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"content": "\u003cp>Day two of the \u003ca href=\"https://www.kqed.org/news/11963306/kaiser-strike-furthers-delays-in-covid-19-vaccines-some-surgeries-in-the-bay-area\">largest health care worker strike in U.S. history\u003c/a> is underway across the country and in the Bay Area, as tens of thousands of Kaiser workers are seeking higher wages and increased staffing.\u003c/p>\n\u003cp>“Frontline health care workers are awaiting a meaningful response from Kaiser executives regarding some of our key priorities including safe staffing, outsourcing protections for incumbent health care workers, and fair wages to reduce turnover,” said Caroline Lucas, a spokesperson for the Coalition of Kaiser Permanente Unions.\u003c/p>\n\u003cp>Kaiser Permanente leaders and union representatives met Monday and Tuesday for bargaining, but did not come to an agreement before \u003ca href=\"https://www.kqed.org/news/11963306/kaiser-strike-furthers-delays-in-covid-19-vaccines-some-surgeries-in-the-bay-area\">workers began striking on Wednesday morning\u003c/a>. As of Wednesday evening, there were no new negotiation sessions scheduled, Lucas said.\u003c/p>\n\u003cp>[pullquote size=\"medium\" align=\"right\" citation=\"Drenda Sims, receptionist, Kaiser’s OB-GYN department in Oakland\"]‘We have employees sleeping in their cars because they can’t afford the cost of living. We need a raise. It’s bad.’[/pullquote]The strike is slated to end at 6 a.m. on Saturday morning, according to statements from both Kaiser Permanente and the coalition representing Kaiser workers unions.\u003c/p>\n\u003cp>“We will coordinate with Coalition leaders to reconvene bargaining as soon as possible,” a spokesperson for Kaiser told KQED on Thursday. “We will work hard to reach an agreement so that together, we can all return to delivering on the mission of Kaiser Permanente for the benefit of our members, patients, employees, physicians, customers, and communities.”\u003c/p>\n\u003cp>In a press statement days before the strike began, Kaiser said it hired 29,000 people in 2022, and 22,000 so far in 2023. Of the new hires this year, the company said more than 9,800 are in jobs represented by the Coalition of Kaiser Permanente Unions.\u003c/p>\n\u003cp>In earlier bargaining talks this year, Kaiser said it agreed to accelerate bringing on new staff and set a goal of adding 10,000 new employees represented by the Coalition by the end of 2023.\u003c/p>\n\u003cfigure id=\"attachment_11963407\" class=\"wp-caption alignnone\" style=\"max-width: 800px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-medium wp-image-11963407\" src=\"https://ww2.kqed.org/app/uploads/sites/10/2023/10/231004-KAISER-STRIKE-MD-06-KQED-800x533.jpg\" alt=\"A large group of people hold signs in an outdoor setting.\" width=\"800\" height=\"533\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2023/10/231004-KAISER-STRIKE-MD-06-KQED-800x533.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/10/231004-KAISER-STRIKE-MD-06-KQED-1020x680.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/10/231004-KAISER-STRIKE-MD-06-KQED-160x107.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/10/231004-KAISER-STRIKE-MD-06-KQED-1536x1024.jpg 1536w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/10/231004-KAISER-STRIKE-MD-06-KQED-1920x1280.jpg 1920w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/10/231004-KAISER-STRIKE-MD-06-KQED.jpg 2000w\" sizes=\"auto, (max-width: 800px) 100vw, 800px\">\u003cfigcaption class=\"wp-caption-text\">Kaiser workers strike in front of the Kaiser Permanente Oakland Medical Center in Oakland on Oct. 2, 2023 \u003ccite>(Martin do Nascimento/KQED)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>“Kaiser Permanente’s efforts are paying off: We expect to reach the 10,000 new hire goal by the end of October, if not sooner, and we won’t stop there,” the \u003ca href=\"https://about.kaiserpermanente.org/who-we-are/labor-relations/we-remain-committed-to-reaching-an-agreement-with-the-coalition\">press statement reads\u003c/a>. “We are committed to addressing every area of staffing that is still challenging. We’ve also taken actions to streamline the screening, hiring, and onboarding process.”\u003c/p>\n\u003cp>Roles impacted by the strike this week include respiratory therapists, optometrists, behavioral health workers, medical assistants and many others.\u003c/p>\n\u003cp>In an email, a Kaiser spokesperson said they will hire “contingent workers” to fill in for workers on strike this week. Some elective surgeries have been rescheduled, and wait times for COVID-19 and flu vaccines are also impacted. (\u003ca href=\"https://www.kqed.org/news/11963308/kaiser-strike-if-youre-a-patient-what-medical-services-would-be-affected\">Read KQED’s guide for Kaiser patients during the strike and what you need to know\u003c/a>.)\u003c/p>\n\u003cp>Workers on the picket lines this week told KQED they feel overworked and underpaid, and that low staffing after the pandemic has come at the expense of the quality of patient care.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>“We have seen patients in the hallways, we have seen patients not attended to immediately when they go to the emergency rooms,” said Edward Lopez-Matus, a union leader and medical assistant with Kaiser Permanente who started picketing around 5:30 a.m. on Wednesday outside of the San Francisco Kaiser facility. “When we are covering for doctors at the clinic levels, this is where mistakes can happen and this is not right for our patients. We need to have the right staffing so we can have the right care for our patients.”\u003c/p>\n\u003cp>Close to 75,000 Kaiser workers in California — as well as in Oregon, Washington, Colorado, Virginia and Washington, D.C. — are seeking a significant increase in staffing and are pushing for a 6.5% wage increase in the first two years of this next contract, and a 5.75% increase the following two years.[aside tag=\"kaiser, health\" label=\"More Related Stories\"]\u003c/p>\n\u003cp>Employees are also seeking to raise the minimum wage across the board to $26 by 2026.\u003c/p>\n\u003cp>In a recent proposal, Kaiser offered California workers across-the-board wage increases of 4% for the next two years, and 3% for the following two years, as well as a minimum performance bonus aimed to prevent any employees from receiving no payout.\u003c/p>\n\u003cp>Kaiser also recently offered a $23-per-hour minimum wage for its employees in California starting in 2024.\u003c/p>\n\u003cp>Workers on strike this week are pushing for more.\u003c/p>\n\u003cp>“We have employees sleeping in their cars because they can’t afford the cost of living,” said Drenda Sims, a receptionist at Kaiser’s OB-GYN department in Oakland. “We need a raise. It’s bad.”\u003c/p>\n\u003cp>\u003cem>KQED’s Farida Jhabvala Romero and Billy Cruz contributed to this report. \u003c/em>\u003c/p>\n\u003cp>\u003c/p>\n",
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"content": "\u003cdiv class=\"post-body\">\u003cp>The strike is slated to end at 6 a.m. on Saturday morning, according to statements from both Kaiser Permanente and the coalition representing Kaiser workers unions.\u003c/p>\n\u003cp>“We will coordinate with Coalition leaders to reconvene bargaining as soon as possible,” a spokesperson for Kaiser told KQED on Thursday. “We will work hard to reach an agreement so that together, we can all return to delivering on the mission of Kaiser Permanente for the benefit of our members, patients, employees, physicians, customers, and communities.”\u003c/p>\n\u003cp>In a press statement days before the strike began, Kaiser said it hired 29,000 people in 2022, and 22,000 so far in 2023. Of the new hires this year, the company said more than 9,800 are in jobs represented by the Coalition of Kaiser Permanente Unions.\u003c/p>\n\u003cp>In earlier bargaining talks this year, Kaiser said it agreed to accelerate bringing on new staff and set a goal of adding 10,000 new employees represented by the Coalition by the end of 2023.\u003c/p>\n\u003cfigure id=\"attachment_11963407\" class=\"wp-caption alignnone\" style=\"max-width: 800px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-medium wp-image-11963407\" src=\"https://ww2.kqed.org/app/uploads/sites/10/2023/10/231004-KAISER-STRIKE-MD-06-KQED-800x533.jpg\" alt=\"A large group of people hold signs in an outdoor setting.\" width=\"800\" height=\"533\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2023/10/231004-KAISER-STRIKE-MD-06-KQED-800x533.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/10/231004-KAISER-STRIKE-MD-06-KQED-1020x680.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/10/231004-KAISER-STRIKE-MD-06-KQED-160x107.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/10/231004-KAISER-STRIKE-MD-06-KQED-1536x1024.jpg 1536w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/10/231004-KAISER-STRIKE-MD-06-KQED-1920x1280.jpg 1920w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/10/231004-KAISER-STRIKE-MD-06-KQED.jpg 2000w\" sizes=\"auto, (max-width: 800px) 100vw, 800px\">\u003cfigcaption class=\"wp-caption-text\">Kaiser workers strike in front of the Kaiser Permanente Oakland Medical Center in Oakland on Oct. 2, 2023 \u003ccite>(Martin do Nascimento/KQED)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>“Kaiser Permanente’s efforts are paying off: We expect to reach the 10,000 new hire goal by the end of October, if not sooner, and we won’t stop there,” the \u003ca href=\"https://about.kaiserpermanente.org/who-we-are/labor-relations/we-remain-committed-to-reaching-an-agreement-with-the-coalition\">press statement reads\u003c/a>. “We are committed to addressing every area of staffing that is still challenging. We’ve also taken actions to streamline the screening, hiring, and onboarding process.”\u003c/p>\n\u003cp>Roles impacted by the strike this week include respiratory therapists, optometrists, behavioral health workers, medical assistants and many others.\u003c/p>\n\u003cp>In an email, a Kaiser spokesperson said they will hire “contingent workers” to fill in for workers on strike this week. Some elective surgeries have been rescheduled, and wait times for COVID-19 and flu vaccines are also impacted. (\u003ca href=\"https://www.kqed.org/news/11963308/kaiser-strike-if-youre-a-patient-what-medical-services-would-be-affected\">Read KQED’s guide for Kaiser patients during the strike and what you need to know\u003c/a>.)\u003c/p>\n\u003cp>Workers on the picket lines this week told KQED they feel overworked and underpaid, and that low staffing after the pandemic has come at the expense of the quality of patient care.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>“We have seen patients in the hallways, we have seen patients not attended to immediately when they go to the emergency rooms,” said Edward Lopez-Matus, a union leader and medical assistant with Kaiser Permanente who started picketing around 5:30 a.m. on Wednesday outside of the San Francisco Kaiser facility. “When we are covering for doctors at the clinic levels, this is where mistakes can happen and this is not right for our patients. We need to have the right staffing so we can have the right care for our patients.”\u003c/p>\n\u003cp>Close to 75,000 Kaiser workers in California — as well as in Oregon, Washington, Colorado, Virginia and Washington, D.C. — are seeking a significant increase in staffing and are pushing for a 6.5% wage increase in the first two years of this next contract, and a 5.75% increase the following two years.\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>Employees are also seeking to raise the minimum wage across the board to $26 by 2026.\u003c/p>\n\u003cp>In a recent proposal, Kaiser offered California workers across-the-board wage increases of 4% for the next two years, and 3% for the following two years, as well as a minimum performance bonus aimed to prevent any employees from receiving no payout.\u003c/p>\n\u003cp>Kaiser also recently offered a $23-per-hour minimum wage for its employees in California starting in 2024.\u003c/p>\n\u003cp>Workers on strike this week are pushing for more.\u003c/p>\n\u003cp>“We have employees sleeping in their cars because they can’t afford the cost of living,” said Drenda Sims, a receptionist at Kaiser’s OB-GYN department in Oakland. “We need a raise. It’s bad.”\u003c/p>\n\u003cp>\u003cem>KQED’s Farida Jhabvala Romero and Billy Cruz contributed to this report. \u003c/em>\u003c/p>\n\u003cp>\u003c/p>\n\u003c/div>\u003c/p>",
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"content": "\u003cp>\u003ca href=\"https://www.kqed.org/news/11963152/looming-kaiser-strike-could-delay-covid-flu-shots\">Tens of thousands of Kaiser Permanente health care workers across six states went on strike\u003c/a> this morning — including in California.\u003c/p>\n\u003cp>\u003ca href=\"https://calmatters.org/health/2023/10/kaiser-strike-at-california-hospitals-october/\">Kaiser controls half of California’s private insurance market\u003c/a>, and has more than 9.4 million members across the state.\u003c/p>\n\u003cp>So if you’re a Kaiser patient, keep reading for what you need to know about the strike, who’s likely to be impacted and which medical services from Kaiser will be affected during this time.\u003c/p>\n\u003ch2>How long would a Kaiser strike last?\u003c/h2>\n\u003cp>Right now, the Kaiser strike in California is anticipated to last at least three days. It began at 6 a.m. on Wednesday, Oct. 4, and is expected to end at 6 a.m. on Saturday Oct. 7.\u003c/p>\n\u003ch2>Who is on strike at Kaiser?\u003c/h2>\n\u003cp>Nearly 75,000 Kaiser Permanente health care workers across six states, including California, went on strike today.\u003c/p>\n\u003cp>The strike impacts nearly 68,000 Kaiser employees in California — 22,650 of which are in the Bay Area, \u003ca href=\"https://www.kqed.org/news/11963152/looming-kaiser-strike-could-delay-covid-flu-shots\">according to the Coalition of Kaiser Permanente Unions\u003c/a>.\u003c/p>\n\u003cp>The union coalition says that jobs affected by the Kaiser strike will include: licensed vocational nurses, emergency department technicians, radiology technicians, ultrasound sonographers, teleservice representatives, respiratory therapists, x-ray technicians, certified nursing assistants, dietary services, behavioral health workers, surgical technicians, pharmacy technicians, transporters, home health aides, phlebotomists, medical assistants, and housekeepers, “among hundreds of other positions.”\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003ch2>What Kaiser services \u003cem>won’t\u003c/em> be affected by a strike?\u003c/h2>\n\u003cp>Neither the nurses union nor Kaiser’s physicians will be on strike, according to a statement Kaiser emailed to KQED, which also confirms that hospitals and emergency departments will remain open during any strike.\u003c/p>\n\u003cp>“Hospital pharmacies for inpatient care and critical infusion services will remain in operation” as well, according to the statement.\u003c/p>\n\u003cp>“Our facilities will be staffed by our physicians, trained and experienced managers and staff, and in some cases, we will augment with licensed and qualified contract staff,” said the statement.\u003c/p>\n\u003cp>You should not let any potential strike delay you from seeking care for a health emergency.\u003c/p>\n\u003cp>[aside label='Related Coverage' tag='kaiser-permanente']\u003c/p>\n\u003ch2>What Kaiser services will be affected by a strike?\u003c/h2>\n\u003cp>\u003cstrong>If you already have an appointment with Kaiser …\u003c/strong>\u003c/p>\n\u003cp>Kaiser said in its statement to KQED that during the strike, “in consultation with our physicians, we may need to reschedule certain non-urgent appointments and procedures, as long as that is appropriate and safe for the patient.”\u003c/p>\n\u003cp>If you have an existing appointment that’ll fall during the strike, Kaiser’s statement said the health system will “contact any patient affected by the strike in advance if necessary and work with them to reschedule their appointments.”\u003c/p>\n\u003cp>There’s no need for you to call or email your doctor’s office yourself, according to Kaiser.\u003c/p>\n\u003cp>\u003cstrong>If you need a laboratory, radiology or optical service …\u003c/strong>\u003c/p>\n\u003cp>“Some of our laboratory, radiology, and optical locations may be temporarily closed or operating with reduced hours during the strike,” said Kaiser. The company advises you to\u003ca href=\"https://healthy.kaiserpermanente.org/northern-california/front-door\"> schedule an appointment online\u003c/a> or via the KP mobile app.\u003c/p>\n\u003cp>What if you need lab work, radiology or optical services urgently? In this scenario, Kaiser advises that you call their Appointment and Advice Call Center at 1-866-454-8855 (TTY 711), 24 hours a day, 7 days a week.\u003c/p>\n\u003cp>“As a result of the strike, we may experience high call volumes resulting in longer than usual wait times,” notes Kaiser’s statement.\u003c/p>\n\u003cp>\u003cstrong>If you’re looking for a COVID or flu shot …\u003c/strong>\u003c/p>\n\u003cp>“Some COVID-19 and flu vaccine services may be affected if a strike occurs,” Kaiser representatives told KQED in a statement.\u003c/p>\n\u003cp>If you’re looking for either a COVID or flu shot ASAP during the strike, you can still find one at a pharmacy near you — but you’ll likely have to pay for it. Usually, if you have health insurance you should be able to give your insurer’s details at a pharmacy vaccination appointment to have the cost of your shot billed to them, but health systems like Kaiser are the exception to this, and so you almost certainly won’t be able to get your new COVID vaccine — or flu shot — at a pharmacy like CVS or Walgreens. \u003ca href=\"https://www.kqed.org/news/11960630/free-new-covid-vaccine-near-me-2023#kaisernewcovidvaccine\">Read more about finding a new COVID vaccine near you.\u003c/a>\u003c/p>\n\u003cp>[aside postID=news_11960630]\u003cstrong>If you need a prescription … \u003c/strong>\u003c/p>\n\u003cp>Kaiser’s statement said that “some of our outpatient pharmacies” would be closed or operating on reduced hours in the event of a strike.\u003c/p>\n\u003cp>What if you have a new, urgent prescription need? Kaiser says that you should use your nearest open Kaiser Permanente Pharmacy for these, and that\u003ca href=\"https://healthy.kaiserpermanente.org/northern-california/front-door\"> a list of open Kaiser pharmacies will be posted on the health system’s website “Tuesday evening.”\u003c/a>\u003c/p>\n\u003cp>“Our physicians and our Pharmacy representatives at each of our sites and in the Pharmacy Call Center will work with patients to ensure they get the medications they need,” said Kaiser.\u003c/p>\n\u003cp>You can also use Kaiser’s mail-order delivery “for most convenient services, which delivers medications in 3 to 5 business days with no shipping fee,” according to the health system’s statement.\u003c/p>\n\u003cp>Kaiser’s hospital inpatient pharmacies will remain open, according to the health system, but Kaiser will look at “expanding” their network of pharmacies “to include community pharmacies that can serve our members during a strike and mitigate any closure of our outpatient pharmacies.”\u003c/p>\n\u003cp>\u003c/p>\n",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>\u003ca href=\"https://www.kqed.org/news/11963152/looming-kaiser-strike-could-delay-covid-flu-shots\">Tens of thousands of Kaiser Permanente health care workers across six states went on strike\u003c/a> this morning — including in California.\u003c/p>\n\u003cp>\u003ca href=\"https://calmatters.org/health/2023/10/kaiser-strike-at-california-hospitals-october/\">Kaiser controls half of California’s private insurance market\u003c/a>, and has more than 9.4 million members across the state.\u003c/p>\n\u003cp>So if you’re a Kaiser patient, keep reading for what you need to know about the strike, who’s likely to be impacted and which medical services from Kaiser will be affected during this time.\u003c/p>\n\u003ch2>How long would a Kaiser strike last?\u003c/h2>\n\u003cp>Right now, the Kaiser strike in California is anticipated to last at least three days. It began at 6 a.m. on Wednesday, Oct. 4, and is expected to end at 6 a.m. on Saturday Oct. 7.\u003c/p>\n\u003ch2>Who is on strike at Kaiser?\u003c/h2>\n\u003cp>Nearly 75,000 Kaiser Permanente health care workers across six states, including California, went on strike today.\u003c/p>\n\u003cp>The strike impacts nearly 68,000 Kaiser employees in California — 22,650 of which are in the Bay Area, \u003ca href=\"https://www.kqed.org/news/11963152/looming-kaiser-strike-could-delay-covid-flu-shots\">according to the Coalition of Kaiser Permanente Unions\u003c/a>.\u003c/p>\n\u003cp>The union coalition says that jobs affected by the Kaiser strike will include: licensed vocational nurses, emergency department technicians, radiology technicians, ultrasound sonographers, teleservice representatives, respiratory therapists, x-ray technicians, certified nursing assistants, dietary services, behavioral health workers, surgical technicians, pharmacy technicians, transporters, home health aides, phlebotomists, medical assistants, and housekeepers, “among hundreds of other positions.”\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003ch2>What Kaiser services \u003cem>won’t\u003c/em> be affected by a strike?\u003c/h2>\n\u003cp>Neither the nurses union nor Kaiser’s physicians will be on strike, according to a statement Kaiser emailed to KQED, which also confirms that hospitals and emergency departments will remain open during any strike.\u003c/p>\n\u003cp>“Hospital pharmacies for inpatient care and critical infusion services will remain in operation” as well, according to the statement.\u003c/p>\n\u003cp>“Our facilities will be staffed by our physicians, trained and experienced managers and staff, and in some cases, we will augment with licensed and qualified contract staff,” said the statement.\u003c/p>\n\u003cp>You should not let any potential strike delay you from seeking care for a health emergency.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003ch2>What Kaiser services will be affected by a strike?\u003c/h2>\n\u003cp>\u003cstrong>If you already have an appointment with Kaiser …\u003c/strong>\u003c/p>\n\u003cp>Kaiser said in its statement to KQED that during the strike, “in consultation with our physicians, we may need to reschedule certain non-urgent appointments and procedures, as long as that is appropriate and safe for the patient.”\u003c/p>\n\u003cp>If you have an existing appointment that’ll fall during the strike, Kaiser’s statement said the health system will “contact any patient affected by the strike in advance if necessary and work with them to reschedule their appointments.”\u003c/p>\n\u003cp>There’s no need for you to call or email your doctor’s office yourself, according to Kaiser.\u003c/p>\n\u003cp>\u003cstrong>If you need a laboratory, radiology or optical service …\u003c/strong>\u003c/p>\n\u003cp>“Some of our laboratory, radiology, and optical locations may be temporarily closed or operating with reduced hours during the strike,” said Kaiser. The company advises you to\u003ca href=\"https://healthy.kaiserpermanente.org/northern-california/front-door\"> schedule an appointment online\u003c/a> or via the KP mobile app.\u003c/p>\n\u003cp>What if you need lab work, radiology or optical services urgently? In this scenario, Kaiser advises that you call their Appointment and Advice Call Center at 1-866-454-8855 (TTY 711), 24 hours a day, 7 days a week.\u003c/p>\n\u003cp>“As a result of the strike, we may experience high call volumes resulting in longer than usual wait times,” notes Kaiser’s statement.\u003c/p>\n\u003cp>\u003cstrong>If you’re looking for a COVID or flu shot …\u003c/strong>\u003c/p>\n\u003cp>“Some COVID-19 and flu vaccine services may be affected if a strike occurs,” Kaiser representatives told KQED in a statement.\u003c/p>\n\u003cp>If you’re looking for either a COVID or flu shot ASAP during the strike, you can still find one at a pharmacy near you — but you’ll likely have to pay for it. Usually, if you have health insurance you should be able to give your insurer’s details at a pharmacy vaccination appointment to have the cost of your shot billed to them, but health systems like Kaiser are the exception to this, and so you almost certainly won’t be able to get your new COVID vaccine — or flu shot — at a pharmacy like CVS or Walgreens. \u003ca href=\"https://www.kqed.org/news/11960630/free-new-covid-vaccine-near-me-2023#kaisernewcovidvaccine\">Read more about finding a new COVID vaccine near you.\u003c/a>\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cstrong>If you need a prescription … \u003c/strong>\u003c/p>\n\u003cp>Kaiser’s statement said that “some of our outpatient pharmacies” would be closed or operating on reduced hours in the event of a strike.\u003c/p>\n\u003cp>What if you have a new, urgent prescription need? Kaiser says that you should use your nearest open Kaiser Permanente Pharmacy for these, and that\u003ca href=\"https://healthy.kaiserpermanente.org/northern-california/front-door\"> a list of open Kaiser pharmacies will be posted on the health system’s website “Tuesday evening.”\u003c/a>\u003c/p>\n\u003cp>“Our physicians and our Pharmacy representatives at each of our sites and in the Pharmacy Call Center will work with patients to ensure they get the medications they need,” said Kaiser.\u003c/p>\n\u003cp>You can also use Kaiser’s mail-order delivery “for most convenient services, which delivers medications in 3 to 5 business days with no shipping fee,” according to the health system’s statement.\u003c/p>\n\u003cp>Kaiser’s hospital inpatient pharmacies will remain open, according to the health system, but Kaiser will look at “expanding” their network of pharmacies “to include community pharmacies that can serve our members during a strike and mitigate any closure of our outpatient pharmacies.”\u003c/p>\n\u003cp>\u003c/p>\n\u003c/div>\u003c/p>",
