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[pullquote size=\"medium\" align=\"right\" citation=\"David Chiu, SF city attorney\"]‘Every day we don’t act, two more people will die tragically on our streets.’[/pullquote]\u003c/p>\n\u003cp>“We are ready, we’ve done the work,” said Laura Thomas, director of harm reduction policy at the SF AIDS Foundation, the city’s largest provider of harm-reduction services.\u003c/p>\n\u003cp>It’s unclear when a site would open, however, as the groups still need to find a location and seek out funding to run it.\u003c/p>\n\u003cp>If Newsom had signed SB 57, it would have provided legal protections for health care workers who operate the sites. But the two organizations are confident they can run the clinic without interference from law enforcement, after City Attorney David Chiu on Monday pledged his support for such a site.\u003c/p>\n\u003cp>“The tragedies on our streets have to stop,” Chiu told KQED. “We have to stop the deaths.”\u003c/p>\n\u003cp>“Every day we don’t act, two more people will die tragically on our streets,” he added. “Overdose prevention programs have been proven in over 100 places around the world. There have been 22 studies of these sites that have found that they reduce deaths and improve access to care while not increasing public safety issues to the surrounding community.”\u003c/p>\n\u003cp>\u003ca href=\"https://sf.gov/resource/2020/ocme-accidental-overdose-reports\">More than 1,700 people have fatally overdosed in San Francisco\u003c/a> since 2020, often after inadvertently consuming fentanyl, a synthetic opioid up to 50 times stronger than heroin, according to the latest figures from San Francisco’s medical examiner — far outpacing the number of residents in the city who have died from COVID-19.\u003c/p>\n\u003cp>Federal law still prohibits operating, owning or renting a location for the purpose of using illegal drugs. But the U.S. Department of Justice has allowed two supervised consumption sites to operate in New York, and \u003ca href=\"https://apnews.com/article/business-health-new-york-c4e6d999583d7b7abce2189fba095011\">Attorney General Merrick Garland’s office has said it is “evaluating” the idea\u003c/a> and talking with regulators about “appropriate guardrails.”\u003c/p>\n\u003cp>San Francisco wouldn’t fund or operate a site in the city, Chiu told KQED. But he wouldn’t stop one either, he said, pointing to the model currently in operation in New York, where city leaders authorized the \u003ca href=\"https://www.nytimes.com/2021/11/30/nyregion/supervised-injection-sites-nyc.html\">New York Harm Reduction Educators and Washington Heights Corner Project to run two sites\u003c/a>.\u003c/p>\n\u003cp>Newsom’s veto message said the unlimited number of sites authorized by SB 57 could create a “world of unintended consequences” and exacerbate current drug problems.[aside label=\"related coverage\" tag=\"fentanyl\"]Jerry Brown vetoed a similar bill in 2018.\u003c/p>\n\u003cp>Newsom, however, still voiced some support for the idea, but in a more limited form, and directed the state’s health agency to study the issue through a working group.\u003c/p>\n\u003cp>But many local leaders say that’s too little, too late.\u003c/p>\n\u003cp>“We don’t need a working group,” said state Sen. Scott Wiener, a San Francisco Democrat who introduced the legislation. The state, he said “lost a huge opportunity” to address one of its most deadly problems.\u003c/p>\n\u003cp>“This coalition has been working to get state legislation passed that does nothing more than give permission to cities to open these sites,” Wiener told KQED. “It’s just very, very devastating to have yet another gubernatorial veto as so many people die on our streets, two people a day in San Francisco alone.”\u003cbr>\n\u003ci>\u003cbr>\n\u003c/i>In Newsom’s veto statement, the governor said he first wanted to see “strong, engaged local leadership and well-documented, vetted, and thoughtful operational and sustainability plans” before throwing his support behind these sites.\u003c/p>\n\u003cp>That statement, in particular, seems to have hit a nerve with San Francisco community health organizers.\u003c/p>\n\u003cp>The AIDS Foundation’s Thomas called it “disingenuous and insulting.”\u003c/p>\n\u003cp>“It clearly wasn’t motivated by a desire to save lives,” she said.\u003c/p>\n\u003cp>“We spent 20 months working on this bill in the Legislature,” Thomas added. “Multiple meetings with the governor’s staff. They never raised any concerns. There was no substance to any of the concerns he raised in the veto. It was entirely a political maneuver.”\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>\u003c/p>\n",
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"content": "\u003cdiv class=\"post-body\">\u003cp>Jerry Brown vetoed a similar bill in 2018.\u003c/p>\n\u003cp>Newsom, however, still voiced some support for the idea, but in a more limited form, and directed the state’s health agency to study the issue through a working group.\u003c/p>\n\u003cp>But many local leaders say that’s too little, too late.\u003c/p>\n\u003cp>“We don’t need a working group,” said state Sen. Scott Wiener, a San Francisco Democrat who introduced the legislation. The state, he said “lost a huge opportunity” to address one of its most deadly problems.\u003c/p>\n\u003cp>“This coalition has been working to get state legislation passed that does nothing more than give permission to cities to open these sites,” Wiener told KQED. “It’s just very, very devastating to have yet another gubernatorial veto as so many people die on our streets, two people a day in San Francisco alone.”\u003cbr>\n\u003ci>\u003cbr>\n\u003c/i>In Newsom’s veto statement, the governor said he first wanted to see “strong, engaged local leadership and well-documented, vetted, and thoughtful operational and sustainability plans” before throwing his support behind these sites.\u003c/p>\n\u003cp>That statement, in particular, seems to have hit a nerve with San Francisco community health organizers.\u003c/p>\n\u003cp>The AIDS Foundation’s Thomas called it “disingenuous and insulting.”\u003c/p>\n\u003cp>“It clearly wasn’t motivated by a desire to save lives,” she said.\u003c/p>\n\u003cp>“We spent 20 months working on this bill in the Legislature,” Thomas added. “Multiple meetings with the governor’s staff. They never raised any concerns. There was no substance to any of the concerns he raised in the veto. It was entirely a political maneuver.”\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cp>Dr. Anthony Fauci, who played a critical role in steering humanity through the two pandemics of our time, AIDS and COVID-19, announced Monday he is stepping down from his role in the federal government.\u003c/p>\n\u003cp>As of December, he will leave the position he’s held for 38 years as the director of the National Institute of Allergy and Infectious Diseases, as well as his job as chief of the NIAID Laboratory of Immunoregulation, and his role as Chief Medical Advisor to President Joe Biden.\u003c/p>\n\u003cp>The straight-talking scientist and physician was the government’s top infectious disease doctor for decades, and one of the few scientists that many Americans knew by name.\u003c/p>\n\u003cp>Fauci, 81, served under seven U.S. presidents and helped lead the country through numerous health crises. He was instrumental in combatting the AIDS epidemic, starting as the youthful director of NIAID in the early 1980s. He also took center stage in a politically fraught response to the nation’s COVID-19 pandemic, and he was both praised and assailed for his tell-it-like-it-is philosophy.\u003c/p>\n\u003cp>President Biden hailed him as a “dedicated public servant” in a statement issued Monday. “Because of Dr. Fauci’s many contributions to public health, lives here in the United States and around the world have been saved,” the President said.\u003c/p>\n\u003cp>Department of Health and Human Services secretary Xavier Becerra, who took leadership of the agency a year into the COVID pandemic, said he relied on Fauci’s counsel and praised him for “his ability to break down complex science in simple terms to the American people to save lives.”\u003c/p>\n\u003ch2>As AIDS crisis grew, he led by listening\u003c/h2>\n\u003cp>Fauci’s actions during the AIDS epidemic helped marshal a scientific and government response that saved millions of lives. His approach to engaging AIDS activists also transformed the way patients and activists interacted with medical science for many diseases.\u003c/p>\n\u003cp>“Tony Fauci is a really interesting character in the history of the AIDS epidemic,” says Jon Cohen, a journalist at \u003cem>Science\u003c/em> magazine who wrote \u003ca href=\"https://www.google.com/books/edition/Shots_in_the_Dark/sSt25bOlGgYC?hl=en&gbpv=1&printsec=frontcover\">a book\u003c/a> about Fauci’s passionate but ultimately unsuccessful effort to develop an AIDS vaccine. “He becomes the voice of science, he can translate science into English better than anyone, and he can speak to every president, every congressperson, every world leader, and he can speak to patients,” Cohen said in an interview.\u003c/p>\n\u003cp>[aside label=\"related coverage\" tag=\"anthony-fauci\"]Those abilities emerged during the earliest days of the AIDS epidemic, when the Reagan administration tried to downplay or ignore the deadly disease afflicting particularly gay men and users of drugs by injection, as well as people with hemophilia who died because their medication was derived from contaminated blood products.\u003c/p>\n\u003cp>Part of Fauci’s strategy was to engage the patients and activists who were demanding not only answers but a rapid federal response.\u003c/p>\n\u003cp>“He was one of the few [powerful people in Washington] that opened his doors early to us to listen and to hear us out,” said Peter Staley, one of the founding members of Act Up New York, a prominent AIDS activist group. “And he was one of the few that wasn’t afraid of us, and thought we had something to bring to the table.”\u003c/p>\n\u003cp>Staley recalls regular dinners that Fauci held in the home of a gay man who worked in his office. Those dinners “would last for many hours over many bottles of wine, and we debated these issues, and it would sometimes get very heated,” Staley said. They didn’t always agree, “but I came to respect the man intensely during that period.”\u003c/p>\n\u003cp>The AIDS activists pushed for being part of the research and having a seat at the table, as scientists and government officials figured out how to develop drugs and test vaccines to control the AIDS epidemic.\u003c/p>\n\u003ch2>A gifted communicator\u003c/h2>\n\u003cp>Fauci also oversaw a laboratory at the NIH and saw patients throughout his long career, keeping connected to the science as well as the human dimensions of infectious disease.\u003c/p>\n\u003cp>“Tony won the respect of the angriest, most frustrated people because they saw him as an ally and because he listened to them and he incorporated them — he made them part of finding solutions,” Cohen said. And that approach “radically overhauled how we think about disease and research and patients, not just AIDS.”\u003c/p>\n\u003cp>Breast cancer activists adopted this cooperative approach and many other disease advocates followed suit.\u003c/p>\n\u003cp>Fauci was also instrumental in an effort, undertaken by the George W. Bush administration, to make AIDS medicines available globally. The multi-billion-dollar program, called the President’s Emergency Plan for AIDS Relief, or PEPFAR, \u003ca href=\"https://www.ft.com/content/72424694-a86e-11e9-984c-fac8325aaa04\">has saved millions of lives\u003c/a>, primarily in Africa.\u003c/p>\n\u003cp>Fauci’s gift for communication put him at the center of many public health crises, in Republican as well as Democratic administrations. Those included viral outbreaks ranging from Zika and West Nile disease to the annual flu. To help calm a jittery American public during the Ebola scare in 2014, Fauci stepped up to the cameras and \u003ca href=\"https://www.npr.org/sections/goatsandsoda/2014/10/24/358593823/fighting-the-stigma-of-ebola-with-hugs\">embraced an Ebola patient\u003c/a> – a nurse, Nina Pham — who had been treated at the NIH.\u003c/p>\n\u003cp>“I want to tell you what a great pleasure, and in many respects a privilege it has been for me and the staff here… to have had the opportunity to treat and care for and get to know such an extraordinarily courageous and lovely person,” he said in his distinctive Brooklyn accent.\u003c/p>\n\u003cp>His political acumen stood him in good stead with seven presidential administrations, starting with Ronald Reagan. No other leading federal scientist in modern times held a top position for as many years as Fauci did.\u003c/p>\n\u003cp>Fauci even got a shout-out from George H.W. Bush during a 1988 vice-presidential debate. The candidates had been asked to name their heroes, and Bush included Fauci in his list. “You probably never heard of him,” Bush said. “He’s a very fine researcher, top doctor at the National Institute[s] of Health. Working hard, doing something about research on this disease of AIDS.”\u003c/p>\n\u003ch2>Diplomacy and politics in the early days of COVID\u003c/h2>\n\u003cp>Fauci’s biggest political challenge came during the Trump administration. Early in the COVID-19 pandemic, Trump frequently brought Fauci to the White House as a member of the Coronavirus Task Force, to participate in meetings and press conferences. But as the disease spiraled out of control, the president tired of Fauci’s warnings. Fauci found diplomatic ways to correct the president’s often errant statements about the coronavirus, for example when Trump wondered whether COVID-19 could be treated with bleach injections or by shining ultraviolet light into people.\u003c/p>\n\u003cp>The relationship hit a low point a few days before Election Day, 2020, when a crowd at a Trump campaign rally in Opa-Locka, Fla., started changing “Fire Fauci! Fire Fauci!”\u003c/p>\n\u003cp>Trump replied, “Don’t tell anybody, but let me wait until a little bit after the election. I appreciate the advice. He’s been wrong on a lot,” Trump continued. “He’s a nice man but he’s been wrong on a lot.”\u003c/p>\n\u003cp>Trump did not fire Fauci, who had made some missteps during the early days of the pandemic.\u003c/p>\n\u003cp>At first, scientists didn’t fully understand how the virus spread or how to contain it. Fauci initially misjudged the degree to which the virus spread from people who had no symptoms of disease. He quickly changed his view as scientists learned more. Like many scientists, he was also uncertain about the value of masks early on.\u003c/p>\n\u003cp>But he never wavered in his view that people needed to stop gathering in large numbers, to wash their hands, isolate if ill and otherwise to take personal responsibility to avoid spreading the virus. Those positions earned him the ire of some Americans, who felt public health guidance infringed on their personal freedom. It was also inconsistent with Trump’s false claim that the pandemic was being overblown.\u003c/p>\n\u003cp>Fauci had amassed a powerful following among people committed to a science-based response to COVID-19. His face popped up on T-shirts, coffee mugs and yard signs – and on Tony Fauci bobbleheads.\u003c/p>\n\u003cp>He was even invited to throw the ceremonial first pitch at the start of the Washington Nationals’ 2020 home-opener, five months short of his 80\u003csup>th\u003c/sup> birthday. Suffice it to say it was outside the strike zone, a fact which the president noted among his complaints about Fauci’s performance. (He redeemed himself two years later throwing a cleaner pitch this month in game between the Seattle Mariners and the New York Yankees, in Seattle.)\u003c/p>\n\u003cp>With Joe Biden’s election, Fauci became the president’s chief medical adviser. Fauci admitted in the administration’s very first press briefing that it was a relief to work for a president who took the science seriously.\u003c/p>\n\u003cp>“I can tell you I take no pleasure at all in being in a situation of contradicting the president,” he said. “So, it was really something that you really feel you couldn’t say something and there wouldn’t be any repercussions. The idea that you can get up here and talk about what you know, and what the science is and that’s it. Let the science speak. It is somewhat of a liberating feeling.”\u003c/p>\n\u003cp>Fauci’s gift for communication made him a media star and a household name.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>But his fame also made him a target for critics of the federal government’s COVID response and even for death threats. In January, at a Senate hearing on COVID, \u003ca href=\"https://www.npr.org/2022/01/11/1072110378/dr-fauci-says-gop-sen-pauls-false-accusations-have-sparked-death-threats\">Fauci blamed rhetoric\u003c/a> from Sen. Rand Paul, R-Ky., for sparking death threats against him and his family.\u003c/p>\n\u003cp>Paul, and other Congressional Republicans, have \u003ca href=\"https://thehill.com/policy/healthcare/3571232-gop-plots-fauci-probe-after-midterms/\">raised the idea\u003c/a> of investigating Fauci after the midterm elections, if they win back control of the House or Senate.\u003c/p>\n\u003ch2>A scientist ‘in his very soul’\u003c/h2>\n\u003cp>Throughout the COVID pandemic, and the nonstop media attention he received, Fauci continued to run one of the major institutes at the NIH.\u003c/p>\n\u003cp>“He in his very soul was a laboratorian, was a bench scientist,” said Dr. Georges Benjamin, longtime head of the American Public Health Association. “Here was a guy who loved that kind of work. And while he handled the administration and the bureaucracy well, that wasn’t necessarily what he got up for every morning to do.”\u003c/p>\n\u003cp>Indeed, under Fauci’s guidance, scientists at his institute aggressively pursued a vaccine for COVID-19. And, in an astonishing span of less than a year, they brought one into being, in partnership with the drug company Moderna. It was even more effective than Fauci had dared hope, achieving an efficacy of over 90%.\u003c/p>\n\u003cp>“He was giddy with laughter,” Benjamin recalls. “I remember watching him on TV with the joy of a new parent who has something that’s just precious, and understood just how valuable that vaccine was going to be.”\u003c/p>\n\u003cp>\u003ca href=\"https://www.nih.gov/news-events/news-releases/statement-anthony-s-fauci-md\">In a statement,\u003c/a> Fauci said it had been “the honor of a lifetime to have led the NIAID.” He said he’ll continue to work after departing from his current government positions.\u003c/p>\n\u003cp>“After more than 50 years of government service, I plan to pursue the next phase of my career while I still have so much energy and passion for my field,” he said.\u003c/p>\n\u003cdiv class=\"fullattribution\">Copyright 2022 NPR. To see more, visit https://www.npr.org.\u003cimg decoding=\"async\" src=\"https://www.google-analytics.com/__utm.gif?utmac=UA-5828686-4&utmdt=Fauci+to+step+down+in+December+after+decades+of+public+service&utme=8(APIKey)9(MDAxOTAwOTE4MDEyMTkxMDAzNjczZDljZA004)\">\u003c/div>\n\u003cp>[ad floatright]\u003c/p>\n",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>Dr. Anthony Fauci, who played a critical role in steering humanity through the two pandemics of our time, AIDS and COVID-19, announced Monday he is stepping down from his role in the federal government.\u003c/p>\n\u003cp>As of December, he will leave the position he’s held for 38 years as the director of the National Institute of Allergy and Infectious Diseases, as well as his job as chief of the NIAID Laboratory of Immunoregulation, and his role as Chief Medical Advisor to President Joe Biden.\u003c/p>\n\u003cp>The straight-talking scientist and physician was the government’s top infectious disease doctor for decades, and one of the few scientists that many Americans knew by name.\u003c/p>\n\u003cp>Fauci, 81, served under seven U.S. presidents and helped lead the country through numerous health crises. He was instrumental in combatting the AIDS epidemic, starting as the youthful director of NIAID in the early 1980s. He also took center stage in a politically fraught response to the nation’s COVID-19 pandemic, and he was both praised and assailed for his tell-it-like-it-is philosophy.\u003c/p>\n\u003cp>President Biden hailed him as a “dedicated public servant” in a statement issued Monday. “Because of Dr. Fauci’s many contributions to public health, lives here in the United States and around the world have been saved,” the President said.\u003c/p>\n\u003cp>Department of Health and Human Services secretary Xavier Becerra, who took leadership of the agency a year into the COVID pandemic, said he relied on Fauci’s counsel and praised him for “his ability to break down complex science in simple terms to the American people to save lives.”\u003c/p>\n\u003ch2>As AIDS crisis grew, he led by listening\u003c/h2>\n\u003cp>Fauci’s actions during the AIDS epidemic helped marshal a scientific and government response that saved millions of lives. His approach to engaging AIDS activists also transformed the way patients and activists interacted with medical science for many diseases.\u003c/p>\n\u003cp>“Tony Fauci is a really interesting character in the history of the AIDS epidemic,” says Jon Cohen, a journalist at \u003cem>Science\u003c/em> magazine who wrote \u003ca href=\"https://www.google.com/books/edition/Shots_in_the_Dark/sSt25bOlGgYC?hl=en&gbpv=1&printsec=frontcover\">a book\u003c/a> about Fauci’s passionate but ultimately unsuccessful effort to develop an AIDS vaccine. “He becomes the voice of science, he can translate science into English better than anyone, and he can speak to every president, every congressperson, every world leader, and he can speak to patients,” Cohen said in an interview.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>Those abilities emerged during the earliest days of the AIDS epidemic, when the Reagan administration tried to downplay or ignore the deadly disease afflicting particularly gay men and users of drugs by injection, as well as people with hemophilia who died because their medication was derived from contaminated blood products.\u003c/p>\n\u003cp>Part of Fauci’s strategy was to engage the patients and activists who were demanding not only answers but a rapid federal response.\u003c/p>\n\u003cp>“He was one of the few [powerful people in Washington] that opened his doors early to us to listen and to hear us out,” said Peter Staley, one of the founding members of Act Up New York, a prominent AIDS activist group. “And he was one of the few that wasn’t afraid of us, and thought we had something to bring to the table.”\u003c/p>\n\u003cp>Staley recalls regular dinners that Fauci held in the home of a gay man who worked in his office. Those dinners “would last for many hours over many bottles of wine, and we debated these issues, and it would sometimes get very heated,” Staley said. They didn’t always agree, “but I came to respect the man intensely during that period.”\u003c/p>\n\u003cp>The AIDS activists pushed for being part of the research and having a seat at the table, as scientists and government officials figured out how to develop drugs and test vaccines to control the AIDS epidemic.\u003c/p>\n\u003ch2>A gifted communicator\u003c/h2>\n\u003cp>Fauci also oversaw a laboratory at the NIH and saw patients throughout his long career, keeping connected to the science as well as the human dimensions of infectious disease.\u003c/p>\n\u003cp>“Tony won the respect of the angriest, most frustrated people because they saw him as an ally and because he listened to them and he incorporated them — he made them part of finding solutions,” Cohen said. And that approach “radically overhauled how we think about disease and research and patients, not just AIDS.”\u003c/p>\n\u003cp>Breast cancer activists adopted this cooperative approach and many other disease advocates followed suit.\u003c/p>\n\u003cp>Fauci was also instrumental in an effort, undertaken by the George W. Bush administration, to make AIDS medicines available globally. The multi-billion-dollar program, called the President’s Emergency Plan for AIDS Relief, or PEPFAR, \u003ca href=\"https://www.ft.com/content/72424694-a86e-11e9-984c-fac8325aaa04\">has saved millions of lives\u003c/a>, primarily in Africa.\u003c/p>\n\u003cp>Fauci’s gift for communication put him at the center of many public health crises, in Republican as well as Democratic administrations. Those included viral outbreaks ranging from Zika and West Nile disease to the annual flu. To help calm a jittery American public during the Ebola scare in 2014, Fauci stepped up to the cameras and \u003ca href=\"https://www.npr.org/sections/goatsandsoda/2014/10/24/358593823/fighting-the-stigma-of-ebola-with-hugs\">embraced an Ebola patient\u003c/a> – a nurse, Nina Pham — who had been treated at the NIH.\u003c/p>\n\u003cp>“I want to tell you what a great pleasure, and in many respects a privilege it has been for me and the staff here… to have had the opportunity to treat and care for and get to know such an extraordinarily courageous and lovely person,” he said in his distinctive Brooklyn accent.\u003c/p>\n\u003cp>His political acumen stood him in good stead with seven presidential administrations, starting with Ronald Reagan. No other leading federal scientist in modern times held a top position for as many years as Fauci did.\u003c/p>\n\u003cp>Fauci even got a shout-out from George H.W. Bush during a 1988 vice-presidential debate. The candidates had been asked to name their heroes, and Bush included Fauci in his list. “You probably never heard of him,” Bush said. “He’s a very fine researcher, top doctor at the National Institute[s] of Health. Working hard, doing something about research on this disease of AIDS.”\u003c/p>\n\u003ch2>Diplomacy and politics in the early days of COVID\u003c/h2>\n\u003cp>Fauci’s biggest political challenge came during the Trump administration. Early in the COVID-19 pandemic, Trump frequently brought Fauci to the White House as a member of the Coronavirus Task Force, to participate in meetings and press conferences. But as the disease spiraled out of control, the president tired of Fauci’s warnings. Fauci found diplomatic ways to correct the president’s often errant statements about the coronavirus, for example when Trump wondered whether COVID-19 could be treated with bleach injections or by shining ultraviolet light into people.\u003c/p>\n\u003cp>The relationship hit a low point a few days before Election Day, 2020, when a crowd at a Trump campaign rally in Opa-Locka, Fla., started changing “Fire Fauci! Fire Fauci!”\u003c/p>\n\u003cp>Trump replied, “Don’t tell anybody, but let me wait until a little bit after the election. I appreciate the advice. He’s been wrong on a lot,” Trump continued. “He’s a nice man but he’s been wrong on a lot.”\u003c/p>\n\u003cp>Trump did not fire Fauci, who had made some missteps during the early days of the pandemic.\u003c/p>\n\u003cp>At first, scientists didn’t fully understand how the virus spread or how to contain it. Fauci initially misjudged the degree to which the virus spread from people who had no symptoms of disease. He quickly changed his view as scientists learned more. Like many scientists, he was also uncertain about the value of masks early on.\u003c/p>\n\u003cp>But he never wavered in his view that people needed to stop gathering in large numbers, to wash their hands, isolate if ill and otherwise to take personal responsibility to avoid spreading the virus. Those positions earned him the ire of some Americans, who felt public health guidance infringed on their personal freedom. It was also inconsistent with Trump’s false claim that the pandemic was being overblown.\u003c/p>\n\u003cp>Fauci had amassed a powerful following among people committed to a science-based response to COVID-19. His face popped up on T-shirts, coffee mugs and yard signs – and on Tony Fauci bobbleheads.\u003c/p>\n\u003cp>He was even invited to throw the ceremonial first pitch at the start of the Washington Nationals’ 2020 home-opener, five months short of his 80\u003csup>th\u003c/sup> birthday. Suffice it to say it was outside the strike zone, a fact which the president noted among his complaints about Fauci’s performance. (He redeemed himself two years later throwing a cleaner pitch this month in game between the Seattle Mariners and the New York Yankees, in Seattle.)\u003c/p>\n\u003cp>With Joe Biden’s election, Fauci became the president’s chief medical adviser. Fauci admitted in the administration’s very first press briefing that it was a relief to work for a president who took the science seriously.\u003c/p>\n\u003cp>“I can tell you I take no pleasure at all in being in a situation of contradicting the president,” he said. “So, it was really something that you really feel you couldn’t say something and there wouldn’t be any repercussions. The idea that you can get up here and talk about what you know, and what the science is and that’s it. Let the science speak. It is somewhat of a liberating feeling.”\u003c/p>\n\u003cp>Fauci’s gift for communication made him a media star and a household name.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>But his fame also made him a target for critics of the federal government’s COVID response and even for death threats. In January, at a Senate hearing on COVID, \u003ca href=\"https://www.npr.org/2022/01/11/1072110378/dr-fauci-says-gop-sen-pauls-false-accusations-have-sparked-death-threats\">Fauci blamed rhetoric\u003c/a> from Sen. Rand Paul, R-Ky., for sparking death threats against him and his family.\u003c/p>\n\u003cp>Paul, and other Congressional Republicans, have \u003ca href=\"https://thehill.com/policy/healthcare/3571232-gop-plots-fauci-probe-after-midterms/\">raised the idea\u003c/a> of investigating Fauci after the midterm elections, if they win back control of the House or Senate.\u003c/p>\n\u003ch2>A scientist ‘in his very soul’\u003c/h2>\n\u003cp>Throughout the COVID pandemic, and the nonstop media attention he received, Fauci continued to run one of the major institutes at the NIH.\u003c/p>\n\u003cp>“He in his very soul was a laboratorian, was a bench scientist,” said Dr. Georges Benjamin, longtime head of the American Public Health Association. “Here was a guy who loved that kind of work. And while he handled the administration and the bureaucracy well, that wasn’t necessarily what he got up for every morning to do.”\u003c/p>\n\u003cp>Indeed, under Fauci’s guidance, scientists at his institute aggressively pursued a vaccine for COVID-19. And, in an astonishing span of less than a year, they brought one into being, in partnership with the drug company Moderna. It was even more effective than Fauci had dared hope, achieving an efficacy of over 90%.\u003c/p>\n\u003cp>“He was giddy with laughter,” Benjamin recalls. “I remember watching him on TV with the joy of a new parent who has something that’s just precious, and understood just how valuable that vaccine was going to be.”\u003c/p>\n\u003cp>\u003ca href=\"https://www.nih.gov/news-events/news-releases/statement-anthony-s-fauci-md\">In a statement,\u003c/a> Fauci said it had been “the honor of a lifetime to have led the NIAID.” He said he’ll continue to work after departing from his current government positions.\u003c/p>\n\u003cp>“After more than 50 years of government service, I plan to pursue the next phase of my career while I still have so much energy and passion for my field,” he said.\u003c/p>\n\u003cdiv class=\"fullattribution\">Copyright 2022 NPR. To see more, visit https://www.npr.org.\u003cimg decoding=\"async\" src=\"https://www.google-analytics.com/__utm.gif?utmac=UA-5828686-4&utmdt=Fauci+to+step+down+in+December+after+decades+of+public+service&utme=8(APIKey)9(MDAxOTAwOTE4MDEyMTkxMDAzNjczZDljZA004)\">\u003c/div>\n\u003cp>\u003c/p>\u003c/div>",
