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The San Francisco Department of Public Health (SFDPH) said it was expecting to receive an additional 4,220 doses of the vaccine this week, bringing the total number of vaccines received to roughly 12,000 — about a third of the supply they’ve requested from the federal government.\u003c/p>\n\u003cp>“We have a solution in the vaccines and we want to make sure that everyone who is requesting a vaccine gets one,” Breed said.\u003c/p>\n\u003cp>News of the declaration — which comes amid the ongoing COVID-19 pandemic — was welcomed by LGBTQ+ advocates who have grown increasingly frustrated by what they call a lackluster response from the city and the federal government to a virus that can infect anyone, but has so far primarily affected communities of gay and bisexual men, and men who have sex with men.\u003c/p>\n\u003cp>“We know the challenges of what happens in San Francisco when we put public health on the back burner,” said Breed. “During the AIDS crisis … San Francisco was virtually left on its own to fend for itself.”\u003c/p>\n\u003cp>During the initial onset of the HIV/AIDS crisis in San Francisco during the 1980s, the majority of infections were among gay and bisexual men, and men who have sex with men. City Health Director Dr. Grant Colfax praised the way local care providers reacted to HIV/AIDS back then and said that response has informed the way San Francisco is responding to monkeypox now.\u003c/p>\n\u003cp>“As a gay man who came out and did my medical training during the peak of the AIDS epidemic,” Colfax said, “I personally and professionally experienced the indifference, the homophobia and the stigma by the medical and public health institutions in regard to prioritizing HIV prevention and care.”\u003c/p>\n\u003cp>“But San Francisco’s community-driven and responsive care systems were a notable exception.”\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>As of Thursday, \u003ca href=\"https://sf.gov/information/monkeypox-cases#:~:text=On%20July%2022%2C%202022%2C%20SFDPH,for%20Disease%20Control%20and%20Prevention.\">the SFDPH reported a total of 281 confirmed and probable cases\u003c/a> — more than a third of all reported cases statewide — with officials noting that actual case counts are likely higher, given the lack of testing availability. Nationwide, there are more than 4,600 reported cases, and 19,000 globally (in 76 countries), according to the Centers for Disease Control and Prevention (CDC).\u003c/p>\n\u003cp>Roughly a third of the cases in California have been detected in San Francisco, according to local health officials.\u003c/p>\n\u003cp>Members of the city’s LGBTQ+ community expressed anger and frustration last week at a Board of Supervisors’ Government Audit and Oversight Committee hearing on the monkeypox response, saying they were relying on social media because San Francisco health officials had not dispensed basic information on testing or vaccine availability.\u003c/p>\n\u003cp>[aside label=\"related coverage\" tag=\"monkeypox-resources-and-explainers\"]Much of the consternation stems from the dearth of available vaccines and testing capacity. Unlike COVID, the two-shot monkeypox vaccine has existed for years, but remains in extremely short supply nationwide, leaving disproportionately affected cities like San Francisco and New York unable to meet growing demand.\u003c/p>\n\u003cp>Supervisor Rafael Mandelman excoriated the department at the hearing, saying it was unclear why it could not staff phone lines, especially after telling people to call those phone numbers for information, even as the San Francisco AIDS Foundation was able to quickly staff an information hotline.\u003c/p>\n\u003cp>“It’s a bad look for San Francisco,” he said.\u003c/p>\n\u003cp>“San Francisco in the ’80s pioneered a national model for the response to the AIDS crisis. We pioneered a model for the COVID crisis. But we are not pioneering a response to the monkeypox crisis,” said Tom Temprano, political director for Equality California, a statewide LBGTQ+ civil rights organization, at the hearing.\u003c/p>\n\u003cp>Monkeypox spreads through prolonged skin-to-skin contact, which can include sex, kissing, breathing at very close range and sharing bedding and clothing, officials said. It’s related to smallpox, but is much less severe and “rarely fatal,” according to the CDC, which says “\u003ca href=\"https://www.cdc.gov/poxvirus/monkeypox/faq.html\">over 99% of people who get this form of the disease are likely to survive\u003c/a>.”\u003c/p>\n\u003cp>Monkeypox symptoms are similar to those of smallpox, but generally much milder — often manifesting in painful skin lesions that can last from two to four weeks, according to the CDC.\u003c/p>\n\u003cp>Breed’s public health declaration comes less than a week after the \u003ca href=\"https://www.nytimes.com/2022/07/23/health/monkeypox-pandemic-who.html\">World Health Organization declared the disease a public health emergency\u003c/a>, a designation it’s only used to describe two other diseases: COVID-19 and polio. The Biden administration \u003ca href=\"https://www.politico.com/news/2022/07/27/biden-admin-monkeypox-health-emergency-00048333\">is expected to follow suit\u003c/a> in the coming days.\u003c/p>\n\u003cp>“San Francisco was at the forefront of the public health responses to HIV and COVID-19, and we will be at the forefront when it comes to monkeypox,” said state Sen. Scott Wiener, a Democrat who represents San Francisco. “We can’t and won’t leave the LGTBQ community out to dry.”\u003c/p>\n\u003cp>\u003cem>This story includes reporting from The Associated Press.\u003c/em>\u003c/p>\n\u003cp>\u003c/p>\n",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>San Francisco Mayor London Breed announced a state of emergency Thursday over the rapidly growing number of monkeypox cases in the city.\u003c/p>\n\u003cp>The legal action, which goes into effect Monday, allows officials to mobilize personnel and resources and cut through red tape to get ahead of the mounting public health crisis. City officials hope that the declaration will also pressure the federal government to increase the available supply of the monkeypox vaccine.\u003c/p>\n\u003cp>“We are at a very scary place,” Breed said at a press conference held at City Hall on Thursday. “We don’t want to be ignored by the federal government.”\u003c/p>\n\u003cp>Earlier this week, San Francisco had to shut down its primary monkeypox vaccination clinic at SF General Hospital for the second time this month after it again ran out of doses, turning away long lines of people. The San Francisco Department of Public Health (SFDPH) said it was expecting to receive an additional 4,220 doses of the vaccine this week, bringing the total number of vaccines received to roughly 12,000 — about a third of the supply they’ve requested from the federal government.\u003c/p>\n\u003cp>“We have a solution in the vaccines and we want to make sure that everyone who is requesting a vaccine gets one,” Breed said.\u003c/p>\n\u003cp>News of the declaration — which comes amid the ongoing COVID-19 pandemic — was welcomed by LGBTQ+ advocates who have grown increasingly frustrated by what they call a lackluster response from the city and the federal government to a virus that can infect anyone, but has so far primarily affected communities of gay and bisexual men, and men who have sex with men.\u003c/p>\n\u003cp>“We know the challenges of what happens in San Francisco when we put public health on the back burner,” said Breed. “During the AIDS crisis … San Francisco was virtually left on its own to fend for itself.”\u003c/p>\n\u003cp>During the initial onset of the HIV/AIDS crisis in San Francisco during the 1980s, the majority of infections were among gay and bisexual men, and men who have sex with men. City Health Director Dr. Grant Colfax praised the way local care providers reacted to HIV/AIDS back then and said that response has informed the way San Francisco is responding to monkeypox now.\u003c/p>\n\u003cp>“As a gay man who came out and did my medical training during the peak of the AIDS epidemic,” Colfax said, “I personally and professionally experienced the indifference, the homophobia and the stigma by the medical and public health institutions in regard to prioritizing HIV prevention and care.”\u003c/p>\n\u003cp>“But San Francisco’s community-driven and responsive care systems were a notable exception.”\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>As of Thursday, \u003ca href=\"https://sf.gov/information/monkeypox-cases#:~:text=On%20July%2022%2C%202022%2C%20SFDPH,for%20Disease%20Control%20and%20Prevention.\">the SFDPH reported a total of 281 confirmed and probable cases\u003c/a> — more than a third of all reported cases statewide — with officials noting that actual case counts are likely higher, given the lack of testing availability. Nationwide, there are more than 4,600 reported cases, and 19,000 globally (in 76 countries), according to the Centers for Disease Control and Prevention (CDC).\u003c/p>\n\u003cp>Roughly a third of the cases in California have been detected in San Francisco, according to local health officials.\u003c/p>\n\u003cp>Members of the city’s LGBTQ+ community expressed anger and frustration last week at a Board of Supervisors’ Government Audit and Oversight Committee hearing on the monkeypox response, saying they were relying on social media because San Francisco health officials had not dispensed basic information on testing or vaccine availability.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>Much of the consternation stems from the dearth of available vaccines and testing capacity. Unlike COVID, the two-shot monkeypox vaccine has existed for years, but remains in extremely short supply nationwide, leaving disproportionately affected cities like San Francisco and New York unable to meet growing demand.\u003c/p>\n\u003cp>Supervisor Rafael Mandelman excoriated the department at the hearing, saying it was unclear why it could not staff phone lines, especially after telling people to call those phone numbers for information, even as the San Francisco AIDS Foundation was able to quickly staff an information hotline.\u003c/p>\n\u003cp>“It’s a bad look for San Francisco,” he said.\u003c/p>\n\u003cp>“San Francisco in the ’80s pioneered a national model for the response to the AIDS crisis. We pioneered a model for the COVID crisis. But we are not pioneering a response to the monkeypox crisis,” said Tom Temprano, political director for Equality California, a statewide LBGTQ+ civil rights organization, at the hearing.\u003c/p>\n\u003cp>Monkeypox spreads through prolonged skin-to-skin contact, which can include sex, kissing, breathing at very close range and sharing bedding and clothing, officials said. It’s related to smallpox, but is much less severe and “rarely fatal,” according to the CDC, which says “\u003ca href=\"https://www.cdc.gov/poxvirus/monkeypox/faq.html\">over 99% of people who get this form of the disease are likely to survive\u003c/a>.”\u003c/p>\n\u003cp>Monkeypox symptoms are similar to those of smallpox, but generally much milder — often manifesting in painful skin lesions that can last from two to four weeks, according to the CDC.\u003c/p>\n\u003cp>Breed’s public health declaration comes less than a week after the \u003ca href=\"https://www.nytimes.com/2022/07/23/health/monkeypox-pandemic-who.html\">World Health Organization declared the disease a public health emergency\u003c/a>, a designation it’s only used to describe two other diseases: COVID-19 and polio. The Biden administration \u003ca href=\"https://www.politico.com/news/2022/07/27/biden-admin-monkeypox-health-emergency-00048333\">is expected to follow suit\u003c/a> in the coming days.\u003c/p>\n\u003cp>“San Francisco was at the forefront of the public health responses to HIV and COVID-19, and we will be at the forefront when it comes to monkeypox,” said state Sen. Scott Wiener, a Democrat who represents San Francisco. “We can’t and won’t leave the LGTBQ community out to dry.”\u003c/p>\n\u003cp>\u003cem>This story includes reporting from The Associated Press.\u003c/em>\u003c/p>\n\u003cp>\u003c/p>\n\u003c/div>\u003c/p>",
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"slug": "monkeypox-in-the-bay-area-from-symptoms-to-how-to-find-a-vaccine-heres-what-we-know",
"title": "Mpox in the San Francisco Bay Area: What We Know About Symptoms, Cases and Spread",
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"headTitle": "Mpox in the San Francisco Bay Area: What We Know About Symptoms, Cases and Spread | KQED",
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"content": "\u003cp>\u003cstrong>Update, 12:20 p.m. October 20: \u003c/strong>The San Francisco Department of Public Health has announced it will end the city’s state of emergency around monkeypox (MPX) on October 31.\u003c/p>\n\u003cp>SF health officials said that MPX cases “have slowed to less than one case per day,” and that more than 27,000 city residents have now received the MPX vaccine.\u003c/p>\n\u003cp>San Francisco originally declared this public health emergency for MPX back in July, and was the first U.S. city to do so.\u003c/p>\n\u003cp>\u003cstrong>Original post:\u003c/strong>\u003c/p>\n\u003cp>\u003cstrong>A note: Several public health organizations, including the California Department of Public Health, have chosen to refer to monkeypox as “MPX” (pronounced “em-pox”) with the aim of \u003ca href=\"https://www.latimes.com/science/story/2022-08-26/many-say-the-name-is-racist-so-what-do-you-call-monkeypox\">reducing homophobic and racial stigma surrounding the virus\u003c/a>. For the rest of this story, we use “MPX” for these reasons, except in direct quotes or other cases where it would confuse readers.\u003c/strong>\u003c/p>\n\u003cp>Back on August 4, \u003ca href=\"https://www.kqed.org/news/11921618/white-house-declares-monkeypox-a-public-health-emergency\">the White House declared MPX a public health emergency\u003c/a>. At the time of this announcement, there were more than 6,616 cases reported in the U.S.\u003c/p>\n\u003cp>As of Sept. 14, \u003ca href=\"https://www.cdc.gov/poxvirus/monkeypox/response/2022/us-map.html\">the CDC now reports 22,630 cases nationwide\u003c/a>. And because of limited testing, this figure most likely still represents something of an undercount.\u003c/p>\n\u003cul>\n\u003cli>\u003cstrong>Looking for where to find an MPX vaccine near you? \u003ca href=\"https://www.kqed.org/news/11920455/where-can-i-find-a-monkeypox-vaccine-near-me\">Read our full guide to the MPX vaccine in the Bay Area.\u003c/a>\u003c/strong>\u003c/li>\n\u003c/ul>\n\u003cp>“We are prepared to take our response to the next level in addressing this virus and we urge every American to take monkeypox seriously,” Health and Human Services Secretary Xavier Becerra said. Read more about \u003ca href=\"https://www.kqed.org/news/11921618/white-house-declares-monkeypox-a-public-health-emergency\">what the public health emergency means.\u003c/a>\u003c/p>\n\u003cp>On August 1, Gov. Gavin Newsom \u003ca href=\"https://www.kqed.org/news/11921185/newsom-declares-statewide-emergency-amid-rapid-spread-of-monkeypox-virus\">declared a State of Emergency over the MPX outbreak in California\u003c/a>. A week prior, \u003ca href=\"https://www.kqed.org/news/11920764/an-epicenter-for-the-country-san-francisco-declares-state-of-emergency-over-monkeypox-outbreak\">San Francisco had declared its own state of emergency over MPX\u003c/a>. State and local health officials have affirmed that cases are rapidly rising and have asked the federal government to make MPX vaccines more widely available.\u003c/p>\n\u003cp>\u003cstrong>Jump to a specific answer:\u003c/strong>\u003c/p>\n\u003cul>\n\u003cli>\u003cstrong>\u003ca href=\"#monkeypoxsymptoms\">What are the symptoms of MPX?\u003c/a>\u003c/strong>\u003c/li>\n\u003cli>\u003cstrong>\u003ca href=\"#monkeypoxcases\">How many MPX cases are in the Bay Area?\u003c/a>\u003c/strong>\u003c/li>\n\u003cli>\u003cstrong>\u003ca href=\"#monkeypoxtreament\">What should I do if I think I have MPX?\u003c/a>\u003c/strong>\u003c/li>\n\u003cli>\u003cstrong>\u003ca href=\"#monkeypoxprevention\">How can I prevent being infected with MPX?\u003c/a>\u003c/strong>\u003c/li>\n\u003c/ul>\n\u003cp>MPX has existed for decades — the first case among humans was registered in 1970 — but we’re now seeing multiple outbreaks across the U.S. \u003ca href=\"https://www.cdc.gov/poxvirus/monkeypox/response/2022/us-map.html\">See how many cases have now been reported nationwide according to the Centers for Disease Control and Prevention.\u003c/a>\u003c/p>\n\u003cp>The majority of infections have been detected among gay and bisexual men, but public health experts have made it clear that MPX is an “equal opportunity disease,” meaning that anybody, regardless of sexual orientation, race, class or other demographic categories, is susceptible to infection.[aside postID=news_11920455 hero='https://ww2.kqed.org/app/uploads/sites/10/2022/07/RS57399_GettyImages-1408879341-qut-1020x765.jpg']\u003c/p>\n\u003cp>However, public health organizations that serve the LGBTQ+ community in the Bay Area are still advising residents to learn more about MPX and how it spreads, particularly in the context of large public events in San Francisco celebrated by the queer community like Pride (the weekend of June 25), Dore Alley Weekend (the weekend of July 30) and Folsom Street Fair (the weekend of September 24) that take place in the summer and fall. \u003ca href=\"https://www.kqed.org/news/11920764/an-epicenter-for-the-country-san-francisco-declares-state-of-emergency-over-monkeypox-outbreak\">San Francisco formally declared the outbreak a public health emergency back on July 28.\u003c/a>\u003c/p>\n\u003cp>KQED spoke to physicians, public health officials and LGBTQ+ health groups to create this guide that includes the latest information on the disease, its transmission and available treatment, and what to do if you become infected. And if you’re looking for vaccine details specifically, you can \u003ca href=\"https://www.kqed.org/news/11920455/where-can-i-find-a-monkeypox-vaccine-near-me\">read our full guide to where to find a MPX vaccine near you.\u003c/a>\u003c/p>\n\u003ch2>What is MPX?\u003c/h2>\n\u003cp>\u003ca href=\"https://sf.gov/information/monkeypox\">MPX is a disease that is caused when a person is infected with the MPX virus\u003c/a>. As the name might suggest, the virus is related to the smallpox virus but it’s generally less severe and “much less contagious” than smallpox, according to the California Department of Public Health (CDPH).\u003c/p>\n\u003cp>Although you might assume MPX is also related to chickenpox, it’s not.\u003c/p>\n\u003ch3>How did MPX get its name?\u003c/h3>\n\u003cp>The disease was called “monkeypox” because \u003ca href=\"https://www.cdc.gov/poxvirus/monkeypox/about.html\">it was first found in 1958 in monkeys\u003c/a>. The Centers for Disease Control and Prevention say that the first human case of MPX was recorded in 1970.\u003c/p>\n\u003cp>Several public health bodies, including the California Department of Public Health and the San Francisco Department of Public Health, have now chosen to refer to the virus as “MPX” to address concerns that \u003ca href=\"https://www.latimes.com/science/story/2022-08-26/many-say-the-name-is-racist-so-what-do-you-call-monkeypox\">the original name furthers both racist and homophobic stigma\u003c/a> around the disease and those who contract it.\u003c/p>\n\u003cp>In speech, MPX is usually pronounced “em-pox,” or the initials “em-pee-ecks.”\u003c/p>\n\u003cp>You may often see “monkeypox” on first usage, and “MPX” thereafter throughout an article or a resource from a public agency. Some official resources may also use “MPOX”. Rest assured these names are referring to the same disease.\u003c/p>\n\u003ch2>How dangerous is MPX?\u003c/h2>\n\u003cp>While it’s less severe than smallpox, MPX can still be a serious disease. The good news is that according to the CDC, MPX is “rarely fatal” — and that “\u003ca href=\"https://www.cdc.gov/poxvirus/monkeypox/faq.html\">over 99% of people who get this form of the disease are likely to survive\u003c/a>.”\u003c/p>\n\u003cp>However, “people with weakened immune systems, children under 8 years of age, people with a history of eczema, and people who are pregnant or breastfeeding may be more likely to get seriously ill or die.”\u003c/p>\n\u003cp>Being sick with MPX typically lasts 2-4 weeks. The symptoms of MPX are similar to smallpox symptoms, but luckily are milder.\u003c/p>\n\u003ch2>\u003ca id=\"monkeypoxcases\">\u003c/a>How many MPX cases are in California and the Bay Area right now?\u003c/h2>\n\u003cp>See \u003ca href=\"https://www.cdph.ca.gov/Programs/CID/DCDC/Pages/monkeypox.aspx\">the number of probable and confirmed MPX cases reported in California right now\u003c/a>, via the California Department of Public Health.\u003c/p>\n\u003cp>See \u003ca href=\"https://sf.gov/information/monkeypox-cases\">the current number of probable and confirmed cases of MPX in San Francisco\u003c/a>, via the San Francisco Public Health Department.\u003c/p>\n\u003cp>See \u003ca href=\"https://www.cdc.gov/poxvirus/monkeypox/response/2022/us-map.html\">the number of nationwide MPX cases state-by-state\u003c/a>, according to the CDC’s map.\u003c/p>\n\u003cfigure id=\"attachment_11919133\" class=\"wp-caption alignnone\" style=\"max-width: 1920px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-11919133\" src=\"https://ww2.kqed.org/app/uploads/sites/10/2022/07/RS57172_GettyImages-1400054668-qut.jpg\" alt=\"A woman wearing a white lab coat and blue surgical gloves is photographed from behind over her left shoulder as she prepared a medical sample on a white table.\" width=\"1920\" height=\"1280\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2022/07/RS57172_GettyImages-1400054668-qut.jpg 1920w, https://cdn.kqed.org/wp-content/uploads/sites/10/2022/07/RS57172_GettyImages-1400054668-qut-800x533.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2022/07/RS57172_GettyImages-1400054668-qut-1020x680.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2022/07/RS57172_GettyImages-1400054668-qut-160x107.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2022/07/RS57172_GettyImages-1400054668-qut-1536x1024.jpg 1536w\" sizes=\"(max-width: 1920px) 100vw, 1920px\">\u003cfigcaption class=\"wp-caption-text\">A nurse prepares a PCR test for MPX testing. \u003ccite>(Carlos Lujan/Europa Press via Getty Images)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003ch2>\u003ca id=\"monkeypoxsymptoms\">\u003c/a>What are the symptoms of MPX?\u003c/h2>\n\u003cp>According to the World Health Organization, \u003ca href=\"https://www.who.int/news-room/fact-sheets/detail/monkeypox\">the incubation period of MPX\u003c/a>— that is, the amount of time between getting infected with MPX and actually developing the symptoms — is usually from six to 13 days. It can, however, range from five to 21 days.\u003c/p>\n\u003cp>The CDC says that \u003ca href=\"https://www.cdc.gov/poxvirus/monkeypox/clinicians/clinical-recognition.html\">you aren’t contagious during this incubation period.\u003c/a>\u003c/p>\n\u003cp>After that initial incubation period, a person who’s infected with MPX will start to develop symptoms and become contagious to others. The CDC says that symptoms of MPX can include:\u003c/p>\n\u003cul>\n\u003cli>A rash (also known as lesions) that can look like pimples or blisters that appears on the face, inside the mouth, and on other parts of the body, like the hands, feet, chest, genitals or anus. The rash goes through different stages before healing completely.\u003c/li>\n\u003cli>Fever\u003c/li>\n\u003cli>Headache\u003c/li>\n\u003cli>Muscle aches and backache\u003c/li>\n\u003cli>Swollen lymph nodes\u003c/li>\n\u003cli>Chills\u003c/li>\n\u003cli>Exhaustion\u003c/li>\n\u003c/ul>\n\u003cp>Much like with COVID, symptoms can present quite differently in different people. According to the CDC, some people get a rash first, and other symptoms follow. Other folks will only experience the rash itself.\u003c/p>\n\u003cp>The symptoms of MPX that aren’t the rash — like chills, fatigue and headache — are similar to symptoms of COVID. This means it’s entirely possible you could initially mistake a MPX infection for a COVID infection (or you could assume it’s another illness entirely, if you then test for COVID and get a negative result). This is why watching out for a rash is really important.\u003c/p>\n\u003cp>The San Francisco Department of Public Health says that usually, that \u003ca href=\"https://sf.gov/information/monkeypox\">MPX rash will start in the form of red, flat spots\u003c/a>, which then become bumps. The bumps then become filled with fluid, which will then break and crust over into a scab.\u003c/p>\n\u003cp>In addition to the itch they can cause, MPX lesions can be very painful, especially in genital areas or the anus. The CDC notes that people also can have permanent scarring after the rash.\u003c/p>\n\u003cp>\u003ca href=\"https://www.who.int/news-room/fact-sheets/detail/monkeypox\">The symptoms of MPX can last two to four weeks.\u003c/a> This means that, with an incubation period that could be as short as five days or as long as 21 days, a person could be dealing with an MPX infection for anywhere from under three weeks to almost two months.\u003c/p>\n\u003ch2>Who can get MPX?\u003c/h2>\n\u003cp>Anyone can get MPX.\u003c/p>\n\u003cp>As more details emerge of the outbreak in the U.S., it appears that \u003ca href=\"https://www.who.int/publications/m/item/monkeypox-public-health-advice-for-men-who-have-sex-with-men\">MPX infections are particularly affecting communities of gay and bisexual men\u003c/a>, and men who have sex with men.\u003c/p>\n\u003cp>The World Health Organization notes that \u003ca href=\"https://www.who.int/news/item/25-05-2022-monkeypox--public-health-advice-for-gay--bisexual-and-other-men-who-have-sex-with-men\">trans people and gender-diverse people “may also be more vulnerable\u003c/a> in the context of the current outbreak.”\u003c/p>\n\u003cp>San Francisco Health Officer Susan Philip says that LGBTQ+ folks currently being at higher risk for MPX has “nothing to do with sexual orientation or gender identity,” but is more about “being part of these networks and having close contact within those networks.” People in these networks “will likely then have expanded eligibility, expanded access to [an MPX] vaccine,” she says.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003ch2>How does MPX spread?\u003c/h2>\n\u003cp>According to the CDC, the MPX virus can spread from person to person in the following ways:\u003c/p>\n\u003cp>\u003cstrong>From contact with an infected person:\u003c/strong>\u003cbr>\nThis could be direct contact with the infectious rash, scabs or body fluids, or during intimate physical contact, such as kissing, cuddling or sex. It could also spread via respiratory droplets during prolonged, face-to-face contact (even talking with someone at very close range).\u003c/p>\n\u003cp>The CDC says that right now, it’s “not known” if MPX can spread through semen or vaginal fluids.\u003c/p>\n\u003cp>\u003cstrong>From contact with an item that’s previously touched the rash or fluids of an infected person:\u003c/strong>\u003cbr>\nThis could include touching or sharing clothes, bedsheets or towels. SFDPH notes that according to the CDC, studies show the MPX virus can live on surfaces for as long as 15 days and still infect someone — but that you’d need to touch that surface “for a pretty long time.”\u003c/p>\n\u003cp>You can get MPX from an infected animal, either through a scratch or bite, or by preparing or eating meat or products from an infected animal. Pregnant people also can spread the virus to their fetus.\u003c/p>\n\u003cp>\u003cstrong>How you \u003cem>cannot\u003c/em> get MPX: \u003c/strong>\u003cbr>\nFrom casual conversations, or by passing someone with MPX (say, in a store) or briefly touching surfaces like doorknobs.\u003c/p>\n\u003cfigure id=\"attachment_11919136\" class=\"wp-caption alignnone\" style=\"max-width: 1920px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-11919136\" src=\"https://ww2.kqed.org/app/uploads/sites/10/2022/07/RS57173_A-couple-holding-hands-on-a-couch-qut-1.jpg\" alt=\"A seated couple holding hands. One person wears a dark plaid shirt, the other person wears dark blue jeans. Both of their faces are obscured.\" width=\"1920\" height=\"1282\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2022/07/RS57173_A-couple-holding-hands-on-a-couch-qut-1.jpg 1920w, https://cdn.kqed.org/wp-content/uploads/sites/10/2022/07/RS57173_A-couple-holding-hands-on-a-couch-qut-1-800x534.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2022/07/RS57173_A-couple-holding-hands-on-a-couch-qut-1-1020x681.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2022/07/RS57173_A-couple-holding-hands-on-a-couch-qut-1-160x107.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2022/07/RS57173_A-couple-holding-hands-on-a-couch-qut-1-1536x1026.jpg 1536w\" sizes=\"(max-width: 1920px) 100vw, 1920px\">\u003cfigcaption class=\"wp-caption-text\">Talking about health, and especially sexual health, is paramount. \u003ccite>(Zackary Drucker/The Gender Spectrum Collection via Creative Commons)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003ch2>How contagious is MPX?\u003c/h2>\n\u003cp>The California Department of Public Health says that MPX is “far less contagious” than COVID.\u003c/p>\n\u003cp>You can be contagious with MPX — meaning you can spread the virus to another person — from the time your symptoms start until the time any scabs have fully dropped off and the rash has fully healed (i.e., until a fresh layer of skin has formed over them). The illness typically lasts 2-4 weeks.\u003c/p>\n\u003cp>Can you have — and spread — MPX without having symptoms (also known as being asymptomatic)? This is an area where what we know about MPX is still evolving.\u003c/p>\n\u003cp>The CDC’s current guidance says that people who don’t have MPX symptoms cannot spread the virus to others. But the World Health Organization also says “the extent to which asymptomatic infection may occur is unknown.”\u003c/p>\n\u003ch2>Is MPX a sexually transmitted infection/disease (STI/STD)?\u003c/h2>\n\u003cp>MPX is not strictly an STI.\u003c/p>\n\u003cp>MPX can spread through close, skin-to-skin contact and \u003ca href=\"https://www.cdc.gov/poxvirus/monkeypox/symptoms.html\">coming into contact with objects and fabrics used by somebody infected with MPX\u003c/a>. This also includes coming into contact with the rashes and sores that can develop on an infected person’s skin and even inside their mouth. The virus can also spread through respiratory droplets and saliva.\u003c/p>\n\u003cp>This makes it possible for MPX to spread during sex and other intimate actions, like kissing and cuddling. But it can also spread through nonsexual behavior, like using a towel or bedsheets previously used by an infected person that have not been washed yet.\u003c/p>\n\u003cp>When someone tests positive for MPX, health officials will work with them to contact their close contacts, similar to the contact tracing method used for sexually transmitted infection, says Dr. Peter Chin-Hong, an infectious disease specialist at UCSF.\u003c/p>\n\u003cp>“That’s the highest priority for vaccines right now,” he says, “the contacts of people who are known cases.”\u003c/p>\n\u003cp>Chin-Hong also encourages sexual partners to talk about MPX before having sex.\u003c/p>\n\u003cp>“Whenever you have a new partner, you should have a very frank and open conversation that’s health-positive, and open-ended,” he explains. This can include things like possible HIV exposures and HIV test results, and asking about any potential MPX symptoms.\u003c/p>\n\u003cp>“‘Have you noticed any rash or anything like that recently or have you been in contact with anyone [with symptoms]?’,” he suggests as possible questions. “They are the people who are weighing the risks and benefits in different ways. So I think that … open and honest conversation is really important, not just to MPX, but just as a good practice in general.”\u003c/p>\n\u003ch2>\u003ca id=\"monkeypoxtreament\">\u003c/a>What should I do if I suspect I have MPX?\u003c/h2>\n\u003cp>If you’re experiencing the \u003ca href=\"#monkeypoxsymptoms\">symptoms of MPX\u003c/a>, or you’ve been informed you could have been exposed to MPX, it’s important you take action as soon as possible. Here are the steps:\u003c/p>\n\u003cp>\u003cstrong>Contact a health care provider right away\u003c/strong>\u003c/p>\n\u003cp>If you have health insurance, reach out to your regular provider ASAP, or call your provider’s medical hotline if they have one.\u003c/p>\n\u003cp>If you don’t have health insurance, you should contact your county’s public health department to ask for their guidance:\u003c/p>\n\u003cul>\n\u003cli>\u003ca href=\"https://sf.gov/information/monkeypox\">San Francisco community clinics\u003c/a>\u003c/li>\n\u003cli>\u003ca href=\"https://acphd.org/clinics/\">Alameda County community clinics\u003c/a>\u003c/li>\n\u003cli>\u003ca href=\"https://cchealth.org/centers-clinics/\">Contra Costa County community clinics\u003c/a>, or call Contra Costa Public Health at (925) 313-6740\u003c/li>\n\u003cli>\u003ca href=\"https://sonomacounty.ca.gov/health-and-human-services/health-services/divisions/public-health/disease-control/immunizations/community-clinics\">Sonoma County community clinics\u003c/a>\u003c/li>\n\u003cli>\u003ca href=\"https://www.smchealth.org/smmc-find-location\">San Mateo County community clinics\u003c/a>\u003c/li>\n\u003cli>\u003ca href=\"https://www.solanocounty.com/depts/ph/fhs/primary_care_clinics/default.asp\">Solano County community clinics\u003c/a>\u003c/li>\n\u003cli>\u003ca href=\"https://www.marinhhs.org/community-resource-guide/marin-community-clinics-5-locations-larkspur-novato-san-rafael\">Marin County community clinics\u003c/a>\u003c/li>\n\u003cli>\u003ca href=\"https://chpscc.org/member-clinics/\">Santa Clara community clinics\u003c/a>, or call the County Patient Access Department at (866) 967-4677\u003c/li>\n\u003cli>\u003ca href=\"https://www.rchc.net/napa-county-health-centers/\">Napa County community clinics\u003c/a>, or call Napa County Public Health at (707) 253-4270\u003c/li>\n\u003c/ul>\n\u003cp>The San Francisco Department of Public Health recommends that if you live in the city and you don’t have a provider, or have difficulty scheduling an appointment, you can be seen at SF City Clinic at 7th Street (628-217-6600) or at Strut at 470 Castro Street (415-581-1600).\u003c/p>\n\u003cp>\u003cstrong>Learn whether you can get tested for MPX\u003c/strong>\u003c/p>\n\u003cp>The test for MPX is a swab test, in which a swab is rubbed on your skin and then sent to a specialized laboratory.\u003c/p>\n\u003cp>The test results will take a few days, during which period you should isolate from other people and animals, and take steps to reduce the chances of spreading the disease yourself.\u003c/p>\n\u003cp>But right now, you may need to meet certain criteria to get a MPX test — San Francisco, for example, says that \u003ca href=\"https://sf.gov/information/monkeypox-faq\">SF residents must have a rash or spots present to get a MPX test\u003c/a>.\u003c/p>\n\u003cp>“Monkeypox is circulating here in our community,” says Tyler TerMeer, CEO of the San Francisco AIDS Foundation, but he stresses that testing isn’t available for everyone who wants it — yet. “This is different than some other viral infections,” says TerMeer. “You actually have to have an active lesion or rash that we can take a sample from in order to test to confirm whether it’s monkeypox or not.”\u003c/p>\n\u003cp>\u003cstrong>Find out whether you can get a MPX vaccine\u003c/strong>\u003c/p>\n\u003cp>A vaccine for MPX is being offered to people who may have been exposed to the virus, which is most effective given within the first four days of infection. \u003ca href=\"https://www.kqed.org/news/11920455/where-can-i-find-a-monkeypox-vaccine-near-me\">Read our full guide to how to find a MPX vaccine near you. \u003c/a>\u003c/p>\n\u003cp>\u003cstrong>Contact anyone you’ve had close physical contact with\u003c/strong>\u003c/p>\n\u003cp>Ask health providers about formal contact tracing, but in the meantime, reach out by calling or texting anyone you’ve been physically close to since your symptoms started.\u003c/p>\n\u003cp>\u003cstrong>Do what you can to manage your symptoms \u003c/strong>\u003c/p>\n\u003cp>The World Health Organization says that the symptoms of MPX, while often painful, normally get better on their own without the need for treatment — but that you should ultimately follow the advice of a health care provider. \u003ca href=\"#monkeypoxtreatment\">Jump to more information about what treatments are available for MPX.