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"content": "\u003cp>Nearly 75,000 Kaiser Permanente health care workers across six states, including California, plan to strike beginning Oct. 4 if ongoing \u003ca href=\"https://www.kqed.org/news/11961243/california-kaiser-workers-authorize-strike-as-contract-negotiations-continue\">contract negotiations\u003c/a> don’t result in an agreement very soon.\u003c/p>\n\u003cp>The impending strike, which could be the largest health care strike in U.S. history, would impact nearly 68,000 employees in California — ranging from optometrists to emergency room technicians and housekeeping workers — for at least three days. While Kaiser is prepared to continue most health services, a strike could impact some care needs, including COVID vaccines and flu shots, Kaiser representatives told KQED in an email.\u003c/p>\n\u003cp>“There’s going to be some disruption to care that’s not urgent,” Janet Coffman, professor at the Healthforce Center at UCSF, told KQED. “The bigger issue is how long the strike will be. If it goes beyond three days, then I think we are looking at more disruptions and more difficulties for people to get the COVID-19 vaccine and other care services they need.”\u003c/p>\n\u003cp>Last month, employees represented by Kaiser’s coalition of labor unions \u003ca href=\"https://www.kqed.org/news/11961243/california-kaiser-workers-authorize-strike-as-contract-negotiations-continue\">overwhelmingly voted to authorize a strike\u003c/a> if a deal was not reached by Sept. 30, when their contract expired.\u003c/p>\n\u003cp>[pullquote size=\"medium\" align=\"right\" citation=\"Savonnda Blaylock, Kaiser pharmacy technician\"]‘We are suffering. We have had a lot of people leave during and after the pandemic. Unfortunately, those physicians have not been replaced and we don’t know if they will ever be replaced.’[/pullquote]The Coalition began bargaining in April. As of Oct. 2, a new contract had not yet been reached and negotiations are ongoing.\u003c/p>\n\u003cp>Starting Wednesday, Kaiser employees plan to picket outside facilities across the Bay Area, including in Antioch, Fremont, Oakland, Richmond, Redwood City, San Francisco, South San Francisco, San José, San Leandro, Santa Clara, Walnut Creek, Vacaville, Manteca, Roseville, Santa Rosa and Vallejo.\u003c/p>\n\u003cp>Understaffing and wages are two issues Kaiser workers say they are most concerned about as negotiations continue.\u003c/p>\n\u003cp>Savonnda Blaylock, a pharmacy technician at Kaiser in Tracy, helps order flu and COVID vaccines for her facility. But due to staffing shortages, she said patients already face delays in order to receive shots that they need.\u003c/p>\n\u003cp>“We are suffering. We have had a lot of people leave during and after the pandemic. Unfortunately, those physicians have not been replaced and we don’t know if they will ever be replaced,” Blaylock told KQED.\u003c/p>\n\u003cp>“Patients are having very long delays in care where they can’t get the vaccines they need, they can’t come in to see their physicians, because we don’t have physicians for them to be seen. That’s where the lapse in care comes, and where we are not able to accommodate patients,” said Blaylock.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>Another factor impacting vaccine availability, however, is the fact that Kaiser in California just recently received its supply of doses in the last two weeks.\u003c/p>\n\u003cp>“Since the FDA authorized the updated COVID-19 vaccine, large-scale distribution has been a challenge for vaccine providers nationwide, including Kaiser Permanente,” a spokesperson for Kaiser said in an email. “However, we have now received our supply and expect a consistent supply of the vaccine going forward.”\u003c/p>\n\u003cp>Currently, the COVID-19 vaccine is available by walk-in at some Kaiser locations.\u003c/p>\n\u003cp>Regardless of the looming strike, the slow rollout for the COVID-19 vaccine this year has had many people clamoring to secure vaccine appointments.\u003c/p>\n\u003cp>Now, other pharmacies are gearing up to take on additional patients who are seeking vaccines if they can’t get them through Kaiser.\u003c/p>\n\u003cp>“We are committed to ensuring no patient pays and everyone who is eligible and wants a vaccine receives one,” a spokesperson for Walgreens told KQED in an email statement. “We encourage everyone to bring insurance information to their appointment if available but will not turn away those whose insurance does not cover it.”\u003c/p>\n\u003cp>[aside tag=\"kaiser, healthcare, health\" label=\"Related Stories\"]Kaiser is the largest private, nonprofit, health care organization in the U.S., serving more than nine million people in California.\u003c/p>\n\u003cp>Based on similar labor disputes and strikes at Kaiser and other health care giants, Coffman of UCSF said it’s possible that elective surgeries like knee and hip replacements and other non-emergency health care services could be impacted if a strike goes beyond this week.\u003c/p>\n\u003cp>“We call them elective, but often for the people who are getting them, they’ve been in pain for quite some time and further delay just exacerbates that,” Coffman said.\u003c/p>\n\u003cp>Kaiser workers in California — as well as in Oregon, Washington, Colorado, Virginia and Washington, D.C. — are demanding their employer increase staffing. Workers are pushing for a 7% wage increase in the first two years of a new contract, and a 6.25% increase the following two years.\u003c/p>\n\u003cp>Employees are also seeking to raise the minimum wage across the board to $26 by 2026.\u003c/p>\n\u003cp>In a recent proposal, Kaiser offered across-the-board wage increases of between 10%–14% over four years, as well as a minimum performance bonus aimed to prevent any employees from receiving no payout.\u003c/p>\n\u003cp>Kaiser also recently offered a $23 per hour minimum wage for its employees in California starting in 2024.\u003c/p>\n\u003cp>“We lead total compensation in every market where we operate, and our proposals in bargaining would ensure we keep that position,” a spokesperson for Kaiser said in an email. “In some places, a Kaiser Permanente employee leaving for a similar job at another organization would face a 20-plus percent pay cut, and lower benefits.”\u003c/p>\n\u003cp>Meanwhile, the California Legislature recently passed \u003ca href=\"https://leginfo.legislature.ca.gov/faces/billStatusClient.xhtml?bill_id=202320240SB525\">a state bill\u003c/a> that would boost all California health care workers’ minimum wages to $25 per hour. The bill is now awaiting Gov. Gavin Newsom’s signature.\u003c/p>\n\u003cp>The Legislature also recently approved a bill providing unemployment insurance benefits to workers on strike — \u003ca href=\"https://www.kqed.org/news/11963061/newsom-rejects-bill-to-give-unemployment-checks-to-striking-workers\">but Newsom vetoed that bill on Saturday\u003c/a>.\u003c/p>\n\u003cp>The most recent Kaiser strike comes a year after nearly \u003ca href=\"https://www.kqed.org/news/11929713/kaiser-mental-health-workers-appove-new-contract-ending-10-week-strike\">2,000 Kaiser mental health care workers in Northern California went on strike last year for 10 weeks\u003c/a> over many of the same staffing and pay issues that workers today are protesting.\u003c/p>\n\u003cp>“We just want Kaiser to end the short staffing crisis,” said Blaylock, the Kaiser pharmacy technician. “It can happen at the click of the fingers.”\u003c/p>\n\u003cp>[ad floatright]\u003c/p>\n",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>Nearly 75,000 Kaiser Permanente health care workers across six states, including California, plan to strike beginning Oct. 4 if ongoing \u003ca href=\"https://www.kqed.org/news/11961243/california-kaiser-workers-authorize-strike-as-contract-negotiations-continue\">contract negotiations\u003c/a> don’t result in an agreement very soon.\u003c/p>\n\u003cp>The impending strike, which could be the largest health care strike in U.S. history, would impact nearly 68,000 employees in California — ranging from optometrists to emergency room technicians and housekeeping workers — for at least three days. While Kaiser is prepared to continue most health services, a strike could impact some care needs, including COVID vaccines and flu shots, Kaiser representatives told KQED in an email.\u003c/p>\n\u003cp>“There’s going to be some disruption to care that’s not urgent,” Janet Coffman, professor at the Healthforce Center at UCSF, told KQED. “The bigger issue is how long the strike will be. If it goes beyond three days, then I think we are looking at more disruptions and more difficulties for people to get the COVID-19 vaccine and other care services they need.”\u003c/p>\n\u003cp>Last month, employees represented by Kaiser’s coalition of labor unions \u003ca href=\"https://www.kqed.org/news/11961243/california-kaiser-workers-authorize-strike-as-contract-negotiations-continue\">overwhelmingly voted to authorize a strike\u003c/a> if a deal was not reached by Sept. 30, when their contract expired.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>The Coalition began bargaining in April. As of Oct. 2, a new contract had not yet been reached and negotiations are ongoing.\u003c/p>\n\u003cp>Starting Wednesday, Kaiser employees plan to picket outside facilities across the Bay Area, including in Antioch, Fremont, Oakland, Richmond, Redwood City, San Francisco, South San Francisco, San José, San Leandro, Santa Clara, Walnut Creek, Vacaville, Manteca, Roseville, Santa Rosa and Vallejo.\u003c/p>\n\u003cp>Understaffing and wages are two issues Kaiser workers say they are most concerned about as negotiations continue.\u003c/p>\n\u003cp>Savonnda Blaylock, a pharmacy technician at Kaiser in Tracy, helps order flu and COVID vaccines for her facility. But due to staffing shortages, she said patients already face delays in order to receive shots that they need.\u003c/p>\n\u003cp>“We are suffering. We have had a lot of people leave during and after the pandemic. Unfortunately, those physicians have not been replaced and we don’t know if they will ever be replaced,” Blaylock told KQED.\u003c/p>\n\u003cp>“Patients are having very long delays in care where they can’t get the vaccines they need, they can’t come in to see their physicians, because we don’t have physicians for them to be seen. That’s where the lapse in care comes, and where we are not able to accommodate patients,” said Blaylock.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>Another factor impacting vaccine availability, however, is the fact that Kaiser in California just recently received its supply of doses in the last two weeks.\u003c/p>\n\u003cp>“Since the FDA authorized the updated COVID-19 vaccine, large-scale distribution has been a challenge for vaccine providers nationwide, including Kaiser Permanente,” a spokesperson for Kaiser said in an email. “However, we have now received our supply and expect a consistent supply of the vaccine going forward.”\u003c/p>\n\u003cp>Currently, the COVID-19 vaccine is available by walk-in at some Kaiser locations.\u003c/p>\n\u003cp>Regardless of the looming strike, the slow rollout for the COVID-19 vaccine this year has had many people clamoring to secure vaccine appointments.\u003c/p>\n\u003cp>Now, other pharmacies are gearing up to take on additional patients who are seeking vaccines if they can’t get them through Kaiser.\u003c/p>\n\u003cp>“We are committed to ensuring no patient pays and everyone who is eligible and wants a vaccine receives one,” a spokesperson for Walgreens told KQED in an email statement. “We encourage everyone to bring insurance information to their appointment if available but will not turn away those whose insurance does not cover it.”\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>Kaiser is the largest private, nonprofit, health care organization in the U.S., serving more than nine million people in California.\u003c/p>\n\u003cp>Based on similar labor disputes and strikes at Kaiser and other health care giants, Coffman of UCSF said it’s possible that elective surgeries like knee and hip replacements and other non-emergency health care services could be impacted if a strike goes beyond this week.\u003c/p>\n\u003cp>“We call them elective, but often for the people who are getting them, they’ve been in pain for quite some time and further delay just exacerbates that,” Coffman said.\u003c/p>\n\u003cp>Kaiser workers in California — as well as in Oregon, Washington, Colorado, Virginia and Washington, D.C. — are demanding their employer increase staffing. Workers are pushing for a 7% wage increase in the first two years of a new contract, and a 6.25% increase the following two years.\u003c/p>\n\u003cp>Employees are also seeking to raise the minimum wage across the board to $26 by 2026.\u003c/p>\n\u003cp>In a recent proposal, Kaiser offered across-the-board wage increases of between 10%–14% over four years, as well as a minimum performance bonus aimed to prevent any employees from receiving no payout.\u003c/p>\n\u003cp>Kaiser also recently offered a $23 per hour minimum wage for its employees in California starting in 2024.\u003c/p>\n\u003cp>“We lead total compensation in every market where we operate, and our proposals in bargaining would ensure we keep that position,” a spokesperson for Kaiser said in an email. “In some places, a Kaiser Permanente employee leaving for a similar job at another organization would face a 20-plus percent pay cut, and lower benefits.”\u003c/p>\n\u003cp>Meanwhile, the California Legislature recently passed \u003ca href=\"https://leginfo.legislature.ca.gov/faces/billStatusClient.xhtml?bill_id=202320240SB525\">a state bill\u003c/a> that would boost all California health care workers’ minimum wages to $25 per hour. The bill is now awaiting Gov. Gavin Newsom’s signature.\u003c/p>\n\u003cp>The Legislature also recently approved a bill providing unemployment insurance benefits to workers on strike — \u003ca href=\"https://www.kqed.org/news/11963061/newsom-rejects-bill-to-give-unemployment-checks-to-striking-workers\">but Newsom vetoed that bill on Saturday\u003c/a>.\u003c/p>\n\u003cp>The most recent Kaiser strike comes a year after nearly \u003ca href=\"https://www.kqed.org/news/11929713/kaiser-mental-health-workers-appove-new-contract-ending-10-week-strike\">2,000 Kaiser mental health care workers in Northern California went on strike last year for 10 weeks\u003c/a> over many of the same staffing and pay issues that workers today are protesting.\u003c/p>\n\u003cp>“We just want Kaiser to end the short staffing crisis,” said Blaylock, the Kaiser pharmacy technician. “It can happen at the click of the fingers.”\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cp>\u003ci data-stringify-type=\"italic\">A full transcript will be available 1–2 workdays after the episode’s publication.\u003c/i>\u003c/p>\n\u003cdiv class=\"card card--enclosed grey\">\n\u003cp>\u003cspan style=\"font-weight: 400\">In this edition of The Bay’s monthly news roundup, Ericka, Maria and Alan talk about continued tensions between Martinez and the local refinery, a bill that would decriminalize certain psychedelics, and an effort to bring a WNBA team to the Bay Area.\u003c/span>\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=KQINC8629741221&light=true\" width=\"100%\" class=\"iframe-class\">\u003c/iframe>\n\u003c/p>\n\u003cp>\u003cb>Links:\u003c/b>\u003c/p>\n\u003cul>\n\u003cli>\u003ca href=\"https://www.eastbaytimes.com/2023/09/26/residents-skeptical-after-toxicology-report-finds-no-ill-effects-from-martinez-refinery-incident/?campaign=ebtbreakingalert&utm_email=A4A5B403457285D525DA14E7D1&g2i_eui=exmfql5iJxTSVxLnOrAB1DPcBdjg%2bsID&g2i_source=newsletter&active=no&lctg=A4A5B403457285D525DA14E7D1\" target=\"_blank\" rel=\"noopener\">Residents skeptical after toxicology report finds no ill effects from Martinez refinery incident\u003c/a>\u003c/li>\n\u003cli>\u003ca href=\"https://www.latimes.com/california/story/2023-09-07/california-magic-mushrooms-psychedelics-scott-wiener-psilocybin\" target=\"_blank\" rel=\"noopener\">\u003cspan style=\"font-weight: 400\">California Decriminalizing Mushrooms and Other Psychedelics \u003c/span>\u003c/a>\u003c/li>\n\u003cli>\u003ca href=\"https://theathletic.com/4902855/2023/09/26/warriors-wnba-bay-area/\" target=\"_blank\" rel=\"noopener\">\u003cspan style=\"font-weight: 400\">Warriors finalizing agreement to bring WNBA team to Bay Area: Sources\u003c/span>\u003c/a>\u003c/li>\n\u003c/ul>\n\u003c/div>\n\u003cp>[ad fullwidth]\u003c/p>\u003cp>\u003c/p>\n",
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"excerpt": "In this September edition of The Bay’s monthly news roundup, Ericka, Maria and Alan talk about three different news stories in their radar this month. \r\n",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>\u003ci data-stringify-type=\"italic\">A full transcript will be available 1–2 workdays after the episode’s publication.\u003c/i>\u003c/p>\n\u003cdiv class=\"card card--enclosed grey\">\n\u003cp>\u003cspan style=\"font-weight: 400\">In this edition of The Bay’s monthly news roundup, Ericka, Maria and Alan talk about continued tensions between Martinez and the local refinery, a bill that would decriminalize certain psychedelics, and an effort to bring a WNBA team to the Bay Area.\u003c/span>\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=KQINC8629741221&light=true\" width=\"100%\" class=\"iframe-class\">\u003c/iframe>\n\u003c/p>\n\u003cp>\u003cb>Links:\u003c/b>\u003c/p>\n\u003cul>\n\u003cli>\u003ca href=\"https://www.eastbaytimes.com/2023/09/26/residents-skeptical-after-toxicology-report-finds-no-ill-effects-from-martinez-refinery-incident/?campaign=ebtbreakingalert&utm_email=A4A5B403457285D525DA14E7D1&g2i_eui=exmfql5iJxTSVxLnOrAB1DPcBdjg%2bsID&g2i_source=newsletter&active=no&lctg=A4A5B403457285D525DA14E7D1\" target=\"_blank\" rel=\"noopener\">Residents skeptical after toxicology report finds no ill effects from Martinez refinery incident\u003c/a>\u003c/li>\n\u003cli>\u003ca href=\"https://www.latimes.com/california/story/2023-09-07/california-magic-mushrooms-psychedelics-scott-wiener-psilocybin\" target=\"_blank\" rel=\"noopener\">\u003cspan style=\"font-weight: 400\">California Decriminalizing Mushrooms and Other Psychedelics \u003c/span>\u003c/a>\u003c/li>\n\u003cli>\u003ca href=\"https://theathletic.com/4902855/2023/09/26/warriors-wnba-bay-area/\" target=\"_blank\" rel=\"noopener\">\u003cspan style=\"font-weight: 400\">Warriors finalizing agreement to bring WNBA team to Bay Area: Sources\u003c/span>\u003c/a>\u003c/li>\n\u003c/ul>\n\u003c/div>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cp>We’re over three years into the COVID pandemic. And \u003ca href=\"https://www.kqed.org/news/11957790/the-new-covid-eris-variant-and-rising-cases-what-you-need-to-know\">as we’ve seen this summer, with the new Eris variant\u003c/a>, COVID continues to infect folks of all ages and still results in severe disease and hospitalization for some.\u003c/p>\n\u003cp>But please don’t forget: The flu remains a potentially serious threat to your health too.\u003c/p>\n\u003cp>Jump straight to:\u003c/p>\n\u003cul>\n\u003cli>\u003cstrong>\u003ca href=\"#whenflushot\">When should I get my flu shot?\u003c/a>\u003c/strong>\u003c/li>\n\u003cli>\u003cstrong>\u003ca href=\"#boosterflushot\">Can I get my new COVID vaccine and my flu shot at the same time? What about the RSV vaccine?\u003c/a>\u003c/strong>\u003c/li>\n\u003cli>\u003cstrong>\u003ca href=\"#flushotnearme\">Where can I get a flu shot, with or without insurance?\u003c/a>\u003c/strong>\u003c/li>\n\u003c/ul>\n\u003ch2>Why is the flu so serious?\u003c/h2>\n\u003cp>Back in \u003ca href=\"https://www.cdc.gov/flu/season/faq-flu-season-2020-2021.htm\">2020, the U.S. saw a record-low number of flu cases\u003c/a> — most likely due to widespread mask-wearing, increased hygiene, social distancing and remote work and school. And \u003ca href=\"https://www.cdc.gov/flu/about/burden/preliminary-in-season-estimates.htm\">the Centers for Disease Control and Prevention says that flu activity has overall “been lower\u003c/a> than observed before the pandemic.”