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"title": "'We're Drowning': Why Kaiser Mental Health Workers Are Striking",
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"content": "\u003cp>On Friday, the fifth day of an open-ended strike by Kaiser Permanente mental health workers across Northern California, some 200 employees and supporters marched to the health care giant’s Oakland headquarters, demanding that management increase staffing and resources.\u003c/p>\n\u003cp>They were among the roughly 2,000 Kaiser therapists, social workers and other mental health care staffers across Northern California — represented by the National Union of Healthcare Workers — who formed picket lines outside Kaiser facilities this week, after negotiations with management ended without resolution last weekend. Those striking said employee morale is dangerously low and patient care has become substandard due to long wait times for treatment. [aside label=\"Related Stories\" postID=\"news_11922524,news_11922748,news_11921580\"] Kaiser officials have called the strike unethical to patients and counterproductive, pointing to the shortage of mental health professionals nationwide. A company representative declined to participate in an interview, citing ongoing negotiations.\u003c/p>\n\u003cp class=\"p1\">But in a statement issued Friday, Deb Catsavas, senior vice president of human resources at Kaiser Permanente Northern California, reiterated the company’s stance that the strike and “disruption to patient care” were unnecessary.\u003c/p>\n\u003cp class=\"p1\">“While [the National Union of Healthcare Workers] claims it is fighting for increased access to care, its primary demand is for union members to spend less time seeing patients,” said Catsavas. “Our patients cannot afford a proposal that significantly reduces the time available to care for our patients and their mental health needs.”\u003c/p>\n\u003cp>The strike comes amid what the White House has described as an unprecedented mental health crisis among Americans of all ages.\u003c/p>\n\u003ch2>Why are Kaiser mental health care workers striking?\u003c/h2>\n\u003cp>“We’re striking because it’s demoralizing to work for a company that actively does things to capitalize on burnout,” Naomi Johnson, an associate clinical social worker for Kaiser, told KQED Forum. “We’re really working very hard as clinicians to try to see patients as frequently as we can, and to provide the care that we’re trained [for] and good at providing. And we’re not supported in doing that by the company.”\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>Kaiser tells patients that “if you have any sort of concerns or you want to come to therapy, please reach out,” added Johnson. “And then as providers, we’re told, ‘Only treat people who meet medical necessity.’ So it’s really difficult because we have this huge influx of people trying to seek services, but there aren’t enough of us to actually meet the demand, so we’re just completely overwhelmed. … We’re drowning, as clinicians.”\u003c/p>\n\u003cfigure id=\"attachment_11923078\" class=\"wp-caption aligncenter\" style=\"max-width: 1920px\">\u003ca href=\"https://ww2.kqed.org/app/uploads/sites/10/2022/08/RS57886_021_KQED_KaiserStrikeOakland_08192022-qut.jpg\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-11923078\" src=\"https://ww2.kqed.org/app/uploads/sites/10/2022/08/RS57886_021_KQED_KaiserStrikeOakland_08192022-qut.jpg\" alt=\"a protest\" width=\"1920\" height=\"1280\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2022/08/RS57886_021_KQED_KaiserStrikeOakland_08192022-qut.jpg 1920w, https://cdn.kqed.org/wp-content/uploads/sites/10/2022/08/RS57886_021_KQED_KaiserStrikeOakland_08192022-qut-800x533.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2022/08/RS57886_021_KQED_KaiserStrikeOakland_08192022-qut-1020x680.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2022/08/RS57886_021_KQED_KaiserStrikeOakland_08192022-qut-160x107.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2022/08/RS57886_021_KQED_KaiserStrikeOakland_08192022-qut-1536x1024.jpg 1536w\" sizes=\"auto, (max-width: 1920px) 100vw, 1920px\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">Kaiser mental health care workers rally before a march from Oakland Kaiser Medical Center to Kaiser’s corporate headquarters on Friday, Aug. 19, 2022, the fifth day of an open-ended strike. \u003ccite>(Beth LaBerge/KQED)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003ch2>How does understaffing affect patients seeking treatment?\u003c/h2>\n\u003cp>“There are currently 2,600 Kaiser patients for every mental health worker in (the) Northern California Kaiser system,” Ilana Marcucci-Morris, a licensed clinical social worker in Kaiser’s psychiatry department in Oakland, told Forum. That means the average Kaiser therapist sees between seven and 12 patients per day, while someone in private practice might see between three and six. After a series of initial intake calls, the majority of Kaiser patients calling with a “nonurgent” need wait between two and three months to see a therapist.\u003c/p>\n\u003cp>The National Union of Healthcare Workers points to \u003ca href=\"https://nuhw.org/more-than-2000-kaiser-permanente-mental-health-clinicians-to-start-open-ended-strike-august-15/\">internal Kaiser documents illustrating\u003c/a> that “patients who received an initial mental health assessment on June 13 weren’t scheduled for follow-up appointments for a month in San Francisco, more than two months in Sacramento and three months or more in other parts of Northern California.” That length of time, experts say, does a disservice to those who have already taken the often-difficult first step of seeking support.\u003c/p>\n\u003cp>“The goal is to help people get better and terminate,” said Marcucci-Morris. “But the system within Kaiser does not allow for that. It’s the opposite. People are waiting longer, and deteriorating to where they either give up and pay [for therapy] out of pocket, which sets up a system for folks who have those resources to pay a private practice therapist and get better.” She said people who can’t afford private therapy and insurance premiums aren’t able to get better. “They get worse and they stay in Kaiser and they just stay sick,” she said.\u003c/p>\n\u003cfigure id=\"attachment_11923083\" class=\"wp-caption aligncenter\" style=\"max-width: 1920px\">\u003ca href=\"https://ww2.kqed.org/app/uploads/sites/10/2022/08/RS57866_005_KQED_KaiserStrikeOakland_08192022-qut.jpg\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-11923083\" src=\"https://ww2.kqed.org/app/uploads/sites/10/2022/08/RS57866_005_KQED_KaiserStrikeOakland_08192022-qut.jpg\" alt=\"protestors reflected in a bus window\" width=\"1920\" height=\"1280\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2022/08/RS57866_005_KQED_KaiserStrikeOakland_08192022-qut.jpg 1920w, https://cdn.kqed.org/wp-content/uploads/sites/10/2022/08/RS57866_005_KQED_KaiserStrikeOakland_08192022-qut-800x533.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2022/08/RS57866_005_KQED_KaiserStrikeOakland_08192022-qut-1020x680.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2022/08/RS57866_005_KQED_KaiserStrikeOakland_08192022-qut-160x107.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2022/08/RS57866_005_KQED_KaiserStrikeOakland_08192022-qut-1536x1024.jpg 1536w\" sizes=\"auto, (max-width: 1920px) 100vw, 1920px\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">Kaiser mental health care workers and supporters hold signs on the picket line outside Oakland Kaiser Medical Center. \u003ccite>(Beth LaBerge/KQED)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003ch2>What is causing the understaffing?\u003c/h2>\n\u003cp>Kaiser administrators point to what they describe as a nationwide staffing shortage. “Across the country, there are not enough mental health care professionals to meet the increased demand for care,” said Kaiser’s Catsavas in an Aug. 15 statement. “This has created challenges for Kaiser Permanente and mental health care providers everywhere.”\u003c/p>\n\u003cp>Company administrators say they have worked to combat the shortage by hiring new mental health clinicians, including nearly 200 new clinicians since January 2021; improving mental health care access through virtual care; and launching a $500,000 initiative to recruit new employees.[pullquote align=\"right\" size=\"medium\" citation=\"Ilana Marcucci-Morris, Kaiser psychiatrist\"]‘There isn’t a shortage of clinicians. There’s only a shortage of clinicians that want to work for Kaiser.’[/pullquote]But those on strike said the severity of the shortage is specific to Kaiser, and that burnout and poor working conditions are contributing to low retention of existing employees, and making it difficult for the company to recruit new ones.\u003c/p>\n\u003cp>“There isn’t a shortage of clinicians. There’s only a shortage of clinicians that want to work for Kaiser,” said Marcucci-Morris. “We get into this field to help people, and it’s hard to recruit therapists when Kaiser’s reputation is known to make people wait so long for therapy sessions. It’s really, really not ethical. And I personally have a handful of colleagues and friends who are therapists with time in their schedules who I’ve tried to recruit for Kaiser. But the reputation is just so poor.”\u003c/p>\n\u003cp>It’s more appealing, said those striking, for qualified therapists to work for a private practice. “Workers just don’t want to work for Kaiser anymore, and that’s the real crisis we’re facing,” said Marcucci-Morris.\u003c/p>\n\u003cp>The union said the rate at which mental health clinicians are leaving Kaiser nearly doubled in the past year, with 668 clinicians leaving between June 2021 and May 2022, compared to 335 clinicians the previous year. In a union survey of 200 of those departing clinicians, 85% said they were leaving because their workload was unsustainable or because they felt they did not have enough time to complete the work, and 76% said they were unable to “treat patients in line with standards of care and medical necessity.”\u003c/p>\n\u003cp>“We need to grow the mental health workforce, there’s no doubt about that,” California state Senator Scott Wiener told KQED Forum. “It is also the case that the shortage is not as severe right now as the health plans say … health plans can take steps to expand their workforce, including paying better, providing better reimbursements to private providers, and those are investments that they should be making that they have not made.”\u003c/p>\n\u003cp>“I don’t think it’s the case that they can just throw up their hands and say, we have some challenges with the workforce, and so therefore, we’re going to make people wait three months,” he added. “We have real shortages of physical health care providers, but we don’t tolerate around physical health what we have long tolerated around mental health, which is effectively denying people access to lifesaving care.”\u003c/p>\n\u003cfigure id=\"attachment_11923080\" class=\"wp-caption aligncenter\" style=\"max-width: 1920px\">\u003ca href=\"https://ww2.kqed.org/app/uploads/sites/10/2022/08/RS57907_044_KQED_KaiserStrikeOakland_08192022-qut.jpg\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-11923080\" src=\"https://ww2.kqed.org/app/uploads/sites/10/2022/08/RS57907_044_KQED_KaiserStrikeOakland_08192022-qut.jpg\" alt=\"a baby in a stroller as part of a protest \" width=\"1920\" height=\"1280\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2022/08/RS57907_044_KQED_KaiserStrikeOakland_08192022-qut.jpg 1920w, https://cdn.kqed.org/wp-content/uploads/sites/10/2022/08/RS57907_044_KQED_KaiserStrikeOakland_08192022-qut-800x533.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2022/08/RS57907_044_KQED_KaiserStrikeOakland_08192022-qut-1020x680.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2022/08/RS57907_044_KQED_KaiserStrikeOakland_08192022-qut-160x107.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2022/08/RS57907_044_KQED_KaiserStrikeOakland_08192022-qut-1536x1024.jpg 1536w\" sizes=\"auto, (max-width: 1920px) 100vw, 1920px\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">Kaiser mental health care workers carry signs on the picket line outside Oakland Kaiser Medical Center on Friday, Aug. 19, 2022, the fifth day of an open-ended strike. \u003ccite>(Beth LaBerge/KQED)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003ch2>Has California passed any recent laws to address this shortage?\u003c/h2>\n\u003cp>\u003ca href=\"https://openstates.org/ca/bills/20212022/SB221/\">Senate Bill 221\u003c/a>, which passed in 2021 and went into effect July 1, 2022, said that “health plans, including Kaiser, must provide timely access to mental health and addiction treatment,” Senator Wiener told Forum. “And that means a prompt first visit.”\u003c/p>\n\u003cp>The law codifies existing regulations from the Department of Managed Health Care and the Department of Insurance that require a health care service plan or an insurer to ensure that “for an enrollee requesting a non-urgent appointment with a non-physician mental health care provider … appointments are offered within 10 business days of the request for an appointment.” Follow-up visits have to happen within two weeks, added Wiener.\u003c/p>\n\u003cp>\u003ca href=\"https://leginfo.legislature.ca.gov/faces/billVotesClient.xhtml?bill_id=202120220SB858\" target=\"_blank\" rel=\"noopener noreferrer\">Senate Bill 858\u003c/a>, which recently passed on the California State Assembly floor and will now move to Gov. Gavin Newsom’s desk, would update the way health insurance companies are fined for violations, something that hasn’t been updated or even adjusted for inflation since the 1970s, said Wiener. Currently, the maximum fine possible stands at $2,500 per violation; the bill, if passed, would increase that amount to $25,000.\u003c/p>\n\u003cp>“We think that will create a much larger incentive to actually follow the law and provide people with timely and appropriate access to health care,” he said.\u003c/p>\n\u003ch2>What exactly are the strikers asking for? What’s the current status of negotiations?\u003c/h2>\n\u003cp>In negotiations that led up to the strike, the National Union of Healthcare Workers accepted Kaiser’s wage-increase offer. But the union held fast on its demand that nine hours per week — up from the current six hours — be allotted for administrative work. Kaiser rejected that demand, arguing it would not leave adequate time to see patients. The company’s counteroffer, of an additional 1.2 hours for that work, was flatly rejected.\u003c/p>\n\u003cp>“We wouldn’t be striking right now if money was the primary [issue],” said Marcucci-Morris, pointing to burnout, retention issues and poor morale — as well as what the union describes as the lack of a clear plan for how the company is going to meet the requirements laid out by SB 221.\u003c/p>\n\u003cp>“It’s not going to fix the problems to buy the therapists out and pay us more,” she said. “What good is more pay when you’re drowning and can’t come up for air?”\u003c/p>\n\u003ch2>How is the strike affecting patients in need of care?\u003c/h2>\n\u003cp>Kaiser is legally obligated to continue providing care for its members during a labor strike.\u003c/p>\n\u003cp>[ad floatright]\u003c/p>\n\u003cp>“Beginning this week, our patients will receive care from those mental health clinicians who choose patient needs over the strike, as well as from our psychiatrists, clinical managers, and other licensed professionals,” said Catsavas in a statement on the first day of the strike, while noting that “some nonurgent appointments may need to be rescheduled” and that patients whose appointments might be affected “will be directly contacted prior to the date of the appointment to ensure they receive the care they need.”\u003c/p>\n\n",
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"content": "\u003cdiv class=\"post-body\">\u003cp> Kaiser officials have called the strike unethical to patients and counterproductive, pointing to the shortage of mental health professionals nationwide. A company representative declined to participate in an interview, citing ongoing negotiations.\u003c/p>\n\u003cp class=\"p1\">But in a statement issued Friday, Deb Catsavas, senior vice president of human resources at Kaiser Permanente Northern California, reiterated the company’s stance that the strike and “disruption to patient care” were unnecessary.\u003c/p>\n\u003cp class=\"p1\">“While [the National Union of Healthcare Workers] claims it is fighting for increased access to care, its primary demand is for union members to spend less time seeing patients,” said Catsavas. “Our patients cannot afford a proposal that significantly reduces the time available to care for our patients and their mental health needs.”\u003c/p>\n\u003cp>The strike comes amid what the White House has described as an unprecedented mental health crisis among Americans of all ages.\u003c/p>\n\u003ch2>Why are Kaiser mental health care workers striking?\u003c/h2>\n\u003cp>“We’re striking because it’s demoralizing to work for a company that actively does things to capitalize on burnout,” Naomi Johnson, an associate clinical social worker for Kaiser, told KQED Forum. “We’re really working very hard as clinicians to try to see patients as frequently as we can, and to provide the care that we’re trained [for] and good at providing. And we’re not supported in doing that by the company.”\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>Kaiser tells patients that “if you have any sort of concerns or you want to come to therapy, please reach out,” added Johnson. “And then as providers, we’re told, ‘Only treat people who meet medical necessity.’ So it’s really difficult because we have this huge influx of people trying to seek services, but there aren’t enough of us to actually meet the demand, so we’re just completely overwhelmed. … We’re drowning, as clinicians.”\u003c/p>\n\u003cfigure id=\"attachment_11923078\" class=\"wp-caption aligncenter\" style=\"max-width: 1920px\">\u003ca href=\"https://ww2.kqed.org/app/uploads/sites/10/2022/08/RS57886_021_KQED_KaiserStrikeOakland_08192022-qut.jpg\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-11923078\" src=\"https://ww2.kqed.org/app/uploads/sites/10/2022/08/RS57886_021_KQED_KaiserStrikeOakland_08192022-qut.jpg\" alt=\"a protest\" width=\"1920\" height=\"1280\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2022/08/RS57886_021_KQED_KaiserStrikeOakland_08192022-qut.jpg 1920w, https://cdn.kqed.org/wp-content/uploads/sites/10/2022/08/RS57886_021_KQED_KaiserStrikeOakland_08192022-qut-800x533.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2022/08/RS57886_021_KQED_KaiserStrikeOakland_08192022-qut-1020x680.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2022/08/RS57886_021_KQED_KaiserStrikeOakland_08192022-qut-160x107.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2022/08/RS57886_021_KQED_KaiserStrikeOakland_08192022-qut-1536x1024.jpg 1536w\" sizes=\"auto, (max-width: 1920px) 100vw, 1920px\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">Kaiser mental health care workers rally before a march from Oakland Kaiser Medical Center to Kaiser’s corporate headquarters on Friday, Aug. 19, 2022, the fifth day of an open-ended strike. \u003ccite>(Beth LaBerge/KQED)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003ch2>How does understaffing affect patients seeking treatment?\u003c/h2>\n\u003cp>“There are currently 2,600 Kaiser patients for every mental health worker in (the) Northern California Kaiser system,” Ilana Marcucci-Morris, a licensed clinical social worker in Kaiser’s psychiatry department in Oakland, told Forum. That means the average Kaiser therapist sees between seven and 12 patients per day, while someone in private practice might see between three and six. After a series of initial intake calls, the majority of Kaiser patients calling with a “nonurgent” need wait between two and three months to see a therapist.\u003c/p>\n\u003cp>The National Union of Healthcare Workers points to \u003ca href=\"https://nuhw.org/more-than-2000-kaiser-permanente-mental-health-clinicians-to-start-open-ended-strike-august-15/\">internal Kaiser documents illustrating\u003c/a> that “patients who received an initial mental health assessment on June 13 weren’t scheduled for follow-up appointments for a month in San Francisco, more than two months in Sacramento and three months or more in other parts of Northern California.” That length of time, experts say, does a disservice to those who have already taken the often-difficult first step of seeking support.\u003c/p>\n\u003cp>“The goal is to help people get better and terminate,” said Marcucci-Morris. “But the system within Kaiser does not allow for that. It’s the opposite. People are waiting longer, and deteriorating to where they either give up and pay [for therapy] out of pocket, which sets up a system for folks who have those resources to pay a private practice therapist and get better.” She said people who can’t afford private therapy and insurance premiums aren’t able to get better. “They get worse and they stay in Kaiser and they just stay sick,” she said.\u003c/p>\n\u003cfigure id=\"attachment_11923083\" class=\"wp-caption aligncenter\" style=\"max-width: 1920px\">\u003ca href=\"https://ww2.kqed.org/app/uploads/sites/10/2022/08/RS57866_005_KQED_KaiserStrikeOakland_08192022-qut.jpg\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-11923083\" src=\"https://ww2.kqed.org/app/uploads/sites/10/2022/08/RS57866_005_KQED_KaiserStrikeOakland_08192022-qut.jpg\" alt=\"protestors reflected in a bus window\" width=\"1920\" height=\"1280\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2022/08/RS57866_005_KQED_KaiserStrikeOakland_08192022-qut.jpg 1920w, https://cdn.kqed.org/wp-content/uploads/sites/10/2022/08/RS57866_005_KQED_KaiserStrikeOakland_08192022-qut-800x533.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2022/08/RS57866_005_KQED_KaiserStrikeOakland_08192022-qut-1020x680.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2022/08/RS57866_005_KQED_KaiserStrikeOakland_08192022-qut-160x107.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2022/08/RS57866_005_KQED_KaiserStrikeOakland_08192022-qut-1536x1024.jpg 1536w\" sizes=\"auto, (max-width: 1920px) 100vw, 1920px\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">Kaiser mental health care workers and supporters hold signs on the picket line outside Oakland Kaiser Medical Center. \u003ccite>(Beth LaBerge/KQED)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003ch2>What is causing the understaffing?\u003c/h2>\n\u003cp>Kaiser administrators point to what they describe as a nationwide staffing shortage. “Across the country, there are not enough mental health care professionals to meet the increased demand for care,” said Kaiser’s Catsavas in an Aug. 15 statement. “This has created challenges for Kaiser Permanente and mental health care providers everywhere.”\u003c/p>\n\u003cp>Company administrators say they have worked to combat the shortage by hiring new mental health clinicians, including nearly 200 new clinicians since January 2021; improving mental health care access through virtual care; and launching a $500,000 initiative to recruit new employees.\u003c/p>\u003c/div>",
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"content": "‘There isn’t a shortage of clinicians. There’s only a shortage of clinicians that want to work for Kaiser.’",
