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The agreement, announced Wednesday, comes after the San Francisco city attorney filed a lawsuit in August against the federal government for its closure plan for the facility, claiming it was an “unworkable” plan that “denied due process” and put the facility’s 600-plus patients at risk.\u003c/p>\n\u003cp>San Francisco City Attorney David Chiu agreed to drop his lawsuit against the U.S. Department of Health and Human Services after it allowed the facility to receive funding through Nov. 13, 2023, and agreed to halt relocation proceedings until next February.\u003c/p>\n\u003cp>Officials on the local, state and federal levels released a joint statement following the agreement, saying they are committed to ensuring people in nursing homes “are receiving safe, high-quality services and support.”\u003c/p>\n\u003cp>“We are all focused on resident wellbeing while Laguna Honda continues to provide critically needed health care services for hundreds of residents” the statement said.\u003c/p>\n\u003cp>Laguna Honda agreed to meet requirements set to improve health and safety conditions at the facility, and may be able to reapply for federal funding in the future. The deadline for transfers and discharges of residents could possibly be extended if the facility meets its obligations, according to the agreement.\u003c/p>\n\u003cp>\u003cstrong>Original story, 5:30 p.m. Aug. 4: \u003c/strong>San Francisco officials said Thursday they have filed a lawsuit against the federal government over its decision to cut funding to a nursing home run by the city and the tight deadline it set to move all patients out of the facility that state and federal officials deemed was providing “substandard care.”\u003c/p>\n\u003cp>San Francisco City Attorney David Chiu said the order by the federal government to transfer or discharge all patients out of Laguna Honda Hospital by Sept. 13 has denied the city due process and put patients at risk. He said at least nine patients have died days or weeks after being transferred or discharged and that at least three ended up in homeless shelters.\u003c/p>\n\u003cp>“We’re asking the federal government to exert compassion and common sense,” Chiu said during a Thursday press conference. “Between the huge shortage of skilled nursing facility beds, we see potentially very negative consequences” if the facility closes. “Individuals will become homeless. These people have nowhere to go.”\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>The city’s lawsuit filed Wednesday against the U.S. Department of Health and Human Services and Health and Human Services Secretary Xavier Becerra alleges the Centers for Medicare and Medicaid Services (CMS) imposed an arbitrary closure, requiring the facility to shut down before San Francisco’s administrative appeals can be decided.\u003c/p>\n\u003cp>Chiu said filing the lawsuit is “the last thing any of us wanted to do.”\u003c/p>\n\u003cp>“But after months of our attempts at engagement, the federal government has left us with no choice but legal action,” he said. “Our profound hope is that CMS will come to the table, will work with us on a plan that protects the remaining 610 patients, preserving an institution that has been the last safety net for so many for our patients.”\u003c/p>\n\u003cp>Mayor London Breed called the lawsuit “a matter of life or death.”\u003c/p>\n\u003cp>“Now, look at where we are, forced to move patients, to move patients to homeless shelters outside of the county where their families can’t visit,” Breed said. “We know that this creates trauma.”\u003c/p>\n\u003cp>Former City Attorney Louise Renne also filed a class action lawsuit against the state and federal government on behalf of Laguna Honda patients and families [aside postID=\"news_11920121\" hero='https://cdn.kqed.org/wp-content/uploads/sites/10/2022/07/RS57392_GettyImages-1216234763-qut-1020x680.jpg'] Last week, \u003ca href=\"https://apnews.com/article/health-california-public-san-francisco-medicaid-db6837ba531aae2dca3cf3560177446a\">federal regulators agreed to pause the transfers\u003c/a> after several patients died within days or weeks of being moved from the hospital and rehabilitation center but the deadline to shut down the hospital remains.\u003c/p>\n\u003cp>Speaking at the press conference, Renne urged CMS to “come to your senses.”\u003c/p>\n\u003cp>“How much longer are we going to keep this up before more deaths occur?” Renne said.\u003c/p>\n\u003cp>CMS terminated its payments to Laguna Honda in April after two patients had nonfatal overdoses at the facility in 2021, and inspectors with the California Department of Public Health declared it to be “in a state of substandard care.”\u003c/p>\n\u003cp>The federal agency, which pays for care for the majority of the nursing home’s 700 patients, also ordered the facility to start discharging or transferring its patients ahead of a mid-September mandated closure.\u003c/p>\n\u003cp>Founded in 1866, the sprawling facility serves people who need long-term care but who can’t afford private nursing homes. Many of the patients have dementia, drug addiction and other complex medical needs.\u003c/p>\n\u003cp>City officials say patients and their families are the ones suffering the most because of the forced closure. Debra Bauer spoke Thursday about how the facility has helped her son, who has a traumatic brain injury, and has been a resident at the hospital for about 20 years.\u003c/p>\n\u003cp>”My son feels safe there, I don’t want that taken away from him,“ she said. “I don’t want it taken away from him or any of the other residents that I see and we wave to in the hallways.”\u003c/p>\n\u003cp>\u003cem>This story includes reporting from Bay City News’ Olivia Wynkoop.\u003c/em>\u003c/p>\n\u003cp>\u003c/p>\n",
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"content": "\u003cdiv class=\"post-body\">\u003cp> Last week, \u003ca href=\"https://apnews.com/article/health-california-public-san-francisco-medicaid-db6837ba531aae2dca3cf3560177446a\">federal regulators agreed to pause the transfers\u003c/a> after several patients died within days or weeks of being moved from the hospital and rehabilitation center but the deadline to shut down the hospital remains.\u003c/p>\n\u003cp>Speaking at the press conference, Renne urged CMS to “come to your senses.”\u003c/p>\n\u003cp>“How much longer are we going to keep this up before more deaths occur?” Renne said.\u003c/p>\n\u003cp>CMS terminated its payments to Laguna Honda in April after two patients had nonfatal overdoses at the facility in 2021, and inspectors with the California Department of Public Health declared it to be “in a state of substandard care.”\u003c/p>\n\u003cp>The federal agency, which pays for care for the majority of the nursing home’s 700 patients, also ordered the facility to start discharging or transferring its patients ahead of a mid-September mandated closure.\u003c/p>\n\u003cp>Founded in 1866, the sprawling facility serves people who need long-term care but who can’t afford private nursing homes. Many of the patients have dementia, drug addiction and other complex medical needs.\u003c/p>\n\u003cp>City officials say patients and their families are the ones suffering the most because of the forced closure. Debra Bauer spoke Thursday about how the facility has helped her son, who has a traumatic brain injury, and has been a resident at the hospital for about 20 years.\u003c/p>\n\u003cp>”My son feels safe there, I don’t want that taken away from him,“ she said. “I don’t want it taken away from him or any of the other residents that I see and we wave to in the hallways.”\u003c/p>\n\u003cp>\u003cem>This story includes reporting from Bay City News’ Olivia Wynkoop.\u003c/em>\u003c/p>\n\u003cp>\u003c/p>\n\u003c/div>\u003c/p>",
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"content": "\u003cp>The White House today declared monkeypox a public health emergency.\u003c/p>\n\u003cp>“We are prepared to take our response to the next level in addressing this virus and we urge every American to take monkeypox seriously,” Health and Human Services Secretary Xavier Becerra said to reporters during a briefing on Thursday.\u003c/p>\n\u003cp>A public health emergency can trigger grant funding and open up more resources for various aspects of a federal response. It also allows the Secretary to enter into contracts for treatments and other necessary medical supplies and equipment, as well as support emergency hospital services, among other things. Public health emergencies last for 90 days but can be extended by the Secretary.\u003c/p>\n\u003cp>[aside postID=news_11919070 hero=\"\u003ca href=\"https://ww2.kqed.org/app/uploads/sites/10/2022/07/RS57170_GettyImages-1401390462-qut-1038x576.jpg\">RS57170_GettyImages-1401390462-qut-1038x576.jpg\"\u003c/a>]CDC Director Rochelle Walensky, said the declaration will provide resources and increase access to care. She also said it will expand the CDC’s ability to share data.\u003c/p>\n\u003cp>Some have been calling for a federal public health emergency saying it will signal to the country that this is a serious outbreak.\u003c/p>\n\u003cp>So far, there have been more than \u003ca href=\"https://www.cdc.gov/poxvirus/monkeypox/response/2022/us-map.html\">6,616 cases\u003c/a> detected in the U.S., but that is likely an undercount. Most cases in the U.S. are concentrated in the gay and queer community, primarily among men who have sex with men.\u003c/p>\n\u003cp>[aside label='Monkeypox Resources' tag='monkeypox-resources-and-explainers']In the current outbreak, the vast majority of people appear to be catching the virus from sexual contact. However, it’s possible for the virus to spread in other ways — including through face-to-face interactions with someone or from touching a contaminated surface — but data show this is exceptionally rare and occurs primarily in households. Experts say it takes prolonged interaction or a lot of the virus to contract the disease this way.\u003c/p>\n\u003cp>Scientists are also looking at evidence that suggests the virus can be spread through semen.\u003c/p>\n\u003cp>The focus of the Biden Administration’s response to the outbreak has been to vaccinate those at high risk of contracting the disease, but critics say vaccine availability has been limited and slow to come online.\u003c/p>\n\u003cp>The Administration says it has made more than one million doses of the JYNNEOS vaccine available to states and territories to order.\u003c/p>\n\u003cp>Governors in California, New York and Illinois have already declared states of emergency in response to the monkeypox outbreak. Some cities, including New York City and San Francisco, have also made their own emergency declarations.\u003c/p>\n\u003cp>The World Health Organization has already declared the monkeypox outbreak a Public Health Emergency of International Concern. There are currently more than 26,000 cases worldwide.\u003c/p>\n\u003cdiv class=\"fullattribution\">Copyright 2022 NPR. To see more, visit https://www.npr.org.\u003cimg decoding=\"async\" src=\"https://www.google-analytics.com/__utm.gif?utmac=UA-5828686-4&utmdt=White+House+declares+monkeypox+a+public+health+emergency&utme=8(APIKey)9(MDAxOTAwOTE4MDEyMTkxMDAzNjczZDljZA004)\">\u003c/div>\n\u003cdiv>[ad fullwidth]\u003c/div>\n\u003cp>\u003c/p>\n",
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"content": "\u003cdiv class=\"post-body\">\u003cp>CDC Director Rochelle Walensky, said the declaration will provide resources and increase access to care. She also said it will expand the CDC’s ability to share data.\u003c/p>\n\u003cp>Some have been calling for a federal public health emergency saying it will signal to the country that this is a serious outbreak.\u003c/p>\n\u003cp>So far, there have been more than \u003ca href=\"https://www.cdc.gov/poxvirus/monkeypox/response/2022/us-map.html\">6,616 cases\u003c/a> detected in the U.S., but that is likely an undercount. Most cases in the U.S. are concentrated in the gay and queer community, primarily among men who have sex with men.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>In the current outbreak, the vast majority of people appear to be catching the virus from sexual contact. However, it’s possible for the virus to spread in other ways — including through face-to-face interactions with someone or from touching a contaminated surface — but data show this is exceptionally rare and occurs primarily in households. Experts say it takes prolonged interaction or a lot of the virus to contract the disease this way.\u003c/p>\n\u003cp>Scientists are also looking at evidence that suggests the virus can be spread through semen.\u003c/p>\n\u003cp>The focus of the Biden Administration’s response to the outbreak has been to vaccinate those at high risk of contracting the disease, but critics say vaccine availability has been limited and slow to come online.\u003c/p>\n\u003cp>The Administration says it has made more than one million doses of the JYNNEOS vaccine available to states and territories to order.\u003c/p>\n\u003cp>Governors in California, New York and Illinois have already declared states of emergency in response to the monkeypox outbreak. Some cities, including New York City and San Francisco, have also made their own emergency declarations.\u003c/p>\n\u003cp>The World Health Organization has already declared the monkeypox outbreak a Public Health Emergency of International Concern. There are currently more than 26,000 cases worldwide.\u003c/p>\n\u003cdiv class=\"fullattribution\">Copyright 2022 NPR. To see more, visit https://www.npr.org.\u003cimg decoding=\"async\" src=\"https://www.google-analytics.com/__utm.gif?utmac=UA-5828686-4&utmdt=White+House+declares+monkeypox+a+public+health+emergency&utme=8(APIKey)9(MDAxOTAwOTE4MDEyMTkxMDAzNjczZDljZA004)\">\u003c/div>\n\u003cdiv>\u003c/p>\u003c/div>",
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"content": "\u003cp>Gov. Gavin Newsom declared a public health state of emergency Monday to boost California’s monkeypox vaccination efforts as the virus continues its rapid spread in the state.\u003c/p>\n\u003cp>The governor said the declaration will help California coordinate a government-wide response, acquire and distribute more vaccines and steer outreach efforts.\u003c/p>\n\u003cp>“California is working urgently across all levels of government to slow the spread of monkeypox, leveraging our robust testing, contact tracing and community partnerships strengthened during the pandemic to ensure that those most at risk are our focus for vaccines, treatment and outreach,” Newsom said in a statement. “We’ll continue to work with the federal government to secure more vaccines, raise awareness about reducing risk, and stand with the LGBTQ community fighting stigmatization.”\u003c/p>\n\u003cp>https://twitter.com/KQEDnews/status/1554527744767041537\u003c/p>\n\u003cp>The proclamation comes amid a spike in monkeypox cases in recent weeks. As of July 28, \u003ca href=\"https://www.cdph.ca.gov/Programs/CID/DCDC/Pages/Monkeypox.aspx\">786 people in California\u003c/a> had tested positive for the virus. More than 98% of them have been men, and the vast majority live in San Francisco and Los Angeles, according to state health officials.\u003c/p>\n\u003cp>[aside label=\"related coverage\" tag=\"monkeypox\"]In San Francisco alone, the case count had \u003ca href=\"https://sf.gov/information/monkeypox-cases\">risen to 310\u003c/a> as of Monday, accounting for nearly 40% of the state’s total.\u003c/p>\n\u003cp>The monkeypox virus spreads through prolonged and close skin-to-skin contact, which can include hugging, cuddling and kissing, as well as through the sharing of bedding, towels and clothing. It has so far overwhelmingly spread among men who have sex with men, and disproportionately impacted young Latino men, recent state data shows, though health officials stress that anyone can be infected.\u003c/p>\n\u003cp>The type of monkeypox virus identified in this outbreak is rarely fatal, and people usually recover within weeks. But the lesions and blisters caused by the virus are painful, and can prevent swallowing or bowel movements if they develop in the throat or anus.\u003c/p>\n\u003cp>\u003ca href=\"https://www.gov.ca.gov/wp-content/uploads/2022/08/8.1.22-Monkeypox-SOE-signed.pdf?emrc=2a3e09\">Newsom’s proclamation\u003c/a> allows emergency medical personnel to administer federally approved monkeypox vaccines.\u003c/p>\n\u003cp>That’s similar to a recent law that allows pharmacists to administer vaccines, the governor’s office said. The state’s response, it noted, is building on steps developed during the coronavirus pandemic to set up vaccination clinics and make sure outreach is available to vulnerable populations in coordination with local and community-based organizations.\u003c/p>\n\u003cp>California’s declaration follows an equivalent measure \u003ca href=\"https://apnews.com/article/health-africa-new-york-city-public-ee7bdc51b22ebe65a92f3056feceb3b9\">announced in New York state\u003c/a> on Saturday, and \u003ca href=\"https://www.kqed.org/news/11920764/an-epicenter-for-the-country-san-francisco-declares-state-of-emergency-over-monkeypox-outbreak\">one in San Francisco on Thursday\u003c/a>. Illinois on Monday also \u003ca href=\"https://www.npr.org/2022/08/02/1115104209/california-illinois-state-of-emergency-monkeypox\">proclaimed a state of emergency\u003c/a> over the virus.\u003c/p>\n\u003cp>Newsom’s administration had said as recently as Friday that it was too soon for such a declaration.\u003c/p>\n\u003cp>After pressing for Newsom to make the move, Democratic state Sen. Scott Wiener of San Francisco hailed the governor’s decision.\u003c/p>\n\u003cp>“The monkeypox outbreak is an emergency, and we need to use every tool we have to control it,” Wiener said.\u003c/p>\n\u003cfigure id=\"attachment_11921210\" class=\"wp-caption aligncenter\" style=\"max-width: 1920px\">\u003ca href=\"https://ww2.kqed.org/app/uploads/sites/10/2022/08/RS57504_008_KQED_MonkeypoxVaccineLineSFGen_08012022-qut.jpg\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-11921210\" src=\"https://ww2.kqed.org/app/uploads/sites/10/2022/08/RS57504_008_KQED_MonkeypoxVaccineLineSFGen_08012022-qut.jpg\" alt=\"Men wait in a long line on the street.\" width=\"1920\" height=\"1280\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2022/08/RS57504_008_KQED_MonkeypoxVaccineLineSFGen_08012022-qut.jpg 1920w, https://cdn.kqed.org/wp-content/uploads/sites/10/2022/08/RS57504_008_KQED_MonkeypoxVaccineLineSFGen_08012022-qut-800x533.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2022/08/RS57504_008_KQED_MonkeypoxVaccineLineSFGen_08012022-qut-1020x680.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2022/08/RS57504_008_KQED_MonkeypoxVaccineLineSFGen_08012022-qut-160x107.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2022/08/RS57504_008_KQED_MonkeypoxVaccineLineSFGen_08012022-qut-1536x1024.jpg 1536w\" sizes=\"(max-width: 1920px) 100vw, 1920px\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">The line to receive a monkeypox vaccine stretches for multiple blocks, outside San Francisco General Hospital on Monday, Aug. 1, 2022. \u003ccite>(Beth LaBerge/KQED)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>California has received more than 61,000 vaccine doses and distributed more than 25,000 doses, officials said. And as of last week, the state had expanded its testing capacity to process more than 1,000 tests a week.\u003c/p>\n\u003cp>But state and federal health officials have come under fire for what many say has been a lackluster response to the outbreak, with vaccines still in short supply despite rapidly rising demand.\u003c/p>\n\u003cp>On Monday, Peter Tran was among hundreds who lined up sometimes for hours to receive the monkeypox vaccine at the Zuckerberg San Francisco General Hospital (ZSFG) after the clinic was forced to close last week because it did not receive enough doses.\u003c/p>\n\u003cp>“It’s horrible. Like this is a vaccine that’s been out for such a long time. And like, it’s not even a deadly disease. It’s harder to be transmitted than COVID. But the rollout of the vaccines throughout this nation is absolutely horrible,” Tran said.\u003c/p>\n\u003cp>“I think the science shows that protection is greatly improved with the vaccine. So that’s why I’m doing it,” he added. “And I honestly just don’t want the lesions on my body. I heard the lesions are painful and leave scarring. So I think that’s another motivation to go out and get it.”\u003c/p>\n\u003cp>The city received about 4,000 doses on Friday and hopes to administer them by mid-week, said Dr. Lukejohn Day, chief medical officer at ZSFG.\u003c/p>\n\u003cp>\u003cem>This post includes reporting from Don Thompson of The Associated Press and KQED’s Matthew Green.\u003c/em>\u003cbr>\n[ad fullwidth]\u003c/p>\n\u003cp>\u003c/p>\n",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\n\u003cp>The proclamation comes amid a spike in monkeypox cases in recent weeks. As of July 28, \u003ca href=\"https://www.cdph.ca.gov/Programs/CID/DCDC/Pages/Monkeypox.aspx\">786 people in California\u003c/a> had tested positive for the virus. More than 98% of them have been men, and the vast majority live in San Francisco and Los Angeles, according to state health officials.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>In San Francisco alone, the case count had \u003ca href=\"https://sf.gov/information/monkeypox-cases\">risen to 310\u003c/a> as of Monday, accounting for nearly 40% of the state’s total.\u003c/p>\n\u003cp>The monkeypox virus spreads through prolonged and close skin-to-skin contact, which can include hugging, cuddling and kissing, as well as through the sharing of bedding, towels and clothing. It has so far overwhelmingly spread among men who have sex with men, and disproportionately impacted young Latino men, recent state data shows, though health officials stress that anyone can be infected.\u003c/p>\n\u003cp>The type of monkeypox virus identified in this outbreak is rarely fatal, and people usually recover within weeks. But the lesions and blisters caused by the virus are painful, and can prevent swallowing or bowel movements if they develop in the throat or anus.\u003c/p>\n\u003cp>\u003ca href=\"https://www.gov.ca.gov/wp-content/uploads/2022/08/8.1.22-Monkeypox-SOE-signed.pdf?emrc=2a3e09\">Newsom’s proclamation\u003c/a> allows emergency medical personnel to administer federally approved monkeypox vaccines.\u003c/p>\n\u003cp>That’s similar to a recent law that allows pharmacists to administer vaccines, the governor’s office said. The state’s response, it noted, is building on steps developed during the coronavirus pandemic to set up vaccination clinics and make sure outreach is available to vulnerable populations in coordination with local and community-based organizations.\u003c/p>\n\u003cp>California’s declaration follows an equivalent measure \u003ca href=\"https://apnews.com/article/health-africa-new-york-city-public-ee7bdc51b22ebe65a92f3056feceb3b9\">announced in New York state\u003c/a> on Saturday, and \u003ca href=\"https://www.kqed.org/news/11920764/an-epicenter-for-the-country-san-francisco-declares-state-of-emergency-over-monkeypox-outbreak\">one in San Francisco on Thursday\u003c/a>. Illinois on Monday also \u003ca href=\"https://www.npr.org/2022/08/02/1115104209/california-illinois-state-of-emergency-monkeypox\">proclaimed a state of emergency\u003c/a> over the virus.\u003c/p>\n\u003cp>Newsom’s administration had said as recently as Friday that it was too soon for such a declaration.\u003c/p>\n\u003cp>After pressing for Newsom to make the move, Democratic state Sen. Scott Wiener of San Francisco hailed the governor’s decision.\u003c/p>\n\u003cp>“The monkeypox outbreak is an emergency, and we need to use every tool we have to control it,” Wiener said.\u003c/p>\n\u003cfigure id=\"attachment_11921210\" class=\"wp-caption aligncenter\" style=\"max-width: 1920px\">\u003ca href=\"https://ww2.kqed.org/app/uploads/sites/10/2022/08/RS57504_008_KQED_MonkeypoxVaccineLineSFGen_08012022-qut.jpg\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-11921210\" src=\"https://ww2.kqed.org/app/uploads/sites/10/2022/08/RS57504_008_KQED_MonkeypoxVaccineLineSFGen_08012022-qut.jpg\" alt=\"Men wait in a long line on the street.\" width=\"1920\" height=\"1280\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2022/08/RS57504_008_KQED_MonkeypoxVaccineLineSFGen_08012022-qut.jpg 1920w, https://cdn.kqed.org/wp-content/uploads/sites/10/2022/08/RS57504_008_KQED_MonkeypoxVaccineLineSFGen_08012022-qut-800x533.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2022/08/RS57504_008_KQED_MonkeypoxVaccineLineSFGen_08012022-qut-1020x680.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2022/08/RS57504_008_KQED_MonkeypoxVaccineLineSFGen_08012022-qut-160x107.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2022/08/RS57504_008_KQED_MonkeypoxVaccineLineSFGen_08012022-qut-1536x1024.jpg 1536w\" sizes=\"(max-width: 1920px) 100vw, 1920px\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">The line to receive a monkeypox vaccine stretches for multiple blocks, outside San Francisco General Hospital on Monday, Aug. 1, 2022. \u003ccite>(Beth LaBerge/KQED)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>California has received more than 61,000 vaccine doses and distributed more than 25,000 doses, officials said. And as of last week, the state had expanded its testing capacity to process more than 1,000 tests a week.\u003c/p>\n\u003cp>But state and federal health officials have come under fire for what many say has been a lackluster response to the outbreak, with vaccines still in short supply despite rapidly rising demand.\u003c/p>\n\u003cp>On Monday, Peter Tran was among hundreds who lined up sometimes for hours to receive the monkeypox vaccine at the Zuckerberg San Francisco General Hospital (ZSFG) after the clinic was forced to close last week because it did not receive enough doses.\u003c/p>\n\u003cp>“It’s horrible. Like this is a vaccine that’s been out for such a long time. And like, it’s not even a deadly disease. It’s harder to be transmitted than COVID. But the rollout of the vaccines throughout this nation is absolutely horrible,” Tran said.\u003c/p>\n\u003cp>“I think the science shows that protection is greatly improved with the vaccine. So that’s why I’m doing it,” he added. “And I honestly just don’t want the lesions on my body. I heard the lesions are painful and leave scarring. So I think that’s another motivation to go out and get it.”\u003c/p>\n\u003cp>The city received about 4,000 doses on Friday and hopes to administer them by mid-week, said Dr. Lukejohn Day, chief medical officer at ZSFG.\u003c/p>\n\u003cp>\u003cem>This post includes reporting from Don Thompson of The Associated Press and KQED’s Matthew Green.\u003c/em>\u003cbr>\n\u003c/p>\u003c/div>",
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"content": "\u003cp>Monkeypox has existed for decades, but we’re now seeing multiple outbreaks across the United States. According to the Centers for Disease Control and Prevention, over 4,600 cases have been detected nationwide.\u003c/p>\n\u003cp>Monkeypox is related to the smallpox virus, but it’s generally less severe and “much less contagious” than smallpox, according to the California Department of Public Health. While the symptoms — including a rash that causes lesions — can be very painful, the CDC says monkeypox is “rarely fatal,” and that “over 99% of people who get this form of the disease are likely to survive.” Being sick with monkeypox typically lasts 2-4 weeks.\u003c/p>\n\u003cp>As of July 25, there were \u003ca href=\"https://www.cnn.com/2022/07/22/health/monkeypox-children-vaccine/index.html\">only two known cases of monkeypox in kids in the United States\u003c/a>. One of those children diagnosed with monkeypox is a California toddler. And despite these very small numbers, the risk of monkeypox to kids might naturally be on the minds of some parents and caregivers across the country.\u003c/p>\n\u003cp>KQED spoke to Dr. Yvonne Maldonado, professor of pediatrics and infectious diseases at Stanford University, about what you need to know about monkeypox in children at the moment. Her overarching message: “We shouldn’t panic” about monkeypox and kids right now.\u003c/p>\n\u003cp>“I think it’s really helpful for families to just know what the facts are at this point,” says Maldonado.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003ch2>Anyone can get monkeypox, but right now, the risk to kids looks small\u003c/h2>\n\u003cp>“There’s no major risk for children” right now, says Maldonado.\u003c/p>\n\u003cp>Maldonado stresses there’s still just so much we don’t know, and can’t accurately predict yet. But because adults have been impacted by the monkeypox outbreak, “it’s not unreasonable to expect that there may be some spread into household contacts, especially children,” she says.\u003c/p>\n\u003cp>Monkeypox spreads from close physical contact with an infected person, including sustained face-to-face exposure via respiratory droplets. It also spreads through contact with items that have previously touched the rash or fluids of an infected person, which could include touching or sharing clothes, bedsheets or towels.\u003c/p>\n\u003cp>Monkeypox is not a sexually transmitted infection (STI). You cannot get monkeypox from casual conversations, or by passing someone with monkeypox (say, in a store) or briefly touching surfaces like doorknobs.\u003c/p>\n\u003cp>All of this means that “better containment” for people who may have been infected with monkeypox — isolating from other family members, for example — is one of the ways we can prevent the spread of monkeypox, along with better access to monkeypox vaccines.\u003c/p>\n\u003cp>Anyone can get monkeypox, but as we learn more about the current outbreak in the U.S., we’re seeing that infections are particularly affecting communities of gay and bisexual men, and men who have sex with men. The World Health Organization notes that trans people and gender-diverse people “may also be more vulnerable in the context of the current outbreak.”\u003c/p>\n\u003cp>“We are hoping that we can contain this, but there will still be some spread for an unknown period of time,” says Maldonado.\u003c/p>\n\u003cp>[aside label='Monkeypox Resources' tag='monkeypox-resources-and-explainers']\u003c/p>\n\u003ch2>It’s possible to mistake many common rashes in kids for monkeypox\u003c/h2>\n\u003cp>Parents and caregivers know that rashes can be common in kids, and that figuring out what a particular rash could be — and if it’s a cause for real worry or necessitates a call to a pediatrician — can be hard. Adding concerns about monkeypox into that mix, especially at this time of year, could only make things tougher.\u003c/p>\n\u003cp>“This is summer virus season and there’s just a lot of viruses out there that cause fevers and rashes in little kids,” says Maldonado. “This is the bread and butter of pediatrics, seeing kids with colds, rashes, fevers. That’s very, very common.”\u003c/p>\n\u003cp>Maldonado says that when she first saw pictures of monkeypox rashes from this current outbreak, “some of the lesions — the less serious ones — really look like virus lesions that little kids can get. And I was worried that parents would just get panicked if they thought their kid had monkeypox, but probably it’s just a local virus.”\u003c/p>\n\u003cp>“The main message right now is that it’s rare in kids,” says Maldonado. “It still is much rarer than just being around a bunch of other kids and catching a summer virus.”\u003c/p>\n\u003cp>Despite what the name might suggest, monkeypox is not related to chickenpox at all — so your child’s chickenpox vaccination will not offer any protection against monkeypox. (If you personally got a smallpox vaccination as a kid before routine smallpox vaccines ended in 1972 in the U.S., that could be a different story. \u003ca href=\"https://www.kqed.org/news/11920455/where-can-i-find-a-monkeypox-vaccine-near-me#smallpoxvaccinechild\">Read more about smallpox vaccines and monkeypox.\u003c/a>)\u003c/p>\n\u003cp>Get more information with \u003ca href=\"https://www.nhs.uk/conditions/rashes-babies-and-children/\">this visual guide to rashes in children and babies from the U.K. National Health Service\u003c/a>, and also \u003ca href=\"https://www.sutterhealth.org/health/childrens-health/common-rashes-in-kids-what-to-know\">this pediatric rash explainer from Sutter Health\u003c/a>.\u003c/p>\n\u003ch2>We don’t know a lot yet about how monkeypox affects kids\u003c/h2>\n\u003cp>Monkeypox has existed for decades, with the first case among humans registered in 1970. (The disease is called monkeypox because it was first found in 1958 in monkeys.)\u003c/p>\n\u003cp>“There’s two major strains that we know of, and it’s really been hard to get a lot of information about childhood disease,” says Maldonado. “But we do know that children under 8, at least with the previous strains of monkeypox — not necessarily with the current strain that we’re seeing circulate around the world, but those previous strains — seem to (be showing) more severe disease compared to adults.” Kids older than 8 years old, she says, “tend not to have as severe disease.”\u003c/p>\n\u003cp>Monkeypox is rarely fatal, and Maldonado says that in the context of this particular outbreak, the “major concern” for patients seems to be the rash the disease causes, and the painful nature of those lesions or pustules. And certainly, people who’ve had the disease recently \u003ca href=\"https://laist.com/news/health/lesions-debilitating-pain-monkeypox-experience\">have spoken about the often intense pain they’ve experienced during their infections\u003c/a>.