\u003c/p>\n\u003cp>Nonetheless, the CDC estimates that\u003ca href=\"https://www.cdc.gov/flu/about/burden/preliminary-in-season-estimates.htm\"> last year’s flu season resulted in 19,000–58,000 deaths from flu\u003c/a> and 300,000–650,000 flu hospitalizations. The agency says that the 2022–2023 flu season caused up to 54 million illnesses.\u003c/p>\n\u003cp>But the organization says that \u003ca href=\"https://www.cdc.gov/flu/fluvaxview/coverage-2022estimates.htm\">in the 2021–2022 flu season, just under half of adults got a flu shot\u003c/a> — a slight decrease from the previous season.\u003c/p>\n\u003ch2>Why should I get a flu shot?\u003c/h2>\n\u003cp>Getting a flu vaccine can prevent you from getting sick with the flu, which is a draining, unpleasant experience even if your symptoms are not severe. And if you \u003cem>do\u003c/em> get the flu, having a flu shot can also stop you from getting sick enough to have to visit the hospital (and be exposed to all the COVID risks hospital settings can still bring).\u003c/p>\n\u003cp>The CDC says the flu vaccine also offers other potential health impacts, such as being associated with \u003ca class=\"tp-link-policy\" href=\"https://pubmed.ncbi.nlm.nih.gov/24150467/\" data-domain-ext=\"gov\">lower rates of certain cardiac events\u003c/a> for people who have heart disease. It’s also the best, safest way not only to protect \u003cem>yourself\u003c/em> against the influenza virus, but also to minimize the chance you will spread it to others — folks who could be at far higher risk for serious complications or even death if they were to become infected. \u003ca href=\"https://www.cdc.gov/flu/vaccines-work/vaccineeffect.htm\">Read more from the CDC about what the flu shot can do for you.\u003c/a>\u003c/p>\n\u003cp>Keep reading to find out whether you should be getting your flu shot right now, and where to find free or low-cost flu shot options near you.\u003c/p>\n\u003ch2>\u003ca id=\"whenflushot\">\u003c/a>Should I get a flu shot now, or wait?\u003c/h2>\n\u003cp>The recommendations medical professionals make about when to get a flu shot are based on the fact that it takes about two weeks after you get vaccinated for antibodies to develop and provide protection against the flu.\u003c/p>\n\u003cp>This 2023–2024 season, as with previous seasons, \u003ca href=\"https://www.cdc.gov/flu/spotlights/2022-2023/flu-vaccination-recommendations-adopted.htm\">the CDC says that September and October are “the best times for most people to get vaccinated.”\u003c/a> These recommendations are based on traditional predictions of flu season starting in November and peaking around January or February.\u003c/p>\n\u003cfigure id=\"attachment_11838737\" class=\"wp-caption alignnone\" style=\"max-width: 1900px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-11838737\" src=\"https://ww2.kqed.org/app/uploads/sites/10/2020/09/shots2.png\" alt=\"\" width=\"1900\" height=\"1267\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2020/09/shots2.png 1900w, https://cdn.kqed.org/wp-content/uploads/sites/10/2020/09/shots2-800x533.png 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2020/09/shots2-1020x680.png 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2020/09/shots2-160x107.png 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2020/09/shots2-1536x1024.png 1536w\" sizes=\"auto, (max-width: 1900px) 100vw, 1900px\">\u003cfigcaption class=\"wp-caption-text\">It takes 2 weeks after your flu shot for your body to develop the antibodies it needs to protect you from the flu virus. \u003ccite>(Queen's University/Flickr)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>Dr. Peter Chin-Hong, an infectious disease expert at UCSF says that yes, there’s evidence that \u003ca href=\"https://pubmed.ncbi.nlm.nih.gov/28039340/\">your risk of getting the flu increases every month after your flu shot, due to the antibodies waning over time\u003c/a>.\u003c/p>\n\u003cp>But when medical professionals talk about strategically “waiting” to get a flu shot, they’re aiming that advice at those who are at particularly high risk for more serious complications related to the flu. That includes:\u003c/p>\n\u003cul>\n\u003cli>People over 65.\u003c/li>\n\u003cli>Folks with chronic medical conditions.\u003c/li>\n\u003cli>Pregnant people (or those who are planning to become pregnant).\u003c/li>\n\u003cli>Kids under 5.\u003c/li>\n\u003c/ul>\n\u003cp>Delaying inoculations for these populations is based on the idea of getting the shot at a time Chin-Hong calls “the sweet spot,” around mid-to-late October. Two weeks later, right around early November, the antibodies should have developed, just as flu season is (usually) getting serious. Think of it as getting the “biggest bang for your buck,” he said.\u003c/p>\n\u003cp>So, if you’re in one of those vulnerable categories, yes, you can think about waiting, says Chin-Hong. People over 65 might also consider requesting special flu vaccines for this age group — read more about this below. As with all health matters, if you’re looking for advice, it’s best to consult your health care provider or someone you see regularly for your medical needs.\u003c/p>\n\u003cp>And what if you’re under 65, not pregnant and don’t have other risk factors for severe flu? If you can truly trust yourself to plan ahead and not forget to make the appointment, getting it by Halloween (i.e., before October is up) is best, Chin-Hong said. But remember: Not only are you human, and it might slip your mind, but predictions about how the flu season might behave are just that — predictions.\u003c/p>\n\u003cp>Flu cases might start to rise earlier than anticipated, throwing previous notions of a “best time” to get the vaccine into disarray. So, take that “October rule” with “a grain of salt,” Chin-Hong advised, and “get [your flu shot] when you get it.”\u003c/p>\n\u003cp>What if you plan to get your flu shot in October with the best of intentions, but you still forget? If Nov. 1 comes and goes, and you realize you haven’t been vaccinated, all is not lost — since the CDC says that “vaccination after October can still provide protection during the peak of flu season,” which is usually February.\u003c/p>\n\u003cp>In other words, just go get the shot already — whenever that may be.\u003c/p>\n\u003cp>\u003cimg loading=\"lazy\" decoding=\"async\" class=\"alignnone size-full wp-image-11838740\" src=\"https://ww2.kqed.org/app/uploads/sites/10/2020/09/shots3.png\" alt=\"\" width=\"1900\" height=\"1267\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2020/09/shots3.png 1900w, https://cdn.kqed.org/wp-content/uploads/sites/10/2020/09/shots3-800x533.png 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2020/09/shots3-1020x680.png 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2020/09/shots3-160x107.png 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2020/09/shots3-1536x1024.png 1536w\" sizes=\"auto, (max-width: 1900px) 100vw, 1900px\">\u003c/p>\n\u003ch2>\u003ca id=\"boosterflushot\">\u003c/a>Can I get my new COVID vaccine and my flu shot at the same time?\u003c/h2>\n\u003cp>\u003ca href=\"https://www.kqed.org/news/11960630/free-new-covid-vaccine-near-me-2023#shouldigetfluandcovidvaccine\">It’s totally fine, and safe, to get your flu shot at the same time\u003c/a> as your new COVID vaccine, and you’ll find that COVID vaccine appointments will often prompt you to “add on” a flu shot at the same session — especially at pharmacies. Although, if you’re trying to schedule your kid’s vaccinations, \u003ca href=\"https://www.npr.org/sections/health-shots/2023/09/13/1198803134/covid-boosters-updated-vaccines-fda-cdc\">the CDC advises that you first talk to your pediatrician\u003c/a> about the best schedule for the COVID and flu vaccines (and now the RSV — respiratory syncytial virus — preventive treatment too).\u003c/p>\n\u003cp>But if that optimal time to get your flu shot is “sometime before Halloween” according to Chin-Hong — as long as flu season behaves as expected and doesn’t start in earnest before November — should you get your new COVID shot \u003cem>first\u003c/em>, and follow up with a flu shot later?\u003c/p>\n\u003cp>If you can trust yourself to remember to seek out your flu shot by the end of October (or schedule an appointment for October in advance), yes: You might consider getting your new COVID vaccine earlier, separately from your flu shot. And if not — or if life is getting hectic, and a two-for-one vaccination appointment ensures that you actually \u003ci>will \u003c/i>get your shots rather than forgetting — just go ahead and get your COVID and flu shots at the same time, when you can.\u003c/p>\n\u003cp>There’s also the fact that \u003ca href=\"https://www.kqed.org/news/11960630/free-new-covid-vaccine-near-me-2023\">you might \u003cem>have\u003c/em> to wait a little longer for your COVID shot anyway\u003c/a>. Public health officials are urging people to first seek out the new vaccine via their health care provider, but supplies haven’t yet reached many providers. Kaiser Permanente, for example, is telling patients that \u003ca href=\"https://mydoctor.kaiserpermanente.org/covid-19/covid-19-vaccine\">shots of the new COVID vaccine won’t become available through Kaiser until early October\u003c/a>. All this to say: You might not have a choice about waiting to get your new COVID shot — by which time, you might be approaching that optimal October flu shot time anyway, and can choose a double vaccination appointment at that time.\u003c/p>\n\u003cp>Chin-Hong reiterated that “if you really wanted to optimize” the timing of your flu shot, yes, “sometime in October \u003cem>is\u003c/em> probably the best.” But ultimately, he says that just \u003cem>getting\u003c/em> the shots is better than not getting them at all.\u003c/p>\n\u003cp>\u003ca href=\"https://www.kqed.org/news/11960630/free-new-covid-vaccine-near-me-2023\">Read more about where to find the new COVID vaccine near you.\u003c/a>\u003c/p>\n\u003ch2>What about the RSV vaccine?\u003c/h2>\n\u003cp>The CDC says that the respiratory syncytial virus — RSV — is “a common cause of respiratory illness in infants and young children, as well as older adults.” The disease results in up to 160,000 hospitalizations and \u003ca href=\"https://www.cdc.gov/vaccines/vpd/rsv/hcp/older-adults-faqs.html\">up to 10,000 deaths annually among adults ages 65 years and older\u003c/a>, says the agency.\u003c/p>\n\u003cp>\u003ca href=\"https://www.cdc.gov/vaccines/vpd/rsv/index.html\">The vaccine against the respiratory syncytial virus — RSV — is accordingly recommended by the CDC\u003c/a> for infants, young children and adults ages 60 and older.\u003c/p>\n\u003cp>Most \u003ca href=\"https://www.npr.org/sections/health-shots/2023/09/13/1198803134/covid-boosters-updated-vaccines-fda-cdc\">experts NPR talked to for their fall booster guide\u003c/a> recommended getting the RSV vaccine separately from the COVID and flu vaccines.\u003c/p>\n\u003cp>“I think the recommendation would be if you’re going in, get your flu and COVID shot. If you’re eligible for RSV, maybe space that out by a week or two,” Dr. \u003ca href=\"https://www.bcm.edu/people-search/peter-hotez-23229\">Peter Hotez\u003c/a>, who leads the National School of Tropical Medicine at Baylor College of Medicine, told NPR.\u003c/p>\n\u003cp>Again, if you’re trying to schedule your kid’s vaccinations, \u003ca href=\"https://www.npr.org/sections/health-shots/2023/09/13/1198803134/covid-boosters-updated-vaccines-fda-cdc\">the CDC advises that you first talk to your pediatrician\u003c/a> about the best schedule for the COVID, flu and RSV vaccines.\u003c/p>\n\u003ch2>\u003ca id=\"highrisk\">\u003c/a>If I have risk factors for severe flu, what kind of flu shot should I get?\u003c/h2>\n\u003cp>If you’re age 65 or older, there are now three types of flu vaccines it’s recommended you get — because they’ll be even more effective for you than a regular flu shot.\u003c/p>\n\u003cp>Chin-Hong said folks in this age group should seek out these three types of vaccines because you’ll be getting “essentially a high-dose shot” or a vaccine that contains an “adjuvant” — which, in simple terms, “makes the flu shot more powerful in terms of waking up the immune system,” he said. \u003ca href=\"https://www.cdc.gov/flu/prevent/keyfacts.htm\">Read more about the three kinds of flu shots available to people ages 65 and older.\u003c/a>\u003c/p>\n\u003cp>Pregnant people can get a regular flu shot, although some types of flu vaccines are off-limits to pregnant people. The CDC says that getting vaccinated when you’re pregnant will not only help protect you from the flu, but also — if your baby is born during the immunity period — protect your infant in the first few months of their life when they’re too young to get vaccinated themselves.\u003c/p>\n\u003cp>This benefit to the baby is also the reason that pregnant people are one of the few groups who might want to consider getting a flu shot \u003cem>early\u003c/em>, instead of waiting — to ensure their baby isn’t left completely unprotected for those first six months after birth when they can’t get a vaccine. \u003ca href=\"https://www.cdc.gov/flu/prevent/keyfacts.htm\">Read more about the benefits of getting a flu shot if you’re pregnant.\u003c/a>\u003c/p>\n\u003cp>Children ages 6 months and older can get a regular dose of the flu shot. \u003ca href=\"https://www.cdc.gov/flu/highrisk/children-high-risk.htm\">Flu can be particularly dangerous for kids\u003c/a>, and the CDC says that a 2022 study showed that flu vaccination reduced children’s risk of severe, life-threatening influenza by 75%.\u003c/p>\n\u003ch2>\u003ca id=\"flushotnearme\">\u003c/a>Where can I get a flu shot if I have insurance?\u003c/h2>\n\u003cp>If you have health insurance, a flu shot is available without extra cost as a preventive service from your usual health care provider, or at most pharmacies (see below).\u003c/p>\n\u003cp>It’s a good idea to wear a mask, maintain social distancing wherever possible while waiting for your shot, and dress in a top with sleeves you can easily pull up to your shoulder, to make receiving the injection even easier (and quicker).\u003c/p>\n\u003cp>\u003cstrong>Common places to find a flu shot appointment, walk-in site or drive-thru flu shot:\u003c/strong>\u003c/p>\n\u003cul>\n\u003cli>\u003ca href=\"https://www.vaccines.gov/find-vaccines/\">CDC’s Find Flu Vaccines tool.\u003c/a>\u003c/li>\n\u003cli>\u003ca href=\"https://mydoctor.kaiserpermanente.org/ncal/cold-and-flu/prevention#/prevention\">Kaiser Permanente flu shots (Northern California)\u003c/a>.\u003c/li>\n\u003cli>\u003ca href=\"https://www.cvs.com/immunizations/flu\">CVS flu shots.\u003c/a>\u003c/li>\n\u003cli>\u003ca href=\"https://www.walgreens.com/topic/pharmacy/seasonal-flu.jsp?ban=flu_fy21_influenzapage\">Walgreens flu shots.\u003c/a>\u003c/li>\n\u003cli>\u003ca href=\"https://www.riteaid.com/pharmacy/scheduler\">Rite Aid flu shots.\u003c/a>\u003c/li>\n\u003cli>\u003ca href=\"https://www.costco.com/Pharmacy/adult-immunization-program.html\">Costco Pharmacy flu shots.\u003c/a>\u003c/li>\n\u003cli>\u003ca href=\"https://www.albertsons.com/pharmacy/pharmacy-services/immunizations.html\">Albertsons (Safeway) flu shots.\u003c/a>\u003c/li>\n\u003c/ul>\n\u003ch2>Where can I get a flu shot if I \u003cem>don’t\u003c/em> have health insurance?\u003c/h2>\n\u003cp>If you want a flu shot but don’t have health insurance, you can get the vaccine free of charge from several providers and community clinics around the Bay Area. (You can also technically use these free services even if you do have insurance, but you may consider choosing to free up these particular resources for those who are not covered.)\u003c/p>\n\u003cp>Your county’s public health department may also be offering flu shots.\u003c/p>\n\u003cp>\u003cstrong>Places to get a free or low-cost flu shot in the Bay Area include:\u003c/strong>\u003c/p>\n\u003cul>\n\u003cli>\u003ca href=\"https://www.sfcdcp.org/aitc/aitc-regular-prices-low-cost-or-free-vaccines/\">San Francisco Department of Public Health’s AITC clinic\u003c/a> (offers a pay-what-you-can option).\u003c/li>\n\u003cli>\u003ca href=\"https://cchealth.org/immunization/clinics.php#Uninsured\">Contra Costa Public Health Immunization Clinic\u003c/a> (flu shots are $15 for adults over 19, but fees may be waived if you’re unable to pay).\u003c/li>\n\u003cli>\u003ca href=\"https://acphd.org/clinics/\">Alameda County Immunization Clinics.\u003c/a>\u003c/li>\n\u003c/ul>\n\u003cp>\u003cspan style=\"font-weight: 400\">[ad fullwidth]\u003c/span>\u003c/p>\n\u003ch2>And a reminder … the flu vaccine can’t give you the flu\u003c/h2>\n\u003cp>The virus that the flu shot contains has been inactivated or severely weakened, so \u003ca href=\"https://www.cdc.gov/flu/prevent/misconceptions.htm#:~:text=Can%20a%20flu%20vaccine%20give,protein%20from%20the%20flu%20virus.\">you just aren’t physically able to get the flu from your flu shot\u003c/a>, confirms the CDC.\u003c/p>\n\u003cp>\u003ca href=\"https://www.cdc.gov/flu/prevent/general.htm#side-effects\">The flu vaccine can cause side effects\u003c/a> like any medical product, but they’re “\u003ca href=\"https://www.cdc.gov/flu/prevent/general.htm\">generally mild and go away on their own within a few days\u003c/a>,” the agency says.\u003c/p>\n\u003cp>Common flu shot side effects can include soreness or swelling at the injection site, headache, fever, nausea and muscle aches. (But not the flu.)\u003c/p>\n\u003cp>\u003cem>This story contains reporting by KQED’s Alexander Gonzalez.\u003c/em>\u003c/p>\n\u003cp>[ad floatright]\u003c/p>\n",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>We’re over three years into the COVID pandemic. And \u003ca href=\"https://www.kqed.org/news/11957790/the-new-covid-eris-variant-and-rising-cases-what-you-need-to-know\">as we’ve seen this summer, with the new Eris variant\u003c/a>, COVID continues to infect folks of all ages and still results in severe disease and hospitalization for some.\u003c/p>\n\u003cp>But please don’t forget: The flu remains a potentially serious threat to your health too.\u003c/p>\n\u003cp>Jump straight to:\u003c/p>\n\u003cul>\n\u003cli>\u003cstrong>\u003ca href=\"#whenflushot\">When should I get my flu shot?\u003c/a>\u003c/strong>\u003c/li>\n\u003cli>\u003cstrong>\u003ca href=\"#boosterflushot\">Can I get my new COVID vaccine and my flu shot at the same time? What about the RSV vaccine?\u003c/a>\u003c/strong>\u003c/li>\n\u003cli>\u003cstrong>\u003ca href=\"#flushotnearme\">Where can I get a flu shot, with or without insurance?\u003c/a>\u003c/strong>\u003c/li>\n\u003c/ul>\n\u003ch2>Why is the flu so serious?\u003c/h2>\n\u003cp>Back in \u003ca href=\"https://www.cdc.gov/flu/season/faq-flu-season-2020-2021.htm\">2020, the U.S. saw a record-low number of flu cases\u003c/a> — most likely due to widespread mask-wearing, increased hygiene, social distancing and remote work and school. And \u003ca href=\"https://www.cdc.gov/flu/about/burden/preliminary-in-season-estimates.htm\">the Centers for Disease Control and Prevention says that flu activity has overall “been lower\u003c/a> than observed before the pandemic.”\u003c/p>\n\u003cp>Nonetheless, the CDC estimates that\u003ca href=\"https://www.cdc.gov/flu/about/burden/preliminary-in-season-estimates.htm\"> last year’s flu season resulted in 19,000–58,000 deaths from flu\u003c/a> and 300,000–650,000 flu hospitalizations. The agency says that the 2022–2023 flu season caused up to 54 million illnesses.\u003c/p>\n\u003cp>But the organization says that \u003ca href=\"https://www.cdc.gov/flu/fluvaxview/coverage-2022estimates.htm\">in the 2021–2022 flu season, just under half of adults got a flu shot\u003c/a> — a slight decrease from the previous season.\u003c/p>\n\u003ch2>Why should I get a flu shot?\u003c/h2>\n\u003cp>Getting a flu vaccine can prevent you from getting sick with the flu, which is a draining, unpleasant experience even if your symptoms are not severe. And if you \u003cem>do\u003c/em> get the flu, having a flu shot can also stop you from getting sick enough to have to visit the hospital (and be exposed to all the COVID risks hospital settings can still bring).\u003c/p>\n\u003cp>The CDC says the flu vaccine also offers other potential health impacts, such as being associated with \u003ca class=\"tp-link-policy\" href=\"https://pubmed.ncbi.nlm.nih.gov/24150467/\" data-domain-ext=\"gov\">lower rates of certain cardiac events\u003c/a> for people who have heart disease. It’s also the best, safest way not only to protect \u003cem>yourself\u003c/em> against the influenza virus, but also to minimize the chance you will spread it to others — folks who could be at far higher risk for serious complications or even death if they were to become infected. \u003ca href=\"https://www.cdc.gov/flu/vaccines-work/vaccineeffect.htm\">Read more from the CDC about what the flu shot can do for you.\u003c/a>\u003c/p>\n\u003cp>Keep reading to find out whether you should be getting your flu shot right now, and where to find free or low-cost flu shot options near you.\u003c/p>\n\u003ch2>\u003ca id=\"whenflushot\">\u003c/a>Should I get a flu shot now, or wait?\u003c/h2>\n\u003cp>The recommendations medical professionals make about when to get a flu shot are based on the fact that it takes about two weeks after you get vaccinated for antibodies to develop and provide protection against the flu.\u003c/p>\n\u003cp>This 2023–2024 season, as with previous seasons, \u003ca href=\"https://www.cdc.gov/flu/spotlights/2022-2023/flu-vaccination-recommendations-adopted.htm\">the CDC says that September and October are “the best times for most people to get vaccinated.”\u003c/a> These recommendations are based on traditional predictions of flu season starting in November and peaking around January or February.\u003c/p>\n\u003cfigure id=\"attachment_11838737\" class=\"wp-caption alignnone\" style=\"max-width: 1900px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-11838737\" src=\"https://ww2.kqed.org/app/uploads/sites/10/2020/09/shots2.png\" alt=\"\" width=\"1900\" height=\"1267\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2020/09/shots2.png 1900w, https://cdn.kqed.org/wp-content/uploads/sites/10/2020/09/shots2-800x533.png 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2020/09/shots2-1020x680.png 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2020/09/shots2-160x107.png 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2020/09/shots2-1536x1024.png 1536w\" sizes=\"auto, (max-width: 1900px) 100vw, 1900px\">\u003cfigcaption class=\"wp-caption-text\">It takes 2 weeks after your flu shot for your body to develop the antibodies it needs to protect you from the flu virus. \u003ccite>(Queen's University/Flickr)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>Dr. Peter Chin-Hong, an infectious disease expert at UCSF says that yes, there’s evidence that \u003ca href=\"https://pubmed.ncbi.nlm.nih.gov/28039340/\">your risk of getting the flu increases every month after your flu shot, due to the antibodies waning over time\u003c/a>.\u003c/p>\n\u003cp>But when medical professionals talk about strategically “waiting” to get a flu shot, they’re aiming that advice at those who are at particularly high risk for more serious complications related to the flu. That includes:\u003c/p>\n\u003cul>\n\u003cli>People over 65.