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"content": "\u003cp>The devastation brought on by the wildfires blazing through Los Angeles — ash-covered rubble, the air clouded in a smoky haze — is a scene that’s all too familiar to Jeff Okrepkie.\u003c/p>\n\u003cp>When the 2017 Tubbs Fire first spread into his community of Coffey Park in Santa Rosa, “an ember roughly the size of a golf ball hit the ground and rolled in front of my house, setting off other embers,” Okrepkie said. “And that’s when I was like, ‘All right, time to get out.’”\u003c/p>\n\u003cp>The Tubbs Fire is considered one of the most \u003ca href=\"https://34c031f8-c9fd-4018-8c5a-4159cdff6b0d-cdn-endpoint.azureedge.net/-/media/calfire-website/our-impact/fire-statistics/top20_destruction.pdf?rev=8d25d868e50f40aea60833642d65b449&hash=1DBAA251C9CC52EDC5AAEA2358158664\">destructive\u003c/a> wildfires in California history, destroying 5,600 structures, including around 5% of Santa Rosa’s housing stock. (The most destructive fire remains the 2018 Camp Fire that devastated the town of Paradise.)\u003c/p>\n\u003cp>Where the fires in Los Angeles fit in this grim record will likely take a while to work out. Multiple fires have burned over 35,000 acres, as of Friday morning, and have destroyed thousands of structures across several neighborhoods. At least 10 people have died.\u003c/p>\n\u003cfigure id=\"attachment_12021672\" class=\"wp-caption alignright\" style=\"max-width: 528px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-medium wp-image-12021672\" src=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2025/01/06WUNfLv-e1736558884543.jpg\" alt=\"A middle aged white male with graying hair and goatee beard smiles at the camera standing in a park on a sunny day, crossing his arms, and wearing a light blue and gray suit and an open button shirt with no tie.\" width=\"528\" height=\"688\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2025/01/06WUNfLv-e1736558884543.jpg 528w, https://cdn.kqed.org/wp-content/uploads/sites/10/2025/01/06WUNfLv-e1736558884543-160x208.jpg 160w\" sizes=\"auto, (max-width: 528px) 100vw, 528px\">\u003cfigcaption class=\"wp-caption-text\">Jeff Okrepkie. \u003ccite>(Courtesy of Jeff Okrepkie)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>For many caught up in this disaster, they’re beginning to process the reality that they’ve lost their entire homes — an experience Okrepkie shares, too.\u003c/p>\n\u003cp>“One of the things that I always hated to hear was, ‘Well, it’s just stuff. And you have your lives, right?’” he said.\u003c/p>\n\u003cp>“Of course, having that is paramount to anything else. But it’s not just the physical object. It’s the memories that come with those — whether it be Christmas ornaments or baby pictures. “It is a long and difficult process and it is extremely emotional.”\u003c/p>\n\u003cp>For other Bay Area residents, like Crystal Johnson, the fires can serve as a reminder of how vulnerable Californians are to the threat of climate disasters. She’s originally from Redondo Beach and has been checking in with family and friends.\u003c/p>\n\u003cp>“Don’t wait. Get your important papers together, medications, you know, important contacts, information, all that kind of stuff. \u003ca href=\"https://www.kqed.org/news/11833686/what-to-pack-in-your-emergency-bag-with-covid-19-in-mind\">Have it ready to go so that if something happens\u003c/a>. Have a plan in place,” Johnson said.\u003c/p>\n\u003cp>In the long term, given the scale of destruction in Los Angeles, the road to recovery could take years. Okrepkie, who started a nonprofit to rebuild his community of Coffey Park in Santa Rosa, offered the following advice:\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003ch2>\u003cstrong>‘Do not go through it alone’\u003c/strong>\u003c/h2>\n\u003cp>A wildfire can be a life-threatening event, taking a toll on people’s physical and emotional health.\u003c/p>\n\u003cp>According to a 2023 \u003ca href=\"https://www.mdpi.com/1660-4601/18/4/1487\">study\u003c/a> by researchers at the University of California, San Diego, “climate trauma” led to increased instances of chronic mental health problems, like post-traumatic stress disorder and depression.\u003c/p>\n\u003cp>If you know someone who needs help coping in the aftermath of the Los Angeles fires, here’s a \u003ca href=\"https://www.kqed.org/science/1928658/wildfires-reignite-old-trauma-for-survivors-of-last-octobers-devastation\">list\u003c/a> of what you can do.\u003c/p>\n\u003cp>For Okrepkie, he said one of the most helpful approaches was to seek support among others who’ve gone through a similar experience.\u003c/p>\n\u003cp>“Everyone’s method of going through this and coping with it is going to be different,” he said. “But I will say: Do not go through it alone. Find a group that you can go through this together with.”\u003c/p>\n\u003cp>Okrepkie said he’s seen the difference that a community working together can have, after seeing his nonprofit help to raise $1 million to rebuild Coffey Park. He said he was inspired to do this after seeing misinformation on social media about rebuilding — a dynamic that he sees similarly playing out with the Los Angeles fires currently.\u003c/p>\n\u003ch2>\u003cstrong>‘It takes patience’\u003c/strong>\u003c/h2>\n\u003cp>The long-term financial impacts of major wildfires can take years to resolve.\u003c/p>\n\u003cp>“The responses that are needed — whether it be more firefighting resources to information to funds for those that have lost everything — never ceases,” said Okrepkie. “So it’s not just helping them in the first couple of days after. It’s going to be an ongoing thing for weeks, months and likely years.”[aside label=\"Related Stories\" postID=\"news_12021019,news_12021150,news_12021308\"]Damage from the Tubbs Fires is estimated at over $10 billion, according to one consulting \u003ca href=\"https://vertexeng.com/insights/economic-fallout-of-tubbs-wildfire-santa-rosa/\">group\u003c/a> involved in California wildfire response.\u003c/p>\n\u003cp>Okrepkie, an insurance agent, said the best thing to do is be patient. He moved back into his new rebuilt home in 2020, around three years after Tubbs Fire burned down his home. He said he’s happy his family is cared for and back in their home neighborhood of Coffey Park.\u003c/p>\n\u003cp>“I know that there is a natural urge to get back into your home and want to do it as quickly as possible. But it’s going to take patience because everybody is going to be learning for the first time — or relearning — things,” he said.\u003c/p>\n\u003ch2>\u003cstrong>Where to begin with the insurance claims?\u003c/strong>\u003c/h2>\n\u003cp>Okrepkie himself said he had no fewer than nine insurance adjusters to sort out all his claims.\u003c/p>\n\u003cp>He has the following advice to get started:\u003c/p>\n\u003cul>\n\u003cli>Document everything. “Do not agree to anything over the phone,” he said.\u003c/li>\n\u003cli>Follow up phone conversations over email to confirm the verbal exchange.\u003c/li>\n\u003cli>Accept that the process is complex. Disaster adjusters, typically working out of state, may be reassigned throughout the process — and an adjustor is assigned to a specific line of coverage, from property to additional living expenses. “In case adjuster A leaves and an adjuster B comes in and it’s not documented on their end, you can show them ‘This is what was discussed and this is what was agreed to.’”\u003c/li>\n\u003c/ul>\n\u003cp>An additional complication is that in recent years, \u003ca href=\"https://www.kqed.org/science/1985175/insurance-in-california-is-changing-heres-how-it-may-affect-you\">insurance companies have pulled back from homeowner policies in California\u003c/a>. As for the fires in Los Angeles, there are concerns that the damage could \u003ca href=\"https://www.kqed.org/news/12021019/la-fires-threaten-california-insurance-market-stability-housing-costs\">overextend\u003c/a> the state’s FAIR Plan — the state’s insurer of last resort.\u003c/p>\n\u003cp>You can find more details on navigating insurance claims and wildfires \u003ca href=\"https://laist.com/news/housing-homelessness/cheat-sheet-what-to-do-if-you-need-to-make-a-fire-insurance-claim\">here\u003c/a>.\u003c/p>\n\u003cp>\u003cem>Farida Jhabvala Romero and Brian Watt contributed to this report.\u003c/em>\u003c/p>\n\u003cp>\u003c/p>\n",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>The devastation brought on by the wildfires blazing through Los Angeles — ash-covered rubble, the air clouded in a smoky haze — is a scene that’s all too familiar to Jeff Okrepkie.\u003c/p>\n\u003cp>When the 2017 Tubbs Fire first spread into his community of Coffey Park in Santa Rosa, “an ember roughly the size of a golf ball hit the ground and rolled in front of my house, setting off other embers,” Okrepkie said. “And that’s when I was like, ‘All right, time to get out.’”\u003c/p>\n\u003cp>The Tubbs Fire is considered one of the most \u003ca href=\"https://34c031f8-c9fd-4018-8c5a-4159cdff6b0d-cdn-endpoint.azureedge.net/-/media/calfire-website/our-impact/fire-statistics/top20_destruction.pdf?rev=8d25d868e50f40aea60833642d65b449&hash=1DBAA251C9CC52EDC5AAEA2358158664\">destructive\u003c/a> wildfires in California history, destroying 5,600 structures, including around 5% of Santa Rosa’s housing stock. (The most destructive fire remains the 2018 Camp Fire that devastated the town of Paradise.)\u003c/p>\n\u003cp>Where the fires in Los Angeles fit in this grim record will likely take a while to work out. Multiple fires have burned over 35,000 acres, as of Friday morning, and have destroyed thousands of structures across several neighborhoods. At least 10 people have died.\u003c/p>\n\u003cfigure id=\"attachment_12021672\" class=\"wp-caption alignright\" style=\"max-width: 528px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-medium wp-image-12021672\" src=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2025/01/06WUNfLv-e1736558884543.jpg\" alt=\"A middle aged white male with graying hair and goatee beard smiles at the camera standing in a park on a sunny day, crossing his arms, and wearing a light blue and gray suit and an open button shirt with no tie.\" width=\"528\" height=\"688\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2025/01/06WUNfLv-e1736558884543.jpg 528w, https://cdn.kqed.org/wp-content/uploads/sites/10/2025/01/06WUNfLv-e1736558884543-160x208.jpg 160w\" sizes=\"auto, (max-width: 528px) 100vw, 528px\">\u003cfigcaption class=\"wp-caption-text\">Jeff Okrepkie. \u003ccite>(Courtesy of Jeff Okrepkie)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>For many caught up in this disaster, they’re beginning to process the reality that they’ve lost their entire homes — an experience Okrepkie shares, too.\u003c/p>\n\u003cp>“One of the things that I always hated to hear was, ‘Well, it’s just stuff. And you have your lives, right?’” he said.\u003c/p>\n\u003cp>“Of course, having that is paramount to anything else. But it’s not just the physical object. It’s the memories that come with those — whether it be Christmas ornaments or baby pictures. “It is a long and difficult process and it is extremely emotional.”\u003c/p>\n\u003cp>For other Bay Area residents, like Crystal Johnson, the fires can serve as a reminder of how vulnerable Californians are to the threat of climate disasters. She’s originally from Redondo Beach and has been checking in with family and friends.\u003c/p>\n\u003cp>“Don’t wait. Get your important papers together, medications, you know, important contacts, information, all that kind of stuff. \u003ca href=\"https://www.kqed.org/news/11833686/what-to-pack-in-your-emergency-bag-with-covid-19-in-mind\">Have it ready to go so that if something happens\u003c/a>. Have a plan in place,” Johnson said.\u003c/p>\n\u003cp>In the long term, given the scale of destruction in Los Angeles, the road to recovery could take years. Okrepkie, who started a nonprofit to rebuild his community of Coffey Park in Santa Rosa, offered the following advice:\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003ch2>\u003cstrong>‘Do not go through it alone’\u003c/strong>\u003c/h2>\n\u003cp>A wildfire can be a life-threatening event, taking a toll on people’s physical and emotional health.\u003c/p>\n\u003cp>According to a 2023 \u003ca href=\"https://www.mdpi.com/1660-4601/18/4/1487\">study\u003c/a> by researchers at the University of California, San Diego, “climate trauma” led to increased instances of chronic mental health problems, like post-traumatic stress disorder and depression.\u003c/p>\n\u003cp>If you know someone who needs help coping in the aftermath of the Los Angeles fires, here’s a \u003ca href=\"https://www.kqed.org/science/1928658/wildfires-reignite-old-trauma-for-survivors-of-last-octobers-devastation\">list\u003c/a> of what you can do.\u003c/p>\n\u003cp>For Okrepkie, he said one of the most helpful approaches was to seek support among others who’ve gone through a similar experience.\u003c/p>\n\u003cp>“Everyone’s method of going through this and coping with it is going to be different,” he said. “But I will say: Do not go through it alone. Find a group that you can go through this together with.”\u003c/p>\n\u003cp>Okrepkie said he’s seen the difference that a community working together can have, after seeing his nonprofit help to raise $1 million to rebuild Coffey Park. He said he was inspired to do this after seeing misinformation on social media about rebuilding — a dynamic that he sees similarly playing out with the Los Angeles fires currently.\u003c/p>\n\u003ch2>\u003cstrong>‘It takes patience’\u003c/strong>\u003c/h2>\n\u003cp>The long-term financial impacts of major wildfires can take years to resolve.\u003c/p>\n\u003cp>“The responses that are needed — whether it be more firefighting resources to information to funds for those that have lost everything — never ceases,” said Okrepkie. “So it’s not just helping them in the first couple of days after. It’s going to be an ongoing thing for weeks, months and likely years.”\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>Damage from the Tubbs Fires is estimated at over $10 billion, according to one consulting \u003ca href=\"https://vertexeng.com/insights/economic-fallout-of-tubbs-wildfire-santa-rosa/\">group\u003c/a> involved in California wildfire response.\u003c/p>\n\u003cp>Okrepkie, an insurance agent, said the best thing to do is be patient. He moved back into his new rebuilt home in 2020, around three years after Tubbs Fire burned down his home. He said he’s happy his family is cared for and back in their home neighborhood of Coffey Park.\u003c/p>\n\u003cp>“I know that there is a natural urge to get back into your home and want to do it as quickly as possible. But it’s going to take patience because everybody is going to be learning for the first time — or relearning — things,” he said.\u003c/p>\n\u003ch2>\u003cstrong>Where to begin with the insurance claims?\u003c/strong>\u003c/h2>\n\u003cp>Okrepkie himself said he had no fewer than nine insurance adjusters to sort out all his claims.\u003c/p>\n\u003cp>He has the following advice to get started:\u003c/p>\n\u003cul>\n\u003cli>Document everything. “Do not agree to anything over the phone,” he said.\u003c/li>\n\u003cli>Follow up phone conversations over email to confirm the verbal exchange.\u003c/li>\n\u003cli>Accept that the process is complex. Disaster adjusters, typically working out of state, may be reassigned throughout the process — and an adjustor is assigned to a specific line of coverage, from property to additional living expenses. “In case adjuster A leaves and an adjuster B comes in and it’s not documented on their end, you can show them ‘This is what was discussed and this is what was agreed to.’”\u003c/li>\n\u003c/ul>\n\u003cp>An additional complication is that in recent years, \u003ca href=\"https://www.kqed.org/science/1985175/insurance-in-california-is-changing-heres-how-it-may-affect-you\">insurance companies have pulled back from homeowner policies in California\u003c/a>. As for the fires in Los Angeles, there are concerns that the damage could \u003ca href=\"https://www.kqed.org/news/12021019/la-fires-threaten-california-insurance-market-stability-housing-costs\">overextend\u003c/a> the state’s FAIR Plan — the state’s insurer of last resort.\u003c/p>\n\u003cp>You can find more details on navigating insurance claims and wildfires \u003ca href=\"https://laist.com/news/housing-homelessness/cheat-sheet-what-to-do-if-you-need-to-make-a-fire-insurance-claim\">here\u003c/a>.\u003c/p>\n\u003cp>\u003cem>Farida Jhabvala Romero and Brian Watt contributed to this report.\u003c/em>\u003c/p>\n\u003cp>\u003c/p>\n\u003c/div>\u003c/p>",
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"title": "Bird Flu Likely Found in San Francisco Child as California Cases Rise",
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"content": "\u003cp>A child in \u003ca href=\"https://www.kqed.org/news/tag/san-francisco\">San Francisco\u003c/a> is the city’s first presumptive person to test positive for bird flu.\u003c/p>\n\u003cp>The child experienced fever and eye inflammation but has since fully recovered without needing hospitalization. Initial tests at San Francisco’s public health laboratory were positive; confirmatory testing is pending at the Centers for Disease Control and Prevention.\u003c/p>\n\u003cp>Health officials have not identified how the child could have contracted the virus.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>State officials are working to contain the virus spreading through dairy farms and poultry facilities across California.\u003c/p>\n\u003cp>The San Francisco case brings \u003ca href=\"https://www.cdph.ca.gov/Programs/CID/DCDC/pages/Bird-Flu.aspx\">California’s total to 37\u003c/a> human bird flu infections this year. Most cases stem from direct contact with infected cattle.\u003c/p>\n\u003cp>“The risk to the general public remains low,” said Dr. Grant Colfax, San Francisco’s director of health, in a press release.\u003c/p>\n\u003cp>[aside postID=news_12019301 hero='https://cdn.kqed.org/wp-content/uploads/sites/10/2024/11/041620_Dairy-Worker_GETTY_CM_01-copy-1020x680.jpg']\u003c/p>\n\u003cp>He stressed that people rarely catch bird flu, and no person-to-person transmission has occurred during this outbreak in the U.S.\u003c/p>\n\u003cp>Still, he urged residents to avoid contact with sick or dead birds and stay away from unpasteurized dairy products. While agricultural officials say pasteurized milk remains safe, several raw milk products have been recalled across the state.\u003c/p>\n\u003cp>Gov. Gavin Newsom declared a state of emergency earlier this winter to boost containment efforts. The virus has now infected \u003ca href=\"https://www.cdfa.ca.gov/AHFSS/Animal_Health/HPAI.html\">703 of the state’s more than 1,100 dairy facilities\u003c/a>, according to the California Department of Food and Agriculture.\u003c/p>\n\u003cp>Wastewater surveillance has detected the virus across the Bay Area, including in San Francisco, Napa and San José. Health officials advised residents to call 311 if they find dead birds, and they recommended anyone experiencing symptoms like eye redness, coughing, fatigue, or fever contact a healthcare provider.\u003c/p>\n\u003cp>\u003c/p>\n",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>A child in \u003ca href=\"https://www.kqed.org/news/tag/san-francisco\">San Francisco\u003c/a> is the city’s first presumptive person to test positive for bird flu.\u003c/p>\n\u003cp>The child experienced fever and eye inflammation but has since fully recovered without needing hospitalization. Initial tests at San Francisco’s public health laboratory were positive; confirmatory testing is pending at the Centers for Disease Control and Prevention.\u003c/p>\n\u003cp>Health officials have not identified how the child could have contracted the virus.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>State officials are working to contain the virus spreading through dairy farms and poultry facilities across California.\u003c/p>\n\u003cp>The San Francisco case brings \u003ca href=\"https://www.cdph.ca.gov/Programs/CID/DCDC/pages/Bird-Flu.aspx\">California’s total to 37\u003c/a> human bird flu infections this year. Most cases stem from direct contact with infected cattle.\u003c/p>\n\u003cp>“The risk to the general public remains low,” said Dr. Grant Colfax, San Francisco’s director of health, in a press release.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>He stressed that people rarely catch bird flu, and no person-to-person transmission has occurred during this outbreak in the U.S.\u003c/p>\n\u003cp>Still, he urged residents to avoid contact with sick or dead birds and stay away from unpasteurized dairy products. While agricultural officials say pasteurized milk remains safe, several raw milk products have been recalled across the state.\u003c/p>\n\u003cp>Gov. Gavin Newsom declared a state of emergency earlier this winter to boost containment efforts. The virus has now infected \u003ca href=\"https://www.cdfa.ca.gov/AHFSS/Animal_Health/HPAI.html\">703 of the state’s more than 1,100 dairy facilities\u003c/a>, according to the California Department of Food and Agriculture.\u003c/p>\n\u003cp>Wastewater surveillance has detected the virus across the Bay Area, including in San Francisco, Napa and San José. Health officials advised residents to call 311 if they find dead birds, and they recommended anyone experiencing symptoms like eye redness, coughing, fatigue, or fever contact a healthcare provider.\u003c/p>\n\u003cp>\u003c/p>\n\u003c/div>\u003c/p>",