\u003c/p>\n\u003cp>“But fortunately, we haven’t seen terribly severe disease, and I think that’s really important to remember,” says Maldonado.\u003c/p>\n\u003ch2>Kids could have options for monkeypox vaccines and treatment if needed\u003c/h2>\n\u003cp>The monkeypox vaccine being offered in the United States right now is called Jynneos — a two-dose vaccine that’s also used to prevent smallpox.\u003c/p>\n\u003cp>Right now, Jynneos is only generally available for people age 18 and older, although “the CDC does have a special approval for giving the vaccine to children under 18,” says Maldonado. “But that needs to be given with some paperwork involved, because it’s really not officially released by the FDA for general use.”\u003c/p>\n\u003cp>The CDC recommends that the vaccine be given to a person within four days of the date they were exposed to monkeypox, for the best chance of preventing onset of the disease. If a person gets the vaccine between four and 14 days of being exposed, the vaccine may reduce the symptoms of monkeypox, but may not prevent the disease altogether.\u003c/p>\n\u003cp>Supplies of the monkeypox vaccine in the Bay Area are distributed directly from the California Department of Public Health, who get their supply from the federal government. And right now, availability is still very limited and demand is high.\u003c/p>\n\u003cfigure id=\"attachment_11919138\" class=\"wp-caption aligncenter\" style=\"max-width: 1920px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-11919138\" src=\"https://ww2.kqed.org/app/uploads/sites/10/2022/07/RS57175_GettyImages-1241638108-qut.jpg\" alt=\"\" width=\"1920\" height=\"1378\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2022/07/RS57175_GettyImages-1241638108-qut.jpg 1920w, https://cdn.kqed.org/wp-content/uploads/sites/10/2022/07/RS57175_GettyImages-1241638108-qut-800x574.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2022/07/RS57175_GettyImages-1241638108-qut-1020x732.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2022/07/RS57175_GettyImages-1241638108-qut-160x115.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2022/07/RS57175_GettyImages-1241638108-qut-1536x1102.jpg 1536w\" sizes=\"(max-width: 1920px) 100vw, 1920px\">\u003cfigcaption class=\"wp-caption-text\">A vial of the Jynneos monkeypox vaccine. \u003ccite>(Bill O'Leary/The Washington Post via Getty Images)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>Currently, the antiviral drug Tecovirimat (also known as TPOXX or ST-246) is being used to treat those experiencing severe monkeypox. The FDA already has approved Tecovirimat to treat smallpox, and has recently expanded its use for monkeypox among adults and children.\u003c/p>\n\u003cp>But as with giving the Jynneos vaccine to kids, treating children – and adults, in fact — with TPOXX also gets complicated because of regulation. Maldonado says this treatment similarly has “some paperwork involved, because it’s really not officially released by the FDA for general use” for monkeypox, because it’s licensed for smallpox.\u003c/p>\n\u003cp>“That doesn’t mean it can’t be used,” she says, but if a provider wants to use TPOXX to treat monkeypox, “there need to be forms that are filled out, going over the risks and benefits of the drug and the fact that they’d have to be informed consent.”\u003c/p>\n\u003cp>“So it is a little bit harder administratively to get a hold of, but there is that drug available — and it’s available for all age groups,” says Maldonado.\u003c/p>\n\u003ch2>You’ll see monkeypox symptoms — and that’s a good thing\u003c/h2>\n\u003cp>Unlike COVID, monkeypox “isn’t one of those diseases where you can be asymptomatic,” notes Maldonado.\u003c/p>\n\u003cp>She says it’s “very unlikely” we’ll see cases where a child is infectious but has no symptoms. “We have not seen that, for example, yet in the adults.”\u003c/p>\n\u003cp>This means that if a family is concerned their child might have monkeypox, “it would have to be most likely because they knew either that somebody very close to them or in the family was infected, or that somebody close to them or in the family was exposed, or that their child had symptoms that were similar to monkeypox,” says Maldonado. And unlike COVID, the visible symptoms of monkeypox mean it’s far more likely a person will realize they have it.\u003c/p>\n\u003ch2>Schools might see a renewed focus on hygiene and sanitation\u003c/h2>\n\u003cp>Maldonado emphasizes that it’s “really too early to tell what’s going to happen in schools” when kids return after the summer break.\u003c/p>\n\u003cp>But she already suspects that heightened sanitary practices “are just going to be very helpful here” — and that the experience and familiarity that students and school officials already have with these practices because of COVID could be beneficial.\u003c/p>\n\u003cp>“This is really a disease that’s transmitted by very close skin-to-skin contact, by very close and long-duration respiratory contact, as well as contact with contaminated clothing or other materials,” says Maldonado. “So those are things that I think we can control better in school settings than, for example, just coughing or breathing on each other [as with COVID]. That’s a lot harder to control.”\u003c/p>\n\u003cp>Ultimately, “I suspect we’ll just have to wait and see,” she says.\u003c/p>\n\u003ch2>As with COVID, sick kids should be kept away from group settings\u003c/h2>\n\u003cp>Schools might also think about keeping kids who have symptoms or a potential exposure to monkeypox away from the school setting temporarily, and away from other students, says Maldonado.\u003c/p>\n\u003cp>As for other settings in which kids will have physical contact, such as athletic leagues, Maldonado says the people running those organizations should keep doing what they’ve hopefully been doing through COVID, and continue to ask parents and caregivers not to bring their kids into these settings if they suspect they’re sick.\u003c/p>\n\u003cp>“We should always say that ‘no matter where you are and what you think you’re sick with, you shouldn’t really be in large gatherings if you have active respiratory or other illnesses,’” says Maldonado. “And so that would be the same.”\u003c/p>\n\u003cp>[ad floatright]\u003c/p>\n",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>Monkeypox has existed for decades, but we’re now seeing multiple outbreaks across the United States. According to the Centers for Disease Control and Prevention, over 4,600 cases have been detected nationwide.\u003c/p>\n\u003cp>Monkeypox is related to the smallpox virus, but it’s generally less severe and “much less contagious” than smallpox, according to the California Department of Public Health. While the symptoms — including a rash that causes lesions — can be very painful, the CDC says monkeypox is “rarely fatal,” and that “over 99% of people who get this form of the disease are likely to survive.” Being sick with monkeypox typically lasts 2-4 weeks.\u003c/p>\n\u003cp>As of July 25, there were \u003ca href=\"https://www.cnn.com/2022/07/22/health/monkeypox-children-vaccine/index.html\">only two known cases of monkeypox in kids in the United States\u003c/a>. One of those children diagnosed with monkeypox is a California toddler. And despite these very small numbers, the risk of monkeypox to kids might naturally be on the minds of some parents and caregivers across the country.\u003c/p>\n\u003cp>KQED spoke to Dr. Yvonne Maldonado, professor of pediatrics and infectious diseases at Stanford University, about what you need to know about monkeypox in children at the moment. Her overarching message: “We shouldn’t panic” about monkeypox and kids right now.\u003c/p>\n\u003cp>“I think it’s really helpful for families to just know what the facts are at this point,” says Maldonado.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003ch2>Anyone can get monkeypox, but right now, the risk to kids looks small\u003c/h2>\n\u003cp>“There’s no major risk for children” right now, says Maldonado.\u003c/p>\n\u003cp>Maldonado stresses there’s still just so much we don’t know, and can’t accurately predict yet. But because adults have been impacted by the monkeypox outbreak, “it’s not unreasonable to expect that there may be some spread into household contacts, especially children,” she says.\u003c/p>\n\u003cp>Monkeypox spreads from close physical contact with an infected person, including sustained face-to-face exposure via respiratory droplets. It also spreads through contact with items that have previously touched the rash or fluids of an infected person, which could include touching or sharing clothes, bedsheets or towels.\u003c/p>\n\u003cp>Monkeypox is not a sexually transmitted infection (STI). You cannot get monkeypox from casual conversations, or by passing someone with monkeypox (say, in a store) or briefly touching surfaces like doorknobs.\u003c/p>\n\u003cp>All of this means that “better containment” for people who may have been infected with monkeypox — isolating from other family members, for example — is one of the ways we can prevent the spread of monkeypox, along with better access to monkeypox vaccines.\u003c/p>\n\u003cp>Anyone can get monkeypox, but as we learn more about the current outbreak in the U.S., we’re seeing that infections are particularly affecting communities of gay and bisexual men, and men who have sex with men. The World Health Organization notes that trans people and gender-diverse people “may also be more vulnerable in the context of the current outbreak.”\u003c/p>\n\u003cp>“We are hoping that we can contain this, but there will still be some spread for an unknown period of time,” says Maldonado.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003ch2>It’s possible to mistake many common rashes in kids for monkeypox\u003c/h2>\n\u003cp>Parents and caregivers know that rashes can be common in kids, and that figuring out what a particular rash could be — and if it’s a cause for real worry or necessitates a call to a pediatrician — can be hard. Adding concerns about monkeypox into that mix, especially at this time of year, could only make things tougher.\u003c/p>\n\u003cp>“This is summer virus season and there’s just a lot of viruses out there that cause fevers and rashes in little kids,” says Maldonado. “This is the bread and butter of pediatrics, seeing kids with colds, rashes, fevers. That’s very, very common.”\u003c/p>\n\u003cp>Maldonado says that when she first saw pictures of monkeypox rashes from this current outbreak, “some of the lesions — the less serious ones — really look like virus lesions that little kids can get. And I was worried that parents would just get panicked if they thought their kid had monkeypox, but probably it’s just a local virus.”\u003c/p>\n\u003cp>“The main message right now is that it’s rare in kids,” says Maldonado. “It still is much rarer than just being around a bunch of other kids and catching a summer virus.”\u003c/p>\n\u003cp>Despite what the name might suggest, monkeypox is not related to chickenpox at all — so your child’s chickenpox vaccination will not offer any protection against monkeypox. (If you personally got a smallpox vaccination as a kid before routine smallpox vaccines ended in 1972 in the U.S., that could be a different story. \u003ca href=\"https://www.kqed.org/news/11920455/where-can-i-find-a-monkeypox-vaccine-near-me#smallpoxvaccinechild\">Read more about smallpox vaccines and monkeypox.\u003c/a>)\u003c/p>\n\u003cp>Get more information with \u003ca href=\"https://www.nhs.uk/conditions/rashes-babies-and-children/\">this visual guide to rashes in children and babies from the U.K. National Health Service\u003c/a>, and also \u003ca href=\"https://www.sutterhealth.org/health/childrens-health/common-rashes-in-kids-what-to-know\">this pediatric rash explainer from Sutter Health\u003c/a>.\u003c/p>\n\u003ch2>We don’t know a lot yet about how monkeypox affects kids\u003c/h2>\n\u003cp>Monkeypox has existed for decades, with the first case among humans registered in 1970. (The disease is called monkeypox because it was first found in 1958 in monkeys.)\u003c/p>\n\u003cp>“There’s two major strains that we know of, and it’s really been hard to get a lot of information about childhood disease,” says Maldonado. “But we do know that children under 8, at least with the previous strains of monkeypox — not necessarily with the current strain that we’re seeing circulate around the world, but those previous strains — seem to (be showing) more severe disease compared to adults.” Kids older than 8 years old, she says, “tend not to have as severe disease.”\u003c/p>\n\u003cp>Monkeypox is rarely fatal, and Maldonado says that in the context of this particular outbreak, the “major concern” for patients seems to be the rash the disease causes, and the painful nature of those lesions or pustules. And certainly, people who’ve had the disease recently \u003ca href=\"https://laist.com/news/health/lesions-debilitating-pain-monkeypox-experience\">have spoken about the often intense pain they’ve experienced during their infections\u003c/a>.\u003c/p>\n\u003cp>“But fortunately, we haven’t seen terribly severe disease, and I think that’s really important to remember,” says Maldonado.\u003c/p>\n\u003ch2>Kids could have options for monkeypox vaccines and treatment if needed\u003c/h2>\n\u003cp>The monkeypox vaccine being offered in the United States right now is called Jynneos — a two-dose vaccine that’s also used to prevent smallpox.\u003c/p>\n\u003cp>Right now, Jynneos is only generally available for people age 18 and older, although “the CDC does have a special approval for giving the vaccine to children under 18,” says Maldonado. “But that needs to be given with some paperwork involved, because it’s really not officially released by the FDA for general use.”\u003c/p>\n\u003cp>The CDC recommends that the vaccine be given to a person within four days of the date they were exposed to monkeypox, for the best chance of preventing onset of the disease. If a person gets the vaccine between four and 14 days of being exposed, the vaccine may reduce the symptoms of monkeypox, but may not prevent the disease altogether.\u003c/p>\n\u003cp>Supplies of the monkeypox vaccine in the Bay Area are distributed directly from the California Department of Public Health, who get their supply from the federal government. And right now, availability is still very limited and demand is high.\u003c/p>\n\u003cfigure id=\"attachment_11919138\" class=\"wp-caption aligncenter\" style=\"max-width: 1920px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-11919138\" src=\"https://ww2.kqed.org/app/uploads/sites/10/2022/07/RS57175_GettyImages-1241638108-qut.jpg\" alt=\"\" width=\"1920\" height=\"1378\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2022/07/RS57175_GettyImages-1241638108-qut.jpg 1920w, https://cdn.kqed.org/wp-content/uploads/sites/10/2022/07/RS57175_GettyImages-1241638108-qut-800x574.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2022/07/RS57175_GettyImages-1241638108-qut-1020x732.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2022/07/RS57175_GettyImages-1241638108-qut-160x115.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2022/07/RS57175_GettyImages-1241638108-qut-1536x1102.jpg 1536w\" sizes=\"(max-width: 1920px) 100vw, 1920px\">\u003cfigcaption class=\"wp-caption-text\">A vial of the Jynneos monkeypox vaccine. \u003ccite>(Bill O'Leary/The Washington Post via Getty Images)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>Currently, the antiviral drug Tecovirimat (also known as TPOXX or ST-246) is being used to treat those experiencing severe monkeypox. The FDA already has approved Tecovirimat to treat smallpox, and has recently expanded its use for monkeypox among adults and children.\u003c/p>\n\u003cp>But as with giving the Jynneos vaccine to kids, treating children – and adults, in fact — with TPOXX also gets complicated because of regulation. Maldonado says this treatment similarly has “some paperwork involved, because it’s really not officially released by the FDA for general use” for monkeypox, because it’s licensed for smallpox.\u003c/p>\n\u003cp>“That doesn’t mean it can’t be used,” she says, but if a provider wants to use TPOXX to treat monkeypox, “there need to be forms that are filled out, going over the risks and benefits of the drug and the fact that they’d have to be informed consent.”\u003c/p>\n\u003cp>“So it is a little bit harder administratively to get a hold of, but there is that drug available — and it’s available for all age groups,” says Maldonado.\u003c/p>\n\u003ch2>You’ll see monkeypox symptoms — and that’s a good thing\u003c/h2>\n\u003cp>Unlike COVID, monkeypox “isn’t one of those diseases where you can be asymptomatic,” notes Maldonado.\u003c/p>\n\u003cp>She says it’s “very unlikely” we’ll see cases where a child is infectious but has no symptoms. “We have not seen that, for example, yet in the adults.”\u003c/p>\n\u003cp>This means that if a family is concerned their child might have monkeypox, “it would have to be most likely because they knew either that somebody very close to them or in the family was infected, or that somebody close to them or in the family was exposed, or that their child had symptoms that were similar to monkeypox,” says Maldonado. And unlike COVID, the visible symptoms of monkeypox mean it’s far more likely a person will realize they have it.\u003c/p>\n\u003ch2>Schools might see a renewed focus on hygiene and sanitation\u003c/h2>\n\u003cp>Maldonado emphasizes that it’s “really too early to tell what’s going to happen in schools” when kids return after the summer break.\u003c/p>\n\u003cp>But she already suspects that heightened sanitary practices “are just going to be very helpful here” — and that the experience and familiarity that students and school officials already have with these practices because of COVID could be beneficial.\u003c/p>\n\u003cp>“This is really a disease that’s transmitted by very close skin-to-skin contact, by very close and long-duration respiratory contact, as well as contact with contaminated clothing or other materials,” says Maldonado. “So those are things that I think we can control better in school settings than, for example, just coughing or breathing on each other [as with COVID]. That’s a lot harder to control.”\u003c/p>\n\u003cp>Ultimately, “I suspect we’ll just have to wait and see,” she says.\u003c/p>\n\u003ch2>As with COVID, sick kids should be kept away from group settings\u003c/h2>\n\u003cp>Schools might also think about keeping kids who have symptoms or a potential exposure to monkeypox away from the school setting temporarily, and away from other students, says Maldonado.\u003c/p>\n\u003cp>As for other settings in which kids will have physical contact, such as athletic leagues, Maldonado says the people running those organizations should keep doing what they’ve hopefully been doing through COVID, and continue to ask parents and caregivers not to bring their kids into these settings if they suspect they’re sick.\u003c/p>\n\u003cp>“We should always say that ‘no matter where you are and what you think you’re sick with, you shouldn’t really be in large gatherings if you have active respiratory or other illnesses,’” says Maldonado. “And so that would be the same.”\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cp>A vial of insulin cost $25 in 1995, back when Chris Noble was 5 years old and just learning how to manage his Type 1 diabetes with the help of his parents and his doctors.\u003c/p>\n\u003cp>Nearly three decades later, Noble says that same vial of insulin costs more than $300 — a 12-fold increase for something he and millions like him can’t live without.\u003c/p>\n\u003cp>“It’s as essential as water,” Noble said.\u003c/p>\n\u003cp>Health care advocates have bemoaned for years that insulin, while inexpensive to produce, is held hostage by a U.S. health care system stubbornly resistant to reforms as companies monopolize and maximize profits.\u003c/p>\n\u003cp class=\"p1\">Now, with several insulin patents nearing their expiration dates, California is looking to disrupt that market by making its own insulin and selling it for a much cheaper price. Last month, after a few years of study, state lawmakers approved $100 million for the project, with $50 million dedicated to developing three types of insulin and the rest set aside to invest in a manufacturing facility.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>Gov. Gavin Newsom and state lawmakers still have many details to work out, including contracting with a private company to do most of the work. But the budget was a put-his-money-where-his-mouth-is moment for Newsom, who has been calling for the state to launch its own brand of generic drugs to lower the overall price of medication.\u003c/p>\n\u003cp>“Nothing epitomizes market failures more than the cost of insulin,” Newsom said in a video posted to his Twitter account. “California is now taking matters into our own hands.”\u003c/p>\n\u003cp>https://twitter.com/GavinNewsom/status/1545122879649374209\u003c/p>\n\u003cp>This wouldn’t be the first time California has made its own medicine. In 1990, about half of all cases of infant botulism — a rare illness that affects the large intestine — were in California. The California Department of Public Health got a federal grant to develop and test a treatment. The treatment won federal approval in 2003, and California has been making it ever since.\u003c/p>\n\u003cp>But the market for infant botulism treatments is small, with about 110 cases reported each year, according to the U.S. Centers for Disease Control and Prevention. One course of California’s botulism treatment costs more than $57,000, according to a legislative analysis.\u003c/p>\n\u003cp>Meanwhile, about 7 million people in the United States require insulin to manage their diabetes. The human body converts most of the food we eat into sugar. The pancreas then produces insulin, which converts that sugar into energy. People who have diabetes don’t produce enough insulin. People with Type 1 diabetes must take insulin every day to survive.[aside label=\"Related Stories\" postID=\"stateofhealth_24623,news_11026460\"]Insulin was first discovered in the 1920s by a team of Canadian scientists. They sold the patent to the University of Toronto for just $1, hoping the school would license the product to multiple companies to prevent a monopoly that would lead to high prices.\u003c/p>\n\u003cp>But over time, the insulin market was slowly cornered. Today, just three companies produce most of the world’s insulin. In the United States, the line between an insulin manufacturer and a patient is not straight. It zigs and zags between insurance companies and pharmacy benefit managers — third parties that manage prescription drug benefits for health plans.\u003c/p>\n\u003cp>It’s that system that has kept the cost of insulin much higher in the United States than in other countries, as more companies benefit from the higher price tag, said Kasia Lipska, an associate professor at the Yale School of Medicine.\u003c/p>\n\u003cp>“It creates this really weird incentive,” Lipska said.\u003c/p>\n\u003cp>California will try to break that incentive. The reason more companies haven’t entered the insulin market is because if they did, the established manufacturers would just undercut them, making it impossible to recoup their investment, said Anthony Wright, executive director of Health Access California, a consumer advocacy group.\u003c/p>\n\u003cp>But California is in a different position because aside from selling insulin, it also buys the product every year for the millions of people on its publicly funded health plans. That means if California’s product drives down the price of insulin across the market, the state would still benefit.\u003c/p>\n\u003cp>“That’s why California’s market power matters,” Wright said. “To a Wall Street investor, driving down the cost of insulin means you might not be able to get your investment back. To California, driving down the price of insulin is a real savings to both taxpayers as well as to our residents.”\u003c/p>\n\u003cp>Still, there’s no guarantee California’s plan will work. For one thing, insurers and pharmacy benefit managers might not cover California’s insulin products, making it more difficult for patients to get them.\u003c/p>\n\u003cp>Sarah Sutton, director of public affairs for Pharmaceutical Research and Manufacturers of America, said a better idea would be for California to focus on “commonsense solutions” to address the role pharmacy benefit managers play in insulin pricing.\u003c/p>\n\u003cp>“That would bring real relief to patients right now,” she said.\u003c/p>\n\u003cp>Dr. Mark Ghaly, secretary of the California Health and Human Services Agency, said he hopes a state as large as California making its own insulin would significantly diminish the role of pharmacy benefit managers in insulin pricing.\u003c/p>\n\u003cp>If successful, Ghaly said, he thinks the price of California-branded insulin would be so competitive that patients could buy it off the shelf cheaper than going through their insurance plan.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>“We expect to save hundreds of millions of dollars for California because of this,” Ghaly said. “This gives us an opportunity to create a blueprint for health care affordability that has been so far out of reach for states and, frankly, the federal government, and it’s really exciting to see where it can go.”\u003c/p>\n\n",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>A vial of insulin cost $25 in 1995, back when Chris Noble was 5 years old and just learning how to manage his Type 1 diabetes with the help of his parents and his doctors.\u003c/p>\n\u003cp>Nearly three decades later, Noble says that same vial of insulin costs more than $300 — a 12-fold increase for something he and millions like him can’t live without.\u003c/p>\n\u003cp>“It’s as essential as water,” Noble said.\u003c/p>\n\u003cp>Health care advocates have bemoaned for years that insulin, while inexpensive to produce, is held hostage by a U.S. health care system stubbornly resistant to reforms as companies monopolize and maximize profits.\u003c/p>\n\u003cp class=\"p1\">Now, with several insulin patents nearing their expiration dates, California is looking to disrupt that market by making its own insulin and selling it for a much cheaper price. Last month, after a few years of study, state lawmakers approved $100 million for the project, with $50 million dedicated to developing three types of insulin and the rest set aside to invest in a manufacturing facility.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>Gov. Gavin Newsom and state lawmakers still have many details to work out, including contracting with a private company to do most of the work. But the budget was a put-his-money-where-his-mouth-is moment for Newsom, who has been calling for the state to launch its own brand of generic drugs to lower the overall price of medication.\u003c/p>\n\u003cp>“Nothing epitomizes market failures more than the cost of insulin,” Newsom said in a video posted to his Twitter account. “California is now taking matters into our own hands.”\u003c/p>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\n\u003cp>This wouldn’t be the first time California has made its own medicine. In 1990, about half of all cases of infant botulism — a rare illness that affects the large intestine — were in California. The California Department of Public Health got a federal grant to develop and test a treatment. The treatment won federal approval in 2003, and California has been making it ever since.\u003c/p>\n\u003cp>But the market for infant botulism treatments is small, with about 110 cases reported each year, according to the U.S. Centers for Disease Control and Prevention. One course of California’s botulism treatment costs more than $57,000, according to a legislative analysis.\u003c/p>\n\u003cp>Meanwhile, about 7 million people in the United States require insulin to manage their diabetes. The human body converts most of the food we eat into sugar. The pancreas then produces insulin, which converts that sugar into energy. People who have diabetes don’t produce enough insulin. People with Type 1 diabetes must take insulin every day to survive.\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>Insulin was first discovered in the 1920s by a team of Canadian scientists. They sold the patent to the University of Toronto for just $1, hoping the school would license the product to multiple companies to prevent a monopoly that would lead to high prices.\u003c/p>\n\u003cp>But over time, the insulin market was slowly cornered. Today, just three companies produce most of the world’s insulin. In the United States, the line between an insulin manufacturer and a patient is not straight. It zigs and zags between insurance companies and pharmacy benefit managers — third parties that manage prescription drug benefits for health plans.\u003c/p>\n\u003cp>It’s that system that has kept the cost of insulin much higher in the United States than in other countries, as more companies benefit from the higher price tag, said Kasia Lipska, an associate professor at the Yale School of Medicine.\u003c/p>\n\u003cp>“It creates this really weird incentive,” Lipska said.\u003c/p>\n\u003cp>California will try to break that incentive. The reason more companies haven’t entered the insulin market is because if they did, the established manufacturers would just undercut them, making it impossible to recoup their investment, said Anthony Wright, executive director of Health Access California, a consumer advocacy group.\u003c/p>\n\u003cp>But California is in a different position because aside from selling insulin, it also buys the product every year for the millions of people on its publicly funded health plans. That means if California’s product drives down the price of insulin across the market, the state would still benefit.\u003c/p>\n\u003cp>“That’s why California’s market power matters,” Wright said. “To a Wall Street investor, driving down the cost of insulin means you might not be able to get your investment back. To California, driving down the price of insulin is a real savings to both taxpayers as well as to our residents.”\u003c/p>\n\u003cp>Still, there’s no guarantee California’s plan will work. For one thing, insurers and pharmacy benefit managers might not cover California’s insulin products, making it more difficult for patients to get them.\u003c/p>\n\u003cp>Sarah Sutton, director of public affairs for Pharmaceutical Research and Manufacturers of America, said a better idea would be for California to focus on “commonsense solutions” to address the role pharmacy benefit managers play in insulin pricing.\u003c/p>\n\u003cp>“That would bring real relief to patients right now,” she said.\u003c/p>\n\u003cp>Dr. Mark Ghaly, secretary of the California Health and Human Services Agency, said he hopes a state as large as California making its own insulin would significantly diminish the role of pharmacy benefit managers in insulin pricing.\u003c/p>\n\u003cp>If successful, Ghaly said, he thinks the price of California-branded insulin would be so competitive that patients could buy it off the shelf cheaper than going through their insurance plan.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>“We expect to save hundreds of millions of dollars for California because of this,” Ghaly said. “This gives us an opportunity to create a blueprint for health care affordability that has been so far out of reach for states and, frankly, the federal government, and it’s really exciting to see where it can go.”\u003c/p>\n\n\u003c/div>\u003c/p>",
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"title": "Monkeypox in San Francisco: City Declares State of Emergency As 'Epicenter for the Country'",
