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"content": "\u003cp>Police in \u003ca href=\"https://www.kqed.org/news/tag/alameda-county\">Alameda County\u003c/a> are more likely to handcuff Black children experiencing a mental health crisis — particularly girls — than children of other races, according to a new study out of UCSF Benioff Children’s Hospital Oakland.\u003c/p>\n\u003cp>When a parent calls 911 because their child is experiencing severe emotional distress, police often arrive before an ambulance, lead study author Dr. Kenshata Watkins said.\u003c/p>\n\u003cp>“Police aren’t really trained to handle these types of emergencies, right?” Watkins said. “And so they get there, and they \u003ca href=\"https://www.youtube.com/watch?v=itYl07TqrDg\">do what police do\u003c/a>\u003cem>.\u003c/em>”\u003c/p>\n\u003cp>On average, according to the study data, police handcuffed a child experiencing a mental health crisis more than twice a week in Alameda County.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>The study, published last week \u003ca href=\"https://jamanetwork.com/journals/jamanetworkopen/fullarticle/2825944\">in the journal JAMA Network Open\u003c/a>, looked at over 10,400 youth behavioral health emergencies handled by the county’s Emergency Medical Services Agency between 2012 and mid-2019. Of those cases for which researchers had race and location data, 7.6% of children were handcuffed before an ambulance arrived, but rates were disproportionately high for Black children and those in more disadvantaged neighborhoods.\u003c/p>\n\u003cp>As a UCSF pediatric emergency physician, Watkins was interested in what happens before a child ends up in the hospital, a context he refers to as “social determinants of health,” but he said law enforcement response, such as handcuffing, is largely invisible.\u003c/p>\n\u003cp>“It doesn’t show up really at the hospital because those handcuffs are gone,” Watkins said.\u003cem> \u003c/em>\u003c/p>\n\u003cp>[aside postID=news_12014858 hero='https://cdn.kqed.org/wp-content/uploads/sites/10/2024/10/241021-OaklandPDDrunkDriving-06-BL_qed-1020x680.jpg']\u003c/p>\n\u003cp>For clues, Watkins’ team shifted their focus to Emergency Medical Services. As the first medical responders on scene, EMS staff take notes on a child’s blood pressure and heart rate, as well as a short description of what was happening when they arrived.\u003c/p>\n\u003cp>By analyzing tens of thousands of these narratives and searching for terms related to handcuffing, the researchers found 833 handcuffing events involving \u003ca href=\"https://www.kqed.org/news/11926978/many-california-families-cant-access-mental-health-care-for-kids-this-east-palo-alto-mom-found-a-way\">kids in crisis\u003c/a>. Police were 1.8 times more likely to handcuff Black children than their white counterparts — a disparity that climbed to 2.6 times more likely for Black girls — and they were 1.5 times more likely to do so in disadvantaged neighborhoods.\u003c/p>\n\u003cp>“If anyone else were doing it, it would be a form of child abuse — it would be recognized as such,” said UC Berkeley African American studies professor Nikki Jones, a sociologist-criminologist who’s spent a decade studying policing and violence in urban neighborhoods. “But because the police are doing it and because they have this logic that’s based on their expertise, then we are supposed to read it as something other than extremely damaging to a child.”\u003c/p>\n\u003cp>Jones rode along with police in an unnamed California jurisdiction as part of her own Army Office of Research-funded \u003ca href=\"https://journals.sagepub.com/doi/full/10.1177/15356841221123820\">study on race and law enforcement attitudes\u003c/a> published last year. Jones said police often view children of color as older and less vulnerable than they are and focus on obedience — a tall order when a child is mentally unwell.\u003c/p>\n\u003cp>“Once they’re in field training and once they begin to do the work of policing, they develop what they consider to be their own expertise,” Jones said. “Officers responding in a more aggressive way to people who live in certain neighborhoods — they don’t think about that as biased. They think about that as the kind of expertise that a morally competent police officer would have.\u003cem>”\u003c/em>\u003c/p>\n\u003cp>The study recommends taking an alternative approach to responding to mental health emergencies by expanding programs that \u003ca href=\"https://www.kqed.org/news/11985965/we-approach-in-peace-are-barts-outreach-efforts-to-help-people-in-crisis-working\">send out mental health experts\u003c/a> instead, such as Alameda County’s \u003ca href=\"https://www.acbhcs.org/acute-integrated-health-care/acute-crisis-services/\">Mobile Crisis Team\u003c/a> and San Francisco’s \u003ca href=\"https://www.sf.gov/street-crisis-response-team\">Street Crisis Response Team\u003c/a>.\u003c/p>\n\u003cp>Meanwhile, UCSF researchers hope to undertake a follow-up study examining the longer-term outcomes of children who are handcuffed during mental and behavioral health crises.\u003c/p>\n\u003cp>\u003cem>Nov. 20: This article was updated to clarify which program in Alameda County sends mental health experts to emergency calls as an alternative to police.\u003c/em>\u003c/p>\n\u003cp>\u003c/p>\n",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>For clues, Watkins’ team shifted their focus to Emergency Medical Services. As the first medical responders on scene, EMS staff take notes on a child’s blood pressure and heart rate, as well as a short description of what was happening when they arrived.\u003c/p>\n\u003cp>By analyzing tens of thousands of these narratives and searching for terms related to handcuffing, the researchers found 833 handcuffing events involving \u003ca href=\"https://www.kqed.org/news/11926978/many-california-families-cant-access-mental-health-care-for-kids-this-east-palo-alto-mom-found-a-way\">kids in crisis\u003c/a>. Police were 1.8 times more likely to handcuff Black children than their white counterparts — a disparity that climbed to 2.6 times more likely for Black girls — and they were 1.5 times more likely to do so in disadvantaged neighborhoods.\u003c/p>\n\u003cp>“If anyone else were doing it, it would be a form of child abuse — it would be recognized as such,” said UC Berkeley African American studies professor Nikki Jones, a sociologist-criminologist who’s spent a decade studying policing and violence in urban neighborhoods. “But because the police are doing it and because they have this logic that’s based on their expertise, then we are supposed to read it as something other than extremely damaging to a child.”\u003c/p>\n\u003cp>Jones rode along with police in an unnamed California jurisdiction as part of her own Army Office of Research-funded \u003ca href=\"https://journals.sagepub.com/doi/full/10.1177/15356841221123820\">study on race and law enforcement attitudes\u003c/a> published last year. Jones said police often view children of color as older and less vulnerable than they are and focus on obedience — a tall order when a child is mentally unwell.\u003c/p>\n\u003cp>“Once they’re in field training and once they begin to do the work of policing, they develop what they consider to be their own expertise,” Jones said. “Officers responding in a more aggressive way to people who live in certain neighborhoods — they don’t think about that as biased. They think about that as the kind of expertise that a morally competent police officer would have.\u003cem>”\u003c/em>\u003c/p>\n\u003cp>The study recommends taking an alternative approach to responding to mental health emergencies by expanding programs that \u003ca href=\"https://www.kqed.org/news/11985965/we-approach-in-peace-are-barts-outreach-efforts-to-help-people-in-crisis-working\">send out mental health experts\u003c/a> instead, such as Alameda County’s \u003ca href=\"https://www.acbhcs.org/acute-integrated-health-care/acute-crisis-services/\">Mobile Crisis Team\u003c/a> and San Francisco’s \u003ca href=\"https://www.sf.gov/street-crisis-response-team\">Street Crisis Response Team\u003c/a>.\u003c/p>\n\u003cp>Meanwhile, UCSF researchers hope to undertake a follow-up study examining the longer-term outcomes of children who are handcuffed during mental and behavioral health crises.\u003c/p>\n\u003cp>\u003cem>Nov. 20: This article was updated to clarify which program in Alameda County sends mental health experts to emergency calls as an alternative to police.\u003c/em>\u003c/p>\n\u003cp>\u003c/p>\n\u003c/div>\u003c/p>",
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"slug": "the-first-us-clade-i-mpox-case-has-been-found-in-the-bay-area-heres-what-to-know",
"title": "The 1st US Clade I Mpox Case Has Been Found in the Bay Area. Here’s What to Know",
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"headTitle": "The 1st US Clade I Mpox Case Has Been Found in the Bay Area. Here’s What to Know | KQED",
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"content": "\u003cp>Health officials confirmed this weekend that \u003ca href=\"https://www.kqed.org/news/12014826/san-mateo-county-reports-first-known-u-s-case-of-emerging-mpox-strain\">the first U.S. case of a new mpox strain had been detected in the Bay Area\u003c/a>.\u003c/p>\n\u003cp>This variant of mpox — formerly called monkeypox — is known as clade I and has been \u003ca href=\"https://www.kqed.org/news/12000319/mpox-is-declared-a-global-emergency-again-heres-what-to-know\">circulating in eastern and central Africa over the last year\u003c/a>, where it’s caused sickness among children and adults and even deaths. The disease usually spreads through close skin-to-skin contact, including sex.\u003c/p>\n\u003cp>The Centers for Disease Control and Prevention (CDC) announced Saturday that \u003ca href=\"https://www.cdc.gov/media/releases/s1116-california-first-clade.html\">the U.S.’s first known clade I case had recently returned from travel\u003c/a> to the African continent and was treated for mpox symptoms at a medical facility in San Mateo County.\u003c/p>\n\u003cp>Clade I is a more severe strain of mpox compared to the \u003ca href=\"https://www.kqed.org/news/11919070/monkeypox-in-the-bay-area-from-symptoms-to-how-to-find-a-vaccine-heres-what-we-know\">clade II strain that caused an outbreak in the Bay Area in 2022\u003c/a> and that is still circulating at low levels. But the CDC has said that the risk of clade I mpox to the general public within the U.S. “remains low.” \u003ca href=\"https://www.cdc.gov/mpox/vaccines/index.html\">A two-dose vaccine for mpox\u003c/a>, which offers protection against both clade I and clade II, remains available for eligible people at higher risk of infection.\u003c/p>\n\u003cp>\u003cstrong>Jump straight to: \u003c/strong>\u003c/p>\n\u003cul>\n\u003cli>\u003cstrong>\u003ca href=\"#find-mpox-vaccine-near-me\">Who’s eligible for an mpox vaccine in the Bay Area?\u003c/a>\u003c/strong>\u003c/li>\n\u003cli>\u003cstrong>\u003ca href=\"#who-risk-mpox\">Who is most at risk from mpox?\u003c/a>\u003c/strong>\u003c/li>\n\u003c/ul>\n\u003cp>Keep reading for what we know about this new U.S. case of clade I mpox, how mpox spreads, what symptoms to be aware of and who should get an \u003ca href=\"#find-mpox-vaccine-near-me\">mpox vaccine\u003c/a>.\u003cbr>\n[ad fullwidth]\u003c/p>\n\u003ch2>What do we know about this first clade I mpox case in the U.S.?\u003c/h2>\n\u003cp>Not a great deal — because health officials don’t want to release details that could identify this person.\u003c/p>\n\u003cp>We know that \u003ca href=\"https://www.cdph.ca.gov/Programs/OPA/Pages/NR24-036.aspx\">the patient received medical care at a facility in San Mateo County\u003c/a> and had recently returned from travel to Eastern Africa. The patient is now isolating at home, the CDC said — although their home county hasn’t been disclosed — and their symptoms are improving. “It has not been a severe illness” for this patient, San Mateo County health officer Dr. Kismet Baldwin-Santana said.\u003c/p>\n\u003cp>“People who had close contact with this individual are being contacted by public health workers, but there is no concern or evidence that mpox clade I is currently spreading between individuals in California or the United States,” the California Department of Public Health (CDPH) said in a statement.\u003c/p>\n\u003cp>Baldwin-Santana said that officials were also “actively working” with San Mateo health care staff “that have been exposed.”\u003c/p>\n\u003cp>Dr. Peter Chin-Hong, an infectious disease expert at UCSF, said that the first U.S. case of clade I was “expected,” owing to the scale not just of the outbreak in eastern and central Africa but of international travel. “It was only a matter of time before we saw cases in the U.S. from people who traveled there,” he said.\u003c/p>\n\u003cfigure id=\"attachment_11949273\" class=\"wp-caption alignnone\" style=\"max-width: 1920px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-11949273\" src=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2023/05/RS65506_GettyImages-1428290091-1-qut.jpg\" alt=\"Small circular patterns float in a dense, thick brown substance.\" width=\"1920\" height=\"1523\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2023/05/RS65506_GettyImages-1428290091-1-qut.jpg 1920w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/05/RS65506_GettyImages-1428290091-1-qut-800x635.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/05/RS65506_GettyImages-1428290091-1-qut-1020x809.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/05/RS65506_GettyImages-1428290091-1-qut-160x127.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/05/RS65506_GettyImages-1428290091-1-qut-1536x1218.jpg 1536w\" sizes=\"(max-width: 1920px) 100vw, 1920px\">\u003cfigcaption class=\"wp-caption-text\">Colorized transmission electron micrograph of mpox virus particles (orange) found within an infected cell (brown) cultured in a laboratory. \u003ccite>(NIH-NIAID/Image Point FR/BSIP/Universal Images Group via Getty Images)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003ch2>What is clade I mpox, and where is it spreading?\u003c/h2>\n\u003cp>The mpox virus spreads through close contact with someone who is infected and causes mpox disease. As the name might suggest, the virus is related to the smallpox virus, but it’s generally less severe and much less contagious than smallpox, according to CDPH. In addition to fever, chills, headache and muscle pain, mpox can cause a painful rash — also known as lesions — that appear on many parts of the body.\u003c/p>\n\u003cp>In August, the World Health Organization (WHO) declared a \u003ca href=\"https://www.kqed.org/news/11988079/2024-mpox-vaccine-formerly-monkeypox-symptoms-rash\">clade I mpox outbreak\u003c/a> in eastern and central Africa a \u003ca href=\"https://www.kqed.org/news/12000319/mpox-is-declared-a-global-emergency-again-heres-what-to-know\">global emergency\u003c/a>. Historically, this strain has caused more severe illness and higher fatality rates than the other type of mpox, clade II.\u003c/p>\n\u003cp>The Democratic Republic of the Congo (DRC), which has been the \u003ca href=\"https://www.cdc.gov/mpox/outbreaks/2023/index.html\">epicenter of the outbreak\u003c/a>, has reported more than 9,000 confirmed clade I mpox cases and more than 40 deaths since Jan. 1. \u003ca href=\"https://wwwnc.cdc.gov/travel/notices/level2/clade-1-mpox-central-eastern-africa\">Clade I mpox has also spread\u003c/a> to Burundi, Central African Republic, Republic of the Congo, Rwanda and Uganda. Very few doses of the \u003ca href=\"#find-mpox-vaccine-near-me\">mpox vaccine\u003c/a> were originally available on the African continent, but \u003ca href=\"https://www.unicef.org/press-releases/democratic-republic-congo-starts-mpox-vaccination-high-priority-provinces\">in October, 265,000 doses arrived in the DRC\u003c/a> for distribution among vulnerable groups.\u003c/p>\n\u003cp>In August, \u003ca href=\"https://apnews.com/article/mpox-sweden-congo-9923d0ee8deb362b2af5416bb273d629\">the first clade I mpox case outside the African continent was detected in Sweden\u003c/a>. Subsequent cases of people who had recently traveled to affected regions in Africa have also been detected in Germany, India, Kenya, Thailand, the United Kingdom, Zambia and Zimbabwe — and now the U.S.\u003c/p>\n\u003ch2>How is clade I different from the type of mpox that hit the Bay Area in 2022?\u003c/h2>\n\u003cp>\u003ca href=\"https://www.kqed.org/news/11919070/monkeypox-in-the-bay-area-from-symptoms-to-how-to-find-a-vaccine-heres-what-we-know\">The 2022 mpox outbreak in the United States\u003c/a> — which particularly affected gay and bisexual men, as well as trans and nonbinary people who have sex with men — was caused by clade II mpox, the less severe strain. \u003ca href=\"https://www.kqed.org/news/12000319/mpox-is-declared-a-global-emergency-again-heres-what-to-know#mpox-wastewater\">Read more about the 2022 outbreak\u003c/a>.\u003c/p>\n\u003cp>2024’s clade I mpox is also different because it’s “not really in a \u003ca href=\"https://prevention.ucsf.edu/research-project/sexual-networks\">sexual network\u003c/a> per se,” UCSF’s Chin-Hong said — that is, groups of people who are connected to one another sexually. In 2022, clade II “was engineered, almost, to be very efficiently spread within a sexual network, and it was amplified by \u003ca href=\"https://www.kqed.org/news/11988079/2024-mpox-vaccine-formerly-monkeypox-symptoms-rash\">a lot of things happening at the same time, like Pride events\u003c/a>.”\u003c/p>\n\u003cp>The clade I strain that’s been spreading in eastern and central Africa “primarily affects heterosexual people and children within households,” Chin-Hong said — but with the caveat that this exposure within a home has to be “intensive.”\u003c/p>\n\u003cp>\u003cspan style=\"margin: 0px; padding: 0px;\">\u003ca href=\"https://data.wastewaterscan.org/tracker/?charts=CjEQASABSABSBmU5ZTg3ZVIGMzc0MzBhWgpNUFhWX0cyUl9HeIkBigEGOTY3NzIwwAEB&selectedChartId=967720\" target=\"_blank\" rel=\"noopener\">Data from Stanford University’s WastewaterSCAN project\u003c/a>, which monitors the presence of viruses, including mpox, in human sewage across the U.S., shows that more than two years after the initial 2022 outbreak, clade II of mpox is still occasionally detected in the Bay Area’s wastewater.\u003c/span>\u003c/p>\n\u003cp>Dr. Julia Janssen, deputy director of the HIV/STI Prevention and Control Branch at the San Francisco Department of Public Health, stressed that the city had seen 31 confirmed cases this year — and that \u003ca href=\"https://www.cdc.gov/mpox/hcp/clinical-overview/index.html\">Bay Area residents at higher risk of infection \u003c/a>should still stay vigilant for clade II mpox by \u003ca href=\"#find-mpox-vaccine-near-me\">getting their mpox vaccine.\u003c/a>\u003c/p>\n\u003cfigure id=\"attachment_11988132\" class=\"wp-caption alignnone\" style=\"max-width: 1920px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-11988132\" src=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2024/05/GettyImages-1412778743.jpg\" alt=\"\" width=\"1920\" height=\"1315\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2024/05/GettyImages-1412778743.jpg 1920w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/05/GettyImages-1412778743-800x548.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/05/GettyImages-1412778743-1020x699.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/05/GettyImages-1412778743-160x110.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/05/GettyImages-1412778743-1536x1052.jpg 1536w\" sizes=\"(max-width: 1920px) 100vw, 1920px\">\u003cfigcaption class=\"wp-caption-text\">A pharmacist prepares a dose of the Jynneos mpox vaccine at a pop-up vaccination clinic opened by the Los Angeles County Department of Public Health at the West Hollywood Library on Aug. 3, 2022, in West Hollywood, California. \u003ccite>(Mario Tama/Getty Images)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003ch2>\u003ca id=\"who-risk-mpox\">\u003c/a>Who is at higher risk of getting clade I mpox?\u003c/h2>\n\u003cp>“Nothing has led us to believe up till now that there is a heightened risk to the general public” from clade I mpox, San Mateo County’s Baldwin-Santana said, echoing the CDC and CDPH. “Most people in the public really should not be too concerned at this point in time.”\u003c/p>\n\u003cp>The CDC said that the large number of children getting clade I in eastern and central Africa likely shows that it’s spreading within households and between family members. “Based on what we know right now, \u003ca href=\"https://www.cdc.gov/mpox/situation-summary/index.html\">we don’t expect to see the same sort of risk if mpox were introduced in the United States for several reasons\u003c/a>, including different household makeup and size, access to disinfecting products and improved access to medical care,” the agency said.\u003c/p>\n\u003cp>Based on its own models, the CDC also said that close-contact transmission within and between households “is \u003ca href=\"https://www.cdc.gov/forecast-outbreak-analytics/about/modeling-forecasting/mpox-transmission.html\">unlikely to result in a large number of mpox clade I cases\u003c/a>” nationally.\u003c/p>\n\u003cp>Clade I is “nothing to worry about for the general population” in the Bay Area, UCSF’s Chin-Hong said. “It’s still very hard to get mpox, even from somebody with active lesions. It requires close skin-to-skin contact or intensive household contact — so you can’t get it from Muni or from yoga or from going to Trader Joe’s.”\u003c/p>\n\u003cp>Clade II mpox remains a much more real threat in the Bay Area right now than this one clade I case, Chin-Hong said, since that strain is still circulating at low levels in the region. It’s “a great reminder for people to continue to pay attention to that — that is, people in the LGBTQ community — to really make sure they’re up to date on\u003ca href=\"#find-mpox-vaccine-near-me\"> vaccines\u003c/a>,” he said, reminding folks that gay and bisexual men and other men who have sex with men, as well as transgender, nonbinary and gender-diverse people, are at greater risk for a clade II infection. Jump to \u003ca href=\"#find-mpox-vaccine-near-me\">where to find an mpox vaccine. \u003c/a>\u003c/p>\n\u003ch3>What are the symptoms of mpox, and how does it spread?\u003c/h3>\n\u003cp>The mpox virus spreads through close — usually skin-to-skin — contact with someone who is infected. This could be direct contact with the infectious rashes or scabs someone with mpox develops, scabs, having intimate physical contact with someone who has mpox, such as kissing, cuddling or sex. Coming into contact with infected bodily fluids or items that have been touched by rashes or fluids from an infected person can also expose you to the virus.\u003c/p>\n\u003cp>The symptoms of clade I and clade II mpox are similar, SFDPH’s Janssen said, and they can often start as flu-like conditions — which is worth bearing in mind as the Bay Area enters respiratory virus season.\u003c/p>\n\u003cp>The mpox virus also appears as a rash or sores or spots that can resemble pimples or blisters on the skin anywhere on the body, including the face, inside the mouth, hands, feet, chest, genitals and anus. These spots often start as red, flat spots that then become bumps before the bumps become filled with pus and turn into scabs when they break. These symptoms can be extremely painful. \u003ca href=\"https://www.cdc.gov/poxvirus/mpox/symptoms/index.html\">If you’re unsure about recognizing an mpox rash, the CDC has a photo guide\u003c/a>.\u003c/p>\n\u003cp>\u003ca href=\"https://www.cdc.gov/poxvirus/mpox/symptoms/index.html\">Mpox can have a long incubation period\u003c/a> — that is, the time between when you’re exposed to mpox and when you start to develop symptoms — that can range from three to 17 days, according to the CDC.\u003c/p>\n\u003cp>If you suspect you might have mpox symptoms — even if they’re subtle — see your health care provider right away or \u003ca href=\"https://www.sf.gov/get-mpox-vaccines-testing-and-medicine\">consult one of SFPDH’s clinics for mpox testing\u003c/a>. See more on \u003ca href=\"https://sf.gov/information/mpox\">what to do if you suspect you have mpox\u003c/a>.\u003c/p>\n\u003cfigure id=\"attachment_12000320\" class=\"wp-caption alignnone\" style=\"max-width: 1024px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-12000320\" src=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2024/08/GettyImages-1414098149.jpg\" alt=\"A woman wearing glasses, a face mask and a visor with blue surgical gloves holds a syringe and a small bottle.\" width=\"1024\" height=\"646\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2024/08/GettyImages-1414098149.jpg 1024w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/08/GettyImages-1414098149-800x505.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/08/GettyImages-1414098149-1020x643.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/08/GettyImages-1414098149-160x101.jpg 160w\" sizes=\"(max-width: 1024px) 100vw, 1024px\">\u003cfigcaption class=\"wp-caption-text\">Licensed Vocational Nurse (LVN) Gabriela Solis prepares a dose of the Jynneos mpox vaccine at an L.A. County vaccination site in East Los Angeles on Aug. 10, 2022. \u003ccite>(Mario Tama/Getty Images)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003ch3>\u003ca id=\"find-mpox-vaccine-near-me\">\u003c/a>Who’s eligible for an mpox vaccine in the Bay Area?\u003c/h3>\n\u003cp>The vaccine currently available in the U.S. (brand name: Jynneos) is a two-dose series, with roughly a month between doses. Maximal immunity will build two weeks after your second dose. If you only got one dose previously, go ahead and seek out your second dose ASAP.[aside tag=\"mpox, health\" label=\"More Related Stories\"]\u003c/p>\n\u003cp>The U.S. Department of Health and Human Services said in a statement that people who have received both doses of the mpox vaccine — along with people who have already had clade II mpox — “are \u003ca href=\"https://www.hhs.gov/about/news/2024/08/14/united-states-governments-response-clade-i-mpox-outbreak-democratic-republic-congo-other-countries-region.html\">expected to be protected against severe illness from clade I mpox\u003c/a>” as well.\u003c/p>\n\u003cp>The CDC recommends the two-dose mpox vaccine to gay and bisexual men and other men who have sex with men, as well as transgender, nonbinary or gender-diverse people who in the past 6 months, have had:\u003c/p>\n\u003cul>\n\u003cli>More than one sexual partner and/or\u003c/li>\n\u003cli>A new diagnosis of one or more sexually transmitted infections.\u003c/li>\n\u003c/ul>\n\u003cp>The CDC’s vaccine recommendations also include anyone who has had sex at a commercial sex venue like a sex club or bathhouse. \u003ca href=\"https://www.cdc.gov/mpox/vaccines/index.html\">See the full mpox vaccine eligibility recommendations from the CDC\u003c/a>.\u003c/p>\n\u003cp>\u003ca href=\"https://www.sf.gov/get-mpox-vaccines-testing-and-treatment\">San Francisco additionally recommends vaccination\u003c/a> for anyone living with HIV, anyone taking PrEP or who’s eligible to take it and sex workers.\u003c/p>\n\u003cp>The CDC has recently updated its vaccination recommendations to extend to people traveling to countries with clade I outbreaks, which as of Nov. 16 include Burundi, Central African Republic, Democratic Republic of the Congo, Republic of the Congo, Rwanda and Uganda. The agency recommends getting both doses of the vaccine “if you anticipate experiencing any of the following” while traveling to these countries:\u003c/p>\n\u003cul>\n\u003cli>Sex with a new partner\u003c/li>\n\u003cli>Sex at a commercial sex venue, such as a sex club or bathhouse\u003c/li>\n\u003cli>Sex in exchange for money, goods, drugs or other trade\u003c/li>\n\u003cli>Sex in association with a large public event, such as a rave, party or festival.\u003c/li>\n\u003c/ul>\n\u003cp>The mpox vaccine was also originally only available for people aged 18 and older, but in 2022 the Food and Drug Administration (FDA) issued an emergency-use authorization that allows providers to also give the vaccine to young people under 18 who are “determined to be at high risk” of infection.\u003c/p>\n\u003ch3>Where can I find an mpox vaccine?\u003c/h3>\n\u003cp>If you have a regular health care provider, SFDPH recommends you ask them first about getting the mpox vaccine. Your vaccine will be free, but you may be charged a regular copay for seeing your provider.\u003c/p>\n\u003cp>If you’re eligible for the vaccine, your health insurance should cover the costs \u003ca href=\"https://www.cdc.gov/mpox/vaccines/index.htmla\">thanks to the CDC’s recommendations\u003c/a>. If you don’t have a regular health care provider or insurance, you can find the mpox vaccine free at clinics around the Bay Area. You can opt to schedule an appointment or choose a walk-in clinic, depending on what works best for you.\u003c/p>\n\u003cp>(As with the COVID-19 vaccine, receiving an mpox vaccine won’t make you \u003ca href=\"https://documentedny.com/2021/04/04/public-charge-rule-explained/\">a public charge\u003c/a> or affect any future immigration processes you may enter into, and you won’t be asked about your immigration status to receive the mpox vaccine.)\u003c/p>\n\u003cp>\u003cstrong>If you live in or near San Francisco:\u003c/strong>\u003c/p>\n\u003cp>See \u003ca href=\"https://sf.gov/information/mpox-vaccine\">a full list of mpox vaccine sites near you in San Francisco\u003c/a>. SFDPH confirms that you don’t have to be a city resident in San Francisco to get vaccinated for mpox.\u003c/p>\n\u003cp>\u003cstrong>Mpox vaccination sites elsewhere in the Bay Area and California:\u003c/strong>\u003c/p>\n\u003cul>\n\u003cli>Find an mpox vaccine clinic near you using \u003ca href=\"https://npin.cdc.gov/DynWidgets/index.html?chost=www.cdc.gov&cpath=/lgbthealth/summer/index.html&csearch=&chash=&ctitle=Get%20Healthy%20and%20Ready%20for%20Summer%20%7C%20LGBT%20Health%20%7C%20CDC&wn=DynWidgets&wf=/DynWidgets/&wid=DynWidgets1&mMode=widget&mPage=&mChannel=&componentName=MpoxLocator#/\">the CDC’s Vaccine Locator\u003c/a>\u003c/li>\n\u003cli>Find an mpox vaccine clinic near you using \u003ca href=\"https://myturn.ca.gov/\">the state’s myturn.ca.gov site\u003c/a>\u003c/li>\n\u003c/ul>\n\u003cp>\u003cstrong>Getting an mpox vaccine at a pharmacy\u003c/strong>\u003c/p>\n\u003cp>Some pharmacies offer mpox vaccination appointments online, along with other vaccines like COVID-19 and flu. But if you choose this route, you’ll be asked for insurance details — and it’s important to verify with your insurer ahead of time that they’ll cover the cost of an mpox vaccine at a pharmacy like CVS or Walgreens, as the out-of-pocket costs you’ll be quoted may be steep. If you find your insurance doesn’t fully cover the cost, \u003ca href=\"https://www.sf.gov/get-mpox-vaccines-testing-and-treatment\">SFDPH said you can seek your vaccine at one of their clinics while supplies last\u003c/a>.\u003c/p>\n\u003cp>If you get your health care through a health system like Kaiser Permanente, it’s unlikely you’ll be able to get your mpox vaccine covered by insurance at a pharmacy like CVS or Walgreens — the way you can’t get your COVID-19 or flu shot covered by Kaiser at a pharmacy either — and may have to seek it directly from a Kaiser provider.\u003c/p>\n\u003cp>If you’re able to make an appointment online at a pharmacy for your mpox vaccine, you should consider calling that location ahead of time to verify that they do indeed have supply in stock.\u003c/p>\n\u003cp>\u003cem>This story includes reporting from KQED’s Billy Cruz, Carlos Cabrera-Lomelí and Nisa Khan.\u003c/em>\u003c/p>\n\u003cp>[ad floatright]\u003c/p>\n",
