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"content": "\u003cp>A “tripledemic” is straining hospitals across the region, from San Francisco to Santa Cruz and Sacramento, with some at — or well above — capacity. \u003ca href=\"https://www.cdph.ca.gov/Programs/CID/DCDC/CDPH%20Document%20Library/Immunization/Week2022-2348_FINALReport.pdf\">Influenza is spreading (PDF)\u003c/a>, case rates for RSV are still high, and COVID is on the rise, with \u003ca href=\"https://www.cdph.ca.gov/Programs/CID/DCDC/Pages/COVID-19/CalSuWers-Dashboard.aspx\">wastewater data showing a surge\u003c/a> as high as last winter’s omicron spike. There’s also a \u003ca href=\"https://www.kqed.org/news/11934066/tripledemic-causing-shortage-of-fever-reducing-medicines-for-kids\">shortage of fever-reducing medicine for kids\u003c/a>, and doctors and nurses are frantically trying to keep up with crushing patient loads.\u003c/p>\n\u003cp>“We had 100 patients on the board yesterday in a space designed for 29 people,” said Dr. Guy Shochat, who works in the ER unit at UCSF’s Parnassus campus in San Francisco. “There are no downs (in patient numbers) anymore. At three in the morning the patients still keep coming. At three in the morning the waits are still six hours.”\u003c/p>\n\u003cp>Shochat said patients line the hallways and fill the pharmacy area and any other available space.[aside label=\"Related Stories\" postID=\"news_11934066,news_11935249,forum_2010101891483\"]“We didn’t expect a year with COVID, adult RSV and influenza, all early,” Shochat said. “There are over 30 patients admitted for boarding, with many of them sitting over 24 hours in a hallway, admitted and waiting to go upstairs. It’s so hard to smile and be present for your patients, being exhausted before you start, just staring at this and knowing that tomorrow is going to be the same.”\u003c/p>\n\u003cp>The situation has been compounded by an adult RSV strain that has surged early this year, \u003ca href=\"https://www.cdph.ca.gov/Programs/OPA/Pages/CAHAN/Health-Advisory-Early-Respiratory-Syncytial-Virus-Activity-and-Use-of-Palivizumab.aspx\">accounting for 4.7% of respiratory illnesses in the state by the end of September\u003c/a>, a level usually not seen until November, according to the California Department of Public Health.\u003c/p>\n\u003cp>“Every five or six years we have what’s happened this year, where the RSV affects adults, too,” explained Shochat. “We knew there would be a COVID surge in winter, but it hit sooner than expected … So we now have an early severe influenza year and a very early RSV year and a system that was already beyond breaking — it’s just cracked entirely.”\u003c/p>\n\u003cp>It’s a similar situation in other hospitals, too.\u003c/p>\n\u003cp>Dr. Carolyn Robin Lanam, Emergency Department medical director at Mercy San Juan Medical Center in Carmichael, near Sacramento, said their hospital is at capacity and that they’re looking into opening up new overflow areas.\u003c/p>\n\u003cp>“I’ve seen wait times up to six hours … Influenza A, influenza B, RSV, COVID, that’s driving a lot of this,” Lanam said. “We’ve seen a lot of positive patients for all of those viruses in the past few weeks.”\u003c/p>\n\u003cp>[pullquote align=\"right\" size=\"medium\" citation=\"Dr. Guy Shochat, emergency care physician, UCSF\"]‘So we now have an early severe influenza year and a very early RSV year and a system that was already beyond breaking — it’s just cracked entirely.’[/pullquote]Tammy Green, manager of emergency services at Dominican Hospital in Santa Cruz, said the ER is overflowing with people coughing, with every inch of floor space being used to accommodate sick people.\u003c/p>\n\u003cp>“The first thing that’s going to come to mind is, ‘Oh my God. This is chaos,’” Green said. “The hospital is completely full. I mean, every room, every space. We saw almost 200 patients on Thanksgiving Day, and that just blew me away. I thought, ‘Oh my goodness, what is happening?’ And then it just continued like that. We have upwards of 18 patients here in our emergency department waiting for rooms for upwards of 24 hours or more. I am getting nervous leading up to Christmas and New Year’s.”\u003c/p>\n\u003cp>But another factor is at play besides the so-called “tripledemic,” and that is the nursing shortage. According to a 2021 UCSF report, \u003ca href=\"https://healthworkforce.ucsf.edu/sites/healthworkforce.ucsf.edu/files/Impact%20of%20the%20COVID-19%20Pandemic%20on%20California%E2%80%99s%20Registered%20Nurse%20Workforce%20-%20Preliminary%20Data.pdf\">the percentage of registered nurses age 55–64 planning to retire by 2023 more than doubled from 11.4% in 2018 to 25.2% in 2020 (PDF)\u003c/a>. And that was before COVID. The forecast for 2022 remained bleak, with an \u003ca href=\"https://www.rn.ca.gov/pdfs/forms/forecast2022.pdf\">August 2022 UCSF report (PDF)\u003c/a> stressing the “need to rapidly develop and implement strategies to mitigate the potential harm of shortages.”\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>“The nurses all quit,” said Shochat of UCSF. “We lost 20 nurses in the first year and a half of the pandemic. And they were senior nurses, so this was well over 200 years of institutional memory just disappearing. And it’s hurt us … Everyone’s just well and truly burnt out. Hospitals spent so much money paying travel nurses and building out new areas to treat COVID patients that they’re running way over budget. And patient care suffers when staff are overwhelmed.”\u003c/p>\n\u003cp>Shochat warns the situation could get a lot worse if — or when — the doctors start quitting.\u003c/p>\n\u003cp>“Doctors are going to quit. They’re planning to quit,” he said. “They’re just doing it more slowly, working with their financial advisers to figure out whether they’re retiring or if they’re going to [shift jobs]. People are sad and frustrated. It was bad enough three months ago … but how do we handle an influx of 40% over our expected patient load? And we’re short-staffed. Why would I stay? Why would I not just cash in my retirement account?”\u003c/p>\n\u003cp>\u003c!-- iframe plugin v.4.3 wordpress.org/plugins/iframe/ -->\u003cbr>\n\u003ciframe loading=\"lazy\" src=\"https://flo.uri.sh/visualisation/10616374/embed\" title=\"Interactive or visual content\" class=\"flourish-embed-iframe\" frameborder=\"0\" scrolling=\"no\" style=\"width:100%;height:1000px;\" sandbox=\"allow-same-origin allow-forms allow-scripts allow-downloads allow-popups allow-popups-to-escape-sandbox allow-top-navigation-by-user-activation\" width=\"100%\" height=\"500\">\u003c/iframe>\u003c/p>\n\u003cp>As the tripledemic and staffing shortages strain hospitals, medical professionals urge people to take responsibility for staying safe by masking, getting their vaccine boosters and not going to the ER unless they have to.\u003c/p>\n\u003cp>Mercy San Juan’s Lanam says that when it comes to respiratory illnesses, “the treatment is the same for everyone. You should take Tylenol and Motrin and stay well-hydrated. Get a humidifier if it helps for your cough. Drink a lot of tea with honey. There are certain populations at higher risk which would benefit from treatments for flu and COVID, like Tamiflu and Paxlovid. But for the large majority of people, if you’re otherwise healthy, the side effects from the medications aren’t worth it. Your body’s going to recover on its own. If it’s a really young baby or you’re older or you have multiple comorbidities, then definitely see your doctor. Try to see your primary care [physician] as much as possible.”\u003c/p>\n\u003cp>“I desperately want society to understand what’s going on,” said UCSF’s Shochat. “They need to really think twice about casually coming to the ER for a prescription refill. But also, I don’t want them to stay away when they have abdominal pain and have their appendix rupture at home.”\u003c/p>\n\u003cp>Shochat also wants to shed light on another factor that has taken perhaps an even greater toll on medical professionals than any other, one that’s more nuanced than surges and shortages — one he describes as the “breaking of a social contract” between doctors and the public since the beginning of the COVID pandemic.\u003c/p>\n\u003cp>“In the beginning, they called us heroes and they told us to hold the line until the vaccine came out, and we did it,” he said. “We held the line. And then what happened? The vaccine came out and people didn’t bother to get them. And I’m not even talking about the anti-vax folks. Literally, there was a free vaccine on every corner, they went unused. And that broke us. That was wave one of us all giving up. Wave two was we curled ourselves into balls, cried a little bit, and we came back to work and just soldiered along, and now there’s this realization this isn’t going away. It’s just getting worse.”\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>[ad floatright]\u003c/p>\n",
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"content": "\u003cdiv class=\"post-body\">\u003cp>“We didn’t expect a year with COVID, adult RSV and influenza, all early,” Shochat said. “There are over 30 patients admitted for boarding, with many of them sitting over 24 hours in a hallway, admitted and waiting to go upstairs. It’s so hard to smile and be present for your patients, being exhausted before you start, just staring at this and knowing that tomorrow is going to be the same.”\u003c/p>\n\u003cp>The situation has been compounded by an adult RSV strain that has surged early this year, \u003ca href=\"https://www.cdph.ca.gov/Programs/OPA/Pages/CAHAN/Health-Advisory-Early-Respiratory-Syncytial-Virus-Activity-and-Use-of-Palivizumab.aspx\">accounting for 4.7% of respiratory illnesses in the state by the end of September\u003c/a>, a level usually not seen until November, according to the California Department of Public Health.\u003c/p>\n\u003cp>“Every five or six years we have what’s happened this year, where the RSV affects adults, too,” explained Shochat. “We knew there would be a COVID surge in winter, but it hit sooner than expected … So we now have an early severe influenza year and a very early RSV year and a system that was already beyond breaking — it’s just cracked entirely.”\u003c/p>\n\u003cp>It’s a similar situation in other hospitals, too.\u003c/p>\n\u003cp>Dr. Carolyn Robin Lanam, Emergency Department medical director at Mercy San Juan Medical Center in Carmichael, near Sacramento, said their hospital is at capacity and that they’re looking into opening up new overflow areas.\u003c/p>\n\u003cp>“I’ve seen wait times up to six hours … Influenza A, influenza B, RSV, COVID, that’s driving a lot of this,” Lanam said. “We’ve seen a lot of positive patients for all of those viruses in the past few weeks.”\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "‘So we now have an early severe influenza year and a very early RSV year and a system that was already beyond breaking — it’s just cracked entirely.’",
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"content": "\u003cdiv class=\"post-body\">\u003cp>Tammy Green, manager of emergency services at Dominican Hospital in Santa Cruz, said the ER is overflowing with people coughing, with every inch of floor space being used to accommodate sick people.\u003c/p>\n\u003cp>“The first thing that’s going to come to mind is, ‘Oh my God. This is chaos,’” Green said. “The hospital is completely full. I mean, every room, every space. We saw almost 200 patients on Thanksgiving Day, and that just blew me away. I thought, ‘Oh my goodness, what is happening?’ And then it just continued like that. We have upwards of 18 patients here in our emergency department waiting for rooms for upwards of 24 hours or more. I am getting nervous leading up to Christmas and New Year’s.”\u003c/p>\n\u003cp>But another factor is at play besides the so-called “tripledemic,” and that is the nursing shortage. According to a 2021 UCSF report, \u003ca href=\"https://healthworkforce.ucsf.edu/sites/healthworkforce.ucsf.edu/files/Impact%20of%20the%20COVID-19%20Pandemic%20on%20California%E2%80%99s%20Registered%20Nurse%20Workforce%20-%20Preliminary%20Data.pdf\">the percentage of registered nurses age 55–64 planning to retire by 2023 more than doubled from 11.4% in 2018 to 25.2% in 2020 (PDF)\u003c/a>. And that was before COVID. The forecast for 2022 remained bleak, with an \u003ca href=\"https://www.rn.ca.gov/pdfs/forms/forecast2022.pdf\">August 2022 UCSF report (PDF)\u003c/a> stressing the “need to rapidly develop and implement strategies to mitigate the potential harm of shortages.”\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>“The nurses all quit,” said Shochat of UCSF. “We lost 20 nurses in the first year and a half of the pandemic. And they were senior nurses, so this was well over 200 years of institutional memory just disappearing. And it’s hurt us … Everyone’s just well and truly burnt out. Hospitals spent so much money paying travel nurses and building out new areas to treat COVID patients that they’re running way over budget. And patient care suffers when staff are overwhelmed.”\u003c/p>\n\u003cp>Shochat warns the situation could get a lot worse if — or when — the doctors start quitting.\u003c/p>\n\u003cp>“Doctors are going to quit. They’re planning to quit,” he said. “They’re just doing it more slowly, working with their financial advisers to figure out whether they’re retiring or if they’re going to [shift jobs]. People are sad and frustrated. It was bad enough three months ago … but how do we handle an influx of 40% over our expected patient load? And we’re short-staffed. Why would I stay? Why would I not just cash in my retirement account?”\u003c/p>\n\u003cp>\u003c!-- iframe plugin v.4.3 wordpress.org/plugins/iframe/ -->\u003cbr>\n\u003ciframe loading=\"lazy\" src=\"https://flo.uri.sh/visualisation/10616374/embed\" title=\"Interactive or visual content\" class=\"flourish-embed-iframe\" frameborder=\"0\" scrolling=\"no\" style=\"width:100%;height:1000px;\" sandbox=\"allow-same-origin allow-forms allow-scripts allow-downloads allow-popups allow-popups-to-escape-sandbox allow-top-navigation-by-user-activation\" width=\"100%\" height=\"500\">\u003c/iframe>\u003c/p>\n\u003cp>As the tripledemic and staffing shortages strain hospitals, medical professionals urge people to take responsibility for staying safe by masking, getting their vaccine boosters and not going to the ER unless they have to.\u003c/p>\n\u003cp>Mercy San Juan’s Lanam says that when it comes to respiratory illnesses, “the treatment is the same for everyone. You should take Tylenol and Motrin and stay well-hydrated. Get a humidifier if it helps for your cough. Drink a lot of tea with honey. There are certain populations at higher risk which would benefit from treatments for flu and COVID, like Tamiflu and Paxlovid. But for the large majority of people, if you’re otherwise healthy, the side effects from the medications aren’t worth it. Your body’s going to recover on its own. If it’s a really young baby or you’re older or you have multiple comorbidities, then definitely see your doctor. Try to see your primary care [physician] as much as possible.”\u003c/p>\n\u003cp>“I desperately want society to understand what’s going on,” said UCSF’s Shochat. “They need to really think twice about casually coming to the ER for a prescription refill. But also, I don’t want them to stay away when they have abdominal pain and have their appendix rupture at home.”\u003c/p>\n\u003cp>Shochat also wants to shed light on another factor that has taken perhaps an even greater toll on medical professionals than any other, one that’s more nuanced than surges and shortages — one he describes as the “breaking of a social contract” between doctors and the public since the beginning of the COVID pandemic.\u003c/p>\n\u003cp>“In the beginning, they called us heroes and they told us to hold the line until the vaccine came out, and we did it,” he said. “We held the line. And then what happened? The vaccine came out and people didn’t bother to get them. And I’m not even talking about the anti-vax folks. Literally, there was a free vaccine on every corner, they went unused. And that broke us. That was wave one of us all giving up. Wave two was we curled ourselves into balls, cried a little bit, and we came back to work and just soldiered along, and now there’s this realization this isn’t going away. It’s just getting worse.”\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"slug": "where-can-i-find-a-new-omicron-covid-booster-shot-near-me",
"title": "Where Can I Find a Bivalent COVID Booster Shot Near Me (Now for Kids Under 5, Too)?",
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"content": "\u003cp>\u003ca href=\"https://www.cdc.gov/media/releases/2022/s0901-covid-19-booster.html\">New Moderna and Pfizer booster shots of the reformulated COVID-19 vaccine are available \u003c/a>— and Bay Area residents are being urged to get boosted ahead of the holidays amid a sharp rise in infection rates.\u003c/p>\n\u003cp>The updated booster shots, called bivalent vaccines and sometimes referred to as “the omicron booster,” target both the original strain of the coronavirus and the widespread BA.4/BA.5 omicron subvariants that have largely evaded previous boosters. \u003ca href=\"https://www.cdc.gov/media/releases/2022/s0901-covid-19-booster.html\">These new booster shots “can help restore protection\u003c/a> that has waned since previous vaccination and were designed to provide broader protection against newer variants,” said CDC Director Rochelle Walensky when initially authorizing the shots in September.\u003c/p>\n\u003ch2>\u003ca id=\"boosterskids\">\u003c/a>Bivalent boosters now authorized for kids under 5\u003c/h2>\n\u003cp>The latest update: As of Dec. 9, \u003ca href=\"https://www.cdc.gov/media/releases/2022/s1209-covid-vaccine.html\">these boosters are also available for children age 6 months up to 5 years old\u003c/a>. (Bivalent boosters were made available for people age 12 and up in September, and to children age 5 and older in October.)\u003c/p>\n\u003cp>What should you know about finding a bivalent booster for kids under 5?\u003c/p>\n\u003cul>\n\u003cli>\u003cstrong>Jump to: \u003c/strong>\u003cstrong>\u003ca href=\"#where\">Where can I find a bivalent COVID booster shot near me?\u003c/a>\u003c/strong>\u003c/li>\n\u003c/ul>\n\u003cp>\u003cstrong>A child under 5 who has had three doses of the Pfizer vaccine can’t get a bivalent booster (yet).\u003c/strong>\u003c/p>\n\u003cp>If your child is under age 5 and has completed their three-dose primary series with the original (monovalent) Pfizer COVID vaccine, they’re \u003cem>not\u003c/em> eligible for a bivalent booster dose at this time.\u003c/p>\n\u003cp>The Food and Drug Administration’s statement says that’s because “\u003ca href=\"https://www.fda.gov/news-events/press-announcements/coronavirus-covid-19-update-fda-authorizes-updated-bivalent-covid-19-vaccines-children-down-6-months\">children in this age group who already completed their [Pfizer] primary series would still be expected to have protection\u003c/a> against the most serious outcomes from the currently circulating omicron variant.” The agency says it expects “data to support giving an updated bivalent booster dose for these children” to arrive in January.\u003c/p>\n\u003cp>What if a child under 5 has started their Pfizer primary series but hasn’t had all three doses? In that case, the FDA says that child will get the bivalent booster \u003cem>as\u003c/em> their third dose, to replace the previously planned third dose of monovalent vaccine.\u003c/p>\n\u003cp>\u003cstrong>You won’t find a bivalent booster for kids under 3 at a pharmacy.\u003c/strong>\u003c/p>\n\u003cp>The state says that pharmacies aren’t authorized to vaccinate children age 2 and under.\u003c/p>\n\u003cp>This means that unless your child is age 3 or older, you won’t be able to get their updated booster (or any COVID shot) at a pharmacy.\u003c/p>\n\u003cp>The exception to this is CVS’s MinuteClinics, which are staffed by providers who \u003cem>can\u003c/em> administer a COVID booster or primary series vaccine to kids age 18 months and older. But CVS’s regular pharmacies will only offer a bivalent booster to kids age 5 and older (not 3, like other pharmacies).\u003c/p>\n\u003cp>This means that if your child is between 6 months and 18 months, you’ll need to find a bivalent booster appointment for them through My Turn, through your county or through your pediatrician instead of at a pharmacy. \u003ca href=\"#where\">Jump to how you can make an appointment for a bivalent COVID booster shot.\u003c/a>\u003c/p>\n\u003cp>\u003cstrong>Kids under 5 should stay with the vaccine brand they initially received (for now).\u003c/strong>\u003c/p>\n\u003cp>Yes, \u003ca href=\"#mix\">“mixing and match” the new COVID boosters \u003c/a>(that is, receiving a different vaccine brand for your bivalent booster from the one you got for your primary vaccine series) has been deemed fine for other age groups. But the CDC’s statement authorizing these boosters recommends that children under 5 get the \u003cem>same\u003c/em> brand for their booster:\u003c/p>\n\u003cblockquote>\u003cp>Children ages 6 months through 5 years who previously completed a Moderna primary series are eligible to receive a Moderna bivalent booster 2 months after their final primary series dose. Children ages 6 months through 4 years who are currently completing a Pfizer primary series will receive a Pfizer bivalent vaccine as their third primary dose.\u003c/p>\u003c/blockquote>\n\u003cp>This means that in \u003ca href=\"#where\">making an appointment for the bivalent COVID booster shot for a child under age 5\u003c/a>, you’ll need to be extra-certain that the pharmacy or clinic is offering the vaccine brand you need. You may find that certain locations are low on supply of a particular brand, or are awaiting shipments.\u003c/p>\n\u003cp>\u003cstrong>Booster appointments for kids under 5 may take a while to become available.\u003c/strong>\u003c/p>\n\u003cp>As the most recently approved age group authorized to receive these updated omicron boosters, you may find that not all pharmacies are offering appointments yet for this age group. \u003ca href=\"https://myturn.ca.gov/\">The state’s My Turn website\u003c/a> can also be slow to provide scheduling options for a newly approved age group. If one pharmacy chain or clinic or website isn’t offering the appointments you’re seeking, you may have to look at other locations if you’re looking for a shot ASAP.\u003c/p>\n\u003cp>Read more about\u003ca href=\"#where\"> where you can find a bivalent COVID booster shot \u003c/a>for a child age 6 months to 5 years.\u003c/p>\n\u003ch2>Officials: Get your booster now\u003c/h2>\n\u003cp>Uptake on the bivalent booster has been relatively low, despite the shots being available for over three months. According to the state’s data, \u003ca href=\"https://covid19.ca.gov/vaccination-progress-data/#overview\">only 18% of eligible Californians have received their updated omicron booster\u003c/a>.\u003c/p>\n\u003cfigure id=\"attachment_11935447\" class=\"wp-caption alignnone\" style=\"max-width: 1633px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-11935447\" src=\"https://ww2.kqed.org/app/uploads/sites/10/2022/12/Bivalent-Booster-Rates.png\" alt=\"\" width=\"1633\" height=\"830\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2022/12/Bivalent-Booster-Rates.png 1633w, https://cdn.kqed.org/wp-content/uploads/sites/10/2022/12/Bivalent-Booster-Rates-800x407.png 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2022/12/Bivalent-Booster-Rates-1020x518.png 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2022/12/Bivalent-Booster-Rates-160x81.png 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2022/12/Bivalent-Booster-Rates-1536x781.png 1536w\" sizes=\"auto, (max-width: 1633px) 100vw, 1633px\">\u003cfigcaption class=\"wp-caption-text\">Source: California Department of Public Health (data as of Dec. 13, 2022) \u003ccite>(Matthew Green/KQED)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>The calls for increased awareness around bivalent booster shots comes as \u003ca href=\"https://www.npr.org/sections/health-shots/2022/11/22/1137649962/experts-are-concerned-thanksgiving-gatherings-could-accelerate-a-tripledemic\">the United States experiences a so-called “tripledemic” of respiratory viruses\u003c/a>: COVID, flu and respiratory syncytial virus (RSV). \u003ca href=\"https://www.kqed.org/news/11925585/when-should-you-get-your-2022-flu-shot#flushotnearme\">Find out where to get a flu shot near you\u003c/a>, with our without insurance. There is currently no vaccine for RSV.\u003c/p>\n\u003cp>On Dec. 6, public health officials in Santa Clara County urged residents to seek out not just the updated bivalent booster but also their flu shot. In a statement, county officials noted a “sharp increase” in COVID levels detected in wastewater by the county’s monitoring program, calling the numbers “a stark reminder for everyone eligible to get vaccinated against both flu and COVID as soon as possible, especially in advance of the holidays.” For context, county officials noted that COVID levels in the particular Palo Alto sewer shed were “higher than they were in January 2022, at the height of the Omicron surge last winter.”\u003c/p>\n\u003cp>Santa Clara officials also noted the “steady rise” of hospitalized patients who were COVID-positive, rising from 98 cases on Nov. 1 to 218 cases by Dec. 2 in Santa Clara County alone. Dr. Sara Cody, health officer and director of public health for the county of Santa Clara, called the most recent COVID surge “not unexpected,” in the context of previous surges over the winter holidays in 2020 and 2021.\u003c/p>\n\u003cp>In addition to encouraging residents to seek out their bivalent COVID booster and their flu shot, Cody also noted that Santa Clara public health officials “continue to strongly recommend testing before gathering and wearing a mask indoors in public settings.”\u003c/p>\n\u003cp>Marin has the highest bivalent booster uptake in the Bay Area so far, while Solano has the lowest rates locally. Check \u003ca href=\"https://covid19.ca.gov/vaccination-progress-data/#overview\">what percentage of people in your county have got their bivalent booster\u003c/a>.\u003c/p>\n\u003cp>\u003cstrong>Jump to:\u003c/strong>\u003c/p>\n\u003cul>\n\u003cli>\u003cstrong>\u003ca href=\"#eligiblebooster\">Who is eligible for new COVID boosters?\u003c/a>\u003c/strong>\u003c/li>\n\u003cli>\u003cstrong>\u003ca href=\"#mix\">Can I “mix and match” the new COVID boosters?\u003c/a>\u003c/strong>\u003c/li>\n\u003cli>\u003cstrong>\u003ca href=\"#where\">Where can I find the new COVID booster shot near me?\u003c/a>\u003c/strong>\u003c/li>\n\u003c/ul>\n\u003cp>Keep reading for what you need to know about the new COVID booster shots from Pfizer and Moderna. And remember, whichever shot you get, all COVID vaccinations are free, with or without health insurance.\u003c/p>\n\u003cp>You also will not be asked about your immigration status or be required to show any proof of citizenship. \u003ca href=\"https://www.uscis.gov/green-card/green-card-processes-and-procedures/public-charge/public-charge-resources\">Getting a COVID vaccine does not make you a public charge\u003c/a> and won’t affect any current or future green card applications.\u003c/p>\n\u003cp>Remember, too: If you work in California for an employer with 26 or more employees, \u003ca href=\"https://www.kqed.org/news/11904834/covid-sick-pay-in-california-how-to-claim-this-new-paid-leave\">you are eligible for up to 80 hours of COVID-related paid sick leave\u003c/a> until Dec. 31. This includes time off to get your updated COVID booster or to recover from any side effects — or to take a family member to get their new COVID booster, or care for them while they recover. The law expires at the end of the month, but if you’re eligible and have begun to claim COVID sick pay on or before the deadline, you can continue claiming this paid leave into January. \u003ca href=\"https://www.kqed.org/news/11904834/covid-sick-pay-in-california-how-to-claim-this-new-paid-leave\">Read more about California’s paid COVID-related leave.\u003c/a>\u003c/p>\n\u003ch2>\u003ca id=\"eligiblebooster\">\u003c/a>Who can get a new omicron COVID booster?\u003c/h2>\n\u003cp>As of Dec. 9, anyone age 6 months and up who got their last COVID vaccine shot at least two months ago — whether that was their primary vaccination series or their last booster shot — can get an updated COVID booster. But there’s specific guidance for different age groups.\u003c/p>\n\u003cp>\u003cstrong>Children age 6 months to 5 years:\u003c/strong>\u003c/p>\n\u003cp>\u003ca href=\"#boosterskids\">Jump to more information about bivalent boosters for children under 5.\u003c/a>\u003c/p>\n\u003cp>\u003cstrong>Ages 5 and up:\u003c/strong>\u003c/p>\n\u003cp>The new Pfizer booster is available to those age 5 and older who have had their primary vaccination series.\u003c/p>\n\u003cp>The new Moderna booster is available to people age 6 and older who have had their primary series.\u003c/p>\n\u003cp>People age 12 and older will get a full-sized, adult dose of either the Pfizer or Moderna booster. Kids age 5–11 will get a third of an adult dose for their Pfizer bivalent booster, and a half-sized dose of Moderna’s bivalent booster is on offer for kids age 6–11.\u003c/p>\n\u003cp>\u003ca href=\"https://www.npr.org/sections/health-shots/2022/09/01/1120560488/cdc-advisers-back-new-booster-shots-to-fight-omicron\">NPR reports that many vaccine experts are advising that people wait at least four months\u003c/a> since either their last shot or their last COVID infection for the boosters to be most effective. And, of course, with all matters relating to your health, it’s best to speak directly to your health care provider about the best options available to you.\u003c/p>\n\u003ch2>\u003ca id=\"mix\">\u003c/a>Can I ‘mix and match’ COVID vaccines for my booster shot?\u003c/h2>\n\u003cp>Yes, everyone except the under-5 age group \u003cem>can\u003c/em> “mix and match” brands, regardless of whether you originally got Pfizer, Moderna or Johnson and Johnson shots for your primary vaccine series or your booster(s) after that.\u003c/p>\n\u003cp>So, for instance, someone 5 or older who originally got the Moderna vaccine can now get a new booster from either Moderna or Pfizer — and vice versa.