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"content": "\u003cp>San Francisco Mayor London Breed announced a state of emergency Thursday over the rapidly growing number of monkeypox cases in the city.\u003c/p>\n\u003cp>The legal action, which goes into effect Monday, allows officials to mobilize personnel and resources and cut through red tape to get ahead of the mounting public health crisis. City officials hope that the declaration will also pressure the federal government to increase the available supply of the monkeypox vaccine.\u003c/p>\n\u003cp>“We are at a very scary place,” Breed said at a press conference held at City Hall on Thursday. “We don’t want to be ignored by the federal government.”\u003c/p>\n\u003cp>Earlier this week, San Francisco had to shut down its primary monkeypox vaccination clinic at SF General Hospital for the second time this month after it again ran out of doses, turning away long lines of people. The San Francisco Department of Public Health (SFDPH) said it was expecting to receive an additional 4,220 doses of the vaccine this week, bringing the total number of vaccines received to roughly 12,000 — about a third of the supply they’ve requested from the federal government.\u003c/p>\n\u003cp>“We have a solution in the vaccines and we want to make sure that everyone who is requesting a vaccine gets one,” Breed said.\u003c/p>\n\u003cp>News of the declaration — which comes amid the ongoing COVID-19 pandemic — was welcomed by LGBTQ+ advocates who have grown increasingly frustrated by what they call a lackluster response from the city and the federal government to a virus that can infect anyone, but has so far primarily affected communities of gay and bisexual men, and men who have sex with men.\u003c/p>\n\u003cp>“We know the challenges of what happens in San Francisco when we put public health on the back burner,” said Breed. “During the AIDS crisis … San Francisco was virtually left on its own to fend for itself.”\u003c/p>\n\u003cp>During the initial onset of the HIV/AIDS crisis in San Francisco during the 1980s, the majority of infections were among gay and bisexual men, and men who have sex with men. City Health Director Dr. Grant Colfax praised the way local care providers reacted to HIV/AIDS back then and said that response has informed the way San Francisco is responding to monkeypox now.\u003c/p>\n\u003cp>“As a gay man who came out and did my medical training during the peak of the AIDS epidemic,” Colfax said, “I personally and professionally experienced the indifference, the homophobia and the stigma by the medical and public health institutions in regard to prioritizing HIV prevention and care.”\u003c/p>\n\u003cp>“But San Francisco’s community-driven and responsive care systems were a notable exception.”\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>As of Thursday, \u003ca href=\"https://sf.gov/information/monkeypox-cases#:~:text=On%20July%2022%2C%202022%2C%20SFDPH,for%20Disease%20Control%20and%20Prevention.\">the SFDPH reported a total of 281 confirmed and probable cases\u003c/a> — more than a third of all reported cases statewide — with officials noting that actual case counts are likely higher, given the lack of testing availability. Nationwide, there are more than 4,600 reported cases, and 19,000 globally (in 76 countries), according to the Centers for Disease Control and Prevention (CDC).\u003c/p>\n\u003cp>Roughly a third of the cases in California have been detected in San Francisco, according to local health officials.\u003c/p>\n\u003cp>Members of the city’s LGBTQ+ community expressed anger and frustration last week at a Board of Supervisors’ Government Audit and Oversight Committee hearing on the monkeypox response, saying they were relying on social media because San Francisco health officials had not dispensed basic information on testing or vaccine availability.\u003c/p>\n\u003cp>[aside label=\"related coverage\" tag=\"monkeypox-resources-and-explainers\"]Much of the consternation stems from the dearth of available vaccines and testing capacity. Unlike COVID, the two-shot monkeypox vaccine has existed for years, but remains in extremely short supply nationwide, leaving disproportionately affected cities like San Francisco and New York unable to meet growing demand.\u003c/p>\n\u003cp>Supervisor Rafael Mandelman excoriated the department at the hearing, saying it was unclear why it could not staff phone lines, especially after telling people to call those phone numbers for information, even as the San Francisco AIDS Foundation was able to quickly staff an information hotline.\u003c/p>\n\u003cp>“It’s a bad look for San Francisco,” he said.\u003c/p>\n\u003cp>“San Francisco in the ’80s pioneered a national model for the response to the AIDS crisis. We pioneered a model for the COVID crisis. But we are not pioneering a response to the monkeypox crisis,” said Tom Temprano, political director for Equality California, a statewide LBGTQ+ civil rights organization, at the hearing.\u003c/p>\n\u003cp>Monkeypox spreads through prolonged skin-to-skin contact, which can include sex, kissing, breathing at very close range and sharing bedding and clothing, officials said. It’s related to smallpox, but is much less severe and “rarely fatal,” according to the CDC, which says “\u003ca href=\"https://www.cdc.gov/poxvirus/monkeypox/faq.html\">over 99% of people who get this form of the disease are likely to survive\u003c/a>.”\u003c/p>\n\u003cp>Monkeypox symptoms are similar to those of smallpox, but generally much milder — often manifesting in painful skin lesions that can last from two to four weeks, according to the CDC.\u003c/p>\n\u003cp>Breed’s public health declaration comes less than a week after the \u003ca href=\"https://www.nytimes.com/2022/07/23/health/monkeypox-pandemic-who.html\">World Health Organization declared the disease a public health emergency\u003c/a>, a designation it’s only used to describe two other diseases: COVID-19 and polio. The Biden administration \u003ca href=\"https://www.politico.com/news/2022/07/27/biden-admin-monkeypox-health-emergency-00048333\">is expected to follow suit\u003c/a> in the coming days.\u003c/p>\n\u003cp>“San Francisco was at the forefront of the public health responses to HIV and COVID-19, and we will be at the forefront when it comes to monkeypox,” said state Sen. Scott Wiener, a Democrat who represents San Francisco. “We can’t and won’t leave the LGTBQ community out to dry.”\u003c/p>\n\u003cp>\u003cem>This story includes reporting from The Associated Press.\u003c/em>\u003c/p>\n\u003cp>\u003c/p>\n",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>San Francisco Mayor London Breed announced a state of emergency Thursday over the rapidly growing number of monkeypox cases in the city.\u003c/p>\n\u003cp>The legal action, which goes into effect Monday, allows officials to mobilize personnel and resources and cut through red tape to get ahead of the mounting public health crisis. City officials hope that the declaration will also pressure the federal government to increase the available supply of the monkeypox vaccine.\u003c/p>\n\u003cp>“We are at a very scary place,” Breed said at a press conference held at City Hall on Thursday. “We don’t want to be ignored by the federal government.”\u003c/p>\n\u003cp>Earlier this week, San Francisco had to shut down its primary monkeypox vaccination clinic at SF General Hospital for the second time this month after it again ran out of doses, turning away long lines of people. The San Francisco Department of Public Health (SFDPH) said it was expecting to receive an additional 4,220 doses of the vaccine this week, bringing the total number of vaccines received to roughly 12,000 — about a third of the supply they’ve requested from the federal government.\u003c/p>\n\u003cp>“We have a solution in the vaccines and we want to make sure that everyone who is requesting a vaccine gets one,” Breed said.\u003c/p>\n\u003cp>News of the declaration — which comes amid the ongoing COVID-19 pandemic — was welcomed by LGBTQ+ advocates who have grown increasingly frustrated by what they call a lackluster response from the city and the federal government to a virus that can infect anyone, but has so far primarily affected communities of gay and bisexual men, and men who have sex with men.\u003c/p>\n\u003cp>“We know the challenges of what happens in San Francisco when we put public health on the back burner,” said Breed. “During the AIDS crisis … San Francisco was virtually left on its own to fend for itself.”\u003c/p>\n\u003cp>During the initial onset of the HIV/AIDS crisis in San Francisco during the 1980s, the majority of infections were among gay and bisexual men, and men who have sex with men. City Health Director Dr. Grant Colfax praised the way local care providers reacted to HIV/AIDS back then and said that response has informed the way San Francisco is responding to monkeypox now.\u003c/p>\n\u003cp>“As a gay man who came out and did my medical training during the peak of the AIDS epidemic,” Colfax said, “I personally and professionally experienced the indifference, the homophobia and the stigma by the medical and public health institutions in regard to prioritizing HIV prevention and care.”\u003c/p>\n\u003cp>“But San Francisco’s community-driven and responsive care systems were a notable exception.”\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>As of Thursday, \u003ca href=\"https://sf.gov/information/monkeypox-cases#:~:text=On%20July%2022%2C%202022%2C%20SFDPH,for%20Disease%20Control%20and%20Prevention.\">the SFDPH reported a total of 281 confirmed and probable cases\u003c/a> — more than a third of all reported cases statewide — with officials noting that actual case counts are likely higher, given the lack of testing availability. Nationwide, there are more than 4,600 reported cases, and 19,000 globally (in 76 countries), according to the Centers for Disease Control and Prevention (CDC).\u003c/p>\n\u003cp>Roughly a third of the cases in California have been detected in San Francisco, according to local health officials.\u003c/p>\n\u003cp>Members of the city’s LGBTQ+ community expressed anger and frustration last week at a Board of Supervisors’ Government Audit and Oversight Committee hearing on the monkeypox response, saying they were relying on social media because San Francisco health officials had not dispensed basic information on testing or vaccine availability.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>Much of the consternation stems from the dearth of available vaccines and testing capacity. Unlike COVID, the two-shot monkeypox vaccine has existed for years, but remains in extremely short supply nationwide, leaving disproportionately affected cities like San Francisco and New York unable to meet growing demand.\u003c/p>\n\u003cp>Supervisor Rafael Mandelman excoriated the department at the hearing, saying it was unclear why it could not staff phone lines, especially after telling people to call those phone numbers for information, even as the San Francisco AIDS Foundation was able to quickly staff an information hotline.\u003c/p>\n\u003cp>“It’s a bad look for San Francisco,” he said.\u003c/p>\n\u003cp>“San Francisco in the ’80s pioneered a national model for the response to the AIDS crisis. We pioneered a model for the COVID crisis. But we are not pioneering a response to the monkeypox crisis,” said Tom Temprano, political director for Equality California, a statewide LBGTQ+ civil rights organization, at the hearing.\u003c/p>\n\u003cp>Monkeypox spreads through prolonged skin-to-skin contact, which can include sex, kissing, breathing at very close range and sharing bedding and clothing, officials said. It’s related to smallpox, but is much less severe and “rarely fatal,” according to the CDC, which says “\u003ca href=\"https://www.cdc.gov/poxvirus/monkeypox/faq.html\">over 99% of people who get this form of the disease are likely to survive\u003c/a>.”\u003c/p>\n\u003cp>Monkeypox symptoms are similar to those of smallpox, but generally much milder — often manifesting in painful skin lesions that can last from two to four weeks, according to the CDC.\u003c/p>\n\u003cp>Breed’s public health declaration comes less than a week after the \u003ca href=\"https://www.nytimes.com/2022/07/23/health/monkeypox-pandemic-who.html\">World Health Organization declared the disease a public health emergency\u003c/a>, a designation it’s only used to describe two other diseases: COVID-19 and polio. The Biden administration \u003ca href=\"https://www.politico.com/news/2022/07/27/biden-admin-monkeypox-health-emergency-00048333\">is expected to follow suit\u003c/a> in the coming days.\u003c/p>\n\u003cp>“San Francisco was at the forefront of the public health responses to HIV and COVID-19, and we will be at the forefront when it comes to monkeypox,” said state Sen. Scott Wiener, a Democrat who represents San Francisco. “We can’t and won’t leave the LGTBQ community out to dry.”\u003c/p>\n\u003cp>\u003cem>This story includes reporting from The Associated Press.\u003c/em>\u003c/p>\n\u003cp>\u003c/p>\n\u003c/div>\u003c/p>",
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"slug": "monkeypox-in-the-bay-area-from-symptoms-to-how-to-find-a-vaccine-heres-what-we-know",
"title": "Mpox in the San Francisco Bay Area: What We Know About Symptoms, Cases and Spread",
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"content": "\u003cp>\u003cstrong>Update, 12:20 p.m. October 20: \u003c/strong>The San Francisco Department of Public Health has announced it will end the city’s state of emergency around monkeypox (MPX) on October 31.\u003c/p>\n\u003cp>SF health officials said that MPX cases “have slowed to less than one case per day,” and that more than 27,000 city residents have now received the MPX vaccine.\u003c/p>\n\u003cp>San Francisco originally declared this public health emergency for MPX back in July, and was the first U.S. city to do so.\u003c/p>\n\u003cp>\u003cstrong>Original post:\u003c/strong>\u003c/p>\n\u003cp>\u003cstrong>A note: Several public health organizations, including the California Department of Public Health, have chosen to refer to monkeypox as “MPX” (pronounced “em-pox”) with the aim of \u003ca href=\"https://www.latimes.com/science/story/2022-08-26/many-say-the-name-is-racist-so-what-do-you-call-monkeypox\">reducing homophobic and racial stigma surrounding the virus\u003c/a>. For the rest of this story, we use “MPX” for these reasons, except in direct quotes or other cases where it would confuse readers.\u003c/strong>\u003c/p>\n\u003cp>Back on August 4, \u003ca href=\"https://www.kqed.org/news/11921618/white-house-declares-monkeypox-a-public-health-emergency\">the White House declared MPX a public health emergency\u003c/a>. At the time of this announcement, there were more than 6,616 cases reported in the U.S.\u003c/p>\n\u003cp>As of Sept. 14, \u003ca href=\"https://www.cdc.gov/poxvirus/monkeypox/response/2022/us-map.html\">the CDC now reports 22,630 cases nationwide\u003c/a>. And because of limited testing, this figure most likely still represents something of an undercount.\u003c/p>\n\u003cul>\n\u003cli>\u003cstrong>Looking for where to find an MPX vaccine near you? \u003ca href=\"https://www.kqed.org/news/11920455/where-can-i-find-a-monkeypox-vaccine-near-me\">Read our full guide to the MPX vaccine in the Bay Area.\u003c/a>\u003c/strong>\u003c/li>\n\u003c/ul>\n\u003cp>“We are prepared to take our response to the next level in addressing this virus and we urge every American to take monkeypox seriously,” Health and Human Services Secretary Xavier Becerra said. Read more about \u003ca href=\"https://www.kqed.org/news/11921618/white-house-declares-monkeypox-a-public-health-emergency\">what the public health emergency means.\u003c/a>\u003c/p>\n\u003cp>On August 1, Gov. Gavin Newsom \u003ca href=\"https://www.kqed.org/news/11921185/newsom-declares-statewide-emergency-amid-rapid-spread-of-monkeypox-virus\">declared a State of Emergency over the MPX outbreak in California\u003c/a>. A week prior, \u003ca href=\"https://www.kqed.org/news/11920764/an-epicenter-for-the-country-san-francisco-declares-state-of-emergency-over-monkeypox-outbreak\">San Francisco had declared its own state of emergency over MPX\u003c/a>. State and local health officials have affirmed that cases are rapidly rising and have asked the federal government to make MPX vaccines more widely available.\u003c/p>\n\u003cp>\u003cstrong>Jump to a specific answer:\u003c/strong>\u003c/p>\n\u003cul>\n\u003cli>\u003cstrong>\u003ca href=\"#monkeypoxsymptoms\">What are the symptoms of MPX?\u003c/a>\u003c/strong>\u003c/li>\n\u003cli>\u003cstrong>\u003ca href=\"#monkeypoxcases\">How many MPX cases are in the Bay Area?\u003c/a>\u003c/strong>\u003c/li>\n\u003cli>\u003cstrong>\u003ca href=\"#monkeypoxtreament\">What should I do if I think I have MPX?\u003c/a>\u003c/strong>\u003c/li>\n\u003cli>\u003cstrong>\u003ca href=\"#monkeypoxprevention\">How can I prevent being infected with MPX?\u003c/a>\u003c/strong>\u003c/li>\n\u003c/ul>\n\u003cp>MPX has existed for decades — the first case among humans was registered in 1970 — but we’re now seeing multiple outbreaks across the U.S. \u003ca href=\"https://www.cdc.gov/poxvirus/monkeypox/response/2022/us-map.html\">See how many cases have now been reported nationwide according to the Centers for Disease Control and Prevention.\u003c/a>\u003c/p>\n\u003cp>The majority of infections have been detected among gay and bisexual men, but public health experts have made it clear that MPX is an “equal opportunity disease,” meaning that anybody, regardless of sexual orientation, race, class or other demographic categories, is susceptible to infection.[aside postID=news_11920455 hero='https://ww2.kqed.org/app/uploads/sites/10/2022/07/RS57399_GettyImages-1408879341-qut-1020x765.jpg']\u003c/p>\n\u003cp>However, public health organizations that serve the LGBTQ+ community in the Bay Area are still advising residents to learn more about MPX and how it spreads, particularly in the context of large public events in San Francisco celebrated by the queer community like Pride (the weekend of June 25), Dore Alley Weekend (the weekend of July 30) and Folsom Street Fair (the weekend of September 24) that take place in the summer and fall. \u003ca href=\"https://www.kqed.org/news/11920764/an-epicenter-for-the-country-san-francisco-declares-state-of-emergency-over-monkeypox-outbreak\">San Francisco formally declared the outbreak a public health emergency back on July 28.\u003c/a>\u003c/p>\n\u003cp>KQED spoke to physicians, public health officials and LGBTQ+ health groups to create this guide that includes the latest information on the disease, its transmission and available treatment, and what to do if you become infected. And if you’re looking for vaccine details specifically, you can \u003ca href=\"https://www.kqed.org/news/11920455/where-can-i-find-a-monkeypox-vaccine-near-me\">read our full guide to where to find a MPX vaccine near you.\u003c/a>\u003c/p>\n\u003ch2>What is MPX?\u003c/h2>\n\u003cp>\u003ca href=\"https://sf.gov/information/monkeypox\">MPX is a disease that is caused when a person is infected with the MPX virus\u003c/a>. As the name might suggest, the virus is related to the smallpox virus but it’s generally less severe and “much less contagious” than smallpox, according to the California Department of Public Health (CDPH).\u003c/p>\n\u003cp>Although you might assume MPX is also related to chickenpox, it’s not.\u003c/p>\n\u003ch3>How did MPX get its name?\u003c/h3>\n\u003cp>The disease was called “monkeypox” because \u003ca href=\"https://www.cdc.gov/poxvirus/monkeypox/about.html\">it was first found in 1958 in monkeys\u003c/a>. The Centers for Disease Control and Prevention say that the first human case of MPX was recorded in 1970.\u003c/p>\n\u003cp>Several public health bodies, including the California Department of Public Health and the San Francisco Department of Public Health, have now chosen to refer to the virus as “MPX” to address concerns that \u003ca href=\"https://www.latimes.com/science/story/2022-08-26/many-say-the-name-is-racist-so-what-do-you-call-monkeypox\">the original name furthers both racist and homophobic stigma\u003c/a> around the disease and those who contract it.\u003c/p>\n\u003cp>In speech, MPX is usually pronounced “em-pox,” or the initials “em-pee-ecks.”\u003c/p>\n\u003cp>You may often see “monkeypox” on first usage, and “MPX” thereafter throughout an article or a resource from a public agency. Some official resources may also use “MPOX”. Rest assured these names are referring to the same disease.\u003c/p>\n\u003ch2>How dangerous is MPX?\u003c/h2>\n\u003cp>While it’s less severe than smallpox, MPX can still be a serious disease. The good news is that according to the CDC, MPX is “rarely fatal” — and that “\u003ca href=\"https://www.cdc.gov/poxvirus/monkeypox/faq.html\">over 99% of people who get this form of the disease are likely to survive\u003c/a>.”\u003c/p>\n\u003cp>However, “people with weakened immune systems, children under 8 years of age, people with a history of eczema, and people who are pregnant or breastfeeding may be more likely to get seriously ill or die.”\u003c/p>\n\u003cp>Being sick with MPX typically lasts 2-4 weeks. The symptoms of MPX are similar to smallpox symptoms, but luckily are milder.\u003c/p>\n\u003ch2>\u003ca id=\"monkeypoxcases\">\u003c/a>How many MPX cases are in California and the Bay Area right now?\u003c/h2>\n\u003cp>See \u003ca href=\"https://www.cdph.ca.gov/Programs/CID/DCDC/Pages/monkeypox.aspx\">the number of probable and confirmed MPX cases reported in California right now\u003c/a>, via the California Department of Public Health.\u003c/p>\n\u003cp>See \u003ca href=\"https://sf.gov/information/monkeypox-cases\">the current number of probable and confirmed cases of MPX in San Francisco\u003c/a>, via the San Francisco Public Health Department.\u003c/p>\n\u003cp>See \u003ca href=\"https://www.cdc.gov/poxvirus/monkeypox/response/2022/us-map.html\">the number of nationwide MPX cases state-by-state\u003c/a>, according to the CDC’s map.\u003c/p>\n\u003cfigure id=\"attachment_11919133\" class=\"wp-caption alignnone\" style=\"max-width: 1920px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-11919133\" src=\"https://ww2.kqed.org/app/uploads/sites/10/2022/07/RS57172_GettyImages-1400054668-qut.jpg\" alt=\"A woman wearing a white lab coat and blue surgical gloves is photographed from behind over her left shoulder as she prepared a medical sample on a white table.\" width=\"1920\" height=\"1280\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2022/07/RS57172_GettyImages-1400054668-qut.jpg 1920w, https://cdn.kqed.org/wp-content/uploads/sites/10/2022/07/RS57172_GettyImages-1400054668-qut-800x533.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2022/07/RS57172_GettyImages-1400054668-qut-1020x680.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2022/07/RS57172_GettyImages-1400054668-qut-160x107.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2022/07/RS57172_GettyImages-1400054668-qut-1536x1024.jpg 1536w\" sizes=\"(max-width: 1920px) 100vw, 1920px\">\u003cfigcaption class=\"wp-caption-text\">A nurse prepares a PCR test for MPX testing. \u003ccite>(Carlos Lujan/Europa Press via Getty Images)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003ch2>\u003ca id=\"monkeypoxsymptoms\">\u003c/a>What are the symptoms of MPX?\u003c/h2>\n\u003cp>According to the World Health Organization, \u003ca href=\"https://www.who.int/news-room/fact-sheets/detail/monkeypox\">the incubation period of MPX\u003c/a>— that is, the amount of time between getting infected with MPX and actually developing the symptoms — is usually from six to 13 days. It can, however, range from five to 21 days.\u003c/p>\n\u003cp>The CDC says that \u003ca href=\"https://www.cdc.gov/poxvirus/monkeypox/clinicians/clinical-recognition.html\">you aren’t contagious during this incubation period.\u003c/a>\u003c/p>\n\u003cp>After that initial incubation period, a person who’s infected with MPX will start to develop symptoms and become contagious to others. The CDC says that symptoms of MPX can include:\u003c/p>\n\u003cul>\n\u003cli>A rash (also known as lesions) that can look like pimples or blisters that appears on the face, inside the mouth, and on other parts of the body, like the hands, feet, chest, genitals or anus. The rash goes through different stages before healing completely.\u003c/li>\n\u003cli>Fever\u003c/li>\n\u003cli>Headache\u003c/li>\n\u003cli>Muscle aches and backache\u003c/li>\n\u003cli>Swollen lymph nodes\u003c/li>\n\u003cli>Chills\u003c/li>\n\u003cli>Exhaustion\u003c/li>\n\u003c/ul>\n\u003cp>Much like with COVID, symptoms can present quite differently in different people. According to the CDC, some people get a rash first, and other symptoms follow. Other folks will only experience the rash itself.\u003c/p>\n\u003cp>The symptoms of MPX that aren’t the rash — like chills, fatigue and headache — are similar to symptoms of COVID. This means it’s entirely possible you could initially mistake a MPX infection for a COVID infection (or you could assume it’s another illness entirely, if you then test for COVID and get a negative result). This is why watching out for a rash is really important.\u003c/p>\n\u003cp>The San Francisco Department of Public Health says that usually, that \u003ca href=\"https://sf.gov/information/monkeypox\">MPX rash will start in the form of red, flat spots\u003c/a>, which then become bumps. The bumps then become filled with fluid, which will then break and crust over into a scab.\u003c/p>\n\u003cp>In addition to the itch they can cause, MPX lesions can be very painful, especially in genital areas or the anus. The CDC notes that people also can have permanent scarring after the rash.\u003c/p>\n\u003cp>\u003ca href=\"https://www.who.int/news-room/fact-sheets/detail/monkeypox\">The symptoms of MPX can last two to four weeks.\u003c/a> This means that, with an incubation period that could be as short as five days or as long as 21 days, a person could be dealing with an MPX infection for anywhere from under three weeks to almost two months.\u003c/p>\n\u003ch2>Who can get MPX?\u003c/h2>\n\u003cp>Anyone can get MPX.\u003c/p>\n\u003cp>As more details emerge of the outbreak in the U.S., it appears that \u003ca href=\"https://www.who.int/publications/m/item/monkeypox-public-health-advice-for-men-who-have-sex-with-men\">MPX infections are particularly affecting communities of gay and bisexual men\u003c/a>, and men who have sex with men.\u003c/p>\n\u003cp>The World Health Organization notes that \u003ca href=\"https://www.who.int/news/item/25-05-2022-monkeypox--public-health-advice-for-gay--bisexual-and-other-men-who-have-sex-with-men\">trans people and gender-diverse people “may also be more vulnerable\u003c/a> in the context of the current outbreak.”\u003c/p>\n\u003cp>San Francisco Health Officer Susan Philip says that LGBTQ+ folks currently being at higher risk for MPX has “nothing to do with sexual orientation or gender identity,” but is more about “being part of these networks and having close contact within those networks.” People in these networks “will likely then have expanded eligibility, expanded access to [an MPX] vaccine,” she says.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003ch2>How does MPX spread?\u003c/h2>\n\u003cp>According to the CDC, the MPX virus can spread from person to person in the following ways:\u003c/p>\n\u003cp>\u003cstrong>From contact with an infected person:\u003c/strong>\u003cbr>\nThis could be direct contact with the infectious rash, scabs or body fluids, or during intimate physical contact, such as kissing, cuddling or sex. It could also spread via respiratory droplets during prolonged, face-to-face contact (even talking with someone at very close range).\u003c/p>\n\u003cp>The CDC says that right now, it’s “not known” if MPX can spread through semen or vaginal fluids.\u003c/p>\n\u003cp>\u003cstrong>From contact with an item that’s previously touched the rash or fluids of an infected person:\u003c/strong>\u003cbr>\nThis could include touching or sharing clothes, bedsheets or towels. SFDPH notes that according to the CDC, studies show the MPX virus can live on surfaces for as long as 15 days and still infect someone — but that you’d need to touch that surface “for a pretty long time.”\u003c/p>\n\u003cp>You can get MPX from an infected animal, either through a scratch or bite, or by preparing or eating meat or products from an infected animal. Pregnant people also can spread the virus to their fetus.\u003c/p>\n\u003cp>\u003cstrong>How you \u003cem>cannot\u003c/em> get MPX: \u003c/strong>\u003cbr>\nFrom casual conversations, or by passing someone with MPX (say, in a store) or briefly touching surfaces like doorknobs.\u003c/p>\n\u003cfigure id=\"attachment_11919136\" class=\"wp-caption alignnone\" style=\"max-width: 1920px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-11919136\" src=\"https://ww2.kqed.org/app/uploads/sites/10/2022/07/RS57173_A-couple-holding-hands-on-a-couch-qut-1.jpg\" alt=\"A seated couple holding hands. One person wears a dark plaid shirt, the other person wears dark blue jeans. Both of their faces are obscured.\" width=\"1920\" height=\"1282\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2022/07/RS57173_A-couple-holding-hands-on-a-couch-qut-1.jpg 1920w, https://cdn.kqed.org/wp-content/uploads/sites/10/2022/07/RS57173_A-couple-holding-hands-on-a-couch-qut-1-800x534.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2022/07/RS57173_A-couple-holding-hands-on-a-couch-qut-1-1020x681.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2022/07/RS57173_A-couple-holding-hands-on-a-couch-qut-1-160x107.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2022/07/RS57173_A-couple-holding-hands-on-a-couch-qut-1-1536x1026.jpg 1536w\" sizes=\"(max-width: 1920px) 100vw, 1920px\">\u003cfigcaption class=\"wp-caption-text\">Talking about health, and especially sexual health, is paramount. \u003ccite>(Zackary Drucker/The Gender Spectrum Collection via Creative Commons)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003ch2>How contagious is MPX?\u003c/h2>\n\u003cp>The California Department of Public Health says that MPX is “far less contagious” than COVID.\u003c/p>\n\u003cp>You can be contagious with MPX — meaning you can spread the virus to another person — from the time your symptoms start until the time any scabs have fully dropped off and the rash has fully healed (i.e., until a fresh layer of skin has formed over them). The illness typically lasts 2-4 weeks.\u003c/p>\n\u003cp>Can you have — and spread — MPX without having symptoms (also known as being asymptomatic)? This is an area where what we know about MPX is still evolving.\u003c/p>\n\u003cp>The CDC’s current guidance says that people who don’t have MPX symptoms cannot spread the virus to others. But the World Health Organization also says “the extent to which asymptomatic infection may occur is unknown.”\u003c/p>\n\u003ch2>Is MPX a sexually transmitted infection/disease (STI/STD)?\u003c/h2>\n\u003cp>MPX is not strictly an STI.\u003c/p>\n\u003cp>MPX can spread through close, skin-to-skin contact and \u003ca href=\"https://www.cdc.gov/poxvirus/monkeypox/symptoms.html\">coming into contact with objects and fabrics used by somebody infected with MPX\u003c/a>. This also includes coming into contact with the rashes and sores that can develop on an infected person’s skin and even inside their mouth. The virus can also spread through respiratory droplets and saliva.\u003c/p>\n\u003cp>This makes it possible for MPX to spread during sex and other intimate actions, like kissing and cuddling. But it can also spread through nonsexual behavior, like using a towel or bedsheets previously used by an infected person that have not been washed yet.\u003c/p>\n\u003cp>When someone tests positive for MPX, health officials will work with them to contact their close contacts, similar to the contact tracing method used for sexually transmitted infection, says Dr. Peter Chin-Hong, an infectious disease specialist at UCSF.\u003c/p>\n\u003cp>“That’s the highest priority for vaccines right now,” he says, “the contacts of people who are known cases.”\u003c/p>\n\u003cp>Chin-Hong also encourages sexual partners to talk about MPX before having sex.\u003c/p>\n\u003cp>“Whenever you have a new partner, you should have a very frank and open conversation that’s health-positive, and open-ended,” he explains. This can include things like possible HIV exposures and HIV test results, and asking about any potential MPX symptoms.\u003c/p>\n\u003cp>“‘Have you noticed any rash or anything like that recently or have you been in contact with anyone [with symptoms]?’,” he suggests as possible questions. “They are the people who are weighing the risks and benefits in different ways. So I think that … open and honest conversation is really important, not just to MPX, but just as a good practice in general.”\u003c/p>\n\u003ch2>\u003ca id=\"monkeypoxtreament\">\u003c/a>What should I do if I suspect I have MPX?\u003c/h2>\n\u003cp>If you’re experiencing the \u003ca href=\"#monkeypoxsymptoms\">symptoms of MPX\u003c/a>, or you’ve been informed you could have been exposed to MPX, it’s important you take action as soon as possible. Here are the steps:\u003c/p>\n\u003cp>\u003cstrong>Contact a health care provider right away\u003c/strong>\u003c/p>\n\u003cp>If you have health insurance, reach out to your regular provider ASAP, or call your provider’s medical hotline if they have one.\u003c/p>\n\u003cp>If you don’t have health insurance, you should contact your county’s public health department to ask for their guidance:\u003c/p>\n\u003cul>\n\u003cli>\u003ca href=\"https://sf.gov/information/monkeypox\">San Francisco community clinics\u003c/a>\u003c/li>\n\u003cli>\u003ca href=\"https://acphd.org/clinics/\">Alameda County community clinics\u003c/a>\u003c/li>\n\u003cli>\u003ca href=\"https://cchealth.org/centers-clinics/\">Contra Costa County community clinics\u003c/a>, or call Contra Costa Public Health at (925) 313-6740\u003c/li>\n\u003cli>\u003ca href=\"https://sonomacounty.ca.gov/health-and-human-services/health-services/divisions/public-health/disease-control/immunizations/community-clinics\">Sonoma County community clinics\u003c/a>\u003c/li>\n\u003cli>\u003ca href=\"https://www.smchealth.org/smmc-find-location\">San Mateo County community clinics\u003c/a>\u003c/li>\n\u003cli>\u003ca href=\"https://www.solanocounty.com/depts/ph/fhs/primary_care_clinics/default.asp\">Solano County community clinics\u003c/a>\u003c/li>\n\u003cli>\u003ca href=\"https://www.marinhhs.org/community-resource-guide/marin-community-clinics-5-locations-larkspur-novato-san-rafael\">Marin County community clinics\u003c/a>\u003c/li>\n\u003cli>\u003ca href=\"https://chpscc.org/member-clinics/\">Santa Clara community clinics\u003c/a>, or call the County Patient Access Department at (866) 967-4677\u003c/li>\n\u003cli>\u003ca href=\"https://www.rchc.net/napa-county-health-centers/\">Napa County community clinics\u003c/a>, or call Napa County Public Health at (707) 253-4270\u003c/li>\n\u003c/ul>\n\u003cp>The San Francisco Department of Public Health recommends that if you live in the city and you don’t have a provider, or have difficulty scheduling an appointment, you can be seen at SF City Clinic at 7th Street (628-217-6600) or at Strut at 470 Castro Street (415-581-1600).