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"content": "\u003cdiv class=\"post-body\">\u003cp>But those on strike said the severity of the shortage is specific to Kaiser, and that burnout and poor working conditions are contributing to low retention of existing employees, and making it difficult for the company to recruit new ones.\u003c/p>\n\u003cp>“There isn’t a shortage of clinicians. There’s only a shortage of clinicians that want to work for Kaiser,” said Marcucci-Morris. “We get into this field to help people, and it’s hard to recruit therapists when Kaiser’s reputation is known to make people wait so long for therapy sessions. It’s really, really not ethical. And I personally have a handful of colleagues and friends who are therapists with time in their schedules who I’ve tried to recruit for Kaiser. But the reputation is just so poor.”\u003c/p>\n\u003cp>It’s more appealing, said those striking, for qualified therapists to work for a private practice. “Workers just don’t want to work for Kaiser anymore, and that’s the real crisis we’re facing,” said Marcucci-Morris.\u003c/p>\n\u003cp>The union said the rate at which mental health clinicians are leaving Kaiser nearly doubled in the past year, with 668 clinicians leaving between June 2021 and May 2022, compared to 335 clinicians the previous year. In a union survey of 200 of those departing clinicians, 85% said they were leaving because their workload was unsustainable or because they felt they did not have enough time to complete the work, and 76% said they were unable to “treat patients in line with standards of care and medical necessity.”\u003c/p>\n\u003cp>“We need to grow the mental health workforce, there’s no doubt about that,” California state Senator Scott Wiener told KQED Forum. “It is also the case that the shortage is not as severe right now as the health plans say … health plans can take steps to expand their workforce, including paying better, providing better reimbursements to private providers, and those are investments that they should be making that they have not made.”\u003c/p>\n\u003cp>“I don’t think it’s the case that they can just throw up their hands and say, we have some challenges with the workforce, and so therefore, we’re going to make people wait three months,” he added. “We have real shortages of physical health care providers, but we don’t tolerate around physical health what we have long tolerated around mental health, which is effectively denying people access to lifesaving care.”\u003c/p>\n\u003cfigure id=\"attachment_11923080\" class=\"wp-caption aligncenter\" style=\"max-width: 1920px\">\u003ca href=\"https://ww2.kqed.org/app/uploads/sites/10/2022/08/RS57907_044_KQED_KaiserStrikeOakland_08192022-qut.jpg\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-11923080\" src=\"https://ww2.kqed.org/app/uploads/sites/10/2022/08/RS57907_044_KQED_KaiserStrikeOakland_08192022-qut.jpg\" alt=\"a baby in a stroller as part of a protest \" width=\"1920\" height=\"1280\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2022/08/RS57907_044_KQED_KaiserStrikeOakland_08192022-qut.jpg 1920w, https://cdn.kqed.org/wp-content/uploads/sites/10/2022/08/RS57907_044_KQED_KaiserStrikeOakland_08192022-qut-800x533.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2022/08/RS57907_044_KQED_KaiserStrikeOakland_08192022-qut-1020x680.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2022/08/RS57907_044_KQED_KaiserStrikeOakland_08192022-qut-160x107.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2022/08/RS57907_044_KQED_KaiserStrikeOakland_08192022-qut-1536x1024.jpg 1536w\" sizes=\"auto, (max-width: 1920px) 100vw, 1920px\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">Kaiser mental health care workers carry signs on the picket line outside Oakland Kaiser Medical Center on Friday, Aug. 19, 2022, the fifth day of an open-ended strike. \u003ccite>(Beth LaBerge/KQED)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003ch2>Has California passed any recent laws to address this shortage?\u003c/h2>\n\u003cp>\u003ca href=\"https://openstates.org/ca/bills/20212022/SB221/\">Senate Bill 221\u003c/a>, which passed in 2021 and went into effect July 1, 2022, said that “health plans, including Kaiser, must provide timely access to mental health and addiction treatment,” Senator Wiener told Forum. “And that means a prompt first visit.”\u003c/p>\n\u003cp>The law codifies existing regulations from the Department of Managed Health Care and the Department of Insurance that require a health care service plan or an insurer to ensure that “for an enrollee requesting a non-urgent appointment with a non-physician mental health care provider … appointments are offered within 10 business days of the request for an appointment.” Follow-up visits have to happen within two weeks, added Wiener.\u003c/p>\n\u003cp>\u003ca href=\"https://leginfo.legislature.ca.gov/faces/billVotesClient.xhtml?bill_id=202120220SB858\" target=\"_blank\" rel=\"noopener noreferrer\">Senate Bill 858\u003c/a>, which recently passed on the California State Assembly floor and will now move to Gov. Gavin Newsom’s desk, would update the way health insurance companies are fined for violations, something that hasn’t been updated or even adjusted for inflation since the 1970s, said Wiener. Currently, the maximum fine possible stands at $2,500 per violation; the bill, if passed, would increase that amount to $25,000.\u003c/p>\n\u003cp>“We think that will create a much larger incentive to actually follow the law and provide people with timely and appropriate access to health care,” he said.\u003c/p>\n\u003ch2>What exactly are the strikers asking for? What’s the current status of negotiations?\u003c/h2>\n\u003cp>In negotiations that led up to the strike, the National Union of Healthcare Workers accepted Kaiser’s wage-increase offer. But the union held fast on its demand that nine hours per week — up from the current six hours — be allotted for administrative work. Kaiser rejected that demand, arguing it would not leave adequate time to see patients. The company’s counteroffer, of an additional 1.2 hours for that work, was flatly rejected.\u003c/p>\n\u003cp>“We wouldn’t be striking right now if money was the primary [issue],” said Marcucci-Morris, pointing to burnout, retention issues and poor morale — as well as what the union describes as the lack of a clear plan for how the company is going to meet the requirements laid out by SB 221.\u003c/p>\n\u003cp>“It’s not going to fix the problems to buy the therapists out and pay us more,” she said. “What good is more pay when you’re drowning and can’t come up for air?”\u003c/p>\n\u003ch2>How is the strike affecting patients in need of care?\u003c/h2>\n\u003cp>Kaiser is legally obligated to continue providing care for its members during a labor strike.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>“Beginning this week, our patients will receive care from those mental health clinicians who choose patient needs over the strike, as well as from our psychiatrists, clinical managers, and other licensed professionals,” said Catsavas in a statement on the first day of the strike, while noting that “some nonurgent appointments may need to be rescheduled” and that patients whose appointments might be affected “will be directly contacted prior to the date of the appointment to ensure they receive the care they need.”\u003c/p>\n\n\u003c/div>\u003c/p>",
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"content": "\u003cp>Thousands of mental health care workers maintained picket lines Wednesday in front of Kaiser Permanente facilities in the Bay Area and Central Valley, the third day of an open-ended strike to demand the health care giant increase mental health staffing and wages.\u003c/p>\n\u003cp>“This strike is a long time coming,” said state Sen. Scott Wiener, D-San Francisco, among a growing number of state legislative leaders backing the workers. “There have been major issues at Kaiser in terms of providing people with timely access or any access to mental health and addiction treatment and the workers have been advocating for years to have more staffing and compliance with the law and that hasn’t happened.”\u003c/p>\n\u003cp>Jason Lechner, a therapist focused on addiction services for youth, was among a throng of protesters outside a Kaiser Oakland facility on Tuesday, where workers chanted, “What do we want? Patient care. When do we want it? Now!”\u003c/p>\n\u003cp>Lechner said Kaiser doesn’t offer him enough time to carry out essential tasks like answering phone calls and emails, or referring patients to other experts, forcing him and his colleagues to regularly work extra hours in order to complete crucial administrative tasks.\u003c/p>\n\u003cp>“If I need to communicate with your primary care physician about what substances you’re abusing, where’s my time to do that?” he said.[aside label=\"Related Stories\" postID=\"news_11922524,forum_2010101884368,stateofhealth_21358\"]The National Union of Healthcare Workers, which represents Kaiser psychologists, therapists, social workers and chemical dependency counselors in Northern California, is in the thick of negotiating a new contract with Kaiser, and demanding the company hire more mental health workers to ease the burden placed on current staff. The union said negotiations with management this weekend ended without resolution, with Kaiser rejecting the union’s “proposals to increase staffing and end dangerously long waits for mental health therapy appointments.”\u003c/p>\n\u003cp>Nicole Riddle, a labor and delivery nurse, said she has experienced the consequences of staffing shortages, not only as a health care worker, but also as a Kaiser member who has tried to access mental health services for herself.\u003c/p>\n\u003cp>“I’ve had my own experiences, both trying to advocate for myself throughout really traumatic birth experiences, postpartum depression, and then for my own child,” she said. “And I feel like Kaiser kind of banks on people being burnt out enough to not keep escalating and advocating for themselves. And then those who are privileged enough to do so pay out of pocket.”\u003c/p>\n\u003cp>“We deserve a better situation,” she added.\u003c/p>\n\u003cp>\u003ca href=\"https://about.kaiserpermanente.org/who-we-are/labor-relations/committed-to-reaching-a-fair-and-equitable-agreement\">In a statement\u003c/a> issued Sunday, after negotiations stalled, Deb Catsavas, Kaiser’s regional senior vice president of human resources, said the Oakland-based company has “the deepest appreciation and gratitude for our mental health professionals and the extraordinary care they provide to our members.” But, she noted, “there are not enough mental health care professionals to meet the increased demand for care,” both locally and nationwide.\u003c/p>\n\u003cp>The company has hired “nearly 200 new clinicians since January 2021” and launched a $500,000 initiative to recruit new mental health practitioners, Catsavas added.\u003c/p>\n\u003cp>“Despite the union’s harmful tactics, we remain committed to bargaining in good faith to reach a fair and equitable agreement that is good for our therapists and our patients,” she said.\u003c/p>\n\u003cp>In negotiations, the union accepted Kaiser’s wage-increase offer, but held fast on its demand that nine hours per week — up from the current six hours — be allotted for administrative work. Kaiser, however, rejected that demand, arguing it would not leave adequate time to see patients. Its counteroffer, of an additional 1.2 hours for that work, was flatly rejected.\u003c/p>\n\u003cp>California law requires health care providers like Kaiser to offer patients timely care even during labor strikes, and state regulators say they are closely monitoring consumer complaints about the company’s compliance. Kaiser has said it will prioritize urgent mental health situations, but may have to reschedule some ongoing appointments.\u003c/p>\n\u003cp>Oakland City Councilmember Dan Kalb, who joined Oakland staffers on the picket line on Tuesday, said mental health care has been undervalued for far too long.\u003c/p>\n\u003cp>“Mental health care is health care. And (it) needs to stop being seen as the stepchild of health care,” Kalb said, pointing to the longstanding demand for services that has only further escalated since the start of the COVID-19 pandemic. “Kaiser should be ashamed of themselves for not staffing up the mental health care clinicians that they need and not paying them a fair wage. It’s inexcusable.”\u003c/p>\n\u003cp>Kalb called for “unanimous support” for mental health workers, not just at Kaiser, but in all health care settings “to make sure that there are enough health care workers everywhere to meet the needs that people have.”\u003c/p>\n\u003cp>\u003cem>KQED’s Matthew Green contributed reporting.\u003c/em> [ad fullwidth]\u003c/p>\n\u003cp>\u003c/p>\n",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>Thousands of mental health care workers maintained picket lines Wednesday in front of Kaiser Permanente facilities in the Bay Area and Central Valley, the third day of an open-ended strike to demand the health care giant increase mental health staffing and wages.\u003c/p>\n\u003cp>“This strike is a long time coming,” said state Sen. Scott Wiener, D-San Francisco, among a growing number of state legislative leaders backing the workers. “There have been major issues at Kaiser in terms of providing people with timely access or any access to mental health and addiction treatment and the workers have been advocating for years to have more staffing and compliance with the law and that hasn’t happened.”\u003c/p>\n\u003cp>Jason Lechner, a therapist focused on addiction services for youth, was among a throng of protesters outside a Kaiser Oakland facility on Tuesday, where workers chanted, “What do we want? Patient care. When do we want it? Now!”\u003c/p>\n\u003cp>Lechner said Kaiser doesn’t offer him enough time to carry out essential tasks like answering phone calls and emails, or referring patients to other experts, forcing him and his colleagues to regularly work extra hours in order to complete crucial administrative tasks.\u003c/p>\n\u003cp>“If I need to communicate with your primary care physician about what substances you’re abusing, where’s my time to do that?” he said.\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>The National Union of Healthcare Workers, which represents Kaiser psychologists, therapists, social workers and chemical dependency counselors in Northern California, is in the thick of negotiating a new contract with Kaiser, and demanding the company hire more mental health workers to ease the burden placed on current staff. The union said negotiations with management this weekend ended without resolution, with Kaiser rejecting the union’s “proposals to increase staffing and end dangerously long waits for mental health therapy appointments.”\u003c/p>\n\u003cp>Nicole Riddle, a labor and delivery nurse, said she has experienced the consequences of staffing shortages, not only as a health care worker, but also as a Kaiser member who has tried to access mental health services for herself.\u003c/p>\n\u003cp>“I’ve had my own experiences, both trying to advocate for myself throughout really traumatic birth experiences, postpartum depression, and then for my own child,” she said. “And I feel like Kaiser kind of banks on people being burnt out enough to not keep escalating and advocating for themselves. And then those who are privileged enough to do so pay out of pocket.”\u003c/p>\n\u003cp>“We deserve a better situation,” she added.\u003c/p>\n\u003cp>\u003ca href=\"https://about.kaiserpermanente.org/who-we-are/labor-relations/committed-to-reaching-a-fair-and-equitable-agreement\">In a statement\u003c/a> issued Sunday, after negotiations stalled, Deb Catsavas, Kaiser’s regional senior vice president of human resources, said the Oakland-based company has “the deepest appreciation and gratitude for our mental health professionals and the extraordinary care they provide to our members.” But, she noted, “there are not enough mental health care professionals to meet the increased demand for care,” both locally and nationwide.\u003c/p>\n\u003cp>The company has hired “nearly 200 new clinicians since January 2021” and launched a $500,000 initiative to recruit new mental health practitioners, Catsavas added.\u003c/p>\n\u003cp>“Despite the union’s harmful tactics, we remain committed to bargaining in good faith to reach a fair and equitable agreement that is good for our therapists and our patients,” she said.\u003c/p>\n\u003cp>In negotiations, the union accepted Kaiser’s wage-increase offer, but held fast on its demand that nine hours per week — up from the current six hours — be allotted for administrative work. Kaiser, however, rejected that demand, arguing it would not leave adequate time to see patients. Its counteroffer, of an additional 1.2 hours for that work, was flatly rejected.\u003c/p>\n\u003cp>California law requires health care providers like Kaiser to offer patients timely care even during labor strikes, and state regulators say they are closely monitoring consumer complaints about the company’s compliance. Kaiser has said it will prioritize urgent mental health situations, but may have to reschedule some ongoing appointments.\u003c/p>\n\u003cp>Oakland City Councilmember Dan Kalb, who joined Oakland staffers on the picket line on Tuesday, said mental health care has been undervalued for far too long.\u003c/p>\n\u003cp>“Mental health care is health care. And (it) needs to stop being seen as the stepchild of health care,” Kalb said, pointing to the longstanding demand for services that has only further escalated since the start of the COVID-19 pandemic. “Kaiser should be ashamed of themselves for not staffing up the mental health care clinicians that they need and not paying them a fair wage. It’s inexcusable.”\u003c/p>\n\u003cp>Kalb called for “unanimous support” for mental health workers, not just at Kaiser, but in all health care settings “to make sure that there are enough health care workers everywhere to meet the needs that people have.”\u003c/p>\n\u003cp>\u003cem>KQED’s Matthew Green contributed reporting.\u003c/em> \u003c/p>\u003c/div>",
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"content": "\u003cp>Some 2,000 Kaiser Permanente psychologists, therapists, social workers and chemical dependency counselors in Northern California began what they called an “open-ended” strike Monday over staffing shortages that their union said have overwhelmed workers and resulted in patients waiting months to get help. Workers formed picket lines at Kaiser facilities in San Francisco, San José, Fresno and Sacramento.\u003c/p>\n\u003cp>The National Union of Healthcare Workers, which represents the workers, is negotiating a new contract with the Oakland-based health care giant, and demanding the company hire more mental health workers to ease the burden placed on current staff. The union said negotiations with management ended without resolution this weekend.\u003c/p>\n\u003cp>Kaiser rejected “union proposals to increase staffing and end dangerously long waits for mental health therapy appointments,” organizers said in a statement Sunday.\u003c/p>\n\u003cp>“We’ve been telling Kaiser executives since Day One that this isn’t about money,” said Jennifer Browning, a Kaiser social worker in Roseville, and part of the union’s bargaining team, noting that organizers did accept Kaiser’s wage-increase offer. “It’s about our professional integrity and our ability to provide care that will help patients get better.”\u003c/p>\n\u003cp>At a picket line outside a Kaiser center in San Francisco on Monday, employees held signs that read “patients over profits.”\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>Jeffery Chen-Harding, a clinical social worker with Kaiser who was picketing there, said his patients are having to wait longer and longer for care.\u003c/p>\n\u003cp>[aside postID=\"news_11921580\" hero='https://ww2.kqed.org/app/uploads/sites/10/2022/08/RS40555_KAISER-MENTAL-HEALTH-CASES-photo-qut-1020x680.jpg']“We have people waiting six to eight weeks to get an appointment,” he said.\u003c/p>\n\u003cp>Petaluma clinical psychologist Alexis Petrakis, also picketing in San Francisco, echoed Chen-Harding’s comments about the wait times, describing her caseloads as unrelenting.\u003c/p>\n\u003cp>“I meet somebody new, they tell me their story, and maybe they even are honest about trauma that they’ve experienced,” she said. “I try to find a 30-minute phone call just to check in, but it’s not the care that I know that they deserve.”\u003c/p>\n\u003cp>Deb Catsavas, Kaiser’s senior vice president of human resources in Northern California, said in a statement Sunday that \u003ca href=\"https://about.kaiserpermanente.org/who-we-are/labor-relations/committed-to-reaching-a-fair-and-equitable-agreement\">the company has hired hundreds of new mental health workers\u003c/a>, including 200 since January 2021. She also pointed out that the shortage in mental health care professionals is happening nationwide.\u003c/p>\n\u003cp>There are two main issues, Catsavas noted. “One is wage increases and the other is the union’s demand to increase the time therapists spend on tasks other than seeing patients,” she said. “The primary role — and essential need — for our therapists is to provide mental health care and treat our patients.”\u003c/p>\n\u003cp>The union is demanding that nine hours per week be allotted for administrative work, which would leave only 31 hours to see patients, the company said. It said it proposed increasing the time for administrative tasks from 6 to 7.2 hours, leaving 32.8 hours to see patients.\u003c/p>\n\u003cp>“Our patients cannot afford a proposal that significantly reduces the time available to care for them and their mental health needs,” Catsavas said. “In recognition of our therapists’ concerns and priorities, we have proposed an increase in the scheduled time allocated to administrative tasks, but the union is demanding still more administrative time.”\u003c/p>\n\u003cp>But Chen-Harding argued that the time in question is actually important work related to patient care.\u003c/p>\n\u003cp>“What they’re calling administrative time, it’s actually time when I am calling people who are in a crisis. It may be time when I am learning about the patient that I’m about to meet with,” he said.\u003c/p>\n\u003cp>A shortage in mental health clinicians has been a sticking point between the company and the union for years. In December 2019, Kaiser mental health care workers held a five-day strike over staffing shortages.\u003c/p>\n\u003cp>Catsavas said Kaiser recently reached an agreement with the same union in Southern California, representing about 1,900 mental health professionals.\u003c/p>\n\u003cp>Kaiser said some clinicians will remain on the job during the strike. It also has expanded its network of “high-quality community providers and will continue to prioritize urgent and emergency care” through the duration of the strike, it said, adding that some nonurgent appointments may need to be rescheduled and patients whose appointments may be affected will be contacted directly prior to the date of the appointment.\u003c/p>\n\u003cp>The union said state law requires Kaiser to pay for out-of-network services if it’s unable to provide urgent mental health appointments within 48 hours, and nonurgent appointments within 10 business days, unless the therapist determines that a longer wait would not be detrimental to the patient’s health.\u003c/p>\n\u003cp>No date has been set for further negotiations.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>\u003cem>This story includes reporting from The Associated Press, Bay City News and KQED’s Lesley McClurg.\u003c/em>\u003c/p>\n\n",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>Some 2,000 Kaiser Permanente psychologists, therapists, social workers and chemical dependency counselors in Northern California began what they called an “open-ended” strike Monday over staffing shortages that their union said have overwhelmed workers and resulted in patients waiting months to get help. Workers formed picket lines at Kaiser facilities in San Francisco, San José, Fresno and Sacramento.\u003c/p>\n\u003cp>The National Union of Healthcare Workers, which represents the workers, is negotiating a new contract with the Oakland-based health care giant, and demanding the company hire more mental health workers to ease the burden placed on current staff. The union said negotiations with management ended without resolution this weekend.\u003c/p>\n\u003cp>Kaiser rejected “union proposals to increase staffing and end dangerously long waits for mental health therapy appointments,” organizers said in a statement Sunday.\u003c/p>\n\u003cp>“We’ve been telling Kaiser executives since Day One that this isn’t about money,” said Jennifer Browning, a Kaiser social worker in Roseville, and part of the union’s bargaining team, noting that organizers did accept Kaiser’s wage-increase offer. “It’s about our professional integrity and our ability to provide care that will help patients get better.”\u003c/p>\n\u003cp>At a picket line outside a Kaiser center in San Francisco on Monday, employees held signs that read “patients over profits.”\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>“We have people waiting six to eight weeks to get an appointment,” he said.\u003c/p>\n\u003cp>Petaluma clinical psychologist Alexis Petrakis, also picketing in San Francisco, echoed Chen-Harding’s comments about the wait times, describing her caseloads as unrelenting.\u003c/p>\n\u003cp>“I meet somebody new, they tell me their story, and maybe they even are honest about trauma that they’ve experienced,” she said. “I try to find a 30-minute phone call just to check in, but it’s not the care that I know that they deserve.”\u003c/p>\n\u003cp>Deb Catsavas, Kaiser’s senior vice president of human resources in Northern California, said in a statement Sunday that \u003ca href=\"https://about.kaiserpermanente.org/who-we-are/labor-relations/committed-to-reaching-a-fair-and-equitable-agreement\">the company has hired hundreds of new mental health workers\u003c/a>, including 200 since January 2021. She also pointed out that the shortage in mental health care professionals is happening nationwide.\u003c/p>\n\u003cp>There are two main issues, Catsavas noted. “One is wage increases and the other is the union’s demand to increase the time therapists spend on tasks other than seeing patients,” she said. “The primary role — and essential need — for our therapists is to provide mental health care and treat our patients.”\u003c/p>\n\u003cp>The union is demanding that nine hours per week be allotted for administrative work, which would leave only 31 hours to see patients, the company said. It said it proposed increasing the time for administrative tasks from 6 to 7.2 hours, leaving 32.8 hours to see patients.\u003c/p>\n\u003cp>“Our patients cannot afford a proposal that significantly reduces the time available to care for them and their mental health needs,” Catsavas said. “In recognition of our therapists’ concerns and priorities, we have proposed an increase in the scheduled time allocated to administrative tasks, but the union is demanding still more administrative time.”\u003c/p>\n\u003cp>But Chen-Harding argued that the time in question is actually important work related to patient care.\u003c/p>\n\u003cp>“What they’re calling administrative time, it’s actually time when I am calling people who are in a crisis. It may be time when I am learning about the patient that I’m about to meet with,” he said.\u003c/p>\n\u003cp>A shortage in mental health clinicians has been a sticking point between the company and the union for years. In December 2019, Kaiser mental health care workers held a five-day strike over staffing shortages.\u003c/p>\n\u003cp>Catsavas said Kaiser recently reached an agreement with the same union in Southern California, representing about 1,900 mental health professionals.\u003c/p>\n\u003cp>Kaiser said some clinicians will remain on the job during the strike. It also has expanded its network of “high-quality community providers and will continue to prioritize urgent and emergency care” through the duration of the strike, it said, adding that some nonurgent appointments may need to be rescheduled and patients whose appointments may be affected will be contacted directly prior to the date of the appointment.\u003c/p>\n\u003cp>The union said state law requires Kaiser to pay for out-of-network services if it’s unable to provide urgent mental health appointments within 48 hours, and nonurgent appointments within 10 business days, unless the therapist determines that a longer wait would not be detrimental to the patient’s health.\u003c/p>\n\u003cp>No date has been set for further negotiations.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>\u003cem>This story includes reporting from The Associated Press, Bay City News and KQED’s Lesley McClurg.\u003c/em>\u003c/p>\n\n\u003c/div>\u003c/p>",
