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"content": "\u003cp>On Friday, a federal \u003ca href=\"https://www.npr.org/2023/04/07/1159220452/abortion-pill-drug-mifepristone-judge-texas-amarillo\">judge in Texas ruled\u003c/a> that the Food and Drug Administration didn’t properly approve a drug which has been on the market for more than 20 years in the U.S. for medical abortions. The drug in question, mifepristone, is used along with one other drug in most medication abortions in the U.S.\u003c/p>\n\u003cp>The fallout of the ruling could mean that mifepristone becomes unavailable in the U.S. in the near future, though the ruling is being challenged in court. Depending how legal battles play out and how the FDA responds, the effects of this ruling may apply only in certain states, or may indeed curtail mifepristone use around the country.\u003c/p>\n\u003cp>If this happens, doctors say they will continue to offer medication abortions without mifepristone, using only the other drug, misoprostol. Here’s what to know about how misoprostol-only abortions work, how safe they are and how patients would access them.\u003c/p>\n\u003ch2>How does the single-drug protocol differ from the current standard of care which uses two drugs?\u003c/h2>\n\u003cp>Most medication abortions in the U.S. currently use both mifepristone and misoprostol because patients experience fewer side effects when the medications are combined. A regimen involving both medications is also used for miscarriages.\u003c/p>\n\u003cp>But misoprostol alone can be used effectively for abortions — and is commonly prescribed in some countries.\u003c/p>\n\u003cp>“This regimen is still incredibly safe and effective,” says \u003ca href=\"https://www.acog.org/about/leadership-and-governance/get-involved/darney-landy-fellows\">Dr. Kristyn Brandi\u003c/a>, a New Jersey family planning specialist and spokesperson for the American College of Obstetricians and Gynecologists. “Medication abortion and miscarriage management will not go away with the loss of mifepristone, but it may look a little different.”\u003c/p>\n\u003cp>With the two-drug regimen, patients first take mifepristone — which blocks the hormone progesterone — to end the pregnancy. Patients then take misoprostol 24–48 hours later, which causes the uterus to expel the pregnancy tissue. Patients experience bleeding and cramping, and usually pass the pregnancy within four to six hours after taking the misoprostol.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>\u003ca href=\"https://societyfp.org/wp-content/uploads/2023/03/Medication-abortion-with-misoprostol-only_A-sample-protocol_2023.pdf\">In a misoprostol-alone abortion (PDF)\u003c/a>, patients start the process with misoprostol, using the same amount as is used in the two-drug regimen. Three hours later, they take misoprostol again, causing the uterus to contract. They repeat this for three to four doses until the pregnancy passes, which usually takes between nine and 12 hours.\u003c/p>\n\u003cp>In both cases, patients typically see a doctor or nurse, either in person or online, and then take the drugs at home.\u003c/p>\n\u003ch2>Is the misoprostol-alone regime safe? What can patients expect to experience?\u003c/h2>\n\u003cp>There’s lots of research that shows the misoprostol-only protocol \u003ca href=\"https://journals.lww.com/greenjournal/Abstract/2019/01000/Efficacy_of_Misoprostol_Alone_for_First_Trimester.19.aspx\">is as safe \u003c/a>as the two-medication protocol — but it does tend to cause more side effects.\u003c/p>\n\u003cp>Even though the two-drug protocol is still preferred when possible, there’s ample evidence that misoprostol alone is a very effective alternative, \u003ca href=\"https://societyfp.org/wp-content/uploads/2023/02/SFP_ScienceSays_misoprostol.pdf\">according to the Society of Family Planning (PDF)\u003c/a>, an abortion research organization.\u003c/p>\n\u003cp>Multiple organizations, like the \u003ca href=\"https://www.acog.org/clinical/clinical-guidance/practice-bulletin/articles/2020/10/medication-abortion-up-to-70-days-of-gestation\">American College of Obstetricians and Gynecologists\u003c/a> and the \u003ca href=\"https://srhr.org/abortioncare/chapter-3/abortion-3-4/medical-management-of-induced-abortion-recommendations-27-30-3-4-2/\">World Health Organization\u003c/a>, say the one-medication protocol is an acceptable choice, particularly when mifepristone isn’t available.\u003c/p>\n\u003cp>Patients using misoprostol alone, however, tend to experience more nausea, vomiting, and diarrhea, and a longer duration of cramping and bleeding. That’s why it’s usually the second choice regimen.\u003c/p>\n\u003cp>The misoprostol-only protocol is actually faster than the two-medication protocol, which takes about 30 hours total since patients take the second drug at least 24-hours after the first. In the misoprostol-alone regimen, the process usually only takes 9-12 hours, but patients typically experience cramping and bleeding for longer.\u003c/p>\n\u003ch2>When might a patient need to seek further medical help for a medication abortion?\u003c/h2>\n\u003cp>With either regimen, the reasons to seek follow up care are the same.[pullquote align=\"right\" size=\"medium\" citation=\"Dr. Kristyn Brandi, spokesperson, American College of Obstetricians and Gynecologists\"]‘This regimen is still incredibly safe and effective … Medication abortion and miscarriage management will not go away with the loss of mifepristone, but it may look a little different.’[/pullquote]If patients experience heavy or prolonged bleeding – spotting that persists for over 2 weeks, for example, or bleeding so heavy they soak through more than two pads an hour for over two hours – they might need a procedure to complete the abortion.\u003c/p>\n\u003cp>A prolonged fever above 100.4 degrees Fahrenheit is also a reason to seek medical care. While low-grade fevers and chills are an expected side effect of misoprostol and aren’t life threatening, if a fever persists for more than 24 hours after taking misoprostol, it could be a sign of infection.\u003c/p>\n\u003cp>Also, if a patient does not experience \u003cem>any \u003c/em>bleeding or cramping, the medication may not have worked to end the pregnancy, and she might need more misoprostol or a procedure to have a complete abortion.\u003c/p>\n\u003ch2>How far along into the pregnancy does medication abortion work?\u003c/h2>\n\u003cp>The Food and Drug Administration has approved the two-drug regimen to \u003ca href=\"https://www.fda.gov/drugs/postmarket-drug-safety-information-patients-and-providers/information-about-mifepristone-medical-termination-pregnancy-through-ten-weeks-gestation\">end pregnancies up to 10 weeks\u003c/a> gestational age, but the World Health Organization \u003ca href=\"https://srhr.org/abortioncare/chapter-3/abortion-3-4/medical-management-of-induced-abortion-recommendations-27-30-3-4-2/\">endorses it up to 12 weeks\u003c/a>. After that, they’re less likely to be effective and may cause more bleeding and cramping.\u003c/p>\n\u003cp>For misoprostol-only abortion, it’s less clear cut. There’s some data showing that the regimen can be effective in ending pregnancies up to 22 weeks. That’s \u003ca href=\"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9359894/\">according to one study\u003c/a> that looked at patients having self-managed abortions, without the direct involvement of a doctor in countries that have had restrictive abortion laws.\u003c/p>\n\u003cp>But in U.S. states where second trimester abortion is allowed, Brandi says, doctors will typically recommend a procedural abortion in a hospital rather than a medication-based abortion to end pregnancies after 12 weeks. That’s because second trimester misoprostol-only abortions can involve more bleeding and prolonged cramping. Doctors would probably only recommend misoprostol-alone in the second trimester in states where patients don’t have other legal options.\u003c/p>\n\u003ch2>How do patients get prescriptions for medication abortions? Would they be able to get them for the one-drug regimen?\u003c/h2>\n\u003cp>In states where abortion is legal in the first trimester, patients can speak to a health care provider and get a prescription for medication abortion via \u003ca href=\"https://www.npr.org/sections/health-shots/2022/05/20/1099179361/telehealth-abortions-are-simple-and-private-but-restricted-in-many-states\">telehealth abortion companies\u003c/a>, in-person at clinics that provide abortion like Planned Parenthood, and at many general OB/GYN and family medicine clinics.\u003c/p>\n\u003cp>As long as mifepristone is still available, providers will usually give the two-drug regimen. If it becomes unavailable, many providers have indicated they’d start prescribing misoprostol alone.[aside label=\"Related Stories\" postID=\"news_11946193,news_11946073,news_11938516\"]Dr. Jamie Phifer, the medical director of \u003ca href=\"https://abortionondemand.org/\">Abortion on Demand\u003c/a>, says her team is waiting to see how the courts ultimately rule on mifepristone. They will continue to provide mifepristone and misoprostol combination abortions to their patients unless it becomes illegal.\u003c/p>\n\u003cp>“But we’re ready,” she adds. “We can make the switch [to misoprostol-only protocols] within hours.”\u003c/p>\n\u003cp>In fact, misoprostol is easier to access than mifepristone. Even before the Texas judge’s ruling, mifepristone was subject to \u003ca href=\"https://www.fda.gov/drugs/postmarket-drug-safety-information-patients-and-providers/information-about-mifepristone-medical-termination-pregnancy-through-ten-weeks-gestation\">special FDA regulations\u003c/a> that meant that most commercial pharmacies did not carry it, and patients could only get it at clinics that provide abortions or via pharmacies that had specially registered with the FDA.\u003c/p>\n\u003cp>Misoprostol, however, isn’t subject to these regulations, so it’s stocked in almost all pharmacies and hospitals.\u003c/p>\n\u003ch2>Are patients able to get the medication in states where abortion is banned?\u003c/h2>\n\u003cp>Neither the two-drug regime, nor misoprostol-alone medication abortions are available legally in these states. Misoprostol itself remains legal when used for other purposes, like treating ulcers or inducing labor.\u003c/p>\n\u003cp>However, there are a number of services that help patients in these states access abortion pills.\u003c/p>\n\u003cp>For instance, \u003ca href=\"https://www.mayday.health/\">Mayday.Health\u003c/a> offers step-by-step instructions for setting up a mail-forwarding address, so patients can list an address in a permissive state on their intake forms for a telehealth abortion, then get the pills sent along to an additional address somewhere else. \u003ca href=\"https://www.plancpills.org/\">Plan C\u003c/a> is a website that provides up-to-date information about how to get abortion pills at home.\u003c/p>\n\u003cp>\u003ca href=\"https://www.mahotline.org/\">The Miscarriage and Abortion Hotline\u003c/a> offers free consultations with clinicians if a patient has questions about a medication abortion, even if she had the abortion in a state where it’s illegal.\u003c/p>\n\u003cp>Other organizations openly flout the law to provide abortion medications in all 50 states.\u003c/p>\n\u003cp>\u003ca href=\"https://aidaccess.org/en/\">Aid Access\u003c/a>, for example, is based in the Netherlands and will mail mifepristone and misoprostol to patients in states where abortion is banned. Pills sent from abroad are not subject to FDA approval and safety regulations. The organization also employs U.S.-based health care providers, who prescribe FDA-regulated abortion pills via telehealth in states where it’s allowed.\u003c/p>\n\u003cp>[ad floatright]\u003c/p>\n",
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"excerpt": "While the fate of mifepristone hangs in the balance following a Texas federal judge's ruling last week, and with a legal challenge to the ruling underway, experts explain that the other abortion drug it is used with — misoprostol — will still be available and is still effective for abortion treatment.",
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"description": "While the fate of mifepristone hangs in the balance following a Texas federal judge's ruling last week, and with a legal challenge to the ruling underway, experts explain that the other abortion drug it is used with — misoprostol — will still be available and is still effective for abortion treatment.",
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"headline": "Medication Abortion Is Still Possible With Just 1 Drug. Here's How It Works",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>On Friday, a federal \u003ca href=\"https://www.npr.org/2023/04/07/1159220452/abortion-pill-drug-mifepristone-judge-texas-amarillo\">judge in Texas ruled\u003c/a> that the Food and Drug Administration didn’t properly approve a drug which has been on the market for more than 20 years in the U.S. for medical abortions. The drug in question, mifepristone, is used along with one other drug in most medication abortions in the U.S.\u003c/p>\n\u003cp>The fallout of the ruling could mean that mifepristone becomes unavailable in the U.S. in the near future, though the ruling is being challenged in court. Depending how legal battles play out and how the FDA responds, the effects of this ruling may apply only in certain states, or may indeed curtail mifepristone use around the country.\u003c/p>\n\u003cp>If this happens, doctors say they will continue to offer medication abortions without mifepristone, using only the other drug, misoprostol. Here’s what to know about how misoprostol-only abortions work, how safe they are and how patients would access them.\u003c/p>\n\u003ch2>How does the single-drug protocol differ from the current standard of care which uses two drugs?\u003c/h2>\n\u003cp>Most medication abortions in the U.S. currently use both mifepristone and misoprostol because patients experience fewer side effects when the medications are combined. A regimen involving both medications is also used for miscarriages.\u003c/p>\n\u003cp>But misoprostol alone can be used effectively for abortions — and is commonly prescribed in some countries.\u003c/p>\n\u003cp>“This regimen is still incredibly safe and effective,” says \u003ca href=\"https://www.acog.org/about/leadership-and-governance/get-involved/darney-landy-fellows\">Dr. Kristyn Brandi\u003c/a>, a New Jersey family planning specialist and spokesperson for the American College of Obstetricians and Gynecologists. “Medication abortion and miscarriage management will not go away with the loss of mifepristone, but it may look a little different.”\u003c/p>\n\u003cp>With the two-drug regimen, patients first take mifepristone — which blocks the hormone progesterone — to end the pregnancy. Patients then take misoprostol 24–48 hours later, which causes the uterus to expel the pregnancy tissue. Patients experience bleeding and cramping, and usually pass the pregnancy within four to six hours after taking the misoprostol.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>\u003ca href=\"https://societyfp.org/wp-content/uploads/2023/03/Medication-abortion-with-misoprostol-only_A-sample-protocol_2023.pdf\">In a misoprostol-alone abortion (PDF)\u003c/a>, patients start the process with misoprostol, using the same amount as is used in the two-drug regimen. Three hours later, they take misoprostol again, causing the uterus to contract. They repeat this for three to four doses until the pregnancy passes, which usually takes between nine and 12 hours.\u003c/p>\n\u003cp>In both cases, patients typically see a doctor or nurse, either in person or online, and then take the drugs at home.\u003c/p>\n\u003ch2>Is the misoprostol-alone regime safe? What can patients expect to experience?\u003c/h2>\n\u003cp>There’s lots of research that shows the misoprostol-only protocol \u003ca href=\"https://journals.lww.com/greenjournal/Abstract/2019/01000/Efficacy_of_Misoprostol_Alone_for_First_Trimester.19.aspx\">is as safe \u003c/a>as the two-medication protocol — but it does tend to cause more side effects.\u003c/p>\n\u003cp>Even though the two-drug protocol is still preferred when possible, there’s ample evidence that misoprostol alone is a very effective alternative, \u003ca href=\"https://societyfp.org/wp-content/uploads/2023/02/SFP_ScienceSays_misoprostol.pdf\">according to the Society of Family Planning (PDF)\u003c/a>, an abortion research organization.\u003c/p>\n\u003cp>Multiple organizations, like the \u003ca href=\"https://www.acog.org/clinical/clinical-guidance/practice-bulletin/articles/2020/10/medication-abortion-up-to-70-days-of-gestation\">American College of Obstetricians and Gynecologists\u003c/a> and the \u003ca href=\"https://srhr.org/abortioncare/chapter-3/abortion-3-4/medical-management-of-induced-abortion-recommendations-27-30-3-4-2/\">World Health Organization\u003c/a>, say the one-medication protocol is an acceptable choice, particularly when mifepristone isn’t available.\u003c/p>\n\u003cp>Patients using misoprostol alone, however, tend to experience more nausea, vomiting, and diarrhea, and a longer duration of cramping and bleeding. That’s why it’s usually the second choice regimen.\u003c/p>\n\u003cp>The misoprostol-only protocol is actually faster than the two-medication protocol, which takes about 30 hours total since patients take the second drug at least 24-hours after the first. In the misoprostol-alone regimen, the process usually only takes 9-12 hours, but patients typically experience cramping and bleeding for longer.\u003c/p>\n\u003ch2>When might a patient need to seek further medical help for a medication abortion?\u003c/h2>\n\u003cp>With either regimen, the reasons to seek follow up care are the same.\u003c/p>\u003c/div>",
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"content": "‘This regimen is still incredibly safe and effective … Medication abortion and miscarriage management will not go away with the loss of mifepristone, but it may look a little different.’",
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"content": "\u003cdiv class=\"post-body\">\u003cp>If patients experience heavy or prolonged bleeding – spotting that persists for over 2 weeks, for example, or bleeding so heavy they soak through more than two pads an hour for over two hours – they might need a procedure to complete the abortion.\u003c/p>\n\u003cp>A prolonged fever above 100.4 degrees Fahrenheit is also a reason to seek medical care. While low-grade fevers and chills are an expected side effect of misoprostol and aren’t life threatening, if a fever persists for more than 24 hours after taking misoprostol, it could be a sign of infection.\u003c/p>\n\u003cp>Also, if a patient does not experience \u003cem>any \u003c/em>bleeding or cramping, the medication may not have worked to end the pregnancy, and she might need more misoprostol or a procedure to have a complete abortion.\u003c/p>\n\u003ch2>How far along into the pregnancy does medication abortion work?\u003c/h2>\n\u003cp>The Food and Drug Administration has approved the two-drug regimen to \u003ca href=\"https://www.fda.gov/drugs/postmarket-drug-safety-information-patients-and-providers/information-about-mifepristone-medical-termination-pregnancy-through-ten-weeks-gestation\">end pregnancies up to 10 weeks\u003c/a> gestational age, but the World Health Organization \u003ca href=\"https://srhr.org/abortioncare/chapter-3/abortion-3-4/medical-management-of-induced-abortion-recommendations-27-30-3-4-2/\">endorses it up to 12 weeks\u003c/a>. After that, they’re less likely to be effective and may cause more bleeding and cramping.\u003c/p>\n\u003cp>For misoprostol-only abortion, it’s less clear cut. There’s some data showing that the regimen can be effective in ending pregnancies up to 22 weeks. That’s \u003ca href=\"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9359894/\">according to one study\u003c/a> that looked at patients having self-managed abortions, without the direct involvement of a doctor in countries that have had restrictive abortion laws.\u003c/p>\n\u003cp>But in U.S. states where second trimester abortion is allowed, Brandi says, doctors will typically recommend a procedural abortion in a hospital rather than a medication-based abortion to end pregnancies after 12 weeks. That’s because second trimester misoprostol-only abortions can involve more bleeding and prolonged cramping. Doctors would probably only recommend misoprostol-alone in the second trimester in states where patients don’t have other legal options.\u003c/p>\n\u003ch2>How do patients get prescriptions for medication abortions? Would they be able to get them for the one-drug regimen?\u003c/h2>\n\u003cp>In states where abortion is legal in the first trimester, patients can speak to a health care provider and get a prescription for medication abortion via \u003ca href=\"https://www.npr.org/sections/health-shots/2022/05/20/1099179361/telehealth-abortions-are-simple-and-private-but-restricted-in-many-states\">telehealth abortion companies\u003c/a>, in-person at clinics that provide abortion like Planned Parenthood, and at many general OB/GYN and family medicine clinics.\u003c/p>\n\u003cp>As long as mifepristone is still available, providers will usually give the two-drug regimen. If it becomes unavailable, many providers have indicated they’d start prescribing misoprostol alone.\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>Dr. Jamie Phifer, the medical director of \u003ca href=\"https://abortionondemand.org/\">Abortion on Demand\u003c/a>, says her team is waiting to see how the courts ultimately rule on mifepristone. They will continue to provide mifepristone and misoprostol combination abortions to their patients unless it becomes illegal.\u003c/p>\n\u003cp>“But we’re ready,” she adds. “We can make the switch [to misoprostol-only protocols] within hours.”\u003c/p>\n\u003cp>In fact, misoprostol is easier to access than mifepristone. Even before the Texas judge’s ruling, mifepristone was subject to \u003ca href=\"https://www.fda.gov/drugs/postmarket-drug-safety-information-patients-and-providers/information-about-mifepristone-medical-termination-pregnancy-through-ten-weeks-gestation\">special FDA regulations\u003c/a> that meant that most commercial pharmacies did not carry it, and patients could only get it at clinics that provide abortions or via pharmacies that had specially registered with the FDA.\u003c/p>\n\u003cp>Misoprostol, however, isn’t subject to these regulations, so it’s stocked in almost all pharmacies and hospitals.\u003c/p>\n\u003ch2>Are patients able to get the medication in states where abortion is banned?\u003c/h2>\n\u003cp>Neither the two-drug regime, nor misoprostol-alone medication abortions are available legally in these states. Misoprostol itself remains legal when used for other purposes, like treating ulcers or inducing labor.\u003c/p>\n\u003cp>However, there are a number of services that help patients in these states access abortion pills.\u003c/p>\n\u003cp>For instance, \u003ca href=\"https://www.mayday.health/\">Mayday.Health\u003c/a> offers step-by-step instructions for setting up a mail-forwarding address, so patients can list an address in a permissive state on their intake forms for a telehealth abortion, then get the pills sent along to an additional address somewhere else. \u003ca href=\"https://www.plancpills.org/\">Plan C\u003c/a> is a website that provides up-to-date information about how to get abortion pills at home.\u003c/p>\n\u003cp>\u003ca href=\"https://www.mahotline.org/\">The Miscarriage and Abortion Hotline\u003c/a> offers free consultations with clinicians if a patient has questions about a medication abortion, even if she had the abortion in a state where it’s illegal.\u003c/p>\n\u003cp>Other organizations openly flout the law to provide abortion medications in all 50 states.\u003c/p>\n\u003cp>\u003ca href=\"https://aidaccess.org/en/\">Aid Access\u003c/a>, for example, is based in the Netherlands and will mail mifepristone and misoprostol to patients in states where abortion is banned. Pills sent from abroad are not subject to FDA approval and safety regulations. The organization also employs U.S.-based health care providers, who prescribe FDA-regulated abortion pills via telehealth in states where it’s allowed.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"slug": "go-wash-your-hands",
"title": "Why You Should Still Be Washing Your Hands in 2023 — Just Not for COVID",
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"headTitle": "Why You Should Still Be Washing Your Hands in 2023 — Just Not for COVID | KQED",
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"content": "\u003cp>\u003ca href=\"https://www.vox.com/2020/2/28/21157769/how-to-prevent-the-coronavirus\">Online handwashing tutorials.\u003c/a> \u003ca href=\"https://www.nytimes.com/2020/03/14/technology/coronavirus-purell-wipes-amazon-sellers.html\">Hand sanitizer hoarding.\u003c/a> And in every public bathroom, signage urging you to wash your hands to slow the spread of the coronavirus.\u003c/p>\n\u003cp>It may be hard to believe now — after over three years of passionate conversations about masking — but when the COVID pandemic first hit in 2020, vigilant hand hygiene was positioned alongside social distancing as a key measure in the fight to slow the spread of SARS-CoV-2 around the country. And while it’s true that conversations about hand hygiene haven’t entirely vanished — just look at the laminated 2020-era handwashing posters you’ll still see in many public bathrooms around the Bay Area — “wash your hands” has undoubtedly receded as a core public health message at this point in the pandemic, in favor of masking, vaccination and booster shots.\u003c/p>\n\u003cp>But as we continue into Year Four of the COVID pandemic, should handwashing be something we keep in mind for our daily health?\u003c/p>\n\u003cp>The short answer is: absolutely — but it’s no longer really about COVID. Keep reading for the science behind those 2020 recommendations, the kinds of illnesses that handwashing can help protect you against and how useful hand sanitizer really is.\u003c/p>\n\u003ch2>Why was handwashing such a big thing when the pandemic first hit?\u003c/h2>\n\u003cp>To understand why hand hygiene was so emphasized in the first weeks of the pandemic, it’s crucial to understand just how little was initially known about the coronavirus, says Dr. John Swartzberg, clinical professor emeritus of the Infectious Diseases and Vaccinology division at UC Berkeley.\u003c/p>\n\u003cul>\n\u003cli>\u003cstrong>\u003ca href=\"#tellus\">Tell us: What else are you wondering about COVID?\u003c/a>\u003c/strong>\u003c/li>\n\u003c/ul>\n\u003cp>“In March of 2020, we didn’t really know much about how this brand-new virus was transmitted,” said Swartzberg. “And we assumed that it was transmitted like other respiratory viruses, probably just by droplets, maybe by air, but probably just droplets.”\u003c/p>\n\u003cp>In the absence of initial research, the medical community “said the basic things about transmission of respiratory viruses,” said Swartzberg. “Many of them were transmitted by inanimate objects, what we call fomites. And so, therefore, handwashing would be very important.”\u003c/p>\n\u003cfigure id=\"attachment_11946331\" class=\"wp-caption alignnone\" style=\"max-width: 800px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-medium wp-image-11946331\" src=\"https://ww2.kqed.org/app/uploads/sites/10/2023/04/RS64473_IMG_4163-qut-800x600.jpg\" alt=\"A poster taped to a beige bathroom stall wall that reads WASH YOUR HANDS! STOP THE SPREAD! and gives pictorial instructions for handwashing below\" width=\"800\" height=\"600\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2023/04/RS64473_IMG_4163-qut-800x600.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/04/RS64473_IMG_4163-qut-1020x765.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/04/RS64473_IMG_4163-qut-160x120.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/04/RS64473_IMG_4163-qut-1536x1152.jpg 1536w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/04/RS64473_IMG_4163-qut.jpg 1920w\" sizes=\"(max-width: 800px) 100vw, 800px\">\u003cfigcaption class=\"wp-caption-text\">In 2020, signs urging people to wash their hands to ‘stop the spread’ of COVID went up in public bathrooms around the country — and stayed up. \u003ccite>(Carly Severn/KQED)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>“We didn’t know that in terms of any science to support that. Just like we didn’t know that SARS-CoV-2 is primarily transmitted as an airborne virus, but also can be droplets,” said Swartzberg.\u003c/p>\n\u003cp>Another reason handwashing was so initially emphasized, says Swartzberg, was based on the earliest research on the coronavirus and fomites — that is, those surfaces and objects that could carry the virus.[pullquote size='medium' align='right']Tip: An object or surface that a virus can live on is called a ‘fomite.’[/pullquote]He notes that early research in spring 2020 indicated that SARS-CoV-2 could survive anywhere from a few hours to as much as 36 hours on a surface — “and so because of that, the assumption was, ‘Well, if it can survive on fomites for hours to days, then therefore we ought to make sure that we wash our hands frequently because we could get a viable virus on our hands.’”\u003c/p>\n\u003cp>But all of this begs the next question …\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003ch2>Does handwashing actually help safeguard against COVID?\u003c/h2>\n\u003cp>In short: While handwashing is almost never a bad thing, it’s probably not going to reduce your chances of getting COVID.\u003c/p>\n\u003cp>As what scientists knew about the coronavirus evolved in 2020, and consensus emerged that this was an airborne virus that could also be spread by droplets in the air, mask-wearing emerged as the most effective way to protect oneself from COVID. By July 2020, \u003ca href=\"https://www.cdc.gov/media/releases/2020/p0714-americans-to-wear-masks.html\">the Centers for Disease Control and Prevention was urging people across the nation to wear masks\u003c/a> — albeit cloth ones, which have since been proven to be far less effective than N95s at reducing COVID risks.\u003c/p>\n\u003cp>After all the emphasis on fomites — and all those 2020 videos showing how to clean your groceries — this kind of transmission ultimately remained something that had “just made sense” to people initially, said Swartzberg, “but no one ever demonstrated that it was transmitted that way.”