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"content": "\u003cp>California on Thursday announced it will sue the companies that make and promote most of the nation’s insulin, accusing them of scheming to illegally increase the price of the drug and demanding they return millions of dollars to some diabetics whom state officials say were overcharged for the medicine they must have to survive.\u003c/p>\n\u003cp>\u003ca href=\"https://oag.ca.gov/system/files/attachments/press-docs/2023.01.12%20-%20Eli%20Lilly%20Complaint.pdf\">The lawsuit (PDF)\u003c/a>, to be filed in Los Angeles County Superior Court by Attorney General Rob Bonta, is the latest in a parade of legal actions against these companies from states across the political spectrum — all who have accused the corporate giants of abusing their power to quash competition and boost their profits by keeping the price of insulin high.[pullquote align=\"right\" size=\"medium\" citation=\"Attorney General Rob Bonta\"]‘It is not a partisan issue, all say the same thing: That the status quo is unacceptable and problematic and awful.’[/pullquote]A \u003ca href=\"https://www.rand.org/blog/rand-review/2021/01/the-astronomical-price-of-insulin-hurts-american-families.html\">2021 study\u003c/a> by the RAND Corporation comparing the insulin prices of nearly three dozen countries found prices in the United States were about 10 times higher than everywhere else. The average price of a vial of insulin in the United States was $98, while in nearby Canada it was $12.\u003c/p>\n\u003cp>Attorneys general in \u003ca href=\"https://www.cbs19news.com/story/47854094/ag-derek-schmidt-files-lawsuit-alleging-illegal-practices-have-inflated-insulin-prices-in-kansas\">Kansas\u003c/a>, \u003ca href=\"https://apnews.com/article/health-lawsuits-arkansas-diabetes-083486b27c73d1828cb49578a53165e4\">Arkansas, \u003c/a>\u003ca href=\"https://www.ago.state.ms.us/2021/06/08/ag-lynn-fitch-files-lawsuit-against-insulin-manufacturers-and-pbms-over-insulin-pricing-scheme/\">Mississippi, \u003c/a>\u003ca href=\"https://apnews.com/article/ffabe9fc174d4f2a9b3d952c24d67c95\">Minnesota\u003c/a> and \u003ca href=\"https://apnews.com/article/4c77f57063904e47806bc2000238c140\">Kentucky\u003c/a> have all filed similar lawsuits in recent years.\u003c/p>\n\u003cp>“It is not a partisan issue,” said Bonta, a Democrat who was elected to his first full term in November. Bonta said state attorneys general from both major political parties “all say the same thing: That the status quo is unacceptable and problematic and awful.”\u003c/p>\n\u003cp>Bonta sued three companies who make insulin — Eli Lilly, Novo Nordisk and Sanofi — and three companies who manage prescription drug programs that provide insulin — CVS Caremark, Express Scripts and Optum Rx.\u003c/p>\n\u003cp>Bonta said the manufacturers raise the price of insulin “in lockstep with each other.” The prescription drug managers then negotiate with the manufacturers to get a percentage of that price in exchange for prominently promoting their high-price insulin over cheaper alternatives.\u003c/p>\n\u003cp>“People are losing their lives because they can’t afford the drug,” Bonta said.\u003c/p>\n\u003cp>Insulin manufacturers and prescription drug managers often blame each other for these higher prices. Mike DeAngelis, executive director of corporate communications for CVS Health, said the manufacturers alone set the list price for their products.[aside label=\"Related Stories\" postID=\"news_11920898,perspectives_201601142493\"]“Nothing in our agreements prevents drug manufacturers from lowering the prices of their insulin products and we would welcome such action,” he said. “Allegations that we play any role in determining the prices charged by manufacturers are false. We plan to vigorously defend against this complaint.”\u003c/p>\n\u003cp>A statement from Optum Rx said the company “welcomes the opportunity to show the California Office of the Attorney General, just as it has with other States Attorneys General, how we work every day to provide people with access to affordable drugs, including insulin.”\u003c/p>\n\u003cp>Representatives for Eli Lilly and Sanofi did not respond to a request for comment. A representative for Novo Nordisk declined to comment on the lawsuit. But the company provided some “background information” saying the net prices for its insulin products — the list price minus rebates and discounts — have fallen in each of the past five years “in large part to the significant rebates and discounts manufacturers pay to ensure access for patients.”\u003c/p>\n\u003cp>Insulin is made by the pancreas and is used by the human body to convert the food we eat 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>\n\u003cp>A team of Canadian scientists discovered insulin a century ago. They sold the patent to the University of Toronto for just $1 hoping to avoid a monopoly that could cause high prices. But eventually, the market came to be dominated by just three companies.\u003c/p>\n\u003cp>Kevin Wren, an activist associated with the California chapter of #Insulin4All, said he must take insulin every day to survive. Around 2009, Wren said he was working two jobs and did not have health insurance. He had to ration his insulin, taking less than the recommended dosage to make it last longer — a dangerous practice that he said ended up putting him in the hospital with ketoacidosis, a serious complication of diabetes.[pullquote align=\"right\" size=\"medium\" citation=\"Attorney General Rob Bonta\"]‘California can drive markets. Change emanates and starts here.’[/pullquote]Today, Wren says he has good health insurance and doesn’t have to ration his supply of insulin. He said he skirts the law each month by providing people insulin from someone else’s prescription “all so that they don’t have to ration.”\u003c/p>\n\u003cp>The big insulin manufacturing companies have assistance programs to help people purchase insulin. Novo Nordisk said in 2021, more than a million people used some form of the company’s assistance when purchasing its insulin.\u003c/p>\n\u003cp>California’s state government is considering \u003ca href=\"https://apnews.com/article/health-california-diabetes-government-and-politics-f846c58d4cb327578d1c7b3a9495d496\">making its own insulin\u003c/a> and selling it at a much cheaper price. Last year, the state Legislature approved $100 million for the project, with $50 million set aside for developing three types of insulin and the rest going to a potential manufacturing facility.\u003c/p>\n\u003cp>State officials hope a California brand of generic insulin could disrupt the market and bring all insulin prices down. Bonta says he hopes his lawsuit does the same thing.\u003c/p>\n\u003cp>“California can drive markets,” Bonta said, citing the state’s size and economic power. “Change emanates and starts here.”\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>\u003c/p>\n",
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"content": "\u003cdiv class=\"post-body\">\u003cp>“Nothing in our agreements prevents drug manufacturers from lowering the prices of their insulin products and we would welcome such action,” he said. “Allegations that we play any role in determining the prices charged by manufacturers are false. We plan to vigorously defend against this complaint.”\u003c/p>\n\u003cp>A statement from Optum Rx said the company “welcomes the opportunity to show the California Office of the Attorney General, just as it has with other States Attorneys General, how we work every day to provide people with access to affordable drugs, including insulin.”\u003c/p>\n\u003cp>Representatives for Eli Lilly and Sanofi did not respond to a request for comment. A representative for Novo Nordisk declined to comment on the lawsuit. But the company provided some “background information” saying the net prices for its insulin products — the list price minus rebates and discounts — have fallen in each of the past five years “in large part to the significant rebates and discounts manufacturers pay to ensure access for patients.”\u003c/p>\n\u003cp>Insulin is made by the pancreas and is used by the human body to convert the food we eat 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>\n\u003cp>A team of Canadian scientists discovered insulin a century ago. They sold the patent to the University of Toronto for just $1 hoping to avoid a monopoly that could cause high prices. But eventually, the market came to be dominated by just three companies.\u003c/p>\n\u003cp>Kevin Wren, an activist associated with the California chapter of #Insulin4All, said he must take insulin every day to survive. Around 2009, Wren said he was working two jobs and did not have health insurance. He had to ration his insulin, taking less than the recommended dosage to make it last longer — a dangerous practice that he said ended up putting him in the hospital with ketoacidosis, a serious complication of diabetes.\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>Today, Wren says he has good health insurance and doesn’t have to ration his supply of insulin. He said he skirts the law each month by providing people insulin from someone else’s prescription “all so that they don’t have to ration.”\u003c/p>\n\u003cp>The big insulin manufacturing companies have assistance programs to help people purchase insulin. Novo Nordisk said in 2021, more than a million people used some form of the company’s assistance when purchasing its insulin.\u003c/p>\n\u003cp>California’s state government is considering \u003ca href=\"https://apnews.com/article/health-california-diabetes-government-and-politics-f846c58d4cb327578d1c7b3a9495d496\">making its own insulin\u003c/a> and selling it at a much cheaper price. Last year, the state Legislature approved $100 million for the project, with $50 million set aside for developing three types of insulin and the rest going to a potential manufacturing facility.\u003c/p>\n\u003cp>State officials hope a California brand of generic insulin could disrupt the market and bring all insulin prices down. Bonta says he hopes his lawsuit does the same thing.\u003c/p>\n\u003cp>“California can drive markets,” Bonta said, citing the state’s size and economic power. “Change emanates and starts here.”\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cp>If you sit at your computer all day and then lounge on the sofa for more screen time in the evening, your health can take a hit. A \u003ca href=\"https://www.ahajournals.org/doi/10.1161/CIR.0000000000000440\">body of evidence\u003c/a> links sedentary lifestyles to an increased risk of diabetes, dementia and death from heart disease.\u003c/p>\n\u003cp>And here’s a wake-up call: One study found, irrespective of whether a person exercised, if they sat for more than 12–13 hours a day, they were more than \u003ca href=\"https://www.acpjournals.org/doi/10.7326/M17-0212\">twice as likely to die\u003c/a> early, compared to people who sat the least.\u003c/p>\n\u003cp>A new study finds you can cut that risk with strikingly small amounts of activity.\u003c/p>\n\u003cp>Researcher \u003ca href=\"https://www.columbiacardiology.org/profile/keith-diaz-phd\">Keith Diaz of Columbia University Medical Center\u003c/a> and his colleagues set out to find out what’s the\u003cem> least\u003c/em> amount of physical activity a person must do to offset the health risks of sitting. They recruited volunteers to come to their lab and emulate a typical work day.[pullquote align=\"right\" size=\"medium\" citation=\"Keith Diaz, Associate Professor of Behavioral Medicine, Columbia University Medical Center\"]‘We found that a 5-minute walk every half-hour was able to offset a lot of the harms of sitting.’[/pullquote]“They’d come in and sit for eight hours,” Diaz explains. The volunteers were hooked up to continuous glucose monitors to measure blood sugar levels, and their blood pressure was measured, too. Then, the participants took walking breaks of varying lengths and frequency.\u003c/p>\n\u003cp>“We found that a five minute walk every half-hour was able to offset a lot of the harms of sitting,” Diaz says.\u003c/p>\n\u003cp>The participants walked on a treadmill at a leisurely pace — about 1.9 miles per hour. “We were really struck by just how powerful the effects were,” Diaz says. People who moved five minutes every half-hour, saw blood sugar spikes after a meal reduced by almost 60%.\u003c/p>\n\u003cp>“This is surprising to me,” says \u003ca href=\"https://healthy.kaiserpermanente.org/southern-california/physicians/robert-sallis-6452925\">Robert Sallis, a family medicine doctor\u003c/a> at Kaiser Permanente, and the past president of the American College of Sports Medicine. It’s well known that exercise can help control blood sugar, but he says what’s new here is how beneficial frequent, short bouts of movement can be.\u003c/p>\n\u003cp>“I have never seen that kind of a drop in blood sugar, other than with medication,” Sallis says. He says he’s impressed by the findings, which are published in an American College of Sports Medicine journal, \u003ca href=\"https://journals.lww.com/acsm-msse/Abstract/9900/Breaking_Up_Prolonged_Sitting_to_Improve.200.aspx\">\u003cem>Medicine & Science in Sports & Exercise.\u003c/em>\u003c/a>\u003c/p>\n\u003cp>More than \u003ca href=\"https://www.cdc.gov/diabetes/basics/prediabetes.html\">one out of every three adults in the U.S. has prediabetes\u003c/a>, and nearly \u003ca href=\"https://www.cdc.gov/bloodpressure/facts.htm#:~:text=Nearly%20half%20of%20adults%20in,are%20taking%20medication%20for%20hypertension.\">half of adults have high blood pressure\u003c/a>, according to the Centers for Disease Control and Prevention. Both conditions increase the risk of heart disease which is the top cause of death in the U.S. So, Sallis says many people can benefit from small, frequent movement breaks.\u003c/p>\n\u003cp>Each week, adults are advised to get 150 minutes of moderate-intensity physical activity. The CDC says \u003ca href=\"https://health.gov/our-work/nutrition-physical-activity/physical-activity-guidelines/current-guidelines\">you can break this up into smaller chunks\u003c/a>, 30 minutes a day, five times a week for example or even shorter breaks that are more frequent. “I think it’s easier to find small amounts of time to get some exercise,” Sallis says.\u003c/p>\n\u003cp>The pace of walking in the study was likely too leisurely to count as ‘moderate-intensity’ for most people, but \u003ca href=\"https://publichealth.gwu.edu/departments/exercise-and-nutrition-sciences/loretta-dipietro\">Loretta DiPietro, a professor at the Milken Institute School of Public Health\u003c/a>, says there are simple ways to increase the intensity, including walking faster. “Add some stairs in,” she says. “Swing your arms,” which will help engage more muscles.\u003c/p>\n\u003cfigure id=\"attachment_11937908\" class=\"wp-caption alignnone\" style=\"max-width: 800px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-medium wp-image-11937908\" src=\"https://ww2.kqed.org/app/uploads/sites/10/2023/01/GettyImages-1278673059-800x533.jpg\" alt=\"Male and female business colleagues working against window in office, a woman walks past them in the foreground.\" width=\"800\" height=\"533\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2023/01/GettyImages-1278673059-800x533.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/01/GettyImages-1278673059-1020x680.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/01/GettyImages-1278673059-160x107.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/01/GettyImages-1278673059-1536x1024.jpg 1536w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/01/GettyImages-1278673059-2048x1365.jpg 2048w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/01/GettyImages-1278673059-1920x1280.jpg 1920w\" sizes=\"(max-width: 800px) 100vw, 800px\">\u003cfigcaption class=\"wp-caption-text\">Researchers found that walking five minutes every half-hour can reduce the risk of high blood pressure, diabetes and heart disease. \u003ccite>(Maskot/Getty Images)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>Another tip: turn on some music, since the beat can prompt you to step up the pace. You may not lose weight with short breaks, but “this is a wonderful way to improve your metabolic profile,” DiPietro says, which is so key to good health.\u003c/p>\n\u003cp>DiPietro was not involved in the new study, but her prior research has also shown that \u003ca href=\"https://diabetesjournals.org/care/article/36/10/3262/30770/Three-15-min-Bouts-of-Moderate-Postmeal-Walking\">strolls after meals\u003c/a> help improve blood sugar control.\u003c/p>\n\u003cp>She explains the mechanism by which exercise leads to this benefit is well understood: When we exercise, our muscles require glucose — sugar — as the fuel source. DiPietro says when we contract our muscles, our bodies use \u003ca href=\"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3258103/#:~:text=GLUT4%20is%20an%20insulin%2Dregulated,GLUT4%https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3258103/#:~:text=GLUT4%20is%20an%20insulin%2Dregulated,GLUT4%20storage%20vesicles%20(GSVs).20storage%20vesicles%20(GSVs).\">GLUT4 transporter proteins\u003c/a> which rise to the surface of the muscle cell and escort glucose molecules into the cell. So, physical activity helps to clear glucose out of the bloodstream into the muscle where it can be stored and utilized. And this helps lower blood sugar.\u003c/p>\n\u003cp>At a time when employers are looking for ways to retain workers, DiPietro says encouraging movement during the work day has clear benefits. “The human body was not designed to sit for eight hours at a time,” DiPietro says. “What employers can do is provide options for people,” she says, such as encouraging walking meetings and promoting more flexibility, which has become more common since the pandemic.\u003c/p>\n\u003cp>Employers should be aware that there’s another likely benefit to short, frequent breaks: “People were in a better mood because they took those breaks,” says \u003ca href=\"https://clas.uiowa.edu/hhp/people/kathleen-janz\">Kathleen Janz, professor emeritus \u003c/a>at the University of Iowa who focuses on health promotion. She reviewed the results of the new study for NPR and noted that participants in the study felt less fatigued.\u003c/p>\n\u003cp>It’s a reminder that moving our bodies during the work day isn’t a waste of time, Janz says. In fact it could make us better workers and make us healthier at the same time. “It can be a win-win,” says Janz.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>\u003c/p>\n",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>If you sit at your computer all day and then lounge on the sofa for more screen time in the evening, your health can take a hit. A \u003ca href=\"https://www.ahajournals.org/doi/10.1161/CIR.0000000000000440\">body of evidence\u003c/a> links sedentary lifestyles to an increased risk of diabetes, dementia and death from heart disease.\u003c/p>\n\u003cp>And here’s a wake-up call: One study found, irrespective of whether a person exercised, if they sat for more than 12–13 hours a day, they were more than \u003ca href=\"https://www.acpjournals.org/doi/10.7326/M17-0212\">twice as likely to die\u003c/a> early, compared to people who sat the least.\u003c/p>\n\u003cp>A new study finds you can cut that risk with strikingly small amounts of activity.\u003c/p>\n\u003cp>Researcher \u003ca href=\"https://www.columbiacardiology.org/profile/keith-diaz-phd\">Keith Diaz of Columbia University Medical Center\u003c/a> and his colleagues set out to find out what’s the\u003cem> least\u003c/em> amount of physical activity a person must do to offset the health risks of sitting. They recruited volunteers to come to their lab and emulate a typical work day.\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>“They’d come in and sit for eight hours,” Diaz explains. The volunteers were hooked up to continuous glucose monitors to measure blood sugar levels, and their blood pressure was measured, too. Then, the participants took walking breaks of varying lengths and frequency.\u003c/p>\n\u003cp>“We found that a five minute walk every half-hour was able to offset a lot of the harms of sitting,” Diaz says.\u003c/p>\n\u003cp>The participants walked on a treadmill at a leisurely pace — about 1.9 miles per hour. “We were really struck by just how powerful the effects were,” Diaz says. People who moved five minutes every half-hour, saw blood sugar spikes after a meal reduced by almost 60%.\u003c/p>\n\u003cp>“This is surprising to me,” says \u003ca href=\"https://healthy.kaiserpermanente.org/southern-california/physicians/robert-sallis-6452925\">Robert Sallis, a family medicine doctor\u003c/a> at Kaiser Permanente, and the past president of the American College of Sports Medicine. It’s well known that exercise can help control blood sugar, but he says what’s new here is how beneficial frequent, short bouts of movement can be.\u003c/p>\n\u003cp>“I have never seen that kind of a drop in blood sugar, other than with medication,” Sallis says. He says he’s impressed by the findings, which are published in an American College of Sports Medicine journal, \u003ca href=\"https://journals.lww.com/acsm-msse/Abstract/9900/Breaking_Up_Prolonged_Sitting_to_Improve.200.aspx\">\u003cem>Medicine & Science in Sports & Exercise.\u003c/em>\u003c/a>\u003c/p>\n\u003cp>More than \u003ca href=\"https://www.cdc.gov/diabetes/basics/prediabetes.html\">one out of every three adults in the U.S. has prediabetes\u003c/a>, and nearly \u003ca href=\"https://www.cdc.gov/bloodpressure/facts.htm#:~:text=Nearly%20half%20of%20adults%20in,are%20taking%20medication%20for%20hypertension.\">half of adults have high blood pressure\u003c/a>, according to the Centers for Disease Control and Prevention. Both conditions increase the risk of heart disease which is the top cause of death in the U.S. So, Sallis says many people can benefit from small, frequent movement breaks.\u003c/p>\n\u003cp>Each week, adults are advised to get 150 minutes of moderate-intensity physical activity. The CDC says \u003ca href=\"https://health.gov/our-work/nutrition-physical-activity/physical-activity-guidelines/current-guidelines\">you can break this up into smaller chunks\u003c/a>, 30 minutes a day, five times a week for example or even shorter breaks that are more frequent. “I think it’s easier to find small amounts of time to get some exercise,” Sallis says.\u003c/p>\n\u003cp>The pace of walking in the study was likely too leisurely to count as ‘moderate-intensity’ for most people, but \u003ca href=\"https://publichealth.gwu.edu/departments/exercise-and-nutrition-sciences/loretta-dipietro\">Loretta DiPietro, a professor at the Milken Institute School of Public Health\u003c/a>, says there are simple ways to increase the intensity, including walking faster. “Add some stairs in,” she says. “Swing your arms,” which will help engage more muscles.\u003c/p>\n\u003cfigure id=\"attachment_11937908\" class=\"wp-caption alignnone\" style=\"max-width: 800px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-medium wp-image-11937908\" src=\"https://ww2.kqed.org/app/uploads/sites/10/2023/01/GettyImages-1278673059-800x533.jpg\" alt=\"Male and female business colleagues working against window in office, a woman walks past them in the foreground.\" width=\"800\" height=\"533\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2023/01/GettyImages-1278673059-800x533.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/01/GettyImages-1278673059-1020x680.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/01/GettyImages-1278673059-160x107.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/01/GettyImages-1278673059-1536x1024.jpg 1536w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/01/GettyImages-1278673059-2048x1365.jpg 2048w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/01/GettyImages-1278673059-1920x1280.jpg 1920w\" sizes=\"(max-width: 800px) 100vw, 800px\">\u003cfigcaption class=\"wp-caption-text\">Researchers found that walking five minutes every half-hour can reduce the risk of high blood pressure, diabetes and heart disease. \u003ccite>(Maskot/Getty Images)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>Another tip: turn on some music, since the beat can prompt you to step up the pace. You may not lose weight with short breaks, but “this is a wonderful way to improve your metabolic profile,” DiPietro says, which is so key to good health.\u003c/p>\n\u003cp>DiPietro was not involved in the new study, but her prior research has also shown that \u003ca href=\"https://diabetesjournals.org/care/article/36/10/3262/30770/Three-15-min-Bouts-of-Moderate-Postmeal-Walking\">strolls after meals\u003c/a> help improve blood sugar control.\u003c/p>\n\u003cp>She explains the mechanism by which exercise leads to this benefit is well understood: When we exercise, our muscles require glucose — sugar — as the fuel source. DiPietro says when we contract our muscles, our bodies use \u003ca href=\"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3258103/#:~:text=GLUT4%20is%20an%20insulin%2Dregulated,GLUT4%https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3258103/#:~:text=GLUT4%20is%20an%20insulin%2Dregulated,GLUT4%20storage%20vesicles%20(GSVs).20storage%20vesicles%20(GSVs).\">GLUT4 transporter proteins\u003c/a> which rise to the surface of the muscle cell and escort glucose molecules into the cell. So, physical activity helps to clear glucose out of the bloodstream into the muscle where it can be stored and utilized. And this helps lower blood sugar.\u003c/p>\n\u003cp>At a time when employers are looking for ways to retain workers, DiPietro says encouraging movement during the work day has clear benefits. “The human body was not designed to sit for eight hours at a time,” DiPietro says. “What employers can do is provide options for people,” she says, such as encouraging walking meetings and promoting more flexibility, which has become more common since the pandemic.\u003c/p>\n\u003cp>Employers should be aware that there’s another likely benefit to short, frequent breaks: “People were in a better mood because they took those breaks,” says \u003ca href=\"https://clas.uiowa.edu/hhp/people/kathleen-janz\">Kathleen Janz, professor emeritus \u003c/a>at the University of Iowa who focuses on health promotion. She reviewed the results of the new study for NPR and noted that participants in the study felt less fatigued.\u003c/p>\n\u003cp>It’s a reminder that moving our bodies during the work day isn’t a waste of time, Janz says. In fact it could make us better workers and make us healthier at the same time. “It can be a win-win,” says Janz.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"slug": "evacuation-orders-issued-as-storm-barrels-down-on-bay-area",
"title": "Rain and Wind Ease Up in Bay Area but Huge Waves Batter Coast and Flooding, Power Outages Continue",
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"content": "\u003cp>\u003ci>This post will no longer be updated.\u003c/i>\u003c/p>\n\u003cp>\u003cstrong>Update, 12 p.m. Friday:\u003c/strong> The weather in Northern California was significantly calmer on Friday, offering a brief respite before two more atmospheric rivers slam the region this weekend and into next week.\u003c/p>\n\u003cp>As of Friday morning, evacuation and shelter-in-place orders \u003ca href=\"https://www.saccounty.gov/news/latest-news/Pages/Orders-Lift-as-Storm-Calms-Stay-Vigilant.aspx\">had been lifted in Sacramento County\u003c/a>. In \u003ca href=\"https://socoemergency.org/emergency/warnings-and-updates/\">Sonoma County, the evacuation warning was still in effect\u003c/a> for all residents living near the Russian River floodway and its tributaries from Healdsburg to Jenner, where the river is likely to flood in the coming days. \u003ca href=\"https://emergency.marincounty.org/\">Marin County issued a flood watch\u003c/a> from 4 a.m. Saturday to 4 p.m. Tuesday. Various \u003ca href=\"https://www.acpwa.org/about-us/roadclosure.page\">roads also remained closed throughout Alameda and\u003c/a> \u003ca href=\"https://www.contracosta.ca.gov/CivicAlerts.aspx?AID=2811\">Contra Costa counties\u003c/a>.\u003c/p>\n\u003cp>In coastal areas on Friday, wave heights were significantly lower than in previous days, although the surf remained dangerous along much of the coast. As of Friday afternoon, an \u003ca href=\"https://aware.zonehaven.com/zones/US-CA-XCZ-CTL-E051?z=13.023867033084587&latlon=36.9666360309846%2C-121.89697355280151\">evacuation order was lifted \u003c/a>for the low-lying areas of the Rio Del Mar Esplanade in Santa Cruz County, but \u003ca href=\"https://aware.zonehaven.com/zones/US-CA-XCZ-CTL-E028?z=14.196877408496562&latlon=36.97848333718905%2C-121.95149665432541\">an evacuation warning remained in effect\u003c/a> for low-lying residences in sections of nearby Capitola.\u003c/p>\n\u003cp>As of Friday morning, Pacific Gas and Electric had restored power to more than 200,000 customers, but said that tens of thousands of residents in its service area were still without power, including up to 17,000 customers in the Bay Area, according to reporting from Bay City News. The utility reportedly mobilized 3,000 workers and contractors to continue repair work before the next storm.\u003c/p>\n\u003cp>The recent succession of storms have helped with \u003ca href=\"https://droughtmonitor.unl.edu/CurrentMap/StateDroughtMonitor.aspx?West\">California’s drought conditions\u003c/a>, moving the state out of the “exceptional drought” category, but the precipitation won’t be nearly enough to officially end the four-year drought.\u003c/p>\n\u003cp>\u003cb>Update, 4 p.m. Thursday:\u003c/b> Pacific Gas and Electric on Thursday afternoon said about 440,000 customers across its vast service area — including a number of schools — lost power at some point on Wednesday or Thursday morning. Roughly 325,000 have had their power restored, and another 40,000 should be back online by late Thursday, the utility said.\u003c/p>\n\u003cp>Customers who still don’t have power after today could be in for a long wait, said Janisse Quiñones, PG&E’s senior vice president of electric operations.\u003c/p>\n\u003cp>“Because we don’t have access to many of the areas, or the conditions are really dangerous for our crews, trees are falling around them, we have flooding and soil movement when they are trying to restore our service,” Quiñones said in an afternoon press briefing. She noted that winds late Wednesday reached close to 100 mph in some higher-elevation service areas. “Right now our [helicopters] are grounded. The weather is preventing us from bringing any aerial equipment up in the air.”\u003c/p>\n\u003cp>Quiñones said there are 369 PG&E restoration crews currently out in the field, along with about 25 crews from other West Coast utilities providing mutual aid. But the succession of storms and the short windows of time between them have made restoration efforts challenging, she added.\u003c/p>\n\u003cp>“We have a series of storms coming in the system. We got hit on New Year’s [Eve] with a storm, we got hit yesterday with a storm, we’re expecting a storm Saturday, and another storm system Monday, which creates a very limited window of opening for restoration for our crews,” she said.\u003c/p>\n\u003cp>Quiñones urged anyone who sees a downed power line to first call 911 and then contact PG&E — and to never touch or get near it.\u003c/p>\n\u003cp>\u003cb>Update, 2:30 p.m. Thursday: \u003c/b>Authorities have released more information about a 2-year-old boy who was killed by a falling tree in the Sonoma County community of Occidental on Wednesday.\u003c/p>\n\u003cp>The boy was sitting in his living room around 5 p.m. when the tree fell and landed on top of the mobile home, pinning him underneath, sheriff’s Sgt. Juan Valencia told KQED.[aside postID=news_11936674 hero=\"https://ww2.kqed.org/app/uploads/sites/10/2023/01/BL1_5579-1020x680.jpg\"]The boy’s father and some neighbors had pulled the boy from under the tree by the time first responders arrived, Valencia said. They performed CPR and the child was pronounced dead at 5:48 p.m.\u003c/p>\n\u003cp>The boy was one of at least two people who died in Wednesday’s storm. Fairfield police said a 19-year-old woman was killed when her car hydroplaned on a wet road and struck a pole.\u003c/p>\n\u003cp>Meanwhile, authorities shuttered numerous roadways due to downed trees, power lines and other hazards.\u003c/p>\n\u003cp>A rockslide closed a stretch of Highway 1 between Stinson Beach and Muir Beach, Marin County said on Twitter. Further down the coast, a section of the coastal highway in Carmel was closed due to massive waves reaching the roadway, and another section south of Big Sur was closed because of falling rock.\u003c/p>\n\u003cblockquote class=\"twitter-tweet\" data-width=\"550\" data-dnt=\"true\">\n\u003cp lang=\"en\" dir=\"ltr\">Picture of slide on \u003ca href=\"https://twitter.com/hashtag/Hwy1?src=hash&ref_src=twsrc%5Etfw\">#Hwy1\u003c/a> from this morning at Polar Star, one mile south of Ragged Point. Contractor engaged to help clear. Full closure remains in place. Assessments ongoing. Continue to ask public to please keep out of the closure area which will permit crews to work safely. \u003ca href=\"https://t.co/9TmAebtqJn\">pic.twitter.com/9TmAebtqJn\u003c/a>\u003c/p>\n\u003cp>— Caltrans District 5 (@CaltransD5) \u003ca href=\"https://twitter.com/CaltransD5/status/1611101375353716737?ref_src=twsrc%5Etfw\">January 5, 2023\u003c/a>\u003c/p>\u003c/blockquote>\n\u003cp>\u003cscript async src=\"https://platform.twitter.com/widgets.js\" charset=\"utf-8\">\u003c/script>\u003c/p>\n\u003cp>A landslide also blocked a lane of northbound Highway 1 in Pacifica, just past Manor Drive, police said.\u003c/p>\n\u003cp>\u003cb>Update, 1 p.m. Thursday: \u003c/b>Santa Cruz County authorities lifted evacuation orders Thursday morning for potential flood areas as the worst of the storm has passed, but huge waves and high tides from the atmospheric river remained a threat to residents in coastal areas.\u003c/p>\n\u003cp>“If you can evacuate safely, please do so immediately. If you are unable to evacuate, please shelter in place, move away from ocean facing windows,” the county sheriff’s office said in a statement.\u003c/p>\n\u003cp>The National Weather Service warned of dangerous swimming and surfing conditions as 20- to 30-foot-high waves hit the central California coastline. The waves broke apart two piers in Santa Cruz County, and flooded the picture-postcard town of Capitola. Dramatic eyewitness videos show water thrashing against waterfront restaurants and businesses.\u003c/p>\n\u003cblockquote class=\"twitter-tweet\" data-width=\"550\" data-dnt=\"true\">\n\u003cp lang=\"en\" dir=\"ltr\">Capitola Beach and Pier are under siege with tide and surf still rising. \u003ca href=\"https://t.co/89b1CAGfg6\">pic.twitter.com/89b1CAGfg6\u003c/a>\u003c/p>\n\u003cp>— sports business (@soulfocussports) \u003ca href=\"https://twitter.com/soulfocussports/status/1611025441808330756?ref_src=twsrc%5Etfw\">January 5, 2023\u003c/a>\u003c/p>\u003c/blockquote>\n\u003cp>\u003cscript async src=\"https://platform.twitter.com/widgets.js\" charset=\"utf-8\">\u003c/script>\u003c/p>\n\u003cp>Nearby, the California Highway Patrol urged people to avoid coming to Seacliff State Beach in Aptos because of coastal flooding. An old concrete ship broke away from the beach’s pier.\u003c/p>\n\u003cp>In low-lying areas of Marin County, a combination of the rain and tides flooded some roadways. Authorities closed Miller Avenue, a major thoroughfare, and urged drivers to slow down and avoid large bodies of standing water.\u003c/p>\n\u003cp>Meanwhile, forecasters dialed back flood predictions for the Russian River in Sonoma County. The National Weather Service previously projected the area could become inundated by Thursday afternoon, potentially causing minor flooding in Guerneville, Monte Rio and other parts of the popular vacation getaway.\u003c/p>\n\u003cp>The river is now forecast to \u003ca href=\"https://cnrfc.noaa.gov/graphicalRVF.php?id=GUEC1\">reach flood stage on Sunday afternoon\u003c/a>.\u003c/p>\n\u003cp>\u003cstrong>Update, 11 a.m. Thursday: \u003c/strong>Forecasters said lighter rain and isolated thunderstorms are expected to pass through the Bay Area the rest of Thursday, giving residents a bit of a break to clean up and assess damages before another storm arrives Saturday.\u003c/p>\n\u003cp>A flood watch remains in effect until 4 p.m. because additional rainfall to an already soaked region could lead to rapid rises along creeks, streams and flood-prone areas, the National Weather Service said.\u003c/p>\n\u003cp>“We’re not done with the water just yet,” said Brayden Murdock, a meteorologist with the weather service’s Bay Area office. “With our next pattern coming through, it’s going to be almost daily where we see some wet conditions. Luckily not seeing the rainfall amounts like we saw with the main rainband last night, but still we’re not done with this wet pattern.”\u003c/p>\n\u003cp>In the South Bay, gusty winds and towering waves split the Capitola wharf in half and flooded the Santa Cruz County seaside town. The waves also breached the seawall in Pacifica and prompted the weather service to issue a high surf warning until 3 a.m. Friday, urging beachgoers to stay off jetties and coastal rocks and stay out of the surf zone. Beaches could be hit by up to 30-foot waves.\u003c/p>\n\u003cblockquote class=\"twitter-tweet\" data-width=\"550\" data-dnt=\"true\">\n\u003cp lang=\"en\" dir=\"ltr\">The storm has caused significant damage throughout the county and along the coast, including heavy damage to piers in Capitola and Seacliff. High tide and large surf is a dangerous combination - avoid the coast. \u003ca href=\"https://t.co/XiyuJBQUFB\">pic.twitter.com/XiyuJBQUFB\u003c/a>\u003c/p>\n\u003cp>— Santa Cruz County (@sccounty) \u003ca href=\"https://twitter.com/sccounty/status/1611050779439419394?ref_src=twsrc%5Etfw\">January 5, 2023\u003c/a>\u003c/p>\u003c/blockquote>\n\u003cp>\u003cscript async src=\"https://platform.twitter.com/widgets.js\" charset=\"utf-8\">\u003c/script>\u003c/p>\n\u003cp>The latest in a series of atmospheric rivers slammed into the Bay Area late Wednesday, causing widespread flooding and power outages affecting nearly \u003ca href=\"https://pgealerts.alerts.pge.com/outagecenter/\">145,000 Pacific Gas and Electric customers\u003c/a>. The weather contributed to at least two deaths: a toddler who was killed after a tree fell onto a house in the Sonoma County town of Occidental, and a Fairfield woman whose car hydroplaned on a wet road and slammed into a pole.\u003c/p>\n\u003cp>In San Francisco, a family was rescued by firefighters Wednesday evening when a tree fell onto their car on Larkin Street. Near the zoo, another tree fell onto a person who had to be rushed to a trauma center in stable condition, the city’s Fire Department tweeted.\u003c/p>\n\u003cp>Firefighters responded to dozens of calls about downed trees and power lines. Winds gusting to 85 mph forced the cancellation of more than 70 flights at San Francisco International Airport.\u003c/p>\n\u003cp>Nearby in South San Francisco, the winds knocked over the roof of a Valero gas station’s canopy, damaging at least one fueling station. The city \u003ca href=\"https://www.ssf.net/home/showpublisheddocument/28668/638085077593622620\">opened a temporary evacuation center\u003c/a> for the more than 3,000 residents who were without power Thursday morning.\u003c/p>\n\u003cp>\u003cb>Update, 8:30 a.m. Thursday: \u003c/b>Heavy rain and damaging winds from the “bomb cyclone” knocked down trees, flooded roads and cut power to tens of thousands of homes and businesses as of Thursday morning, and contributed to the deaths of at least two people.\u003c/p>\n\u003cp>\u003ca href=\"https://www.pressdemocrat.com/article/news/toddler-dies-after-tree-lands-on-occidental-home/?ref=moststory\">A toddler was killed Wednesday night\u003c/a> after a tree fell and landed on a house in the Sonoma County town of Occidental, volunteer firefighters there told local media. In Fairfield, \u003ca href=\"https://www.facebook.com/FairfieldPolice\">a 19-year-old woman was killed \u003c/a>after she lost control of her vehicle on a flooded road and slammed into a utility pole, police said.\u003c/p>\n\u003cp>The storm dropped heavy rain in parts of the Bay Area. \u003ca href=\"https://forecast.weather.gov/product.php?site=mtr&issuedby=MTR&product=RR6\">A preliminary rainfall report \u003c/a>from the National Weather Service estimates that as much as 4 to 5 inches of rain fell over a 24-hour period in the mountains south of Monterey, while most of the rest of the region received 1 to 2 inches.\u003c/p>\n\u003cp>But any additional rain to areas already soaked by multiple storms since Christmas is prompting fears of mudslides, flooding and downed power lines and trees. California issued a state of emergency to support response to the storm and recovery efforts.\u003c/p>\n\u003cp>Nearly \u003ca href=\"https://poweroutage.us/area/state/california\">170,000 homes and businesses were without power in California Thursday morning\u003c/a>, according to poweroutage.us.\u003c/p>\n\u003cblockquote class=\"twitter-tweet\" data-width=\"550\" data-dnt=\"true\">\n\u003cp lang=\"en\" dir=\"ltr\">Radar Update 6:52 AM - Don't put away those umbrellas yet. Here's a radar loop over the last hour showing showers. Some showers may be heavy at times. Allow extra time for the commute. For the rest of today showers and even thunderstorms are still possible. \u003ca href=\"https://twitter.com/hashtag/cawx?src=hash&ref_src=twsrc%5Etfw\">#cawx\u003c/a> \u003ca href=\"https://t.co/WUq7TQGMDX\">pic.twitter.com/WUq7TQGMDX\u003c/a>\u003c/p>\n\u003cp>— NWS Bay Area (@NWSBayArea) \u003ca href=\"https://twitter.com/NWSBayArea/status/1611012763979231232?ref_src=twsrc%5Etfw\">January 5, 2023\u003c/a>\u003c/p>\u003c/blockquote>\n\u003cp>\u003cscript async src=\"https://platform.twitter.com/widgets.js\" charset=\"utf-8\">\u003c/script>\u003c/p>\n\u003cp>\u003cb>Original story, 8:45 p.m. Wednesday: \u003c/b>Gusting \u003ca href=\"https://twitter.com/NWSBayArea/status/1610799458618609666\">winds of up to 85 mph\u003c/a> in parts of the Bay Area bore down on the region Wednesday afternoon, and the \u003ca href=\"https://twitter.com/NWSBayArea/status/1610779204517498881\">heaviest rainfall of the “bomb cyclone” hit \u003c/a>in the early evening, with heavy rain and winds to continue into Thursday.\u003c/p>\n\u003cp>The storm prompted evacuation warnings, triggered landslides, closed roads and downed trees. But the morning rain totals were less than predicted, with about a half-inch falling in San Francisco, said Mary Ellen Carroll, executive director of San Francisco’s Department of Emergency Management.\u003c/p>\n\u003cp>“It has been a quiet day … until about an hour ago,” Carroll said as winds and rainfall picked up in the late afternoon. “The storm we have all been waiting for is here.”\u003c/p>\n\u003cp>https://twitter.com/NWSBayArea/status/1610779204517498881\u003c/p>\n\u003cp>She pleaded with residents to avoid calling 911, except for life-threatening emergencies, especially as rain totals continued to rise throughout the evening.\u003c/p>\n\u003cp>“911 is extremely busy right now,” she said. “For storm-related issues, that are not life-safety, please use 311. That is the fastest way for us to get the information and dispatch a response.”\u003c/p>\n\u003ch2>Warming centers open\u003c/h2>\n\u003cp>Warming centers and emergency shelters were open across the Bay Area for unhoused residents and those displaced by the storm.\u003c/p>\n\u003cp>In Santa Clara County, the Valley Transportation Authority is offering free rides to warming centers through Friday, Jan. 6. \u003ca href=\"https://emergencymanagement.sccgov.org/residents/cold-weather-safety\">A list of centers in Santa Clara County can be found here.\u003c/a>\u003c/p>\n\u003cp>The Red Cross also posted locations it manages or supports throughout the Bay Area.