\u003c/p>\n\u003cp>\u003ca href=\"#boosterskids\">Jump to more information about bivalent boosters for children under 5.\u003c/a>\u003c/p>\n\u003cfigure id=\"attachment_11890214\" class=\"wp-caption alignnone\" style=\"max-width: 2560px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-11890214\" src=\"https://ww2.kqed.org/app/uploads/sites/10/2021/09/GettyImages-1234768670-scaled.jpg\" alt=\"A man sitting on a large porch lifts up his sleeve as he awaits his vaccine, beside a woman in an orange safety vest preparing the vaccine.\" width=\"2560\" height=\"1703\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2021/09/GettyImages-1234768670-scaled.jpg 2560w, https://cdn.kqed.org/wp-content/uploads/sites/10/2021/09/GettyImages-1234768670-800x532.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2021/09/GettyImages-1234768670-1020x679.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2021/09/GettyImages-1234768670-160x106.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2021/09/GettyImages-1234768670-1536x1022.jpg 1536w, https://cdn.kqed.org/wp-content/uploads/sites/10/2021/09/GettyImages-1234768670-2048x1362.jpg 2048w, https://cdn.kqed.org/wp-content/uploads/sites/10/2021/09/GettyImages-1234768670-1920x1277.jpg 1920w\" sizes=\"auto, (max-width: 2560px) 100vw, 2560px\">\u003cfigcaption class=\"wp-caption-text\">A nurse prepares a first dose of the Pfizer coronavirus vaccine for Jose Luis Sánchez at a clinic in Pasadena, on Aug. 19, 2021. The clinic was one of the first in the city to offer ‘supplemental’ third coronavirus shots to people with immunological conditions, according to organizers. \u003ccite>(Robyn Beck/AFP via Getty Images)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003ch2>\u003ca id=\"where\">\u003c/a>Where can I find a new Pfizer or Moderna booster shot?\u003c/h2>\n\u003cp>Don’t assume you’ll be proactively contacted about getting the new COVID-19 booster.\u003c/p>\n\u003cp>Remember that a certain location may only be offering a certain type of new booster, whether that’s Moderna or Pfizer. So be sure that the location you’re walking into or making an appointment for offers the type of vaccine you need or want, particularly if you’re trying to find a bivalent booster for a child. \u003ca href=\"#mix\">Read more about “mixing and matching” COVID vaccine boosters.\u003c/a>\u003c/p>\n\u003cp>Also make sure the appointment you schedule for your new booster is at least two months after your last COVID vaccine shot, or your last COVID infection. When you’re making an appointment for a booster shot, you’ll likely be asked for the date of your last COVID vaccine dose or booster dose to ensure you’re not getting your shot too soon.\u003c/p>\n\u003cfigure id=\"attachment_11890217\" class=\"wp-caption alignnone\" style=\"max-width: 2560px\">\u003ca href=\"#mix\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"wp-image-11890217 size-full\" src=\"https://ww2.kqed.org/app/uploads/sites/10/2021/09/GettyImages-1234768450-scaled.jpg\" alt=\"A close-up of a hand gripping a vaccination card and writing on it with a pen.\" width=\"2560\" height=\"1704\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2021/09/GettyImages-1234768450-scaled.jpg 2560w, https://cdn.kqed.org/wp-content/uploads/sites/10/2021/09/GettyImages-1234768450-800x532.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2021/09/GettyImages-1234768450-1020x679.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2021/09/GettyImages-1234768450-160x106.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2021/09/GettyImages-1234768450-1536x1022.jpg 1536w, https://cdn.kqed.org/wp-content/uploads/sites/10/2021/09/GettyImages-1234768450-2048x1363.jpg 2048w, https://cdn.kqed.org/wp-content/uploads/sites/10/2021/09/GettyImages-1234768450-1920x1278.jpg 1920w\" sizes=\"auto, (max-width: 2560px) 100vw, 2560px\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">A nurse marks a coronavirus vaccination card with a third, booster dose of Pfizer, at a vaccine clinic in Pasadena, on Aug. 19, 2021. \u003ccite>(Robyn Beck/AFP via Getty Images))\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>\u003cstrong>1. Find a Moderna or Pfizer booster shot through a local pharmacy.\u003c/strong>\u003c/p>\n\u003cp>Pharmacies are usually the first place that new booster shots become available. Several pharmacy chains are offering online appointments for them, and some also offer walk-in appointments with no prescheduling required.\u003c/p>\n\u003cp>Remember that pharmacies can’t vaccinate kids under 3, with the exception of CVS MinuteClinics, who are permitted to vaccinate kids as young as 18 months old. \u003ca href=\"#boosterskids\">Jump to more information about bivalent boosters for children under 5.\u003c/a>\u003c/p>\n\u003cul>\n\u003cli>\u003ca href=\"https://www.cvs.com/immunizations/covid-19-vaccine?icid=cvs-home-hero1-banner-1-link2-coronavirus-vaccine\">CVS COVID-19 vaccine appointments \u003c/a>\u003c/li>\n\u003cli>\u003ca href=\"https://www.riteaid.com/pharmacy/covid-qualifier?utm_source=state&utm_medium=web&utm_campaign=Covid19&utm_content=Covid19scheduler_CA_2_12_21\">Rite Aid COVID-19 vaccine appointments\u003c/a>\u003c/li>\n\u003cli>\u003ca href=\"https://www.mhealthappointments.com/covidappt\">Safeway (Albertsons) COVID-19 vaccine appointments\u003c/a>\u003c/li>\n\u003cli>\u003ca href=\"https://www.walgreens.com/findcare/vaccination/covid-19?ban=covid_vaccine_landing_schedule\">Walgreens COVID-19 vaccine appointments\u003c/a>, or call (800) WALGREENS/(800) 925-4733\u003c/li>\n\u003cli>\u003ca href=\"https://www.costco.com/covid-vaccine.html\">Costco’s COVID-19 vaccine appointments\u003c/a>\u003c/li>\n\u003c/ul>\n\u003cp>\u003cstrong>2. Find a Moderna or Pfizer booster shot through My Turn.\u003c/strong>\u003c/p>\n\u003cp>\u003ca href=\"https://myturn.ca.gov/\">My Turn is the state’s site\u003c/a> for Californians to schedule vaccination appointments, as supplies allow. You can also try to \u003ca href=\"https://myturn.ca.gov/clinic.html\">find walk-in appointments through My Turn\u003c/a>. Bivalent booster appointments for children under 5 are not yet available on My Turn, as of Dec. 15.\u003c/p>\n\u003cp>\u003ca href=\"https://myturn.ca.gov/\">If you visit the My Turn page\u003c/a>, select “Make an Appointment.” My Turn will ask for your information, and the ZIP code or location you’d like to use to search for vaccine appointments. You can give your home location, or input other locations to see which sites might be available farther away.\u003c/p>\n\u003cp>You don’t need to be a resident or a worker in the particular county where your preferred vaccination site is located, according to the California Department of Public Health (CDPH), which manages My Turn. So don’t worry if the site suggests appointments in a different county.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>If you can’t travel to a clinic for your booster shot because of health or transportation issues, you can note this when registering on My Turn, and a representative from the CDPH is supposed to call you to arrange an in-home visit or transportation.\u003c/p>\n\u003cp>If you’re trying to find an appointment at a certain location and can’t see it in the search results, try searching on My Turn for that site’s \u003cem>exact\u003c/em> ZIP code, rather than your own. Remember that if you’re not seeing a specific site in the search results, it might just be because of low supply or lack of available appointments. Most of the results may also likely be pharmacy locations, with a handful of public health clinics mixed in, so make sure to look through the list carefully to find your preferred provider.\u003c/p>\n\u003cp>My Turn will ask you to provide a cellphone number and an email address. The state says this is so you can use two-factor authentication to confirm your identity and make your appointment, and to prevent bots from automatically scooping up available appointments online.\u003c/p>\n\u003cp>If you don’t have an email address or a cellphone number, or you have questions, you can call the California COVID-19 hotline at (833) 422-4255 (Monday-Friday 8 a.m.-8 p.m., Saturday and Sunday 8 a.m.-5 p.m PT) and sign up over the phone. Both English-speaking and Spanish-speaking operators are available. Callers needing information in other languages will be connected to a translation service that offers assistance in over 250 languages.\u003c/p>\n\u003cfigure id=\"attachment_11889661\" class=\"wp-caption alignnone\" style=\"max-width: 1920px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-11889661\" src=\"https://ww2.kqed.org/app/uploads/sites/10/2021/09/michigan_shot_gettyimages-1234850852-8f2a1402d5a0ab808313f55bdac52f950c8ad974-scaled-e1632414475184.jpg\" alt=\"Blue-gloved hands administer a vaccine into a shoulder.\" width=\"1920\" height=\"1440\">\u003cfigcaption class=\"wp-caption-text\">Rufus Peoples receives his booster dose of the Pfizer-BioNTech coronavirus vaccine during an Oakland County Health Department vaccination clinic at the Southfield Pavilion on Aug. 24, 2021, in Southfield, Michigan. \u003ccite>(Emily Elconin/Getty Images)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>\u003cstrong>3. Find a Moderna or Pfizer booster shot through your county.\u003c/strong>\u003c/p>\n\u003cp>\u003ca href=\"https://www.kqed.org/news/11855623/where-can-i-get-a-covid-19-vaccine-in-the-bay-area-your-questions-answered#county\">Visit your county’s public health website \u003c/a>to learn how your county is vaccinating its residents. If the county you work in is different from your county of residence, it’s likely you can get vaccinated in either county. The availability of vaccination appointments in your county will be based on the number of doses it has received from the state.\u003c/p>\n\u003cp>You can also sign up to receive notifications via email from your county to be alerted when appointments become available. \u003ca href=\"https://www.kqed.org/news/11855623/where-can-i-get-a-covid-19-vaccine-in-the-bay-area-your-questions-answered#county\">Find your Bay Area county in our list.\u003c/a>\u003c/p>\n\u003cp>\u003cstrong>4. Find a Moderna or Pfizer booster shot through your health care provider.\u003c/strong>\u003c/p>\n\u003cp>If you have health insurance, check with your provider to see whether they can offer you a booster shot. If you don’t have health insurance but get medical care through a city- or county-run provider, you should check with that location to see whether they can offer you the booster.\u003c/p>\n\u003cp>In addition to trying to talk with your health care provider directly, check the website of your provider to see whether it’s offering the ability to make appointments, and sign up for their vaccine notifications if that’s an option.\u003c/p>\n\u003cp>\u003cem>A version of this story was originally published on December 6.\u003c/em>\u003c/p>\n\u003cp>[ad floatright]\u003c/p>\n",
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"excerpt": "New omicron bivalent booster shots for kids under 5 are now available. Here's where to find an updated COVID booster near you.",
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"title": "Where Can I Find a Bivalent COVID Booster Shot Near Me (Now for Kids Under 5, Too)? | KQED",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>\u003ca href=\"https://www.cdc.gov/media/releases/2022/s0901-covid-19-booster.html\">New Moderna and Pfizer booster shots of the reformulated COVID-19 vaccine are available \u003c/a>— and Bay Area residents are being urged to get boosted ahead of the holidays amid a sharp rise in infection rates.\u003c/p>\n\u003cp>The updated booster shots, called bivalent vaccines and sometimes referred to as “the omicron booster,” target both the original strain of the coronavirus and the widespread BA.4/BA.5 omicron subvariants that have largely evaded previous boosters. \u003ca href=\"https://www.cdc.gov/media/releases/2022/s0901-covid-19-booster.html\">These new booster shots “can help restore protection\u003c/a> that has waned since previous vaccination and were designed to provide broader protection against newer variants,” said CDC Director Rochelle Walensky when initially authorizing the shots in September.\u003c/p>\n\u003ch2>\u003ca id=\"boosterskids\">\u003c/a>Bivalent boosters now authorized for kids under 5\u003c/h2>\n\u003cp>The latest update: As of Dec. 9, \u003ca href=\"https://www.cdc.gov/media/releases/2022/s1209-covid-vaccine.html\">these boosters are also available for children age 6 months up to 5 years old\u003c/a>. (Bivalent boosters were made available for people age 12 and up in September, and to children age 5 and older in October.)\u003c/p>\n\u003cp>What should you know about finding a bivalent booster for kids under 5?\u003c/p>\n\u003cul>\n\u003cli>\u003cstrong>Jump to: \u003c/strong>\u003cstrong>\u003ca href=\"#where\">Where can I find a bivalent COVID booster shot near me?\u003c/a>\u003c/strong>\u003c/li>\n\u003c/ul>\n\u003cp>\u003cstrong>A child under 5 who has had three doses of the Pfizer vaccine can’t get a bivalent booster (yet).\u003c/strong>\u003c/p>\n\u003cp>If your child is under age 5 and has completed their three-dose primary series with the original (monovalent) Pfizer COVID vaccine, they’re \u003cem>not\u003c/em> eligible for a bivalent booster dose at this time.\u003c/p>\n\u003cp>The Food and Drug Administration’s statement says that’s because “\u003ca href=\"https://www.fda.gov/news-events/press-announcements/coronavirus-covid-19-update-fda-authorizes-updated-bivalent-covid-19-vaccines-children-down-6-months\">children in this age group who already completed their [Pfizer] primary series would still be expected to have protection\u003c/a> against the most serious outcomes from the currently circulating omicron variant.” The agency says it expects “data to support giving an updated bivalent booster dose for these children” to arrive in January.\u003c/p>\n\u003cp>What if a child under 5 has started their Pfizer primary series but hasn’t had all three doses? In that case, the FDA says that child will get the bivalent booster \u003cem>as\u003c/em> their third dose, to replace the previously planned third dose of monovalent vaccine.\u003c/p>\n\u003cp>\u003cstrong>You won’t find a bivalent booster for kids under 3 at a pharmacy.\u003c/strong>\u003c/p>\n\u003cp>The state says that pharmacies aren’t authorized to vaccinate children age 2 and under.\u003c/p>\n\u003cp>This means that unless your child is age 3 or older, you won’t be able to get their updated booster (or any COVID shot) at a pharmacy.\u003c/p>\n\u003cp>The exception to this is CVS’s MinuteClinics, which are staffed by providers who \u003cem>can\u003c/em> administer a COVID booster or primary series vaccine to kids age 18 months and older. But CVS’s regular pharmacies will only offer a bivalent booster to kids age 5 and older (not 3, like other pharmacies).\u003c/p>\n\u003cp>This means that if your child is between 6 months and 18 months, you’ll need to find a bivalent booster appointment for them through My Turn, through your county or through your pediatrician instead of at a pharmacy. \u003ca href=\"#where\">Jump to how you can make an appointment for a bivalent COVID booster shot.\u003c/a>\u003c/p>\n\u003cp>\u003cstrong>Kids under 5 should stay with the vaccine brand they initially received (for now).\u003c/strong>\u003c/p>\n\u003cp>Yes, \u003ca href=\"#mix\">“mixing and match” the new COVID boosters \u003c/a>(that is, receiving a different vaccine brand for your bivalent booster from the one you got for your primary vaccine series) has been deemed fine for other age groups. But the CDC’s statement authorizing these boosters recommends that children under 5 get the \u003cem>same\u003c/em> brand for their booster:\u003c/p>\n\u003cblockquote>\u003cp>Children ages 6 months through 5 years who previously completed a Moderna primary series are eligible to receive a Moderna bivalent booster 2 months after their final primary series dose. Children ages 6 months through 4 years who are currently completing a Pfizer primary series will receive a Pfizer bivalent vaccine as their third primary dose.\u003c/p>\u003c/blockquote>\n\u003cp>This means that in \u003ca href=\"#where\">making an appointment for the bivalent COVID booster shot for a child under age 5\u003c/a>, you’ll need to be extra-certain that the pharmacy or clinic is offering the vaccine brand you need. You may find that certain locations are low on supply of a particular brand, or are awaiting shipments.\u003c/p>\n\u003cp>\u003cstrong>Booster appointments for kids under 5 may take a while to become available.\u003c/strong>\u003c/p>\n\u003cp>As the most recently approved age group authorized to receive these updated omicron boosters, you may find that not all pharmacies are offering appointments yet for this age group. \u003ca href=\"https://myturn.ca.gov/\">The state’s My Turn website\u003c/a> can also be slow to provide scheduling options for a newly approved age group. If one pharmacy chain or clinic or website isn’t offering the appointments you’re seeking, you may have to look at other locations if you’re looking for a shot ASAP.\u003c/p>\n\u003cp>Read more about\u003ca href=\"#where\"> where you can find a bivalent COVID booster shot \u003c/a>for a child age 6 months to 5 years.\u003c/p>\n\u003ch2>Officials: Get your booster now\u003c/h2>\n\u003cp>Uptake on the bivalent booster has been relatively low, despite the shots being available for over three months. According to the state’s data, \u003ca href=\"https://covid19.ca.gov/vaccination-progress-data/#overview\">only 18% of eligible Californians have received their updated omicron booster\u003c/a>.\u003c/p>\n\u003cfigure id=\"attachment_11935447\" class=\"wp-caption alignnone\" style=\"max-width: 1633px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-11935447\" src=\"https://ww2.kqed.org/app/uploads/sites/10/2022/12/Bivalent-Booster-Rates.png\" alt=\"\" width=\"1633\" height=\"830\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2022/12/Bivalent-Booster-Rates.png 1633w, https://cdn.kqed.org/wp-content/uploads/sites/10/2022/12/Bivalent-Booster-Rates-800x407.png 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2022/12/Bivalent-Booster-Rates-1020x518.png 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2022/12/Bivalent-Booster-Rates-160x81.png 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2022/12/Bivalent-Booster-Rates-1536x781.png 1536w\" sizes=\"auto, (max-width: 1633px) 100vw, 1633px\">\u003cfigcaption class=\"wp-caption-text\">Source: California Department of Public Health (data as of Dec. 13, 2022) \u003ccite>(Matthew Green/KQED)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>The calls for increased awareness around bivalent booster shots comes as \u003ca href=\"https://www.npr.org/sections/health-shots/2022/11/22/1137649962/experts-are-concerned-thanksgiving-gatherings-could-accelerate-a-tripledemic\">the United States experiences a so-called “tripledemic” of respiratory viruses\u003c/a>: COVID, flu and respiratory syncytial virus (RSV). \u003ca href=\"https://www.kqed.org/news/11925585/when-should-you-get-your-2022-flu-shot#flushotnearme\">Find out where to get a flu shot near you\u003c/a>, with our without insurance. There is currently no vaccine for RSV.\u003c/p>\n\u003cp>On Dec. 6, public health officials in Santa Clara County urged residents to seek out not just the updated bivalent booster but also their flu shot. In a statement, county officials noted a “sharp increase” in COVID levels detected in wastewater by the county’s monitoring program, calling the numbers “a stark reminder for everyone eligible to get vaccinated against both flu and COVID as soon as possible, especially in advance of the holidays.” For context, county officials noted that COVID levels in the particular Palo Alto sewer shed were “higher than they were in January 2022, at the height of the Omicron surge last winter.”\u003c/p>\n\u003cp>Santa Clara officials also noted the “steady rise” of hospitalized patients who were COVID-positive, rising from 98 cases on Nov. 1 to 218 cases by Dec. 2 in Santa Clara County alone. Dr. Sara Cody, health officer and director of public health for the county of Santa Clara, called the most recent COVID surge “not unexpected,” in the context of previous surges over the winter holidays in 2020 and 2021.\u003c/p>\n\u003cp>In addition to encouraging residents to seek out their bivalent COVID booster and their flu shot, Cody also noted that Santa Clara public health officials “continue to strongly recommend testing before gathering and wearing a mask indoors in public settings.”\u003c/p>\n\u003cp>Marin has the highest bivalent booster uptake in the Bay Area so far, while Solano has the lowest rates locally. Check \u003ca href=\"https://covid19.ca.gov/vaccination-progress-data/#overview\">what percentage of people in your county have got their bivalent booster\u003c/a>.\u003c/p>\n\u003cp>\u003cstrong>Jump to:\u003c/strong>\u003c/p>\n\u003cul>\n\u003cli>\u003cstrong>\u003ca href=\"#eligiblebooster\">Who is eligible for new COVID boosters?\u003c/a>\u003c/strong>\u003c/li>\n\u003cli>\u003cstrong>\u003ca href=\"#mix\">Can I “mix and match” the new COVID boosters?\u003c/a>\u003c/strong>\u003c/li>\n\u003cli>\u003cstrong>\u003ca href=\"#where\">Where can I find the new COVID booster shot near me?\u003c/a>\u003c/strong>\u003c/li>\n\u003c/ul>\n\u003cp>Keep reading for what you need to know about the new COVID booster shots from Pfizer and Moderna. And remember, whichever shot you get, all COVID vaccinations are free, with or without health insurance.\u003c/p>\n\u003cp>You also will not be asked about your immigration status or be required to show any proof of citizenship. \u003ca href=\"https://www.uscis.gov/green-card/green-card-processes-and-procedures/public-charge/public-charge-resources\">Getting a COVID vaccine does not make you a public charge\u003c/a> and won’t affect any current or future green card applications.\u003c/p>\n\u003cp>Remember, too: If you work in California for an employer with 26 or more employees, \u003ca href=\"https://www.kqed.org/news/11904834/covid-sick-pay-in-california-how-to-claim-this-new-paid-leave\">you are eligible for up to 80 hours of COVID-related paid sick leave\u003c/a> until Dec. 31. This includes time off to get your updated COVID booster or to recover from any side effects — or to take a family member to get their new COVID booster, or care for them while they recover. The law expires at the end of the month, but if you’re eligible and have begun to claim COVID sick pay on or before the deadline, you can continue claiming this paid leave into January. \u003ca href=\"https://www.kqed.org/news/11904834/covid-sick-pay-in-california-how-to-claim-this-new-paid-leave\">Read more about California’s paid COVID-related leave.\u003c/a>\u003c/p>\n\u003ch2>\u003ca id=\"eligiblebooster\">\u003c/a>Who can get a new omicron COVID booster?\u003c/h2>\n\u003cp>As of Dec. 9, anyone age 6 months and up who got their last COVID vaccine shot at least two months ago — whether that was their primary vaccination series or their last booster shot — can get an updated COVID booster. But there’s specific guidance for different age groups.\u003c/p>\n\u003cp>\u003cstrong>Children age 6 months to 5 years:\u003c/strong>\u003c/p>\n\u003cp>\u003ca href=\"#boosterskids\">Jump to more information about bivalent boosters for children under 5.\u003c/a>\u003c/p>\n\u003cp>\u003cstrong>Ages 5 and up:\u003c/strong>\u003c/p>\n\u003cp>The new Pfizer booster is available to those age 5 and older who have had their primary vaccination series.\u003c/p>\n\u003cp>The new Moderna booster is available to people age 6 and older who have had their primary series.\u003c/p>\n\u003cp>People age 12 and older will get a full-sized, adult dose of either the Pfizer or Moderna booster. Kids age 5–11 will get a third of an adult dose for their Pfizer bivalent booster, and a half-sized dose of Moderna’s bivalent booster is on offer for kids age 6–11.\u003c/p>\n\u003cp>\u003ca href=\"https://www.npr.org/sections/health-shots/2022/09/01/1120560488/cdc-advisers-back-new-booster-shots-to-fight-omicron\">NPR reports that many vaccine experts are advising that people wait at least four months\u003c/a> since either their last shot or their last COVID infection for the boosters to be most effective. And, of course, with all matters relating to your health, it’s best to speak directly to your health care provider about the best options available to you.\u003c/p>\n\u003ch2>\u003ca id=\"mix\">\u003c/a>Can I ‘mix and match’ COVID vaccines for my booster shot?\u003c/h2>\n\u003cp>Yes, everyone except the under-5 age group \u003cem>can\u003c/em> “mix and match” brands, regardless of whether you originally got Pfizer, Moderna or Johnson and Johnson shots for your primary vaccine series or your booster(s) after that.\u003c/p>\n\u003cp>So, for instance, someone 5 or older who originally got the Moderna vaccine can now get a new booster from either Moderna or Pfizer — and vice versa.\u003c/p>\n\u003cp>\u003ca href=\"#boosterskids\">Jump to more information about bivalent boosters for children under 5.\u003c/a>\u003c/p>\n\u003cfigure id=\"attachment_11890214\" class=\"wp-caption alignnone\" style=\"max-width: 2560px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-11890214\" src=\"https://ww2.kqed.org/app/uploads/sites/10/2021/09/GettyImages-1234768670-scaled.jpg\" alt=\"A man sitting on a large porch lifts up his sleeve as he awaits his vaccine, beside a woman in an orange safety vest preparing the vaccine.\" width=\"2560\" height=\"1703\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2021/09/GettyImages-1234768670-scaled.jpg 2560w, https://cdn.kqed.org/wp-content/uploads/sites/10/2021/09/GettyImages-1234768670-800x532.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2021/09/GettyImages-1234768670-1020x679.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2021/09/GettyImages-1234768670-160x106.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2021/09/GettyImages-1234768670-1536x1022.jpg 1536w, https://cdn.kqed.org/wp-content/uploads/sites/10/2021/09/GettyImages-1234768670-2048x1362.jpg 2048w, https://cdn.kqed.org/wp-content/uploads/sites/10/2021/09/GettyImages-1234768670-1920x1277.jpg 1920w\" sizes=\"auto, (max-width: 2560px) 100vw, 2560px\">\u003cfigcaption class=\"wp-caption-text\">A nurse prepares a first dose of the Pfizer coronavirus vaccine for Jose Luis Sánchez at a clinic in Pasadena, on Aug. 19, 2021. The clinic was one of the first in the city to offer ‘supplemental’ third coronavirus shots to people with immunological conditions, according to organizers. \u003ccite>(Robyn Beck/AFP via Getty Images)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003ch2>\u003ca id=\"where\">\u003c/a>Where can I find a new Pfizer or Moderna booster shot?\u003c/h2>\n\u003cp>Don’t assume you’ll be proactively contacted about getting the new COVID-19 booster.\u003c/p>\n\u003cp>Remember that a certain location may only be offering a certain type of new booster, whether that’s Moderna or Pfizer. So be sure that the location you’re walking into or making an appointment for offers the type of vaccine you need or want, particularly if you’re trying to find a bivalent booster for a child. \u003ca href=\"#mix\">Read more about “mixing and matching” COVID vaccine boosters.\u003c/a>\u003c/p>\n\u003cp>Also make sure the appointment you schedule for your new booster is at least two months after your last COVID vaccine shot, or your last COVID infection. When you’re making an appointment for a booster shot, you’ll likely be asked for the date of your last COVID vaccine dose or booster dose to ensure you’re not getting your shot too soon.\u003c/p>\n\u003cfigure id=\"attachment_11890217\" class=\"wp-caption alignnone\" style=\"max-width: 2560px\">\u003ca href=\"#mix\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"wp-image-11890217 size-full\" src=\"https://ww2.kqed.org/app/uploads/sites/10/2021/09/GettyImages-1234768450-scaled.jpg\" alt=\"A close-up of a hand gripping a vaccination card and writing on it with a pen.\" width=\"2560\" height=\"1704\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2021/09/GettyImages-1234768450-scaled.jpg 2560w, https://cdn.kqed.org/wp-content/uploads/sites/10/2021/09/GettyImages-1234768450-800x532.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2021/09/GettyImages-1234768450-1020x679.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2021/09/GettyImages-1234768450-160x106.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2021/09/GettyImages-1234768450-1536x1022.jpg 1536w, https://cdn.kqed.org/wp-content/uploads/sites/10/2021/09/GettyImages-1234768450-2048x1363.jpg 2048w, https://cdn.kqed.org/wp-content/uploads/sites/10/2021/09/GettyImages-1234768450-1920x1278.jpg 1920w\" sizes=\"auto, (max-width: 2560px) 100vw, 2560px\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">A nurse marks a coronavirus vaccination card with a third, booster dose of Pfizer, at a vaccine clinic in Pasadena, on Aug. 19, 2021. \u003ccite>(Robyn Beck/AFP via Getty Images))\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>\u003cstrong>1. Find a Moderna or Pfizer booster shot through a local pharmacy.\u003c/strong>\u003c/p>\n\u003cp>Pharmacies are usually the first place that new booster shots become available. Several pharmacy chains are offering online appointments for them, and some also offer walk-in appointments with no prescheduling required.\u003c/p>\n\u003cp>Remember that pharmacies can’t vaccinate kids under 3, with the exception of CVS MinuteClinics, who are permitted to vaccinate kids as young as 18 months old. \u003ca href=\"#boosterskids\">Jump to more information about bivalent boosters for children under 5.\u003c/a>\u003c/p>\n\u003cul>\n\u003cli>\u003ca href=\"https://www.cvs.com/immunizations/covid-19-vaccine?icid=cvs-home-hero1-banner-1-link2-coronavirus-vaccine\">CVS COVID-19 vaccine appointments \u003c/a>\u003c/li>\n\u003cli>\u003ca href=\"https://www.riteaid.com/pharmacy/covid-qualifier?utm_source=state&utm_medium=web&utm_campaign=Covid19&utm_content=Covid19scheduler_CA_2_12_21\">Rite Aid COVID-19 vaccine appointments\u003c/a>\u003c/li>\n\u003cli>\u003ca href=\"https://www.mhealthappointments.com/covidappt\">Safeway (Albertsons) COVID-19 vaccine appointments\u003c/a>\u003c/li>\n\u003cli>\u003ca href=\"https://www.walgreens.com/findcare/vaccination/covid-19?ban=covid_vaccine_landing_schedule\">Walgreens COVID-19 vaccine appointments\u003c/a>, or call (800) WALGREENS/(800) 925-4733\u003c/li>\n\u003cli>\u003ca href=\"https://www.costco.com/covid-vaccine.html\">Costco’s COVID-19 vaccine appointments\u003c/a>\u003c/li>\n\u003c/ul>\n\u003cp>\u003cstrong>2. Find a Moderna or Pfizer booster shot through My Turn.