\u003c/p>\n\u003cp>The medical community was still concerned about the coronavirus getting onto your mucous membranes, like inside your nose and mouth, says Swartzberg — but masks soon became seen as the most effective way to protect those parts of your body, not handwashing. It’s not that washing didn’t remove COVID risks from your hands, per se; it’s more that pathogens were far more busy trying to invade your body through aerosol and droplet transmission from the air. And by January 2022, \u003ca href=\"https://www.cdc.gov/media/releases/2020/p0714-americans-to-wear-masks.html\">a well-fitted N95 mask was being recommended by the CDC\u003c/a> as offering the “highest level of protection” from the particles that cause COVID.[pullquote size='medium' align='right']Tip: Vaccines, bivalent boosters and a well-fitted N95 mask remain the most effective ways of protecting yourself against COVID.[/pullquote]Of course, as Swartzberg notes, “an absence of evidence doesn’t mean there’s evidence of absence” — meaning, there is no evidence that surface transmission \u003cem>hasn’t\u003c/em> been the way some people have gotten COVID over the last three years. This is echoed by UCSF infectious disease specialist Dr. Peter Chin-Hong, who notes that someone with a job that raises their chances of COVID exposure through surfaces — say, a teacher in close quarters with coughing kindergartners — might still have a higher chance of COVID infection from fomites than the average person represented in studies.\u003c/p>\n\u003cp>The fact remains: If you want to protect yourself against COVID, focus more on getting your primary vaccination series if you haven’t already, \u003ca href=\"https://www.kqed.org/news/11924327/where-can-i-find-a-new-omicron-covid-booster-shot-near-me\">getting a bivalent booster\u003c/a> and wearing a well-fitted N95 mask in poorly ventilated or crowded spaces, especially during a COVID surge in your region. But just because handwashing wasn’t the key to stopping the spread of COVID doesn’t mean it can’t help fight the causes of many other nasty illnesses.\u003c/p>\n\u003cp>Which leads us to …\u003c/p>\n\u003ch2>What viruses does handwashing help fight?\u003c/h2>\n\u003cp>Handwashing has been “revered” for many years in the health care field, said Chin-Hong, “because there’s so much ample evidence showing that it not just prevents infections, but it actually saves lives in hospitalized patients” when health care workers practice good hand hygiene to reduce the risks of infection.\u003c/p>\n\u003cp>“COVID is not the only game in town anymore,” said Chin-Hong. “I think washing your hands should have a big comeback, because we have a big diversity of things that affect people now” when it comes to infections. Ultimately, “washing hands will save you a lot of grief,” he said.\u003c/p>\n\u003cp>So what viruses, bacteria and illnesses can handwashing protect you from?[pullquote size='medium' align='right']Tip: The common cold, norovirus and salmonella are just some of the — unpleasant — sicknesses that handwashing can really help protect you against.[/pullquote]The rhinovirus — the most common cause of the common cold — is one of those viruses that’s “transmitted easily by inanimate objects,” said Swartzberg, referring to when you touch a fomite and then touch your face. (Something you might not expect: As for the flu, Swartzberg says the jury’s still out: Even though scientists have known about the influenza virus for almost a century, “there is still a debate as to whether handwashing makes a difference with that virus,” he said.)\u003c/p>\n\u003cp>The common cold aside, your risks of even more unpleasant illnesses can be raised by you neglecting to wash your hands — and very unpleasant gastrointestinal infections are ripe for transmission through unwashed hands. \u003ca href=\"https://www.nbcbayarea.com/news/health/norovirus-surge/3157809/\">Cases of norovirus — a highly contagious virus that causes nausea, vomiting and diarrhea — surged\u003c/a> in February within the Bay Area, and as recently as late March, \u003ca href=\"https://www.cdph.ca.gov/Programs/OPA/Pages/CAHAN/Elevated-Norovirus-Activity-in-California-.aspx\">California health officials have warned of “elevated norovirus activity”\u003c/a> around the state. \u003ca href=\"https://www.cdc.gov/shigella/symptoms.html\">The bacterial infections shigella\u003c/a> and \u003ca href=\"https://www.cdc.gov/salmonella/index.html\">salmonella\u003c/a>, which both are also characterized by diarrhea as well as stomach pain and fever, are often transmitted from surfaces via unwashed hands.\u003c/p>\n\u003ch2>So when should I be washing my hands?\u003c/h2>\n\u003cp>In a public bathroom, for starters.\u003c/p>\n\u003cp>That’s because if someone has an enteric infection — that is, a bacterial sickness that’s entered their gut — they’re likely to be in the bathroom more often, explained Swartzberg, saying “and so bathrooms are likely places where you’re more likely to find enteric pathogens.”\u003c/p>\n\u003cp>A good rule of thumb when you’re out in public, advises Swartzberg, is to ask, have a lot of other hands been where my hands are right now? If so, it’s probably a good idea to wash your hands. Think: straps on BART, poles on Muni, frequently handled items in the grocery store. But “if you’re touching something that’s rarely touched by somebody else, it makes it less, far less important” to run to wash your hands straightaway, said Swartzberg.[pullquote size='medium' align='right']Tip: Don’t ever skip washing your hands in the bathroom, especially a public one.[/pullquote]That said, Swartzberg doesn’t want his advice to prompt people to take their hand hygiene too far. “While cleanliness is always a good, reasonable thing to strive for, obsessiveness with cleanliness is probably not only unnecessary, but perhaps not a good idea,” he advised.\u003c/p>\n\u003ch2>What’s the best way to wash my hands?\u003c/h2>\n\u003cp>It’s especially important to \u003ca href=\"https://www.cdc.gov/handwashing/when-how-handwashing.html\">wash your hands before and after preparing or eating food, using the bathroom or touching garbage\u003c/a>.\u003c/p>\n\u003cp>To wash your hands effectively, lather them with soap and running water, and scrub for at least 20 seconds. The lathering action of handwashing is so you create friction on your hands, which helps lift dirt and microbes off your skin. Try your best to dry your hands afterward, because germs have an easier time being transferred to and from wet hands.\u003c/p>\n\u003cp>Do you need to use antibacterial soap? No: \u003ca href=\"https://www.cdc.gov/handwashing/show-me-the-science-handwashing.html\">The CDC says that studies indicate there’s “no added health benefit for consumers”\u003c/a> for using antibacterial soap over regular soap if you’re not a health care professional. So go ahead and just use plain soap, which the CDC says is enough to achieve \u003ca href=\"https://www.cdc.gov/handwashing/show-me-the-science-handwashing.html\">the end goal of handwashing\u003c/a>: lifting dirt and microbes from your skin and washing them off your hands. Read \u003ca href=\"https://www.cdc.gov/handwashing/when-how-handwashing.html\">the CDC’s guide to effectively washing your hands\u003c/a>, and \u003ca href=\"https://www.cdc.gov/handwashing/show-me-the-science-handwashing.html\">the science behind the agency’s handwashing recommendations\u003c/a>.[pullquote size='medium' align='right']Tip: You don’t need antibacterial soap to effectively wash your hands — regular soap is just as effective.[/pullquote]For his part, Swartzberg says he thinks antibacterial soaps shouldn’t even be on the market, saying there’s a “strong argument against them” not just because of the potential for contributing to microbial resistance, but because \u003ca href=\"https://www.fda.gov/consumers/consumer-updates/antibacterial-soap-you-can-skip-it-use-plain-soap-and-water\">“some of these products may have toxicities.”\u003c/a>\u003c/p>\n\u003ch2>Finally: What about hand sanitizer?\u003c/h2>\n\u003cp>Of all the many now-bizarre memories from the early stages of the COVID outbreak, the hoarding and price gouging around hand sanitizer — a type of antiseptic that can help kill pathogens on your hands — might be one of the most indelible.\u003c/p>\n\u003cp>The placement of sanitizer dispensers and pumps in places you wouldn’t previously have seen them is one of the lasting effects of the COVID pandemic. But in 2023, should using hand sanitizer still play a role in our daily lives?[pullquote size='medium' align='right']Tip: Hand sanitizer is a great option when you physically can’t wash your hands — but it’s not effective against all types of viruses.[/pullquote]Absolutely, says Swartzberg, who notes that these hand sanitizers “play an important role in limiting the transmission of some pathogenic microorganisms.” Washing your hands well for at least 20 seconds with soap is best, but that’s “not always practical,” said Swartzberg, adding, “As long as your hands are free of visible dirt, hand sanitizers will kill many of the microorganisms that can make us sick.”\u003c/p>\n\u003cp>That said, Swartzberg noted, hand sanitizers “don’t do a very good job killing norovirus.” This is one of the reasons the CDC suggests you should use “an alcohol-based hand sanitizer that contains at least 60% alcohol” when you can’t wash your hands, but not as an alternative to handwashing if both options are available.\u003c/p>\n\u003cp>So, as useful as hand sanitizer can be in certain scenarios — for example, after using a park bathroom with no running water — be aware that it can’t protect you against every bug out there, and that washing your hands is always your safest bet.\u003c/p>\n\u003ch2>\u003ca id=\"tellus\">\u003c/a>Tell us: What else do you need information about?\u003c/h2>\n\u003cp>At KQED News, we know that it can sometimes be hard to track down the answers to navigate life in the Bay Area in 2023. We’ve published \u003ca href=\"https://www.kqed.org/news/tag/coronavirus-resources-and-explainers\">clear, practical explainers and guides about COVID\u003c/a>, \u003ca href=\"https://www.kqed.org/news/11936674/how-to-prepare-for-this-weeks-atmospheric-river-storm-sandbags-emergency-kits-and-more\">how to cope with intense winter weather\u003c/a> and \u003ca href=\"https://www.kqed.org/news/11821950/how-to-safely-attend-a-protest-in-the-bay-area\">how to exercise your right to protest safely\u003c/a>.\u003c/p>\n\u003cp>So tell us: What do you need to know more about? Tell us, and you could see your question answered online or on social media. What you submit will make our reporting stronger, and help us decide what to cover here on our site, and on KQED Public Radio, too.\u003c/p>\n\u003cp>[hearken id=\"10483\" src=\"https://modules.wearehearken.com/kqed/embed/10483.js\"]\u003c/p>\n\u003cp>[ad floatright]\u003c/p>\n",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>\u003ca href=\"https://www.vox.com/2020/2/28/21157769/how-to-prevent-the-coronavirus\">Online handwashing tutorials.\u003c/a> \u003ca href=\"https://www.nytimes.com/2020/03/14/technology/coronavirus-purell-wipes-amazon-sellers.html\">Hand sanitizer hoarding.\u003c/a> And in every public bathroom, signage urging you to wash your hands to slow the spread of the coronavirus.\u003c/p>\n\u003cp>It may be hard to believe now — after over three years of passionate conversations about masking — but when the COVID pandemic first hit in 2020, vigilant hand hygiene was positioned alongside social distancing as a key measure in the fight to slow the spread of SARS-CoV-2 around the country. And while it’s true that conversations about hand hygiene haven’t entirely vanished — just look at the laminated 2020-era handwashing posters you’ll still see in many public bathrooms around the Bay Area — “wash your hands” has undoubtedly receded as a core public health message at this point in the pandemic, in favor of masking, vaccination and booster shots.\u003c/p>\n\u003cp>But as we continue into Year Four of the COVID pandemic, should handwashing be something we keep in mind for our daily health?\u003c/p>\n\u003cp>The short answer is: absolutely — but it’s no longer really about COVID. Keep reading for the science behind those 2020 recommendations, the kinds of illnesses that handwashing can help protect you against and how useful hand sanitizer really is.\u003c/p>\n\u003ch2>Why was handwashing such a big thing when the pandemic first hit?\u003c/h2>\n\u003cp>To understand why hand hygiene was so emphasized in the first weeks of the pandemic, it’s crucial to understand just how little was initially known about the coronavirus, says Dr. John Swartzberg, clinical professor emeritus of the Infectious Diseases and Vaccinology division at UC Berkeley.\u003c/p>\n\u003cul>\n\u003cli>\u003cstrong>\u003ca href=\"#tellus\">Tell us: What else are you wondering about COVID?\u003c/a>\u003c/strong>\u003c/li>\n\u003c/ul>\n\u003cp>“In March of 2020, we didn’t really know much about how this brand-new virus was transmitted,” said Swartzberg. “And we assumed that it was transmitted like other respiratory viruses, probably just by droplets, maybe by air, but probably just droplets.”\u003c/p>\n\u003cp>In the absence of initial research, the medical community “said the basic things about transmission of respiratory viruses,” said Swartzberg. “Many of them were transmitted by inanimate objects, what we call fomites. And so, therefore, handwashing would be very important.”\u003c/p>\n\u003cfigure id=\"attachment_11946331\" class=\"wp-caption alignnone\" style=\"max-width: 800px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-medium wp-image-11946331\" src=\"https://ww2.kqed.org/app/uploads/sites/10/2023/04/RS64473_IMG_4163-qut-800x600.jpg\" alt=\"A poster taped to a beige bathroom stall wall that reads WASH YOUR HANDS! STOP THE SPREAD! and gives pictorial instructions for handwashing below\" width=\"800\" height=\"600\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2023/04/RS64473_IMG_4163-qut-800x600.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/04/RS64473_IMG_4163-qut-1020x765.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/04/RS64473_IMG_4163-qut-160x120.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/04/RS64473_IMG_4163-qut-1536x1152.jpg 1536w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/04/RS64473_IMG_4163-qut.jpg 1920w\" sizes=\"(max-width: 800px) 100vw, 800px\">\u003cfigcaption class=\"wp-caption-text\">In 2020, signs urging people to wash their hands to ‘stop the spread’ of COVID went up in public bathrooms around the country — and stayed up. \u003ccite>(Carly Severn/KQED)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>“We didn’t know that in terms of any science to support that. Just like we didn’t know that SARS-CoV-2 is primarily transmitted as an airborne virus, but also can be droplets,” said Swartzberg.\u003c/p>\n\u003cp>Another reason handwashing was so initially emphasized, says Swartzberg, was based on the earliest research on the coronavirus and fomites — that is, those surfaces and objects that could carry the virus.\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>He notes that early research in spring 2020 indicated that SARS-CoV-2 could survive anywhere from a few hours to as much as 36 hours on a surface — “and so because of that, the assumption was, ‘Well, if it can survive on fomites for hours to days, then therefore we ought to make sure that we wash our hands frequently because we could get a viable virus on our hands.’”\u003c/p>\n\u003cp>But all of this begs the next question …\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003ch2>Does handwashing actually help safeguard against COVID?\u003c/h2>\n\u003cp>In short: While handwashing is almost never a bad thing, it’s probably not going to reduce your chances of getting COVID.\u003c/p>\n\u003cp>As what scientists knew about the coronavirus evolved in 2020, and consensus emerged that this was an airborne virus that could also be spread by droplets in the air, mask-wearing emerged as the most effective way to protect oneself from COVID. By July 2020, \u003ca href=\"https://www.cdc.gov/media/releases/2020/p0714-americans-to-wear-masks.html\">the Centers for Disease Control and Prevention was urging people across the nation to wear masks\u003c/a> — albeit cloth ones, which have since been proven to be far less effective than N95s at reducing COVID risks.\u003c/p>\n\u003cp>After all the emphasis on fomites — and all those 2020 videos showing how to clean your groceries — this kind of transmission ultimately remained something that had “just made sense” to people initially, said Swartzberg, “but no one ever demonstrated that it was transmitted that way.”\u003c/p>\n\u003cp>The medical community was still concerned about the coronavirus getting onto your mucous membranes, like inside your nose and mouth, says Swartzberg — but masks soon became seen as the most effective way to protect those parts of your body, not handwashing. It’s not that washing didn’t remove COVID risks from your hands, per se; it’s more that pathogens were far more busy trying to invade your body through aerosol and droplet transmission from the air. And by January 2022, \u003ca href=\"https://www.cdc.gov/media/releases/2020/p0714-americans-to-wear-masks.html\">a well-fitted N95 mask was being recommended by the CDC\u003c/a> as offering the “highest level of protection” from the particles that cause COVID.\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>Of course, as Swartzberg notes, “an absence of evidence doesn’t mean there’s evidence of absence” — meaning, there is no evidence that surface transmission \u003cem>hasn’t\u003c/em> been the way some people have gotten COVID over the last three years. This is echoed by UCSF infectious disease specialist Dr. Peter Chin-Hong, who notes that someone with a job that raises their chances of COVID exposure through surfaces — say, a teacher in close quarters with coughing kindergartners — might still have a higher chance of COVID infection from fomites than the average person represented in studies.\u003c/p>\n\u003cp>The fact remains: If you want to protect yourself against COVID, focus more on getting your primary vaccination series if you haven’t already, \u003ca href=\"https://www.kqed.org/news/11924327/where-can-i-find-a-new-omicron-covid-booster-shot-near-me\">getting a bivalent booster\u003c/a> and wearing a well-fitted N95 mask in poorly ventilated or crowded spaces, especially during a COVID surge in your region. But just because handwashing wasn’t the key to stopping the spread of COVID doesn’t mean it can’t help fight the causes of many other nasty illnesses.\u003c/p>\n\u003cp>Which leads us to …\u003c/p>\n\u003ch2>What viruses does handwashing help fight?\u003c/h2>\n\u003cp>Handwashing has been “revered” for many years in the health care field, said Chin-Hong, “because there’s so much ample evidence showing that it not just prevents infections, but it actually saves lives in hospitalized patients” when health care workers practice good hand hygiene to reduce the risks of infection.\u003c/p>\n\u003cp>“COVID is not the only game in town anymore,” said Chin-Hong. “I think washing your hands should have a big comeback, because we have a big diversity of things that affect people now” when it comes to infections. Ultimately, “washing hands will save you a lot of grief,” he said.\u003c/p>\n\u003cp>So what viruses, bacteria and illnesses can handwashing protect you from?\u003c/p>\u003c/div>",
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"content": "Tip: The common cold, norovirus and salmonella are just some of the — unpleasant — sicknesses that handwashing can really help protect you against.",
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"content": "\u003cdiv class=\"post-body\">\u003cp>The rhinovirus — the most common cause of the common cold — is one of those viruses that’s “transmitted easily by inanimate objects,” said Swartzberg, referring to when you touch a fomite and then touch your face. (Something you might not expect: As for the flu, Swartzberg says the jury’s still out: Even though scientists have known about the influenza virus for almost a century, “there is still a debate as to whether handwashing makes a difference with that virus,” he said.)\u003c/p>\n\u003cp>The common cold aside, your risks of even more unpleasant illnesses can be raised by you neglecting to wash your hands — and very unpleasant gastrointestinal infections are ripe for transmission through unwashed hands. \u003ca href=\"https://www.nbcbayarea.com/news/health/norovirus-surge/3157809/\">Cases of norovirus — a highly contagious virus that causes nausea, vomiting and diarrhea — surged\u003c/a> in February within the Bay Area, and as recently as late March, \u003ca href=\"https://www.cdph.ca.gov/Programs/OPA/Pages/CAHAN/Elevated-Norovirus-Activity-in-California-.aspx\">California health officials have warned of “elevated norovirus activity”\u003c/a> around the state. \u003ca href=\"https://www.cdc.gov/shigella/symptoms.html\">The bacterial infections shigella\u003c/a> and \u003ca href=\"https://www.cdc.gov/salmonella/index.html\">salmonella\u003c/a>, which both are also characterized by diarrhea as well as stomach pain and fever, are often transmitted from surfaces via unwashed hands.\u003c/p>\n\u003ch2>So when should I be washing my hands?\u003c/h2>\n\u003cp>In a public bathroom, for starters.\u003c/p>\n\u003cp>That’s because if someone has an enteric infection — that is, a bacterial sickness that’s entered their gut — they’re likely to be in the bathroom more often, explained Swartzberg, saying “and so bathrooms are likely places where you’re more likely to find enteric pathogens.”\u003c/p>\n\u003cp>A good rule of thumb when you’re out in public, advises Swartzberg, is to ask, have a lot of other hands been where my hands are right now? If so, it’s probably a good idea to wash your hands. Think: straps on BART, poles on Muni, frequently handled items in the grocery store. But “if you’re touching something that’s rarely touched by somebody else, it makes it less, far less important” to run to wash your hands straightaway, said Swartzberg.\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>That said, Swartzberg doesn’t want his advice to prompt people to take their hand hygiene too far. “While cleanliness is always a good, reasonable thing to strive for, obsessiveness with cleanliness is probably not only unnecessary, but perhaps not a good idea,” he advised.\u003c/p>\n\u003ch2>What’s the best way to wash my hands?\u003c/h2>\n\u003cp>It’s especially important to \u003ca href=\"https://www.cdc.gov/handwashing/when-how-handwashing.html\">wash your hands before and after preparing or eating food, using the bathroom or touching garbage\u003c/a>.\u003c/p>\n\u003cp>To wash your hands effectively, lather them with soap and running water, and scrub for at least 20 seconds. The lathering action of handwashing is so you create friction on your hands, which helps lift dirt and microbes off your skin. Try your best to dry your hands afterward, because germs have an easier time being transferred to and from wet hands.\u003c/p>\n\u003cp>Do you need to use antibacterial soap? No: \u003ca href=\"https://www.cdc.gov/handwashing/show-me-the-science-handwashing.html\">The CDC says that studies indicate there’s “no added health benefit for consumers”\u003c/a> for using antibacterial soap over regular soap if you’re not a health care professional. So go ahead and just use plain soap, which the CDC says is enough to achieve \u003ca href=\"https://www.cdc.gov/handwashing/show-me-the-science-handwashing.html\">the end goal of handwashing\u003c/a>: lifting dirt and microbes from your skin and washing them off your hands. Read \u003ca href=\"https://www.cdc.gov/handwashing/when-how-handwashing.html\">the CDC’s guide to effectively washing your hands\u003c/a>, and \u003ca href=\"https://www.cdc.gov/handwashing/show-me-the-science-handwashing.html\">the science behind the agency’s handwashing recommendations\u003c/a>.\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>For his part, Swartzberg says he thinks antibacterial soaps shouldn’t even be on the market, saying there’s a “strong argument against them” not just because of the potential for contributing to microbial resistance, but because \u003ca href=\"https://www.fda.gov/consumers/consumer-updates/antibacterial-soap-you-can-skip-it-use-plain-soap-and-water\">“some of these products may have toxicities.”\u003c/a>\u003c/p>\n\u003ch2>Finally: What about hand sanitizer?\u003c/h2>\n\u003cp>Of all the many now-bizarre memories from the early stages of the COVID outbreak, the hoarding and price gouging around hand sanitizer — a type of antiseptic that can help kill pathogens on your hands — might be one of the most indelible.\u003c/p>\n\u003cp>The placement of sanitizer dispensers and pumps in places you wouldn’t previously have seen them is one of the lasting effects of the COVID pandemic. But in 2023, should using hand sanitizer still play a role in our daily lives?\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>Absolutely, says Swartzberg, who notes that these hand sanitizers “play an important role in limiting the transmission of some pathogenic microorganisms.” Washing your hands well for at least 20 seconds with soap is best, but that’s “not always practical,” said Swartzberg, adding, “As long as your hands are free of visible dirt, hand sanitizers will kill many of the microorganisms that can make us sick.”\u003c/p>\n\u003cp>That said, Swartzberg noted, hand sanitizers “don’t do a very good job killing norovirus.” This is one of the reasons the CDC suggests you should use “an alcohol-based hand sanitizer that contains at least 60% alcohol” when you can’t wash your hands, but not as an alternative to handwashing if both options are available.\u003c/p>\n\u003cp>So, as useful as hand sanitizer can be in certain scenarios — for example, after using a park bathroom with no running water — be aware that it can’t protect you against every bug out there, and that washing your hands is always your safest bet.\u003c/p>\n\u003ch2>\u003ca id=\"tellus\">\u003c/a>Tell us: What else do you need information about?\u003c/h2>\n\u003cp>At KQED News, we know that it can sometimes be hard to track down the answers to navigate life in the Bay Area in 2023. We’ve published \u003ca href=\"https://www.kqed.org/news/tag/coronavirus-resources-and-explainers\">clear, practical explainers and guides about COVID\u003c/a>, \u003ca href=\"https://www.kqed.org/news/11936674/how-to-prepare-for-this-weeks-atmospheric-river-storm-sandbags-emergency-kits-and-more\">how to cope with intense winter weather\u003c/a> and \u003ca href=\"https://www.kqed.org/news/11821950/how-to-safely-attend-a-protest-in-the-bay-area\">how to exercise your right to protest safely\u003c/a>.\u003c/p>\n\u003cp>So tell us: What do you need to know more about? Tell us, and you could see your question answered online or on social media. What you submit will make our reporting stronger, and help us decide what to cover here on our site, and on KQED Public Radio, too.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"title": "California’s Options Limited on Abortion Pill Following Texas Judge Ruling",