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"content": "\u003cp>The federal Consumer Financial Protection Bureau on Tuesday issued new regulations barring medical debts from American credit reports, enacting a major new consumer protection just days before President Joe Biden is set to leave office.\u003c/p>\n\u003cp>The rules ban credit agencies from including medical debts on consumers’ credit reports and prohibit lenders from considering medical information in assessing borrowers.\u003c/p>\n\u003cp>These rules, which the federal watchdog agency \u003ca href=\"https://kffhealthnews.org/news/article/biden-administration-plan-remove-medical-debt-credit-scores/\">proposed in June\u003c/a>, could be reversed after President-elect Donald Trump takes office on Jan. 20. But by finalizing the regulations now, the CFPB effectively dared the incoming Trump administration and its Republican allies in Congress to undo rules that are broadly popular and could help millions of people who are burdened by medical debt.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>“People who get sick shouldn’t have their financial future upended,” CFPB Director Rohit Chopra said in announcing the new rules. “The CFPB’s final rule will close a special carveout that has allowed debt collectors to abuse the credit reporting system to coerce people into paying medical bills they may not even owe.”\u003c/p>\n\u003cp>The regulations fulfill a pledge by the Biden administration to address the scourge of health care debt, a problem that touches \u003ca href=\"https://kffhealthnews.org/diagnosis-debt/\">an estimated 100 million Americans\u003c/a>, forcing many to make sacrifices such as limiting food, clothing, and other essentials.\u003c/p>\n\u003cp>Credit reporting, a threat that has been wielded by medical providers and debt collectors to get patients to pay their bills, is the most common collection tactic used by hospitals, \u003ca href=\"https://kffhealthnews.org/news/article/medical-debt-hospitals-sue-patients-threaten-credit-khn-investigation/\">a KFF Health News analysis\u003c/a> found.\u003c/p>\n\u003cp>The impact can be devastating, especially for those with large health care debts.\u003c/p>\n\u003cp>There is growing evidence, for example, that credit scores depressed by medical debt can \u003ca href=\"https://kffhealthnews.org/news/article/a-father-dreamed-of-a-home-for-his-family-medical-debt-nearly-pushed-them-onto-the-streets/\">threaten people’s access to housing\u003c/a> and drive homelessness. People with low credit scores can also have trouble getting a loan or can be forced to borrow at higher interest rates.[aside label=\"Related Stories\" postID=\"news_12019842,news_12002019\"]That has prompted states, including Colorado, New York and California, to enact legislation prohibiting medical debt from being included on residents’ credit reports or factored into their credit scores. Still, many patients and consumer advocates have pushed for a national ban.\u003c/p>\n\u003cp>The CFPB has estimated that the new credit reporting rule will boost the credit scores of people with medical debt on their credit reports by an average of 20 points.\u003c/p>\n\u003cp>However, the agency’s efforts to restrict medical debt collections have drawn fierce pushback from the collections industry. And the new rules will almost certainly be challenged in court.\u003c/p>\n\u003cp>Congressional Republicans have frequently criticized the watchdog agency. Last year, then-chair of the House Financial Services Committee Patrick McHenry (R-N.C.) labeled the CFPB’s medical debt proposal “regulatory overreach.”\u003c/p>\n\u003cp>More recently, billionaire Elon Musk, whom Trump has tapped to co-lead his initiative to shrink government, \u003ca href=\"https://x.com/elonmusk/status/1861644897490751865\">called for the elimination\u003c/a> of the watchdog agency. “Delete CFPB,” Musk posted on the social platform X.\u003c/p>\n\u003cp>\u003c/p>\n",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>The federal Consumer Financial Protection Bureau on Tuesday issued new regulations barring medical debts from American credit reports, enacting a major new consumer protection just days before President Joe Biden is set to leave office.\u003c/p>\n\u003cp>The rules ban credit agencies from including medical debts on consumers’ credit reports and prohibit lenders from considering medical information in assessing borrowers.\u003c/p>\n\u003cp>These rules, which the federal watchdog agency \u003ca href=\"https://kffhealthnews.org/news/article/biden-administration-plan-remove-medical-debt-credit-scores/\">proposed in June\u003c/a>, could be reversed after President-elect Donald Trump takes office on Jan. 20. But by finalizing the regulations now, the CFPB effectively dared the incoming Trump administration and its Republican allies in Congress to undo rules that are broadly popular and could help millions of people who are burdened by medical debt.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>“People who get sick shouldn’t have their financial future upended,” CFPB Director Rohit Chopra said in announcing the new rules. “The CFPB’s final rule will close a special carveout that has allowed debt collectors to abuse the credit reporting system to coerce people into paying medical bills they may not even owe.”\u003c/p>\n\u003cp>The regulations fulfill a pledge by the Biden administration to address the scourge of health care debt, a problem that touches \u003ca href=\"https://kffhealthnews.org/diagnosis-debt/\">an estimated 100 million Americans\u003c/a>, forcing many to make sacrifices such as limiting food, clothing, and other essentials.\u003c/p>\n\u003cp>Credit reporting, a threat that has been wielded by medical providers and debt collectors to get patients to pay their bills, is the most common collection tactic used by hospitals, \u003ca href=\"https://kffhealthnews.org/news/article/medical-debt-hospitals-sue-patients-threaten-credit-khn-investigation/\">a KFF Health News analysis\u003c/a> found.\u003c/p>\n\u003cp>The impact can be devastating, especially for those with large health care debts.\u003c/p>\n\u003cp>There is growing evidence, for example, that credit scores depressed by medical debt can \u003ca href=\"https://kffhealthnews.org/news/article/a-father-dreamed-of-a-home-for-his-family-medical-debt-nearly-pushed-them-onto-the-streets/\">threaten people’s access to housing\u003c/a> and drive homelessness. People with low credit scores can also have trouble getting a loan or can be forced to borrow at higher interest rates.\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>That has prompted states, including Colorado, New York and California, to enact legislation prohibiting medical debt from being included on residents’ credit reports or factored into their credit scores. Still, many patients and consumer advocates have pushed for a national ban.\u003c/p>\n\u003cp>The CFPB has estimated that the new credit reporting rule will boost the credit scores of people with medical debt on their credit reports by an average of 20 points.\u003c/p>\n\u003cp>However, the agency’s efforts to restrict medical debt collections have drawn fierce pushback from the collections industry. And the new rules will almost certainly be challenged in court.\u003c/p>\n\u003cp>Congressional Republicans have frequently criticized the watchdog agency. Last year, then-chair of the House Financial Services Committee Patrick McHenry (R-N.C.) labeled the CFPB’s medical debt proposal “regulatory overreach.”\u003c/p>\n\u003cp>More recently, billionaire Elon Musk, whom Trump has tapped to co-lead his initiative to shrink government, \u003ca href=\"https://x.com/elonmusk/status/1861644897490751865\">called for the elimination\u003c/a> of the watchdog agency. “Delete CFPB,” Musk posted on the social platform X.\u003c/p>\n\u003cp>\u003c/p>\n\u003c/div>\u003c/p>",
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"slug": "bay-area-health-care-workers-protest-alleged-targeting-medical-facilities-gaza",
"title": "Bay Area Health Care Workers Protest Israel's Attacks on Gaza Hospitals",
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"content": "\u003cp>\u003cem>Updated 2:02 p.m. Tuesday\u003c/em>\u003c/p>\n\u003cp>Dozens of Bay Area health care workers rallied at \u003ca href=\"https://www.kqed.org/news/tag/san-francisco-general-hospital\">San Francisco General Hospital\u003c/a> on Monday as part of a nationwide protest against the ongoing war in Gaza, accusing Israel of human rights violations and the deliberate targeting of medical workers and health care facilities.\u003c/p>\n\u003cp>Organized by the global coalition Doctors Against Genocide, the #SickFromGenocide day of action was meant to be a collective period of mourning and rest for medical workers affected by the events of the Israel-Hamas war and the harm being done to health care facilities, workers and patients in the Gaza Strip. Nearly a hundred people rallied in front of the hospital, playing music and holding banners with messages including “Our Taxes Turn Hospitals into Mass Graves” and “Healthcare Workers Demand: Free Palestine!”\u003c/p>\n\u003cp>In Gaza, medical workers are\u003ca href=\"https://news.un.org/en/story/2025/01/1158741\"> struggling\u003c/a> to keep up with high demand as the health care system sits on the brink of collapse, according to a report by United Nations News. Of the 36 hospitals in the region, only 16 remain operational after continual attacks by Israeli forces have left the rest essentially non-functional.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>Hospitals still in operation are also in dire need of medical supplies, food and other essentials.\u003c/p>\n\u003cp>“We’re now 450 days plus into this genocide and the destruction of health care infrastructure in Gaza with no end in sight,” said Jess Ghannam, medical staff member and president of Faculty and Staff for Justice in Palestine at UCSF. “The complicity of the U.S. government and the health care system here with turning a blind eye to the devastation to the health care infrastructure in Gaza needs to be called out.”\u003c/p>\n\u003cp>In December, Israeli forces raided the Kamal Adwan Hospital in North Gaza, forcing patients to temporarily relocate to other, less equipped medical centers. Kamal Adwan had been the last remaining hospital in North Gaza. The hospital’s director, Dr. Hussam Abu Safiya, was also arrested.\u003c/p>\n\u003cfigure id=\"attachment_12020487\" class=\"wp-caption aligncenter\" style=\"max-width: 2000px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-12020487\" src=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2025/01/20250106_SFGHRally_GC-32.jpg\" alt=\"\" width=\"2000\" height=\"1333\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2025/01/20250106_SFGHRally_GC-32.jpg 2000w, https://cdn.kqed.org/wp-content/uploads/sites/10/2025/01/20250106_SFGHRally_GC-32-800x533.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2025/01/20250106_SFGHRally_GC-32-1020x680.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2025/01/20250106_SFGHRally_GC-32-160x107.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2025/01/20250106_SFGHRally_GC-32-1536x1024.jpg 1536w, https://cdn.kqed.org/wp-content/uploads/sites/10/2025/01/20250106_SFGHRally_GC-32-1920x1280.jpg 1920w\" sizes=\"auto, (max-width: 2000px) 100vw, 2000px\">\u003cfigcaption class=\"wp-caption-text\">A sign that reads “STOP GENOCIDE” hangs above a rally of healthcare workers in front of San Francisco General Hospital, after calling out sick, to protest against the war in Gaza, on Jan. 6, 2025. \u003ccite>(Gina Castro/KQED)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>Abu Safiya is a pediatric intensive care doctor and a lead physician with MedGlobal, an international nonprofit that provides health care assistance and humanitarian aid.\u003c/p>\n\u003cp>According to the Israel Defense Forces, Abu Safiya was arrested and is being questioned about \u003ca href=\"https://x.com/LTC_Shoshani/status/1876273397203947857\">potential involvement\u003c/a> with terrorist groups, claims that remain unsubstantiated. His current whereabouts are still unknown, and several international groups including Physicians for Human Rights and the World Health Organization have called for his release.\u003c/p>\n\u003cp>Dr. Leigh Kimberg, a primary care physician at San Francisco General Hospital and a professor of medicine at UCSF, said Abu Safiya worked tirelessly to take care of his patients even while under threat. He was previously detained, questioned and released by Israeli forces, and still continued to serve at the hospital even while injured and mourning his son, who was killed in front of him in an Israeli strike.\u003c/p>\n\u003cp>“To accuse Palestinian health care workers who are themselves starving because they have access to no food and are providing the care that they were trained to give while under assault of anything other than being dedicated to their sacred oath to serve humanity is deeply offensive,” Kimberg said.\u003c/p>\n\u003cp>The IDF \u003ca href=\"https://www.idf.il/260609\">justified\u003c/a> its attack on the hospital by saying that Hamas militants were hiding at the site. The U.N. human rights chief has called that justification vague, broad and unsubstantiated.\u003c/p>\n\u003cfigure id=\"attachment_12020485\" class=\"wp-caption aligncenter\" style=\"max-width: 2000px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-12020485\" src=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2025/01/20250106_SFGHRally_GC-23.jpg\" alt=\"\" width=\"2000\" height=\"1333\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2025/01/20250106_SFGHRally_GC-23.jpg 2000w, https://cdn.kqed.org/wp-content/uploads/sites/10/2025/01/20250106_SFGHRally_GC-23-800x533.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2025/01/20250106_SFGHRally_GC-23-1020x680.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2025/01/20250106_SFGHRally_GC-23-160x107.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2025/01/20250106_SFGHRally_GC-23-1536x1024.jpg 1536w, https://cdn.kqed.org/wp-content/uploads/sites/10/2025/01/20250106_SFGHRally_GC-23-1920x1280.jpg 1920w\" sizes=\"auto, (max-width: 2000px) 100vw, 2000px\">\u003cfigcaption class=\"wp-caption-text\">A crowd gathers where health care workers rally in front of San Francisco General Hospital, after calling out sick, to protest against the war in Gaza, on Jan. 6, 2025. \u003ccite>(Gina Castro/KQED)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>Kimberg added that Israeli forces have attacked both health care facilities and health care workers numerous times in the past and have previously attempted to justify such actions with similar unsubstantiated claims.\u003c/p>\n\u003cp>“Over 1,000 of our Palestinian health care colleagues have been murdered by Israeli forces. There are testimonies of health care workers being specifically targeted by Israeli forces,” Leigh said. “More than 450 of our Palestinian colleagues have been abducted from health care institutions and imprisoned.”\u003c/p>\n\u003cp>A crowd gathers where health care workers rally in front of San Francisco General Hospital, after calling out sick, to protest against the war in Gaza, on Jan. 6, 2025.In San Francisco, many health care workers have already been vocal about their \u003ca href=\"https://www.kqed.org/news/12005478/university-of-california-is-accused-of-trying-to-silence-faculty-speech-about-war-in-gaza\">support for the Palestinian people\u003c/a>.\u003c/p>\n\u003cp>“We’re here to come together in support of our colleagues in Gaza who continue to experience targeted attacks from Israeli forces as they try to attend to a population of people that have been genocided,” said Bridget Rochios, a midwife at San Francisco General Hospital and a nurse practitioner at UCSF. “When we get into health care, it’s because we really firmly believe in health equity and human rights for everyone, and that includes people in Gaza.”\u003c/p>\n\u003cp>[aside postID=news_12010352 hero='https://cdn.kqed.org/wp-content/uploads/sites/10/2024/10/241012-WEST-BANK-AID-MD-11-KQED-1020x680.jpg']\u003c/p>\n\u003cp>At \u003ca href=\"https://www.kqed.org/news/12006193/ucsf-campus-faces-uproar-after-doctor-allegedly-targets-israeli-student-on-social-media\">UCSF\u003c/a>, several medical workers were placed on administrative leave or\u003ca href=\"https://theintercept.com/2024/11/19/ucsf-medical-palestine-speech/\"> received warnings \u003c/a>from colleagues and supervisors for wearing symbols of Palestinian solidarity or for speaking out against the war, Ghannam and Rochios told KQED at Monday’s rally.\u003c/p>\n\u003cp>The university declined to answer questions about the reprimands, saying the information was inaccurate.\u003c/p>\n\u003cp>Rochios, who spent a month in Gaza working at a maternity hospital, said she faced disciplinary action for wearing a watermelon pin and refusing to remove it. The fruit has become a symbol of Palestinian resistance.\u003c/p>\n\u003cp>When Rochios’ supervisors told her to remove the pin because it was making patients feel unsafe, she refused and was placed on administrative leave three times, she said. She is currently still on leave.\u003c/p>\n\u003cp>“Wearing the watermelon pin simply means that Palestinians have a right to exist. There’s nothing antisemitic about that,” Rochios said. “Palestinian people deserve to not be genocided. Every human being deserves to not be genocided.”\u003c/p>\n\u003cp>According to Dr. Karameh Kuemmerle, co-founder of Doctors Against Genocide and a pediatric neurologist at Boston Children’s Hospital, #SickFromGenocide is part of a larger movement on the part of health care workers to address the devastation in Gaza and U.S. funding for Israel. She said they will continue to push politicians and health care institutions to divest from Israel.\u003c/p>\n\u003cp>“The heroism of the medical community in Gaza is unparalleled,” Kuemmerle said. “We can only strive to be even close to how heroic they are.”\u003c/p>\n\u003cp>\u003cem>KQED’s \u003ca href=\"https://www.kqed.org/author/shossaini\">Sara Hossaini\u003c/a> contributed to this report.\u003c/em>\u003c/p>\n\u003cp>\u003cem>Jan. 7: This story was updated with additional information about Dr. Hussam Abu Safiya, who was arrested by Israeli forces. An earlier version of the story cited the Israel Defense Forces, which suggested without evidence, that he was potentially involved with terrorist groups.\u003c/em>\u003c/p>\n\u003cp>[ad floatright]\u003c/p>\n",
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"excerpt": "A rally at San Francisco General Hospital on Monday was part of a nationwide day of action against the war in Gaza, accusing Israel of human rights violations with U.S. support.",
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"title": "Bay Area Health Care Workers Protest Israel's Attacks on Gaza Hospitals | KQED",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>\u003cem>Updated 2:02 p.m. Tuesday\u003c/em>\u003c/p>\n\u003cp>Dozens of Bay Area health care workers rallied at \u003ca href=\"https://www.kqed.org/news/tag/san-francisco-general-hospital\">San Francisco General Hospital\u003c/a> on Monday as part of a nationwide protest against the ongoing war in Gaza, accusing Israel of human rights violations and the deliberate targeting of medical workers and health care facilities.\u003c/p>\n\u003cp>Organized by the global coalition Doctors Against Genocide, the #SickFromGenocide day of action was meant to be a collective period of mourning and rest for medical workers affected by the events of the Israel-Hamas war and the harm being done to health care facilities, workers and patients in the Gaza Strip. Nearly a hundred people rallied in front of the hospital, playing music and holding banners with messages including “Our Taxes Turn Hospitals into Mass Graves” and “Healthcare Workers Demand: Free Palestine!”\u003c/p>\n\u003cp>In Gaza, medical workers are\u003ca href=\"https://news.un.org/en/story/2025/01/1158741\"> struggling\u003c/a> to keep up with high demand as the health care system sits on the brink of collapse, according to a report by United Nations News. Of the 36 hospitals in the region, only 16 remain operational after continual attacks by Israeli forces have left the rest essentially non-functional.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>Hospitals still in operation are also in dire need of medical supplies, food and other essentials.\u003c/p>\n\u003cp>“We’re now 450 days plus into this genocide and the destruction of health care infrastructure in Gaza with no end in sight,” said Jess Ghannam, medical staff member and president of Faculty and Staff for Justice in Palestine at UCSF. “The complicity of the U.S. government and the health care system here with turning a blind eye to the devastation to the health care infrastructure in Gaza needs to be called out.”\u003c/p>\n\u003cp>In December, Israeli forces raided the Kamal Adwan Hospital in North Gaza, forcing patients to temporarily relocate to other, less equipped medical centers. Kamal Adwan had been the last remaining hospital in North Gaza. The hospital’s director, Dr. Hussam Abu Safiya, was also arrested.\u003c/p>\n\u003cfigure id=\"attachment_12020487\" class=\"wp-caption aligncenter\" style=\"max-width: 2000px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-12020487\" src=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2025/01/20250106_SFGHRally_GC-32.jpg\" alt=\"\" width=\"2000\" height=\"1333\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2025/01/20250106_SFGHRally_GC-32.jpg 2000w, https://cdn.kqed.org/wp-content/uploads/sites/10/2025/01/20250106_SFGHRally_GC-32-800x533.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2025/01/20250106_SFGHRally_GC-32-1020x680.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2025/01/20250106_SFGHRally_GC-32-160x107.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2025/01/20250106_SFGHRally_GC-32-1536x1024.jpg 1536w, https://cdn.kqed.org/wp-content/uploads/sites/10/2025/01/20250106_SFGHRally_GC-32-1920x1280.jpg 1920w\" sizes=\"auto, (max-width: 2000px) 100vw, 2000px\">\u003cfigcaption class=\"wp-caption-text\">A sign that reads “STOP GENOCIDE” hangs above a rally of healthcare workers in front of San Francisco General Hospital, after calling out sick, to protest against the war in Gaza, on Jan. 6, 2025. \u003ccite>(Gina Castro/KQED)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>Abu Safiya is a pediatric intensive care doctor and a lead physician with MedGlobal, an international nonprofit that provides health care assistance and humanitarian aid.\u003c/p>\n\u003cp>According to the Israel Defense Forces, Abu Safiya was arrested and is being questioned about \u003ca href=\"https://x.com/LTC_Shoshani/status/1876273397203947857\">potential involvement\u003c/a> with terrorist groups, claims that remain unsubstantiated. His current whereabouts are still unknown, and several international groups including Physicians for Human Rights and the World Health Organization have called for his release.