\u003c/a>\u003c/p>\n\u003cp>\u003ca href=\"https://www.who.int/news-room/questions-and-answers/item/monkeypox\">The WHO says that medication for pain (analgesics) and fever (antipyretics) can be used\u003c/a> to relieve some symptoms if needed, and that lidocaine can be applied to oral and perianal lesions to relieve pain. Talk to a health care provider about taking these kinds of medications.\u003c/p>\n\u003cp>The WHO also gives these tips for \u003ca href=\"https://www.who.int/news-room/questions-and-answers/item/monkeypox\">managing the symptoms of MPX at home\u003c/a>:\u003c/p>\n\u003cul>\n\u003cli>Avoid scratching your skin.\u003c/li>\n\u003cli>Clean hands before and after touching lesions.\u003c/li>\n\u003cli>Keep your skin dry and uncovered.\u003c/li>\n\u003cli>Keep your rash clean with sterilized water or antiseptic.\u003c/li>\n\u003cli>If you have lesions on your body, take a warm bath with baking soda and Epsom salts.\u003c/li>\n\u003cli>Use saltwater rinses for lesions in your mouth.\u003c/li>\n\u003cli>Stay hydrated, eat well and get enough sleep.\u003c/li>\n\u003c/ul>\n\u003cp>\u003cstrong>Isolate yourself as much as possible\u003c/strong>\u003c/p>\n\u003cp>To avoid infecting other people, isolate yourself from others as much as possible. Avoid sharing your bedding, towels or clothing, as well as utensils and cups. Jump to \u003ca href=\"#monkeypoxprevention\">more information about reducing the spread of MPX\u003c/a>.\u003c/p>\n\u003cp>If you can’t avoid being in the same room as other people, the WHO advises you to keep your rash or lesions covered with clothing or a bandage. The organization also recommends \u003ca href=\"https://www.who.int/news-room/questions-and-answers/item/monkeypox\">keeping your own mental health in mind if you’re self-isolating\u003c/a>, by staying connected to others using technology, and exercising if you feel well enough.\u003c/p>\n\u003cfigure id=\"attachment_11919132\" class=\"wp-caption aligncenter\" style=\"max-width: 1920px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-11919132\" src=\"https://ww2.kqed.org/app/uploads/sites/10/2022/07/RS57171_GettyImages-1401335558-qut.jpg\" alt=\"The right, blue-gloved hand of a medical technician holds a small vial, into which their other hand (offcamera) is dispensing liquid sample from a long white tool. The cap of the vial is bright green, and there are six vials in the background out of focus, with purple caps.\" width=\"1920\" height=\"1280\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2022/07/RS57171_GettyImages-1401335558-qut.jpg 1920w, https://cdn.kqed.org/wp-content/uploads/sites/10/2022/07/RS57171_GettyImages-1401335558-qut-800x533.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2022/07/RS57171_GettyImages-1401335558-qut-1020x680.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2022/07/RS57171_GettyImages-1401335558-qut-160x107.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2022/07/RS57171_GettyImages-1401335558-qut-1536x1024.jpg 1536w\" sizes=\"(max-width: 1920px) 100vw, 1920px\">\u003cfigcaption class=\"wp-caption-text\">A medical laboratory technician inactivates suspected MPX samples to be PCR-tested in a microbiology laboratory. \u003ccite>(Pablo Blazquez Dominguez/Getty Images)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003ch2>\u003ca id=\"monkeypoxvaccine\">\u003c/a>What is the MPX vaccine, and how can I get it?\u003c/h2>\n\u003cp>The MPX vaccine being offered in the United States right now is called Jynneos. This vaccine is also used to prevent smallpox.\u003c/p>\n\u003cp>The CDC recommends that the MPX vaccine be given to a person within four days of the date they were exposed to MPX, for the best chance of preventing onset of the disease.\u003c/p>\n\u003cp>If a person gets the vaccine between four and 14 days of being exposed, the vaccine may reduce the symptoms of MPX, but may not prevent the disease altogether. This timeliness is another reason it’s important to stay vigilant for possible exposure to MPX and watch for symptoms — and to act quickly.\u003c/p>\n\u003cp>\u003cstrong>\u003ca href=\"https://www.kqed.org/news/11920455/where-can-i-find-a-monkeypox-vaccine-near-me\">Read our full guide to the MPX vaccine in the Bay Area.\u003c/a>\u003c/strong>\u003c/p>\n\u003ch2>\u003ca id=\"monkeypoxtreatment\">\u003c/a>What MPX treatments are available?\u003c/h2>\n\u003cp>Currently, the drug Tecovirimat (also known as TPOXX or ST-246) is being used to treat those experiencing severe MPX. The Food and Drug Administration already has approved Tecovirimat to treat smallpox, and has recently expanded its use for MPX among adults and children.\u003c/p>\n\u003cp>Tecovirimat is usually a two-week treatment and can be administered either through a capsule or an intravenous (IV) injection. The drug works by making it harder for the virus to infect new cells, therefore limiting the infection growth.\u003c/p>\n\u003cp>“Most people will get better on their own but some people will require treatment,” says Chin-Hong of UCSF. Those considered for treatment include immunocompromised people, pregnant people and children under 8.\u003c/p>\n\u003cp>People who don’t have those particular risk factors but still develop severe MPX also can receive treatment, Chin-Hong says. This includes those who develop extensive oral disease, as that makes it very difficult to eat and drink. “It’s like having a bunch of ulcers in your mouth,” he says. Those who develop the disease extensively in the rectal area or near the eyes also can receive treatment.\u003c/p>\n\u003cp>The blisters and sores that develop can be quite painful, he adds: “Treatment is not only about vaccines and drug treatments but also about what specific symptoms the patient’s having.”\u003c/p>\n\u003cp>He recommends talking to your physician about what pain you’re feeling and where. If the disease is in the rectal area, it can be painful to defecate. But there are many options available that can alleviate, or at least reduce, the pain you may be feeling.\u003c/p>\n\u003cp>The MPX vaccine also can act as a sort of treatment, he says, but only when someone receives it shortly after being exposed. “In MPX, the incubation period is longer,” he explains. “So that means if you got a vaccine shortly after exposure — some people think within four days — it can impact and stop you from getting disease, even though you might have been exposed to an infection.”\u003c/p>\n\u003cp>“If you get the vaccine within 14 days of exposure, even though you might get the rash or disease, it will reduce your symptoms.”\u003c/p>\n\u003cfigure id=\"attachment_11919138\" class=\"wp-caption alignnone\" style=\"max-width: 1920px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-11919138\" src=\"https://ww2.kqed.org/app/uploads/sites/10/2022/07/RS57175_GettyImages-1241638108-qut.jpg\" alt=\"\" width=\"1920\" height=\"1378\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2022/07/RS57175_GettyImages-1241638108-qut.jpg 1920w, https://cdn.kqed.org/wp-content/uploads/sites/10/2022/07/RS57175_GettyImages-1241638108-qut-800x574.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2022/07/RS57175_GettyImages-1241638108-qut-1020x732.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2022/07/RS57175_GettyImages-1241638108-qut-160x115.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2022/07/RS57175_GettyImages-1241638108-qut-1536x1102.jpg 1536w\" sizes=\"(max-width: 1920px) 100vw, 1920px\">\u003cfigcaption class=\"wp-caption-text\">A vial of the Jynneos MPX vaccine. \u003ccite>(Bill O'Leary/The Washington Post via Getty Images)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003ch2>Do we know how MPX interacts with COVID?\u003c/h2>\n\u003cp>The California Department of Public Health stresses that MPX is “a completely different disease” from COVID, and that this outbreak is unrelated to COVID.\u003c/p>\n\u003cp>MPX is much less contagious than COVID and the way it spreads also is very different. SFDPH says this is “partly because people with MPX are generally thought to be contagious to people with whom they’ve had very close contact over a long period of time, and when they have symptoms like a rash.” COVID, on the other hand, spreads through the air and can be spread even when people do not have COVID symptoms.\u003c/p>\n\u003cp>However, UCSF’s Chin-Hong affirms that it’s completely possible to contract COVID-19 and MPX at the same time and adds that the impact that a double infection has on the body is still being studied.\u003c/p>\n\u003ch2>\u003ca id=\"monkeypoxprevention\">\u003c/a>How can folks protect themselves against contracting MPX?\u003c/h2>\n\u003cp>The CDC says the following activities will increase your risk for being infected with MPX, and should be avoided to reduce the risk of infection:\u003c/p>\n\u003cul>\n\u003cli>Close, skin-to-skin contact with someone’s MPX rash\u003c/li>\n\u003cli>Touching the rash or scabs of someone with MPX\u003c/li>\n\u003cli>Kissing, hugging, cuddling or having sex with someone who has MPX\u003c/li>\n\u003cli>Sharing eating utensils or cups\u003c/li>\n\u003cli>Handling or touch the bedding, towels or clothing of someone with MPX\u003c/li>\n\u003c/ul>\n\u003cp>Wash your hands often with soap and water or use an alcohol-based hand sanitizer, especially after contact with people who’ve been infected with MPX. \u003ca href=\"https://www.cdc.gov/poxvirus/monkeypox/pdf/Monkeypox-Interim-Guidance-for-Household-Disinfection-508.pdf\">Read the CDC’s guide to disinfecting spaces to prevent the spread of MPX.\u003c/a>\u003c/p>\n\u003cp>Additionally, the San Francisco Department of Public Health advises you cover exposed skin in crowded settings (whether that’s indoors, like in a bar, or outdoors at a festival or a parade).\u003c/p>\n\u003cp>They also recommend you don’t share bedding or clothing with others generally, even if you aren’t sure if they have MPX, and talk to your close physical and sexual contacts about their health generally, including whether they’re seeing recent rashes or sores on their body.\u003c/p>\n\u003ch2>What are health officials doing to prevent and combat stigma about MPX?\u003c/h2>\n\u003cp>San Francisco AIDS Foundation CEO TerMeer says that vaccine equity is also very much on the minds of advocates right now, “ensuring that we don’t repeat any mistakes of the past so that communities of color or other communities that have traditionally been furthest from access and opportunity in the health care space don’t get left out of the conversation.”\u003c/p>\n\u003cp>“Our predominant advocacy at the moment is just ‘we need vaccines and we need them now,’” says TerMeer. “We are really pushing to try and get at least 1,000 doses of vaccine in the next 30 days so that we can get ahead of the issue and are really hoping to be able to respond effectively, before it grows into a larger issue.”\u003c/p>\n\u003cp>If you are looking for additional health advice on MPX, you also can access:\u003c/p>\n\u003cul>\n\u003cli>\u003cstrong>\u003ca href=\"https://www.sfaf.org/monkeypox/\">Magnet Sexual Health Clinic at Strut\u003c/a> (San Francisco AIDS Foundation): (415) 581-1600\u003c/strong>\u003c/li>\n\u003cli>\u003cstrong>San Francisco Department of Public Health \u003ca href=\"https://sf.gov/information/monkeypox\">info page about MPX\u003c/a>\u003c/strong>\u003c/li>\n\u003cli>\u003cstrong>\u003ca href=\"https://www.cdph.ca.gov/Programs/CID/DCDC/Pages/Monkeypox-Questions-and-Answers.aspx\">California Department of Public Health MPX FAQ\u003c/a>\u003c/strong>\u003c/li>\n\u003c/ul>\n\u003cp>\u003cem>This post includes reporting by KQED’s Vanessa Rancaño, Juan Carlos Lara and Matthew Green. A version of this story was published on July 8.\u003c/em>\u003c/p>\n\u003cp>[ad floatright]\u003c/p>\n",
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"excerpt": "What is monkeypox? What are the symptoms, how does it spread and how many cases do we know of in the Bay Area? Our guide has answers.",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>\u003cstrong>Update, 12:20 p.m. October 20: \u003c/strong>The San Francisco Department of Public Health has announced it will end the city’s state of emergency around monkeypox (MPX) on October 31.\u003c/p>\n\u003cp>SF health officials said that MPX cases “have slowed to less than one case per day,” and that more than 27,000 city residents have now received the MPX vaccine.\u003c/p>\n\u003cp>San Francisco originally declared this public health emergency for MPX back in July, and was the first U.S. city to do so.\u003c/p>\n\u003cp>\u003cstrong>Original post:\u003c/strong>\u003c/p>\n\u003cp>\u003cstrong>A note: Several public health organizations, including the California Department of Public Health, have chosen to refer to monkeypox as “MPX” (pronounced “em-pox”) with the aim of \u003ca href=\"https://www.latimes.com/science/story/2022-08-26/many-say-the-name-is-racist-so-what-do-you-call-monkeypox\">reducing homophobic and racial stigma surrounding the virus\u003c/a>. For the rest of this story, we use “MPX” for these reasons, except in direct quotes or other cases where it would confuse readers.\u003c/strong>\u003c/p>\n\u003cp>Back on August 4, \u003ca href=\"https://www.kqed.org/news/11921618/white-house-declares-monkeypox-a-public-health-emergency\">the White House declared MPX a public health emergency\u003c/a>. At the time of this announcement, there were more than 6,616 cases reported in the U.S.\u003c/p>\n\u003cp>As of Sept. 14, \u003ca href=\"https://www.cdc.gov/poxvirus/monkeypox/response/2022/us-map.html\">the CDC now reports 22,630 cases nationwide\u003c/a>. And because of limited testing, this figure most likely still represents something of an undercount.\u003c/p>\n\u003cul>\n\u003cli>\u003cstrong>Looking for where to find an MPX vaccine near you? \u003ca href=\"https://www.kqed.org/news/11920455/where-can-i-find-a-monkeypox-vaccine-near-me\">Read our full guide to the MPX vaccine in the Bay Area.\u003c/a>\u003c/strong>\u003c/li>\n\u003c/ul>\n\u003cp>“We are prepared to take our response to the next level in addressing this virus and we urge every American to take monkeypox seriously,” Health and Human Services Secretary Xavier Becerra said. Read more about \u003ca href=\"https://www.kqed.org/news/11921618/white-house-declares-monkeypox-a-public-health-emergency\">what the public health emergency means.\u003c/a>\u003c/p>\n\u003cp>On August 1, Gov. Gavin Newsom \u003ca href=\"https://www.kqed.org/news/11921185/newsom-declares-statewide-emergency-amid-rapid-spread-of-monkeypox-virus\">declared a State of Emergency over the MPX outbreak in California\u003c/a>. A week prior, \u003ca href=\"https://www.kqed.org/news/11920764/an-epicenter-for-the-country-san-francisco-declares-state-of-emergency-over-monkeypox-outbreak\">San Francisco had declared its own state of emergency over MPX\u003c/a>. State and local health officials have affirmed that cases are rapidly rising and have asked the federal government to make MPX vaccines more widely available.\u003c/p>\n\u003cp>\u003cstrong>Jump to a specific answer:\u003c/strong>\u003c/p>\n\u003cul>\n\u003cli>\u003cstrong>\u003ca href=\"#monkeypoxsymptoms\">What are the symptoms of MPX?\u003c/a>\u003c/strong>\u003c/li>\n\u003cli>\u003cstrong>\u003ca href=\"#monkeypoxcases\">How many MPX cases are in the Bay Area?\u003c/a>\u003c/strong>\u003c/li>\n\u003cli>\u003cstrong>\u003ca href=\"#monkeypoxtreament\">What should I do if I think I have MPX?\u003c/a>\u003c/strong>\u003c/li>\n\u003cli>\u003cstrong>\u003ca href=\"#monkeypoxprevention\">How can I prevent being infected with MPX?\u003c/a>\u003c/strong>\u003c/li>\n\u003c/ul>\n\u003cp>MPX has existed for decades — the first case among humans was registered in 1970 — but we’re now seeing multiple outbreaks across the U.S. \u003ca href=\"https://www.cdc.gov/poxvirus/monkeypox/response/2022/us-map.html\">See how many cases have now been reported nationwide according to the Centers for Disease Control and Prevention.\u003c/a>\u003c/p>\n\u003cp>The majority of infections have been detected among gay and bisexual men, but public health experts have made it clear that MPX is an “equal opportunity disease,” meaning that anybody, regardless of sexual orientation, race, class or other demographic categories, is susceptible to infection.\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>However, public health organizations that serve the LGBTQ+ community in the Bay Area are still advising residents to learn more about MPX and how it spreads, particularly in the context of large public events in San Francisco celebrated by the queer community like Pride (the weekend of June 25), Dore Alley Weekend (the weekend of July 30) and Folsom Street Fair (the weekend of September 24) that take place in the summer and fall. \u003ca href=\"https://www.kqed.org/news/11920764/an-epicenter-for-the-country-san-francisco-declares-state-of-emergency-over-monkeypox-outbreak\">San Francisco formally declared the outbreak a public health emergency back on July 28.\u003c/a>\u003c/p>\n\u003cp>KQED spoke to physicians, public health officials and LGBTQ+ health groups to create this guide that includes the latest information on the disease, its transmission and available treatment, and what to do if you become infected. And if you’re looking for vaccine details specifically, you can \u003ca href=\"https://www.kqed.org/news/11920455/where-can-i-find-a-monkeypox-vaccine-near-me\">read our full guide to where to find a MPX vaccine near you.\u003c/a>\u003c/p>\n\u003ch2>What is MPX?\u003c/h2>\n\u003cp>\u003ca href=\"https://sf.gov/information/monkeypox\">MPX is a disease that is caused when a person is infected with the MPX virus\u003c/a>. As the name might suggest, the virus is related to the smallpox virus but it’s generally less severe and “much less contagious” than smallpox, according to the California Department of Public Health (CDPH).\u003c/p>\n\u003cp>Although you might assume MPX is also related to chickenpox, it’s not.\u003c/p>\n\u003ch3>How did MPX get its name?\u003c/h3>\n\u003cp>The disease was called “monkeypox” because \u003ca href=\"https://www.cdc.gov/poxvirus/monkeypox/about.html\">it was first found in 1958 in monkeys\u003c/a>. The Centers for Disease Control and Prevention say that the first human case of MPX was recorded in 1970.\u003c/p>\n\u003cp>Several public health bodies, including the California Department of Public Health and the San Francisco Department of Public Health, have now chosen to refer to the virus as “MPX” to address concerns that \u003ca href=\"https://www.latimes.com/science/story/2022-08-26/many-say-the-name-is-racist-so-what-do-you-call-monkeypox\">the original name furthers both racist and homophobic stigma\u003c/a> around the disease and those who contract it.\u003c/p>\n\u003cp>In speech, MPX is usually pronounced “em-pox,” or the initials “em-pee-ecks.”\u003c/p>\n\u003cp>You may often see “monkeypox” on first usage, and “MPX” thereafter throughout an article or a resource from a public agency. Some official resources may also use “MPOX”. Rest assured these names are referring to the same disease.\u003c/p>\n\u003ch2>How dangerous is MPX?\u003c/h2>\n\u003cp>While it’s less severe than smallpox, MPX can still be a serious disease. The good news is that according to the CDC, MPX is “rarely fatal” — and that “\u003ca href=\"https://www.cdc.gov/poxvirus/monkeypox/faq.html\">over 99% of people who get this form of the disease are likely to survive\u003c/a>.”\u003c/p>\n\u003cp>However, “people with weakened immune systems, children under 8 years of age, people with a history of eczema, and people who are pregnant or breastfeeding may be more likely to get seriously ill or die.”\u003c/p>\n\u003cp>Being sick with MPX typically lasts 2-4 weeks. The symptoms of MPX are similar to smallpox symptoms, but luckily are milder.\u003c/p>\n\u003ch2>\u003ca id=\"monkeypoxcases\">\u003c/a>How many MPX cases are in California and the Bay Area right now?\u003c/h2>\n\u003cp>See \u003ca href=\"https://www.cdph.ca.gov/Programs/CID/DCDC/Pages/monkeypox.aspx\">the number of probable and confirmed MPX cases reported in California right now\u003c/a>, via the California Department of Public Health.\u003c/p>\n\u003cp>See \u003ca href=\"https://sf.gov/information/monkeypox-cases\">the current number of probable and confirmed cases of MPX in San Francisco\u003c/a>, via the San Francisco Public Health Department.\u003c/p>\n\u003cp>See \u003ca href=\"https://www.cdc.gov/poxvirus/monkeypox/response/2022/us-map.html\">the number of nationwide MPX cases state-by-state\u003c/a>, according to the CDC’s map.\u003c/p>\n\u003cfigure id=\"attachment_11919133\" class=\"wp-caption alignnone\" style=\"max-width: 1920px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-11919133\" src=\"https://ww2.kqed.org/app/uploads/sites/10/2022/07/RS57172_GettyImages-1400054668-qut.jpg\" alt=\"A woman wearing a white lab coat and blue surgical gloves is photographed from behind over her left shoulder as she prepared a medical sample on a white table.\" width=\"1920\" height=\"1280\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2022/07/RS57172_GettyImages-1400054668-qut.jpg 1920w, https://cdn.kqed.org/wp-content/uploads/sites/10/2022/07/RS57172_GettyImages-1400054668-qut-800x533.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2022/07/RS57172_GettyImages-1400054668-qut-1020x680.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2022/07/RS57172_GettyImages-1400054668-qut-160x107.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2022/07/RS57172_GettyImages-1400054668-qut-1536x1024.jpg 1536w\" sizes=\"(max-width: 1920px) 100vw, 1920px\">\u003cfigcaption class=\"wp-caption-text\">A nurse prepares a PCR test for MPX testing. \u003ccite>(Carlos Lujan/Europa Press via Getty Images)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003ch2>\u003ca id=\"monkeypoxsymptoms\">\u003c/a>What are the symptoms of MPX?\u003c/h2>\n\u003cp>According to the World Health Organization, \u003ca href=\"https://www.who.int/news-room/fact-sheets/detail/monkeypox\">the incubation period of MPX\u003c/a>— that is, the amount of time between getting infected with MPX and actually developing the symptoms — is usually from six to 13 days. It can, however, range from five to 21 days.\u003c/p>\n\u003cp>The CDC says that \u003ca href=\"https://www.cdc.gov/poxvirus/monkeypox/clinicians/clinical-recognition.html\">you aren’t contagious during this incubation period.\u003c/a>\u003c/p>\n\u003cp>After that initial incubation period, a person who’s infected with MPX will start to develop symptoms and become contagious to others. The CDC says that symptoms of MPX can include:\u003c/p>\n\u003cul>\n\u003cli>A rash (also known as lesions) that can look like pimples or blisters that appears on the face, inside the mouth, and on other parts of the body, like the hands, feet, chest, genitals or anus. The rash goes through different stages before healing completely.\u003c/li>\n\u003cli>Fever\u003c/li>\n\u003cli>Headache\u003c/li>\n\u003cli>Muscle aches and backache\u003c/li>\n\u003cli>Swollen lymph nodes\u003c/li>\n\u003cli>Chills\u003c/li>\n\u003cli>Exhaustion\u003c/li>\n\u003c/ul>\n\u003cp>Much like with COVID, symptoms can present quite differently in different people. According to the CDC, some people get a rash first, and other symptoms follow. Other folks will only experience the rash itself.\u003c/p>\n\u003cp>The symptoms of MPX that aren’t the rash — like chills, fatigue and headache — are similar to symptoms of COVID. This means it’s entirely possible you could initially mistake a MPX infection for a COVID infection (or you could assume it’s another illness entirely, if you then test for COVID and get a negative result). This is why watching out for a rash is really important.\u003c/p>\n\u003cp>The San Francisco Department of Public Health says that usually, that \u003ca href=\"https://sf.gov/information/monkeypox\">MPX rash will start in the form of red, flat spots\u003c/a>, which then become bumps. The bumps then become filled with fluid, which will then break and crust over into a scab.\u003c/p>\n\u003cp>In addition to the itch they can cause, MPX lesions can be very painful, especially in genital areas or the anus. The CDC notes that people also can have permanent scarring after the rash.\u003c/p>\n\u003cp>\u003ca href=\"https://www.who.int/news-room/fact-sheets/detail/monkeypox\">The symptoms of MPX can last two to four weeks.\u003c/a> This means that, with an incubation period that could be as short as five days or as long as 21 days, a person could be dealing with an MPX infection for anywhere from under three weeks to almost two months.\u003c/p>\n\u003ch2>Who can get MPX?\u003c/h2>\n\u003cp>Anyone can get MPX.\u003c/p>\n\u003cp>As more details emerge of the outbreak in the U.S., it appears that \u003ca href=\"https://www.who.int/publications/m/item/monkeypox-public-health-advice-for-men-who-have-sex-with-men\">MPX infections are particularly affecting communities of gay and bisexual men\u003c/a>, and men who have sex with men.\u003c/p>\n\u003cp>The World Health Organization notes that \u003ca href=\"https://www.who.int/news/item/25-05-2022-monkeypox--public-health-advice-for-gay--bisexual-and-other-men-who-have-sex-with-men\">trans people and gender-diverse people “may also be more vulnerable\u003c/a> in the context of the current outbreak.”\u003c/p>\n\u003cp>San Francisco Health Officer Susan Philip says that LGBTQ+ folks currently being at higher risk for MPX has “nothing to do with sexual orientation or gender identity,” but is more about “being part of these networks and having close contact within those networks.” People in these networks “will likely then have expanded eligibility, expanded access to [an MPX] vaccine,” she says.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003ch2>How does MPX spread?\u003c/h2>\n\u003cp>According to the CDC, the MPX virus can spread from person to person in the following ways:\u003c/p>\n\u003cp>\u003cstrong>From contact with an infected person:\u003c/strong>\u003cbr>\nThis could be direct contact with the infectious rash, scabs or body fluids, or during intimate physical contact, such as kissing, cuddling or sex. It could also spread via respiratory droplets during prolonged, face-to-face contact (even talking with someone at very close range).\u003c/p>\n\u003cp>The CDC says that right now, it’s “not known” if MPX can spread through semen or vaginal fluids.\u003c/p>\n\u003cp>\u003cstrong>From contact with an item that’s previously touched the rash or fluids of an infected person:\u003c/strong>\u003cbr>\nThis could include touching or sharing clothes, bedsheets or towels. SFDPH notes that according to the CDC, studies show the MPX virus can live on surfaces for as long as 15 days and still infect someone — but that you’d need to touch that surface “for a pretty long time.”\u003c/p>\n\u003cp>You can get MPX from an infected animal, either through a scratch or bite, or by preparing or eating meat or products from an infected animal. Pregnant people also can spread the virus to their fetus.\u003c/p>\n\u003cp>\u003cstrong>How you \u003cem>cannot\u003c/em> get MPX: \u003c/strong>\u003cbr>\nFrom casual conversations, or by passing someone with MPX (say, in a store) or briefly touching surfaces like doorknobs.\u003c/p>\n\u003cfigure id=\"attachment_11919136\" class=\"wp-caption alignnone\" style=\"max-width: 1920px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-11919136\" src=\"https://ww2.kqed.org/app/uploads/sites/10/2022/07/RS57173_A-couple-holding-hands-on-a-couch-qut-1.jpg\" alt=\"A seated couple holding hands. One person wears a dark plaid shirt, the other person wears dark blue jeans. Both of their faces are obscured.\" width=\"1920\" height=\"1282\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2022/07/RS57173_A-couple-holding-hands-on-a-couch-qut-1.jpg 1920w, https://cdn.kqed.org/wp-content/uploads/sites/10/2022/07/RS57173_A-couple-holding-hands-on-a-couch-qut-1-800x534.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2022/07/RS57173_A-couple-holding-hands-on-a-couch-qut-1-1020x681.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2022/07/RS57173_A-couple-holding-hands-on-a-couch-qut-1-160x107.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2022/07/RS57173_A-couple-holding-hands-on-a-couch-qut-1-1536x1026.jpg 1536w\" sizes=\"(max-width: 1920px) 100vw, 1920px\">\u003cfigcaption class=\"wp-caption-text\">Talking about health, and especially sexual health, is paramount. \u003ccite>(Zackary Drucker/The Gender Spectrum Collection via Creative Commons)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003ch2>How contagious is MPX?\u003c/h2>\n\u003cp>The California Department of Public Health says that MPX is “far less contagious” than COVID.\u003c/p>\n\u003cp>You can be contagious with MPX — meaning you can spread the virus to another person — from the time your symptoms start until the time any scabs have fully dropped off and the rash has fully healed (i.e., until a fresh layer of skin has formed over them). The illness typically lasts 2-4 weeks.\u003c/p>\n\u003cp>Can you have — and spread — MPX without having symptoms (also known as being asymptomatic)? This is an area where what we know about MPX is still evolving.\u003c/p>\n\u003cp>The CDC’s current guidance says that people who don’t have MPX symptoms cannot spread the virus to others. But the World Health Organization also says “the extent to which asymptomatic infection may occur is unknown.”\u003c/p>\n\u003ch2>Is MPX a sexually transmitted infection/disease (STI/STD)?\u003c/h2>\n\u003cp>MPX is not strictly an STI.\u003c/p>\n\u003cp>MPX can spread through close, skin-to-skin contact and \u003ca href=\"https://www.cdc.gov/poxvirus/monkeypox/symptoms.html\">coming into contact with objects and fabrics used by somebody infected with MPX\u003c/a>. This also includes coming into contact with the rashes and sores that can develop on an infected person’s skin and even inside their mouth. The virus can also spread through respiratory droplets and saliva.\u003c/p>\n\u003cp>This makes it possible for MPX to spread during sex and other intimate actions, like kissing and cuddling. But it can also spread through nonsexual behavior, like using a towel or bedsheets previously used by an infected person that have not been washed yet.\u003c/p>\n\u003cp>When someone tests positive for MPX, health officials will work with them to contact their close contacts, similar to the contact tracing method used for sexually transmitted infection, says Dr. Peter Chin-Hong, an infectious disease specialist at UCSF.\u003c/p>\n\u003cp>“That’s the highest priority for vaccines right now,” he says, “the contacts of people who are known cases.”\u003c/p>\n\u003cp>Chin-Hong also encourages sexual partners to talk about MPX before having sex.\u003c/p>\n\u003cp>“Whenever you have a new partner, you should have a very frank and open conversation that’s health-positive, and open-ended,” he explains. This can include things like possible HIV exposures and HIV test results, and asking about any potential MPX symptoms.\u003c/p>\n\u003cp>“‘Have you noticed any rash or anything like that recently or have you been in contact with anyone [with symptoms]?’,” he suggests as possible questions. “They are the people who are weighing the risks and benefits in different ways. So I think that … open and honest conversation is really important, not just to MPX, but just as a good practice in general.”\u003c/p>\n\u003ch2>\u003ca id=\"monkeypoxtreament\">\u003c/a>What should I do if I suspect I have MPX?\u003c/h2>\n\u003cp>If you’re experiencing the \u003ca href=\"#monkeypoxsymptoms\">symptoms of MPX\u003c/a>, or you’ve been informed you could have been exposed to MPX, it’s important you take action as soon as possible. Here are the steps:\u003c/p>\n\u003cp>\u003cstrong>Contact a health care provider right away\u003c/strong>\u003c/p>\n\u003cp>If you have health insurance, reach out to your regular provider ASAP, or call your provider’s medical hotline if they have one.\u003c/p>\n\u003cp>If you don’t have health insurance, you should contact your county’s public health department to ask for their guidance:\u003c/p>\n\u003cul>\n\u003cli>\u003ca href=\"https://sf.gov/information/monkeypox\">San Francisco community clinics\u003c/a>\u003c/li>\n\u003cli>\u003ca href=\"https://acphd.org/clinics/\">Alameda County community clinics\u003c/a>\u003c/li>\n\u003cli>\u003ca href=\"https://cchealth.org/centers-clinics/\">Contra Costa County community clinics\u003c/a>, or call Contra Costa Public Health at (925) 313-6740\u003c/li>\n\u003cli>\u003ca href=\"https://sonomacounty.ca.gov/health-and-human-services/health-services/divisions/public-health/disease-control/immunizations/community-clinics\">Sonoma County community clinics\u003c/a>\u003c/li>\n\u003cli>\u003ca href=\"https://www.smchealth.org/smmc-find-location\">San Mateo County community clinics\u003c/a>\u003c/li>\n\u003cli>\u003ca href=\"https://www.solanocounty.com/depts/ph/fhs/primary_care_clinics/default.asp\">Solano County community clinics\u003c/a>\u003c/li>\n\u003cli>\u003ca href=\"https://www.marinhhs.org/community-resource-guide/marin-community-clinics-5-locations-larkspur-novato-san-rafael\">Marin County community clinics\u003c/a>\u003c/li>\n\u003cli>\u003ca href=\"https://chpscc.org/member-clinics/\">Santa Clara community clinics\u003c/a>, or call the County Patient Access Department at (866) 967-4677\u003c/li>\n\u003cli>\u003ca href=\"https://www.rchc.net/napa-county-health-centers/\">Napa County community clinics\u003c/a>, or call Napa County Public Health at (707) 253-4270\u003c/li>\n\u003c/ul>\n\u003cp>The San Francisco Department of Public Health recommends that if you live in the city and you don’t have a provider, or have difficulty scheduling an appointment, you can be seen at SF City Clinic at 7th Street (628-217-6600) or at Strut at 470 Castro Street (415-581-1600).\u003c/p>\n\u003cp>\u003cstrong>Learn whether you can get tested for MPX\u003c/strong>\u003c/p>\n\u003cp>The test for MPX is a swab test, in which a swab is rubbed on your skin and then sent to a specialized laboratory.\u003c/p>\n\u003cp>The test results will take a few days, during which period you should isolate from other people and animals, and take steps to reduce the chances of spreading the disease yourself.\u003c/p>\n\u003cp>But right now, you may need to meet certain criteria to get a MPX test — San Francisco, for example, says that \u003ca href=\"https://sf.gov/information/monkeypox-faq\">SF residents must have a rash or spots present to get a MPX test\u003c/a>.\u003c/p>\n\u003cp>“Monkeypox is circulating here in our community,” says Tyler TerMeer, CEO of the San Francisco AIDS Foundation, but he stresses that testing isn’t available for everyone who wants it — yet. “This is different than some other viral infections,” says TerMeer. “You actually have to have an active lesion or rash that we can take a sample from in order to test to confirm whether it’s monkeypox or not.”\u003c/p>\n\u003cp>\u003cstrong>Find out whether you can get a MPX vaccine\u003c/strong>\u003c/p>\n\u003cp>A vaccine for MPX is being offered to people who may have been exposed to the virus, which is most effective given within the first four days of infection. \u003ca href=\"https://www.kqed.org/news/11920455/where-can-i-find-a-monkeypox-vaccine-near-me\">Read our full guide to how to find a MPX vaccine near you. \u003c/a>\u003c/p>\n\u003cp>\u003cstrong>Contact anyone you’ve had close physical contact with\u003c/strong>\u003c/p>\n\u003cp>Ask health providers about formal contact tracing, but in the meantime, reach out by calling or texting anyone you’ve been physically close to since your symptoms started.\u003c/p>\n\u003cp>\u003cstrong>Do what you can to manage your symptoms \u003c/strong>\u003c/p>\n\u003cp>The World Health Organization says that the symptoms of MPX, while often painful, normally get better on their own without the need for treatment — but that you should ultimately follow the advice of a health care provider. \u003ca href=\"#monkeypoxtreatment\">Jump to more information about what treatments are available for MPX.\u003c/a>\u003c/p>\n\u003cp>\u003ca href=\"https://www.who.int/news-room/questions-and-answers/item/monkeypox\">The WHO says that medication for pain (analgesics) and fever (antipyretics) can be used\u003c/a> to relieve some symptoms if needed, and that lidocaine can be applied to oral and perianal lesions to relieve pain. Talk to a health care provider about taking these kinds of medications.\u003c/p>\n\u003cp>The WHO also gives these tips for \u003ca href=\"https://www.who.int/news-room/questions-and-answers/item/monkeypox\">managing the symptoms of MPX at home\u003c/a>:\u003c/p>\n\u003cul>\n\u003cli>Avoid scratching your skin.\u003c/li>\n\u003cli>Clean hands before and after touching lesions.\u003c/li>\n\u003cli>Keep your skin dry and uncovered.\u003c/li>\n\u003cli>Keep your rash clean with sterilized water or antiseptic.\u003c/li>\n\u003cli>If you have lesions on your body, take a warm bath with baking soda and Epsom salts.