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"content": "\u003cp>California’s Democratic lawmakers have spent the past year \u003ca href=\"https://calmatters.org/health/2022/09/california-abortion-bills/\">enacting legislation to protect abortion rights\u003c/a> in the wake of Roe v. Wade’s reversal, but a ruling today by a Texas federal judge is one thing they can’t touch.\u003c/p>\n\u003cp>U.S. District Judge Matthew Kacsmaryk suspended \u003ca href=\"https://www.dropbox.com/s/jnm4r233xat6tv4/ND%20Tex%20FDA%20decision.pdf?dl=0\">the U.S. Food and Drug Administration’s two-decades’-old approval (PDF)\u003c/a> of mifepristone, arguing that\u003cstrong> \u003c/strong>it was flawed and invalid.\u003c/p>\n\u003cp>Kacsmaryk \u003ca href=\"https://www.kqed.org/news/11946073/texas-judge-halts-fda-approval-of-abortion-pill-mifepristone-newsom-slams-ruling\">issued a temporary stay on his ruling\u003c/a> for seven days to allow the Biden Justice Department to appeal, which \u003ca href=\"https://www.yahoo.com/news/justice-department-files-immediate-appeal-013017962.html\">it quickly did\u003c/a>. The ruling is likely to pull the drug from pharmacy shelves unless a higher court intervenes while the case moves through the appeal process.\u003c/p>\n\u003cp>But soon after the ruling in Texas, a district judge in Washington state issued a conflicting ruling \u003ca href=\"https://www.nytimes.com/2023/02/24/health/abortion-pills-fda-lawsuit.html\">in a separate case\u003c/a>, prohibiting the FDA from taking the drug off the market in 17 Democratic-led states (not including California). Despite the confusion caused by these \u003ca href=\"https://www.cnbc.com/2023/03/29/abortion-pill-dueling-court-cases-could-determine-legality-of-mifepristone.html\">dueling decisions\u003c/a>, legal experts say even the threat of a legal gray area is likely to cause providers to stop distributing the drug.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>Mifepristone is the first of a two-drug regimen that makes up the majority of abortions in the U.S., according to the Guttmacher Institute, a reproductive health research and policy center. It \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\">blocks the pregnancy hormone progesterone\u003c/a> and is also used to manage miscarriages.\u003c/p>\n\u003cp>While the \u003ca href=\"https://calmatters.org/abortion-rights/2022/06/california-abortion-roe-ruling/\">U.S. Supreme Court’s Dobbs decision\u003c/a> last June rescinded federal abortion protections, it left intact states’ ability to set their own abortion laws. California legislators and Gov. Gavin Newsom jumped at the chance to make the state \u003ca href=\"https://calmatters.org/explainers/abortion-in-california-laws/\">a beacon for progressive politics\u003c/a>, even approving financial assistance for people in other states seeking abortions in California.\u003c/p>\n\u003cp>[pullquote size=\"medium\" align=\"right\" citation=\"Lisa Matsubara, attorney, Planned Parenthood Affiliates of California\"]‘We’re in uncharted territory. It will take some time to understand how this will play out in California.’[/pullquote]\u003c/p>\n\u003cp>But Kacsmaryk’s ruling addresses the FDA’s authority nationally, and leaves little room for states to mitigate the fallout.\u003c/p>\n\u003cp>“We’re in uncharted territory,” Lisa Matsubara, an attorney for Planned Parenthood Affiliates of California and vice president of policy, told CalMatters a day after Kacsmaryk heard arguments in the case in mid-March. “It will take some time to understand how this will play out in California.”\u003c/p>\n\u003cp>But Newsom quickly fired back at the ruling. “Today’s ruling, by an extremist judge pursuing a radical political agenda, ignores facts, science, and the law — putting the health of millions of women and girls at risk,” the \u003ca href=\"https://twitter.com/CAgovernor/status/1644486997648736256?s=20\">governor said in a statement\u003c/a>. “Abortion is still legal and accessible here in California and we won’t stand by as fundamental freedoms are stripped away.”\u003c/p>\n\u003cp>The ruling comes less than a month after the Legislative Women’s Caucus and Future of Abortion Council announced a \u003ca href=\"https://womenscaucus.legislature.ca.gov/news/2023-03-13-ca-legislative-women%E2%80%99s-caucus-fab-council-announce-2023-bill-package-reproductive\">package of 17 bills\u003c/a> building on last session’s work and primarily focusing on privacy and legal protections for patients and providers. State Sen. \u003ca href=\"https://calmatters.org/legislator-tracker/nancy-skinner-1954/\">Nancy Skinner\u003c/a>, a Democrat from Oakland and chair of the caucus, said during a press conference unveiling the legislation that lawmakers were “not done, not by a long shot” in their efforts to preserve abortion rights.\u003c/p>\n\u003cfigure id=\"attachment_11946294\" class=\"wp-caption aligncenter\" style=\"max-width: 1920px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"wp-image-11946294 size-full\" src=\"https://ww2.kqed.org/app/uploads/sites/10/2023/04/RS25463_20170515_StateCapitol_Sen_NancySkinner_credit_BertJohnson-2-qut.jpg\" alt=\"A white woman in business attire, eyeglasses and short, graying brown hair talks from a lectern inside a California government building.\" width=\"1920\" height=\"1280\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2023/04/RS25463_20170515_StateCapitol_Sen_NancySkinner_credit_BertJohnson-2-qut.jpg 1920w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/04/RS25463_20170515_StateCapitol_Sen_NancySkinner_credit_BertJohnson-2-qut-800x533.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/04/RS25463_20170515_StateCapitol_Sen_NancySkinner_credit_BertJohnson-2-qut-1020x680.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/04/RS25463_20170515_StateCapitol_Sen_NancySkinner_credit_BertJohnson-2-qut-160x107.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/04/RS25463_20170515_StateCapitol_Sen_NancySkinner_credit_BertJohnson-2-qut-1536x1024.jpg 1536w\" sizes=\"auto, (max-width: 1920px) 100vw, 1920px\">\u003cfigcaption class=\"wp-caption-text\">State Senator Nancy Skinner in Sacramento on May 15, 2017. Skinner is also chair of the Legislative Women’s Caucus, which co-authored a package of 17 bills that primarily focus on privacy and legal protections for patients and providers. At a press conference unveiling the legislation, she said lawmakers were “not done, not by a long shot” in their efforts to preserve abortion rights. \u003ccite>(Bert Johnson/KQED)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>The \u003ca href=\"https://twitter.com/NancySkinnerCA/status/1644483170350559232?s=20\">women’s caucus issued a statement\u003c/a> blasting the “abominable” and “deplorable” ruling: “When will the assault on women’s health and dignity stop? That one anti-abortion judge has the power to block access to a safe and medically proven treatment is an outrage.”\u003c/p>\n\u003cp>The caucus vowed again: “California will not back down.”\u003c/p>\n\u003cp>Ahead of the district court’s ruling, 20 Republican-led states threatened retail pharmacies with legal action should they distribute abortion pills. In \u003ca href=\"https://twitter.com/GavinNewsom/status/1632811406344192000?s=20\">an attention-grabbing tweet\u003c/a>, Newsom made the sweeping announcement that California would no longer do business with Walgreens, which had announced it would not stock the medication in states where attorneys general were opposed. Newsom has since had to \u003ca href=\"https://calmatters.org/newsletters/whatmatters/2023/04/gavin-newsom-walgreens/\">significantly walk back the statement\u003c/a>, which ran afoul of federal regulations.\u003c/p>\n\u003cp>Despite political assurances, the state can’t take any direct action to keep mifepristone available.\u003c/p>\n\u003cp>“There’s nothing to be done at the state level to make it newly legal so to speak,” said Cat Duffy, policy analyst specializing in reproductive rights with the National Health Law Program. “It’ll be in the hands of the (U.S. Department of Justice) to appeal the ruling.”[aside postID=news_11942999 hero='https://ww2.kqed.org/app/uploads/sites/10/2021/10/GettyImages-1346412977-1020x680.jpg']Though Kacsmaryk’s ruling does not entirely revoke the FDA’s approval of mifepristone, leaving that decision up to a higher court, this type of challenge to the agency’s authority to regulate pharmaceuticals is unprecedented, Duffy said.\u003c/p>\n\u003cp>Misoprostol, the second drug used typically in conjunction with mifepristone, remains legal.\u003c/p>\n\u003cp>Planned Parenthood Affiliates of California CEO Jodi Hicks said in March the organization’s clinics will move to a misoprostol-only treatment should the district court’s decision tie their hands. Misoprostol causes contractions and forces the body to empty the uterus. Studies show it is safe and effective when used alone, but \u003ca href=\"https://www.aafp.org/pubs/afp/issues/2021/0415/p473.html\">there are fewer side effects like prolonged bleeding when used in conjunction with mifepristone\u003c/a>, according to the American Academy of Family Physicians.\u003c/p>\n\u003cp>Although misoprostol remains available, the inability to use mifepristone stretches an “already strapped network,” Duffy said.\u003c/p>\n\u003cp>“It [will] really gut a lot of advances made in improving access that disproportionately impact people in rural areas and the folks that face structural barriers to care like Black and Indigenous communities,” Duffy said.[pullquote size=\"medium\" align=\"right\" citation=\"Lisa Matsubara, attorney, Planned Parenthood Affiliates of California\"]‘We’re going to do whatever we can to make sure that folks are protected and that we are really, truly a haven state.’[/pullquote]\u003ca href=\"https://www.guttmacher.org/article/2022/02/medication-abortion-now-accounts-more-half-all-us-abortions\">More than half of abortions are completed by medication nationally\u003c/a>, according to the Guttmacher Institute. Though \u003ca href=\"https://calmatters.org/health/2022/06/abortion-data-california/\">California does not track detailed abortion data\u003c/a>, advocates say COVID-19 pandemic rules allowing abortion medication to be prescribed through telehealth and delivered via mail improved access in rural areas of the state where there are no abortion clinics. Kacsmaryk’s ruling states, in part, that the FDA inappropriately relaxed in-person prescribing and distribution rules.\u003c/p>\n\u003cp>Legislation introduced this year by the Women’s Caucus and Future of Abortion Council primarily focuses on tightening privacy protections for patients and providers.\u003c/p>\n\u003cp>“We’re going to do whatever we can to make sure that folks are protected and that we are really, truly a haven state,” Planned Parenthood attorney Matsubara said. “As things come up this year we may have to change course. That’s certainly what we did last year and we’re prepared to do that again this year.”\u003c/p>\n\u003cp>[ad floatright]\u003c/p>\n",
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"excerpt": "A ruling that suspends federal approval for medication abortion will not be easy for California abortion access advocates to overcome. Unless it's reversed on appeal, the drug will likely be pulled from pharmacy shelves.",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>California’s Democratic lawmakers have spent the past year \u003ca href=\"https://calmatters.org/health/2022/09/california-abortion-bills/\">enacting legislation to protect abortion rights\u003c/a> in the wake of Roe v. Wade’s reversal, but a ruling today by a Texas federal judge is one thing they can’t touch.\u003c/p>\n\u003cp>U.S. District Judge Matthew Kacsmaryk suspended \u003ca href=\"https://www.dropbox.com/s/jnm4r233xat6tv4/ND%20Tex%20FDA%20decision.pdf?dl=0\">the U.S. Food and Drug Administration’s two-decades’-old approval (PDF)\u003c/a> of mifepristone, arguing that\u003cstrong> \u003c/strong>it was flawed and invalid.\u003c/p>\n\u003cp>Kacsmaryk \u003ca href=\"https://www.kqed.org/news/11946073/texas-judge-halts-fda-approval-of-abortion-pill-mifepristone-newsom-slams-ruling\">issued a temporary stay on his ruling\u003c/a> for seven days to allow the Biden Justice Department to appeal, which \u003ca href=\"https://www.yahoo.com/news/justice-department-files-immediate-appeal-013017962.html\">it quickly did\u003c/a>. The ruling is likely to pull the drug from pharmacy shelves unless a higher court intervenes while the case moves through the appeal process.\u003c/p>\n\u003cp>But soon after the ruling in Texas, a district judge in Washington state issued a conflicting ruling \u003ca href=\"https://www.nytimes.com/2023/02/24/health/abortion-pills-fda-lawsuit.html\">in a separate case\u003c/a>, prohibiting the FDA from taking the drug off the market in 17 Democratic-led states (not including California). Despite the confusion caused by these \u003ca href=\"https://www.cnbc.com/2023/03/29/abortion-pill-dueling-court-cases-could-determine-legality-of-mifepristone.html\">dueling decisions\u003c/a>, legal experts say even the threat of a legal gray area is likely to cause providers to stop distributing the drug.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>Mifepristone is the first of a two-drug regimen that makes up the majority of abortions in the U.S., according to the Guttmacher Institute, a reproductive health research and policy center. It \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\">blocks the pregnancy hormone progesterone\u003c/a> and is also used to manage miscarriages.\u003c/p>\n\u003cp>While the \u003ca href=\"https://calmatters.org/abortion-rights/2022/06/california-abortion-roe-ruling/\">U.S. Supreme Court’s Dobbs decision\u003c/a> last June rescinded federal abortion protections, it left intact states’ ability to set their own abortion laws. California legislators and Gov. Gavin Newsom jumped at the chance to make the state \u003ca href=\"https://calmatters.org/explainers/abortion-in-california-laws/\">a beacon for progressive politics\u003c/a>, even approving financial assistance for people in other states seeking abortions in California.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>But Kacsmaryk’s ruling addresses the FDA’s authority nationally, and leaves little room for states to mitigate the fallout.\u003c/p>\n\u003cp>“We’re in uncharted territory,” Lisa Matsubara, an attorney for Planned Parenthood Affiliates of California and vice president of policy, told CalMatters a day after Kacsmaryk heard arguments in the case in mid-March. “It will take some time to understand how this will play out in California.”\u003c/p>\n\u003cp>But Newsom quickly fired back at the ruling. “Today’s ruling, by an extremist judge pursuing a radical political agenda, ignores facts, science, and the law — putting the health of millions of women and girls at risk,” the \u003ca href=\"https://twitter.com/CAgovernor/status/1644486997648736256?s=20\">governor said in a statement\u003c/a>. “Abortion is still legal and accessible here in California and we won’t stand by as fundamental freedoms are stripped away.”\u003c/p>\n\u003cp>The ruling comes less than a month after the Legislative Women’s Caucus and Future of Abortion Council announced a \u003ca href=\"https://womenscaucus.legislature.ca.gov/news/2023-03-13-ca-legislative-women%E2%80%99s-caucus-fab-council-announce-2023-bill-package-reproductive\">package of 17 bills\u003c/a> building on last session’s work and primarily focusing on privacy and legal protections for patients and providers. State Sen. \u003ca href=\"https://calmatters.org/legislator-tracker/nancy-skinner-1954/\">Nancy Skinner\u003c/a>, a Democrat from Oakland and chair of the caucus, said during a press conference unveiling the legislation that lawmakers were “not done, not by a long shot” in their efforts to preserve abortion rights.\u003c/p>\n\u003cfigure id=\"attachment_11946294\" class=\"wp-caption aligncenter\" style=\"max-width: 1920px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"wp-image-11946294 size-full\" src=\"https://ww2.kqed.org/app/uploads/sites/10/2023/04/RS25463_20170515_StateCapitol_Sen_NancySkinner_credit_BertJohnson-2-qut.jpg\" alt=\"A white woman in business attire, eyeglasses and short, graying brown hair talks from a lectern inside a California government building.\" width=\"1920\" height=\"1280\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2023/04/RS25463_20170515_StateCapitol_Sen_NancySkinner_credit_BertJohnson-2-qut.jpg 1920w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/04/RS25463_20170515_StateCapitol_Sen_NancySkinner_credit_BertJohnson-2-qut-800x533.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/04/RS25463_20170515_StateCapitol_Sen_NancySkinner_credit_BertJohnson-2-qut-1020x680.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/04/RS25463_20170515_StateCapitol_Sen_NancySkinner_credit_BertJohnson-2-qut-160x107.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/04/RS25463_20170515_StateCapitol_Sen_NancySkinner_credit_BertJohnson-2-qut-1536x1024.jpg 1536w\" sizes=\"auto, (max-width: 1920px) 100vw, 1920px\">\u003cfigcaption class=\"wp-caption-text\">State Senator Nancy Skinner in Sacramento on May 15, 2017. Skinner is also chair of the Legislative Women’s Caucus, which co-authored a package of 17 bills that primarily focus on privacy and legal protections for patients and providers. At a press conference unveiling the legislation, she said lawmakers were “not done, not by a long shot” in their efforts to preserve abortion rights. \u003ccite>(Bert Johnson/KQED)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>The \u003ca href=\"https://twitter.com/NancySkinnerCA/status/1644483170350559232?s=20\">women’s caucus issued a statement\u003c/a> blasting the “abominable” and “deplorable” ruling: “When will the assault on women’s health and dignity stop? That one anti-abortion judge has the power to block access to a safe and medically proven treatment is an outrage.”\u003c/p>\n\u003cp>The caucus vowed again: “California will not back down.”\u003c/p>\n\u003cp>Ahead of the district court’s ruling, 20 Republican-led states threatened retail pharmacies with legal action should they distribute abortion pills. In \u003ca href=\"https://twitter.com/GavinNewsom/status/1632811406344192000?s=20\">an attention-grabbing tweet\u003c/a>, Newsom made the sweeping announcement that California would no longer do business with Walgreens, which had announced it would not stock the medication in states where attorneys general were opposed. Newsom has since had to \u003ca href=\"https://calmatters.org/newsletters/whatmatters/2023/04/gavin-newsom-walgreens/\">significantly walk back the statement\u003c/a>, which ran afoul of federal regulations.\u003c/p>\n\u003cp>Despite political assurances, the state can’t take any direct action to keep mifepristone available.\u003c/p>\n\u003cp>“There’s nothing to be done at the state level to make it newly legal so to speak,” said Cat Duffy, policy analyst specializing in reproductive rights with the National Health Law Program. “It’ll be in the hands of the (U.S. Department of Justice) to appeal the ruling.”\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>Though Kacsmaryk’s ruling does not entirely revoke the FDA’s approval of mifepristone, leaving that decision up to a higher court, this type of challenge to the agency’s authority to regulate pharmaceuticals is unprecedented, Duffy said.\u003c/p>\n\u003cp>Misoprostol, the second drug used typically in conjunction with mifepristone, remains legal.\u003c/p>\n\u003cp>Planned Parenthood Affiliates of California CEO Jodi Hicks said in March the organization’s clinics will move to a misoprostol-only treatment should the district court’s decision tie their hands. Misoprostol causes contractions and forces the body to empty the uterus. Studies show it is safe and effective when used alone, but \u003ca href=\"https://www.aafp.org/pubs/afp/issues/2021/0415/p473.html\">there are fewer side effects like prolonged bleeding when used in conjunction with mifepristone\u003c/a>, according to the American Academy of Family Physicians.\u003c/p>\n\u003cp>Although misoprostol remains available, the inability to use mifepristone stretches an “already strapped network,” Duffy said.\u003c/p>\n\u003cp>“It [will] really gut a lot of advances made in improving access that disproportionately impact people in rural areas and the folks that face structural barriers to care like Black and Indigenous communities,” Duffy said.\u003c/p>\u003c/div>",
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"content": "‘We’re going to do whatever we can to make sure that folks are protected and that we are really, truly a haven state.’",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003ca href=\"https://www.guttmacher.org/article/2022/02/medication-abortion-now-accounts-more-half-all-us-abortions\">More than half of abortions are completed by medication nationally\u003c/a>, according to the Guttmacher Institute. Though \u003ca href=\"https://calmatters.org/health/2022/06/abortion-data-california/\">California does not track detailed abortion data\u003c/a>, advocates say COVID-19 pandemic rules allowing abortion medication to be prescribed through telehealth and delivered via mail improved access in rural areas of the state where there are no abortion clinics. Kacsmaryk’s ruling states, in part, that the FDA inappropriately relaxed in-person prescribing and distribution rules.\u003c/p>\n\u003cp>Legislation introduced this year by the Women’s Caucus and Future of Abortion Council primarily focuses on tightening privacy protections for patients and providers.\u003c/p>\n\u003cp>“We’re going to do whatever we can to make sure that folks are protected and that we are really, truly a haven state,” Planned Parenthood attorney Matsubara said. “As things come up this year we may have to change course. That’s certainly what we did last year and we’re prepared to do that again this year.”\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cp>With police officers standing by, city workers began on Monday what will be a two-week process of clearing residents and their belongings from the \u003ca href=\"http://www.woodstreetcommons.com/\">Wood Street Commons\u003c/a>, a longstanding community of unhoused people that, until September, was the city’s largest.\u003c/p>\n\u003cp>During a press conference held on-site the same morning, Wood Street residents and activists took turns speaking about the evictions taking place.\u003c/p>\n\u003cp>[pullquote size=\"medium\" align=\"right\" citation=\"LaMonte Ford, Wood Street Commons resident\"]‘We’re just like you. We’re normal people. I have two jobs. I cannot afford the rent. I’ve been here 10 years. You think I can pack it up in two bags?’[/pullquote]\u003c/p>\n\u003cp>“We’re trying. We’re doing the best we can. If we had resources, we’d be a whole lot better,” said LaMonte Ford, 48, a longtime resident and lead organizer at Wood Street. “We’re just like you. We’re normal people. I have two jobs. I cannot afford the rent. I’ve been here 10 years. You think I can pack it up in two bags?”\u003c/p>\n\u003cp>Around 60 people live in RVs and trailers at the site, located at \u003ca href=\"https://www.kqed.org/news/11945682/the-last-residents-of-oaklands-wood-street-encampment\">1707 Wood Street in West Oakland\u003c/a>. Residents have built the space into a resource hub, complete with a communal kitchen, outdoor meeting areas, a free store, space for food and clothing donations, storage facilities and other amenities.\u003c/p>\n\u003cfigure id=\"attachment_11946234\" class=\"wp-caption aligncenter\" style=\"max-width: 1920px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"wp-image-11946234 size-full\" src=\"https://ww2.kqed.org/app/uploads/sites/10/2023/04/023_KQED_WoodStreetCommonsEviction_04102023.jpg\" alt=\"A Black man looks through a chain link fence at police officers on the other side of it. The man has a crowd of people behind him as his fingers rest in between the fence coils.\" width=\"1920\" height=\"1280\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2023/04/023_KQED_WoodStreetCommonsEviction_04102023.jpg 1920w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/04/023_KQED_WoodStreetCommonsEviction_04102023-800x533.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/04/023_KQED_WoodStreetCommonsEviction_04102023-1020x680.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/04/023_KQED_WoodStreetCommonsEviction_04102023-160x107.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/04/023_KQED_WoodStreetCommonsEviction_04102023-1536x1024.jpg 1536w\" sizes=\"auto, (max-width: 1920px) 100vw, 1920px\">\u003cfigcaption class=\"wp-caption-text\">Wood Street resident LaMonte Ford speaks to the police as the city of Oakland begins to evict the Wood Street encampment in Oakland on April 10, 2023. \u003ccite>(Beth LaBerge/KQED)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>Jean Walsh, spokesperson for the city, said the city is offering residents beds at a new “cabin community” site a few blocks away, as well as parking spaces at a recently opened RV lot in East Oakland and at shelters throughout the city.\u003c/p>\n\u003cp>As of Monday, Walsh said four residents had agreed to relocate to the new cabin site.\u003c/p>\n\u003cp>“We’re being cattle-rustled from one camp to another camp, and around and around we go,” Wood Street resident Mavin Carter-Griffin said at the press conference.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>“It’s like, ‘Move over, homeless. We’re going to stomp right through this and we’re going to stick you in some sheds,’” Carter-Griffin continued. “Sheds are so six years ago. There are many different types of unhoused people. We’re not the shed type. That wasn’t good for us. … That’s a prison cell.”\u003c/p>\n\u003cfigure id=\"attachment_11946232\" class=\"wp-caption aligncenter\" style=\"max-width: 1920px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"wp-image-11946232 size-full\" src=\"https://ww2.kqed.org/app/uploads/sites/10/2023/04/031_KQED_WoodStreetCommonsEviction_04102023.jpg\" alt=\"A Black police officer is shown standing behind a chain link fence as city workers behind him haul wood and other materials into large garbage trucks.\" width=\"1920\" height=\"1280\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2023/04/031_KQED_WoodStreetCommonsEviction_04102023.jpg 1920w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/04/031_KQED_WoodStreetCommonsEviction_04102023-800x533.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/04/031_KQED_WoodStreetCommonsEviction_04102023-1020x680.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/04/031_KQED_WoodStreetCommonsEviction_04102023-160x107.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/04/031_KQED_WoodStreetCommonsEviction_04102023-1536x1024.jpg 1536w\" sizes=\"auto, (max-width: 1920px) 100vw, 1920px\">\u003cfigcaption class=\"wp-caption-text\">The city of Oakland works to clear items from the Wood Street encampment in Oakland on April 10, 2023. \u003ccite>(Beth LaBerge/KQED)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>[aside label='More Stories on Wood Street Commons' tag='wood-street-commons']\u003c/p>\n\u003cp>The city has long planned to redevelop the formerly vacant lot into affordable housing. It \u003ca href=\"https://oakland.legistar.com/LegislationDetail.aspx?ID=745898&GUID=9A69A99B-2EA1-4B3E-BA84-C0DE1D47F9E0&Options=&Search=\">purchased the property, which is across from Raimondi Park, in 2007 for $8 million\u003c/a> as part of a larger redevelopment of the area that authorized around \u003ca href=\"https://oakland.legistar.com/LegislationDetail.aspx?ID=742328&GUID=6BB49C5D-30C9-4253-85B8-6E66E8499C3A&Options=&Search=\">1,500 new homes and apartments\u003c/a>.\u003c/p>\n\u003cp>But \u003ca href=\"https://oakland.legistar.com/LegislationDetail.aspx?ID=3759867&GUID=ECC644E3-BC09-4E5E-A98E-A04FCE3B7F11&Options=&Search=\">progress at the lot was delayed for more than a decade\u003c/a>, due in part to the 2008 foreclosure crisis and subsequent Great Recession, according to a city report. In 2018, the city selected a developer to build 170 affordable, for-sale and rental apartments at the site.\u003c/p>\n\u003cp>One housed neighbor, Mo, who declined to give his last name, said he’s lived in the area for 16 years and watched the community at the Commons grow from a few trailers into dozens.\u003c/p>\n\u003cp>“Everything has become more and more expensive out here. And, that’s why homeless people cannot afford to live in Oakland and that’s why they are here on the street,” Mo said. “They’ve been here for over ten years, and now they’ve been kicked out so people can build more high rises.”\u003c/p>\n\u003cp>Officials initially scheduled evictions for Jan. 9, so the developer could start assessing the kind of environmental remediation it needs to build housing there. But \u003ca href=\"https://www.kqed.org/news/11940107/judge-to-allow-evictions-at-long-running-oakland-homeless-encampment-residents-vow-to-fight\">residents successfully filed for a temporary restraining order\u003c/a> — citing the onslaught of historic storms and lack of adequate alternative housing as grounds to delay.\u003c/p>\n\u003cp>The city received two state grants last year, totaling \u003ca href=\"https://oakland.legistar.com/LegislationDetail.aspx?ID=5962116&GUID=B467C58E-50EB-4A4C-BE99-496372BE92B6&Options=ID%7CText%7C&Search=%22Wood+Street%22\">$8.3 million, to relocate residents to a new cabin community site\u003c/a> at 2601 Wood Street in Oakland, consisting of 70 “tuff shed” structures with space for 100 beds. But the site hadn’t yet opened when the city issued its eviction orders, and Federal District Judge William Orrick ordered the city to delay evictions until it had.\u003c/p>\n\u003cfigure id=\"attachment_11946238\" class=\"wp-caption aligncenter\" style=\"max-width: 1920px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"wp-image-11946238 size-full\" src=\"https://ww2.kqed.org/app/uploads/sites/10/2023/04/002_KQED_WoodStreetCommonsEviction_04102023.jpg\" alt=\"A Black woman with a black headdress and T-shirt looks heartbroken as she stares downward. Two men, one Black and one white-presenting, are pictured behind her.\" width=\"1920\" height=\"1280\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2023/04/002_KQED_WoodStreetCommonsEviction_04102023.jpg 1920w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/04/002_KQED_WoodStreetCommonsEviction_04102023-800x533.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/04/002_KQED_WoodStreetCommonsEviction_04102023-1020x680.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/04/002_KQED_WoodStreetCommonsEviction_04102023-160x107.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/04/002_KQED_WoodStreetCommonsEviction_04102023-1536x1024.jpg 1536w\" sizes=\"auto, (max-width: 1920px) 100vw, 1920px\">\u003cfigcaption class=\"wp-caption-text\">Wood Street residents John Janosko and Mona Choyce listen to an outreach worker talk about the tuff sheds in Oakland on April 10, 2023, while the city of Oakland begins to evict the encampment. \u003ccite>(Beth LaBerge/KQED)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>“Give us some real options. Instead of putting us in the cycle of being housed — get us housed,” said Jessica “Freeway” Blalock, a Wood Street resident, who had a bad experience at a different “community cabin” site in Oakland. “With all of the vacant lots and all the vacant houses that are here, there’s no reason all of us couldn’t be housed — and then some.”\u003c/p>\n\u003cp>In a \u003ca href=\"https://drive.google.com/file/d/14G98PfutiSU4vCEEummva59RGH6XWeNK/view?usp=sharing\">Feb. 24 court filing\u003c/a>, Supervising Deputy City Attorney Jamilah Jefferson wrote that the city had opened the community cabin site and had RV parking spaces available. Orrick lifted the restraining order three days later.\u003c/p>\n\u003cp>On Monday, volunteers and advocates were on site to assist residents with moving. Kelly Thompson, 75, who is himself homeless in Oakland, sat in his truck.\u003c/p>\n\u003cp>“I’m waiting on somebody to say, ‘I need a tow,'” he said. “But where are they supposed to go? Where do they want to go? There’s no place to go.”\u003c/p>\n\u003cp>The Commons is the last remaining portion of the much larger Wood Street settlement, which, until last year, was home to around 300 people. It stretched for more than a mile under Interstate 880 on land owned by Caltrans, BNSF railway, private individuals and the city of Oakland. In September, \u003ca href=\"https://www.kqed.org/news/11925169/residents-activists-decry-evictions-at-oaklands-largest-homeless-encampment\">Caltrans evicted residents\u003c/a> from the land it owns, citing safety concerns, after a fire on July 11 sent plumes of black smoke onto the freeway above, stopping traffic.[pullquote size=\"medium\" align=\"right\" citation=\"Freeway, resident, Wood Street\"]‘The people that are here. The community that’s here. The family that’s here. … That’s not going anywhere.’[/pullquote]Considered one of the \u003ca href=\"https://www.sfchronicle.com/eastbay/article/homeless-wood-street-oakland-17717303.php\">largest encampments in Northern California\u003c/a>, Wood Street grew over the course of a decade. Many residents said that, by at least 2019, city workers and police officers were directing them to Wood Street after they had been evicted from other encampments in the city.\u003c/p>\n\u003cp>“When we asked the cops who were telling us to move where we should go, they said, ‘On the other side of that fence,’ and pointed to the fence that separated where we were from the BNSF lands,” said Matthew Schatzinger, 45, who moved to the settlement in 2019.