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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003ch2>The FDA ruling sparks strong reactions from both sides\u003c/h2>\n\u003cp>The decision comes nearly two years after Juul \u003ca href=\"https://www.juullabs.com/juul-labs-submits-premarket-tobacco-product-application/\">submitted its application to the FDA\u003c/a>, hoping to continue selling its products.\u003c/p>\n\u003cp>News of the FDA’s decision initially emerged in preliminary reports on Wednesday. It was welcomed by the advocacy group PAVe, or Parents Against Vaping e-cigarettes.\u003c/p>\n\u003cp>“JUUL will finally be held accountable for creating the youth vaping epidemic, and igniting a new industry of highly-addictive flavored products that are harming millions of American kids,” the group’s founders, Meredith Berkman and Dorian Fuhrman, told NPR via email.\u003c/p>\n\u003cp>“This is an enormous step in the right direction,” they added.\u003c/p>\n\u003cp>But word of the decision incensed Amanda Wheeler, the president of the American Vapor Manufacturers Association.\u003c/p>\n\u003cp>Wheeler accused the FDA of waging a “campaign of regulatory arson against the nicotine vaping products that millions of Americans rely on as an alternative to cigarettes.” It was a sign, she said, of the FDA’s “staggering indifference to ordinary Americans and their right to switch” to vaping.\u003c/p>\n\u003ch2>Vaping is seen as a potential aid for adults, and a risk for kids\u003c/h2>\n\u003cp>The FDA’s denial could signal a dramatic shift in how regulators view e-cigarettes. Their supporters credit Juul and other vape companies with offering addicted smokers a less harmful alternative to cigarettes.\u003c/p>\n\u003cp>\u003ca href=\"https://www.fda.gov/news-events/press-announcements/fda-issues-decisions-additional-e-cigarette-products\">The FDA itself acknowledges that potential\u003c/a>. In recent months, \u003ca href=\"https://www.fda.gov/tobacco-products/premarket-tobacco-product-applications/premarket-tobacco-product-marketing-granted-orders\">it has authorized other companies’ vape devices and products\u003c/a> — but only after the agency became convinced the companies are doing enough to steer clear of youths.\u003c/p>\n\u003cp>In March, for instance, the FDA stated that in one case it reviewed, “the likely benefit for adult smokers who significantly reduce their cigarette use … outweighs the risk to youth, provided that the company follows postmarketing requirements to reduce youth access and youth exposure to their marketing.”\u003c/p>\n\u003cp>But critics say the process of vaping highly addictive nicotine brings its own health risks — and they’ve accused Juul of targeting minors through its marketing practices and youth-friendly flavors. In recent years, the pushback prompted Juul to eliminate flavors such as mango and crème. \u003ca href=\"https://www.juul.com/discontinued-flavors\">It now sells just two variations\u003c/a>: tobacco and menthol.\u003c/p>\n\u003cp>\u003ca href=\"https://www.fda.gov/news-events/press-announcements/fda-announces-plans-proposed-rule-reduce-addictiveness-cigarettes-and-other-combusted-tobacco\">According to the FDA\u003c/a>, nearly 10.7 million young people from 12-17 years old have used e-cigarettes or are open to trying them.\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=The+FDA+orders+Juul+to+pull+all+of+its+vaping+products+from+the+U.S.+market&utme=8(APIKey)9(MDAxOTAwOTE4MDEyMTkxMDAzNjczZDljZA004)\">\u003c/div>\n\u003cp>\u003c/p>\n\u003c/div>\u003c/p>",
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"content": "\u003cp>The Tenderloin Center, formerly known as the Tenderloin Linkage Center, opened in January as part of San Francisco Mayor London Breed’s \u003ca href=\"https://www.kqed.org/news/11899726/sf-mayor-breed-declares-state-of-emergency-in-tenderloin\">emergency declaration\u003c/a> to reduce overdose deaths in the neighborhood. Members of the media have not been allowed inside the Civic Center Plaza facility, which offers food and showers along with referrals for housing, jobs, drug treatment and a range of other services.\u003c/p>\n\u003cp>That changed on Thursday, with a morning press tour of the offices where housing referrals are made, the living room where guests come to relax and the outdoor area where people play games and do their laundry.\u003c/p>\n\u003cp>The tour wasn’t the full picture, because hundreds of people access the site’s services every day, and the space was closed to guests when the media tour occurred. But it offered a glimpse into how the city is tackling issues around poverty, homelessness and drug use in the Tenderloin.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>Juliana McNeil greeted reporters in what’s known as the living room, a tranquil space with yellow walls where people use computers, read books and unwind.\u003c/p>\n\u003cp>She was there as a kind of ambassador for the visitors who come in regularly, and had glowing reviews of her experience at the Tenderloin Center.\u003c/p>\n\u003cp>McNeil said she had been sleeping on the streets in Oakland before she arrived at the site. She said staff helped her find housing, mental health support and mentors.\u003c/p>\n\u003cp>“Places like this need to exist in other counties because when you’re homeless, you feel like you have nothing,” she said. “They got me not only a hot meal, they gave me a hygiene kit, clothes. They basically linked me back up to where I’m building myself again, my trust with people.”\u003c/p>\n\u003cfigure id=\"attachment_11916009\" class=\"wp-caption aligncenter\" style=\"max-width: 978px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-11916009\" src=\"https://ww2.kqed.org/app/uploads/sites/10/2022/06/IMG_1160-1020x765-1.jpg\" alt=\"\" width=\"978\" height=\"699\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2022/06/IMG_1160-1020x765-1.jpg 978w, https://cdn.kqed.org/wp-content/uploads/sites/10/2022/06/IMG_1160-1020x765-1-800x572.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2022/06/IMG_1160-1020x765-1-160x114.jpg 160w\" sizes=\"(max-width: 978px) 100vw, 978px\">\u003cfigcaption class=\"wp-caption-text\">Juliana McNeil told members of the media she lived on the streets of Oakland before finding support at the Tenderloin Center. \u003ccite>(Holly McDede/KQED)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>Donna Hilliard, executive director of Code Tenderloin, took reporters to the courtyard.\u003c/p>\n\u003cp>“What we tell people is, ‘Welcome to grandmother’s backyard,'” she said.\u003c/p>\n\u003cp>She pointed toward a mobile shower and laundry station.\u003c/p>\n\u003cp>“You can come in smelling like pee, but guess what, we have a shower, and we’re going to give it with care,” she said.\u003c/p>\n\u003cp>Hilliard nodded toward the game area and where guests can get coffee, and gray-and-blue reclining chairs arranged in a circle where people wait for services or nap.\u003c/p>\n\u003cp>Then reporters were escorted to what staff called “the overdose prevention area.”\u003c/p>\n\u003cp>The area is pretty basic. Plastic tables and chairs are set up for people to use drugs with relative privacy, while staff are nearby to reverse overdoses.\u003c/p>\n\u003cp>“There are people we don’t see in treatment, people who leave treatment and have reoccurrence of drug use. And for those people, we believe we have an obligation to care for them so they don’t die of a drug overdose,” said Vitka Eisen, president and CEO of HealthRIGHT 360, a nonprofit health provider that offers harm-reduction services at the Tenderloin Center.\u003c/p>\n\u003cfigure id=\"attachment_11916013\" class=\"wp-caption aligncenter\" style=\"max-width: 907px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-11916013\" src=\"https://ww2.kqed.org/app/uploads/sites/10/2022/06/IMG_1178-1020x765-1.jpg\" alt=\"plastic chairs sit empty outside under a large tent awning\" width=\"907\" height=\"648\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2022/06/IMG_1178-1020x765-1.jpg 907w, https://cdn.kqed.org/wp-content/uploads/sites/10/2022/06/IMG_1178-1020x765-1-800x572.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2022/06/IMG_1178-1020x765-1-160x114.jpg 160w\" sizes=\"(max-width: 907px) 100vw, 907px\">\u003cfigcaption class=\"wp-caption-text\">On a typical day, in this outdoor lounge area at the Tenderloin Center, guests wait for services. Vitka Eisen with HealthRIGHT 360 said staff have reversed overdoses at this spot and that naloxone is readily available when needed. \u003ccite>(Holly McDede/KQED)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>Naloxone, the drug used to reverse overdoses, and clean needles are at the ready. No one has fatally overdosed at the Tenderloin Center, and staff have reversed over 90 overdoses since the site opened in January, according to data from the San Francisco Public Health Department.\u003c/p>\n\u003cp>Eisen disagreed that the site is a safe consumption site, however, and preferred to call it an overdose prevention site.\u003c/p>\n\u003cp>“The safe consumption sites are typically indoors. They have nursing staff, a medical model, and this is outdoors in a tent,” she said. “It’s rugged.”\u003c/p>\n\u003cp>[aside postID=news_11909484 hero='https://ww2.kqed.org/app/uploads/sites/10/2022/04/001_SanFranciscoTenderloinLinkageCenter_02082022-1020x680.jpg']Alex Kral, an epidemiologist with RTI International, said the distinction between safe consumption sites and overdose prevention sites is less important than what happens there.\u003c/p>\n\u003cp>“They’re providing services for people who use drugs,” he said of both kinds of site. “[Staff] are prepared to help them out in case there’s an overdose or other kind of medical emergency.”\u003c/p>\n\u003cp>But spaces where drug use is allowed and staff are reversing overdoses are still limited in the staff they can bring on until the state legalizes them, Kral said.\u003c/p>\n\u003cp>A bill from State Sen. Scott Wiener (D-San Francisco), \u003ca href=\"https://leginfo.legislature.ca.gov/faces/billTextClient.xhtml?bill_id=202120220SB57\">SB 57\u003c/a>, would set up a pilot program to allow certain cities, including San Francisco, to open supervised consumption sites. It passed a California Assembly committee this week, and now heads to the full Assembly.\u003c/p>\n\u003cp>But regardless of the bill’s fate, the Tenderloin Center will stay open until at least the end of the year. Hundreds of people continue to show up daily, and many use drugs.\u003c/p>\n\u003cp>So far the site has reported zero overdose deaths.\u003c/p>\n\u003cp>\u003c/p>\n",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>The Tenderloin Center, formerly known as the Tenderloin Linkage Center, opened in January as part of San Francisco Mayor London Breed’s \u003ca href=\"https://www.kqed.org/news/11899726/sf-mayor-breed-declares-state-of-emergency-in-tenderloin\">emergency declaration\u003c/a> to reduce overdose deaths in the neighborhood. Members of the media have not been allowed inside the Civic Center Plaza facility, which offers food and showers along with referrals for housing, jobs, drug treatment and a range of other services.\u003c/p>\n\u003cp>That changed on Thursday, with a morning press tour of the offices where housing referrals are made, the living room where guests come to relax and the outdoor area where people play games and do their laundry.\u003c/p>\n\u003cp>The tour wasn’t the full picture, because hundreds of people access the site’s services every day, and the space was closed to guests when the media tour occurred. But it offered a glimpse into how the city is tackling issues around poverty, homelessness and drug use in the Tenderloin.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>Juliana McNeil greeted reporters in what’s known as the living room, a tranquil space with yellow walls where people use computers, read books and unwind.\u003c/p>\n\u003cp>She was there as a kind of ambassador for the visitors who come in regularly, and had glowing reviews of her experience at the Tenderloin Center.\u003c/p>\n\u003cp>McNeil said she had been sleeping on the streets in Oakland before she arrived at the site. She said staff helped her find housing, mental health support and mentors.\u003c/p>\n\u003cp>“Places like this need to exist in other counties because when you’re homeless, you feel like you have nothing,” she said. “They got me not only a hot meal, they gave me a hygiene kit, clothes. They basically linked me back up to where I’m building myself again, my trust with people.”\u003c/p>\n\u003cfigure id=\"attachment_11916009\" class=\"wp-caption aligncenter\" style=\"max-width: 978px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-11916009\" src=\"https://ww2.kqed.org/app/uploads/sites/10/2022/06/IMG_1160-1020x765-1.jpg\" alt=\"\" width=\"978\" height=\"699\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2022/06/IMG_1160-1020x765-1.jpg 978w, https://cdn.kqed.org/wp-content/uploads/sites/10/2022/06/IMG_1160-1020x765-1-800x572.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2022/06/IMG_1160-1020x765-1-160x114.jpg 160w\" sizes=\"(max-width: 978px) 100vw, 978px\">\u003cfigcaption class=\"wp-caption-text\">Juliana McNeil told members of the media she lived on the streets of Oakland before finding support at the Tenderloin Center. \u003ccite>(Holly McDede/KQED)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>Donna Hilliard, executive director of Code Tenderloin, took reporters to the courtyard.\u003c/p>\n\u003cp>“What we tell people is, ‘Welcome to grandmother’s backyard,'” she said.\u003c/p>\n\u003cp>She pointed toward a mobile shower and laundry station.\u003c/p>\n\u003cp>“You can come in smelling like pee, but guess what, we have a shower, and we’re going to give it with care,” she said.\u003c/p>\n\u003cp>Hilliard nodded toward the game area and where guests can get coffee, and gray-and-blue reclining chairs arranged in a circle where people wait for services or nap.\u003c/p>\n\u003cp>Then reporters were escorted to what staff called “the overdose prevention area.”\u003c/p>\n\u003cp>The area is pretty basic. Plastic tables and chairs are set up for people to use drugs with relative privacy, while staff are nearby to reverse overdoses.\u003c/p>\n\u003cp>“There are people we don’t see in treatment, people who leave treatment and have reoccurrence of drug use. And for those people, we believe we have an obligation to care for them so they don’t die of a drug overdose,” said Vitka Eisen, president and CEO of HealthRIGHT 360, a nonprofit health provider that offers harm-reduction services at the Tenderloin Center.\u003c/p>\n\u003cfigure id=\"attachment_11916013\" class=\"wp-caption aligncenter\" style=\"max-width: 907px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-11916013\" src=\"https://ww2.kqed.org/app/uploads/sites/10/2022/06/IMG_1178-1020x765-1.jpg\" alt=\"plastic chairs sit empty outside under a large tent awning\" width=\"907\" height=\"648\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2022/06/IMG_1178-1020x765-1.jpg 907w, https://cdn.kqed.org/wp-content/uploads/sites/10/2022/06/IMG_1178-1020x765-1-800x572.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2022/06/IMG_1178-1020x765-1-160x114.jpg 160w\" sizes=\"(max-width: 907px) 100vw, 907px\">\u003cfigcaption class=\"wp-caption-text\">On a typical day, in this outdoor lounge area at the Tenderloin Center, guests wait for services. Vitka Eisen with HealthRIGHT 360 said staff have reversed overdoses at this spot and that naloxone is readily available when needed. \u003ccite>(Holly McDede/KQED)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>Naloxone, the drug used to reverse overdoses, and clean needles are at the ready. No one has fatally overdosed at the Tenderloin Center, and staff have reversed over 90 overdoses since the site opened in January, according to data from the San Francisco Public Health Department.\u003c/p>\n\u003cp>Eisen disagreed that the site is a safe consumption site, however, and preferred to call it an overdose prevention site.\u003c/p>\n\u003cp>“The safe consumption sites are typically indoors. They have nursing staff, a medical model, and this is outdoors in a tent,” she said. “It’s rugged.”\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>Alex Kral, an epidemiologist with RTI International, said the distinction between safe consumption sites and overdose prevention sites is less important than what happens there.\u003c/p>\n\u003cp>“They’re providing services for people who use drugs,” he said of both kinds of site. “[Staff] are prepared to help them out in case there’s an overdose or other kind of medical emergency.”\u003c/p>\n\u003cp>But spaces where drug use is allowed and staff are reversing overdoses are still limited in the staff they can bring on until the state legalizes them, Kral said.\u003c/p>\n\u003cp>A bill from State Sen. Scott Wiener (D-San Francisco), \u003ca href=\"https://leginfo.legislature.ca.gov/faces/billTextClient.xhtml?bill_id=202120220SB57\">SB 57\u003c/a>, would set up a pilot program to allow certain cities, including San Francisco, to open supervised consumption sites. It passed a California Assembly committee this week, and now heads to the full Assembly.\u003c/p>\n\u003cp>But regardless of the bill’s fate, the Tenderloin Center will stay open until at least the end of the year. Hundreds of people continue to show up daily, and many use drugs.\u003c/p>\n\u003cp>So far the site has reported zero overdose deaths.\u003c/p>\n\u003cp>\u003c/p>\n\u003c/div>\u003c/p>",
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"content": "\u003cp>\u003cem>This story is part of the Bay Curious series “\u003ca href=\"https://www.kqed.org/news/11915065/take-a-very-curious-golden-gate-park-walking-tour\">A Very Curious Walking Tour of Golden Gate Park\u003c/a>.”\u003c/em>\u003c/p>\n\u003cp>Visit the AIDS Memorial Grove at Golden Gate Park’s eastern end and you’ll see tall redwoods, green ferns, an open field and evidence of lots of loving care. Descending into the grove is like entering a different world, a calmer place than the hustle and bustle of the street above.\u003c/p>\n\u003cp>When Tom Jensen first came to the National AIDS Memorial Grove in 2002, he had no idea how much it would change his life.\u003c/p>\n\u003cp>[baycuriouspodcastinfo]\u003c/p>\n\u003cp>“My plan was to come and work off [to] the sidelines,” Jensen said. “I didn’t really want to be with people.”\u003c/p>\n\u003cp>A self-described introvert, Jensen had just lost his longtime partner, Bobby Hilliard, to AIDS. He decided to volunteer at one of the Grove’s monthly work days. Jensen says that his grief was so strong he was worried he would “start calling in sick days if I didn’t make a move to engage in life and take my grief somewhere.”\u003c/p>\n\u003cfigure id=\"attachment_11915795\" class=\"wp-caption aligncenter\" style=\"max-width: 2560px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-11915795\" src=\"https://ww2.kqed.org/app/uploads/sites/10/2022/06/Tom-Bobby-scaled.jpg\" alt=\"Two men wearing 1980s style clothes stand on a hiking path in the woods. The two are hugging, one slightly leaning into the other.\" width=\"2560\" height=\"1800\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2022/06/Tom-Bobby-scaled.jpg 2560w, https://cdn.kqed.org/wp-content/uploads/sites/10/2022/06/Tom-Bobby-800x563.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2022/06/Tom-Bobby-1020x717.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2022/06/Tom-Bobby-160x113.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2022/06/Tom-Bobby-1536x1080.jpg 1536w, https://cdn.kqed.org/wp-content/uploads/sites/10/2022/06/Tom-Bobby-2048x1440.jpg 2048w, https://cdn.kqed.org/wp-content/uploads/sites/10/2022/06/Tom-Bobby-1920x1350.jpg 1920w\" sizes=\"(max-width: 2560px) 100vw, 2560px\">\u003cfigcaption class=\"wp-caption-text\">Tom Jensen and his longtime partner Bobby Hilliard on a hike in Yosemite National Park. \u003ccite>(Courtesy Tom Jensen)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>Even though Jensen didn’t anticipate taking on a leadership role, he knew that he could contribute to the Grove. He grew up learning about plants from his father, and when Bobby started taking botany classes, Jensen went on field trips with him all over California.\u003c/p>\n\u003cp>Jensen proved so useful that first day he was asked to be on a committee. And the Grove and its community made such an impression on Jensen that he’s currently serving his second stint on the board of directors for the National AIDS Memorial, which includes the Grove, the AIDS Memorial Quilt (which will be \u003ca href=\"https://www.aidsmemorial.org/quilt35\">displayed in Golden Gate Park on June 11-12 in Robin Williams Meadow\u003c/a>) and numerous educational programs.