\u003c/p>\n\u003cp>Dr. Leigh Kimberg, a primary care physician at San Francisco General Hospital and a professor of medicine at UCSF, said Abu Safiya worked tirelessly to take care of his patients even while under threat. He was previously detained, questioned and released by Israeli forces, and still continued to serve at the hospital even while injured and mourning his son, who was killed in front of him in an Israeli strike.\u003c/p>\n\u003cp>“To accuse Palestinian health care workers who are themselves starving because they have access to no food and are providing the care that they were trained to give while under assault of anything other than being dedicated to their sacred oath to serve humanity is deeply offensive,” Kimberg said.\u003c/p>\n\u003cp>The IDF \u003ca href=\"https://www.idf.il/260609\">justified\u003c/a> its attack on the hospital by saying that Hamas militants were hiding at the site. The U.N. human rights chief has called that justification vague, broad and unsubstantiated.\u003c/p>\n\u003cfigure id=\"attachment_12020485\" class=\"wp-caption aligncenter\" style=\"max-width: 2000px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-12020485\" src=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2025/01/20250106_SFGHRally_GC-23.jpg\" alt=\"\" width=\"2000\" height=\"1333\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2025/01/20250106_SFGHRally_GC-23.jpg 2000w, https://cdn.kqed.org/wp-content/uploads/sites/10/2025/01/20250106_SFGHRally_GC-23-800x533.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2025/01/20250106_SFGHRally_GC-23-1020x680.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2025/01/20250106_SFGHRally_GC-23-160x107.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2025/01/20250106_SFGHRally_GC-23-1536x1024.jpg 1536w, https://cdn.kqed.org/wp-content/uploads/sites/10/2025/01/20250106_SFGHRally_GC-23-1920x1280.jpg 1920w\" sizes=\"auto, (max-width: 2000px) 100vw, 2000px\">\u003cfigcaption class=\"wp-caption-text\">A crowd gathers where health care workers rally in front of San Francisco General Hospital, after calling out sick, to protest against the war in Gaza, on Jan. 6, 2025. \u003ccite>(Gina Castro/KQED)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>Kimberg added that Israeli forces have attacked both health care facilities and health care workers numerous times in the past and have previously attempted to justify such actions with similar unsubstantiated claims.\u003c/p>\n\u003cp>“Over 1,000 of our Palestinian health care colleagues have been murdered by Israeli forces. There are testimonies of health care workers being specifically targeted by Israeli forces,” Leigh said. “More than 450 of our Palestinian colleagues have been abducted from health care institutions and imprisoned.”\u003c/p>\n\u003cp>A crowd gathers where health care workers rally in front of San Francisco General Hospital, after calling out sick, to protest against the war in Gaza, on Jan. 6, 2025.In San Francisco, many health care workers have already been vocal about their \u003ca href=\"https://www.kqed.org/news/12005478/university-of-california-is-accused-of-trying-to-silence-faculty-speech-about-war-in-gaza\">support for the Palestinian people\u003c/a>.\u003c/p>\n\u003cp>“We’re here to come together in support of our colleagues in Gaza who continue to experience targeted attacks from Israeli forces as they try to attend to a population of people that have been genocided,” said Bridget Rochios, a midwife at San Francisco General Hospital and a nurse practitioner at UCSF. “When we get into health care, it’s because we really firmly believe in health equity and human rights for everyone, and that includes people in Gaza.”\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>At \u003ca href=\"https://www.kqed.org/news/12006193/ucsf-campus-faces-uproar-after-doctor-allegedly-targets-israeli-student-on-social-media\">UCSF\u003c/a>, several medical workers were placed on administrative leave or\u003ca href=\"https://theintercept.com/2024/11/19/ucsf-medical-palestine-speech/\"> received warnings \u003c/a>from colleagues and supervisors for wearing symbols of Palestinian solidarity or for speaking out against the war, Ghannam and Rochios told KQED at Monday’s rally.\u003c/p>\n\u003cp>The university declined to answer questions about the reprimands, saying the information was inaccurate.\u003c/p>\n\u003cp>Rochios, who spent a month in Gaza working at a maternity hospital, said she faced disciplinary action for wearing a watermelon pin and refusing to remove it. The fruit has become a symbol of Palestinian resistance.\u003c/p>\n\u003cp>When Rochios’ supervisors told her to remove the pin because it was making patients feel unsafe, she refused and was placed on administrative leave three times, she said. She is currently still on leave.\u003c/p>\n\u003cp>“Wearing the watermelon pin simply means that Palestinians have a right to exist. There’s nothing antisemitic about that,” Rochios said. “Palestinian people deserve to not be genocided. Every human being deserves to not be genocided.”\u003c/p>\n\u003cp>According to Dr. Karameh Kuemmerle, co-founder of Doctors Against Genocide and a pediatric neurologist at Boston Children’s Hospital, #SickFromGenocide is part of a larger movement on the part of health care workers to address the devastation in Gaza and U.S. funding for Israel. She said they will continue to push politicians and health care institutions to divest from Israel.\u003c/p>\n\u003cp>“The heroism of the medical community in Gaza is unparalleled,” Kuemmerle said. “We can only strive to be even close to how heroic they are.”\u003c/p>\n\u003cp>\u003cem>KQED’s \u003ca href=\"https://www.kqed.org/author/shossaini\">Sara Hossaini\u003c/a> contributed to this report.\u003c/em>\u003c/p>\n\u003cp>\u003cem>Jan. 7: This story was updated with additional information about Dr. Hussam Abu Safiya, who was arrested by Israeli forces. An earlier version of the story cited the Israel Defense Forces, which suggested without evidence, that he was potentially involved with terrorist groups.\u003c/em>\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"slug": "california-almost-legalized-psychedelics-now-supporters-are-looking-for-a-good-test-case",
"title": "California Almost Legalized Psychedelics. Now Supporters Are Looking for a Good Test Case",
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"headTitle": "California Almost Legalized Psychedelics. Now Supporters Are Looking for a Good Test Case | KQED",
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"content": "\u003cp>Last year was supposed to mark a milestone in the psychedelic movement. Lawmakers and advocates were set to make California the next frontier in allowing the use of “magic mushrooms.”\u003c/p>\n\u003cp>They were hopeful because Gov. Gavin Newsom in 2023 — after vetoing a bill that would have \u003ca href=\"https://www.nbcbayarea.com/news/california/california-gavin-newsom-vetoes-bill-psychedelic-mushrooms/3336358/\">decriminalized the possession of psychedelics\u003c/a> — asked legislators for a bill that would \u003ca href=\"https://calmatters.org/health/2024/02/psychedelic-therapy-legalize/\">prioritize the therapeutic promise\u003c/a> of these drugs.\u003c/p>\n\u003cp>Sen. Scott Wiener, a San Francisco Democrat, responded to Newsom’s request with a proposal that would have allowed for psilocybin and other hallucinogens to be \u003ca href=\"https://calmatters.org/digital-democracy/2024/02/wiener-waldron-psychedelic-alliance/\">ingested in a controlled setting\u003c/a> and under the supervision of licensed and trained facilitators.\u003c/p>\n\u003cp>But that bill, like three similar ones before it and after it, went nowhere. Skeptical lawmakers expressed concerns about funding, standing up a complex program and safety as they turned down the measures.\u003c/p>\n\u003cp>Undeterred, advocates now are regrouping to try again.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>What exactly a new legislative proposal would look like in California is still uncertain, advocates and lawmakers say. Most agree that getting something through in California will have to be more narrow than what’s been proposed in the past, and likely will be centered on providing access to veterans.\u003c/p>\n\u003cp>What’s most feasible is “some sort of pilot program, or something on a smaller scale to prove it out,” said Jesse Gould, founder and president of the Heroic Hearts Project, which has sponsored psychedelic proposals in California and other states. His nonprofit connects military veterans struggling with post-traumatic stress disorder with psychedelic programs in other countries.\u003c/p>\n\u003cp>Psychedelics remain illegal at the federal level, but voters in \u003ca href=\"https://psychedelicalpha.com/data/psychedelic-laws\">two states have authorized them\u003c/a> for certain uses, and several California cities have passed measures decriminalizing them. President Joe Biden, in late 2023, signed a \u003ca href=\"https://www.militarytimes.com/newsletters/2023/12/15/first-ever-provision-for-psychedelic-studies-included-in-defense-bill/\">defense spending bill\u003c/a> that included money to study how psychedelic drugs could be used to treat veterans and military service members.\u003c/p>\n\u003cp>What Gould and other advocates envision as a first step for California might look like a proposal Sen. Josh Becker, a Democrat from Menlo Park and Sen. Brian Jones, a San Diego Republican, submitted last summer. Their bill, dubbed Heal Our Heroes Act, would have allowed the counties of San Diego, Santa Cruz and San Francisco to launch up to five centers each where licensed staff could facilitate psilocybin to veterans and former first responders over 21 who passed a screening test.\u003c/p>\n\u003cp>Their bill did not move forward, but their concept could return.\u003c/p>\n\u003cp>Prioritizing and limiting this experimental access to veterans and former first responders is the most responsible route, Jones said. He does not support decriminalizing psychedelics for recreational use.\u003c/p>\n\u003cp>“I want to serve our veterans who are suffering from these mental ailments and do everything we can so that they get the attention they need when they come home,” Jones said.\u003c/p>\n\u003cp>As of publication, Jones and Becker said they had not yet decided whether they’d re-introduce the Heal Our Heroes bill this year. Wiener’s office did not respond to requests for an interview.\u003c/p>\n\u003ch2>States legalize psychedelic therapies\u003c/h2>\n\u003cp>Approximately \u003ca href=\"https://www.rand.org/news/press/2024/06/27.html\">8 million Americans used psilocybin mushrooms\u003c/a> in 2023, according to RAND, a research organization, and \u003ca href=\"https://vcresearch.berkeley.edu/news/uc-berkeley-center-science-psychedelics-unveils-results-first-ever-berkeley-psychedelics\">a UC Berkeley poll showed that 61% of voters\u003c/a> support regulated therapeutic use of psychedelic substances.\u003c/p>\n\u003cp>Since 2020, \u003ca href=\"https://psychedelicalpha.com/data/psychedelic-laws\">at least 37 states\u003c/a> have introduced bills or ballot measures pertaining to psychedelics. These range from funding research to reducing penalties for possession. Not all proposals make it through, but some researchers predict this momentum will lead to changes in state laws over the next several years. One 2023 analysis published in the \u003ca href=\"https://pmc.ncbi.nlm.nih.gov/articles/PMC10069558/\">Journal for the American Medical Association Psychiatry\u003c/a> forecasted that a majority of states will have legalized psychedelics by 2037.\u003c/p>\n\u003cp>In the Golden State, drug reform advocacy groups and researchers have tried at least three times since 2022 to place psychedelic-related measures on the ballot but have failed to meet the signature-gathering deadlines.\u003c/p>\n\u003cp>Going to voters is expensive and a major undertaking with no guarantee. The ballot box strategy \u003ca href=\"https://www.nytimes.com/2023/01/03/health/psychedelic-drugs-mushrooms-oregon.html\">proved successful in Oregon\u003c/a> and \u003ca href=\"https://www.cpr.org/2023/06/21/colorado-psychedelic-law-for-psilocybin-mushrooms/\">Colorado\u003c/a>, where voters, in 2020 and 2022, approved measures to allow the facilitated use of psychedelics.\u003c/p>\n\u003cp>Voters in Massachusetts, however, \u003ca href=\"https://www.washingtonpost.com/elections/results/2024/11/05/massachusetts-question-4/\">recently rejected a measure\u003c/a> that would have allowed the state to legalize and regulate five plant-based psychedelics for people 21 and up.\u003c/p>\n\u003cp>Part of the issue with the Massachusetts ballot initiative was that it was too broad, said Jared Moffat, deputy policy director of New Approach, a political action committee dedicated to drug reform. Voters were confused about what exactly the measure would do and who it would apply to, he said. He didn’t view the measure’s failure as a sign that people would reject legalizing psychedelics for specific uses.\u003c/p>\n\u003cp>“I think that there’s still a ton of support for therapeutic access,” he said. “I think that people, broadly speaking, have a deep understanding that there is a mental health crisis and that the existing tools that we have help some people, but there are a lot of folks that aren’t being helped.”\u003c/p>\n\u003ch2>Veterans seeking new PTSD treatments\u003c/h2>\n\u003cp>Gould started his nonprofit, Heroic Hearts Project, after his own journey with PTSD led him to the Peruvian Amazon for nontraditional therapies.\u003c/p>\n\u003cp>Two years after leaving the military, Gould was diagnosed with PTSD. He was also dealing with the aftermath of a traumatic brain injury. The former Army Ranger sought therapy from the Department of Veterans Affairs, but even before he could see a therapist, he was being offered prescription drugs, he said.\u003c/p>\n\u003cp>“This didn’t seem like the first, next best step, and I was sort of disillusioned by what was offered,” Gould said. “It was just sort of an acquiescence of, ‘Oh yeah, you’re messed up, and you’re going to be messed up,’ as opposed to building tangible steps forward.”\u003c/p>\n\u003cp>Around the same time, he was hearing about \u003ca href=\"https://health.clevelandclinic.org/ayahuasca\">Ayahuasca\u003c/a> retreats in Peru. After lots of internet research and a leap of faith, Gould made the trip to Iquitos, a remote town in the northwestern part of the country. He described the experience as one of the most challenging things he’s ever done. Immediately after, he felt lighter, more at peace and more connected to everything around him, he said. In the following months, he noticed that the things that would trigger anxiety, hypervigilance or depression didn’t affect him to the same degree as before, he said.\u003c/p>\n\u003cp>Groups, including Heroic Hearts and Veterans Exploring Treatment Solutions (VETS), provide “healing grants” to veterans from across the country seeking to try guided psychedelic retreats in other countries. More recently, Heroic Hearts has also started helping vets access psychedelic programs in Oregon.\u003c/p>\n\u003cp>“There are a lot of veterans from California going to our retreats in Oregon,” Gould said. “I feel like if I was a politician in California, that’d be a little bit embarrassing.”\u003c/p>\n\u003cp>But demand currently outstrips the availability of these grants, said Khurshid Khoja, director of public policy at Veterans Exploring Treatment Solutions, an organization that focuses on veteran suicide prevention.\u003c/p>\n\u003cp>“We are saying no to a majority of the folks who are applying because we simply don’t have the funds to be able to send them,” Khoja said. “We try to identify folks who have tried everything at this point, and they need a Hail Mary because they are experiencing a suicidal ideation.”[aside tag=\"psychedelics\" label=\"More Related Stories\"]\u003c/p>\n\u003cp>Suicide is the \u003ca href=\"https://www.mentalhealth.va.gov/docs/data-sheets/2024/2024-Annual-Report-Part-2-of-2_508.pdf\">second leading cause of death (PDF)\u003c/a> for veterans under the age of 45, according to the U.S. Department of Veterans Affairs. In California, \u003ca href=\"https://www.mentalhealth.va.gov/docs/data-sheets/2022/2022_State_Data_Sheets_California_508.pdf\">449 veterans died by suicide in 2022 (PDF)\u003c/a>, the most recent federal data show. By some estimates, \u003ca href=\"https://www.rand.org/health-care/projects/navigating-mental-health-care-for-veterans/mental-health-issues.html\">1 in 5 U.S. veterans of Iraq and Afghanistan\u003c/a> experience PTSD and major depression.\u003c/p>\n\u003cp>The goal, Khoja said, is to get to a point where the U.S. Food and Drug Administration approves a psychedelic product for therapy that can be available and covered by the Department of Veterans Affairs, but in the meantime, Veterans Exploring Treatment Solutions is looking to states to create psychedelic programs.\u003c/p>\n\u003cp>One of the first things on advocates’ wishlist is a memorandum promising states that the federal government would not pursue charges in states that legalize and regulate psychedelics, said Sam Chapman, a political strategist and former campaign manager for Oregon’s measure that legalized psilocybin use there. The Obama administration issued that kind of guidance to states in 2013 with \u003ca href=\"https://www.washingtonpost.com/national/health-science/obama-administration-will-not-preempt-state-marijuana-laws--for-now/2013/08/29/b725bfd8-10bd-11e3-8cdd-bcdc09410972_story.html\">regard to marijuana\u003c/a>.\u003c/p>\n\u003cp>“The states are going to continue to lead,” Chapman said. “The states passing laws are the reason that the federal government will eventually get off the bench and do something.”\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": "Two states have legalized psychedelic therapies since 2020, and President Biden signed a law supporting studies of how they might help veterans. Proposals like those keep dying in California.",
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"title": "California Almost Legalized Psychedelics. Now Supporters Are Looking for a Good Test Case | KQED",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>Last year was supposed to mark a milestone in the psychedelic movement. Lawmakers and advocates were set to make California the next frontier in allowing the use of “magic mushrooms.”\u003c/p>\n\u003cp>They were hopeful because Gov. Gavin Newsom in 2023 — after vetoing a bill that would have \u003ca href=\"https://www.nbcbayarea.com/news/california/california-gavin-newsom-vetoes-bill-psychedelic-mushrooms/3336358/\">decriminalized the possession of psychedelics\u003c/a> — asked legislators for a bill that would \u003ca href=\"https://calmatters.org/health/2024/02/psychedelic-therapy-legalize/\">prioritize the therapeutic promise\u003c/a> of these drugs.\u003c/p>\n\u003cp>Sen. Scott Wiener, a San Francisco Democrat, responded to Newsom’s request with a proposal that would have allowed for psilocybin and other hallucinogens to be \u003ca href=\"https://calmatters.org/digital-democracy/2024/02/wiener-waldron-psychedelic-alliance/\">ingested in a controlled setting\u003c/a> and under the supervision of licensed and trained facilitators.\u003c/p>\n\u003cp>But that bill, like three similar ones before it and after it, went nowhere. Skeptical lawmakers expressed concerns about funding, standing up a complex program and safety as they turned down the measures.\u003c/p>\n\u003cp>Undeterred, advocates now are regrouping to try again.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>What exactly a new legislative proposal would look like in California is still uncertain, advocates and lawmakers say. Most agree that getting something through in California will have to be more narrow than what’s been proposed in the past, and likely will be centered on providing access to veterans.\u003c/p>\n\u003cp>What’s most feasible is “some sort of pilot program, or something on a smaller scale to prove it out,” said Jesse Gould, founder and president of the Heroic Hearts Project, which has sponsored psychedelic proposals in California and other states. His nonprofit connects military veterans struggling with post-traumatic stress disorder with psychedelic programs in other countries.\u003c/p>\n\u003cp>Psychedelics remain illegal at the federal level, but voters in \u003ca href=\"https://psychedelicalpha.com/data/psychedelic-laws\">two states have authorized them\u003c/a> for certain uses, and several California cities have passed measures decriminalizing them. President Joe Biden, in late 2023, signed a \u003ca href=\"https://www.militarytimes.com/newsletters/2023/12/15/first-ever-provision-for-psychedelic-studies-included-in-defense-bill/\">defense spending bill\u003c/a> that included money to study how psychedelic drugs could be used to treat veterans and military service members.\u003c/p>\n\u003cp>What Gould and other advocates envision as a first step for California might look like a proposal Sen. Josh Becker, a Democrat from Menlo Park and Sen. Brian Jones, a San Diego Republican, submitted last summer. Their bill, dubbed Heal Our Heroes Act, would have allowed the counties of San Diego, Santa Cruz and San Francisco to launch up to five centers each where licensed staff could facilitate psilocybin to veterans and former first responders over 21 who passed a screening test.\u003c/p>\n\u003cp>Their bill did not move forward, but their concept could return.\u003c/p>\n\u003cp>Prioritizing and limiting this experimental access to veterans and former first responders is the most responsible route, Jones said. He does not support decriminalizing psychedelics for recreational use.\u003c/p>\n\u003cp>“I want to serve our veterans who are suffering from these mental ailments and do everything we can so that they get the attention they need when they come home,” Jones said.\u003c/p>\n\u003cp>As of publication, Jones and Becker said they had not yet decided whether they’d re-introduce the Heal Our Heroes bill this year. Wiener’s office did not respond to requests for an interview.\u003c/p>\n\u003ch2>States legalize psychedelic therapies\u003c/h2>\n\u003cp>Approximately \u003ca href=\"https://www.rand.org/news/press/2024/06/27.html\">8 million Americans used psilocybin mushrooms\u003c/a> in 2023, according to RAND, a research organization, and \u003ca href=\"https://vcresearch.berkeley.edu/news/uc-berkeley-center-science-psychedelics-unveils-results-first-ever-berkeley-psychedelics\">a UC Berkeley poll showed that 61% of voters\u003c/a> support regulated therapeutic use of psychedelic substances.