\u003c/p>\n\u003cp>In an interview that year with KPIX News, \u003ca href=\"https://www.youtube.com/watch?v=Kp_yDu2nqSA\">former Oakland Mayor Libby Schaaf defended the city’s actions\u003c/a>, saying, “We don’t have a permanent place for that encampment yet, so you will see us use interim measures because we don’t have enough beds.”\u003c/p>\n\u003cp>Although Wood Street residents such as Blalock were not removed from the site on Monday, the process will be ongoing during the next two weeks.\u003c/p>\n\u003cp>“Destroying this community, taking down the buildings in this community, is only going to change the scenery,” she said. “The people that are here. The community that’s here. The family that’s here. … That’s not going anywhere.”\u003c/p>\n\u003cp>[ad floatright]\u003c/p>\n",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>“We’re trying. We’re doing the best we can. If we had resources, we’d be a whole lot better,” said LaMonte Ford, 48, a longtime resident and lead organizer at Wood Street. “We’re just like you. We’re normal people. I have two jobs. I cannot afford the rent. I’ve been here 10 years. You think I can pack it up in two bags?”\u003c/p>\n\u003cp>Around 60 people live in RVs and trailers at the site, located at \u003ca href=\"https://www.kqed.org/news/11945682/the-last-residents-of-oaklands-wood-street-encampment\">1707 Wood Street in West Oakland\u003c/a>. Residents have built the space into a resource hub, complete with a communal kitchen, outdoor meeting areas, a free store, space for food and clothing donations, storage facilities and other amenities.\u003c/p>\n\u003cfigure id=\"attachment_11946234\" class=\"wp-caption aligncenter\" style=\"max-width: 1920px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"wp-image-11946234 size-full\" src=\"https://ww2.kqed.org/app/uploads/sites/10/2023/04/023_KQED_WoodStreetCommonsEviction_04102023.jpg\" alt=\"A Black man looks through a chain link fence at police officers on the other side of it. The man has a crowd of people behind him as his fingers rest in between the fence coils.\" width=\"1920\" height=\"1280\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2023/04/023_KQED_WoodStreetCommonsEviction_04102023.jpg 1920w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/04/023_KQED_WoodStreetCommonsEviction_04102023-800x533.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/04/023_KQED_WoodStreetCommonsEviction_04102023-1020x680.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/04/023_KQED_WoodStreetCommonsEviction_04102023-160x107.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/04/023_KQED_WoodStreetCommonsEviction_04102023-1536x1024.jpg 1536w\" sizes=\"auto, (max-width: 1920px) 100vw, 1920px\">\u003cfigcaption class=\"wp-caption-text\">Wood Street resident LaMonte Ford speaks to the police as the city of Oakland begins to evict the Wood Street encampment in Oakland on April 10, 2023. \u003ccite>(Beth LaBerge/KQED)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>Jean Walsh, spokesperson for the city, said the city is offering residents beds at a new “cabin community” site a few blocks away, as well as parking spaces at a recently opened RV lot in East Oakland and at shelters throughout the city.\u003c/p>\n\u003cp>As of Monday, Walsh said four residents had agreed to relocate to the new cabin site.\u003c/p>\n\u003cp>“We’re being cattle-rustled from one camp to another camp, and around and around we go,” Wood Street resident Mavin Carter-Griffin said at the press conference.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>“It’s like, ‘Move over, homeless. We’re going to stomp right through this and we’re going to stick you in some sheds,’” Carter-Griffin continued. “Sheds are so six years ago. There are many different types of unhoused people. We’re not the shed type. That wasn’t good for us. … That’s a prison cell.”\u003c/p>\n\u003cfigure id=\"attachment_11946232\" class=\"wp-caption aligncenter\" style=\"max-width: 1920px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"wp-image-11946232 size-full\" src=\"https://ww2.kqed.org/app/uploads/sites/10/2023/04/031_KQED_WoodStreetCommonsEviction_04102023.jpg\" alt=\"A Black police officer is shown standing behind a chain link fence as city workers behind him haul wood and other materials into large garbage trucks.\" width=\"1920\" height=\"1280\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2023/04/031_KQED_WoodStreetCommonsEviction_04102023.jpg 1920w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/04/031_KQED_WoodStreetCommonsEviction_04102023-800x533.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/04/031_KQED_WoodStreetCommonsEviction_04102023-1020x680.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/04/031_KQED_WoodStreetCommonsEviction_04102023-160x107.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/04/031_KQED_WoodStreetCommonsEviction_04102023-1536x1024.jpg 1536w\" sizes=\"auto, (max-width: 1920px) 100vw, 1920px\">\u003cfigcaption class=\"wp-caption-text\">The city of Oakland works to clear items from the Wood Street encampment in Oakland on April 10, 2023. \u003ccite>(Beth LaBerge/KQED)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>The city has long planned to redevelop the formerly vacant lot into affordable housing. It \u003ca href=\"https://oakland.legistar.com/LegislationDetail.aspx?ID=745898&GUID=9A69A99B-2EA1-4B3E-BA84-C0DE1D47F9E0&Options=&Search=\">purchased the property, which is across from Raimondi Park, in 2007 for $8 million\u003c/a> as part of a larger redevelopment of the area that authorized around \u003ca href=\"https://oakland.legistar.com/LegislationDetail.aspx?ID=742328&GUID=6BB49C5D-30C9-4253-85B8-6E66E8499C3A&Options=&Search=\">1,500 new homes and apartments\u003c/a>.\u003c/p>\n\u003cp>But \u003ca href=\"https://oakland.legistar.com/LegislationDetail.aspx?ID=3759867&GUID=ECC644E3-BC09-4E5E-A98E-A04FCE3B7F11&Options=&Search=\">progress at the lot was delayed for more than a decade\u003c/a>, due in part to the 2008 foreclosure crisis and subsequent Great Recession, according to a city report. In 2018, the city selected a developer to build 170 affordable, for-sale and rental apartments at the site.\u003c/p>\n\u003cp>One housed neighbor, Mo, who declined to give his last name, said he’s lived in the area for 16 years and watched the community at the Commons grow from a few trailers into dozens.\u003c/p>\n\u003cp>“Everything has become more and more expensive out here. And, that’s why homeless people cannot afford to live in Oakland and that’s why they are here on the street,” Mo said. “They’ve been here for over ten years, and now they’ve been kicked out so people can build more high rises.”\u003c/p>\n\u003cp>Officials initially scheduled evictions for Jan. 9, so the developer could start assessing the kind of environmental remediation it needs to build housing there. But \u003ca href=\"https://www.kqed.org/news/11940107/judge-to-allow-evictions-at-long-running-oakland-homeless-encampment-residents-vow-to-fight\">residents successfully filed for a temporary restraining order\u003c/a> — citing the onslaught of historic storms and lack of adequate alternative housing as grounds to delay.\u003c/p>\n\u003cp>The city received two state grants last year, totaling \u003ca href=\"https://oakland.legistar.com/LegislationDetail.aspx?ID=5962116&GUID=B467C58E-50EB-4A4C-BE99-496372BE92B6&Options=ID%7CText%7C&Search=%22Wood+Street%22\">$8.3 million, to relocate residents to a new cabin community site\u003c/a> at 2601 Wood Street in Oakland, consisting of 70 “tuff shed” structures with space for 100 beds. But the site hadn’t yet opened when the city issued its eviction orders, and Federal District Judge William Orrick ordered the city to delay evictions until it had.\u003c/p>\n\u003cfigure id=\"attachment_11946238\" class=\"wp-caption aligncenter\" style=\"max-width: 1920px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"wp-image-11946238 size-full\" src=\"https://ww2.kqed.org/app/uploads/sites/10/2023/04/002_KQED_WoodStreetCommonsEviction_04102023.jpg\" alt=\"A Black woman with a black headdress and T-shirt looks heartbroken as she stares downward. Two men, one Black and one white-presenting, are pictured behind her.\" width=\"1920\" height=\"1280\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2023/04/002_KQED_WoodStreetCommonsEviction_04102023.jpg 1920w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/04/002_KQED_WoodStreetCommonsEviction_04102023-800x533.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/04/002_KQED_WoodStreetCommonsEviction_04102023-1020x680.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/04/002_KQED_WoodStreetCommonsEviction_04102023-160x107.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/04/002_KQED_WoodStreetCommonsEviction_04102023-1536x1024.jpg 1536w\" sizes=\"auto, (max-width: 1920px) 100vw, 1920px\">\u003cfigcaption class=\"wp-caption-text\">Wood Street residents John Janosko and Mona Choyce listen to an outreach worker talk about the tuff sheds in Oakland on April 10, 2023, while the city of Oakland begins to evict the encampment. \u003ccite>(Beth LaBerge/KQED)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>“Give us some real options. Instead of putting us in the cycle of being housed — get us housed,” said Jessica “Freeway” Blalock, a Wood Street resident, who had a bad experience at a different “community cabin” site in Oakland. “With all of the vacant lots and all the vacant houses that are here, there’s no reason all of us couldn’t be housed — and then some.”\u003c/p>\n\u003cp>In a \u003ca href=\"https://drive.google.com/file/d/14G98PfutiSU4vCEEummva59RGH6XWeNK/view?usp=sharing\">Feb. 24 court filing\u003c/a>, Supervising Deputy City Attorney Jamilah Jefferson wrote that the city had opened the community cabin site and had RV parking spaces available. Orrick lifted the restraining order three days later.\u003c/p>\n\u003cp>On Monday, volunteers and advocates were on site to assist residents with moving. Kelly Thompson, 75, who is himself homeless in Oakland, sat in his truck.\u003c/p>\n\u003cp>“I’m waiting on somebody to say, ‘I need a tow,'” he said. “But where are they supposed to go? Where do they want to go? There’s no place to go.”\u003c/p>\n\u003cp>The Commons is the last remaining portion of the much larger Wood Street settlement, which, until last year, was home to around 300 people. It stretched for more than a mile under Interstate 880 on land owned by Caltrans, BNSF railway, private individuals and the city of Oakland. In September, \u003ca href=\"https://www.kqed.org/news/11925169/residents-activists-decry-evictions-at-oaklands-largest-homeless-encampment\">Caltrans evicted residents\u003c/a> from the land it owns, citing safety concerns, after a fire on July 11 sent plumes of black smoke onto the freeway above, stopping traffic.\u003c/p>\u003c/div>",
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"content": "‘The people that are here. The community that’s here. The family that’s here. … That’s not going anywhere.’",
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"content": "\u003cdiv class=\"post-body\">\u003cp>Considered one of the \u003ca href=\"https://www.sfchronicle.com/eastbay/article/homeless-wood-street-oakland-17717303.php\">largest encampments in Northern California\u003c/a>, Wood Street grew over the course of a decade. Many residents said that, by at least 2019, city workers and police officers were directing them to Wood Street after they had been evicted from other encampments in the city.\u003c/p>\n\u003cp>“When we asked the cops who were telling us to move where we should go, they said, ‘On the other side of that fence,’ and pointed to the fence that separated where we were from the BNSF lands,” said Matthew Schatzinger, 45, who moved to the settlement in 2019.\u003c/p>\n\u003cp>In an interview that year with KPIX News, \u003ca href=\"https://www.youtube.com/watch?v=Kp_yDu2nqSA\">former Oakland Mayor Libby Schaaf defended the city’s actions\u003c/a>, saying, “We don’t have a permanent place for that encampment yet, so you will see us use interim measures because we don’t have enough beds.”\u003c/p>\n\u003cp>Although Wood Street residents such as Blalock were not removed from the site on Monday, the process will be ongoing during the next two weeks.\u003c/p>\n\u003cp>“Destroying this community, taking down the buildings in this community, is only going to change the scenery,” she said. “The people that are here. The community that’s here. The family that’s here. … That’s not going anywhere.”\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cp>Nearly 320,000 Cambodians live in the US, and about 1/3 of the population lives in California. Many are survivors or descendants of those who fled the country during the Cambodian genocide in the 1970s. An estimated 2 million people died under the communist Khmer Rouge led by Pol Pot, leaving survivors with emotional, physical and psychological trauma.\u003c/p>\n\u003cp>Barriers like language access or cultural stigma often prevent survivors from accessing mental healthcare to address the trauma. But one program in Alameda County has spent the last 20 years providing culturally sensitive mental health care to the Cambodian community, letting survivors lead the way — and participants say it works.\u003c/p>\n\u003cp>\u003ca href=\"https://drive.google.com/file/d/1WBRmgheCQOOgi-uhill8LuedyrR3V91P/view?usp=share_link\">\u003cem>Episode transcript\u003c/em>\u003c/a>\u003c/p>\n\u003cp>\u003cb>Guest: \u003c/b>\u003ca href=\"https://www.kvpr.org/people/soreath-hok\">Soreath Hok\u003c/a>, \u003cspan style=\"font-weight: 400\">reporter for KVPR\u003c/span>\u003c/p>\n\u003cp>\u003c!-- iframe plugin v.4.3 wordpress.org/plugins/iframe/ -->\u003cbr>\n\u003ciframe loading=\"lazy\" frameborder=\"0\" height=\"200\" scrolling=\"no\" src=\"https://playlist.megaphone.fm/?e=KQINC7392064352\" width=\"100%\" class=\"iframe-class\">\u003c/iframe>\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>\u003cstrong>Links:\u003c/strong>\u003c/p>\n\u003cul>\n\u003cli style=\"font-weight: 400\">\u003ca href=\"https://www.kvpr.org/health/2022-11-30/a-program-built-for-and-by-cambodian-refugees-suffering-from-ptsd-participants-say-it-works\">A program built by Cambodian refugees offers PTSD support. Participants say it works\u003c/a>\u003c/li>\n\u003cli style=\"font-weight: 400\">\u003ca href=\"https://www.kvpr.org/2022-11-29/cambodian-refugees-cope-with-war-trauma-by-reinforcing-culture-and-community\">Cambodian refugees cope with war trauma by reinforcing culture and community\u003c/a>\u003c/li>\n\u003cli style=\"font-weight: 400\">\u003ca href=\"https://www.kvpr.org/community/2022-11-28/from-cambodia-to-california-survivors-of-the-khmer-rouge-genocide-need-access-to-mental-healthcare\">From Cambodia to California: Survivors of the Khmer Rouge genocide need access to mental healthcare\u003c/a>\u003c/li>\n\u003c/ul>\n\n",
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"content": "\u003cp>The Food and Drug Administration has decided to allow some people to get \u003ca href=\"https://www.kqed.org/news/11941531/when-can-i-get-a-second-bivalent-covid-booster-heres-what-we-know-right-now\">a second booster\u003c/a> with one of the COVID-19 vaccines that have been updated to target the omicron variant, NPR has learned.\u003c/p>\n\u003cp>The second shots will be limited to those age 65 and older who got their first shot of the \u003ca href=\"https://www.fda.gov/emergency-preparedness-and-response/coronavirus-disease-2019-covid-19/covid-19-bivalent-vaccine-boosters\">bivalent vaccine\u003c/a> made by Moderna or Pfizer-BioNTech at least four months ago, and to those with weakened immune systems who got one of those shots at least two months ago, according to a federal official who was not authorized to speak publicly.\u003c/p>\n\u003cp>The decision to authorize a second booster is expected to be officially announced within the next two weeks.\u003c/p>\n\u003cp>While demand for another shot may not be high, the opportunity for extra protection will be welcomed by some people who got their first shot with one of the bivalent boosters last year.\u003c/p>\n\u003cfigure id=\"attachment_11945640\" class=\"wp-caption aligncenter\" style=\"max-width: 1920px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-11945640\" src=\"https://ww2.kqed.org/app/uploads/sites/10/2023/04/RS52115_GettyImages-1344323369-qut.jpg\" alt=\"A woman with long blond hair, wearing a white face mask, fills a syringe from a small, clear vile that contains a Pfizer booster.\" width=\"1920\" height=\"1311\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2023/04/RS52115_GettyImages-1344323369-qut.jpg 1920w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/04/RS52115_GettyImages-1344323369-qut-800x546.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/04/RS52115_GettyImages-1344323369-qut-1020x696.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/04/RS52115_GettyImages-1344323369-qut-160x109.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/04/RS52115_GettyImages-1344323369-qut-1536x1049.jpg 1536w\" sizes=\"auto, (max-width: 1920px) 100vw, 1920px\">\u003cfigcaption class=\"wp-caption-text\">Safeway pharmacist Ashley McGee fills a syringe with the Pfizer COVID-19 booster vaccination at a vaccination booster shot clinic on October 01, 2021 in San Rafael, California. Now, the FDA has decided to allow some people to get a second booster with one of the COVID-19 vaccines that have been updated to target the omicron variant. \u003ccite>(Justin Sullivan/Getty Images)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>The FDA has only authorized one booster dose of the newest formulations of the COVID vaccines. The agency was instead focusing on planning for an \u003ca href=\"https://www.npr.org/sections/health-shots/2023/01/23/1150032238/fda-considers-major-shift-in-covid-vaccine-strategy\">annual COVID booster campaign \u003c/a>starting in the fall of 2023 — with vaccines that will have been updated to target whichever variant is expected to be circulating next winter.\u003c/p>\n\u003cp>[pullquote size=\"medium\" align=\"right\" citation=\"Dr. Peter Hotez, co-director, Texas Children's Hospital Center for Vaccine Development\"]‘Those doses are going to be expiring and will be thrown out. So it makes sense to have those shots in arms instead of being tossed in the waste basket.’[/pullquote]\u003c/p>\n\u003cp>But the FDA has now reconsidered the situation. This change will bring the U.S. more in line with the approach taken by \u003ca href=\"https://commonslibrary.parliament.uk/research-briefings/cbp-9332/\">Britain\u003c/a> and \u003ca href=\"https://www.canada.ca/content/dam/phac-aspc/documents/services/publications/vaccines-immunization/national-advisory-committee-immunization-summary-guidance-additional-covid-19-booster-dose-spring-2023-individuals-high-risk-severe-illness-due-covid-19-march-3-2023/summary.pdf\">Canada (PDF)\u003c/a>, which is what some vaccine specialists have been urging — especially with the ample of supply of vaccines available.\u003c/p>\n\u003cp>“Those doses are going to be expiring and will be thrown out. So it makes sense to have those shots in arms instead of being tossed in the waste basket,” says Dr. \u003ca href=\"https://www.bcm.edu/people-search/peter-hotez-23229\">Peter Hotez\u003c/a>, co-director of the Texas Children’s Hospital Center for Vaccine Development and dean of the National School of Tropical Medicine at Baylor College of Medicine.\u003c/p>\n\u003cp>The main concern is that the protection people got from their last shot has been fading, not just against getting infected but also possibly against getting seriously ill. So Hotez says people as young as 50 should be able to get a second bivalent booster if they want one.\u003c/p>\n\u003cp>“It’s better than nothing,” Hotez wrote in an email to NPR about the FDA’s decision. “I think 65 could be lowered to 50 or 55 unless they have specific data that only supports that age cutoff.”\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>He added: “Historically, when you look at the monovalent vaccines, the protection starts to wane after four or five months. We don’t know if that’s the case with bivalent boosters. But you don’t want to find out the hard way.”\u003c/p>\n\u003cp>But others scientists aren’t so sure. They say there just isn’t any good evidence showing protection against serious illness has faded significantly or that getting another shot would help that much.[aside postID=news_11945498 hero='https://ww2.kqed.org/app/uploads/sites/10/2023/04/RS64178_GettyImages-1322494493-qut-1020x681.jpg']“I have no data to show me that a second bivalent is safe and effective. I have every reason to think it might be. But I don’t actually have data,” says Dr. \u003ca href=\"https://www.mayo.edu/research/faculty/poland-gregory-a-m-d/bio-00078220\">Gregory Poland\u003c/a>, director of the Mayo Clinic’s Vaccine Research Group.\u003c/p>\n\u003cp>In addition, there’s a theoretical possibility that it could kind of backfire — because the bivalent boosters target a strain that’s already been replaced by a new one called XBB.1.5.\u003c/p>\n\u003cp>“The concern is that if we continue to give boosters against a virus that’s not circulating when we do see the next variant you may not develop a vigorous immune response to that new viral variant,” Poland says.\u003c/p>\n\u003cp>Since it was authorized in late August, less than \u003ca href=\"https://covid.cdc.gov/covid-data-tracker/#vaccinations_vacc-people-booster-percent-total\">17% of those eligible for the bivalent shot have opted for one\u003c/a>, and so the demand for another right now would probably be even lower. But some people would rush to get one if they could, including Katen Moore, 63, a nurse practitioner from North Plainfield, N.J.[pullquote size=\"medium\" align=\"right\" citation=\"Katen Moore, nurse practitioner\"]‘I just don’t want to get COVID again. I don’t really know what the long-term risks are. And I don’t really want to find out.’[/pullquote]“I just don’t want to get COVID again,” says Moore. “I don’t really know what the long-term risks are. And I don’t really want to find out. I don’t want the risk of long COVID. I don’t want the breathing problems. I don’t want the fatigue. I don’t want those things.”\u003c/p>\n\u003cp>Moore is frustrated that she’s just missing the age cutoff. “The lack of clear information for those of us at the edges is difficult to understand,” she wrote in an email to NPR.\u003c/p>\n\u003cp>Copyright 2023 NPR. To see more, visit \u003ca href=\"https://www.npr.org\">NPR.org\u003c/a>.\u003cimg decoding=\"async\" src=\"https://www.google-analytics.com/__utm.gif?utmac=UA-5828686-4&utmdt=FDA+will+let+some+adults+get+a+second+boost+of+the+bivalent+COVID-19+shot&utme=8(APIKey)9(MDAxOTAwOTE4MDEyMTkxMDAzNjczZDljZA004)\">\u003c/p>\n\u003cp>\u003c/p>\n",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>The Food and Drug Administration has decided to allow some people to get \u003ca href=\"https://www.kqed.org/news/11941531/when-can-i-get-a-second-bivalent-covid-booster-heres-what-we-know-right-now\">a second booster\u003c/a> with one of the COVID-19 vaccines that have been updated to target the omicron variant, NPR has learned.\u003c/p>\n\u003cp>The second shots will be limited to those age 65 and older who got their first shot of the \u003ca href=\"https://www.fda.gov/emergency-preparedness-and-response/coronavirus-disease-2019-covid-19/covid-19-bivalent-vaccine-boosters\">bivalent vaccine\u003c/a> made by Moderna or Pfizer-BioNTech at least four months ago, and to those with weakened immune systems who got one of those shots at least two months ago, according to a federal official who was not authorized to speak publicly.\u003c/p>\n\u003cp>The decision to authorize a second booster is expected to be officially announced within the next two weeks.\u003c/p>\n\u003cp>While demand for another shot may not be high, the opportunity for extra protection will be welcomed by some people who got their first shot with one of the bivalent boosters last year.\u003c/p>\n\u003cfigure id=\"attachment_11945640\" class=\"wp-caption aligncenter\" style=\"max-width: 1920px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-11945640\" src=\"https://ww2.kqed.org/app/uploads/sites/10/2023/04/RS52115_GettyImages-1344323369-qut.jpg\" alt=\"A woman with long blond hair, wearing a white face mask, fills a syringe from a small, clear vile that contains a Pfizer booster.\" width=\"1920\" height=\"1311\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2023/04/RS52115_GettyImages-1344323369-qut.jpg 1920w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/04/RS52115_GettyImages-1344323369-qut-800x546.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/04/RS52115_GettyImages-1344323369-qut-1020x696.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/04/RS52115_GettyImages-1344323369-qut-160x109.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/04/RS52115_GettyImages-1344323369-qut-1536x1049.jpg 1536w\" sizes=\"auto, (max-width: 1920px) 100vw, 1920px\">\u003cfigcaption class=\"wp-caption-text\">Safeway pharmacist Ashley McGee fills a syringe with the Pfizer COVID-19 booster vaccination at a vaccination booster shot clinic on October 01, 2021 in San Rafael, California. Now, the FDA has decided to allow some people to get a second booster with one of the COVID-19 vaccines that have been updated to target the omicron variant. \u003ccite>(Justin Sullivan/Getty Images)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>The FDA has only authorized one booster dose of the newest formulations of the COVID vaccines. The agency was instead focusing on planning for an \u003ca href=\"https://www.npr.org/sections/health-shots/2023/01/23/1150032238/fda-considers-major-shift-in-covid-vaccine-strategy\">annual COVID booster campaign \u003c/a>starting in the fall of 2023 — with vaccines that will have been updated to target whichever variant is expected to be circulating next winter.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>But the FDA has now reconsidered the situation. This change will bring the U.S. more in line with the approach taken by \u003ca href=\"https://commonslibrary.parliament.uk/research-briefings/cbp-9332/\">Britain\u003c/a> and \u003ca href=\"https://www.canada.ca/content/dam/phac-aspc/documents/services/publications/vaccines-immunization/national-advisory-committee-immunization-summary-guidance-additional-covid-19-booster-dose-spring-2023-individuals-high-risk-severe-illness-due-covid-19-march-3-2023/summary.pdf\">Canada (PDF)\u003c/a>, which is what some vaccine specialists have been urging — especially with the ample of supply of vaccines available.\u003c/p>\n\u003cp>“Those doses are going to be expiring and will be thrown out. So it makes sense to have those shots in arms instead of being tossed in the waste basket,” says Dr. \u003ca href=\"https://www.bcm.edu/people-search/peter-hotez-23229\">Peter Hotez\u003c/a>, co-director of the Texas Children’s Hospital Center for Vaccine Development and dean of the National School of Tropical Medicine at Baylor College of Medicine.\u003c/p>\n\u003cp>The main concern is that the protection people got from their last shot has been fading, not just against getting infected but also possibly against getting seriously ill. So Hotez says people as young as 50 should be able to get a second bivalent booster if they want one.\u003c/p>\n\u003cp>“It’s better than nothing,” Hotez wrote in an email to NPR about the FDA’s decision. “I think 65 could be lowered to 50 or 55 unless they have specific data that only supports that age cutoff.”\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>He added: “Historically, when you look at the monovalent vaccines, the protection starts to wane after four or five months. We don’t know if that’s the case with bivalent boosters. But you don’t want to find out the hard way.”\u003c/p>\n\u003cp>But others scientists aren’t so sure. They say there just isn’t any good evidence showing protection against serious illness has faded significantly or that getting another shot would help that much.\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>“I have no data to show me that a second bivalent is safe and effective. I have every reason to think it might be. But I don’t actually have data,” says Dr. \u003ca href=\"https://www.mayo.edu/research/faculty/poland-gregory-a-m-d/bio-00078220\">Gregory Poland\u003c/a>, director of the Mayo Clinic’s Vaccine Research Group.\u003c/p>\n\u003cp>In addition, there’s a theoretical possibility that it could kind of backfire — because the bivalent boosters target a strain that’s already been replaced by a new one called XBB.1.5.\u003c/p>\n\u003cp>“The concern is that if we continue to give boosters against a virus that’s not circulating when we do see the next variant you may not develop a vigorous immune response to that new viral variant,” Poland says.\u003c/p>\n\u003cp>Since it was authorized in late August, less than \u003ca href=\"https://covid.cdc.gov/covid-data-tracker/#vaccinations_vacc-people-booster-percent-total\">17% of those eligible for the bivalent shot have opted for one\u003c/a>, and so the demand for another right now would probably be even lower. But some people would rush to get one if they could, including Katen Moore, 63, a nurse practitioner from North Plainfield, N.J.\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>“I just don’t want to get COVID again,” says Moore. “I don’t really know what the long-term risks are. And I don’t really want to find out. I don’t want the risk of long COVID. I don’t want the breathing problems. I don’t want the fatigue. I don’t want those things.”\u003c/p>\n\u003cp>Moore is frustrated that she’s just missing the age cutoff. “The lack of clear information for those of us at the edges is difficult to understand,” she wrote in an email to NPR.\u003c/p>\n\u003cp>Copyright 2023 NPR. To see more, visit \u003ca href=\"https://www.npr.org\">NPR.org\u003c/a>.\u003cimg decoding=\"async\" src=\"https://www.google-analytics.com/__utm.gif?utmac=UA-5828686-4&utmdt=FDA+will+let+some+adults+get+a+second+boost+of+the+bivalent+COVID-19+shot&utme=8(APIKey)9(MDAxOTAwOTE4MDEyMTkxMDAzNjczZDljZA004)\">\u003c/p>\n\u003cp>\u003c/p>\n\u003c/div>\u003c/p>",
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"slug": "as-california-drops-more-masking-rules-these-bay-area-counties-keep-theirs",
"title": "As California Drops More Masking Rules, These Bay Area Counties Keep Theirs",
