. You do that, you’re in good shape’",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>“In this case, it was dominated by young gay men in San Francisco and in New York and in Los Angeles. Because they had some very valid points that the government, the scientific and regulatory community just did not fully appreciate the situation they were in, and they excluded the constituents from participation in important decision making that had a great impact on their lives and their deaths. And yet no one was listening to them.”\u003c/p>\n\u003cp>The activists’ exclusion, Fauci said, made them “iconoclastic, theatrical, confrontative, which unfortunately turned off the government and the scientific and regulatory community even more.”\u003c/p>\n\u003cp>What he did — putting aside the theatrical protests and sitting down with them — “was one of the better things I’ve ever done in my career.”\u003c/p>\n\u003cp>“It became eminently clear to me that what they were saying really made sense, and if I were in their shoes, I would have been doing exactly what they were doing. And that’s when I said I need to sit down and start talking to these people. And once we did that, we found out that we had a lot in common. And that’s when the bonds of collaboration began decades ago to the point now that is a very productive component of what we do,” he said.\u003c/p>\n\u003cp>Fauci, who will be serving his seventh presidential administration as NIAID director when Joe Biden is sworn in next month, has survived Republicans and Democrats, as well as numerous outbreaks: HIV/AIDS, Ebola, Zika, H1N1 and now the coronavirus. What has he learned?\u003c/p>\n\u003cp>“As a scientist and as a public health person, it’s absolutely essential that I stay above and beyond the politics and focus completely on the public health, the scientific issues, because that’s what I’m supposed to be doing,” he said. “Once you start getting involved in ideology and political things, you just lose any credibility. So I have stayed completely away from the politics and focused on what my job is, which is public health and the safety and the health of the American public. You do that, you’re in good shape.”\u003c/p>\n\u003cp>\u003cem>This interview has been lightly edited for clarity.\u003c/em>\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cp>Amid surging COVID-19 rates, Gov. Gavin Newsom \u003ca href=\"https://www.kqed.org/news/11849487/newsom-to-impose-sweeping-new-stay-at-home-order-as-covid-19-rates-soar\">announced a new stay-at-home order\u003c/a> that will go into effect for specific regions of the state if their ICU capacity drops below 15%.\u003c/p>\n\u003cp>It looks like the Bay Area will fall under the new order in a few weeks if the data remains on the current track.\u003c/p>\n\u003cp>On the bright side, vaccines are on the way and even the (\u003ca href=\"https://www.kqed.org/news/11849397/next-time-order-in\">almost\u003c/a>) ever-cautious Newsom said, \"this is the final surge in this pandemic.\"\u003c/p>\n\u003cp>I sure hope he's right.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>\u003c/p>\n",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>Amid surging COVID-19 rates, Gov. Gavin Newsom \u003ca href=\"https://www.kqed.org/news/11849487/newsom-to-impose-sweeping-new-stay-at-home-order-as-covid-19-rates-soar\">announced a new stay-at-home order\u003c/a> that will go into effect for specific regions of the state if their ICU capacity drops below 15%.\u003c/p>\n\u003cp>It looks like the Bay Area will fall under the new order in a few weeks if the data remains on the current track.\u003c/p>\n\u003cp>On the bright side, vaccines are on the way and even the (\u003ca href=\"https://www.kqed.org/news/11849397/next-time-order-in\">almost\u003c/a>) ever-cautious Newsom said, \"this is the final surge in this pandemic.\"\u003c/p>\n\u003cp>I sure hope he's right.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cp>\u003cstrong>Update, 5 p.m. Friday:\u003c/strong>\u003c/p>\n\u003cp>Bay Area health officials from five counties announced Friday that they're implementing a new stay-at-home order ahead of the state's timeline announced by Gov. Gavin Newsom on Thursday.\u003c/p>\n\u003cp>The restrictions will affect residents and businesses in Alameda, Contra Costa, Marin, San Francisco and Santa Clara counties. The order will last until Jan. 4, 2021.\u003c/p>\n\u003cp>Indoor and outdoor playgrounds, personal care services, hair salons, movie theaters, museums and bars must close. Gathering with anyone outside of your household is not allowed, even outside. All non-essential travel is not allowed.\u003c/p>\n\u003cp>Indoor retail and grocery stores can operate at 20% capacity, and restaurants can stay open for take-out, delivery and pick-up.\u003c/p>\n\u003cp>The stay-at-home order will go into effect on the following days:\u003c/p>\n\u003cul>\n\u003cli>Contra Costa County: Sunday, Dec. 6\u003c/li>\n\u003cli>Santa Clara County: Sunday, Dec. 6\u003c/li>\n\u003cli>San Francisco County: Monday, Dec. 7\u003c/li>\n\u003cli>Alameda County: Monday, Dec. 7\u003c/li>\n\u003cli>Marin County: Tuesday, Dec. 8\u003c/li>\n\u003c/ul>\n\u003cp>See more information about \u003ca href=\"https://www.kqed.org/news/11849792/5-bay-area-counties-implement-strict-new-stay-at-home-orders-ahead-of-schedule\">what the new stay-at-home order means\u003c/a>.\u003c/p>\n\u003cp>\u003cstrong>Original post:\u003c/strong>\u003cbr />\nGov. Gavin Newsom on Thursday announced a sweeping new regional stay-at-home order that will force the shutdown of many businesses and activities in vast regions across California where hospital intensive care units are nearing capacity due to soaring COVID-19 rates.[pullquote align=\"right\" size=\"medium\" citation=\"Gov. Gavin Newsom\"]'If we don't act now, we'll continue to see the death rate climb — more lives lost. And that's why today ... we are pulling that emergency brake.'