\u003c/p>\n\u003cp>\u003cstrong>Learn whether you can get tested for MPX\u003c/strong>\u003c/p>\n\u003cp>The test for MPX is a swab test, in which a swab is rubbed on your skin and then sent to a specialized laboratory.\u003c/p>\n\u003cp>The test results will take a few days, during which period you should isolate from other people and animals, and take steps to reduce the chances of spreading the disease yourself.\u003c/p>\n\u003cp>But right now, you may need to meet certain criteria to get a MPX test — San Francisco, for example, says that \u003ca href=\"https://sf.gov/information/monkeypox-faq\">SF residents must have a rash or spots present to get a MPX test\u003c/a>.\u003c/p>\n\u003cp>“Monkeypox is circulating here in our community,” says Tyler TerMeer, CEO of the San Francisco AIDS Foundation, but he stresses that testing isn’t available for everyone who wants it — yet. “This is different than some other viral infections,” says TerMeer. “You actually have to have an active lesion or rash that we can take a sample from in order to test to confirm whether it’s monkeypox or not.”\u003c/p>\n\u003cp>\u003cstrong>Find out whether you can get a MPX vaccine\u003c/strong>\u003c/p>\n\u003cp>A vaccine for MPX is being offered to people who may have been exposed to the virus, which is most effective given within the first four days of infection. \u003ca href=\"https://www.kqed.org/news/11920455/where-can-i-find-a-monkeypox-vaccine-near-me\">Read our full guide to how to find a MPX vaccine near you. \u003c/a>\u003c/p>\n\u003cp>\u003cstrong>Contact anyone you’ve had close physical contact with\u003c/strong>\u003c/p>\n\u003cp>Ask health providers about formal contact tracing, but in the meantime, reach out by calling or texting anyone you’ve been physically close to since your symptoms started.\u003c/p>\n\u003cp>\u003cstrong>Do what you can to manage your symptoms \u003c/strong>\u003c/p>\n\u003cp>The World Health Organization says that the symptoms of MPX, while often painful, normally get better on their own without the need for treatment — but that you should ultimately follow the advice of a health care provider. \u003ca href=\"#monkeypoxtreatment\">Jump to more information about what treatments are available for MPX.\u003c/a>\u003c/p>\n\u003cp>\u003ca href=\"https://www.who.int/news-room/questions-and-answers/item/monkeypox\">The WHO says that medication for pain (analgesics) and fever (antipyretics) can be used\u003c/a> to relieve some symptoms if needed, and that lidocaine can be applied to oral and perianal lesions to relieve pain. Talk to a health care provider about taking these kinds of medications.\u003c/p>\n\u003cp>The WHO also gives these tips for \u003ca href=\"https://www.who.int/news-room/questions-and-answers/item/monkeypox\">managing the symptoms of MPX at home\u003c/a>:\u003c/p>\n\u003cul>\n\u003cli>Avoid scratching your skin.\u003c/li>\n\u003cli>Clean hands before and after touching lesions.\u003c/li>\n\u003cli>Keep your skin dry and uncovered.\u003c/li>\n\u003cli>Keep your rash clean with sterilized water or antiseptic.\u003c/li>\n\u003cli>If you have lesions on your body, take a warm bath with baking soda and Epsom salts.\u003c/li>\n\u003cli>Use saltwater rinses for lesions in your mouth.\u003c/li>\n\u003cli>Stay hydrated, eat well and get enough sleep.\u003c/li>\n\u003c/ul>\n\u003cp>\u003cstrong>Isolate yourself as much as possible\u003c/strong>\u003c/p>\n\u003cp>To avoid infecting other people, isolate yourself from others as much as possible. Avoid sharing your bedding, towels or clothing, as well as utensils and cups. Jump to \u003ca href=\"#monkeypoxprevention\">more information about reducing the spread of MPX\u003c/a>.\u003c/p>\n\u003cp>If you can’t avoid being in the same room as other people, the WHO advises you to keep your rash or lesions covered with clothing or a bandage. The organization also recommends \u003ca href=\"https://www.who.int/news-room/questions-and-answers/item/monkeypox\">keeping your own mental health in mind if you’re self-isolating\u003c/a>, by staying connected to others using technology, and exercising if you feel well enough.\u003c/p>\n\u003cfigure id=\"attachment_11919132\" class=\"wp-caption aligncenter\" style=\"max-width: 1920px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-11919132\" src=\"https://ww2.kqed.org/app/uploads/sites/10/2022/07/RS57171_GettyImages-1401335558-qut.jpg\" alt=\"The right, blue-gloved hand of a medical technician holds a small vial, into which their other hand (offcamera) is dispensing liquid sample from a long white tool. The cap of the vial is bright green, and there are six vials in the background out of focus, with purple caps.\" width=\"1920\" height=\"1280\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2022/07/RS57171_GettyImages-1401335558-qut.jpg 1920w, https://cdn.kqed.org/wp-content/uploads/sites/10/2022/07/RS57171_GettyImages-1401335558-qut-800x533.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2022/07/RS57171_GettyImages-1401335558-qut-1020x680.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2022/07/RS57171_GettyImages-1401335558-qut-160x107.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2022/07/RS57171_GettyImages-1401335558-qut-1536x1024.jpg 1536w\" sizes=\"(max-width: 1920px) 100vw, 1920px\">\u003cfigcaption class=\"wp-caption-text\">A medical laboratory technician inactivates suspected MPX samples to be PCR-tested in a microbiology laboratory. \u003ccite>(Pablo Blazquez Dominguez/Getty Images)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003ch2>\u003ca id=\"monkeypoxvaccine\">\u003c/a>What is the MPX vaccine, and how can I get it?\u003c/h2>\n\u003cp>The MPX vaccine being offered in the United States right now is called Jynneos. This vaccine is also used to prevent smallpox.\u003c/p>\n\u003cp>The CDC recommends that the MPX vaccine be given to a person within four days of the date they were exposed to MPX, for the best chance of preventing onset of the disease.\u003c/p>\n\u003cp>If a person gets the vaccine between four and 14 days of being exposed, the vaccine may reduce the symptoms of MPX, but may not prevent the disease altogether. This timeliness is another reason it’s important to stay vigilant for possible exposure to MPX and watch for symptoms — and to act quickly.\u003c/p>\n\u003cp>\u003cstrong>\u003ca href=\"https://www.kqed.org/news/11920455/where-can-i-find-a-monkeypox-vaccine-near-me\">Read our full guide to the MPX vaccine in the Bay Area.\u003c/a>\u003c/strong>\u003c/p>\n\u003ch2>\u003ca id=\"monkeypoxtreatment\">\u003c/a>What MPX treatments are available?\u003c/h2>\n\u003cp>Currently, the drug Tecovirimat (also known as TPOXX or ST-246) is being used to treat those experiencing severe MPX. The Food and Drug Administration already has approved Tecovirimat to treat smallpox, and has recently expanded its use for MPX among adults and children.\u003c/p>\n\u003cp>Tecovirimat is usually a two-week treatment and can be administered either through a capsule or an intravenous (IV) injection. The drug works by making it harder for the virus to infect new cells, therefore limiting the infection growth.\u003c/p>\n\u003cp>“Most people will get better on their own but some people will require treatment,” says Chin-Hong of UCSF. Those considered for treatment include immunocompromised people, pregnant people and children under 8.\u003c/p>\n\u003cp>People who don’t have those particular risk factors but still develop severe MPX also can receive treatment, Chin-Hong says. This includes those who develop extensive oral disease, as that makes it very difficult to eat and drink. “It’s like having a bunch of ulcers in your mouth,” he says. Those who develop the disease extensively in the rectal area or near the eyes also can receive treatment.\u003c/p>\n\u003cp>The blisters and sores that develop can be quite painful, he adds: “Treatment is not only about vaccines and drug treatments but also about what specific symptoms the patient’s having.”\u003c/p>\n\u003cp>He recommends talking to your physician about what pain you’re feeling and where. If the disease is in the rectal area, it can be painful to defecate. But there are many options available that can alleviate, or at least reduce, the pain you may be feeling.\u003c/p>\n\u003cp>The MPX vaccine also can act as a sort of treatment, he says, but only when someone receives it shortly after being exposed. “In MPX, the incubation period is longer,” he explains. “So that means if you got a vaccine shortly after exposure — some people think within four days — it can impact and stop you from getting disease, even though you might have been exposed to an infection.”\u003c/p>\n\u003cp>“If you get the vaccine within 14 days of exposure, even though you might get the rash or disease, it will reduce your symptoms.”\u003c/p>\n\u003cfigure id=\"attachment_11919138\" class=\"wp-caption alignnone\" style=\"max-width: 1920px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-11919138\" src=\"https://ww2.kqed.org/app/uploads/sites/10/2022/07/RS57175_GettyImages-1241638108-qut.jpg\" alt=\"\" width=\"1920\" height=\"1378\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2022/07/RS57175_GettyImages-1241638108-qut.jpg 1920w, https://cdn.kqed.org/wp-content/uploads/sites/10/2022/07/RS57175_GettyImages-1241638108-qut-800x574.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2022/07/RS57175_GettyImages-1241638108-qut-1020x732.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2022/07/RS57175_GettyImages-1241638108-qut-160x115.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2022/07/RS57175_GettyImages-1241638108-qut-1536x1102.jpg 1536w\" sizes=\"(max-width: 1920px) 100vw, 1920px\">\u003cfigcaption class=\"wp-caption-text\">A vial of the Jynneos MPX vaccine. \u003ccite>(Bill O'Leary/The Washington Post via Getty Images)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003ch2>Do we know how MPX interacts with COVID?\u003c/h2>\n\u003cp>The California Department of Public Health stresses that MPX is “a completely different disease” from COVID, and that this outbreak is unrelated to COVID.\u003c/p>\n\u003cp>MPX is much less contagious than COVID and the way it spreads also is very different. SFDPH says this is “partly because people with MPX are generally thought to be contagious to people with whom they’ve had very close contact over a long period of time, and when they have symptoms like a rash.” COVID, on the other hand, spreads through the air and can be spread even when people do not have COVID symptoms.\u003c/p>\n\u003cp>However, UCSF’s Chin-Hong affirms that it’s completely possible to contract COVID-19 and MPX at the same time and adds that the impact that a double infection has on the body is still being studied.\u003c/p>\n\u003ch2>\u003ca id=\"monkeypoxprevention\">\u003c/a>How can folks protect themselves against contracting MPX?\u003c/h2>\n\u003cp>The CDC says the following activities will increase your risk for being infected with MPX, and should be avoided to reduce the risk of infection:\u003c/p>\n\u003cul>\n\u003cli>Close, skin-to-skin contact with someone’s MPX rash\u003c/li>\n\u003cli>Touching the rash or scabs of someone with MPX\u003c/li>\n\u003cli>Kissing, hugging, cuddling or having sex with someone who has MPX\u003c/li>\n\u003cli>Sharing eating utensils or cups\u003c/li>\n\u003cli>Handling or touch the bedding, towels or clothing of someone with MPX\u003c/li>\n\u003c/ul>\n\u003cp>Wash your hands often with soap and water or use an alcohol-based hand sanitizer, especially after contact with people who’ve been infected with MPX. \u003ca href=\"https://www.cdc.gov/poxvirus/monkeypox/pdf/Monkeypox-Interim-Guidance-for-Household-Disinfection-508.pdf\">Read the CDC’s guide to disinfecting spaces to prevent the spread of MPX.\u003c/a>\u003c/p>\n\u003cp>Additionally, the San Francisco Department of Public Health advises you cover exposed skin in crowded settings (whether that’s indoors, like in a bar, or outdoors at a festival or a parade).\u003c/p>\n\u003cp>They also recommend you don’t share bedding or clothing with others generally, even if you aren’t sure if they have MPX, and talk to your close physical and sexual contacts about their health generally, including whether they’re seeing recent rashes or sores on their body.\u003c/p>\n\u003ch2>What are health officials doing to prevent and combat stigma about MPX?\u003c/h2>\n\u003cp>San Francisco AIDS Foundation CEO TerMeer says that vaccine equity is also very much on the minds of advocates right now, “ensuring that we don’t repeat any mistakes of the past so that communities of color or other communities that have traditionally been furthest from access and opportunity in the health care space don’t get left out of the conversation.”\u003c/p>\n\u003cp>“Our predominant advocacy at the moment is just ‘we need vaccines and we need them now,’” says TerMeer. “We are really pushing to try and get at least 1,000 doses of vaccine in the next 30 days so that we can get ahead of the issue and are really hoping to be able to respond effectively, before it grows into a larger issue.”\u003c/p>\n\u003cp>If you are looking for additional health advice on MPX, you also can access:\u003c/p>\n\u003cul>\n\u003cli>\u003cstrong>\u003ca href=\"https://www.sfaf.org/monkeypox/\">Magnet Sexual Health Clinic at Strut\u003c/a> (San Francisco AIDS Foundation): (415) 581-1600\u003c/strong>\u003c/li>\n\u003cli>\u003cstrong>San Francisco Department of Public Health \u003ca href=\"https://sf.gov/information/monkeypox\">info page about MPX\u003c/a>\u003c/strong>\u003c/li>\n\u003cli>\u003cstrong>\u003ca href=\"https://www.cdph.ca.gov/Programs/CID/DCDC/Pages/Monkeypox-Questions-and-Answers.aspx\">California Department of Public Health MPX FAQ\u003c/a>\u003c/strong>\u003c/li>\n\u003c/ul>\n\u003cp>\u003cem>This post includes reporting by KQED’s Vanessa Rancaño, Juan Carlos Lara and Matthew Green. A version of this story was published on July 8.\u003c/em>\u003c/p>\n\u003cp>[ad floatright]\u003c/p>\n",
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"excerpt": "What is monkeypox? What are the symptoms, how does it spread and how many cases do we know of in the Bay Area? Our guide has answers.",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>\u003cstrong>Update, 12:20 p.m. October 20: \u003c/strong>The San Francisco Department of Public Health has announced it will end the city’s state of emergency around monkeypox (MPX) on October 31.\u003c/p>\n\u003cp>SF health officials said that MPX cases “have slowed to less than one case per day,” and that more than 27,000 city residents have now received the MPX vaccine.\u003c/p>\n\u003cp>San Francisco originally declared this public health emergency for MPX back in July, and was the first U.S. city to do so.\u003c/p>\n\u003cp>\u003cstrong>Original post:\u003c/strong>\u003c/p>\n\u003cp>\u003cstrong>A note: Several public health organizations, including the California Department of Public Health, have chosen to refer to monkeypox as “MPX” (pronounced “em-pox”) with the aim of \u003ca href=\"https://www.latimes.com/science/story/2022-08-26/many-say-the-name-is-racist-so-what-do-you-call-monkeypox\">reducing homophobic and racial stigma surrounding the virus\u003c/a>. For the rest of this story, we use “MPX” for these reasons, except in direct quotes or other cases where it would confuse readers.\u003c/strong>\u003c/p>\n\u003cp>Back on August 4, \u003ca href=\"https://www.kqed.org/news/11921618/white-house-declares-monkeypox-a-public-health-emergency\">the White House declared MPX a public health emergency\u003c/a>. At the time of this announcement, there were more than 6,616 cases reported in the U.S.\u003c/p>\n\u003cp>As of Sept. 14, \u003ca href=\"https://www.cdc.gov/poxvirus/monkeypox/response/2022/us-map.html\">the CDC now reports 22,630 cases nationwide\u003c/a>. And because of limited testing, this figure most likely still represents something of an undercount.\u003c/p>\n\u003cul>\n\u003cli>\u003cstrong>Looking for where to find an MPX vaccine near you? \u003ca href=\"https://www.kqed.org/news/11920455/where-can-i-find-a-monkeypox-vaccine-near-me\">Read our full guide to the MPX vaccine in the Bay Area.\u003c/a>\u003c/strong>\u003c/li>\n\u003c/ul>\n\u003cp>“We are prepared to take our response to the next level in addressing this virus and we urge every American to take monkeypox seriously,” Health and Human Services Secretary Xavier Becerra said. Read more about \u003ca href=\"https://www.kqed.org/news/11921618/white-house-declares-monkeypox-a-public-health-emergency\">what the public health emergency means.\u003c/a>\u003c/p>\n\u003cp>On August 1, Gov. Gavin Newsom \u003ca href=\"https://www.kqed.org/news/11921185/newsom-declares-statewide-emergency-amid-rapid-spread-of-monkeypox-virus\">declared a State of Emergency over the MPX outbreak in California\u003c/a>. A week prior, \u003ca href=\"https://www.kqed.org/news/11920764/an-epicenter-for-the-country-san-francisco-declares-state-of-emergency-over-monkeypox-outbreak\">San Francisco had declared its own state of emergency over MPX\u003c/a>. State and local health officials have affirmed that cases are rapidly rising and have asked the federal government to make MPX vaccines more widely available.\u003c/p>\n\u003cp>\u003cstrong>Jump to a specific answer:\u003c/strong>\u003c/p>\n\u003cul>\n\u003cli>\u003cstrong>\u003ca href=\"#monkeypoxsymptoms\">What are the symptoms of MPX?\u003c/a>\u003c/strong>\u003c/li>\n\u003cli>\u003cstrong>\u003ca href=\"#monkeypoxcases\">How many MPX cases are in the Bay Area?\u003c/a>\u003c/strong>\u003c/li>\n\u003cli>\u003cstrong>\u003ca href=\"#monkeypoxtreament\">What should I do if I think I have MPX?\u003c/a>\u003c/strong>\u003c/li>\n\u003cli>\u003cstrong>\u003ca href=\"#monkeypoxprevention\">How can I prevent being infected with MPX?\u003c/a>\u003c/strong>\u003c/li>\n\u003c/ul>\n\u003cp>MPX has existed for decades — the first case among humans was registered in 1970 — but we’re now seeing multiple outbreaks across the U.S. \u003ca href=\"https://www.cdc.gov/poxvirus/monkeypox/response/2022/us-map.html\">See how many cases have now been reported nationwide according to the Centers for Disease Control and Prevention.\u003c/a>\u003c/p>\n\u003cp>The majority of infections have been detected among gay and bisexual men, but public health experts have made it clear that MPX is an “equal opportunity disease,” meaning that anybody, regardless of sexual orientation, race, class or other demographic categories, is susceptible to infection.\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>However, public health organizations that serve the LGBTQ+ community in the Bay Area are still advising residents to learn more about MPX and how it spreads, particularly in the context of large public events in San Francisco celebrated by the queer community like Pride (the weekend of June 25), Dore Alley Weekend (the weekend of July 30) and Folsom Street Fair (the weekend of September 24) that take place in the summer and fall. \u003ca href=\"https://www.kqed.org/news/11920764/an-epicenter-for-the-country-san-francisco-declares-state-of-emergency-over-monkeypox-outbreak\">San Francisco formally declared the outbreak a public health emergency back on July 28.\u003c/a>\u003c/p>\n\u003cp>KQED spoke to physicians, public health officials and LGBTQ+ health groups to create this guide that includes the latest information on the disease, its transmission and available treatment, and what to do if you become infected. And if you’re looking for vaccine details specifically, you can \u003ca href=\"https://www.kqed.org/news/11920455/where-can-i-find-a-monkeypox-vaccine-near-me\">read our full guide to where to find a MPX vaccine near you.\u003c/a>\u003c/p>\n\u003ch2>What is MPX?\u003c/h2>\n\u003cp>\u003ca href=\"https://sf.gov/information/monkeypox\">MPX is a disease that is caused when a person is infected with the MPX virus\u003c/a>. As the name might suggest, the virus is related to the smallpox virus but it’s generally less severe and “much less contagious” than smallpox, according to the California Department of Public Health (CDPH).\u003c/p>\n\u003cp>Although you might assume MPX is also related to chickenpox, it’s not.\u003c/p>\n\u003ch3>How did MPX get its name?\u003c/h3>\n\u003cp>The disease was called “monkeypox” because \u003ca href=\"https://www.cdc.gov/poxvirus/monkeypox/about.html\">it was first found in 1958 in monkeys\u003c/a>. The Centers for Disease Control and Prevention say that the first human case of MPX was recorded in 1970.\u003c/p>\n\u003cp>Several public health bodies, including the California Department of Public Health and the San Francisco Department of Public Health, have now chosen to refer to the virus as “MPX” to address concerns that \u003ca href=\"https://www.latimes.com/science/story/2022-08-26/many-say-the-name-is-racist-so-what-do-you-call-monkeypox\">the original name furthers both racist and homophobic stigma\u003c/a> around the disease and those who contract it.\u003c/p>\n\u003cp>In speech, MPX is usually pronounced “em-pox,” or the initials “em-pee-ecks.”\u003c/p>\n\u003cp>You may often see “monkeypox” on first usage, and “MPX” thereafter throughout an article or a resource from a public agency. Some official resources may also use “MPOX”. Rest assured these names are referring to the same disease.\u003c/p>\n\u003ch2>How dangerous is MPX?\u003c/h2>\n\u003cp>While it’s less severe than smallpox, MPX can still be a serious disease. The good news is that according to the CDC, MPX is “rarely fatal” — and that “\u003ca href=\"https://www.cdc.gov/poxvirus/monkeypox/faq.html\">over 99% of people who get this form of the disease are likely to survive\u003c/a>.”\u003c/p>\n\u003cp>However, “people with weakened immune systems, children under 8 years of age, people with a history of eczema, and people who are pregnant or breastfeeding may be more likely to get seriously ill or die.”\u003c/p>\n\u003cp>Being sick with MPX typically lasts 2-4 weeks. The symptoms of MPX are similar to smallpox symptoms, but luckily are milder.\u003c/p>\n\u003ch2>\u003ca id=\"monkeypoxcases\">\u003c/a>How many MPX cases are in California and the Bay Area right now?\u003c/h2>\n\u003cp>See \u003ca href=\"https://www.cdph.ca.gov/Programs/CID/DCDC/Pages/monkeypox.aspx\">the number of probable and confirmed MPX cases reported in California right now\u003c/a>, via the California Department of Public Health.\u003c/p>\n\u003cp>See \u003ca href=\"https://sf.gov/information/monkeypox-cases\">the current number of probable and confirmed cases of MPX in San Francisco\u003c/a>, via the San Francisco Public Health Department.\u003c/p>\n\u003cp>See \u003ca href=\"https://www.cdc.gov/poxvirus/monkeypox/response/2022/us-map.html\">the number of nationwide MPX cases state-by-state\u003c/a>, according to the CDC’s map.\u003c/p>\n\u003cfigure id=\"attachment_11919133\" class=\"wp-caption alignnone\" style=\"max-width: 1920px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-11919133\" src=\"https://ww2.kqed.org/app/uploads/sites/10/2022/07/RS57172_GettyImages-1400054668-qut.jpg\" alt=\"A woman wearing a white lab coat and blue surgical gloves is photographed from behind over her left shoulder as she prepared a medical sample on a white table.\" width=\"1920\" height=\"1280\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2022/07/RS57172_GettyImages-1400054668-qut.jpg 1920w, https://cdn.kqed.org/wp-content/uploads/sites/10/2022/07/RS57172_GettyImages-1400054668-qut-800x533.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2022/07/RS57172_GettyImages-1400054668-qut-1020x680.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2022/07/RS57172_GettyImages-1400054668-qut-160x107.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2022/07/RS57172_GettyImages-1400054668-qut-1536x1024.jpg 1536w\" sizes=\"(max-width: 1920px) 100vw, 1920px\">\u003cfigcaption class=\"wp-caption-text\">A nurse prepares a PCR test for MPX testing. \u003ccite>(Carlos Lujan/Europa Press via Getty Images)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003ch2>\u003ca id=\"monkeypoxsymptoms\">\u003c/a>What are the symptoms of MPX?\u003c/h2>\n\u003cp>According to the World Health Organization, \u003ca href=\"https://www.who.int/news-room/fact-sheets/detail/monkeypox\">the incubation period of MPX\u003c/a>— that is, the amount of time between getting infected with MPX and actually developing the symptoms — is usually from six to 13 days. It can, however, range from five to 21 days.\u003c/p>\n\u003cp>The CDC says that \u003ca href=\"https://www.cdc.gov/poxvirus/monkeypox/clinicians/clinical-recognition.html\">you aren’t contagious during this incubation period.\u003c/a>\u003c/p>\n\u003cp>After that initial incubation period, a person who’s infected with MPX will start to develop symptoms and become contagious to others. The CDC says that symptoms of MPX can include:\u003c/p>\n\u003cul>\n\u003cli>A rash (also known as lesions) that can look like pimples or blisters that appears on the face, inside the mouth, and on other parts of the body, like the hands, feet, chest, genitals or anus. The rash goes through different stages before healing completely.\u003c/li>\n\u003cli>Fever\u003c/li>\n\u003cli>Headache\u003c/li>\n\u003cli>Muscle aches and backache\u003c/li>\n\u003cli>Swollen lymph nodes\u003c/li>\n\u003cli>Chills\u003c/li>\n\u003cli>Exhaustion\u003c/li>\n\u003c/ul>\n\u003cp>Much like with COVID, symptoms can present quite differently in different people. According to the CDC, some people get a rash first, and other symptoms follow. Other folks will only experience the rash itself.\u003c/p>\n\u003cp>The symptoms of MPX that aren’t the rash — like chills, fatigue and headache — are similar to symptoms of COVID. This means it’s entirely possible you could initially mistake a MPX infection for a COVID infection (or you could assume it’s another illness entirely, if you then test for COVID and get a negative result). This is why watching out for a rash is really important.\u003c/p>\n\u003cp>The San Francisco Department of Public Health says that usually, that \u003ca href=\"https://sf.gov/information/monkeypox\">MPX rash will start in the form of red, flat spots\u003c/a>, which then become bumps. The bumps then become filled with fluid, which will then break and crust over into a scab.\u003c/p>\n\u003cp>In addition to the itch they can cause, MPX lesions can be very painful, especially in genital areas or the anus. The CDC notes that people also can have permanent scarring after the rash.\u003c/p>\n\u003cp>\u003ca href=\"https://www.who.int/news-room/fact-sheets/detail/monkeypox\">The symptoms of MPX can last two to four weeks.\u003c/a> This means that, with an incubation period that could be as short as five days or as long as 21 days, a person could be dealing with an MPX infection for anywhere from under three weeks to almost two months.\u003c/p>\n\u003ch2>Who can get MPX?\u003c/h2>\n\u003cp>Anyone can get MPX.\u003c/p>\n\u003cp>As more details emerge of the outbreak in the U.S., it appears that \u003ca href=\"https://www.who.int/publications/m/item/monkeypox-public-health-advice-for-men-who-have-sex-with-men\">MPX infections are particularly affecting communities of gay and bisexual men\u003c/a>, and men who have sex with men.\u003c/p>\n\u003cp>The World Health Organization notes that \u003ca href=\"https://www.who.int/news/item/25-05-2022-monkeypox--public-health-advice-for-gay--bisexual-and-other-men-who-have-sex-with-men\">trans people and gender-diverse people “may also be more vulnerable\u003c/a> in the context of the current outbreak.”\u003c/p>\n\u003cp>San Francisco Health Officer Susan Philip says that LGBTQ+ folks currently being at higher risk for MPX has “nothing to do with sexual orientation or gender identity,” but is more about “being part of these networks and having close contact within those networks.” People in these networks “will likely then have expanded eligibility, expanded access to [an MPX] vaccine,” she says.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003ch2>How does MPX spread?\u003c/h2>\n\u003cp>According to the CDC, the MPX virus can spread from person to person in the following ways:\u003c/p>\n\u003cp>\u003cstrong>From contact with an infected person:\u003c/strong>\u003cbr>\nThis could be direct contact with the infectious rash, scabs or body fluids, or during intimate physical contact, such as kissing, cuddling or sex. It could also spread via respiratory droplets during prolonged, face-to-face contact (even talking with someone at very close range).\u003c/p>\n\u003cp>The CDC says that right now, it’s “not known” if MPX can spread through semen or vaginal fluids.\u003c/p>\n\u003cp>\u003cstrong>From contact with an item that’s previously touched the rash or fluids of an infected person:\u003c/strong>\u003cbr>\nThis could include touching or sharing clothes, bedsheets or towels. SFDPH notes that according to the CDC, studies show the MPX virus can live on surfaces for as long as 15 days and still infect someone — but that you’d need to touch that surface “for a pretty long time.”\u003c/p>\n\u003cp>You can get MPX from an infected animal, either through a scratch or bite, or by preparing or eating meat or products from an infected animal. Pregnant people also can spread the virus to their fetus.\u003c/p>\n\u003cp>\u003cstrong>How you \u003cem>cannot\u003c/em> get MPX: \u003c/strong>\u003cbr>\nFrom casual conversations, or by passing someone with MPX (say, in a store) or briefly touching surfaces like doorknobs.\u003c/p>\n\u003cfigure id=\"attachment_11919136\" class=\"wp-caption alignnone\" style=\"max-width: 1920px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-11919136\" src=\"https://ww2.kqed.org/app/uploads/sites/10/2022/07/RS57173_A-couple-holding-hands-on-a-couch-qut-1.jpg\" alt=\"A seated couple holding hands. One person wears a dark plaid shirt, the other person wears dark blue jeans. Both of their faces are obscured.\" width=\"1920\" height=\"1282\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2022/07/RS57173_A-couple-holding-hands-on-a-couch-qut-1.jpg 1920w, https://cdn.kqed.org/wp-content/uploads/sites/10/2022/07/RS57173_A-couple-holding-hands-on-a-couch-qut-1-800x534.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2022/07/RS57173_A-couple-holding-hands-on-a-couch-qut-1-1020x681.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2022/07/RS57173_A-couple-holding-hands-on-a-couch-qut-1-160x107.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2022/07/RS57173_A-couple-holding-hands-on-a-couch-qut-1-1536x1026.jpg 1536w\" sizes=\"(max-width: 1920px) 100vw, 1920px\">\u003cfigcaption class=\"wp-caption-text\">Talking about health, and especially sexual health, is paramount. \u003ccite>(Zackary Drucker/The Gender Spectrum Collection via Creative Commons)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003ch2>How contagious is MPX?\u003c/h2>\n\u003cp>The California Department of Public Health says that MPX is “far less contagious” than COVID.\u003c/p>\n\u003cp>You can be contagious with MPX — meaning you can spread the virus to another person — from the time your symptoms start until the time any scabs have fully dropped off and the rash has fully healed (i.e., until a fresh layer of skin has formed over them). The illness typically lasts 2-4 weeks.\u003c/p>\n\u003cp>Can you have — and spread — MPX without having symptoms (also known as being asymptomatic)? This is an area where what we know about MPX is still evolving.\u003c/p>\n\u003cp>The CDC’s current guidance says that people who don’t have MPX symptoms cannot spread the virus to others. But the World Health Organization also says “the extent to which asymptomatic infection may occur is unknown.”\u003c/p>\n\u003ch2>Is MPX a sexually transmitted infection/disease (STI/STD)?\u003c/h2>\n\u003cp>MPX is not strictly an STI.\u003c/p>\n\u003cp>MPX can spread through close, skin-to-skin contact and \u003ca href=\"https://www.cdc.gov/poxvirus/monkeypox/symptoms.html\">coming into contact with objects and fabrics used by somebody infected with MPX\u003c/a>. This also includes coming into contact with the rashes and sores that can develop on an infected person’s skin and even inside their mouth. The virus can also spread through respiratory droplets and saliva.\u003c/p>\n\u003cp>This makes it possible for MPX to spread during sex and other intimate actions, like kissing and cuddling. But it can also spread through nonsexual behavior, like using a towel or bedsheets previously used by an infected person that have not been washed yet.\u003c/p>\n\u003cp>When someone tests positive for MPX, health officials will work with them to contact their close contacts, similar to the contact tracing method used for sexually transmitted infection, says Dr. Peter Chin-Hong, an infectious disease specialist at UCSF.\u003c/p>\n\u003cp>“That’s the highest priority for vaccines right now,” he says, “the contacts of people who are known cases.”\u003c/p>\n\u003cp>Chin-Hong also encourages sexual partners to talk about MPX before having sex.\u003c/p>\n\u003cp>“Whenever you have a new partner, you should have a very frank and open conversation that’s health-positive, and open-ended,” he explains. This can include things like possible HIV exposures and HIV test results, and asking about any potential MPX symptoms.\u003c/p>\n\u003cp>“‘Have you noticed any rash or anything like that recently or have you been in contact with anyone [with symptoms]?’,” he suggests as possible questions. “They are the people who are weighing the risks and benefits in different ways. So I think that … open and honest conversation is really important, not just to MPX, but just as a good practice in general.”