\u003c/p>\n\u003cp>https://twitter.com/RedCrossNorCal/status/1610831460264742912\u003c/p>\n\u003cp>In San Francisco, the Department of Homelessness and Supportive Housing is collaborating with various nonprofits to provide outreach services and shelter on a first-come, first-served basis at four locations through next week. \u003ca href=\"https://hsh.sfgov.org/services/how-to-get-services/accessing-temporary-shelter/\">A list of those SF locations can be found here.\u003c/a>\u003c/p>\n\u003cp>San Francisco residents experiencing homelessness and in need of support are encouraged to contact the Homeless Outreach Team dispatch line at (628) 652-8000.\u003c/p>\n\u003cp>In the East Bay, a number of warming centers and shelters are now open. Hayward secured additional hotel rooms and is prepared to open an emergency shelter at the Matt Jimenez Community Center in South Hayward for residents without housing or for those forced from home during rainstorms this week.\u003c/p>\n\u003cp>Community members living unsheltered or displaced due to flooding and other storm effects — or aware of someone in need of assistance — may contact the City of Hayward Emergency Operations Center at (510) 583-2182.\u003c/p>\n\u003cp>Oakland is partnering with its year-round shelter at St. Vincent de Paul, located at 675 23rd Street in West Oakland, to double their bed capacity to serve up to 100 people through Friday morning. Shelter beds can be secured through referral, reservation and walk-up on a first-come, first-served basis. People seeking shelter can contact St. Vincent de Paul directly at (510) 638-7600.\u003c/p>\n\u003cp>Oakland also is opening an additional emergency shelter at the Ira Jinkins Center at 9175 Edes Ave., near the Coliseum. This site will be able to accommodate all ages and families, and Oakland Animal Services will provide overnight shelter for pets. This shelter is currently anticipated to be open by 5:30 p.m. Wednesday and will remain open until noon on Friday and can shelter up to 75 people. No referrals are needed.\u003c/p>\n\u003cfigure id=\"attachment_11936995\" class=\"wp-caption alignright\" style=\"max-width: 800px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-medium wp-image-11936995\" src=\"https://ww2.kqed.org/app/uploads/sites/10/2023/01/B45F2848-0627-4A90-85AA-68FEAAB98F36-800x534.jpg\" alt=\"\" width=\"800\" height=\"534\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2023/01/B45F2848-0627-4A90-85AA-68FEAAB98F36-800x534.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/01/B45F2848-0627-4A90-85AA-68FEAAB98F36-1020x680.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/01/B45F2848-0627-4A90-85AA-68FEAAB98F36-160x107.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/01/B45F2848-0627-4A90-85AA-68FEAAB98F36.jpg 1384w\" sizes=\"auto, (max-width: 800px) 100vw, 800px\">\u003cfigcaption class=\"wp-caption-text\">Members of the San José Conservation Corps pile sandbags along the San Francisquito Creek in East Palo Alto on Jan. 4, 2023. \u003ccite>(Beth LaBerge/KQED)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>Fremont opened an emergency storm shelter for Wednesday through Friday at the Washington High School gymnasium, located at 38442 Fremont Boulevard. The shelter can accommodate pets. Warm meals, face masks and beverages will be provided. Winter supplies also are available while they last.\u003c/p>\n\u003cp>In the North Bay, Marin County and Santa Rosa both have opened emergency shelters and warming centers.\u003c/p>\n\u003cp>An emergency shelter at 3240 Kerner Boulevard in San Rafael will open from 5 p.m. on Wednesday until 6:30 a.m. Thursday. A warming center will be open at that location on Thursday from 9 a.m.–3 p.m.\u003c/p>\n\u003cp>And, in downtown Santa Rosa, a temporary warming center will be available Wednesday night at the Catholic Charities Caritas Center, at 301 6th Street, Suite 108. The center is a place to drop in and warm up, charge devices and get out of the storm, the city said. It is not a shelter, and no cots for sleeping will be available. Those seeking a place to sleep will be provided with a referral, officials said.\u003c/p>\n\u003ch2>Road fatality\u003c/h2>\n\u003cp>A \u003ca href=\"https://nixle.us/E6ZAH\">traffic fatality was reported in Fairfield\u003c/a> Wednesday morning when, according to investigators and witness statements, a 19-year-old driver collided with a utility pole after entering the partially flooded Vanden Road at One Lake. The vehicle hydroplaned, causing the driver to lose control of the vehicle. The victim’s name was not released by the Fairfield Police Department.\u003c/p>\n\u003ch2>Thunderstorm warning for Inverness\u003c/h2>\n\u003cp>A \u003ca href=\"https://twitter.com/NWSBayArea/status/1610861507532967936\">severe thunderstorm warning\u003c/a> was in effect for Inverness and Point Reyes Station until 9:30 p.m., according to the National Weather Service.\u003c/p>\n\u003cp>Winds of up to 60 mph were expected, along with hail.\u003c/p>\n\u003ch2>School closures in Sonoma County\u003c/h2>\n\u003cp>Officials in Sonoma County said Wednesday that some districts and school sites would be closed Thursday, Jan. 5, due to flooding, fallen trees, lack of electricity and other concerns related to the storm. \u003ca href=\"https://www.scoe.org/pub/htdocs/storm-update.html\">A full list of the affected schools in Sonoma County can be found here.\u003c/a>\u003c/p>\n\u003ch2>SFPW out of sandbags\u003c/h2>\n\u003cp>As of around 7 p.m., officials from San Francisco’s Department of Public Works said they were shutting down sandbag distribution for the day.\u003c/p>\n\u003cp>The department ran out of sandbags around 6 p.m., after giving away more than 3,400 bags. They were expecting another delivery Wednesday evening, but did not have an estimated arrival time.\u003c/p>\n\u003cp>They plan to reopen sandbag distribution around 6 a.m. on Thursday with a limited supply and will provide updates about any newly arrived supply.\u003c/p>\n\u003ch2>Flash flood warnings\u003c/h2>\n\u003cp>The National Weather Service issued flash flood warnings Wednesday for southwestern Monterey County and northwestern San Benito County.\u003c/p>\n\u003cp>As of around 8 p.m., dam operators \u003ca href=\"https://forecast.weather.gov/wwamap/wwatxtget.php?cwa=MTR&wwa=flash%20flood%20warning\">reported a spillway had been compromised\u003c/a> and that water could overtop the spillway by Thursday morning. The weather service warned that flash flooding may occur immediately downstream, near Lovers Lane, with increased water flows into Pacheco Creek also likely.\u003c/p>\n\u003cp>In Monterey County, doppler radar around 6 p.m. indicated between a quarter- and a half-inch of rain had already fallen, with another half-inch to one-and-a-quarter inches of rain within the next hour. \u003ca href=\"https://inws.ncep.noaa.gov/a/a.php?i=78320965\">Flash flooding was expected\u003c/a> to be ongoing or to begin shortly.\u003c/p>\n\u003cp>“Excessive rainfall over the burn area will result in debris flow moving through the Colorado and Dolan burn areas,” weather officials said in an advisory. “The debris flow can consist of rock, mud, vegetation and other loose materials.”\u003c/p>\n\u003ch2>Jurisdictions proclaim emergency status\u003c/h2>\n\u003cp>\u003ca href=\"https://www.sanjoseca.gov/news-stories/news/emergency-notifications\">San José\u003c/a>, \u003ca href=\"https://www.lovelafayette.org/Home/Components/News/News/9844/18?backlist=%2f\">Lafayette\u003c/a>, \u003ca href=\"https://www.oaklandca.gov/news/2023/city-of-oakland-declares-a-local-state-of-emergency-and-continues-to-provide-resources-to-community-members-impacted-by-the-winter-storm\">Oakland\u003c/a>, \u003ca href=\"https://www.livermoreca.gov/Home/Components/News/News/664/3774\">Livermore\u003c/a>, Santa Clara County and \u003ca href=\"https://sonomacounty.ca.gov/sonoma-county-opens-emergency-operations-center-in-response-to-storms-and-possible-flooding-issues-public-safety-advisory\">Sonoma County\u003c/a> all declared a state of emergency Wednesday in response to the storm.\u003c/p>\n\u003cp>The declarations allow the jurisdictions greater flexibility in contracting and procuring supplies to respond to the storm.\u003c/p>\n\u003ch2>First responders rescue SF family\u003c/h2>\n\u003cp>San Francisco police officers rescued a family trapped in a car that was hit by a falling tree, said San Francisco Fire Department spokesperson Jonathan Baxter.\u003c/p>\n\u003cp>The family, including two adults and one child, were driving near the intersection of Larkin and Grove streets around 6 p.m. Police officers arrived on the scene first and were able to extract the car’s occupants. Firefighters were then able to remove the tree.\u003c/p>\n\u003cp>The family suffered only minor injuries, and Baxter said, “Miraculously, the car only sustained minor damage.”\u003c/p>\n\u003cp>https://twitter.com/SFFDPIO/status/1610823123292786688\u003c/p>\n\u003ch2>Countywide flood emergency\u003c/h2>\n\u003cp>Santa Clara Valley Water District CEO Rick Callender signed a countywide flood emergency Wednesday, which allows the water agency to take immediate action to protect public life and property from flooding and high winds.\u003c/p>\n\u003cp>Localized flooding occurred along San Francisquito Creek, Upper Penitencia Creek, West Little Llagas Creek and Uvas Creek, agency officials said.\u003c/p>\n\u003cp>Uvas Reservoir spilled and is still spilling; spilling also has occurred in Almaden Reservoir. The County of Santa Clara issued evacuation warnings late Wednesday to community members residing in the watershed areas of the Uvas Reservoir and Pacheco Pass River Basin due to weather conditions and risks to the general public and property.\u003c/p>\n\u003ch2>Power outages\u003c/h2>\n\u003cp>As of around 7:45 p.m. Wednesday, more than \u003ca href=\"https://pgealerts.alerts.pge.com/outagecenter/\">96,000 PG&E customers were without power\u003c/a>. The greatest number of outages was on the Peninsula, with 41,189 customers in the dark, according to PG&E.\u003c/p>\n\u003cp>Another 13,861 customers were without power in the South Bay, along with 12,686 in the North Bay, 21,097 in the East Bay, and 6,722 in San Francisco.\u003c/p>\n\u003cp>\u003ca href=\"http://kqed.org/news/11936674/how-to-prepare-for-this-weeks-atmospheric-river-storm-sandbags-emergency-kits-and-more#poweroutages\">\u003cem>\u003cstrong>Check out our guide on how to be prepared for power outages.\u003c/strong>\u003c/em>\u003c/a>\u003c/p>\n\u003ch2>Road closures\u003c/h2>\n\u003cp>As of around 7:15 p.m., a fallen tree was blocking state Highway 1 in both directions in Bodega Bay, according to the California Highway Patrol.\u003c/p>\n\u003cp>The downed tree was reported at North Harbour Way and is blocking both the northbound and southbound lanes.\u003c/p>\n\u003cp>As of around 7 p.m. Wednesday, the \u003ca href=\"https://511.org/alerts/critical\">California Highway Patrol reported\u003c/a> landslides on CA Route 9 near Glengarry Road in Felton and on Route 84 at Mission Boulevard in Fremont, with traffic closed in both directions.\u003c/p>\n\u003cp>Downed wires closed Route 35 at Skeggs Point in San Mateo County and Route 116 at Route 121 in Sonoma County.\u003c/p>\n\u003cfigure id=\"attachment_11936994\" class=\"wp-caption alignright\" style=\"max-width: 800px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-medium wp-image-11936994\" src=\"https://ww2.kqed.org/app/uploads/sites/10/2023/01/E2081DCF-BC1D-480F-B27A-DBB7E0C45B3A-800x533.jpg\" alt=\"\" width=\"800\" height=\"533\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2023/01/E2081DCF-BC1D-480F-B27A-DBB7E0C45B3A-800x533.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/01/E2081DCF-BC1D-480F-B27A-DBB7E0C45B3A-1020x680.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/01/E2081DCF-BC1D-480F-B27A-DBB7E0C45B3A-160x107.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/01/E2081DCF-BC1D-480F-B27A-DBB7E0C45B3A.jpg 1478w\" sizes=\"auto, (max-width: 800px) 100vw, 800px\">\u003cfigcaption class=\"wp-caption-text\">Two cars are stuck in a flooded underpass at 34th and Webster streets in Oakland on Jan. 4, 2023. \u003ccite>(Beth LaBerge/KQED)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>Falling rocks, flooding and concerns about waterlogged soil and potential mudslides prompted Caltrans to close a portion of Highway 1 between Ragged Point in San Luis Obispo County and Deetjen’s Big Sur Inn in Monterey County.\u003c/p>\n\u003cp>The road was closed as of 5 p.m., and there was no estimated time for reopening. Caltrans officials said crews are monitoring water and debris falling from above the roadway at a location one mile south of Ragged Point.\u003c/p>\n\u003cp>\u003ca href=\"https://www.parks.ca.gov/?page_id=517\">Some roads at Mount Diablo State Park are closed\u003c/a> due to rockslides and erosion. North Gate, South Gate and Summit Roads will remain closed until further notice. The closure applies to all visitors including hikers, bicyclists and equestrians and those with campers and vehicles.\u003c/p>\n\u003cp>The Mitchell Canyon and Macedo Ranch entrances, backcountry trails and fire roads remain open, but visitors are asked to use caution and report trail issues to park staff.\u003c/p>\n\u003ch2>BART delays\u003c/h2>\n\u003cp>As of around 7:45 p.m., BART was reporting major systemwide delays due to wet weather conditions.\u003c/p>\n\u003cp>It was operating limited Green line service between Berryessa and Daly City. Passengers traveling from the San Francisco line can board a Dublin/Pleasanton train and transfer at Bayfair to a Berryessa train. Those traveling from the Berryessa line can board a Richmond train and transfer at Bayfair to a Daly City train.\u003c/p>\n\u003cp>There were also major delays between Concord and Pleasant Hill in the Antioch and SFO directions due to an obstruction on the track. And, BART was operating limited Red line service on the Richmond line in the Millbrae direction. Passengers traveling from Richmond can board a Berryessa train, transfer at MacArthur to an SFO train, then transfer to a Millbrae train at SFO.\u003c/p>\n\u003cp>More information can be found at \u003ca href=\"http://www.bart.gov\">www.bart.gov\u003c/a>.\u003c/p>\n\u003ch2>Russian River evacuation order\u003c/h2>\n\u003cp>The Sonoma County Sheriff’s Office issued evacuation orders Wednesday for residents living along the Russian River from Healdsburg to Jenner.\u003c/p>\n\u003cp>Forecasts for Wednesday and overnight into Thursday call for up to 5 inches of rain in the coastal hills and up to 4 inches in higher elevation inland areas. It’s expected that the river will crest at 33 feet by Thursday night and into the early hours on Friday.\u003c/p>\n\u003cp>The river is expected to recede below flood stage by Friday afternoon, but is forecasted to flood again at 40 feet on Sunday night and into Monday.\u003c/p>\n\u003cp>“For your safety, prepare to leave the areas below the 40-foot flood level along the Russian River,” the sheriff’s office said in an advisory. “Be sure to take essential items, such as medicines with you. If you live above the 40-foot level, your access may be reduced or eliminated due to flood waters.”\u003c/p>\n\u003cp>Additional information is available at \u003ca href=\"https://socoemergency.org/emergency/warnings-and-updates/\">www.socopsa.org\u003c/a>.\u003c/p>\n\u003ch2>Other evacuation orders\u003c/h2>\n\u003cp>Heavy rains, wind and runoff prompted an evacuation order earlier in the day for parts of Santa Cruz County, as did concerns about potential flooding, debris flow and other dangers in low-lying areas.\u003c/p>\n\u003cp>\u003ca href=\"https://twitter.com/AlamedaCoAlert/status/1610765768160907279\">Alameda County issued evacuation warnings\u003c/a> “due to the storms, saturated soils and current runoff” for residents on Kilkare Road, Palomares Road and Niles Canyon Road. And evacuation orders were issued for areas of Watsonville in Santa Cruz County, where Corralitos and Salsipuedes creeks were expected to rise above their banks, according to a statement from City Manager René Mendez.\u003c/p>\n\u003cp>Residents at 15 homes in the Seacliff development in Richmond had already evacuated Tuesday night and Wednesday after the hillside above them showed signs of mudslides.\u003c/p>\n\u003cp>A geologist was on-site at Seacliff Wednesday morning, as was a local contractor working to mitigate the damage, but there was no estimate for when the residents would be able to return home.\u003c/p>\n\u003cp>“It’s just a waiting game right now, with this atmospheric river coming in over the next few days,” said Richmond Police Sgt. Donald Patchin.\u003c/p>\n\u003cp>The storm, which began dumping rain Wednesday morning, has already closed several roads and prompted \u003ca href=\"https://aware.zonehaven.com/search?z=8.441138139187743&latlon=37.82682855490971%2C-122.0775452214562\">evacuation warnings and advisories in other parts of Santa Cruz and San Mateo counties\u003c/a>.\u003c/p>\n\u003cp>In Santa Cruz County, a temporary evacuation center was open at Pescadero High School in Pescadero, but as of Wednesday afternoon only a handful of evacuees had trickled in. Laurel Rodriguez-Mitton, an amateur radio emergency services volunteer, was getting ready for an expected increase in visitors later in the evening. The shelter is located inside the gym, where there are cots and tarps on the floor, along with water, snacks and other supplies.\u003c/p>\n\u003cp>“We’ve had a couple of visitors who got to help out, but nobody who needs to be here for hours on end,” Rodriquez-Mitton said. “We’re expecting probably more people coming in as the storm gets worse.”\u003c/p>\n\u003cp>Of particular concern in Santa Cruz County is Butano Canyon, where the CZU Lightning Complex fire scarred the mountainside in 2020, leaving the slopes vulnerable to mudslide, said Kathleen Moazed, president of the La Honda Fire Brigade.\u003c/p>\n\u003cp>“It’s very steep and hilly and wooded,” Moazed said, adding that there is only one road in and out. “I understand a number of people have already evacuated — a precautionary evacuation, just voluntary — in the past couple of days.”\u003c/p>\n\u003cp>\u003ca href=\"https://aware.zonehaven.com/search\">\u003cstrong>\u003cem>See a list of evacuation orders, warnings and advisories here.\u003c/em>\u003c/strong>\u003c/a>\u003c/p>\n\u003cp>Evacuation orders for multiple areas of Santa Cruz County were issued Wednesday afternoon as more rainfall hit the county, bringing higher flood risks. Evacuation orders in those areas are mandatory and the areas are closed to public access.\u003c/p>\n\u003cp>Additional locations that will see flooding include San Francisco, Santa Rosa, Richmond, Napa, Petaluma, San Rafael, Novato, Rohnert Park and Sebastopol, the National Weather Service said.\u003c/p>\n\u003ch2>State of emergency\u003c/h2>\n\u003cp>The evacuations follow a state of emergency issued Wednesday by the California Governor’s Office, along with the activation of the state’s Flood Operations Center. The center covers forecasting and reservoir operations coordination, and provides technical support and flood-fighting materials, such as sandbags, for local agencies.[pullquote align=\"right\" size=\"medium\" citation=\"Gov. Gavin Newsom\"]‘California is mobilizing to keep people safe from the impacts of the incoming storm. This state of emergency will allow the state to respond quickly as the storm develops and support local officials in their ongoing response.’[/pullquote]“California is mobilizing to keep people safe from the impacts of the incoming storm,” Gov. Gavin Newsom said in a statement. “This state of emergency will allow the state to respond quickly as the storm develops and support local officials in their ongoing response.”\u003c/p>\n\u003cp>The National Weather Service has forecast widespread flooding, along with washed-out roads, power outages, downed trees and the “likely loss of human life.”\u003c/p>\n\u003ch2>Flood watch\u003c/h2>\n\u003cp>Nearly all of Northern and Central California is under a flood watch and high-wind warning, and the agency took the unusual step of advising residents to prepare “go-bags” and insurance documentation in advance.\u003c/p>\n\u003cp>https://twitter.com/NWSBayArea/status/1610802122521735169\u003c/p>\n\u003ch2>Girding for the storm\u003c/h2>\n\u003cp>City officials across the region scrambled Wednesday to prepare for the latest storm, while also dealing with the aftereffects of another \u003ca href=\"https://www.kqed.org/news/11936581/please-stay-home-bay-area-sees-widespread-flooding-road-closures-and-evacuations\">massive deluge over New Year’s Eve\u003c/a>.\u003c/p>\n\u003cp>In East Palo Alto, workers on Wednesday built a 3-foot tarp wall and lined sandbags along the San Francisquito Creek, which overtopped a levee in the last storm and flooded apartments and garages.\u003c/p>\n\u003cp>East Palo Alto, like many Bay Area communities of color, has a long history of flooding. The creek serves as the dividing line between East Palo Alto and its affluent neighbors, Palo Alto and Menlo Park.\u003c/p>\n\u003cp>“The thing about the creek is that it’s a shared resource,” said East Palo Alto Vice Mayor Antonio López. “It’s a reminder [that] regardless of the different class, race or ZIP codes that we come from, we have this fault line that affects all of us.”\u003c/p>\n\u003cp>The city reserved 75 rooms at nearby hotels for people the floodwaters displace.\u003c/p>\n\u003cp>But Wednesday’s storm won’t be the end of the region’s wet weather. Residual flooding could extend into the weekend, along with additional storms lingering into next week.\u003c/p>\n\u003cp>\u003cem>Bay City News and KQED reporters Dana Cronin and Ezra David Romero contributed to this story. \u003c/em>\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>[ad floatright]\u003c/p>\n",
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"excerpt": "Lighter conditions on Thursday afternoon offered a respite to a hard-hit Bay Area reeling from the latest storm, but flooding and mudslide dangers, high-surf warnings and evacuation orders remained in some coastal areas.",
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"title": "Rain and Wind Ease Up in Bay Area but Huge Waves Batter Coast and Flooding, Power Outages Continue | KQED",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>\u003ci>This post will no longer be updated.\u003c/i>\u003c/p>\n\u003cp>\u003cstrong>Update, 12 p.m. Friday:\u003c/strong> The weather in Northern California was significantly calmer on Friday, offering a brief respite before two more atmospheric rivers slam the region this weekend and into next week.\u003c/p>\n\u003cp>As of Friday morning, evacuation and shelter-in-place orders \u003ca href=\"https://www.saccounty.gov/news/latest-news/Pages/Orders-Lift-as-Storm-Calms-Stay-Vigilant.aspx\">had been lifted in Sacramento County\u003c/a>. In \u003ca href=\"https://socoemergency.org/emergency/warnings-and-updates/\">Sonoma County, the evacuation warning was still in effect\u003c/a> for all residents living near the Russian River floodway and its tributaries from Healdsburg to Jenner, where the river is likely to flood in the coming days. \u003ca href=\"https://emergency.marincounty.org/\">Marin County issued a flood watch\u003c/a> from 4 a.m. Saturday to 4 p.m. Tuesday. Various \u003ca href=\"https://www.acpwa.org/about-us/roadclosure.page\">roads also remained closed throughout Alameda and\u003c/a> \u003ca href=\"https://www.contracosta.ca.gov/CivicAlerts.aspx?AID=2811\">Contra Costa counties\u003c/a>.\u003c/p>\n\u003cp>In coastal areas on Friday, wave heights were significantly lower than in previous days, although the surf remained dangerous along much of the coast. As of Friday afternoon, an \u003ca href=\"https://aware.zonehaven.com/zones/US-CA-XCZ-CTL-E051?z=13.023867033084587&latlon=36.9666360309846%2C-121.89697355280151\">evacuation order was lifted \u003c/a>for the low-lying areas of the Rio Del Mar Esplanade in Santa Cruz County, but \u003ca href=\"https://aware.zonehaven.com/zones/US-CA-XCZ-CTL-E028?z=14.196877408496562&latlon=36.97848333718905%2C-121.95149665432541\">an evacuation warning remained in effect\u003c/a> for low-lying residences in sections of nearby Capitola.\u003c/p>\n\u003cp>As of Friday morning, Pacific Gas and Electric had restored power to more than 200,000 customers, but said that tens of thousands of residents in its service area were still without power, including up to 17,000 customers in the Bay Area, according to reporting from Bay City News. The utility reportedly mobilized 3,000 workers and contractors to continue repair work before the next storm.\u003c/p>\n\u003cp>The recent succession of storms have helped with \u003ca href=\"https://droughtmonitor.unl.edu/CurrentMap/StateDroughtMonitor.aspx?West\">California’s drought conditions\u003c/a>, moving the state out of the “exceptional drought” category, but the precipitation won’t be nearly enough to officially end the four-year drought.\u003c/p>\n\u003cp>\u003cb>Update, 4 p.m. Thursday:\u003c/b> Pacific Gas and Electric on Thursday afternoon said about 440,000 customers across its vast service area — including a number of schools — lost power at some point on Wednesday or Thursday morning. Roughly 325,000 have had their power restored, and another 40,000 should be back online by late Thursday, the utility said.\u003c/p>\n\u003cp>Customers who still don’t have power after today could be in for a long wait, said Janisse Quiñones, PG&E’s senior vice president of electric operations.\u003c/p>\n\u003cp>“Because we don’t have access to many of the areas, or the conditions are really dangerous for our crews, trees are falling around them, we have flooding and soil movement when they are trying to restore our service,” Quiñones said in an afternoon press briefing. She noted that winds late Wednesday reached close to 100 mph in some higher-elevation service areas. “Right now our [helicopters] are grounded. The weather is preventing us from bringing any aerial equipment up in the air.”\u003c/p>\n\u003cp>Quiñones said there are 369 PG&E restoration crews currently out in the field, along with about 25 crews from other West Coast utilities providing mutual aid. But the succession of storms and the short windows of time between them have made restoration efforts challenging, she added.\u003c/p>\n\u003cp>“We have a series of storms coming in the system. We got hit on New Year’s [Eve] with a storm, we got hit yesterday with a storm, we’re expecting a storm Saturday, and another storm system Monday, which creates a very limited window of opening for restoration for our crews,” she said.\u003c/p>\n\u003cp>Quiñones urged anyone who sees a downed power line to first call 911 and then contact PG&E — and to never touch or get near it.\u003c/p>\n\u003cp>\u003cb>Update, 2:30 p.m. Thursday: \u003c/b>Authorities have released more information about a 2-year-old boy who was killed by a falling tree in the Sonoma County community of Occidental on Wednesday.\u003c/p>\n\u003cp>The boy was sitting in his living room around 5 p.m. when the tree fell and landed on top of the mobile home, pinning him underneath, sheriff’s Sgt. Juan Valencia told KQED.\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>The boy’s father and some neighbors had pulled the boy from under the tree by the time first responders arrived, Valencia said. They performed CPR and the child was pronounced dead at 5:48 p.m.\u003c/p>\n\u003cp>The boy was one of at least two people who died in Wednesday’s storm. Fairfield police said a 19-year-old woman was killed when her car hydroplaned on a wet road and struck a pole.\u003c/p>\n\u003cp>Meanwhile, authorities shuttered numerous roadways due to downed trees, power lines and other hazards.\u003c/p>\n\u003cp>A rockslide closed a stretch of Highway 1 between Stinson Beach and Muir Beach, Marin County said on Twitter. Further down the coast, a section of the coastal highway in Carmel was closed due to massive waves reaching the roadway, and another section south of Big Sur was closed because of falling rock.\u003c/p>\n\u003cblockquote class=\"twitter-tweet\" data-width=\"550\" data-dnt=\"true\">\n\u003cp lang=\"en\" dir=\"ltr\">Picture of slide on \u003ca href=\"https://twitter.com/hashtag/Hwy1?src=hash&ref_src=twsrc%5Etfw\">#Hwy1\u003c/a> from this morning at Polar Star, one mile south of Ragged Point. Contractor engaged to help clear. Full closure remains in place. Assessments ongoing. Continue to ask public to please keep out of the closure area which will permit crews to work safely. \u003ca href=\"https://t.co/9TmAebtqJn\">pic.twitter.com/9TmAebtqJn\u003c/a>\u003c/p>\n\u003cp>— Caltrans District 5 (@CaltransD5) \u003ca href=\"https://twitter.com/CaltransD5/status/1611101375353716737?ref_src=twsrc%5Etfw\">January 5, 2023\u003c/a>\u003c/p>\u003c/blockquote>\n\u003cp>\u003cscript async src=\"https://platform.twitter.com/widgets.js\" charset=\"utf-8\">\u003c/script>\u003c/p>\n\u003cp>A landslide also blocked a lane of northbound Highway 1 in Pacifica, just past Manor Drive, police said.\u003c/p>\n\u003cp>\u003cb>Update, 1 p.m. Thursday: \u003c/b>Santa Cruz County authorities lifted evacuation orders Thursday morning for potential flood areas as the worst of the storm has passed, but huge waves and high tides from the atmospheric river remained a threat to residents in coastal areas.\u003c/p>\n\u003cp>“If you can evacuate safely, please do so immediately. If you are unable to evacuate, please shelter in place, move away from ocean facing windows,” the county sheriff’s office said in a statement.\u003c/p>\n\u003cp>The National Weather Service warned of dangerous swimming and surfing conditions as 20- to 30-foot-high waves hit the central California coastline. The waves broke apart two piers in Santa Cruz County, and flooded the picture-postcard town of Capitola. Dramatic eyewitness videos show water thrashing against waterfront restaurants and businesses.\u003c/p>\n\u003cblockquote class=\"twitter-tweet\" data-width=\"550\" data-dnt=\"true\">\n\u003cp lang=\"en\" dir=\"ltr\">Capitola Beach and Pier are under siege with tide and surf still rising. \u003ca href=\"https://t.co/89b1CAGfg6\">pic.twitter.com/89b1CAGfg6\u003c/a>\u003c/p>\n\u003cp>— sports business (@soulfocussports) \u003ca href=\"https://twitter.com/soulfocussports/status/1611025441808330756?ref_src=twsrc%5Etfw\">January 5, 2023\u003c/a>\u003c/p>\u003c/blockquote>\n\u003cp>\u003cscript async src=\"https://platform.twitter.com/widgets.js\" charset=\"utf-8\">\u003c/script>\u003c/p>\n\u003cp>Nearby, the California Highway Patrol urged people to avoid coming to Seacliff State Beach in Aptos because of coastal flooding. An old concrete ship broke away from the beach’s pier.\u003c/p>\n\u003cp>In low-lying areas of Marin County, a combination of the rain and tides flooded some roadways. Authorities closed Miller Avenue, a major thoroughfare, and urged drivers to slow down and avoid large bodies of standing water.\u003c/p>\n\u003cp>Meanwhile, forecasters dialed back flood predictions for the Russian River in Sonoma County. The National Weather Service previously projected the area could become inundated by Thursday afternoon, potentially causing minor flooding in Guerneville, Monte Rio and other parts of the popular vacation getaway.\u003c/p>\n\u003cp>The river is now forecast to \u003ca href=\"https://cnrfc.noaa.gov/graphicalRVF.php?id=GUEC1\">reach flood stage on Sunday afternoon\u003c/a>.\u003c/p>\n\u003cp>\u003cstrong>Update, 11 a.m. Thursday: \u003c/strong>Forecasters said lighter rain and isolated thunderstorms are expected to pass through the Bay Area the rest of Thursday, giving residents a bit of a break to clean up and assess damages before another storm arrives Saturday.\u003c/p>\n\u003cp>A flood watch remains in effect until 4 p.m. because additional rainfall to an already soaked region could lead to rapid rises along creeks, streams and flood-prone areas, the National Weather Service said.\u003c/p>\n\u003cp>“We’re not done with the water just yet,” said Brayden Murdock, a meteorologist with the weather service’s Bay Area office. “With our next pattern coming through, it’s going to be almost daily where we see some wet conditions. Luckily not seeing the rainfall amounts like we saw with the main rainband last night, but still we’re not done with this wet pattern.”\u003c/p>\n\u003cp>In the South Bay, gusty winds and towering waves split the Capitola wharf in half and flooded the Santa Cruz County seaside town. The waves also breached the seawall in Pacifica and prompted the weather service to issue a high surf warning until 3 a.m. Friday, urging beachgoers to stay off jetties and coastal rocks and stay out of the surf zone. Beaches could be hit by up to 30-foot waves.\u003c/p>\n\u003cblockquote class=\"twitter-tweet\" data-width=\"550\" data-dnt=\"true\">\n\u003cp lang=\"en\" dir=\"ltr\">The storm has caused significant damage throughout the county and along the coast, including heavy damage to piers in Capitola and Seacliff. High tide and large surf is a dangerous combination - avoid the coast. \u003ca href=\"https://t.co/XiyuJBQUFB\">pic.twitter.com/XiyuJBQUFB\u003c/a>\u003c/p>\n\u003cp>— Santa Cruz County (@sccounty) \u003ca href=\"https://twitter.com/sccounty/status/1611050779439419394?ref_src=twsrc%5Etfw\">January 5, 2023\u003c/a>\u003c/p>\u003c/blockquote>\n\u003cp>\u003cscript async src=\"https://platform.twitter.com/widgets.js\" charset=\"utf-8\">\u003c/script>\u003c/p>\n\u003cp>The latest in a series of atmospheric rivers slammed into the Bay Area late Wednesday, causing widespread flooding and power outages affecting nearly \u003ca href=\"https://pgealerts.alerts.pge.com/outagecenter/\">145,000 Pacific Gas and Electric customers\u003c/a>. The weather contributed to at least two deaths: a toddler who was killed after a tree fell onto a house in the Sonoma County town of Occidental, and a Fairfield woman whose car hydroplaned on a wet road and slammed into a pole.\u003c/p>\n\u003cp>In San Francisco, a family was rescued by firefighters Wednesday evening when a tree fell onto their car on Larkin Street. Near the zoo, another tree fell onto a person who had to be rushed to a trauma center in stable condition, the city’s Fire Department tweeted.\u003c/p>\n\u003cp>Firefighters responded to dozens of calls about downed trees and power lines. Winds gusting to 85 mph forced the cancellation of more than 70 flights at San Francisco International Airport.\u003c/p>\n\u003cp>Nearby in South San Francisco, the winds knocked over the roof of a Valero gas station’s canopy, damaging at least one fueling station. The city \u003ca href=\"https://www.ssf.net/home/showpublisheddocument/28668/638085077593622620\">opened a temporary evacuation center\u003c/a> for the more than 3,000 residents who were without power Thursday morning.\u003c/p>\n\u003cp>\u003cb>Update, 8:30 a.m. Thursday: \u003c/b>Heavy rain and damaging winds from the “bomb cyclone” knocked down trees, flooded roads and cut power to tens of thousands of homes and businesses as of Thursday morning, and contributed to the deaths of at least two people.\u003c/p>\n\u003cp>\u003ca href=\"https://www.pressdemocrat.com/article/news/toddler-dies-after-tree-lands-on-occidental-home/?ref=moststory\">A toddler was killed Wednesday night\u003c/a> after a tree fell and landed on a house in the Sonoma County town of Occidental, volunteer firefighters there told local media. In Fairfield, \u003ca href=\"https://www.facebook.com/FairfieldPolice\">a 19-year-old woman was killed \u003c/a>after she lost control of her vehicle on a flooded road and slammed into a utility pole, police said.\u003c/p>\n\u003cp>The storm dropped heavy rain in parts of the Bay Area. \u003ca href=\"https://forecast.weather.gov/product.php?site=mtr&issuedby=MTR&product=RR6\">A preliminary rainfall report \u003c/a>from the National Weather Service estimates that as much as 4 to 5 inches of rain fell over a 24-hour period in the mountains south of Monterey, while most of the rest of the region received 1 to 2 inches.\u003c/p>\n\u003cp>But any additional rain to areas already soaked by multiple storms since Christmas is prompting fears of mudslides, flooding and downed power lines and trees. California issued a state of emergency to support response to the storm and recovery efforts.\u003c/p>\n\u003cp>Nearly \u003ca href=\"https://poweroutage.us/area/state/california\">170,000 homes and businesses were without power in California Thursday morning\u003c/a>, according to poweroutage.us.\u003c/p>\n\u003cblockquote class=\"twitter-tweet\" data-width=\"550\" data-dnt=\"true\">\n\u003cp lang=\"en\" dir=\"ltr\">Radar Update 6:52 AM - Don't put away those umbrellas yet. Here's a radar loop over the last hour showing showers. Some showers may be heavy at times. Allow extra time for the commute. For the rest of today showers and even thunderstorms are still possible. \u003ca href=\"https://twitter.com/hashtag/cawx?src=hash&ref_src=twsrc%5Etfw\">#cawx\u003c/a> \u003ca href=\"https://t.co/WUq7TQGMDX\">pic.twitter.com/WUq7TQGMDX\u003c/a>\u003c/p>\n\u003cp>— NWS Bay Area (@NWSBayArea) \u003ca href=\"https://twitter.com/NWSBayArea/status/1611012763979231232?ref_src=twsrc%5Etfw\">January 5, 2023\u003c/a>\u003c/p>\u003c/blockquote>\n\u003cp>\u003cscript async src=\"https://platform.twitter.com/widgets.js\" charset=\"utf-8\">\u003c/script>\u003c/p>\n\u003cp>\u003cb>Original story, 8:45 p.m. Wednesday: \u003c/b>Gusting \u003ca href=\"https://twitter.com/NWSBayArea/status/1610799458618609666\">winds of up to 85 mph\u003c/a> in parts of the Bay Area bore down on the region Wednesday afternoon, and the \u003ca href=\"https://twitter.com/NWSBayArea/status/1610779204517498881\">heaviest rainfall of the “bomb cyclone” hit \u003c/a>in the early evening, with heavy rain and winds to continue into Thursday.\u003c/p>\n\u003cp>The storm prompted evacuation warnings, triggered landslides, closed roads and downed trees. But the morning rain totals were less than predicted, with about a half-inch falling in San Francisco, said Mary Ellen Carroll, executive director of San Francisco’s Department of Emergency Management.\u003c/p>\n\u003cp>“It has been a quiet day … until about an hour ago,” Carroll said as winds and rainfall picked up in the late afternoon. “The storm we have all been waiting for is here.”\u003c/p>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\n\u003cp>She pleaded with residents to avoid calling 911, except for life-threatening emergencies, especially as rain totals continued to rise throughout the evening.\u003c/p>\n\u003cp>“911 is extremely busy right now,” she said. “For storm-related issues, that are not life-safety, please use 311. That is the fastest way for us to get the information and dispatch a response.”\u003c/p>\n\u003ch2>Warming centers open\u003c/h2>\n\u003cp>Warming centers and emergency shelters were open across the Bay Area for unhoused residents and those displaced by the storm.\u003c/p>\n\u003cp>In Santa Clara County, the Valley Transportation Authority is offering free rides to warming centers through Friday, Jan. 6. \u003ca href=\"https://emergencymanagement.sccgov.org/residents/cold-weather-safety\">A list of centers in Santa Clara County can be found here.\u003c/a>\u003c/p>\n\u003cp>The Red Cross also posted locations it manages or supports throughout the Bay Area.\u003c/p>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\n\u003cp>In San Francisco, the Department of Homelessness and Supportive Housing is collaborating with various nonprofits to provide outreach services and shelter on a first-come, first-served basis at four locations through next week. \u003ca href=\"https://hsh.sfgov.org/services/how-to-get-services/accessing-temporary-shelter/\">A list of those SF locations can be found here.\u003c/a>\u003c/p>\n\u003cp>San Francisco residents experiencing homelessness and in need of support are encouraged to contact the Homeless Outreach Team dispatch line at (628) 652-8000.\u003c/p>\n\u003cp>In the East Bay, a number of warming centers and shelters are now open. Hayward secured additional hotel rooms and is prepared to open an emergency shelter at the Matt Jimenez Community Center in South Hayward for residents without housing or for those forced from home during rainstorms this week.\u003c/p>\n\u003cp>Community members living unsheltered or displaced due to flooding and other storm effects — or aware of someone in need of assistance — may contact the City of Hayward Emergency Operations Center at (510) 583-2182.\u003c/p>\n\u003cp>Oakland is partnering with its year-round shelter at St. Vincent de Paul, located at 675 23rd Street in West Oakland, to double their bed capacity to serve up to 100 people through Friday morning. Shelter beds can be secured through referral, reservation and walk-up on a first-come, first-served basis. People seeking shelter can contact St. Vincent de Paul directly at (510) 638-7600.\u003c/p>\n\u003cp>Oakland also is opening an additional emergency shelter at the Ira Jinkins Center at 9175 Edes Ave., near the Coliseum. This site will be able to accommodate all ages and families, and Oakland Animal Services will provide overnight shelter for pets. This shelter is currently anticipated to be open by 5:30 p.m. Wednesday and will remain open until noon on Friday and can shelter up to 75 people. No referrals are needed.\u003c/p>\n\u003cfigure id=\"attachment_11936995\" class=\"wp-caption alignright\" style=\"max-width: 800px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-medium wp-image-11936995\" src=\"https://ww2.kqed.org/app/uploads/sites/10/2023/01/B45F2848-0627-4A90-85AA-68FEAAB98F36-800x534.jpg\" alt=\"\" width=\"800\" height=\"534\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2023/01/B45F2848-0627-4A90-85AA-68FEAAB98F36-800x534.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/01/B45F2848-0627-4A90-85AA-68FEAAB98F36-1020x680.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/01/B45F2848-0627-4A90-85AA-68FEAAB98F36-160x107.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/01/B45F2848-0627-4A90-85AA-68FEAAB98F36.jpg 1384w\" sizes=\"auto, (max-width: 800px) 100vw, 800px\">\u003cfigcaption class=\"wp-caption-text\">Members of the San José Conservation Corps pile sandbags along the San Francisquito Creek in East Palo Alto on Jan. 4, 2023. \u003ccite>(Beth LaBerge/KQED)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>Fremont opened an emergency storm shelter for Wednesday through Friday at the Washington High School gymnasium, located at 38442 Fremont Boulevard. The shelter can accommodate pets. Warm meals, face masks and beverages will be provided. Winter supplies also are available while they last.\u003c/p>\n\u003cp>In the North Bay, Marin County and Santa Rosa both have opened emergency shelters and warming centers.\u003c/p>\n\u003cp>An emergency shelter at 3240 Kerner Boulevard in San Rafael will open from 5 p.m. on Wednesday until 6:30 a.m. Thursday. A warming center will be open at that location on Thursday from 9 a.m.–3 p.m.\u003c/p>\n\u003cp>And, in downtown Santa Rosa, a temporary warming center will be available Wednesday night at the Catholic Charities Caritas Center, at 301 6th Street, Suite 108. The center is a place to drop in and warm up, charge devices and get out of the storm, the city said. It is not a shelter, and no cots for sleeping will be available. Those seeking a place to sleep will be provided with a referral, officials said.\u003c/p>\n\u003ch2>Road fatality\u003c/h2>\n\u003cp>A \u003ca href=\"https://nixle.us/E6ZAH\">traffic fatality was reported in Fairfield\u003c/a> Wednesday morning when, according to investigators and witness statements, a 19-year-old driver collided with a utility pole after entering the partially flooded Vanden Road at One Lake. The vehicle hydroplaned, causing the driver to lose control of the vehicle. The victim’s name was not released by the Fairfield Police Department.\u003c/p>\n\u003ch2>Thunderstorm warning for Inverness\u003c/h2>\n\u003cp>A \u003ca href=\"https://twitter.com/NWSBayArea/status/1610861507532967936\">severe thunderstorm warning\u003c/a> was in effect for Inverness and Point Reyes Station until 9:30 p.m., according to the National Weather Service.