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"headTitle": "As California Drops More Masking Rules, These Bay Area Counties Keep Theirs | KQED",
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"content": "\u003cp>As of today, California no longer requires face masks to be worn in health care facilities and other high-risk settings.\u003c/p>\n\u003cp>Since 2020, the state has required everyone to wear masks in places like hospitals, clinics, correctional facilities and centers for people experiencing homelessness. Even as public health officials removed other COVID-19 restrictions, this rule remained in place through the multiple surges and drops in cases California saw in the past three years.\u003c/p>\n\u003cp>Additionally, health care workers are no longer required to get the COVID-19 vaccine. This change includes direct care workers and those who work in adult care facilities, as well as in correctional and detention centers.\u003c/p>\n\u003cul>\n\u003cli>\u003cstrong>Jump straight to your county’s new masking rules: \u003c/strong>\u003cstrong>\u003ca href=\"#alamedamaskmandate\">Alameda\u003c/a> | \u003ca href=\"#sanfranciscomaskmandate\">San Francisco\u003c/a> | \u003ca href=\"#contracostamaskmandate\">Contra Costa\u003c/a> | \u003ca href=\"#marinmaskmandate\">Marin\u003c/a> | \u003ca href=\"#napamaskmandate\">Napa\u003c/a> | \u003ca href=\"#sanmateomaskmandate\">San Mateo\u003c/a> | \u003ca href=\"#santaclaramaskmandate\">Santa Clara\u003c/a> | \u003ca href=\"#sonomamaskmandate\">Sonoma\u003c/a> | \u003ca href=\"#solanomaskmandate\">Solano\u003c/a>\u003c/strong>\u003c/li>\n\u003c/ul>\n\u003cp>Despite calls from physicians and disability advocates to keep these rules in place to protect people especially vulnerable to COVID-19, state officials say that California is in a strong enough position to loosen these restrictions.\u003c/p>\n\u003cp>“Our communities did a lot of the hard work by getting vaccinated and boosted, staying home and testing when sick, requesting treatments when positive, and masking to slow the spread,” said Dr. Tomás Aragón, the state’s public health officer, \u003ca href=\"https://www.cdph.ca.gov/Programs/OPA/Pages/NR23-014.aspx\">in a press release on March 3 announcing the change\u003c/a>.\u003c/p>\n\u003cul>\n\u003cli>\u003cstrong>\u003ca href=\"#tellus\">Tell us: What else do you need information about right now?\u003c/a>\u003c/strong>\u003c/li>\n\u003c/ul>\n\u003cp>However, individual counties retain the authority to enforce their own additional public health restrictions separate from the state’s. So if your county has a mask mandate that’s more restrictive than state rules, that’s the one you have to follow. Some Bay Area counties, like Contra Costa and Alameda, will continue to require face masks in certain high-risk settings, like nursing facilities, after April 3.\u003c/p>\n\u003cp>Keep reading to find the mask rules for high-risk settings in the county you live, work or study in.\u003c/p>\n\u003ch2>\u003ca id=\"alamedamaskmandate\">\u003c/a>\u003cstrong>Alameda\u003c/strong>\u003c/h2>\n\u003cp>All staff working in Alameda County’s 66 skilled nursing facilities are still required to wear face masks, even after April 3. County health officials released \u003ca href=\"https://covid-19.acgov.org/covid19-assets/docs/press/press-release-2023.03.27.pdf\">a statement last week clarifying that this order will only apply to staff\u003c/a> and that visitors will only be \u003cem>encouraged\u003c/em> to wear masks.\u003c/p>\n\u003cp>“Alameda County is moving cautiously with our skilled nursing facilities because they serve a large and highly vulnerable population of generally older adults with complex medical conditions,” said Alameda County Health Officer Dr. Nicholas Moss in a March 27 statement.\u003c/p>\n\u003cp>The order applies only to those working at nursing facilities and will be reviewed monthly by county health officials. The county will align with state masking rules for all other settings.\u003c/p>\n\u003ch2>\u003ca id=\"contracostamaskmandate\">\u003c/a>\u003cstrong>Contra Costa\u003c/strong>\u003c/h2>\n\u003cp>All staff in the county’s nursing facilities will still be required to wear face masks, even after April 3. According to \u003ca href=\"https://cchealth.org/press-releases/2023/0327-Health-Order-to-Require-Staff-in-Skilled-Nursing-Facilities-to-Wear-Masks.php\">a press release from Contra Costa health officials\u003c/a>, wearing a mask will be required for employees working directly with patients, and also for paramedics, emergency medical technicians, contractors and vendors when they enter these facilities.\u003c/p>\n\u003cp>“When the state announced the change in their rules, we began to think, ‘Does it make sense to continue masking anywhere?'” Dr. Ori Tzvieli, the county’s health officer, told KQED. “We decided that one of the highest-risk settings was skilled nursing facilities … these nursing homes basically have some of the higher-risk patients. They have older patients. They have patients with medical co-morbidities.”\u003c/p>\n\u003cp>Visitors, however, will not be required to wear masks when inside these facilities. Patients also are not required to wear masks. The county will review its masking policy on a monthly basis.\u003c/p>\n\u003ch2>\u003ca id=\"napamaskmandate\">\u003c/a>Napa\u003c/h2>\n\u003cp>Napa County does not require the use of face masks in high-risk settings. County officials told KQED that masks will continue to be made available for residents and staff in these places, clarifying that “masking is strongly recommended in high-risk settings” when community transmission rates are high.\u003c/p>\n\u003ch2>\u003ca id=\"sanfranciscomaskmandate\">\u003c/a>\u003cstrong>San Francisco\u003c/strong>\u003c/h2>\n\u003cp>The San Francisco Department of Public Health told KQED that those working in health care, which includes skilled nursing facilities and jail settings, are still “required to wear a well-fitted mask when they are working in the same room as patients, clients, residents or people who are incarcerated.”\u003c/p>\n\u003cp>However, everyone else, which can include patients, clients, residents or people who are incarcerated and their visitors, are only \u003cem>encouraged\u003c/em> to wear a mask when inside these settings. Individual facilities do, however, have the authority to implement more restrictive guidelines.\u003c/p>\n\u003ch2>\u003ca id=\"marinmaskmandate\">\u003c/a>\u003cstrong>Marin\u003c/strong>\u003c/h2>\n\u003cp>Marin County does not require the use of face masks in high-risk settings. County officials told KQED that health care facilities can enforce their own mask rules individually.\u003cbr>\n[ad fullwidth]\u003c/p>\n\u003ch2>\u003cstrong>\u003ca id=\"sanmateomaskmandate\">\u003c/a>San Mateo\u003c/strong>\u003c/h2>\n\u003cp>County officials told KQED that San Mateo follows the state’s guidelines and has not implemented any additional mask rules for high-risk settings. Individual health care facilities can still make their own decisions as to whether they want to require the use of masks indoors.\u003c/p>\n\u003ch2>\u003ca id=\"santaclaramaskmandate\">\u003c/a>\u003cstrong>Santa Clara\u003c/strong>\u003c/h2>\n\u003cp>Santa Clara County will require face masks in health care facilities only during the “designated winter respiratory virus period,” which lasts from November 1 to March 31 of each year.\u003c/p>\n\u003cp>For the rest of the year, however, it is up to individual health care facilities to set their own masking rules.\u003c/p>\n\u003ch2>\u003ca id=\"solanomaskmandate\">\u003c/a>\u003cstrong>Solano\u003c/strong>\u003c/h2>\n\u003cp>County officials confirmed with KQED that Solano County will follow the state’s guidelines and has not implemented its own additional mask rules. Face masks will no longer be required in any of Solano County’s health care, long-term care or correctional facilities as well as homeless, emergency and warming and cooling centers.\u003c/p>\n\u003ch2>\u003ca id=\"sonomamaskmandate\">\u003c/a>\u003cstrong>Sonoma\u003c/strong>\u003c/h2>\n\u003cp>Officials told KQED that Sonoma County will follow the state’s guidelines and has not implemented its own additional mask rules. Individual health care facilities can make their own decisions on whether they want to require the use of masks indoors.\u003c/p>\n\u003ch2>\u003ca id=\"tellus\">\u003c/a>Tell us: What else do you need information about?\u003c/h2>\n\u003cp>At KQED News, we know that it can sometimes be hard to track down the answers to navigate life in the Bay Area in 2023. We’ve published \u003ca href=\"https://www.kqed.org/news/tag/coronavirus-resources-and-explainers\">clear, practical explainers and guides about COVID\u003c/a>, \u003ca href=\"https://www.kqed.org/news/11936674/how-to-prepare-for-this-weeks-atmospheric-river-storm-sandbags-emergency-kits-and-more\">how to cope with intense winter weather\u003c/a> and \u003ca href=\"https://www.kqed.org/news/11821950/how-to-safely-attend-a-protest-in-the-bay-area\">how to exercise your right to protest safely\u003c/a>.\u003c/p>\n\u003cp>So tell us: What do you need to know more about? Tell us, and you could see your question answered online or on social media. What you submit will make our reporting stronger, and help us decide what to cover here on our site, and on KQED Public Radio, too.\u003c/p>\n\u003cp>[hearken id=\"10483\" src=\"https://modules.wearehearken.com/kqed/embed/10483.js\"]\u003c/p>\n\u003cp>\u003cem>This story includes reporting from KQED’s Brian Watt and Alex Gonzalez.\u003c/em>\u003c/p>\n\u003cp>[ad floatright]\u003c/p>\n",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>As of today, California no longer requires face masks to be worn in health care facilities and other high-risk settings.\u003c/p>\n\u003cp>Since 2020, the state has required everyone to wear masks in places like hospitals, clinics, correctional facilities and centers for people experiencing homelessness. Even as public health officials removed other COVID-19 restrictions, this rule remained in place through the multiple surges and drops in cases California saw in the past three years.\u003c/p>\n\u003cp>Additionally, health care workers are no longer required to get the COVID-19 vaccine. This change includes direct care workers and those who work in adult care facilities, as well as in correctional and detention centers.\u003c/p>\n\u003cul>\n\u003cli>\u003cstrong>Jump straight to your county’s new masking rules: \u003c/strong>\u003cstrong>\u003ca href=\"#alamedamaskmandate\">Alameda\u003c/a> | \u003ca href=\"#sanfranciscomaskmandate\">San Francisco\u003c/a> | \u003ca href=\"#contracostamaskmandate\">Contra Costa\u003c/a> | \u003ca href=\"#marinmaskmandate\">Marin\u003c/a> | \u003ca href=\"#napamaskmandate\">Napa\u003c/a> | \u003ca href=\"#sanmateomaskmandate\">San Mateo\u003c/a> | \u003ca href=\"#santaclaramaskmandate\">Santa Clara\u003c/a> | \u003ca href=\"#sonomamaskmandate\">Sonoma\u003c/a> | \u003ca href=\"#solanomaskmandate\">Solano\u003c/a>\u003c/strong>\u003c/li>\n\u003c/ul>\n\u003cp>Despite calls from physicians and disability advocates to keep these rules in place to protect people especially vulnerable to COVID-19, state officials say that California is in a strong enough position to loosen these restrictions.\u003c/p>\n\u003cp>“Our communities did a lot of the hard work by getting vaccinated and boosted, staying home and testing when sick, requesting treatments when positive, and masking to slow the spread,” said Dr. Tomás Aragón, the state’s public health officer, \u003ca href=\"https://www.cdph.ca.gov/Programs/OPA/Pages/NR23-014.aspx\">in a press release on March 3 announcing the change\u003c/a>.\u003c/p>\n\u003cul>\n\u003cli>\u003cstrong>\u003ca href=\"#tellus\">Tell us: What else do you need information about right now?\u003c/a>\u003c/strong>\u003c/li>\n\u003c/ul>\n\u003cp>However, individual counties retain the authority to enforce their own additional public health restrictions separate from the state’s. So if your county has a mask mandate that’s more restrictive than state rules, that’s the one you have to follow. Some Bay Area counties, like Contra Costa and Alameda, will continue to require face masks in certain high-risk settings, like nursing facilities, after April 3.\u003c/p>\n\u003cp>Keep reading to find the mask rules for high-risk settings in the county you live, work or study in.\u003c/p>\n\u003ch2>\u003ca id=\"alamedamaskmandate\">\u003c/a>\u003cstrong>Alameda\u003c/strong>\u003c/h2>\n\u003cp>All staff working in Alameda County’s 66 skilled nursing facilities are still required to wear face masks, even after April 3. County health officials released \u003ca href=\"https://covid-19.acgov.org/covid19-assets/docs/press/press-release-2023.03.27.pdf\">a statement last week clarifying that this order will only apply to staff\u003c/a> and that visitors will only be \u003cem>encouraged\u003c/em> to wear masks.\u003c/p>\n\u003cp>“Alameda County is moving cautiously with our skilled nursing facilities because they serve a large and highly vulnerable population of generally older adults with complex medical conditions,” said Alameda County Health Officer Dr. Nicholas Moss in a March 27 statement.\u003c/p>\n\u003cp>The order applies only to those working at nursing facilities and will be reviewed monthly by county health officials. The county will align with state masking rules for all other settings.\u003c/p>\n\u003ch2>\u003ca id=\"contracostamaskmandate\">\u003c/a>\u003cstrong>Contra Costa\u003c/strong>\u003c/h2>\n\u003cp>All staff in the county’s nursing facilities will still be required to wear face masks, even after April 3. According to \u003ca href=\"https://cchealth.org/press-releases/2023/0327-Health-Order-to-Require-Staff-in-Skilled-Nursing-Facilities-to-Wear-Masks.php\">a press release from Contra Costa health officials\u003c/a>, wearing a mask will be required for employees working directly with patients, and also for paramedics, emergency medical technicians, contractors and vendors when they enter these facilities.\u003c/p>\n\u003cp>“When the state announced the change in their rules, we began to think, ‘Does it make sense to continue masking anywhere?'” Dr. Ori Tzvieli, the county’s health officer, told KQED. “We decided that one of the highest-risk settings was skilled nursing facilities … these nursing homes basically have some of the higher-risk patients. They have older patients. They have patients with medical co-morbidities.”\u003c/p>\n\u003cp>Visitors, however, will not be required to wear masks when inside these facilities. Patients also are not required to wear masks. The county will review its masking policy on a monthly basis.\u003c/p>\n\u003ch2>\u003ca id=\"napamaskmandate\">\u003c/a>Napa\u003c/h2>\n\u003cp>Napa County does not require the use of face masks in high-risk settings. County officials told KQED that masks will continue to be made available for residents and staff in these places, clarifying that “masking is strongly recommended in high-risk settings” when community transmission rates are high.\u003c/p>\n\u003ch2>\u003ca id=\"sanfranciscomaskmandate\">\u003c/a>\u003cstrong>San Francisco\u003c/strong>\u003c/h2>\n\u003cp>The San Francisco Department of Public Health told KQED that those working in health care, which includes skilled nursing facilities and jail settings, are still “required to wear a well-fitted mask when they are working in the same room as patients, clients, residents or people who are incarcerated.”\u003c/p>\n\u003cp>However, everyone else, which can include patients, clients, residents or people who are incarcerated and their visitors, are only \u003cem>encouraged\u003c/em> to wear a mask when inside these settings. Individual facilities do, however, have the authority to implement more restrictive guidelines.\u003c/p>\n\u003ch2>\u003ca id=\"marinmaskmandate\">\u003c/a>\u003cstrong>Marin\u003c/strong>\u003c/h2>\n\u003cp>Marin County does not require the use of face masks in high-risk settings. County officials told KQED that health care facilities can enforce their own mask rules individually.\u003cbr>\n\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003ch2>\u003cstrong>\u003ca id=\"sanmateomaskmandate\">\u003c/a>San Mateo\u003c/strong>\u003c/h2>\n\u003cp>County officials told KQED that San Mateo follows the state’s guidelines and has not implemented any additional mask rules for high-risk settings. Individual health care facilities can still make their own decisions as to whether they want to require the use of masks indoors.\u003c/p>\n\u003ch2>\u003ca id=\"santaclaramaskmandate\">\u003c/a>\u003cstrong>Santa Clara\u003c/strong>\u003c/h2>\n\u003cp>Santa Clara County will require face masks in health care facilities only during the “designated winter respiratory virus period,” which lasts from November 1 to March 31 of each year.\u003c/p>\n\u003cp>For the rest of the year, however, it is up to individual health care facilities to set their own masking rules.\u003c/p>\n\u003ch2>\u003ca id=\"solanomaskmandate\">\u003c/a>\u003cstrong>Solano\u003c/strong>\u003c/h2>\n\u003cp>County officials confirmed with KQED that Solano County will follow the state’s guidelines and has not implemented its own additional mask rules. Face masks will no longer be required in any of Solano County’s health care, long-term care or correctional facilities as well as homeless, emergency and warming and cooling centers.\u003c/p>\n\u003ch2>\u003ca id=\"sonomamaskmandate\">\u003c/a>\u003cstrong>Sonoma\u003c/strong>\u003c/h2>\n\u003cp>Officials told KQED that Sonoma County will follow the state’s guidelines and has not implemented its own additional mask rules. Individual health care facilities can make their own decisions on whether they want to require the use of masks indoors.\u003c/p>\n\u003ch2>\u003ca id=\"tellus\">\u003c/a>Tell us: What else do you need information about?\u003c/h2>\n\u003cp>At KQED News, we know that it can sometimes be hard to track down the answers to navigate life in the Bay Area in 2023. We’ve published \u003ca href=\"https://www.kqed.org/news/tag/coronavirus-resources-and-explainers\">clear, practical explainers and guides about COVID\u003c/a>, \u003ca href=\"https://www.kqed.org/news/11936674/how-to-prepare-for-this-weeks-atmospheric-river-storm-sandbags-emergency-kits-and-more\">how to cope with intense winter weather\u003c/a> and \u003ca href=\"https://www.kqed.org/news/11821950/how-to-safely-attend-a-protest-in-the-bay-area\">how to exercise your right to protest safely\u003c/a>.\u003c/p>\n\u003cp>So tell us: What do you need to know more about? Tell us, and you could see your question answered online or on social media. What you submit will make our reporting stronger, and help us decide what to cover here on our site, and on KQED Public Radio, too.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"slug": "community-and-civil-rights-groups-hold-vigil-and-rally-over-recent-deaths-at-santa-rita-jail",
"title": "Community and Civil Rights Groups Hold Vigil and Rally Over Recent Deaths at Santa Rita Jail",
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"headTitle": "Community and Civil Rights Groups Hold Vigil and Rally Over Recent Deaths at Santa Rita Jail | KQED",
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"content": "\u003cp>Over 70 people from civil rights groups and families of those affected by mental illness and incarceration held a vigil and noise demonstration organized by the Care First Community Coalition on Saturday to grieve and protest a \u003ca href=\"https://www.ktvu.com/news/4th-person-to-die-at-santa-rita-jail-in-6-weeks\">spate of recent deaths at Santa Rita Jail\u003c/a>, Alameda County’s main adult detention facility.[pullquote size=\"medium\" align=\"right\" citation=\"Dorsey Nunn, executive director, Legal Services for Prisoners with Children\"]‘At a certain point there is something called compassion, and we are sorely missing it as a society, particularly when it comes to Black and brown folks.’[/pullquote]\u003c/p>\n\u003cp>The Dublin-based jail is not only one of the largest detention facilities in the United States, it is also \u003ca href=\"https://www.kqed.org/news/11918230/grand-jury-major-health-and-safety-violations-at-santa-rita-jail-require-urgent-attention\">one of the most notorious\u003c/a>, where major health and safety violations have been reported and where over 66 people have lost their lives since 2014. So far this year, there have been four deaths at Santa Rita Jail.\u003c/p>\n\u003cp>“All four of those people died needlessly within days of their intake,” said Joy George with \u003ca href=\"https://restoreoakland.org/\">Restore Oakland\u003c/a>, a community advocacy group. “They died after being evaluated … even though there were multiple red flags. They should have been diverted. They should have been elsewhere. They should not have been incarcerated at Santa Rita Jail.”\u003c/p>\n\u003cp>The facility was \u003ca href=\"https://oaklandside.org/2022/02/08/judge-places-santa-rita-jail-under-external-oversight-ending-mental-health-abuse-lawsuit/\">placed under federal supervision in 2022 for at least six years\u003c/a> to improve conditions for those experiencing mental illness. During the rally, protestors read the names of those who had died in the jail over the last nine years.\u003c/p>\n\u003cfigure id=\"attachment_11945442\" class=\"wp-caption aligncenter\" style=\"max-width: 800px\">\u003ca href=\"https://ww2.kqed.org/app/uploads/sites/10/2023/04/IMG_9642-scaled.jpg\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"wp-image-11945442 size-medium\" src=\"https://ww2.kqed.org/app/uploads/sites/10/2023/04/IMG_9642-800x600.jpg\" alt=\"Large white signs, with names, birth and death dates painted in black, lay arranged on a cement walkway in neat rows.\" width=\"800\" height=\"600\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2023/04/IMG_9642-800x600.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/04/IMG_9642-1020x765.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/04/IMG_9642-160x120.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/04/IMG_9642-1536x1152.jpg 1536w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/04/IMG_9642-2048x1536.jpg 2048w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/04/IMG_9642-1920x1440.jpg 1920w\" sizes=\"(max-width: 800px) 100vw, 800px\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">Demonstrators lay 66 painted signs on the plaza in front of the jail, each bearing the name of a person who died in the jail over the last decade. \u003ccite>(Annelise Finney/KQED)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>While some of the deaths have been attributed by jail officials to suspected fentanyl overdoses, protesters say the majority generally were caused by people not getting the care they needed (whether for mental illness or substance use disorder) in the facility.\u003c/p>\n\u003cfigure id=\"attachment_11945446\" class=\"wp-caption aligncenter\" style=\"max-width: 800px\">\u003ca href=\"https://ww2.kqed.org/app/uploads/sites/10/2023/04/IMG_9652-1-scaled.jpg\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"wp-image-11945446 size-medium\" src=\"https://ww2.kqed.org/app/uploads/sites/10/2023/04/IMG_9652-1-800x600.jpg\" alt=\"A Black man wearing black clothing and holding a microphone stands in front of several colored signs on a cement walkway outside.\" width=\"800\" height=\"600\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2023/04/IMG_9652-1-800x600.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/04/IMG_9652-1-1020x765.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/04/IMG_9652-1-160x120.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/04/IMG_9652-1-1536x1152.jpg 1536w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/04/IMG_9652-1-2048x1536.jpg 2048w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/04/IMG_9652-1-1920x1440.jpg 1920w\" sizes=\"(max-width: 800px) 100vw, 800px\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">Dorsey Nunn, executive director of Legal Services for Prisoners With Children, speaks to a crowd of demonstrators in front of Santa Rita Jail. \u003ccite>(Annelise Finney/KQED)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>“In the event that I’m out of control with a drug habit, should you take me to a drug program or should you take me to jail?” said Dorsey Nunn, executive director of the nonprofit \u003ca href=\"https://prisonerswithchildren.org/\">Legal Services for Prisoners With Children\u003c/a>. “At a certain point there is something called compassion, and we are sorely missing it as a society, particularly when it comes to Black and brown folks.”\u003c/p>\n\u003cp>Advocates with the Care First Community Coalition pushed for the “Care First, Jails Last” policy resolution that was adopted by Alameda County in 2021, which set goals for law enforcement agencies in the county to stop the practice of arresting and jailing people dealing with mental health and/or substance use issues. The resolution also called for creating a community-led process to establish behavioral/mental health care and social services. The coalition demanded that the Alameda County Board of Supervisors investigate jail deaths and provide over $50 million for mental health services that were promised but have yet to be implemented. A meeting with the board about budget presentations will be held on April 11.[aside postID=\"news_11918230,news_11854891,news_11853540\" label=\"Related Posts\"]“The last time my brother Donald Nelson was able to walk, it was walking into this facility … that was May 1st, 2020,” said Norma Nelson. She said her brother, Donald Nelson, died after he was fatally assaulted in a holding cell by another detainee just hours into custody. “Losing a loved one who needs medical and mental health care while in the hands of our social and criminal justice system cuts to the heart with a different kind of pain — it’s deep.”\u003c/p>\n\u003cp>Nelson added that the sheriff’s department didn’t acknowledge the murder publicly until a reporter months later reported it. Lt. Tya Modeste, public information officer for the Alameda County Sheriff’s Office, said she was aware that the jail’s “reputation wasn’t great in the past” and that “people found out their family members passed away by hearing it on the news,” but she says they’ve been working hard under the new sheriff, Yesenia Sanchez, to turn that around.\u003c/p>\n\u003cp>“We welcome peaceful protests and understand that the community and families are frustrated,” said Modeste. “It’s difficult to see someone lose their life … We’re not just sitting back and watching people die in our custody.”\u003c/p>\n\u003cp>Modeste outlined various initiatives the Sheriff’s Office has taken, including building a focus group and inviting community members to discussions with the executive staff and Sanchez about grievances; working with federal monitors and attorneys who represent the incarcerated population on federal oversight; working collectively with community-based partners; sending out press releases when someone dies in custody; and getting in touch with families.\u003c/p>\n\u003cfigure id=\"attachment_11945441\" class=\"wp-caption aligncenter\" style=\"max-width: 800px\">\u003ca href=\"https://ww2.kqed.org/app/uploads/sites/10/2023/04/IMG_9639-scaled.jpg\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"wp-image-11945441 size-medium\" src=\"https://ww2.kqed.org/app/uploads/sites/10/2023/04/IMG_9639-800x600.jpg\" alt=\"A young woman with a dark, shaved head, wearing a sleeveless black tank top, black jeans, and black Adidas sneakers, holds a microphone with both hands as she stands in front of signs that are yellow, red and white. Several people stand off to the side looking in her direction.\" width=\"800\" height=\"600\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2023/04/IMG_9639-800x600.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/04/IMG_9639-1020x765.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/04/IMG_9639-160x120.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/04/IMG_9639-1536x1152.jpg 1536w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/04/IMG_9639-2048x1536.jpg 2048w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/04/IMG_9639-1920x1440.jpg 1920w\" sizes=\"(max-width: 800px) 100vw, 800px\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">Kari Malkki, a healing justice intern at Restore Oakland, addresses the crowd of demonstrators on the plaza in front of Santa Rita Jail on April 1, 2023. \u003ccite>(Annelise Finney/KQED)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>“We’re putting policies and practices in place so that we can make sure that when something like this happens, that we look at our policies, we look at our practices, we look at our services,” said Modeste. “We invite all the stakeholders to the table so that we’re discussing this together and we’re looking at ways to make sure we’re providing better service for our incarcerated population. Sheriff Sanchez is committed to restoring public trust. She’s committed to making sure that we’re being absolutely transparent.”\u003c/p>\n\u003cp>Katy Polony, a family advocate who works with \u003ca href=\"https://acfasmi.org/\">Families Advocating for the Seriously Mentally Ill\u003c/a> (FASMI), says there’s a need for more hospital beds, supportive housing, continuum of care and case management teams.\u003c/p>\n\u003cfigure id=\"attachment_11945443\" class=\"wp-caption aligncenter\" style=\"max-width: 800px\">\u003ca href=\"https://ww2.kqed.org/app/uploads/sites/10/2023/04/IMG_9646-scaled.jpg\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"wp-image-11945443 size-medium\" src=\"https://ww2.kqed.org/app/uploads/sites/10/2023/04/IMG_9646-800x600.jpg\" alt=\"A large group of people sit and stand looking in the same direction, many wearing bright yellow, with a low, green hill and trees behind them.\" width=\"800\" height=\"600\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2023/04/IMG_9646-800x600.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/04/IMG_9646-1020x765.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/04/IMG_9646-160x120.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/04/IMG_9646-1536x1152.jpg 1536w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/04/IMG_9646-2048x1536.jpg 2048w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/04/IMG_9646-1920x1440.jpg 1920w\" sizes=\"(max-width: 800px) 100vw, 800px\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">A crowd of demonstrators, including faith leaders, community organizers, formerly incarcerated people and the families of people who died while at Santa Rita, listen quietly as Norma Nelson (not pictured) shares her experience of trying to get information from the Sheriff’s Office about the death of her brother, Donald Nelson, in Santa Rita Jail in 2020. \u003ccite>(Annelise Finney/KQED)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>“Families are getting no support, no training, nothing. When their kids are cycling through the system, they’re like, ‘What do I do? What am I doing?’” said Polony. “The most important thing with someone who has schizophrenia or another psychotic disease is to treat them right away. We need early intervention programs, which means a psychiatrist, a psychologist, a vocal rehab … We could do it, but we don’t.”\u003c/p>\n\u003cp>Tiffany Monk says her brother who had schizophrenia, bipolar disorder and high blood pressure died in Santa Rita Jail, but that the lack of communication and cooperation from the authorities means she’s still not sure exactly what happened to him.\u003c/p>\n\u003cp>“I’m hoping [the new sheriff] makes a difference, that she takes her job seriously and holds these people accountable, because it’s not right,” said Monk. “They’re killing people and it’s like nothing’s happening.”\u003c/p>\n\u003cp>The average daily population at Santa Rita Jail fell to 2,108 in the fourth quarter of 2022, according to a survey by the \u003ca href=\"http://www.bscc.ca.gov/wp-content/uploads/Jail-Pop-Trends-Through-Q4-2022_3.20.23.pdf\">Board of State and Community Corrections (PDF)\u003c/a>, while on April 2, the Alameda County Sheriff’s Office reported a \u003ca href=\"https://content.govdelivery.com/bulletins/gd/ACSO-35285e4?wgt_ref=ACSO_WIDGET_2\">population of 1,778\u003c/a>.\u003c/p>\n\u003cp>The Care First Coalition has been calling for the reinvestment of funds from the jail into community-based mental health and substance use.\u003c/p>\n\u003cp>“The federal court decree requiring county investment in increased staffing of the jail is based on an estimate of 3,000 prisoners, which Santa Rita has not had since 2014,” said John Lindsay-Poland of American Friends Service Committee.\u003c/p>\n\u003cp>\u003cem>This story has been updated to include the latest average daily population figures for Santa Rita Jail, and a comment from John Lindsay-Poland of American Friends Service Committee.\u003c/em>\u003c/p>\n\u003cp>\u003cem>KQED’s Annelise Finney and Spencer Whitney contributed reporting to this story.\u003c/em>\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>[ad floatright]\u003c/p>\n",