\u003c/li>\n\u003cli>Folks with chronic medical conditions.\u003c/li>\n\u003cli>Pregnant people (or those who are planning to become pregnant).\u003c/li>\n\u003cli>Kids under 5.\u003c/li>\n\u003c/ul>\n\u003cp>Delaying inoculations for these populations is based on the idea of getting the shot at a time Chin-Hong calls “the sweet spot,” around mid-to-late October. Two weeks later, right around early November, the antibodies should have developed, just as flu season is (usually) getting serious. Think of it as getting the “biggest bang for your buck,” he said.\u003c/p>\n\u003cp>So, if you’re in one of those vulnerable categories, yes, you can think about waiting, says Chin-Hong. People over 65 might also consider requesting special flu vaccines for this age group — read more about this below. As with all health matters, if you’re looking for advice, it’s best to consult your health care provider or someone you see regularly for your medical needs.\u003c/p>\n\u003cp>And what if you’re under 65, not pregnant and don’t have other risk factors for severe flu? If you can truly trust yourself to plan ahead and not forget to make the appointment, getting it by Halloween (i.e., before October is up) is best, Chin-Hong said. But remember: Not only are you human, and it might slip your mind, but predictions about how the flu season might behave are just that — predictions.\u003c/p>\n\u003cp>Flu cases might start to rise earlier than anticipated, throwing previous notions of a “best time” to get the vaccine into disarray. So, take that “October rule” with “a grain of salt,” Chin-Hong advised, and “get [your flu shot] when you get it.”\u003c/p>\n\u003cp>What if you plan to get your flu shot in October with the best of intentions, but you still forget? If Nov. 1 comes and goes, and you realize you haven’t been vaccinated, all is not lost — since the CDC says that “vaccination after October can still provide protection during the peak of flu season,” which is usually February.\u003c/p>\n\u003cp>In other words, just go get the shot already — whenever that may be.\u003c/p>\n\u003cp>\u003cimg loading=\"lazy\" decoding=\"async\" class=\"alignnone size-full wp-image-11838740\" src=\"https://ww2.kqed.org/app/uploads/sites/10/2020/09/shots3.png\" alt=\"\" width=\"1900\" height=\"1267\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2020/09/shots3.png 1900w, https://cdn.kqed.org/wp-content/uploads/sites/10/2020/09/shots3-800x533.png 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2020/09/shots3-1020x680.png 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2020/09/shots3-160x107.png 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2020/09/shots3-1536x1024.png 1536w\" sizes=\"auto, (max-width: 1900px) 100vw, 1900px\">\u003c/p>\n\u003ch2>\u003ca id=\"boosterflushot\">\u003c/a>Can I get my new COVID vaccine and my flu shot at the same time?\u003c/h2>\n\u003cp>\u003ca href=\"https://www.kqed.org/news/11960630/free-new-covid-vaccine-near-me-2023#shouldigetfluandcovidvaccine\">It’s totally fine, and safe, to get your flu shot at the same time\u003c/a> as your new COVID vaccine, and you’ll find that COVID vaccine appointments will often prompt you to “add on” a flu shot at the same session — especially at pharmacies. Although, if you’re trying to schedule your kid’s vaccinations, \u003ca href=\"https://www.npr.org/sections/health-shots/2023/09/13/1198803134/covid-boosters-updated-vaccines-fda-cdc\">the CDC advises that you first talk to your pediatrician\u003c/a> about the best schedule for the COVID and flu vaccines (and now the RSV — respiratory syncytial virus — preventive treatment too).\u003c/p>\n\u003cp>But if that optimal time to get your flu shot is “sometime before Halloween” according to Chin-Hong — as long as flu season behaves as expected and doesn’t start in earnest before November — should you get your new COVID shot \u003cem>first\u003c/em>, and follow up with a flu shot later?\u003c/p>\n\u003cp>If you can trust yourself to remember to seek out your flu shot by the end of October (or schedule an appointment for October in advance), yes: You might consider getting your new COVID vaccine earlier, separately from your flu shot. And if not — or if life is getting hectic, and a two-for-one vaccination appointment ensures that you actually \u003ci>will \u003c/i>get your shots rather than forgetting — just go ahead and get your COVID and flu shots at the same time, when you can.\u003c/p>\n\u003cp>There’s also the fact that \u003ca href=\"https://www.kqed.org/news/11960630/free-new-covid-vaccine-near-me-2023\">you might \u003cem>have\u003c/em> to wait a little longer for your COVID shot anyway\u003c/a>. Public health officials are urging people to first seek out the new vaccine via their health care provider, but supplies haven’t yet reached many providers. Kaiser Permanente, for example, is telling patients that \u003ca href=\"https://mydoctor.kaiserpermanente.org/covid-19/covid-19-vaccine\">shots of the new COVID vaccine won’t become available through Kaiser until early October\u003c/a>. All this to say: You might not have a choice about waiting to get your new COVID shot — by which time, you might be approaching that optimal October flu shot time anyway, and can choose a double vaccination appointment at that time.\u003c/p>\n\u003cp>Chin-Hong reiterated that “if you really wanted to optimize” the timing of your flu shot, yes, “sometime in October \u003cem>is\u003c/em> probably the best.” But ultimately, he says that just \u003cem>getting\u003c/em> the shots is better than not getting them at all.\u003c/p>\n\u003cp>\u003ca href=\"https://www.kqed.org/news/11960630/free-new-covid-vaccine-near-me-2023\">Read more about where to find the new COVID vaccine near you.\u003c/a>\u003c/p>\n\u003ch2>What about the RSV vaccine?\u003c/h2>\n\u003cp>The CDC says that the respiratory syncytial virus — RSV — is “a common cause of respiratory illness in infants and young children, as well as older adults.” The disease results in up to 160,000 hospitalizations and \u003ca href=\"https://www.cdc.gov/vaccines/vpd/rsv/hcp/older-adults-faqs.html\">up to 10,000 deaths annually among adults ages 65 years and older\u003c/a>, says the agency.\u003c/p>\n\u003cp>\u003ca href=\"https://www.cdc.gov/vaccines/vpd/rsv/index.html\">The vaccine against the respiratory syncytial virus — RSV — is accordingly recommended by the CDC\u003c/a> for infants, young children and adults ages 60 and older.\u003c/p>\n\u003cp>Most \u003ca href=\"https://www.npr.org/sections/health-shots/2023/09/13/1198803134/covid-boosters-updated-vaccines-fda-cdc\">experts NPR talked to for their fall booster guide\u003c/a> recommended getting the RSV vaccine separately from the COVID and flu vaccines.\u003c/p>\n\u003cp>“I think the recommendation would be if you’re going in, get your flu and COVID shot. If you’re eligible for RSV, maybe space that out by a week or two,” Dr. \u003ca href=\"https://www.bcm.edu/people-search/peter-hotez-23229\">Peter Hotez\u003c/a>, who leads the National School of Tropical Medicine at Baylor College of Medicine, told NPR.\u003c/p>\n\u003cp>Again, if you’re trying to schedule your kid’s vaccinations, \u003ca href=\"https://www.npr.org/sections/health-shots/2023/09/13/1198803134/covid-boosters-updated-vaccines-fda-cdc\">the CDC advises that you first talk to your pediatrician\u003c/a> about the best schedule for the COVID, flu and RSV vaccines.\u003c/p>\n\u003ch2>\u003ca id=\"highrisk\">\u003c/a>If I have risk factors for severe flu, what kind of flu shot should I get?\u003c/h2>\n\u003cp>If you’re age 65 or older, there are now three types of flu vaccines it’s recommended you get — because they’ll be even more effective for you than a regular flu shot.\u003c/p>\n\u003cp>Chin-Hong said folks in this age group should seek out these three types of vaccines because you’ll be getting “essentially a high-dose shot” or a vaccine that contains an “adjuvant” — which, in simple terms, “makes the flu shot more powerful in terms of waking up the immune system,” he said. \u003ca href=\"https://www.cdc.gov/flu/prevent/keyfacts.htm\">Read more about the three kinds of flu shots available to people ages 65 and older.\u003c/a>\u003c/p>\n\u003cp>Pregnant people can get a regular flu shot, although some types of flu vaccines are off-limits to pregnant people. The CDC says that getting vaccinated when you’re pregnant will not only help protect you from the flu, but also — if your baby is born during the immunity period — protect your infant in the first few months of their life when they’re too young to get vaccinated themselves.\u003c/p>\n\u003cp>This benefit to the baby is also the reason that pregnant people are one of the few groups who might want to consider getting a flu shot \u003cem>early\u003c/em>, instead of waiting — to ensure their baby isn’t left completely unprotected for those first six months after birth when they can’t get a vaccine. \u003ca href=\"https://www.cdc.gov/flu/prevent/keyfacts.htm\">Read more about the benefits of getting a flu shot if you’re pregnant.\u003c/a>\u003c/p>\n\u003cp>Children ages 6 months and older can get a regular dose of the flu shot. \u003ca href=\"https://www.cdc.gov/flu/highrisk/children-high-risk.htm\">Flu can be particularly dangerous for kids\u003c/a>, and the CDC says that a 2022 study showed that flu vaccination reduced children’s risk of severe, life-threatening influenza by 75%.\u003c/p>\n\u003ch2>\u003ca id=\"flushotnearme\">\u003c/a>Where can I get a flu shot if I have insurance?\u003c/h2>\n\u003cp>If you have health insurance, a flu shot is available without extra cost as a preventive service from your usual health care provider, or at most pharmacies (see below).\u003c/p>\n\u003cp>It’s a good idea to wear a mask, maintain social distancing wherever possible while waiting for your shot, and dress in a top with sleeves you can easily pull up to your shoulder, to make receiving the injection even easier (and quicker).\u003c/p>\n\u003cp>\u003cstrong>Common places to find a flu shot appointment, walk-in site or drive-thru flu shot:\u003c/strong>\u003c/p>\n\u003cul>\n\u003cli>\u003ca href=\"https://www.vaccines.gov/find-vaccines/\">CDC’s Find Flu Vaccines tool.\u003c/a>\u003c/li>\n\u003cli>\u003ca href=\"https://mydoctor.kaiserpermanente.org/ncal/cold-and-flu/prevention#/prevention\">Kaiser Permanente flu shots (Northern California)\u003c/a>.\u003c/li>\n\u003cli>\u003ca href=\"https://www.cvs.com/immunizations/flu\">CVS flu shots.\u003c/a>\u003c/li>\n\u003cli>\u003ca href=\"https://www.walgreens.com/topic/pharmacy/seasonal-flu.jsp?ban=flu_fy21_influenzapage\">Walgreens flu shots.\u003c/a>\u003c/li>\n\u003cli>\u003ca href=\"https://www.riteaid.com/pharmacy/scheduler\">Rite Aid flu shots.\u003c/a>\u003c/li>\n\u003cli>\u003ca href=\"https://www.costco.com/Pharmacy/adult-immunization-program.html\">Costco Pharmacy flu shots.\u003c/a>\u003c/li>\n\u003cli>\u003ca href=\"https://www.albertsons.com/pharmacy/pharmacy-services/immunizations.html\">Albertsons (Safeway) flu shots.\u003c/a>\u003c/li>\n\u003c/ul>\n\u003ch2>Where can I get a flu shot if I \u003cem>don’t\u003c/em> have health insurance?\u003c/h2>\n\u003cp>If you want a flu shot but don’t have health insurance, you can get the vaccine free of charge from several providers and community clinics around the Bay Area. (You can also technically use these free services even if you do have insurance, but you may consider choosing to free up these particular resources for those who are not covered.)\u003c/p>\n\u003cp>Your county’s public health department may also be offering flu shots.\u003c/p>\n\u003cp>\u003cstrong>Places to get a free or low-cost flu shot in the Bay Area include:\u003c/strong>\u003c/p>\n\u003cul>\n\u003cli>\u003ca href=\"https://www.sfcdcp.org/aitc/aitc-regular-prices-low-cost-or-free-vaccines/\">San Francisco Department of Public Health’s AITC clinic\u003c/a> (offers a pay-what-you-can option).\u003c/li>\n\u003cli>\u003ca href=\"https://cchealth.org/immunization/clinics.php#Uninsured\">Contra Costa Public Health Immunization Clinic\u003c/a> (flu shots are $15 for adults over 19, but fees may be waived if you’re unable to pay).\u003c/li>\n\u003cli>\u003ca href=\"https://acphd.org/clinics/\">Alameda County Immunization Clinics.\u003c/a>\u003c/li>\n\u003c/ul>\n\u003cp>\u003cspan style=\"font-weight: 400\">\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/span>\u003c/p>\n\u003ch2>And a reminder … the flu vaccine can’t give you the flu\u003c/h2>\n\u003cp>The virus that the flu shot contains has been inactivated or severely weakened, so \u003ca href=\"https://www.cdc.gov/flu/prevent/misconceptions.htm#:~:text=Can%20a%20flu%20vaccine%20give,protein%20from%20the%20flu%20virus.\">you just aren’t physically able to get the flu from your flu shot\u003c/a>, confirms the CDC.\u003c/p>\n\u003cp>\u003ca href=\"https://www.cdc.gov/flu/prevent/general.htm#side-effects\">The flu vaccine can cause side effects\u003c/a> like any medical product, but they’re “\u003ca href=\"https://www.cdc.gov/flu/prevent/general.htm\">generally mild and go away on their own within a few days\u003c/a>,” the agency says.\u003c/p>\n\u003cp>Common flu shot side effects can include soreness or swelling at the injection site, headache, fever, nausea and muscle aches. (But not the flu.)\u003c/p>\n\u003cp>\u003cem>This story contains reporting by KQED’s Alexander Gonzalez.\u003c/em>\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"title": "Growing Number of Bay Area Counties Requiring Masks in 'High-Risk' Health Care Facilities",
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"headTitle": "Growing Number of Bay Area Counties Requiring Masks in ‘High-Risk’ Health Care Facilities | KQED",
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"content": "\u003cp>\u003ca href=\"https://www.kqed.org/news/11957790/the-new-covid-eris-variant-and-rising-cases-what-you-need-to-know\">COVID-19 cases\u003c/a> are again rising in Contra Costa County as it and other Bay Area counties are issuing a new masking order that applies to workers at “high-risk” health care facilities.\u003c/p>\n\u003cp>Contra Costa Health Services CEO Anna Roth told the county Board of Supervisors Tuesday that countywide hospital admissions for COVID-19 have increased since July, from 8.1 per day to 12.1.\u003c/p>\n\u003cp>“So it’s going up,” Roth said. “It’s not huge. We are able to handle the increased demand for some hospital beds, but it is going up.”\u003c/p>\n\u003cp>In response to the increased cases in the Bay Area — which health officials attribute to the latest mutated strain of COVID-19 — Roth said Contra Costa Health and other Bay Area health agencies are implementing new mask requirements for health care workers.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>“We are issuing the health order today around masking for high-risk facilities, health care facilities specifically,” Roth said. “So again, masking in hospitals, masking in skilled nursing facilities, masking in high-risk facilities.”\u003c/p>\n\u003cp>The new masking order will not affect patients or visitors to affected health care facilities.\u003c/p>\n\u003cp>Roth said the new order will not include other residential congregate settings, such as detention facilities and homeless shelters. [pullquote size=\"medium\" align=\"right\" citation=\"Anna Roth, CEO, Contra Costa Health Services\"]‘So it’s going up. It’s not huge. We are able to handle the increased demand for some hospital beds, but it is going up.’[/pullquote] Roth also said the latest vaccine — which isn’t considered a booster, but an entirely new vaccine that replaces the former vaccine and handles the newest variants — will be available in Contra Costa County either at the end of this week or the beginning of next week.\u003c/p>\n\u003cp>“For those of you who have not been vaccinated in the last 60 days, you will be eligible,” Roth said. “This is a vaccine for everybody 6 months and over.”\u003c/p>\n\u003cp>Roth said the county is no longer running any mass vaccination sites and people should go to their regular providers.\u003c/p>\n\u003cp>“We do expect that there will be high demand the first couple of weeks,” Roth said. “What we have historically seen is that demand settles down and your regular providers will have the vaccine available.”\u003c/p>\n\u003cp>Roth said Contra Costa Health providers will turn no one away, but it’s important to go to a regular provider, who can record the vaccination for people to keep track.\u003c/p>\n\u003cp>Dr. Sefanit Mekuria, the county’s deputy health officer, told the board that the county — and county libraries — are still offering free test kits through the mail.\u003c/p>\n\u003cp>Sonoma County’s health officer issued a similar order Tuesday for health care workers who work directly with patients to wear face masks during an anticipated surge in the transmission of respiratory viruses this fall and winter.\u003c/p>\n\u003cp>The order lasts from Nov. 1 to April 30 and covers workers in facilities such as hospitals, clinics and other facilities where patient care is provided indoors.\u003c/p>\n\u003cp>“Each year we see that higher rates of influenza, COVID-19 and other respiratory viruses that can cause severe respiratory infections occur annually between late fall and spring,” said Dr. Karen Smith, Sonoma County’s health officer. [aside postID=news_11960630 hero='https://ww2.kqed.org/app/uploads/sites/10/2023/09/005_SanFrancisco_UnitedinHealthKidsCOVIDVaccination_11092021-qut.jpg'] “Patients and residents in our health care and congregate facilities, especially young children, pregnant women, the elderly, and those with chronic health conditions, are at greater risk for respiratory virus-related hospitalizations and death.\u003c/p>\n\u003cp>“Workers in direct care, health care, and congregate facilities are at risk for respiratory illness and can transmit the viruses to their clients, patients and coworkers,” Smith said.\u003c/p>\n\u003cp>Smith also strongly recommended that everyone who is at least 6 months old get an updated COVID-19 vaccine and a flu shot.\u003c/p>\n\u003cp>To find out more about COVID-19 in Contra Costa County, go to \u003ca href=\"https://cchealth.org/covid19\">https://cchealth.org/covid19\u003c/a>.\u003c/p>\n\u003cp>\u003c/p>\n",
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"excerpt": "Sonoma and Contra Costa counties issued health orders Tuesday that urged masking for high-risk facilities, specifically hospitals and skilled nursing centers.",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>\u003ca href=\"https://www.kqed.org/news/11957790/the-new-covid-eris-variant-and-rising-cases-what-you-need-to-know\">COVID-19 cases\u003c/a> are again rising in Contra Costa County as it and other Bay Area counties are issuing a new masking order that applies to workers at “high-risk” health care facilities.\u003c/p>\n\u003cp>Contra Costa Health Services CEO Anna Roth told the county Board of Supervisors Tuesday that countywide hospital admissions for COVID-19 have increased since July, from 8.1 per day to 12.1.\u003c/p>\n\u003cp>“So it’s going up,” Roth said. “It’s not huge. We are able to handle the increased demand for some hospital beds, but it is going up.”\u003c/p>\n\u003cp>In response to the increased cases in the Bay Area — which health officials attribute to the latest mutated strain of COVID-19 — Roth said Contra Costa Health and other Bay Area health agencies are implementing new mask requirements for health care workers.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>“We are issuing the health order today around masking for high-risk facilities, health care facilities specifically,” Roth said. “So again, masking in hospitals, masking in skilled nursing facilities, masking in high-risk facilities.”\u003c/p>\n\u003cp>The new masking order will not affect patients or visitors to affected health care facilities.\u003c/p>\n\u003cp>Roth said the new order will not include other residential congregate settings, such as detention facilities and homeless shelters. \u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp> Roth also said the latest vaccine — which isn’t considered a booster, but an entirely new vaccine that replaces the former vaccine and handles the newest variants — will be available in Contra Costa County either at the end of this week or the beginning of next week.\u003c/p>\n\u003cp>“For those of you who have not been vaccinated in the last 60 days, you will be eligible,” Roth said. “This is a vaccine for everybody 6 months and over.”\u003c/p>\n\u003cp>Roth said the county is no longer running any mass vaccination sites and people should go to their regular providers.\u003c/p>\n\u003cp>“We do expect that there will be high demand the first couple of weeks,” Roth said. “What we have historically seen is that demand settles down and your regular providers will have the vaccine available.”\u003c/p>\n\u003cp>Roth said Contra Costa Health providers will turn no one away, but it’s important to go to a regular provider, who can record the vaccination for people to keep track.\u003c/p>\n\u003cp>Dr. Sefanit Mekuria, the county’s deputy health officer, told the board that the county — and county libraries — are still offering free test kits through the mail.\u003c/p>\n\u003cp>Sonoma County’s health officer issued a similar order Tuesday for health care workers who work directly with patients to wear face masks during an anticipated surge in the transmission of respiratory viruses this fall and winter.\u003c/p>\n\u003cp>The order lasts from Nov. 1 to April 30 and covers workers in facilities such as hospitals, clinics and other facilities where patient care is provided indoors.\u003c/p>\n\u003cp>“Each year we see that higher rates of influenza, COVID-19 and other respiratory viruses that can cause severe respiratory infections occur annually between late fall and spring,” said Dr. Karen Smith, Sonoma County’s health officer. \u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp> “Patients and residents in our health care and congregate facilities, especially young children, pregnant women, the elderly, and those with chronic health conditions, are at greater risk for respiratory virus-related hospitalizations and death.\u003c/p>\n\u003cp>“Workers in direct care, health care, and congregate facilities are at risk for respiratory illness and can transmit the viruses to their clients, patients and coworkers,” Smith said.\u003c/p>\n\u003cp>Smith also strongly recommended that everyone who is at least 6 months old get an updated COVID-19 vaccine and a flu shot.\u003c/p>\n\u003cp>To find out more about COVID-19 in Contra Costa County, go to \u003ca href=\"https://cchealth.org/covid19\">https://cchealth.org/covid19\u003c/a>.\u003c/p>\n\u003cp>\u003c/p>\n\u003c/div>\u003c/p>",