\u003c/p>\n\u003cp>Winds of up to 60 mph were expected, along with hail.\u003c/p>\n\u003ch2>School closures in Sonoma County\u003c/h2>\n\u003cp>Officials in Sonoma County said Wednesday that some districts and school sites would be closed Thursday, Jan. 5, due to flooding, fallen trees, lack of electricity and other concerns related to the storm. \u003ca href=\"https://www.scoe.org/pub/htdocs/storm-update.html\">A full list of the affected schools in Sonoma County can be found here.\u003c/a>\u003c/p>\n\u003ch2>SFPW out of sandbags\u003c/h2>\n\u003cp>As of around 7 p.m., officials from San Francisco’s Department of Public Works said they were shutting down sandbag distribution for the day.\u003c/p>\n\u003cp>The department ran out of sandbags around 6 p.m., after giving away more than 3,400 bags. They were expecting another delivery Wednesday evening, but did not have an estimated arrival time.\u003c/p>\n\u003cp>They plan to reopen sandbag distribution around 6 a.m. on Thursday with a limited supply and will provide updates about any newly arrived supply.\u003c/p>\n\u003ch2>Flash flood warnings\u003c/h2>\n\u003cp>The National Weather Service issued flash flood warnings Wednesday for southwestern Monterey County and northwestern San Benito County.\u003c/p>\n\u003cp>As of around 8 p.m., dam operators \u003ca href=\"https://forecast.weather.gov/wwamap/wwatxtget.php?cwa=MTR&wwa=flash%20flood%20warning\">reported a spillway had been compromised\u003c/a> and that water could overtop the spillway by Thursday morning. The weather service warned that flash flooding may occur immediately downstream, near Lovers Lane, with increased water flows into Pacheco Creek also likely.\u003c/p>\n\u003cp>In Monterey County, doppler radar around 6 p.m. indicated between a quarter- and a half-inch of rain had already fallen, with another half-inch to one-and-a-quarter inches of rain within the next hour. \u003ca href=\"https://inws.ncep.noaa.gov/a/a.php?i=78320965\">Flash flooding was expected\u003c/a> to be ongoing or to begin shortly.\u003c/p>\n\u003cp>“Excessive rainfall over the burn area will result in debris flow moving through the Colorado and Dolan burn areas,” weather officials said in an advisory. “The debris flow can consist of rock, mud, vegetation and other loose materials.”\u003c/p>\n\u003ch2>Jurisdictions proclaim emergency status\u003c/h2>\n\u003cp>\u003ca href=\"https://www.sanjoseca.gov/news-stories/news/emergency-notifications\">San José\u003c/a>, \u003ca href=\"https://www.lovelafayette.org/Home/Components/News/News/9844/18?backlist=%2f\">Lafayette\u003c/a>, \u003ca href=\"https://www.oaklandca.gov/news/2023/city-of-oakland-declares-a-local-state-of-emergency-and-continues-to-provide-resources-to-community-members-impacted-by-the-winter-storm\">Oakland\u003c/a>, \u003ca href=\"https://www.livermoreca.gov/Home/Components/News/News/664/3774\">Livermore\u003c/a>, Santa Clara County and \u003ca href=\"https://sonomacounty.ca.gov/sonoma-county-opens-emergency-operations-center-in-response-to-storms-and-possible-flooding-issues-public-safety-advisory\">Sonoma County\u003c/a> all declared a state of emergency Wednesday in response to the storm.\u003c/p>\n\u003cp>The declarations allow the jurisdictions greater flexibility in contracting and procuring supplies to respond to the storm.\u003c/p>\n\u003ch2>First responders rescue SF family\u003c/h2>\n\u003cp>San Francisco police officers rescued a family trapped in a car that was hit by a falling tree, said San Francisco Fire Department spokesperson Jonathan Baxter.\u003c/p>\n\u003cp>The family, including two adults and one child, were driving near the intersection of Larkin and Grove streets around 6 p.m. Police officers arrived on the scene first and were able to extract the car’s occupants. Firefighters were then able to remove the tree.\u003c/p>\n\u003cp>The family suffered only minor injuries, and Baxter said, “Miraculously, the car only sustained minor damage.”\u003c/p>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\n\u003ch2>Countywide flood emergency\u003c/h2>\n\u003cp>Santa Clara Valley Water District CEO Rick Callender signed a countywide flood emergency Wednesday, which allows the water agency to take immediate action to protect public life and property from flooding and high winds.\u003c/p>\n\u003cp>Localized flooding occurred along San Francisquito Creek, Upper Penitencia Creek, West Little Llagas Creek and Uvas Creek, agency officials said.\u003c/p>\n\u003cp>Uvas Reservoir spilled and is still spilling; spilling also has occurred in Almaden Reservoir. The County of Santa Clara issued evacuation warnings late Wednesday to community members residing in the watershed areas of the Uvas Reservoir and Pacheco Pass River Basin due to weather conditions and risks to the general public and property.\u003c/p>\n\u003ch2>Power outages\u003c/h2>\n\u003cp>As of around 7:45 p.m. Wednesday, more than \u003ca href=\"https://pgealerts.alerts.pge.com/outagecenter/\">96,000 PG&E customers were without power\u003c/a>. The greatest number of outages was on the Peninsula, with 41,189 customers in the dark, according to PG&E.\u003c/p>\n\u003cp>Another 13,861 customers were without power in the South Bay, along with 12,686 in the North Bay, 21,097 in the East Bay, and 6,722 in San Francisco.\u003c/p>\n\u003cp>\u003ca href=\"http://kqed.org/news/11936674/how-to-prepare-for-this-weeks-atmospheric-river-storm-sandbags-emergency-kits-and-more#poweroutages\">\u003cem>\u003cstrong>Check out our guide on how to be prepared for power outages.\u003c/strong>\u003c/em>\u003c/a>\u003c/p>\n\u003ch2>Road closures\u003c/h2>\n\u003cp>As of around 7:15 p.m., a fallen tree was blocking state Highway 1 in both directions in Bodega Bay, according to the California Highway Patrol.\u003c/p>\n\u003cp>The downed tree was reported at North Harbour Way and is blocking both the northbound and southbound lanes.\u003c/p>\n\u003cp>As of around 7 p.m. Wednesday, the \u003ca href=\"https://511.org/alerts/critical\">California Highway Patrol reported\u003c/a> landslides on CA Route 9 near Glengarry Road in Felton and on Route 84 at Mission Boulevard in Fremont, with traffic closed in both directions.\u003c/p>\n\u003cp>Downed wires closed Route 35 at Skeggs Point in San Mateo County and Route 116 at Route 121 in Sonoma County.\u003c/p>\n\u003cfigure id=\"attachment_11936994\" class=\"wp-caption alignright\" style=\"max-width: 800px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-medium wp-image-11936994\" src=\"https://ww2.kqed.org/app/uploads/sites/10/2023/01/E2081DCF-BC1D-480F-B27A-DBB7E0C45B3A-800x533.jpg\" alt=\"\" width=\"800\" height=\"533\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2023/01/E2081DCF-BC1D-480F-B27A-DBB7E0C45B3A-800x533.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/01/E2081DCF-BC1D-480F-B27A-DBB7E0C45B3A-1020x680.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/01/E2081DCF-BC1D-480F-B27A-DBB7E0C45B3A-160x107.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/01/E2081DCF-BC1D-480F-B27A-DBB7E0C45B3A.jpg 1478w\" sizes=\"auto, (max-width: 800px) 100vw, 800px\">\u003cfigcaption class=\"wp-caption-text\">Two cars are stuck in a flooded underpass at 34th and Webster streets in Oakland on Jan. 4, 2023. \u003ccite>(Beth LaBerge/KQED)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>Falling rocks, flooding and concerns about waterlogged soil and potential mudslides prompted Caltrans to close a portion of Highway 1 between Ragged Point in San Luis Obispo County and Deetjen’s Big Sur Inn in Monterey County.\u003c/p>\n\u003cp>The road was closed as of 5 p.m., and there was no estimated time for reopening. Caltrans officials said crews are monitoring water and debris falling from above the roadway at a location one mile south of Ragged Point.\u003c/p>\n\u003cp>\u003ca href=\"https://www.parks.ca.gov/?page_id=517\">Some roads at Mount Diablo State Park are closed\u003c/a> due to rockslides and erosion. North Gate, South Gate and Summit Roads will remain closed until further notice. The closure applies to all visitors including hikers, bicyclists and equestrians and those with campers and vehicles.\u003c/p>\n\u003cp>The Mitchell Canyon and Macedo Ranch entrances, backcountry trails and fire roads remain open, but visitors are asked to use caution and report trail issues to park staff.\u003c/p>\n\u003ch2>BART delays\u003c/h2>\n\u003cp>As of around 7:45 p.m., BART was reporting major systemwide delays due to wet weather conditions.\u003c/p>\n\u003cp>It was operating limited Green line service between Berryessa and Daly City. Passengers traveling from the San Francisco line can board a Dublin/Pleasanton train and transfer at Bayfair to a Berryessa train. Those traveling from the Berryessa line can board a Richmond train and transfer at Bayfair to a Daly City train.\u003c/p>\n\u003cp>There were also major delays between Concord and Pleasant Hill in the Antioch and SFO directions due to an obstruction on the track. And, BART was operating limited Red line service on the Richmond line in the Millbrae direction. Passengers traveling from Richmond can board a Berryessa train, transfer at MacArthur to an SFO train, then transfer to a Millbrae train at SFO.\u003c/p>\n\u003cp>More information can be found at \u003ca href=\"http://www.bart.gov\">www.bart.gov\u003c/a>.\u003c/p>\n\u003ch2>Russian River evacuation order\u003c/h2>\n\u003cp>The Sonoma County Sheriff’s Office issued evacuation orders Wednesday for residents living along the Russian River from Healdsburg to Jenner.\u003c/p>\n\u003cp>Forecasts for Wednesday and overnight into Thursday call for up to 5 inches of rain in the coastal hills and up to 4 inches in higher elevation inland areas. It’s expected that the river will crest at 33 feet by Thursday night and into the early hours on Friday.\u003c/p>\n\u003cp>The river is expected to recede below flood stage by Friday afternoon, but is forecasted to flood again at 40 feet on Sunday night and into Monday.\u003c/p>\n\u003cp>“For your safety, prepare to leave the areas below the 40-foot flood level along the Russian River,” the sheriff’s office said in an advisory. “Be sure to take essential items, such as medicines with you. If you live above the 40-foot level, your access may be reduced or eliminated due to flood waters.”\u003c/p>\n\u003cp>Additional information is available at \u003ca href=\"https://socoemergency.org/emergency/warnings-and-updates/\">www.socopsa.org\u003c/a>.\u003c/p>\n\u003ch2>Other evacuation orders\u003c/h2>\n\u003cp>Heavy rains, wind and runoff prompted an evacuation order earlier in the day for parts of Santa Cruz County, as did concerns about potential flooding, debris flow and other dangers in low-lying areas.\u003c/p>\n\u003cp>\u003ca href=\"https://twitter.com/AlamedaCoAlert/status/1610765768160907279\">Alameda County issued evacuation warnings\u003c/a> “due to the storms, saturated soils and current runoff” for residents on Kilkare Road, Palomares Road and Niles Canyon Road. And evacuation orders were issued for areas of Watsonville in Santa Cruz County, where Corralitos and Salsipuedes creeks were expected to rise above their banks, according to a statement from City Manager René Mendez.\u003c/p>\n\u003cp>Residents at 15 homes in the Seacliff development in Richmond had already evacuated Tuesday night and Wednesday after the hillside above them showed signs of mudslides.\u003c/p>\n\u003cp>A geologist was on-site at Seacliff Wednesday morning, as was a local contractor working to mitigate the damage, but there was no estimate for when the residents would be able to return home.\u003c/p>\n\u003cp>“It’s just a waiting game right now, with this atmospheric river coming in over the next few days,” said Richmond Police Sgt. Donald Patchin.\u003c/p>\n\u003cp>The storm, which began dumping rain Wednesday morning, has already closed several roads and prompted \u003ca href=\"https://aware.zonehaven.com/search?z=8.441138139187743&latlon=37.82682855490971%2C-122.0775452214562\">evacuation warnings and advisories in other parts of Santa Cruz and San Mateo counties\u003c/a>.\u003c/p>\n\u003cp>In Santa Cruz County, a temporary evacuation center was open at Pescadero High School in Pescadero, but as of Wednesday afternoon only a handful of evacuees had trickled in. Laurel Rodriguez-Mitton, an amateur radio emergency services volunteer, was getting ready for an expected increase in visitors later in the evening. The shelter is located inside the gym, where there are cots and tarps on the floor, along with water, snacks and other supplies.\u003c/p>\n\u003cp>“We’ve had a couple of visitors who got to help out, but nobody who needs to be here for hours on end,” Rodriquez-Mitton said. “We’re expecting probably more people coming in as the storm gets worse.”\u003c/p>\n\u003cp>Of particular concern in Santa Cruz County is Butano Canyon, where the CZU Lightning Complex fire scarred the mountainside in 2020, leaving the slopes vulnerable to mudslide, said Kathleen Moazed, president of the La Honda Fire Brigade.\u003c/p>\n\u003cp>“It’s very steep and hilly and wooded,” Moazed said, adding that there is only one road in and out. “I understand a number of people have already evacuated — a precautionary evacuation, just voluntary — in the past couple of days.”\u003c/p>\n\u003cp>\u003ca href=\"https://aware.zonehaven.com/search\">\u003cstrong>\u003cem>See a list of evacuation orders, warnings and advisories here.\u003c/em>\u003c/strong>\u003c/a>\u003c/p>\n\u003cp>Evacuation orders for multiple areas of Santa Cruz County were issued Wednesday afternoon as more rainfall hit the county, bringing higher flood risks. Evacuation orders in those areas are mandatory and the areas are closed to public access.\u003c/p>\n\u003cp>Additional locations that will see flooding include San Francisco, Santa Rosa, Richmond, Napa, Petaluma, San Rafael, Novato, Rohnert Park and Sebastopol, the National Weather Service said.\u003c/p>\n\u003ch2>State of emergency\u003c/h2>\n\u003cp>The evacuations follow a state of emergency issued Wednesday by the California Governor’s Office, along with the activation of the state’s Flood Operations Center. The center covers forecasting and reservoir operations coordination, and provides technical support and flood-fighting materials, such as sandbags, for local agencies.\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>“California is mobilizing to keep people safe from the impacts of the incoming storm,” Gov. Gavin Newsom said in a statement. “This state of emergency will allow the state to respond quickly as the storm develops and support local officials in their ongoing response.”\u003c/p>\n\u003cp>The National Weather Service has forecast widespread flooding, along with washed-out roads, power outages, downed trees and the “likely loss of human life.”\u003c/p>\n\u003ch2>Flood watch\u003c/h2>\n\u003cp>Nearly all of Northern and Central California is under a flood watch and high-wind warning, and the agency took the unusual step of advising residents to prepare “go-bags” and insurance documentation in advance.\u003c/p>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\n\u003ch2>Girding for the storm\u003c/h2>\n\u003cp>City officials across the region scrambled Wednesday to prepare for the latest storm, while also dealing with the aftereffects of another \u003ca href=\"https://www.kqed.org/news/11936581/please-stay-home-bay-area-sees-widespread-flooding-road-closures-and-evacuations\">massive deluge over New Year’s Eve\u003c/a>.\u003c/p>\n\u003cp>In East Palo Alto, workers on Wednesday built a 3-foot tarp wall and lined sandbags along the San Francisquito Creek, which overtopped a levee in the last storm and flooded apartments and garages.\u003c/p>\n\u003cp>East Palo Alto, like many Bay Area communities of color, has a long history of flooding. The creek serves as the dividing line between East Palo Alto and its affluent neighbors, Palo Alto and Menlo Park.\u003c/p>\n\u003cp>“The thing about the creek is that it’s a shared resource,” said East Palo Alto Vice Mayor Antonio López. “It’s a reminder [that] regardless of the different class, race or ZIP codes that we come from, we have this fault line that affects all of us.”\u003c/p>\n\u003cp>The city reserved 75 rooms at nearby hotels for people the floodwaters displace.\u003c/p>\n\u003cp>But Wednesday’s storm won’t be the end of the region’s wet weather. Residual flooding could extend into the weekend, along with additional storms lingering into next week.\u003c/p>\n\u003cp>\u003cem>Bay City News and KQED reporters Dana Cronin and Ezra David Romero contributed to this story. \u003c/em>\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cp>A week after a student discharged a gun on campus at Madison Park Academy in Oakland’s Sobrante Park neighborhood on Aug. 29, 2022, it wasn’t just the adults who were on edge.\u003c/p>\n\u003cp>“It was fifth period at the time, and I just started about 10 minutes in and we heard over the intercom the principal, ‘It’s on lockdown! The school’s on lockdown,’” senior Habeeb Tiamiyu recalled. “You could really tell it’s serious because of the tone of her voice.”\u003c/p>\n\u003cp>“Everyone started to panic because we don’t know what’s going on out there,” said senior Laila Goodman, who began texting her mom from inside the school.[pullquote align=\"right\" size=\"medium\" citation=\"Robin Noel Morales, mental health therapist\"]‘If you are open and pretty brave and courageous and kids can trust you, and then you come with real information that feels like it is necessary and needed, and you are consistent and put some time in, then it is a recipe we know works.’[/pullquote]These high school students, who are part of the Madison Park Academy Mentoring Program, wanted to step in and help their younger peers. Their program’s goal is to help create positivity inside the school located in one of the city’s neighborhoods most affected by systemic racism.\u003c/p>\n\u003cp>The campus, which is a combined middle and high school, had gone into lockdown for hours. The shooting had happened during lunch period in the middle school part of campus, when a 12-year-old accidentally shot a 13-year-old, who was hospitalized and survived.\u003c/p>\n\u003cp>“I didn’t know whether we were going to make it out,” Laila said. “I hated thinking like that, but it’s the first thing that came to mind.”\u003c/p>\n\u003cp>She and her peers would take on a leadership role in the following days. Some mentors, like them, were already in their second year of being trained through the mentorship program, and though the shooting was scary and disturbing, they began to rely on their training as they looked for ways to respond.\u003c/p>\n\u003ch2>How trauma intervention happens\u003c/h2>\n\u003cp>In the following days, the mentorship class began having its own discussion about whether it would help, or hurt, for them to try to speak with the middle schoolers.\u003c/p>\n\u003cp>“So I feel like this isn’t a type of situation that we can just put behind us because it was intense,” said London Edwards, a senior.\u003c/p>\n\u003cp>The mentors decided to write a script and practiced it. Once they were ready, 37 peer-to-peer mentors, accompanied by an adult staffer, fanned out in teams of four across nearly a dozen classrooms to talk with middle school students about coping strategies for trauma.\u003c/p>\n\u003cp>Some of the sessions were led by the school’s “language navigators,” who spoke Spanish and met with English language learner classes.\u003c/p>\n\u003cfigure id=\"attachment_11936105\" class=\"wp-caption alignnone\" style=\"max-width: 1920px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-11936105\" src=\"https://ww2.kqed.org/app/uploads/sites/10/2022/12/RS59021_KQED_MentorProgram_013-qut.jpg\" alt=\"Five students sit side by side, a Black boy, two Black girls, a Latina girl, and a Latino boy.\" width=\"1920\" height=\"1281\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2022/12/RS59021_KQED_MentorProgram_013-qut.jpg 1920w, https://cdn.kqed.org/wp-content/uploads/sites/10/2022/12/RS59021_KQED_MentorProgram_013-qut-800x534.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2022/12/RS59021_KQED_MentorProgram_013-qut-1020x681.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2022/12/RS59021_KQED_MentorProgram_013-qut-160x107.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2022/12/RS59021_KQED_MentorProgram_013-qut-1536x1025.jpg 1536w\" sizes=\"(max-width: 1920px) 100vw, 1920px\">\u003cfigcaption class=\"wp-caption-text\">Peer-to-peer mentor program 12th grade mentors (from left) Habeeb Tiamiyu, London Edwards, Laila Goodman, Xiomara Armenta and Dany Santos sit for a portrait at Madison Park Academy in Oakland on Monday, Oct. 3, 2022. \u003ccite>(Marlena Sloss/KQED)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>In a packed classroom of fidgety eighth graders, London stood up at the board, script in hand.\u003c/p>\n\u003cp>“Why do you think we are here to talk to you about trauma?” she asked them.\u003c/p>\n\u003cp>No one initially spoke up, but, unperturbed, London asked them to turn and talk about it with their friends. The eighth graders burst into excited chatter. When London called them back to answer, several hands were raised.\u003c/p>\n\u003cp>“I think you 11th and 12th graders are here to talk to us because of what happened on Monday,” one girl said.\u003c/p>\n\u003cp>The mentors then asked the students what they do to feel better after something traumatic happens, again giving them time to talk together first.\u003c/p>\n\u003cp>Several hands rose, and the students listened quietly to each other’s answers — which ranged broadly from writing down emotions on a piece of paper to painting or listening to music.\u003c/p>\n\u003cp>The mentor spoke up again, telling them that there’s a lot they can do when trauma happens, and that some responses are more positive than others, but suppressing might not be a good idea in the long run. Then began a lively back-and-forth between mentors and eighth graders throughout the room, who gave a thumbs-up or thumbs-down to various choices they could make if they were to experience trauma.\u003c/p>\n\u003ch2>Kids are the experts in their own lives\u003c/h2>\n\u003cp>Robin Noel Morales, \u003ca href=\"http://achealthyschools.org/wp-content/uploads/2020/04/mpa-mentoring-curriculum-1.30.20.pdf\">who founded the peer-to-peer program in 2015 (PDF)\u003c/a>, watched the process unfold: the fruits of those efforts realized during one of the school’s toughest moments.\u003c/p>\n\u003cp>In 2015, when Morales, a mental health therapist, arrived at Oakland Unified’s Madison Park 6–12 campus, which is majority Black and Latinx, she noticed that the teaching staff — almost all of whom came from outside the neighborhood — was referring about 250 students a year (out of 700 total students) for therapy or behavior issues. She suspected the adults had trouble understanding students’ lived experiences.\u003c/p>\n\u003cp>“It wasn’t possible to individually sit down with everyone, so I really did try to take on the idea that the school was my client. That means the adults as well as the kids,” she recalled.\u003c/p>\n\u003cp>Morales also believed that basic mental health for a school goes beyond deep psychotherapy.\u003c/p>\n\u003cp>“People just want to have someone lay eyes on them,” she said. “And that thing about, ‘How are you doing?’ And then someone’s actually got time for the answer.”\u003c/p>\n\u003cp>She found a colleague who aligned with her on social justice issues in Bianca Lorenz, the school’s college and career pathways coach. They began building the peer-to-peer program, expanding on a model that Morales had seen when she was working with kids who were incarcerated. Those young people were each partnered with a mentor from San Francisco State University.\u003c/p>\n\u003cfigure id=\"attachment_11936108\" class=\"wp-caption aligncenter\" style=\"max-width: 1920px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"wp-image-11936108 size-full\" src=\"https://ww2.kqed.org/app/uploads/sites/10/2022/12/RS59075_KQED_MentorProgram_015-qut.jpg\" alt=\"A Latina woman with long brown hair smiles at the camera with a colorful wall in the background.\" width=\"1920\" height=\"1282\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2022/12/RS59075_KQED_MentorProgram_015-qut.jpg 1920w, https://cdn.kqed.org/wp-content/uploads/sites/10/2022/12/RS59075_KQED_MentorProgram_015-qut-800x534.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2022/12/RS59075_KQED_MentorProgram_015-qut-1020x681.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2022/12/RS59075_KQED_MentorProgram_015-qut-160x107.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2022/12/RS59075_KQED_MentorProgram_015-qut-1536x1026.jpg 1536w\" sizes=\"(max-width: 1920px) 100vw, 1920px\">\u003cfigcaption class=\"wp-caption-text\">Bianca Lorenz, co-founder of Ocelotl, which runs a peer-to-peer mentor program, stands for a portrait at Madison Park Academy in Oakland on Monday, Oct. 3, 2022. \u003ccite>(Marlena Sloss/KQED)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>“If you are open and pretty brave and courageous and kids can trust you, and then you come with real information that feels like it is necessary and needed, and you are consistent and put some time in, then it is a recipe we know works,” Morales said.\u003c/p>\n\u003cp>She and Lorenz also co-founded \u003ca href=\"https://ocelotlyouth.org\">Ocelotl\u003c/a> two years ago and are now consulting with other school districts, such as Hayward, helping them strengthen their peer-based mentoring programs.\u003c/p>\n\u003ch2>Developing strong bonds\u003c/h2>\n\u003cp>Each student mentor is expected to take on the role of campus emotional leader, demonstrating care and compassion. Ideally, they act as strong buffers to the emotionally challenging experience of being a middle schooler, helping their younger peers navigate relationships with one another and react in healthy ways when feeling threatened.\u003c/p>\n\u003cp>Take Giana Mason. She had been near tears in sixth grade at Madison Park, facing a lot of bullying online and in the halls. She felt she was to the point where she’d have to defend herself physically. Her meetings with her mentor, Laila Goodman, showed her there were other options. “She helped me stay out of a lot of drama,” Giana said. “So now it’s like I can kind of think about what she’s told me and help my friends with it and stuff.”\u003c/p>\n\u003cfigure id=\"attachment_11936103\" class=\"wp-caption alignright\" style=\"max-width: 1920px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-11936103\" src=\"https://ww2.kqed.org/app/uploads/sites/10/2022/12/RS59018_KQED_MentorProgram_010-qut.jpg\" alt=\"Two black female high school students sit in class and laugh together.\" width=\"1920\" height=\"1282\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2022/12/RS59018_KQED_MentorProgram_010-qut.jpg 1920w, https://cdn.kqed.org/wp-content/uploads/sites/10/2022/12/RS59018_KQED_MentorProgram_010-qut-800x534.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2022/12/RS59018_KQED_MentorProgram_010-qut-1020x681.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2022/12/RS59018_KQED_MentorProgram_010-qut-160x107.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2022/12/RS59018_KQED_MentorProgram_010-qut-1536x1026.jpg 1536w\" sizes=\"(max-width: 1920px) 100vw, 1920px\">\u003cfigcaption class=\"wp-caption-text\">Twelfth grader Laila Goodman (left) and her previous mentee, seventh grader Giana Mason, sit for a portrait at Madison Park Academy in Oakland on Monday, Oct. 3, 2022. \u003ccite>(Marlena Sloss/KQED)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>The mentor training, overseen by mental health professionals, is a rigorous, six-week course, which teaches students about the assessments and documentation mental health care professionals use.\u003c/p>\n\u003cp>“So kids kind of come into this being like, ‘I’m not sure if I am up to the task,’” said Lorenz, the coach at Madison Park. “‘Can I be someone that someone can count on, or can I not be?’”\u003c/p>\n\u003cp>Some mentors who select the course are “A” students, but Lorenz said the program also has mentors who have struggled academically and socially in the past and who can relate to kids getting in trouble at school.\u003c/p>\n\u003cp>“So I think for a lot of kids, it is sometimes shifting even their own perspective of themselves,” she said. “Some of the toughest things [about] the training is kids themselves really believing in it, and shifting how they show up every day.”\u003c/p>\n\u003ch2>Long-term investment\u003c/h2>\n\u003cp>This year, for the first time, the Oakland school district is investing $10,000 from its budget to support Madison Park’s peer-to-peer mentoring program. The district has over $103 million in\u003ca href=\"https://www.kqed.org/news/11924343/california-is-investing-billions-in-student-mental-health-how-one-school-is-using-the-money\"> COVID relief money from the state and federal governments\u003c/a> for addressing students’ behavioral and mental health needs.[aside postID=mindshift_60624 hero='https://ww2.kqed.org/app/uploads/sites/23/2022/12/iStock-Gabriel-Codarcea-1020x680.jpg']The district has another $63 million to support and expand the community schools model, also used by Madison Park Academy, district-wide. Both Morales and Lorenz — a school district employee whose position as college and career coach is paid for by \u003ca href=\"https://oaklandside.org/2021/04/26/college-and-career-pathways-oakland-schools-measure/\">Measure H (previously known as Measure N)\u003c/a>, which was just renewed by voters this year — would like to see another position funded at the school to expand the mentorship program, so more students could join and help change school culture.\u003c/p>\n\u003cp>Lorenz said students take the mentorship course for credit as an elective, and they gain clinical skills and also are introduced to a career path.\u003c/p>\n\u003cp>A month after the push into classrooms, some of the mentors felt it had been worth it that, in a way, the trauma was a shared experience that had brought the school community closer together.\u003c/p>\n\u003cp>“I feel like they [middle schoolers] might feel even more safe with us because we’re able to talk about hard topics with them. So I feel like it’s a good step in the direction of mentoring,” Laila said.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>[ad floatright]\u003c/p>\n",
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"content": "\u003cdiv class=\"post-body\">\u003cp>These high school students, who are part of the Madison Park Academy Mentoring Program, wanted to step in and help their younger peers. Their program’s goal is to help create positivity inside the school located in one of the city’s neighborhoods most affected by systemic racism.\u003c/p>\n\u003cp>The campus, which is a combined middle and high school, had gone into lockdown for hours. The shooting had happened during lunch period in the middle school part of campus, when a 12-year-old accidentally shot a 13-year-old, who was hospitalized and survived.\u003c/p>\n\u003cp>“I didn’t know whether we were going to make it out,” Laila said. “I hated thinking like that, but it’s the first thing that came to mind.”\u003c/p>\n\u003cp>She and her peers would take on a leadership role in the following days. Some mentors, like them, were already in their second year of being trained through the mentorship program, and though the shooting was scary and disturbing, they began to rely on their training as they looked for ways to respond.\u003c/p>\n\u003ch2>How trauma intervention happens\u003c/h2>\n\u003cp>In the following days, the mentorship class began having its own discussion about whether it would help, or hurt, for them to try to speak with the middle schoolers.\u003c/p>\n\u003cp>“So I feel like this isn’t a type of situation that we can just put behind us because it was intense,” said London Edwards, a senior.\u003c/p>\n\u003cp>The mentors decided to write a script and practiced it. Once they were ready, 37 peer-to-peer mentors, accompanied by an adult staffer, fanned out in teams of four across nearly a dozen classrooms to talk with middle school students about coping strategies for trauma.\u003c/p>\n\u003cp>Some of the sessions were led by the school’s “language navigators,” who spoke Spanish and met with English language learner classes.\u003c/p>\n\u003cfigure id=\"attachment_11936105\" class=\"wp-caption alignnone\" style=\"max-width: 1920px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-11936105\" src=\"https://ww2.kqed.org/app/uploads/sites/10/2022/12/RS59021_KQED_MentorProgram_013-qut.jpg\" alt=\"Five students sit side by side, a Black boy, two Black girls, a Latina girl, and a Latino boy.\" width=\"1920\" height=\"1281\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2022/12/RS59021_KQED_MentorProgram_013-qut.jpg 1920w, https://cdn.kqed.org/wp-content/uploads/sites/10/2022/12/RS59021_KQED_MentorProgram_013-qut-800x534.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2022/12/RS59021_KQED_MentorProgram_013-qut-1020x681.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2022/12/RS59021_KQED_MentorProgram_013-qut-160x107.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2022/12/RS59021_KQED_MentorProgram_013-qut-1536x1025.jpg 1536w\" sizes=\"(max-width: 1920px) 100vw, 1920px\">\u003cfigcaption class=\"wp-caption-text\">Peer-to-peer mentor program 12th grade mentors (from left) Habeeb Tiamiyu, London Edwards, Laila Goodman, Xiomara Armenta and Dany Santos sit for a portrait at Madison Park Academy in Oakland on Monday, Oct. 3, 2022. \u003ccite>(Marlena Sloss/KQED)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>In a packed classroom of fidgety eighth graders, London stood up at the board, script in hand.\u003c/p>\n\u003cp>“Why do you think we are here to talk to you about trauma?” she asked them.\u003c/p>\n\u003cp>No one initially spoke up, but, unperturbed, London asked them to turn and talk about it with their friends. The eighth graders burst into excited chatter. When London called them back to answer, several hands were raised.\u003c/p>\n\u003cp>“I think you 11th and 12th graders are here to talk to us because of what happened on Monday,” one girl said.\u003c/p>\n\u003cp>The mentors then asked the students what they do to feel better after something traumatic happens, again giving them time to talk together first.\u003c/p>\n\u003cp>Several hands rose, and the students listened quietly to each other’s answers — which ranged broadly from writing down emotions on a piece of paper to painting or listening to music.\u003c/p>\n\u003cp>The mentor spoke up again, telling them that there’s a lot they can do when trauma happens, and that some responses are more positive than others, but suppressing might not be a good idea in the long run. Then began a lively back-and-forth between mentors and eighth graders throughout the room, who gave a thumbs-up or thumbs-down to various choices they could make if they were to experience trauma.\u003c/p>\n\u003ch2>Kids are the experts in their own lives\u003c/h2>\n\u003cp>Robin Noel Morales, \u003ca href=\"http://achealthyschools.org/wp-content/uploads/2020/04/mpa-mentoring-curriculum-1.30.20.pdf\">who founded the peer-to-peer program in 2015 (PDF)\u003c/a>, watched the process unfold: the fruits of those efforts realized during one of the school’s toughest moments.\u003c/p>\n\u003cp>In 2015, when Morales, a mental health therapist, arrived at Oakland Unified’s Madison Park 6–12 campus, which is majority Black and Latinx, she noticed that the teaching staff — almost all of whom came from outside the neighborhood — was referring about 250 students a year (out of 700 total students) for therapy or behavior issues. She suspected the adults had trouble understanding students’ lived experiences.\u003c/p>\n\u003cp>“It wasn’t possible to individually sit down with everyone, so I really did try to take on the idea that the school was my client. That means the adults as well as the kids,” she recalled.\u003c/p>\n\u003cp>Morales also believed that basic mental health for a school goes beyond deep psychotherapy.\u003c/p>\n\u003cp>“People just want to have someone lay eyes on them,” she said. “And that thing about, ‘How are you doing?’ And then someone’s actually got time for the answer.”\u003c/p>\n\u003cp>She found a colleague who aligned with her on social justice issues in Bianca Lorenz, the school’s college and career pathways coach. They began building the peer-to-peer program, expanding on a model that Morales had seen when she was working with kids who were incarcerated. Those young people were each partnered with a mentor from San Francisco State University.\u003c/p>\n\u003cfigure id=\"attachment_11936108\" class=\"wp-caption aligncenter\" style=\"max-width: 1920px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"wp-image-11936108 size-full\" src=\"https://ww2.kqed.org/app/uploads/sites/10/2022/12/RS59075_KQED_MentorProgram_015-qut.jpg\" alt=\"A Latina woman with long brown hair smiles at the camera with a colorful wall in the background.\" width=\"1920\" height=\"1282\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2022/12/RS59075_KQED_MentorProgram_015-qut.jpg 1920w, https://cdn.kqed.org/wp-content/uploads/sites/10/2022/12/RS59075_KQED_MentorProgram_015-qut-800x534.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2022/12/RS59075_KQED_MentorProgram_015-qut-1020x681.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2022/12/RS59075_KQED_MentorProgram_015-qut-160x107.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2022/12/RS59075_KQED_MentorProgram_015-qut-1536x1026.jpg 1536w\" sizes=\"(max-width: 1920px) 100vw, 1920px\">\u003cfigcaption class=\"wp-caption-text\">Bianca Lorenz, co-founder of Ocelotl, which runs a peer-to-peer mentor program, stands for a portrait at Madison Park Academy in Oakland on Monday, Oct. 3, 2022. \u003ccite>(Marlena Sloss/KQED)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>“If you are open and pretty brave and courageous and kids can trust you, and then you come with real information that feels like it is necessary and needed, and you are consistent and put some time in, then it is a recipe we know works,” Morales said.\u003c/p>\n\u003cp>She and Lorenz also co-founded \u003ca href=\"https://ocelotlyouth.org\">Ocelotl\u003c/a> two years ago and are now consulting with other school districts, such as Hayward, helping them strengthen their peer-based mentoring programs.\u003c/p>\n\u003ch2>Developing strong bonds\u003c/h2>\n\u003cp>Each student mentor is expected to take on the role of campus emotional leader, demonstrating care and compassion. Ideally, they act as strong buffers to the emotionally challenging experience of being a middle schooler, helping their younger peers navigate relationships with one another and react in healthy ways when feeling threatened.\u003c/p>\n\u003cp>Take Giana Mason. She had been near tears in sixth grade at Madison Park, facing a lot of bullying online and in the halls. She felt she was to the point where she’d have to defend herself physically. Her meetings with her mentor, Laila Goodman, showed her there were other options. “She helped me stay out of a lot of drama,” Giana said. “So now it’s like I can kind of think about what she’s told me and help my friends with it and stuff.”\u003c/p>\n\u003cfigure id=\"attachment_11936103\" class=\"wp-caption alignright\" style=\"max-width: 1920px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-11936103\" src=\"https://ww2.kqed.org/app/uploads/sites/10/2022/12/RS59018_KQED_MentorProgram_010-qut.jpg\" alt=\"Two black female high school students sit in class and laugh together.\" width=\"1920\" height=\"1282\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2022/12/RS59018_KQED_MentorProgram_010-qut.jpg 1920w, https://cdn.kqed.org/wp-content/uploads/sites/10/2022/12/RS59018_KQED_MentorProgram_010-qut-800x534.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2022/12/RS59018_KQED_MentorProgram_010-qut-1020x681.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2022/12/RS59018_KQED_MentorProgram_010-qut-160x107.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2022/12/RS59018_KQED_MentorProgram_010-qut-1536x1026.jpg 1536w\" sizes=\"(max-width: 1920px) 100vw, 1920px\">\u003cfigcaption class=\"wp-caption-text\">Twelfth grader Laila Goodman (left) and her previous mentee, seventh grader Giana Mason, sit for a portrait at Madison Park Academy in Oakland on Monday, Oct. 3, 2022. \u003ccite>(Marlena Sloss/KQED)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>The mentor training, overseen by mental health professionals, is a rigorous, six-week course, which teaches students about the assessments and documentation mental health care professionals use.\u003c/p>\n\u003cp>“So kids kind of come into this being like, ‘I’m not sure if I am up to the task,’” said Lorenz, the coach at Madison Park. “‘Can I be someone that someone can count on, or can I not be?’”\u003c/p>\n\u003cp>Some mentors who select the course are “A” students, but Lorenz said the program also has mentors who have struggled academically and socially in the past and who can relate to kids getting in trouble at school.\u003c/p>\n\u003cp>“So I think for a lot of kids, it is sometimes shifting even their own perspective of themselves,” she said. “Some of the toughest things [about] the training is kids themselves really believing in it, and shifting how they show up every day.”\u003c/p>\n\u003ch2>Long-term investment\u003c/h2>\n\u003cp>This year, for the first time, the Oakland school district is investing $10,000 from its budget to support Madison Park’s peer-to-peer mentoring program. The district has over $103 million in\u003ca href=\"https://www.kqed.org/news/11924343/california-is-investing-billions-in-student-mental-health-how-one-school-is-using-the-money\"> COVID relief money from the state and federal governments\u003c/a> for addressing students’ behavioral and mental health needs.\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>The district has another $63 million to support and expand the community schools model, also used by Madison Park Academy, district-wide. Both Morales and Lorenz — a school district employee whose position as college and career coach is paid for by \u003ca href=\"https://oaklandside.org/2021/04/26/college-and-career-pathways-oakland-schools-measure/\">Measure H (previously known as Measure N)\u003c/a>, which was just renewed by voters this year — would like to see another position funded at the school to expand the mentorship program, so more students could join and help change school culture.\u003c/p>\n\u003cp>Lorenz said students take the mentorship course for credit as an elective, and they gain clinical skills and also are introduced to a career path.\u003c/p>\n\u003cp>A month after the push into classrooms, some of the mentors felt it had been worth it that, in a way, the trauma was a shared experience that had brought the school community closer together.\u003c/p>\n\u003cp>“I feel like they [middle schoolers] might feel even more safe with us because we’re able to talk about hard topics with them. So I feel like it’s a good step in the direction of mentoring,” Laila said.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"slug": "please-stay-home-bay-area-sees-widespread-flooding-road-closures-and-evacuations",
"title": "'Please Stay Home': Bay Area Sees Widespread Flooding, Road Closures and Evacuations",
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"headTitle": "‘Please Stay Home’: Bay Area Sees Widespread Flooding, Road Closures and Evacuations | KQED",