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"content": "\u003cp>We’ve been asking KQED readers and listeners \u003ca href=\"https://www.kqed.org/news/11921709/tell-us-what-do-you-need-to-know-about-monkeypox\">“what do you need to know about monkeypox?”\u003c/a>\u003c/p>\n\u003cp>Although monkeypox has existed among humans for over 50 years, this most recent outbreak in the United States has seen a significant amount of misinformation online about the disease and how it spreads. And one of the biggest questions we’ve gotten from our audience: Do I need to worry about the risks of monkeypox and surfaces?\u003c/p>\n\u003cp>Anyone, regardless of sexual orientation or preference, can get monkeypox. Right now, the monkeypox outbreak in the United States \u003ca href=\"https://www.who.int/publications/m/item/monkeypox-public-health-advice-for-men-who-have-sex-with-men\">is particularly affecting communities of gay and bisexual men\u003c/a>, and men who have sex with men, and the World Health Organization notes that \u003ca href=\"https://www.who.int/news/item/25-05-2022-monkeypox--public-health-advice-for-gay--bisexual-and-other-men-who-have-sex-with-men\">trans people and gender-diverse people “may also be more vulnerable in the context of the current outbreak.”\u003c/a>\u003c/p>\n\u003cp>The main way that the virus spreads is via close, skin-to-skin contact with a person who’s infected with monkeypox — which includes sexual contact but is not limited to it. Monkeypox can also spread via respiratory droplets through very close, sustained face-to-face contact. Another way monkeypox can be transmitted that’s far less common than skin-to-skin contact is on shared surfaces and items.[aside postID='news_11920455,news_11919070,news_11920913' label='More monkeypox resources']So \u003cem>how\u003c/em> worried should you be about the risk of monkeypox spreading through surfaces or through the air?\u003c/p>\n\u003cp>The short answer: your risk of catching monkeypox from surfaces is highest if you’re sharing a home with a person who has monkeypox. Keep reading for what you need to know about the risks of monkeypox and surfaces.\u003c/p>\n\u003cp>Also, please remember that the advice that follows is based on what information we currently know and the data experts have right now about monkeypox. As with COVID, you may find that advice and best practices around monkeypox evolve and shift as more scientific information becomes available.\u003c/p>\n\u003cp>Don’t see your question answered below, or in \u003ca href=\"https://www.kqed.org/monkeypox\">our other guides covering monkeypox\u003c/a>? Send us your \u003cstrong>\u003ca href=\"#monkeypoxquestions\">question and tell us what to cover.\u003c/a>\u003c/strong>\u003c/p>\n\u003ch2>Monkeypox can live on surfaces — but your risk of being infected this way is low\u003c/h2>\n\u003cp>According to the Centers for Disease Control and Prevention, one scientific study found that \u003ca href=\"https://www.cdc.gov/poxvirus/monkeypox/specific-settings/home-disinfection.html\">the monkeypox virus can live on surfaces for up to 15 days\u003c/a>. Yes, that may sound pretty alarming, but the most recent data actually shows that monkeypox doesn’t do so well spreading through routes that don’t involve close physical or intimate contact.\u003c/p>\n\u003cp>Last week, the World Health Organization reported \u003ca href=\"https://www.npr.org/sections/goatsandsoda/2022/08/05/1115859376/clearing-up-some-of-the-myths-that-have-popped-up-about-monkeypox\">only around 0.2% of people infected are thought to have caught the virus from a contaminated surface\u003c/a> in this current outbreak.\u003cstrong> \u003c/strong>\u003cspan style=\"font-weight: 400\">[pullquote size='medium' align='right']A note: You might hear people also referring to surface transmission as “fomites.” A fomite is an object that could be contaminated with an infectious virus or bacteria, and that helps spread it.[/pullquote]\u003c/span>Syra Madad, an infectious disease epidemiologist at Harvard’s Belfer Center, recently told Slate that\u003ca href=\"https://slate.com/technology/2022/08/monkeypox-spread-misconceptions-surfaces-sex.html\"> “just because you have viral particles on a surface doesn’t mean (they’re) going to cause infection in another person.”\u003c/a> That is, it’s not enough for that virus to be present — there also needs to be enough of that virus getting transferred first onto the surface by an infected person, and then onto the skin of someone who isn’t infected. “It’s not as easy as ‘I’m going to touch this doorknob and somebody with monkeypox just touched it so I’m going to get infected,’ ” she says.\u003c/p>\n\u003cp>Dr. Peter Chin-Hong, an infectious disease specialist at UCSF, says that clothing, materials and surfaces are most likely to be a method of virus transmission within the home of someone \u003cem>with\u003c/em> monkeypox, specifically when someone else is having sustained contact with those items, rather than brief contact.\u003c/p>\n\u003cp>But going to the thrift store or purchasing bedding at Bed Bath & Beyond? “That’s very, very low risk,” he said.\u003c/p>\n\u003cp>What about being in shared, high-touch public spaces like a gym or a pool? “It’s very, very low risk to get monkeypox in a swimming pool,” says Dr. Chin-Hong. “The risk of just touching objects in the gym or in the yoga studio is very, very small. It’s really in the context of a household where you’re touching the same things multiple times over and over again for multiple hours.”\u003cspan style=\"font-weight: 400\">[pullquote size='medium' align='right' citation=\"Dr. Peter Chin-Hong, infectious disease specialist at UCSF\"]‘It’s very, very low risk to get monkeypox in a swimming pool.’[/pullquote]\u003c/span>Even when you’re armed with the facts, the thought of monkeypox virus being on shared spaces in the outside world — on door handles, public transit or clothing in a store — still feels unsettling, especially if you’re being bombarded with headlines and TikToks on the subject. But remember: what gains traction online isn’t always reliable or fact-checked — and rare instances don’t equal a widespread risk.\u003c/p>\n\u003cp>Infectious disease doctor Susan McLellan at the University of Texas Medical Branch in Galveston, Texas, offered this perspective to NPR: \u003ca href=\"https://www.npr.org/sections/goatsandsoda/2022/08/05/1115859376/clearing-up-some-of-the-myths-that-have-popped-up-about-monkeypox\">“During this outbreak, there will probably be at least one random case where somebody gets it on a bus,”\u003c/a> she said. “But, you know, that’s going to be profoundly rare, probably less likely than being hit by that bus.”\u003c/p>\n\u003cp>“If monkeypox were easily transmitted on the subway, on buses, we would be seeing it among a very different population than almost purely among the population where transmission is occurring mostly during close, intimate contact,” she noted.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003ch2>Monkeypox can live in the air — but only briefly\u003c/h2>\n\u003cp>The monkeypox virus can also spread through respiratory droplets that a person infected with monkeypox breathes out onto another person. This contact would have to be very close and sustained — a lengthy face-to-face conversation or kissing are some examples — for the virus to spread this way.\u003c/p>\n\u003cp>This means yes, monkeypox can live in the air — but not in the way you might be imagining. The idea of whether you can catch monkeypox from the air is “probably one of the most controversial areas right now,” says Dr. Chin-Hong — and he stresses that it’s important to understand what we mean by “airborne.”\u003c/p>\n\u003cp>Unlike COVID, monkeypox virus is not thought to linger in the air for a sustained period of time. That is, if someone with COVID breathes out respiratory droplets, those droplets can hang in the air for some time, and could expose the next person who steps into that space to the coronavirus. The monkeypox virus doesn’t operate the same way, says Dr. Chin-Hong. “COVID is a respiratory virus by its definition,” he notes. “Monkeypox is not.”\u003c/p>\n\u003cp>“In general, it’s not going to be the same way we think about ‘droplets’ or ‘airborne’ and COVID,” he says. You can’t get monkeypox from casual conversations, or by passing someone with monkeypox — say, in a store.\u003c/p>\n\u003cp>So how else could you theoretically catch monkeypox “in the air,” if not through very close conversations or kissing? This is where sharing a home with someone who has monkeypox definitely presents the virus with more opportunities for transmission.\u003c/p>\n\u003cp>Dr. Chin-Hong points to the example of a person with monkeypox sleeping in a bed, and their monkeypox rash shedding scabs onto the bedsheets. If another person comes in the next morning and changes those sheets, waving them around into the air, “these little scabs are filled with a virus which can survive for some time, but then go in the air, and if you inhale it, you can be afflicted with monkeypox.”\u003c/p>\n\u003cp>Some individuals have absolutely gotten monkeypox that way within households, says Dr. Chin-Hong — but “only because these small scabs are floating in the air temporarily.” For this reason, \u003ca href=\"https://sf.gov/information/monkeypox-faq\">the San Francisco Department of Public Health explicitly warns against shaking out bedding and towels\u003c/a> that have been used by someone with monkeypox.\u003c/p>\n\u003cfigure id=\"attachment_11919128\" class=\"wp-caption alignnone\" style=\"max-width: 1920px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-11919128\" src=\"https://ww2.kqed.org/app/uploads/sites/10/2022/07/RS57170_GettyImages-1401390462-qut.jpg\" alt=\"\" width=\"1920\" height=\"1177\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2022/07/RS57170_GettyImages-1401390462-qut.jpg 1920w, https://cdn.kqed.org/wp-content/uploads/sites/10/2022/07/RS57170_GettyImages-1401390462-qut-800x490.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2022/07/RS57170_GettyImages-1401390462-qut-1020x625.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2022/07/RS57170_GettyImages-1401390462-qut-160x98.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2022/07/RS57170_GettyImages-1401390462-qut-1536x942.jpg 1536w\" sizes=\"auto, (max-width: 1920px) 100vw, 1920px\">\u003cfigcaption class=\"wp-caption-text\">Digitally colorized electron microscopic (EM) image depicting a monkeypox virion (virus particle). \u003ccite>(Smith Collection/Gado/Getty Images)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>If you’re sharing a home with someone who has monkeypox, worrying about virus on shared surfaces is justified — but there are steps you can take.\u003c/p>\n\u003cp>If you’re sharing a home with someone with an active monkeypox infection — or if you yourself have monkeypox and want to keep those you live with safe — being aware of how monkeypox can spread within a home and taking the appropriate measures is the best way to stop the virus spreading.\u003c/p>\n\u003ch2>If someone in your home has monkeypox …\u003c/h2>\n\u003cp>You should not be sharing materials like bedding, clothing and towels. You should also not be sharing cooking or eating utensils.\u003c/p>\n\u003cp>As with COVID, it’s ideal that someone isolating with monkeypox uses their own bathroom exclusively, away from the rest of the household. But depending on your home setup, this may not be possible.\u003c/p>\n\u003cp>\u003cstrong>Be particularly careful around laundry, especially bedding\u003c/strong>\u003c/p>\n\u003cp>As Dr. Chin-Hong says above, bedding and laundry can pose a particular risk because of how a person’s lesions with active monkeypox virus can rub onto those materials. Ideally, a person with monkeypox should do their own laundry and change their own bedding. Sheets and laundry should not be shaken out, in case scabs are thrown into the air and inhaled.\u003c/p>\n\u003cp>If you have to do laundry or change the bedding of someone with monkeypox, consider wearing a mask and eye protection to avoid this kind of contamination, and wash your hands very thoroughly after.\u003c/p>\n\u003cp>If you have monkeypox and can’t avoid being in the same room as other people, the WHO advises you to keep any rashes or lesions covered with clothing or a bandage. This way, there’s far less chance of the virus shedding onto shared materials or surfaces within a home.\u003c/p>\n\u003cfigure id=\"attachment_11922424\" class=\"wp-caption aligncenter\" style=\"max-width: 2560px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-11922424\" src=\"https://ww2.kqed.org/app/uploads/sites/10/2022/08/pexels-matilda-wormwood-4099467-scaled.jpg\" alt=\"A person wearing personal protective equipment wipes down a table in an indoor setting.\" width=\"2560\" height=\"1709\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2022/08/pexels-matilda-wormwood-4099467-scaled.jpg 2560w, https://cdn.kqed.org/wp-content/uploads/sites/10/2022/08/pexels-matilda-wormwood-4099467-800x534.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2022/08/pexels-matilda-wormwood-4099467-1020x681.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2022/08/pexels-matilda-wormwood-4099467-160x107.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2022/08/pexels-matilda-wormwood-4099467-1536x1025.jpg 1536w, https://cdn.kqed.org/wp-content/uploads/sites/10/2022/08/pexels-matilda-wormwood-4099467-2048x1367.jpg 2048w, https://cdn.kqed.org/wp-content/uploads/sites/10/2022/08/pexels-matilda-wormwood-4099467-1920x1281.jpg 1920w\" sizes=\"auto, (max-width: 2560px) 100vw, 2560px\">\u003cfigcaption class=\"wp-caption-text\">Health experts say that bedding and laundry can pose a particular risk for monkeypox transmission in situations involving someone with an active monkeypox infection. If you have to do laundry or change the bedding of someone with monkeypox, consider wearing a mask and eye protection to avoid this kind of contamination, and wash your hands very thoroughly after. \u003ccite>(Matilda Wormwood/KQED)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>\u003cstrong>Anyone who thinks they’ve been exposed to monkeypox in the home, or through their networks, should seek a vaccine.\u003c/strong>\u003c/p>\n\u003cp>\u003ca href=\"https://www.cdc.gov/poxvirus/monkeypox/considerations-for-monkeypox-vaccination.html\">The CDC recommends that the monkeypox vaccine be given to a person within four days\u003c/a> of the date they were exposed to monkeypox, for the best chance of preventing onset of the disease.\u003c/p>\n\u003cp>If a person gets the vaccine between 4 and 14 days of being exposed, the vaccine may reduce the symptoms of monkeypox, but may not prevent the disease altogether.\u003ca href=\"https://www.kqed.org/news/11920455/where-can-i-find-a-monkeypox-vaccine-near-me\"> Read more on how to find a monkeypox vaccine near you.\u003c/a>\u003c/p>\n\u003cp>\u003cstrong>Follow cleaning protocols to reduce the risk of spread\u003c/strong>\u003c/p>\n\u003cp>Yes, monkeypox can live on shared surfaces, and potentially spread through them as a result of repeated contact. But as Harvard’s Syra Madad told Slate, \u003ca href=\"https://slate.com/technology/2022/08/monkeypox-spread-misconceptions-surfaces-sex.html\">“the monkeypox virus is a DNA-based virus and is a bit of a wimpy virus\u003c/a> in that you can actually kill it with household disinfectants and UV light and the like.”\u003c/p>\n\u003cp>\u003ca href=\"https://www.cdc.gov/poxvirus/monkeypox/pdf/Monkeypox-Interim-Guidance-for-Household-Disinfection-508.pdf\">The CDC recommends regularly cleaning and disinfecting your household spaces\u003c/a> to prevent the spread of monkeypox. The Environmental Protection Agency has a list of \u003ca href=\"https://www.epa.gov/pesticide-registration/disinfectants-emerging-viral-pathogens-evps-list-q\">approved cleaning products and disinfectants for monkeypox\u003c/a>, which includes common items you might already own like Lysol and Clorox. If you don’t have those products already in your home and you’re isolating with monkeypox, consider exploring home delivery options or asking friends or family to deliver cleaning products to your home.\u003c/p>\n\u003cp>\u003ca href=\"https://www.cdc.gov/poxvirus/monkeypox/pdf/Monkeypox-Interim-Guidance-for-Household-Disinfection-508.pdf\">Even if you’re isolating with monkeypox alone in your home\u003c/a>, the CDC still recommends regularly cleaning and disinfecting your spaces if you’re able to, to limit household contamination for anyone that does enter your home later.\u003c/p>\n\u003cp>Read the CDC’s \u003ca href=\"https://www.cdc.gov/poxvirus/monkeypox/pdf/Monkeypox-Interim-Guidance-for-Household-Disinfection-508.pdf\">full guide to cleaning and disinfecting your home during a monkeypox infection.\u003c/a>\u003c/p>\n\u003cfigure id=\"attachment_11921619\" class=\"wp-caption alignnone\" style=\"max-width: 2560px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-11921619\" src=\"https://ww2.kqed.org/app/uploads/sites/10/2022/08/gettyimages-14127573261_custom-08d5a5ff4a4cb124ab63f489d9c13ae55d9fce02-scaled.jpg\" alt=\"\" width=\"2560\" height=\"1762\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2022/08/gettyimages-14127573261_custom-08d5a5ff4a4cb124ab63f489d9c13ae55d9fce02-scaled.jpg 2560w, https://cdn.kqed.org/wp-content/uploads/sites/10/2022/08/gettyimages-14127573261_custom-08d5a5ff4a4cb124ab63f489d9c13ae55d9fce02-800x551.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2022/08/gettyimages-14127573261_custom-08d5a5ff4a4cb124ab63f489d9c13ae55d9fce02-1020x702.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2022/08/gettyimages-14127573261_custom-08d5a5ff4a4cb124ab63f489d9c13ae55d9fce02-160x110.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2022/08/gettyimages-14127573261_custom-08d5a5ff4a4cb124ab63f489d9c13ae55d9fce02-1536x1057.jpg 1536w, https://cdn.kqed.org/wp-content/uploads/sites/10/2022/08/gettyimages-14127573261_custom-08d5a5ff4a4cb124ab63f489d9c13ae55d9fce02-2048x1409.jpg 2048w, https://cdn.kqed.org/wp-content/uploads/sites/10/2022/08/gettyimages-14127573261_custom-08d5a5ff4a4cb124ab63f489d9c13ae55d9fce02-1920x1321.jpg 1920w\" sizes=\"auto, (max-width: 2560px) 100vw, 2560px\">\u003cfigcaption class=\"wp-caption-text\">Health workers sit at a check-in table at a pop-up monkeypox vaccination clinic which opened today by the Los Angeles County Department of Public Health at the West Hollywood Library on August 3, 2022 in West Hollywood, Los Angeles. Gov. Newsom declared a state of emergency on August 1st over the monkeypox outbreak which continues to grow globally. \u003ccite>(Mario Tama/Getty Images)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003ch2>Monkeypox sounds scary — but don’t let fear of transmission distract you from COVID\u003c/h2>\n\u003cp>Monkeypox can seem frightening. Especially if you’re part of a community that’s been particularly impacted by the spread of the virus.\u003c/p>\n\u003cp>But despite these natural fears, Dr. Chin-Hong wants to remind you that “at this point, you’re much more likely to get something like COVID than monkeypox. Although I know it’s really scary to people.” Monkeypox is not nearly as contagious as COVID-19.\u003c/p>\n\u003cp>You shouldn’t feel ashamed for worrying about how the monkeypox virus spreads. It’s an understandable fear — not least because we’ve been here before, with COVID.\u003c/p>\n\u003cp>Two years ago, the idea of surface transmission for the coronavirus was very much in the popular consciousness, as early public health messaging around COVID-19 laid heavy emphasis on strong hand-washing and sanitation practices, and videos like \u003ca href=\"https://www.youtube.com/watch?v=TKx-F4AKteE\">“How to Safely Grocery Shop During Coronavirus”\u003c/a> racked up huge views. And while good hygiene practices remain important around the coronavirus, more recent and complete data has taught us that respiratory transmission between people poses a far greater risk.\u003c/p>\n\u003cp>Nonetheless, it’s hard not to hear fears about monkeypox and fomites without being transported back to those first unsettling months of the COVID pandemic — a pandemic we’re still very much in, even as we work to keep our communities safe from the new public health threat in monkeypox.\u003c/p>\n\u003ch2>\u003ca id=\"monkeypoxquestions\">\u003c/a>What other questions do you have about monkeypox?\u003c/h2>\n\u003cp>If you have more questions about monkeypox, we want to hear them. If you can’t find an answer in this post, or in \u003ca href=\"https://www.kqed.org/news/11919070/monkeypox-in-the-bay-area-from-symptoms-to-how-to-find-a-vaccine-heres-what-we-know\">our guide on what monkeypox symptoms are\u003c/a> or in \u003ca href=\"https://www.kqed.org/news/11920455/where-can-i-find-a-monkeypox-vaccine-near-me\">our guide on how to find a monkeypox vaccine near you\u003c/a>, you can use the box below to submit your question. What you send us will make our reporting on monkeypox stronger, and help us decide what to cover here on our site and on KQED Public Radio.\u003c/p>\n\u003cp>Please know that we can’t reach back out directly to everyone who asks a question, and we can’t give out individual medical advice. If you’re concerned about monkeypox or another health matter, we urge you to reach out to your health care provider, or a local community clinic if you don’t have insurance. (\u003ca href=\"https://www.kqed.org/news/11920455/where-can-i-find-a-monkeypox-vaccine-near-me#wheremonkeypoxvaccinenearme\">See our list of community clinics in your county.\u003c/a>)\u003c/p>\n\u003cp>[hearken id=\"9840\" src=\"https://modules.wearehearken.com/kqed/embed/9840.js\"]\u003c/p>\n\u003cp>[ad floatright]\u003c/p>\n",
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"excerpt": "Can monkeypox spread on surfaces? Does monkeypox spread through the air? KQED spoke to the experts to learn how monkeypox transmits and what you can do to protect yourself and your family.",
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"title": "Monkeypox Spreads on Surfaces Only in Certain Cases — Here's What to Know | KQED",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>We’ve been asking KQED readers and listeners \u003ca href=\"https://www.kqed.org/news/11921709/tell-us-what-do-you-need-to-know-about-monkeypox\">“what do you need to know about monkeypox?”\u003c/a>\u003c/p>\n\u003cp>Although monkeypox has existed among humans for over 50 years, this most recent outbreak in the United States has seen a significant amount of misinformation online about the disease and how it spreads. And one of the biggest questions we’ve gotten from our audience: Do I need to worry about the risks of monkeypox and surfaces?\u003c/p>\n\u003cp>Anyone, regardless of sexual orientation or preference, can get monkeypox. Right now, the monkeypox outbreak in the United States \u003ca href=\"https://www.who.int/publications/m/item/monkeypox-public-health-advice-for-men-who-have-sex-with-men\">is particularly affecting communities of gay and bisexual men\u003c/a>, and men who have sex with men, and the World Health Organization notes that \u003ca href=\"https://www.who.int/news/item/25-05-2022-monkeypox--public-health-advice-for-gay--bisexual-and-other-men-who-have-sex-with-men\">trans people and gender-diverse people “may also be more vulnerable in the context of the current outbreak.”\u003c/a>\u003c/p>\n\u003cp>The main way that the virus spreads is via close, skin-to-skin contact with a person who’s infected with monkeypox — which includes sexual contact but is not limited to it. Monkeypox can also spread via respiratory droplets through very close, sustained face-to-face contact. Another way monkeypox can be transmitted that’s far less common than skin-to-skin contact is on shared surfaces and items.\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>So \u003cem>how\u003c/em> worried should you be about the risk of monkeypox spreading through surfaces or through the air?\u003c/p>\n\u003cp>The short answer: your risk of catching monkeypox from surfaces is highest if you’re sharing a home with a person who has monkeypox. Keep reading for what you need to know about the risks of monkeypox and surfaces.\u003c/p>\n\u003cp>Also, please remember that the advice that follows is based on what information we currently know and the data experts have right now about monkeypox. As with COVID, you may find that advice and best practices around monkeypox evolve and shift as more scientific information becomes available.\u003c/p>\n\u003cp>Don’t see your question answered below, or in \u003ca href=\"https://www.kqed.org/monkeypox\">our other guides covering monkeypox\u003c/a>? Send us your \u003cstrong>\u003ca href=\"#monkeypoxquestions\">question and tell us what to cover.\u003c/a>\u003c/strong>\u003c/p>\n\u003ch2>Monkeypox can live on surfaces — but your risk of being infected this way is low\u003c/h2>\n\u003cp>According to the Centers for Disease Control and Prevention, one scientific study found that \u003ca href=\"https://www.cdc.gov/poxvirus/monkeypox/specific-settings/home-disinfection.html\">the monkeypox virus can live on surfaces for up to 15 days\u003c/a>. Yes, that may sound pretty alarming, but the most recent data actually shows that monkeypox doesn’t do so well spreading through routes that don’t involve close physical or intimate contact.\u003c/p>\n\u003cp>Last week, the World Health Organization reported \u003ca href=\"https://www.npr.org/sections/goatsandsoda/2022/08/05/1115859376/clearing-up-some-of-the-myths-that-have-popped-up-about-monkeypox\">only around 0.2% of people infected are thought to have caught the virus from a contaminated surface\u003c/a> in this current outbreak.\u003cstrong> \u003c/strong>\u003cspan style=\"font-weight: 400\">\u003c/p>\u003c/div>",
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"content": "A note: You might hear people also referring to surface transmission as “fomites.” A fomite is an object that could be contaminated with an infectious virus or bacteria, and that helps spread it.",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/span>Syra Madad, an infectious disease epidemiologist at Harvard’s Belfer Center, recently told Slate that\u003ca href=\"https://slate.com/technology/2022/08/monkeypox-spread-misconceptions-surfaces-sex.html\"> “just because you have viral particles on a surface doesn’t mean (they’re) going to cause infection in another person.”\u003c/a> That is, it’s not enough for that virus to be present — there also needs to be enough of that virus getting transferred first onto the surface by an infected person, and then onto the skin of someone who isn’t infected. “It’s not as easy as ‘I’m going to touch this doorknob and somebody with monkeypox just touched it so I’m going to get infected,’ ” she says.\u003c/p>\n\u003cp>Dr. Peter Chin-Hong, an infectious disease specialist at UCSF, says that clothing, materials and surfaces are most likely to be a method of virus transmission within the home of someone \u003cem>with\u003c/em> monkeypox, specifically when someone else is having sustained contact with those items, rather than brief contact.\u003c/p>\n\u003cp>But going to the thrift store or purchasing bedding at Bed Bath & Beyond? “That’s very, very low risk,” he said.\u003c/p>\n\u003cp>What about being in shared, high-touch public spaces like a gym or a pool? “It’s very, very low risk to get monkeypox in a swimming pool,” says Dr. Chin-Hong. “The risk of just touching objects in the gym or in the yoga studio is very, very small. It’s really in the context of a household where you’re touching the same things multiple times over and over again for multiple hours.”\u003cspan style=\"font-weight: 400\">\u003c/p>\u003c/div>",