\u003c/strong>\u003c/p>\n\u003cp>\u003ca href=\"https://myturn.ca.gov/\">My Turn is the state’s site\u003c/a> for Californians to schedule vaccination appointments, as supplies allow. You can also try to \u003ca href=\"https://myturn.ca.gov/clinic.html\">find walk-in appointments through My Turn\u003c/a>. Bivalent booster appointments for children under 5 are not yet available on My Turn, as of Dec. 15.\u003c/p>\n\u003cp>\u003ca href=\"https://myturn.ca.gov/\">If you visit the My Turn page\u003c/a>, select “Make an Appointment.” My Turn will ask for your information, and the ZIP code or location you’d like to use to search for vaccine appointments. You can give your home location, or input other locations to see which sites might be available farther away.\u003c/p>\n\u003cp>You don’t need to be a resident or a worker in the particular county where your preferred vaccination site is located, according to the California Department of Public Health (CDPH), which manages My Turn. So don’t worry if the site suggests appointments in a different county.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>If you can’t travel to a clinic for your booster shot because of health or transportation issues, you can note this when registering on My Turn, and a representative from the CDPH is supposed to call you to arrange an in-home visit or transportation.\u003c/p>\n\u003cp>If you’re trying to find an appointment at a certain location and can’t see it in the search results, try searching on My Turn for that site’s \u003cem>exact\u003c/em> ZIP code, rather than your own. Remember that if you’re not seeing a specific site in the search results, it might just be because of low supply or lack of available appointments. Most of the results may also likely be pharmacy locations, with a handful of public health clinics mixed in, so make sure to look through the list carefully to find your preferred provider.\u003c/p>\n\u003cp>My Turn will ask you to provide a cellphone number and an email address. The state says this is so you can use two-factor authentication to confirm your identity and make your appointment, and to prevent bots from automatically scooping up available appointments online.\u003c/p>\n\u003cp>If you don’t have an email address or a cellphone number, or you have questions, you can call the California COVID-19 hotline at (833) 422-4255 (Monday-Friday 8 a.m.-8 p.m., Saturday and Sunday 8 a.m.-5 p.m PT) and sign up over the phone. Both English-speaking and Spanish-speaking operators are available. Callers needing information in other languages will be connected to a translation service that offers assistance in over 250 languages.\u003c/p>\n\u003cfigure id=\"attachment_11889661\" class=\"wp-caption alignnone\" style=\"max-width: 1920px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-11889661\" src=\"https://ww2.kqed.org/app/uploads/sites/10/2021/09/michigan_shot_gettyimages-1234850852-8f2a1402d5a0ab808313f55bdac52f950c8ad974-scaled-e1632414475184.jpg\" alt=\"Blue-gloved hands administer a vaccine into a shoulder.\" width=\"1920\" height=\"1440\">\u003cfigcaption class=\"wp-caption-text\">Rufus Peoples receives his booster dose of the Pfizer-BioNTech coronavirus vaccine during an Oakland County Health Department vaccination clinic at the Southfield Pavilion on Aug. 24, 2021, in Southfield, Michigan. \u003ccite>(Emily Elconin/Getty Images)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>\u003cstrong>3. Find a Moderna or Pfizer booster shot through your county.\u003c/strong>\u003c/p>\n\u003cp>\u003ca href=\"https://www.kqed.org/news/11855623/where-can-i-get-a-covid-19-vaccine-in-the-bay-area-your-questions-answered#county\">Visit your county’s public health website \u003c/a>to learn how your county is vaccinating its residents. If the county you work in is different from your county of residence, it’s likely you can get vaccinated in either county. The availability of vaccination appointments in your county will be based on the number of doses it has received from the state.\u003c/p>\n\u003cp>You can also sign up to receive notifications via email from your county to be alerted when appointments become available. \u003ca href=\"https://www.kqed.org/news/11855623/where-can-i-get-a-covid-19-vaccine-in-the-bay-area-your-questions-answered#county\">Find your Bay Area county in our list.\u003c/a>\u003c/p>\n\u003cp>\u003cstrong>4. Find a Moderna or Pfizer booster shot through your health care provider.\u003c/strong>\u003c/p>\n\u003cp>If you have health insurance, check with your provider to see whether they can offer you a booster shot. If you don’t have health insurance but get medical care through a city- or county-run provider, you should check with that location to see whether they can offer you the booster.\u003c/p>\n\u003cp>In addition to trying to talk with your health care provider directly, check the website of your provider to see whether it’s offering the ability to make appointments, and sign up for their vaccine notifications if that’s an option.\u003c/p>\n\u003cp>\u003cem>A version of this story was originally published on December 6.\u003c/em>\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"title": "'Alarming Decline': New Doctors Shun Infectious Diseases Specialty, Leaving Nearly Half of Training Programs Unfilled",
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"content": "\u003cp>Thousands of doctors ready to continue their training celebrated \u003ca href=\"https://www.nrmp.org/wp-content/uploads/2022/11/Medicine-and-Peds-Specialties-MRS-Report.pdf\">Match Day (PDF)\u003c/a> for specialty fellowships on Nov. 30, but one group lamented its results: infectious diseases physicians. Despite its central role in the COVID pandemic, the infectious diseases specialty saw 44% of its training programs go unfilled.\u003c/p>\n\u003cp>\"I'm bummed out,\" says \u003ca href=\"https://vaccines.emory.edu/faculty/primary-faculty/delrio-carlos.html\">Dr. Carlos Del Rio\u003c/a>, a professor at the Emory School of Medicine and president of the \u003ca href=\"https://www.idsociety.org/news--publications-new/articles/2022/idsa-statement-on-id-fellowship-match-rates/\">Infectious Diseases Society of America\u003c/a>. \"I love my field, I love what I do. And it's upsetting to know that my field may not be as attractive to trainees as I would like it to be.\"\u003c/p>\n\u003cp>At the University of Washington, which has one of the nation's \u003ca href=\"https://www.usnews.com/education/best-global-universities/united-states/infectious-diseases\">top-ranked programs\u003c/a>, administrators were scrambling to find suitable candidates for two fellowship spots that were still open after the match process. \"It feels unsettling,\" says Dr. Paul Pottinger, director of UW's infectious diseases fellowship training program, \"Typically, we match our full eight slots on the first go.\"[pullquote align=\"right\" size=\"medium\" citation=\"Dr. Daniel Bourque, Boston Medical Center\"]'COVID has had a tremendous impact on human life, and it continues to have an impact. I do believe that can and should inspire people to pursue careers in infectious diseases.'[/pullquote]At Boston Medical Center, affiliated with Boston University, none of their three fellowship positions got filled in this year's Match — a \"challenging\" and unprecedented situation for \u003ca href=\"https://www.bumc.bu.edu/medicine/profile/daniel-bourque/\">Dr. Daniel Bourque\u003c/a>, who runs their fellowship program: \"There was a decrease in the number of applicants this year, and that decrease appears to be a trend.\"\u003c/p>\n\u003cp>Becoming an infectious diseases specialist takes years of training. Generally, after four years of medical school, followed by several years in a medical residency, an aspiring ID physician applies to a fellowship program of at least two years. The field hit a \u003ca href=\"https://www.idsociety.org/globalassets/ektron-import/idsa/careers_and_training/program_director_resources/match/infectious-disease-match-and-trends-report\">low point\u003c/a> in recruiting for fellowships in 2016. In the past five years, it was somewhat stable, with around 65%–70% of training programs getting filled.\u003c/p>\n\u003cp>But 2020 was the exception, when a flood of applicants yielded a record match rate — a phenomenon dubbed the \"Fauci effect.\" As infectious diseases dominated the news, \"a lot of us saw it as a [sign of] reinvigorated interest in ID\" due to the pandemic, says \u003ca href=\"https://providers.emoryhealthcare.org/provider/Boghuma+Kabisen+Titanji/2216539\">Dr. Boghuma Titanji\u003c/a>, an infectious diseases physician at Emory University. But the slide since then — capped off by \u003ca href=\"https://www.idsociety.org/news--publications-new/articles/2022/idsa-statement-on-id-fellowship-match-rates/\">this year's \"alarming decline\"\u003c/a> — shows that the pandemic boost may have been a blip in the specialty's long-term struggles.\u003c/p>\n\u003cp>Despite guiding colleagues and the public through the COVID pandemic and the recent mpox outbreak; despite their lifesaving work in keeping hard-to-treat infections from spreading in hospitals; despite \u003ca href=\"https://academic.oup.com/ofid/article/6/4/ofz092/5364554\">high job satisfaction\u003c/a> and a profession that many described to NPR as \"never boring\": new doctors are not choosing to specialize in infectious diseases.\u003c/p>\n\u003cp>It's a decline that has the field's top experts searching for explanations.\u003c/p>\n\u003ch2>Training more to get paid less\u003c/h2>\n\u003cp>The most obvious reason is that the pay is low compared with other specialties, says Titanji at Emory University, \u003ca href=\"https://twitter.com/Boghuma/status/1598106987442900992\">whose Tweet\u003c/a> kicked off a robust discussion about the Match Day results. \"We're talking about a six-figure pay difference,\" she says, citing a \u003ca href=\"https://www.medscape.com/slideshow/2022-compensation-overview-6015043?faf=1#3\">2022 Medscape report\u003c/a> that infectious diseases specialists earn an average of $260k a year, which is more than $100,000 less than the average salary for all specialists.\u003c/p>\n\u003cp>In some cases, doctors who specialize in infectious diseases end up making less than they would have \u003cem>before\u003c/em> the extra two to three years of training — for instance, as a hospitalist, which is an internal medicine doctor that sees patients in the hospital. One can \u003ca href=\"https://pubmed.ncbi.nlm.nih.gov/29578550/\">become a hospitalist\u003c/a> — making between $200,000–$300,000 a year — after completing medical school and residency training, with no additional specialty fellowships required. \"I get paid less to work more hours than I did as a hospitalist,\" \u003ca href=\"https://twitter.com/hannahnammd\">Dr. Hannah Nam\u003c/a>, an infectious diseases physician at UC Irvine, tweeted. \"My student debt isn't going anywhere. Don't regret my choice but don't fault anyone for not choosing it either.\"[aside label=\"Related Stories\" postID=\"news_11934066,news_11933882,news_11935249\"]The pay disparities are rooted in the way the U.S. medical system is structured, Titanji and others say. \"A lot of the medical compensation system is based on doing procedures or interventions that are highly reimbursed,\" Titanji says.\u003c/p>\n\u003cp>Infectious diseases doctors, on the other hand, examine and interview patients and consult with colleagues — \"we think for a living,\" Pottinger, at the University of Washington, says, \"And because we don't have a surgery to do, I think that's where this legacy of reduced pay has come from.\"\u003c/p>\n\u003cp>Even if the pay is less than other specialties, \"it's \u003ca href=\"https://www.kff.org/other/state-indicator/median-annual-income/?currentTimeframe=0&sortModel=%7B%22colId%22:%22Median%20Annual%20Household%20Income%22,%22sort%22:%22asc%22%7D\">still very good\u003c/a>,\" Pottinger says. \"There's plenty of money in it, both in academic [settings] and in private practice, and our pay is rising over time.\"\u003c/p>\n\u003cp>Still, the prospect of getting extra training to take a pay cut deters many from choosing the field. \"Medical education in the U.S. is incredibly expensive,\" says Del Rio from Emory. \"If you graduate with a lot of debt, you're not going to go to a specialty that doesn't pay as much as others.\"\u003c/p>\n\u003ch2>Long hours and public criticism\u003c/h2>\n\u003cp>The relatively low pay is \u003ca href=\"https://academic.oup.com/cid/article/63/2/155/1745334?login=false\">not the only issue\u003c/a>, experts say. The field has long been understaffed, leading to long hours — a problem supercharged by the strain of the pandemic. \"Every infectious diseases doctor can tell you that the first year of the pandemic felt like being on call 24/7 because everyone was calling you — and relying on the knowledge that you had — to be able to respond to this,\" Titanji says.\u003c/p>\n\u003cp>The current class of doctors largely started their post-graduate residencies in the summer of 2020. All of their training happened during the COVID pandemic, Bourque from Boston Medical Center notes. The long hours and poor work-life balance they observed in ID doctors — and \u003ca href=\"https://jamanetwork.com/journals/jama/fullarticle/2790791\">physicians leaving\u003c/a> the field in droves due to burnout — may have cut the appeal. \"Long hours and low pay are a dreadful combination,\" del Rio says.\u003c/p>\n\u003cp>The COVID spotlight also made prominent ID doctors targets for bitter vitriol from people who disagreed with them. \"Many of us, myself included, have been attacked in the media and other places,\" for sharing thoughts on COVID, del Rio says. Dr. Anthony Fauci, a top COVID adviser to President Donald Trump and President Biden, was a lightning rod for criticism — and even death threats. \"People [considering the field] realize there's a personal risk. When the chief infectious diseases doctor for the nation has to have bodyguards, that doesn't necessarily make you think 'Oh, this is a great profession,'\" del Rio says.\u003c/p>\n\u003ch2>Loan forgiveness could help\u003c/h2>\n\u003cp>Infectious diseases had a recruiting problem before the pandemic, too: 2016 was an especially disappointing year, recalls Marcelin at University of Nebraska, who was going through her specialty training at the time. That year, \u003ca href=\"https://www.nrmp.org/wp-content/uploads/2021/07/Results-and-Data-SMS-2016_Final.pdf\">57% of programs (PDF)\u003c/a> went unfilled. \"A lot of the conversations that happened then, are happening again now,\" Marcelin says.[pullquote align=\"right\" size=\"medium\" citation=\"Dr. Carlos Del Rio, president, Infectious Diseases Society of America\"]'I love my field, I love what I do. And it's upsetting to know that my field may not be as attractive to trainees as I would like it to be.'[/pullquote]It spawned some soul-searching for the field, with \u003ca href=\"https://academic.oup.com/cid/article/63/2/155/1745334?login=false\">researchers trying to figure out\u003c/a> how to attract more doctors. On the money front, medical associations like the \u003ca href=\"https://www.idsociety.org/news--publications-new/articles/2022/id-loan-repayment-advances-in-senate-prevent-pandemics-act/\">IDSA have lobbied\u003c/a> Congress for student loan repayment programs, to reduce the medical school debt for doctors who choose the field. They're also advocating for \u003ca href=\"https://www.idsociety.org/policy--advocacy/access-and-reimbursement/\">higher reimbursement rates\u003c/a> for the work ID doctors do. If the pay gap for infectious diseases decreases, \"that may make it more worthwhile for trainees to consider it as a career path,\" Titanji says.\u003c/p>\n\u003cp>They've also stepped up their efforts to bring new candidates into the infectious diseases field, with grants and \u003ca href=\"https://idweek.org/attendees/residents/\">mentorship programs\u003c/a>. Still, over the past five years, \"despite our recruitment and mentorship efforts, we have made minimal progress in reversing this trend,\" IDSA leaders \u003ca href=\"https://www.idsociety.org/globalassets/healthy-futures-tf-security-rfi-idsa-response_dm-jph.pdf\">wrote to Congress (PDF)\u003c/a> earlier this year. In 2020, \u003ca href=\"https://www.acpjournals.org/doi/full/10.7326/M20-2684\">a research paper\u003c/a> co-authored by Dr. Rochelle Walensky, then chief of the infectious diseases division at Massachusetts General Hospital and now the CDC's director, found that 80% of U.S. counties had no infectious diseases doctors — including most counties that were hit hard by COVID in the first year.\u003c/p>\n\u003cp>\"What I'm learning is that it's a long road ahead,\" says Marcelin at University of Nebraska.\u003c/p>\n\u003cp>And the stakes are high, leaving the nation unprepared against outbreaks and health emergencies. \"If we don't have enough infectious diseases physicians moving forward, it's going to impact our ability to deal with everything from recognizing and diagnosing a disease, to informing the public, to creating guidance and administering proper treatments,\" Marcelin says. Then there are the less visible impacts — disease outbreaks in hospitals that could have been prevented in consultation with ID physicians; deaths from infections with treatment-resistant bacteria and viruses that could have been stopped by ID physicians.\u003c/p>\n\u003cp>That the COVID pandemic hasn't yet inspired more doctors to go into infectious diseases might not be the end of it, says Bourque, looking back at the galvanizing effect the HIV/AIDS crisis had on the field. \"There was a point in time where it felt like [infectious diseases] may be a dying subspecialty, and then HIV/AIDS demonstrated the importance of the infectious diseases specialist and really spawned a generation of doctors,\" including Bourque, to choose it as a career. He says COVID's effects are still unfolding: \"COVID has had a tremendous impact on human life, and it continues to have an impact. I do believe that can and should inspire people to pursue careers in infectious diseases.\"\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>[ad floatright]\u003c/p>\n",
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"excerpt": "Experts cite low pay and understaffing that leads to long hours — and even public criticism and political vitriol — as some of the reasons why so many new doctors are veering away from the field of infectious diseases.",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>Thousands of doctors ready to continue their training celebrated \u003ca href=\"https://www.nrmp.org/wp-content/uploads/2022/11/Medicine-and-Peds-Specialties-MRS-Report.pdf\">Match Day (PDF)\u003c/a> for specialty fellowships on Nov. 30, but one group lamented its results: infectious diseases physicians. Despite its central role in the COVID pandemic, the infectious diseases specialty saw 44% of its training programs go unfilled.\u003c/p>\n\u003cp>\"I'm bummed out,\" says \u003ca href=\"https://vaccines.emory.edu/faculty/primary-faculty/delrio-carlos.html\">Dr. Carlos Del Rio\u003c/a>, a professor at the Emory School of Medicine and president of the \u003ca href=\"https://www.idsociety.org/news--publications-new/articles/2022/idsa-statement-on-id-fellowship-match-rates/\">Infectious Diseases Society of America\u003c/a>. \"I love my field, I love what I do. And it's upsetting to know that my field may not be as attractive to trainees as I would like it to be.\"\u003c/p>\n\u003cp>At the University of Washington, which has one of the nation's \u003ca href=\"https://www.usnews.com/education/best-global-universities/united-states/infectious-diseases\">top-ranked programs\u003c/a>, administrators were scrambling to find suitable candidates for two fellowship spots that were still open after the match process. \"It feels unsettling,\" says Dr. Paul Pottinger, director of UW's infectious diseases fellowship training program, \"Typically, we match our full eight slots on the first go.\"\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>At Boston Medical Center, affiliated with Boston University, none of their three fellowship positions got filled in this year's Match — a \"challenging\" and unprecedented situation for \u003ca href=\"https://www.bumc.bu.edu/medicine/profile/daniel-bourque/\">Dr. Daniel Bourque\u003c/a>, who runs their fellowship program: \"There was a decrease in the number of applicants this year, and that decrease appears to be a trend.\"\u003c/p>\n\u003cp>Becoming an infectious diseases specialist takes years of training. Generally, after four years of medical school, followed by several years in a medical residency, an aspiring ID physician applies to a fellowship program of at least two years. The field hit a \u003ca href=\"https://www.idsociety.org/globalassets/ektron-import/idsa/careers_and_training/program_director_resources/match/infectious-disease-match-and-trends-report\">low point\u003c/a> in recruiting for fellowships in 2016. In the past five years, it was somewhat stable, with around 65%–70% of training programs getting filled.\u003c/p>\n\u003cp>But 2020 was the exception, when a flood of applicants yielded a record match rate — a phenomenon dubbed the \"Fauci effect.\" As infectious diseases dominated the news, \"a lot of us saw it as a [sign of] reinvigorated interest in ID\" due to the pandemic, says \u003ca href=\"https://providers.emoryhealthcare.org/provider/Boghuma+Kabisen+Titanji/2216539\">Dr. Boghuma Titanji\u003c/a>, an infectious diseases physician at Emory University. But the slide since then — capped off by \u003ca href=\"https://www.idsociety.org/news--publications-new/articles/2022/idsa-statement-on-id-fellowship-match-rates/\">this year's \"alarming decline\"\u003c/a> — shows that the pandemic boost may have been a blip in the specialty's long-term struggles.\u003c/p>\n\u003cp>Despite guiding colleagues and the public through the COVID pandemic and the recent mpox outbreak; despite their lifesaving work in keeping hard-to-treat infections from spreading in hospitals; despite \u003ca href=\"https://academic.oup.com/ofid/article/6/4/ofz092/5364554\">high job satisfaction\u003c/a> and a profession that many described to NPR as \"never boring\": new doctors are not choosing to specialize in infectious diseases.\u003c/p>\n\u003cp>It's a decline that has the field's top experts searching for explanations.\u003c/p>\n\u003ch2>Training more to get paid less\u003c/h2>\n\u003cp>The most obvious reason is that the pay is low compared with other specialties, says Titanji at Emory University, \u003ca href=\"https://twitter.com/Boghuma/status/1598106987442900992\">whose Tweet\u003c/a> kicked off a robust discussion about the Match Day results. \"We're talking about a six-figure pay difference,\" she says, citing a \u003ca href=\"https://www.medscape.com/slideshow/2022-compensation-overview-6015043?faf=1#3\">2022 Medscape report\u003c/a> that infectious diseases specialists earn an average of $260k a year, which is more than $100,000 less than the average salary for all specialists.\u003c/p>\n\u003cp>In some cases, doctors who specialize in infectious diseases end up making less than they would have \u003cem>before\u003c/em> the extra two to three years of training — for instance, as a hospitalist, which is an internal medicine doctor that sees patients in the hospital. One can \u003ca href=\"https://pubmed.ncbi.nlm.nih.gov/29578550/\">become a hospitalist\u003c/a> — making between $200,000–$300,000 a year — after completing medical school and residency training, with no additional specialty fellowships required. \"I get paid less to work more hours than I did as a hospitalist,\" \u003ca href=\"https://twitter.com/hannahnammd\">Dr. Hannah Nam\u003c/a>, an infectious diseases physician at UC Irvine, tweeted. \"My student debt isn't going anywhere. Don't regret my choice but don't fault anyone for not choosing it either.\"\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>The pay disparities are rooted in the way the U.S. medical system is structured, Titanji and others say. \"A lot of the medical compensation system is based on doing procedures or interventions that are highly reimbursed,\" Titanji says.\u003c/p>\n\u003cp>Infectious diseases doctors, on the other hand, examine and interview patients and consult with colleagues — \"we think for a living,\" Pottinger, at the University of Washington, says, \"And because we don't have a surgery to do, I think that's where this legacy of reduced pay has come from.\"\u003c/p>\n\u003cp>Even if the pay is less than other specialties, \"it's \u003ca href=\"https://www.kff.org/other/state-indicator/median-annual-income/?currentTimeframe=0&sortModel=%7B%22colId%22:%22Median%20Annual%20Household%20Income%22,%22sort%22:%22asc%22%7D\">still very good\u003c/a>,\" Pottinger says. \"There's plenty of money in it, both in academic [settings] and in private practice, and our pay is rising over time.\"\u003c/p>\n\u003cp>Still, the prospect of getting extra training to take a pay cut deters many from choosing the field. \"Medical education in the U.S. is incredibly expensive,\" says Del Rio from Emory. \"If you graduate with a lot of debt, you're not going to go to a specialty that doesn't pay as much as others.\"\u003c/p>\n\u003ch2>Long hours and public criticism\u003c/h2>\n\u003cp>The relatively low pay is \u003ca href=\"https://academic.oup.com/cid/article/63/2/155/1745334?login=false\">not the only issue\u003c/a>, experts say. The field has long been understaffed, leading to long hours — a problem supercharged by the strain of the pandemic. \"Every infectious diseases doctor can tell you that the first year of the pandemic felt like being on call 24/7 because everyone was calling you — and relying on the knowledge that you had — to be able to respond to this,\" Titanji says.\u003c/p>\n\u003cp>The current class of doctors largely started their post-graduate residencies in the summer of 2020. All of their training happened during the COVID pandemic, Bourque from Boston Medical Center notes. The long hours and poor work-life balance they observed in ID doctors — and \u003ca href=\"https://jamanetwork.com/journals/jama/fullarticle/2790791\">physicians leaving\u003c/a> the field in droves due to burnout — may have cut the appeal. \"Long hours and low pay are a dreadful combination,\" del Rio says.\u003c/p>\n\u003cp>The COVID spotlight also made prominent ID doctors targets for bitter vitriol from people who disagreed with them. \"Many of us, myself included, have been attacked in the media and other places,\" for sharing thoughts on COVID, del Rio says. Dr. Anthony Fauci, a top COVID adviser to President Donald Trump and President Biden, was a lightning rod for criticism — and even death threats. \"People [considering the field] realize there's a personal risk. When the chief infectious diseases doctor for the nation has to have bodyguards, that doesn't necessarily make you think 'Oh, this is a great profession,'\" del Rio says.\u003c/p>\n\u003ch2>Loan forgiveness could help\u003c/h2>\n\u003cp>Infectious diseases had a recruiting problem before the pandemic, too: 2016 was an especially disappointing year, recalls Marcelin at University of Nebraska, who was going through her specialty training at the time. That year, \u003ca href=\"https://www.nrmp.org/wp-content/uploads/2021/07/Results-and-Data-SMS-2016_Final.pdf\">57% of programs (PDF)\u003c/a> went unfilled. \"A lot of the conversations that happened then, are happening again now,\" Marcelin says.\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>It spawned some soul-searching for the field, with \u003ca href=\"https://academic.oup.com/cid/article/63/2/155/1745334?login=false\">researchers trying to figure out\u003c/a> how to attract more doctors. On the money front, medical associations like the \u003ca href=\"https://www.idsociety.org/news--publications-new/articles/2022/id-loan-repayment-advances-in-senate-prevent-pandemics-act/\">IDSA have lobbied\u003c/a> Congress for student loan repayment programs, to reduce the medical school debt for doctors who choose the field. They're also advocating for \u003ca href=\"https://www.idsociety.org/policy--advocacy/access-and-reimbursement/\">higher reimbursement rates\u003c/a> for the work ID doctors do. If the pay gap for infectious diseases decreases, \"that may make it more worthwhile for trainees to consider it as a career path,\" Titanji says.\u003c/p>\n\u003cp>They've also stepped up their efforts to bring new candidates into the infectious diseases field, with grants and \u003ca href=\"https://idweek.org/attendees/residents/\">mentorship programs\u003c/a>. Still, over the past five years, \"despite our recruitment and mentorship efforts, we have made minimal progress in reversing this trend,\" IDSA leaders \u003ca href=\"https://www.idsociety.org/globalassets/healthy-futures-tf-security-rfi-idsa-response_dm-jph.pdf\">wrote to Congress (PDF)\u003c/a> earlier this year. In 2020, \u003ca href=\"https://www.acpjournals.org/doi/full/10.7326/M20-2684\">a research paper\u003c/a> co-authored by Dr. Rochelle Walensky, then chief of the infectious diseases division at Massachusetts General Hospital and now the CDC's director, found that 80% of U.S. counties had no infectious diseases doctors — including most counties that were hit hard by COVID in the first year.\u003c/p>\n\u003cp>\"What I'm learning is that it's a long road ahead,\" says Marcelin at University of Nebraska.\u003c/p>\n\u003cp>And the stakes are high, leaving the nation unprepared against outbreaks and health emergencies. \"If we don't have enough infectious diseases physicians moving forward, it's going to impact our ability to deal with everything from recognizing and diagnosing a disease, to informing the public, to creating guidance and administering proper treatments,\" Marcelin says. Then there are the less visible impacts — disease outbreaks in hospitals that could have been prevented in consultation with ID physicians; deaths from infections with treatment-resistant bacteria and viruses that could have been stopped by ID physicians.\u003c/p>\n\u003cp>That the COVID pandemic hasn't yet inspired more doctors to go into infectious diseases might not be the end of it, says Bourque, looking back at the galvanizing effect the HIV/AIDS crisis had on the field. \"There was a point in time where it felt like [infectious diseases] may be a dying subspecialty, and then HIV/AIDS demonstrated the importance of the infectious diseases specialist and really spawned a generation of doctors,\" including Bourque, to choose it as a career. He says COVID's effects are still unfolding: \"COVID has had a tremendous impact on human life, and it continues to have an impact. I do believe that can and should inspire people to pursue careers in infectious diseases.\"\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"disqusTitle": "Twitter Ends Policy Banning COVID Misinformation as Health Officials Warn of Potentially Deadly Consequences",
