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"content": "\u003cp>As the planned closure of the only trauma center on the east side of Santa Clara County draws nearer, a coalition of health care workers, advocates and community leaders are ramping up their efforts to halt it.\u003c/p>\n\u003cp>Backed by thousands of people who have signed \u003ca href=\"https://www.change.org/p/stop-closure-of-trauma-comp-stroke-code-heart-at-regional-med-ctr-san-jose-immediately\" rel=\"noopener\" target=\"_blank\">an online petition\u003c/a>, the group is urging Gov. Gavin Newsom to step in and prevent what they call the life-threatening closure of the trauma center and other service cuts at Regional Medical Center, a hospital in East San José.\u003c/p>\n\u003cp>“We don’t have a choice but to fight,” Santa Clara County Supervisor Cindy Chavez said Thursday at a rally just steps from the entrance to Regional Medical Center. “Because if the state understood the impacts to this community, they already would have weighed in to say no to HCA removing these critical services.”\u003c/p>\n\u003cfigure id=\"attachment_11990292\" class=\"wp-caption alignnone\" style=\"max-width: 2000px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-11990292\" src=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2024/06/240613-REGIONALMED-JG-5.jpg\" alt=\"\" width=\"2000\" height=\"1333\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2024/06/240613-REGIONALMED-JG-5.jpg 2000w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/06/240613-REGIONALMED-JG-5-800x533.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/06/240613-REGIONALMED-JG-5-1020x680.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/06/240613-REGIONALMED-JG-5-160x107.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/06/240613-REGIONALMED-JG-5-1536x1024.jpg 1536w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/06/240613-REGIONALMED-JG-5-1920x1280.jpg 1920w\" sizes=\"auto, (max-width: 2000px) 100vw, 2000px\">\u003cfigcaption class=\"wp-caption-text\">Santa Clara County Supervisor Cindy Chavez speaks at a rally outside Regional Medical Center in East San José on Thursday. Chavez and a coalition of advocates are calling on Gov. Gavin Newsom to halt the closure of the hospital’s trauma center. \u003ccite>(Joseph Geha/KQED)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>The hospital’s ownership group, Hospital Corporation of America, or HCA Healthcare, is planning on Aug. 12 to shutter the Level II trauma center at Regional and eliminate its ST-elevation myocardial infarction (STEMI) program, which handles severe heart attacks.\u003c/p>\n\u003cp>The company also plans to downgrade its stroke services from the “comprehensive” level, which can care for all types of stroke patients and has 24/7 availability for complex neurosurgery, to “primary.”\u003c/p>\n\u003cp>Dozens of staff members, including surgeons, doctors and other medical personnel at the hospital, recently started receiving termination notices tied to the planned cuts.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>If the closure were to proceed, patients who needed such services would need to be transported to Santa Clara Valley Medical Center, run by the county, or Stanford Hospital, which would have a “negative cascading effect” on the county health care system, the county said previously.\u003c/p>\n\u003cp>The calls on Thursday to halt the cuts follow earlier requests by the group and county officials asking \u003ca href=\"https://www.kqed.org/news/11987665/advocates-urge-state-to-intervene-in-closure-of-san-jose-trauma-center\" rel=\"noopener\" target=\"_blank\">Attorney General Rob Bonta\u003c/a> and the California Department of Public Health to investigate the planned cuts and to intervene.\u003c/p>\n\u003cp>The attorney general’s office on Thursday said it is reviewing the matter but is unable to comment on a potential or ongoing investigation “to protect its integrity.”\u003c/p>\n\u003cp>A spokesperson for the Governor’s office deferred comment to the California Health and Human Services Agency, who did not immediately respond.\u003c/p>\n\u003cp>Chavez, as well as other elected leaders, doctors, nurses and patient advocates, are raising alarms over the cuts, which they say will lead to more deaths and worse health outcomes for people all over the region who rely on the critical services.\u003c/p>\n\u003cfigure id=\"attachment_11990289\" class=\"wp-caption alignnone\" style=\"max-width: 2000px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-11990289\" src=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2024/06/240613-REGIONALMED-JG-1.jpg\" alt=\"\" width=\"2000\" height=\"1333\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2024/06/240613-REGIONALMED-JG-1.jpg 2000w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/06/240613-REGIONALMED-JG-1-800x533.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/06/240613-REGIONALMED-JG-1-1020x680.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/06/240613-REGIONALMED-JG-1-160x107.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/06/240613-REGIONALMED-JG-1-1536x1024.jpg 1536w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/06/240613-REGIONALMED-JG-1-1920x1280.jpg 1920w\" sizes=\"auto, (max-width: 2000px) 100vw, 2000px\">\u003cfigcaption class=\"wp-caption-text\">Regional Medical Center in East San José is planning to close its trauma center and cut back other critical services on Aug. 12. \u003ccite>(Joseph Geha/KQED)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>The changes happening are discriminatory, the group said, as they will hit hardest in the area around the hospital, an area of the county with larger proportions of families with low income and of people of color who are more likely to have a harder time accessing health care in general.\u003c/p>\n\u003cp>Meanwhile, on the west side of San José, HCA is planning a major expansion and remodel of its Good Samaritan Hospital near the Cambrian Park neighborhood, where there are more hospitals to address health care needs in the area.\u003c/p>\n\u003cp>“HCA has yet again decided to place profits over patients,” Melissa Gong, a registered nurse at Regional Medical Center, said.\u003c/p>\n\u003cp>She said many East San José residents have no insurance or are underinsured, have lower health literacy, and often face language barriers.\u003c/p>\n\u003cp>“As a result, many of these patients have chronic health conditions such as heart disease, high blood pressure, and diabetes, and resulting comorbidities. All comorbidities that require the use of stroke, STEMI, and trauma services,” she said.\u003c/p>\n\u003cp>In a written statement issued Thursday, Carmella Gutierrez, a spokesperson for HCA’s Far West Division, said the campaign against the hospital is choosing “exaggeration to generate a false fear” in the community.\u003c/p>\n\u003cfigure id=\"attachment_11990293\" class=\"wp-caption alignnone\" style=\"max-width: 2000px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-11990293\" src=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2024/06/240613-REGIONALMED-JG-4.jpg\" alt=\"\" width=\"2000\" height=\"1333\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2024/06/240613-REGIONALMED-JG-4.jpg 2000w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/06/240613-REGIONALMED-JG-4-800x533.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/06/240613-REGIONALMED-JG-4-1020x680.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/06/240613-REGIONALMED-JG-4-160x107.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/06/240613-REGIONALMED-JG-4-1536x1024.jpg 1536w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/06/240613-REGIONALMED-JG-4-1920x1280.jpg 1920w\" sizes=\"auto, (max-width: 2000px) 100vw, 2000px\">\u003cfigcaption class=\"wp-caption-text\">Jessica Diangson, a member of Defensoras, a patient organizing committee with health nonprofit Latinas Contra Cancer, speaks at a rally outside Regional Medical Center in East San José on June 13. \u003ccite>(Joseph Geha/KQED)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>“Supervisor Cindy Chavez knows better. Yet, she has chosen to divide the community with grand-standing photo ops rather than engage in a conversation about sustainable healthcare and the facts,” the statement said.\u003c/p>\n\u003cp>HCA said in a letter to the county’s emergency services department that it has seen a 38% reduction in patients at Regional Medical Center’s trauma center.\u003c/p>\n\u003cp>And while a county report said the trauma center handles an average of 2,450 trauma patients annually, about a quarter of all reported trauma cases for the trauma system in the county, HCA disagreed.\u003c/p>\n\u003cp>“The reported volumes in the County’s impact statement are overstated and do not align with the reality at RMC,” the letter from HCA said. “We average four trauma patients per day.”\u003c/p>\n\u003cfigure id=\"attachment_11990290\" class=\"wp-caption alignnone\" style=\"max-width: 2000px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-11990290\" src=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2024/06/240613-REGIONALMED-JG-2.jpg\" alt=\"\" width=\"2000\" height=\"1333\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2024/06/240613-REGIONALMED-JG-2.jpg 2000w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/06/240613-REGIONALMED-JG-2-800x533.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/06/240613-REGIONALMED-JG-2-1020x680.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/06/240613-REGIONALMED-JG-2-160x107.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/06/240613-REGIONALMED-JG-2-1536x1024.jpg 1536w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/06/240613-REGIONALMED-JG-2-1920x1280.jpg 1920w\" sizes=\"auto, (max-width: 2000px) 100vw, 2000px\">\u003cfigcaption class=\"wp-caption-text\">Advocates pushing to stop the closure of Regional Medical Center’s trauma center carry a box made to look like a casket just outside the hospital in East San José on June 13. \u003ccite>(Joseph Geha/KQED)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>The company also said that the county’s requirements for operating the trauma center are costly because they go beyond what the American College of Surgeons recommends, including having a neurological surgery backup physician, more training and education for physicians and nurses, and higher fees.\u003c/p>\n\u003cp>The hospital also said it expects to lose more trauma patients as Washington Hospital in Fremont, in Alameda County, comes online as a trauma center.\u003c/p>\n\u003cp>Gong, the nurse, said HCA calling the campaign to stop the cuts exaggerated is deflecting from the heart of the matter.\u003c/p>\n\u003cp>“They’re gaslighting everybody,” Gong said. “We’re going to cut all the services that treat this side of town and underserved populations. And then when people fight back, we’re going to say, ‘Oh, but you’re upset that we’re taking away your services, well it’s how you’re receiving it, not what we’re doing.’”\u003c/p>\n\u003cp>[aside label=\"Related Stories\" postID=\"news_11987665,news_11988440\"]During the rally on Thursday, members of the coalition enacted a “funeral procession,” carrying black boxes made to look like caskets for 15 minutes near the hospital. The procession symbolizes the extra time it might take a patient to reach another trauma center in an emergency if the Regional Medical Center’s trauma center closes.\u003c/p>\n\u003cp>Dr. Raj Gupta, the head of neurology and stroke services at the hospital, \u003ca href=\"https://www.kqed.org/news/11988440/advocates-protest-planned-closure-of-east-san-jose-trauma-center\" rel=\"noopener\" target=\"_blank\">who has spoken out\u003c/a> against the cuts, said he doesn’t like the greediness of HCA Healthcare, which made $5.2 billion in profit last year.\u003c/p>\n\u003cp>He and his colleagues are participating in the rallies to try to stop them or, at minimum, raise awareness of the cuts that could be coming.\u003c/p>\n\u003cp>“I can close my eyes and let it happen, right?” he said. “But the public will not know until Aug. 12, when a crisis occurs.”\u003c/p>\n\u003cp>[ad floatright]\u003c/p>\n",
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"excerpt": "A group of doctors, nurses, patient advocates and community leaders are urging Gov. Gavin Newsom to help stop the planned closure of the only trauma center on the east side of Santa Clara County. ",
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"title": "Doctors, Community Leaders Ramp Up Efforts to Halt Closure of East San José Trauma Center | KQED",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>As the planned closure of the only trauma center on the east side of Santa Clara County draws nearer, a coalition of health care workers, advocates and community leaders are ramping up their efforts to halt it.\u003c/p>\n\u003cp>Backed by thousands of people who have signed \u003ca href=\"https://www.change.org/p/stop-closure-of-trauma-comp-stroke-code-heart-at-regional-med-ctr-san-jose-immediately\" rel=\"noopener\" target=\"_blank\">an online petition\u003c/a>, the group is urging Gov. Gavin Newsom to step in and prevent what they call the life-threatening closure of the trauma center and other service cuts at Regional Medical Center, a hospital in East San José.\u003c/p>\n\u003cp>“We don’t have a choice but to fight,” Santa Clara County Supervisor Cindy Chavez said Thursday at a rally just steps from the entrance to Regional Medical Center. “Because if the state understood the impacts to this community, they already would have weighed in to say no to HCA removing these critical services.”\u003c/p>\n\u003cfigure id=\"attachment_11990292\" class=\"wp-caption alignnone\" style=\"max-width: 2000px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-11990292\" src=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2024/06/240613-REGIONALMED-JG-5.jpg\" alt=\"\" width=\"2000\" height=\"1333\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2024/06/240613-REGIONALMED-JG-5.jpg 2000w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/06/240613-REGIONALMED-JG-5-800x533.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/06/240613-REGIONALMED-JG-5-1020x680.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/06/240613-REGIONALMED-JG-5-160x107.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/06/240613-REGIONALMED-JG-5-1536x1024.jpg 1536w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/06/240613-REGIONALMED-JG-5-1920x1280.jpg 1920w\" sizes=\"auto, (max-width: 2000px) 100vw, 2000px\">\u003cfigcaption class=\"wp-caption-text\">Santa Clara County Supervisor Cindy Chavez speaks at a rally outside Regional Medical Center in East San José on Thursday. Chavez and a coalition of advocates are calling on Gov. Gavin Newsom to halt the closure of the hospital’s trauma center. \u003ccite>(Joseph Geha/KQED)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>The hospital’s ownership group, Hospital Corporation of America, or HCA Healthcare, is planning on Aug. 12 to shutter the Level II trauma center at Regional and eliminate its ST-elevation myocardial infarction (STEMI) program, which handles severe heart attacks.\u003c/p>\n\u003cp>The company also plans to downgrade its stroke services from the “comprehensive” level, which can care for all types of stroke patients and has 24/7 availability for complex neurosurgery, to “primary.”\u003c/p>\n\u003cp>Dozens of staff members, including surgeons, doctors and other medical personnel at the hospital, recently started receiving termination notices tied to the planned cuts.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>If the closure were to proceed, patients who needed such services would need to be transported to Santa Clara Valley Medical Center, run by the county, or Stanford Hospital, which would have a “negative cascading effect” on the county health care system, the county said previously.\u003c/p>\n\u003cp>The calls on Thursday to halt the cuts follow earlier requests by the group and county officials asking \u003ca href=\"https://www.kqed.org/news/11987665/advocates-urge-state-to-intervene-in-closure-of-san-jose-trauma-center\" rel=\"noopener\" target=\"_blank\">Attorney General Rob Bonta\u003c/a> and the California Department of Public Health to investigate the planned cuts and to intervene.\u003c/p>\n\u003cp>The attorney general’s office on Thursday said it is reviewing the matter but is unable to comment on a potential or ongoing investigation “to protect its integrity.”\u003c/p>\n\u003cp>A spokesperson for the Governor’s office deferred comment to the California Health and Human Services Agency, who did not immediately respond.\u003c/p>\n\u003cp>Chavez, as well as other elected leaders, doctors, nurses and patient advocates, are raising alarms over the cuts, which they say will lead to more deaths and worse health outcomes for people all over the region who rely on the critical services.\u003c/p>\n\u003cfigure id=\"attachment_11990289\" class=\"wp-caption alignnone\" style=\"max-width: 2000px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-11990289\" src=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2024/06/240613-REGIONALMED-JG-1.jpg\" alt=\"\" width=\"2000\" height=\"1333\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2024/06/240613-REGIONALMED-JG-1.jpg 2000w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/06/240613-REGIONALMED-JG-1-800x533.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/06/240613-REGIONALMED-JG-1-1020x680.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/06/240613-REGIONALMED-JG-1-160x107.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/06/240613-REGIONALMED-JG-1-1536x1024.jpg 1536w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/06/240613-REGIONALMED-JG-1-1920x1280.jpg 1920w\" sizes=\"auto, (max-width: 2000px) 100vw, 2000px\">\u003cfigcaption class=\"wp-caption-text\">Regional Medical Center in East San José is planning to close its trauma center and cut back other critical services on Aug. 12. \u003ccite>(Joseph Geha/KQED)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>The changes happening are discriminatory, the group said, as they will hit hardest in the area around the hospital, an area of the county with larger proportions of families with low income and of people of color who are more likely to have a harder time accessing health care in general.\u003c/p>\n\u003cp>Meanwhile, on the west side of San José, HCA is planning a major expansion and remodel of its Good Samaritan Hospital near the Cambrian Park neighborhood, where there are more hospitals to address health care needs in the area.\u003c/p>\n\u003cp>“HCA has yet again decided to place profits over patients,” Melissa Gong, a registered nurse at Regional Medical Center, said.\u003c/p>\n\u003cp>She said many East San José residents have no insurance or are underinsured, have lower health literacy, and often face language barriers.\u003c/p>\n\u003cp>“As a result, many of these patients have chronic health conditions such as heart disease, high blood pressure, and diabetes, and resulting comorbidities. All comorbidities that require the use of stroke, STEMI, and trauma services,” she said.\u003c/p>\n\u003cp>In a written statement issued Thursday, Carmella Gutierrez, a spokesperson for HCA’s Far West Division, said the campaign against the hospital is choosing “exaggeration to generate a false fear” in the community.\u003c/p>\n\u003cfigure id=\"attachment_11990293\" class=\"wp-caption alignnone\" style=\"max-width: 2000px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-11990293\" src=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2024/06/240613-REGIONALMED-JG-4.jpg\" alt=\"\" width=\"2000\" height=\"1333\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2024/06/240613-REGIONALMED-JG-4.jpg 2000w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/06/240613-REGIONALMED-JG-4-800x533.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/06/240613-REGIONALMED-JG-4-1020x680.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/06/240613-REGIONALMED-JG-4-160x107.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/06/240613-REGIONALMED-JG-4-1536x1024.jpg 1536w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/06/240613-REGIONALMED-JG-4-1920x1280.jpg 1920w\" sizes=\"auto, (max-width: 2000px) 100vw, 2000px\">\u003cfigcaption class=\"wp-caption-text\">Jessica Diangson, a member of Defensoras, a patient organizing committee with health nonprofit Latinas Contra Cancer, speaks at a rally outside Regional Medical Center in East San José on June 13. \u003ccite>(Joseph Geha/KQED)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>“Supervisor Cindy Chavez knows better. Yet, she has chosen to divide the community with grand-standing photo ops rather than engage in a conversation about sustainable healthcare and the facts,” the statement said.\u003c/p>\n\u003cp>HCA said in a letter to the county’s emergency services department that it has seen a 38% reduction in patients at Regional Medical Center’s trauma center.\u003c/p>\n\u003cp>And while a county report said the trauma center handles an average of 2,450 trauma patients annually, about a quarter of all reported trauma cases for the trauma system in the county, HCA disagreed.\u003c/p>\n\u003cp>“The reported volumes in the County’s impact statement are overstated and do not align with the reality at RMC,” the letter from HCA said. “We average four trauma patients per day.”\u003c/p>\n\u003cfigure id=\"attachment_11990290\" class=\"wp-caption alignnone\" style=\"max-width: 2000px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-11990290\" src=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2024/06/240613-REGIONALMED-JG-2.jpg\" alt=\"\" width=\"2000\" height=\"1333\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2024/06/240613-REGIONALMED-JG-2.jpg 2000w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/06/240613-REGIONALMED-JG-2-800x533.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/06/240613-REGIONALMED-JG-2-1020x680.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/06/240613-REGIONALMED-JG-2-160x107.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/06/240613-REGIONALMED-JG-2-1536x1024.jpg 1536w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/06/240613-REGIONALMED-JG-2-1920x1280.jpg 1920w\" sizes=\"auto, (max-width: 2000px) 100vw, 2000px\">\u003cfigcaption class=\"wp-caption-text\">Advocates pushing to stop the closure of Regional Medical Center’s trauma center carry a box made to look like a casket just outside the hospital in East San José on June 13. \u003ccite>(Joseph Geha/KQED)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>The company also said that the county’s requirements for operating the trauma center are costly because they go beyond what the American College of Surgeons recommends, including having a neurological surgery backup physician, more training and education for physicians and nurses, and higher fees.