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"content": "\u003cp>With the holiday season upon us, it’s more than likely that you’ll be sitting down for at least one indulgent meal over the next month or so — I’m looking at you Thanksgiving!\u003c/p>\n\u003cp>But instead of chilling out in front of the football game after you polish off the pumpkin pie, consider venturing out for a walk. It’s one of the easiest things you can do to boost your health after a meal and even a short stroll can yield big benefits.\u003c/p>\n\u003cp>The concept of post-meal walks has been around for centuries, notes \u003ca href=\"https://publichealth.gwu.edu/departments/exercise-and-nutrition-sciences/loretta-dipietro\">Loretta DiPietro\u003c/a>, a professor of exercise and nutrition science at the George Washington University Milken Institute School of Public Health.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>“Italians have been doing it, and Europeans have been doing it forever. My grandparents did it,” she says.\u003c/p>\n\u003cp>Some people used to refer to these walks as constitutionals or strolls undertaken for your health.\u003c/p>\n\u003cp>TV may be one reason why the habit fell out of favor, but the idea has caught on again recently, thanks to viral TikTok videos extolling the virtues of a post-meal walk — sometimes called, ahem, “fart walks” because they can relieve gas! Experts say this is one health hack that social media gets right.\u003c/p>\n\u003cp>“Sustained walking at any time of day is beneficial. You get more bang for the buck if you walk after meals,” DiPietro says.\u003c/p>\n\u003cp>Why? For starters, walking or other physical activity will jumpstart digestion, so your meal goes down easier, says\u003ca href=\"https://gastro.uw.edu/people/faculty/damman-c\"> Dr. Chris Damman,\u003c/a> a gastroenterologist and professor at the University of Washington who studies the intersection of the microbiome and metabolic disease.\u003c/p>\n\u003cp>“It actually has pretty important benefits for your well-being in your belly, getting things moving, so to speak, and may be also beneficial for clearing the air, if you know what I mean,” Damman says.\u003c/p>\n\u003cp>Faster digestion may help get more fiber and other undigested nutrients to the lower part of the gut, providing a feast for the microbes that live there, Damman says. And if you’re feeding them fiber-rich foods, these microbes will, in turn, produce lots of molecules that play an important role in keeping our brains, immune systems and metabolisms healthy.\u003c/p>\n\u003cp>Walking also plays a big role in helping to regulate blood sugar levels after eating. That’s because as food is digested, it gets broken down into different parts, including the sugar glucose, one of the body’s main sources of energy. That sugar will then flood the bloodstream. A post-meal walk can blunt that spike, he says.\u003c/p>\n\u003cp>“One of the reasons walking is beneficial is when we move our muscles — and that’s both our heart and the muscles in our legs and our arms — they become sponges for the blood glucose that our gut is absorbing into the bloodstream,” Damman says. “And so it basically just pulls all that glucose out of the blood and into the muscles, where it’s being used immediately for propelling us forward.”\u003c/p>\n\u003cp>Normally, the body produces the hormone insulin to clear glucose out of the blood and into nearby cells. But muscle contractions through walking can also accomplish this — even without the presence of insulin.\u003c/p>\n\u003cp>That means less stress on your pancreas because it doesn’t have to produce as much insulin after a meal. And that’s important because “over time, high loads on the pancreas can tax it and even lead to pre-diabetes or diabetes,” Damman says.\u003c/p>\n\u003cp>You don’t have to walk long or intensely to see these benefits. For instance, DiPietro co-authored one study that found taking \u003ca href=\"https://diabetesjournals.org/care/article/36/10/3262/30770/Three-15-min-Bouts-of-Moderate-Postmeal-Walking\">a 15-minute walk at a moderate pace \u003c/a>after a meal improved blood sugar control even hours later. Other \u003ca href=\"https://link.springer.com/article/10.1007/s40279-022-01649-4\">research\u003c/a> has found that as little as 2 to 5 minutes of post-meal walking can help lower blood sugar, though longer is better.[aside label=\"Related Stories\" postID=\"news_12015914,news_12015975,arts_13968610\"]DiPietro says you want to head out within about a half hour after eating when you’re digesting your meal and the glucose is hitting your bloodstream, so your muscles can use it up right away.\u003c/p>\n\u003cp>If the weather isn’t conducive to an outdoor stroll — or you’re just too busy bingeing Netflix — don’t let that deter you. “Stand up and march in place and move your arms,” DiPietro advises. Even if it’s just a few minutes, those movements can help your body store glucose better.\u003c/p>\n\u003cp>Now, DiPietro says walking after any meal is beneficial, but if you had to pick one, dinner would be your best bet. That’s because, for many people, the evening meal tends to be the biggest of the day.\u003c/p>\n\u003cp>“And so you’ve got a lot of calories going in,” she says, “and all that sugar and fat is circulating in your blood. And what we then do is flop in front of the television or we go to bed,” which is a bad idea, she says, because our bodies also produce less insulin at night, especially as we age.\u003c/p>\n\u003cp>That combination of low insulin and couch potato instincts is a recipe for high blood sugar, which you want to avoid at all times, but especially before going to bed, says \u003ca href=\"https://clinicalconnection.hopkinsmedicine.org/participant/luis-fernando-buenaver-phd\">Luis Buenaver,\u003c/a> a behavioral sleep specialist at Johns Hopkins University. That’s because blood sugar spikes and crashes are linked to poor sleep quality.\u003c/p>\n\u003cp>A gentle walk after dinner can not only prevent that. It can also improve circulation, he says. “And it can help promote this sense of relaxation,” which in turn can make for a better night’s sleep.\u003c/p>\n\u003cp>And all of this is especially true after a heavy meal like Thanksgiving dinner.\u003c/p>\n\u003cp>“If ever there were a meal to walk after, that would be the Thanksgiving dinner, given the load of calories that one is consuming,” DiPietro says. So fight the urge to take a nap, and first go for a walk.\u003c/p>\n\u003cp>\u003c/p>\n",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>With the holiday season upon us, it’s more than likely that you’ll be sitting down for at least one indulgent meal over the next month or so — I’m looking at you Thanksgiving!\u003c/p>\n\u003cp>But instead of chilling out in front of the football game after you polish off the pumpkin pie, consider venturing out for a walk. It’s one of the easiest things you can do to boost your health after a meal and even a short stroll can yield big benefits.\u003c/p>\n\u003cp>The concept of post-meal walks has been around for centuries, notes \u003ca href=\"https://publichealth.gwu.edu/departments/exercise-and-nutrition-sciences/loretta-dipietro\">Loretta DiPietro\u003c/a>, a professor of exercise and nutrition science at the George Washington University Milken Institute School of Public Health.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>“Italians have been doing it, and Europeans have been doing it forever. My grandparents did it,” she says.\u003c/p>\n\u003cp>Some people used to refer to these walks as constitutionals or strolls undertaken for your health.\u003c/p>\n\u003cp>TV may be one reason why the habit fell out of favor, but the idea has caught on again recently, thanks to viral TikTok videos extolling the virtues of a post-meal walk — sometimes called, ahem, “fart walks” because they can relieve gas! Experts say this is one health hack that social media gets right.\u003c/p>\n\u003cp>“Sustained walking at any time of day is beneficial. You get more bang for the buck if you walk after meals,” DiPietro says.\u003c/p>\n\u003cp>Why? For starters, walking or other physical activity will jumpstart digestion, so your meal goes down easier, says\u003ca href=\"https://gastro.uw.edu/people/faculty/damman-c\"> Dr. Chris Damman,\u003c/a> a gastroenterologist and professor at the University of Washington who studies the intersection of the microbiome and metabolic disease.\u003c/p>\n\u003cp>“It actually has pretty important benefits for your well-being in your belly, getting things moving, so to speak, and may be also beneficial for clearing the air, if you know what I mean,” Damman says.\u003c/p>\n\u003cp>Faster digestion may help get more fiber and other undigested nutrients to the lower part of the gut, providing a feast for the microbes that live there, Damman says. And if you’re feeding them fiber-rich foods, these microbes will, in turn, produce lots of molecules that play an important role in keeping our brains, immune systems and metabolisms healthy.\u003c/p>\n\u003cp>Walking also plays a big role in helping to regulate blood sugar levels after eating. That’s because as food is digested, it gets broken down into different parts, including the sugar glucose, one of the body’s main sources of energy. That sugar will then flood the bloodstream. A post-meal walk can blunt that spike, he says.\u003c/p>\n\u003cp>“One of the reasons walking is beneficial is when we move our muscles — and that’s both our heart and the muscles in our legs and our arms — they become sponges for the blood glucose that our gut is absorbing into the bloodstream,” Damman says. “And so it basically just pulls all that glucose out of the blood and into the muscles, where it’s being used immediately for propelling us forward.”\u003c/p>\n\u003cp>Normally, the body produces the hormone insulin to clear glucose out of the blood and into nearby cells. But muscle contractions through walking can also accomplish this — even without the presence of insulin.\u003c/p>\n\u003cp>That means less stress on your pancreas because it doesn’t have to produce as much insulin after a meal. And that’s important because “over time, high loads on the pancreas can tax it and even lead to pre-diabetes or diabetes,” Damman says.\u003c/p>\n\u003cp>You don’t have to walk long or intensely to see these benefits. For instance, DiPietro co-authored one study that found taking \u003ca href=\"https://diabetesjournals.org/care/article/36/10/3262/30770/Three-15-min-Bouts-of-Moderate-Postmeal-Walking\">a 15-minute walk at a moderate pace \u003c/a>after a meal improved blood sugar control even hours later. Other \u003ca href=\"https://link.springer.com/article/10.1007/s40279-022-01649-4\">research\u003c/a> has found that as little as 2 to 5 minutes of post-meal walking can help lower blood sugar, though longer is better.\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>DiPietro says you want to head out within about a half hour after eating when you’re digesting your meal and the glucose is hitting your bloodstream, so your muscles can use it up right away.\u003c/p>\n\u003cp>If the weather isn’t conducive to an outdoor stroll — or you’re just too busy bingeing Netflix — don’t let that deter you. “Stand up and march in place and move your arms,” DiPietro advises. Even if it’s just a few minutes, those movements can help your body store glucose better.\u003c/p>\n\u003cp>Now, DiPietro says walking after any meal is beneficial, but if you had to pick one, dinner would be your best bet. That’s because, for many people, the evening meal tends to be the biggest of the day.\u003c/p>\n\u003cp>“And so you’ve got a lot of calories going in,” she says, “and all that sugar and fat is circulating in your blood. And what we then do is flop in front of the television or we go to bed,” which is a bad idea, she says, because our bodies also produce less insulin at night, especially as we age.\u003c/p>\n\u003cp>That combination of low insulin and couch potato instincts is a recipe for high blood sugar, which you want to avoid at all times, but especially before going to bed, says \u003ca href=\"https://clinicalconnection.hopkinsmedicine.org/participant/luis-fernando-buenaver-phd\">Luis Buenaver,\u003c/a> a behavioral sleep specialist at Johns Hopkins University. That’s because blood sugar spikes and crashes are linked to poor sleep quality.\u003c/p>\n\u003cp>A gentle walk after dinner can not only prevent that. It can also improve circulation, he says. “And it can help promote this sense of relaxation,” which in turn can make for a better night’s sleep.\u003c/p>\n\u003cp>And all of this is especially true after a heavy meal like Thanksgiving dinner.\u003c/p>\n\u003cp>“If ever there were a meal to walk after, that would be the Thanksgiving dinner, given the load of calories that one is consuming,” DiPietro says. So fight the urge to take a nap, and first go for a walk.\u003c/p>\n\u003cp>\u003c/p>\n\u003c/div>\u003c/p>",
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"slug": "california-could-lose-300-million-in-medi-cal-funding-under-project-2025s-abortion-plan",
"title": "California Could Lose $300 Million in Medi-Cal Funding Under Project 2025's Abortion Plan",
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"content": "\u003cp>If President-elect Donald Trump goes forward with Project 2025, California could lose out on at least $300 million a year in funding for abortions, family planning and contraception for millions of lower-income residents.\u003c/p>\n\u003cp>Project 2025, a right-wing blueprint for the next president, targeted the state \u003ca href=\"https://calmatters.org/politics/2024/09/project2025-trump-california-abortion-surveillance/\">with an ultimatum\u003c/a> that would require California to start reporting abortion data to the Centers for Disease Control or risk losing critical Medicaid funding.\u003c/p>\n\u003cp>Despite Trump’s attempts to distance himself from the plan during the campaign, at least 140 of his allies produced the report, and \u003ca href=\"https://www.washingtonpost.com/politics/2024/11/20/trump-project-2025-second-administration/\">he’s appointing key figures\u003c/a> from the project to his administration. As California leaders rush to shield the state from a Trump agenda, preserving reproductive freedoms stands as a top priority.\u003c/p>\n\u003cp>Newsom called \u003ca href=\"https://calmatters.org/politics/capitol/2024/11/gavin-newsom-special-session-trump-resistance/\">a special session for next month\u003c/a> to “Trump-proof” California, and he’s hiring lawyers to prepare for Day 1 of the Trump presidency.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>“Whether it be our fundamental civil rights, reproductive freedom, or climate action — we refuse to turn back the clock and allow our values and laws to be attacked,” Newsom said in a statement.\u003c/p>\n\u003cp>When CalMatters first reported on the ultimatum in September, the California Department of Health Care Services didn’t provide specific figures detailing how much the state receives in federal reimbursements for reproductive health care provided through \u003ca href=\"https://calmatters.org/tag/medi-cal/\">Medi-Cal\u003c/a>. The department now says the federal government reimbursed California about $310.7 million for reproductive health care last year, according to California Department of Health Care Services figures. In the previous year, the state received $334.5 million. That funding supports Medi-Cal, the \u003ca href=\"https://www.acog.org/advocacy/policy-priorities/medicaid#:~:text=Medicaid%20is%20the%20largest%20single,ensuring%20healthy%20moms%20and%20babies.\">single largest payer\u003c/a> of maternity care in the country. Medi-Cal covers about 14.2 million Californians. All told, the federal government reimbursed the state $90.9 billion for Medi-Cal last year.\u003c/p>\n\u003cp>Under Project 2025, all 50 states would be mandated to report detailed abortion-related data to the federal government, including information such as the reason for the abortion, the fetus’ gestational age, the birthing parent’s state of residence, whether the procedure was surgical or medication-induced, and more.\u003c/p>\n\u003cp>Currently, California, Maryland, and New Hampshire do not require abortion providers to share patient data with the federal government. Shortly after the overturning of Roe v. Wade, the California Department of Public Health said that it does not report abortion data federally because\u003ca href=\"https://calmatters.org/health/2022/06/abortion-data-california/\"> it is not legally obligated to do so\u003c/a>. States that do collect abortion data typically use it for public health analyses, which can help identify gaps in care and improve access to services.\u003c/p>\n\u003cp>Newsom’s office did not provide details on the projected costs of lawyering up but said the governor plans for legislation to give additional resources to the California Department of Justice and other state agencies.\u003c/p>\n\u003cp>These resources are intended “to pursue robust affirmative litigation against any unlawful actions by the incoming Trump administration, as well as defend against federal lawsuits aimed at undermining California’s laws and policies,” the governor’s office said. “The funding will support the ability to immediately file litigation and seek injunctive relief against unlawful federal actions.”\u003c/p>\n\u003cfigure id=\"attachment_12015950\" class=\"wp-caption aligncenter\" style=\"max-width: 779px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-12015950\" src=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2024/11/081423-Project-2025-AP-CM-01-copy.jpg\" alt=\"\" width=\"779\" height=\"519\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2024/11/081423-Project-2025-AP-CM-01-copy.jpg 779w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/11/081423-Project-2025-AP-CM-01-copy-160x107.jpg 160w\" sizes=\"auto, (max-width: 779px) 100vw, 779px\">\u003cfigcaption class=\"wp-caption-text\">Kristen Eichamer, center, talks to fairgoers at the Project 2025 tent at the Iowa State Fair in Des Moines, Iowa, on Aug. 14, 2023. \u003ccite>(Charlie Neibergall/AP Photo)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>Trump tapped two individuals associated with Project 2025 for roles in his administration. Brendan Carr, who authored Project 2025’s section on the Federal Communications Commission, will lead the agency.\u003c/p>\n\u003cp>Tom Homan, an immigration hawk who’s listed in Project 2025’s credits as having assisted in developing and writing the playbook, will serve as the border czar, overseeing immigration policies and implementing mass deportation strategies. The spot is not an official cabinet position.\u003c/p>\n\u003cp>To lead the Department of Health and Human Services, Trump tapped Robert F. Kennedy Jr., an environmental lawyer who \u003ca href=\"https://calmatters.org/health/2024/11/robert-f-kennedy-jr-california-vaccine/\">previously fought California\u003c/a> over vaccine mandates. The department controls oversight of Medicaid spending and plays a critical role in abortion reporting by setting federal guidelines and enforcing privacy protections under HIPAA.\u003c/p>\n\u003cp>Kennedy does not appear to have endorsed Project 2025. His stance on abortion has been notably inconsistent over time. In May, \u003ca href=\"https://www.youtube.com/watch?v=ovu7Hu1oEiQ&t=1s\">he expressed\u003c/a> support for unrestricted abortion access, stating he opposed any government restrictions, “even if it’s full term.”\u003c/p>\n\u003cp>However, he later revised his position, advocating for legal \u003ca href=\"https://calmatters.org/tag/abortion/\">abortion\u003c/a> up to the point of \u003ca href=\"https://www.washingtonexaminer.com/news/campaigns/presidential/3000858/rfk-jr-walks-back-stance-abortion/\">fetal viability\u003c/a>, the stage at which a fetus can potentially survive outside the womb.\u003c/p>\n\u003cp>Roger Severino, who served as the Department of Health and Human Services director of the Office for Civil Rights under Trump, authored Project 2025’s abortion surveillance plan. He is now the vice president of domestic policy at the Heritage Foundation, the conservative think tank behind Project 2025. He declined an interview request.[aside label=\"Related Stories\" postID=\"news_12015752,news_12013882,forum_2010101906159\"]Severino’s vision for remaking the department is a cornerstone of Project 2025’s effort to impose stricter federal oversight on abortion practices, particularly targeting states like California, which offers greater access to abortion services than most other states.\u003c/p>\n\u003cp>“Because liberal states have now become sanctuaries for abortion tourism, [the Department of Health and Human Services] should use every available tool, including the cutting of funds, to ensure that every state reports exactly how many abortions take place within its borders, at what gestational age of the child, for what reason, the mother’s state of residence, and by what method,” reads \u003ca href=\"https://static.project2025.org/2025_MandateForLeadership_CHAPTER-14.pdf\">the chapter (PDF)\u003c/a> on abortion reporting.\u003c/p>\n\u003cp>The potential fallout isn’t limited to California. Experts \u003ca href=\"https://calmatters.org/politics/2024/09/project2025-trump-california-abortion-surveillance/\">have warned\u003c/a> that other states with progressive abortion policies may face similar funding threats, amplifying the national debate over reproductive rights under Trump’s second term.\u003c/p>\n\u003cp>After Election Day, Newsom traveled to Washington, D.C., for meetings with the Biden administration and congressional leaders to “discuss strategies for safeguarding health care access,” said Anthony Cava, a spokesperson for the California Department of Health Care Services.\u003c/p>\n\u003cp>Cava would not elaborate on those strategies. He said the department “cannot speculate on the future of these programs under a new federal administration, but the Newsom administration is working to protect the health and well-being of all Californians.”\u003c/p>\n\u003cp>California has long positioned itself as a national leader in reproductive rights, actively opposing federal restrictions on abortion access. The state’s proactive policies, such as safeguarding providers who serve out-of-state patients, stand in stark contrast to the goals of Project 2025. As policymakers and advocates brace for how Trump plans to “\u003ca href=\"https://truthsocial.com/@realDonaldTrump/posts/113448443776000306\">Make California Great Again\u003c/a>,” they’re treating Project 2025 as a looming possibility.\u003c/p>\n\u003cp>Planned Parenthood, one of California’s leading providers of reproductive health care services for lower-income communities, said the organization is preparing for “a variety of scenarios.”\u003c/p>\n\u003cp>Shelby McMichael, a spokesperson for Planned Parenthood Affiliates of California, said “while specifics remain under wraps,” the group is prioritizing expanding California’s abortion provider workforce, increasing investments in abortion funds and infrastructure as well as analyzing data to “improve abortion care access and education.”\u003c/p>\n\u003cp>[ad floatright]\u003c/p>\n",
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"excerpt": "Under Project 2025, all 50 states would be mandated to report detailed abortion-related data to the federal government or risk funding cuts. California is one of three states that currently does not report.",
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"title": "California Could Lose $300 Million in Medi-Cal Funding Under Project 2025's Abortion Plan | KQED",
"description": "Under Project 2025, all 50 states would be mandated to report detailed abortion-related data to the federal government or risk funding cuts. California is one of three states that currently does not report.",