"title": "Twitter Ends Policy Banning COVID Misinformation as Health Officials Warn of Potentially Deadly Consequences",
"headTitle": "KQED News",
"content": "\u003cp>Twitter will no longer enforce its policy against \u003ca href=\"https://www.kqed.org/education/533749/fact-or-fiction-how-to-spot-covid-19-misinformation\">COVID-19 misinformation\u003c/a>, raising concerns among public health experts that the change could have serious consequences if it discourages vaccination and other efforts to combat the still-spreading virus.\u003c/p>\n\u003cp>Eagle-eyed users spotted the change Monday night, noting that a one-sentence update had been made to Twitter's online rules: \"Effective November 23, 2022, Twitter is no longer enforcing the \u003ca href=\"https://apnews.com/article/twitter-vaccine-misinformation-crackdown-3190793914e7d6aded43c19521954cde\">COVID-19 misleading information policy\u003c/a>.”\u003c/p>\n\u003cp>By Tuesday, some Twitter accounts were testing the new boundaries and celebrating the platform's hands-off approach, which comes after Twitter was purchased by billionaire Elon Musk.\u003c/p>\n\u003cp>[aside label=\"Related Stories\" postID=\"news_11930570,forum_2010101891137,education_533749\"]“This policy was used to silence people across the world who questioned the media narrative surrounding the virus and treatment options,” tweeted \u003ca href=\"https://apnews.com/article/coronavirus-pandemic-health-misinformation-8407e477767045a428664194aebabbe3\">Dr. Simone Gold\u003c/a>, a physician and leading purveyor of COVID-19 misinformation. “A win for free speech and medical freedom!”\u003c/p>\n\u003cp>But Twitter's decision to no longer remove false claims about the safety of COVID-19 vaccines disappointed many public health officials, who said it could lead to more false claims about the virus, or the safety and effectiveness of vaccines.\u003c/p>\n\u003cp>“Bad news,” tweeted epidemiologist Eric Feigl-Ding, who urged people not to flee Twitter but to stay and stand up for accurate information about the virus. “Stay folks — do NOT cede the town square to them!”\u003c/p>\n\u003cp>https://twitter.com/DrEricDing/status/1597567134825345025\u003c/p>\n\u003cp>The virus, meanwhile, continues to spread. Nationally, new COVID cases averaged nearly 38,800 a day as of Monday, according to data from Johns Hopkins University — far lower than last winter but a vast undercount because of reduced testing and reporting. About 28,100 people with COVID were hospitalized daily and about 313 died, according to the most recent federal daily averages.\u003c/p>\n\u003cp>Cases and deaths were up from two weeks earlier. Yet a fifth of the U.S. population hasn’t been vaccinated, most Americans haven’t gotten \u003ca href=\"https://www.kqed.org/news/11924327/where-can-i-find-a-new-omicron-covid-booster-shot-near-me\">the latest boosters\u003c/a>, and many have stopped wearing masks.\u003c/p>\n\u003cp>Musk, who has himself spread COVID misinformation on Twitter, has signaled an interest in rolling back many of the platform's previous rules meant to combat misinformation.\u003c/p>\n\u003cp>Last week, Musk said he would grant “amnesty” to account holders who had been kicked off Twitter. He's also reinstated the accounts of several people who spread COVID misinformation, \u003ca href=\"https://www.pbs.org/newshour/politics/elon-musks-twitter-reinstates-rep-marjorie-taylor-greene\">including that of U.S. Rep. Marjorie Taylor Greene\u003c/a>, whose personal account was suspended this year for repeatedly violating Twitter's COVID rules.\u003c/p>\n\u003cp>Greene's most recent tweets include ones questioning the effectiveness of masks and making baseless claims about the safety of COVID vaccines.\u003c/p>\n\u003cp>Since the pandemic began, platforms like Twitter and Facebook have \u003ca href=\"https://www.kqed.org/news/11866331/tech-giants-urged-to-clamp-down-on-misinformation-in-spanish-and-other-languages\">struggled to respond to a torrent of misinformation\u003c/a> about the virus, its origins and the response to it.\u003c/p>\n\u003cp>Under the policy enacted in January 2020, Twitter prohibited false claims about COVID-19 that the platform determined could lead to real-world harms. More than 11,000 accounts were suspended for violating the rules, and nearly 100,000 pieces of content were removed from the platform, according to Twitter's latest numbers.\u003c/p>\n\u003cp>Despite its rules prohibiting COVID misinformation, Twitter has struggled with enforcement. Posts making bogus claims about home remedies or vaccines could still be found, and it was difficult on Tuesday to identify exactly how the platform's rules may have changed.\u003c/p>\n\u003cp>Messages left with San Francisco-based Twitter seeking more information about its policy on COVID-19 misinformation were not immediately returned Tuesday.\u003c/p>\n\u003cp>A search for common terms associated with COVID misinformation yielded lots of misleading content, but also automatic links to helpful resources about the virus as well as authoritative sources like the Centers for Disease Control and Prevention.\u003c/p>\n\u003cp>Dr. Ashish Jha, the White House COVID-19 coordinator, said Tuesday that the problem of COVID-19 misinformation is far larger than one platform, and that policies prohibiting COVID misinformation weren't the best solution anyway.\u003c/p>\n\u003cp>Speaking at a Knight Foundation forum Tuesday, Jha said misinformation about the virus spread for a number of reasons, including legitimate uncertainty about a deadly illness. Simply prohibiting certain kinds of content isn't going to help people find good information, or make them feel more confident about what they're hearing from their medical providers, he said.\u003c/p>\n\u003cp>“I think we all have a collective responsibility,” Jha said of combating misinformation about COVID. “The consequences of not getting this right — of spreading that misinformation — is literally tens of thousands of people dying unnecessarily.”\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>\u003c/p>\n",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>Twitter will no longer enforce its policy against \u003ca href=\"https://www.kqed.org/education/533749/fact-or-fiction-how-to-spot-covid-19-misinformation\">COVID-19 misinformation\u003c/a>, raising concerns among public health experts that the change could have serious consequences if it discourages vaccination and other efforts to combat the still-spreading virus.\u003c/p>\n\u003cp>Eagle-eyed users spotted the change Monday night, noting that a one-sentence update had been made to Twitter's online rules: \"Effective November 23, 2022, Twitter is no longer enforcing the \u003ca href=\"https://apnews.com/article/twitter-vaccine-misinformation-crackdown-3190793914e7d6aded43c19521954cde\">COVID-19 misleading information policy\u003c/a>.”\u003c/p>\n\u003cp>By Tuesday, some Twitter accounts were testing the new boundaries and celebrating the platform's hands-off approach, which comes after Twitter was purchased by billionaire Elon Musk.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>“This policy was used to silence people across the world who questioned the media narrative surrounding the virus and treatment options,” tweeted \u003ca href=\"https://apnews.com/article/coronavirus-pandemic-health-misinformation-8407e477767045a428664194aebabbe3\">Dr. Simone Gold\u003c/a>, a physician and leading purveyor of COVID-19 misinformation. “A win for free speech and medical freedom!”\u003c/p>\n\u003cp>But Twitter's decision to no longer remove false claims about the safety of COVID-19 vaccines disappointed many public health officials, who said it could lead to more false claims about the virus, or the safety and effectiveness of vaccines.\u003c/p>\n\u003cp>“Bad news,” tweeted epidemiologist Eric Feigl-Ding, who urged people not to flee Twitter but to stay and stand up for accurate information about the virus. “Stay folks — do NOT cede the town square to them!”\u003c/p>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\n\u003cp>The virus, meanwhile, continues to spread. Nationally, new COVID cases averaged nearly 38,800 a day as of Monday, according to data from Johns Hopkins University — far lower than last winter but a vast undercount because of reduced testing and reporting. About 28,100 people with COVID were hospitalized daily and about 313 died, according to the most recent federal daily averages.\u003c/p>\n\u003cp>Cases and deaths were up from two weeks earlier. Yet a fifth of the U.S. population hasn’t been vaccinated, most Americans haven’t gotten \u003ca href=\"https://www.kqed.org/news/11924327/where-can-i-find-a-new-omicron-covid-booster-shot-near-me\">the latest boosters\u003c/a>, and many have stopped wearing masks.\u003c/p>\n\u003cp>Musk, who has himself spread COVID misinformation on Twitter, has signaled an interest in rolling back many of the platform's previous rules meant to combat misinformation.\u003c/p>\n\u003cp>Last week, Musk said he would grant “amnesty” to account holders who had been kicked off Twitter. He's also reinstated the accounts of several people who spread COVID misinformation, \u003ca href=\"https://www.pbs.org/newshour/politics/elon-musks-twitter-reinstates-rep-marjorie-taylor-greene\">including that of U.S. Rep. Marjorie Taylor Greene\u003c/a>, whose personal account was suspended this year for repeatedly violating Twitter's COVID rules.\u003c/p>\n\u003cp>Greene's most recent tweets include ones questioning the effectiveness of masks and making baseless claims about the safety of COVID vaccines.\u003c/p>\n\u003cp>Since the pandemic began, platforms like Twitter and Facebook have \u003ca href=\"https://www.kqed.org/news/11866331/tech-giants-urged-to-clamp-down-on-misinformation-in-spanish-and-other-languages\">struggled to respond to a torrent of misinformation\u003c/a> about the virus, its origins and the response to it.\u003c/p>\n\u003cp>Under the policy enacted in January 2020, Twitter prohibited false claims about COVID-19 that the platform determined could lead to real-world harms. More than 11,000 accounts were suspended for violating the rules, and nearly 100,000 pieces of content were removed from the platform, according to Twitter's latest numbers.\u003c/p>\n\u003cp>Despite its rules prohibiting COVID misinformation, Twitter has struggled with enforcement. Posts making bogus claims about home remedies or vaccines could still be found, and it was difficult on Tuesday to identify exactly how the platform's rules may have changed.\u003c/p>\n\u003cp>Messages left with San Francisco-based Twitter seeking more information about its policy on COVID-19 misinformation were not immediately returned Tuesday.\u003c/p>\n\u003cp>A search for common terms associated with COVID misinformation yielded lots of misleading content, but also automatic links to helpful resources about the virus as well as authoritative sources like the Centers for Disease Control and Prevention.\u003c/p>\n\u003cp>Dr. Ashish Jha, the White House COVID-19 coordinator, said Tuesday that the problem of COVID-19 misinformation is far larger than one platform, and that policies prohibiting COVID misinformation weren't the best solution anyway.\u003c/p>\n\u003cp>Speaking at a Knight Foundation forum Tuesday, Jha said misinformation about the virus spread for a number of reasons, including legitimate uncertainty about a deadly illness. Simply prohibiting certain kinds of content isn't going to help people find good information, or make them feel more confident about what they're hearing from their medical providers, he said.\u003c/p>\n\u003cp>“I think we all have a collective responsibility,” Jha said of combating misinformation about COVID. “The consequences of not getting this right — of spreading that misinformation — is literally tens of thousands of people dying unnecessarily.”\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"title": "COVID-19, Flu and RSV: Why Families Need a Plan for Thanksgiving and Beyond",
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"content": "\u003cp>As Thanksgiving fast approaches and the holiday season gets underway, California public health leaders are urging folks to bolster protections against a triple threat of respiratory viruses: RSV (respiratory syncytial virus), flu and COVID-19.\u003c/p>\n\u003cp>“In every category that we track — whether it’s test positivity, case rate numbers, wastewater surveillance, hospitalizations — we’re seeing increases for RSV, flu and COVID,” said Dr. Mark Ghaly, secretary of California Health and Human Services, during a news conference last week.\u003c/p>\n\u003cp>According to Ghaly, COVID transmission — both in test positivity and case rates — was up by 25% over the past one to two weeks.\u003c/p>\n\u003cp>This is further compounded by an alarming uptick in cases of flu and RSV, \u003ca href=\"https://www.kqed.org/science/1980524/bay-area-childrens-hospitals-strained-as-rsv-surge-arrives\">a respiratory virus that primarily affects infants and has been straining hospitals across the region\u003c/a>.\u003c/p>\n\u003cp>Another concerning statewide trend? The vaccine uptake for the bivalent booster is low. \u003ca href=\"https://covid19.ca.gov/vaccination-progress-data/#overview\">Only around 16% of eligible Californians have gotten a second booster.\u003c/a>\u003cspan style=\"font-weight: 400;\">[aside postID='news_11924327,news_11914514' label='Resources for staying safe this holiday season']\u003c/span>\u003c/p>\n\u003cp>“I think people are kind of tired of talking about getting boosted, and this is another reason why we need to talk about this,” said Dr. Kavita Trivedi, communicable disease controller for Alameda County’s public health department. “We know that these boosters are still really good at preventing severe disease and hospitalization.”\u003c/p>\n\u003cp>Along with rapid testing and the expansion of treatment options like Paxlovid, boosters can help lower the risk of gathering together, said Dr. Mychi Nguyen, chief medical officer at Asian Health Services, a community health provider with sites across Oakland.\u003c/p>\n\u003cp>“I would tell folks, ‘Have a plan,'” for gathering over the holidays, she said. “It’s very important to make one before, during and after.”\u003c/p>\n\u003cp>Nguyen talked with KQED’s Brian Watt about how to reduce the health risks of gathering this Thanksgiving — for yourself and your loved ones. Keep reading for the highlights of their conversation, which have been edited for length and clarity.\u003c/p>\n\u003cp>\u003cstrong>BRIAN WATT: Are you concerned hospitals and clinics will be overwhelmed in the coming weeks?\u003c/strong>\u003c/p>\n\u003cp>\u003cstrong>DR. MYCHI NGUYEN:\u003c/strong> As we’re approaching the holiday season, we do expect respiratory viruses to increase as people gather with their loved ones and celebrate more.\u003c/p>\n\u003cp>We know that both flu and RSV are circulating earlier this year, with right now not a lot of folks getting boosters or their flu shots. And with the workforce shortage, we’re seeing that hospitals are getting overwhelmed with the number of cases.\u003cspan style=\"font-weight: 400;\">[pullquote size='medium' align='right' citation=\"Dr. Mychi Nguyen, chief medical officer, Asian Health Services\"]‘I would say ‘yes’ to celebrating — with some precautions.’[/pullquote]\u003c/span>\u003cstrong>Given all this, is it a good idea for folks to be getting together for Thanksgiving — in the way we’re used to doing that?\u003c/strong>\u003c/p>\n\u003cp>I would say “yes” to celebrating — with some precautions.\u003c/p>\n\u003cp>I would recommend that folks get tested the morning of, if you’re going to have a holiday dinner. And limit your interactions with folks the weeks and days coming up for the holidays. Something that you may consider is limiting your interactions in crowds.\u003c/p>\n\u003cp>We know that in California — in the Bay Area in particular — if you can have good weather, dine outdoors if possible. Or if it is indoors, have really good ventilation.\u003c/p>\n\u003cp>And even despite your best efforts, if someone does get ill or if you have symptoms, then make sure that you \u003ca href=\"https://www.kqed.org/news/11914514/if-you-get-covid-should-you-try-to-get-paxlovid-heres-how-with-or-without-health-insurance\">get tested right away and seek treatment\u003c/a>.\u003c/p>\n\u003cp>\u003cstrong>Is COVID testing something you should factor into a plan?\u003c/strong>\u003c/p>\n\u003cp>Yes, you don’t want to be the dreaded spreader, especially to a vulnerable loved one. So I would recommend testing the day of or the morning of, if you’re going to gather later that day.\u003c/p>\n\u003cp>It will allow for folks who do test positive to know right away — even if you don’t have symptoms — to know to stay home, and probably join in via Zoom, or other ways. And if you’re \u003cem>having\u003c/em> symptoms, if you’re feeling ill, definitely stay home and don’t gather and find other ways to celebrate.\u003c/p>\n\u003cp>\u003cstrong>If you do get infected with COVID, tell us more about the treatment options.\u003c/strong>\u003c/p>\n\u003cp>As soon as you have symptoms, it is important to test right away, and \u003ca href=\"https://www.kqed.org/news/11914514/if-you-get-covid-should-you-try-to-get-paxlovid-heres-how-with-or-without-health-insurance\">if you are positive, it’s important to seek treatment\u003c/a>. Most adults and some children 12 years and above are eligible. And a lot of folks do not know that they’re eligible for treatment.\u003cspan style=\"font-weight: 400;\">[pullquote size='medium' align='right' citation=\"Dr. Mychi Nguyen, chief medical officer, Asian Health Services\"]‘You don’t want to be the dreaded spreader, especially to a vulnerable loved one. So I would recommend testing the day of or the morning of, if you’re going to gather later that day.’[/pullquote]\u003c/span>Treatment and the medications can prevent risk of hospitalizations and death up to 88%. You must act quickly for the effectiveness to take. It’s usually within the first five to seven days of symptom onset. Treatment is free.\u003c/p>\n\u003cp>\u003cstrong>How useful is it to get boosted right before the holidays? Are we talking about some immediate protection if someone goes and gets boosted right away?\u003c/strong>\u003c/p>\n\u003cp>Full immunity will occur in about two weeks. So really, as we’re approaching the holidays, \u003ca href=\"https://www.kqed.org/news/11924327/where-can-i-find-a-new-omicron-covid-booster-shot-near-me\">getting vaccinated as soon as possible is very important\u003c/a>.\u003c/p>\n\u003cp>\u003cstrong>You mentioned not a lot of folks have gotten their booster. Do you get this sense as well that there is vaccine fatigue?\u003c/strong>\u003c/p>\n\u003cp>There is a sense of vaccine fatigue that I’m seeing in the clinic. One of the things that I do [with patients] is exploring \u003cem>why\u003c/em>.\u003c/p>\n\u003cp>Some of the concerns are perhaps side effects. And so I would ask them what happened at their previous vaccination, and we would talk about making a plan if there’s some pain or a fever.\u003c/p>\n\u003cp>Usually those symptoms last for a couple days. We tell folks that getting COVID creates potentially more illness and [they] also [could] develop long COVID. And so the short-term benefits outweigh a lot of getting sick from COVID long-term.\u003c/p>\n\u003cp>\u003cstrong>Is it concerning that you’re still hearing some of this hesitation as we enter the third year of this pandemic?\u003c/strong>\u003c/p>\n\u003cp>It is concerning. One thing that we know is that COVID is still with us. It is something that we are learning to live with, and it is very different from before.\u003c/p>\n\u003cp>We are in a much better place with vaccines, with testing, with treatment and really getting that information out there. Those strategies should continue to be strategies that help to fight against COVID.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>\u003cstrong>How do you get the word out at this moment about the importance of getting the bivalent booster? What is this outreach looking like on the ground?\u003c/strong>\u003c/p>\n\u003cp>At Asian Health Services, we serve patients in English and 14 Asian languages. And we know that if folks do not have access in language, it is very, very difficult to even get testing, or vaccinations, or treatment or to learn how to prevent or take care of themselves if they do get sick. So we really provide that cultural competency, that language outreach in different ethnic media. We send patient newsletters. We go and do outreach into the community, and make sure that websites are translated into the different languages.\u003c/p>\n\u003cp>One thing we also know is that in addition to the language barrier, there is a digital divide. Anyone who has helped a family member navigate online accounts or get to a website knows that if you are not tech-savvy, you can get left behind in terms of accessing a lot of these resources.\u003c/p>\n\u003cp>[ad floatright]\u003c/p>\n",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>As Thanksgiving fast approaches and the holiday season gets underway, California public health leaders are urging folks to bolster protections against a triple threat of respiratory viruses: RSV (respiratory syncytial virus), flu and COVID-19.\u003c/p>\n\u003cp>“In every category that we track — whether it’s test positivity, case rate numbers, wastewater surveillance, hospitalizations — we’re seeing increases for RSV, flu and COVID,” said Dr. Mark Ghaly, secretary of California Health and Human Services, during a news conference last week.\u003c/p>\n\u003cp>According to Ghaly, COVID transmission — both in test positivity and case rates — was up by 25% over the past one to two weeks.\u003c/p>\n\u003cp>This is further compounded by an alarming uptick in cases of flu and RSV, \u003ca href=\"https://www.kqed.org/science/1980524/bay-area-childrens-hospitals-strained-as-rsv-surge-arrives\">a respiratory virus that primarily affects infants and has been straining hospitals across the region\u003c/a>.\u003c/p>\n\u003cp>Another concerning statewide trend? The vaccine uptake for the bivalent booster is low. \u003ca href=\"https://covid19.ca.gov/vaccination-progress-data/#overview\">Only around 16% of eligible Californians have gotten a second booster.\u003c/a>\u003cspan style=\"font-weight: 400;\">\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/span>\u003c/p>\n\u003cp>“I think people are kind of tired of talking about getting boosted, and this is another reason why we need to talk about this,” said Dr. Kavita Trivedi, communicable disease controller for Alameda County’s public health department. “We know that these boosters are still really good at preventing severe disease and hospitalization.”\u003c/p>\n\u003cp>Along with rapid testing and the expansion of treatment options like Paxlovid, boosters can help lower the risk of gathering together, said Dr. Mychi Nguyen, chief medical officer at Asian Health Services, a community health provider with sites across Oakland.\u003c/p>\n\u003cp>“I would tell folks, ‘Have a plan,'” for gathering over the holidays, she said. “It’s very important to make one before, during and after.”\u003c/p>\n\u003cp>Nguyen talked with KQED’s Brian Watt about how to reduce the health risks of gathering this Thanksgiving — for yourself and your loved ones. Keep reading for the highlights of their conversation, which have been edited for length and clarity.\u003c/p>\n\u003cp>\u003cstrong>BRIAN WATT: Are you concerned hospitals and clinics will be overwhelmed in the coming weeks?\u003c/strong>\u003c/p>\n\u003cp>\u003cstrong>DR. MYCHI NGUYEN:\u003c/strong> As we’re approaching the holiday season, we do expect respiratory viruses to increase as people gather with their loved ones and celebrate more.\u003c/p>\n\u003cp>We know that both flu and RSV are circulating earlier this year, with right now not a lot of folks getting boosters or their flu shots. And with the workforce shortage, we’re seeing that hospitals are getting overwhelmed with the number of cases.\u003cspan style=\"font-weight: 400;\">\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/span>\u003cstrong>Given all this, is it a good idea for folks to be getting together for Thanksgiving — in the way we’re used to doing that?\u003c/strong>\u003c/p>\n\u003cp>I would say “yes” to celebrating — with some precautions.\u003c/p>\n\u003cp>I would recommend that folks get tested the morning of, if you’re going to have a holiday dinner. And limit your interactions with folks the weeks and days coming up for the holidays. Something that you may consider is limiting your interactions in crowds.\u003c/p>\n\u003cp>We know that in California — in the Bay Area in particular — if you can have good weather, dine outdoors if possible. Or if it is indoors, have really good ventilation.\u003c/p>\n\u003cp>And even despite your best efforts, if someone does get ill or if you have symptoms, then make sure that you \u003ca href=\"https://www.kqed.org/news/11914514/if-you-get-covid-should-you-try-to-get-paxlovid-heres-how-with-or-without-health-insurance\">get tested right away and seek treatment\u003c/a>.\u003c/p>\n\u003cp>\u003cstrong>Is COVID testing something you should factor into a plan?\u003c/strong>\u003c/p>\n\u003cp>Yes, you don’t want to be the dreaded spreader, especially to a vulnerable loved one. So I would recommend testing the day of or the morning of, if you’re going to gather later that day.\u003c/p>\n\u003cp>It will allow for folks who do test positive to know right away — even if you don’t have symptoms — to know to stay home, and probably join in via Zoom, or other ways. And if you’re \u003cem>having\u003c/em> symptoms, if you’re feeling ill, definitely stay home and don’t gather and find other ways to celebrate.\u003c/p>\n\u003cp>\u003cstrong>If you do get infected with COVID, tell us more about the treatment options.\u003c/strong>\u003c/p>\n\u003cp>As soon as you have symptoms, it is important to test right away, and \u003ca href=\"https://www.kqed.org/news/11914514/if-you-get-covid-should-you-try-to-get-paxlovid-heres-how-with-or-without-health-insurance\">if you are positive, it’s important to seek treatment\u003c/a>. Most adults and some children 12 years and above are eligible. And a lot of folks do not know that they’re eligible for treatment.\u003cspan style=\"font-weight: 400;\">\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/span>Treatment and the medications can prevent risk of hospitalizations and death up to 88%. You must act quickly for the effectiveness to take. It’s usually within the first five to seven days of symptom onset. Treatment is free.\u003c/p>\n\u003cp>\u003cstrong>How useful is it to get boosted right before the holidays? Are we talking about some immediate protection if someone goes and gets boosted right away?\u003c/strong>\u003c/p>\n\u003cp>Full immunity will occur in about two weeks. So really, as we’re approaching the holidays, \u003ca href=\"https://www.kqed.org/news/11924327/where-can-i-find-a-new-omicron-covid-booster-shot-near-me\">getting vaccinated as soon as possible is very important\u003c/a>.\u003c/p>\n\u003cp>\u003cstrong>You mentioned not a lot of folks have gotten their booster. Do you get this sense as well that there is vaccine fatigue?\u003c/strong>\u003c/p>\n\u003cp>There is a sense of vaccine fatigue that I’m seeing in the clinic. One of the things that I do [with patients] is exploring \u003cem>why\u003c/em>.\u003c/p>\n\u003cp>Some of the concerns are perhaps side effects. And so I would ask them what happened at their previous vaccination, and we would talk about making a plan if there’s some pain or a fever.\u003c/p>\n\u003cp>Usually those symptoms last for a couple days. We tell folks that getting COVID creates potentially more illness and [they] also [could] develop long COVID. And so the short-term benefits outweigh a lot of getting sick from COVID long-term.\u003c/p>\n\u003cp>\u003cstrong>Is it concerning that you’re still hearing some of this hesitation as we enter the third year of this pandemic?\u003c/strong>\u003c/p>\n\u003cp>It is concerning. One thing that we know is that COVID is still with us. It is something that we are learning to live with, and it is very different from before.\u003c/p>\n\u003cp>We are in a much better place with vaccines, with testing, with treatment and really getting that information out there. Those strategies should continue to be strategies that help to fight against COVID.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>\u003cstrong>How do you get the word out at this moment about the importance of getting the bivalent booster? What is this outreach looking like on the ground?\u003c/strong>\u003c/p>\n\u003cp>At Asian Health Services, we serve patients in English and 14 Asian languages. And we know that if folks do not have access in language, it is very, very difficult to even get testing, or vaccinations, or treatment or to learn how to prevent or take care of themselves if they do get sick. So we really provide that cultural competency, that language outreach in different ethnic media. We send patient newsletters. We go and do outreach into the community, and make sure that websites are translated into the different languages.