\u003c/p>\n\u003cp>The hospital also said it expects to lose more trauma patients as Washington Hospital in Fremont, in Alameda County, comes online as a trauma center.\u003c/p>\n\u003cp>Gong, the nurse, said HCA calling the campaign to stop the cuts exaggerated is deflecting from the heart of the matter.\u003c/p>\n\u003cp>“They’re gaslighting everybody,” Gong said. “We’re going to cut all the services that treat this side of town and underserved populations. And then when people fight back, we’re going to say, ‘Oh, but you’re upset that we’re taking away your services, well it’s how you’re receiving it, not what we’re doing.’”\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>During the rally on Thursday, members of the coalition enacted a “funeral procession,” carrying black boxes made to look like caskets for 15 minutes near the hospital. The procession symbolizes the extra time it might take a patient to reach another trauma center in an emergency if the Regional Medical Center’s trauma center closes.\u003c/p>\n\u003cp>Dr. Raj Gupta, the head of neurology and stroke services at the hospital, \u003ca href=\"https://www.kqed.org/news/11988440/advocates-protest-planned-closure-of-east-san-jose-trauma-center\" rel=\"noopener\" target=\"_blank\">who has spoken out\u003c/a> against the cuts, said he doesn’t like the greediness of HCA Healthcare, which made $5.2 billion in profit last year.\u003c/p>\n\u003cp>He and his colleagues are participating in the rallies to try to stop them or, at minimum, raise awareness of the cuts that could be coming.\u003c/p>\n\u003cp>“I can close my eyes and let it happen, right?” he said. “But the public will not know until Aug. 12, when a crisis occurs.”\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cp>Facing a steep budget deficit, California lawmakers advanced a spending plan on Thursday. The expected cuts include slashing funds for health care workforce programs that aim to ease labor shortages that intensified during the COVID-19 pandemic.\u003c/p>\n\u003cp>State initiatives encouraging people to become community health workers, social workers, psychiatrists, nurses and other health professionals could lose roughly $800 million or more through mid-2027. Gov. Gavin Newsom and lawmakers are slated to hammer out a final deal in the coming weeks.\u003c/p>\n\u003cp>Janet Coffman, a professor at the Healthforce Center at UCSF, said the cuts could set the state back on its efforts to grow the workforce it needs to improve patient access to timely care, particularly in vulnerable communities.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>“I don’t think ‘devastating’ is too strong of a word,” Coffman said of the reductions if enacted. “This can have an impact on your access to care … It also has the potential to exacerbate increases in labor costs because we won’t be increasing supply in some of these occupations.”\u003c/p>\n\u003cp>In May, Gov. Newsom proposed roughly\u003ca href=\"https://sbud.senate.ca.gov/sites/sbud.senate.ca.gov/files/Part_B_Health_May_20.pdf\"> $1 billion\u003c/a> in cuts to health care workforce grants, loan repayment, training, certification and other kinds of support at the Department of Health Care Access and Information.\u003c/p>\n\u003cp>Lawmakers countered with \u003ca href=\"https://abgt.assembly.ca.gov/system/files/2024-05/subcommittee-no-1-health-actions-taken-2024-25.pdf\">an offer\u003c/a> to restore $125 million to maintain awards already issued for physician and nursing residencies, psychiatry loan repayments and efforts to increase diversity among doctors and other occupations. [aside postID=news_11989597 hero='https://cdn.kqed.org/wp-content/uploads/sites/10/2024/06/240208-HospitalViolence-09-BL_qut-1020x680.jpg']About half a billion of those budget reductions would hit efforts to build up staff for behavioral, mental health and substance abuse services, which are already seeing severe workforce shortages, said Tara Gamboa-Eastman, who directs government affairs with the Steinberg Institute, a nonprofit public policy organization.\u003c/p>\n\u003cp>Since the pandemic, California has made significant investments in children’s mental health services and new infrastructure to address mental illness and substance abuse, including for those experiencing homelessness, she added.\u003c/p>\n\u003cp>“To be successful in our rollout of these incredible reforms that we’ve done, and to really meet the needs of everyday Californians, we have to build up our workforce,” Gamboa-Eastman said. “And if we don’t, we will fall short of meeting our goals.”\u003c/p>\n\u003cp>California will need to add \u003ca href=\"https://steinberginstitute.org/californias-budget-deficit-puts-momentum-to-rebuild-californias-behavioral-health-workforce-at-risk/#:~:text=Unfortunately%2C%20California%20is%20already%20facing,and%20future%20demand%20for%20services.\">375,000 behavioral health providers\u003c/a> in the next decade to meet the demand for services, according to a Steinberg Institute estimate.\u003c/p>\n\u003cp>Psychologist Le Ondra Clark Harvey highlighted that her training and work with underserved children in Los Angeles were made possible through programs that are at risk of losing funding. She’s now CEO of the California Council of Community Behavioral Health Agencies.\u003c/p>\n\u003cp>“I know firsthand how important those funds can be to building the pipeline of workforce, especially those that are serving the public behavioral health system,” Clark Harvey said. “We’ve worked so hard to increase our pipeline. And it feels like we are going backwards.”\u003c/p>\n\u003cp>On July 1, California is set to \u003ca href=\"https://www.kqed.org/news/11986998/first-of-californias-healthcare-minimum-wage-hikes-likely-to-be-delayed\">start \u003c/a>raising the minimum hourly wage to $25 for close to half a million workers in the industry to increase retention and recruitment. However, that impact could be curtailed by workforce training and support budget cuts.\u003c/p>\n\u003cp>\u003c/p>\n",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>Facing a steep budget deficit, California lawmakers advanced a spending plan on Thursday. The expected cuts include slashing funds for health care workforce programs that aim to ease labor shortages that intensified during the COVID-19 pandemic.\u003c/p>\n\u003cp>State initiatives encouraging people to become community health workers, social workers, psychiatrists, nurses and other health professionals could lose roughly $800 million or more through mid-2027. Gov. Gavin Newsom and lawmakers are slated to hammer out a final deal in the coming weeks.\u003c/p>\n\u003cp>Janet Coffman, a professor at the Healthforce Center at UCSF, said the cuts could set the state back on its efforts to grow the workforce it needs to improve patient access to timely care, particularly in vulnerable communities.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>“I don’t think ‘devastating’ is too strong of a word,” Coffman said of the reductions if enacted. “This can have an impact on your access to care … It also has the potential to exacerbate increases in labor costs because we won’t be increasing supply in some of these occupations.”\u003c/p>\n\u003cp>In May, Gov. Newsom proposed roughly\u003ca href=\"https://sbud.senate.ca.gov/sites/sbud.senate.ca.gov/files/Part_B_Health_May_20.pdf\"> $1 billion\u003c/a> in cuts to health care workforce grants, loan repayment, training, certification and other kinds of support at the Department of Health Care Access and Information.\u003c/p>\n\u003cp>Lawmakers countered with \u003ca href=\"https://abgt.assembly.ca.gov/system/files/2024-05/subcommittee-no-1-health-actions-taken-2024-25.pdf\">an offer\u003c/a> to restore $125 million to maintain awards already issued for physician and nursing residencies, psychiatry loan repayments and efforts to increase diversity among doctors and other occupations. \u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>About half a billion of those budget reductions would hit efforts to build up staff for behavioral, mental health and substance abuse services, which are already seeing severe workforce shortages, said Tara Gamboa-Eastman, who directs government affairs with the Steinberg Institute, a nonprofit public policy organization.\u003c/p>\n\u003cp>Since the pandemic, California has made significant investments in children’s mental health services and new infrastructure to address mental illness and substance abuse, including for those experiencing homelessness, she added.\u003c/p>\n\u003cp>“To be successful in our rollout of these incredible reforms that we’ve done, and to really meet the needs of everyday Californians, we have to build up our workforce,” Gamboa-Eastman said. “And if we don’t, we will fall short of meeting our goals.”\u003c/p>\n\u003cp>California will need to add \u003ca href=\"https://steinberginstitute.org/californias-budget-deficit-puts-momentum-to-rebuild-californias-behavioral-health-workforce-at-risk/#:~:text=Unfortunately%2C%20California%20is%20already%20facing,and%20future%20demand%20for%20services.\">375,000 behavioral health providers\u003c/a> in the next decade to meet the demand for services, according to a Steinberg Institute estimate.\u003c/p>\n\u003cp>Psychologist Le Ondra Clark Harvey highlighted that her training and work with underserved children in Los Angeles were made possible through programs that are at risk of losing funding. She’s now CEO of the California Council of Community Behavioral Health Agencies.\u003c/p>\n\u003cp>“I know firsthand how important those funds can be to building the pipeline of workforce, especially those that are serving the public behavioral health system,” Clark Harvey said. “We’ve worked so hard to increase our pipeline. And it feels like we are going backwards.”\u003c/p>\n\u003cp>On July 1, California is set to \u003ca href=\"https://www.kqed.org/news/11986998/first-of-californias-healthcare-minimum-wage-hikes-likely-to-be-delayed\">start \u003c/a>raising the minimum hourly wage to $25 for close to half a million workers in the industry to increase retention and recruitment. However, that impact could be curtailed by workforce training and support budget cuts.\u003c/p>\n\u003cp>\u003c/p>\n\u003c/div>\u003c/p>",
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"title": "What the Supreme Court Ruling on the Abortion Pill Means for Access in California",
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"content": "\u003cp>Medication abortion will remain widely available to Californians after the U.S. Supreme Court \u003ca href=\"https://www.supremecourt.gov/opinions/23pdf/23-235_n7ip.pdf\">rejected a bid by anti-abortion groups\u003c/a> to challenge the Food and Drug Administration’s approval of the drug.\u003c/p>\n\u003cp>In a unanimous vote, the High Court on Thursday said plaintiffs did not have standing to claim the FDA had inappropriately expanded access to \u003ca href=\"https://calmatters.org/explainers/abortion-in-california-laws/#9f19d20d-aa0d-463f-a93f-1f63820093df\">mifepristone\u003c/a>, also known as the abortion pill. In doing so, justices temporarily upheld FDA regulations allowing clinicians to prescribe the pill via telehealth appointment and mail-order delivery of the drug and sent the case back to the lower courts.\u003c/p>\n\u003cp>“Specifically, FDA’s regulations apply to doctors prescribing mifepristone and to pregnant women taking mifepristone. But the plaintiff doctors and medical associations do not prescribe or use mifepristone. And FDA has not required the plaintiffs to do anything or to refrain from doing anything,” Justice Brett Kavanaugh wrote.\u003c/p>\n\u003cp>The Alliance for Hippocratic Medicine, a group representing doctors and others opposed to \u003ca href=\"https://calmatters.org/tag/abortion/\">abortion\u003c/a>, had argued that relaxed mifepristone regulations could compel doctors with moral or religious objections to treat patients arriving at the emergency room with complications related to taking the pill. However, the ruling stated that federal law already provides comprehensive protections for clinicians who object to performing abortions.\u003c/p>\n\u003cp>Kavanaugh wrote, “Plaintiffs have not shown — and cannot show — that FDA’s actions will cause them to suffer any conscience injury.”\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>The decision is the first abortion challenge to make it to the High Court since justices overturned Roe v. Wade and eliminated federal abortion protections in 2022.\u003c/p>\n\u003cp>Although advocates for abortion and reproductive rights were quick to celebrate the decision, many cautioned that the case could work its way through the court system once again.\u003c/p>\n\u003cp>“While a sigh of relief, SCOTUS’ decision today was decided on standing — not merits,” Gov. Gavin Newsom said on X, formerly known as Twitter. “Make no mistake: radical anti-abortion activists will stop at nothing to deny women their rights to access reproductive care.”\u003c/p>\n\u003ch2>‘Far from over’\u003c/h2>\n\u003cp>Similarly, California Attorney General Rob Bonta said in a statement that the “fight for reproductive rights across the country is far from over” and reaffirmed the Department of Justice’s commitment to protecting access in California.[aside label=\"more abortion coverage\" tag=\"abortion\"]“No matter how many lawsuits they file or challenges they bring, they cannot change the facts: mifepristone is safe and effective,” Bonta said in a statement.\u003c/p>\n\u003cp>Since the Supreme Court decision overturning the right to an abortion, California has \u003ca href=\"https://calmatters.org/explainers/abortion-in-california-laws/\" target=\"_blank\" rel=\"noreferrer noopener\">strengthened abortion rights\u003c/a> and welcomed patients from states that have prohibited the procedure. Most recently, Newsom signed a law granting \u003ca href=\"https://calmatters.org/health/2024/04/california-abortion-ban-arizona/\" target=\"_blank\" rel=\"noreferrer noopener\">abortion providers from Arizona\u003c/a> an expedited licensing pathway in California.\u003c/p>\n\u003cp>Alliance Defending Freedom, the group representing the plaintiffs in the abortion pill case, said in a statement that it would continue the legal battle. A lower court judge has already ruled that three states — Idaho, Missouri and Kansas — can join the case as plaintiffs. Legal experts say states often have a stronger standing argument because they have to provide access to health care services.\u003c/p>\n\u003cp>“While we’re disappointed with the court’s decision, we will continue to advocate for women and work to restore commonsense safeguards for abortion drugs — like an initial office visit to screen for ectopic pregnancies. And we are grateful that three states stand ready to hold the FDA accountable for jeopardizing the health and safety of women and girls across this country,” Erin Hawley, senior counsel for the group, said in a statement.\u003c/p>\n\u003ch2>Abortion pill access\u003c/h2>\n\u003cp>Medication abortion is the most commonly used abortion method, accounting for nearly two-thirds of all U.S. abortions, according to the \u003ca href=\"https://www.guttmacher.org/2024/03/medication-abortion-accounted-63-all-us-abortions-2023-increase-53-2020\" target=\"_blank\" rel=\"noreferrer noopener\">Guttmacher Institute\u003c/a>, a national reproductive health policy center advocating for abortion rights.\u003c/p>\n\u003cp>Mifepristone, the pill at the heart of the Supreme Court decision, is part of a two-drug regimen for medication abortion. It halts pregnancy by \u003ca href=\"https://www.fda.gov/drugs/postmarket-drug-safety-information-patients-and-providers/questions-and-answers-mifepristone-medical-termination-pregnancy-through-ten-weeks-gestation\" target=\"_blank\" rel=\"noreferrer noopener\">blocking the hormone progesterone\u003c/a> before the second drug, misoprostol, empties the uterus by causing it to contract.\u003c/p>\n\u003cp>The FDA approved mifepristone in 2000 and made it easier to access in 2021 when the COVID-19 pandemic made in-person dispensing requirements impossible. It is now used in nearly all medication abortions.\u003c/p>\n\u003cp>Cathren Cohen, a staff attorney with the UCLA Center on Reproductive Health, Law and Policy, said a ruling against the FDA could have had a destabilizing effect on all pharmaceuticals.\u003c/p>\n\u003cp>“The court, they’re not scientists, so for them to be second-guessing the people with actual authority, which is the FDA, that’s concerning,” Cohen said.\u003c/p>\n\u003cp>The center submitted an amicus brief to the Supreme Court on behalf of 300 reproductive health researchers detailing mifepristone’s safety record. Dozens of studies have demonstrated its safety and efficacy.\u003c/p>\n\u003cp>Recently, researchers from \u003ca href=\"https://bixbycenter.ucsf.edu/news/telehealth-medication-abortion-just-safe-and-effective-person-care\" target=\"_blank\" rel=\"noreferrer noopener\">UCSF’s Bixby Center for Global Reproductive Health\u003c/a> conducted the \u003ca href=\"https://www.nature.com/articles/s41591-024-02834-w\" target=\"_blank\" rel=\"noreferrer noopener\">largest study of telehealth abortions\u003c/a> and found that medication abortions obtained via telehealth appointments are just as safe as those obtained through in-person medical care, with 98% of patients completing the abortion without needing additional medical care.\u003c/p>\n\u003cp>Last year, Newsom announced the state would stockpile misoprostol, the second drug in the medication abortion regimen, in case the Supreme Court decision resulted in a shortage. That \u003ca href=\"https://calmatters.org/health/2024/03/abortion-pill-california-stockpile/\" target=\"_blank\" rel=\"noreferrer noopener\">stockpile has since been depleted,\u003c/a> and it was not immediately clear whether the state would replenish it.\u003c/p>\n\u003cp>Misoprostol can be safely used alone for abortions but is more likely to have side effects when not paired with mifepristone, \u003ca href=\"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6309472/\" target=\"_blank\" rel=\"noreferrer noopener\">studies show\u003c/a>. Both drugs are also commonly used to manage miscarriages.\u003c/p>\n\u003cp>\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 \u003ca href=\"http://www.chcf.org/\" target=\"_blank\" rel=\"noreferrer noopener\">www.chcf.org\u003c/a> to learn more.\u003c/em>\u003c/p>\n\n",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>Medication abortion will remain widely available to Californians after the U.S. Supreme Court \u003ca href=\"https://www.supremecourt.gov/opinions/23pdf/23-235_n7ip.pdf\">rejected a bid by anti-abortion groups\u003c/a> to challenge the Food and Drug Administration’s approval of the drug.\u003c/p>\n\u003cp>In a unanimous vote, the High Court on Thursday said plaintiffs did not have standing to claim the FDA had inappropriately expanded access to \u003ca href=\"https://calmatters.org/explainers/abortion-in-california-laws/#9f19d20d-aa0d-463f-a93f-1f63820093df\">mifepristone\u003c/a>, also known as the abortion pill. In doing so, justices temporarily upheld FDA regulations allowing clinicians to prescribe the pill via telehealth appointment and mail-order delivery of the drug and sent the case back to the lower courts.\u003c/p>\n\u003cp>“Specifically, FDA’s regulations apply to doctors prescribing mifepristone and to pregnant women taking mifepristone. But the plaintiff doctors and medical associations do not prescribe or use mifepristone. And FDA has not required the plaintiffs to do anything or to refrain from doing anything,” Justice Brett Kavanaugh wrote.\u003c/p>\n\u003cp>The Alliance for Hippocratic Medicine, a group representing doctors and others opposed to \u003ca href=\"https://calmatters.org/tag/abortion/\">abortion\u003c/a>, had argued that relaxed mifepristone regulations could compel doctors with moral or religious objections to treat patients arriving at the emergency room with complications related to taking the pill. However, the ruling stated that federal law already provides comprehensive protections for clinicians who object to performing abortions.\u003c/p>\n\u003cp>Kavanaugh wrote, “Plaintiffs have not shown — and cannot show — that FDA’s actions will cause them to suffer any conscience injury.”\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>The decision is the first abortion challenge to make it to the High Court since justices overturned Roe v. Wade and eliminated federal abortion protections in 2022.\u003c/p>\n\u003cp>Although advocates for abortion and reproductive rights were quick to celebrate the decision, many cautioned that the case could work its way through the court system once again.\u003c/p>\n\u003cp>“While a sigh of relief, SCOTUS’ decision today was decided on standing — not merits,” Gov. Gavin Newsom said on X, formerly known as Twitter. “Make no mistake: radical anti-abortion activists will stop at nothing to deny women their rights to access reproductive care.”\u003c/p>\n\u003ch2>‘Far from over’\u003c/h2>\n\u003cp>Similarly, California Attorney General Rob Bonta said in a statement that the “fight for reproductive rights across the country is far from over” and reaffirmed the Department of Justice’s commitment to protecting access in California.\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>“No matter how many lawsuits they file or challenges they bring, they cannot change the facts: mifepristone is safe and effective,” Bonta said in a statement.\u003c/p>\n\u003cp>Since the Supreme Court decision overturning the right to an abortion, California has \u003ca href=\"https://calmatters.org/explainers/abortion-in-california-laws/\" target=\"_blank\" rel=\"noreferrer noopener\">strengthened abortion rights\u003c/a> and welcomed patients from states that have prohibited the procedure. Most recently, Newsom signed a law granting \u003ca href=\"https://calmatters.org/health/2024/04/california-abortion-ban-arizona/\" target=\"_blank\" rel=\"noreferrer noopener\">abortion providers from Arizona\u003c/a> an expedited licensing pathway in California.\u003c/p>\n\u003cp>Alliance Defending Freedom, the group representing the plaintiffs in the abortion pill case, said in a statement that it would continue the legal battle. A lower court judge has already ruled that three states — Idaho, Missouri and Kansas — can join the case as plaintiffs. Legal experts say states often have a stronger standing argument because they have to provide access to health care services.