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"content": "‘It’s very, very low risk to get monkeypox in a swimming pool.’",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/span>Even when you’re armed with the facts, the thought of monkeypox virus being on shared spaces in the outside world — on door handles, public transit or clothing in a store — still feels unsettling, especially if you’re being bombarded with headlines and TikToks on the subject. But remember: what gains traction online isn’t always reliable or fact-checked — and rare instances don’t equal a widespread risk.\u003c/p>\n\u003cp>Infectious disease doctor Susan McLellan at the University of Texas Medical Branch in Galveston, Texas, offered this perspective to NPR: \u003ca href=\"https://www.npr.org/sections/goatsandsoda/2022/08/05/1115859376/clearing-up-some-of-the-myths-that-have-popped-up-about-monkeypox\">“During this outbreak, there will probably be at least one random case where somebody gets it on a bus,”\u003c/a> she said. “But, you know, that’s going to be profoundly rare, probably less likely than being hit by that bus.”\u003c/p>\n\u003cp>“If monkeypox were easily transmitted on the subway, on buses, we would be seeing it among a very different population than almost purely among the population where transmission is occurring mostly during close, intimate contact,” she noted.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003ch2>Monkeypox can live in the air — but only briefly\u003c/h2>\n\u003cp>The monkeypox virus can also spread through respiratory droplets that a person infected with monkeypox breathes out onto another person. This contact would have to be very close and sustained — a lengthy face-to-face conversation or kissing are some examples — for the virus to spread this way.\u003c/p>\n\u003cp>This means yes, monkeypox can live in the air — but not in the way you might be imagining. The idea of whether you can catch monkeypox from the air is “probably one of the most controversial areas right now,” says Dr. Chin-Hong — and he stresses that it’s important to understand what we mean by “airborne.”\u003c/p>\n\u003cp>Unlike COVID, monkeypox virus is not thought to linger in the air for a sustained period of time. That is, if someone with COVID breathes out respiratory droplets, those droplets can hang in the air for some time, and could expose the next person who steps into that space to the coronavirus. The monkeypox virus doesn’t operate the same way, says Dr. Chin-Hong. “COVID is a respiratory virus by its definition,” he notes. “Monkeypox is not.”\u003c/p>\n\u003cp>“In general, it’s not going to be the same way we think about ‘droplets’ or ‘airborne’ and COVID,” he says. You can’t get monkeypox from casual conversations, or by passing someone with monkeypox — say, in a store.\u003c/p>\n\u003cp>So how else could you theoretically catch monkeypox “in the air,” if not through very close conversations or kissing? This is where sharing a home with someone who has monkeypox definitely presents the virus with more opportunities for transmission.\u003c/p>\n\u003cp>Dr. Chin-Hong points to the example of a person with monkeypox sleeping in a bed, and their monkeypox rash shedding scabs onto the bedsheets. If another person comes in the next morning and changes those sheets, waving them around into the air, “these little scabs are filled with a virus which can survive for some time, but then go in the air, and if you inhale it, you can be afflicted with monkeypox.”\u003c/p>\n\u003cp>Some individuals have absolutely gotten monkeypox that way within households, says Dr. Chin-Hong — but “only because these small scabs are floating in the air temporarily.” For this reason, \u003ca href=\"https://sf.gov/information/monkeypox-faq\">the San Francisco Department of Public Health explicitly warns against shaking out bedding and towels\u003c/a> that have been used by someone with monkeypox.\u003c/p>\n\u003cfigure id=\"attachment_11919128\" class=\"wp-caption alignnone\" style=\"max-width: 1920px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-11919128\" src=\"https://ww2.kqed.org/app/uploads/sites/10/2022/07/RS57170_GettyImages-1401390462-qut.jpg\" alt=\"\" width=\"1920\" height=\"1177\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2022/07/RS57170_GettyImages-1401390462-qut.jpg 1920w, https://cdn.kqed.org/wp-content/uploads/sites/10/2022/07/RS57170_GettyImages-1401390462-qut-800x490.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2022/07/RS57170_GettyImages-1401390462-qut-1020x625.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2022/07/RS57170_GettyImages-1401390462-qut-160x98.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2022/07/RS57170_GettyImages-1401390462-qut-1536x942.jpg 1536w\" sizes=\"auto, (max-width: 1920px) 100vw, 1920px\">\u003cfigcaption class=\"wp-caption-text\">Digitally colorized electron microscopic (EM) image depicting a monkeypox virion (virus particle). \u003ccite>(Smith Collection/Gado/Getty Images)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>If you’re sharing a home with someone who has monkeypox, worrying about virus on shared surfaces is justified — but there are steps you can take.\u003c/p>\n\u003cp>If you’re sharing a home with someone with an active monkeypox infection — or if you yourself have monkeypox and want to keep those you live with safe — being aware of how monkeypox can spread within a home and taking the appropriate measures is the best way to stop the virus spreading.\u003c/p>\n\u003ch2>If someone in your home has monkeypox …\u003c/h2>\n\u003cp>You should not be sharing materials like bedding, clothing and towels. You should also not be sharing cooking or eating utensils.\u003c/p>\n\u003cp>As with COVID, it’s ideal that someone isolating with monkeypox uses their own bathroom exclusively, away from the rest of the household. But depending on your home setup, this may not be possible.\u003c/p>\n\u003cp>\u003cstrong>Be particularly careful around laundry, especially bedding\u003c/strong>\u003c/p>\n\u003cp>As Dr. Chin-Hong says above, bedding and laundry can pose a particular risk because of how a person’s lesions with active monkeypox virus can rub onto those materials. Ideally, a person with monkeypox should do their own laundry and change their own bedding. Sheets and laundry should not be shaken out, in case scabs are thrown into the air and inhaled.\u003c/p>\n\u003cp>If you have to do laundry or change the bedding of someone with monkeypox, consider wearing a mask and eye protection to avoid this kind of contamination, and wash your hands very thoroughly after.\u003c/p>\n\u003cp>If you have monkeypox and can’t avoid being in the same room as other people, the WHO advises you to keep any rashes or lesions covered with clothing or a bandage. This way, there’s far less chance of the virus shedding onto shared materials or surfaces within a home.\u003c/p>\n\u003cfigure id=\"attachment_11922424\" class=\"wp-caption aligncenter\" style=\"max-width: 2560px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-11922424\" src=\"https://ww2.kqed.org/app/uploads/sites/10/2022/08/pexels-matilda-wormwood-4099467-scaled.jpg\" alt=\"A person wearing personal protective equipment wipes down a table in an indoor setting.\" width=\"2560\" height=\"1709\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2022/08/pexels-matilda-wormwood-4099467-scaled.jpg 2560w, https://cdn.kqed.org/wp-content/uploads/sites/10/2022/08/pexels-matilda-wormwood-4099467-800x534.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2022/08/pexels-matilda-wormwood-4099467-1020x681.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2022/08/pexels-matilda-wormwood-4099467-160x107.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2022/08/pexels-matilda-wormwood-4099467-1536x1025.jpg 1536w, https://cdn.kqed.org/wp-content/uploads/sites/10/2022/08/pexels-matilda-wormwood-4099467-2048x1367.jpg 2048w, https://cdn.kqed.org/wp-content/uploads/sites/10/2022/08/pexels-matilda-wormwood-4099467-1920x1281.jpg 1920w\" sizes=\"auto, (max-width: 2560px) 100vw, 2560px\">\u003cfigcaption class=\"wp-caption-text\">Health experts say that bedding and laundry can pose a particular risk for monkeypox transmission in situations involving someone with an active monkeypox infection. If you have to do laundry or change the bedding of someone with monkeypox, consider wearing a mask and eye protection to avoid this kind of contamination, and wash your hands very thoroughly after. \u003ccite>(Matilda Wormwood/KQED)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>\u003cstrong>Anyone who thinks they’ve been exposed to monkeypox in the home, or through their networks, should seek a vaccine.\u003c/strong>\u003c/p>\n\u003cp>\u003ca href=\"https://www.cdc.gov/poxvirus/monkeypox/considerations-for-monkeypox-vaccination.html\">The CDC recommends that the monkeypox vaccine be given to a person within four days\u003c/a> of the date they were exposed to monkeypox, for the best chance of preventing onset of the disease.\u003c/p>\n\u003cp>If a person gets the vaccine between 4 and 14 days of being exposed, the vaccine may reduce the symptoms of monkeypox, but may not prevent the disease altogether.\u003ca href=\"https://www.kqed.org/news/11920455/where-can-i-find-a-monkeypox-vaccine-near-me\"> Read more on how to find a monkeypox vaccine near you.\u003c/a>\u003c/p>\n\u003cp>\u003cstrong>Follow cleaning protocols to reduce the risk of spread\u003c/strong>\u003c/p>\n\u003cp>Yes, monkeypox can live on shared surfaces, and potentially spread through them as a result of repeated contact. But as Harvard’s Syra Madad told Slate, \u003ca href=\"https://slate.com/technology/2022/08/monkeypox-spread-misconceptions-surfaces-sex.html\">“the monkeypox virus is a DNA-based virus and is a bit of a wimpy virus\u003c/a> in that you can actually kill it with household disinfectants and UV light and the like.”\u003c/p>\n\u003cp>\u003ca href=\"https://www.cdc.gov/poxvirus/monkeypox/pdf/Monkeypox-Interim-Guidance-for-Household-Disinfection-508.pdf\">The CDC recommends regularly cleaning and disinfecting your household spaces\u003c/a> to prevent the spread of monkeypox. The Environmental Protection Agency has a list of \u003ca href=\"https://www.epa.gov/pesticide-registration/disinfectants-emerging-viral-pathogens-evps-list-q\">approved cleaning products and disinfectants for monkeypox\u003c/a>, which includes common items you might already own like Lysol and Clorox. If you don’t have those products already in your home and you’re isolating with monkeypox, consider exploring home delivery options or asking friends or family to deliver cleaning products to your home.\u003c/p>\n\u003cp>\u003ca href=\"https://www.cdc.gov/poxvirus/monkeypox/pdf/Monkeypox-Interim-Guidance-for-Household-Disinfection-508.pdf\">Even if you’re isolating with monkeypox alone in your home\u003c/a>, the CDC still recommends regularly cleaning and disinfecting your spaces if you’re able to, to limit household contamination for anyone that does enter your home later.\u003c/p>\n\u003cp>Read the CDC’s \u003ca href=\"https://www.cdc.gov/poxvirus/monkeypox/pdf/Monkeypox-Interim-Guidance-for-Household-Disinfection-508.pdf\">full guide to cleaning and disinfecting your home during a monkeypox infection.\u003c/a>\u003c/p>\n\u003cfigure id=\"attachment_11921619\" class=\"wp-caption alignnone\" style=\"max-width: 2560px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-11921619\" src=\"https://ww2.kqed.org/app/uploads/sites/10/2022/08/gettyimages-14127573261_custom-08d5a5ff4a4cb124ab63f489d9c13ae55d9fce02-scaled.jpg\" alt=\"\" width=\"2560\" height=\"1762\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2022/08/gettyimages-14127573261_custom-08d5a5ff4a4cb124ab63f489d9c13ae55d9fce02-scaled.jpg 2560w, https://cdn.kqed.org/wp-content/uploads/sites/10/2022/08/gettyimages-14127573261_custom-08d5a5ff4a4cb124ab63f489d9c13ae55d9fce02-800x551.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2022/08/gettyimages-14127573261_custom-08d5a5ff4a4cb124ab63f489d9c13ae55d9fce02-1020x702.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2022/08/gettyimages-14127573261_custom-08d5a5ff4a4cb124ab63f489d9c13ae55d9fce02-160x110.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2022/08/gettyimages-14127573261_custom-08d5a5ff4a4cb124ab63f489d9c13ae55d9fce02-1536x1057.jpg 1536w, https://cdn.kqed.org/wp-content/uploads/sites/10/2022/08/gettyimages-14127573261_custom-08d5a5ff4a4cb124ab63f489d9c13ae55d9fce02-2048x1409.jpg 2048w, https://cdn.kqed.org/wp-content/uploads/sites/10/2022/08/gettyimages-14127573261_custom-08d5a5ff4a4cb124ab63f489d9c13ae55d9fce02-1920x1321.jpg 1920w\" sizes=\"auto, (max-width: 2560px) 100vw, 2560px\">\u003cfigcaption class=\"wp-caption-text\">Health workers sit at a check-in table at a pop-up monkeypox vaccination clinic which opened today by the Los Angeles County Department of Public Health at the West Hollywood Library on August 3, 2022 in West Hollywood, Los Angeles. Gov. Newsom declared a state of emergency on August 1st over the monkeypox outbreak which continues to grow globally. \u003ccite>(Mario Tama/Getty Images)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003ch2>Monkeypox sounds scary — but don’t let fear of transmission distract you from COVID\u003c/h2>\n\u003cp>Monkeypox can seem frightening. Especially if you’re part of a community that’s been particularly impacted by the spread of the virus.\u003c/p>\n\u003cp>But despite these natural fears, Dr. Chin-Hong wants to remind you that “at this point, you’re much more likely to get something like COVID than monkeypox. Although I know it’s really scary to people.” Monkeypox is not nearly as contagious as COVID-19.\u003c/p>\n\u003cp>You shouldn’t feel ashamed for worrying about how the monkeypox virus spreads. It’s an understandable fear — not least because we’ve been here before, with COVID.\u003c/p>\n\u003cp>Two years ago, the idea of surface transmission for the coronavirus was very much in the popular consciousness, as early public health messaging around COVID-19 laid heavy emphasis on strong hand-washing and sanitation practices, and videos like \u003ca href=\"https://www.youtube.com/watch?v=TKx-F4AKteE\">“How to Safely Grocery Shop During Coronavirus”\u003c/a> racked up huge views. And while good hygiene practices remain important around the coronavirus, more recent and complete data has taught us that respiratory transmission between people poses a far greater risk.\u003c/p>\n\u003cp>Nonetheless, it’s hard not to hear fears about monkeypox and fomites without being transported back to those first unsettling months of the COVID pandemic — a pandemic we’re still very much in, even as we work to keep our communities safe from the new public health threat in monkeypox.\u003c/p>\n\u003ch2>\u003ca id=\"monkeypoxquestions\">\u003c/a>What other questions do you have about monkeypox?\u003c/h2>\n\u003cp>If you have more questions about monkeypox, we want to hear them. If you can’t find an answer in this post, or in \u003ca href=\"https://www.kqed.org/news/11919070/monkeypox-in-the-bay-area-from-symptoms-to-how-to-find-a-vaccine-heres-what-we-know\">our guide on what monkeypox symptoms are\u003c/a> or in \u003ca href=\"https://www.kqed.org/news/11920455/where-can-i-find-a-monkeypox-vaccine-near-me\">our guide on how to find a monkeypox vaccine near you\u003c/a>, you can use the box below to submit your question. What you send us will make our reporting on monkeypox stronger, and help us decide what to cover here on our site and on KQED Public Radio.\u003c/p>\n\u003cp>Please know that we can’t reach back out directly to everyone who asks a question, and we can’t give out individual medical advice. If you’re concerned about monkeypox or another health matter, we urge you to reach out to your health care provider, or a local community clinic if you don’t have insurance. (\u003ca href=\"https://www.kqed.org/news/11920455/where-can-i-find-a-monkeypox-vaccine-near-me#wheremonkeypoxvaccinenearme\">See our list of community clinics in your county.\u003c/a>)\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"title": "Newsom May Soon Approve Supervised Drug Injection Sites. How Will They Work?",
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"content": "\u003cp>Establishing supervised drug injection sites has been a long-standing goal for some progressive California leaders looking to address the burgeoning overdose crisis. Efforts to launch such programs have come close, but never to the finish line.\u003c/p>\n\u003cp>Now, as the latest legislation seeking to sanction these sites heads to the governor’s desk, proponents are gearing up to make these injection sites a reality — and, they hope, a success — in the Golden State.\u003c/p>\n\u003cp>Senate Bill 57 would authorize these overdose prevention pilot programs in Oakland, San Francisco and Los Angeles, which would operate through Jan. 1, 2028.\u003c/p>\n\u003cp>While former \u003ca href=\"https://www.kqed.org/news/11695653/brown-rejects-supervised-injection-site-for-san-francisco\">Gov. Jerry Brown rejected similar legislation in 2018\u003c/a>, supporters are hopeful Gov. Gavin Newsom will sign this one after he said he was open to the idea during his campaign for governor.\u003c/p>\n\u003cp>“We have been engaging with the governor’s office for the past four years on this measure. We haven’t heard that he’s not going to sign it, so we’re hopeful that he’ll stick to his word from 2018,” said Jeannette Zanipatin, California state director of the Drug Policy Alliance, an advocacy group that works to decriminalize drugs and a co-sponsor of the bill.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>Alex Stack, a spokesperson for the governor’s office, said they don’t comment on pending legislation.\u003c/p>\n\u003cp>But if Newsom does sign it, what exactly would these sites look like? Who would be responsible for staffing them and how will they be funded? The details and logistics will be left to local officials.[pullquote align=\"right\" size=\"medium\" citation=\"State Senator Scott Wiener\"]‘They are asking us to help them address the escalations and crisis of overdose deaths that we’re experiencing in California’[/pullquote]Because San Francisco has been considering this idea for almost a decade, it would likely be the first city ready to launch a program in early 2023, Zanipatin said. Supervised injection sites could cost a couple of million dollars per year to run, and cities and counties that choose to establish these programs will have to find their own source of funding.\u003c/p>\n\u003cp>Last year, New York City became the first to establish supervised injection sites in the U.S. Cities in other countries have operated such centers for years, including \u003ca href=\"http://www.vch.ca/public-health/harm-reduction/supervised-consumption-sites\">Vancouver\u003c/a>, \u003ca href=\"https://www.eluniversal.com.mx/english/mexicali-offers-safe-spot-for-heroin-addicts\">Mexicali\u003c/a> and \u003ca href=\"https://ssir.org/articles/entry/Wary_of_an_Opioid_Epidemic_Europe_Pushes_Safe_Sites_for_Drug_Use#\">Barcelona\u003c/a>. The Vancouver site is often \u003ca href=\"https://www.rti.org/impact/cost-benefit-analysis-opening-safe-consumption-site-san-francisco\">referenced as a model\u003c/a> — with about 1,700 individuals using it each month, the center is credited with \u003ca href=\"https://www.thelancet.com/journals/lancet/article/PIIS0140-6736(10)62353-7/fulltext\">reducing overdose deaths\u003c/a> in its neighborhood and city. Switzerland was the first country to open a supervised injection site in 1986.\u003c/p>\n\u003cp>The goal of these programs, supporters say, is to provide drug users a safe, hygienic space where they can get clean needles and administer their own drugs under the supervision of trained staff. Staff members would monitor users and be ready to administer overdose reversal medications if needed, which could ultimately save lives. Medical groups in support of these programs have pointed out injection sites could also \u003ca href=\"https://www.aafp.org/pubs/afp/issues/2022/0500/p454.html\">help reduce the risk of Hepatitis C and HIV infections\u003c/a> associated with intravenous drug use.\u003c/p>\n\u003cp>Sen. Scott Wiener, author of the bill, said the jurisdictions that would pilot the programs asked to be included in the bill. “They are asking us to help them address the escalations and crisis of overdose deaths that we’re experiencing in California,” Wiener, a San Francisco Democrat, said during an Aug. 1 legislative hearing.\u003c/p>\n\u003cp>Those in opposition to Wiener’s bill, including Republican legislators and law enforcement groups, argue these programs are a type of addiction maintenance that normalize illegal behavior.\u003c/p>\n\u003cp>Before setting up their overdose prevention programs, the cities and counties must provide local health and law enforcement officials the opportunity to weigh in. Once set up, these centers must make referrals to substance-use-disorder treatment programs and other social services if the user wishes to access them. The bill would also protect people from criminal charges for using the sites.\u003c/p>\n\u003cp>The overdose crisis has become one of the most pressing public health issues, with deaths and emergency room visits spiking in recent years, in large part due to the infiltration of the synthetic opioid fentanyl. Overdose deaths from fentanyl jumped from 1,603 in 2019 to 3,946 in 2020, and then to 5,722 in 2021, according to the \u003ca href=\"https://skylab.cdph.ca.gov/ODdash/?tab=Home\">California Opioid Overdose Surveillance Dashboard\u003c/a>.\u003c/p>\n\u003cp>\u003c!-- iframe plugin v.4.3 wordpress.org/plugins/iframe/ -->\u003cbr>\n\u003ciframe loading=\"lazy\" src=\"https://e.infogram.com/d37b51d7-b97d-4947-b813-0653e3bf0ff7?src=embed\" title=\"overdose deaths - all drugs\" width=\"550\" height=\"820\" scrolling=\"no\" frameborder=\"0\" style=\"border:none;\" allowfullscreen=\"allowfullscreen\" class=\"iframe-class\">\u003c/iframe>\u003c/p>\n\u003cp>California’s second swing at this policy comes as the \u003ca href=\"https://www.whitehouse.gov/ondcp/briefing-room/2022/03/28/president-biden-calls-for-increased-funding-to-address-addiction-and-the-overdose-epidemic/\">Biden administration is also embracing “harm reduction” strategies\u003c/a> — which focus on keeping drug users alive and safe rather than punishing them. Needle exchange programs and programs that distribute the overdose reversal drug naloxone are some examples.\u003c/p>\n\u003cp>Among those urging the governor to veto the bill is the Senate Republican Caucus. “Fueling the drug epidemic with drug dens and needle supplies is like pouring gasoline on a forest fire. It merely worsens the problem,” the caucus wrote in an \u003ca href=\"https://cssrc.us/sites/default/files/SB%2057%20%28Wiener%29%20Senate%20Republican%20Caucus%20Veto%20Letter%20FINAL.pdf\">Aug. 1 letter to Newsom\u003c/a>.\u003c/p>\n\u003cp>Law enforcement organizations have stated their opposition to the bill, saying it sends the wrong message to the public and fails to address addiction at its root.\u003c/p>\n\u003cp>Wiener and supporters of the bill say supervised injection sites will not solve the overdose crisis. Rather, the goal is to prevent deaths.\u003c/p>\n\u003cp>Opponents have also raised concerns about the bill not providing a “cognizable strategy for figuring out how to get the addict to the injection site,” John Lovell, a lobbyist with the California Narcotic Officers’ Association, said during last week’s hearing. “What injection sites do is there is a magnet effect so that people come into the area,” but that doesn’t mean they will actually go inside the facility, he said.\u003c/p>\n\u003cp>Laura Thomas, director of HIV and harm reduction policy at the San Francisco AIDS Foundation, another co-sponsor of the bill, said she doesn’t think getting people into these centers will be a challenge. “Overwhelmingly, people would prefer to use in a clean space. No one wants to be using drugs on the sidewalk. If we give people a better option they will use it,” she said.\u003c/p>\n\u003cp>An often-referenced \u003ca href=\"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2885552/\">survey of 602 injection drug users in San Francisco\u003c/a> showed that 85% would use a supervised injection site. About 75% of them said they would use it at least three days per week.\u003cspan style=\"font-weight: 400\">[aside label=\"Related Stories\" postID=\"news_11909484,news_11910405,news_11922249\" align=\"left\"]\u003c/span>The idea, according to supporters, is to build trust with people who come in, prompting them to spread the word and eventually link people to treatment when they are ready. These centers often look like a clinic, and people usually go through a brief interview when they first walk in.\u003c/p>\n\u003cp>Thomas said that while it would be ideal for such centers to be open 24/7, realistically, hours of operation would be dependent on funding. That same San Francisco study showed that 62% of the drug users surveyed preferred a supervised injection site to be open from 8 a.m. to 4 p.m.\u003c/p>\n\u003cp>Funding could prove to be a challenge in the long term. In New York City, where two safe injection sites opened last fall, \u003ca href=\"https://www.npr.org/2022/06/04/1103114131/supervised-injection-sites-in-nyc-have-saved-lives-but-officials-wont-provide-fu\">the city and state do not pay for them\u003c/a>. The nonprofits running the programs seek private donations, making it difficult for the centers to extend their hours or expand into other neighborhoods.\u003c/p>\n\u003cp>A supervised injection site in San Francisco is \u003ca href=\"https://www.rti.org/impact/cost-benefit-analysis-opening-safe-consumption-site-san-francisco\">estimated to cost about $2.6 million a year\u003c/a>, according to RTI International, a nonprofit research institute.\u003c/p>\n\u003cp>Thomas said California community organizations that already work in the field of substance use disorders would be best-equipped to run the programs, but funding should come from public health departments because they are a public benefit.\u003c/p>\n\u003cp>Some of the cities and counties included in the bill have potential public funding streams. For example, Los Angeles County \u003ca href=\"https://ceo.lacounty.gov/wp-content/uploads/2021/06/Updated_MeasureJ_Report-Revised-06.14.21.pdf\">voters in 2020 passed Measure J\u003c/a>, which allows the county to use at least 10% of its locally generated, unrestricted funding for community investment programs, which could include overdose prevention programs.\u003c/p>\n\u003cp>“We’re also hoping that these pilot projects serve as a catalyst and identify some private-public partnerships,” Zanipatin said.\u003c/p>\n\u003cp>[ad floatright]\u003c/p>\n\u003cp>\u003ca href=\"https://calmatters.org/addiction/2022/08/supervised-injection-sites/\">This story first appeared in CalMatters.\u003c/a>\u003c/p>\n\n",
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"excerpt": "Local officials will have much discretion in how they run injection sites if Newson signs the legislation",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>Establishing supervised drug injection sites has been a long-standing goal for some progressive California leaders looking to address the burgeoning overdose crisis. Efforts to launch such programs have come close, but never to the finish line.\u003c/p>\n\u003cp>Now, as the latest legislation seeking to sanction these sites heads to the governor’s desk, proponents are gearing up to make these injection sites a reality — and, they hope, a success — in the Golden State.\u003c/p>\n\u003cp>Senate Bill 57 would authorize these overdose prevention pilot programs in Oakland, San Francisco and Los Angeles, which would operate through Jan. 1, 2028.\u003c/p>\n\u003cp>While former \u003ca href=\"https://www.kqed.org/news/11695653/brown-rejects-supervised-injection-site-for-san-francisco\">Gov. Jerry Brown rejected similar legislation in 2018\u003c/a>, supporters are hopeful Gov. Gavin Newsom will sign this one after he said he was open to the idea during his campaign for governor.\u003c/p>\n\u003cp>“We have been engaging with the governor’s office for the past four years on this measure. We haven’t heard that he’s not going to sign it, so we’re hopeful that he’ll stick to his word from 2018,” said Jeannette Zanipatin, California state director of the Drug Policy Alliance, an advocacy group that works to decriminalize drugs and a co-sponsor of the bill.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>Alex Stack, a spokesperson for the governor’s office, said they don’t comment on pending legislation.\u003c/p>\n\u003cp>But if Newsom does sign it, what exactly would these sites look like? Who would be responsible for staffing them and how will they be funded? The details and logistics will be left to local officials.\u003c/p>\u003c/div>",
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"content": "‘They are asking us to help them address the escalations and crisis of overdose deaths that we’re experiencing in California’",