\u003c/li>\n\u003cli>Use saltwater rinses for lesions in your mouth.\u003c/li>\n\u003cli>Stay hydrated, eat well and get enough sleep.\u003c/li>\n\u003c/ul>\n\u003cp>\u003cstrong>Isolate yourself as much as possible\u003c/strong>\u003c/p>\n\u003cp>To avoid infecting other people, isolate yourself from others as much as possible. Avoid sharing your bedding, towels or clothing, as well as utensils and cups. Jump to \u003ca href=\"#monkeypoxprevention\">more information about reducing the spread of MPX\u003c/a>.\u003c/p>\n\u003cp>If you can’t avoid being in the same room as other people, the WHO advises you to keep your rash or lesions covered with clothing or a bandage. The organization also recommends \u003ca href=\"https://www.who.int/news-room/questions-and-answers/item/monkeypox\">keeping your own mental health in mind if you’re self-isolating\u003c/a>, by staying connected to others using technology, and exercising if you feel well enough.\u003c/p>\n\u003cfigure id=\"attachment_11919132\" class=\"wp-caption aligncenter\" style=\"max-width: 1920px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-11919132\" src=\"https://ww2.kqed.org/app/uploads/sites/10/2022/07/RS57171_GettyImages-1401335558-qut.jpg\" alt=\"The right, blue-gloved hand of a medical technician holds a small vial, into which their other hand (offcamera) is dispensing liquid sample from a long white tool. The cap of the vial is bright green, and there are six vials in the background out of focus, with purple caps.\" width=\"1920\" height=\"1280\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2022/07/RS57171_GettyImages-1401335558-qut.jpg 1920w, https://cdn.kqed.org/wp-content/uploads/sites/10/2022/07/RS57171_GettyImages-1401335558-qut-800x533.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2022/07/RS57171_GettyImages-1401335558-qut-1020x680.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2022/07/RS57171_GettyImages-1401335558-qut-160x107.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2022/07/RS57171_GettyImages-1401335558-qut-1536x1024.jpg 1536w\" sizes=\"(max-width: 1920px) 100vw, 1920px\">\u003cfigcaption class=\"wp-caption-text\">A medical laboratory technician inactivates suspected MPX samples to be PCR-tested in a microbiology laboratory. \u003ccite>(Pablo Blazquez Dominguez/Getty Images)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003ch2>\u003ca id=\"monkeypoxvaccine\">\u003c/a>What is the MPX vaccine, and how can I get it?\u003c/h2>\n\u003cp>The MPX vaccine being offered in the United States right now is called Jynneos. This vaccine is also used to prevent smallpox.\u003c/p>\n\u003cp>The CDC recommends that the MPX vaccine be given to a person within four days of the date they were exposed to MPX, for the best chance of preventing onset of the disease.\u003c/p>\n\u003cp>If a person gets the vaccine between four and 14 days of being exposed, the vaccine may reduce the symptoms of MPX, but may not prevent the disease altogether. This timeliness is another reason it’s important to stay vigilant for possible exposure to MPX and watch for symptoms — and to act quickly.\u003c/p>\n\u003cp>\u003cstrong>\u003ca href=\"https://www.kqed.org/news/11920455/where-can-i-find-a-monkeypox-vaccine-near-me\">Read our full guide to the MPX vaccine in the Bay Area.\u003c/a>\u003c/strong>\u003c/p>\n\u003ch2>\u003ca id=\"monkeypoxtreatment\">\u003c/a>What MPX treatments are available?\u003c/h2>\n\u003cp>Currently, the drug Tecovirimat (also known as TPOXX or ST-246) is being used to treat those experiencing severe MPX. The Food and Drug Administration already has approved Tecovirimat to treat smallpox, and has recently expanded its use for MPX among adults and children.\u003c/p>\n\u003cp>Tecovirimat is usually a two-week treatment and can be administered either through a capsule or an intravenous (IV) injection. The drug works by making it harder for the virus to infect new cells, therefore limiting the infection growth.\u003c/p>\n\u003cp>“Most people will get better on their own but some people will require treatment,” says Chin-Hong of UCSF. Those considered for treatment include immunocompromised people, pregnant people and children under 8.\u003c/p>\n\u003cp>People who don’t have those particular risk factors but still develop severe MPX also can receive treatment, Chin-Hong says. This includes those who develop extensive oral disease, as that makes it very difficult to eat and drink. “It’s like having a bunch of ulcers in your mouth,” he says. Those who develop the disease extensively in the rectal area or near the eyes also can receive treatment.\u003c/p>\n\u003cp>The blisters and sores that develop can be quite painful, he adds: “Treatment is not only about vaccines and drug treatments but also about what specific symptoms the patient’s having.”\u003c/p>\n\u003cp>He recommends talking to your physician about what pain you’re feeling and where. If the disease is in the rectal area, it can be painful to defecate. But there are many options available that can alleviate, or at least reduce, the pain you may be feeling.\u003c/p>\n\u003cp>The MPX vaccine also can act as a sort of treatment, he says, but only when someone receives it shortly after being exposed. “In MPX, the incubation period is longer,” he explains. “So that means if you got a vaccine shortly after exposure — some people think within four days — it can impact and stop you from getting disease, even though you might have been exposed to an infection.”\u003c/p>\n\u003cp>“If you get the vaccine within 14 days of exposure, even though you might get the rash or disease, it will reduce your symptoms.”\u003c/p>\n\u003cfigure id=\"attachment_11919138\" class=\"wp-caption alignnone\" style=\"max-width: 1920px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-11919138\" src=\"https://ww2.kqed.org/app/uploads/sites/10/2022/07/RS57175_GettyImages-1241638108-qut.jpg\" alt=\"\" width=\"1920\" height=\"1378\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2022/07/RS57175_GettyImages-1241638108-qut.jpg 1920w, https://cdn.kqed.org/wp-content/uploads/sites/10/2022/07/RS57175_GettyImages-1241638108-qut-800x574.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2022/07/RS57175_GettyImages-1241638108-qut-1020x732.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2022/07/RS57175_GettyImages-1241638108-qut-160x115.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2022/07/RS57175_GettyImages-1241638108-qut-1536x1102.jpg 1536w\" sizes=\"(max-width: 1920px) 100vw, 1920px\">\u003cfigcaption class=\"wp-caption-text\">A vial of the Jynneos MPX vaccine. \u003ccite>(Bill O'Leary/The Washington Post via Getty Images)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003ch2>Do we know how MPX interacts with COVID?\u003c/h2>\n\u003cp>The California Department of Public Health stresses that MPX is “a completely different disease” from COVID, and that this outbreak is unrelated to COVID.\u003c/p>\n\u003cp>MPX is much less contagious than COVID and the way it spreads also is very different. SFDPH says this is “partly because people with MPX are generally thought to be contagious to people with whom they’ve had very close contact over a long period of time, and when they have symptoms like a rash.” COVID, on the other hand, spreads through the air and can be spread even when people do not have COVID symptoms.\u003c/p>\n\u003cp>However, UCSF’s Chin-Hong affirms that it’s completely possible to contract COVID-19 and MPX at the same time and adds that the impact that a double infection has on the body is still being studied.\u003c/p>\n\u003ch2>\u003ca id=\"monkeypoxprevention\">\u003c/a>How can folks protect themselves against contracting MPX?\u003c/h2>\n\u003cp>The CDC says the following activities will increase your risk for being infected with MPX, and should be avoided to reduce the risk of infection:\u003c/p>\n\u003cul>\n\u003cli>Close, skin-to-skin contact with someone’s MPX rash\u003c/li>\n\u003cli>Touching the rash or scabs of someone with MPX\u003c/li>\n\u003cli>Kissing, hugging, cuddling or having sex with someone who has MPX\u003c/li>\n\u003cli>Sharing eating utensils or cups\u003c/li>\n\u003cli>Handling or touch the bedding, towels or clothing of someone with MPX\u003c/li>\n\u003c/ul>\n\u003cp>Wash your hands often with soap and water or use an alcohol-based hand sanitizer, especially after contact with people who’ve been infected with MPX. \u003ca href=\"https://www.cdc.gov/poxvirus/monkeypox/pdf/Monkeypox-Interim-Guidance-for-Household-Disinfection-508.pdf\">Read the CDC’s guide to disinfecting spaces to prevent the spread of MPX.\u003c/a>\u003c/p>\n\u003cp>Additionally, the San Francisco Department of Public Health advises you cover exposed skin in crowded settings (whether that’s indoors, like in a bar, or outdoors at a festival or a parade).\u003c/p>\n\u003cp>They also recommend you don’t share bedding or clothing with others generally, even if you aren’t sure if they have MPX, and talk to your close physical and sexual contacts about their health generally, including whether they’re seeing recent rashes or sores on their body.\u003c/p>\n\u003ch2>What are health officials doing to prevent and combat stigma about MPX?\u003c/h2>\n\u003cp>San Francisco AIDS Foundation CEO TerMeer says that vaccine equity is also very much on the minds of advocates right now, “ensuring that we don’t repeat any mistakes of the past so that communities of color or other communities that have traditionally been furthest from access and opportunity in the health care space don’t get left out of the conversation.”\u003c/p>\n\u003cp>“Our predominant advocacy at the moment is just ‘we need vaccines and we need them now,’” says TerMeer. “We are really pushing to try and get at least 1,000 doses of vaccine in the next 30 days so that we can get ahead of the issue and are really hoping to be able to respond effectively, before it grows into a larger issue.”\u003c/p>\n\u003cp>If you are looking for additional health advice on MPX, you also can access:\u003c/p>\n\u003cul>\n\u003cli>\u003cstrong>\u003ca href=\"https://www.sfaf.org/monkeypox/\">Magnet Sexual Health Clinic at Strut\u003c/a> (San Francisco AIDS Foundation): (415) 581-1600\u003c/strong>\u003c/li>\n\u003cli>\u003cstrong>San Francisco Department of Public Health \u003ca href=\"https://sf.gov/information/monkeypox\">info page about MPX\u003c/a>\u003c/strong>\u003c/li>\n\u003cli>\u003cstrong>\u003ca href=\"https://www.cdph.ca.gov/Programs/CID/DCDC/Pages/Monkeypox-Questions-and-Answers.aspx\">California Department of Public Health MPX FAQ\u003c/a>\u003c/strong>\u003c/li>\n\u003c/ul>\n\u003cp>\u003cem>This post includes reporting by KQED’s Vanessa Rancaño, Juan Carlos Lara and Matthew Green. A version of this story was published on July 8.\u003c/em>\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"title": "After Spiking Earlier Talks, Manchin Agrees to a New Deal on Climate and Taxes",
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"content": "\u003cdiv class=\"storyMajorUpdateDate\">\u003cstrong>Updated July 27, 2022 at 9:00 PM ET\u003c/strong>\u003c/div>\n\u003cp>Senate Majority Leader Chuck Schumer, D-N.Y., and Sen. Joe Manchin, D-W.Va., have released preliminary details of a bill to address climate change, taxes, health care and inflation.\u003c/p>\n\u003cp>The agreement is a major reversal for Democrats, who had narrowed their ambitions for the package to address looming lapses in the Affordable Care Act and changes to prescription drug prices after Manchin raised concerns over approving more spending during record inflation.\u003c/p>\n\u003cp>“\u003ca href=\"https://www.npr.org/2022/07/15/1111675233/manchin-rejects-climate-and-tax-provisions-in-democrats-spending-package\">After many months of negotiations\u003c/a>, we have finalized legislative text that will invest approximately $300 billion in Deficit Reduction and $369.75 billion in \u003ca href=\"https://www.democrats.senate.gov/imo/media/doc/summary_of_the_energy_security_and_climate_change_investments_in_the_inflation_reduction_act_of_2022.pdf\">Energy Security and Climate Change\u003c/a> programs over the next 10 years,” the senators said in a joint statement. “The investments will be fully paid for by closing tax loopholes on wealthy individuals and corporations.”\u003c/p>\n\u003cp>The legislation — called the \u003ca href=\"https://urldefense.com/v3/__https:/www.democrats.senate.gov/inflation-reduction-act-one-page-summary__;!!Iwwt!T_erBxxpsxo0-Hmp8mN0_yyTMtr1hHNdwOqioGHm_BFtSoENMuYlN1rZvJA_mG15UD3A3FfsnoGpEzSZAONcKbXVivzI8w%24\">Inflation Reduction Act of 2022\u003c/a> — would also continue expansions to the Affordable Care Act that passed during the pandemic through 2025 and allow Medicare to pursue \u003ca href=\"https://urldefense.com/v3/__https:/www.democrats.senate.gov/topline-messages-for-senate-prescription-drug-pricing-reforms_fy22-budget-reconciliation__;!!Iwwt!T_erBxxpsxo0-Hmp8mN0_yyTMtr1hHNdwOqioGHm_BFtSoENMuYlN1rZvJA_mG15UD3A3FfsnoGpEzSZAONcKbWWL0vaEQ%24\">lower drug costs\u003c/a> by negotiating directly with drug companies. Democrats say the plan \u003ca href=\"https://urldefense.com/v3/__https:/www.democrats.senate.gov/summary-closing-tax-loopholes-in-the-inflation-reduction-act-of-2022__;!!Iwwt!T_erBxxpsxo0-Hmp8mN0_yyTMtr1hHNdwOqioGHm_BFtSoENMuYlN1rZvJA_mG15UD3A3FfsnoGpEzSZAONcKbXlchQO-A%24\">avoids any new taxes\u003c/a> on families making $400,000 or less and does not include any new taxes on small businesses.\u003c/p>\n\u003cp>Read the bill \u003ca href=\"https://www.democrats.senate.gov/imo/media/doc/inflation_reduction_act_of_2022.pdf\">here\u003c/a>.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>The new agreement aims to “reduce carbon emissions by roughly 40% by 2030” and address inflation while also reducing the deficit, according to documents released by Schumer and Manchin. Schumer planned to submit the bill to the Senate parliamentarian for review on Wednesday night in order to start votes on the bill next week. Democrats plan to pass the bill using the budget process known as reconciliation to avoid a Republican filibuster, provided the legislation has unanimous support among Senate Democrats.\u003c/p>\n\u003cp>[aside label=\"related coverage\" tag=\"climate-change\"]Manchin and Schumer say they have also reached an agreement with House Speaker Nancy Pelosi, D-Calif., and President Biden to pass a permitting reform bill by the end of the year, with the goal of easing permits for domestic energy production and transmission.\u003c/p>\n\u003cp>The agreement is a significant expansion of the very narrow bill Democrats had hoped to pass through reconciliation before the midterm elections, though it still falls far short of the broader Build Back Better plan they began negotiating last year. That proposal initially included massive domestic spending to address climate, taxes, health care and social programs.\u003c/p>\n\u003cp>Manchin became the leading voice of opposition to major spending as inflation concerns grew in the country. He was able to single-handedly drive the talks because Democrats need unanimous support to pass the bill in the evenly divided Senate.\u003c/p>\n\u003cp>The agreement comes hours after the Senate passed a major bipartisan bill to expand domestic production of critical semiconductor chips that have been in short supply, leading to delays in the delivery of new cars and supply chain issues for smartphones, computers and medical equipment. Senate Minority Leader Mitch McConnell, R-Ky., had threatened to block the semiconductor bill, known as CHIPS, if Democrats continued to pursue climate and tax legislation.\u003c/p>\n\u003cp>\u003ca href=\"https://www.npr.org/2022/07/26/1113470753/chip-production-semiconductor-senate\">Finalizing the CHIPS bill\u003c/a> paved the way for Democrats to reach a deal without the threat of losing support for the semiconductor bill they viewed as a critical economic and political achievement.\u003c/p>\n\u003cp>The next step will be for the Senate parliamentarian to assess whether the proposals meet strict Senate budget rules that govern the reconciliation process. Once that is done, it will go through a vote-a-rama, a process that would serve to circumvent the 60-vote threshold that bills normally must cross in order to be passed. The House must then pass a similar bill before Biden signs it into law.\u003c/p>\n\u003cp>In a statement after the deal was announced, Biden praised it as “the action the American people have been waiting for.”\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>“This addresses the problems of today — high health care costs and overall inflation — as well as investments in our energy security for the future,” he said.\u003c/p>\n\u003cdiv class=\"fullattribution\">Copyright 2022 NPR. To see more, visit https://www.npr.org.\u003cimg decoding=\"async\" src=\"https://www.google-analytics.com/__utm.gif?utmac=UA-5828686-4&utmdt=After+spiking+earlier+talks%2C+Manchin+agrees+to+a+new+deal+on+climate+and+taxes&utme=8(APIKey)9(MDAxOTAwOTE4MDEyMTkxMDAzNjczZDljZA004)\">\u003c/div>\n\n",
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"excerpt": "The agreement is a major reversal for Democrats who had narrowed their ambitions for the package to addressing looming lapses in the Affordable Care Act and changes to prescription drug prices.",
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"title": "After Spiking Earlier Talks, Manchin Agrees to a New Deal on Climate and Taxes | KQED",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cdiv class=\"storyMajorUpdateDate\">\u003cstrong>Updated July 27, 2022 at 9:00 PM ET\u003c/strong>\u003c/div>\n\u003cp>Senate Majority Leader Chuck Schumer, D-N.Y., and Sen. Joe Manchin, D-W.Va., have released preliminary details of a bill to address climate change, taxes, health care and inflation.\u003c/p>\n\u003cp>The agreement is a major reversal for Democrats, who had narrowed their ambitions for the package to address looming lapses in the Affordable Care Act and changes to prescription drug prices after Manchin raised concerns over approving more spending during record inflation.\u003c/p>\n\u003cp>“\u003ca href=\"https://www.npr.org/2022/07/15/1111675233/manchin-rejects-climate-and-tax-provisions-in-democrats-spending-package\">After many months of negotiations\u003c/a>, we have finalized legislative text that will invest approximately $300 billion in Deficit Reduction and $369.75 billion in \u003ca href=\"https://www.democrats.senate.gov/imo/media/doc/summary_of_the_energy_security_and_climate_change_investments_in_the_inflation_reduction_act_of_2022.pdf\">Energy Security and Climate Change\u003c/a> programs over the next 10 years,” the senators said in a joint statement. “The investments will be fully paid for by closing tax loopholes on wealthy individuals and corporations.”\u003c/p>\n\u003cp>The legislation — called the \u003ca href=\"https://urldefense.com/v3/__https:/www.democrats.senate.gov/inflation-reduction-act-one-page-summary__;!!Iwwt!T_erBxxpsxo0-Hmp8mN0_yyTMtr1hHNdwOqioGHm_BFtSoENMuYlN1rZvJA_mG15UD3A3FfsnoGpEzSZAONcKbXVivzI8w%24\">Inflation Reduction Act of 2022\u003c/a> — would also continue expansions to the Affordable Care Act that passed during the pandemic through 2025 and allow Medicare to pursue \u003ca href=\"https://urldefense.com/v3/__https:/www.democrats.senate.gov/topline-messages-for-senate-prescription-drug-pricing-reforms_fy22-budget-reconciliation__;!!Iwwt!T_erBxxpsxo0-Hmp8mN0_yyTMtr1hHNdwOqioGHm_BFtSoENMuYlN1rZvJA_mG15UD3A3FfsnoGpEzSZAONcKbWWL0vaEQ%24\">lower drug costs\u003c/a> by negotiating directly with drug companies. Democrats say the plan \u003ca href=\"https://urldefense.com/v3/__https:/www.democrats.senate.gov/summary-closing-tax-loopholes-in-the-inflation-reduction-act-of-2022__;!!Iwwt!T_erBxxpsxo0-Hmp8mN0_yyTMtr1hHNdwOqioGHm_BFtSoENMuYlN1rZvJA_mG15UD3A3FfsnoGpEzSZAONcKbXlchQO-A%24\">avoids any new taxes\u003c/a> on families making $400,000 or less and does not include any new taxes on small businesses.\u003c/p>\n\u003cp>Read the bill \u003ca href=\"https://www.democrats.senate.gov/imo/media/doc/inflation_reduction_act_of_2022.pdf\">here\u003c/a>.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>The new agreement aims to “reduce carbon emissions by roughly 40% by 2030” and address inflation while also reducing the deficit, according to documents released by Schumer and Manchin. Schumer planned to submit the bill to the Senate parliamentarian for review on Wednesday night in order to start votes on the bill next week. Democrats plan to pass the bill using the budget process known as reconciliation to avoid a Republican filibuster, provided the legislation has unanimous support among Senate Democrats.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>Manchin and Schumer say they have also reached an agreement with House Speaker Nancy Pelosi, D-Calif., and President Biden to pass a permitting reform bill by the end of the year, with the goal of easing permits for domestic energy production and transmission.\u003c/p>\n\u003cp>The agreement is a significant expansion of the very narrow bill Democrats had hoped to pass through reconciliation before the midterm elections, though it still falls far short of the broader Build Back Better plan they began negotiating last year. That proposal initially included massive domestic spending to address climate, taxes, health care and social programs.\u003c/p>\n\u003cp>Manchin became the leading voice of opposition to major spending as inflation concerns grew in the country. He was able to single-handedly drive the talks because Democrats need unanimous support to pass the bill in the evenly divided Senate.\u003c/p>\n\u003cp>The agreement comes hours after the Senate passed a major bipartisan bill to expand domestic production of critical semiconductor chips that have been in short supply, leading to delays in the delivery of new cars and supply chain issues for smartphones, computers and medical equipment. Senate Minority Leader Mitch McConnell, R-Ky., had threatened to block the semiconductor bill, known as CHIPS, if Democrats continued to pursue climate and tax legislation.\u003c/p>\n\u003cp>\u003ca href=\"https://www.npr.org/2022/07/26/1113470753/chip-production-semiconductor-senate\">Finalizing the CHIPS bill\u003c/a> paved the way for Democrats to reach a deal without the threat of losing support for the semiconductor bill they viewed as a critical economic and political achievement.\u003c/p>\n\u003cp>The next step will be for the Senate parliamentarian to assess whether the proposals meet strict Senate budget rules that govern the reconciliation process. Once that is done, it will go through a vote-a-rama, a process that would serve to circumvent the 60-vote threshold that bills normally must cross in order to be passed. The House must then pass a similar bill before Biden signs it into law.\u003c/p>\n\u003cp>In a statement after the deal was announced, Biden praised it as “the action the American people have been waiting for.”\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>“This addresses the problems of today — high health care costs and overall inflation — as well as investments in our energy security for the future,” he said.\u003c/p>\n\u003cdiv class=\"fullattribution\">Copyright 2022 NPR. To see more, visit https://www.npr.org.\u003cimg decoding=\"async\" src=\"https://www.google-analytics.com/__utm.gif?utmac=UA-5828686-4&utmdt=After+spiking+earlier+talks%2C+Manchin+agrees+to+a+new+deal+on+climate+and+taxes&utme=8(APIKey)9(MDAxOTAwOTE4MDEyMTkxMDAzNjczZDljZA004)\">\u003c/div>\n\n\u003c/div>\u003c/p>",
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"title": "Epidemiologists Warn the US Reaches a Critical Moment to Contain Monkeypox",
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"content": "\u003cp>On the heels of a public health emergency declaration from the World Health Organization, epidemiologists and public health experts warn the U.S. is running out of time to contain a monkeypox outbreak that has infected nearly 3,000 Americans.\u003c/p>\n\u003cp>“We’re losing daylight,” UCLA epidemiologist Anne Rimoin, who has studied monkeypox for decades, told NPR. “Every day that we aren’t continuing to push forward on all fronts, the less likely it is that we will be able to contain it.”\u003c/p>\n\u003cp>U.S. officials have \u003ca href=\"https://www.npr.org/2022/07/19/1112043780/monkeypox-keeps-spreading-heres-what-authorities-are-doing-to-stop-it\">already expanded testing\u003c/a>, made tens of thousands of vaccines available and made \u003ca href=\"https://www.whitehouse.gov/briefing-room/statements-releases/2022/06/28/fact-sheet-biden-harris-administrations-monkeypox-outbreak-response/\">plans to release another 1.6 million doses\u003c/a> in the coming months.\u003c/p>\n\u003cp>But the limited supplies have not matched demand, \u003ca href=\"https://www.npr.org/2022/07/09/1110667122/there-has-been-a-shortage-of-testing-and-vaccines-for-monkeypox\">some health officials have reported\u003c/a>. And despite limited testing, case numbers have grown so rapidly in recent weeks that a larger response may be necessary to contain the outbreak, experts say – if containment is still possible.[pullquote size=\"medium\" align=\"right\" citation=\"Anne Rimoin, UCLA epidemiologist\"]‘I absolutely think that it can be contained. But whether it will be depends upon the resources dedicated to doing this and the speed with which we can act.’[/pullquote]\u003c/p>\n\u003cp>“It’s going to be tough, but that needs to still be the goal,” Dr. Preeti Malani, an infectious disease specialist at the University of Michigan, told NPR. “What we do in the coming days and weeks will really determine where we are a few months from now.”\u003c/p>\n\u003ch2>The U.S. is closing in on 3,000 cases of monkeypox\u003c/h2>\n\u003cp>Over the weekend, \u003ca href=\"https://www.npr.org/2022/07/23/1113183728/monkeypox-global-health-emergency-who\">the World Health Organization declared the outbreak a public health emergency\u003c/a>. Biden administration officials have said they are discussing whether to declare an emergency in the U.S.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>The discussions represent a change of tone from \u003ca href=\"https://www.npr.org/sections/goatsandsoda/2022/05/18/927043767/rare-monkeypox-outbreak-in-u-k-and-europe-what-is-it-and-should-we-worry\">the beginning of the outbreak in May\u003c/a>. Then, there were only a handful of cases outside of Africa, where the disease is endemic, and health officials in the U.S. and around the world expressed confidence that the disease was containable.\u003c/p>\n\u003cp>As of Friday afternoon, \u003ca href=\"https://www.cdc.gov/poxvirus/monkeypox/response/2022/us-map.html\">the CDC had reported\u003c/a> 2,891 cases of monkeypox in the U.S. – a number \u003ca href=\"https://www.npr.org/sections/health-shots/2022/06/25/1107416457/monkeypox-outbreak-in-us\">more than 10 times higher than a month ago\u003c/a>.\u003c/p>\n\u003cp>The CDC had tests available before this outbreak began – a significant difference from COVID-19 – but \u003ca href=\"https://www.npr.org/sections/health-shots/2022/06/25/1107416457/monkeypox-outbreak-in-us\">experts have complained that the agency is testing cases at too slow a pace\u003c/a>. The Biden administration began shipping tests to commercial laboratories \u003ca href=\"https://www.hhs.gov/about/news/2022/06/22/hhs-expanding-monkeypox-testing-capacity-five-commercial-laboratory-companies.html\">in late June\u003c/a>, with the expectation that testing capacity would be “ramped up” through the month of July.\u003c/p>\n\u003cp>“We are way behind in a lot of aspects, including rapid testing and access to treatment for those patients who might need treatment,” Malani said.\u003c/p>\n\u003cp>More robust contact tracing, too, could help combat the virus.\u003c/p>\n\u003cp>“Ultimately, we cannot vaccinate and treat our way out of monkeypox,” Malani said. “Prevention is critical.”\u003c/p>\n\u003cp>Monkeypox has a long incubation period, she said. After an initial exposure, it can be weeks before symptoms develop. An early heads-up from a robust contact tracing effort could help people exposed to monkeypox isolate and seek tests or vaccines before symptoms appear.\u003c/p>\n\u003cp>The virus most often spreads through prolonged physical contact. It is not a sexually transmitted disease; it can spread through non-sexual physical contact, or by handling clothes or bedding used by an infected person. The disease can also spread via respiratory droplets.\u003c/p>\n\u003cp>Like in other Western countries, the outbreak in the U.S. has mostly affected men who have sex with other men. But the CDC has also reported infections in \u003ca href=\"https://emergency.cdc.gov/coca/ppt/2022/062922_slides.pdf\">a small number of cisgender women\u003c/a>. And on Friday, the agency announced the outbreak’s first documented cases in children – a toddler in California and an infant whose family was traveling in Washington, D.C.\u003c/p>\n\u003ch2>Lessons from COVID-19\u003c/h2>\n\u003cp>The monkeypox outbreak arrived at a time when public awareness of infectious disease is high, experts pointed out. The COVID pandemic has made Americans familiar with public health concepts like isolation, rapid testing and contact tracing.\u003c/p>\n\u003cp>But other lessons from COVID have seemingly not stuck – like how early and how forcefully to take action when an outbreak is still constrained to a handful of people.\u003c/p>\n\u003cp>“I hate to say this, but I feel like ‘here we go again,'” Rebecca Fischer, an infectious disease specialist at Texas A&M University, told NPR.\u003c/p>\n\u003cp>Researchers are quick to point out that \u003ca href=\"https://www.npr.org/2022/05/24/1101003523/monkeypox-covid-19-differences\">the two diseases are very different\u003c/a>. They belong to different families of virus and require different levels of contact to spread. Overall, COVID is more transmissible.\u003c/p>\n\u003cp>[aside label=\"More monkeypox coverage\" tag=\"monkeypox\"] Many of COVID’s lessons could be applied to any infectious disease, Fischer said.\u003c/p>\n\u003cp>“Public health thought that we had learned this great thing – that we need to respond aggressively up front, and with a lot of resources and a lot of attention up front, if we hope to curtail and contain,” Fischer said. “And I get the sense that sort of aggressive upfront action didn’t really happen.”\u003c/p>\n\u003cp>Still, public health officials and epidemiologists alike say that containment could be within reach.\u003c/p>\n\u003cp>Unlike COVID, monkeypox was already a known quantity to researchers before the current outbreak. The disease was first discovered in humans more than 50 years ago, and its similarity to smallpox means smallpox treatments and vaccines are also effective against monkeypox. The U.S. has millions of doses already stockpiled.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>“I absolutely think that it can be contained. But whether it will be depends upon the resources dedicated to doing this and the speed with which we can act,” said Rimoin of UCLA. “It really will require a major concerted effort locally, nationally and globally.”\u003c/p>\n\u003cdiv class=\"fullattribution\">Copyright 2022 NPR. To see more, visit \u003ca href=\"https://www.npr.org\">NPR.org\u003c/a>.\u003cimg decoding=\"async\" src=\"https://www.google-analytics.com/__utm.gif?utmac=UA-5828686-4&utmdt=Epidemiologists+warn+the+U.S.+reaches+a+critical+moment+to+contain+monkeypox&utme=8(APIKey)9(MDAxOTAwOTE4MDEyMTkxMDAzNjczZDljZA004)\">\u003c/div>\n\n",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>On the heels of a public health emergency declaration from the World Health Organization, epidemiologists and public health experts warn the U.S. is running out of time to contain a monkeypox outbreak that has infected nearly 3,000 Americans.\u003c/p>\n\u003cp>“We’re losing daylight,” UCLA epidemiologist Anne Rimoin, who has studied monkeypox for decades, told NPR. “Every day that we aren’t continuing to push forward on all fronts, the less likely it is that we will be able to contain it.”\u003c/p>\n\u003cp>U.S. officials have \u003ca href=\"https://www.npr.org/2022/07/19/1112043780/monkeypox-keeps-spreading-heres-what-authorities-are-doing-to-stop-it\">already expanded testing\u003c/a>, made tens of thousands of vaccines available and made \u003ca href=\"https://www.whitehouse.gov/briefing-room/statements-releases/2022/06/28/fact-sheet-biden-harris-administrations-monkeypox-outbreak-response/\">plans to release another 1.6 million doses\u003c/a> in the coming months.\u003c/p>\n\u003cp>But the limited supplies have not matched demand, \u003ca href=\"https://www.npr.org/2022/07/09/1110667122/there-has-been-a-shortage-of-testing-and-vaccines-for-monkeypox\">some health officials have reported\u003c/a>. And despite limited testing, case numbers have grown so rapidly in recent weeks that a larger response may be necessary to contain the outbreak, experts say – if containment is still possible.\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>The discussions represent a change of tone from \u003ca href=\"https://www.npr.org/sections/goatsandsoda/2022/05/18/927043767/rare-monkeypox-outbreak-in-u-k-and-europe-what-is-it-and-should-we-worry\">the beginning of the outbreak in May\u003c/a>. Then, there were only a handful of cases outside of Africa, where the disease is endemic, and health officials in the U.S. and around the world expressed confidence that the disease was containable.\u003c/p>\n\u003cp>As of Friday afternoon, \u003ca href=\"https://www.cdc.gov/poxvirus/monkeypox/response/2022/us-map.html\">the CDC had reported\u003c/a> 2,891 cases of monkeypox in the U.S. – a number \u003ca href=\"https://www.npr.org/sections/health-shots/2022/06/25/1107416457/monkeypox-outbreak-in-us\">more than 10 times higher than a month ago\u003c/a>.\u003c/p>\n\u003cp>The CDC had tests available before this outbreak began – a significant difference from COVID-19 – but \u003ca href=\"https://www.npr.org/sections/health-shots/2022/06/25/1107416457/monkeypox-outbreak-in-us\">experts have complained that the agency is testing cases at too slow a pace\u003c/a>. The Biden administration began shipping tests to commercial laboratories \u003ca href=\"https://www.hhs.gov/about/news/2022/06/22/hhs-expanding-monkeypox-testing-capacity-five-commercial-laboratory-companies.html\">in late June\u003c/a>, with the expectation that testing capacity would be “ramped up” through the month of July.\u003c/p>\n\u003cp>“We are way behind in a lot of aspects, including rapid testing and access to treatment for those patients who might need treatment,” Malani said.\u003c/p>\n\u003cp>More robust contact tracing, too, could help combat the virus.\u003c/p>\n\u003cp>“Ultimately, we cannot vaccinate and treat our way out of monkeypox,” Malani said. “Prevention is critical.”\u003c/p>\n\u003cp>Monkeypox has a long incubation period, she said. After an initial exposure, it can be weeks before symptoms develop. An early heads-up from a robust contact tracing effort could help people exposed to monkeypox isolate and seek tests or vaccines before symptoms appear.\u003c/p>\n\u003cp>The virus most often spreads through prolonged physical contact. It is not a sexually transmitted disease; it can spread through non-sexual physical contact, or by handling clothes or bedding used by an infected person. The disease can also spread via respiratory droplets.\u003c/p>\n\u003cp>Like in other Western countries, the outbreak in the U.S. has mostly affected men who have sex with other men. But the CDC has also reported infections in \u003ca href=\"https://emergency.cdc.gov/coca/ppt/2022/062922_slides.pdf\">a small number of cisgender women\u003c/a>. And on Friday, the agency announced the outbreak’s first documented cases in children – a toddler in California and an infant whose family was traveling in Washington, D.C.\u003c/p>\n\u003ch2>Lessons from COVID-19\u003c/h2>\n\u003cp>The monkeypox outbreak arrived at a time when public awareness of infectious disease is high, experts pointed out. The COVID pandemic has made Americans familiar with public health concepts like isolation, rapid testing and contact tracing.\u003c/p>\n\u003cp>But other lessons from COVID have seemingly not stuck – like how early and how forcefully to take action when an outbreak is still constrained to a handful of people.\u003c/p>\n\u003cp>“I hate to say this, but I feel like ‘here we go again,'” Rebecca Fischer, an infectious disease specialist at Texas A&M University, told NPR.\u003c/p>\n\u003cp>Researchers are quick to point out that \u003ca href=\"https://www.npr.org/2022/05/24/1101003523/monkeypox-covid-19-differences\">the two diseases are very different\u003c/a>. They belong to different families of virus and require different levels of contact to spread. Overall, COVID is more transmissible.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp> Many of COVID’s lessons could be applied to any infectious disease, Fischer said.\u003c/p>\n\u003cp>“Public health thought that we had learned this great thing – that we need to respond aggressively up front, and with a lot of resources and a lot of attention up front, if we hope to curtail and contain,” Fischer said. “And I get the sense that sort of aggressive upfront action didn’t really happen.”\u003c/p>\n\u003cp>Still, public health officials and epidemiologists alike say that containment could be within reach.\u003c/p>\n\u003cp>Unlike COVID, monkeypox was already a known quantity to researchers before the current outbreak. The disease was first discovered in humans more than 50 years ago, and its similarity to smallpox means smallpox treatments and vaccines are also effective against monkeypox. The U.S. has millions of doses already stockpiled.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>“I absolutely think that it can be contained. But whether it will be depends upon the resources dedicated to doing this and the speed with which we can act,” said Rimoin of UCLA. “It really will require a major concerted effort locally, nationally and globally.”\u003c/p>\n\u003cdiv class=\"fullattribution\">Copyright 2022 NPR. To see more, visit \u003ca href=\"https://www.npr.org\">NPR.org\u003c/a>.\u003cimg decoding=\"async\" src=\"https://www.google-analytics.com/__utm.gif?utmac=UA-5828686-4&utmdt=Epidemiologists+warn+the+U.S.+reaches+a+critical+moment+to+contain+monkeypox&utme=8(APIKey)9(MDAxOTAwOTE4MDEyMTkxMDAzNjczZDljZA004)\">\u003c/div>\n\n\u003c/div>\u003c/p>",