\u003c/p>\n\u003ch2>\u003ca id=\"monkeypoxtreament\">\u003c/a>What should I do if I suspect I have MPX?\u003c/h2>\n\u003cp>If you’re experiencing the \u003ca href=\"#monkeypoxsymptoms\">symptoms of MPX\u003c/a>, or you’ve been informed you could have been exposed to MPX, it’s important you take action as soon as possible. Here are the steps:\u003c/p>\n\u003cp>\u003cstrong>Contact a health care provider right away\u003c/strong>\u003c/p>\n\u003cp>If you have health insurance, reach out to your regular provider ASAP, or call your provider’s medical hotline if they have one.\u003c/p>\n\u003cp>If you don’t have health insurance, you should contact your county’s public health department to ask for their guidance:\u003c/p>\n\u003cul>\n\u003cli>\u003ca href=\"https://sf.gov/information/monkeypox\">San Francisco community clinics\u003c/a>\u003c/li>\n\u003cli>\u003ca href=\"https://acphd.org/clinics/\">Alameda County community clinics\u003c/a>\u003c/li>\n\u003cli>\u003ca href=\"https://cchealth.org/centers-clinics/\">Contra Costa County community clinics\u003c/a>, or call Contra Costa Public Health at (925) 313-6740\u003c/li>\n\u003cli>\u003ca href=\"https://sonomacounty.ca.gov/health-and-human-services/health-services/divisions/public-health/disease-control/immunizations/community-clinics\">Sonoma County community clinics\u003c/a>\u003c/li>\n\u003cli>\u003ca href=\"https://www.smchealth.org/smmc-find-location\">San Mateo County community clinics\u003c/a>\u003c/li>\n\u003cli>\u003ca href=\"https://www.solanocounty.com/depts/ph/fhs/primary_care_clinics/default.asp\">Solano County community clinics\u003c/a>\u003c/li>\n\u003cli>\u003ca href=\"https://www.marinhhs.org/community-resource-guide/marin-community-clinics-5-locations-larkspur-novato-san-rafael\">Marin County community clinics\u003c/a>\u003c/li>\n\u003cli>\u003ca href=\"https://chpscc.org/member-clinics/\">Santa Clara community clinics\u003c/a>, or call the County Patient Access Department at (866) 967-4677\u003c/li>\n\u003cli>\u003ca href=\"https://www.rchc.net/napa-county-health-centers/\">Napa County community clinics\u003c/a>, or call Napa County Public Health at (707) 253-4270\u003c/li>\n\u003c/ul>\n\u003cp>The San Francisco Department of Public Health recommends that if you live in the city and you don’t have a provider, or have difficulty scheduling an appointment, you can be seen at SF City Clinic at 7th Street (628-217-6600) or at Strut at 470 Castro Street (415-581-1600).\u003c/p>\n\u003cp>\u003cstrong>Learn whether you can get tested for MPX\u003c/strong>\u003c/p>\n\u003cp>The test for MPX is a swab test, in which a swab is rubbed on your skin and then sent to a specialized laboratory.\u003c/p>\n\u003cp>The test results will take a few days, during which period you should isolate from other people and animals, and take steps to reduce the chances of spreading the disease yourself.\u003c/p>\n\u003cp>But right now, you may need to meet certain criteria to get a MPX test — San Francisco, for example, says that \u003ca href=\"https://sf.gov/information/monkeypox-faq\">SF residents must have a rash or spots present to get a MPX test\u003c/a>.\u003c/p>\n\u003cp>“Monkeypox is circulating here in our community,” says Tyler TerMeer, CEO of the San Francisco AIDS Foundation, but he stresses that testing isn’t available for everyone who wants it — yet. “This is different than some other viral infections,” says TerMeer. “You actually have to have an active lesion or rash that we can take a sample from in order to test to confirm whether it’s monkeypox or not.”\u003c/p>\n\u003cp>\u003cstrong>Find out whether you can get a MPX vaccine\u003c/strong>\u003c/p>\n\u003cp>A vaccine for MPX is being offered to people who may have been exposed to the virus, which is most effective given within the first four days of infection. \u003ca href=\"https://www.kqed.org/news/11920455/where-can-i-find-a-monkeypox-vaccine-near-me\">Read our full guide to how to find a MPX vaccine near you. \u003c/a>\u003c/p>\n\u003cp>\u003cstrong>Contact anyone you’ve had close physical contact with\u003c/strong>\u003c/p>\n\u003cp>Ask health providers about formal contact tracing, but in the meantime, reach out by calling or texting anyone you’ve been physically close to since your symptoms started.\u003c/p>\n\u003cp>\u003cstrong>Do what you can to manage your symptoms \u003c/strong>\u003c/p>\n\u003cp>The World Health Organization says that the symptoms of MPX, while often painful, normally get better on their own without the need for treatment — but that you should ultimately follow the advice of a health care provider. \u003ca href=\"#monkeypoxtreatment\">Jump to more information about what treatments are available for MPX.\u003c/a>\u003c/p>\n\u003cp>\u003ca href=\"https://www.who.int/news-room/questions-and-answers/item/monkeypox\">The WHO says that medication for pain (analgesics) and fever (antipyretics) can be used\u003c/a> to relieve some symptoms if needed, and that lidocaine can be applied to oral and perianal lesions to relieve pain. Talk to a health care provider about taking these kinds of medications.\u003c/p>\n\u003cp>The WHO also gives these tips for \u003ca href=\"https://www.who.int/news-room/questions-and-answers/item/monkeypox\">managing the symptoms of MPX at home\u003c/a>:\u003c/p>\n\u003cul>\n\u003cli>Avoid scratching your skin.\u003c/li>\n\u003cli>Clean hands before and after touching lesions.\u003c/li>\n\u003cli>Keep your skin dry and uncovered.\u003c/li>\n\u003cli>Keep your rash clean with sterilized water or antiseptic.\u003c/li>\n\u003cli>If you have lesions on your body, take a warm bath with baking soda and Epsom salts.\u003c/li>\n\u003cli>Use saltwater rinses for lesions in your mouth.\u003c/li>\n\u003cli>Stay hydrated, eat well and get enough sleep.\u003c/li>\n\u003c/ul>\n\u003cp>\u003cstrong>Isolate yourself as much as possible\u003c/strong>\u003c/p>\n\u003cp>To avoid infecting other people, isolate yourself from others as much as possible. Avoid sharing your bedding, towels or clothing, as well as utensils and cups. Jump to \u003ca href=\"#monkeypoxprevention\">more information about reducing the spread of MPX\u003c/a>.\u003c/p>\n\u003cp>If you can’t avoid being in the same room as other people, the WHO advises you to keep your rash or lesions covered with clothing or a bandage. The organization also recommends \u003ca href=\"https://www.who.int/news-room/questions-and-answers/item/monkeypox\">keeping your own mental health in mind if you’re self-isolating\u003c/a>, by staying connected to others using technology, and exercising if you feel well enough.\u003c/p>\n\u003cfigure id=\"attachment_11919132\" class=\"wp-caption aligncenter\" style=\"max-width: 1920px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-11919132\" src=\"https://ww2.kqed.org/app/uploads/sites/10/2022/07/RS57171_GettyImages-1401335558-qut.jpg\" alt=\"The right, blue-gloved hand of a medical technician holds a small vial, into which their other hand (offcamera) is dispensing liquid sample from a long white tool. The cap of the vial is bright green, and there are six vials in the background out of focus, with purple caps.\" width=\"1920\" height=\"1280\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2022/07/RS57171_GettyImages-1401335558-qut.jpg 1920w, https://cdn.kqed.org/wp-content/uploads/sites/10/2022/07/RS57171_GettyImages-1401335558-qut-800x533.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2022/07/RS57171_GettyImages-1401335558-qut-1020x680.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2022/07/RS57171_GettyImages-1401335558-qut-160x107.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2022/07/RS57171_GettyImages-1401335558-qut-1536x1024.jpg 1536w\" sizes=\"(max-width: 1920px) 100vw, 1920px\">\u003cfigcaption class=\"wp-caption-text\">A medical laboratory technician inactivates suspected MPX samples to be PCR-tested in a microbiology laboratory. \u003ccite>(Pablo Blazquez Dominguez/Getty Images)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003ch2>\u003ca id=\"monkeypoxvaccine\">\u003c/a>What is the MPX vaccine, and how can I get it?\u003c/h2>\n\u003cp>The MPX vaccine being offered in the United States right now is called Jynneos. This vaccine is also used to prevent smallpox.\u003c/p>\n\u003cp>The CDC recommends that the MPX vaccine be given to a person within four days of the date they were exposed to MPX, for the best chance of preventing onset of the disease.\u003c/p>\n\u003cp>If a person gets the vaccine between four and 14 days of being exposed, the vaccine may reduce the symptoms of MPX, but may not prevent the disease altogether. This timeliness is another reason it’s important to stay vigilant for possible exposure to MPX and watch for symptoms — and to act quickly.\u003c/p>\n\u003cp>\u003cstrong>\u003ca href=\"https://www.kqed.org/news/11920455/where-can-i-find-a-monkeypox-vaccine-near-me\">Read our full guide to the MPX vaccine in the Bay Area.\u003c/a>\u003c/strong>\u003c/p>\n\u003ch2>\u003ca id=\"monkeypoxtreatment\">\u003c/a>What MPX treatments are available?\u003c/h2>\n\u003cp>Currently, the drug Tecovirimat (also known as TPOXX or ST-246) is being used to treat those experiencing severe MPX. The Food and Drug Administration already has approved Tecovirimat to treat smallpox, and has recently expanded its use for MPX among adults and children.\u003c/p>\n\u003cp>Tecovirimat is usually a two-week treatment and can be administered either through a capsule or an intravenous (IV) injection. The drug works by making it harder for the virus to infect new cells, therefore limiting the infection growth.\u003c/p>\n\u003cp>“Most people will get better on their own but some people will require treatment,” says Chin-Hong of UCSF. Those considered for treatment include immunocompromised people, pregnant people and children under 8.\u003c/p>\n\u003cp>People who don’t have those particular risk factors but still develop severe MPX also can receive treatment, Chin-Hong says. This includes those who develop extensive oral disease, as that makes it very difficult to eat and drink. “It’s like having a bunch of ulcers in your mouth,” he says. Those who develop the disease extensively in the rectal area or near the eyes also can receive treatment.\u003c/p>\n\u003cp>The blisters and sores that develop can be quite painful, he adds: “Treatment is not only about vaccines and drug treatments but also about what specific symptoms the patient’s having.”\u003c/p>\n\u003cp>He recommends talking to your physician about what pain you’re feeling and where. If the disease is in the rectal area, it can be painful to defecate. But there are many options available that can alleviate, or at least reduce, the pain you may be feeling.\u003c/p>\n\u003cp>The MPX vaccine also can act as a sort of treatment, he says, but only when someone receives it shortly after being exposed. “In MPX, the incubation period is longer,” he explains. “So that means if you got a vaccine shortly after exposure — some people think within four days — it can impact and stop you from getting disease, even though you might have been exposed to an infection.”\u003c/p>\n\u003cp>“If you get the vaccine within 14 days of exposure, even though you might get the rash or disease, it will reduce your symptoms.”\u003c/p>\n\u003cfigure id=\"attachment_11919138\" class=\"wp-caption alignnone\" style=\"max-width: 1920px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-11919138\" src=\"https://ww2.kqed.org/app/uploads/sites/10/2022/07/RS57175_GettyImages-1241638108-qut.jpg\" alt=\"\" width=\"1920\" height=\"1378\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2022/07/RS57175_GettyImages-1241638108-qut.jpg 1920w, https://cdn.kqed.org/wp-content/uploads/sites/10/2022/07/RS57175_GettyImages-1241638108-qut-800x574.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2022/07/RS57175_GettyImages-1241638108-qut-1020x732.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2022/07/RS57175_GettyImages-1241638108-qut-160x115.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2022/07/RS57175_GettyImages-1241638108-qut-1536x1102.jpg 1536w\" sizes=\"(max-width: 1920px) 100vw, 1920px\">\u003cfigcaption class=\"wp-caption-text\">A vial of the Jynneos MPX vaccine. \u003ccite>(Bill O'Leary/The Washington Post via Getty Images)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003ch2>Do we know how MPX interacts with COVID?\u003c/h2>\n\u003cp>The California Department of Public Health stresses that MPX is “a completely different disease” from COVID, and that this outbreak is unrelated to COVID.\u003c/p>\n\u003cp>MPX is much less contagious than COVID and the way it spreads also is very different. SFDPH says this is “partly because people with MPX are generally thought to be contagious to people with whom they’ve had very close contact over a long period of time, and when they have symptoms like a rash.” COVID, on the other hand, spreads through the air and can be spread even when people do not have COVID symptoms.\u003c/p>\n\u003cp>However, UCSF’s Chin-Hong affirms that it’s completely possible to contract COVID-19 and MPX at the same time and adds that the impact that a double infection has on the body is still being studied.\u003c/p>\n\u003ch2>\u003ca id=\"monkeypoxprevention\">\u003c/a>How can folks protect themselves against contracting MPX?\u003c/h2>\n\u003cp>The CDC says the following activities will increase your risk for being infected with MPX, and should be avoided to reduce the risk of infection:\u003c/p>\n\u003cul>\n\u003cli>Close, skin-to-skin contact with someone’s MPX rash\u003c/li>\n\u003cli>Touching the rash or scabs of someone with MPX\u003c/li>\n\u003cli>Kissing, hugging, cuddling or having sex with someone who has MPX\u003c/li>\n\u003cli>Sharing eating utensils or cups\u003c/li>\n\u003cli>Handling or touch the bedding, towels or clothing of someone with MPX\u003c/li>\n\u003c/ul>\n\u003cp>Wash your hands often with soap and water or use an alcohol-based hand sanitizer, especially after contact with people who’ve been infected with MPX. \u003ca href=\"https://www.cdc.gov/poxvirus/monkeypox/pdf/Monkeypox-Interim-Guidance-for-Household-Disinfection-508.pdf\">Read the CDC’s guide to disinfecting spaces to prevent the spread of MPX.\u003c/a>\u003c/p>\n\u003cp>Additionally, the San Francisco Department of Public Health advises you cover exposed skin in crowded settings (whether that’s indoors, like in a bar, or outdoors at a festival or a parade).\u003c/p>\n\u003cp>They also recommend you don’t share bedding or clothing with others generally, even if you aren’t sure if they have MPX, and talk to your close physical and sexual contacts about their health generally, including whether they’re seeing recent rashes or sores on their body.\u003c/p>\n\u003ch2>What are health officials doing to prevent and combat stigma about MPX?\u003c/h2>\n\u003cp>San Francisco AIDS Foundation CEO TerMeer says that vaccine equity is also very much on the minds of advocates right now, “ensuring that we don’t repeat any mistakes of the past so that communities of color or other communities that have traditionally been furthest from access and opportunity in the health care space don’t get left out of the conversation.”\u003c/p>\n\u003cp>“Our predominant advocacy at the moment is just ‘we need vaccines and we need them now,’” says TerMeer. “We are really pushing to try and get at least 1,000 doses of vaccine in the next 30 days so that we can get ahead of the issue and are really hoping to be able to respond effectively, before it grows into a larger issue.”\u003c/p>\n\u003cp>If you are looking for additional health advice on MPX, you also can access:\u003c/p>\n\u003cul>\n\u003cli>\u003cstrong>\u003ca href=\"https://www.sfaf.org/monkeypox/\">Magnet Sexual Health Clinic at Strut\u003c/a> (San Francisco AIDS Foundation): (415) 581-1600\u003c/strong>\u003c/li>\n\u003cli>\u003cstrong>San Francisco Department of Public Health \u003ca href=\"https://sf.gov/information/monkeypox\">info page about MPX\u003c/a>\u003c/strong>\u003c/li>\n\u003cli>\u003cstrong>\u003ca href=\"https://www.cdph.ca.gov/Programs/CID/DCDC/Pages/Monkeypox-Questions-and-Answers.aspx\">California Department of Public Health MPX FAQ\u003c/a>\u003c/strong>\u003c/li>\n\u003c/ul>\n\u003cp>\u003cem>This post includes reporting by KQED’s Vanessa Rancaño, Juan Carlos Lara and Matthew Green. A version of this story was published on July 8.\u003c/em>\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"storyMajorUpdateDate\">\u003cstrong>Updated July 27, 2022 at 9:00 PM ET\u003c/strong>\u003c/div>\n\u003cp>Senate Majority Leader Chuck Schumer, D-N.Y., and Sen. Joe Manchin, D-W.Va., have released preliminary details of a bill to address climate change, taxes, health care and inflation.\u003c/p>\n\u003cp>The agreement is a major reversal for Democrats, who had narrowed their ambitions for the package to address looming lapses in the Affordable Care Act and changes to prescription drug prices after Manchin raised concerns over approving more spending during record inflation.\u003c/p>\n\u003cp>“\u003ca href=\"https://www.npr.org/2022/07/15/1111675233/manchin-rejects-climate-and-tax-provisions-in-democrats-spending-package\">After many months of negotiations\u003c/a>, we have finalized legislative text that will invest approximately $300 billion in Deficit Reduction and $369.75 billion in \u003ca href=\"https://www.democrats.senate.gov/imo/media/doc/summary_of_the_energy_security_and_climate_change_investments_in_the_inflation_reduction_act_of_2022.pdf\">Energy Security and Climate Change\u003c/a> programs over the next 10 years,” the senators said in a joint statement. “The investments will be fully paid for by closing tax loopholes on wealthy individuals and corporations.”\u003c/p>\n\u003cp>The legislation — called the \u003ca href=\"https://urldefense.com/v3/__https:/www.democrats.senate.gov/inflation-reduction-act-one-page-summary__;!!Iwwt!T_erBxxpsxo0-Hmp8mN0_yyTMtr1hHNdwOqioGHm_BFtSoENMuYlN1rZvJA_mG15UD3A3FfsnoGpEzSZAONcKbXVivzI8w%24\">Inflation Reduction Act of 2022\u003c/a> — would also continue expansions to the Affordable Care Act that passed during the pandemic through 2025 and allow Medicare to pursue \u003ca href=\"https://urldefense.com/v3/__https:/www.democrats.senate.gov/topline-messages-for-senate-prescription-drug-pricing-reforms_fy22-budget-reconciliation__;!!Iwwt!T_erBxxpsxo0-Hmp8mN0_yyTMtr1hHNdwOqioGHm_BFtSoENMuYlN1rZvJA_mG15UD3A3FfsnoGpEzSZAONcKbWWL0vaEQ%24\">lower drug costs\u003c/a> by negotiating directly with drug companies. Democrats say the plan \u003ca href=\"https://urldefense.com/v3/__https:/www.democrats.senate.gov/summary-closing-tax-loopholes-in-the-inflation-reduction-act-of-2022__;!!Iwwt!T_erBxxpsxo0-Hmp8mN0_yyTMtr1hHNdwOqioGHm_BFtSoENMuYlN1rZvJA_mG15UD3A3FfsnoGpEzSZAONcKbXlchQO-A%24\">avoids any new taxes\u003c/a> on families making $400,000 or less and does not include any new taxes on small businesses.\u003c/p>\n\u003cp>Read the bill \u003ca href=\"https://www.democrats.senate.gov/imo/media/doc/inflation_reduction_act_of_2022.pdf\">here\u003c/a>.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>The new agreement aims to “reduce carbon emissions by roughly 40% by 2030” and address inflation while also reducing the deficit, according to documents released by Schumer and Manchin. Schumer planned to submit the bill to the Senate parliamentarian for review on Wednesday night in order to start votes on the bill next week. Democrats plan to pass the bill using the budget process known as reconciliation to avoid a Republican filibuster, provided the legislation has unanimous support among Senate Democrats.\u003c/p>\n\u003cp>[aside label=\"related coverage\" tag=\"climate-change\"]Manchin and Schumer say they have also reached an agreement with House Speaker Nancy Pelosi, D-Calif., and President Biden to pass a permitting reform bill by the end of the year, with the goal of easing permits for domestic energy production and transmission.\u003c/p>\n\u003cp>The agreement is a significant expansion of the very narrow bill Democrats had hoped to pass through reconciliation before the midterm elections, though it still falls far short of the broader Build Back Better plan they began negotiating last year. That proposal initially included massive domestic spending to address climate, taxes, health care and social programs.\u003c/p>\n\u003cp>Manchin became the leading voice of opposition to major spending as inflation concerns grew in the country. He was able to single-handedly drive the talks because Democrats need unanimous support to pass the bill in the evenly divided Senate.\u003c/p>\n\u003cp>The agreement comes hours after the Senate passed a major bipartisan bill to expand domestic production of critical semiconductor chips that have been in short supply, leading to delays in the delivery of new cars and supply chain issues for smartphones, computers and medical equipment. Senate Minority Leader Mitch McConnell, R-Ky., had threatened to block the semiconductor bill, known as CHIPS, if Democrats continued to pursue climate and tax legislation.\u003c/p>\n\u003cp>\u003ca href=\"https://www.npr.org/2022/07/26/1113470753/chip-production-semiconductor-senate\">Finalizing the CHIPS bill\u003c/a> paved the way for Democrats to reach a deal without the threat of losing support for the semiconductor bill they viewed as a critical economic and political achievement.\u003c/p>\n\u003cp>The next step will be for the Senate parliamentarian to assess whether the proposals meet strict Senate budget rules that govern the reconciliation process. Once that is done, it will go through a vote-a-rama, a process that would serve to circumvent the 60-vote threshold that bills normally must cross in order to be passed. The House must then pass a similar bill before Biden signs it into law.\u003c/p>\n\u003cp>In a statement after the deal was announced, Biden praised it as “the action the American people have been waiting for.”\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>“This addresses the problems of today — high health care costs and overall inflation — as well as investments in our energy security for the future,” he said.\u003c/p>\n\u003cdiv class=\"fullattribution\">Copyright 2022 NPR. To see more, visit https://www.npr.org.\u003cimg decoding=\"async\" src=\"https://www.google-analytics.com/__utm.gif?utmac=UA-5828686-4&utmdt=After+spiking+earlier+talks%2C+Manchin+agrees+to+a+new+deal+on+climate+and+taxes&utme=8(APIKey)9(MDAxOTAwOTE4MDEyMTkxMDAzNjczZDljZA004)\">\u003c/div>\n\n",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cdiv class=\"storyMajorUpdateDate\">\u003cstrong>Updated July 27, 2022 at 9:00 PM ET\u003c/strong>\u003c/div>\n\u003cp>Senate Majority Leader Chuck Schumer, D-N.Y., and Sen. Joe Manchin, D-W.Va., have released preliminary details of a bill to address climate change, taxes, health care and inflation.\u003c/p>\n\u003cp>The agreement is a major reversal for Democrats, who had narrowed their ambitions for the package to address looming lapses in the Affordable Care Act and changes to prescription drug prices after Manchin raised concerns over approving more spending during record inflation.\u003c/p>\n\u003cp>“\u003ca href=\"https://www.npr.org/2022/07/15/1111675233/manchin-rejects-climate-and-tax-provisions-in-democrats-spending-package\">After many months of negotiations\u003c/a>, we have finalized legislative text that will invest approximately $300 billion in Deficit Reduction and $369.75 billion in \u003ca href=\"https://www.democrats.senate.gov/imo/media/doc/summary_of_the_energy_security_and_climate_change_investments_in_the_inflation_reduction_act_of_2022.pdf\">Energy Security and Climate Change\u003c/a> programs over the next 10 years,” the senators said in a joint statement. “The investments will be fully paid for by closing tax loopholes on wealthy individuals and corporations.”\u003c/p>\n\u003cp>The legislation — called the \u003ca href=\"https://urldefense.com/v3/__https:/www.democrats.senate.gov/inflation-reduction-act-one-page-summary__;!!Iwwt!T_erBxxpsxo0-Hmp8mN0_yyTMtr1hHNdwOqioGHm_BFtSoENMuYlN1rZvJA_mG15UD3A3FfsnoGpEzSZAONcKbXVivzI8w%24\">Inflation Reduction Act of 2022\u003c/a> — would also continue expansions to the Affordable Care Act that passed during the pandemic through 2025 and allow Medicare to pursue \u003ca href=\"https://urldefense.com/v3/__https:/www.democrats.senate.gov/topline-messages-for-senate-prescription-drug-pricing-reforms_fy22-budget-reconciliation__;!!Iwwt!T_erBxxpsxo0-Hmp8mN0_yyTMtr1hHNdwOqioGHm_BFtSoENMuYlN1rZvJA_mG15UD3A3FfsnoGpEzSZAONcKbWWL0vaEQ%24\">lower drug costs\u003c/a> by negotiating directly with drug companies. Democrats say the plan \u003ca href=\"https://urldefense.com/v3/__https:/www.democrats.senate.gov/summary-closing-tax-loopholes-in-the-inflation-reduction-act-of-2022__;!!Iwwt!T_erBxxpsxo0-Hmp8mN0_yyTMtr1hHNdwOqioGHm_BFtSoENMuYlN1rZvJA_mG15UD3A3FfsnoGpEzSZAONcKbXlchQO-A%24\">avoids any new taxes\u003c/a> on families making $400,000 or less and does not include any new taxes on small businesses.\u003c/p>\n\u003cp>Read the bill \u003ca href=\"https://www.democrats.senate.gov/imo/media/doc/inflation_reduction_act_of_2022.pdf\">here\u003c/a>.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>Manchin and Schumer say they have also reached an agreement with House Speaker Nancy Pelosi, D-Calif., and President Biden to pass a permitting reform bill by the end of the year, with the goal of easing permits for domestic energy production and transmission.\u003c/p>\n\u003cp>The agreement is a significant expansion of the very narrow bill Democrats had hoped to pass through reconciliation before the midterm elections, though it still falls far short of the broader Build Back Better plan they began negotiating last year. That proposal initially included massive domestic spending to address climate, taxes, health care and social programs.\u003c/p>\n\u003cp>Manchin became the leading voice of opposition to major spending as inflation concerns grew in the country. He was able to single-handedly drive the talks because Democrats need unanimous support to pass the bill in the evenly divided Senate.\u003c/p>\n\u003cp>The agreement comes hours after the Senate passed a major bipartisan bill to expand domestic production of critical semiconductor chips that have been in short supply, leading to delays in the delivery of new cars and supply chain issues for smartphones, computers and medical equipment. Senate Minority Leader Mitch McConnell, R-Ky., had threatened to block the semiconductor bill, known as CHIPS, if Democrats continued to pursue climate and tax legislation.\u003c/p>\n\u003cp>\u003ca href=\"https://www.npr.org/2022/07/26/1113470753/chip-production-semiconductor-senate\">Finalizing the CHIPS bill\u003c/a> paved the way for Democrats to reach a deal without the threat of losing support for the semiconductor bill they viewed as a critical economic and political achievement.\u003c/p>\n\u003cp>The next step will be for the Senate parliamentarian to assess whether the proposals meet strict Senate budget rules that govern the reconciliation process. Once that is done, it will go through a vote-a-rama, a process that would serve to circumvent the 60-vote threshold that bills normally must cross in order to be passed. The House must then pass a similar bill before Biden signs it into law.\u003c/p>\n\u003cp>In a statement after the deal was announced, Biden praised it as “the action the American people have been waiting for.”\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>“This addresses the problems of today — high health care costs and overall inflation — as well as investments in our energy security for the future,” he said.\u003c/p>\n\u003cdiv class=\"fullattribution\">Copyright 2022 NPR. To see more, visit https://www.npr.org.\u003cimg decoding=\"async\" src=\"https://www.google-analytics.com/__utm.gif?utmac=UA-5828686-4&utmdt=After+spiking+earlier+talks%2C+Manchin+agrees+to+a+new+deal+on+climate+and+taxes&utme=8(APIKey)9(MDAxOTAwOTE4MDEyMTkxMDAzNjczZDljZA004)\">\u003c/div>\n\n\u003c/div>\u003c/p>",
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"slug": "epidemiologists-warn-the-u-s-reaches-a-critical-moment-to-contain-monkeypox",
"title": "Epidemiologists Warn the US Reaches a Critical Moment to Contain Monkeypox",
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"headTitle": "Epidemiologists Warn the US Reaches a Critical Moment to Contain Monkeypox | KQED",
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"content": "\u003cp>On the heels of a public health emergency declaration from the World Health Organization, epidemiologists and public health experts warn the U.S. is running out of time to contain a monkeypox outbreak that has infected nearly 3,000 Americans.\u003c/p>\n\u003cp>“We’re losing daylight,” UCLA epidemiologist Anne Rimoin, who has studied monkeypox for decades, told NPR. “Every day that we aren’t continuing to push forward on all fronts, the less likely it is that we will be able to contain it.”\u003c/p>\n\u003cp>U.S. officials have \u003ca href=\"https://www.npr.org/2022/07/19/1112043780/monkeypox-keeps-spreading-heres-what-authorities-are-doing-to-stop-it\">already expanded testing\u003c/a>, made tens of thousands of vaccines available and made \u003ca href=\"https://www.whitehouse.gov/briefing-room/statements-releases/2022/06/28/fact-sheet-biden-harris-administrations-monkeypox-outbreak-response/\">plans to release another 1.6 million doses\u003c/a> in the coming months.\u003c/p>\n\u003cp>But the limited supplies have not matched demand, \u003ca href=\"https://www.npr.org/2022/07/09/1110667122/there-has-been-a-shortage-of-testing-and-vaccines-for-monkeypox\">some health officials have reported\u003c/a>. And despite limited testing, case numbers have grown so rapidly in recent weeks that a larger response may be necessary to contain the outbreak, experts say – if containment is still possible.[pullquote size=\"medium\" align=\"right\" citation=\"Anne Rimoin, UCLA epidemiologist\"]‘I absolutely think that it can be contained. But whether it will be depends upon the resources dedicated to doing this and the speed with which we can act.’[/pullquote]\u003c/p>\n\u003cp>“It’s going to be tough, but that needs to still be the goal,” Dr. Preeti Malani, an infectious disease specialist at the University of Michigan, told NPR. “What we do in the coming days and weeks will really determine where we are a few months from now.”\u003c/p>\n\u003ch2>The U.S. is closing in on 3,000 cases of monkeypox\u003c/h2>\n\u003cp>Over the weekend, \u003ca href=\"https://www.npr.org/2022/07/23/1113183728/monkeypox-global-health-emergency-who\">the World Health Organization declared the outbreak a public health emergency\u003c/a>. Biden administration officials have said they are discussing whether to declare an emergency in the U.S.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>The discussions represent a change of tone from \u003ca href=\"https://www.npr.org/sections/goatsandsoda/2022/05/18/927043767/rare-monkeypox-outbreak-in-u-k-and-europe-what-is-it-and-should-we-worry\">the beginning of the outbreak in May\u003c/a>. Then, there were only a handful of cases outside of Africa, where the disease is endemic, and health officials in the U.S. and around the world expressed confidence that the disease was containable.\u003c/p>\n\u003cp>As of Friday afternoon, \u003ca href=\"https://www.cdc.gov/poxvirus/monkeypox/response/2022/us-map.html\">the CDC had reported\u003c/a> 2,891 cases of monkeypox in the U.S. – a number \u003ca href=\"https://www.npr.org/sections/health-shots/2022/06/25/1107416457/monkeypox-outbreak-in-us\">more than 10 times higher than a month ago\u003c/a>.\u003c/p>\n\u003cp>The CDC had tests available before this outbreak began – a significant difference from COVID-19 – but \u003ca href=\"https://www.npr.org/sections/health-shots/2022/06/25/1107416457/monkeypox-outbreak-in-us\">experts have complained that the agency is testing cases at too slow a pace\u003c/a>. The Biden administration began shipping tests to commercial laboratories \u003ca href=\"https://www.hhs.gov/about/news/2022/06/22/hhs-expanding-monkeypox-testing-capacity-five-commercial-laboratory-companies.html\">in late June\u003c/a>, with the expectation that testing capacity would be “ramped up” through the month of July.\u003c/p>\n\u003cp>“We are way behind in a lot of aspects, including rapid testing and access to treatment for those patients who might need treatment,” Malani said.\u003c/p>\n\u003cp>More robust contact tracing, too, could help combat the virus.\u003c/p>\n\u003cp>“Ultimately, we cannot vaccinate and treat our way out of monkeypox,” Malani said. “Prevention is critical.”\u003c/p>\n\u003cp>Monkeypox has a long incubation period, she said. After an initial exposure, it can be weeks before symptoms develop. An early heads-up from a robust contact tracing effort could help people exposed to monkeypox isolate and seek tests or vaccines before symptoms appear.\u003c/p>\n\u003cp>The virus most often spreads through prolonged physical contact. It is not a sexually transmitted disease; it can spread through non-sexual physical contact, or by handling clothes or bedding used by an infected person. The disease can also spread via respiratory droplets.\u003c/p>\n\u003cp>Like in other Western countries, the outbreak in the U.S. has mostly affected men who have sex with other men. But the CDC has also reported infections in \u003ca href=\"https://emergency.cdc.gov/coca/ppt/2022/062922_slides.pdf\">a small number of cisgender women\u003c/a>. And on Friday, the agency announced the outbreak’s first documented cases in children – a toddler in California and an infant whose family was traveling in Washington, D.C.\u003c/p>\n\u003ch2>Lessons from COVID-19\u003c/h2>\n\u003cp>The monkeypox outbreak arrived at a time when public awareness of infectious disease is high, experts pointed out. The COVID pandemic has made Americans familiar with public health concepts like isolation, rapid testing and contact tracing.\u003c/p>\n\u003cp>But other lessons from COVID have seemingly not stuck – like how early and how forcefully to take action when an outbreak is still constrained to a handful of people.\u003c/p>\n\u003cp>“I hate to say this, but I feel like ‘here we go again,'” Rebecca Fischer, an infectious disease specialist at Texas A&M University, told NPR.\u003c/p>\n\u003cp>Researchers are quick to point out that \u003ca href=\"https://www.npr.org/2022/05/24/1101003523/monkeypox-covid-19-differences\">the two diseases are very different\u003c/a>. They belong to different families of virus and require different levels of contact to spread. Overall, COVID is more transmissible.\u003c/p>\n\u003cp>[aside label=\"More monkeypox coverage\" tag=\"monkeypox\"] Many of COVID’s lessons could be applied to any infectious disease, Fischer said.\u003c/p>\n\u003cp>“Public health thought that we had learned this great thing – that we need to respond aggressively up front, and with a lot of resources and a lot of attention up front, if we hope to curtail and contain,” Fischer said. “And I get the sense that sort of aggressive upfront action didn’t really happen.”\u003c/p>\n\u003cp>Still, public health officials and epidemiologists alike say that containment could be within reach.\u003c/p>\n\u003cp>Unlike COVID, monkeypox was already a known quantity to researchers before the current outbreak. The disease was first discovered in humans more than 50 years ago, and its similarity to smallpox means smallpox treatments and vaccines are also effective against monkeypox. The U.S. has millions of doses already stockpiled.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>“I absolutely think that it can be contained. But whether it will be depends upon the resources dedicated to doing this and the speed with which we can act,” said Rimoin of UCLA. “It really will require a major concerted effort locally, nationally and globally.”\u003c/p>\n\u003cdiv class=\"fullattribution\">Copyright 2022 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=Epidemiologists+warn+the+U.S.+reaches+a+critical+moment+to+contain+monkeypox&utme=8(APIKey)9(MDAxOTAwOTE4MDEyMTkxMDAzNjczZDljZA004)\">\u003c/div>\n\n",