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"nprByline": "\u003ca href=\"https://calmatters.org/author/monique-madan/\">Monique O. Madan\u003c/a>, CalMatters",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>If President-elect Donald Trump goes forward with Project 2025, California could lose out on at least $300 million a year in funding for abortions, family planning and contraception for millions of lower-income residents.\u003c/p>\n\u003cp>Project 2025, a right-wing blueprint for the next president, targeted the state \u003ca href=\"https://calmatters.org/politics/2024/09/project2025-trump-california-abortion-surveillance/\">with an ultimatum\u003c/a> that would require California to start reporting abortion data to the Centers for Disease Control or risk losing critical Medicaid funding.\u003c/p>\n\u003cp>Despite Trump’s attempts to distance himself from the plan during the campaign, at least 140 of his allies produced the report, and \u003ca href=\"https://www.washingtonpost.com/politics/2024/11/20/trump-project-2025-second-administration/\">he’s appointing key figures\u003c/a> from the project to his administration. As California leaders rush to shield the state from a Trump agenda, preserving reproductive freedoms stands as a top priority.\u003c/p>\n\u003cp>Newsom called \u003ca href=\"https://calmatters.org/politics/capitol/2024/11/gavin-newsom-special-session-trump-resistance/\">a special session for next month\u003c/a> to “Trump-proof” California, and he’s hiring lawyers to prepare for Day 1 of the Trump presidency.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>“Whether it be our fundamental civil rights, reproductive freedom, or climate action — we refuse to turn back the clock and allow our values and laws to be attacked,” Newsom said in a statement.\u003c/p>\n\u003cp>When CalMatters first reported on the ultimatum in September, the California Department of Health Care Services didn’t provide specific figures detailing how much the state receives in federal reimbursements for reproductive health care provided through \u003ca href=\"https://calmatters.org/tag/medi-cal/\">Medi-Cal\u003c/a>. The department now says the federal government reimbursed California about $310.7 million for reproductive health care last year, according to California Department of Health Care Services figures. In the previous year, the state received $334.5 million. That funding supports Medi-Cal, the \u003ca href=\"https://www.acog.org/advocacy/policy-priorities/medicaid#:~:text=Medicaid%20is%20the%20largest%20single,ensuring%20healthy%20moms%20and%20babies.\">single largest payer\u003c/a> of maternity care in the country. Medi-Cal covers about 14.2 million Californians. All told, the federal government reimbursed the state $90.9 billion for Medi-Cal last year.\u003c/p>\n\u003cp>Under Project 2025, all 50 states would be mandated to report detailed abortion-related data to the federal government, including information such as the reason for the abortion, the fetus’ gestational age, the birthing parent’s state of residence, whether the procedure was surgical or medication-induced, and more.\u003c/p>\n\u003cp>Currently, California, Maryland, and New Hampshire do not require abortion providers to share patient data with the federal government. Shortly after the overturning of Roe v. Wade, the California Department of Public Health said that it does not report abortion data federally because\u003ca href=\"https://calmatters.org/health/2022/06/abortion-data-california/\"> it is not legally obligated to do so\u003c/a>. States that do collect abortion data typically use it for public health analyses, which can help identify gaps in care and improve access to services.\u003c/p>\n\u003cp>Newsom’s office did not provide details on the projected costs of lawyering up but said the governor plans for legislation to give additional resources to the California Department of Justice and other state agencies.\u003c/p>\n\u003cp>These resources are intended “to pursue robust affirmative litigation against any unlawful actions by the incoming Trump administration, as well as defend against federal lawsuits aimed at undermining California’s laws and policies,” the governor’s office said. “The funding will support the ability to immediately file litigation and seek injunctive relief against unlawful federal actions.”\u003c/p>\n\u003cfigure id=\"attachment_12015950\" class=\"wp-caption aligncenter\" style=\"max-width: 779px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-12015950\" src=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2024/11/081423-Project-2025-AP-CM-01-copy.jpg\" alt=\"\" width=\"779\" height=\"519\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2024/11/081423-Project-2025-AP-CM-01-copy.jpg 779w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/11/081423-Project-2025-AP-CM-01-copy-160x107.jpg 160w\" sizes=\"auto, (max-width: 779px) 100vw, 779px\">\u003cfigcaption class=\"wp-caption-text\">Kristen Eichamer, center, talks to fairgoers at the Project 2025 tent at the Iowa State Fair in Des Moines, Iowa, on Aug. 14, 2023. \u003ccite>(Charlie Neibergall/AP Photo)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>Trump tapped two individuals associated with Project 2025 for roles in his administration. Brendan Carr, who authored Project 2025’s section on the Federal Communications Commission, will lead the agency.\u003c/p>\n\u003cp>Tom Homan, an immigration hawk who’s listed in Project 2025’s credits as having assisted in developing and writing the playbook, will serve as the border czar, overseeing immigration policies and implementing mass deportation strategies. The spot is not an official cabinet position.\u003c/p>\n\u003cp>To lead the Department of Health and Human Services, Trump tapped Robert F. Kennedy Jr., an environmental lawyer who \u003ca href=\"https://calmatters.org/health/2024/11/robert-f-kennedy-jr-california-vaccine/\">previously fought California\u003c/a> over vaccine mandates. The department controls oversight of Medicaid spending and plays a critical role in abortion reporting by setting federal guidelines and enforcing privacy protections under HIPAA.\u003c/p>\n\u003cp>Kennedy does not appear to have endorsed Project 2025. His stance on abortion has been notably inconsistent over time. In May, \u003ca href=\"https://www.youtube.com/watch?v=ovu7Hu1oEiQ&t=1s\">he expressed\u003c/a> support for unrestricted abortion access, stating he opposed any government restrictions, “even if it’s full term.”\u003c/p>\n\u003cp>However, he later revised his position, advocating for legal \u003ca href=\"https://calmatters.org/tag/abortion/\">abortion\u003c/a> up to the point of \u003ca href=\"https://www.washingtonexaminer.com/news/campaigns/presidential/3000858/rfk-jr-walks-back-stance-abortion/\">fetal viability\u003c/a>, the stage at which a fetus can potentially survive outside the womb.\u003c/p>\n\u003cp>Roger Severino, who served as the Department of Health and Human Services director of the Office for Civil Rights under Trump, authored Project 2025’s abortion surveillance plan. He is now the vice president of domestic policy at the Heritage Foundation, the conservative think tank behind Project 2025. He declined an interview request.\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>Severino’s vision for remaking the department is a cornerstone of Project 2025’s effort to impose stricter federal oversight on abortion practices, particularly targeting states like California, which offers greater access to abortion services than most other states.\u003c/p>\n\u003cp>“Because liberal states have now become sanctuaries for abortion tourism, [the Department of Health and Human Services] should use every available tool, including the cutting of funds, to ensure that every state reports exactly how many abortions take place within its borders, at what gestational age of the child, for what reason, the mother’s state of residence, and by what method,” reads \u003ca href=\"https://static.project2025.org/2025_MandateForLeadership_CHAPTER-14.pdf\">the chapter (PDF)\u003c/a> on abortion reporting.\u003c/p>\n\u003cp>The potential fallout isn’t limited to California. Experts \u003ca href=\"https://calmatters.org/politics/2024/09/project2025-trump-california-abortion-surveillance/\">have warned\u003c/a> that other states with progressive abortion policies may face similar funding threats, amplifying the national debate over reproductive rights under Trump’s second term.\u003c/p>\n\u003cp>After Election Day, Newsom traveled to Washington, D.C., for meetings with the Biden administration and congressional leaders to “discuss strategies for safeguarding health care access,” said Anthony Cava, a spokesperson for the California Department of Health Care Services.\u003c/p>\n\u003cp>Cava would not elaborate on those strategies. He said the department “cannot speculate on the future of these programs under a new federal administration, but the Newsom administration is working to protect the health and well-being of all Californians.”\u003c/p>\n\u003cp>California has long positioned itself as a national leader in reproductive rights, actively opposing federal restrictions on abortion access. The state’s proactive policies, such as safeguarding providers who serve out-of-state patients, stand in stark contrast to the goals of Project 2025. As policymakers and advocates brace for how Trump plans to “\u003ca href=\"https://truthsocial.com/@realDonaldTrump/posts/113448443776000306\">Make California Great Again\u003c/a>,” they’re treating Project 2025 as a looming possibility.\u003c/p>\n\u003cp>Planned Parenthood, one of California’s leading providers of reproductive health care services for lower-income communities, said the organization is preparing for “a variety of scenarios.”\u003c/p>\n\u003cp>Shelby McMichael, a spokesperson for Planned Parenthood Affiliates of California, said “while specifics remain under wraps,” the group is prioritizing expanding California’s abortion provider workforce, increasing investments in abortion funds and infrastructure as well as analyzing data to “improve abortion care access and education.”\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"slug": "bird-flu-found-raw-milk-sold-santa-clara-county-sparks-public-health-concern",
"title": "Bird Flu Found in Raw Milk Sold in Santa Clara County Sparks Public Health Concern",
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"headTitle": "Bird Flu Found in Raw Milk Sold in Santa Clara County Sparks Public Health Concern | KQED",
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"content": "\u003cp>Public health experts are using the recent discovery of bird flu genes in raw milk sold in \u003ca href=\"https://www.kqed.org/news/tag/santa-clara\">Santa Clara County\u003c/a> earlier this month to underscore the risks of consuming unpasteurized dairy products.\u003c/p>\n\u003cp>The virus was found while testing a batch of cream top, whole raw milk produced by Raw Farm that prompted a warning from the California Department of Public Health. Fresno-based Raw Farm, which sells raw milk, cream, butter and cheddar cheese, according to the company’s website, issued a voluntary recall.\u003c/p>\n\u003cp>This comes several months after \u003ca href=\"https://www.kqed.org/news/11986062/bird-flu-hits-us-dairy-cows-raw-milk-drinkers-arent-deterred\">bird flu hit dairy cows\u003c/a> and \u003ca href=\"https://www.kqed.org/news/12012121/bird-flu-jumped-from-cows-to-people-now-advocates-want-more-farmworkers-tested\">jumped to people\u003c/a>.\u003c/p>\n\u003cp>“No illnesses associated with this lot of raw milk have been reported,” the Department of Public Health said in a statement. “Out of an abundance of caution, and due to the ongoing spread of bird flu in dairy cows, poultry, and sporadic human cases, consumers should not consume any of the affected raw milk.”\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>Public health experts have repeatedly warned that consuming raw milk or raw milk products leads to elevated risks of foodborne illness because raw milk products are not pasteurized, the federally regulated heating process that kills bacteria and viruses such as bird flu.\u003c/p>\n\u003cp>The guidance might change as raw milk proponents have a champion in Robert F. Kennedy Jr., who President-elect Donald Trump appointed to lead the country’s public health agency.\u003c/p>\n\u003cp>Last month on \u003ca href=\"https://x.com/RobertKennedyJr/status/1849925311586238737?ref_src=twsrc%5Etfw%7Ctwcamp%5Etweetembed%7Ctwterm%5E1849925311586238737%7Ctwgr%5Ec7071085a5b1504b2ef4085f71092668b0776ab5%7Ctwcon%5Es1_&ref_url=https%3A%2F%2Fwww.nytimes.com%2F2024%2F11%2F12%2Fhealth%2Frobert-kennedy-jr-fda.html\">social media\u003c/a>, Kennedy criticized Federal Drug Administration employees for “aggressive suppression” of raw milk, among other products. If Kennedy, who has been a prominent \u003ca href=\"https://www.kqed.org/news/12015810/rfk-jr-fought-californias-vaccine-mandates-and-lost-now-he-could-set-us-health-policy\">anti-vaccine conspiracy theorist\u003c/a>, is confirmed by the Senate as the next secretary of the Department of Health and Human Services, he could shake up the country’s food regulations and shape vaccine and drug policies.\u003c/p>\n\u003cp>[aside postID=news_12015119 hero='https://cdn.kqed.org/wp-content/uploads/sites/10/2024/11/479421059_qed-1020x680.jpg']\u003c/p>\n\u003cp>Once bird flu was detected in the state’s dairy herds, the California Department of Food and Agriculture began weekly testing at farms. With about one-third of California’s dairy herds now affected, local public health officials began inspections of their own.\u003c/p>\n\u003cp>According to CDPH, the County of Santa Clara Public Health Laboratory has been testing raw milk products in retail stores as a second line of consumer protection. On Nov. 21, a PCR test found genetic traces of bird flu in a jug of raw milk.\u003c/p>\n\u003cp>In an interview with KQED, Raw Farm CEO Mark McAfee pointed out that the sample did not contain the live virus. He added that even if the genetic material could be cultured and grown into a live virus, there is no evidence that cow milk transmits bird flu to humans.\u003c/p>\n\u003cp>“Remember, the current thinking from the FDA is that this is a terrible virus. You don’t want to have anything to do with it because it may make you sick,” he said. “Well, there’s no evidence of that. Show me one person that’s gotten sick across the United States from consumption of raw milk.”\u003c/p>\n\u003cp>Kennedy has said that he drinks raw milk. In a May advisory on the \u003ca href=\"https://www.fda.gov/food/buy-store-serve-safe-food/dangers-raw-milk-unpasteurized-milk-can-pose-serious-health-risk\">dangers of raw milk\u003c/a>, the FDA stated that unpasteurized milk “can harbor dangerous germs that can pose serious health risks.”\u003c/p>\n\u003cp>“This is a very inconvenient truth time, as Al Gore would say. This is a time of battle between RFK — Bobby Jr. Kennedy — and the FDA,” insisted McAfee, who said the company’s raw milk continues to sell. “We have never been worse off in America in our health because our gut microbiome, which is 80% of our immune system, is shot. We want to build that back better by building back all the elements found in raw milk.”\u003c/p>\n\u003cp>Maurice Pitesky, a bird flu expert and an associate professor at the UC Davis School of Veterinary Medicine, maintains that raw milk should not be sold.\u003c/p>\n\u003cp>Since 2021, he has witnessed bird flu \u003ca href=\"https://experience.arcgis.com/experience/77e38ab79bfe416ca6d72b796612ee83/\">spread\u003c/a> from a small cluster of cases among wild birds in eastern Canada to the West Coast, evolving along the way. It is now believed to cause not only respiratory symptoms but also conjunctivitis, commonly known as pink eye, which is likely transmitted through close contact with infected animals.\u003c/p>\n\u003cp>“Are we going to put a little warning label that says, ‘Don’t rub this milk accidentally on your eyes?’” Pitesky said. “To me, that just seems like we’re playing with fire a little.”\u003c/p>\n\u003cp>Since early October, California has reported 29 confirmed human cases of bird flu, according to CDPH. Of those cases, 28 people had direct contact with infected dairy cows and all cases had mild symptoms, primarily eye infections. None required hospitalization.\u003c/p>\n\u003cp>Last week, California public health officials identified a \u003ca href=\"https://www.kqed.org/news/12014955/bay-area-potential-first-bird-flu-case-reported-alameda-county-child\">possible case of bird flu in a child\u003c/a> in Alameda County.\u003c/p>\n\u003cp>To date, there has been no person-to-person spread in the state or the country, according to CDPH.\u003c/p>\n\u003cp>\u003c/p>\n",
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"excerpt": "Public health experts have warned against consuming raw milk, but the guidance could change under Robert F. Kennedy Jr., who President-elect Donald Trump appointed to lead the country’s public health agency.",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>Public health experts are using the recent discovery of bird flu genes in raw milk sold in \u003ca href=\"https://www.kqed.org/news/tag/santa-clara\">Santa Clara County\u003c/a> earlier this month to underscore the risks of consuming unpasteurized dairy products.\u003c/p>\n\u003cp>The virus was found while testing a batch of cream top, whole raw milk produced by Raw Farm that prompted a warning from the California Department of Public Health. Fresno-based Raw Farm, which sells raw milk, cream, butter and cheddar cheese, according to the company’s website, issued a voluntary recall.\u003c/p>\n\u003cp>This comes several months after \u003ca href=\"https://www.kqed.org/news/11986062/bird-flu-hits-us-dairy-cows-raw-milk-drinkers-arent-deterred\">bird flu hit dairy cows\u003c/a> and \u003ca href=\"https://www.kqed.org/news/12012121/bird-flu-jumped-from-cows-to-people-now-advocates-want-more-farmworkers-tested\">jumped to people\u003c/a>.\u003c/p>\n\u003cp>“No illnesses associated with this lot of raw milk have been reported,” the Department of Public Health said in a statement. “Out of an abundance of caution, and due to the ongoing spread of bird flu in dairy cows, poultry, and sporadic human cases, consumers should not consume any of the affected raw milk.”\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>Public health experts have repeatedly warned that consuming raw milk or raw milk products leads to elevated risks of foodborne illness because raw milk products are not pasteurized, the federally regulated heating process that kills bacteria and viruses such as bird flu.\u003c/p>\n\u003cp>The guidance might change as raw milk proponents have a champion in Robert F. Kennedy Jr., who President-elect Donald Trump appointed to lead the country’s public health agency.\u003c/p>\n\u003cp>Last month on \u003ca href=\"https://x.com/RobertKennedyJr/status/1849925311586238737?ref_src=twsrc%5Etfw%7Ctwcamp%5Etweetembed%7Ctwterm%5E1849925311586238737%7Ctwgr%5Ec7071085a5b1504b2ef4085f71092668b0776ab5%7Ctwcon%5Es1_&ref_url=https%3A%2F%2Fwww.nytimes.com%2F2024%2F11%2F12%2Fhealth%2Frobert-kennedy-jr-fda.html\">social media\u003c/a>, Kennedy criticized Federal Drug Administration employees for “aggressive suppression” of raw milk, among other products. If Kennedy, who has been a prominent \u003ca href=\"https://www.kqed.org/news/12015810/rfk-jr-fought-californias-vaccine-mandates-and-lost-now-he-could-set-us-health-policy\">anti-vaccine conspiracy theorist\u003c/a>, is confirmed by the Senate as the next secretary of the Department of Health and Human Services, he could shake up the country’s food regulations and shape vaccine and drug policies.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>Once bird flu was detected in the state’s dairy herds, the California Department of Food and Agriculture began weekly testing at farms. With about one-third of California’s dairy herds now affected, local public health officials began inspections of their own.\u003c/p>\n\u003cp>According to CDPH, the County of Santa Clara Public Health Laboratory has been testing raw milk products in retail stores as a second line of consumer protection. On Nov. 21, a PCR test found genetic traces of bird flu in a jug of raw milk.\u003c/p>\n\u003cp>In an interview with KQED, Raw Farm CEO Mark McAfee pointed out that the sample did not contain the live virus. He added that even if the genetic material could be cultured and grown into a live virus, there is no evidence that cow milk transmits bird flu to humans.\u003c/p>\n\u003cp>“Remember, the current thinking from the FDA is that this is a terrible virus. You don’t want to have anything to do with it because it may make you sick,” he said. “Well, there’s no evidence of that. Show me one person that’s gotten sick across the United States from consumption of raw milk.”\u003c/p>\n\u003cp>Kennedy has said that he drinks raw milk. In a May advisory on the \u003ca href=\"https://www.fda.gov/food/buy-store-serve-safe-food/dangers-raw-milk-unpasteurized-milk-can-pose-serious-health-risk\">dangers of raw milk\u003c/a>, the FDA stated that unpasteurized milk “can harbor dangerous germs that can pose serious health risks.”\u003c/p>\n\u003cp>“This is a very inconvenient truth time, as Al Gore would say. This is a time of battle between RFK — Bobby Jr. Kennedy — and the FDA,” insisted McAfee, who said the company’s raw milk continues to sell. “We have never been worse off in America in our health because our gut microbiome, which is 80% of our immune system, is shot. We want to build that back better by building back all the elements found in raw milk.”\u003c/p>\n\u003cp>Maurice Pitesky, a bird flu expert and an associate professor at the UC Davis School of Veterinary Medicine, maintains that raw milk should not be sold.\u003c/p>\n\u003cp>Since 2021, he has witnessed bird flu \u003ca href=\"https://experience.arcgis.com/experience/77e38ab79bfe416ca6d72b796612ee83/\">spread\u003c/a> from a small cluster of cases among wild birds in eastern Canada to the West Coast, evolving along the way. It is now believed to cause not only respiratory symptoms but also conjunctivitis, commonly known as pink eye, which is likely transmitted through close contact with infected animals.\u003c/p>\n\u003cp>“Are we going to put a little warning label that says, ‘Don’t rub this milk accidentally on your eyes?’” Pitesky said. “To me, that just seems like we’re playing with fire a little.”\u003c/p>\n\u003cp>Since early October, California has reported 29 confirmed human cases of bird flu, according to CDPH. Of those cases, 28 people had direct contact with infected dairy cows and all cases had mild symptoms, primarily eye infections. None required hospitalization.\u003c/p>\n\u003cp>Last week, California public health officials identified a \u003ca href=\"https://www.kqed.org/news/12014955/bay-area-potential-first-bird-flu-case-reported-alameda-county-child\">possible case of bird flu in a child\u003c/a> in Alameda County.\u003c/p>\n\u003cp>To date, there has been no person-to-person spread in the state or the country, according to CDPH.\u003c/p>\n\u003cp>\u003c/p>\n\u003c/div>\u003c/p>",
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"title": "RFK Jr. Fought California's Vaccine Mandates — and Lost. Now, He Could Set US Health Policy",
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"content": "\u003cp>Five years ago, hundreds of people crowded the halls of the state Capitol, protesting legislation that sought to tighten California’s vaccine rules. Outside, music blasted something about a revolution, and people carried signs that read, “Vaccine mandates violate bodily autonomy.”\u003c/p>\n\u003cp>From the sea of red-clad protesters emerged a familiar face idolized \u003ca href=\"https://www.youtube.com/watch?v=9-QfrVFUoD8\">by the anti-vaccine activists\u003c/a>: Robert F. Kennedy Jr.\u003c/p>\n\u003cp>He was the guest of honor in one of the \u003ca href=\"https://calmatters.org/health/2019/09/california-legislature-protest-menstrual-blood-ani-vaccine/\">biggest public health showdowns\u003c/a> the state has seen in recent years. Ultimately, he and his followers lost — \u003ca href=\"https://leginfo.legislature.ca.gov/faces/billTextClient.xhtml?bill_id=201920200SB276\">the Legislature passed a law\u003c/a> to clamp down on fraudulent or inappropriate medical exemptions for required childhood vaccines.\u003c/p>\n\u003cp>Today, Kennedy finds himself on a bigger stage with potentially far more influence and power. President-elect Donald Trump has nominated the former environmental lawyer turned controversial vaccine critic to oversee the nation’s health policy as secretary of health and human services.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>He has been known to make false, and at times dangerous, claims about medicine and public health. Perhaps most infamously, he \u003ca href=\"https://www.washingtonpost.com/lifestyle/magazine/robert-kennedy-jrs-belief-in-autism-vaccine-connection-and-its-political-peril/2014/07/16/f21c01ee-f70b-11e3-a606-946fd632f9f1_story.html\">linked vaccines to autism\u003c/a> — a claim that has been debunked over and over again.\u003c/p>\n\u003cp>Now, with Kennedy in the running to lead the federal health department, health leaders and advocates in California and across the country are voicing their concerns and preparing to combat a potential wave of medical disinformation.\u003c/p>\n\u003cp>Having a vaccine skeptic at the helm of the U.S. Department of Health and Human Services, some say, could lead to more Americans refusing to be vaccinated and potentially putting lives at risk. It could also embolden the anti-vaccine movement in California.\u003c/p>\n\u003cp>\u003ca href=\"https://calmatters.org/tag/richard-pan/\">Dr. Richard Pan\u003c/a>, a pediatrician who, as a state senator, authored the 2019 medical exemption law and a separate law that eliminated personal belief exemptions for childhood vaccines, said having a health secretary who casts doubt on vaccines is “a danger” and “disturbing.”\u003c/p>\n\u003cp>“I imagine we’re going to see a lot more direct attacks on individual scientists, individual people. I’m anticipating that I’m probably gonna be hoisted somewhere by those guys as well. I don’t think RFK Jr. has forgotten about me yet,” he said.\u003c/p>\n\u003cp>Pan said he met Kennedy twice when Kennedy traveled to Sacramento to oppose his bills.\u003c/p>\n\u003cp>Carrying those laws made Pan the subject of harassment and attacks, and at one point, an \u003ca href=\"https://www.sacbee.com/news/politics-government/capitol-alert/article234231737.html\">anti-vaccine activist shoved him\u003c/a> while Pan was walking in a Sacramento street. At protests, anti-vaccine activists plastered Pan’s face on posters with the word “LIAR” in red letters.\u003c/p>\n\u003cp>Now, people who rallied against his vaccine bills are celebrating Kennedy’s potential spot in Trump’s cabinet and calling for “justice” via social media posts.\u003c/p>\n\u003cp>In one of their last quarrels, Pan publicly called for Kennedy to be banned from social media platforms when Kennedy promoted COVID-19 disinformation. In response, Kennedy \u003ca href=\"https://www.sacbee.com/news/politics-government/capitol-alert/article249557493.html\">told the Sacramento Bee\u003c/a> that Pan’s request for censorship was anti-American.\u003c/p>\n\u003cp>More recently, Kennedy has taken a more measured approach when responding to questions about vaccines. Following Trump’s win, \u003ca href=\"https://www.youtube.com/watch?v=-fMfOnKUfik\">he told NBC News\u003c/a> that he isn’t looking to take vaccines off the market but rather is advocating for informed choice.\u003c/p>\n\u003cp>“If vaccines are working for somebody, I’m not going to take them away,” he said.\u003c/p>\n\u003ch2>What can RFK Jr. do as health secretary?\u003c/h2>\n\u003cp>If Kennedy is confirmed as head of health and human services, he would oversee a $1.7 trillion budget and about a dozen agencies. He would be responsible for managing pandemic preparedness and would be in charge of issues ranging from health insurance to food safety.\u003c/p>\n\u003cp>Experts say that any controversial changes would likely be met with litigation that could slow or derail Kennedy’s proposals. Still, there are several ways anti-vaccine sentiment in the federal government could undermine public health gains in states.\u003c/p>\n\u003cp>For example, school immunization mandates are issued by states, and while the federal government cannot directly change those, it could decide to withhold public health funding, such as grants sent to states to help fund vaccination efforts, said Dorit Reiss, a professor at UC Law San Francisco.\u003c/p>\n\u003cp>As health secretary, Kennedy would also have the power to appoint members of an advisory committee that makes recommendations on immunization practices to the U.S. Centers for Disease Control and Prevention.\u003c/p>\n\u003cp>Reiss added that the health secretary also has the power to expedite or limit access to new vaccines, which would become especially important in the case of another pandemic.\u003c/p>\n\u003cp>It is the secretary of health and human services who declares a public health emergency and \u003ca href=\"https://www.fda.gov/emergency-preparedness-and-response/mcm-legal-regulatory-and-policy-framework/emergency-use-authorization\">issues emergency use authorization\u003c/a> for unapproved vaccines. When COVID-19 shots were first made available to the public in December 2020, they were allowed under this emergency designation. The U.S. Food and Drug Administration fully approved the vaccine for people 16 and older nine months later.\u003c/p>\n\u003cp>A secretary hostile to vaccines could block or remove the emergency use authorization. That means the vaccine manufacturer “would have to either apply for full approval at the moment or not sell the vaccine,” Reiss said.\u003c/p>\n\u003cp>Kennedy told NBC that he wouldn’t have “directly blocked” the emergency use of COVID-19 vaccines had he been secretary at the time but rather would have made sure that “we have the best science.”\u003c/p>\n\u003cp>Yet, at the height of the pandemic, Kennedy helped fuel mistrust of the coronavirus vaccine. In 2021, \u003ca href=\"https://www.politifact.com/factchecks/2021/dec/10/robert-f-kennedy-jr/no-covid-19-vaccine-not-deadliest-vaccine-ever-mad/\">he called it the “deadliest vaccine ever made”\u003c/a> in opposition to a Louisiana proposal that would have required school children to be vaccinated against the virus.\u003c/p>\n\u003ch2>California vaccine mandates\u003c/h2>\n\u003cp>In 2010, the California Legislature passed \u003ca href=\"https://www.cde.ca.gov/ls/he/hn/pertussis.asp\">a law that added a booster of the pertussis vaccine\u003c/a>, which protects against whooping cough, to the immunization schedule for teens to attend school. Catherine Flores Martin, the executive director of California Immunization Coalition, a nonprofit that advocates for vaccines, remembers when lawmakers were considering this bill, roughly about 18 people or so showed up in opposition, she said.\u003c/p>\n\u003cp>Fast-forward to 2015 and 2019, opposition to vaccine legislation evolved into mass protests of hundreds of people. “It’s gotten wild,” Flores Martin said.\u003c/p>\n\u003cp>“The vast majority of parents still vaccinate their children,” she said. “We hear a lot about hesitancy, but hesitancy doesn’t convert into not vaccinating.”