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"content": "\u003cdiv class=\"post-body\">\u003cp>Because San Francisco has been considering this idea for almost a decade, it would likely be the first city ready to launch a program in early 2023, Zanipatin said. Supervised injection sites could cost a couple of million dollars per year to run, and cities and counties that choose to establish these programs will have to find their own source of funding.\u003c/p>\n\u003cp>Last year, New York City became the first to establish supervised injection sites in the U.S. Cities in other countries have operated such centers for years, including \u003ca href=\"http://www.vch.ca/public-health/harm-reduction/supervised-consumption-sites\">Vancouver\u003c/a>, \u003ca href=\"https://www.eluniversal.com.mx/english/mexicali-offers-safe-spot-for-heroin-addicts\">Mexicali\u003c/a> and \u003ca href=\"https://ssir.org/articles/entry/Wary_of_an_Opioid_Epidemic_Europe_Pushes_Safe_Sites_for_Drug_Use#\">Barcelona\u003c/a>. The Vancouver site is often \u003ca href=\"https://www.rti.org/impact/cost-benefit-analysis-opening-safe-consumption-site-san-francisco\">referenced as a model\u003c/a> — with about 1,700 individuals using it each month, the center is credited with \u003ca href=\"https://www.thelancet.com/journals/lancet/article/PIIS0140-6736(10)62353-7/fulltext\">reducing overdose deaths\u003c/a> in its neighborhood and city. Switzerland was the first country to open a supervised injection site in 1986.\u003c/p>\n\u003cp>The goal of these programs, supporters say, is to provide drug users a safe, hygienic space where they can get clean needles and administer their own drugs under the supervision of trained staff. Staff members would monitor users and be ready to administer overdose reversal medications if needed, which could ultimately save lives. Medical groups in support of these programs have pointed out injection sites could also \u003ca href=\"https://www.aafp.org/pubs/afp/issues/2022/0500/p454.html\">help reduce the risk of Hepatitis C and HIV infections\u003c/a> associated with intravenous drug use.\u003c/p>\n\u003cp>Sen. Scott Wiener, author of the bill, said the jurisdictions that would pilot the programs asked to be included in the bill. “They are asking us to help them address the escalations and crisis of overdose deaths that we’re experiencing in California,” Wiener, a San Francisco Democrat, said during an Aug. 1 legislative hearing.\u003c/p>\n\u003cp>Those in opposition to Wiener’s bill, including Republican legislators and law enforcement groups, argue these programs are a type of addiction maintenance that normalize illegal behavior.\u003c/p>\n\u003cp>Before setting up their overdose prevention programs, the cities and counties must provide local health and law enforcement officials the opportunity to weigh in. Once set up, these centers must make referrals to substance-use-disorder treatment programs and other social services if the user wishes to access them. The bill would also protect people from criminal charges for using the sites.\u003c/p>\n\u003cp>The overdose crisis has become one of the most pressing public health issues, with deaths and emergency room visits spiking in recent years, in large part due to the infiltration of the synthetic opioid fentanyl. Overdose deaths from fentanyl jumped from 1,603 in 2019 to 3,946 in 2020, and then to 5,722 in 2021, according to the \u003ca href=\"https://skylab.cdph.ca.gov/ODdash/?tab=Home\">California Opioid Overdose Surveillance Dashboard\u003c/a>.\u003c/p>\n\u003cp>\u003c!-- iframe plugin v.4.3 wordpress.org/plugins/iframe/ -->\u003cbr>\n\u003ciframe loading=\"lazy\" src=\"https://e.infogram.com/d37b51d7-b97d-4947-b813-0653e3bf0ff7?src=embed\" title=\"overdose deaths - all drugs\" width=\"550\" height=\"820\" scrolling=\"no\" frameborder=\"0\" style=\"border:none;\" allowfullscreen=\"allowfullscreen\" class=\"iframe-class\">\u003c/iframe>\u003c/p>\n\u003cp>California’s second swing at this policy comes as the \u003ca href=\"https://www.whitehouse.gov/ondcp/briefing-room/2022/03/28/president-biden-calls-for-increased-funding-to-address-addiction-and-the-overdose-epidemic/\">Biden administration is also embracing “harm reduction” strategies\u003c/a> — which focus on keeping drug users alive and safe rather than punishing them. Needle exchange programs and programs that distribute the overdose reversal drug naloxone are some examples.\u003c/p>\n\u003cp>Among those urging the governor to veto the bill is the Senate Republican Caucus. “Fueling the drug epidemic with drug dens and needle supplies is like pouring gasoline on a forest fire. It merely worsens the problem,” the caucus wrote in an \u003ca href=\"https://cssrc.us/sites/default/files/SB%2057%20%28Wiener%29%20Senate%20Republican%20Caucus%20Veto%20Letter%20FINAL.pdf\">Aug. 1 letter to Newsom\u003c/a>.\u003c/p>\n\u003cp>Law enforcement organizations have stated their opposition to the bill, saying it sends the wrong message to the public and fails to address addiction at its root.\u003c/p>\n\u003cp>Wiener and supporters of the bill say supervised injection sites will not solve the overdose crisis. Rather, the goal is to prevent deaths.\u003c/p>\n\u003cp>Opponents have also raised concerns about the bill not providing a “cognizable strategy for figuring out how to get the addict to the injection site,” John Lovell, a lobbyist with the California Narcotic Officers’ Association, said during last week’s hearing. “What injection sites do is there is a magnet effect so that people come into the area,” but that doesn’t mean they will actually go inside the facility, he said.\u003c/p>\n\u003cp>Laura Thomas, director of HIV and harm reduction policy at the San Francisco AIDS Foundation, another co-sponsor of the bill, said she doesn’t think getting people into these centers will be a challenge. “Overwhelmingly, people would prefer to use in a clean space. No one wants to be using drugs on the sidewalk. If we give people a better option they will use it,” she said.\u003c/p>\n\u003cp>An often-referenced \u003ca href=\"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2885552/\">survey of 602 injection drug users in San Francisco\u003c/a> showed that 85% would use a supervised injection site. About 75% of them said they would use it at least three days per week.\u003cspan style=\"font-weight: 400\">\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/span>The idea, according to supporters, is to build trust with people who come in, prompting them to spread the word and eventually link people to treatment when they are ready. These centers often look like a clinic, and people usually go through a brief interview when they first walk in.\u003c/p>\n\u003cp>Thomas said that while it would be ideal for such centers to be open 24/7, realistically, hours of operation would be dependent on funding. That same San Francisco study showed that 62% of the drug users surveyed preferred a supervised injection site to be open from 8 a.m. to 4 p.m.\u003c/p>\n\u003cp>Funding could prove to be a challenge in the long term. In New York City, where two safe injection sites opened last fall, \u003ca href=\"https://www.npr.org/2022/06/04/1103114131/supervised-injection-sites-in-nyc-have-saved-lives-but-officials-wont-provide-fu\">the city and state do not pay for them\u003c/a>. The nonprofits running the programs seek private donations, making it difficult for the centers to extend their hours or expand into other neighborhoods.\u003c/p>\n\u003cp>A supervised injection site in San Francisco is \u003ca href=\"https://www.rti.org/impact/cost-benefit-analysis-opening-safe-consumption-site-san-francisco\">estimated to cost about $2.6 million a year\u003c/a>, according to RTI International, a nonprofit research institute.\u003c/p>\n\u003cp>Thomas said California community organizations that already work in the field of substance use disorders would be best-equipped to run the programs, but funding should come from public health departments because they are a public benefit.\u003c/p>\n\u003cp>Some of the cities and counties included in the bill have potential public funding streams. For example, Los Angeles County \u003ca href=\"https://ceo.lacounty.gov/wp-content/uploads/2021/06/Updated_MeasureJ_Report-Revised-06.14.21.pdf\">voters in 2020 passed Measure J\u003c/a>, which allows the county to use at least 10% of its locally generated, unrestricted funding for community investment programs, which could include overdose prevention programs.\u003c/p>\n\u003cp>“We’re also hoping that these pilot projects serve as a catalyst and identify some private-public partnerships,” Zanipatin said.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>\u003ca href=\"https://calmatters.org/addiction/2022/08/supervised-injection-sites/\">This story first appeared in CalMatters.\u003c/a>\u003c/p>\n\n\u003c/div>\u003c/p>",
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"title": "San Francisco Sues Feds Over Forced Closure of Laguna Honda Hospital",
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"content": "\u003cp>\u003cstrong>Update, 5 p.m. Wednesday, Oct. 12\u003c/strong>\u003cstrong>: \u003c/strong>Federal regulators have reached an agreement with California and San Francisco health officials to continue funding the Laguna Honda Hospital & Rehabilitation Center until November of next year. The agreement, announced Wednesday, comes after the San Francisco city attorney filed a lawsuit in August against the federal government for its closure plan for the facility, claiming it was an “unworkable” plan that “denied due process” and put the facility’s 600-plus patients at risk.\u003c/p>\n\u003cp>San Francisco City Attorney David Chiu agreed to drop his lawsuit against the U.S. Department of Health and Human Services after it allowed the facility to receive funding through Nov. 13, 2023, and agreed to halt relocation proceedings until next February.\u003c/p>\n\u003cp>Officials on the local, state and federal levels released a joint statement following the agreement, saying they are committed to ensuring people in nursing homes “are receiving safe, high-quality services and support.”\u003c/p>\n\u003cp>“We are all focused on resident wellbeing while Laguna Honda continues to provide critically needed health care services for hundreds of residents” the statement said.\u003c/p>\n\u003cp>Laguna Honda agreed to meet requirements set to improve health and safety conditions at the facility, and may be able to reapply for federal funding in the future. The deadline for transfers and discharges of residents could possibly be extended if the facility meets its obligations, according to the agreement.\u003c/p>\n\u003cp>\u003cstrong>Original story, 5:30 p.m. Aug. 4: \u003c/strong>San Francisco officials said Thursday they have filed a lawsuit against the federal government over its decision to cut funding to a nursing home run by the city and the tight deadline it set to move all patients out of the facility that state and federal officials deemed was providing “substandard care.”\u003c/p>\n\u003cp>San Francisco City Attorney David Chiu said the order by the federal government to transfer or discharge all patients out of Laguna Honda Hospital by Sept. 13 has denied the city due process and put patients at risk. He said at least nine patients have died days or weeks after being transferred or discharged and that at least three ended up in homeless shelters.\u003c/p>\n\u003cp>“We’re asking the federal government to exert compassion and common sense,” Chiu said during a Thursday press conference. “Between the huge shortage of skilled nursing facility beds, we see potentially very negative consequences” if the facility closes. “Individuals will become homeless. These people have nowhere to go.”\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>The city’s lawsuit filed Wednesday against the U.S. Department of Health and Human Services and Health and Human Services Secretary Xavier Becerra alleges the Centers for Medicare and Medicaid Services (CMS) imposed an arbitrary closure, requiring the facility to shut down before San Francisco’s administrative appeals can be decided.\u003c/p>\n\u003cp>Chiu said filing the lawsuit is “the last thing any of us wanted to do.”\u003c/p>\n\u003cp>“But after months of our attempts at engagement, the federal government has left us with no choice but legal action,” he said. “Our profound hope is that CMS will come to the table, will work with us on a plan that protects the remaining 610 patients, preserving an institution that has been the last safety net for so many for our patients.”\u003c/p>\n\u003cp>Mayor London Breed called the lawsuit “a matter of life or death.”\u003c/p>\n\u003cp>“Now, look at where we are, forced to move patients, to move patients to homeless shelters outside of the county where their families can’t visit,” Breed said. “We know that this creates trauma.”\u003c/p>\n\u003cp>Former City Attorney Louise Renne also filed a class action lawsuit against the state and federal government on behalf of Laguna Honda patients and families [aside postID=\"news_11920121\" hero='https://cdn.kqed.org/wp-content/uploads/sites/10/2022/07/RS57392_GettyImages-1216234763-qut-1020x680.jpg'] Last week, \u003ca href=\"https://apnews.com/article/health-california-public-san-francisco-medicaid-db6837ba531aae2dca3cf3560177446a\">federal regulators agreed to pause the transfers\u003c/a> after several patients died within days or weeks of being moved from the hospital and rehabilitation center but the deadline to shut down the hospital remains.\u003c/p>\n\u003cp>Speaking at the press conference, Renne urged CMS to “come to your senses.”\u003c/p>\n\u003cp>“How much longer are we going to keep this up before more deaths occur?” Renne said.\u003c/p>\n\u003cp>CMS terminated its payments to Laguna Honda in April after two patients had nonfatal overdoses at the facility in 2021, and inspectors with the California Department of Public Health declared it to be “in a state of substandard care.”\u003c/p>\n\u003cp>The federal agency, which pays for care for the majority of the nursing home’s 700 patients, also ordered the facility to start discharging or transferring its patients ahead of a mid-September mandated closure.\u003c/p>\n\u003cp>Founded in 1866, the sprawling facility serves people who need long-term care but who can’t afford private nursing homes. Many of the patients have dementia, drug addiction and other complex medical needs.\u003c/p>\n\u003cp>City officials say patients and their families are the ones suffering the most because of the forced closure. Debra Bauer spoke Thursday about how the facility has helped her son, who has a traumatic brain injury, and has been a resident at the hospital for about 20 years.\u003c/p>\n\u003cp>”My son feels safe there, I don’t want that taken away from him,“ she said. “I don’t want it taken away from him or any of the other residents that I see and we wave to in the hallways.”\u003c/p>\n\u003cp>\u003cem>This story includes reporting from Bay City News’ Olivia Wynkoop.\u003c/em>\u003c/p>\n\u003cp>\u003c/p>\n",
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"excerpt": "San Francisco's city attorney said the order by the federal government to transfer or discharge all patients out of Laguna Honda Hospital by Sept. 13 has denied the city due process and put patients at risk.",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>\u003cstrong>Update, 5 p.m. Wednesday, Oct. 12\u003c/strong>\u003cstrong>: \u003c/strong>Federal regulators have reached an agreement with California and San Francisco health officials to continue funding the Laguna Honda Hospital & Rehabilitation Center until November of next year. The agreement, announced Wednesday, comes after the San Francisco city attorney filed a lawsuit in August against the federal government for its closure plan for the facility, claiming it was an “unworkable” plan that “denied due process” and put the facility’s 600-plus patients at risk.\u003c/p>\n\u003cp>San Francisco City Attorney David Chiu agreed to drop his lawsuit against the U.S. Department of Health and Human Services after it allowed the facility to receive funding through Nov. 13, 2023, and agreed to halt relocation proceedings until next February.\u003c/p>\n\u003cp>Officials on the local, state and federal levels released a joint statement following the agreement, saying they are committed to ensuring people in nursing homes “are receiving safe, high-quality services and support.”\u003c/p>\n\u003cp>“We are all focused on resident wellbeing while Laguna Honda continues to provide critically needed health care services for hundreds of residents” the statement said.\u003c/p>\n\u003cp>Laguna Honda agreed to meet requirements set to improve health and safety conditions at the facility, and may be able to reapply for federal funding in the future. The deadline for transfers and discharges of residents could possibly be extended if the facility meets its obligations, according to the agreement.\u003c/p>\n\u003cp>\u003cstrong>Original story, 5:30 p.m. Aug. 4: \u003c/strong>San Francisco officials said Thursday they have filed a lawsuit against the federal government over its decision to cut funding to a nursing home run by the city and the tight deadline it set to move all patients out of the facility that state and federal officials deemed was providing “substandard care.”\u003c/p>\n\u003cp>San Francisco City Attorney David Chiu said the order by the federal government to transfer or discharge all patients out of Laguna Honda Hospital by Sept. 13 has denied the city due process and put patients at risk. He said at least nine patients have died days or weeks after being transferred or discharged and that at least three ended up in homeless shelters.\u003c/p>\n\u003cp>“We’re asking the federal government to exert compassion and common sense,” Chiu said during a Thursday press conference. “Between the huge shortage of skilled nursing facility beds, we see potentially very negative consequences” if the facility closes. “Individuals will become homeless. These people have nowhere to go.”\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>The city’s lawsuit filed Wednesday against the U.S. Department of Health and Human Services and Health and Human Services Secretary Xavier Becerra alleges the Centers for Medicare and Medicaid Services (CMS) imposed an arbitrary closure, requiring the facility to shut down before San Francisco’s administrative appeals can be decided.\u003c/p>\n\u003cp>Chiu said filing the lawsuit is “the last thing any of us wanted to do.”\u003c/p>\n\u003cp>“But after months of our attempts at engagement, the federal government has left us with no choice but legal action,” he said. “Our profound hope is that CMS will come to the table, will work with us on a plan that protects the remaining 610 patients, preserving an institution that has been the last safety net for so many for our patients.”\u003c/p>\n\u003cp>Mayor London Breed called the lawsuit “a matter of life or death.”\u003c/p>\n\u003cp>“Now, look at where we are, forced to move patients, to move patients to homeless shelters outside of the county where their families can’t visit,” Breed said. “We know that this creates trauma.”\u003c/p>\n\u003cp>Former City Attorney Louise Renne also filed a class action lawsuit against the state and federal government on behalf of Laguna Honda patients and families \u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp> Last week, \u003ca href=\"https://apnews.com/article/health-california-public-san-francisco-medicaid-db6837ba531aae2dca3cf3560177446a\">federal regulators agreed to pause the transfers\u003c/a> after several patients died within days or weeks of being moved from the hospital and rehabilitation center but the deadline to shut down the hospital remains.\u003c/p>\n\u003cp>Speaking at the press conference, Renne urged CMS to “come to your senses.”\u003c/p>\n\u003cp>“How much longer are we going to keep this up before more deaths occur?” Renne said.\u003c/p>\n\u003cp>CMS terminated its payments to Laguna Honda in April after two patients had nonfatal overdoses at the facility in 2021, and inspectors with the California Department of Public Health declared it to be “in a state of substandard care.”\u003c/p>\n\u003cp>The federal agency, which pays for care for the majority of the nursing home’s 700 patients, also ordered the facility to start discharging or transferring its patients ahead of a mid-September mandated closure.\u003c/p>\n\u003cp>Founded in 1866, the sprawling facility serves people who need long-term care but who can’t afford private nursing homes. Many of the patients have dementia, drug addiction and other complex medical needs.\u003c/p>\n\u003cp>City officials say patients and their families are the ones suffering the most because of the forced closure. Debra Bauer spoke Thursday about how the facility has helped her son, who has a traumatic brain injury, and has been a resident at the hospital for about 20 years.\u003c/p>\n\u003cp>”My son feels safe there, I don’t want that taken away from him,“ she said. “I don’t want it taken away from him or any of the other residents that I see and we wave to in the hallways.”\u003c/p>\n\u003cp>\u003cem>This story includes reporting from Bay City News’ Olivia Wynkoop.\u003c/em>\u003c/p>\n\u003cp>\u003c/p>\n\u003c/div>\u003c/p>",
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"content": "\u003cp>The White House today declared monkeypox a public health emergency.\u003c/p>\n\u003cp>“We are prepared to take our response to the next level in addressing this virus and we urge every American to take monkeypox seriously,” Health and Human Services Secretary Xavier Becerra said to reporters during a briefing on Thursday.\u003c/p>\n\u003cp>A public health emergency can trigger grant funding and open up more resources for various aspects of a federal response. It also allows the Secretary to enter into contracts for treatments and other necessary medical supplies and equipment, as well as support emergency hospital services, among other things. Public health emergencies last for 90 days but can be extended by the Secretary.\u003c/p>\n\u003cp>[aside postID=news_11919070 hero=\"\u003ca href=\"https://ww2.kqed.org/app/uploads/sites/10/2022/07/RS57170_GettyImages-1401390462-qut-1038x576.jpg\">RS57170_GettyImages-1401390462-qut-1038x576.jpg\"\u003c/a>]CDC Director Rochelle Walensky, said the declaration will provide resources and increase access to care. She also said it will expand the CDC’s ability to share data.\u003c/p>\n\u003cp>Some have been calling for a federal public health emergency saying it will signal to the country that this is a serious outbreak.\u003c/p>\n\u003cp>So far, there have been more than \u003ca href=\"https://www.cdc.gov/poxvirus/monkeypox/response/2022/us-map.html\">6,616 cases\u003c/a> detected in the U.S., but that is likely an undercount. Most cases in the U.S. are concentrated in the gay and queer community, primarily among men who have sex with men.\u003c/p>\n\u003cp>[aside label='Monkeypox Resources' tag='monkeypox-resources-and-explainers']In the current outbreak, the vast majority of people appear to be catching the virus from sexual contact. However, it’s possible for the virus to spread in other ways — including through face-to-face interactions with someone or from touching a contaminated surface — but data show this is exceptionally rare and occurs primarily in households. Experts say it takes prolonged interaction or a lot of the virus to contract the disease this way.\u003c/p>\n\u003cp>Scientists are also looking at evidence that suggests the virus can be spread through semen.\u003c/p>\n\u003cp>The focus of the Biden Administration’s response to the outbreak has been to vaccinate those at high risk of contracting the disease, but critics say vaccine availability has been limited and slow to come online.\u003c/p>\n\u003cp>The Administration says it has made more than one million doses of the JYNNEOS vaccine available to states and territories to order.\u003c/p>\n\u003cp>Governors in California, New York and Illinois have already declared states of emergency in response to the monkeypox outbreak. Some cities, including New York City and San Francisco, have also made their own emergency declarations.\u003c/p>\n\u003cp>The World Health Organization has already declared the monkeypox outbreak a Public Health Emergency of International Concern. There are currently more than 26,000 cases worldwide.\u003c/p>\n\u003cdiv class=\"fullattribution\">Copyright 2022 NPR. To see more, visit https://www.npr.org.\u003cimg decoding=\"async\" src=\"https://www.google-analytics.com/__utm.gif?utmac=UA-5828686-4&utmdt=White+House+declares+monkeypox+a+public+health+emergency&utme=8(APIKey)9(MDAxOTAwOTE4MDEyMTkxMDAzNjczZDljZA004)\">\u003c/div>\n\u003cdiv>[ad fullwidth]\u003c/div>\n\u003cp>\u003c/p>\n",
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"content": "\u003cdiv class=\"post-body\">\u003cp>CDC Director Rochelle Walensky, said the declaration will provide resources and increase access to care. She also said it will expand the CDC’s ability to share data.\u003c/p>\n\u003cp>Some have been calling for a federal public health emergency saying it will signal to the country that this is a serious outbreak.\u003c/p>\n\u003cp>So far, there have been more than \u003ca href=\"https://www.cdc.gov/poxvirus/monkeypox/response/2022/us-map.html\">6,616 cases\u003c/a> detected in the U.S., but that is likely an undercount. Most cases in the U.S. are concentrated in the gay and queer community, primarily among men who have sex with men.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>In the current outbreak, the vast majority of people appear to be catching the virus from sexual contact. However, it’s possible for the virus to spread in other ways — including through face-to-face interactions with someone or from touching a contaminated surface — but data show this is exceptionally rare and occurs primarily in households. Experts say it takes prolonged interaction or a lot of the virus to contract the disease this way.\u003c/p>\n\u003cp>Scientists are also looking at evidence that suggests the virus can be spread through semen.\u003c/p>\n\u003cp>The focus of the Biden Administration’s response to the outbreak has been to vaccinate those at high risk of contracting the disease, but critics say vaccine availability has been limited and slow to come online.\u003c/p>\n\u003cp>The Administration says it has made more than one million doses of the JYNNEOS vaccine available to states and territories to order.\u003c/p>\n\u003cp>Governors in California, New York and Illinois have already declared states of emergency in response to the monkeypox outbreak. Some cities, including New York City and San Francisco, have also made their own emergency declarations.\u003c/p>\n\u003cp>The World Health Organization has already declared the monkeypox outbreak a Public Health Emergency of International Concern. There are currently more than 26,000 cases worldwide.\u003c/p>\n\u003cdiv class=\"fullattribution\">Copyright 2022 NPR. To see more, visit https://www.npr.org.\u003cimg decoding=\"async\" src=\"https://www.google-analytics.com/__utm.gif?utmac=UA-5828686-4&utmdt=White+House+declares+monkeypox+a+public+health+emergency&utme=8(APIKey)9(MDAxOTAwOTE4MDEyMTkxMDAzNjczZDljZA004)\">\u003c/div>\n\u003cdiv>\u003c/p>\u003c/div>",
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"content": "\u003cp>Gov. Gavin Newsom declared a public health state of emergency Monday to boost California’s monkeypox vaccination efforts as the virus continues its rapid spread in the state.\u003c/p>\n\u003cp>The governor said the declaration will help California coordinate a government-wide response, acquire and distribute more vaccines and steer outreach efforts.\u003c/p>\n\u003cp>“California is working urgently across all levels of government to slow the spread of monkeypox, leveraging our robust testing, contact tracing and community partnerships strengthened during the pandemic to ensure that those most at risk are our focus for vaccines, treatment and outreach,” Newsom said in a statement. “We’ll continue to work with the federal government to secure more vaccines, raise awareness about reducing risk, and stand with the LGBTQ community fighting stigmatization.”\u003c/p>\n\u003cp>https://twitter.com/KQEDnews/status/1554527744767041537\u003c/p>\n\u003cp>The proclamation comes amid a spike in monkeypox cases in recent weeks. As of July 28, \u003ca href=\"https://www.cdph.ca.gov/Programs/CID/DCDC/Pages/Monkeypox.aspx\">786 people in California\u003c/a> had tested positive for the virus. More than 98% of them have been men, and the vast majority live in San Francisco and Los Angeles, according to state health officials.\u003c/p>\n\u003cp>[aside label=\"related coverage\" tag=\"monkeypox\"]In San Francisco alone, the case count had \u003ca href=\"https://sf.gov/information/monkeypox-cases\">risen to 310\u003c/a> as of Monday, accounting for nearly 40% of the state’s total.\u003c/p>\n\u003cp>The monkeypox virus spreads through prolonged and close skin-to-skin contact, which can include hugging, cuddling and kissing, as well as through the sharing of bedding, towels and clothing. It has so far overwhelmingly spread among men who have sex with men, and disproportionately impacted young Latino men, recent state data shows, though health officials stress that anyone can be infected.\u003c/p>\n\u003cp>The type of monkeypox virus identified in this outbreak is rarely fatal, and people usually recover within weeks. But the lesions and blisters caused by the virus are painful, and can prevent swallowing or bowel movements if they develop in the throat or anus.\u003c/p>\n\u003cp>\u003ca href=\"https://www.gov.ca.gov/wp-content/uploads/2022/08/8.1.22-Monkeypox-SOE-signed.pdf?emrc=2a3e09\">Newsom’s proclamation\u003c/a> allows emergency medical personnel to administer federally approved monkeypox vaccines.\u003c/p>\n\u003cp>That’s similar to a recent law that allows pharmacists to administer vaccines, the governor’s office said. The state’s response, it noted, is building on steps developed during the coronavirus pandemic to set up vaccination clinics and make sure outreach is available to vulnerable populations in coordination with local and community-based organizations.\u003c/p>\n\u003cp>California’s declaration follows an equivalent measure \u003ca href=\"https://apnews.com/article/health-africa-new-york-city-public-ee7bdc51b22ebe65a92f3056feceb3b9\">announced in New York state\u003c/a> on Saturday, and \u003ca href=\"https://www.kqed.org/news/11920764/an-epicenter-for-the-country-san-francisco-declares-state-of-emergency-over-monkeypox-outbreak\">one in San Francisco on Thursday\u003c/a>. Illinois on Monday also \u003ca href=\"https://www.npr.org/2022/08/02/1115104209/california-illinois-state-of-emergency-monkeypox\">proclaimed a state of emergency\u003c/a> over the virus.\u003c/p>\n\u003cp>Newsom’s administration had said as recently as Friday that it was too soon for such a declaration.\u003c/p>\n\u003cp>After pressing for Newsom to make the move, Democratic state Sen. Scott Wiener of San Francisco hailed the governor’s decision.\u003c/p>\n\u003cp>“The monkeypox outbreak is an emergency, and we need to use every tool we have to control it,” Wiener said.\u003c/p>\n\u003cfigure id=\"attachment_11921210\" class=\"wp-caption aligncenter\" style=\"max-width: 1920px\">\u003ca href=\"https://ww2.kqed.org/app/uploads/sites/10/2022/08/RS57504_008_KQED_MonkeypoxVaccineLineSFGen_08012022-qut.jpg\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-11921210\" src=\"https://ww2.kqed.org/app/uploads/sites/10/2022/08/RS57504_008_KQED_MonkeypoxVaccineLineSFGen_08012022-qut.jpg\" alt=\"Men wait in a long line on the street.\" width=\"1920\" height=\"1280\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2022/08/RS57504_008_KQED_MonkeypoxVaccineLineSFGen_08012022-qut.jpg 1920w, https://cdn.kqed.org/wp-content/uploads/sites/10/2022/08/RS57504_008_KQED_MonkeypoxVaccineLineSFGen_08012022-qut-800x533.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2022/08/RS57504_008_KQED_MonkeypoxVaccineLineSFGen_08012022-qut-1020x680.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2022/08/RS57504_008_KQED_MonkeypoxVaccineLineSFGen_08012022-qut-160x107.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2022/08/RS57504_008_KQED_MonkeypoxVaccineLineSFGen_08012022-qut-1536x1024.jpg 1536w\" sizes=\"(max-width: 1920px) 100vw, 1920px\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">The line to receive a monkeypox vaccine stretches for multiple blocks, outside San Francisco General Hospital on Monday, Aug. 1, 2022. \u003ccite>(Beth LaBerge/KQED)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>California has received more than 61,000 vaccine doses and distributed more than 25,000 doses, officials said. And as of last week, the state had expanded its testing capacity to process more than 1,000 tests a week.\u003c/p>\n\u003cp>But state and federal health officials have come under fire for what many say has been a lackluster response to the outbreak, with vaccines still in short supply despite rapidly rising demand.\u003c/p>\n\u003cp>On Monday, Peter Tran was among hundreds who lined up sometimes for hours to receive the monkeypox vaccine at the Zuckerberg San Francisco General Hospital (ZSFG) after the clinic was forced to close last week because it did not receive enough doses.\u003c/p>\n\u003cp>“It’s horrible. Like this is a vaccine that’s been out for such a long time. And like, it’s not even a deadly disease. It’s harder to be transmitted than COVID. But the rollout of the vaccines throughout this nation is absolutely horrible,” Tran said.\u003c/p>\n\u003cp>“I think the science shows that protection is greatly improved with the vaccine. So that’s why I’m doing it,” he added. “And I honestly just don’t want the lesions on my body. I heard the lesions are painful and leave scarring. So I think that’s another motivation to go out and get it.”\u003c/p>\n\u003cp>The city received about 4,000 doses on Friday and hopes to administer them by mid-week, said Dr. Lukejohn Day, chief medical officer at ZSFG.\u003c/p>\n\u003cp>\u003cem>This post includes reporting from Don Thompson of The Associated Press and KQED’s Matthew Green.\u003c/em>\u003cbr>\n[ad fullwidth]\u003c/p>\n\u003cp>\u003c/p>\n",