[/pullquote]Health officials, Newsom said, will track ICU capacity in five regions, designated as the Bay Area, Northern California, the greater Sacramento region, the San Joaquin Valley and Southern California.\u003c/p>\n\u003cp>The order will go into effect for an entire region — for at least three weeks — when its ICU beds are more than 85% full.\u003c/p>\n\u003cp>\"The bottom line is, if we don't act now, our hospital system will be overwhelmed,\" Newsom said at a press briefing. \"If we don't act now, we'll continue to see the death rate climb — more lives lost. And that's why today ... we are pulling that emergency brake.\"\u003c/p>\n\u003cp>Residents in regions where the order is imposed will technically be required to stay at home as much as possible in an effort to reduce transmission of the virus. The order also mandates the closure, within 48 hours, of a wide swath of businesses and activities, akin to those forced to close during the first statewide shutdown in March. Businesses that must close when the order is triggered include:\u003c/p>\n\u003cul>\n\u003cli>Hair salons\u003c/li>\n\u003cli>Indoor recreation centers\u003c/li>\n\u003cli>Movie theaters\u003c/li>\n\u003cli>Bars and wineries\u003c/li>\n\u003cli>Personal care services\u003c/li>\n\u003cli>Museums\u003c/li>\n\u003cli>Indoor and outdoor playgrounds\u003c/li>\n\u003c/ul>\n\u003cp>Restaurants will only be allowed to offer take-out and delivery service – even outdoor dining will be prohibited – and occupancy at grocery stores and other retail outlets will be reduced to 20% capacity. Additionally, the order restricts all nonessential travel, and requires that hotels and other lodging be reserved for essential workers. Houses of worship must also cease all indoor operations.\u003c/p>\n\u003cp>As the order currently stands, K-12 schools and day care centers that are already offering in-person learning can continue to do so.\u003c/p>\n\u003cp>https://twitter.com/CAgovernor/status/1334641978730921985\u003c/p>\n\u003cp>None of the five regions currently meet the threshold to trigger the order, Newsom said, but most are projected to reach it within days. In the Bay Area, the order will likely take effect by mid- to late-December.\u003c/p>\n\u003cp>The announcement comes just two weeks after Newsom implemented a \u003ca href=\"https://www.kqed.org/news/11848109/new-california-curfew-applies-to-most-bay-area-counties\">more limited curfew\u003c/a> restricting many nonessential activities and business operations across much of the state between 10 p.m. and 5 a.m. Similar to that action, and the first shutdown order in March, enforcement of this newest mandate will remain largely in the hands of local authorities. Newsom warned, though, as he did repeatedly in the spring, that the state would withhold money from counties that refused to enforce the rules.\u003c/p>\n\u003cp>Individual counties will be eligible to emerge from their regional order after three weeks if their hospital ICU capacity, projected 4 weeks out — increases to at least 15%, at which point they will go back to the \u003ca href=\"https://covid19.ca.gov/safer-economy/#county-status\">color-coded reopening tier system\u003c/a> the state has been using. But the chances of that happening anytime soon is slim, Newsom said, anticipating that the entire state will likely remain under the order into early 2021. \"Not just three weeks, but likely next month, month and a half, maybe as much as two months,\" he said.\u003c/p>\n\u003cp>Unlike the order in March, this newest directive allows parks and beaches to remain open.\u003c/p>\n\u003cp>\"I'm not naive about the pressure and stress that you’re under,\" Newsom said, urging people to participate in outside activities to the extent they safely can. \"We encourage you to take your dog for a walk. We want you to exercise and go on a run with a partner within your household. ... Take a bike ride. Go fishing.\"\u003c/p>\n\u003cp>https://twitter.com/passantino/status/1334598768642183173?ref_src=twsrc%5Egoogle%7Ctwcamp%5Eserp%7Ctwgr%5Etweet\u003c/p>\n\u003cp>The announcement comes amid an alarming new surge of COVID-19 cases in California — along with the rest of the country — that threaten to overwhelm the health care system.\u003c/p>\n\u003cp>Over the last seven days, there has been an average of more than 15,000 new, daily infections reported statewide, far outpacing the rate during previous surges. And those figures, Newsom noted, don't account for the impacts of Thanksgiving travel and gatherings. Roughly 12% of new cases will likely require hospitalization over a two-week period, which could cause a spike in new hospital admissions across the state and quickly strain intensive care units, he said.\u003c/p>\n\u003cp>Deaths from the virus in California have also shot up in recent weeks.\u003c/p>\n\u003cp>[aside label=\"related coverage\" tag=\"stay-at-home\"]\"A month ago, on Nov. 2, we reported the tragic loss of 14 lives related to this pandemic,\" Newsom said. \"In the last 24 hours, similar to the previous 24 hours, we reported back-to-back days with 113 deaths.\" The virus, he noted, has already claimed the lives of more than 19,400 Californians since March.\u003c/p>\n\u003cp>The nation’s leading infectious disease specialist threw his support behind Newsom's order.\u003c/p>\n\u003cp>Dr. Anthony Fauci, director of the National Institute of Allergies and Infectious Diseases, told KQED’s Political Breakdown podcast Thursday that he consulted with California health authorities ahead of the announcement. He called it “a prudent and correct decision.”\u003c/p>\n\u003cp>“The reason is that you are all on a brink, literally on the threshold of the almost unimaginable situation of getting the health care system overrun,\" Fauci said. \"You just can’t let that happen. That is unimaginable and unacceptable.