\u003c/p>\n\u003cp>One thing we also know is that in addition to the language barrier, there is a digital divide. Anyone who has helped a family member navigate online accounts or get to a website knows that if you are not tech-savvy, you can get left behind in terms of accessing a lot of these resources.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cp>Throughout the pandemic, the virus that causes COVID-19 has been evolving fast, blindsiding the world with one variant after another.\u003c/p>\n\u003cp>But the World Health Organization hasn't given a SARS-CoV-2 variant a Greek name in almost a year, a move that's reserved for new variants that do or could have significant public health impacts, such as being more transmissible or causing more severe disease.\u003c/p>\n\u003cp>That raises the question: Has the evolution of the virus finally started to ebb, possibly making it more predictable?[pullquote size=\"medium\" align=\"right\" citation=\"Manon Ragonnet-Cronin, viral genetics researcher, University of Chicago\"]'We have what people are calling a swarm of omicron viruses, which have different ancestries within omicron, but which have the same set of mutations.’[/pullquote]\u003c/p>\n\u003cp>The answer — according to a dozen evolutionary biologists, virologists and immunologists interviewed by NPR — is no.\u003c/p>\n\u003cp>\"SARS-CoV-2 is continuing to evolve extremely rapidly,\" says \u003ca href=\"https://www.fredhutch.org/en/faculty-lab-directory/bedford-trevor.html\">Trevor Bedford\u003c/a>, a computational biologist who studies the evolution of viruses at the Fred Hutchinson Cancer Center in Seattle. \"There's no evidence that the evolution is slowing down.\"\u003c/p>\n\u003cp>Instead, the most consequential evolutionary changes have stayed confined to the omicron family, rather than appearing in entirely new variants.\u003c/p>\n\u003cp>Whereas alpha, beta, gamma and the other named variants sprouted new branches on the SARS-CoV-2 family tree, those limbs were dwarfed by the omicron bough, which is now studded with a plethora of subvariant stems.[aside postID=\"news_11919290,news_11928768\" label=\"Related Posts\"]\u003c/p>\n\u003cp>\"The children of omicron — so the many direct children and cousins within the diverse omicron family — those have displaced each other\" as the dominant strains driving the pandemic, says \u003ca href=\"http://emmahodcroft.com/\">Emma Hodcroft\u003c/a>, a molecular epidemiologist at the University of Bern. \"But that same family has been dominating\" by outcompeting other strains.\u003c/p>\n\u003ch3>One variant to rule them all\u003c/h3>\n\u003cp>The ever-expanding omicron brood has maintained its dominance through what's known as \"convergent\" evolution — when entities independently develop similar traits because of similar environmental pressures, according to \u003ca href=\"https://directory.uchicago.edu/individuals/1340463201\">Manon Ragonnet-Cronin\u003c/a>, who studies viral genetics at the University of Chicago.\u003c/p>\n\u003cp>\"We seem to be seeing for the first time evidence of widescale convergent evolution,\" Ragonnet-Cronin says. \"We have what people are calling a swarm of omicron viruses, which have different ancestries within omicron, but which have the same set of mutations.\"\u003c/p>\n\u003cp>Those mutations endow these omicron offspring with the one power they need most right now: the ability to sneak past the immunity that people have built up from getting infected, vaccinated, or both.\u003c/p>\n\u003cp>\"When you see convergence in evolution that's evolution's way of saying 'this mutation is repeatedly getting selected over and over again because it's really helpful,'\" says \u003ca href=\"https://www.fredhutch.org/en/faculty-lab-directory/bloom-jesse.html\">Jesse Bloom\u003c/a>, a computational biologist at the Fred Hutchinson Cancer Center in Seattle.\u003c/p>\n\u003cp>Those mutations in the virus's spike protein have been increasing its ability to evade protective antibodies and continue infecting massive numbers of people.\u003c/p>\n\u003cp>\"This virus is getting a lot of lottery tickets if you will. And it looks like, with these new variants, these new mutations are like the jackpot,\" says \u003ca href=\"https://www.lsuhs.edu/departments/school-of-graduate-studies/microbiology-and-immunology/research/kamil-lab\">Jeremy Kamil\u003c/a>, an immunologist at Louisiana State University.\u003c/p>\n\u003cp>The Centers for Disease Control and Prevention is \u003ca href=\"https://covid.cdc.gov/covid-data-tracker/?utm_medium=email&utm_source=govdelivery#variant-proportions\">tracking more than a dozen omicron subvariants right now\u003c/a>, including BF.7, BQ.1 and BQ.1.1, some of which appear to be among the most immune-evasive yet.\u003c/p>\n\u003cp>Fortunately, the immunity people have built up from vaccination and infection still appears to be protecting most from serious illness and death.\u003c/p>\n\u003cp>But the newer highly contagious omicron subvariants could help drive yet another surge. They also give the virus many chances to reproduce, mutate and evolve even more.\u003c/p>\n\u003ch3>A family tree still full of surprises?\u003c/h3>\n\u003cp>While all this sounds dire, omicron's long period of dominance is giving some scientists some hope.\u003c/p>\n\u003cp>The virus could, in one relatively optimistic scenario, keep evolving this way for a long time, drifting in more subtle evolutionary directions like the flu, without sudden shifts in how it behaves that make it more dangerous.\u003c/p>\n\u003cp>\"The fact that we've perhaps stepped out of a phase [in the pandemic] where we're getting completely new viruses from different parts of the tree sweeping in and dominating might be a sign that we're moving towards a more kind of stable future for the virus,\" Hodcroft says.\u003c/p>\n\u003cp>But that would mean large numbers of people would still catch the virus. Many would still get seriously ill, die, or be left with long COVID. And because the virus is still so new, it's impossible to know how the virus might evolve in the future, experts tell NPR.\u003c/p>\n\u003cp>\"We are literally dealing with a completely novel virus here,\" says \u003ca href=\"https://www.scripps.edu/faculty/andersen/\">Kristian Andersen\u003c/a>, an immunologist at Scripps Research. \"We don't know how many other paths this particular virus might have. We just don't know at this stage.\"\u003c/p>\n\u003cp>There's no way to rule out, for example, the possibility that a dramatically different variant might emerge yet again, perhaps after simmering inside someone with a compromised immune system that can't drive out the virus. That lets the virus extensively interact with the human immune system and find even more advantageous mutations.\u003c/p>\n\u003cp>\"I guarantee you that there are people who have been persistently infected with delta and alpha who have some really weird combinations of mutations,\" says \u003ca href=\"https://eeb.arizona.edu/person/michael-worobey\">Michael Worobey\u003c/a>, an evolutionary biologist at the University of Arizona. \"And I'm fully prepared for a delta-based or alpha-based omicron-like event where one of those zombie viruses that's been cooking away within someone emerges.\"\u003c/p>\n\u003cdiv class=\"fullattribution\">Copyright 2022 NPR. To see more, visit https://www.npr.org.\u003cimg src=\"https://www.google-analytics.com/__utm.gif?utmac=UA-5828686-4&utmdt=Omicron+keeps+finding+new+evolutionary+tricks+to+outsmart+our+immunity&utme=8(APIKey)9(MDAxOTAwOTE4MDEyMTkxMDAzNjczZDljZA004)\">\u003c/div>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>\u003c/p>\n",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>The answer — according to a dozen evolutionary biologists, virologists and immunologists interviewed by NPR — is no.\u003c/p>\n\u003cp>\"SARS-CoV-2 is continuing to evolve extremely rapidly,\" says \u003ca href=\"https://www.fredhutch.org/en/faculty-lab-directory/bedford-trevor.html\">Trevor Bedford\u003c/a>, a computational biologist who studies the evolution of viruses at the Fred Hutchinson Cancer Center in Seattle. \"There's no evidence that the evolution is slowing down.\"\u003c/p>\n\u003cp>Instead, the most consequential evolutionary changes have stayed confined to the omicron family, rather than appearing in entirely new variants.\u003c/p>\n\u003cp>Whereas alpha, beta, gamma and the other named variants sprouted new branches on the SARS-CoV-2 family tree, those limbs were dwarfed by the omicron bough, which is now studded with a plethora of subvariant stems.\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>\"The children of omicron — so the many direct children and cousins within the diverse omicron family — those have displaced each other\" as the dominant strains driving the pandemic, says \u003ca href=\"http://emmahodcroft.com/\">Emma Hodcroft\u003c/a>, a molecular epidemiologist at the University of Bern. \"But that same family has been dominating\" by outcompeting other strains.\u003c/p>\n\u003ch3>One variant to rule them all\u003c/h3>\n\u003cp>The ever-expanding omicron brood has maintained its dominance through what's known as \"convergent\" evolution — when entities independently develop similar traits because of similar environmental pressures, according to \u003ca href=\"https://directory.uchicago.edu/individuals/1340463201\">Manon Ragonnet-Cronin\u003c/a>, who studies viral genetics at the University of Chicago.\u003c/p>\n\u003cp>\"We seem to be seeing for the first time evidence of widescale convergent evolution,\" Ragonnet-Cronin says. \"We have what people are calling a swarm of omicron viruses, which have different ancestries within omicron, but which have the same set of mutations.\"\u003c/p>\n\u003cp>Those mutations endow these omicron offspring with the one power they need most right now: the ability to sneak past the immunity that people have built up from getting infected, vaccinated, or both.\u003c/p>\n\u003cp>\"When you see convergence in evolution that's evolution's way of saying 'this mutation is repeatedly getting selected over and over again because it's really helpful,'\" says \u003ca href=\"https://www.fredhutch.org/en/faculty-lab-directory/bloom-jesse.html\">Jesse Bloom\u003c/a>, a computational biologist at the Fred Hutchinson Cancer Center in Seattle.\u003c/p>\n\u003cp>Those mutations in the virus's spike protein have been increasing its ability to evade protective antibodies and continue infecting massive numbers of people.\u003c/p>\n\u003cp>\"This virus is getting a lot of lottery tickets if you will. And it looks like, with these new variants, these new mutations are like the jackpot,\" says \u003ca href=\"https://www.lsuhs.edu/departments/school-of-graduate-studies/microbiology-and-immunology/research/kamil-lab\">Jeremy Kamil\u003c/a>, an immunologist at Louisiana State University.\u003c/p>\n\u003cp>The Centers for Disease Control and Prevention is \u003ca href=\"https://covid.cdc.gov/covid-data-tracker/?utm_medium=email&utm_source=govdelivery#variant-proportions\">tracking more than a dozen omicron subvariants right now\u003c/a>, including BF.7, BQ.1 and BQ.1.1, some of which appear to be among the most immune-evasive yet.\u003c/p>\n\u003cp>Fortunately, the immunity people have built up from vaccination and infection still appears to be protecting most from serious illness and death.\u003c/p>\n\u003cp>But the newer highly contagious omicron subvariants could help drive yet another surge. They also give the virus many chances to reproduce, mutate and evolve even more.\u003c/p>\n\u003ch3>A family tree still full of surprises?\u003c/h3>\n\u003cp>While all this sounds dire, omicron's long period of dominance is giving some scientists some hope.\u003c/p>\n\u003cp>The virus could, in one relatively optimistic scenario, keep evolving this way for a long time, drifting in more subtle evolutionary directions like the flu, without sudden shifts in how it behaves that make it more dangerous.\u003c/p>\n\u003cp>\"The fact that we've perhaps stepped out of a phase [in the pandemic] where we're getting completely new viruses from different parts of the tree sweeping in and dominating might be a sign that we're moving towards a more kind of stable future for the virus,\" Hodcroft says.\u003c/p>\n\u003cp>But that would mean large numbers of people would still catch the virus. Many would still get seriously ill, die, or be left with long COVID. And because the virus is still so new, it's impossible to know how the virus might evolve in the future, experts tell NPR.\u003c/p>\n\u003cp>\"We are literally dealing with a completely novel virus here,\" says \u003ca href=\"https://www.scripps.edu/faculty/andersen/\">Kristian Andersen\u003c/a>, an immunologist at Scripps Research. \"We don't know how many other paths this particular virus might have. We just don't know at this stage.\"\u003c/p>\n\u003cp>There's no way to rule out, for example, the possibility that a dramatically different variant might emerge yet again, perhaps after simmering inside someone with a compromised immune system that can't drive out the virus. 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"content": "\u003cp>Recently released test scores from some of California’s largest school districts — representing more than 1 million students — offer a preview of what’s likely to be steep drops in reading and math scores statewide in the wake of COVID.\u003c/p>\n\u003cp>The scores, which districts released individually at the request of EdSource, show sharp declines in all grade levels from 2019, before COVID forced the closure of most campuses to in-person learning, and 2022.\u003c/p>\n\u003cp>The California Department of Education has delayed releasing the full statewide results from the 2022 Smarter Balanced assessments, which are given annually to third through eighth graders and 11th graders to measure progress in English language arts and math. Under pressure from EdSource and other media outlets, the department recently agreed to release the scores by the end of October.\u003c/p>\n\u003cp>Meanwhile, EdSource has collected individual results from 10 large districts, including Los Angeles Unified, San Diego Unified, Fresno Unified, Lodi Unified, Long Beach Unified, Sacramento City Unified, Sweetwater Union High School District, San Ramon Valley Unified, Bakersfield City School District and Mt. Diablo Unified.\u003c/p>\n\u003cp>The results show consistent declines in all categories from 2019, but some variations among districts and subgroups:\u003c/p>\n\u003cul>\n\u003cli>Only 13% of students in Bakersfield met the state standard for math.\u003c/li>\n\u003cli>Reading scores in Los Angeles Unified dipped only slightly from 2019 to 2022. Still, only 41% of students in 2022 were proficient in reading.\u003c/li>\n\u003cli>Math scores in Fresno dropped by a third. In 2022, only 21% of students met the math standard.\u003c/li>\n\u003cli>Reading scores in Long Beach dropped 11 points, but declines were less steep in math. Math scores fell only 4 points.\u003c/li>\n\u003cli>In Mt. Diablo Unified, one of the few districts to break down the results by subgroup, Black, Latino, English learner, foster and unhoused students had far lower scores compared with 2019 than their white and Asian peers. For example, among English learners, 96% did not meet the math or reading standards.\u003c/li>\n\u003c/ul>\n\u003cp>By and large, scores show little change from 2021, the first year results were released after the state suspended the 2020 tests due to COVID. The 2021 test was optional for schools to administer, so results were limited and likely not an accurate reflection of students’ progress overall. Just under 25% of students took the test in 2021.\u003c/p>\n\u003cp>Lodi Unified saw scores in both math and reading improve from 2021, but they still lag significantly from 2019. That’s not a surprise, considering the difficulties teachers and students faced as they returned from distance learning, said Robert Sahli, assistant superintendent.[pullquote size=\"medium\" align=\"right\" citation=\"Lucrecia Santibañez, associate professor of education, UCLA\"]‘COVID was tough for everyone … But these scores signal that we need to make a personalized, intensive effort to help kids catch up and recoup what they’ve lost.’[/pullquote]“Last year, even though we were back in person, it was very challenging,” he said. “Teachers and support staff were working very hard to address learning loss while also responding to the social-emotional impacts on learning and socializing at school.”\u003c/p>\n\u003cp>Like other districts, Lodi has hired more tutors and teachers to help students catch up, beefed up summer school and after-school academic offerings, adopted new curricula and taken other steps to bring students to proficiency.\u003c/p>\n\u003cp>Heather Hough, director of Policy Analysis for California Education (PACE), said the preliminary results are actually better than she expected. Because 2022 is the first year all schools were required to give the test, she anticipated a significant drop from 2021.\u003c/p>\n\u003cp>“We thought 2022 would be a recovery year, but there was so much chaos — teacher shortages, students missing school — that it turned out to be another pandemic year,” she said. “If the scores are the same (as 2021), that’s actually encouraging.”\u003c/p>\n\u003cp>When the state releases the full data, Hough and her colleagues will pay close attention to differences among subgroups and statistical anomalies. If one district, for example, shows good results for students in special education, it would be worth researching what special steps that district has taken.\u003c/p>\n\u003cp>She also noted that some students thrived during remote learning, so she expects some good news, as well. In any case, schools and districts, as well as statewide policymakers, should use the scores to shape their allocation of resources in the coming years.\u003c/p>\n\u003cp>“When we get this data, we’ll finally be able to see how California is doing, what challenges we’re facing, and how we can best help students as we move forward,” she said.\u003c/p>\n\u003cp>In anticipation of the statewide release of test scores, the state last week launched a push for schools to help students regain skills they lost during COVID. The state is emphasizing accelerated learning, rather than remedial lessons, to speed up the process.\u003c/p>\n\u003cp>Steps like that could be the most useful result of the Smarter Balanced scores, said Lucrecia Santibañez, associate professor of education at UCLA. Closely analyzing the data and using it to forge a path forward — specifically for certain groups of students — is more useful than assigning blame, she said.\u003c/p>\n\u003cp>“COVID was tough for everyone, and it’s not worth putting blame on anyone. Everyone was trying the best they could. But these scores signal that we need to make a personalized, intensive effort to help kids catch up and recoup what they’ve lost,” she said.\u003c/p>\n\u003cp>Although the scores are disappointing, they can be an important tool to help schools pinpoint resources in the future, she said. The scores can provide a window into what exact content students have missed, where they’re lagging and which students need the most help, she said.\u003c/p>\n\u003cp>At Mt. Diablo Unified, Raymond Tjen-A-Looi, director of assessment, research and evaluation, told the school board that comparisons with 2021 aren’t helpful because education was still so disrupted due to COVID.\u003c/p>\n\u003cp>“We’re concentrating on using 2022 as a baseline, with the expectation that everything will stay the same going forward — testing will be in person, instruction will be in person,” he said. “So moving forward, hopefully, we’ll be able to do more comparisons and see how well we are making up for what we’ve lost.”\u003c/p>\n\u003cp>\u003ca href=\"https://edsource.org/2022/preliminary-glimpse-at-test-scores-shows-steep-declines-in-reading-math/679898?amp=1\">\u003cem>This story originally appeared in EdSource.\u003c/em>\u003c/a>\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>\u003c/p>\n",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>Recently released test scores from some of California’s largest school districts — representing more than 1 million students — offer a preview of what’s likely to be steep drops in reading and math scores statewide in the wake of COVID.\u003c/p>\n\u003cp>The scores, which districts released individually at the request of EdSource, show sharp declines in all grade levels from 2019, before COVID forced the closure of most campuses to in-person learning, and 2022.\u003c/p>\n\u003cp>The California Department of Education has delayed releasing the full statewide results from the 2022 Smarter Balanced assessments, which are given annually to third through eighth graders and 11th graders to measure progress in English language arts and math. Under pressure from EdSource and other media outlets, the department recently agreed to release the scores by the end of October.\u003c/p>\n\u003cp>Meanwhile, EdSource has collected individual results from 10 large districts, including Los Angeles Unified, San Diego Unified, Fresno Unified, Lodi Unified, Long Beach Unified, Sacramento City Unified, Sweetwater Union High School District, San Ramon Valley Unified, Bakersfield City School District and Mt. Diablo Unified.\u003c/p>\n\u003cp>The results show consistent declines in all categories from 2019, but some variations among districts and subgroups:\u003c/p>\n\u003cul>\n\u003cli>Only 13% of students in Bakersfield met the state standard for math.\u003c/li>\n\u003cli>Reading scores in Los Angeles Unified dipped only slightly from 2019 to 2022. Still, only 41% of students in 2022 were proficient in reading.\u003c/li>\n\u003cli>Math scores in Fresno dropped by a third. In 2022, only 21% of students met the math standard.\u003c/li>\n\u003cli>Reading scores in Long Beach dropped 11 points, but declines were less steep in math. Math scores fell only 4 points.\u003c/li>\n\u003cli>In Mt. Diablo Unified, one of the few districts to break down the results by subgroup, Black, Latino, English learner, foster and unhoused students had far lower scores compared with 2019 than their white and Asian peers. For example, among English learners, 96% did not meet the math or reading standards.\u003c/li>\n\u003c/ul>\n\u003cp>By and large, scores show little change from 2021, the first year results were released after the state suspended the 2020 tests due to COVID. The 2021 test was optional for schools to administer, so results were limited and likely not an accurate reflection of students’ progress overall. Just under 25% of students took the test in 2021.\u003c/p>\n\u003cp>Lodi Unified saw scores in both math and reading improve from 2021, but they still lag significantly from 2019. That’s not a surprise, considering the difficulties teachers and students faced as they returned from distance learning, said Robert Sahli, assistant superintendent.\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>“Last year, even though we were back in person, it was very challenging,” he said. “Teachers and support staff were working very hard to address learning loss while also responding to the social-emotional impacts on learning and socializing at school.”\u003c/p>\n\u003cp>Like other districts, Lodi has hired more tutors and teachers to help students catch up, beefed up summer school and after-school academic offerings, adopted new curricula and taken other steps to bring students to proficiency.\u003c/p>\n\u003cp>Heather Hough, director of Policy Analysis for California Education (PACE), said the preliminary results are actually better than she expected. Because 2022 is the first year all schools were required to give the test, she anticipated a significant drop from 2021.\u003c/p>\n\u003cp>“We thought 2022 would be a recovery year, but there was so much chaos — teacher shortages, students missing school — that it turned out to be another pandemic year,” she said. “If the scores are the same (as 2021), that’s actually encouraging.”\u003c/p>\n\u003cp>When the state releases the full data, Hough and her colleagues will pay close attention to differences among subgroups and statistical anomalies. If one district, for example, shows good results for students in special education, it would be worth researching what special steps that district has taken.\u003c/p>\n\u003cp>She also noted that some students thrived during remote learning, so she expects some good news, as well. In any case, schools and districts, as well as statewide policymakers, should use the scores to shape their allocation of resources in the coming years.\u003c/p>\n\u003cp>“When we get this data, we’ll finally be able to see how California is doing, what challenges we’re facing, and how we can best help students as we move forward,” she said.\u003c/p>\n\u003cp>In anticipation of the statewide release of test scores, the state last week launched a push for schools to help students regain skills they lost during COVID. The state is emphasizing accelerated learning, rather than remedial lessons, to speed up the process.\u003c/p>\n\u003cp>Steps like that could be the most useful result of the Smarter Balanced scores, said Lucrecia Santibañez, associate professor of education at UCLA. Closely analyzing the data and using it to forge a path forward — specifically for certain groups of students — is more useful than assigning blame, she said.\u003c/p>\n\u003cp>“COVID was tough for everyone, and it’s not worth putting blame on anyone. Everyone was trying the best they could. But these scores signal that we need to make a personalized, intensive effort to help kids catch up and recoup what they’ve lost,” she said.\u003c/p>\n\u003cp>Although the scores are disappointing, they can be an important tool to help schools pinpoint resources in the future, she said. The scores can provide a window into what exact content students have missed, where they’re lagging and which students need the most help, she said.\u003c/p>\n\u003cp>At Mt. Diablo Unified, Raymond Tjen-A-Looi, director of assessment, research and evaluation, told the school board that comparisons with 2021 aren’t helpful because education was still so disrupted due to COVID.\u003c/p>\n\u003cp>“We’re concentrating on using 2022 as a baseline, with the expectation that everything will stay the same going forward — testing will be in person, instruction will be in person,” he said. “So moving forward, hopefully, we’ll be able to do more comparisons and see how well we are making up for what we’ve lost.”\u003c/p>\n\u003cp>\u003ca href=\"https://edsource.org/2022/preliminary-glimpse-at-test-scores-shows-steep-declines-in-reading-math/679898?amp=1\">\u003cem>This story originally appeared in EdSource.\u003c/em>\u003c/a>\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"disqusTitle": "Justice Advocate Ashley Biden Touts Role of Trauma Support Pioneered in SF",