\u003c/p>\n\u003cp>“While we’re disappointed with the court’s decision, we will continue to advocate for women and work to restore commonsense safeguards for abortion drugs — like an initial office visit to screen for ectopic pregnancies. And we are grateful that three states stand ready to hold the FDA accountable for jeopardizing the health and safety of women and girls across this country,” Erin Hawley, senior counsel for the group, said in a statement.\u003c/p>\n\u003ch2>Abortion pill access\u003c/h2>\n\u003cp>Medication abortion is the most commonly used abortion method, accounting for nearly two-thirds of all U.S. abortions, according to the \u003ca href=\"https://www.guttmacher.org/2024/03/medication-abortion-accounted-63-all-us-abortions-2023-increase-53-2020\" target=\"_blank\" rel=\"noreferrer noopener\">Guttmacher Institute\u003c/a>, a national reproductive health policy center advocating for abortion rights.\u003c/p>\n\u003cp>Mifepristone, the pill at the heart of the Supreme Court decision, is part of a two-drug regimen for medication abortion. It halts pregnancy by \u003ca href=\"https://www.fda.gov/drugs/postmarket-drug-safety-information-patients-and-providers/questions-and-answers-mifepristone-medical-termination-pregnancy-through-ten-weeks-gestation\" target=\"_blank\" rel=\"noreferrer noopener\">blocking the hormone progesterone\u003c/a> before the second drug, misoprostol, empties the uterus by causing it to contract.\u003c/p>\n\u003cp>The FDA approved mifepristone in 2000 and made it easier to access in 2021 when the COVID-19 pandemic made in-person dispensing requirements impossible. It is now used in nearly all medication abortions.\u003c/p>\n\u003cp>Cathren Cohen, a staff attorney with the UCLA Center on Reproductive Health, Law and Policy, said a ruling against the FDA could have had a destabilizing effect on all pharmaceuticals.\u003c/p>\n\u003cp>“The court, they’re not scientists, so for them to be second-guessing the people with actual authority, which is the FDA, that’s concerning,” Cohen said.\u003c/p>\n\u003cp>The center submitted an amicus brief to the Supreme Court on behalf of 300 reproductive health researchers detailing mifepristone’s safety record. Dozens of studies have demonstrated its safety and efficacy.\u003c/p>\n\u003cp>Recently, researchers from \u003ca href=\"https://bixbycenter.ucsf.edu/news/telehealth-medication-abortion-just-safe-and-effective-person-care\" target=\"_blank\" rel=\"noreferrer noopener\">UCSF’s Bixby Center for Global Reproductive Health\u003c/a> conducted the \u003ca href=\"https://www.nature.com/articles/s41591-024-02834-w\" target=\"_blank\" rel=\"noreferrer noopener\">largest study of telehealth abortions\u003c/a> and found that medication abortions obtained via telehealth appointments are just as safe as those obtained through in-person medical care, with 98% of patients completing the abortion without needing additional medical care.\u003c/p>\n\u003cp>Last year, Newsom announced the state would stockpile misoprostol, the second drug in the medication abortion regimen, in case the Supreme Court decision resulted in a shortage. That \u003ca href=\"https://calmatters.org/health/2024/03/abortion-pill-california-stockpile/\" target=\"_blank\" rel=\"noreferrer noopener\">stockpile has since been depleted,\u003c/a> and it was not immediately clear whether the state would replenish it.\u003c/p>\n\u003cp>Misoprostol can be safely used alone for abortions but is more likely to have side effects when not paired with mifepristone, \u003ca href=\"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6309472/\" target=\"_blank\" rel=\"noreferrer noopener\">studies show\u003c/a>. Both drugs are also commonly used to manage miscarriages.\u003c/p>\n\u003cp>\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 \u003ca href=\"http://www.chcf.org/\" target=\"_blank\" rel=\"noreferrer noopener\">www.chcf.org\u003c/a> to learn more.\u003c/em>\u003c/p>\n\n\u003c/div>\u003c/p>",
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"title": "How The Closure Of Madera County's Only Hospital Has Impacted The Community",
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"headTitle": "How The Closure Of Madera County’s Only Hospital Has Impacted The Community | KQED",
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"content": "\u003cp>\u003cb>Here are the morning’s top stories on Thursday, June 13, 2024…\u003c/b>\u003c/p>\n\u003cul>\n\u003cli style=\"font-weight: 400\">\u003cspan style=\"font-weight: 400\">When a county’s \u003c/span>\u003ca href=\"https://www.kvpr.org/local-news/2024-06-03/when-their-only-hospital-closed-fears-of-more-deaths-took-over-what-we-found-in-the-data\">\u003cspan style=\"font-weight: 400\">only hospital closes\u003c/span>\u003c/a>\u003cspan style=\"font-weight: 400\">, you might expect there to be dire, immediate effects on public health. However, since Madera Community Hospital closed its doors in early 2023, the consequences haven’t been so clear. \u003c/span>\u003c/li>\n\u003cli style=\"font-weight: 400\">\u003cspan style=\"font-weight: 400\">California insurance regulators are sharing \u003c/span>\u003ca href=\"https://www.kqed.org/science/1993316/california-shows-where-insurers-would-need-to-boost-coverage-in-fire-prone-areas\">\u003cspan style=\"font-weight: 400\">the next phase\u003c/span>\u003c/a>\u003cspan style=\"font-weight: 400\"> of their plans to fix the state’s ailing insurance market. These new regulations propose to let insurance companies use the catastrophe models they want, but in exchange, require them to offer more coverage in wildfire-prone areas of the state. \u003c/span>\u003c/li>\n\u003cli>Fresno Police Chief Paco Balderrama was \u003ca href=\"https://www.kvpr.org/local-news/2024-06-12/fresno-police-chief-placed-on-paid-leave-amid-investigation\">placed on paid administrative leave \u003c/a>Wednesday, nearly a week after the city revealed it was investigating him for an inappropriate off-duty relationship. Balderrama has been under investigation since February, after alerting city officials that he might be accused of an inappropriate relationship.\u003c/li>\n\u003c/ul>\n\u003ch2>\u003ca href=\"https://www.kvpr.org/local-news/2024-06-03/when-their-only-hospital-closed-fears-of-more-deaths-took-over-what-we-found-in-the-data\">\u003cb>Looking Back At Impact Of Madera Community Hospital Closure\u003c/b>\u003c/a>\u003c/h2>\n\u003cp>\u003cspan style=\"font-weight: 400\">More than a year and a half \u003c/span>\u003ca href=\"https://www.kvpr.org/tags/madera-community-hospital\">\u003cspan style=\"font-weight: 400\">since Madera Community Hospital closed\u003c/span>\u003c/a>\u003cspan style=\"font-weight: 400\">, nearly everyone who depended on it has a reason why they want to see it back open. \u003c/span>\u003c/p>\n\u003cp>\u003cspan style=\"font-weight: 400\">But state data is helping paint a better picture of what happened in the weeks and months – and year – since the hospital closed. Though only so many conclusions can be drawn from just one year of data, the numbers suggest that what some had gravely feared has not come to pass on a large scale.\u003c/span>\u003c/p>\n\u003cp>\u003cspan style=\"font-weight: 400\">In the year after the hospital closed, fewer Madera County residents died than the year before. And among the most common causes of death, only a handful appeared to cause an uptick in deaths post closure. But health officials said one likely reason is because COVID-related deaths were already dropping in the county at the time of the closure.\u003c/span>\u003c/p>\n\u003ch2>\u003ca href=\"https://www.kqed.org/science/1993316/california-shows-where-insurers-would-need-to-boost-coverage-in-fire-prone-areas\">\u003cb>California Shows Where Insurers Would Need to Boost Coverage in Fire-Prone Areas\u003c/b>\u003c/a>\u003c/h2>\n\u003cp>\u003cspan style=\"font-weight: 400\">California insurance regulators on Wednesday released maps of the state’s most wildfire-distressed areas, where they aim to require insurance companies to write more policies, the next phase of their plan to address the ongoing \u003c/span>\u003ca href=\"https://www.kqed.org/science/1992803/newsom-seeks-faster-track-for-home-insurance-rate-hikes-as-market-shrinks\">\u003cspan style=\"font-weight: 400\">crisis in the state’s home insurance market\u003c/span>\u003c/a>\u003cspan style=\"font-weight: 400\">.\u003c/span>\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>\u003cspan style=\"font-weight: 400\">The new draft state regulations are a cornerstone of the California Department of Insurance’s strategy to make more insurance available for consumers, who have found it hard to find new property insurance as companies pull out of the market amid \u003c/span>\u003ca href=\"https://www.kqed.org/science/1993253/what-to-know-about-landmark-wildfire-bills-led-by-california-congressman\">\u003cspan style=\"font-weight: 400\">worsening wildfire risk\u003c/span>\u003c/a>\u003cspan style=\"font-weight: 400\">. Homeowners have been increasingly pushed toward the FAIR Plan, the state’s insurer of last resort, which offers expensive, low-quality coverage and is severely \u003c/span>\u003ca href=\"https://www.kqed.org/science/1992401/homeowners-insurance-market-stretched-even-thinner-as-2-more-companies-leave-california\">\u003cspan style=\"font-weight: 400\">financially overextended\u003c/span>\u003c/a>\u003cspan style=\"font-weight: 400\">.\u003c/span>\u003c/p>\n\u003cp>\u003cspan style=\"font-weight: 400\">To do this, the department floated draft regulations requiring companies to offer more coverage in wildfire-distressed areas of the state. As a concession, California will allow insurance providers to set rates using forward-looking catastrophe models that consider the effects of climate change on future disasters and also incorporate mitigation done to increase safety.\u003c/span>\u003c/p>\n\u003ch2>\u003cstrong>\u003ca href=\"https://www.kvpr.org/local-news/2024-06-12/fresno-police-chief-placed-on-paid-leave-amid-investigation\">Fresno Police Chief Placed On Paid Leave\u003c/a>\u003c/strong>\u003c/h2>\n\u003cp>\u003cspan style=\"font-weight: 400\">Fresno Police Chief Paco Balderrama has been placed on administrative leave. This comes nearly a week after the city revealed an ongoing investigation into “an inappropriate relationship” he had with a person who is not a city employee. \u003c/span>\u003c/p>\n\u003cp>\u003cspan style=\"font-weight: 400\">Balderrama \u003c/span>\u003ca href=\"https://www.fresnobee.com/news/local/article289042684.html\">\u003cspan style=\"font-weight: 400\">has been under investigation since February\u003c/span>\u003c/a>\u003cspan style=\"font-weight: 400\"> after informing city officials that he might be accused of having an inappropriate relationship. He became Fresno’s first Hispanic police chief in 2021 after serving as deputy chief in Oklahoma City.\u003c/span>\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>\u003cspan style=\"font-weight: 400\">According to \u003c/span>\u003ca href=\"https://www.fresnobee.com/news/local/article289220559.html\">\u003cspan style=\"font-weight: 400\">the Fresno Bee\u003c/span>\u003c/a>\u003cspan style=\"font-weight: 400\">, Balderrama is being investigated for having an affair with the wife of one of his officers. \u003c/span>\u003cspan style=\"font-weight: 400\">The city has hired an outside firm to investigate, and the city attorney will review the findings.\u003c/span>\u003c/p>\n\n",
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"title": "How The Closure Of Madera County's Only Hospital Has Impacted The Community | KQED",
"description": "Here are the morning’s top stories on Thursday, June 13, 2024… When a county’s only hospital closes, you might expect there to be dire, immediate effects on public health. However, since Madera Community Hospital closed its doors in early 2023, the consequences haven’t been so clear. California insurance regulators are sharing the next phase of their plans to fix the state’s ailing insurance market. These new regulations propose to let insurance companies use the catastrophe models they want, but in exchange, require them to offer more coverage in wildfire-prone areas of the state. Fresno Police Chief Paco Balderrama was placed",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>\u003cb>Here are the morning’s top stories on Thursday, June 13, 2024…\u003c/b>\u003c/p>\n\u003cul>\n\u003cli style=\"font-weight: 400\">\u003cspan style=\"font-weight: 400\">When a county’s \u003c/span>\u003ca href=\"https://www.kvpr.org/local-news/2024-06-03/when-their-only-hospital-closed-fears-of-more-deaths-took-over-what-we-found-in-the-data\">\u003cspan style=\"font-weight: 400\">only hospital closes\u003c/span>\u003c/a>\u003cspan style=\"font-weight: 400\">, you might expect there to be dire, immediate effects on public health. However, since Madera Community Hospital closed its doors in early 2023, the consequences haven’t been so clear. \u003c/span>\u003c/li>\n\u003cli style=\"font-weight: 400\">\u003cspan style=\"font-weight: 400\">California insurance regulators are sharing \u003c/span>\u003ca href=\"https://www.kqed.org/science/1993316/california-shows-where-insurers-would-need-to-boost-coverage-in-fire-prone-areas\">\u003cspan style=\"font-weight: 400\">the next phase\u003c/span>\u003c/a>\u003cspan style=\"font-weight: 400\"> of their plans to fix the state’s ailing insurance market. These new regulations propose to let insurance companies use the catastrophe models they want, but in exchange, require them to offer more coverage in wildfire-prone areas of the state. \u003c/span>\u003c/li>\n\u003cli>Fresno Police Chief Paco Balderrama was \u003ca href=\"https://www.kvpr.org/local-news/2024-06-12/fresno-police-chief-placed-on-paid-leave-amid-investigation\">placed on paid administrative leave \u003c/a>Wednesday, nearly a week after the city revealed it was investigating him for an inappropriate off-duty relationship. Balderrama has been under investigation since February, after alerting city officials that he might be accused of an inappropriate relationship.\u003c/li>\n\u003c/ul>\n\u003ch2>\u003ca href=\"https://www.kvpr.org/local-news/2024-06-03/when-their-only-hospital-closed-fears-of-more-deaths-took-over-what-we-found-in-the-data\">\u003cb>Looking Back At Impact Of Madera Community Hospital Closure\u003c/b>\u003c/a>\u003c/h2>\n\u003cp>\u003cspan style=\"font-weight: 400\">More than a year and a half \u003c/span>\u003ca href=\"https://www.kvpr.org/tags/madera-community-hospital\">\u003cspan style=\"font-weight: 400\">since Madera Community Hospital closed\u003c/span>\u003c/a>\u003cspan style=\"font-weight: 400\">, nearly everyone who depended on it has a reason why they want to see it back open. \u003c/span>\u003c/p>\n\u003cp>\u003cspan style=\"font-weight: 400\">But state data is helping paint a better picture of what happened in the weeks and months – and year – since the hospital closed. Though only so many conclusions can be drawn from just one year of data, the numbers suggest that what some had gravely feared has not come to pass on a large scale.\u003c/span>\u003c/p>\n\u003cp>\u003cspan style=\"font-weight: 400\">In the year after the hospital closed, fewer Madera County residents died than the year before. And among the most common causes of death, only a handful appeared to cause an uptick in deaths post closure. But health officials said one likely reason is because COVID-related deaths were already dropping in the county at the time of the closure.\u003c/span>\u003c/p>\n\u003ch2>\u003ca href=\"https://www.kqed.org/science/1993316/california-shows-where-insurers-would-need-to-boost-coverage-in-fire-prone-areas\">\u003cb>California Shows Where Insurers Would Need to Boost Coverage in Fire-Prone Areas\u003c/b>\u003c/a>\u003c/h2>\n\u003cp>\u003cspan style=\"font-weight: 400\">California insurance regulators on Wednesday released maps of the state’s most wildfire-distressed areas, where they aim to require insurance companies to write more policies, the next phase of their plan to address the ongoing \u003c/span>\u003ca href=\"https://www.kqed.org/science/1992803/newsom-seeks-faster-track-for-home-insurance-rate-hikes-as-market-shrinks\">\u003cspan style=\"font-weight: 400\">crisis in the state’s home insurance market\u003c/span>\u003c/a>\u003cspan style=\"font-weight: 400\">.\u003c/span>\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cp>San Francisco supervisors are urging \u003ca href=\"https://www.kqed.org/news/tag/sutter-health\">Sutter Health\u003c/a>’s California Pacific Medical Center to step up safety measures in its upcoming contract with a new union representing interns and residents, spurred by the story of a psychiatry resident who was knocked unconscious in an attack.\u003c/p>\n\u003cp>The Board of Supervisors passed a resolution this month, and in a letter dated June 6 to CPMC executives, including CEO Hamila Kownacki, supervisors urged the hospital system to “address concerns related to safe working conditions for resident physicians and patients.”\u003c/p>\n\u003cp>As part of the background material for the resolution, the supervisors cited the story of Dr. Dani Golomb, a psychiatry resident who was punched, dragged and knocked unconscious while working at a CPMC campus in September 2020. After Golomb shared her story \u003ca href=\"https://www.kqed.org/science/1991739/bay-area-medical-psychiatry-pushes-for-hospital-safety-after-violent-attack\">with KQED\u003c/a> in March, state regulators \u003ca href=\"https://www.kqed.org/news/11980953/california-regulators-investigate-sutter-health-over-unreported-assault-on-psychiatry-worker\">launched a subsequent review\u003c/a> into the previously unreported assault.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>Sutter Health was legally required to file a violent incident report to state regulators within 72 hours, but the California Division of Occupational Safety and Health or Cal/OSHA, has no record of the incident. Sutter Health has acknowledged that the hospital did not initially report Golomb’s assault or injury but said it did note the assault in an injury log filed with Cal/OSHA later in 2020.\u003c/p>\n\u003cp>Golomb suffered a concussion and a traumatic brain injury. She missed more than a year of work as she recovered.[aside postID=news_11989238 hero='https://cdn.kqed.org/wp-content/uploads/sites/10/2024/06/CMERWorkers01-1020x680.jpg']Board of Supervisors President Aaron Peskin, who co-sponsored the legislation, told KQED in a statement that the city is moving aggressively to staff up its essential health care workers. “But we won’t be able to expand our workforce if the health care system isn’t safe,” he said. “Health care workers who keep us safe and healthy deserve safety in their workplace, too.”\u003c/p>\n\u003cp>He added, “That starts with OSHA enforcement of reporting and tracking of assaults within our hospital network. Transparency and accountability are key.”\u003c/p>\n\u003cp>Golomb, for her part, told KQED that she felt heartened to know about the supervisors’ resolution.\u003c/p>\n\u003cp>“We’re simply asking for respect and dignity from [Sutter Health], and we haven’t really seen that,” she said. “We’ve been negotiating for our contract for months now, and they continuously refuse to put language in the contract about 24/7 security on our inpatient psych unit.”\u003c/p>\n\u003cp>In a statement emailed to KQED, a Sutter Health spokesperson said the hospital is addressing the concerns raised by the residents through ongoing reviews of current security practices, unit rounding and open dialogue regarding additional improvements.\u003c/p>\n\u003cp>The spokesperson added that the hospital system had reached 31 tentative agreements with the union through bargaining sessions, including an article related to employee health, safety and security.\u003c/p>\n\u003cp>“We appreciate the Board of Supervisors’ support of safe work environments and fair pay and benefits for healthcare workers,” the statement said. “We share this commitment and are doing our part to reach a fair contract for our residents, as we value their contributions to providing compassionate and quality patient care.”\u003c/p>\n\u003cp>Golomb and about 15 of her resident colleagues announced in January their plans to unionize and have been negotiating a first contract with the hospital system.\u003c/p>\n\u003cp>They have asked CPMC to increase its safety measures, pressing for a round-the-clock security presence in the inpatient psych unit and an intensive care unit.\u003c/p>\n\u003cp>Sutter Health has said it is committed to a fair contract and safe work environments. The hospital said it spent nearly $40 million to improve security for the unit where Golomb was attacked, purchasing cameras, panic buttons and duress alarms and securing doors. A security officer is now stationed there during the day.\u003c/p>\n\u003cp>\u003c/p>\n",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>San Francisco supervisors are urging \u003ca href=\"https://www.kqed.org/news/tag/sutter-health\">Sutter Health\u003c/a>’s California Pacific Medical Center to step up safety measures in its upcoming contract with a new union representing interns and residents, spurred by the story of a psychiatry resident who was knocked unconscious in an attack.\u003c/p>\n\u003cp>The Board of Supervisors passed a resolution this month, and in a letter dated June 6 to CPMC executives, including CEO Hamila Kownacki, supervisors urged the hospital system to “address concerns related to safe working conditions for resident physicians and patients.”\u003c/p>\n\u003cp>As part of the background material for the resolution, the supervisors cited the story of Dr. Dani Golomb, a psychiatry resident who was punched, dragged and knocked unconscious while working at a CPMC campus in September 2020. After Golomb shared her story \u003ca href=\"https://www.kqed.org/science/1991739/bay-area-medical-psychiatry-pushes-for-hospital-safety-after-violent-attack\">with KQED\u003c/a> in March, state regulators \u003ca href=\"https://www.kqed.org/news/11980953/california-regulators-investigate-sutter-health-over-unreported-assault-on-psychiatry-worker\">launched a subsequent review\u003c/a> into the previously unreported assault.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>Sutter Health was legally required to file a violent incident report to state regulators within 72 hours, but the California Division of Occupational Safety and Health or Cal/OSHA, has no record of the incident. Sutter Health has acknowledged that the hospital did not initially report Golomb’s assault or injury but said it did note the assault in an injury log filed with Cal/OSHA later in 2020.\u003c/p>\n\u003cp>Golomb suffered a concussion and a traumatic brain injury. She missed more than a year of work as she recovered.\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>Board of Supervisors President Aaron Peskin, who co-sponsored the legislation, told KQED in a statement that the city is moving aggressively to staff up its essential health care workers. “But we won’t be able to expand our workforce if the health care system isn’t safe,” he said. “Health care workers who keep us safe and healthy deserve safety in their workplace, too.”\u003c/p>\n\u003cp>He added, “That starts with OSHA enforcement of reporting and tracking of assaults within our hospital network. Transparency and accountability are key.”\u003c/p>\n\u003cp>Golomb, for her part, told KQED that she felt heartened to know about the supervisors’ resolution.\u003c/p>\n\u003cp>“We’re simply asking for respect and dignity from [Sutter Health], and we haven’t really seen that,” she said. “We’ve been negotiating for our contract for months now, and they continuously refuse to put language in the contract about 24/7 security on our inpatient psych unit.”\u003c/p>\n\u003cp>In a statement emailed to KQED, a Sutter Health spokesperson said the hospital is addressing the concerns raised by the residents through ongoing reviews of current security practices, unit rounding and open dialogue regarding additional improvements.\u003c/p>\n\u003cp>The spokesperson added that the hospital system had reached 31 tentative agreements with the union through bargaining sessions, including an article related to employee health, safety and security.\u003c/p>\n\u003cp>“We appreciate the Board of Supervisors’ support of safe work environments and fair pay and benefits for healthcare workers,” the statement said. “We share this commitment and are doing our part to reach a fair contract for our residents, as we value their contributions to providing compassionate and quality patient care.”\u003c/p>\n\u003cp>Golomb and about 15 of her resident colleagues announced in January their plans to unionize and have been negotiating a first contract with the hospital system.\u003c/p>\n\u003cp>They have asked CPMC to increase its safety measures, pressing for a round-the-clock security presence in the inpatient psych unit and an intensive care unit.\u003c/p>\n\u003cp>Sutter Health has said it is committed to a fair contract and safe work environments. The hospital said it spent nearly $40 million to improve security for the unit where Golomb was attacked, purchasing cameras, panic buttons and duress alarms and securing doors. A security officer is now stationed there during the day.\u003c/p>\n\u003cp>\u003c/p>\n\u003c/div>\u003c/p>",