\u003c/p>\n\u003cfigure id=\"attachment_12015843\" class=\"wp-caption aligncenter\" style=\"max-width: 1200px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-12015843\" src=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2024/11/112224-Richard-Pan-RC-AP-01-CM.jpg\" alt=\"\" width=\"1200\" height=\"800\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2024/11/112224-Richard-Pan-RC-AP-01-CM.jpg 1200w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/11/112224-Richard-Pan-RC-AP-01-CM-800x533.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/11/112224-Richard-Pan-RC-AP-01-CM-1020x680.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/11/112224-Richard-Pan-RC-AP-01-CM-160x107.jpg 160w\" sizes=\"auto, (max-width: 1200px) 100vw, 1200px\">\u003cfigcaption class=\"wp-caption-text\">Dr. Richard Pan, former state senator, speaks in a news conference after visiting a Kaiser Permanente warehouse in Downey on Saturday, March 18, 2023. He wrote California laws that tightened childhood vaccine mandates. \u003ccite>(Ringo Chiu, AP Photo)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>In the 2021–22 school year, 94% of California’s kindergarteners had received the required vaccines, the state’s public health department reported.\u003c/p>\n\u003cp>But Flores Martin acknowledges that it has become more challenging to pass vaccine legislation as opposition has become louder in California. She attributes this in part to the growing role of misinformation shared on social media platforms.\u003c/p>\n\u003cp>State public health officials did not respond to an interview request by deadline.\u003c/p>\n\u003cp>[aside label='More Health News' tag='health']\u003c/p>\n\u003cp>The year 2014 was notable in public health for a couple of reasons. That year, whooping cough infections peaked, \u003ca href=\"https://www.cdph.ca.gov/Programs/CID/DCDC/pages/immunization/pertussis.aspx\">with more than 11,000 cases reported in the state\u003c/a>, the most ever. Also, in December of that year, a measles outbreak at Disneyland contributed to \u003ca href=\"https://pmc.ncbi.nlm.nih.gov/articles/PMC8828106/\">the highest number of measles cases reported in the U.S.\u003c/a> in two decades. Most of the cases were among unvaccinated children. The outbreak resulted in hospitalizations, but no deaths were reported.\u003c/p>\n\u003cp>In California, the vaccine that protects against measles, mumps and rubella is \u003ca href=\"https://www.cdph.ca.gov/Programs/CID/DCDC/CDPH%20Document%20Library/Immunization/IMM-231.pdf\">among the required doses for kids (PDF)\u003c/a> to attend school. So are the polio vaccine and the Hepatitis B vaccine, among others. It was this measles outbreak that led the Legislature in 2015 to remove personal belief and religious exemptions for required shots.\u003c/p>\n\u003cp>Then, in 2019, lawmakers came back and approved a second law that allowed the state’s Department of Public Health \u003ca href=\"https://www.sfchronicle.com/politics/article/California-rejected-6-of-medical-exemptions-for-16556125.php\">to review and revoke inappropriate medical exemptions\u003c/a>. Medical exemptions have to be made by a physician and are reserved for small groups of people, such as those who are allergic to vaccine ingredients.\u003c/p>\n\u003cp>Following the 2019 law, the rate of kindergarteners with medical exemptions \u003ca href=\"https://www.cdph.ca.gov/Programs/CID/DCDC/CDPH%20Document%20Library/Immunization/2021-22KindergartenSummaryReport.pdf\">decreased to the lowest levels since 2015–16 (PDF)\u003c/a>, according to the state’s public health department. However, research shows that because of disruption in routine doctor visits during the pandemic, the number of \u003ca href=\"https://jamanetwork.com/journals/jama/fullarticle/2810396\">kindergarteners who were not up to date\u003c/a> on their immunizations ticked up.\u003c/p>\n\u003cp>Health advocates and experts say that it is now more important than ever to instill confidence in vaccines and proven public health measures. Flores Martin said doctors and health advocates will have to band together and push vaccine education to maintain high immunization rates. The messaging matters, she said.\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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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>Five years ago, hundreds of people crowded the halls of the state Capitol, protesting legislation that sought to tighten California’s vaccine rules. Outside, music blasted something about a revolution, and people carried signs that read, “Vaccine mandates violate bodily autonomy.”\u003c/p>\n\u003cp>From the sea of red-clad protesters emerged a familiar face idolized \u003ca href=\"https://www.youtube.com/watch?v=9-QfrVFUoD8\">by the anti-vaccine activists\u003c/a>: Robert F. Kennedy Jr.\u003c/p>\n\u003cp>He was the guest of honor in one of the \u003ca href=\"https://calmatters.org/health/2019/09/california-legislature-protest-menstrual-blood-ani-vaccine/\">biggest public health showdowns\u003c/a> the state has seen in recent years. Ultimately, he and his followers lost — \u003ca href=\"https://leginfo.legislature.ca.gov/faces/billTextClient.xhtml?bill_id=201920200SB276\">the Legislature passed a law\u003c/a> to clamp down on fraudulent or inappropriate medical exemptions for required childhood vaccines.\u003c/p>\n\u003cp>Today, Kennedy finds himself on a bigger stage with potentially far more influence and power. President-elect Donald Trump has nominated the former environmental lawyer turned controversial vaccine critic to oversee the nation’s health policy as secretary of health and human services.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>He has been known to make false, and at times dangerous, claims about medicine and public health. Perhaps most infamously, he \u003ca href=\"https://www.washingtonpost.com/lifestyle/magazine/robert-kennedy-jrs-belief-in-autism-vaccine-connection-and-its-political-peril/2014/07/16/f21c01ee-f70b-11e3-a606-946fd632f9f1_story.html\">linked vaccines to autism\u003c/a> — a claim that has been debunked over and over again.\u003c/p>\n\u003cp>Now, with Kennedy in the running to lead the federal health department, health leaders and advocates in California and across the country are voicing their concerns and preparing to combat a potential wave of medical disinformation.\u003c/p>\n\u003cp>Having a vaccine skeptic at the helm of the U.S. Department of Health and Human Services, some say, could lead to more Americans refusing to be vaccinated and potentially putting lives at risk. It could also embolden the anti-vaccine movement in California.\u003c/p>\n\u003cp>\u003ca href=\"https://calmatters.org/tag/richard-pan/\">Dr. Richard Pan\u003c/a>, a pediatrician who, as a state senator, authored the 2019 medical exemption law and a separate law that eliminated personal belief exemptions for childhood vaccines, said having a health secretary who casts doubt on vaccines is “a danger” and “disturbing.”\u003c/p>\n\u003cp>“I imagine we’re going to see a lot more direct attacks on individual scientists, individual people. I’m anticipating that I’m probably gonna be hoisted somewhere by those guys as well. I don’t think RFK Jr. has forgotten about me yet,” he said.\u003c/p>\n\u003cp>Pan said he met Kennedy twice when Kennedy traveled to Sacramento to oppose his bills.\u003c/p>\n\u003cp>Carrying those laws made Pan the subject of harassment and attacks, and at one point, an \u003ca href=\"https://www.sacbee.com/news/politics-government/capitol-alert/article234231737.html\">anti-vaccine activist shoved him\u003c/a> while Pan was walking in a Sacramento street. At protests, anti-vaccine activists plastered Pan’s face on posters with the word “LIAR” in red letters.\u003c/p>\n\u003cp>Now, people who rallied against his vaccine bills are celebrating Kennedy’s potential spot in Trump’s cabinet and calling for “justice” via social media posts.\u003c/p>\n\u003cp>In one of their last quarrels, Pan publicly called for Kennedy to be banned from social media platforms when Kennedy promoted COVID-19 disinformation. In response, Kennedy \u003ca href=\"https://www.sacbee.com/news/politics-government/capitol-alert/article249557493.html\">told the Sacramento Bee\u003c/a> that Pan’s request for censorship was anti-American.\u003c/p>\n\u003cp>More recently, Kennedy has taken a more measured approach when responding to questions about vaccines. Following Trump’s win, \u003ca href=\"https://www.youtube.com/watch?v=-fMfOnKUfik\">he told NBC News\u003c/a> that he isn’t looking to take vaccines off the market but rather is advocating for informed choice.\u003c/p>\n\u003cp>“If vaccines are working for somebody, I’m not going to take them away,” he said.\u003c/p>\n\u003ch2>What can RFK Jr. do as health secretary?\u003c/h2>\n\u003cp>If Kennedy is confirmed as head of health and human services, he would oversee a $1.7 trillion budget and about a dozen agencies. He would be responsible for managing pandemic preparedness and would be in charge of issues ranging from health insurance to food safety.\u003c/p>\n\u003cp>Experts say that any controversial changes would likely be met with litigation that could slow or derail Kennedy’s proposals. Still, there are several ways anti-vaccine sentiment in the federal government could undermine public health gains in states.\u003c/p>\n\u003cp>For example, school immunization mandates are issued by states, and while the federal government cannot directly change those, it could decide to withhold public health funding, such as grants sent to states to help fund vaccination efforts, said Dorit Reiss, a professor at UC Law San Francisco.\u003c/p>\n\u003cp>As health secretary, Kennedy would also have the power to appoint members of an advisory committee that makes recommendations on immunization practices to the U.S. Centers for Disease Control and Prevention.\u003c/p>\n\u003cp>Reiss added that the health secretary also has the power to expedite or limit access to new vaccines, which would become especially important in the case of another pandemic.\u003c/p>\n\u003cp>It is the secretary of health and human services who declares a public health emergency and \u003ca href=\"https://www.fda.gov/emergency-preparedness-and-response/mcm-legal-regulatory-and-policy-framework/emergency-use-authorization\">issues emergency use authorization\u003c/a> for unapproved vaccines. When COVID-19 shots were first made available to the public in December 2020, they were allowed under this emergency designation. The U.S. Food and Drug Administration fully approved the vaccine for people 16 and older nine months later.\u003c/p>\n\u003cp>A secretary hostile to vaccines could block or remove the emergency use authorization. That means the vaccine manufacturer “would have to either apply for full approval at the moment or not sell the vaccine,” Reiss said.\u003c/p>\n\u003cp>Kennedy told NBC that he wouldn’t have “directly blocked” the emergency use of COVID-19 vaccines had he been secretary at the time but rather would have made sure that “we have the best science.”\u003c/p>\n\u003cp>Yet, at the height of the pandemic, Kennedy helped fuel mistrust of the coronavirus vaccine. In 2021, \u003ca href=\"https://www.politifact.com/factchecks/2021/dec/10/robert-f-kennedy-jr/no-covid-19-vaccine-not-deadliest-vaccine-ever-mad/\">he called it the “deadliest vaccine ever made”\u003c/a> in opposition to a Louisiana proposal that would have required school children to be vaccinated against the virus.\u003c/p>\n\u003ch2>California vaccine mandates\u003c/h2>\n\u003cp>In 2010, the California Legislature passed \u003ca href=\"https://www.cde.ca.gov/ls/he/hn/pertussis.asp\">a law that added a booster of the pertussis vaccine\u003c/a>, which protects against whooping cough, to the immunization schedule for teens to attend school. Catherine Flores Martin, the executive director of California Immunization Coalition, a nonprofit that advocates for vaccines, remembers when lawmakers were considering this bill, roughly about 18 people or so showed up in opposition, she said.\u003c/p>\n\u003cp>Fast-forward to 2015 and 2019, opposition to vaccine legislation evolved into mass protests of hundreds of people. “It’s gotten wild,” Flores Martin said.\u003c/p>\n\u003cp>“The vast majority of parents still vaccinate their children,” she said. “We hear a lot about hesitancy, but hesitancy doesn’t convert into not vaccinating.”\u003c/p>\n\u003cfigure id=\"attachment_12015843\" class=\"wp-caption aligncenter\" style=\"max-width: 1200px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-12015843\" src=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2024/11/112224-Richard-Pan-RC-AP-01-CM.jpg\" alt=\"\" width=\"1200\" height=\"800\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2024/11/112224-Richard-Pan-RC-AP-01-CM.jpg 1200w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/11/112224-Richard-Pan-RC-AP-01-CM-800x533.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/11/112224-Richard-Pan-RC-AP-01-CM-1020x680.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/11/112224-Richard-Pan-RC-AP-01-CM-160x107.jpg 160w\" sizes=\"auto, (max-width: 1200px) 100vw, 1200px\">\u003cfigcaption class=\"wp-caption-text\">Dr. Richard Pan, former state senator, speaks in a news conference after visiting a Kaiser Permanente warehouse in Downey on Saturday, March 18, 2023. He wrote California laws that tightened childhood vaccine mandates. \u003ccite>(Ringo Chiu, AP Photo)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>In the 2021–22 school year, 94% of California’s kindergarteners had received the required vaccines, the state’s public health department reported.\u003c/p>\n\u003cp>But Flores Martin acknowledges that it has become more challenging to pass vaccine legislation as opposition has become louder in California. She attributes this in part to the growing role of misinformation shared on social media platforms.\u003c/p>\n\u003cp>State public health officials did not respond to an interview request by deadline.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>The year 2014 was notable in public health for a couple of reasons. That year, whooping cough infections peaked, \u003ca href=\"https://www.cdph.ca.gov/Programs/CID/DCDC/pages/immunization/pertussis.aspx\">with more than 11,000 cases reported in the state\u003c/a>, the most ever. Also, in December of that year, a measles outbreak at Disneyland contributed to \u003ca href=\"https://pmc.ncbi.nlm.nih.gov/articles/PMC8828106/\">the highest number of measles cases reported in the U.S.\u003c/a> in two decades. Most of the cases were among unvaccinated children. The outbreak resulted in hospitalizations, but no deaths were reported.\u003c/p>\n\u003cp>In California, the vaccine that protects against measles, mumps and rubella is \u003ca href=\"https://www.cdph.ca.gov/Programs/CID/DCDC/CDPH%20Document%20Library/Immunization/IMM-231.pdf\">among the required doses for kids (PDF)\u003c/a> to attend school. So are the polio vaccine and the Hepatitis B vaccine, among others. It was this measles outbreak that led the Legislature in 2015 to remove personal belief and religious exemptions for required shots.\u003c/p>\n\u003cp>Then, in 2019, lawmakers came back and approved a second law that allowed the state’s Department of Public Health \u003ca href=\"https://www.sfchronicle.com/politics/article/California-rejected-6-of-medical-exemptions-for-16556125.php\">to review and revoke inappropriate medical exemptions\u003c/a>. Medical exemptions have to be made by a physician and are reserved for small groups of people, such as those who are allergic to vaccine ingredients.\u003c/p>\n\u003cp>Following the 2019 law, the rate of kindergarteners with medical exemptions \u003ca href=\"https://www.cdph.ca.gov/Programs/CID/DCDC/CDPH%20Document%20Library/Immunization/2021-22KindergartenSummaryReport.pdf\">decreased to the lowest levels since 2015–16 (PDF)\u003c/a>, according to the state’s public health department. However, research shows that because of disruption in routine doctor visits during the pandemic, the number of \u003ca href=\"https://jamanetwork.com/journals/jama/fullarticle/2810396\">kindergarteners who were not up to date\u003c/a> on their immunizations ticked up.\u003c/p>\n\u003cp>Health advocates and experts say that it is now more important than ever to instill confidence in vaccines and proven public health measures. Flores Martin said doctors and health advocates will have to band together and push vaccine education to maintain high immunization rates. The messaging matters, she said.\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": "following-abortion-playbook-trump-likely-to-limit-federal-funding-for-trans-health-care",
"title": "Following Abortion Playbook, Trump Likely to Limit Federal Funding for Trans Health Care",
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"content": "\u003cp>Ringing in voters’ ears in the final weeks of the presidential campaign was the tagline: “Kamala is for they/them. Trump is for you.”\u003c/p>\n\u003cp>With the success of that part of its closing argument, the new Trump administration is likely to turn to policy affecting transgender people early in its tenure. The issue is mentioned twice in President-elect Donald Trump’s 20-point \u003ca href=\"https://www.donaldjtrump.com/platform\">“Agenda 47” platform\u003c/a>: #16 Cut funding to schools that teach “radical gender ideology”; and #17 “Keep men out of women’s sports.”\u003c/p>\n\u003cp>But what about health care for transgender people? The Trump campaign and conservative think tanks offer several indications of how policy could change.\u003c/p>\n\u003cp>A federal ban on gender-affirming care for minors is likely, says Jon Schweppe, policy director at the American Principles Project, a conservative political advocacy group that has advocated against transgender policy for years. “With adults, I think the American people are much less enthusiastic about a full ban [on gender affirming care], but with kids, they’re all about it,” Schweppe asserts. \u003ca href=\"https://www.kff.org/other/dashboard/gender-affirming-care-policy-tracker/\">About half of states\u003c/a> have enacted such a ban, although polls vary on how much or little the broader public supports these efforts.\u003c/p>\n\u003cp>There are also plans to curb access to gender transition by limiting insurance coverage. To do this, Republicans could take a page from the anti-abortion rights playbook.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>“Definitely one of our goals is to create a Hyde Amendment for so-called gender-affirming care,” says Schweppe. The Hyde Amendment is a \u003ca href=\"https://www.kff.org/womens-health-policy/issue-brief/the-hyde-amendment-and-coverage-for-abortion-services-under-medicaid-in-the-post-roe-era/#:~:text=Starting%20in%201977%2C%20the%20Hyde,result%20from%20rape%20or%20incest.\">1977 policy\u003c/a> that prohibits federal dollars from paying for abortion with limited exceptions.\u003c/p>\n\u003cp>“We don’t believe taxpayer funding should go towards that for minors or for adults. We’ve poll tested that, and we’re pretty confident that the American people agree,” Schweppe says.\u003c/p>\n\u003cp>The Hyde Amendment largely is responsible for how abortion came to operate outside of the usual health insurance system. Patients often pay in cash, either because they don’t have coverage for abortion, or because they don’t want an abortion on their medical record. In response, abortion funds were created to allow people who don’t have insurance coverage or the means to afford an abortion on their own to have access.\u003c/p>\n\u003ch2>Investment in ‘a political winner’\u003c/h2>\n\u003cp>In the presidential race alone, Republicans spent more than $46 million on the “Kamala is for they/them” message, according to a report by AdImpact shared with NPR.\u003c/p>\n\u003cp>“This has shown itself to be a political winner,” says Schweppe. Overall, the party spent $222 million on anti-trans and LGBTQ ads during the 2024 campaign. Democrats, in contrast, spent just under $29 million on LGBTQ ads.\u003c/p>\n\u003cp>Some congressional Republicans are signaling their eagerness to turn anti-trans campaign messaging into lawmaking. Weeks before the new session begins, proposed laws and policies about \u003ca href=\"https://www.npr.org/2024/11/19/nx-s1-5196116/capitol-transgender-bathroom-ban-nancy-mace-sarah-mcbride\">bathroom access\u003c/a> have been crafted to take aim at incoming Rep. Sarah McBride D-Del., who will be the first transgender lawmaker in U.S. history.\u003c/p>\n\u003cfigure id=\"attachment_12012863\" class=\"wp-caption aligncenter\" style=\"max-width: 2560px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-12012863\" src=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2024/11/gettyimages-2051568476-scaled.jpeg\" alt=\"\" width=\"2560\" height=\"1707\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2024/11/gettyimages-2051568476-scaled.jpeg 2560w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/11/gettyimages-2051568476-800x533.jpeg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/11/gettyimages-2051568476-1020x680.jpeg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/11/gettyimages-2051568476-160x107.jpeg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/11/gettyimages-2051568476-1536x1024.jpeg 1536w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/11/gettyimages-2051568476-2048x1365.jpeg 2048w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/11/gettyimages-2051568476-1920x1280.jpeg 1920w\" sizes=\"auto, (max-width: 2560px) 100vw, 2560px\">\u003cfigcaption class=\"wp-caption-text\">Democratic congressional candidate from Delaware Sarah McBride chats with State Sen. Dave Sokola (left) following a press conference on the steps of Delaware Legislative Hall on March 4, 2024, in Dover, Delaware. \u003ccite>(Kent Nishimura/Getty Images)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003ch2>Other promises and policies\u003c/h2>\n\u003cp>In 2023, the Trump campaign \u003ca href=\"https://www.donaldjtrump.com/agenda47/president-trumps-plan-to-protect-children-from-left-wing-gender-insanity\">released a video\u003c/a> and outline of some policy steps Republicans would take “to protect children from left-wing gender insanity.”\u003c/p>\n\u003cp>Specifically, Trump promised to:\u003c/p>\n\u003cul>\n\u003cli>Ban gender-affirming care for youth nationally.\u003c/li>\n\u003cli>Ban Medicare and Medicaid insurance coverage for gender-affirming care for patients of all ages and withhold federal funds from hospitals that provide the care.\u003c/li>\n\u003cli>Enact consequences for schools and teachers that affirm transgender youth.\u003c/li>\n\u003c/ul>\n\u003cp>Trump also wants a Justice Department investigation into how drug companies and hospitals are providing gender-affirming care, and he will seek to pass a federal law saying Title 9 prohibits transgender women and girls from participating in women’s sports.\u003c/p>\n\u003cp>Overall, Matt Sharp of the Christian conservative legal group Alliance Defending Freedom says he’s hopeful that the Trump administration will enact policies establishing that “differences between men and women matter, and that states and schools and other places will be allowed to go back to common sense and to recognize those differences.”\u003c/p>\n\u003cp>Even supporters of access to gender-affirming care agree that restrictions are likely coming when Trump takes office. “It’s very clear that they have a coherent, anti-trans agenda that they’re going to pursue, so we’re preparing along multiple fronts,” says \u003ca href=\"https://www.aclu.org/bio/harper-seldin\">Harper Seldin\u003c/a>, a staff attorney at the ACLU’s LGBTQ & HIV Project.\u003c/p>\n\u003cp>Trans people saw all those ads, too, Seldin says. “Without in any way speculating on what that did or did not do to the ultimate result [of the election], I do think it creates a climate of fear for trans people,” he says. “I think it also creates a lot of permission for a climate of hate for people who are opposed to trans people. It really positions transgender people as the enemy of the regular American polity — and trans people are people, too.”\u003c/p>\n\u003cfigure id=\"attachment_11943966\" class=\"wp-caption aligncenter\" style=\"max-width: 1920px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-11943966\" src=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2023/03/RS54556_GettyImages-1385208037-qut.jpg\" alt=\"A family with two adults and achild on one of the adults' shoulders see from behind, holding a sign that reads "Protect Trans Kids"\" width=\"1920\" height=\"1280\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2023/03/RS54556_GettyImages-1385208037-qut.jpg 1920w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/03/RS54556_GettyImages-1385208037-qut-800x533.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/03/RS54556_GettyImages-1385208037-qut-1020x680.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/03/RS54556_GettyImages-1385208037-qut-160x107.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/03/RS54556_GettyImages-1385208037-qut-1536x1024.jpg 1536w\" sizes=\"auto, (max-width: 1920px) 100vw, 1920px\">\u003cfigcaption class=\"wp-caption-text\">People outside the Capitol in St. Paul, Minnesota, on March 6, 2022, protesting attacks against transgender kids. \u003ccite>(Michael Siluk/UCG/Universal Images Group via Getty Images)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003ch2>Transgender young people in the spotlight\u003c/h2>\n\u003cp>Although Trump’s policy goals when it comes to trans people would affect adults in some ways, the focus of a lot of conservative activism on this issue has centered on kids.\u003c/p>\n\u003cp>Major American medical groups, including the American Academy of Pediatrics, the American Medical Association, and the Endocrine Society support access to gender-affirming care for youth, which can range from using a child’s preferred pronouns to using puberty blocking medications and sex hormones. (Surgery is very rare for minors.)\u003c/p>\n\u003cp>According to a \u003ca href=\"https://www.cdc.gov/mmwr/volumes/73/su/su7304a9.htm?s_cid=su7304a9_w\">recent report\u003c/a> from the Centers for Disease Control and Prevention, 3% of high school students describe themselves as transgender, although not all of them necessarily want medical interventions related to that identity.\u003c/p>\n\u003cp>CDC found trans students “experienced a higher prevalence of violence, poor mental health, suicidal thoughts and behaviors, and unstable housing.” The report goes on to note that “having supportive families and peers, feeling connected to family and school, having affirmed name and pronouns used consistently by others, and having a sense of pride of identity are protective factors for transgender students that buffer the effects of minority stressors and promote better mental health.”\u003c/p>\n\u003cp>The Trevor Project, which runs a 24/7 crisis line for LGBTQ youth and answers calls from the 988 crisis line for this population, recently \u003ca href=\"https://www.npr.org/sections/shots-health-news/2024/09/25/nx-s1-5127347/more-trans-teens-attempted-suicide-after-states-passed-anti-trans-laws-a-study-shows\">published an analysis\u003c/a> finding that transgender youth were more likely to attempt suicide after their home state passed a ban on gender affirming care for youth.\u003c/p>\n\u003cp>The day after the election, there was a 700% increase in calls to the crisis line, which marked the largest surge in daily contact ever, the Trevor Project wrote to NPR in a statement. Even though the volume has done down since Nov 6, “volume remains higher than normal as LGBTQ+ young people continue to reach out, overwhelmingly, to discuss concerns about the 2024 election results,” the statement reads.\u003c/p>\n\u003cp>Schweppe, of the American Principles Project, dismisses that data point, claiming research on suicide risk in this population is exaggerated. “We are diametrically opposed to what their goals are,” he says of the Trevor Project, whose work he described as indoctrination.\u003c/p>\n\u003cp>Even if children may be suffering from gender dysphoria, he says, “we should be trying to help them identify with their with their biological sex, try to feel help them feel comfortable with their bodies, not tell them that their bodies are wrong, that the way God made them is wrong,” he says.\u003c/p>\n\u003cp>Importantly, the American Academy of Pediatrics notes in \u003ca href=\"https://publications.aap.org/pediatrics/article/142/4/e20182162/37381/Ensuring-Comprehensive-Care-and-Support-for?autologincheck=redirected\">a policy statement\u003c/a> that conversion or reparative therapies “have been proven to be not only unsuccessful but also deleterious and are considered outside the mainstream of traditional medical practice.”\u003c/p>\n\u003ch2>The shifting legal landscape\u003c/h2>\n\u003cp>On Dec. 4, before the next Trump presidential term begins in January, the Supreme Court will hear arguments on whether Tennessee’s ban on gender-affirming care for transgender youth is constitutional, and by extension, the bans in 25 other states.\u003c/p>\n\u003cp>Sharp of the Alliance Defending Freedom says he hopes that the high court will decide on the substance of the case. “Ultimately, we hope that it will rule in favor of these state laws and allow them to go into effect,” he says.\u003c/p>\n\u003cp>Seldin of the ACLU, which represents the Tennessee transgender kids and families who brought the case, says it’s hard to predict what will happen after oral arguments, but that they’re prepared to “be flexible with what we need to do to meet the moment.” He says LGBTQ advocates are equally determined to keep fighting for the rights of transgender people.\u003c/p>\n\u003cp>If the justices do hold that the bans are unconstitutional, conservative advocacy groups like the American Principles Project plan to “pursue other avenues to effectively shut down these gender clinics,” Schweppe says. That’s the overall goal, he adds. “I think we’ve been very transparent about that.”\u003c/p>\n\u003cp>He’s not worried about the difficulties of passing laws on transgender issues with narrow Republican majorities in the House and Senate. He points to \u003ca href=\"https://www.nytimes.com/2024/11/06/nyregion/democrats-house-ny.html\">several Democrats\u003c/a> who argued in recent weeks that support for transgender people cost the party electoral wins, and who might cross party lines to support a bill on women’s sports, for instance.\u003c/p>\n\u003cp>[ad floatright]\u003c/p>\n\u003cp>“The case that groups like ours are making to Republican leadership is that, not only is this the right thing to do and these are the right laws to pass, but they’re also of great political benefit,” he says.\u003c/p>\n\n",