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"excerpt": "The declaration, which comes just days after a similar action in New York state, is intended to boost California's vaccination and outreach efforts, allowing emergency medical personnel to administer federally approved monkeypox vaccines.",
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"title": "Newsom Declares Statewide Emergency Amid Rapid Spread of Monkeypox Virus | KQED",
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"headline": "Newsom Declares Statewide Emergency Amid Rapid Spread of Monkeypox Virus",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>Gov. Gavin Newsom declared a public health state of emergency Monday to boost California’s monkeypox vaccination efforts as the virus continues its rapid spread in the state.\u003c/p>\n\u003cp>The governor said the declaration will help California coordinate a government-wide response, acquire and distribute more vaccines and steer outreach efforts.\u003c/p>\n\u003cp>“California is working urgently across all levels of government to slow the spread of monkeypox, leveraging our robust testing, contact tracing and community partnerships strengthened during the pandemic to ensure that those most at risk are our focus for vaccines, treatment and outreach,” Newsom said in a statement. “We’ll continue to work with the federal government to secure more vaccines, raise awareness about reducing risk, and stand with the LGBTQ community fighting stigmatization.”\u003c/p>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\n\u003cp>The proclamation comes amid a spike in monkeypox cases in recent weeks. As of July 28, \u003ca href=\"https://www.cdph.ca.gov/Programs/CID/DCDC/Pages/Monkeypox.aspx\">786 people in California\u003c/a> had tested positive for the virus. More than 98% of them have been men, and the vast majority live in San Francisco and Los Angeles, according to state health officials.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>In San Francisco alone, the case count had \u003ca href=\"https://sf.gov/information/monkeypox-cases\">risen to 310\u003c/a> as of Monday, accounting for nearly 40% of the state’s total.\u003c/p>\n\u003cp>The monkeypox virus spreads through prolonged and close skin-to-skin contact, which can include hugging, cuddling and kissing, as well as through the sharing of bedding, towels and clothing. It has so far overwhelmingly spread among men who have sex with men, and disproportionately impacted young Latino men, recent state data shows, though health officials stress that anyone can be infected.\u003c/p>\n\u003cp>The type of monkeypox virus identified in this outbreak is rarely fatal, and people usually recover within weeks. But the lesions and blisters caused by the virus are painful, and can prevent swallowing or bowel movements if they develop in the throat or anus.\u003c/p>\n\u003cp>\u003ca href=\"https://www.gov.ca.gov/wp-content/uploads/2022/08/8.1.22-Monkeypox-SOE-signed.pdf?emrc=2a3e09\">Newsom’s proclamation\u003c/a> allows emergency medical personnel to administer federally approved monkeypox vaccines.\u003c/p>\n\u003cp>That’s similar to a recent law that allows pharmacists to administer vaccines, the governor’s office said. The state’s response, it noted, is building on steps developed during the coronavirus pandemic to set up vaccination clinics and make sure outreach is available to vulnerable populations in coordination with local and community-based organizations.\u003c/p>\n\u003cp>California’s declaration follows an equivalent measure \u003ca href=\"https://apnews.com/article/health-africa-new-york-city-public-ee7bdc51b22ebe65a92f3056feceb3b9\">announced in New York state\u003c/a> on Saturday, and \u003ca href=\"https://www.kqed.org/news/11920764/an-epicenter-for-the-country-san-francisco-declares-state-of-emergency-over-monkeypox-outbreak\">one in San Francisco on Thursday\u003c/a>. Illinois on Monday also \u003ca href=\"https://www.npr.org/2022/08/02/1115104209/california-illinois-state-of-emergency-monkeypox\">proclaimed a state of emergency\u003c/a> over the virus.\u003c/p>\n\u003cp>Newsom’s administration had said as recently as Friday that it was too soon for such a declaration.\u003c/p>\n\u003cp>After pressing for Newsom to make the move, Democratic state Sen. Scott Wiener of San Francisco hailed the governor’s decision.\u003c/p>\n\u003cp>“The monkeypox outbreak is an emergency, and we need to use every tool we have to control it,” Wiener said.\u003c/p>\n\u003cfigure id=\"attachment_11921210\" class=\"wp-caption aligncenter\" style=\"max-width: 1920px\">\u003ca href=\"https://ww2.kqed.org/app/uploads/sites/10/2022/08/RS57504_008_KQED_MonkeypoxVaccineLineSFGen_08012022-qut.jpg\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-11921210\" src=\"https://ww2.kqed.org/app/uploads/sites/10/2022/08/RS57504_008_KQED_MonkeypoxVaccineLineSFGen_08012022-qut.jpg\" alt=\"Men wait in a long line on the street.\" width=\"1920\" height=\"1280\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2022/08/RS57504_008_KQED_MonkeypoxVaccineLineSFGen_08012022-qut.jpg 1920w, https://cdn.kqed.org/wp-content/uploads/sites/10/2022/08/RS57504_008_KQED_MonkeypoxVaccineLineSFGen_08012022-qut-800x533.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2022/08/RS57504_008_KQED_MonkeypoxVaccineLineSFGen_08012022-qut-1020x680.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2022/08/RS57504_008_KQED_MonkeypoxVaccineLineSFGen_08012022-qut-160x107.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2022/08/RS57504_008_KQED_MonkeypoxVaccineLineSFGen_08012022-qut-1536x1024.jpg 1536w\" sizes=\"(max-width: 1920px) 100vw, 1920px\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">The line to receive a monkeypox vaccine stretches for multiple blocks, outside San Francisco General Hospital on Monday, Aug. 1, 2022. \u003ccite>(Beth LaBerge/KQED)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>California has received more than 61,000 vaccine doses and distributed more than 25,000 doses, officials said. And as of last week, the state had expanded its testing capacity to process more than 1,000 tests a week.\u003c/p>\n\u003cp>But state and federal health officials have come under fire for what many say has been a lackluster response to the outbreak, with vaccines still in short supply despite rapidly rising demand.\u003c/p>\n\u003cp>On Monday, Peter Tran was among hundreds who lined up sometimes for hours to receive the monkeypox vaccine at the Zuckerberg San Francisco General Hospital (ZSFG) after the clinic was forced to close last week because it did not receive enough doses.\u003c/p>\n\u003cp>“It’s horrible. Like this is a vaccine that’s been out for such a long time. And like, it’s not even a deadly disease. It’s harder to be transmitted than COVID. But the rollout of the vaccines throughout this nation is absolutely horrible,” Tran said.\u003c/p>\n\u003cp>“I think the science shows that protection is greatly improved with the vaccine. So that’s why I’m doing it,” he added. “And I honestly just don’t want the lesions on my body. I heard the lesions are painful and leave scarring. So I think that’s another motivation to go out and get it.”\u003c/p>\n\u003cp>The city received about 4,000 doses on Friday and hopes to administer them by mid-week, said Dr. Lukejohn Day, chief medical officer at ZSFG.\u003c/p>\n\u003cp>\u003cem>This post includes reporting from Don Thompson of The Associated Press and KQED’s Matthew Green.\u003c/em>\u003cbr>\n\u003c/p>\u003c/div>",
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"slug": "can-kids-get-monkeypox-what-we-know-right-now-for-parents-and-caregivers",
"title": "Can Kids Get Monkeypox? What We Know Right Now, for Parents and Caregivers",
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"content": "\u003cp>Monkeypox has existed for decades, but we’re now seeing multiple outbreaks across the United States. According to the Centers for Disease Control and Prevention, over 4,600 cases have been detected nationwide.\u003c/p>\n\u003cp>Monkeypox is related to the smallpox virus, but it’s generally less severe and “much less contagious” than smallpox, according to the California Department of Public Health. While the symptoms — including a rash that causes lesions — can be very painful, the CDC says monkeypox is “rarely fatal,” and that “over 99% of people who get this form of the disease are likely to survive.” Being sick with monkeypox typically lasts 2-4 weeks.\u003c/p>\n\u003cp>As of July 25, there were \u003ca href=\"https://www.cnn.com/2022/07/22/health/monkeypox-children-vaccine/index.html\">only two known cases of monkeypox in kids in the United States\u003c/a>. One of those children diagnosed with monkeypox is a California toddler. And despite these very small numbers, the risk of monkeypox to kids might naturally be on the minds of some parents and caregivers across the country.\u003c/p>\n\u003cp>KQED spoke to Dr. Yvonne Maldonado, professor of pediatrics and infectious diseases at Stanford University, about what you need to know about monkeypox in children at the moment. Her overarching message: “We shouldn’t panic” about monkeypox and kids right now.\u003c/p>\n\u003cp>“I think it’s really helpful for families to just know what the facts are at this point,” says Maldonado.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003ch2>Anyone can get monkeypox, but right now, the risk to kids looks small\u003c/h2>\n\u003cp>“There’s no major risk for children” right now, says Maldonado.\u003c/p>\n\u003cp>Maldonado stresses there’s still just so much we don’t know, and can’t accurately predict yet. But because adults have been impacted by the monkeypox outbreak, “it’s not unreasonable to expect that there may be some spread into household contacts, especially children,” she says.\u003c/p>\n\u003cp>Monkeypox spreads from close physical contact with an infected person, including sustained face-to-face exposure via respiratory droplets. It also spreads through contact with items that have previously touched the rash or fluids of an infected person, which could include touching or sharing clothes, bedsheets or towels.\u003c/p>\n\u003cp>Monkeypox is not a sexually transmitted infection (STI). You cannot get monkeypox from casual conversations, or by passing someone with monkeypox (say, in a store) or briefly touching surfaces like doorknobs.\u003c/p>\n\u003cp>All of this means that “better containment” for people who may have been infected with monkeypox — isolating from other family members, for example — is one of the ways we can prevent the spread of monkeypox, along with better access to monkeypox vaccines.\u003c/p>\n\u003cp>Anyone can get monkeypox, but as we learn more about the current outbreak in the U.S., we’re seeing that infections are particularly affecting communities of gay and bisexual men, and men who have sex with men. The World Health Organization notes that trans people and gender-diverse people “may also be more vulnerable in the context of the current outbreak.”\u003c/p>\n\u003cp>“We are hoping that we can contain this, but there will still be some spread for an unknown period of time,” says Maldonado.\u003c/p>\n\u003cp>[aside label='Monkeypox Resources' tag='monkeypox-resources-and-explainers']\u003c/p>\n\u003ch2>It’s possible to mistake many common rashes in kids for monkeypox\u003c/h2>\n\u003cp>Parents and caregivers know that rashes can be common in kids, and that figuring out what a particular rash could be — and if it’s a cause for real worry or necessitates a call to a pediatrician — can be hard. Adding concerns about monkeypox into that mix, especially at this time of year, could only make things tougher.\u003c/p>\n\u003cp>“This is summer virus season and there’s just a lot of viruses out there that cause fevers and rashes in little kids,” says Maldonado. “This is the bread and butter of pediatrics, seeing kids with colds, rashes, fevers. That’s very, very common.”\u003c/p>\n\u003cp>Maldonado says that when she first saw pictures of monkeypox rashes from this current outbreak, “some of the lesions — the less serious ones — really look like virus lesions that little kids can get. And I was worried that parents would just get panicked if they thought their kid had monkeypox, but probably it’s just a local virus.”\u003c/p>\n\u003cp>“The main message right now is that it’s rare in kids,” says Maldonado. “It still is much rarer than just being around a bunch of other kids and catching a summer virus.”\u003c/p>\n\u003cp>Despite what the name might suggest, monkeypox is not related to chickenpox at all — so your child’s chickenpox vaccination will not offer any protection against monkeypox. (If you personally got a smallpox vaccination as a kid before routine smallpox vaccines ended in 1972 in the U.S., that could be a different story. \u003ca href=\"https://www.kqed.org/news/11920455/where-can-i-find-a-monkeypox-vaccine-near-me#smallpoxvaccinechild\">Read more about smallpox vaccines and monkeypox.\u003c/a>)\u003c/p>\n\u003cp>Get more information with \u003ca href=\"https://www.nhs.uk/conditions/rashes-babies-and-children/\">this visual guide to rashes in children and babies from the U.K. National Health Service\u003c/a>, and also \u003ca href=\"https://www.sutterhealth.org/health/childrens-health/common-rashes-in-kids-what-to-know\">this pediatric rash explainer from Sutter Health\u003c/a>.\u003c/p>\n\u003ch2>We don’t know a lot yet about how monkeypox affects kids\u003c/h2>\n\u003cp>Monkeypox has existed for decades, with the first case among humans registered in 1970. (The disease is called monkeypox because it was first found in 1958 in monkeys.)\u003c/p>\n\u003cp>“There’s two major strains that we know of, and it’s really been hard to get a lot of information about childhood disease,” says Maldonado. “But we do know that children under 8, at least with the previous strains of monkeypox — not necessarily with the current strain that we’re seeing circulate around the world, but those previous strains — seem to (be showing) more severe disease compared to adults.” Kids older than 8 years old, she says, “tend not to have as severe disease.”\u003c/p>\n\u003cp>Monkeypox is rarely fatal, and Maldonado says that in the context of this particular outbreak, the “major concern” for patients seems to be the rash the disease causes, and the painful nature of those lesions or pustules. And certainly, people who’ve had the disease recently \u003ca href=\"https://laist.com/news/health/lesions-debilitating-pain-monkeypox-experience\">have spoken about the often intense pain they’ve experienced during their infections\u003c/a>.\u003c/p>\n\u003cp>“But fortunately, we haven’t seen terribly severe disease, and I think that’s really important to remember,” says Maldonado.\u003c/p>\n\u003ch2>Kids could have options for monkeypox vaccines and treatment if needed\u003c/h2>\n\u003cp>The monkeypox vaccine being offered in the United States right now is called Jynneos — a two-dose vaccine that’s also used to prevent smallpox.\u003c/p>\n\u003cp>Right now, Jynneos is only generally available for people age 18 and older, although “the CDC does have a special approval for giving the vaccine to children under 18,” says Maldonado. “But that needs to be given with some paperwork involved, because it’s really not officially released by the FDA for general use.”\u003c/p>\n\u003cp>The CDC recommends that the vaccine be given to a person within four days of the date they were exposed to monkeypox, for the best chance of preventing onset of the disease. If a person gets the vaccine between four and 14 days of being exposed, the vaccine may reduce the symptoms of monkeypox, but may not prevent the disease altogether.\u003c/p>\n\u003cp>Supplies of the monkeypox vaccine in the Bay Area are distributed directly from the California Department of Public Health, who get their supply from the federal government. And right now, availability is still very limited and demand is high.\u003c/p>\n\u003cfigure id=\"attachment_11919138\" class=\"wp-caption aligncenter\" style=\"max-width: 1920px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-11919138\" src=\"https://ww2.kqed.org/app/uploads/sites/10/2022/07/RS57175_GettyImages-1241638108-qut.jpg\" alt=\"\" width=\"1920\" height=\"1378\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2022/07/RS57175_GettyImages-1241638108-qut.jpg 1920w, https://cdn.kqed.org/wp-content/uploads/sites/10/2022/07/RS57175_GettyImages-1241638108-qut-800x574.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2022/07/RS57175_GettyImages-1241638108-qut-1020x732.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2022/07/RS57175_GettyImages-1241638108-qut-160x115.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2022/07/RS57175_GettyImages-1241638108-qut-1536x1102.jpg 1536w\" sizes=\"(max-width: 1920px) 100vw, 1920px\">\u003cfigcaption class=\"wp-caption-text\">A vial of the Jynneos monkeypox vaccine. \u003ccite>(Bill O'Leary/The Washington Post via Getty Images)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>Currently, the antiviral drug Tecovirimat (also known as TPOXX or ST-246) is being used to treat those experiencing severe monkeypox. The FDA already has approved Tecovirimat to treat smallpox, and has recently expanded its use for monkeypox among adults and children.\u003c/p>\n\u003cp>But as with giving the Jynneos vaccine to kids, treating children – and adults, in fact — with TPOXX also gets complicated because of regulation. Maldonado says this treatment similarly has “some paperwork involved, because it’s really not officially released by the FDA for general use” for monkeypox, because it’s licensed for smallpox.\u003c/p>\n\u003cp>“That doesn’t mean it can’t be used,” she says, but if a provider wants to use TPOXX to treat monkeypox, “there need to be forms that are filled out, going over the risks and benefits of the drug and the fact that they’d have to be informed consent.”\u003c/p>\n\u003cp>“So it is a little bit harder administratively to get a hold of, but there is that drug available — and it’s available for all age groups,” says Maldonado.\u003c/p>\n\u003ch2>You’ll see monkeypox symptoms — and that’s a good thing\u003c/h2>\n\u003cp>Unlike COVID, monkeypox “isn’t one of those diseases where you can be asymptomatic,” notes Maldonado.\u003c/p>\n\u003cp>She says it’s “very unlikely” we’ll see cases where a child is infectious but has no symptoms. “We have not seen that, for example, yet in the adults.”\u003c/p>\n\u003cp>This means that if a family is concerned their child might have monkeypox, “it would have to be most likely because they knew either that somebody very close to them or in the family was infected, or that somebody close to them or in the family was exposed, or that their child had symptoms that were similar to monkeypox,” says Maldonado. And unlike COVID, the visible symptoms of monkeypox mean it’s far more likely a person will realize they have it.\u003c/p>\n\u003ch2>Schools might see a renewed focus on hygiene and sanitation\u003c/h2>\n\u003cp>Maldonado emphasizes that it’s “really too early to tell what’s going to happen in schools” when kids return after the summer break.\u003c/p>\n\u003cp>But she already suspects that heightened sanitary practices “are just going to be very helpful here” — and that the experience and familiarity that students and school officials already have with these practices because of COVID could be beneficial.\u003c/p>\n\u003cp>“This is really a disease that’s transmitted by very close skin-to-skin contact, by very close and long-duration respiratory contact, as well as contact with contaminated clothing or other materials,” says Maldonado. “So those are things that I think we can control better in school settings than, for example, just coughing or breathing on each other [as with COVID]. That’s a lot harder to control.”\u003c/p>\n\u003cp>Ultimately, “I suspect we’ll just have to wait and see,” she says.\u003c/p>\n\u003ch2>As with COVID, sick kids should be kept away from group settings\u003c/h2>\n\u003cp>Schools might also think about keeping kids who have symptoms or a potential exposure to monkeypox away from the school setting temporarily, and away from other students, says Maldonado.\u003c/p>\n\u003cp>As for other settings in which kids will have physical contact, such as athletic leagues, Maldonado says the people running those organizations should keep doing what they’ve hopefully been doing through COVID, and continue to ask parents and caregivers not to bring their kids into these settings if they suspect they’re sick.\u003c/p>\n\u003cp>“We should always say that ‘no matter where you are and what you think you’re sick with, you shouldn’t really be in large gatherings if you have active respiratory or other illnesses,’” says Maldonado. “And so that would be the same.”\u003c/p>\n\u003cp>[ad floatright]\u003c/p>\n",
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"excerpt": "Despite tiny numbers of infections in children, the risk of monkeypox to kids may naturally be on the minds of parents and caregivers across the country. Here's what we know so far.",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>Monkeypox has existed for decades, but we’re now seeing multiple outbreaks across the United States. According to the Centers for Disease Control and Prevention, over 4,600 cases have been detected nationwide.\u003c/p>\n\u003cp>Monkeypox is related to the smallpox virus, but it’s generally less severe and “much less contagious” than smallpox, according to the California Department of Public Health. While the symptoms — including a rash that causes lesions — can be very painful, the CDC says monkeypox is “rarely fatal,” and that “over 99% of people who get this form of the disease are likely to survive.” Being sick with monkeypox typically lasts 2-4 weeks.\u003c/p>\n\u003cp>As of July 25, there were \u003ca href=\"https://www.cnn.com/2022/07/22/health/monkeypox-children-vaccine/index.html\">only two known cases of monkeypox in kids in the United States\u003c/a>. One of those children diagnosed with monkeypox is a California toddler. And despite these very small numbers, the risk of monkeypox to kids might naturally be on the minds of some parents and caregivers across the country.\u003c/p>\n\u003cp>KQED spoke to Dr. Yvonne Maldonado, professor of pediatrics and infectious diseases at Stanford University, about what you need to know about monkeypox in children at the moment. Her overarching message: “We shouldn’t panic” about monkeypox and kids right now.\u003c/p>\n\u003cp>“I think it’s really helpful for families to just know what the facts are at this point,” says Maldonado.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003ch2>Anyone can get monkeypox, but right now, the risk to kids looks small\u003c/h2>\n\u003cp>“There’s no major risk for children” right now, says Maldonado.\u003c/p>\n\u003cp>Maldonado stresses there’s still just so much we don’t know, and can’t accurately predict yet. But because adults have been impacted by the monkeypox outbreak, “it’s not unreasonable to expect that there may be some spread into household contacts, especially children,” she says.\u003c/p>\n\u003cp>Monkeypox spreads from close physical contact with an infected person, including sustained face-to-face exposure via respiratory droplets. It also spreads through contact with items that have previously touched the rash or fluids of an infected person, which could include touching or sharing clothes, bedsheets or towels.\u003c/p>\n\u003cp>Monkeypox is not a sexually transmitted infection (STI). You cannot get monkeypox from casual conversations, or by passing someone with monkeypox (say, in a store) or briefly touching surfaces like doorknobs.\u003c/p>\n\u003cp>All of this means that “better containment” for people who may have been infected with monkeypox — isolating from other family members, for example — is one of the ways we can prevent the spread of monkeypox, along with better access to monkeypox vaccines.\u003c/p>\n\u003cp>Anyone can get monkeypox, but as we learn more about the current outbreak in the U.S., we’re seeing that infections are particularly affecting communities of gay and bisexual men, and men who have sex with men. The World Health Organization notes that trans people and gender-diverse people “may also be more vulnerable in the context of the current outbreak.”\u003c/p>\n\u003cp>“We are hoping that we can contain this, but there will still be some spread for an unknown period of time,” says Maldonado.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003ch2>It’s possible to mistake many common rashes in kids for monkeypox\u003c/h2>\n\u003cp>Parents and caregivers know that rashes can be common in kids, and that figuring out what a particular rash could be — and if it’s a cause for real worry or necessitates a call to a pediatrician — can be hard. Adding concerns about monkeypox into that mix, especially at this time of year, could only make things tougher.\u003c/p>\n\u003cp>“This is summer virus season and there’s just a lot of viruses out there that cause fevers and rashes in little kids,” says Maldonado. “This is the bread and butter of pediatrics, seeing kids with colds, rashes, fevers. That’s very, very common.”\u003c/p>\n\u003cp>Maldonado says that when she first saw pictures of monkeypox rashes from this current outbreak, “some of the lesions — the less serious ones — really look like virus lesions that little kids can get. And I was worried that parents would just get panicked if they thought their kid had monkeypox, but probably it’s just a local virus.”\u003c/p>\n\u003cp>“The main message right now is that it’s rare in kids,” says Maldonado. “It still is much rarer than just being around a bunch of other kids and catching a summer virus.”