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"content": "\u003cp>Farmworkers face some of the most intense exposures to the bird flu virus, but advocates say many of them would lack resources to fall back on if they became ill.\u003c/p>\n\u003cp>As of May 30, only three people in the United States had tested positive after being exposed to a wave of bird flu spreading among cows. Those people, dairy farm workers in Texas and Michigan, experienced eye irritation. One of them also had a cough and sore throat.\u003c/p>\n\u003cp>Scientists warn that the virus could mutate to spread from person to person like the seasonal flu, sparking a pandemic. By monitoring farmworkers, researchers could track infections, learn how dangerous they are, and be alerted if the virus becomes more infectious.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>But people generally get tested when they seek treatment for illnesses. Farmworkers rarely do that because many lack health insurance and paid sick leave, said Elizabeth Strater, director of strategic campaigns for the national group United Farm Workers. They are unlikely to go to a doctor unless they become very ill.\u003c/p>\n\u003cp>Strater said about 150,000 people work in U.S. dairies. She said many worker advocates believe the virus has spread to more people than tests are showing. “The method being used to surveil at-risk workers has been very passive,” she said.\u003c/p>\n\u003cp>Federal officials told reporters on May 22 that just 40 people connected to U.S. dairy farms had been tested for the virus, although others are being “actively monitored” for symptoms.\u003c/p>\n\u003cp>Federal authorities \u003ca href=\"https://www.nbcnews.com/health/health-news/bird-flu-cow-test-farmers-incentive-us-government-rcna151645\">recently announced\u003c/a> they would pay farmworkers $75 each to be tested for the virus as part of a new program offering incentives for farm owners to allow testing of their dairy herds.\u003c/p>\n\u003cp>Officials of the federal Centers for Disease Control and Prevention said they recognize the importance of gaining cooperation and trust from front-line dairy employees.\u003c/p>\n\u003cp>CDC spokesperson Rosa Norman said in an email that the incentive payment compensates workers for their time contributing to the monitoring of how many people are infected, how sick they become, and whether humans are spreading the virus to each other.\u003c/p>\n\u003cp>She noted the CDC believes the virus currently poses a \u003ca href=\"https://www.cdc.gov/flu/avianflu/avian-flu-summary.htm\">low risk to public health\u003c/a>.\u003c/p>\n\u003cp>But Strater is skeptical of the incentive for farmworkers to be checked for the virus. If a worker tests positive, they’d likely be instructed to go to a clinic and then stay home from work. She said they couldn’t afford to do either.\u003c/p>\n\u003cp>“That starts to sound like a really bad deal for 75 bucks because, at the end of the week, they’re supposed to feed their families,” she said.\u003c/p>\n\u003cp>Katherine Wells, director of public health in Lubbock, Texas, said that in her state, health officials would provide short-term medical care, such as giving farmworkers the flu treatment Tamiflu. Those arrangements wouldn’t necessarily cover hospitalization if it were needed, she said.\u003c/p>\n\u003cp>She said the workers’ bigger concern appears to be that they would have to stay home from work or might even lose their jobs if they tested positive.\u003c/p>\n\u003cp>Many farmworkers \u003ca href=\"https://www.kff.org/racial-equity-and-health-policy/issue-brief/who-is-at-risk-amid-the-h5n1-influenza-outbreak-characteristics-and-health-coverage-of-animal-production-workers/\">are from other countries\u003c/a>, and they often labor in grueling conditions for little pay.\u003c/p>\n\u003cp>They may fear attention to cases among them will inflame anti-immigrant fervor, said Monica Schoch-Spana, a medical anthropologist at the Johns Hopkins Center for Health Security.\u003c/p>\n\u003cp>Societies have a long \u003ca href=\"https://pubmed.ncbi.nlm.nih.gov/20825335/\">history of blaming\u003c/a> marginalized communities for the spread of contagious diseases. Latino immigrants were verbally attacked during the H1N1 “swine flu” pandemic in 2009, for example, and some media personalities used the outbreak to push for a crackdown on immigration.\u003c/p>\n\u003cp>Bethany Boggess Alcauter, director of research and public health programs at the National Center for Farmworker Health, said many workers on dairy farms have been told very little about this new disease spreading in the cows they handle. “Education needs to be a part of testing efforts, with time for workers to ask questions,” she said.\u003c/p>\n\u003cp>These conversations should be conducted in the farmworkers’ language, with people they are likely to trust, she said.\u003c/p>\n\u003cp>Georges Benjamin, executive director of the American Public Health Association, said public health officials must make clear that workers’ immigration status will not be reported as part of the investigation into the new flu virus. “We’re not going to be the police,” he said.\u003c/p>\n\u003cp>Dawn O’Connell, an administrator at the Department of Health and Human Services, said in a press conference on May 22 that nearly 5 million doses of a vaccine against H5N1, the bird flu virus circulating in cattle, are being prepared. However, officials have not decided whether the shots will be offered to farmworkers when they’re ready later this year.\u003c/p>\n\u003cp>[aside label=\"Related Stories\" postID=\"news_11988972,science_1992816,news_11969913\"]The CDC asked states in early May to share personal protective equipment with farm owners to help them shield workers from the bird flu virus. State health departments in California, Texas, and Wisconsin, which have large dairy industries, all said they have offered to distribute such equipment.\u003c/p>\n\u003cp>Chris Van Deusen, a Texas health department spokesperson, said four dairy farms had requested protective equipment from the state stockpile. He said other farms may already have had what they needed. Spokespeople for the California and Wisconsin health departments said they did not immediately receive requests from farm owners for the extra equipment.\u003c/p>\n\u003cp>Strater, the United Farm Workers official, said protective equipment offerings need to be practical.\u003c/p>\n\u003cp>Most dairy workers already wear waterproof aprons, boots, and gloves, she said. It wouldn’t be realistic to expect them to also wear N95 face masks in the wet, hot conditions of a milking operation, she said. Plastic face shields seem like a better option for that environment, especially to prevent milk from spraying into workers’ eyes, where it could cause infection, she said.\u003c/p>\n\u003cp>Other types of agricultural workers, including those who work with chickens, also face potential infection. But scientists say the version of the virus spreading in cows could be particularly dangerous because it has adapted to live in mammals.\u003c/p>\n\u003cp>Strater said she’s most worried about dairy workers, who spend 10 to 12 hours a day in enclosed spaces with cows.\u003c/p>\n\u003cp>“Their faces are approximately 5 inches away from the milk and the udders all day long,” she said. “The intimacy of it, where their face is so very close to the infectious material, is different.”\u003c/p>\n\u003cp>[ad floatright]\u003c/p>\n",
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"excerpt": "Farmworkers face some of the most intense exposures to the bird flu virus, but advocates say many of them would lack resources to fall back on if they became ill.",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>Farmworkers face some of the most intense exposures to the bird flu virus, but advocates say many of them would lack resources to fall back on if they became ill.\u003c/p>\n\u003cp>As of May 30, only three people in the United States had tested positive after being exposed to a wave of bird flu spreading among cows. Those people, dairy farm workers in Texas and Michigan, experienced eye irritation. One of them also had a cough and sore throat.\u003c/p>\n\u003cp>Scientists warn that the virus could mutate to spread from person to person like the seasonal flu, sparking a pandemic. By monitoring farmworkers, researchers could track infections, learn how dangerous they are, and be alerted if the virus becomes more infectious.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>But people generally get tested when they seek treatment for illnesses. Farmworkers rarely do that because many lack health insurance and paid sick leave, said Elizabeth Strater, director of strategic campaigns for the national group United Farm Workers. They are unlikely to go to a doctor unless they become very ill.\u003c/p>\n\u003cp>Strater said about 150,000 people work in U.S. dairies. She said many worker advocates believe the virus has spread to more people than tests are showing. “The method being used to surveil at-risk workers has been very passive,” she said.\u003c/p>\n\u003cp>Federal officials told reporters on May 22 that just 40 people connected to U.S. dairy farms had been tested for the virus, although others are being “actively monitored” for symptoms.\u003c/p>\n\u003cp>Federal authorities \u003ca href=\"https://www.nbcnews.com/health/health-news/bird-flu-cow-test-farmers-incentive-us-government-rcna151645\">recently announced\u003c/a> they would pay farmworkers $75 each to be tested for the virus as part of a new program offering incentives for farm owners to allow testing of their dairy herds.\u003c/p>\n\u003cp>Officials of the federal Centers for Disease Control and Prevention said they recognize the importance of gaining cooperation and trust from front-line dairy employees.\u003c/p>\n\u003cp>CDC spokesperson Rosa Norman said in an email that the incentive payment compensates workers for their time contributing to the monitoring of how many people are infected, how sick they become, and whether humans are spreading the virus to each other.\u003c/p>\n\u003cp>She noted the CDC believes the virus currently poses a \u003ca href=\"https://www.cdc.gov/flu/avianflu/avian-flu-summary.htm\">low risk to public health\u003c/a>.\u003c/p>\n\u003cp>But Strater is skeptical of the incentive for farmworkers to be checked for the virus. If a worker tests positive, they’d likely be instructed to go to a clinic and then stay home from work. She said they couldn’t afford to do either.\u003c/p>\n\u003cp>“That starts to sound like a really bad deal for 75 bucks because, at the end of the week, they’re supposed to feed their families,” she said.\u003c/p>\n\u003cp>Katherine Wells, director of public health in Lubbock, Texas, said that in her state, health officials would provide short-term medical care, such as giving farmworkers the flu treatment Tamiflu. Those arrangements wouldn’t necessarily cover hospitalization if it were needed, she said.\u003c/p>\n\u003cp>She said the workers’ bigger concern appears to be that they would have to stay home from work or might even lose their jobs if they tested positive.\u003c/p>\n\u003cp>Many farmworkers \u003ca href=\"https://www.kff.org/racial-equity-and-health-policy/issue-brief/who-is-at-risk-amid-the-h5n1-influenza-outbreak-characteristics-and-health-coverage-of-animal-production-workers/\">are from other countries\u003c/a>, and they often labor in grueling conditions for little pay.\u003c/p>\n\u003cp>They may fear attention to cases among them will inflame anti-immigrant fervor, said Monica Schoch-Spana, a medical anthropologist at the Johns Hopkins Center for Health Security.\u003c/p>\n\u003cp>Societies have a long \u003ca href=\"https://pubmed.ncbi.nlm.nih.gov/20825335/\">history of blaming\u003c/a> marginalized communities for the spread of contagious diseases. Latino immigrants were verbally attacked during the H1N1 “swine flu” pandemic in 2009, for example, and some media personalities used the outbreak to push for a crackdown on immigration.\u003c/p>\n\u003cp>Bethany Boggess Alcauter, director of research and public health programs at the National Center for Farmworker Health, said many workers on dairy farms have been told very little about this new disease spreading in the cows they handle. “Education needs to be a part of testing efforts, with time for workers to ask questions,” she said.\u003c/p>\n\u003cp>These conversations should be conducted in the farmworkers’ language, with people they are likely to trust, she said.\u003c/p>\n\u003cp>Georges Benjamin, executive director of the American Public Health Association, said public health officials must make clear that workers’ immigration status will not be reported as part of the investigation into the new flu virus. “We’re not going to be the police,” he said.\u003c/p>\n\u003cp>Dawn O’Connell, an administrator at the Department of Health and Human Services, said in a press conference on May 22 that nearly 5 million doses of a vaccine against H5N1, the bird flu virus circulating in cattle, are being prepared. However, officials have not decided whether the shots will be offered to farmworkers when they’re ready later this year.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>The CDC asked states in early May to share personal protective equipment with farm owners to help them shield workers from the bird flu virus. State health departments in California, Texas, and Wisconsin, which have large dairy industries, all said they have offered to distribute such equipment.\u003c/p>\n\u003cp>Chris Van Deusen, a Texas health department spokesperson, said four dairy farms had requested protective equipment from the state stockpile. He said other farms may already have had what they needed. Spokespeople for the California and Wisconsin health departments said they did not immediately receive requests from farm owners for the extra equipment.\u003c/p>\n\u003cp>Strater, the United Farm Workers official, said protective equipment offerings need to be practical.\u003c/p>\n\u003cp>Most dairy workers already wear waterproof aprons, boots, and gloves, she said. It wouldn’t be realistic to expect them to also wear N95 face masks in the wet, hot conditions of a milking operation, she said. Plastic face shields seem like a better option for that environment, especially to prevent milk from spraying into workers’ eyes, where it could cause infection, she said.\u003c/p>\n\u003cp>Other types of agricultural workers, including those who work with chickens, also face potential infection. But scientists say the version of the virus spreading in cows could be particularly dangerous because it has adapted to live in mammals.\u003c/p>\n\u003cp>Strater said she’s most worried about dairy workers, who spend 10 to 12 hours a day in enclosed spaces with cows.\u003c/p>\n\u003cp>“Their faces are approximately 5 inches away from the milk and the udders all day long,” she said. “The intimacy of it, where their face is so very close to the infectious material, is different.”\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cp>Before becoming a member of the California Assembly, \u003ca href=\"https://digitaldemocracy.calmatters.org/legislators/freddie-rodriguez-69\">Freddie Rodriguez\u003c/a> spent 30 years as an emergency medical technician in the San Gabriel Valley. He’s wheeled untold numbers of patients on gurneys into hospital emergency departments.\u003c/p>\n\u003cp>And he’s seen all too often what happens when one of them tries to hurt caregivers. In fact, it recently happened to his daughter, Desirae, a respiratory technician. He told the Senate Public Safety Committee on Tuesday that she was recently assaulted on the job.\u003c/p>\n\u003cp>“This violence is unacceptable,” Rodriguez testified. “But for many of the health care heroes, they view workplace violence as just part of the job.”\u003c/p>\n\u003cp>The issue prompted Rodriguez to introduce \u003ca href=\"https://digitaldemocracy.calmatters.org/bills/ca_202320240ab977\">Assembly Bill 977\u003c/a>, which would increase penalties to a year in jail for those convicted of assaulting California’s hospital emergency room doctors, nurses and other workers.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>But the bill has an uncertain future due to resistance from progressive Democrats who, for the past decade, have sought to shrink the number of inmates in the state’s crowded jails and prisons. Indeed, former Gov. Jerry Brown, who faced a U.S. Supreme Court order to shrink the state’s prison population, vetoed an identical bill from Rodriguez \u003ca href=\"http://www.leginfo.ca.gov/pub/15-16/bill/asm/ab_0151-0200/ab_172_vt_20151010.html\">in 2015\u003c/a>.\u003c/p>\n\u003cp>Those tensions were displayed when the bill narrowly passed the Senate Public Safety Committee earlier this week.[aside postID=news_11987204 hero='https://cdn.kqed.org/wp-content/uploads/sites/10/2024/05/240521-SFGeneral-01-BL-1020x680.jpg']The safety committee’s liberal Democratic senators from the San Francisco Bay Area, \u003ca href=\"https://digitaldemocracy.calmatters.org/legislators/scott-wiener-100936\">Scott Wiener\u003c/a> and \u003ca href=\"https://digitaldemocracy.calmatters.org/legislators/nancy-skinner-34364\">Nancy Skinner\u003c/a>, opposed the legislation. They sided with the \u003ca href=\"https://digitaldemocracy.calmatters.org/organizations/-2775\">California Public Defenders Association\u003c/a> and prison reform advocates who argue that increasing criminal penalties doesn’t deter crime and who say laws on the books already prohibit assault.\u003c/p>\n\u003cp>“If there were evidence that an additional six months in county jail … would enhance the safety of these workers or serve as a deterrent, I would sign this bill,” Brown wrote. “I doubt that it would do either.”\u003c/p>\n\u003cp>At this week’s hearing, the bill’s opponents also argued that many of the attacks in emergency departments are from patients having mental health crises.\u003c/p>\n\u003cp>“We realize now that because of the lack of mental-health resources …ERs are where people who are having a crisis of mental health are brought,” Skinner said. “And punishments like this are not deterrents for people who can use no judgment.”\u003c/p>\n\u003cp>Skinner, however, didn’t vote on the bill, which counts the same as voting “no.” When Rodriguez’s bill passed the Assembly earlier this year, 12 members — most of them progressive Democrats who’ve been leery of increasing criminal penalties — didn’t vote. \u003ca href=\"https://calmatters.org/politics/2024/05/california-shoplifting-bill-democrats-vote/\">As CalMatters has reported, \u003c/a>lawmakers regularly avoid voting on controversial bills to avoid angering colleagues or eliminating a record of their opposition on sensitive matters. There is no distinction for legislators who abstain or are absent.\u003c/p>\n\u003cfigure id=\"attachment_11989246\" class=\"wp-caption aligncenter\" style=\"max-width: 2000px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-11989246\" src=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2024/06/CMERWorkers02.jpg\" alt=\"\" width=\"2000\" height=\"1333\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2024/06/CMERWorkers02.jpg 2000w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/06/CMERWorkers02-800x533.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/06/CMERWorkers02-1020x680.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/06/CMERWorkers02-160x107.