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"title": "Following Abortion Playbook, Trump Likely to Limit Federal Funding for Trans Health Care | KQED",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>Ringing in voters’ ears in the final weeks of the presidential campaign was the tagline: “Kamala is for they/them. Trump is for you.”\u003c/p>\n\u003cp>With the success of that part of its closing argument, the new Trump administration is likely to turn to policy affecting transgender people early in its tenure. The issue is mentioned twice in President-elect Donald Trump’s 20-point \u003ca href=\"https://www.donaldjtrump.com/platform\">“Agenda 47” platform\u003c/a>: #16 Cut funding to schools that teach “radical gender ideology”; and #17 “Keep men out of women’s sports.”\u003c/p>\n\u003cp>But what about health care for transgender people? The Trump campaign and conservative think tanks offer several indications of how policy could change.\u003c/p>\n\u003cp>A federal ban on gender-affirming care for minors is likely, says Jon Schweppe, policy director at the American Principles Project, a conservative political advocacy group that has advocated against transgender policy for years. “With adults, I think the American people are much less enthusiastic about a full ban [on gender affirming care], but with kids, they’re all about it,” Schweppe asserts. \u003ca href=\"https://www.kff.org/other/dashboard/gender-affirming-care-policy-tracker/\">About half of states\u003c/a> have enacted such a ban, although polls vary on how much or little the broader public supports these efforts.\u003c/p>\n\u003cp>There are also plans to curb access to gender transition by limiting insurance coverage. To do this, Republicans could take a page from the anti-abortion rights playbook.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>“Definitely one of our goals is to create a Hyde Amendment for so-called gender-affirming care,” says Schweppe. The Hyde Amendment is a \u003ca href=\"https://www.kff.org/womens-health-policy/issue-brief/the-hyde-amendment-and-coverage-for-abortion-services-under-medicaid-in-the-post-roe-era/#:~:text=Starting%20in%201977%2C%20the%20Hyde,result%20from%20rape%20or%20incest.\">1977 policy\u003c/a> that prohibits federal dollars from paying for abortion with limited exceptions.\u003c/p>\n\u003cp>“We don’t believe taxpayer funding should go towards that for minors or for adults. We’ve poll tested that, and we’re pretty confident that the American people agree,” Schweppe says.\u003c/p>\n\u003cp>The Hyde Amendment largely is responsible for how abortion came to operate outside of the usual health insurance system. Patients often pay in cash, either because they don’t have coverage for abortion, or because they don’t want an abortion on their medical record. In response, abortion funds were created to allow people who don’t have insurance coverage or the means to afford an abortion on their own to have access.\u003c/p>\n\u003ch2>Investment in ‘a political winner’\u003c/h2>\n\u003cp>In the presidential race alone, Republicans spent more than $46 million on the “Kamala is for they/them” message, according to a report by AdImpact shared with NPR.\u003c/p>\n\u003cp>“This has shown itself to be a political winner,” says Schweppe. Overall, the party spent $222 million on anti-trans and LGBTQ ads during the 2024 campaign. Democrats, in contrast, spent just under $29 million on LGBTQ ads.\u003c/p>\n\u003cp>Some congressional Republicans are signaling their eagerness to turn anti-trans campaign messaging into lawmaking. Weeks before the new session begins, proposed laws and policies about \u003ca href=\"https://www.npr.org/2024/11/19/nx-s1-5196116/capitol-transgender-bathroom-ban-nancy-mace-sarah-mcbride\">bathroom access\u003c/a> have been crafted to take aim at incoming Rep. Sarah McBride D-Del., who will be the first transgender lawmaker in U.S. history.\u003c/p>\n\u003cfigure id=\"attachment_12012863\" class=\"wp-caption aligncenter\" style=\"max-width: 2560px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-12012863\" src=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2024/11/gettyimages-2051568476-scaled.jpeg\" alt=\"\" width=\"2560\" height=\"1707\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2024/11/gettyimages-2051568476-scaled.jpeg 2560w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/11/gettyimages-2051568476-800x533.jpeg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/11/gettyimages-2051568476-1020x680.jpeg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/11/gettyimages-2051568476-160x107.jpeg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/11/gettyimages-2051568476-1536x1024.jpeg 1536w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/11/gettyimages-2051568476-2048x1365.jpeg 2048w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/11/gettyimages-2051568476-1920x1280.jpeg 1920w\" sizes=\"auto, (max-width: 2560px) 100vw, 2560px\">\u003cfigcaption class=\"wp-caption-text\">Democratic congressional candidate from Delaware Sarah McBride chats with State Sen. Dave Sokola (left) following a press conference on the steps of Delaware Legislative Hall on March 4, 2024, in Dover, Delaware. \u003ccite>(Kent Nishimura/Getty Images)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003ch2>Other promises and policies\u003c/h2>\n\u003cp>In 2023, the Trump campaign \u003ca href=\"https://www.donaldjtrump.com/agenda47/president-trumps-plan-to-protect-children-from-left-wing-gender-insanity\">released a video\u003c/a> and outline of some policy steps Republicans would take “to protect children from left-wing gender insanity.”\u003c/p>\n\u003cp>Specifically, Trump promised to:\u003c/p>\n\u003cul>\n\u003cli>Ban gender-affirming care for youth nationally.\u003c/li>\n\u003cli>Ban Medicare and Medicaid insurance coverage for gender-affirming care for patients of all ages and withhold federal funds from hospitals that provide the care.\u003c/li>\n\u003cli>Enact consequences for schools and teachers that affirm transgender youth.\u003c/li>\n\u003c/ul>\n\u003cp>Trump also wants a Justice Department investigation into how drug companies and hospitals are providing gender-affirming care, and he will seek to pass a federal law saying Title 9 prohibits transgender women and girls from participating in women’s sports.\u003c/p>\n\u003cp>Overall, Matt Sharp of the Christian conservative legal group Alliance Defending Freedom says he’s hopeful that the Trump administration will enact policies establishing that “differences between men and women matter, and that states and schools and other places will be allowed to go back to common sense and to recognize those differences.”\u003c/p>\n\u003cp>Even supporters of access to gender-affirming care agree that restrictions are likely coming when Trump takes office. “It’s very clear that they have a coherent, anti-trans agenda that they’re going to pursue, so we’re preparing along multiple fronts,” says \u003ca href=\"https://www.aclu.org/bio/harper-seldin\">Harper Seldin\u003c/a>, a staff attorney at the ACLU’s LGBTQ & HIV Project.\u003c/p>\n\u003cp>Trans people saw all those ads, too, Seldin says. “Without in any way speculating on what that did or did not do to the ultimate result [of the election], I do think it creates a climate of fear for trans people,” he says. “I think it also creates a lot of permission for a climate of hate for people who are opposed to trans people. It really positions transgender people as the enemy of the regular American polity — and trans people are people, too.”\u003c/p>\n\u003cfigure id=\"attachment_11943966\" class=\"wp-caption aligncenter\" style=\"max-width: 1920px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-11943966\" src=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2023/03/RS54556_GettyImages-1385208037-qut.jpg\" alt=\"A family with two adults and achild on one of the adults' shoulders see from behind, holding a sign that reads "Protect Trans Kids"\" width=\"1920\" height=\"1280\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2023/03/RS54556_GettyImages-1385208037-qut.jpg 1920w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/03/RS54556_GettyImages-1385208037-qut-800x533.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/03/RS54556_GettyImages-1385208037-qut-1020x680.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/03/RS54556_GettyImages-1385208037-qut-160x107.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/03/RS54556_GettyImages-1385208037-qut-1536x1024.jpg 1536w\" sizes=\"auto, (max-width: 1920px) 100vw, 1920px\">\u003cfigcaption class=\"wp-caption-text\">People outside the Capitol in St. Paul, Minnesota, on March 6, 2022, protesting attacks against transgender kids. \u003ccite>(Michael Siluk/UCG/Universal Images Group via Getty Images)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003ch2>Transgender young people in the spotlight\u003c/h2>\n\u003cp>Although Trump’s policy goals when it comes to trans people would affect adults in some ways, the focus of a lot of conservative activism on this issue has centered on kids.\u003c/p>\n\u003cp>Major American medical groups, including the American Academy of Pediatrics, the American Medical Association, and the Endocrine Society support access to gender-affirming care for youth, which can range from using a child’s preferred pronouns to using puberty blocking medications and sex hormones. (Surgery is very rare for minors.)\u003c/p>\n\u003cp>According to a \u003ca href=\"https://www.cdc.gov/mmwr/volumes/73/su/su7304a9.htm?s_cid=su7304a9_w\">recent report\u003c/a> from the Centers for Disease Control and Prevention, 3% of high school students describe themselves as transgender, although not all of them necessarily want medical interventions related to that identity.\u003c/p>\n\u003cp>CDC found trans students “experienced a higher prevalence of violence, poor mental health, suicidal thoughts and behaviors, and unstable housing.” The report goes on to note that “having supportive families and peers, feeling connected to family and school, having affirmed name and pronouns used consistently by others, and having a sense of pride of identity are protective factors for transgender students that buffer the effects of minority stressors and promote better mental health.”\u003c/p>\n\u003cp>The Trevor Project, which runs a 24/7 crisis line for LGBTQ youth and answers calls from the 988 crisis line for this population, recently \u003ca href=\"https://www.npr.org/sections/shots-health-news/2024/09/25/nx-s1-5127347/more-trans-teens-attempted-suicide-after-states-passed-anti-trans-laws-a-study-shows\">published an analysis\u003c/a> finding that transgender youth were more likely to attempt suicide after their home state passed a ban on gender affirming care for youth.\u003c/p>\n\u003cp>The day after the election, there was a 700% increase in calls to the crisis line, which marked the largest surge in daily contact ever, the Trevor Project wrote to NPR in a statement. Even though the volume has done down since Nov 6, “volume remains higher than normal as LGBTQ+ young people continue to reach out, overwhelmingly, to discuss concerns about the 2024 election results,” the statement reads.\u003c/p>\n\u003cp>Schweppe, of the American Principles Project, dismisses that data point, claiming research on suicide risk in this population is exaggerated. “We are diametrically opposed to what their goals are,” he says of the Trevor Project, whose work he described as indoctrination.\u003c/p>\n\u003cp>Even if children may be suffering from gender dysphoria, he says, “we should be trying to help them identify with their with their biological sex, try to feel help them feel comfortable with their bodies, not tell them that their bodies are wrong, that the way God made them is wrong,” he says.\u003c/p>\n\u003cp>Importantly, the American Academy of Pediatrics notes in \u003ca href=\"https://publications.aap.org/pediatrics/article/142/4/e20182162/37381/Ensuring-Comprehensive-Care-and-Support-for?autologincheck=redirected\">a policy statement\u003c/a> that conversion or reparative therapies “have been proven to be not only unsuccessful but also deleterious and are considered outside the mainstream of traditional medical practice.”\u003c/p>\n\u003ch2>The shifting legal landscape\u003c/h2>\n\u003cp>On Dec. 4, before the next Trump presidential term begins in January, the Supreme Court will hear arguments on whether Tennessee’s ban on gender-affirming care for transgender youth is constitutional, and by extension, the bans in 25 other states.\u003c/p>\n\u003cp>Sharp of the Alliance Defending Freedom says he hopes that the high court will decide on the substance of the case. “Ultimately, we hope that it will rule in favor of these state laws and allow them to go into effect,” he says.\u003c/p>\n\u003cp>Seldin of the ACLU, which represents the Tennessee transgender kids and families who brought the case, says it’s hard to predict what will happen after oral arguments, but that they’re prepared to “be flexible with what we need to do to meet the moment.” He says LGBTQ advocates are equally determined to keep fighting for the rights of transgender people.\u003c/p>\n\u003cp>If the justices do hold that the bans are unconstitutional, conservative advocacy groups like the American Principles Project plan to “pursue other avenues to effectively shut down these gender clinics,” Schweppe says. That’s the overall goal, he adds. “I think we’ve been very transparent about that.”\u003c/p>\n\u003cp>He’s not worried about the difficulties of passing laws on transgender issues with narrow Republican majorities in the House and Senate. He points to \u003ca href=\"https://www.nytimes.com/2024/11/06/nyregion/democrats-house-ny.html\">several Democrats\u003c/a> who argued in recent weeks that support for transgender people cost the party electoral wins, and who might cross party lines to support a bill on women’s sports, for instance.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>“The case that groups like ours are making to Republican leadership is that, not only is this the right thing to do and these are the right laws to pass, but they’re also of great political benefit,” he says.\u003c/p>\n\n\u003c/div>\u003c/p>",
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"content": "\u003cp>As the country enters another winter respiratory virus season, public officials say that local health departments will be crucial to combating misinformation and the spread of respiratory diseases over the coming years under the incoming Donald Trump administration.\u003c/p>\n\u003cp>In a press conference on Thursday hosted by the Big Cities Health Coalition — a forum for health officials and leaders operating in major metropolitan areas of more than half a million people — Santa Clara Public Health Department Director Dr. Sara Cody said the “hyperlocal” work of public health would continue regardless of any federal “headwinds.”\u003c/p>\n\u003cp>President-elect Trump recently announced that he will be nominating Robert F. Kennedy Jr., secretary of the Health and Human Services Department. The nomination has sparked concern among many health experts due to Kennedy’s \u003ca href=\"https://apnews.com/article/robert-f-kennedy-vaccines-trump-rfkjr-7f8dcb25de76a5a70710d22bbc63f6fa\">well-known criticisms of vaccines and other public health measures. \u003c/a>\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>Appearing alongside public health officials from North Carolina, Tennessee and Ohio, Cody acknowledged the challenge of misinformation during the COVID-19 pandemic from public leaders — \u003ca href=\"https://www.kqed.org/news/12013256/how-health-care-could-change-under-the-new-trump-administration\">including former president Trump\u003c/a> — fueling widespread skepticism and public discourse over vaccination. Now, as rates of respiratory illnesses, including COVID, whooping cough and RSV continue to increase, \u003ca href=\"https://www.thelancet.com/journals/lancet/article/PIIS0140-6736(24)02518-2/fulltext\">health experts and advocates have expressed concern \u003c/a>that the incoming administration and its policies will result in a renewed distrust of public health officials and their recommendations.\u003c/p>\n\u003cp>In these moments, “our strategy going forward is to keep on keeping on,” said Cody. “When there’s a lot of headwinds federally, we turn to our trusted partners on the ground and our communities to help us ensure that people have the information that they need and the tools that they need to stay healthy.”\u003c/p>\n\u003ch2>\u003cstrong>The challenge of vaccine skepticism\u003c/strong>\u003c/h2>\n\u003cp>As of Nov. 7, \u003ca href=\"https://www.cdph.ca.gov/Programs/CID/DCDC/Pages/RespiratoryVirusReport.aspx\">only 9.6% of Californians are up to date on their COVID-19 vaccinations\u003c/a>. \u003ca href=\"https://www.cdph.ca.gov/Programs/CID/DCDC/Pages/RespiratoryVirusReport.aspx\">While positive cases remain low\u003c/a>, the California Department of Public Health reports that numbers are beginning to rise for the virus — and that the same is true for other preventable respiratory viral diseases, including influenza and RSV.\u003c/p>\n\u003cp>“There’s been a lot of noise throughout the COVID pandemic over the last four years,” said Dr. Raynard Washington, director of public health for Mecklenburg County in North Carolina, during the press conference. “We are going to keep doing our work, and we are all charged with the responsibility of doing the right thing to keep people healthy and safe. I think the same charge is true for our state officials as well as federal officials.”[aside label=\"Related Stories\" postID=\"news_12013256,news_12003006,news_12015119\"]Washington noted that \u003ca href=\"https://www.advancingstates.org/hcbs/article/bridge-access-program-ending-august-2024\">federal funding for certain vaccination and public health programs has decreased\u003c/a> over the last couple of years, especially when it comes to services geared toward adults. He said many local health departments throughout the United States are still working, however, to ensure that everyone has access to some form of vaccination and treatment plan.\u003c/p>\n\u003cp>Cody said the Santa Clara County Public Health Department is deploying multiple strategies to ensure that local communities are cared for, including a mobile response team that can address concerns as they arise. But she emphasized that federal support is necessary for the public health system to work — all around the country.\u003c/p>\n\u003cp>“Every American should have an equal chance of living a healthy and productive life,” Cody said. “Local public health is here to do everything in our power, with our teams, to serve every single person in our community who needs us.”\u003c/p>\n\u003cp>“But that should be the case for every single person who lives in our country,” she said.\u003c/p>\n\u003cp>\u003c/p>\n",
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"excerpt": "Public officials say that local health departments will be key in stopping the spread of both respiratory diseases and misinformation in the coming years.",
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"title": "'Keep On Keeping On': California Public Health Officials Express Resolve Ahead of 2nd Trump Term | KQED",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>As the country enters another winter respiratory virus season, public officials say that local health departments will be crucial to combating misinformation and the spread of respiratory diseases over the coming years under the incoming Donald Trump administration.\u003c/p>\n\u003cp>In a press conference on Thursday hosted by the Big Cities Health Coalition — a forum for health officials and leaders operating in major metropolitan areas of more than half a million people — Santa Clara Public Health Department Director Dr. Sara Cody said the “hyperlocal” work of public health would continue regardless of any federal “headwinds.”\u003c/p>\n\u003cp>President-elect Trump recently announced that he will be nominating Robert F. Kennedy Jr., secretary of the Health and Human Services Department. The nomination has sparked concern among many health experts due to Kennedy’s \u003ca href=\"https://apnews.com/article/robert-f-kennedy-vaccines-trump-rfkjr-7f8dcb25de76a5a70710d22bbc63f6fa\">well-known criticisms of vaccines and other public health measures. \u003c/a>\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>Appearing alongside public health officials from North Carolina, Tennessee and Ohio, Cody acknowledged the challenge of misinformation during the COVID-19 pandemic from public leaders — \u003ca href=\"https://www.kqed.org/news/12013256/how-health-care-could-change-under-the-new-trump-administration\">including former president Trump\u003c/a> — fueling widespread skepticism and public discourse over vaccination. Now, as rates of respiratory illnesses, including COVID, whooping cough and RSV continue to increase, \u003ca href=\"https://www.thelancet.com/journals/lancet/article/PIIS0140-6736(24)02518-2/fulltext\">health experts and advocates have expressed concern \u003c/a>that the incoming administration and its policies will result in a renewed distrust of public health officials and their recommendations.\u003c/p>\n\u003cp>In these moments, “our strategy going forward is to keep on keeping on,” said Cody. “When there’s a lot of headwinds federally, we turn to our trusted partners on the ground and our communities to help us ensure that people have the information that they need and the tools that they need to stay healthy.”\u003c/p>\n\u003ch2>\u003cstrong>The challenge of vaccine skepticism\u003c/strong>\u003c/h2>\n\u003cp>As of Nov. 7, \u003ca href=\"https://www.cdph.ca.gov/Programs/CID/DCDC/Pages/RespiratoryVirusReport.aspx\">only 9.6% of Californians are up to date on their COVID-19 vaccinations\u003c/a>. \u003ca href=\"https://www.cdph.ca.gov/Programs/CID/DCDC/Pages/RespiratoryVirusReport.aspx\">While positive cases remain low\u003c/a>, the California Department of Public Health reports that numbers are beginning to rise for the virus — and that the same is true for other preventable respiratory viral diseases, including influenza and RSV.\u003c/p>\n\u003cp>“There’s been a lot of noise throughout the COVID pandemic over the last four years,” said Dr. Raynard Washington, director of public health for Mecklenburg County in North Carolina, during the press conference. “We are going to keep doing our work, and we are all charged with the responsibility of doing the right thing to keep people healthy and safe. I think the same charge is true for our state officials as well as federal officials.”\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>Washington noted that \u003ca href=\"https://www.advancingstates.org/hcbs/article/bridge-access-program-ending-august-2024\">federal funding for certain vaccination and public health programs has decreased\u003c/a> over the last couple of years, especially when it comes to services geared toward adults. He said many local health departments throughout the United States are still working, however, to ensure that everyone has access to some form of vaccination and treatment plan.\u003c/p>\n\u003cp>Cody said the Santa Clara County Public Health Department is deploying multiple strategies to ensure that local communities are cared for, including a mobile response team that can address concerns as they arise. But she emphasized that federal support is necessary for the public health system to work — all around the country.\u003c/p>\n\u003cp>“Every American should have an equal chance of living a healthy and productive life,” Cody said. “Local public health is here to do everything in our power, with our teams, to serve every single person in our community who needs us.”\u003c/p>\n\u003cp>“But that should be the case for every single person who lives in our country,” she said.\u003c/p>\n\u003cp>\u003c/p>\n\u003c/div>\u003c/p>",
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"title": "Uninsured Californians Are Urged to Sign Up for Subsidized Health Care. Here’s How",