\u003c/p>\n\u003cp>“I spoke to some of [Newsom's] health people, and I said I would back them in that decision. So I certainly back what the governor is doing.”\u003c/p>\n\u003cp>Fauci warned that while hospitals across the nation are already filling up, we have not “seen the full brunt of what we expect to be yet again, another surge ... Hopefully a mini-surge, as opposed to a major one.”\u003c/p>\n\u003cp>Acknowledging the heavy financial and emotional burden the new order places on scores of Californians, Newsom urged small businesses to take advantage of a series of new \u003ca href=\"https://covid19.ca.gov/business-and-employers/\">tax relief measures\u003c/a> intended to help soften the blow of the restrictions, including an automatic three-month extension for taxpayers filing less than $1 million in sales tax, and interest-free payment agreements to larger companies that have up to $5 million in taxable sales.\u003c/p>\n\u003cp>Newsom said the state was also dipping into reserve accounts to make half a billion dollars of additional funds available to small businesses, cultural institutions and nonprofits, offering individual cash grants of up to $25,000. It is also offering a new hiring tax credit — of up to $1,000 per employee and $100,000 per employer, he said.\u003c/p>\n\u003cp>[pullquote size=\"medium\" align=\"right\" citation=\"Dr. Anthony Fauci\"]'[The order is] a prudent and correct decision. You are all on a brink ... of the almost unimaginable situation of getting the health care system overrun. You just can’t let that happen.'[/pullquote]\"Take advantage of the moment,\" Newsom said. \"Utilize those dollars.\"\u003c/p>\n\u003cp>Newsom also said the state would continue making hotel rooms available for agriculture and health care workers, as well as the homeless, and provide additional funding to food banks.\u003c/p>\n\u003cp>Newsom also spelled out the distribution plan for the 327,000 doses of COVID-19 vaccine the state expects to receive by mid-December. That vaccine, produced by drugmaker Pfizer, \u003ca href=\"https://www.statnews.com/2020/11/18/pfizer-biontech-covid19-vaccine-fda-data/\">has been shown to be\u003c/a> 95% effective in preventing new infections, but requires two doses, and must be stored at \u003ca href=\"https://www.wired.com/story/physics-of-materials-minus-80-degrees-celsius/\">extremely low temperatures\u003c/a> — far below the capability of standard freezers.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>Under the prioritization plan, the first batch of that vaccine — enough for less than 1% of California's population — will be distributed to the state's most vulnerable workers in three different groups. Workers in hospitals, assisted living facilities and dialysis centers, as well as paramedics and emergency medical technicians, will be first in line, Newsom said.\u003c/p>\n\u003cp>Up next will be workers in home health and supportive services, correctional institutions, community health clinics and urgent care facilities.\u003c/p>\n\u003cp>Workers in other health care settings, including lab, dental and pharmacy employees, will round out the final tier of initial recipients.\u003c/p>\n\u003cp>\"We will be very aggressive in making sure that those with means, those with influence, are not crowding out those that are most deserving of the vaccines,\" Newsom said. “We will prioritize, and we will expect that everyone in the health care delivery system is held to the same ethical standard of prioritizing truly those that are most in need.\"\u003c/p>\n\u003cp>Newsom said he expected the state to also soon receive vaccines from some of the other drug producers, and would expand distribution plans based on those supplies.\u003c/p>\n\u003cp>\"This is not a permanent state. This is what many had projected,\" Newsom said. “There is light at the end of the tunnel. We are a few months away from truly seeing real progress with the vaccine, real distribution, real accessibility, real availability. We do not anticipate having to do this once again.\"\u003c/p>\n\u003cp>But he underscored the critical urgency of the moment.\u003c/p>\n\u003cp>\"We really all need to step up,\" he added. \"We need to do everything we can to stem the tide, to bend the curve and give us the time necessary to get those vaccines in the hands of all Californians all across the state.\"\u003c/p>\n\u003cp>\u003cem>KQED's Marisa Lagos contributed to this report.\u003c/em>\u003c/p>\n",
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"excerpt": "The order, which will force the shutdown of many businesses and activities, will be triggered for at least three weeks when a region's ICU capacity reaches 85%. But Newsom also detailed plans for distributing the first batch of vaccine, saying, \"There is light at the end of the tunnel.\" ",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>\u003cstrong>Update, 5 p.m. Friday:\u003c/strong>\u003c/p>\n\u003cp>Bay Area health officials from five counties announced Friday that they're implementing a new stay-at-home order ahead of the state's timeline announced by Gov. Gavin Newsom on Thursday.\u003c/p>\n\u003cp>The restrictions will affect residents and businesses in Alameda, Contra Costa, Marin, San Francisco and Santa Clara counties. The order will last until Jan. 4, 2021.\u003c/p>\n\u003cp>Indoor and outdoor playgrounds, personal care services, hair salons, movie theaters, museums and bars must close. Gathering with anyone outside of your household is not allowed, even outside. All non-essential travel is not allowed.\u003c/p>\n\u003cp>Indoor retail and grocery stores can operate at 20% capacity, and restaurants can stay open for take-out, delivery and pick-up.