\u003c/p>\n\u003cp>Despite what the name might suggest, monkeypox is not related to chickenpox at all — so your child’s chickenpox vaccination will not offer any protection against monkeypox. (If you personally got a smallpox vaccination as a kid before routine smallpox vaccines ended in 1972 in the U.S., that could be a different story. \u003ca href=\"https://www.kqed.org/news/11920455/where-can-i-find-a-monkeypox-vaccine-near-me#smallpoxvaccinechild\">Read more about smallpox vaccines and monkeypox.\u003c/a>)\u003c/p>\n\u003cp>Get more information with \u003ca href=\"https://www.nhs.uk/conditions/rashes-babies-and-children/\">this visual guide to rashes in children and babies from the U.K. National Health Service\u003c/a>, and also \u003ca href=\"https://www.sutterhealth.org/health/childrens-health/common-rashes-in-kids-what-to-know\">this pediatric rash explainer from Sutter Health\u003c/a>.\u003c/p>\n\u003ch2>We don’t know a lot yet about how monkeypox affects kids\u003c/h2>\n\u003cp>Monkeypox has existed for decades, with the first case among humans registered in 1970. (The disease is called monkeypox because it was first found in 1958 in monkeys.)\u003c/p>\n\u003cp>“There’s two major strains that we know of, and it’s really been hard to get a lot of information about childhood disease,” says Maldonado. “But we do know that children under 8, at least with the previous strains of monkeypox — not necessarily with the current strain that we’re seeing circulate around the world, but those previous strains — seem to (be showing) more severe disease compared to adults.” Kids older than 8 years old, she says, “tend not to have as severe disease.”\u003c/p>\n\u003cp>Monkeypox is rarely fatal, and Maldonado says that in the context of this particular outbreak, the “major concern” for patients seems to be the rash the disease causes, and the painful nature of those lesions or pustules. And certainly, people who’ve had the disease recently \u003ca href=\"https://laist.com/news/health/lesions-debilitating-pain-monkeypox-experience\">have spoken about the often intense pain they’ve experienced during their infections\u003c/a>.\u003c/p>\n\u003cp>“But fortunately, we haven’t seen terribly severe disease, and I think that’s really important to remember,” says Maldonado.\u003c/p>\n\u003ch2>Kids could have options for monkeypox vaccines and treatment if needed\u003c/h2>\n\u003cp>The monkeypox vaccine being offered in the United States right now is called Jynneos — a two-dose vaccine that’s also used to prevent smallpox.\u003c/p>\n\u003cp>Right now, Jynneos is only generally available for people age 18 and older, although “the CDC does have a special approval for giving the vaccine to children under 18,” says Maldonado. “But that needs to be given with some paperwork involved, because it’s really not officially released by the FDA for general use.”\u003c/p>\n\u003cp>The CDC recommends that the vaccine be given to a person within four days of the date they were exposed to monkeypox, for the best chance of preventing onset of the disease. If a person gets the vaccine between four and 14 days of being exposed, the vaccine may reduce the symptoms of monkeypox, but may not prevent the disease altogether.\u003c/p>\n\u003cp>Supplies of the monkeypox vaccine in the Bay Area are distributed directly from the California Department of Public Health, who get their supply from the federal government. And right now, availability is still very limited and demand is high.\u003c/p>\n\u003cfigure id=\"attachment_11919138\" class=\"wp-caption aligncenter\" style=\"max-width: 1920px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-11919138\" src=\"https://ww2.kqed.org/app/uploads/sites/10/2022/07/RS57175_GettyImages-1241638108-qut.jpg\" alt=\"\" width=\"1920\" height=\"1378\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2022/07/RS57175_GettyImages-1241638108-qut.jpg 1920w, https://cdn.kqed.org/wp-content/uploads/sites/10/2022/07/RS57175_GettyImages-1241638108-qut-800x574.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2022/07/RS57175_GettyImages-1241638108-qut-1020x732.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2022/07/RS57175_GettyImages-1241638108-qut-160x115.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2022/07/RS57175_GettyImages-1241638108-qut-1536x1102.jpg 1536w\" sizes=\"(max-width: 1920px) 100vw, 1920px\">\u003cfigcaption class=\"wp-caption-text\">A vial of the Jynneos monkeypox vaccine. \u003ccite>(Bill O'Leary/The Washington Post via Getty Images)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>Currently, the antiviral drug Tecovirimat (also known as TPOXX or ST-246) is being used to treat those experiencing severe monkeypox. The FDA already has approved Tecovirimat to treat smallpox, and has recently expanded its use for monkeypox among adults and children.\u003c/p>\n\u003cp>But as with giving the Jynneos vaccine to kids, treating children – and adults, in fact — with TPOXX also gets complicated because of regulation. Maldonado says this treatment similarly has “some paperwork involved, because it’s really not officially released by the FDA for general use” for monkeypox, because it’s licensed for smallpox.\u003c/p>\n\u003cp>“That doesn’t mean it can’t be used,” she says, but if a provider wants to use TPOXX to treat monkeypox, “there need to be forms that are filled out, going over the risks and benefits of the drug and the fact that they’d have to be informed consent.”\u003c/p>\n\u003cp>“So it is a little bit harder administratively to get a hold of, but there is that drug available — and it’s available for all age groups,” says Maldonado.\u003c/p>\n\u003ch2>You’ll see monkeypox symptoms — and that’s a good thing\u003c/h2>\n\u003cp>Unlike COVID, monkeypox “isn’t one of those diseases where you can be asymptomatic,” notes Maldonado.\u003c/p>\n\u003cp>She says it’s “very unlikely” we’ll see cases where a child is infectious but has no symptoms. “We have not seen that, for example, yet in the adults.”\u003c/p>\n\u003cp>This means that if a family is concerned their child might have monkeypox, “it would have to be most likely because they knew either that somebody very close to them or in the family was infected, or that somebody close to them or in the family was exposed, or that their child had symptoms that were similar to monkeypox,” says Maldonado. And unlike COVID, the visible symptoms of monkeypox mean it’s far more likely a person will realize they have it.\u003c/p>\n\u003ch2>Schools might see a renewed focus on hygiene and sanitation\u003c/h2>\n\u003cp>Maldonado emphasizes that it’s “really too early to tell what’s going to happen in schools” when kids return after the summer break.\u003c/p>\n\u003cp>But she already suspects that heightened sanitary practices “are just going to be very helpful here” — and that the experience and familiarity that students and school officials already have with these practices because of COVID could be beneficial.\u003c/p>\n\u003cp>“This is really a disease that’s transmitted by very close skin-to-skin contact, by very close and long-duration respiratory contact, as well as contact with contaminated clothing or other materials,” says Maldonado. “So those are things that I think we can control better in school settings than, for example, just coughing or breathing on each other [as with COVID]. That’s a lot harder to control.”\u003c/p>\n\u003cp>Ultimately, “I suspect we’ll just have to wait and see,” she says.\u003c/p>\n\u003ch2>As with COVID, sick kids should be kept away from group settings\u003c/h2>\n\u003cp>Schools might also think about keeping kids who have symptoms or a potential exposure to monkeypox away from the school setting temporarily, and away from other students, says Maldonado.\u003c/p>\n\u003cp>As for other settings in which kids will have physical contact, such as athletic leagues, Maldonado says the people running those organizations should keep doing what they’ve hopefully been doing through COVID, and continue to ask parents and caregivers not to bring their kids into these settings if they suspect they’re sick.\u003c/p>\n\u003cp>“We should always say that ‘no matter where you are and what you think you’re sick with, you shouldn’t really be in large gatherings if you have active respiratory or other illnesses,’” says Maldonado. “And so that would be the same.”\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cp>A vial of insulin cost $25 in 1995, back when Chris Noble was 5 years old and just learning how to manage his Type 1 diabetes with the help of his parents and his doctors.\u003c/p>\n\u003cp>Nearly three decades later, Noble says that same vial of insulin costs more than $300 — a 12-fold increase for something he and millions like him can’t live without.\u003c/p>\n\u003cp>“It’s as essential as water,” Noble said.\u003c/p>\n\u003cp>Health care advocates have bemoaned for years that insulin, while inexpensive to produce, is held hostage by a U.S. health care system stubbornly resistant to reforms as companies monopolize and maximize profits.\u003c/p>\n\u003cp class=\"p1\">Now, with several insulin patents nearing their expiration dates, California is looking to disrupt that market by making its own insulin and selling it for a much cheaper price. Last month, after a few years of study, state lawmakers approved $100 million for the project, with $50 million dedicated to developing three types of insulin and the rest set aside to invest in a manufacturing facility.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>Gov. Gavin Newsom and state lawmakers still have many details to work out, including contracting with a private company to do most of the work. But the budget was a put-his-money-where-his-mouth-is moment for Newsom, who has been calling for the state to launch its own brand of generic drugs to lower the overall price of medication.\u003c/p>\n\u003cp>“Nothing epitomizes market failures more than the cost of insulin,” Newsom said in a video posted to his Twitter account. “California is now taking matters into our own hands.”\u003c/p>\n\u003cp>https://twitter.com/GavinNewsom/status/1545122879649374209\u003c/p>\n\u003cp>This wouldn’t be the first time California has made its own medicine. In 1990, about half of all cases of infant botulism — a rare illness that affects the large intestine — were in California. The California Department of Public Health got a federal grant to develop and test a treatment. The treatment won federal approval in 2003, and California has been making it ever since.\u003c/p>\n\u003cp>But the market for infant botulism treatments is small, with about 110 cases reported each year, according to the U.S. Centers for Disease Control and Prevention. One course of California’s botulism treatment costs more than $57,000, according to a legislative analysis.\u003c/p>\n\u003cp>Meanwhile, about 7 million people in the United States require insulin to manage their diabetes. The human body converts most of the food we eat into sugar. The pancreas then produces insulin, which converts that sugar into energy. People who have diabetes don’t produce enough insulin. People with Type 1 diabetes must take insulin every day to survive.[aside label=\"Related Stories\" postID=\"stateofhealth_24623,news_11026460\"]Insulin was first discovered in the 1920s by a team of Canadian scientists. They sold the patent to the University of Toronto for just $1, hoping the school would license the product to multiple companies to prevent a monopoly that would lead to high prices.\u003c/p>\n\u003cp>But over time, the insulin market was slowly cornered. Today, just three companies produce most of the world’s insulin. In the United States, the line between an insulin manufacturer and a patient is not straight. It zigs and zags between insurance companies and pharmacy benefit managers — third parties that manage prescription drug benefits for health plans.\u003c/p>\n\u003cp>It’s that system that has kept the cost of insulin much higher in the United States than in other countries, as more companies benefit from the higher price tag, said Kasia Lipska, an associate professor at the Yale School of Medicine.\u003c/p>\n\u003cp>“It creates this really weird incentive,” Lipska said.\u003c/p>\n\u003cp>California will try to break that incentive. The reason more companies haven’t entered the insulin market is because if they did, the established manufacturers would just undercut them, making it impossible to recoup their investment, said Anthony Wright, executive director of Health Access California, a consumer advocacy group.\u003c/p>\n\u003cp>But California is in a different position because aside from selling insulin, it also buys the product every year for the millions of people on its publicly funded health plans. That means if California’s product drives down the price of insulin across the market, the state would still benefit.\u003c/p>\n\u003cp>“That’s why California’s market power matters,” Wright said. “To a Wall Street investor, driving down the cost of insulin means you might not be able to get your investment back. To California, driving down the price of insulin is a real savings to both taxpayers as well as to our residents.”\u003c/p>\n\u003cp>Still, there’s no guarantee California’s plan will work. For one thing, insurers and pharmacy benefit managers might not cover California’s insulin products, making it more difficult for patients to get them.\u003c/p>\n\u003cp>Sarah Sutton, director of public affairs for Pharmaceutical Research and Manufacturers of America, said a better idea would be for California to focus on “commonsense solutions” to address the role pharmacy benefit managers play in insulin pricing.\u003c/p>\n\u003cp>“That would bring real relief to patients right now,” she said.\u003c/p>\n\u003cp>Dr. Mark Ghaly, secretary of the California Health and Human Services Agency, said he hopes a state as large as California making its own insulin would significantly diminish the role of pharmacy benefit managers in insulin pricing.\u003c/p>\n\u003cp>If successful, Ghaly said, he thinks the price of California-branded insulin would be so competitive that patients could buy it off the shelf cheaper than going through their insurance plan.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>“We expect to save hundreds of millions of dollars for California because of this,” Ghaly said. “This gives us an opportunity to create a blueprint for health care affordability that has been so far out of reach for states and, frankly, the federal government, and it’s really exciting to see where it can go.”\u003c/p>\n\n",
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"headline": "To Make Insulin Affordable, California Aims to Create Its Own Brand",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>A vial of insulin cost $25 in 1995, back when Chris Noble was 5 years old and just learning how to manage his Type 1 diabetes with the help of his parents and his doctors.\u003c/p>\n\u003cp>Nearly three decades later, Noble says that same vial of insulin costs more than $300 — a 12-fold increase for something he and millions like him can’t live without.\u003c/p>\n\u003cp>“It’s as essential as water,” Noble said.\u003c/p>\n\u003cp>Health care advocates have bemoaned for years that insulin, while inexpensive to produce, is held hostage by a U.S. health care system stubbornly resistant to reforms as companies monopolize and maximize profits.\u003c/p>\n\u003cp class=\"p1\">Now, with several insulin patents nearing their expiration dates, California is looking to disrupt that market by making its own insulin and selling it for a much cheaper price. Last month, after a few years of study, state lawmakers approved $100 million for the project, with $50 million dedicated to developing three types of insulin and the rest set aside to invest in a manufacturing facility.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>Gov. Gavin Newsom and state lawmakers still have many details to work out, including contracting with a private company to do most of the work. But the budget was a put-his-money-where-his-mouth-is moment for Newsom, who has been calling for the state to launch its own brand of generic drugs to lower the overall price of medication.\u003c/p>\n\u003cp>“Nothing epitomizes market failures more than the cost of insulin,” Newsom said in a video posted to his Twitter account. “California is now taking matters into our own hands.”\u003c/p>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\n\u003cp>This wouldn’t be the first time California has made its own medicine. In 1990, about half of all cases of infant botulism — a rare illness that affects the large intestine — were in California. The California Department of Public Health got a federal grant to develop and test a treatment. The treatment won federal approval in 2003, and California has been making it ever since.\u003c/p>\n\u003cp>But the market for infant botulism treatments is small, with about 110 cases reported each year, according to the U.S. Centers for Disease Control and Prevention. One course of California’s botulism treatment costs more than $57,000, according to a legislative analysis.\u003c/p>\n\u003cp>Meanwhile, about 7 million people in the United States require insulin to manage their diabetes. The human body converts most of the food we eat into sugar. The pancreas then produces insulin, which converts that sugar into energy. People who have diabetes don’t produce enough insulin. People with Type 1 diabetes must take insulin every day to survive.\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>Insulin was first discovered in the 1920s by a team of Canadian scientists. They sold the patent to the University of Toronto for just $1, hoping the school would license the product to multiple companies to prevent a monopoly that would lead to high prices.\u003c/p>\n\u003cp>But over time, the insulin market was slowly cornered. Today, just three companies produce most of the world’s insulin. In the United States, the line between an insulin manufacturer and a patient is not straight. It zigs and zags between insurance companies and pharmacy benefit managers — third parties that manage prescription drug benefits for health plans.\u003c/p>\n\u003cp>It’s that system that has kept the cost of insulin much higher in the United States than in other countries, as more companies benefit from the higher price tag, said Kasia Lipska, an associate professor at the Yale School of Medicine.\u003c/p>\n\u003cp>“It creates this really weird incentive,” Lipska said.\u003c/p>\n\u003cp>California will try to break that incentive. The reason more companies haven’t entered the insulin market is because if they did, the established manufacturers would just undercut them, making it impossible to recoup their investment, said Anthony Wright, executive director of Health Access California, a consumer advocacy group.\u003c/p>\n\u003cp>But California is in a different position because aside from selling insulin, it also buys the product every year for the millions of people on its publicly funded health plans. That means if California’s product drives down the price of insulin across the market, the state would still benefit.\u003c/p>\n\u003cp>“That’s why California’s market power matters,” Wright said. “To a Wall Street investor, driving down the cost of insulin means you might not be able to get your investment back. To California, driving down the price of insulin is a real savings to both taxpayers as well as to our residents.”\u003c/p>\n\u003cp>Still, there’s no guarantee California’s plan will work. For one thing, insurers and pharmacy benefit managers might not cover California’s insulin products, making it more difficult for patients to get them.\u003c/p>\n\u003cp>Sarah Sutton, director of public affairs for Pharmaceutical Research and Manufacturers of America, said a better idea would be for California to focus on “commonsense solutions” to address the role pharmacy benefit managers play in insulin pricing.\u003c/p>\n\u003cp>“That would bring real relief to patients right now,” she said.\u003c/p>\n\u003cp>Dr. Mark Ghaly, secretary of the California Health and Human Services Agency, said he hopes a state as large as California making its own insulin would significantly diminish the role of pharmacy benefit managers in insulin pricing.\u003c/p>\n\u003cp>If successful, Ghaly said, he thinks the price of California-branded insulin would be so competitive that patients could buy it off the shelf cheaper than going through their insurance plan.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>“We expect to save hundreds of millions of dollars for California because of this,” Ghaly said. “This gives us an opportunity to create a blueprint for health care affordability that has been so far out of reach for states and, frankly, the federal government, and it’s really exciting to see where it can go.”\u003c/p>\n\n\u003c/div>\u003c/p>",
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"info": "What kind of no sabo word is Hyphenación? For us, it’s about living within a hyphenation. Like being a third-gen Mexican-American from the Texas border now living that Bay Area Chicano life. Like Xorje! Each week we bring together a couple of hyphenated Latinos to talk all about personal life choices: family, careers, relationships, belonging … everything is on the table. ",
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"info": "The Political Mind of Jerry Brown brings listeners the wisdom of the former Governor, Mayor, and presidential candidate. Scott Shafer interviewed Brown for more than 40 hours, covering the former governor's life and half-century in the political game – and Brown has some lessons he'd like to share. ",
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"marketplace": {
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"info": "Our flagship program, helmed by Kai Ryssdal, examines what the day in money delivered, through stories, conversations, newsworthy numbers and more. Updated Monday through Friday at about 3:30 p.m. PT.",
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"info": "The MindShift podcast explores the innovations in education that are shaping how kids learn. Hosts Ki Sung and Katrina Schwartz introduce listeners to educators, researchers, parents and students who are developing effective ways to improve how kids learn. We cover topics like how fed-up administrators are developing surprising tactics to deal with classroom disruptions; how listening to podcasts are helping kids develop reading skills; the consequences of overparenting; and why interdisciplinary learning can engage students on all ends of the traditional achievement spectrum. This podcast is part of the MindShift education site, a division of KQED News. KQED is an NPR/PBS member station based in San Francisco. You can also visit the MindShift website for episodes and supplemental blog posts or tweet us \u003ca href=\"https://twitter.com/MindShiftKQED\">@MindShiftKQED\u003c/a> or visit us at \u003ca href=\"/mindshift\">MindShift.KQED.org\u003c/a>",
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"info": "For decades, the process for how police police themselves has been inconsistent – if not opaque. In some states, like California, these proceedings were completely hidden. After a new police transparency law unsealed scores of internal affairs files, our reporters set out to examine these cases and the shadow world of police discipline. On Our Watch brings listeners into the rooms where officers are questioned and witnesses are interrogated to find out who this system is really protecting. Is it the officers, or the public they've sworn to serve?",
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"info": "Our weekly podcast explores how the media 'sausage' is made, casts an incisive eye on fluctuations in the marketplace of ideas, and examines threats to the freedom of information and expression in America and abroad. For one hour a week, the show tries to lift the veil from the process of \"making media,\" especially news media, because it's through that lens that we see the world and the world sees us",
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"politicalbreakdown": {
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"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.",
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"possible": {
"id": "possible",
"title": "Possible",
"info": "Possible is hosted by entrepreneur Reid Hoffman and writer Aria Finger. Together in Possible, Hoffman and Finger lead enlightening discussions about building a brighter collective future. The show features interviews with visionary guests like Trevor Noah, Sam Altman and Janette Sadik-Khan. Possible paints an optimistic portrait of the world we can create through science, policy, business, art and our shared humanity. It asks: What if everything goes right for once? How can we get there? Each episode also includes a short fiction story generated by advanced AI GPT-4, serving as a thought-provoking springboard to speculate how humanity could leverage technology for good.",
"airtime": "SUN 2pm",
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"pri-the-world": {
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"title": "PRI's The World: Latest Edition",
"info": "Each weekday, host Marco Werman and his team of producers bring you the world's most interesting stories in an hour of radio that reminds us just how small our planet really is.",
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"imageSrc": "https://cdn.kqed.org/wp-content/uploads/2024/04/The-World-Podcast-Tile-360x360-1.jpg",
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},
"radiolab": {
"id": "radiolab",
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"info": "A two-time Peabody Award-winner, Radiolab is an investigation told through sounds and stories, and centered around one big idea. In the Radiolab world, information sounds like music and science and culture collide. Hosted by Jad Abumrad and Robert Krulwich, the show is designed for listeners who demand skepticism, but appreciate wonder. WNYC Studios is the producer of other leading podcasts including Freakonomics Radio, Death, Sex & Money, On the Media and many more.",
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"reveal": {
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"title": "Reveal",
"info": "Created by The Center for Investigative Reporting and PRX, Reveal is public radios first one-hour weekly radio show and podcast dedicated to investigative reporting. Credible, fact based and without a partisan agenda, Reveal combines the power and artistry of driveway moment storytelling with data-rich reporting on critically important issues. The result is stories that inform and inspire, arming our listeners with information to right injustices, hold the powerful accountable and improve lives.Reveal is hosted by Al Letson and showcases the award-winning work of CIR and newsrooms large and small across the nation. In a radio and podcast market crowded with choices, Reveal focuses on important and often surprising stories that illuminate the world for our listeners.",
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"officialWebsiteLink": "https://www.revealnews.org/episodes/",
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},
"rightnowish": {
"id": "rightnowish",
"title": "Rightnowish",
"tagline": "Art is where you find it",
"info": "Rightnowish digs into life in the Bay Area right now… ish. Journalist Pendarvis Harshaw takes us to galleries painted on the sides of liquor stores in West Oakland. We'll dance in warehouses in the Bayview, make smoothies with kids in South Berkeley, and listen to classical music in a 1984 Cutlass Supreme in Richmond. Every week, Pen talks to movers and shakers about how the Bay Area shapes what they create, and how they shape the place we call home.",
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"order": 16
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},
"science-friday": {
"id": "science-friday",
"title": "Science Friday",
"info": "Science Friday is a weekly science talk show, broadcast live over public radio stations nationwide. Each week, the show focuses on science topics that are in the news and tries to bring an educated, balanced discussion to bear on the scientific issues at hand. Panels of expert guests join host Ira Flatow, a veteran science journalist, to discuss science and to take questions from listeners during the call-in portion of the program.",
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"snap-judgment": {
"id": "snap-judgment",
"title": "Snap Judgment",
"tagline": "Real stories with killer beats",
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