\u003c/p>\n\u003cp>“This is just such a huge family,” said Jensen. “I was transformed by being here and by getting involved.”\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003ch2>San Francisco in the 1980s\u003c/h2>\n\u003cp>Jensen moved to San Francisco’s Castro neighborhood in 1978. He described it as “a playland and a wonderland,” full of “freedom and liberation.” He felt like he was part of a community and a generation that could change the world.\u003c/p>\n\u003cp>But within four years, death was all around him as San Francisco’s gay community began to feel the impact of the AIDS epidemic. It was common to see people he worked out with at the gym looking like “emaciated old men” in a matter of weeks.\u003c/p>\n\u003cp>“They were covered with Kaposi’s sarcoma lesions and walking on canes and in wheelchairs,” he said.\u003c/p>\n\u003cp>Between \u003ca href=\"https://wonder.cdc.gov/controller/saved/D12/D293F286\" target=\"_blank\" rel=\"noopener noreferrer\">1981 and 1994, more than 15,000 San Franciscans died of AIDS\u003c/a>. \u003ca href=\"https://www.cdc.gov/mmwr//preview/mmwrhtml/00001477.htm\">By 1988, the CDC had recorded more than 80,000 cases of AIDS\u003c/a> in the United States. Of those, more than half were fatal.\u003c/p>\n\u003ch2>The community advocates for and supports itself\u003c/h2>\n\u003cp>San Francisco’s gay community was hit early and hard by the AIDS epidemic in the 1980s, as were intravenous drug users and hemophiliacs who depended on blood transfusions. White gay men received the most media attention, but the disease has always disproportionately affected communities of color.\u003c/p>\n\u003cp>Homophobia and racism shaped how the federal government and public health institutions responded. \u003ca href=\"https://www.theatlantic.com/politics/archive/2021/04/full-story-nancy-reagan-and-aids-crisis/618552/\">President Ronald Reagan didn’t publicly mention the disease until 1985.\u003c/a> Meanwhile his administration cut funding for federal public health organizations, including what was then known as the Centers for Disease Control, which published \u003ca href=\"https://www.cdc.gov/mmwr/preview/mmwrhtml/mm5021a1.htm#:%7e:text=Twenty%20years%20ago%2C%20on%20June,homosexuals%22%3B%20two%20had%20died.\">the first report on what would come to be known as AIDS in 1981\u003c/a>. The media dubbed the disease the “gay plague,” and the \u003ca href=\"https://www.theatlantic.com/politics/archive/2021/04/full-story-nancy-reagan-and-aids-crisis/618552/\">White House spokesperson joked about it when reporters brought up the skyrocketing death rate\u003c/a> in press conferences.\u003c/p>\n\u003cfigure id=\"attachment_11915798\" class=\"wp-caption aligncenter\" style=\"max-width: 1920px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-11915798\" src=\"https://ww2.kqed.org/app/uploads/sites/10/2022/06/CircleofFriends-AIDS3.jpg\" alt=\"Orange flowers sit in the center of a stone circle. Around the flowers names are carved into the stone, spiraling outward.\" width=\"1920\" height=\"1778\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2022/06/CircleofFriends-AIDS3.jpg 1920w, https://cdn.kqed.org/wp-content/uploads/sites/10/2022/06/CircleofFriends-AIDS3-800x741.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2022/06/CircleofFriends-AIDS3-1020x945.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2022/06/CircleofFriends-AIDS3-160x148.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2022/06/CircleofFriends-AIDS3-1536x1422.jpg 1536w\" sizes=\"(max-width: 1920px) 100vw, 1920px\">\u003cfigcaption class=\"wp-caption-text\">The Circle of Friends is a centerpiece of the Grove. The names of those who have died of AIDS-related complications or who have been affected by AIDS are carved there. \u003ccite>(Courtesy National AIDS Memorial)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>“Many of these people may not have died if our government and a majority of society had cared more about them,” said Steve Sagaser, a senior program manager with the National AIDS Memorial.\u003c/p>\n\u003cp>As a result, early in the epidemic, people with AIDS were largely left to fend for themselves.\u003c/p>\n\u003cp>“That’s how the response to AIDS in the first decade happened,” Jensen said. “People making food for their neighbors and having that grow into \u003ca href=\"https://www.openhand.org/\">Project Open Hand\u003c/a>. It’s just \u003ca href=\"https://www.kqed.org/pop/103422/rebel-girls-from-bay-area-history-ruth-brinker-aids-activist\">Ruth Brinker\u003c/a> [founder of Project Open Hand] saying, ‘Everyone in my building has AIDS’ and making dinner for 12 units.”\u003c/p>\n\u003cp>\u003ca href=\"https://www.newyorker.com/magazine/2021/06/14/how-act-up-changed-america\">Activists pushed the government to act faster\u003c/a>, fund research and develop treatments, but it took years of in-your-face advocacy to get the federal government to act.\u003c/p>\n\u003ch2>A different way to grieve\u003c/h2>\n\u003cp>Sagaser says that in the 1980s many people in San Francisco were experiencing “loss after loss at such a rate that it was impossible to complete the grieving process for one person and you’d already lost another.”\u003c/p>\n\u003cp>In 1987, against this setting, a small group of San Francisco residents, including several with backgrounds in landscaping and architecture, started talking about the possibility of having a dedicated space to grieve those who died from AIDS.\u003c/p>\n\u003cp>The founders of the Grove envisioned “solace through life and plants,” said Jensen. They wanted an alternative to a cemetery or a church — something in nature, with life running through it.\u003c/p>\n\u003cp>[baycuriousbug]\u003c/p>\n\u003cp>In 1988, the group asked the San Francisco Recreation and Parks Department for some land to use for the memorial. The city offered the de Laveaga Dell, a 7.5-acre bowl-like valley that budget cuts and neglect had led to degeneration into an overgrown, swampy mess. But the Grove’s founders saw potential there.\u003c/p>\n\u003cp>Landscape architects and designers volunteered their time to craft plans for the Grove. They aimed to create a space with the sanctity of a cathedral but that was welcoming to everyone. After a collaborative process the planners agreed on a design that highlighted the dramatic contrast of light and dark in the valley.\u003c/p>\n\u003cp>They also created spots in the Grove that lent themselves toward individual reflection but made sure the Grove could also accommodate groups. Plants and trees were chosen so there would always be something blooming, no matter the season.\u003c/p>\n\u003cp>Sagaser calls The Circle of Friends the “heart of the Grove.” It’s a circular flagstone area where close to 3,000 names are carved, spiraling outward. Close to 80% of the names are of individuals who died from AIDS, while others are people who have been affected by the disease. Sagaser says the Grove gets around 100 requests a year for new names to be carved.\u003c/p>\n\u003cp>On Sept. 21, 1991, volunteers broke ground on the Grove. It took them three years to remove trash. In 1996, Bill Clinton signed legislation, championed by Rep. Nancy Pelosi, granting the Grove national memorial status. It is the nation’s first and only federally designated memorial to those who have died of AIDS.\u003c/p>\n\u003cp>“It’s not just about remembering the [people] who have died, but remembering the activism that was associated with it,” Sagaser said. “The activism was necessary because [the] government wasn’t doing anything about it because it was hitting a group of people who were already demonized or stigmatized.”\u003c/p>\n\u003cp>Despite the federal designation as a national memorial, the Grove receives no federal funding. Its operating costs are covered by the \u003ca href=\"https://www.aidsmemorial.org/\">National AIDS Memorial nonprofit\u003c/a>.\u003c/p>\n\u003ch2>Volunteers are the lifeblood of the Grove\u003c/h2>\n\u003cp>The volunteer energy behind the Grove hasn’t dropped off since shovels started digging in 1991.\u003c/p>\n\u003cfigure id=\"attachment_11915799\" class=\"wp-caption aligncenter\" style=\"max-width: 1920px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-11915799\" src=\"https://ww2.kqed.org/app/uploads/sites/10/2022/06/VolunteerDay-AIDS4.jpg\" alt='A group of five people lean into a hillside, working with the plants in the ground. A sixth man walks towards us wearing a shirt that says \"volunteer.\"' width=\"1920\" height=\"1080\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2022/06/VolunteerDay-AIDS4.jpg 1920w, https://cdn.kqed.org/wp-content/uploads/sites/10/2022/06/VolunteerDay-AIDS4-800x450.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2022/06/VolunteerDay-AIDS4-1020x574.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2022/06/VolunteerDay-AIDS4-160x90.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2022/06/VolunteerDay-AIDS4-1536x864.jpg 1536w\" sizes=\"(max-width: 1920px) 100vw, 1920px\">\u003cfigcaption class=\"wp-caption-text\">Volunteers at a work day in July 2015. \u003ccite>(Courtesy National AIDS Memorial)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>Every year, nearly 2,000 volunteers contribute about 4,500 hours of work, according to Phil Ginsburg, general manager of the San Francisco Recreation and Parks Department. That adds up to over a quarter of a million volunteer hours in the Grove’s 31-year lifespan.\u003c/p>\n\u003cp>A significant portion of that labor occurs during the Grove’s work days. They happen every third Saturday and still follow the same format as the first one in 1991: Breakfast at 8:30, welcome and announcements at 9:00, several hours of work, and then a healing circle at noon.\u003c/p>\n\u003cp>To close out the day, everyone gathers at The Circle of Friends. They join hands, ring a Tibetan bell, “and then we say out loud the names of people we’ve lost to AIDS or people who just need that healing energy,” Sagaser said. “It’s our tradition. It’s been happening for 31 years. We never miss it.”\u003c/p>\n\u003cfigure id=\"attachment_11915796\" class=\"wp-caption aligncenter\" style=\"max-width: 1920px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-11915796\" src=\"https://ww2.kqed.org/app/uploads/sites/10/2022/06/healing-circle-AIDS2.jpg\" alt=\"A group of about fifty people stand in a circle holding hands in a brightly lit grassy area.\" width=\"1920\" height=\"1080\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2022/06/healing-circle-AIDS2.jpg 1920w, https://cdn.kqed.org/wp-content/uploads/sites/10/2022/06/healing-circle-AIDS2-800x450.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2022/06/healing-circle-AIDS2-1020x574.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2022/06/healing-circle-AIDS2-160x90.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2022/06/healing-circle-AIDS2-1536x864.jpg 1536w\" sizes=\"(max-width: 1920px) 100vw, 1920px\">\u003cfigcaption class=\"wp-caption-text\">Every volunteer work day at the AIDS Memorial Grove ends with a healing circle where participants link hands and say the names of loved ones lost to AIDS. \u003ccite>(Courtesy National AIDS Memorial)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003ch2>An ever-evolving space\u003c/h2>\n\u003cp>The Grove has gradually grown from its original 7.5 acres to 10 and has added features to recognize the breadth of people affected by the epidemic. In 2017 the Hemophilia Circle was dedicated to honor those with the blood disease who have died from AIDS. Tainted blood transfusions were an early spreader of HIV.\u003c/p>\n\u003cp>The Grove is never complete, by design. Tending to the space is part of the healing process for volunteers. The work offers people a way to move through their grief.\u003c/p>\n\u003cp>And like the garden, the epidemic has changed over the years. Life-saving treatments now allow HIV-positive people to live long, full lives. But new cases still occur, and access to preventive drugs and treatment are unequal. Communities of color have always been most affected by the disease, and \u003ca href=\"https://www.cdc.gov/hiv/basics/statistics.html\">recent CDC numbers show that more than half of new cases are among Black and Latino people\u003c/a>.\u003c/p>\n\u003cp>There’s still work to be done.\u003c/p>\n\u003cp>[baycuriousquestion]\u003c/p>\n\u003cp>[ad floatright]\u003c/p>\n",
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"title": "Healing Through Nature at the National AIDS Memorial Grove | KQED",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>\u003cem>This story is part of the Bay Curious series “\u003ca href=\"https://www.kqed.org/news/11915065/take-a-very-curious-golden-gate-park-walking-tour\">A Very Curious Walking Tour of Golden Gate Park\u003c/a>.”\u003c/em>\u003c/p>\n\u003cp>Visit the AIDS Memorial Grove at Golden Gate Park’s eastern end and you’ll see tall redwoods, green ferns, an open field and evidence of lots of loving care. Descending into the grove is like entering a different world, a calmer place than the hustle and bustle of the street above.\u003c/p>\n\u003cp>When Tom Jensen first came to the National AIDS Memorial Grove in 2002, he had no idea how much it would change his life.\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>“My plan was to come and work off [to] the sidelines,” Jensen said. “I didn’t really want to be with people.”\u003c/p>\n\u003cp>A self-described introvert, Jensen had just lost his longtime partner, Bobby Hilliard, to AIDS. He decided to volunteer at one of the Grove’s monthly work days. Jensen says that his grief was so strong he was worried he would “start calling in sick days if I didn’t make a move to engage in life and take my grief somewhere.”\u003c/p>\n\u003cfigure id=\"attachment_11915795\" class=\"wp-caption aligncenter\" style=\"max-width: 2560px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-11915795\" src=\"https://ww2.kqed.org/app/uploads/sites/10/2022/06/Tom-Bobby-scaled.jpg\" alt=\"Two men wearing 1980s style clothes stand on a hiking path in the woods. The two are hugging, one slightly leaning into the other.\" width=\"2560\" height=\"1800\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2022/06/Tom-Bobby-scaled.jpg 2560w, https://cdn.kqed.org/wp-content/uploads/sites/10/2022/06/Tom-Bobby-800x563.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2022/06/Tom-Bobby-1020x717.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2022/06/Tom-Bobby-160x113.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2022/06/Tom-Bobby-1536x1080.jpg 1536w, https://cdn.kqed.org/wp-content/uploads/sites/10/2022/06/Tom-Bobby-2048x1440.jpg 2048w, https://cdn.kqed.org/wp-content/uploads/sites/10/2022/06/Tom-Bobby-1920x1350.jpg 1920w\" sizes=\"(max-width: 2560px) 100vw, 2560px\">\u003cfigcaption class=\"wp-caption-text\">Tom Jensen and his longtime partner Bobby Hilliard on a hike in Yosemite National Park. \u003ccite>(Courtesy Tom Jensen)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>Even though Jensen didn’t anticipate taking on a leadership role, he knew that he could contribute to the Grove. He grew up learning about plants from his father, and when Bobby started taking botany classes, Jensen went on field trips with him all over California.\u003c/p>\n\u003cp>Jensen proved so useful that first day he was asked to be on a committee. And the Grove and its community made such an impression on Jensen that he’s currently serving his second stint on the board of directors for the National AIDS Memorial, which includes the Grove, the AIDS Memorial Quilt (which will be \u003ca href=\"https://www.aidsmemorial.org/quilt35\">displayed in Golden Gate Park on June 11-12 in Robin Williams Meadow\u003c/a>) and numerous educational programs.\u003c/p>\n\u003cp>“This is just such a huge family,” said Jensen. “I was transformed by being here and by getting involved.”\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003ch2>San Francisco in the 1980s\u003c/h2>\n\u003cp>Jensen moved to San Francisco’s Castro neighborhood in 1978. He described it as “a playland and a wonderland,” full of “freedom and liberation.” He felt like he was part of a community and a generation that could change the world.\u003c/p>\n\u003cp>But within four years, death was all around him as San Francisco’s gay community began to feel the impact of the AIDS epidemic. It was common to see people he worked out with at the gym looking like “emaciated old men” in a matter of weeks.\u003c/p>\n\u003cp>“They were covered with Kaposi’s sarcoma lesions and walking on canes and in wheelchairs,” he said.\u003c/p>\n\u003cp>Between \u003ca href=\"https://wonder.cdc.gov/controller/saved/D12/D293F286\" target=\"_blank\" rel=\"noopener noreferrer\">1981 and 1994, more than 15,000 San Franciscans died of AIDS\u003c/a>. \u003ca href=\"https://www.cdc.gov/mmwr//preview/mmwrhtml/00001477.htm\">By 1988, the CDC had recorded more than 80,000 cases of AIDS\u003c/a> in the United States. Of those, more than half were fatal.\u003c/p>\n\u003ch2>The community advocates for and supports itself\u003c/h2>\n\u003cp>San Francisco’s gay community was hit early and hard by the AIDS epidemic in the 1980s, as were intravenous drug users and hemophiliacs who depended on blood transfusions. White gay men received the most media attention, but the disease has always disproportionately affected communities of color.\u003c/p>\n\u003cp>Homophobia and racism shaped how the federal government and public health institutions responded. \u003ca href=\"https://www.theatlantic.com/politics/archive/2021/04/full-story-nancy-reagan-and-aids-crisis/618552/\">President Ronald Reagan didn’t publicly mention the disease until 1985.\u003c/a> Meanwhile his administration cut funding for federal public health organizations, including what was then known as the Centers for Disease Control, which published \u003ca href=\"https://www.cdc.gov/mmwr/preview/mmwrhtml/mm5021a1.htm#:%7e:text=Twenty%20years%20ago%2C%20on%20June,homosexuals%22%3B%20two%20had%20died.\">the first report on what would come to be known as AIDS in 1981\u003c/a>. The media dubbed the disease the “gay plague,” and the \u003ca href=\"https://www.theatlantic.com/politics/archive/2021/04/full-story-nancy-reagan-and-aids-crisis/618552/\">White House spokesperson joked about it when reporters brought up the skyrocketing death rate\u003c/a> in press conferences.\u003c/p>\n\u003cfigure id=\"attachment_11915798\" class=\"wp-caption aligncenter\" style=\"max-width: 1920px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-11915798\" src=\"https://ww2.kqed.org/app/uploads/sites/10/2022/06/CircleofFriends-AIDS3.jpg\" alt=\"Orange flowers sit in the center of a stone circle. Around the flowers names are carved into the stone, spiraling outward.\" width=\"1920\" height=\"1778\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2022/06/CircleofFriends-AIDS3.jpg 1920w, https://cdn.kqed.org/wp-content/uploads/sites/10/2022/06/CircleofFriends-AIDS3-800x741.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2022/06/CircleofFriends-AIDS3-1020x945.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2022/06/CircleofFriends-AIDS3-160x148.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2022/06/CircleofFriends-AIDS3-1536x1422.jpg 1536w\" sizes=\"(max-width: 1920px) 100vw, 1920px\">\u003cfigcaption class=\"wp-caption-text\">The Circle of Friends is a centerpiece of the Grove. The names of those who have died of AIDS-related complications or who have been affected by AIDS are carved there. \u003ccite>(Courtesy National AIDS Memorial)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>“Many of these people may not have died if our government and a majority of society had cared more about them,” said Steve Sagaser, a senior program manager with the National AIDS Memorial.\u003c/p>\n\u003cp>As a result, early in the epidemic, people with AIDS were largely left to fend for themselves.\u003c/p>\n\u003cp>“That’s how the response to AIDS in the first decade happened,” Jensen said. “People making food for their neighbors and having that grow into \u003ca href=\"https://www.openhand.org/\">Project Open Hand\u003c/a>. It’s just \u003ca href=\"https://www.kqed.org/pop/103422/rebel-girls-from-bay-area-history-ruth-brinker-aids-activist\">Ruth Brinker\u003c/a> [founder of Project Open Hand] saying, ‘Everyone in my building has AIDS’ and making dinner for 12 units.”\u003c/p>\n\u003cp>\u003ca href=\"https://www.newyorker.com/magazine/2021/06/14/how-act-up-changed-america\">Activists pushed the government to act faster\u003c/a>, fund research and develop treatments, but it took years of in-your-face advocacy to get the federal government to act.\u003c/p>\n\u003ch2>A different way to grieve\u003c/h2>\n\u003cp>Sagaser says that in the 1980s many people in San Francisco were experiencing “loss after loss at such a rate that it was impossible to complete the grieving process for one person and you’d already lost another.”