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"content": "\u003cp>The Food and Drug Administration has decided to allow some people to get \u003ca href=\"https://www.kqed.org/news/11941531/when-can-i-get-a-second-bivalent-covid-booster-heres-what-we-know-right-now\">a second booster\u003c/a> with one of the COVID-19 vaccines that have been updated to target the omicron variant, NPR has learned.\u003c/p>\n\u003cp>The second shots will be limited to those age 65 and older who got their first shot of the \u003ca href=\"https://www.fda.gov/emergency-preparedness-and-response/coronavirus-disease-2019-covid-19/covid-19-bivalent-vaccine-boosters\">bivalent vaccine\u003c/a> made by Moderna or Pfizer-BioNTech at least four months ago, and to those with weakened immune systems who got one of those shots at least two months ago, according to a federal official who was not authorized to speak publicly.\u003c/p>\n\u003cp>The decision to authorize a second booster is expected to be officially announced within the next two weeks.\u003c/p>\n\u003cp>While demand for another shot may not be high, the opportunity for extra protection will be welcomed by some people who got their first shot with one of the bivalent boosters last year.\u003c/p>\n\u003cfigure id=\"attachment_11945640\" class=\"wp-caption aligncenter\" style=\"max-width: 1920px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-11945640\" src=\"https://ww2.kqed.org/app/uploads/sites/10/2023/04/RS52115_GettyImages-1344323369-qut.jpg\" alt=\"A woman with long blond hair, wearing a white face mask, fills a syringe from a small, clear vile that contains a Pfizer booster.\" width=\"1920\" height=\"1311\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2023/04/RS52115_GettyImages-1344323369-qut.jpg 1920w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/04/RS52115_GettyImages-1344323369-qut-800x546.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/04/RS52115_GettyImages-1344323369-qut-1020x696.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/04/RS52115_GettyImages-1344323369-qut-160x109.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/04/RS52115_GettyImages-1344323369-qut-1536x1049.jpg 1536w\" sizes=\"auto, (max-width: 1920px) 100vw, 1920px\">\u003cfigcaption class=\"wp-caption-text\">Safeway pharmacist Ashley McGee fills a syringe with the Pfizer COVID-19 booster vaccination at a vaccination booster shot clinic on October 01, 2021 in San Rafael, California. Now, the FDA has decided to allow some people to get a second booster with one of the COVID-19 vaccines that have been updated to target the omicron variant. \u003ccite>(Justin Sullivan/Getty Images)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>The FDA has only authorized one booster dose of the newest formulations of the COVID vaccines. The agency was instead focusing on planning for an \u003ca href=\"https://www.npr.org/sections/health-shots/2023/01/23/1150032238/fda-considers-major-shift-in-covid-vaccine-strategy\">annual COVID booster campaign \u003c/a>starting in the fall of 2023 — with vaccines that will have been updated to target whichever variant is expected to be circulating next winter.\u003c/p>\n\u003cp>[pullquote size=\"medium\" align=\"right\" citation=\"Dr. Peter Hotez, co-director, Texas Children's Hospital Center for Vaccine Development\"]‘Those doses are going to be expiring and will be thrown out. So it makes sense to have those shots in arms instead of being tossed in the waste basket.’[/pullquote]\u003c/p>\n\u003cp>But the FDA has now reconsidered the situation. This change will bring the U.S. more in line with the approach taken by \u003ca href=\"https://commonslibrary.parliament.uk/research-briefings/cbp-9332/\">Britain\u003c/a> and \u003ca href=\"https://www.canada.ca/content/dam/phac-aspc/documents/services/publications/vaccines-immunization/national-advisory-committee-immunization-summary-guidance-additional-covid-19-booster-dose-spring-2023-individuals-high-risk-severe-illness-due-covid-19-march-3-2023/summary.pdf\">Canada (PDF)\u003c/a>, which is what some vaccine specialists have been urging — especially with the ample of supply of vaccines available.\u003c/p>\n\u003cp>“Those doses are going to be expiring and will be thrown out. So it makes sense to have those shots in arms instead of being tossed in the waste basket,” says Dr. \u003ca href=\"https://www.bcm.edu/people-search/peter-hotez-23229\">Peter Hotez\u003c/a>, co-director of the Texas Children’s Hospital Center for Vaccine Development and dean of the National School of Tropical Medicine at Baylor College of Medicine.\u003c/p>\n\u003cp>The main concern is that the protection people got from their last shot has been fading, not just against getting infected but also possibly against getting seriously ill. So Hotez says people as young as 50 should be able to get a second bivalent booster if they want one.\u003c/p>\n\u003cp>“It’s better than nothing,” Hotez wrote in an email to NPR about the FDA’s decision. “I think 65 could be lowered to 50 or 55 unless they have specific data that only supports that age cutoff.”\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>He added: “Historically, when you look at the monovalent vaccines, the protection starts to wane after four or five months. We don’t know if that’s the case with bivalent boosters. But you don’t want to find out the hard way.”\u003c/p>\n\u003cp>But others scientists aren’t so sure. They say there just isn’t any good evidence showing protection against serious illness has faded significantly or that getting another shot would help that much.[aside postID=news_11945498 hero='https://ww2.kqed.org/app/uploads/sites/10/2023/04/RS64178_GettyImages-1322494493-qut-1020x681.jpg']“I have no data to show me that a second bivalent is safe and effective. I have every reason to think it might be. But I don’t actually have data,” says Dr. \u003ca href=\"https://www.mayo.edu/research/faculty/poland-gregory-a-m-d/bio-00078220\">Gregory Poland\u003c/a>, director of the Mayo Clinic’s Vaccine Research Group.\u003c/p>\n\u003cp>In addition, there’s a theoretical possibility that it could kind of backfire — because the bivalent boosters target a strain that’s already been replaced by a new one called XBB.1.5.\u003c/p>\n\u003cp>“The concern is that if we continue to give boosters against a virus that’s not circulating when we do see the next variant you may not develop a vigorous immune response to that new viral variant,” Poland says.\u003c/p>\n\u003cp>Since it was authorized in late August, less than \u003ca href=\"https://covid.cdc.gov/covid-data-tracker/#vaccinations_vacc-people-booster-percent-total\">17% of those eligible for the bivalent shot have opted for one\u003c/a>, and so the demand for another right now would probably be even lower. But some people would rush to get one if they could, including Katen Moore, 63, a nurse practitioner from North Plainfield, N.J.[pullquote size=\"medium\" align=\"right\" citation=\"Katen Moore, nurse practitioner\"]‘I just don’t want to get COVID again. I don’t really know what the long-term risks are. And I don’t really want to find out.’[/pullquote]“I just don’t want to get COVID again,” says Moore. “I don’t really know what the long-term risks are. And I don’t really want to find out. I don’t want the risk of long COVID. I don’t want the breathing problems. I don’t want the fatigue. I don’t want those things.”\u003c/p>\n\u003cp>Moore is frustrated that she’s just missing the age cutoff. “The lack of clear information for those of us at the edges is difficult to understand,” she wrote in an email to NPR.\u003c/p>\n\u003cp>Copyright 2023 NPR. 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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>But the FDA has now reconsidered the situation. This change will bring the U.S. more in line with the approach taken by \u003ca href=\"https://commonslibrary.parliament.uk/research-briefings/cbp-9332/\">Britain\u003c/a> and \u003ca href=\"https://www.canada.ca/content/dam/phac-aspc/documents/services/publications/vaccines-immunization/national-advisory-committee-immunization-summary-guidance-additional-covid-19-booster-dose-spring-2023-individuals-high-risk-severe-illness-due-covid-19-march-3-2023/summary.pdf\">Canada (PDF)\u003c/a>, which is what some vaccine specialists have been urging — especially with the ample of supply of vaccines available.\u003c/p>\n\u003cp>“Those doses are going to be expiring and will be thrown out. So it makes sense to have those shots in arms instead of being tossed in the waste basket,” says Dr. \u003ca href=\"https://www.bcm.edu/people-search/peter-hotez-23229\">Peter Hotez\u003c/a>, co-director of the Texas Children’s Hospital Center for Vaccine Development and dean of the National School of Tropical Medicine at Baylor College of Medicine.\u003c/p>\n\u003cp>The main concern is that the protection people got from their last shot has been fading, not just against getting infected but also possibly against getting seriously ill. So Hotez says people as young as 50 should be able to get a second bivalent booster if they want one.\u003c/p>\n\u003cp>“It’s better than nothing,” Hotez wrote in an email to NPR about the FDA’s decision. “I think 65 could be lowered to 50 or 55 unless they have specific data that only supports that age cutoff.”\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>He added: “Historically, when you look at the monovalent vaccines, the protection starts to wane after four or five months. We don’t know if that’s the case with bivalent boosters. But you don’t want to find out the hard way.”\u003c/p>\n\u003cp>But others scientists aren’t so sure. They say there just isn’t any good evidence showing protection against serious illness has faded significantly or that getting another shot would help that much.\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>“I have no data to show me that a second bivalent is safe and effective. I have every reason to think it might be. But I don’t actually have data,” says Dr. \u003ca href=\"https://www.mayo.edu/research/faculty/poland-gregory-a-m-d/bio-00078220\">Gregory Poland\u003c/a>, director of the Mayo Clinic’s Vaccine Research Group.\u003c/p>\n\u003cp>In addition, there’s a theoretical possibility that it could kind of backfire — because the bivalent boosters target a strain that’s already been replaced by a new one called XBB.1.5.\u003c/p>\n\u003cp>“The concern is that if we continue to give boosters against a virus that’s not circulating when we do see the next variant you may not develop a vigorous immune response to that new viral variant,” Poland says.\u003c/p>\n\u003cp>Since it was authorized in late August, less than \u003ca href=\"https://covid.cdc.gov/covid-data-tracker/#vaccinations_vacc-people-booster-percent-total\">17% of those eligible for the bivalent shot have opted for one\u003c/a>, and so the demand for another right now would probably be even lower. But some people would rush to get one if they could, including Katen Moore, 63, a nurse practitioner from North Plainfield, N.J.\u003c/p>\u003c/div>",
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"content": "‘I just don’t want to get COVID again. I don’t really know what the long-term risks are. And I don’t really want to find out.’",
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"content": "\u003cdiv class=\"post-body\">\u003cp>“I just don’t want to get COVID again,” says Moore. “I don’t really know what the long-term risks are. And I don’t really want to find out. I don’t want the risk of long COVID. I don’t want the breathing problems. I don’t want the fatigue. I don’t want those things.”\u003c/p>\n\u003cp>Moore is frustrated that she’s just missing the age cutoff. “The lack of clear information for those of us at the edges is difficult to understand,” she wrote in an email to NPR.\u003c/p>\n\u003cp>Copyright 2023 NPR. To see more, visit \u003ca href=\"https://www.npr.org\">NPR.org\u003c/a>.\u003cimg decoding=\"async\" src=\"https://www.google-analytics.com/__utm.gif?utmac=UA-5828686-4&utmdt=FDA+will+let+some+adults+get+a+second+boost+of+the+bivalent+COVID-19+shot&utme=8(APIKey)9(MDAxOTAwOTE4MDEyMTkxMDAzNjczZDljZA004)\">\u003c/p>\n\u003cp>\u003c/p>\n\u003c/div>\u003c/p>",
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"content": "\u003cp>As of today, California no longer requires face masks to be worn in health care facilities and other high-risk settings.\u003c/p>\n\u003cp>Since 2020, the state has required everyone to wear masks in places like hospitals, clinics, correctional facilities and centers for people experiencing homelessness. Even as public health officials removed other COVID-19 restrictions, this rule remained in place through the multiple surges and drops in cases California saw in the past three years.\u003c/p>\n\u003cp>Additionally, health care workers are no longer required to get the COVID-19 vaccine. This change includes direct care workers and those who work in adult care facilities, as well as in correctional and detention centers.\u003c/p>\n\u003cul>\n\u003cli>\u003cstrong>Jump straight to your county’s new masking rules: \u003c/strong>\u003cstrong>\u003ca href=\"#alamedamaskmandate\">Alameda\u003c/a> | \u003ca href=\"#sanfranciscomaskmandate\">San Francisco\u003c/a> | \u003ca href=\"#contracostamaskmandate\">Contra Costa\u003c/a> | \u003ca href=\"#marinmaskmandate\">Marin\u003c/a> | \u003ca href=\"#napamaskmandate\">Napa\u003c/a> | \u003ca href=\"#sanmateomaskmandate\">San Mateo\u003c/a> | \u003ca href=\"#santaclaramaskmandate\">Santa Clara\u003c/a> | \u003ca href=\"#sonomamaskmandate\">Sonoma\u003c/a> | \u003ca href=\"#solanomaskmandate\">Solano\u003c/a>\u003c/strong>\u003c/li>\n\u003c/ul>\n\u003cp>Despite calls from physicians and disability advocates to keep these rules in place to protect people especially vulnerable to COVID-19, state officials say that California is in a strong enough position to loosen these restrictions.\u003c/p>\n\u003cp>“Our communities did a lot of the hard work by getting vaccinated and boosted, staying home and testing when sick, requesting treatments when positive, and masking to slow the spread,” said Dr. Tomás Aragón, the state’s public health officer, \u003ca href=\"https://www.cdph.ca.gov/Programs/OPA/Pages/NR23-014.aspx\">in a press release on March 3 announcing the change\u003c/a>.\u003c/p>\n\u003cul>\n\u003cli>\u003cstrong>\u003ca href=\"#tellus\">Tell us: What else do you need information about right now?\u003c/a>\u003c/strong>\u003c/li>\n\u003c/ul>\n\u003cp>However, individual counties retain the authority to enforce their own additional public health restrictions separate from the state’s. So if your county has a mask mandate that’s more restrictive than state rules, that’s the one you have to follow. Some Bay Area counties, like Contra Costa and Alameda, will continue to require face masks in certain high-risk settings, like nursing facilities, after April 3.\u003c/p>\n\u003cp>Keep reading to find the mask rules for high-risk settings in the county you live, work or study in.\u003c/p>\n\u003ch2>\u003ca id=\"alamedamaskmandate\">\u003c/a>\u003cstrong>Alameda\u003c/strong>\u003c/h2>\n\u003cp>All staff working in Alameda County’s 66 skilled nursing facilities are still required to wear face masks, even after April 3. County health officials released \u003ca href=\"https://covid-19.acgov.org/covid19-assets/docs/press/press-release-2023.03.27.pdf\">a statement last week clarifying that this order will only apply to staff\u003c/a> and that visitors will only be \u003cem>encouraged\u003c/em> to wear masks.\u003c/p>\n\u003cp>“Alameda County is moving cautiously with our skilled nursing facilities because they serve a large and highly vulnerable population of generally older adults with complex medical conditions,” said Alameda County Health Officer Dr. Nicholas Moss in a March 27 statement.\u003c/p>\n\u003cp>The order applies only to those working at nursing facilities and will be reviewed monthly by county health officials. The county will align with state masking rules for all other settings.\u003c/p>\n\u003ch2>\u003ca id=\"contracostamaskmandate\">\u003c/a>\u003cstrong>Contra Costa\u003c/strong>\u003c/h2>\n\u003cp>All staff in the county’s nursing facilities will still be required to wear face masks, even after April 3. According to \u003ca href=\"https://cchealth.org/press-releases/2023/0327-Health-Order-to-Require-Staff-in-Skilled-Nursing-Facilities-to-Wear-Masks.php\">a press release from Contra Costa health officials\u003c/a>, wearing a mask will be required for employees working directly with patients, and also for paramedics, emergency medical technicians, contractors and vendors when they enter these facilities.\u003c/p>\n\u003cp>“When the state announced the change in their rules, we began to think, ‘Does it make sense to continue masking anywhere?'” Dr. Ori Tzvieli, the county’s health officer, told KQED. “We decided that one of the highest-risk settings was skilled nursing facilities … these nursing homes basically have some of the higher-risk patients. They have older patients. They have patients with medical co-morbidities.”\u003c/p>\n\u003cp>Visitors, however, will not be required to wear masks when inside these facilities. Patients also are not required to wear masks. The county will review its masking policy on a monthly basis.\u003c/p>\n\u003ch2>\u003ca id=\"napamaskmandate\">\u003c/a>Napa\u003c/h2>\n\u003cp>Napa County does not require the use of face masks in high-risk settings. County officials told KQED that masks will continue to be made available for residents and staff in these places, clarifying that “masking is strongly recommended in high-risk settings” when community transmission rates are high.\u003c/p>\n\u003ch2>\u003ca id=\"sanfranciscomaskmandate\">\u003c/a>\u003cstrong>San Francisco\u003c/strong>\u003c/h2>\n\u003cp>The San Francisco Department of Public Health told KQED that those working in health care, which includes skilled nursing facilities and jail settings, are still “required to wear a well-fitted mask when they are working in the same room as patients, clients, residents or people who are incarcerated.”\u003c/p>\n\u003cp>However, everyone else, which can include patients, clients, residents or people who are incarcerated and their visitors, are only \u003cem>encouraged\u003c/em> to wear a mask when inside these settings. Individual facilities do, however, have the authority to implement more restrictive guidelines.\u003c/p>\n\u003ch2>\u003ca id=\"marinmaskmandate\">\u003c/a>\u003cstrong>Marin\u003c/strong>\u003c/h2>\n\u003cp>Marin County does not require the use of face masks in high-risk settings. County officials told KQED that health care facilities can enforce their own mask rules individually.\u003cbr>\n[ad fullwidth]\u003c/p>\n\u003ch2>\u003cstrong>\u003ca id=\"sanmateomaskmandate\">\u003c/a>San Mateo\u003c/strong>\u003c/h2>\n\u003cp>County officials told KQED that San Mateo follows the state’s guidelines and has not implemented any additional mask rules for high-risk settings. Individual health care facilities can still make their own decisions as to whether they want to require the use of masks indoors.\u003c/p>\n\u003ch2>\u003ca id=\"santaclaramaskmandate\">\u003c/a>\u003cstrong>Santa Clara\u003c/strong>\u003c/h2>\n\u003cp>Santa Clara County will require face masks in health care facilities only during the “designated winter respiratory virus period,” which lasts from November 1 to March 31 of each year.\u003c/p>\n\u003cp>For the rest of the year, however, it is up to individual health care facilities to set their own masking rules.\u003c/p>\n\u003ch2>\u003ca id=\"solanomaskmandate\">\u003c/a>\u003cstrong>Solano\u003c/strong>\u003c/h2>\n\u003cp>County officials confirmed with KQED that Solano County will follow the state’s guidelines and has not implemented its own additional mask rules. Face masks will no longer be required in any of Solano County’s health care, long-term care or correctional facilities as well as homeless, emergency and warming and cooling centers.\u003c/p>\n\u003ch2>\u003ca id=\"sonomamaskmandate\">\u003c/a>\u003cstrong>Sonoma\u003c/strong>\u003c/h2>\n\u003cp>Officials told KQED that Sonoma County will follow the state’s guidelines and has not implemented its own additional mask rules. Individual health care facilities can make their own decisions on whether they want to require the use of masks indoors.\u003c/p>\n\u003ch2>\u003ca id=\"tellus\">\u003c/a>Tell us: What else do you need information about?\u003c/h2>\n\u003cp>At KQED News, we know that it can sometimes be hard to track down the answers to navigate life in the Bay Area in 2023. We’ve published \u003ca href=\"https://www.kqed.org/news/tag/coronavirus-resources-and-explainers\">clear, practical explainers and guides about COVID\u003c/a>, \u003ca href=\"https://www.kqed.org/news/11936674/how-to-prepare-for-this-weeks-atmospheric-river-storm-sandbags-emergency-kits-and-more\">how to cope with intense winter weather\u003c/a> and \u003ca href=\"https://www.kqed.org/news/11821950/how-to-safely-attend-a-protest-in-the-bay-area\">how to exercise your right to protest safely\u003c/a>.\u003c/p>\n\u003cp>So tell us: What do you need to know more about? Tell us, and you could see your question answered online or on social media. What you submit will make our reporting stronger, and help us decide what to cover here on our site, and on KQED Public Radio, too.\u003c/p>\n\u003cp>[hearken id=\"10483\" src=\"https://modules.wearehearken.com/kqed/embed/10483.js\"]\u003c/p>\n\u003cp>\u003cem>This story includes reporting from KQED’s Brian Watt and Alex Gonzalez.\u003c/em>\u003c/p>\n\u003cp>[ad floatright]\u003c/p>\n",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>As of today, California no longer requires face masks to be worn in health care facilities and other high-risk settings.\u003c/p>\n\u003cp>Since 2020, the state has required everyone to wear masks in places like hospitals, clinics, correctional facilities and centers for people experiencing homelessness. Even as public health officials removed other COVID-19 restrictions, this rule remained in place through the multiple surges and drops in cases California saw in the past three years.\u003c/p>\n\u003cp>Additionally, health care workers are no longer required to get the COVID-19 vaccine. This change includes direct care workers and those who work in adult care facilities, as well as in correctional and detention centers.\u003c/p>\n\u003cul>\n\u003cli>\u003cstrong>Jump straight to your county’s new masking rules: \u003c/strong>\u003cstrong>\u003ca href=\"#alamedamaskmandate\">Alameda\u003c/a> | \u003ca href=\"#sanfranciscomaskmandate\">San Francisco\u003c/a> | \u003ca href=\"#contracostamaskmandate\">Contra Costa\u003c/a> | \u003ca href=\"#marinmaskmandate\">Marin\u003c/a> | \u003ca href=\"#napamaskmandate\">Napa\u003c/a> | \u003ca href=\"#sanmateomaskmandate\">San Mateo\u003c/a> | \u003ca href=\"#santaclaramaskmandate\">Santa Clara\u003c/a> | \u003ca href=\"#sonomamaskmandate\">Sonoma\u003c/a> | \u003ca href=\"#solanomaskmandate\">Solano\u003c/a>\u003c/strong>\u003c/li>\n\u003c/ul>\n\u003cp>Despite calls from physicians and disability advocates to keep these rules in place to protect people especially vulnerable to COVID-19, state officials say that California is in a strong enough position to loosen these restrictions.\u003c/p>\n\u003cp>“Our communities did a lot of the hard work by getting vaccinated and boosted, staying home and testing when sick, requesting treatments when positive, and masking to slow the spread,” said Dr. Tomás Aragón, the state’s public health officer, \u003ca href=\"https://www.cdph.ca.gov/Programs/OPA/Pages/NR23-014.aspx\">in a press release on March 3 announcing the change\u003c/a>.\u003c/p>\n\u003cul>\n\u003cli>\u003cstrong>\u003ca href=\"#tellus\">Tell us: What else do you need information about right now?\u003c/a>\u003c/strong>\u003c/li>\n\u003c/ul>\n\u003cp>However, individual counties retain the authority to enforce their own additional public health restrictions separate from the state’s. So if your county has a mask mandate that’s more restrictive than state rules, that’s the one you have to follow. Some Bay Area counties, like Contra Costa and Alameda, will continue to require face masks in certain high-risk settings, like nursing facilities, after April 3.\u003c/p>\n\u003cp>Keep reading to find the mask rules for high-risk settings in the county you live, work or study in.\u003c/p>\n\u003ch2>\u003ca id=\"alamedamaskmandate\">\u003c/a>\u003cstrong>Alameda\u003c/strong>\u003c/h2>\n\u003cp>All staff working in Alameda County’s 66 skilled nursing facilities are still required to wear face masks, even after April 3. County health officials released \u003ca href=\"https://covid-19.acgov.org/covid19-assets/docs/press/press-release-2023.03.27.pdf\">a statement last week clarifying that this order will only apply to staff\u003c/a> and that visitors will only be \u003cem>encouraged\u003c/em> to wear masks.\u003c/p>\n\u003cp>“Alameda County is moving cautiously with our skilled nursing facilities because they serve a large and highly vulnerable population of generally older adults with complex medical conditions,” said Alameda County Health Officer Dr. Nicholas Moss in a March 27 statement.\u003c/p>\n\u003cp>The order applies only to those working at nursing facilities and will be reviewed monthly by county health officials. The county will align with state masking rules for all other settings.\u003c/p>\n\u003ch2>\u003ca id=\"contracostamaskmandate\">\u003c/a>\u003cstrong>Contra Costa\u003c/strong>\u003c/h2>\n\u003cp>All staff in the county’s nursing facilities will still be required to wear face masks, even after April 3. According to \u003ca href=\"https://cchealth.org/press-releases/2023/0327-Health-Order-to-Require-Staff-in-Skilled-Nursing-Facilities-to-Wear-Masks.php\">a press release from Contra Costa health officials\u003c/a>, wearing a mask will be required for employees working directly with patients, and also for paramedics, emergency medical technicians, contractors and vendors when they enter these facilities.\u003c/p>\n\u003cp>“When the state announced the change in their rules, we began to think, ‘Does it make sense to continue masking anywhere?'” Dr. Ori Tzvieli, the county’s health officer, told KQED. “We decided that one of the highest-risk settings was skilled nursing facilities … these nursing homes basically have some of the higher-risk patients. They have older patients. They have patients with medical co-morbidities.”