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"title": "County Officials Are Skeptical Over Gov. Newsom's CARE Court Program",
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"content": "\u003cp>In early March, Gov. Gavin Newsom unveiled a controversial proposal to compel people with serious mental health issues into care and housing.\u003c/p>\n\u003cp>Mental health advocates, mayors and family members who stood alongside him at the press conference at a San José behavioral health treatment program heralded the plan, known as CARE Court, as a visionary move.\u003c/p>\n\u003cp>But some county officials say they were stunned.\u003c/p>\n\u003cp>“They really sprung it on everybody,” said Farah McDaid Ting, public affairs director at the California State Association of Counties, who said lawmakers didn’t consult with or even give her organization a heads-up.[pullquote size=\"medium\" align=\"right\" citation=\"Margot Kushel, director, Benioff Homelessness and Housing Initiative, Zuckerberg San Francisco General Hospital and Trauma Center\"]‘I worry if it houses some but leaves others out, are we just reshuffling things?’[/pullquote]\u003c/p>\n\u003cp>Four months later, the bill to establish CARE Court has sailed through all of its policy committees in the Legislature, secured unanimous approval from the Senate in May and is widely expected to become law later this summer. CARE Court — short for \u003ca href=\"https://www.gov.ca.gov/2022/03/03/governor-newsom-launches-new-plan-to-help-californians-struggling-with-mental-health-challenges-homelessness/\">Community Assistance, Recovery and Empowerment Court\u003c/a> — has garnered enthusiastic support from leaders of more than 45 cities, many of whom face fiery criticism over their handling of homelessness. Many family members, who for decades have felt stymied by strict eligibility rules for conservatorship, also are celebrating the new plan.\u003c/p>\n\u003cp>But county representatives continue to ring alarm bells about their ability to implement the proposal, especially as an aggressive timeline comes into focus. A handful of counties have registered support for the proposal, including Marin, Contra Costa and San Diego.\u003c/p>\n\u003cp>Many of the counties’ concerns come in the form of questions: Will the necessary housing be available? Where can they find the outreach workers and therapists needed to serve the population, given massive statewide shortages of both? What happens to all the struggling people who want housing and treatment, and already can’t get it?\u003c/p>\n\u003cp>Disability rights advocates are raising fundamental questions about the very premise of CARE Court: Is it effective to compel people into care? Is involuntary treatment a violation of their civil rights?\u003c/p>\n\u003cp>But many of those who support the concept say the more practical questions feel especially pressing right now, as the Legislature continues its deliberations. While many details are still in flux, the gist of the proposal remains the same as initially outlined. Anyone from family members to first responders could petition a civil court to create a court-ordered care plan for people who meet specific criteria.\u003c/p>\n\u003cp>These include a diagnosis of schizophrenia or other psychotic disorders, along with being at risk of harming themselves or others or being unlikely to survive on their own. Participants would receive legal counsel and a range of mental health services, medication and supportive housing. Following a series of check-ins during a yearlong period, the participant could either graduate or be referred to an additional year of treatment. If a person refuses to comply, or “fails out,” they could be considered by the court for \u003ca href=\"https://calmatters.org/justice/2021/07/britney-spears-conservatorship/\">conservatorship\u003c/a>.\u003c/p>\n\u003cp>Conversations about CARE Court have been peppered with frequent references to people living on California’s sidewalks and under its freeway overpasses. But the administration hasn’t been clear about how much of a dent the proposal would make in the state’s massive homelessness crisis. Prior to the pandemic, more than 161,000 people in the state were estimated to be homeless on any given night; that number has likely grown since. The administration says the program will serve 7,000 to 12,000 people with the most acute mental health needs. Homelessness isn’t a prerequisite to participate.[aside postID=\"news_11916040,news_11914873\" label=\"Related Posts\"]The administration also says the proposal represents a crucial step toward addressing one of the state’s great moral and policy failings: the vast ranks of unhoused people languishing with serious mental illness and without care.\u003c/p>\n\u003cp>“What CARE Court is saying is we must create a pathway wherein these individuals that live in the shadows and often die in the shadows become a priority group,” said Dr. Mark Ghaly, secretary of the California Health and Human Services Agency, who has been championing the program on behalf of the Newsom administration.\u003c/p>\n\u003cp>CARE Court’s supporters say no more time can be wasted. Judge Stephen Manley, who started the state’s first mental health court in Santa Clara County nearly 25 years ago, notes the growing percentage of people in local jails and prisons with serious mental illnesses. Only by mandating that counties prioritize this population, he said, will anything change.\u003c/p>\n\u003cp>“People are always telling me it can’t be done,” he said. “To me it is a tragedy that we repeatedly, year after year after year after year, talk about this issue, do nothing, and all these individuals end up in the criminal justice system.”\u003c/p>\n\u003ch2>Is there enough housing or will there be?\u003c/h2>\n\u003cp>Perhaps the most prominent question that has emerged among legislators and advocates is whether there is enough housing available to get the CARE Court program started.\u003c/p>\n\u003cp>Short answer: No.\u003c/p>\n\u003cp>But the state believes that bringing CARE Court participants to the front of the line, along with making unprecedented investments in housing this year, will allow counties to meet the needs of this population. Opponents fear others awaiting voluntary services will be bumped to the back of the line, leaving their needs to intensify.\u003c/p>\n\u003cp>“I worry if it houses some but leaves others out, are we just reshuffling things?” said Margot Kushel, director of the Benioff Homelessness and Housing Initiative at Zuckerberg San Francisco General Hospital and Trauma Center.\u003c/p>\n\u003cp>While the new budget deal includes $65 million this year and $49 million in ongoing annual funding to cover training, court costs and legal representation, counties say the proposal doesn’t include any new funding for housing or services.\u003c/p>\n\u003cp>“There’s a new door being built onto a small house,” Ting said. “There’s no square footage, there’s no nothing, just a new door. That’s what’s kind of frustrating about the premise.”\u003c/p>\n\u003cp>The administration points skeptics to a $14 billion multiyear homelessness budget put together before the proposal’s announcement — which includes about $5 billion to build thousands of mental health treatment beds and homeless housing. This year’s budget includes $1.5 billion for interim treatment beds to hold patients over while permanent units come online. In response to counties’ concerns that even the bridge beds won’t be ready in time, the bill’s authors recently said counties would be phased into the program over two years, starting in July 2023.\u003c/p>\n\u003cp>Sen. Susan Talamantes Eggman, the bill’s co-author and a Stockton Democrat, says she believes counties are unhappy with the proposal because it finally holds them to account. It requires that they provide the care and housing a participant needs and, if they don’t, face court fines of $1,000 per day. The money, collected by the state treasury, would eventually fund local services for the people CARE Court targets.\u003c/p>\n\u003cp>“We’re not just saying the person has the obligation to accept, we’re saying the system has the obligation to treat,” Eggman said during a recent hearing.\u003c/p>\n\u003cp>Counties counter that these penalties will only take away from their already limited resources to treat people.\u003c/p>\n\u003cp>While the bill says a county has to provide services during the program, courts can’t enforce a participant’s post-graduation plans. Advocates worry that without guaranteed housing, people will wind up back on the streets, in emergency rooms and county jails.\u003c/p>\n\u003cp>“We’re going to release them back into the streets but we expect them to continue to adhere to the care plan and continue to be taking medication,” said Shonique Williams, a statewide organizer for Dignity and Power Now, who opposes the proposal. “But they’re going back into survival mode.”\u003c/p>\n\u003cp>The state doesn’t keep any sort of waitlist or even a count of treatment beds and housing that’s available to people exiting homelessness. As a result, it’s impossible to gauge the exact shortage in each county.\u003c/p>\n\u003cp>But a state-commissioned report released in January found that \u003ca href=\"https://www.dhcs.ca.gov/Pages/Assessing-the-Continuum-of-Care-for-Behavioral-Health-Services-in-California.aspx\">more than 80% of counties need more mental health treatment beds and homeless housing\u003c/a>. A 2021 study from the RAND Corporation, a nonprofit think tank\u003cstrong>,\u003c/strong> showed \u003ca href=\"https://www.rand.org/pubs/research_reports/RRA1824-1-v2.html\">the state lacks 5,000 psychiatric hospital beds and another 3,000 beds at residential treatment facilities and board-and-care homes\u003c/a>. The shortage is most pronounced in the San Joaquin Valley and for patients with additional medical needs.\u003c/p>\n\u003cp>Michelle Doty Cabrera, executive director of the California Behavioral Health Directors Association, said one recent survey showed counties had 14,000 unhoused individuals with serious mental illnesses voluntarily participating in full service partnership programs. But they couldn’t find housing for more than half of these individuals, in part because many were screened out for reasons related to their mental health conditions, she said.\u003c/p>\n\u003cp>In Sacramento County, beds are increasingly rare at board-and-care facilities, where residents receive housing, 24-hour care and three daily meals.\u003c/p>\n\u003cp>“It is a needle in a haystack right now,” said Terry Fiscus, a behavioral health worker at Turning Point, which contracts with the county.\u003c/p>\n\u003cp>The less calm and rule-abiding the patient, the less chance they have of getting or keeping a spot, he said. On top of that, \u003ca href=\"https://calmatters.org/projects/board-and-care-homes-closing-in-california-mental-health-crisis/\">facilities have been closing at a rapid clip\u003c/a> as housing prices soar and government-set reimbursement rates remain stagnant.\u003c/p>\n\u003cp>“There are a lot of people that want to come in all the time. We cannot take them,” said Jeanny Leung, who runs a board-and-care home in Sacramento.\u003c/p>\n\u003cfigure id=\"attachment_11919832\" class=\"wp-caption aligncenter\" style=\"max-width: 800px\">\u003ca href=\"https://ww2.kqed.org/app/uploads/sites/10/2022/07/Screen-Shot-2022-07-18-at-4.32.06-PM.png\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-medium wp-image-11919832\" src=\"https://ww2.kqed.org/app/uploads/sites/10/2022/07/Screen-Shot-2022-07-18-at-4.32.06-PM-800x526.png\" alt=\"A woman wearing a purple/pink shirt with designs stands outside with bushes behind her.\" width=\"800\" height=\"526\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2022/07/Screen-Shot-2022-07-18-at-4.32.06-PM-800x526.png 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2022/07/Screen-Shot-2022-07-18-at-4.32.06-PM-1020x671.png 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2022/07/Screen-Shot-2022-07-18-at-4.32.06-PM-160x105.png 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2022/07/Screen-Shot-2022-07-18-at-4.32.06-PM-1536x1011.png 1536w, https://cdn.kqed.org/wp-content/uploads/sites/10/2022/07/Screen-Shot-2022-07-18-at-4.32.06-PM.png 1544w\" sizes=\"(max-width: 800px) 100vw, 800px\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">Jeanny Leung outside Praise Care Home in Sacramento on Thursday, June 23, 2022. \u003ccite>(Nina Riggio/CalMatters)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003ch2>‘Squeezing blood from a turnip’\u003c/h2>\n\u003cp>Housing isn’t the only big concern counties are raising. To run, CARE Court requires staff and resources.\u003c/p>\n\u003cp>Some counties say they fear that, without new funding, the program will end up draining resources from other populations, potentially including children and youth.\u003c/p>\n\u003cp>Cabrera, of the California Behavioral Health Directors Association, uses phrases like “squeezing blood from a turnip” and “robbing Peter to pay Paul.”\u003c/p>\n\u003cp>“We’re at our limit in terms of what we can do,” she said. “We need more resources to do more.”\u003c/p>\n\u003cp>The proposal’s proponents argue that there’s plenty of money to get things up and running. They say county mental health systems have had a huge influx of taxpayer dollars in the past two years, thanks to the Mental Health Services Act, a 1% tax on incomes over $1 million that was enacted in 2004.\u003c/p>\n\u003cp>“Our millionaires in California seem to be doing very well for themselves,” said Karen Larsen, CEO of the Steinberg Institute, a nonprofit focusing on mental health policy, which supports the proposal. She notes that revenues from the tax have hit historic highs — they were at more than $4 billion this past year.\u003c/p>\n\u003cp>For two decades prior to assuming her current role, Larsen served as director of Yolo County’s Health and Human Services Agency. She believes counties can afford the costs of the new program.\u003c/p>\n\u003cp>“If they can prove they don’t have enough resources, I’d love to see it,” she said.\u003c/p>\n\u003cp>Phebe Bell, Nevada County’s behavioral health director, said she was indeed able to tap the influx of Mental Health Services Act funding to purchase a new house, providing beds for six people who were unhoused. But strict rules often limit what that pot of money can be used for, she said.\u003c/p>\n\u003cp>If the county has to pivot to focus on CARE Court mandates, she worries about who won’t be served.\u003c/p>\n\u003cp>“Many of our people are only stable because we have someone coming twice a day to deliver their meds and check in with them and make sure their furniture is upright,” she said.\u003c/p>\n\u003cp>When her county examined their full service partnership program, they found that more than a third of the 78 people in their program at any given moment were inadequately housed, with many sleeping on the streets.\u003c/p>\n\u003cp>“I don’t have a single empty bed in our system of care,” she said. “Who exactly are we incorrectly prioritizing in our work right now?”\u003c/p>\n\u003cp>Both sides agree on one specific challenge: a massive shortage of mental health providers.\u003c/p>\n\u003cp>At the beginning of the pandemic, many counties worried they’d face significant shortfalls and preemptively laid off mental health workers.\u003c/p>\n\u003cp>Now, as need surges, staffing has simply not kept pace. Counties are finding themselves losing bidding wars for therapists being courted by everyone from school districts to telehealth start-ups to major providers like Kaiser. Burnout is driving others from the field entirely.\u003c/p>\n\u003cp>Some counties now face vacancy rates of 30% to 40% in their behavioral health workforce, and many of the nonprofits they contract with are in the same situation, Larsen said.\u003c/p>\n\u003cp>“I think it’s the biggest issue we face in mental health and substance use right now,” she said.\u003c/p>\n\u003cp>This year’s budget includes $1.5 billion to build out the state’s entire health care workforce, including hundreds of millions that target behavioral health.\u003c/p>\n\u003cp>The state’s public guardians and conservators also have eyed the CARE Court proposal warily. While they are not officially affected by the proposal, they say they expect the program could lead to a surge in new referrals.\u003c/p>\n\u003cp>The programs are already severely underfunded and understaffed, said Scarlet Hughes, executive director of the California State Association of Public Administrators, Public Guardians, and Public Conservators. Right now, caseloads hover at 65 to 85 individuals per caseworker, though in some counties they’re as high as 135. That translates into visiting a client every three or four months, she said.\u003c/p>\n\u003cp>“Any impact to our members is going to be significant because they’re underwater already,” she said.\u003c/p>\n\u003ch2>What’s next?\u003c/h2>\n\u003cp>Questions over implementation, in addition to the ongoing debate over civil liberties, have been woven through CARE Court’s journey from the start. That hasn’t stopped the Legislature from voting overwhelmingly in the bill’s favor. It is expected to easily clear its final hurdles: an appropriations vote later this summer, a floor-wide vote in the Assembly and a signature from the author, the governor himself.\u003c/p>\n\u003cp>But despite their ongoing questions, counties have conceded that CARE Court is coming whether they like it or not. They know they’re not likely getting any more money for housing and staffing. For now, they’re using the appropriations process to \u003ca href=\"https://www.counties.org/sites/main/files/file-attachments/sb_1338_joint_concerns_asm_approps_letter_7-13-22.pdf?1657743565\">petition for more time and tools\u003c/a> to implement the program.\u003c/p>\n\u003cp>The administration acknowledges that counties around the state face severe shortages. But it remains committed to the idea of a better way to serve the people who are struggling the most.\u003c/p>\n\u003cp>“California has done this before,” Ghaly said. “We’ve stepped up for the most vulnerable, the most overlooked many, many times. And we can do it again.”\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>[ad floatright]\u003c/p>\n",
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"excerpt": "While lawmakers are still enthusiastic about Gov. Gavin Newsom's CARE Court, county officials are worried they don't have the resources to implement the idea.",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>In early March, Gov. Gavin Newsom unveiled a controversial proposal to compel people with serious mental health issues into care and housing.\u003c/p>\n\u003cp>Mental health advocates, mayors and family members who stood alongside him at the press conference at a San José behavioral health treatment program heralded the plan, known as CARE Court, as a visionary move.\u003c/p>\n\u003cp>But some county officials say they were stunned.\u003c/p>\n\u003cp>“They really sprung it on everybody,” said Farah McDaid Ting, public affairs director at the California State Association of Counties, who said lawmakers didn’t consult with or even give her organization a heads-up.\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>Four months later, the bill to establish CARE Court has sailed through all of its policy committees in the Legislature, secured unanimous approval from the Senate in May and is widely expected to become law later this summer. CARE Court — short for \u003ca href=\"https://www.gov.ca.gov/2022/03/03/governor-newsom-launches-new-plan-to-help-californians-struggling-with-mental-health-challenges-homelessness/\">Community Assistance, Recovery and Empowerment Court\u003c/a> — has garnered enthusiastic support from leaders of more than 45 cities, many of whom face fiery criticism over their handling of homelessness. Many family members, who for decades have felt stymied by strict eligibility rules for conservatorship, also are celebrating the new plan.\u003c/p>\n\u003cp>But county representatives continue to ring alarm bells about their ability to implement the proposal, especially as an aggressive timeline comes into focus. A handful of counties have registered support for the proposal, including Marin, Contra Costa and San Diego.\u003c/p>\n\u003cp>Many of the counties’ concerns come in the form of questions: Will the necessary housing be available? Where can they find the outreach workers and therapists needed to serve the population, given massive statewide shortages of both? What happens to all the struggling people who want housing and treatment, and already can’t get it?\u003c/p>\n\u003cp>Disability rights advocates are raising fundamental questions about the very premise of CARE Court: Is it effective to compel people into care? Is involuntary treatment a violation of their civil rights?\u003c/p>\n\u003cp>But many of those who support the concept say the more practical questions feel especially pressing right now, as the Legislature continues its deliberations. While many details are still in flux, the gist of the proposal remains the same as initially outlined. Anyone from family members to first responders could petition a civil court to create a court-ordered care plan for people who meet specific criteria.\u003c/p>\n\u003cp>These include a diagnosis of schizophrenia or other psychotic disorders, along with being at risk of harming themselves or others or being unlikely to survive on their own. Participants would receive legal counsel and a range of mental health services, medication and supportive housing. Following a series of check-ins during a yearlong period, the participant could either graduate or be referred to an additional year of treatment. If a person refuses to comply, or “fails out,” they could be considered by the court for \u003ca href=\"https://calmatters.org/justice/2021/07/britney-spears-conservatorship/\">conservatorship\u003c/a>.\u003c/p>\n\u003cp>Conversations about CARE Court have been peppered with frequent references to people living on California’s sidewalks and under its freeway overpasses. But the administration hasn’t been clear about how much of a dent the proposal would make in the state’s massive homelessness crisis. Prior to the pandemic, more than 161,000 people in the state were estimated to be homeless on any given night; that number has likely grown since. The administration says the program will serve 7,000 to 12,000 people with the most acute mental health needs. Homelessness isn’t a prerequisite to participate.\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>The administration also says the proposal represents a crucial step toward addressing one of the state’s great moral and policy failings: the vast ranks of unhoused people languishing with serious mental illness and without care.\u003c/p>\n\u003cp>“What CARE Court is saying is we must create a pathway wherein these individuals that live in the shadows and often die in the shadows become a priority group,” said Dr. Mark Ghaly, secretary of the California Health and Human Services Agency, who has been championing the program on behalf of the Newsom administration.\u003c/p>\n\u003cp>CARE Court’s supporters say no more time can be wasted. Judge Stephen Manley, who started the state’s first mental health court in Santa Clara County nearly 25 years ago, notes the growing percentage of people in local jails and prisons with serious mental illnesses. Only by mandating that counties prioritize this population, he said, will anything change.\u003c/p>\n\u003cp>“People are always telling me it can’t be done,” he said. “To me it is a tragedy that we repeatedly, year after year after year after year, talk about this issue, do nothing, and all these individuals end up in the criminal justice system.”\u003c/p>\n\u003ch2>Is there enough housing or will there be?\u003c/h2>\n\u003cp>Perhaps the most prominent question that has emerged among legislators and advocates is whether there is enough housing available to get the CARE Court program started.\u003c/p>\n\u003cp>Short answer: No.\u003c/p>\n\u003cp>But the state believes that bringing CARE Court participants to the front of the line, along with making unprecedented investments in housing this year, will allow counties to meet the needs of this population. Opponents fear others awaiting voluntary services will be bumped to the back of the line, leaving their needs to intensify.\u003c/p>\n\u003cp>“I worry if it houses some but leaves others out, are we just reshuffling things?” said Margot Kushel, director of the Benioff Homelessness and Housing Initiative at Zuckerberg San Francisco General Hospital and Trauma Center.\u003c/p>\n\u003cp>While the new budget deal includes $65 million this year and $49 million in ongoing annual funding to cover training, court costs and legal representation, counties say the proposal doesn’t include any new funding for housing or services.\u003c/p>\n\u003cp>“There’s a new door being built onto a small house,” Ting said. “There’s no square footage, there’s no nothing, just a new door. That’s what’s kind of frustrating about the premise.”\u003c/p>\n\u003cp>The administration points skeptics to a $14 billion multiyear homelessness budget put together before the proposal’s announcement — which includes about $5 billion to build thousands of mental health treatment beds and homeless housing. This year’s budget includes $1.5 billion for interim treatment beds to hold patients over while permanent units come online. In response to counties’ concerns that even the bridge beds won’t be ready in time, the bill’s authors recently said counties would be phased into the program over two years, starting in July 2023.\u003c/p>\n\u003cp>Sen. Susan Talamantes Eggman, the bill’s co-author and a Stockton Democrat, says she believes counties are unhappy with the proposal because it finally holds them to account. It requires that they provide the care and housing a participant needs and, if they don’t, face court fines of $1,000 per day. The money, collected by the state treasury, would eventually fund local services for the people CARE Court targets.\u003c/p>\n\u003cp>“We’re not just saying the person has the obligation to accept, we’re saying the system has the obligation to treat,” Eggman said during a recent hearing.\u003c/p>\n\u003cp>Counties counter that these penalties will only take away from their already limited resources to treat people.\u003c/p>\n\u003cp>While the bill says a county has to provide services during the program, courts can’t enforce a participant’s post-graduation plans. Advocates worry that without guaranteed housing, people will wind up back on the streets, in emergency rooms and county jails.\u003c/p>\n\u003cp>“We’re going to release them back into the streets but we expect them to continue to adhere to the care plan and continue to be taking medication,” said Shonique Williams, a statewide organizer for Dignity and Power Now, who opposes the proposal. “But they’re going back into survival mode.”\u003c/p>\n\u003cp>The state doesn’t keep any sort of waitlist or even a count of treatment beds and housing that’s available to people exiting homelessness. As a result, it’s impossible to gauge the exact shortage in each county.\u003c/p>\n\u003cp>But a state-commissioned report released in January found that \u003ca href=\"https://www.dhcs.ca.gov/Pages/Assessing-the-Continuum-of-Care-for-Behavioral-Health-Services-in-California.aspx\">more than 80% of counties need more mental health treatment beds and homeless housing\u003c/a>. A 2021 study from the RAND Corporation, a nonprofit think tank\u003cstrong>,\u003c/strong> showed \u003ca href=\"https://www.rand.org/pubs/research_reports/RRA1824-1-v2.html\">the state lacks 5,000 psychiatric hospital beds and another 3,000 beds at residential treatment facilities and board-and-care homes\u003c/a>. The shortage is most pronounced in the San Joaquin Valley and for patients with additional medical needs.\u003c/p>\n\u003cp>Michelle Doty Cabrera, executive director of the California Behavioral Health Directors Association, said one recent survey showed counties had 14,000 unhoused individuals with serious mental illnesses voluntarily participating in full service partnership programs. But they couldn’t find housing for more than half of these individuals, in part because many were screened out for reasons related to their mental health conditions, she said.\u003c/p>\n\u003cp>In Sacramento County, beds are increasingly rare at board-and-care facilities, where residents receive housing, 24-hour care and three daily meals.\u003c/p>\n\u003cp>“It is a needle in a haystack right now,” said Terry Fiscus, a behavioral health worker at Turning Point, which contracts with the county.\u003c/p>\n\u003cp>The less calm and rule-abiding the patient, the less chance they have of getting or keeping a spot, he said. On top of that, \u003ca href=\"https://calmatters.org/projects/board-and-care-homes-closing-in-california-mental-health-crisis/\">facilities have been closing at a rapid clip\u003c/a> as housing prices soar and government-set reimbursement rates remain stagnant.\u003c/p>\n\u003cp>“There are a lot of people that want to come in all the time. We cannot take them,” said Jeanny Leung, who runs a board-and-care home in Sacramento.\u003c/p>\n\u003cfigure id=\"attachment_11919832\" class=\"wp-caption aligncenter\" style=\"max-width: 800px\">\u003ca href=\"https://ww2.kqed.org/app/uploads/sites/10/2022/07/Screen-Shot-2022-07-18-at-4.32.06-PM.png\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-medium wp-image-11919832\" src=\"https://ww2.kqed.org/app/uploads/sites/10/2022/07/Screen-Shot-2022-07-18-at-4.32.06-PM-800x526.png\" alt=\"A woman wearing a purple/pink shirt with designs stands outside with bushes behind her.\" width=\"800\" height=\"526\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2022/07/Screen-Shot-2022-07-18-at-4.32.06-PM-800x526.png 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2022/07/Screen-Shot-2022-07-18-at-4.32.06-PM-1020x671.png 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2022/07/Screen-Shot-2022-07-18-at-4.32.06-PM-160x105.png 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2022/07/Screen-Shot-2022-07-18-at-4.32.06-PM-1536x1011.png 1536w, https://cdn.kqed.org/wp-content/uploads/sites/10/2022/07/Screen-Shot-2022-07-18-at-4.32.06-PM.png 1544w\" sizes=\"(max-width: 800px) 100vw, 800px\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">Jeanny Leung outside Praise Care Home in Sacramento on Thursday, June 23, 2022. \u003ccite>(Nina Riggio/CalMatters)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003ch2>‘Squeezing blood from a turnip’\u003c/h2>\n\u003cp>Housing isn’t the only big concern counties are raising. To run, CARE Court requires staff and resources.\u003c/p>\n\u003cp>Some counties say they fear that, without new funding, the program will end up draining resources from other populations, potentially including children and youth.\u003c/p>\n\u003cp>Cabrera, of the California Behavioral Health Directors Association, uses phrases like “squeezing blood from a turnip” and “robbing Peter to pay Paul.”\u003c/p>\n\u003cp>“We’re at our limit in terms of what we can do,” she said. “We need more resources to do more.”\u003c/p>\n\u003cp>The proposal’s proponents argue that there’s plenty of money to get things up and running. They say county mental health systems have had a huge influx of taxpayer dollars in the past two years, thanks to the Mental Health Services Act, a 1% tax on incomes over $1 million that was enacted in 2004.\u003c/p>\n\u003cp>“Our millionaires in California seem to be doing very well for themselves,” said Karen Larsen, CEO of the Steinberg Institute, a nonprofit focusing on mental health policy, which supports the proposal. She notes that revenues from the tax have hit historic highs — they were at more than $4 billion this past year.\u003c/p>\n\u003cp>For two decades prior to assuming her current role, Larsen served as director of Yolo County’s Health and Human Services Agency. She believes counties can afford the costs of the new program.\u003c/p>\n\u003cp>“If they can prove they don’t have enough resources, I’d love to see it,” she said.\u003c/p>\n\u003cp>Phebe Bell, Nevada County’s behavioral health director, said she was indeed able to tap the influx of Mental Health Services Act funding to purchase a new house, providing beds for six people who were unhoused. But strict rules often limit what that pot of money can be used for, she said.\u003c/p>\n\u003cp>If the county has to pivot to focus on CARE Court mandates, she worries about who won’t be served.\u003c/p>\n\u003cp>“Many of our people are only stable because we have someone coming twice a day to deliver their meds and check in with them and make sure their furniture is upright,” she said.\u003c/p>\n\u003cp>When her county examined their full service partnership program, they found that more than a third of the 78 people in their program at any given moment were inadequately housed, with many sleeping on the streets.\u003c/p>\n\u003cp>“I don’t have a single empty bed in our system of care,” she said. “Who exactly are we incorrectly prioritizing in our work right now?”\u003c/p>\n\u003cp>Both sides agree on one specific challenge: a massive shortage of mental health providers.\u003c/p>\n\u003cp>At the beginning of the pandemic, many counties worried they’d face significant shortfalls and preemptively laid off mental health workers.\u003c/p>\n\u003cp>Now, as need surges, staffing has simply not kept pace. Counties are finding themselves losing bidding wars for therapists being courted by everyone from school districts to telehealth start-ups to major providers like Kaiser. Burnout is driving others from the field entirely.\u003c/p>\n\u003cp>Some counties now face vacancy rates of 30% to 40% in their behavioral health workforce, and many of the nonprofits they contract with are in the same situation, Larsen said.\u003c/p>\n\u003cp>“I think it’s the biggest issue we face in mental health and substance use right now,” she said.\u003c/p>\n\u003cp>This year’s budget includes $1.5 billion to build out the state’s entire health care workforce, including hundreds of millions that target behavioral health.\u003c/p>\n\u003cp>The state’s public guardians and conservators also have eyed the CARE Court proposal warily. While they are not officially affected by the proposal, they say they expect the program could lead to a surge in new referrals.\u003c/p>\n\u003cp>The programs are already severely underfunded and understaffed, said Scarlet Hughes, executive director of the California State Association of Public Administrators, Public Guardians, and Public Conservators. Right now, caseloads hover at 65 to 85 individuals per caseworker, though in some counties they’re as high as 135. That translates into visiting a client every three or four months, she said.\u003c/p>\n\u003cp>“Any impact to our members is going to be significant because they’re underwater already,” she said.\u003c/p>\n\u003ch2>What’s next?\u003c/h2>\n\u003cp>Questions over implementation, in addition to the ongoing debate over civil liberties, have been woven through CARE Court’s journey from the start. That hasn’t stopped the Legislature from voting overwhelmingly in the bill’s favor. It is expected to easily clear its final hurdles: an appropriations vote later this summer, a floor-wide vote in the Assembly and a signature from the author, the governor himself.\u003c/p>\n\u003cp>But despite their ongoing questions, counties have conceded that CARE Court is coming whether they like it or not. They know they’re not likely getting any more money for housing and staffing. For now, they’re using the appropriations process to \u003ca href=\"https://www.counties.org/sites/main/files/file-attachments/sb_1338_joint_concerns_asm_approps_letter_7-13-22.pdf?1657743565\">petition for more time and tools\u003c/a> to implement the program.\u003c/p>\n\u003cp>The administration acknowledges that counties around the state face severe shortages. But it remains committed to the idea of a better way to serve the people who are struggling the most.\u003c/p>\n\u003cp>“California has done this before,” Ghaly said. “We’ve stepped up for the most vulnerable, the most overlooked many, many times. And we can do it again.”\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"slug": "still-a-public-health-emergency-with-ba-5-covid-variant-on-rise-heres-what-you-need-to-know",