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"excerpt": "What to know about the new U.S. case of clade I mpox, how mpox spreads, what symptoms to be aware of and who should get an mpox vaccine.",
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"title": "The 1st US Clade I Mpox Case Has Been Found in the Bay Area. Here’s What to Know | KQED",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>Health officials confirmed this weekend that \u003ca href=\"https://www.kqed.org/news/12014826/san-mateo-county-reports-first-known-u-s-case-of-emerging-mpox-strain\">the first U.S. case of a new mpox strain had been detected in the Bay Area\u003c/a>.\u003c/p>\n\u003cp>This variant of mpox — formerly called monkeypox — is known as clade I and has been \u003ca href=\"https://www.kqed.org/news/12000319/mpox-is-declared-a-global-emergency-again-heres-what-to-know\">circulating in eastern and central Africa over the last year\u003c/a>, where it’s caused sickness among children and adults and even deaths. The disease usually spreads through close skin-to-skin contact, including sex.\u003c/p>\n\u003cp>The Centers for Disease Control and Prevention (CDC) announced Saturday that \u003ca href=\"https://www.cdc.gov/media/releases/s1116-california-first-clade.html\">the U.S.’s first known clade I case had recently returned from travel\u003c/a> to the African continent and was treated for mpox symptoms at a medical facility in San Mateo County.\u003c/p>\n\u003cp>Clade I is a more severe strain of mpox compared to the \u003ca href=\"https://www.kqed.org/news/11919070/monkeypox-in-the-bay-area-from-symptoms-to-how-to-find-a-vaccine-heres-what-we-know\">clade II strain that caused an outbreak in the Bay Area in 2022\u003c/a> and that is still circulating at low levels. But the CDC has said that the risk of clade I mpox to the general public within the U.S. “remains low.” \u003ca href=\"https://www.cdc.gov/mpox/vaccines/index.html\">A two-dose vaccine for mpox\u003c/a>, which offers protection against both clade I and clade II, remains available for eligible people at higher risk of infection.\u003c/p>\n\u003cp>\u003cstrong>Jump straight to: \u003c/strong>\u003c/p>\n\u003cul>\n\u003cli>\u003cstrong>\u003ca href=\"#find-mpox-vaccine-near-me\">Who’s eligible for an mpox vaccine in the Bay Area?\u003c/a>\u003c/strong>\u003c/li>\n\u003cli>\u003cstrong>\u003ca href=\"#who-risk-mpox\">Who is most at risk from mpox?\u003c/a>\u003c/strong>\u003c/li>\n\u003c/ul>\n\u003cp>Keep reading for what we know about this new U.S. case of clade I mpox, how mpox spreads, what symptoms to be aware of and who should get an \u003ca href=\"#find-mpox-vaccine-near-me\">mpox vaccine\u003c/a>.\u003cbr>\n\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003ch2>What do we know about this first clade I mpox case in the U.S.?\u003c/h2>\n\u003cp>Not a great deal — because health officials don’t want to release details that could identify this person.\u003c/p>\n\u003cp>We know that \u003ca href=\"https://www.cdph.ca.gov/Programs/OPA/Pages/NR24-036.aspx\">the patient received medical care at a facility in San Mateo County\u003c/a> and had recently returned from travel to Eastern Africa. The patient is now isolating at home, the CDC said — although their home county hasn’t been disclosed — and their symptoms are improving. “It has not been a severe illness” for this patient, San Mateo County health officer Dr. Kismet Baldwin-Santana said.\u003c/p>\n\u003cp>“People who had close contact with this individual are being contacted by public health workers, but there is no concern or evidence that mpox clade I is currently spreading between individuals in California or the United States,” the California Department of Public Health (CDPH) said in a statement.\u003c/p>\n\u003cp>Baldwin-Santana said that officials were also “actively working” with San Mateo health care staff “that have been exposed.”\u003c/p>\n\u003cp>Dr. Peter Chin-Hong, an infectious disease expert at UCSF, said that the first U.S. case of clade I was “expected,” owing to the scale not just of the outbreak in eastern and central Africa but of international travel. “It was only a matter of time before we saw cases in the U.S. from people who traveled there,” he said.\u003c/p>\n\u003cfigure id=\"attachment_11949273\" class=\"wp-caption alignnone\" style=\"max-width: 1920px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-11949273\" src=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2023/05/RS65506_GettyImages-1428290091-1-qut.jpg\" alt=\"Small circular patterns float in a dense, thick brown substance.\" width=\"1920\" height=\"1523\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2023/05/RS65506_GettyImages-1428290091-1-qut.jpg 1920w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/05/RS65506_GettyImages-1428290091-1-qut-800x635.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/05/RS65506_GettyImages-1428290091-1-qut-1020x809.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/05/RS65506_GettyImages-1428290091-1-qut-160x127.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/05/RS65506_GettyImages-1428290091-1-qut-1536x1218.jpg 1536w\" sizes=\"(max-width: 1920px) 100vw, 1920px\">\u003cfigcaption class=\"wp-caption-text\">Colorized transmission electron micrograph of mpox virus particles (orange) found within an infected cell (brown) cultured in a laboratory. \u003ccite>(NIH-NIAID/Image Point FR/BSIP/Universal Images Group via Getty Images)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003ch2>What is clade I mpox, and where is it spreading?\u003c/h2>\n\u003cp>The mpox virus spreads through close contact with someone who is infected and causes mpox disease. As the name might suggest, the virus is related to the smallpox virus, but it’s generally less severe and much less contagious than smallpox, according to CDPH. In addition to fever, chills, headache and muscle pain, mpox can cause a painful rash — also known as lesions — that appear on many parts of the body.\u003c/p>\n\u003cp>In August, the World Health Organization (WHO) declared a \u003ca href=\"https://www.kqed.org/news/11988079/2024-mpox-vaccine-formerly-monkeypox-symptoms-rash\">clade I mpox outbreak\u003c/a> in eastern and central Africa a \u003ca href=\"https://www.kqed.org/news/12000319/mpox-is-declared-a-global-emergency-again-heres-what-to-know\">global emergency\u003c/a>. Historically, this strain has caused more severe illness and higher fatality rates than the other type of mpox, clade II.\u003c/p>\n\u003cp>The Democratic Republic of the Congo (DRC), which has been the \u003ca href=\"https://www.cdc.gov/mpox/outbreaks/2023/index.html\">epicenter of the outbreak\u003c/a>, has reported more than 9,000 confirmed clade I mpox cases and more than 40 deaths since Jan. 1. \u003ca href=\"https://wwwnc.cdc.gov/travel/notices/level2/clade-1-mpox-central-eastern-africa\">Clade I mpox has also spread\u003c/a> to Burundi, Central African Republic, Republic of the Congo, Rwanda and Uganda. Very few doses of the \u003ca href=\"#find-mpox-vaccine-near-me\">mpox vaccine\u003c/a> were originally available on the African continent, but \u003ca href=\"https://www.unicef.org/press-releases/democratic-republic-congo-starts-mpox-vaccination-high-priority-provinces\">in October, 265,000 doses arrived in the DRC\u003c/a> for distribution among vulnerable groups.\u003c/p>\n\u003cp>In August, \u003ca href=\"https://apnews.com/article/mpox-sweden-congo-9923d0ee8deb362b2af5416bb273d629\">the first clade I mpox case outside the African continent was detected in Sweden\u003c/a>. Subsequent cases of people who had recently traveled to affected regions in Africa have also been detected in Germany, India, Kenya, Thailand, the United Kingdom, Zambia and Zimbabwe — and now the U.S.\u003c/p>\n\u003ch2>How is clade I different from the type of mpox that hit the Bay Area in 2022?\u003c/h2>\n\u003cp>\u003ca href=\"https://www.kqed.org/news/11919070/monkeypox-in-the-bay-area-from-symptoms-to-how-to-find-a-vaccine-heres-what-we-know\">The 2022 mpox outbreak in the United States\u003c/a> — which particularly affected gay and bisexual men, as well as trans and nonbinary people who have sex with men — was caused by clade II mpox, the less severe strain. \u003ca href=\"https://www.kqed.org/news/12000319/mpox-is-declared-a-global-emergency-again-heres-what-to-know#mpox-wastewater\">Read more about the 2022 outbreak\u003c/a>.\u003c/p>\n\u003cp>2024’s clade I mpox is also different because it’s “not really in a \u003ca href=\"https://prevention.ucsf.edu/research-project/sexual-networks\">sexual network\u003c/a> per se,” UCSF’s Chin-Hong said — that is, groups of people who are connected to one another sexually. In 2022, clade II “was engineered, almost, to be very efficiently spread within a sexual network, and it was amplified by \u003ca href=\"https://www.kqed.org/news/11988079/2024-mpox-vaccine-formerly-monkeypox-symptoms-rash\">a lot of things happening at the same time, like Pride events\u003c/a>.”\u003c/p>\n\u003cp>The clade I strain that’s been spreading in eastern and central Africa “primarily affects heterosexual people and children within households,” Chin-Hong said — but with the caveat that this exposure within a home has to be “intensive.”\u003c/p>\n\u003cp>\u003cspan style=\"margin: 0px; padding: 0px;\">\u003ca href=\"https://data.wastewaterscan.org/tracker/?charts=CjEQASABSABSBmU5ZTg3ZVIGMzc0MzBhWgpNUFhWX0cyUl9HeIkBigEGOTY3NzIwwAEB&selectedChartId=967720\" target=\"_blank\" rel=\"noopener\">Data from Stanford University’s WastewaterSCAN project\u003c/a>, which monitors the presence of viruses, including mpox, in human sewage across the U.S., shows that more than two years after the initial 2022 outbreak, clade II of mpox is still occasionally detected in the Bay Area’s wastewater.\u003c/span>\u003c/p>\n\u003cp>Dr. Julia Janssen, deputy director of the HIV/STI Prevention and Control Branch at the San Francisco Department of Public Health, stressed that the city had seen 31 confirmed cases this year — and that \u003ca href=\"https://www.cdc.gov/mpox/hcp/clinical-overview/index.html\">Bay Area residents at higher risk of infection \u003c/a>should still stay vigilant for clade II mpox by \u003ca href=\"#find-mpox-vaccine-near-me\">getting their mpox vaccine.\u003c/a>\u003c/p>\n\u003cfigure id=\"attachment_11988132\" class=\"wp-caption alignnone\" style=\"max-width: 1920px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-11988132\" src=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2024/05/GettyImages-1412778743.jpg\" alt=\"\" width=\"1920\" height=\"1315\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2024/05/GettyImages-1412778743.jpg 1920w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/05/GettyImages-1412778743-800x548.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/05/GettyImages-1412778743-1020x699.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/05/GettyImages-1412778743-160x110.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/05/GettyImages-1412778743-1536x1052.jpg 1536w\" sizes=\"(max-width: 1920px) 100vw, 1920px\">\u003cfigcaption class=\"wp-caption-text\">A pharmacist prepares a dose of the Jynneos mpox vaccine at a pop-up vaccination clinic opened by the Los Angeles County Department of Public Health at the West Hollywood Library on Aug. 3, 2022, in West Hollywood, California. \u003ccite>(Mario Tama/Getty Images)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003ch2>\u003ca id=\"who-risk-mpox\">\u003c/a>Who is at higher risk of getting clade I mpox?\u003c/h2>\n\u003cp>“Nothing has led us to believe up till now that there is a heightened risk to the general public” from clade I mpox, San Mateo County’s Baldwin-Santana said, echoing the CDC and CDPH. “Most people in the public really should not be too concerned at this point in time.”\u003c/p>\n\u003cp>The CDC said that the large number of children getting clade I in eastern and central Africa likely shows that it’s spreading within households and between family members. “Based on what we know right now, \u003ca href=\"https://www.cdc.gov/mpox/situation-summary/index.html\">we don’t expect to see the same sort of risk if mpox were introduced in the United States for several reasons\u003c/a>, including different household makeup and size, access to disinfecting products and improved access to medical care,” the agency said.\u003c/p>\n\u003cp>Based on its own models, the CDC also said that close-contact transmission within and between households “is \u003ca href=\"https://www.cdc.gov/forecast-outbreak-analytics/about/modeling-forecasting/mpox-transmission.html\">unlikely to result in a large number of mpox clade I cases\u003c/a>” nationally.\u003c/p>\n\u003cp>Clade I is “nothing to worry about for the general population” in the Bay Area, UCSF’s Chin-Hong said. “It’s still very hard to get mpox, even from somebody with active lesions. It requires close skin-to-skin contact or intensive household contact — so you can’t get it from Muni or from yoga or from going to Trader Joe’s.”\u003c/p>\n\u003cp>Clade II mpox remains a much more real threat in the Bay Area right now than this one clade I case, Chin-Hong said, since that strain is still circulating at low levels in the region. It’s “a great reminder for people to continue to pay attention to that — that is, people in the LGBTQ community — to really make sure they’re up to date on\u003ca href=\"#find-mpox-vaccine-near-me\"> vaccines\u003c/a>,” he said, reminding folks that gay and bisexual men and other men who have sex with men, as well as transgender, nonbinary and gender-diverse people, are at greater risk for a clade II infection. Jump to \u003ca href=\"#find-mpox-vaccine-near-me\">where to find an mpox vaccine. \u003c/a>\u003c/p>\n\u003ch3>What are the symptoms of mpox, and how does it spread?\u003c/h3>\n\u003cp>The mpox virus spreads through close — usually skin-to-skin — contact with someone who is infected. This could be direct contact with the infectious rashes or scabs someone with mpox develops, scabs, having intimate physical contact with someone who has mpox, such as kissing, cuddling or sex. Coming into contact with infected bodily fluids or items that have been touched by rashes or fluids from an infected person can also expose you to the virus.\u003c/p>\n\u003cp>The symptoms of clade I and clade II mpox are similar, SFDPH’s Janssen said, and they can often start as flu-like conditions — which is worth bearing in mind as the Bay Area enters respiratory virus season.\u003c/p>\n\u003cp>The mpox virus also appears as a rash or sores or spots that can resemble pimples or blisters on the skin anywhere on the body, including the face, inside the mouth, hands, feet, chest, genitals and anus. These spots often start as red, flat spots that then become bumps before the bumps become filled with pus and turn into scabs when they break. These symptoms can be extremely painful. \u003ca href=\"https://www.cdc.gov/poxvirus/mpox/symptoms/index.html\">If you’re unsure about recognizing an mpox rash, the CDC has a photo guide\u003c/a>.\u003c/p>\n\u003cp>\u003ca href=\"https://www.cdc.gov/poxvirus/mpox/symptoms/index.html\">Mpox can have a long incubation period\u003c/a> — that is, the time between when you’re exposed to mpox and when you start to develop symptoms — that can range from three to 17 days, according to the CDC.\u003c/p>\n\u003cp>If you suspect you might have mpox symptoms — even if they’re subtle — see your health care provider right away or \u003ca href=\"https://www.sf.gov/get-mpox-vaccines-testing-and-medicine\">consult one of SFPDH’s clinics for mpox testing\u003c/a>. See more on \u003ca href=\"https://sf.gov/information/mpox\">what to do if you suspect you have mpox\u003c/a>.\u003c/p>\n\u003cfigure id=\"attachment_12000320\" class=\"wp-caption alignnone\" style=\"max-width: 1024px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-12000320\" src=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2024/08/GettyImages-1414098149.jpg\" alt=\"A woman wearing glasses, a face mask and a visor with blue surgical gloves holds a syringe and a small bottle.\" width=\"1024\" height=\"646\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2024/08/GettyImages-1414098149.jpg 1024w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/08/GettyImages-1414098149-800x505.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/08/GettyImages-1414098149-1020x643.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/08/GettyImages-1414098149-160x101.jpg 160w\" sizes=\"(max-width: 1024px) 100vw, 1024px\">\u003cfigcaption class=\"wp-caption-text\">Licensed Vocational Nurse (LVN) Gabriela Solis prepares a dose of the Jynneos mpox vaccine at an L.A. County vaccination site in East Los Angeles on Aug. 10, 2022. \u003ccite>(Mario Tama/Getty Images)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003ch3>\u003ca id=\"find-mpox-vaccine-near-me\">\u003c/a>Who’s eligible for an mpox vaccine in the Bay Area?\u003c/h3>\n\u003cp>The vaccine currently available in the U.S. (brand name: Jynneos) is a two-dose series, with roughly a month between doses. Maximal immunity will build two weeks after your second dose. If you only got one dose previously, go ahead and seek out your second dose ASAP.\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>The U.S. Department of Health and Human Services said in a statement that people who have received both doses of the mpox vaccine — along with people who have already had clade II mpox — “are \u003ca href=\"https://www.hhs.gov/about/news/2024/08/14/united-states-governments-response-clade-i-mpox-outbreak-democratic-republic-congo-other-countries-region.html\">expected to be protected against severe illness from clade I mpox\u003c/a>” as well.\u003c/p>\n\u003cp>The CDC recommends the two-dose mpox vaccine to gay and bisexual men and other men who have sex with men, as well as transgender, nonbinary or gender-diverse people who in the past 6 months, have had:\u003c/p>\n\u003cul>\n\u003cli>More than one sexual partner and/or\u003c/li>\n\u003cli>A new diagnosis of one or more sexually transmitted infections.\u003c/li>\n\u003c/ul>\n\u003cp>The CDC’s vaccine recommendations also include anyone who has had sex at a commercial sex venue like a sex club or bathhouse. \u003ca href=\"https://www.cdc.gov/mpox/vaccines/index.html\">See the full mpox vaccine eligibility recommendations from the CDC\u003c/a>.\u003c/p>\n\u003cp>\u003ca href=\"https://www.sf.gov/get-mpox-vaccines-testing-and-treatment\">San Francisco additionally recommends vaccination\u003c/a> for anyone living with HIV, anyone taking PrEP or who’s eligible to take it and sex workers.\u003c/p>\n\u003cp>The CDC has recently updated its vaccination recommendations to extend to people traveling to countries with clade I outbreaks, which as of Nov. 16 include Burundi, Central African Republic, Democratic Republic of the Congo, Republic of the Congo, Rwanda and Uganda. The agency recommends getting both doses of the vaccine “if you anticipate experiencing any of the following” while traveling to these countries:\u003c/p>\n\u003cul>\n\u003cli>Sex with a new partner\u003c/li>\n\u003cli>Sex at a commercial sex venue, such as a sex club or bathhouse\u003c/li>\n\u003cli>Sex in exchange for money, goods, drugs or other trade\u003c/li>\n\u003cli>Sex in association with a large public event, such as a rave, party or festival.\u003c/li>\n\u003c/ul>\n\u003cp>The mpox vaccine was also originally only available for people aged 18 and older, but in 2022 the Food and Drug Administration (FDA) issued an emergency-use authorization that allows providers to also give the vaccine to young people under 18 who are “determined to be at high risk” of infection.\u003c/p>\n\u003ch3>Where can I find an mpox vaccine?\u003c/h3>\n\u003cp>If you have a regular health care provider, SFDPH recommends you ask them first about getting the mpox vaccine. Your vaccine will be free, but you may be charged a regular copay for seeing your provider.\u003c/p>\n\u003cp>If you’re eligible for the vaccine, your health insurance should cover the costs \u003ca href=\"https://www.cdc.gov/mpox/vaccines/index.htmla\">thanks to the CDC’s recommendations\u003c/a>. If you don’t have a regular health care provider or insurance, you can find the mpox vaccine free at clinics around the Bay Area. You can opt to schedule an appointment or choose a walk-in clinic, depending on what works best for you.\u003c/p>\n\u003cp>(As with the COVID-19 vaccine, receiving an mpox vaccine won’t make you \u003ca href=\"https://documentedny.com/2021/04/04/public-charge-rule-explained/\">a public charge\u003c/a> or affect any future immigration processes you may enter into, and you won’t be asked about your immigration status to receive the mpox vaccine.)\u003c/p>\n\u003cp>\u003cstrong>If you live in or near San Francisco:\u003c/strong>\u003c/p>\n\u003cp>See \u003ca href=\"https://sf.gov/information/mpox-vaccine\">a full list of mpox vaccine sites near you in San Francisco\u003c/a>. SFDPH confirms that you don’t have to be a city resident in San Francisco to get vaccinated for mpox.\u003c/p>\n\u003cp>\u003cstrong>Mpox vaccination sites elsewhere in the Bay Area and California:\u003c/strong>\u003c/p>\n\u003cul>\n\u003cli>Find an mpox vaccine clinic near you using \u003ca href=\"https://npin.cdc.gov/DynWidgets/index.html?chost=www.cdc.gov&cpath=/lgbthealth/summer/index.html&csearch=&chash=&ctitle=Get%20Healthy%20and%20Ready%20for%20Summer%20%7C%20LGBT%20Health%20%7C%20CDC&wn=DynWidgets&wf=/DynWidgets/&wid=DynWidgets1&mMode=widget&mPage=&mChannel=&componentName=MpoxLocator#/\">the CDC’s Vaccine Locator\u003c/a>\u003c/li>\n\u003cli>Find an mpox vaccine clinic near you using \u003ca href=\"https://myturn.ca.gov/\">the state’s myturn.ca.gov site\u003c/a>\u003c/li>\n\u003c/ul>\n\u003cp>\u003cstrong>Getting an mpox vaccine at a pharmacy\u003c/strong>\u003c/p>\n\u003cp>Some pharmacies offer mpox vaccination appointments online, along with other vaccines like COVID-19 and flu. But if you choose this route, you’ll be asked for insurance details — and it’s important to verify with your insurer ahead of time that they’ll cover the cost of an mpox vaccine at a pharmacy like CVS or Walgreens, as the out-of-pocket costs you’ll be quoted may be steep. If you find your insurance doesn’t fully cover the cost, \u003ca href=\"https://www.sf.gov/get-mpox-vaccines-testing-and-treatment\">SFDPH said you can seek your vaccine at one of their clinics while supplies last\u003c/a>.\u003c/p>\n\u003cp>If you get your health care through a health system like Kaiser Permanente, it’s unlikely you’ll be able to get your mpox vaccine covered by insurance at a pharmacy like CVS or Walgreens — the way you can’t get your COVID-19 or flu shot covered by Kaiser at a pharmacy either — and may have to seek it directly from a Kaiser provider.\u003c/p>\n\u003cp>If you’re able to make an appointment online at a pharmacy for your mpox vaccine, you should consider calling that location ahead of time to verify that they do indeed have supply in stock.\u003c/p>\n\u003cp>\u003cem>This story includes reporting from KQED’s Billy Cruz, Carlos Cabrera-Lomelí and Nisa Khan.\u003c/em>\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cp>\u003ca href=\"https://www.cdph.ca.gov/Programs/OPA/Pages/NR24-036.aspx\">Health officials said Saturday\u003c/a> they have confirmed the first U.S. case of a \u003ca href=\"https://apnews.com/article/what-is-mpox-monkey-pox-congo-emergency-415d11f9e62d104b4c40dd8fe8e80b47\">new form of mpox\u003c/a> that was first seen in \u003ca href=\"https://apnews.com/article/mpox-congo-africa-vaccines-who-928b3954e0e47f60bbdc8988fe644107\">eastern Congo\u003c/a>.\u003c/p>\n\u003cp>The person had traveled to eastern Africa and was treated in San Mateo County upon return, according to the California Department of Public Health. Symptoms are improving and the risk to the public is low.\u003c/p>\n\u003cp>The individual was isolating at home and health workers are reaching out to close contacts as a precaution, the state health department said.[ad fullwidth]\u003c/p>\n\u003cp>\u003ca href=\"https://apnews.com/article/africa-mpox-outbreak-who-f1c5d501223ccf3b53c6d9a2727d5c8a\">Mpox\u003c/a> is a rare disease caused by infection with a virus that’s in the same family as the one that causes smallpox. It is endemic in parts of Africa, where people have been infected through bites from rodents or small animals. Milder symptoms can include fever, chills and body aches. In more serious cases, people can develop lesions on the face, hands, chest and genitals.\u003c/p>\n\u003cp>\u003ca href=\"https://apnews.com/article/mpox-congo-outbreak-who-fda17cea128f46e48110ad7adcd9e5de\">Earlier this year\u003c/a>, scientists reported the emergence of a new form of mpox in Africa that was spread through close contact including through sex. It was widely transmitted in eastern and central Africa. But in cases that were identified in travelers outside of the continent, spread has been very limited, according to the U.S. Centers for Disease Control and Prevention.[aside tag=\"mpox, health\" label=\"More Related Stories\"]\u003c/p>\n\u003cp>More than 3,100 confirmed cases have been reported just since late September, according to the World Health Organization. The vast majority of them have been in three African countries — Burundi, Uganda, and the Democratic Republic of the Congo.\u003c/p>\n\u003cp>Since then, cases of travelers with the new mpox form have been reported in Germany, India, Kenya, Sweden, Thailand, Zimbabwe, and the United Kingdom.\u003c/p>\n\u003cp>Health officials earlier this month said the situation in Congo appears to be stabilizing. The Africa CDC has estimated Congo needs at least 3 million mpox vaccines to stop the spread, and another 7 million vaccines for the rest of Africa. The spread is mostly through sexual transmission as well as through close contact among children, pregnant women and other vulnerable groups.\u003c/p>\n\u003cp>The current outbreak is different from the 2022 global outbreak of mpox where gay and bisexual men made up the vast majority of cases.\u003c/p>\n\u003cp>More information about mpox and the specific strains, clade I and clade II, is available on the \u003ca href=\"https://www.cdc.gov/mpox/index.html\">CDC website\u003c/a>.\u003c/p>\n\u003cp>___\u003cbr>\n\u003cem>The Associated Press Health and Science Department receives support from the Howard Hughes Medical Institute’s Science and Educational Media Group. The AP is solely responsible for all content.\u003c/em>\u003c/p>\n\u003cp>\u003c/p>\n",
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"excerpt": "The person had traveled to eastern Africa and was treated in San Mateo County upon return, according to the California Department of Public Health. Symptoms are improving and the risk to the public is low.",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>\u003ca href=\"https://www.cdph.ca.gov/Programs/OPA/Pages/NR24-036.aspx\">Health officials said Saturday\u003c/a> they have confirmed the first U.S. case of a \u003ca href=\"https://apnews.com/article/what-is-mpox-monkey-pox-congo-emergency-415d11f9e62d104b4c40dd8fe8e80b47\">new form of mpox\u003c/a> that was first seen in \u003ca href=\"https://apnews.com/article/mpox-congo-africa-vaccines-who-928b3954e0e47f60bbdc8988fe644107\">eastern Congo\u003c/a>.\u003c/p>\n\u003cp>The person had traveled to eastern Africa and was treated in San Mateo County upon return, according to the California Department of Public Health. Symptoms are improving and the risk to the public is low.\u003c/p>\n\u003cp>The individual was isolating at home and health workers are reaching out to close contacts as a precaution, the state health department said.\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>More than 3,100 confirmed cases have been reported just since late September, according to the World Health Organization. The vast majority of them have been in three African countries — Burundi, Uganda, and the Democratic Republic of the Congo.\u003c/p>\n\u003cp>Since then, cases of travelers with the new mpox form have been reported in Germany, India, Kenya, Sweden, Thailand, Zimbabwe, and the United Kingdom.\u003c/p>\n\u003cp>Health officials earlier this month said the situation in Congo appears to be stabilizing. The Africa CDC has estimated Congo needs at least 3 million mpox vaccines to stop the spread, and another 7 million vaccines for the rest of Africa. The spread is mostly through sexual transmission as well as through close contact among children, pregnant women and other vulnerable groups.\u003c/p>\n\u003cp>The current outbreak is different from the 2022 global outbreak of mpox where gay and bisexual men made up the vast majority of cases.\u003c/p>\n\u003cp>More information about mpox and the specific strains, clade I and clade II, is available on the \u003ca href=\"https://www.cdc.gov/mpox/index.html\">CDC website\u003c/a>.\u003c/p>\n\u003cp>___\u003cbr>\n\u003cem>The Associated Press Health and Science Department receives support from the Howard Hughes Medical Institute’s Science and Educational Media Group. The AP is solely responsible for all content.\u003c/em>\u003c/p>\n\u003cp>\u003c/p>\n\u003c/div>\u003c/p>",
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"slug": "whooping-cough-is-soaring-in-the-bay-area-heres-how-to-get-vaccines",
"title": "Whooping Cough Is Soaring in the Bay Area. Here’s How to Get Vaccines",