\u003c/p>\n\u003cp>Visitors, however, will not be required to wear masks when inside these facilities. Patients also are not required to wear masks. The county will review its masking policy on a monthly basis.\u003c/p>\n\u003ch2>\u003ca id=\"napamaskmandate\">\u003c/a>Napa\u003c/h2>\n\u003cp>Napa County does not require the use of face masks in high-risk settings. County officials told KQED that masks will continue to be made available for residents and staff in these places, clarifying that “masking is strongly recommended in high-risk settings” when community transmission rates are high.\u003c/p>\n\u003ch2>\u003ca id=\"sanfranciscomaskmandate\">\u003c/a>\u003cstrong>San Francisco\u003c/strong>\u003c/h2>\n\u003cp>The San Francisco Department of Public Health told KQED that those working in health care, which includes skilled nursing facilities and jail settings, are still “required to wear a well-fitted mask when they are working in the same room as patients, clients, residents or people who are incarcerated.”\u003c/p>\n\u003cp>However, everyone else, which can include patients, clients, residents or people who are incarcerated and their visitors, are only \u003cem>encouraged\u003c/em> to wear a mask when inside these settings. Individual facilities do, however, have the authority to implement more restrictive guidelines.\u003c/p>\n\u003ch2>\u003ca id=\"marinmaskmandate\">\u003c/a>\u003cstrong>Marin\u003c/strong>\u003c/h2>\n\u003cp>Marin County does not require the use of face masks in high-risk settings. County officials told KQED that health care facilities can enforce their own mask rules individually.\u003cbr>\n\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003ch2>\u003cstrong>\u003ca id=\"sanmateomaskmandate\">\u003c/a>San Mateo\u003c/strong>\u003c/h2>\n\u003cp>County officials told KQED that San Mateo follows the state’s guidelines and has not implemented any additional mask rules for high-risk settings. Individual health care facilities can still make their own decisions as to whether they want to require the use of masks indoors.\u003c/p>\n\u003ch2>\u003ca id=\"santaclaramaskmandate\">\u003c/a>\u003cstrong>Santa Clara\u003c/strong>\u003c/h2>\n\u003cp>Santa Clara County will require face masks in health care facilities only during the “designated winter respiratory virus period,” which lasts from November 1 to March 31 of each year.\u003c/p>\n\u003cp>For the rest of the year, however, it is up to individual health care facilities to set their own masking rules.\u003c/p>\n\u003ch2>\u003ca id=\"solanomaskmandate\">\u003c/a>\u003cstrong>Solano\u003c/strong>\u003c/h2>\n\u003cp>County officials confirmed with KQED that Solano County will follow the state’s guidelines and has not implemented its own additional mask rules. Face masks will no longer be required in any of Solano County’s health care, long-term care or correctional facilities as well as homeless, emergency and warming and cooling centers.\u003c/p>\n\u003ch2>\u003ca id=\"sonomamaskmandate\">\u003c/a>\u003cstrong>Sonoma\u003c/strong>\u003c/h2>\n\u003cp>Officials told KQED that Sonoma County will follow the state’s guidelines and has not implemented its own additional mask rules. Individual health care facilities can make their own decisions on whether they want to require the use of masks indoors.\u003c/p>\n\u003ch2>\u003ca id=\"tellus\">\u003c/a>Tell us: What else do you need information about?\u003c/h2>\n\u003cp>At KQED News, we know that it can sometimes be hard to track down the answers to navigate life in the Bay Area in 2023. We’ve published \u003ca href=\"https://www.kqed.org/news/tag/coronavirus-resources-and-explainers\">clear, practical explainers and guides about COVID\u003c/a>, \u003ca href=\"https://www.kqed.org/news/11936674/how-to-prepare-for-this-weeks-atmospheric-river-storm-sandbags-emergency-kits-and-more\">how to cope with intense winter weather\u003c/a> and \u003ca href=\"https://www.kqed.org/news/11821950/how-to-safely-attend-a-protest-in-the-bay-area\">how to exercise your right to protest safely\u003c/a>.\u003c/p>\n\u003cp>So tell us: What do you need to know more about? Tell us, and you could see your question answered online or on social media. What you submit will make our reporting stronger, and help us decide what to cover here on our site, and on KQED Public Radio, too.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>\u003cem>This story includes reporting from KQED’s Brian Watt and Alex Gonzalez.\u003c/em>\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cp>Over 70 people from civil rights groups and families of those affected by mental illness and incarceration held a vigil and noise demonstration organized by the Care First Community Coalition on Saturday to grieve and protest a \u003ca href=\"https://www.ktvu.com/news/4th-person-to-die-at-santa-rita-jail-in-6-weeks\">spate of recent deaths at Santa Rita Jail\u003c/a>, Alameda County’s main adult detention facility.[pullquote size=\"medium\" align=\"right\" citation=\"Dorsey Nunn, executive director, Legal Services for Prisoners with Children\"]‘At a certain point there is something called compassion, and we are sorely missing it as a society, particularly when it comes to Black and brown folks.’[/pullquote]\u003c/p>\n\u003cp>The Dublin-based jail is not only one of the largest detention facilities in the United States, it is also \u003ca href=\"https://www.kqed.org/news/11918230/grand-jury-major-health-and-safety-violations-at-santa-rita-jail-require-urgent-attention\">one of the most notorious\u003c/a>, where major health and safety violations have been reported and where over 66 people have lost their lives since 2014. So far this year, there have been four deaths at Santa Rita Jail.\u003c/p>\n\u003cp>“All four of those people died needlessly within days of their intake,” said Joy George with \u003ca href=\"https://restoreoakland.org/\">Restore Oakland\u003c/a>, a community advocacy group. “They died after being evaluated … even though there were multiple red flags. They should have been diverted. They should have been elsewhere. They should not have been incarcerated at Santa Rita Jail.”\u003c/p>\n\u003cp>The facility was \u003ca href=\"https://oaklandside.org/2022/02/08/judge-places-santa-rita-jail-under-external-oversight-ending-mental-health-abuse-lawsuit/\">placed under federal supervision in 2022 for at least six years\u003c/a> to improve conditions for those experiencing mental illness. During the rally, protestors read the names of those who had died in the jail over the last nine years.\u003c/p>\n\u003cfigure id=\"attachment_11945442\" class=\"wp-caption aligncenter\" style=\"max-width: 800px\">\u003ca href=\"https://ww2.kqed.org/app/uploads/sites/10/2023/04/IMG_9642-scaled.jpg\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"wp-image-11945442 size-medium\" src=\"https://ww2.kqed.org/app/uploads/sites/10/2023/04/IMG_9642-800x600.jpg\" alt=\"Large white signs, with names, birth and death dates painted in black, lay arranged on a cement walkway in neat rows.\" width=\"800\" height=\"600\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2023/04/IMG_9642-800x600.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/04/IMG_9642-1020x765.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/04/IMG_9642-160x120.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/04/IMG_9642-1536x1152.jpg 1536w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/04/IMG_9642-2048x1536.jpg 2048w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/04/IMG_9642-1920x1440.jpg 1920w\" sizes=\"(max-width: 800px) 100vw, 800px\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">Demonstrators lay 66 painted signs on the plaza in front of the jail, each bearing the name of a person who died in the jail over the last decade. \u003ccite>(Annelise Finney/KQED)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>While some of the deaths have been attributed by jail officials to suspected fentanyl overdoses, protesters say the majority generally were caused by people not getting the care they needed (whether for mental illness or substance use disorder) in the facility.\u003c/p>\n\u003cfigure id=\"attachment_11945446\" class=\"wp-caption aligncenter\" style=\"max-width: 800px\">\u003ca href=\"https://ww2.kqed.org/app/uploads/sites/10/2023/04/IMG_9652-1-scaled.jpg\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"wp-image-11945446 size-medium\" src=\"https://ww2.kqed.org/app/uploads/sites/10/2023/04/IMG_9652-1-800x600.jpg\" alt=\"A Black man wearing black clothing and holding a microphone stands in front of several colored signs on a cement walkway outside.\" width=\"800\" height=\"600\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2023/04/IMG_9652-1-800x600.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/04/IMG_9652-1-1020x765.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/04/IMG_9652-1-160x120.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/04/IMG_9652-1-1536x1152.jpg 1536w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/04/IMG_9652-1-2048x1536.jpg 2048w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/04/IMG_9652-1-1920x1440.jpg 1920w\" sizes=\"(max-width: 800px) 100vw, 800px\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">Dorsey Nunn, executive director of Legal Services for Prisoners With Children, speaks to a crowd of demonstrators in front of Santa Rita Jail. \u003ccite>(Annelise Finney/KQED)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>“In the event that I’m out of control with a drug habit, should you take me to a drug program or should you take me to jail?” said Dorsey Nunn, executive director of the nonprofit \u003ca href=\"https://prisonerswithchildren.org/\">Legal Services for Prisoners With Children\u003c/a>. “At a certain point there is something called compassion, and we are sorely missing it as a society, particularly when it comes to Black and brown folks.”\u003c/p>\n\u003cp>Advocates with the Care First Community Coalition pushed for the “Care First, Jails Last” policy resolution that was adopted by Alameda County in 2021, which set goals for law enforcement agencies in the county to stop the practice of arresting and jailing people dealing with mental health and/or substance use issues. The resolution also called for creating a community-led process to establish behavioral/mental health care and social services. The coalition demanded that the Alameda County Board of Supervisors investigate jail deaths and provide over $50 million for mental health services that were promised but have yet to be implemented. A meeting with the board about budget presentations will be held on April 11.[aside postID=\"news_11918230,news_11854891,news_11853540\" label=\"Related Posts\"]“The last time my brother Donald Nelson was able to walk, it was walking into this facility … that was May 1st, 2020,” said Norma Nelson. She said her brother, Donald Nelson, died after he was fatally assaulted in a holding cell by another detainee just hours into custody. “Losing a loved one who needs medical and mental health care while in the hands of our social and criminal justice system cuts to the heart with a different kind of pain — it’s deep.”\u003c/p>\n\u003cp>Nelson added that the sheriff’s department didn’t acknowledge the murder publicly until a reporter months later reported it. Lt. Tya Modeste, public information officer for the Alameda County Sheriff’s Office, said she was aware that the jail’s “reputation wasn’t great in the past” and that “people found out their family members passed away by hearing it on the news,” but she says they’ve been working hard under the new sheriff, Yesenia Sanchez, to turn that around.\u003c/p>\n\u003cp>“We welcome peaceful protests and understand that the community and families are frustrated,” said Modeste. “It’s difficult to see someone lose their life … We’re not just sitting back and watching people die in our custody.”\u003c/p>\n\u003cp>Modeste outlined various initiatives the Sheriff’s Office has taken, including building a focus group and inviting community members to discussions with the executive staff and Sanchez about grievances; working with federal monitors and attorneys who represent the incarcerated population on federal oversight; working collectively with community-based partners; sending out press releases when someone dies in custody; and getting in touch with families.\u003c/p>\n\u003cfigure id=\"attachment_11945441\" class=\"wp-caption aligncenter\" style=\"max-width: 800px\">\u003ca href=\"https://ww2.kqed.org/app/uploads/sites/10/2023/04/IMG_9639-scaled.jpg\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"wp-image-11945441 size-medium\" src=\"https://ww2.kqed.org/app/uploads/sites/10/2023/04/IMG_9639-800x600.jpg\" alt=\"A young woman with a dark, shaved head, wearing a sleeveless black tank top, black jeans, and black Adidas sneakers, holds a microphone with both hands as she stands in front of signs that are yellow, red and white. Several people stand off to the side looking in her direction.\" width=\"800\" height=\"600\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2023/04/IMG_9639-800x600.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/04/IMG_9639-1020x765.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/04/IMG_9639-160x120.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/04/IMG_9639-1536x1152.jpg 1536w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/04/IMG_9639-2048x1536.jpg 2048w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/04/IMG_9639-1920x1440.jpg 1920w\" sizes=\"(max-width: 800px) 100vw, 800px\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">Kari Malkki, a healing justice intern at Restore Oakland, addresses the crowd of demonstrators on the plaza in front of Santa Rita Jail on April 1, 2023. \u003ccite>(Annelise Finney/KQED)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>“We’re putting policies and practices in place so that we can make sure that when something like this happens, that we look at our policies, we look at our practices, we look at our services,” said Modeste. “We invite all the stakeholders to the table so that we’re discussing this together and we’re looking at ways to make sure we’re providing better service for our incarcerated population. Sheriff Sanchez is committed to restoring public trust. She’s committed to making sure that we’re being absolutely transparent.”\u003c/p>\n\u003cp>Katy Polony, a family advocate who works with \u003ca href=\"https://acfasmi.org/\">Families Advocating for the Seriously Mentally Ill\u003c/a> (FASMI), says there’s a need for more hospital beds, supportive housing, continuum of care and case management teams.\u003c/p>\n\u003cfigure id=\"attachment_11945443\" class=\"wp-caption aligncenter\" style=\"max-width: 800px\">\u003ca href=\"https://ww2.kqed.org/app/uploads/sites/10/2023/04/IMG_9646-scaled.jpg\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"wp-image-11945443 size-medium\" src=\"https://ww2.kqed.org/app/uploads/sites/10/2023/04/IMG_9646-800x600.jpg\" alt=\"A large group of people sit and stand looking in the same direction, many wearing bright yellow, with a low, green hill and trees behind them.\" width=\"800\" height=\"600\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2023/04/IMG_9646-800x600.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/04/IMG_9646-1020x765.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/04/IMG_9646-160x120.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/04/IMG_9646-1536x1152.jpg 1536w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/04/IMG_9646-2048x1536.jpg 2048w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/04/IMG_9646-1920x1440.jpg 1920w\" sizes=\"(max-width: 800px) 100vw, 800px\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">A crowd of demonstrators, including faith leaders, community organizers, formerly incarcerated people and the families of people who died while at Santa Rita, listen quietly as Norma Nelson (not pictured) shares her experience of trying to get information from the Sheriff’s Office about the death of her brother, Donald Nelson, in Santa Rita Jail in 2020. \u003ccite>(Annelise Finney/KQED)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>“Families are getting no support, no training, nothing. When their kids are cycling through the system, they’re like, ‘What do I do? What am I doing?’” said Polony. “The most important thing with someone who has schizophrenia or another psychotic disease is to treat them right away. We need early intervention programs, which means a psychiatrist, a psychologist, a vocal rehab … We could do it, but we don’t.”\u003c/p>\n\u003cp>Tiffany Monk says her brother who had schizophrenia, bipolar disorder and high blood pressure died in Santa Rita Jail, but that the lack of communication and cooperation from the authorities means she’s still not sure exactly what happened to him.\u003c/p>\n\u003cp>“I’m hoping [the new sheriff] makes a difference, that she takes her job seriously and holds these people accountable, because it’s not right,” said Monk. “They’re killing people and it’s like nothing’s happening.”\u003c/p>\n\u003cp>The average daily population at Santa Rita Jail fell to 2,108 in the fourth quarter of 2022, according to a survey by the \u003ca href=\"http://www.bscc.ca.gov/wp-content/uploads/Jail-Pop-Trends-Through-Q4-2022_3.20.23.pdf\">Board of State and Community Corrections (PDF)\u003c/a>, while on April 2, the Alameda County Sheriff’s Office reported a \u003ca href=\"https://content.govdelivery.com/bulletins/gd/ACSO-35285e4?wgt_ref=ACSO_WIDGET_2\">population of 1,778\u003c/a>.\u003c/p>\n\u003cp>The Care First Coalition has been calling for the reinvestment of funds from the jail into community-based mental health and substance use.\u003c/p>\n\u003cp>“The federal court decree requiring county investment in increased staffing of the jail is based on an estimate of 3,000 prisoners, which Santa Rita has not had since 2014,” said John Lindsay-Poland of American Friends Service Committee.\u003c/p>\n\u003cp>\u003cem>This story has been updated to include the latest average daily population figures for Santa Rita Jail, and a comment from John Lindsay-Poland of American Friends Service Committee.\u003c/em>\u003c/p>\n\u003cp>\u003cem>KQED’s Annelise Finney and Spencer Whitney contributed reporting to this story.\u003c/em>\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>[ad floatright]\u003c/p>\n",
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"excerpt": "With four people having died within 6 weeks in 2023 alone, families and civil rights groups expressed grief and outrage over conditions at the notorious Dublin-based facility in Alameda County where protesters say more than 60 people lost their lives in the last 10 years.",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>The Dublin-based jail is not only one of the largest detention facilities in the United States, it is also \u003ca href=\"https://www.kqed.org/news/11918230/grand-jury-major-health-and-safety-violations-at-santa-rita-jail-require-urgent-attention\">one of the most notorious\u003c/a>, where major health and safety violations have been reported and where over 66 people have lost their lives since 2014. So far this year, there have been four deaths at Santa Rita Jail.\u003c/p>\n\u003cp>“All four of those people died needlessly within days of their intake,” said Joy George with \u003ca href=\"https://restoreoakland.org/\">Restore Oakland\u003c/a>, a community advocacy group. “They died after being evaluated … even though there were multiple red flags. They should have been diverted. They should have been elsewhere. They should not have been incarcerated at Santa Rita Jail.”\u003c/p>\n\u003cp>The facility was \u003ca href=\"https://oaklandside.org/2022/02/08/judge-places-santa-rita-jail-under-external-oversight-ending-mental-health-abuse-lawsuit/\">placed under federal supervision in 2022 for at least six years\u003c/a> to improve conditions for those experiencing mental illness. During the rally, protestors read the names of those who had died in the jail over the last nine years.\u003c/p>\n\u003cfigure id=\"attachment_11945442\" class=\"wp-caption aligncenter\" style=\"max-width: 800px\">\u003ca href=\"https://ww2.kqed.org/app/uploads/sites/10/2023/04/IMG_9642-scaled.jpg\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"wp-image-11945442 size-medium\" src=\"https://ww2.kqed.org/app/uploads/sites/10/2023/04/IMG_9642-800x600.jpg\" alt=\"Large white signs, with names, birth and death dates painted in black, lay arranged on a cement walkway in neat rows.\" width=\"800\" height=\"600\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2023/04/IMG_9642-800x600.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/04/IMG_9642-1020x765.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/04/IMG_9642-160x120.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/04/IMG_9642-1536x1152.jpg 1536w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/04/IMG_9642-2048x1536.jpg 2048w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/04/IMG_9642-1920x1440.jpg 1920w\" sizes=\"(max-width: 800px) 100vw, 800px\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">Demonstrators lay 66 painted signs on the plaza in front of the jail, each bearing the name of a person who died in the jail over the last decade. \u003ccite>(Annelise Finney/KQED)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>While some of the deaths have been attributed by jail officials to suspected fentanyl overdoses, protesters say the majority generally were caused by people not getting the care they needed (whether for mental illness or substance use disorder) in the facility.\u003c/p>\n\u003cfigure id=\"attachment_11945446\" class=\"wp-caption aligncenter\" style=\"max-width: 800px\">\u003ca href=\"https://ww2.kqed.org/app/uploads/sites/10/2023/04/IMG_9652-1-scaled.jpg\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"wp-image-11945446 size-medium\" src=\"https://ww2.kqed.org/app/uploads/sites/10/2023/04/IMG_9652-1-800x600.jpg\" alt=\"A Black man wearing black clothing and holding a microphone stands in front of several colored signs on a cement walkway outside.\" width=\"800\" height=\"600\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2023/04/IMG_9652-1-800x600.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/04/IMG_9652-1-1020x765.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/04/IMG_9652-1-160x120.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/04/IMG_9652-1-1536x1152.jpg 1536w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/04/IMG_9652-1-2048x1536.jpg 2048w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/04/IMG_9652-1-1920x1440.jpg 1920w\" sizes=\"(max-width: 800px) 100vw, 800px\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">Dorsey Nunn, executive director of Legal Services for Prisoners With Children, speaks to a crowd of demonstrators in front of Santa Rita Jail. \u003ccite>(Annelise Finney/KQED)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>“In the event that I’m out of control with a drug habit, should you take me to a drug program or should you take me to jail?” said Dorsey Nunn, executive director of the nonprofit \u003ca href=\"https://prisonerswithchildren.org/\">Legal Services for Prisoners With Children\u003c/a>. “At a certain point there is something called compassion, and we are sorely missing it as a society, particularly when it comes to Black and brown folks.”\u003c/p>\n\u003cp>Advocates with the Care First Community Coalition pushed for the “Care First, Jails Last” policy resolution that was adopted by Alameda County in 2021, which set goals for law enforcement agencies in the county to stop the practice of arresting and jailing people dealing with mental health and/or substance use issues. The resolution also called for creating a community-led process to establish behavioral/mental health care and social services. The coalition demanded that the Alameda County Board of Supervisors investigate jail deaths and provide over $50 million for mental health services that were promised but have yet to be implemented. A meeting with the board about budget presentations will be held on April 11.\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>“The last time my brother Donald Nelson was able to walk, it was walking into this facility … that was May 1st, 2020,” said Norma Nelson. She said her brother, Donald Nelson, died after he was fatally assaulted in a holding cell by another detainee just hours into custody. “Losing a loved one who needs medical and mental health care while in the hands of our social and criminal justice system cuts to the heart with a different kind of pain — it’s deep.”\u003c/p>\n\u003cp>Nelson added that the sheriff’s department didn’t acknowledge the murder publicly until a reporter months later reported it. Lt. Tya Modeste, public information officer for the Alameda County Sheriff’s Office, said she was aware that the jail’s “reputation wasn’t great in the past” and that “people found out their family members passed away by hearing it on the news,” but she says they’ve been working hard under the new sheriff, Yesenia Sanchez, to turn that around.\u003c/p>\n\u003cp>“We welcome peaceful protests and understand that the community and families are frustrated,” said Modeste. “It’s difficult to see someone lose their life … We’re not just sitting back and watching people die in our custody.”\u003c/p>\n\u003cp>Modeste outlined various initiatives the Sheriff’s Office has taken, including building a focus group and inviting community members to discussions with the executive staff and Sanchez about grievances; working with federal monitors and attorneys who represent the incarcerated population on federal oversight; working collectively with community-based partners; sending out press releases when someone dies in custody; and getting in touch with families.\u003c/p>\n\u003cfigure id=\"attachment_11945441\" class=\"wp-caption aligncenter\" style=\"max-width: 800px\">\u003ca href=\"https://ww2.kqed.org/app/uploads/sites/10/2023/04/IMG_9639-scaled.jpg\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"wp-image-11945441 size-medium\" src=\"https://ww2.kqed.org/app/uploads/sites/10/2023/04/IMG_9639-800x600.jpg\" alt=\"A young woman with a dark, shaved head, wearing a sleeveless black tank top, black jeans, and black Adidas sneakers, holds a microphone with both hands as she stands in front of signs that are yellow, red and white. Several people stand off to the side looking in her direction.\" width=\"800\" height=\"600\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2023/04/IMG_9639-800x600.