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"content": "\u003cp>Ashley Biden, the president’s daughter and a social worker, visited San Francisco this week to advocate for trauma recovery centers (TRCs) — a model that was \u003ca href=\"https://www.traumarecoverycentermodel.org/history-of-trcs/\">created in the city\u003c/a>.\u003c/p>\n\u003cp>“Think of it like a one-stop shop for mental health,” said Biden during a visit Wednesday to UCSF Citywide, a psychiatric facility in San Francisco’s South of Market neighborhood. “So we are going into the community to find those who have been victims and to ask them if they want to receive services to come into the TRC.”\u003c/p>\n\u003cp>UCSF pioneered the TRC model in part to support victims of crime living in communities of color, offering comprehensive case management, from meeting people’s basic needs to specialized psychiatric services.[pullquote size=\"medium\" align=\"right\" citation=\"Ashley Biden, social worker, philanthropist, activist\"]'If we could actually provide those who need real mental health treatment and we could provide them with effective treatments that work, we're going to be a safer society.'[/pullquote]Biden, who is also a consultant for the National Alliance of Trauma Recovery Centers, said TRCs could be a solution for many states as the U.S. continues to face a mental health crisis, made worse by the COVID-19 pandemic. Just this week, the Biden administration announced \u003ca href=\"https://www.pbs.org/newshour/health/biden-administration-seeks-to-expand-24-7-mental-health-care\">millions of dollars in grants\u003c/a> — adding to the billions allocated toward addressing the issue.\u003c/p>\n\u003cp>“Dad is dedicated,” Biden said. “We're going to have some real issues if we don't win the House and Senate. I mean, it's over, right? It's over in the sense of what's to come. Our rights. Mental health care. All of it.”\u003c/p>\n\u003cp>Biden talked with KQED morning host Brian Watt. Here’s an excerpt of their conversation, which has been edited for brevity and clarity.\u003c/p>\n\u003cp>\u003cstrong>BRIAN WATT:\u003c/strong> \u003cstrong>You became aware of trauma recovery centers through your work as a social worker. And as the daughter of a public servant and an educator, how did you decide that being a social worker and this type of work was your life's mission?\u003c/strong>\u003c/p>\n\u003cp>\u003cstrong>ASHLEY BIDEN:\u003c/strong> So I was on many campaigns, in many parades and many door knocks. (President Biden) was very grassroots. I would travel with him everywhere and I would always question the inequity. I also went to a Quaker school and learned about racism from a very young age. And it was my mission to tackle structural violence and institutional racism. Why aren't people healing? Why are the most marginalized the most harmed, yet the least healed?\u003c/p>\n\u003cfigure id=\"attachment_11929559\" class=\"wp-caption alignnone\" style=\"max-width: 1920px\">\u003cimg class=\"size-full wp-image-11929559\" src=\"https://ww2.kqed.org/app/uploads/sites/10/2022/10/001_KQED_AshleyBidenUCSF_10192022.jpg\" alt=\"A woman in her 30s is seated with legs crossed talking to a an interviewer with earphones and a microphone.\" width=\"1920\" height=\"1280\" srcset=\"https://ww2.kqed.org/app/uploads/sites/10/2022/10/001_KQED_AshleyBidenUCSF_10192022.jpg 1920w, https://ww2.kqed.org/app/uploads/sites/10/2022/10/001_KQED_AshleyBidenUCSF_10192022-800x533.jpg 800w, https://ww2.kqed.org/app/uploads/sites/10/2022/10/001_KQED_AshleyBidenUCSF_10192022-1020x680.jpg 1020w, https://ww2.kqed.org/app/uploads/sites/10/2022/10/001_KQED_AshleyBidenUCSF_10192022-160x107.jpg 160w, https://ww2.kqed.org/app/uploads/sites/10/2022/10/001_KQED_AshleyBidenUCSF_10192022-1536x1024.jpg 1536w\" sizes=\"(max-width: 1920px) 100vw, 1920px\">\u003cfigcaption class=\"wp-caption-text\">Ashley Biden talks with KQED's Brian Watt about trauma recovery centers and mental health services at UCSF Citywide on Oct.19, 2022. \u003ccite>(Beth LaBerge/KQED)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>\u003cstrong>So what do trauma recovery centers do for people who have experienced interpersonal violence in cases of physical and sexual assault, domestic violence and police brutality?\u003c/strong>\u003c/p>\n\u003cp>It is person-centered, survivor-centered care where there are evidence-based therapies that we know are effective for treating things like PTSD. I believe about less than one-third of victims who have PTSD right after a violent crime or situation receive some type of treatment. So trauma centers increase access and make it equitable for those who might not be able to receive services in traditional settings.\u003c/p>\n\u003cp>\u003cstrong>Is part of the problem that a lot of people who are victims of violence, they just don't know these services are out there, possibly ready to serve them?\u003c/strong>\u003c/p>\n\u003cp>It’s a few things. One is when you are a victim of violent crime, you can often develop PTSD, and those symptoms often don't allow for one to receive services. What we know about PTSD is that oftentimes people don't want to leave their houses. It’s hypervigilance. So part of it is the trauma from the actual incident. And honestly, I think the other is not believing that services will work for them.\u003c/p>\n\u003cp>And it really does depend on access. Historically, if you have money, you can pay for a therapist. You can go and get inpatient treatment for trauma. You can get some of these evidence-based treatment modalities. If you don't have the means, you can't. And we've got to change this — Medicaid. The reimbursement for mental health treatment and trauma treatments is so low.\u003c/p>\n\u003cp>\u003cstrong>You participated in a roundtable at UCSF about the role of trauma recovery centers in reimagining public safety. That is a big topic here in the Bay Area and, frankly, nationwide. Tell us more about that.\u003c/strong>\u003c/p>\n\u003cp>There is a lot of generational trauma, so what we're trying to do is to break that trauma. We are trying to get somebody at the first point of victimization where we can help them to heal so they don't hurt another person. So they don't retaliate. And if we could actually provide those who need real mental health treatment and we could provide them with effective treatments that work, we're going to be a safer society.\u003c/p>\n\u003cp>Racism is trauma. Having to be judged your entire life because of the color of your skin is traumatic. And so we really do everything we can to empower, to give people actual skills. When you're triggered, what are you going to do? When you see the guy that you know you want to beat up? How are you going to not beat him up and walk away? How are you going to get your anger under control? And depression?\u003c/p>\n\u003cp>It's breaking generational trauma. It's also making sure that people have access to the services that they need, that maybe historically they have been marginalized from.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>\u003c/p>\n",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>Ashley Biden, the president’s daughter and a social worker, visited San Francisco this week to advocate for trauma recovery centers (TRCs) — a model that was \u003ca href=\"https://www.traumarecoverycentermodel.org/history-of-trcs/\">created in the city\u003c/a>.\u003c/p>\n\u003cp>“Think of it like a one-stop shop for mental health,” said Biden during a visit Wednesday to UCSF Citywide, a psychiatric facility in San Francisco’s South of Market neighborhood. “So we are going into the community to find those who have been victims and to ask them if they want to receive services to come into the TRC.”\u003c/p>\n\u003cp>UCSF pioneered the TRC model in part to support victims of crime living in communities of color, offering comprehensive case management, from meeting people’s basic needs to specialized psychiatric services.\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>Biden, who is also a consultant for the National Alliance of Trauma Recovery Centers, said TRCs could be a solution for many states as the U.S. continues to face a mental health crisis, made worse by the COVID-19 pandemic. Just this week, the Biden administration announced \u003ca href=\"https://www.pbs.org/newshour/health/biden-administration-seeks-to-expand-24-7-mental-health-care\">millions of dollars in grants\u003c/a> — adding to the billions allocated toward addressing the issue.\u003c/p>\n\u003cp>“Dad is dedicated,” Biden said. “We're going to have some real issues if we don't win the House and Senate. I mean, it's over, right? It's over in the sense of what's to come. Our rights. Mental health care. All of it.”\u003c/p>\n\u003cp>Biden talked with KQED morning host Brian Watt. Here’s an excerpt of their conversation, which has been edited for brevity and clarity.\u003c/p>\n\u003cp>\u003cstrong>BRIAN WATT:\u003c/strong> \u003cstrong>You became aware of trauma recovery centers through your work as a social worker. And as the daughter of a public servant and an educator, how did you decide that being a social worker and this type of work was your life's mission?\u003c/strong>\u003c/p>\n\u003cp>\u003cstrong>ASHLEY BIDEN:\u003c/strong> So I was on many campaigns, in many parades and many door knocks. (President Biden) was very grassroots. I would travel with him everywhere and I would always question the inequity. I also went to a Quaker school and learned about racism from a very young age. And it was my mission to tackle structural violence and institutional racism. Why aren't people healing? Why are the most marginalized the most harmed, yet the least healed?\u003c/p>\n\u003cfigure id=\"attachment_11929559\" class=\"wp-caption alignnone\" style=\"max-width: 1920px\">\u003cimg class=\"size-full wp-image-11929559\" src=\"https://ww2.kqed.org/app/uploads/sites/10/2022/10/001_KQED_AshleyBidenUCSF_10192022.jpg\" alt=\"A woman in her 30s is seated with legs crossed talking to a an interviewer with earphones and a microphone.\" width=\"1920\" height=\"1280\" srcset=\"https://ww2.kqed.org/app/uploads/sites/10/2022/10/001_KQED_AshleyBidenUCSF_10192022.jpg 1920w, https://ww2.kqed.org/app/uploads/sites/10/2022/10/001_KQED_AshleyBidenUCSF_10192022-800x533.jpg 800w, https://ww2.kqed.org/app/uploads/sites/10/2022/10/001_KQED_AshleyBidenUCSF_10192022-1020x680.jpg 1020w, https://ww2.kqed.org/app/uploads/sites/10/2022/10/001_KQED_AshleyBidenUCSF_10192022-160x107.jpg 160w, https://ww2.kqed.org/app/uploads/sites/10/2022/10/001_KQED_AshleyBidenUCSF_10192022-1536x1024.jpg 1536w\" sizes=\"(max-width: 1920px) 100vw, 1920px\">\u003cfigcaption class=\"wp-caption-text\">Ashley Biden talks with KQED's Brian Watt about trauma recovery centers and mental health services at UCSF Citywide on Oct.19, 2022. \u003ccite>(Beth LaBerge/KQED)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>\u003cstrong>So what do trauma recovery centers do for people who have experienced interpersonal violence in cases of physical and sexual assault, domestic violence and police brutality?\u003c/strong>\u003c/p>\n\u003cp>It is person-centered, survivor-centered care where there are evidence-based therapies that we know are effective for treating things like PTSD. I believe about less than one-third of victims who have PTSD right after a violent crime or situation receive some type of treatment. So trauma centers increase access and make it equitable for those who might not be able to receive services in traditional settings.\u003c/p>\n\u003cp>\u003cstrong>Is part of the problem that a lot of people who are victims of violence, they just don't know these services are out there, possibly ready to serve them?\u003c/strong>\u003c/p>\n\u003cp>It’s a few things. One is when you are a victim of violent crime, you can often develop PTSD, and those symptoms often don't allow for one to receive services. What we know about PTSD is that oftentimes people don't want to leave their houses. It’s hypervigilance. So part of it is the trauma from the actual incident. And honestly, I think the other is not believing that services will work for them.\u003c/p>\n\u003cp>And it really does depend on access. Historically, if you have money, you can pay for a therapist. You can go and get inpatient treatment for trauma. You can get some of these evidence-based treatment modalities. If you don't have the means, you can't. And we've got to change this — Medicaid. The reimbursement for mental health treatment and trauma treatments is so low.\u003c/p>\n\u003cp>\u003cstrong>You participated in a roundtable at UCSF about the role of trauma recovery centers in reimagining public safety. That is a big topic here in the Bay Area and, frankly, nationwide. Tell us more about that.\u003c/strong>\u003c/p>\n\u003cp>There is a lot of generational trauma, so what we're trying to do is to break that trauma. We are trying to get somebody at the first point of victimization where we can help them to heal so they don't hurt another person. So they don't retaliate. And if we could actually provide those who need real mental health treatment and we could provide them with effective treatments that work, we're going to be a safer society.\u003c/p>\n\u003cp>Racism is trauma. Having to be judged your entire life because of the color of your skin is traumatic. And so we really do everything we can to empower, to give people actual skills. When you're triggered, what are you going to do? When you see the guy that you know you want to beat up? How are you going to not beat him up and walk away? How are you going to get your anger under control? And depression?\u003c/p>\n\u003cp>It's breaking generational trauma. It's also making sure that people have access to the services that they need, that maybe historically they have been marginalized from.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"disqusTitle": "Omicron Boosters for Kids 5-12 Are Cleared by the CDC",
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"content": "\u003cp>The U.S. on Wednesday authorized updated COVID-19 boosters for children as young as 5, seeking to expand protection ahead of an expected winter wave.\u003c/p>\n\u003cp>\u003ca href=\"https://www.kqed.org/news/11924327/where-can-i-find-a-new-omicron-covid-booster-shot-near-me\">Tweaked boosters rolled out for Americans 12 and older last month\u003c/a>, doses modified to target today's most common and contagious omicron relative. While there wasn't a big rush, federal health officials are urging that people seek the extra protection ahead of holiday gatherings.\u003cspan style=\"font-weight: 400\">[aside postID=news_11924327 hero='https://ww2.kqed.org/app/uploads/sites/10/2022/09/RS58338_GettyImages-1242749971-qut.jpg]\u003c/span>\u003c/p>\n\u003cp>Now the Food and Drug Administration has given a green light for elementary school-age kids to get the updated booster doses, too — one made by Pfizer for 5- to 11-year-olds, and a version from rival Moderna for those as young as 6.\u003c/p>\n\u003cp>The Centers for Disease Control and Prevention, which recommends how vaccines are used, also signed off.\u003c/p>\n\u003cp>Americans may be tired of repeated calls to get boosted against COVID-19 but experts say the updated shots have an advantage: They contain half the recipe that targeted the original coronavirus strain and half protection against the dominant BA.4 and BA.5 omicron versions.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>\u003ca href=\"https://www.kqed.org/news/11924327/where-can-i-find-a-new-omicron-covid-booster-shot-near-me\">These combination or \"bivalent\" boosters are designed to broaden immune defenses\u003c/a> so that people are better protected against serious illness whether they encounter an omicron relative in the coming months — or a different mutant that's more like the original virus.\u003c/p>\n\u003cp>\"We want to have the best of both worlds,\" Pfizer's Dr. Bill Gruber, a pediatrician, told The Associated Press. He hopes the updated shots will \"re-energize interest in protecting children for the winter.\"\u003c/p>\n\u003cp>The updated boosters are \"extremely important\" for keeping kids healthy and in school, said Dr. Jason Newland, a pediatric infectious disease specialist at Washington University in St. Louis.\u003c/p>\n\u003cp>Parents should know \"there is no concern from the safety perspective with the bivalent vaccines, whether Moderna or Pfizer,\" Newland added.\u003c/p>\n\u003cp>Only people who've gotten their initial vaccinations — with any of the original-formula versions — qualify for an updated booster. That means about three-fourths of Americans 12 and older are eligible. As of last weekend, only at least 13 million had gotten an updated booster, White House COVID-19 coordinator Dr. Ashish Jha estimated Tuesday.\u003c/p>\n\u003cp>To pediatricians' chagrin, getting children their first vaccinations has been tougher. Less than a third of 5- to 11-year-olds have had their two primary doses and thus would qualify for the new booster.\u003c/p>\n\u003cp>This age group will get kid-size doses of the new omicron-targeting booster — and they can receive it at least two months after their last dose, whether that was their primary vaccination series or an earlier booster, the FDA said.\u003c/p>\n\u003cp>\"Vaccination remains the most effective measure to prevent the severe consequences of COVID-19,\" Dr. Peter Marks, FDA's vaccine chief, said in a statement.\u003c/p>\n\u003cp>While children tend to get less seriously ill than adults, \"as the various waves of COVID-19 have occurred, more children have gotten sick with the disease and have been hospitalized,\" Marks said.\u003c/p>\n\u003cp>For the updated booster made by Pfizer and its partner BioNTech, 5- to 11-year-olds would get a third of the dose that anyone 12 and older already receives. Pfizer said it could ship up to 6 million kid-sized doses within a week of authorization, in addition to ongoing shipments of adult-sized doses.\u003c/p>\n\u003cp>Until now, Moderna's updated booster was cleared only for adults. FDA just expanded that adult bivalent dosage to 12- to 17-year-olds, and authorized half the dose for kids ages 6 to 11.\u003c/p>\n\u003cp>As for even younger tots, first vaccinations didn't open for the under-5 age group until mid-June — and it will be several more months before regulators decide if they'll also need a booster using the updated recipe.\u003c/p>\n\u003cp>Exactly how much protection does an updated COVID-19 booster shot offer? That's hard to know. Pfizer and Moderna are starting studies in young children.\u003c/p>\n\u003cp>But the FDA cleared the COVID-19 booster tweaks without requiring human test results — just like it approves yearly changes to flu vaccines. That's partly because both companies already had studied experimental shots tweaked to target prior COVID-19 variants, including an earlier omicron version, and found they safely revved up virus-fighting antibodies.\u003c/p>\n\u003cp>\"It's clearly a better vaccine, an important upgrade from what we had before,\" Jha said earlier this week.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>Jha urged adults to get their updated shot in October — like they get flu vaccinations — or at least well before holiday gatherings with high-risk family and friends. People who've recently had COVID-19 still need the booster but can wait about three months, he added.\u003c/p>\n\u003cdiv class=\"fullattribution\">Copyright 2022 NPR. To see more, visit https://www.npr.org.\u003cimg src=\"https://www.google-analytics.com/__utm.gif?utmac=UA-5828686-4&utmdt=Omicron+boosters+for+kids+5-12+are+cleared+by+the+CDC&utme=8(APIKey)9(MDAxOTAwOTE4MDEyMTkxMDAzNjczZDljZA004)\">\u003c/div>\n\n",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>\u003ca href=\"https://www.kqed.org/news/11924327/where-can-i-find-a-new-omicron-covid-booster-shot-near-me\">These combination or \"bivalent\" boosters are designed to broaden immune defenses\u003c/a> so that people are better protected against serious illness whether they encounter an omicron relative in the coming months — or a different mutant that's more like the original virus.\u003c/p>\n\u003cp>\"We want to have the best of both worlds,\" Pfizer's Dr. Bill Gruber, a pediatrician, told The Associated Press. He hopes the updated shots will \"re-energize interest in protecting children for the winter.\"\u003c/p>\n\u003cp>The updated boosters are \"extremely important\" for keeping kids healthy and in school, said Dr. Jason Newland, a pediatric infectious disease specialist at Washington University in St. Louis.\u003c/p>\n\u003cp>Parents should know \"there is no concern from the safety perspective with the bivalent vaccines, whether Moderna or Pfizer,\" Newland added.\u003c/p>\n\u003cp>Only people who've gotten their initial vaccinations — with any of the original-formula versions — qualify for an updated booster. That means about three-fourths of Americans 12 and older are eligible. As of last weekend, only at least 13 million had gotten an updated booster, White House COVID-19 coordinator Dr. Ashish Jha estimated Tuesday.\u003c/p>\n\u003cp>To pediatricians' chagrin, getting children their first vaccinations has been tougher. Less than a third of 5- to 11-year-olds have had their two primary doses and thus would qualify for the new booster.\u003c/p>\n\u003cp>This age group will get kid-size doses of the new omicron-targeting booster — and they can receive it at least two months after their last dose, whether that was their primary vaccination series or an earlier booster, the FDA said.\u003c/p>\n\u003cp>\"Vaccination remains the most effective measure to prevent the severe consequences of COVID-19,\" Dr. Peter Marks, FDA's vaccine chief, said in a statement.\u003c/p>\n\u003cp>While children tend to get less seriously ill than adults, \"as the various waves of COVID-19 have occurred, more children have gotten sick with the disease and have been hospitalized,\" Marks said.\u003c/p>\n\u003cp>For the updated booster made by Pfizer and its partner BioNTech, 5- to 11-year-olds would get a third of the dose that anyone 12 and older already receives. Pfizer said it could ship up to 6 million kid-sized doses within a week of authorization, in addition to ongoing shipments of adult-sized doses.\u003c/p>\n\u003cp>Until now, Moderna's updated booster was cleared only for adults. FDA just expanded that adult bivalent dosage to 12- to 17-year-olds, and authorized half the dose for kids ages 6 to 11.\u003c/p>\n\u003cp>As for even younger tots, first vaccinations didn't open for the under-5 age group until mid-June — and it will be several more months before regulators decide if they'll also need a booster using the updated recipe.\u003c/p>\n\u003cp>Exactly how much protection does an updated COVID-19 booster shot offer? That's hard to know. Pfizer and Moderna are starting studies in young children.\u003c/p>\n\u003cp>But the FDA cleared the COVID-19 booster tweaks without requiring human test results — just like it approves yearly changes to flu vaccines. That's partly because both companies already had studied experimental shots tweaked to target prior COVID-19 variants, including an earlier omicron version, and found they safely revved up virus-fighting antibodies.\u003c/p>\n\u003cp>\"It's clearly a better vaccine, an important upgrade from what we had before,\" Jha said earlier this week.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>Jha urged adults to get their updated shot in October — like they get flu vaccinations — or at least well before holiday gatherings with high-risk family and friends. People who've recently had COVID-19 still need the booster but can wait about three months, he added.\u003c/p>\n\u003cdiv class=\"fullattribution\">Copyright 2022 NPR. To see more, visit https://www.npr.org.\u003cimg src=\"https://www.google-analytics.com/__utm.gif?utmac=UA-5828686-4&utmdt=Omicron+boosters+for+kids+5-12+are+cleared+by+the+CDC&utme=8(APIKey)9(MDAxOTAwOTE4MDEyMTkxMDAzNjczZDljZA004)\">\u003c/div>\n\n\u003c/div>\u003c/p>",
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"content": "\u003cp>\u003cspan style=\"font-weight: 400\">When Flor Rodriguez got a $9,000 rent-relief check in the mail last December, it felt like an answer to her prayers. \u003c/span>\u003c/p>\n\u003cp>\u003cspan style=\"font-weight: 400\">Even before the pandemic started, it was hard for Rodriguez to make rent. She worked in Napa’s vineyards for years, but wildfires put her out of her job picking grapes. Then COVID slashed her hours cleaning houses. \u003c/span>\u003c/p>\n\u003cp>\u003cspan style=\"font-weight: 400\">She struggled to come up with $1,650 a month for the two-bedroom apartment she shares with the 9-year-old and 2-year-old daughters she’s raising on her own. The 39-year-old immigrated from Guatemala four years ago and has an asylum case pending.[pullquote size=\"medium\" align=\"right\" citation=\"Becky Castañeda, case manager, Napa County Recovery Center\"]‘It felt like a stab in the back. What was supposed to be an assistance to get tenants out of debt just put them back in it.’[/pullquote]\u003cspan style=\"font-weight: 400\">She was stressing about the possibility of losing their home when a social worker told Rodriguez about the state’s \u003c/span>\u003ca href=\"https://housing.ca.gov/covid_rr/program_overview.html\">\u003cspan style=\"font-weight: 400\">COVID rent-relief program\u003c/span>\u003c/a>\u003cspan style=\"font-weight: 400\">, which launched in mid-March of 2021 and allowed tenants and landlords to apply for up to 18 months in assistance.\u003c/span>\u003c/span>\u003c/p>\n\u003cp>\u003cspan style=\"font-weight: 400\">Rodriguez got approved and says she used the money to help cover her rental debt. But five months later, in April, the state told her she had to return the money. \u003c/span>\u003c/p>\n\u003cp>\u003cspan style=\"font-weight: 400\">California has \u003c/span>\u003ca href=\"https://housing.ca.gov/covid_rr/dashboard.html\">\u003cspan style=\"font-weight: 400\">handed out more than $4.3 billion\u003c/span>\u003c/a>\u003cspan style=\"font-weight: 400\"> in emergency COVID rent relief since the start of the pandemic. For Rodriguez and many other tenants with lower incomes who fell behind on rent, it’s been a lifeline. \u003c/span>\u003c/p>\n\u003cp>\u003cspan style=\"font-weight: 400\">Now the state is asking thousands of applicants to pay back the money — in most cases, after they received it. \u003c/span>\u003c/p>\n\u003cp>\u003cspan style=\"font-weight: 400\">“How am I going to come up with that money if I don’t have it?” Rodriguez said. \u003c/span>\u003c/p>\n\u003ch2>Who’s caught — and who’s caught up?\u003c/h2>\n\u003cp>\u003cspan style=\"font-weight: 400\">The state has issued almost 19,000 notices to California tenants and landlords who were originally approved for rent relief, saying they actually weren’t eligible. The vast majority of those denials — over 16,500 of them — went to people who’d already received the funds. \u003c/span>\u003c/p>\n\u003cp>\u003cspan style=\"font-weight: 400\">It’s part of an effort to catch fraud, according to the Department of Housing and Community Development.\u003c/span>\u003c/p>\n\u003cp>\u003cspan style=\"font-weight: 400\">“People get really clever. They are very, very smart and they do a lot of things to try to end-run around whatever kind of security you build into your systems,” said Jessica Hayes, who, as federal recovery branch chief for the HCD, manages its rent-relief operation and other federally funded programs.\u003c/span>\u003c/p>\n\u003cp>\u003cspan style=\"font-weight: 400\">With brazen examples of fraud in pandemic-aid programs surfacing around the country, Hayes touts the department’s track record. Administrators had to balance responsibly managing taxpayer money with a mandate from state lawmakers to get the program running quickly, she says.\u003c/span>\u003c/p>\n\u003cp>\u003cspan style=\"font-weight: 400\">“It would have been 100% preferable to have caught every single one of these on the front end,” she said. “But it’s also not possible. There’s no physical way when your goal is to be as open as possible and really help as many people as possible.” \u003c/span>\u003c/p>\n\u003cp>\u003cspan style=\"font-weight: 400\">Hayes wouldn’t disclose specific fraud-protection measures out of concern it would compromise the department’s work.\u003c/span>\u003c/p>\n\u003cp>\u003cspan style=\"font-weight: 400\">But advocates say tenants who desperately needed the assistance have gotten wrongfully caught up.\u003c/span>\u003c/p>\n\u003ch2>A helping hand\u003c/h2>\n\u003cp>\u003cspan style=\"font-weight: 400\">At the Napa County Recovery Center, case workers have been working to help clients like Rodriguez. \u003c/span>\u003c/p>\n\u003cp>\u003cspan style=\"font-weight: 400\">The center was one of many community organizations around the state that got a grant to work with renters in need and help them access the program. \u003c/span>\u003c/p>\n\u003cp>\u003cspan style=\"font-weight: 400\">But out of 147 people who got approved with their help, 35 were later denied. For many of them the news came months after they’d received the money. \u003c/span>\u003c/p>\n\u003cp>\u003cspan style=\"font-weight: 400\">“It felt like a stab in the back,” said Becky Castañeda, 20, one of the case managers in Napa hired to reach out to potential applicants and support them through the process. “What was supposed to be an assistance to get tenants out of debt just put them back in it.”\u003c/span>\u003c/p>\n\u003cfigure id=\"attachment_11927202\" class=\"wp-caption alignnone\" style=\"max-width: 800px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-medium wp-image-11927202\" src=\"https://ww2.kqed.org/app/uploads/sites/10/2022/09/RS58155_DSC03268-qut-800x533.jpg\" alt=\"A young Latina woman of 20 with long black hair stands with her arms folded in front of a red wooden fence as she looks at the camera with a determined expression.\" width=\"800\" height=\"533\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2022/09/RS58155_DSC03268-qut-800x533.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2022/09/RS58155_DSC03268-qut-1020x680.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2022/09/RS58155_DSC03268-qut-160x107.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2022/09/RS58155_DSC03268-qut-1536x1024.jpg 1536w, https://cdn.kqed.org/wp-content/uploads/sites/10/2022/09/RS58155_DSC03268-qut.jpg 1920w\" sizes=\"auto, (max-width: 800px) 100vw, 800px\">\u003cfigcaption class=\"wp-caption-text\">Becky Castañeda, case manager at Napa County Recovery Center, one of many community organizations around the state that got a grant to work with renters in need and help them access the program. She’s working with a mother of four named Monica who’s being asked to pay back $3,400. \u003ccite>(Aryk Copley/KQED)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>\u003cspan style=\"font-weight: 400\">The state does give applicants a chance to appeal before coming to a final decision and sending out a “recapture notice.” But advocates say the appeal process is overly difficult. Many of the denial notices cite “inconsistent or unverifiable information” but offer no specifics.\u003c/span>\u003c/p>\n\u003cp>\u003cspan style=\"font-weight: 400\">“How are they supposed to know what supporting paperwork to provide on their appeal?” Castañeda said. \u003c/span>\u003c/p>\n\u003cp>\u003cspan style=\"font-weight: 400\">She’s working with a mother of four named Monica who’s being asked to pay back $3,400. (We’re not using Monica’s last name to protect her privacy because she’s undocumented.) She says she lost her income when the restaurant where she works closed for a year early in the pandemic. She applied for aid in November, and was approved in mid-February. In March, after receiving a check, she got a notice informing her she’d have to pay it back.\u003c/span>\u003c/p>\n\u003cp>\u003cspan style=\"font-weight: 400\">After reviewing the application, Castañeda and her colleagues couldn’t identify any inaccuracies or unverifiable information, so, like they’ve done with many of these appeals, they sent in the same documents again — PG&E bills, lease agreements, income documentation. They submitted the appeal in early April and are still waiting on a decision, Castañeda says. \u003c/span>\u003c/p>\n\u003cp>\u003cspan style=\"font-weight: 400\">“It would have been better if they were honest from the beginning because now it seems like it was all a trick,” said Monica, 34, who’s desperate for an answer on the appeal. She’s stressed, wondering how the state will collect. She and her husband are back to working part-time now, she says, and while they’re caught up on rent for the time being, they’re still behind on some bills.\u003c/span>\u003c/p>\n\u003ch2>Vague charges, denied appeals\u003c/h2>\n\u003cp>In San Francisco, attorney Ora Prochovnick is representing a tenant who’s been told that her property manager needs to return $31,000 in rent relief they got on her behalf. Prochovnick, director of litigation and policy for the \u003ca href=\"https://evictiondefense.org/\">Eviction Defense Collaborative\u003c/a>, got involved after the client appealed the decision and was denied. She says the reason given for the denial was so vague it didn’t give her client a real chance to defend herself.\u003c/p>\n\u003cp>\u003cspan style=\"font-weight: 400\">Prochovnick says HCD finally provided a detailed list of the alleged problems with the application two months after the notice was issued, and only after she applied pressure. \u003c/span>\u003c/p>\n\u003cp>\u003cspan style=\"font-weight: 400\">“None of them had any merit and it didn’t take a lot of digging to find that,” Prochovnick said. “So it seems that what they did is a very cursory surface investigation and latched on to the easiest opportunity to deny rather than doing any homework so that they could approve.”\u003c/span>\u003c/p>\n\u003cp>\u003cspan style=\"font-weight: 400\">Among the list of issues reviewers flagged was an objection to the quality of her driver’s license photo and the font used on it, Prochovnick says. She has seen the license and calls the implication that it’s fraudulent “one of the craziest accusations I’ve ever read.”\u003c/span>\u003c/p>\n\u003cp>\u003cspan style=\"font-weight: 400\">The tenant is facing eviction, but Prochovnick says the landlord has agreed to put the process on hold while lawyers try to resolve the problem.\u003c/span>\u003c/p>\n\u003cp>\u003cspan style=\"font-weight: 400\">For Prochovnick, the case points to broader equity concerns. \u003c/span>\u003c/p>\n\u003cp>\u003cspan style=\"font-weight: 400\">“I am an experienced attorney who’s been a litigator for more than 35 years and I’m dumbfounded by this process,” she said. “I’m just imagining all of the many tenants who don’t have those types of resources and are just told, ‘Give back the money.’”\u003c/span>\u003c/p>\n\u003cp>\u003cspan style=\"font-weight: 400\">Earlier this summer, tenant advocacy groups \u003c/span>\u003ca href=\"https://publiccounsel.org/wp-content/uploads/2022/06/Petition-for-Writ-of-Mandate_Filed.pdf\">\u003cspan style=\"font-weight: 400\">filed a lawsuit\u003c/span>\u003c/a>\u003cspan style=\"font-weight: 400\"> on behalf of renters who were denied rent relief. A \u003c/span>\u003ca href=\"https://wclp.org/press-release-judge-orders-ca-dept-of-housing-community-development-to-stop-denying-state-rental-assistance-applications-until-further-review/\">\u003cspan style=\"font-weight: 400\">judge has ordered\u003c/span>\u003c/a>\u003cspan style=\"font-weight: 400\"> the state to stop issuing denials while the suit moves forward. For now, HCD officials say demands for repayment are on hold to ensure people have a chance to appeal. \u003c/span>\u003c/p>\n\u003cp>\u003cspan style=\"font-weight: 400\">“We hope the ultimate outcome of our lawsuit is a fairer process to ensure that everyone has an equal opportunity to get the help they need in order to stabilize their housing and not become homeless,” said Lorraine López, senior attorney for the \u003ca href=\"https://wclp.org/\">Western Center on Law and Poverty\u003c/a> who’s working on the case.\u003c/span>\u003c/p>\n\u003cp>\u003cspan style=\"font-weight: 400\">The suit alleges HCD’s denial process doesn’t provide applicants due process, and seeks a more transparent appeals process that grants them access to details about the reasons they were denied. \u003c/span>\u003c/p>\n\u003cp>\u003cspan style=\"font-weight: 400\">Of the 18,871 denials HCD issued after applicants were approved, only 2,503 have been appealed, according to the department, but there’s still time. \u003c/span>\u003c/p>\n\u003cp>\u003cspan style=\"font-weight: 400\">In Napa, case managers at the recovery center have only had seven appeals approved at this point, of the 25 they submitted. \u003c/span>\u003c/p>\n\u003ch2>An uncertain future\u003c/h2>\n\u003cp>\u003cspan style=\"font-weight: 400\">Even as Flor Rodriguez waits on her appeal, she’s preparing to move. \u003c/span>\u003c/p>\n\u003cp>\u003cspan style=\"font-weight: 400\">She’s being evicted by her landlord — not because of her difficulties with the rent-relief program, but because the landlord told Rodriguez she plans to renovate the apartment. \u003c/span>\u003c/p>\n\u003cp>\u003cspan style=\"font-weight: 400\">At home, with her 2-year-old daughter, Carmen, in her arms, Rodriguez is waiting for a ride from a friend to go see another apartment. But the odds aren’t in her favor. The vacancy rate for rental housing in the city of Napa is just 2%, according to the city’s Housing Division. \u003c/span>\u003c/p>\n\u003cp>\u003cspan style=\"font-weight: 400\">After weeks of looking for apartments, Rodriguez still hasn’t found anything. She says her 9-year-old daughter has started to ask what’s going to happen. “She’s worried we’re going to end up on the streets,” Rodriguez said. \u003c/span>\u003c/p>\n\u003cp>\u003cspan style=\"font-weight: 400\">She tells her daughter it will be OK. She’s trying to convince herself, too.\u003c/span>\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>\u003cem>Shortly after KQED published this story, attorney Ora Prochovnick received word from the state Department of Housing and Community Development that her client’s case was resolved and she would be able to keep the rental assistance she already received. \u003c/em>\u003c/p>\n\u003cp>[ad floatright]\u003c/p>\n",