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"content": "\u003cp>Whooping cough cases are on the rise in California and the Bay Area, particularly in \u003ca href=\"https://www.kqed.org/news/tag/marin-county\">Marin County\u003c/a> — and health experts warn that \u003ca href=\"https://www.kqed.org/stateofhealth/15263/vaccine-refusals-fueled-california-whooping-cough-epidemic-personal-belief-exemption\">flagging vaccination rates\u003c/a> are likely playing a major part in the surge.\u003c/p>\n\u003cul>\n\u003cli>\u003cstrong>Jump straight to: \u003ca href=\"#whooping-cough-vaccine\">Where can I find the whooping cough vaccine?\u003c/a>\u003c/strong>\u003c/li>\n\u003c/ul>\n\u003cp>According to the \u003ca href=\"https://www.cdph.ca.gov/Programs/CID/DCDC/CDPH%20Document%20Library/Immunization/Pertussis_Report_SEP2024.pdf\">Department of Public Health\u003c/a>, nearly 1,800 cases of whooping cough have been reported in California as of Sept. 30, a more than sixfold increase from the same time last year, when there were 288.\u003c/p>\n\u003cp>In Marin County alone, 336 cases have been reported, compared with only five at the same time last year. Although Marin is squarely in the middle of California’s counties by population, its case count this year is the second highest — behind only San Diego County, with 470.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>In San Francisco, there have been 84 reported cases this year, a massive increase considering there was only one reported case in all of 2023.\u003c/p>\n\u003cp>“It’s entirely possible that a lot of the rise that we’re seeing not only in the Bay Area but also nationwide when it comes to whooping cough is related to a lower-than-ideal vaccination rate,” said Dr. Alok Patel, a pediatric hospitalist at Stanford Children’s Health.\u003c/p>\n\u003cp>Whooping cough, also known as pertussis, largely affects young children and infants, although adults and teens are also at risk of contracting the bacterial disease. The respiratory illness is incredibly contagious and can easily spread through exposure to droplets released during a cough or sneeze.\u003c/p>\n\u003cp>\u003c!-- iframe plugin v.4.3 wordpress.org/plugins/iframe/ -->\u003cbr>\n\u003ciframe loading=\"lazy\" title=\"Reported pertussis cases in Bay Area counties (through Sept. 30)\" aria-label=\"Grouped Columns\" id=\"datawrapper-chart-rmjFS\" src=\"https://datawrapper.dwcdn.net/rmjFS/1/\" scrolling=\"no\" frameborder=\"0\" style=\"border: none;\" width=\"1000\" height=\"700\" data-external=\"1\" class=\"iframe-class\">\u003c/iframe>\u003c/p>\n\u003cp>While symptoms of pertussis may resemble those of a common cold — mild cough, low fever and a runny nose — serious infections can result in respiratory pain, prolonged coughing fits and difficulty breathing. In severe cases, the infection can even be fatal for school-age children and babies who have not been vaccinated.\u003c/p>\n\u003cp>According to Patel, the ideal vaccination rate for \u003ca href=\"https://www.kqed.org/perspectives/201007080735/pertussis-and-herd-immunity\">herd immunity\u003c/a> against whooping cough is 95%. He noted, however, that several counties in both the Bay Area and the rest of California have vaccination rates well below that number.\u003c/p>\n\u003cp>“If you have multiple groups of unvaccinated individuals, whether that is by choice or because a child is too young to get vaccinated, it’s easier for an infectious disease that’s really contagious, like whooping cough, to spread among multiple children,” Patel said.\u003c/p>\n\u003cp>For years, Marin County was known for vaccine hesitancy among its largely highly educated, affluent parents, many of whom were skeptical of traditional medicine and pharmaceutical companies. In the 2010s, it \u003ca href=\"https://www.kqed.org/news/115361/marin-parents-opt-out-of-vaccines-at-high-rate-put-community-at-risk-say-health-officials\">led the Bay Area in so-called personal belief exemptions\u003c/a> to required immunizations for schoolchildren. During the pandemic, public health officials made strides in boosting COVID-19 vaccine rates there.\u003c/p>\n\u003cp>As whooping cough rates soar, Patel advised parents to make sure their children’s vaccinations are up to date as soon as possible.\u003c/p>\n\u003cp>In addition to lower vaccination rates, some experts suggest that there has been a loss of immunity over time even for those who have previously been vaccinated, leading to higher case infection rates.\u003c/p>\n\u003cp>Patel said the disease spreads most effectively in clusters due to its contagious nature. He noted that many pandemic-era practices may be useful when it comes to stopping the spread.\u003c/p>\n\u003cp>Consistent handwashing, basic hygiene and wearing a mask can help prevent further infections, Patel noted. He also added that individuals who suspect they may be sick should stay home and that public messaging needs to reflect the seriousness of this respiratory disease so that employers and teachers are more lenient when it comes to excusing absences.\u003c/p>\n\u003cp>Still, Patel emphasized that the most effective way to stop the spread of whooping cough is to get vaccinated.\u003c/p>\n\u003cp>“Before we had an effective whooping cough vaccine, in the 1940s, there were an estimated over 200,000 cases of whooping cough per year that we knew about,” Patel said. “If you fast forward a few decades, that number dropped by 99% in the mid-’70s. We have a completely effective vaccine that has proven its worth for 80 years.”\u003c/p>\n\u003ch2>\u003ca id=\"whooping-cough-vaccine\">\u003c/a>Do I need to get the whooping cough vaccine?\u003c/h2>\n\u003cp>\u003ca href=\"https://www.cdc.gov/pertussis/vaccines/types.html\">The “whooping cough vaccine” \u003c/a>is actually a combination vaccine that protects against not just pertussis but also tetanus and diphtheria. It’s called the DTaP vaccine for babies and children under 7 and the Tdap vaccine for older children and adults.\u003c/p>\n\u003cp>\u003cstrong>For babies and young children (DTaP vaccine)\u003c/strong>\u003c/p>\n\u003cp>Multiple shots are recommended for maximum immunity. Babies are recommended to get three DTaP shots — one at 2 months, 4 months and 6 months.\u003c/p>\n\u003cp>The Centers for Disease Control and Prevention recommends that children then get two booster shots later (at 15–18 months and 4–6 years) to maintain their protection in early childhood.\u003c/p>\n\u003cp>\u003cstrong>For older children (Tdap vaccine)\u003c/strong>\u003c/p>\n\u003cp>The CDC said that preteens should get a Tdap shot between the ages of 11 and 12 years as a booster — and any teenager who didn’t get this earlier shot should get one the next time they visit their provider.\u003c/p>\n\u003cp>\u003cstrong>For adults (Tdap vaccine)\u003c/strong>\u003c/p>\n\u003cp>If you’re an adult who’s never had a Tdap shot, the CDC said you should get one — at any time. The agency also recommends that adults get a booster every 10 years. Pregnant people are also advised to get a Tdap shot early in their third trimester of every pregnancy to protect their baby from whooping cough in their vulnerable first few newborn months.\u003c/p>\n\u003ch2>\u003cstrong>Where can I find a shot in the Bay Area?\u003c/strong>\u003c/h2>\n\u003cp>If you have health insurance, \u003ca href=\"https://www.cdc.gov/pertussis/vaccines/recommendations.html\">the CDC’s recommendation of these shots\u003c/a> means that your insurer should cover the costs. You can find appointments for a Tdap vaccine at:\u003c/p>\n\u003cul>\n\u003cli>Your regular health care provider\u003c/li>\n\u003cli>A local pharmacy like \u003ca href=\"https://www.cvs.com/immunizations/tdap-dtap\">CVS \u003c/a>or \u003ca href=\"https://www.walgreens.com/topic/pharmacy/scheduler/tdap-td-tetanus-diphtheria-pertussis-vaccine_32.jsp\">Walgreens\u003c/a>\u003c/li>\n\u003cli>\u003ca href=\"https://www.vaccines.gov/en/\">vaccines.gov\u003c/a>, the federal government’s vaccine locator\u003c/li>\n\u003cli>\u003ca href=\"https://myturn.ca.gov/vaccinelocator.html\">myturn.ca.gov\u003c/a>, the state’s vaccine locator\u003c/li>\n\u003c/ul>\n\u003cp>For those without insurance: Uninsured children ages 18 and under can get free DTaP vaccines — and other no-cost immunizations — as part of the \u003ca href=\"https://www.cdc.gov/vaccines/programs/vfc/index.html\">Vaccines for Children Program\u003c/a>. People without insurance can get the vaccine at a lower cost — or even free\u003ca href=\"https://eziz.org/assets/docs/IMM-1247.pdf\"> if they qualify for the Vaccines for Adults Program\u003c/a> — from several providers and community clinics around the Bay Area, including:\u003c/p>\n\u003cul>\n\u003cli>\u003ca href=\"https://www.sf.gov/information/aitc-services-and-prices\">San Francisco Department of Public Health’s AITC clinic\u003c/a>\u003c/li>\n\u003cli>\u003ca href=\"https://cchealth.org/immunization/clinics.php#Uninsured\">Contra Costa Public Health Immunization Clinic\u003c/a>\u003c/li>\n\u003cli>\u003ca href=\"https://acphd.org/clinics/\">Alameda County Immunization Clinics.\u003c/a>\u003c/li>\n\u003c/ul>\n\u003cp>(And while you’re at it, remember that now is a great time to \u003ca href=\"https://www.kqed.org/news/12001396/where-can-i-get-new-covid-vaccine-near-me-2024\">get your updated COVID shot and your flu vaccine, too\u003c/a>, as we enter winter respiratory virus season.)\u003c/p>\n\u003cp>[ad floatright]\u003c/p>\n",
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"excerpt": "Cases of whooping cough, which largely affects young children and infants, are on the rise, particularly in Marin County. Low vaccination rates are likely playing a part.",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>Whooping cough cases are on the rise in California and the Bay Area, particularly in \u003ca href=\"https://www.kqed.org/news/tag/marin-county\">Marin County\u003c/a> — and health experts warn that \u003ca href=\"https://www.kqed.org/stateofhealth/15263/vaccine-refusals-fueled-california-whooping-cough-epidemic-personal-belief-exemption\">flagging vaccination rates\u003c/a> are likely playing a major part in the surge.\u003c/p>\n\u003cul>\n\u003cli>\u003cstrong>Jump straight to: \u003ca href=\"#whooping-cough-vaccine\">Where can I find the whooping cough vaccine?\u003c/a>\u003c/strong>\u003c/li>\n\u003c/ul>\n\u003cp>According to the \u003ca href=\"https://www.cdph.ca.gov/Programs/CID/DCDC/CDPH%20Document%20Library/Immunization/Pertussis_Report_SEP2024.pdf\">Department of Public Health\u003c/a>, nearly 1,800 cases of whooping cough have been reported in California as of Sept. 30, a more than sixfold increase from the same time last year, when there were 288.\u003c/p>\n\u003cp>In Marin County alone, 336 cases have been reported, compared with only five at the same time last year. Although Marin is squarely in the middle of California’s counties by population, its case count this year is the second highest — behind only San Diego County, with 470.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>In San Francisco, there have been 84 reported cases this year, a massive increase considering there was only one reported case in all of 2023.\u003c/p>\n\u003cp>“It’s entirely possible that a lot of the rise that we’re seeing not only in the Bay Area but also nationwide when it comes to whooping cough is related to a lower-than-ideal vaccination rate,” said Dr. Alok Patel, a pediatric hospitalist at Stanford Children’s Health.\u003c/p>\n\u003cp>Whooping cough, also known as pertussis, largely affects young children and infants, although adults and teens are also at risk of contracting the bacterial disease. The respiratory illness is incredibly contagious and can easily spread through exposure to droplets released during a cough or sneeze.\u003c/p>\n\u003cp>\u003c!-- iframe plugin v.4.3 wordpress.org/plugins/iframe/ -->\u003cbr>\n\u003ciframe loading=\"lazy\" title=\"Reported pertussis cases in Bay Area counties (through Sept. 30)\" aria-label=\"Grouped Columns\" id=\"datawrapper-chart-rmjFS\" src=\"https://datawrapper.dwcdn.net/rmjFS/1/\" scrolling=\"no\" frameborder=\"0\" style=\"border: none;\" width=\"1000\" height=\"700\" data-external=\"1\" class=\"iframe-class\">\u003c/iframe>\u003c/p>\n\u003cp>While symptoms of pertussis may resemble those of a common cold — mild cough, low fever and a runny nose — serious infections can result in respiratory pain, prolonged coughing fits and difficulty breathing. In severe cases, the infection can even be fatal for school-age children and babies who have not been vaccinated.\u003c/p>\n\u003cp>According to Patel, the ideal vaccination rate for \u003ca href=\"https://www.kqed.org/perspectives/201007080735/pertussis-and-herd-immunity\">herd immunity\u003c/a> against whooping cough is 95%. He noted, however, that several counties in both the Bay Area and the rest of California have vaccination rates well below that number.\u003c/p>\n\u003cp>“If you have multiple groups of unvaccinated individuals, whether that is by choice or because a child is too young to get vaccinated, it’s easier for an infectious disease that’s really contagious, like whooping cough, to spread among multiple children,” Patel said.\u003c/p>\n\u003cp>For years, Marin County was known for vaccine hesitancy among its largely highly educated, affluent parents, many of whom were skeptical of traditional medicine and pharmaceutical companies. In the 2010s, it \u003ca href=\"https://www.kqed.org/news/115361/marin-parents-opt-out-of-vaccines-at-high-rate-put-community-at-risk-say-health-officials\">led the Bay Area in so-called personal belief exemptions\u003c/a> to required immunizations for schoolchildren. During the pandemic, public health officials made strides in boosting COVID-19 vaccine rates there.\u003c/p>\n\u003cp>As whooping cough rates soar, Patel advised parents to make sure their children’s vaccinations are up to date as soon as possible.\u003c/p>\n\u003cp>In addition to lower vaccination rates, some experts suggest that there has been a loss of immunity over time even for those who have previously been vaccinated, leading to higher case infection rates.\u003c/p>\n\u003cp>Patel said the disease spreads most effectively in clusters due to its contagious nature. He noted that many pandemic-era practices may be useful when it comes to stopping the spread.\u003c/p>\n\u003cp>Consistent handwashing, basic hygiene and wearing a mask can help prevent further infections, Patel noted. He also added that individuals who suspect they may be sick should stay home and that public messaging needs to reflect the seriousness of this respiratory disease so that employers and teachers are more lenient when it comes to excusing absences.\u003c/p>\n\u003cp>Still, Patel emphasized that the most effective way to stop the spread of whooping cough is to get vaccinated.\u003c/p>\n\u003cp>“Before we had an effective whooping cough vaccine, in the 1940s, there were an estimated over 200,000 cases of whooping cough per year that we knew about,” Patel said. “If you fast forward a few decades, that number dropped by 99% in the mid-’70s. We have a completely effective vaccine that has proven its worth for 80 years.”\u003c/p>\n\u003ch2>\u003ca id=\"whooping-cough-vaccine\">\u003c/a>Do I need to get the whooping cough vaccine?\u003c/h2>\n\u003cp>\u003ca href=\"https://www.cdc.gov/pertussis/vaccines/types.html\">The “whooping cough vaccine” \u003c/a>is actually a combination vaccine that protects against not just pertussis but also tetanus and diphtheria. It’s called the DTaP vaccine for babies and children under 7 and the Tdap vaccine for older children and adults.\u003c/p>\n\u003cp>\u003cstrong>For babies and young children (DTaP vaccine)\u003c/strong>\u003c/p>\n\u003cp>Multiple shots are recommended for maximum immunity. Babies are recommended to get three DTaP shots — one at 2 months, 4 months and 6 months.\u003c/p>\n\u003cp>The Centers for Disease Control and Prevention recommends that children then get two booster shots later (at 15–18 months and 4–6 years) to maintain their protection in early childhood.\u003c/p>\n\u003cp>\u003cstrong>For older children (Tdap vaccine)\u003c/strong>\u003c/p>\n\u003cp>The CDC said that preteens should get a Tdap shot between the ages of 11 and 12 years as a booster — and any teenager who didn’t get this earlier shot should get one the next time they visit their provider.\u003c/p>\n\u003cp>\u003cstrong>For adults (Tdap vaccine)\u003c/strong>\u003c/p>\n\u003cp>If you’re an adult who’s never had a Tdap shot, the CDC said you should get one — at any time. The agency also recommends that adults get a booster every 10 years. Pregnant people are also advised to get a Tdap shot early in their third trimester of every pregnancy to protect their baby from whooping cough in their vulnerable first few newborn months.\u003c/p>\n\u003ch2>\u003cstrong>Where can I find a shot in the Bay Area?\u003c/strong>\u003c/h2>\n\u003cp>If you have health insurance, \u003ca href=\"https://www.cdc.gov/pertussis/vaccines/recommendations.html\">the CDC’s recommendation of these shots\u003c/a> means that your insurer should cover the costs. You can find appointments for a Tdap vaccine at:\u003c/p>\n\u003cul>\n\u003cli>Your regular health care provider\u003c/li>\n\u003cli>A local pharmacy like \u003ca href=\"https://www.cvs.com/immunizations/tdap-dtap\">CVS \u003c/a>or \u003ca href=\"https://www.walgreens.com/topic/pharmacy/scheduler/tdap-td-tetanus-diphtheria-pertussis-vaccine_32.jsp\">Walgreens\u003c/a>\u003c/li>\n\u003cli>\u003ca href=\"https://www.vaccines.gov/en/\">vaccines.gov\u003c/a>, the federal government’s vaccine locator\u003c/li>\n\u003cli>\u003ca href=\"https://myturn.ca.gov/vaccinelocator.html\">myturn.ca.gov\u003c/a>, the state’s vaccine locator\u003c/li>\n\u003c/ul>\n\u003cp>For those without insurance: Uninsured children ages 18 and under can get free DTaP vaccines — and other no-cost immunizations — as part of the \u003ca href=\"https://www.cdc.gov/vaccines/programs/vfc/index.html\">Vaccines for Children Program\u003c/a>. People without insurance can get the vaccine at a lower cost — or even free\u003ca href=\"https://eziz.org/assets/docs/IMM-1247.pdf\"> if they qualify for the Vaccines for Adults Program\u003c/a> — from several providers and community clinics around the Bay Area, including:\u003c/p>\n\u003cul>\n\u003cli>\u003ca href=\"https://www.sf.gov/information/aitc-services-and-prices\">San Francisco Department of Public Health’s AITC clinic\u003c/a>\u003c/li>\n\u003cli>\u003ca href=\"https://cchealth.org/immunization/clinics.php#Uninsured\">Contra Costa Public Health Immunization Clinic\u003c/a>\u003c/li>\n\u003cli>\u003ca href=\"https://acphd.org/clinics/\">Alameda County Immunization Clinics.\u003c/a>\u003c/li>\n\u003c/ul>\n\u003cp>(And while you’re at it, remember that now is a great time to \u003ca href=\"https://www.kqed.org/news/12001396/where-can-i-get-new-covid-vaccine-near-me-2024\">get your updated COVID shot and your flu vaccine, too\u003c/a>, as we enter winter respiratory virus season.)\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"title": "Newsom Calls Special Session to Prepare California for Legal Fight Against Trump",
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"headTitle": "Newsom Calls Special Session to Prepare California for Legal Fight Against Trump | KQED",
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"content": "\u003cp>Hoping to establish California as a legal bulwark \u003ca href=\"https://www.kqed.org/news/12013269/what-another-trump-term-could-mean-for-california\">against the second Trump administration\u003c/a>, Gov. Gavin Newsom on Thursday called a special legislative session to prepare for what he described as an incoming “attack” on the state’s freedoms.\u003c/p>\n\u003cp>Newsom’s first two years in office were defined by frequent clashes with then-President Donald Trump over climate change, immigration and health care policy. Now, the governor is \u003ca href=\"https://www.gov.ca.gov/wp-content/uploads/2024/11/Special_Session_Proc_Nov.pdf\">directing the Legislature\u003c/a> to meet in early December to approve new funding as the state expects to take on the White House in court.\u003c/p>\n\u003cp>“California has faced this challenge before, and we know how to respond,” Newsom said in a statement. “We are prepared to fight in the courts, and we will do everything necessary to ensure Californians have the support and resources they need to thrive.”\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>The new spending could bolster the state’s Department of Justice to both defend against federal lawsuits and initiate legal action against the Trump administration.\u003c/p>\n\u003cp>“No matter what the incoming Administration has in store, California will keep moving forward,” Attorney General Rob Bonta said in a statement. “We’ve been through this before, and we stand ready to defend your rights and protect California values. We’re working closely with the Governor and the Legislature to shore up our defenses and ensure we have the resources we need to take on each fight as it comes.”\u003c/p>\n\u003cfigure id=\"attachment_11916429\" class=\"wp-caption aligncenter\" style=\"max-width: 1920px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-11916429\" src=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2022/06/RS48085_029_SanFrancisco_NewsomBontaPressConference_03242021-qut.jpg\" alt=\"A fit, middle-aged Filipino man, with black hair slicked away from his head, stands at a wooden lectern inside a room, speaking toward, but beyond, the camera at his left. We see a sliver of the Seal of California at the top of the front of the lectern, and a skinny microphone neck extending from the lectern toward him. He wears a dark blue suit jacket, a white dress shirt, and a glossy powder blue tie. On a wall behind him are two paintings; the one visible behind him seems to be an oil or acrylic portrait in blues, pinks, and yellows or a man wearing a baseball cap and jacket, with a surprised or distraught look on his face. A tall man also dressed in a suit and wearing a black face mask stands at a distance in a doorway to Bonta's right; it appears to be Gov. Gavin Newsom.\" width=\"1920\" height=\"1278\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2022/06/RS48085_029_SanFrancisco_NewsomBontaPressConference_03242021-qut.jpg 1920w, https://cdn.kqed.org/wp-content/uploads/sites/10/2022/06/RS48085_029_SanFrancisco_NewsomBontaPressConference_03242021-qut-800x533.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2022/06/RS48085_029_SanFrancisco_NewsomBontaPressConference_03242021-qut-1020x679.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2022/06/RS48085_029_SanFrancisco_NewsomBontaPressConference_03242021-qut-160x107.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2022/06/RS48085_029_SanFrancisco_NewsomBontaPressConference_03242021-qut-1536x1022.jpg 1536w\" sizes=\"auto, (max-width: 1920px) 100vw, 1920px\">\u003cfigcaption class=\"wp-caption-text\">Rob Bonta (right) speaks at a press conference in San Francisco on March 24, 2021, after being appointed by Gov. Gavin Newsom to serve as California’s attorney general. \u003ccite>(Beth LaBerge/KQED)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>During Trump’s first term in the White House, California leaders sought to stymie many of the administration’s initiatives in court. Then-Attorney General Xavier Becerra filed more than 100 \u003ca href=\"https://www.kqed.org/news/11741446/fastest-litigant-in-the-west-californias-on-verge-of-suing-trump-more-than-texas-ever-sued-obama\">lawsuits against the federal government\u003c/a> — seeking to block Trump’s travel ban against residents of many Muslim-majority countries, the end of the Deferred Action for Childhood Arrivals immigration program and the weakening of environmental regulations.\u003c/p>\n\u003cp>Back then, the push to “resist” Trump’s policies was also accompanied by a desire by Gov. Jerry Brown and leaders in the Democratic-controlled Legislature to model effective progressive governance. The legislative session in 2017, Trump’s first year in office, was one of the most productive in recent memory — with a flurry of bills passed in Sacramento to fix roads, build housing and limit greenhouse gas emissions.\u003c/p>\n\u003cp>“Resistance isn’t just suing the federal government,” said Manuel Pastor, a professor of sociology and American Studies & Ethnicity at the University of Southern California. “It’s also moving the needle on things people care about.”\u003c/p>\n\u003cp>Pastor, who chronicled the political lessons from recent California history in his book, \u003cem>State of Resistance\u003c/em>, said the state’s experience during the first Trump term and Newsom’s own political ambitions will shape California’s response to the incoming administration.\u003c/p>\n\u003cp>“Newsom is both much more aware of [what a Trump presidency could be like] and actually also has a much different set of political incentives,” Pastor added.\u003c/p>\n\u003cp>[aside label=\"Live 2024 Election Results\" link1='https://www.kqed.org/elections/results,Follow results for every Bay Area race in the 2024 general election.' hero=https://cdn.kqed.org/wp-content/uploads/sites/80/2024/10/Aside-Results-California-2024-General-Election-1200x1200-1.png]\u003c/p>\n\u003cp>Typically, lawmakers gather at the Capitol in early December for swearing-in and ceremonial tasks before reconvening in January to begin their work in earnest.\u003c/p>\n\u003cp>Assemblymember Jesse Gabriel (D-Encino) said the governor’s early action was needed to put the state “in a position, so that if we need to, we can act quickly to file affirmative litigation…to protect fundamental rights and California values.” \u003c/p>\n\u003cp>But he said it was unclear if any votes or debate on bills would actually occur before the new year.\u003c/p>\n\u003cp>“My understanding and my sense is that the goal here is to pass legislation prior to the new administration being sworn in,” he added. \u003c/p>\n\u003cp>During the special session, the Legislature may only debate bills related to the topic outlined in the governor’s proclamation, though they are not required to approve any legislation.\u003c/p>\n\u003cp>While Democrats are virtually guaranteed to hold a two-thirds supermajority in both houses, the margins of Democratic control are still up in the air. In the Senate, Orange County incumbent Josh Newman trails his Republican challenger. And in the Assembly, three seats in the Inland Empire — two of which are held by Democrats — remain too close to call.\u003c/p>\n\u003cp>Republicans blasted Newsom’s move as premature political grandstanding.\u003c/p>\n\u003cp>“This is all headline-grabbing,” said state Sen. Brian Jones (R-San Diego). “Whatever he wants to do in a so-called special session, he can do in the regular session.” \u003c/p>\n\u003cp>The special session would be the third called by Newsom. The previous two directed the Legislature to work on bills related to gas prices — including a session that concluded last month with the passing of a bill to regulate inventory at oil refineries.\u003c/p>\n\u003cp>\u003c/p>\n",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>Hoping to establish California as a legal bulwark \u003ca href=\"https://www.kqed.org/news/12013269/what-another-trump-term-could-mean-for-california\">against the second Trump administration\u003c/a>, Gov. Gavin Newsom on Thursday called a special legislative session to prepare for what he described as an incoming “attack” on the state’s freedoms.\u003c/p>\n\u003cp>Newsom’s first two years in office were defined by frequent clashes with then-President Donald Trump over climate change, immigration and health care policy. Now, the governor is \u003ca href=\"https://www.gov.ca.gov/wp-content/uploads/2024/11/Special_Session_Proc_Nov.pdf\">directing the Legislature\u003c/a> to meet in early December to approve new funding as the state expects to take on the White House in court.\u003c/p>\n\u003cp>“California has faced this challenge before, and we know how to respond,” Newsom said in a statement. “We are prepared to fight in the courts, and we will do everything necessary to ensure Californians have the support and resources they need to thrive.”\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>The new spending could bolster the state’s Department of Justice to both defend against federal lawsuits and initiate legal action against the Trump administration.\u003c/p>\n\u003cp>“No matter what the incoming Administration has in store, California will keep moving forward,” Attorney General Rob Bonta said in a statement. “We’ve been through this before, and we stand ready to defend your rights and protect California values. We’re working closely with the Governor and the Legislature to shore up our defenses and ensure we have the resources we need to take on each fight as it comes.”\u003c/p>\n\u003cfigure id=\"attachment_11916429\" class=\"wp-caption aligncenter\" style=\"max-width: 1920px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-11916429\" src=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2022/06/RS48085_029_SanFrancisco_NewsomBontaPressConference_03242021-qut.jpg\" alt=\"A fit, middle-aged Filipino man, with black hair slicked away from his head, stands at a wooden lectern inside a room, speaking toward, but beyond, the camera at his left. We see a sliver of the Seal of California at the top of the front of the lectern, and a skinny microphone neck extending from the lectern toward him. He wears a dark blue suit jacket, a white dress shirt, and a glossy powder blue tie. On a wall behind him are two paintings; the one visible behind him seems to be an oil or acrylic portrait in blues, pinks, and yellows or a man wearing a baseball cap and jacket, with a surprised or distraught look on his face. A tall man also dressed in a suit and wearing a black face mask stands at a distance in a doorway to Bonta's right; it appears to be Gov. Gavin Newsom.\" width=\"1920\" height=\"1278\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2022/06/RS48085_029_SanFrancisco_NewsomBontaPressConference_03242021-qut.jpg 1920w, https://cdn.kqed.org/wp-content/uploads/sites/10/2022/06/RS48085_029_SanFrancisco_NewsomBontaPressConference_03242021-qut-800x533.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2022/06/RS48085_029_SanFrancisco_NewsomBontaPressConference_03242021-qut-1020x679.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2022/06/RS48085_029_SanFrancisco_NewsomBontaPressConference_03242021-qut-160x107.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2022/06/RS48085_029_SanFrancisco_NewsomBontaPressConference_03242021-qut-1536x1022.jpg 1536w\" sizes=\"auto, (max-width: 1920px) 100vw, 1920px\">\u003cfigcaption class=\"wp-caption-text\">Rob Bonta (right) speaks at a press conference in San Francisco on March 24, 2021, after being appointed by Gov. Gavin Newsom to serve as California’s attorney general. \u003ccite>(Beth LaBerge/KQED)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>During Trump’s first term in the White House, California leaders sought to stymie many of the administration’s initiatives in court. Then-Attorney General Xavier Becerra filed more than 100 \u003ca href=\"https://www.kqed.org/news/11741446/fastest-litigant-in-the-west-californias-on-verge-of-suing-trump-more-than-texas-ever-sued-obama\">lawsuits against the federal government\u003c/a> — seeking to block Trump’s travel ban against residents of many Muslim-majority countries, the end of the Deferred Action for Childhood Arrivals immigration program and the weakening of environmental regulations.\u003c/p>\n\u003cp>Back then, the push to “resist” Trump’s policies was also accompanied by a desire by Gov. Jerry Brown and leaders in the Democratic-controlled Legislature to model effective progressive governance. The legislative session in 2017, Trump’s first year in office, was one of the most productive in recent memory — with a flurry of bills passed in Sacramento to fix roads, build housing and limit greenhouse gas emissions.\u003c/p>\n\u003cp>“Resistance isn’t just suing the federal government,” said Manuel Pastor, a professor of sociology and American Studies & Ethnicity at the University of Southern California. “It’s also moving the needle on things people care about.”\u003c/p>\n\u003cp>Pastor, who chronicled the political lessons from recent California history in his book, \u003cem>State of Resistance\u003c/em>, said the state’s experience during the first Trump term and Newsom’s own political ambitions will shape California’s response to the incoming administration.\u003c/p>\n\u003cp>“Newsom is both much more aware of [what a Trump presidency could be like] and actually also has a much different set of political incentives,” Pastor added.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>Typically, lawmakers gather at the Capitol in early December for swearing-in and ceremonial tasks before reconvening in January to begin their work in earnest.\u003c/p>\n\u003cp>Assemblymember Jesse Gabriel (D-Encino) said the governor’s early action was needed to put the state “in a position, so that if we need to, we can act quickly to file affirmative litigation…to protect fundamental rights and California values.” \u003c/p>\n\u003cp>But he said it was unclear if any votes or debate on bills would actually occur before the new year.\u003c/p>\n\u003cp>“My understanding and my sense is that the goal here is to pass legislation prior to the new administration being sworn in,” he added. \u003c/p>\n\u003cp>During the special session, the Legislature may only debate bills related to the topic outlined in the governor’s proclamation, though they are not required to approve any legislation.\u003c/p>\n\u003cp>While Democrats are virtually guaranteed to hold a two-thirds supermajority in both houses, the margins of Democratic control are still up in the air. In the Senate, Orange County incumbent Josh Newman trails his Republican challenger. And in the Assembly, three seats in the Inland Empire — two of which are held by Democrats — remain too close to call.\u003c/p>\n\u003cp>Republicans blasted Newsom’s move as premature political grandstanding.\u003c/p>\n\u003cp>“This is all headline-grabbing,” said state Sen. Brian Jones (R-San Diego). “Whatever he wants to do in a so-called special session, he can do in the regular session.” \u003c/p>\n\u003cp>The special session would be the third called by Newsom. The previous two directed the Legislature to work on bills related to gas prices — including a session that concluded last month with the passing of a bill to regulate inventory at oil refineries.\u003c/p>\n\u003cp>\u003c/p>\n\u003c/div>\u003c/p>",