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/04/IMG_9639-1020x765.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/04/IMG_9639-160x120.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/04/IMG_9639-1536x1152.jpg 1536w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/04/IMG_9639-2048x1536.jpg 2048w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/04/IMG_9639-1920x1440.jpg 1920w\" sizes=\"(max-width: 800px) 100vw, 800px\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">Kari Malkki, a healing justice intern at Restore Oakland, addresses the crowd of demonstrators on the plaza in front of Santa Rita Jail on April 1, 2023. \u003ccite>(Annelise Finney/KQED)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>“We’re putting policies and practices in place so that we can make sure that when something like this happens, that we look at our policies, we look at our practices, we look at our services,” said Modeste. “We invite all the stakeholders to the table so that we’re discussing this together and we’re looking at ways to make sure we’re providing better service for our incarcerated population. Sheriff Sanchez is committed to restoring public trust. She’s committed to making sure that we’re being absolutely transparent.”\u003c/p>\n\u003cp>Katy Polony, a family advocate who works with \u003ca href=\"https://acfasmi.org/\">Families Advocating for the Seriously Mentally Ill\u003c/a> (FASMI), says there’s a need for more hospital beds, supportive housing, continuum of care and case management teams.\u003c/p>\n\u003cfigure id=\"attachment_11945443\" class=\"wp-caption aligncenter\" style=\"max-width: 800px\">\u003ca href=\"https://ww2.kqed.org/app/uploads/sites/10/2023/04/IMG_9646-scaled.jpg\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"wp-image-11945443 size-medium\" src=\"https://ww2.kqed.org/app/uploads/sites/10/2023/04/IMG_9646-800x600.jpg\" alt=\"A large group of people sit and stand looking in the same direction, many wearing bright yellow, with a low, green hill and trees behind them.\" width=\"800\" height=\"600\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2023/04/IMG_9646-800x600.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/04/IMG_9646-1020x765.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/04/IMG_9646-160x120.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/04/IMG_9646-1536x1152.jpg 1536w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/04/IMG_9646-2048x1536.jpg 2048w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/04/IMG_9646-1920x1440.jpg 1920w\" sizes=\"(max-width: 800px) 100vw, 800px\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">A crowd of demonstrators, including faith leaders, community organizers, formerly incarcerated people and the families of people who died while at Santa Rita, listen quietly as Norma Nelson (not pictured) shares her experience of trying to get information from the Sheriff’s Office about the death of her brother, Donald Nelson, in Santa Rita Jail in 2020. \u003ccite>(Annelise Finney/KQED)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>“Families are getting no support, no training, nothing. When their kids are cycling through the system, they’re like, ‘What do I do? What am I doing?’” said Polony. “The most important thing with someone who has schizophrenia or another psychotic disease is to treat them right away. We need early intervention programs, which means a psychiatrist, a psychologist, a vocal rehab … We could do it, but we don’t.”\u003c/p>\n\u003cp>Tiffany Monk says her brother who had schizophrenia, bipolar disorder and high blood pressure died in Santa Rita Jail, but that the lack of communication and cooperation from the authorities means she’s still not sure exactly what happened to him.\u003c/p>\n\u003cp>“I’m hoping [the new sheriff] makes a difference, that she takes her job seriously and holds these people accountable, because it’s not right,” said Monk. “They’re killing people and it’s like nothing’s happening.”\u003c/p>\n\u003cp>The average daily population at Santa Rita Jail fell to 2,108 in the fourth quarter of 2022, according to a survey by the \u003ca href=\"http://www.bscc.ca.gov/wp-content/uploads/Jail-Pop-Trends-Through-Q4-2022_3.20.23.pdf\">Board of State and Community Corrections (PDF)\u003c/a>, while on April 2, the Alameda County Sheriff’s Office reported a \u003ca href=\"https://content.govdelivery.com/bulletins/gd/ACSO-35285e4?wgt_ref=ACSO_WIDGET_2\">population of 1,778\u003c/a>.\u003c/p>\n\u003cp>The Care First Coalition has been calling for the reinvestment of funds from the jail into community-based mental health and substance use.\u003c/p>\n\u003cp>“The federal court decree requiring county investment in increased staffing of the jail is based on an estimate of 3,000 prisoners, which Santa Rita has not had since 2014,” said John Lindsay-Poland of American Friends Service Committee.\u003c/p>\n\u003cp>\u003cem>This story has been updated to include the latest average daily population figures for Santa Rita Jail, and a comment from John Lindsay-Poland of American Friends Service Committee.\u003c/em>\u003c/p>\n\u003cp>\u003cem>KQED’s Annelise Finney and Spencer Whitney contributed reporting to this story.\u003c/em>\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"title": "A War of Compassion: Debate Over Forced Treatment of Mental Illness Splits California Liberals",
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"headTitle": "A War of Compassion: Debate Over Forced Treatment of Mental Illness Splits California Liberals | KQED",
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"content": "\u003cp>Half a century after California policymakers \u003ca href=\"https://www.pbs.org/wgbh/pages/frontline/shows/asylums/special/excerpt.html\">shuttered\u003c/a> state psychiatric institutions, denouncing them as inhumane, today’s progressive leaders are now reconsidering involuntary commitments, saying not helping people who are seriously ill, and living in squalor on the streets, is inhumane.\u003c/p>\n\u003cp>The shift is pitting liberals against liberals over the very meaning of compassion. Disability rights advocates say the renewed push for forced treatment violates people’s civil rights, while Democratic leaders and doctors counter that doing nothing violates people’s right to medical care, particularly when the nature of their illness prevents them from recognizing they need help. [pullquote align='right' citation='State Sen. Scott Wiener']‘It is neither progressive nor compassionate to just sit by and let people deteriorate, fall apart and ultimately die on our streets. That is the opposite of progressive.’[/pullquote]\u003c/p>\n\u003cp>“The status quo has forced too many of our loved ones to die with their rights on,” said Teresa Pasquini, an advocate whose son has schizophrenia and has spent the past 20 years being “failed, jailed, treated, and streeted” by what she calls a broken public health system.\u003c/p>\n\u003cp>\u003ca href=\"https://www.huduser.gov/portal/sites/default/files/pdf/2022-AHAR-Part-1.pdf\">Half of the country’s unsheltered (PDF)\u003c/a> people live in California, and though only a quarter of them have a serious mental illness, state lawmakers say they need more tools to get people into treatment, even if it’s against their will. One proposal aims to expand who qualifies for a yearlong conservatorship, or involuntary psychiatric hold, while a new system of \u003ca href=\"https://www.kqed.org/news/11924117/governors-care-court-plan-passes-assembly-clearing-way-to-become-law\">CARE Courts\u003c/a>, where judges issue treatment plans, are scheduled to roll out in eight counties this fall. [pullquote align='right' citation='Keris Myrick']‘When people are told that they have to go to court to get what they should be getting voluntarily in the community, and then they get a care plan that subjugates them to services that still do not meet their cultural needs, that is not compassion.’[/pullquote]\u003c/p>\n\u003cp>To opponents, California is reverting to a draconian policy of locking people up just for being sick, but psychiatrists argue they are seeking a modest update to \u003ca href=\"https://www.lacourt.org/division/mentalhealth/MH0017.aspx\">a 56-year-old law\u003c/a>. Without more intervention options, they say, patients will continue to cycle into the emergency room and back to the street.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>“We are doctors who have to watch these people die,” said Dr. Emily Wood of the\u003ca href=\"https://www.calpsychiatrists.org/\"> California State Association of Psychiatrists\u003c/a>, a sponsor of the conservatorship bill,\u003ca href=\"https://leginfo.legislature.ca.gov/faces/billNavClient.xhtml?bill_id=202320240SB43\"> SB 43\u003c/a>. “We have to talk to their families who know that they need that care, and we have to say we don’t have any legal basis to bring them into the hospital right now.”\u003c/p>\n\u003cp>Under current state law, a person can be held in the hospital involuntarily if they are a danger to themselves or others, or if they are unable to seek food, clothing or shelter as a result of mental illness or alcoholism. Doctors want to incorporate substance use disorder into the law and include in the criteria the inability to look out for one’s own safety and medical care. (Mental health conservatorship is separate from the \u003ca href=\"https://www.scscourt.org/self_help/probate/conservatorship/conservatorship_overview.shtml\">probate conservatorship\u003c/a> that Brittney Spears was held under.)\u003c/p>\n\u003cp>Dr. Wood, who practices in Los Angeles, gave two examples of people she and her colleagues tried to care for, but who slipped through the cracks under the current rules: a man didn’t take his diabetes medication because he wasn’t taking his schizophrenia medication and didn’t understand the consequences of not managing either condition. He repeatedly ended up in the ER with dangerously high blood sugar, but no one could compel him to take either medication, because poorly managing one’s health is not a trigger for conservatorship.\u003c/p>\n\u003cp>Another man had a developmental disability that was never treated in childhood and developed an addiction to methamphetamine in his 20s. He’s now regularly found sleeping in a park and acting inappropriately in public. His family begged doctors to treat him, but they can’t because drug misuse is not a trigger for conservatorship.\u003c/p>\n\u003cp>To Dr. Wood, treating these people, even when they’re unable to consent, is the compassionate, moral thing to do.\u003c/p>\n\u003cp>“It’s essential that we respect all the rights of our patients, including the right to receive care from us,” she said.\u003c/p>\n\u003cp>But other advocates and people with mental illness see the issue very differently. Lawyers from the nonprofit \u003ca href=\"https://www.disabilityrightsca.org/\">Disability Rights California\u003c/a> say the expansion of conservatorship and the advance of CARE Courts are misguided, focused on depriving people of their liberty and privacy, instead of investing in better voluntary mental health services that maintain people’s dignity and civil rights. The group filed a lawsuit to try \u003ca href=\"https://www.disabilityrightsca.org/press-release/disability-rights-advocates-file-petition-challenging-the-constitutional-validity-of\">to block the implementation\u003c/a> of CARE Courts.\u003c/p>\n\u003cp>They’re concerned that people of color, specifically Black residents who are overrepresented in the homeless population and \u003ca href=\"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4274585/\" target=\"_blank\" rel=\"noopener\">overdiagnosed\u003c/a> with schizophrenia, will be disproportionately targeted by these more forceful measures.\u003c/p>\n\u003cp>“When people are told that they have to go to court to get what they should be getting voluntarily in the community, and then they get a care plan that subjugates them to services that still do not meet their cultural needs, that is not compassion,” said Keris Myrick, an advocate who has schizophrenia and has experienced homelessness.\u003c/p>\n\u003cp>Opponents’ other main objection is focused on capacity. Once people are compelled into treatment, where in the overextended, understaffed public mental health system are they supposed to go? Already, there aren’t enough psychiatric hospital beds or appropriate substance abuse centers or housing options for the people who need them, said Michelle Doty Cabrera, executive director of the \u003ca href=\"https://www.cbhda.org/\">California Behavioral Health Directors Association\u003c/a>.\u003c/p>\n\u003cp>“Expanding conservatorships doesn’t solve for those structural issues around the lack of housing and the lack of funding for treatment services,” she said.\u003c/p>\n\u003cp>Cabrera’s group also questions the premise that forced treatment works. Especially when it comes to substance use disorder,\u003ca href=\"https://pubmed.ncbi.nlm.nih.gov/26790691/\"> research suggests\u003c/a> compulsory treatment is less effective and could even be harmful, elevating overdose risk. In Massachusetts, people who were involuntarily committed for drug treatment\u003ca href=\"https://www.mass.gov/service-details/chapter-55-overdose-report\"> were twice as likely to die\u003c/a> from an overdose as those who received treatment willingly.\u003c/p>\n\u003cp>More broadly, if the ultimate goal of forced treatment is reducing homelessness — and easing the moral heartbreak of witnessing ill people sleeping on the street or using drugs in the open — then lawmakers are writing the wrong prescription, some researchers say.\u003c/p>\n\u003cp>“The problem of homelessness is that people don’t have housing,” said Dr. Margot Kushel, director of the UCSF’s\u003ca href=\"https://homelessness.ucsf.edu/\"> Benioff Homelessness and Housing Initiative\u003c/a>. “If you had all the treatment in the world and you didn’t have the housing, we would still have this problem.”\u003c/p>\n\u003cp>She compares homelessness to a game of musical chairs, where the kid on crutches is the one left standing when the music stops. In California, there are \u003ca href=\"https://nlihc.org/gap\">24 units of affordable housing\u003c/a> for every 100 very low-income households, she said, and people with mental illness or substance use disorder are the ones who have the hardest time competing for those scarce spots. That’s why they’re overrepresented among the homeless population, she said, not because conservatorship laws aren’t strong enough.\u003c/p>\n\u003cp>“If you try to fix the problem of homelessness by tinkering with the health care system, we’re not going to get anywhere,” Kushel said.\u003c/p>\n\u003cp>Supporters of involuntary commitments say both are needed: treatment and housing. The same lawmakers who are backing expanded conservatorship and CARE Courts are also backing efforts to increase the housing supply, including \u003ca href=\"https://www.gov.ca.gov/2023/03/19/governor-newsom-proposes-modernization-of-californias-behavioral-health-system-and-more-mental-health-housing/\">a $3 billion bond measure\u003c/a> for the construction of small, neighborhood-oriented residences for people with mental illness.\u003c/p>\n\u003cp>[ad floatright]\u003c/p>\n\u003cp>“They need housing, but they need additional support so that they can thrive,” said Sen. Scott Wiener. “It is neither progressive nor compassionate to just sit by and let people deteriorate, fall apart and ultimately die on our streets. That is the opposite of progressive.”\u003c/p>\n\n",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>Half a century after California policymakers \u003ca href=\"https://www.pbs.org/wgbh/pages/frontline/shows/asylums/special/excerpt.html\">shuttered\u003c/a> state psychiatric institutions, denouncing them as inhumane, today’s progressive leaders are now reconsidering involuntary commitments, saying not helping people who are seriously ill, and living in squalor on the streets, is inhumane.\u003c/p>\n\u003cp>The shift is pitting liberals against liberals over the very meaning of compassion. Disability rights advocates say the renewed push for forced treatment violates people’s civil rights, while Democratic leaders and doctors counter that doing nothing violates people’s right to medical care, particularly when the nature of their illness prevents them from recognizing they need help. \u003c/p>\u003c/div>",
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"content": "‘It is neither progressive nor compassionate to just sit by and let people deteriorate, fall apart and ultimately die on our streets. That is the opposite of progressive.’",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>“The status quo has forced too many of our loved ones to die with their rights on,” said Teresa Pasquini, an advocate whose son has schizophrenia and has spent the past 20 years being “failed, jailed, treated, and streeted” by what she calls a broken public health system.\u003c/p>\n\u003cp>\u003ca href=\"https://www.huduser.gov/portal/sites/default/files/pdf/2022-AHAR-Part-1.pdf\">Half of the country’s unsheltered (PDF)\u003c/a> people live in California, and though only a quarter of them have a serious mental illness, state lawmakers say they need more tools to get people into treatment, even if it’s against their will. One proposal aims to expand who qualifies for a yearlong conservatorship, or involuntary psychiatric hold, while a new system of \u003ca href=\"https://www.kqed.org/news/11924117/governors-care-court-plan-passes-assembly-clearing-way-to-become-law\">CARE Courts\u003c/a>, where judges issue treatment plans, are scheduled to roll out in eight counties this fall. \u003c/p>\u003c/div>",
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"content": "‘When people are told that they have to go to court to get what they should be getting voluntarily in the community, and then they get a care plan that subjugates them to services that still do not meet their cultural needs, that is not compassion.’",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>To opponents, California is reverting to a draconian policy of locking people up just for being sick, but psychiatrists argue they are seeking a modest update to \u003ca href=\"https://www.lacourt.org/division/mentalhealth/MH0017.aspx\">a 56-year-old law\u003c/a>. Without more intervention options, they say, patients will continue to cycle into the emergency room and back to the street.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>“We are doctors who have to watch these people die,” said Dr. Emily Wood of the\u003ca href=\"https://www.calpsychiatrists.org/\"> California State Association of Psychiatrists\u003c/a>, a sponsor of the conservatorship bill,\u003ca href=\"https://leginfo.legislature.ca.gov/faces/billNavClient.xhtml?bill_id=202320240SB43\"> SB 43\u003c/a>. “We have to talk to their families who know that they need that care, and we have to say we don’t have any legal basis to bring them into the hospital right now.”\u003c/p>\n\u003cp>Under current state law, a person can be held in the hospital involuntarily if they are a danger to themselves or others, or if they are unable to seek food, clothing or shelter as a result of mental illness or alcoholism. Doctors want to incorporate substance use disorder into the law and include in the criteria the inability to look out for one’s own safety and medical care. (Mental health conservatorship is separate from the \u003ca href=\"https://www.scscourt.org/self_help/probate/conservatorship/conservatorship_overview.shtml\">probate conservatorship\u003c/a> that Brittney Spears was held under.)\u003c/p>\n\u003cp>Dr. Wood, who practices in Los Angeles, gave two examples of people she and her colleagues tried to care for, but who slipped through the cracks under the current rules: a man didn’t take his diabetes medication because he wasn’t taking his schizophrenia medication and didn’t understand the consequences of not managing either condition. He repeatedly ended up in the ER with dangerously high blood sugar, but no one could compel him to take either medication, because poorly managing one’s health is not a trigger for conservatorship.\u003c/p>\n\u003cp>Another man had a developmental disability that was never treated in childhood and developed an addiction to methamphetamine in his 20s. He’s now regularly found sleeping in a park and acting inappropriately in public. His family begged doctors to treat him, but they can’t because drug misuse is not a trigger for conservatorship.\u003c/p>\n\u003cp>To Dr. Wood, treating these people, even when they’re unable to consent, is the compassionate, moral thing to do.\u003c/p>\n\u003cp>“It’s essential that we respect all the rights of our patients, including the right to receive care from us,” she said.\u003c/p>\n\u003cp>But other advocates and people with mental illness see the issue very differently. Lawyers from the nonprofit \u003ca href=\"https://www.disabilityrightsca.org/\">Disability Rights California\u003c/a> say the expansion of conservatorship and the advance of CARE Courts are misguided, focused on depriving people of their liberty and privacy, instead of investing in better voluntary mental health services that maintain people’s dignity and civil rights. The group filed a lawsuit to try \u003ca href=\"https://www.disabilityrightsca.org/press-release/disability-rights-advocates-file-petition-challenging-the-constitutional-validity-of\">to block the implementation\u003c/a> of CARE Courts.\u003c/p>\n\u003cp>They’re concerned that people of color, specifically Black residents who are overrepresented in the homeless population and \u003ca href=\"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4274585/\" target=\"_blank\" rel=\"noopener\">overdiagnosed\u003c/a> with schizophrenia, will be disproportionately targeted by these more forceful measures.\u003c/p>\n\u003cp>“When people are told that they have to go to court to get what they should be getting voluntarily in the community, and then they get a care plan that subjugates them to services that still do not meet their cultural needs, that is not compassion,” said Keris Myrick, an advocate who has schizophrenia and has experienced homelessness.\u003c/p>\n\u003cp>Opponents’ other main objection is focused on capacity. Once people are compelled into treatment, where in the overextended, understaffed public mental health system are they supposed to go? Already, there aren’t enough psychiatric hospital beds or appropriate substance abuse centers or housing options for the people who need them, said Michelle Doty Cabrera, executive director of the \u003ca href=\"https://www.cbhda.org/\">California Behavioral Health Directors Association\u003c/a>.\u003c/p>\n\u003cp>“Expanding conservatorships doesn’t solve for those structural issues around the lack of housing and the lack of funding for treatment services,” she said.\u003c/p>\n\u003cp>Cabrera’s group also questions the premise that forced treatment works. Especially when it comes to substance use disorder,\u003ca href=\"https://pubmed.ncbi.nlm.nih.gov/26790691/\"> research suggests\u003c/a> compulsory treatment is less effective and could even be harmful, elevating overdose risk. In Massachusetts, people who were involuntarily committed for drug treatment\u003ca href=\"https://www.mass.gov/service-details/chapter-55-overdose-report\"> were twice as likely to die\u003c/a> from an overdose as those who received treatment willingly.\u003c/p>\n\u003cp>More broadly, if the ultimate goal of forced treatment is reducing homelessness — and easing the moral heartbreak of witnessing ill people sleeping on the street or using drugs in the open — then lawmakers are writing the wrong prescription, some researchers say.\u003c/p>\n\u003cp>“The problem of homelessness is that people don’t have housing,” said Dr. Margot Kushel, director of the UCSF’s\u003ca href=\"https://homelessness.ucsf.edu/\"> Benioff Homelessness and Housing Initiative\u003c/a>. “If you had all the treatment in the world and you didn’t have the housing, we would still have this problem.”\u003c/p>\n\u003cp>She compares homelessness to a game of musical chairs, where the kid on crutches is the one left standing when the music stops. In California, there are \u003ca href=\"https://nlihc.org/gap\">24 units of affordable housing\u003c/a> for every 100 very low-income households, she said, and people with mental illness or substance use disorder are the ones who have the hardest time competing for those scarce spots. That’s why they’re overrepresented among the homeless population, she said, not because conservatorship laws aren’t strong enough.\u003c/p>\n\u003cp>“If you try to fix the problem of homelessness by tinkering with the health care system, we’re not going to get anywhere,” Kushel said.\u003c/p>\n\u003cp>Supporters of involuntary commitments say both are needed: treatment and housing. The same lawmakers who are backing expanded conservatorship and CARE Courts are also backing efforts to increase the housing supply, including \u003ca href=\"https://www.gov.ca.gov/2023/03/19/governor-newsom-proposes-modernization-of-californias-behavioral-health-system-and-more-mental-health-housing/\">a $3 billion bond measure\u003c/a> for the construction of small, neighborhood-oriented residences for people with mental illness.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>“They need housing, but they need additional support so that they can thrive,” said Sen. Scott Wiener. “It is neither progressive nor compassionate to just sit by and let people deteriorate, fall apart and ultimately die on our streets. That is the opposite of progressive.”\u003c/p>\n\n\u003c/div>\u003c/p>",