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"content": "\u003cp>California voters next spring will get to decide on a ballot measure to create housing and treatment options for unhoused individuals with serious mental illness. If it passes, the measure championed by Gov. Gavin Newsom would mark the first major overhaul of the state’s community mental health system in 20 years.\u003c/p>\n\u003cp>The two-pronged proposition on the March primary election ballot includes a nearly $6.4 billion bond to build 10,000 psychiatric treatment units. It also asks voters to redefine how counties spend money collected from a special “millionaire’s tax” to allocate a share of it for housing.\u003c/p>\n\u003cp>Newsom and supporters have promoted Proposition 1 as a way to help address the state’s deteriorating homelessness and addiction crises. They contend that increased investment and an update to the state’s Mental Health Services Act are “long overdue.”\u003c/p>\n\u003cp>The Legislature on Thursday overwhelmingly backed his proposal, with lopsided votes to place it on the 2024 ballot. Newsom still must sign the bills, and he said he would in a written statement after a late-night vote in the Assembly.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>“These measures represent a key part of the solution to our homelessness crisis, and improving mental health for kids and families,” Newsom said. “Now, it will be up to voters to ratify the most significant changes to California’s mental health system in more than 50 years.”\u003c/p>\n\u003cp>Opponents of the ballot measure say diverting money in the Mental Health Services Act for housing will result in up to $1 billion in cuts to\u003ca href=\"https://lao.ca.gov/Publications/Report/4782\"> current mental health programs\u003c/a> like outpatient care and crisis response. Other advocates criticize the governor for making last-minute changes to the bond, allowing the money to be spent on involuntary treatment institutions.\u003c/p>\n\u003cp>So what exactly are voters being asked to consider? Here’s how the proposal breaks down.\u003c/p>\n\u003ch2>What is the Mental Health Services Act?\u003c/h2>\n\u003cp>The Mental Health Services Act, which voters passed as a ballot measure in 2004, levies a 1% tax on personal income over $1 million. It passed at a time when the state’s mental health system was severely underfunded. Since then, the tax has generated an estimated $26 billion for county mental health programs. Last year the tax garnered more than $3 billion. It supports roughly one-third of the state’s mental health system. [pullquote size=\"medium\" align=\"right\" citation=\"Gov. Gavin Newsom\"]‘These measures represent a key part of the solution to our homelessness crisis, and improving mental health for kids and families.’[/pullquote] The tax is not California’s only source of revenue for mental health programs. The state also receives money from Medi-Cal, and it spends a portion of its general fund on those services. Those sources come with strict spending limitations. For example, Medi-Cal primarily pays for treatment of mental health disorders but will not cover prevention programs. It also will not pay for inpatient treatment at a facility with more than 16 beds.\u003c/p>\n\u003cp>Counties have come to rely on the relative flexibility of Mental Health Services Act dollars to pay for core services like outpatient care, outreach and engagement, school-based counseling, youth wellness programs, family resource centers, and crisis response teams.\u003c/p>\n\u003ch2>What does Newsom want to do?\u003c/h2>\n\u003cp>The most significant change put forth by the governor is a requirement that counties invest 30% of their Mental Health Services Act tax dollars — roughly $1 billion based on last year’s revenue — in housing programs, including rental subsidies and navigation services. Counties would have to spend half this money on people who are chronically homeless or living in encampments. They could also use up to one-quarter of the money to build or purchase housing units.\u003c/p>\n\u003cp>Sacramento Mayor Darrell Steinberg has been a staunch supporter of Newsom’s proposal. Steinberg was one of the co-authors of the Mental Health Services Act when he was an Assembly member in 2004.\u003c/p>\n\u003cp>“To put it plainly, not enough of the Mental Health Services Act dollars are getting out to the people with the most persistent mental illnesses, specifically people who are chronically homeless and living with those underlying conditions,” Steinberg said during a press call in August. “So that’s where you start.”\u003c/p>\n\u003cp>The ballot measure puts counties on the hook for paying for substance use disorder treatment with Mental Health Services Act money. Counties have historically paid for addiction treatment with other funding.\u003c/p>\n\u003cp>And, it\u003cstrong> \u003c/strong>renames the program as the Behavioral Health Services Act.\u003c/p>\n\u003cfigure id=\"attachment_11961360\" class=\"wp-caption aligncenter\" style=\"max-width: 2400px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-11961360\" src=\"https://ww2.kqed.org/app/uploads/sites/10/2023/09/CMNewsom02.jpeg\" alt=\"Gov. Gavin Newsom is pictured with his hands out as he speak to many folks in a warehouse in front of a microphone.\" width=\"2400\" height=\"1600\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2023/09/CMNewsom02.jpeg 2400w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/09/CMNewsom02-800x533.jpeg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/09/CMNewsom02-1020x680.jpeg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/09/CMNewsom02-160x107.jpeg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/09/CMNewsom02-1536x1024.jpeg 1536w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/09/CMNewsom02-2048x1365.jpeg 2048w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/09/CMNewsom02-1920x1280.jpeg 1920w\" sizes=\"auto, (max-width: 2400px) 100vw, 2400px\">\u003cfigcaption class=\"wp-caption-text\">Flanked by state and local politicians, Newsom announced the state’s plan to address homelessness across the state at Cal Expo in Sacramento, on March 16, 2023. \u003ccite>(Miguel Gutierrez Jr./CalMatters)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003ch2>What will the bond measure do?\u003c/h2>\n\u003cp>The second half of Newsom’s proposal places a $6.4 billion general obligation bond before voters to dramatically expand the state’s psychiatric and addiction treatment infrastructure. [pullquote size=\"medium\" align=\"right\" citation=\"Sacramento Mayor Darrell Steinberg\"]‘To put it plainly, not enough of the Mental Health Services Act dollars are getting out to the people with the most persistent mental illnesses, specifically people who are chronically homeless and living with those underlying conditions.’[/pullquote] Nearly $4.4 billion would go toward building inpatient and residential treatment beds and could serve 100,000 people annually, officials said. California faces a shortage of \u003ca href=\"https://www.rand.org/content/dam/rand/pubs/testimonies/CTA2700/CTA2742-1/RAND_CTA2742-1.pdf\">nearly 8,000 adult psychiatric beds (PDF)\u003c/a>, said Nicole Eberhart, senior behavioral health scientist for the RAND Corporation, during testimony to an Assembly budget subcommittee in May. Long waitlists plague the state’s inpatient mental health system, and doctors say there’s nowhere to send stable patients who need long-term treatment focused on recovery.\u003c/p>\n\u003cp>Another $2 billion will go toward building permanent supportive housing, with half set aside for veterans with mental health diagnoses or addiction disorders.\u003c/p>\n\u003ch2>How many people are unhoused in California?\u003c/h2>\n\u003cp>More than 170,000 Californians are unhoused, the vast majority of whom live in street encampments. California has the highest homeless rate per 10,000 people, second only to the District of Columbia, and the highest proportion of unsheltered homeless individuals in the country, according to federal data.\u003c/p>\n\u003cp>A \u003ca href=\"https://calmatters.org/housing/2023/06/california-homeless-growth-report/\">landmark study by the UCSF Benioff Homelessness and Housing Initiative\u003c/a> found about two-thirds of unhoused Californians surveyed suffered from a mental health disorder but only 19% had received recent treatment. The driving force behind homelessness, however, was most often income loss, not mental illness or addiction, \u003ca href=\"https://homelessness.ucsf.edu/our-impact/our-studies/california-statewide-study-people-experiencing-homelessness\">according to the study\u003c/a>. [aside label='More Around California' tag='california-law']\u003c/p>\n\u003ch2>Who are the supporters?\u003c/h2>\n\u003cp>Sen. Susan Talamantes-Eggman, a Democrat from Stockton, carried the proposed reform of the Mental Health Services Act in the Legislature. During Thursday’s Senate concurrence vote, Talamantes-Eggman said the way counties spend state mental health funding needs to address changes that have happened in the two decades since the act was first designed.\u003c/p>\n\u003cp>Assemblymember Jacqui Irwin, a Democrat from Thousand Oaks, carried the bond proposal in the Legislature.\u003c/p>\n\u003cp>Mayors and county supervisors from eight major regions, including San Francisco and Los Angeles, successfully lobbied to increase funding for the bond measure by $1.5 billion. City leaders were early supporters of the measure with more than two dozen submitting letters of support along with housing and homeless advocates and the National Alliance on Mental Illness California.\u003c/p>\n\u003ch2>Who are the opponents?\u003c/h2>\n\u003cp>Peer-run and disability organizations have been the staunchest opponents of the changes proposed in the ballot measure. They argue current clients will lose treatment options and accuse Newsom’s administration of using the proposal to fund his \u003ca href=\"https://calmatters.org/housing/2023/08/care-court-california-start/\">CARE Court initiative\u003c/a> that passed last year. That law allows a court to place someone with a serious mental illness into an involuntary treatment program. [pullquote size=\"medium\" align=\"right\" citation=\"Paul Simmons, executive director, Depression and Bipolar Support Alliance\"]‘This is a really tough time for our communities. Our concern with [the proposition] is massive increases in involuntary and forced treatment.’[/pullquote] Groups representing people of color and LGBTQ+ communities also oppose the measure. They say it will eliminate prevention resources and worsen already stark disparities in access to treatment. Resource centers that target these populations are among the services most likely to get cut, county behavioral health leaders have said in public hearing.\u003c/p>\n\u003cp>The bond measure, which previously faced no opposition, drew fierce criticism from peer and disability advocates after last-minute amendments \u003ca href=\"https://calmatters.org/health/mental-health/2023/09/mental-health-bond-gavin-newsom-amendments/\">allowed the money to be used on involuntary treatment facilities\u003c/a>.\u003c/p>\n\u003cp>“This is a really tough time for our communities,” said Paul Simmons, executive director of the Depression and Bipolar Support Alliance. “Our concern with [the proposition] is massive increases in involuntary and forced treatment.”\u003c/p>\n\u003cp>Children and family advocates withdrew previous opposition after securing significant concessions from the governor requiring 51% of spending on early intervention be targeted toward children and youth.\u003c/p>\n\u003cp>[ad floatright]\u003c/p>\n",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>“These measures represent a key part of the solution to our homelessness crisis, and improving mental health for kids and families,” Newsom said. “Now, it will be up to voters to ratify the most significant changes to California’s mental health system in more than 50 years.”\u003c/p>\n\u003cp>Opponents of the ballot measure say diverting money in the Mental Health Services Act for housing will result in up to $1 billion in cuts to\u003ca href=\"https://lao.ca.gov/Publications/Report/4782\"> current mental health programs\u003c/a> like outpatient care and crisis response. Other advocates criticize the governor for making last-minute changes to the bond, allowing the money to be spent on involuntary treatment institutions.\u003c/p>\n\u003cp>So what exactly are voters being asked to consider? Here’s how the proposal breaks down.\u003c/p>\n\u003ch2>What is the Mental Health Services Act?\u003c/h2>\n\u003cp>The Mental Health Services Act, which voters passed as a ballot measure in 2004, levies a 1% tax on personal income over $1 million. It passed at a time when the state’s mental health system was severely underfunded. Since then, the tax has generated an estimated $26 billion for county mental health programs. Last year the tax garnered more than $3 billion. It supports roughly one-third of the state’s mental health system. \u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp> The tax is not California’s only source of revenue for mental health programs. The state also receives money from Medi-Cal, and it spends a portion of its general fund on those services. Those sources come with strict spending limitations. For example, Medi-Cal primarily pays for treatment of mental health disorders but will not cover prevention programs. It also will not pay for inpatient treatment at a facility with more than 16 beds.\u003c/p>\n\u003cp>Counties have come to rely on the relative flexibility of Mental Health Services Act dollars to pay for core services like outpatient care, outreach and engagement, school-based counseling, youth wellness programs, family resource centers, and crisis response teams.\u003c/p>\n\u003ch2>What does Newsom want to do?\u003c/h2>\n\u003cp>The most significant change put forth by the governor is a requirement that counties invest 30% of their Mental Health Services Act tax dollars — roughly $1 billion based on last year’s revenue — in housing programs, including rental subsidies and navigation services. Counties would have to spend half this money on people who are chronically homeless or living in encampments. They could also use up to one-quarter of the money to build or purchase housing units.\u003c/p>\n\u003cp>Sacramento Mayor Darrell Steinberg has been a staunch supporter of Newsom’s proposal. Steinberg was one of the co-authors of the Mental Health Services Act when he was an Assembly member in 2004.\u003c/p>\n\u003cp>“To put it plainly, not enough of the Mental Health Services Act dollars are getting out to the people with the most persistent mental illnesses, specifically people who are chronically homeless and living with those underlying conditions,” Steinberg said during a press call in August. “So that’s where you start.”\u003c/p>\n\u003cp>The ballot measure puts counties on the hook for paying for substance use disorder treatment with Mental Health Services Act money. Counties have historically paid for addiction treatment with other funding.\u003c/p>\n\u003cp>And, it\u003cstrong> \u003c/strong>renames the program as the Behavioral Health Services Act.\u003c/p>\n\u003cfigure id=\"attachment_11961360\" class=\"wp-caption aligncenter\" style=\"max-width: 2400px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-11961360\" src=\"https://ww2.kqed.org/app/uploads/sites/10/2023/09/CMNewsom02.jpeg\" alt=\"Gov. Gavin Newsom is pictured with his hands out as he speak to many folks in a warehouse in front of a microphone.\" width=\"2400\" height=\"1600\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2023/09/CMNewsom02.jpeg 2400w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/09/CMNewsom02-800x533.jpeg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/09/CMNewsom02-1020x680.jpeg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/09/CMNewsom02-160x107.jpeg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/09/CMNewsom02-1536x1024.jpeg 1536w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/09/CMNewsom02-2048x1365.jpeg 2048w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/09/CMNewsom02-1920x1280.jpeg 1920w\" sizes=\"auto, (max-width: 2400px) 100vw, 2400px\">\u003cfigcaption class=\"wp-caption-text\">Flanked by state and local politicians, Newsom announced the state’s plan to address homelessness across the state at Cal Expo in Sacramento, on March 16, 2023. \u003ccite>(Miguel Gutierrez Jr./CalMatters)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003ch2>What will the bond measure do?\u003c/h2>\n\u003cp>The second half of Newsom’s proposal places a $6.4 billion general obligation bond before voters to dramatically expand the state’s psychiatric and addiction treatment infrastructure. \u003c/p>\u003c/div>",
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"content": "‘To put it plainly, not enough of the Mental Health Services Act dollars are getting out to the people with the most persistent mental illnesses, specifically people who are chronically homeless and living with those underlying conditions.’",
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"content": "\u003cdiv class=\"post-body\">\u003cp> Nearly $4.4 billion would go toward building inpatient and residential treatment beds and could serve 100,000 people annually, officials said. California faces a shortage of \u003ca href=\"https://www.rand.org/content/dam/rand/pubs/testimonies/CTA2700/CTA2742-1/RAND_CTA2742-1.pdf\">nearly 8,000 adult psychiatric beds (PDF)\u003c/a>, said Nicole Eberhart, senior behavioral health scientist for the RAND Corporation, during testimony to an Assembly budget subcommittee in May. Long waitlists plague the state’s inpatient mental health system, and doctors say there’s nowhere to send stable patients who need long-term treatment focused on recovery.\u003c/p>\n\u003cp>Another $2 billion will go toward building permanent supportive housing, with half set aside for veterans with mental health diagnoses or addiction disorders.\u003c/p>\n\u003ch2>How many people are unhoused in California?\u003c/h2>\n\u003cp>More than 170,000 Californians are unhoused, the vast majority of whom live in street encampments. California has the highest homeless rate per 10,000 people, second only to the District of Columbia, and the highest proportion of unsheltered homeless individuals in the country, according to federal data.\u003c/p>\n\u003cp>A \u003ca href=\"https://calmatters.org/housing/2023/06/california-homeless-growth-report/\">landmark study by the UCSF Benioff Homelessness and Housing Initiative\u003c/a> found about two-thirds of unhoused Californians surveyed suffered from a mental health disorder but only 19% had received recent treatment. The driving force behind homelessness, however, was most often income loss, not mental illness or addiction, \u003ca href=\"https://homelessness.ucsf.edu/our-impact/our-studies/california-statewide-study-people-experiencing-homelessness\">according to the study\u003c/a>. \u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003ch2>Who are the supporters?\u003c/h2>\n\u003cp>Sen. Susan Talamantes-Eggman, a Democrat from Stockton, carried the proposed reform of the Mental Health Services Act in the Legislature. During Thursday’s Senate concurrence vote, Talamantes-Eggman said the way counties spend state mental health funding needs to address changes that have happened in the two decades since the act was first designed.\u003c/p>\n\u003cp>Assemblymember Jacqui Irwin, a Democrat from Thousand Oaks, carried the bond proposal in the Legislature.\u003c/p>\n\u003cp>Mayors and county supervisors from eight major regions, including San Francisco and Los Angeles, successfully lobbied to increase funding for the bond measure by $1.5 billion. City leaders were early supporters of the measure with more than two dozen submitting letters of support along with housing and homeless advocates and the National Alliance on Mental Illness California.\u003c/p>\n\u003ch2>Who are the opponents?\u003c/h2>\n\u003cp>Peer-run and disability organizations have been the staunchest opponents of the changes proposed in the ballot measure. They argue current clients will lose treatment options and accuse Newsom’s administration of using the proposal to fund his \u003ca href=\"https://calmatters.org/housing/2023/08/care-court-california-start/\">CARE Court initiative\u003c/a> that passed last year. That law allows a court to place someone with a serious mental illness into an involuntary treatment program. \u003c/p>\u003c/div>",
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"content": "‘This is a really tough time for our communities. Our concern with [the proposition] is massive increases in involuntary and forced treatment.’",