\u003c/p>\n\u003cp>The stay-at-home order will go into effect on the following days:\u003c/p>\n\u003cul>\n\u003cli>Contra Costa County: Sunday, Dec. 6\u003c/li>\n\u003cli>Santa Clara County: Sunday, Dec. 6\u003c/li>\n\u003cli>San Francisco County: Monday, Dec. 7\u003c/li>\n\u003cli>Alameda County: Monday, Dec. 7\u003c/li>\n\u003cli>Marin County: Tuesday, Dec. 8\u003c/li>\n\u003c/ul>\n\u003cp>See more information about \u003ca href=\"https://www.kqed.org/news/11849792/5-bay-area-counties-implement-strict-new-stay-at-home-orders-ahead-of-schedule\">what the new stay-at-home order means\u003c/a>.\u003c/p>\n\u003cp>\u003cstrong>Original post:\u003c/strong>\u003cbr />\nGov. Gavin Newsom on Thursday announced a sweeping new regional stay-at-home order that will force the shutdown of many businesses and activities in vast regions across California where hospital intensive care units are nearing capacity due to soaring COVID-19 rates.\u003c/p>\u003c/div>",
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"content": "'If we don't act now, we'll continue to see the death rate climb — more lives lost. And that's why today ... we are pulling that emergency brake.'",
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"content": "\u003cdiv class=\"post-body\">\u003cp>Health officials, Newsom said, will track ICU capacity in five regions, designated as the Bay Area, Northern California, the greater Sacramento region, the San Joaquin Valley and Southern California.\u003c/p>\n\u003cp>The order will go into effect for an entire region — for at least three weeks — when its ICU beds are more than 85% full.\u003c/p>\n\u003cp>\"The bottom line is, if we don't act now, our hospital system will be overwhelmed,\" Newsom said at a press briefing. \"If we don't act now, we'll continue to see the death rate climb — more lives lost. And that's why today ... we are pulling that emergency brake.\"\u003c/p>\n\u003cp>Residents in regions where the order is imposed will technically be required to stay at home as much as possible in an effort to reduce transmission of the virus. The order also mandates the closure, within 48 hours, of a wide swath of businesses and activities, akin to those forced to close during the first statewide shutdown in March. Businesses that must close when the order is triggered include:\u003c/p>\n\u003cul>\n\u003cli>Hair salons\u003c/li>\n\u003cli>Indoor recreation centers\u003c/li>\n\u003cli>Movie theaters\u003c/li>\n\u003cli>Bars and wineries\u003c/li>\n\u003cli>Personal care services\u003c/li>\n\u003cli>Museums\u003c/li>\n\u003cli>Indoor and outdoor playgrounds\u003c/li>\n\u003c/ul>\n\u003cp>Restaurants will only be allowed to offer take-out and delivery service – even outdoor dining will be prohibited – and occupancy at grocery stores and other retail outlets will be reduced to 20% capacity. Additionally, the order restricts all nonessential travel, and requires that hotels and other lodging be reserved for essential workers. Houses of worship must also cease all indoor operations.\u003c/p>\n\u003cp>As the order currently stands, K-12 schools and day care centers that are already offering in-person learning can continue to do so.\u003c/p>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\n\u003cp>None of the five regions currently meet the threshold to trigger the order, Newsom said, but most are projected to reach it within days. In the Bay Area, the order will likely take effect by mid- to late-December.\u003c/p>\n\u003cp>The announcement comes just two weeks after Newsom implemented a \u003ca href=\"https://www.kqed.org/news/11848109/new-california-curfew-applies-to-most-bay-area-counties\">more limited curfew\u003c/a> restricting many nonessential activities and business operations across much of the state between 10 p.m. and 5 a.m. Similar to that action, and the first shutdown order in March, enforcement of this newest mandate will remain largely in the hands of local authorities. Newsom warned, though, as he did repeatedly in the spring, that the state would withhold money from counties that refused to enforce the rules.\u003c/p>\n\u003cp>Individual counties will be eligible to emerge from their regional order after three weeks if their hospital ICU capacity, projected 4 weeks out — increases to at least 15%, at which point they will go back to the \u003ca href=\"https://covid19.ca.gov/safer-economy/#county-status\">color-coded reopening tier system\u003c/a> the state has been using. But the chances of that happening anytime soon is slim, Newsom said, anticipating that the entire state will likely remain under the order into early 2021. \"Not just three weeks, but likely next month, month and a half, maybe as much as two months,\" he said.\u003c/p>\n\u003cp>Unlike the order in March, this newest directive allows parks and beaches to remain open.\u003c/p>\n\u003cp>\"I'm not naive about the pressure and stress that you’re under,\" Newsom said, urging people to participate in outside activities to the extent they safely can. \"We encourage you to take your dog for a walk. We want you to exercise and go on a run with a partner within your household. ... Take a bike ride. Go fishing.\"\u003c/p>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\n\u003cp>The announcement comes amid an alarming new surge of COVID-19 cases in California — along with the rest of the country — that threaten to overwhelm the health care system.\u003c/p>\n\u003cp>Over the last seven days, there has been an average of more than 15,000 new, daily infections reported statewide, far outpacing the rate during previous surges. And those figures, Newsom noted, don't account for the impacts of Thanksgiving travel and gatherings. Roughly 12% of new cases will likely require hospitalization over a two-week period, which could cause a spike in new hospital admissions across the state and quickly strain intensive care units, he said.