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"content": "\u003cp>\u003cem>This episode contains mentions of suicide.\u003c/em>\u003c/p>\n\u003cp>\u003cspan style=\"font-weight: 400\">Too often, psychosis isn’t treated until it’s too late. But studies from early psychosis clinics show that patients see \u003c/span>\u003ca href=\"https://pubmed.ncbi.nlm.nih.gov/26481174/\">\u003cspan style=\"font-weight: 400\">a greater reduction of symptoms\u003c/span>\u003c/a>\u003cspan style=\"font-weight: 400\">, like voices or delusions, and a greater improvement in functioning at school, at work and in their social lives, compared to people who get treatment as usual.\u003c/span>\u003c/p>\n\u003cp>\u003cspan style=\"font-weight: 400\">But too often, private insurers don’t cover these treatments, leaving many families to navigate the byzantine system of insurance on their own.\u003c/span>\u003c/p>\n\u003cp>\u003ci>\u003cspan style=\"font-weight: 400\">This episode of The California Report Magazine first aired on \u003c/span>\u003c/i>\u003ca href=\"https://www.kqed.org/science/1981630/proven-schizophrenia-treatments-keep-people-in-school-at-work-and-off-the-street-why-wont-insurance-companies-cover-them\" target=\"_blank\" rel=\"noopener\">\u003ci>\u003cspan style=\"font-weight: 400\">March 1, 2023.\u003c/span>\u003c/i>\u003c/a>\u003c/p>\n\u003cp id=\"embed-code\" class=\"inconsolata\">\n\u003c!-- iframe plugin v.4.3 wordpress.org/plugins/iframe/ -->\u003cbr>\n\u003ciframe loading=\"lazy\" frameborder=\"0\" height=\"200\" scrolling=\"no\" src=\"https://playlist.megaphone.fm/?e=KQINC2389671664&light=true\" width=\"100%\" class=\"iframe-class\">\u003c/iframe>\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\u003cp>\u003c/p>\n",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>\u003cem>This episode contains mentions of suicide.\u003c/em>\u003c/p>\n\u003cp>\u003cspan style=\"font-weight: 400\">Too often, psychosis isn’t treated until it’s too late. But studies from early psychosis clinics show that patients see \u003c/span>\u003ca href=\"https://pubmed.ncbi.nlm.nih.gov/26481174/\">\u003cspan style=\"font-weight: 400\">a greater reduction of symptoms\u003c/span>\u003c/a>\u003cspan style=\"font-weight: 400\">, like voices or delusions, and a greater improvement in functioning at school, at work and in their social lives, compared to people who get treatment as usual.\u003c/span>\u003c/p>\n\u003cp>\u003cspan style=\"font-weight: 400\">But too often, private insurers don’t cover these treatments, leaving many families to navigate the byzantine system of insurance on their own.\u003c/span>\u003c/p>\n\u003cp>\u003ci>\u003cspan style=\"font-weight: 400\">This episode of The California Report Magazine first aired on \u003c/span>\u003c/i>\u003ca href=\"https://www.kqed.org/science/1981630/proven-schizophrenia-treatments-keep-people-in-school-at-work-and-off-the-street-why-wont-insurance-companies-cover-them\" target=\"_blank\" rel=\"noopener\">\u003ci>\u003cspan style=\"font-weight: 400\">March 1, 2023.\u003c/span>\u003c/i>\u003c/a>\u003c/p>\n\u003cp id=\"embed-code\" class=\"inconsolata\">\n\u003c!-- iframe plugin v.4.3 wordpress.org/plugins/iframe/ -->\u003cbr>\n\u003ciframe loading=\"lazy\" frameborder=\"0\" height=\"200\" scrolling=\"no\" src=\"https://playlist.megaphone.fm/?e=KQINC2389671664&light=true\" width=\"100%\" class=\"iframe-class\">\u003c/iframe>\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"slug": "on-medi-cal-eligibility-changes-starting-in-april-could-mean-you-lose-coverage-heres-what-to-do",
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"content": "\u003cp>Starting April 1, Californians who depend on \u003ca href=\"https://www.dhcs.ca.gov/Pages/myMedi-Cal.aspx\">Medi-Cal\u003c/a> — the state’s Medicaid health care program — for their health care expenses will need to once again \u003ca href=\"https://www.dhcs.ca.gov/Pages/Keep-Your-Medi-Cal.aspx\">go through a redetermination process to renew their eligibility and keep their Medi-Cal coverage\u003c/a>.\u003c/p>\n\u003cp>Thanks to \u003ca href=\"https://www.hhs.gov/about/news/2023/02/09/fact-sheet-covid-19-public-health-emergency-transition-roadmap.html\">the federal COVID Public Health Emergency (PHE)\u003c/a> declared in 2020, Medicaid programs around the nation like Medi-Cal have been able to waive annual eligibility requirements. This means that for the past three years, Medicaid beneficiaries had their health care costs covered without having to go through an annual renewal process, which could have found them no longer eligible to receive Medicaid.\u003c/p>\n\u003cp>But at the end of last year, Congress approved the Consolidated Appropriations Act — putting \u003ca href=\"https://www.hhs.gov/about/news/2023/02/09/fact-sheet-covid-19-public-health-emergency-transition-roadmap.html\">an end date of March 31 on automatic Medicaid renewal\u003c/a>.\u003c/p>\n\u003cp>\u003cstrong>Jump to:\u003c/strong>\u003c/p>\n\u003cul>\n\u003cli>\u003cstrong>\u003ca href=\"#keepmedicaid\">What do I need to do to keep my Medi-Cal coverage?\u003c/a>\u003c/strong>\u003c/li>\n\u003cli>\u003cstrong>\u003ca href=\"#helpmedicaid\">Find my Bay Area county’s Medi-Cal office\u003c/a>\u003c/strong>\u003c/li>\n\u003c/ul>\n\u003ch2>Who will be affected by these Medi-Cal changes?\u003c/h2>\n\u003cp>This change will affect the millions of people nationwide who depend on Medicaid to cover essential care, prescriptions and other health care services, including the 12 million people enrolled in Medi-Cal within California.\u003c/p>\n\u003cp>The Urban Institute, a public policy think tank, released a study at the end of 2022 that estimates that \u003ca href=\"https://www.urban.org/research/publication/impact-covid-19-public-health-emergency-expiration-all-types-health-coverage\">18 million people nationwide may lose their Medicaid\u003c/a> coverage during a 14-month period following the end of the PHE — either because they are found to no longer qualify for Medi-Cal, or because they fail to renew on time. \u003ca href=\"https://www.dhcs.ca.gov/Documents/PHE-UOP/Medi-Cal-COVID-19-PHE-Unwinding-Plan.pdf\">In California, that number could be as high as 3 million.\u003c/a>\u003c/p>\n\u003cul>\n\u003cli>\u003cstrong>\u003ca href=\"#tellus\">Tell us: What else do you need information about right now?\u003c/a>\u003c/strong>\u003c/li>\n\u003c/ul>\n\u003cp>Disability rights advocates also worry that the renewal process could leave people without health coverage. “Administrative and procedural barriers can also lead to someone being dis-enrolled, with \u003ca href=\"https://www.teenvogue.com/story/medicaid-coverage-covid\">low-income people and people of color disproportionately at higher risk due to structural inequities\u003c/a>,” wrote San Francisco disability rights activist Alice Wong in a recent column for \u003cem>Teen Vogue.\u003c/em>\u003c/p>\n\u003cp>Individuals who received Medi-Cal benefits before the pandemic began may remember what it’s like to renew eligibility: Your county’s health and human services agency sends to your mailbox a thick packet full of forms to fill out and verify your residency, income, health information and other personal details.\u003c/p>\n\u003cp>But regardless of whether you have been on Medi-Cal for decades, or joined far more recently during the pandemic, \u003ca href=\"https://www.dhcs.ca.gov/Pages/Keep-Your-Medi-Cal.aspx\">the redetermination process will be required for all Medi-Cal beneficiaries\u003c/a>. This means that every single person on Medi-Cal needs to be aware of the coming changes starting in April, to make sure they keep health care coverage in some form.\u003c/p>\n\u003cp>Keep reading for what you need to know.\u003c/p>\n\u003cfigure id=\"attachment_11944676\" class=\"wp-caption alignnone\" style=\"max-width: 1920px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-11944676\" src=\"https://ww2.kqed.org/app/uploads/sites/10/2023/03/pexels-rodnae-productions-7821577.jpg\" alt=\"A photograph shot from behind of two people, whose faces we can't see, operating a laptop to fill out a form.\" width=\"1920\" height=\"1280\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2023/03/pexels-rodnae-productions-7821577.jpg 1920w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/03/pexels-rodnae-productions-7821577-800x533.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/03/pexels-rodnae-productions-7821577-1020x680.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/03/pexels-rodnae-productions-7821577-160x107.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/03/pexels-rodnae-productions-7821577-1536x1024.jpg 1536w\" sizes=\"auto, (max-width: 1920px) 100vw, 1920px\">\u003cfigcaption class=\"wp-caption-text\">Changes are coming to Medi-Cal eligibility, and you’ll have to act to keep coverage. \u003ccite>(RODNAE Productions/Pexels)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003ch2>\u003ca id=\"keepmedicaid\">\u003c/a>On Medi-Cal? Here’s what to expect starting April 1\u003c/h2>\n\u003cp>Nobody will be automatically dropped from their Medi-Cal coverage on April 1, says María Reyes, community health education manager for La Clínica de la Raza, which provides health services to lower-income communities in Alameda, Contra Costa and Solano counties.\u003c/p>\n\u003cp>Instead, that date marks the start of the process to reenroll people on Medi-Cal.\u003c/p>\n\u003cp>Once the Medi-Cal renewal waiver ends on March 31, there will be two ways people can renew their benefits: through the mail or \u003ca href=\"https://www.dhcs.ca.gov/Pages/Keep-Your-Medi-Cal.aspx\">online at the Medi-Cal website\u003c/a>. But it’s important to remember that the deadline to renew will be different for everyone, says Reyes.\u003c/p>\n\u003cp>The deadline to renew your personal coverage, she says, is based on your Medi-Cal “anniversary”:\u003c/p>\n\u003cul>\n\u003cli>If you had Medi-Cal \u003cstrong>before 2020\u003c/strong>, your anniversary is the date when you last renewed your coverage before the pandemic, but:\u003c/li>\n\u003cli>If you enrolled \u003cstrong>after 2020\u003c/strong> and haven’t gone through the renewal process yet, your anniversary falls on the date you first applied.\u003c/li>\n\u003c/ul>\n\u003cp>Reyes recommends that you confirm the exact date of your coverage anniversary — because you should receive a renewal packet in the mail ahead of this date.\u003c/p>\n\u003cp>\u003cstrong>Option 1: Renew your Medi-Cal coverage by mail\u003c/strong>\u003c/p>\n\u003cp>“As people meet their anniversary date, they’ll be getting these packets,” she says, adding that the packets will include a letter with information specific to your coverage. “This letter will let you know you have X amount of time, from the time you receive the letter, to submit your renewal packet and the documents they are requesting from you.”\u003c/p>\n\u003cp>\u003ca href=\"https://calmatters.org/health/2023/03/medi-cal-eligibility-2/\">These packets will be going out in phases monthly up through June 2024\u003c/a>, and will include \u003ca href=\"https://www.dhcs.ca.gov/formsandpubs/forms/Forms/mc210rv-eng.pdf\">an annual redetermination form (PDF)\u003c/a> which asks for information about a beneficiary’s income, living situation and disability status, among other factors. You may be asked to submit additional documents depending on your circumstances. You should fill it out and return it as soon as possible, if you don’t plan on renewing your Medi-Cal online (see Option 2).\u003c/p>\n\u003cp>“If, for some reason, your county office doesn’t get the packet by the deadline, they’ll send another reminder letter letting you know they haven’t received your documents,” Reyes said, adding that there may be a \u003cem>third\u003c/em> letter in the mail if a beneficiary misses the second deadline. There should, she assures, be several opportunities for people to be reminded of this deadline. “It’s not going to be a sudden stop of services,” she said.\u003c/p>\n\u003cp>\u003cstrong>Option 2: Renew your Medi-Cal coverage online\u003c/strong>\u003c/p>\n\u003cp>In some cases, you may be able to renew online. In the Bay Area, counties use either one of two renewal portals:\u003c/p>\n\u003cul>\n\u003cli>If you live in Alameda, San Francisco, San Mateo, Solano and Sonoma counties, visit \u003ca href=\"https://www.mybenefitscalwin.org/#/home\">MyBenefitsCalWin\u003c/a> to renew your Medi-Cal.\u003c/li>\n\u003cli>If you live in Contra Costa, Marin, Napa or Santa Clara counties, visit \u003ca href=\"https://benefitscal.com/\">BenefitsCal\u003c/a> to renew your Medi-Cal.\u003c/li>\n\u003c/ul>\n\u003cp>If you live somewhere else in California, \u003ca href=\"https://www.dhcs.ca.gov/Pages/Keep-Your-Medi-Cal.aspx\">see which website your county uses for your to renew your Medi-Cal\u003c/a>.\u003c/p>\n\u003ch2>What if I am found to no longer be eligible for Medi-Cal?\u003c/h2>\n\u003cp>If you don’t renew your Medi-Cal by the deadline (see Options 1 and 2, in the previous section), or are found to no longer be eligible, you’ll be removed from Medi-Cal coverage. And if that happens, you’ll have other options for subsidized health care coverage — but at a cost.\u003c/p>\n\u003cp>Yingjia Huang, assistant deputy director for health care benefits and eligibility at the Department of Health Care Services, told CalMatters that \u003ca href=\"https://calmatters.org/health/2023/03/medi-cal-eligibility-2/\">if you no longer qualify for Medi-Cal because your income has gone up, you’ll be “automatically” transitioned\u003c/a> into a similar plan through Covered California. “The system automatically will review their eligibility for Covered California, and Covered California will send out the enrollment notice to the member, informing them of their options and to pay the plan premium,” said Huang. There’ll be “no administrative burden on a member,” she stressed.\u003c/p>\n\u003cp>But of course, this may come with a new monthly premium that many folks on Medi-Cal haven’t had to pay before — and might not feel able to when factoring in their other expenses.\u003c/p>\n\u003cp>The state emphasizes that \u003ca href=\"https://www.coveredca.com/marketing-blog/health-insurance-costs-less-thanks-to-the-inflation-reduction-act/\">nearly half of people getting health care through Covered California pay less than $50\u003c/a>, while nearly a quarter of people don’t pay a monthly premium at all.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003ch2>What happens if I don’t get my renewal packet in the mail?\u003c/h2>\n\u003cp>Reyes is keen to reiterate that no one will be automatically dropped from their Medi-Cal coverage on April 1. “Starting on that date, people should be on the lookout for these renewal packages that they will need to complete,” she said.\u003c/p>\n\u003cp>If your coverage anniversary rolls around and you have not received a renewal packet, there may be several possibilities to explain why:\u003c/p>\n\u003cul>\n\u003cli>You may have the wrong date on file for your anniversary, or:\u003c/li>\n\u003cli>Your county may be sending the packet to an old address (more likely \u003ca href=\"https://www.sfhsa.org/services/health/medi-cal/renew-your-medi-cal-coverage\">if you moved during the pandemic\u003c/a>).\u003c/li>\n\u003c/ul>\n\u003cp>In either case, you should confirm your information with your county directly. You can do this online:\u003c/p>\n\u003cul>\n\u003cli>If you live in Alameda, San Francisco, San Mateo, Solano and Sonoma counties, visit \u003ca href=\"https://www.mybenefitscalwin.org/#/home\">MyBenefitsCalWin\u003c/a> to update your Medi-Cal contact information.\u003c/li>\n\u003cli>If you live in Contra Costa, Marin, Napa or Santa Clara counties, visit \u003ca href=\"https://benefitscal.com/\">BenefitsCal\u003c/a> to update your Medi-Cal contact information.\u003c/li>\n\u003c/ul>\n\u003cp>You can also contact the office in your county that manages Medi-Cal enrollment. Find your county in the list below.\u003c/p>\n\u003ch2>\u003ca id=\"helpmedicaid\">\u003c/a>Get direct assistance with Medi-Cal and update your contact details\u003c/h2>\n\u003cp>\u003cstrong>Alameda County\u003c/strong>: \u003ca href=\"https://www.alamedacountysocialservices.org/our-services/Health-and-Food/Medi-Cal/index\">Social Services Agency\u003c/a>, 24100 Amador Street, Hayward; call (888) 999-4772.\u003c/p>\n\u003cp>\u003cstrong>Contra Costa County\u003c/strong>: \u003ca href=\"https://ehsd.org/benefits/medi-cal-and-health-coverage-options/\">Employment and Human Services\u003c/a>, multiple addresses; call (866) 663-3225.\u003c/p>\n\u003cp>\u003cstrong>Marin County\u003c/strong>: \u003ca href=\"https://www.marinhhs.org/medi-cal\">Health and Human Services\u003c/a>, 120 N. Redwood Drive, San Rafael; call (877) 410-8817.\u003c/p>\n\u003cp>\u003cstrong>Napa County\u003c/strong>: \u003ca href=\"https://www.countyofnapa.org/3304/Self-Sufficiency-Services\">Health and Human Services\u003c/a>, 2751 Napa Valley Corporate Drive, Napa; call (707) 253-4511.\u003c/p>\n\u003cp>\u003cstrong>San Francisco\u003c/strong>: \u003ca href=\"https://www.sfhsa.org/services/health/medi-cal/renew-your-medi-cal-coverage\">Human Services Agency\u003c/a>, 1440 Harrison Street, San Francisco; call (415) 558-4700.\u003c/p>\n\u003cp>\u003cstrong>San Mateo County\u003c/strong>: \u003ca href=\"https://www.smcgov.org/hsa/health-coverage\">Human Services\u003c/a>, 400 Harbor Boulevard, Building B, Belmont; call (800) 223-8383.\u003c/p>\n\u003cp>\u003cstrong>Santa Clara County\u003c/strong>: \u003ca href=\"https://socialservices.sccgov.org/health-coverage\">Social Services Agency\u003c/a>, 1867 Senter Road, San José; call (408) 758-3800.\u003c/p>\n\u003cp>\u003cstrong>Solano County\u003c/strong>: \u003ca href=\"https://www.solanocounty.com/depts/hss/ees/medical/default.asp\">Health and Social Services\u003c/a>, multiple addresses; call (707) 784-3900.\u003c/p>\n\u003cp>\u003cstrong>Sonoma County\u003c/strong>: \u003ca href=\"https://sonomacounty.ca.gov/health-and-human-services/human-services/divisions-and-services/economic-assistance/health-care-benefits/medi-cal-and-county-medical-services-program\">Department of Human Services\u003c/a>, 2550 Paulin Drive, Santa Rosa, or 5350 Old Redwood Highway, Suite 100, Petaluma; call (877) 699-6868.\u003c/p>\n\u003ch2>Remember, you don’t have to go through this alone\u003c/h2>\n\u003cp>If you are a parent or caregiver and managing a family all by yourself, working multiple jobs or managing a chronic illness, the Medi-Cal renewal process is another item on a long list of responsibilities you are already juggling. You might also be facing \u003ca href=\"https://www.kqed.org/news/11943420/your-calfresh-benefits-will-drop-in-april-heres-what-you-can-do\">a drop in your CalFresh benefits (SNAP, or food stamps)\u003c/a> at the same time as this Medi-Cal renewal, starting in April.\u003c/p>\n\u003cp>Many organizations across California are helping folks send their renewal packets in on time and keep their coverage. One of them is La Clínica de la Raza, which has set up a service that provides individual assistance to Medi-Cal recipients living in Alameda, Contra Costa or Solano counties while completing the renewal requirements.\u003c/p>\n\u003cp>“We don’t want people to lose coverage, especially because preventative services are important — particularly for those who have chronic conditions,” said Reyes, from La Clínica. “We want to make sure that they’re not at risk of losing coverage, not being able to see their provider, not able to refill their prescriptions. So taking action as soon as possible is important.”\u003c/p>\n\u003cp>If you are on Medi-Cal and live in Alameda, Contra Costa or Solano counties, contact La Clínica de la Raza at (855) 494-4658. Help is available in both English and Spanish.\u003c/p>\n\u003cp>Reyes adds that your county’s social services agency is also a helpful resource when navigating the renewal process and some counties have even set up service centers to answer reenrollment questions in person. \u003ca href=\"#helpmedicaid\">Find contact information for your county’s social services agency (above).\u003c/a>\u003c/p>\n\u003ch2>\u003ca id=\"tellus\">\u003c/a>Tell us: What else do you need information about?\u003c/h2>\n\u003cp>At KQED News, we know that it can sometimes be hard to track down the answers to navigate life in the Bay Area in 2023. We’ve published \u003ca href=\"https://www.kqed.org/news/tag/coronavirus-resources-and-explainers\">clear, helpful explainers and guides about issues like COVID\u003c/a>, \u003ca href=\"https://www.kqed.org/news/11936674/how-to-prepare-for-this-weeks-atmospheric-river-storm-sandbags-emergency-kits-and-more\">how to cope with intense winter weather\u003c/a> and \u003ca href=\"https://www.kqed.org/news/11821950/how-to-safely-attend-a-protest-in-the-bay-area\">how to exercise your right to protest safely\u003c/a>.\u003c/p>\n\u003cp>So tell us: What do you need to know more about? Tell us, and you could see your question answered online or on social media. What you submit will make our reporting stronger, and help us decide what to cover here on our site, and on KQED Public Radio, too.\u003c/p>\n\u003cp>[hearken id=\"10483\" src=\"https://modules.wearehearken.com/kqed/embed/10483.js\"]\u003c/p>\n\u003cp>\u003cem>KQED’s Carly Severn contributed to this story.\u003c/em>\u003c/p>\n\u003cp>[ad floatright]\u003c/p>\n",
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"excerpt": "Starting in April, Californians who depend on Medi-Cal will need to once again renew their eligibility. Here's what you need to know.",
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"title": "On Medi-Cal? Eligibility Changes Starting in April Could Mean You Lose Coverage. Here's What to Do | KQED",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>Starting April 1, Californians who depend on \u003ca href=\"https://www.dhcs.ca.gov/Pages/myMedi-Cal.aspx\">Medi-Cal\u003c/a> — the state’s Medicaid health care program — for their health care expenses will need to once again \u003ca href=\"https://www.dhcs.ca.gov/Pages/Keep-Your-Medi-Cal.aspx\">go through a redetermination process to renew their eligibility and keep their Medi-Cal coverage\u003c/a>.\u003c/p>\n\u003cp>Thanks to \u003ca href=\"https://www.hhs.gov/about/news/2023/02/09/fact-sheet-covid-19-public-health-emergency-transition-roadmap.html\">the federal COVID Public Health Emergency (PHE)\u003c/a> declared in 2020, Medicaid programs around the nation like Medi-Cal have been able to waive annual eligibility requirements. This means that for the past three years, Medicaid beneficiaries had their health care costs covered without having to go through an annual renewal process, which could have found them no longer eligible to receive Medicaid.\u003c/p>\n\u003cp>But at the end of last year, Congress approved the Consolidated Appropriations Act — putting \u003ca href=\"https://www.hhs.gov/about/news/2023/02/09/fact-sheet-covid-19-public-health-emergency-transition-roadmap.html\">an end date of March 31 on automatic Medicaid renewal\u003c/a>.\u003c/p>\n\u003cp>\u003cstrong>Jump to:\u003c/strong>\u003c/p>\n\u003cul>\n\u003cli>\u003cstrong>\u003ca href=\"#keepmedicaid\">What do I need to do to keep my Medi-Cal coverage?\u003c/a>\u003c/strong>\u003c/li>\n\u003cli>\u003cstrong>\u003ca href=\"#helpmedicaid\">Find my Bay Area county’s Medi-Cal office\u003c/a>\u003c/strong>\u003c/li>\n\u003c/ul>\n\u003ch2>Who will be affected by these Medi-Cal changes?\u003c/h2>\n\u003cp>This change will affect the millions of people nationwide who depend on Medicaid to cover essential care, prescriptions and other health care services, including the 12 million people enrolled in Medi-Cal within California.\u003c/p>\n\u003cp>The Urban Institute, a public policy think tank, released a study at the end of 2022 that estimates that \u003ca href=\"https://www.urban.org/research/publication/impact-covid-19-public-health-emergency-expiration-all-types-health-coverage\">18 million people nationwide may lose their Medicaid\u003c/a> coverage during a 14-month period following the end of the PHE — either because they are found to no longer qualify for Medi-Cal, or because they fail to renew on time. \u003ca href=\"https://www.dhcs.ca.gov/Documents/PHE-UOP/Medi-Cal-COVID-19-PHE-Unwinding-Plan.pdf\">In California, that number could be as high as 3 million.\u003c/a>\u003c/p>\n\u003cul>\n\u003cli>\u003cstrong>\u003ca href=\"#tellus\">Tell us: What else do you need information about right now?\u003c/a>\u003c/strong>\u003c/li>\n\u003c/ul>\n\u003cp>Disability rights advocates also worry that the renewal process could leave people without health coverage. “Administrative and procedural barriers can also lead to someone being dis-enrolled, with \u003ca href=\"https://www.teenvogue.com/story/medicaid-coverage-covid\">low-income people and people of color disproportionately at higher risk due to structural inequities\u003c/a>,” wrote San Francisco disability rights activist Alice Wong in a recent column for \u003cem>Teen Vogue.\u003c/em>\u003c/p>\n\u003cp>Individuals who received Medi-Cal benefits before the pandemic began may remember what it’s like to renew eligibility: Your county’s health and human services agency sends to your mailbox a thick packet full of forms to fill out and verify your residency, income, health information and other personal details.\u003c/p>\n\u003cp>But regardless of whether you have been on Medi-Cal for decades, or joined far more recently during the pandemic, \u003ca href=\"https://www.dhcs.ca.gov/Pages/Keep-Your-Medi-Cal.aspx\">the redetermination process will be required for all Medi-Cal beneficiaries\u003c/a>. This means that every single person on Medi-Cal needs to be aware of the coming changes starting in April, to make sure they keep health care coverage in some form.\u003c/p>\n\u003cp>Keep reading for what you need to know.\u003c/p>\n\u003cfigure id=\"attachment_11944676\" class=\"wp-caption alignnone\" style=\"max-width: 1920px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-11944676\" src=\"https://ww2.kqed.org/app/uploads/sites/10/2023/03/pexels-rodnae-productions-7821577.jpg\" alt=\"A photograph shot from behind of two people, whose faces we can't see, operating a laptop to fill out a form.\" width=\"1920\" height=\"1280\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2023/03/pexels-rodnae-productions-7821577.jpg 1920w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/03/pexels-rodnae-productions-7821577-800x533.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/03/pexels-rodnae-productions-7821577-1020x680.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/03/pexels-rodnae-productions-7821577-160x107.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/03/pexels-rodnae-productions-7821577-1536x1024.jpg 1536w\" sizes=\"auto, (max-width: 1920px) 100vw, 1920px\">\u003cfigcaption class=\"wp-caption-text\">Changes are coming to Medi-Cal eligibility, and you’ll have to act to keep coverage. \u003ccite>(RODNAE Productions/Pexels)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003ch2>\u003ca id=\"keepmedicaid\">\u003c/a>On Medi-Cal? Here’s what to expect starting April 1\u003c/h2>\n\u003cp>Nobody will be automatically dropped from their Medi-Cal coverage on April 1, says María Reyes, community health education manager for La Clínica de la Raza, which provides health services to lower-income communities in Alameda, Contra Costa and Solano counties.\u003c/p>\n\u003cp>Instead, that date marks the start of the process to reenroll people on Medi-Cal.