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"excerpt": "With four people having died within 6 weeks in 2023 alone, families and civil rights groups expressed grief and outrage over conditions at the notorious Dublin-based facility in Alameda County where protesters say more than 60 people lost their lives in the last 10 years.",
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"title": "Community and Civil Rights Groups Hold Vigil and Rally Over Recent Deaths at Santa Rita Jail | KQED",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>Over 70 people from civil rights groups and families of those affected by mental illness and incarceration held a vigil and noise demonstration organized by the Care First Community Coalition on Saturday to grieve and protest a \u003ca href=\"https://www.ktvu.com/news/4th-person-to-die-at-santa-rita-jail-in-6-weeks\">spate of recent deaths at Santa Rita Jail\u003c/a>, Alameda County’s main adult detention facility.\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>The Dublin-based jail is not only one of the largest detention facilities in the United States, it is also \u003ca href=\"https://www.kqed.org/news/11918230/grand-jury-major-health-and-safety-violations-at-santa-rita-jail-require-urgent-attention\">one of the most notorious\u003c/a>, where major health and safety violations have been reported and where over 66 people have lost their lives since 2014. So far this year, there have been four deaths at Santa Rita Jail.\u003c/p>\n\u003cp>“All four of those people died needlessly within days of their intake,” said Joy George with \u003ca href=\"https://restoreoakland.org/\">Restore Oakland\u003c/a>, a community advocacy group. “They died after being evaluated … even though there were multiple red flags. They should have been diverted. They should have been elsewhere. They should not have been incarcerated at Santa Rita Jail.”\u003c/p>\n\u003cp>The facility was \u003ca href=\"https://oaklandside.org/2022/02/08/judge-places-santa-rita-jail-under-external-oversight-ending-mental-health-abuse-lawsuit/\">placed under federal supervision in 2022 for at least six years\u003c/a> to improve conditions for those experiencing mental illness. During the rally, protestors read the names of those who had died in the jail over the last nine years.\u003c/p>\n\u003cfigure id=\"attachment_11945442\" class=\"wp-caption aligncenter\" style=\"max-width: 800px\">\u003ca href=\"https://ww2.kqed.org/app/uploads/sites/10/2023/04/IMG_9642-scaled.jpg\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"wp-image-11945442 size-medium\" src=\"https://ww2.kqed.org/app/uploads/sites/10/2023/04/IMG_9642-800x600.jpg\" alt=\"Large white signs, with names, birth and death dates painted in black, lay arranged on a cement walkway in neat rows.\" width=\"800\" height=\"600\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2023/04/IMG_9642-800x600.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/04/IMG_9642-1020x765.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/04/IMG_9642-160x120.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/04/IMG_9642-1536x1152.jpg 1536w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/04/IMG_9642-2048x1536.jpg 2048w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/04/IMG_9642-1920x1440.jpg 1920w\" sizes=\"(max-width: 800px) 100vw, 800px\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">Demonstrators lay 66 painted signs on the plaza in front of the jail, each bearing the name of a person who died in the jail over the last decade. \u003ccite>(Annelise Finney/KQED)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>While some of the deaths have been attributed by jail officials to suspected fentanyl overdoses, protesters say the majority generally were caused by people not getting the care they needed (whether for mental illness or substance use disorder) in the facility.\u003c/p>\n\u003cfigure id=\"attachment_11945446\" class=\"wp-caption aligncenter\" style=\"max-width: 800px\">\u003ca href=\"https://ww2.kqed.org/app/uploads/sites/10/2023/04/IMG_9652-1-scaled.jpg\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"wp-image-11945446 size-medium\" src=\"https://ww2.kqed.org/app/uploads/sites/10/2023/04/IMG_9652-1-800x600.jpg\" alt=\"A Black man wearing black clothing and holding a microphone stands in front of several colored signs on a cement walkway outside.\" width=\"800\" height=\"600\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2023/04/IMG_9652-1-800x600.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/04/IMG_9652-1-1020x765.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/04/IMG_9652-1-160x120.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/04/IMG_9652-1-1536x1152.jpg 1536w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/04/IMG_9652-1-2048x1536.jpg 2048w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/04/IMG_9652-1-1920x1440.jpg 1920w\" sizes=\"(max-width: 800px) 100vw, 800px\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">Dorsey Nunn, executive director of Legal Services for Prisoners With Children, speaks to a crowd of demonstrators in front of Santa Rita Jail. \u003ccite>(Annelise Finney/KQED)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>“In the event that I’m out of control with a drug habit, should you take me to a drug program or should you take me to jail?” said Dorsey Nunn, executive director of the nonprofit \u003ca href=\"https://prisonerswithchildren.org/\">Legal Services for Prisoners With Children\u003c/a>. “At a certain point there is something called compassion, and we are sorely missing it as a society, particularly when it comes to Black and brown folks.”\u003c/p>\n\u003cp>Advocates with the Care First Community Coalition pushed for the “Care First, Jails Last” policy resolution that was adopted by Alameda County in 2021, which set goals for law enforcement agencies in the county to stop the practice of arresting and jailing people dealing with mental health and/or substance use issues. The resolution also called for creating a community-led process to establish behavioral/mental health care and social services. The coalition demanded that the Alameda County Board of Supervisors investigate jail deaths and provide over $50 million for mental health services that were promised but have yet to be implemented. A meeting with the board about budget presentations will be held on April 11.\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>“The last time my brother Donald Nelson was able to walk, it was walking into this facility … that was May 1st, 2020,” said Norma Nelson. She said her brother, Donald Nelson, died after he was fatally assaulted in a holding cell by another detainee just hours into custody. “Losing a loved one who needs medical and mental health care while in the hands of our social and criminal justice system cuts to the heart with a different kind of pain — it’s deep.”\u003c/p>\n\u003cp>Nelson added that the sheriff’s department didn’t acknowledge the murder publicly until a reporter months later reported it. Lt. Tya Modeste, public information officer for the Alameda County Sheriff’s Office, said she was aware that the jail’s “reputation wasn’t great in the past” and that “people found out their family members passed away by hearing it on the news,” but she says they’ve been working hard under the new sheriff, Yesenia Sanchez, to turn that around.\u003c/p>\n\u003cp>“We welcome peaceful protests and understand that the community and families are frustrated,” said Modeste. “It’s difficult to see someone lose their life … We’re not just sitting back and watching people die in our custody.”\u003c/p>\n\u003cp>Modeste outlined various initiatives the Sheriff’s Office has taken, including building a focus group and inviting community members to discussions with the executive staff and Sanchez about grievances; working with federal monitors and attorneys who represent the incarcerated population on federal oversight; working collectively with community-based partners; sending out press releases when someone dies in custody; and getting in touch with families.\u003c/p>\n\u003cfigure id=\"attachment_11945441\" class=\"wp-caption aligncenter\" style=\"max-width: 800px\">\u003ca href=\"https://ww2.kqed.org/app/uploads/sites/10/2023/04/IMG_9639-scaled.jpg\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"wp-image-11945441 size-medium\" src=\"https://ww2.kqed.org/app/uploads/sites/10/2023/04/IMG_9639-800x600.jpg\" alt=\"A young woman with a dark, shaved head, wearing a sleeveless black tank top, black jeans, and black Adidas sneakers, holds a microphone with both hands as she stands in front of signs that are yellow, red and white. Several people stand off to the side looking in her direction.\" width=\"800\" height=\"600\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2023/04/IMG_9639-800x600.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/04/IMG_9639-1020x765.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/04/IMG_9639-160x120.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/04/IMG_9639-1536x1152.jpg 1536w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/04/IMG_9639-2048x1536.jpg 2048w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/04/IMG_9639-1920x1440.jpg 1920w\" sizes=\"(max-width: 800px) 100vw, 800px\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">Kari Malkki, a healing justice intern at Restore Oakland, addresses the crowd of demonstrators on the plaza in front of Santa Rita Jail on April 1, 2023. \u003ccite>(Annelise Finney/KQED)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>“We’re putting policies and practices in place so that we can make sure that when something like this happens, that we look at our policies, we look at our practices, we look at our services,” said Modeste. “We invite all the stakeholders to the table so that we’re discussing this together and we’re looking at ways to make sure we’re providing better service for our incarcerated population. Sheriff Sanchez is committed to restoring public trust. She’s committed to making sure that we’re being absolutely transparent.”\u003c/p>\n\u003cp>Katy Polony, a family advocate who works with \u003ca href=\"https://acfasmi.org/\">Families Advocating for the Seriously Mentally Ill\u003c/a> (FASMI), says there’s a need for more hospital beds, supportive housing, continuum of care and case management teams.\u003c/p>\n\u003cfigure id=\"attachment_11945443\" class=\"wp-caption aligncenter\" style=\"max-width: 800px\">\u003ca href=\"https://ww2.kqed.org/app/uploads/sites/10/2023/04/IMG_9646-scaled.jpg\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"wp-image-11945443 size-medium\" src=\"https://ww2.kqed.org/app/uploads/sites/10/2023/04/IMG_9646-800x600.jpg\" alt=\"A large group of people sit and stand looking in the same direction, many wearing bright yellow, with a low, green hill and trees behind them.\" width=\"800\" height=\"600\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2023/04/IMG_9646-800x600.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/04/IMG_9646-1020x765.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/04/IMG_9646-160x120.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/04/IMG_9646-1536x1152.jpg 1536w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/04/IMG_9646-2048x1536.jpg 2048w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/04/IMG_9646-1920x1440.jpg 1920w\" sizes=\"(max-width: 800px) 100vw, 800px\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">A crowd of demonstrators, including faith leaders, community organizers, formerly incarcerated people and the families of people who died while at Santa Rita, listen quietly as Norma Nelson (not pictured) shares her experience of trying to get information from the Sheriff’s Office about the death of her brother, Donald Nelson, in Santa Rita Jail in 2020. \u003ccite>(Annelise Finney/KQED)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>“Families are getting no support, no training, nothing. When their kids are cycling through the system, they’re like, ‘What do I do? What am I doing?’” said Polony. “The most important thing with someone who has schizophrenia or another psychotic disease is to treat them right away. We need early intervention programs, which means a psychiatrist, a psychologist, a vocal rehab … We could do it, but we don’t.”\u003c/p>\n\u003cp>Tiffany Monk says her brother who had schizophrenia, bipolar disorder and high blood pressure died in Santa Rita Jail, but that the lack of communication and cooperation from the authorities means she’s still not sure exactly what happened to him.\u003c/p>\n\u003cp>“I’m hoping [the new sheriff] makes a difference, that she takes her job seriously and holds these people accountable, because it’s not right,” said Monk. “They’re killing people and it’s like nothing’s happening.”\u003c/p>\n\u003cp>The average daily population at Santa Rita Jail fell to 2,108 in the fourth quarter of 2022, according to a survey by the \u003ca href=\"http://www.bscc.ca.gov/wp-content/uploads/Jail-Pop-Trends-Through-Q4-2022_3.20.23.pdf\">Board of State and Community Corrections (PDF)\u003c/a>, while on April 2, the Alameda County Sheriff’s Office reported a \u003ca href=\"https://content.govdelivery.com/bulletins/gd/ACSO-35285e4?wgt_ref=ACSO_WIDGET_2\">population of 1,778\u003c/a>.\u003c/p>\n\u003cp>The Care First Coalition has been calling for the reinvestment of funds from the jail into community-based mental health and substance use.\u003c/p>\n\u003cp>“The federal court decree requiring county investment in increased staffing of the jail is based on an estimate of 3,000 prisoners, which Santa Rita has not had since 2014,” said John Lindsay-Poland of American Friends Service Committee.\u003c/p>\n\u003cp>\u003cem>This story has been updated to include the latest average daily population figures for Santa Rita Jail, and a comment from John Lindsay-Poland of American Friends Service Committee.\u003c/em>\u003c/p>\n\u003cp>\u003cem>KQED’s Annelise Finney and Spencer Whitney contributed reporting to this story.\u003c/em>\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cp>Half a century after California policymakers \u003ca href=\"https://www.pbs.org/wgbh/pages/frontline/shows/asylums/special/excerpt.html\">shuttered\u003c/a> state psychiatric institutions, denouncing them as inhumane, today’s progressive leaders are now reconsidering involuntary commitments, saying not helping people who are seriously ill, and living in squalor on the streets, is inhumane.\u003c/p>\n\u003cp>The shift is pitting liberals against liberals over the very meaning of compassion. Disability rights advocates say the renewed push for forced treatment violates people’s civil rights, while Democratic leaders and doctors counter that doing nothing violates people’s right to medical care, particularly when the nature of their illness prevents them from recognizing they need help. [pullquote align='right' citation='State Sen. Scott Wiener']‘It is neither progressive nor compassionate to just sit by and let people deteriorate, fall apart and ultimately die on our streets. That is the opposite of progressive.’[/pullquote]\u003c/p>\n\u003cp>“The status quo has forced too many of our loved ones to die with their rights on,” said Teresa Pasquini, an advocate whose son has schizophrenia and has spent the past 20 years being “failed, jailed, treated, and streeted” by what she calls a broken public health system.\u003c/p>\n\u003cp>\u003ca href=\"https://www.huduser.gov/portal/sites/default/files/pdf/2022-AHAR-Part-1.pdf\">Half of the country’s unsheltered (PDF)\u003c/a> people live in California, and though only a quarter of them have a serious mental illness, state lawmakers say they need more tools to get people into treatment, even if it’s against their will. One proposal aims to expand who qualifies for a yearlong conservatorship, or involuntary psychiatric hold, while a new system of \u003ca href=\"https://www.kqed.org/news/11924117/governors-care-court-plan-passes-assembly-clearing-way-to-become-law\">CARE Courts\u003c/a>, where judges issue treatment plans, are scheduled to roll out in eight counties this fall. [pullquote align='right' citation='Keris Myrick']‘When people are told that they have to go to court to get what they should be getting voluntarily in the community, and then they get a care plan that subjugates them to services that still do not meet their cultural needs, that is not compassion.’[/pullquote]\u003c/p>\n\u003cp>To opponents, California is reverting to a draconian policy of locking people up just for being sick, but psychiatrists argue they are seeking a modest update to \u003ca href=\"https://www.lacourt.org/division/mentalhealth/MH0017.aspx\">a 56-year-old law\u003c/a>. Without more intervention options, they say, patients will continue to cycle into the emergency room and back to the street.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>“We are doctors who have to watch these people die,” said Dr. Emily Wood of the\u003ca href=\"https://www.calpsychiatrists.org/\"> California State Association of Psychiatrists\u003c/a>, a sponsor of the conservatorship bill,\u003ca href=\"https://leginfo.legislature.ca.gov/faces/billNavClient.xhtml?bill_id=202320240SB43\"> SB 43\u003c/a>. “We have to talk to their families who know that they need that care, and we have to say we don’t have any legal basis to bring them into the hospital right now.”\u003c/p>\n\u003cp>Under current state law, a person can be held in the hospital involuntarily if they are a danger to themselves or others, or if they are unable to seek food, clothing or shelter as a result of mental illness or alcoholism. Doctors want to incorporate substance use disorder into the law and include in the criteria the inability to look out for one’s own safety and medical care. (Mental health conservatorship is separate from the \u003ca href=\"https://www.scscourt.org/self_help/probate/conservatorship/conservatorship_overview.shtml\">probate conservatorship\u003c/a> that Brittney Spears was held under.)\u003c/p>\n\u003cp>Dr. Wood, who practices in Los Angeles, gave two examples of people she and her colleagues tried to care for, but who slipped through the cracks under the current rules: a man didn’t take his diabetes medication because he wasn’t taking his schizophrenia medication and didn’t understand the consequences of not managing either condition. He repeatedly ended up in the ER with dangerously high blood sugar, but no one could compel him to take either medication, because poorly managing one’s health is not a trigger for conservatorship.\u003c/p>\n\u003cp>Another man had a developmental disability that was never treated in childhood and developed an addiction to methamphetamine in his 20s. He’s now regularly found sleeping in a park and acting inappropriately in public. His family begged doctors to treat him, but they can’t because drug misuse is not a trigger for conservatorship.\u003c/p>\n\u003cp>To Dr. Wood, treating these people, even when they’re unable to consent, is the compassionate, moral thing to do.\u003c/p>\n\u003cp>“It’s essential that we respect all the rights of our patients, including the right to receive care from us,” she said.\u003c/p>\n\u003cp>But other advocates and people with mental illness see the issue very differently. Lawyers from the nonprofit \u003ca href=\"https://www.disabilityrightsca.org/\">Disability Rights California\u003c/a> say the expansion of conservatorship and the advance of CARE Courts are misguided, focused on depriving people of their liberty and privacy, instead of investing in better voluntary mental health services that maintain people’s dignity and civil rights. The group filed a lawsuit to try \u003ca href=\"https://www.disabilityrightsca.org/press-release/disability-rights-advocates-file-petition-challenging-the-constitutional-validity-of\">to block the implementation\u003c/a> of CARE Courts.\u003c/p>\n\u003cp>They’re concerned that people of color, specifically Black residents who are overrepresented in the homeless population and \u003ca href=\"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4274585/\" target=\"_blank\" rel=\"noopener\">overdiagnosed\u003c/a> with schizophrenia, will be disproportionately targeted by these more forceful measures.\u003c/p>\n\u003cp>“When people are told that they have to go to court to get what they should be getting voluntarily in the community, and then they get a care plan that subjugates them to services that still do not meet their cultural needs, that is not compassion,” said Keris Myrick, an advocate who has schizophrenia and has experienced homelessness.\u003c/p>\n\u003cp>Opponents’ other main objection is focused on capacity. Once people are compelled into treatment, where in the overextended, understaffed public mental health system are they supposed to go? Already, there aren’t enough psychiatric hospital beds or appropriate substance abuse centers or housing options for the people who need them, said Michelle Doty Cabrera, executive director of the \u003ca href=\"https://www.cbhda.org/\">California Behavioral Health Directors Association\u003c/a>.\u003c/p>\n\u003cp>“Expanding conservatorships doesn’t solve for those structural issues around the lack of housing and the lack of funding for treatment services,” she said.\u003c/p>\n\u003cp>Cabrera’s group also questions the premise that forced treatment works. Especially when it comes to substance use disorder,\u003ca href=\"https://pubmed.ncbi.nlm.nih.gov/26790691/\"> research suggests\u003c/a> compulsory treatment is less effective and could even be harmful, elevating overdose risk. In Massachusetts, people who were involuntarily committed for drug treatment\u003ca href=\"https://www.mass.gov/service-details/chapter-55-overdose-report\"> were twice as likely to die\u003c/a> from an overdose as those who received treatment willingly.\u003c/p>\n\u003cp>More broadly, if the ultimate goal of forced treatment is reducing homelessness — and easing the moral heartbreak of witnessing ill people sleeping on the street or using drugs in the open — then lawmakers are writing the wrong prescription, some researchers say.\u003c/p>\n\u003cp>“The problem of homelessness is that people don’t have housing,” said Dr. Margot Kushel, director of the UCSF’s\u003ca href=\"https://homelessness.ucsf.edu/\"> Benioff Homelessness and Housing Initiative\u003c/a>. “If you had all the treatment in the world and you didn’t have the housing, we would still have this problem.”\u003c/p>\n\u003cp>She compares homelessness to a game of musical chairs, where the kid on crutches is the one left standing when the music stops. In California, there are \u003ca href=\"https://nlihc.org/gap\">24 units of affordable housing\u003c/a> for every 100 very low-income households, she said, and people with mental illness or substance use disorder are the ones who have the hardest time competing for those scarce spots. That’s why they’re overrepresented among the homeless population, she said, not because conservatorship laws aren’t strong enough.\u003c/p>\n\u003cp>“If you try to fix the problem of homelessness by tinkering with the health care system, we’re not going to get anywhere,” Kushel said.\u003c/p>\n\u003cp>Supporters of involuntary commitments say both are needed: treatment and housing. The same lawmakers who are backing expanded conservatorship and CARE Courts are also backing efforts to increase the housing supply, including \u003ca href=\"https://www.gov.ca.gov/2023/03/19/governor-newsom-proposes-modernization-of-californias-behavioral-health-system-and-more-mental-health-housing/\">a $3 billion bond measure\u003c/a> for the construction of small, neighborhood-oriented residences for people with mental illness.\u003c/p>\n\u003cp>[ad floatright]\u003c/p>\n\u003cp>“They need housing, but they need additional support so that they can thrive,” said Sen. Scott Wiener. “It is neither progressive nor compassionate to just sit by and let people deteriorate, fall apart and ultimately die on our streets. That is the opposite of progressive.”\u003c/p>\n\n",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>“We are doctors who have to watch these people die,” said Dr. Emily Wood of the\u003ca href=\"https://www.calpsychiatrists.org/\"> California State Association of Psychiatrists\u003c/a>, a sponsor of the conservatorship bill,\u003ca href=\"https://leginfo.legislature.ca.gov/faces/billNavClient.xhtml?bill_id=202320240SB43\"> SB 43\u003c/a>. “We have to talk to their families who know that they need that care, and we have to say we don’t have any legal basis to bring them into the hospital right now.”\u003c/p>\n\u003cp>Under current state law, a person can be held in the hospital involuntarily if they are a danger to themselves or others, or if they are unable to seek food, clothing or shelter as a result of mental illness or alcoholism. Doctors want to incorporate substance use disorder into the law and include in the criteria the inability to look out for one’s own safety and medical care. (Mental health conservatorship is separate from the \u003ca href=\"https://www.scscourt.org/self_help/probate/conservatorship/conservatorship_overview.shtml\">probate conservatorship\u003c/a> that Brittney Spears was held under.)\u003c/p>\n\u003cp>Dr. Wood, who practices in Los Angeles, gave two examples of people she and her colleagues tried to care for, but who slipped through the cracks under the current rules: a man didn’t take his diabetes medication because he wasn’t taking his schizophrenia medication and didn’t understand the consequences of not managing either condition. He repeatedly ended up in the ER with dangerously high blood sugar, but no one could compel him to take either medication, because poorly managing one’s health is not a trigger for conservatorship.\u003c/p>\n\u003cp>Another man had a developmental disability that was never treated in childhood and developed an addiction to methamphetamine in his 20s. He’s now regularly found sleeping in a park and acting inappropriately in public. His family begged doctors to treat him, but they can’t because drug misuse is not a trigger for conservatorship.\u003c/p>\n\u003cp>To Dr. Wood, treating these people, even when they’re unable to consent, is the compassionate, moral thing to do.\u003c/p>\n\u003cp>“It’s essential that we respect all the rights of our patients, including the right to receive care from us,” she said.\u003c/p>\n\u003cp>But other advocates and people with mental illness see the issue very differently. Lawyers from the nonprofit \u003ca href=\"https://www.disabilityrightsca.org/\">Disability Rights California\u003c/a> say the expansion of conservatorship and the advance of CARE Courts are misguided, focused on depriving people of their liberty and privacy, instead of investing in better voluntary mental health services that maintain people’s dignity and civil rights. The group filed a lawsuit to try \u003ca href=\"https://www.disabilityrightsca.org/press-release/disability-rights-advocates-file-petition-challenging-the-constitutional-validity-of\">to block the implementation\u003c/a> of CARE Courts.\u003c/p>\n\u003cp>They’re concerned that people of color, specifically Black residents who are overrepresented in the homeless population and \u003ca href=\"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4274585/\" target=\"_blank\" rel=\"noopener\">overdiagnosed\u003c/a> with schizophrenia, will be disproportionately targeted by these more forceful measures.\u003c/p>\n\u003cp>“When people are told that they have to go to court to get what they should be getting voluntarily in the community, and then they get a care plan that subjugates them to services that still do not meet their cultural needs, that is not compassion,” said Keris Myrick, an advocate who has schizophrenia and has experienced homelessness.\u003c/p>\n\u003cp>Opponents’ other main objection is focused on capacity. Once people are compelled into treatment, where in the overextended, understaffed public mental health system are they supposed to go? Already, there aren’t enough psychiatric hospital beds or appropriate substance abuse centers or housing options for the people who need them, said Michelle Doty Cabrera, executive director of the \u003ca href=\"https://www.cbhda.org/\">California Behavioral Health Directors Association\u003c/a>.\u003c/p>\n\u003cp>“Expanding conservatorships doesn’t solve for those structural issues around the lack of housing and the lack of funding for treatment services,” she said.\u003c/p>\n\u003cp>Cabrera’s group also questions the premise that forced treatment works. Especially when it comes to substance use disorder,\u003ca href=\"https://pubmed.ncbi.nlm.nih.gov/26790691/\"> research suggests\u003c/a> compulsory treatment is less effective and could even be harmful, elevating overdose risk. In Massachusetts, people who were involuntarily committed for drug treatment\u003ca href=\"https://www.mass.gov/service-details/chapter-55-overdose-report\"> were twice as likely to die\u003c/a> from an overdose as those who received treatment willingly.\u003c/p>\n\u003cp>More broadly, if the ultimate goal of forced treatment is reducing homelessness — and easing the moral heartbreak of witnessing ill people sleeping on the street or using drugs in the open — then lawmakers are writing the wrong prescription, some researchers say.\u003c/p>\n\u003cp>“The problem of homelessness is that people don’t have housing,” said Dr. Margot Kushel, director of the UCSF’s\u003ca href=\"https://homelessness.ucsf.edu/\"> Benioff Homelessness and Housing Initiative\u003c/a>. “If you had all the treatment in the world and you didn’t have the housing, we would still have this problem.”\u003c/p>\n\u003cp>She compares homelessness to a game of musical chairs, where the kid on crutches is the one left standing when the music stops. In California, there are \u003ca href=\"https://nlihc.org/gap\">24 units of affordable housing\u003c/a> for every 100 very low-income households, she said, and people with mental illness or substance use disorder are the ones who have the hardest time competing for those scarce spots. That’s why they’re overrepresented among the homeless population, she said, not because conservatorship laws aren’t strong enough.\u003c/p>\n\u003cp>“If you try to fix the problem of homelessness by tinkering with the health care system, we’re not going to get anywhere,” Kushel said.\u003c/p>\n\u003cp>Supporters of involuntary commitments say both are needed: treatment and housing. The same lawmakers who are backing expanded conservatorship and CARE Courts are also backing efforts to increase the housing supply, including \u003ca href=\"https://www.gov.ca.gov/2023/03/19/governor-newsom-proposes-modernization-of-californias-behavioral-health-system-and-more-mental-health-housing/\">a $3 billion bond measure\u003c/a> for the construction of small, neighborhood-oriented residences for people with mental illness.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>“They need housing, but they need additional support so that they can thrive,” said Sen. Scott Wiener. “It is neither progressive nor compassionate to just sit by and let people deteriorate, fall apart and ultimately die on our streets. That is the opposite of progressive.”\u003c/p>\n\n\u003c/div>\u003c/p>",