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"content": "\u003cp>\u003cstrong>Skip to:\u003c/strong>\u003c/p>\n\u003cul>\n\u003cli>\u003cstrong>\u003ca href=\"#resources\">Where can I find the latest on Bay Area weather?\u003c/a>\u003c/strong>\u003c/li>\n\u003cli>\u003cstrong>\u003ca href=\"#alerts\">How do I sign up for emergency weather updates?\u003c/a>\u003c/strong>\u003c/li>\n\u003cli>\u003ca href=\"https://water.ca.gov/What-We-Do/Flood-Preparedness/Flood-Preparedness-Week\">\u003cstrong>How to prepare for floods in California \u003c/strong>\u003c/a>\u003c/li>\n\u003c/ul>\n\u003cp>An atmospheric river drenched the San Francisco Bay Area on New Year’s Eve, causing widespread flooding and road closures.\u003c/p>\n\u003cp>San Francisco recorded more than 5 inches of rain before the day was done, \u003ca href=\"https://twitter.com/NWSBayArea/status/1609307541481353218?s=20&t=Ti83fEX57IfGgDUGYpAjWg\">breaking the previous rainfall record\u003c/a> for New Year’s Eve. Oakland broke its previous record as well.\u003c/p>\n\u003cp>“There’s widespread flooding in urban areas with poor drainage and in creeks and small streams, including San Mateo Creek near Arroyo Court, San Francisquito Creek, Alameda Creek, and also down in Santa Cruz with a flooding warning for Corralitos Creek and the San Lorenzo River near Big Trees,” said National Weather Service meteorologist Brooke Bingaman. “If you don’t have to drive today, don’t. That will allow emergency service people to get out and fix things, as there have been reports of downed trees, and it just means less work for them if you’re not dragging through a flooded road and need rescuing.”[pullquote align=\"right\" size=\"medium\" citation=\"Ashley Keehn, public information officer, Santa Cruz County Sheriff's Office\"]‘Our deputies are out there risking their lives to try to save other people so they don’t have to risk their lives once those water levels get to that dangerous point.’[/pullquote]The California Highway Patrol closed both lanes of traffic on Highway 101 in South San Francisco \u003ca href=\"https://twitter.com/SFFDPIO/status/1609299772535623680\">midday due to major flooding\u003c/a>. The CHP said it had no prediction of when the highway could be reopened as of Saturday evening.\u003c/p>\n\u003cp>Jonathan Baxter, a public information officer for the San Francisco Fire Department, said the department was responding to hundreds of emergencies, including flooding and landslides, and asked everyone to stay home if possible.\u003c/p>\n\u003cp>“We are asking the public to call 311 and not call 911 unless it’s a life-threatening emergency,” said Baxter. “Also, the New Year’s Eve light show will go on today but we are asking the public to not come into the city until after 7 p.m.”\u003c/p>\n\u003cp>The San Francisco Department of Public Works said they had responded to 10 downed trees, some of which hit parked cars, a small mudslide in Glen Park, and roadway flooding at Marina Boulevard, as well as at the intersection of 17th and Folsom Streets. SFDPW public information officer Rachel Gordon added the department had also given away hundreds of sandbags to residents and businesses and that they will continue giving away sandbags at their yard on Marin and Kansas Streets until 5 p.m. Saturday, with every resident and business able to pick up ten free bags.\u003c/p>\n\u003cp>Gordon says New Years Day will be a good time to prepare for the next storm expected later in the week, with the public able to pick up sandbags during normal giveaway hours from 8 a.m.–2 p.m. Monday to Saturday. Gordon also encourages people to clear leaves and any other debris that might have gathered in or around the storm drains near their homes to prevent additional flooding.\u003c/p>\n\u003cp>In the Santa Cruz Mountains, \u003ca href=\"https://twitter.com/sccounty/status/1609275102830694401\"> evacuation orders were issued\u003c/a> for about 80 homes in the areas of Paradise Park and Felton. Ashley Keehn, a public information officer with the Santa Cruz County Sheriff’s Office, said that the nearby San Lorenzo River had risen dangerously high.\u003c/p>\n\u003cp>“Our deputies are out there risking their lives to try to save other people so they don’t have to risk their lives once those water levels get to that dangerous point,” said Keehn. “Unless there is a reason to be on the road, please stay home, that’s probably the safest place to be,”\u003c/p>\n\u003cp>Lieutenant Ray Kelly, a public information officer for the Alameda County Sheriff’s department, said that overflowing local creeks caused road closures in parts of Castro Valley and that water pooling on the 580 and 880 highways contributed to multiple car accidents. He also urged people to stay home.\u003c/p>\n\u003cp>Flooding was also reported in Marin City where\u003ca href=\"https://www.kqed.org/science/1980525/it-comes-to-race-marin-city-residents-demand-flood-protections\"> residents have been demanding flood protections\u003c/a> and an overhaul of their long-neglected water system, having experienced flooding regularly for decades.\u003c/p>\n\u003cp>“Sausalito has seven or eight ways for water to go out from there, and we only have one way — and that’s into the wetland,” said local resident and climate activist Terrie Harris Greene, who was out placing sandbags and surveying flooding in the neighborhood on New Year’s Eve. “Now, we have been advocating with the county of Marin that, on Donahue Street, we must have a drain system put in there.”\u003c/p>\n\u003cp>The California Governor’s Office of Emergency Services\u003ca href=\"https://news.caloes.ca.gov/cal-oes-prepositions-personnel-and-resources-due-to-winter-weather/\"> announced they were prepositioning flood fighting personnel\u003c/a>, resources and materials to be available if needed. CalOES urged the public “to remain aware of their surrounding conditions … to have an emergency plan in place, emergency preparedness kits at home and vehicles full of fuel … [and to] sign-up for\u003ca href=\"https://calalerts.org/\"> emergency alerts\u003c/a>, listen to local authorities and warnings, and be prepared to evacuate if necessary.”\u003c/p>\n\u003cp>The storm is forecast to pass by this evening, with dry conditions expected tomorrow, but Brooke Bingaman with the National Weather Service says another storm is expected by mid week.\u003c/p>\n\u003cp>“Today’s cold front should be a fairly quick-moving system, which is a plus,” said Bingaman, “However, even though we’re expecting dry conditions [on Sunday], after that we’re going to start getting into a wet pattern. The concern is that our soils won’t get enough time to dry out, they’re very saturated at this point, so essentially the things we’re seeing today are likely going to be a repeat in the first week of January.”\u003c/p>\n\u003cp>The storm expected next week would be the third atmospheric river to hit the area since just after Christmas.\u003c/p>\n\u003ch2>\u003ca id=\"resources\">\u003c/a>Resources for tracking Bay Area weather\u003c/h2>\n\u003cp>There are plenty of online resources and apps available for tracking weather in real time, especially ahead of rain, storms and extreme conditions. Below is a list of sites KQED regularly uses in our reporting.\u003c/p>\n\u003cp>Websites to track basic weather information:\u003c/p>\n\u003cul>\n\u003cli>\u003ca href=\"http://www.wrh.noaa.gov/mtr/\">National Weather Service, San Francisco Bay Area\u003c/a>\u003c/li>\n\u003cli>\u003ca href=\"http://www.cnrfc.noaa.gov/\">California Nevada River Forecast Center\u003c/a>\u003c/li>\n\u003cli>\u003ca href=\"https://opensnow.com/dailysnow/tahoe\">Tahoe Daily Snow\u003c/a>\u003c/li>\n\u003c/ul>\n\u003cp>Comprehensive scientific sites for weather watch:\u003c/p>\n\u003cul>\n\u003cli>\u003ca href=\"http://earth.nullschool.net/\">Earth\u003c/a>\u003c/li>\n\u003cli>\u003ca href=\"http://www.cpc.ncep.noaa.gov/\">National Oceanic and Atmospheric Administration (NOAA) Climate Prediction Center\u003c/a>\u003c/li>\n\u003cli>\u003ca href=\"http://www.weatherwest.com/\">Weather West: California weather and climate perspectives\u003c/a>\u003c/li>\n\u003c/ul>\n\u003ch2>\u003ca id=\"alerts\">\u003c/a>Where to sign up for Bay Area emergency weather alerts\u003c/h2>\n\u003cul>\n\u003cli>\u003ca href=\"https://www.acgov.org/emergencysite/\">Alameda County emergency alerts\u003c/a>\u003c/li>\n\u003cli>\u003ca href=\"https://www.cityofberkeley.info/EmergencyAlerting/\">City of Berkeley emergency alerts\u003c/a>\u003c/li>\n\u003cli>\u003ca href=\"https://www.contracosta.ca.gov/2269/Emergency-Alerts-Resources\">Contra Costa County emergency alerts\u003c/a>\u003c/li>\n\u003cli>\u003ca href=\"https://emergency.marincounty.org/\">Marin County emergency alerts\u003c/a>\u003c/li>\n\u003cli>\u003ca href=\"https://www.countyofnapa.org/2481/Emergency-Alerts\">Napa County emergency alerts\u003c/a>\u003c/li>\n\u003cli>\u003ca href=\"https://sfdem.org/get-city-alerts\">San Francisco County emergency alerts\u003c/a>\u003c/li>\n\u003cli>\u003ca href=\"https://cmo.smcgov.org/smc-alert\">San Mateo County emergency alerts\u003c/a>\u003c/li>\n\u003cli>\u003ca href=\"https://emergencymanagement.sccgov.org/AlertSCC\">Santa Clara County emergency alerts\u003c/a>\u003c/li>\n\u003cli>\u003ca href=\"https://www.solanocounty.com/depts/oes/emergency.asp\">Solano County emergency alerts\u003c/a>\u003c/li>\n\u003cli>\u003ca href=\"https://socoemergency.org/get-ready/sign-up/\">Sonoma County emergency alerts\u003c/a>\u003c/li>\n\u003c/ul>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>[ad floatright]\u003c/p>\n",
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"excerpt": "Officials advise the public to stay off the roads unless necessary and to be aware of their surroundings. While the storm is expected to subside late Saturday, similar conditions are anticipated in the first week of January.",
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"title": "'Please Stay Home': Bay Area Sees Widespread Flooding, Road Closures and Evacuations | KQED",
"description": "Officials advise the public to stay off the roads unless necessary and to be aware of their surroundings. While the storm is expected to subside late Saturday, similar conditions are anticipated in the first week of January.",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>\u003cstrong>Skip to:\u003c/strong>\u003c/p>\n\u003cul>\n\u003cli>\u003cstrong>\u003ca href=\"#resources\">Where can I find the latest on Bay Area weather?\u003c/a>\u003c/strong>\u003c/li>\n\u003cli>\u003cstrong>\u003ca href=\"#alerts\">How do I sign up for emergency weather updates?\u003c/a>\u003c/strong>\u003c/li>\n\u003cli>\u003ca href=\"https://water.ca.gov/What-We-Do/Flood-Preparedness/Flood-Preparedness-Week\">\u003cstrong>How to prepare for floods in California \u003c/strong>\u003c/a>\u003c/li>\n\u003c/ul>\n\u003cp>An atmospheric river drenched the San Francisco Bay Area on New Year’s Eve, causing widespread flooding and road closures.\u003c/p>\n\u003cp>San Francisco recorded more than 5 inches of rain before the day was done, \u003ca href=\"https://twitter.com/NWSBayArea/status/1609307541481353218?s=20&t=Ti83fEX57IfGgDUGYpAjWg\">breaking the previous rainfall record\u003c/a> for New Year’s Eve. Oakland broke its previous record as well.\u003c/p>\n\u003cp>“There’s widespread flooding in urban areas with poor drainage and in creeks and small streams, including San Mateo Creek near Arroyo Court, San Francisquito Creek, Alameda Creek, and also down in Santa Cruz with a flooding warning for Corralitos Creek and the San Lorenzo River near Big Trees,” said National Weather Service meteorologist Brooke Bingaman. “If you don’t have to drive today, don’t. That will allow emergency service people to get out and fix things, as there have been reports of downed trees, and it just means less work for them if you’re not dragging through a flooded road and need rescuing.”\u003c/p>\u003c/div>",
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"content": "‘Our deputies are out there risking their lives to try to save other people so they don’t have to risk their lives once those water levels get to that dangerous point.’",
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"content": "\u003cdiv class=\"post-body\">\u003cp>The California Highway Patrol closed both lanes of traffic on Highway 101 in South San Francisco \u003ca href=\"https://twitter.com/SFFDPIO/status/1609299772535623680\">midday due to major flooding\u003c/a>. The CHP said it had no prediction of when the highway could be reopened as of Saturday evening.\u003c/p>\n\u003cp>Jonathan Baxter, a public information officer for the San Francisco Fire Department, said the department was responding to hundreds of emergencies, including flooding and landslides, and asked everyone to stay home if possible.\u003c/p>\n\u003cp>“We are asking the public to call 311 and not call 911 unless it’s a life-threatening emergency,” said Baxter. “Also, the New Year’s Eve light show will go on today but we are asking the public to not come into the city until after 7 p.m.”\u003c/p>\n\u003cp>The San Francisco Department of Public Works said they had responded to 10 downed trees, some of which hit parked cars, a small mudslide in Glen Park, and roadway flooding at Marina Boulevard, as well as at the intersection of 17th and Folsom Streets. SFDPW public information officer Rachel Gordon added the department had also given away hundreds of sandbags to residents and businesses and that they will continue giving away sandbags at their yard on Marin and Kansas Streets until 5 p.m. Saturday, with every resident and business able to pick up ten free bags.\u003c/p>\n\u003cp>Gordon says New Years Day will be a good time to prepare for the next storm expected later in the week, with the public able to pick up sandbags during normal giveaway hours from 8 a.m.–2 p.m. Monday to Saturday. Gordon also encourages people to clear leaves and any other debris that might have gathered in or around the storm drains near their homes to prevent additional flooding.\u003c/p>\n\u003cp>In the Santa Cruz Mountains, \u003ca href=\"https://twitter.com/sccounty/status/1609275102830694401\"> evacuation orders were issued\u003c/a> for about 80 homes in the areas of Paradise Park and Felton. Ashley Keehn, a public information officer with the Santa Cruz County Sheriff’s Office, said that the nearby San Lorenzo River had risen dangerously high.\u003c/p>\n\u003cp>“Our deputies are out there risking their lives to try to save other people so they don’t have to risk their lives once those water levels get to that dangerous point,” said Keehn. “Unless there is a reason to be on the road, please stay home, that’s probably the safest place to be,”\u003c/p>\n\u003cp>Lieutenant Ray Kelly, a public information officer for the Alameda County Sheriff’s department, said that overflowing local creeks caused road closures in parts of Castro Valley and that water pooling on the 580 and 880 highways contributed to multiple car accidents. He also urged people to stay home.\u003c/p>\n\u003cp>Flooding was also reported in Marin City where\u003ca href=\"https://www.kqed.org/science/1980525/it-comes-to-race-marin-city-residents-demand-flood-protections\"> residents have been demanding flood protections\u003c/a> and an overhaul of their long-neglected water system, having experienced flooding regularly for decades.\u003c/p>\n\u003cp>“Sausalito has seven or eight ways for water to go out from there, and we only have one way — and that’s into the wetland,” said local resident and climate activist Terrie Harris Greene, who was out placing sandbags and surveying flooding in the neighborhood on New Year’s Eve. “Now, we have been advocating with the county of Marin that, on Donahue Street, we must have a drain system put in there.”\u003c/p>\n\u003cp>The California Governor’s Office of Emergency Services\u003ca href=\"https://news.caloes.ca.gov/cal-oes-prepositions-personnel-and-resources-due-to-winter-weather/\"> announced they were prepositioning flood fighting personnel\u003c/a>, resources and materials to be available if needed. CalOES urged the public “to remain aware of their surrounding conditions … to have an emergency plan in place, emergency preparedness kits at home and vehicles full of fuel … [and to] sign-up for\u003ca href=\"https://calalerts.org/\"> emergency alerts\u003c/a>, listen to local authorities and warnings, and be prepared to evacuate if necessary.”\u003c/p>\n\u003cp>The storm is forecast to pass by this evening, with dry conditions expected tomorrow, but Brooke Bingaman with the National Weather Service says another storm is expected by mid week.\u003c/p>\n\u003cp>“Today’s cold front should be a fairly quick-moving system, which is a plus,” said Bingaman, “However, even though we’re expecting dry conditions [on Sunday], after that we’re going to start getting into a wet pattern. The concern is that our soils won’t get enough time to dry out, they’re very saturated at this point, so essentially the things we’re seeing today are likely going to be a repeat in the first week of January.”\u003c/p>\n\u003cp>The storm expected next week would be the third atmospheric river to hit the area since just after Christmas.\u003c/p>\n\u003ch2>\u003ca id=\"resources\">\u003c/a>Resources for tracking Bay Area weather\u003c/h2>\n\u003cp>There are plenty of online resources and apps available for tracking weather in real time, especially ahead of rain, storms and extreme conditions. Below is a list of sites KQED regularly uses in our reporting.\u003c/p>\n\u003cp>Websites to track basic weather information:\u003c/p>\n\u003cul>\n\u003cli>\u003ca href=\"http://www.wrh.noaa.gov/mtr/\">National Weather Service, San Francisco Bay Area\u003c/a>\u003c/li>\n\u003cli>\u003ca href=\"http://www.cnrfc.noaa.gov/\">California Nevada River Forecast Center\u003c/a>\u003c/li>\n\u003cli>\u003ca href=\"https://opensnow.com/dailysnow/tahoe\">Tahoe Daily Snow\u003c/a>\u003c/li>\n\u003c/ul>\n\u003cp>Comprehensive scientific sites for weather watch:\u003c/p>\n\u003cul>\n\u003cli>\u003ca href=\"http://earth.nullschool.net/\">Earth\u003c/a>\u003c/li>\n\u003cli>\u003ca href=\"http://www.cpc.ncep.noaa.gov/\">National Oceanic and Atmospheric Administration (NOAA) Climate Prediction Center\u003c/a>\u003c/li>\n\u003cli>\u003ca href=\"http://www.weatherwest.com/\">Weather West: California weather and climate perspectives\u003c/a>\u003c/li>\n\u003c/ul>\n\u003ch2>\u003ca id=\"alerts\">\u003c/a>Where to sign up for Bay Area emergency weather alerts\u003c/h2>\n\u003cul>\n\u003cli>\u003ca href=\"https://www.acgov.org/emergencysite/\">Alameda County emergency alerts\u003c/a>\u003c/li>\n\u003cli>\u003ca href=\"https://www.cityofberkeley.info/EmergencyAlerting/\">City of Berkeley emergency alerts\u003c/a>\u003c/li>\n\u003cli>\u003ca href=\"https://www.contracosta.ca.gov/2269/Emergency-Alerts-Resources\">Contra Costa County emergency alerts\u003c/a>\u003c/li>\n\u003cli>\u003ca href=\"https://emergency.marincounty.org/\">Marin County emergency alerts\u003c/a>\u003c/li>\n\u003cli>\u003ca href=\"https://www.countyofnapa.org/2481/Emergency-Alerts\">Napa County emergency alerts\u003c/a>\u003c/li>\n\u003cli>\u003ca href=\"https://sfdem.org/get-city-alerts\">San Francisco County emergency alerts\u003c/a>\u003c/li>\n\u003cli>\u003ca href=\"https://cmo.smcgov.org/smc-alert\">San Mateo County emergency alerts\u003c/a>\u003c/li>\n\u003cli>\u003ca href=\"https://emergencymanagement.sccgov.org/AlertSCC\">Santa Clara County emergency alerts\u003c/a>\u003c/li>\n\u003cli>\u003ca href=\"https://www.solanocounty.com/depts/oes/emergency.asp\">Solano County emergency alerts\u003c/a>\u003c/li>\n\u003cli>\u003ca href=\"https://socoemergency.org/get-ready/sign-up/\">Sonoma County emergency alerts\u003c/a>\u003c/li>\n\u003c/ul>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cp>A “tripledemic” is straining hospitals across the region, from San Francisco to Santa Cruz and Sacramento, with some at — or well above — capacity. \u003ca href=\"https://www.cdph.ca.gov/Programs/CID/DCDC/CDPH%20Document%20Library/Immunization/Week2022-2348_FINALReport.pdf\">Influenza is spreading (PDF)\u003c/a>, case rates for RSV are still high, and COVID is on the rise, with \u003ca href=\"https://www.cdph.ca.gov/Programs/CID/DCDC/Pages/COVID-19/CalSuWers-Dashboard.aspx\">wastewater data showing a surge\u003c/a> as high as last winter’s omicron spike. There’s also a \u003ca href=\"https://www.kqed.org/news/11934066/tripledemic-causing-shortage-of-fever-reducing-medicines-for-kids\">shortage of fever-reducing medicine for kids\u003c/a>, and doctors and nurses are frantically trying to keep up with crushing patient loads.\u003c/p>\n\u003cp>“We had 100 patients on the board yesterday in a space designed for 29 people,” said Dr. Guy Shochat, who works in the ER unit at UCSF’s Parnassus campus in San Francisco. “There are no downs (in patient numbers) anymore. At three in the morning the patients still keep coming. At three in the morning the waits are still six hours.”\u003c/p>\n\u003cp>Shochat said patients line the hallways and fill the pharmacy area and any other available space.[aside label=\"Related Stories\" postID=\"news_11934066,news_11935249,forum_2010101891483\"]“We didn’t expect a year with COVID, adult RSV and influenza, all early,” Shochat said. “There are over 30 patients admitted for boarding, with many of them sitting over 24 hours in a hallway, admitted and waiting to go upstairs. It’s so hard to smile and be present for your patients, being exhausted before you start, just staring at this and knowing that tomorrow is going to be the same.”\u003c/p>\n\u003cp>The situation has been compounded by an adult RSV strain that has surged early this year, \u003ca href=\"https://www.cdph.ca.gov/Programs/OPA/Pages/CAHAN/Health-Advisory-Early-Respiratory-Syncytial-Virus-Activity-and-Use-of-Palivizumab.aspx\">accounting for 4.7% of respiratory illnesses in the state by the end of September\u003c/a>, a level usually not seen until November, according to the California Department of Public Health.\u003c/p>\n\u003cp>“Every five or six years we have what’s happened this year, where the RSV affects adults, too,” explained Shochat. “We knew there would be a COVID surge in winter, but it hit sooner than expected … So we now have an early severe influenza year and a very early RSV year and a system that was already beyond breaking — it’s just cracked entirely.”\u003c/p>\n\u003cp>It’s a similar situation in other hospitals, too.\u003c/p>\n\u003cp>Dr. Carolyn Robin Lanam, Emergency Department medical director at Mercy San Juan Medical Center in Carmichael, near Sacramento, said their hospital is at capacity and that they’re looking into opening up new overflow areas.\u003c/p>\n\u003cp>“I’ve seen wait times up to six hours … Influenza A, influenza B, RSV, COVID, that’s driving a lot of this,” Lanam said. “We’ve seen a lot of positive patients for all of those viruses in the past few weeks.”\u003c/p>\n\u003cp>[pullquote align=\"right\" size=\"medium\" citation=\"Dr. Guy Shochat, emergency care physician, UCSF\"]‘So we now have an early severe influenza year and a very early RSV year and a system that was already beyond breaking — it’s just cracked entirely.’[/pullquote]Tammy Green, manager of emergency services at Dominican Hospital in Santa Cruz, said the ER is overflowing with people coughing, with every inch of floor space being used to accommodate sick people.\u003c/p>\n\u003cp>“The first thing that’s going to come to mind is, ‘Oh my God. This is chaos,’” Green said. “The hospital is completely full. I mean, every room, every space. We saw almost 200 patients on Thanksgiving Day, and that just blew me away. I thought, ‘Oh my goodness, what is happening?’ And then it just continued like that. We have upwards of 18 patients here in our emergency department waiting for rooms for upwards of 24 hours or more. I am getting nervous leading up to Christmas and New Year’s.”\u003c/p>\n\u003cp>But another factor is at play besides the so-called “tripledemic,” and that is the nursing shortage. According to a 2021 UCSF report, \u003ca href=\"https://healthworkforce.ucsf.edu/sites/healthworkforce.ucsf.edu/files/Impact%20of%20the%20COVID-19%20Pandemic%20on%20California%E2%80%99s%20Registered%20Nurse%20Workforce%20-%20Preliminary%20Data.pdf\">the percentage of registered nurses age 55–64 planning to retire by 2023 more than doubled from 11.4% in 2018 to 25.2% in 2020 (PDF)\u003c/a>. And that was before COVID. The forecast for 2022 remained bleak, with an \u003ca href=\"https://www.rn.ca.gov/pdfs/forms/forecast2022.pdf\">August 2022 UCSF report (PDF)\u003c/a> stressing the “need to rapidly develop and implement strategies to mitigate the potential harm of shortages.”\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>“The nurses all quit,” said Shochat of UCSF. “We lost 20 nurses in the first year and a half of the pandemic. And they were senior nurses, so this was well over 200 years of institutional memory just disappearing. And it’s hurt us … Everyone’s just well and truly burnt out. Hospitals spent so much money paying travel nurses and building out new areas to treat COVID patients that they’re running way over budget. And patient care suffers when staff are overwhelmed.”\u003c/p>\n\u003cp>Shochat warns the situation could get a lot worse if — or when — the doctors start quitting.\u003c/p>\n\u003cp>“Doctors are going to quit. They’re planning to quit,” he said. “They’re just doing it more slowly, working with their financial advisers to figure out whether they’re retiring or if they’re going to [shift jobs]. People are sad and frustrated. It was bad enough three months ago … but how do we handle an influx of 40% over our expected patient load? And we’re short-staffed. Why would I stay? Why would I not just cash in my retirement account?”\u003c/p>\n\u003cp>\u003c!-- iframe plugin v.4.3 wordpress.org/plugins/iframe/ -->\u003cbr>\n\u003ciframe loading=\"lazy\" src=\"https://flo.uri.sh/visualisation/10616374/embed\" title=\"Interactive or visual content\" class=\"flourish-embed-iframe\" frameborder=\"0\" scrolling=\"no\" style=\"width:100%;height:1000px;\" sandbox=\"allow-same-origin allow-forms allow-scripts allow-downloads allow-popups allow-popups-to-escape-sandbox allow-top-navigation-by-user-activation\" width=\"100%\" height=\"500\">\u003c/iframe>\u003c/p>\n\u003cp>As the tripledemic and staffing shortages strain hospitals, medical professionals urge people to take responsibility for staying safe by masking, getting their vaccine boosters and not going to the ER unless they have to.\u003c/p>\n\u003cp>Mercy San Juan’s Lanam says that when it comes to respiratory illnesses, “the treatment is the same for everyone. You should take Tylenol and Motrin and stay well-hydrated. Get a humidifier if it helps for your cough. Drink a lot of tea with honey. There are certain populations at higher risk which would benefit from treatments for flu and COVID, like Tamiflu and Paxlovid. But for the large majority of people, if you’re otherwise healthy, the side effects from the medications aren’t worth it. Your body’s going to recover on its own. If it’s a really young baby or you’re older or you have multiple comorbidities, then definitely see your doctor. Try to see your primary care [physician] as much as possible.”\u003c/p>\n\u003cp>“I desperately want society to understand what’s going on,” said UCSF’s Shochat. “They need to really think twice about casually coming to the ER for a prescription refill. But also, I don’t want them to stay away when they have abdominal pain and have their appendix rupture at home.”\u003c/p>\n\u003cp>Shochat also wants to shed light on another factor that has taken perhaps an even greater toll on medical professionals than any other, one that’s more nuanced than surges and shortages — one he describes as the “breaking of a social contract” between doctors and the public since the beginning of the COVID pandemic.\u003c/p>\n\u003cp>“In the beginning, they called us heroes and they told us to hold the line until the vaccine came out, and we did it,” he said. “We held the line. And then what happened? The vaccine came out and people didn’t bother to get them. And I’m not even talking about the anti-vax folks. Literally, there was a free vaccine on every corner, they went unused. And that broke us. That was wave one of us all giving up. Wave two was we curled ourselves into balls, cried a little bit, and we came back to work and just soldiered along, and now there’s this realization this isn’t going away. It’s just getting worse.”\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>[ad floatright]\u003c/p>\n",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>A “tripledemic” is straining hospitals across the region, from San Francisco to Santa Cruz and Sacramento, with some at — or well above — capacity. \u003ca href=\"https://www.cdph.ca.gov/Programs/CID/DCDC/CDPH%20Document%20Library/Immunization/Week2022-2348_FINALReport.pdf\">Influenza is spreading (PDF)\u003c/a>, case rates for RSV are still high, and COVID is on the rise, with \u003ca href=\"https://www.cdph.ca.gov/Programs/CID/DCDC/Pages/COVID-19/CalSuWers-Dashboard.aspx\">wastewater data showing a surge\u003c/a> as high as last winter’s omicron spike. There’s also a \u003ca href=\"https://www.kqed.org/news/11934066/tripledemic-causing-shortage-of-fever-reducing-medicines-for-kids\">shortage of fever-reducing medicine for kids\u003c/a>, and doctors and nurses are frantically trying to keep up with crushing patient loads.\u003c/p>\n\u003cp>“We had 100 patients on the board yesterday in a space designed for 29 people,” said Dr. Guy Shochat, who works in the ER unit at UCSF’s Parnassus campus in San Francisco. “There are no downs (in patient numbers) anymore. At three in the morning the patients still keep coming. At three in the morning the waits are still six hours.”\u003c/p>\n\u003cp>Shochat said patients line the hallways and fill the pharmacy area and any other available space.\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>“We didn’t expect a year with COVID, adult RSV and influenza, all early,” Shochat said. “There are over 30 patients admitted for boarding, with many of them sitting over 24 hours in a hallway, admitted and waiting to go upstairs. It’s so hard to smile and be present for your patients, being exhausted before you start, just staring at this and knowing that tomorrow is going to be the same.”\u003c/p>\n\u003cp>The situation has been compounded by an adult RSV strain that has surged early this year, \u003ca href=\"https://www.cdph.ca.gov/Programs/OPA/Pages/CAHAN/Health-Advisory-Early-Respiratory-Syncytial-Virus-Activity-and-Use-of-Palivizumab.aspx\">accounting for 4.7% of respiratory illnesses in the state by the end of September\u003c/a>, a level usually not seen until November, according to the California Department of Public Health.\u003c/p>\n\u003cp>“Every five or six years we have what’s happened this year, where the RSV affects adults, too,” explained Shochat. “We knew there would be a COVID surge in winter, but it hit sooner than expected … So we now have an early severe influenza year and a very early RSV year and a system that was already beyond breaking — it’s just cracked entirely.”\u003c/p>\n\u003cp>It’s a similar situation in other hospitals, too.\u003c/p>\n\u003cp>Dr. Carolyn Robin Lanam, Emergency Department medical director at Mercy San Juan Medical Center in Carmichael, near Sacramento, said their hospital is at capacity and that they’re looking into opening up new overflow areas.\u003c/p>\n\u003cp>“I’ve seen wait times up to six hours … Influenza A, influenza B, RSV, COVID, that’s driving a lot of this,” Lanam said. “We’ve seen a lot of positive patients for all of those viruses in the past few weeks.”\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>Tammy Green, manager of emergency services at Dominican Hospital in Santa Cruz, said the ER is overflowing with people coughing, with every inch of floor space being used to accommodate sick people.\u003c/p>\n\u003cp>“The first thing that’s going to come to mind is, ‘Oh my God. This is chaos,’” Green said. “The hospital is completely full. I mean, every room, every space. We saw almost 200 patients on Thanksgiving Day, and that just blew me away. I thought, ‘Oh my goodness, what is happening?’ And then it just continued like that. We have upwards of 18 patients here in our emergency department waiting for rooms for upwards of 24 hours or more. I am getting nervous leading up to Christmas and New Year’s.”\u003c/p>\n\u003cp>But another factor is at play besides the so-called “tripledemic,” and that is the nursing shortage. According to a 2021 UCSF report, \u003ca href=\"https://healthworkforce.ucsf.edu/sites/healthworkforce.ucsf.edu/files/Impact%20of%20the%20COVID-19%20Pandemic%20on%20California%E2%80%99s%20Registered%20Nurse%20Workforce%20-%20Preliminary%20Data.pdf\">the percentage of registered nurses age 55–64 planning to retire by 2023 more than doubled from 11.4% in 2018 to 25.2% in 2020 (PDF)\u003c/a>. And that was before COVID. The forecast for 2022 remained bleak, with an \u003ca href=\"https://www.rn.ca.gov/pdfs/forms/forecast2022.pdf\">August 2022 UCSF report (PDF)\u003c/a> stressing the “need to rapidly develop and implement strategies to mitigate the potential harm of shortages.”\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>“The nurses all quit,” said Shochat of UCSF. “We lost 20 nurses in the first year and a half of the pandemic. And they were senior nurses, so this was well over 200 years of institutional memory just disappearing. And it’s hurt us … Everyone’s just well and truly burnt out. Hospitals spent so much money paying travel nurses and building out new areas to treat COVID patients that they’re running way over budget. And patient care suffers when staff are overwhelmed.”\u003c/p>\n\u003cp>Shochat warns the situation could get a lot worse if — or when — the doctors start quitting.\u003c/p>\n\u003cp>“Doctors are going to quit. They’re planning to quit,” he said. “They’re just doing it more slowly, working with their financial advisers to figure out whether they’re retiring or if they’re going to [shift jobs]. People are sad and frustrated. It was bad enough three months ago … but how do we handle an influx of 40% over our expected patient load? And we’re short-staffed. Why would I stay? Why would I not just cash in my retirement account?”\u003c/p>\n\u003cp>\u003c!-- iframe plugin v.4.3 wordpress.org/plugins/iframe/ -->\u003cbr>\n\u003ciframe loading=\"lazy\" src=\"https://flo.uri.sh/visualisation/10616374/embed\" title=\"Interactive or visual content\" class=\"flourish-embed-iframe\" frameborder=\"0\" scrolling=\"no\" style=\"width:100%;height:1000px;\" sandbox=\"allow-same-origin allow-forms allow-scripts allow-downloads allow-popups allow-popups-to-escape-sandbox allow-top-navigation-by-user-activation\" width=\"100%\" height=\"500\">\u003c/iframe>\u003c/p>\n\u003cp>As the tripledemic and staffing shortages strain hospitals, medical professionals urge people to take responsibility for staying safe by masking, getting their vaccine boosters and not going to the ER unless they have to.\u003c/p>\n\u003cp>Mercy San Juan’s Lanam says that when it comes to respiratory illnesses, “the treatment is the same for everyone. You should take Tylenol and Motrin and stay well-hydrated. Get a humidifier if it helps for your cough. Drink a lot of tea with honey. There are certain populations at higher risk which would benefit from treatments for flu and COVID, like Tamiflu and Paxlovid. But for the large majority of people, if you’re otherwise healthy, the side effects from the medications aren’t worth it. Your body’s going to recover on its own. If it’s a really young baby or you’re older or you have multiple comorbidities, then definitely see your doctor. Try to see your primary care [physician] as much as possible.”\u003c/p>\n\u003cp>“I desperately want society to understand what’s going on,” said UCSF’s Shochat. “They need to really think twice about casually coming to the ER for a prescription refill. But also, I don’t want them to stay away when they have abdominal pain and have their appendix rupture at home.”\u003c/p>\n\u003cp>Shochat also wants to shed light on another factor that has taken perhaps an even greater toll on medical professionals than any other, one that’s more nuanced than surges and shortages — one he describes as the “breaking of a social contract” between doctors and the public since the beginning of the COVID pandemic.\u003c/p>\n\u003cp>“In the beginning, they called us heroes and they told us to hold the line until the vaccine came out, and we did it,” he said. “We held the line. And then what happened? The vaccine came out and people didn’t bother to get them. And I’m not even talking about the anti-vax folks. Literally, there was a free vaccine on every corner, they went unused. And that broke us. That was wave one of us all giving up. Wave two was we curled ourselves into balls, cried a little bit, and we came back to work and just soldiered along, and now there’s this realization this isn’t going away. It’s just getting worse.”\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cp>The town of Bishop lies at the intersection of two highways, Route 395 and Route 6, that in their own ways serve as a reminder of how isolated this community is. Route 395 runs north to south, mirroring the mountainous skyline that separates the town from the rest of the state. Route 6 begins here in Bishop; a sign on the outskirts of town reads “Provincetown, Massachusetts: 3,198 miles.”\u003c/p>\n\u003cp>This is where Megan (whose real name KQED is withholding to protect her medical privacy) has made her home for the last decade, after moving from the Bay Area.\u003c/p>\n\u003cp>“It’s such an exhilarating experience to drive over the mountains and discover what’s on the other side,” she said. In addition to the town’s rugged beauty, she also fell in love with the “effortlessness of community.”[aside label=\"Related Stories\" postID=\"news_11926949,news_11927686,news_11896908\"]\u003c/p>\n\u003cp>The town of Bishop has a population of under 4,000, but with a number of outlying neighborhoods (officially “census-designated places”), the community is home to around 10,000 people, more than half the population of Inyo County.\u003c/p>\n\u003cp>In April, Megan learned she was unexpectedly pregnant. She knew that if she had to continue her pregnancy, she could. But, she thought, she didn’t have to: She was in California. So, completely confident in her decision to focus on her small business now and revisit having children in a few years, she called her local women’s clinic to schedule an abortion.\u003c/p>\n\u003cp>To her surprise, the staff told her they didn’t do abortions. She called several other clinics but they all had the same answer. “And that’s how I found out that you can’t even get an abortion in Bishop or in the entire Eastern Sierra,” she said.\u003c/p>\n\u003ch2>Rights vs. access\u003c/h2>\n\u003cp>Before she needed an abortion herself, Megan had assumed that the procedure was available all across the state. Reproductive rights are openly supported by Gov. Gavin Newsom, who has promised to \u003ca href=\"https://www.kqed.org/forum/2010101889792/california-aims-to-be-an-abortion-sanctuary-post-roe-is-it-prepared\">make the state a sanctuary\u003c/a> for abortion seekers from all over the country.\u003c/p>\n\u003cp>Ever since the Supreme Court overturned Roe v. Wade, California legislators have been \u003ca href=\"https://www.kqed.org/news/11926949/newsom-signs-slate-of-abortion-protection-bills\">passing bills aimed at providing abortion access\u003c/a> for out-of-state patients. And last month, Californians overwhelmingly voted to enshrine \u003ca href=\"https://ballotpedia.org/California_Proposition_1,_Right_to_Reproductive_Freedom_Amendment_(2022)\">the right to an abortion\u003c/a> in the state’s constitution. But Megan’s experience exemplifies how, in many rural communities, having the right to an abortion doesn’t necessarily mean having access to it.\u003c/p>\n\u003cfigure id=\"attachment_11934858\" class=\"wp-caption aligncenter\" style=\"max-width: 800px\">\u003ca href=\"https://ww2.kqed.org/app/uploads/sites/10/2022/12/More-than-half-of-Inyo-County-residents-live-in-the-Bishop-area.jpg\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-medium wp-image-11934858\" src=\"https://ww2.kqed.org/app/uploads/sites/10/2022/12/More-than-half-of-Inyo-County-residents-live-in-the-Bishop-area-800x600.jpg\" alt=\"a wide landscape with dry grass and plants a mountain range in the background, and highway signs pointing to Reno and Bishop, California\" width=\"800\" height=\"600\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2022/12/More-than-half-of-Inyo-County-residents-live-in-the-Bishop-area-800x600.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2022/12/More-than-half-of-Inyo-County-residents-live-in-the-Bishop-area-1020x765.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2022/12/More-than-half-of-Inyo-County-residents-live-in-the-Bishop-area-160x120.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2022/12/More-than-half-of-Inyo-County-residents-live-in-the-Bishop-area.jpg 1500w\" sizes=\"(max-width: 800px) 100vw, 800px\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">More than half of Inyo County residents live in the Bishop area. \u003ccite>(Lauren DeLaunay Miller)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>Dr. Marty Kim, a local OB/GYN, says Bishop health clinics don’t offer elective abortion services — as opposed to, for example, abortion procedures when a patient’s life is in danger, or during a complicated miscarriage — because of what she calls “rural American politics.”\u003c/p>\n\u003cp>Inyo County is fairly conservative; in the November election, nearly 55% of voters here voted for Republican Brian Dahle for the governor’s seat. Recently, city council and school board members have faced criticism from residents and \u003ca href=\"https://www.inyoregister.com/news/bishop-city-council-member-takes-issue-with-pride-month-critics/article_275e74e8-e283-11ec-b8b2-c317bb0e80bd.html\">church leaders around discussions of LGBTQ+ pride events\u003c/a> and guidelines surrounding COVID-19.\u003c/p>\n\u003cp>Kim believes that those reactions are part of a larger trend, one that indicates the town would respond harshly toward abortion providers. She isn’t ready to put the target on her own back by offering elective abortion procedures, despite her ardent personal support of abortion rights.\u003c/p>\n\u003cp>“What I think is very different and so important about being a doctor in a small town is that you get to be a town leader, whether you want to be one or not,” she said.\u003c/p>\n\u003cp>Kim said this conservatism is felt in the clinic where she works, too, and has contributed to her clinic’s decision not to offer abortion services.\u003c/p>\n\u003cp>The Rural Health Women’s Clinic is part of the Northern Inyo Healthcare District, home to the largest hospital in both Inyo County and neighboring Mono County. If the clinic started offering elective abortions, Kim said, “You’ll have nurses who will refuse to participate in it or won’t do it.” And, she added, “we don’t have extra nurses.”\u003c/p>\n\u003cfigure id=\"attachment_11934857\" class=\"wp-caption aligncenter\" style=\"max-width: 800px\">\u003ca href=\"https://ww2.kqed.org/app/uploads/sites/10/2022/12/Despite-its-modest-appearance-the-Rural-Health-Womens-Clinic-is-critically-important-to-Bishop-residents-.jpg\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-medium wp-image-11934857\" src=\"https://ww2.kqed.org/app/uploads/sites/10/2022/12/Despite-its-modest-appearance-the-Rural-Health-Womens-Clinic-is-critically-important-to-Bishop-residents--800x600.jpg\" alt=\"the exterior of a white building with a sign that reads 'rural health women's clinic'\" width=\"800\" height=\"600\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2022/12/Despite-its-modest-appearance-the-Rural-Health-Womens-Clinic-is-critically-important-to-Bishop-residents--800x600.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2022/12/Despite-its-modest-appearance-the-Rural-Health-Womens-Clinic-is-critically-important-to-Bishop-residents--1020x765.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2022/12/Despite-its-modest-appearance-the-Rural-Health-Womens-Clinic-is-critically-important-to-Bishop-residents--160x120.