\u003c/p>\n\u003cp>Once the Medi-Cal renewal waiver ends on March 31, there will be two ways people can renew their benefits: through the mail or \u003ca href=\"https://www.dhcs.ca.gov/Pages/Keep-Your-Medi-Cal.aspx\">online at the Medi-Cal website\u003c/a>. But it’s important to remember that the deadline to renew will be different for everyone, says Reyes.\u003c/p>\n\u003cp>The deadline to renew your personal coverage, she says, is based on your Medi-Cal “anniversary”:\u003c/p>\n\u003cul>\n\u003cli>If you had Medi-Cal \u003cstrong>before 2020\u003c/strong>, your anniversary is the date when you last renewed your coverage before the pandemic, but:\u003c/li>\n\u003cli>If you enrolled \u003cstrong>after 2020\u003c/strong> and haven’t gone through the renewal process yet, your anniversary falls on the date you first applied.\u003c/li>\n\u003c/ul>\n\u003cp>Reyes recommends that you confirm the exact date of your coverage anniversary — because you should receive a renewal packet in the mail ahead of this date.\u003c/p>\n\u003cp>\u003cstrong>Option 1: Renew your Medi-Cal coverage by mail\u003c/strong>\u003c/p>\n\u003cp>“As people meet their anniversary date, they’ll be getting these packets,” she says, adding that the packets will include a letter with information specific to your coverage. “This letter will let you know you have X amount of time, from the time you receive the letter, to submit your renewal packet and the documents they are requesting from you.”\u003c/p>\n\u003cp>\u003ca href=\"https://calmatters.org/health/2023/03/medi-cal-eligibility-2/\">These packets will be going out in phases monthly up through June 2024\u003c/a>, and will include \u003ca href=\"https://www.dhcs.ca.gov/formsandpubs/forms/Forms/mc210rv-eng.pdf\">an annual redetermination form (PDF)\u003c/a> which asks for information about a beneficiary’s income, living situation and disability status, among other factors. You may be asked to submit additional documents depending on your circumstances. You should fill it out and return it as soon as possible, if you don’t plan on renewing your Medi-Cal online (see Option 2).\u003c/p>\n\u003cp>“If, for some reason, your county office doesn’t get the packet by the deadline, they’ll send another reminder letter letting you know they haven’t received your documents,” Reyes said, adding that there may be a \u003cem>third\u003c/em> letter in the mail if a beneficiary misses the second deadline. There should, she assures, be several opportunities for people to be reminded of this deadline. “It’s not going to be a sudden stop of services,” she said.\u003c/p>\n\u003cp>\u003cstrong>Option 2: Renew your Medi-Cal coverage online\u003c/strong>\u003c/p>\n\u003cp>In some cases, you may be able to renew online. In the Bay Area, counties use either one of two renewal portals:\u003c/p>\n\u003cul>\n\u003cli>If you live in Alameda, San Francisco, San Mateo, Solano and Sonoma counties, visit \u003ca href=\"https://www.mybenefitscalwin.org/#/home\">MyBenefitsCalWin\u003c/a> to renew your Medi-Cal.\u003c/li>\n\u003cli>If you live in Contra Costa, Marin, Napa or Santa Clara counties, visit \u003ca href=\"https://benefitscal.com/\">BenefitsCal\u003c/a> to renew your Medi-Cal.\u003c/li>\n\u003c/ul>\n\u003cp>If you live somewhere else in California, \u003ca href=\"https://www.dhcs.ca.gov/Pages/Keep-Your-Medi-Cal.aspx\">see which website your county uses for your to renew your Medi-Cal\u003c/a>.\u003c/p>\n\u003ch2>What if I am found to no longer be eligible for Medi-Cal?\u003c/h2>\n\u003cp>If you don’t renew your Medi-Cal by the deadline (see Options 1 and 2, in the previous section), or are found to no longer be eligible, you’ll be removed from Medi-Cal coverage. And if that happens, you’ll have other options for subsidized health care coverage — but at a cost.\u003c/p>\n\u003cp>Yingjia Huang, assistant deputy director for health care benefits and eligibility at the Department of Health Care Services, told CalMatters that \u003ca href=\"https://calmatters.org/health/2023/03/medi-cal-eligibility-2/\">if you no longer qualify for Medi-Cal because your income has gone up, you’ll be “automatically” transitioned\u003c/a> into a similar plan through Covered California. “The system automatically will review their eligibility for Covered California, and Covered California will send out the enrollment notice to the member, informing them of their options and to pay the plan premium,” said Huang. There’ll be “no administrative burden on a member,” she stressed.\u003c/p>\n\u003cp>But of course, this may come with a new monthly premium that many folks on Medi-Cal haven’t had to pay before — and might not feel able to when factoring in their other expenses.\u003c/p>\n\u003cp>The state emphasizes that \u003ca href=\"https://www.coveredca.com/marketing-blog/health-insurance-costs-less-thanks-to-the-inflation-reduction-act/\">nearly half of people getting health care through Covered California pay less than $50\u003c/a>, while nearly a quarter of people don’t pay a monthly premium at all.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003ch2>What happens if I don’t get my renewal packet in the mail?\u003c/h2>\n\u003cp>Reyes is keen to reiterate that no one will be automatically dropped from their Medi-Cal coverage on April 1. “Starting on that date, people should be on the lookout for these renewal packages that they will need to complete,” she said.\u003c/p>\n\u003cp>If your coverage anniversary rolls around and you have not received a renewal packet, there may be several possibilities to explain why:\u003c/p>\n\u003cul>\n\u003cli>You may have the wrong date on file for your anniversary, or:\u003c/li>\n\u003cli>Your county may be sending the packet to an old address (more likely \u003ca href=\"https://www.sfhsa.org/services/health/medi-cal/renew-your-medi-cal-coverage\">if you moved during the pandemic\u003c/a>).\u003c/li>\n\u003c/ul>\n\u003cp>In either case, you should confirm your information with your county directly. You can do this online:\u003c/p>\n\u003cul>\n\u003cli>If you live in Alameda, San Francisco, San Mateo, Solano and Sonoma counties, visit \u003ca href=\"https://www.mybenefitscalwin.org/#/home\">MyBenefitsCalWin\u003c/a> to update your Medi-Cal contact information.\u003c/li>\n\u003cli>If you live in Contra Costa, Marin, Napa or Santa Clara counties, visit \u003ca href=\"https://benefitscal.com/\">BenefitsCal\u003c/a> to update your Medi-Cal contact information.\u003c/li>\n\u003c/ul>\n\u003cp>You can also contact the office in your county that manages Medi-Cal enrollment. Find your county in the list below.\u003c/p>\n\u003ch2>\u003ca id=\"helpmedicaid\">\u003c/a>Get direct assistance with Medi-Cal and update your contact details\u003c/h2>\n\u003cp>\u003cstrong>Alameda County\u003c/strong>: \u003ca href=\"https://www.alamedacountysocialservices.org/our-services/Health-and-Food/Medi-Cal/index\">Social Services Agency\u003c/a>, 24100 Amador Street, Hayward; call (888) 999-4772.\u003c/p>\n\u003cp>\u003cstrong>Contra Costa County\u003c/strong>: \u003ca href=\"https://ehsd.org/benefits/medi-cal-and-health-coverage-options/\">Employment and Human Services\u003c/a>, multiple addresses; call (866) 663-3225.\u003c/p>\n\u003cp>\u003cstrong>Marin County\u003c/strong>: \u003ca href=\"https://www.marinhhs.org/medi-cal\">Health and Human Services\u003c/a>, 120 N. Redwood Drive, San Rafael; call (877) 410-8817.\u003c/p>\n\u003cp>\u003cstrong>Napa County\u003c/strong>: \u003ca href=\"https://www.countyofnapa.org/3304/Self-Sufficiency-Services\">Health and Human Services\u003c/a>, 2751 Napa Valley Corporate Drive, Napa; call (707) 253-4511.\u003c/p>\n\u003cp>\u003cstrong>San Francisco\u003c/strong>: \u003ca href=\"https://www.sfhsa.org/services/health/medi-cal/renew-your-medi-cal-coverage\">Human Services Agency\u003c/a>, 1440 Harrison Street, San Francisco; call (415) 558-4700.\u003c/p>\n\u003cp>\u003cstrong>San Mateo County\u003c/strong>: \u003ca href=\"https://www.smcgov.org/hsa/health-coverage\">Human Services\u003c/a>, 400 Harbor Boulevard, Building B, Belmont; call (800) 223-8383.\u003c/p>\n\u003cp>\u003cstrong>Santa Clara County\u003c/strong>: \u003ca href=\"https://socialservices.sccgov.org/health-coverage\">Social Services Agency\u003c/a>, 1867 Senter Road, San José; call (408) 758-3800.\u003c/p>\n\u003cp>\u003cstrong>Solano County\u003c/strong>: \u003ca href=\"https://www.solanocounty.com/depts/hss/ees/medical/default.asp\">Health and Social Services\u003c/a>, multiple addresses; call (707) 784-3900.\u003c/p>\n\u003cp>\u003cstrong>Sonoma County\u003c/strong>: \u003ca href=\"https://sonomacounty.ca.gov/health-and-human-services/human-services/divisions-and-services/economic-assistance/health-care-benefits/medi-cal-and-county-medical-services-program\">Department of Human Services\u003c/a>, 2550 Paulin Drive, Santa Rosa, or 5350 Old Redwood Highway, Suite 100, Petaluma; call (877) 699-6868.\u003c/p>\n\u003ch2>Remember, you don’t have to go through this alone\u003c/h2>\n\u003cp>If you are a parent or caregiver and managing a family all by yourself, working multiple jobs or managing a chronic illness, the Medi-Cal renewal process is another item on a long list of responsibilities you are already juggling. You might also be facing \u003ca href=\"https://www.kqed.org/news/11943420/your-calfresh-benefits-will-drop-in-april-heres-what-you-can-do\">a drop in your CalFresh benefits (SNAP, or food stamps)\u003c/a> at the same time as this Medi-Cal renewal, starting in April.\u003c/p>\n\u003cp>Many organizations across California are helping folks send their renewal packets in on time and keep their coverage. One of them is La Clínica de la Raza, which has set up a service that provides individual assistance to Medi-Cal recipients living in Alameda, Contra Costa or Solano counties while completing the renewal requirements.\u003c/p>\n\u003cp>“We don’t want people to lose coverage, especially because preventative services are important — particularly for those who have chronic conditions,” said Reyes, from La Clínica. “We want to make sure that they’re not at risk of losing coverage, not being able to see their provider, not able to refill their prescriptions. So taking action as soon as possible is important.”\u003c/p>\n\u003cp>If you are on Medi-Cal and live in Alameda, Contra Costa or Solano counties, contact La Clínica de la Raza at (855) 494-4658. Help is available in both English and Spanish.\u003c/p>\n\u003cp>Reyes adds that your county’s social services agency is also a helpful resource when navigating the renewal process and some counties have even set up service centers to answer reenrollment questions in person. \u003ca href=\"#helpmedicaid\">Find contact information for your county’s social services agency (above).\u003c/a>\u003c/p>\n\u003ch2>\u003ca id=\"tellus\">\u003c/a>Tell us: What else do you need information about?\u003c/h2>\n\u003cp>At KQED News, we know that it can sometimes be hard to track down the answers to navigate life in the Bay Area in 2023. We’ve published \u003ca href=\"https://www.kqed.org/news/tag/coronavirus-resources-and-explainers\">clear, helpful explainers and guides about issues like COVID\u003c/a>, \u003ca href=\"https://www.kqed.org/news/11936674/how-to-prepare-for-this-weeks-atmospheric-river-storm-sandbags-emergency-kits-and-more\">how to cope with intense winter weather\u003c/a> and \u003ca href=\"https://www.kqed.org/news/11821950/how-to-safely-attend-a-protest-in-the-bay-area\">how to exercise your right to protest safely\u003c/a>.\u003c/p>\n\u003cp>So tell us: What do you need to know more about? Tell us, and you could see your question answered online or on social media. What you submit will make our reporting stronger, and help us decide what to cover here on our site, and on KQED Public Radio, too.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>\u003cem>KQED’s Carly Severn contributed to this story.\u003c/em>\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"slug": "san-francisco-will-allow-city-officials-to-fundraise-for-safe-consumption-sites",
"title": "San Francisco Will Allow City Officials to Fundraise for Safe-Consumption Sites",
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"content": "\u003cp>San Francisco leaders are making an exception to their own ethics policy so city officials can solicit donations for safe-consumption sites.\u003c/p>\n\u003cp>The Board of Supervisors passed a resolution on Tuesday that allows Mayor London Breed, her officers and officials at the Department of Public Health to seek out donations for nonprofits, which would then use the private funds to operate safe-consumption sites, where medical staff can supervise people using drugs and respond if there is an overdose.\u003c/p>\n\u003cp>The vote allows city leaders to bypass an ethics policy put in place after a \u003ca href=\"https://sfstandard.com/politics/city-hall/after-nuru-scandal-sf-anti-corruption-proposal-seeks-to-prevent-bribes-cloaked-as-donations/\">recent corruption scandal surrounding the Department of Public Works\u003c/a>. Today, city leaders are largely prohibited from soliciting behested payments, which include donations made by individuals, foundations or companies at the request of a public official, either to a city department or nonprofit.\u003c/p>\n\u003cp>Supporters of the \u003ca href=\"https://sfgov.legistar.com/View.ashx?M=F&ID=11602593&GUID=162FF29F-60F8-457A-8D1C-B3E56D2921F2\">resolution (PDF)\u003c/a> said in a previous hearing that the opioid epidemic is dire, and that directing private donations to nonprofits that will operate safe-consumption sites is an appropriate reason to seek a waiver for the anti-corruption law.\u003c/p>\n\u003cp>The waiver lasts for six months, after which supervisors could potentially reapply for the waiver.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>Watchdogs on the city’s ethics commission did not comment on the specific proposal, but said the rules are in place to uphold good governance and that waivers are permitted.\u003c/p>\n\u003cp>“The prohibition on soliciting behested payments is an important pillar of the city’s ethics rules. These rules help ensure that government decisions are made on the merits and that special interests can’t use charitable donations to curry favor with public officials,” Michael Canning, policy and legislative affairs manager for the San Francisco Ethics Commission, told KQED. “Any waivers issued for these rules should be carefully considered, serve the public interest, and not create an appearance of impropriety in the eyes of the public.”\u003c/p>\n\u003cp>San Francisco officials are largely in agreement that safe-consumption sites are a tool they want to employ to help reduce overdose deaths. Currently, \u003ca href=\"https://www.kqed.org/news/11943309/sf-supervisors-carve-path-for-privately-run-safe-consumption-sites-but-can-nonprofits-fund-them-alone\">the city is poised to replicate a model used in New York City\u003c/a>, which has two operating safe-consumption sites privately paid for and operated by nonprofits.\u003c/p>\n\u003cp>[aside postID=news_11943309 hero='https://ww2.kqed.org/app/uploads/sites/10/2023/03/RS63526_011_KQED_GubbioProjectLydiaBransten_03092023-qut-1020x680.jpg']But because safe-consumption sites are still illegal at the state and federal levels, funding them remains a puzzle.\u003c/p>\n\u003cp>This year, San Francisco passed a local policy that would allow the city to move forward with a funding model similar to that in New York.\u003c/p>\n\u003cp>Still, the nonprofits eager to run the services said funding them alone will be difficult. The two sites in New York City, operated by a nonprofit called OnPoint NYC, cost around $1.4 million annually, OnPoint’s executive director Sam Rivera previously stated.\u003c/p>\n\u003cp>The privately run sites in New York provide a calm and sterile indoor space for people with substance use disorders to use drugs in a safer environment and potentially get connected to treatment, city officials who visited told KQED. The program boasts that staff have intervened in 819 overdoses and that zero overdose deaths have occurred there. Mayor Eric Adams has said he wants more of them.\u003c/p>\n\u003cp>There are nearly 200 safe-consumption sites operating around the world, including in Canada, Australia, Norway, Portugal and Spain, and they have had success at keeping drug users alive and reversing opioid overdoses with a medication called naloxone. Also at the sites, patients can typically access a variety of services, such as showers and meals, or sign up for housing and other health programs.\u003c/p>\n\u003cp>San Francisco also ran a safe-consumption site in 2022, as part of Mayor London Breed’s emergency initiative for \u003ca href=\"https://sf.gov/sites/default/files/2023-03/2022_OCME%20Overdose%20Report_0.pdf\">the Tenderloin neighborhood, where a large portion of overdoses in San Francisco have occurred (PDF)\u003c/a>, according to data from the Office of the Chief Medical Examiner.\u003c/p>\n\u003cp>But, Breed ordered that the Department of Public Health shut down the facility after 11 months of operating, stating then that it was never intended to be permanently located at United Nations Plaza, a bustling corridor of businesses, residences, government buildings and public events.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>Many overdose prevention advocates criticized how there was little support for the hundreds of daily visitors at the Tenderloin Center once it abruptly closed. Overdose deaths in the months following slightly increased in San Francisco, according to medical examiner data.\u003c/p>\n\n",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>San Francisco leaders are making an exception to their own ethics policy so city officials can solicit donations for safe-consumption sites.\u003c/p>\n\u003cp>The Board of Supervisors passed a resolution on Tuesday that allows Mayor London Breed, her officers and officials at the Department of Public Health to seek out donations for nonprofits, which would then use the private funds to operate safe-consumption sites, where medical staff can supervise people using drugs and respond if there is an overdose.\u003c/p>\n\u003cp>The vote allows city leaders to bypass an ethics policy put in place after a \u003ca href=\"https://sfstandard.com/politics/city-hall/after-nuru-scandal-sf-anti-corruption-proposal-seeks-to-prevent-bribes-cloaked-as-donations/\">recent corruption scandal surrounding the Department of Public Works\u003c/a>. Today, city leaders are largely prohibited from soliciting behested payments, which include donations made by individuals, foundations or companies at the request of a public official, either to a city department or nonprofit.\u003c/p>\n\u003cp>Supporters of the \u003ca href=\"https://sfgov.legistar.com/View.ashx?M=F&ID=11602593&GUID=162FF29F-60F8-457A-8D1C-B3E56D2921F2\">resolution (PDF)\u003c/a> said in a previous hearing that the opioid epidemic is dire, and that directing private donations to nonprofits that will operate safe-consumption sites is an appropriate reason to seek a waiver for the anti-corruption law.\u003c/p>\n\u003cp>The waiver lasts for six months, after which supervisors could potentially reapply for the waiver.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>Watchdogs on the city’s ethics commission did not comment on the specific proposal, but said the rules are in place to uphold good governance and that waivers are permitted.\u003c/p>\n\u003cp>“The prohibition on soliciting behested payments is an important pillar of the city’s ethics rules. These rules help ensure that government decisions are made on the merits and that special interests can’t use charitable donations to curry favor with public officials,” Michael Canning, policy and legislative affairs manager for the San Francisco Ethics Commission, told KQED. “Any waivers issued for these rules should be carefully considered, serve the public interest, and not create an appearance of impropriety in the eyes of the public.”\u003c/p>\n\u003cp>San Francisco officials are largely in agreement that safe-consumption sites are a tool they want to employ to help reduce overdose deaths. Currently, \u003ca href=\"https://www.kqed.org/news/11943309/sf-supervisors-carve-path-for-privately-run-safe-consumption-sites-but-can-nonprofits-fund-them-alone\">the city is poised to replicate a model used in New York City\u003c/a>, which has two operating safe-consumption sites privately paid for and operated by nonprofits.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>But because safe-consumption sites are still illegal at the state and federal levels, funding them remains a puzzle.\u003c/p>\n\u003cp>This year, San Francisco passed a local policy that would allow the city to move forward with a funding model similar to that in New York.\u003c/p>\n\u003cp>Still, the nonprofits eager to run the services said funding them alone will be difficult. The two sites in New York City, operated by a nonprofit called OnPoint NYC, cost around $1.4 million annually, OnPoint’s executive director Sam Rivera previously stated.\u003c/p>\n\u003cp>The privately run sites in New York provide a calm and sterile indoor space for people with substance use disorders to use drugs in a safer environment and potentially get connected to treatment, city officials who visited told KQED. The program boasts that staff have intervened in 819 overdoses and that zero overdose deaths have occurred there. Mayor Eric Adams has said he wants more of them.\u003c/p>\n\u003cp>There are nearly 200 safe-consumption sites operating around the world, including in Canada, Australia, Norway, Portugal and Spain, and they have had success at keeping drug users alive and reversing opioid overdoses with a medication called naloxone. Also at the sites, patients can typically access a variety of services, such as showers and meals, or sign up for housing and other health programs.\u003c/p>\n\u003cp>San Francisco also ran a safe-consumption site in 2022, as part of Mayor London Breed’s emergency initiative for \u003ca href=\"https://sf.gov/sites/default/files/2023-03/2022_OCME%20Overdose%20Report_0.pdf\">the Tenderloin neighborhood, where a large portion of overdoses in San Francisco have occurred (PDF)\u003c/a>, according to data from the Office of the Chief Medical Examiner.\u003c/p>\n\u003cp>But, Breed ordered that the Department of Public Health shut down the facility after 11 months of operating, stating then that it was never intended to be permanently located at United Nations Plaza, a bustling corridor of businesses, residences, government buildings and public events.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>Many overdose prevention advocates criticized how there was little support for the hundreds of daily visitors at the Tenderloin Center once it abruptly closed. Overdose deaths in the months following slightly increased in San Francisco, according to medical examiner data.\u003c/p>\n\n\u003c/div>\u003c/p>",