\u003c/p>\n\u003cp>Since 2020, \u003ca href=\"https://psychedelicalpha.com/data/psychedelic-laws\">at least 37 states\u003c/a> have introduced bills or ballot measures pertaining to psychedelics. These range from funding research to reducing penalties for possession. Not all proposals make it through, but some researchers predict this momentum will lead to changes in state laws over the next several years. One 2023 analysis published in the \u003ca href=\"https://pmc.ncbi.nlm.nih.gov/articles/PMC10069558/\">Journal for the American Medical Association Psychiatry\u003c/a> forecasted that a majority of states will have legalized psychedelics by 2037.\u003c/p>\n\u003cp>In the Golden State, drug reform advocacy groups and researchers have tried at least three times since 2022 to place psychedelic-related measures on the ballot but have failed to meet the signature-gathering deadlines.\u003c/p>\n\u003cp>Going to voters is expensive and a major undertaking with no guarantee. The ballot box strategy \u003ca href=\"https://www.nytimes.com/2023/01/03/health/psychedelic-drugs-mushrooms-oregon.html\">proved successful in Oregon\u003c/a> and \u003ca href=\"https://www.cpr.org/2023/06/21/colorado-psychedelic-law-for-psilocybin-mushrooms/\">Colorado\u003c/a>, where voters, in 2020 and 2022, approved measures to allow the facilitated use of psychedelics.\u003c/p>\n\u003cp>Voters in Massachusetts, however, \u003ca href=\"https://www.washingtonpost.com/elections/results/2024/11/05/massachusetts-question-4/\">recently rejected a measure\u003c/a> that would have allowed the state to legalize and regulate five plant-based psychedelics for people 21 and up.\u003c/p>\n\u003cp>Part of the issue with the Massachusetts ballot initiative was that it was too broad, said Jared Moffat, deputy policy director of New Approach, a political action committee dedicated to drug reform. Voters were confused about what exactly the measure would do and who it would apply to, he said. He didn’t view the measure’s failure as a sign that people would reject legalizing psychedelics for specific uses.\u003c/p>\n\u003cp>“I think that there’s still a ton of support for therapeutic access,” he said. “I think that people, broadly speaking, have a deep understanding that there is a mental health crisis and that the existing tools that we have help some people, but there are a lot of folks that aren’t being helped.”\u003c/p>\n\u003ch2>Veterans seeking new PTSD treatments\u003c/h2>\n\u003cp>Gould started his nonprofit, Heroic Hearts Project, after his own journey with PTSD led him to the Peruvian Amazon for nontraditional therapies.\u003c/p>\n\u003cp>Two years after leaving the military, Gould was diagnosed with PTSD. He was also dealing with the aftermath of a traumatic brain injury. The former Army Ranger sought therapy from the Department of Veterans Affairs, but even before he could see a therapist, he was being offered prescription drugs, he said.\u003c/p>\n\u003cp>“This didn’t seem like the first, next best step, and I was sort of disillusioned by what was offered,” Gould said. “It was just sort of an acquiescence of, ‘Oh yeah, you’re messed up, and you’re going to be messed up,’ as opposed to building tangible steps forward.”\u003c/p>\n\u003cp>Around the same time, he was hearing about \u003ca href=\"https://health.clevelandclinic.org/ayahuasca\">Ayahuasca\u003c/a> retreats in Peru. After lots of internet research and a leap of faith, Gould made the trip to Iquitos, a remote town in the northwestern part of the country. He described the experience as one of the most challenging things he’s ever done. Immediately after, he felt lighter, more at peace and more connected to everything around him, he said. In the following months, he noticed that the things that would trigger anxiety, hypervigilance or depression didn’t affect him to the same degree as before, he said.\u003c/p>\n\u003cp>Groups, including Heroic Hearts and Veterans Exploring Treatment Solutions (VETS), provide “healing grants” to veterans from across the country seeking to try guided psychedelic retreats in other countries. More recently, Heroic Hearts has also started helping vets access psychedelic programs in Oregon.\u003c/p>\n\u003cp>“There are a lot of veterans from California going to our retreats in Oregon,” Gould said. “I feel like if I was a politician in California, that’d be a little bit embarrassing.”\u003c/p>\n\u003cp>But demand currently outstrips the availability of these grants, said Khurshid Khoja, director of public policy at Veterans Exploring Treatment Solutions, an organization that focuses on veteran suicide prevention.\u003c/p>\n\u003cp>“We are saying no to a majority of the folks who are applying because we simply don’t have the funds to be able to send them,” Khoja said. “We try to identify folks who have tried everything at this point, and they need a Hail Mary because they are experiencing a suicidal ideation.”\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>Suicide is the \u003ca href=\"https://www.mentalhealth.va.gov/docs/data-sheets/2024/2024-Annual-Report-Part-2-of-2_508.pdf\">second leading cause of death (PDF)\u003c/a> for veterans under the age of 45, according to the U.S. Department of Veterans Affairs. In California, \u003ca href=\"https://www.mentalhealth.va.gov/docs/data-sheets/2022/2022_State_Data_Sheets_California_508.pdf\">449 veterans died by suicide in 2022 (PDF)\u003c/a>, the most recent federal data show. By some estimates, \u003ca href=\"https://www.rand.org/health-care/projects/navigating-mental-health-care-for-veterans/mental-health-issues.html\">1 in 5 U.S. veterans of Iraq and Afghanistan\u003c/a> experience PTSD and major depression.\u003c/p>\n\u003cp>The goal, Khoja said, is to get to a point where the U.S. Food and Drug Administration approves a psychedelic product for therapy that can be available and covered by the Department of Veterans Affairs, but in the meantime, Veterans Exploring Treatment Solutions is looking to states to create psychedelic programs.\u003c/p>\n\u003cp>One of the first things on advocates’ wishlist is a memorandum promising states that the federal government would not pursue charges in states that legalize and regulate psychedelics, said Sam Chapman, a political strategist and former campaign manager for Oregon’s measure that legalized psilocybin use there. The Obama administration issued that kind of guidance to states in 2013 with \u003ca href=\"https://www.washingtonpost.com/national/health-science/obama-administration-will-not-preempt-state-marijuana-laws--for-now/2013/08/29/b725bfd8-10bd-11e3-8cdd-bcdc09410972_story.html\">regard to marijuana\u003c/a>.\u003c/p>\n\u003cp>“The states are going to continue to lead,” Chapman said. “The states passing laws are the reason that the federal government will eventually get off the bench and do something.”\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": "the-medicine-my-ancestors-prayed-for-medi-cal-now-covers-native-american-healing-practices",
"title": "‘The Medicine My Ancestors Prayed For’: Medi-Cal Now Covers Native Healing Practices",
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"headTitle": "‘The Medicine My Ancestors Prayed For’: Medi-Cal Now Covers Native Healing Practices | KQED",
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"content": "\u003cp>Inside the Friendship House, a rhythmic drum beat fills the air as clients gather in a circle, chanting a Lakota battle song. For Priscilla Lenares, the sound transports her back 11 years to her own time as a patient at the Native-led recovery center in San Francisco.\u003c/p>\n\u003cp>“I remember hearing the drum for the first time, and tears fell from my eyes,” she recalled.\u003c/p>\n\u003cp>Today, Lenares’ life is on track, but her childhood in Bakersfield was marked by gangs, violence and pervasive substance use. She told KQED that her parents struggled with addiction, and by middle school, she was smoking methamphetamine on weekends. At 18, she was dealing drugs to support her habit. Over the next decade, Lenares cycled through 10 treatment programs before boarding an Amtrak train to San Francisco, a mother of three children, carrying nothing but hope that her time at the Friendship House would be different.\u003c/p>\n\u003cp>The treatment center is a unique in-patient program combining Western medicine, like individual counseling, with traditional healing practices like smudging. The staff treated Lenares like family, and she found solace in singing prayers in the sweat lodge.\u003c/p>\n\u003cp>This month, Medi-Cal began to support more people like her by expanding coverage to include traditional healing practices like music therapy, rituals and ceremonial dances.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>The director of the federal Indian Health Service, Roselyn Tso, has praised these practices for helping people for generations and called them a “vital link between culture, science and wellness in many of our communities.”\u003c/p>\n\u003cp>The Centers for Medicare & Medicaid Services announced the two-year pilot program as a response to the health challenges facing Native Americans, who suffer from some of the highest rates of addiction and overdose death in the country.\u003c/p>\n\u003cfigure id=\"attachment_12014198\" class=\"wp-caption alignright\" style=\"max-width: 400px\">\u003ca href=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2024/11/20241112_TRADITIONALHEALING_GC-5-KQED.jpg\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"wp-image-12014198\" src=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2024/11/20241112_TRADITIONALHEALING_GC-5-KQED-800x1200.jpg\" alt=\"\" width=\"400\" height=\"600\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2024/11/20241112_TRADITIONALHEALING_GC-5-KQED-800x1200.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/11/20241112_TRADITIONALHEALING_GC-5-KQED-1020x1530.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/11/20241112_TRADITIONALHEALING_GC-5-KQED-160x240.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/11/20241112_TRADITIONALHEALING_GC-5-KQED-1024x1536.jpg 1024w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/11/20241112_TRADITIONALHEALING_GC-5-KQED.jpg 1333w\" sizes=\"auto, (max-width: 400px) 100vw, 400px\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">Priscilla Lenares, a former resident of Friendship House’s recovery treatment program, poses for a photo outside of the site, in San Francisco on Nov. 12, 2024. \u003ccite>(Gina Castro/KQED)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>Advocates are optimistic that expanding Medi-Cal coverage will increase access to culturally appropriate care and allow facilities to expand. However, that will all hinge on reimbursal rates, which have yet to be released.\u003c/p>\n\u003cp>Historically, substance use treatment in the U.S. has relied on clinical approaches like medication-assisted treatment, behavioral therapy and standardized detox protocols. However, these methods often fall short when applied to Native American communities.\u003c/p>\n\u003cp>Damian Chase-Begay, a researcher focused on American Indian health at the University of Montana, explains the difference. “Traditional practices are, by nature, holistic,” he said. “They are treating the person physically, mentally, spiritually and emotionally. They benefit the whole being, not just the physical symptoms.”\u003c/p>\n\u003cp>Scientific research on these approaches remains limited, but preliminary studies suggest that integrating cultural practices into addiction treatment can lead to higher patient engagement and more positive recovery outcomes. Most existing evidence is qualitative, underscoring the need for more comprehensive research, which has lacked funding, according to Chase-Begay.\u003c/p>\n\u003cp>“What California is now covering under Medi-Cal is exactly what our Native communities have been asking to be covered for years,” Chase-Begay said. He believes this support could have potentially interrupted cycles of intergenerational trauma and substance use much earlier.\u003c/p>\n\u003cp>For Lenares, the Friendship House was more than a treatment center — it was a path to self-discovery. “I’m a woman who understands the medicine my ancestors prayed for,” she said. “A woman who knows her song. A woman who knows ceremony.”\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>Now, Lenares volunteers at the Friendship House and works full-time for a domestic violence agency. Her story is a powerful testament to the potential for healing when culture and medicine intersect.\u003c/p>\n\n",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>Inside the Friendship House, a rhythmic drum beat fills the air as clients gather in a circle, chanting a Lakota battle song. For Priscilla Lenares, the sound transports her back 11 years to her own time as a patient at the Native-led recovery center in San Francisco.\u003c/p>\n\u003cp>“I remember hearing the drum for the first time, and tears fell from my eyes,” she recalled.\u003c/p>\n\u003cp>Today, Lenares’ life is on track, but her childhood in Bakersfield was marked by gangs, violence and pervasive substance use. She told KQED that her parents struggled with addiction, and by middle school, she was smoking methamphetamine on weekends. At 18, she was dealing drugs to support her habit. Over the next decade, Lenares cycled through 10 treatment programs before boarding an Amtrak train to San Francisco, a mother of three children, carrying nothing but hope that her time at the Friendship House would be different.\u003c/p>\n\u003cp>The treatment center is a unique in-patient program combining Western medicine, like individual counseling, with traditional healing practices like smudging. The staff treated Lenares like family, and she found solace in singing prayers in the sweat lodge.\u003c/p>\n\u003cp>This month, Medi-Cal began to support more people like her by expanding coverage to include traditional healing practices like music therapy, rituals and ceremonial dances.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>The director of the federal Indian Health Service, Roselyn Tso, has praised these practices for helping people for generations and called them a “vital link between culture, science and wellness in many of our communities.”\u003c/p>\n\u003cp>The Centers for Medicare & Medicaid Services announced the two-year pilot program as a response to the health challenges facing Native Americans, who suffer from some of the highest rates of addiction and overdose death in the country.\u003c/p>\n\u003cfigure id=\"attachment_12014198\" class=\"wp-caption alignright\" style=\"max-width: 400px\">\u003ca href=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2024/11/20241112_TRADITIONALHEALING_GC-5-KQED.jpg\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"wp-image-12014198\" src=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2024/11/20241112_TRADITIONALHEALING_GC-5-KQED-800x1200.jpg\" alt=\"\" width=\"400\" height=\"600\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2024/11/20241112_TRADITIONALHEALING_GC-5-KQED-800x1200.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/11/20241112_TRADITIONALHEALING_GC-5-KQED-1020x1530.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/11/20241112_TRADITIONALHEALING_GC-5-KQED-160x240.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/11/20241112_TRADITIONALHEALING_GC-5-KQED-1024x1536.jpg 1024w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/11/20241112_TRADITIONALHEALING_GC-5-KQED.jpg 1333w\" sizes=\"auto, (max-width: 400px) 100vw, 400px\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">Priscilla Lenares, a former resident of Friendship House’s recovery treatment program, poses for a photo outside of the site, in San Francisco on Nov. 12, 2024. \u003ccite>(Gina Castro/KQED)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>Advocates are optimistic that expanding Medi-Cal coverage will increase access to culturally appropriate care and allow facilities to expand. However, that will all hinge on reimbursal rates, which have yet to be released.\u003c/p>\n\u003cp>Historically, substance use treatment in the U.S. has relied on clinical approaches like medication-assisted treatment, behavioral therapy and standardized detox protocols. However, these methods often fall short when applied to Native American communities.\u003c/p>\n\u003cp>Damian Chase-Begay, a researcher focused on American Indian health at the University of Montana, explains the difference. “Traditional practices are, by nature, holistic,” he said. “They are treating the person physically, mentally, spiritually and emotionally. They benefit the whole being, not just the physical symptoms.”\u003c/p>\n\u003cp>Scientific research on these approaches remains limited, but preliminary studies suggest that integrating cultural practices into addiction treatment can lead to higher patient engagement and more positive recovery outcomes. Most existing evidence is qualitative, underscoring the need for more comprehensive research, which has lacked funding, according to Chase-Begay.\u003c/p>\n\u003cp>“What California is now covering under Medi-Cal is exactly what our Native communities have been asking to be covered for years,” Chase-Begay said. He believes this support could have potentially interrupted cycles of intergenerational trauma and substance use much earlier.\u003c/p>\n\u003cp>For Lenares, the Friendship House was more than a treatment center — it was a path to self-discovery. “I’m a woman who understands the medicine my ancestors prayed for,” she said. “A woman who knows her song. A woman who knows ceremony.”\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>Now, Lenares volunteers at the Friendship House and works full-time for a domestic violence agency. Her story is a powerful testament to the potential for healing when culture and medicine intersect.\u003c/p>\n\n\u003c/div>\u003c/p>",
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"content": "\u003cp>Norovirus levels in Bay Area wastewater are spiking as cases of the highly contagious stomach bug are on the rise this month, according to a Stanford-based monitoring system and data from the Centers for Disease Control and Prevention.\u003c/p>\n\u003cp>During the week of Dec. 5, the \u003ca href=\"https://www.cdc.gov/norovirus/php/reporting/norostat-data-table.html\">most recent data available from the CDC\u003c/a>, state health departments nationwide reported 91 new outbreaks — a 31% increase since the last reporting period a week earlier. It’s the highest number recorded for that week since 2012, topping the previous high mark of 65.\u003c/p>\n\u003cp>The virus, commonly known as the stomach flu, infects approximately 19 million to 21 million people in the U.S. each year, according to the CDC, and accounts for about 50% of all foodborne disease outbreaks. It can cause diarrhea, stomach pain, vomiting and nausea.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>In the Bay Area, the national rise coincides with spiking levels of norovirus in wastewater for some communities. Of the four sites that are tested for norovirus in the region, samples from three found that the virus levels have increased in wastewater.\u003c/p>\n\u003cp>Samples from WastewaterSCAN, a Stanford-based program that \u003ca href=\"https://www.kqed.org/news/11988972/bay-area-researchers-tracking-bird-flu-in-wastewater-see-no-evidence-of-spread-in-sf\">monitors diseases in local wastewater systems\u003c/a>, show that norovirus levels in wastewater in San José, Palo Alto and Santa Cruz have recorded some of the highest levels in nearly two years.\u003c/p>\n\u003cp>Santa Cruz’s samples, which come from the city’s wastewater treatment facility, reported the largest increase among the three since the beginning of October.\u003c/p>\n\u003cp>Since then, an elementary school closed following more than 90 cases of the virus, prompting a public health alert from the county. The number of cases later jumped to more than 210 countywide since mid-October, according to the county’s Health Services Agency.[aside postID=news_12017234 hero='https://cdn.kqed.org/wp-content/uploads/sites/10/2024/12/gettyimages-2164656715-1020x754.jpeg']Samples from wastewater facilities in San Francisco, San Rafael and Redwood City also showed elevated levels of the virus as recently as Dec. 29.\u003c/p>\n\u003cp>The virus is most likely to result in outbreaks between the months of November and April, according to the CDC, and is spread through close contact with sick people and contaminated food, water and surfaces.\u003c/p>\n\u003cp>Once infected, those who get sick typically recover in three days. However, the virus can still require medical care and is very rarely fatal for some, especially children under the age of 5 and adults 85 years or older. It causes an average of 900 deaths a year in the U.S.\u003c/p>\n\u003cp>To prevent the spread of the virus, the CDC recommends washing hands with soap and water for at least 20 seconds, especially after using the bathroom and before eating or handling food. Hand sanitizer does not work against norovirus, according to the CDC, and shouldn’t be used in place of handwashing.\u003c/p>\n\u003cp>Other recommendations include: washing laundry well with hot water, regularly sanitizing kitchen surfaces and utensils, washing fruits and vegetables, and thoroughly cooking shellfish and oysters.\u003c/p>\n\u003cp>\u003c/p>\n",