\u003c/p>\n\u003cp>In 1987, against this setting, a small group of San Francisco residents, including several with backgrounds in landscaping and architecture, started talking about the possibility of having a dedicated space to grieve those who died from AIDS.\u003c/p>\n\u003cp>The founders of the Grove envisioned “solace through life and plants,” said Jensen. They wanted an alternative to a cemetery or a church — something in nature, with life running through it.\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>In 1988, the group asked the San Francisco Recreation and Parks Department for some land to use for the memorial. The city offered the de Laveaga Dell, a 7.5-acre bowl-like valley that budget cuts and neglect had led to degeneration into an overgrown, swampy mess. But the Grove’s founders saw potential there.\u003c/p>\n\u003cp>Landscape architects and designers volunteered their time to craft plans for the Grove. They aimed to create a space with the sanctity of a cathedral but that was welcoming to everyone. After a collaborative process the planners agreed on a design that highlighted the dramatic contrast of light and dark in the valley.\u003c/p>\n\u003cp>They also created spots in the Grove that lent themselves toward individual reflection but made sure the Grove could also accommodate groups. Plants and trees were chosen so there would always be something blooming, no matter the season.\u003c/p>\n\u003cp>Sagaser calls The Circle of Friends the “heart of the Grove.” It’s a circular flagstone area where close to 3,000 names are carved, spiraling outward. Close to 80% of the names are of individuals who died from AIDS, while others are people who have been affected by the disease. Sagaser says the Grove gets around 100 requests a year for new names to be carved.\u003c/p>\n\u003cp>On Sept. 21, 1991, volunteers broke ground on the Grove. It took them three years to remove trash. In 1996, Bill Clinton signed legislation, championed by Rep. Nancy Pelosi, granting the Grove national memorial status. It is the nation’s first and only federally designated memorial to those who have died of AIDS.\u003c/p>\n\u003cp>“It’s not just about remembering the [people] who have died, but remembering the activism that was associated with it,” Sagaser said. “The activism was necessary because [the] government wasn’t doing anything about it because it was hitting a group of people who were already demonized or stigmatized.”\u003c/p>\n\u003cp>Despite the federal designation as a national memorial, the Grove receives no federal funding. Its operating costs are covered by the \u003ca href=\"https://www.aidsmemorial.org/\">National AIDS Memorial nonprofit\u003c/a>.\u003c/p>\n\u003ch2>Volunteers are the lifeblood of the Grove\u003c/h2>\n\u003cp>The volunteer energy behind the Grove hasn’t dropped off since shovels started digging in 1991.\u003c/p>\n\u003cfigure id=\"attachment_11915799\" class=\"wp-caption aligncenter\" style=\"max-width: 1920px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-11915799\" src=\"https://ww2.kqed.org/app/uploads/sites/10/2022/06/VolunteerDay-AIDS4.jpg\" alt='A group of five people lean into a hillside, working with the plants in the ground. A sixth man walks towards us wearing a shirt that says \"volunteer.\"' width=\"1920\" height=\"1080\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2022/06/VolunteerDay-AIDS4.jpg 1920w, https://cdn.kqed.org/wp-content/uploads/sites/10/2022/06/VolunteerDay-AIDS4-800x450.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2022/06/VolunteerDay-AIDS4-1020x574.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2022/06/VolunteerDay-AIDS4-160x90.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2022/06/VolunteerDay-AIDS4-1536x864.jpg 1536w\" sizes=\"(max-width: 1920px) 100vw, 1920px\">\u003cfigcaption class=\"wp-caption-text\">Volunteers at a work day in July 2015. \u003ccite>(Courtesy National AIDS Memorial)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>Every year, nearly 2,000 volunteers contribute about 4,500 hours of work, according to Phil Ginsburg, general manager of the San Francisco Recreation and Parks Department. That adds up to over a quarter of a million volunteer hours in the Grove’s 31-year lifespan.\u003c/p>\n\u003cp>A significant portion of that labor occurs during the Grove’s work days. They happen every third Saturday and still follow the same format as the first one in 1991: Breakfast at 8:30, welcome and announcements at 9:00, several hours of work, and then a healing circle at noon.\u003c/p>\n\u003cp>To close out the day, everyone gathers at The Circle of Friends. They join hands, ring a Tibetan bell, “and then we say out loud the names of people we’ve lost to AIDS or people who just need that healing energy,” Sagaser said. “It’s our tradition. It’s been happening for 31 years. We never miss it.”\u003c/p>\n\u003cfigure id=\"attachment_11915796\" class=\"wp-caption aligncenter\" style=\"max-width: 1920px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-11915796\" src=\"https://ww2.kqed.org/app/uploads/sites/10/2022/06/healing-circle-AIDS2.jpg\" alt=\"A group of about fifty people stand in a circle holding hands in a brightly lit grassy area.\" width=\"1920\" height=\"1080\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2022/06/healing-circle-AIDS2.jpg 1920w, https://cdn.kqed.org/wp-content/uploads/sites/10/2022/06/healing-circle-AIDS2-800x450.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2022/06/healing-circle-AIDS2-1020x574.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2022/06/healing-circle-AIDS2-160x90.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2022/06/healing-circle-AIDS2-1536x864.jpg 1536w\" sizes=\"(max-width: 1920px) 100vw, 1920px\">\u003cfigcaption class=\"wp-caption-text\">Every volunteer work day at the AIDS Memorial Grove ends with a healing circle where participants link hands and say the names of loved ones lost to AIDS. \u003ccite>(Courtesy National AIDS Memorial)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003ch2>An ever-evolving space\u003c/h2>\n\u003cp>The Grove has gradually grown from its original 7.5 acres to 10 and has added features to recognize the breadth of people affected by the epidemic. In 2017 the Hemophilia Circle was dedicated to honor those with the blood disease who have died from AIDS. Tainted blood transfusions were an early spreader of HIV.\u003c/p>\n\u003cp>The Grove is never complete, by design. Tending to the space is part of the healing process for volunteers. The work offers people a way to move through their grief.\u003c/p>\n\u003cp>And like the garden, the epidemic has changed over the years. Life-saving treatments now allow HIV-positive people to live long, full lives. But new cases still occur, and access to preventive drugs and treatment are unequal. Communities of color have always been most affected by the disease, and \u003ca href=\"https://www.cdc.gov/hiv/basics/statistics.html\">recent CDC numbers show that more than half of new cases are among Black and Latino people\u003c/a>.\u003c/p>\n\u003cp>There’s still work to be done.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cp>On Tuesday, an armed gunman killed at least 18 children and 3 adults at Robb Elementary School in Uvalde, Texas.\u003c/p>\n\u003cp>\u003cspan style=\"font-weight: 400\">There’s still a lot of questions about what happened. But here’s what we do know: That Robb Elementary is 90% Hispanic. That the students’ last day of school was scheduled for Thursday. And that\u003c/span>\u003cspan style=\"font-weight: 400\"> when the camera crews move on, and the national media leave, this community will be coping with this for the rest of their lives.\u003c/span>\u003c/p>\n\u003cp>Because we as a nation have done so little to stop gun violence, this kind of trauma is a reality for millions of surviving families and children.\u003c/p>\n\u003cp>\u003cspan style=\"font-weight: 400\">So today, instead of our usual coverage of local news, we’re sharing an episode by KQED’s Mindshift podcast from back in 2018. It’s set in Richmond, and it’s about how people in the community provide love and support to kids who’ve experienced trauma, especially from violence.\u003c/span>\u003c/p>\n\u003cdiv class=\"card card--enclosed grey\">\n\u003cp id=\"embed-code\" class=\"inconsolata\">\n\u003c!-- iframe plugin v.4.3 wordpress.org/plugins/iframe/ -->\u003cbr>\n\u003ciframe loading=\"lazy\" frameborder=\"0\" height=\"200\" scrolling=\"no\" src=\"https://playlist.megaphone.fm?e=KQINC6136622361&light=true\" width=\"100%\" class=\"iframe-class\">\u003c/iframe>\n\u003c/p>\n\u003c/div>\n\u003cp>\u003cem>This episode first aired on Oct. 23, 2018.\u003c/em>\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\u003cp>\u003c/p>\n",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>On Tuesday, an armed gunman killed at least 18 children and 3 adults at Robb Elementary School in Uvalde, Texas.\u003c/p>\n\u003cp>\u003cspan style=\"font-weight: 400\">There’s still a lot of questions about what happened. But here’s what we do know: That Robb Elementary is 90% Hispanic. That the students’ last day of school was scheduled for Thursday. And that\u003c/span>\u003cspan style=\"font-weight: 400\"> when the camera crews move on, and the national media leave, this community will be coping with this for the rest of their lives.\u003c/span>\u003c/p>\n\u003cp>Because we as a nation have done so little to stop gun violence, this kind of trauma is a reality for millions of surviving families and children.\u003c/p>\n\u003cp>\u003cspan style=\"font-weight: 400\">So today, instead of our usual coverage of local news, we’re sharing an episode by KQED’s Mindshift podcast from back in 2018. It’s set in Richmond, and it’s about how people in the community provide love and support to kids who’ve experienced trauma, especially from violence.\u003c/span>\u003c/p>\n\u003cdiv class=\"card card--enclosed grey\">\n\u003cp id=\"embed-code\" class=\"inconsolata\">\n\u003c!-- iframe plugin v.4.3 wordpress.org/plugins/iframe/ -->\u003cbr>\n\u003ciframe loading=\"lazy\" frameborder=\"0\" height=\"200\" scrolling=\"no\" src=\"https://playlist.megaphone.fm?e=KQINC6136622361&light=true\" width=\"100%\" class=\"iframe-class\">\u003c/iframe>\n\u003c/p>\n\u003c/div>\n\u003cp>\u003cem>This episode first aired on Oct. 23, 2018.\u003c/em>\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"title": "Rare Monkeypox Outbreak in U.K., Europe and U.S.: What Is It and Should We Worry?",
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"content": "\u003cdiv class=\"storyMajorUpdateDate\">\u003cstrong>Updated May 20, 2022 at 9:29 a.m. PT\u003c/strong>\u003c/div>\n\u003cp>\u003cem>Editor’s note: This story was updated on May 23 to reflect the latest case counts.\u003c/em>\u003c/p>\n\u003cp>There’s a monkeypox outbreak in the United Kingdom, Portugal, Spain and other European countries. The outbreak is small — so far about 80 suspected cases in England, Spain and Canada as well as Portugal, Sweden, Italy and France. Two suspected cases have also been reported in the U.S.\u003c/p>\n\u003cp>But health officials have little clue where people caught the monkeypox virus. And there’s concern the virus may be spreading through the community — undetected — and possibly through a new route of transmission.\u003cspan style=\"font-weight: 400;\">[aside label=\"Suspected Monkeypox in California\" link1=\"https://www.capradio.org/articles/2022/05/24/suspected-monkeypox-case-reported-in-sacramento-county/,CapRadio: Suspected monkeypox case reported in Sacramento County\"]\u003c/span>\u003c/p>\n\u003cp>“This [outbreak] is rare and unusual,” \u003ca href=\"https://www.gov.uk/government/news/monkeypox-cases-confirmed-in-england-latest-updates\">epidemiologist Susan Hopkins, who’s the chief medical adviser of the U.K. Health Security Agency (UKHSA), said in a statement on Monday.\u003c/a>\u003c/p>\n\u003cp>“Exactly where and how they [the people] acquired their infections remains under urgent investigation,” the agency said in the statement.\u003c/p>\n\u003cp>Monkeypox can be a nasty illness; it causes fever, body aches, enlarged lymph nodes and eventually “pox,” or painful, fluid-filled blisters on the face, hands and feet. One version of monkeypox is quite deadly and kills up to 10% of people infected. The version currently in England is milder. Its fatality rate is less than 1%. A case generally resolves in two to four weeks.\u003c/p>\n\u003cp>Typically, people catch monkeypox from animals in West Africa or central Africa and import the virus to other countries. Person-to-person transmission isn’t common, as it requires close contact with bodily fluids, such as saliva from coughing or pus from the lesions. So the risk to the general population is low, the U.K. health agency notes.\u003c/p>\n\u003cp>But in England, the vast majority of the 50-plus cases don’t involve recent travel to Africa, suggesting the patients involved in those cases caught the virus in England.\u003c/p>\n\u003cp>“Presumably this is cryptic spread from an imported case(s),” \u003ca href=\"https://twitter.com/angie_rasmussen/status/1526279350793936896\">virologist Angie Rasmussen of the Vaccine and Infectious Disease Organization tweeted on Monday.\u003c/a>\u003c/p>\n\u003cp>In the U.S., one patient, in Massachusetts, had not recently traveled to countries where the disease occurs but had visited Canada.\u003c/p>\n\u003cp>In addition, there’s evidence the virus could be spreading through a new route: sexual contact. “What is even more bizarre is finding cases that appear to have acquired the infection via sexual contact,” \u003ca href=\"https://twitter.com/teozka/status/1526505308700434433\">epidemiologist Mateo Prochazka at the UKHSA tweeted.\u003c/a> “This is a novel route of transmission that will have implications for outbreak response and control.”\u003c/p>\n\u003cp>“We are particularly urging men who are gay and bisexual to be aware of any unusual rashes or lesions and to contact a sexual health service without delay,” epidemiologist Hopkins said in the UKHSA’s statement.\u003c/p>\n\u003cp>Scientists at the U.S. Centers for Disease Control and Prevention are watching the outbreak in Europe closely. “We do have a level of concern that this is very different than what we typically think of from monkeypox,” \u003ca href=\"https://www.statnews.com/2022/05/18/spain-portugal-report-monkeypox-cases-raising-specter-of-wider-outbreak/\">Jennifer McQuiston, a senior CDC official, told health news site STAT\u003c/a> on Tuesday.\u003c/p>\n\u003cp>In 2019, \u003ca href=\"https://www.fda.gov/news-events/press-announcements/fda-approves-first-live-non-replicating-vaccine-prevent-smallpox-and-monkeypox\">the U.S. Food and Drug Administration approved the first vaccine for monkeypox\u003c/a>, which also protects against smallpox. “This vaccine is also part of the Strategic National Stockpile (SNS), the nation’s largest supply of potentially life-saving pharmaceuticals and medical supplies for use in a public health emergency that is severe enough to cause local supplies to be depleted,” the agency said in a news release.\u003c/p>\n\u003ch3>A primer on monkeypox\u003c/h3>\n\u003cp>So just what is known about monkeypox? And how threatening is it compared with other emerging viruses?\u003c/p>\n\u003cp>In 2017, \u003cem>Goats and Soda\u003c/em> interviewed two monkeypox experts — \u003ca href=\"http://www.ph.ucla.edu/epi/faculty/rimoin/rimoin.html\">Anne Rimoin of the University of California, Los Angeles\u003c/a>, and Jay Hooper of the U.S. Army Medical Research Institute of Infectious Diseases — to find out.\u003c/p>\n\u003cp>Here are some of the questions we asked and some of their surprising answers, updated in light of the current cases.\u003c/p>\n\u003cp>\u003cstrong>Where does it come from? Monkeys?\u003c/strong>\u003c/p>\n\u003cp>No!\u003c/p>\n\u003cp>“The name is actually a little bit of a misnomer,” Rimoin says. Perhaps it should be called “rodentpox” instead.\u003c/p>\n\u003cp>The name “monkeypox” comes from the first documented cases of the illness, in 1958, \u003ca href=\"https://www.cdc.gov/poxvirus/monkeypox/about.html\">when two outbreaks occurred in colonies of monkeys kept for research, the CDC says on its website.\u003c/a>\u003c/p>\n\u003cp>But monkeys aren’t major carriers. Instead, the virus likely persists in squirrels, pouched rats, dormice or another rodent.\u003c/p>\n\u003cp>\u003cstrong>How do you catch it?\u003c/strong>\u003c/p>\n\u003cp>Primarily, from an animal bite, scratch or contact with the animal’s bodily fluid. Then the virus can spread to other people through coughing and sneezing or contact with pus from the lesions.\u003c/p>\n\u003cp>The lesions from monkeypox are similar to those from a smallpox infection.\u003c/p>\n\u003cp>“But it doesn’t spread very well between people,” Hooper says. “Its infection rate is much lower than that of smallpox.” In many cases, people don’t spread the virus to anyone else.\u003c/p>\n\u003cp>Up until this current outbreak, a person sick with monkeypox spread the virus to between zero and one person, on average. So all previous outbreaks (up until now) burned themselves out quickly.\u003c/p>\n\u003cp>“You have primary cases, in which people get monkeypox from an animal, and they may transmit the disease a few generations — but then that’s it,” she says. “The outbreaks tend to be self-limiting.”\u003c/p>\n\u003cp>\u003ca href=\"https://www.afro.who.int/countries/health-topics?country=874\">“There is no evidence, to date, that person-to-person transmission alone can sustain monkeypox infections in the human population,” the World Health Organization’s website says.\u003c/a>\u003c/p>\n\u003cp>Scientists don’t know yet if the rate of transmission has increased in this current outbreak. If there is enhanced transmission, that could be one reason the current outbreak appears to have spread through the community in three cities.\u003c/p>\n\u003cp>\u003cstrong>Has there ever been an outbreak in the U.S.? \u003c/strong>\u003c/p>\n\u003cp>“There already was!” Hooper says. “But it was quickly contained.”\u003c/p>\n\u003cp>In 2003, monkeypox hitched a ride with a shipment of animals from Ghana to Illinois. \u003ca href=\"https://www.cdc.gov/poxvirus/monkeypox/outbreak.html\">Several giant pouched rats and squirrels tested positive for the virus and eventually spread it to prairie dogs being sold as pets in multiple Midwestern states, the CDC says on its website.\u003c/a>\u003c/p>\n\u003cp>Forty-seven people caught the disease from the prairie dogs. Everyone recovered. And no one spread the disease to another person.\u003c/p>\n\u003cp>\u003cstrong>Is monkeypox a “new” virus?\u003c/strong>\u003c/p>\n\u003cp>No. The virus has likely been infecting people for centuries, even millennia, Rimoin says. But for a long time, doctors missed the cases.\u003c/p>\n\u003cp>Monkeypox is closely related to smallpox. “They are clinically indistinguishable,” Rimoin says. “So for centuries, doctors have likely mistaken monkeypox for smallpox.”\u003c/p>\n\u003cp>Then in the 1970s, the world was close to eradicating smallpox. Cases plummeted. And doctors in central Africa started noticing another disease that looked like smallpox but didn’t spread as well between people. It was monkeypox.\u003c/p>\n\u003cp>There are several other viruses related to smallpox, including cowpox and camelpox. “I would be more worried about camelpox than monkeypox,” Rimoin says, “because that’s closer on the genetic tree to smallpox.”\u003c/p>\n\u003cp>\u003cstrong>Is the disease actually a rising threat? Or are we just better at detecting it?\u003c/strong>\u003c/p>\n\u003cp>A little bit of both, Rimoin says.\u003c/p>\n\u003cp>Back in 2010, Rimoin and her colleagues reported that monkeypox had increased 14-fold in the Democratic Republic of Congo since the 1980s. Incidence rose from less than 1 case per 10,000 people to about 14 cases per 10,000 people.\u003c/p>\n\u003cp>And the reason for this bump is ironic: the eradication of smallpox.\u003c/p>\n\u003cp>The smallpox vaccine actually works quite well to protect people against monkeypox. It’s about 85% effective (although the smallpox vaccine does have some safety concerns, Hooper points out: “It’s a live virus and can cause a deadly infection in people with severely compromised immune systems”).\u003c/p>\n\u003cp>But after the world eradicated smallpox, countries stopped vaccinating kids. And for those who were vaccinated years earlier, their protection has likely waned over time, Hooper says.\u003c/p>\n\u003cp>“So now there’s this growing population of people who don’t have immunity to monkeypox,” he says. “And when you do have a outbreak, it’s likely to be bigger because less people in the community are protected.”\u003c/p>\n\u003cp>That means small monkeypox outbreaks in West Africa and central Africa now involve dozens of cases instead of just one or two, Hooper says.\u003c/p>\n\u003cp>And in the Democratic Republic of Congo, annual cases have shot up into the thousands. \u003ca href=\"https://journals.plos.org/plosntds/article?id=10.1371/journal.pntd.0010141\">In 2020, there were nearly 4,600 suspected cases, according to a study published in February.\u003c/a>\u003c/p>\n\u003cp>\u003cstrong>Could the virus become more transmissible and thus more of a global threat?\u003c/strong>\u003c/p>\n\u003cp>“Oh, yes,” Hooper says. “Every time there’s an outbreak — and the more people get infected — the more chances monkeypox has to adapt to people,” he says.\u003c/p>\n\u003cp>In other words, the more time the virus spends inside people, the more time it has to evolve. It could possibly figure out how to spread more quickly among people.\u003c/p>\n\u003cp>So scientists are keeping a close eye on the virus and outbreaks that occur — especially if the virus appears to change its route of transmission, as may be happening in the current outbreak.\u003c/p>\n\u003cp>“We didn’t think Ebola spread very easily between people,” Hooper adds. “And we were all surprised that health care workers could catch it even though they were wearing protective gear.”\u003c/p>\n\u003cp>And of course, many scientists didn’t think SARS-CoV-2, the coronavirus that causes the disease COVID-19, would mutate to become more contagious, but that’s exactly what has happened in the past two years. SARS-CoV-2 evolved from a virus just about as contagious as the flu virus into one that’s almost as contagious as the far more transmissible chickenpox virus.\u003c/p>\n\u003cp>“With viruses that spill over from animals, you just never know what’s going to happen,” Hooper says.\u003c/p>\n\u003cp>And indeed, this new outbreak in Europe may be a sign that the virus has changed — even if just a bit — and may be increasing its ability to spread among people.\u003c/p>\n\u003cp>[ad fullwidth]\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=Rare+monkeypox+outbreak+in+U.K.%2C+Europe+and+U.S.%3A+What+is+it+and+should+we+worry%3F&utme=8(APIKey)9(MDAxOTAwOTE4MDEyMTkxMDAzNjczZDljZA004)\">\u003c/div>\n\u003cp>[ad floatright]\u003c/p>\n",