"title": "'Still a Public Health Emergency': With BA.5 COVID Variant On Rise, Here's What You Need to Know",
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"headTitle": "‘Still a Public Health Emergency’: With BA.5 COVID Variant On Rise, Here’s What You Need to Know | KQED",
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"content": "\u003cp>The Bay Area is finally trying to have a normal, pandemic-free summer. And we seem to be inching closer. But it’s still not quite working out as planned.\u003c/p>\n\u003cp>The most recent culprit: the highly transmissible \u003ca href=\"https://www.npr.org/2022/07/11/1110804098/omicron-ba5-variant-covid-reinfections\">BA.5 omicron subvariant\u003c/a>, now \u003ca href=\"https://covid.cdc.gov/covid-data-tracker/#variant-proportions\">the dominant strain of COVID-19\u003c/a> across the country and the region. Unlike other strains, this one appears to be largely impervious to the antibodies that people may have gained from previous COVID infections, resulting in noticeably higher rates of reinfection.\u003c/p>\n\u003cp>BA.5 is also four times more resistant to COVID-19 vaccines, according to a new\u003ca href=\"https://newsnetwork.mayoclinic.org/discussion/what-you-need-to-know-about-the-ba-5-omicron-variant/\"> Mayo Clinic study\u003c/a>, which categorizes the variant as “hypercontagious.” (Vaccines, however, still provide people with \u003ca href=\"https://www.npr.org/2022/07/15/1111648759/covid-19-coronavirus-omicron-variant-ba5-cdc-vaccines-masks-mayo-clinic\">much better protection\u003c/a>.)\u003c/p>\n\u003cp>That, in turn, has sparked a moderate surge in cases and hospitalizations in the Bay Area and beyond — nothing like the one we experienced last winter, but still enough to stoke some concern and warrant a heightened degree of caution.\u003c/p>\n\u003cp>To make some sense of the latest phase in this seemingly endless pandemic, Forum host Alexis Madrigal spoke earlier this week with Dr. Bob Wachter, chair of the UCSF Department of Medicine, and Dr. Yvonne “Bonnie” Maldonado, a professor of pediatrics and epidemiology at Stanford University School of Medicine. The two medical experts spent the hour answering a slew of questions from listeners, some of which are highlighted below.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>\u003cem>The following has been edited for brevity and clarity.\u003c/em>\u003c/p>\n\u003ch2>On what has — and hasn’t — changed\u003c/h2>\n\u003cp>\u003cb>More than two years into this thing, what \u003c/b>\u003cem style=\"font-weight: bold\">hasn’t\u003c/em>\u003cb> changed about the pandemic and our response to it?\u003c/b>[pullquote align=\"right\" size=\"medium\" citation=\"Dr. Bob Wachter, UCSF\"]‘We’ve never seen anything quite like this virus before. Everyone is at some level of risk. Everybody has to do this three-dimensional chess game pretty much every day to try to figure out what’s safe to do, what’s not safe to do.’[/pullquote]\u003cstrong>Dr. Bob Wachter\u003c/strong>: We’ve never seen anything quite like this virus before. Everyone is at some level of risk. Everybody has to do this three-dimensional chess game pretty much every day to try to figure out what’s safe to do, what’s not safe to do. It’s causing massive disruption of our society and a lot of anxiety. So that hasn’t changed.\u003c/p>\n\u003cp>But a lot of the aspects of the virus have changed in terms of how infectious it is, how our immunity is working against it, and how severe it is. I think it’s very hard for people to process all of this, in part because we came to some of these understandings kind of the hard way. And once you’ve come to them, it’s hard to give them up as the facts change on the ground — and a lot of the facts have changed.\u003c/p>\n\u003cp>\u003cstrong>Dr. Yvonne Maldonado\u003c/strong>: This is still a public health emergency. As you know, the Biden administration just decided to extend our public health emergency that started in January 2020. That situation is not different. It is still a very deadly disease when you compare it to any other circulating viral illness that we see today.\u003c/p>\n\u003cp>It’s still worse than, say, our annual influenza epidemic. So it’s still a force to be dealt with.\u003c/p>\n\u003cp>Unfortunately, what has changed is our risk perception. We’re very good at getting used to lots of things that we feel like we can’t control. And that’s the problem. We think we can’t control this and we really can. We need to keep it high on the list of things you should do to keep yourself and your loved ones healthy.\u003c/p>\n\u003ch2>On kids and school\u003c/h2>\n\u003cp>\u003cstrong>What do we know now about kids and COVID that maybe we didn’t understand earlier in the pandemic?\u003c/strong>\u003c/p>\n\u003cp>\u003cstrong>Dr. Maldonado\u003c/strong>: We heard initially that children don’t get infected. That’s not true. That they don’t get sick. That’s also not true. And that they can’t transmit to others. That’s also not true.\u003c/p>\n\u003cp>Almost every single day since the beginning of the pandemic we’ve had children admitted to our hospital, not just with COVID [discovered after they’re admitted for something else], but \u003cem>for\u003c/em> COVID. And so it’s a serious disease — and not just runny noses and coughs.\u003c/p>\n\u003cp>Unfortunately, what we’re seeing in kids is over 13 million cases with tens of thousands of hospitalizations since the beginning of the pandemic, just in the United States. And over 1,500 children who have died.\u003c/p>\n\u003cp>Some people say that, you know, that pales in comparison to deaths in adults. But still, this virus is in the top five causes of death right now in the U.S. for every single age group under 18. So when you break down the cases, it may be that the numbers look small, but they are the most preventable causes of death that we have right now in children.\u003c/p>\n\u003cp>\u003cstrong>What advice do you have for parents about how to safely send their kids back to school this fall? \u003c/strong>\u003c/p>\n\u003cp>\u003cb>Dr. \u003cstrong>Maldonado\u003c/strong>\u003c/b>: Let me just start off by saying that what’s really changed is we have lots of vaccine options now for children. The FDA and the CDC just approved vaccines for everybody six months of age and older, similar to the flu.[pullquote align=\"right\" size=\"medium\" citation=\"Dr. Yvonne Maldonado, Stanford University School of Medicine\"]‘Everybody now who is in school should be able to be vaccinated, and that is going to be really a great way to get kids back in, get them learning again.’[/pullquote]I would even make it a rule that classrooms should be, if not enforcing vaccinations, at least tracking them, masking, and other kinds of mitigation in the classroom. Because we know that these vaccines can maybe not fully prevent infections, but can prevent serious complications.\u003c/p>\n\u003cp>And the other issue, as we heard before, is that BA.5 is very infectious. We don’t know what’s going to happen in the fall. We think there’s a new variant now called BA.2.75 that seems to be working its way across the world and appears to be \u003cem>even more\u003c/em> contagious. And it also actually has a number of more mutations in the spike protein that attaches to human cells. So it could also have more immune evasion.\u003c/p>\n\u003cp>So I can’t imagine there wouldn’t be new variants coming along in the fall. Just make sure kids are masked when they’re in school, make sure ventilation works in classrooms. Everybody now who is in school should be able to be vaccinated, and that is going to be really a great way to get kids back in, get them learning again.\u003c/p>\n\u003ch2>On boosters, antivirals and other drugs\u003c/h2>\n\u003cp>\u003cb>Should I get the second booster now, or wait for the new ones that may be available this fall? \u003c/b>\u003c/p>\n\u003cp>\u003cstrong>Dr. Wachter\u003c/strong>: Yes, I think you should get it now [even if you’ve recently recovered from COVID]. The data on the value of the second booster is more and more persuasive. A recent study showed that the mortality rate was one-fourth if you’ve gotten the second booster versus the first. That first booster was incredibly valuable and you definitely need to get the first one. But if you got it more than six months ago, its efficacy has waned in the face of the new variant that evades immunity better. So I’m recommending that people get it.\u003c/p>\n\u003cp>We’re also not sure how much better the rejiggered booster will be in the fall. And I can’t see a circumstance where you get boosted this week with booster No. 2 and somehow you’re not then able to get a better booster that comes out in November. So I think for anybody over 50, definitely get it.\u003c/p>\n\u003cp>\u003cstrong>What are your current thoughts about Paxlovid, the antiviral therapy? Some people have reported a “Paxlovid rebound,” in which they take it, it appears to work quite well and then they end up testing positive for a long time. \u003c/strong>\u003c/p>\n\u003cp>\u003cstrong>Dr. Wachter\u003c/strong>: Yes, I’m still prescribing it. Yes, I think it’s a useful drug, even though it seems like this rebound is happening all over the place.\u003c/p>\n\u003cp>What it is: You test positive, you start on this antiviral drug, Paxlovid. You take it for five days, you turn negative, you feel better. And then sometimes, a few days later, you often start feeling crummy again and you test positive again.[aside label=\"related coverage\" tag=\"covid\"]The good news about it is in pretty much every case I’ve heard of, it only lasts for four, five, six days. I’ve not heard of a severe rebound case, meaning that someone got so sick on that rebound that they needed to go to the hospital.\u003c/p>\n\u003cp>You \u003cem>are\u003c/em> infectious during the rebound. I definitely know of cases where people have infected other folks, so you have to go back into isolation.\u003c/p>\n\u003cp>Why it’s happening, nobody knows exactly. How to prevent it, nobody knows that either.\u003c/p>\n\u003cp>And is it bad enough to not use the drug? I still think that the best clinical trial of the drug said it lowers the hospitalization rate among high-risk people by 90%. So for someone who’s at higher risk, I would definitely use it. I’m a little bit on the fence for a fully vaccinated boosted person who, let’s say, is younger than about 60. I probably wouldn’t. I’m 64. If I got COVID today, I probably would.\u003c/p>\n\u003cp>Long answer: I think I’d still use it, but I’m a little bit more concerned about it than I was before.\u003c/p>\n\u003cp>\u003cstrong>What’s your advice now for people with specific underlying immune conditions?\u003c/strong>\u003c/p>\n\u003cp>\u003cstrong>Dr. Maldonado\u003c/strong>: A monoclonal antibody combination called \u003ca href=\"https://www.fda.gov/news-events/press-announcements/coronavirus-covid-19-update-fda-authorizes-new-long-acting-monoclonal-antibodies-pre-exposure\">Evusheld\u003c/a> is available. We know there’s plenty of supply. It’s available for people who have underlying specific immune conditions that don’t allow them to make a good antibody response, whether they’re vaccinated or not, or for people who can’t get vaccinated, which is less common.\u003c/p>\n\u003cp>That antibody combination is extremely effective at protecting people. It’s an injection that they can get once every six months or so, and that can be highly protective. So on top of mitigation, I do think people should consult their providers. And if their providers are not aware of Evusheld, they should ask them to seek counsel from, say, a public health agency or a specialist who knows about it. Because it’s highly efficient in protecting people and being able to let them and their families go out and live their lives.\u003c/p>\n\u003ch2>On travel, recreation and invincibility\u003c/h2>\n\u003cp>\u003cstrong>I’m 71 with no co-morbidities, and have a trip planned to Morocco and Italy in the fall. Do I go?\u003c/strong>\u003c/p>\n\u003cp>\u003cstrong>Dr. Wachter\u003c/strong>: Yes. I think that this virus is going to be with us for the foreseeable future. I think limiting your life in terms of not traveling, I don’t think makes any sense — especially if you’re going places where the prevalence is less than it is in California. I think traveling is fine.[pullquote align=\"right\" size=\"medium\" citation=\"Dr. Bob Wachter, UCSF\"]‘I think that this virus is going to be with us for the foreseeable future. I think limiting your life in terms of not traveling, I don’t think makes any sense.’[/pullquote]I think that wherever you are, whether you’re in San Francisco or in Morocco, being in a crowded indoor space where there’s a lot of virus around, you should wear a good mask. When you can eat outside rather than inside, you should. Traveling is not the main risk. It really is how much virus there is in the community. And there’s really no place you can go where you \u003cem>can’t\u003c/em> keep yourself safe if you’re vaccinated, boosted and are careful when you’re in crowded indoor spaces.\u003c/p>\n\u003cp>\u003cstrong>How safe is swimming in an outdoor public pool?\u003c/strong>\u003c/p>\n\u003cp>\u003cstrong>Dr. Wachter\u003c/strong>: I’m pretty sure it’s totally safe. I’ve not heard of a case transmitted that way, and I wouldn’t worry about that at all.\u003c/p>\n\u003cp>\u003cstrong>Is outdoor transmissibility more of a concern with BA.5?\u003cbr>\n\u003c/strong>\u003c/p>\n\u003cp>\u003cstrong>Dr. Maldonado\u003c/strong>: No question. We know that with what we call the immediate reproductive number — the ability to infect others — the original virus was probably around the order of 1 to 2. This virus, the BA.4 and BA.5, is at a rate of about 3 to 4. So this virus can really infect almost twice as many people as the original virus did. And it’s not only more transmissible, but also can escape prior immunity. So I do think that it could be acquired at a farmers market if you’re around a lot of people.\u003c/p>\n\u003cp>\u003cstrong>Why do some people seem good at being able to avoid getting COVID, even after multiple exposures?\u003c/strong>\u003c/p>\n\u003cp>\u003cb>Dr. Wachter\u003c/b>: It’s probably some combination of your immune system, things we don’t understand, and luck. The household attack rate — that is, the chances you’ll get COVID if a member of your household has it — is probably 30% to 40%, maybe a little higher now with the more infectious variant.\u003c/p>\n\u003cp>So, people sometimes believe, “I must have some immunity superpower because my partner had it and I didn’t get it.” That’s just the way it goes. And there’s a level of randomness that we don’t understand. But there’s also probably something about individual immune systems that make a difference.\u003c/p>\n\u003cp>I’ve been fairly careful, but my wife had it three months ago. I was exposed to her for a full day before we knew that she had it. And I managed to dodge the bullet. So I’ve never been prouder of my immune system, but I assume most of that was luck. And if I had enough exposures like that, eventually I would get it.\u003c/p>\n\u003ch2>On risk for seniors\u003c/h2>\n\u003cp>\u003cstrong>Given how dangerous loneliness can be for elderly people, should retirement communities and nursing homes still continue to shut down communal dining and other activities when new COVID cases are reported?\u003c/strong>\u003c/p>\n\u003cp>\u003cb>Dr. Wachter\u003c/b>: I spoke last night at a multilevel retirement community in San Francisco that has seen a fair amount of COVID, but where not many people have gotten very sick. And they’ve kept the communal dining open.\u003c/p>\n\u003cp>The point I made is that life is short and we have to try to figure out what’s the balance between the things that we do that give us pleasure and prevent isolation in settings like that, and the risk. And I said, you are taking a risk, particularly with this virus being so prevalent. If you’re in a restaurant with a hundred people, it’s a near guarantee that someone there has COVID, and feels fine. On the other hand, you then have to weigh the risk of isolation for what may be, you know, several months, who knows?[pullquote align=\"right\" size=\"medium\" citation=\"Dr. Yvonne Maldonado, Stanford University School of Medicine\"]‘We’re very good at getting used to lots of things that we feel like we can’t control. And that’s the problem. We think we can’t control this and we really can.’[/pullquote]And so I said, if it were me and I was running the place, I would not ban the communal dining, but I would do everything I could to make it as safe as possible: people wearing masks on their way in and out, spacing tables a little further apart, and really focusing on ventilation.\u003c/p>\n\u003cp>You can’t make it zero risk. But there is a cost and a consequence of saying to people who are living in that kind of setting, “You’re not going to see anyone for several months.” And we shouldn’t minimize that. It’s a very, very tough call.\u003c/p>\n\u003cp>\u003cstrong>How big a deal is getting reinfected with COVID, especially for seniors?\u003c/strong>\u003c/p>\n\u003cp>\u003cb>Dr. Wachter\u003c/b>: I don’t think there’s good data on that. You would expect in some ways that it would be less severe because your immunity is better because of the first infection. But there just was a study that came out that showed that the long-term consequences seemed to be greater in people who had recurrent infections.\u003c/p>\n\u003cp>[ad floatright]\u003c/p>\n\u003cp>So to me, the bottom line is, the old saw that “you’ve had a first infection and now you’re good to go and don’t worry about it” is no longer true. You should continue to try to avoid getting reinfected. I think getting another booster is a good idea. And while I don’t think there’s any evidence that the second infection is likely to be worse than the first infection, I still think you would like to avoid it if you can.\u003c/p>\n\n",
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"title": "'Still a Public Health Emergency': With BA.5 COVID Variant On Rise, Here's What You Need to Know | KQED",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>The Bay Area is finally trying to have a normal, pandemic-free summer. And we seem to be inching closer. But it’s still not quite working out as planned.\u003c/p>\n\u003cp>The most recent culprit: the highly transmissible \u003ca href=\"https://www.npr.org/2022/07/11/1110804098/omicron-ba5-variant-covid-reinfections\">BA.5 omicron subvariant\u003c/a>, now \u003ca href=\"https://covid.cdc.gov/covid-data-tracker/#variant-proportions\">the dominant strain of COVID-19\u003c/a> across the country and the region. Unlike other strains, this one appears to be largely impervious to the antibodies that people may have gained from previous COVID infections, resulting in noticeably higher rates of reinfection.\u003c/p>\n\u003cp>BA.5 is also four times more resistant to COVID-19 vaccines, according to a new\u003ca href=\"https://newsnetwork.mayoclinic.org/discussion/what-you-need-to-know-about-the-ba-5-omicron-variant/\"> Mayo Clinic study\u003c/a>, which categorizes the variant as “hypercontagious.” (Vaccines, however, still provide people with \u003ca href=\"https://www.npr.org/2022/07/15/1111648759/covid-19-coronavirus-omicron-variant-ba5-cdc-vaccines-masks-mayo-clinic\">much better protection\u003c/a>.)\u003c/p>\n\u003cp>That, in turn, has sparked a moderate surge in cases and hospitalizations in the Bay Area and beyond — nothing like the one we experienced last winter, but still enough to stoke some concern and warrant a heightened degree of caution.\u003c/p>\n\u003cp>To make some sense of the latest phase in this seemingly endless pandemic, Forum host Alexis Madrigal spoke earlier this week with Dr. Bob Wachter, chair of the UCSF Department of Medicine, and Dr. Yvonne “Bonnie” Maldonado, a professor of pediatrics and epidemiology at Stanford University School of Medicine. The two medical experts spent the hour answering a slew of questions from listeners, some of which are highlighted below.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>\u003cem>The following has been edited for brevity and clarity.\u003c/em>\u003c/p>\n\u003ch2>On what has — and hasn’t — changed\u003c/h2>\n\u003cp>\u003cb>More than two years into this thing, what \u003c/b>\u003cem style=\"font-weight: bold\">hasn’t\u003c/em>\u003cb> changed about the pandemic and our response to it?\u003c/b>\u003c/p>\u003c/div>",
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"content": "‘We’ve never seen anything quite like this virus before. Everyone is at some level of risk. Everybody has to do this three-dimensional chess game pretty much every day to try to figure out what’s safe to do, what’s not safe to do.’",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cstrong>Dr. Bob Wachter\u003c/strong>: We’ve never seen anything quite like this virus before. Everyone is at some level of risk. Everybody has to do this three-dimensional chess game pretty much every day to try to figure out what’s safe to do, what’s not safe to do. It’s causing massive disruption of our society and a lot of anxiety. So that hasn’t changed.\u003c/p>\n\u003cp>But a lot of the aspects of the virus have changed in terms of how infectious it is, how our immunity is working against it, and how severe it is. I think it’s very hard for people to process all of this, in part because we came to some of these understandings kind of the hard way. And once you’ve come to them, it’s hard to give them up as the facts change on the ground — and a lot of the facts have changed.\u003c/p>\n\u003cp>\u003cstrong>Dr. Yvonne Maldonado\u003c/strong>: This is still a public health emergency. As you know, the Biden administration just decided to extend our public health emergency that started in January 2020. That situation is not different. It is still a very deadly disease when you compare it to any other circulating viral illness that we see today.\u003c/p>\n\u003cp>It’s still worse than, say, our annual influenza epidemic. So it’s still a force to be dealt with.\u003c/p>\n\u003cp>Unfortunately, what has changed is our risk perception. We’re very good at getting used to lots of things that we feel like we can’t control. And that’s the problem. We think we can’t control this and we really can. We need to keep it high on the list of things you should do to keep yourself and your loved ones healthy.\u003c/p>\n\u003ch2>On kids and school\u003c/h2>\n\u003cp>\u003cstrong>What do we know now about kids and COVID that maybe we didn’t understand earlier in the pandemic?\u003c/strong>\u003c/p>\n\u003cp>\u003cstrong>Dr. Maldonado\u003c/strong>: We heard initially that children don’t get infected. That’s not true. That they don’t get sick. That’s also not true. And that they can’t transmit to others. That’s also not true.\u003c/p>\n\u003cp>Almost every single day since the beginning of the pandemic we’ve had children admitted to our hospital, not just with COVID [discovered after they’re admitted for something else], but \u003cem>for\u003c/em> COVID. And so it’s a serious disease — and not just runny noses and coughs.\u003c/p>\n\u003cp>Unfortunately, what we’re seeing in kids is over 13 million cases with tens of thousands of hospitalizations since the beginning of the pandemic, just in the United States. And over 1,500 children who have died.\u003c/p>\n\u003cp>Some people say that, you know, that pales in comparison to deaths in adults. But still, this virus is in the top five causes of death right now in the U.S. for every single age group under 18. So when you break down the cases, it may be that the numbers look small, but they are the most preventable causes of death that we have right now in children.\u003c/p>\n\u003cp>\u003cstrong>What advice do you have for parents about how to safely send their kids back to school this fall? \u003c/strong>\u003c/p>\n\u003cp>\u003cb>Dr. \u003cstrong>Maldonado\u003c/strong>\u003c/b>: Let me just start off by saying that what’s really changed is we have lots of vaccine options now for children. The FDA and the CDC just approved vaccines for everybody six months of age and older, similar to the flu.\u003c/p>\u003c/div>",
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"content": "‘Everybody now who is in school should be able to be vaccinated, and that is going to be really a great way to get kids back in, get them learning again.’",
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"content": "\u003cdiv class=\"post-body\">\u003cp>I would even make it a rule that classrooms should be, if not enforcing vaccinations, at least tracking them, masking, and other kinds of mitigation in the classroom. Because we know that these vaccines can maybe not fully prevent infections, but can prevent serious complications.\u003c/p>\n\u003cp>And the other issue, as we heard before, is that BA.5 is very infectious. We don’t know what’s going to happen in the fall. We think there’s a new variant now called BA.2.75 that seems to be working its way across the world and appears to be \u003cem>even more\u003c/em> contagious. And it also actually has a number of more mutations in the spike protein that attaches to human cells. So it could also have more immune evasion.\u003c/p>\n\u003cp>So I can’t imagine there wouldn’t be new variants coming along in the fall. Just make sure kids are masked when they’re in school, make sure ventilation works in classrooms. Everybody now who is in school should be able to be vaccinated, and that is going to be really a great way to get kids back in, get them learning again.\u003c/p>\n\u003ch2>On boosters, antivirals and other drugs\u003c/h2>\n\u003cp>\u003cb>Should I get the second booster now, or wait for the new ones that may be available this fall? \u003c/b>\u003c/p>\n\u003cp>\u003cstrong>Dr. Wachter\u003c/strong>: Yes, I think you should get it now [even if you’ve recently recovered from COVID]. The data on the value of the second booster is more and more persuasive. A recent study showed that the mortality rate was one-fourth if you’ve gotten the second booster versus the first. That first booster was incredibly valuable and you definitely need to get the first one. But if you got it more than six months ago, its efficacy has waned in the face of the new variant that evades immunity better. So I’m recommending that people get it.\u003c/p>\n\u003cp>We’re also not sure how much better the rejiggered booster will be in the fall. And I can’t see a circumstance where you get boosted this week with booster No. 2 and somehow you’re not then able to get a better booster that comes out in November. So I think for anybody over 50, definitely get it.\u003c/p>\n\u003cp>\u003cstrong>What are your current thoughts about Paxlovid, the antiviral therapy? Some people have reported a “Paxlovid rebound,” in which they take it, it appears to work quite well and then they end up testing positive for a long time. \u003c/strong>\u003c/p>\n\u003cp>\u003cstrong>Dr. Wachter\u003c/strong>: Yes, I’m still prescribing it. Yes, I think it’s a useful drug, even though it seems like this rebound is happening all over the place.\u003c/p>\n\u003cp>What it is: You test positive, you start on this antiviral drug, Paxlovid. You take it for five days, you turn negative, you feel better. And then sometimes, a few days later, you often start feeling crummy again and you test positive again.\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>The good news about it is in pretty much every case I’ve heard of, it only lasts for four, five, six days. I’ve not heard of a severe rebound case, meaning that someone got so sick on that rebound that they needed to go to the hospital.\u003c/p>\n\u003cp>You \u003cem>are\u003c/em> infectious during the rebound. I definitely know of cases where people have infected other folks, so you have to go back into isolation.\u003c/p>\n\u003cp>Why it’s happening, nobody knows exactly. How to prevent it, nobody knows that either.\u003c/p>\n\u003cp>And is it bad enough to not use the drug? I still think that the best clinical trial of the drug said it lowers the hospitalization rate among high-risk people by 90%. So for someone who’s at higher risk, I would definitely use it. I’m a little bit on the fence for a fully vaccinated boosted person who, let’s say, is younger than about 60. I probably wouldn’t. I’m 64. If I got COVID today, I probably would.\u003c/p>\n\u003cp>Long answer: I think I’d still use it, but I’m a little bit more concerned about it than I was before.\u003c/p>\n\u003cp>\u003cstrong>What’s your advice now for people with specific underlying immune conditions?\u003c/strong>\u003c/p>\n\u003cp>\u003cstrong>Dr. Maldonado\u003c/strong>: A monoclonal antibody combination called \u003ca href=\"https://www.fda.gov/news-events/press-announcements/coronavirus-covid-19-update-fda-authorizes-new-long-acting-monoclonal-antibodies-pre-exposure\">Evusheld\u003c/a> is available. We know there’s plenty of supply. It’s available for people who have underlying specific immune conditions that don’t allow them to make a good antibody response, whether they’re vaccinated or not, or for people who can’t get vaccinated, which is less common.\u003c/p>\n\u003cp>That antibody combination is extremely effective at protecting people. It’s an injection that they can get once every six months or so, and that can be highly protective. So on top of mitigation, I do think people should consult their providers. And if their providers are not aware of Evusheld, they should ask them to seek counsel from, say, a public health agency or a specialist who knows about it. Because it’s highly efficient in protecting people and being able to let them and their families go out and live their lives.\u003c/p>\n\u003ch2>On travel, recreation and invincibility\u003c/h2>\n\u003cp>\u003cstrong>I’m 71 with no co-morbidities, and have a trip planned to Morocco and Italy in the fall. Do I go?\u003c/strong>\u003c/p>\n\u003cp>\u003cstrong>Dr. Wachter\u003c/strong>: Yes. I think that this virus is going to be with us for the foreseeable future. I think limiting your life in terms of not traveling, I don’t think makes any sense — especially if you’re going places where the prevalence is less than it is in California. I think traveling is fine.\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>I think that wherever you are, whether you’re in San Francisco or in Morocco, being in a crowded indoor space where there’s a lot of virus around, you should wear a good mask. When you can eat outside rather than inside, you should. Traveling is not the main risk. It really is how much virus there is in the community. And there’s really no place you can go where you \u003cem>can’t\u003c/em> keep yourself safe if you’re vaccinated, boosted and are careful when you’re in crowded indoor spaces.\u003c/p>\n\u003cp>\u003cstrong>How safe is swimming in an outdoor public pool?\u003c/strong>\u003c/p>\n\u003cp>\u003cstrong>Dr. Wachter\u003c/strong>: I’m pretty sure it’s totally safe. I’ve not heard of a case transmitted that way, and I wouldn’t worry about that at all.\u003c/p>\n\u003cp>\u003cstrong>Is outdoor transmissibility more of a concern with BA.5?\u003cbr>\n\u003c/strong>\u003c/p>\n\u003cp>\u003cstrong>Dr. Maldonado\u003c/strong>: No question. We know that with what we call the immediate reproductive number — the ability to infect others — the original virus was probably around the order of 1 to 2. This virus, the BA.4 and BA.5, is at a rate of about 3 to 4. So this virus can really infect almost twice as many people as the original virus did. And it’s not only more transmissible, but also can escape prior immunity. So I do think that it could be acquired at a farmers market if you’re around a lot of people.\u003c/p>\n\u003cp>\u003cstrong>Why do some people seem good at being able to avoid getting COVID, even after multiple exposures?\u003c/strong>\u003c/p>\n\u003cp>\u003cb>Dr. Wachter\u003c/b>: It’s probably some combination of your immune system, things we don’t understand, and luck. The household attack rate — that is, the chances you’ll get COVID if a member of your household has it — is probably 30% to 40%, maybe a little higher now with the more infectious variant.\u003c/p>\n\u003cp>So, people sometimes believe, “I must have some immunity superpower because my partner had it and I didn’t get it.” That’s just the way it goes. And there’s a level of randomness that we don’t understand. But there’s also probably something about individual immune systems that make a difference.\u003c/p>\n\u003cp>I’ve been fairly careful, but my wife had it three months ago. I was exposed to her for a full day before we knew that she had it. And I managed to dodge the bullet. So I’ve never been prouder of my immune system, but I assume most of that was luck. And if I had enough exposures like that, eventually I would get it.\u003c/p>\n\u003ch2>On risk for seniors\u003c/h2>\n\u003cp>\u003cstrong>Given how dangerous loneliness can be for elderly people, should retirement communities and nursing homes still continue to shut down communal dining and other activities when new COVID cases are reported?\u003c/strong>\u003c/p>\n\u003cp>\u003cb>Dr. Wachter\u003c/b>: I spoke last night at a multilevel retirement community in San Francisco that has seen a fair amount of COVID, but where not many people have gotten very sick. And they’ve kept the communal dining open.\u003c/p>\n\u003cp>The point I made is that life is short and we have to try to figure out what’s the balance between the things that we do that give us pleasure and prevent isolation in settings like that, and the risk. And I said, you are taking a risk, particularly with this virus being so prevalent. If you’re in a restaurant with a hundred people, it’s a near guarantee that someone there has COVID, and feels fine. On the other hand, you then have to weigh the risk of isolation for what may be, you know, several months, who knows?\u003c/p>\u003c/div>",