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"content": "\u003cp>\u003cem>This episode contains mentions of suicide.\u003c/em>\u003c/p>\n\u003cp>\u003cspan style=\"font-weight: 400\">Too often, psychosis isn’t treated until it’s too late. But studies from early psychosis clinics show that patients see \u003c/span>\u003ca href=\"https://pubmed.ncbi.nlm.nih.gov/26481174/\">\u003cspan style=\"font-weight: 400\">a greater reduction of symptoms\u003c/span>\u003c/a>\u003cspan style=\"font-weight: 400\">, like voices or delusions, and a greater improvement in functioning at school, at work and in their social lives, compared to people who get treatment as usual.\u003c/span>\u003c/p>\n\u003cp>\u003cspan style=\"font-weight: 400\">But too often, private insurers don’t cover these treatments, leaving many families to navigate the byzantine system of insurance on their own.\u003c/span>\u003c/p>\n\u003cp>\u003ci>\u003cspan style=\"font-weight: 400\">This episode of The California Report Magazine first aired on \u003c/span>\u003c/i>\u003ca href=\"https://www.kqed.org/science/1981630/proven-schizophrenia-treatments-keep-people-in-school-at-work-and-off-the-street-why-wont-insurance-companies-cover-them\" target=\"_blank\" rel=\"noopener\">\u003ci>\u003cspan style=\"font-weight: 400\">March 1, 2023.\u003c/span>\u003c/i>\u003c/a>\u003c/p>\n\u003cp id=\"embed-code\" class=\"inconsolata\">\n\u003c!-- iframe plugin v.4.3 wordpress.org/plugins/iframe/ -->\u003cbr>\n\u003ciframe loading=\"lazy\" frameborder=\"0\" height=\"200\" scrolling=\"no\" src=\"https://playlist.megaphone.fm/?e=KQINC2389671664&light=true\" width=\"100%\" class=\"iframe-class\">\u003c/iframe>\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\u003cp>\u003c/p>\n",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>\u003cem>This episode contains mentions of suicide.\u003c/em>\u003c/p>\n\u003cp>\u003cspan style=\"font-weight: 400\">Too often, psychosis isn’t treated until it’s too late. But studies from early psychosis clinics show that patients see \u003c/span>\u003ca href=\"https://pubmed.ncbi.nlm.nih.gov/26481174/\">\u003cspan style=\"font-weight: 400\">a greater reduction of symptoms\u003c/span>\u003c/a>\u003cspan style=\"font-weight: 400\">, like voices or delusions, and a greater improvement in functioning at school, at work and in their social lives, compared to people who get treatment as usual.\u003c/span>\u003c/p>\n\u003cp>\u003cspan style=\"font-weight: 400\">But too often, private insurers don’t cover these treatments, leaving many families to navigate the byzantine system of insurance on their own.\u003c/span>\u003c/p>\n\u003cp>\u003ci>\u003cspan style=\"font-weight: 400\">This episode of The California Report Magazine first aired on \u003c/span>\u003c/i>\u003ca href=\"https://www.kqed.org/science/1981630/proven-schizophrenia-treatments-keep-people-in-school-at-work-and-off-the-street-why-wont-insurance-companies-cover-them\" target=\"_blank\" rel=\"noopener\">\u003ci>\u003cspan style=\"font-weight: 400\">March 1, 2023.\u003c/span>\u003c/i>\u003c/a>\u003c/p>\n\u003cp id=\"embed-code\" class=\"inconsolata\">\n\u003c!-- iframe plugin v.4.3 wordpress.org/plugins/iframe/ -->\u003cbr>\n\u003ciframe loading=\"lazy\" frameborder=\"0\" height=\"200\" scrolling=\"no\" src=\"https://playlist.megaphone.fm/?e=KQINC2389671664&light=true\" width=\"100%\" class=\"iframe-class\">\u003c/iframe>\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"title": "On Medi-Cal? Eligibility Changes Starting in April Could Mean You Lose Coverage. Here's What to Do",
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"content": "\u003cp>Starting April 1, Californians who depend on \u003ca href=\"https://www.dhcs.ca.gov/Pages/myMedi-Cal.aspx\">Medi-Cal\u003c/a> — the state’s Medicaid health care program — for their health care expenses will need to once again \u003ca href=\"https://www.dhcs.ca.gov/Pages/Keep-Your-Medi-Cal.aspx\">go through a redetermination process to renew their eligibility and keep their Medi-Cal coverage\u003c/a>.\u003c/p>\n\u003cp>Thanks to \u003ca href=\"https://www.hhs.gov/about/news/2023/02/09/fact-sheet-covid-19-public-health-emergency-transition-roadmap.html\">the federal COVID Public Health Emergency (PHE)\u003c/a> declared in 2020, Medicaid programs around the nation like Medi-Cal have been able to waive annual eligibility requirements. This means that for the past three years, Medicaid beneficiaries had their health care costs covered without having to go through an annual renewal process, which could have found them no longer eligible to receive Medicaid.\u003c/p>\n\u003cp>But at the end of last year, Congress approved the Consolidated Appropriations Act — putting \u003ca href=\"https://www.hhs.gov/about/news/2023/02/09/fact-sheet-covid-19-public-health-emergency-transition-roadmap.html\">an end date of March 31 on automatic Medicaid renewal\u003c/a>.\u003c/p>\n\u003cp>\u003cstrong>Jump to:\u003c/strong>\u003c/p>\n\u003cul>\n\u003cli>\u003cstrong>\u003ca href=\"#keepmedicaid\">What do I need to do to keep my Medi-Cal coverage?\u003c/a>\u003c/strong>\u003c/li>\n\u003cli>\u003cstrong>\u003ca href=\"#helpmedicaid\">Find my Bay Area county’s Medi-Cal office\u003c/a>\u003c/strong>\u003c/li>\n\u003c/ul>\n\u003ch2>Who will be affected by these Medi-Cal changes?\u003c/h2>\n\u003cp>This change will affect the millions of people nationwide who depend on Medicaid to cover essential care, prescriptions and other health care services, including the 12 million people enrolled in Medi-Cal within California.\u003c/p>\n\u003cp>The Urban Institute, a public policy think tank, released a study at the end of 2022 that estimates that \u003ca href=\"https://www.urban.org/research/publication/impact-covid-19-public-health-emergency-expiration-all-types-health-coverage\">18 million people nationwide may lose their Medicaid\u003c/a> coverage during a 14-month period following the end of the PHE — either because they are found to no longer qualify for Medi-Cal, or because they fail to renew on time. \u003ca href=\"https://www.dhcs.ca.gov/Documents/PHE-UOP/Medi-Cal-COVID-19-PHE-Unwinding-Plan.pdf\">In California, that number could be as high as 3 million.\u003c/a>\u003c/p>\n\u003cul>\n\u003cli>\u003cstrong>\u003ca href=\"#tellus\">Tell us: What else do you need information about right now?\u003c/a>\u003c/strong>\u003c/li>\n\u003c/ul>\n\u003cp>Disability rights advocates also worry that the renewal process could leave people without health coverage. “Administrative and procedural barriers can also lead to someone being dis-enrolled, with \u003ca href=\"https://www.teenvogue.com/story/medicaid-coverage-covid\">low-income people and people of color disproportionately at higher risk due to structural inequities\u003c/a>,” wrote San Francisco disability rights activist Alice Wong in a recent column for \u003cem>Teen Vogue.\u003c/em>\u003c/p>\n\u003cp>Individuals who received Medi-Cal benefits before the pandemic began may remember what it’s like to renew eligibility: Your county’s health and human services agency sends to your mailbox a thick packet full of forms to fill out and verify your residency, income, health information and other personal details.\u003c/p>\n\u003cp>But regardless of whether you have been on Medi-Cal for decades, or joined far more recently during the pandemic, \u003ca href=\"https://www.dhcs.ca.gov/Pages/Keep-Your-Medi-Cal.aspx\">the redetermination process will be required for all Medi-Cal beneficiaries\u003c/a>. This means that every single person on Medi-Cal needs to be aware of the coming changes starting in April, to make sure they keep health care coverage in some form.\u003c/p>\n\u003cp>Keep reading for what you need to know.\u003c/p>\n\u003cfigure id=\"attachment_11944676\" class=\"wp-caption alignnone\" style=\"max-width: 1920px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-11944676\" src=\"https://ww2.kqed.org/app/uploads/sites/10/2023/03/pexels-rodnae-productions-7821577.jpg\" alt=\"A photograph shot from behind of two people, whose faces we can't see, operating a laptop to fill out a form.\" width=\"1920\" height=\"1280\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2023/03/pexels-rodnae-productions-7821577.jpg 1920w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/03/pexels-rodnae-productions-7821577-800x533.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/03/pexels-rodnae-productions-7821577-1020x680.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/03/pexels-rodnae-productions-7821577-160x107.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/03/pexels-rodnae-productions-7821577-1536x1024.jpg 1536w\" sizes=\"auto, (max-width: 1920px) 100vw, 1920px\">\u003cfigcaption class=\"wp-caption-text\">Changes are coming to Medi-Cal eligibility, and you’ll have to act to keep coverage. \u003ccite>(RODNAE Productions/Pexels)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003ch2>\u003ca id=\"keepmedicaid\">\u003c/a>On Medi-Cal? Here’s what to expect starting April 1\u003c/h2>\n\u003cp>Nobody will be automatically dropped from their Medi-Cal coverage on April 1, says María Reyes, community health education manager for La Clínica de la Raza, which provides health services to lower-income communities in Alameda, Contra Costa and Solano counties.\u003c/p>\n\u003cp>Instead, that date marks the start of the process to reenroll people on Medi-Cal.\u003c/p>\n\u003cp>Once the Medi-Cal renewal waiver ends on March 31, there will be two ways people can renew their benefits: through the mail or \u003ca href=\"https://www.dhcs.ca.gov/Pages/Keep-Your-Medi-Cal.aspx\">online at the Medi-Cal website\u003c/a>. But it’s important to remember that the deadline to renew will be different for everyone, says Reyes.\u003c/p>\n\u003cp>The deadline to renew your personal coverage, she says, is based on your Medi-Cal “anniversary”:\u003c/p>\n\u003cul>\n\u003cli>If you had Medi-Cal \u003cstrong>before 2020\u003c/strong>, your anniversary is the date when you last renewed your coverage before the pandemic, but:\u003c/li>\n\u003cli>If you enrolled \u003cstrong>after 2020\u003c/strong> and haven’t gone through the renewal process yet, your anniversary falls on the date you first applied.\u003c/li>\n\u003c/ul>\n\u003cp>Reyes recommends that you confirm the exact date of your coverage anniversary — because you should receive a renewal packet in the mail ahead of this date.\u003c/p>\n\u003cp>\u003cstrong>Option 1: Renew your Medi-Cal coverage by mail\u003c/strong>\u003c/p>\n\u003cp>“As people meet their anniversary date, they’ll be getting these packets,” she says, adding that the packets will include a letter with information specific to your coverage. “This letter will let you know you have X amount of time, from the time you receive the letter, to submit your renewal packet and the documents they are requesting from you.”\u003c/p>\n\u003cp>\u003ca href=\"https://calmatters.org/health/2023/03/medi-cal-eligibility-2/\">These packets will be going out in phases monthly up through June 2024\u003c/a>, and will include \u003ca href=\"https://www.dhcs.ca.gov/formsandpubs/forms/Forms/mc210rv-eng.pdf\">an annual redetermination form (PDF)\u003c/a> which asks for information about a beneficiary’s income, living situation and disability status, among other factors. You may be asked to submit additional documents depending on your circumstances. You should fill it out and return it as soon as possible, if you don’t plan on renewing your Medi-Cal online (see Option 2).\u003c/p>\n\u003cp>“If, for some reason, your county office doesn’t get the packet by the deadline, they’ll send another reminder letter letting you know they haven’t received your documents,” Reyes said, adding that there may be a \u003cem>third\u003c/em> letter in the mail if a beneficiary misses the second deadline. There should, she assures, be several opportunities for people to be reminded of this deadline. “It’s not going to be a sudden stop of services,” she said.\u003c/p>\n\u003cp>\u003cstrong>Option 2: Renew your Medi-Cal coverage online\u003c/strong>\u003c/p>\n\u003cp>In some cases, you may be able to renew online. In the Bay Area, counties use either one of two renewal portals:\u003c/p>\n\u003cul>\n\u003cli>If you live in Alameda, San Francisco, San Mateo, Solano and Sonoma counties, visit \u003ca href=\"https://www.mybenefitscalwin.org/#/home\">MyBenefitsCalWin\u003c/a> to renew your Medi-Cal.\u003c/li>\n\u003cli>If you live in Contra Costa, Marin, Napa or Santa Clara counties, visit \u003ca href=\"https://benefitscal.com/\">BenefitsCal\u003c/a> to renew your Medi-Cal.\u003c/li>\n\u003c/ul>\n\u003cp>If you live somewhere else in California, \u003ca href=\"https://www.dhcs.ca.gov/Pages/Keep-Your-Medi-Cal.aspx\">see which website your county uses for your to renew your Medi-Cal\u003c/a>.\u003c/p>\n\u003ch2>What if I am found to no longer be eligible for Medi-Cal?\u003c/h2>\n\u003cp>If you don’t renew your Medi-Cal by the deadline (see Options 1 and 2, in the previous section), or are found to no longer be eligible, you’ll be removed from Medi-Cal coverage. And if that happens, you’ll have other options for subsidized health care coverage — but at a cost.\u003c/p>\n\u003cp>Yingjia Huang, assistant deputy director for health care benefits and eligibility at the Department of Health Care Services, told CalMatters that \u003ca href=\"https://calmatters.org/health/2023/03/medi-cal-eligibility-2/\">if you no longer qualify for Medi-Cal because your income has gone up, you’ll be “automatically” transitioned\u003c/a> into a similar plan through Covered California. “The system automatically will review their eligibility for Covered California, and Covered California will send out the enrollment notice to the member, informing them of their options and to pay the plan premium,” said Huang. There’ll be “no administrative burden on a member,” she stressed.\u003c/p>\n\u003cp>But of course, this may come with a new monthly premium that many folks on Medi-Cal haven’t had to pay before — and might not feel able to when factoring in their other expenses.\u003c/p>\n\u003cp>The state emphasizes that \u003ca href=\"https://www.coveredca.com/marketing-blog/health-insurance-costs-less-thanks-to-the-inflation-reduction-act/\">nearly half of people getting health care through Covered California pay less than $50\u003c/a>, while nearly a quarter of people don’t pay a monthly premium at all.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003ch2>What happens if I don’t get my renewal packet in the mail?\u003c/h2>\n\u003cp>Reyes is keen to reiterate that no one will be automatically dropped from their Medi-Cal coverage on April 1. “Starting on that date, people should be on the lookout for these renewal packages that they will need to complete,” she said.\u003c/p>\n\u003cp>If your coverage anniversary rolls around and you have not received a renewal packet, there may be several possibilities to explain why:\u003c/p>\n\u003cul>\n\u003cli>You may have the wrong date on file for your anniversary, or:\u003c/li>\n\u003cli>Your county may be sending the packet to an old address (more likely \u003ca href=\"https://www.sfhsa.org/services/health/medi-cal/renew-your-medi-cal-coverage\">if you moved during the pandemic\u003c/a>).\u003c/li>\n\u003c/ul>\n\u003cp>In either case, you should confirm your information with your county directly. You can do this online:\u003c/p>\n\u003cul>\n\u003cli>If you live in Alameda, San Francisco, San Mateo, Solano and Sonoma counties, visit \u003ca href=\"https://www.mybenefitscalwin.org/#/home\">MyBenefitsCalWin\u003c/a> to update your Medi-Cal contact information.\u003c/li>\n\u003cli>If you live in Contra Costa, Marin, Napa or Santa Clara counties, visit \u003ca href=\"https://benefitscal.com/\">BenefitsCal\u003c/a> to update your Medi-Cal contact information.\u003c/li>\n\u003c/ul>\n\u003cp>You can also contact the office in your county that manages Medi-Cal enrollment. Find your county in the list below.\u003c/p>\n\u003ch2>\u003ca id=\"helpmedicaid\">\u003c/a>Get direct assistance with Medi-Cal and update your contact details\u003c/h2>\n\u003cp>\u003cstrong>Alameda County\u003c/strong>: \u003ca href=\"https://www.alamedacountysocialservices.org/our-services/Health-and-Food/Medi-Cal/index\">Social Services Agency\u003c/a>, 24100 Amador Street, Hayward; call (888) 999-4772.\u003c/p>\n\u003cp>\u003cstrong>Contra Costa County\u003c/strong>: \u003ca href=\"https://ehsd.org/benefits/medi-cal-and-health-coverage-options/\">Employment and Human Services\u003c/a>, multiple addresses; call (866) 663-3225.\u003c/p>\n\u003cp>\u003cstrong>Marin County\u003c/strong>: \u003ca href=\"https://www.marinhhs.org/medi-cal\">Health and Human Services\u003c/a>, 120 N. Redwood Drive, San Rafael; call (877) 410-8817.\u003c/p>\n\u003cp>\u003cstrong>Napa County\u003c/strong>: \u003ca href=\"https://www.countyofnapa.org/3304/Self-Sufficiency-Services\">Health and Human Services\u003c/a>, 2751 Napa Valley Corporate Drive, Napa; call (707) 253-4511.\u003c/p>\n\u003cp>\u003cstrong>San Francisco\u003c/strong>: \u003ca href=\"https://www.sfhsa.org/services/health/medi-cal/renew-your-medi-cal-coverage\">Human Services Agency\u003c/a>, 1440 Harrison Street, San Francisco; call (415) 558-4700.\u003c/p>\n\u003cp>\u003cstrong>San Mateo County\u003c/strong>: \u003ca href=\"https://www.smcgov.org/hsa/health-coverage\">Human Services\u003c/a>, 400 Harbor Boulevard, Building B, Belmont; call (800) 223-8383.\u003c/p>\n\u003cp>\u003cstrong>Santa Clara County\u003c/strong>: \u003ca href=\"https://socialservices.sccgov.org/health-coverage\">Social Services Agency\u003c/a>, 1867 Senter Road, San José; call (408) 758-3800.\u003c/p>\n\u003cp>\u003cstrong>Solano County\u003c/strong>: \u003ca href=\"https://www.solanocounty.com/depts/hss/ees/medical/default.asp\">Health and Social Services\u003c/a>, multiple addresses; call (707) 784-3900.\u003c/p>\n\u003cp>\u003cstrong>Sonoma County\u003c/strong>: \u003ca href=\"https://sonomacounty.ca.gov/health-and-human-services/human-services/divisions-and-services/economic-assistance/health-care-benefits/medi-cal-and-county-medical-services-program\">Department of Human Services\u003c/a>, 2550 Paulin Drive, Santa Rosa, or 5350 Old Redwood Highway, Suite 100, Petaluma; call (877) 699-6868.\u003c/p>\n\u003ch2>Remember, you don’t have to go through this alone\u003c/h2>\n\u003cp>If you are a parent or caregiver and managing a family all by yourself, working multiple jobs or managing a chronic illness, the Medi-Cal renewal process is another item on a long list of responsibilities you are already juggling. You might also be facing \u003ca href=\"https://www.kqed.org/news/11943420/your-calfresh-benefits-will-drop-in-april-heres-what-you-can-do\">a drop in your CalFresh benefits (SNAP, or food stamps)\u003c/a> at the same time as this Medi-Cal renewal, starting in April.\u003c/p>\n\u003cp>Many organizations across California are helping folks send their renewal packets in on time and keep their coverage. One of them is La Clínica de la Raza, which has set up a service that provides individual assistance to Medi-Cal recipients living in Alameda, Contra Costa or Solano counties while completing the renewal requirements.\u003c/p>\n\u003cp>“We don’t want people to lose coverage, especially because preventative services are important — particularly for those who have chronic conditions,” said Reyes, from La Clínica. “We want to make sure that they’re not at risk of losing coverage, not being able to see their provider, not able to refill their prescriptions. So taking action as soon as possible is important.”\u003c/p>\n\u003cp>If you are on Medi-Cal and live in Alameda, Contra Costa or Solano counties, contact La Clínica de la Raza at (855) 494-4658. Help is available in both English and Spanish.\u003c/p>\n\u003cp>Reyes adds that your county’s social services agency is also a helpful resource when navigating the renewal process and some counties have even set up service centers to answer reenrollment questions in person. \u003ca href=\"#helpmedicaid\">Find contact information for your county’s social services agency (above).\u003c/a>\u003c/p>\n\u003ch2>\u003ca id=\"tellus\">\u003c/a>Tell us: What else do you need information about?\u003c/h2>\n\u003cp>At KQED News, we know that it can sometimes be hard to track down the answers to navigate life in the Bay Area in 2023. We’ve published \u003ca href=\"https://www.kqed.org/news/tag/coronavirus-resources-and-explainers\">clear, helpful explainers and guides about issues like COVID\u003c/a>, \u003ca href=\"https://www.kqed.org/news/11936674/how-to-prepare-for-this-weeks-atmospheric-river-storm-sandbags-emergency-kits-and-more\">how to cope with intense winter weather\u003c/a> and \u003ca href=\"https://www.kqed.org/news/11821950/how-to-safely-attend-a-protest-in-the-bay-area\">how to exercise your right to protest safely\u003c/a>.\u003c/p>\n\u003cp>So tell us: What do you need to know more about? Tell us, and you could see your question answered online or on social media. What you submit will make our reporting stronger, and help us decide what to cover here on our site, and on KQED Public Radio, too.\u003c/p>\n\u003cp>[hearken id=\"10483\" src=\"https://modules.wearehearken.com/kqed/embed/10483.js\"]\u003c/p>\n\u003cp>\u003cem>KQED’s Carly Severn contributed to this story.\u003c/em>\u003c/p>\n\u003cp>[ad floatright]\u003c/p>\n",
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"excerpt": "Starting in April, Californians who depend on Medi-Cal will need to once again renew their eligibility. Here's what you need to know.",
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"title": "On Medi-Cal? Eligibility Changes Starting in April Could Mean You Lose Coverage. Here's What to Do | KQED",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>Starting April 1, Californians who depend on \u003ca href=\"https://www.dhcs.ca.gov/Pages/myMedi-Cal.aspx\">Medi-Cal\u003c/a> — the state’s Medicaid health care program — for their health care expenses will need to once again \u003ca href=\"https://www.dhcs.ca.gov/Pages/Keep-Your-Medi-Cal.aspx\">go through a redetermination process to renew their eligibility and keep their Medi-Cal coverage\u003c/a>.\u003c/p>\n\u003cp>Thanks to \u003ca href=\"https://www.hhs.gov/about/news/2023/02/09/fact-sheet-covid-19-public-health-emergency-transition-roadmap.html\">the federal COVID Public Health Emergency (PHE)\u003c/a> declared in 2020, Medicaid programs around the nation like Medi-Cal have been able to waive annual eligibility requirements. This means that for the past three years, Medicaid beneficiaries had their health care costs covered without having to go through an annual renewal process, which could have found them no longer eligible to receive Medicaid.\u003c/p>\n\u003cp>But at the end of last year, Congress approved the Consolidated Appropriations Act — putting \u003ca href=\"https://www.hhs.gov/about/news/2023/02/09/fact-sheet-covid-19-public-health-emergency-transition-roadmap.html\">an end date of March 31 on automatic Medicaid renewal\u003c/a>.\u003c/p>\n\u003cp>\u003cstrong>Jump to:\u003c/strong>\u003c/p>\n\u003cul>\n\u003cli>\u003cstrong>\u003ca href=\"#keepmedicaid\">What do I need to do to keep my Medi-Cal coverage?\u003c/a>\u003c/strong>\u003c/li>\n\u003cli>\u003cstrong>\u003ca href=\"#helpmedicaid\">Find my Bay Area county’s Medi-Cal office\u003c/a>\u003c/strong>\u003c/li>\n\u003c/ul>\n\u003ch2>Who will be affected by these Medi-Cal changes?\u003c/h2>\n\u003cp>This change will affect the millions of people nationwide who depend on Medicaid to cover essential care, prescriptions and other health care services, including the 12 million people enrolled in Medi-Cal within California.\u003c/p>\n\u003cp>The Urban Institute, a public policy think tank, released a study at the end of 2022 that estimates that \u003ca href=\"https://www.urban.org/research/publication/impact-covid-19-public-health-emergency-expiration-all-types-health-coverage\">18 million people nationwide may lose their Medicaid\u003c/a> coverage during a 14-month period following the end of the PHE — either because they are found to no longer qualify for Medi-Cal, or because they fail to renew on time. \u003ca href=\"https://www.dhcs.ca.gov/Documents/PHE-UOP/Medi-Cal-COVID-19-PHE-Unwinding-Plan.pdf\">In California, that number could be as high as 3 million.\u003c/a>\u003c/p>\n\u003cul>\n\u003cli>\u003cstrong>\u003ca href=\"#tellus\">Tell us: What else do you need information about right now?\u003c/a>\u003c/strong>\u003c/li>\n\u003c/ul>\n\u003cp>Disability rights advocates also worry that the renewal process could leave people without health coverage. “Administrative and procedural barriers can also lead to someone being dis-enrolled, with \u003ca href=\"https://www.teenvogue.com/story/medicaid-coverage-covid\">low-income people and people of color disproportionately at higher risk due to structural inequities\u003c/a>,” wrote San Francisco disability rights activist Alice Wong in a recent column for \u003cem>Teen Vogue.\u003c/em>\u003c/p>\n\u003cp>Individuals who received Medi-Cal benefits before the pandemic began may remember what it’s like to renew eligibility: Your county’s health and human services agency sends to your mailbox a thick packet full of forms to fill out and verify your residency, income, health information and other personal details.\u003c/p>\n\u003cp>But regardless of whether you have been on Medi-Cal for decades, or joined far more recently during the pandemic, \u003ca href=\"https://www.dhcs.ca.gov/Pages/Keep-Your-Medi-Cal.aspx\">the redetermination process will be required for all Medi-Cal beneficiaries\u003c/a>. This means that every single person on Medi-Cal needs to be aware of the coming changes starting in April, to make sure they keep health care coverage in some form.\u003c/p>\n\u003cp>Keep reading for what you need to know.\u003c/p>\n\u003cfigure id=\"attachment_11944676\" class=\"wp-caption alignnone\" style=\"max-width: 1920px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-11944676\" src=\"https://ww2.kqed.org/app/uploads/sites/10/2023/03/pexels-rodnae-productions-7821577.jpg\" alt=\"A photograph shot from behind of two people, whose faces we can't see, operating a laptop to fill out a form.\" width=\"1920\" height=\"1280\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2023/03/pexels-rodnae-productions-7821577.jpg 1920w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/03/pexels-rodnae-productions-7821577-800x533.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/03/pexels-rodnae-productions-7821577-1020x680.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/03/pexels-rodnae-productions-7821577-160x107.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/03/pexels-rodnae-productions-7821577-1536x1024.jpg 1536w\" sizes=\"auto, (max-width: 1920px) 100vw, 1920px\">\u003cfigcaption class=\"wp-caption-text\">Changes are coming to Medi-Cal eligibility, and you’ll have to act to keep coverage. \u003ccite>(RODNAE Productions/Pexels)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003ch2>\u003ca id=\"keepmedicaid\">\u003c/a>On Medi-Cal? Here’s what to expect starting April 1\u003c/h2>\n\u003cp>Nobody will be automatically dropped from their Medi-Cal coverage on April 1, says María Reyes, community health education manager for La Clínica de la Raza, which provides health services to lower-income communities in Alameda, Contra Costa and Solano counties.