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"excerpt": "The cases point to possible sexual transmission of this cousin of smallpox — a previously unknown method of spread for monkeypox.",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cdiv class=\"storyMajorUpdateDate\">\u003cstrong>Updated May 20, 2022 at 9:29 a.m. PT\u003c/strong>\u003c/div>\n\u003cp>\u003cem>Editor’s note: This story was updated on May 23 to reflect the latest case counts.\u003c/em>\u003c/p>\n\u003cp>There’s a monkeypox outbreak in the United Kingdom, Portugal, Spain and other European countries. The outbreak is small — so far about 80 suspected cases in England, Spain and Canada as well as Portugal, Sweden, Italy and France. Two suspected cases have also been reported in the U.S.\u003c/p>\n\u003cp>But health officials have little clue where people caught the monkeypox virus. And there’s concern the virus may be spreading through the community — undetected — and possibly through a new route of transmission.\u003cspan style=\"font-weight: 400;\">\u003c/p>\u003c/div>",
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"label": "Suspected Monkeypox in California ",
"link1": "https://www.capradio.org/articles/2022/05/24/suspected-monkeypox-case-reported-in-sacramento-county/,CapRadio: Suspected monkeypox case reported in Sacramento County"
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/span>\u003c/p>\n\u003cp>“This [outbreak] is rare and unusual,” \u003ca href=\"https://www.gov.uk/government/news/monkeypox-cases-confirmed-in-england-latest-updates\">epidemiologist Susan Hopkins, who’s the chief medical adviser of the U.K. Health Security Agency (UKHSA), said in a statement on Monday.\u003c/a>\u003c/p>\n\u003cp>“Exactly where and how they [the people] acquired their infections remains under urgent investigation,” the agency said in the statement.\u003c/p>\n\u003cp>Monkeypox can be a nasty illness; it causes fever, body aches, enlarged lymph nodes and eventually “pox,” or painful, fluid-filled blisters on the face, hands and feet. One version of monkeypox is quite deadly and kills up to 10% of people infected. The version currently in England is milder. Its fatality rate is less than 1%. A case generally resolves in two to four weeks.\u003c/p>\n\u003cp>Typically, people catch monkeypox from animals in West Africa or central Africa and import the virus to other countries. Person-to-person transmission isn’t common, as it requires close contact with bodily fluids, such as saliva from coughing or pus from the lesions. So the risk to the general population is low, the U.K. health agency notes.\u003c/p>\n\u003cp>But in England, the vast majority of the 50-plus cases don’t involve recent travel to Africa, suggesting the patients involved in those cases caught the virus in England.\u003c/p>\n\u003cp>“Presumably this is cryptic spread from an imported case(s),” \u003ca href=\"https://twitter.com/angie_rasmussen/status/1526279350793936896\">virologist Angie Rasmussen of the Vaccine and Infectious Disease Organization tweeted on Monday.\u003c/a>\u003c/p>\n\u003cp>In the U.S., one patient, in Massachusetts, had not recently traveled to countries where the disease occurs but had visited Canada.\u003c/p>\n\u003cp>In addition, there’s evidence the virus could be spreading through a new route: sexual contact. “What is even more bizarre is finding cases that appear to have acquired the infection via sexual contact,” \u003ca href=\"https://twitter.com/teozka/status/1526505308700434433\">epidemiologist Mateo Prochazka at the UKHSA tweeted.\u003c/a> “This is a novel route of transmission that will have implications for outbreak response and control.”\u003c/p>\n\u003cp>“We are particularly urging men who are gay and bisexual to be aware of any unusual rashes or lesions and to contact a sexual health service without delay,” epidemiologist Hopkins said in the UKHSA’s statement.\u003c/p>\n\u003cp>Scientists at the U.S. Centers for Disease Control and Prevention are watching the outbreak in Europe closely. “We do have a level of concern that this is very different than what we typically think of from monkeypox,” \u003ca href=\"https://www.statnews.com/2022/05/18/spain-portugal-report-monkeypox-cases-raising-specter-of-wider-outbreak/\">Jennifer McQuiston, a senior CDC official, told health news site STAT\u003c/a> on Tuesday.\u003c/p>\n\u003cp>In 2019, \u003ca href=\"https://www.fda.gov/news-events/press-announcements/fda-approves-first-live-non-replicating-vaccine-prevent-smallpox-and-monkeypox\">the U.S. Food and Drug Administration approved the first vaccine for monkeypox\u003c/a>, which also protects against smallpox. “This vaccine is also part of the Strategic National Stockpile (SNS), the nation’s largest supply of potentially life-saving pharmaceuticals and medical supplies for use in a public health emergency that is severe enough to cause local supplies to be depleted,” the agency said in a news release.\u003c/p>\n\u003ch3>A primer on monkeypox\u003c/h3>\n\u003cp>So just what is known about monkeypox? And how threatening is it compared with other emerging viruses?\u003c/p>\n\u003cp>In 2017, \u003cem>Goats and Soda\u003c/em> interviewed two monkeypox experts — \u003ca href=\"http://www.ph.ucla.edu/epi/faculty/rimoin/rimoin.html\">Anne Rimoin of the University of California, Los Angeles\u003c/a>, and Jay Hooper of the U.S. Army Medical Research Institute of Infectious Diseases — to find out.\u003c/p>\n\u003cp>Here are some of the questions we asked and some of their surprising answers, updated in light of the current cases.\u003c/p>\n\u003cp>\u003cstrong>Where does it come from? Monkeys?\u003c/strong>\u003c/p>\n\u003cp>No!\u003c/p>\n\u003cp>“The name is actually a little bit of a misnomer,” Rimoin says. Perhaps it should be called “rodentpox” instead.\u003c/p>\n\u003cp>The name “monkeypox” comes from the first documented cases of the illness, in 1958, \u003ca href=\"https://www.cdc.gov/poxvirus/monkeypox/about.html\">when two outbreaks occurred in colonies of monkeys kept for research, the CDC says on its website.\u003c/a>\u003c/p>\n\u003cp>But monkeys aren’t major carriers. Instead, the virus likely persists in squirrels, pouched rats, dormice or another rodent.\u003c/p>\n\u003cp>\u003cstrong>How do you catch it?\u003c/strong>\u003c/p>\n\u003cp>Primarily, from an animal bite, scratch or contact with the animal’s bodily fluid. Then the virus can spread to other people through coughing and sneezing or contact with pus from the lesions.\u003c/p>\n\u003cp>The lesions from monkeypox are similar to those from a smallpox infection.\u003c/p>\n\u003cp>“But it doesn’t spread very well between people,” Hooper says. “Its infection rate is much lower than that of smallpox.” In many cases, people don’t spread the virus to anyone else.\u003c/p>\n\u003cp>Up until this current outbreak, a person sick with monkeypox spread the virus to between zero and one person, on average. So all previous outbreaks (up until now) burned themselves out quickly.\u003c/p>\n\u003cp>“You have primary cases, in which people get monkeypox from an animal, and they may transmit the disease a few generations — but then that’s it,” she says. “The outbreaks tend to be self-limiting.”\u003c/p>\n\u003cp>\u003ca href=\"https://www.afro.who.int/countries/health-topics?country=874\">“There is no evidence, to date, that person-to-person transmission alone can sustain monkeypox infections in the human population,” the World Health Organization’s website says.\u003c/a>\u003c/p>\n\u003cp>Scientists don’t know yet if the rate of transmission has increased in this current outbreak. If there is enhanced transmission, that could be one reason the current outbreak appears to have spread through the community in three cities.\u003c/p>\n\u003cp>\u003cstrong>Has there ever been an outbreak in the U.S.? \u003c/strong>\u003c/p>\n\u003cp>“There already was!” Hooper says. “But it was quickly contained.”\u003c/p>\n\u003cp>In 2003, monkeypox hitched a ride with a shipment of animals from Ghana to Illinois. \u003ca href=\"https://www.cdc.gov/poxvirus/monkeypox/outbreak.html\">Several giant pouched rats and squirrels tested positive for the virus and eventually spread it to prairie dogs being sold as pets in multiple Midwestern states, the CDC says on its website.\u003c/a>\u003c/p>\n\u003cp>Forty-seven people caught the disease from the prairie dogs. Everyone recovered. And no one spread the disease to another person.\u003c/p>\n\u003cp>\u003cstrong>Is monkeypox a “new” virus?\u003c/strong>\u003c/p>\n\u003cp>No. The virus has likely been infecting people for centuries, even millennia, Rimoin says. But for a long time, doctors missed the cases.\u003c/p>\n\u003cp>Monkeypox is closely related to smallpox. “They are clinically indistinguishable,” Rimoin says. “So for centuries, doctors have likely mistaken monkeypox for smallpox.”\u003c/p>\n\u003cp>Then in the 1970s, the world was close to eradicating smallpox. Cases plummeted. And doctors in central Africa started noticing another disease that looked like smallpox but didn’t spread as well between people. It was monkeypox.\u003c/p>\n\u003cp>There are several other viruses related to smallpox, including cowpox and camelpox. “I would be more worried about camelpox than monkeypox,” Rimoin says, “because that’s closer on the genetic tree to smallpox.”\u003c/p>\n\u003cp>\u003cstrong>Is the disease actually a rising threat? Or are we just better at detecting it?\u003c/strong>\u003c/p>\n\u003cp>A little bit of both, Rimoin says.\u003c/p>\n\u003cp>Back in 2010, Rimoin and her colleagues reported that monkeypox had increased 14-fold in the Democratic Republic of Congo since the 1980s. Incidence rose from less than 1 case per 10,000 people to about 14 cases per 10,000 people.\u003c/p>\n\u003cp>And the reason for this bump is ironic: the eradication of smallpox.\u003c/p>\n\u003cp>The smallpox vaccine actually works quite well to protect people against monkeypox. It’s about 85% effective (although the smallpox vaccine does have some safety concerns, Hooper points out: “It’s a live virus and can cause a deadly infection in people with severely compromised immune systems”).\u003c/p>\n\u003cp>But after the world eradicated smallpox, countries stopped vaccinating kids. And for those who were vaccinated years earlier, their protection has likely waned over time, Hooper says.\u003c/p>\n\u003cp>“So now there’s this growing population of people who don’t have immunity to monkeypox,” he says. “And when you do have a outbreak, it’s likely to be bigger because less people in the community are protected.”\u003c/p>\n\u003cp>That means small monkeypox outbreaks in West Africa and central Africa now involve dozens of cases instead of just one or two, Hooper says.\u003c/p>\n\u003cp>And in the Democratic Republic of Congo, annual cases have shot up into the thousands. \u003ca href=\"https://journals.plos.org/plosntds/article?id=10.1371/journal.pntd.0010141\">In 2020, there were nearly 4,600 suspected cases, according to a study published in February.\u003c/a>\u003c/p>\n\u003cp>\u003cstrong>Could the virus become more transmissible and thus more of a global threat?\u003c/strong>\u003c/p>\n\u003cp>“Oh, yes,” Hooper says. “Every time there’s an outbreak — and the more people get infected — the more chances monkeypox has to adapt to people,” he says.\u003c/p>\n\u003cp>In other words, the more time the virus spends inside people, the more time it has to evolve. It could possibly figure out how to spread more quickly among people.\u003c/p>\n\u003cp>So scientists are keeping a close eye on the virus and outbreaks that occur — especially if the virus appears to change its route of transmission, as may be happening in the current outbreak.\u003c/p>\n\u003cp>“We didn’t think Ebola spread very easily between people,” Hooper adds. “And we were all surprised that health care workers could catch it even though they were wearing protective gear.”\u003c/p>\n\u003cp>And of course, many scientists didn’t think SARS-CoV-2, the coronavirus that causes the disease COVID-19, would mutate to become more contagious, but that’s exactly what has happened in the past two years. SARS-CoV-2 evolved from a virus just about as contagious as the flu virus into one that’s almost as contagious as the far more transmissible chickenpox virus.\u003c/p>\n\u003cp>“With viruses that spill over from animals, you just never know what’s going to happen,” Hooper says.\u003c/p>\n\u003cp>And indeed, this new outbreak in Europe may be a sign that the virus has changed — even if just a bit — and may be increasing its ability to spread among people.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"title": "Newsom's 'Care Court' Passes Senate but Still Faces Shortage of Treatment Beds, Housing",
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"content": "\u003cp>On a cold day in March, Shahada Hull admitted herself to the hospital.\u003c/p>\n\u003cp>She had been sleeping outside in San Francisco’s Tenderloin neighborhood for months, ever since she was evicted in December from the affordable studio apartment she’d rented near the Presidio. Her feet felt numb, her back sore from the concrete sidewalk.[pullquote size=\"medium\" align=\"right\" citation=\"Shahada Hull, San Francisco resident\"]‘Wanting to force people that are homeless and on drugs into treatment and to housing, that’s just forcing. That’s still not giving them a chance to talk.’[/pullquote]\u003c/p>\n\u003cp>“After a while, I was like, look, I’m going to 5150 myself,” Hull said, referring to the civic code to place someone on an emergency, 72-hour psychiatric hold. Hull has been diagnosed with obsessive-compulsive disorder, anxiety, PTSD and depression.\u003c/p>\n\u003cp>But on that particular day, it wasn’t the intrusive thoughts that sometimes cloud her mind that brought her to Sutter Health’s Street Care Center. She was just looking to get off the street.\u003c/p>\n\u003cp>“I was praying, like, please just let them help me today,” Hull said. “Please let there be resources open today, just anything.”\u003c/p>\n\u003cp>After she spent a week in the psychiatric ward, the on-site social worker produced a sheet of paper. On it was a list of shelters.\u003c/p>\n\u003cp>“They were going to take me back out into the streets because they felt that I didn’t need any further help,” Hull said. She was upset. “Like, really? You can clearly see that I’m not really in the right state of mind right now.”\u003c/p>\n\u003cfigure id=\"attachment_11914876\" class=\"wp-caption alignright\" style=\"max-width: 160px\">\u003ca href=\"https://ww2.kqed.org/app/uploads/sites/10/2022/05/Shahada-Hull_selfie-1.jpg\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"wp-image-11914876 size-thumbnail\" src=\"https://ww2.kqed.org/app/uploads/sites/10/2022/05/Shahada-Hull_selfie-1-160x213.jpg\" alt=\"A young Black woman with long Black hair, tossed over her right shoulder, smiles at the camera. She has sculpted eyebrows and wears a red or pink sleeveless top. The image has a filter on it so that her skin and the wall behind her appear yellow.\" width=\"160\" height=\"213\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2022/05/Shahada-Hull_selfie-1-160x213.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2022/05/Shahada-Hull_selfie-1.jpg 480w\" sizes=\"auto, (max-width: 160px) 100vw, 160px\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">Shahada Hull, 30, poses for a portrait in this undated photo. She has a dual diagnosis of substance use disorder and mental illness and might qualify for court-ordered treatment under Gov. Gavin Newsom’s CARE Court proposal, which is currently making its way through the Legislature. \u003ccite>(Courtesy Shahada Hull)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>Throughout her life, Hull, 30, has had around 160 mental health episodes, documented in a thick case file. At 13 months old, the San Francisco resident was placed in foster care. And she’s been in “the system” ever since — cycling in and out of affordable housing placements, the courts and county behavioral health services.\u003c/p>\n\u003cp>In many ways, she’s the archetypal candidate for CARE Court, part of a sweeping new proposal to address mental health care in California. The state Senate voted Wednesday to approve the legislation, \u003ca href=\"https://leginfo.legislature.ca.gov/faces/billTextClient.xhtml?bill_id=202120220SB1338\" target=\"_blank\" rel=\"noopener noreferrer\">SB 1338\u003c/a>. It now heads to the Assembly for a vote.\u003c/p>\n\u003cp>When Gov. Gavin Newsom unveiled CARE Court in March, he said it’s designed to help people like Hull, who move between emergency psychiatric treatment and homelessness.\u003c/p>\n\u003cp>“This approach with the courts allows … a pathway to actually develop a strategy and a plan with oversight and accountability, with housing supports, that are a component of this, to achieve some more permanency and success as opposed to episodic experiences through the 5150,” Newsom said.\u003c/p>\n\u003cp>Under the governor’s Community Assistance, Recovery, and Empowerment Court, Hull would be able to enter into a civil process with a judge to oversee her mental health treatment.\u003c/p>\n\u003cp>She’d have a public defender and a supporter to help her make decisions about what sorts of treatment programs she would like, with a care plan lasting up to two years. In turn, the county behavioral health department would be compelled to provide her with treatment or face fines if they do not.\u003c/p>\n\u003cp>Ideally, the program would enable Hull to reach her goals, all the things she had wanted to achieve by the time she turned 30: her GED, a job, stable housing, a car.\u003c/p>\n\u003cp>But Hull is skeptical the program really would help. She sat at a café in San Francisco’s Civic Center on a recent afternoon and looked toward City Hall.\u003c/p>\n\u003cp>“Wanting to force people that are homeless and on drugs into treatment and to housing, that’s just forcing,” she said. “That’s still not giving them a chance to talk.”\u003c/p>\n\u003cp>Newsom and officials in his administration say the treatment is voluntary. But the legislation also comes with a threat: Continued refusal to participate in CARE Court could be used as justification for conservatorship, where people could be forced into care against their will.\u003c/p>\n\u003cp>That has provoked harsh criticism from civil rights advocates who say compelling people into care is not only less effective, it undermines the kind of trust-building needed to actually bring people into treatment successfully.[pullquote size=\"medium\" align=\"right\" citation=\"Dr. Le Ondra Clark Harvey, CEO, California Council of Community Behavioral Health Agencies\"]‘We need to be able to have dependable, well-trained workers within this CARE Court system to make it successful.’