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"content": "\u003cp>A new three-digit mental health crisis line goes live in California and across the country on Saturday, July 16, offering help to people who are feeling suicidal or anxious, or are hearing voices.\u003c/p>\n\u003cp>The new, easier-to-remember number — 988 — will officially replace the longstanding 10-digit 800 number for the \u003ca href=\"https://988lifeline.org/current-events/the-lifeline-and-988/\">National Suicide Prevention Lifeline\u003c/a>. And in California, it will connect callers to one of 13 call centers in the state.\u003c/p>\n\u003cp>In addition to offering emotional support from trained counselors by phone or text, as the Lifeline has traditionally done for years, 988 also is intended to replace 911 for psychiatric emergencies — in which mental health staff, rather than police, would respond in person. The capacity to facilitate that by the upcoming launch date, however, will vary widely by region.\u003c/p>\n\u003cp>[pullquote align=\"right\" size=\"medium\" citation=\"Angela Kimball, senior vice president of policy and advocacy, Inseparable\"]‘Will it work perfectly? No, because changing crisis response won’t happen overnight. And it won’t happen without all of us demanding that policymakers at every level of government step up and invest.’[/pullquote]“Will it work perfectly? No, because changing crisis response won’t happen overnight,” says Angela Kimball, who directs advocacy at \u003ca href=\"https://www.inseparable.us/who-we-are/\">Inseparable\u003c/a>, a mental health policy coalition. “And it won’t happen without all of us demanding that policymakers at every level of government step up and invest.”\u003c/p>\n\u003cp>Rather than treating mental health crises as public safety issues warranting law enforcement — many of which have ended tragically — Kimball believes that the compassionate help her son, Alex, received in 2017 during a manic episode he was having should serve as a model for effective crisis response.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>“He’d ripped out cabinets in his house. He’d smashed the stove into pieces with a sledgehammer,” Kimball said during a recent webinar on the 988 rollout. “He was telling me that soap was poison and that he was being surveilled. He accused me of conspiring with the government against him.”\u003c/p>\n\u003cp>With help from a friend, Kimball got through to a local mental health crisis line in Portland, Oregon, where Alex lives. A mobile team came to his house, calmed him down and convinced him to go to the hospital.\u003c/p>\n\u003cp>“An incredibly kind and wise clinician spoke gently and respectfully to Alex,” Kimball says. “They didn’t talk in terms that were clinical, like paranoia, delusions or rapid cycling, bipolar. Instead, the lead clinician said, ‘Alex, I’m hearing that you haven’t slept for days and that things are getting kind of intense. Am I getting that right?’”\u003c/p>\n\u003cp>While this is an ideal scenario for how the new crisis line could eventually work, it won’t be the reality in many counties in California for at least a few years. Some cities and counties, including a handful in the Bay Area, \u003ca href=\"https://myusf.usfca.edu/caps/self-help-resources/mobile-crisis\">have already started to build mobile crisis response teams\u003c/a>, but those vary widely in terms of capacity, hours of availability and the types of calls they respond to. Other areas of the state, though, have little or nothing in place, due in part to delays in federal funding. And that means that many callers who need immediate in-person help likely will be routed back to 911.\u003c/p>\n\u003cp>But such 911 intervention will be still be rare, says Michelle Doty Cabrera, executive director of the \u003ca href=\"https://static1.squarespace.com/static/5b1065c375f9ee699734d898/t/623e553b9b30c457a57fa405/1648252219303/CBHDA_988_Overview_March2022.pdf\">County Behavioral Health Directors Association of California\u003c/a>.\u003c/p>\n\u003cp>“When a person calls 911, they are expecting help to come to them,” she says. “If a person’s calling a national suicide prevention hotline for emotional support, they may not want anyone to know who they are, let alone where they’re at in that moment.”\u003c/p>\n\u003cp>For now, Cabrera adds, volunteers and staff at the call centers won’t be able to figure out where callers are located, even if they want to, because the system is organized by area code, not geographic location.\u003c/p>\n\u003cp>“So let’s say you moved to California from Washington, D.C., and you decided to keep your D.C. cellphone number,” Cabrera says. “You would be routed to the Washington, D.C., 988 call center, not to the one where you live, here in California. D.C. is not going to know anything about what local resources exist for you here and vice versa.”\u003c/p>\n\u003cp>[aside label=\"related coverage\" tag=\"mental-health\"]The 988 crisis line was created through \u003ca href=\"https://www.npr.org/sections/health-shots/2020/10/19/925447354/new-law-creates-988-hotline-for-mental-health-emergencies\">rare bipartisan federal legislation\u003c/a> enacted in October 2020, with the goal of improving access to suicide prevention and crisis resources. But the bill allocated only a minimal amount of funding for states to implement it. In December 2021, President Biden allocated $284 million to states for start-up costs like upgrading telephone infrastructure and hiring more staff for call centers. Some federal money also will be available next year through Medicaid to help build mobile crisis response teams.\u003c/p>\n\u003cp>For its part, California already has earmarked $28 million in the state budget to get the call centers ready. But like most other states, it will have to figure out how to sustain the service in the long term.\u003c/p>\n\u003cp>Under one recently introduced state bill — \u003ca href=\"https://leginfo.legislature.ca.gov/faces/billVotesClient.xhtml?bill_id=202120220AB988\">AB 988\u003c/a> — landline and mobile phone users in California would initially pay an additional $0.08 per line, per month, and up to $0.30 per month in future years. The telecom industry, however, opposes the bill, and its fate is unclear.\u003c/p>\n\u003cp>Some mental health advocates also argue investing money in the crisis line is not the best use of scarce mental health dollars. They say the government is placing too much attention on crisis response and not enough on crisis prevention — akin to pouring resources into treating heart attacks without doing enough to help people lower their cholesterol and blood pressure to prevent the heart attack in the first place.\u003c/p>\n\u003cp>“I have such a concern that we are creating a crisis-system-industrial-complex,” Keris Myrick, an advocate who has schizophrenia, says on an episode of her mental health podcast \u003ca href=\"https://unapologeticallyblackunicorns.podbean.com/\">Unapologetically Black Unicorns\u003c/a>.\u003c/p>\n\u003cp>It doesn’t make sense to wait until someone is about to fall off a cliff to help them, Myrick says, arguing that government programs and health systems need to intervene more effectively in the earlier stages of mental illness.\u003c/p>\n\u003cp>[ad floatright]\u003c/p>\n\u003cp>Crisis is more tangible, and easier for people to hold on to, she adds, saying, “And that’s maybe easier to resolve in the short term than the prevention stuff that becomes about fixing a lot of social ills.”\u003c/p>\n\n",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>“He’d ripped out cabinets in his house. He’d smashed the stove into pieces with a sledgehammer,” Kimball said during a recent webinar on the 988 rollout. “He was telling me that soap was poison and that he was being surveilled. He accused me of conspiring with the government against him.”\u003c/p>\n\u003cp>With help from a friend, Kimball got through to a local mental health crisis line in Portland, Oregon, where Alex lives. A mobile team came to his house, calmed him down and convinced him to go to the hospital.\u003c/p>\n\u003cp>“An incredibly kind and wise clinician spoke gently and respectfully to Alex,” Kimball says. “They didn’t talk in terms that were clinical, like paranoia, delusions or rapid cycling, bipolar. Instead, the lead clinician said, ‘Alex, I’m hearing that you haven’t slept for days and that things are getting kind of intense. Am I getting that right?’”\u003c/p>\n\u003cp>While this is an ideal scenario for how the new crisis line could eventually work, it won’t be the reality in many counties in California for at least a few years. Some cities and counties, including a handful in the Bay Area, \u003ca href=\"https://myusf.usfca.edu/caps/self-help-resources/mobile-crisis\">have already started to build mobile crisis response teams\u003c/a>, but those vary widely in terms of capacity, hours of availability and the types of calls they respond to. Other areas of the state, though, have little or nothing in place, due in part to delays in federal funding. And that means that many callers who need immediate in-person help likely will be routed back to 911.\u003c/p>\n\u003cp>But such 911 intervention will be still be rare, says Michelle Doty Cabrera, executive director of the \u003ca href=\"https://static1.squarespace.com/static/5b1065c375f9ee699734d898/t/623e553b9b30c457a57fa405/1648252219303/CBHDA_988_Overview_March2022.pdf\">County Behavioral Health Directors Association of California\u003c/a>.\u003c/p>\n\u003cp>“When a person calls 911, they are expecting help to come to them,” she says. “If a person’s calling a national suicide prevention hotline for emotional support, they may not want anyone to know who they are, let alone where they’re at in that moment.”\u003c/p>\n\u003cp>For now, Cabrera adds, volunteers and staff at the call centers won’t be able to figure out where callers are located, even if they want to, because the system is organized by area code, not geographic location.\u003c/p>\n\u003cp>“So let’s say you moved to California from Washington, D.C., and you decided to keep your D.C. cellphone number,” Cabrera says. “You would be routed to the Washington, D.C., 988 call center, not to the one where you live, here in California. D.C. is not going to know anything about what local resources exist for you here and vice versa.”\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>The 988 crisis line was created through \u003ca href=\"https://www.npr.org/sections/health-shots/2020/10/19/925447354/new-law-creates-988-hotline-for-mental-health-emergencies\">rare bipartisan federal legislation\u003c/a> enacted in October 2020, with the goal of improving access to suicide prevention and crisis resources. But the bill allocated only a minimal amount of funding for states to implement it. In December 2021, President Biden allocated $284 million to states for start-up costs like upgrading telephone infrastructure and hiring more staff for call centers. Some federal money also will be available next year through Medicaid to help build mobile crisis response teams.\u003c/p>\n\u003cp>For its part, California already has earmarked $28 million in the state budget to get the call centers ready. But like most other states, it will have to figure out how to sustain the service in the long term.\u003c/p>\n\u003cp>Under one recently introduced state bill — \u003ca href=\"https://leginfo.legislature.ca.gov/faces/billVotesClient.xhtml?bill_id=202120220AB988\">AB 988\u003c/a> — landline and mobile phone users in California would initially pay an additional $0.08 per line, per month, and up to $0.30 per month in future years. The telecom industry, however, opposes the bill, and its fate is unclear.\u003c/p>\n\u003cp>Some mental health advocates also argue investing money in the crisis line is not the best use of scarce mental health dollars. They say the government is placing too much attention on crisis response and not enough on crisis prevention — akin to pouring resources into treating heart attacks without doing enough to help people lower their cholesterol and blood pressure to prevent the heart attack in the first place.\u003c/p>\n\u003cp>“I have such a concern that we are creating a crisis-system-industrial-complex,” Keris Myrick, an advocate who has schizophrenia, says on an episode of her mental health podcast \u003ca href=\"https://unapologeticallyblackunicorns.podbean.com/\">Unapologetically Black Unicorns\u003c/a>.\u003c/p>\n\u003cp>It doesn’t make sense to wait until someone is about to fall off a cliff to help them, Myrick says, arguing that government programs and health systems need to intervene more effectively in the earlier stages of mental illness.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>Crisis is more tangible, and easier for people to hold on to, she adds, saying, “And that’s maybe easier to resolve in the short term than the prevention stuff that becomes about fixing a lot of social ills.”\u003c/p>\n\n\u003c/div>\u003c/p>",
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"slug": "why-were-many-sf-hospitals-once-affiliated-with-ethnic-groups",
"title": "Why Were Many SF Hospitals Once Affiliated With Ethnic Groups?",
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"headTitle": "Why Were Many SF Hospitals Once Affiliated With Ethnic Groups? | KQED",
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"content": "\u003cp>San Francisco has some of the country’s premier hospitals. Big providers like Kaiser, Sutter Health and UCSF Medical Center operate here, part of a vast and complicated system of health care that can feel byzantine in complexity. So it’s hard to believe that hospitals here were once a lot simpler: people with ethnic or religious affinities taking care of one another. Bay Curious listener Ken Katz saw hints of this history and wanted to know more.\u003c/p>\n\u003cp>“I work at Kaiser Permanente in San Francisco, and one of our campuses is the French campus,” Ken said. “Only recently did I learn that the reason it’s called the French campus is it’s the site of the former French hospital.”\u003c/p>\n\u003cfigure id=\"attachment_11919479\" class=\"wp-caption aligncenter\" style=\"max-width: 1920px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-11919479\" src=\"https://ww2.kqed.org/app/uploads/sites/10/2022/07/vestiges-french-hospital-sm.jpg\" alt=\"A mosaic is inlaid in the ground showing a blue, white and red crest depicting a syringe\" width=\"1920\" height=\"1920\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2022/07/vestiges-french-hospital-sm.jpg 1920w, https://cdn.kqed.org/wp-content/uploads/sites/10/2022/07/vestiges-french-hospital-sm-800x800.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2022/07/vestiges-french-hospital-sm-1020x1020.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2022/07/vestiges-french-hospital-sm-160x160.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2022/07/vestiges-french-hospital-sm-1536x1536.jpg 1536w\" sizes=\"(max-width: 1920px) 100vw, 1920px\">\u003cfigcaption class=\"wp-caption-text\">Vestiges of the old French hospital still remain at the Kaiser Permanente French Campus on 6th Avenue and Geary Streets. \u003ccite>(Courtesy Ken Katz)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>Then he remembered that when visiting California Pacific Medical Center Davies, in the Castro, he’d once seen an exhibit showcasing the building’s history. It was once known as “the German Hospital.” Two hospitals named after ethnic identities seemed like an unlikely coincidence to Ken.\u003c/p>\n\u003cp>[baycuriouspodcastinfo]\u003c/p>\n\u003cp>“So I’m wondering, when did this pattern of ethnic hospitals in San Francisco begin? What was the impetus for it? And when did they start losing their ethnic orientation? Or, maybe some, like the Chinese Hospital, haven’t yet,” he said.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>Ken’s question sparked the curiosity of other Bay Curious fans and \u003ca href=\"https://www.kqed.org/podcasts/baycurious\">won a voting round\u003c/a>. The answer, like so many things, goes back to the Gold Rush, when thousands of people poured into the region, multiplying the city’s population several times over in a matter of months.\u003c/p>\n\u003ch2>When care was provided at home\u003c/h2>\n\u003cp>People lived in the Bay Area long before the Gold Rush, of course. The smattering of colonizers, Mexican ranchers and native peoples would have relied on herbal remedies when they got ill. At that time, San Francisco was a sleepy town with few amenities. It was unprepared for the surge of gold seekers from all over the world that descended after news spread that \u003ca href=\"https://www.loc.gov/item/today-in-history/january-24/\">gold had been found near Coloma in 1848\u003c/a>.\u003c/p>\n\u003cp>Many fortune hunters were men who came expecting to prospect for gold, strike it rich and return home. Most did not bring their families with them, which was a problem when they got sick.\u003c/p>\n\u003cp>“The primary source of care before hospitals was in the home,” said Aaron Jackson, a doctoral candidate in the department of health sciences at UCSF. His research focuses on the evolution of care for veterans and intersects with the general history of hospitals in America.\u003c/p>\n\u003cp>[baycuriousbug]\u003c/p>\n\u003cp>The first doctors in San Francisco came for the same reason as everyone else — to prospect for gold. But, when it started to become clear that gold mining wasn’t as easy as it sounded, some of those doctors returned to their prior profession. The quality of their services varied widely, but all of them would have attended patients in their homes. That model didn’t work as well for people who didn’t have families to care for them.\u003c/p>\n\u003cp>\u003ca href=\"https://en.wikipedia.org/wiki/Marine_Hospital_Service\">Maritime hospitals were the first institutions to address this structural problem\u003c/a>.\u003c/p>\n\u003cp>“Sailors are obviously away from their families,” Jackson said. “Some of these sailing expeditions could last years, and if they got sick, well, the ship would have to still continue on, but the sailor would have to have a place to stay.”\u003c/p>\n\u003cp>The maritime hospital mostly provided sailors a roof, food and a bed in which to recover. At this point in history, hospitals were less focused on medicine and more on providing general care, the kind that would normally have been offered at home. Even the word “hospital” comes from the same root as “hospice,” Jackson said, meaning “to care.”\u003c/p>\n\u003cp>But the maritime hospital served only a small portion of the population. With so many people jammed into San Francisco, it was only a matter of time until diseases like cholera and smallpox started to spread. Many people were getting sick and had no one to care for them. That’s when churches and benevolent societies got involved.\u003c/p>\n\u003ch2>A proliferation of hospitals\u003c/h2>\n\u003cp>“The hospital being attached to the religious element or to the ethnic group is something that goes back centuries in Western Europe,” Jackson said. “And that was inherited by the United States from the earliest days of colonialism.”\u003c/p>\n\u003cp>Many religions included charity as part of their missions, so it made sense that they would be involved in early health care.\u003c/p>\n\u003cp>But to understand the ethnic origins, it’s important to know that many early San Franciscans did not yet identify as “American.” They considered themselves to be French, German, Chinese, Mexican or Spanish, to name just a few. And people in these groups stuck together. They created benevolent societies that acted as social safety nets. And they funded hospitals, formed welcoming committees for new arrivals, cared for widows and orphans, and even provided undertaking services.[emailsignup newslettername=\"baycurious\" align=\"right\"]The French Benevolent Society established the first private hospital in San Francisco in 1851, known as the French Hospital. The Catholic Church sent a group of Irish nuns in 1854 who would eventually establish Sisters of Mercy, later known as St. Mary’s. Many immigrants to San Francisco found it comforting to receive care that adhered to their cultural or religious values and that was delivered in their home languages.\u003c/p>\n\u003cp>There was a public hospital, but by all accounts the care there was terrible and corruption rampant. So, many more ethnic and religiously affiliated institutions opened in the 1880s and ’90s as people realized how bad the public care was.\u003c/p>\n\u003ch2>San Francisco’s wealthy show off\u003c/h2>\n\u003cp>The city’s early hospitals may have started as a stop-gap measure to care for people without families, but they soon became places that mostly cared for the poor. It became prudent for newly wealthy San Franciscans to donate money to their home-country benevolent society or church to show off their social standing.\u003c/p>\n\u003cp>“The Jews have a unique experience here,” said Judi Leff, a teacher and historian of San Francisco’s Jewish community. The first Jewish people to immigrate to San Francisco were from Bavaria, Germany. They experienced religious discrimination in Europe, where they had few professional or social opportunities and were limited to making their livings as traders, traveling salesmen and money lenders. They came to California, like so many, for better opportunities.\u003c/p>\n\u003cp>“What they discover is that these miners have a lot of needs,” Leff said.\u003c/p>\n\u003cp>The mining industry sprang up almost overnight. Men working in mining camps out in the hills needed food, supplies and tools. The Jewish arrivals were poised to start successful businesses.\u003c/p>\n\u003cp>“The very things that they are limited to in Europe allow them to become successful rather quickly out here in California,” Leff said.\u003c/p>\n\u003cp>Think of Levi Strauss providing clothing to the miners.\u003c/p>\n\u003cp>And, because San Francisco was a young city, building itself up quickly, the Jewish community did not experience the same level of religious discrimination as they did in Eastern cities like New York and Boston. It helped that they were perceived as white, and so did not face the racial bias non-white groups, like the Chinese, endured.\u003c/p>\n\u003cp>“You don’t have a lot of religion and you don’t have a lot of law,” Leff said. “So yeah, it’s just like, ‘Can you do the work or can you help us do the work? Great.'”\u003c/p>\n\u003cp>Once established, the Jewish community started giving back to the city that had provided them with so many opportunities. Look around San Francisco today and you’ll see the legacy of Jewish philanthropy throughout the city including Fleishhacker Zoo and Pool, Stern Grove, Steinhart Aquarium at the California Academy of Sciences and Hellman Hollow in Golden Gate Park.\u003c/p>\n\u003cp>“They also want the reputation of the Jewish community to be held in high esteem,” Leff said. “This is very important to the Jews because this is a new experience for them to be in San Francisco and to be regarded so well. They want to keep up appearances.”\u003c/p>\n\u003ch2>The founding of Mount Zion Hospital\u003c/h2>\n\u003cp>The Jewish community’s first priorities when they arrived in San Francisco were to meet the specific needs of their community. They established sources of kosher food, built synagogues to worship in, raised funds to support widows and orphans, and established religiously appropriate burial services. But by 1887, they turned their attention to health care. The story goes that a prominent Jewish businessman, Frederick Castle, had recently lost his son to smallpox at the poorly run county hospital.\u003c/p>\n\u003cp>“And something like 43 Jews get together and they decide that there’s going to be a hospital, but it’s going to be nonsectarian,” Leff said.\u003c/p>\n\u003cfigure id=\"attachment_11919487\" class=\"wp-caption aligncenter\" style=\"max-width: 1920px\">\u003ca href=\"https://digitalsf.org/islandora/object/islandora%3A140136?solr_nav%5Bid%5D=d9f56cb4a776c0091569&solr_nav%5Bpage%5D=0&solr_nav%5Boffset%5D=1\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-11919487\" src=\"https://ww2.kqed.org/app/uploads/sites/10/2022/07/Mt-Zion-sm.jpg\" alt=\"Black and white photo of an imposing building. A sign nearby says Mount Zion Hospital\" width=\"1920\" height=\"668\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2022/07/Mt-Zion-sm.jpg 1920w, https://cdn.kqed.org/wp-content/uploads/sites/10/2022/07/Mt-Zion-sm-800x278.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2022/07/Mt-Zion-sm-1020x355.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2022/07/Mt-Zion-sm-160x56.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2022/07/Mt-Zion-sm-1536x534.jpg 1536w\" sizes=\"(max-width: 1920px) 100vw, 1920px\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">Mount Zion Hospital circa 1931. \u003ccite>(San Francisco History Center, San Francisco Public Library)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>The Jewish community had a debate over whether the new hospital should serve only California’s Jewish population, but ultimately influential rabbis like Jacob Voorsanger of Temple Emanu-El, Jacob Nieto of Sherith Israel, and Myer S. Levy of Neth Israel won out. They argued that a hospital that served San Franciscans of all faiths would be a better tribute to the city. Mount Zion hospital opened in 1897 with just 12 beds.\u003c/p>\n\u003cp>Fairly quickly, the Mount Zion Hospital Association \u003ca href=\"https://www.foundsf.org/index.php?title=Mt._Zion_Nursing_School\">realized they should train nurses\u003c/a> to help provide higher-quality, more consistent care. When \u003ca href=\"https://history.library.ucsf.edu/1868_hospitals.html\">UCSF medical school\u003c/a> wanted to partner with Mount Zion to become a teaching hospital in the 1920s, it was a natural fit. Over time, as the medical school became more established, it took over Mount Zion hospital entirely.\u003c/p>\n\u003cfigure id=\"attachment_11919515\" class=\"wp-caption aligncenter\" style=\"max-width: 1920px\">\u003ca href=\"https://digitalsf.org/islandora/object/islandora%3A140154?solr_nav%5Bid%5D=d9f56cb4a776c0091569&solr_nav%5Bpage%5D=0&solr_nav%5Boffset%5D=11\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-11919515\" src=\"https://ww2.kqed.org/app/uploads/sites/10/2022/07/Mt-zion-nurse-sm.jpg\" alt=\"In the foreground three empty hospital beds are lined up against a wall. By the last bed is a nurse in an old fashioned uniform\" width=\"1920\" height=\"668\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2022/07/Mt-zion-nurse-sm.jpg 1920w, https://cdn.kqed.org/wp-content/uploads/sites/10/2022/07/Mt-zion-nurse-sm-800x278.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2022/07/Mt-zion-nurse-sm-1020x355.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2022/07/Mt-zion-nurse-sm-160x56.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2022/07/Mt-zion-nurse-sm-1536x534.jpg 1536w\" sizes=\"(max-width: 1920px) 100vw, 1920px\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">A nurse working in the Mount Zion maternity ward circa 1952. This photo was used as part of a news story promoting more modern hospitals like Mount Zion. \u003ccite>(Courtesy San Francisco History Center/San Francisco Public Library)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003ch2>Chinese Hospital represents another reason for ethnic hospitals\u003c/h2>\n\u003cp>While hospitals affiliated with ethnic groups from Europe flourished and new immigrants built wealth and power by becoming benefactors, the same was not true for the Chinese community, who also came to San Francisco during the Gold Rush. Chinese miners experienced harsh racism in the mining camps and in communities around California. When they got sick, most hospitals refused to care for them. To make matters worse, many white San Franciscans wrongly blamed the Chinese population for spreading disease.\u003c/p>\n\u003cp>Chinese community leaders repeatedly asked the city for better health care and were denied. Finally, members of six prominent benevolent Chinese societies, known collectively as the Six Companies, raised enough money to build. But before they could do so, white people living near the proposed site in Portola mounted a campaign to stop the project, using racist arguments that the presence of a Chinese hospital near their homes would lower property values.\u003c/p>\n\u003cp>The Board of Supervisors sided with the white neighbors and the hospital planned for Portola was never built. Instead, the Tung Wah dispensary — a clinic, not a hospital — opened in Chinatown in 1900. It was a forerunner of the Chinese Hospital, was staffed by Christian missionaries and pioneered a blend of Eastern and Western medical practices. Only six years later, the dispensary burned down during the 1906 earthquake and fire, and the community had to begin fundraising once again. This time they’d take \u003ca href=\"https://www.history.com/the-promised-land/the-chinese-photographs.html\">nothing less than a modern hospital\u003c/a>.\u003c/p>\n\u003cp>The first Chinese hospital in the country opened in San Francisco in 1925 with 60 beds. The community raised funds from all over the country and world. Celebrations lasted 11 days and included a festival queen, parade, and ball.\u003c/p>\n\u003cfigure id=\"attachment_11919492\" class=\"wp-caption aligncenter\" style=\"max-width: 1920px\">\u003ca href=\"https://digitalsf.org/islandora/object/islandora%3A126950?solr_nav%5Bid%5D=be87150be9690f86127c&solr_nav%5Bpage%5D=1&solr_nav%5Boffset%5D=0\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-11919492\" src=\"https://ww2.kqed.org/app/uploads/sites/10/2022/07/Lena-Leung-festivalqueen-sm.jpg\" alt=\"Black and white posed photo of a carefully put together Asian woman from the 1920s. She has a wave in her hair and wears a long sleeve white shirt.\" width=\"1920\" height=\"668\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2022/07/Lena-Leung-festivalqueen-sm.jpg 1920w, https://cdn.kqed.org/wp-content/uploads/sites/10/2022/07/Lena-Leung-festivalqueen-sm-800x278.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2022/07/Lena-Leung-festivalqueen-sm-1020x355.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2022/07/Lena-Leung-festivalqueen-sm-160x56.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2022/07/Lena-Leung-festivalqueen-sm-1536x534.jpg 1536w\" sizes=\"(max-width: 1920px) 100vw, 1920px\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">Lena Leong was elected Queen of the Chinese Hospital Carnival in 1925. At 17, she was the first Chinese festival queen in the US. \u003ccite>(San Francisco History Center, San Francisco Public LIbrary)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003ch2>What happened to ethnically affiliated hospitals?\u003c/h2>\n\u003cp>Providing care to poor people has always been an expensive proposition. Many of San Francisco’s early hospitals struggled to cover their costs, developing elaborate fundraising schemes to keep money coming in the door. Each local hospital with ethnic or religious roots has its own unique story of how it lost its orientation, but there were some larger trends that also played a role.\u003c/p>\n\u003cp>Global events like World War I and the 1918 flu pandemic led to many more people needing medical care all at once. There wasn’t enough existing hospital space, and cities like San Francisco had to scramble to convert gyms and churches into care facilities.\u003c/p>\n\u003cp>Meanwhile, as more hospitals became associated with medical schools, the hospital as an institution became more prestigious.\u003c/p>\n\u003cp>These developments led cities to take an interest in funding hospitals. It became a point of civic pride to have a world-class hospital, and it made more sense to take over existing hospitals than to build new ones. Over time, municipalities started to contract out their hospital services to private companies because it was cheaper. And ultimately that’s why the old French hospital is part of Kaiser, the old German hospital is part of Sutter Health, Mount Zion is part of UCSF, and St. Mary’s is part of Dignity Health.\u003c/p>\n\u003ch2>Chinese Hospital remains\u003c/h2>\n\u003cfigure id=\"attachment_11919525\" class=\"wp-caption aligncenter\" style=\"max-width: 1920px\">\u003ca href=\"https://commons.wikimedia.org/wiki/File:San_Francisco_Chinese_Hospital,_Jackson_Street_entrance,_2017.jpg\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-11919525\" src=\"https://ww2.kqed.org/app/uploads/sites/10/2022/07/new-Chinese_Hospital_2017.jpg\" alt=\"The ground floor of a sleek, modern hospital. Emergency room can be seen in ready lettering above one door\" width=\"1920\" height=\"1440\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2022/07/new-Chinese_Hospital_2017.jpg 1920w, https://cdn.kqed.org/wp-content/uploads/sites/10/2022/07/new-Chinese_Hospital_2017-800x600.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2022/07/new-Chinese_Hospital_2017-1020x765.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2022/07/new-Chinese_Hospital_2017-160x120.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2022/07/new-Chinese_Hospital_2017-1536x1152.jpg 1536w\" sizes=\"(max-width: 1920px) 100vw, 1920px\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">Chinese Hospital opened a new modern facility in 2016 on the site of the 1925 building. It still serves the Chinatown community, but also has clinics in other parts of the city. \u003ccite>(HaeB/Wikimedia Commons)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>Chinese Hospital is the only ethnically oriented hospital that continues to operate independently in San Francisco. That’s in large part because much of the racism and exclusion that spurred its development is still pervasive.\u003c/p>\n\u003cp>Dr. Jian Zhang, CEO of Chinese Hospital, said several of her employees have been physically and verbally attacked since the coronavirus pandemic began. Some people blame the Chinese community in San Francisco for bringing the disease to the U.S. and spreading it, an unsettling reminder of the exact same rationale used by white San Franciscans against the Chinese community in the 1800s.\u003c/p>\n\u003cp>The rise of anti-Asian hate makes Zhang angry, but she tries to stay focused on the important role Chinese Hospital plays in the community.\u003c/p>\n\u003cp>“We still have a lot of monolingual immigrants and low-income living in Chinatown,” said Zhang. The hospital now has satellite clinics outside of Chinatown and serves people all over the Bay Area, but their mission still stands: to provide culturally appropriate care to the community.\u003c/p>\n\u003cp>“Think about it — you can go in and talk to a provider who can speak your language and understand your culture,” Zhang said. “It makes a huge difference. That’s what a lot of patients told me, and a lot of doctors told me, too.”\u003c/p>\n\u003cp>The longevity of Chinese Hospital has made it a point of pride in the community. Even lower-income patients donated money to the hospital’s fundraising campaign. And they treat it like their own, too. Before the coronavirus pandemic changed the rules, many people living in the community would bring their breakfasts and newspapers and read in the lobby of the hospital.\u003c/p>\n\u003cp>“It’s a community place for them. It’s safe,” Zhang said.\u003c/p>\n\u003cp>[ad floatright]\u003c/p>\n\u003cp>[baycuriousquestion]\u003c/p>\n\n",
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"excerpt": "San Francisco during the Gold Rush didn't have a lot of public services. So people from the same country of origin would get together to help each other with things like housing, health care and burial services. Those 'benevolent societies' founded some of the city's first hospitals.",
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"title": "Why Were Many SF Hospitals Once Affiliated With Ethnic Groups? | KQED",
"description": "San Francisco during the Gold Rush didn't have a lot of public services. So people from the same country of origin would get together to help each other with things like housing, health care and burial services. Those 'benevolent societies' founded some of the city's first hospitals.",