\u003c/p>\n\u003cp>Deaths from the virus in California have also shot up in recent weeks.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\"A month ago, on Nov. 2, we reported the tragic loss of 14 lives related to this pandemic,\" Newsom said. \"In the last 24 hours, similar to the previous 24 hours, we reported back-to-back days with 113 deaths.\" The virus, he noted, has already claimed the lives of more than 19,400 Californians since March.\u003c/p>\n\u003cp>The nation’s leading infectious disease specialist threw his support behind Newsom's order.\u003c/p>\n\u003cp>Dr. Anthony Fauci, director of the National Institute of Allergies and Infectious Diseases, told KQED’s Political Breakdown podcast Thursday that he consulted with California health authorities ahead of the announcement. He called it “a prudent and correct decision.”\u003c/p>\n\u003cp>“The reason is that you are all on a brink, literally on the threshold of the almost unimaginable situation of getting the health care system overrun,\" Fauci said. \"You just can’t let that happen. That is unimaginable and unacceptable.\u003c/p>\n\u003cp>“I spoke to some of [Newsom's] health people, and I said I would back them in that decision. So I certainly back what the governor is doing.”\u003c/p>\n\u003cp>Fauci warned that while hospitals across the nation are already filling up, we have not “seen the full brunt of what we expect to be yet again, another surge ... Hopefully a mini-surge, as opposed to a major one.”\u003c/p>\n\u003cp>Acknowledging the heavy financial and emotional burden the new order places on scores of Californians, Newsom urged small businesses to take advantage of a series of new \u003ca href=\"https://covid19.ca.gov/business-and-employers/\">tax relief measures\u003c/a> intended to help soften the blow of the restrictions, including an automatic three-month extension for taxpayers filing less than $1 million in sales tax, and interest-free payment agreements to larger companies that have up to $5 million in taxable sales.\u003c/p>\n\u003cp>Newsom said the state was also dipping into reserve accounts to make half a billion dollars of additional funds available to small businesses, cultural institutions and nonprofits, offering individual cash grants of up to $25,000. It is also offering a new hiring tax credit — of up to $1,000 per employee and $100,000 per employer, he said.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\"Take advantage of the moment,\" Newsom said. \"Utilize those dollars.\"\u003c/p>\n\u003cp>Newsom also said the state would continue making hotel rooms available for agriculture and health care workers, as well as the homeless, and provide additional funding to food banks.\u003c/p>\n\u003cp>Newsom also spelled out the distribution plan for the 327,000 doses of COVID-19 vaccine the state expects to receive by mid-December. That vaccine, produced by drugmaker Pfizer, \u003ca href=\"https://www.statnews.com/2020/11/18/pfizer-biontech-covid19-vaccine-fda-data/\">has been shown to be\u003c/a> 95% effective in preventing new infections, but requires two doses, and must be stored at \u003ca href=\"https://www.wired.com/story/physics-of-materials-minus-80-degrees-celsius/\">extremely low temperatures\u003c/a> — far below the capability of standard freezers.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>Under the prioritization plan, the first batch of that vaccine — enough for less than 1% of California's population — will be distributed to the state's most vulnerable workers in three different groups. Workers in hospitals, assisted living facilities and dialysis centers, as well as paramedics and emergency medical technicians, will be first in line, Newsom said.\u003c/p>\n\u003cp>Up next will be workers in home health and supportive services, correctional institutions, community health clinics and urgent care facilities.\u003c/p>\n\u003cp>Workers in other health care settings, including lab, dental and pharmacy employees, will round out the final tier of initial recipients.\u003c/p>\n\u003cp>\"We will be very aggressive in making sure that those with means, those with influence, are not crowding out those that are most deserving of the vaccines,\" Newsom said. “We will prioritize, and we will expect that everyone in the health care delivery system is held to the same ethical standard of prioritizing truly those that are most in need.\"\u003c/p>\n\u003cp>Newsom said he expected the state to also soon receive vaccines from some of the other drug producers, and would expand distribution plans based on those supplies.\u003c/p>\n\u003cp>\"This is not a permanent state. This is what many had projected,\" Newsom said. “There is light at the end of the tunnel. We are a few months away from truly seeing real progress with the vaccine, real distribution, real accessibility, real availability. We do not anticipate having to do this once again.\"\u003c/p>\n\u003cp>But he underscored the critical urgency of the moment.\u003c/p>\n\u003cp>\"We really all need to step up,\" he added. \"We need to do everything we can to stem the tide, to bend the curve and give us the time necessary to get those vaccines in the hands of all Californians all across the state.\"\u003c/p>\n\u003cp>\u003cem>KQED's Marisa Lagos contributed to this report.\u003c/em>\u003c/p>\n\u003c/div>\u003c/p>",