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2022/12/Despite-its-modest-appearance-the-Rural-Health-Womens-Clinic-is-critically-important-to-Bishop-residents--1536x1152.jpg 1536w, https://cdn.kqed.org/wp-content/uploads/sites/10/2022/12/Despite-its-modest-appearance-the-Rural-Health-Womens-Clinic-is-critically-important-to-Bishop-residents--1920x1440.jpg 1920w, https://cdn.kqed.org/wp-content/uploads/sites/10/2022/12/Despite-its-modest-appearance-the-Rural-Health-Womens-Clinic-is-critically-important-to-Bishop-residents-.jpg 2000w\" sizes=\"(max-width: 800px) 100vw, 800px\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">Despite its modest appearance, the Rural Health Women’s Clinic is critically important to Bishop residents. \u003ccite>(Lauren DeLaunay Miller)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>Kim isn’t the only provider in town who is frustrated by the lack of abortion services. Dayna Stimson is a nurse practitioner at Bishop Community Health Center, a \u003ca href=\"https://www.cms.gov/Outreach-and-Education/Medicare-Learning-Network-MLN/MLNProducts/Downloads/fqhcfactsheet.pdf\">federally qualified health center (PDF)\u003c/a> that receives funding to help underserved populations. This federal funding is what’s keeping Stimson from being able to perform abortions, not the potential for community objections.\u003c/p>\n\u003cp>“If funding were not an issue, I’d be willing to at least try and see what the backlash would be like,” Stimson said. “It’s health care and we’re not going to know what the community response is going to be until somebody decides to step up.”\u003c/p>\n\u003cp>\u003ca href=\"https://files.medi-cal.ca.gov/pubsdoco/publications/masters-mtp/part2/abort.pdf\">The Hyde Amendment (PDF)\u003c/a> prohibits federal funding from supporting elective abortion services, which means that for clinics like Stimson’s to provide abortions, they need to create a separate billing structure. They’re in the process of assessing the feasibility of doing so, but it’s a big lift for such a small clinic.\u003c/p>\n\u003ch2>Logistics, planning and expenses\u003c/h2>\n\u003cp>No matter the reason, the fact that the closest abortion clinic to Bishop is over 200 miles away makes access difficult for people like Megan. First, she tried a clinic in Reno but, faced with a four-week wait, she drove further, to Pomona.\u003c/p>\n\u003cp>“It was just a matter of having a long drive, getting a really miserable motel experience, and waking up at 5:30 a.m. to get it done, and then driving back that day,” said Megan. “So it can be done. It’s just a lot more logistics, planning and expenses.”\u003c/p>\n\u003cp>Megan said she’s grateful that she had the resources to finally access her abortion, but she knows that not everyone does. One obstacle for Inyo County residents like Megan is the lack of available information. The state of California has recently created a \u003ca href=\"http://abortion.ca.gov\">website for abortion information\u003c/a>, but its abortion-finder tool uses as-the-crow-flies directions, which aren’t necessarily helpful for residents of a valley surrounded by mountains.\u003c/p>\n\u003cfigure id=\"attachment_11934860\" class=\"wp-caption aligncenter\" style=\"max-width: 800px\">\u003ca href=\"https://ww2.kqed.org/app/uploads/sites/10/2022/12/In-the-winter-Bishop-becomes-even-more-isolated-when-the-mountain-passes-that-connect-it-to-the-rest-of-the-state-close..jpg\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-medium wp-image-11934860\" src=\"https://ww2.kqed.org/app/uploads/sites/10/2022/12/In-the-winter-Bishop-becomes-even-more-isolated-when-the-mountain-passes-that-connect-it-to-the-rest-of-the-state-close.-800x600.jpg\" alt=\"a landscape photo of snow on mountains in front of dry terrain\" width=\"800\" height=\"600\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2022/12/In-the-winter-Bishop-becomes-even-more-isolated-when-the-mountain-passes-that-connect-it-to-the-rest-of-the-state-close.-800x600.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2022/12/In-the-winter-Bishop-becomes-even-more-isolated-when-the-mountain-passes-that-connect-it-to-the-rest-of-the-state-close.-1020x765.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2022/12/In-the-winter-Bishop-becomes-even-more-isolated-when-the-mountain-passes-that-connect-it-to-the-rest-of-the-state-close.-160x120.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2022/12/In-the-winter-Bishop-becomes-even-more-isolated-when-the-mountain-passes-that-connect-it-to-the-rest-of-the-state-close..jpg 1500w\" sizes=\"(max-width: 800px) 100vw, 800px\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">In the winter, Bishop becomes even more isolated, when the mountain passes that connect it to the rest of the state close. \u003ccite>(Lauren DeLaunay Miller)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>For example, for Bishop’s ZIP code, the tool shows that the closest clinic is in Fresno, which it says is 89 miles away. But Fresno is on the other side of the Sierra Nevada, and to access it by car (there is no public transportation there), it’s a 250-mile drive in the summer or a 350-mile drive in the winter, when the pass through Yosemite National Park closes for snow. In fact, the closest clinics are in Reno, Bakersfield and Lancaster, but appointment availability sometimes means patients like Megan must travel even further.\u003c/p>\n\u003cp>For Megan, the financial burden was manageable, despite spending a few hundred dollars on a motel room near the clinic and gas for the 500-mile round-trip journey. And while she didn’t look for financial assistance to cover those costs, resources are available for Californians in need: \u003ca href=\"https://accessrj.org/\">Access Reproductive Justice\u003c/a>, for example, is an Oakland-based organization that provides information and funding to people who need help accessing abortion care.\u003c/p>\n\u003cp>Thankfully, one cost Megan didn’t need to incur was for the procedure itself. She has Medi-Cal, the state’s Medicaid program, which covers all abortion services performed by a physician regardless of medical necessity.\u003c/p>\n\u003cp>Despite the anxiety she experienced walking through a wall of protestors to access the Pomona clinic, and the pain of the procedure itself, once her abortion was over, Megan said she felt immediate relief. “I felt back to myself,” she said. This is why Megan wants to make sure progress is made in continuing to remove barriers to abortion access. “Your work is not done, California,” she said.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>[ad floatright]\u003c/p>\n",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>The town of Bishop lies at the intersection of two highways, Route 395 and Route 6, that in their own ways serve as a reminder of how isolated this community is. Route 395 runs north to south, mirroring the mountainous skyline that separates the town from the rest of the state. Route 6 begins here in Bishop; a sign on the outskirts of town reads “Provincetown, Massachusetts: 3,198 miles.”\u003c/p>\n\u003cp>This is where Megan (whose real name KQED is withholding to protect her medical privacy) has made her home for the last decade, after moving from the Bay Area.\u003c/p>\n\u003cp>“It’s such an exhilarating experience to drive over the mountains and discover what’s on the other side,” she said. In addition to the town’s rugged beauty, she also fell in love with the “effortlessness of community.”\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>The town of Bishop has a population of under 4,000, but with a number of outlying neighborhoods (officially “census-designated places”), the community is home to around 10,000 people, more than half the population of Inyo County.\u003c/p>\n\u003cp>In April, Megan learned she was unexpectedly pregnant. She knew that if she had to continue her pregnancy, she could. But, she thought, she didn’t have to: She was in California. So, completely confident in her decision to focus on her small business now and revisit having children in a few years, she called her local women’s clinic to schedule an abortion.\u003c/p>\n\u003cp>To her surprise, the staff told her they didn’t do abortions. She called several other clinics but they all had the same answer. “And that’s how I found out that you can’t even get an abortion in Bishop or in the entire Eastern Sierra,” she said.\u003c/p>\n\u003ch2>Rights vs. access\u003c/h2>\n\u003cp>Before she needed an abortion herself, Megan had assumed that the procedure was available all across the state. Reproductive rights are openly supported by Gov. Gavin Newsom, who has promised to \u003ca href=\"https://www.kqed.org/forum/2010101889792/california-aims-to-be-an-abortion-sanctuary-post-roe-is-it-prepared\">make the state a sanctuary\u003c/a> for abortion seekers from all over the country.\u003c/p>\n\u003cp>Ever since the Supreme Court overturned Roe v. Wade, California legislators have been \u003ca href=\"https://www.kqed.org/news/11926949/newsom-signs-slate-of-abortion-protection-bills\">passing bills aimed at providing abortion access\u003c/a> for out-of-state patients. And last month, Californians overwhelmingly voted to enshrine \u003ca href=\"https://ballotpedia.org/California_Proposition_1,_Right_to_Reproductive_Freedom_Amendment_(2022)\">the right to an abortion\u003c/a> in the state’s constitution. But Megan’s experience exemplifies how, in many rural communities, having the right to an abortion doesn’t necessarily mean having access to it.\u003c/p>\n\u003cfigure id=\"attachment_11934858\" class=\"wp-caption aligncenter\" style=\"max-width: 800px\">\u003ca href=\"https://ww2.kqed.org/app/uploads/sites/10/2022/12/More-than-half-of-Inyo-County-residents-live-in-the-Bishop-area.jpg\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-medium wp-image-11934858\" src=\"https://ww2.kqed.org/app/uploads/sites/10/2022/12/More-than-half-of-Inyo-County-residents-live-in-the-Bishop-area-800x600.jpg\" alt=\"a wide landscape with dry grass and plants a mountain range in the background, and highway signs pointing to Reno and Bishop, California\" width=\"800\" height=\"600\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2022/12/More-than-half-of-Inyo-County-residents-live-in-the-Bishop-area-800x600.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2022/12/More-than-half-of-Inyo-County-residents-live-in-the-Bishop-area-1020x765.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2022/12/More-than-half-of-Inyo-County-residents-live-in-the-Bishop-area-160x120.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2022/12/More-than-half-of-Inyo-County-residents-live-in-the-Bishop-area.jpg 1500w\" sizes=\"(max-width: 800px) 100vw, 800px\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">More than half of Inyo County residents live in the Bishop area. \u003ccite>(Lauren DeLaunay Miller)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>Dr. Marty Kim, a local OB/GYN, says Bishop health clinics don’t offer elective abortion services — as opposed to, for example, abortion procedures when a patient’s life is in danger, or during a complicated miscarriage — because of what she calls “rural American politics.”\u003c/p>\n\u003cp>Inyo County is fairly conservative; in the November election, nearly 55% of voters here voted for Republican Brian Dahle for the governor’s seat. Recently, city council and school board members have faced criticism from residents and \u003ca href=\"https://www.inyoregister.com/news/bishop-city-council-member-takes-issue-with-pride-month-critics/article_275e74e8-e283-11ec-b8b2-c317bb0e80bd.html\">church leaders around discussions of LGBTQ+ pride events\u003c/a> and guidelines surrounding COVID-19.\u003c/p>\n\u003cp>Kim believes that those reactions are part of a larger trend, one that indicates the town would respond harshly toward abortion providers. She isn’t ready to put the target on her own back by offering elective abortion procedures, despite her ardent personal support of abortion rights.\u003c/p>\n\u003cp>“What I think is very different and so important about being a doctor in a small town is that you get to be a town leader, whether you want to be one or not,” she said.\u003c/p>\n\u003cp>Kim said this conservatism is felt in the clinic where she works, too, and has contributed to her clinic’s decision not to offer abortion services.\u003c/p>\n\u003cp>The Rural Health Women’s Clinic is part of the Northern Inyo Healthcare District, home to the largest hospital in both Inyo County and neighboring Mono County. If the clinic started offering elective abortions, Kim said, “You’ll have nurses who will refuse to participate in it or won’t do it.” And, she added, “we don’t have extra nurses.”\u003c/p>\n\u003cfigure id=\"attachment_11934857\" class=\"wp-caption aligncenter\" style=\"max-width: 800px\">\u003ca href=\"https://ww2.kqed.org/app/uploads/sites/10/2022/12/Despite-its-modest-appearance-the-Rural-Health-Womens-Clinic-is-critically-important-to-Bishop-residents-.jpg\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-medium wp-image-11934857\" src=\"https://ww2.kqed.org/app/uploads/sites/10/2022/12/Despite-its-modest-appearance-the-Rural-Health-Womens-Clinic-is-critically-important-to-Bishop-residents--800x600.jpg\" alt=\"the exterior of a white building with a sign that reads 'rural health women's clinic'\" width=\"800\" height=\"600\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2022/12/Despite-its-modest-appearance-the-Rural-Health-Womens-Clinic-is-critically-important-to-Bishop-residents--800x600.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2022/12/Despite-its-modest-appearance-the-Rural-Health-Womens-Clinic-is-critically-important-to-Bishop-residents--1020x765.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2022/12/Despite-its-modest-appearance-the-Rural-Health-Womens-Clinic-is-critically-important-to-Bishop-residents--160x120.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2022/12/Despite-its-modest-appearance-the-Rural-Health-Womens-Clinic-is-critically-important-to-Bishop-residents--1536x1152.jpg 1536w, https://cdn.kqed.org/wp-content/uploads/sites/10/2022/12/Despite-its-modest-appearance-the-Rural-Health-Womens-Clinic-is-critically-important-to-Bishop-residents--1920x1440.jpg 1920w, https://cdn.kqed.org/wp-content/uploads/sites/10/2022/12/Despite-its-modest-appearance-the-Rural-Health-Womens-Clinic-is-critically-important-to-Bishop-residents-.jpg 2000w\" sizes=\"(max-width: 800px) 100vw, 800px\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">Despite its modest appearance, the Rural Health Women’s Clinic is critically important to Bishop residents. \u003ccite>(Lauren DeLaunay Miller)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>Kim isn’t the only provider in town who is frustrated by the lack of abortion services. Dayna Stimson is a nurse practitioner at Bishop Community Health Center, a \u003ca href=\"https://www.cms.gov/Outreach-and-Education/Medicare-Learning-Network-MLN/MLNProducts/Downloads/fqhcfactsheet.pdf\">federally qualified health center (PDF)\u003c/a> that receives funding to help underserved populations. This federal funding is what’s keeping Stimson from being able to perform abortions, not the potential for community objections.\u003c/p>\n\u003cp>“If funding were not an issue, I’d be willing to at least try and see what the backlash would be like,” Stimson said. “It’s health care and we’re not going to know what the community response is going to be until somebody decides to step up.”\u003c/p>\n\u003cp>\u003ca href=\"https://files.medi-cal.ca.gov/pubsdoco/publications/masters-mtp/part2/abort.pdf\">The Hyde Amendment (PDF)\u003c/a> prohibits federal funding from supporting elective abortion services, which means that for clinics like Stimson’s to provide abortions, they need to create a separate billing structure. They’re in the process of assessing the feasibility of doing so, but it’s a big lift for such a small clinic.\u003c/p>\n\u003ch2>Logistics, planning and expenses\u003c/h2>\n\u003cp>No matter the reason, the fact that the closest abortion clinic to Bishop is over 200 miles away makes access difficult for people like Megan. First, she tried a clinic in Reno but, faced with a four-week wait, she drove further, to Pomona.\u003c/p>\n\u003cp>“It was just a matter of having a long drive, getting a really miserable motel experience, and waking up at 5:30 a.m. to get it done, and then driving back that day,” said Megan. “So it can be done. It’s just a lot more logistics, planning and expenses.”\u003c/p>\n\u003cp>Megan said she’s grateful that she had the resources to finally access her abortion, but she knows that not everyone does. One obstacle for Inyo County residents like Megan is the lack of available information. The state of California has recently created a \u003ca href=\"http://abortion.ca.gov\">website for abortion information\u003c/a>, but its abortion-finder tool uses as-the-crow-flies directions, which aren’t necessarily helpful for residents of a valley surrounded by mountains.\u003c/p>\n\u003cfigure id=\"attachment_11934860\" class=\"wp-caption aligncenter\" style=\"max-width: 800px\">\u003ca href=\"https://ww2.kqed.org/app/uploads/sites/10/2022/12/In-the-winter-Bishop-becomes-even-more-isolated-when-the-mountain-passes-that-connect-it-to-the-rest-of-the-state-close..jpg\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-medium wp-image-11934860\" src=\"https://ww2.kqed.org/app/uploads/sites/10/2022/12/In-the-winter-Bishop-becomes-even-more-isolated-when-the-mountain-passes-that-connect-it-to-the-rest-of-the-state-close.-800x600.jpg\" alt=\"a landscape photo of snow on mountains in front of dry terrain\" width=\"800\" height=\"600\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2022/12/In-the-winter-Bishop-becomes-even-more-isolated-when-the-mountain-passes-that-connect-it-to-the-rest-of-the-state-close.-800x600.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2022/12/In-the-winter-Bishop-becomes-even-more-isolated-when-the-mountain-passes-that-connect-it-to-the-rest-of-the-state-close.-1020x765.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2022/12/In-the-winter-Bishop-becomes-even-more-isolated-when-the-mountain-passes-that-connect-it-to-the-rest-of-the-state-close.-160x120.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2022/12/In-the-winter-Bishop-becomes-even-more-isolated-when-the-mountain-passes-that-connect-it-to-the-rest-of-the-state-close..jpg 1500w\" sizes=\"(max-width: 800px) 100vw, 800px\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">In the winter, Bishop becomes even more isolated, when the mountain passes that connect it to the rest of the state close. \u003ccite>(Lauren DeLaunay Miller)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>For example, for Bishop’s ZIP code, the tool shows that the closest clinic is in Fresno, which it says is 89 miles away. But Fresno is on the other side of the Sierra Nevada, and to access it by car (there is no public transportation there), it’s a 250-mile drive in the summer or a 350-mile drive in the winter, when the pass through Yosemite National Park closes for snow. In fact, the closest clinics are in Reno, Bakersfield and Lancaster, but appointment availability sometimes means patients like Megan must travel even further.\u003c/p>\n\u003cp>For Megan, the financial burden was manageable, despite spending a few hundred dollars on a motel room near the clinic and gas for the 500-mile round-trip journey. And while she didn’t look for financial assistance to cover those costs, resources are available for Californians in need: \u003ca href=\"https://accessrj.org/\">Access Reproductive Justice\u003c/a>, for example, is an Oakland-based organization that provides information and funding to people who need help accessing abortion care.\u003c/p>\n\u003cp>Thankfully, one cost Megan didn’t need to incur was for the procedure itself. She has Medi-Cal, the state’s Medicaid program, which covers all abortion services performed by a physician regardless of medical necessity.\u003c/p>\n\u003cp>Despite the anxiety she experienced walking through a wall of protestors to access the Pomona clinic, and the pain of the procedure itself, once her abortion was over, Megan said she felt immediate relief. “I felt back to myself,” she said. This is why Megan wants to make sure progress is made in continuing to remove barriers to abortion access. “Your work is not done, California,” she said.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cp>\u003cstrong>Update, 5:30 p.m. Sunday:\u003c/strong> Santa Clara County officials are warning that the upcoming holiday season is expected to coincide with a spike in COVID-19, nearly as severe as the omicron surge last year. The county moved into the high-risk designation over the weekend, prompting the federal Centers for Disease Control and Prevention to recommend people wear high-quality masks in public spaces. Dr. Sara Cody, the county’s health officer, says levels of the virus in San José’s sewer system — which draws from three quarters of the county’s population — are already at about 84% of the omicron peak.\u003c/p>\n\u003cp>“We not only have COVID as we’ve had the last two winters, but we have flu and RSV and other viruses circulating as well,” said Cody. “So it’s like a winter of viral soup. There’s a ton of virus circulating and if you want to be healthy for the holidays, you need to take action and you need to do it now.”\u003c/p>\n\u003cp>RSV refers to respiratory syncytial virus, a respiratory infection common in childhood, that can potentially cause pneumonia and other serious lung ailments. Cody said the flu and RSV seasons also began early this year, though RSV is beginning to plateau.\u003c/p>\n\u003cp>\u003cstrong>Original story, 5:30 p.m. Friday:\u003c/strong> More stringent masking rules have been reinstated for certain high-risk settings in Alameda, Contra Costa and Napa counties to protect against the spread of COVID-19, health officials said Friday.\u003c/p>\n\u003cp>Universal masking is now required for staff and residents in homeless shelters, emergency shelters and cooling and heating centers. It’s also now required in county correctional and detention centers.\u003c/p>\n\u003cp>Per \u003ca href=\"https://www.cdph.ca.gov/Programs/CID/DCDC/Pages/COVID-19/guidance-for-face-coverings.aspx\">state guidance\u003c/a>, masking in these settings becomes required after the level of community spread of COVID-19, as defined by the federal Centers for Disease Control and Prevention, shifts from low to medium. Alameda and Contra Costa county officials said community spread moved from low to medium on Thursday, and that they will require high-risk settings to abide by the state’s guidance. Napa County officials on Friday said they also now are at medium, and will likewise require masking per state guidance.\u003c/p>\n\u003cp>Masking continues to be required in health care and long-term care facilities.\u003c/p>\n\u003cp>[pullquote align=\"right\" size=\"medium\" citation=\"Dr. Joanna Locke, COVID guidance lead, Alameda County Public Health Department\"]‘I don’t think we anticipate getting up to the peak of last winter, but I definitely don’t think we’ve peaked.’[/pullquote]\u003c/p>\n\u003cp>“We moved into medium [level] because we reached over 10 new COVID hospital admissions per 100,000 persons,” said Joanna Locke, COVID guidance lead for Alameda County’s public health department, on Friday. As of Thursday, 149 county residents were hospitalized with COVID-19, she said.\u003c/p>\n\u003cp>“Right now we’re averaging a little over 20 cases per day per 100,000,” said Locke. “The peak of our spring-summer wave was around 50, and our winter peak last year was obviously much higher … I don’t think we anticipate getting up to the peak of last winter, but I definitely don’t think we’ve peaked.”\u003c/p>\n\u003cp>Locke said with the high level of winter respiratory viruses circulating in addition to COVID-19, she thinks everyone should consider wearing a mask in indoor public settings.\u003c/p>\n\u003cp>“I definitely am masking up now when I go into the grocery store. I took a little break earlier in the year and now I’m sending my kids back to school in masks. Really, we all have these masks in our house now and I think [we’re] shifting our culture to the way that some other countries have been for a long time where, when there’s high levels of any virus, you put on your mask.”\u003c/p>\n\u003cp>Alameda County Health Officer Dr. Nicholas Moss reaffirmed the importance of masking as numbers continue to rise in Alameda and Contra Costa.\u003c/p>\n\u003cp>“We have observed worsening increases in COVID-19 case reports and hospitalizations since October,” Moss said in a statement. “Taking actions like masking and staying home when sick can prevent spreading illnesses like COVID-19, flu, and RSV and help protect our health care system from strain.”\u003c/p>\n\u003cp>Solano County also is now at the medium level of community spread, according to the CDC, but the county has not indicated whether it’s reinstating masking rules in those high-risk settings where it’s required by state guidelines. A message to the county’s public health administrator was not returned.\u003c/p>\n\u003cp>\u003cem>This story includes reporting from Bay City News.\u003c/em>\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>\u003c/p>\n",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>\u003cstrong>Update, 5:30 p.m. Sunday:\u003c/strong> Santa Clara County officials are warning that the upcoming holiday season is expected to coincide with a spike in COVID-19, nearly as severe as the omicron surge last year. The county moved into the high-risk designation over the weekend, prompting the federal Centers for Disease Control and Prevention to recommend people wear high-quality masks in public spaces. Dr. Sara Cody, the county’s health officer, says levels of the virus in San José’s sewer system — which draws from three quarters of the county’s population — are already at about 84% of the omicron peak.\u003c/p>\n\u003cp>“We not only have COVID as we’ve had the last two winters, but we have flu and RSV and other viruses circulating as well,” said Cody. “So it’s like a winter of viral soup. There’s a ton of virus circulating and if you want to be healthy for the holidays, you need to take action and you need to do it now.”\u003c/p>\n\u003cp>RSV refers to respiratory syncytial virus, a respiratory infection common in childhood, that can potentially cause pneumonia and other serious lung ailments. Cody said the flu and RSV seasons also began early this year, though RSV is beginning to plateau.\u003c/p>\n\u003cp>\u003cstrong>Original story, 5:30 p.m. Friday:\u003c/strong> More stringent masking rules have been reinstated for certain high-risk settings in Alameda, Contra Costa and Napa counties to protect against the spread of COVID-19, health officials said Friday.\u003c/p>\n\u003cp>Universal masking is now required for staff and residents in homeless shelters, emergency shelters and cooling and heating centers. It’s also now required in county correctional and detention centers.\u003c/p>\n\u003cp>Per \u003ca href=\"https://www.cdph.ca.gov/Programs/CID/DCDC/Pages/COVID-19/guidance-for-face-coverings.aspx\">state guidance\u003c/a>, masking in these settings becomes required after the level of community spread of COVID-19, as defined by the federal Centers for Disease Control and Prevention, shifts from low to medium. Alameda and Contra Costa county officials said community spread moved from low to medium on Thursday, and that they will require high-risk settings to abide by the state’s guidance. Napa County officials on Friday said they also now are at medium, and will likewise require masking per state guidance.\u003c/p>\n\u003cp>Masking continues to be required in health care and long-term care facilities.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>“We moved into medium [level] because we reached over 10 new COVID hospital admissions per 100,000 persons,” said Joanna Locke, COVID guidance lead for Alameda County’s public health department, on Friday. As of Thursday, 149 county residents were hospitalized with COVID-19, she said.\u003c/p>\n\u003cp>“Right now we’re averaging a little over 20 cases per day per 100,000,” said Locke. “The peak of our spring-summer wave was around 50, and our winter peak last year was obviously much higher … I don’t think we anticipate getting up to the peak of last winter, but I definitely don’t think we’ve peaked.”\u003c/p>\n\u003cp>Locke said with the high level of winter respiratory viruses circulating in addition to COVID-19, she thinks everyone should consider wearing a mask in indoor public settings.\u003c/p>\n\u003cp>“I definitely am masking up now when I go into the grocery store. I took a little break earlier in the year and now I’m sending my kids back to school in masks. Really, we all have these masks in our house now and I think [we’re] shifting our culture to the way that some other countries have been for a long time where, when there’s high levels of any virus, you put on your mask.”\u003c/p>\n\u003cp>Alameda County Health Officer Dr. Nicholas Moss reaffirmed the importance of masking as numbers continue to rise in Alameda and Contra Costa.\u003c/p>\n\u003cp>“We have observed worsening increases in COVID-19 case reports and hospitalizations since October,” Moss said in a statement. “Taking actions like masking and staying home when sick can prevent spreading illnesses like COVID-19, flu, and RSV and help protect our health care system from strain.”\u003c/p>\n\u003cp>Solano County also is now at the medium level of community spread, according to the CDC, but the county has not indicated whether it’s reinstating masking rules in those high-risk settings where it’s required by state guidelines. A message to the county’s public health administrator was not returned.\u003c/p>\n\u003cp>\u003cem>This story includes reporting from Bay City News.\u003c/em>\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"title": "'Heartbroken': Visitors, Staff of Shuttered Tenderloin Center Left Reeling Amid SF's Ongoing Overdose Crisis",
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"content": "\u003cp>\u003cb>Update, 2:10 p.m. Monday:\u003c/b> With the recent closing of the Tenderloin Center, local officials have expressed support for opening overdose prevention programs in the city.\u003cb>\u003c/b>\u003c/p>\n\u003cp>“The city attorney has been clear that he would support a nonprofit moving forward with New York’s model of overdose prevention programs, which the U.S. Department of Justice has not taken action on,” said Jen Kwart, spokesperson for San Francisco City Attorney David Chiu. “Under New York’s model, the sites are not operated on city property, with city staff, or with city funding for that use. We continue to await guidance from the U.S. Department of Justice on how local jurisdictions can operate overdose prevention programs consistent with federal law.”\u003c/p>\n\u003cp>According to officials in Mayor London Breed’s office, she is waiting for the Department of Justice to provide legal guidelines on opening an overdose prevention program and defers to the city attorney’s office on legal questions around these sites.\u003c/p>\n\u003cp>“The Tenderloin Emergency Initiative has helped us move forward a lot of positive efforts and outcomes, like deploying Urban Alchemy ambassadors to help stabilize many blocks in the neighborhood, helping hundreds of people into shelter and housing, and preventing overdoses that have saved countless lives,” according to a statement from Breed’s office. “The Tenderloin Center has supported this work, and it has provided a respite from the street for many, helped prevent many overdoses, and connected people to services. We tried something new, knowing there will be successes and lessons learned, and an opportunity to build and grow from there.”\u003c/p>\n\u003cp>Former staffers of the Tenderloin Center shared their concerns about the closure and the impact it could have on people seeking harm-reduction services.\u003cb>\u003c/b>\u003c/p>\n\u003cp>“We refer people to other organizations … that provide similar services. But the main attraction, possibly the most important service, I would say that we provided isn’t happening anywhere, which is safe consumption,” said staffer Bill Buehlman. “We revived people almost every day. I think the most amount of people reversals on one shift that I supervised was six overdose reversals.”\u003c/p>\n\u003cp>Cleo Jenkins, manager of HealthRight 360’s program at the Tenderloin Center, was saddened by the closure.\u003c/p>\n\u003cp>“You don’t feel the impact of the closure until you actually see it come to the end. It’s horrible. It’s despicable,” said Jenkins.\u003c/p>\n\u003cp>\u003cb>Original \u003c/b>\u003cb>story\u003c/b>\u003cb>, 3:09 p.m. Friday: \u003c/b>On Sunday, Dec. 4, the day the Tenderloin Center closed, Vitka Eisen saw people she hadn’t seen in months. Visitors who had come to the site when it first opened in January stopped by to deliver thank-you cards, or give social workers updates on their housing situation.\u003c/p>\n\u003cp>“It was really poignant,” said Eisen, president and CEO of HealthRight 360, one of several nonprofits that provided housing and drug treatment services at the walk-in facility, the city’s only supervised drug-consumption site, located in United Nations Plaza.\u003c/p>\n\u003cp>Eisen noted that many of the regulars she spoke to said they were disappointed but not surprised.[pullquote align=\"right\" size=\"medium\" citation=\"Sarah Shortt, director of public policy and community organizing, HomeRise\"]‘People have come to depend on the kind of care that they have been receiving, and without it … they will become unhealthy [and] they will literally die.’[/pullquote]“People talked about their experiences there. There was also sadness and anger, and a sense of resignation because … the experience of life [for unhoused people] is to be so marginalized and not seen as people,” she said, of those who paid tribute this weekend. “So I think it was kind of like, ‘Yeah, this is happening to us again.'”\u003c/p>\n\u003cp>Opened as part of Mayor London Breed’s \u003ca href=\"https://www.kqed.org/news/11899726/sf-mayor-breed-declares-state-of-emergency-in-tenderloin\">emergency declaration\u003c/a> to tackle the high rate of \u003ca href=\"https://www.kqed.org/news/11896375/the-difference-between-life-and-death-how-some-california-emergency-rooms-are-working-to-stem-the-overdose-crisis\">overdose deaths\u003c/a>, crime and homelessness in the beleaguered Tenderloin neighborhood, the center has provided showers, meals, housing referrals and — most controversially — drug-consumption services to an average of 400 people every day over the last 11 months, according to Dr. Hillary Kunins, director of behavioral health services at the San Francisco Department of Public Health. Workers at the center have used the medication naloxone to reverse more than 300 opioid overdoses this year, she said.\u003c/p>\n\u003cp>The center, Kunins said, was always intended as a temporary site. But it also proved costly to operate — to the tune of about\u003ca href=\"https://sfstandard.com/public-health/city-funded-survey-says-the-tenderloin-center-improved-the-neighborhood-others-arent-convinced/\"> $22 million\u003c/a> — and faced considerable criticism that likely hastened its closure.\u003c/p>\n\u003cp>Despite a city-funded report showing that \u003ca href=\"https://sfstandard.com/public-health/city-funded-survey-says-the-tenderloin-center-improved-the-neighborhood-others-arent-convinced/\">neighborhood conditions around the site had improved since the center opened\u003c/a>, some nearby businesses complained that it resulted in long lines of people on the street waiting for services and intensified drug use and dealing in the immediate vicinity.\u003c/p>\n\u003cp>The center also became the target of critics of safe consumption sites, who said it had failed to get many visitors into\u003ca href=\"https://www.kqed.org/news/11909484/new-tenderloin-site-highlights-challenge-of-connecting-people-to-drug-treatment-and-housing-services\"> longer-term treatment\u003c/a> and, in some cases, had even encouraged more drug use.\u003c/p>\n\u003cp>In moving to close the center, Mayor London Breed largely agreed with the criticism. Last week, she told \u003cem>The San Francisco Chronicle\u003c/em> that it “was designed as place to try and meet people where they are, but get them into some sort of help, some sort of support, and that wasn’t really happening in the way that it should have been happening, and that was part of the problem.”\u003c/p>\n\u003cp>With the site now shuttered, the city plans to increase police presence in the public plaza and limit open hours in an effort to “address harmful behaviors,” \u003ca href=\"https://www.sfexaminer.com/lifestyles/health/un-plaza-to-close-early-after-tenderloin-center-closes/article_ea291aba-767a-11ed-9602-67d3ba350761.html\">\u003ci>The San Francisco Examiner\u003c/i> reported Friday\u003c/a>.\u003c/p>\n\u003cfigure id=\"attachment_11910653\" class=\"wp-caption alignnone\" style=\"max-width: 1920px\">\u003ca href=\"https://ww2.kqed.org/app/uploads/sites/10/2022/04/RS53605_010_SanFrancisco_TLLinkageCenter_02082022-qut.jpg\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"wp-image-11910653 size-full\" src=\"https://ww2.kqed.org/app/uploads/sites/10/2022/04/RS53605_010_SanFrancisco_TLLinkageCenter_02082022-qut.jpg\" alt=\"A sandwich board sign on the street that says 'Tenderloin Linkage Center Entrance'\" width=\"1920\" height=\"1280\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2022/04/RS53605_010_SanFrancisco_TLLinkageCenter_02082022-qut.jpg 1920w, https://cdn.kqed.org/wp-content/uploads/sites/10/2022/04/RS53605_010_SanFrancisco_TLLinkageCenter_02082022-qut-800x533.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2022/04/RS53605_010_SanFrancisco_TLLinkageCenter_02082022-qut-1020x680.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2022/04/RS53605_010_SanFrancisco_TLLinkageCenter_02082022-qut-160x107.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2022/04/RS53605_010_SanFrancisco_TLLinkageCenter_02082022-qut-1536x1024.jpg 1536w\" sizes=\"auto, (max-width: 1920px) 100vw, 1920px\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">People wait in line to get into the Tenderloin Center in San Francisco on Feb. 8, 2022. \u003ccite>(Beth LaBerge/KQED)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>But harm-reduction advocates argue that the center provided essential services to a population in desperate need of help, and warn that its closure will have dire consequences. Among the likely impacts, they say, will be a spike in unsupervised drug use on the streets, where the risk of overdose is significantly higher.\u003c/p>\n\u003cp>“People have come to depend on the kind of care that they have been receiving, and without it … they will become unhealthy [and] they will literally die,” said Sarah Shortt, director of public policy and community organizing at HomeRise, a supportive housing nonprofit that helped run the center. She said the city has a responsibility to immediately provide replacement services in the neighborhood.\u003c/p>\n\u003cp>In 2021, \u003ca href=\"https://sf.gov/sites/default/files/2022-08/2021_OCME%20Overdose%20Report_1.pdf\">641 people in San Francisco were known to have died from accidental drug overdoses (PDF)\u003c/a>, a slight decline from the previous year, according to data from the San Francisco Medical Examiner’s Office. Of those deaths, 128 — roughly 20% — occurred in the Tenderloin, more than in any other neighborhood in the city. This year, overdose deaths have largely kept pace, with 501 recorded in the city from January through October, \u003ca href=\"https://sf.gov/sites/default/files/2022-11/2022%2011_OCME%20Overdose%20Report.pdf\">102 of them in the Tenderloin (PDF)\u003c/a>.[aside label=\"Related Stories\" postID=\"news_11909484,news_11915870,news_11904277\"]A transitional team is \u003ca href=\"https://sf.gov/information/tenderloin-center\">scheduled to offer support services outside the closed center through Dec. 11\u003c/a>, according to the city’s closure announcement. In the 48 hours after the center closed, Eisen said the team had already reversed three overdoses in the plaza.\u003c/p>\n\u003cp>Breed has said the city expects to open at least one new center in a different location, but specific details have yet to be announced.\u003c/p>\n\u003cp>“We are seeking sites for future centers,” said Kunins, of SFDPH. “Space can be difficult to identify that is appropriate for such a center. Additionally, we know that we need to work with community members and communities to make sure it is sited in an appropriate way and works to extend and complement already existing services in any given neighborhood. So we are eagerly and aggressively continuing to work on that.”\u003c/p>\n\u003cp>But advocates say that even if the city does open another center in the coming months, the gap in services will be detrimental.\u003c/p>\n\u003cp>“I’m incredibly proud of the work we did at the TLC, and I’m also heartbroken,” said Eisen, adding that until two or three weeks ago, she had maintained hope that the city would open another location before closing this one. She also emphasized that the center was designed as an outdoor pop-up site, which could be easily and quickly replicated at a new location.\u003c/p>\n\u003cp>“I don’t understand why you would close a program that was doing a number of things that were necessary, one of which was preventing overdose deaths, and two, moving people who were using drugs on the street or in public spaces into less public spaces,” Eisen said. “If it was effective, why would you close one without opening another?”\u003cbr>\n[ad fullwidth]\u003c/p>\n\u003cp>[ad floatright]\u003c/p>\n",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>\u003cb>Update, 2:10 p.m. Monday:\u003c/b> With the recent closing of the Tenderloin Center, local officials have expressed support for opening overdose prevention programs in the city.\u003cb>\u003c/b>\u003c/p>\n\u003cp>“The city attorney has been clear that he would support a nonprofit moving forward with New York’s model of overdose prevention programs, which the U.S. Department of Justice has not taken action on,” said Jen Kwart, spokesperson for San Francisco City Attorney David Chiu. “Under New York’s model, the sites are not operated on city property, with city staff, or with city funding for that use. We continue to await guidance from the U.S. Department of Justice on how local jurisdictions can operate overdose prevention programs consistent with federal law.”\u003c/p>\n\u003cp>According to officials in Mayor London Breed’s office, she is waiting for the Department of Justice to provide legal guidelines on opening an overdose prevention program and defers to the city attorney’s office on legal questions around these sites.\u003c/p>\n\u003cp>“The Tenderloin Emergency Initiative has helped us move forward a lot of positive efforts and outcomes, like deploying Urban Alchemy ambassadors to help stabilize many blocks in the neighborhood, helping hundreds of people into shelter and housing, and preventing overdoses that have saved countless lives,” according to a statement from Breed’s office. “The Tenderloin Center has supported this work, and it has provided a respite from the street for many, helped prevent many overdoses, and connected people to services. We tried something new, knowing there will be successes and lessons learned, and an opportunity to build and grow from there.”\u003c/p>\n\u003cp>Former staffers of the Tenderloin Center shared their concerns about the closure and the impact it could have on people seeking harm-reduction services.