[/pullquote]\u003c/p>\n\u003cp>“It seems to just undercut a lot of the principles of disability rights, the right to self-determination, the need for services to accommodate people with disabilities,” said Lili Graham, a lawyer with Disability Rights California. “And there is this coercive component to it because it’s under the court’s mandate.”\u003c/p>\n\u003cp>But Hull is also optimistic. If there’s a chance that CARE Court could help, she’d welcome the change.\u003c/p>\n\u003cp>“Sometimes there’s a lot of things that you don’t like and you have to do it,” Hull said. “So, yeah, if it’s a chance for somebody to be housed and get their word out, I’m all for it.”\u003c/p>\n\u003cp>Newsom’s administration poured $12 billion into homelessness and mental health programs last year — with another $2 billion proposed this year. But the state still faces serious shortages in behavioral health care workers, treatment programs and housing. And Hull’s most recent experience seeking help illustrates the hurdles CARE Court will have to clear to ensure that Hull, and others with a similar experience, can break the cycle of homelessness and succeed in treatment.\u003c/p>\n\u003ch2>A slow process\u003c/h2>\n\u003cp>When Hull realized the hospital staff were going to discharge her to the streets, she called her godfather in a panic. He called the Coalition on Homelessness in San Francisco.\u003c/p>\n\u003cp>That’s how Hull first met Christin Evans, who owns the Booksmith, an independent bookstore in San Francisco, and also volunteers with the coalition. Evans stepped in as an advocate to help Hull find someplace to stay.\u003c/p>\n\u003cp>Hull has a paid social worker, appointed by the city. But with a heavy caseload, Evans said, the city social worker isn’t always able to give Hull as much time as she needs.\u003c/p>\n\u003cp>Across California, the behavioral health care industry faces a worker shortage, and it’s expected to grow. A 2018 University of California San Francisco study found that \u003ca href=\"https://healthforce.ucsf.edu/sites/healthforce.ucsf.edu/files/publication-pdf/California%E2%80%99s%20Current%20and%20Future%20Behavioral%20Health%20Workforce.pdf\">by 2028, California will have 50% fewer psychiatrists and 28% fewer psychologists, licensed therapists and social workers than needed\u003c/a>, due to retirement and attrition.\u003c/p>\n\u003cp>The pandemic only exacerbated that shortage, said Dr. Le Ondra Clark Harvey, CEO of the California Council of Community Behavioral Health Agencies. And Newsom’s administration estimates that 7,000 to 12,000 people will qualify for CARE Court each year, adding to that caseload. All of these people will be, by definition, high-needs cases.\u003c/p>\n\u003cp>“As the system currently stands, we’re already struggling,” Harvey said. “We need to be able to have dependable, well-trained workers within this CARE Court system to make it successful.”\u003c/p>\n\u003cp>Without Evans volunteering support, Hull said she would have been lost.\u003c/p>\n\u003cp>“I would be downtown, going to see case manager after case manager, praying that there’s an opening somewhere, praying that I’ll be safe, sleeping in doorways,” Hull said.\u003c/p>\n\u003cp>Evans was able to spring into action. She started by convincing the hospital to keep Hull for a few more days — days that Evans spent trying to find housing.\u003c/p>\n\u003cp>She couldn’t place Hull at an emergency shelter in the Tenderloin, where Hull knew the heroin dealers. Sober for a week, Hull didn’t want to be tempted to use again.\u003c/p>\n\u003cp>“The options for her for emergency shelter were really limited,” Evans said.\u003c/p>\n\u003cp>She found a substance use treatment program that agreed to do an intake assessment, but not right away.\u003c/p>\n\u003cp>In the meantime, the hospital did discharge Hull, who was able to stay with her godparents over the weekend. That wasn’t a long-term option, though, because they only let Hull stay with them when she’s sober and getting into treatment.\u003c/p>\n\u003cp>When it came time for the program to do the intake assessment, however, the staff determined Hull needed more care than they could provide. She wouldn’t be getting a bed there. So, Evans started over, searching for a place that could provide both substance use and mental health treatment for Hull’s dual diagnoses.\u003c/p>\n\u003cp>“We started cold-calling, basically,” Evans said. “We were informed that there really weren’t dual-diagnosis beds readily available that she could go into that night.”\u003c/p>\n\u003cp>To get into dual-diagnosis programs, Hull needed to fill out a five-page application, get a TB test and get a referral from a primary care physician, all of which took several days. Hull spent those nights with her godparents and at an overnight urgent care facility.\u003c/p>\n\u003cp>Finally, she got into The Avenues Transitional Care Center. But it was only temporary.\u003c/p>\n\u003cp>She had to wait another couple weeks until a bed opened at Baker Places Inc., which operates a 90-day treatment program in San Francisco. The whole process took about a month.\u003c/p>\n\u003cp>“I really do believe that in her case, she’s not service-resistant,” Evans said. “The system is resistant to serving her.”\u003c/p>\n\u003cfigure id=\"attachment_11914879\" class=\"wp-caption aligncenter\" style=\"max-width: 1440px\">\u003ca href=\"https://ww2.kqed.org/app/uploads/sites/10/2022/05/RS13773_20141218_homeless_jt_001.JPG-qut.jpg\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"wp-image-11914879 size-full\" src=\"https://ww2.kqed.org/app/uploads/sites/10/2022/05/RS13773_20141218_homeless_jt_001.JPG-qut.jpg\" alt=\"A line of six people, all presenting as white or Asian, hold a long, white, lit candle in one hand and what seems to be a paper program in the other. Some look down at the program, and others look up at a focal point beyond and to the left of the camera. Behind them is the south half of the facade of San Francisco City Hall (facing what would be the plaza), the rotunda lit up in red, and the wall beneath it lighted in alternating columns of red and green. The sky, which takes up most of the top half of the photo, is a deep blue, as after sunset.\" width=\"1440\" height=\"961\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2022/05/RS13773_20141218_homeless_jt_001.JPG-qut.jpg 1440w, https://cdn.kqed.org/wp-content/uploads/sites/10/2022/05/RS13773_20141218_homeless_jt_001.JPG-qut-800x534.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2022/05/RS13773_20141218_homeless_jt_001.JPG-qut-1020x681.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2022/05/RS13773_20141218_homeless_jt_001.JPG-qut-160x107.jpg 160w\" sizes=\"auto, (max-width: 1440px) 100vw, 1440px\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">Mourners gather in Civic Center Plaza to commemorate unhoused people who died in San Francisco, on Dec. 18, 2014. Supporters of CARE Court say it’s about preventing deaths for people who are living on the street with untreated mental illness. \u003ccite>(James Tensuan/KQED)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>California faces \u003ca href=\"https://www.rand.org/pubs/research_reports/RRA1824-1-v2.html\">a shortfall of nearly 5,000 psychiatric beds\u003c/a> for short- and medium-term care, according to the RAND Institute, as well as nearly 3,000 long-term care beds.\u003c/p>\n\u003cp>Last year, the \u003ca href=\"https://www.chhs.ca.gov/wp-content/uploads/2022/04/Public-Community-Behavioral-Health-Funding-4.20.22.pdf\">state budget included $2.2 billion to create or acquire residential treatment facilities\u003c/a>, including board and care homes for people with mental health issues. This year’s proposed budget includes another $1.5 billion for short-term housing for people exiting homelessness and entering behavioral health treatment programs.\u003c/p>\n\u003cp>But Michelle Doty Cabrera, executive director of the County Behavioral Health Directors Association of California, said all those facilities will need ongoing funding.\u003c/p>\n\u003cp>“Those are buildings. They’re not the people to work in the buildings,” Cabrera said. “We still have not expanded funding at the state level to support the expanded services that would be needed to go along with those buildings.”\u003c/p>\n\u003cp>\u003ca href=\"https://www.ebudget.ca.gov/budget/2022-23MR/#/Home\">The governor’s proposed budget includes $65 million to implement CARE Court\u003c/a>, including $39 million to facilitate proceedings in county courts, $10 million to finance a supporter program through the state’s Department of Aging and $15 million to provide county governments with training and technical assistance.\u003c/p>\n\u003cp>It doesn’t specify any additional funds to increase services for new CARE Court enrollees. But it does include \u003ca href=\"https://www.chhs.ca.gov/wp-content/uploads/2022/04/Public-Community-Behavioral-Health-Funding-4.20.22.pdf\">a projected $11.6 billion for county behavioral health departments\u003c/a>, which are charged with providing services to people on Medi-Cal. That would be a nearly 50% increase from the prior year’s budget, if actual revenues match the projections.\u003c/p>\n\u003cp>Health and Human Services Secretary Dr. Mark Ghaly said in an interview it’s about prioritization.\u003c/p>\n\u003cp>“Our focus [is] on prioritizing this population,” Ghaly said, “not just making sure that they are no longer out of the line, but that they are towards the front of the line and getting these services in a prioritized way.”\u003c/p>\n\u003ch2>Housing shortage\u003c/h2>\n\u003cp>Hull isn’t sure where she will go when her treatment program ends in early July. Evans is worried that all the work done to get Hull sober and stabilized will be undone if she goes back to homelessness.\u003c/p>\n\u003cp>The shortage of affordable housing remains a huge problem in California, particularly for people who often need on-site services to help them remain stably housed. Nearly 14,000 people experiencing homelessness voluntarily sought mental health services last year, but only half were placed into housing, according to a survey conducted earlier this year by the County Behavioral Health Directors Association of California.\u003c/p>\n\u003cp>For the other half, there simply weren’t enough affordable options that could accommodate people with complex behavioral health needs.\u003c/p>\n\u003cp>“We’ve sort of been casualties of the hot housing market in California,” Cabrera said, noting the state has lost many residential treatment facilities in recent years. “We have very limited resources ourselves to support our clients’ housing needs.”\u003c/p>\n\u003cp>An early draft of the CARE Court legislation didn’t guarantee housing as part of the plan. But recent amendments to the bill now require county staff to identify an available housing placement for CARE Court enrollees. And courts could order other government agencies to provide that housing.\u003c/p>\n\u003cp>Hull tries not to think about what will happen to her in July, “because I don’t want to get into a depression,” she said.\u003c/p>\n\u003cp>She’ll be 31 in September, and she’s still a long way from her goals. Sitting at the café in San Francisco’s Civic Center, she said she knows that, ultimately, getting there is up to her.\u003c/p>\n\u003cp>“At the end of the day, the government has this and they have that,” she said. “It’s really up to you to fight for that.”\u003c/p>\n\u003cp>She turned her face toward the gilded dome on top of City Hall.\u003c/p>\n\u003cp>“But the fight shouldn’t be this hard,” she said.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>[ad floatright]\u003c/p>\n",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>“After a while, I was like, look, I’m going to 5150 myself,” Hull said, referring to the civic code to place someone on an emergency, 72-hour psychiatric hold. Hull has been diagnosed with obsessive-compulsive disorder, anxiety, PTSD and depression.\u003c/p>\n\u003cp>But on that particular day, it wasn’t the intrusive thoughts that sometimes cloud her mind that brought her to Sutter Health’s Street Care Center. She was just looking to get off the street.\u003c/p>\n\u003cp>“I was praying, like, please just let them help me today,” Hull said. “Please let there be resources open today, just anything.”\u003c/p>\n\u003cp>After she spent a week in the psychiatric ward, the on-site social worker produced a sheet of paper. On it was a list of shelters.\u003c/p>\n\u003cp>“They were going to take me back out into the streets because they felt that I didn’t need any further help,” Hull said. She was upset. “Like, really? You can clearly see that I’m not really in the right state of mind right now.”\u003c/p>\n\u003cfigure id=\"attachment_11914876\" class=\"wp-caption alignright\" style=\"max-width: 160px\">\u003ca href=\"https://ww2.kqed.org/app/uploads/sites/10/2022/05/Shahada-Hull_selfie-1.jpg\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"wp-image-11914876 size-thumbnail\" src=\"https://ww2.kqed.org/app/uploads/sites/10/2022/05/Shahada-Hull_selfie-1-160x213.jpg\" alt=\"A young Black woman with long Black hair, tossed over her right shoulder, smiles at the camera. She has sculpted eyebrows and wears a red or pink sleeveless top. The image has a filter on it so that her skin and the wall behind her appear yellow.\" width=\"160\" height=\"213\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2022/05/Shahada-Hull_selfie-1-160x213.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2022/05/Shahada-Hull_selfie-1.jpg 480w\" sizes=\"auto, (max-width: 160px) 100vw, 160px\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">Shahada Hull, 30, poses for a portrait in this undated photo. She has a dual diagnosis of substance use disorder and mental illness and might qualify for court-ordered treatment under Gov. Gavin Newsom’s CARE Court proposal, which is currently making its way through the Legislature. \u003ccite>(Courtesy Shahada Hull)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>Throughout her life, Hull, 30, has had around 160 mental health episodes, documented in a thick case file. At 13 months old, the San Francisco resident was placed in foster care. And she’s been in “the system” ever since — cycling in and out of affordable housing placements, the courts and county behavioral health services.\u003c/p>\n\u003cp>In many ways, she’s the archetypal candidate for CARE Court, part of a sweeping new proposal to address mental health care in California. The state Senate voted Wednesday to approve the legislation, \u003ca href=\"https://leginfo.legislature.ca.gov/faces/billTextClient.xhtml?bill_id=202120220SB1338\" target=\"_blank\" rel=\"noopener noreferrer\">SB 1338\u003c/a>. It now heads to the Assembly for a vote.\u003c/p>\n\u003cp>When Gov. Gavin Newsom unveiled CARE Court in March, he said it’s designed to help people like Hull, who move between emergency psychiatric treatment and homelessness.\u003c/p>\n\u003cp>“This approach with the courts allows … a pathway to actually develop a strategy and a plan with oversight and accountability, with housing supports, that are a component of this, to achieve some more permanency and success as opposed to episodic experiences through the 5150,” Newsom said.\u003c/p>\n\u003cp>Under the governor’s Community Assistance, Recovery, and Empowerment Court, Hull would be able to enter into a civil process with a judge to oversee her mental health treatment.\u003c/p>\n\u003cp>She’d have a public defender and a supporter to help her make decisions about what sorts of treatment programs she would like, with a care plan lasting up to two years. In turn, the county behavioral health department would be compelled to provide her with treatment or face fines if they do not.\u003c/p>\n\u003cp>Ideally, the program would enable Hull to reach her goals, all the things she had wanted to achieve by the time she turned 30: her GED, a job, stable housing, a car.\u003c/p>\n\u003cp>But Hull is skeptical the program really would help. She sat at a café in San Francisco’s Civic Center on a recent afternoon and looked toward City Hall.\u003c/p>\n\u003cp>“Wanting to force people that are homeless and on drugs into treatment and to housing, that’s just forcing,” she said. “That’s still not giving them a chance to talk.”\u003c/p>\n\u003cp>Newsom and officials in his administration say the treatment is voluntary. But the legislation also comes with a threat: Continued refusal to participate in CARE Court could be used as justification for conservatorship, where people could be forced into care against their will.\u003c/p>\n\u003cp>That has provoked harsh criticism from civil rights advocates who say compelling people into care is not only less effective, it undermines the kind of trust-building needed to actually bring people into treatment successfully.\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>“It seems to just undercut a lot of the principles of disability rights, the right to self-determination, the need for services to accommodate people with disabilities,” said Lili Graham, a lawyer with Disability Rights California. “And there is this coercive component to it because it’s under the court’s mandate.”\u003c/p>\n\u003cp>But Hull is also optimistic. If there’s a chance that CARE Court could help, she’d welcome the change.\u003c/p>\n\u003cp>“Sometimes there’s a lot of things that you don’t like and you have to do it,” Hull said. “So, yeah, if it’s a chance for somebody to be housed and get their word out, I’m all for it.”\u003c/p>\n\u003cp>Newsom’s administration poured $12 billion into homelessness and mental health programs last year — with another $2 billion proposed this year. But the state still faces serious shortages in behavioral health care workers, treatment programs and housing. And Hull’s most recent experience seeking help illustrates the hurdles CARE Court will have to clear to ensure that Hull, and others with a similar experience, can break the cycle of homelessness and succeed in treatment.\u003c/p>\n\u003ch2>A slow process\u003c/h2>\n\u003cp>When Hull realized the hospital staff were going to discharge her to the streets, she called her godfather in a panic. He called the Coalition on Homelessness in San Francisco.\u003c/p>\n\u003cp>That’s how Hull first met Christin Evans, who owns the Booksmith, an independent bookstore in San Francisco, and also volunteers with the coalition. Evans stepped in as an advocate to help Hull find someplace to stay.\u003c/p>\n\u003cp>Hull has a paid social worker, appointed by the city. But with a heavy caseload, Evans said, the city social worker isn’t always able to give Hull as much time as she needs.\u003c/p>\n\u003cp>Across California, the behavioral health care industry faces a worker shortage, and it’s expected to grow. A 2018 University of California San Francisco study found that \u003ca href=\"https://healthforce.ucsf.edu/sites/healthforce.ucsf.edu/files/publication-pdf/California%E2%80%99s%20Current%20and%20Future%20Behavioral%20Health%20Workforce.pdf\">by 2028, California will have 50% fewer psychiatrists and 28% fewer psychologists, licensed therapists and social workers than needed\u003c/a>, due to retirement and attrition.\u003c/p>\n\u003cp>The pandemic only exacerbated that shortage, said Dr. Le Ondra Clark Harvey, CEO of the California Council of Community Behavioral Health Agencies. And Newsom’s administration estimates that 7,000 to 12,000 people will qualify for CARE Court each year, adding to that caseload. All of these people will be, by definition, high-needs cases.\u003c/p>\n\u003cp>“As the system currently stands, we’re already struggling,” Harvey said. “We need to be able to have dependable, well-trained workers within this CARE Court system to make it successful.”\u003c/p>\n\u003cp>Without Evans volunteering support, Hull said she would have been lost.\u003c/p>\n\u003cp>“I would be downtown, going to see case manager after case manager, praying that there’s an opening somewhere, praying that I’ll be safe, sleeping in doorways,” Hull said.\u003c/p>\n\u003cp>Evans was able to spring into action. She started by convincing the hospital to keep Hull for a few more days — days that Evans spent trying to find housing.\u003c/p>\n\u003cp>She couldn’t place Hull at an emergency shelter in the Tenderloin, where Hull knew the heroin dealers. Sober for a week, Hull didn’t want to be tempted to use again.\u003c/p>\n\u003cp>“The options for her for emergency shelter were really limited,” Evans said.\u003c/p>\n\u003cp>She found a substance use treatment program that agreed to do an intake assessment, but not right away.\u003c/p>\n\u003cp>In the meantime, the hospital did discharge Hull, who was able to stay with her godparents over the weekend. That wasn’t a long-term option, though, because they only let Hull stay with them when she’s sober and getting into treatment.