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"title": "California Tenants Caught Up in State Fraud Probe, Told to Return Rent-Relief Payments | KQED",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>\u003cspan style=\"font-weight: 400\">When Flor Rodriguez got a $9,000 rent-relief check in the mail last December, it felt like an answer to her prayers. \u003c/span>\u003c/p>\n\u003cp>\u003cspan style=\"font-weight: 400\">Even before the pandemic started, it was hard for Rodriguez to make rent. She worked in Napa’s vineyards for years, but wildfires put her out of her job picking grapes. Then COVID slashed her hours cleaning houses. \u003c/span>\u003c/p>\n\u003cp>\u003cspan style=\"font-weight: 400\">She struggled to come up with $1,650 a month for the two-bedroom apartment she shares with the 9-year-old and 2-year-old daughters she’s raising on her own. The 39-year-old immigrated from Guatemala four years ago and has an asylum case pending.\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cspan style=\"font-weight: 400\">She was stressing about the possibility of losing their home when a social worker told Rodriguez about the state’s \u003c/span>\u003ca href=\"https://housing.ca.gov/covid_rr/program_overview.html\">\u003cspan style=\"font-weight: 400\">COVID rent-relief program\u003c/span>\u003c/a>\u003cspan style=\"font-weight: 400\">, which launched in mid-March of 2021 and allowed tenants and landlords to apply for up to 18 months in assistance.\u003c/span>\u003c/span>\u003c/p>\n\u003cp>\u003cspan style=\"font-weight: 400\">Rodriguez got approved and says she used the money to help cover her rental debt. But five months later, in April, the state told her she had to return the money. \u003c/span>\u003c/p>\n\u003cp>\u003cspan style=\"font-weight: 400\">California has \u003c/span>\u003ca href=\"https://housing.ca.gov/covid_rr/dashboard.html\">\u003cspan style=\"font-weight: 400\">handed out more than $4.3 billion\u003c/span>\u003c/a>\u003cspan style=\"font-weight: 400\"> in emergency COVID rent relief since the start of the pandemic. For Rodriguez and many other tenants with lower incomes who fell behind on rent, it’s been a lifeline. \u003c/span>\u003c/p>\n\u003cp>\u003cspan style=\"font-weight: 400\">Now the state is asking thousands of applicants to pay back the money — in most cases, after they received it. \u003c/span>\u003c/p>\n\u003cp>\u003cspan style=\"font-weight: 400\">“How am I going to come up with that money if I don’t have it?” Rodriguez said. \u003c/span>\u003c/p>\n\u003ch2>Who’s caught — and who’s caught up?\u003c/h2>\n\u003cp>\u003cspan style=\"font-weight: 400\">The state has issued almost 19,000 notices to California tenants and landlords who were originally approved for rent relief, saying they actually weren’t eligible. The vast majority of those denials — over 16,500 of them — went to people who’d already received the funds. \u003c/span>\u003c/p>\n\u003cp>\u003cspan style=\"font-weight: 400\">It’s part of an effort to catch fraud, according to the Department of Housing and Community Development.\u003c/span>\u003c/p>\n\u003cp>\u003cspan style=\"font-weight: 400\">“People get really clever. They are very, very smart and they do a lot of things to try to end-run around whatever kind of security you build into your systems,” said Jessica Hayes, who, as federal recovery branch chief for the HCD, manages its rent-relief operation and other federally funded programs.\u003c/span>\u003c/p>\n\u003cp>\u003cspan style=\"font-weight: 400\">With brazen examples of fraud in pandemic-aid programs surfacing around the country, Hayes touts the department’s track record. Administrators had to balance responsibly managing taxpayer money with a mandate from state lawmakers to get the program running quickly, she says.\u003c/span>\u003c/p>\n\u003cp>\u003cspan style=\"font-weight: 400\">“It would have been 100% preferable to have caught every single one of these on the front end,” she said. “But it’s also not possible. There’s no physical way when your goal is to be as open as possible and really help as many people as possible.” \u003c/span>\u003c/p>\n\u003cp>\u003cspan style=\"font-weight: 400\">Hayes wouldn’t disclose specific fraud-protection measures out of concern it would compromise the department’s work.\u003c/span>\u003c/p>\n\u003cp>\u003cspan style=\"font-weight: 400\">But advocates say tenants who desperately needed the assistance have gotten wrongfully caught up.\u003c/span>\u003c/p>\n\u003ch2>A helping hand\u003c/h2>\n\u003cp>\u003cspan style=\"font-weight: 400\">At the Napa County Recovery Center, case workers have been working to help clients like Rodriguez. \u003c/span>\u003c/p>\n\u003cp>\u003cspan style=\"font-weight: 400\">The center was one of many community organizations around the state that got a grant to work with renters in need and help them access the program. \u003c/span>\u003c/p>\n\u003cp>\u003cspan style=\"font-weight: 400\">But out of 147 people who got approved with their help, 35 were later denied. For many of them the news came months after they’d received the money. \u003c/span>\u003c/p>\n\u003cp>\u003cspan style=\"font-weight: 400\">“It felt like a stab in the back,” said Becky Castañeda, 20, one of the case managers in Napa hired to reach out to potential applicants and support them through the process. “What was supposed to be an assistance to get tenants out of debt just put them back in it.”\u003c/span>\u003c/p>\n\u003cfigure id=\"attachment_11927202\" class=\"wp-caption alignnone\" style=\"max-width: 800px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-medium wp-image-11927202\" src=\"https://ww2.kqed.org/app/uploads/sites/10/2022/09/RS58155_DSC03268-qut-800x533.jpg\" alt=\"A young Latina woman of 20 with long black hair stands with her arms folded in front of a red wooden fence as she looks at the camera with a determined expression.\" width=\"800\" height=\"533\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2022/09/RS58155_DSC03268-qut-800x533.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2022/09/RS58155_DSC03268-qut-1020x680.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2022/09/RS58155_DSC03268-qut-160x107.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2022/09/RS58155_DSC03268-qut-1536x1024.jpg 1536w, https://cdn.kqed.org/wp-content/uploads/sites/10/2022/09/RS58155_DSC03268-qut.jpg 1920w\" sizes=\"auto, (max-width: 800px) 100vw, 800px\">\u003cfigcaption class=\"wp-caption-text\">Becky Castañeda, case manager at Napa County Recovery Center, one of many community organizations around the state that got a grant to work with renters in need and help them access the program. She’s working with a mother of four named Monica who’s being asked to pay back $3,400. \u003ccite>(Aryk Copley/KQED)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>\u003cspan style=\"font-weight: 400\">The state does give applicants a chance to appeal before coming to a final decision and sending out a “recapture notice.” But advocates say the appeal process is overly difficult. Many of the denial notices cite “inconsistent or unverifiable information” but offer no specifics.\u003c/span>\u003c/p>\n\u003cp>\u003cspan style=\"font-weight: 400\">“How are they supposed to know what supporting paperwork to provide on their appeal?” Castañeda said. \u003c/span>\u003c/p>\n\u003cp>\u003cspan style=\"font-weight: 400\">She’s working with a mother of four named Monica who’s being asked to pay back $3,400. (We’re not using Monica’s last name to protect her privacy because she’s undocumented.) She says she lost her income when the restaurant where she works closed for a year early in the pandemic. She applied for aid in November, and was approved in mid-February. In March, after receiving a check, she got a notice informing her she’d have to pay it back.\u003c/span>\u003c/p>\n\u003cp>\u003cspan style=\"font-weight: 400\">After reviewing the application, Castañeda and her colleagues couldn’t identify any inaccuracies or unverifiable information, so, like they’ve done with many of these appeals, they sent in the same documents again — PG&E bills, lease agreements, income documentation. They submitted the appeal in early April and are still waiting on a decision, Castañeda says. \u003c/span>\u003c/p>\n\u003cp>\u003cspan style=\"font-weight: 400\">“It would have been better if they were honest from the beginning because now it seems like it was all a trick,” said Monica, 34, who’s desperate for an answer on the appeal. She’s stressed, wondering how the state will collect. She and her husband are back to working part-time now, she says, and while they’re caught up on rent for the time being, they’re still behind on some bills.\u003c/span>\u003c/p>\n\u003ch2>Vague charges, denied appeals\u003c/h2>\n\u003cp>In San Francisco, attorney Ora Prochovnick is representing a tenant who’s been told that her property manager needs to return $31,000 in rent relief they got on her behalf. Prochovnick, director of litigation and policy for the \u003ca href=\"https://evictiondefense.org/\">Eviction Defense Collaborative\u003c/a>, got involved after the client appealed the decision and was denied. She says the reason given for the denial was so vague it didn’t give her client a real chance to defend herself.\u003c/p>\n\u003cp>\u003cspan style=\"font-weight: 400\">Prochovnick says HCD finally provided a detailed list of the alleged problems with the application two months after the notice was issued, and only after she applied pressure. \u003c/span>\u003c/p>\n\u003cp>\u003cspan style=\"font-weight: 400\">“None of them had any merit and it didn’t take a lot of digging to find that,” Prochovnick said. “So it seems that what they did is a very cursory surface investigation and latched on to the easiest opportunity to deny rather than doing any homework so that they could approve.”\u003c/span>\u003c/p>\n\u003cp>\u003cspan style=\"font-weight: 400\">Among the list of issues reviewers flagged was an objection to the quality of her driver’s license photo and the font used on it, Prochovnick says. She has seen the license and calls the implication that it’s fraudulent “one of the craziest accusations I’ve ever read.”\u003c/span>\u003c/p>\n\u003cp>\u003cspan style=\"font-weight: 400\">The tenant is facing eviction, but Prochovnick says the landlord has agreed to put the process on hold while lawyers try to resolve the problem.\u003c/span>\u003c/p>\n\u003cp>\u003cspan style=\"font-weight: 400\">For Prochovnick, the case points to broader equity concerns. \u003c/span>\u003c/p>\n\u003cp>\u003cspan style=\"font-weight: 400\">“I am an experienced attorney who’s been a litigator for more than 35 years and I’m dumbfounded by this process,” she said. “I’m just imagining all of the many tenants who don’t have those types of resources and are just told, ‘Give back the money.’”\u003c/span>\u003c/p>\n\u003cp>\u003cspan style=\"font-weight: 400\">Earlier this summer, tenant advocacy groups \u003c/span>\u003ca href=\"https://publiccounsel.org/wp-content/uploads/2022/06/Petition-for-Writ-of-Mandate_Filed.pdf\">\u003cspan style=\"font-weight: 400\">filed a lawsuit\u003c/span>\u003c/a>\u003cspan style=\"font-weight: 400\"> on behalf of renters who were denied rent relief. A \u003c/span>\u003ca href=\"https://wclp.org/press-release-judge-orders-ca-dept-of-housing-community-development-to-stop-denying-state-rental-assistance-applications-until-further-review/\">\u003cspan style=\"font-weight: 400\">judge has ordered\u003c/span>\u003c/a>\u003cspan style=\"font-weight: 400\"> the state to stop issuing denials while the suit moves forward. For now, HCD officials say demands for repayment are on hold to ensure people have a chance to appeal. \u003c/span>\u003c/p>\n\u003cp>\u003cspan style=\"font-weight: 400\">“We hope the ultimate outcome of our lawsuit is a fairer process to ensure that everyone has an equal opportunity to get the help they need in order to stabilize their housing and not become homeless,” said Lorraine López, senior attorney for the \u003ca href=\"https://wclp.org/\">Western Center on Law and Poverty\u003c/a> who’s working on the case.\u003c/span>\u003c/p>\n\u003cp>\u003cspan style=\"font-weight: 400\">The suit alleges HCD’s denial process doesn’t provide applicants due process, and seeks a more transparent appeals process that grants them access to details about the reasons they were denied. \u003c/span>\u003c/p>\n\u003cp>\u003cspan style=\"font-weight: 400\">Of the 18,871 denials HCD issued after applicants were approved, only 2,503 have been appealed, according to the department, but there’s still time. \u003c/span>\u003c/p>\n\u003cp>\u003cspan style=\"font-weight: 400\">In Napa, case managers at the recovery center have only had seven appeals approved at this point, of the 25 they submitted. \u003c/span>\u003c/p>\n\u003ch2>An uncertain future\u003c/h2>\n\u003cp>\u003cspan style=\"font-weight: 400\">Even as Flor Rodriguez waits on her appeal, she’s preparing to move. \u003c/span>\u003c/p>\n\u003cp>\u003cspan style=\"font-weight: 400\">She’s being evicted by her landlord — not because of her difficulties with the rent-relief program, but because the landlord told Rodriguez she plans to renovate the apartment. \u003c/span>\u003c/p>\n\u003cp>\u003cspan style=\"font-weight: 400\">At home, with her 2-year-old daughter, Carmen, in her arms, Rodriguez is waiting for a ride from a friend to go see another apartment. But the odds aren’t in her favor. The vacancy rate for rental housing in the city of Napa is just 2%, according to the city’s Housing Division. \u003c/span>\u003c/p>\n\u003cp>\u003cspan style=\"font-weight: 400\">After weeks of looking for apartments, Rodriguez still hasn’t found anything. She says her 9-year-old daughter has started to ask what’s going to happen. “She’s worried we’re going to end up on the streets,” Rodriguez said. \u003c/span>\u003c/p>\n\u003cp>\u003cspan style=\"font-weight: 400\">She tells her daughter it will be OK. She’s trying to convince herself, too.\u003c/span>\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cp>President Biden faced criticism from many in the medical community this week after saying “the pandemic is over” during a wide-ranging CBS “60 Minutes” interview that aired Sunday.\u003c/p>\n\u003cp>“We still have a problem with COVID,” Biden said. “We’re still doing a lot of work on it, but the pandemic is over.”\u003c/p>\n\u003cp>The surprise declaration struck many experts as inaccurate and irresponsible, as each day, some 300 to 400 people in the U.S. still die from the virus and tens of thousands of others are newly infected.\u003c/p>\n\u003cp>[aside label=\"Related Stories\" postID=\"news_11926261,science_1980220,forum_2010101889939\"]\u003c/p>\n\u003cp>“When you have the president of the U.S. saying the pandemic is over, why would people line up for their boosters? Why would Congress allocate additional funding for these other strategies and tools?” Dr. Céline Gounder, an epidemiologist and senior fellow with the Kaiser Family Foundation, told NPR. “I am profoundly disappointed. I think this is a real lack of leadership.”\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>But Dr. Bob Wachter, chair of the Department of Medicine at UCSF, took a more tempered approach in his interview Tuesday with The California Report’s Madi Bolaños.\u003c/p>\n\u003cp>“There’s no bright line that separates the pandemic from what follows the pandemic,” he said. “I think it’s reasonable to look at the situation now and say that the acute threat is far lower than it was, that the situation is relatively stable and probably … a facsimile of what we’re going to be facing for the next several years.”\u003c/p>\n\u003cp>Wachter said the president’s comments could prompt people to pay less attention to the virus, particularly at a moment when his administration is making a hard push for Americans to get the latest, updated booster shot.\u003c/p>\n\u003cp>But the real concern, he added, is that Americans are “just going to stop listening unless they believe we’re giving them an accurate assessment. And the accurate assessment is COVID is a real threat.”\u003c/p>\n\u003cp>But Wachter also said Biden was not being unreasonable in underscoring the many tools now available to help protect people from the virus, while allowing them to safely resume much of their pre-pandemic life.\u003c/p>\n\u003cp>“How do we shift toward an ongoing strategy for ourselves and as a society that has us keep ourselves as safe as possible while also beginning to get back to a more normal life?” he said.\u003c/p>\n\u003cp>Wachter — who has become one of the nation’s go-to experts on COVID, in part due to his Twitter threads in which he shares his strategies for personal risk assessment — \u003ca href=\"https://twitter.com/Bob_Wachter/status/1571601224864268289\">posted this week that he would now be willing to eat indoors at a restaurant in the Bay Area\u003c/a> if outdoor dining wasn’t an option. That call was based on a number of factors, including his age, health status, local transmission rates and the fact that he’d recently received the new booster.\u003c/p>\n\u003cp>https://twitter.com/Bob_Wachter/status/1571601224864268289\u003c/p>\n\u003cp>“I did a lot of math and I came out with a calculation that the chances that any individual person — for example, my waiter or someone sitting (with) me … (at) dinner — has COVID and feels fine is about 1 in 100. It’s not zero. So there’s a risk there,” he said. “But the chances that I will get COVID from going out to dinner are probably 1 in 100 or lower.”\u003c/p>\n\u003cp>Wachter’s main concern, he added, remains the risk of so-called long COVID — a condition his wife has — which can include fatigue, brain fog, respiratory issues and other symptoms of the virus that persist several months after being infected. It’s estimated that nearly \u003ca href=\"https://www.npr.org/transcripts/1114375163\">20 million Americans suffer from long COVID\u003c/a>, according to Census Bureau data.\u003c/p>\n\u003cp>But based on his calculations, the risk of getting long COVID is about 1 in 1,000, and the risk of dying from COVID is about 1 in 200,000, he said.\u003c/p>\n\u003cp>“Those are levels of risk that I’m willing to accept if I want to go out with friends or family and it’s too cold to eat outside,” Wachter said. “I’d still prefer to eat outside, over inside. I think it’s safer. It’s not like I’m saying it’s perfectly safe, but it has crossed my threshold to say the risk is low enough that I’m now willing to do it.”\u003c/p>\n\u003cp>But, he added, people need to make their own informed choices.\u003c/p>\n\u003cp>“I’m \u003cspan data-pm-slice='1 1 [\"paragraph-wrapper\",null,\"paragraph\",{\"id\":\"p9-0\"}]'>not telling anybody it should cross their threshold or not,” he said. \u003c/span>“When I go in a restaurant, it’s packed, bars are packed. So a lot of people have already made this choice long ago.”\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>\u003ci>KQED’s Emma Silvers contributed reporting to this story.\u003c/i>\u003c/p>\n\n",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>But Dr. Bob Wachter, chair of the Department of Medicine at UCSF, took a more tempered approach in his interview Tuesday with The California Report’s Madi Bolaños.\u003c/p>\n\u003cp>“There’s no bright line that separates the pandemic from what follows the pandemic,” he said. “I think it’s reasonable to look at the situation now and say that the acute threat is far lower than it was, that the situation is relatively stable and probably … a facsimile of what we’re going to be facing for the next several years.”\u003c/p>\n\u003cp>Wachter said the president’s comments could prompt people to pay less attention to the virus, particularly at a moment when his administration is making a hard push for Americans to get the latest, updated booster shot.\u003c/p>\n\u003cp>But the real concern, he added, is that Americans are “just going to stop listening unless they believe we’re giving them an accurate assessment. And the accurate assessment is COVID is a real threat.”\u003c/p>\n\u003cp>But Wachter also said Biden was not being unreasonable in underscoring the many tools now available to help protect people from the virus, while allowing them to safely resume much of their pre-pandemic life.\u003c/p>\n\u003cp>“How do we shift toward an ongoing strategy for ourselves and as a society that has us keep ourselves as safe as possible while also beginning to get back to a more normal life?” he said.\u003c/p>\n\u003cp>Wachter — who has become one of the nation’s go-to experts on COVID, in part due to his Twitter threads in which he shares his strategies for personal risk assessment — \u003ca href=\"https://twitter.com/Bob_Wachter/status/1571601224864268289\">posted this week that he would now be willing to eat indoors at a restaurant in the Bay Area\u003c/a> if outdoor dining wasn’t an option. That call was based on a number of factors, including his age, health status, local transmission rates and the fact that he’d recently received the new booster.\u003c/p>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\n\u003cp>“I did a lot of math and I came out with a calculation that the chances that any individual person — for example, my waiter or someone sitting (with) me … (at) dinner — has COVID and feels fine is about 1 in 100. It’s not zero. So there’s a risk there,” he said. “But the chances that I will get COVID from going out to dinner are probably 1 in 100 or lower.”\u003c/p>\n\u003cp>Wachter’s main concern, he added, remains the risk of so-called long COVID — a condition his wife has — which can include fatigue, brain fog, respiratory issues and other symptoms of the virus that persist several months after being infected. It’s estimated that nearly \u003ca href=\"https://www.npr.org/transcripts/1114375163\">20 million Americans suffer from long COVID\u003c/a>, according to Census Bureau data.\u003c/p>\n\u003cp>But based on his calculations, the risk of getting long COVID is about 1 in 1,000, and the risk of dying from COVID is about 1 in 200,000, he said.\u003c/p>\n\u003cp>“Those are levels of risk that I’m willing to accept if I want to go out with friends or family and it’s too cold to eat outside,” Wachter said. “I’d still prefer to eat outside, over inside. I think it’s safer. It’s not like I’m saying it’s perfectly safe, but it has crossed my threshold to say the risk is low enough that I’m now willing to do it.”\u003c/p>\n\u003cp>But, he added, people need to make their own informed choices.\u003c/p>\n\u003cp>“I’m \u003cspan data-pm-slice='1 1 [\"paragraph-wrapper\",null,\"paragraph\",{\"id\":\"p9-0\"}]'>not telling anybody it should cross their threshold or not,” he said. \u003c/span>“When I go in a restaurant, it’s packed, bars are packed. So a lot of people have already made this choice long ago.”\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>\u003ci>KQED’s Emma Silvers contributed reporting to this story.\u003c/i>\u003c/p>\n\n\u003c/div>\u003c/p>",