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"content": "\u003cp>Everyday people across the country skip medical care because of cost. Those who do seek medical help may end up with a balance they can’t pay off. That debt can hurt people’s credit scores, resulting in long-term financial burdens.\u003c/p>\n\u003cp>Starting Jan. 1, \u003ca href=\"https://digitaldemocracy.calmatters.org/bills/ca_202320240sb1061\">a new state law\u003c/a> will prohibit health providers and debt collectors from reporting medical debt information to credit agencies. That means unpaid medical bills should no longer show up on people’s credit reports, which consumer advocacy groups say is a boon for patients with debt.\u003c/p>\n\u003cp>Here’s why: While the law will not forgive someone’s debt, by keeping it off credit reports, it might provide some reassurance that a hospital stay or trip to urgent care won’t later affect their credit standing. Lower credit scores usually result in higher interest rates and make it harder for people to qualify for a home rental, a car loan or even employment.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>\u003ca href=\"https://calmatters.org/health/2024/08/medical-debt-credit-score/\">During legislative hearings\u003c/a>, the law’s author, \u003ca href=\"https://digitaldemocracy.calmatters.org/legislators/monique-limon-13069\">Sen. Monique Limón\u003c/a>, a Democrat from Santa Barbara, contended that because people don’t choose to have a medical emergency or illness, this type of debt should not count against them. Supporters also argued that medical debt is more prone to inaccuracies because of billing mistakes by health providers and insurers.\u003c/p>\n\u003cp>The main three credit bureaus — TransUnion, Equifax and Experian — stopped reporting medical debt under $500 in 2023. But most people with medical debt owe far more than that. The \u003ca href=\"https://www.consumerfinance.gov/about-us/newsroom/cfpb-finds-15-million-americans-have-medical-bills-on-their-credit-reports/\">national average for medical balance\u003c/a> is $3,100, according to the Consumer Financial Protection Bureau. In California, an \u003ca href=\"https://www.chcf.org/publication/2024-chcf-california-health-policy-survey/#related-links-and-downloads\">estimated 38% of residents\u003c/a> carry some type of medical debt; that figure climbs to more than half for lower-income residents, according to the California Health Care Foundation.[aside label=\"Related Stories\" postID=\"forum_2010101908115,news_12002019,news_12016635\"]One key caveat is that patients can only take advantage of this law if the debt is owed directly to a medical provider or collection agency, but not when the debt is charged on a medical credit card or a general credit card.\u003c/p>\n\u003cp>This new law follows similar ones enacted in a handful of other states, including New York and Colorado. It also mirrors a proposal put forth by the Biden administration to do the same nationwide. However, with a new administration taking over in January, it is unclear whether the federal proposal will go anywhere.\u003c/p>\n\u003cp>Limón’s office explained that under the law patients have the right to sue a debt collector or provider who reports a medical debt to a credit bureau. Consumers may also choose to file a complaint with the state’s \u003ca href=\"https://dfpi.ca.gov/\">Department of Financial Protection and Innovation\u003c/a>, which has authority over debt collectors. Consumers can \u003ca href=\"https://oag.ca.gov/contact/consumer-complaint-against-business-or-company\">also file a complaint\u003c/a> with the California Attorney General’s office.\u003c/p>\n\u003cp>\u003c/p>\n",
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"excerpt": "A new state law starting Jan. 1 will keep medical debt off your credit report, sparing a hit to your a credit score. This is a big deal for California where millions struggle with unpaid medical bills.",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>Everyday people across the country skip medical care because of cost. Those who do seek medical help may end up with a balance they can’t pay off. That debt can hurt people’s credit scores, resulting in long-term financial burdens.\u003c/p>\n\u003cp>Starting Jan. 1, \u003ca href=\"https://digitaldemocracy.calmatters.org/bills/ca_202320240sb1061\">a new state law\u003c/a> will prohibit health providers and debt collectors from reporting medical debt information to credit agencies. That means unpaid medical bills should no longer show up on people’s credit reports, which consumer advocacy groups say is a boon for patients with debt.\u003c/p>\n\u003cp>Here’s why: While the law will not forgive someone’s debt, by keeping it off credit reports, it might provide some reassurance that a hospital stay or trip to urgent care won’t later affect their credit standing. Lower credit scores usually result in higher interest rates and make it harder for people to qualify for a home rental, a car loan or even employment.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>\u003ca href=\"https://calmatters.org/health/2024/08/medical-debt-credit-score/\">During legislative hearings\u003c/a>, the law’s author, \u003ca href=\"https://digitaldemocracy.calmatters.org/legislators/monique-limon-13069\">Sen. Monique Limón\u003c/a>, a Democrat from Santa Barbara, contended that because people don’t choose to have a medical emergency or illness, this type of debt should not count against them. Supporters also argued that medical debt is more prone to inaccuracies because of billing mistakes by health providers and insurers.\u003c/p>\n\u003cp>The main three credit bureaus — TransUnion, Equifax and Experian — stopped reporting medical debt under $500 in 2023. But most people with medical debt owe far more than that. The \u003ca href=\"https://www.consumerfinance.gov/about-us/newsroom/cfpb-finds-15-million-americans-have-medical-bills-on-their-credit-reports/\">national average for medical balance\u003c/a> is $3,100, according to the Consumer Financial Protection Bureau. In California, an \u003ca href=\"https://www.chcf.org/publication/2024-chcf-california-health-policy-survey/#related-links-and-downloads\">estimated 38% of residents\u003c/a> carry some type of medical debt; that figure climbs to more than half for lower-income residents, according to the California Health Care Foundation.\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>One key caveat is that patients can only take advantage of this law if the debt is owed directly to a medical provider or collection agency, but not when the debt is charged on a medical credit card or a general credit card.\u003c/p>\n\u003cp>This new law follows similar ones enacted in a handful of other states, including New York and Colorado. It also mirrors a proposal put forth by the Biden administration to do the same nationwide. However, with a new administration taking over in January, it is unclear whether the federal proposal will go anywhere.\u003c/p>\n\u003cp>Limón’s office explained that under the law patients have the right to sue a debt collector or provider who reports a medical debt to a credit bureau. Consumers may also choose to file a complaint with the state’s \u003ca href=\"https://dfpi.ca.gov/\">Department of Financial Protection and Innovation\u003c/a>, which has authority over debt collectors. Consumers can \u003ca href=\"https://oag.ca.gov/contact/consumer-complaint-against-business-or-company\">also file a complaint\u003c/a> with the California Attorney General’s office.\u003c/p>\n\u003cp>\u003c/p>\n\u003c/div>\u003c/p>",
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"title": "Bird Flu Hits Over Half of California Dairies, Spurring More Containment Efforts",
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"content": "\u003cp>California agriculture and public health officials are taking steps to contain a rapidly spreading \u003ca href=\"https://www.kqed.org/news/tag/bird-flu\">bird flu\u003c/a> outbreak as the virus tears through the state’s dairies.\u003c/p>\n\u003cp>The spread was enough to prompt Gov. \u003ca href=\"https://www.kqed.org/news/tag/gavin-newsom\">Gavin Newsom\u003c/a> to \u003ca href=\"https://www.kqed.org/news/12018836/newsom-declares-bird-flu-emergency-california-us-confirms-1st-severe-case\">declare a state of emergency\u003c/a> this week, aiming to bolster the efforts of state and local officials to monitor the virus and keep it in check. The declaration will also help provide critical resources to affected communities, Newsom said.\u003c/p>\n\u003cp>“The emergency declaration allows us to expand our workforce to continue to monitor it closely and respond to the situation nimbly,” Dr. Erica Pan, California’s state epidemiologist, said at a briefing about the state’s response on Friday. “Helps us mitigate disease in animals, protect those at risk, and ensure we continue to learn about this bird flu virus.”\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>The proclamation follows infections rising among dairy cows in Southern California, which is concerning because the outbreak began elsewhere, in the Central Valley. The virus has been detected at 679 of the state’s 1,100-plus dairies, 51 commercial poultry farms and nine backyard flocks across the state, according to the California Department of Food and Agriculture (CDFA).\u003c/p>\n\u003cp>The virus is likely spreading between facilities via sick cows, equipment and trailers. CDFA is working with farmers to limit visitors from accessing their ranches, requiring workers to wear masks, gloves and other protective gear, as well as monitoring cattle for fevers, loss of appetite and other symptoms of bird flu. The agency is also testing the state’s 1.7 million cows weekly.\u003c/p>\n\u003cp>Agricultural officials do not expect the current outbreak to impact the milk supply from California, the nation’s leading milk producer.\u003c/p>\n\u003cp>[aside postID=news_11990735 hero='https://cdn.kqed.org/wp-content/uploads/sites/10/2024/11/bird-flu-1020x679.png']\u003c/p>\n\u003cp>Meanwhile, the U.S. Department of Agriculture continues to test the national milk supply for potential contamination. State officials have already issued \u003ca href=\"https://www.kqed.org/news/12016664/california-recalls-more-raw-milk-citing-bird-flu\">recalls of raw milk\u003c/a> linked to bird flu exposure. The founder of Fresno-based Raw Farm, the target of the recall, acknowledged that potentially contaminated milk may have reached up to 90,000 customers.\u003c/p>\n\u003cp>Experts have cautioned people against consuming milk products that are not pasteurized. Research shows the process effectively eliminates harmful pathogens.\u003c/p>\n\u003cp>She said the virus is a death sentence for poultry, which is why farmers usually euthanize birds that are exposed, said Dr. Annette M. Jones, state veterinarian and director of Animal Health and Food Safety Services. The symptoms are not as severe in cows, but the animals are stressed by the disease and may not recover completely.\u003c/p>\n\u003cp>“This is the third wave of [bird flu] infection since 2022 that our poultry flocks have experienced,” Jones said. “And the first time they have gotten a virus from cows.”\u003c/p>\n\u003cp>While human-to-human transmission has not been reported in California, public health officials are monitoring for signs that is happening. Most human cases in the state have been linked to people who were in direct contact with infected cattle.\u003c/p>\n\u003cp>California has recorded \u003ca href=\"https://www.cdph.ca.gov/Programs/CID/DCDC/Pages/Bird-Flu.aspx\">36 human bird flu infections\u003c/a> this year, underscoring the virus’s ability to jump from animals to humans. Nationwide, the U.S. has reported \u003ca href=\"https://www.cdc.gov/bird-flu/situation-summary/index.html\">61 cases\u003c/a> in 2024, primarily among dairy and poultry workers.\u003c/p>\n\u003cp>Last month, a \u003ca href=\"https://www.kqed.org/news/12014955/bay-area-potential-first-bird-flu-case-reported-alameda-county-child\">case in Alameda County\u003c/a> involving a child with mild respiratory symptoms raised alarms when no clear exposure pathway was identified. The case, however, did not result in further spread within the family or school, aligning with trends seen in other human infections, which have generally caused mild symptoms such as conjunctivitis and nasal congestion. However, the confirmation this week of the first severe human case of bird flu in the U.S., reported in Louisiana, demonstrates that certain strains of the virus can lead to worse illness.\u003c/p>\n\u003cp>Wastewater surveillance has revealed the virus’ presence across the Bay Area, including in San Francisco, Napa and San José. Despite this widespread detection, health officials maintain that the \u003ca href=\"https://www.kqed.org/news/11990735/avian-flu-what-to-know-about-h5n1-virus-risks-beyond-the-headlines\">risk to the general public remains low\u003c/a>.\u003c/p>\n\u003cp>\u003c/p>\n",
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"excerpt": "Gov. Gavin Newsom has declared a state of emergency as bird flu spreads through California’s dairies, poultry farms and backyard flocks. Most human cases have been in dairy workers.",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>California agriculture and public health officials are taking steps to contain a rapidly spreading \u003ca href=\"https://www.kqed.org/news/tag/bird-flu\">bird flu\u003c/a> outbreak as the virus tears through the state’s dairies.\u003c/p>\n\u003cp>The spread was enough to prompt Gov. \u003ca href=\"https://www.kqed.org/news/tag/gavin-newsom\">Gavin Newsom\u003c/a> to \u003ca href=\"https://www.kqed.org/news/12018836/newsom-declares-bird-flu-emergency-california-us-confirms-1st-severe-case\">declare a state of emergency\u003c/a> this week, aiming to bolster the efforts of state and local officials to monitor the virus and keep it in check. The declaration will also help provide critical resources to affected communities, Newsom said.\u003c/p>\n\u003cp>“The emergency declaration allows us to expand our workforce to continue to monitor it closely and respond to the situation nimbly,” Dr. Erica Pan, California’s state epidemiologist, said at a briefing about the state’s response on Friday. “Helps us mitigate disease in animals, protect those at risk, and ensure we continue to learn about this bird flu virus.”\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>The proclamation follows infections rising among dairy cows in Southern California, which is concerning because the outbreak began elsewhere, in the Central Valley. The virus has been detected at 679 of the state’s 1,100-plus dairies, 51 commercial poultry farms and nine backyard flocks across the state, according to the California Department of Food and Agriculture (CDFA).\u003c/p>\n\u003cp>The virus is likely spreading between facilities via sick cows, equipment and trailers. CDFA is working with farmers to limit visitors from accessing their ranches, requiring workers to wear masks, gloves and other protective gear, as well as monitoring cattle for fevers, loss of appetite and other symptoms of bird flu. The agency is also testing the state’s 1.7 million cows weekly.\u003c/p>\n\u003cp>Agricultural officials do not expect the current outbreak to impact the milk supply from California, the nation’s leading milk producer.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>Meanwhile, the U.S. Department of Agriculture continues to test the national milk supply for potential contamination. State officials have already issued \u003ca href=\"https://www.kqed.org/news/12016664/california-recalls-more-raw-milk-citing-bird-flu\">recalls of raw milk\u003c/a> linked to bird flu exposure. The founder of Fresno-based Raw Farm, the target of the recall, acknowledged that potentially contaminated milk may have reached up to 90,000 customers.\u003c/p>\n\u003cp>Experts have cautioned people against consuming milk products that are not pasteurized. Research shows the process effectively eliminates harmful pathogens.\u003c/p>\n\u003cp>She said the virus is a death sentence for poultry, which is why farmers usually euthanize birds that are exposed, said Dr. Annette M. Jones, state veterinarian and director of Animal Health and Food Safety Services. The symptoms are not as severe in cows, but the animals are stressed by the disease and may not recover completely.\u003c/p>\n\u003cp>“This is the third wave of [bird flu] infection since 2022 that our poultry flocks have experienced,” Jones said. “And the first time they have gotten a virus from cows.”\u003c/p>\n\u003cp>While human-to-human transmission has not been reported in California, public health officials are monitoring for signs that is happening. Most human cases in the state have been linked to people who were in direct contact with infected cattle.\u003c/p>\n\u003cp>California has recorded \u003ca href=\"https://www.cdph.ca.gov/Programs/CID/DCDC/Pages/Bird-Flu.aspx\">36 human bird flu infections\u003c/a> this year, underscoring the virus’s ability to jump from animals to humans. Nationwide, the U.S. has reported \u003ca href=\"https://www.cdc.gov/bird-flu/situation-summary/index.html\">61 cases\u003c/a> in 2024, primarily among dairy and poultry workers.\u003c/p>\n\u003cp>Last month, a \u003ca href=\"https://www.kqed.org/news/12014955/bay-area-potential-first-bird-flu-case-reported-alameda-county-child\">case in Alameda County\u003c/a> involving a child with mild respiratory symptoms raised alarms when no clear exposure pathway was identified. The case, however, did not result in further spread within the family or school, aligning with trends seen in other human infections, which have generally caused mild symptoms such as conjunctivitis and nasal congestion. However, the confirmation this week of the first severe human case of bird flu in the U.S., reported in Louisiana, demonstrates that certain strains of the virus can lead to worse illness.\u003c/p>\n\u003cp>Wastewater surveillance has revealed the virus’ presence across the Bay Area, including in San Francisco, Napa and San José. Despite this widespread detection, health officials maintain that the \u003ca href=\"https://www.kqed.org/news/11990735/avian-flu-what-to-know-about-h5n1-virus-risks-beyond-the-headlines\">risk to the general public remains low\u003c/a>.\u003c/p>\n\u003cp>\u003c/p>\n\u003c/div>\u003c/p>",
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"title": "What's a 'Healthy' Food? FDA Updates Nutrition Labels",
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"content": "\u003cp>At a time when more than half of the American diet comes from processed, packaged foods, the Food and Drug Administration has new rules aimed at helping people make healthy choices in the grocery store.\u003c/p>\n\u003cp>The agency has \u003ca href=\"https://www.fda.gov/food/hfp-constituent-updates/fda-finalizes-updated-healthy-nutrient-content-claim\" target=\"_blank\" rel=\"noopener\">updated the definition\u003c/a> of what counts as healthy. Food companies can voluntarily use a “healthy” claim on their packages if their products meet the new definition.\u003c/p>\n\u003cp>For a food product to qualify as “healthy” it must contain certain amounts of at least one of the food groups included in the \u003ca href=\"https://www.dietaryguidelines.gov/sites/default/files/2021-03/Dietary_Guidelines_for_Americans-2020-2025.pdf\" target=\"_blank\" rel=\"noopener\">Dietary Guidelines for Americans.\u003c/a> This includes dairy, grains, fruits, vegetables and\u003ca href=\"https://www.myplate.gov/eat-healthy/protein-foods\" target=\"_blank\" rel=\"noopener\"> protein foods\u003c/a> such as beans, lean meats, nuts, seafood, and soy.\u003c/p>\n\u003cp>Products must also fall below certain limits on added sugars, sodium and saturated fat to be labeled as healthy.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>It’s been three decades since the agency updated its standards on what qualifies as healthy. Back in the 1990s there was a big focus on limiting all types of fats, but as nutrition science has evolved, there’s recognition of the benefits of healthy fats found in nuts and seeds,\u003ca href=\"https://www.heart.org/en/healthy-living/healthy-eating/eat-smart/fats/fish-and-omega-3-fatty-acids#:~:text=Fatty%20fish%2C%20such%20as%20anchovies,in%20omega%2D3%20fatty%20acids.\" target=\"_blank\" rel=\"noopener\"> fatty-fish\u003c/a> and olive oil.\u003c/p>\n\u003cp>“Things like salmon and eggs wouldn’t have qualified under our previous definition,” explains \u003ca href=\"https://www.fda.gov/food/hfp-constituent-updates/fda-host-webinar-discuss-proposed-changes-definition-healthy\" target=\"_blank\" rel=\"noopener\">Claudine Kavanaugh,\u003c/a> director of the office of nutrition and food labeling at the FDA. “Science has changed,” she says. The focus is more on reducing saturated fat, not total fats.\u003c/p>\n\u003cp>“This is the first rule-making that updates those claims in 30 years,” Kavanaugh says.\u003c/p>\n\u003cp>The hope is that the new rules will foster a healthy food supply.” I think the healthy claim can be a real quick signal to help empower consumers,” Kavanaugh says.\u003c/p>\n\u003cp>She says it’s a “priority” for the agency to also release a healthy icon or symbol that could also appear on packages that meet the new definition of healthy. The agency continues to work on this initiative.\u003c/p>\n\u003cp>In announcing the new rule, the FDA’s \u003ca href=\"https://www.fda.gov/about-fda/fda-organization/jim-jones\" target=\"_blank\" rel=\"noopener\">Jim Jones\u003c/a> pointed to the toll of poor diet in the U.S. “The FDA recognizes that diet related diseases, including heart disease, cancer, diabetes, are the leading cause of disability and disease in the United States,” he said.\u003c/p>\n\u003cp>Six out of every ten U.S. adults have at least one chronic disease, \u003ca href=\"https://pmc.ncbi.nlm.nih.gov/articles/PMC9921002/#:~:text=Diet%2C%20often%20considered%20as%20a,and%20perhaps%20some%20neurological%20diseases.\" target=\"_blank\" rel=\"noopener\">according to the CDC.\u003c/a> The diseases contribute to lower life expectancy in the U.S., compared to other high income countries.\u003c/p>\n\u003cp>The new rule comes as the federal government prepares to update Dietary Guidelines. A \u003ca href=\"https://www.dietaryguidelines.gov/2025-advisory-committee-report\" target=\"_blank\" rel=\"noopener\">report released earlier this month\u003c/a> from an advisory committee also points to the risks of poor nutrition at a time when 73% of adults in the U.S. have obesity or are overweight, and 38% of children, aged 12 and older have prediabetes.\u003c/p>\n\u003cp>Nutrition expert \u003ca href=\"https://steinhardt.nyu.edu/people/marion-nestle\" target=\"_blank\" rel=\"noopener\">Marion Nestle\u003c/a> of New York University says the new rule may encourage food manufacturers to reformulate their foods to reduce sodium, sugars and saturated fats.\u003c/p>\n\u003cp>Given the new cut-off point for added sugars, she says many cereals will not be able to be labeled as healthy without changing their formulations.\u003c/p>\n\u003cp>“The hope is that rules like this will help Americans make healthier choices, Nestle says. “Whether it will or not remains to be seen.”