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/06/CMERWorkers02-1536x1024.jpg 1536w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/06/CMERWorkers02-1920x1280.jpg 1920w\" sizes=\"(max-width: 2000px) 100vw, 2000px\">\u003cfigcaption class=\"wp-caption-text\">Assemblymember Freddie Rodriguez addresses other lawmakers during a floor session at the state Capitol in Sacramento on April 4, 2024. \u003ccite>(Fred Greaves/CalMatters)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>Wiener cast the lone “no” vote in the five-member committee. The influential \u003ca href=\"https://digitaldemocracy.calmatters.org/organizations/-19\">California Medical Association\u003c/a>, representing the state’s physicians, supported the bill. The opposition from Skinner and Wiener represented a significant break from the association’s positions on legislation. Skinner has historically sided with the doctors’ group 80% of the time; Wiener 86%, according to an analysis from \u003ca href=\"https://digitaldemocracy.calmatters.org/\">CalMatters Digital Democracy database\u003c/a>.\u003c/p>\n\u003cp>Murrieta Republican Sen. \u003ca href=\"https://digitaldemocracy.calmatters.org/legislators/kelly-seyarto-165446\">Kelly Seyarto\u003c/a>, who has historically aligned with the California Medical Association only 45% of the time, was firmly on the doctors’ side this time around.\u003cbr>\nHe’s a former battalion chief with the Los Angeles County Fire Department, who has seen his share of violent medical calls.\u003c/p>\n\u003cp>He told his committee colleagues that the legislation is “long overdue.”\u003c/p>\n\u003cp>“I know personally a nurse that was disabled [after] she was attacked and thrown to the ground,” Seyarto said. “She had a head injury, and she could never go back to work. She could never go back to work. And the person that did that, there was nothing mentally wrong with them. He was just mad.”\u003c/p>\n\u003cp>\u003c/p>\n",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>Before becoming a member of the California Assembly, \u003ca href=\"https://digitaldemocracy.calmatters.org/legislators/freddie-rodriguez-69\">Freddie Rodriguez\u003c/a> spent 30 years as an emergency medical technician in the San Gabriel Valley. He’s wheeled untold numbers of patients on gurneys into hospital emergency departments.\u003c/p>\n\u003cp>And he’s seen all too often what happens when one of them tries to hurt caregivers. In fact, it recently happened to his daughter, Desirae, a respiratory technician. He told the Senate Public Safety Committee on Tuesday that she was recently assaulted on the job.\u003c/p>\n\u003cp>“This violence is unacceptable,” Rodriguez testified. “But for many of the health care heroes, they view workplace violence as just part of the job.”\u003c/p>\n\u003cp>The issue prompted Rodriguez to introduce \u003ca href=\"https://digitaldemocracy.calmatters.org/bills/ca_202320240ab977\">Assembly Bill 977\u003c/a>, which would increase penalties to a year in jail for those convicted of assaulting California’s hospital emergency room doctors, nurses and other workers.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>But the bill has an uncertain future due to resistance from progressive Democrats who, for the past decade, have sought to shrink the number of inmates in the state’s crowded jails and prisons. Indeed, former Gov. Jerry Brown, who faced a U.S. Supreme Court order to shrink the state’s prison population, vetoed an identical bill from Rodriguez \u003ca href=\"http://www.leginfo.ca.gov/pub/15-16/bill/asm/ab_0151-0200/ab_172_vt_20151010.html\">in 2015\u003c/a>.\u003c/p>\n\u003cp>Those tensions were displayed when the bill narrowly passed the Senate Public Safety Committee earlier this week.\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>The safety committee’s liberal Democratic senators from the San Francisco Bay Area, \u003ca href=\"https://digitaldemocracy.calmatters.org/legislators/scott-wiener-100936\">Scott Wiener\u003c/a> and \u003ca href=\"https://digitaldemocracy.calmatters.org/legislators/nancy-skinner-34364\">Nancy Skinner\u003c/a>, opposed the legislation. They sided with the \u003ca href=\"https://digitaldemocracy.calmatters.org/organizations/-2775\">California Public Defenders Association\u003c/a> and prison reform advocates who argue that increasing criminal penalties doesn’t deter crime and who say laws on the books already prohibit assault.\u003c/p>\n\u003cp>“If there were evidence that an additional six months in county jail … would enhance the safety of these workers or serve as a deterrent, I would sign this bill,” Brown wrote. “I doubt that it would do either.”\u003c/p>\n\u003cp>At this week’s hearing, the bill’s opponents also argued that many of the attacks in emergency departments are from patients having mental health crises.\u003c/p>\n\u003cp>“We realize now that because of the lack of mental-health resources …ERs are where people who are having a crisis of mental health are brought,” Skinner said. “And punishments like this are not deterrents for people who can use no judgment.”\u003c/p>\n\u003cp>Skinner, however, didn’t vote on the bill, which counts the same as voting “no.” When Rodriguez’s bill passed the Assembly earlier this year, 12 members — most of them progressive Democrats who’ve been leery of increasing criminal penalties — didn’t vote. \u003ca href=\"https://calmatters.org/politics/2024/05/california-shoplifting-bill-democrats-vote/\">As CalMatters has reported, \u003c/a>lawmakers regularly avoid voting on controversial bills to avoid angering colleagues or eliminating a record of their opposition on sensitive matters. There is no distinction for legislators who abstain or are absent.\u003c/p>\n\u003cfigure id=\"attachment_11989246\" class=\"wp-caption aligncenter\" style=\"max-width: 2000px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-11989246\" src=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2024/06/CMERWorkers02.jpg\" alt=\"\" width=\"2000\" height=\"1333\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2024/06/CMERWorkers02.jpg 2000w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/06/CMERWorkers02-800x533.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/06/CMERWorkers02-1020x680.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/06/CMERWorkers02-160x107.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/06/CMERWorkers02-1536x1024.jpg 1536w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/06/CMERWorkers02-1920x1280.jpg 1920w\" sizes=\"(max-width: 2000px) 100vw, 2000px\">\u003cfigcaption class=\"wp-caption-text\">Assemblymember Freddie Rodriguez addresses other lawmakers during a floor session at the state Capitol in Sacramento on April 4, 2024. \u003ccite>(Fred Greaves/CalMatters)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>Wiener cast the lone “no” vote in the five-member committee. The influential \u003ca href=\"https://digitaldemocracy.calmatters.org/organizations/-19\">California Medical Association\u003c/a>, representing the state’s physicians, supported the bill. The opposition from Skinner and Wiener represented a significant break from the association’s positions on legislation. Skinner has historically sided with the doctors’ group 80% of the time; Wiener 86%, according to an analysis from \u003ca href=\"https://digitaldemocracy.calmatters.org/\">CalMatters Digital Democracy database\u003c/a>.\u003c/p>\n\u003cp>Murrieta Republican Sen. \u003ca href=\"https://digitaldemocracy.calmatters.org/legislators/kelly-seyarto-165446\">Kelly Seyarto\u003c/a>, who has historically aligned with the California Medical Association only 45% of the time, was firmly on the doctors’ side this time around.\u003cbr>\nHe’s a former battalion chief with the Los Angeles County Fire Department, who has seen his share of violent medical calls.\u003c/p>\n\u003cp>He told his committee colleagues that the legislation is “long overdue.”\u003c/p>\n\u003cp>“I know personally a nurse that was disabled [after] she was attacked and thrown to the ground,” Seyarto said. “She had a head injury, and she could never go back to work. She could never go back to work. And the person that did that, there was nothing mentally wrong with them. He was just mad.”\u003c/p>\n\u003cp>\u003c/p>\n\u003c/div>\u003c/p>",
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"content": "\u003cp>One year into San Francisco’s push to dismantle open-air drug markets, authorities are touting thousands of arrests by the law enforcement campaign; last week alone, police announced they had arrested 10 people in a single-day operation in the Tenderloin, as well as the arrests days earlier of two brothers suspected of trafficking drugs in the area and carrying 6 kilograms of fentanyl, among other substances.\u003c/p>\n\u003cp>Still, with people dying of overdoses near a record pace and neighbors’ complaints of a pervasive drug trade, some policy experts have questioned whether San Francisco is taking the right approach to the crisis.\u003c/p>\n\u003cp>Mayor London Breed launched the Drug Market Agency Coordination Center, a centralized hub for local, state and federal law enforcement agencies to disrupt drug dealing and public drug use in the Tenderloin and South of Market neighborhoods, in May 2023. Last week, on its first anniversary, Breed’s office released a \u003ca href=\"https://www.sanfranciscopolice.org/drug-market-agency-coordination-center\">public data dashboard\u003c/a> showing that in the first year of the crackdown, law enforcement officials made more than 3,000 arrests and seized nearly 200 kilos of narcotics.\u003c/p>\n\u003cp>Of those arrests, 1,008 people were suspected of dealing drugs, 1,284 were suspected of using drugs, and 858 people had outstanding warrants. The top two drugs seized by weight were fentanyl, at more than 89 kilos, and methamphetamine, at 48 kilos. In a \u003ca href=\"https://www.sf.gov/news/san-francisco-dmacc-marks-one-year-milestone-200-kilos-narcotics-seized-and-3000-arrests\">statement announcing the first-year data\u003c/a>, city officials called those “significant results.”\u003c/p>\n\u003cp>“The partnerships we put in place are getting fentanyl out of our neighborhoods, and with new technology being deployed and more officers joining our ranks, our efforts will only grow stronger over the coming year,” Breed said in a statement.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>Some residents and policy experts, however, said the coordination center has had little effect on the neighborhoods’ struggle to curtail drug dealing.\u003c/p>\n\u003cp>Randy Shaw, co-founder of the Tenderloin Housing Clinic, said that while arrests and seizures have been centralized around United Nations Plaza, the area’s drug market is still pervasive.\u003c/p>\n\u003cp>“At a place like 7th and Market, which I’ve written about a lot and which has gotten a lot of attention on social media, there’s still 50 drug dealers and drug users out there every night,” Shaw said. “Why is that still happening?”\u003c/p>\n\u003cp>In the two and a half years since Breed declared a state of emergency in the Tenderloin related to the fentanyl crisis, San Francisco has recorded its highest number of overdose deaths in one year, \u003ca href=\"https://www.kqed.org/news/11972898/2023-was-san-franciscos-deadliest-year-for-drug-overdoses-new-data-confirms\">totaling 810 in 2023\u003c/a>. This year, the city is on track to \u003ca href=\"https://www.sf.gov/sites/default/files/2024-05/2024%2005_OCME%20Overdose%20Report.pdf\">surpass 770 overdose deaths\u003c/a>.\u003c/p>\n\u003cp>Despite the city’s efforts, the crisis on the streets of the Tenderloin remains, Shaw said.\u003c/p>\n\u003cp>“We created an emergency coordination center, and a year later, the activities that exist there remain higher than any other neighborhood would tolerate and would be allowed to continue,” he said.\u003c/p>\n\u003cfigure id=\"attachment_11982333\" class=\"wp-caption alignnone\" style=\"max-width: 1920px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-11982333\" src=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2024/04/240405-District5BOSRedistricting-006-BL_qut.jpg\" alt=\"Two men sitting on the sidewalk while another man on the left wearing a neon yellow and orange jacket stands near parked cars on the street.\" width=\"1920\" height=\"1280\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2024/04/240405-District5BOSRedistricting-006-BL_qut.jpg 1920w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/04/240405-District5BOSRedistricting-006-BL_qut-800x533.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/04/240405-District5BOSRedistricting-006-BL_qut-1020x680.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/04/240405-District5BOSRedistricting-006-BL_qut-160x107.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/04/240405-District5BOSRedistricting-006-BL_qut-1536x1024.jpg 1536w\" sizes=\"(max-width: 1920px) 100vw, 1920px\">\u003cfigcaption class=\"wp-caption-text\">People sit on the sidewalk in the Tenderloin neighborhood, a part of the 5th Supervisorial District, in San Francisco on April 5, 2024. \u003ccite>(Beth LaBerge/KQED)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>Keith Humphreys, a drug policy expert and professor of psychology at Stanford University, said he believes this is because San Francisco’s efforts are too focused on arresting drug dealers and users, which isn’t necessarily aligned with residents’ goals.\u003c/p>\n\u003cp>“You can arrest individual dealers forever, but your goal, I think, is to suppress the open-air market, and that is not done by individual arrests,” Humphreys told KQED.\u003c/p>\n\u003cp>According to Humphreys, data shows that closing drug markets takes collaboration not only among law enforcement agencies but with social service providers and prosecutors as well.\u003c/p>\n\u003cp>The coordination center works with city agencies, including the Department of Public Health and the Department of Homelessness and Supportive Housing, to connect people with treatment and shelter options, city officials said in a statement. However, in contrast to the arrests dashboard, no data was available on the number of people who used those resources, and the mayor’s office did not respond to a request for the information at the time of publication.\u003c/p>\n\u003cp>[aside postID=science_1993048,news_11987962,news_11982329,news_11972898 label='related coverage']Another point that could work against the city’s efforts is the discrepancy between the numbers of arrests and convictions in the data, Humphreys said.\u003c/p>\n\u003cp>“If you don’t have [convictions], the arrests are counterproductive because if they don’t result in convictions, it teaches people being arrested is no big deal,” he said.\u003c/p>\n\u003cp>As of May 25, the San Francisco District Attorney’s Office said it had been presented with 394 felony narcotics cases this year and filed 344 of them. Officers with the Drug Market Agency Coordination Center have made 1,159 narcotics arrests since January, \u003ca href=\"https://www.sanfranciscopolice.org/drug-market-agency-coordination-center\">according to SFPD data\u003c/a>.\u003c/p>\n\u003cp>As officials tout the number of arrests and the amount of drugs confiscated, Humphreys said the city should track other metrics instead.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>“What I would like to see on their dashboard is, ‘How many sidewalks can you walk down without seeing a dealer or users?’ You can assess that very easily,” Humphreys said. “I think if they looked at that, my suspicion would be that while the arrests went up, that number stayed the same. When you gather that data, you think, ‘We need to think of a different strategy.’”\u003c/p>\n\n",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>One year into San Francisco’s push to dismantle open-air drug markets, authorities are touting thousands of arrests by the law enforcement campaign; last week alone, police announced they had arrested 10 people in a single-day operation in the Tenderloin, as well as the arrests days earlier of two brothers suspected of trafficking drugs in the area and carrying 6 kilograms of fentanyl, among other substances.\u003c/p>\n\u003cp>Still, with people dying of overdoses near a record pace and neighbors’ complaints of a pervasive drug trade, some policy experts have questioned whether San Francisco is taking the right approach to the crisis.\u003c/p>\n\u003cp>Mayor London Breed launched the Drug Market Agency Coordination Center, a centralized hub for local, state and federal law enforcement agencies to disrupt drug dealing and public drug use in the Tenderloin and South of Market neighborhoods, in May 2023. Last week, on its first anniversary, Breed’s office released a \u003ca href=\"https://www.sanfranciscopolice.org/drug-market-agency-coordination-center\">public data dashboard\u003c/a> showing that in the first year of the crackdown, law enforcement officials made more than 3,000 arrests and seized nearly 200 kilos of narcotics.\u003c/p>\n\u003cp>Of those arrests, 1,008 people were suspected of dealing drugs, 1,284 were suspected of using drugs, and 858 people had outstanding warrants. The top two drugs seized by weight were fentanyl, at more than 89 kilos, and methamphetamine, at 48 kilos. In a \u003ca href=\"https://www.sf.gov/news/san-francisco-dmacc-marks-one-year-milestone-200-kilos-narcotics-seized-and-3000-arrests\">statement announcing the first-year data\u003c/a>, city officials called those “significant results.”\u003c/p>\n\u003cp>“The partnerships we put in place are getting fentanyl out of our neighborhoods, and with new technology being deployed and more officers joining our ranks, our efforts will only grow stronger over the coming year,” Breed said in a statement.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>Some residents and policy experts, however, said the coordination center has had little effect on the neighborhoods’ struggle to curtail drug dealing.\u003c/p>\n\u003cp>Randy Shaw, co-founder of the Tenderloin Housing Clinic, said that while arrests and seizures have been centralized around United Nations Plaza, the area’s drug market is still pervasive.\u003c/p>\n\u003cp>“At a place like 7th and Market, which I’ve written about a lot and which has gotten a lot of attention on social media, there’s still 50 drug dealers and drug users out there every night,” Shaw said. “Why is that still happening?”\u003c/p>\n\u003cp>In the two and a half years since Breed declared a state of emergency in the Tenderloin related to the fentanyl crisis, San Francisco has recorded its highest number of overdose deaths in one year, \u003ca href=\"https://www.kqed.org/news/11972898/2023-was-san-franciscos-deadliest-year-for-drug-overdoses-new-data-confirms\">totaling 810 in 2023\u003c/a>. This year, the city is on track to \u003ca href=\"https://www.sf.gov/sites/default/files/2024-05/2024%2005_OCME%20Overdose%20Report.pdf\">surpass 770 overdose deaths\u003c/a>.\u003c/p>\n\u003cp>Despite the city’s efforts, the crisis on the streets of the Tenderloin remains, Shaw said.\u003c/p>\n\u003cp>“We created an emergency coordination center, and a year later, the activities that exist there remain higher than any other neighborhood would tolerate and would be allowed to continue,” he said.\u003c/p>\n\u003cfigure id=\"attachment_11982333\" class=\"wp-caption alignnone\" style=\"max-width: 1920px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-11982333\" src=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2024/04/240405-District5BOSRedistricting-006-BL_qut.jpg\" alt=\"Two men sitting on the sidewalk while another man on the left wearing a neon yellow and orange jacket stands near parked cars on the street.\" width=\"1920\" height=\"1280\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2024/04/240405-District5BOSRedistricting-006-BL_qut.jpg 1920w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/04/240405-District5BOSRedistricting-006-BL_qut-800x533.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/04/240405-District5BOSRedistricting-006-BL_qut-1020x680.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/04/240405-District5BOSRedistricting-006-BL_qut-160x107.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/04/240405-District5BOSRedistricting-006-BL_qut-1536x1024.jpg 1536w\" sizes=\"(max-width: 1920px) 100vw, 1920px\">\u003cfigcaption class=\"wp-caption-text\">People sit on the sidewalk in the Tenderloin neighborhood, a part of the 5th Supervisorial District, in San Francisco on April 5, 2024. \u003ccite>(Beth LaBerge/KQED)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>Keith Humphreys, a drug policy expert and professor of psychology at Stanford University, said he believes this is because San Francisco’s efforts are too focused on arresting drug dealers and users, which isn’t necessarily aligned with residents’ goals.\u003c/p>\n\u003cp>“You can arrest individual dealers forever, but your goal, I think, is to suppress the open-air market, and that is not done by individual arrests,” Humphreys told KQED.\u003c/p>\n\u003cp>According to Humphreys, data shows that closing drug markets takes collaboration not only among law enforcement agencies but with social service providers and prosecutors as well.\u003c/p>\n\u003cp>The coordination center works with city agencies, including the Department of Public Health and the Department of Homelessness and Supportive Housing, to connect people with treatment and shelter options, city officials said in a statement. However, in contrast to the arrests dashboard, no data was available on the number of people who used those resources, and the mayor’s office did not respond to a request for the information at the time of publication.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>Another point that could work against the city’s efforts is the discrepancy between the numbers of arrests and convictions in the data, Humphreys said.\u003c/p>\n\u003cp>“If you don’t have [convictions], the arrests are counterproductive because if they don’t result in convictions, it teaches people being arrested is no big deal,” he said.\u003c/p>\n\u003cp>As of May 25, the San Francisco District Attorney’s Office said it had been presented with 394 felony narcotics cases this year and filed 344 of them. Officers with the Drug Market Agency Coordination Center have made 1,159 narcotics arrests since January, \u003ca href=\"https://www.sanfranciscopolice.org/drug-market-agency-coordination-center\">according to SFPD data\u003c/a>.\u003c/p>\n\u003cp>As officials tout the number of arrests and the amount of drugs confiscated, Humphreys said the city should track other metrics instead.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>“What I would like to see on their dashboard is, ‘How many sidewalks can you walk down without seeing a dealer or users?’ You can assess that very easily,” Humphreys said. “I think if they looked at that, my suspicion would be that while the arrests went up, that number stayed the same. When you gather that data, you think, ‘We need to think of a different strategy.’”\u003c/p>\n\n\u003c/div>\u003c/p>",