\u003c/p>\n\u003cp>Instead, that date marks the start of the process to reenroll people on Medi-Cal.\u003c/p>\n\u003cp>Once the Medi-Cal renewal waiver ends on March 31, there will be two ways people can renew their benefits: through the mail or \u003ca href=\"https://www.dhcs.ca.gov/Pages/Keep-Your-Medi-Cal.aspx\">online at the Medi-Cal website\u003c/a>. But it’s important to remember that the deadline to renew will be different for everyone, says Reyes.\u003c/p>\n\u003cp>The deadline to renew your personal coverage, she says, is based on your Medi-Cal “anniversary”:\u003c/p>\n\u003cul>\n\u003cli>If you had Medi-Cal \u003cstrong>before 2020\u003c/strong>, your anniversary is the date when you last renewed your coverage before the pandemic, but:\u003c/li>\n\u003cli>If you enrolled \u003cstrong>after 2020\u003c/strong> and haven’t gone through the renewal process yet, your anniversary falls on the date you first applied.\u003c/li>\n\u003c/ul>\n\u003cp>Reyes recommends that you confirm the exact date of your coverage anniversary — because you should receive a renewal packet in the mail ahead of this date.\u003c/p>\n\u003cp>\u003cstrong>Option 1: Renew your Medi-Cal coverage by mail\u003c/strong>\u003c/p>\n\u003cp>“As people meet their anniversary date, they’ll be getting these packets,” she says, adding that the packets will include a letter with information specific to your coverage. “This letter will let you know you have X amount of time, from the time you receive the letter, to submit your renewal packet and the documents they are requesting from you.”\u003c/p>\n\u003cp>\u003ca href=\"https://calmatters.org/health/2023/03/medi-cal-eligibility-2/\">These packets will be going out in phases monthly up through June 2024\u003c/a>, and will include \u003ca href=\"https://www.dhcs.ca.gov/formsandpubs/forms/Forms/mc210rv-eng.pdf\">an annual redetermination form (PDF)\u003c/a> which asks for information about a beneficiary’s income, living situation and disability status, among other factors. You may be asked to submit additional documents depending on your circumstances. You should fill it out and return it as soon as possible, if you don’t plan on renewing your Medi-Cal online (see Option 2).\u003c/p>\n\u003cp>“If, for some reason, your county office doesn’t get the packet by the deadline, they’ll send another reminder letter letting you know they haven’t received your documents,” Reyes said, adding that there may be a \u003cem>third\u003c/em> letter in the mail if a beneficiary misses the second deadline. There should, she assures, be several opportunities for people to be reminded of this deadline. “It’s not going to be a sudden stop of services,” she said.\u003c/p>\n\u003cp>\u003cstrong>Option 2: Renew your Medi-Cal coverage online\u003c/strong>\u003c/p>\n\u003cp>In some cases, you may be able to renew online. In the Bay Area, counties use either one of two renewal portals:\u003c/p>\n\u003cul>\n\u003cli>If you live in Alameda, San Francisco, San Mateo, Solano and Sonoma counties, visit \u003ca href=\"https://www.mybenefitscalwin.org/#/home\">MyBenefitsCalWin\u003c/a> to renew your Medi-Cal.\u003c/li>\n\u003cli>If you live in Contra Costa, Marin, Napa or Santa Clara counties, visit \u003ca href=\"https://benefitscal.com/\">BenefitsCal\u003c/a> to renew your Medi-Cal.\u003c/li>\n\u003c/ul>\n\u003cp>If you live somewhere else in California, \u003ca href=\"https://www.dhcs.ca.gov/Pages/Keep-Your-Medi-Cal.aspx\">see which website your county uses for your to renew your Medi-Cal\u003c/a>.\u003c/p>\n\u003ch2>What if I am found to no longer be eligible for Medi-Cal?\u003c/h2>\n\u003cp>If you don’t renew your Medi-Cal by the deadline (see Options 1 and 2, in the previous section), or are found to no longer be eligible, you’ll be removed from Medi-Cal coverage. And if that happens, you’ll have other options for subsidized health care coverage — but at a cost.\u003c/p>\n\u003cp>Yingjia Huang, assistant deputy director for health care benefits and eligibility at the Department of Health Care Services, told CalMatters that \u003ca href=\"https://calmatters.org/health/2023/03/medi-cal-eligibility-2/\">if you no longer qualify for Medi-Cal because your income has gone up, you’ll be “automatically” transitioned\u003c/a> into a similar plan through Covered California. “The system automatically will review their eligibility for Covered California, and Covered California will send out the enrollment notice to the member, informing them of their options and to pay the plan premium,” said Huang. There’ll be “no administrative burden on a member,” she stressed.\u003c/p>\n\u003cp>But of course, this may come with a new monthly premium that many folks on Medi-Cal haven’t had to pay before — and might not feel able to when factoring in their other expenses.\u003c/p>\n\u003cp>The state emphasizes that \u003ca href=\"https://www.coveredca.com/marketing-blog/health-insurance-costs-less-thanks-to-the-inflation-reduction-act/\">nearly half of people getting health care through Covered California pay less than $50\u003c/a>, while nearly a quarter of people don’t pay a monthly premium at all.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003ch2>What happens if I don’t get my renewal packet in the mail?\u003c/h2>\n\u003cp>Reyes is keen to reiterate that no one will be automatically dropped from their Medi-Cal coverage on April 1. “Starting on that date, people should be on the lookout for these renewal packages that they will need to complete,” she said.\u003c/p>\n\u003cp>If your coverage anniversary rolls around and you have not received a renewal packet, there may be several possibilities to explain why:\u003c/p>\n\u003cul>\n\u003cli>You may have the wrong date on file for your anniversary, or:\u003c/li>\n\u003cli>Your county may be sending the packet to an old address (more likely \u003ca href=\"https://www.sfhsa.org/services/health/medi-cal/renew-your-medi-cal-coverage\">if you moved during the pandemic\u003c/a>).\u003c/li>\n\u003c/ul>\n\u003cp>In either case, you should confirm your information with your county directly. You can do this online:\u003c/p>\n\u003cul>\n\u003cli>If you live in Alameda, San Francisco, San Mateo, Solano and Sonoma counties, visit \u003ca href=\"https://www.mybenefitscalwin.org/#/home\">MyBenefitsCalWin\u003c/a> to update your Medi-Cal contact information.\u003c/li>\n\u003cli>If you live in Contra Costa, Marin, Napa or Santa Clara counties, visit \u003ca href=\"https://benefitscal.com/\">BenefitsCal\u003c/a> to update your Medi-Cal contact information.\u003c/li>\n\u003c/ul>\n\u003cp>You can also contact the office in your county that manages Medi-Cal enrollment. Find your county in the list below.\u003c/p>\n\u003ch2>\u003ca id=\"helpmedicaid\">\u003c/a>Get direct assistance with Medi-Cal and update your contact details\u003c/h2>\n\u003cp>\u003cstrong>Alameda County\u003c/strong>: \u003ca href=\"https://www.alamedacountysocialservices.org/our-services/Health-and-Food/Medi-Cal/index\">Social Services Agency\u003c/a>, 24100 Amador Street, Hayward; call (888) 999-4772.\u003c/p>\n\u003cp>\u003cstrong>Contra Costa County\u003c/strong>: \u003ca href=\"https://ehsd.org/benefits/medi-cal-and-health-coverage-options/\">Employment and Human Services\u003c/a>, multiple addresses; call (866) 663-3225.\u003c/p>\n\u003cp>\u003cstrong>Marin County\u003c/strong>: \u003ca href=\"https://www.marinhhs.org/medi-cal\">Health and Human Services\u003c/a>, 120 N. Redwood Drive, San Rafael; call (877) 410-8817.\u003c/p>\n\u003cp>\u003cstrong>Napa County\u003c/strong>: \u003ca href=\"https://www.countyofnapa.org/3304/Self-Sufficiency-Services\">Health and Human Services\u003c/a>, 2751 Napa Valley Corporate Drive, Napa; call (707) 253-4511.\u003c/p>\n\u003cp>\u003cstrong>San Francisco\u003c/strong>: \u003ca href=\"https://www.sfhsa.org/services/health/medi-cal/renew-your-medi-cal-coverage\">Human Services Agency\u003c/a>, 1440 Harrison Street, San Francisco; call (415) 558-4700.\u003c/p>\n\u003cp>\u003cstrong>San Mateo County\u003c/strong>: \u003ca href=\"https://www.smcgov.org/hsa/health-coverage\">Human Services\u003c/a>, 400 Harbor Boulevard, Building B, Belmont; call (800) 223-8383.\u003c/p>\n\u003cp>\u003cstrong>Santa Clara County\u003c/strong>: \u003ca href=\"https://socialservices.sccgov.org/health-coverage\">Social Services Agency\u003c/a>, 1867 Senter Road, San José; call (408) 758-3800.\u003c/p>\n\u003cp>\u003cstrong>Solano County\u003c/strong>: \u003ca href=\"https://www.solanocounty.com/depts/hss/ees/medical/default.asp\">Health and Social Services\u003c/a>, multiple addresses; call (707) 784-3900.\u003c/p>\n\u003cp>\u003cstrong>Sonoma County\u003c/strong>: \u003ca href=\"https://sonomacounty.ca.gov/health-and-human-services/human-services/divisions-and-services/economic-assistance/health-care-benefits/medi-cal-and-county-medical-services-program\">Department of Human Services\u003c/a>, 2550 Paulin Drive, Santa Rosa, or 5350 Old Redwood Highway, Suite 100, Petaluma; call (877) 699-6868.\u003c/p>\n\u003ch2>Remember, you don’t have to go through this alone\u003c/h2>\n\u003cp>If you are a parent or caregiver and managing a family all by yourself, working multiple jobs or managing a chronic illness, the Medi-Cal renewal process is another item on a long list of responsibilities you are already juggling. You might also be facing \u003ca href=\"https://www.kqed.org/news/11943420/your-calfresh-benefits-will-drop-in-april-heres-what-you-can-do\">a drop in your CalFresh benefits (SNAP, or food stamps)\u003c/a> at the same time as this Medi-Cal renewal, starting in April.\u003c/p>\n\u003cp>Many organizations across California are helping folks send their renewal packets in on time and keep their coverage. One of them is La Clínica de la Raza, which has set up a service that provides individual assistance to Medi-Cal recipients living in Alameda, Contra Costa or Solano counties while completing the renewal requirements.\u003c/p>\n\u003cp>“We don’t want people to lose coverage, especially because preventative services are important — particularly for those who have chronic conditions,” said Reyes, from La Clínica. “We want to make sure that they’re not at risk of losing coverage, not being able to see their provider, not able to refill their prescriptions. So taking action as soon as possible is important.”\u003c/p>\n\u003cp>If you are on Medi-Cal and live in Alameda, Contra Costa or Solano counties, contact La Clínica de la Raza at (855) 494-4658. Help is available in both English and Spanish.\u003c/p>\n\u003cp>Reyes adds that your county’s social services agency is also a helpful resource when navigating the renewal process and some counties have even set up service centers to answer reenrollment questions in person. \u003ca href=\"#helpmedicaid\">Find contact information for your county’s social services agency (above).\u003c/a>\u003c/p>\n\u003ch2>\u003ca id=\"tellus\">\u003c/a>Tell us: What else do you need information about?\u003c/h2>\n\u003cp>At KQED News, we know that it can sometimes be hard to track down the answers to navigate life in the Bay Area in 2023. We’ve published \u003ca href=\"https://www.kqed.org/news/tag/coronavirus-resources-and-explainers\">clear, helpful explainers and guides about issues like COVID\u003c/a>, \u003ca href=\"https://www.kqed.org/news/11936674/how-to-prepare-for-this-weeks-atmospheric-river-storm-sandbags-emergency-kits-and-more\">how to cope with intense winter weather\u003c/a> and \u003ca href=\"https://www.kqed.org/news/11821950/how-to-safely-attend-a-protest-in-the-bay-area\">how to exercise your right to protest safely\u003c/a>.\u003c/p>\n\u003cp>So tell us: What do you need to know more about? Tell us, and you could see your question answered online or on social media. What you submit will make our reporting stronger, and help us decide what to cover here on our site, and on KQED Public Radio, too.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>\u003cem>KQED’s Carly Severn contributed to this story.\u003c/em>\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cp>San Francisco leaders are making an exception to their own ethics policy so city officials can solicit donations for safe-consumption sites.\u003c/p>\n\u003cp>The Board of Supervisors passed a resolution on Tuesday that allows Mayor London Breed, her officers and officials at the Department of Public Health to seek out donations for nonprofits, which would then use the private funds to operate safe-consumption sites, where medical staff can supervise people using drugs and respond if there is an overdose.\u003c/p>\n\u003cp>The vote allows city leaders to bypass an ethics policy put in place after a \u003ca href=\"https://sfstandard.com/politics/city-hall/after-nuru-scandal-sf-anti-corruption-proposal-seeks-to-prevent-bribes-cloaked-as-donations/\">recent corruption scandal surrounding the Department of Public Works\u003c/a>. Today, city leaders are largely prohibited from soliciting behested payments, which include donations made by individuals, foundations or companies at the request of a public official, either to a city department or nonprofit.\u003c/p>\n\u003cp>Supporters of the \u003ca href=\"https://sfgov.legistar.com/View.ashx?M=F&ID=11602593&GUID=162FF29F-60F8-457A-8D1C-B3E56D2921F2\">resolution (PDF)\u003c/a> said in a previous hearing that the opioid epidemic is dire, and that directing private donations to nonprofits that will operate safe-consumption sites is an appropriate reason to seek a waiver for the anti-corruption law.\u003c/p>\n\u003cp>The waiver lasts for six months, after which supervisors could potentially reapply for the waiver.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>Watchdogs on the city’s ethics commission did not comment on the specific proposal, but said the rules are in place to uphold good governance and that waivers are permitted.\u003c/p>\n\u003cp>“The prohibition on soliciting behested payments is an important pillar of the city’s ethics rules. These rules help ensure that government decisions are made on the merits and that special interests can’t use charitable donations to curry favor with public officials,” Michael Canning, policy and legislative affairs manager for the San Francisco Ethics Commission, told KQED. “Any waivers issued for these rules should be carefully considered, serve the public interest, and not create an appearance of impropriety in the eyes of the public.”\u003c/p>\n\u003cp>San Francisco officials are largely in agreement that safe-consumption sites are a tool they want to employ to help reduce overdose deaths. Currently, \u003ca href=\"https://www.kqed.org/news/11943309/sf-supervisors-carve-path-for-privately-run-safe-consumption-sites-but-can-nonprofits-fund-them-alone\">the city is poised to replicate a model used in New York City\u003c/a>, which has two operating safe-consumption sites privately paid for and operated by nonprofits.\u003c/p>\n\u003cp>[aside postID=news_11943309 hero='https://ww2.kqed.org/app/uploads/sites/10/2023/03/RS63526_011_KQED_GubbioProjectLydiaBransten_03092023-qut-1020x680.jpg']But because safe-consumption sites are still illegal at the state and federal levels, funding them remains a puzzle.\u003c/p>\n\u003cp>This year, San Francisco passed a local policy that would allow the city to move forward with a funding model similar to that in New York.\u003c/p>\n\u003cp>Still, the nonprofits eager to run the services said funding them alone will be difficult. The two sites in New York City, operated by a nonprofit called OnPoint NYC, cost around $1.4 million annually, OnPoint’s executive director Sam Rivera previously stated.\u003c/p>\n\u003cp>The privately run sites in New York provide a calm and sterile indoor space for people with substance use disorders to use drugs in a safer environment and potentially get connected to treatment, city officials who visited told KQED. The program boasts that staff have intervened in 819 overdoses and that zero overdose deaths have occurred there. Mayor Eric Adams has said he wants more of them.\u003c/p>\n\u003cp>There are nearly 200 safe-consumption sites operating around the world, including in Canada, Australia, Norway, Portugal and Spain, and they have had success at keeping drug users alive and reversing opioid overdoses with a medication called naloxone. Also at the sites, patients can typically access a variety of services, such as showers and meals, or sign up for housing and other health programs.\u003c/p>\n\u003cp>San Francisco also ran a safe-consumption site in 2022, as part of Mayor London Breed’s emergency initiative for \u003ca href=\"https://sf.gov/sites/default/files/2023-03/2022_OCME%20Overdose%20Report_0.pdf\">the Tenderloin neighborhood, where a large portion of overdoses in San Francisco have occurred (PDF)\u003c/a>, according to data from the Office of the Chief Medical Examiner.\u003c/p>\n\u003cp>But, Breed ordered that the Department of Public Health shut down the facility after 11 months of operating, stating then that it was never intended to be permanently located at United Nations Plaza, a bustling corridor of businesses, residences, government buildings and public events.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>Many overdose prevention advocates criticized how there was little support for the hundreds of daily visitors at the Tenderloin Center once it abruptly closed. Overdose deaths in the months following slightly increased in San Francisco, according to medical examiner data.\u003c/p>\n\n",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>San Francisco leaders are making an exception to their own ethics policy so city officials can solicit donations for safe-consumption sites.\u003c/p>\n\u003cp>The Board of Supervisors passed a resolution on Tuesday that allows Mayor London Breed, her officers and officials at the Department of Public Health to seek out donations for nonprofits, which would then use the private funds to operate safe-consumption sites, where medical staff can supervise people using drugs and respond if there is an overdose.\u003c/p>\n\u003cp>The vote allows city leaders to bypass an ethics policy put in place after a \u003ca href=\"https://sfstandard.com/politics/city-hall/after-nuru-scandal-sf-anti-corruption-proposal-seeks-to-prevent-bribes-cloaked-as-donations/\">recent corruption scandal surrounding the Department of Public Works\u003c/a>. Today, city leaders are largely prohibited from soliciting behested payments, which include donations made by individuals, foundations or companies at the request of a public official, either to a city department or nonprofit.\u003c/p>\n\u003cp>Supporters of the \u003ca href=\"https://sfgov.legistar.com/View.ashx?M=F&ID=11602593&GUID=162FF29F-60F8-457A-8D1C-B3E56D2921F2\">resolution (PDF)\u003c/a> said in a previous hearing that the opioid epidemic is dire, and that directing private donations to nonprofits that will operate safe-consumption sites is an appropriate reason to seek a waiver for the anti-corruption law.\u003c/p>\n\u003cp>The waiver lasts for six months, after which supervisors could potentially reapply for the waiver.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>Watchdogs on the city’s ethics commission did not comment on the specific proposal, but said the rules are in place to uphold good governance and that waivers are permitted.\u003c/p>\n\u003cp>“The prohibition on soliciting behested payments is an important pillar of the city’s ethics rules. These rules help ensure that government decisions are made on the merits and that special interests can’t use charitable donations to curry favor with public officials,” Michael Canning, policy and legislative affairs manager for the San Francisco Ethics Commission, told KQED. “Any waivers issued for these rules should be carefully considered, serve the public interest, and not create an appearance of impropriety in the eyes of the public.”\u003c/p>\n\u003cp>San Francisco officials are largely in agreement that safe-consumption sites are a tool they want to employ to help reduce overdose deaths. Currently, \u003ca href=\"https://www.kqed.org/news/11943309/sf-supervisors-carve-path-for-privately-run-safe-consumption-sites-but-can-nonprofits-fund-them-alone\">the city is poised to replicate a model used in New York City\u003c/a>, which has two operating safe-consumption sites privately paid for and operated by nonprofits.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>But because safe-consumption sites are still illegal at the state and federal levels, funding them remains a puzzle.\u003c/p>\n\u003cp>This year, San Francisco passed a local policy that would allow the city to move forward with a funding model similar to that in New York.\u003c/p>\n\u003cp>Still, the nonprofits eager to run the services said funding them alone will be difficult. The two sites in New York City, operated by a nonprofit called OnPoint NYC, cost around $1.4 million annually, OnPoint’s executive director Sam Rivera previously stated.\u003c/p>\n\u003cp>The privately run sites in New York provide a calm and sterile indoor space for people with substance use disorders to use drugs in a safer environment and potentially get connected to treatment, city officials who visited told KQED. The program boasts that staff have intervened in 819 overdoses and that zero overdose deaths have occurred there. Mayor Eric Adams has said he wants more of them.\u003c/p>\n\u003cp>There are nearly 200 safe-consumption sites operating around the world, including in Canada, Australia, Norway, Portugal and Spain, and they have had success at keeping drug users alive and reversing opioid overdoses with a medication called naloxone. Also at the sites, patients can typically access a variety of services, such as showers and meals, or sign up for housing and other health programs.\u003c/p>\n\u003cp>San Francisco also ran a safe-consumption site in 2022, as part of Mayor London Breed’s emergency initiative for \u003ca href=\"https://sf.gov/sites/default/files/2023-03/2022_OCME%20Overdose%20Report_0.pdf\">the Tenderloin neighborhood, where a large portion of overdoses in San Francisco have occurred (PDF)\u003c/a>, according to data from the Office of the Chief Medical Examiner.\u003c/p>\n\u003cp>But, Breed ordered that the Department of Public Health shut down the facility after 11 months of operating, stating then that it was never intended to be permanently located at United Nations Plaza, a bustling corridor of businesses, residences, government buildings and public events.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>Many overdose prevention advocates criticized how there was little support for the hundreds of daily visitors at the Tenderloin Center once it abruptly closed. Overdose deaths in the months following slightly increased in San Francisco, according to medical examiner data.\u003c/p>\n\n\u003c/div>\u003c/p>",
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"rss": "https://podcasts.files.bbci.co.uk/p02nq0gn.rss"
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},
"californiareport": {
"id": "californiareport",
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"tagline": "California, day by day",
"info": "KQED’s statewide radio news program providing daily coverage of issues, trends and public policy decisions.",
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"officialWebsiteLink": "/californiareport",
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"order": 8
},
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},
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"title": "The California Report Magazine",
"tagline": "Your state, your stories",
"info": "Every week, The California Report Magazine takes you on a road trip for the ears: to visit the places and meet the people who make California unique. The in-depth storytelling podcast from the California Report.",
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"source": "City Arts & Lectures"
},
"link": "https://www.cityarts.net",
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"order": 1
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"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.",
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"source": "Commonwealth Club of California"
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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.",
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"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": {
"site": "radio",
"source": "WNYC"
},
"link": "/radio/program/freakonomics-radio",
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"id": "fresh-air",
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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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"meta": {
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"source": "NPR"
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"how-i-built-this": {
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"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",
"title": "Hyphenación",
"tagline": "Where conversation and cultura meet",
"info": "What kind of no sabo word is Hyphenación? For us, it’s about living within a hyphenation. Like being a third-gen Mexican-American from the Texas border now living that Bay Area Chicano life. Like Xorje! Each week we bring together a couple of hyphenated Latinos to talk all about personal life choices: family, careers, relationships, belonging … everything is on the table. ",
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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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},
"marketplace": {
"id": "marketplace",
"title": "Marketplace",
"info": "Our flagship program, helmed by Kai Ryssdal, examines what the day in money delivered, through stories, conversations, newsworthy numbers and more. Updated Monday through Friday at about 3:30 p.m. PT.",
"airtime": "MON-FRI 4pm-4:30pm, MON-WED 6:30pm-7pm",
"imageSrc": "https://cdn.kqed.org/wp-content/uploads/2024/04/Marketplace-Podcast-Tile-360x360-1.jpg",
"officialWebsiteLink": "https://www.marketplace.org/",
"meta": {
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"source": "American Public Media"
},
"link": "/radio/program/marketplace",
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},
"masters-of-scale": {
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"title": "Masters of Scale",
"info": "Masters of Scale is an original podcast in which LinkedIn co-founder and Greylock Partner Reid Hoffman sets out to describe and prove theories that explain how great entrepreneurs take their companies from zero to a gazillion in ingenious fashion.",
"airtime": "Every other Wednesday June 12 through October 16 at 8pm (repeats Thursdays at 2am)",
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"officialWebsiteLink": "https://mastersofscale.com/",
"meta": {
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"source": "WaitWhat"
},
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"rss": "https://rss.art19.com/masters-of-scale"
}
},
"mindshift": {
"id": "mindshift",
"title": "MindShift",
"tagline": "A podcast about the future of learning and how we raise our kids",
"info": "The MindShift podcast explores the innovations in education that are shaping how kids learn. Hosts Ki Sung and Katrina Schwartz introduce listeners to educators, researchers, parents and students who are developing effective ways to improve how kids learn. We cover topics like how fed-up administrators are developing surprising tactics to deal with classroom disruptions; how listening to podcasts are helping kids develop reading skills; the consequences of overparenting; and why interdisciplinary learning can engage students on all ends of the traditional achievement spectrum. This podcast is part of the MindShift education site, a division of KQED News. KQED is an NPR/PBS member station based in San Francisco. You can also visit the MindShift website for episodes and supplemental blog posts or tweet us \u003ca href=\"https://twitter.com/MindShiftKQED\">@MindShiftKQED\u003c/a> or visit us at \u003ca href=\"/mindshift\">MindShift.KQED.org\u003c/a>",
"imageSrc": "https://cdn.kqed.org/wp-content/uploads/2024/04/Mindshift-Podcast-Tile-703x703-1.jpg",
"imageAlt": "KQED MindShift: How We Will Learn",
"officialWebsiteLink": "/mindshift/",
"meta": {
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"source": "kqed",
"order": 12
},
"link": "/podcasts/mindshift",
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"google": "https://podcasts.google.com/feed/aHR0cHM6Ly9mZWVkcy5tZWdhcGhvbmUuZm0vS1FJTkM1NzY0NjAwNDI5",
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}
},
"morning-edition": {
"id": "morning-edition",
"title": "Morning Edition",
"info": "\u003cem>Morning Edition\u003c/em> takes listeners around the country and the world with multi-faceted stories and commentaries every weekday. Hosts Steve Inskeep, David Greene and Rachel Martin bring you the latest breaking news and features to prepare you for the day.",
"airtime": "MON-FRI 3am-9am",
"imageSrc": "https://cdn.kqed.org/wp-content/uploads/2024/04/Morning-Edition-Podcast-Tile-360x360-1.jpg",
"officialWebsiteLink": "https://www.npr.org/programs/morning-edition/",
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"link": "/radio/program/morning-edition"
},
"onourwatch": {
"id": "onourwatch",
"title": "On Our Watch",
"tagline": "Deeply-reported investigative journalism",
"info": "For decades, the process for how police police themselves has been inconsistent – if not opaque. In some states, like California, these proceedings were completely hidden. After a new police transparency law unsealed scores of internal affairs files, our reporters set out to examine these cases and the shadow world of police discipline. On Our Watch brings listeners into the rooms where officers are questioned and witnesses are interrogated to find out who this system is really protecting. Is it the officers, or the public they've sworn to serve?",
"imageSrc": "https://cdn.kqed.org/wp-content/uploads/2024/04/On-Our-Watch-Podcast-Tile-703x703-1.jpg",
"imageAlt": "On Our Watch from NPR and KQED",
"officialWebsiteLink": "/podcasts/onourwatch",
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