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"content": "\u003cp>As election results pointed to \u003ca href=\"https://www.kqed.org/news/tag/donald-trump\">Donald Trump\u003c/a>‘s victory, Berkeley mother Katie Brooks found herself wrestling with both her toddler’s bedtime routine and her own rising panic. When tears overtook her, 5-year-old daughter Lucia crawled into her lap, offering the kind of comfort that \u003ca href=\"https://www.kqed.org/news/tag/kamala-harris\">Kamala Harris\u003c/a> supporters across the Bay Area ached for on election night.\u003c/p>\n\u003cp>“When I told Lucia ‘everything would be all right,’ I was lying,” Brooks admits, her voice catching. She says that Lucia was captivated by the historical possibilities of this election. When Brooks explained that a woman had never been president before, her daughter’s disbelief reflected the hopes of many who saw Harris’ candidacy as a chance to finally shatter the highest glass ceiling.\u003c/p>\n\u003cp>As \u003ca href=\"https://www.kqed.org/news/12013186/san-franciscans-react-trumps-win\">defeat crystallized into reality\u003c/a>, progressive mothers across the region not only mourned the unrealized prospect of a female president — they also confronted their growing fears that Trump will deliver on campaign promises to accelerate deportations, roll back environmental protections amid a climate crisis, and potentially dismantle LGBTQ+ rights. Now, on top of explaining an election loss, parents must also translate what they view as an existential threat to their communities’ core values.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>Gail Cornwall, who is raising five children in a blended San Francisco family, finds herself grappling with how Harris’ loss sends a gut-punching message to her daughters.\u003c/p>\n\u003cp>“With Hillary’s run, I felt like the prevailing message to girls was, ‘You can be president one day,’” Cornwall says. “Now, they are hearing, ‘You can try to be president, but you’ll never win, no matter how knowledgeable, or experienced, or hardworking or charismatic you are.'”\u003c/p>\n\u003cp>[aside label=\"Live 2024 Election Results\" link1='https://www.kqed.org/elections/results/president,Follow the results of the U.S. Presidential Election' hero=https://cdn.kqed.org/wp-content/uploads/sites/80/2024/10/Aside-Results-Presidential-2024-General-Election-1200x1200-1.png]\u003c/p>\n\u003cp>Cornwall admits she’s walking a tricky line with her children. “I want the kids to know they’re safe, and not much will likely change in their lives, but also to recognize what a privilege that is,” she says.\u003c/p>\n\u003cp>She’s trying to help them grasp that other children’s lives will change dramatically and that their family has a responsibility to “help minimize the impact of a Trump presidency on marginalized communities.”\u003c/p>\n\u003cp>Christina Balch, a Berkeley educator and mother of a 6-year-old, carries a double burden: “What do I tell my high school students? How do I guide my son?” She’s terrified to raise a boy in an environment where divisive “xenophobic, toxic, sexist” rhetoric may become increasingly normalized. “Everything I stand for as an anti-racist, feminist, ally and educator feels under threat,” she says.\u003c/p>\n\u003cp>Perhaps no one embodies this complex dance between fear and determination more than Kathie Moehlig, mother of a 24-year-old transgender son. Her initial spiral into shock and defeat gave way to a middle-of-the-night revelation: Her son needs her now more than ever.\u003c/p>\n\u003cp>“When my son transitioned 13 years ago, most people didn’t even know what that word meant. Now that is not the case,” Moehlig says, finding hope in the progress already made while acknowledging the battles ahead. “This new government hates transgender kids like mine. I have to teach my son how to thrive in the world anyway.”\u003c/p>\n\u003cfigure id=\"attachment_12013391\" class=\"wp-caption alignleft\" style=\"max-width: 800px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-medium wp-image-12013391\" src=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2024/11/MomReaction01-800x1067.jpg\" alt=\"\" width=\"800\" height=\"1067\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2024/11/MomReaction01-800x1067.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/11/MomReaction01-1020x1360.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/11/MomReaction01-160x213.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/11/MomReaction01-1152x1536.jpg 1152w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/11/MomReaction01.jpg 1500w\" sizes=\"(max-width: 800px) 100vw, 800px\">\u003cfigcaption class=\"wp-caption-text\">Rose Medellín (right) voted alongside her 15-year-old son in San Francisco on Nov. 4, 2024. \u003ccite>(Courtesy of Rose Medellín)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>In San Francisco, Rose Medellin couldn’t bring herself to get out of bed Wednesday morning, listening to her 15-year-old son’s television playing the news in the next room. Just the night before, she had stood proudly beside him at the polls. Now, less than 12 hours later, she struggled to find words of comfort. How could she explain a world that rewards the very behavior she had taught her three sons to reject?\u003c/p>\n\u003cp>But in a touching role reversal, it was her son who comforted her as she limped to his room and crawled into bed with him. “It’s going to be OK, Mom,” he whispered, hugging her tight. “We live in California.” His attempt to find hope — to push back his mother’s tears — reflected both the weight children now carry and their youthful optimism.\u003c/p>\n\u003cp>In Sacramento, Erin Gabel was speechless when her 10-year-old asked: “Why is it called a blue wall if it falls?” While her mind glitched on Humpty Dumpty references, all she could manage was, “I don’t know, buddy, but we need to figure that out for the next election.”\u003c/p>\n\u003cp>These parents (and kids) are obviously grieving but not in retreat. They are teaching their children that sometimes the most important thing isn’t winning but standing up for what’s right — even when, especially when, it feels like you’ve lost.\u003c/p>\n\u003cp>“I will rear adults who respect the bodies and hearts of others, treat their contemporaries with respect, and above all love who they are as humans,” says Christie Cooksey, mother of two boys in a blended Berkeley family.\u003c/p>\n\u003cp>It’s not the victory speech many hoped to hear this week, but it might be the one children need most.\u003c/p>\n\u003cp>\u003c/p>\n",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>As election results pointed to \u003ca href=\"https://www.kqed.org/news/tag/donald-trump\">Donald Trump\u003c/a>‘s victory, Berkeley mother Katie Brooks found herself wrestling with both her toddler’s bedtime routine and her own rising panic. When tears overtook her, 5-year-old daughter Lucia crawled into her lap, offering the kind of comfort that \u003ca href=\"https://www.kqed.org/news/tag/kamala-harris\">Kamala Harris\u003c/a> supporters across the Bay Area ached for on election night.\u003c/p>\n\u003cp>“When I told Lucia ‘everything would be all right,’ I was lying,” Brooks admits, her voice catching. She says that Lucia was captivated by the historical possibilities of this election. When Brooks explained that a woman had never been president before, her daughter’s disbelief reflected the hopes of many who saw Harris’ candidacy as a chance to finally shatter the highest glass ceiling.\u003c/p>\n\u003cp>As \u003ca href=\"https://www.kqed.org/news/12013186/san-franciscans-react-trumps-win\">defeat crystallized into reality\u003c/a>, progressive mothers across the region not only mourned the unrealized prospect of a female president — they also confronted their growing fears that Trump will deliver on campaign promises to accelerate deportations, roll back environmental protections amid a climate crisis, and potentially dismantle LGBTQ+ rights. Now, on top of explaining an election loss, parents must also translate what they view as an existential threat to their communities’ core values.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>Cornwall admits she’s walking a tricky line with her children. “I want the kids to know they’re safe, and not much will likely change in their lives, but also to recognize what a privilege that is,” she says.\u003c/p>\n\u003cp>She’s trying to help them grasp that other children’s lives will change dramatically and that their family has a responsibility to “help minimize the impact of a Trump presidency on marginalized communities.”\u003c/p>\n\u003cp>Christina Balch, a Berkeley educator and mother of a 6-year-old, carries a double burden: “What do I tell my high school students? How do I guide my son?” She’s terrified to raise a boy in an environment where divisive “xenophobic, toxic, sexist” rhetoric may become increasingly normalized. “Everything I stand for as an anti-racist, feminist, ally and educator feels under threat,” she says.\u003c/p>\n\u003cp>Perhaps no one embodies this complex dance between fear and determination more than Kathie Moehlig, mother of a 24-year-old transgender son. Her initial spiral into shock and defeat gave way to a middle-of-the-night revelation: Her son needs her now more than ever.\u003c/p>\n\u003cp>“When my son transitioned 13 years ago, most people didn’t even know what that word meant. Now that is not the case,” Moehlig says, finding hope in the progress already made while acknowledging the battles ahead. “This new government hates transgender kids like mine. I have to teach my son how to thrive in the world anyway.”\u003c/p>\n\u003cfigure id=\"attachment_12013391\" class=\"wp-caption alignleft\" style=\"max-width: 800px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-medium wp-image-12013391\" src=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2024/11/MomReaction01-800x1067.jpg\" alt=\"\" width=\"800\" height=\"1067\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2024/11/MomReaction01-800x1067.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/11/MomReaction01-1020x1360.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/11/MomReaction01-160x213.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/11/MomReaction01-1152x1536.jpg 1152w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/11/MomReaction01.jpg 1500w\" sizes=\"(max-width: 800px) 100vw, 800px\">\u003cfigcaption class=\"wp-caption-text\">Rose Medellín (right) voted alongside her 15-year-old son in San Francisco on Nov. 4, 2024. \u003ccite>(Courtesy of Rose Medellín)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>In San Francisco, Rose Medellin couldn’t bring herself to get out of bed Wednesday morning, listening to her 15-year-old son’s television playing the news in the next room. Just the night before, she had stood proudly beside him at the polls. Now, less than 12 hours later, she struggled to find words of comfort. How could she explain a world that rewards the very behavior she had taught her three sons to reject?\u003c/p>\n\u003cp>But in a touching role reversal, it was her son who comforted her as she limped to his room and crawled into bed with him. “It’s going to be OK, Mom,” he whispered, hugging her tight. “We live in California.” His attempt to find hope — to push back his mother’s tears — reflected both the weight children now carry and their youthful optimism.\u003c/p>\n\u003cp>In Sacramento, Erin Gabel was speechless when her 10-year-old asked: “Why is it called a blue wall if it falls?” While her mind glitched on Humpty Dumpty references, all she could manage was, “I don’t know, buddy, but we need to figure that out for the next election.”\u003c/p>\n\u003cp>These parents (and kids) are obviously grieving but not in retreat. They are teaching their children that sometimes the most important thing isn’t winning but standing up for what’s right — even when, especially when, it feels like you’ve lost.\u003c/p>\n\u003cp>“I will rear adults who respect the bodies and hearts of others, treat their contemporaries with respect, and above all love who they are as humans,” says Christie Cooksey, mother of two boys in a blended Berkeley family.\u003c/p>\n\u003cp>It’s not the victory speech many hoped to hear this week, but it might be the one children need most.\u003c/p>\n\u003cp>\u003c/p>\n\u003c/div>\u003c/p>",
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"content": "\u003cp>Former President Donald Trump’s election victory and coming return to the White House will likely bring changes that scale back the nation’s public health insurance programs — potentially increasing the uninsured rate, while imposing new barriers to abortion and other reproductive care.\u003c/p>\n\u003cp>The reverberations will be felt far beyond Washington, D.C., and could include an erosion of the Affordable Care Act’s consumer protections, the imposition of work requirements in Medicaid and funding cuts to the safety net insurance, and challenges to federal agencies that safeguard public health.\u003c/p>\n\u003cp>Abortion restrictions may tighten nationwide with a possible effort to restrict the mailing of abortion medications.\u003c/p>\n\u003cp>And with the elevation of vaccine skeptic Robert F. Kennedy Jr. to Trump’s inner circle of advisers, public health interventions with rigorous scientific backing — whether fluoridating public water supplies or inoculating children — could come under fire.\u003c/p>\n\u003cp>Trump’s victory will give a far broader platform to skeptics and critics of federal health programs and actions. Public health authorities worry that in a worst case, the U.S. could see increases in preventable illnesses; a weakening of public confidence in established science; and debunked notions — such as a link between vaccines and autism — adopted as policy.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>Trump said in \u003ca href=\"https://www.nbcnews.com/politics/2024-election/trump-banning-vaccines-president-rfk-fluoride-rcna178570\">an NBC News interview\u003c/a> on Nov. 3 that he would “make a decision” about banning some vaccines, saying he would consult with Kennedy and calling him “a very talented guy.”\u003c/p>\n\u003cp>Here’s what’s known about how the Trump administration might do on several major issues in health care:\u003c/p>\n\u003ch2>Changes to Obamacare\u003c/h2>\n\u003cp>While Trump has said he will not try again to repeal the Affordable Care Act, his administration will face an immediate decision next year on whether to back an extension of enhanced premium subsidies for Obamacare insurance plans. Without the enhanced subsidies, \u003ca href=\"https://www.kff.org/affordable-care-act/issue-brief/inflation-reduction-act-health-insurance-subsidies-what-is-their-impact-and-what-would-happen-if-they-expire/\">steep premium increases\u003c/a> causing lower enrollment are projected. The current uninsured rate, \u003ca href=\"https://aspe.hhs.gov/sites/default/files/documents/ee0475e44e27daef00155e95a24fd023/nhis-q1-2024-datapoint.pdf\">about 8%\u003c/a>, could rise.\u003c/p>\n\u003cp>Policy specifics have not moved far beyond the “concepts of a plan” Trump said he had during his debate with Harris, though Vice President-elect JD Vance later said the administration would seek to inject more competition into ACA marketplaces.\u003c/p>\n\u003cp>Republicans claimed a Senate majority, in addition to the White House, while control of the House is not yet resolved as of Wednesday afternoon.\u003c/p>\n\u003cp>[aside label=\"Live 2024 Election Results\" link1='https://www.kqed.org/elections/results,Follow results for every Bay Area race in the 2024 general election.' hero=https://cdn.kqed.org/wp-content/uploads/sites/80/2024/10/Aside-Results-California-2024-General-Election-1200x1200-1.png]\u003c/p>\n\u003cp>Polls show the ACA has \u003ca href=\"https://www.kff.org/affordable-care-act/poll-finding/5-charts-about-public-opinion-on-the-affordable-care-act/\">gained support among the public\u003c/a>, including provisions such as preexisting condition protections and allowing young people to stay on family health plans until they are 26.\u003c/p>\n\u003cp>Trump supporters and others who have worked in his administration say the former president wants to improve the law in ways that will lower costs. They say he has already shown he will be forceful when it comes to lowering high health care prices, pointing to efforts during his presidency to pioneer price transparency in medical costs.\u003c/p>\n\u003cp>“On affordability, I’d see him building on the first term,” said Brian Blase, who served as a Trump health adviser from 2017 to 2019. Relative to a Democratic administration, he said, there will be “much more focus” on “minimizing fraud and waste.”\u003c/p>\n\u003cp>Efforts to weaken the ACA could include slashing funds for enrollment outreach, enabling consumers to purchase more health plans that don’t comply with ACA consumer protections, and allowing insurers to charge sicker people higher premiums.\u003c/p>\n\u003cp>Democrats say they expect the worst.\u003c/p>\n\u003cp>“We know what their agenda is,” said Leslie Dach, executive chair of Protect Our Care, a health care policy and advocacy organization in Washington, D.C. He worked in the Obama administration helping to implement the ACA. “They’re going to raise costs for millions of Americans and rip coverage away from millions and, meanwhile, they will give tax breaks to rich people.”\u003c/p>\n\u003cp>Theo Merkel, director of the Private Health Reform Initiative at the right-leaning Paragon Health Institute, which Blase leads, said the enhanced ACA subsidies extended by the Inflation Reduction Act in 2022 do nothing to improve plans or lower premiums. He said they paper over the plans’ low value with larger government subsidies.\u003c/p>\n\u003ch2>Drug price negotiation\u003c/h2>\n\u003cp>Other Trump supporters say the president-elect may support preserving Medicare’s authority to negotiate drug prices, another provision of the IRA. Trump has championed reducing drug prices, and in 2020 advanced a test model that would have tied the prices of some drugs in Medicare to lower costs overseas, said Merkel, who worked in Trump’s first White House. The drug industry successfully sued to block the program.\u003c/p>\n\u003ch2>Leadership of health agencies\u003c/h2>\n\u003cp>Within Trump’s circles, some names have already been floated as possible leaders for the Department of Health and Human Services. They include former Louisiana Gov. Bobby Jindal and Seema Verma, who ran the Centers for Medicare & Medicaid Services during the Trump administration.\u003c/p>\n\u003cp>Kennedy, who suspended his independent presidential run and endorsed Trump, has told his supporters that Trump promised him control of HHS. Trump said publicly before Election Day that he would give Kennedy a big role in his administration, but he may have difficulty winning Senate confirmation for a Cabinet position.\u003c/p>\n\u003ch2>Cuts or restrictions on Medicaid\u003c/h2>\n\u003cp>While Trump has vowed to protect Medicare and said he supports funding home care benefits, he’s been less specific about his intentions for Medicaid, which provides coverage to lower-income and disabled people. Some health analysts expect the program will be especially vulnerable to spending cuts, which could help finance the extension of tax breaks that expire at the end of next year.\u003c/p>\n\u003cp>[aside label='More Election Coverage' tag='election-2024']\u003c/p>\n\u003cp>Possible changes include the imposition of work requirements on beneficiaries in some states. The administration and Republicans in Congress could also try to revamp the way Medicaid is funded. Now, the federal government pays states a variable percentage of program costs. Conservatives have long sought to cap the federal allotments to states, which critics say would lead to draconian cuts.\u003c/p>\n\u003cp>“Medicaid will be a big target in a Trump administration,” said Larry Levitt, executive vice president for health policy at KFF, a health information nonprofit that includes KFF Health News.\u003c/p>\n\u003ch2>Reproductive health\u003c/h2>\n\u003cp>Less clear is the potential future of reproductive health rights.\u003c/p>\n\u003cp>Trump has said decisions about abortion restrictions should be left to the states. Thirteen states ban abortion with few exceptions, while 28 others restrict the procedure based on gestational duration, \u003ca href=\"https://www.guttmacher.org/state-policy/explore/state-policies-abortion-bans#:~:text=shortly%20after%20birth.-,Highlights,bans%20based%20on%20gestational%20duration.\">according to the Guttmacher Institute\u003c/a>, a research and policy organization focused on advancing reproductive rights. Trump said before the election that he would not sign a national abortion ban.\u003c/p>\n\u003cp>State ballot measures to protect abortion rights were \u003ca href=\"https://www.npr.org/2024/11/06/g-s1-32962/abortion-rights-amendments-2024-election\">adopted in seven states\u003c/a>, including Missouri, which Trump won by about 18 points, according to preliminary AP reports. Abortion rights measures were rejected by voters in Florida and South Dakota.\u003c/p>\n\u003cp>Trump could move to restrict access to abortion medications, used in more than half of abortions, either by withdrawing the FDA’s authorization for the drugs or by enforcing a 19th-century law, the Comstock Act, that abortion opponents say bans their shipment. Trump has said he generally would not use the law to ban mail delivery of the drugs.\u003c/p>\n\u003cp>[ad floatright]\u003c/p>\n\u003cp>\u003ca href=\"https://kffhealthnews.org/about-us\">\u003cem>KFF Health News\u003c/em>\u003c/a>\u003cem> is a national newsroom that produces in-depth journalism about health issues and is one of the core operating programs at KFF.\u003c/em>\u003c/p>\n\n",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>Former President Donald Trump’s election victory and coming return to the White House will likely bring changes that scale back the nation’s public health insurance programs — potentially increasing the uninsured rate, while imposing new barriers to abortion and other reproductive care.\u003c/p>\n\u003cp>The reverberations will be felt far beyond Washington, D.C., and could include an erosion of the Affordable Care Act’s consumer protections, the imposition of work requirements in Medicaid and funding cuts to the safety net insurance, and challenges to federal agencies that safeguard public health.\u003c/p>\n\u003cp>Abortion restrictions may tighten nationwide with a possible effort to restrict the mailing of abortion medications.\u003c/p>\n\u003cp>And with the elevation of vaccine skeptic Robert F. Kennedy Jr. to Trump’s inner circle of advisers, public health interventions with rigorous scientific backing — whether fluoridating public water supplies or inoculating children — could come under fire.\u003c/p>\n\u003cp>Trump’s victory will give a far broader platform to skeptics and critics of federal health programs and actions. Public health authorities worry that in a worst case, the U.S. could see increases in preventable illnesses; a weakening of public confidence in established science; and debunked notions — such as a link between vaccines and autism — adopted as policy.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>Trump said in \u003ca href=\"https://www.nbcnews.com/politics/2024-election/trump-banning-vaccines-president-rfk-fluoride-rcna178570\">an NBC News interview\u003c/a> on Nov. 3 that he would “make a decision” about banning some vaccines, saying he would consult with Kennedy and calling him “a very talented guy.”\u003c/p>\n\u003cp>Here’s what’s known about how the Trump administration might do on several major issues in health care:\u003c/p>\n\u003ch2>Changes to Obamacare\u003c/h2>\n\u003cp>While Trump has said he will not try again to repeal the Affordable Care Act, his administration will face an immediate decision next year on whether to back an extension of enhanced premium subsidies for Obamacare insurance plans. Without the enhanced subsidies, \u003ca href=\"https://www.kff.org/affordable-care-act/issue-brief/inflation-reduction-act-health-insurance-subsidies-what-is-their-impact-and-what-would-happen-if-they-expire/\">steep premium increases\u003c/a> causing lower enrollment are projected. The current uninsured rate, \u003ca href=\"https://aspe.hhs.gov/sites/default/files/documents/ee0475e44e27daef00155e95a24fd023/nhis-q1-2024-datapoint.pdf\">about 8%\u003c/a>, could rise.\u003c/p>\n\u003cp>Policy specifics have not moved far beyond the “concepts of a plan” Trump said he had during his debate with Harris, though Vice President-elect JD Vance later said the administration would seek to inject more competition into ACA marketplaces.\u003c/p>\n\u003cp>Republicans claimed a Senate majority, in addition to the White House, while control of the House is not yet resolved as of Wednesday afternoon.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>Polls show the ACA has \u003ca href=\"https://www.kff.org/affordable-care-act/poll-finding/5-charts-about-public-opinion-on-the-affordable-care-act/\">gained support among the public\u003c/a>, including provisions such as preexisting condition protections and allowing young people to stay on family health plans until they are 26.\u003c/p>\n\u003cp>Trump supporters and others who have worked in his administration say the former president wants to improve the law in ways that will lower costs. They say he has already shown he will be forceful when it comes to lowering high health care prices, pointing to efforts during his presidency to pioneer price transparency in medical costs.\u003c/p>\n\u003cp>“On affordability, I’d see him building on the first term,” said Brian Blase, who served as a Trump health adviser from 2017 to 2019. Relative to a Democratic administration, he said, there will be “much more focus” on “minimizing fraud and waste.”\u003c/p>\n\u003cp>Efforts to weaken the ACA could include slashing funds for enrollment outreach, enabling consumers to purchase more health plans that don’t comply with ACA consumer protections, and allowing insurers to charge sicker people higher premiums.\u003c/p>\n\u003cp>Democrats say they expect the worst.\u003c/p>\n\u003cp>“We know what their agenda is,” said Leslie Dach, executive chair of Protect Our Care, a health care policy and advocacy organization in Washington, D.C. He worked in the Obama administration helping to implement the ACA. “They’re going to raise costs for millions of Americans and rip coverage away from millions and, meanwhile, they will give tax breaks to rich people.”\u003c/p>\n\u003cp>Theo Merkel, director of the Private Health Reform Initiative at the right-leaning Paragon Health Institute, which Blase leads, said the enhanced ACA subsidies extended by the Inflation Reduction Act in 2022 do nothing to improve plans or lower premiums. He said they paper over the plans’ low value with larger government subsidies.\u003c/p>\n\u003ch2>Drug price negotiation\u003c/h2>\n\u003cp>Other Trump supporters say the president-elect may support preserving Medicare’s authority to negotiate drug prices, another provision of the IRA. Trump has championed reducing drug prices, and in 2020 advanced a test model that would have tied the prices of some drugs in Medicare to lower costs overseas, said Merkel, who worked in Trump’s first White House. The drug industry successfully sued to block the program.\u003c/p>\n\u003ch2>Leadership of health agencies\u003c/h2>\n\u003cp>Within Trump’s circles, some names have already been floated as possible leaders for the Department of Health and Human Services. They include former Louisiana Gov. Bobby Jindal and Seema Verma, who ran the Centers for Medicare & Medicaid Services during the Trump administration.\u003c/p>\n\u003cp>Kennedy, who suspended his independent presidential run and endorsed Trump, has told his supporters that Trump promised him control of HHS. Trump said publicly before Election Day that he would give Kennedy a big role in his administration, but he may have difficulty winning Senate confirmation for a Cabinet position.\u003c/p>\n\u003ch2>Cuts or restrictions on Medicaid\u003c/h2>\n\u003cp>While Trump has vowed to protect Medicare and said he supports funding home care benefits, he’s been less specific about his intentions for Medicaid, which provides coverage to lower-income and disabled people. Some health analysts expect the program will be especially vulnerable to spending cuts, which could help finance the extension of tax breaks that expire at the end of next year.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>Possible changes include the imposition of work requirements on beneficiaries in some states. The administration and Republicans in Congress could also try to revamp the way Medicaid is funded. Now, the federal government pays states a variable percentage of program costs. Conservatives have long sought to cap the federal allotments to states, which critics say would lead to draconian cuts.\u003c/p>\n\u003cp>“Medicaid will be a big target in a Trump administration,” said Larry Levitt, executive vice president for health policy at KFF, a health information nonprofit that includes KFF Health News.\u003c/p>\n\u003ch2>Reproductive health\u003c/h2>\n\u003cp>Less clear is the potential future of reproductive health rights.\u003c/p>\n\u003cp>Trump has said decisions about abortion restrictions should be left to the states. Thirteen states ban abortion with few exceptions, while 28 others restrict the procedure based on gestational duration, \u003ca href=\"https://www.guttmacher.org/state-policy/explore/state-policies-abortion-bans#:~:text=shortly%20after%20birth.-,Highlights,bans%20based%20on%20gestational%20duration.\">according to the Guttmacher Institute\u003c/a>, a research and policy organization focused on advancing reproductive rights. Trump said before the election that he would not sign a national abortion ban.\u003c/p>\n\u003cp>State ballot measures to protect abortion rights were \u003ca href=\"https://www.npr.org/2024/11/06/g-s1-32962/abortion-rights-amendments-2024-election\">adopted in seven states\u003c/a>, including Missouri, which Trump won by about 18 points, according to preliminary AP reports. Abortion rights measures were rejected by voters in Florida and South Dakota.\u003c/p>\n\u003cp>Trump could move to restrict access to abortion medications, used in more than half of abortions, either by withdrawing the FDA’s authorization for the drugs or by enforcing a 19th-century law, the Comstock Act, that abortion opponents say bans their shipment. Trump has said he generally would not use the law to ban mail delivery of the drugs.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"title": "Voters Approve Proposition 35, Choosing Medi-Cal Funding Over Budget Flexibility",