\u003c/p>\n\u003cp>She says people should focus as much as possible on the basics of healthy eating. “I think that diets that are high in fruits and vegetables, high in real foods and limiting calories are the ones that are healthiest.”\u003c/p>\n\u003cp>The American Heart Association says the new standards for “healthy” are a step in the right direction. “It was past time to update the requirements based on the latest nutrition science,” says \u003ca href=\"https://www.heart.org/en/about-us/nancy-brown\" target=\"_blank\" rel=\"noopener\">Nancy Brown, the CEO\u003c/a>. “Although the updated ‘healthy’ claim is an important update to food labeling, it is voluntary and may only appear on a small number of food and beverage packages,” Brown says.\u003c/p>\n\u003cp>The group is urging the FDA to also move forward on front-of-pack nutrition labeling, to make information more visible. They say this would help consumers quickly and easily identify healthier food and beverage options.\u003c/p>\n\u003cp>\u003c/p>\n",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>At a time when more than half of the American diet comes from processed, packaged foods, the Food and Drug Administration has new rules aimed at helping people make healthy choices in the grocery store.\u003c/p>\n\u003cp>The agency has \u003ca href=\"https://www.fda.gov/food/hfp-constituent-updates/fda-finalizes-updated-healthy-nutrient-content-claim\" target=\"_blank\" rel=\"noopener\">updated the definition\u003c/a> of what counts as healthy. Food companies can voluntarily use a “healthy” claim on their packages if their products meet the new definition.\u003c/p>\n\u003cp>For a food product to qualify as “healthy” it must contain certain amounts of at least one of the food groups included in the \u003ca href=\"https://www.dietaryguidelines.gov/sites/default/files/2021-03/Dietary_Guidelines_for_Americans-2020-2025.pdf\" target=\"_blank\" rel=\"noopener\">Dietary Guidelines for Americans.\u003c/a> This includes dairy, grains, fruits, vegetables and\u003ca href=\"https://www.myplate.gov/eat-healthy/protein-foods\" target=\"_blank\" rel=\"noopener\"> protein foods\u003c/a> such as beans, lean meats, nuts, seafood, and soy.\u003c/p>\n\u003cp>Products must also fall below certain limits on added sugars, sodium and saturated fat to be labeled as healthy.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>It’s been three decades since the agency updated its standards on what qualifies as healthy. Back in the 1990s there was a big focus on limiting all types of fats, but as nutrition science has evolved, there’s recognition of the benefits of healthy fats found in nuts and seeds,\u003ca href=\"https://www.heart.org/en/healthy-living/healthy-eating/eat-smart/fats/fish-and-omega-3-fatty-acids#:~:text=Fatty%20fish%2C%20such%20as%20anchovies,in%20omega%2D3%20fatty%20acids.\" target=\"_blank\" rel=\"noopener\"> fatty-fish\u003c/a> and olive oil.\u003c/p>\n\u003cp>“Things like salmon and eggs wouldn’t have qualified under our previous definition,” explains \u003ca href=\"https://www.fda.gov/food/hfp-constituent-updates/fda-host-webinar-discuss-proposed-changes-definition-healthy\" target=\"_blank\" rel=\"noopener\">Claudine Kavanaugh,\u003c/a> director of the office of nutrition and food labeling at the FDA. “Science has changed,” she says. The focus is more on reducing saturated fat, not total fats.\u003c/p>\n\u003cp>“This is the first rule-making that updates those claims in 30 years,” Kavanaugh says.\u003c/p>\n\u003cp>The hope is that the new rules will foster a healthy food supply.” I think the healthy claim can be a real quick signal to help empower consumers,” Kavanaugh says.\u003c/p>\n\u003cp>She says it’s a “priority” for the agency to also release a healthy icon or symbol that could also appear on packages that meet the new definition of healthy. The agency continues to work on this initiative.\u003c/p>\n\u003cp>In announcing the new rule, the FDA’s \u003ca href=\"https://www.fda.gov/about-fda/fda-organization/jim-jones\" target=\"_blank\" rel=\"noopener\">Jim Jones\u003c/a> pointed to the toll of poor diet in the U.S. “The FDA recognizes that diet related diseases, including heart disease, cancer, diabetes, are the leading cause of disability and disease in the United States,” he said.\u003c/p>\n\u003cp>Six out of every ten U.S. adults have at least one chronic disease, \u003ca href=\"https://pmc.ncbi.nlm.nih.gov/articles/PMC9921002/#:~:text=Diet%2C%20often%20considered%20as%20a,and%20perhaps%20some%20neurological%20diseases.\" target=\"_blank\" rel=\"noopener\">according to the CDC.\u003c/a> The diseases contribute to lower life expectancy in the U.S., compared to other high income countries.\u003c/p>\n\u003cp>The new rule comes as the federal government prepares to update Dietary Guidelines. A \u003ca href=\"https://www.dietaryguidelines.gov/2025-advisory-committee-report\" target=\"_blank\" rel=\"noopener\">report released earlier this month\u003c/a> from an advisory committee also points to the risks of poor nutrition at a time when 73% of adults in the U.S. have obesity or are overweight, and 38% of children, aged 12 and older have prediabetes.\u003c/p>\n\u003cp>Nutrition expert \u003ca href=\"https://steinhardt.nyu.edu/people/marion-nestle\" target=\"_blank\" rel=\"noopener\">Marion Nestle\u003c/a> of New York University says the new rule may encourage food manufacturers to reformulate their foods to reduce sodium, sugars and saturated fats.\u003c/p>\n\u003cp>Given the new cut-off point for added sugars, she says many cereals will not be able to be labeled as healthy without changing their formulations.\u003c/p>\n\u003cp>“The hope is that rules like this will help Americans make healthier choices, Nestle says. “Whether it will or not remains to be seen.”\u003c/p>\n\u003cp>She says people should focus as much as possible on the basics of healthy eating. “I think that diets that are high in fruits and vegetables, high in real foods and limiting calories are the ones that are healthiest.”\u003c/p>\n\u003cp>The American Heart Association says the new standards for “healthy” are a step in the right direction. “It was past time to update the requirements based on the latest nutrition science,” says \u003ca href=\"https://www.heart.org/en/about-us/nancy-brown\" target=\"_blank\" rel=\"noopener\">Nancy Brown, the CEO\u003c/a>. “Although the updated ‘healthy’ claim is an important update to food labeling, it is voluntary and may only appear on a small number of food and beverage packages,” Brown says.\u003c/p>\n\u003cp>The group is urging the FDA to also move forward on front-of-pack nutrition labeling, to make information more visible. They say this would help consumers quickly and easily identify healthier food and beverage options.\u003c/p>\n\u003cp>\u003c/p>\n\u003c/div>\u003c/p>",
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"content": "\u003cp>Gov. Gavin Newsom has declared a state of emergency in response to the ongoing spread of bird flu among dairy cattle.\u003c/p>\n\u003cp>The \u003ca href=\"https://www.gov.ca.gov/2024/12/18/governor-newsom-takes-proactive-action-to-strengthen-robust-state-response-to-bird-flu/\">declaration is a sign of growing concern\u003c/a> over the situation in California, which has become the epicenter of the nation’s outbreak in cattle.\u003c/p>\n\u003cp>More than 300 dairy herds \u003ca href=\"https://www.aphis.usda.gov/livestock-poultry-disease/avian/avian-influenza/hpai-detections/hpai-confirmed-cases-livestock\">have tested positive\u003c/a> in the state in the last 30 days alone.\u003c/p>\n\u003cp>Newsom said that cases detected in dairy cows on farms in Southern California showed that expanded monitoring and a more coordinated statewide response is needed in response to the outbreak.\u003c/p>\n\u003cp>“This proclamation is a targeted action to ensure government agencies have the resources and flexibility they need,” Newsom said in the statement. “While the risk to the public remains low, we will continue to take all necessary steps to prevent the spread of this virus.”\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>California currently accounts for about \u003ca href=\"https://www.cdc.gov/bird-flu/situation-summary/index.html\">half of known human infections\u003c/a> in the U.S.\u003c/p>\n\u003cp>There’s no evidence of ongoing human-to-human spread in California or the rest of the country. However, scientists warn that uncontrolled spread in dairy cattle heightens the risk of spillover into humans, which could give the virus a chance to acquire dangerous mutations.\u003c/p>\n\u003cp>The move also comes on the heels of another troubling development — the country’s first case of severe illness detected in a human.\u003c/p>\n\u003cp>On Wednesday, officials with the Centers for Disease Control and Prevention shared additional findings about that infection in a resident of Louisiana who was hospitalized after being exposed to sick and dead birds in backyard flocks.\u003c/p>\n\u003cp>Genetic sequencing indicates the H5N1 virus responsible for the illness belongs to a genetic lineage that’s circulating in wild birds and poultry — different from what’s spreading in dairy cattle and driving the majority of infections in agricultural workers.\u003c/p>\n\u003cp>In the U.S., more than \u003ca href=\"https://www.cdc.gov/bird-flu/situation-summary/index.html\">60 people have been infected\u003c/a> so far, although some research \u003ca href=\"https://www.cdc.gov/mmwr/volumes/73/wr/mm7344a3.htm\">suggests\u003c/a> the official tally may be an undercount.\u003c/p>\n\u003cp>The illnesses linked to dairy cattle have largely led to mild illnesses in humans.\u003c/p>\n\u003cp>The version of the virus in the Louisiana case is the D1.1 genotype. It has previously popped up in poultry workers in Washington state, who \u003ca href=\"https://doh.wa.gov/newsroom/first-presumed-human-infections-avian-influenza-under-investigation-washington-state\">developed mild symptoms\u003c/a> after testing positive in October. More recently, however, a teenager in British Columbia was hospitalized after contracting this D1.1 strain of the virus.\u003c/p>\n\u003cp>Canadian health officials were unable to figure out how that person was infected.\u003c/p>\n\u003cp>[aside tag='bird-flu' label='Bird Flu Coverage']\u003c/p>\n\u003cp>The case in southwest Louisiana was detected during routine flu surveillance and eventually sent to the CDC for confirmation. The case doesn’t change the CDC’s assessment that the risk to the general public remains low.\u003c/p>\n\u003cp>Still, the hospitalization is a reminder that bird flu has a well-established history of leading to severe illness and death over the past 20 years in other countries, Dr. Demetre Daskalakis with the CDC, told reporters on Wednesday during a press call.\u003c/p>\n\u003cp>Daskalakis said his agency is doing additional sequencing to look for any worrying changes in the virus that could signal it’s evolving to better infect humans or cause more severe disease.\u003c/p>\n\u003cp>Scientists were concerned that the case in British Columbia exhibited certain mutations that could spell trouble, although more research was needed to understand the exact implications.\u003c/p>\n\u003cp>Daskalakis referred reporters to Louisiana officials conducting the investigation into the case for further details on how the person caught the virus and their symptoms.\u003c/p>\n\u003cp>As with the Louisiana infection, most cases have been linked back to some kind of exposure to sick animals. Dairy cattle harbor high loads of virus in their milk and that’s suspected to be causing infections in farm workers. Those working with infected poultry can also catch the virus.\u003c/p>\n\u003cp>However, several cases have cropped up in the U.S. that can’t be tracked back to infected farm animals, including in California and Missouri.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>“Infections without a clear source of exposure do occur; neither these cases nor the cases with known animal or animal products exposure have resulted in human-to-human transmission,” Daskalakis said.\u003c/p>\n\n",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>Gov. Gavin Newsom has declared a state of emergency in response to the ongoing spread of bird flu among dairy cattle.\u003c/p>\n\u003cp>The \u003ca href=\"https://www.gov.ca.gov/2024/12/18/governor-newsom-takes-proactive-action-to-strengthen-robust-state-response-to-bird-flu/\">declaration is a sign of growing concern\u003c/a> over the situation in California, which has become the epicenter of the nation’s outbreak in cattle.\u003c/p>\n\u003cp>More than 300 dairy herds \u003ca href=\"https://www.aphis.usda.gov/livestock-poultry-disease/avian/avian-influenza/hpai-detections/hpai-confirmed-cases-livestock\">have tested positive\u003c/a> in the state in the last 30 days alone.\u003c/p>\n\u003cp>Newsom said that cases detected in dairy cows on farms in Southern California showed that expanded monitoring and a more coordinated statewide response is needed in response to the outbreak.\u003c/p>\n\u003cp>“This proclamation is a targeted action to ensure government agencies have the resources and flexibility they need,” Newsom said in the statement. “While the risk to the public remains low, we will continue to take all necessary steps to prevent the spread of this virus.”\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>California currently accounts for about \u003ca href=\"https://www.cdc.gov/bird-flu/situation-summary/index.html\">half of known human infections\u003c/a> in the U.S.\u003c/p>\n\u003cp>There’s no evidence of ongoing human-to-human spread in California or the rest of the country. However, scientists warn that uncontrolled spread in dairy cattle heightens the risk of spillover into humans, which could give the virus a chance to acquire dangerous mutations.\u003c/p>\n\u003cp>The move also comes on the heels of another troubling development — the country’s first case of severe illness detected in a human.\u003c/p>\n\u003cp>On Wednesday, officials with the Centers for Disease Control and Prevention shared additional findings about that infection in a resident of Louisiana who was hospitalized after being exposed to sick and dead birds in backyard flocks.\u003c/p>\n\u003cp>Genetic sequencing indicates the H5N1 virus responsible for the illness belongs to a genetic lineage that’s circulating in wild birds and poultry — different from what’s spreading in dairy cattle and driving the majority of infections in agricultural workers.\u003c/p>\n\u003cp>In the U.S., more than \u003ca href=\"https://www.cdc.gov/bird-flu/situation-summary/index.html\">60 people have been infected\u003c/a> so far, although some research \u003ca href=\"https://www.cdc.gov/mmwr/volumes/73/wr/mm7344a3.htm\">suggests\u003c/a> the official tally may be an undercount.\u003c/p>\n\u003cp>The illnesses linked to dairy cattle have largely led to mild illnesses in humans.\u003c/p>\n\u003cp>The version of the virus in the Louisiana case is the D1.1 genotype. It has previously popped up in poultry workers in Washington state, who \u003ca href=\"https://doh.wa.gov/newsroom/first-presumed-human-infections-avian-influenza-under-investigation-washington-state\">developed mild symptoms\u003c/a> after testing positive in October. More recently, however, a teenager in British Columbia was hospitalized after contracting this D1.1 strain of the virus.\u003c/p>\n\u003cp>Canadian health officials were unable to figure out how that person was infected.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>The case in southwest Louisiana was detected during routine flu surveillance and eventually sent to the CDC for confirmation. The case doesn’t change the CDC’s assessment that the risk to the general public remains low.\u003c/p>\n\u003cp>Still, the hospitalization is a reminder that bird flu has a well-established history of leading to severe illness and death over the past 20 years in other countries, Dr. Demetre Daskalakis with the CDC, told reporters on Wednesday during a press call.\u003c/p>\n\u003cp>Daskalakis said his agency is doing additional sequencing to look for any worrying changes in the virus that could signal it’s evolving to better infect humans or cause more severe disease.\u003c/p>\n\u003cp>Scientists were concerned that the case in British Columbia exhibited certain mutations that could spell trouble, although more research was needed to understand the exact implications.\u003c/p>\n\u003cp>Daskalakis referred reporters to Louisiana officials conducting the investigation into the case for further details on how the person caught the virus and their symptoms.\u003c/p>\n\u003cp>As with the Louisiana infection, most cases have been linked back to some kind of exposure to sick animals. Dairy cattle harbor high loads of virus in their milk and that’s suspected to be causing infections in farm workers. Those working with infected poultry can also catch the virus.\u003c/p>\n\u003cp>However, several cases have cropped up in the U.S. that can’t be tracked back to infected farm animals, including in California and Missouri.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>“Infections without a clear source of exposure do occur; neither these cases nor the cases with known animal or animal products exposure have resulted in human-to-human transmission,” Daskalakis said.\u003c/p>\n\n\u003c/div>\u003c/p>",
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"slug": "avian-flu-what-to-know-about-h5n1-virus-risks-beyond-the-headlines",
"title": "Bird Flu: As California Declares State of Emergency, What to Know About Your H5N1 Virus Risks",
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"headTitle": "Bird Flu: As California Declares State of Emergency, What to Know About Your H5N1 Virus Risks | KQED",
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"content": "\u003cp>California state officials officials \u003ca href=\"https://www.kqed.org/news/12018836/newsom-declares-bird-flu-emergency-california-us-confirms-1st-severe-case\">have declared a state of emergency across the state in response to the ongoing bird flu outbreak\u003c/a>.\u003c/p>\n\u003cp>On Dec. 18, Gov. Gavin Newsom confirmed that 34 human bird flu cases have been detected in California and pointed to recent cases detected in dairy cows in Southern California as reason to expand monitoring of the virus.\u003c/p>\n\u003cp>Newsom’s announcement comes on the same day the Centers for Disease Control and Prevention reported \u003ca href=\"https://apnews.com/article/bird-flu-severe-louisiana-2b4a5f55a05cf8be9b169c15e8b9582d\">the country’s first case of severe illness in a person with bird flu living in Louisiana.\u003c/a>\u003c/p>\n\u003cp>A human infection was previously detected in the Bay Area in November, \u003ca href=\"https://www.kqed.org/news/12014955/bay-area-potential-first-bird-flu-case-reported-alameda-county-child\">in a child in Alameda County\u003c/a>.\u003c/p>\n\u003cp>Since April 2024, \u003ca href=\"https://www.cdc.gov/bird-flu/situation-summary/index.html\">the Centers for Disease Control and Prevention (CDC) has confirmed 61 bird flu infections among humans nationwide.\u003c/a>\u003c/p>\n\u003ch2>\u003ca id=\"bayareah5n1outbreak\">\u003c/a>\u003cstrong>What does it mean that California declared a state of emergency over the bird flu outbreak?\u003c/strong>\u003c/h2>\n\u003cp>According to the California Government Code, the governor can declare a state of emergency when the state, or part of it, is \u003ca href=\"https://www.caloes.ca.gov/office-of-the-director/operations/recovery-directorate/proclamation-process/#:~:text=Pursuant%20to%20California%20Government%20Code%20Section%208625%2C%20the%20Governor%20may,to%20cope%20with%20the%20emergency.\">“affected by a natural or manmade disaster”\u003c/a> and \u003ca href=\"https://www.caloes.ca.gov/office-of-the-director/operations/recovery-directorate/proclamation-process/#:~:text=Pursuant%20to%20California%20Government%20Code%20Section%208625%2C%20the%20Governor%20may,to%20cope%20with%20the%20emergency.\">“emergency conditions require the combined forces of a mutual aid region or regions to combat.”\u003c/a>\u003c/p>\n\u003cp>In this way, declaring a State of Emergency allows California to free up resources and change or suspend laws to focus on a public health issue, or damage caused by earthquakes or fires.\u003c/p>\n\u003cp>The state of emergency \u003ca href=\"https://www.kqed.org/news/11929285/newsom-to-end-californias-covid-state-of-emergency-in-february\">declared in March 2020 for COVID-19\u003c/a> lasted for almost three years. In that timespan, Newsom was able to dispense hundreds of orders of varying sizes related to the pandemic, ranging from stay-at-home measures to delaying the tax filing deadline.\u003c/p>\n\u003cp>For context, \u003ca href=\"https://www.caloes.ca.gov/office-of-the-director/policy-administration/legal-affairs/emergency-proclamations/\">there are currently over 50 open State of Emergency proclamations in California\u003c/a> — some statewide and some restricted to counties.\u003c/p>\n\u003cp>Health officials say that no person-to-person spread of bird flu has been detected in California, and that the risk of infection for the general public remains low. But almost five years after the start of the COVID-19 pandemic, these alarming headlines can be alarming to read.\u003c/p>\n\u003cp>The public health experts KQED has spoken throughout the bird flu outbreak affirm that having accurate information about a virus is one way we can all better protect ourselves against future potential threats. “H5N1 is really a metaphor for lots of emerging threats in the future where we need to use the lessons we’ve learned during COVID and apply them again,” said Peter Chin-Hong, infectious disease physician at UC San Francisco. “We are being vigilant but not afraid.”\u003c/p>\n\u003cp>Keep reading for the latest on what researchers know about H5N1 — and how you can think realistically about the risks. Or jump straight to:\u003c/p>\n\u003cul>\n\u003cli>\u003cstrong>\u003ca href=\"#avianflu\">What is bird flu?\u003c/a>\u003c/strong>\u003c/li>\n\u003cli>\u003cstrong>\u003ca href=\"#canitinfecthumans\">If H5N1 is spreading among cattle, how easily can it infect humans?\u003c/a>\u003c/strong>\u003c/li>\n\u003cli>\u003cstrong>\u003ca href=\"#whatarethesymptoms\">How dangerous is H5N1 for humans? What are the symptoms?