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"content": "\u003cdiv class=\"post-body\">\u003cp> Groups representing people of color and LGBTQ+ communities also oppose the measure. They say it will eliminate prevention resources and worsen already stark disparities in access to treatment. Resource centers that target these populations are among the services most likely to get cut, county behavioral health leaders have said in public hearing.\u003c/p>\n\u003cp>The bond measure, which previously faced no opposition, drew fierce criticism from peer and disability advocates after last-minute amendments \u003ca href=\"https://calmatters.org/health/mental-health/2023/09/mental-health-bond-gavin-newsom-amendments/\">allowed the money to be used on involuntary treatment facilities\u003c/a>.\u003c/p>\n\u003cp>“This is a really tough time for our communities,” said Paul Simmons, executive director of the Depression and Bipolar Support Alliance. “Our concern with [the proposition] is massive increases in involuntary and forced treatment.”\u003c/p>\n\u003cp>Children and family advocates withdrew previous opposition after securing significant concessions from the governor requiring 51% of spending on early intervention be targeted toward children and youth.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cp>When you stroll down the cold and flu aisle in a drugstore it’s easy to get lost in the dizzying array of products promising to clear sinus pressure, dry up sniffles and stop plaguing coughs. Some concoctions even offer it all in one magical pill. However, a government panel has found the evidence behind some of these claims is lackluster — and doctors say that could extend all the way down the aisle.\u003c/p>\n\u003cp>“There’s just not much that’s very effective for treating the common cold,” said Dr. Lauren Eggert, clinical assistant professor in the Pulmonary Allergy and Critical Care Division at Stanford University. “Most of the things out there — antihistamines, decongestants, cough medicines — none of them have a lot of evidence that they’re super effective at improving cough or common cold symptoms.”\u003c/p>\n\u003cp>[aside postID=science_1936021 hero='https://cdn.kqed.org/wp-content/uploads/sites/35/2018/12/iStock-912854994-1180x787.jpg']This week the Food and Drug administration determined the country’s leading decongestant is really no better than a sugar pill. \u003ca href=\"https://www.fda.gov/drugs/drug-safety-and-availability/fda-clarifies-results-recent-advisory-committee-meeting-oral-phenylephrine\">In a unanimous vote Tuesday\u003c/a>, advisers to the agency said the key drug, phenylephrine, found in Sudafed P.E., Mucinex Sinus Max, Dayquil and other oral medications is simply not effective. The review was prompted by \u003ca href=\"https://www.usatoday.com/story/money/business/2014/02/21/fda-overhauling-over-the-counter-regulations/5704165/\">inquiries dating back nearly a decade\u003c/a>. And experts warn the ineffectiveness is not limited to just that one drug. More reviews of over-the-counter drugs are expected.\u003c/p>\n\u003cp>Eggert pointed to the database \u003ca href=\"https://www.wolterskluwer.com/en/solutions/uptodate\">UpToDate\u003c/a>. Physicians use the resource when they want to see the summary of evidence for a group of medications. The conclusions for cold and flu remedies are disconcerting:\u003c/p>\n\u003cul>\n\u003cli>Antihistamines, vitamins and herbal remedies are deemed \u003cem>ineffective\u003c/em>.\u003c/li>\n\u003cli>Cough syrups, decongestants, expectorants, and zinc may have \u003cem>minimal or uncertain benefits\u003c/em>.\u003c/li>\n\u003cli>Nasal sprays and analgesics like Tylenol and ibuprofen \u003cem>may be effective\u003c/em>.\u003c/li>\n\u003c/ul>\n\u003cp>So, why are there so many cold and flu products on store shelves making big promises with little evidence to back them up?\u003c/p>\n\u003cp>The FDA’s \u003ca href=\"https://www.fda.gov/drugs/otc-drug-review-process-otc-drug-monographs#:~:text=An%20OTC%20drug%20monograph%20establishes,GRASE)%20for%20its%20intended%20use.\">over-the-counter drug list\u003c/a> has not been updated since 1995. And many of the drugs sold today were grandfathered during the ’60s and ’70s when scientific studies were much less rigorous.[pullquote align=\"right\" size=\"medium\" citation=\"Dr. Shalini Lynch, health sciences clinical professor, UCSF School of Pharmacy\"]‘You want to feel better instantly. But the reality is most cough and cold, viral types of upper respiratory infections, they just take time to go away.’[/pullquote]“Back in those days, statistics were not very developed,” said \u003ca href=\"https://pharmacy.ufl.edu/profile/hendeles-leslie/\">Dr. Leslie Hendeles\u003c/a>, PharmD, professor emeritus at the University of Florida in Gainesville, who was one of the petitioners who prompted this week’s FDA review. “The whole concept of clinical trials and study design was in its infancy.”\u003c/p>\n\u003cp>And since then the system for updating the drug list has traditionally taken many years or even decades, requiring multiple rounds of review and public comments.\u003c/p>\n\u003cp>The passage of \u003ca href=\"https://www.fda.gov/news-events/fda-voices/exciting-new-chapter-otc-drug-history-otc-monograph-reform-cares-act#:~:text=The%20beginning%20of%20an%20exciting,regulated%20in%20the%20United%20States.\">the 2020 CARES Act\u003c/a> should improve what’s available by streamlining the laborious process that may have allowed unchecked medications on the market. This week’s vote on phenylephrine, which was based on the latest scientific evidence, is the first test case for the law. But the FDA has not yet issued a final decision on whether the product will be removed from store shelves.\u003c/p>\n\u003cp>“The message here is that there are a lot of products on the market that fall into the same category as phenylephrine,” said Hendeles. “They’re not for diseases where people die or have to go to an emergency room. So they have not gotten the attention — even from the FDA — until now.”\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>Hendeles believes regulators are likely to ultimately find that many other over-the-counter drugs are futile, too. “I know for sure that the cough suppressants and the expectorants are next in line.”\u003c/p>\n\u003cp>He points to a compilation of data he presented in \u003ca href=\"https://pubmed.ncbi.nlm.nih.gov/29669663/\">a 2018 paper\u003c/a> published in the journal Allergy and Asthma Proceedings, where he concluded the marketing claims on products designed for respiratory symptoms are overblown. And the evidence for decongestants, expectorants and cough suppressants does not “justify their use.”\u003c/p>\n\u003cp>Industry groups like the Consumer Healthcare Products Association maintain that phenylephrine has provided the public with clear health benefits for years. They asked the FDA not to remove it from a list of safe and effective over-the-counter drugs, arguing it provides the public with accessible treatment.\u003c/p>\n\u003cp>“Simply put, the burdens created from decreased choice and availability of these products would be placed directly onto consumers and an already-strained U.S. healthcare system, which is why CHPA encourages the panel to consider the real-world experience and needs of consumers when making decisions that will have such broad implications,” said Marcia Howard, the association’s vice president of regulatory and scientific affairs, \u003ca href=\"https://www.chpa.org/news/2023/09/statement-sept-11-12-2023-meeting-fda-ndac-evaluate-efficacy-oral-pe\">in a statement\u003c/a>.\u003c/p>\n\u003ch2>So, what can help your runny nose?\u003c/h2>\n\u003cp>Hendeles recommends steroidal nasal sprays for people suffering from allergies. Look for fluticasone (Flonase) or triamcinolone (Nascort). One squirt in each nostril. Evidence suggests Oxymetazoline Hydrochloride (Afrin or Sinex) is the best nasal spray for people who are sick with a respiratory illness.\u003c/p>\n\u003ch2>What about the rest of the meds lining your medicine cabinet?\u003c/h2>\n\u003cp>“If you’ve used something and you felt like it was helpful, I don’t think there’s a problem with that,” said Eggbert. “There’s little harm for people who are looking for relief. And I do believe in the placebo effect.”\u003c/p>\n\u003cp>But don’t look for a magical concoction. Single-ingredient products will help lower the possibility for side effects, according to Dr. Shalini Lynch, PharmD, health sciences clinical professor at UCSF’s School of Pharmacy. She says it should be obvious in a day or two if the product is relieving a desired symptom.\u003c/p>\n\u003cp>Science also supports some natural remedies. Saline nasal rinses may help clear your sinuses and \u003ca href=\"https://pubmed.ncbi.nlm.nih.gov/22869830/\">honey can quell your cough\u003c/a>. Additionally, it may be worth standing in a steamy shower or filling your humidifier to open your nasal passages. However, Lynch’s best advice is simply to lay low and hydrate.\u003c/p>\n\u003cp>“The common cold is something that pretty much needs to run its course,” she said. “You want to feel better instantly. But the reality is most cough and cold, viral types of upper respiratory infections, they just take time to go away.”\u003c/p>\n\u003cp>[ad floatright]\u003c/p>\n",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>When you stroll down the cold and flu aisle in a drugstore it’s easy to get lost in the dizzying array of products promising to clear sinus pressure, dry up sniffles and stop plaguing coughs. Some concoctions even offer it all in one magical pill. However, a government panel has found the evidence behind some of these claims is lackluster — and doctors say that could extend all the way down the aisle.\u003c/p>\n\u003cp>“There’s just not much that’s very effective for treating the common cold,” said Dr. Lauren Eggert, clinical assistant professor in the Pulmonary Allergy and Critical Care Division at Stanford University. “Most of the things out there — antihistamines, decongestants, cough medicines — none of them have a lot of evidence that they’re super effective at improving cough or common cold symptoms.”\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>This week the Food and Drug administration determined the country’s leading decongestant is really no better than a sugar pill. \u003ca href=\"https://www.fda.gov/drugs/drug-safety-and-availability/fda-clarifies-results-recent-advisory-committee-meeting-oral-phenylephrine\">In a unanimous vote Tuesday\u003c/a>, advisers to the agency said the key drug, phenylephrine, found in Sudafed P.E., Mucinex Sinus Max, Dayquil and other oral medications is simply not effective. The review was prompted by \u003ca href=\"https://www.usatoday.com/story/money/business/2014/02/21/fda-overhauling-over-the-counter-regulations/5704165/\">inquiries dating back nearly a decade\u003c/a>. And experts warn the ineffectiveness is not limited to just that one drug. More reviews of over-the-counter drugs are expected.\u003c/p>\n\u003cp>Eggert pointed to the database \u003ca href=\"https://www.wolterskluwer.com/en/solutions/uptodate\">UpToDate\u003c/a>. Physicians use the resource when they want to see the summary of evidence for a group of medications. The conclusions for cold and flu remedies are disconcerting:\u003c/p>\n\u003cul>\n\u003cli>Antihistamines, vitamins and herbal remedies are deemed \u003cem>ineffective\u003c/em>.\u003c/li>\n\u003cli>Cough syrups, decongestants, expectorants, and zinc may have \u003cem>minimal or uncertain benefits\u003c/em>.\u003c/li>\n\u003cli>Nasal sprays and analgesics like Tylenol and ibuprofen \u003cem>may be effective\u003c/em>.\u003c/li>\n\u003c/ul>\n\u003cp>So, why are there so many cold and flu products on store shelves making big promises with little evidence to back them up?\u003c/p>\n\u003cp>The FDA’s \u003ca href=\"https://www.fda.gov/drugs/otc-drug-review-process-otc-drug-monographs#:~:text=An%20OTC%20drug%20monograph%20establishes,GRASE)%20for%20its%20intended%20use.\">over-the-counter drug list\u003c/a> has not been updated since 1995. And many of the drugs sold today were grandfathered during the ’60s and ’70s when scientific studies were much less rigorous.\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>“Back in those days, statistics were not very developed,” said \u003ca href=\"https://pharmacy.ufl.edu/profile/hendeles-leslie/\">Dr. Leslie Hendeles\u003c/a>, PharmD, professor emeritus at the University of Florida in Gainesville, who was one of the petitioners who prompted this week’s FDA review. “The whole concept of clinical trials and study design was in its infancy.”\u003c/p>\n\u003cp>And since then the system for updating the drug list has traditionally taken many years or even decades, requiring multiple rounds of review and public comments.\u003c/p>\n\u003cp>The passage of \u003ca href=\"https://www.fda.gov/news-events/fda-voices/exciting-new-chapter-otc-drug-history-otc-monograph-reform-cares-act#:~:text=The%20beginning%20of%20an%20exciting,regulated%20in%20the%20United%20States.\">the 2020 CARES Act\u003c/a> should improve what’s available by streamlining the laborious process that may have allowed unchecked medications on the market. This week’s vote on phenylephrine, which was based on the latest scientific evidence, is the first test case for the law. But the FDA has not yet issued a final decision on whether the product will be removed from store shelves.\u003c/p>\n\u003cp>“The message here is that there are a lot of products on the market that fall into the same category as phenylephrine,” said Hendeles. “They’re not for diseases where people die or have to go to an emergency room. So they have not gotten the attention — even from the FDA — until now.”\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>Hendeles believes regulators are likely to ultimately find that many other over-the-counter drugs are futile, too. “I know for sure that the cough suppressants and the expectorants are next in line.”\u003c/p>\n\u003cp>He points to a compilation of data he presented in \u003ca href=\"https://pubmed.ncbi.nlm.nih.gov/29669663/\">a 2018 paper\u003c/a> published in the journal Allergy and Asthma Proceedings, where he concluded the marketing claims on products designed for respiratory symptoms are overblown. And the evidence for decongestants, expectorants and cough suppressants does not “justify their use.”\u003c/p>\n\u003cp>Industry groups like the Consumer Healthcare Products Association maintain that phenylephrine has provided the public with clear health benefits for years. They asked the FDA not to remove it from a list of safe and effective over-the-counter drugs, arguing it provides the public with accessible treatment.\u003c/p>\n\u003cp>“Simply put, the burdens created from decreased choice and availability of these products would be placed directly onto consumers and an already-strained U.S. healthcare system, which is why CHPA encourages the panel to consider the real-world experience and needs of consumers when making decisions that will have such broad implications,” said Marcia Howard, the association’s vice president of regulatory and scientific affairs, \u003ca href=\"https://www.chpa.org/news/2023/09/statement-sept-11-12-2023-meeting-fda-ndac-evaluate-efficacy-oral-pe\">in a statement\u003c/a>.\u003c/p>\n\u003ch2>So, what can help your runny nose?\u003c/h2>\n\u003cp>Hendeles recommends steroidal nasal sprays for people suffering from allergies. Look for fluticasone (Flonase) or triamcinolone (Nascort). One squirt in each nostril. Evidence suggests Oxymetazoline Hydrochloride (Afrin or Sinex) is the best nasal spray for people who are sick with a respiratory illness.\u003c/p>\n\u003ch2>What about the rest of the meds lining your medicine cabinet?\u003c/h2>\n\u003cp>“If you’ve used something and you felt like it was helpful, I don’t think there’s a problem with that,” said Eggbert. “There’s little harm for people who are looking for relief. And I do believe in the placebo effect.”\u003c/p>\n\u003cp>But don’t look for a magical concoction. Single-ingredient products will help lower the possibility for side effects, according to Dr. Shalini Lynch, PharmD, health sciences clinical professor at UCSF’s School of Pharmacy. She says it should be obvious in a day or two if the product is relieving a desired symptom.\u003c/p>\n\u003cp>Science also supports some natural remedies. Saline nasal rinses may help clear your sinuses and \u003ca href=\"https://pubmed.ncbi.nlm.nih.gov/22869830/\">honey can quell your cough\u003c/a>. Additionally, it may be worth standing in a steamy shower or filling your humidifier to open your nasal passages. However, Lynch’s best advice is simply to lay low and hydrate.\u003c/p>\n\u003cp>“The common cold is something that pretty much needs to run its course,” she said. “You want to feel better instantly. But the reality is most cough and cold, viral types of upper respiratory infections, they just take time to go away.”\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cp>Nearly 60,000 Kaiser Permanente workers, mostly based in California, voted overwhelming in favor of going on strike if a fair contract agreement is not reached by the end of September, setting the stage for what could be the largest health care industry walkout in U.S. history.\u003c/p>\n\u003cp>The strike authorization was supported by 98% of Kaiser workers — ranging from lab technicians to respiratory therapists to cooking staff — who are represented by SEIU-United Healthcare Workers West, the union announced Thursday. It comes amid ongoing worker demands for significant pay raises and more robust staffing, as Kaiser and other large health care providers continue to struggle with severe understaffing and strained caseloads.\u003c/p>\n\u003cp>“Being understaffed and being not appropriately compensated for the amount of work that they put on our plate, we had no choice but to collectively agree to authorize a strike,” said Rashaad Pritchett, who works as housekeeping aide at a Kaiser facility in Richmond, where he cleans and sanitizes operating rooms and other sensitive health space.\u003c/p>\n\u003cp>[aside postID=news_11957005,news_11947640 label='The Healthcare Staffing Crisis']Born and raised in Richmond, Pritchett says his wages have failed to keep pace with inflation and the rising cost of living.\u003c/p>\n\u003cp>“Over the next four years, we want to make sure that we will have livable wages. At the end of our career we want to make sure that we will be taken care of,” said Pritchett. “We are all fighting for what we believe is right. It’s not a vindictive approach, but it’s like, ‘OK, you have forced our collective bargaining hand.’”\u003c/p>\n\u003cp>Workers argue that staffing levels have sunk dangerously low as many practitioners have left the field because of burnout. Kaiser workers are calling on their employer to increase staffing levels in order to reduce workloads.\u003c/p>\n\u003cp>The workers — some of whom are based in Oregon and Washington — are pushing for a 7% wage increase in the first two years of this next contract, and a 6.25% increase the following two years.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>In its proposal, Kaiser offered across-the-board wage increases of between 10–14% over four years, as well as a minimum performance bonus aimed to prevent any employees from receiving no payout. Kaiser also offered a blanket $21 per hour minimum wage.\u003c/p>\n\u003cp>But union leaders last week rejected the company’s most recent offer. They said the new minimum would limit performance bonuses for frontline workers, arguing that will only result in increased turnover, further straining the workforce and diminishing the quality of care.\u003c/p>\n\u003cp>The union is also seeking a $25 per hour minimum wage for employees.\u003c/p>\n\u003cp>That pay bump would align with \u003ca href=\"https://leginfo.legislature.ca.gov/faces/billStatusClient.xhtml?bill_id=202320240SB525\">a California bill\u003c/a> currently making its way through the Legislature that would increase all California health care workers’ minimum wage to $25 per hour.\u003c/p>\n\u003cp>The Legislature also recently approved a bill that would provide unemployment insurance benefits to workers on strike.\u003c/p>\n\u003cp>[pullquote size=\"medium\" align=\"right\" citation=\"Nahid Bokaee, a Kaiser pharmacist\"]‘Our patients expect more from a health care system that reported $3 billion in profits in the first half of this year alone, and so do we.’[/pullquote]“Every one of these proposals from Kaiser will make staffing problems worse and continue to delay care to patients,” Dave Regan, president of SEIU-UHW, said in a press release announcing the vote. “Kaiser has failed to bargain in good faith with the caregivers, who are doing everything they can to protect patient safety.”\u003c/p>\n\u003cp>Kaiser insists that it has continued to bargain in good faith. In an email, Kaiser refuted many of the claims the union made about their proposal. The company also pointed to rising costs for drugs, supplies and labor due to inflation, which has been “driving up the cost of health care as well.”\u003c/p>\n\u003cp>Despite the impasse, representatives for the Oakland-based health care giant said they are “confident” a deal can be reached by Sept. 30.\u003c/p>\n\u003cp>“We have two more bargaining sessions scheduled for next week. Our priority is to reach an agreement that ensures we can continue to provide market-competitive pay and outstanding benefits,” a spokesperson for Kaiser said in an email to KQED. “We are confident we’ll reach an agreement before the national agreement expires on Sept. 30 that strengthens our position as a best place to work and ensures that the high-quality care our members expect from us remains affordable and easy to access.”\u003c/p>\n\u003cp>In a recent \u003ca href=\"https://www.unioncoalition.org/wp-content/uploads/2023/04/2022-04_Report_Staffing-Survey-10.1_DIGITAL.pdf?emci=11db37e0-b5df-ed11-8e8b-00224832eb73&emdi=ea000000-0000-0000-0000-000000000001&ceid=%7B%7BContactsEmailID%7D%7D\">union-led survey (PDF)\u003c/a> of about 33,000 Kaiser workers, more than 80% of respondents said they were in understaffed departments, and 65% said they had seen care delayed or denied to patients due to those staffing challenges. Nearly half said they regularly have to skip meals or breaks to keep up with their workloads.\u003c/p>\n\u003cp>“Our patients expect more from a health care system that reported $3 billion in profits in the first half of this year alone, and so do we,” Nahid Bokaee, a Kaiser pharmacist in Sterling, Virginia, said in a recent press release about the looming strike vote. “Kaiser can afford to end this dangerous understaffing, but they choose not to.”\u003c/p>\n\u003cp>The company claims it has filled 8,700 of the 10,000 positions it has committed to fill by the end of 2023.[aside postID=news_11960517 hero='https://ww2.kqed.org/app/uploads/sites/10/2023/09/GettyImages-1668439446-1020x683.jpg']The union representing Kaiser employees in California is part of the broader Coalition of Kaiser Permanente Unions, which represents about 88,000 employees in seven states, including Colorado, Oregon and Washington, \u003ca href=\"https://www.koin.com/news/union-announces-overwhelming-support-for-kaiser-permanente-strike-authorization/\">where local unions have also recently approved going on strike\u003c/a>.\u003c/p>\n\u003cp>The latest strike authorization vote comes amid an uptick in labor actions across the country, particularly within the health care industry.\u003c/p>\n\u003cp>Nearly \u003ca href=\"https://www.kqed.org/news/11929713/kaiser-mental-health-workers-appove-new-contract-ending-10-week-strike\">2,000 Kaiser mental health care workers in Northern California went on strike last year for 10 weeks\u003c/a> over many of the same staffing and pay issues that workers today are protesting. Earlier this month, \u003ca href=\"https://ktla.com/news/california/23-health-care-workers-arrested-after-protesting-outside-kaiser-permanente-in-hollywood/\">23 health care workers were arrested\u003c/a> while protesting outside a Kaiser hospital in Hollywood. Nurses in Minnesota \u003ca href=\"https://www.cbsnews.com/news/minnesota-nurses-strike-vote-2nd-time-2022-minnesota-nurses-association/\">voted twice\u003c/a> but ultimately avoided a strike in 2022, citing low pay and rapid turnover.\u003c/p>\n\u003cp>\u003cem>KQED reporter Farida Jhabvala Romero contributed to this report.\u003c/em>\u003c/p>\n\u003cp>\u003c/p>\n",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>Nearly 60,000 Kaiser Permanente workers, mostly based in California, voted overwhelming in favor of going on strike if a fair contract agreement is not reached by the end of September, setting the stage for what could be the largest health care industry walkout in U.S. history.\u003c/p>\n\u003cp>The strike authorization was supported by 98% of Kaiser workers — ranging from lab technicians to respiratory therapists to cooking staff — who are represented by SEIU-United Healthcare Workers West, the union announced Thursday. It comes amid ongoing worker demands for significant pay raises and more robust staffing, as Kaiser and other large health care providers continue to struggle with severe understaffing and strained caseloads.\u003c/p>\n\u003cp>“Being understaffed and being not appropriately compensated for the amount of work that they put on our plate, we had no choice but to collectively agree to authorize a strike,” said Rashaad Pritchett, who works as housekeeping aide at a Kaiser facility in Richmond, where he cleans and sanitizes operating rooms and other sensitive health space.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>Born and raised in Richmond, Pritchett says his wages have failed to keep pace with inflation and the rising cost of living.