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"content": "\u003cp>\u003cb>\u003ci>\u003ca href=\"https://www.kqed.org/liveblog/election-2024\">Follow KQED’s live blog for the latest election updates\u003c/a>\u003c/i>\u003c/b>\u003c/p>\n\u003cp>In essence, Proposition 35 promised to secure Medi-Cal funding but left voters to weigh the trade-offs of budget stability and flexibility.\u003c/p>\n\u003cp>Californians took that deal and passed it, cementing the state’s tax on managed-care organizations and directing an estimated $7 billion to $8 billion each year exclusively to Medi-Cal.\u003c/p>\n\u003cp>The funds are meant to improve access to primary care, specialty care, mental health services and prescription drugs, as well as enhance provider availability and reduce patient wait times.\u003c/p>\n\u003cp>Lawmakers, however, are limited in reassigning these funds, and the measure remains contingent on federal approval for continued matching funds.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>The Associated Press called the race at 9:28 p.m. with 67.5% of voters approving.\u003c/p>\n\u003cp>Proponents of the measure quickly celebrated what they called an overwhelming victory. Jodi Hicks, president and CEO of Planned Parenthood Affiliates of California and the campaign’s co-chair called it a “victory for patients across California” in a quickly emailed press release.\u003c/p>\n\u003cp>“Nearly 85% of patients at Planned Parenthood health centers rely on Medi-Cal for health insurance and now, with a dedicated source of funding for the program, there will be a future that provides more stability and expanded access to care for those who need it most,” she said. “Planned Parenthood is proud to have supported Prop. 35 to help achieve a more equitable health care delivery system that all Californians will benefit from.”\u003c/p>\n\u003cp>The No on Prop. 35 campaign released a statement that said the vote made it clear that Californians support the Medi-Cal program and “want to improve access to health care for the most vulnerable.”\u003c/p>\n\u003cp>“While we opposed Prop. 35 because of the details, state leaders now have a mandate to improve Medi-Cal and must fulfill that obligation,” the statement said.\u003c/p>\n\u003cp>Despite Proposition 35’s innocuous and seemingly straightforward title — “Provides permanent funding for Medi-Cal health care services” — the measure is one the most complex on California’s ballot. At its core is an obscure tax that most voters have never heard of. Basically, California levies a tax on managed-care organizations — otherwise known as health insurers like Anthem Blue Cross and Kaiser Permanente. The state uses the tax revenue to draw federal matching funds, effectively doubling its impact, and applies it toward Medi-Cal services.[aside label='More Election Coverage' tag='election-2024']Under the proposition, tax revenue from managed-care organizations would be strictly reserved for Medi-Cal, expanding access to services like mental health, primary care, and prescription drugs. Supporters argue this dedicated funding will improve access for the 2 in 5 Californians reliant on Medi-Cal, with funds directed to providers like hospitals and emergency services. With many patients currently facing prolonged wait times and few physicians accepting Medi-Cal’s lower reimbursement rates, proponents said it would help alleviate these pressures by increasing provider compensation.\u003c/p>\n\u003cp>However, critics warn that the proposition’s rigid spending mandates may constrain California’s fiscal flexibility, potentially intensifying the state’s budget challenges. The measure’s reliance on federal approval for matching funds also raises concerns, as changes to federal policy could jeopardize future funding.\u003c/p>\n\u003cp>Opponents argue that such budgeting restrictions should be managed by policymakers, who can adjust them as needed, rather than by voters through a ballot measure, which would be challenging to amend in future elections.\u003c/p>\n\u003cp>The proposition drew support from a broad coalition, including the California Democratic and Republican parties, health care associations, labor unions and Planned Parenthood.\u003c/p>\n\u003cp>Opposition comes from groups like the California Pan-Ethnic Health Network and the California Alliance of Retired Americans, who fear the financial risks and loss of budgetary adaptability.\u003c/p>\n\u003cp>Proposition 35 created unusual political devisions and its intricate funding mechanism and spending restrictions fragmented the medical community — even among those who share the same goals of improving health care access.\u003c/p>\n\u003cp>\u003c/p>\n",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>\u003cb>\u003ci>\u003ca href=\"https://www.kqed.org/liveblog/election-2024\">Follow KQED’s live blog for the latest election updates\u003c/a>\u003c/i>\u003c/b>\u003c/p>\n\u003cp>In essence, Proposition 35 promised to secure Medi-Cal funding but left voters to weigh the trade-offs of budget stability and flexibility.\u003c/p>\n\u003cp>Californians took that deal and passed it, cementing the state’s tax on managed-care organizations and directing an estimated $7 billion to $8 billion each year exclusively to Medi-Cal.\u003c/p>\n\u003cp>The funds are meant to improve access to primary care, specialty care, mental health services and prescription drugs, as well as enhance provider availability and reduce patient wait times.\u003c/p>\n\u003cp>Lawmakers, however, are limited in reassigning these funds, and the measure remains contingent on federal approval for continued matching funds.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>The Associated Press called the race at 9:28 p.m. with 67.5% of voters approving.\u003c/p>\n\u003cp>Proponents of the measure quickly celebrated what they called an overwhelming victory. Jodi Hicks, president and CEO of Planned Parenthood Affiliates of California and the campaign’s co-chair called it a “victory for patients across California” in a quickly emailed press release.\u003c/p>\n\u003cp>“Nearly 85% of patients at Planned Parenthood health centers rely on Medi-Cal for health insurance and now, with a dedicated source of funding for the program, there will be a future that provides more stability and expanded access to care for those who need it most,” she said. “Planned Parenthood is proud to have supported Prop. 35 to help achieve a more equitable health care delivery system that all Californians will benefit from.”\u003c/p>\n\u003cp>The No on Prop. 35 campaign released a statement that said the vote made it clear that Californians support the Medi-Cal program and “want to improve access to health care for the most vulnerable.”\u003c/p>\n\u003cp>“While we opposed Prop. 35 because of the details, state leaders now have a mandate to improve Medi-Cal and must fulfill that obligation,” the statement said.\u003c/p>\n\u003cp>Despite Proposition 35’s innocuous and seemingly straightforward title — “Provides permanent funding for Medi-Cal health care services” — the measure is one the most complex on California’s ballot. At its core is an obscure tax that most voters have never heard of. Basically, California levies a tax on managed-care organizations — otherwise known as health insurers like Anthem Blue Cross and Kaiser Permanente. The state uses the tax revenue to draw federal matching funds, effectively doubling its impact, and applies it toward Medi-Cal services.\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>Under the proposition, tax revenue from managed-care organizations would be strictly reserved for Medi-Cal, expanding access to services like mental health, primary care, and prescription drugs. Supporters argue this dedicated funding will improve access for the 2 in 5 Californians reliant on Medi-Cal, with funds directed to providers like hospitals and emergency services. With many patients currently facing prolonged wait times and few physicians accepting Medi-Cal’s lower reimbursement rates, proponents said it would help alleviate these pressures by increasing provider compensation.\u003c/p>\n\u003cp>However, critics warn that the proposition’s rigid spending mandates may constrain California’s fiscal flexibility, potentially intensifying the state’s budget challenges. The measure’s reliance on federal approval for matching funds also raises concerns, as changes to federal policy could jeopardize future funding.\u003c/p>\n\u003cp>Opponents argue that such budgeting restrictions should be managed by policymakers, who can adjust them as needed, rather than by voters through a ballot measure, which would be challenging to amend in future elections.\u003c/p>\n\u003cp>The proposition drew support from a broad coalition, including the California Democratic and Republican parties, health care associations, labor unions and Planned Parenthood.\u003c/p>\n\u003cp>Opposition comes from groups like the California Pan-Ethnic Health Network and the California Alliance of Retired Americans, who fear the financial risks and loss of budgetary adaptability.\u003c/p>\n\u003cp>Proposition 35 created unusual political devisions and its intricate funding mechanism and spending restrictions fragmented the medical community — even among those who share the same goals of improving health care access.\u003c/p>\n\u003cp>\u003c/p>\n\u003c/div>\u003c/p>",
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"slug": "californian-votes-really-matter-what-the-election-could-mean-for-reproductive-health",
"title": "‘Californian Votes Really Matter’: What the Election Could Mean for Reproductive Health",
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"content": "\u003cp>Dr. Sophia Yen finds it difficult to talk about the future her daughters could face under a second Trump presidency without tearing up.\u003c/p>\n\u003cp>Yen, co-founder of an organization specializing in reproductive care, fears their access to such vital care could be further limited if former President Donald Trump wins the election. And she’s not alone.\u003c/p>\n\u003cp>“How do I get two girls through college?” Yen asked, pointing to the fact that \u003ca href=\"https://www.aau.edu/sites/default/files/AAU-Files/Key-Issues/Campus-Safety/Revised%20Aggregate%20report%20%20and%20appendices%201-7_(01-16-2020_FINAL).pdf\">1 in 4 undergraduate women\u003c/a> have reported being sexually assaulted.\u003c/p>\n\u003cp>Nationwide, she said, reproductive rights have “already gone back. And we need to fix it.”\u003c/p>\n\u003cp>After the Supreme Court \u003ca href=\"https://www.kqed.org/news/11917776/supreme-court-overturns-roe-v-wade\">overturned \u003cem>Roe v. Wade\u003c/em>\u003c/a> in 2022, spurring some states to limit \u003ca href=\"https://www.kqed.org/news/tag/abortion\">access to abortion\u003c/a>, \u003ca href=\"https://jamanetwork.com/journals/jamapediatrics/fullarticle/2825201?guestAccessKey=e7e9550e-5563-4801-bc4f-b743bed9ccff&utm_source=for_the_media&utm_medium=referral&utm_campaign=ftm_links&utm_content=tfl&utm_term=102124\">infant mortality rates increased\u003c/a> — in Texas, by \u003ca href=\"https://jamanetwork.com/journals/jamapediatrics/article-abstract/2819785\">as much as 13%\u003c/a>. Pinning down the \u003ca href=\"https://www.propublica.org/article/tracking-maternal-deaths-under-abortion-bans\">maternal mortality rate\u003c/a> is harder. According to \u003ca href=\"https://www.commonwealthfund.org/publications/scorecard/2024/jul/2024-state-scorecard-womens-health-and-reproductive-care\">a recent study\u003c/a> from the Commonwealth Fund, \u003ca href=\"https://www.bloomberg.com/news/articles/2024-07-18/maternal-deaths-were-highest-in-states-that-restrict-abortion\">women were more at risk\u003c/a> of dying at or around childbirth in \u003ca href=\"https://www.bloomberg.com/news/articles/2024-07-18/maternal-deaths-were-highest-in-states-that-restrict-abortion\">states with stricter abortion laws\u003c/a>. In Texas, the \u003ca href=\"https://www.nbcnews.com/health/womens-health/texas-abortion-ban-deaths-pregnant-women-sb8-analysis-rcna171631\">maternal mortality rate rose 56%\u003c/a> from 2019 to 2022, while nationally, it ticked up 11%, according to the research nonprofit Gender Equity Policy Institute.\u003c/p>\n\u003cp>According to a \u003ca href=\"https://news.gallup.com/poll/645836/record-share-electorate-pro-choice-voting.aspx\">Gallup Poll\u003c/a> released this summer, 54% of Americans identify as pro-choice, maintaining “historically high levels” of support for abortion rights since the overturning of \u003cem>Roe v. Wade\u003c/em>. And 32% of registered voters said they would only vote for a candidate that shared the same views as them on abortion, up 8 points since 2020.\u003c/p>\n\u003cp>In an election featuring two candidates with wildly differing views on abortion who are \u003ca href=\"https://www.reuters.com/world/us/harris-lead-over-trump-dwindles-single-point-44-43-reutersipsos-poll-finds-2024-10-29/\">polling extremely closely\u003c/a>, Bay Area residents and experts are left to wait and see what the future of healthcare holds.\u003c/p>\n\u003cp>Even though \u003ca href=\"https://abortion.ca.gov/your-rights/your-legal-right-to-an-abortion/index.html\">state laws\u003c/a> protect the right to an abortion in California, Yen — who is also a professor at Stanford Medical School — said the stakes are still high for abortion-rights voters in the Bay Area.\u003c/p>\n\u003cp>“For Californians, we think we’re protected,” she said. “But we’re not.”\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003ch2>What could reproductive health care look like under a second Trump term?\u003c/h2>\n\u003cp>Though the Dobbs decision, which overturned \u003cem>Roe v. Wade\u003c/em>, left it to \u003ca href=\"https://www.hrw.org/news/2023/04/18/human-rights-crisis-abortion-united-states-after-dobbs\">states to regulate abortion\u003c/a>, Nancy Cohen of \u003ca href=\"https://thegepi.org/about/\">the Gender Equity Policy Institute\u003c/a> said, “A national abortion ban is absolutely coming” if Trump is elected a second time.\u003c/p>\n\u003cp>Project 2025 — \u003ca href=\"https://www.kqed.org/news/11998288/what-is-project-2025-donald-trump-heritage-foundation-director-steps-down\">a detailed, 900-page policy agenda for the next Republican presidency\u003c/a> authored and supported by Trump allies, former and current Trump staffers and his running mate JD Vance — has called for \u003ca href=\"https://calmatters.org/politics/2024/09/project2025-trump-california-abortion-surveillance/\">a national database\u003c/a> where states would report abortions. Cohen described this proposal as “basically Big Brother.”[aside postID=news_11998288 hero='https://cdn.kqed.org/wp-content/uploads/sites/10/2024/07/GettyImages-2162596915-scaled.jpg']\u003c/p>\n\u003cp>Project 2025 also aims to revive parts of the \u003ca href=\"https://www.americanprogress.org/article/project-2025s-distortion-of-a-reconstruction-era-law-could-enact-a-national-abortion-ban/\">Comstock Act\u003c/a>, a law from the late 1800s that bans the mailing of \u003ca href=\"https://www.kff.org/womens-health-policy/issue-brief/the-comstock-act-implications-for-abortion-care-nationwide/\">“obscene” items\u003c/a> such as \u003ca href=\"https://www.pbs.org/wgbh/americanexperience/features/pill-anthony-comstocks-chastity-laws/\">contraceptives\u003c/a>. (The act faced intense criticism at the time and was restricted in 1930, but it was \u003ca href=\"https://time.com/7014473/comstock-act-project-2025/\">never fully repealed\u003c/a>. \u003cem>Roe v. Wade\u003c/em> overruled it, and when \u003cem>Roe v. Wade\u003c/em> was overturned, the Biden administration said it would \u003ca href=\"https://www.justice.gov/olc/opinion/application-comstock-act-mailing-prescription-drugs-can-be-used-abortions\">not apply\u003c/a> the Comstock Act.)\u003c/p>\n\u003cp>“States like California and New York that have constitutional protections for abortion rights and reproductive health care in general … those become meaningless,” Cohen said. “Federal law will trump state protection.”\u003c/p>\n\u003cp>Another Trump term would mean he could \u003ca href=\"https://nysba.org/6-to-3-the-impact-of-the-supreme-courts-conservative-super-majority/\">appoint more conservative-leaning\u003c/a> Supreme Court justices and federal judges. \u003ca href=\"https://www.npr.org/2024/03/14/1238102768/fetal-personhood-alabama-ivf\">In states like Alabama\u003c/a>, Cohen noted, right-leaning judges have increasingly wielded arguments that personhood begins at conception.\u003c/p>\n\u003cp>“Something like that would outlaw the IUD,” she said.\u003c/p>\n\u003cp>“A lot of the anti-abortion movement believes that they should also \u003ca href=\"https://www.vox.com/24087411/anti-abortion-roe-dobbs-birth-control-contraception-ivf\">outlaw birth control\u003c/a>,” Cohen said. “So we are looking at really terrifying scenarios under a Trump presidency.”\u003c/p>\n\u003ch2>How the Supreme Court still has the final say\u003c/h2>\n\u003cp>Experts predict the \u003ca href=\"https://www.npr.org/2024/10/30/nx-s1-5161578/supreme-court-harris-trump\">future of the judicial branch\u003c/a> will also be a political battle, depending on who wins the presidency and the Senate.\u003c/p>\n\u003cp>For example, if Kamala Harris is elected president but Republicans take control of the Senate, her administration is likely to struggle to get appointments to lower courts confirmed, \u003ca href=\"https://www.npr.org/2024/10/30/nx-s1-5161578/supreme-court-harris-trump\">similar to Barack Obama’s term\u003c/a>.\u003c/p>\n\u003cp>Yen hopes that if there is \u003ca href=\"https://www.kqed.org/news/12001799/kamala-harris-put-abortion-at-the-center-of-the-election-what-her-california-record-shows\">a Harris presidency\u003c/a>, Democrats would “become bold enough to balance the court” — \u003ca href=\"https://demandjustice.org/priorities/supreme-court-reform/\">a common call\u003c/a> from left-leaning advocates critical of lifetime appointments to the Supreme Court.\u003c/p>\n\u003cp>This summer, President Joe Biden \u003ca href=\"https://www.wsj.com/podcasts/opinion-potomac-watch/kamala-harris-wants-to-reform-the-supreme-court/af03b7fe-5e17-44de-ac6d-cd4d0c0e0a63\">endorsed the idea of term limits\u003c/a> for justices in the country’s highest court. While Harris disavowed “\u003ca href=\"https://www.rutgers.edu/news/what-court-packing\">court-packing\u003c/a>,” she has called for \u003ca href=\"https://www.wsj.com/podcasts/opinion-potomac-watch/kamala-harris-wants-to-reform-the-supreme-court/af03b7fe-5e17-44de-ac6d-cd4d0c0e0a63\">reforms in the Supreme Court\u003c/a>, citing a growing lack of trust in the judicial branch.\u003c/p>\n\u003cp>“The current people on the Supreme Court are not neutral on reproductive rights, are not neutral on abortion, not neutral on reproductive freedom, and seem to tend towards a theocracy,” Yen said.\u003c/p>\n\u003cfigure id=\"attachment_12012287\" class=\"wp-caption alignnone\" style=\"max-width: 2000px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-12012287\" src=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2024/11/241101-REPROHEALTHCAREPROF-05-BL-KQED.jpg\" alt=\"\" width=\"2000\" height=\"1333\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2024/11/241101-REPROHEALTHCAREPROF-05-BL-KQED.jpg 2000w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/11/241101-REPROHEALTHCAREPROF-05-BL-KQED-800x533.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/11/241101-REPROHEALTHCAREPROF-05-BL-KQED-1020x680.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/11/241101-REPROHEALTHCAREPROF-05-BL-KQED-160x107.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/11/241101-REPROHEALTHCAREPROF-05-BL-KQED-1536x1024.jpg 1536w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/11/241101-REPROHEALTHCAREPROF-05-BL-KQED-1920x1280.jpg 1920w\" sizes=\"(max-width: 2000px) 100vw, 2000px\">\u003cfigcaption class=\"wp-caption-text\">Dr. Sophia Yen, an advocate of women’s health rights, wears a uterus necklace at her home in Los Altos on Nov. 1, 2024. \u003ccite>(Beth LaBerge/KQED)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003ch2>How reproductive rights show up in California’s local races\u003c/h2>\n\u003cp>Advocates stress that the stakes of reproductive health in the U.S. do not just lie with the executive office and the Supreme Court. Democrats need just \u003ca href=\"https://www.pbs.org/newshour/politics/how-democrats-could-take-the-house\">five seats to win control of the House\u003c/a>, and whether this happens “really depends on elections in California and New York,” Cohen said.\u003c/p>\n\u003cp>This summer, when Senate Republicans blocked \u003ca href=\"https://www.washingtonpost.com/politics/interactive/2024/06/05/senate-vote-right-to-contraception-act-birth-control-access/\">the Right to Contraception Act\u003c/a>, San Francisco Rep. Nancy Pelosi wrote in a statement that GOP resistance “should come as no surprise,” citing the 195 Republicans who voted against the House’s version of the act in 2022. Though eight House Republicans voted in favor of the act, \u003ca href=\"https://www.businessinsider.com/the-8-republicans-vote-to-protect-federal-right-to-contraception-2022-7\">none of them\u003c/a> were from California.\u003c/p>\n\u003cp>The California Republicans who voted against the 2022 act are up for reelection. They include \u003ca href=\"https://justfacts.votesmart.org/bill/33019/87001/26777/right-to-contraception-act#87001\">Rep. Ken Calvert\u003c/a>, who is facing a challenge from Democrat Will Rollins in Southern California’s Riverside County. (Calvert said he supported competing Republican-backed bills that \u003ca href=\"https://calvert.house.gov/media/press-releases/rep-calvert-votes-expand-access-contraceptives\">expanded contraceptive use\u003c/a> but kept protections for religious health care providers.)\u003c/p>\n\u003cp>In the Central Valley, Rep. David Valadao, who co-sponsored the \u003ca href=\"https://www.congress.gov/bill/117th-congress/house-bill/1011\">Life at Conception Act in 2022\u003c/a>, is running against Democrat Rudy Salas. The anti-abortion incumbent \u003ca href=\"https://www.sacbee.com/news/politics-government/capitol-alert/article294294674.html\">did not co-sponsor\u003c/a> the legislation again in 2023.\u003c/p>\n\u003cp>For Yen, these Democratic challengers “could help us gain control in the House for those that support reproductive rights, voting rights and \u003ca href=\"https://tennesseelookout.com/2022/08/26/jewish-congregations-mount-legal-challenges-to-state-abortion-bans/\">freedom of religion\u003c/a>.”\u003c/p>\n\u003cp>“For Californians who care about abortion rights and live in \u003ca href=\"https://calmatters.org/politics/elections/2024/10/california-abortion-election-congress/\">one of these districts\u003c/a>, it’s very important to look at their record and see a lot of them are obfuscating and outright lying about where they are on this issue,” Cohen said.\u003c/p>\n\u003cp>And at the local level, anti-abortion candidates for \u003ca href=\"https://www.kqed.org/news/11959451/culture-wars-escalate-as-state-takes-on-school-boards-over-lgbtq-rights\">school boards\u003c/a> and city councils could potentially also seek to enact “really extreme measures that are out of sync with Californians’ inclusive and pro-rights values,” Cohen said.\u003c/p>\n\u003cp>“Californian votes really matter.”\u003c/p>\n\u003cfigure id=\"attachment_11926872\" class=\"wp-caption aligncenter\" style=\"max-width: 1920px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-11926872\" src=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2022/09/Prop1_KQED_AbortionRallySF.jpg\" alt='A crowd of people gather holding signs with messages like, \"My body, my choice\" written on them in colorful marker.' width=\"1920\" height=\"1278\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2022/09/Prop1_KQED_AbortionRallySF.jpg 1920w, https://cdn.kqed.org/wp-content/uploads/sites/10/2022/09/Prop1_KQED_AbortionRallySF-800x533.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2022/09/Prop1_KQED_AbortionRallySF-1020x679.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2022/09/Prop1_KQED_AbortionRallySF-160x107.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2022/09/Prop1_KQED_AbortionRallySF-1536x1022.jpg 1536w\" sizes=\"(max-width: 1920px) 100vw, 1920px\">\u003cfigcaption class=\"wp-caption-text\">Hundreds of people gather during a rally for abortion rights outside the Phillip Burton Federal Building in San Francisco on May 3, 2022, as part of a nationwide response against the leaked draft of the Supreme Court’s decision that ultimately overturned Roe v. Wade. Recent polling shows 71% of Californians say they’ll vote yes on Proposition 1, which would enshrine abortion and contraception access into the state constitution. \u003ccite>(Beth LaBerge/KQED)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003ch2>California abortion — for residents and visitors\u003c/h2>\n\u003cp>California has stronger protections for reproductive rights than much of the country, especially after voters added the right to an abortion to the state constitution in 2022.\u003c/p>\n\u003cp>However, reports have shown that people in the state’s rural areas have a hard time accessing care due to the lack of facilities nearby that \u003ca href=\"https://www.kqed.org/news/11934819/for-rural-californians-abortion-is-legal-but-its-not-always-accessible\">can perform abortions\u003c/a>. Last month, \u003ca href=\"https://www.kqed.org/news/12007119/california-sues-a-catholic-hospital-for-denying-patient-an-emergency-abortion\">the state sued a Catholic hospital\u003c/a> for refusing to perform an emergency abortion. The patient in question, Dr. Anna Nusslock, was rushed to another hospital for a life-saving surgery.\u003c/p>\n\u003cp>Just last week, the attorney general’s office found that Beverly Hills officials had \u003ca href=\"https://www.oag.ca.gov/news/press-releases/attorney-general-bonta-holds-beverly-hills-accountable-preventing-reproductive\">pressured a landlord\u003c/a> to prevent an abortion clinic from opening.[aside postID=news_12001799 hero='https://cdn.kqed.org/wp-content/uploads/sites/10/2024/08/031424_Kamala-Reproductive-Health_AP_CM_01-copy.jpg']\u003c/p>\n\u003cp>“It is troubling that, even here in California where access to reproductive healthcare is a constitutional right, Beverly Hills officials have taken actions reminiscent of those in extremist red states by illegally interfering with, and ultimately preventing a new reproductive healthcare clinic from opening,” Attorney General Rob Bonta said in a statement.\u003c/p>\n\u003cp>There is also the influx of \u003ca href=\"https://www.plannedparenthood.org/planned-parenthood-orange-san-bernardino/about-us/news/demand-has-quadrupled-at-some-california-abortion-clinics-since-roe-fell\">out-of-state patients\u003c/a> traveling to California for abortion care when access is restricted in their own states, leading to increased wait times and crowded clinics.\u003c/p>\n\u003cp>The Bay Area “provides care for the millions of women of reproductive age in the region” and out of state, Cohen said.\u003c/p>\n\u003cp>“But the system is a little stressed,” she said, \u003ca href=\"https://thegepi.org/gepi-sfdosw-report-bay-area-abortion-rights/\">citing the need\u003c/a> for “better coordination” and increased resources across the state.\u003c/p>\n\u003cp>Dr. Katherine Brown, medical director of the \u003ca href=\"https://obgyn.ucsf.edu/gynecology/katherine-brown-md-mas\">Black Wellness Clinic at UCSF\u003c/a>, said she and her colleagues have seen “people from all over the country more than we did before. We have patients coming from places like Texas, Oklahoma, Tennessee.”\u003c/p>\n\u003cp>“My patients already went through a lot prior to the Dobbs decision. But now, they have to go through a lot more hoops to even get the care that they need,” she said, noting the high costs of such cross-country travel.\u003c/p>\n\u003cp>“I always wonder about the people that don’t make it,” she added.\u003c/p>\n\u003cfigure id=\"attachment_11974146\" class=\"wp-caption aligncenter\" style=\"max-width: 2000px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-11974146\" src=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2024/01/240129-KAMALA-HARRIS-SAN-JOSE-MD-05-KQED.jpg\" alt=\"Vice President Kamala Harris is pictured sitting in a yellow seat on a stage.\" width=\"2000\" height=\"1333\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2024/01/240129-KAMALA-HARRIS-SAN-JOSE-MD-05-KQED.jpg 2000w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/01/240129-KAMALA-HARRIS-SAN-JOSE-MD-05-KQED-800x533.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/01/240129-KAMALA-HARRIS-SAN-JOSE-MD-05-KQED-1020x680.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/01/240129-KAMALA-HARRIS-SAN-JOSE-MD-05-KQED-160x107.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/01/240129-KAMALA-HARRIS-SAN-JOSE-MD-05-KQED-1536x1024.jpg 1536w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/01/240129-KAMALA-HARRIS-SAN-JOSE-MD-05-KQED-1920x1280.jpg 1920w\" sizes=\"(max-width: 2000px) 100vw, 2000px\">\u003cfigcaption class=\"wp-caption-text\">Vice President Kamala Harris speaks during the ‘Fight for Reproductive Freedoms’ tour at Mexican Heritage Plaza in San José on Jan. 29, 2024. \u003ccite>(Martin do Nascimento/KQED)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003ch2>What could a Harris presidency look like when it comes to reproductive rights?\u003c/h2>\n\u003cp>As a California prosecutor, Harris had a strong record of \u003ca href=\"https://www.kqed.org/news/12001799/kamala-harris-put-abortion-at-the-center-of-the-election-what-her-california-record-shows\">protecting abortion rights\u003c/a>. She has said that if she were to win the presidency, she would \u003ca href=\"https://time.com/7096543/kamala-harris-abortion-plan-2024/\">sign a bill\u003c/a> reinstating \u003cem>Roe’s\u003c/em> protections into law if Congress passes it. Harris could also use her authority to \u003ca href=\"https://www.npr.org/2024/10/31/g-s1-31186/up-first-newsletter-voter-fraud-conspiracy-theories-kamala-harris-donald-trump-abortion-policies\">strengthen privacy laws\u003c/a>, which could protect people with uteruses from being prosecuted.\u003c/p>\n\u003cp>Brown said there are opportunities with this election to amend the inequities that have faced some Americans. For example, she said \u003cem>Roe v. Wade\u003c/em> was “imperfect” — noting that \u003ca href=\"https://www.kff.org/womens-health-policy/issue-brief/the-hyde-amendment-and-coverage-for-abortion-services-under-medicaid-in-the-post-roe-era/#:~:text=Starting%20in%201977%2C%20the%20Hyde,result%20from%20rape%20or%20incest.\">due to federal law\u003c/a>, many people on Medicaid could not have the costs of their abortion covered. (California’s version of the program, Medi-Cal, \u003ca href=\"https://mcweb.apps.prd.cammis.medi-cal.ca.gov/assets/26092CC9-AAAF-432E-A672-85D649215F8A/abort.pdf?access_token=6UyVkRRfByXTZEWIh8j8QaYylPyP5ULO\">does cover abortion\u003c/a>, however.)\u003c/p>\n\u003cp>“Access to abortion needs to be a protected right no matter where you are,” she said. “Insurance needs to be able to cover it, no matter what type of insurance you have.”\u003c/p>\n\u003cp>While she is anxious for Election Day, she said she is also “guardedly hopeful.”\u003c/p>\n\u003cp>“We have the opportunity to move beyond \u003cem>Roe\u003c/em> and find something that’s better,” she said. “That really honors reproductive freedom, reproductive autonomy.”\u003c/p>\n\u003cp>“So that’s where I find my hope.”\u003c/p>\n\u003cp>[ad floatright]\u003c/p>\n",