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"content": "\u003cp>State officials are urging uninsured residents to sign up for health insurance through \u003ca href=\"https://www.kqed.org/news/tag/covered-california\">Covered California \u003c/a>despite uncertainty around the future of the subsidized health care plans under President-elect Donald Trump.\u003c/p>\n\u003cul>\n\u003cli>\u003cstrong>Jump straight to: \u003ca href=\"#sign-up-aca-daca\">How to sign up for health care through Covered California if you’re a DACA recipient\u003c/a>\u003c/strong>\u003c/li>\n\u003c/ul>\n\u003cp>Next year also marks the first time these subsidized plans will be available for immigrants who arrived in the country as children and have been allowed to stay under the federal \u003ca href=\"https://www.kqed.org/news/tag/daca\">Deferred Action for Childhood Arrivals\u003c/a> policy.\u003c/p>\n\u003cp>With open enrollment ongoing, Covered California officials spoke in San Francisco on Wednesday as part of an effort to increase awareness of the state’s insurance marketplace — established in part through the Affordable Care Act — and the new eligibility for DACA recipients.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>Trump’s incoming administration will likely target both the ACA and DACA — as he did during his first term in office — raising questions about how long the two programs will last and Californians’ access to the subsidized insurance plans.\u003c/p>\n\u003cp>“Though none of us know exactly what will happen in the future, we are certain that the Affordable Care Act remains the law of the land and that Californians will have more financial assistance available to them than ever before in 2025,” says Jessica Altman, executive director of Covered California.\u003c/p>\n\u003cp>[aside postID=news_12014436 hero='https://cdn.kqed.org/wp-content/uploads/sites/10/2024/11/GettyImages-1217922027_edited-1020x678.png']\u003c/p>\n\u003cp>Open enrollment for Covered California began Nov. 1. Those who enroll before the end of the year will have coverage beginning at the start of 2025.\u003c/p>\n\u003cp>“We begin this open enrollment with record-high numbers of enrollees and California’s lowest uninsured rate to date. … Our total number of enrollees has risen by 15% overall in the past four years, with our largest gains among our communities of color,” Altman says. “The Greater Bay Area enrollment is up over 7% in the past four years, with over 330,000 Californians now enrolled in Covered California coverage.”\u003c/p>\n\u003cp>However, many in California continue to go without health insurance.\u003c/p>\n\u003cp>Citing the UCLA Center for Health Policy Research, Altman highlighted that roughly 1.3 million Californians are uninsured despite being eligible for low-cost coverage through Covered California or free insurance through Medi-Cal, the state’s Medicaid program.\u003c/p>\n\u003cp>Immigrants under DACA were granted access to Affordable Care Act plans after the Biden administration chose to expand the definition of those who are “legally present” in the country to include DACA recipients.\u003c/p>\n\u003cp>A group of 19 states have since decided to sue the federal government over that decision. They argue that the expansion creates an additional burden on those states by requiring them to insure immigrants.\u003c/p>\n\u003cp>They also argue that DACA recipients are not in the country legally and that offering them coverage through the ACA “encourages unlawfully present alien beneficiaries to remain in the United States.”\u003c/p>\n\u003cp>Until a judge rules on that lawsuit, however, Altman says California’s roughly 40,000 eligible DACA recipients are encouraged to enroll through Covered California.\u003c/p>\n\u003cp>“In fact, DACA recipients can enroll through a special enrollment period and gain coverage on Dec. 1. So if you need care, if you haven’t gotten your checkup, if you are one of our DACA recipients, we’re here for you right now,” Altman says.\u003c/p>\n\u003cp>Open enrollment ends on Jan. 31.\u003c/p>\n\u003ch2>\u003ca id=\"sign-up-aca-daca\">\u003c/a>How to sign up for health care through Covered California if you’re a DACA recipient\u003c/h2>\n\u003cp>\u003cstrong>When do I have to sign up?\u003c/strong>\u003c/p>\n\u003cp>Open enrollment for health care coverage through Covered California started Nov. 1, and your last day to \u003ca href=\"http://coveredca.com\">sign up at CoveredCA.com\u003c/a> is Jan. 31. But if you qualify for Medi-Cal (California’s Medicaid program), which\u003ca href=\"https://www.dhcs.ca.gov/formsandpubs/publications/Pages/Deferred-Action-for-Childhood-Arrivals-FAQ.aspx\"> DACA recipients are also eligible for,\u003c/a> you can sign up for Covered California any time.\u003c/p>\n\u003cp>\u003cstrong>If I sign up, when will my health plan start?\u003c/strong>\u003c/p>\n\u003cp>Your health plan starts the first day of the month after you submit your application. So, if you want health care through Covered California on Dec. 1, you’ll have to sign up before November is over. If you sign up in December, your coverage will begin in January.\u003c/p>\n\u003cp>\u003cstrong>As a DACA recipient, what will I be asked when submitting my application?\u003c/strong>\u003c/p>\n\u003cp>\u003ca href=\"https://hbex.coveredca.com/toolkit/downloads/DACA_Fact_Sheet_ENG.pdf\">You’ll be “asked to provide document information\u003c/a> or a copy of your documents to show proof of immigration or lawful presence,” according to Covered California, and you can use either:\u003c/p>\n\u003cul>\n\u003cli>Your Notice of Action (I-797), issued by U.S. Citizenship and Immigration Services (USCIS), that shows that your “deferred action” status was approved\u003c/li>\n\u003cli>Your Employment Authorization Document (I-766), or EAD, that shows you’re authorized to work in the U.S.\u003c/li>\n\u003c/ul>\n\u003cp>\u003cstrong>What if I don’t have those documents right now?\u003c/strong>\u003c/p>\n\u003cp>You should still apply, Covered California says. If you can’t provide the documentation during your application process, you’ll be considered “conditionally eligible” \u003cem>if \u003c/em>you meet all other eligibility requirements and will get 95 days to submit the required documentation once you’ve obtained it.\u003c/p>\n\u003cp>\u003cstrong>Does applying for Covered California make me a public charge?\u003c/strong>\u003c/p>\n\u003cp>\u003ca href=\"https://www.coveredca.com/learning-center/information-for-immigrants/public-charge/\">No, the state says\u003c/a>: “In general, applying for health insurance coverage through Covered California and receiving financial assistance for a Covered California health plan or receiving low- or no-cost coverage through Medi-Cal will not make an individual a ‘\u003ca href=\"https://documentedny.com/2021/04/04/public-charge-rule-explained/\">public charge\u003c/a>.’”\u003c/p>\n\u003cp>It won’t affect your immigration status or your future chances of becoming a lawful permanent resident or a naturalized citizen, Covered California says. The only exceptions to this are if you receive long-term care in a nursing home through Medi-Cal or if you don’t tell the truth on your Covered California application.\u003c/p>\n\u003cp>\u003ca href=\"http://coveredca.com\">Read more FAQs for DACA recipients on CoveredCA.com.\u003c/a>\u003c/p>\n\u003cp>\u003cem>KQED’s \u003c/em>\u003ca href=\"https://www.kqed.org/author/ccabreralomeli\">\u003cem>Carlos Cabrera-Lomelí\u003c/em>\u003c/a>\u003cem> contributed to this report.\u003c/em>\u003c/p>\n\u003cp>\u003c/p>\n",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>State officials are urging uninsured residents to sign up for health insurance through \u003ca href=\"https://www.kqed.org/news/tag/covered-california\">Covered California \u003c/a>despite uncertainty around the future of the subsidized health care plans under President-elect Donald Trump.\u003c/p>\n\u003cul>\n\u003cli>\u003cstrong>Jump straight to: \u003ca href=\"#sign-up-aca-daca\">How to sign up for health care through Covered California if you’re a DACA recipient\u003c/a>\u003c/strong>\u003c/li>\n\u003c/ul>\n\u003cp>Next year also marks the first time these subsidized plans will be available for immigrants who arrived in the country as children and have been allowed to stay under the federal \u003ca href=\"https://www.kqed.org/news/tag/daca\">Deferred Action for Childhood Arrivals\u003c/a> policy.\u003c/p>\n\u003cp>With open enrollment ongoing, Covered California officials spoke in San Francisco on Wednesday as part of an effort to increase awareness of the state’s insurance marketplace — established in part through the Affordable Care Act — and the new eligibility for DACA recipients.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>Trump’s incoming administration will likely target both the ACA and DACA — as he did during his first term in office — raising questions about how long the two programs will last and Californians’ access to the subsidized insurance plans.\u003c/p>\n\u003cp>“Though none of us know exactly what will happen in the future, we are certain that the Affordable Care Act remains the law of the land and that Californians will have more financial assistance available to them than ever before in 2025,” says Jessica Altman, executive director of Covered California.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>Open enrollment for Covered California began Nov. 1. Those who enroll before the end of the year will have coverage beginning at the start of 2025.\u003c/p>\n\u003cp>“We begin this open enrollment with record-high numbers of enrollees and California’s lowest uninsured rate to date. … Our total number of enrollees has risen by 15% overall in the past four years, with our largest gains among our communities of color,” Altman says. “The Greater Bay Area enrollment is up over 7% in the past four years, with over 330,000 Californians now enrolled in Covered California coverage.”\u003c/p>\n\u003cp>However, many in California continue to go without health insurance.\u003c/p>\n\u003cp>Citing the UCLA Center for Health Policy Research, Altman highlighted that roughly 1.3 million Californians are uninsured despite being eligible for low-cost coverage through Covered California or free insurance through Medi-Cal, the state’s Medicaid program.\u003c/p>\n\u003cp>Immigrants under DACA were granted access to Affordable Care Act plans after the Biden administration chose to expand the definition of those who are “legally present” in the country to include DACA recipients.\u003c/p>\n\u003cp>A group of 19 states have since decided to sue the federal government over that decision. They argue that the expansion creates an additional burden on those states by requiring them to insure immigrants.\u003c/p>\n\u003cp>They also argue that DACA recipients are not in the country legally and that offering them coverage through the ACA “encourages unlawfully present alien beneficiaries to remain in the United States.”\u003c/p>\n\u003cp>Until a judge rules on that lawsuit, however, Altman says California’s roughly 40,000 eligible DACA recipients are encouraged to enroll through Covered California.\u003c/p>\n\u003cp>“In fact, DACA recipients can enroll through a special enrollment period and gain coverage on Dec. 1. So if you need care, if you haven’t gotten your checkup, if you are one of our DACA recipients, we’re here for you right now,” Altman says.\u003c/p>\n\u003cp>Open enrollment ends on Jan. 31.\u003c/p>\n\u003ch2>\u003ca id=\"sign-up-aca-daca\">\u003c/a>How to sign up for health care through Covered California if you’re a DACA recipient\u003c/h2>\n\u003cp>\u003cstrong>When do I have to sign up?\u003c/strong>\u003c/p>\n\u003cp>Open enrollment for health care coverage through Covered California started Nov. 1, and your last day to \u003ca href=\"http://coveredca.com\">sign up at CoveredCA.com\u003c/a> is Jan. 31. But if you qualify for Medi-Cal (California’s Medicaid program), which\u003ca href=\"https://www.dhcs.ca.gov/formsandpubs/publications/Pages/Deferred-Action-for-Childhood-Arrivals-FAQ.aspx\"> DACA recipients are also eligible for,\u003c/a> you can sign up for Covered California any time.\u003c/p>\n\u003cp>\u003cstrong>If I sign up, when will my health plan start?\u003c/strong>\u003c/p>\n\u003cp>Your health plan starts the first day of the month after you submit your application. So, if you want health care through Covered California on Dec. 1, you’ll have to sign up before November is over. If you sign up in December, your coverage will begin in January.\u003c/p>\n\u003cp>\u003cstrong>As a DACA recipient, what will I be asked when submitting my application?\u003c/strong>\u003c/p>\n\u003cp>\u003ca href=\"https://hbex.coveredca.com/toolkit/downloads/DACA_Fact_Sheet_ENG.pdf\">You’ll be “asked to provide document information\u003c/a> or a copy of your documents to show proof of immigration or lawful presence,” according to Covered California, and you can use either:\u003c/p>\n\u003cul>\n\u003cli>Your Notice of Action (I-797), issued by U.S. Citizenship and Immigration Services (USCIS), that shows that your “deferred action” status was approved\u003c/li>\n\u003cli>Your Employment Authorization Document (I-766), or EAD, that shows you’re authorized to work in the U.S.\u003c/li>\n\u003c/ul>\n\u003cp>\u003cstrong>What if I don’t have those documents right now?\u003c/strong>\u003c/p>\n\u003cp>You should still apply, Covered California says. If you can’t provide the documentation during your application process, you’ll be considered “conditionally eligible” \u003cem>if \u003c/em>you meet all other eligibility requirements and will get 95 days to submit the required documentation once you’ve obtained it.\u003c/p>\n\u003cp>\u003cstrong>Does applying for Covered California make me a public charge?\u003c/strong>\u003c/p>\n\u003cp>\u003ca href=\"https://www.coveredca.com/learning-center/information-for-immigrants/public-charge/\">No, the state says\u003c/a>: “In general, applying for health insurance coverage through Covered California and receiving financial assistance for a Covered California health plan or receiving low- or no-cost coverage through Medi-Cal will not make an individual a ‘\u003ca href=\"https://documentedny.com/2021/04/04/public-charge-rule-explained/\">public charge\u003c/a>.’”\u003c/p>\n\u003cp>It won’t affect your immigration status or your future chances of becoming a lawful permanent resident or a naturalized citizen, Covered California says. The only exceptions to this are if you receive long-term care in a nursing home through Medi-Cal or if you don’t tell the truth on your Covered California application.\u003c/p>\n\u003cp>\u003ca href=\"http://coveredca.com\">Read more FAQs for DACA recipients on CoveredCA.com.\u003c/a>\u003c/p>\n\u003cp>\u003cem>KQED’s \u003c/em>\u003ca href=\"https://www.kqed.org/author/ccabreralomeli\">\u003cem>Carlos Cabrera-Lomelí\u003c/em>\u003c/a>\u003cem> contributed to this report.\u003c/em>\u003c/p>\n\u003cp>\u003c/p>\n\u003c/div>\u003c/p>",
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"title": "Police Are More Likely to Handcuff Black Children in Mental Health Crisis, Study Finds",
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"content": "\u003cp>Police in \u003ca href=\"https://www.kqed.org/news/tag/alameda-county\">Alameda County\u003c/a> are more likely to handcuff Black children experiencing a mental health crisis — particularly girls — than children of other races, according to a new study out of UCSF Benioff Children’s Hospital Oakland.\u003c/p>\n\u003cp>When a parent calls 911 because their child is experiencing severe emotional distress, police often arrive before an ambulance, lead study author Dr. Kenshata Watkins said.\u003c/p>\n\u003cp>“Police aren’t really trained to handle these types of emergencies, right?” Watkins said. “And so they get there, and they \u003ca href=\"https://www.youtube.com/watch?v=itYl07TqrDg\">do what police do\u003c/a>\u003cem>.\u003c/em>”\u003c/p>\n\u003cp>On average, according to the study data, police handcuffed a child experiencing a mental health crisis more than twice a week in Alameda County.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>The study, published last week \u003ca href=\"https://jamanetwork.com/journals/jamanetworkopen/fullarticle/2825944\">in the journal JAMA Network Open\u003c/a>, looked at over 10,400 youth behavioral health emergencies handled by the county’s Emergency Medical Services Agency between 2012 and mid-2019. Of those cases for which researchers had race and location data, 7.6% of children were handcuffed before an ambulance arrived, but rates were disproportionately high for Black children and those in more disadvantaged neighborhoods.\u003c/p>\n\u003cp>As a UCSF pediatric emergency physician, Watkins was interested in what happens before a child ends up in the hospital, a context he refers to as “social determinants of health,” but he said law enforcement response, such as handcuffing, is largely invisible.\u003c/p>\n\u003cp>“It doesn’t show up really at the hospital because those handcuffs are gone,” Watkins said.\u003cem> \u003c/em>\u003c/p>\n\u003cp>[aside postID=news_12014858 hero='https://cdn.kqed.org/wp-content/uploads/sites/10/2024/10/241021-OaklandPDDrunkDriving-06-BL_qed-1020x680.jpg']\u003c/p>\n\u003cp>For clues, Watkins’ team shifted their focus to Emergency Medical Services. As the first medical responders on scene, EMS staff take notes on a child’s blood pressure and heart rate, as well as a short description of what was happening when they arrived.\u003c/p>\n\u003cp>By analyzing tens of thousands of these narratives and searching for terms related to handcuffing, the researchers found 833 handcuffing events involving \u003ca href=\"https://www.kqed.org/news/11926978/many-california-families-cant-access-mental-health-care-for-kids-this-east-palo-alto-mom-found-a-way\">kids in crisis\u003c/a>. Police were 1.8 times more likely to handcuff Black children than their white counterparts — a disparity that climbed to 2.6 times more likely for Black girls — and they were 1.5 times more likely to do so in disadvantaged neighborhoods.\u003c/p>\n\u003cp>“If anyone else were doing it, it would be a form of child abuse — it would be recognized as such,” said UC Berkeley African American studies professor Nikki Jones, a sociologist-criminologist who’s spent a decade studying policing and violence in urban neighborhoods. “But because the police are doing it and because they have this logic that’s based on their expertise, then we are supposed to read it as something other than extremely damaging to a child.”\u003c/p>\n\u003cp>Jones rode along with police in an unnamed California jurisdiction as part of her own Army Office of Research-funded \u003ca href=\"https://journals.sagepub.com/doi/full/10.1177/15356841221123820\">study on race and law enforcement attitudes\u003c/a> published last year. Jones said police often view children of color as older and less vulnerable than they are and focus on obedience — a tall order when a child is mentally unwell.\u003c/p>\n\u003cp>“Once they’re in field training and once they begin to do the work of policing, they develop what they consider to be their own expertise,” Jones said. “Officers responding in a more aggressive way to people who live in certain neighborhoods — they don’t think about that as biased. They think about that as the kind of expertise that a morally competent police officer would have.\u003cem>”\u003c/em>\u003c/p>\n\u003cp>The study recommends taking an alternative approach to responding to mental health emergencies by expanding programs that \u003ca href=\"https://www.kqed.org/news/11985965/we-approach-in-peace-are-barts-outreach-efforts-to-help-people-in-crisis-working\">send out mental health experts\u003c/a> instead, such as Alameda County’s \u003ca href=\"https://www.acbhcs.org/acute-integrated-health-care/acute-crisis-services/\">Mobile Crisis Team\u003c/a> and San Francisco’s \u003ca href=\"https://www.sf.gov/street-crisis-response-team\">Street Crisis Response Team\u003c/a>.\u003c/p>\n\u003cp>Meanwhile, UCSF researchers hope to undertake a follow-up study examining the longer-term outcomes of children who are handcuffed during mental and behavioral health crises.\u003c/p>\n\u003cp>\u003cem>Nov. 20: This article was updated to clarify which program in Alameda County sends mental health experts to emergency calls as an alternative to police.\u003c/em>\u003c/p>\n\u003cp>\u003c/p>\n",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>Police in \u003ca href=\"https://www.kqed.org/news/tag/alameda-county\">Alameda County\u003c/a> are more likely to handcuff Black children experiencing a mental health crisis — particularly girls — than children of other races, according to a new study out of UCSF Benioff Children’s Hospital Oakland.\u003c/p>\n\u003cp>When a parent calls 911 because their child is experiencing severe emotional distress, police often arrive before an ambulance, lead study author Dr. Kenshata Watkins said.\u003c/p>\n\u003cp>“Police aren’t really trained to handle these types of emergencies, right?” Watkins said. “And so they get there, and they \u003ca href=\"https://www.youtube.com/watch?v=itYl07TqrDg\">do what police do\u003c/a>\u003cem>.\u003c/em>”\u003c/p>\n\u003cp>On average, according to the study data, police handcuffed a child experiencing a mental health crisis more than twice a week in Alameda County.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>The study, published last week \u003ca href=\"https://jamanetwork.com/journals/jamanetworkopen/fullarticle/2825944\">in the journal JAMA Network Open\u003c/a>, looked at over 10,400 youth behavioral health emergencies handled by the county’s Emergency Medical Services Agency between 2012 and mid-2019. Of those cases for which researchers had race and location data, 7.6% of children were handcuffed before an ambulance arrived, but rates were disproportionately high for Black children and those in more disadvantaged neighborhoods.\u003c/p>\n\u003cp>As a UCSF pediatric emergency physician, Watkins was interested in what happens before a child ends up in the hospital, a context he refers to as “social determinants of health,” but he said law enforcement response, such as handcuffing, is largely invisible.\u003c/p>\n\u003cp>“It doesn’t show up really at the hospital because those handcuffs are gone,” Watkins said.\u003cem> \u003c/em>\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>For clues, Watkins’ team shifted their focus to Emergency Medical Services. As the first medical responders on scene, EMS staff take notes on a child’s blood pressure and heart rate, as well as a short description of what was happening when they arrived.\u003c/p>\n\u003cp>By analyzing tens of thousands of these narratives and searching for terms related to handcuffing, the researchers found 833 handcuffing events involving \u003ca href=\"https://www.kqed.org/news/11926978/many-california-families-cant-access-mental-health-care-for-kids-this-east-palo-alto-mom-found-a-way\">kids in crisis\u003c/a>. Police were 1.8 times more likely to handcuff Black children than their white counterparts — a disparity that climbed to 2.6 times more likely for Black girls — and they were 1.5 times more likely to do so in disadvantaged neighborhoods.\u003c/p>\n\u003cp>“If anyone else were doing it, it would be a form of child abuse — it would be recognized as such,” said UC Berkeley African American studies professor Nikki Jones, a sociologist-criminologist who’s spent a decade studying policing and violence in urban neighborhoods. “But because the police are doing it and because they have this logic that’s based on their expertise, then we are supposed to read it as something other than extremely damaging to a child.”\u003c/p>\n\u003cp>Jones rode along with police in an unnamed California jurisdiction as part of her own Army Office of Research-funded \u003ca href=\"https://journals.sagepub.com/doi/full/10.1177/15356841221123820\">study on race and law enforcement attitudes\u003c/a> published last year. Jones said police often view children of color as older and less vulnerable than they are and focus on obedience — a tall order when a child is mentally unwell.\u003c/p>\n\u003cp>“Once they’re in field training and once they begin to do the work of policing, they develop what they consider to be their own expertise,” Jones said. “Officers responding in a more aggressive way to people who live in certain neighborhoods — they don’t think about that as biased. They think about that as the kind of expertise that a morally competent police officer would have.\u003cem>”\u003c/em>\u003c/p>\n\u003cp>The study recommends taking an alternative approach to responding to mental health emergencies by expanding programs that \u003ca href=\"https://www.kqed.org/news/11985965/we-approach-in-peace-are-barts-outreach-efforts-to-help-people-in-crisis-working\">send out mental health experts\u003c/a> instead, such as Alameda County’s \u003ca href=\"https://www.acbhcs.org/acute-integrated-health-care/acute-crisis-services/\">Mobile Crisis Team\u003c/a> and San Francisco’s \u003ca href=\"https://www.sf.gov/street-crisis-response-team\">Street Crisis Response Team\u003c/a>.\u003c/p>\n\u003cp>Meanwhile, UCSF researchers hope to undertake a follow-up study examining the longer-term outcomes of children who are handcuffed during mental and behavioral health crises.\u003c/p>\n\u003cp>\u003cem>Nov. 20: This article was updated to clarify which program in Alameda County sends mental health experts to emergency calls as an alternative to police.\u003c/em>\u003c/p>\n\u003cp>\u003c/p>\n\u003c/div>\u003c/p>",
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"slug": "the-first-us-clade-i-mpox-case-has-been-found-in-the-bay-area-heres-what-to-know",
"title": "The 1st US Clade I Mpox Case Has Been Found in the Bay Area. Here’s What to Know",
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"headTitle": "The 1st US Clade I Mpox Case Has Been Found in the Bay Area. Here’s What to Know | KQED",