\u003c/p>\n\u003cp>“Over the next four years, we want to make sure that we will have livable wages. At the end of our career we want to make sure that we will be taken care of,” said Pritchett. “We are all fighting for what we believe is right. It’s not a vindictive approach, but it’s like, ‘OK, you have forced our collective bargaining hand.’”\u003c/p>\n\u003cp>Workers argue that staffing levels have sunk dangerously low as many practitioners have left the field because of burnout. Kaiser workers are calling on their employer to increase staffing levels in order to reduce workloads.\u003c/p>\n\u003cp>The workers — some of whom are based in Oregon and Washington — are pushing for a 7% wage increase in the first two years of this next contract, and a 6.25% increase the following two years.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>In its proposal, Kaiser offered across-the-board wage increases of between 10–14% over four years, as well as a minimum performance bonus aimed to prevent any employees from receiving no payout. Kaiser also offered a blanket $21 per hour minimum wage.\u003c/p>\n\u003cp>But union leaders last week rejected the company’s most recent offer. They said the new minimum would limit performance bonuses for frontline workers, arguing that will only result in increased turnover, further straining the workforce and diminishing the quality of care.\u003c/p>\n\u003cp>The union is also seeking a $25 per hour minimum wage for employees.\u003c/p>\n\u003cp>That pay bump would align with \u003ca href=\"https://leginfo.legislature.ca.gov/faces/billStatusClient.xhtml?bill_id=202320240SB525\">a California bill\u003c/a> currently making its way through the Legislature that would increase all California health care workers’ minimum wage to $25 per hour.\u003c/p>\n\u003cp>The Legislature also recently approved a bill that would provide unemployment insurance benefits to workers on strike.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>“Every one of these proposals from Kaiser will make staffing problems worse and continue to delay care to patients,” Dave Regan, president of SEIU-UHW, said in a press release announcing the vote. “Kaiser has failed to bargain in good faith with the caregivers, who are doing everything they can to protect patient safety.”\u003c/p>\n\u003cp>Kaiser insists that it has continued to bargain in good faith. In an email, Kaiser refuted many of the claims the union made about their proposal. The company also pointed to rising costs for drugs, supplies and labor due to inflation, which has been “driving up the cost of health care as well.”\u003c/p>\n\u003cp>Despite the impasse, representatives for the Oakland-based health care giant said they are “confident” a deal can be reached by Sept. 30.\u003c/p>\n\u003cp>“We have two more bargaining sessions scheduled for next week. Our priority is to reach an agreement that ensures we can continue to provide market-competitive pay and outstanding benefits,” a spokesperson for Kaiser said in an email to KQED. “We are confident we’ll reach an agreement before the national agreement expires on Sept. 30 that strengthens our position as a best place to work and ensures that the high-quality care our members expect from us remains affordable and easy to access.”\u003c/p>\n\u003cp>In a recent \u003ca href=\"https://www.unioncoalition.org/wp-content/uploads/2023/04/2022-04_Report_Staffing-Survey-10.1_DIGITAL.pdf?emci=11db37e0-b5df-ed11-8e8b-00224832eb73&emdi=ea000000-0000-0000-0000-000000000001&ceid=%7B%7BContactsEmailID%7D%7D\">union-led survey (PDF)\u003c/a> of about 33,000 Kaiser workers, more than 80% of respondents said they were in understaffed departments, and 65% said they had seen care delayed or denied to patients due to those staffing challenges. Nearly half said they regularly have to skip meals or breaks to keep up with their workloads.\u003c/p>\n\u003cp>“Our patients expect more from a health care system that reported $3 billion in profits in the first half of this year alone, and so do we,” Nahid Bokaee, a Kaiser pharmacist in Sterling, Virginia, said in a recent press release about the looming strike vote. “Kaiser can afford to end this dangerous understaffing, but they choose not to.”\u003c/p>\n\u003cp>The company claims it has filled 8,700 of the 10,000 positions it has committed to fill by the end of 2023.\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>The union representing Kaiser employees in California is part of the broader Coalition of Kaiser Permanente Unions, which represents about 88,000 employees in seven states, including Colorado, Oregon and Washington, \u003ca href=\"https://www.koin.com/news/union-announces-overwhelming-support-for-kaiser-permanente-strike-authorization/\">where local unions have also recently approved going on strike\u003c/a>.\u003c/p>\n\u003cp>The latest strike authorization vote comes amid an uptick in labor actions across the country, particularly within the health care industry.\u003c/p>\n\u003cp>Nearly \u003ca href=\"https://www.kqed.org/news/11929713/kaiser-mental-health-workers-appove-new-contract-ending-10-week-strike\">2,000 Kaiser mental health care workers in Northern California went on strike last year for 10 weeks\u003c/a> over many of the same staffing and pay issues that workers today are protesting. Earlier this month, \u003ca href=\"https://ktla.com/news/california/23-health-care-workers-arrested-after-protesting-outside-kaiser-permanente-in-hollywood/\">23 health care workers were arrested\u003c/a> while protesting outside a Kaiser hospital in Hollywood. Nurses in Minnesota \u003ca href=\"https://www.cbsnews.com/news/minnesota-nurses-strike-vote-2nd-time-2022-minnesota-nurses-association/\">voted twice\u003c/a> but ultimately avoided a strike in 2022, citing low pay and rapid turnover.\u003c/p>\n\u003cp>\u003cem>KQED reporter Farida Jhabvala Romero contributed to this report.\u003c/em>\u003c/p>\n\u003cp>\u003c/p>\n\u003c/div>\u003c/p>",
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"slug": "oil-industry-sets-back-efforts-to-increase-fines-against-polluting-california-refineries-yet-again",
"title": "Oil Industry Blocks Effort to Increase Fines Against Polluting California Refineries … Again",
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"content": "\u003cp>California’s oil industry has once again quashed an attempt in the state Capitol to increase penalties on refineries that violate air quality laws.\u003c/p>\n\u003cp>It’s the fourth time in a decade that the industry has successfully killed or delayed such an endeavor.\u003c/p>\n\u003cp>The latest proposal was put on hold last week, just days before the Legislature finishes its work for the year on Sept. 14. Assemblymember Buffy Wicks (D-Oakland), who authored the \u003ca href=\"https://legiscan.com/CA/bill/AB1465/2023\">bill\u003c/a>, said the move was prompted by concerns some lawmakers would vote against it because it wasn’t weakened enough to satisfy California’s main oil industry group, the Western States Petroleum Association (WSPA).\u003c/p>\n\u003cp>“It became apparent that we were going to need more time to work on AB 1465 with our sponsor, the Bay Area Air Quality Management District, and with opposition groups who engaged us on the possibility of additional amendments,” Wicks said in an email on Friday.\u003c/p>\n\u003cp>WSPA represents the oil companies that own all of the Bay Area’s petroleum refineries. The region’s Chevron, Valero, PBF, Marathon and Phillips 66 plants have for decades produced gasoline and jet fuels that have powered major components of the region’s transportation sector. But they have also received \u003ca href=\"https://www.baaqmd.gov/rules-and-compliance/compliance-assistance/notices-of-violations/novs-issued\">hundreds of notices of violations\u003c/a> from local air regulators in recent years, stemming from minor flaring incidents to severe accidents that forced nearby residents to stay indoors.\u003c/p>\n\u003cp>Those incidents prompted Wicks to propose tripling the maximum penalty amounts oil companies would pay when their refineries violate air quality regulations.\u003c/p>\n\u003cp>[pullquote size=\"medium\" align=\"right\" citation=\"Asm. Buffy Wicks at a July 11 hearing\"]‘This morning in Martinez, which I drive through on my way here, there was a toxic dust release. This is happening in our communities all the time.’[/pullquote]There are a variety of fine amounts refineries can face, but the general limit on those fines is currently $10,000. Environmentalists and some Bay Area elected leaders have described those penalties as part of the mere cost of doing business for companies like \u003ca href=\"https://chevroncorp.gcs-web.com/static-files/359d5f9b-5519-476e-976c-8ace50143c49\">Chevron, which earned $6 billion in the second quarter of this year\u003c/a>.\u003c/p>\n\u003cp>Wicks’ bill would increase the ceiling on fines to $30,000 per violation.\u003c/p>\n\u003cp>But WSPA has opposed any attempts to crack down on air quality violations.\u003c/p>\n\u003cp>And even before Wicks sidelined the bill last week, the industry group had already convinced legislators to significantly change the proposal several months ago by expanding its scope. Under the changes, the fines would also apply to dozens of industrial facilities that release chemicals into the air, including refineries, that are covered by Title V of the federal Clean Air Act. In the Bay Area there are \u003ca href=\"https://www.baaqmd.gov/permits/major-facility-review-title-v/title-v-permits\">dozens of such sites\u003c/a>.\u003c/p>\n\u003cp>“There is no public policy rationale for singling out refineries,” wrote Shant Apekian, vice president of California policy and strategic affairs at WSPA, in a letter to Wicks in April.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>While that complaint arose this spring, lawmakers did not amend the bill until June — and not everyone was happy with the change. Several industry and public agency associations, including the California Association of Sanitation Agencies, urged legislators to vote “no” on the bill.\u003c/p>\n\u003cp>“Unlike refineries, which are privately held for-profit corporations, public wastewater agencies provide an essential public service and all costs to the agency, including penalties, are borne by the rate-paying public,” the group wrote to legislators.\u003c/p>\n\u003cp>But even though lawmakers in the Senate approved the change, WSPA continued to fight against the bill. It’s a debate that has taken place behind closed doors — not in public committees.\u003c/p>\n\u003cp>In fact, the bill has \u003ca href=\"https://leginfo.legislature.ca.gov/faces/billVotesClient.xhtml?bill_id=202320240AB1465\">sailed through all of its legislative votes\u003c/a> and was headed for a full vote in the state Senate when, last week, Wicks abruptly asked that the proposal be moved to the “inactive file,” essentially scuttling any debate or votes until next year.\u003c/p>\n\u003cp>Those involved in conversations with Wicks and WSPA say that decision was driven by a push by the petroleum association to make the proposal effective only in rare cases — in WSPA’s words, only when “discharge results in a significant increase in hospitalizations, residential displacement, shelter in place, evacuation or destruction of property.”\u003c/p>\n\u003cp>But air district officials say that definition is too narrow, because refineries often violate air regulations in less extreme incidents that are still dangerous to human health. They argue the standard the industry is arguing for won’t actually provide a deterrent or change how refineries do business.\u003c/p>\n\u003cp>[aside label='Related Stories' tag='refineries']For example, last November the PBF refinery in Martinez \u003ca href=\"https://www.kqed.org/news/11952517/martinez-refinery-chemical-release-poses-no-long-term-hazard-tests-find\">released nearly 50,000 pounds of powdered, industrial chemicals, much of it landing on residential neighborhoods\u003c/a>. The accident led to investigations by the EPA, FBI, Contra Costa County regulators and the air district.\u003c/p>\n\u003cp>Under the changes the oil industry wants to make, that release would not be covered by the proposed fine increases, local air regulators said.\u003c/p>\n\u003cp>“In our view, the purpose of the bill is to strengthen penalties for those types of events, not to protect them,” said air district spokeswoman Kristine Roselius, adding that the changes proposed by WSPA “would have provided an economic incentive to large facilities such as refineries, to downplay events as they were happening if they felt they could avoid higher penalties.”\u003c/p>\n\u003cp>If this kind of successful pushback sounds similar, that’s because it has happened every time a refinery fine increase proposal has emerged in Sacramento over the last decade.\u003c/p>\n\u003cp>Last year, just as another Wicks bill to do something similar was about to get a vote in the state Senate, \u003ca href=\"https://www.kqed.org/news/11923242/watered-down-state-bill-to-punish-refinery-pollution-gets-scrapped-after-oil-industry-pushback\">she killed it because it was watered down so much\u003c/a> that even the industry dropped its opposition.\u003c/p>\n\u003cp>In 2018, Sen. Bill Dodd (D-Napa) proposed tripling some of the most serious penalties for refineries. Amid opposition from the oil industry — and, on the other side, pushback from environmentalists and the mayors of Richmond and Benicia, who said the proposal wasn’t strong enough — \u003ca href=\"https://www.kqed.org/news/11660005/facing-widespread-opposition-lawmaker-ends-effort-to-increase-refinery-penalties\">that bill never even got a hearing\u003c/a>.\u003c/p>\n\u003cp>In 2013, then state Sen. Loni Hancock (D-Berkeley) introduced legislation to raise such penalties on the heels of a major fire at Richmond’s Chevron refinery, the worst refinery accident in the Bay Area in the last few decades. That bill died on the Assembly floor, also after opposition from oil companies.\u003c/p>\n\u003cp>But even as the debate rages on in Sacramento, the problem for communities around these refineries persists. The day Wicks presented this year’s bill — at its final hearing before a Senate committee — the Contra Costa County refinery owned by PBF Energy released petroleum coke dust. Some residents described the dust as a “flaky ash.” The pollution came eight months after a \u003ca href=\"https://www.kqed.org/news/11952517/martinez-refinery-chemical-release-poses-no-long-term-hazard-tests-find\">much more severe chemical release from the same facility\u003c/a>.\u003c/p>\n\u003cp>“This morning in Martinez, which I drive through on my way here, there was a toxic dust release,” Wicks said at the July 11 hearing. “This is happening in our communities all the time.”\u003c/p>\n\u003cp>[ad floatright]\u003c/p>\n",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>California’s oil industry has once again quashed an attempt in the state Capitol to increase penalties on refineries that violate air quality laws.\u003c/p>\n\u003cp>It’s the fourth time in a decade that the industry has successfully killed or delayed such an endeavor.\u003c/p>\n\u003cp>The latest proposal was put on hold last week, just days before the Legislature finishes its work for the year on Sept. 14. Assemblymember Buffy Wicks (D-Oakland), who authored the \u003ca href=\"https://legiscan.com/CA/bill/AB1465/2023\">bill\u003c/a>, said the move was prompted by concerns some lawmakers would vote against it because it wasn’t weakened enough to satisfy California’s main oil industry group, the Western States Petroleum Association (WSPA).\u003c/p>\n\u003cp>“It became apparent that we were going to need more time to work on AB 1465 with our sponsor, the Bay Area Air Quality Management District, and with opposition groups who engaged us on the possibility of additional amendments,” Wicks said in an email on Friday.\u003c/p>\n\u003cp>WSPA represents the oil companies that own all of the Bay Area’s petroleum refineries. The region’s Chevron, Valero, PBF, Marathon and Phillips 66 plants have for decades produced gasoline and jet fuels that have powered major components of the region’s transportation sector. But they have also received \u003ca href=\"https://www.baaqmd.gov/rules-and-compliance/compliance-assistance/notices-of-violations/novs-issued\">hundreds of notices of violations\u003c/a> from local air regulators in recent years, stemming from minor flaring incidents to severe accidents that forced nearby residents to stay indoors.\u003c/p>\n\u003cp>Those incidents prompted Wicks to propose tripling the maximum penalty amounts oil companies would pay when their refineries violate air quality regulations.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>There are a variety of fine amounts refineries can face, but the general limit on those fines is currently $10,000. Environmentalists and some Bay Area elected leaders have described those penalties as part of the mere cost of doing business for companies like \u003ca href=\"https://chevroncorp.gcs-web.com/static-files/359d5f9b-5519-476e-976c-8ace50143c49\">Chevron, which earned $6 billion in the second quarter of this year\u003c/a>.\u003c/p>\n\u003cp>Wicks’ bill would increase the ceiling on fines to $30,000 per violation.\u003c/p>\n\u003cp>But WSPA has opposed any attempts to crack down on air quality violations.\u003c/p>\n\u003cp>And even before Wicks sidelined the bill last week, the industry group had already convinced legislators to significantly change the proposal several months ago by expanding its scope. Under the changes, the fines would also apply to dozens of industrial facilities that release chemicals into the air, including refineries, that are covered by Title V of the federal Clean Air Act. In the Bay Area there are \u003ca href=\"https://www.baaqmd.gov/permits/major-facility-review-title-v/title-v-permits\">dozens of such sites\u003c/a>.\u003c/p>\n\u003cp>“There is no public policy rationale for singling out refineries,” wrote Shant Apekian, vice president of California policy and strategic affairs at WSPA, in a letter to Wicks in April.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>While that complaint arose this spring, lawmakers did not amend the bill until June — and not everyone was happy with the change. Several industry and public agency associations, including the California Association of Sanitation Agencies, urged legislators to vote “no” on the bill.\u003c/p>\n\u003cp>“Unlike refineries, which are privately held for-profit corporations, public wastewater agencies provide an essential public service and all costs to the agency, including penalties, are borne by the rate-paying public,” the group wrote to legislators.\u003c/p>\n\u003cp>But even though lawmakers in the Senate approved the change, WSPA continued to fight against the bill. It’s a debate that has taken place behind closed doors — not in public committees.\u003c/p>\n\u003cp>In fact, the bill has \u003ca href=\"https://leginfo.legislature.ca.gov/faces/billVotesClient.xhtml?bill_id=202320240AB1465\">sailed through all of its legislative votes\u003c/a> and was headed for a full vote in the state Senate when, last week, Wicks abruptly asked that the proposal be moved to the “inactive file,” essentially scuttling any debate or votes until next year.\u003c/p>\n\u003cp>Those involved in conversations with Wicks and WSPA say that decision was driven by a push by the petroleum association to make the proposal effective only in rare cases — in WSPA’s words, only when “discharge results in a significant increase in hospitalizations, residential displacement, shelter in place, evacuation or destruction of property.”\u003c/p>\n\u003cp>But air district officials say that definition is too narrow, because refineries often violate air regulations in less extreme incidents that are still dangerous to human health. They argue the standard the industry is arguing for won’t actually provide a deterrent or change how refineries do business.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>For example, last November the PBF refinery in Martinez \u003ca href=\"https://www.kqed.org/news/11952517/martinez-refinery-chemical-release-poses-no-long-term-hazard-tests-find\">released nearly 50,000 pounds of powdered, industrial chemicals, much of it landing on residential neighborhoods\u003c/a>. The accident led to investigations by the EPA, FBI, Contra Costa County regulators and the air district.\u003c/p>\n\u003cp>Under the changes the oil industry wants to make, that release would not be covered by the proposed fine increases, local air regulators said.\u003c/p>\n\u003cp>“In our view, the purpose of the bill is to strengthen penalties for those types of events, not to protect them,” said air district spokeswoman Kristine Roselius, adding that the changes proposed by WSPA “would have provided an economic incentive to large facilities such as refineries, to downplay events as they were happening if they felt they could avoid higher penalties.”\u003c/p>\n\u003cp>If this kind of successful pushback sounds similar, that’s because it has happened every time a refinery fine increase proposal has emerged in Sacramento over the last decade.\u003c/p>\n\u003cp>Last year, just as another Wicks bill to do something similar was about to get a vote in the state Senate, \u003ca href=\"https://www.kqed.org/news/11923242/watered-down-state-bill-to-punish-refinery-pollution-gets-scrapped-after-oil-industry-pushback\">she killed it because it was watered down so much\u003c/a> that even the industry dropped its opposition.\u003c/p>\n\u003cp>In 2018, Sen. Bill Dodd (D-Napa) proposed tripling some of the most serious penalties for refineries. Amid opposition from the oil industry — and, on the other side, pushback from environmentalists and the mayors of Richmond and Benicia, who said the proposal wasn’t strong enough — \u003ca href=\"https://www.kqed.org/news/11660005/facing-widespread-opposition-lawmaker-ends-effort-to-increase-refinery-penalties\">that bill never even got a hearing\u003c/a>.\u003c/p>\n\u003cp>In 2013, then state Sen. Loni Hancock (D-Berkeley) introduced legislation to raise such penalties on the heels of a major fire at Richmond’s Chevron refinery, the worst refinery accident in the Bay Area in the last few decades. That bill died on the Assembly floor, also after opposition from oil companies.\u003c/p>\n\u003cp>But even as the debate rages on in Sacramento, the problem for communities around these refineries persists. The day Wicks presented this year’s bill — at its final hearing before a Senate committee — the Contra Costa County refinery owned by PBF Energy released petroleum coke dust. Some residents described the dust as a “flaky ash.” The pollution came eight months after a \u003ca href=\"https://www.kqed.org/news/11952517/martinez-refinery-chemical-release-poses-no-long-term-hazard-tests-find\">much more severe chemical release from the same facility\u003c/a>.\u003c/p>\n\u003cp>“This morning in Martinez, which I drive through on my way here, there was a toxic dust release,” Wicks said at the July 11 hearing. “This is happening in our communities all the time.”\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"title": "Kaiser to Pay $49 Million to California for Illegally Dumping Private Medical Records, Hazardous Waste",