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"excerpt": "Cases in the U.S. are 10 times higher than they were a month ago. Researchers advise that the coming days and weeks will be crucial as to whether the outbreak can be contained. ",
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"title": "Epidemiologists Warn the US Reaches a Critical Moment to Contain Monkeypox | KQED",
"description": "Cases in the U.S. are 10 times higher than they were a month ago. Researchers advise that the coming days and weeks will be crucial as to whether the outbreak can be contained. ",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>On the heels of a public health emergency declaration from the World Health Organization, epidemiologists and public health experts warn the U.S. is running out of time to contain a monkeypox outbreak that has infected nearly 3,000 Americans.\u003c/p>\n\u003cp>“We’re losing daylight,” UCLA epidemiologist Anne Rimoin, who has studied monkeypox for decades, told NPR. “Every day that we aren’t continuing to push forward on all fronts, the less likely it is that we will be able to contain it.”\u003c/p>\n\u003cp>U.S. officials have \u003ca href=\"https://www.npr.org/2022/07/19/1112043780/monkeypox-keeps-spreading-heres-what-authorities-are-doing-to-stop-it\">already expanded testing\u003c/a>, made tens of thousands of vaccines available and made \u003ca href=\"https://www.whitehouse.gov/briefing-room/statements-releases/2022/06/28/fact-sheet-biden-harris-administrations-monkeypox-outbreak-response/\">plans to release another 1.6 million doses\u003c/a> in the coming months.\u003c/p>\n\u003cp>But the limited supplies have not matched demand, \u003ca href=\"https://www.npr.org/2022/07/09/1110667122/there-has-been-a-shortage-of-testing-and-vaccines-for-monkeypox\">some health officials have reported\u003c/a>. And despite limited testing, case numbers have grown so rapidly in recent weeks that a larger response may be necessary to contain the outbreak, experts say – if containment is still possible.\u003c/p>\u003c/div>",
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"content": "‘I absolutely think that it can be contained. But whether it will be depends upon the resources dedicated to doing this and the speed with which we can act.’",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>“It’s going to be tough, but that needs to still be the goal,” Dr. Preeti Malani, an infectious disease specialist at the University of Michigan, told NPR. “What we do in the coming days and weeks will really determine where we are a few months from now.”\u003c/p>\n\u003ch2>The U.S. is closing in on 3,000 cases of monkeypox\u003c/h2>\n\u003cp>Over the weekend, \u003ca href=\"https://www.npr.org/2022/07/23/1113183728/monkeypox-global-health-emergency-who\">the World Health Organization declared the outbreak a public health emergency\u003c/a>. Biden administration officials have said they are discussing whether to declare an emergency in the U.S.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>The discussions represent a change of tone from \u003ca href=\"https://www.npr.org/sections/goatsandsoda/2022/05/18/927043767/rare-monkeypox-outbreak-in-u-k-and-europe-what-is-it-and-should-we-worry\">the beginning of the outbreak in May\u003c/a>. Then, there were only a handful of cases outside of Africa, where the disease is endemic, and health officials in the U.S. and around the world expressed confidence that the disease was containable.\u003c/p>\n\u003cp>As of Friday afternoon, \u003ca href=\"https://www.cdc.gov/poxvirus/monkeypox/response/2022/us-map.html\">the CDC had reported\u003c/a> 2,891 cases of monkeypox in the U.S. – a number \u003ca href=\"https://www.npr.org/sections/health-shots/2022/06/25/1107416457/monkeypox-outbreak-in-us\">more than 10 times higher than a month ago\u003c/a>.\u003c/p>\n\u003cp>The CDC had tests available before this outbreak began – a significant difference from COVID-19 – but \u003ca href=\"https://www.npr.org/sections/health-shots/2022/06/25/1107416457/monkeypox-outbreak-in-us\">experts have complained that the agency is testing cases at too slow a pace\u003c/a>. The Biden administration began shipping tests to commercial laboratories \u003ca href=\"https://www.hhs.gov/about/news/2022/06/22/hhs-expanding-monkeypox-testing-capacity-five-commercial-laboratory-companies.html\">in late June\u003c/a>, with the expectation that testing capacity would be “ramped up” through the month of July.\u003c/p>\n\u003cp>“We are way behind in a lot of aspects, including rapid testing and access to treatment for those patients who might need treatment,” Malani said.\u003c/p>\n\u003cp>More robust contact tracing, too, could help combat the virus.\u003c/p>\n\u003cp>“Ultimately, we cannot vaccinate and treat our way out of monkeypox,” Malani said. “Prevention is critical.”\u003c/p>\n\u003cp>Monkeypox has a long incubation period, she said. After an initial exposure, it can be weeks before symptoms develop. An early heads-up from a robust contact tracing effort could help people exposed to monkeypox isolate and seek tests or vaccines before symptoms appear.\u003c/p>\n\u003cp>The virus most often spreads through prolonged physical contact. It is not a sexually transmitted disease; it can spread through non-sexual physical contact, or by handling clothes or bedding used by an infected person. The disease can also spread via respiratory droplets.\u003c/p>\n\u003cp>Like in other Western countries, the outbreak in the U.S. has mostly affected men who have sex with other men. But the CDC has also reported infections in \u003ca href=\"https://emergency.cdc.gov/coca/ppt/2022/062922_slides.pdf\">a small number of cisgender women\u003c/a>. And on Friday, the agency announced the outbreak’s first documented cases in children – a toddler in California and an infant whose family was traveling in Washington, D.C.\u003c/p>\n\u003ch2>Lessons from COVID-19\u003c/h2>\n\u003cp>The monkeypox outbreak arrived at a time when public awareness of infectious disease is high, experts pointed out. The COVID pandemic has made Americans familiar with public health concepts like isolation, rapid testing and contact tracing.\u003c/p>\n\u003cp>But other lessons from COVID have seemingly not stuck – like how early and how forcefully to take action when an outbreak is still constrained to a handful of people.\u003c/p>\n\u003cp>“I hate to say this, but I feel like ‘here we go again,'” Rebecca Fischer, an infectious disease specialist at Texas A&M University, told NPR.\u003c/p>\n\u003cp>Researchers are quick to point out that \u003ca href=\"https://www.npr.org/2022/05/24/1101003523/monkeypox-covid-19-differences\">the two diseases are very different\u003c/a>. They belong to different families of virus and require different levels of contact to spread. Overall, COVID is more transmissible.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp> Many of COVID’s lessons could be applied to any infectious disease, Fischer said.\u003c/p>\n\u003cp>“Public health thought that we had learned this great thing – that we need to respond aggressively up front, and with a lot of resources and a lot of attention up front, if we hope to curtail and contain,” Fischer said. “And I get the sense that sort of aggressive upfront action didn’t really happen.”\u003c/p>\n\u003cp>Still, public health officials and epidemiologists alike say that containment could be within reach.\u003c/p>\n\u003cp>Unlike COVID, monkeypox was already a known quantity to researchers before the current outbreak. The disease was first discovered in humans more than 50 years ago, and its similarity to smallpox means smallpox treatments and vaccines are also effective against monkeypox. The U.S. has millions of doses already stockpiled.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>“I absolutely think that it can be contained. But whether it will be depends upon the resources dedicated to doing this and the speed with which we can act,” said Rimoin of UCLA. “It really will require a major concerted effort locally, nationally and globally.”\u003c/p>\n\u003cdiv class=\"fullattribution\">Copyright 2022 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=Epidemiologists+warn+the+U.S.+reaches+a+critical+moment+to+contain+monkeypox&utme=8(APIKey)9(MDAxOTAwOTE4MDEyMTkxMDAzNjczZDljZA004)\">\u003c/div>\n\n\u003c/div>\u003c/p>",
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"title": "County Officials Are Skeptical Over Gov. Newsom's CARE Court Program",
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"headTitle": "County Officials Are Skeptical Over Gov. Newsom’s CARE Court Program | KQED",
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"content": "\u003cp>In early March, Gov. Gavin Newsom unveiled a controversial proposal to compel people with serious mental health issues into care and housing.\u003c/p>\n\u003cp>Mental health advocates, mayors and family members who stood alongside him at the press conference at a San José behavioral health treatment program heralded the plan, known as CARE Court, as a visionary move.\u003c/p>\n\u003cp>But some county officials say they were stunned.\u003c/p>\n\u003cp>“They really sprung it on everybody,” said Farah McDaid Ting, public affairs director at the California State Association of Counties, who said lawmakers didn’t consult with or even give her organization a heads-up.[pullquote size=\"medium\" align=\"right\" citation=\"Margot Kushel, director, Benioff Homelessness and Housing Initiative, Zuckerberg San Francisco General Hospital and Trauma Center\"]‘I worry if it houses some but leaves others out, are we just reshuffling things?’[/pullquote]\u003c/p>\n\u003cp>Four months later, the bill to establish CARE Court has sailed through all of its policy committees in the Legislature, secured unanimous approval from the Senate in May and is widely expected to become law later this summer. CARE Court — short for \u003ca href=\"https://www.gov.ca.gov/2022/03/03/governor-newsom-launches-new-plan-to-help-californians-struggling-with-mental-health-challenges-homelessness/\">Community Assistance, Recovery and Empowerment Court\u003c/a> — has garnered enthusiastic support from leaders of more than 45 cities, many of whom face fiery criticism over their handling of homelessness. Many family members, who for decades have felt stymied by strict eligibility rules for conservatorship, also are celebrating the new plan.\u003c/p>\n\u003cp>But county representatives continue to ring alarm bells about their ability to implement the proposal, especially as an aggressive timeline comes into focus. A handful of counties have registered support for the proposal, including Marin, Contra Costa and San Diego.\u003c/p>\n\u003cp>Many of the counties’ concerns come in the form of questions: Will the necessary housing be available? Where can they find the outreach workers and therapists needed to serve the population, given massive statewide shortages of both? What happens to all the struggling people who want housing and treatment, and already can’t get it?\u003c/p>\n\u003cp>Disability rights advocates are raising fundamental questions about the very premise of CARE Court: Is it effective to compel people into care? Is involuntary treatment a violation of their civil rights?\u003c/p>\n\u003cp>But many of those who support the concept say the more practical questions feel especially pressing right now, as the Legislature continues its deliberations. While many details are still in flux, the gist of the proposal remains the same as initially outlined. Anyone from family members to first responders could petition a civil court to create a court-ordered care plan for people who meet specific criteria.\u003c/p>\n\u003cp>These include a diagnosis of schizophrenia or other psychotic disorders, along with being at risk of harming themselves or others or being unlikely to survive on their own. Participants would receive legal counsel and a range of mental health services, medication and supportive housing. Following a series of check-ins during a yearlong period, the participant could either graduate or be referred to an additional year of treatment. If a person refuses to comply, or “fails out,” they could be considered by the court for \u003ca href=\"https://calmatters.org/justice/2021/07/britney-spears-conservatorship/\">conservatorship\u003c/a>.\u003c/p>\n\u003cp>Conversations about CARE Court have been peppered with frequent references to people living on California’s sidewalks and under its freeway overpasses. But the administration hasn’t been clear about how much of a dent the proposal would make in the state’s massive homelessness crisis. Prior to the pandemic, more than 161,000 people in the state were estimated to be homeless on any given night; that number has likely grown since. The administration says the program will serve 7,000 to 12,000 people with the most acute mental health needs. Homelessness isn’t a prerequisite to participate.[aside postID=\"news_11916040,news_11914873\" label=\"Related Posts\"]The administration also says the proposal represents a crucial step toward addressing one of the state’s great moral and policy failings: the vast ranks of unhoused people languishing with serious mental illness and without care.\u003c/p>\n\u003cp>“What CARE Court is saying is we must create a pathway wherein these individuals that live in the shadows and often die in the shadows become a priority group,” said Dr. Mark Ghaly, secretary of the California Health and Human Services Agency, who has been championing the program on behalf of the Newsom administration.\u003c/p>\n\u003cp>CARE Court’s supporters say no more time can be wasted. Judge Stephen Manley, who started the state’s first mental health court in Santa Clara County nearly 25 years ago, notes the growing percentage of people in local jails and prisons with serious mental illnesses. Only by mandating that counties prioritize this population, he said, will anything change.\u003c/p>\n\u003cp>“People are always telling me it can’t be done,” he said. “To me it is a tragedy that we repeatedly, year after year after year after year, talk about this issue, do nothing, and all these individuals end up in the criminal justice system.”\u003c/p>\n\u003ch2>Is there enough housing or will there be?\u003c/h2>\n\u003cp>Perhaps the most prominent question that has emerged among legislators and advocates is whether there is enough housing available to get the CARE Court program started.\u003c/p>\n\u003cp>Short answer: No.\u003c/p>\n\u003cp>But the state believes that bringing CARE Court participants to the front of the line, along with making unprecedented investments in housing this year, will allow counties to meet the needs of this population. Opponents fear others awaiting voluntary services will be bumped to the back of the line, leaving their needs to intensify.\u003c/p>\n\u003cp>“I worry if it houses some but leaves others out, are we just reshuffling things?” said Margot Kushel, director of the Benioff Homelessness and Housing Initiative at Zuckerberg San Francisco General Hospital and Trauma Center.\u003c/p>\n\u003cp>While the new budget deal includes $65 million this year and $49 million in ongoing annual funding to cover training, court costs and legal representation, counties say the proposal doesn’t include any new funding for housing or services.\u003c/p>\n\u003cp>“There’s a new door being built onto a small house,” Ting said. “There’s no square footage, there’s no nothing, just a new door. That’s what’s kind of frustrating about the premise.”\u003c/p>\n\u003cp>The administration points skeptics to a $14 billion multiyear homelessness budget put together before the proposal’s announcement — which includes about $5 billion to build thousands of mental health treatment beds and homeless housing. This year’s budget includes $1.5 billion for interim treatment beds to hold patients over while permanent units come online. In response to counties’ concerns that even the bridge beds won’t be ready in time, the bill’s authors recently said counties would be phased into the program over two years, starting in July 2023.\u003c/p>\n\u003cp>Sen. Susan Talamantes Eggman, the bill’s co-author and a Stockton Democrat, says she believes counties are unhappy with the proposal because it finally holds them to account. It requires that they provide the care and housing a participant needs and, if they don’t, face court fines of $1,000 per day. The money, collected by the state treasury, would eventually fund local services for the people CARE Court targets.\u003c/p>\n\u003cp>“We’re not just saying the person has the obligation to accept, we’re saying the system has the obligation to treat,” Eggman said during a recent hearing.\u003c/p>\n\u003cp>Counties counter that these penalties will only take away from their already limited resources to treat people.\u003c/p>\n\u003cp>While the bill says a county has to provide services during the program, courts can’t enforce a participant’s post-graduation plans. Advocates worry that without guaranteed housing, people will wind up back on the streets, in emergency rooms and county jails.\u003c/p>\n\u003cp>“We’re going to release them back into the streets but we expect them to continue to adhere to the care plan and continue to be taking medication,” said Shonique Williams, a statewide organizer for Dignity and Power Now, who opposes the proposal. “But they’re going back into survival mode.”\u003c/p>\n\u003cp>The state doesn’t keep any sort of waitlist or even a count of treatment beds and housing that’s available to people exiting homelessness. As a result, it’s impossible to gauge the exact shortage in each county.\u003c/p>\n\u003cp>But a state-commissioned report released in January found that \u003ca href=\"https://www.dhcs.ca.gov/Pages/Assessing-the-Continuum-of-Care-for-Behavioral-Health-Services-in-California.aspx\">more than 80% of counties need more mental health treatment beds and homeless housing\u003c/a>. A 2021 study from the RAND Corporation, a nonprofit think tank\u003cstrong>,\u003c/strong> showed \u003ca href=\"https://www.rand.org/pubs/research_reports/RRA1824-1-v2.html\">the state lacks 5,000 psychiatric hospital beds and another 3,000 beds at residential treatment facilities and board-and-care homes\u003c/a>. The shortage is most pronounced in the San Joaquin Valley and for patients with additional medical needs.\u003c/p>\n\u003cp>Michelle Doty Cabrera, executive director of the California Behavioral Health Directors Association, said one recent survey showed counties had 14,000 unhoused individuals with serious mental illnesses voluntarily participating in full service partnership programs. But they couldn’t find housing for more than half of these individuals, in part because many were screened out for reasons related to their mental health conditions, she said.\u003c/p>\n\u003cp>In Sacramento County, beds are increasingly rare at board-and-care facilities, where residents receive housing, 24-hour care and three daily meals.\u003c/p>\n\u003cp>“It is a needle in a haystack right now,” said Terry Fiscus, a behavioral health worker at Turning Point, which contracts with the county.\u003c/p>\n\u003cp>The less calm and rule-abiding the patient, the less chance they have of getting or keeping a spot, he said. On top of that, \u003ca href=\"https://calmatters.org/projects/board-and-care-homes-closing-in-california-mental-health-crisis/\">facilities have been closing at a rapid clip\u003c/a> as housing prices soar and government-set reimbursement rates remain stagnant.\u003c/p>\n\u003cp>“There are a lot of people that want to come in all the time. We cannot take them,” said Jeanny Leung, who runs a board-and-care home in Sacramento.\u003c/p>\n\u003cfigure id=\"attachment_11919832\" class=\"wp-caption aligncenter\" style=\"max-width: 800px\">\u003ca href=\"https://ww2.kqed.org/app/uploads/sites/10/2022/07/Screen-Shot-2022-07-18-at-4.32.06-PM.png\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-medium wp-image-11919832\" src=\"https://ww2.kqed.org/app/uploads/sites/10/2022/07/Screen-Shot-2022-07-18-at-4.32.06-PM-800x526.png\" alt=\"A woman wearing a purple/pink shirt with designs stands outside with bushes behind her.\" width=\"800\" height=\"526\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2022/07/Screen-Shot-2022-07-18-at-4.32.06-PM-800x526.png 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2022/07/Screen-Shot-2022-07-18-at-4.32.06-PM-1020x671.png 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2022/07/Screen-Shot-2022-07-18-at-4.32.06-PM-160x105.png 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2022/07/Screen-Shot-2022-07-18-at-4.32.06-PM-1536x1011.png 1536w, https://cdn.kqed.org/wp-content/uploads/sites/10/2022/07/Screen-Shot-2022-07-18-at-4.32.06-PM.png 1544w\" sizes=\"(max-width: 800px) 100vw, 800px\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">Jeanny Leung outside Praise Care Home in Sacramento on Thursday, June 23, 2022. \u003ccite>(Nina Riggio/CalMatters)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003ch2>‘Squeezing blood from a turnip’\u003c/h2>\n\u003cp>Housing isn’t the only big concern counties are raising. To run, CARE Court requires staff and resources.\u003c/p>\n\u003cp>Some counties say they fear that, without new funding, the program will end up draining resources from other populations, potentially including children and youth.\u003c/p>\n\u003cp>Cabrera, of the California Behavioral Health Directors Association, uses phrases like “squeezing blood from a turnip” and “robbing Peter to pay Paul.”\u003c/p>\n\u003cp>“We’re at our limit in terms of what we can do,” she said. “We need more resources to do more.”\u003c/p>\n\u003cp>The proposal’s proponents argue that there’s plenty of money to get things up and running. They say county mental health systems have had a huge influx of taxpayer dollars in the past two years, thanks to the Mental Health Services Act, a 1% tax on incomes over $1 million that was enacted in 2004.\u003c/p>\n\u003cp>“Our millionaires in California seem to be doing very well for themselves,” said Karen Larsen, CEO of the Steinberg Institute, a nonprofit focusing on mental health policy, which supports the proposal. She notes that revenues from the tax have hit historic highs — they were at more than $4 billion this past year.\u003c/p>\n\u003cp>For two decades prior to assuming her current role, Larsen served as director of Yolo County’s Health and Human Services Agency. She believes counties can afford the costs of the new program.\u003c/p>\n\u003cp>“If they can prove they don’t have enough resources, I’d love to see it,” she said.\u003c/p>\n\u003cp>Phebe Bell, Nevada County’s behavioral health director, said she was indeed able to tap the influx of Mental Health Services Act funding to purchase a new house, providing beds for six people who were unhoused. But strict rules often limit what that pot of money can be used for, she said.\u003c/p>\n\u003cp>If the county has to pivot to focus on CARE Court mandates, she worries about who won’t be served.\u003c/p>\n\u003cp>“Many of our people are only stable because we have someone coming twice a day to deliver their meds and check in with them and make sure their furniture is upright,” she said.\u003c/p>\n\u003cp>When her county examined their full service partnership program, they found that more than a third of the 78 people in their program at any given moment were inadequately housed, with many sleeping on the streets.\u003c/p>\n\u003cp>“I don’t have a single empty bed in our system of care,” she said. “Who exactly are we incorrectly prioritizing in our work right now?”\u003c/p>\n\u003cp>Both sides agree on one specific challenge: a massive shortage of mental health providers.\u003c/p>\n\u003cp>At the beginning of the pandemic, many counties worried they’d face significant shortfalls and preemptively laid off mental health workers.\u003c/p>\n\u003cp>Now, as need surges, staffing has simply not kept pace. Counties are finding themselves losing bidding wars for therapists being courted by everyone from school districts to telehealth start-ups to major providers like Kaiser. Burnout is driving others from the field entirely.\u003c/p>\n\u003cp>Some counties now face vacancy rates of 30% to 40% in their behavioral health workforce, and many of the nonprofits they contract with are in the same situation, Larsen said.\u003c/p>\n\u003cp>“I think it’s the biggest issue we face in mental health and substance use right now,” she said.\u003c/p>\n\u003cp>This year’s budget includes $1.5 billion to build out the state’s entire health care workforce, including hundreds of millions that target behavioral health.\u003c/p>\n\u003cp>The state’s public guardians and conservators also have eyed the CARE Court proposal warily. While they are not officially affected by the proposal, they say they expect the program could lead to a surge in new referrals.\u003c/p>\n\u003cp>The programs are already severely underfunded and understaffed, said Scarlet Hughes, executive director of the California State Association of Public Administrators, Public Guardians, and Public Conservators. Right now, caseloads hover at 65 to 85 individuals per caseworker, though in some counties they’re as high as 135. That translates into visiting a client every three or four months, she said.\u003c/p>\n\u003cp>“Any impact to our members is going to be significant because they’re underwater already,” she said.\u003c/p>\n\u003ch2>What’s next?\u003c/h2>\n\u003cp>Questions over implementation, in addition to the ongoing debate over civil liberties, have been woven through CARE Court’s journey from the start. That hasn’t stopped the Legislature from voting overwhelmingly in the bill’s favor. It is expected to easily clear its final hurdles: an appropriations vote later this summer, a floor-wide vote in the Assembly and a signature from the author, the governor himself.\u003c/p>\n\u003cp>But despite their ongoing questions, counties have conceded that CARE Court is coming whether they like it or not. They know they’re not likely getting any more money for housing and staffing. For now, they’re using the appropriations process to \u003ca href=\"https://www.counties.org/sites/main/files/file-attachments/sb_1338_joint_concerns_asm_approps_letter_7-13-22.pdf?1657743565\">petition for more time and tools\u003c/a> to implement the program.\u003c/p>\n\u003cp>The administration acknowledges that counties around the state face severe shortages. But it remains committed to the idea of a better way to serve the people who are struggling the most.\u003c/p>\n\u003cp>“California has done this before,” Ghaly said. “We’ve stepped up for the most vulnerable, the most overlooked many, many times. And we can do it again.”\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>[ad floatright]\u003c/p>\n",
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"excerpt": "While lawmakers are still enthusiastic about Gov. Gavin Newsom's CARE Court, county officials are worried they don't have the resources to implement the idea.",
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"title": "County Officials Are Skeptical Over Gov. Newsom's CARE Court Program | KQED",
"description": "While lawmakers are still enthusiastic about Gov. Gavin Newsom's CARE Court, county officials are worried they don't have the resources to implement the idea.",
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"headline": "County Officials Are Skeptical Over Gov. Newsom's CARE Court Program",
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"nprByline": "\u003ca href=\"https://calmatters.org/author/jocelyn-wiener/\">Jocelyn Wiener\u003c/a> and \u003ca href=\"https://calmatters.org/author/manuela-tobias/\">Manuela Tobias\u003c/a>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>In early March, Gov. Gavin Newsom unveiled a controversial proposal to compel people with serious mental health issues into care and housing.\u003c/p>\n\u003cp>Mental health advocates, mayors and family members who stood alongside him at the press conference at a San José behavioral health treatment program heralded the plan, known as CARE Court, as a visionary move.\u003c/p>\n\u003cp>But some county officials say they were stunned.\u003c/p>\n\u003cp>“They really sprung it on everybody,” said Farah McDaid Ting, public affairs director at the California State Association of Counties, who said lawmakers didn’t consult with or even give her organization a heads-up.\u003c/p>\u003c/div>",