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"subhead": "How Jewish, Chinese, French and German benevolent societies founded hospitals in San Francisco.",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>San Francisco has some of the country’s premier hospitals. Big providers like Kaiser, Sutter Health and UCSF Medical Center operate here, part of a vast and complicated system of health care that can feel byzantine in complexity. So it’s hard to believe that hospitals here were once a lot simpler: people with ethnic or religious affinities taking care of one another. Bay Curious listener Ken Katz saw hints of this history and wanted to know more.\u003c/p>\n\u003cp>“I work at Kaiser Permanente in San Francisco, and one of our campuses is the French campus,” Ken said. “Only recently did I learn that the reason it’s called the French campus is it’s the site of the former French hospital.”\u003c/p>\n\u003cfigure id=\"attachment_11919479\" class=\"wp-caption aligncenter\" style=\"max-width: 1920px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-11919479\" src=\"https://ww2.kqed.org/app/uploads/sites/10/2022/07/vestiges-french-hospital-sm.jpg\" alt=\"A mosaic is inlaid in the ground showing a blue, white and red crest depicting a syringe\" width=\"1920\" height=\"1920\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2022/07/vestiges-french-hospital-sm.jpg 1920w, https://cdn.kqed.org/wp-content/uploads/sites/10/2022/07/vestiges-french-hospital-sm-800x800.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2022/07/vestiges-french-hospital-sm-1020x1020.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2022/07/vestiges-french-hospital-sm-160x160.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2022/07/vestiges-french-hospital-sm-1536x1536.jpg 1536w\" sizes=\"(max-width: 1920px) 100vw, 1920px\">\u003cfigcaption class=\"wp-caption-text\">Vestiges of the old French hospital still remain at the Kaiser Permanente French Campus on 6th Avenue and Geary Streets. \u003ccite>(Courtesy Ken Katz)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>Then he remembered that when visiting California Pacific Medical Center Davies, in the Castro, he’d once seen an exhibit showcasing the building’s history. It was once known as “the German Hospital.” Two hospitals named after ethnic identities seemed like an unlikely coincidence to Ken.\u003c/p>\n\u003cp>\u003c/p>\u003cp>\u003caside class=\"alignleft utils-parseShortcode-shortcodes-__bayCuriousPodcastShortcode__bayCurious\">\u003cimg src=https://cdn.kqed.org/wp-content/uploads/2023/02/bayCuriousLogo.png alt=\"Bay Curious Podcast\" loading=\"lazy\" />\n \u003ca href=\"/news/series/baycurious\">Bay Curious\u003c/a> is a podcast that answers your questions about the Bay Area.\n Subscribe on \u003ca href=\"https://itunes.apple.com/us/podcast/bay-curious/id1172473406\" target=\"_blank\" rel=\"noopener noreferrer\">Apple Podcasts\u003c/a>,\n \u003ca href=\"http://www.npr.org/podcasts/500557090/bay-curious\" target=\"_blank\" rel=\"noopener noreferrer\">NPR One\u003c/a> or your favorite podcast platform.\u003c/aside>\u003c/p>\u003cp>\u003c/p>\n\u003cp>“So I’m wondering, when did this pattern of ethnic hospitals in San Francisco begin? What was the impetus for it? And when did they start losing their ethnic orientation? Or, maybe some, like the Chinese Hospital, haven’t yet,” he said.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>Ken’s question sparked the curiosity of other Bay Curious fans and \u003ca href=\"https://www.kqed.org/podcasts/baycurious\">won a voting round\u003c/a>. The answer, like so many things, goes back to the Gold Rush, when thousands of people poured into the region, multiplying the city’s population several times over in a matter of months.\u003c/p>\n\u003ch2>When care was provided at home\u003c/h2>\n\u003cp>People lived in the Bay Area long before the Gold Rush, of course. The smattering of colonizers, Mexican ranchers and native peoples would have relied on herbal remedies when they got ill. At that time, San Francisco was a sleepy town with few amenities. It was unprepared for the surge of gold seekers from all over the world that descended after news spread that \u003ca href=\"https://www.loc.gov/item/today-in-history/january-24/\">gold had been found near Coloma in 1848\u003c/a>.\u003c/p>\n\u003cp>Many fortune hunters were men who came expecting to prospect for gold, strike it rich and return home. Most did not bring their families with them, which was a problem when they got sick.\u003c/p>\n\u003cp>“The primary source of care before hospitals was in the home,” said Aaron Jackson, a doctoral candidate in the department of health sciences at UCSF. His research focuses on the evolution of care for veterans and intersects with the general history of hospitals in America.\u003c/p>\n\u003cp>\u003c/p>\u003cp>\u003caside class=\"alignleft utils-parseShortcode-shortcodes-__bayCuriousPodcastShortcode__bayCurious\">\u003cimg src=https://cdn.kqed.org/wp-content/uploads/2023/02/bayCuriousLogo.png alt=\"Bay Curious Podcast\" loading=\"lazy\" />\n What do you wonder about the Bay Area, its culture or people that you want KQED to investigate?\n \u003ca href=\"/news/series/baycurious\">Ask Bay Curious.\u003c/a>\u003c/aside>\u003c/p>\u003cp>\u003c/p>\n\u003cp>The first doctors in San Francisco came for the same reason as everyone else — to prospect for gold. But, when it started to become clear that gold mining wasn’t as easy as it sounded, some of those doctors returned to their prior profession. The quality of their services varied widely, but all of them would have attended patients in their homes. That model didn’t work as well for people who didn’t have families to care for them.\u003c/p>\n\u003cp>\u003ca href=\"https://en.wikipedia.org/wiki/Marine_Hospital_Service\">Maritime hospitals were the first institutions to address this structural problem\u003c/a>.\u003c/p>\n\u003cp>“Sailors are obviously away from their families,” Jackson said. “Some of these sailing expeditions could last years, and if they got sick, well, the ship would have to still continue on, but the sailor would have to have a place to stay.”\u003c/p>\n\u003cp>The maritime hospital mostly provided sailors a roof, food and a bed in which to recover. At this point in history, hospitals were less focused on medicine and more on providing general care, the kind that would normally have been offered at home. Even the word “hospital” comes from the same root as “hospice,” Jackson said, meaning “to care.”\u003c/p>\n\u003cp>But the maritime hospital served only a small portion of the population. With so many people jammed into San Francisco, it was only a matter of time until diseases like cholera and smallpox started to spread. Many people were getting sick and had no one to care for them. That’s when churches and benevolent societies got involved.\u003c/p>\n\u003ch2>A proliferation of hospitals\u003c/h2>\n\u003cp>“The hospital being attached to the religious element or to the ethnic group is something that goes back centuries in Western Europe,” Jackson said. “And that was inherited by the United States from the earliest days of colonialism.”\u003c/p>\n\u003cp>Many religions included charity as part of their missions, so it made sense that they would be involved in early health care.\u003c/p>\n\u003cp>But to understand the ethnic origins, it’s important to know that many early San Franciscans did not yet identify as “American.” They considered themselves to be French, German, Chinese, Mexican or Spanish, to name just a few. And people in these groups stuck together. They created benevolent societies that acted as social safety nets. And they funded hospitals, formed welcoming committees for new arrivals, cared for widows and orphans, and even provided undertaking services.\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>The French Benevolent Society established the first private hospital in San Francisco in 1851, known as the French Hospital. The Catholic Church sent a group of Irish nuns in 1854 who would eventually establish Sisters of Mercy, later known as St. Mary’s. Many immigrants to San Francisco found it comforting to receive care that adhered to their cultural or religious values and that was delivered in their home languages.\u003c/p>\n\u003cp>There was a public hospital, but by all accounts the care there was terrible and corruption rampant. So, many more ethnic and religiously affiliated institutions opened in the 1880s and ’90s as people realized how bad the public care was.\u003c/p>\n\u003ch2>San Francisco’s wealthy show off\u003c/h2>\n\u003cp>The city’s early hospitals may have started as a stop-gap measure to care for people without families, but they soon became places that mostly cared for the poor. It became prudent for newly wealthy San Franciscans to donate money to their home-country benevolent society or church to show off their social standing.\u003c/p>\n\u003cp>“The Jews have a unique experience here,” said Judi Leff, a teacher and historian of San Francisco’s Jewish community. The first Jewish people to immigrate to San Francisco were from Bavaria, Germany. They experienced religious discrimination in Europe, where they had few professional or social opportunities and were limited to making their livings as traders, traveling salesmen and money lenders. They came to California, like so many, for better opportunities.\u003c/p>\n\u003cp>“What they discover is that these miners have a lot of needs,” Leff said.\u003c/p>\n\u003cp>The mining industry sprang up almost overnight. Men working in mining camps out in the hills needed food, supplies and tools. The Jewish arrivals were poised to start successful businesses.\u003c/p>\n\u003cp>“The very things that they are limited to in Europe allow them to become successful rather quickly out here in California,” Leff said.\u003c/p>\n\u003cp>Think of Levi Strauss providing clothing to the miners.\u003c/p>\n\u003cp>And, because San Francisco was a young city, building itself up quickly, the Jewish community did not experience the same level of religious discrimination as they did in Eastern cities like New York and Boston. It helped that they were perceived as white, and so did not face the racial bias non-white groups, like the Chinese, endured.\u003c/p>\n\u003cp>“You don’t have a lot of religion and you don’t have a lot of law,” Leff said. “So yeah, it’s just like, ‘Can you do the work or can you help us do the work? Great.'”\u003c/p>\n\u003cp>Once established, the Jewish community started giving back to the city that had provided them with so many opportunities. Look around San Francisco today and you’ll see the legacy of Jewish philanthropy throughout the city including Fleishhacker Zoo and Pool, Stern Grove, Steinhart Aquarium at the California Academy of Sciences and Hellman Hollow in Golden Gate Park.\u003c/p>\n\u003cp>“They also want the reputation of the Jewish community to be held in high esteem,” Leff said. “This is very important to the Jews because this is a new experience for them to be in San Francisco and to be regarded so well. They want to keep up appearances.”\u003c/p>\n\u003ch2>The founding of Mount Zion Hospital\u003c/h2>\n\u003cp>The Jewish community’s first priorities when they arrived in San Francisco were to meet the specific needs of their community. They established sources of kosher food, built synagogues to worship in, raised funds to support widows and orphans, and established religiously appropriate burial services. But by 1887, they turned their attention to health care. The story goes that a prominent Jewish businessman, Frederick Castle, had recently lost his son to smallpox at the poorly run county hospital.\u003c/p>\n\u003cp>“And something like 43 Jews get together and they decide that there’s going to be a hospital, but it’s going to be nonsectarian,” Leff said.\u003c/p>\n\u003cfigure id=\"attachment_11919487\" class=\"wp-caption aligncenter\" style=\"max-width: 1920px\">\u003ca href=\"https://digitalsf.org/islandora/object/islandora%3A140136?solr_nav%5Bid%5D=d9f56cb4a776c0091569&solr_nav%5Bpage%5D=0&solr_nav%5Boffset%5D=1\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-11919487\" src=\"https://ww2.kqed.org/app/uploads/sites/10/2022/07/Mt-Zion-sm.jpg\" alt=\"Black and white photo of an imposing building. A sign nearby says Mount Zion Hospital\" width=\"1920\" height=\"668\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2022/07/Mt-Zion-sm.jpg 1920w, https://cdn.kqed.org/wp-content/uploads/sites/10/2022/07/Mt-Zion-sm-800x278.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2022/07/Mt-Zion-sm-1020x355.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2022/07/Mt-Zion-sm-160x56.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2022/07/Mt-Zion-sm-1536x534.jpg 1536w\" sizes=\"(max-width: 1920px) 100vw, 1920px\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">Mount Zion Hospital circa 1931. \u003ccite>(San Francisco History Center, San Francisco Public Library)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>The Jewish community had a debate over whether the new hospital should serve only California’s Jewish population, but ultimately influential rabbis like Jacob Voorsanger of Temple Emanu-El, Jacob Nieto of Sherith Israel, and Myer S. Levy of Neth Israel won out. They argued that a hospital that served San Franciscans of all faiths would be a better tribute to the city. Mount Zion hospital opened in 1897 with just 12 beds.\u003c/p>\n\u003cp>Fairly quickly, the Mount Zion Hospital Association \u003ca href=\"https://www.foundsf.org/index.php?title=Mt._Zion_Nursing_School\">realized they should train nurses\u003c/a> to help provide higher-quality, more consistent care. When \u003ca href=\"https://history.library.ucsf.edu/1868_hospitals.html\">UCSF medical school\u003c/a> wanted to partner with Mount Zion to become a teaching hospital in the 1920s, it was a natural fit. Over time, as the medical school became more established, it took over Mount Zion hospital entirely.\u003c/p>\n\u003cfigure id=\"attachment_11919515\" class=\"wp-caption aligncenter\" style=\"max-width: 1920px\">\u003ca href=\"https://digitalsf.org/islandora/object/islandora%3A140154?solr_nav%5Bid%5D=d9f56cb4a776c0091569&solr_nav%5Bpage%5D=0&solr_nav%5Boffset%5D=11\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-11919515\" src=\"https://ww2.kqed.org/app/uploads/sites/10/2022/07/Mt-zion-nurse-sm.jpg\" alt=\"In the foreground three empty hospital beds are lined up against a wall. By the last bed is a nurse in an old fashioned uniform\" width=\"1920\" height=\"668\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2022/07/Mt-zion-nurse-sm.jpg 1920w, https://cdn.kqed.org/wp-content/uploads/sites/10/2022/07/Mt-zion-nurse-sm-800x278.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2022/07/Mt-zion-nurse-sm-1020x355.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2022/07/Mt-zion-nurse-sm-160x56.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2022/07/Mt-zion-nurse-sm-1536x534.jpg 1536w\" sizes=\"(max-width: 1920px) 100vw, 1920px\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">A nurse working in the Mount Zion maternity ward circa 1952. This photo was used as part of a news story promoting more modern hospitals like Mount Zion. \u003ccite>(Courtesy San Francisco History Center/San Francisco Public Library)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003ch2>Chinese Hospital represents another reason for ethnic hospitals\u003c/h2>\n\u003cp>While hospitals affiliated with ethnic groups from Europe flourished and new immigrants built wealth and power by becoming benefactors, the same was not true for the Chinese community, who also came to San Francisco during the Gold Rush. Chinese miners experienced harsh racism in the mining camps and in communities around California. When they got sick, most hospitals refused to care for them. To make matters worse, many white San Franciscans wrongly blamed the Chinese population for spreading disease.\u003c/p>\n\u003cp>Chinese community leaders repeatedly asked the city for better health care and were denied. Finally, members of six prominent benevolent Chinese societies, known collectively as the Six Companies, raised enough money to build. But before they could do so, white people living near the proposed site in Portola mounted a campaign to stop the project, using racist arguments that the presence of a Chinese hospital near their homes would lower property values.\u003c/p>\n\u003cp>The Board of Supervisors sided with the white neighbors and the hospital planned for Portola was never built. Instead, the Tung Wah dispensary — a clinic, not a hospital — opened in Chinatown in 1900. It was a forerunner of the Chinese Hospital, was staffed by Christian missionaries and pioneered a blend of Eastern and Western medical practices. Only six years later, the dispensary burned down during the 1906 earthquake and fire, and the community had to begin fundraising once again. This time they’d take \u003ca href=\"https://www.history.com/the-promised-land/the-chinese-photographs.html\">nothing less than a modern hospital\u003c/a>.\u003c/p>\n\u003cp>The first Chinese hospital in the country opened in San Francisco in 1925 with 60 beds. The community raised funds from all over the country and world. Celebrations lasted 11 days and included a festival queen, parade, and ball.\u003c/p>\n\u003cfigure id=\"attachment_11919492\" class=\"wp-caption aligncenter\" style=\"max-width: 1920px\">\u003ca href=\"https://digitalsf.org/islandora/object/islandora%3A126950?solr_nav%5Bid%5D=be87150be9690f86127c&solr_nav%5Bpage%5D=1&solr_nav%5Boffset%5D=0\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-11919492\" src=\"https://ww2.kqed.org/app/uploads/sites/10/2022/07/Lena-Leung-festivalqueen-sm.jpg\" alt=\"Black and white posed photo of a carefully put together Asian woman from the 1920s. She has a wave in her hair and wears a long sleeve white shirt.\" width=\"1920\" height=\"668\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2022/07/Lena-Leung-festivalqueen-sm.jpg 1920w, https://cdn.kqed.org/wp-content/uploads/sites/10/2022/07/Lena-Leung-festivalqueen-sm-800x278.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2022/07/Lena-Leung-festivalqueen-sm-1020x355.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2022/07/Lena-Leung-festivalqueen-sm-160x56.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2022/07/Lena-Leung-festivalqueen-sm-1536x534.jpg 1536w\" sizes=\"(max-width: 1920px) 100vw, 1920px\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">Lena Leong was elected Queen of the Chinese Hospital Carnival in 1925. At 17, she was the first Chinese festival queen in the US. \u003ccite>(San Francisco History Center, San Francisco Public LIbrary)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003ch2>What happened to ethnically affiliated hospitals?\u003c/h2>\n\u003cp>Providing care to poor people has always been an expensive proposition. Many of San Francisco’s early hospitals struggled to cover their costs, developing elaborate fundraising schemes to keep money coming in the door. Each local hospital with ethnic or religious roots has its own unique story of how it lost its orientation, but there were some larger trends that also played a role.\u003c/p>\n\u003cp>Global events like World War I and the 1918 flu pandemic led to many more people needing medical care all at once. There wasn’t enough existing hospital space, and cities like San Francisco had to scramble to convert gyms and churches into care facilities.\u003c/p>\n\u003cp>Meanwhile, as more hospitals became associated with medical schools, the hospital as an institution became more prestigious.\u003c/p>\n\u003cp>These developments led cities to take an interest in funding hospitals. It became a point of civic pride to have a world-class hospital, and it made more sense to take over existing hospitals than to build new ones. Over time, municipalities started to contract out their hospital services to private companies because it was cheaper. And ultimately that’s why the old French hospital is part of Kaiser, the old German hospital is part of Sutter Health, Mount Zion is part of UCSF, and St. Mary’s is part of Dignity Health.\u003c/p>\n\u003ch2>Chinese Hospital remains\u003c/h2>\n\u003cfigure id=\"attachment_11919525\" class=\"wp-caption aligncenter\" style=\"max-width: 1920px\">\u003ca href=\"https://commons.wikimedia.org/wiki/File:San_Francisco_Chinese_Hospital,_Jackson_Street_entrance,_2017.jpg\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-11919525\" src=\"https://ww2.kqed.org/app/uploads/sites/10/2022/07/new-Chinese_Hospital_2017.jpg\" alt=\"The ground floor of a sleek, modern hospital. Emergency room can be seen in ready lettering above one door\" width=\"1920\" height=\"1440\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2022/07/new-Chinese_Hospital_2017.jpg 1920w, https://cdn.kqed.org/wp-content/uploads/sites/10/2022/07/new-Chinese_Hospital_2017-800x600.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2022/07/new-Chinese_Hospital_2017-1020x765.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2022/07/new-Chinese_Hospital_2017-160x120.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2022/07/new-Chinese_Hospital_2017-1536x1152.jpg 1536w\" sizes=\"(max-width: 1920px) 100vw, 1920px\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">Chinese Hospital opened a new modern facility in 2016 on the site of the 1925 building. It still serves the Chinatown community, but also has clinics in other parts of the city. \u003ccite>(HaeB/Wikimedia Commons)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>Chinese Hospital is the only ethnically oriented hospital that continues to operate independently in San Francisco. That’s in large part because much of the racism and exclusion that spurred its development is still pervasive.\u003c/p>\n\u003cp>Dr. Jian Zhang, CEO of Chinese Hospital, said several of her employees have been physically and verbally attacked since the coronavirus pandemic began. Some people blame the Chinese community in San Francisco for bringing the disease to the U.S. and spreading it, an unsettling reminder of the exact same rationale used by white San Franciscans against the Chinese community in the 1800s.\u003c/p>\n\u003cp>The rise of anti-Asian hate makes Zhang angry, but she tries to stay focused on the important role Chinese Hospital plays in the community.\u003c/p>\n\u003cp>“We still have a lot of monolingual immigrants and low-income living in Chinatown,” said Zhang. The hospital now has satellite clinics outside of Chinatown and serves people all over the Bay Area, but their mission still stands: to provide culturally appropriate care to the community.\u003c/p>\n\u003cp>“Think about it — you can go in and talk to a provider who can speak your language and understand your culture,” Zhang said. “It makes a huge difference. That’s what a lot of patients told me, and a lot of doctors told me, too.”\u003c/p>\n\u003cp>The longevity of Chinese Hospital has made it a point of pride in the community. Even lower-income patients donated money to the hospital’s fundraising campaign. And they treat it like their own, too. Before the coronavirus pandemic changed the rules, many people living in the community would bring their breakfasts and newspapers and read in the lobby of the hospital.\u003c/p>\n\u003cp>“It’s a community place for them. It’s safe,” Zhang said.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"title": "Researchers Find COVID Disproportionately Decreased Life Expectancy for Latino, Black and Asian Californians",
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"content": "\u003cp>Racial and economic health disparities exposed by the pandemic have factored into \u003ca href=\"https://jamanetwork.com/journals/jama/fullarticle/2794146?guestAccessKey=acd69ea5-6be4-4e56-9486-17878426d1b9&utm_source=For_The_Media&utm_medium=referral&utm_campaign=ftm_links&utm_content=tfl&utm_term=070722\">a widening gap in Californians’ life expectancies\u003c/a>, according to a study published today in the Journal of the American Medical Association.\u003c/p>\n\u003cp>Researchers found that between 2019 and 2021, the life expectancy for Latino Californians fell by almost six years — from 82.5 years to 76.8. That plunge is twice the average decline of about three years for all Californians and three times more than the decrease for white Californians of close to two years.\u003c/p>\n\u003cp>Prior to the pandemic, white Californians had a lower life expectancy than Latinos of 80.5 years. In 2021 the expected life span of whites had decreased to 78.6 years.[pullquote size=\"medium\" align=\"right\" citation=\"Till von Wachter, economics professor, UCLA, and faculty director, California Policy Lab\"]‘Our findings are another troubling sign of how the pandemic’s impact was not felt evenly across all communities.’[/pullquote]\u003c/p>\n\u003cp>Life expectancy is a hypothetical measure of how long those born in a specific year will live based on that year’s mortality rates. It is not a measure of actual life spans, but researchers use it to understand loss of life within various populations, according to the California Policy Lab.\u003c/p>\n\u003cp>It decreased by nearly four years for Black Californians, from 74.8 years to 71, and by three years for Asian Californians, from 86.6 years to 83.5, the study says.\u003c/p>\n\u003cp>“Our findings are another troubling sign of how the pandemic’s impact was not felt evenly across all communities,” said Till von Wachter, a UCLA economics professor and California Policy Lab faculty director, who is one of the report’s co-authors.\u003c/p>\n\u003ch2>Increased risks of exposure\u003c/h2>\n\u003cp>The researchers wrote that the disproportionately large decreases in life expectancy among Latino and Black populations reflected their greater exposure to COVID-19 infection, reflected in higher hospitalization and death rates.\u003c/p>\n\u003cp>Latino and Black people were more likely to work frontline jobs and rely on transportation and housing that increased the risks of exposure, researchers said, and they were more likely to encounter barriers to health care. They also were likely to have medical conditions and socioeconomic challenges that jeopardized their health.\u003c/p>\n\u003cp>The study also showed that a life expectancy gap increased between the rich and the poor.\u003c/p>\n\u003cp>Before the pandemic, researchers found, residents in the state’s poorest 1% of census tracts could be expected to live to nearly 76 years, about 11.5 fewer years than those in the richest 1% of tracts. In 2021 that gap grew to 15.5 fewer years of life.\u003c/p>\n\u003cp>Disparities in life expectancy by neighborhood \u003ca href=\"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4866586/#:~:text=The%20gap%20in%20life%20expectancy,life%20expectancy%20increased%20over%20time.\">and income\u003c/a> have \u003ca href=\"https://www.pnas.org/doi/10.1073/pnas.2003719117\">been well-documented nationwide\u003c/a>. The researchers of the new study believe it is the first study to find that this gap worsened during the pandemic.\u003c/p>\n\u003cp>State data show \u003ca href=\"https://www.cdph.ca.gov/Programs/CID/DCDC/Pages/COVID-19/Age-Race-Ethnicity.aspx\">Latinos experiencing COVID cases and deaths at a rate far exceeding their 38% share of the population\u003c/a>. Latinos made up 46% of COVID cases and 43% of deaths overall, according to the state’s COVID dashboard.\u003c/p>\n\u003cp>Black people, who make up 6% of the population, accounted for 5% of cases but 7% of deaths.\u003cstrong> \u003c/strong>\u003c/p>\n\u003ch2>Setting priorities\u003c/h2>\n\u003cp>The researchers did not offer policy recommendations but noted that they studied life expectancy based on incomes of neighborhoods. Household and geographic factors, such as local job opportunities, quality of schools and environmental conditions, shape health disparities, they said.\u003c/p>\n\u003cp>“Documenting area-based health disparities can help inform policy development and set priorities for targeting resources and investments to marginalized communities,” they wrote.\u003c/p>\n\u003cp>Gov. Gavin Newsom and state lawmakers recently passed \u003ca href=\"https://calmatters.org/politics/2022/06/california-budget-deal-2/\">a major expansion of the state’s health safety net\u003c/a>, budgeting funds to open Medi-Cal coverage to all income-eligible undocumented immigrants regardless of age. Past expansions included immigrants who were young adults or older than 55.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>\u003c/p>\n",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>Racial and economic health disparities exposed by the pandemic have factored into \u003ca href=\"https://jamanetwork.com/journals/jama/fullarticle/2794146?guestAccessKey=acd69ea5-6be4-4e56-9486-17878426d1b9&utm_source=For_The_Media&utm_medium=referral&utm_campaign=ftm_links&utm_content=tfl&utm_term=070722\">a widening gap in Californians’ life expectancies\u003c/a>, according to a study published today in the Journal of the American Medical Association.\u003c/p>\n\u003cp>Researchers found that between 2019 and 2021, the life expectancy for Latino Californians fell by almost six years — from 82.5 years to 76.8. That plunge is twice the average decline of about three years for all Californians and three times more than the decrease for white Californians of close to two years.\u003c/p>\n\u003cp>Prior to the pandemic, white Californians had a lower life expectancy than Latinos of 80.5 years. In 2021 the expected life span of whites had decreased to 78.6 years.\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>Life expectancy is a hypothetical measure of how long those born in a specific year will live based on that year’s mortality rates. It is not a measure of actual life spans, but researchers use it to understand loss of life within various populations, according to the California Policy Lab.\u003c/p>\n\u003cp>It decreased by nearly four years for Black Californians, from 74.8 years to 71, and by three years for Asian Californians, from 86.6 years to 83.5, the study says.\u003c/p>\n\u003cp>“Our findings are another troubling sign of how the pandemic’s impact was not felt evenly across all communities,” said Till von Wachter, a UCLA economics professor and California Policy Lab faculty director, who is one of the report’s co-authors.\u003c/p>\n\u003ch2>Increased risks of exposure\u003c/h2>\n\u003cp>The researchers wrote that the disproportionately large decreases in life expectancy among Latino and Black populations reflected their greater exposure to COVID-19 infection, reflected in higher hospitalization and death rates.\u003c/p>\n\u003cp>Latino and Black people were more likely to work frontline jobs and rely on transportation and housing that increased the risks of exposure, researchers said, and they were more likely to encounter barriers to health care. They also were likely to have medical conditions and socioeconomic challenges that jeopardized their health.\u003c/p>\n\u003cp>The study also showed that a life expectancy gap increased between the rich and the poor.\u003c/p>\n\u003cp>Before the pandemic, researchers found, residents in the state’s poorest 1% of census tracts could be expected to live to nearly 76 years, about 11.5 fewer years than those in the richest 1% of tracts. In 2021 that gap grew to 15.5 fewer years of life.\u003c/p>\n\u003cp>Disparities in life expectancy by neighborhood \u003ca href=\"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4866586/#:~:text=The%20gap%20in%20life%20expectancy,life%20expectancy%20increased%20over%20time.\">and income\u003c/a> have \u003ca href=\"https://www.pnas.org/doi/10.1073/pnas.2003719117\">been well-documented nationwide\u003c/a>. The researchers of the new study believe it is the first study to find that this gap worsened during the pandemic.\u003c/p>\n\u003cp>State data show \u003ca href=\"https://www.cdph.ca.gov/Programs/CID/DCDC/Pages/COVID-19/Age-Race-Ethnicity.aspx\">Latinos experiencing COVID cases and deaths at a rate far exceeding their 38% share of the population\u003c/a>. Latinos made up 46% of COVID cases and 43% of deaths overall, according to the state’s COVID dashboard.\u003c/p>\n\u003cp>Black people, who make up 6% of the population, accounted for 5% of cases but 7% of deaths.\u003cstrong> \u003c/strong>\u003c/p>\n\u003ch2>Setting priorities\u003c/h2>\n\u003cp>The researchers did not offer policy recommendations but noted that they studied life expectancy based on incomes of neighborhoods. Household and geographic factors, such as local job opportunities, quality of schools and environmental conditions, shape health disparities, they said.\u003c/p>\n\u003cp>“Documenting area-based health disparities can help inform policy development and set priorities for targeting resources and investments to marginalized communities,” they wrote.\u003c/p>\n\u003cp>Gov. Gavin Newsom and state lawmakers recently passed \u003ca href=\"https://calmatters.org/politics/2022/06/california-budget-deal-2/\">a major expansion of the state’s health safety net\u003c/a>, budgeting funds to open Medi-Cal coverage to all income-eligible undocumented immigrants regardless of age. Past expansions included immigrants who were young adults or older than 55.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"title": "What Do You Need to Know About the End of Roe v. Wade?",
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"content": "\u003cp>As many across the U.S. feared since \u003ca href=\"https://www.kqed.org/news/11913033/heres-what-could-happen-if-roe-v-wade-is-overturned\">a Supreme Court draft opinion was leaked in May\u003c/a>, \u003ca href=\"https://www.kqed.org/news/11917776/supreme-court-overturns-roe-v-wade\">Friday’s decision in Dobbs v. Jackson Women’s Health Organization has struck down Roe v. Wade\u003c/a>.\u003c/p>\n\u003cp>Now, without the constitutionally protected right to abortion access, \u003ca href=\"https://www.kqed.org/news/11913033/heres-what-could-happen-if-roe-v-wade-is-overturned\">individual states have the power to ban any and all abortion procedures\u003c/a>. California guarantees the right to abortion in statute and the state constitution, which remains unchanged, and \u003ca href=\"https://www.kqed.org/news/11912134/we-fill-the-gaps-california-preps-to-be-a-haven-for-abortion-rights\">the state already has been preparing to be a haven for abortion access\u003c/a> for people elsewhere in the U.S.\u003c/p>\n\u003ch2>What do you need to know right now?\u003c/h2>\n\u003cp>We know this news is affecting many of you greatly — perhaps sparking anger, fear and confusion. And we want to be able to provide you with the information you need.\u003c/p>\n\u003cp>If you have a question about Roe v. Wade being overturned — whether it’s what losing Roe means for the United States, how you can personally take action in support of abortion access or what this ruling means for California — \u003cstrong>send us your question below, via this comment box:\u003c/strong>\u003c/p>\n\u003cp>[hearken id=\"9626\" src=\"https://modules.wearehearken.com/kqed/embed/9626.js\"]\u003c/p>\n\u003cp>We may not be able to reach out directly to everyone who asks a question. But what you submit will make our reporting on abortion access stronger, and help us decide what to cover here on our site, and on KQED Public Radio.\u003c/p>\n\u003ch2>Abortion access resources for right now\u003c/h2>\n\u003cp>How to act:\u003c/p>\n\u003cul>\n\u003cli>\u003cstrong>\u003ca href=\"https://www.kqed.org/arts/13912860/roe-v-wade-where-to-donate-abortion-reproductive-rights-supreme-court\">Concerned About Access to Abortion? Here’s How to Help\u003c/a>\u003c/strong>\u003c/li>\n\u003cli>\u003cstrong>\u003ca href=\"https://www.kqed.org/news/11821950/how-to-safely-attend-a-protest-in-the-bay-area\">How to Attend a Rally Safely in the Bay Area\u003c/a>\u003c/strong>\u003c/li>\n\u003c/ul>\n\u003cp>Abortion access in California:\u003c/p>\n\u003cul>\n\u003cli>\u003cstrong>\u003ca href=\"https://www.kqed.org/news/11917111/even-without-roe-v-wade-abortion-is-still-legal-in-california-heres-what-you-need-to-know\">Even Without Roe v. Wade, Abortion is Still Legal in California. Here’s What You Need to Know\u003c/a>\u003c/strong>\u003c/li>\n\u003cli>\u003cstrong>\u003ca href=\"https://www.kqed.org/news/11912134/we-fill-the-gaps-california-preps-to-be-a-haven-for-abortion-rights\">‘We Fill the Gaps’: California Preps to Be a Haven for Abortion Rights\u003c/a>\u003c/strong>\u003c/li>\n\u003cli>\u003ca href=\"https://www.kqed.org/news/11913011/california-will-fight-like-hell-to-protect-abortion-rights-if-roe-v-wade-overturned-newsom-says\">\u003cstrong>California Will ‘Fight Like Hell’ to Protect Abortion Rights If Roe V. Wade Overturned, Newsom Says\u003c/strong>\u003c/a>\u003c/li>\n\u003c/ul>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003ch2>How to share your longer thoughts with us\u003c/h2>\n\u003cp>If you’re looking for a wider space to share your thoughts, or tell your own story about abortion, KQED Public Radio’s \u003ca href=\"https://www.kqed.org/perspectives\">Perspectives\u003c/a> series — our morning series that lets listeners have their say in their own words — also wants to hear from you:\u003c/p>\n\u003cp>\u003cstrong>How do you feel about living in a nation without Roe v. Wade?\u003c/strong>\u003c/p>\n\u003cp>Share your thoughts in the form below, and we may be in touch to talk about featuring your story, told by you in your own voice, on air. You can also email \u003ca href=\"mailto:mtrautwein@kqed.org\" rel=\"noopener noreferrer\">mtrautwein@kqed.org\u003c/a> or call (415) 553-2108 and leave us a message.\u003c/p>\n\u003cp>https://docs.google.com/forms/d/e/1FAIpQLScCV-FMA3W1019BmzePKn_0BQkcSy8Bfluu3ZP_ZcOt-oDHAA/viewform?embedded=true\u003c/p>\n\u003cp>\u003c/p>\n",