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"content": "\u003cp>\u003cem>Updated Sunday at 2 p.m.\u003c/em>\u003c/p>\n\u003cp>The state of California and a generic drug manufacturer announced a 10-year partnership Saturday to produce affordable, state-branded insulin that they hope will rival longtime producers and push down prices for a medication used by millions of Americans.\u003c/p>\n\u003cp>The product is not expected on store shelves until at least next year, and it was difficult to predict what effect it would have on a market already shaken by change. Earlier this week another major insulin maker promised steep price cuts as pressure builds on drugmakers and insurers to slash the cost of the drug.\u003c/p>\n\u003cp>For those who have been fighting for insulin access, it is a welcome win. “I am elated. I was getting texts all yesterday and the day before,” said Kevin Wren, a patient advocate and volunteer with California \u003ca href=\"https://www.t1international.com/CA/\">#Insulin4All\u003c/a>. “This is huge for everyone with diabetes.”\u003c/p>\n\u003cp>Wren said the price of insulin has risen exponentially since he was diagnosed with diabetes in 2001. “I survived when many have not,” Wren said. He added that something like this on the state level is a win for everyone, especially for those with insulin-dependent diabetes in California.\u003c/p>\n\u003cp>“We’re getting another, other major win in the fight for insulin access,” he said. Back in 2009, he rationed his own insulin because he didn’t have enough money to afford the cost of rent and groceries in addition to insulin — “making one vial last twice as long by having smaller doses or using less and just letting my blood sugar run high, which makes you feel terrible,” Wren said.\u003c/p>\n\u003cp>#Insulin4All is trying to work at the federal level to advocate for a price cap on insulin nationwide.\u003c/p>\n\u003cp>https://twitter.com/KQEDnews/status/1637163217398173696\u003c/p>\n\u003cp>Democratic Gov. Gavin Newsom said he hoped California’s emergence as an insulin-maker would prompt prices to collapse. Research has shown that \u003ca href=\"https://apnews.com/article/health-prices-diabetes-congress-a2f9986b7bf3500b81d1ec80a01e5abb\">prices for the drug have more than tripled\u003c/a> in the past couple of decades.\u003c/p>\n\u003cp>“We are intent to make this about market disruption,” Newsom said at a ceremony announcing the pact at a pharmaceutical warehouse near Los Angeles. He called it “a game changer” for 8 million Americans who use insulin to treat diabetes.[aside label=\"Related Stories\" postID=\"news_11937977,news_11920898\"]Many questions remain. The state and its partner, the nonprofit \u003ca href=\"https://civicarx.org/\">Civica\u003c/a>, have yet to locate a California-based manufacturing facility. Regulatory approvals will be needed. Newsom said a 10-milliliter vial of the state-branded insulin would sell for $30, but it’s possible competitors could slash their prices and undercut the state product.\u003c/p>\n\u003cp>“Is this perfect? We don’t know yet,” Newsom acknowledged at one point.\u003c/p>\n\u003cp>Just days ago, President Joe Biden said his administration is focused “intensely” on lowering health care costs, including pressuring pharmaceutical companies to lower the costs of insulin. Legislation enacted last year capped co-payments for insulin at $35 per month for Medicare beneficiaries. Biden has proposed extending that cap to all Americans.\u003c/p>\n\u003cp>Novo Nordisk said Tuesday that \u003ca href=\"https://apnews.com/article/novo-insulin-price-cuts-8c9eed1f35ad81a29653b6061702ef8d\">it will slash some of its U.S. insulin prices up to 75% starting next year\u003c/a>. The announcement comes less than two weeks after rival Eli Lilly said it will drop some of its prices by 70% or more later this year.\u003c/p>\n\u003cp>Anthony Wright, executive director of Health Access California, a statewide consumer health care advocacy group, welcomed Newsom’s announcement, saying efforts by California and others to develop a competing generic are likely a factor in getting insulin manufacturers to cut their prices.[pullquote align=\"right\" size=\"medium\" citation=\"Gov. Gavin Newsom\"]‘We are intent to make this about market disruption.’[/pullquote]Still, there are obstacles.\u003c/p>\n\u003cp>“The work to develop a generic, get FDA approval and set up manufacturing will take real time,” Wright said in an email. “There may even be more time in the effort to get doctors to prescribe the drug, insurers and [pharmacy benefit managers] to include it on their formularies and patients and the public to accept and ask for it.”\u003c/p>\n\u003cp>There could be other risks. State analysts have warned that \u003ca href=\"https://lao.ca.gov/Publications/Report/4560\">California’s entry into the market could prompt other manufacturers to reduce the availability\u003c/a> of their drugs, a potential unintended consequence.\u003c/p>\n\u003cp>State lawmakers approved \u003ca href=\"https://apnews.com/article/health-california-diabetes-government-and-politics-f846c58d4cb327578d1c7b3a9495d496\">$100 million for the project\u003c/a> last year, with $50 million dedicated to developing three types of insulin and the rest set aside to invest in a manufacturing facility.\u003c/p>\n\u003cfigure id=\"attachment_11944052\" class=\"wp-caption alignnone\" style=\"max-width: 800px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-medium wp-image-11944052\" src=\"https://ww2.kqed.org/app/uploads/sites/10/2030/03/GettyImages-1248563230-800x536.jpg\" alt=\"A middle aged woman in a white dress with a face mask talks with a white middle aged man as he smiles with onlookers behind them.\" width=\"800\" height=\"536\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2030/03/GettyImages-1248563230-800x536.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2030/03/GettyImages-1248563230-1020x683.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2030/03/GettyImages-1248563230-160x107.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2030/03/GettyImages-1248563230.jpg 1024w\" sizes=\"(max-width: 800px) 100vw, 800px\">\u003cfigcaption class=\"wp-caption-text\">Dr. Tanya Spirtos, president-elect of the California Medical Association (left), speaks briefly with Gov. Newsom (center) following a press conference. \u003ccite>(Francine Orr/Los Angeles Times via Getty Images)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>Even with the challenges of entering a competitive, established market, Newsom said taxpayers would have “very ample protections.”\u003c/p>\n\u003cp>If for whatever reason the deal didn’t work out to the state’s benefit, “there’s all kinds of provisions that would allow us to … pull out,” he said.\u003c/p>\n\u003cp>According to state documents, the proposed program could save many patients between $2,000 and $4,000 a year. In addition, lower costs could result in substantial savings because the state buys the product every year for the millions of people on its publicly funded health plans.\u003c/p>\n\u003cp>The state also is exploring the possibility of bringing other drugs to market, including the overdose medication \u003ca href=\"https://apnews.com/article/naloxone-narcan-overdose-availability-ec12f62eef12ebc67de77afdbb6f11b9\">naloxone\u003c/a>. The drug, available as a nasal spray and in an injectable form, is considered a key tool in the battle against a nationwide overdose crisis.\u003c/p>\n\u003cp>“We are not stopping here,” Newsom said.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>\u003cem>This post includes additional reporting from \u003ca href=\"https://www.kqed.org/author/lsarah\">KQED’s Lakshmi Sarah\u003c/a>. \u003c/em>\u003c/p>\n\u003cp>\u003c/p>\n",
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"excerpt": "Newsom announced the $50 million deal with Civica Rx, a not-for-profit generic drug producer, to manufacture insulin for CalRx. The governor said a similar plan was underway to produce naloxone — or Narcan — a medicine used to treat opioid overdoses.",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>\u003cem>Updated Sunday at 2 p.m.\u003c/em>\u003c/p>\n\u003cp>The state of California and a generic drug manufacturer announced a 10-year partnership Saturday to produce affordable, state-branded insulin that they hope will rival longtime producers and push down prices for a medication used by millions of Americans.\u003c/p>\n\u003cp>The product is not expected on store shelves until at least next year, and it was difficult to predict what effect it would have on a market already shaken by change. Earlier this week another major insulin maker promised steep price cuts as pressure builds on drugmakers and insurers to slash the cost of the drug.\u003c/p>\n\u003cp>For those who have been fighting for insulin access, it is a welcome win. “I am elated. I was getting texts all yesterday and the day before,” said Kevin Wren, a patient advocate and volunteer with California \u003ca href=\"https://www.t1international.com/CA/\">#Insulin4All\u003c/a>. “This is huge for everyone with diabetes.”\u003c/p>\n\u003cp>Wren said the price of insulin has risen exponentially since he was diagnosed with diabetes in 2001. “I survived when many have not,” Wren said. He added that something like this on the state level is a win for everyone, especially for those with insulin-dependent diabetes in California.\u003c/p>\n\u003cp>“We’re getting another, other major win in the fight for insulin access,” he said. Back in 2009, he rationed his own insulin because he didn’t have enough money to afford the cost of rent and groceries in addition to insulin — “making one vial last twice as long by having smaller doses or using less and just letting my blood sugar run high, which makes you feel terrible,” Wren said.\u003c/p>\n\u003cp>#Insulin4All is trying to work at the federal level to advocate for a price cap on insulin nationwide.\u003c/p>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\n\u003cp>Democratic Gov. Gavin Newsom said he hoped California’s emergence as an insulin-maker would prompt prices to collapse. Research has shown that \u003ca href=\"https://apnews.com/article/health-prices-diabetes-congress-a2f9986b7bf3500b81d1ec80a01e5abb\">prices for the drug have more than tripled\u003c/a> in the past couple of decades.\u003c/p>\n\u003cp>“We are intent to make this about market disruption,” Newsom said at a ceremony announcing the pact at a pharmaceutical warehouse near Los Angeles. He called it “a game changer” for 8 million Americans who use insulin to treat diabetes.\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>Many questions remain. The state and its partner, the nonprofit \u003ca href=\"https://civicarx.org/\">Civica\u003c/a>, have yet to locate a California-based manufacturing facility. Regulatory approvals will be needed. Newsom said a 10-milliliter vial of the state-branded insulin would sell for $30, but it’s possible competitors could slash their prices and undercut the state product.\u003c/p>\n\u003cp>“Is this perfect? We don’t know yet,” Newsom acknowledged at one point.\u003c/p>\n\u003cp>Just days ago, President Joe Biden said his administration is focused “intensely” on lowering health care costs, including pressuring pharmaceutical companies to lower the costs of insulin. Legislation enacted last year capped co-payments for insulin at $35 per month for Medicare beneficiaries. Biden has proposed extending that cap to all Americans.\u003c/p>\n\u003cp>Novo Nordisk said Tuesday that \u003ca href=\"https://apnews.com/article/novo-insulin-price-cuts-8c9eed1f35ad81a29653b6061702ef8d\">it will slash some of its U.S. insulin prices up to 75% starting next year\u003c/a>. The announcement comes less than two weeks after rival Eli Lilly said it will drop some of its prices by 70% or more later this year.\u003c/p>\n\u003cp>Anthony Wright, executive director of Health Access California, a statewide consumer health care advocacy group, welcomed Newsom’s announcement, saying efforts by California and others to develop a competing generic are likely a factor in getting insulin manufacturers to cut their prices.\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>Still, there are obstacles.\u003c/p>\n\u003cp>“The work to develop a generic, get FDA approval and set up manufacturing will take real time,” Wright said in an email. “There may even be more time in the effort to get doctors to prescribe the drug, insurers and [pharmacy benefit managers] to include it on their formularies and patients and the public to accept and ask for it.”\u003c/p>\n\u003cp>There could be other risks. State analysts have warned that \u003ca href=\"https://lao.ca.gov/Publications/Report/4560\">California’s entry into the market could prompt other manufacturers to reduce the availability\u003c/a> of their drugs, a potential unintended consequence.\u003c/p>\n\u003cp>State lawmakers approved \u003ca href=\"https://apnews.com/article/health-california-diabetes-government-and-politics-f846c58d4cb327578d1c7b3a9495d496\">$100 million for the project\u003c/a> last year, with $50 million dedicated to developing three types of insulin and the rest set aside to invest in a manufacturing facility.\u003c/p>\n\u003cfigure id=\"attachment_11944052\" class=\"wp-caption alignnone\" style=\"max-width: 800px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-medium wp-image-11944052\" src=\"https://ww2.kqed.org/app/uploads/sites/10/2030/03/GettyImages-1248563230-800x536.jpg\" alt=\"A middle aged woman in a white dress with a face mask talks with a white middle aged man as he smiles with onlookers behind them.\" width=\"800\" height=\"536\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2030/03/GettyImages-1248563230-800x536.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2030/03/GettyImages-1248563230-1020x683.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2030/03/GettyImages-1248563230-160x107.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2030/03/GettyImages-1248563230.jpg 1024w\" sizes=\"(max-width: 800px) 100vw, 800px\">\u003cfigcaption class=\"wp-caption-text\">Dr. Tanya Spirtos, president-elect of the California Medical Association (left), speaks briefly with Gov. Newsom (center) following a press conference. \u003ccite>(Francine Orr/Los Angeles Times via Getty Images)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>Even with the challenges of entering a competitive, established market, Newsom said taxpayers would have “very ample protections.”\u003c/p>\n\u003cp>If for whatever reason the deal didn’t work out to the state’s benefit, “there’s all kinds of provisions that would allow us to … pull out,” he said.\u003c/p>\n\u003cp>According to state documents, the proposed program could save many patients between $2,000 and $4,000 a year. In addition, lower costs could result in substantial savings because the state buys the product every year for the millions of people on its publicly funded health plans.\u003c/p>\n\u003cp>The state also is exploring the possibility of bringing other drugs to market, including the overdose medication \u003ca href=\"https://apnews.com/article/naloxone-narcan-overdose-availability-ec12f62eef12ebc67de77afdbb6f11b9\">naloxone\u003c/a>. The drug, available as a nasal spray and in an injectable form, is considered a key tool in the battle against a nationwide overdose crisis.\u003c/p>\n\u003cp>“We are not stopping here,” Newsom said.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cp>\u003cspan style=\"font-weight: 400\">The U.S. ranks 55th in the world in maternal mortality rates. Those rates are even worse for Black women, whose maternal mortality rate is \u003c/span>\u003ca href=\"https://usafacts.org/articles/the-us-maternal-mortality-rate-peaked-during-the-pandemic-and-was-highest-for-black-women/\">\u003cspan style=\"font-weight: 400\">more than two times higher \u003c/span>\u003c/a>\u003cspan style=\"font-weight: 400\">than any other racial or ethnic group. Patients and advocates cite lower access to quality care and racism in the medical system as main drivers of these outcomes. \u003c/span>\u003c/p>\n\u003cp>\u003cspan style=\"font-weight: 400\">A program in Alameda County is providing an answer to that problem. BElovedBIRTH Black Centering, operating through the Alameda Health System, is completely rethinking what birthing looks like for Black folks. The program provides group perinatal care by, for, and with Black people — and it’s leading to better outcomes for the families involved.\u003c/span>\u003c/p>\n\u003cp>\u003ca href=\"https://drive.google.com/file/d/1RDpcaSgvoXj5VCCDpYp96htbwveaMHaK/view?usp=share_link\">\u003cem>Episode transcript\u003c/em>\u003c/a>\u003c/p>\n\u003cp>\u003cb>Guest: Jyesha Wren\u003c/b>\u003cspan style=\"font-weight: 400\">, a midwife and co-founder and program coordinator of BElovedBIRTH Black Centering in Oakland\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=KQINC5968392936&light=true\" width=\"100%\" class=\"iframe-class\">\u003c/iframe>\n\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>\u003cb>Links:\u003c/b>\u003c/p>\n\u003cul>\n\u003cli>\u003ca href=\"https://www.alamedahealthsystem.org/family-birthing-center/black-centering/\">\u003cb>BElovedBIRTH Black Centering web page\u003c/b>\u003c/a>\u003c/li>\n\u003cli>\u003ca href=\"https://www.instagram.com/beblkcentering/?hl=en\">\u003cb>BElovedBIRTH’s Instagram\u003c/b>\u003c/a>\u003c/li>\n\u003cli>\u003ca href=\"https://oaklandside.org/2023/02/03/oakland-programs-are-supporting-black-postpartum-women/\">\u003cb>Oakland programs are supporting Black postpartum women\u003c/b>\u003c/a>\u003c/li>\n\u003c/ul>\n\n",
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"excerpt": "The U.S. ranks 55th in the world in maternal mortality rates, and it's especially bad for Black women. A program in Alameda County is providing an answer to that problem. ",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>\u003cspan style=\"font-weight: 400\">The U.S. ranks 55th in the world in maternal mortality rates. Those rates are even worse for Black women, whose maternal mortality rate is \u003c/span>\u003ca href=\"https://usafacts.org/articles/the-us-maternal-mortality-rate-peaked-during-the-pandemic-and-was-highest-for-black-women/\">\u003cspan style=\"font-weight: 400\">more than two times higher \u003c/span>\u003c/a>\u003cspan style=\"font-weight: 400\">than any other racial or ethnic group. Patients and advocates cite lower access to quality care and racism in the medical system as main drivers of these outcomes. \u003c/span>\u003c/p>\n\u003cp>\u003cspan style=\"font-weight: 400\">A program in Alameda County is providing an answer to that problem. BElovedBIRTH Black Centering, operating through the Alameda Health System, is completely rethinking what birthing looks like for Black folks. The program provides group perinatal care by, for, and with Black people — and it’s leading to better outcomes for the families involved.\u003c/span>\u003c/p>\n\u003cp>\u003ca href=\"https://drive.google.com/file/d/1RDpcaSgvoXj5VCCDpYp96htbwveaMHaK/view?usp=share_link\">\u003cem>Episode transcript\u003c/em>\u003c/a>\u003c/p>\n\u003cp>\u003cb>Guest: Jyesha Wren\u003c/b>\u003cspan style=\"font-weight: 400\">, a midwife and co-founder and program coordinator of BElovedBIRTH Black Centering in Oakland\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=KQINC5968392936&light=true\" width=\"100%\" class=\"iframe-class\">\u003c/iframe>\n\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>\u003cb>Links:\u003c/b>\u003c/p>\n\u003cul>\n\u003cli>\u003ca href=\"https://www.alamedahealthsystem.org/family-birthing-center/black-centering/\">\u003cb>BElovedBIRTH Black Centering web page\u003c/b>\u003c/a>\u003c/li>\n\u003cli>\u003ca href=\"https://www.instagram.com/beblkcentering/?hl=en\">\u003cb>BElovedBIRTH’s Instagram\u003c/b>\u003c/a>\u003c/li>\n\u003cli>\u003ca href=\"https://oaklandside.org/2023/02/03/oakland-programs-are-supporting-black-postpartum-women/\">\u003cb>Oakland programs are supporting Black postpartum women\u003c/b>\u003c/a>\u003c/li>\n\u003c/ul>\n\n\u003c/div>\u003c/p>",
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"title": "To Open Safe Consumption Sites, San Francisco Seeks Private Donations for Nonprofits",
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"content": "\u003cp>\u003cstrong>Update, 11:30 a.m. Wednesday:\u003c/strong> A \u003ca href=\"https://sfgov.legistar.com/View.ashx?M=F&ID=11602593&GUID=162FF29F-60F8-457A-8D1C-B3E56D2921F2\">proposal (PDF)\u003c/a> moved forward on Wednesday that could allow San Francisco Mayor London Breed and the city’s Department of Public Health to solicit donations that nonprofits and other private organizations could utilize to operate safe consumption sites, facilities where people can smoke or inject drugs in a medically supervised setting.\u003c/p>\n\u003cp>The proposal would waive a \u003ca href=\"https://sfethics.org/guidance/city-officers/behested-payments#:~:text=As%20adopted%2C%20Ordinance%20No.,behested%20payment%20from%20interested%20parties.\">new governmental rule\u003c/a>, put in place after a \u003ca href=\"https://sfstandard.com/politics/city-hall/after-nuru-scandal-sf-anti-corruption-proposal-seeks-to-prevent-bribes-cloaked-as-donations/\">recent corruption scandal between Public Works staff and the garbage collector Recology\u003c/a>, that restricts city employees from seeking private donations. The funds would go directly to the nonprofits themselves.\u003c/p>\n\u003cp>The city’s budget and finance committee unanimously passed the proposal. The full Board of Supervisors must still review and approve the waiver before it will go into effect.\u003c/p>\n\u003cp>“This is an area where it is appropriate to solicit private donations to help pay for this, and it’s important,” said Supervisor Rafael Mandelman.\u003c/p>\n\u003cp>If passed, it would be the second time the Board of Supervisors has made an exception to the behested payments ordinance. The first waiver occurred in January, when \u003ca href=\"https://sanfrancisco.granicus.com/player/clip/42901?view_id=10&redirect=true&h=4fbaf9f2f6d72d7db92e818682e147e7\">supervisors unanimously approved an exception to solicit donations for Civic Bridge\u003c/a>, a 16-week cohort-based program that allows private businesses to work on innovation projects for the city.\u003c/p>\n\u003cp>“We are grateful to have the Board of Supervisors understand the importance of supervised consumption sites,” a member of the Safer Inside coalition, an overdose prevention advocacy group, said during public comment at the committee meeting Wednesday. “We need to do everything we can to allow for opening these as soon as possible, and this resolution represents one more step towards making that a reality.”\u003c/p>\n\u003cp>\u003cstrong>Original story: \u003c/strong>San Francisco supervisors this week unanimously approved a measure allowing nonprofits and other private organizations to open and operate safe consumption sites, where users can smoke or inject high-potency drugs under close medical supervision. No such sites currently exist in the city since the closure of the Tenderloin Center in December.\u003c/p>\n\u003cp>But without a guaranteed funding source, the timeline for when the first “overdose prevention centers,” as they’re known, might open is still largely unclear. Under the legislation, nonprofits will have to cobble together the sizable amount of funding needed to run the sites, which by one recent estimate could each end up costing well over $1 million a year.\u003c/p>\n\u003cp>“There is opening up a site, and then there’s opening up a site and doing it the right way with the best achievable outcomes because it’s well-funded,” said Lydia Bransten, executive director of the Gubbio Project, which hopes to open a site in the Mission District by the summer. “And we want to open a site that is adequately funded so we can have a skilled team of people, proper equipment and environment.”\u003c/p>\n\u003cfigure id=\"attachment_11943326\" class=\"wp-caption aligncenter\" style=\"max-width: 800px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-medium wp-image-11943326\" src=\"https://ww2.kqed.org/app/uploads/sites/10/2023/03/RS63528_015_KQED_GubbioProjectLydiaBransten_03092023-qut-800x533.jpg\" alt='A sign that says \"the Gubbio project\" hangs on a metal gate that leads through to some steps and a courtyard where someone is walking.' width=\"800\" height=\"533\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2023/03/RS63528_015_KQED_GubbioProjectLydiaBransten_03092023-qut-800x533.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/03/RS63528_015_KQED_GubbioProjectLydiaBransten_03092023-qut-1020x680.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/03/RS63528_015_KQED_GubbioProjectLydiaBransten_03092023-qut-160x107.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/03/RS63528_015_KQED_GubbioProjectLydiaBransten_03092023-qut-1536x1024.jpg 1536w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/03/RS63528_015_KQED_GubbioProjectLydiaBransten_03092023-qut.jpg 1920w\" sizes=\"(max-width: 800px) 100vw, 800px\">\u003cfigcaption class=\"wp-caption-text\">A sign for the Gubbio Project, a nonprofit offering services for unhoused people, hangs on the front gate in San Francisco on March 9, 2023. \u003ccite>(Beth LaBerge/KQED)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>Bransten’s vision hinges largely on whether city leaders will allow cash-strapped groups like hers to dip into the $120 million windfall San Francisco recently amassed from \u003ca href=\"https://www.sfcityattorney.org/2022/08/10/san-francisco-wins-landmark-opioid-trial-against-walgreens/\">successful opioid-related lawsuits against pharmacies and drug manufacturers\u003c/a>. The city, however, has yet to commit to making that money available, given the inherent legal concerns: The sites are still technically prohibited under state and federal law.\u003c/p>\n\u003cp>Without access to that, some public health advocates worry that most nonprofits won’t have the resources to quickly open and run the sites, which they argue are desperately needed to tackle the city’s ongoing overdose crisis.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>Since 2020, \u003ca href=\"https://sf.gov/resource/2020/ocme-accidental-overdose-reports\">more than 2,000 people in the city have died of drug overdoses\u003c/a>, according to San Francisco’s Office of the Chief Medical Examiner.\u003c/p>\n\u003cp>“We are way over time for this,” said Supervisor Hillary Ronen, who introduced the ordinance in January, with the backing of Mayor London Breed.\u003c/p>\n\u003cp>Bransten, Ronen and other supporters of safe consumption sites are now urging that the city release the funds, which are specifically earmarked for overdose prevention.\u003c/p>\n\u003cp>“The key to open these doors is in the city attorney’s pocket,” Bransten added.\u003c/p>\n\u003cp>Safe consumption sites are foremost aimed at keeping chronic users alive and connecting them with rehabilitation services. Although the sites have operated for years — with mostly positive results — in Canada, Australia and multiple European countries, the concept has stoked intense controversy in the United States, and been largely left out of the overdose-prevention strategy playbook.\u003c/p>\n\u003cfigure id=\"attachment_11943327\" class=\"wp-caption aligncenter\" style=\"max-width: 800px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-medium wp-image-11943327\" src=\"https://ww2.kqed.org/app/uploads/sites/10/2023/03/RS63516_001_KQED_GubbioProjectLydiaBransten_03092023-qut-800x533.jpg\" alt=\"A white older woman with a blue shawl smiles while conversing with a smiling man in his 40s with a camouflage jacket and a green beanie inside a church with sun streaming through stained glass windows behind them.\" width=\"800\" height=\"533\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2023/03/RS63516_001_KQED_GubbioProjectLydiaBransten_03092023-qut-800x533.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/03/RS63516_001_KQED_GubbioProjectLydiaBransten_03092023-qut-1020x680.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/03/RS63516_001_KQED_GubbioProjectLydiaBransten_03092023-qut-160x107.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/03/RS63516_001_KQED_GubbioProjectLydiaBransten_03092023-qut-1536x1024.jpg 1536w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/03/RS63516_001_KQED_GubbioProjectLydiaBransten_03092023-qut.jpg 1920w\" sizes=\"(max-width: 800px) 100vw, 800px\">\u003cfigcaption class=\"wp-caption-text\">Lydia Bransten talks with a colleague in the sleeping area at the Gubbio Project, a nonprofit offering services for unhoused people in San Francisco on March 9, 2023. \u003ccite>(Beth LaBerge/KQED)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>San Francisco’s new legislation sanctioning the sites comes just over a year after the city opened the short-lived Tenderloin Center in United Nations Plaza, its first full-scale, publicly funded safe consumption site. The hub offered meals, showers, laundry and social services, along with spaces where visitors could inject or inhale illicit drugs under the supervision of staff members equipped with naloxone, a nasal spray used to reverse opioid overdoses.\u003c/p>\n\u003cp>\u003ca href=\"https://sf.gov/data/reducing-fatal-and-non-fatal-overdoses-tenderloin#overdoses-reversed-at-the-tenderloin-center\">More than 330 overdoses were reversed during the site’s 11 months of operation\u003c/a>, according to city data, and zero overdose deaths occurred on-site.[pullquote align=\"right\" size=\"medium\" citation=\"Lydia Bransten, executive director, Gubbio Project\"]‘There is opening up a site, and then there’s opening up a site and doing it the right way with the best achievable outcomes because it’s well-funded.’[/pullquote]Despite that achievement, many people remained wary of the drug use happening inside the site. Critics, including a number of nearby businesses, complained the site was too centrally located, and said that the hundreds of people who lined up outside every day waiting for services caused major disruptions in the neighborhood.