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"excerpt": "Even though California protects abortion rights, experts say the stakes for reproductive health care are high under a potential second Trump presidency. ",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>Dr. Sophia Yen finds it difficult to talk about the future her daughters could face under a second Trump presidency without tearing up.\u003c/p>\n\u003cp>Yen, co-founder of an organization specializing in reproductive care, fears their access to such vital care could be further limited if former President Donald Trump wins the election. And she’s not alone.\u003c/p>\n\u003cp>“How do I get two girls through college?” Yen asked, pointing to the fact that \u003ca href=\"https://www.aau.edu/sites/default/files/AAU-Files/Key-Issues/Campus-Safety/Revised%20Aggregate%20report%20%20and%20appendices%201-7_(01-16-2020_FINAL).pdf\">1 in 4 undergraduate women\u003c/a> have reported being sexually assaulted.\u003c/p>\n\u003cp>Nationwide, she said, reproductive rights have “already gone back. And we need to fix it.”\u003c/p>\n\u003cp>After the Supreme Court \u003ca href=\"https://www.kqed.org/news/11917776/supreme-court-overturns-roe-v-wade\">overturned \u003cem>Roe v. Wade\u003c/em>\u003c/a> in 2022, spurring some states to limit \u003ca href=\"https://www.kqed.org/news/tag/abortion\">access to abortion\u003c/a>, \u003ca href=\"https://jamanetwork.com/journals/jamapediatrics/fullarticle/2825201?guestAccessKey=e7e9550e-5563-4801-bc4f-b743bed9ccff&utm_source=for_the_media&utm_medium=referral&utm_campaign=ftm_links&utm_content=tfl&utm_term=102124\">infant mortality rates increased\u003c/a> — in Texas, by \u003ca href=\"https://jamanetwork.com/journals/jamapediatrics/article-abstract/2819785\">as much as 13%\u003c/a>. Pinning down the \u003ca href=\"https://www.propublica.org/article/tracking-maternal-deaths-under-abortion-bans\">maternal mortality rate\u003c/a> is harder. According to \u003ca href=\"https://www.commonwealthfund.org/publications/scorecard/2024/jul/2024-state-scorecard-womens-health-and-reproductive-care\">a recent study\u003c/a> from the Commonwealth Fund, \u003ca href=\"https://www.bloomberg.com/news/articles/2024-07-18/maternal-deaths-were-highest-in-states-that-restrict-abortion\">women were more at risk\u003c/a> of dying at or around childbirth in \u003ca href=\"https://www.bloomberg.com/news/articles/2024-07-18/maternal-deaths-were-highest-in-states-that-restrict-abortion\">states with stricter abortion laws\u003c/a>. In Texas, the \u003ca href=\"https://www.nbcnews.com/health/womens-health/texas-abortion-ban-deaths-pregnant-women-sb8-analysis-rcna171631\">maternal mortality rate rose 56%\u003c/a> from 2019 to 2022, while nationally, it ticked up 11%, according to the research nonprofit Gender Equity Policy Institute.\u003c/p>\n\u003cp>According to a \u003ca href=\"https://news.gallup.com/poll/645836/record-share-electorate-pro-choice-voting.aspx\">Gallup Poll\u003c/a> released this summer, 54% of Americans identify as pro-choice, maintaining “historically high levels” of support for abortion rights since the overturning of \u003cem>Roe v. Wade\u003c/em>. And 32% of registered voters said they would only vote for a candidate that shared the same views as them on abortion, up 8 points since 2020.\u003c/p>\n\u003cp>In an election featuring two candidates with wildly differing views on abortion who are \u003ca href=\"https://www.reuters.com/world/us/harris-lead-over-trump-dwindles-single-point-44-43-reutersipsos-poll-finds-2024-10-29/\">polling extremely closely\u003c/a>, Bay Area residents and experts are left to wait and see what the future of healthcare holds.\u003c/p>\n\u003cp>Even though \u003ca href=\"https://abortion.ca.gov/your-rights/your-legal-right-to-an-abortion/index.html\">state laws\u003c/a> protect the right to an abortion in California, Yen — who is also a professor at Stanford Medical School — said the stakes are still high for abortion-rights voters in the Bay Area.\u003c/p>\n\u003cp>“For Californians, we think we’re protected,” she said. “But we’re not.”\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003ch2>What could reproductive health care look like under a second Trump term?\u003c/h2>\n\u003cp>Though the Dobbs decision, which overturned \u003cem>Roe v. Wade\u003c/em>, left it to \u003ca href=\"https://www.hrw.org/news/2023/04/18/human-rights-crisis-abortion-united-states-after-dobbs\">states to regulate abortion\u003c/a>, Nancy Cohen of \u003ca href=\"https://thegepi.org/about/\">the Gender Equity Policy Institute\u003c/a> said, “A national abortion ban is absolutely coming” if Trump is elected a second time.\u003c/p>\n\u003cp>Project 2025 — \u003ca href=\"https://www.kqed.org/news/11998288/what-is-project-2025-donald-trump-heritage-foundation-director-steps-down\">a detailed, 900-page policy agenda for the next Republican presidency\u003c/a> authored and supported by Trump allies, former and current Trump staffers and his running mate JD Vance — has called for \u003ca href=\"https://calmatters.org/politics/2024/09/project2025-trump-california-abortion-surveillance/\">a national database\u003c/a> where states would report abortions. Cohen described this proposal as “basically Big Brother.”\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>Project 2025 also aims to revive parts of the \u003ca href=\"https://www.americanprogress.org/article/project-2025s-distortion-of-a-reconstruction-era-law-could-enact-a-national-abortion-ban/\">Comstock Act\u003c/a>, a law from the late 1800s that bans the mailing of \u003ca href=\"https://www.kff.org/womens-health-policy/issue-brief/the-comstock-act-implications-for-abortion-care-nationwide/\">“obscene” items\u003c/a> such as \u003ca href=\"https://www.pbs.org/wgbh/americanexperience/features/pill-anthony-comstocks-chastity-laws/\">contraceptives\u003c/a>. (The act faced intense criticism at the time and was restricted in 1930, but it was \u003ca href=\"https://time.com/7014473/comstock-act-project-2025/\">never fully repealed\u003c/a>. \u003cem>Roe v. Wade\u003c/em> overruled it, and when \u003cem>Roe v. Wade\u003c/em> was overturned, the Biden administration said it would \u003ca href=\"https://www.justice.gov/olc/opinion/application-comstock-act-mailing-prescription-drugs-can-be-used-abortions\">not apply\u003c/a> the Comstock Act.)\u003c/p>\n\u003cp>“States like California and New York that have constitutional protections for abortion rights and reproductive health care in general … those become meaningless,” Cohen said. “Federal law will trump state protection.”\u003c/p>\n\u003cp>Another Trump term would mean he could \u003ca href=\"https://nysba.org/6-to-3-the-impact-of-the-supreme-courts-conservative-super-majority/\">appoint more conservative-leaning\u003c/a> Supreme Court justices and federal judges. \u003ca href=\"https://www.npr.org/2024/03/14/1238102768/fetal-personhood-alabama-ivf\">In states like Alabama\u003c/a>, Cohen noted, right-leaning judges have increasingly wielded arguments that personhood begins at conception.\u003c/p>\n\u003cp>“Something like that would outlaw the IUD,” she said.\u003c/p>\n\u003cp>“A lot of the anti-abortion movement believes that they should also \u003ca href=\"https://www.vox.com/24087411/anti-abortion-roe-dobbs-birth-control-contraception-ivf\">outlaw birth control\u003c/a>,” Cohen said. “So we are looking at really terrifying scenarios under a Trump presidency.”\u003c/p>\n\u003ch2>How the Supreme Court still has the final say\u003c/h2>\n\u003cp>Experts predict the \u003ca href=\"https://www.npr.org/2024/10/30/nx-s1-5161578/supreme-court-harris-trump\">future of the judicial branch\u003c/a> will also be a political battle, depending on who wins the presidency and the Senate.\u003c/p>\n\u003cp>For example, if Kamala Harris is elected president but Republicans take control of the Senate, her administration is likely to struggle to get appointments to lower courts confirmed, \u003ca href=\"https://www.npr.org/2024/10/30/nx-s1-5161578/supreme-court-harris-trump\">similar to Barack Obama’s term\u003c/a>.\u003c/p>\n\u003cp>Yen hopes that if there is \u003ca href=\"https://www.kqed.org/news/12001799/kamala-harris-put-abortion-at-the-center-of-the-election-what-her-california-record-shows\">a Harris presidency\u003c/a>, Democrats would “become bold enough to balance the court” — \u003ca href=\"https://demandjustice.org/priorities/supreme-court-reform/\">a common call\u003c/a> from left-leaning advocates critical of lifetime appointments to the Supreme Court.\u003c/p>\n\u003cp>This summer, President Joe Biden \u003ca href=\"https://www.wsj.com/podcasts/opinion-potomac-watch/kamala-harris-wants-to-reform-the-supreme-court/af03b7fe-5e17-44de-ac6d-cd4d0c0e0a63\">endorsed the idea of term limits\u003c/a> for justices in the country’s highest court. While Harris disavowed “\u003ca href=\"https://www.rutgers.edu/news/what-court-packing\">court-packing\u003c/a>,” she has called for \u003ca href=\"https://www.wsj.com/podcasts/opinion-potomac-watch/kamala-harris-wants-to-reform-the-supreme-court/af03b7fe-5e17-44de-ac6d-cd4d0c0e0a63\">reforms in the Supreme Court\u003c/a>, citing a growing lack of trust in the judicial branch.\u003c/p>\n\u003cp>“The current people on the Supreme Court are not neutral on reproductive rights, are not neutral on abortion, not neutral on reproductive freedom, and seem to tend towards a theocracy,” Yen said.\u003c/p>\n\u003cfigure id=\"attachment_12012287\" class=\"wp-caption alignnone\" style=\"max-width: 2000px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-12012287\" src=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2024/11/241101-REPROHEALTHCAREPROF-05-BL-KQED.jpg\" alt=\"\" width=\"2000\" height=\"1333\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2024/11/241101-REPROHEALTHCAREPROF-05-BL-KQED.jpg 2000w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/11/241101-REPROHEALTHCAREPROF-05-BL-KQED-800x533.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/11/241101-REPROHEALTHCAREPROF-05-BL-KQED-1020x680.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/11/241101-REPROHEALTHCAREPROF-05-BL-KQED-160x107.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/11/241101-REPROHEALTHCAREPROF-05-BL-KQED-1536x1024.jpg 1536w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/11/241101-REPROHEALTHCAREPROF-05-BL-KQED-1920x1280.jpg 1920w\" sizes=\"(max-width: 2000px) 100vw, 2000px\">\u003cfigcaption class=\"wp-caption-text\">Dr. Sophia Yen, an advocate of women’s health rights, wears a uterus necklace at her home in Los Altos on Nov. 1, 2024. \u003ccite>(Beth LaBerge/KQED)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003ch2>How reproductive rights show up in California’s local races\u003c/h2>\n\u003cp>Advocates stress that the stakes of reproductive health in the U.S. do not just lie with the executive office and the Supreme Court. Democrats need just \u003ca href=\"https://www.pbs.org/newshour/politics/how-democrats-could-take-the-house\">five seats to win control of the House\u003c/a>, and whether this happens “really depends on elections in California and New York,” Cohen said.\u003c/p>\n\u003cp>This summer, when Senate Republicans blocked \u003ca href=\"https://www.washingtonpost.com/politics/interactive/2024/06/05/senate-vote-right-to-contraception-act-birth-control-access/\">the Right to Contraception Act\u003c/a>, San Francisco Rep. Nancy Pelosi wrote in a statement that GOP resistance “should come as no surprise,” citing the 195 Republicans who voted against the House’s version of the act in 2022. Though eight House Republicans voted in favor of the act, \u003ca href=\"https://www.businessinsider.com/the-8-republicans-vote-to-protect-federal-right-to-contraception-2022-7\">none of them\u003c/a> were from California.\u003c/p>\n\u003cp>The California Republicans who voted against the 2022 act are up for reelection. They include \u003ca href=\"https://justfacts.votesmart.org/bill/33019/87001/26777/right-to-contraception-act#87001\">Rep. Ken Calvert\u003c/a>, who is facing a challenge from Democrat Will Rollins in Southern California’s Riverside County. (Calvert said he supported competing Republican-backed bills that \u003ca href=\"https://calvert.house.gov/media/press-releases/rep-calvert-votes-expand-access-contraceptives\">expanded contraceptive use\u003c/a> but kept protections for religious health care providers.)\u003c/p>\n\u003cp>In the Central Valley, Rep. David Valadao, who co-sponsored the \u003ca href=\"https://www.congress.gov/bill/117th-congress/house-bill/1011\">Life at Conception Act in 2022\u003c/a>, is running against Democrat Rudy Salas. The anti-abortion incumbent \u003ca href=\"https://www.sacbee.com/news/politics-government/capitol-alert/article294294674.html\">did not co-sponsor\u003c/a> the legislation again in 2023.\u003c/p>\n\u003cp>For Yen, these Democratic challengers “could help us gain control in the House for those that support reproductive rights, voting rights and \u003ca href=\"https://tennesseelookout.com/2022/08/26/jewish-congregations-mount-legal-challenges-to-state-abortion-bans/\">freedom of religion\u003c/a>.”\u003c/p>\n\u003cp>“For Californians who care about abortion rights and live in \u003ca href=\"https://calmatters.org/politics/elections/2024/10/california-abortion-election-congress/\">one of these districts\u003c/a>, it’s very important to look at their record and see a lot of them are obfuscating and outright lying about where they are on this issue,” Cohen said.\u003c/p>\n\u003cp>And at the local level, anti-abortion candidates for \u003ca href=\"https://www.kqed.org/news/11959451/culture-wars-escalate-as-state-takes-on-school-boards-over-lgbtq-rights\">school boards\u003c/a> and city councils could potentially also seek to enact “really extreme measures that are out of sync with Californians’ inclusive and pro-rights values,” Cohen said.\u003c/p>\n\u003cp>“Californian votes really matter.”\u003c/p>\n\u003cfigure id=\"attachment_11926872\" class=\"wp-caption aligncenter\" style=\"max-width: 1920px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-11926872\" src=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2022/09/Prop1_KQED_AbortionRallySF.jpg\" alt='A crowd of people gather holding signs with messages like, \"My body, my choice\" written on them in colorful marker.' width=\"1920\" height=\"1278\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2022/09/Prop1_KQED_AbortionRallySF.jpg 1920w, https://cdn.kqed.org/wp-content/uploads/sites/10/2022/09/Prop1_KQED_AbortionRallySF-800x533.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2022/09/Prop1_KQED_AbortionRallySF-1020x679.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2022/09/Prop1_KQED_AbortionRallySF-160x107.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2022/09/Prop1_KQED_AbortionRallySF-1536x1022.jpg 1536w\" sizes=\"(max-width: 1920px) 100vw, 1920px\">\u003cfigcaption class=\"wp-caption-text\">Hundreds of people gather during a rally for abortion rights outside the Phillip Burton Federal Building in San Francisco on May 3, 2022, as part of a nationwide response against the leaked draft of the Supreme Court’s decision that ultimately overturned Roe v. Wade. Recent polling shows 71% of Californians say they’ll vote yes on Proposition 1, which would enshrine abortion and contraception access into the state constitution. \u003ccite>(Beth LaBerge/KQED)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003ch2>California abortion — for residents and visitors\u003c/h2>\n\u003cp>California has stronger protections for reproductive rights than much of the country, especially after voters added the right to an abortion to the state constitution in 2022.\u003c/p>\n\u003cp>However, reports have shown that people in the state’s rural areas have a hard time accessing care due to the lack of facilities nearby that \u003ca href=\"https://www.kqed.org/news/11934819/for-rural-californians-abortion-is-legal-but-its-not-always-accessible\">can perform abortions\u003c/a>. Last month, \u003ca href=\"https://www.kqed.org/news/12007119/california-sues-a-catholic-hospital-for-denying-patient-an-emergency-abortion\">the state sued a Catholic hospital\u003c/a> for refusing to perform an emergency abortion. The patient in question, Dr. Anna Nusslock, was rushed to another hospital for a life-saving surgery.\u003c/p>\n\u003cp>Just last week, the attorney general’s office found that Beverly Hills officials had \u003ca href=\"https://www.oag.ca.gov/news/press-releases/attorney-general-bonta-holds-beverly-hills-accountable-preventing-reproductive\">pressured a landlord\u003c/a> to prevent an abortion clinic from opening.\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>“It is troubling that, even here in California where access to reproductive healthcare is a constitutional right, Beverly Hills officials have taken actions reminiscent of those in extremist red states by illegally interfering with, and ultimately preventing a new reproductive healthcare clinic from opening,” Attorney General Rob Bonta said in a statement.\u003c/p>\n\u003cp>There is also the influx of \u003ca href=\"https://www.plannedparenthood.org/planned-parenthood-orange-san-bernardino/about-us/news/demand-has-quadrupled-at-some-california-abortion-clinics-since-roe-fell\">out-of-state patients\u003c/a> traveling to California for abortion care when access is restricted in their own states, leading to increased wait times and crowded clinics.\u003c/p>\n\u003cp>The Bay Area “provides care for the millions of women of reproductive age in the region” and out of state, Cohen said.\u003c/p>\n\u003cp>“But the system is a little stressed,” she said, \u003ca href=\"https://thegepi.org/gepi-sfdosw-report-bay-area-abortion-rights/\">citing the need\u003c/a> for “better coordination” and increased resources across the state.\u003c/p>\n\u003cp>Dr. Katherine Brown, medical director of the \u003ca href=\"https://obgyn.ucsf.edu/gynecology/katherine-brown-md-mas\">Black Wellness Clinic at UCSF\u003c/a>, said she and her colleagues have seen “people from all over the country more than we did before. We have patients coming from places like Texas, Oklahoma, Tennessee.”\u003c/p>\n\u003cp>“My patients already went through a lot prior to the Dobbs decision. But now, they have to go through a lot more hoops to even get the care that they need,” she said, noting the high costs of such cross-country travel.\u003c/p>\n\u003cp>“I always wonder about the people that don’t make it,” she added.\u003c/p>\n\u003cfigure id=\"attachment_11974146\" class=\"wp-caption aligncenter\" style=\"max-width: 2000px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-11974146\" src=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2024/01/240129-KAMALA-HARRIS-SAN-JOSE-MD-05-KQED.jpg\" alt=\"Vice President Kamala Harris is pictured sitting in a yellow seat on a stage.\" width=\"2000\" height=\"1333\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2024/01/240129-KAMALA-HARRIS-SAN-JOSE-MD-05-KQED.jpg 2000w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/01/240129-KAMALA-HARRIS-SAN-JOSE-MD-05-KQED-800x533.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/01/240129-KAMALA-HARRIS-SAN-JOSE-MD-05-KQED-1020x680.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/01/240129-KAMALA-HARRIS-SAN-JOSE-MD-05-KQED-160x107.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/01/240129-KAMALA-HARRIS-SAN-JOSE-MD-05-KQED-1536x1024.jpg 1536w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/01/240129-KAMALA-HARRIS-SAN-JOSE-MD-05-KQED-1920x1280.jpg 1920w\" sizes=\"(max-width: 2000px) 100vw, 2000px\">\u003cfigcaption class=\"wp-caption-text\">Vice President Kamala Harris speaks during the ‘Fight for Reproductive Freedoms’ tour at Mexican Heritage Plaza in San José on Jan. 29, 2024. \u003ccite>(Martin do Nascimento/KQED)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003ch2>What could a Harris presidency look like when it comes to reproductive rights?\u003c/h2>\n\u003cp>As a California prosecutor, Harris had a strong record of \u003ca href=\"https://www.kqed.org/news/12001799/kamala-harris-put-abortion-at-the-center-of-the-election-what-her-california-record-shows\">protecting abortion rights\u003c/a>. She has said that if she were to win the presidency, she would \u003ca href=\"https://time.com/7096543/kamala-harris-abortion-plan-2024/\">sign a bill\u003c/a> reinstating \u003cem>Roe’s\u003c/em> protections into law if Congress passes it. Harris could also use her authority to \u003ca href=\"https://www.npr.org/2024/10/31/g-s1-31186/up-first-newsletter-voter-fraud-conspiracy-theories-kamala-harris-donald-trump-abortion-policies\">strengthen privacy laws\u003c/a>, which could protect people with uteruses from being prosecuted.\u003c/p>\n\u003cp>Brown said there are opportunities with this election to amend the inequities that have faced some Americans. For example, she said \u003cem>Roe v. Wade\u003c/em> was “imperfect” — noting that \u003ca href=\"https://www.kff.org/womens-health-policy/issue-brief/the-hyde-amendment-and-coverage-for-abortion-services-under-medicaid-in-the-post-roe-era/#:~:text=Starting%20in%201977%2C%20the%20Hyde,result%20from%20rape%20or%20incest.\">due to federal law\u003c/a>, many people on Medicaid could not have the costs of their abortion covered. (California’s version of the program, Medi-Cal, \u003ca href=\"https://mcweb.apps.prd.cammis.medi-cal.ca.gov/assets/26092CC9-AAAF-432E-A672-85D649215F8A/abort.pdf?access_token=6UyVkRRfByXTZEWIh8j8QaYylPyP5ULO\">does cover abortion\u003c/a>, however.)\u003c/p>\n\u003cp>“Access to abortion needs to be a protected right no matter where you are,” she said. “Insurance needs to be able to cover it, no matter what type of insurance you have.”\u003c/p>\n\u003cp>While she is anxious for Election Day, she said she is also “guardedly hopeful.”\u003c/p>\n\u003cp>“We have the opportunity to move beyond \u003cem>Roe\u003c/em> and find something that’s better,” she said. “That really honors reproductive freedom, reproductive autonomy.”\u003c/p>\n\u003cp>“So that’s where I find my hope.”\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"slug": "bird-flu-jumped-from-cows-to-people-now-advocates-want-more-farmworkers-tested",
"title": "Bird Flu Jumped From Cows to People. Now Advocates Want More Farmworkers Tested",
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"headTitle": "Bird Flu Jumped From Cows to People. Now Advocates Want More Farmworkers Tested | KQED",
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"content": "\u003cp>In the heart of California’s dairy country, workers kitted in respirators, face shields and gloves are grappling with one of the largest bird flu outbreaks in history. California has reported 16 human cases of bird flu this month, and worker advocates say the state isn’t doing enough to protect dairy workers.\u003c/p>\n\u003cp>Only 39 people have been tested for H5N1, the strain of bird flu ravaging herds of cattle, according to the California Department of Public Health. California’s confirmed cases of sick workers account for almost \u003ca href=\"https://www.cdc.gov/bird-flu/situation-summary/index.html\">all of the country’s cattle-to-human transmissions\u003c/a>, according to the Centers for Disease Control and Prevention.\u003c/p>\n\u003cp>Human cases in California have been mild, with no hospitalizations, officials say. Sick workers have reported \u003ca href=\"https://www.cdph.ca.gov/Programs/CID/DCDC/pages/Bird-Flu.aspx\">flu-like symptoms in addition to pink eye\u003c/a>. There have been no documented cases of human-to-human transmission, state health officials say, and the general public’s risk is low.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>The current bird flu surveillance strategy places the majority of the responsibility on farmers to self-report disease among animals and employees, which is problematic, said Elizabeth Strater, a spokesperson for United Farm Workers.\u003c/p>\n\u003cp>“Workers are actively avoiding testing, I can assure you,” Strater said. “We have heard directly from farmworker communities and veterinarians that they can see that there are workers out there who are sick.”\u003c/p>\n\u003cp>Workers, who often have low income, can’t afford the 10-day isolation period with no pay if they are positive, Strater said.\u003c/p>\n\u003cp>Millions of poultry have been slaughtered since the virus first took hold in California farms two years ago, and this year, the highly transmissible virus jumped to cattle, posing a new threat to those who work with the animals.\u003c/p>\n\u003cp>Authorities have confirmed bird flu infections at 178 California dairies since it first emerged in August, according to the state Department of Food and Agriculture, and there is no sign of infections among cows slowing. The transmission from cows to humans is thought to occur through close and prolonged contact with sick animals.\u003c/p>\n\u003cp>“The most concerning data we have is how little data we have,” Strater said. “Hundreds of herds have tested positive, and the number of people tested is in the dozens — that’s a problem.”\u003c/p>\n\u003cp>Dr. Erica Pan, chief epidemiologist with the state health department, said about 20 to 30 people are screened weekly for various influenza variants, including bird flu, in the course of routine flu monitoring.\u003c/p>\n\u003cp>The difference between testing for bird flu and COVID-19, which requires widespread surveillance, Pan said, is that the eye needs to be swabbed, which must be done by a clinician.\u003c/p>\n\u003cp>“This is about looking for symptoms and then testing for them instead of testing people without symptoms,” Pan said.\u003c/p>\n\u003ch2>California distributes PPE for bird flu\u003c/h2>\n\u003cp>The state and local health departments are focusing on distributing protective gear and educating workers on how to use it, Pan said. More than 3.3 million pieces of PPE have been distributed to local health departments and farms, according to the state health department.\u003c/p>\n\u003cp>The state also deployed 5,000 doses of seasonal flu vaccine for farm workers. Although that vaccine won’t protect against bird flu, it reduces the chances of a severe coinfection.\u003c/p>\n\u003cp>Last week, \u003ca href=\"https://kffhealthnews.org/news/article/bird-flu-farmworkers-emails-tracking-human-cases-obstacles-california/\">KFF Health News\u003c/a> reported that farmers in other states have refused to cooperate with local health departments and disease investigators.\u003c/p>\n\u003cp>Tricia Stever Blattler, executive director of the Tulare County Farm Bureau, said she has not heard of any instances of local employers refusing to cooperate with authorities.\u003c/p>\n\u003cp>\u003ca href=\"https://tchhsa.org/eng/public-health/avian-influenza-h5n1-bird-flu/\">Tulare County\u003c/a>, the nation’s largest milk producer, has been the epicenter of the outbreak among cattle and dairy workers, reporting the state’s first human cases in early October. Cases have since been reported in surrounding counties.\u003c/p>\n\u003cp>Early in October, when temperatures soared above 100 degrees, it was difficult to get workers to don additional protective equipment, said Stever Blattler, but that concern has abated with cooling temperatures.\u003c/p>\n\u003ch2>Dairies surprised by bird flu\u003c/h2>\n\u003cp>The severity of the disease for cattle and its rapid spread among herds caught the industry off-guard, Stever Blattler said, and has had “a huge economic ripple.”\u003c/p>\n\u003cp>“Our dairies are really trying to fast-track their learning on the situation,” Stever Blattler said. “They’re trying to create an appropriate and safe workplace, and they’re also trying to increase the care and monitoring of the cattle itself.”[aside label=\"Related Stories\" postID=\"news_12007854,news_11990735,news_11993547\"]Carrie Monteiro, a spokesperson for Tulare public health, said farmers in the county have cooperated with efforts to mitigate the spread of the virus.\u003c/p>\n\u003cp>“They really are reporting and making sure we’re getting the care to their workers and the medication to help their employees recover from this illness,” Monteiro said.\u003c/p>\n\u003cp>The county has increased its testing capacity to include 15 community doctors, although they are still relying on people with symptoms coming forward. If someone tests positive, they and their household are monitored for 10 days and given antiviral flu medication, Monteiro said.\u003c/p>\n\u003cp>Still, Strater said she’d like to see the state do more to assure farmworkers, who often work grueling jobs for low pay, that they will be compensated if they get sick on the job. Doing so would encourage workers to come forward if they are sick. The federal government has committed \u003ca href=\"https://www.hhs.gov/about/news/2024/10/24/usda-hhs-fact-sheet-biden-harris-administration-new-action-halt-spread-bird-flu-california-washington.html\">financial assistance to farmers\u003c/a> to help pay for lost milk, PPE and measures to prevent infection, but no such offerings have been made to workers.\u003c/p>\n\u003cp>According to the state Department of Industrial Relations, workers who get sick with bird flu qualify for workers’ compensation regardless of immigration status. Employers are required to give employees a workers’ compensation claim form, and they are also \u003ca href=\"https://www.dir.ca.gov/dosh/avian-flu/For-Employers.html\">required to report cases to the local health department\u003c/a>.\u003c/p>\n\u003cp>“I would like to see public health agencies working together with (industrial relations) and doing a push to reassure people to get tested,” Strater said. “If you test positive, all of your lost wages should be compensated by workers comp.”\u003c/p>\n\u003cp>\u003cem>Supported by the California Health Care Foundation (CHCF), which works to ensure that people have access to the care they need, when they need it, at a price they can afford. Visit www.chcf.org to learn more.\u003c/em>\u003c/p>\n\u003cp>[ad floatright]\u003c/p>\n",