\u003c/p>\n\u003cp>When it came time for the program to do the intake assessment, however, the staff determined Hull needed more care than they could provide. She wouldn’t be getting a bed there. So, Evans started over, searching for a place that could provide both substance use and mental health treatment for Hull’s dual diagnoses.\u003c/p>\n\u003cp>“We started cold-calling, basically,” Evans said. “We were informed that there really weren’t dual-diagnosis beds readily available that she could go into that night.”\u003c/p>\n\u003cp>To get into dual-diagnosis programs, Hull needed to fill out a five-page application, get a TB test and get a referral from a primary care physician, all of which took several days. Hull spent those nights with her godparents and at an overnight urgent care facility.\u003c/p>\n\u003cp>Finally, she got into The Avenues Transitional Care Center. But it was only temporary.\u003c/p>\n\u003cp>She had to wait another couple weeks until a bed opened at Baker Places Inc., which operates a 90-day treatment program in San Francisco. The whole process took about a month.\u003c/p>\n\u003cp>“I really do believe that in her case, she’s not service-resistant,” Evans said. “The system is resistant to serving her.”\u003c/p>\n\u003cfigure id=\"attachment_11914879\" class=\"wp-caption aligncenter\" style=\"max-width: 1440px\">\u003ca href=\"https://ww2.kqed.org/app/uploads/sites/10/2022/05/RS13773_20141218_homeless_jt_001.JPG-qut.jpg\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"wp-image-11914879 size-full\" src=\"https://ww2.kqed.org/app/uploads/sites/10/2022/05/RS13773_20141218_homeless_jt_001.JPG-qut.jpg\" alt=\"A line of six people, all presenting as white or Asian, hold a long, white, lit candle in one hand and what seems to be a paper program in the other. Some look down at the program, and others look up at a focal point beyond and to the left of the camera. Behind them is the south half of the facade of San Francisco City Hall (facing what would be the plaza), the rotunda lit up in red, and the wall beneath it lighted in alternating columns of red and green. The sky, which takes up most of the top half of the photo, is a deep blue, as after sunset.\" width=\"1440\" height=\"961\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2022/05/RS13773_20141218_homeless_jt_001.JPG-qut.jpg 1440w, https://cdn.kqed.org/wp-content/uploads/sites/10/2022/05/RS13773_20141218_homeless_jt_001.JPG-qut-800x534.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2022/05/RS13773_20141218_homeless_jt_001.JPG-qut-1020x681.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2022/05/RS13773_20141218_homeless_jt_001.JPG-qut-160x107.jpg 160w\" sizes=\"auto, (max-width: 1440px) 100vw, 1440px\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">Mourners gather in Civic Center Plaza to commemorate unhoused people who died in San Francisco, on Dec. 18, 2014. Supporters of CARE Court say it’s about preventing deaths for people who are living on the street with untreated mental illness. \u003ccite>(James Tensuan/KQED)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>California faces \u003ca href=\"https://www.rand.org/pubs/research_reports/RRA1824-1-v2.html\">a shortfall of nearly 5,000 psychiatric beds\u003c/a> for short- and medium-term care, according to the RAND Institute, as well as nearly 3,000 long-term care beds.\u003c/p>\n\u003cp>Last year, the \u003ca href=\"https://www.chhs.ca.gov/wp-content/uploads/2022/04/Public-Community-Behavioral-Health-Funding-4.20.22.pdf\">state budget included $2.2 billion to create or acquire residential treatment facilities\u003c/a>, including board and care homes for people with mental health issues. This year’s proposed budget includes another $1.5 billion for short-term housing for people exiting homelessness and entering behavioral health treatment programs.\u003c/p>\n\u003cp>But Michelle Doty Cabrera, executive director of the County Behavioral Health Directors Association of California, said all those facilities will need ongoing funding.\u003c/p>\n\u003cp>“Those are buildings. They’re not the people to work in the buildings,” Cabrera said. “We still have not expanded funding at the state level to support the expanded services that would be needed to go along with those buildings.”\u003c/p>\n\u003cp>\u003ca href=\"https://www.ebudget.ca.gov/budget/2022-23MR/#/Home\">The governor’s proposed budget includes $65 million to implement CARE Court\u003c/a>, including $39 million to facilitate proceedings in county courts, $10 million to finance a supporter program through the state’s Department of Aging and $15 million to provide county governments with training and technical assistance.\u003c/p>\n\u003cp>It doesn’t specify any additional funds to increase services for new CARE Court enrollees. But it does include \u003ca href=\"https://www.chhs.ca.gov/wp-content/uploads/2022/04/Public-Community-Behavioral-Health-Funding-4.20.22.pdf\">a projected $11.6 billion for county behavioral health departments\u003c/a>, which are charged with providing services to people on Medi-Cal. That would be a nearly 50% increase from the prior year’s budget, if actual revenues match the projections.\u003c/p>\n\u003cp>Health and Human Services Secretary Dr. Mark Ghaly said in an interview it’s about prioritization.\u003c/p>\n\u003cp>“Our focus [is] on prioritizing this population,” Ghaly said, “not just making sure that they are no longer out of the line, but that they are towards the front of the line and getting these services in a prioritized way.”\u003c/p>\n\u003ch2>Housing shortage\u003c/h2>\n\u003cp>Hull isn’t sure where she will go when her treatment program ends in early July. Evans is worried that all the work done to get Hull sober and stabilized will be undone if she goes back to homelessness.\u003c/p>\n\u003cp>The shortage of affordable housing remains a huge problem in California, particularly for people who often need on-site services to help them remain stably housed. Nearly 14,000 people experiencing homelessness voluntarily sought mental health services last year, but only half were placed into housing, according to a survey conducted earlier this year by the County Behavioral Health Directors Association of California.\u003c/p>\n\u003cp>For the other half, there simply weren’t enough affordable options that could accommodate people with complex behavioral health needs.\u003c/p>\n\u003cp>“We’ve sort of been casualties of the hot housing market in California,” Cabrera said, noting the state has lost many residential treatment facilities in recent years. “We have very limited resources ourselves to support our clients’ housing needs.”\u003c/p>\n\u003cp>An early draft of the CARE Court legislation didn’t guarantee housing as part of the plan. But recent amendments to the bill now require county staff to identify an available housing placement for CARE Court enrollees. And courts could order other government agencies to provide that housing.\u003c/p>\n\u003cp>Hull tries not to think about what will happen to her in July, “because I don’t want to get into a depression,” she said.\u003c/p>\n\u003cp>She’ll be 31 in September, and she’s still a long way from her goals. Sitting at the café in San Francisco’s Civic Center, she said she knows that, ultimately, getting there is up to her.\u003c/p>\n\u003cp>“At the end of the day, the government has this and they have that,” she said. “It’s really up to you to fight for that.”\u003c/p>\n\u003cp>She turned her face toward the gilded dome on top of City Hall.\u003c/p>\n\u003cp>“But the fight shouldn’t be this hard,” she said.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"slug": "bay-area-health-officials-urge-residents-to-mask-up-again-and-be-vigilant-as-covid-cases-rise",
"title": "Bay Area Health Officials Urge Residents to Mask Up Indoors (Again) as COVID Cases Rise",
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"content": "\u003cp>It’s déjà vu all over again (and again and again).\u003c/p>\n\u003cp>Public health officials in nearly every Bay Area county — and some neighboring ones — urged residents on Friday to once again mask up in public indoor spaces and take other COVID-19 precautions, as cases and hospitalizations rise across the region.\u003c/p>\n\u003cp>In a rare joint statement, officials in Alameda, Contra Costa, Marin, Monterey, Napa, San Francisco, San Mateo, Santa Clara, Sonoma, Santa Cruz and San Benito counties said the Bay Area is now home to California’s highest infection rates, an unwelcome uptick fueled by the \u003ca href=\"https://khn.org/news/article/omicron-subvariants-guide/\">highly contagious omicron subvariants\u003c/a>.\u003c/p>\n\u003cp>“We’re seeing an increase in cases, and that’s true throughout the region,” Dr. Susan Philip, San Francisco’s health officer, told KQED in an interview Friday. “We’re on the upswing right now. And to me, that’s the trend that we should be thinking about and then making our decisions based on.”\u003c/p>\n\u003cp>Since early April, case rates in almost every county in the region have ticked up faster than the statewide average, officials said, noting that the number of positive cases are likely higher than reported given the prevalence of at-home tests. And COVID-related hospitalizations in the area, while still relatively low, are also rising at a more rapid clip than elsewhere in the state.[aside label=\"related coverage\" tag=\"covid-19\"] Philip emphasized that Friday’s warning is “not meant to scare people.”\u003c/p>\n\u003cp>“Really, what we are trying to do is make people aware that this is happening and then to remind them of all the ways that they can personally take steps to either prevent COVID infections, if that’s their goal, or to know how they can get treatment if they do test positive, if they are higher risk,” she said, adding that it’s not known why there are more infections in this area compared to others.\u003c/p>\n\u003cp>Health officials doubled down on their ongoing recommendation that people wear \u003ca href=\"https://www.kqed.org/news/11900169/choosing-the-right-mask-can-help-protect-against-the-omicron-variant\">high-quality mask\u003c/a>\u003ca href=\"https://www.kqed.org/news/11900169/choosing-the-right-mask-can-help-protect-against-the-omicron-variant\">s\u003c/a> (like N95/KN95s or snug-fitting surgical masks) in public indoor areas — even though doing so is no longer required in most places. They also encouraged residents to stay up to date on vaccinations by getting boosters when eligible, and getting tested after potential exposures.\u003c/p>\n\u003cp>Philip said that despite the troubling increase, officials in San Francisco are “not considering at the moment going back towards mandates,” including the city’s recently lifted mask rule for passengers riding on Muni.\u003c/p>\n\u003cp>“We are at a time now in the pandemic that’s very different than where we’ve been for the past few years because of the high uptake of vaccines — 84% of us now being vaccinated — and also because we have treatments,” she said, pointing to the increasing availability of \u003ca href=\"https://www.sfchronicle.com/bayarea/article/Paxlovid-covid-california-17169744.php\">Paxlovid and other antiviral pills\u003c/a> that can help stave off more serious COVID symptoms. The treatments, she said, will be increasingly accessible online and at community pharmacies for seniors and people with medical conditions who test positive.\u003c/p>\n\u003cp>And while cases and hospitalizations are on the rise, Philip said that unlike in some of the previous surges, the number of people needing treatment in hospital intensive care units remains low. Vaccines and other therapies have so far helped keep people from getting “very, very sick with COVID-19,” she said. “The data are really encouraging.”\u003cbr>\n[ad fullwidth]\u003c/p>\n\u003cp>\u003c/p>\n",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>It’s déjà vu all over again (and again and again).\u003c/p>\n\u003cp>Public health officials in nearly every Bay Area county — and some neighboring ones — urged residents on Friday to once again mask up in public indoor spaces and take other COVID-19 precautions, as cases and hospitalizations rise across the region.\u003c/p>\n\u003cp>In a rare joint statement, officials in Alameda, Contra Costa, Marin, Monterey, Napa, San Francisco, San Mateo, Santa Clara, Sonoma, Santa Cruz and San Benito counties said the Bay Area is now home to California’s highest infection rates, an unwelcome uptick fueled by the \u003ca href=\"https://khn.org/news/article/omicron-subvariants-guide/\">highly contagious omicron subvariants\u003c/a>.\u003c/p>\n\u003cp>“We’re seeing an increase in cases, and that’s true throughout the region,” Dr. Susan Philip, San Francisco’s health officer, told KQED in an interview Friday. “We’re on the upswing right now. And to me, that’s the trend that we should be thinking about and then making our decisions based on.”\u003c/p>\n\u003cp>Since early April, case rates in almost every county in the region have ticked up faster than the statewide average, officials said, noting that the number of positive cases are likely higher than reported given the prevalence of at-home tests. And COVID-related hospitalizations in the area, while still relatively low, are also rising at a more rapid clip than elsewhere in the state.\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp> Philip emphasized that Friday’s warning is “not meant to scare people.”\u003c/p>\n\u003cp>“Really, what we are trying to do is make people aware that this is happening and then to remind them of all the ways that they can personally take steps to either prevent COVID infections, if that’s their goal, or to know how they can get treatment if they do test positive, if they are higher risk,” she said, adding that it’s not known why there are more infections in this area compared to others.\u003c/p>\n\u003cp>Health officials doubled down on their ongoing recommendation that people wear \u003ca href=\"https://www.kqed.org/news/11900169/choosing-the-right-mask-can-help-protect-against-the-omicron-variant\">high-quality mask\u003c/a>\u003ca href=\"https://www.kqed.org/news/11900169/choosing-the-right-mask-can-help-protect-against-the-omicron-variant\">s\u003c/a> (like N95/KN95s or snug-fitting surgical masks) in public indoor areas — even though doing so is no longer required in most places. They also encouraged residents to stay up to date on vaccinations by getting boosters when eligible, and getting tested after potential exposures.\u003c/p>\n\u003cp>Philip said that despite the troubling increase, officials in San Francisco are “not considering at the moment going back towards mandates,” including the city’s recently lifted mask rule for passengers riding on Muni.\u003c/p>\n\u003cp>“We are at a time now in the pandemic that’s very different than where we’ve been for the past few years because of the high uptake of vaccines — 84% of us now being vaccinated — and also because we have treatments,” she said, pointing to the increasing availability of \u003ca href=\"https://www.sfchronicle.com/bayarea/article/Paxlovid-covid-california-17169744.php\">Paxlovid and other antiviral pills\u003c/a> that can help stave off more serious COVID symptoms. The treatments, she said, will be increasingly accessible online and at community pharmacies for seniors and people with medical conditions who test positive.\u003c/p>\n\u003cp>And while cases and hospitalizations are on the rise, Philip said that unlike in some of the previous surges, the number of people needing treatment in hospital intensive care units remains low. Vaccines and other therapies have so far helped keep people from getting “very, very sick with COVID-19,” she said. “The data are really encouraging.”\u003cbr>\n\u003c/p>\u003c/div>",
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"content": "\u003cp>\u003cb>COVID-19 Uptick in California\u003cbr>\n\u003c/b>\u003cspan style=\"font-weight: 400\">Coronavirus cases are climbing again, with May’s case rates about double that of early April. Counties in the San Francisco Bay Area are showing some of the highest levels of infections in the entire state, according to The New York Times. UCSF Department of Medicine\u003c/span> \u003cspan style=\"font-weight: 400\">Chair \u003c/span>\u003cb>Dr. Bob Wachter\u003c/b>\u003cspan style=\"font-weight: 400\"> gives us an update on COVID-19 cases and talks about his own close call with the virus.\u003c/span>\u003c/p>\n\u003cp>\u003cb>“Pandemic, Inc.”\u003cbr>\n\u003c/b>\u003cb>J. David McSwane\u003c/b>\u003cspan>, ProPublica investigative reporter and author of “Pandemic, Inc.: Chasing the Capitalists and Thieves Who Got Rich While We Got Sick,” shares his probe into how certain companies made huge profits off the COVID-19 pandemic.\u003c/span>\u003c/p>\n\u003cp>\u003cb>This Week in California News and Politics\u003cbr>\n\u003c/b>\u003cspan style=\"font-weight: 400\">We look at how California continues to respond to the potential fall of Roe v. Wade and how the leaked U.S. Supreme Court draft ruling could affect midterm elections, as well as what’s in the revised state budget that boasts a whopping $97 billion surplus.\u003c/span>\u003c/p>\n\u003cp>\u003cspan style=\"font-weight: 400\">Guests: \u003c/span>\u003c/p>\n\u003cul>\n\u003cli style=\"font-weight: 400\">\u003cspan style=\"font-weight: 400\">Guy Marzorati, KQED politics and government reporter\u003c/span>\u003c/li>\n\u003cli style=\"font-weight: 400\">\u003cspan style=\"font-weight: 400\">Seema Mehta, Los Angeles Times political writer\u003c/span>\u003c/li>\n\u003c/ul>\n\u003cp>\u003cb>Something Beautiful: East Bay Depot for Creative Reuse\u003cbr>\n\u003c/b>\u003cspan style=\"font-weight: 400\">The East Bay Depot for Creative Reuse was started by two teachers in 1977 and, to this day, works to keep solid waste out of landfills by turning castoffs into a treasure trove of materials for arts, crafts and other projects. \u003c/span>\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\u003cp>\u003c/p>\n",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>\u003cb>COVID-19 Uptick in California\u003cbr>\n\u003c/b>\u003cspan style=\"font-weight: 400\">Coronavirus cases are climbing again, with May’s case rates about double that of early April. Counties in the San Francisco Bay Area are showing some of the highest levels of infections in the entire state, according to The New York Times. UCSF Department of Medicine\u003c/span> \u003cspan style=\"font-weight: 400\">Chair \u003c/span>\u003cb>Dr. Bob Wachter\u003c/b>\u003cspan style=\"font-weight: 400\"> gives us an update on COVID-19 cases and talks about his own close call with the virus.\u003c/span>\u003c/p>\n\u003cp>\u003cb>“Pandemic, Inc.”\u003cbr>\n\u003c/b>\u003cb>J. David McSwane\u003c/b>\u003cspan>, ProPublica investigative reporter and author of “Pandemic, Inc.: Chasing the Capitalists and Thieves Who Got Rich While We Got Sick,” shares his probe into how certain companies made huge profits off the COVID-19 pandemic.\u003c/span>\u003c/p>\n\u003cp>\u003cb>This Week in California News and Politics\u003cbr>\n\u003c/b>\u003cspan style=\"font-weight: 400\">We look at how California continues to respond to the potential fall of Roe v. Wade and how the leaked U.S. Supreme Court draft ruling could affect midterm elections, as well as what’s in the revised state budget that boasts a whopping $97 billion surplus.\u003c/span>\u003c/p>\n\u003cp>\u003cspan style=\"font-weight: 400\">Guests: \u003c/span>\u003c/p>\n\u003cul>\n\u003cli style=\"font-weight: 400\">\u003cspan style=\"font-weight: 400\">Guy Marzorati, KQED politics and government reporter\u003c/span>\u003c/li>\n\u003cli style=\"font-weight: 400\">\u003cspan style=\"font-weight: 400\">Seema Mehta, Los Angeles Times political writer\u003c/span>\u003c/li>\n\u003c/ul>\n\u003cp>\u003cb>Something Beautiful: East Bay Depot for Creative Reuse\u003cbr>\n\u003c/b>\u003cspan style=\"font-weight: 400\">The East Bay Depot for Creative Reuse was started by two teachers in 1977 and, to this day, works to keep solid waste out of landfills by turning castoffs into a treasure trove of materials for arts, crafts and other projects. \u003c/span>\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cp>Mayor London Breed has tapped Matt Dorsey, the openly gay director of strategic communications for the San Francisco Police Department who has also struggled with addiction to drugs and alcohol, to fill the Board of Supervisors District 6 seat left vacant by the election of Matt Haney to the state Assembly.\u003c/p>\n\u003cp>“As a longtime public servant, Matt Dorsey knows how the city works, and as a member of the recovery community, he can bring new energy and commitment to the crisis of addiction that is fueling our overdose crisis and impacting neighborhoods throughout this city,” the mayor said in a written statement.