\u003c/p>\n\u003cp>The program, some argued, also lacked coordination with law enforcement, which they say was needed to keep drug dealers from swarming the area and to stop patients from consuming drugs outside with site-provided paraphernalia immediately after walking out the door.\u003c/p>\n\u003cp>In June, just months after Breed heralded the new program as a key part of her state-of-emergency initiatives in the Tenderloin, the mayor announced — to the dismay of advocates — that \u003ca href=\"https://sfstandard.com/public-health/controversial-tenderloin-center-to-shutter-in-december/\">the site would be shuttered by the end of the year\u003c/a>, arguing it was never intended to be a permanent location.\u003c/p>\n\u003cp>\u003ca href=\"https://sf.gov/news/san-francisco-takes-step-allow-privately-funded-overdose-prevention-sites-open\">The current legislation\u003c/a> allows San Francisco to open safe consumption sites that are run and funded by private groups, partially shielding the city from the potential legal repercussions of operating programs that violate federal law.\u003c/p>\n\u003cp>And rather than a single central site location, like the Tenderloin Center, the new approach would create multiple smaller “\u003ca href=\"https://sf.gov/news/san-francisco-releases-roadmap-reduce-drug-overdoses-and-promote-wellness-and-recovery-people\">wellness hubs\u003c/a>” in various neighborhoods throughout the city, each equipped with safe consumption services and other resources.[aside label=\"Related Stories\" postID=\"news_11934281,news_11915870,news_11904277\"]City Attorney David Chiu, whose office litigated the major opioid trials, said he supports the nonprofit operating model outlined in the new legislation, but has yet to sign off on allocating the funds for the sites without clear federal guidelines and approvals.\u003c/p>\n\u003cp>“Our office continues to monitor any developments in the law, and we eagerly await anticipated guidelines from the federal government on how local governments can operate overdose prevention programs in compliance with federal law,” Chiu said in an email. While the Biden administration has expressed some interest and support for the sites, it has yet to formally sanction them, he noted.\u003c/p>\n\u003cp>Chiu said he hopes those involved “can focus less on the things we can’t do that unnecessarily increase risk and instead focus on the things we can do to make this a reality in San Francisco.”\u003c/p>\n\u003cp>Meanwhile, other city departments are seeking ways to privately fundraise for the sites. On March 15, the city’s Budget and Finance Committee will vote on an item that would make an exception to the city’s \u003ca href=\"https://sfethics.org/guidance/city-officers/behested-payments\">behested payments rule\u003c/a> and allow the mayor’s office and the Department of Public Health to solicit donations for the sites.\u003c/p>\n\u003cp>Bransten joined Ronen and fellow Supervisor Matt Dorsey last week on a tour of a pair of \u003ca href=\"https://onpointnyc.org/\">safe consumption sites in New York City\u003c/a> — the only two currently operating in the entire country. The trip also included a visit to meet with the attorney general in \u003ca href=\"https://preventoverdoseri.org/overdose-prevention-centers/\">Rhode Island\u003c/a>, which in 2021 became the first state to authorize safe consumption services, but has yet to open any centers.\u003c/p>\n\u003cfigure id=\"attachment_11943330\" class=\"wp-caption aligncenter\" style=\"max-width: 800px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-medium wp-image-11943330\" src=\"https://ww2.kqed.org/app/uploads/sites/10/2023/03/GettyImages-1243750473-800x534.jpg\" alt=\"A white man in a blue suit with a red tie speaking behind a dais with a microphone and a San Francisco Police emblem with an African American woman with shoulder length hair and a blue dress listening on.\" width=\"800\" height=\"534\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2023/03/GettyImages-1243750473-800x534.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/03/GettyImages-1243750473-1020x680.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/03/GettyImages-1243750473-160x107.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/03/GettyImages-1243750473.jpg 1024w\" sizes=\"(max-width: 800px) 100vw, 800px\">\u003cfigcaption class=\"wp-caption-text\">San Francisco Supervisor Matt Dorsey, with Mayor London Breed, delivers remarks on the city’s strategies to confront open-air drug dealing at police headquarters in San Francisco, on Oct. 5, 2022. \u003ccite>(Tayfun Coskun/Anadolu Agency via Getty Images)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>“It was an amazing experience and honestly I was choked up the entire time,” said Bransten of the New York sites, called OnPoint, which are also run and funded by private groups. She described them as offering a calm, clean and welcoming environment where patients appeared to be well-cared-for.\u003c/p>\n\u003cp>Nearly 400 overdoses were averted in OnPoint’s first year of operation, and there were no recorded overdose deaths at the sites, according to city officials. New York \u003ca href=\"https://www.nyc.gov/office-of-the-mayor/news/575-22/mayor-eric-adams-takes-action-curb-opioid-overdoses-expanding-access-tools-test-for\">Mayor Eric Adams has expressed support of expanding the model\u003c/a>.\u003c/p>\n\u003cp>Dorsey, who supports directing some of San Francisco’s settlement dollars to safe consumption sites, noted that the two sites in New York also appeared to have brokered a strong relationship with law enforcement, which helped maintain safety and order in the surrounding communities.\u003c/p>\n\u003cp>“They are a good neighbor. This is not a neighborhood nuisance at all. It’s Exhibit A for how to do this right,” Dorsey, who has spoken publicly about his own experiences with substance use disorder, said of the New York sites.\u003c/p>\n\u003cp>“San Francisco is a lightning rod in American politics. It can be scary to be in a position where the feds are coming after you,” Dorsey added. “But I’ve seen our city attorney act boldly and aggressively for righteous causes. I think we are in another one of those moments, and I’m hoping there is a creative solution.”\u003c/p>\n\u003cp>\u003cem>This story was originally published on March 11.\u003c/em>\u003c/p>\n\u003cp>[ad floatright]\u003c/p>\n",
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"excerpt": "Running an overdose prevention center could cost well over $1 million a year. And while new legislation clears the path for legal operation in the city, whether nonprofits will have the funding is another matter.",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>\u003cstrong>Update, 11:30 a.m. Wednesday:\u003c/strong> A \u003ca href=\"https://sfgov.legistar.com/View.ashx?M=F&ID=11602593&GUID=162FF29F-60F8-457A-8D1C-B3E56D2921F2\">proposal (PDF)\u003c/a> moved forward on Wednesday that could allow San Francisco Mayor London Breed and the city’s Department of Public Health to solicit donations that nonprofits and other private organizations could utilize to operate safe consumption sites, facilities where people can smoke or inject drugs in a medically supervised setting.\u003c/p>\n\u003cp>The proposal would waive a \u003ca href=\"https://sfethics.org/guidance/city-officers/behested-payments#:~:text=As%20adopted%2C%20Ordinance%20No.,behested%20payment%20from%20interested%20parties.\">new governmental rule\u003c/a>, put in place after a \u003ca href=\"https://sfstandard.com/politics/city-hall/after-nuru-scandal-sf-anti-corruption-proposal-seeks-to-prevent-bribes-cloaked-as-donations/\">recent corruption scandal between Public Works staff and the garbage collector Recology\u003c/a>, that restricts city employees from seeking private donations. The funds would go directly to the nonprofits themselves.\u003c/p>\n\u003cp>The city’s budget and finance committee unanimously passed the proposal. The full Board of Supervisors must still review and approve the waiver before it will go into effect.\u003c/p>\n\u003cp>“This is an area where it is appropriate to solicit private donations to help pay for this, and it’s important,” said Supervisor Rafael Mandelman.\u003c/p>\n\u003cp>If passed, it would be the second time the Board of Supervisors has made an exception to the behested payments ordinance. The first waiver occurred in January, when \u003ca href=\"https://sanfrancisco.granicus.com/player/clip/42901?view_id=10&redirect=true&h=4fbaf9f2f6d72d7db92e818682e147e7\">supervisors unanimously approved an exception to solicit donations for Civic Bridge\u003c/a>, a 16-week cohort-based program that allows private businesses to work on innovation projects for the city.\u003c/p>\n\u003cp>“We are grateful to have the Board of Supervisors understand the importance of supervised consumption sites,” a member of the Safer Inside coalition, an overdose prevention advocacy group, said during public comment at the committee meeting Wednesday. “We need to do everything we can to allow for opening these as soon as possible, and this resolution represents one more step towards making that a reality.”\u003c/p>\n\u003cp>\u003cstrong>Original story: \u003c/strong>San Francisco supervisors this week unanimously approved a measure allowing nonprofits and other private organizations to open and operate safe consumption sites, where users can smoke or inject high-potency drugs under close medical supervision. No such sites currently exist in the city since the closure of the Tenderloin Center in December.\u003c/p>\n\u003cp>But without a guaranteed funding source, the timeline for when the first “overdose prevention centers,” as they’re known, might open is still largely unclear. Under the legislation, nonprofits will have to cobble together the sizable amount of funding needed to run the sites, which by one recent estimate could each end up costing well over $1 million a year.\u003c/p>\n\u003cp>“There is opening up a site, and then there’s opening up a site and doing it the right way with the best achievable outcomes because it’s well-funded,” said Lydia Bransten, executive director of the Gubbio Project, which hopes to open a site in the Mission District by the summer. “And we want to open a site that is adequately funded so we can have a skilled team of people, proper equipment and environment.”\u003c/p>\n\u003cfigure id=\"attachment_11943326\" class=\"wp-caption aligncenter\" style=\"max-width: 800px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-medium wp-image-11943326\" src=\"https://ww2.kqed.org/app/uploads/sites/10/2023/03/RS63528_015_KQED_GubbioProjectLydiaBransten_03092023-qut-800x533.jpg\" alt='A sign that says \"the Gubbio project\" hangs on a metal gate that leads through to some steps and a courtyard where someone is walking.' width=\"800\" height=\"533\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2023/03/RS63528_015_KQED_GubbioProjectLydiaBransten_03092023-qut-800x533.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/03/RS63528_015_KQED_GubbioProjectLydiaBransten_03092023-qut-1020x680.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/03/RS63528_015_KQED_GubbioProjectLydiaBransten_03092023-qut-160x107.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/03/RS63528_015_KQED_GubbioProjectLydiaBransten_03092023-qut-1536x1024.jpg 1536w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/03/RS63528_015_KQED_GubbioProjectLydiaBransten_03092023-qut.jpg 1920w\" sizes=\"(max-width: 800px) 100vw, 800px\">\u003cfigcaption class=\"wp-caption-text\">A sign for the Gubbio Project, a nonprofit offering services for unhoused people, hangs on the front gate in San Francisco on March 9, 2023. \u003ccite>(Beth LaBerge/KQED)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>Bransten’s vision hinges largely on whether city leaders will allow cash-strapped groups like hers to dip into the $120 million windfall San Francisco recently amassed from \u003ca href=\"https://www.sfcityattorney.org/2022/08/10/san-francisco-wins-landmark-opioid-trial-against-walgreens/\">successful opioid-related lawsuits against pharmacies and drug manufacturers\u003c/a>. The city, however, has yet to commit to making that money available, given the inherent legal concerns: The sites are still technically prohibited under state and federal law.\u003c/p>\n\u003cp>Without access to that, some public health advocates worry that most nonprofits won’t have the resources to quickly open and run the sites, which they argue are desperately needed to tackle the city’s ongoing overdose crisis.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>Since 2020, \u003ca href=\"https://sf.gov/resource/2020/ocme-accidental-overdose-reports\">more than 2,000 people in the city have died of drug overdoses\u003c/a>, according to San Francisco’s Office of the Chief Medical Examiner.\u003c/p>\n\u003cp>“We are way over time for this,” said Supervisor Hillary Ronen, who introduced the ordinance in January, with the backing of Mayor London Breed.\u003c/p>\n\u003cp>Bransten, Ronen and other supporters of safe consumption sites are now urging that the city release the funds, which are specifically earmarked for overdose prevention.\u003c/p>\n\u003cp>“The key to open these doors is in the city attorney’s pocket,” Bransten added.\u003c/p>\n\u003cp>Safe consumption sites are foremost aimed at keeping chronic users alive and connecting them with rehabilitation services. Although the sites have operated for years — with mostly positive results — in Canada, Australia and multiple European countries, the concept has stoked intense controversy in the United States, and been largely left out of the overdose-prevention strategy playbook.\u003c/p>\n\u003cfigure id=\"attachment_11943327\" class=\"wp-caption aligncenter\" style=\"max-width: 800px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-medium wp-image-11943327\" src=\"https://ww2.kqed.org/app/uploads/sites/10/2023/03/RS63516_001_KQED_GubbioProjectLydiaBransten_03092023-qut-800x533.jpg\" alt=\"A white older woman with a blue shawl smiles while conversing with a smiling man in his 40s with a camouflage jacket and a green beanie inside a church with sun streaming through stained glass windows behind them.\" width=\"800\" height=\"533\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2023/03/RS63516_001_KQED_GubbioProjectLydiaBransten_03092023-qut-800x533.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/03/RS63516_001_KQED_GubbioProjectLydiaBransten_03092023-qut-1020x680.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/03/RS63516_001_KQED_GubbioProjectLydiaBransten_03092023-qut-160x107.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/03/RS63516_001_KQED_GubbioProjectLydiaBransten_03092023-qut-1536x1024.jpg 1536w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/03/RS63516_001_KQED_GubbioProjectLydiaBransten_03092023-qut.jpg 1920w\" sizes=\"(max-width: 800px) 100vw, 800px\">\u003cfigcaption class=\"wp-caption-text\">Lydia Bransten talks with a colleague in the sleeping area at the Gubbio Project, a nonprofit offering services for unhoused people in San Francisco on March 9, 2023. \u003ccite>(Beth LaBerge/KQED)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>San Francisco’s new legislation sanctioning the sites comes just over a year after the city opened the short-lived Tenderloin Center in United Nations Plaza, its first full-scale, publicly funded safe consumption site. The hub offered meals, showers, laundry and social services, along with spaces where visitors could inject or inhale illicit drugs under the supervision of staff members equipped with naloxone, a nasal spray used to reverse opioid overdoses.\u003c/p>\n\u003cp>\u003ca href=\"https://sf.gov/data/reducing-fatal-and-non-fatal-overdoses-tenderloin#overdoses-reversed-at-the-tenderloin-center\">More than 330 overdoses were reversed during the site’s 11 months of operation\u003c/a>, according to city data, and zero overdose deaths occurred on-site.\u003c/p>\u003c/div>",
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"content": "‘There is opening up a site, and then there’s opening up a site and doing it the right way with the best achievable outcomes because it’s well-funded.’",
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"content": "\u003cdiv class=\"post-body\">\u003cp>Despite that achievement, many people remained wary of the drug use happening inside the site. Critics, including a number of nearby businesses, complained the site was too centrally located, and said that the hundreds of people who lined up outside every day waiting for services caused major disruptions in the neighborhood.\u003c/p>\n\u003cp>The program, some argued, also lacked coordination with law enforcement, which they say was needed to keep drug dealers from swarming the area and to stop patients from consuming drugs outside with site-provided paraphernalia immediately after walking out the door.\u003c/p>\n\u003cp>In June, just months after Breed heralded the new program as a key part of her state-of-emergency initiatives in the Tenderloin, the mayor announced — to the dismay of advocates — that \u003ca href=\"https://sfstandard.com/public-health/controversial-tenderloin-center-to-shutter-in-december/\">the site would be shuttered by the end of the year\u003c/a>, arguing it was never intended to be a permanent location.\u003c/p>\n\u003cp>\u003ca href=\"https://sf.gov/news/san-francisco-takes-step-allow-privately-funded-overdose-prevention-sites-open\">The current legislation\u003c/a> allows San Francisco to open safe consumption sites that are run and funded by private groups, partially shielding the city from the potential legal repercussions of operating programs that violate federal law.\u003c/p>\n\u003cp>And rather than a single central site location, like the Tenderloin Center, the new approach would create multiple smaller “\u003ca href=\"https://sf.gov/news/san-francisco-releases-roadmap-reduce-drug-overdoses-and-promote-wellness-and-recovery-people\">wellness hubs\u003c/a>” in various neighborhoods throughout the city, each equipped with safe consumption services and other resources.\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>City Attorney David Chiu, whose office litigated the major opioid trials, said he supports the nonprofit operating model outlined in the new legislation, but has yet to sign off on allocating the funds for the sites without clear federal guidelines and approvals.\u003c/p>\n\u003cp>“Our office continues to monitor any developments in the law, and we eagerly await anticipated guidelines from the federal government on how local governments can operate overdose prevention programs in compliance with federal law,” Chiu said in an email. While the Biden administration has expressed some interest and support for the sites, it has yet to formally sanction them, he noted.\u003c/p>\n\u003cp>Chiu said he hopes those involved “can focus less on the things we can’t do that unnecessarily increase risk and instead focus on the things we can do to make this a reality in San Francisco.”\u003c/p>\n\u003cp>Meanwhile, other city departments are seeking ways to privately fundraise for the sites. On March 15, the city’s Budget and Finance Committee will vote on an item that would make an exception to the city’s \u003ca href=\"https://sfethics.org/guidance/city-officers/behested-payments\">behested payments rule\u003c/a> and allow the mayor’s office and the Department of Public Health to solicit donations for the sites.\u003c/p>\n\u003cp>Bransten joined Ronen and fellow Supervisor Matt Dorsey last week on a tour of a pair of \u003ca href=\"https://onpointnyc.org/\">safe consumption sites in New York City\u003c/a> — the only two currently operating in the entire country. The trip also included a visit to meet with the attorney general in \u003ca href=\"https://preventoverdoseri.org/overdose-prevention-centers/\">Rhode Island\u003c/a>, which in 2021 became the first state to authorize safe consumption services, but has yet to open any centers.\u003c/p>\n\u003cfigure id=\"attachment_11943330\" class=\"wp-caption aligncenter\" style=\"max-width: 800px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-medium wp-image-11943330\" src=\"https://ww2.kqed.org/app/uploads/sites/10/2023/03/GettyImages-1243750473-800x534.jpg\" alt=\"A white man in a blue suit with a red tie speaking behind a dais with a microphone and a San Francisco Police emblem with an African American woman with shoulder length hair and a blue dress listening on.\" width=\"800\" height=\"534\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2023/03/GettyImages-1243750473-800x534.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/03/GettyImages-1243750473-1020x680.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/03/GettyImages-1243750473-160x107.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/03/GettyImages-1243750473.jpg 1024w\" sizes=\"(max-width: 800px) 100vw, 800px\">\u003cfigcaption class=\"wp-caption-text\">San Francisco Supervisor Matt Dorsey, with Mayor London Breed, delivers remarks on the city’s strategies to confront open-air drug dealing at police headquarters in San Francisco, on Oct. 5, 2022. \u003ccite>(Tayfun Coskun/Anadolu Agency via Getty Images)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>“It was an amazing experience and honestly I was choked up the entire time,” said Bransten of the New York sites, called OnPoint, which are also run and funded by private groups. She described them as offering a calm, clean and welcoming environment where patients appeared to be well-cared-for.\u003c/p>\n\u003cp>Nearly 400 overdoses were averted in OnPoint’s first year of operation, and there were no recorded overdose deaths at the sites, according to city officials. New York \u003ca href=\"https://www.nyc.gov/office-of-the-mayor/news/575-22/mayor-eric-adams-takes-action-curb-opioid-overdoses-expanding-access-tools-test-for\">Mayor Eric Adams has expressed support of expanding the model\u003c/a>.\u003c/p>\n\u003cp>Dorsey, who supports directing some of San Francisco’s settlement dollars to safe consumption sites, noted that the two sites in New York also appeared to have brokered a strong relationship with law enforcement, which helped maintain safety and order in the surrounding communities.\u003c/p>\n\u003cp>“They are a good neighbor. This is not a neighborhood nuisance at all. It’s Exhibit A for how to do this right,” Dorsey, who has spoken publicly about his own experiences with substance use disorder, said of the New York sites.\u003c/p>\n\u003cp>“San Francisco is a lightning rod in American politics. It can be scary to be in a position where the feds are coming after you,” Dorsey added. “But I’ve seen our city attorney act boldly and aggressively for righteous causes. I think we are in another one of those moments, and I’m hoping there is a creative solution.”\u003c/p>\n\u003cp>\u003cem>This story was originally published on March 11.\u003c/em>\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cp>\u003cb>Post-Roe\u003cbr>\n\u003c/b>\u003cspan style=\"font-weight: 400\">A move to stop selling abortion pills by Walgreens has led California to cut ties with the pharmaceutical giant. We check in with\u003c/span>\u003cspan style=\"font-weight: 400\"> Katherine Tangalakis-Lippert, reporter for Insider, on the latest fight surrounding reproductive rights.\u003c/span>\u003c/p>\n\u003cp>\u003cb>CalEPA Secretary Yana Garcia\u003cbr>\n\u003c/b>\u003cspan style=\"font-weight: 400\">Plus, the California Environmental Protection Agency often leads policies that are ahead of the nation in the fight against climate change. We sit down with the newest Cal EPA secretary, Yana Garcia, to discuss what she plans to accomplish.\u003c/span>\u003c/p>\n\u003cp>\u003cb>Something Beautiful: Chinese Culture Center of SF\u003cbr>\n\u003c/b>\u003cspan style=\"font-weight: 400\">In 1965, one year after the passage of the Civil Rights Act, the Chinese Culture Center of San Francisco was founded to combat racism and inequity. Fifty years later, the center is still elevating underserved communities, and it’s this week’s look at Something Beautiful.\u003c/span>\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\u003cp>\u003c/p>\n",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>\u003cb>Post-Roe\u003cbr>\n\u003c/b>\u003cspan style=\"font-weight: 400\">A move to stop selling abortion pills by Walgreens has led California to cut ties with the pharmaceutical giant. We check in with\u003c/span>\u003cspan style=\"font-weight: 400\"> Katherine Tangalakis-Lippert, reporter for Insider, on the latest fight surrounding reproductive rights.\u003c/span>\u003c/p>\n\u003cp>\u003cb>CalEPA Secretary Yana Garcia\u003cbr>\n\u003c/b>\u003cspan style=\"font-weight: 400\">Plus, the California Environmental Protection Agency often leads policies that are ahead of the nation in the fight against climate change. We sit down with the newest Cal EPA secretary, Yana Garcia, to discuss what she plans to accomplish.\u003c/span>\u003c/p>\n\u003cp>\u003cb>Something Beautiful: Chinese Culture Center of SF\u003cbr>\n\u003c/b>\u003cspan style=\"font-weight: 400\">In 1965, one year after the passage of the Civil Rights Act, the Chinese Culture Center of San Francisco was founded to combat racism and inequity. Fifty years later, the center is still elevating underserved communities, and it’s this week’s look at Something Beautiful.\u003c/span>\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"headTitle": "La vacuna bivalente de refuerzo contra COVID-19: ¿Cuándo podré recibir una segunda dosis? | KQED",