\u003cb>\u003c/b>\u003c/p>\n\u003cp>“We refer people to other organizations … that provide similar services. But the main attraction, possibly the most important service, I would say that we provided isn’t happening anywhere, which is safe consumption,” said staffer Bill Buehlman. “We revived people almost every day. I think the most amount of people reversals on one shift that I supervised was six overdose reversals.”\u003c/p>\n\u003cp>Cleo Jenkins, manager of HealthRight 360’s program at the Tenderloin Center, was saddened by the closure.\u003c/p>\n\u003cp>“You don’t feel the impact of the closure until you actually see it come to the end. It’s horrible. It’s despicable,” said Jenkins.\u003c/p>\n\u003cp>\u003cb>Original \u003c/b>\u003cb>story\u003c/b>\u003cb>, 3:09 p.m. Friday: \u003c/b>On Sunday, Dec. 4, the day the Tenderloin Center closed, Vitka Eisen saw people she hadn’t seen in months. Visitors who had come to the site when it first opened in January stopped by to deliver thank-you cards, or give social workers updates on their housing situation.\u003c/p>\n\u003cp>“It was really poignant,” said Eisen, president and CEO of HealthRight 360, one of several nonprofits that provided housing and drug treatment services at the walk-in facility, the city’s only supervised drug-consumption site, located in United Nations Plaza.\u003c/p>\n\u003cp>Eisen noted that many of the regulars she spoke to said they were disappointed but not surprised.\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>“People talked about their experiences there. There was also sadness and anger, and a sense of resignation because … the experience of life [for unhoused people] is to be so marginalized and not seen as people,” she said, of those who paid tribute this weekend. “So I think it was kind of like, ‘Yeah, this is happening to us again.'”\u003c/p>\n\u003cp>Opened as part of Mayor London Breed’s \u003ca href=\"https://www.kqed.org/news/11899726/sf-mayor-breed-declares-state-of-emergency-in-tenderloin\">emergency declaration\u003c/a> to tackle the high rate of \u003ca href=\"https://www.kqed.org/news/11896375/the-difference-between-life-and-death-how-some-california-emergency-rooms-are-working-to-stem-the-overdose-crisis\">overdose deaths\u003c/a>, crime and homelessness in the beleaguered Tenderloin neighborhood, the center has provided showers, meals, housing referrals and — most controversially — drug-consumption services to an average of 400 people every day over the last 11 months, according to Dr. Hillary Kunins, director of behavioral health services at the San Francisco Department of Public Health. Workers at the center have used the medication naloxone to reverse more than 300 opioid overdoses this year, she said.\u003c/p>\n\u003cp>The center, Kunins said, was always intended as a temporary site. But it also proved costly to operate — to the tune of about\u003ca href=\"https://sfstandard.com/public-health/city-funded-survey-says-the-tenderloin-center-improved-the-neighborhood-others-arent-convinced/\"> $22 million\u003c/a> — and faced considerable criticism that likely hastened its closure.\u003c/p>\n\u003cp>Despite a city-funded report showing that \u003ca href=\"https://sfstandard.com/public-health/city-funded-survey-says-the-tenderloin-center-improved-the-neighborhood-others-arent-convinced/\">neighborhood conditions around the site had improved since the center opened\u003c/a>, some nearby businesses complained that it resulted in long lines of people on the street waiting for services and intensified drug use and dealing in the immediate vicinity.\u003c/p>\n\u003cp>The center also became the target of critics of safe consumption sites, who said it had failed to get many visitors into\u003ca href=\"https://www.kqed.org/news/11909484/new-tenderloin-site-highlights-challenge-of-connecting-people-to-drug-treatment-and-housing-services\"> longer-term treatment\u003c/a> and, in some cases, had even encouraged more drug use.\u003c/p>\n\u003cp>In moving to close the center, Mayor London Breed largely agreed with the criticism. Last week, she told \u003cem>The San Francisco Chronicle\u003c/em> that it “was designed as place to try and meet people where they are, but get them into some sort of help, some sort of support, and that wasn’t really happening in the way that it should have been happening, and that was part of the problem.”\u003c/p>\n\u003cp>With the site now shuttered, the city plans to increase police presence in the public plaza and limit open hours in an effort to “address harmful behaviors,” \u003ca href=\"https://www.sfexaminer.com/lifestyles/health/un-plaza-to-close-early-after-tenderloin-center-closes/article_ea291aba-767a-11ed-9602-67d3ba350761.html\">\u003ci>The San Francisco Examiner\u003c/i> reported Friday\u003c/a>.\u003c/p>\n\u003cfigure id=\"attachment_11910653\" class=\"wp-caption alignnone\" style=\"max-width: 1920px\">\u003ca href=\"https://ww2.kqed.org/app/uploads/sites/10/2022/04/RS53605_010_SanFrancisco_TLLinkageCenter_02082022-qut.jpg\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"wp-image-11910653 size-full\" src=\"https://ww2.kqed.org/app/uploads/sites/10/2022/04/RS53605_010_SanFrancisco_TLLinkageCenter_02082022-qut.jpg\" alt=\"A sandwich board sign on the street that says 'Tenderloin Linkage Center Entrance'\" width=\"1920\" height=\"1280\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2022/04/RS53605_010_SanFrancisco_TLLinkageCenter_02082022-qut.jpg 1920w, https://cdn.kqed.org/wp-content/uploads/sites/10/2022/04/RS53605_010_SanFrancisco_TLLinkageCenter_02082022-qut-800x533.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2022/04/RS53605_010_SanFrancisco_TLLinkageCenter_02082022-qut-1020x680.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2022/04/RS53605_010_SanFrancisco_TLLinkageCenter_02082022-qut-160x107.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2022/04/RS53605_010_SanFrancisco_TLLinkageCenter_02082022-qut-1536x1024.jpg 1536w\" sizes=\"auto, (max-width: 1920px) 100vw, 1920px\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">People wait in line to get into the Tenderloin Center in San Francisco on Feb. 8, 2022. \u003ccite>(Beth LaBerge/KQED)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>But harm-reduction advocates argue that the center provided essential services to a population in desperate need of help, and warn that its closure will have dire consequences. Among the likely impacts, they say, will be a spike in unsupervised drug use on the streets, where the risk of overdose is significantly higher.\u003c/p>\n\u003cp>“People have come to depend on the kind of care that they have been receiving, and without it … they will become unhealthy [and] they will literally die,” said Sarah Shortt, director of public policy and community organizing at HomeRise, a supportive housing nonprofit that helped run the center. She said the city has a responsibility to immediately provide replacement services in the neighborhood.\u003c/p>\n\u003cp>In 2021, \u003ca href=\"https://sf.gov/sites/default/files/2022-08/2021_OCME%20Overdose%20Report_1.pdf\">641 people in San Francisco were known to have died from accidental drug overdoses (PDF)\u003c/a>, a slight decline from the previous year, according to data from the San Francisco Medical Examiner’s Office. Of those deaths, 128 — roughly 20% — occurred in the Tenderloin, more than in any other neighborhood in the city. This year, overdose deaths have largely kept pace, with 501 recorded in the city from January through October, \u003ca href=\"https://sf.gov/sites/default/files/2022-11/2022%2011_OCME%20Overdose%20Report.pdf\">102 of them in the Tenderloin (PDF)\u003c/a>.\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>A transitional team is \u003ca href=\"https://sf.gov/information/tenderloin-center\">scheduled to offer support services outside the closed center through Dec. 11\u003c/a>, according to the city’s closure announcement. In the 48 hours after the center closed, Eisen said the team had already reversed three overdoses in the plaza.\u003c/p>\n\u003cp>Breed has said the city expects to open at least one new center in a different location, but specific details have yet to be announced.\u003c/p>\n\u003cp>“We are seeking sites for future centers,” said Kunins, of SFDPH. “Space can be difficult to identify that is appropriate for such a center. Additionally, we know that we need to work with community members and communities to make sure it is sited in an appropriate way and works to extend and complement already existing services in any given neighborhood. So we are eagerly and aggressively continuing to work on that.”\u003c/p>\n\u003cp>But advocates say that even if the city does open another center in the coming months, the gap in services will be detrimental.\u003c/p>\n\u003cp>“I’m incredibly proud of the work we did at the TLC, and I’m also heartbroken,” said Eisen, adding that until two or three weeks ago, she had maintained hope that the city would open another location before closing this one. She also emphasized that the center was designed as an outdoor pop-up site, which could be easily and quickly replicated at a new location.\u003c/p>\n\u003cp>“I don’t understand why you would close a program that was doing a number of things that were necessary, one of which was preventing overdose deaths, and two, moving people who were using drugs on the street or in public spaces into less public spaces,” Eisen said. “If it was effective, why would you close one without opening another?”\u003cbr>\n\u003c/p>\u003c/div>",
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"slug": "how-street-medicine-teams-are-tackling-the-unhoused-health-care-crisis",
"title": "How Street Medicine Teams Are Tackling the Unhoused Health Care Crisis",
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"content": "\u003cp>Living on the streets of California is a deadly affair. The\u003ca href=\"https://www.researchgate.net/profile/David-Turbow/publication/336130686_Principal_Component_Analysis_of_Morbidity_and_Mortality_among_the_United_States_Homeless_Population_A_Systematic_Review_and_Meta-Analysis/links/5d913ac9299bf10cff1a0b50/Principal-Component-Analysis-of-Morbidity-and-Mortality-among-the-United-States-Homeless-Population-A-Systematic-Review-and-Meta-Analysis.pdf\"> life expectancy of an unsheltered person is 50\u003c/a>, according to national estimates, nearly 30 years less than that of the average Californian. As \u003ca href=\"https://calmatters.org/housing/2022/10/california-homeless-crisis-latinos/\">homelessness spirals out of control\u003c/a> throughout the state, so too do \u003ca href=\"https://www.nytimes.com/2022/04/18/us/homeless-deaths-los-angeles.html\">deaths on the street\u003c/a>, but it’s those whose lives are the most fragile who are least likely to get medical care.\u003c/p>\n\u003cp>[pullquote size=\"medium\" align=\"right\" citation=\"Brett Feldman, physician assistant\"]‘They have Medi-Cal. They’re eligible for all these benefits, but they can’t access these benefits.’[/pullquote]Now, the state Medi-Cal agency is endeavoring to improve health care access for people experiencing homelessness. Through a series of incentives and regulatory changes, the Health Care Services Department is encouraging Medi-Cal insurers to fund and partner with organizations that bring primary care into encampments.\u003c/p>\n\u003cp>They’re known as street medicine teams. There are at least 25 in California.\u003c/p>\n\u003cp>“Oh, crap. This is where she was, and they just swept that,” said Brett Feldman on a Friday morning in November, looking at a green tent, crumpled and abandoned on Skid Row in Los Angeles. Feldman, a physician assistant, is searching for a female patient in her 40s with severe and unmanaged asthma. She cycles predictably in and out of the hospital, and Feldman knows she’s due for another hospitalization soon.\u003c/p>\n\u003cfigure id=\"attachment_11934632\" class=\"wp-caption aligncenter\" style=\"max-width: 800px\">\u003ca href=\"https://ww2.kqed.org/app/uploads/sites/10/2022/12/Screen-Shot-2022-12-08-at-12.24.25-PM.png\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-medium wp-image-11934632\" src=\"https://ww2.kqed.org/app/uploads/sites/10/2022/12/Screen-Shot-2022-12-08-at-12.24.25-PM-800x526.png\" alt=\"A man wearing a black t-shirt and gray pants leans over to look at a tent on the street.\" width=\"800\" height=\"526\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2022/12/Screen-Shot-2022-12-08-at-12.24.25-PM-800x526.png 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2022/12/Screen-Shot-2022-12-08-at-12.24.25-PM-1020x670.png 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2022/12/Screen-Shot-2022-12-08-at-12.24.25-PM-160x105.png 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2022/12/Screen-Shot-2022-12-08-at-12.24.25-PM-1536x1009.png 1536w, https://cdn.kqed.org/wp-content/uploads/sites/10/2022/12/Screen-Shot-2022-12-08-at-12.24.25-PM.png 1540w\" sizes=\"auto, (max-width: 800px) 100vw, 800px\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">Physician assistant Brett Feldman asks a man in his encampment if he has seen a patient along Skid Row in Los Angeles on Nov. 18, 2022. The patient was likely pushed out of the area as the Los Angeles sanitation department cleared the unhoused to clean the street near Skid Row. \u003ccite>(Larry Valenzuela/CalMatters)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>The road is streaked with water from a cleaning truck, and sanitation workers in fluorescent vests sweep up debris. Parking enforcement and police cruisers line the section of road where a homeless encampment once stood. Nearly 5,000 people live in the half-mile block infamous for the hypervisibility it affords the state’s unrelenting homelessness crisis.[aside postID=\"news_11932895,news_11927968\" label=\"Related Posts\"]Burdened by disproportionate rates of \u003ca href=\"https://escholarship.org/uc/item/44c5j3qz\">substance use disorders, mental health disorders and chronic disease\u003c/a>, people experiencing homelessness are some of the state’s neediest patients, but few receive anything more than emergency services. Barriers like lack of transportation and cumbersome insurance rules keep most from getting regular health care. Instead, they drift through the emergency room during a crisis, \u003ca href=\"https://www.dhcs.ca.gov/CalAIM/Documents/CalAIM-ECM-a11y.pdf\">racking up high costs to the system (PDF)\u003c/a> and deteriorating physically in the interim.\u003c/p>\n\u003cp>Delivering health care this way is costly and not particularly effective for the patient or the system. \u003ca href=\"https://www.dhcs.ca.gov/CalAIM/Documents/CalAIM-ECM-a11y.pdf\">More than half of the state’s $133 billion Medi-Cal budget is spent on the top 5% of high-needs users (PDF)\u003c/a>, according to the California Department of Health Care Services.\u003c/p>\n\u003cp>“Where we have been falling short, especially with this population, is their reality is so different from ours that we haven’t been building reality-based systems for them,” Feldman said. “They have Medi-Cal. They’re eligible for all these benefits, but they can’t access these benefits.”\u003c/p>\n\u003cp>The state’s efforts to bridge the gap between eligibility and access is supported in part through \u003ca href=\"https://calmatters.org/health/2022/02/california-medi-cal-reform/\">CalAIM\u003c/a>, a multiyear plan to revamp the state’s lower-income health insurance program. Grants to hire staff or invest in billing or data collection software offer some stability to teams that have historically been volunteer- or charity-operated. The department also issued a rule change in November \u003ca href=\"https://www.dhcs.ca.gov/formsandpubs/Documents/MMCDAPLsandPolicyLetters/APL2022/APL22-023.pdf\">allowing street medicine teams to tap into and manage unhoused patients’ Medi-Cal benefits (PDF)\u003c/a>, meaning providers can be reimbursed for their work.\u003c/p>\n\u003cp>“One of our core principles of CalAIM is breaking down the walls of health care and meeting people where they are,” said Jacey Cooper, director of the state’s Medi-Cal program. “We really feel like street medicine helps us do that.”\u003c/p>\n\u003ch2>What is street medicine?\u003c/h2>\n\u003cp>Several months ago, Feldman’s Skid Row patient suffered a brain injury from lack of oxygen during an asthma attack. She’s now confined to a wheelchair and reliant on a friend for basic needs like finding food and using the toilet.\u003c/p>\n\u003cp>Newer asthma medications might be able to help end her hospitalization cycle, but until recently only her assigned primary care doctor, whom she has never seen, was allowed to refer her to a specialist for assessment under Byzantine Medi-Cal rules. Feldman had been trying to get her a primary care appointment for more than a year, to no avail.\u003c/p>\n\u003cp>Under the new rules, however, Feldman could have referred the asthmatic patient directly to the lung specialist she needed or gotten prior authorization for the medication since it was recommended during a hospital stay. Instead, without adequate medical care to address her condition, her life has been irrevocably altered.\u003c/p>\n\u003cp>Statistically, she’ll be lucky to live longer than a few more years.\u003c/p>\n\u003cp>“She used to be a staple down here. She knew everybody,” Feldman said. “Now, she can’t walk, is confined to her tent. She’s lonely because she’s used to being part of the Skid Row community. She had a very full life despite being unhoused.”\u003c/p>\n\u003cp>Feldman, co-founder and director of the street medicine program at the University of Southern California’s Keck School of Medicine, said the goal of street medicine is to give some autonomy back to people who usually have very little power left in their lives.\u003c/p>\n\u003cfigure id=\"attachment_11934633\" class=\"wp-caption aligncenter\" style=\"max-width: 800px\">\u003ca href=\"https://ww2.kqed.org/app/uploads/sites/10/2022/12/Screen-Shot-2022-12-08-at-12.24.35-PM.png\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-medium wp-image-11934633\" src=\"https://ww2.kqed.org/app/uploads/sites/10/2022/12/Screen-Shot-2022-12-08-at-12.24.35-PM-800x515.png\" alt=\"A man wearing a black t-shirt uses a stethoscope on a woman's arm in a tent.\" width=\"800\" height=\"515\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2022/12/Screen-Shot-2022-12-08-at-12.24.35-PM-800x515.png 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2022/12/Screen-Shot-2022-12-08-at-12.24.35-PM-1020x657.png 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2022/12/Screen-Shot-2022-12-08-at-12.24.35-PM-160x103.png 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2022/12/Screen-Shot-2022-12-08-at-12.24.35-PM-1536x989.png 1536w, https://cdn.kqed.org/wp-content/uploads/sites/10/2022/12/Screen-Shot-2022-12-08-at-12.24.35-PM.png 1538w\" sizes=\"auto, (max-width: 800px) 100vw, 800px\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">Physician assistant Brett Feldman checks Carla Bolen’s blood pressure while she sits in her encampment at the Figueroa St. Viaduct above Highway 110 in Elysian Valley Park on Nov. 18, 2022. \u003ccite>(Larry Valenzuela/CalMatters)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>Each day he and a team of providers scour the county streets diagnosing chronic and acute conditions, treating mental illness and substance use, delivering medicine, drawing blood for tests and following up with patients who request a visit. Community health workers hand out food and hygiene supplies and help them navigate hurdles as they try to obtain housing and social services.\u003c/p>\n\u003cp>“We know that people who are experiencing homelessness have higher mortality, have higher ER utilization, have higher length of stay when they get admitted,” Cooper said. “We really see this as part of a comprehensive approach to ensuring that we have a true continuum of care for people experiencing homelessness.”\u003c/p>\n\u003cp>The traditional health care system thrives off efficiency: The more patients move through an office, the more the provider gets paid, resulting in brief appointments and little sympathy for circumstances that make patients late. But that setup doesn’t work for unsheltered people who run the risk of getting their belongings stolen if they leave their camp — or who would rather find something to eat than take care of what may seem like a minor malady.\u003c/p>\n\u003cp>\u003ca href=\"https://leginfo.legislature.ca.gov/faces/billTextClient.xhtml?bill_id=202120220AB369\">Less than 30% of unhoused people with Medi-Cal have ever seen their primary care provider\u003c/a>, according to a state legislative analysis of a street medicine bill vetoed by Gov. Gavin Newsom in 2021. The measure passed the Legislature with broad support but was opposed by the state Health Care Services Department for potential duplication of services. In the \u003ca href=\"https://www.gov.ca.gov/wp-content/uploads/2021/10/AB-369-1082021.pdf\">veto (PDF)\u003c/a>, Newsom directed the department to work with street medicine teams to fill any gaps left by CalAIM; one such gap was adjusting billing codes that prevented street medicine reimbursement.\u003c/p>\n\u003cp>“When you’re focused on those very basic needs, like food, safety, shelter, how are you then able to focus on, you know, managing your diabetes or your blood pressure or some of these risk factors that can lead to more serious downstream effects?” said Dr. Kyle Patton, medical director of the street medicine program at Shasta Community Health Center in Redding.\u003c/p>\n\u003cp>On a Monday in September, Patton and Anna Cummings, a case worker, trekked through a wooded area on the north edge of town to meet Amber Schmitt, 47, a patient with an infected leg. The ground is muddy from a storm the night before. Schmitt is paying a friend $700 a month to stay in his apartment, but hidden among the trees and rolling hills is her abandoned encampment, along with dozens of others. Schmitt gets $1,000 a month from Social Security, but it’s not enough to afford a security deposit or rent in the area, she said.\u003c/p>\n\u003cfigure id=\"attachment_11934634\" class=\"wp-caption aligncenter\" style=\"max-width: 800px\">\u003ca href=\"https://ww2.kqed.org/app/uploads/sites/10/2022/12/Screen-Shot-2022-12-08-at-12.24.44-PM.png\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-medium wp-image-11934634\" src=\"https://ww2.kqed.org/app/uploads/sites/10/2022/12/Screen-Shot-2022-12-08-at-12.24.44-PM-800x531.png\" alt=\"A man wearing a dark shirt, sunglasses and jeans looks down at an object in his hands while a woman wearing a black hooded sweatshirt and pants has her bandaged right leg propped up on the trunk of a car.\" width=\"800\" height=\"531\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2022/12/Screen-Shot-2022-12-08-at-12.24.44-PM-800x531.png 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2022/12/Screen-Shot-2022-12-08-at-12.24.44-PM-1020x677.png 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2022/12/Screen-Shot-2022-12-08-at-12.24.44-PM-160x106.png 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2022/12/Screen-Shot-2022-12-08-at-12.24.44-PM-1536x1020.png 1536w, https://cdn.kqed.org/wp-content/uploads/sites/10/2022/12/Screen-Shot-2022-12-08-at-12.24.44-PM.png 1542w\" sizes=\"auto, (max-width: 800px) 100vw, 800px\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">Dr. Kyle Patton prescribes Amber Schmitt with medication to treat the wound on her leg in the back of his truck on Sept. 19, 2022. \u003ccite>(Larry Valenzuela/CalMatters/CatchLight Local)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>The gash on Schmitt’s right shin is mottled and inflamed. She said she scraped it on a fallen branch. Patton cleaned and dressed it for her previously, but she had no choice but to reuse bandages after running out. Now she can barely walk from the pain.\u003c/p>\n\u003cp>“This is a silver-based dressing, which will kill bacteria in wounds,” Patton tells Schmitt after rinsing the area with a saline wash. “We’ll get you some more dressing, too. And then you’ve got some skin breakdown and maceration between your toes. I don’t like the look of that.”\u003c/p>\n\u003cp>He gives her a fungal cream and a bottle of antibiotics. Schmitt is a leukemia survivor and has had a hip replacement on the same injured leg. Her medical history makes her prone to infections and poor circulation in her extremities, Patton said.\u003c/p>\n\u003cp>“There’s people that would maybe make the argument that … they have health insurance here in California, they should just utilize the system as-is. The reality is because of certain factors within the context of their homelessness, they’re not able to do that,” Patton said.\u003c/p>\n\u003cp>Although they qualify for comprehensive health coverage under Medi-Cal, the program wasn’t necessarily designed with unhoused people in mind. For example, Medi-Cal will pay for transportation to and from a doctor’s appointment, but it requires the patient to provide a fixed address and give several week’s notice to the driver, something most people experiencing homelessness aren’t able to arrange.\u003c/p>\n\u003ch2 id=\"h-link-between-homelessness-and-health\">Link between homelessness and health\u003c/h2>\n\u003cp>Health data on unhoused people is sparse, with no state agency and only a handful of counties tracking the information, but it’s clear that most of their deaths are preventable.\u003c/p>\n\u003cp>In \u003ca href=\"https://www.achch.org/uploads/7/2/5/4/72547769/2018-2020_ac_homeless_mortality_report_final_4.11.2022.pdf\">Alameda (PDF) \u003c/a>and \u003ca href=\"https://nhchc.org/wp-content/uploads/2022/10/Mortality-in-PEH-Marin-Co-10-22.pdf\">Marin (PDF)\u003c/a> counties, half result from acute or chronic health conditions like cardiovascular disease, cancer or respiratory failure. In Orange County, these make up a quarter of deaths among the unhoused. In Los Angeles County, heart disease is the second-leading cause of death among people experiencing homelessness, second only to overdoses.\u003c/p>\n\u003cp>Even overdose deaths are considered preventable — yet in San Francisco, overdoses cause 82% of deaths among the unsheltered.\u003c/p>\n\u003cp>“We commonly see conditions that you would see in a typical population, but they’re just not addressed. So, out-of-control high blood pressure, uncontrolled diabetes … also substance use in terms of opioids, we see a whole lot more than in the general population,” said Dr. Absalon Galat, medical director for LA County’s Department of Health Services’ Housing for Health division.\u003c/p>\n\u003cp>Galat’s team started its foray into street medicine in an effort to dole out COVID-19 vaccines, but team members quickly found they needed to do more. The county used COVID-19 relief funds to purchase mobile clinics, and CalAIM funding has helped them hire 60 staff members.\u003c/p>\n\u003cfigure id=\"attachment_11934635\" class=\"wp-caption aligncenter\" style=\"max-width: 800px\">\u003ca href=\"https://ww2.kqed.org/app/uploads/sites/10/2022/12/Screen-Shot-2022-12-08-at-12.24.54-PM.png\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-medium wp-image-11934635\" src=\"https://ww2.kqed.org/app/uploads/sites/10/2022/12/Screen-Shot-2022-12-08-at-12.24.54-PM-800x526.png\" alt=\"A man with a black Raiders hat and gray shirt sits down in a medical facility.\" width=\"800\" height=\"526\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2022/12/Screen-Shot-2022-12-08-at-12.24.54-PM-800x526.png 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2022/12/Screen-Shot-2022-12-08-at-12.24.54-PM-1020x671.png 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2022/12/Screen-Shot-2022-12-08-at-12.24.54-PM-160x105.png 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2022/12/Screen-Shot-2022-12-08-at-12.24.54-PM.png 1058w\" sizes=\"auto, (max-width: 800px) 100vw, 800px\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">Patient Isaac Pierce gets a checkup in the Los Angeles County Department of Health Services’ mobile clinic parked in Whittier Narrows Park on Nov. 17, 2022. \u003ccite>(Larry Valenzuela/CalMatters)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>In September, the county’s \u003ca href=\"https://www.latimes.com/california/story/2022-10-13/la-county-mobile-medical-clinic\">fleet of mobile clinics,\u003c/a> complete with fully outfitted exam rooms, began visiting areas where services are sparse. Smaller teams of clinicians and case workers roam encampments to follow up with patients, treat minor issues and bring patients to the mobile clinic. There’s some disagreement among street medicine providers about whether mobile clinics remove enough barriers because they still require patients to travel to a set location, but Galat said his goal is to improve access, whether it’s by wheel or foot.\u003c/p>\n\u003cp>“People are dying every day,” Galat said. “So we have to try with what we know best in the medical field right now to limit people who are dying.”\u003c/p>\n\u003cfigure id=\"attachment_11934636\" class=\"wp-caption aligncenter\" style=\"max-width: 800px\">\u003ca href=\"https://ww2.kqed.org/app/uploads/sites/10/2022/12/Screen-Shot-2022-12-08-at-12.24.59-PM.png\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-medium wp-image-11934636\" src=\"https://ww2.kqed.org/app/uploads/sites/10/2022/12/Screen-Shot-2022-12-08-at-12.24.59-PM-800x526.png\" alt=\"A light blue medical truck with several photos of people and a medical logo on the side with a ramp and stairs leading inside.\" width=\"800\" height=\"526\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2022/12/Screen-Shot-2022-12-08-at-12.24.59-PM-800x526.png 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2022/12/Screen-Shot-2022-12-08-at-12.24.59-PM-1020x670.png 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2022/12/Screen-Shot-2022-12-08-at-12.24.59-PM-160x105.png 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2022/12/Screen-Shot-2022-12-08-at-12.24.59-PM.png 1056w\" sizes=\"auto, (max-width: 800px) 100vw, 800px\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">The Los Angeles County Department of Health Services’ mobile clinic parked in Whittier Narrows Park to see unhoused patients on Nov. 17, 2022. \u003ccite>(Larry Valenzuela/CalMatters)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>The connection between homelessness and health is inextricable, said Dr. Michelle Schneidermann, director of the People-Centered Care team at the California Health Care Foundation, a statewide health policy think tank.\u003c/p>\n\u003cp>“Either one can lead to the other. A catastrophic health incident or a series of conditions can lead to someone not being able to work, leading to poverty,” Schneidermann said. “We see this all the time, health conditions precipitating homelessness, and the other way around.”\u003c/p>\n\u003cp>Take Danny Doran, 56, who visited LA County’s mobile clinic at Whittier Narrows Park on a recent Thursday to pick up insulin. He spent his career as a plumber and owned a home in Bishop. Three years ago he fell into a diabetic coma and was hospitalized for months. A friend Doran trusted to pay his bills while he was hospitalized emptied his bank account and disappeared — Doran has been unhoused ever since. Several weeks ago he was beaten and robbed by another unhoused man, who left him with a fracture in his skull and a tremor in his hands.\u003c/p>\n\u003cp>“I guess I’m a little bit naive,” Doran said. “We’re all humans and we’re prone to mistakes, you know? So I hate for anyone to have their money stolen like mine was and end up like me on the streets.”\u003c/p>\n\u003cp>At the mobile clinic, Doran said the doctor on staff agreed to be his primary care physician. His previous primary care doctor stopped accepting Medi-Cal insurance, and Doran hasn’t had regular access to insulin ever since.\u003c/p>\n\u003cp>“The doc here, she truly has compassion for her patients. I’m glad our paths crossed,” Doran said.\u003c/p>\n\u003cfigure id=\"attachment_11934637\" class=\"wp-caption aligncenter\" style=\"max-width: 800px\">\u003ca href=\"https://ww2.kqed.org/app/uploads/sites/10/2022/12/Screen-Shot-2022-12-08-at-12.25.07-PM.png\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-medium wp-image-11934637\" src=\"https://ww2.kqed.org/app/uploads/sites/10/2022/12/Screen-Shot-2022-12-08-at-12.25.07-PM-800x523.png\" alt=\"A man wearing black hat, camouflage scarf and black jacket outside near a truck with a medical logo.\" width=\"800\" height=\"523\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2022/12/Screen-Shot-2022-12-08-at-12.25.07-PM-800x523.png 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2022/12/Screen-Shot-2022-12-08-at-12.25.07-PM-1020x666.png 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2022/12/Screen-Shot-2022-12-08-at-12.25.07-PM-160x105.png 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2022/12/Screen-Shot-2022-12-08-at-12.25.07-PM-1536x1003.png 1536w, https://cdn.kqed.org/wp-content/uploads/sites/10/2022/12/Screen-Shot-2022-12-08-at-12.25.07-PM.png 1546w\" sizes=\"auto, (max-width: 800px) 100vw, 800px\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">Unhoused patient Danny Doran sits in the waiting area for the mobile clinic parked in Whittier Narrows Park on Nov. 17, 2022. Doran is being checked after being assaulted near his encampment just a few days before. \u003ccite>(Larry Valenzuela/CalMatters)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>Schneidermann, who is overseeing a study on street medicine programs across California, said CalAIM, which also pays for housing services, is an opportunity for the state to address its most pernicious problem.\u003c/p>\n\u003cp>“Until we can end our crisis of homelessness … we have to find a way to deliver care for people on the streets,” Schneidermann said.\u003c/p>\n\u003ch2>New programs popping up\u003c/h2>\n\u003cp>Prior to CalAIM and the Health Care Services Department’s rule changes, street medicine programs operated outside of traditional health care, funded by philanthropies or the rare health organization willing to lose money. Now, the department’s changes offer some hope for stability, Feldman said.\u003c/p>\n\u003cp>Noting that these programs were birthed out of the pandemic, Feldman said they “might not exist in a few years if they’re not supported, but they have all these patients that rely on them.”\u003c/p>\n\u003cp>A year ago only 25 programs existed across the state, primarily concentrated in urban areas, Feldman said. But ever since CalAIM launched at the beginning of 2022, he’s run into more organizations looking to begin services. CalAIM requires Medi-Cal insurers to coordinate patients’ physical, behavioral, dental and developmental care as well as social services — something many street medicine teams already do. The goal is to make the “system hustle behind the scenes rather than making the patient hustle,” California Health Care Foundations’ Schneidermann said.\u003c/p>\n\u003cp>One such program is run by Anthony Menacho in Sacramento. Unlike USC, Shasta Community Health or LA County’s teams that are staffed full-time, Menacho’s street medicine band is composed entirely of volunteers. They visit six camps every other weekend.\u003c/p>\n\u003cp>The work was funded initially by a $100,000 grant from Health Net, the largest Medi-Cal provider in the state, but Menacho, who trained as a physician assistant with Feldman at USC, wants to be able to do the work full-time and hire more clinicians. He’s working to secure money through CalAIM and the Department of Health Care Services.\u003c/p>\n\u003cp>“We don’t have the academic resources or people behind us to be able to put in a department or infrastructure on the drop of the dime,” Menacho said. “We run on grants, but that’s not true sustainability. We can’t do it ourselves. It has to be a coordinated effort and I think that’s what CalAIM is trying to do.”\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>[ad floatright]\u003c/p>\n",
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"excerpt": "Unhoused people often have sporadic or no access to health care, resulting in costly, chronic conditions. A new statewide effort encourages Medi-Cal insurers to partner with street teams to improve care.",
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"title": "How Street Medicine Teams Are Tackling the Unhoused Health Care Crisis | KQED",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>Living on the streets of California is a deadly affair. The\u003ca href=\"https://www.researchgate.net/profile/David-Turbow/publication/336130686_Principal_Component_Analysis_of_Morbidity_and_Mortality_among_the_United_States_Homeless_Population_A_Systematic_Review_and_Meta-Analysis/links/5d913ac9299bf10cff1a0b50/Principal-Component-Analysis-of-Morbidity-and-Mortality-among-the-United-States-Homeless-Population-A-Systematic-Review-and-Meta-Analysis.pdf\"> life expectancy of an unsheltered person is 50\u003c/a>, according to national estimates, nearly 30 years less than that of the average Californian. As \u003ca href=\"https://calmatters.org/housing/2022/10/california-homeless-crisis-latinos/\">homelessness spirals out of control\u003c/a> throughout the state, so too do \u003ca href=\"https://www.nytimes.com/2022/04/18/us/homeless-deaths-los-angeles.html\">deaths on the street\u003c/a>, but it’s those whose lives are the most fragile who are least likely to get medical care.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "‘They have Medi-Cal. They’re eligible for all these benefits, but they can’t access these benefits.’",
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"content": "\u003cdiv class=\"post-body\">\u003cp>Now, the state Medi-Cal agency is endeavoring to improve health care access for people experiencing homelessness. Through a series of incentives and regulatory changes, the Health Care Services Department is encouraging Medi-Cal insurers to fund and partner with organizations that bring primary care into encampments.\u003c/p>\n\u003cp>They’re known as street medicine teams. There are at least 25 in California.\u003c/p>\n\u003cp>“Oh, crap. This is where she was, and they just swept that,” said Brett Feldman on a Friday morning in November, looking at a green tent, crumpled and abandoned on Skid Row in Los Angeles. Feldman, a physician assistant, is searching for a female patient in her 40s with severe and unmanaged asthma. She cycles predictably in and out of the hospital, and Feldman knows she’s due for another hospitalization soon.\u003c/p>\n\u003cfigure id=\"attachment_11934632\" class=\"wp-caption aligncenter\" style=\"max-width: 800px\">\u003ca href=\"https://ww2.kqed.org/app/uploads/sites/10/2022/12/Screen-Shot-2022-12-08-at-12.24.25-PM.png\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-medium wp-image-11934632\" src=\"https://ww2.kqed.org/app/uploads/sites/10/2022/12/Screen-Shot-2022-12-08-at-12.24.25-PM-800x526.png\" alt=\"A man wearing a black t-shirt and gray pants leans over to look at a tent on the street.\" width=\"800\" height=\"526\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2022/12/Screen-Shot-2022-12-08-at-12.24.25-PM-800x526.png 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2022/12/Screen-Shot-2022-12-08-at-12.24.25-PM-1020x670.png 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2022/12/Screen-Shot-2022-12-08-at-12.24.25-PM-160x105.png 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2022/12/Screen-Shot-2022-12-08-at-12.24.25-PM-1536x1009.png 1536w, https://cdn.kqed.org/wp-content/uploads/sites/10/2022/12/Screen-Shot-2022-12-08-at-12.24.25-PM.png 1540w\" sizes=\"auto, (max-width: 800px) 100vw, 800px\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">Physician assistant Brett Feldman asks a man in his encampment if he has seen a patient along Skid Row in Los Angeles on Nov. 18, 2022. The patient was likely pushed out of the area as the Los Angeles sanitation department cleared the unhoused to clean the street near Skid Row. \u003ccite>(Larry Valenzuela/CalMatters)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>The road is streaked with water from a cleaning truck, and sanitation workers in fluorescent vests sweep up debris. Parking enforcement and police cruisers line the section of road where a homeless encampment once stood. Nearly 5,000 people live in the half-mile block infamous for the hypervisibility it affords the state’s unrelenting homelessness crisis.\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>Burdened by disproportionate rates of \u003ca href=\"https://escholarship.org/uc/item/44c5j3qz\">substance use disorders, mental health disorders and chronic disease\u003c/a>, people experiencing homelessness are some of the state’s neediest patients, but few receive anything more than emergency services. Barriers like lack of transportation and cumbersome insurance rules keep most from getting regular health care. Instead, they drift through the emergency room during a crisis, \u003ca href=\"https://www.dhcs.ca.gov/CalAIM/Documents/CalAIM-ECM-a11y.pdf\">racking up high costs to the system (PDF)\u003c/a> and deteriorating physically in the interim.\u003c/p>\n\u003cp>Delivering health care this way is costly and not particularly effective for the patient or the system. \u003ca href=\"https://www.dhcs.ca.gov/CalAIM/Documents/CalAIM-ECM-a11y.pdf\">More than half of the state’s $133 billion Medi-Cal budget is spent on the top 5% of high-needs users (PDF)\u003c/a>, according to the California Department of Health Care Services.\u003c/p>\n\u003cp>“Where we have been falling short, especially with this population, is their reality is so different from ours that we haven’t been building reality-based systems for them,” Feldman said. “They have Medi-Cal. They’re eligible for all these benefits, but they can’t access these benefits.”\u003c/p>\n\u003cp>The state’s efforts to bridge the gap between eligibility and access is supported in part through \u003ca href=\"https://calmatters.org/health/2022/02/california-medi-cal-reform/\">CalAIM\u003c/a>, a multiyear plan to revamp the state’s lower-income health insurance program. Grants to hire staff or invest in billing or data collection software offer some stability to teams that have historically been volunteer- or charity-operated. The department also issued a rule change in November \u003ca href=\"https://www.dhcs.ca.gov/formsandpubs/Documents/MMCDAPLsandPolicyLetters/APL2022/APL22-023.pdf\">allowing street medicine teams to tap into and manage unhoused patients’ Medi-Cal benefits (PDF)\u003c/a>, meaning providers can be reimbursed for their work.\u003c/p>\n\u003cp>“One of our core principles of CalAIM is breaking down the walls of health care and meeting people where they are,” said Jacey Cooper, director of the state’s Medi-Cal program. “We really feel like street medicine helps us do that.”\u003c/p>\n\u003ch2>What is street medicine?\u003c/h2>\n\u003cp>Several months ago, Feldman’s Skid Row patient suffered a brain injury from lack of oxygen during an asthma attack. She’s now confined to a wheelchair and reliant on a friend for basic needs like finding food and using the toilet.\u003c/p>\n\u003cp>Newer asthma medications might be able to help end her hospitalization cycle, but until recently only her assigned primary care doctor, whom she has never seen, was allowed to refer her to a specialist for assessment under Byzantine Medi-Cal rules. Feldman had been trying to get her a primary care appointment for more than a year, to no avail.\u003c/p>\n\u003cp>Under the new rules, however, Feldman could have referred the asthmatic patient directly to the lung specialist she needed or gotten prior authorization for the medication since it was recommended during a hospital stay. Instead, without adequate medical care to address her condition, her life has been irrevocably altered.\u003c/p>\n\u003cp>Statistically, she’ll be lucky to live longer than a few more years.\u003c/p>\n\u003cp>“She used to be a staple down here. She knew everybody,” Feldman said. “Now, she can’t walk, is confined to her tent. She’s lonely because she’s used to being part of the Skid Row community. She had a very full life despite being unhoused.”