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"content": "\u003cp>Health officials confirmed this weekend that \u003ca href=\"https://www.kqed.org/news/12014826/san-mateo-county-reports-first-known-u-s-case-of-emerging-mpox-strain\">the first U.S. case of a new mpox strain had been detected in the Bay Area\u003c/a>.\u003c/p>\n\u003cp>This variant of mpox — formerly called monkeypox — is known as clade I and has been \u003ca href=\"https://www.kqed.org/news/12000319/mpox-is-declared-a-global-emergency-again-heres-what-to-know\">circulating in eastern and central Africa over the last year\u003c/a>, where it’s caused sickness among children and adults and even deaths. The disease usually spreads through close skin-to-skin contact, including sex.\u003c/p>\n\u003cp>The Centers for Disease Control and Prevention (CDC) announced Saturday that \u003ca href=\"https://www.cdc.gov/media/releases/s1116-california-first-clade.html\">the U.S.’s first known clade I case had recently returned from travel\u003c/a> to the African continent and was treated for mpox symptoms at a medical facility in San Mateo County.\u003c/p>\n\u003cp>Clade I is a more severe strain of mpox compared to the \u003ca href=\"https://www.kqed.org/news/11919070/monkeypox-in-the-bay-area-from-symptoms-to-how-to-find-a-vaccine-heres-what-we-know\">clade II strain that caused an outbreak in the Bay Area in 2022\u003c/a> and that is still circulating at low levels. But the CDC has said that the risk of clade I mpox to the general public within the U.S. “remains low.” \u003ca href=\"https://www.cdc.gov/mpox/vaccines/index.html\">A two-dose vaccine for mpox\u003c/a>, which offers protection against both clade I and clade II, remains available for eligible people at higher risk of infection.\u003c/p>\n\u003cp>\u003cstrong>Jump straight to: \u003c/strong>\u003c/p>\n\u003cul>\n\u003cli>\u003cstrong>\u003ca href=\"#find-mpox-vaccine-near-me\">Who’s eligible for an mpox vaccine in the Bay Area?\u003c/a>\u003c/strong>\u003c/li>\n\u003cli>\u003cstrong>\u003ca href=\"#who-risk-mpox\">Who is most at risk from mpox?\u003c/a>\u003c/strong>\u003c/li>\n\u003c/ul>\n\u003cp>Keep reading for what we know about this new U.S. case of clade I mpox, how mpox spreads, what symptoms to be aware of and who should get an \u003ca href=\"#find-mpox-vaccine-near-me\">mpox vaccine\u003c/a>.\u003cbr>\n[ad fullwidth]\u003c/p>\n\u003ch2>What do we know about this first clade I mpox case in the U.S.?\u003c/h2>\n\u003cp>Not a great deal — because health officials don’t want to release details that could identify this person.\u003c/p>\n\u003cp>We know that \u003ca href=\"https://www.cdph.ca.gov/Programs/OPA/Pages/NR24-036.aspx\">the patient received medical care at a facility in San Mateo County\u003c/a> and had recently returned from travel to Eastern Africa. The patient is now isolating at home, the CDC said — although their home county hasn’t been disclosed — and their symptoms are improving. “It has not been a severe illness” for this patient, San Mateo County health officer Dr. Kismet Baldwin-Santana said.\u003c/p>\n\u003cp>“People who had close contact with this individual are being contacted by public health workers, but there is no concern or evidence that mpox clade I is currently spreading between individuals in California or the United States,” the California Department of Public Health (CDPH) said in a statement.\u003c/p>\n\u003cp>Baldwin-Santana said that officials were also “actively working” with San Mateo health care staff “that have been exposed.”\u003c/p>\n\u003cp>Dr. Peter Chin-Hong, an infectious disease expert at UCSF, said that the first U.S. case of clade I was “expected,” owing to the scale not just of the outbreak in eastern and central Africa but of international travel. “It was only a matter of time before we saw cases in the U.S. from people who traveled there,” he said.\u003c/p>\n\u003cfigure id=\"attachment_11949273\" class=\"wp-caption alignnone\" style=\"max-width: 1920px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-11949273\" src=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2023/05/RS65506_GettyImages-1428290091-1-qut.jpg\" alt=\"Small circular patterns float in a dense, thick brown substance.\" width=\"1920\" height=\"1523\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2023/05/RS65506_GettyImages-1428290091-1-qut.jpg 1920w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/05/RS65506_GettyImages-1428290091-1-qut-800x635.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/05/RS65506_GettyImages-1428290091-1-qut-1020x809.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/05/RS65506_GettyImages-1428290091-1-qut-160x127.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/05/RS65506_GettyImages-1428290091-1-qut-1536x1218.jpg 1536w\" sizes=\"(max-width: 1920px) 100vw, 1920px\">\u003cfigcaption class=\"wp-caption-text\">Colorized transmission electron micrograph of mpox virus particles (orange) found within an infected cell (brown) cultured in a laboratory. \u003ccite>(NIH-NIAID/Image Point FR/BSIP/Universal Images Group via Getty Images)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003ch2>What is clade I mpox, and where is it spreading?\u003c/h2>\n\u003cp>The mpox virus spreads through close contact with someone who is infected and causes mpox disease. As the name might suggest, the virus is related to the smallpox virus, but it’s generally less severe and much less contagious than smallpox, according to CDPH. In addition to fever, chills, headache and muscle pain, mpox can cause a painful rash — also known as lesions — that appear on many parts of the body.\u003c/p>\n\u003cp>In August, the World Health Organization (WHO) declared a \u003ca href=\"https://www.kqed.org/news/11988079/2024-mpox-vaccine-formerly-monkeypox-symptoms-rash\">clade I mpox outbreak\u003c/a> in eastern and central Africa a \u003ca href=\"https://www.kqed.org/news/12000319/mpox-is-declared-a-global-emergency-again-heres-what-to-know\">global emergency\u003c/a>. Historically, this strain has caused more severe illness and higher fatality rates than the other type of mpox, clade II.\u003c/p>\n\u003cp>The Democratic Republic of the Congo (DRC), which has been the \u003ca href=\"https://www.cdc.gov/mpox/outbreaks/2023/index.html\">epicenter of the outbreak\u003c/a>, has reported more than 9,000 confirmed clade I mpox cases and more than 40 deaths since Jan. 1. \u003ca href=\"https://wwwnc.cdc.gov/travel/notices/level2/clade-1-mpox-central-eastern-africa\">Clade I mpox has also spread\u003c/a> to Burundi, Central African Republic, Republic of the Congo, Rwanda and Uganda. Very few doses of the \u003ca href=\"#find-mpox-vaccine-near-me\">mpox vaccine\u003c/a> were originally available on the African continent, but \u003ca href=\"https://www.unicef.org/press-releases/democratic-republic-congo-starts-mpox-vaccination-high-priority-provinces\">in October, 265,000 doses arrived in the DRC\u003c/a> for distribution among vulnerable groups.\u003c/p>\n\u003cp>In August, \u003ca href=\"https://apnews.com/article/mpox-sweden-congo-9923d0ee8deb362b2af5416bb273d629\">the first clade I mpox case outside the African continent was detected in Sweden\u003c/a>. Subsequent cases of people who had recently traveled to affected regions in Africa have also been detected in Germany, India, Kenya, Thailand, the United Kingdom, Zambia and Zimbabwe — and now the U.S.\u003c/p>\n\u003ch2>How is clade I different from the type of mpox that hit the Bay Area in 2022?\u003c/h2>\n\u003cp>\u003ca href=\"https://www.kqed.org/news/11919070/monkeypox-in-the-bay-area-from-symptoms-to-how-to-find-a-vaccine-heres-what-we-know\">The 2022 mpox outbreak in the United States\u003c/a> — which particularly affected gay and bisexual men, as well as trans and nonbinary people who have sex with men — was caused by clade II mpox, the less severe strain. \u003ca href=\"https://www.kqed.org/news/12000319/mpox-is-declared-a-global-emergency-again-heres-what-to-know#mpox-wastewater\">Read more about the 2022 outbreak\u003c/a>.\u003c/p>\n\u003cp>2024’s clade I mpox is also different because it’s “not really in a \u003ca href=\"https://prevention.ucsf.edu/research-project/sexual-networks\">sexual network\u003c/a> per se,” UCSF’s Chin-Hong said — that is, groups of people who are connected to one another sexually. In 2022, clade II “was engineered, almost, to be very efficiently spread within a sexual network, and it was amplified by \u003ca href=\"https://www.kqed.org/news/11988079/2024-mpox-vaccine-formerly-monkeypox-symptoms-rash\">a lot of things happening at the same time, like Pride events\u003c/a>.”\u003c/p>\n\u003cp>The clade I strain that’s been spreading in eastern and central Africa “primarily affects heterosexual people and children within households,” Chin-Hong said — but with the caveat that this exposure within a home has to be “intensive.”\u003c/p>\n\u003cp>\u003cspan style=\"margin: 0px; padding: 0px;\">\u003ca href=\"https://data.wastewaterscan.org/tracker/?charts=CjEQASABSABSBmU5ZTg3ZVIGMzc0MzBhWgpNUFhWX0cyUl9HeIkBigEGOTY3NzIwwAEB&selectedChartId=967720\" target=\"_blank\" rel=\"noopener\">Data from Stanford University’s WastewaterSCAN project\u003c/a>, which monitors the presence of viruses, including mpox, in human sewage across the U.S., shows that more than two years after the initial 2022 outbreak, clade II of mpox is still occasionally detected in the Bay Area’s wastewater.\u003c/span>\u003c/p>\n\u003cp>Dr. Julia Janssen, deputy director of the HIV/STI Prevention and Control Branch at the San Francisco Department of Public Health, stressed that the city had seen 31 confirmed cases this year — and that \u003ca href=\"https://www.cdc.gov/mpox/hcp/clinical-overview/index.html\">Bay Area residents at higher risk of infection \u003c/a>should still stay vigilant for clade II mpox by \u003ca href=\"#find-mpox-vaccine-near-me\">getting their mpox vaccine.\u003c/a>\u003c/p>\n\u003cfigure id=\"attachment_11988132\" class=\"wp-caption alignnone\" style=\"max-width: 1920px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-11988132\" src=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2024/05/GettyImages-1412778743.jpg\" alt=\"\" width=\"1920\" height=\"1315\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2024/05/GettyImages-1412778743.jpg 1920w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/05/GettyImages-1412778743-800x548.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/05/GettyImages-1412778743-1020x699.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/05/GettyImages-1412778743-160x110.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/05/GettyImages-1412778743-1536x1052.jpg 1536w\" sizes=\"(max-width: 1920px) 100vw, 1920px\">\u003cfigcaption class=\"wp-caption-text\">A pharmacist prepares a dose of the Jynneos mpox vaccine at a pop-up vaccination clinic opened by the Los Angeles County Department of Public Health at the West Hollywood Library on Aug. 3, 2022, in West Hollywood, California. \u003ccite>(Mario Tama/Getty Images)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003ch2>\u003ca id=\"who-risk-mpox\">\u003c/a>Who is at higher risk of getting clade I mpox?\u003c/h2>\n\u003cp>“Nothing has led us to believe up till now that there is a heightened risk to the general public” from clade I mpox, San Mateo County’s Baldwin-Santana said, echoing the CDC and CDPH. “Most people in the public really should not be too concerned at this point in time.”\u003c/p>\n\u003cp>The CDC said that the large number of children getting clade I in eastern and central Africa likely shows that it’s spreading within households and between family members. “Based on what we know right now, \u003ca href=\"https://www.cdc.gov/mpox/situation-summary/index.html\">we don’t expect to see the same sort of risk if mpox were introduced in the United States for several reasons\u003c/a>, including different household makeup and size, access to disinfecting products and improved access to medical care,” the agency said.\u003c/p>\n\u003cp>Based on its own models, the CDC also said that close-contact transmission within and between households “is \u003ca href=\"https://www.cdc.gov/forecast-outbreak-analytics/about/modeling-forecasting/mpox-transmission.html\">unlikely to result in a large number of mpox clade I cases\u003c/a>” nationally.\u003c/p>\n\u003cp>Clade I is “nothing to worry about for the general population” in the Bay Area, UCSF’s Chin-Hong said. “It’s still very hard to get mpox, even from somebody with active lesions. It requires close skin-to-skin contact or intensive household contact — so you can’t get it from Muni or from yoga or from going to Trader Joe’s.”\u003c/p>\n\u003cp>Clade II mpox remains a much more real threat in the Bay Area right now than this one clade I case, Chin-Hong said, since that strain is still circulating at low levels in the region. It’s “a great reminder for people to continue to pay attention to that — that is, people in the LGBTQ community — to really make sure they’re up to date on\u003ca href=\"#find-mpox-vaccine-near-me\"> vaccines\u003c/a>,” he said, reminding folks that gay and bisexual men and other men who have sex with men, as well as transgender, nonbinary and gender-diverse people, are at greater risk for a clade II infection. Jump to \u003ca href=\"#find-mpox-vaccine-near-me\">where to find an mpox vaccine. \u003c/a>\u003c/p>\n\u003ch3>What are the symptoms of mpox, and how does it spread?\u003c/h3>\n\u003cp>The mpox virus spreads through close — usually skin-to-skin — contact with someone who is infected. This could be direct contact with the infectious rashes or scabs someone with mpox develops, scabs, having intimate physical contact with someone who has mpox, such as kissing, cuddling or sex. Coming into contact with infected bodily fluids or items that have been touched by rashes or fluids from an infected person can also expose you to the virus.\u003c/p>\n\u003cp>The symptoms of clade I and clade II mpox are similar, SFDPH’s Janssen said, and they can often start as flu-like conditions — which is worth bearing in mind as the Bay Area enters respiratory virus season.\u003c/p>\n\u003cp>The mpox virus also appears as a rash or sores or spots that can resemble pimples or blisters on the skin anywhere on the body, including the face, inside the mouth, hands, feet, chest, genitals and anus. These spots often start as red, flat spots that then become bumps before the bumps become filled with pus and turn into scabs when they break. These symptoms can be extremely painful. \u003ca href=\"https://www.cdc.gov/poxvirus/mpox/symptoms/index.html\">If you’re unsure about recognizing an mpox rash, the CDC has a photo guide\u003c/a>.\u003c/p>\n\u003cp>\u003ca href=\"https://www.cdc.gov/poxvirus/mpox/symptoms/index.html\">Mpox can have a long incubation period\u003c/a> — that is, the time between when you’re exposed to mpox and when you start to develop symptoms — that can range from three to 17 days, according to the CDC.\u003c/p>\n\u003cp>If you suspect you might have mpox symptoms — even if they’re subtle — see your health care provider right away or \u003ca href=\"https://www.sf.gov/get-mpox-vaccines-testing-and-medicine\">consult one of SFPDH’s clinics for mpox testing\u003c/a>. See more on \u003ca href=\"https://sf.gov/information/mpox\">what to do if you suspect you have mpox\u003c/a>.\u003c/p>\n\u003cfigure id=\"attachment_12000320\" class=\"wp-caption alignnone\" style=\"max-width: 1024px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-12000320\" src=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2024/08/GettyImages-1414098149.jpg\" alt=\"A woman wearing glasses, a face mask and a visor with blue surgical gloves holds a syringe and a small bottle.\" width=\"1024\" height=\"646\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2024/08/GettyImages-1414098149.jpg 1024w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/08/GettyImages-1414098149-800x505.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/08/GettyImages-1414098149-1020x643.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/08/GettyImages-1414098149-160x101.jpg 160w\" sizes=\"(max-width: 1024px) 100vw, 1024px\">\u003cfigcaption class=\"wp-caption-text\">Licensed Vocational Nurse (LVN) Gabriela Solis prepares a dose of the Jynneos mpox vaccine at an L.A. County vaccination site in East Los Angeles on Aug. 10, 2022. \u003ccite>(Mario Tama/Getty Images)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003ch3>\u003ca id=\"find-mpox-vaccine-near-me\">\u003c/a>Who’s eligible for an mpox vaccine in the Bay Area?\u003c/h3>\n\u003cp>The vaccine currently available in the U.S. (brand name: Jynneos) is a two-dose series, with roughly a month between doses. Maximal immunity will build two weeks after your second dose. If you only got one dose previously, go ahead and seek out your second dose ASAP.[aside tag=\"mpox, health\" label=\"More Related Stories\"]\u003c/p>\n\u003cp>The U.S. Department of Health and Human Services said in a statement that people who have received both doses of the mpox vaccine — along with people who have already had clade II mpox — “are \u003ca href=\"https://www.hhs.gov/about/news/2024/08/14/united-states-governments-response-clade-i-mpox-outbreak-democratic-republic-congo-other-countries-region.html\">expected to be protected against severe illness from clade I mpox\u003c/a>” as well.\u003c/p>\n\u003cp>The CDC recommends the two-dose mpox vaccine to gay and bisexual men and other men who have sex with men, as well as transgender, nonbinary or gender-diverse people who in the past 6 months, have had:\u003c/p>\n\u003cul>\n\u003cli>More than one sexual partner and/or\u003c/li>\n\u003cli>A new diagnosis of one or more sexually transmitted infections.\u003c/li>\n\u003c/ul>\n\u003cp>The CDC’s vaccine recommendations also include anyone who has had sex at a commercial sex venue like a sex club or bathhouse. \u003ca href=\"https://www.cdc.gov/mpox/vaccines/index.html\">See the full mpox vaccine eligibility recommendations from the CDC\u003c/a>.\u003c/p>\n\u003cp>\u003ca href=\"https://www.sf.gov/get-mpox-vaccines-testing-and-treatment\">San Francisco additionally recommends vaccination\u003c/a> for anyone living with HIV, anyone taking PrEP or who’s eligible to take it and sex workers.\u003c/p>\n\u003cp>The CDC has recently updated its vaccination recommendations to extend to people traveling to countries with clade I outbreaks, which as of Nov. 16 include Burundi, Central African Republic, Democratic Republic of the Congo, Republic of the Congo, Rwanda and Uganda. The agency recommends getting both doses of the vaccine “if you anticipate experiencing any of the following” while traveling to these countries:\u003c/p>\n\u003cul>\n\u003cli>Sex with a new partner\u003c/li>\n\u003cli>Sex at a commercial sex venue, such as a sex club or bathhouse\u003c/li>\n\u003cli>Sex in exchange for money, goods, drugs or other trade\u003c/li>\n\u003cli>Sex in association with a large public event, such as a rave, party or festival.\u003c/li>\n\u003c/ul>\n\u003cp>The mpox vaccine was also originally only available for people aged 18 and older, but in 2022 the Food and Drug Administration (FDA) issued an emergency-use authorization that allows providers to also give the vaccine to young people under 18 who are “determined to be at high risk” of infection.\u003c/p>\n\u003ch3>Where can I find an mpox vaccine?\u003c/h3>\n\u003cp>If you have a regular health care provider, SFDPH recommends you ask them first about getting the mpox vaccine. Your vaccine will be free, but you may be charged a regular copay for seeing your provider.\u003c/p>\n\u003cp>If you’re eligible for the vaccine, your health insurance should cover the costs \u003ca href=\"https://www.cdc.gov/mpox/vaccines/index.htmla\">thanks to the CDC’s recommendations\u003c/a>. If you don’t have a regular health care provider or insurance, you can find the mpox vaccine free at clinics around the Bay Area. You can opt to schedule an appointment or choose a walk-in clinic, depending on what works best for you.\u003c/p>\n\u003cp>(As with the COVID-19 vaccine, receiving an mpox vaccine won’t make you \u003ca href=\"https://documentedny.com/2021/04/04/public-charge-rule-explained/\">a public charge\u003c/a> or affect any future immigration processes you may enter into, and you won’t be asked about your immigration status to receive the mpox vaccine.)\u003c/p>\n\u003cp>\u003cstrong>If you live in or near San Francisco:\u003c/strong>\u003c/p>\n\u003cp>See \u003ca href=\"https://sf.gov/information/mpox-vaccine\">a full list of mpox vaccine sites near you in San Francisco\u003c/a>. SFDPH confirms that you don’t have to be a city resident in San Francisco to get vaccinated for mpox.\u003c/p>\n\u003cp>\u003cstrong>Mpox vaccination sites elsewhere in the Bay Area and California:\u003c/strong>\u003c/p>\n\u003cul>\n\u003cli>Find an mpox vaccine clinic near you using \u003ca href=\"https://npin.cdc.gov/DynWidgets/index.html?chost=www.cdc.gov&cpath=/lgbthealth/summer/index.html&csearch=&chash=&ctitle=Get%20Healthy%20and%20Ready%20for%20Summer%20%7C%20LGBT%20Health%20%7C%20CDC&wn=DynWidgets&wf=/DynWidgets/&wid=DynWidgets1&mMode=widget&mPage=&mChannel=&componentName=MpoxLocator#/\">the CDC’s Vaccine Locator\u003c/a>\u003c/li>\n\u003cli>Find an mpox vaccine clinic near you using \u003ca href=\"https://myturn.ca.gov/\">the state’s myturn.ca.gov site\u003c/a>\u003c/li>\n\u003c/ul>\n\u003cp>\u003cstrong>Getting an mpox vaccine at a pharmacy\u003c/strong>\u003c/p>\n\u003cp>Some pharmacies offer mpox vaccination appointments online, along with other vaccines like COVID-19 and flu. But if you choose this route, you’ll be asked for insurance details — and it’s important to verify with your insurer ahead of time that they’ll cover the cost of an mpox vaccine at a pharmacy like CVS or Walgreens, as the out-of-pocket costs you’ll be quoted may be steep. If you find your insurance doesn’t fully cover the cost, \u003ca href=\"https://www.sf.gov/get-mpox-vaccines-testing-and-treatment\">SFDPH said you can seek your vaccine at one of their clinics while supplies last\u003c/a>.\u003c/p>\n\u003cp>If you get your health care through a health system like Kaiser Permanente, it’s unlikely you’ll be able to get your mpox vaccine covered by insurance at a pharmacy like CVS or Walgreens — the way you can’t get your COVID-19 or flu shot covered by Kaiser at a pharmacy either — and may have to seek it directly from a Kaiser provider.\u003c/p>\n\u003cp>If you’re able to make an appointment online at a pharmacy for your mpox vaccine, you should consider calling that location ahead of time to verify that they do indeed have supply in stock.\u003c/p>\n\u003cp>\u003cem>This story includes reporting from KQED’s Billy Cruz, Carlos Cabrera-Lomelí and Nisa Khan.\u003c/em>\u003c/p>\n\u003cp>[ad floatright]\u003c/p>\n",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>Health officials confirmed this weekend that \u003ca href=\"https://www.kqed.org/news/12014826/san-mateo-county-reports-first-known-u-s-case-of-emerging-mpox-strain\">the first U.S. case of a new mpox strain had been detected in the Bay Area\u003c/a>.\u003c/p>\n\u003cp>This variant of mpox — formerly called monkeypox — is known as clade I and has been \u003ca href=\"https://www.kqed.org/news/12000319/mpox-is-declared-a-global-emergency-again-heres-what-to-know\">circulating in eastern and central Africa over the last year\u003c/a>, where it’s caused sickness among children and adults and even deaths. The disease usually spreads through close skin-to-skin contact, including sex.\u003c/p>\n\u003cp>The Centers for Disease Control and Prevention (CDC) announced Saturday that \u003ca href=\"https://www.cdc.gov/media/releases/s1116-california-first-clade.html\">the U.S.’s first known clade I case had recently returned from travel\u003c/a> to the African continent and was treated for mpox symptoms at a medical facility in San Mateo County.\u003c/p>\n\u003cp>Clade I is a more severe strain of mpox compared to the \u003ca href=\"https://www.kqed.org/news/11919070/monkeypox-in-the-bay-area-from-symptoms-to-how-to-find-a-vaccine-heres-what-we-know\">clade II strain that caused an outbreak in the Bay Area in 2022\u003c/a> and that is still circulating at low levels. But the CDC has said that the risk of clade I mpox to the general public within the U.S. “remains low.” \u003ca href=\"https://www.cdc.gov/mpox/vaccines/index.html\">A two-dose vaccine for mpox\u003c/a>, which offers protection against both clade I and clade II, remains available for eligible people at higher risk of infection.\u003c/p>\n\u003cp>\u003cstrong>Jump straight to: \u003c/strong>\u003c/p>\n\u003cul>\n\u003cli>\u003cstrong>\u003ca href=\"#find-mpox-vaccine-near-me\">Who’s eligible for an mpox vaccine in the Bay Area?\u003c/a>\u003c/strong>\u003c/li>\n\u003cli>\u003cstrong>\u003ca href=\"#who-risk-mpox\">Who is most at risk from mpox?\u003c/a>\u003c/strong>\u003c/li>\n\u003c/ul>\n\u003cp>Keep reading for what we know about this new U.S. case of clade I mpox, how mpox spreads, what symptoms to be aware of and who should get an \u003ca href=\"#find-mpox-vaccine-near-me\">mpox vaccine\u003c/a>.\u003cbr>\n\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003ch2>What do we know about this first clade I mpox case in the U.S.?\u003c/h2>\n\u003cp>Not a great deal — because health officials don’t want to release details that could identify this person.\u003c/p>\n\u003cp>We know that \u003ca href=\"https://www.cdph.ca.gov/Programs/OPA/Pages/NR24-036.aspx\">the patient received medical care at a facility in San Mateo County\u003c/a> and had recently returned from travel to Eastern Africa. The patient is now isolating at home, the CDC said — although their home county hasn’t been disclosed — and their symptoms are improving. “It has not been a severe illness” for this patient, San Mateo County health officer Dr. Kismet Baldwin-Santana said.\u003c/p>\n\u003cp>“People who had close contact with this individual are being contacted by public health workers, but there is no concern or evidence that mpox clade I is currently spreading between individuals in California or the United States,” the California Department of Public Health (CDPH) said in a statement.\u003c/p>\n\u003cp>Baldwin-Santana said that officials were also “actively working” with San Mateo health care staff “that have been exposed.”\u003c/p>\n\u003cp>Dr. Peter Chin-Hong, an infectious disease expert at UCSF, said that the first U.S. case of clade I was “expected,” owing to the scale not just of the outbreak in eastern and central Africa but of international travel. “It was only a matter of time before we saw cases in the U.S. from people who traveled there,” he said.\u003c/p>\n\u003cfigure id=\"attachment_11949273\" class=\"wp-caption alignnone\" style=\"max-width: 1920px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-11949273\" src=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2023/05/RS65506_GettyImages-1428290091-1-qut.jpg\" alt=\"Small circular patterns float in a dense, thick brown substance.\" width=\"1920\" height=\"1523\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2023/05/RS65506_GettyImages-1428290091-1-qut.jpg 1920w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/05/RS65506_GettyImages-1428290091-1-qut-800x635.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/05/RS65506_GettyImages-1428290091-1-qut-1020x809.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/05/RS65506_GettyImages-1428290091-1-qut-160x127.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/05/RS65506_GettyImages-1428290091-1-qut-1536x1218.jpg 1536w\" sizes=\"(max-width: 1920px) 100vw, 1920px\">\u003cfigcaption class=\"wp-caption-text\">Colorized transmission electron micrograph of mpox virus particles (orange) found within an infected cell (brown) cultured in a laboratory. \u003ccite>(NIH-NIAID/Image Point FR/BSIP/Universal Images Group via Getty Images)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003ch2>What is clade I mpox, and where is it spreading?\u003c/h2>\n\u003cp>The mpox virus spreads through close contact with someone who is infected and causes mpox disease. As the name might suggest, the virus is related to the smallpox virus, but it’s generally less severe and much less contagious than smallpox, according to CDPH. In addition to fever, chills, headache and muscle pain, mpox can cause a painful rash — also known as lesions — that appear on many parts of the body.\u003c/p>\n\u003cp>In August, the World Health Organization (WHO) declared a \u003ca href=\"https://www.kqed.org/news/11988079/2024-mpox-vaccine-formerly-monkeypox-symptoms-rash\">clade I mpox outbreak\u003c/a> in eastern and central Africa a \u003ca href=\"https://www.kqed.org/news/12000319/mpox-is-declared-a-global-emergency-again-heres-what-to-know\">global emergency\u003c/a>. Historically, this strain has caused more severe illness and higher fatality rates than the other type of mpox, clade II.\u003c/p>\n\u003cp>The Democratic Republic of the Congo (DRC), which has been the \u003ca href=\"https://www.cdc.gov/mpox/outbreaks/2023/index.html\">epicenter of the outbreak\u003c/a>, has reported more than 9,000 confirmed clade I mpox cases and more than 40 deaths since Jan. 1. \u003ca href=\"https://wwwnc.cdc.gov/travel/notices/level2/clade-1-mpox-central-eastern-africa\">Clade I mpox has also spread\u003c/a> to Burundi, Central African Republic, Republic of the Congo, Rwanda and Uganda. Very few doses of the \u003ca href=\"#find-mpox-vaccine-near-me\">mpox vaccine\u003c/a> were originally available on the African continent, but \u003ca href=\"https://www.unicef.org/press-releases/democratic-republic-congo-starts-mpox-vaccination-high-priority-provinces\">in October, 265,000 doses arrived in the DRC\u003c/a> for distribution among vulnerable groups.\u003c/p>\n\u003cp>In August, \u003ca href=\"https://apnews.com/article/mpox-sweden-congo-9923d0ee8deb362b2af5416bb273d629\">the first clade I mpox case outside the African continent was detected in Sweden\u003c/a>. Subsequent cases of people who had recently traveled to affected regions in Africa have also been detected in Germany, India, Kenya, Thailand, the United Kingdom, Zambia and Zimbabwe — and now the U.S.\u003c/p>\n\u003ch2>How is clade I different from the type of mpox that hit the Bay Area in 2022?