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"excerpt": "A strain of bird flu that imperiled California poultry and cattle has jumped to people. In humans, the symptoms are mild and the virus has not been transmitted among people.",
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"title": "Bird Flu Jumped From Cows to People. Now Advocates Want More Farmworkers Tested | KQED",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>In the heart of California’s dairy country, workers kitted in respirators, face shields and gloves are grappling with one of the largest bird flu outbreaks in history. California has reported 16 human cases of bird flu this month, and worker advocates say the state isn’t doing enough to protect dairy workers.\u003c/p>\n\u003cp>Only 39 people have been tested for H5N1, the strain of bird flu ravaging herds of cattle, according to the California Department of Public Health. California’s confirmed cases of sick workers account for almost \u003ca href=\"https://www.cdc.gov/bird-flu/situation-summary/index.html\">all of the country’s cattle-to-human transmissions\u003c/a>, according to the Centers for Disease Control and Prevention.\u003c/p>\n\u003cp>Human cases in California have been mild, with no hospitalizations, officials say. Sick workers have reported \u003ca href=\"https://www.cdph.ca.gov/Programs/CID/DCDC/pages/Bird-Flu.aspx\">flu-like symptoms in addition to pink eye\u003c/a>. There have been no documented cases of human-to-human transmission, state health officials say, and the general public’s risk is low.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>The current bird flu surveillance strategy places the majority of the responsibility on farmers to self-report disease among animals and employees, which is problematic, said Elizabeth Strater, a spokesperson for United Farm Workers.\u003c/p>\n\u003cp>“Workers are actively avoiding testing, I can assure you,” Strater said. “We have heard directly from farmworker communities and veterinarians that they can see that there are workers out there who are sick.”\u003c/p>\n\u003cp>Workers, who often have low income, can’t afford the 10-day isolation period with no pay if they are positive, Strater said.\u003c/p>\n\u003cp>Millions of poultry have been slaughtered since the virus first took hold in California farms two years ago, and this year, the highly transmissible virus jumped to cattle, posing a new threat to those who work with the animals.\u003c/p>\n\u003cp>Authorities have confirmed bird flu infections at 178 California dairies since it first emerged in August, according to the state Department of Food and Agriculture, and there is no sign of infections among cows slowing. The transmission from cows to humans is thought to occur through close and prolonged contact with sick animals.\u003c/p>\n\u003cp>“The most concerning data we have is how little data we have,” Strater said. “Hundreds of herds have tested positive, and the number of people tested is in the dozens — that’s a problem.”\u003c/p>\n\u003cp>Dr. Erica Pan, chief epidemiologist with the state health department, said about 20 to 30 people are screened weekly for various influenza variants, including bird flu, in the course of routine flu monitoring.\u003c/p>\n\u003cp>The difference between testing for bird flu and COVID-19, which requires widespread surveillance, Pan said, is that the eye needs to be swabbed, which must be done by a clinician.\u003c/p>\n\u003cp>“This is about looking for symptoms and then testing for them instead of testing people without symptoms,” Pan said.\u003c/p>\n\u003ch2>California distributes PPE for bird flu\u003c/h2>\n\u003cp>The state and local health departments are focusing on distributing protective gear and educating workers on how to use it, Pan said. More than 3.3 million pieces of PPE have been distributed to local health departments and farms, according to the state health department.\u003c/p>\n\u003cp>The state also deployed 5,000 doses of seasonal flu vaccine for farm workers. Although that vaccine won’t protect against bird flu, it reduces the chances of a severe coinfection.\u003c/p>\n\u003cp>Last week, \u003ca href=\"https://kffhealthnews.org/news/article/bird-flu-farmworkers-emails-tracking-human-cases-obstacles-california/\">KFF Health News\u003c/a> reported that farmers in other states have refused to cooperate with local health departments and disease investigators.\u003c/p>\n\u003cp>Tricia Stever Blattler, executive director of the Tulare County Farm Bureau, said she has not heard of any instances of local employers refusing to cooperate with authorities.\u003c/p>\n\u003cp>\u003ca href=\"https://tchhsa.org/eng/public-health/avian-influenza-h5n1-bird-flu/\">Tulare County\u003c/a>, the nation’s largest milk producer, has been the epicenter of the outbreak among cattle and dairy workers, reporting the state’s first human cases in early October. Cases have since been reported in surrounding counties.\u003c/p>\n\u003cp>Early in October, when temperatures soared above 100 degrees, it was difficult to get workers to don additional protective equipment, said Stever Blattler, but that concern has abated with cooling temperatures.\u003c/p>\n\u003ch2>Dairies surprised by bird flu\u003c/h2>\n\u003cp>The severity of the disease for cattle and its rapid spread among herds caught the industry off-guard, Stever Blattler said, and has had “a huge economic ripple.”\u003c/p>\n\u003cp>“Our dairies are really trying to fast-track their learning on the situation,” Stever Blattler said. “They’re trying to create an appropriate and safe workplace, and they’re also trying to increase the care and monitoring of the cattle itself.”\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>Carrie Monteiro, a spokesperson for Tulare public health, said farmers in the county have cooperated with efforts to mitigate the spread of the virus.\u003c/p>\n\u003cp>“They really are reporting and making sure we’re getting the care to their workers and the medication to help their employees recover from this illness,” Monteiro said.\u003c/p>\n\u003cp>The county has increased its testing capacity to include 15 community doctors, although they are still relying on people with symptoms coming forward. If someone tests positive, they and their household are monitored for 10 days and given antiviral flu medication, Monteiro said.\u003c/p>\n\u003cp>Still, Strater said she’d like to see the state do more to assure farmworkers, who often work grueling jobs for low pay, that they will be compensated if they get sick on the job. Doing so would encourage workers to come forward if they are sick. The federal government has committed \u003ca href=\"https://www.hhs.gov/about/news/2024/10/24/usda-hhs-fact-sheet-biden-harris-administration-new-action-halt-spread-bird-flu-california-washington.html\">financial assistance to farmers\u003c/a> to help pay for lost milk, PPE and measures to prevent infection, but no such offerings have been made to workers.\u003c/p>\n\u003cp>According to the state Department of Industrial Relations, workers who get sick with bird flu qualify for workers’ compensation regardless of immigration status. Employers are required to give employees a workers’ compensation claim form, and they are also \u003ca href=\"https://www.dir.ca.gov/dosh/avian-flu/For-Employers.html\">required to report cases to the local health department\u003c/a>.\u003c/p>\n\u003cp>“I would like to see public health agencies working together with (industrial relations) and doing a push to reassure people to get tested,” Strater said. “If you test positive, all of your lost wages should be compensated by workers comp.”\u003c/p>\n\u003cp>\u003cem>Supported by the California Health Care Foundation (CHCF), which works to ensure that people have access to the care they need, when they need it, at a price they can afford. Visit www.chcf.org to learn more.\u003c/em>\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"slug": "anxious-about-the-2024-election-heres-what-therapists-recommend",
"title": "Anxious About the 2024 Election? Here's What Therapists Recommend",
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"headTitle": "Anxious About the 2024 Election? Here’s What Therapists Recommend | KQED",
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"content": "\u003cp>We’re almost there, folks. Two years of nonstop campaigning for the White House will finally come to a close this Tuesday, Nov. 5, on \u003ca href=\"https://www.kqed.org/news/12008419/ballot-drop-off-location-near-me-early-voting-site-election-2024\">Election Day\u003c/a>.\u003c/p>\n\u003cp>In 2023, the Pew Research Center found that \u003ca href=\"https://www.pewresearch.org/politics/2023/09/19/americans-dismal-views-of-the-nations-politics/\">65% of Americans say they always or often feel “exhausted” when thinking about politics\u003c/a>. And that was before all the dramatic twists and turns of 2024 that have given us the present circumstances: Vice President Kamala Harris and former president Donald Trump \u003ca href=\"https://www.nytimes.com/2024/10/25/us/politics/poll-harris-trump-times-siena.html\">deadlocked in the polls of every single swing state\u003c/a>, leaving even the most experienced political analysts with little clue of who will be the next president.\u003c/p>\n\u003cp>But besides election exhaustion, there are other feelings felt across the political spectrum, from anxiety and frustration to straight-up fear. Among many undocumented and mixed-status immigrant families, for example, there’s a lot of nervousness about Trump enacting what he calls “\u003ca href=\"https://www.youtube.com/watch?v=OtpORNvI26w\">the largest deportation program in American history\u003c/a>.” After the former president survived a public assassination attempt in July at a Pennsylvania campaign rally, a large number of his most ardent supporters \u003ca href=\"https://www.pbs.org/newshour/politics/after-the-assassination-attempt-against-trump-anger-and-anxiety-loom-over-the-republican-convention\">fear that Trump could be targeted again\u003c/a>. And as \u003ca href=\"https://www.kqed.org/news/12011576/what-do-young-voters-care-about-most-in-this-presidential-election\">millions of Gen Z Americans prepare to cast their votes for the first time\u003c/a>, many have shared \u003ca href=\"https://www.kqed.org/arts/13967133/charli-xcx-fans-election-2024-harris-trump\">their frustration that neither candidate may do enough to protect the lives of Palestinians in Gaza\u003c/a>.\u003c/p>\n\u003cp>If you’re feeling these big emotions, you’re not alone.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>“Let’s normalize [feeling] anxious because it is a very high-stakes election,” said Kelli McLean, a California marriage and family therapist who works on issues relating to trauma, anxiety and depression with her clients. “This is anxiety-provoking.”\u003c/p>\n\u003cp>“A lot of times when we’re feeling a certain type of way about something, it comes out in other ways we don’t expect,” said Ioanna Angelakis, a licensed marriage and family therapist based in San Francisco. “So it’s really important to be honest and truthful with yourself and others about what’s going on and to formulate a plan, so you have something to fall back on — should the worst thing happen.”\u003c/p>\n\u003cp>Keep reading for expert advice on the things you can do before, on and after Nov. 5 to help manage anxiety about the 2024 election.\u003c/p>\n\u003ch2>Try to consume less election news\u003c/h2>\n\u003cp>When something is very important to us, it’s normal for us to keep checking on it as much as we can. In a presidential election as unpredictable as this one, we may have the TV on all the time or be constantly checking social media to see if there’s any tiny piece of new information that will give us hope that things will “go our way.”\u003c/p>\n\u003cp>But seeking out this feeling of control — in a situation that frankly cannot be controlled by any one single individual — can lead to us feeling even more helpless, McClean said.\u003c/p>\n\u003cp>“There is a direct correlation between how much anxiety people are feeling to what they’re watching,” she said. “The election is everywhere, and people are inundating themselves with this. It’s information overload.”\u003c/p>\n\u003cp>[aside label=\"2024 Bay Area Voter Guide\" link1='https://www.kqed.org/voterguide/bayarea,Learn about every single race and measure across the nine Bay Area counties' hero=https://cdn.kqed.org/wp-content/uploads/sites/80/2024/02/Aside-Bay-Area-Voter-Guide-2024-Primary-Election-1200x1200-1.png]\u003c/p>\n\u003cp>One recommendation McLean has been sharing with her clients is to stay away from social media as much as they can — or as much as they can bear — for the next few days. “They’re limiting their exposure to these 24-hour news cycles, which can be anxiety-provoking for people,” she said.\u003c/p>\n\u003ch2>Remember, polls aren’t crystal balls\u003c/h2>\n\u003cp>In the \u003ca href=\"https://www.kqed.org/lowdown/3825/what-is-the-electoral-college-and-is-it-time-to-get-rid-of-it\">seven swing states that are key to winning the election\u003c/a>, polls have switched back and forth between a Trump lead and a Harris lead for weeks now. While you may look for any sliver of hope in new polls, keep in mind that most recent polls \u003ca href=\"https://www.cbsnews.com/news/harris-trump-poll-pennsylvania-29-10-2024/\">have only changed by 1 or 2 percentage points\u003c/a>, which is within a poll’s margin of error — the window of uncertainty your poll results may have. For example, in an \u003ca href=\"https://www.cbsnews.com/news/trump-harris-poll-gender-gap/\">Oct. 28 CBS News/YouGov poll of registered voters in Pennsylvania\u003c/a>, Harris and Trump are tied 49%–49%, but the margin of error is 2.6%.\u003c/p>\n\u003cp>Polls are, after all, surveys of smaller groups meant to reflect a larger population. While Harris and Trump are tied among the smaller group surveyed, that doesn’t mean that in all of Pennsylvania, there’s a perfect tie among those who plan to vote for Harris and Trump. The margin of error tells us that the candidates’ numbers could actually be a little higher or a little lower — within that 2.6% range.\u003c/p>\n\u003cp>All of this goes to say that it’s probably a good idea to limit how much we look at polls. Remember: the 2016 and 2020 elections delivered many electoral surprises that polls didn’t predict. Since then, \u003ca href=\"https://www.vox.com/2024-elections/370649/trust-polls-2016-2020-election-2024-pollster-polling-miss\">pollsters have refined their methods\u003c/a> — but even they say that polls are not “perfectly predictive.”\u003c/p>\n\u003cp>That’s why therapists like Angelakis are reminding their clients to accept the uncertainty in this major event and work from there. “The future is unpredictable and unknown — it’s a mystery,” she said. “All we can do is just stay grounded.”\u003c/p>\n\u003ch2>Enjoy the weekend before Election Day as much as you can\u003c/h2>\n\u003cp>Yes, the first Tuesday of November could be historic for the country. But let’s not forget that the first \u003cem>weekend\u003c/em> of November is quite special in its own right.\u003c/p>\n\u003cp>Diwali, the Hindu festival that celebrates light triumphing over darkness, \u003ca href=\"https://www.sfchronicle.com/entertainment/article/diwali-deepavali-hindu-festival-19854481.php\">begins this year in the early hours of Thursday, Oct. 31\u003c/a>, and lasts until the next morning. Halloween is also on Thursday — a perfect excuse for families and friends to get together ahead of the weekend.[aside postID=science_1995033 hero='https://cdn.kqed.org/wp-content/uploads/sites/35/2024/10/Claremont-Canyon-by-Fred-Rowe-East-Bay-Regional-Park-District-1020x574.jpg']\u003c/p>\n\u003cp>On Friday, Nov. 1 and Saturday, Nov. 2, \u003ca href=\"https://www.kqed.org/news/tag/dia-de-los-muertos\">Día de los Muertos\u003c/a> will be celebrated across California, with cities like \u003ca href=\"https://www.dayofthedeadsf.org/\">San Francisco\u003c/a>, \u003ca href=\"https://unitycouncil.org/program/diaoakland/\">Oakland\u003c/a>, \u003ca href=\"https://diasanjose.com/\">San José\u003c/a> and \u003ca href=\"https://boyleheightsbeat.com/your-guide-to-free-dia-de-los-muertos-events-on-the-eastside/\">Los Angeles \u003c/a>hosting community-led celebrations.\u003c/p>\n\u003cp>“Enjoy your weekend,” Angelakis said. “Don’t let these fears take you over because they’re just fears right now … they’re not your reality.”\u003c/p>\n\u003cp>Find \u003ca href=\"https://www.kqed.org/arts/13967439/merlin-the-pig-northern-california-animals-house-pig-mina-alali-davis\">some joyful things going on to distract you\u003c/a>, and most importantly, find ways to laugh with your loved ones, she recommended. Even try to “poke fun at your fears,” Angelakis said, “and you can let out steam that way.”\u003c/p>\n\u003cp>You can also read our guide to \u003ca href=\"https://www.kqed.org/science/1995033/12-bay-area-hikes-for-escaping-the-election-even-for-a-few-hours\">the outdoor spots in the Bay Area that might bring you a little calm and peace\u003c/a> in the run-up to Election Day and beyond.\u003c/p>\n\u003ch2>Parents and caregivers: Keep in mind the needs of your little ones\u003c/h2>\n\u003cp>Even if your family doesn’t talk too much about politics at the dinner table, there’s still a chance that your child may be hearing about the election from their friends or classmates. Whether they share this directly with you or not, they may be absorbing the anxiety of others around them.\u003c/p>\n\u003cp>“Kids are the spokespeople of their parents and their family’s fears,” Angelakis said. “When your child is acting out, or when your child is isolating, these are signs that your child is worried about something.”\u003c/p>\n\u003cp>This is when it’s very important to have \u003ca href=\"https://www.kqed.org/news/11764070/how-to-talk-with-kids-after-a-traumatic-event\">age-appropriate conversations about what’s happening out in the world\u003c/a>, McLean said.\u003c/p>\n\u003cp>[aside postID=news_11764070]“If you’re dealing with a small child, know that a lot of this is too much for them to fully take in, and it can be traumatizing,” she said. “You can explain to them the process without going into scary details: ‘Two people are competing and they have different beliefs. People can get very mad and nervous about it. But you’re still going to be safe in this home with your parents.’”\u003c/p>\n\u003cp>“We don’t want to lie to them or over-promise, but just not expose them to things that are not appropriate on the news or social media,” McLean said.\u003c/p>\n\u003cp>\u003ca href=\"https://www.kqed.org/mindshift/59143/war-crisis-tragedy-how-to-talk-with-kids-when-the-news-is-scary\">\u003cem>Read KQED’s bilingual guide on how to talk to kids during difficult or scary major moments.\u003c/em>\u003c/a>\u003c/p>\n\u003ch2>Watch your anxiety levels on Election Day itself …\u003c/h2>\n\u003cp>It’s Nov. 5. You — or those around — have already voted. And results of the presidential election start coming in at 5 p.m. Pacific Time, when the polls close on the East Coast.\u003c/p>\n\u003cp>Every major TV network will have nonstop coverage of the results throughout the night, and it’s very likely that most restaurants, bars and community spaces with a television will be showing this coverage. But remember: you can choose how much of this coverage you consume.\u003c/p>\n\u003cp>If you know that waiting hours into the early morning for the results of each swing state — which just a few thousand votes could decide — will really set your anxiety spiraling, take breaks from watching. What might be even better for you is making a plan with family or friends to do something completely different on Nov. 5.\u003c/p>\n\u003cp>Regardless of how much (or little) news you consume on Tuesday, remember: there will still be results at the end of the vote count — which could take days, like it did in 2020.\u003c/p>\n\u003ch2>… and focus on your breathing\u003c/h2>\n\u003cp>Another strategy that Angelakis recommends is giving yourself time for breathing exercises.\u003c/p>\n\u003cp>“Take two breaths in and one breath out,” she said, adding that you can do as many of these exercises until you start feeling a little more grounded.\u003c/p>\n\u003cp>“If you try that breathing, it feels really good,” Angelakis said. “It calms your nervous system down.”\u003c/p>\n\u003cp>She especially recommends doing these breathing exercises if anxious thoughts start coming in throughout Election Night. When you feel these thoughts rising, “visualize the best possible outcome in a day of your life,” she said, “from every last detail that you wake up until the moment you go to bed at night.”\u003c/p>\n\u003cp>Why: By bringing back our focus to our own lives and our own actions, we remind ourselves what is in our own control — and let go of worries about things out of our control.\u003c/p>\n\u003ch2>Don’t forget the power you have in your own community\u003c/h2>\n\u003cp>The results of this general election will not impact everyone equally — and this is true far beyond the presidential race.\u003c/p>\n\u003cp>When talking to folks from communities that are most vulnerable to policy shifts, McLean hears how folks sometimes feel disconnected from the decisions happening in Washington, D.C. “They feel powerless,” she said.\u003c/p>\n\u003cp>But ultimately, “we are not powerless,” McClean said. “Getting involved in grassroots activism, something local in your own community, can help with these feelings of powerlessness.”\u003c/p>\n\u003cp>[aside label='More Election Coverage' tag='election-2024']And remember that even if you can’t vote — whether it’s because of your immigration status, \u003ca href=\"https://www.kqed.org/news/12009162/election-2024-what-are-the-voting-rights-of-current-and-formerly-incarcerated-californians\">criminal record\u003c/a> or age — you still have a lot of power. In the Bay Area, for example, the labor rights organization \u003ca href=\"https://www.tuwu.org/about\">Trabajadores Unidos Workers United\u003c/a> (TUWU) has helped undocumented workers organize themselves for years to demand and gain higher wages, \u003ca href=\"https://www.kqed.org/news/11946661/ive-been-contributing-undocumented-workers-are-key-to-californias-economy-a-new-bill-would-give-them-unemployment-benefits\">labor protections\u003c/a> and \u003ca href=\"https://www.kqed.org/news/12005037/sf-proposes-relief-fund-to-aid-wage-theft-victims-left-unpaid-by-employers\">social services\u003c/a> at the local and state level.\u003c/p>\n\u003cp>“These are multi-year fights. They don’t happen overnight,” said Samuel Romero, organizing director of TUWU. “So many of these things wouldn’t have been able to pass without the support of the community that we organize with, the majority being folks that aren’t even eligible to vote.”\u003c/p>\n\u003cp>And as you work with your community to make change, don’t forget that a big part of that is also what happens in your home. “It is a huge election, and there is a lot at stake,” McClean said. “But it is important for people to ground themselves in their own lives and really take care of themselves first.”\u003c/p>\n\u003cp>[ad floatright]\u003c/p>\n",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>We’re almost there, folks. Two years of nonstop campaigning for the White House will finally come to a close this Tuesday, Nov. 5, on \u003ca href=\"https://www.kqed.org/news/12008419/ballot-drop-off-location-near-me-early-voting-site-election-2024\">Election Day\u003c/a>.\u003c/p>\n\u003cp>In 2023, the Pew Research Center found that \u003ca href=\"https://www.pewresearch.org/politics/2023/09/19/americans-dismal-views-of-the-nations-politics/\">65% of Americans say they always or often feel “exhausted” when thinking about politics\u003c/a>. And that was before all the dramatic twists and turns of 2024 that have given us the present circumstances: Vice President Kamala Harris and former president Donald Trump \u003ca href=\"https://www.nytimes.com/2024/10/25/us/politics/poll-harris-trump-times-siena.html\">deadlocked in the polls of every single swing state\u003c/a>, leaving even the most experienced political analysts with little clue of who will be the next president.\u003c/p>\n\u003cp>But besides election exhaustion, there are other feelings felt across the political spectrum, from anxiety and frustration to straight-up fear. Among many undocumented and mixed-status immigrant families, for example, there’s a lot of nervousness about Trump enacting what he calls “\u003ca href=\"https://www.youtube.com/watch?v=OtpORNvI26w\">the largest deportation program in American history\u003c/a>.” After the former president survived a public assassination attempt in July at a Pennsylvania campaign rally, a large number of his most ardent supporters \u003ca href=\"https://www.pbs.org/newshour/politics/after-the-assassination-attempt-against-trump-anger-and-anxiety-loom-over-the-republican-convention\">fear that Trump could be targeted again\u003c/a>. And as \u003ca href=\"https://www.kqed.org/news/12011576/what-do-young-voters-care-about-most-in-this-presidential-election\">millions of Gen Z Americans prepare to cast their votes for the first time\u003c/a>, many have shared \u003ca href=\"https://www.kqed.org/arts/13967133/charli-xcx-fans-election-2024-harris-trump\">their frustration that neither candidate may do enough to protect the lives of Palestinians in Gaza\u003c/a>.\u003c/p>\n\u003cp>If you’re feeling these big emotions, you’re not alone.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>“Let’s normalize [feeling] anxious because it is a very high-stakes election,” said Kelli McLean, a California marriage and family therapist who works on issues relating to trauma, anxiety and depression with her clients. “This is anxiety-provoking.”\u003c/p>\n\u003cp>“A lot of times when we’re feeling a certain type of way about something, it comes out in other ways we don’t expect,” said Ioanna Angelakis, a licensed marriage and family therapist based in San Francisco. “So it’s really important to be honest and truthful with yourself and others about what’s going on and to formulate a plan, so you have something to fall back on — should the worst thing happen.”\u003c/p>\n\u003cp>Keep reading for expert advice on the things you can do before, on and after Nov. 5 to help manage anxiety about the 2024 election.\u003c/p>\n\u003ch2>Try to consume less election news\u003c/h2>\n\u003cp>When something is very important to us, it’s normal for us to keep checking on it as much as we can. In a presidential election as unpredictable as this one, we may have the TV on all the time or be constantly checking social media to see if there’s any tiny piece of new information that will give us hope that things will “go our way.”\u003c/p>\n\u003cp>But seeking out this feeling of control — in a situation that frankly cannot be controlled by any one single individual — can lead to us feeling even more helpless, McClean said.\u003c/p>\n\u003cp>“There is a direct correlation between how much anxiety people are feeling to what they’re watching,” she said. “The election is everywhere, and people are inundating themselves with this. It’s information overload.”\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>One recommendation McLean has been sharing with her clients is to stay away from social media as much as they can — or as much as they can bear — for the next few days. “They’re limiting their exposure to these 24-hour news cycles, which can be anxiety-provoking for people,” she said.\u003c/p>\n\u003ch2>Remember, polls aren’t crystal balls\u003c/h2>\n\u003cp>In the \u003ca href=\"https://www.kqed.org/lowdown/3825/what-is-the-electoral-college-and-is-it-time-to-get-rid-of-it\">seven swing states that are key to winning the election\u003c/a>, polls have switched back and forth between a Trump lead and a Harris lead for weeks now. While you may look for any sliver of hope in new polls, keep in mind that most recent polls \u003ca href=\"https://www.cbsnews.com/news/harris-trump-poll-pennsylvania-29-10-2024/\">have only changed by 1 or 2 percentage points\u003c/a>, which is within a poll’s margin of error — the window of uncertainty your poll results may have. For example, in an \u003ca href=\"https://www.cbsnews.com/news/trump-harris-poll-gender-gap/\">Oct. 28 CBS News/YouGov poll of registered voters in Pennsylvania\u003c/a>, Harris and Trump are tied 49%–49%, but the margin of error is 2.6%.\u003c/p>\n\u003cp>Polls are, after all, surveys of smaller groups meant to reflect a larger population. While Harris and Trump are tied among the smaller group surveyed, that doesn’t mean that in all of Pennsylvania, there’s a perfect tie among those who plan to vote for Harris and Trump. The margin of error tells us that the candidates’ numbers could actually be a little higher or a little lower — within that 2.6% range.\u003c/p>\n\u003cp>All of this goes to say that it’s probably a good idea to limit how much we look at polls. Remember: the 2016 and 2020 elections delivered many electoral surprises that polls didn’t predict. Since then, \u003ca href=\"https://www.vox.com/2024-elections/370649/trust-polls-2016-2020-election-2024-pollster-polling-miss\">pollsters have refined their methods\u003c/a> — but even they say that polls are not “perfectly predictive.”\u003c/p>\n\u003cp>That’s why therapists like Angelakis are reminding their clients to accept the uncertainty in this major event and work from there. “The future is unpredictable and unknown — it’s a mystery,” she said. “All we can do is just stay grounded.”\u003c/p>\n\u003ch2>Enjoy the weekend before Election Day as much as you can\u003c/h2>\n\u003cp>Yes, the first Tuesday of November could be historic for the country. But let’s not forget that the first \u003cem>weekend\u003c/em> of November is quite special in its own right.\u003c/p>\n\u003cp>Diwali, the Hindu festival that celebrates light triumphing over darkness, \u003ca href=\"https://www.sfchronicle.com/entertainment/article/diwali-deepavali-hindu-festival-19854481.php\">begins this year in the early hours of Thursday, Oct. 31\u003c/a>, and lasts until the next morning. Halloween is also on Thursday — a perfect excuse for families and friends to get together ahead of the weekend.\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>On Friday, Nov. 1 and Saturday, Nov. 2, \u003ca href=\"https://www.kqed.org/news/tag/dia-de-los-muertos\">Día de los Muertos\u003c/a> will be celebrated across California, with cities like \u003ca href=\"https://www.dayofthedeadsf.org/\">San Francisco\u003c/a>, \u003ca href=\"https://unitycouncil.org/program/diaoakland/\">Oakland\u003c/a>, \u003ca href=\"https://diasanjose.com/\">San José\u003c/a> and \u003ca href=\"https://boyleheightsbeat.com/your-guide-to-free-dia-de-los-muertos-events-on-the-eastside/\">Los Angeles \u003c/a>hosting community-led celebrations.