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"title": "Bay Area Researchers Tracking Bird Flu in Wastewater See No Evidence of Spread in SF",
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"content": "\u003cp>To learn more about the spread of bird flu, Bay Area disease detectives are once again turning to an unlikely source of information: sewage. And so far, at least, the news is promising.\u003c/p>\n\u003cp>After California food safety regulators detected avian influenza in two chickens at a San Francisco live-bird market at the beginning of last month, scientists at Stanford University tested samples daily from wastewater collected at treatment plants across the country as part of a national project called WastewaterSCAN.\u003c/p>\n\u003cp>In San Francisco, they tested frozen samples dating back several months and found evidence of bird flu from early May, around when the two chickens were identified in the live market, but they have not detected it in any daily tests in recent weeks.\u003c/p>\n\u003cp>“This seems to have been a confined event associated with perhaps these birds being in the market there,” said Alexandria Boehm, a professor and Stanford environmental engineer who also directs the wastewater research team.\u003c/p>\n\u003cp>Officials in San Francisco had discovered the two infected chickens during routine surveillance using a PCR test, which can’t discern between live or dead virus. The chickens were asymptomatic.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>They monitored the market employees who had contact with the chickens for several weeks, and no symptoms were reported. They believe the public was not exposed, and the market has since been sanitized and reopened.\u003c/p>\n\u003cp>San Francisco’s health department would not disclose the location of the market to KQED.[aside label=\"related coverage\" tag=\"bird-flu\"]The WastewaterSCAN project has \u003ca href=\"https://data.wastewaterscan.org/tracker/?charts=CjIQACABSABaBk4gR2VuZXIKMjAyNC0wNC0yMnIKMjAyNC0wNi0wM4oBBjAzYWYzM8ABAQ%3D%3D&selectedChartId=03af33\">found evidence of bird flu at more than a dozen locations\u003c/a>, including two states — Minnesota and Iowa — that officials have yet to list as having infected herds. Last week, the U.S. Centers for Disease Control and Prevention announced the third human case of bird flu was reported in a farmworker in Michigan who experienced respiratory symptoms after exposure to an infected herd.\u003c/p>\n\u003cp>No human cases have been reported in San Francisco or elsewhere in California\u003cem>. \u003c/em>\u003c/p>\n\u003ch2>A more precise wastewater measurement\u003c/h2>\n\u003cp>The work by Boehm’s team represents the first time researchers have tested for H5N1 in wastewater.\u003cstrong>\u003cbr>\n\u003c/strong>\u003cbr>\nIt builds on a pandemic-era playbook for monitoring wastewater for COVID-19, which has since expanded to other diseases, even the use of illicit substances and drugs.\u003c/p>\n\u003cp>Although the CDC has \u003ca href=\"https://www.statnews.com/2024/05/13/cdc-wastewater-surveillance-dashboard-bird-flu-outbreak-monitor/\">tracked influenza A viruses\u003c/a> in sewage — using them as a barometer for the spread of bird flu because flu viruses that sicken humans circulate at low levels during summer months, that testing is not H5N1-specific.\u003c/p>\n\u003cp>Boehm’s team, working with San Francisco and California health officials, developed a precise marker for H5N1 bird flu last month as dairy cow outbreaks spread across the U.S.\u003c/p>\n\u003cp>“Once we had the detection in the live bird market, that was an opportunity to look at wastewater for H5N1,” said Dr. George Han, director of the San Francisco Department of Public Health’s communicable disease prevention and control program.\u003c/p>\n\u003cp>Although researchers found fragments of bird flu material in the frozen bank of sewage from San Francisco, subsequent monitoring detected no further evidence in the city “nor elsewhere in California, for that matter,” Han said.\u003c/p>\n\u003cp>That’s potentially good news for the state, which boasts the largest dairy industry in the country with more than 1.5 million dairy cows. Federal officials had observed several jumps in influenza A viruses in California, which they thought could indicate that bird flu was circulating across its ranches.\u003c/p>\n\u003cp>San Francisco’s health department does not believe that any of the wastewater hits for bird flu are related to human infection, Han said.\u003c/p>\n\u003cp>“I think that’s really important and the take home message,” he said. “No one really thinks at this point that the detections are due to human cases of H5N1.”\u003c/p>\n\u003ch2>San Francisco’s unique sewer system\u003c/h2>\n\u003cp>San Francisco is one of only about \u003ca href=\"https://www.epa.gov/npdes/where-combined-sewer-overflow-outfalls-are-located\">700 American communities\u003c/a> with a combined sewer system, with stormwater and sewage flowing through the same pipes.\u003cbr>\nThat’s an issue for the city during bad storms when the system regularly overflows — the city is fending off \u003ca href=\"https://www.kqed.org/science/1993067/amid-long-and-costly-legal-battles-sf-urged-to-update-wastewater-system-fix-sewage-discharges\">a lawsuit from federal and state environmental officials\u003c/a> for discharging billions of gallons of untreated sewage into the San Francisco Bay each year because of it. However, it is a benefit for this disease research work.\u003c/p>\n\u003cp>San Francisco’s health department has a working hypothesis: Migratory birds with avian flu may have passed through San Francisco, and their waste ended up in its combined sewer shed.\u003c/p>\n\u003cp>“If there is any kind of bird feces in the street and somebody washes it off the street or the sidewalk, that material ends up in the sanitary sewer,” Boehm said. “We’re able to use that wastewater to understand circulation of both human disease, but also, in some cases, animal disease.”\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>That, Boehm said, could help scientists “better understand the extent and duration of the H5N1 outbreak this spring in the United States.”\u003c/p>\n\n",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>To learn more about the spread of bird flu, Bay Area disease detectives are once again turning to an unlikely source of information: sewage. And so far, at least, the news is promising.\u003c/p>\n\u003cp>After California food safety regulators detected avian influenza in two chickens at a San Francisco live-bird market at the beginning of last month, scientists at Stanford University tested samples daily from wastewater collected at treatment plants across the country as part of a national project called WastewaterSCAN.\u003c/p>\n\u003cp>In San Francisco, they tested frozen samples dating back several months and found evidence of bird flu from early May, around when the two chickens were identified in the live market, but they have not detected it in any daily tests in recent weeks.\u003c/p>\n\u003cp>“This seems to have been a confined event associated with perhaps these birds being in the market there,” said Alexandria Boehm, a professor and Stanford environmental engineer who also directs the wastewater research team.\u003c/p>\n\u003cp>Officials in San Francisco had discovered the two infected chickens during routine surveillance using a PCR test, which can’t discern between live or dead virus. The chickens were asymptomatic.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>They monitored the market employees who had contact with the chickens for several weeks, and no symptoms were reported. They believe the public was not exposed, and the market has since been sanitized and reopened.\u003c/p>\n\u003cp>San Francisco’s health department would not disclose the location of the market to KQED.\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>The WastewaterSCAN project has \u003ca href=\"https://data.wastewaterscan.org/tracker/?charts=CjIQACABSABaBk4gR2VuZXIKMjAyNC0wNC0yMnIKMjAyNC0wNi0wM4oBBjAzYWYzM8ABAQ%3D%3D&selectedChartId=03af33\">found evidence of bird flu at more than a dozen locations\u003c/a>, including two states — Minnesota and Iowa — that officials have yet to list as having infected herds. Last week, the U.S. Centers for Disease Control and Prevention announced the third human case of bird flu was reported in a farmworker in Michigan who experienced respiratory symptoms after exposure to an infected herd.\u003c/p>\n\u003cp>No human cases have been reported in San Francisco or elsewhere in California\u003cem>. \u003c/em>\u003c/p>\n\u003ch2>A more precise wastewater measurement\u003c/h2>\n\u003cp>The work by Boehm’s team represents the first time researchers have tested for H5N1 in wastewater.\u003cstrong>\u003cbr>\n\u003c/strong>\u003cbr>\nIt builds on a pandemic-era playbook for monitoring wastewater for COVID-19, which has since expanded to other diseases, even the use of illicit substances and drugs.\u003c/p>\n\u003cp>Although the CDC has \u003ca href=\"https://www.statnews.com/2024/05/13/cdc-wastewater-surveillance-dashboard-bird-flu-outbreak-monitor/\">tracked influenza A viruses\u003c/a> in sewage — using them as a barometer for the spread of bird flu because flu viruses that sicken humans circulate at low levels during summer months, that testing is not H5N1-specific.\u003c/p>\n\u003cp>Boehm’s team, working with San Francisco and California health officials, developed a precise marker for H5N1 bird flu last month as dairy cow outbreaks spread across the U.S.\u003c/p>\n\u003cp>“Once we had the detection in the live bird market, that was an opportunity to look at wastewater for H5N1,” said Dr. George Han, director of the San Francisco Department of Public Health’s communicable disease prevention and control program.\u003c/p>\n\u003cp>Although researchers found fragments of bird flu material in the frozen bank of sewage from San Francisco, subsequent monitoring detected no further evidence in the city “nor elsewhere in California, for that matter,” Han said.\u003c/p>\n\u003cp>That’s potentially good news for the state, which boasts the largest dairy industry in the country with more than 1.5 million dairy cows. Federal officials had observed several jumps in influenza A viruses in California, which they thought could indicate that bird flu was circulating across its ranches.\u003c/p>\n\u003cp>San Francisco’s health department does not believe that any of the wastewater hits for bird flu are related to human infection, Han said.\u003c/p>\n\u003cp>“I think that’s really important and the take home message,” he said. “No one really thinks at this point that the detections are due to human cases of H5N1.”\u003c/p>\n\u003ch2>San Francisco’s unique sewer system\u003c/h2>\n\u003cp>San Francisco is one of only about \u003ca href=\"https://www.epa.gov/npdes/where-combined-sewer-overflow-outfalls-are-located\">700 American communities\u003c/a> with a combined sewer system, with stormwater and sewage flowing through the same pipes.\u003cbr>\nThat’s an issue for the city during bad storms when the system regularly overflows — the city is fending off \u003ca href=\"https://www.kqed.org/science/1993067/amid-long-and-costly-legal-battles-sf-urged-to-update-wastewater-system-fix-sewage-discharges\">a lawsuit from federal and state environmental officials\u003c/a> for discharging billions of gallons of untreated sewage into the San Francisco Bay each year because of it. However, it is a benefit for this disease research work.\u003c/p>\n\u003cp>San Francisco’s health department has a working hypothesis: Migratory birds with avian flu may have passed through San Francisco, and their waste ended up in its combined sewer shed.\u003c/p>\n\u003cp>“If there is any kind of bird feces in the street and somebody washes it off the street or the sidewalk, that material ends up in the sanitary sewer,” Boehm said. “We’re able to use that wastewater to understand circulation of both human disease, but also, in some cases, animal disease.”\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>That, Boehm said, could help scientists “better understand the extent and duration of the H5N1 outbreak this spring in the United States.”\u003c/p>\n\n\u003c/div>\u003c/p>",
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"slug": "newsom-faces-backlash-for-plan-to-cut-in-home-care-for-undocumented-disabled-adults",
"title": "Newsom Faces Backlash for Plan to Cut In-Home Care for Undocumented Disabled Adults",
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"content": "\u003cp>Gov. Gavin Newsom vowed he would not fix the state’s budget deficit by removing health insurance from low-income adults living in the country without legal permission, calling the state’s policy “something I believe in.”\u003c/p>\n\u003cp>But Newsom would eliminate an important health benefit for some low-income immigrants with disabilities, angering his allies who are now accusing the second-term governor of breaking his word.\u003c/p>\n\u003cp>California was one of the first states to give free health insurance to all low-income adults \u003ca href=\"https://apnews.com/article/california-medicaid-expansion-undocumented-immigrants-34d8deb2186e9195b253f499e81a3d77\">regardless of their immigration status\u003c/a>. The multibillion-dollar project, completed in January, made more than 1 million people eligible for California’s Medicaid program, including many people who had never before had health insurance.\u003c/p>\n\u003cp>Now, just five months later and with California facing an estimated \u003ca href=\"https://apnews.com/article/california-budget-deficit-gov-gavin-newsom-8f502d57d00d551c0b6b6331367f7a25#:~:text=Officially%2C%20Newsom%20said%20the%20state's,Legislature%20agreed%20to%20in%20March.\">$45 billion deficit\u003c/a>, Newsom wants the state to stop paying for caregivers to come to the homes of some disabled people — who are living in the country without legal permission — to help them with cooking, cleaning and other tasks so they can stay out of nursing homes. Everyone else would keep that benefit.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>The Newsom administration said this would save about $94 million and impact fewer than 3,000 people out of the more than 15 million enrolled in the state’s Medicaid program, known as Medi-Cal. However, eliminating the benefit would also prevent thousands more from becoming eligible in the future.\u003c/p>\n\u003cp>Newom’s proposal “is a betrayal,” said David Kane, an attorney with the Western Center on Law and Poverty. Ronald Coleman Baeza, managing policy director for California Pan-Ethnic Health Network, called it “indefensible” and compared the proposal to a notorious ballot proposition from the 1990s that sought to bar immigrants from accessing government assistance programs.\u003c/p>\n\u003cfigure id=\"attachment_11988527\" class=\"wp-caption aligncenter\" style=\"max-width: 2560px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"wp-image-11988527 size-full\" src=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2024/05/AP24152173581917-scaled.jpg\" alt=\"\" width=\"2560\" height=\"1707\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2024/05/AP24152173581917-scaled.jpg 2560w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/05/AP24152173581917-800x533.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/05/AP24152173581917-1020x680.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/05/AP24152173581917-160x107.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/05/AP24152173581917-1536x1024.jpg 1536w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/05/AP24152173581917-2048x1365.jpg 2048w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/05/AP24152173581917-1920x1280.jpg 1920w\" sizes=\"auto, (max-width: 2560px) 100vw, 2560px\">\u003cfigcaption class=\"wp-caption-text\">Marvin Estela Pineda poses for a photo at her home in Madera, Madera County, on Thursday, May 30, 2024. \u003ccite>(Gary Kazanjian/AP Photo)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>“I think it could move us back in the sense of treating undocumented as different,” said state Sen. Maria Elena Durazo, a Democrat from Los Angeles who has pushed for the Medicaid expansion for years.\u003c/p>\n\u003cp>Newsom’s proposal for immigrants would impact a benefit known as in-home supportive services, which are becoming more expensive for the state to provide. The average hourly wage for caregivers has gone up 6% since 2014. And starting this year, with some emergency federal funding provided during the pandemic expiring, there have been cost increases of about $200 million.\u003c/p>\n\u003cp>Once people qualify for the program, they get to hire their own caregiver. It’s often a relative, meaning the program often acts as financial assistance for families.\u003c/p>\n\u003cp>Marvin Estela Pineda, a 42-year-old woman originally from El Salvador who now lives in California’s Central Valley, lost her eyesight at 30 because of glaucoma. She started getting in-home supportive services earlier this year.\u003c/p>\n\u003cp>Her daughter, Mayde Pineda, said the government has been paying her $16.50 per hour for a total of 84 hours a month to care for her mother, which includes things like cooking, cleaning and laundry. Mayde Pineda, 22, said the money helped stabilize the family financially while she finished college.\u003c/p>\n\u003cfigure id=\"attachment_11988531\" class=\"wp-caption aligncenter\" style=\"max-width: 2560px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"wp-image-11988531 size-full\" src=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2024/05/AP24152173841689-scaled.jpg\" alt=\"\" width=\"2560\" height=\"1707\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2024/05/AP24152173841689-scaled.jpg 2560w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/05/AP24152173841689-800x533.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/05/AP24152173841689-1020x680.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/05/AP24152173841689-160x107.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/05/AP24152173841689-1536x1024.jpg 1536w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/05/AP24152173841689-2048x1365.jpg 2048w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/05/AP24152173841689-1920x1280.jpg 1920w\" sizes=\"auto, (max-width: 2560px) 100vw, 2560px\">\u003cfigcaption class=\"wp-caption-text\">Marvin Estela Pineda, holding a mirror, gets makeup applied by her daughter Mayde at their home in Madera, on Thursday, May 30, 2024. \u003ccite>(Gary Kazanjian/AP Photo)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>“Without (this program), I won’t be able to care for her without significant hardships,” Mayde Pineda said.\u003c/p>\n\u003cp>The California Department of Social Services, which administers the program, said it would work “to mitigate any negative impact to currently assisted individuals,” including helping them find other government-funded programs that could provide similar services. One option would be Medi-Cal’s community-based adult services program, which pays for things like personal care, food and professional nursing services.\u003c/p>\n\u003cp>Asked for comment on his proposal, the governor’s office pointed to remarks Newsom made earlier this month when he announced his budget plan that included an array of painful cuts.\u003c/p>\n\u003cp>“We don’t find any joy in this — but we’ve got to do it, we have to be responsible. We have to be accountable. We have to balance the budget,” Newsom said.[aside postID=news_11979626 hero='https://cdn.kqed.org/wp-content/uploads/sites/10/2024/03/SAUL-PEDROZA-26-KQED-1020x680.jpg']Newsom for much of his tenure has basked in the praises of progressives as he used a string of \u003ca href=\"https://apnews.com/article/immigration-california-gavin-newsom-5aa5ab19800a5e91c209ff1268ac40bc\">historic surpluses\u003c/a> to expand government services. However, back-to-back multibillion-dollar deficits are forcing Newsom to make some hard choices that have put him on a collision course with some of his most vocal supporters.\u003c/p>\n\u003cp>Navigating these conflicts will be critical for Newsom, who has been building his national profile ahead of a potential presidential campaign. So far, Newsom has been moving quickly to address them. When the state’s largest teachers union ran ads \u003ca href=\"https://apnews.com/article/california-budget-deficit-schools-newsom-teachers-union-e8de3476bfdec82f916b54223d9bf061\">criticizing him\u003c/a> for his proposed cuts to education, Newsom struck a deal with them that resolved much of their concerns. That deal still must be approved by the state Legislature.\u003c/p>\n\u003cp>Other negotiations will be more difficult. Newsom’s health care proposal for immigrants is just one of many proposed cuts across the state’s wide array of social services programs.\u003c/p>\n\u003cp>The state Legislature, which is controlled by Democrats, plans to pass its version of the budget by June 15. This plan would restore nearly all of those cuts, including the health care cuts for some immigrants. It does this by increasing a temporary tax hike on businesses while also slashing about $1 billion from the state’s prison budget.\u003c/p>\n\u003cp>“We have ensured that the budget is not balanced on our most vulnerable populations,” said Assemblymember Corey Jackson, a Democrat from Moreno Valley.\u003c/p>\n\u003cp>Newsom and legislative leaders will negotiate over the next few weeks on a final spending plan, with the goal of passing a budget around the start of the new fiscal year on July 1. While the Legislature votes on the budget, Newsom has a lot of influence. He decides whether to sign the budget into law. California lawmakers have rarely ever overturned a governor’s veto.\u003c/p>\n\u003cp>\u003c/p>\n",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>Gov. Gavin Newsom vowed he would not fix the state’s budget deficit by removing health insurance from low-income adults living in the country without legal permission, calling the state’s policy “something I believe in.”\u003c/p>\n\u003cp>But Newsom would eliminate an important health benefit for some low-income immigrants with disabilities, angering his allies who are now accusing the second-term governor of breaking his word.\u003c/p>\n\u003cp>California was one of the first states to give free health insurance to all low-income adults \u003ca href=\"https://apnews.com/article/california-medicaid-expansion-undocumented-immigrants-34d8deb2186e9195b253f499e81a3d77\">regardless of their immigration status\u003c/a>. The multibillion-dollar project, completed in January, made more than 1 million people eligible for California’s Medicaid program, including many people who had never before had health insurance.