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"content": "‘I worry if it houses some but leaves others out, are we just reshuffling things?’",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>Four months later, the bill to establish CARE Court has sailed through all of its policy committees in the Legislature, secured unanimous approval from the Senate in May and is widely expected to become law later this summer. CARE Court — short for \u003ca href=\"https://www.gov.ca.gov/2022/03/03/governor-newsom-launches-new-plan-to-help-californians-struggling-with-mental-health-challenges-homelessness/\">Community Assistance, Recovery and Empowerment Court\u003c/a> — has garnered enthusiastic support from leaders of more than 45 cities, many of whom face fiery criticism over their handling of homelessness. Many family members, who for decades have felt stymied by strict eligibility rules for conservatorship, also are celebrating the new plan.\u003c/p>\n\u003cp>But county representatives continue to ring alarm bells about their ability to implement the proposal, especially as an aggressive timeline comes into focus. A handful of counties have registered support for the proposal, including Marin, Contra Costa and San Diego.\u003c/p>\n\u003cp>Many of the counties’ concerns come in the form of questions: Will the necessary housing be available? Where can they find the outreach workers and therapists needed to serve the population, given massive statewide shortages of both? What happens to all the struggling people who want housing and treatment, and already can’t get it?\u003c/p>\n\u003cp>Disability rights advocates are raising fundamental questions about the very premise of CARE Court: Is it effective to compel people into care? Is involuntary treatment a violation of their civil rights?\u003c/p>\n\u003cp>But many of those who support the concept say the more practical questions feel especially pressing right now, as the Legislature continues its deliberations. While many details are still in flux, the gist of the proposal remains the same as initially outlined. Anyone from family members to first responders could petition a civil court to create a court-ordered care plan for people who meet specific criteria.\u003c/p>\n\u003cp>These include a diagnosis of schizophrenia or other psychotic disorders, along with being at risk of harming themselves or others or being unlikely to survive on their own. Participants would receive legal counsel and a range of mental health services, medication and supportive housing. Following a series of check-ins during a yearlong period, the participant could either graduate or be referred to an additional year of treatment. If a person refuses to comply, or “fails out,” they could be considered by the court for \u003ca href=\"https://calmatters.org/justice/2021/07/britney-spears-conservatorship/\">conservatorship\u003c/a>.\u003c/p>\n\u003cp>Conversations about CARE Court have been peppered with frequent references to people living on California’s sidewalks and under its freeway overpasses. But the administration hasn’t been clear about how much of a dent the proposal would make in the state’s massive homelessness crisis. Prior to the pandemic, more than 161,000 people in the state were estimated to be homeless on any given night; that number has likely grown since. The administration says the program will serve 7,000 to 12,000 people with the most acute mental health needs. Homelessness isn’t a prerequisite to participate.\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>The administration also says the proposal represents a crucial step toward addressing one of the state’s great moral and policy failings: the vast ranks of unhoused people languishing with serious mental illness and without care.\u003c/p>\n\u003cp>“What CARE Court is saying is we must create a pathway wherein these individuals that live in the shadows and often die in the shadows become a priority group,” said Dr. Mark Ghaly, secretary of the California Health and Human Services Agency, who has been championing the program on behalf of the Newsom administration.\u003c/p>\n\u003cp>CARE Court’s supporters say no more time can be wasted. Judge Stephen Manley, who started the state’s first mental health court in Santa Clara County nearly 25 years ago, notes the growing percentage of people in local jails and prisons with serious mental illnesses. Only by mandating that counties prioritize this population, he said, will anything change.\u003c/p>\n\u003cp>“People are always telling me it can’t be done,” he said. “To me it is a tragedy that we repeatedly, year after year after year after year, talk about this issue, do nothing, and all these individuals end up in the criminal justice system.”\u003c/p>\n\u003ch2>Is there enough housing or will there be?\u003c/h2>\n\u003cp>Perhaps the most prominent question that has emerged among legislators and advocates is whether there is enough housing available to get the CARE Court program started.\u003c/p>\n\u003cp>Short answer: No.\u003c/p>\n\u003cp>But the state believes that bringing CARE Court participants to the front of the line, along with making unprecedented investments in housing this year, will allow counties to meet the needs of this population. Opponents fear others awaiting voluntary services will be bumped to the back of the line, leaving their needs to intensify.\u003c/p>\n\u003cp>“I worry if it houses some but leaves others out, are we just reshuffling things?” said Margot Kushel, director of the Benioff Homelessness and Housing Initiative at Zuckerberg San Francisco General Hospital and Trauma Center.\u003c/p>\n\u003cp>While the new budget deal includes $65 million this year and $49 million in ongoing annual funding to cover training, court costs and legal representation, counties say the proposal doesn’t include any new funding for housing or services.\u003c/p>\n\u003cp>“There’s a new door being built onto a small house,” Ting said. “There’s no square footage, there’s no nothing, just a new door. That’s what’s kind of frustrating about the premise.”\u003c/p>\n\u003cp>The administration points skeptics to a $14 billion multiyear homelessness budget put together before the proposal’s announcement — which includes about $5 billion to build thousands of mental health treatment beds and homeless housing. This year’s budget includes $1.5 billion for interim treatment beds to hold patients over while permanent units come online. In response to counties’ concerns that even the bridge beds won’t be ready in time, the bill’s authors recently said counties would be phased into the program over two years, starting in July 2023.\u003c/p>\n\u003cp>Sen. Susan Talamantes Eggman, the bill’s co-author and a Stockton Democrat, says she believes counties are unhappy with the proposal because it finally holds them to account. It requires that they provide the care and housing a participant needs and, if they don’t, face court fines of $1,000 per day. The money, collected by the state treasury, would eventually fund local services for the people CARE Court targets.\u003c/p>\n\u003cp>“We’re not just saying the person has the obligation to accept, we’re saying the system has the obligation to treat,” Eggman said during a recent hearing.\u003c/p>\n\u003cp>Counties counter that these penalties will only take away from their already limited resources to treat people.\u003c/p>\n\u003cp>While the bill says a county has to provide services during the program, courts can’t enforce a participant’s post-graduation plans. Advocates worry that without guaranteed housing, people will wind up back on the streets, in emergency rooms and county jails.\u003c/p>\n\u003cp>“We’re going to release them back into the streets but we expect them to continue to adhere to the care plan and continue to be taking medication,” said Shonique Williams, a statewide organizer for Dignity and Power Now, who opposes the proposal. “But they’re going back into survival mode.”\u003c/p>\n\u003cp>The state doesn’t keep any sort of waitlist or even a count of treatment beds and housing that’s available to people exiting homelessness. As a result, it’s impossible to gauge the exact shortage in each county.\u003c/p>\n\u003cp>But a state-commissioned report released in January found that \u003ca href=\"https://www.dhcs.ca.gov/Pages/Assessing-the-Continuum-of-Care-for-Behavioral-Health-Services-in-California.aspx\">more than 80% of counties need more mental health treatment beds and homeless housing\u003c/a>. A 2021 study from the RAND Corporation, a nonprofit think tank\u003cstrong>,\u003c/strong> showed \u003ca href=\"https://www.rand.org/pubs/research_reports/RRA1824-1-v2.html\">the state lacks 5,000 psychiatric hospital beds and another 3,000 beds at residential treatment facilities and board-and-care homes\u003c/a>. The shortage is most pronounced in the San Joaquin Valley and for patients with additional medical needs.\u003c/p>\n\u003cp>Michelle Doty Cabrera, executive director of the California Behavioral Health Directors Association, said one recent survey showed counties had 14,000 unhoused individuals with serious mental illnesses voluntarily participating in full service partnership programs. But they couldn’t find housing for more than half of these individuals, in part because many were screened out for reasons related to their mental health conditions, she said.\u003c/p>\n\u003cp>In Sacramento County, beds are increasingly rare at board-and-care facilities, where residents receive housing, 24-hour care and three daily meals.\u003c/p>\n\u003cp>“It is a needle in a haystack right now,” said Terry Fiscus, a behavioral health worker at Turning Point, which contracts with the county.\u003c/p>\n\u003cp>The less calm and rule-abiding the patient, the less chance they have of getting or keeping a spot, he said. On top of that, \u003ca href=\"https://calmatters.org/projects/board-and-care-homes-closing-in-california-mental-health-crisis/\">facilities have been closing at a rapid clip\u003c/a> as housing prices soar and government-set reimbursement rates remain stagnant.\u003c/p>\n\u003cp>“There are a lot of people that want to come in all the time. We cannot take them,” said Jeanny Leung, who runs a board-and-care home in Sacramento.\u003c/p>\n\u003cfigure id=\"attachment_11919832\" class=\"wp-caption aligncenter\" style=\"max-width: 800px\">\u003ca href=\"https://ww2.kqed.org/app/uploads/sites/10/2022/07/Screen-Shot-2022-07-18-at-4.32.06-PM.png\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-medium wp-image-11919832\" src=\"https://ww2.kqed.org/app/uploads/sites/10/2022/07/Screen-Shot-2022-07-18-at-4.32.06-PM-800x526.png\" alt=\"A woman wearing a purple/pink shirt with designs stands outside with bushes behind her.\" width=\"800\" height=\"526\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2022/07/Screen-Shot-2022-07-18-at-4.32.06-PM-800x526.png 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2022/07/Screen-Shot-2022-07-18-at-4.32.06-PM-1020x671.png 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2022/07/Screen-Shot-2022-07-18-at-4.32.06-PM-160x105.png 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2022/07/Screen-Shot-2022-07-18-at-4.32.06-PM-1536x1011.png 1536w, https://cdn.kqed.org/wp-content/uploads/sites/10/2022/07/Screen-Shot-2022-07-18-at-4.32.06-PM.png 1544w\" sizes=\"(max-width: 800px) 100vw, 800px\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">Jeanny Leung outside Praise Care Home in Sacramento on Thursday, June 23, 2022. \u003ccite>(Nina Riggio/CalMatters)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003ch2>‘Squeezing blood from a turnip’\u003c/h2>\n\u003cp>Housing isn’t the only big concern counties are raising. To run, CARE Court requires staff and resources.\u003c/p>\n\u003cp>Some counties say they fear that, without new funding, the program will end up draining resources from other populations, potentially including children and youth.\u003c/p>\n\u003cp>Cabrera, of the California Behavioral Health Directors Association, uses phrases like “squeezing blood from a turnip” and “robbing Peter to pay Paul.”\u003c/p>\n\u003cp>“We’re at our limit in terms of what we can do,” she said. “We need more resources to do more.”\u003c/p>\n\u003cp>The proposal’s proponents argue that there’s plenty of money to get things up and running. They say county mental health systems have had a huge influx of taxpayer dollars in the past two years, thanks to the Mental Health Services Act, a 1% tax on incomes over $1 million that was enacted in 2004.\u003c/p>\n\u003cp>“Our millionaires in California seem to be doing very well for themselves,” said Karen Larsen, CEO of the Steinberg Institute, a nonprofit focusing on mental health policy, which supports the proposal. She notes that revenues from the tax have hit historic highs — they were at more than $4 billion this past year.\u003c/p>\n\u003cp>For two decades prior to assuming her current role, Larsen served as director of Yolo County’s Health and Human Services Agency. She believes counties can afford the costs of the new program.\u003c/p>\n\u003cp>“If they can prove they don’t have enough resources, I’d love to see it,” she said.\u003c/p>\n\u003cp>Phebe Bell, Nevada County’s behavioral health director, said she was indeed able to tap the influx of Mental Health Services Act funding to purchase a new house, providing beds for six people who were unhoused. But strict rules often limit what that pot of money can be used for, she said.\u003c/p>\n\u003cp>If the county has to pivot to focus on CARE Court mandates, she worries about who won’t be served.\u003c/p>\n\u003cp>“Many of our people are only stable because we have someone coming twice a day to deliver their meds and check in with them and make sure their furniture is upright,” she said.\u003c/p>\n\u003cp>When her county examined their full service partnership program, they found that more than a third of the 78 people in their program at any given moment were inadequately housed, with many sleeping on the streets.\u003c/p>\n\u003cp>“I don’t have a single empty bed in our system of care,” she said. “Who exactly are we incorrectly prioritizing in our work right now?”\u003c/p>\n\u003cp>Both sides agree on one specific challenge: a massive shortage of mental health providers.\u003c/p>\n\u003cp>At the beginning of the pandemic, many counties worried they’d face significant shortfalls and preemptively laid off mental health workers.\u003c/p>\n\u003cp>Now, as need surges, staffing has simply not kept pace. Counties are finding themselves losing bidding wars for therapists being courted by everyone from school districts to telehealth start-ups to major providers like Kaiser. Burnout is driving others from the field entirely.\u003c/p>\n\u003cp>Some counties now face vacancy rates of 30% to 40% in their behavioral health workforce, and many of the nonprofits they contract with are in the same situation, Larsen said.\u003c/p>\n\u003cp>“I think it’s the biggest issue we face in mental health and substance use right now,” she said.\u003c/p>\n\u003cp>This year’s budget includes $1.5 billion to build out the state’s entire health care workforce, including hundreds of millions that target behavioral health.\u003c/p>\n\u003cp>The state’s public guardians and conservators also have eyed the CARE Court proposal warily. While they are not officially affected by the proposal, they say they expect the program could lead to a surge in new referrals.\u003c/p>\n\u003cp>The programs are already severely underfunded and understaffed, said Scarlet Hughes, executive director of the California State Association of Public Administrators, Public Guardians, and Public Conservators. Right now, caseloads hover at 65 to 85 individuals per caseworker, though in some counties they’re as high as 135. That translates into visiting a client every three or four months, she said.\u003c/p>\n\u003cp>“Any impact to our members is going to be significant because they’re underwater already,” she said.\u003c/p>\n\u003ch2>What’s next?\u003c/h2>\n\u003cp>Questions over implementation, in addition to the ongoing debate over civil liberties, have been woven through CARE Court’s journey from the start. That hasn’t stopped the Legislature from voting overwhelmingly in the bill’s favor. It is expected to easily clear its final hurdles: an appropriations vote later this summer, a floor-wide vote in the Assembly and a signature from the author, the governor himself.\u003c/p>\n\u003cp>But despite their ongoing questions, counties have conceded that CARE Court is coming whether they like it or not. They know they’re not likely getting any more money for housing and staffing. For now, they’re using the appropriations process to \u003ca href=\"https://www.counties.org/sites/main/files/file-attachments/sb_1338_joint_concerns_asm_approps_letter_7-13-22.pdf?1657743565\">petition for more time and tools\u003c/a> to implement the program.\u003c/p>\n\u003cp>The administration acknowledges that counties around the state face severe shortages. But it remains committed to the idea of a better way to serve the people who are struggling the most.\u003c/p>\n\u003cp>“California has done this before,” Ghaly said. “We’ve stepped up for the most vulnerable, the most overlooked many, many times. And we can do it again.”\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cp>The Bay Area is finally trying to have a normal, pandemic-free summer. And we seem to be inching closer. But it’s still not quite working out as planned.\u003c/p>\n\u003cp>The most recent culprit: the highly transmissible \u003ca href=\"https://www.npr.org/2022/07/11/1110804098/omicron-ba5-variant-covid-reinfections\">BA.5 omicron subvariant\u003c/a>, now \u003ca href=\"https://covid.cdc.gov/covid-data-tracker/#variant-proportions\">the dominant strain of COVID-19\u003c/a> across the country and the region. Unlike other strains, this one appears to be largely impervious to the antibodies that people may have gained from previous COVID infections, resulting in noticeably higher rates of reinfection.\u003c/p>\n\u003cp>BA.5 is also four times more resistant to COVID-19 vaccines, according to a new\u003ca href=\"https://newsnetwork.mayoclinic.org/discussion/what-you-need-to-know-about-the-ba-5-omicron-variant/\"> Mayo Clinic study\u003c/a>, which categorizes the variant as “hypercontagious.” (Vaccines, however, still provide people with \u003ca href=\"https://www.npr.org/2022/07/15/1111648759/covid-19-coronavirus-omicron-variant-ba5-cdc-vaccines-masks-mayo-clinic\">much better protection\u003c/a>.)\u003c/p>\n\u003cp>That, in turn, has sparked a moderate surge in cases and hospitalizations in the Bay Area and beyond — nothing like the one we experienced last winter, but still enough to stoke some concern and warrant a heightened degree of caution.\u003c/p>\n\u003cp>To make some sense of the latest phase in this seemingly endless pandemic, Forum host Alexis Madrigal spoke earlier this week with Dr. Bob Wachter, chair of the UCSF Department of Medicine, and Dr. Yvonne “Bonnie” Maldonado, a professor of pediatrics and epidemiology at Stanford University School of Medicine. The two medical experts spent the hour answering a slew of questions from listeners, some of which are highlighted below.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>\u003cem>The following has been edited for brevity and clarity.\u003c/em>\u003c/p>\n\u003ch2>On what has — and hasn’t — changed\u003c/h2>\n\u003cp>\u003cb>More than two years into this thing, what \u003c/b>\u003cem style=\"font-weight: bold\">hasn’t\u003c/em>\u003cb> changed about the pandemic and our response to it?\u003c/b>[pullquote align=\"right\" size=\"medium\" citation=\"Dr. Bob Wachter, UCSF\"]‘We’ve never seen anything quite like this virus before. Everyone is at some level of risk. Everybody has to do this three-dimensional chess game pretty much every day to try to figure out what’s safe to do, what’s not safe to do.’[/pullquote]\u003cstrong>Dr. Bob Wachter\u003c/strong>: We’ve never seen anything quite like this virus before. Everyone is at some level of risk. Everybody has to do this three-dimensional chess game pretty much every day to try to figure out what’s safe to do, what’s not safe to do. It’s causing massive disruption of our society and a lot of anxiety. So that hasn’t changed.\u003c/p>\n\u003cp>But a lot of the aspects of the virus have changed in terms of how infectious it is, how our immunity is working against it, and how severe it is. I think it’s very hard for people to process all of this, in part because we came to some of these understandings kind of the hard way. And once you’ve come to them, it’s hard to give them up as the facts change on the ground — and a lot of the facts have changed.\u003c/p>\n\u003cp>\u003cstrong>Dr. Yvonne Maldonado\u003c/strong>: This is still a public health emergency. As you know, the Biden administration just decided to extend our public health emergency that started in January 2020. That situation is not different. It is still a very deadly disease when you compare it to any other circulating viral illness that we see today.\u003c/p>\n\u003cp>It’s still worse than, say, our annual influenza epidemic. So it’s still a force to be dealt with.\u003c/p>\n\u003cp>Unfortunately, what has changed is our risk perception. We’re very good at getting used to lots of things that we feel like we can’t control. And that’s the problem. We think we can’t control this and we really can. We need to keep it high on the list of things you should do to keep yourself and your loved ones healthy.\u003c/p>\n\u003ch2>On kids and school\u003c/h2>\n\u003cp>\u003cstrong>What do we know now about kids and COVID that maybe we didn’t understand earlier in the pandemic?\u003c/strong>\u003c/p>\n\u003cp>\u003cstrong>Dr. Maldonado\u003c/strong>: We heard initially that children don’t get infected. That’s not true. That they don’t get sick. That’s also not true. And that they can’t transmit to others. That’s also not true.\u003c/p>\n\u003cp>Almost every single day since the beginning of the pandemic we’ve had children admitted to our hospital, not just with COVID [discovered after they’re admitted for something else], but \u003cem>for\u003c/em> COVID. And so it’s a serious disease — and not just runny noses and coughs.\u003c/p>\n\u003cp>Unfortunately, what we’re seeing in kids is over 13 million cases with tens of thousands of hospitalizations since the beginning of the pandemic, just in the United States. And over 1,500 children who have died.\u003c/p>\n\u003cp>Some people say that, you know, that pales in comparison to deaths in adults. But still, this virus is in the top five causes of death right now in the U.S. for every single age group under 18. So when you break down the cases, it may be that the numbers look small, but they are the most preventable causes of death that we have right now in children.\u003c/p>\n\u003cp>\u003cstrong>What advice do you have for parents about how to safely send their kids back to school this fall? \u003c/strong>\u003c/p>\n\u003cp>\u003cb>Dr. \u003cstrong>Maldonado\u003c/strong>\u003c/b>: Let me just start off by saying that what’s really changed is we have lots of vaccine options now for children. The FDA and the CDC just approved vaccines for everybody six months of age and older, similar to the flu.[pullquote align=\"right\" size=\"medium\" citation=\"Dr. Yvonne Maldonado, Stanford University School of Medicine\"]‘Everybody now who is in school should be able to be vaccinated, and that is going to be really a great way to get kids back in, get them learning again.’[/pullquote]I would even make it a rule that classrooms should be, if not enforcing vaccinations, at least tracking them, masking, and other kinds of mitigation in the classroom. Because we know that these vaccines can maybe not fully prevent infections, but can prevent serious complications.\u003c/p>\n\u003cp>And the other issue, as we heard before, is that BA.5 is very infectious. We don’t know what’s going to happen in the fall. We think there’s a new variant now called BA.2.75 that seems to be working its way across the world and appears to be \u003cem>even more\u003c/em> contagious. And it also actually has a number of more mutations in the spike protein that attaches to human cells. So it could also have more immune evasion.\u003c/p>\n\u003cp>So I can’t imagine there wouldn’t be new variants coming along in the fall. Just make sure kids are masked when they’re in school, make sure ventilation works in classrooms. Everybody now who is in school should be able to be vaccinated, and that is going to be really a great way to get kids back in, get them learning again.\u003c/p>\n\u003ch2>On boosters, antivirals and other drugs\u003c/h2>\n\u003cp>\u003cb>Should I get the second booster now, or wait for the new ones that may be available this fall? \u003c/b>\u003c/p>\n\u003cp>\u003cstrong>Dr. Wachter\u003c/strong>: Yes, I think you should get it now [even if you’ve recently recovered from COVID]. The data on the value of the second booster is more and more persuasive. A recent study showed that the mortality rate was one-fourth if you’ve gotten the second booster versus the first. That first booster was incredibly valuable and you definitely need to get the first one. But if you got it more than six months ago, its efficacy has waned in the face of the new variant that evades immunity better. So I’m recommending that people get it.\u003c/p>\n\u003cp>We’re also not sure how much better the rejiggered booster will be in the fall. And I can’t see a circumstance where you get boosted this week with booster No. 2 and somehow you’re not then able to get a better booster that comes out in November. So I think for anybody over 50, definitely get it.\u003c/p>\n\u003cp>\u003cstrong>What are your current thoughts about Paxlovid, the antiviral therapy? Some people have reported a “Paxlovid rebound,” in which they take it, it appears to work quite well and then they end up testing positive for a long time. \u003c/strong>\u003c/p>\n\u003cp>\u003cstrong>Dr. Wachter\u003c/strong>: Yes, I’m still prescribing it. Yes, I think it’s a useful drug, even though it seems like this rebound is happening all over the place.\u003c/p>\n\u003cp>What it is: You test positive, you start on this antiviral drug, Paxlovid. You take it for five days, you turn negative, you feel better. And then sometimes, a few days later, you often start feeling crummy again and you test positive again.[aside label=\"related coverage\" tag=\"covid\"]The good news about it is in pretty much every case I’ve heard of, it only lasts for four, five, six days. I’ve not heard of a severe rebound case, meaning that someone got so sick on that rebound that they needed to go to the hospital.\u003c/p>\n\u003cp>You \u003cem>are\u003c/em> infectious during the rebound. I definitely know of cases where people have infected other folks, so you have to go back into isolation.\u003c/p>\n\u003cp>Why it’s happening, nobody knows exactly. How to prevent it, nobody knows that either.\u003c/p>\n\u003cp>And is it bad enough to not use the drug? I still think that the best clinical trial of the drug said it lowers the hospitalization rate among high-risk people by 90%. So for someone who’s at higher risk, I would definitely use it. I’m a little bit on the fence for a fully vaccinated boosted person who, let’s say, is younger than about 60. I probably wouldn’t. I’m 64. If I got COVID today, I probably would.\u003c/p>\n\u003cp>Long answer: I think I’d still use it, but I’m a little bit more concerned about it than I was before.\u003c/p>\n\u003cp>\u003cstrong>What’s your advice now for people with specific underlying immune conditions?\u003c/strong>\u003c/p>\n\u003cp>\u003cstrong>Dr. Maldonado\u003c/strong>: A monoclonal antibody combination called \u003ca href=\"https://www.fda.gov/news-events/press-announcements/coronavirus-covid-19-update-fda-authorizes-new-long-acting-monoclonal-antibodies-pre-exposure\">Evusheld\u003c/a> is available. We know there’s plenty of supply. It’s available for people who have underlying specific immune conditions that don’t allow them to make a good antibody response, whether they’re vaccinated or not, or for people who can’t get vaccinated, which is less common.\u003c/p>\n\u003cp>That antibody combination is extremely effective at protecting people. It’s an injection that they can get once every six months or so, and that can be highly protective. So on top of mitigation, I do think people should consult their providers. And if their providers are not aware of Evusheld, they should ask them to seek counsel from, say, a public health agency or a specialist who knows about it. Because it’s highly efficient in protecting people and being able to let them and their families go out and live their lives.\u003c/p>\n\u003ch2>On travel, recreation and invincibility\u003c/h2>\n\u003cp>\u003cstrong>I’m 71 with no co-morbidities, and have a trip planned to Morocco and Italy in the fall. Do I go?\u003c/strong>\u003c/p>\n\u003cp>\u003cstrong>Dr. Wachter\u003c/strong>: Yes. I think that this virus is going to be with us for the foreseeable future. I think limiting your life in terms of not traveling, I don’t think makes any sense — especially if you’re going places where the prevalence is less than it is in California. I think traveling is fine.[pullquote align=\"right\" size=\"medium\" citation=\"Dr. Bob Wachter, UCSF\"]‘I think that this virus is going to be with us for the foreseeable future. I think limiting your life in terms of not traveling, I don’t think makes any sense.’[/pullquote]I think that wherever you are, whether you’re in San Francisco or in Morocco, being in a crowded indoor space where there’s a lot of virus around, you should wear a good mask. When you can eat outside rather than inside, you should. Traveling is not the main risk. It really is how much virus there is in the community. And there’s really no place you can go where you \u003cem>can’t\u003c/em> keep yourself safe if you’re vaccinated, boosted and are careful when you’re in crowded indoor spaces.\u003c/p>\n\u003cp>\u003cstrong>How safe is swimming in an outdoor public pool?\u003c/strong>\u003c/p>\n\u003cp>\u003cstrong>Dr. Wachter\u003c/strong>: I’m pretty sure it’s totally safe. I’ve not heard of a case transmitted that way, and I wouldn’t worry about that at all.\u003c/p>\n\u003cp>\u003cstrong>Is outdoor transmissibility more of a concern with BA.5?\u003cbr>\n\u003c/strong>\u003c/p>\n\u003cp>\u003cstrong>Dr. Maldonado\u003c/strong>: No question. We know that with what we call the immediate reproductive number — the ability to infect others — the original virus was probably around the order of 1 to 2. This virus, the BA.4 and BA.5, is at a rate of about 3 to 4. So this virus can really infect almost twice as many people as the original virus did. And it’s not only more transmissible, but also can escape prior immunity. So I do think that it could be acquired at a farmers market if you’re around a lot of people.\u003c/p>\n\u003cp>\u003cstrong>Why do some people seem good at being able to avoid getting COVID, even after multiple exposures?\u003c/strong>\u003c/p>\n\u003cp>\u003cb>Dr. Wachter\u003c/b>: It’s probably some combination of your immune system, things we don’t understand, and luck. The household attack rate — that is, the chances you’ll get COVID if a member of your household has it — is probably 30% to 40%, maybe a little higher now with the more infectious variant.\u003c/p>\n\u003cp>So, people sometimes believe, “I must have some immunity superpower because my partner had it and I didn’t get it.” That’s just the way it goes. And there’s a level of randomness that we don’t understand. But there’s also probably something about individual immune systems that make a difference.\u003c/p>\n\u003cp>I’ve been fairly careful, but my wife had it three months ago. I was exposed to her for a full day before we knew that she had it. And I managed to dodge the bullet. So I’ve never been prouder of my immune system, but I assume most of that was luck. And if I had enough exposures like that, eventually I would get it.\u003c/p>\n\u003ch2>On risk for seniors\u003c/h2>\n\u003cp>\u003cstrong>Given how dangerous loneliness can be for elderly people, should retirement communities and nursing homes still continue to shut down communal dining and other activities when new COVID cases are reported?\u003c/strong>\u003c/p>\n\u003cp>\u003cb>Dr. Wachter\u003c/b>: I spoke last night at a multilevel retirement community in San Francisco that has seen a fair amount of COVID, but where not many people have gotten very sick. And they’ve kept the communal dining open.\u003c/p>\n\u003cp>The point I made is that life is short and we have to try to figure out what’s the balance between the things that we do that give us pleasure and prevent isolation in settings like that, and the risk. And I said, you are taking a risk, particularly with this virus being so prevalent. If you’re in a restaurant with a hundred people, it’s a near guarantee that someone there has COVID, and feels fine. On the other hand, you then have to weigh the risk of isolation for what may be, you know, several months, who knows?[pullquote align=\"right\" size=\"medium\" citation=\"Dr. Yvonne Maldonado, Stanford University School of Medicine\"]‘We’re very good at getting used to lots of things that we feel like we can’t control. And that’s the problem. We think we can’t control this and we really can.’[/pullquote]And so I said, if it were me and I was running the place, I would not ban the communal dining, but I would do everything I could to make it as safe as possible: people wearing masks on their way in and out, spacing tables a little further apart, and really focusing on ventilation.\u003c/p>\n\u003cp>You can’t make it zero risk. But there is a cost and a consequence of saying to people who are living in that kind of setting, “You’re not going to see anyone for several months.” And we shouldn’t minimize that. It’s a very, very tough call.\u003c/p>\n\u003cp>\u003cstrong>How big a deal is getting reinfected with COVID, especially for seniors?\u003c/strong>\u003c/p>\n\u003cp>\u003cb>Dr. Wachter\u003c/b>: I don’t think there’s good data on that. You would expect in some ways that it would be less severe because your immunity is better because of the first infection. But there just was a study that came out that showed that the long-term consequences seemed to be greater in people who had recurrent infections.\u003c/p>\n\u003cp>[ad floatright]\u003c/p>\n\u003cp>So to me, the bottom line is, the old saw that “you’ve had a first infection and now you’re good to go and don’t worry about it” is no longer true. You should continue to try to avoid getting reinfected. I think getting another booster is a good idea. And while I don’t think there’s any evidence that the second infection is likely to be worse than the first infection, I still think you would like to avoid it if you can.\u003c/p>\n\n",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>The Bay Area is finally trying to have a normal, pandemic-free summer. And we seem to be inching closer. But it’s still not quite working out as planned.\u003c/p>\n\u003cp>The most recent culprit: the highly transmissible \u003ca href=\"https://www.npr.org/2022/07/11/1110804098/omicron-ba5-variant-covid-reinfections\">BA.5 omicron subvariant\u003c/a>, now \u003ca href=\"https://covid.cdc.gov/covid-data-tracker/#variant-proportions\">the dominant strain of COVID-19\u003c/a> across the country and the region. Unlike other strains, this one appears to be largely impervious to the antibodies that people may have gained from previous COVID infections, resulting in noticeably higher rates of reinfection.\u003c/p>\n\u003cp>BA.5 is also four times more resistant to COVID-19 vaccines, according to a new\u003ca href=\"https://newsnetwork.mayoclinic.org/discussion/what-you-need-to-know-about-the-ba-5-omicron-variant/\"> Mayo Clinic study\u003c/a>, which categorizes the variant as “hypercontagious.” (Vaccines, however, still provide people with \u003ca href=\"https://www.npr.org/2022/07/15/1111648759/covid-19-coronavirus-omicron-variant-ba5-cdc-vaccines-masks-mayo-clinic\">much better protection\u003c/a>.)\u003c/p>\n\u003cp>That, in turn, has sparked a moderate surge in cases and hospitalizations in the Bay Area and beyond — nothing like the one we experienced last winter, but still enough to stoke some concern and warrant a heightened degree of caution.\u003c/p>\n\u003cp>To make some sense of the latest phase in this seemingly endless pandemic, Forum host Alexis Madrigal spoke earlier this week with Dr. Bob Wachter, chair of the UCSF Department of Medicine, and Dr. Yvonne “Bonnie” Maldonado, a professor of pediatrics and epidemiology at Stanford University School of Medicine. The two medical experts spent the hour answering a slew of questions from listeners, some of which are highlighted below.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>\u003cem>The following has been edited for brevity and clarity.\u003c/em>\u003c/p>\n\u003ch2>On what has — and hasn’t — changed\u003c/h2>\n\u003cp>\u003cb>More than two years into this thing, what \u003c/b>\u003cem style=\"font-weight: bold\">hasn’t\u003c/em>\u003cb> changed about the pandemic and our response to it?\u003c/b>\u003c/p>\u003c/div>",