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"content": "\u003cp>\u003cem>\u003ca href=\"https://www.kqed.org/news/11941531/when-can-i-get-a-second-bivalent-covid-booster-heres-what-we-know-right-now\">Leer en inglés\u003c/a>\u003c/em>\u003c/p>\n\u003cp>Han pasado casi seis meses desde que \u003ca href=\"https://www.kqed.org/news/11924327/where-can-i-find-a-new-omicron-covid-booster-shot-near-me\">está disponible la vacuna bivalente de refuerzo contra COVID-19\u003c/a> y muchas personas ya se están preguntando: “¿Cuándo puedo recibir mi segunda dosis de la bivalente de refuerzo?”.\u003c/p>\n\u003cp>La respuesta es breve: Mientras ya hayas recibido una dosis de la vacuna bivalente de refuerzo contra COVID-19, no hay necesidad de apresurarse.\u003c/p>\n\u003cul>\n\u003cli>\u003ca href=\"#pregunta\">\u003cstrong>¿Tiene alguna pregunta sobre COVID-19? Compartala con nosotros.\u003c/strong>\u003c/a>\u003c/li>\n\u003c/ul>\n\u003cp>Según el Dr. Peter Chin-Hong, experto en enfermedades infecciosas de la Universidad de California, San Francisco (UCSF por sus siglas en inglés), la mayoría de las personas sanas que están al día con sus vacunas contra COVID-19 deben recibir otra dosis de refuerzo al cabo de un año.\u003c/p>\n\u003cp>“Todo indica a que habrá un refuerzo contra COVID-19 cada año”, dijo Chin-Hong a KQED. “Hasta ahora sabemos que la inmunidad que las vacunas de refuerzo otorgan duran alrededor de un año en general”.\u003c/p>\n\u003cp>“Si ha recibido la serie original de las vacunas, ya cuenta con protección frente a enfermedades graves, hospitalización y muerte durante al menos un año, probablemente incluso más para la mayoría de la gente”, afirmó.\u003c/p>\n\u003cp>Según los Centros para el Control y la Prevención de Enfermedades (CDC, por sus siglas en inglés), \u003ca href=\"https://espanol.cdc.gov/coronavirus/2019-ncov/vaccines/stay-up-to-date.html\">para estar al día con las vacunas contra COVID-19\u003c/a>, una persona debe haber completado la serie original de las vacunas y haber recibido la vacuna de refuerzo más reciente. \u003ca href=\"https://www.kqed.org/news/11924327/where-can-i-find-a-new-omicron-covid-booster-shot-near-me#where\">Averigüe dónde puede recibir la vacuna bivalente de refuerzo \u003c/a>(enlace sólo en inglés).\u003c/p>\n\u003cp>La vacuna bivalente de refuerzo bivalente, que se presenta en una sola dosis, protege tanto contra la cepa original del virus, como contra las variantes ómicron que han surgido y siguen siendo dominantes. Los organismos sanitarios federales autorizaron la dosis de refuerzo actualizada para las personas mayores de 12 años en septiembre de 2022 y para los mayores de 6 meses en diciembre de 2022.\u003cbr>\n[ad fullwidth]\u003c/p>\n\u003ch2>¿Quiénes deberían recibir una vacuna bivalente de refuerzo antes de tiempo?\u003c/h2>\n\u003cp>Los funcionarios de salud del estado dijeron a KQED que no hay recomendaciones adicionales para las vacunas de refuerzo en este momento, pero que actualizarán la orientación estatal en el futuro basándose en los cambios o en más información de la Administración de Alimentos y Medicamentos (FDA, por sus siglas en inglés) y de los CDC.\u003c/p>\n\u003cp>Sin embargo, Chin-Hong añadió: “Hay muchas advertencias, lo que significa que tal vez algunos individuos inmunocomprometidos son personas mayores y pueden necesitar una vacuna de refuerzo con más frecuencia”.\u003c/p>\n\u003cp>Según Chin-Hong, las personas inmunocomprometidas o que se hayan sometido recientemente a intervenciones que puedan alterar su sistema inmunológico deberían consultar a su médico sobre la posibilidad de recibir dosis adicionales de la vacuna bivalente.\u003c/p>\n\u003cp>Chin-Hong señaló que le preocupa más la baja aceptación de la vacuna bivalente entre el público en general, que las dosis adicionales para personas que ya están al día con sus vacunas.\u003c/p>\n\u003cfigure id=\"attachment_11942627\" class=\"wp-caption aligncenter\" style=\"max-width: 1920px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-11942627\" src=\"https://ww2.kqed.org/app/uploads/sites/10/2023/03/elderly-asian-lady-receiving-booster-shot-1.jpg\" alt=\"\" width=\"1920\" height=\"1369\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2023/03/elderly-asian-lady-receiving-booster-shot-1.jpg 1920w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/03/elderly-asian-lady-receiving-booster-shot-1-800x570.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/03/elderly-asian-lady-receiving-booster-shot-1-1020x727.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/03/elderly-asian-lady-receiving-booster-shot-1-160x114.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/03/elderly-asian-lady-receiving-booster-shot-1-1536x1095.jpg 1536w\" sizes=\"(max-width: 1920px) 100vw, 1920px\">\u003cfigcaption class=\"wp-caption-text\">La farmacóloga de Safeway, Shahrzad Khoobyari (derecha), administra una inyección de refuerzo de Pfizer contra COVID-19 en el brazo de Chen Knifsend en una clínica de vacunas de San Rafael el 1 de octubre de 2021. \u003ccite>(Justin Sullivan/Getty Images)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>Tan sólo el 38% de los habitantes de San Francisco ha recibido la vacuna bivalente de refuerzo, frente al 86% que completó la serie inicial, esto según datos del Departamento de Salud Pública de San Francisco. En toda California, alrededor de una cuarta parte de los residentes han recibido las dosis bivalente de refuerzo, y el 61% la vacuna inicial.\u003c/p>\n\u003cp>Esto es preocupante, según Chin-Hong, porque la mayoría de las personas que dan positivo a COVID-19 en los hospitales hoy en día no están vacunadas o no están al día en sus vacunas.\u003c/p>\n\u003cp>“Más del 70% de las personas hospitalizadas ahora mismo no han recibido ni un solo refuerzo, y el resto no están vacunadas”, dijo Chin-Hong. “La inmensa mayoría de las personas vacunadas ni siquiera han recibido un refuerzo. Así que ese es realmente el objetivo”.\u003c/p>\n\u003cp>Los departamentos de salud locales animan a todos a vacunarse contra COVID-19 con la dosis bivalente de refuerzo si aún no lo han hecho.\u003c/p>\n\u003ch2>Su inmunidad y cuando reforzar\u003c/h2>\n\u003cp>La inmunidad proporcionada por una vacuna de refuerzo suele empezar a desaparecer unos cinco o seis meses después de la inyección.\u003c/p>\n\u003cp>Pero el sistema inmunológico no empieza de cero cuando la inmunidad de una vacuna empieza a disminuir.\u003c/p>\n\u003cp>Según Chin-Hong, la vacuna otorga a las células un modelo de protección contra el COVID-19, y la vacuna de refuerzo actúa como un “recordatorio” para el sistema inmune. Para la mayoría de las personas que ya han sido infectadas por COVID-19, esa experiencia también les proporciona un nivel de inmunidad.\u003c/p>\n\u003cp>[aside label='Más en español' tag='kqed-en-espanol']“Cuantas más veces sea recordado su sistema, más dura la inmunidad”, dijo Chin-Hong. “Para mí, eso es una victoria, porque como médico especialista en enfermedades infecciosas, me preocupa más que la gente no entre al hospital, que no sea ingresada en la unidad de cuidados intensivos y no muera”.\u003c/p>\n\u003cp>En enero, un comité de la FDA se reunió para debatir la \u003ca href=\"https://www.kqed.org/news/11938916/fda-considers-major-shift-in-covid-vaccine-strategy\">simplificación del calendario de vacunación contra COVID-19 a una solo dosis cada año para la mayoría de las personas\u003c/a> (enlace sólo en inglés).\u003c/p>\n\u003cp>Según este enfoque, se recomendaría a la mayoría de las personas que se vacunen anualmente con la dosis más reciente, probablemente en otoño o invierno, así como la vacuna contra la gripe. Y, al igual que con la vacuna antigripal, se esperaría que los fabricantes de medicamentos actualizarán la vacuna anual para adaptarla a la variante dominante de ese año, como el último refuerzo bivalente contra COVID-19 que se actualizó para atacar tanto a la cepa original del coronavirus como a las variantes omicrón dominantes.\u003c/p>\n\u003ch2>El futuro de la vacuna contra COVID-19\u003c/h2>\n\u003cp>La recomendación llega en un momento en que las \u003ca href=\"https://www.kqed.org/news/11941075/californias-covid-emergency-ends-feb-28-what-does-that-actually-mean-for-you\">autoridades locales, estatales y federales están poniendo fin a muchos programas y fuentes de financiación relacionados con COVID-19\u003c/a> (enlace sólo en inglés) que han proporcionado clínicas de pruebas, tratamiento accesible y vacunación.\u003c/p>\n\u003cp>Las vacunas contra COVID-19 seguirán siendo gratuitas o cubiertas por seguros médicos una vez que finalice la orden federal de emergencia por COVID el 11 de mayo, esto según las autoridades sanitarias estadounidenses. Pero puede ser que en el futuro, las vacunas sean más difíciles de conseguir.\u003c/p>\n\u003cp>Las personas que no tienen seguro podrían enfrentarse a nuevos costos una vez que termine la orden federal de emergencia. Sin embargo, \u003ca href=\"https://www.ltfrespuestalatina.com/covid-vaccination-testing\">algunas clínicas, incluidos centros comunitarios en San Francisco, han dicho que seguirán proporcionando vacunas gratuitas\u003c/a> a los residentes sin seguro médico mientras existan suministros disponibles.\u003c/p>\n\u003ch2>\u003ca id=\"pregunta\">\u003c/a>¿Qué otra pregunta tiene sobre COVID-19?\u003c/h2>\n\u003cp>Este reportaje se inspiró en parte a las preguntas que recibimos del público sobre la dosis bivalente de refuerzo y cuándo podemos esperar una segunda dosis.\u003c/p>\n\u003cp>¿Tiene alguna otra pregunta sobre COVID-19? No importa el tema, comparta su pregunta con nosotros en el siguiente formulario de Google, que en este momento, sólo está disponible en inglés. Puede que vea su pregunta publicada y respondida en el portal KQED.org, a través de la emisora de radio KQED o en nuestras redes sociales. También hemos dejado espacio para que nos cuente cualquier cosa que quiera compartir sobre cómo COVID-19 ha afectado a su vida. Si quiere, puede permanecer en el anonimato.\u003c/p>\n\u003cp>https://docs.google.com/forms/d/e/1FAIpQLScNhCXWDUmb3AeOpu6259r2ivjMlQi8FhfR9Cu_w4pzDAuqaw/viewform?embedded=true\u003c/p>\n\u003cp>No podremos responder personalmente a todas las preguntas, pero lo que comparta con nosotros nos ayudará a que nuestra cobertura sea más útil y relevante para usted y las personas que usted conoce. Siempre agradecemos su tiempo y energía para ayudarnos a servir a nuestras comunidades.\u003c/p>\n\u003chr>\n\u003cp>\u003cem>Este artículo fue traducido por la periodista \u003ca href=\"https://www.kqed.org/author/mpena/\">María Peña\u003c/a> y editado por el periodista \u003ca href=\"https://www.kqed.org/author/ccabreralomeli\">Carlos Cabrera-Lomelí\u003c/a>.\u003c/em>\u003cbr>\n[ad fullwidth]\u003c/p>\n\u003cp>[ad floatright]\u003c/p>\n",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>\u003cem>\u003ca href=\"https://www.kqed.org/news/11941531/when-can-i-get-a-second-bivalent-covid-booster-heres-what-we-know-right-now\">Leer en inglés\u003c/a>\u003c/em>\u003c/p>\n\u003cp>Han pasado casi seis meses desde que \u003ca href=\"https://www.kqed.org/news/11924327/where-can-i-find-a-new-omicron-covid-booster-shot-near-me\">está disponible la vacuna bivalente de refuerzo contra COVID-19\u003c/a> y muchas personas ya se están preguntando: “¿Cuándo puedo recibir mi segunda dosis de la bivalente de refuerzo?”.\u003c/p>\n\u003cp>La respuesta es breve: Mientras ya hayas recibido una dosis de la vacuna bivalente de refuerzo contra COVID-19, no hay necesidad de apresurarse.\u003c/p>\n\u003cul>\n\u003cli>\u003ca href=\"#pregunta\">\u003cstrong>¿Tiene alguna pregunta sobre COVID-19? Compartala con nosotros.\u003c/strong>\u003c/a>\u003c/li>\n\u003c/ul>\n\u003cp>Según el Dr. Peter Chin-Hong, experto en enfermedades infecciosas de la Universidad de California, San Francisco (UCSF por sus siglas en inglés), la mayoría de las personas sanas que están al día con sus vacunas contra COVID-19 deben recibir otra dosis de refuerzo al cabo de un año.\u003c/p>\n\u003cp>“Todo indica a que habrá un refuerzo contra COVID-19 cada año”, dijo Chin-Hong a KQED. “Hasta ahora sabemos que la inmunidad que las vacunas de refuerzo otorgan duran alrededor de un año en general”.\u003c/p>\n\u003cp>“Si ha recibido la serie original de las vacunas, ya cuenta con protección frente a enfermedades graves, hospitalización y muerte durante al menos un año, probablemente incluso más para la mayoría de la gente”, afirmó.\u003c/p>\n\u003cp>Según los Centros para el Control y la Prevención de Enfermedades (CDC, por sus siglas en inglés), \u003ca href=\"https://espanol.cdc.gov/coronavirus/2019-ncov/vaccines/stay-up-to-date.html\">para estar al día con las vacunas contra COVID-19\u003c/a>, una persona debe haber completado la serie original de las vacunas y haber recibido la vacuna de refuerzo más reciente. \u003ca href=\"https://www.kqed.org/news/11924327/where-can-i-find-a-new-omicron-covid-booster-shot-near-me#where\">Averigüe dónde puede recibir la vacuna bivalente de refuerzo \u003c/a>(enlace sólo en inglés).\u003c/p>\n\u003cp>La vacuna bivalente de refuerzo bivalente, que se presenta en una sola dosis, protege tanto contra la cepa original del virus, como contra las variantes ómicron que han surgido y siguen siendo dominantes. Los organismos sanitarios federales autorizaron la dosis de refuerzo actualizada para las personas mayores de 12 años en septiembre de 2022 y para los mayores de 6 meses en diciembre de 2022.\u003cbr>\n\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003ch2>¿Quiénes deberían recibir una vacuna bivalente de refuerzo antes de tiempo?\u003c/h2>\n\u003cp>Los funcionarios de salud del estado dijeron a KQED que no hay recomendaciones adicionales para las vacunas de refuerzo en este momento, pero que actualizarán la orientación estatal en el futuro basándose en los cambios o en más información de la Administración de Alimentos y Medicamentos (FDA, por sus siglas en inglés) y de los CDC.\u003c/p>\n\u003cp>Sin embargo, Chin-Hong añadió: “Hay muchas advertencias, lo que significa que tal vez algunos individuos inmunocomprometidos son personas mayores y pueden necesitar una vacuna de refuerzo con más frecuencia”.\u003c/p>\n\u003cp>Según Chin-Hong, las personas inmunocomprometidas o que se hayan sometido recientemente a intervenciones que puedan alterar su sistema inmunológico deberían consultar a su médico sobre la posibilidad de recibir dosis adicionales de la vacuna bivalente.\u003c/p>\n\u003cp>Chin-Hong señaló que le preocupa más la baja aceptación de la vacuna bivalente entre el público en general, que las dosis adicionales para personas que ya están al día con sus vacunas.\u003c/p>\n\u003cfigure id=\"attachment_11942627\" class=\"wp-caption aligncenter\" style=\"max-width: 1920px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-11942627\" src=\"https://ww2.kqed.org/app/uploads/sites/10/2023/03/elderly-asian-lady-receiving-booster-shot-1.jpg\" alt=\"\" width=\"1920\" height=\"1369\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2023/03/elderly-asian-lady-receiving-booster-shot-1.jpg 1920w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/03/elderly-asian-lady-receiving-booster-shot-1-800x570.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/03/elderly-asian-lady-receiving-booster-shot-1-1020x727.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/03/elderly-asian-lady-receiving-booster-shot-1-160x114.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/03/elderly-asian-lady-receiving-booster-shot-1-1536x1095.jpg 1536w\" sizes=\"(max-width: 1920px) 100vw, 1920px\">\u003cfigcaption class=\"wp-caption-text\">La farmacóloga de Safeway, Shahrzad Khoobyari (derecha), administra una inyección de refuerzo de Pfizer contra COVID-19 en el brazo de Chen Knifsend en una clínica de vacunas de San Rafael el 1 de octubre de 2021. \u003ccite>(Justin Sullivan/Getty Images)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>Tan sólo el 38% de los habitantes de San Francisco ha recibido la vacuna bivalente de refuerzo, frente al 86% que completó la serie inicial, esto según datos del Departamento de Salud Pública de San Francisco. En toda California, alrededor de una cuarta parte de los residentes han recibido las dosis bivalente de refuerzo, y el 61% la vacuna inicial.\u003c/p>\n\u003cp>Esto es preocupante, según Chin-Hong, porque la mayoría de las personas que dan positivo a COVID-19 en los hospitales hoy en día no están vacunadas o no están al día en sus vacunas.\u003c/p>\n\u003cp>“Más del 70% de las personas hospitalizadas ahora mismo no han recibido ni un solo refuerzo, y el resto no están vacunadas”, dijo Chin-Hong. “La inmensa mayoría de las personas vacunadas ni siquiera han recibido un refuerzo. Así que ese es realmente el objetivo”.\u003c/p>\n\u003cp>Los departamentos de salud locales animan a todos a vacunarse contra COVID-19 con la dosis bivalente de refuerzo si aún no lo han hecho.\u003c/p>\n\u003ch2>Su inmunidad y cuando reforzar\u003c/h2>\n\u003cp>La inmunidad proporcionada por una vacuna de refuerzo suele empezar a desaparecer unos cinco o seis meses después de la inyección.\u003c/p>\n\u003cp>Pero el sistema inmunológico no empieza de cero cuando la inmunidad de una vacuna empieza a disminuir.\u003c/p>\n\u003cp>Según Chin-Hong, la vacuna otorga a las células un modelo de protección contra el COVID-19, y la vacuna de refuerzo actúa como un “recordatorio” para el sistema inmune. Para la mayoría de las personas que ya han sido infectadas por COVID-19, esa experiencia también les proporciona un nivel de inmunidad.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>“Cuantas más veces sea recordado su sistema, más dura la inmunidad”, dijo Chin-Hong. “Para mí, eso es una victoria, porque como médico especialista en enfermedades infecciosas, me preocupa más que la gente no entre al hospital, que no sea ingresada en la unidad de cuidados intensivos y no muera”.\u003c/p>\n\u003cp>En enero, un comité de la FDA se reunió para debatir la \u003ca href=\"https://www.kqed.org/news/11938916/fda-considers-major-shift-in-covid-vaccine-strategy\">simplificación del calendario de vacunación contra COVID-19 a una solo dosis cada año para la mayoría de las personas\u003c/a> (enlace sólo en inglés).\u003c/p>\n\u003cp>Según este enfoque, se recomendaría a la mayoría de las personas que se vacunen anualmente con la dosis más reciente, probablemente en otoño o invierno, así como la vacuna contra la gripe. Y, al igual que con la vacuna antigripal, se esperaría que los fabricantes de medicamentos actualizarán la vacuna anual para adaptarla a la variante dominante de ese año, como el último refuerzo bivalente contra COVID-19 que se actualizó para atacar tanto a la cepa original del coronavirus como a las variantes omicrón dominantes.\u003c/p>\n\u003ch2>El futuro de la vacuna contra COVID-19\u003c/h2>\n\u003cp>La recomendación llega en un momento en que las \u003ca href=\"https://www.kqed.org/news/11941075/californias-covid-emergency-ends-feb-28-what-does-that-actually-mean-for-you\">autoridades locales, estatales y federales están poniendo fin a muchos programas y fuentes de financiación relacionados con COVID-19\u003c/a> (enlace sólo en inglés) que han proporcionado clínicas de pruebas, tratamiento accesible y vacunación.\u003c/p>\n\u003cp>Las vacunas contra COVID-19 seguirán siendo gratuitas o cubiertas por seguros médicos una vez que finalice la orden federal de emergencia por COVID el 11 de mayo, esto según las autoridades sanitarias estadounidenses. Pero puede ser que en el futuro, las vacunas sean más difíciles de conseguir.\u003c/p>\n\u003cp>Las personas que no tienen seguro podrían enfrentarse a nuevos costos una vez que termine la orden federal de emergencia. Sin embargo, \u003ca href=\"https://www.ltfrespuestalatina.com/covid-vaccination-testing\">algunas clínicas, incluidos centros comunitarios en San Francisco, han dicho que seguirán proporcionando vacunas gratuitas\u003c/a> a los residentes sin seguro médico mientras existan suministros disponibles.\u003c/p>\n\u003ch2>\u003ca id=\"pregunta\">\u003c/a>¿Qué otra pregunta tiene sobre COVID-19?\u003c/h2>\n\u003cp>Este reportaje se inspiró en parte a las preguntas que recibimos del público sobre la dosis bivalente de refuerzo y cuándo podemos esperar una segunda dosis.\u003c/p>\n\u003cp>¿Tiene alguna otra pregunta sobre COVID-19? No importa el tema, comparta su pregunta con nosotros en el siguiente formulario de Google, que en este momento, sólo está disponible en inglés. Puede que vea su pregunta publicada y respondida en el portal KQED.org, a través de la emisora de radio KQED o en nuestras redes sociales. También hemos dejado espacio para que nos cuente cualquier cosa que quiera compartir sobre cómo COVID-19 ha afectado a su vida. Si quiere, puede permanecer en el anonimato.\u003c/p>\u003c/p>\u003cp>\u003cdiv class='utils-parseShortcode-shortcodes-__shortcodes__shortcodeWrapper'>\n \u003ciframe\n src='https://docs.google.com/forms/d/e/1FAIpQLScNhCXWDUmb3AeOpu6259r2ivjMlQi8FhfR9Cu_w4pzDAuqaw/viewform?embedded=true?embedded=true'\n title='https://docs.google.com/forms/d/e/1FAIpQLScNhCXWDUmb3AeOpu6259r2ivjMlQi8FhfR9Cu_w4pzDAuqaw/viewform?embedded=true'\n width='760' height='500'\n frameborder='0'\n marginheight='0' marginwidth='0'>\u003c/iframe>\u003c/div>\u003c/p>\u003cp>\u003cp>No podremos responder personalmente a todas las preguntas, pero lo que comparta con nosotros nos ayudará a que nuestra cobertura sea más útil y relevante para usted y las personas que usted conoce. Siempre agradecemos su tiempo y energía para ayudarnos a servir a nuestras comunidades.\u003c/p>\n\u003chr>\n\u003cp>\u003cem>Este artículo fue traducido por la periodista \u003ca href=\"https://www.kqed.org/author/mpena/\">María Peña\u003c/a> y editado por el periodista \u003ca href=\"https://www.kqed.org/author/ccabreralomeli\">Carlos Cabrera-Lomelí\u003c/a>.\u003c/em>\u003cbr>\n\u003c/p>\u003c/div>",
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"info": "What kind of no sabo word is Hyphenación? For us, it’s about living within a hyphenation. Like being a third-gen Mexican-American from the Texas border now living that Bay Area Chicano life. Like Xorje! Each week we bring together a couple of hyphenated Latinos to talk all about personal life choices: family, careers, relationships, belonging … everything is on the table. ",
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"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.",
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"mindshift": {
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"info": "The MindShift podcast explores the innovations in education that are shaping how kids learn. Hosts Ki Sung and Katrina Schwartz introduce listeners to educators, researchers, parents and students who are developing effective ways to improve how kids learn. We cover topics like how fed-up administrators are developing surprising tactics to deal with classroom disruptions; how listening to podcasts are helping kids develop reading skills; the consequences of overparenting; and why interdisciplinary learning can engage students on all ends of the traditional achievement spectrum. This podcast is part of the MindShift education site, a division of KQED News. KQED is an NPR/PBS member station based in San Francisco. You can also visit the MindShift website for episodes and supplemental blog posts or tweet us \u003ca href=\"https://twitter.com/MindShiftKQED\">@MindShiftKQED\u003c/a> or visit us at \u003ca href=\"/mindshift\">MindShift.KQED.org\u003c/a>",
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"order": 12
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"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.",
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"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?",
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"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",
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"perspectives": {
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"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.",
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"tagline": "Politics from a personal perspective",
"info": "Political Breakdown is a new series that explores the political intersection of California and the nation. Each week hosts Scott Shafer and Marisa Lagos are joined with a new special guest to unpack politics -- with personality — and offer an insider’s glimpse at how politics happens.",
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"possible": {
"id": "possible",
"title": "Possible",
"info": "Possible is hosted by entrepreneur Reid Hoffman and writer Aria Finger. Together in Possible, Hoffman and Finger lead enlightening discussions about building a brighter collective future. The show features interviews with visionary guests like Trevor Noah, Sam Altman and Janette Sadik-Khan. Possible paints an optimistic portrait of the world we can create through science, policy, business, art and our shared humanity. It asks: What if everything goes right for once? How can we get there? Each episode also includes a short fiction story generated by advanced AI GPT-4, serving as a thought-provoking springboard to speculate how humanity could leverage technology for good.",
"airtime": "SUN 2pm",
"imageSrc": "https://cdn.kqed.org/wp-content/uploads/2024/04/Possible-Podcast-Tile-360x360-1.jpg",
"officialWebsiteLink": "https://www.possible.fm/",
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"source": "Possible"
},
"link": "/radio/program/possible",
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},
"pri-the-world": {
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"title": "PRI's The World: Latest Edition",
"info": "Each weekday, host Marco Werman and his team of producers bring you the world's most interesting stories in an hour of radio that reminds us just how small our planet really is.",
"airtime": "MON-FRI 2pm-3pm",
"imageSrc": "https://cdn.kqed.org/wp-content/uploads/2024/04/The-World-Podcast-Tile-360x360-1.jpg",
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},
"radiolab": {
"id": "radiolab",
"title": "Radiolab",
"info": "A two-time Peabody Award-winner, Radiolab is an investigation told through sounds and stories, and centered around one big idea. In the Radiolab world, information sounds like music and science and culture collide. Hosted by Jad Abumrad and Robert Krulwich, the show is designed for listeners who demand skepticism, but appreciate wonder. WNYC Studios is the producer of other leading podcasts including Freakonomics Radio, Death, Sex & Money, On the Media and many more.",
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},
"reveal": {
"id": "reveal",
"title": "Reveal",
"info": "Created by The Center for Investigative Reporting and PRX, Reveal is public radios first one-hour weekly radio show and podcast dedicated to investigative reporting. Credible, fact based and without a partisan agenda, Reveal combines the power and artistry of driveway moment storytelling with data-rich reporting on critically important issues. The result is stories that inform and inspire, arming our listeners with information to right injustices, hold the powerful accountable and improve lives.Reveal is hosted by Al Letson and showcases the award-winning work of CIR and newsrooms large and small across the nation. In a radio and podcast market crowded with choices, Reveal focuses on important and often surprising stories that illuminate the world for our listeners.",
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