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"content": "\u003cp>\u003ca href=\"https://www.kqed.org/news/11848790/covid-19-vaccine-plans-in-california-what-we-know-so-far\">\u003cem>Read in English\u003c/em>\u003c/a>\u003c/p>\n\u003cp>La pandemia del coronavirus todavía sigue creciendo de manera descontrolada en todo California. \u003ca href=\"https://www.latimes.com/projects/california-coronavirus-cases-tracking-outbreak/\">Según\u003c/a> cifras del estado, este miércoles, 20 mil 759 personas dieron positivo en la prueba de covid-19, más del doble que la cifra mes pasado. Las autoridades de salud ahora temen que los hospitales se saturen durante la época de fiestas, ya que más personas podrían reunirse con su familia en espacios cerrados, lo que resultaría en una explosión de contagios.\u003c/p>\n\u003cp>Ponerse un cubrebocas al salir a la calle sigue siendo de máxima importancia, pero las cifras recientes recalcan la necesidad de una vacuna eficaz para por fin controlar este desastre.\u003c/p>\n\u003cp>Por eso, \u003ca href=\"https://www.npr.org/sections/health-shots/2020/11/18/936060122/pfizer-to-seek-fda-ok-for-covid-19-vaccine-within-days\">Pfizer\u003c/a> y \u003ca href=\"https://www.npr.org/sections/health-shots/2020/11/16/935239294/modernas-covid-19-vaccine-shines-in-clinical-trial\">Moderna\u003c/a> presentaron recientemente los resultados verdaderamente alentadores de las vacunas que han desarrollado respectivamente. Ambas parecen proveer protección contra el coronavirus a un nivel de eficacia del 95%. La semana pasada, AstraZeneca también \u003ca href=\"https://www.npr.org/sections/coronavirus-live-updates/2020/11/23/937881011/u-k-coronavirus-trial-promises-highly-effective-new-vaccine\">reveló\u003c/a> los resultados de su vacuna, sin embargo, la metodología detrás de esos resultados ha sido cuestionada por algunos \u003ca href=\"https://www.wired.com/story/the-astrazeneca-covid-vaccine-data-isnt-up-to-snuff/\">investigadores\u003c/a>. Estas vacunas son las más prometedoras fuera de un grupo de seis vacunas que están llegando al final de la tercera fase de las pruebas clínicas. Pfizer ya ha \u003ca href=\"https://www.pfizer.com/news/press-release/press-release-detail/pfizer-and-biontech-submit-emergency-use-authorization\">solicitado\u003c/a> del gobierno federal autorización para aplicar su vacuna en casos de emergencia. Es probable que las otras farmacéuticas pronto hagan lo mismo.\u003c/p>\n\u003cp>Si todo va bien, algunos estadounidenses podrían recibir la vacuna ya para la próxima semana, según Moncef Slaouil, el asesor científico principal de operación '\u003ca href=\"https://www.hhs.gov/coronavirus/explaining-operation-warp-speed/index.html\">Warp Speed\u003c/a>' (o \"a toda velocidad\" en español) el programa del gobierno federal para proveer la vacuna contra el covid-19 al público.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>La doctora Erica Pan, directora temporal del Departamento de Salud Pública de California, dice que la llegada de la vacuna no será una panacea. \"Esperamos que para fin de año, ya tengamos un suministro, pero va a llegar poco a poco. Es una luz maravillosa al final del túnel, pero no todas las vacunas van a llegar a la misma vez\", dijo ella.\u003c/p>\n\u003cp>A mediados de octubre, el gobierno de California publicó un plan \u003ca href=\"https://www.cdph.ca.gov/Programs/CID/DCDC/CDPH%20Document%20Library/COVID-19/COVID-19-Vaccination-Plan-California-Interim-Draft_V1.0.pdf\">preliminar\u003c/a> para distribuir la vacuna en tres fases, el cual está basado parcialmente en el sistema actual de entregas que ha sido usado para proveer inmunización durante la temporada de la influenza y epidemias anteriores como la del virus H1N1.\u003c/p>\n\u003ch3>Tres fases: Quién califica cuándo\u003c/h3>\n\u003cp>La doctora Pan señala que cuando California reciba el primer cargamento de vacunas, el cual incluye entre 1 a 2 millones de vacunas, todas serán distribuidas entre los empleados del sector salud que están más expuestos al covid-19. Ya que lleguen más vacunas, más trabajadores de salud podrán recibirlas y se le dará prioridad a quienes estén más vulnerables. Por ejemplo, el personal de centros de enfermería que trabaje directamente dentro de hogares tendrá prioridad sobre los empleados que no están igualmente expuestos.\u003c/p>\n\u003cp>Personas que corren más riesgo de enfermarse gravemente, como adultos mayores con condiciones preexistentes, también serán incluidos en esta fase. El grupo final de la primera fase son trabajadores esenciales, pero las categorías específicas que van a calificar aún no han sido definidas.\u003c/p>\n\u003cp>Cuando el suministro de vacunas crezca suficientemente, la fase dos entrará en acción, la cual se enfocará en proveer inmunidad a los trabajadores de salud que no están trabajando directamente con el coronavirus, como médicos de cuidados primarios o que trabajen en clínicas para pacientes externos. También podrán calificar aún más trabajadores esenciales y además personas con discapacidades.\u003c/p>\n\u003cp>[aside label ='Historias Relacionadas' tag='kqed-en-espanol']Funcionarios dicen que el orden de inmunización también tomará en cuenta inequidades de raza, ingreso y acceso al cuidado de salud. Esto se hará para asegurarse que grupos que han sido afectados de manera desproporcionada reciban protección lo más antes posible.\u003c/p>\n\u003cp>Ya que los fabricantes logren producir suficientes vacunas para el público en general, iniciará la tercera fase y también una campaña de publicidad para impulsar a la población que se vacune.\u003c/p>\n\u003cp>Se espera que los condados presenten sus planes de distribución al estado no más tardar el 1o de diciembre, para que luego se hagan disponibles al público en general. Estos documentos proveerán información a más detalle sobre cómo cada región manejara la distribución.\u003c/p>\n\u003cp>\"Pasarán varios meses para que recibamos más vacunas, y hasta más tiempo hasta que vacunemos a suficientes personas para que podamos bajar la guardia\", dijo Pan.\u003c/p>\n\u003cp>Aquí hay otras preguntas y respuestas sobre la distribución de vacunas en California:\u003c/p>\n\u003ch5>\u003cstrong>¿Por qué me debo vacunar? \u003c/strong>\u003c/h5>\n\u003cp>La respuesta es simple: actualmente no existe ninguna cura para el covid-19, y existen pocos tratamientos. La enfermedad ha matado a casi 19 mil californianos y al menos a 1.4 millones de personas alrededor del mundo. Expertos afirman que la vacuna es nuestra mejor herramienta para ponerle un fin a la pandemia.