\u003c/a>\u003c/strong>\u003c/li>\n\u003cli>\u003cstrong>\u003ca href=\"#anotherpandemic\">Is this another COVID-style pandemic?\u003c/a>\u003c/strong>\u003c/li>\n\u003cli>\u003cstrong>\u003ca href=\"#whatcanidonow\">Is there anything I should be doing now to lower my risks?\u003c/a>\u003c/strong>\u003c/li>\n\u003c/ul>\n\u003ch2>\u003ca id=\"avianflu\">\u003c/a>What is bird flu?\u003c/h2>\n\u003cp>Bird flu, or avian flu, has existed among different bird species for centuries and is caused by the influenza A virus. Most of the time, the influenza A virus sticks to birds, but some strains can jump to other species. The seasonal flu we see each year, for example, is caused by the influenza A virus strain, while another strain of that same virus type \u003ca href=\"https://www.npr.org/sections/health-shots/2013/11/26/247379604/2009-flu-pandemic-was-10-times-more-deadly-than-previously-thought#:~:text=2009%20Flu%20Pandemic%20Was%2010%20Times%20More%20Deadly%20Than%20Previously%20Thought,-November%2026%2C%202013&text=By%20the%20World%20Health%20Organization's,the%20so%2Dcalled%20swine%20flu.\">caused the 2009 swine flu pandemic that cost tens of thousands of lives around the world\u003c/a>.\u003c/p>\n\u003cp>Since 2023, a strain of the influenza A virus, H5N1, has mutated enough to infect a wide variety of mammals, including \u003ca href=\"https://pubmed.ncbi.nlm.nih.gov/37535475/#:~:text=Abstract,been%20confirmed%20on%2020%20farms.\">foxes in Finland\u003c/a>, \u003ca href=\"https://wwwnc.cdc.gov/eid/article/29/12/23-0192_article\">sea lions in Peru,\u003c/a> and, most recently, \u003ca href=\"https://www.kqed.org/science/1992816/californians-urged-to-avoid-raw-milk-amid-bird-flu-outbreak-on-dairy-farms\">dairy cows in the U.S\u003c/a>.[aside postID=news_11989505 hero='https://cdn.kqed.org/wp-content/uploads/sites/10/2024/06/GettyImages-992012812-copy-1020x680.jpg']The number of infected cattle herds across the country continues to grow. Since March, the Department of Agriculture (USDA) has confirmed more than \u003ca href=\"https://www.cdc.gov/bird-flu/spotlights/h5n1-response-11152024.html\">800 infections among dairy herds\u003c/a> across 16 U.S. states, the majority in California.\u003c/p>\n\u003cp>But the USDA does not require cattle ranchers to test their herds for H5N1, researchers do not even have a complete picture of how far H5N1 may have spread among American cattle.\u003c/p>\n\u003cp>“The concern about H5N1 has always been there,” said Dr. Jennifer Nuzzo, professor of epidemiology and director of the Pandemic Center at the Brown University School of Public Health. “But in the last couple of years, [the virus] started doing things that have been a bit unusual.”\u003c/p>\n\u003cp>“We’ve seen this virus start to infect mammals and a wide range of mammals,” she said, pointing at the different outbreaks throughout the world. “That’s a concern because humans are mammals, and so mammals are more like us than birds are.”\u003c/p>\n\u003cp>What makes this recent outbreak the most concerning for Nuzzo is that the virus is now capable of infecting cows. “Cows are mammals that humans have a lot more contact with than all the other mammals that we’ve seen get infected,” she said.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003ch2>\u003ca id=\"canitinfecthumans\">\u003c/a>So, if H5N1 spreads among cattle, how easily can it infect humans?\u003c/h2>\n\u003cp>H5N1 \u003ca href=\"https://www.cdc.gov/bird-flu/spotlights/h5n1-analysis-texas.html\">has not yet evolved to effectively spread between humans\u003c/a>, researchers told KQED.\u003c/p>\n\u003cp>At the moment, the vast majority of the confirmed cases among humans were most likely caused by these individuals having previous exposure to an either infected cow or chicken.\u003c/p>\n\u003cp>But if the virus can jump from cow to human, it still needs to evolve a lot more for it to move from human to human. “Certain mutations are necessary for that to happen,” Dr. Abraar Karan, who studies infectious diseases at Stanford University, told KQED in July. Some of those mutations would allow for “the virus remains stable in the air and that it becomes more efficient at infecting certain types of receptors in human lungs.”\u003c/p>\n\u003cfigure id=\"attachment_11990744\" class=\"wp-caption aligncenter\" style=\"max-width: 1920px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-11990744\" src=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2024/06/GettyImages-2153339140.jpg\" alt=\"\" width=\"1920\" height=\"1280\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2024/06/GettyImages-2153339140.jpg 1920w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/06/GettyImages-2153339140-800x533.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/06/GettyImages-2153339140-1020x680.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/06/GettyImages-2153339140-160x107.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/06/GettyImages-2153339140-1536x1024.jpg 1536w\" sizes=\"auto, (max-width: 1920px) 100vw, 1920px\">\u003cfigcaption class=\"wp-caption-text\">Jon Arizti Sanz, PhD, Postdoctoral Fellow, is preparing for the extraction protocol while in the lab. The Broad Institute, Sabeti Lab, is testing purchased milk at area grocery stores for the presence of bird flu. \u003ccite>(David L. Ryan/The Boston Globe via Getty Images)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>Soon after public health officials announced that they were investigating two new H5N1 cases in California, Karan told KQED that if the virus continues to circulate in farms, that raises the risk of what he refers to as “viral reassortment.”\u003c/p>\n\u003cp>Viral reassortment can happen when a human host gets infected with multiple different strains of the virus at once, such as H5N1 and the seasonal flu virus, which are common among humans. “That allows for those strains to exchange genetic material and potentially become more deadly, more transmissible,” Karan explained. “It’s hard to predict what could occur.”\u003c/p>\n\u003cp>It’s also very complicated for researchers to understand the full extent of the H5N1 virus in the cattle industry. Ranchers aren’t required to test their herds for H5N1, which means experts don’t know how many cows have been exposed to the virus — and consequently, how many humans could now be interacting with infected cattle.\u003c/p>\n\u003cp>“We haven’t really contained the virus within dairy cows yet,” UCSF’s Chin-Hong said. “And the more it continues in the dairy cows, the more it’s going to probably result in contact with dairy workers.”\u003c/p>\n\u003cp>Even before the first confirmed human case of H5N1 back in April, the research community pushed federal officials to prioritize the H5N1 outbreak among cattle, specifically to make testing more accessible. On May 30, the USDA announced that it would transfer $824 million from other existing initiatives \u003ca href=\"https://www.usda.gov/media/press-releases/2024/05/30/usda-announces-824-million-new-funding-protect-livestock-health\">in order to launch the Voluntary H5N1 Dairy Herd Status Pilot Program\u003c/a>.\u003c/p>\n\u003ch2>\u003ca id=\"whatarethesymptoms\">\u003c/a>How dangerous is H5N1 for humans? What are the symptoms?\u003c/h2>\n\u003cp>On Dec. 18, the CDC announced the country’s first case of severe bird flu in Louisiana, in a person who was hospitalized after contracting the virus by being exposed to sick and dead birds from a backyard flock.\u003c/p>\n\u003cp>Maurice Pitesky, a professor at UC Davis’ School of Veterinary Medicine, said there are ways to keep yourself and your animals safe.\u003c/p>\n\u003cp>“Washing your hands. Having dedicated clothing and boots that only get used in our backyard coop and don’t get dragged inside,” Pitesky said. “ Because that’s one of the ways, for example, we can transmit other diseases like salmonella.”\u003c/p>\n\u003cp>In the CDC’s monitoring of three Texas farmworkers infected with bird flu earlier this year, two patients \u003ca href=\"https://www.cdc.gov/media/releases/2024/p0401-avian-flu.html\">reported eye redness as their only symptoms, \u003c/a>but \u003ca href=\"https://www.unmc.edu/healthsecurity/transmission/2024/06/04/the-3rd-human-case-of-bird-flu-in-the-us-has-2-new-and-troubling-symptoms/#:~:text=The%20H5N1%20bird%2Dflu%20virus,now%20through%20US%20cattle%20herds.\">the third case reported new symptoms\u003c/a>: a sore throat and a cough.[aside postID=science_1992816 hero='https://cdn.kqed.org/wp-content/uploads/sites/35/2024/05/240513-RAWMILK-01-BL-KQED-1020x680.jpg']\u003c/p>\n\u003cp>According to the CDC, \u003ca href=\"https://www.cdc.gov/bird-flu/virus-transmission/avian-in-humans.html#cdc_causes_how_it_spreads-signs-and-symptoms\">signs and symptoms of bird flu\u003c/a> have previously included not just conjunctivitis but mild flu-like upper respiratory symptoms, pneumonia requiring hospitalization, fever, cough, sore throat, runny or stuffy nose, muscle or body aches, headaches and fatigue.\u003c/p>\n\u003cp>In April, the CDC\u003ca href=\"https://www.cdc.gov/mmwr/volumes/73/wr/mm7321e1.htm#:~:text=From%201997%20through%20late%20April,including%20seven%20deaths%2C%20since%202022.\"> confirmed over 900 H5N1 human infections worldwide since 1997\u003c/a>. 52% of those total cases have been fatal, confirming that H5N1 indeed has the potential to be very dangerous to humans.\u003c/p>\n\u003cp>However, there’s an important context to this. For one thing, this number is a global total spanning a time period of over 25 years. Outbreaks have been scattered throughout the world, and \u003ca href=\"https://www.npr.org/sections/goats-and-soda/2024/06/12/g-s1-4091/avian-flu-cows-chickens-thailand-biosecurity\">health officials have quickly monitored infected individuals to reduce community spread as much as possible\u003c/a>.\u003c/p>\n\u003cp>It’s also very important to remember that, according to researchers, the avian flu virus cannot currently spread from human to human. Only people who work in very close proximity to infected animals, like cows or chickens, run some risk.\u003c/p>\n\u003cp>“If you’re a farmworker,” Karan said, “and you’re feeling symptoms — or feel like you may have the flu — it’s important that you let your doctor or healthcare provider know, ‘Hey, I work pretty closely with animals.’”\u003c/p>\n\u003ch2>\u003ca id=\"anotherpandemic\">\u003c/a>What do officials say at this stage? Could we be looking at another COVID-style pandemic?\u003c/h2>\n\u003cp>The CDC said that the risk of H5N1 to the general public “remains low.”\u003c/p>\n\u003cp>To understand the risk of H5N1, researchers are working to understand the molecular structure of the virus, the way it moves in the air and how human cells respond to exposure. A big part of this work is looking at the genetic information of the virus.[aside label=\"More Health Stories\" tag=\"cdc\"]In April, the CDC \u003ca href=\"https://www.cdc.gov/bird-flu/spotlights/h5n1-analysis-texas.html\">sequenced the genome of the H5N1 virus found in a dairy worker infected in Texas\u003c/a>. Researchers identified some mutations in the virus but not the necessary mutations that would give the virus the tools to jump from one human to another.\u003c/p>\n\u003cp>Researchers point out that the overwhelming majority of H5N1 cases in the past two decades show humans caught the virus from animals, not other humans.\u003c/p>\n\u003cp>“The thing that we’re most worried about right now is the people who work on dairy farms may be exposed to this virus in the course of doing their jobs,” Nuzzo said.\u003c/p>\n\u003cp>“The challenge in understanding what’s going on right now is that we don’t have very good surveillance on cows,” she said, and “we also don’t have great surveillance on the farms of the people who work there.” She attributed this in part to the fact that “there’s a lot of disincentives for having health officials show up and try to test workers on these farms, [who are] somewhat of a disenfranchised group.”\u003c/p>\n\u003ch2>I heard that someone in Alameda County was infected with bird flu and that the virus has been detected in local wastewater. Does that mean there’s an H5N1 outbreak in the Bay Area?\u003c/h2>\n\u003cp>The short answer: \u003ca href=\"https://www.kqed.org/news/11988972/bay-area-researchers-tracking-bird-flu-in-wastewater-see-no-evidence-of-spread-in-sf\">No, there is no H5N1 outbreak in the Bay Area.\u003c/a>\u003c/p>\n\u003cp>In November, \u003ca href=\"https://www.kqed.org/news/12014955/bay-area-potential-first-bird-flu-case-reported-alameda-county-child\">a child in Alameda County was diagnosed with bird flu\u003c/a> with researchers unable to identify how the child was exposed to the virus. That case, which resulted in mild respiratory symptoms, did not spread inside the family or at school. This is the only human bird flu case confirmed in the Bay Area.\u003c/p>\n\u003cp>In order to measure the levels of certain viruses, like COVID-19, among the population, \u003ca href=\"https://www.kqed.org/news/11987343/covid-bay-area-wastewater-variant-symptoms-isolation-guidance\">researchers regularly test the region’s wastewater\u003c/a>. Since the start of the coronavirus pandemic, high levels of COVID-19 in Bay Area wastewater usually match up with spikes of COVID-19 infections.\u003c/p>\n\u003cp>At the end of May, \u003ca href=\"https://www.kqed.org/news/11988972/bay-area-researchers-tracking-bird-flu-in-wastewater-see-no-evidence-of-spread-in-sf\">researchers did indeed detect the H5N1 virus in San Francisco wastewater\u003c/a>, which set off alarms across social media. And while it makes sense why a headline like that can cause panic, digging deeper into the data shows a different story.[aside postID=news_11988972 hero='https://cdn.kqed.org/wp-content/uploads/sites/10/2023/12/GettyImages-1408473939-1020x680.jpg']San Francisco is one of few hundred cities in the country with a combined sewer system, which means stormwater and sewage flow through the same pipes. When researchers collect wastewater samples, that includes water coming from bathrooms, but it also comes mixed with used water from other parts of the city, including businesses and storm drains.\u003c/p>\n\u003cp>The timing of H5N1 in the wastewater matched up with two cases of H5N1 among chickens at a live animal market—sometimes referred to as a wet market—in San Francisco. The infected chickens, which were identified by California food safety regulators and showed no symptoms at the time of testing, were removed from the market. Public health officials have also monitored the market workers who were in contact with the chickens.\u003c/p>\n\u003cp>San Francisco’s health department does not believe that any of the wastewater hits for bird flu are related to human infection. “No one really thinks at this point that the detections are due to human cases of H5N1,” said Dr. George Han, director of the San Francisco Department of Public Health’s communicable disease prevention and control program.\u003c/p>\n\u003cp>If you go to a live market, will you be exposed to H5N1? The experts KQED spoke to said no. “Surveillance of poultry has been going on for a long time, even before this,” Karan said.\u003c/p>\n\u003cp>But he nonetheless recommends that if folks can avoid direct contact with poultry in these settings, they should. “But if you’re going to be near these kinds of birds or near their feces or any kind of secretions they may have,” he said, “wear masks, eye protection and wash your hands.”\u003c/p>\n\u003ch2>\u003ca id=\"whatcanidonow\">\u003c/a>Is there anything I should practically be doing right now to lower my risks?\u003c/h2>\n\u003cp>Most of the recommendations from the CDC are still just for people who work closely with animals that are vulnerable to H5N1 infections, like cows and chickens. This includes recommending people wear personal protective equipment (PPE) when interacting with infected — or potentially infected — animals.\u003c/p>\n\u003cp>However, some early recommendations for the overall population include avoiding interacting with sick or dead animals you may find, like wild birds and chickens. One big recommendation from the CDC: That folks avoid consuming “raw milk,” or milk that has not been pasteurized.[aside postID=news_11986062 hero='https://cdn.kqed.org/wp-content/uploads/sites/10/2024/05/AP24134604431971-1020x680.jpg']Most milk sold in the U.S. is pasteurized, which means that during production, this milk was briefly heated to a certain temperature in order to kill harmful germs that may be present. In April, the FDA reported that \u003ca href=\"https://www.kqed.org/news/11986062/bird-flu-hits-us-dairy-cows-raw-milk-drinkers-arent-deterred\">1 in 5 pasteurized milk products nationwide tested positive for the H5N1 virus\u003c/a> — but since the pasteurization process kills the virus, any H5N1 found was already dead.\u003c/p>\n\u003cp>\u003ca href=\"https://www.kqed.org/news/12017517/california-investigates-possible-marin-county-bird-flu-case-amid-raw-milk-recalls\">California has issued numerous recalls of raw milk due to bird flu contamination in recent weeks\u003c/a>. And while there aren’t any confirmed cases of humans getting sick with H5N1 after drinking raw milk, pasteurizing milk still remains a best practice in the industry to ensure the safety of dairy products and kill not just the H5N1 virus but many other viruses and bacteria that can spread through cow milk and make humans sick.\u003c/p>\n\u003cp>In California, it is legal to sell raw milk, and data shows that \u003ca href=\"https://www.kqed.org/science/1992816/californians-urged-to-avoid-raw-milk-amid-bird-flu-outbreak-on-dairy-farms\">demand for this product has continued to grow\u003c/a>, even after the CDC’s recommendations. “Everybody in California loves farm-to-table and natural foods,” Chin-Hong said, but he adds that if folks are thinking of consuming raw milk, they should also assess the real risks that come with doing so — especially now, as the U.S. watches for any spread of H5N1.\u003c/p>\n\u003cp>“Is the juice worth the squeeze?” he asked, “If you are very old or very young, particularly babies under six months or those who are older, that risk might be too high at this moment.”\u003c/p>\n\u003cp>\u003cem>This story contains reporting by KQED’s Carlos Cabrera-Lomelí, Carly Severn, Nisa Khan, Keith Mizuguchi and Jared Servantez, and was originally published on June 18.\u003c/em>\u003c/p>\n\u003cp>[ad floatright]\u003c/p>\n",
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"excerpt": "In 2024, bird flu mutated enough to cause infections among cattle. With dozens of human cases so far in California, and a state of emergency declared, here's how to think about your risks.",
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"title": "Bird Flu: As California Declares State of Emergency, What to Know About Your H5N1 Virus Risks | KQED",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>California state officials officials \u003ca href=\"https://www.kqed.org/news/12018836/newsom-declares-bird-flu-emergency-california-us-confirms-1st-severe-case\">have declared a state of emergency across the state in response to the ongoing bird flu outbreak\u003c/a>.\u003c/p>\n\u003cp>On Dec. 18, Gov. Gavin Newsom confirmed that 34 human bird flu cases have been detected in California and pointed to recent cases detected in dairy cows in Southern California as reason to expand monitoring of the virus.\u003c/p>\n\u003cp>Newsom’s announcement comes on the same day the Centers for Disease Control and Prevention reported \u003ca href=\"https://apnews.com/article/bird-flu-severe-louisiana-2b4a5f55a05cf8be9b169c15e8b9582d\">the country’s first case of severe illness in a person with bird flu living in Louisiana.\u003c/a>\u003c/p>\n\u003cp>A human infection was previously detected in the Bay Area in November, \u003ca href=\"https://www.kqed.org/news/12014955/bay-area-potential-first-bird-flu-case-reported-alameda-county-child\">in a child in Alameda County\u003c/a>.\u003c/p>\n\u003cp>Since April 2024, \u003ca href=\"https://www.cdc.gov/bird-flu/situation-summary/index.html\">the Centers for Disease Control and Prevention (CDC) has confirmed 61 bird flu infections among humans nationwide.\u003c/a>\u003c/p>\n\u003ch2>\u003ca id=\"bayareah5n1outbreak\">\u003c/a>\u003cstrong>What does it mean that California declared a state of emergency over the bird flu outbreak?\u003c/strong>\u003c/h2>\n\u003cp>According to the California Government Code, the governor can declare a state of emergency when the state, or part of it, is \u003ca href=\"https://www.caloes.ca.gov/office-of-the-director/operations/recovery-directorate/proclamation-process/#:~:text=Pursuant%20to%20California%20Government%20Code%20Section%208625%2C%20the%20Governor%20may,to%20cope%20with%20the%20emergency.\">“affected by a natural or manmade disaster”\u003c/a> and \u003ca href=\"https://www.caloes.ca.gov/office-of-the-director/operations/recovery-directorate/proclamation-process/#:~:text=Pursuant%20to%20California%20Government%20Code%20Section%208625%2C%20the%20Governor%20may,to%20cope%20with%20the%20emergency.\">“emergency conditions require the combined forces of a mutual aid region or regions to combat.”\u003c/a>\u003c/p>\n\u003cp>In this way, declaring a State of Emergency allows California to free up resources and change or suspend laws to focus on a public health issue, or damage caused by earthquakes or fires.\u003c/p>\n\u003cp>The state of emergency \u003ca href=\"https://www.kqed.org/news/11929285/newsom-to-end-californias-covid-state-of-emergency-in-february\">declared in March 2020 for COVID-19\u003c/a> lasted for almost three years. In that timespan, Newsom was able to dispense hundreds of orders of varying sizes related to the pandemic, ranging from stay-at-home measures to delaying the tax filing deadline.\u003c/p>\n\u003cp>For context, \u003ca href=\"https://www.caloes.ca.gov/office-of-the-director/policy-administration/legal-affairs/emergency-proclamations/\">there are currently over 50 open State of Emergency proclamations in California\u003c/a> — some statewide and some restricted to counties.\u003c/p>\n\u003cp>Health officials say that no person-to-person spread of bird flu has been detected in California, and that the risk of infection for the general public remains low. But almost five years after the start of the COVID-19 pandemic, these alarming headlines can be alarming to read.