\u003c/h2>\n\u003cp>\u003ca href=\"https://www.kqed.org/news/11919070/monkeypox-in-the-bay-area-from-symptoms-to-how-to-find-a-vaccine-heres-what-we-know\">The 2022 mpox outbreak in the United States\u003c/a> — which particularly affected gay and bisexual men, as well as trans and nonbinary people who have sex with men — was caused by clade II mpox, the less severe strain. \u003ca href=\"https://www.kqed.org/news/12000319/mpox-is-declared-a-global-emergency-again-heres-what-to-know#mpox-wastewater\">Read more about the 2022 outbreak\u003c/a>.\u003c/p>\n\u003cp>2024’s clade I mpox is also different because it’s “not really in a \u003ca href=\"https://prevention.ucsf.edu/research-project/sexual-networks\">sexual network\u003c/a> per se,” UCSF’s Chin-Hong said — that is, groups of people who are connected to one another sexually. In 2022, clade II “was engineered, almost, to be very efficiently spread within a sexual network, and it was amplified by \u003ca href=\"https://www.kqed.org/news/11988079/2024-mpox-vaccine-formerly-monkeypox-symptoms-rash\">a lot of things happening at the same time, like Pride events\u003c/a>.”\u003c/p>\n\u003cp>The clade I strain that’s been spreading in eastern and central Africa “primarily affects heterosexual people and children within households,” Chin-Hong said — but with the caveat that this exposure within a home has to be “intensive.”\u003c/p>\n\u003cp>\u003cspan style=\"margin: 0px; padding: 0px;\">\u003ca href=\"https://data.wastewaterscan.org/tracker/?charts=CjEQASABSABSBmU5ZTg3ZVIGMzc0MzBhWgpNUFhWX0cyUl9HeIkBigEGOTY3NzIwwAEB&selectedChartId=967720\" target=\"_blank\" rel=\"noopener\">Data from Stanford University’s WastewaterSCAN project\u003c/a>, which monitors the presence of viruses, including mpox, in human sewage across the U.S., shows that more than two years after the initial 2022 outbreak, clade II of mpox is still occasionally detected in the Bay Area’s wastewater.\u003c/span>\u003c/p>\n\u003cp>Dr. Julia Janssen, deputy director of the HIV/STI Prevention and Control Branch at the San Francisco Department of Public Health, stressed that the city had seen 31 confirmed cases this year — and that \u003ca href=\"https://www.cdc.gov/mpox/hcp/clinical-overview/index.html\">Bay Area residents at higher risk of infection \u003c/a>should still stay vigilant for clade II mpox by \u003ca href=\"#find-mpox-vaccine-near-me\">getting their mpox vaccine.\u003c/a>\u003c/p>\n\u003cfigure id=\"attachment_11988132\" class=\"wp-caption alignnone\" style=\"max-width: 1920px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-11988132\" src=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2024/05/GettyImages-1412778743.jpg\" alt=\"\" width=\"1920\" height=\"1315\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2024/05/GettyImages-1412778743.jpg 1920w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/05/GettyImages-1412778743-800x548.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/05/GettyImages-1412778743-1020x699.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/05/GettyImages-1412778743-160x110.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/05/GettyImages-1412778743-1536x1052.jpg 1536w\" sizes=\"(max-width: 1920px) 100vw, 1920px\">\u003cfigcaption class=\"wp-caption-text\">A pharmacist prepares a dose of the Jynneos mpox vaccine at a pop-up vaccination clinic opened by the Los Angeles County Department of Public Health at the West Hollywood Library on Aug. 3, 2022, in West Hollywood, California. \u003ccite>(Mario Tama/Getty Images)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003ch2>\u003ca id=\"who-risk-mpox\">\u003c/a>Who is at higher risk of getting clade I mpox?\u003c/h2>\n\u003cp>“Nothing has led us to believe up till now that there is a heightened risk to the general public” from clade I mpox, San Mateo County’s Baldwin-Santana said, echoing the CDC and CDPH. “Most people in the public really should not be too concerned at this point in time.”\u003c/p>\n\u003cp>The CDC said that the large number of children getting clade I in eastern and central Africa likely shows that it’s spreading within households and between family members. “Based on what we know right now, \u003ca href=\"https://www.cdc.gov/mpox/situation-summary/index.html\">we don’t expect to see the same sort of risk if mpox were introduced in the United States for several reasons\u003c/a>, including different household makeup and size, access to disinfecting products and improved access to medical care,” the agency said.\u003c/p>\n\u003cp>Based on its own models, the CDC also said that close-contact transmission within and between households “is \u003ca href=\"https://www.cdc.gov/forecast-outbreak-analytics/about/modeling-forecasting/mpox-transmission.html\">unlikely to result in a large number of mpox clade I cases\u003c/a>” nationally.\u003c/p>\n\u003cp>Clade I is “nothing to worry about for the general population” in the Bay Area, UCSF’s Chin-Hong said. “It’s still very hard to get mpox, even from somebody with active lesions. It requires close skin-to-skin contact or intensive household contact — so you can’t get it from Muni or from yoga or from going to Trader Joe’s.”\u003c/p>\n\u003cp>Clade II mpox remains a much more real threat in the Bay Area right now than this one clade I case, Chin-Hong said, since that strain is still circulating at low levels in the region. It’s “a great reminder for people to continue to pay attention to that — that is, people in the LGBTQ community — to really make sure they’re up to date on\u003ca href=\"#find-mpox-vaccine-near-me\"> vaccines\u003c/a>,” he said, reminding folks that gay and bisexual men and other men who have sex with men, as well as transgender, nonbinary and gender-diverse people, are at greater risk for a clade II infection. Jump to \u003ca href=\"#find-mpox-vaccine-near-me\">where to find an mpox vaccine. \u003c/a>\u003c/p>\n\u003ch3>What are the symptoms of mpox, and how does it spread?\u003c/h3>\n\u003cp>The mpox virus spreads through close — usually skin-to-skin — contact with someone who is infected. This could be direct contact with the infectious rashes or scabs someone with mpox develops, scabs, having intimate physical contact with someone who has mpox, such as kissing, cuddling or sex. Coming into contact with infected bodily fluids or items that have been touched by rashes or fluids from an infected person can also expose you to the virus.\u003c/p>\n\u003cp>The symptoms of clade I and clade II mpox are similar, SFDPH’s Janssen said, and they can often start as flu-like conditions — which is worth bearing in mind as the Bay Area enters respiratory virus season.\u003c/p>\n\u003cp>The mpox virus also appears as a rash or sores or spots that can resemble pimples or blisters on the skin anywhere on the body, including the face, inside the mouth, hands, feet, chest, genitals and anus. These spots often start as red, flat spots that then become bumps before the bumps become filled with pus and turn into scabs when they break. These symptoms can be extremely painful. \u003ca href=\"https://www.cdc.gov/poxvirus/mpox/symptoms/index.html\">If you’re unsure about recognizing an mpox rash, the CDC has a photo guide\u003c/a>.\u003c/p>\n\u003cp>\u003ca href=\"https://www.cdc.gov/poxvirus/mpox/symptoms/index.html\">Mpox can have a long incubation period\u003c/a> — that is, the time between when you’re exposed to mpox and when you start to develop symptoms — that can range from three to 17 days, according to the CDC.\u003c/p>\n\u003cp>If you suspect you might have mpox symptoms — even if they’re subtle — see your health care provider right away or \u003ca href=\"https://www.sf.gov/get-mpox-vaccines-testing-and-medicine\">consult one of SFPDH’s clinics for mpox testing\u003c/a>. See more on \u003ca href=\"https://sf.gov/information/mpox\">what to do if you suspect you have mpox\u003c/a>.\u003c/p>\n\u003cfigure id=\"attachment_12000320\" class=\"wp-caption alignnone\" style=\"max-width: 1024px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-12000320\" src=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2024/08/GettyImages-1414098149.jpg\" alt=\"A woman wearing glasses, a face mask and a visor with blue surgical gloves holds a syringe and a small bottle.\" width=\"1024\" height=\"646\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2024/08/GettyImages-1414098149.jpg 1024w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/08/GettyImages-1414098149-800x505.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/08/GettyImages-1414098149-1020x643.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/08/GettyImages-1414098149-160x101.jpg 160w\" sizes=\"(max-width: 1024px) 100vw, 1024px\">\u003cfigcaption class=\"wp-caption-text\">Licensed Vocational Nurse (LVN) Gabriela Solis prepares a dose of the Jynneos mpox vaccine at an L.A. County vaccination site in East Los Angeles on Aug. 10, 2022. \u003ccite>(Mario Tama/Getty Images)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003ch3>\u003ca id=\"find-mpox-vaccine-near-me\">\u003c/a>Who’s eligible for an mpox vaccine in the Bay Area?\u003c/h3>\n\u003cp>The vaccine currently available in the U.S. (brand name: Jynneos) is a two-dose series, with roughly a month between doses. Maximal immunity will build two weeks after your second dose. If you only got one dose previously, go ahead and seek out your second dose ASAP.\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>The U.S. Department of Health and Human Services said in a statement that people who have received both doses of the mpox vaccine — along with people who have already had clade II mpox — “are \u003ca href=\"https://www.hhs.gov/about/news/2024/08/14/united-states-governments-response-clade-i-mpox-outbreak-democratic-republic-congo-other-countries-region.html\">expected to be protected against severe illness from clade I mpox\u003c/a>” as well.\u003c/p>\n\u003cp>The CDC recommends the two-dose mpox vaccine to gay and bisexual men and other men who have sex with men, as well as transgender, nonbinary or gender-diverse people who in the past 6 months, have had:\u003c/p>\n\u003cul>\n\u003cli>More than one sexual partner and/or\u003c/li>\n\u003cli>A new diagnosis of one or more sexually transmitted infections.\u003c/li>\n\u003c/ul>\n\u003cp>The CDC’s vaccine recommendations also include anyone who has had sex at a commercial sex venue like a sex club or bathhouse. \u003ca href=\"https://www.cdc.gov/mpox/vaccines/index.html\">See the full mpox vaccine eligibility recommendations from the CDC\u003c/a>.\u003c/p>\n\u003cp>\u003ca href=\"https://www.sf.gov/get-mpox-vaccines-testing-and-treatment\">San Francisco additionally recommends vaccination\u003c/a> for anyone living with HIV, anyone taking PrEP or who’s eligible to take it and sex workers.\u003c/p>\n\u003cp>The CDC has recently updated its vaccination recommendations to extend to people traveling to countries with clade I outbreaks, which as of Nov. 16 include Burundi, Central African Republic, Democratic Republic of the Congo, Republic of the Congo, Rwanda and Uganda. The agency recommends getting both doses of the vaccine “if you anticipate experiencing any of the following” while traveling to these countries:\u003c/p>\n\u003cul>\n\u003cli>Sex with a new partner\u003c/li>\n\u003cli>Sex at a commercial sex venue, such as a sex club or bathhouse\u003c/li>\n\u003cli>Sex in exchange for money, goods, drugs or other trade\u003c/li>\n\u003cli>Sex in association with a large public event, such as a rave, party or festival.\u003c/li>\n\u003c/ul>\n\u003cp>The mpox vaccine was also originally only available for people aged 18 and older, but in 2022 the Food and Drug Administration (FDA) issued an emergency-use authorization that allows providers to also give the vaccine to young people under 18 who are “determined to be at high risk” of infection.\u003c/p>\n\u003ch3>Where can I find an mpox vaccine?\u003c/h3>\n\u003cp>If you have a regular health care provider, SFDPH recommends you ask them first about getting the mpox vaccine. Your vaccine will be free, but you may be charged a regular copay for seeing your provider.\u003c/p>\n\u003cp>If you’re eligible for the vaccine, your health insurance should cover the costs \u003ca href=\"https://www.cdc.gov/mpox/vaccines/index.htmla\">thanks to the CDC’s recommendations\u003c/a>. If you don’t have a regular health care provider or insurance, you can find the mpox vaccine free at clinics around the Bay Area. You can opt to schedule an appointment or choose a walk-in clinic, depending on what works best for you.\u003c/p>\n\u003cp>(As with the COVID-19 vaccine, receiving an mpox vaccine won’t make you \u003ca href=\"https://documentedny.com/2021/04/04/public-charge-rule-explained/\">a public charge\u003c/a> or affect any future immigration processes you may enter into, and you won’t be asked about your immigration status to receive the mpox vaccine.)\u003c/p>\n\u003cp>\u003cstrong>If you live in or near San Francisco:\u003c/strong>\u003c/p>\n\u003cp>See \u003ca href=\"https://sf.gov/information/mpox-vaccine\">a full list of mpox vaccine sites near you in San Francisco\u003c/a>. SFDPH confirms that you don’t have to be a city resident in San Francisco to get vaccinated for mpox.\u003c/p>\n\u003cp>\u003cstrong>Mpox vaccination sites elsewhere in the Bay Area and California:\u003c/strong>\u003c/p>\n\u003cul>\n\u003cli>Find an mpox vaccine clinic near you using \u003ca href=\"https://npin.cdc.gov/DynWidgets/index.html?chost=www.cdc.gov&cpath=/lgbthealth/summer/index.html&csearch=&chash=&ctitle=Get%20Healthy%20and%20Ready%20for%20Summer%20%7C%20LGBT%20Health%20%7C%20CDC&wn=DynWidgets&wf=/DynWidgets/&wid=DynWidgets1&mMode=widget&mPage=&mChannel=&componentName=MpoxLocator#/\">the CDC’s Vaccine Locator\u003c/a>\u003c/li>\n\u003cli>Find an mpox vaccine clinic near you using \u003ca href=\"https://myturn.ca.gov/\">the state’s myturn.ca.gov site\u003c/a>\u003c/li>\n\u003c/ul>\n\u003cp>\u003cstrong>Getting an mpox vaccine at a pharmacy\u003c/strong>\u003c/p>\n\u003cp>Some pharmacies offer mpox vaccination appointments online, along with other vaccines like COVID-19 and flu. But if you choose this route, you’ll be asked for insurance details — and it’s important to verify with your insurer ahead of time that they’ll cover the cost of an mpox vaccine at a pharmacy like CVS or Walgreens, as the out-of-pocket costs you’ll be quoted may be steep. If you find your insurance doesn’t fully cover the cost, \u003ca href=\"https://www.sf.gov/get-mpox-vaccines-testing-and-treatment\">SFDPH said you can seek your vaccine at one of their clinics while supplies last\u003c/a>.\u003c/p>\n\u003cp>If you get your health care through a health system like Kaiser Permanente, it’s unlikely you’ll be able to get your mpox vaccine covered by insurance at a pharmacy like CVS or Walgreens — the way you can’t get your COVID-19 or flu shot covered by Kaiser at a pharmacy either — and may have to seek it directly from a Kaiser provider.\u003c/p>\n\u003cp>If you’re able to make an appointment online at a pharmacy for your mpox vaccine, you should consider calling that location ahead of time to verify that they do indeed have supply in stock.\u003c/p>\n\u003cp>\u003cem>This story includes reporting from KQED’s Billy Cruz, Carlos Cabrera-Lomelí and Nisa Khan.\u003c/em>\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cp>\u003ca href=\"https://www.cdph.ca.gov/Programs/OPA/Pages/NR24-036.aspx\">Health officials said Saturday\u003c/a> they have confirmed the first U.S. case of a \u003ca href=\"https://apnews.com/article/what-is-mpox-monkey-pox-congo-emergency-415d11f9e62d104b4c40dd8fe8e80b47\">new form of mpox\u003c/a> that was first seen in \u003ca href=\"https://apnews.com/article/mpox-congo-africa-vaccines-who-928b3954e0e47f60bbdc8988fe644107\">eastern Congo\u003c/a>.\u003c/p>\n\u003cp>The person had traveled to eastern Africa and was treated in San Mateo County upon return, according to the California Department of Public Health. Symptoms are improving and the risk to the public is low.\u003c/p>\n\u003cp>The individual was isolating at home and health workers are reaching out to close contacts as a precaution, the state health department said.[ad fullwidth]\u003c/p>\n\u003cp>\u003ca href=\"https://apnews.com/article/africa-mpox-outbreak-who-f1c5d501223ccf3b53c6d9a2727d5c8a\">Mpox\u003c/a> is a rare disease caused by infection with a virus that’s in the same family as the one that causes smallpox. It is endemic in parts of Africa, where people have been infected through bites from rodents or small animals. Milder symptoms can include fever, chills and body aches. In more serious cases, people can develop lesions on the face, hands, chest and genitals.\u003c/p>\n\u003cp>\u003ca href=\"https://apnews.com/article/mpox-congo-outbreak-who-fda17cea128f46e48110ad7adcd9e5de\">Earlier this year\u003c/a>, scientists reported the emergence of a new form of mpox in Africa that was spread through close contact including through sex. It was widely transmitted in eastern and central Africa. But in cases that were identified in travelers outside of the continent, spread has been very limited, according to the U.S. Centers for Disease Control and Prevention.[aside tag=\"mpox, health\" label=\"More Related Stories\"]\u003c/p>\n\u003cp>More than 3,100 confirmed cases have been reported just since late September, according to the World Health Organization. The vast majority of them have been in three African countries — Burundi, Uganda, and the Democratic Republic of the Congo.\u003c/p>\n\u003cp>Since then, cases of travelers with the new mpox form have been reported in Germany, India, Kenya, Sweden, Thailand, Zimbabwe, and the United Kingdom.\u003c/p>\n\u003cp>Health officials earlier this month said the situation in Congo appears to be stabilizing. The Africa CDC has estimated Congo needs at least 3 million mpox vaccines to stop the spread, and another 7 million vaccines for the rest of Africa. The spread is mostly through sexual transmission as well as through close contact among children, pregnant women and other vulnerable groups.\u003c/p>\n\u003cp>The current outbreak is different from the 2022 global outbreak of mpox where gay and bisexual men made up the vast majority of cases.\u003c/p>\n\u003cp>More information about mpox and the specific strains, clade I and clade II, is available on the \u003ca href=\"https://www.cdc.gov/mpox/index.html\">CDC website\u003c/a>.\u003c/p>\n\u003cp>___\u003cbr>\n\u003cem>The Associated Press Health and Science Department receives support from the Howard Hughes Medical Institute’s Science and Educational Media Group. The AP is solely responsible for all content.\u003c/em>\u003c/p>\n\u003cp>\u003c/p>\n",
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"excerpt": "The person had traveled to eastern Africa and was treated in San Mateo County upon return, according to the California Department of Public Health. Symptoms are improving and the risk to the public is low.",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>\u003ca href=\"https://www.cdph.ca.gov/Programs/OPA/Pages/NR24-036.aspx\">Health officials said Saturday\u003c/a> they have confirmed the first U.S. case of a \u003ca href=\"https://apnews.com/article/what-is-mpox-monkey-pox-congo-emergency-415d11f9e62d104b4c40dd8fe8e80b47\">new form of mpox\u003c/a> that was first seen in \u003ca href=\"https://apnews.com/article/mpox-congo-africa-vaccines-who-928b3954e0e47f60bbdc8988fe644107\">eastern Congo\u003c/a>.\u003c/p>\n\u003cp>The person had traveled to eastern Africa and was treated in San Mateo County upon return, according to the California Department of Public Health. Symptoms are improving and the risk to the public is low.\u003c/p>\n\u003cp>The individual was isolating at home and health workers are reaching out to close contacts as a precaution, the state health department said.\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>More than 3,100 confirmed cases have been reported just since late September, according to the World Health Organization. The vast majority of them have been in three African countries — Burundi, Uganda, and the Democratic Republic of the Congo.\u003c/p>\n\u003cp>Since then, cases of travelers with the new mpox form have been reported in Germany, India, Kenya, Sweden, Thailand, Zimbabwe, and the United Kingdom.\u003c/p>\n\u003cp>Health officials earlier this month said the situation in Congo appears to be stabilizing. The Africa CDC has estimated Congo needs at least 3 million mpox vaccines to stop the spread, and another 7 million vaccines for the rest of Africa. The spread is mostly through sexual transmission as well as through close contact among children, pregnant women and other vulnerable groups.\u003c/p>\n\u003cp>The current outbreak is different from the 2022 global outbreak of mpox where gay and bisexual men made up the vast majority of cases.\u003c/p>\n\u003cp>More information about mpox and the specific strains, clade I and clade II, is available on the \u003ca href=\"https://www.cdc.gov/mpox/index.html\">CDC website\u003c/a>.\u003c/p>\n\u003cp>___\u003cbr>\n\u003cem>The Associated Press Health and Science Department receives support from the Howard Hughes Medical Institute’s Science and Educational Media Group. The AP is solely responsible for all content.\u003c/em>\u003c/p>\n\u003cp>\u003c/p>\n\u003c/div>\u003c/p>",
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"content": "\u003cp>Whooping cough cases are on the rise in California and the Bay Area, particularly in \u003ca href=\"https://www.kqed.org/news/tag/marin-county\">Marin County\u003c/a> — and health experts warn that \u003ca href=\"https://www.kqed.org/stateofhealth/15263/vaccine-refusals-fueled-california-whooping-cough-epidemic-personal-belief-exemption\">flagging vaccination rates\u003c/a> are likely playing a major part in the surge.\u003c/p>\n\u003cul>\n\u003cli>\u003cstrong>Jump straight to: \u003ca href=\"#whooping-cough-vaccine\">Where can I find the whooping cough vaccine?\u003c/a>\u003c/strong>\u003c/li>\n\u003c/ul>\n\u003cp>According to the \u003ca href=\"https://www.cdph.ca.gov/Programs/CID/DCDC/CDPH%20Document%20Library/Immunization/Pertussis_Report_SEP2024.pdf\">Department of Public Health\u003c/a>, nearly 1,800 cases of whooping cough have been reported in California as of Sept. 30, a more than sixfold increase from the same time last year, when there were 288.\u003c/p>\n\u003cp>In Marin County alone, 336 cases have been reported, compared with only five at the same time last year. Although Marin is squarely in the middle of California’s counties by population, its case count this year is the second highest — behind only San Diego County, with 470.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>In San Francisco, there have been 84 reported cases this year, a massive increase considering there was only one reported case in all of 2023.\u003c/p>\n\u003cp>“It’s entirely possible that a lot of the rise that we’re seeing not only in the Bay Area but also nationwide when it comes to whooping cough is related to a lower-than-ideal vaccination rate,” said Dr. Alok Patel, a pediatric hospitalist at Stanford Children’s Health.\u003c/p>\n\u003cp>Whooping cough, also known as pertussis, largely affects young children and infants, although adults and teens are also at risk of contracting the bacterial disease. The respiratory illness is incredibly contagious and can easily spread through exposure to droplets released during a cough or sneeze.\u003c/p>\n\u003cp>\u003c!-- iframe plugin v.4.3 wordpress.org/plugins/iframe/ -->\u003cbr>\n\u003ciframe loading=\"lazy\" title=\"Reported pertussis cases in Bay Area counties (through Sept. 30)\" aria-label=\"Grouped Columns\" id=\"datawrapper-chart-rmjFS\" src=\"https://datawrapper.dwcdn.net/rmjFS/1/\" scrolling=\"no\" frameborder=\"0\" style=\"border: none;\" width=\"1000\" height=\"700\" data-external=\"1\" class=\"iframe-class\">\u003c/iframe>\u003c/p>\n\u003cp>While symptoms of pertussis may resemble those of a common cold — mild cough, low fever and a runny nose — serious infections can result in respiratory pain, prolonged coughing fits and difficulty breathing. In severe cases, the infection can even be fatal for school-age children and babies who have not been vaccinated.\u003c/p>\n\u003cp>According to Patel, the ideal vaccination rate for \u003ca href=\"https://www.kqed.org/perspectives/201007080735/pertussis-and-herd-immunity\">herd immunity\u003c/a> against whooping cough is 95%. He noted, however, that several counties in both the Bay Area and the rest of California have vaccination rates well below that number.\u003c/p>\n\u003cp>“If you have multiple groups of unvaccinated individuals, whether that is by choice or because a child is too young to get vaccinated, it’s easier for an infectious disease that’s really contagious, like whooping cough, to spread among multiple children,” Patel said.\u003c/p>\n\u003cp>For years, Marin County was known for vaccine hesitancy among its largely highly educated, affluent parents, many of whom were skeptical of traditional medicine and pharmaceutical companies. In the 2010s, it \u003ca href=\"https://www.kqed.org/news/115361/marin-parents-opt-out-of-vaccines-at-high-rate-put-community-at-risk-say-health-officials\">led the Bay Area in so-called personal belief exemptions\u003c/a> to required immunizations for schoolchildren. During the pandemic, public health officials made strides in boosting COVID-19 vaccine rates there.\u003c/p>\n\u003cp>As whooping cough rates soar, Patel advised parents to make sure their children’s vaccinations are up to date as soon as possible.\u003c/p>\n\u003cp>In addition to lower vaccination rates, some experts suggest that there has been a loss of immunity over time even for those who have previously been vaccinated, leading to higher case infection rates.\u003c/p>\n\u003cp>Patel said the disease spreads most effectively in clusters due to its contagious nature. He noted that many pandemic-era practices may be useful when it comes to stopping the spread.\u003c/p>\n\u003cp>Consistent handwashing, basic hygiene and wearing a mask can help prevent further infections, Patel noted. He also added that individuals who suspect they may be sick should stay home and that public messaging needs to reflect the seriousness of this respiratory disease so that employers and teachers are more lenient when it comes to excusing absences.\u003c/p>\n\u003cp>Still, Patel emphasized that the most effective way to stop the spread of whooping cough is to get vaccinated.\u003c/p>\n\u003cp>“Before we had an effective whooping cough vaccine, in the 1940s, there were an estimated over 200,000 cases of whooping cough per year that we knew about,” Patel said. “If you fast forward a few decades, that number dropped by 99% in the mid-’70s. We have a completely effective vaccine that has proven its worth for 80 years.”\u003c/p>\n\u003ch2>\u003ca id=\"whooping-cough-vaccine\">\u003c/a>Do I need to get the whooping cough vaccine?\u003c/h2>\n\u003cp>\u003ca href=\"https://www.cdc.gov/pertussis/vaccines/types.html\">The “whooping cough vaccine” \u003c/a>is actually a combination vaccine that protects against not just pertussis but also tetanus and diphtheria. It’s called the DTaP vaccine for babies and children under 7 and the Tdap vaccine for older children and adults.\u003c/p>\n\u003cp>\u003cstrong>For babies and young children (DTaP vaccine)\u003c/strong>\u003c/p>\n\u003cp>Multiple shots are recommended for maximum immunity. Babies are recommended to get three DTaP shots — one at 2 months, 4 months and 6 months.\u003c/p>\n\u003cp>The Centers for Disease Control and Prevention recommends that children then get two booster shots later (at 15–18 months and 4–6 years) to maintain their protection in early childhood.\u003c/p>\n\u003cp>\u003cstrong>For older children (Tdap vaccine)\u003c/strong>\u003c/p>\n\u003cp>The CDC said that preteens should get a Tdap shot between the ages of 11 and 12 years as a booster — and any teenager who didn’t get this earlier shot should get one the next time they visit their provider.