\u003c/p>\n\u003cp>Feldman, co-founder and director of the street medicine program at the University of Southern California’s Keck School of Medicine, said the goal of street medicine is to give some autonomy back to people who usually have very little power left in their lives.\u003c/p>\n\u003cfigure id=\"attachment_11934633\" class=\"wp-caption aligncenter\" style=\"max-width: 800px\">\u003ca href=\"https://ww2.kqed.org/app/uploads/sites/10/2022/12/Screen-Shot-2022-12-08-at-12.24.35-PM.png\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-medium wp-image-11934633\" src=\"https://ww2.kqed.org/app/uploads/sites/10/2022/12/Screen-Shot-2022-12-08-at-12.24.35-PM-800x515.png\" alt=\"A man wearing a black t-shirt uses a stethoscope on a woman's arm in a tent.\" width=\"800\" height=\"515\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2022/12/Screen-Shot-2022-12-08-at-12.24.35-PM-800x515.png 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2022/12/Screen-Shot-2022-12-08-at-12.24.35-PM-1020x657.png 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2022/12/Screen-Shot-2022-12-08-at-12.24.35-PM-160x103.png 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2022/12/Screen-Shot-2022-12-08-at-12.24.35-PM-1536x989.png 1536w, https://cdn.kqed.org/wp-content/uploads/sites/10/2022/12/Screen-Shot-2022-12-08-at-12.24.35-PM.png 1538w\" sizes=\"auto, (max-width: 800px) 100vw, 800px\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">Physician assistant Brett Feldman checks Carla Bolen’s blood pressure while she sits in her encampment at the Figueroa St. Viaduct above Highway 110 in Elysian Valley Park on Nov. 18, 2022. \u003ccite>(Larry Valenzuela/CalMatters)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>Each day he and a team of providers scour the county streets diagnosing chronic and acute conditions, treating mental illness and substance use, delivering medicine, drawing blood for tests and following up with patients who request a visit. Community health workers hand out food and hygiene supplies and help them navigate hurdles as they try to obtain housing and social services.\u003c/p>\n\u003cp>“We know that people who are experiencing homelessness have higher mortality, have higher ER utilization, have higher length of stay when they get admitted,” Cooper said. “We really see this as part of a comprehensive approach to ensuring that we have a true continuum of care for people experiencing homelessness.”\u003c/p>\n\u003cp>The traditional health care system thrives off efficiency: The more patients move through an office, the more the provider gets paid, resulting in brief appointments and little sympathy for circumstances that make patients late. But that setup doesn’t work for unsheltered people who run the risk of getting their belongings stolen if they leave their camp — or who would rather find something to eat than take care of what may seem like a minor malady.\u003c/p>\n\u003cp>\u003ca href=\"https://leginfo.legislature.ca.gov/faces/billTextClient.xhtml?bill_id=202120220AB369\">Less than 30% of unhoused people with Medi-Cal have ever seen their primary care provider\u003c/a>, according to a state legislative analysis of a street medicine bill vetoed by Gov. Gavin Newsom in 2021. The measure passed the Legislature with broad support but was opposed by the state Health Care Services Department for potential duplication of services. In the \u003ca href=\"https://www.gov.ca.gov/wp-content/uploads/2021/10/AB-369-1082021.pdf\">veto (PDF)\u003c/a>, Newsom directed the department to work with street medicine teams to fill any gaps left by CalAIM; one such gap was adjusting billing codes that prevented street medicine reimbursement.\u003c/p>\n\u003cp>“When you’re focused on those very basic needs, like food, safety, shelter, how are you then able to focus on, you know, managing your diabetes or your blood pressure or some of these risk factors that can lead to more serious downstream effects?” said Dr. Kyle Patton, medical director of the street medicine program at Shasta Community Health Center in Redding.\u003c/p>\n\u003cp>On a Monday in September, Patton and Anna Cummings, a case worker, trekked through a wooded area on the north edge of town to meet Amber Schmitt, 47, a patient with an infected leg. The ground is muddy from a storm the night before. Schmitt is paying a friend $700 a month to stay in his apartment, but hidden among the trees and rolling hills is her abandoned encampment, along with dozens of others. Schmitt gets $1,000 a month from Social Security, but it’s not enough to afford a security deposit or rent in the area, she said.\u003c/p>\n\u003cfigure id=\"attachment_11934634\" class=\"wp-caption aligncenter\" style=\"max-width: 800px\">\u003ca href=\"https://ww2.kqed.org/app/uploads/sites/10/2022/12/Screen-Shot-2022-12-08-at-12.24.44-PM.png\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-medium wp-image-11934634\" src=\"https://ww2.kqed.org/app/uploads/sites/10/2022/12/Screen-Shot-2022-12-08-at-12.24.44-PM-800x531.png\" alt=\"A man wearing a dark shirt, sunglasses and jeans looks down at an object in his hands while a woman wearing a black hooded sweatshirt and pants has her bandaged right leg propped up on the trunk of a car.\" width=\"800\" height=\"531\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2022/12/Screen-Shot-2022-12-08-at-12.24.44-PM-800x531.png 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2022/12/Screen-Shot-2022-12-08-at-12.24.44-PM-1020x677.png 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2022/12/Screen-Shot-2022-12-08-at-12.24.44-PM-160x106.png 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2022/12/Screen-Shot-2022-12-08-at-12.24.44-PM-1536x1020.png 1536w, https://cdn.kqed.org/wp-content/uploads/sites/10/2022/12/Screen-Shot-2022-12-08-at-12.24.44-PM.png 1542w\" sizes=\"auto, (max-width: 800px) 100vw, 800px\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">Dr. Kyle Patton prescribes Amber Schmitt with medication to treat the wound on her leg in the back of his truck on Sept. 19, 2022. \u003ccite>(Larry Valenzuela/CalMatters/CatchLight Local)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>The gash on Schmitt’s right shin is mottled and inflamed. She said she scraped it on a fallen branch. Patton cleaned and dressed it for her previously, but she had no choice but to reuse bandages after running out. Now she can barely walk from the pain.\u003c/p>\n\u003cp>“This is a silver-based dressing, which will kill bacteria in wounds,” Patton tells Schmitt after rinsing the area with a saline wash. “We’ll get you some more dressing, too. And then you’ve got some skin breakdown and maceration between your toes. I don’t like the look of that.”\u003c/p>\n\u003cp>He gives her a fungal cream and a bottle of antibiotics. Schmitt is a leukemia survivor and has had a hip replacement on the same injured leg. Her medical history makes her prone to infections and poor circulation in her extremities, Patton said.\u003c/p>\n\u003cp>“There’s people that would maybe make the argument that … they have health insurance here in California, they should just utilize the system as-is. The reality is because of certain factors within the context of their homelessness, they’re not able to do that,” Patton said.\u003c/p>\n\u003cp>Although they qualify for comprehensive health coverage under Medi-Cal, the program wasn’t necessarily designed with unhoused people in mind. For example, Medi-Cal will pay for transportation to and from a doctor’s appointment, but it requires the patient to provide a fixed address and give several week’s notice to the driver, something most people experiencing homelessness aren’t able to arrange.\u003c/p>\n\u003ch2 id=\"h-link-between-homelessness-and-health\">Link between homelessness and health\u003c/h2>\n\u003cp>Health data on unhoused people is sparse, with no state agency and only a handful of counties tracking the information, but it’s clear that most of their deaths are preventable.\u003c/p>\n\u003cp>In \u003ca href=\"https://www.achch.org/uploads/7/2/5/4/72547769/2018-2020_ac_homeless_mortality_report_final_4.11.2022.pdf\">Alameda (PDF) \u003c/a>and \u003ca href=\"https://nhchc.org/wp-content/uploads/2022/10/Mortality-in-PEH-Marin-Co-10-22.pdf\">Marin (PDF)\u003c/a> counties, half result from acute or chronic health conditions like cardiovascular disease, cancer or respiratory failure. In Orange County, these make up a quarter of deaths among the unhoused. In Los Angeles County, heart disease is the second-leading cause of death among people experiencing homelessness, second only to overdoses.\u003c/p>\n\u003cp>Even overdose deaths are considered preventable — yet in San Francisco, overdoses cause 82% of deaths among the unsheltered.\u003c/p>\n\u003cp>“We commonly see conditions that you would see in a typical population, but they’re just not addressed. So, out-of-control high blood pressure, uncontrolled diabetes … also substance use in terms of opioids, we see a whole lot more than in the general population,” said Dr. Absalon Galat, medical director for LA County’s Department of Health Services’ Housing for Health division.\u003c/p>\n\u003cp>Galat’s team started its foray into street medicine in an effort to dole out COVID-19 vaccines, but team members quickly found they needed to do more. The county used COVID-19 relief funds to purchase mobile clinics, and CalAIM funding has helped them hire 60 staff members.\u003c/p>\n\u003cfigure id=\"attachment_11934635\" class=\"wp-caption aligncenter\" style=\"max-width: 800px\">\u003ca href=\"https://ww2.kqed.org/app/uploads/sites/10/2022/12/Screen-Shot-2022-12-08-at-12.24.54-PM.png\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-medium wp-image-11934635\" src=\"https://ww2.kqed.org/app/uploads/sites/10/2022/12/Screen-Shot-2022-12-08-at-12.24.54-PM-800x526.png\" alt=\"A man with a black Raiders hat and gray shirt sits down in a medical facility.\" width=\"800\" height=\"526\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2022/12/Screen-Shot-2022-12-08-at-12.24.54-PM-800x526.png 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2022/12/Screen-Shot-2022-12-08-at-12.24.54-PM-1020x671.png 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2022/12/Screen-Shot-2022-12-08-at-12.24.54-PM-160x105.png 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2022/12/Screen-Shot-2022-12-08-at-12.24.54-PM.png 1058w\" sizes=\"auto, (max-width: 800px) 100vw, 800px\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">Patient Isaac Pierce gets a checkup in the Los Angeles County Department of Health Services’ mobile clinic parked in Whittier Narrows Park on Nov. 17, 2022. \u003ccite>(Larry Valenzuela/CalMatters)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>In September, the county’s \u003ca href=\"https://www.latimes.com/california/story/2022-10-13/la-county-mobile-medical-clinic\">fleet of mobile clinics,\u003c/a> complete with fully outfitted exam rooms, began visiting areas where services are sparse. Smaller teams of clinicians and case workers roam encampments to follow up with patients, treat minor issues and bring patients to the mobile clinic. There’s some disagreement among street medicine providers about whether mobile clinics remove enough barriers because they still require patients to travel to a set location, but Galat said his goal is to improve access, whether it’s by wheel or foot.\u003c/p>\n\u003cp>“People are dying every day,” Galat said. “So we have to try with what we know best in the medical field right now to limit people who are dying.”\u003c/p>\n\u003cfigure id=\"attachment_11934636\" class=\"wp-caption aligncenter\" style=\"max-width: 800px\">\u003ca href=\"https://ww2.kqed.org/app/uploads/sites/10/2022/12/Screen-Shot-2022-12-08-at-12.24.59-PM.png\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-medium wp-image-11934636\" src=\"https://ww2.kqed.org/app/uploads/sites/10/2022/12/Screen-Shot-2022-12-08-at-12.24.59-PM-800x526.png\" alt=\"A light blue medical truck with several photos of people and a medical logo on the side with a ramp and stairs leading inside.\" width=\"800\" height=\"526\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2022/12/Screen-Shot-2022-12-08-at-12.24.59-PM-800x526.png 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2022/12/Screen-Shot-2022-12-08-at-12.24.59-PM-1020x670.png 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2022/12/Screen-Shot-2022-12-08-at-12.24.59-PM-160x105.png 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2022/12/Screen-Shot-2022-12-08-at-12.24.59-PM.png 1056w\" sizes=\"auto, (max-width: 800px) 100vw, 800px\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">The Los Angeles County Department of Health Services’ mobile clinic parked in Whittier Narrows Park to see unhoused patients on Nov. 17, 2022. \u003ccite>(Larry Valenzuela/CalMatters)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>The connection between homelessness and health is inextricable, said Dr. Michelle Schneidermann, director of the People-Centered Care team at the California Health Care Foundation, a statewide health policy think tank.\u003c/p>\n\u003cp>“Either one can lead to the other. A catastrophic health incident or a series of conditions can lead to someone not being able to work, leading to poverty,” Schneidermann said. “We see this all the time, health conditions precipitating homelessness, and the other way around.”\u003c/p>\n\u003cp>Take Danny Doran, 56, who visited LA County’s mobile clinic at Whittier Narrows Park on a recent Thursday to pick up insulin. He spent his career as a plumber and owned a home in Bishop. Three years ago he fell into a diabetic coma and was hospitalized for months. A friend Doran trusted to pay his bills while he was hospitalized emptied his bank account and disappeared — Doran has been unhoused ever since. Several weeks ago he was beaten and robbed by another unhoused man, who left him with a fracture in his skull and a tremor in his hands.\u003c/p>\n\u003cp>“I guess I’m a little bit naive,” Doran said. “We’re all humans and we’re prone to mistakes, you know? So I hate for anyone to have their money stolen like mine was and end up like me on the streets.”\u003c/p>\n\u003cp>At the mobile clinic, Doran said the doctor on staff agreed to be his primary care physician. His previous primary care doctor stopped accepting Medi-Cal insurance, and Doran hasn’t had regular access to insulin ever since.\u003c/p>\n\u003cp>“The doc here, she truly has compassion for her patients. I’m glad our paths crossed,” Doran said.\u003c/p>\n\u003cfigure id=\"attachment_11934637\" class=\"wp-caption aligncenter\" style=\"max-width: 800px\">\u003ca href=\"https://ww2.kqed.org/app/uploads/sites/10/2022/12/Screen-Shot-2022-12-08-at-12.25.07-PM.png\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-medium wp-image-11934637\" src=\"https://ww2.kqed.org/app/uploads/sites/10/2022/12/Screen-Shot-2022-12-08-at-12.25.07-PM-800x523.png\" alt=\"A man wearing black hat, camouflage scarf and black jacket outside near a truck with a medical logo.\" width=\"800\" height=\"523\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2022/12/Screen-Shot-2022-12-08-at-12.25.07-PM-800x523.png 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2022/12/Screen-Shot-2022-12-08-at-12.25.07-PM-1020x666.png 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2022/12/Screen-Shot-2022-12-08-at-12.25.07-PM-160x105.png 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2022/12/Screen-Shot-2022-12-08-at-12.25.07-PM-1536x1003.png 1536w, https://cdn.kqed.org/wp-content/uploads/sites/10/2022/12/Screen-Shot-2022-12-08-at-12.25.07-PM.png 1546w\" sizes=\"auto, (max-width: 800px) 100vw, 800px\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">Unhoused patient Danny Doran sits in the waiting area for the mobile clinic parked in Whittier Narrows Park on Nov. 17, 2022. Doran is being checked after being assaulted near his encampment just a few days before. \u003ccite>(Larry Valenzuela/CalMatters)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>Schneidermann, who is overseeing a study on street medicine programs across California, said CalAIM, which also pays for housing services, is an opportunity for the state to address its most pernicious problem.\u003c/p>\n\u003cp>“Until we can end our crisis of homelessness … we have to find a way to deliver care for people on the streets,” Schneidermann said.\u003c/p>\n\u003ch2>New programs popping up\u003c/h2>\n\u003cp>Prior to CalAIM and the Health Care Services Department’s rule changes, street medicine programs operated outside of traditional health care, funded by philanthropies or the rare health organization willing to lose money. Now, the department’s changes offer some hope for stability, Feldman said.\u003c/p>\n\u003cp>Noting that these programs were birthed out of the pandemic, Feldman said they “might not exist in a few years if they’re not supported, but they have all these patients that rely on them.”\u003c/p>\n\u003cp>A year ago only 25 programs existed across the state, primarily concentrated in urban areas, Feldman said. But ever since CalAIM launched at the beginning of 2022, he’s run into more organizations looking to begin services. CalAIM requires Medi-Cal insurers to coordinate patients’ physical, behavioral, dental and developmental care as well as social services — something many street medicine teams already do. The goal is to make the “system hustle behind the scenes rather than making the patient hustle,” California Health Care Foundations’ Schneidermann said.\u003c/p>\n\u003cp>One such program is run by Anthony Menacho in Sacramento. Unlike USC, Shasta Community Health or LA County’s teams that are staffed full-time, Menacho’s street medicine band is composed entirely of volunteers. They visit six camps every other weekend.\u003c/p>\n\u003cp>The work was funded initially by a $100,000 grant from Health Net, the largest Medi-Cal provider in the state, but Menacho, who trained as a physician assistant with Feldman at USC, wants to be able to do the work full-time and hire more clinicians. He’s working to secure money through CalAIM and the Department of Health Care Services.\u003c/p>\n\u003cp>“We don’t have the academic resources or people behind us to be able to put in a department or infrastructure on the drop of the dime,” Menacho said. “We run on grants, but that’s not true sustainability. We can’t do it ourselves. It has to be a coordinated effort and I think that’s what CalAIM is trying to do.”\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"slug": "tripledemic-causing-shortage-of-fever-reducing-medicines-for-kids",
"title": "'Tripledemic' Causing Shortage of Fever-Reducing Medicines for Kids",
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"content": "\u003cp>If you stroll the cold and flu medicine aisle these days, you might notice shelves that are bare, or nearly so. Some medicines that can be particularly hard to find are fever reducers for kids, like children’s Tylenol, Motrin or Advil.\u003c/p>\n\u003cp>Drug manufacturers point to a big spike in demand. That’s not surprising, given the surge in three respiratory viruses right now: \u003ca href=\"https://www.npr.org/sections/health-shots/2022/11/22/1137649962/experts-are-concerned-thanksgiving-gatherings-could-accelerate-a-tripledemic\">COVID, RSV and influenza, what has been termed a “tripledemic.”\u003c/a>\u003c/p>\n\u003cp>Johnson & Johnson makes \u003ca href=\"https://www.tylenol.com/products/children-infants\">Children’s Tylenol\u003c/a> and \u003ca href=\"https://www.motrin.com/products/childrens-motrin\">Children’s Motrin\u003c/a>. It says there is no nationwide shortage — just a lot of demand.\u003c/p>\n\u003cp>“Consumer demand for pediatric pain relievers in the U.S. is high, but there are no supply chain issues and we do not have an overall shortage in the U.S.,” company spokesperson Melissa Witt said in an email to NPR. The company says it is “experiencing high consumer demand and are doing everything we can to make sure people have access to the products they need.”\u003c/p>\n\u003cp>Nationally, sales of pediatric internal analgesics — which includes drugs like acetaminophen and ibuprofen — were up more than 26% in October compared with a year earlier. That’s according to data from the Consumer Healthcare Products Association (CHPA), a trade group that represents manufacturers of over-the-counter drugs.[pullquote align=\"right\" size=\"medium\" citation=\"Anita Brikman, spokesperson, CHPA\"]‘If families start to stock up in worry, as opposed to buying what they need, we are concerned that that could amplify the situation.’[/pullquote]\u003c/p>\n\u003cp>While there may not be a countrywide shortage, there is one part of the U.S. where finding these meds is most difficult: areas near the Canadian border. The Buffalo-Rochester area of western New York is seeing the highest demand in the U.S., CHPA says.\u003c/p>\n\u003cp>Sales for such products in the Buffalo-Rochester market surged 53% in October compared to a year earlier. That’s very likely the result of \u003ca href=\"https://www.thestar.com/politics/federal/2022/11/15/health-canada-says-more-childrens-pain-medication-is-on-the-way-but-not-how-much.html\">an ongoing shortage of kids’ pain and fever medications in Canada\u003c/a>, with Buffalo’s close proximity to Toronto making it an ideal place for Canadians to buy such products in the U.S.\u003c/p>\n\u003cp>A spot check on Thursday in Washington, D.C., of four stores — a Giant supermarket, a CVS, a Target, and a Bed Bath & Beyond — found low supplies of children’s fever-reducers, though each had at least a few of such medicines available. Supplies were low of cold and flu products for adults, as well.\u003c/p>\n\u003cp>“The supply chain is strong,” says Anita Brikman, a spokesperson for CHPA. But parents and caregivers may need to check more than one store, buy a store brand instead of a name brand, or order products online, she suggests.\u003c/p>\n\u003ch2>Parents have a range of options for treating fevers\u003c/h2>\n\u003cp>So what to do if you have a fevered child, and are struggling to find Children’s Tylenol or a similar product?\u003c/p>\n\u003cp>There’s a good chance you don’t even need to use medicine, says Dr. Sean O’Leary, a professor of pediatrics at the University of Colorado School of Medicine and Children’s Hospital Colorado, as well as the chair of the Committee on Infectious Diseases for the American Academy of Pediatrics (AAP).\u003c/p>\n\u003cp>“These medicines are not curative. They don’t alter the duration of the illness or anything like that. They are essentially purely for comfort,” he tells NPR.\u003cstrong> \u003c/strong>“Fevers from common respiratory viruses in and of themselves are not harmful.”\u003c/p>\n\u003cp>He offers a scenario. “If [a child’s] temp is 103, but he’s running around the room having a good time playing, you don’t need to do anything with that. That’s not going to hurt him. Fever is representing our body’s immune response to an infection. On the other hand, if he doesn’t have a fever, but his throat is hurting, something is bothering him, he’s pretty fussy — then that’s where things like ibuprofen or Tylenol, acetaminophen can be helpful.”\u003c/p>\n\u003cp>AAP has guidance on \u003ca href=\"https://www.healthychildren.org/English/health-issues/conditions/fever/Pages/Medications-Used-to-Treat-Fever.aspx\">treating a child’s fever\u003c/a>, as well advice on \u003ca href=\"https://www.healthychildren.org/English/health-issues/conditions/fever/Pages/Treating-a-Fever-Without-Medicine.aspx\">treating a fever without medicine\u003c/a>.\u003c/p>\n\u003cp>Often when kids do have a fever, they do feel pretty crummy, and so that’s a time to use such medicines — “It’s to treat how the child is feeling,” O’Leary says.\u003c/p>\n\u003cp>Fever is a more serious concern in \u003ca href=\"https://www.healthychildren.org/English/health-issues/conditions/fever/Pages/Fever-and-Your-Baby.aspx\">infants\u003c/a> and \u003ca href=\"https://www.healthychildren.org/English/health-issues/conditions/fever/Pages/febrile-seizures.aspx\">children who experience febrile seizures\u003c/a>.\u003c/p>\n\u003cp>“Fever in very young infants, in newborns, is actually a different situation, and that’s something that does need evaluation,” O’Leary says. “Essentially, the younger the child, the more concerned you should be about a fever. For example, a 2-week-old with a fever is something that needs immediate medical attention. A 6-month-old with a fever that’s otherwise doing well does not need immediate medical attention. [Parents] can simply call their child’s pediatrician to get that checked out.”\u003c/p>\n\u003ch2>Be very careful with adapting adult medications\u003c/h2>\n\u003cp>Parents at home might be eyeing their bottle of adult acetaminophen or ibuprofen and wondering if they could give a smaller amount to their sick child. But there’s reason to be very cautious with that — and to consult a doctor or pharmacist first to find out the correct dosage for your particular child.\u003c/p>\n\u003cp>“For both acetaminophen and ibuprofen, there are potential toxicities from taking too much — some of which can be quite severe, particularly for acetaminophen. So you really have to be careful when you do that,” O’Leary says.[pullquote align=\"right\" size=\"medium\" citation=\"Dr. Sean O'Leary, professor of pediatrics, University of Colorado School of Medicine\"]‘These medicines are not curative. They don’t alter the duration of the illness or anything like that. They are essentially purely for comfort. Fevers from common respiratory viruses in and of themselves are not harmful.’[/pullquote]\u003c/p>\n\u003cp>Wendy Mobley-Bukstein, a professor of pharmacy practice at Drake University and the president of the American Pharmacists Association Academy of Pharmacy Practice and Management, agrees.\u003c/p>\n\u003cp>“It’s best to talk to the doctor or pharmacist,” she tells NPR. If a parent or caregiver “can weigh [the child] at home, tell us what they weigh on their scale at home, we can figure out what an appropriate dose would be for them to take,” she says.\u003c/p>\n\u003cp>She explains that repetitively giving a child too large a dose could have liver implications with acetaminophen, and kidney implications with ibuprofen.\u003c/p>\n\u003cp>And Mobley-Bukstein has another piece of advice: Get kids vaccinated for COVID-19 and flu.\u003c/p>\n\u003cp>“Even if you still get the flu or even if you still get COVID, it’s definitely going to lessen the severity of the disease itself. And so just making sure that they’re getting their immunizations is really important,” she says.\u003c/p>\n\u003ch2>PSA: Please don’t hoard the meds\u003c/h2>\n\u003cp>Brikman at the CPHA worries that the notion that there is a shortage will spur parents to buy more than they need.\u003c/p>\n\u003cp>“If families start to stock up in worry, as opposed to buying what they need, we are concerned that that could amplify the situation,” she says.\u003c/p>\n\u003cp>And if you were thinking of stocking up on a bunch of fever meds just in case, Mobley-Bukstein has a practical warning: These products do expire.\u003c/p>\n\u003cp>“So putting a whole bunch of them in your medicine cabinet at home might not serve you if you don’t get sick, or if your kids don’t get sick,” she says. “It’s important for us to remember that they do have expiration dates, that it can be dangerous to give [children] expired medications. And so only buy what you need when you need it, and use up what you have at home before you go and buy new, if it’s still in date.”\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>[ad floatright]\u003c/p>\n",
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"excerpt": "Drug manufacturers attribute the shortage of children's fever-reducing medicine to a big spike in demand caused by the recent surge in three respiratory viruses: COVID, RSV and influenza.",
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"title": "'Tripledemic' Causing Shortage of Fever-Reducing Medicines for Kids | KQED",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>If you stroll the cold and flu medicine aisle these days, you might notice shelves that are bare, or nearly so. Some medicines that can be particularly hard to find are fever reducers for kids, like children’s Tylenol, Motrin or Advil.\u003c/p>\n\u003cp>Drug manufacturers point to a big spike in demand. That’s not surprising, given the surge in three respiratory viruses right now: \u003ca href=\"https://www.npr.org/sections/health-shots/2022/11/22/1137649962/experts-are-concerned-thanksgiving-gatherings-could-accelerate-a-tripledemic\">COVID, RSV and influenza, what has been termed a “tripledemic.”\u003c/a>\u003c/p>\n\u003cp>Johnson & Johnson makes \u003ca href=\"https://www.tylenol.com/products/children-infants\">Children’s Tylenol\u003c/a> and \u003ca href=\"https://www.motrin.com/products/childrens-motrin\">Children’s Motrin\u003c/a>. It says there is no nationwide shortage — just a lot of demand.\u003c/p>\n\u003cp>“Consumer demand for pediatric pain relievers in the U.S. is high, but there are no supply chain issues and we do not have an overall shortage in the U.S.,” company spokesperson Melissa Witt said in an email to NPR. The company says it is “experiencing high consumer demand and are doing everything we can to make sure people have access to the products they need.”\u003c/p>\n\u003cp>Nationally, sales of pediatric internal analgesics — which includes drugs like acetaminophen and ibuprofen — were up more than 26% in October compared with a year earlier. That’s according to data from the Consumer Healthcare Products Association (CHPA), a trade group that represents manufacturers of over-the-counter drugs.\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>While there may not be a countrywide shortage, there is one part of the U.S. where finding these meds is most difficult: areas near the Canadian border. The Buffalo-Rochester area of western New York is seeing the highest demand in the U.S., CHPA says.\u003c/p>\n\u003cp>Sales for such products in the Buffalo-Rochester market surged 53% in October compared to a year earlier. That’s very likely the result of \u003ca href=\"https://www.thestar.com/politics/federal/2022/11/15/health-canada-says-more-childrens-pain-medication-is-on-the-way-but-not-how-much.html\">an ongoing shortage of kids’ pain and fever medications in Canada\u003c/a>, with Buffalo’s close proximity to Toronto making it an ideal place for Canadians to buy such products in the U.S.\u003c/p>\n\u003cp>A spot check on Thursday in Washington, D.C., of four stores — a Giant supermarket, a CVS, a Target, and a Bed Bath & Beyond — found low supplies of children’s fever-reducers, though each had at least a few of such medicines available. Supplies were low of cold and flu products for adults, as well.\u003c/p>\n\u003cp>“The supply chain is strong,” says Anita Brikman, a spokesperson for CHPA. But parents and caregivers may need to check more than one store, buy a store brand instead of a name brand, or order products online, she suggests.\u003c/p>\n\u003ch2>Parents have a range of options for treating fevers\u003c/h2>\n\u003cp>So what to do if you have a fevered child, and are struggling to find Children’s Tylenol or a similar product?\u003c/p>\n\u003cp>There’s a good chance you don’t even need to use medicine, says Dr. Sean O’Leary, a professor of pediatrics at the University of Colorado School of Medicine and Children’s Hospital Colorado, as well as the chair of the Committee on Infectious Diseases for the American Academy of Pediatrics (AAP).\u003c/p>\n\u003cp>“These medicines are not curative. They don’t alter the duration of the illness or anything like that. They are essentially purely for comfort,” he tells NPR.\u003cstrong> \u003c/strong>“Fevers from common respiratory viruses in and of themselves are not harmful.”\u003c/p>\n\u003cp>He offers a scenario. “If [a child’s] temp is 103, but he’s running around the room having a good time playing, you don’t need to do anything with that. That’s not going to hurt him. Fever is representing our body’s immune response to an infection. On the other hand, if he doesn’t have a fever, but his throat is hurting, something is bothering him, he’s pretty fussy — then that’s where things like ibuprofen or Tylenol, acetaminophen can be helpful.”\u003c/p>\n\u003cp>AAP has guidance on \u003ca href=\"https://www.healthychildren.org/English/health-issues/conditions/fever/Pages/Medications-Used-to-Treat-Fever.aspx\">treating a child’s fever\u003c/a>, as well advice on \u003ca href=\"https://www.healthychildren.org/English/health-issues/conditions/fever/Pages/Treating-a-Fever-Without-Medicine.aspx\">treating a fever without medicine\u003c/a>.\u003c/p>\n\u003cp>Often when kids do have a fever, they do feel pretty crummy, and so that’s a time to use such medicines — “It’s to treat how the child is feeling,” O’Leary says.\u003c/p>\n\u003cp>Fever is a more serious concern in \u003ca href=\"https://www.healthychildren.org/English/health-issues/conditions/fever/Pages/Fever-and-Your-Baby.aspx\">infants\u003c/a> and \u003ca href=\"https://www.healthychildren.org/English/health-issues/conditions/fever/Pages/febrile-seizures.aspx\">children who experience febrile seizures\u003c/a>.\u003c/p>\n\u003cp>“Fever in very young infants, in newborns, is actually a different situation, and that’s something that does need evaluation,” O’Leary says. “Essentially, the younger the child, the more concerned you should be about a fever. For example, a 2-week-old with a fever is something that needs immediate medical attention. A 6-month-old with a fever that’s otherwise doing well does not need immediate medical attention. [Parents] can simply call their child’s pediatrician to get that checked out.”\u003c/p>\n\u003ch2>Be very careful with adapting adult medications\u003c/h2>\n\u003cp>Parents at home might be eyeing their bottle of adult acetaminophen or ibuprofen and wondering if they could give a smaller amount to their sick child. But there’s reason to be very cautious with that — and to consult a doctor or pharmacist first to find out the correct dosage for your particular child.\u003c/p>\n\u003cp>“For both acetaminophen and ibuprofen, there are potential toxicities from taking too much — some of which can be quite severe, particularly for acetaminophen. So you really have to be careful when you do that,” O’Leary says.\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>Wendy Mobley-Bukstein, a professor of pharmacy practice at Drake University and the president of the American Pharmacists Association Academy of Pharmacy Practice and Management, agrees.\u003c/p>\n\u003cp>“It’s best to talk to the doctor or pharmacist,” she tells NPR. If a parent or caregiver “can weigh [the child] at home, tell us what they weigh on their scale at home, we can figure out what an appropriate dose would be for them to take,” she says.\u003c/p>\n\u003cp>She explains that repetitively giving a child too large a dose could have liver implications with acetaminophen, and kidney implications with ibuprofen.\u003c/p>\n\u003cp>And Mobley-Bukstein has another piece of advice: Get kids vaccinated for COVID-19 and flu.\u003c/p>\n\u003cp>“Even if you still get the flu or even if you still get COVID, it’s definitely going to lessen the severity of the disease itself. And so just making sure that they’re getting their immunizations is really important,” she says.\u003c/p>\n\u003ch2>PSA: Please don’t hoard the meds\u003c/h2>\n\u003cp>Brikman at the CPHA worries that the notion that there is a shortage will spur parents to buy more than they need.\u003c/p>\n\u003cp>“If families start to stock up in worry, as opposed to buying what they need, we are concerned that that could amplify the situation,” she says.\u003c/p>\n\u003cp>And if you were thinking of stocking up on a bunch of fever meds just in case, Mobley-Bukstein has a practical warning: These products do expire.\u003c/p>\n\u003cp>“So putting a whole bunch of them in your medicine cabinet at home might not serve you if you don’t get sick, or if your kids don’t get sick,” she says. “It’s important for us to remember that they do have expiration dates, that it can be dangerous to give [children] expired medications. And so only buy what you need when you need it, and use up what you have at home before you go and buy new, if it’s still in date.”\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cp>\u003cem>This story contains clarifications.\u003c/em>\u003c/p>\n\u003cp>In a storage room behind an old dance studio in San Francisco’s Bayview neighborhood, four volunteers busily pack diapers, wipes, fresh produce and other household essentials into cardboard boxes.\u003c/p>\n\u003cp>Asmara Gebre, a nurse-midwife and founder of \u003ca href=\"https://oneloveblackcommunity.org/\">One Love Black Community\u003c/a>, a local group dedicated to improving Black people’s access to reproductive health care, shuffles through notes. She calls a client who gave birth a month earlier to find out what she needs.\u003c/p>\n\u003cp>“Do you already have a hand pump or just an electric pump?” Gebre asks. “Are you exclusively breastfeeding or formula feeding, too?”[pullquote size=\"medium\" align=\"right\" citation=\"Asmara Gebre, nurse-midwife and founder, One Love Black Community\"]‘I have not met one patient that doesn’t care about their pregnancy or want the best for themselves and their baby, though there are so many factors around them that are influencing their ability to engage or not engage in the kind of quality of care that they want.’[/pullquote]Once the boxes are filled and crammed into car trunks and back seats, the volunteers caravan across San Francisco to make deliveries to expectant and new Black parents.\u003c/p>\n\u003cp>The “Sunday Show Ups” began at the start of the pandemic when Gebre noticed that few of the Black patients at her Zuckerberg San Francisco General Hospital clinic were taking advantage of a pantry a doctor had set up for pregnant patients. Concerned about insufficient outreach to a vulnerable population during an uncertain time, Gebre sought donations on social media for her Black patients, and the grassroots effort took off.\u003c/p>\n\u003cp>“There were disparities in access to masks, access to education and factual information around the pandemic,” Gebre says. “Out of this hard period, we created a space where we can engage in conversations and give back to the community in a positive way.”\u003c/p>\n\u003cfigure id=\"attachment_11933205\" class=\"wp-caption aligncenter\" style=\"max-width: 800px\">\u003ca href=\"https://ww2.kqed.org/app/uploads/sites/10/2022/11/029_KQED_OneLoveBlackCommunity_11132022.jpg\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-medium wp-image-11933205\" src=\"https://ww2.kqed.org/app/uploads/sites/10/2022/11/029_KQED_OneLoveBlackCommunity_11132022-800x533.jpg\" alt=\"A woman wearing a face mask looking down and holding a cellphone stands next to a woman wearing a brown hooded sweater outside. \" width=\"800\" height=\"533\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2022/11/029_KQED_OneLoveBlackCommunity_11132022-800x533.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2022/11/029_KQED_OneLoveBlackCommunity_11132022-1020x680.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2022/11/029_KQED_OneLoveBlackCommunity_11132022-160x107.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2022/11/029_KQED_OneLoveBlackCommunity_11132022-1536x1024.jpg 1536w, https://cdn.kqed.org/wp-content/uploads/sites/10/2022/11/029_KQED_OneLoveBlackCommunity_11132022.jpg 1920w\" sizes=\"(max-width: 800px) 100vw, 800px\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">One Love Black Community organizer Asmara Gebre speaks with expectant mother Tanisha Bell about resources for her newborn in Bayview-Hunters Point, San Francisco, on Nov. 13, 2022, during the organization’s ‘Sunday Show Up.’ \u003ccite>(Beth LaBerge/KQED)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>The focus on Black families is personal and purposeful: Gebre, 34, was living in a home for pregnant people more than 15 years ago. She relates to the multitude of challenges her patients face. As a medical professional, she has seen Black birthing people suffer from higher rates of pregnancy-related complications and preterm births even as the city’s Black population dwindles.\u003c/p>\n\u003cp>In San Francisco, Black birthing people make up \u003ca href=\"https://www.sfdph.org/dph/files/MCHdocs/Epi/2022/5-3%20_Disparities_in_preterm_birth_and_days_of_gestation_lost_2020-2021.pdf\">half of the city’s pregnancy-related deaths, and Black children make up 15% of infant deaths (PDF)\u003c/a> despite representing just 4% of all births. City data also shows nearly 14% of Black infants are born prematurely compared with 7.3% of white infants. It’s a cause for alarm because preterm babies are more likely to experience chronic disease, not to mention learning and behavioral difficulties in school.\u003c/p>\n\u003cp>At first, the donations included masks, hand sanitizer, diapers, children’s books, produce and money. The cash donations allowed Gebre to distribute $200 per household — no strings attached.\u003c/p>\n\u003cp>As her network of volunteers grew, so did her reach.\u003c/p>\n\u003cfigure id=\"attachment_11933208\" class=\"wp-caption aligncenter\" style=\"max-width: 800px\">\u003ca href=\"https://ww2.kqed.org/app/uploads/sites/10/2022/11/063_KQED_OneLoveBlackCommunity_11132022-1.jpg\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-medium wp-image-11933208\" src=\"https://ww2.kqed.org/app/uploads/sites/10/2022/11/063_KQED_OneLoveBlackCommunity_11132022-1-800x533.jpg\" alt=\"Two women standing outside with the woman on the right wearing all black and the woman on the left wearing a green jacket with a black t-shirt.\" width=\"800\" height=\"533\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2022/11/063_KQED_OneLoveBlackCommunity_11132022-1-800x533.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2022/11/063_KQED_OneLoveBlackCommunity_11132022-1-1020x680.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2022/11/063_KQED_OneLoveBlackCommunity_11132022-1-160x107.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2022/11/063_KQED_OneLoveBlackCommunity_11132022-1-1536x1024.jpg 1536w, https://cdn.kqed.org/wp-content/uploads/sites/10/2022/11/063_KQED_OneLoveBlackCommunity_11132022-1.jpg 1920w\" sizes=\"(max-width: 800px) 100vw, 800px\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">Cassandra Perkins (left) and Asmara Gebre pose for a portrait on Treasure Island after making all their deliveries during One Love Black Community’s ‘Sunday Show Up’ on Nov. 13, 2022. \u003ccite>(Beth LaBerge/KQED)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>With the help of her most dedicated volunteer, Cassandra Perkins — an outreach coordinator for the San Francisco Department of Public Health — they expanded their deliveries to new parents participating in the California Black Infant Health program and to pregnant people who are unhoused. They also aligned with several Bay Area initiatives that are trying to address \u003ca href=\"https://www.medicalnewstoday.com/articles/weathering-what-are-the-health-effects-of-stress-and-discrimination\">racial inequalities to improve Black maternal health\u003c/a>.\u003c/p>\n\u003cp>Perkins has spent the last 23 years working in HIV and family planning clinics in the city’s Black neighborhoods. She has an easy smile and is the kind of person who gives away books, socks and toiletries stashed in her car to people she meets on the street.\u003c/p>\n\u003cp>She calls the Sunday Show-Ups her church.\u003c/p>\n\u003cp>“I look like them, so it’s easier for them to relate to me … just to inform, educate and be of service and always treat people with dignity and respect and you get it back tenfold,” Perkins says.\u003c/p>\n\u003cp>She said after birthing patients leave the hospital and recover at home, many of them miss out on information about services focused on Black people’s health. The home visits are filling a crucial gap in postpartum care and establishes One Love Black Community as a reliable source of information to a community wary of outsiders after experiencing decades of poverty, environmental injustice and racial discrimination.