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"headline": "What Do You Need to Know About the End of Roe v. Wade?",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>As many across the U.S. feared since \u003ca href=\"https://www.kqed.org/news/11913033/heres-what-could-happen-if-roe-v-wade-is-overturned\">a Supreme Court draft opinion was leaked in May\u003c/a>, \u003ca href=\"https://www.kqed.org/news/11917776/supreme-court-overturns-roe-v-wade\">Friday’s decision in Dobbs v. Jackson Women’s Health Organization has struck down Roe v. Wade\u003c/a>.\u003c/p>\n\u003cp>Now, without the constitutionally protected right to abortion access, \u003ca href=\"https://www.kqed.org/news/11913033/heres-what-could-happen-if-roe-v-wade-is-overturned\">individual states have the power to ban any and all abortion procedures\u003c/a>. California guarantees the right to abortion in statute and the state constitution, which remains unchanged, and \u003ca href=\"https://www.kqed.org/news/11912134/we-fill-the-gaps-california-preps-to-be-a-haven-for-abortion-rights\">the state already has been preparing to be a haven for abortion access\u003c/a> for people elsewhere in the U.S.\u003c/p>\n\u003ch2>What do you need to know right now?\u003c/h2>\n\u003cp>We know this news is affecting many of you greatly — perhaps sparking anger, fear and confusion. And we want to be able to provide you with the information you need.\u003c/p>\n\u003cp>If you have a question about Roe v. Wade being overturned — whether it’s what losing Roe means for the United States, how you can personally take action in support of abortion access or what this ruling means for California — \u003cstrong>send us your question below, via this comment box:\u003c/strong>\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>We may not be able to reach out directly to everyone who asks a question. But what you submit will make our reporting on abortion access stronger, and help us decide what to cover here on our site, and on KQED Public Radio.\u003c/p>\n\u003ch2>Abortion access resources for right now\u003c/h2>\n\u003cp>How to act:\u003c/p>\n\u003cul>\n\u003cli>\u003cstrong>\u003ca href=\"https://www.kqed.org/arts/13912860/roe-v-wade-where-to-donate-abortion-reproductive-rights-supreme-court\">Concerned About Access to Abortion? Here’s How to Help\u003c/a>\u003c/strong>\u003c/li>\n\u003cli>\u003cstrong>\u003ca href=\"https://www.kqed.org/news/11821950/how-to-safely-attend-a-protest-in-the-bay-area\">How to Attend a Rally Safely in the Bay Area\u003c/a>\u003c/strong>\u003c/li>\n\u003c/ul>\n\u003cp>Abortion access in California:\u003c/p>\n\u003cul>\n\u003cli>\u003cstrong>\u003ca href=\"https://www.kqed.org/news/11917111/even-without-roe-v-wade-abortion-is-still-legal-in-california-heres-what-you-need-to-know\">Even Without Roe v. Wade, Abortion is Still Legal in California. Here’s What You Need to Know\u003c/a>\u003c/strong>\u003c/li>\n\u003cli>\u003cstrong>\u003ca href=\"https://www.kqed.org/news/11912134/we-fill-the-gaps-california-preps-to-be-a-haven-for-abortion-rights\">‘We Fill the Gaps’: California Preps to Be a Haven for Abortion Rights\u003c/a>\u003c/strong>\u003c/li>\n\u003cli>\u003ca href=\"https://www.kqed.org/news/11913011/california-will-fight-like-hell-to-protect-abortion-rights-if-roe-v-wade-overturned-newsom-says\">\u003cstrong>California Will ‘Fight Like Hell’ to Protect Abortion Rights If Roe V. Wade Overturned, Newsom Says\u003c/strong>\u003c/a>\u003c/li>\n\u003c/ul>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003ch2>How to share your longer thoughts with us\u003c/h2>\n\u003cp>If you’re looking for a wider space to share your thoughts, or tell your own story about abortion, KQED Public Radio’s \u003ca href=\"https://www.kqed.org/perspectives\">Perspectives\u003c/a> series — our morning series that lets listeners have their say in their own words — also wants to hear from you:\u003c/p>\n\u003cp>\u003cstrong>How do you feel about living in a nation without Roe v. Wade?\u003c/strong>\u003c/p>\n\u003cp>Share your thoughts in the form below, and we may be in touch to talk about featuring your story, told by you in your own voice, on air. You can also email \u003ca href=\"mailto:mtrautwein@kqed.org\" rel=\"noopener noreferrer\">mtrautwein@kqed.org\u003c/a> or call (415) 553-2108 and leave us a message.\u003c/p>\u003c/p>\u003cp>\u003cdiv class='utils-parseShortcode-shortcodes-__shortcodes__shortcodeWrapper'>\n \u003ciframe\n src='https://docs.google.com/forms/d/e/1FAIpQLScCV-FMA3W1019BmzePKn_0BQkcSy8Bfluu3ZP_ZcOt-oDHAA/viewform?embedded=true?embedded=true'\n title='https://docs.google.com/forms/d/e/1FAIpQLScCV-FMA3W1019BmzePKn_0BQkcSy8Bfluu3ZP_ZcOt-oDHAA/viewform?embedded=true'\n width='760' height='500'\n frameborder='0'\n marginheight='0' marginwidth='0'>\u003c/iframe>\u003c/div>\u003c/p>\u003cp>\u003cp>\u003c/p>\n\u003c/div>\u003c/p>",
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"content": "\u003cp>\u003ca href=\"https://www.kqed.org/news/11917776/supreme-court-overturns-roe-v-wade\">Roe v. Wade — the 1973 United States Supreme Court decision that guaranteed at least some degree of abortion access in the U.S. — is gone.\u003c/a>\u003c/p>\n\u003cp>On Friday, the Supreme Court announced its decision in Dobbs v. Jackson Women’s Health Organization, \u003ca href=\"https://www.supremecourt.gov/search.aspx?filename=/docket/docketfiles/html/public/19-1392.html\">a case from Mississippi that weighed whether bans on abortion before fetal viability are constitutional\u003c/a>. As many across the U.S. feared since \u003ca href=\"https://www.kqed.org/news/11913033/heres-what-could-happen-if-roe-v-wade-is-overturned\">a draft opinion of a decision in the case leaked in May\u003c/a>, June 24’s majority has struck down Roe v. Wade, and effectively reversed nearly 50 years of legal standing, \u003ca href=\"https://www.kqed.org/news/11913033/heres-what-could-happen-if-roe-v-wade-is-overturned\">giving individual states the power to ban any and all abortion procedures\u003c/a>.\u003c/p>\n\u003ch2>Share your voice with us\u003c/h2>\n\u003cp>If you’re looking to take action, \u003ca href=\"https://www.kqed.org/arts/13912860/roe-v-wade-where-to-donate-abortion-reproductive-rights-supreme-court\">learn about ways to support abortion access now\u003c/a>, within California and further afield, in this \u003ca href=\"https://www.kqed.org/arts/13912860/roe-v-wade-where-to-donate-abortion-reproductive-rights-supreme-court\">guide from KQED Arts and Culture\u003c/a>.\u003c/p>\n\u003cp>If you’re looking for a space to share your thoughts, or tell your own story about abortion, KQED Public Radio’s \u003ca href=\"https://www.kqed.org/perspectives\">Perspectives\u003c/a> series — our morning series that lets listeners have their say in their own words — wants to hear from you:\u003c/p>\n\u003cp>\u003cstrong>How do you feel about living in a nation without Roe v. Wade?\u003c/strong>\u003c/p>\n\u003cp>Share your thoughts in the form below, and we may be in touch to talk about featuring your story, told by you in your own voice, on air. You can also email \u003ca href=\"mailto:mtrautwein@kqed.org\" rel=\"noopener noreferrer\">mtrautwein@kqed.org\u003c/a> or call (415) 553-2108 and leave us a message.\u003c/p>\n\u003cp>(If you prefer to just ask us a question about what this means for the U.S. and California, \u003ca href=\"#ask\">you can send us your question here\u003c/a>.)\u003c/p>\n\u003cp>https://docs.google.com/forms/d/e/1FAIpQLScCV-FMA3W1019BmzePKn_0BQkcSy8Bfluu3ZP_ZcOt-oDHAA/viewform?embedded=true\u003c/p>\n\u003ch2>Remembering the reality before Roe\u003c/h2>\n\u003cp>Ever since May’s \u003ca href=\"https://www.npr.org/2022/05/02/1096053620/supreme-court-roe-wade-leaked-draft-opinion-politico\" target=\"_blank\" rel=\"noopener noreferrer\">leak of Justice Alito’s draft opinion\u003c/a>, people around the state have feared the official fall of Roe: how it will affect the lives of people needing abortions around the nation, and how this new reality might harken back to the time before Roe. And many have been compelled to share their personal experiences with abortion — some for the very first time.\u003c/p>\n\u003cp>KQED’s Lesley McClurg spoke with \u003ca href=\"https://www.npr.org/2022/05/29/1101973218/women-share-their-experience-of-getting-an-abortion-before-roe-made-it-legal\">several women who ended their pregnancies before Roe v. Wade\u003c/a>. For many, the memories of their illegal abortions were traumatic.\u003c/p>\n\u003cp>These women included Pearl Lipner, who sought an abortion in 1963 when she was 18 years old and using the birth control pill. For $1,500 in cash, she was given an abortion using the dangerous technique of packing the uterus with gauze, used back then by unskilled abortion providers.\u003c/p>\n\u003cp>“If something happened, I was not to go to the hospital because I’d be immediately arrested,” said Lipner. Twenty-four hours later, she was alone and in excruciating pain, and passed out as she began hemorrhaging. Hours later, a friend arranged for a former Vietnam medic to visit her home to give Lipner a blood transfusion — with likely stolen blood.\u003c/p>\n\u003cp>McClurg also spoke with her own mother, Jan, whom she says opened the conversation by saying, “You know, you might not be here today if I hadn’t had an abortion in 1968.”\u003c/p>\n\u003cp>Jan McClurg related how after her own illegal abortion in Mexico City, she began bleeding heavily — “I remember just being terrified” — but, like Lipner, didn’t dare go to the hospital for fear of the legal repercussions. She recovered quickly but said, “I go years and don’t even think about it. And then when I do, I still get so emotional.”\u003c/p>\n\u003cp>She told her daughter she has no regrets. “There was no way on Earth that I was prepared for motherhood. It was not meant to be,” she said.\u003c/p>\n\u003cp>Listen to the full story from \u003ca href=\"https://www.kqed.org/californiareportmagazine\">The California Report Magazine\u003c/a>:\u003c/p>\n\u003cp>\u003ciframe loading=\"lazy\" title=\"Women Share Their Experience of Getting an Abortion Before Roe Made it Legal\" src=\"https://omny.fm/shows/kqed-segmented-audio/mcclurg-abortionmag/embed?style=artwork\" width=\"100%\" height=\"180\" frameborder=\"0\">\u003c/iframe>\u003c/p>\n\u003ch2>More Californians share their abortion stories\u003c/h2>\n\u003cp>In anticipation of Friday’s decision, \u003ca href=\"https://www.kqed.org/forum/2010101889084/women-who-have-had-abortions-reflect-on-a-world-without-roe\" target=\"_blank\" rel=\"noopener noreferrer\">KQED Forum discussed the implications of a world without Roe\u003c/a>, and invited listeners to call in and share their personal experiences with abortion.\u003c/p>\n\u003cp>The outpouring of responses reflected both the weight and trauma of unwanted pregnancy, and the liberation granted by laws that support bodily autonomy. You can read those listener accounts in our article \u003ca href=\"https://www.kqed.org/news/11914690\">‘The Decision That Was Right for Me’: Advocates and KQED Listeners Share Their Abortion Stories\u003c/a>.\u003c/p>\n\u003cp>So many people reached out to Forum to share their stories that not all could be featured in \u003ca href=\"https://www.kqed.org/forum/2010101889084/women-who-have-had-abortions-reflect-on-a-world-without-roe\">the hour-long show\u003c/a>. But as Roe is struck down, and California grapples with the reality of a nation with no guaranteed abortion access, we’re bringing their stories to you now:\u003c/p>\n\u003cp>\u003cstrong>\u003ca href=\"http://www.carolebumpus.com\" target=\"_blank\" rel=\"noopener noreferrer\">Carole Bumpus:\u003c/a> \u003c/strong>“When I became pregnant while unmarried and in college, I chose to deliver my baby and give her up for adoption. This was in 1967 and during the Vietnam war. The father of the baby was unwilling to accept responsibility, my own father was an Anglican [Episcopal] priest, and I didn’t want to bring shame to our family. I went far, far away to deliver in a state where I knew no one.\u003c/p>\n\u003cp>“Fifteen years later, when I was ending a brutal marriage, I found I was pregnant again. I chose abortion and have never felt one moment of regret. I couldn’t abide staying in the marriage and had two other children to take care of and raise while working two jobs. I wanted to give my living children what energy I had left for them. One of the reasons I went ahead with the abortion was because it was so painful to lose my first baby to adoption. When that sweet child reached the age of 25, she reached out to me and we have been connected ever since — but not without the residual loss of sharing her life before our meeting.\u003c/p>\n\u003cp>“Since then I became a family therapist working with juveniles who ended up in detention. The legal term that was given to many of them was ‘throwaway children’ and were exactly the ones whose parents could not take care of them. This increased my belief that babies who are chosen will have a better life. Our stories do not end with the abortion, but become part of a bigger story.”\u003c/p>\n\u003cp>\u003cstrong>Forum listener:\u003c/strong> “For me at 29 years old, [abortion] was a difficult choice.\u003c/p>\n\u003cp>“But I was single, traveled for work, wanted a child but not without a partner. I did not feel I could be a single mother, and it was important to me to bring a child into a loving family. Without a willing partner, I could not bring a child into that life. I knew I could never have given birth and given the child away for adoption — that would have destroyed me emotionally and mentally.\u003c/p>\n\u003cp>“[I’m] now 65 years old, still with the same man, still not married, never had children. It was the right decision at the time and I have never regretted the choice. So grateful for having the choice.”\u003c/p>\n\u003cp>\u003cstrong>Domenica Devine:\u003c/strong> “I was 15 when I got pregnant. I did drugs and drank and had sex with multiple men — boys really. I thought I was so smart, but emotionally I had not a clue. The only smart thing I did was to get an abortion. It was not a decision I took lightly. It was a misery trying to decide what to do. I had plenty of examples of what solo motherhood looked like in my neighborhood and that frightened me. It looked dismal and not what I wanted for myself. Without my high school diploma and no way to support myself, I can’t imagine what my life would have looked like.\u003c/p>\n\u003cp>“I hurt. I remember how much the procedure hurt, too. No anesthesia. I’ve recently had the same procedure, for obviously different reasons, and they knocked me out. I wonder now if the procedure was meant to hurt. As if the physical pain was necessary. I wonder about that.\u003c/p>\n\u003cp>“At 17, having moved from home, with my own job and my own life, I was on the pill. And though I was diligent, perhaps I missed one, or I was the 1% breakthrough. I don’t suppose I’ll ever know. But I knew that I was not grown up enough to take on that responsibility. I could barely make rent. I wasn’t doing a great job of taking care of myself. So I had my second abortion. That decision was not easy either, but it was thoughtful, considered and deliberate.\u003c/p>\n\u003cp>“I don’t think I would have accomplished much had I had children at that age. I got married — 33 years now. Besides my stepson, children were not in the cards for us. My husband and I traveled, lived in a few different cities, and I got the education I wanted. I found my bliss in science and I finally got my doctorate in education. I have had a wonderful life and wouldn’t change a minute. What I have is a life lived fully. Which would not have been, had I not made the decision to have two abortions. I suppose if I had been forced to raise two children without any support, my life might have been all right, but I doubt it. The social safety net for single mothers just doesn’t exist.”\u003c/p>\n\u003cp>\u003cstrong>Forum listener: \u003c/strong>“When I was 19 in 1991, I became pregnant. I was in my sophomore year in college and I wasn’t even sure which sexual partner I had gotten pregnant with, my boyfriend or my ex-boyfriend. I loved my ex-boyfriend, but he was completely unstable, later diagnosed as bipolar and a heavy cocaine user. I was not even sure that I wanted children.\u003c/p>\n\u003cp>“I talked to my mom and she helped me realize I was not ready to be a mother. It was a lifetime commitment. How could I afford a child? I decided to have an abortion. Afterwards, in the recovery room, the girl next to me tried to make small talk, but I told her I couldn’t speak right then. I was thinking about what I had done. I felt slightly sad, but mostly relieved.\u003c/p>\n\u003cp>“I went on to graduate with a master’s degree and have a fulfilling professional life. Additionally, I worked as an abortion counselor at the Knoxville Center for Reproductive Health in Tennessee for four years. I saw so many women with their own personal stories. Some wanted to discuss it, others insisted they didn’t need to speak about their decision. I held the hand of hundreds of women while they were going through the procedure. It was meaningful work and was the best job that I ever had. I was helping women and some teenagers through a difficult decision.”\u003c/p>\n\u003ch3>\u003ca id=\"ask\">\u003c/a>Send us your questions about the end of Roe\u003c/h3>\n\u003cp>If you want to ask us a question — whether it’s what losing Roe v. Wade means for the United States, how you can personally take action in support of abortion access or what this ruling means for California — you can do so through this comment box:\u003cbr>\n[hearken id=\"9626\" src=\"https://modules.wearehearken.com/kqed/embed/9626.js\"]\u003c/p>\n\u003cp>We may not be able to reach directly back out to everyone who asks a question, but what you submit will make our reporting on abortion access stronger, and help us decide what to cover on KQED Public Radio and here on our site.\u003cbr>\n[ad fullwidth]\u003c/p>\n\u003cp>[ad floatright]\u003c/p>\n",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>\u003ca href=\"https://www.kqed.org/news/11917776/supreme-court-overturns-roe-v-wade\">Roe v. Wade — the 1973 United States Supreme Court decision that guaranteed at least some degree of abortion access in the U.S. — is gone.\u003c/a>\u003c/p>\n\u003cp>On Friday, the Supreme Court announced its decision in Dobbs v. Jackson Women’s Health Organization, \u003ca href=\"https://www.supremecourt.gov/search.aspx?filename=/docket/docketfiles/html/public/19-1392.html\">a case from Mississippi that weighed whether bans on abortion before fetal viability are constitutional\u003c/a>. As many across the U.S. feared since \u003ca href=\"https://www.kqed.org/news/11913033/heres-what-could-happen-if-roe-v-wade-is-overturned\">a draft opinion of a decision in the case leaked in May\u003c/a>, June 24’s majority has struck down Roe v. Wade, and effectively reversed nearly 50 years of legal standing, \u003ca href=\"https://www.kqed.org/news/11913033/heres-what-could-happen-if-roe-v-wade-is-overturned\">giving individual states the power to ban any and all abortion procedures\u003c/a>.\u003c/p>\n\u003ch2>Share your voice with us\u003c/h2>\n\u003cp>If you’re looking to take action, \u003ca href=\"https://www.kqed.org/arts/13912860/roe-v-wade-where-to-donate-abortion-reproductive-rights-supreme-court\">learn about ways to support abortion access now\u003c/a>, within California and further afield, in this \u003ca href=\"https://www.kqed.org/arts/13912860/roe-v-wade-where-to-donate-abortion-reproductive-rights-supreme-court\">guide from KQED Arts and Culture\u003c/a>.\u003c/p>\n\u003cp>If you’re looking for a space to share your thoughts, or tell your own story about abortion, KQED Public Radio’s \u003ca href=\"https://www.kqed.org/perspectives\">Perspectives\u003c/a> series — our morning series that lets listeners have their say in their own words — wants to hear from you:\u003c/p>\n\u003cp>\u003cstrong>How do you feel about living in a nation without Roe v. Wade?\u003c/strong>\u003c/p>\n\u003cp>Share your thoughts in the form below, and we may be in touch to talk about featuring your story, told by you in your own voice, on air. You can also email \u003ca href=\"mailto:mtrautwein@kqed.org\" rel=\"noopener noreferrer\">mtrautwein@kqed.org\u003c/a> or call (415) 553-2108 and leave us a message.\u003c/p>\n\u003cp>(If you prefer to just ask us a question about what this means for the U.S. and California, \u003ca href=\"#ask\">you can send us your question here\u003c/a>.)\u003c/p>\u003c/p>\u003cp>\u003cdiv class='utils-parseShortcode-shortcodes-__shortcodes__shortcodeWrapper'>\n \u003ciframe\n src='https://docs.google.com/forms/d/e/1FAIpQLScCV-FMA3W1019BmzePKn_0BQkcSy8Bfluu3ZP_ZcOt-oDHAA/viewform?embedded=true?embedded=true'\n title='https://docs.google.com/forms/d/e/1FAIpQLScCV-FMA3W1019BmzePKn_0BQkcSy8Bfluu3ZP_ZcOt-oDHAA/viewform?embedded=true'\n width='760' height='500'\n frameborder='0'\n marginheight='0' marginwidth='0'>\u003c/iframe>\u003c/div>\u003c/p>\u003cp>\u003ch2>Remembering the reality before Roe\u003c/h2>\n\u003cp>Ever since May’s \u003ca href=\"https://www.npr.org/2022/05/02/1096053620/supreme-court-roe-wade-leaked-draft-opinion-politico\" target=\"_blank\" rel=\"noopener noreferrer\">leak of Justice Alito’s draft opinion\u003c/a>, people around the state have feared the official fall of Roe: how it will affect the lives of people needing abortions around the nation, and how this new reality might harken back to the time before Roe. And many have been compelled to share their personal experiences with abortion — some for the very first time.\u003c/p>\n\u003cp>KQED’s Lesley McClurg spoke with \u003ca href=\"https://www.npr.org/2022/05/29/1101973218/women-share-their-experience-of-getting-an-abortion-before-roe-made-it-legal\">several women who ended their pregnancies before Roe v. Wade\u003c/a>. For many, the memories of their illegal abortions were traumatic.\u003c/p>\n\u003cp>These women included Pearl Lipner, who sought an abortion in 1963 when she was 18 years old and using the birth control pill. For $1,500 in cash, she was given an abortion using the dangerous technique of packing the uterus with gauze, used back then by unskilled abortion providers.\u003c/p>\n\u003cp>“If something happened, I was not to go to the hospital because I’d be immediately arrested,” said Lipner. Twenty-four hours later, she was alone and in excruciating pain, and passed out as she began hemorrhaging. Hours later, a friend arranged for a former Vietnam medic to visit her home to give Lipner a blood transfusion — with likely stolen blood.\u003c/p>\n\u003cp>McClurg also spoke with her own mother, Jan, whom she says opened the conversation by saying, “You know, you might not be here today if I hadn’t had an abortion in 1968.”\u003c/p>\n\u003cp>Jan McClurg related how after her own illegal abortion in Mexico City, she began bleeding heavily — “I remember just being terrified” — but, like Lipner, didn’t dare go to the hospital for fear of the legal repercussions. She recovered quickly but said, “I go years and don’t even think about it. And then when I do, I still get so emotional.”\u003c/p>\n\u003cp>She told her daughter she has no regrets. “There was no way on Earth that I was prepared for motherhood. It was not meant to be,” she said.\u003c/p>\n\u003cp>Listen to the full story from \u003ca href=\"https://www.kqed.org/californiareportmagazine\">The California Report Magazine\u003c/a>:\u003c/p>\n\u003cp>\u003ciframe loading=\"lazy\" title=\"Women Share Their Experience of Getting an Abortion Before Roe Made it Legal\" src=\"https://omny.fm/shows/kqed-segmented-audio/mcclurg-abortionmag/embed?style=artwork\" width=\"100%\" height=\"180\" frameborder=\"0\">\u003c/iframe>\u003c/p>\n\u003ch2>More Californians share their abortion stories\u003c/h2>\n\u003cp>In anticipation of Friday’s decision, \u003ca href=\"https://www.kqed.org/forum/2010101889084/women-who-have-had-abortions-reflect-on-a-world-without-roe\" target=\"_blank\" rel=\"noopener noreferrer\">KQED Forum discussed the implications of a world without Roe\u003c/a>, and invited listeners to call in and share their personal experiences with abortion.\u003c/p>\n\u003cp>The outpouring of responses reflected both the weight and trauma of unwanted pregnancy, and the liberation granted by laws that support bodily autonomy. You can read those listener accounts in our article \u003ca href=\"https://www.kqed.org/news/11914690\">‘The Decision That Was Right for Me’: Advocates and KQED Listeners Share Their Abortion Stories\u003c/a>.\u003c/p>\n\u003cp>So many people reached out to Forum to share their stories that not all could be featured in \u003ca href=\"https://www.kqed.org/forum/2010101889084/women-who-have-had-abortions-reflect-on-a-world-without-roe\">the hour-long show\u003c/a>. But as Roe is struck down, and California grapples with the reality of a nation with no guaranteed abortion access, we’re bringing their stories to you now:\u003c/p>\n\u003cp>\u003cstrong>\u003ca href=\"http://www.carolebumpus.com\" target=\"_blank\" rel=\"noopener noreferrer\">Carole Bumpus:\u003c/a> \u003c/strong>“When I became pregnant while unmarried and in college, I chose to deliver my baby and give her up for adoption. This was in 1967 and during the Vietnam war. The father of the baby was unwilling to accept responsibility, my own father was an Anglican [Episcopal] priest, and I didn’t want to bring shame to our family. I went far, far away to deliver in a state where I knew no one.\u003c/p>\n\u003cp>“Fifteen years later, when I was ending a brutal marriage, I found I was pregnant again. I chose abortion and have never felt one moment of regret. I couldn’t abide staying in the marriage and had two other children to take care of and raise while working two jobs. I wanted to give my living children what energy I had left for them. One of the reasons I went ahead with the abortion was because it was so painful to lose my first baby to adoption. When that sweet child reached the age of 25, she reached out to me and we have been connected ever since — but not without the residual loss of sharing her life before our meeting.\u003c/p>\n\u003cp>“Since then I became a family therapist working with juveniles who ended up in detention. The legal term that was given to many of them was ‘throwaway children’ and were exactly the ones whose parents could not take care of them. This increased my belief that babies who are chosen will have a better life. Our stories do not end with the abortion, but become part of a bigger story.”\u003c/p>\n\u003cp>\u003cstrong>Forum listener:\u003c/strong> “For me at 29 years old, [abortion] was a difficult choice.\u003c/p>\n\u003cp>“But I was single, traveled for work, wanted a child but not without a partner. I did not feel I could be a single mother, and it was important to me to bring a child into a loving family. Without a willing partner, I could not bring a child into that life. I knew I could never have given birth and given the child away for adoption — that would have destroyed me emotionally and mentally.\u003c/p>\n\u003cp>“[I’m] now 65 years old, still with the same man, still not married, never had children. It was the right decision at the time and I have never regretted the choice. So grateful for having the choice.”\u003c/p>\n\u003cp>\u003cstrong>Domenica Devine:\u003c/strong> “I was 15 when I got pregnant. I did drugs and drank and had sex with multiple men — boys really. I thought I was so smart, but emotionally I had not a clue. The only smart thing I did was to get an abortion. It was not a decision I took lightly. It was a misery trying to decide what to do. I had plenty of examples of what solo motherhood looked like in my neighborhood and that frightened me. It looked dismal and not what I wanted for myself. Without my high school diploma and no way to support myself, I can’t imagine what my life would have looked like.\u003c/p>\n\u003cp>“I hurt. I remember how much the procedure hurt, too. No anesthesia. I’ve recently had the same procedure, for obviously different reasons, and they knocked me out. I wonder now if the procedure was meant to hurt. As if the physical pain was necessary. I wonder about that.\u003c/p>\n\u003cp>“At 17, having moved from home, with my own job and my own life, I was on the pill. And though I was diligent, perhaps I missed one, or I was the 1% breakthrough. I don’t suppose I’ll ever know. But I knew that I was not grown up enough to take on that responsibility. I could barely make rent. I wasn’t doing a great job of taking care of myself. So I had my second abortion. That decision was not easy either, but it was thoughtful, considered and deliberate.\u003c/p>\n\u003cp>“I don’t think I would have accomplished much had I had children at that age. I got married — 33 years now. Besides my stepson, children were not in the cards for us. My husband and I traveled, lived in a few different cities, and I got the education I wanted. I found my bliss in science and I finally got my doctorate in education. I have had a wonderful life and wouldn’t change a minute. What I have is a life lived fully. Which would not have been, had I not made the decision to have two abortions. I suppose if I had been forced to raise two children without any support, my life might have been all right, but I doubt it. The social safety net for single mothers just doesn’t exist.”\u003c/p>\n\u003cp>\u003cstrong>Forum listener: \u003c/strong>“When I was 19 in 1991, I became pregnant. I was in my sophomore year in college and I wasn’t even sure which sexual partner I had gotten pregnant with, my boyfriend or my ex-boyfriend. I loved my ex-boyfriend, but he was completely unstable, later diagnosed as bipolar and a heavy cocaine user. I was not even sure that I wanted children.\u003c/p>\n\u003cp>“I talked to my mom and she helped me realize I was not ready to be a mother. It was a lifetime commitment. How could I afford a child? I decided to have an abortion. Afterwards, in the recovery room, the girl next to me tried to make small talk, but I told her I couldn’t speak right then. I was thinking about what I had done. I felt slightly sad, but mostly relieved.\u003c/p>\n\u003cp>“I went on to graduate with a master’s degree and have a fulfilling professional life. Additionally, I worked as an abortion counselor at the Knoxville Center for Reproductive Health in Tennessee for four years. I saw so many women with their own personal stories. Some wanted to discuss it, others insisted they didn’t need to speak about their decision. I held the hand of hundreds of women while they were going through the procedure. It was meaningful work and was the best job that I ever had. I was helping women and some teenagers through a difficult decision.”\u003c/p>\n\u003ch3>\u003ca id=\"ask\">\u003c/a>Send us your questions about the end of Roe\u003c/h3>\n\u003cp>If you want to ask us a question — whether it’s what losing Roe v. Wade means for the United States, how you can personally take action in support of abortion access or what this ruling means for California — you can do so through this comment box:\u003cbr>\n\u003c/p>\u003c/div>",
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"info": "What kind of no sabo word is Hyphenación? For us, it’s about living within a hyphenation. Like being a third-gen Mexican-American from the Texas border now living that Bay Area Chicano life. Like Xorje! Each week we bring together a couple of hyphenated Latinos to talk all about personal life choices: family, careers, relationships, belonging … everything is on the table. ",
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"info": "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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"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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"masters-of-scale": {
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},
"mindshift": {
"id": "mindshift",
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"info": "The MindShift podcast explores the innovations in education that are shaping how kids learn. Hosts Ki Sung and Katrina Schwartz introduce listeners to educators, researchers, parents and students who are developing effective ways to improve how kids learn. We cover topics like how fed-up administrators are developing surprising tactics to deal with classroom disruptions; how listening to podcasts are helping kids develop reading skills; the consequences of overparenting; and why interdisciplinary learning can engage students on all ends of the traditional achievement spectrum. This podcast is part of the MindShift education site, a division of KQED News. KQED is an NPR/PBS member station based in San Francisco. You can also visit the MindShift website for episodes and supplemental blog posts or tweet us \u003ca href=\"https://twitter.com/MindShiftKQED\">@MindShiftKQED\u003c/a> or visit us at \u003ca href=\"/mindshift\">MindShift.KQED.org\u003c/a>",
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"order": 12
},
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"google": "https://podcasts.google.com/feed/aHR0cHM6Ly9mZWVkcy5tZWdhcGhvbmUuZm0vS1FJTkM1NzY0NjAwNDI5",
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"morning-edition": {
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"info": "\u003cem>Morning Edition\u003c/em> takes listeners around the country and the world with multi-faceted stories and commentaries every weekday. Hosts Steve Inskeep, David Greene and Rachel Martin bring you the latest breaking news and features to prepare you for the day.",
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"onourwatch": {
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"title": "On Our Watch",
"tagline": "Deeply-reported investigative journalism",
"info": "For decades, the process for how police police themselves has been inconsistent – if not opaque. In some states, like California, these proceedings were completely hidden. After a new police transparency law unsealed scores of internal affairs files, our reporters set out to examine these cases and the shadow world of police discipline. On Our Watch brings listeners into the rooms where officers are questioned and witnesses are interrogated to find out who this system is really protecting. Is it the officers, or the public they've sworn to serve?",
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"order": 11
},
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"on-the-media": {
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"title": "On The Media",
"info": "Our weekly podcast explores how the media 'sausage' is made, casts an incisive eye on fluctuations in the marketplace of ideas, and examines threats to the freedom of information and expression in America and abroad. For one hour a week, the show tries to lift the veil from the process of \"making media,\" especially news media, because it's through that lens that we see the world and the world sees us",
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"link": "/radio/program/on-the-media",
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},
"pbs-newshour": {
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"tuneIn": "https://tunein.com/radio/PBS-NewsHour---Full-Show-p425698/",
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},
"perspectives": {
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"order": 14
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"planet-money": {
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"info": "The economy explained. Imagine you could call up a friend and say, Meet me at the bar and tell me what's going on with the economy. Now imagine that's actually a fun evening.",
"airtime": "SUN 3pm-4pm",
"imageSrc": "https://ww2.kqed.org/radio/wp-content/uploads/sites/50/2018/04/planetmoney.jpg",
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"link": "/radio/program/planet-money",
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"apple": "https://itunes.apple.com/us/podcast/planet-money/id290783428?mt=2",
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},
"politicalbreakdown": {
"id": "politicalbreakdown",
"title": "Political Breakdown",
"tagline": "Politics from a personal perspective",
"info": "Political Breakdown is a new series that explores the political intersection of California and the nation. Each week hosts Scott Shafer and Marisa Lagos are joined with a new special guest to unpack politics -- with personality — and offer an insider’s glimpse at how politics happens.",
"airtime": "THU 6:30pm-7pm",
"imageSrc": "https://cdn.kqed.org/wp-content/uploads/2024/04/Political-Breakdown-2024-Podcast-Tile-703x703-1.jpg",
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"order": 5
},
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"amazon": "https://music.amazon.com/podcasts/e0c2d153-ad36-4c8d-901d-f1da6a724824/political-breakdown",
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"possible": {
"id": "possible",
"title": "Possible",
"info": "Possible is hosted by entrepreneur Reid Hoffman and writer Aria Finger. Together in Possible, Hoffman and Finger lead enlightening discussions about building a brighter collective future. The show features interviews with visionary guests like Trevor Noah, Sam Altman and Janette Sadik-Khan. Possible paints an optimistic portrait of the world we can create through science, policy, business, art and our shared humanity. It asks: What if everything goes right for once? How can we get there? Each episode also includes a short fiction story generated by advanced AI GPT-4, serving as a thought-provoking springboard to speculate how humanity could leverage technology for good.",
"airtime": "SUN 2pm",
"imageSrc": "https://cdn.kqed.org/wp-content/uploads/2024/04/Possible-Podcast-Tile-360x360-1.jpg",
"officialWebsiteLink": "https://www.possible.fm/",
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"source": "Possible"
},
"link": "/radio/program/possible",
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"spotify": "https://open.spotify.com/show/730YpdUSNlMyPQwNnyjp4k"
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},
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"isFetching": false,
"fetchFailed": false,
"hasFetched": true,
"promos": {
"news": {},
"podcasts-radio": {},
"video-tv": {},
"events": {},
"support": {}
}
}
}