\u003c/p>\n\u003cp>Now, just five months later and with California facing an estimated \u003ca href=\"https://apnews.com/article/california-budget-deficit-gov-gavin-newsom-8f502d57d00d551c0b6b6331367f7a25#:~:text=Officially%2C%20Newsom%20said%20the%20state's,Legislature%20agreed%20to%20in%20March.\">$45 billion deficit\u003c/a>, Newsom wants the state to stop paying for caregivers to come to the homes of some disabled people — who are living in the country without legal permission — to help them with cooking, cleaning and other tasks so they can stay out of nursing homes. Everyone else would keep that benefit.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>The Newsom administration said this would save about $94 million and impact fewer than 3,000 people out of the more than 15 million enrolled in the state’s Medicaid program, known as Medi-Cal. However, eliminating the benefit would also prevent thousands more from becoming eligible in the future.\u003c/p>\n\u003cp>Newom’s proposal “is a betrayal,” said David Kane, an attorney with the Western Center on Law and Poverty. Ronald Coleman Baeza, managing policy director for California Pan-Ethnic Health Network, called it “indefensible” and compared the proposal to a notorious ballot proposition from the 1990s that sought to bar immigrants from accessing government assistance programs.\u003c/p>\n\u003cfigure id=\"attachment_11988527\" class=\"wp-caption aligncenter\" style=\"max-width: 2560px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"wp-image-11988527 size-full\" src=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2024/05/AP24152173581917-scaled.jpg\" alt=\"\" width=\"2560\" height=\"1707\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2024/05/AP24152173581917-scaled.jpg 2560w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/05/AP24152173581917-800x533.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/05/AP24152173581917-1020x680.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/05/AP24152173581917-160x107.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/05/AP24152173581917-1536x1024.jpg 1536w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/05/AP24152173581917-2048x1365.jpg 2048w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/05/AP24152173581917-1920x1280.jpg 1920w\" sizes=\"auto, (max-width: 2560px) 100vw, 2560px\">\u003cfigcaption class=\"wp-caption-text\">Marvin Estela Pineda poses for a photo at her home in Madera, Madera County, on Thursday, May 30, 2024. \u003ccite>(Gary Kazanjian/AP Photo)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>“I think it could move us back in the sense of treating undocumented as different,” said state Sen. Maria Elena Durazo, a Democrat from Los Angeles who has pushed for the Medicaid expansion for years.\u003c/p>\n\u003cp>Newsom’s proposal for immigrants would impact a benefit known as in-home supportive services, which are becoming more expensive for the state to provide. The average hourly wage for caregivers has gone up 6% since 2014. And starting this year, with some emergency federal funding provided during the pandemic expiring, there have been cost increases of about $200 million.\u003c/p>\n\u003cp>Once people qualify for the program, they get to hire their own caregiver. It’s often a relative, meaning the program often acts as financial assistance for families.\u003c/p>\n\u003cp>Marvin Estela Pineda, a 42-year-old woman originally from El Salvador who now lives in California’s Central Valley, lost her eyesight at 30 because of glaucoma. She started getting in-home supportive services earlier this year.\u003c/p>\n\u003cp>Her daughter, Mayde Pineda, said the government has been paying her $16.50 per hour for a total of 84 hours a month to care for her mother, which includes things like cooking, cleaning and laundry. Mayde Pineda, 22, said the money helped stabilize the family financially while she finished college.\u003c/p>\n\u003cfigure id=\"attachment_11988531\" class=\"wp-caption aligncenter\" style=\"max-width: 2560px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"wp-image-11988531 size-full\" src=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2024/05/AP24152173841689-scaled.jpg\" alt=\"\" width=\"2560\" height=\"1707\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2024/05/AP24152173841689-scaled.jpg 2560w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/05/AP24152173841689-800x533.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/05/AP24152173841689-1020x680.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/05/AP24152173841689-160x107.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/05/AP24152173841689-1536x1024.jpg 1536w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/05/AP24152173841689-2048x1365.jpg 2048w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/05/AP24152173841689-1920x1280.jpg 1920w\" sizes=\"auto, (max-width: 2560px) 100vw, 2560px\">\u003cfigcaption class=\"wp-caption-text\">Marvin Estela Pineda, holding a mirror, gets makeup applied by her daughter Mayde at their home in Madera, on Thursday, May 30, 2024. \u003ccite>(Gary Kazanjian/AP Photo)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>“Without (this program), I won’t be able to care for her without significant hardships,” Mayde Pineda said.\u003c/p>\n\u003cp>The California Department of Social Services, which administers the program, said it would work “to mitigate any negative impact to currently assisted individuals,” including helping them find other government-funded programs that could provide similar services. One option would be Medi-Cal’s community-based adult services program, which pays for things like personal care, food and professional nursing services.\u003c/p>\n\u003cp>Asked for comment on his proposal, the governor’s office pointed to remarks Newsom made earlier this month when he announced his budget plan that included an array of painful cuts.\u003c/p>\n\u003cp>“We don’t find any joy in this — but we’ve got to do it, we have to be responsible. We have to be accountable. We have to balance the budget,” Newsom said.\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>Newsom for much of his tenure has basked in the praises of progressives as he used a string of \u003ca href=\"https://apnews.com/article/immigration-california-gavin-newsom-5aa5ab19800a5e91c209ff1268ac40bc\">historic surpluses\u003c/a> to expand government services. However, back-to-back multibillion-dollar deficits are forcing Newsom to make some hard choices that have put him on a collision course with some of his most vocal supporters.\u003c/p>\n\u003cp>Navigating these conflicts will be critical for Newsom, who has been building his national profile ahead of a potential presidential campaign. So far, Newsom has been moving quickly to address them. When the state’s largest teachers union ran ads \u003ca href=\"https://apnews.com/article/california-budget-deficit-schools-newsom-teachers-union-e8de3476bfdec82f916b54223d9bf061\">criticizing him\u003c/a> for his proposed cuts to education, Newsom struck a deal with them that resolved much of their concerns. That deal still must be approved by the state Legislature.\u003c/p>\n\u003cp>Other negotiations will be more difficult. Newsom’s health care proposal for immigrants is just one of many proposed cuts across the state’s wide array of social services programs.\u003c/p>\n\u003cp>The state Legislature, which is controlled by Democrats, plans to pass its version of the budget by June 15. This plan would restore nearly all of those cuts, including the health care cuts for some immigrants. It does this by increasing a temporary tax hike on businesses while also slashing about $1 billion from the state’s prison budget.\u003c/p>\n\u003cp>“We have ensured that the budget is not balanced on our most vulnerable populations,” said Assemblymember Corey Jackson, a Democrat from Moreno Valley.\u003c/p>\n\u003cp>Newsom and legislative leaders will negotiate over the next few weeks on a final spending plan, with the goal of passing a budget around the start of the new fiscal year on July 1. While the Legislature votes on the budget, Newsom has a lot of influence. He decides whether to sign the budget into law. California lawmakers have rarely ever overturned a governor’s veto.\u003c/p>\n\u003cp>\u003c/p>\n\u003c/div>\u003c/p>",
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"slug": "2024-mpox-vaccine-formerly-monkeypox-symptoms-rash",
"title": "Get Your Free 2024 Mpox Vaccine, Say San Francisco Health Officials",
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"headTitle": "Get Your Free 2024 Mpox Vaccine, Say San Francisco Health Officials | KQED",
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"content": "\u003cp>Back in the summer and fall of 2022, \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\">an outbreak of the mpox virus\u003c/a>— \u003cu>\u003c/u>\u003ca href=\"https://www.who.int/news/item/28-11-2022-who-recommends-new-name-for-monkeypox-disease\">formerly known as monkeypox\u003c/a> — hit the United States, particularly affecting gay and bisexual men, as well as trans and nonbinary people who have sex with men.\u003c/p>\n\u003cp>After \u003ca href=\"https://www.kqed.org/news/11939819/when-mpox-hit-community-clinics-stepped-in-why-hasnt-the-government-paid-them-back-yet\">a mass vaccination effort led by organizers from the LGBTQ+ community\u003c/a> and public health officials, the rate of mpox infections dropped sharply to very low numbers in California. But with \u003ca href=\"https://www.kqed.org/news/tag/pride\">San Francisco’s giant 2024 Pride celebrations\u003c/a> a month away, the city’s health officials are once again reminding local communities to seek out the free mpox vaccine if they haven’t already — even though there hasn’t been another outbreak here so far.\u003c/p>\n\u003cp>Keep reading to learn what we know about mpox in the Bay Area in 2024, the precautions local public health officials recommend ahead of Pride month, and where you can find an mpox vaccine.\u003c/p>\n\u003cp>\u003cstrong>Jump straight to:\u003c/strong>\u003c/p>\n\u003cul>\n\u003cli>\u003cstrong>\u003ca href=\"#findmonkeypoxvaccine\">Where can I find a free mpox vaccine?\u003c/a>\u003c/strong>\u003c/li>\n\u003cli>\u003cstrong>\u003ca href=\"#whatismpox\">What is mpox and how does it spread?\u003c/a>\u003c/strong>\u003c/li>\n\u003cli>\u003cstrong>\u003ca href=\"#monkeypoxsymptomsrash\">What are the symptoms of mpox? What does the rash look like?\u003c/a>\u003c/strong>\u003c/li>\n\u003c/ul>\n\u003ch2>Do I need to worry about mpox again in the Bay Area in 2024?\u003c/h2>\n\u003cp>The good news: There is no current mpox outbreak in the Bay Area or California, confirmed Dr. Julia Janssen, deputy director of the HIV/STI Prevention and Control Branch at the San Francisco Department of Public Health (SFDPH) — and case counts remain low. In 2024, San Francisco has only seen nine total mpox cases so far.\u003c/p>\n\u003cp>Janssen said that SFPDH is, therefore, basing its vaccine reminder on:\u003c/p>\n\u003cp>\u003cstrong>The possible seasonality of mpox\u003c/strong>\u003c/p>\n\u003cp>Based on previous surges of infections during the summer and fall months, city health officials recognize “that this may be a seasonal pattern,” Janssen said — and they’re making their recommendations accordingly. (After the “large surge of cases” during the initial 2022 outbreak, San Francisco saw a second, smaller surge of 87 cases the following year from July through December 2023.)\u003c/p>\n\u003cp>And while “we don’t know enough about mpox yet to know if we’ll see that again,” Janssen said, “because we’ve seen it in the past, we want to be ready, and we want to be prepared.”\u003c/p>\n\u003cp>\u003cstrong>Summer travel and mpox cases elsewhere\u003c/strong>\u003c/p>\n\u003cp>There’s also San Francisco’s Pride celebrations right around the corner in June — when many folks gather and arrive in the region from other parts of the United States.\u003c/p>\n\u003cp>“In the summer months, with more travel, more events, more interactions, and more gatherings, there’s more opportunities for mpox to spread,” Janssen said. And while nationally, mpox cases have “remained quite low over the past several months,” Janssen said, “we are watching other areas of the country.”\u003c/p>\n\u003cp>Globally, the Centers for Disease Control and Prevention (CDC) are also monitoring\u003ca href=\"https://www.cdc.gov/mmwr/volumes/73/wr/mm7319a3.htm?s_cid=mm7319a3_w\"> a recent outbreak in the Democratic Republic of Congo\u003c/a> of a strain of mpox — called “clade I” — that causes more severe illness and higher fatality rates than the “clade II” type that’s been circulating in the U.S. According to the CDC’s most recent available figures, \u003ca href=\"https://www.cdc.gov/poxvirus/mpox/outbreak/2023-drc.html#:~:text=Since%20January%201%2C%202023%2C%20DRC,and%20more%20than%20900%20deaths.\">this clade I outbreak has resulted in more than 19,000 suspected cases and over 900 deaths\u003c/a>.\u003c/p>\n\u003cp>“Thus far, there have been no known clade I cases of mpox in the United States,” Janssen said. “We would provide any updates if that were to change.”\u003c/p>\n\u003cp>\u003cstrong>Making the mpox vaccine routine\u003c/strong>\u003c/p>\n\u003cp>SFPDH and other health agencies want people to consider the mpox vaccine “as a part of comprehensive sexual health care,” Janssen said— rather than an emergency response.\u003c/p>\n\u003cp>“We want to encourage people to think about it as they’re thinking about STI testing, treatment and evaluation … as a part of their comprehensive sexual health,” she said.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003ch2>Who is most at risk from mpox?\u003c/h2>\n\u003cp>SFDPH said that previous mpox outbreaks have predominantly affected communities of gay and bisexual men, and men who have sex with men (MSM), as well as trans and nonbinary people who have sex with men.\u003c/p>\n\u003cp>City health officials also especially recommend the mpox vaccine for all people living with HIV, and “anyone taking or eligible to take HIV PrEP.”\u003c/p>\n\u003cp>“In San Francisco, over 99% of our cases since July 1, 2023, have been among cis men with male partners,” Janssen said.\u003c/p>\n\u003cp>A reminder: The mpox vaccine is available to anybody in the Bay Area, with no eligibility requirements to meet. (In the early days of the 2022 outbreak, public health officials \u003cem>were\u003c/em> originally only offering vaccines to people who’d been exposed to mpox or were categorized as being in a specific group more at risk from mpox, but rest assured that those criteria are no longer in effect.)\u003c/p>\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 aged under 18 who are “determined to be at high risk” of infection.\u003c/p>\n\u003ch2>\u003ca id=\"findmonkeypoxvaccine\">\u003c/a>Do I need to get the mpox vaccine?\u003c/h2>\n\u003cp>The mpox vaccine currently available in the U.S. (brand name: Jynneos) is a two-dose series, with roughly a month between doses.\u003c/p>\n\u003cp>“Maximal immunity is achieved two weeks after receipt of the second dose of the vaccine,” Janssen said.\u003c/p>\n\u003cp>So …\u003c/p>\n\u003cp>\u003cstrong>If you’ve already had both doses of the mpox vaccine:\u003c/strong>\u003c/p>\n\u003cp>You’re all up to date — and you don’t need to get another mpox vaccine in 2024. There’s no recommendation at this time to get an mpox booster, confirmed Janssen.\u003c/p>\n\u003cp>\u003cstrong>If you \u003cem>haven’t \u003c/em>already had the mpox vaccine\u003c/strong>\u003c/p>\n\u003cp>Go ahead and get your first dose as soon as possible, then get your second dose around 28 days later. A good reason to move quickly to get your first dose right now: You’ll then be able to get your second dose just ahead of Pride, and your immunity will quickly start building to that maximal level.\u003c/p>\n\u003cp>But if you forget or get overwhelmed by events, don’t stress too much about timing: Just go get your mpox vaccine when you can. “Any vaccine is better than no vaccine,” Janssen said, “so we’re encouraging people to get vaccinated as soon as possible to get protection.”\u003c/p>\n\u003cp>\u003cstrong>If you got \u003cem>only your first dose\u003c/em> of the mpox vaccine or more than 28 days ago:\u003c/strong>\u003c/p>\n\u003cp>Go get your second dose as soon as possible, Janssen said — and don’t worry if you got your first dose as long ago as 2022, back in the original outbreak.\u003c/p>\n\u003cp>“You can get the second dose at any time,” Janssen confirmed.\u003c/p>\n\u003ch2>Where can I find the mpox vaccine?\u003c/h2>\n\u003cp>Your mpox vaccine will be 100% free, and you don’t need health insurance to receive one. 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>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 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>\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>. Cohen confirms that you don’t have to be a city resident to get vaccinated for mpox in San Francisco.\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>Can I get my mpox vaccine at a pharmacy?\u003c/strong>\u003c/p>\n\u003cp>Some pharmacies offer mpox vaccination appointments online, along with other vaccines like COVID and flu. But if you choose this route, you’ll be asked for insurance details — and it’s important to verify with your insurer first that they’ll cover you receiving the mpox vaccine at a pharmacy like CVS or Walgreens, as the out-of-pocket costs you’ll be quoted may be steep.\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 — the way you can’t get your COVID 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. A CVS spokesperson told KQED by email that in San Francisco, CVS pharmacies have “limited supply of the monkeypox vaccine in our pharmacies, but a pharmacist can order the vaccine if requested by a patient.”\u003c/p>\n\u003cp>\u003cstrong>How effective is the mpox vaccine?\u003c/strong>\u003c/p>\n\u003cp>Very. “While we know that no vaccine is 100% effective, we do know that less than 1% of persons who have been fully vaccinated have been diagnosed with mpox,” Janssen said, citing \u003ca href=\"https://www.cdc.gov/mmwr/volumes/73/wr/mm7320a3.htm?s_cid=mm7320a3_w\">a recent study from the CDC on the mpox vaccine’s efficacy.\u003c/a>\u003c/p>\n\u003cp>Another reason to get an mpox vaccine: It’s been shown to help reduce symptoms — which can be very painful — if you \u003cem>do\u003c/em> still get infected. It also “reduces illness severity and the risk of hospitalization and death,” Janssen said.\u003c/p>\n\u003ch2>\u003ca id=\"whatismpox\">\u003c/a>What is mpox, and how does it spread?\u003c/h2>\n\u003cp>\u003ca href=\"https://sf.gov/information/monkeypox\">Mpox is a disease that is caused when a person is infected with the mpox virus.\u003c/a> As the name might suggest, the virus is related to the smallpox virus but is generally less severe and “much less contagious” than smallpox, according to CDPH.\u003c/p>\n\u003cp>\u003ca href=\"https://sf.gov/information/mpox\">Mpox spreads through “prolonged skin-to-skin contact,”\u003c/a> SFDPH said, which can include sex, kissing and sharing bedding or clothing.\u003c/p>\n\u003cp>See how mpox cases are tracked around the country:\u003c/p>\n\u003cul>\n\u003cli>\u003ca href=\"https://www.cdph.ca.gov/Programs/CID/DCDC/Pages/Mpox-Data.aspx\">Mpox case data for California\u003c/a> via the California Department of Public Health (CDPH)\u003c/li>\n\u003cli>\u003ca href=\"https://sf.gov/information/monkeypox-cases\">Mpox case data for San Francisco\u003c/a> via SFDPH\u003c/li>\n\u003cli>\u003ca href=\"https://www.cdc.gov/poxvirus/monkeypox/response/2022/us-map.html\">Mpox case data for the United States\u003c/a> via the Centers for Disease Control and Prevention (CDC)\u003c/li>\n\u003c/ul>\n\u003ch2>\u003ca id=\"monkeypoxsymptomsrash\">\u003c/a>What are the symptoms of mpox?\u003c/h2>\n\u003cp>Mpox symptoms often start as flu-like conditions, SFPDH said, but the virus also appears as a rash or sores or spots that can resemble pimples or blisters on the skin anywhere on the body, especially around your genitals. These spots often start as “red, flat spots and then become bumps,” SFDPH said, before the bumps become filled with pus and turn into scabs when they break.\u003c/p>\n\u003cp>\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>. \u003ca href=\"https://sf.gov/information/mpox\">See more on what to do if you suspect you have mpox.\u003c/a>\u003c/p>\n\u003ch2>\u003cstrong>Is mpox the same as monkeypox?\u003c/strong>\u003c/h2>\n\u003cp>Yes. In 2022, the World Health Organization \u003ca href=\"https://www.ems1.com/infectious-diseases/articles/monkeypox-gets-new-name-after-racist-and-stigmatizing-language-health-officials-say-i1djjhzOPR7VCJrC/#:~:text=%E2%80%9CWhen%20the%20outbreak%20of%20monkeypox,monkeypox%20worldwide%20as%20of%20Nov.\">announced it would adopt the new, preferred term “mpox” as a synonym for monkeypox\u003c/a> in light of the “racist and stigmatizing language online, in other settings and in some communities” that the agency said it had observed during the outbreak earlier that year.\u003c/p>\n\u003cp>You may have also seen the virus referred to as MPX, which was the name originally adopted by SFDPH.\u003c/p>\n\u003cp>[ad floatright]\u003c/p>\n",
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"excerpt": "A month from Pride, officials are urging people at higher risk for mpox — formerly monkeypox — to find a free vaccine if they haven't already. Here’s how mpox spreads, the symptoms to look for, and what to do if you have already received an mpox vaccine.",
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"title": "Get Your Free 2024 Mpox Vaccine, Say San Francisco Health Officials | KQED",