\u003c/p>\n\u003cp>Bayview-Hunters Point became a Black neighborhood in the 1940s as African Americans from the Gulf Coast migrated to the Bay Area to work at the nearby Navy shipyard. After World War II ended, jobs evaporated. Black people, who were limited in where they could live in San Francisco due to racist housing policy, were left languishing in the area, surrounded by pollution left over from the shipyard.\u003c/p>\n\u003cp>“If they show initiative in how much they care to help you, then that’s the most helpful because they make you want to put more initiative into yourself,” says Charise Haley, who met Perkins when she was living on the streets and pregnant with her now 10-month-old son.\u003c/p>\n\u003cp>Haley, who continues to cope with losing her partner to suicide, says she’s close to receiving a subsidized apartment.\u003c/p>\n\u003cp>“Cassandra is one of my favorite people because if it wasn’t for her actually believing in what I can do, I probably wouldn’t be where I am right now,” she says about Perkins.\u003c/p>\n\u003cp>Haley was among seven women who received deliveries on one Sunday last month.\u003c/p>\n\u003cfigure id=\"attachment_11933209\" class=\"wp-caption aligncenter\" style=\"max-width: 800px\">\u003ca href=\"https://ww2.kqed.org/app/uploads/sites/10/2022/11/043_KQED_OneLoveBlackCommunity_11132022.jpg\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-medium wp-image-11933209\" src=\"https://ww2.kqed.org/app/uploads/sites/10/2022/11/043_KQED_OneLoveBlackCommunity_11132022-800x533.jpg\" alt=\"A woman wearing glasses puts a small child into a stroller shaped like a toy car.\" width=\"800\" height=\"533\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2022/11/043_KQED_OneLoveBlackCommunity_11132022-800x533.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2022/11/043_KQED_OneLoveBlackCommunity_11132022-1020x680.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2022/11/043_KQED_OneLoveBlackCommunity_11132022-160x107.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2022/11/043_KQED_OneLoveBlackCommunity_11132022-1536x1024.jpg 1536w, https://cdn.kqed.org/wp-content/uploads/sites/10/2022/11/043_KQED_OneLoveBlackCommunity_11132022.jpg 1920w\" sizes=\"(max-width: 800px) 100vw, 800px\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">Charise Haley picks up her son Isaiah from his toy car outside her home in San Francisco on Nov. 13, 2022, during a visit by One Love Black Community volunteers. \u003ccite>(Beth LaBerge/KQED)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>I ride with Gebre in her SUV that’s cluttered with baby supplies in the back and her half-eaten breakfast in the front. A tireless multitasker, she also finds time to lead \u003ca href=\"https://blackcentering.ucsf.edu/\">Black Centering\u003c/a>, a program at SF General where she organizes nature walks, CPR classes and other community-building activities for expectant Black parents.\u003c/p>\n\u003cp>Perkins and Katiana Carey-Simms, a midwifery student, follow in two other cars filled with supplies. Meanwhile, Gebre’s son Devin comes along to pack and haul boxes.\u003c/p>\n\u003cp>We go uphill to an apartment complex overlooking the bay and meet Crystal Hill, who is receiving her first delivery from One Love Black Community. Inside her unit, football plays on the TV while Hill’s 2-month-old boy lies in a baby swing.\u003c/p>\n\u003cp>Big pots of stew simmer in the kitchen, and the aroma prompts Gebre to offer to sign Hill up for six weeks of meals delivered by \u003ca href=\"https://www.m2mpostpartum.org/nourish\">Postpartum Justice\u003c/a>, an organization that recruits Bay Area restaurants to cook nourishing meals for Black people healing from childbirth.\u003c/p>\n\u003cp>“I need to start getting healthy because I have high blood pressure and diabetes that stayed with me after [pregnancy],” Hill, 40, tells her.\u003c/p>\n\u003cp>“This would be a beautiful transition, just having some nice meals and sharing with the family and thinking differently,” Gebre replies.\u003c/p>\n\u003cp>A short drive later, we stop at the Bayview home of a pregnant woman Perkins recently met while shopping at Safeway. Perkins urges the woman, who declines to be interviewed, to enroll in the \u003ca href=\"https://www.expectingjustice.org/\">Abundant Birth Project\u003c/a> because she is in her first trimester and thus eligible. The guaranteed income program gives $1,000 per month to a randomly selected group of Black and Pacific Islander pregnant people who face some of the greatest degrees of income inequality in one of the nation’s most expensive cities.\u003c/p>\n\u003cfigure id=\"attachment_11933210\" class=\"wp-caption aligncenter\" style=\"max-width: 800px\">\u003ca href=\"https://ww2.kqed.org/app/uploads/sites/10/2022/11/037_KQED_OneLoveBlackCommunity_11132022.jpg\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-medium wp-image-11933210\" src=\"https://ww2.kqed.org/app/uploads/sites/10/2022/11/037_KQED_OneLoveBlackCommunity_11132022-800x533.jpg\" alt=\"A woman sitting on a couch holding a baby.\" width=\"800\" height=\"533\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2022/11/037_KQED_OneLoveBlackCommunity_11132022-800x533.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2022/11/037_KQED_OneLoveBlackCommunity_11132022-1020x680.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2022/11/037_KQED_OneLoveBlackCommunity_11132022-160x107.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2022/11/037_KQED_OneLoveBlackCommunity_11132022-1536x1024.jpg 1536w, https://cdn.kqed.org/wp-content/uploads/sites/10/2022/11/037_KQED_OneLoveBlackCommunity_11132022.jpg 1920w\" sizes=\"(max-width: 800px) 100vw, 800px\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">Sabrina Hall holds her newborn, Harleigh Quin, at her home in Bayview on Nov. 13, 2022, while visiting with volunteers from One Love Black Community. \u003ccite>(Beth LaBerge/KQED)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>The experiment is part of a \u003ca href=\"https://www.mayorsforagi.org/\">growing number of guaranteed income programs\u003c/a> responding to racial and economic inequality by giving unconditional cash directly to people in need. Abundant Birth’s goal is to ease financial stress for these people and improve their health outcomes.\u003c/p>\n\u003cp>Gebre stopped taking cash gifts for a while due to tax reasons, but has resumed accepting them as donations after receiving fiscal sponsorship from the San Francisco Public Health Foundation.\u003c/p>\n\u003cp>She estimates 300 women have received deliveries from One Love Black Community in just over two years. This Christmas, she hopes to show up for 100 families with the help of volunteers from a Black sorority for registered nurses, Lambda Chi Chi.\u003c/p>\n\u003cp>She recalls the small acts of kindness that made a big difference for her when she was raising Devin in the Santa Cruz area. Gebre volunteered at a horse ranch when Devin was a boy. When someone there saw her struggling, they slipped a surprise in the book Gebre was reading.\u003c/p>\n\u003cp>[aside label='Early Childhood Education and Care' tag='early-childhood-education-and-care']“I remember one day I was running out of gas and was like, ‘I don’t know how I’m going to get through this week of school.’ I opened the book and there was $100 in cash in there,” Gebre says. “There were so many moments where my community showed up for me. Little things here and there, but they add up.”\u003c/p>\n\u003cp>She says she’s driven to give back because of the support she received.\u003c/p>\n\u003cp>When we reach Sabrina Hall at her home in an industrial part of the Bayview, Gebre and Perkins pitch the postpartum meals and \u003ca href=\"https://womenshealth.ucsf.edu/coe/embrace-perinatal-care-black-families\">online support group\u003c/a> for Black moms facilitated by UC San Francisco.\u003c/p>\n\u003cp>Hall, 41, says she developed gestational diabetes during pregnancy and suffered nerve damage and other complications after delivering her daughter, Harleigh Quin, three weeks early. The baby weighed just 5 pounds.\u003c/p>\n\u003cp>The experience was nonetheless an improvement from four previous pregnancies, Hall says. She participated in the guaranteed income study, and says the extra cash helped her buy baby gear and catch up on some bills.\u003c/p>\n\u003cp>“With my other kids, no one told me about doulas. [There was] just a lack of education,” Hall says. “This birth, I had a doula, I had Black Infant Health — you know, just the support. I had no one to speak for me with the medical office or the staff. And this time I had an advocate.”\u003c/p>\n\u003cfigure id=\"attachment_11933204\" class=\"wp-caption aligncenter\" style=\"max-width: 800px\">\u003ca href=\"https://ww2.kqed.org/app/uploads/sites/10/2022/11/016_KQED_OneLoveBlackCommunity_11132022.jpg\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-medium wp-image-11933204\" src=\"https://ww2.kqed.org/app/uploads/sites/10/2022/11/016_KQED_OneLoveBlackCommunity_11132022-800x533.jpg\" alt=\"Boxes filled with diapers, formula and other essentials sitting in a cart.\" width=\"800\" height=\"533\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2022/11/016_KQED_OneLoveBlackCommunity_11132022-800x533.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2022/11/016_KQED_OneLoveBlackCommunity_11132022-1020x680.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2022/11/016_KQED_OneLoveBlackCommunity_11132022-160x107.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2022/11/016_KQED_OneLoveBlackCommunity_11132022-1536x1024.jpg 1536w, https://cdn.kqed.org/wp-content/uploads/sites/10/2022/11/016_KQED_OneLoveBlackCommunity_11132022.jpg 1920w\" sizes=\"(max-width: 800px) 100vw, 800px\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">Boxes filled with diapers, formula and other essentials are loaded into a car to be delivered to mothers throughout San Francisco and Treasure Island as a part of One Love Black Community’s ‘Sunday Show Up’ on Nov. 13, 2022. \u003ccite>(Beth LaBerge/KQED)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>Back in the car, Gebre says since the guaranteed income pilot launched two years ago, she noticed that patients who receive the money participate more actively in their prenatal care. For example, patients in transitional housing were more likely to find transportation to show up for their appointments.\u003c/p>\n\u003cp>“I have not met one patient that doesn’t care about their pregnancy or want the best for themselves and their baby, though there are so many factors around them that are influencing their ability to engage or not engage in the kind of quality of care that they want,” she says. “When you’re able to provide additional resources to minimize those stress factors — that burden, that toll is no longer present — you can notice the difference in patients and how they engage in care.”\u003c/p>\n\u003cp>She drives across a section of the Bay Bridge and exits onto Treasure Island, passing a housing construction project and new ferry terminal. She parks in front of a cluster of townhouses to check on her former patient Danesha Johnson.\u003c/p>\n\u003cp>“How are you?” Gebre asks while hugging Johnson, who gave birth a month earlier.\u003c/p>\n\u003cp>“The recovery is fine, no complications. I’m fine,” the 21-year-old says.\u003c/p>\n\u003cp>When Johnson’s partner, Darrian Burrows, comes out to carry the supplies inside, Gebre tells Perkins that he assisted her in the delivery room and caught his daughter when Johnson made her final push. Perkins remembers seeing him in the hospital when Johnson was in labor, and she’s overcome with emotions.\u003c/p>\n\u003cp>“That was so beautiful for you to be in the tub with her when she was going through labor to help ease things,” she says as tears fill her eyes.\u003c/p>\n\u003cp>“You’re giving me the chills, because I work in our communities of color and they’re always giving our men a hard time,” Perkins continues. “And some programs, there’s something for the mom and the baby but they don’t want the dad involved. So just to see you all as a couple and loving one another and having a baby brung into this world together … .”\u003c/p>\n\u003cp>Bearing witness to a happy, healthy birth makes her want to keep this thing going, she says.\u003c/p>\n\u003cp>\u003cem>Nov. 30: This story has been updated to reflect that One Love Black Community is inclusive of all Black people accessing reproductive services in San Francisco.\u003c/em>\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>[ad floatright]\u003c/p>\n",
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"excerpt": "In San Francisco, Black birthing people make up half of the city's pregnancy-related deaths, and Black children make up 15% of infant deaths despite representing just 4% of all births. One Love Black Community focuses on improving Black people's access to reproductive health care.",
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"title": "Diapers, Food and Cash: San Francisco Group Helps Black Families, One Delivery at a Time | KQED",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>\u003cem>This story contains clarifications.\u003c/em>\u003c/p>\n\u003cp>In a storage room behind an old dance studio in San Francisco’s Bayview neighborhood, four volunteers busily pack diapers, wipes, fresh produce and other household essentials into cardboard boxes.\u003c/p>\n\u003cp>Asmara Gebre, a nurse-midwife and founder of \u003ca href=\"https://oneloveblackcommunity.org/\">One Love Black Community\u003c/a>, a local group dedicated to improving Black people’s access to reproductive health care, shuffles through notes. She calls a client who gave birth a month earlier to find out what she needs.\u003c/p>\n\u003cp>“Do you already have a hand pump or just an electric pump?” Gebre asks. “Are you exclusively breastfeeding or formula feeding, too?”\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>Once the boxes are filled and crammed into car trunks and back seats, the volunteers caravan across San Francisco to make deliveries to expectant and new Black parents.\u003c/p>\n\u003cp>The “Sunday Show Ups” began at the start of the pandemic when Gebre noticed that few of the Black patients at her Zuckerberg San Francisco General Hospital clinic were taking advantage of a pantry a doctor had set up for pregnant patients. Concerned about insufficient outreach to a vulnerable population during an uncertain time, Gebre sought donations on social media for her Black patients, and the grassroots effort took off.\u003c/p>\n\u003cp>“There were disparities in access to masks, access to education and factual information around the pandemic,” Gebre says. “Out of this hard period, we created a space where we can engage in conversations and give back to the community in a positive way.”\u003c/p>\n\u003cfigure id=\"attachment_11933205\" class=\"wp-caption aligncenter\" style=\"max-width: 800px\">\u003ca href=\"https://ww2.kqed.org/app/uploads/sites/10/2022/11/029_KQED_OneLoveBlackCommunity_11132022.jpg\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-medium wp-image-11933205\" src=\"https://ww2.kqed.org/app/uploads/sites/10/2022/11/029_KQED_OneLoveBlackCommunity_11132022-800x533.jpg\" alt=\"A woman wearing a face mask looking down and holding a cellphone stands next to a woman wearing a brown hooded sweater outside. \" width=\"800\" height=\"533\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2022/11/029_KQED_OneLoveBlackCommunity_11132022-800x533.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2022/11/029_KQED_OneLoveBlackCommunity_11132022-1020x680.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2022/11/029_KQED_OneLoveBlackCommunity_11132022-160x107.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2022/11/029_KQED_OneLoveBlackCommunity_11132022-1536x1024.jpg 1536w, https://cdn.kqed.org/wp-content/uploads/sites/10/2022/11/029_KQED_OneLoveBlackCommunity_11132022.jpg 1920w\" sizes=\"(max-width: 800px) 100vw, 800px\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">One Love Black Community organizer Asmara Gebre speaks with expectant mother Tanisha Bell about resources for her newborn in Bayview-Hunters Point, San Francisco, on Nov. 13, 2022, during the organization’s ‘Sunday Show Up.’ \u003ccite>(Beth LaBerge/KQED)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>The focus on Black families is personal and purposeful: Gebre, 34, was living in a home for pregnant people more than 15 years ago. She relates to the multitude of challenges her patients face. As a medical professional, she has seen Black birthing people suffer from higher rates of pregnancy-related complications and preterm births even as the city’s Black population dwindles.\u003c/p>\n\u003cp>In San Francisco, Black birthing people make up \u003ca href=\"https://www.sfdph.org/dph/files/MCHdocs/Epi/2022/5-3%20_Disparities_in_preterm_birth_and_days_of_gestation_lost_2020-2021.pdf\">half of the city’s pregnancy-related deaths, and Black children make up 15% of infant deaths (PDF)\u003c/a> despite representing just 4% of all births. City data also shows nearly 14% of Black infants are born prematurely compared with 7.3% of white infants. It’s a cause for alarm because preterm babies are more likely to experience chronic disease, not to mention learning and behavioral difficulties in school.\u003c/p>\n\u003cp>At first, the donations included masks, hand sanitizer, diapers, children’s books, produce and money. The cash donations allowed Gebre to distribute $200 per household — no strings attached.\u003c/p>\n\u003cp>As her network of volunteers grew, so did her reach.\u003c/p>\n\u003cfigure id=\"attachment_11933208\" class=\"wp-caption aligncenter\" style=\"max-width: 800px\">\u003ca href=\"https://ww2.kqed.org/app/uploads/sites/10/2022/11/063_KQED_OneLoveBlackCommunity_11132022-1.jpg\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-medium wp-image-11933208\" src=\"https://ww2.kqed.org/app/uploads/sites/10/2022/11/063_KQED_OneLoveBlackCommunity_11132022-1-800x533.jpg\" alt=\"Two women standing outside with the woman on the right wearing all black and the woman on the left wearing a green jacket with a black t-shirt.\" width=\"800\" height=\"533\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2022/11/063_KQED_OneLoveBlackCommunity_11132022-1-800x533.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2022/11/063_KQED_OneLoveBlackCommunity_11132022-1-1020x680.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2022/11/063_KQED_OneLoveBlackCommunity_11132022-1-160x107.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2022/11/063_KQED_OneLoveBlackCommunity_11132022-1-1536x1024.jpg 1536w, https://cdn.kqed.org/wp-content/uploads/sites/10/2022/11/063_KQED_OneLoveBlackCommunity_11132022-1.jpg 1920w\" sizes=\"(max-width: 800px) 100vw, 800px\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">Cassandra Perkins (left) and Asmara Gebre pose for a portrait on Treasure Island after making all their deliveries during One Love Black Community’s ‘Sunday Show Up’ on Nov. 13, 2022. \u003ccite>(Beth LaBerge/KQED)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>With the help of her most dedicated volunteer, Cassandra Perkins — an outreach coordinator for the San Francisco Department of Public Health — they expanded their deliveries to new parents participating in the California Black Infant Health program and to pregnant people who are unhoused. They also aligned with several Bay Area initiatives that are trying to address \u003ca href=\"https://www.medicalnewstoday.com/articles/weathering-what-are-the-health-effects-of-stress-and-discrimination\">racial inequalities to improve Black maternal health\u003c/a>.\u003c/p>\n\u003cp>Perkins has spent the last 23 years working in HIV and family planning clinics in the city’s Black neighborhoods. She has an easy smile and is the kind of person who gives away books, socks and toiletries stashed in her car to people she meets on the street.\u003c/p>\n\u003cp>She calls the Sunday Show-Ups her church.\u003c/p>\n\u003cp>“I look like them, so it’s easier for them to relate to me … just to inform, educate and be of service and always treat people with dignity and respect and you get it back tenfold,” Perkins says.\u003c/p>\n\u003cp>She said after birthing patients leave the hospital and recover at home, many of them miss out on information about services focused on Black people’s health. The home visits are filling a crucial gap in postpartum care and establishes One Love Black Community as a reliable source of information to a community wary of outsiders after experiencing decades of poverty, environmental injustice and racial discrimination.\u003c/p>\n\u003cp>Bayview-Hunters Point became a Black neighborhood in the 1940s as African Americans from the Gulf Coast migrated to the Bay Area to work at the nearby Navy shipyard. After World War II ended, jobs evaporated. Black people, who were limited in where they could live in San Francisco due to racist housing policy, were left languishing in the area, surrounded by pollution left over from the shipyard.\u003c/p>\n\u003cp>“If they show initiative in how much they care to help you, then that’s the most helpful because they make you want to put more initiative into yourself,” says Charise Haley, who met Perkins when she was living on the streets and pregnant with her now 10-month-old son.\u003c/p>\n\u003cp>Haley, who continues to cope with losing her partner to suicide, says she’s close to receiving a subsidized apartment.\u003c/p>\n\u003cp>“Cassandra is one of my favorite people because if it wasn’t for her actually believing in what I can do, I probably wouldn’t be where I am right now,” she says about Perkins.\u003c/p>\n\u003cp>Haley was among seven women who received deliveries on one Sunday last month.\u003c/p>\n\u003cfigure id=\"attachment_11933209\" class=\"wp-caption aligncenter\" style=\"max-width: 800px\">\u003ca href=\"https://ww2.kqed.org/app/uploads/sites/10/2022/11/043_KQED_OneLoveBlackCommunity_11132022.jpg\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-medium wp-image-11933209\" src=\"https://ww2.kqed.org/app/uploads/sites/10/2022/11/043_KQED_OneLoveBlackCommunity_11132022-800x533.jpg\" alt=\"A woman wearing glasses puts a small child into a stroller shaped like a toy car.\" width=\"800\" height=\"533\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2022/11/043_KQED_OneLoveBlackCommunity_11132022-800x533.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2022/11/043_KQED_OneLoveBlackCommunity_11132022-1020x680.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2022/11/043_KQED_OneLoveBlackCommunity_11132022-160x107.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2022/11/043_KQED_OneLoveBlackCommunity_11132022-1536x1024.jpg 1536w, https://cdn.kqed.org/wp-content/uploads/sites/10/2022/11/043_KQED_OneLoveBlackCommunity_11132022.jpg 1920w\" sizes=\"(max-width: 800px) 100vw, 800px\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">Charise Haley picks up her son Isaiah from his toy car outside her home in San Francisco on Nov. 13, 2022, during a visit by One Love Black Community volunteers. \u003ccite>(Beth LaBerge/KQED)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>I ride with Gebre in her SUV that’s cluttered with baby supplies in the back and her half-eaten breakfast in the front. A tireless multitasker, she also finds time to lead \u003ca href=\"https://blackcentering.ucsf.edu/\">Black Centering\u003c/a>, a program at SF General where she organizes nature walks, CPR classes and other community-building activities for expectant Black parents.\u003c/p>\n\u003cp>Perkins and Katiana Carey-Simms, a midwifery student, follow in two other cars filled with supplies. Meanwhile, Gebre’s son Devin comes along to pack and haul boxes.\u003c/p>\n\u003cp>We go uphill to an apartment complex overlooking the bay and meet Crystal Hill, who is receiving her first delivery from One Love Black Community. Inside her unit, football plays on the TV while Hill’s 2-month-old boy lies in a baby swing.\u003c/p>\n\u003cp>Big pots of stew simmer in the kitchen, and the aroma prompts Gebre to offer to sign Hill up for six weeks of meals delivered by \u003ca href=\"https://www.m2mpostpartum.org/nourish\">Postpartum Justice\u003c/a>, an organization that recruits Bay Area restaurants to cook nourishing meals for Black people healing from childbirth.\u003c/p>\n\u003cp>“I need to start getting healthy because I have high blood pressure and diabetes that stayed with me after [pregnancy],” Hill, 40, tells her.\u003c/p>\n\u003cp>“This would be a beautiful transition, just having some nice meals and sharing with the family and thinking differently,” Gebre replies.\u003c/p>\n\u003cp>A short drive later, we stop at the Bayview home of a pregnant woman Perkins recently met while shopping at Safeway. Perkins urges the woman, who declines to be interviewed, to enroll in the \u003ca href=\"https://www.expectingjustice.org/\">Abundant Birth Project\u003c/a> because she is in her first trimester and thus eligible. The guaranteed income program gives $1,000 per month to a randomly selected group of Black and Pacific Islander pregnant people who face some of the greatest degrees of income inequality in one of the nation’s most expensive cities.\u003c/p>\n\u003cfigure id=\"attachment_11933210\" class=\"wp-caption aligncenter\" style=\"max-width: 800px\">\u003ca href=\"https://ww2.kqed.org/app/uploads/sites/10/2022/11/037_KQED_OneLoveBlackCommunity_11132022.jpg\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-medium wp-image-11933210\" src=\"https://ww2.kqed.org/app/uploads/sites/10/2022/11/037_KQED_OneLoveBlackCommunity_11132022-800x533.jpg\" alt=\"A woman sitting on a couch holding a baby.\" width=\"800\" height=\"533\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2022/11/037_KQED_OneLoveBlackCommunity_11132022-800x533.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2022/11/037_KQED_OneLoveBlackCommunity_11132022-1020x680.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2022/11/037_KQED_OneLoveBlackCommunity_11132022-160x107.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2022/11/037_KQED_OneLoveBlackCommunity_11132022-1536x1024.jpg 1536w, https://cdn.kqed.org/wp-content/uploads/sites/10/2022/11/037_KQED_OneLoveBlackCommunity_11132022.jpg 1920w\" sizes=\"(max-width: 800px) 100vw, 800px\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">Sabrina Hall holds her newborn, Harleigh Quin, at her home in Bayview on Nov. 13, 2022, while visiting with volunteers from One Love Black Community. \u003ccite>(Beth LaBerge/KQED)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>The experiment is part of a \u003ca href=\"https://www.mayorsforagi.org/\">growing number of guaranteed income programs\u003c/a> responding to racial and economic inequality by giving unconditional cash directly to people in need. Abundant Birth’s goal is to ease financial stress for these people and improve their health outcomes.\u003c/p>\n\u003cp>Gebre stopped taking cash gifts for a while due to tax reasons, but has resumed accepting them as donations after receiving fiscal sponsorship from the San Francisco Public Health Foundation.\u003c/p>\n\u003cp>She estimates 300 women have received deliveries from One Love Black Community in just over two years. This Christmas, she hopes to show up for 100 families with the help of volunteers from a Black sorority for registered nurses, Lambda Chi Chi.\u003c/p>\n\u003cp>She recalls the small acts of kindness that made a big difference for her when she was raising Devin in the Santa Cruz area. Gebre volunteered at a horse ranch when Devin was a boy. When someone there saw her struggling, they slipped a surprise in the book Gebre was reading.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>“I remember one day I was running out of gas and was like, ‘I don’t know how I’m going to get through this week of school.’ I opened the book and there was $100 in cash in there,” Gebre says. “There were so many moments where my community showed up for me. Little things here and there, but they add up.”\u003c/p>\n\u003cp>She says she’s driven to give back because of the support she received.\u003c/p>\n\u003cp>When we reach Sabrina Hall at her home in an industrial part of the Bayview, Gebre and Perkins pitch the postpartum meals and \u003ca href=\"https://womenshealth.ucsf.edu/coe/embrace-perinatal-care-black-families\">online support group\u003c/a> for Black moms facilitated by UC San Francisco.\u003c/p>\n\u003cp>Hall, 41, says she developed gestational diabetes during pregnancy and suffered nerve damage and other complications after delivering her daughter, Harleigh Quin, three weeks early. The baby weighed just 5 pounds.\u003c/p>\n\u003cp>The experience was nonetheless an improvement from four previous pregnancies, Hall says. She participated in the guaranteed income study, and says the extra cash helped her buy baby gear and catch up on some bills.\u003c/p>\n\u003cp>“With my other kids, no one told me about doulas. [There was] just a lack of education,” Hall says. “This birth, I had a doula, I had Black Infant Health — you know, just the support. I had no one to speak for me with the medical office or the staff. And this time I had an advocate.”\u003c/p>\n\u003cfigure id=\"attachment_11933204\" class=\"wp-caption aligncenter\" style=\"max-width: 800px\">\u003ca href=\"https://ww2.kqed.org/app/uploads/sites/10/2022/11/016_KQED_OneLoveBlackCommunity_11132022.jpg\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-medium wp-image-11933204\" src=\"https://ww2.kqed.org/app/uploads/sites/10/2022/11/016_KQED_OneLoveBlackCommunity_11132022-800x533.jpg\" alt=\"Boxes filled with diapers, formula and other essentials sitting in a cart.\" width=\"800\" height=\"533\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2022/11/016_KQED_OneLoveBlackCommunity_11132022-800x533.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2022/11/016_KQED_OneLoveBlackCommunity_11132022-1020x680.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2022/11/016_KQED_OneLoveBlackCommunity_11132022-160x107.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2022/11/016_KQED_OneLoveBlackCommunity_11132022-1536x1024.jpg 1536w, https://cdn.kqed.org/wp-content/uploads/sites/10/2022/11/016_KQED_OneLoveBlackCommunity_11132022.jpg 1920w\" sizes=\"(max-width: 800px) 100vw, 800px\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">Boxes filled with diapers, formula and other essentials are loaded into a car to be delivered to mothers throughout San Francisco and Treasure Island as a part of One Love Black Community’s ‘Sunday Show Up’ on Nov. 13, 2022. \u003ccite>(Beth LaBerge/KQED)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>Back in the car, Gebre says since the guaranteed income pilot launched two years ago, she noticed that patients who receive the money participate more actively in their prenatal care. For example, patients in transitional housing were more likely to find transportation to show up for their appointments.\u003c/p>\n\u003cp>“I have not met one patient that doesn’t care about their pregnancy or want the best for themselves and their baby, though there are so many factors around them that are influencing their ability to engage or not engage in the kind of quality of care that they want,” she says. “When you’re able to provide additional resources to minimize those stress factors — that burden, that toll is no longer present — you can notice the difference in patients and how they engage in care.”\u003c/p>\n\u003cp>She drives across a section of the Bay Bridge and exits onto Treasure Island, passing a housing construction project and new ferry terminal. She parks in front of a cluster of townhouses to check on her former patient Danesha Johnson.\u003c/p>\n\u003cp>“How are you?” Gebre asks while hugging Johnson, who gave birth a month earlier.\u003c/p>\n\u003cp>“The recovery is fine, no complications. I’m fine,” the 21-year-old says.\u003c/p>\n\u003cp>When Johnson’s partner, Darrian Burrows, comes out to carry the supplies inside, Gebre tells Perkins that he assisted her in the delivery room and caught his daughter when Johnson made her final push. Perkins remembers seeing him in the hospital when Johnson was in labor, and she’s overcome with emotions.\u003c/p>\n\u003cp>“That was so beautiful for you to be in the tub with her when she was going through labor to help ease things,” she says as tears fill her eyes.\u003c/p>\n\u003cp>“You’re giving me the chills, because I work in our communities of color and they’re always giving our men a hard time,” Perkins continues. “And some programs, there’s something for the mom and the baby but they don’t want the dad involved. So just to see you all as a couple and loving one another and having a baby brung into this world together … .”\u003c/p>\n\u003cp>Bearing witness to a happy, healthy birth makes her want to keep this thing going, she says.\u003c/p>\n\u003cp>\u003cem>Nov. 30: This story has been updated to reflect that One Love Black Community is inclusive of all Black people accessing reproductive services in San Francisco.\u003c/em>\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"id": "commonwealth-club",
"title": "Commonwealth Club of California Podcast",
"info": "The Commonwealth Club of California is the nation's oldest and largest public affairs forum. As a non-partisan forum, The Club brings to the public airwaves diverse viewpoints on important topics. The Club's weekly radio broadcast - the oldest in the U.S., dating back to 1924 - is carried across the nation on public radio stations and is now podcasting. Our website archive features audio of our recent programs, as well as selected speeches from our long and distinguished history. This podcast feed is usually updated twice a week and is always un-edited.",
"airtime": "THU 10pm, FRI 1am",
"imageSrc": "https://cdn.kqed.org/wp-content/uploads/2024/04/Commonwealth-Club-Podcast-Tile-360x360-1.jpg",
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"meta": {
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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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},
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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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"order": 9
},
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"id": "freakonomics-radio",
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"imageSrc": "https://ww2.kqed.org/news/wp-content/uploads/sites/10/2018/05/freakonomicsRadio.png",
"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/",
"rss": "https://feeds.feedburner.com/freakonomicsradio"
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},
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"id": "fresh-air",
"title": "Fresh Air",
"info": "Hosted by Terry Gross, \u003cem>Fresh Air from WHYY\u003c/em> is the Peabody Award-winning weekday magazine of contemporary arts and issues. One of public radio's most popular programs, Fresh Air features intimate conversations with today's biggest luminaries.",
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"apple": "https://itunes.apple.com/WebObjects/MZStore.woa/wa/viewPodcast?s=143441&mt=2&id=214089682&at=11l79Y&ct=nprdirectory",
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"info": "A live production of NPR and WBUR Boston, in collaboration with stations across the country, Here & Now reflects the fluid world of news as it's happening in the middle of the day, with timely, in-depth news, interviews and conversation. Hosted by Robin Young, Jeremy Hobson and Tonya Mosley.",
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"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",
"meta": {
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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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"rss": "https://feeds.npr.org/510313/podcast.xml"
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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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}
},
"latino-usa": {
"id": "latino-usa",
"title": "Latino USA",
"airtime": "MON 1am-2am, SUN 6pm-7pm",
"info": "Latino USA, the radio journal of news and culture, is the only national, English-language radio program produced from a Latino perspective.",
"imageSrc": "https://ww2.kqed.org/radio/wp-content/uploads/sites/50/2018/04/latinoUsa.jpg",
"officialWebsiteLink": "http://latinousa.org/",
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"link": "/radio/program/latino-usa",
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"apple": "https://itunes.apple.com/WebObjects/MZStore.woa/wa/viewPodcast?s=143441&mt=2&id=79681317&at=11l79Y&ct=nprdirectory",
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"rss": "https://feeds.npr.org/510016/podcast.xml"
}
},
"marketplace": {
"id": "marketplace",
"title": "Marketplace",
"info": "Our flagship program, helmed by Kai Ryssdal, examines what the day in money delivered, through stories, conversations, newsworthy numbers and more. Updated Monday through Friday at about 3:30 p.m. PT.",
"airtime": "MON-FRI 4pm-4:30pm, MON-WED 6:30pm-7pm",
"imageSrc": "https://cdn.kqed.org/wp-content/uploads/2024/04/Marketplace-Podcast-Tile-360x360-1.jpg",
"officialWebsiteLink": "https://www.marketplace.org/",
"meta": {
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"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)",
"imageSrc": "https://cdn.kqed.org/wp-content/uploads/2024/04/Masters-of-Scale-Podcast-Tile-360x360-1.jpg",
"officialWebsiteLink": "https://mastersofscale.com/",
"meta": {
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"source": "WaitWhat"
},
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"rss": "https://rss.art19.com/masters-of-scale"
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},
"mindshift": {
"id": "mindshift",
"title": "MindShift",
"tagline": "A podcast about the future of learning and how we raise our kids",
"info": "The MindShift podcast explores the innovations in education that are shaping how kids learn. Hosts Ki Sung and Katrina Schwartz introduce listeners to educators, researchers, parents and students who are developing effective ways to improve how kids learn. We cover topics like how fed-up administrators are developing surprising tactics to deal with classroom disruptions; how listening to podcasts are helping kids develop reading skills; the consequences of overparenting; and why interdisciplinary learning can engage students on all ends of the traditional achievement spectrum. This podcast is part of the MindShift education site, a division of KQED News. KQED is an NPR/PBS member station based in San Francisco. You can also visit the MindShift website for episodes and supplemental blog posts or tweet us \u003ca href=\"https://twitter.com/MindShiftKQED\">@MindShiftKQED\u003c/a> or visit us at \u003ca href=\"/mindshift\">MindShift.KQED.org\u003c/a>",
"imageSrc": "https://cdn.kqed.org/wp-content/uploads/2024/04/Mindshift-Podcast-Tile-703x703-1.jpg",
"imageAlt": "KQED MindShift: How We Will Learn",
"officialWebsiteLink": "/mindshift/",
"meta": {
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"source": "kqed",
"order": 12
},
"link": "/podcasts/mindshift",
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"google": "https://podcasts.google.com/feed/aHR0cHM6Ly9mZWVkcy5tZWdhcGhvbmUuZm0vS1FJTkM1NzY0NjAwNDI5",
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}
},
"morning-edition": {
"id": "morning-edition",
"title": "Morning Edition",
"info": "\u003cem>Morning Edition\u003c/em> takes listeners around the country and the world with multi-faceted stories and commentaries every weekday. Hosts Steve Inskeep, David Greene and Rachel Martin bring you the latest breaking news and features to prepare you for the day.",
"airtime": "MON-FRI 3am-9am",
"imageSrc": "https://cdn.kqed.org/wp-content/uploads/2024/04/Morning-Edition-Podcast-Tile-360x360-1.jpg",
"officialWebsiteLink": "https://www.npr.org/programs/morning-edition/",
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"link": "/radio/program/morning-edition"
},
"onourwatch": {
"id": "onourwatch",
"title": "On Our Watch",
"tagline": "Deeply-reported investigative journalism",
"info": "For decades, the process for how police police themselves has been inconsistent – if not opaque. In some states, like California, these proceedings were completely hidden. After a new police transparency law unsealed scores of internal affairs files, our reporters set out to examine these cases and the shadow world of police discipline. On Our Watch brings listeners into the rooms where officers are questioned and witnesses are interrogated to find out who this system is really protecting. Is it the officers, or the public they've sworn to serve?",
"imageSrc": "https://cdn.kqed.org/wp-content/uploads/2024/04/On-Our-Watch-Podcast-Tile-703x703-1.jpg",
"imageAlt": "On Our Watch from NPR and KQED",
"officialWebsiteLink": "/podcasts/onourwatch",
"meta": {
"site": "news",
"source": "kqed",
"order": 11
},
"link": "/podcasts/onourwatch",
"subscribe": {
"apple": "https://podcasts.apple.com/podcast/id1567098962",
"google": "https://podcasts.google.com/feed/aHR0cHM6Ly9mZWVkcy5ucHIub3JnLzUxMDM2MC9wb2RjYXN0LnhtbD9zYz1nb29nbGVwb2RjYXN0cw",
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"rss": "https://feeds.npr.org/510360/podcast.xml"
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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/",
"meta": {
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"source": "kqed",
"order": 14
},
"link": "/perspectives",
"subscribe": {
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"npr": "https://www.npr.org/podcasts/432309616/perspectives",
"rss": "https://ww2.kqed.org/perspectives/category/perspectives/feed/",
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},
"planet-money": {
"id": "planet-money",
"title": "Planet Money",
"info": "The economy explained. Imagine you could call up a friend and say, Meet me at the bar and tell me what's going on with the economy. Now imagine that's actually a fun evening.",
"airtime": "SUN 3pm-4pm",
"imageSrc": "https://ww2.kqed.org/radio/wp-content/uploads/sites/50/2018/04/planetmoney.jpg",
"officialWebsiteLink": "https://www.npr.org/sections/money/",
"meta": {
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"source": "npr"
},
"link": "/radio/program/planet-money",
"subscribe": {
"npr": "https://rpb3r.app.goo.gl/M4f5",
"apple": "https://itunes.apple.com/us/podcast/planet-money/id290783428?mt=2",
"tuneIn": "https://tunein.com/podcasts/Business--Economics-Podcasts/Planet-Money-p164680/",
"rss": "https://feeds.npr.org/510289/podcast.xml"
}
},
"politicalbreakdown": {
"id": "politicalbreakdown",
"title": "Political Breakdown",
"tagline": "Politics from a personal perspective",
"info": "Political Breakdown is a new series that explores the political intersection of California and the nation. Each week hosts Scott Shafer and Marisa Lagos are joined with a new special guest to unpack politics -- with personality — and offer an insider’s glimpse at how politics happens.",
"airtime": "THU 6:30pm-7pm",
"imageSrc": "https://cdn.kqed.org/wp-content/uploads/2024/04/Political-Breakdown-2024-Podcast-Tile-703x703-1.jpg",
"imageAlt": "KQED Political Breakdown",
"officialWebsiteLink": "/podcasts/politicalbreakdown",
"meta": {
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"source": "kqed",
"order": 5
},
"link": "/podcasts/politicalbreakdown",
"subscribe": {
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"amazon": "https://music.amazon.com/podcasts/e0c2d153-ad36-4c8d-901d-f1da6a724824/political-breakdown",
"npr": "https://www.npr.org/podcasts/572155894/political-breakdown",
"stitcher": "https://www.stitcher.com/podcast/kqed/political-breakdown",
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