\u003c/p>\n\u003cp>“Enjoy your weekend,” Angelakis said. “Don’t let these fears take you over because they’re just fears right now … they’re not your reality.”\u003c/p>\n\u003cp>Find \u003ca href=\"https://www.kqed.org/arts/13967439/merlin-the-pig-northern-california-animals-house-pig-mina-alali-davis\">some joyful things going on to distract you\u003c/a>, and most importantly, find ways to laugh with your loved ones, she recommended. Even try to “poke fun at your fears,” Angelakis said, “and you can let out steam that way.”\u003c/p>\n\u003cp>You can also read our guide to \u003ca href=\"https://www.kqed.org/science/1995033/12-bay-area-hikes-for-escaping-the-election-even-for-a-few-hours\">the outdoor spots in the Bay Area that might bring you a little calm and peace\u003c/a> in the run-up to Election Day and beyond.\u003c/p>\n\u003ch2>Parents and caregivers: Keep in mind the needs of your little ones\u003c/h2>\n\u003cp>Even if your family doesn’t talk too much about politics at the dinner table, there’s still a chance that your child may be hearing about the election from their friends or classmates. Whether they share this directly with you or not, they may be absorbing the anxiety of others around them.\u003c/p>\n\u003cp>“Kids are the spokespeople of their parents and their family’s fears,” Angelakis said. “When your child is acting out, or when your child is isolating, these are signs that your child is worried about something.”\u003c/p>\n\u003cp>This is when it’s very important to have \u003ca href=\"https://www.kqed.org/news/11764070/how-to-talk-with-kids-after-a-traumatic-event\">age-appropriate conversations about what’s happening out in the world\u003c/a>, McLean said.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>“If you’re dealing with a small child, know that a lot of this is too much for them to fully take in, and it can be traumatizing,” she said. “You can explain to them the process without going into scary details: ‘Two people are competing and they have different beliefs. People can get very mad and nervous about it. But you’re still going to be safe in this home with your parents.’”\u003c/p>\n\u003cp>“We don’t want to lie to them or over-promise, but just not expose them to things that are not appropriate on the news or social media,” McLean said.\u003c/p>\n\u003cp>\u003ca href=\"https://www.kqed.org/mindshift/59143/war-crisis-tragedy-how-to-talk-with-kids-when-the-news-is-scary\">\u003cem>Read KQED’s bilingual guide on how to talk to kids during difficult or scary major moments.\u003c/em>\u003c/a>\u003c/p>\n\u003ch2>Watch your anxiety levels on Election Day itself …\u003c/h2>\n\u003cp>It’s Nov. 5. You — or those around — have already voted. And results of the presidential election start coming in at 5 p.m. Pacific Time, when the polls close on the East Coast.\u003c/p>\n\u003cp>Every major TV network will have nonstop coverage of the results throughout the night, and it’s very likely that most restaurants, bars and community spaces with a television will be showing this coverage. But remember: you can choose how much of this coverage you consume.\u003c/p>\n\u003cp>If you know that waiting hours into the early morning for the results of each swing state — which just a few thousand votes could decide — will really set your anxiety spiraling, take breaks from watching. What might be even better for you is making a plan with family or friends to do something completely different on Nov. 5.\u003c/p>\n\u003cp>Regardless of how much (or little) news you consume on Tuesday, remember: there will still be results at the end of the vote count — which could take days, like it did in 2020.\u003c/p>\n\u003ch2>… and focus on your breathing\u003c/h2>\n\u003cp>Another strategy that Angelakis recommends is giving yourself time for breathing exercises.\u003c/p>\n\u003cp>“Take two breaths in and one breath out,” she said, adding that you can do as many of these exercises until you start feeling a little more grounded.\u003c/p>\n\u003cp>“If you try that breathing, it feels really good,” Angelakis said. “It calms your nervous system down.”\u003c/p>\n\u003cp>She especially recommends doing these breathing exercises if anxious thoughts start coming in throughout Election Night. When you feel these thoughts rising, “visualize the best possible outcome in a day of your life,” she said, “from every last detail that you wake up until the moment you go to bed at night.”\u003c/p>\n\u003cp>Why: By bringing back our focus to our own lives and our own actions, we remind ourselves what is in our own control — and let go of worries about things out of our control.\u003c/p>\n\u003ch2>Don’t forget the power you have in your own community\u003c/h2>\n\u003cp>The results of this general election will not impact everyone equally — and this is true far beyond the presidential race.\u003c/p>\n\u003cp>When talking to folks from communities that are most vulnerable to policy shifts, McLean hears how folks sometimes feel disconnected from the decisions happening in Washington, D.C. “They feel powerless,” she said.\u003c/p>\n\u003cp>But ultimately, “we are not powerless,” McClean said. “Getting involved in grassroots activism, something local in your own community, can help with these feelings of powerlessness.”\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>And remember that even if you can’t vote — whether it’s because of your immigration status, \u003ca href=\"https://www.kqed.org/news/12009162/election-2024-what-are-the-voting-rights-of-current-and-formerly-incarcerated-californians\">criminal record\u003c/a> or age — you still have a lot of power. In the Bay Area, for example, the labor rights organization \u003ca href=\"https://www.tuwu.org/about\">Trabajadores Unidos Workers United\u003c/a> (TUWU) has helped undocumented workers organize themselves for years to demand and gain higher wages, \u003ca href=\"https://www.kqed.org/news/11946661/ive-been-contributing-undocumented-workers-are-key-to-californias-economy-a-new-bill-would-give-them-unemployment-benefits\">labor protections\u003c/a> and \u003ca href=\"https://www.kqed.org/news/12005037/sf-proposes-relief-fund-to-aid-wage-theft-victims-left-unpaid-by-employers\">social services\u003c/a> at the local and state level.\u003c/p>\n\u003cp>“These are multi-year fights. They don’t happen overnight,” said Samuel Romero, organizing director of TUWU. “So many of these things wouldn’t have been able to pass without the support of the community that we organize with, the majority being folks that aren’t even eligible to vote.”\u003c/p>\n\u003cp>And as you work with your community to make change, don’t forget that a big part of that is also what happens in your home. “It is a huge election, and there is a lot at stake,” McClean said. “But it is important for people to ground themselves in their own lives and really take care of themselves first.”\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cp>Shawn Singh said he feels angry that the \u003ca href=\"https://www.kqed.org/news/tag/san-francisco\">San Francisco\u003c/a> hospital emergency room where he works is so understaffed that patients often wait too long to get a bed.\u003c/p>\n\u003cp>The UC San Francisco nurse case manager said he often assesses adults facing heart problems, kidney failure, septic shock and other life-threatening conditions as they lie on gurneys or sit in crowded hallways, denied the dignity of a private space.\u003c/p>\n\u003cp>“They’re in their most vulnerable moments with people walking by them in a hallway — in a public hall receiving care while they wait for a bed upstairs — because there is just not enough staff to be able to plan discharges for patients and make rooms available,” Singh, a 34-year-old San Jose native, said.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>In the five years Singh has worked at UCSF, he said hiring and retention problems have worsened, squeezing overworked employees and delaying patient care. The university has largely ignored pleas to improve working conditions, including during current labor contract negotiations that started in June, Singh added.\u003c/p>\n\u003cp>He’s ready to strike as a last resort.\u003c/p>\n\u003cp>“I’m there to fight for my patients,” he said. “The university is not bargaining with us in good faith. They’re not going to the table with the sense of urgency that we want them to have to be able to hire more staff, retain staff.”\u003c/p>\n\u003cp>More than 4,000 health care, research and technical workers at UCSF authorized their union to call a strike over what they say is the university’s failure to bargain in good faith about short staffing and other top concerns. The members’ vote, which concluded Wednesday, passed with 98% support, according to the University Professional and Technical Employees Local 9119, which represents more than 19,000 physician assistants, optometrists, clinical lab scientists and other UC employees statewide.\u003c/p>\n\u003cp>The threat of a walkout at UCSF comes as 37,000 UC service and patient care workers with a separate union, the American Federation of State, County and Municipal Employees Local 3299, are also preparing for a potential statewide walkout. That strike authorization vote passed with 99% support, AFSCME said Thursday.\u003c/p>\n\u003cp>Both unions filed unfair labor practice charges with the California Public Employment Relations Board this month, alleging that the university has refused to provide essential job vacancy and financial data needed to assess the extent of staffing crisis and develop solutions in ongoing contract negotiations.\u003c/p>\n\u003cp>The charges maintain that the state’s \u003ca href=\"https://ucnet.universityofcalifornia.edu/employee-news/more-wins-for-uc-employees-in-2024/\">third-largest employer\u003c/a> has also acted illegally by announcing it intends to significantly increase employee health care costs, as outlined in an email to staffers, without negotiating over the changes. Health care workers said the move will exacerbate recruitment and retention issues.\u003c/p>\n\u003cfigure id=\"attachment_12011885\" class=\"wp-caption aligncenter\" style=\"max-width: 2000px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-12011885\" src=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2024/10/3050240908_520abecbfb_o_qed.jpg\" alt=\"\" width=\"2000\" height=\"1156\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2024/10/3050240908_520abecbfb_o_qed.jpg 2000w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/10/3050240908_520abecbfb_o_qed-800x462.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/10/3050240908_520abecbfb_o_qed-1020x590.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/10/3050240908_520abecbfb_o_qed-160x92.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/10/3050240908_520abecbfb_o_qed-1536x888.jpg 1536w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/10/3050240908_520abecbfb_o_qed-1920x1110.jpg 1920w\" sizes=\"(max-width: 2000px) 100vw, 2000px\">\u003cfigcaption class=\"wp-caption-text\">The threat of a walkout at UCSF grew this week as two unions voted to authorize strikes.\u003c/figcaption>\u003c/figure>\n\u003cp>About 36% of UCSF employees said they felt burned out always or very often on the job, higher than the national health care average of 29%, according to a university staff survey last year. Patients spend an hour longer on average at the UCSF Medical Center emergency department where Singh works, compared to wait times at other large hospitals in the state and nationwide, according to \u003ca href=\"https://www.medicare.gov/care-compare/details/hospital/050454/view-all?city=San%20Francisco&state=CA&zipcode=\">Medicare.gov figures\u003c/a>.\u003c/p>\n\u003cp>Heather Hansen, a spokesperson for UC’s Office of the President, said the strike authorization votes by UPTE and AFSCME were disheartening but not surprising.\u003c/p>\n\u003cp>“It seems that no matter what we presented at the table, UPTE’s move towards a strike was a foregone conclusion,” Hansen said in a statement. “We are disappointed and hope UPTE can reconsider its position and continue earnestly bargaining towards a mutually beneficial agreement.”\u003c/p>\n\u003cp>She added that the university’s teams will keep bargaining across the system on proposals that include \u003ca href=\"https://ucnet.universityofcalifornia.edu/resources/employment-policies-contracts/negotiation-updates/upte-news/\">salary raises\u003c/a> for UPTE members of 5% in 2025, 3% in 2026 and 3% in 2027. UC has also offered to increase pay for AFSCME workers by 26% over a five-year contract, according to Hansen.\u003c/p>\n\u003cp>She said the university is working to produce information on vacancy rate and other data “on a rolling basis.” Hansen added that health insurance contribution rates for UPTE-represented employees are under negotiation, with UC \u003ca href=\"https://ucnet.universityofcalifornia.edu/labor-news/upte-oct-3-4/\">offering credits\u003c/a> to help offset these costs, though the union considers them insufficient.\u003c/p>\n\u003cp>“Bad faith has a clear and legal definition under the Higher Education Employer-Employee Relations Act, and we look forward to the Public Employment Relations Board reviewing and determining the merits of the charge,” Hansen said.\u003c/p>\n\u003cp>UC’s response to those charges is due Nov. 27, after the university requested and received an extension, according to Felix De La Torre, general counsel with the California Public Employment Relations Board. If an agency attorney finds enough evidence of an unfair practice by UC, the agency would issue a \u003ca href=\"https://perb.ca.gov/how-to-file-an-unfair-practice-charge/\">complaint\u003c/a> and move the case to a settlement conference.\u003c/p>\n\u003cp>[aside postID=news_12007779 hero='https://cdn.kqed.org/wp-content/uploads/sites/10/2024/10/241003-UCSF-CLINICAL-SOCIAL-WORKERS-MD-04-KQED.jpg']\u003c/p>\n\u003cp>Nationwide, short staffing is a common concern for hospital employees due to burnout and turnover, as many employers are generally opposed to investing more in their workforce because of the costs, according to Rebecca Givan, an associate professor of labor studies at Rutgers University.\u003c/p>\n\u003cp>“If they can get away with lower staffing levels, they can increase their revenue,” Givans, who has followed the health care industry for 25 years, said. “And so they would prefer to do that.”\u003c/p>\n\u003cp>The health care industry is very competitive and employers — even those in public and nonprofit institutions — are focused on revenue and minimizing costs. Employers tend to make investments they believe will help them compete for patients, Givans said.\u003c/p>\n\u003cp>“They have to be in that sort of arms race to have flashier buildings and more amenities and better branding and advertising campaigns — and all of those things which aren’t really directly related to patient care,” Givans said. “But that’s the health care economy that we’re in.”\u003c/p>\n\u003cp>Liz Perlman, executive director at AFSCME Local 3299, said UC is prioritizing raises for top executives and \u003ca href=\"https://www.latimes.com/california/story/2024-09-20/uc-chancellors-get-big-raises#:~:text=University%20of%20California%20chancellors%20will,did%20not%20receive%20salary%20adjustments.\">chancellors\u003c/a> and the construction of new hospitals in San Francisco, Oakland, Sacramento, and elsewhere while keeping facilities dangerously understaffed and paying too little to many frontline staffers.\u003c/p>\n\u003cp>“Ultimately, we want more care. We want to provide more services,” Perlman said. “But the problem is, if you build buildings but you don’t take care of the people who work inside them, frankly, the buildings are worthless.”\u003c/p>\n\u003cp>[ad floatright]\u003c/p>\n",
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"excerpt": "More than 4,000 UCSF health care, research and technical employees voted to authorize a strike over short staffing, health care costs and delayed patient care.\r\n",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>Shawn Singh said he feels angry that the \u003ca href=\"https://www.kqed.org/news/tag/san-francisco\">San Francisco\u003c/a> hospital emergency room where he works is so understaffed that patients often wait too long to get a bed.\u003c/p>\n\u003cp>The UC San Francisco nurse case manager said he often assesses adults facing heart problems, kidney failure, septic shock and other life-threatening conditions as they lie on gurneys or sit in crowded hallways, denied the dignity of a private space.\u003c/p>\n\u003cp>“They’re in their most vulnerable moments with people walking by them in a hallway — in a public hall receiving care while they wait for a bed upstairs — because there is just not enough staff to be able to plan discharges for patients and make rooms available,” Singh, a 34-year-old San Jose native, said.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>In the five years Singh has worked at UCSF, he said hiring and retention problems have worsened, squeezing overworked employees and delaying patient care. The university has largely ignored pleas to improve working conditions, including during current labor contract negotiations that started in June, Singh added.\u003c/p>\n\u003cp>He’s ready to strike as a last resort.\u003c/p>\n\u003cp>“I’m there to fight for my patients,” he said. “The university is not bargaining with us in good faith. They’re not going to the table with the sense of urgency that we want them to have to be able to hire more staff, retain staff.”\u003c/p>\n\u003cp>More than 4,000 health care, research and technical workers at UCSF authorized their union to call a strike over what they say is the university’s failure to bargain in good faith about short staffing and other top concerns. The members’ vote, which concluded Wednesday, passed with 98% support, according to the University Professional and Technical Employees Local 9119, which represents more than 19,000 physician assistants, optometrists, clinical lab scientists and other UC employees statewide.\u003c/p>\n\u003cp>The threat of a walkout at UCSF comes as 37,000 UC service and patient care workers with a separate union, the American Federation of State, County and Municipal Employees Local 3299, are also preparing for a potential statewide walkout. That strike authorization vote passed with 99% support, AFSCME said Thursday.\u003c/p>\n\u003cp>Both unions filed unfair labor practice charges with the California Public Employment Relations Board this month, alleging that the university has refused to provide essential job vacancy and financial data needed to assess the extent of staffing crisis and develop solutions in ongoing contract negotiations.\u003c/p>\n\u003cp>The charges maintain that the state’s \u003ca href=\"https://ucnet.universityofcalifornia.edu/employee-news/more-wins-for-uc-employees-in-2024/\">third-largest employer\u003c/a> has also acted illegally by announcing it intends to significantly increase employee health care costs, as outlined in an email to staffers, without negotiating over the changes. Health care workers said the move will exacerbate recruitment and retention issues.\u003c/p>\n\u003cfigure id=\"attachment_12011885\" class=\"wp-caption aligncenter\" style=\"max-width: 2000px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-12011885\" src=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2024/10/3050240908_520abecbfb_o_qed.jpg\" alt=\"\" width=\"2000\" height=\"1156\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2024/10/3050240908_520abecbfb_o_qed.jpg 2000w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/10/3050240908_520abecbfb_o_qed-800x462.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/10/3050240908_520abecbfb_o_qed-1020x590.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/10/3050240908_520abecbfb_o_qed-160x92.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/10/3050240908_520abecbfb_o_qed-1536x888.jpg 1536w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/10/3050240908_520abecbfb_o_qed-1920x1110.jpg 1920w\" sizes=\"(max-width: 2000px) 100vw, 2000px\">\u003cfigcaption class=\"wp-caption-text\">The threat of a walkout at UCSF grew this week as two unions voted to authorize strikes.\u003c/figcaption>\u003c/figure>\n\u003cp>About 36% of UCSF employees said they felt burned out always or very often on the job, higher than the national health care average of 29%, according to a university staff survey last year. Patients spend an hour longer on average at the UCSF Medical Center emergency department where Singh works, compared to wait times at other large hospitals in the state and nationwide, according to \u003ca href=\"https://www.medicare.gov/care-compare/details/hospital/050454/view-all?city=San%20Francisco&state=CA&zipcode=\">Medicare.gov figures\u003c/a>.\u003c/p>\n\u003cp>Heather Hansen, a spokesperson for UC’s Office of the President, said the strike authorization votes by UPTE and AFSCME were disheartening but not surprising.\u003c/p>\n\u003cp>“It seems that no matter what we presented at the table, UPTE’s move towards a strike was a foregone conclusion,” Hansen said in a statement. “We are disappointed and hope UPTE can reconsider its position and continue earnestly bargaining towards a mutually beneficial agreement.”\u003c/p>\n\u003cp>She added that the university’s teams will keep bargaining across the system on proposals that include \u003ca href=\"https://ucnet.universityofcalifornia.edu/resources/employment-policies-contracts/negotiation-updates/upte-news/\">salary raises\u003c/a> for UPTE members of 5% in 2025, 3% in 2026 and 3% in 2027. UC has also offered to increase pay for AFSCME workers by 26% over a five-year contract, according to Hansen.\u003c/p>\n\u003cp>She said the university is working to produce information on vacancy rate and other data “on a rolling basis.” Hansen added that health insurance contribution rates for UPTE-represented employees are under negotiation, with UC \u003ca href=\"https://ucnet.universityofcalifornia.edu/labor-news/upte-oct-3-4/\">offering credits\u003c/a> to help offset these costs, though the union considers them insufficient.\u003c/p>\n\u003cp>“Bad faith has a clear and legal definition under the Higher Education Employer-Employee Relations Act, and we look forward to the Public Employment Relations Board reviewing and determining the merits of the charge,” Hansen said.\u003c/p>\n\u003cp>UC’s response to those charges is due Nov. 27, after the university requested and received an extension, according to Felix De La Torre, general counsel with the California Public Employment Relations Board. 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"title": "The California Report",
"tagline": "California, day by day",
"info": "KQED’s statewide radio news program providing daily coverage of issues, trends and public policy decisions.",
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"officialWebsiteLink": "/californiareport",
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"order": 8
},
"link": "/californiareport",
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},
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"id": "californiareportmagazine",
"title": "The California Report Magazine",
"tagline": "Your state, your stories",
"info": "Every week, The California Report Magazine takes you on a road trip for the ears: to visit the places and meet the people who make California unique. The in-depth storytelling podcast from the California Report.",
"airtime": "FRI 4:30pm-5pm, 6:30pm-7pm, 11pm-11:30pm",
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"officialWebsiteLink": "/californiareportmagazine",
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"order": 10
},
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"google": "https://podcasts.google.com/feed/aHR0cHM6Ly9mZWVkcy5tZWdhcGhvbmUuZm0vS1FJTkM3NjkwNjk1OTAz",
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},
"city-arts": {
"id": "city-arts",
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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",
"imageSrc": "https://ww2.kqed.org/radio/wp-content/uploads/sites/50/2018/05/cityartsandlecture-300x300.jpg",
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"airtime": "SUN 1pm-2pm, TUE 10pm, WED 1am",
"meta": {
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"source": "City Arts & Lectures"
},
"link": "https://www.cityarts.net",
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"rss": "https://www.cityarts.net/feed/"
}
},
"closealltabs": {
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"order": 1
},
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"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": {
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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": {
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"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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"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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"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.",
"imageSrc": "https://ww2.kqed.org/news/wp-content/uploads/sites/10/2018/05/freakonomicsRadio.png",
"officialWebsiteLink": "http://freakonomics.com/",
"airtime": "SUN 1am-2am, SAT 3pm-4pm",
"meta": {
"site": "radio",
"source": "WNYC"
},
"link": "/radio/program/freakonomics-radio",
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"apple": "https://itunes.apple.com/us/podcast/freakonomics-radio/id354668519",
"tuneIn": "https://tunein.com/podcasts/WNYC-Podcasts/Freakonomics-Radio-p272293/",
"rss": "https://feeds.feedburner.com/freakonomicsradio"
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},
"fresh-air": {
"id": "fresh-air",
"title": "Fresh Air",
"info": "Hosted by Terry Gross, \u003cem>Fresh Air from WHYY\u003c/em> is the Peabody Award-winning weekday magazine of contemporary arts and issues. One of public radio's most popular programs, Fresh Air features intimate conversations with today's biggest luminaries.",
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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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"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",
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"info": "Shankar Vedantam uses science and storytelling to reveal the unconscious patterns that drive human behavior, shape our choices and direct our relationships.",
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"airtime": "SUN 7pm-8pm",
"meta": {
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"source": "NPR"
},
"link": "/radio/program/hidden-brain",
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},
"how-i-built-this": {
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"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",
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"order": 15
},
"link": "/podcasts/hyphenacion",
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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",
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"officialWebsiteLink": "/podcasts/jerrybrown",
"meta": {
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"order": 18
},
"link": "/podcasts/jerrybrown",
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}
},
"latino-usa": {
"id": "latino-usa",
"title": "Latino USA",
"airtime": "MON 1am-2am, SUN 6pm-7pm",
"info": "Latino USA, the radio journal of news and culture, is the only national, English-language radio program produced from a Latino perspective.",
"imageSrc": "https://ww2.kqed.org/radio/wp-content/uploads/sites/50/2018/04/latinoUsa.jpg",
"officialWebsiteLink": "http://latinousa.org/",
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},
"link": "/radio/program/latino-usa",
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"apple": "https://itunes.apple.com/WebObjects/MZStore.woa/wa/viewPodcast?s=143441&mt=2&id=79681317&at=11l79Y&ct=nprdirectory",
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"rss": "https://feeds.npr.org/510016/podcast.xml"
}
},
"marketplace": {
"id": "marketplace",
"title": "Marketplace",
"info": "Our flagship program, helmed by Kai Ryssdal, examines what the day in money delivered, through stories, conversations, newsworthy numbers and more. Updated Monday through Friday at about 3:30 p.m. PT.",
"airtime": "MON-FRI 4pm-4:30pm, MON-WED 6:30pm-7pm",
"imageSrc": "https://cdn.kqed.org/wp-content/uploads/2024/04/Marketplace-Podcast-Tile-360x360-1.jpg",
"officialWebsiteLink": "https://www.marketplace.org/",
"meta": {
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"source": "American Public Media"
},
"link": "/radio/program/marketplace",
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},
"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)",
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"officialWebsiteLink": "https://mastersofscale.com/",
"meta": {
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"source": "WaitWhat"
},
"link": "/radio/program/masters-of-scale",
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"rss": "https://rss.art19.com/masters-of-scale"
}
},
"mindshift": {
"id": "mindshift",
"title": "MindShift",
"tagline": "A podcast about the future of learning and how we raise our kids",
"info": "The MindShift podcast explores the innovations in education that are shaping how kids learn. Hosts Ki Sung and Katrina Schwartz introduce listeners to educators, researchers, parents and students who are developing effective ways to improve how kids learn. We cover topics like how fed-up administrators are developing surprising tactics to deal with classroom disruptions; how listening to podcasts are helping kids develop reading skills; the consequences of overparenting; and why interdisciplinary learning can engage students on all ends of the traditional achievement spectrum. This podcast is part of the MindShift education site, a division of KQED News. KQED is an NPR/PBS member station based in San Francisco. You can also visit the MindShift website for episodes and supplemental blog posts or tweet us \u003ca href=\"https://twitter.com/MindShiftKQED\">@MindShiftKQED\u003c/a> or visit us at \u003ca href=\"/mindshift\">MindShift.KQED.org\u003c/a>",
"imageSrc": "https://cdn.kqed.org/wp-content/uploads/2024/04/Mindshift-Podcast-Tile-703x703-1.jpg",
"imageAlt": "KQED MindShift: How We Will Learn",
"officialWebsiteLink": "/mindshift/",
"meta": {
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"source": "kqed",
"order": 12
},
"link": "/podcasts/mindshift",
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"google": "https://podcasts.google.com/feed/aHR0cHM6Ly9mZWVkcy5tZWdhcGhvbmUuZm0vS1FJTkM1NzY0NjAwNDI5",
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}
},
"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": {
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"source": "wnyc"
},
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