\u003c/p>\n\u003cp>In choosing the relatively moderate Dorsey, the mayor will likely get a more reliable ally on the board than Haney, who often criticized Breed’s management of the city. But she also runs the risk of alienating constituents who will see Dorsey’s relationship with the SFPD as a liability.\u003c/p>\n\u003cp>Others, including Assemblymember Haney, were hoping Breed would appoint Honey Mahogany to lead District 6. Mahogany served as Haney’s chief of staff and would have been the first transgender member of the San Francisco Board of Supervisors.\u003c/p>\n\u003cp>\u003cb>“\u003c/b>I do understand why she would want to appoint someone maybe that was closer to her,” Mahogany told KQED. “But I think that the residents of District 6 actually need someone who knows what they’re doing, who has experience\u003ci>.” \u003c/i>She cited her work in Haney’s office on behalf of issues including public safety and homelessness.\u003c/p>\n\u003cp>The appointment of Dorsey sets up an electoral conflict for November with Mahogany. But as some have noted, \u003ca href=\"https://missionlocal.org/2022/05/sources-mayor-to-tap-matt-dorsey-for-d6-supervisor-triggering-high-stakes-political-brawl/\">it may also serve as a proxy battle\u003c/a> between Mayor Breed and the newly elected Haney, backing Dorsey and Mahogany, respectively, at a time when Breed is gearing up for her own election. Breed appears to be banking on the electorate’s mood shifting to favor a candidate with strong ties to the police, like Dorsey.\u003c/p>\n\u003cp>Dorsey, who has experienced decades of substance use disorder and recovery, hopes to use that experience in his new position.[pullquote size=\"medium\" align=\"right\" citation=\"Honey Mahogany, District 6 supervisor candidate\"]‘I think that the residents of District 6 actually need someone who knows what they’re doing, who has experience.’[/pullquote]“I’ve been open about being in recovery before, but I never thought to be this open about it,” Dorsey told KQED. “But at this moment with the public health crisis that we have, I hope I can make a difference,” he said, referring to the relentless numbers of overdose deaths on city streets.\u003c/p>\n\u003cp>San Francisco recorded 640 accidental overdose deaths in 2021, \u003ca href=\"https://sf.gov/sites/default/files/2021-05/2021%2005_OCME%20Overdose%20Report.pdf\">according to the Office of the Chief Medical Examiner\u003c/a>. Roughly 20% of those deaths were in the South of Market neighborhood, which Dorsey will now represent.\u003c/p>\n\u003cp>Dorsey sees a direct connection between rampant open-air drug dealing, addiction and overdose deaths in San Francisco and some of its other most vexing challenges.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>“I think when you consider things like homelessness and street conditions and theft and recent auto burglaries, a lot of this stuff, if we can make progress on drug use, getting more people into recovery, I think we’ll see progress on a lot of things. I’m optimistic about what we can do,” Dorsey said.\u003c/p>\n\u003cp>While not well known to the general public, Dorsey has been a fixture in San Francisco politics, campaigns and government for decades. He spent four years on the San Francisco Democratic Party board. After 14 years as press secretary to City Attorney Dennis Herrera, Dorsey became a partner in a local communications company. He returned to the public sector in 2020 to head the SFPD’s strategic communications.\u003c/p>\n\u003cp>The appointment of a former SFPD staffer comes at a time of \u003ca href=\"https://www.kqed.org/news/11906253/violent-crime-soared-during-the-pandemic-but-does-the-political-debate-reflect-the-data\">rising fear of crime in San Francisco\u003c/a>, leading to contentious debates over whether increased policing is needed in the city. And from \u003ca href=\"https://www.kqed.org/news/11897148/rash-of-organized-weekend-robberies-target-luxury-stores-across-the-bay-area\">smash-and-grab robberies at luxury stores in Union Square\u003c/a> \u003ca href=\"https://www.cbsnews.com/sanfrancisco/news/elderly-asian-woman-beats-up-man-attacking-her-in-san-francisco/\">to high-profile attacks against members of the Asian American community\u003c/a>, that debate is taking place in neighborhoods Dorsey will represent, including downtown, South of Market and Mission Bay.[aside tag=\"politics\" label=\"Related Coverage\"]“There’s obviously some concern around Mr. Dorsey and some of his work for the police,” said former San Francisco Police Commissioner John Hamasaki. Hamasaki referred specifically to a public relations campaign to discredit District Attorney Chesa Boudin while Boudin’s office was prosecuting a police officer for excessive use of force. The SFPD alleged that Boudin’s office had violated a memorandum of understanding between the police and the DA.\u003c/p>\n\u003cp>Hamasaki, who is a critic of the SFPD, said “it created this aura that the district attorney was cheating in this case. But the facts that it was based on were misrepresented. It called into question, you know, what the police were doing with their taxpayer money and the resources in the media unit, and then also how that ultimately affected the trial.”\u003c/p>\n\u003cp>Among those who worked with Dorsey in the City Attorney’s office is state Sen. Scott Wiener, who called Dorsey “a rock-solid choice” for the job. Wiener, who like Dorsey went to the Board of Supervisors from the City Attorney’s office, said it’s useful experience for a supervisor to have.\u003c/p>\n\u003cp>“I can say that being in the City Attorney’s Office, you see how city government works and how it’s not working,” Wiener said. “You’re involved in every aspect of city government, and you truly see the good, the bad and the ugly. So Matt is not going to need a huge education in terms of how the different departments are functioning and what needs to be done better.”\u003c/p>\n\u003cp>\u003cspan style=\"font-weight: 400\">Dorsey, who said San Francisco must do more to address the lack of affordable housing in the city, said he’ll bring his own experiences as a resident to help prioritize the issues he’ll emphasize. “I choose not to own a car. I commute generally by Bikeshare. I am a renter, so I think transportation will be important,” he said.\u003c/span>\u003c/p>\n\u003cp>\u003cspan style=\"font-weight: 400\">Dorsey, who also is HIV-positive, sees a resemblance to the city’s drug problems with the AIDS epidemic in the 1980s and ’90s. “The stigma of who is dying is masking the horror of how many are dying,” Dorsey said. “And as somebody who remembers what those days were like, I just keep thinking that this is where a voice from this recovery community is needed.”\u003c/span>\u003c/p>\n\u003cp>As expected, Dorsey is a staunch defender of the SFPD, saying that under Chief Bill Scott the police department has made tremendous strides implementing reforms that have reduced unlawful use of force and policies and practices that landed the previous police chief in hot water.\u003c/p>\n\u003cp>“I\u003cspan style=\"font-weight: 400\">t is a better police department than people think it is,” Dorsey said, adding that the rank-and-file officers don’t get the credit other first responders have gotten during the pandemic. “They were making a lot of the same sacrifices that nurses and firefighters and EMTs and others were — just not being appreciated.”\u003c/span>\u003c/p>\n\u003cp>But just last week, Dorsey’s future colleagues, led by Supervisor Dean Preston, criticized the media relations job Dorsey’s office is doing, saying the SFPD was highlighting information that made the police look good with the goal of getting more city funding, while underplaying persistent problems.\u003c/p>\n\u003cp>“We need to understand to what extent taxpayer funds are being used to help shape media and public narrative on these controversial issues,” Preston said.\u003c/p>\n\u003cp>Preston’s comment came at a meeting of the Government Audit and Oversight Committee that he called to explore issues related to the SFPD’s communications operation.\u003c/p>\n\u003cp>Police Chief Bill Scott has often sparred with District Attorney Chesa Boudin, \u003ca href=\"https://www.kqed.org/news/11913102\">who is facing a recall election\u003c/a>. Asked whether he supports Proposition H, the June 7 measure to recall Boudin, Dorsey hedged, saying he is “authentically undecided,” adding that “\u003cspan style=\"font-weight: 400\">I have some complicated issues around my [SFPD] department’s relationship with the district attorney. And, we’ll see.”\u003c/span>\u003c/p>\n\u003cp>“I’m going to give some thought to it and pray on it and talk to the DA and talk to some others and hear from my residents,” he added.\u003c/p>\n\u003cp>In the meantime, Dorsey’s opponents are already gearing up to face him in his first election.\u003c/p>\n\u003cp>Haney, who said “I have nothing bad to say about Matt,” noted that Mahogany was better suited to represent the district given her experience dealing with issues like affordable housing, homelessness and public safety.\u003c/p>\n\u003cp>https://twitter.com/MattHaneySF/status/1523544352949039106\u003c/p>\n\u003cp>“He [Dorsey] writes press releases for the police and for a lobbying firm,” he said. “That’s very different than someone who has been in the trenches working to keep a community safe, to build housing. I think that’s the kind of person that we need in office.”\u003c/p>\n\u003cp>Mahogany, who is transgender, will run for the seat in November, setting up a lively debate over who can best represent the district. She seemed to take Breed’s decision in stride.\u003c/p>\n\u003cp>“I think that [the voters] are going to definitely see the depth of my experience. And you know, I think they’ll make the right decision in November,” she added.\u003c/p>\n\u003cp>[ad floatright]\u003c/p>\n",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>Mayor London Breed has tapped Matt Dorsey, the openly gay director of strategic communications for the San Francisco Police Department who has also struggled with addiction to drugs and alcohol, to fill the Board of Supervisors District 6 seat left vacant by the election of Matt Haney to the state Assembly.\u003c/p>\n\u003cp>“As a longtime public servant, Matt Dorsey knows how the city works, and as a member of the recovery community, he can bring new energy and commitment to the crisis of addiction that is fueling our overdose crisis and impacting neighborhoods throughout this city,” the mayor said in a written statement.\u003c/p>\n\u003cp>In choosing the relatively moderate Dorsey, the mayor will likely get a more reliable ally on the board than Haney, who often criticized Breed’s management of the city. But she also runs the risk of alienating constituents who will see Dorsey’s relationship with the SFPD as a liability.\u003c/p>\n\u003cp>Others, including Assemblymember Haney, were hoping Breed would appoint Honey Mahogany to lead District 6. Mahogany served as Haney’s chief of staff and would have been the first transgender member of the San Francisco Board of Supervisors.\u003c/p>\n\u003cp>\u003cb>“\u003c/b>I do understand why she would want to appoint someone maybe that was closer to her,” Mahogany told KQED. “But I think that the residents of District 6 actually need someone who knows what they’re doing, who has experience\u003ci>.” \u003c/i>She cited her work in Haney’s office on behalf of issues including public safety and homelessness.\u003c/p>\n\u003cp>The appointment of Dorsey sets up an electoral conflict for November with Mahogany. But as some have noted, \u003ca href=\"https://missionlocal.org/2022/05/sources-mayor-to-tap-matt-dorsey-for-d6-supervisor-triggering-high-stakes-political-brawl/\">it may also serve as a proxy battle\u003c/a> between Mayor Breed and the newly elected Haney, backing Dorsey and Mahogany, respectively, at a time when Breed is gearing up for her own election. Breed appears to be banking on the electorate’s mood shifting to favor a candidate with strong ties to the police, like Dorsey.\u003c/p>\n\u003cp>Dorsey, who has experienced decades of substance use disorder and recovery, hopes to use that experience in his new position.\u003c/p>\u003c/div>",
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"content": "‘I think that the residents of District 6 actually need someone who knows what they’re doing, who has experience.’",
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"content": "\u003cdiv class=\"post-body\">\u003cp>“I’ve been open about being in recovery before, but I never thought to be this open about it,” Dorsey told KQED. “But at this moment with the public health crisis that we have, I hope I can make a difference,” he said, referring to the relentless numbers of overdose deaths on city streets.\u003c/p>\n\u003cp>San Francisco recorded 640 accidental overdose deaths in 2021, \u003ca href=\"https://sf.gov/sites/default/files/2021-05/2021%2005_OCME%20Overdose%20Report.pdf\">according to the Office of the Chief Medical Examiner\u003c/a>. Roughly 20% of those deaths were in the South of Market neighborhood, which Dorsey will now represent.\u003c/p>\n\u003cp>Dorsey sees a direct connection between rampant open-air drug dealing, addiction and overdose deaths in San Francisco and some of its other most vexing challenges.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>“I think when you consider things like homelessness and street conditions and theft and recent auto burglaries, a lot of this stuff, if we can make progress on drug use, getting more people into recovery, I think we’ll see progress on a lot of things. I’m optimistic about what we can do,” Dorsey said.\u003c/p>\n\u003cp>While not well known to the general public, Dorsey has been a fixture in San Francisco politics, campaigns and government for decades. He spent four years on the San Francisco Democratic Party board. After 14 years as press secretary to City Attorney Dennis Herrera, Dorsey became a partner in a local communications company. He returned to the public sector in 2020 to head the SFPD’s strategic communications.\u003c/p>\n\u003cp>The appointment of a former SFPD staffer comes at a time of \u003ca href=\"https://www.kqed.org/news/11906253/violent-crime-soared-during-the-pandemic-but-does-the-political-debate-reflect-the-data\">rising fear of crime in San Francisco\u003c/a>, leading to contentious debates over whether increased policing is needed in the city. And from \u003ca href=\"https://www.kqed.org/news/11897148/rash-of-organized-weekend-robberies-target-luxury-stores-across-the-bay-area\">smash-and-grab robberies at luxury stores in Union Square\u003c/a> \u003ca href=\"https://www.cbsnews.com/sanfrancisco/news/elderly-asian-woman-beats-up-man-attacking-her-in-san-francisco/\">to high-profile attacks against members of the Asian American community\u003c/a>, that debate is taking place in neighborhoods Dorsey will represent, including downtown, South of Market and Mission Bay.\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>“There’s obviously some concern around Mr. Dorsey and some of his work for the police,” said former San Francisco Police Commissioner John Hamasaki. Hamasaki referred specifically to a public relations campaign to discredit District Attorney Chesa Boudin while Boudin’s office was prosecuting a police officer for excessive use of force. The SFPD alleged that Boudin’s office had violated a memorandum of understanding between the police and the DA.\u003c/p>\n\u003cp>Hamasaki, who is a critic of the SFPD, said “it created this aura that the district attorney was cheating in this case. But the facts that it was based on were misrepresented. It called into question, you know, what the police were doing with their taxpayer money and the resources in the media unit, and then also how that ultimately affected the trial.”\u003c/p>\n\u003cp>Among those who worked with Dorsey in the City Attorney’s office is state Sen. Scott Wiener, who called Dorsey “a rock-solid choice” for the job. Wiener, who like Dorsey went to the Board of Supervisors from the City Attorney’s office, said it’s useful experience for a supervisor to have.\u003c/p>\n\u003cp>“I can say that being in the City Attorney’s Office, you see how city government works and how it’s not working,” Wiener said. “You’re involved in every aspect of city government, and you truly see the good, the bad and the ugly. So Matt is not going to need a huge education in terms of how the different departments are functioning and what needs to be done better.”\u003c/p>\n\u003cp>\u003cspan style=\"font-weight: 400\">Dorsey, who said San Francisco must do more to address the lack of affordable housing in the city, said he’ll bring his own experiences as a resident to help prioritize the issues he’ll emphasize. “I choose not to own a car. I commute generally by Bikeshare. I am a renter, so I think transportation will be important,” he said.\u003c/span>\u003c/p>\n\u003cp>\u003cspan style=\"font-weight: 400\">Dorsey, who also is HIV-positive, sees a resemblance to the city’s drug problems with the AIDS epidemic in the 1980s and ’90s. “The stigma of who is dying is masking the horror of how many are dying,” Dorsey said. “And as somebody who remembers what those days were like, I just keep thinking that this is where a voice from this recovery community is needed.”\u003c/span>\u003c/p>\n\u003cp>As expected, Dorsey is a staunch defender of the SFPD, saying that under Chief Bill Scott the police department has made tremendous strides implementing reforms that have reduced unlawful use of force and policies and practices that landed the previous police chief in hot water.\u003c/p>\n\u003cp>“I\u003cspan style=\"font-weight: 400\">t is a better police department than people think it is,” Dorsey said, adding that the rank-and-file officers don’t get the credit other first responders have gotten during the pandemic. “They were making a lot of the same sacrifices that nurses and firefighters and EMTs and others were — just not being appreciated.”\u003c/span>\u003c/p>\n\u003cp>But just last week, Dorsey’s future colleagues, led by Supervisor Dean Preston, criticized the media relations job Dorsey’s office is doing, saying the SFPD was highlighting information that made the police look good with the goal of getting more city funding, while underplaying persistent problems.\u003c/p>\n\u003cp>“We need to understand to what extent taxpayer funds are being used to help shape media and public narrative on these controversial issues,” Preston said.\u003c/p>\n\u003cp>Preston’s comment came at a meeting of the Government Audit and Oversight Committee that he called to explore issues related to the SFPD’s communications operation.\u003c/p>\n\u003cp>Police Chief Bill Scott has often sparred with District Attorney Chesa Boudin, \u003ca href=\"https://www.kqed.org/news/11913102\">who is facing a recall election\u003c/a>. Asked whether he supports Proposition H, the June 7 measure to recall Boudin, Dorsey hedged, saying he is “authentically undecided,” adding that “\u003cspan style=\"font-weight: 400\">I have some complicated issues around my [SFPD] department’s relationship with the district attorney. And, we’ll see.”\u003c/span>\u003c/p>\n\u003cp>“I’m going to give some thought to it and pray on it and talk to the DA and talk to some others and hear from my residents,” he added.\u003c/p>\n\u003cp>In the meantime, Dorsey’s opponents are already gearing up to face him in his first election.\u003c/p>\n\u003cp>Haney, who said “I have nothing bad to say about Matt,” noted that Mahogany was better suited to represent the district given her experience dealing with issues like affordable housing, homelessness and public safety.\u003c/p>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\n\u003cp>“He [Dorsey] writes press releases for the police and for a lobbying firm,” he said. “That’s very different than someone who has been in the trenches working to keep a community safe, to build housing. I think that’s the kind of person that we need in office.”\u003c/p>\n\u003cp>Mahogany, who is transgender, will run for the seat in November, setting up a lively debate over who can best represent the district. She seemed to take Breed’s decision in stride.\u003c/p>\n\u003cp>“I think that [the voters] are going to definitely see the depth of my experience. And you know, I think they’ll make the right decision in November,” she added.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cp>Nearly 5,000 striking nurses at Stanford and Lucile Packard Children’s hospitals plan to return to work Tuesday after overwhelmingly approving new three-year contracts.\u003c/p>\n\u003cp>The new agreements, which cover nurses at both hospitals, include yearly wage increases of 7% this year and 5% for each of the following two years, along with more generous retirement benefits and additional vacation time.