\u003c/p>\n\u003cp>The public health experts KQED has spoken throughout the bird flu outbreak affirm that having accurate information about a virus is one way we can all better protect ourselves against future potential threats. “H5N1 is really a metaphor for lots of emerging threats in the future where we need to use the lessons we’ve learned during COVID and apply them again,” said Peter Chin-Hong, infectious disease physician at UC San Francisco. “We are being vigilant but not afraid.”\u003c/p>\n\u003cp>Keep reading for the latest on what researchers know about H5N1 — and how you can think realistically about the risks. Or jump straight to:\u003c/p>\n\u003cul>\n\u003cli>\u003cstrong>\u003ca href=\"#avianflu\">What is bird flu?\u003c/a>\u003c/strong>\u003c/li>\n\u003cli>\u003cstrong>\u003ca href=\"#canitinfecthumans\">If H5N1 is spreading among cattle, how easily can it infect humans?\u003c/a>\u003c/strong>\u003c/li>\n\u003cli>\u003cstrong>\u003ca href=\"#whatarethesymptoms\">How dangerous is H5N1 for humans? What are the symptoms?\u003c/a>\u003c/strong>\u003c/li>\n\u003cli>\u003cstrong>\u003ca href=\"#anotherpandemic\">Is this another COVID-style pandemic?\u003c/a>\u003c/strong>\u003c/li>\n\u003cli>\u003cstrong>\u003ca href=\"#whatcanidonow\">Is there anything I should be doing now to lower my risks?\u003c/a>\u003c/strong>\u003c/li>\n\u003c/ul>\n\u003ch2>\u003ca id=\"avianflu\">\u003c/a>What is bird flu?\u003c/h2>\n\u003cp>Bird flu, or avian flu, has existed among different bird species for centuries and is caused by the influenza A virus. Most of the time, the influenza A virus sticks to birds, but some strains can jump to other species. The seasonal flu we see each year, for example, is caused by the influenza A virus strain, while another strain of that same virus type \u003ca href=\"https://www.npr.org/sections/health-shots/2013/11/26/247379604/2009-flu-pandemic-was-10-times-more-deadly-than-previously-thought#:~:text=2009%20Flu%20Pandemic%20Was%2010%20Times%20More%20Deadly%20Than%20Previously%20Thought,-November%2026%2C%202013&text=By%20the%20World%20Health%20Organization's,the%20so%2Dcalled%20swine%20flu.\">caused the 2009 swine flu pandemic that cost tens of thousands of lives around the world\u003c/a>.\u003c/p>\n\u003cp>Since 2023, a strain of the influenza A virus, H5N1, has mutated enough to infect a wide variety of mammals, including \u003ca href=\"https://pubmed.ncbi.nlm.nih.gov/37535475/#:~:text=Abstract,been%20confirmed%20on%2020%20farms.\">foxes in Finland\u003c/a>, \u003ca href=\"https://wwwnc.cdc.gov/eid/article/29/12/23-0192_article\">sea lions in Peru,\u003c/a> and, most recently, \u003ca href=\"https://www.kqed.org/science/1992816/californians-urged-to-avoid-raw-milk-amid-bird-flu-outbreak-on-dairy-farms\">dairy cows in the U.S\u003c/a>.\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>The number of infected cattle herds across the country continues to grow. Since March, the Department of Agriculture (USDA) has confirmed more than \u003ca href=\"https://www.cdc.gov/bird-flu/spotlights/h5n1-response-11152024.html\">800 infections among dairy herds\u003c/a> across 16 U.S. states, the majority in California.\u003c/p>\n\u003cp>But the USDA does not require cattle ranchers to test their herds for H5N1, researchers do not even have a complete picture of how far H5N1 may have spread among American cattle.\u003c/p>\n\u003cp>“The concern about H5N1 has always been there,” said Dr. Jennifer Nuzzo, professor of epidemiology and director of the Pandemic Center at the Brown University School of Public Health. “But in the last couple of years, [the virus] started doing things that have been a bit unusual.”\u003c/p>\n\u003cp>“We’ve seen this virus start to infect mammals and a wide range of mammals,” she said, pointing at the different outbreaks throughout the world. “That’s a concern because humans are mammals, and so mammals are more like us than birds are.”\u003c/p>\n\u003cp>What makes this recent outbreak the most concerning for Nuzzo is that the virus is now capable of infecting cows. “Cows are mammals that humans have a lot more contact with than all the other mammals that we’ve seen get infected,” she said.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003ch2>\u003ca id=\"canitinfecthumans\">\u003c/a>So, if H5N1 spreads among cattle, how easily can it infect humans?\u003c/h2>\n\u003cp>H5N1 \u003ca href=\"https://www.cdc.gov/bird-flu/spotlights/h5n1-analysis-texas.html\">has not yet evolved to effectively spread between humans\u003c/a>, researchers told KQED.\u003c/p>\n\u003cp>At the moment, the vast majority of the confirmed cases among humans were most likely caused by these individuals having previous exposure to an either infected cow or chicken.\u003c/p>\n\u003cp>But if the virus can jump from cow to human, it still needs to evolve a lot more for it to move from human to human. “Certain mutations are necessary for that to happen,” Dr. Abraar Karan, who studies infectious diseases at Stanford University, told KQED in July. Some of those mutations would allow for “the virus remains stable in the air and that it becomes more efficient at infecting certain types of receptors in human lungs.”\u003c/p>\n\u003cfigure id=\"attachment_11990744\" class=\"wp-caption aligncenter\" style=\"max-width: 1920px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-11990744\" src=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2024/06/GettyImages-2153339140.jpg\" alt=\"\" width=\"1920\" height=\"1280\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2024/06/GettyImages-2153339140.jpg 1920w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/06/GettyImages-2153339140-800x533.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/06/GettyImages-2153339140-1020x680.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/06/GettyImages-2153339140-160x107.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/06/GettyImages-2153339140-1536x1024.jpg 1536w\" sizes=\"auto, (max-width: 1920px) 100vw, 1920px\">\u003cfigcaption class=\"wp-caption-text\">Jon Arizti Sanz, PhD, Postdoctoral Fellow, is preparing for the extraction protocol while in the lab. The Broad Institute, Sabeti Lab, is testing purchased milk at area grocery stores for the presence of bird flu. \u003ccite>(David L. Ryan/The Boston Globe via Getty Images)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>Soon after public health officials announced that they were investigating two new H5N1 cases in California, Karan told KQED that if the virus continues to circulate in farms, that raises the risk of what he refers to as “viral reassortment.”\u003c/p>\n\u003cp>Viral reassortment can happen when a human host gets infected with multiple different strains of the virus at once, such as H5N1 and the seasonal flu virus, which are common among humans. “That allows for those strains to exchange genetic material and potentially become more deadly, more transmissible,” Karan explained. “It’s hard to predict what could occur.”\u003c/p>\n\u003cp>It’s also very complicated for researchers to understand the full extent of the H5N1 virus in the cattle industry. Ranchers aren’t required to test their herds for H5N1, which means experts don’t know how many cows have been exposed to the virus — and consequently, how many humans could now be interacting with infected cattle.\u003c/p>\n\u003cp>“We haven’t really contained the virus within dairy cows yet,” UCSF’s Chin-Hong said. “And the more it continues in the dairy cows, the more it’s going to probably result in contact with dairy workers.”\u003c/p>\n\u003cp>Even before the first confirmed human case of H5N1 back in April, the research community pushed federal officials to prioritize the H5N1 outbreak among cattle, specifically to make testing more accessible. On May 30, the USDA announced that it would transfer $824 million from other existing initiatives \u003ca href=\"https://www.usda.gov/media/press-releases/2024/05/30/usda-announces-824-million-new-funding-protect-livestock-health\">in order to launch the Voluntary H5N1 Dairy Herd Status Pilot Program\u003c/a>.\u003c/p>\n\u003ch2>\u003ca id=\"whatarethesymptoms\">\u003c/a>How dangerous is H5N1 for humans? What are the symptoms?\u003c/h2>\n\u003cp>On Dec. 18, the CDC announced the country’s first case of severe bird flu in Louisiana, in a person who was hospitalized after contracting the virus by being exposed to sick and dead birds from a backyard flock.\u003c/p>\n\u003cp>Maurice Pitesky, a professor at UC Davis’ School of Veterinary Medicine, said there are ways to keep yourself and your animals safe.\u003c/p>\n\u003cp>“Washing your hands. Having dedicated clothing and boots that only get used in our backyard coop and don’t get dragged inside,” Pitesky said. “ Because that’s one of the ways, for example, we can transmit other diseases like salmonella.”\u003c/p>\n\u003cp>In the CDC’s monitoring of three Texas farmworkers infected with bird flu earlier this year, two patients \u003ca href=\"https://www.cdc.gov/media/releases/2024/p0401-avian-flu.html\">reported eye redness as their only symptoms, \u003c/a>but \u003ca href=\"https://www.unmc.edu/healthsecurity/transmission/2024/06/04/the-3rd-human-case-of-bird-flu-in-the-us-has-2-new-and-troubling-symptoms/#:~:text=The%20H5N1%20bird%2Dflu%20virus,now%20through%20US%20cattle%20herds.\">the third case reported new symptoms\u003c/a>: a sore throat and a cough.\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>According to the CDC, \u003ca href=\"https://www.cdc.gov/bird-flu/virus-transmission/avian-in-humans.html#cdc_causes_how_it_spreads-signs-and-symptoms\">signs and symptoms of bird flu\u003c/a> have previously included not just conjunctivitis but mild flu-like upper respiratory symptoms, pneumonia requiring hospitalization, fever, cough, sore throat, runny or stuffy nose, muscle or body aches, headaches and fatigue.\u003c/p>\n\u003cp>In April, the CDC\u003ca href=\"https://www.cdc.gov/mmwr/volumes/73/wr/mm7321e1.htm#:~:text=From%201997%20through%20late%20April,including%20seven%20deaths%2C%20since%202022.\"> confirmed over 900 H5N1 human infections worldwide since 1997\u003c/a>. 52% of those total cases have been fatal, confirming that H5N1 indeed has the potential to be very dangerous to humans.\u003c/p>\n\u003cp>However, there’s an important context to this. For one thing, this number is a global total spanning a time period of over 25 years. Outbreaks have been scattered throughout the world, and \u003ca href=\"https://www.npr.org/sections/goats-and-soda/2024/06/12/g-s1-4091/avian-flu-cows-chickens-thailand-biosecurity\">health officials have quickly monitored infected individuals to reduce community spread as much as possible\u003c/a>.\u003c/p>\n\u003cp>It’s also very important to remember that, according to researchers, the avian flu virus cannot currently spread from human to human. Only people who work in very close proximity to infected animals, like cows or chickens, run some risk.\u003c/p>\n\u003cp>“If you’re a farmworker,” Karan said, “and you’re feeling symptoms — or feel like you may have the flu — it’s important that you let your doctor or healthcare provider know, ‘Hey, I work pretty closely with animals.’”\u003c/p>\n\u003ch2>\u003ca id=\"anotherpandemic\">\u003c/a>What do officials say at this stage? Could we be looking at another COVID-style pandemic?\u003c/h2>\n\u003cp>The CDC said that the risk of H5N1 to the general public “remains low.”\u003c/p>\n\u003cp>To understand the risk of H5N1, researchers are working to understand the molecular structure of the virus, the way it moves in the air and how human cells respond to exposure. A big part of this work is looking at the genetic information of the virus.\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>In April, the CDC \u003ca href=\"https://www.cdc.gov/bird-flu/spotlights/h5n1-analysis-texas.html\">sequenced the genome of the H5N1 virus found in a dairy worker infected in Texas\u003c/a>. Researchers identified some mutations in the virus but not the necessary mutations that would give the virus the tools to jump from one human to another.\u003c/p>\n\u003cp>Researchers point out that the overwhelming majority of H5N1 cases in the past two decades show humans caught the virus from animals, not other humans.\u003c/p>\n\u003cp>“The thing that we’re most worried about right now is the people who work on dairy farms may be exposed to this virus in the course of doing their jobs,” Nuzzo said.\u003c/p>\n\u003cp>“The challenge in understanding what’s going on right now is that we don’t have very good surveillance on cows,” she said, and “we also don’t have great surveillance on the farms of the people who work there.” She attributed this in part to the fact that “there’s a lot of disincentives for having health officials show up and try to test workers on these farms, [who are] somewhat of a disenfranchised group.”\u003c/p>\n\u003ch2>I heard that someone in Alameda County was infected with bird flu and that the virus has been detected in local wastewater. Does that mean there’s an H5N1 outbreak in the Bay Area?\u003c/h2>\n\u003cp>The short answer: \u003ca href=\"https://www.kqed.org/news/11988972/bay-area-researchers-tracking-bird-flu-in-wastewater-see-no-evidence-of-spread-in-sf\">No, there is no H5N1 outbreak in the Bay Area.\u003c/a>\u003c/p>\n\u003cp>In November, \u003ca href=\"https://www.kqed.org/news/12014955/bay-area-potential-first-bird-flu-case-reported-alameda-county-child\">a child in Alameda County was diagnosed with bird flu\u003c/a> with researchers unable to identify how the child was exposed to the virus. That case, which resulted in mild respiratory symptoms, did not spread inside the family or at school. This is the only human bird flu case confirmed in the Bay Area.\u003c/p>\n\u003cp>In order to measure the levels of certain viruses, like COVID-19, among the population, \u003ca href=\"https://www.kqed.org/news/11987343/covid-bay-area-wastewater-variant-symptoms-isolation-guidance\">researchers regularly test the region’s wastewater\u003c/a>. Since the start of the coronavirus pandemic, high levels of COVID-19 in Bay Area wastewater usually match up with spikes of COVID-19 infections.\u003c/p>\n\u003cp>At the end of May, \u003ca href=\"https://www.kqed.org/news/11988972/bay-area-researchers-tracking-bird-flu-in-wastewater-see-no-evidence-of-spread-in-sf\">researchers did indeed detect the H5N1 virus in San Francisco wastewater\u003c/a>, which set off alarms across social media. And while it makes sense why a headline like that can cause panic, digging deeper into the data shows a different story.\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>San Francisco is one of few hundred cities in the country with a combined sewer system, which means stormwater and sewage flow through the same pipes. When researchers collect wastewater samples, that includes water coming from bathrooms, but it also comes mixed with used water from other parts of the city, including businesses and storm drains.\u003c/p>\n\u003cp>The timing of H5N1 in the wastewater matched up with two cases of H5N1 among chickens at a live animal market—sometimes referred to as a wet market—in San Francisco. The infected chickens, which were identified by California food safety regulators and showed no symptoms at the time of testing, were removed from the market. Public health officials have also monitored the market workers who were in contact with the chickens.\u003c/p>\n\u003cp>San Francisco’s health department does not believe that any of the wastewater hits for bird flu are related to human infection. “No one really thinks at this point that the detections are due to human cases of H5N1,” said Dr. George Han, director of the San Francisco Department of Public Health’s communicable disease prevention and control program.\u003c/p>\n\u003cp>If you go to a live market, will you be exposed to H5N1? The experts KQED spoke to said no. “Surveillance of poultry has been going on for a long time, even before this,” Karan said.\u003c/p>\n\u003cp>But he nonetheless recommends that if folks can avoid direct contact with poultry in these settings, they should. “But if you’re going to be near these kinds of birds or near their feces or any kind of secretions they may have,” he said, “wear masks, eye protection and wash your hands.”\u003c/p>\n\u003ch2>\u003ca id=\"whatcanidonow\">\u003c/a>Is there anything I should practically be doing right now to lower my risks?\u003c/h2>\n\u003cp>Most of the recommendations from the CDC are still just for people who work closely with animals that are vulnerable to H5N1 infections, like cows and chickens. This includes recommending people wear personal protective equipment (PPE) when interacting with infected — or potentially infected — animals.\u003c/p>\n\u003cp>However, some early recommendations for the overall population include avoiding interacting with sick or dead animals you may find, like wild birds and chickens. One big recommendation from the CDC: That folks avoid consuming “raw milk,” or milk that has not been pasteurized.\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>Most milk sold in the U.S. is pasteurized, which means that during production, this milk was briefly heated to a certain temperature in order to kill harmful germs that may be present. In April, the FDA reported that \u003ca href=\"https://www.kqed.org/news/11986062/bird-flu-hits-us-dairy-cows-raw-milk-drinkers-arent-deterred\">1 in 5 pasteurized milk products nationwide tested positive for the H5N1 virus\u003c/a> — but since the pasteurization process kills the virus, any H5N1 found was already dead.\u003c/p>\n\u003cp>\u003ca href=\"https://www.kqed.org/news/12017517/california-investigates-possible-marin-county-bird-flu-case-amid-raw-milk-recalls\">California has issued numerous recalls of raw milk due to bird flu contamination in recent weeks\u003c/a>. And while there aren’t any confirmed cases of humans getting sick with H5N1 after drinking raw milk, pasteurizing milk still remains a best practice in the industry to ensure the safety of dairy products and kill not just the H5N1 virus but many other viruses and bacteria that can spread through cow milk and make humans sick.\u003c/p>\n\u003cp>In California, it is legal to sell raw milk, and data shows that \u003ca href=\"https://www.kqed.org/science/1992816/californians-urged-to-avoid-raw-milk-amid-bird-flu-outbreak-on-dairy-farms\">demand for this product has continued to grow\u003c/a>, even after the CDC’s recommendations. “Everybody in California loves farm-to-table and natural foods,” Chin-Hong said, but he adds that if folks are thinking of consuming raw milk, they should also assess the real risks that come with doing so — especially now, as the U.S. watches for any spread of H5N1.\u003c/p>\n\u003cp>“Is the juice worth the squeeze?” he asked, “If you are very old or very young, particularly babies under six months or those who are older, that risk might be too high at this moment.”\u003c/p>\n\u003cp>\u003cem>This story contains reporting by KQED’s Carlos Cabrera-Lomelí, Carly Severn, Nisa Khan, Keith Mizuguchi and Jared Servantez, and was originally published on June 18.\u003c/em>\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"info": "The Political Mind of Jerry Brown brings listeners the wisdom of the former Governor, Mayor, and presidential candidate. Scott Shafer interviewed Brown for more than 40 hours, covering the former governor's life and half-century in the political game – and Brown has some lessons he'd like to share. ",
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"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>",
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"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?",
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"info": "Political Breakdown is a new series that explores the political intersection of California and the nation. Each week hosts Scott Shafer and Marisa Lagos are joined with a new special guest to unpack politics -- with personality — and offer an insider’s glimpse at how politics happens.",
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"possible": {
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"title": "Possible",
"info": "Possible is hosted by entrepreneur Reid Hoffman and writer Aria Finger. Together in Possible, Hoffman and Finger lead enlightening discussions about building a brighter collective future. The show features interviews with visionary guests like Trevor Noah, Sam Altman and Janette Sadik-Khan. Possible paints an optimistic portrait of the world we can create through science, policy, business, art and our shared humanity. It asks: What if everything goes right for once? How can we get there? Each episode also includes a short fiction story generated by advanced AI GPT-4, serving as a thought-provoking springboard to speculate how humanity could leverage technology for good.",
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"radiolab": {
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},
"rightnowish": {
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"tagline": "Art is where you find it",
"info": "Rightnowish digs into life in the Bay Area right now… ish. Journalist Pendarvis Harshaw takes us to galleries painted on the sides of liquor stores in West Oakland. We'll dance in warehouses in the Bayview, make smoothies with kids in South Berkeley, and listen to classical music in a 1984 Cutlass Supreme in Richmond. Every week, Pen talks to movers and shakers about how the Bay Area shapes what they create, and how they shape the place we call home.",
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"tagline": "Real stories with killer beats",
"info": "The Snap Judgment radio show and podcast mixes real stories with killer beats to produce cinematic, dramatic radio. Snap's musical brand of storytelling dares listeners to see the world through the eyes of another. This is storytelling... with a BEAT!! Snap first aired on public radio stations nationwide in July 2010. Today, Snap Judgment airs on over 450 public radio stations and is brought to the airwaves by KQED & PRX.",
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"soldout": {
"id": "soldout",
"title": "SOLD OUT: Rethinking Housing in America",
"tagline": "A new future for housing",
"info": "Sold Out: Rethinking Housing in America",
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