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"content": "\u003cp>President Biden’s declaration that “the pandemic is over” could complicate the administration’s effort to battle COVID-19, public health experts say.\u003c/p>\n\u003cp>Biden made the remarks in a Sunday broadcast of “60 Minutes.”\u003c/p>\n\u003cp>“We still have a problem with COVID. We’re still doing a lot of work on it. But the pandemic is over,” he said. “If you notice, no one’s wearing masks. Everybody seems to be in pretty good shape. And so I think it’s changing.”\u003c/p>\n\u003cp>The president’s comments come as public health officials are trying to convince Americans to get a new booster shot, and as the White House has worked unsuccessfully for months to convince Congress to provide more than $22 billion in new funding for the COVID-19 response. Since Sunday night, Republicans have already used his words to question vaccine mandates that are still in place for the nation’s military and other federally funded programs.\u003c/p>\n\u003cp>At the same time, nearly 400 Americans are dying each day of COVID, \u003ca href=\"https://covid.cdc.gov/covid-data-tracker/#trends_dailydeaths_select_00\">according to the Centers for Disease Control and Prevention\u003c/a>.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>Multiple public health experts called Biden’s remarks “unfortunate.”\u003c/p>\n\u003cp>“When you have the president of the U.S. saying the pandemic is over, why would people line up for their boosters? Why would Congress allocate additional funding for these other strategies and tools?” said Dr. Celine Gounder, an epidemiologist and senior fellow with the Kaiser Family Foundation. “I am profoundly disappointed. I think this is a real lack of leadership.”\u003c/p>\n\u003ch2>The remarks could cause political difficulties\u003c/h2>\n\u003cp>The White House is currently fighting an uphill battle in Congress \u003ca href=\"https://www.npr.org/2022/09/02/1120746237/white-house-ukraine-covid-19-monkeypox-supplemental-funding\">to secure $22.4 billion in emergency COVID-19 funding\u003c/a> to support vaccinations, testing and further research. Some Republican support is needed in the Senate to secure the funding, which the administration has been seeking since the spring. It has been hard to come by as some GOP lawmakers argue that there is still unspent money from earlier COVID-19 funding measures that can be used.\u003c/p>\n\u003cp>In announcing the funding request earlier this month, an official told reporters on a briefing call that there is not currently “enough funding to get through a surge in the fall.” The administration \u003ca href=\"https://www.npr.org/2022/08/29/1119880329/the-government-will-no-longer-be-sending-free-covid-19-tests-to-americans\">has already stopped the program to send free test kits to Americans\u003c/a> because of a lack of funds.\u003c/p>\n\u003cp>[aside label=\"related coverage\" tag=\"covid-19\"]The president’s words could undercut the effort to get this money further.\u003c/p>\n\u003cp>Republicans are already using the statement to question the justification for ongoing pandemic measures, including \u003ca href=\"https://twitter.com/mikepompeo/status/1571858080110968835\">the military’s vaccine requirement\u003c/a> and \u003ca href=\"https://twitter.com/RepMaryMiller/status/1571851989046149127\">mandates for vaccines and masks in federally funded Head Start education programs\u003c/a>.\u003c/p>\n\u003cp>“Biden admitted last night that the COVID pandemic is over. In other words, there is no ‘ongoing emergency’ to justify his proposal for student loan handouts,” \u003ca href=\"https://twitter.com/MarshaBlackburn/status/1571847319603093504\">said Sen. Marsha Blackburn of Tennessee\u003c/a>.\u003c/p>\n\u003cp>Some public health experts agreed with Biden’s characterization of a “change” in the pandemic. “It is a reasonable thing to do as we collectively move on from this emergency footing that we’ve been on for the last couple of years, and try to navigate a new normal,” said Dr. Bob Wachter, chair of UCSF’s Department of Medicine. “It’s an appropriate way of thinking about the threat as it stands today.”\u003c/p>\n\u003cp>Acknowledging the shift shouldn’t stand in the way of funds for COVID-related efforts, said Dr. Tom Frieden, who led the CDC during the Obama administration.\u003c/p>\n\u003cp>“We don’t have a pandemic of Alzheimer’s disease or influenza or heart disease. But Congress still needs to fund programs to address those problems,” he said.\u003c/p>\n\u003ch2>The ongoing booster campaign could face challenges\u003c/h2>\n\u003cp>The Biden administration’s public health leaders have sometimes struggled at times to present a clear, unified message about COVID-19. His administration has at times been criticized for \u003ca href=\"https://www.npr.org/sections/health-shots/2022/01/07/1071449137/cdc-is-criticized-for-failing-to-communicate-promises-to-do-better\">a lack of communication\u003c/a> or \u003ca href=\"https://www.npr.org/2021/05/17/997422911/cdc-criticized-for-confusing-updated-mask-recommendation\">issuing guidance that seemingly conflicts with available data\u003c/a>.\u003c/p>\n\u003cp>Now, the president’s remarks have thrown another wrench into the mix at a crucial moment.\u003c/p>\n\u003cp>The administration has just rolled out a new bivalent booster shot designed to target the omicron subvariants that have dominated caseloads in the country in recent months, and the agency is working to convince Americans to go out and get it. (Since the CDC recommended the shot earlier this month, hundreds of thousands of Americans have received it.)\u003c/p>\n\u003cp>But health officials have long struggled to convince Americans to get their shots. Only \u003ca href=\"https://covid.cdc.gov/covid-data-tracker/#vaccinations_vacc-people-additional-dose-totalpop\">68% of Americans completed their original vaccine course\u003c/a>, and fewer than half of those have gotten any booster shot.\u003c/p>\n\u003cp>Most troubling are booster rates for people over 65, said Jennifer Nuzzo, the director of Brown University’s Pandemic Center. Data from the CDC show that while the vast majority of older Americans got the original vaccines, far fewer — only about a quarter — have also taken the two original boosters.\u003c/p>\n\u003cp>“If we do nothing else to reduce the number of deaths from COVID, we need to make sure that people who are at the greatest risk of severe illness and death — and that’s people over the age of 65 — that they get their booster,” Nuzzo said. “I don’t want to inadvertently send the signal that that’s not something they need to do anymore.”\u003c/p>\n\u003cp>She and other public health experts pointed to the winter, when a surge of new cases is likely as cold weather pushes socialization indoors, and holidays prompt people to travel to visit family and friends. A winter wave of cases will require tests, vaccines and other efforts to combat COVID, they said.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>“I would say, let’s not declare the pandemic over,” said Dr. Carlos Del Rio, an infectious disease specialist at Emory University. “Let’s say that we’re in a very good place, and we need to continue working hard in order to stay in that good place.”\u003c/p>\n\u003cdiv class=\"fullattribution\">Copyright 2022 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=How+Biden%27s+declaring+the+pandemic+%27over%27+complicates+efforts+to+fight+COVID&utme=8(APIKey)9(MDAxOTAwOTE4MDEyMTkxMDAzNjczZDljZA004)\">\u003c/div>\n\n",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>President Biden’s declaration that “the pandemic is over” could complicate the administration’s effort to battle COVID-19, public health experts say.\u003c/p>\n\u003cp>Biden made the remarks in a Sunday broadcast of “60 Minutes.”\u003c/p>\n\u003cp>“We still have a problem with COVID. We’re still doing a lot of work on it. But the pandemic is over,” he said. “If you notice, no one’s wearing masks. Everybody seems to be in pretty good shape. And so I think it’s changing.”\u003c/p>\n\u003cp>The president’s comments come as public health officials are trying to convince Americans to get a new booster shot, and as the White House has worked unsuccessfully for months to convince Congress to provide more than $22 billion in new funding for the COVID-19 response. Since Sunday night, Republicans have already used his words to question vaccine mandates that are still in place for the nation’s military and other federally funded programs.\u003c/p>\n\u003cp>At the same time, nearly 400 Americans are dying each day of COVID, \u003ca href=\"https://covid.cdc.gov/covid-data-tracker/#trends_dailydeaths_select_00\">according to the Centers for Disease Control and Prevention\u003c/a>.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>Multiple public health experts called Biden’s remarks “unfortunate.”\u003c/p>\n\u003cp>“When you have the president of the U.S. saying the pandemic is over, why would people line up for their boosters? Why would Congress allocate additional funding for these other strategies and tools?” said Dr. Celine Gounder, an epidemiologist and senior fellow with the Kaiser Family Foundation. “I am profoundly disappointed. I think this is a real lack of leadership.”\u003c/p>\n\u003ch2>The remarks could cause political difficulties\u003c/h2>\n\u003cp>The White House is currently fighting an uphill battle in Congress \u003ca href=\"https://www.npr.org/2022/09/02/1120746237/white-house-ukraine-covid-19-monkeypox-supplemental-funding\">to secure $22.4 billion in emergency COVID-19 funding\u003c/a> to support vaccinations, testing and further research. Some Republican support is needed in the Senate to secure the funding, which the administration has been seeking since the spring. It has been hard to come by as some GOP lawmakers argue that there is still unspent money from earlier COVID-19 funding measures that can be used.\u003c/p>\n\u003cp>In announcing the funding request earlier this month, an official told reporters on a briefing call that there is not currently “enough funding to get through a surge in the fall.” The administration \u003ca href=\"https://www.npr.org/2022/08/29/1119880329/the-government-will-no-longer-be-sending-free-covid-19-tests-to-americans\">has already stopped the program to send free test kits to Americans\u003c/a> because of a lack of funds.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>The president’s words could undercut the effort to get this money further.\u003c/p>\n\u003cp>Republicans are already using the statement to question the justification for ongoing pandemic measures, including \u003ca href=\"https://twitter.com/mikepompeo/status/1571858080110968835\">the military’s vaccine requirement\u003c/a> and \u003ca href=\"https://twitter.com/RepMaryMiller/status/1571851989046149127\">mandates for vaccines and masks in federally funded Head Start education programs\u003c/a>.\u003c/p>\n\u003cp>“Biden admitted last night that the COVID pandemic is over. In other words, there is no ‘ongoing emergency’ to justify his proposal for student loan handouts,” \u003ca href=\"https://twitter.com/MarshaBlackburn/status/1571847319603093504\">said Sen. Marsha Blackburn of Tennessee\u003c/a>.\u003c/p>\n\u003cp>Some public health experts agreed with Biden’s characterization of a “change” in the pandemic. “It is a reasonable thing to do as we collectively move on from this emergency footing that we’ve been on for the last couple of years, and try to navigate a new normal,” said Dr. Bob Wachter, chair of UCSF’s Department of Medicine. “It’s an appropriate way of thinking about the threat as it stands today.”\u003c/p>\n\u003cp>Acknowledging the shift shouldn’t stand in the way of funds for COVID-related efforts, said Dr. Tom Frieden, who led the CDC during the Obama administration.\u003c/p>\n\u003cp>“We don’t have a pandemic of Alzheimer’s disease or influenza or heart disease. But Congress still needs to fund programs to address those problems,” he said.\u003c/p>\n\u003ch2>The ongoing booster campaign could face challenges\u003c/h2>\n\u003cp>The Biden administration’s public health leaders have sometimes struggled at times to present a clear, unified message about COVID-19. His administration has at times been criticized for \u003ca href=\"https://www.npr.org/sections/health-shots/2022/01/07/1071449137/cdc-is-criticized-for-failing-to-communicate-promises-to-do-better\">a lack of communication\u003c/a> or \u003ca href=\"https://www.npr.org/2021/05/17/997422911/cdc-criticized-for-confusing-updated-mask-recommendation\">issuing guidance that seemingly conflicts with available data\u003c/a>.\u003c/p>\n\u003cp>Now, the president’s remarks have thrown another wrench into the mix at a crucial moment.\u003c/p>\n\u003cp>The administration has just rolled out a new bivalent booster shot designed to target the omicron subvariants that have dominated caseloads in the country in recent months, and the agency is working to convince Americans to go out and get it. (Since the CDC recommended the shot earlier this month, hundreds of thousands of Americans have received it.)\u003c/p>\n\u003cp>But health officials have long struggled to convince Americans to get their shots. Only \u003ca href=\"https://covid.cdc.gov/covid-data-tracker/#vaccinations_vacc-people-additional-dose-totalpop\">68% of Americans completed their original vaccine course\u003c/a>, and fewer than half of those have gotten any booster shot.\u003c/p>\n\u003cp>Most troubling are booster rates for people over 65, said Jennifer Nuzzo, the director of Brown University’s Pandemic Center. Data from the CDC show that while the vast majority of older Americans got the original vaccines, far fewer — only about a quarter — have also taken the two original boosters.\u003c/p>\n\u003cp>“If we do nothing else to reduce the number of deaths from COVID, we need to make sure that people who are at the greatest risk of severe illness and death — and that’s people over the age of 65 — that they get their booster,” Nuzzo said. “I don’t want to inadvertently send the signal that that’s not something they need to do anymore.”\u003c/p>\n\u003cp>She and other public health experts pointed to the winter, when a surge of new cases is likely as cold weather pushes socialization indoors, and holidays prompt people to travel to visit family and friends. A winter wave of cases will require tests, vaccines and other efforts to combat COVID, they said.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>“I would say, let’s not declare the pandemic over,” said Dr. Carlos Del Rio, an infectious disease specialist at Emory University. “Let’s say that we’re in a very good place, and we need to continue working hard in order to stay in that good place.”\u003c/p>\n\u003cdiv class=\"fullattribution\">Copyright 2022 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=How+Biden%27s+declaring+the+pandemic+%27over%27+complicates+efforts+to+fight+COVID&utme=8(APIKey)9(MDAxOTAwOTE4MDEyMTkxMDAzNjczZDljZA004)\">\u003c/div>\n\n\u003c/div>\u003c/p>",
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"info": "A one-hour radio program to hear celebrated writers, artists and thinkers address contemporary ideas and values, often discussing the creative process. Please note: tapes or transcripts are not available",
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"airtime": "SUN 1pm-2pm, TUE 10pm, WED 1am",
"meta": {
"site": "news",
"source": "City Arts & Lectures"
},
"link": "https://www.cityarts.net",
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"rss": "https://www.cityarts.net/feed/"
}
},
"closealltabs": {
"id": "closealltabs",
"title": "Close All Tabs",
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"info": "Close All Tabs breaks down how digital culture shapes our world through thoughtful insights and irreverent humor.",
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"officialWebsiteLink": "/podcasts/closealltabs",
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"order": 1
},
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"id": "code-switch-life-kit",
"title": "Code Switch / Life Kit",
"info": "\u003cem>Code Switch\u003c/em>, which listeners will hear in the first part of the hour, has fearless and much-needed conversations about race. Hosted by journalists of color, the show tackles the subject of race head-on, exploring how it impacts every part of society — from politics and pop culture to history, sports and more.\u003cbr />\u003cbr />\u003cem>Life Kit\u003c/em>, which will be in the second part of the hour, guides you through spaces and feelings no one prepares you for — from finances to mental health, from workplace microaggressions to imposter syndrome, from relationships to parenting. The show features experts with real world experience and shares their knowledge. Because everyone needs a little help being human.\u003cbr />\u003cbr />\u003ca href=\"https://www.npr.org/podcasts/510312/codeswitch\">\u003cem>Code Switch\u003c/em> offical site and podcast\u003c/a>\u003cbr />\u003ca href=\"https://www.npr.org/lifekit\">\u003cem>Life Kit\u003c/em> offical site and podcast\u003c/a>\u003cbr />",
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"meta": {
"site": "radio",
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},
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"id": "commonwealth-club",
"title": "Commonwealth Club of California Podcast",
"info": "The Commonwealth Club of California is the nation's oldest and largest public affairs forum. As a non-partisan forum, The Club brings to the public airwaves diverse viewpoints on important topics. The Club's weekly radio broadcast - the oldest in the U.S., dating back to 1924 - is carried across the nation on public radio stations and is now podcasting. Our website archive features audio of our recent programs, as well as selected speeches from our long and distinguished history. This podcast feed is usually updated twice a week and is always un-edited.",
"airtime": "THU 10pm, FRI 1am",
"imageSrc": "https://cdn.kqed.org/wp-content/uploads/2024/04/Commonwealth-Club-Podcast-Tile-360x360-1.jpg",
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"meta": {
"site": "news",
"source": "Commonwealth Club of California"
},
"link": "/radio/program/commonwealth-club",
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"google": "https://podcasts.google.com/feed/aHR0cDovL3d3dy5jb21tb253ZWFsdGhjbHViLm9yZy9hdWRpby9wb2RjYXN0L3dlZWtseS54bWw",
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}
},
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"id": "forum",
"title": "Forum",
"tagline": "The conversation starts here",
"info": "KQED’s live call-in program discussing local, state, national and international issues, as well as in-depth interviews.",
"airtime": "MON-FRI 9am-11am, 10pm-11pm",
"imageSrc": "https://cdn.kqed.org/wp-content/uploads/2024/04/Forum-Podcast-Tile-703x703-1.jpg",
"imageAlt": "KQED Forum with Mina Kim and Alexis Madrigal",
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"source": "kqed",
"order": 9
},
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"google": "https://podcasts.google.com/feed/aHR0cHM6Ly9mZWVkcy5tZWdhcGhvbmUuZm0vS1FJTkM5NTU3MzgxNjMz",
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"freakonomics-radio": {
"id": "freakonomics-radio",
"title": "Freakonomics Radio",
"info": "Freakonomics Radio is a one-hour award-winning podcast and public-radio project hosted by Stephen Dubner, with co-author Steve Levitt as a regular guest. It is produced in partnership with WNYC.",
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"officialWebsiteLink": "http://freakonomics.com/",
"airtime": "SUN 1am-2am, SAT 3pm-4pm",
"meta": {
"site": "radio",
"source": "WNYC"
},
"link": "/radio/program/freakonomics-radio",
"subscribe": {
"npr": "https://rpb3r.app.goo.gl/4s8b",
"apple": "https://itunes.apple.com/us/podcast/freakonomics-radio/id354668519",
"tuneIn": "https://tunein.com/podcasts/WNYC-Podcasts/Freakonomics-Radio-p272293/",
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},
"fresh-air": {
"id": "fresh-air",
"title": "Fresh Air",
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"apple": "https://itunes.apple.com/WebObjects/MZStore.woa/wa/viewPodcast?s=143441&mt=2&id=214089682&at=11l79Y&ct=nprdirectory",
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"rss": "https://feeds.npr.org/381444908/podcast.xml"
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"info": "A live production of NPR and WBUR Boston, in collaboration with stations across the country, Here & Now reflects the fluid world of news as it's happening in the middle of the day, with timely, in-depth news, interviews and conversation. Hosted by Robin Young, Jeremy Hobson and Tonya Mosley.",
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"rss": "https://feeds.npr.org/510051/podcast.xml"
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},
"hidden-brain": {
"id": "hidden-brain",
"title": "Hidden Brain",
"info": "Shankar Vedantam uses science and storytelling to reveal the unconscious patterns that drive human behavior, shape our choices and direct our relationships.",
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"officialWebsiteLink": "https://www.npr.org/series/423302056/hidden-brain",
"airtime": "SUN 7pm-8pm",
"meta": {
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"source": "NPR"
},
"link": "/radio/program/hidden-brain",
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},
"how-i-built-this": {
"id": "how-i-built-this",
"title": "How I Built This with Guy Raz",
"info": "Guy Raz dives into the stories behind some of the world's best known companies. How I Built This weaves a narrative journey about innovators, entrepreneurs and idealists—and the movements they built.",
"imageSrc": "https://ww2.kqed.org/news/wp-content/uploads/sites/10/2018/05/howIBuiltThis.png",
"officialWebsiteLink": "https://www.npr.org/podcasts/510313/how-i-built-this",
"airtime": "SUN 7:30pm-8pm",
"meta": {
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"source": "npr"
},
"link": "/radio/program/how-i-built-this",
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"npr": "https://rpb3r.app.goo.gl/3zxy",
"apple": "https://itunes.apple.com/us/podcast/how-i-built-this-with-guy-raz/id1150510297?mt=2",
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},
"hyphenacion": {
"id": "hyphenacion",
"title": "Hyphenación",
"tagline": "Where conversation and cultura meet",
"info": "What kind of no sabo word is Hyphenación? For us, it’s about living within a hyphenation. Like being a third-gen Mexican-American from the Texas border now living that Bay Area Chicano life. Like Xorje! Each week we bring together a couple of hyphenated Latinos to talk all about personal life choices: family, careers, relationships, belonging … everything is on the table. ",
"imageSrc": "https://cdn.kqed.org/wp-content/uploads/2025/03/Hyphenacion_FinalAssets_PodcastTile.png",
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"officialWebsiteLink": "/podcasts/hyphenacion",
"meta": {
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"order": 15
},
"link": "/podcasts/hyphenacion",
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"spotify": "https://open.spotify.com/show/2p3Fifq96nw9BPcmFdIq0o?si=39209f7b25774f38",
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"rss": "https://feeds.megaphone.fm/KQINC2275451163"
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},
"jerrybrown": {
"id": "jerrybrown",
"title": "The Political Mind of Jerry Brown",
"tagline": "Lessons from a lifetime in politics",
"info": "The Political Mind of Jerry Brown brings listeners the wisdom of the former Governor, Mayor, and presidential candidate. Scott Shafer interviewed Brown for more than 40 hours, covering the former governor's life and half-century in the political game – and Brown has some lessons he'd like to share. ",
"imageSrc": "https://cdn.kqed.org/wp-content/uploads/2024/04/The-Political-Mind-of-Jerry-Brown-Podcast-Tile-703x703-1.jpg",
"imageAlt": "KQED The Political Mind of Jerry Brown",
"officialWebsiteLink": "/podcasts/jerrybrown",
"meta": {
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"source": "kqed",
"order": 18
},
"link": "/podcasts/jerrybrown",
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"apple": "https://itunes.apple.com/us/podcast/id1492194549",
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}
},
"latino-usa": {
"id": "latino-usa",
"title": "Latino USA",
"airtime": "MON 1am-2am, SUN 6pm-7pm",
"info": "Latino USA, the radio journal of news and culture, is the only national, English-language radio program produced from a Latino perspective.",
"imageSrc": "https://ww2.kqed.org/radio/wp-content/uploads/sites/50/2018/04/latinoUsa.jpg",
"officialWebsiteLink": "http://latinousa.org/",
"meta": {
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"source": "npr"
},
"link": "/radio/program/latino-usa",
"subscribe": {
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"apple": "https://itunes.apple.com/WebObjects/MZStore.woa/wa/viewPodcast?s=143441&mt=2&id=79681317&at=11l79Y&ct=nprdirectory",
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"rss": "https://feeds.npr.org/510016/podcast.xml"
}
},
"marketplace": {
"id": "marketplace",
"title": "Marketplace",
"info": "Our flagship program, helmed by Kai Ryssdal, examines what the day in money delivered, through stories, conversations, newsworthy numbers and more. Updated Monday through Friday at about 3:30 p.m. PT.",
"airtime": "MON-FRI 4pm-4:30pm, MON-WED 6:30pm-7pm",
"imageSrc": "https://cdn.kqed.org/wp-content/uploads/2024/04/Marketplace-Podcast-Tile-360x360-1.jpg",
"officialWebsiteLink": "https://www.marketplace.org/",
"meta": {
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"source": "American Public Media"
},
"link": "/radio/program/marketplace",
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"rss": "https://feeds.publicradio.org/public_feeds/marketplace-pm/rss/rss"
}
},
"masters-of-scale": {
"id": "masters-of-scale",
"title": "Masters of Scale",
"info": "Masters of Scale is an original podcast in which LinkedIn co-founder and Greylock Partner Reid Hoffman sets out to describe and prove theories that explain how great entrepreneurs take their companies from zero to a gazillion in ingenious fashion.",
"airtime": "Every other Wednesday June 12 through October 16 at 8pm (repeats Thursdays at 2am)",
"imageSrc": "https://cdn.kqed.org/wp-content/uploads/2024/04/Masters-of-Scale-Podcast-Tile-360x360-1.jpg",
"officialWebsiteLink": "https://mastersofscale.com/",
"meta": {
"site": "radio",
"source": "WaitWhat"
},
"link": "/radio/program/masters-of-scale",
"subscribe": {
"apple": "http://mastersofscale.app.link/",
"rss": "https://rss.art19.com/masters-of-scale"
}
},
"mindshift": {
"id": "mindshift",
"title": "MindShift",
"tagline": "A podcast about the future of learning and how we raise our kids",
"info": "The MindShift podcast explores the innovations in education that are shaping how kids learn. Hosts Ki Sung and Katrina Schwartz introduce listeners to educators, researchers, parents and students who are developing effective ways to improve how kids learn. We cover topics like how fed-up administrators are developing surprising tactics to deal with classroom disruptions; how listening to podcasts are helping kids develop reading skills; the consequences of overparenting; and why interdisciplinary learning can engage students on all ends of the traditional achievement spectrum. This podcast is part of the MindShift education site, a division of KQED News. KQED is an NPR/PBS member station based in San Francisco. You can also visit the MindShift website for episodes and supplemental blog posts or tweet us \u003ca href=\"https://twitter.com/MindShiftKQED\">@MindShiftKQED\u003c/a> or visit us at \u003ca href=\"/mindshift\">MindShift.KQED.org\u003c/a>",
"imageSrc": "https://cdn.kqed.org/wp-content/uploads/2024/04/Mindshift-Podcast-Tile-703x703-1.jpg",
"imageAlt": "KQED MindShift: How We Will Learn",
"officialWebsiteLink": "/mindshift/",
"meta": {
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"source": "kqed",
"order": 12
},
"link": "/podcasts/mindshift",
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"google": "https://podcasts.google.com/feed/aHR0cHM6Ly9mZWVkcy5tZWdhcGhvbmUuZm0vS1FJTkM1NzY0NjAwNDI5",
"npr": "https://www.npr.org/podcasts/464615685/mind-shift-podcast",
"stitcher": "https://www.stitcher.com/podcast/kqed/stories-teachers-share",
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}
},
"morning-edition": {
"id": "morning-edition",
"title": "Morning Edition",
"info": "\u003cem>Morning Edition\u003c/em> takes listeners around the country and the world with multi-faceted stories and commentaries every weekday. Hosts Steve Inskeep, David Greene and Rachel Martin bring you the latest breaking news and features to prepare you for the day.",
"airtime": "MON-FRI 3am-9am",
"imageSrc": "https://cdn.kqed.org/wp-content/uploads/2024/04/Morning-Edition-Podcast-Tile-360x360-1.jpg",
"officialWebsiteLink": "https://www.npr.org/programs/morning-edition/",
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"link": "/radio/program/morning-edition"
},
"onourwatch": {
"id": "onourwatch",
"title": "On Our Watch",
"tagline": "Deeply-reported investigative journalism",
"info": "For decades, the process for how police police themselves has been inconsistent – if not opaque. In some states, like California, these proceedings were completely hidden. After a new police transparency law unsealed scores of internal affairs files, our reporters set out to examine these cases and the shadow world of police discipline. On Our Watch brings listeners into the rooms where officers are questioned and witnesses are interrogated to find out who this system is really protecting. Is it the officers, or the public they've sworn to serve?",
"imageSrc": "https://cdn.kqed.org/wp-content/uploads/2024/04/On-Our-Watch-Podcast-Tile-703x703-1.jpg",
"imageAlt": "On Our Watch from NPR and KQED",
"officialWebsiteLink": "/podcasts/onourwatch",
"meta": {
"site": "news",
"source": "kqed",
"order": 11
},
"link": "/podcasts/onourwatch",
"subscribe": {
"apple": "https://podcasts.apple.com/podcast/id1567098962",
"google": "https://podcasts.google.com/feed/aHR0cHM6Ly9mZWVkcy5ucHIub3JnLzUxMDM2MC9wb2RjYXN0LnhtbD9zYz1nb29nbGVwb2RjYXN0cw",
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"rss": "https://feeds.npr.org/510360/podcast.xml"
}
},
"on-the-media": {
"id": "on-the-media",
"title": "On The Media",
"info": "Our weekly podcast explores how the media 'sausage' is made, casts an incisive eye on fluctuations in the marketplace of ideas, and examines threats to the freedom of information and expression in America and abroad. For one hour a week, the show tries to lift the veil from the process of \"making media,\" especially news media, because it's through that lens that we see the world and the world sees us",
"airtime": "SUN 2pm-3pm, MON 12am-1am",
"imageSrc": "https://ww2.kqed.org/radio/wp-content/uploads/sites/50/2018/04/onTheMedia.png",
"officialWebsiteLink": "https://www.wnycstudios.org/shows/otm",
"meta": {
"site": "news",
"source": "wnyc"
},
"link": "/radio/program/on-the-media",
"subscribe": {
"apple": "https://itunes.apple.com/us/podcast/on-the-media/id73330715?mt=2",
"tuneIn": "https://tunein.com/radio/On-the-Media-p69/",
"rss": "http://feeds.wnyc.org/onthemedia"
}
},
"pbs-newshour": {
"id": "pbs-newshour",
"title": "PBS NewsHour",
"info": "Analysis, background reports and updates from the PBS NewsHour putting today's news in context.",
"airtime": "MON-FRI 3pm-4pm",
"imageSrc": "https://cdn.kqed.org/wp-content/uploads/2024/04/PBS-News-Hour-Podcast-Tile-360x360-1.jpg",
"officialWebsiteLink": "https://www.pbs.org/newshour/",
"meta": {
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"source": "pbs"
},
"link": "/radio/program/pbs-newshour",
"subscribe": {
"apple": "https://itunes.apple.com/us/podcast/pbs-newshour-full-show/id394432287?mt=2",
"tuneIn": "https://tunein.com/radio/PBS-NewsHour---Full-Show-p425698/",
"rss": "https://www.pbs.org/newshour/feeds/rss/podcasts/show"
}
},
"perspectives": {
"id": "perspectives",
"title": "Perspectives",
"tagline": "KQED's series of daily listener commentaries since 1991",
"info": "KQED's series of daily listener commentaries since 1991.",
"imageSrc": "https://cdn.kqed.org/wp-content/uploads/2025/01/Perspectives_Tile_Final.jpg",
"imageAlt": "KQED Perspectives",
"officialWebsiteLink": "/perspectives/",
"meta": {
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"source": "kqed",
"order": 14
},
"link": "/perspectives",
"subscribe": {
"apple": "https://podcasts.apple.com/us/podcast/id73801135",
"npr": "https://www.npr.org/podcasts/432309616/perspectives",
"rss": "https://ww2.kqed.org/perspectives/category/perspectives/feed/",
"google": "https://podcasts.google.com/feed/aHR0cHM6Ly93dzIua3FlZC5vcmcvcGVyc3BlY3RpdmVzL2NhdGVnb3J5L3BlcnNwZWN0aXZlcy9mZWVkLw"
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},
"planet-money": {
"id": "planet-money",
"title": "Planet Money",
"info": "The economy explained. Imagine you could call up a friend and say, Meet me at the bar and tell me what's going on with the economy. Now imagine that's actually a fun evening.",
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