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"content": "\u003cp>Kaiser Permanente has agreed to pay $49 million as part of a settlement with California prosecutors who say the health care giant illegally disposed of thousands of private medical records, hazardous materials and medical waste, including blood and body parts, in dumpsters headed to local landfills, authorities said Friday\u003c/p>\n\u003cp>Prosecutors started an investigation in 2015 after undercover trash inspectors found pharmaceutical drugs, and syringes, vials, canisters and other medical devices filled with human blood and other bodily fluids, and body parts removed during surgery inside bins handled by municipal waste haulers. They also found batteries, electronic devices and other hazardous waste in trash cans and bins at 16 Kaiser medical facilities throughout the state, Attorney General Rob Bonta said.\u003c/p>\n\u003cp>“The items found pose a serious risk to anyone who might come into contact with them from health care providers and patients in the same room as the trash cans to custodians and sanitation workers who directly handle the waste to workers at the landfill,” Bonta said.\u003c/p>\n\u003cp>Kaiser is California’s largest health care provider and has more than 700 health care facilities that treat about 8.8 million patients in the state, Bonta said.[pullquote align=\"right\" size=\"medium\" citation=\"California Attorney General Rob Bonta\"]‘As a major health care provider Kaiser has a clear responsibility to know and follow specific laws when it comes to properly disposing of waste and safeguarding patient’s medical information. Their failure to do so is unacceptable, it cannot happen again.’[/pullquote]He said the undercover inspectors also found over 10,000 paper records containing the information of over 7,700 patients, which led to an investigation by prosecutors in San Francisco, Alameda, San Bernardino, San Joaquin, San Mateo, and Yolo counties. County officials later sought the intervention of this office, Bonta said.\u003c/p>\n\u003cp>“As a major health care provider Kaiser has a clear responsibility to know and follow specific laws when it comes to properly disposing of waste and safeguarding patient’s medical information. Their failure to do so is unacceptable, it cannot happen again,” Bonta said.\u003c/p>\n\u003cp>Kaiser Permanente, based in Oakland, California, said in a statement it takes the matter extremely seriously. It said it has taken full responsibility and is cooperating with the California Attorney General and county district attorneys to correct the way some of its facilities were disposing of hazardous and medical waste.\u003c/p>\n\u003cp>“About six years ago we became aware of occasions when, contrary to our rigorous policies and procedures, some facilities’ landfill-bound dumpsters included items that should have been disposed of differently,” the company said. “Upon learning of this issue, we immediately completed an extensive auditing effort of the waste stream at our facilities and established mandatory and ongoing training to address the findings.”\u003c/p>\n\u003cp>Kaiser said it was not aware of any body part being found at any time during this investigation.\u003c/p>\n\u003cp>As part of the settlement, the health care provider must also retain for five years an independent third-party auditor approved by the Attorney General’s Office and the district attorneys involved in the complaint. The auditor will check Kaiser’s compliance with California’s laws related to the handling of hazardous and medical waste, and the protection of patients’ health information.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>“As a major corporation in Alameda County, Kaiser Permanente has a special obligation to treat its communities with the same bedside manner as its patients,” said Alameda County District Attorney Pamela Price. “Dumping medical waste and private information are wrong, which they have acknowledged. This action will hold them accountable in such a way that we hope means it doesn’t happen again.”\u003c/p>\n\u003cp>In 2021, \u003ca href=\"https://apnews.com/article/business-health-medicare-566111a018e5e8f3d0224180050cbf0a\">the federal government sued Kaiser Permanente\u003c/a>, alleging the health care giant committed Medicare fraud and pressured doctors to list incorrect diagnoses on medical records in order to receive higher reimbursements.\u003c/p>\n\u003cp>The California Department of Justice sued the company in 2014 after it delayed notifying its employees about an unencrypted USB drive that contained the records of over 20,000 Kaiser workers. The USB drive was discovered at a Santa Cruz thrift store.\u003c/p>\n\u003cp>\u003c/p>\n",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>Kaiser Permanente has agreed to pay $49 million as part of a settlement with California prosecutors who say the health care giant illegally disposed of thousands of private medical records, hazardous materials and medical waste, including blood and body parts, in dumpsters headed to local landfills, authorities said Friday\u003c/p>\n\u003cp>Prosecutors started an investigation in 2015 after undercover trash inspectors found pharmaceutical drugs, and syringes, vials, canisters and other medical devices filled with human blood and other bodily fluids, and body parts removed during surgery inside bins handled by municipal waste haulers. They also found batteries, electronic devices and other hazardous waste in trash cans and bins at 16 Kaiser medical facilities throughout the state, Attorney General Rob Bonta said.\u003c/p>\n\u003cp>“The items found pose a serious risk to anyone who might come into contact with them from health care providers and patients in the same room as the trash cans to custodians and sanitation workers who directly handle the waste to workers at the landfill,” Bonta said.\u003c/p>\n\u003cp>Kaiser is California’s largest health care provider and has more than 700 health care facilities that treat about 8.8 million patients in the state, Bonta said.\u003c/p>\u003c/div>",
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"content": "‘As a major health care provider Kaiser has a clear responsibility to know and follow specific laws when it comes to properly disposing of waste and safeguarding patient’s medical information. Their failure to do so is unacceptable, it cannot happen again.’",
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"content": "\u003cdiv class=\"post-body\">\u003cp>He said the undercover inspectors also found over 10,000 paper records containing the information of over 7,700 patients, which led to an investigation by prosecutors in San Francisco, Alameda, San Bernardino, San Joaquin, San Mateo, and Yolo counties. County officials later sought the intervention of this office, Bonta said.\u003c/p>\n\u003cp>“As a major health care provider Kaiser has a clear responsibility to know and follow specific laws when it comes to properly disposing of waste and safeguarding patient’s medical information. Their failure to do so is unacceptable, it cannot happen again,” Bonta said.\u003c/p>\n\u003cp>Kaiser Permanente, based in Oakland, California, said in a statement it takes the matter extremely seriously. It said it has taken full responsibility and is cooperating with the California Attorney General and county district attorneys to correct the way some of its facilities were disposing of hazardous and medical waste.\u003c/p>\n\u003cp>“About six years ago we became aware of occasions when, contrary to our rigorous policies and procedures, some facilities’ landfill-bound dumpsters included items that should have been disposed of differently,” the company said. “Upon learning of this issue, we immediately completed an extensive auditing effort of the waste stream at our facilities and established mandatory and ongoing training to address the findings.”\u003c/p>\n\u003cp>Kaiser said it was not aware of any body part being found at any time during this investigation.\u003c/p>\n\u003cp>As part of the settlement, the health care provider must also retain for five years an independent third-party auditor approved by the Attorney General’s Office and the district attorneys involved in the complaint. The auditor will check Kaiser’s compliance with California’s laws related to the handling of hazardous and medical waste, and the protection of patients’ health information.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>“As a major corporation in Alameda County, Kaiser Permanente has a special obligation to treat its communities with the same bedside manner as its patients,” said Alameda County District Attorney Pamela Price. “Dumping medical waste and private information are wrong, which they have acknowledged. This action will hold them accountable in such a way that we hope means it doesn’t happen again.”\u003c/p>\n\u003cp>In 2021, \u003ca href=\"https://apnews.com/article/business-health-medicare-566111a018e5e8f3d0224180050cbf0a\">the federal government sued Kaiser Permanente\u003c/a>, alleging the health care giant committed Medicare fraud and pressured doctors to list incorrect diagnoses on medical records in order to receive higher reimbursements.\u003c/p>\n\u003cp>The California Department of Justice sued the company in 2014 after it delayed notifying its employees about an unencrypted USB drive that contained the records of over 20,000 Kaiser workers. The USB drive was discovered at a Santa Cruz thrift store.\u003c/p>\n\u003cp>\u003c/p>\n\u003c/div>\u003c/p>",
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"content": "\u003cp>Scientists have produced the first data indicating that a variant that has raised alarm is unlikely to pose a big new COVID-19 threat.\u003c/p>\n\u003cp>Four preliminary laboratory studies released over the weekend found that antibodies from previous infections and vaccinations appear capable of neutralizing the variant, known as BA.2.86.\u003c/p>\n\u003cp>“It is reassuring,” says Dr. Dan Barouch, who conducted \u003ca href=\"https://twitter.com/BarouchLab/status/1698850719959544271?s=20\">one of the studies \u003c/a>at the Beth Israel Deaconess Medical Center in Boston.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>When it was first spotted, BA.2.86 set off alarm bells. It contains more than 30 mutations on the spike protein the virus uses to infect cells. That’s a level of mutation on par with the original Omicron variant, which caused a massive surge.\u003c/p>\n\u003cp>The concern was that BA.2.86, while still rare, could sneak around the immunity people had built up and cause another huge, deadly wave.\u003c/p>\n\u003cp>“When something heavily mutated comes out of nowhere … there’s this risk that it’s dramatically different and that it changes the nature of the pandemic,” says Benjamin Murrell, who conducted \u003ca href=\"https://www.biorxiv.org/content/10.1101/2023.09.02.556033v1\">one of the other studies \u003c/a>at the Karolinska Institute in Sweden.[pullquote size=\"medium\" align=\"right\" citation=\"Benjamin Murrell, researcher, Karolinska Institute\"]‘When something heavily mutated comes out of nowhere … there’s this risk that it’s dramatically different and that it changes the nature of the pandemic.’[/pullquote]But Murrell and Barouch’s experiments, along with \u003ca href=\"https://twitter.com/yunlong_cao\">similar studies\u003c/a> conducted by Yunlong Richard Cao at Peking University in China and by Dr. \u003ca href=\"https://microbiology.columbia.edu/faculty-david-ho\">David Ho \u003c/a>at Columbia University in New York, indicate that BA.2.86, is unlikely to be another game-changer.\u003c/p>\n\u003cp>“For BA.2.86 the initial antibody neutralization results suggest that history is not repeating itself here,” Murrell says. “Its degree of antibody evasion is quite similar to recently circulating variants. It seems unlikely that this will be a seismic shift for the pandemic.”\u003c/p>\n\u003cp>The studies indicate that BA.2.86 doesn’t look like it’s any better than any of the other variants at evading the immune system. It appears to be even less adept at escaping from antibodies than other variants. And may also be less efficient at infecting cells.[aside label='More on COVID Variants' tag='covid']“BA.2.86 actually poses either similar or less of an immune escape risk compared with currently circulating variants, not more,” Barouch says. “So that is good news. It does bode well for the vaccine.”\u003c/p>\n\u003cp>The Food and Drug Administration is expected to approve new vaccines soon that target a more recent omicron subvariant than the original shots. The Centers for Disease Control and Prevention would then recommend who should get them.\u003c/p>\n\u003cp>While that subvariant, XBB.1.5, has already been replaced by others, it’s a close enough match for the new shots to protect people, scientists say.\u003c/p>\n\u003cp>“I wish the booster was already out,” says Dr. \u003ca href=\"https://www.bcm.edu/people-search/peter-hotez-23229\">Peter Hotez \u003c/a>of the Baylor College of Medicine, noting that \u003ca href=\"https://covid.cdc.gov/covid-data-tracker/#datatracker-home\">yet another wave \u003c/a>of infections has already begun increasing the number of people catching the virus and getting so sick that they’re ending up in the hospital and dying. “We need it now.”\u003c/p>\n\u003cp>\u003c/p>\n",
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},
"closealltabs": {
"id": "closealltabs",
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"order": 1
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"title": "Code Switch / Life Kit",
"info": "\u003cem>Code Switch\u003c/em>, which listeners will hear in the first part of the hour, has fearless and much-needed conversations about race. Hosted by journalists of color, the show tackles the subject of race head-on, exploring how it impacts every part of society — from politics and pop culture to history, sports and more.\u003cbr />\u003cbr />\u003cem>Life Kit\u003c/em>, which will be in the second part of the hour, guides you through spaces and feelings no one prepares you for — from finances to mental health, from workplace microaggressions to imposter syndrome, from relationships to parenting. The show features experts with real world experience and shares their knowledge. Because everyone needs a little help being human.\u003cbr />\u003cbr />\u003ca href=\"https://www.npr.org/podcasts/510312/codeswitch\">\u003cem>Code Switch\u003c/em> offical site and podcast\u003c/a>\u003cbr />\u003ca href=\"https://www.npr.org/lifekit\">\u003cem>Life Kit\u003c/em> offical site and podcast\u003c/a>\u003cbr />",
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"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",
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"imageSrc": "https://cdn.kqed.org/wp-content/uploads/2024/04/Forum-Podcast-Tile-703x703-1.jpg",
"imageAlt": "KQED Forum with Mina Kim and Alexis Madrigal",
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"order": 9
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"meta": {
"site": "radio",
"source": "WNYC"
},
"link": "/radio/program/freakonomics-radio",
"subscribe": {
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"apple": "https://itunes.apple.com/us/podcast/freakonomics-radio/id354668519",
"tuneIn": "https://tunein.com/podcasts/WNYC-Podcasts/Freakonomics-Radio-p272293/",
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},
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"id": "fresh-air",
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"apple": "https://itunes.apple.com/WebObjects/MZStore.woa/wa/viewPodcast?s=143441&mt=2&id=214089682&at=11l79Y&ct=nprdirectory",
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"info": "A live production of NPR and WBUR Boston, in collaboration with stations across the country, Here & Now reflects the fluid world of news as it's happening in the middle of the day, with timely, in-depth news, interviews and conversation. Hosted by Robin Young, Jeremy Hobson and Tonya Mosley.",
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"hidden-brain": {
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"airtime": "SUN 7pm-8pm",
"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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"link": "/radio/program/how-i-built-this",
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"hyphenacion": {
"id": "hyphenacion",
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"tagline": "Where conversation and cultura meet",
"info": "What kind of no sabo word is Hyphenación? For us, it’s about living within a hyphenation. Like being a third-gen Mexican-American from the Texas border now living that Bay Area Chicano life. Like Xorje! Each week we bring together a couple of hyphenated Latinos to talk all about personal life choices: family, careers, relationships, belonging … everything is on the table. ",
"imageSrc": "https://cdn.kqed.org/wp-content/uploads/2025/03/Hyphenacion_FinalAssets_PodcastTile.png",
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"order": 15
},
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"jerrybrown": {
"id": "jerrybrown",
"title": "The Political Mind of Jerry Brown",
"tagline": "Lessons from a lifetime in politics",
"info": "The Political Mind of Jerry Brown brings listeners the wisdom of the former Governor, Mayor, and presidential candidate. Scott Shafer interviewed Brown for more than 40 hours, covering the former governor's life and half-century in the political game and Brown has some lessons he'd like to share. ",
"imageSrc": "https://cdn.kqed.org/wp-content/uploads/2024/04/The-Political-Mind-of-Jerry-Brown-Podcast-Tile-703x703-1.jpg",
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"order": 18
},
"link": "/podcasts/jerrybrown",
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},
"latino-usa": {
"id": "latino-usa",
"title": "Latino USA",
"airtime": "MON 1am-2am, SUN 6pm-7pm",
"info": "Latino USA, the radio journal of news and culture, is the only national, English-language radio program produced from a Latino perspective.",
"imageSrc": "https://ww2.kqed.org/radio/wp-content/uploads/sites/50/2018/04/latinoUsa.jpg",
"officialWebsiteLink": "http://latinousa.org/",
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"link": "/radio/program/latino-usa",
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"apple": "https://itunes.apple.com/WebObjects/MZStore.woa/wa/viewPodcast?s=143441&mt=2&id=79681317&at=11l79Y&ct=nprdirectory",
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"rss": "https://feeds.npr.org/510016/podcast.xml"
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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": {
"id": "masters-of-scale",
"title": "Masters of Scale",
"info": "Masters of Scale is an original podcast in which LinkedIn co-founder and Greylock Partner Reid Hoffman sets out to describe and prove theories that explain how great entrepreneurs take their companies from zero to a gazillion in ingenious fashion.",
"airtime": "Every other Wednesday June 12 through October 16 at 8pm (repeats Thursdays at 2am)",
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"meta": {
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"rss": "https://rss.art19.com/masters-of-scale"
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},
"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",
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"link": "/radio/program/morning-edition"
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"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",
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"officialWebsiteLink": "/podcasts/onourwatch",
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"source": "kqed",
"order": 11
},
"link": "/podcasts/onourwatch",
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"google": "https://podcasts.google.com/feed/aHR0cHM6Ly9mZWVkcy5ucHIub3JnLzUxMDM2MC9wb2RjYXN0LnhtbD9zYz1nb29nbGVwb2RjYXN0cw",
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},
"on-the-media": {
"id": "on-the-media",
"title": "On The Media",
"info": "Our weekly podcast explores how the media 'sausage' is made, casts an incisive eye on fluctuations in the marketplace of ideas, and examines threats to the freedom of information and expression in America and abroad. For one hour a week, the show tries to lift the veil from the process of \"making media,\" especially news media, because it's through that lens that we see the world and the world sees us",
"airtime": "SUN 2pm-3pm, MON 12am-1am",
"imageSrc": "https://ww2.kqed.org/radio/wp-content/uploads/sites/50/2018/04/onTheMedia.png",
"officialWebsiteLink": "https://www.wnycstudios.org/shows/otm",
"meta": {
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},
"link": "/radio/program/on-the-media",
"subscribe": {
"apple": "https://itunes.apple.com/us/podcast/on-the-media/id73330715?mt=2",
"tuneIn": "https://tunein.com/radio/On-the-Media-p69/",
"rss": "http://feeds.wnyc.org/onthemedia"
}
},
"pbs-newshour": {
"id": "pbs-newshour",
"title": "PBS NewsHour",
"info": "Analysis, background reports and updates from the PBS NewsHour putting today's news in context.",
"airtime": "MON-FRI 3pm-4pm",
"imageSrc": "https://cdn.kqed.org/wp-content/uploads/2024/04/PBS-News-Hour-Podcast-Tile-360x360-1.jpg",
"officialWebsiteLink": "https://www.pbs.org/newshour/",
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},
"link": "/radio/program/pbs-newshour",
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"apple": "https://itunes.apple.com/us/podcast/pbs-newshour-full-show/id394432287?mt=2",
"tuneIn": "https://tunein.com/radio/PBS-NewsHour---Full-Show-p425698/",
"rss": "https://www.pbs.org/newshour/feeds/rss/podcasts/show"
}
},
"perspectives": {
"id": "perspectives",
"title": "Perspectives",
"tagline": "KQED's series of daily listener commentaries since 1991",
"info": "KQED's series of daily listener commentaries since 1991.",
"imageSrc": "https://cdn.kqed.org/wp-content/uploads/2025/01/Perspectives_Tile_Final.jpg",
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"officialWebsiteLink": "/perspectives/",
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"order": 14
},
"link": "/perspectives",
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},
"planet-money": {
"id": "planet-money",
"title": "Planet Money",
"info": "The economy explained. Imagine you could call up a friend and say, Meet me at the bar and tell me what's going on with the economy. Now imagine that's actually a fun evening.",
"airtime": "SUN 3pm-4pm",
"imageSrc": "https://ww2.kqed.org/radio/wp-content/uploads/sites/50/2018/04/planetmoney.jpg",
"officialWebsiteLink": "https://www.npr.org/sections/money/",
"meta": {
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"source": "npr"
},
"link": "/radio/program/planet-money",
"subscribe": {
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