\u003c/p>\n\u003cp>\u003cstrong>For adults (Tdap vaccine)\u003c/strong>\u003c/p>\n\u003cp>If you’re an adult who’s never had a Tdap shot, the CDC said you should get one — at any time. The agency also recommends that adults get a booster every 10 years. Pregnant people are also advised to get a Tdap shot early in their third trimester of every pregnancy to protect their baby from whooping cough in their vulnerable first few newborn months.\u003c/p>\n\u003ch2>\u003cstrong>Where can I find a shot in the Bay Area?\u003c/strong>\u003c/h2>\n\u003cp>If you have health insurance, \u003ca href=\"https://www.cdc.gov/pertussis/vaccines/recommendations.html\">the CDC’s recommendation of these shots\u003c/a> means that your insurer should cover the costs. You can find appointments for a Tdap vaccine at:\u003c/p>\n\u003cul>\n\u003cli>Your regular health care provider\u003c/li>\n\u003cli>A local pharmacy like \u003ca href=\"https://www.cvs.com/immunizations/tdap-dtap\">CVS \u003c/a>or \u003ca href=\"https://www.walgreens.com/topic/pharmacy/scheduler/tdap-td-tetanus-diphtheria-pertussis-vaccine_32.jsp\">Walgreens\u003c/a>\u003c/li>\n\u003cli>\u003ca href=\"https://www.vaccines.gov/en/\">vaccines.gov\u003c/a>, the federal government’s vaccine locator\u003c/li>\n\u003cli>\u003ca href=\"https://myturn.ca.gov/vaccinelocator.html\">myturn.ca.gov\u003c/a>, the state’s vaccine locator\u003c/li>\n\u003c/ul>\n\u003cp>For those without insurance: Uninsured children ages 18 and under can get free DTaP vaccines — and other no-cost immunizations — as part of the \u003ca href=\"https://www.cdc.gov/vaccines/programs/vfc/index.html\">Vaccines for Children Program\u003c/a>. People without insurance can get the vaccine at a lower cost — or even free\u003ca href=\"https://eziz.org/assets/docs/IMM-1247.pdf\"> if they qualify for the Vaccines for Adults Program\u003c/a> — from several providers and community clinics around the Bay Area, including:\u003c/p>\n\u003cul>\n\u003cli>\u003ca href=\"https://www.sf.gov/information/aitc-services-and-prices\">San Francisco Department of Public Health’s AITC clinic\u003c/a>\u003c/li>\n\u003cli>\u003ca href=\"https://cchealth.org/immunization/clinics.php#Uninsured\">Contra Costa Public Health Immunization Clinic\u003c/a>\u003c/li>\n\u003cli>\u003ca href=\"https://acphd.org/clinics/\">Alameda County Immunization Clinics.\u003c/a>\u003c/li>\n\u003c/ul>\n\u003cp>(And while you’re at it, remember that now is a great time to \u003ca href=\"https://www.kqed.org/news/12001396/where-can-i-get-new-covid-vaccine-near-me-2024\">get your updated COVID shot and your flu vaccine, too\u003c/a>, as we enter winter respiratory virus season.)\u003c/p>\n\u003cp>[ad floatright]\u003c/p>\n",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>Whooping cough cases are on the rise in California and the Bay Area, particularly in \u003ca href=\"https://www.kqed.org/news/tag/marin-county\">Marin County\u003c/a> — and health experts warn that \u003ca href=\"https://www.kqed.org/stateofhealth/15263/vaccine-refusals-fueled-california-whooping-cough-epidemic-personal-belief-exemption\">flagging vaccination rates\u003c/a> are likely playing a major part in the surge.\u003c/p>\n\u003cul>\n\u003cli>\u003cstrong>Jump straight to: \u003ca href=\"#whooping-cough-vaccine\">Where can I find the whooping cough vaccine?\u003c/a>\u003c/strong>\u003c/li>\n\u003c/ul>\n\u003cp>According to the \u003ca href=\"https://www.cdph.ca.gov/Programs/CID/DCDC/CDPH%20Document%20Library/Immunization/Pertussis_Report_SEP2024.pdf\">Department of Public Health\u003c/a>, nearly 1,800 cases of whooping cough have been reported in California as of Sept. 30, a more than sixfold increase from the same time last year, when there were 288.\u003c/p>\n\u003cp>In Marin County alone, 336 cases have been reported, compared with only five at the same time last year. Although Marin is squarely in the middle of California’s counties by population, its case count this year is the second highest — behind only San Diego County, with 470.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>In San Francisco, there have been 84 reported cases this year, a massive increase considering there was only one reported case in all of 2023.\u003c/p>\n\u003cp>“It’s entirely possible that a lot of the rise that we’re seeing not only in the Bay Area but also nationwide when it comes to whooping cough is related to a lower-than-ideal vaccination rate,” said Dr. Alok Patel, a pediatric hospitalist at Stanford Children’s Health.\u003c/p>\n\u003cp>Whooping cough, also known as pertussis, largely affects young children and infants, although adults and teens are also at risk of contracting the bacterial disease. The respiratory illness is incredibly contagious and can easily spread through exposure to droplets released during a cough or sneeze.\u003c/p>\n\u003cp>\u003c!-- iframe plugin v.4.3 wordpress.org/plugins/iframe/ -->\u003cbr>\n\u003ciframe loading=\"lazy\" title=\"Reported pertussis cases in Bay Area counties (through Sept. 30)\" aria-label=\"Grouped Columns\" id=\"datawrapper-chart-rmjFS\" src=\"https://datawrapper.dwcdn.net/rmjFS/1/\" scrolling=\"no\" frameborder=\"0\" style=\"border: none;\" width=\"1000\" height=\"700\" data-external=\"1\" class=\"iframe-class\">\u003c/iframe>\u003c/p>\n\u003cp>While symptoms of pertussis may resemble those of a common cold — mild cough, low fever and a runny nose — serious infections can result in respiratory pain, prolonged coughing fits and difficulty breathing. In severe cases, the infection can even be fatal for school-age children and babies who have not been vaccinated.\u003c/p>\n\u003cp>According to Patel, the ideal vaccination rate for \u003ca href=\"https://www.kqed.org/perspectives/201007080735/pertussis-and-herd-immunity\">herd immunity\u003c/a> against whooping cough is 95%. He noted, however, that several counties in both the Bay Area and the rest of California have vaccination rates well below that number.\u003c/p>\n\u003cp>“If you have multiple groups of unvaccinated individuals, whether that is by choice or because a child is too young to get vaccinated, it’s easier for an infectious disease that’s really contagious, like whooping cough, to spread among multiple children,” Patel said.\u003c/p>\n\u003cp>For years, Marin County was known for vaccine hesitancy among its largely highly educated, affluent parents, many of whom were skeptical of traditional medicine and pharmaceutical companies. In the 2010s, it \u003ca href=\"https://www.kqed.org/news/115361/marin-parents-opt-out-of-vaccines-at-high-rate-put-community-at-risk-say-health-officials\">led the Bay Area in so-called personal belief exemptions\u003c/a> to required immunizations for schoolchildren. During the pandemic, public health officials made strides in boosting COVID-19 vaccine rates there.\u003c/p>\n\u003cp>As whooping cough rates soar, Patel advised parents to make sure their children’s vaccinations are up to date as soon as possible.\u003c/p>\n\u003cp>In addition to lower vaccination rates, some experts suggest that there has been a loss of immunity over time even for those who have previously been vaccinated, leading to higher case infection rates.\u003c/p>\n\u003cp>Patel said the disease spreads most effectively in clusters due to its contagious nature. He noted that many pandemic-era practices may be useful when it comes to stopping the spread.\u003c/p>\n\u003cp>Consistent handwashing, basic hygiene and wearing a mask can help prevent further infections, Patel noted. He also added that individuals who suspect they may be sick should stay home and that public messaging needs to reflect the seriousness of this respiratory disease so that employers and teachers are more lenient when it comes to excusing absences.\u003c/p>\n\u003cp>Still, Patel emphasized that the most effective way to stop the spread of whooping cough is to get vaccinated.\u003c/p>\n\u003cp>“Before we had an effective whooping cough vaccine, in the 1940s, there were an estimated over 200,000 cases of whooping cough per year that we knew about,” Patel said. “If you fast forward a few decades, that number dropped by 99% in the mid-’70s. We have a completely effective vaccine that has proven its worth for 80 years.”\u003c/p>\n\u003ch2>\u003ca id=\"whooping-cough-vaccine\">\u003c/a>Do I need to get the whooping cough vaccine?\u003c/h2>\n\u003cp>\u003ca href=\"https://www.cdc.gov/pertussis/vaccines/types.html\">The “whooping cough vaccine” \u003c/a>is actually a combination vaccine that protects against not just pertussis but also tetanus and diphtheria. It’s called the DTaP vaccine for babies and children under 7 and the Tdap vaccine for older children and adults.\u003c/p>\n\u003cp>\u003cstrong>For babies and young children (DTaP vaccine)\u003c/strong>\u003c/p>\n\u003cp>Multiple shots are recommended for maximum immunity. Babies are recommended to get three DTaP shots — one at 2 months, 4 months and 6 months.\u003c/p>\n\u003cp>The Centers for Disease Control and Prevention recommends that children then get two booster shots later (at 15–18 months and 4–6 years) to maintain their protection in early childhood.\u003c/p>\n\u003cp>\u003cstrong>For older children (Tdap vaccine)\u003c/strong>\u003c/p>\n\u003cp>The CDC said that preteens should get a Tdap shot between the ages of 11 and 12 years as a booster — and any teenager who didn’t get this earlier shot should get one the next time they visit their provider.\u003c/p>\n\u003cp>\u003cstrong>For adults (Tdap vaccine)\u003c/strong>\u003c/p>\n\u003cp>If you’re an adult who’s never had a Tdap shot, the CDC said you should get one — at any time. The agency also recommends that adults get a booster every 10 years. Pregnant people are also advised to get a Tdap shot early in their third trimester of every pregnancy to protect their baby from whooping cough in their vulnerable first few newborn months.\u003c/p>\n\u003ch2>\u003cstrong>Where can I find a shot in the Bay Area?\u003c/strong>\u003c/h2>\n\u003cp>If you have health insurance, \u003ca href=\"https://www.cdc.gov/pertussis/vaccines/recommendations.html\">the CDC’s recommendation of these shots\u003c/a> means that your insurer should cover the costs. You can find appointments for a Tdap vaccine at:\u003c/p>\n\u003cul>\n\u003cli>Your regular health care provider\u003c/li>\n\u003cli>A local pharmacy like \u003ca href=\"https://www.cvs.com/immunizations/tdap-dtap\">CVS \u003c/a>or \u003ca href=\"https://www.walgreens.com/topic/pharmacy/scheduler/tdap-td-tetanus-diphtheria-pertussis-vaccine_32.jsp\">Walgreens\u003c/a>\u003c/li>\n\u003cli>\u003ca href=\"https://www.vaccines.gov/en/\">vaccines.gov\u003c/a>, the federal government’s vaccine locator\u003c/li>\n\u003cli>\u003ca href=\"https://myturn.ca.gov/vaccinelocator.html\">myturn.ca.gov\u003c/a>, the state’s vaccine locator\u003c/li>\n\u003c/ul>\n\u003cp>For those without insurance: Uninsured children ages 18 and under can get free DTaP vaccines — and other no-cost immunizations — as part of the \u003ca href=\"https://www.cdc.gov/vaccines/programs/vfc/index.html\">Vaccines for Children Program\u003c/a>. People without insurance can get the vaccine at a lower cost — or even free\u003ca href=\"https://eziz.org/assets/docs/IMM-1247.pdf\"> if they qualify for the Vaccines for Adults Program\u003c/a> — from several providers and community clinics around the Bay Area, including:\u003c/p>\n\u003cul>\n\u003cli>\u003ca href=\"https://www.sf.gov/information/aitc-services-and-prices\">San Francisco Department of Public Health’s AITC clinic\u003c/a>\u003c/li>\n\u003cli>\u003ca href=\"https://cchealth.org/immunization/clinics.php#Uninsured\">Contra Costa Public Health Immunization Clinic\u003c/a>\u003c/li>\n\u003cli>\u003ca href=\"https://acphd.org/clinics/\">Alameda County Immunization Clinics.\u003c/a>\u003c/li>\n\u003c/ul>\n\u003cp>(And while you’re at it, remember that now is a great time to \u003ca href=\"https://www.kqed.org/news/12001396/where-can-i-get-new-covid-vaccine-near-me-2024\">get your updated COVID shot and your flu vaccine, too\u003c/a>, as we enter winter respiratory virus season.)\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cp>Hoping to establish California as a legal bulwark \u003ca href=\"https://www.kqed.org/news/12013269/what-another-trump-term-could-mean-for-california\">against the second Trump administration\u003c/a>, Gov. Gavin Newsom on Thursday called a special legislative session to prepare for what he described as an incoming “attack” on the state’s freedoms.\u003c/p>\n\u003cp>Newsom’s first two years in office were defined by frequent clashes with then-President Donald Trump over climate change, immigration and health care policy. Now, the governor is \u003ca href=\"https://www.gov.ca.gov/wp-content/uploads/2024/11/Special_Session_Proc_Nov.pdf\">directing the Legislature\u003c/a> to meet in early December to approve new funding as the state expects to take on the White House in court.\u003c/p>\n\u003cp>“California has faced this challenge before, and we know how to respond,” Newsom said in a statement. “We are prepared to fight in the courts, and we will do everything necessary to ensure Californians have the support and resources they need to thrive.”\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>The new spending could bolster the state’s Department of Justice to both defend against federal lawsuits and initiate legal action against the Trump administration.\u003c/p>\n\u003cp>“No matter what the incoming Administration has in store, California will keep moving forward,” Attorney General Rob Bonta said in a statement. “We’ve been through this before, and we stand ready to defend your rights and protect California values. We’re working closely with the Governor and the Legislature to shore up our defenses and ensure we have the resources we need to take on each fight as it comes.”\u003c/p>\n\u003cfigure id=\"attachment_11916429\" class=\"wp-caption aligncenter\" style=\"max-width: 1920px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-11916429\" src=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2022/06/RS48085_029_SanFrancisco_NewsomBontaPressConference_03242021-qut.jpg\" alt=\"A fit, middle-aged Filipino man, with black hair slicked away from his head, stands at a wooden lectern inside a room, speaking toward, but beyond, the camera at his left. We see a sliver of the Seal of California at the top of the front of the lectern, and a skinny microphone neck extending from the lectern toward him. He wears a dark blue suit jacket, a white dress shirt, and a glossy powder blue tie. On a wall behind him are two paintings; the one visible behind him seems to be an oil or acrylic portrait in blues, pinks, and yellows or a man wearing a baseball cap and jacket, with a surprised or distraught look on his face. A tall man also dressed in a suit and wearing a black face mask stands at a distance in a doorway to Bonta's right; it appears to be Gov. Gavin Newsom.\" width=\"1920\" height=\"1278\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2022/06/RS48085_029_SanFrancisco_NewsomBontaPressConference_03242021-qut.jpg 1920w, https://cdn.kqed.org/wp-content/uploads/sites/10/2022/06/RS48085_029_SanFrancisco_NewsomBontaPressConference_03242021-qut-800x533.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2022/06/RS48085_029_SanFrancisco_NewsomBontaPressConference_03242021-qut-1020x679.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2022/06/RS48085_029_SanFrancisco_NewsomBontaPressConference_03242021-qut-160x107.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2022/06/RS48085_029_SanFrancisco_NewsomBontaPressConference_03242021-qut-1536x1022.jpg 1536w\" sizes=\"auto, (max-width: 1920px) 100vw, 1920px\">\u003cfigcaption class=\"wp-caption-text\">Rob Bonta (right) speaks at a press conference in San Francisco on March 24, 2021, after being appointed by Gov. Gavin Newsom to serve as California’s attorney general. \u003ccite>(Beth LaBerge/KQED)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>During Trump’s first term in the White House, California leaders sought to stymie many of the administration’s initiatives in court. Then-Attorney General Xavier Becerra filed more than 100 \u003ca href=\"https://www.kqed.org/news/11741446/fastest-litigant-in-the-west-californias-on-verge-of-suing-trump-more-than-texas-ever-sued-obama\">lawsuits against the federal government\u003c/a> — seeking to block Trump’s travel ban against residents of many Muslim-majority countries, the end of the Deferred Action for Childhood Arrivals immigration program and the weakening of environmental regulations.\u003c/p>\n\u003cp>Back then, the push to “resist” Trump’s policies was also accompanied by a desire by Gov. Jerry Brown and leaders in the Democratic-controlled Legislature to model effective progressive governance. The legislative session in 2017, Trump’s first year in office, was one of the most productive in recent memory — with a flurry of bills passed in Sacramento to fix roads, build housing and limit greenhouse gas emissions.\u003c/p>\n\u003cp>“Resistance isn’t just suing the federal government,” said Manuel Pastor, a professor of sociology and American Studies & Ethnicity at the University of Southern California. “It’s also moving the needle on things people care about.”\u003c/p>\n\u003cp>Pastor, who chronicled the political lessons from recent California history in his book, \u003cem>State of Resistance\u003c/em>, said the state’s experience during the first Trump term and Newsom’s own political ambitions will shape California’s response to the incoming administration.\u003c/p>\n\u003cp>“Newsom is both much more aware of [what a Trump presidency could be like] and actually also has a much different set of political incentives,” Pastor added.\u003c/p>\n\u003cp>[aside label=\"Live 2024 Election Results\" link1='https://www.kqed.org/elections/results,Follow results for every Bay Area race in the 2024 general election.' hero=https://cdn.kqed.org/wp-content/uploads/sites/80/2024/10/Aside-Results-California-2024-General-Election-1200x1200-1.png]\u003c/p>\n\u003cp>Typically, lawmakers gather at the Capitol in early December for swearing-in and ceremonial tasks before reconvening in January to begin their work in earnest.\u003c/p>\n\u003cp>Assemblymember Jesse Gabriel (D-Encino) said the governor’s early action was needed to put the state “in a position, so that if we need to, we can act quickly to file affirmative litigation…to protect fundamental rights and California values.” \u003c/p>\n\u003cp>But he said it was unclear if any votes or debate on bills would actually occur before the new year.\u003c/p>\n\u003cp>“My understanding and my sense is that the goal here is to pass legislation prior to the new administration being sworn in,” he added. \u003c/p>\n\u003cp>During the special session, the Legislature may only debate bills related to the topic outlined in the governor’s proclamation, though they are not required to approve any legislation.\u003c/p>\n\u003cp>While Democrats are virtually guaranteed to hold a two-thirds supermajority in both houses, the margins of Democratic control are still up in the air. In the Senate, Orange County incumbent Josh Newman trails his Republican challenger. And in the Assembly, three seats in the Inland Empire — two of which are held by Democrats — remain too close to call.\u003c/p>\n\u003cp>Republicans blasted Newsom’s move as premature political grandstanding.\u003c/p>\n\u003cp>“This is all headline-grabbing,” said state Sen. Brian Jones (R-San Diego). “Whatever he wants to do in a so-called special session, he can do in the regular session.” \u003c/p>\n\u003cp>The special session would be the third called by Newsom. The previous two directed the Legislature to work on bills related to gas prices — including a session that concluded last month with the passing of a bill to regulate inventory at oil refineries.\u003c/p>\n\u003cp>\u003c/p>\n",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>Hoping to establish California as a legal bulwark \u003ca href=\"https://www.kqed.org/news/12013269/what-another-trump-term-could-mean-for-california\">against the second Trump administration\u003c/a>, Gov. Gavin Newsom on Thursday called a special legislative session to prepare for what he described as an incoming “attack” on the state’s freedoms.\u003c/p>\n\u003cp>Newsom’s first two years in office were defined by frequent clashes with then-President Donald Trump over climate change, immigration and health care policy. Now, the governor is \u003ca href=\"https://www.gov.ca.gov/wp-content/uploads/2024/11/Special_Session_Proc_Nov.pdf\">directing the Legislature\u003c/a> to meet in early December to approve new funding as the state expects to take on the White House in court.\u003c/p>\n\u003cp>“California has faced this challenge before, and we know how to respond,” Newsom said in a statement. “We are prepared to fight in the courts, and we will do everything necessary to ensure Californians have the support and resources they need to thrive.”\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>The new spending could bolster the state’s Department of Justice to both defend against federal lawsuits and initiate legal action against the Trump administration.\u003c/p>\n\u003cp>“No matter what the incoming Administration has in store, California will keep moving forward,” Attorney General Rob Bonta said in a statement. “We’ve been through this before, and we stand ready to defend your rights and protect California values. We’re working closely with the Governor and the Legislature to shore up our defenses and ensure we have the resources we need to take on each fight as it comes.”\u003c/p>\n\u003cfigure id=\"attachment_11916429\" class=\"wp-caption aligncenter\" style=\"max-width: 1920px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-11916429\" src=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2022/06/RS48085_029_SanFrancisco_NewsomBontaPressConference_03242021-qut.jpg\" alt=\"A fit, middle-aged Filipino man, with black hair slicked away from his head, stands at a wooden lectern inside a room, speaking toward, but beyond, the camera at his left. We see a sliver of the Seal of California at the top of the front of the lectern, and a skinny microphone neck extending from the lectern toward him. He wears a dark blue suit jacket, a white dress shirt, and a glossy powder blue tie. On a wall behind him are two paintings; the one visible behind him seems to be an oil or acrylic portrait in blues, pinks, and yellows or a man wearing a baseball cap and jacket, with a surprised or distraught look on his face. A tall man also dressed in a suit and wearing a black face mask stands at a distance in a doorway to Bonta's right; it appears to be Gov. Gavin Newsom.\" width=\"1920\" height=\"1278\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2022/06/RS48085_029_SanFrancisco_NewsomBontaPressConference_03242021-qut.jpg 1920w, https://cdn.kqed.org/wp-content/uploads/sites/10/2022/06/RS48085_029_SanFrancisco_NewsomBontaPressConference_03242021-qut-800x533.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2022/06/RS48085_029_SanFrancisco_NewsomBontaPressConference_03242021-qut-1020x679.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2022/06/RS48085_029_SanFrancisco_NewsomBontaPressConference_03242021-qut-160x107.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2022/06/RS48085_029_SanFrancisco_NewsomBontaPressConference_03242021-qut-1536x1022.jpg 1536w\" sizes=\"auto, (max-width: 1920px) 100vw, 1920px\">\u003cfigcaption class=\"wp-caption-text\">Rob Bonta (right) speaks at a press conference in San Francisco on March 24, 2021, after being appointed by Gov. Gavin Newsom to serve as California’s attorney general. \u003ccite>(Beth LaBerge/KQED)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>During Trump’s first term in the White House, California leaders sought to stymie many of the administration’s initiatives in court. Then-Attorney General Xavier Becerra filed more than 100 \u003ca href=\"https://www.kqed.org/news/11741446/fastest-litigant-in-the-west-californias-on-verge-of-suing-trump-more-than-texas-ever-sued-obama\">lawsuits against the federal government\u003c/a> — seeking to block Trump’s travel ban against residents of many Muslim-majority countries, the end of the Deferred Action for Childhood Arrivals immigration program and the weakening of environmental regulations.\u003c/p>\n\u003cp>Back then, the push to “resist” Trump’s policies was also accompanied by a desire by Gov. Jerry Brown and leaders in the Democratic-controlled Legislature to model effective progressive governance. The legislative session in 2017, Trump’s first year in office, was one of the most productive in recent memory — with a flurry of bills passed in Sacramento to fix roads, build housing and limit greenhouse gas emissions.\u003c/p>\n\u003cp>“Resistance isn’t just suing the federal government,” said Manuel Pastor, a professor of sociology and American Studies & Ethnicity at the University of Southern California. “It’s also moving the needle on things people care about.”\u003c/p>\n\u003cp>Pastor, who chronicled the political lessons from recent California history in his book, \u003cem>State of Resistance\u003c/em>, said the state’s experience during the first Trump term and Newsom’s own political ambitions will shape California’s response to the incoming administration.\u003c/p>\n\u003cp>“Newsom is both much more aware of [what a Trump presidency could be like] and actually also has a much different set of political incentives,” Pastor added.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>Typically, lawmakers gather at the Capitol in early December for swearing-in and ceremonial tasks before reconvening in January to begin their work in earnest.\u003c/p>\n\u003cp>Assemblymember Jesse Gabriel (D-Encino) said the governor’s early action was needed to put the state “in a position, so that if we need to, we can act quickly to file affirmative litigation…to protect fundamental rights and California values.” \u003c/p>\n\u003cp>But he said it was unclear if any votes or debate on bills would actually occur before the new year.\u003c/p>\n\u003cp>“My understanding and my sense is that the goal here is to pass legislation prior to the new administration being sworn in,” he added. \u003c/p>\n\u003cp>During the special session, the Legislature may only debate bills related to the topic outlined in the governor’s proclamation, though they are not required to approve any legislation.\u003c/p>\n\u003cp>While Democrats are virtually guaranteed to hold a two-thirds supermajority in both houses, the margins of Democratic control are still up in the air. In the Senate, Orange County incumbent Josh Newman trails his Republican challenger. And in the Assembly, three seats in the Inland Empire — two of which are held by Democrats — remain too close to call.\u003c/p>\n\u003cp>Republicans blasted Newsom’s move as premature political grandstanding.\u003c/p>\n\u003cp>“This is all headline-grabbing,” said state Sen. Brian Jones (R-San Diego). “Whatever he wants to do in a so-called special session, he can do in the regular session.” \u003c/p>\n\u003cp>The special session would be the third called by Newsom. The previous two directed the Legislature to work on bills related to gas prices — including a session that concluded last month with the passing of a bill to regulate inventory at oil refineries.\u003c/p>\n\u003cp>\u003c/p>\n\u003c/div>\u003c/p>",
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"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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"tagline": "Art is where you find it",
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"soldout": {
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