\u003c/p>\n\u003ch5>¿Cuántas dosis se necesitan?\u003c/h5>\n\u003cp>Hasta este momento, las vacunas más prometedoras son las de Pfizer, Moderna y AstraZeneca, las cuales requieren que el individuo reciba dos inyecciones, la segunda al menos un mes después de la primera.\u003c/p>\n\u003ch5>¿Cuándo podré ser vacunado?\u003c/h5>\n\u003cp>Funcionarios de salud esperan que la vacuna esté disponible para el público en general alrededor de fines de primavera o a fines de verano. Estos cálculos asumen que las cifras proveídas por Moderna, Pfizer y AstraZeneca sobre sus pruebas iniciales podrán sostenerse a lo largo de los próximos meses. Mientras tanto, aún falta mucho tiempo para que una vacuna para los pequeños niños esté disponible, ya que se necesita más investigación.\u003c/p>\n\u003ch5>¿Será caro vacunarse?\u003c/h5>\n\u003cp>\"El estado se encargará del costo de las vacunas, para que haya obstáculos financieros que impidan que alguien se vacune\", dijo el doctor Mark Ghaly, el secretario de salud y servicios humanos de California. La vacuna será gratuita hasta para las personas sin seguro médico, afirmó Ghaly.\u003c/p>\n\u003ch5>¿Dónde me podré vacunar?\u003c/h5>\n\u003cp>La distribución de las vacunas es un inmenso rompecabezas logístico, el cual aún sigue en desarrollo. Las vacunas que han avanzado más en el proceso de ser aprobadas requieren cuidado y almacenamiento especial. Por ejemplo, la vacuna de Pfizer sólo puede ser enviada a una temperatura de -94°F, mucho más bajo que lo que se requiere para otras vacunas. Clínicas móviles y farmacias comerciales podrían ser los primeros puntos de distribución. Ya después de eso serán disponibles en consultorios médicos, hospitales y centros de salud aprobados por el gobierno federal.\u003c/p>\n\u003cp>Para más información, puede acceder al sitio de los Centros para el control y prevención de enfermedades sobre las vacunas contra el covid-19.\u003c/p>\n\u003cp>[ad floatright]\u003c/p>\n\u003cp>\u003cem>Este artículo fue traducido por el periodista, \u003ca href=\"https://www.kqed.org/author/ccabreralomeli\" target=\"_blank\" rel=\"noopener noreferrer\">Carlos Cabrera-Lomelí\u003c/a>.\u003c/em>\u003c/p>\n\n",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>\u003ca href=\"https://www.kqed.org/news/11848790/covid-19-vaccine-plans-in-california-what-we-know-so-far\">\u003cem>Read in English\u003c/em>\u003c/a>\u003c/p>\n\u003cp>La pandemia del coronavirus todavía sigue creciendo de manera descontrolada en todo California. \u003ca href=\"https://www.latimes.com/projects/california-coronavirus-cases-tracking-outbreak/\">Según\u003c/a> cifras del estado, este miércoles, 20 mil 759 personas dieron positivo en la prueba de covid-19, más del doble que la cifra mes pasado. Las autoridades de salud ahora temen que los hospitales se saturen durante la época de fiestas, ya que más personas podrían reunirse con su familia en espacios cerrados, lo que resultaría en una explosión de contagios.\u003c/p>\n\u003cp>Ponerse un cubrebocas al salir a la calle sigue siendo de máxima importancia, pero las cifras recientes recalcan la necesidad de una vacuna eficaz para por fin controlar este desastre.\u003c/p>\n\u003cp>Por eso, \u003ca href=\"https://www.npr.org/sections/health-shots/2020/11/18/936060122/pfizer-to-seek-fda-ok-for-covid-19-vaccine-within-days\">Pfizer\u003c/a> y \u003ca href=\"https://www.npr.org/sections/health-shots/2020/11/16/935239294/modernas-covid-19-vaccine-shines-in-clinical-trial\">Moderna\u003c/a> presentaron recientemente los resultados verdaderamente alentadores de las vacunas que han desarrollado respectivamente. Ambas parecen proveer protección contra el coronavirus a un nivel de eficacia del 95%. La semana pasada, AstraZeneca también \u003ca href=\"https://www.npr.org/sections/coronavirus-live-updates/2020/11/23/937881011/u-k-coronavirus-trial-promises-highly-effective-new-vaccine\">reveló\u003c/a> los resultados de su vacuna, sin embargo, la metodología detrás de esos resultados ha sido cuestionada por algunos \u003ca href=\"https://www.wired.com/story/the-astrazeneca-covid-vaccine-data-isnt-up-to-snuff/\">investigadores\u003c/a>. Estas vacunas son las más prometedoras fuera de un grupo de seis vacunas que están llegando al final de la tercera fase de las pruebas clínicas. Pfizer ya ha \u003ca href=\"https://www.pfizer.com/news/press-release/press-release-detail/pfizer-and-biontech-submit-emergency-use-authorization\">solicitado\u003c/a> del gobierno federal autorización para aplicar su vacuna en casos de emergencia. Es probable que las otras farmacéuticas pronto hagan lo mismo.\u003c/p>\n\u003cp>Si todo va bien, algunos estadounidenses podrían recibir la vacuna ya para la próxima semana, según Moncef Slaouil, el asesor científico principal de operación '\u003ca href=\"https://www.hhs.gov/coronavirus/explaining-operation-warp-speed/index.html\">Warp Speed\u003c/a>' (o \"a toda velocidad\" en español) el programa del gobierno federal para proveer la vacuna contra el covid-19 al público.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>La doctora Erica Pan, directora temporal del Departamento de Salud Pública de California, dice que la llegada de la vacuna no será una panacea. \"Esperamos que para fin de año, ya tengamos un suministro, pero va a llegar poco a poco. Es una luz maravillosa al final del túnel, pero no todas las vacunas van a llegar a la misma vez\", dijo ella.\u003c/p>\n\u003cp>A mediados de octubre, el gobierno de California publicó un plan \u003ca href=\"https://www.cdph.ca.gov/Programs/CID/DCDC/CDPH%20Document%20Library/COVID-19/COVID-19-Vaccination-Plan-California-Interim-Draft_V1.0.pdf\">preliminar\u003c/a> para distribuir la vacuna en tres fases, el cual está basado parcialmente en el sistema actual de entregas que ha sido usado para proveer inmunización durante la temporada de la influenza y epidemias anteriores como la del virus H1N1.