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"content": "‘We’ve never seen anything quite like this virus before. Everyone is at some level of risk. Everybody has to do this three-dimensional chess game pretty much every day to try to figure out what’s safe to do, what’s not safe to do.’",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cstrong>Dr. Bob Wachter\u003c/strong>: We’ve never seen anything quite like this virus before. Everyone is at some level of risk. Everybody has to do this three-dimensional chess game pretty much every day to try to figure out what’s safe to do, what’s not safe to do. It’s causing massive disruption of our society and a lot of anxiety. So that hasn’t changed.\u003c/p>\n\u003cp>But a lot of the aspects of the virus have changed in terms of how infectious it is, how our immunity is working against it, and how severe it is. I think it’s very hard for people to process all of this, in part because we came to some of these understandings kind of the hard way. And once you’ve come to them, it’s hard to give them up as the facts change on the ground — and a lot of the facts have changed.\u003c/p>\n\u003cp>\u003cstrong>Dr. Yvonne Maldonado\u003c/strong>: This is still a public health emergency. As you know, the Biden administration just decided to extend our public health emergency that started in January 2020. That situation is not different. It is still a very deadly disease when you compare it to any other circulating viral illness that we see today.\u003c/p>\n\u003cp>It’s still worse than, say, our annual influenza epidemic. So it’s still a force to be dealt with.\u003c/p>\n\u003cp>Unfortunately, what has changed is our risk perception. We’re very good at getting used to lots of things that we feel like we can’t control. And that’s the problem. We think we can’t control this and we really can. We need to keep it high on the list of things you should do to keep yourself and your loved ones healthy.\u003c/p>\n\u003ch2>On kids and school\u003c/h2>\n\u003cp>\u003cstrong>What do we know now about kids and COVID that maybe we didn’t understand earlier in the pandemic?\u003c/strong>\u003c/p>\n\u003cp>\u003cstrong>Dr. Maldonado\u003c/strong>: We heard initially that children don’t get infected. That’s not true. That they don’t get sick. That’s also not true. And that they can’t transmit to others. That’s also not true.\u003c/p>\n\u003cp>Almost every single day since the beginning of the pandemic we’ve had children admitted to our hospital, not just with COVID [discovered after they’re admitted for something else], but \u003cem>for\u003c/em> COVID. And so it’s a serious disease — and not just runny noses and coughs.\u003c/p>\n\u003cp>Unfortunately, what we’re seeing in kids is over 13 million cases with tens of thousands of hospitalizations since the beginning of the pandemic, just in the United States. And over 1,500 children who have died.\u003c/p>\n\u003cp>Some people say that, you know, that pales in comparison to deaths in adults. But still, this virus is in the top five causes of death right now in the U.S. for every single age group under 18. So when you break down the cases, it may be that the numbers look small, but they are the most preventable causes of death that we have right now in children.\u003c/p>\n\u003cp>\u003cstrong>What advice do you have for parents about how to safely send their kids back to school this fall? \u003c/strong>\u003c/p>\n\u003cp>\u003cb>Dr. \u003cstrong>Maldonado\u003c/strong>\u003c/b>: Let me just start off by saying that what’s really changed is we have lots of vaccine options now for children. The FDA and the CDC just approved vaccines for everybody six months of age and older, similar to the flu.\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>I would even make it a rule that classrooms should be, if not enforcing vaccinations, at least tracking them, masking, and other kinds of mitigation in the classroom. Because we know that these vaccines can maybe not fully prevent infections, but can prevent serious complications.\u003c/p>\n\u003cp>And the other issue, as we heard before, is that BA.5 is very infectious. We don’t know what’s going to happen in the fall. We think there’s a new variant now called BA.2.75 that seems to be working its way across the world and appears to be \u003cem>even more\u003c/em> contagious. And it also actually has a number of more mutations in the spike protein that attaches to human cells. So it could also have more immune evasion.\u003c/p>\n\u003cp>So I can’t imagine there wouldn’t be new variants coming along in the fall. Just make sure kids are masked when they’re in school, make sure ventilation works in classrooms. Everybody now who is in school should be able to be vaccinated, and that is going to be really a great way to get kids back in, get them learning again.\u003c/p>\n\u003ch2>On boosters, antivirals and other drugs\u003c/h2>\n\u003cp>\u003cb>Should I get the second booster now, or wait for the new ones that may be available this fall? \u003c/b>\u003c/p>\n\u003cp>\u003cstrong>Dr. Wachter\u003c/strong>: Yes, I think you should get it now [even if you’ve recently recovered from COVID]. The data on the value of the second booster is more and more persuasive. A recent study showed that the mortality rate was one-fourth if you’ve gotten the second booster versus the first. That first booster was incredibly valuable and you definitely need to get the first one. But if you got it more than six months ago, its efficacy has waned in the face of the new variant that evades immunity better. So I’m recommending that people get it.\u003c/p>\n\u003cp>We’re also not sure how much better the rejiggered booster will be in the fall. And I can’t see a circumstance where you get boosted this week with booster No. 2 and somehow you’re not then able to get a better booster that comes out in November. So I think for anybody over 50, definitely get it.\u003c/p>\n\u003cp>\u003cstrong>What are your current thoughts about Paxlovid, the antiviral therapy? Some people have reported a “Paxlovid rebound,” in which they take it, it appears to work quite well and then they end up testing positive for a long time. \u003c/strong>\u003c/p>\n\u003cp>\u003cstrong>Dr. Wachter\u003c/strong>: Yes, I’m still prescribing it. Yes, I think it’s a useful drug, even though it seems like this rebound is happening all over the place.\u003c/p>\n\u003cp>What it is: You test positive, you start on this antiviral drug, Paxlovid. You take it for five days, you turn negative, you feel better. And then sometimes, a few days later, you often start feeling crummy again and you test positive again.\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>The good news about it is in pretty much every case I’ve heard of, it only lasts for four, five, six days. I’ve not heard of a severe rebound case, meaning that someone got so sick on that rebound that they needed to go to the hospital.\u003c/p>\n\u003cp>You \u003cem>are\u003c/em> infectious during the rebound. I definitely know of cases where people have infected other folks, so you have to go back into isolation.\u003c/p>\n\u003cp>Why it’s happening, nobody knows exactly. How to prevent it, nobody knows that either.\u003c/p>\n\u003cp>And is it bad enough to not use the drug? I still think that the best clinical trial of the drug said it lowers the hospitalization rate among high-risk people by 90%. So for someone who’s at higher risk, I would definitely use it. I’m a little bit on the fence for a fully vaccinated boosted person who, let’s say, is younger than about 60. I probably wouldn’t. I’m 64. If I got COVID today, I probably would.\u003c/p>\n\u003cp>Long answer: I think I’d still use it, but I’m a little bit more concerned about it than I was before.\u003c/p>\n\u003cp>\u003cstrong>What’s your advice now for people with specific underlying immune conditions?\u003c/strong>\u003c/p>\n\u003cp>\u003cstrong>Dr. Maldonado\u003c/strong>: A monoclonal antibody combination called \u003ca href=\"https://www.fda.gov/news-events/press-announcements/coronavirus-covid-19-update-fda-authorizes-new-long-acting-monoclonal-antibodies-pre-exposure\">Evusheld\u003c/a> is available. We know there’s plenty of supply. It’s available for people who have underlying specific immune conditions that don’t allow them to make a good antibody response, whether they’re vaccinated or not, or for people who can’t get vaccinated, which is less common.\u003c/p>\n\u003cp>That antibody combination is extremely effective at protecting people. It’s an injection that they can get once every six months or so, and that can be highly protective. So on top of mitigation, I do think people should consult their providers. And if their providers are not aware of Evusheld, they should ask them to seek counsel from, say, a public health agency or a specialist who knows about it. Because it’s highly efficient in protecting people and being able to let them and their families go out and live their lives.\u003c/p>\n\u003ch2>On travel, recreation and invincibility\u003c/h2>\n\u003cp>\u003cstrong>I’m 71 with no co-morbidities, and have a trip planned to Morocco and Italy in the fall. Do I go?\u003c/strong>\u003c/p>\n\u003cp>\u003cstrong>Dr. Wachter\u003c/strong>: Yes. I think that this virus is going to be with us for the foreseeable future. I think limiting your life in terms of not traveling, I don’t think makes any sense — especially if you’re going places where the prevalence is less than it is in California. I think traveling is fine.\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>I think that wherever you are, whether you’re in San Francisco or in Morocco, being in a crowded indoor space where there’s a lot of virus around, you should wear a good mask. When you can eat outside rather than inside, you should. Traveling is not the main risk. It really is how much virus there is in the community. And there’s really no place you can go where you \u003cem>can’t\u003c/em> keep yourself safe if you’re vaccinated, boosted and are careful when you’re in crowded indoor spaces.\u003c/p>\n\u003cp>\u003cstrong>How safe is swimming in an outdoor public pool?\u003c/strong>\u003c/p>\n\u003cp>\u003cstrong>Dr. Wachter\u003c/strong>: I’m pretty sure it’s totally safe. I’ve not heard of a case transmitted that way, and I wouldn’t worry about that at all.\u003c/p>\n\u003cp>\u003cstrong>Is outdoor transmissibility more of a concern with BA.5?\u003cbr>\n\u003c/strong>\u003c/p>\n\u003cp>\u003cstrong>Dr. Maldonado\u003c/strong>: No question. We know that with what we call the immediate reproductive number — the ability to infect others — the original virus was probably around the order of 1 to 2. This virus, the BA.4 and BA.5, is at a rate of about 3 to 4. So this virus can really infect almost twice as many people as the original virus did. And it’s not only more transmissible, but also can escape prior immunity. So I do think that it could be acquired at a farmers market if you’re around a lot of people.\u003c/p>\n\u003cp>\u003cstrong>Why do some people seem good at being able to avoid getting COVID, even after multiple exposures?\u003c/strong>\u003c/p>\n\u003cp>\u003cb>Dr. Wachter\u003c/b>: It’s probably some combination of your immune system, things we don’t understand, and luck. The household attack rate — that is, the chances you’ll get COVID if a member of your household has it — is probably 30% to 40%, maybe a little higher now with the more infectious variant.\u003c/p>\n\u003cp>So, people sometimes believe, “I must have some immunity superpower because my partner had it and I didn’t get it.” That’s just the way it goes. And there’s a level of randomness that we don’t understand. But there’s also probably something about individual immune systems that make a difference.\u003c/p>\n\u003cp>I’ve been fairly careful, but my wife had it three months ago. I was exposed to her for a full day before we knew that she had it. And I managed to dodge the bullet. So I’ve never been prouder of my immune system, but I assume most of that was luck. And if I had enough exposures like that, eventually I would get it.\u003c/p>\n\u003ch2>On risk for seniors\u003c/h2>\n\u003cp>\u003cstrong>Given how dangerous loneliness can be for elderly people, should retirement communities and nursing homes still continue to shut down communal dining and other activities when new COVID cases are reported?\u003c/strong>\u003c/p>\n\u003cp>\u003cb>Dr. Wachter\u003c/b>: I spoke last night at a multilevel retirement community in San Francisco that has seen a fair amount of COVID, but where not many people have gotten very sick. And they’ve kept the communal dining open.\u003c/p>\n\u003cp>The point I made is that life is short and we have to try to figure out what’s the balance between the things that we do that give us pleasure and prevent isolation in settings like that, and the risk. And I said, you are taking a risk, particularly with this virus being so prevalent. If you’re in a restaurant with a hundred people, it’s a near guarantee that someone there has COVID, and feels fine. On the other hand, you then have to weigh the risk of isolation for what may be, you know, several months, who knows?\u003c/p>\u003c/div>",
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"content": "‘We’re very good at getting used to lots of things that we feel like we can’t control. And that’s the problem. We think we can’t control this and we really can.’",
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"content": "\u003cdiv class=\"post-body\">\u003cp>And so I said, if it were me and I was running the place, I would not ban the communal dining, but I would do everything I could to make it as safe as possible: people wearing masks on their way in and out, spacing tables a little further apart, and really focusing on ventilation.\u003c/p>\n\u003cp>You can’t make it zero risk. But there is a cost and a consequence of saying to people who are living in that kind of setting, “You’re not going to see anyone for several months.” And we shouldn’t minimize that. It’s a very, very tough call.\u003c/p>\n\u003cp>\u003cstrong>How big a deal is getting reinfected with COVID, especially for seniors?\u003c/strong>\u003c/p>\n\u003cp>\u003cb>Dr. Wachter\u003c/b>: I don’t think there’s good data on that. You would expect in some ways that it would be less severe because your immunity is better because of the first infection. But there just was a study that came out that showed that the long-term consequences seemed to be greater in people who had recurrent infections.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>So to me, the bottom line is, the old saw that “you’ve had a first infection and now you’re good to go and don’t worry about it” is no longer true. You should continue to try to avoid getting reinfected. I think getting another booster is a good idea. And while I don’t think there’s any evidence that the second infection is likely to be worse than the first infection, I still think you would like to avoid it if you can.\u003c/p>\n\n\u003c/div>\u003c/p>",
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"order": 10
},
"link": "/californiareportmagazine",
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"google": "https://podcasts.google.com/feed/aHR0cHM6Ly9mZWVkcy5tZWdhcGhvbmUuZm0vS1FJTkM3NjkwNjk1OTAz",
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},
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"id": "city-arts",
"title": "City Arts & Lectures",
"info": "A one-hour radio program to hear celebrated writers, artists and thinkers address contemporary ideas and values, often discussing the creative process. Please note: tapes or transcripts are not available",
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"airtime": "SUN 1pm-2pm, TUE 10pm, WED 1am",
"meta": {
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"source": "City Arts & Lectures"
},
"link": "https://www.cityarts.net",
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"rss": "https://www.cityarts.net/feed/"
}
},
"closealltabs": {
"id": "closealltabs",
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"officialWebsiteLink": "/podcasts/closealltabs",
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"order": 1
},
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"title": "Code Switch / Life Kit",
"info": "\u003cem>Code Switch\u003c/em>, which listeners will hear in the first part of the hour, has fearless and much-needed conversations about race. Hosted by journalists of color, the show tackles the subject of race head-on, exploring how it impacts every part of society — from politics and pop culture to history, sports and more.\u003cbr />\u003cbr />\u003cem>Life Kit\u003c/em>, which will be in the second part of the hour, guides you through spaces and feelings no one prepares you for — from finances to mental health, from workplace microaggressions to imposter syndrome, from relationships to parenting. The show features experts with real world experience and shares their knowledge. Because everyone needs a little help being human.\u003cbr />\u003cbr />\u003ca href=\"https://www.npr.org/podcasts/510312/codeswitch\">\u003cem>Code Switch\u003c/em> offical site and podcast\u003c/a>\u003cbr />\u003ca href=\"https://www.npr.org/lifekit\">\u003cem>Life Kit\u003c/em> offical site and podcast\u003c/a>\u003cbr />",
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"google": "https://podcasts.google.com/feed/aHR0cHM6Ly93d3cubnByLm9yZy9yc3MvcG9kY2FzdC5waHA_aWQ9NTEwMzEy",
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"id": "commonwealth-club",
"title": "Commonwealth Club of California Podcast",
"info": "The Commonwealth Club of California is the nation's oldest and largest public affairs forum. As a non-partisan forum, The Club brings to the public airwaves diverse viewpoints on important topics. The Club's weekly radio broadcast - the oldest in the U.S., dating back to 1924 - is carried across the nation on public radio stations and is now podcasting. Our website archive features audio of our recent programs, as well as selected speeches from our long and distinguished history. This podcast feed is usually updated twice a week and is always un-edited.",
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"imageSrc": "https://cdn.kqed.org/wp-content/uploads/2024/04/Commonwealth-Club-Podcast-Tile-360x360-1.jpg",
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"source": "Commonwealth Club of California"
},
"link": "/radio/program/commonwealth-club",
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"google": "https://podcasts.google.com/feed/aHR0cDovL3d3dy5jb21tb253ZWFsdGhjbHViLm9yZy9hdWRpby9wb2RjYXN0L3dlZWtseS54bWw",
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"id": "forum",
"title": "Forum",
"tagline": "The conversation starts here",
"info": "KQED’s live call-in program discussing local, state, national and international issues, as well as in-depth interviews.",
"airtime": "MON-FRI 9am-11am, 10pm-11pm",
"imageSrc": "https://cdn.kqed.org/wp-content/uploads/2024/04/Forum-Podcast-Tile-703x703-1.jpg",
"imageAlt": "KQED Forum with Mina Kim and Alexis Madrigal",
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"source": "kqed",
"order": 9
},
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"google": "https://podcasts.google.com/feed/aHR0cHM6Ly9mZWVkcy5tZWdhcGhvbmUuZm0vS1FJTkM5NTU3MzgxNjMz",
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"officialWebsiteLink": "http://freakonomics.com/",
"airtime": "SUN 1am-2am, SAT 3pm-4pm",
"meta": {
"site": "radio",
"source": "WNYC"
},
"link": "/radio/program/freakonomics-radio",
"subscribe": {
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"apple": "https://itunes.apple.com/us/podcast/freakonomics-radio/id354668519",
"tuneIn": "https://tunein.com/podcasts/WNYC-Podcasts/Freakonomics-Radio-p272293/",
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},
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"id": "fresh-air",
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"link": "/radio/program/fresh-air",
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"apple": "https://itunes.apple.com/WebObjects/MZStore.woa/wa/viewPodcast?s=143441&mt=2&id=214089682&at=11l79Y&ct=nprdirectory",
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"rss": "https://feeds.npr.org/381444908/podcast.xml"
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"info": "A live production of NPR and WBUR Boston, in collaboration with stations across the country, Here & Now reflects the fluid world of news as it's happening in the middle of the day, with timely, in-depth news, interviews and conversation. Hosted by Robin Young, Jeremy Hobson and Tonya Mosley.",
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"rss": "https://feeds.npr.org/510051/podcast.xml"
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},
"hidden-brain": {
"id": "hidden-brain",
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"info": "Shankar Vedantam uses science and storytelling to reveal the unconscious patterns that drive human behavior, shape our choices and direct our relationships.",
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"airtime": "SUN 7pm-8pm",
"meta": {
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"source": "NPR"
},
"link": "/radio/program/hidden-brain",
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},
"how-i-built-this": {
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"title": "How I Built This with Guy Raz",
"info": "Guy Raz dives into the stories behind some of the world's best known companies. How I Built This weaves a narrative journey about innovators, entrepreneurs and idealists—and the movements they built.",
"imageSrc": "https://ww2.kqed.org/news/wp-content/uploads/sites/10/2018/05/howIBuiltThis.png",
"officialWebsiteLink": "https://www.npr.org/podcasts/510313/how-i-built-this",
"airtime": "SUN 7:30pm-8pm",
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},
"link": "/radio/program/how-i-built-this",
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"npr": "https://rpb3r.app.goo.gl/3zxy",
"apple": "https://itunes.apple.com/us/podcast/how-i-built-this-with-guy-raz/id1150510297?mt=2",
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"hyphenacion": {
"id": "hyphenacion",
"title": "Hyphenación",
"tagline": "Where conversation and cultura meet",
"info": "What kind of no sabo word is Hyphenación? For us, it’s about living within a hyphenation. Like being a third-gen Mexican-American from the Texas border now living that Bay Area Chicano life. Like Xorje! Each week we bring together a couple of hyphenated Latinos to talk all about personal life choices: family, careers, relationships, belonging … everything is on the table. ",
"imageSrc": "https://cdn.kqed.org/wp-content/uploads/2025/03/Hyphenacion_FinalAssets_PodcastTile.png",
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"officialWebsiteLink": "/podcasts/hyphenacion",
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"order": 15
},
"link": "/podcasts/hyphenacion",
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"spotify": "https://open.spotify.com/show/2p3Fifq96nw9BPcmFdIq0o?si=39209f7b25774f38",
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},
"jerrybrown": {
"id": "jerrybrown",
"title": "The Political Mind of Jerry Brown",
"tagline": "Lessons from a lifetime in politics",
"info": "The Political Mind of Jerry Brown brings listeners the wisdom of the former Governor, Mayor, and presidential candidate. Scott Shafer interviewed Brown for more than 40 hours, covering the former governor's life and half-century in the political game – and Brown has some lessons he'd like to share. ",
"imageSrc": "https://cdn.kqed.org/wp-content/uploads/2024/04/The-Political-Mind-of-Jerry-Brown-Podcast-Tile-703x703-1.jpg",
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"officialWebsiteLink": "/podcasts/jerrybrown",
"meta": {
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"order": 18
},
"link": "/podcasts/jerrybrown",
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"apple": "https://itunes.apple.com/us/podcast/id1492194549",
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}
},
"latino-usa": {
"id": "latino-usa",
"title": "Latino USA",
"airtime": "MON 1am-2am, SUN 6pm-7pm",
"info": "Latino USA, the radio journal of news and culture, is the only national, English-language radio program produced from a Latino perspective.",
"imageSrc": "https://ww2.kqed.org/radio/wp-content/uploads/sites/50/2018/04/latinoUsa.jpg",
"officialWebsiteLink": "http://latinousa.org/",
"meta": {
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"source": "npr"
},
"link": "/radio/program/latino-usa",
"subscribe": {
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"apple": "https://itunes.apple.com/WebObjects/MZStore.woa/wa/viewPodcast?s=143441&mt=2&id=79681317&at=11l79Y&ct=nprdirectory",
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"rss": "https://feeds.npr.org/510016/podcast.xml"
}
},
"marketplace": {
"id": "marketplace",
"title": "Marketplace",
"info": "Our flagship program, helmed by Kai Ryssdal, examines what the day in money delivered, through stories, conversations, newsworthy numbers and more. Updated Monday through Friday at about 3:30 p.m. PT.",
"airtime": "MON-FRI 4pm-4:30pm, MON-WED 6:30pm-7pm",
"imageSrc": "https://cdn.kqed.org/wp-content/uploads/2024/04/Marketplace-Podcast-Tile-360x360-1.jpg",
"officialWebsiteLink": "https://www.marketplace.org/",
"meta": {
"site": "news",
"source": "American Public Media"
},
"link": "/radio/program/marketplace",
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"rss": "https://feeds.publicradio.org/public_feeds/marketplace-pm/rss/rss"
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},
"masters-of-scale": {
"id": "masters-of-scale",
"title": "Masters of Scale",
"info": "Masters of Scale is an original podcast in which LinkedIn co-founder and Greylock Partner Reid Hoffman sets out to describe and prove theories that explain how great entrepreneurs take their companies from zero to a gazillion in ingenious fashion.",
"airtime": "Every other Wednesday June 12 through October 16 at 8pm (repeats Thursdays at 2am)",
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"officialWebsiteLink": "https://mastersofscale.com/",
"meta": {
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"source": "WaitWhat"
},
"link": "/radio/program/masters-of-scale",
"subscribe": {
"apple": "http://mastersofscale.app.link/",
"rss": "https://rss.art19.com/masters-of-scale"
}
},
"mindshift": {
"id": "mindshift",
"title": "MindShift",
"tagline": "A podcast about the future of learning and how we raise our kids",
"info": "The MindShift podcast explores the innovations in education that are shaping how kids learn. Hosts Ki Sung and Katrina Schwartz introduce listeners to educators, researchers, parents and students who are developing effective ways to improve how kids learn. We cover topics like how fed-up administrators are developing surprising tactics to deal with classroom disruptions; how listening to podcasts are helping kids develop reading skills; the consequences of overparenting; and why interdisciplinary learning can engage students on all ends of the traditional achievement spectrum. This podcast is part of the MindShift education site, a division of KQED News. KQED is an NPR/PBS member station based in San Francisco. You can also visit the MindShift website for episodes and supplemental blog posts or tweet us \u003ca href=\"https://twitter.com/MindShiftKQED\">@MindShiftKQED\u003c/a> or visit us at \u003ca href=\"/mindshift\">MindShift.KQED.org\u003c/a>",
"imageSrc": "https://cdn.kqed.org/wp-content/uploads/2024/04/Mindshift-Podcast-Tile-703x703-1.jpg",
"imageAlt": "KQED MindShift: How We Will Learn",
"officialWebsiteLink": "/mindshift/",
"meta": {
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"source": "kqed",
"order": 12
},
"link": "/podcasts/mindshift",
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"google": "https://podcasts.google.com/feed/aHR0cHM6Ly9mZWVkcy5tZWdhcGhvbmUuZm0vS1FJTkM1NzY0NjAwNDI5",
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}
},
"morning-edition": {
"id": "morning-edition",
"title": "Morning Edition",
"info": "\u003cem>Morning Edition\u003c/em> takes listeners around the country and the world with multi-faceted stories and commentaries every weekday. Hosts Steve Inskeep, David Greene and Rachel Martin bring you the latest breaking news and features to prepare you for the day.",
"airtime": "MON-FRI 3am-9am",
"imageSrc": "https://cdn.kqed.org/wp-content/uploads/2024/04/Morning-Edition-Podcast-Tile-360x360-1.jpg",
"officialWebsiteLink": "https://www.npr.org/programs/morning-edition/",
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"link": "/radio/program/morning-edition"
},
"onourwatch": {
"id": "onourwatch",
"title": "On Our Watch",
"tagline": "Deeply-reported investigative journalism",
"info": "For decades, the process for how police police themselves has been inconsistent – if not opaque. In some states, like California, these proceedings were completely hidden. After a new police transparency law unsealed scores of internal affairs files, our reporters set out to examine these cases and the shadow world of police discipline. On Our Watch brings listeners into the rooms where officers are questioned and witnesses are interrogated to find out who this system is really protecting. Is it the officers, or the public they've sworn to serve?",
"imageSrc": "https://cdn.kqed.org/wp-content/uploads/2024/04/On-Our-Watch-Podcast-Tile-703x703-1.jpg",
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"officialWebsiteLink": "/podcasts/onourwatch",
"meta": {
"site": "news",
"source": "kqed",
"order": 11
},
"link": "/podcasts/onourwatch",
"subscribe": {
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"google": "https://podcasts.google.com/feed/aHR0cHM6Ly9mZWVkcy5ucHIub3JnLzUxMDM2MC9wb2RjYXN0LnhtbD9zYz1nb29nbGVwb2RjYXN0cw",
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},
"on-the-media": {
"id": "on-the-media",
"title": "On The Media",
"info": "Our weekly podcast explores how the media 'sausage' is made, casts an incisive eye on fluctuations in the marketplace of ideas, and examines threats to the freedom of information and expression in America and abroad. For one hour a week, the show tries to lift the veil from the process of \"making media,\" especially news media, because it's through that lens that we see the world and the world sees us",
"airtime": "SUN 2pm-3pm, MON 12am-1am",
"imageSrc": "https://ww2.kqed.org/radio/wp-content/uploads/sites/50/2018/04/onTheMedia.png",
"officialWebsiteLink": "https://www.wnycstudios.org/shows/otm",
"meta": {
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"source": "wnyc"
},
"link": "/radio/program/on-the-media",
"subscribe": {
"apple": "https://itunes.apple.com/us/podcast/on-the-media/id73330715?mt=2",
"tuneIn": "https://tunein.com/radio/On-the-Media-p69/",
"rss": "http://feeds.wnyc.org/onthemedia"
}
},
"pbs-newshour": {
"id": "pbs-newshour",
"title": "PBS NewsHour",
"info": "Analysis, background reports and updates from the PBS NewsHour putting today's news in context.",
"airtime": "MON-FRI 3pm-4pm",
"imageSrc": "https://cdn.kqed.org/wp-content/uploads/2024/04/PBS-News-Hour-Podcast-Tile-360x360-1.jpg",
"officialWebsiteLink": "https://www.pbs.org/newshour/",
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"source": "pbs"
},
"link": "/radio/program/pbs-newshour",
"subscribe": {
"apple": "https://itunes.apple.com/us/podcast/pbs-newshour-full-show/id394432287?mt=2",
"tuneIn": "https://tunein.com/radio/PBS-NewsHour---Full-Show-p425698/",
"rss": "https://www.pbs.org/newshour/feeds/rss/podcasts/show"
}
},
"perspectives": {
"id": "perspectives",
"title": "Perspectives",
"tagline": "KQED's series of daily listener commentaries since 1991",
"info": "KQED's series of daily listener commentaries since 1991.",
"imageSrc": "https://cdn.kqed.org/wp-content/uploads/2025/01/Perspectives_Tile_Final.jpg",
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"officialWebsiteLink": "/perspectives/",
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"source": "kqed",
"order": 14
},
"link": "/perspectives",
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