"description": "A month from Pride, officials are urging people at higher risk for mpox — formerly monkeypox — to find a free vaccine if they haven't already. Here’s how mpox spreads, the symptoms to look for, and what to do if you have already received an mpox vaccine.",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>Back in the summer and fall of 2022, \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\">an outbreak of the mpox virus\u003c/a>— \u003cu>\u003c/u>\u003ca href=\"https://www.who.int/news/item/28-11-2022-who-recommends-new-name-for-monkeypox-disease\">formerly known as monkeypox\u003c/a> — hit the United States, particularly affecting gay and bisexual men, as well as trans and nonbinary people who have sex with men.\u003c/p>\n\u003cp>After \u003ca href=\"https://www.kqed.org/news/11939819/when-mpox-hit-community-clinics-stepped-in-why-hasnt-the-government-paid-them-back-yet\">a mass vaccination effort led by organizers from the LGBTQ+ community\u003c/a> and public health officials, the rate of mpox infections dropped sharply to very low numbers in California. But with \u003ca href=\"https://www.kqed.org/news/tag/pride\">San Francisco’s giant 2024 Pride celebrations\u003c/a> a month away, the city’s health officials are once again reminding local communities to seek out the free mpox vaccine if they haven’t already — even though there hasn’t been another outbreak here so far.\u003c/p>\n\u003cp>Keep reading to learn what we know about mpox in the Bay Area in 2024, the precautions local public health officials recommend ahead of Pride month, and where you can find an mpox vaccine.\u003c/p>\n\u003cp>\u003cstrong>Jump straight to:\u003c/strong>\u003c/p>\n\u003cul>\n\u003cli>\u003cstrong>\u003ca href=\"#findmonkeypoxvaccine\">Where can I find a free mpox vaccine?\u003c/a>\u003c/strong>\u003c/li>\n\u003cli>\u003cstrong>\u003ca href=\"#whatismpox\">What is mpox and how does it spread?\u003c/a>\u003c/strong>\u003c/li>\n\u003cli>\u003cstrong>\u003ca href=\"#monkeypoxsymptomsrash\">What are the symptoms of mpox? What does the rash look like?\u003c/a>\u003c/strong>\u003c/li>\n\u003c/ul>\n\u003ch2>Do I need to worry about mpox again in the Bay Area in 2024?\u003c/h2>\n\u003cp>The good news: There is no current mpox outbreak in the Bay Area or California, confirmed Dr. Julia Janssen, deputy director of the HIV/STI Prevention and Control Branch at the San Francisco Department of Public Health (SFDPH) — and case counts remain low. In 2024, San Francisco has only seen nine total mpox cases so far.\u003c/p>\n\u003cp>Janssen said that SFPDH is, therefore, basing its vaccine reminder on:\u003c/p>\n\u003cp>\u003cstrong>The possible seasonality of mpox\u003c/strong>\u003c/p>\n\u003cp>Based on previous surges of infections during the summer and fall months, city health officials recognize “that this may be a seasonal pattern,” Janssen said — and they’re making their recommendations accordingly. (After the “large surge of cases” during the initial 2022 outbreak, San Francisco saw a second, smaller surge of 87 cases the following year from July through December 2023.)\u003c/p>\n\u003cp>And while “we don’t know enough about mpox yet to know if we’ll see that again,” Janssen said, “because we’ve seen it in the past, we want to be ready, and we want to be prepared.”\u003c/p>\n\u003cp>\u003cstrong>Summer travel and mpox cases elsewhere\u003c/strong>\u003c/p>\n\u003cp>There’s also San Francisco’s Pride celebrations right around the corner in June — when many folks gather and arrive in the region from other parts of the United States.\u003c/p>\n\u003cp>“In the summer months, with more travel, more events, more interactions, and more gatherings, there’s more opportunities for mpox to spread,” Janssen said. And while nationally, mpox cases have “remained quite low over the past several months,” Janssen said, “we are watching other areas of the country.”\u003c/p>\n\u003cp>Globally, the Centers for Disease Control and Prevention (CDC) are also monitoring\u003ca href=\"https://www.cdc.gov/mmwr/volumes/73/wr/mm7319a3.htm?s_cid=mm7319a3_w\"> a recent outbreak in the Democratic Republic of Congo\u003c/a> of a strain of mpox — called “clade I” — that causes more severe illness and higher fatality rates than the “clade II” type that’s been circulating in the U.S. According to the CDC’s most recent available figures, \u003ca href=\"https://www.cdc.gov/poxvirus/mpox/outbreak/2023-drc.html#:~:text=Since%20January%201%2C%202023%2C%20DRC,and%20more%20than%20900%20deaths.\">this clade I outbreak has resulted in more than 19,000 suspected cases and over 900 deaths\u003c/a>.\u003c/p>\n\u003cp>“Thus far, there have been no known clade I cases of mpox in the United States,” Janssen said. “We would provide any updates if that were to change.”\u003c/p>\n\u003cp>\u003cstrong>Making the mpox vaccine routine\u003c/strong>\u003c/p>\n\u003cp>SFPDH and other health agencies want people to consider the mpox vaccine “as a part of comprehensive sexual health care,” Janssen said— rather than an emergency response.\u003c/p>\n\u003cp>“We want to encourage people to think about it as they’re thinking about STI testing, treatment and evaluation … as a part of their comprehensive sexual health,” she said.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003ch2>Who is most at risk from mpox?\u003c/h2>\n\u003cp>SFDPH said that previous mpox outbreaks have predominantly affected communities of gay and bisexual men, and men who have sex with men (MSM), as well as trans and nonbinary people who have sex with men.\u003c/p>\n\u003cp>City health officials also especially recommend the mpox vaccine for all people living with HIV, and “anyone taking or eligible to take HIV PrEP.”\u003c/p>\n\u003cp>“In San Francisco, over 99% of our cases since July 1, 2023, have been among cis men with male partners,” Janssen said.\u003c/p>\n\u003cp>A reminder: The mpox vaccine is available to anybody in the Bay Area, with no eligibility requirements to meet. (In the early days of the 2022 outbreak, public health officials \u003cem>were\u003c/em> originally only offering vaccines to people who’d been exposed to mpox or were categorized as being in a specific group more at risk from mpox, but rest assured that those criteria are no longer in effect.)\u003c/p>\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 aged under 18 who are “determined to be at high risk” of infection.\u003c/p>\n\u003ch2>\u003ca id=\"findmonkeypoxvaccine\">\u003c/a>Do I need to get the mpox vaccine?\u003c/h2>\n\u003cp>The mpox vaccine currently available in the U.S. (brand name: Jynneos) is a two-dose series, with roughly a month between doses.\u003c/p>\n\u003cp>“Maximal immunity is achieved two weeks after receipt of the second dose of the vaccine,” Janssen said.\u003c/p>\n\u003cp>So …\u003c/p>\n\u003cp>\u003cstrong>If you’ve already had both doses of the mpox vaccine:\u003c/strong>\u003c/p>\n\u003cp>You’re all up to date — and you don’t need to get another mpox vaccine in 2024. There’s no recommendation at this time to get an mpox booster, confirmed Janssen.\u003c/p>\n\u003cp>\u003cstrong>If you \u003cem>haven’t \u003c/em>already had the mpox vaccine\u003c/strong>\u003c/p>\n\u003cp>Go ahead and get your first dose as soon as possible, then get your second dose around 28 days later. A good reason to move quickly to get your first dose right now: You’ll then be able to get your second dose just ahead of Pride, and your immunity will quickly start building to that maximal level.\u003c/p>\n\u003cp>But if you forget or get overwhelmed by events, don’t stress too much about timing: Just go get your mpox vaccine when you can. “Any vaccine is better than no vaccine,” Janssen said, “so we’re encouraging people to get vaccinated as soon as possible to get protection.”\u003c/p>\n\u003cp>\u003cstrong>If you got \u003cem>only your first dose\u003c/em> of the mpox vaccine or more than 28 days ago:\u003c/strong>\u003c/p>\n\u003cp>Go get your second dose as soon as possible, Janssen said — and don’t worry if you got your first dose as long ago as 2022, back in the original outbreak.\u003c/p>\n\u003cp>“You can get the second dose at any time,” Janssen confirmed.\u003c/p>\n\u003ch2>Where can I find the mpox vaccine?\u003c/h2>\n\u003cp>Your mpox vaccine will be 100% free, and you don’t need health insurance to receive one. 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>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 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>\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>. Cohen confirms that you don’t have to be a city resident to get vaccinated for mpox in San Francisco.\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>Can I get my mpox vaccine at a pharmacy?\u003c/strong>\u003c/p>\n\u003cp>Some pharmacies offer mpox vaccination appointments online, along with other vaccines like COVID and flu. But if you choose this route, you’ll be asked for insurance details — and it’s important to verify with your insurer first that they’ll cover you receiving the mpox vaccine at a pharmacy like CVS or Walgreens, as the out-of-pocket costs you’ll be quoted may be steep.\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 — the way you can’t get your COVID 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. A CVS spokesperson told KQED by email that in San Francisco, CVS pharmacies have “limited supply of the monkeypox vaccine in our pharmacies, but a pharmacist can order the vaccine if requested by a patient.”\u003c/p>\n\u003cp>\u003cstrong>How effective is the mpox vaccine?\u003c/strong>\u003c/p>\n\u003cp>Very. “While we know that no vaccine is 100% effective, we do know that less than 1% of persons who have been fully vaccinated have been diagnosed with mpox,” Janssen said, citing \u003ca href=\"https://www.cdc.gov/mmwr/volumes/73/wr/mm7320a3.htm?s_cid=mm7320a3_w\">a recent study from the CDC on the mpox vaccine’s efficacy.\u003c/a>\u003c/p>\n\u003cp>Another reason to get an mpox vaccine: It’s been shown to help reduce symptoms — which can be very painful — if you \u003cem>do\u003c/em> still get infected. It also “reduces illness severity and the risk of hospitalization and death,” Janssen said.\u003c/p>\n\u003ch2>\u003ca id=\"whatismpox\">\u003c/a>What is mpox, and how does it spread?\u003c/h2>\n\u003cp>\u003ca href=\"https://sf.gov/information/monkeypox\">Mpox is a disease that is caused when a person is infected with the mpox virus.\u003c/a> As the name might suggest, the virus is related to the smallpox virus but is generally less severe and “much less contagious” than smallpox, according to CDPH.\u003c/p>\n\u003cp>\u003ca href=\"https://sf.gov/information/mpox\">Mpox spreads through “prolonged skin-to-skin contact,”\u003c/a> SFDPH said, which can include sex, kissing and sharing bedding or clothing.\u003c/p>\n\u003cp>See how mpox cases are tracked around the country:\u003c/p>\n\u003cul>\n\u003cli>\u003ca href=\"https://www.cdph.ca.gov/Programs/CID/DCDC/Pages/Mpox-Data.aspx\">Mpox case data for California\u003c/a> via the California Department of Public Health (CDPH)\u003c/li>\n\u003cli>\u003ca href=\"https://sf.gov/information/monkeypox-cases\">Mpox case data for San Francisco\u003c/a> via SFDPH\u003c/li>\n\u003cli>\u003ca href=\"https://www.cdc.gov/poxvirus/monkeypox/response/2022/us-map.html\">Mpox case data for the United States\u003c/a> via the Centers for Disease Control and Prevention (CDC)\u003c/li>\n\u003c/ul>\n\u003ch2>\u003ca id=\"monkeypoxsymptomsrash\">\u003c/a>What are the symptoms of mpox?\u003c/h2>\n\u003cp>Mpox symptoms often start as flu-like conditions, SFPDH said, but the virus also appears as a rash or sores or spots that can resemble pimples or blisters on the skin anywhere on the body, especially around your genitals. These spots often start as “red, flat spots and then become bumps,” SFDPH said, before the bumps become filled with pus and turn into scabs when they break.\u003c/p>\n\u003cp>\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>. \u003ca href=\"https://sf.gov/information/mpox\">See more on what to do if you suspect you have mpox.\u003c/a>\u003c/p>\n\u003ch2>\u003cstrong>Is mpox the same as monkeypox?\u003c/strong>\u003c/h2>\n\u003cp>Yes. In 2022, the World Health Organization \u003ca href=\"https://www.ems1.com/infectious-diseases/articles/monkeypox-gets-new-name-after-racist-and-stigmatizing-language-health-officials-say-i1djjhzOPR7VCJrC/#:~:text=%E2%80%9CWhen%20the%20outbreak%20of%20monkeypox,monkeypox%20worldwide%20as%20of%20Nov.\">announced it would adopt the new, preferred term “mpox” as a synonym for monkeypox\u003c/a> in light of the “racist and stigmatizing language online, in other settings and in some communities” that the agency said it had observed during the outbreak earlier that year.\u003c/p>\n\u003cp>You may have also seen the virus referred to as MPX, which was the name originally adopted by SFDPH.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"info": "Gentrification is changing cities across America, forcing people from neighborhoods they have long called home. Call them the displaced. Now those priced out of the Bay Area are looking for a better life in an unlikely place. American Suburb follows this migration to one California town along the Delta, 45 miles from San Francisco. But is this once sleepy suburb ready for them?",
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},
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"id": "baycurious",
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"tagline": "Exploring the Bay Area, one question at a time",
"info": "KQED’s new podcast, Bay Curious, gets to the bottom of the mysteries — both profound and peculiar — that give the Bay Area its unique identity. And we’ll do it with your help! You ask the questions. You decide what Bay Curious investigates. And you join us on the journey to find the answers.",
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},
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},
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"info": "KQED’s statewide radio news program providing daily coverage of issues, trends and public policy decisions.",
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"order": 8
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"tagline": "Your state, your stories",
"info": "Every week, The California Report Magazine takes you on a road trip for the ears: to visit the places and meet the people who make California unique. The in-depth storytelling podcast from the California Report.",
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"airtime": "SUN 1pm-2pm, TUE 10pm, WED 1am",
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"source": "City Arts & Lectures"
},
"link": "https://www.cityarts.net",
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"order": 1
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"title": "Code Switch / Life Kit",
"info": "\u003cem>Code Switch\u003c/em>, which listeners will hear in the first part of the hour, has fearless and much-needed conversations about race. Hosted by journalists of color, the show tackles the subject of race head-on, exploring how it impacts every part of society — from politics and pop culture to history, sports and more.\u003cbr />\u003cbr />\u003cem>Life Kit\u003c/em>, which will be in the second part of the hour, guides you through spaces and feelings no one prepares you for — from finances to mental health, from workplace microaggressions to imposter syndrome, from relationships to parenting. The show features experts with real world experience and shares their knowledge. Because everyone needs a little help being human.\u003cbr />\u003cbr />\u003ca href=\"https://www.npr.org/podcasts/510312/codeswitch\">\u003cem>Code Switch\u003c/em> offical site and podcast\u003c/a>\u003cbr />\u003ca href=\"https://www.npr.org/lifekit\">\u003cem>Life Kit\u003c/em> offical site and podcast\u003c/a>\u003cbr />",
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"id": "commonwealth-club",
"title": "Commonwealth Club of California Podcast",
"info": "The Commonwealth Club of California is the nation's oldest and largest public affairs forum. As a non-partisan forum, The Club brings to the public airwaves diverse viewpoints on important topics. The Club's weekly radio broadcast - the oldest in the U.S., dating back to 1924 - is carried across the nation on public radio stations and is now podcasting. Our website archive features audio of our recent programs, as well as selected speeches from our long and distinguished history. This podcast feed is usually updated twice a week and is always un-edited.",
"airtime": "THU 10pm, FRI 1am",
"imageSrc": "https://cdn.kqed.org/wp-content/uploads/2024/04/Commonwealth-Club-Podcast-Tile-360x360-1.jpg",
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"source": "Commonwealth Club of California"
},
"link": "/radio/program/commonwealth-club",
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"title": "Forum",
"tagline": "The conversation starts here",
"info": "KQED’s live call-in program discussing local, state, national and international issues, as well as in-depth interviews.",
"airtime": "MON-FRI 9am-11am, 10pm-11pm",
"imageSrc": "https://cdn.kqed.org/wp-content/uploads/2024/04/Forum-Podcast-Tile-703x703-1.jpg",
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"order": 9
},
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"meta": {
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"source": "WNYC"
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"info": "A live production of NPR and WBUR Boston, in collaboration with stations across the country, Here & Now reflects the fluid world of news as it's happening in the middle of the day, with timely, in-depth news, interviews and conversation. Hosted by Robin Young, Jeremy Hobson and Tonya Mosley.",
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"hidden-brain": {
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"info": "Shankar Vedantam uses science and storytelling to reveal the unconscious patterns that drive human behavior, shape our choices and direct our relationships.",
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"airtime": "SUN 7pm-8pm",
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"source": "NPR"
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"how-i-built-this": {
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"title": "How I Built This with Guy Raz",
"info": "Guy Raz dives into the stories behind some of the world's best known companies. How I Built This weaves a narrative journey about innovators, entrepreneurs and idealists—and the movements they built.",
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"airtime": "SUN 7:30pm-8pm",
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"hyphenacion": {
"id": "hyphenacion",
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"tagline": "Where conversation and cultura meet",
"info": "What kind of no sabo word is Hyphenación? For us, it’s about living within a hyphenation. Like being a third-gen Mexican-American from the Texas border now living that Bay Area Chicano life. Like Xorje! Each week we bring together a couple of hyphenated Latinos to talk all about personal life choices: family, careers, relationships, belonging … everything is on the table. ",
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"jerrybrown": {
"id": "jerrybrown",
"title": "The Political Mind of Jerry Brown",
"tagline": "Lessons from a lifetime in politics",
"info": "The Political Mind of Jerry Brown brings listeners the wisdom of the former Governor, Mayor, and presidential candidate. Scott Shafer interviewed Brown for more than 40 hours, covering the former governor's life and half-century in the political game – and Brown has some lessons he'd like to share. ",
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"order": 18
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},
"latino-usa": {
"id": "latino-usa",
"title": "Latino USA",
"airtime": "MON 1am-2am, SUN 6pm-7pm",
"info": "Latino USA, the radio journal of news and culture, is the only national, English-language radio program produced from a Latino perspective.",
"imageSrc": "https://ww2.kqed.org/radio/wp-content/uploads/sites/50/2018/04/latinoUsa.jpg",
"officialWebsiteLink": "http://latinousa.org/",
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},
"link": "/radio/program/latino-usa",
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"apple": "https://itunes.apple.com/WebObjects/MZStore.woa/wa/viewPodcast?s=143441&mt=2&id=79681317&at=11l79Y&ct=nprdirectory",
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"rss": "https://feeds.npr.org/510016/podcast.xml"
}
},
"marketplace": {
"id": "marketplace",
"title": "Marketplace",
"info": "Our flagship program, helmed by Kai Ryssdal, examines what the day in money delivered, through stories, conversations, newsworthy numbers and more. Updated Monday through Friday at about 3:30 p.m. PT.",
"airtime": "MON-FRI 4pm-4:30pm, MON-WED 6:30pm-7pm",
"imageSrc": "https://cdn.kqed.org/wp-content/uploads/2024/04/Marketplace-Podcast-Tile-360x360-1.jpg",
"officialWebsiteLink": "https://www.marketplace.org/",
"meta": {
"site": "news",
"source": "American Public Media"
},
"link": "/radio/program/marketplace",
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"rss": "https://feeds.publicradio.org/public_feeds/marketplace-pm/rss/rss"
}
},
"masters-of-scale": {
"id": "masters-of-scale",
"title": "Masters of Scale",
"info": "Masters of Scale is an original podcast in which LinkedIn co-founder and Greylock Partner Reid Hoffman sets out to describe and prove theories that explain how great entrepreneurs take their companies from zero to a gazillion in ingenious fashion.",
"airtime": "Every other Wednesday June 12 through October 16 at 8pm (repeats Thursdays at 2am)",
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"officialWebsiteLink": "https://mastersofscale.com/",
"meta": {
"site": "radio",
"source": "WaitWhat"
},
"link": "/radio/program/masters-of-scale",
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"rss": "https://rss.art19.com/masters-of-scale"
}
},
"mindshift": {
"id": "mindshift",
"title": "MindShift",
"tagline": "A podcast about the future of learning and how we raise our kids",
"info": "The MindShift podcast explores the innovations in education that are shaping how kids learn. Hosts Ki Sung and Katrina Schwartz introduce listeners to educators, researchers, parents and students who are developing effective ways to improve how kids learn. We cover topics like how fed-up administrators are developing surprising tactics to deal with classroom disruptions; how listening to podcasts are helping kids develop reading skills; the consequences of overparenting; and why interdisciplinary learning can engage students on all ends of the traditional achievement spectrum. This podcast is part of the MindShift education site, a division of KQED News. KQED is an NPR/PBS member station based in San Francisco. You can also visit the MindShift website for episodes and supplemental blog posts or tweet us \u003ca href=\"https://twitter.com/MindShiftKQED\">@MindShiftKQED\u003c/a> or visit us at \u003ca href=\"/mindshift\">MindShift.KQED.org\u003c/a>",
"imageSrc": "https://cdn.kqed.org/wp-content/uploads/2024/04/Mindshift-Podcast-Tile-703x703-1.jpg",
"imageAlt": "KQED MindShift: How We Will Learn",
"officialWebsiteLink": "/mindshift/",
"meta": {
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"source": "kqed",
"order": 12
},
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