\u003c/p>\n\u003ch3>Tres fases: Quién califica cuándo\u003c/h3>\n\u003cp>La doctora Pan señala que cuando California reciba el primer cargamento de vacunas, el cual incluye entre 1 a 2 millones de vacunas, todas serán distribuidas entre los empleados del sector salud que están más expuestos al covid-19. Ya que lleguen más vacunas, más trabajadores de salud podrán recibirlas y se le dará prioridad a quienes estén más vulnerables. Por ejemplo, el personal de centros de enfermería que trabaje directamente dentro de hogares tendrá prioridad sobre los empleados que no están igualmente expuestos.\u003c/p>\n\u003cp>Personas que corren más riesgo de enfermarse gravemente, como adultos mayores con condiciones preexistentes, también serán incluidos en esta fase. El grupo final de la primera fase son trabajadores esenciales, pero las categorías específicas que van a calificar aún no han sido definidas.\u003c/p>\n\u003cp>Cuando el suministro de vacunas crezca suficientemente, la fase dos entrará en acción, la cual se enfocará en proveer inmunidad a los trabajadores de salud que no están trabajando directamente con el coronavirus, como médicos de cuidados primarios o que trabajen en clínicas para pacientes externos. También podrán calificar aún más trabajadores esenciales y además personas con discapacidades.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>Funcionarios dicen que el orden de inmunización también tomará en cuenta inequidades de raza, ingreso y acceso al cuidado de salud. Esto se hará para asegurarse que grupos que han sido afectados de manera desproporcionada reciban protección lo más antes posible.\u003c/p>\n\u003cp>Ya que los fabricantes logren producir suficientes vacunas para el público en general, iniciará la tercera fase y también una campaña de publicidad para impulsar a la población que se vacune.\u003c/p>\n\u003cp>Se espera que los condados presenten sus planes de distribución al estado no más tardar el 1o de diciembre, para que luego se hagan disponibles al público en general. Estos documentos proveerán información a más detalle sobre cómo cada región manejara la distribución.\u003c/p>\n\u003cp>\"Pasarán varios meses para que recibamos más vacunas, y hasta más tiempo hasta que vacunemos a suficientes personas para que podamos bajar la guardia\", dijo Pan.\u003c/p>\n\u003cp>Aquí hay otras preguntas y respuestas sobre la distribución de vacunas en California:\u003c/p>\n\u003ch5>\u003cstrong>¿Por qué me debo vacunar? \u003c/strong>\u003c/h5>\n\u003cp>La respuesta es simple: actualmente no existe ninguna cura para el covid-19, y existen pocos tratamientos. La enfermedad ha matado a casi 19 mil californianos y al menos a 1.4 millones de personas alrededor del mundo. Expertos afirman que la vacuna es nuestra mejor herramienta para ponerle un fin a la pandemia.\u003c/p>\n\u003ch5>¿Cuántas dosis se necesitan?\u003c/h5>\n\u003cp>Hasta este momento, las vacunas más prometedoras son las de Pfizer, Moderna y AstraZeneca, las cuales requieren que el individuo reciba dos inyecciones, la segunda al menos un mes después de la primera.\u003c/p>\n\u003ch5>¿Cuándo podré ser vacunado?\u003c/h5>\n\u003cp>Funcionarios de salud esperan que la vacuna esté disponible para el público en general alrededor de fines de primavera o a fines de verano. Estos cálculos asumen que las cifras proveídas por Moderna, Pfizer y AstraZeneca sobre sus pruebas iniciales podrán sostenerse a lo largo de los próximos meses. Mientras tanto, aún falta mucho tiempo para que una vacuna para los pequeños niños esté disponible, ya que se necesita más investigación.\u003c/p>\n\u003ch5>¿Será caro vacunarse?\u003c/h5>\n\u003cp>\"El estado se encargará del costo de las vacunas, para que haya obstáculos financieros que impidan que alguien se vacune\", dijo el doctor Mark Ghaly, el secretario de salud y servicios humanos de California. La vacuna será gratuita hasta para las personas sin seguro médico, afirmó Ghaly.\u003c/p>\n\u003ch5>¿Dónde me podré vacunar?\u003c/h5>\n\u003cp>La distribución de las vacunas es un inmenso rompecabezas logístico, el cual aún sigue en desarrollo. Las vacunas que han avanzado más en el proceso de ser aprobadas requieren cuidado y almacenamiento especial. Por ejemplo, la vacuna de Pfizer sólo puede ser enviada a una temperatura de -94°F, mucho más bajo que lo que se requiere para otras vacunas. Clínicas móviles y farmacias comerciales podrían ser los primeros puntos de distribución. Ya después de eso serán disponibles en consultorios médicos, hospitales y centros de salud aprobados por el gobierno federal.\u003c/p>\n\u003cp>Para más información, puede acceder al sitio de los Centros para el control y prevención de enfermedades sobre las vacunas contra el covid-19.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cp>Dinner parties at the pricey French Laundry have caused credibility problems for Gov. Gavin Newsom and San Francisco Mayor London Breed, but they're not the only politicians \u003ca href=\"https://bit.ly/fiorefrenchlaundrypols\">facing scrutiny\u003c/a>.\u003c/p>\n\u003cp>Of course \u003ca href=\"https://www.foxnews.com/opinion/tucker-carlson-gavin-newsom-french-laundry-dinner-coronavirus-hypocrisy\">Tucker Carlson\u003c/a> and the anti-mask set are reveling in the screw-up, but this shouldn't be a \"gotcha'\" moment that justifies gathering in groups and ignoring public health advice.\u003c/p>\n\u003cp>Let's use this as an opportunity to redouble our efforts, stay safe and realize that, yes, even savvy political pros can make stupid choices.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\u003cp>\u003c/p>\n",
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