\u003c/p>\n\u003cp>In an effort to address severe staffing shortages and high rates of burnout in the profession, the contracts also offer better access to mental health support and new pay incentives for recruiting and retaining nurses in hard-to-staff sectors, like critical care.\u003c/p>\n\u003cp>“We are very proud of the advances we have made with these contracts,” Colleen Borges, president of the Committee for Recognition of Nursing Achievement (CRONA), the union representing nurses, told reporters Monday. “They addressed the goals we set out at the outset of negotiations, and we hope will lead the way to improve nursing as an overall profession.”\u003c/p>\n\u003cp>https://twitter.com/CRONAnurses/status/1521176731083706368\u003c/p>\n\u003cp>\u003ca href=\"https://www.kqed.org/news/11912231/stanford-nurses-strike-over-staffing-shortages-lack-of-mental-health-support\">Nurses went on strike last Monday\u003c/a>, April 25, in an action that more than 90% of the union’s rank-and-file supported after their previous contracts expired in March. Union officials argued that the two hospitals were not adequately reinvesting in staffing, even after receiving hundreds of millions of dollars in federal pandemic relief funding. Revenue for the two hospitals grew 16%, to a combined $8.3 billion, according to Stanford Health Care’s financial disclosure for the 2021 fiscal year.\u003c/p>\n\u003cp>Kathy Stormberg, CRONA’s vice president, said management finally got the message that the nursing profession needs to be more sustainable and appealing.\u003c/p>\n\u003cp>“Amid a nationwide shortage of nurses driven by high levels of burnout, moral injury, exhaustion and trauma, hospitals need to step up their support for the nursing profession,” she told reporters on Monday. “Creating better and safer working conditions for nurses is directly connected to ensuring the best care conditions for the patients who are in our charge.”\u003c/p>\n\u003cp>[aside label=\"related coverage\" tag=\"stanford-hospital\"]A 2021 UCSF study estimated a \u003ca href=\"https://www.ucsf.edu/news/2021/09/421366/california-faces-short-term-nursing-shortage-covid-19-retirements\">shortage of more than 40,000 full-time registered nurses in California\u003c/a>, part of what it identified as a longer-term trend that has been accelerated during the COVID-19 pandemic.\u003c/p>\n\u003cp>Meanwhile, a survey conducted by CRONA in November found that 45% of Stanford nurses had considered leaving their jobs due to a lack of resources, training and support staff.\u003c/p>\n\u003cp>Kimberley Reed, a union representative who has worked for roughly 18 years as a nurse in Stanford Hospital’s cardiac intensive care unit, said many nurses simply have been pushed to the brink.\u003c/p>\n\u003cp>“There’s been high turnover, an increased amount of overtime that we’re using, decreased resources available to us,” she said. “And there’s really no time for us to rest and recharge. All of this is not sustainable.”\u003c/p>\n\u003cp>Reed said she’s particularly encouraged that the new contract includes better mental health support and pay incentives for nurses working with severely ill patients in emergency departments, intensive care units and critical care transport teams.\u003c/p>\n\u003cp>“The reason that is so important is because it’s been really, really hard for the institution to be able to get nurses in those areas,” she said. “So this incentive program will hopefully retain the nurses who have been here through the pandemic. And it will also incentivize experienced nurses who want to come to Stanford to work in those areas.”\u003c/p>\n\u003cp>Pressure mounted against hospital management heading into the strike, with nurses receiving strong support from elected officials across the Peninsula and South Bay. \u003ca href=\"https://twitter.com/SenAlexPadilla/status/1520202366049562626\">U.S. Sen. Alex Padilla also visited the picket line Friday\u003c/a>, calling nurses “real-life superheroes.”\u003c/p>\n\u003cp>In a statement, Stanford said it was pleased to reach a deal that reflects “shared priorities and enhances existing benefits supporting our nurses’ health, well-being, and ongoing professional development.”\u003c/p>\n\u003cp>CRONA officials agreed Monday that both sides had shared goals, but suggested that they approached the negotiations in notably different ways.\u003c/p>\n\u003cp>“Sticking points really had to do with sort of a philosophical difference in how we approach things,” Stormberg said. “It wasn’t so much that there was a specific issue, rather that it was a complete package of changes that we were working on.”\u003c/p>\n\u003cp>\u003cem>This story includes reporting from KQED’s Sara Hossaini and Eli Walsh of Bay City News.\u003c/em>\u003cbr>\n[ad fullwidth]\u003c/p>\n\u003cp>\u003c/p>\n",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>Nearly 5,000 striking nurses at Stanford and Lucile Packard Children’s hospitals plan to return to work Tuesday after overwhelmingly approving new three-year contracts.\u003c/p>\n\u003cp>The new agreements, which cover nurses at both hospitals, include yearly wage increases of 7% this year and 5% for each of the following two years, along with more generous retirement benefits and additional vacation time.\u003c/p>\n\u003cp>In an effort to address severe staffing shortages and high rates of burnout in the profession, the contracts also offer better access to mental health support and new pay incentives for recruiting and retaining nurses in hard-to-staff sectors, like critical care.\u003c/p>\n\u003cp>“We are very proud of the advances we have made with these contracts,” Colleen Borges, president of the Committee for Recognition of Nursing Achievement (CRONA), the union representing nurses, told reporters Monday. “They addressed the goals we set out at the outset of negotiations, and we hope will lead the way to improve nursing as an overall profession.”\u003c/p>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\n\u003cp>\u003ca href=\"https://www.kqed.org/news/11912231/stanford-nurses-strike-over-staffing-shortages-lack-of-mental-health-support\">Nurses went on strike last Monday\u003c/a>, April 25, in an action that more than 90% of the union’s rank-and-file supported after their previous contracts expired in March. Union officials argued that the two hospitals were not adequately reinvesting in staffing, even after receiving hundreds of millions of dollars in federal pandemic relief funding. Revenue for the two hospitals grew 16%, to a combined $8.3 billion, according to Stanford Health Care’s financial disclosure for the 2021 fiscal year.\u003c/p>\n\u003cp>Kathy Stormberg, CRONA’s vice president, said management finally got the message that the nursing profession needs to be more sustainable and appealing.\u003c/p>\n\u003cp>“Amid a nationwide shortage of nurses driven by high levels of burnout, moral injury, exhaustion and trauma, hospitals need to step up their support for the nursing profession,” she told reporters on Monday. “Creating better and safer working conditions for nurses is directly connected to ensuring the best care conditions for the patients who are in our charge.”\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>A 2021 UCSF study estimated a \u003ca href=\"https://www.ucsf.edu/news/2021/09/421366/california-faces-short-term-nursing-shortage-covid-19-retirements\">shortage of more than 40,000 full-time registered nurses in California\u003c/a>, part of what it identified as a longer-term trend that has been accelerated during the COVID-19 pandemic.\u003c/p>\n\u003cp>Meanwhile, a survey conducted by CRONA in November found that 45% of Stanford nurses had considered leaving their jobs due to a lack of resources, training and support staff.\u003c/p>\n\u003cp>Kimberley Reed, a union representative who has worked for roughly 18 years as a nurse in Stanford Hospital’s cardiac intensive care unit, said many nurses simply have been pushed to the brink.\u003c/p>\n\u003cp>“There’s been high turnover, an increased amount of overtime that we’re using, decreased resources available to us,” she said. “And there’s really no time for us to rest and recharge. All of this is not sustainable.”\u003c/p>\n\u003cp>Reed said she’s particularly encouraged that the new contract includes better mental health support and pay incentives for nurses working with severely ill patients in emergency departments, intensive care units and critical care transport teams.\u003c/p>\n\u003cp>“The reason that is so important is because it’s been really, really hard for the institution to be able to get nurses in those areas,” she said. “So this incentive program will hopefully retain the nurses who have been here through the pandemic. And it will also incentivize experienced nurses who want to come to Stanford to work in those areas.”\u003c/p>\n\u003cp>Pressure mounted against hospital management heading into the strike, with nurses receiving strong support from elected officials across the Peninsula and South Bay. \u003ca href=\"https://twitter.com/SenAlexPadilla/status/1520202366049562626\">U.S. Sen. Alex Padilla also visited the picket line Friday\u003c/a>, calling nurses “real-life superheroes.”\u003c/p>\n\u003cp>In a statement, Stanford said it was pleased to reach a deal that reflects “shared priorities and enhances existing benefits supporting our nurses’ health, well-being, and ongoing professional development.”\u003c/p>\n\u003cp>CRONA officials agreed Monday that both sides had shared goals, but suggested that they approached the negotiations in notably different ways.\u003c/p>\n\u003cp>“Sticking points really had to do with sort of a philosophical difference in how we approach things,” Stormberg said. “It wasn’t so much that there was a specific issue, rather that it was a complete package of changes that we were working on.”\u003c/p>\n\u003cp>\u003cem>This story includes reporting from KQED’s Sara Hossaini and Eli Walsh of Bay City News.\u003c/em>\u003cbr>\n\u003c/p>\u003c/div>",
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"content": "\u003cp>About 5,000 nurses at Stanford and Lucile Packard Children’s hospitals went on strike Monday, with workers calling on Stanford Health Care management to boost wages, address staffing shortages and provide workers with more mental health support, a need that’s grown during the pandemic.\u003c/p>\n\u003cp>According to the Committee for Recognition of Nursing Achievement, or CRONA, which represents the striking nurses, executives at Stanford Health Care and Luclle Packard Children’s Hospital have failed to address low staff retention and high turnover rates and have attempted to withdraw health benefits for striking nurses.\u003c/p>\n\u003cp>Stanford administrators and union leaders are set to go back to the bargaining table Tuesday as nurses enter their second day of an open-ended strike.\u003c/p>\n\u003cp>Roughly 93% of nurses represented by CRONA voted to authorize the strike earlier this month after their labor contract with Stanford expired March 31. The strike is CRONA’s first in more than two decades, according to the union.\u003c/p>\n\u003cp>“A strike has always been the last resort for CRONA nurses, but we are prepared to stand strong and make sacrifices today for the transformative changes that the nursing profession and our patients need,” said CRONA President Colleen Borges on Monday. Borges is a pediatric oncology nurse at Packard Children’s.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>https://twitter.com/CRONAnurses/status/1518635587435065345?s=20&t=zWCMkNe3aGzraOscLsagKg\u003c/p>\n\u003cp>A survey conducted by CRONA in November found that 45% of Stanford nurses considered leaving due to a lack of resources, training and support staff.\u003c/p>\n\u003cp>Stanford Health Care Chief Nurse Executive Dale Beatty and Stanford Children’s Health Senior Vice President Jesus Cepero said in a joint statement that they respect the union’s right to strike, but argued that Stanford will be forced to reduce some services and reschedule elective procedures during the strike, even after securing replacement nurses for the two hospitals.\u003c/p>\n\u003cp>The two executives also argued that Stanford’s most recent contract offer to CRONA was sufficient, offering increased wages, student loan repayment assistance and incentive payments for nurses in units with high turnover rates.\u003c/p>\n\u003cp>“We continue to work toward an agreement with CRONA on a contract that our nurses can support and be proud of,” Beatty and Cepero said. “Our nurses are exceptional, and we strive to recognize and reward their enormous contributions.”\u003c/p>\n\u003cp>[aside postID=news_11911519 hero='https://ww2.kqed.org/app/uploads/sites/10/2022/04/GettyImages-1392178871-1020x676.jpg']“Nobody wants to strike,” ICU cardiac nurse Kimberley Reed told KQED. “Because it’s not good for hospitals. It’s not good for nurses. It’s not good for our patients.”\u003c/p>\n\u003cp>But Reed said she’ll be at the bargaining table to fight for better retirement benefits and to make sure that patients get the best care — and part of that, she said, is making sure nurses also get the mental health care they need.\u003c/p>\n\u003cp>“A lot of [workers] are paying for mental health services out of their pockets,” she said. “And I think with the death of Michael Odell … that actually did something to a lot of people.” Odell was a 27-year-old traveling nurse who was working at Stanford Health Care in January when he \u003ca href=\"https://www.statnews.com/2022/03/23/nurse-warned-of-pandemic-mental-toll-health-workers/\">died by an apparent suicide\u003c/a>.\u003c/p>\n\u003cp>“We had been bringing these [mental health] issues to light even before the tragic death of one of our colleagues,” Fred Taleghani, a nurse at Lucile Packard Children’s Hospital and a member of the union’s negotiation team, told KQED before the strike began.\u003c/p>\n\u003cp>The hospitals’ existing employee assistance program, Taleghani said, “was taking upwards [of] four to six weeks to even get an appointment with a therapist. And [for] anyone experiencing a mental health crisis, you need help immediately. A month from now, a month and a half from now — it doesn’t work.”\u003c/p>\n\u003cp>Taleghani said the union is asking for creative workarounds to get the hospitals to improve mental health care options for workers.\u003c/p>\n\u003cp>“We’re asking for $1,750 that [a] nurse can reimburse up to 80% of their outside mental health expenses with,” he said. “Mental health is a really personal issue, and you have to have a therapist that you connect with — and a randomly assigned therapist from a large company … is just not workable.”\u003c/p>\n\u003ch2>Hospitals plan to cut striking workers’ benefits\u003c/h2>\n\u003cp>Stanford Health and Packard Children’s announced earlier this month that they would cut striking workers’ health care benefits as of May 1. Stanford executives Beatty and Cepero said doing so is “standard national practice,” as health care benefits from an employer are generally only provided to those who are actively working.\u003c/p>\n\u003cp>“This standard practice is not unique to our hospitals and applies to any of our employees who are not working, are on unpaid status, and are not on an approved leave,” they said.\u003c/p>\n\u003cp>State legislators representing parts of the peninsula have called on Stanford to resolve the contract dispute.\u003c/p>\n\u003cp>In a joint letter Friday to Stanford Health Care President and CEO David Entwistle and Packard Children’s President and CEO Paul King, Assemblymembers Ash Kalra (D-San José) and Marc Berman (D-Palo Alto) and state Sen. Josh Becker (D-San Mateo) called it “unconscionable” that the two hospitals would cut health care benefits for striking workers and suggested it was a tactic to break the picket line.\u003c/p>\n\u003cp>The legislators and CRONA also have noted that Stanford Health Care and Packard Children’s have received hundreds of millions of dollars in federal pandemic relief funding — Stanford Health Care’s financial disclosure for the end of the 2021 fiscal year reported that revenue for the two hospitals grew 16% to a combined $8.3 billion.\u003c/p>\n\u003cp>“Cutting off the health care for these frontline health care workers and their families after they have carried us through a pandemic is not only unnecessary — it is cruel and out of step with the values Stanford and Packard publicly advertise,” Kalra, Berman and Becker said. “Having received generous federal funding the last two years, Stanford and Packard health care should not be playing games with nurses’ health care benefits.”\u003c/p>\n\u003cp>CRONA has yet to announce an end date for the strike and plans to continue bargaining with Stanford Health executives.\u003c/p>\n\u003cp>[ad floatright]\u003c/p>\n\u003cp>\u003cem>This story includes reporting from Eli Walsh of Bay City News, KQED’s Sukey Lewis and KQED’s April Dembosky. \u003c/em>\u003c/p>\n\n",
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"tagline": "The flip side of gentrification, told through one town",
"info": "Gentrification is changing cities across America, forcing people from neighborhoods they have long called home. Call them the displaced. Now those priced out of the Bay Area are looking for a better life in an unlikely place. American Suburb follows this migration to one California town along the Delta, 45 miles from San Francisco. But is this once sleepy suburb ready for them?",
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},
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"tagline": "Exploring the Bay Area, one question at a time",
"info": "KQED’s new podcast, Bay Curious, gets to the bottom of the mysteries — both profound and peculiar — that give the Bay Area its unique identity. And we’ll do it with your help! You ask the questions. You decide what Bay Curious investigates. And you join us on the journey to find the answers.",
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"order": 8
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},
"link": "https://www.cityarts.net",
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"order": 1
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"info": "\u003cem>Code Switch\u003c/em>, which listeners will hear in the first part of the hour, has fearless and much-needed conversations about race. Hosted by journalists of color, the show tackles the subject of race head-on, exploring how it impacts every part of society — from politics and pop culture to history, sports and more.\u003cbr />\u003cbr />\u003cem>Life Kit\u003c/em>, which will be in the second part of the hour, guides you through spaces and feelings no one prepares you for — from finances to mental health, from workplace microaggressions to imposter syndrome, from relationships to parenting. The show features experts with real world experience and shares their knowledge. Because everyone needs a little help being human.\u003cbr />\u003cbr />\u003ca href=\"https://www.npr.org/podcasts/510312/codeswitch\">\u003cem>Code Switch\u003c/em> offical site and podcast\u003c/a>\u003cbr />\u003ca href=\"https://www.npr.org/lifekit\">\u003cem>Life Kit\u003c/em> offical site and podcast\u003c/a>\u003cbr />",
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"id": "commonwealth-club",
"title": "Commonwealth Club of California Podcast",
"info": "The Commonwealth Club of California is the nation's oldest and largest public affairs forum. As a non-partisan forum, The Club brings to the public airwaves diverse viewpoints on important topics. The Club's weekly radio broadcast - the oldest in the U.S., dating back to 1924 - is carried across the nation on public radio stations and is now podcasting. Our website archive features audio of our recent programs, as well as selected speeches from our long and distinguished history. This podcast feed is usually updated twice a week and is always un-edited.",
"airtime": "THU 10pm, FRI 1am",
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"source": "Commonwealth Club of California"
},
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"info": "KQED’s live call-in program discussing local, state, national and international issues, as well as in-depth interviews.",
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"imageSrc": "https://cdn.kqed.org/wp-content/uploads/2024/04/Forum-Podcast-Tile-703x703-1.jpg",
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"order": 9
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"hidden-brain": {
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"info": "Shankar Vedantam uses science and storytelling to reveal the unconscious patterns that drive human behavior, shape our choices and direct our relationships.",
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"airtime": "SUN 7pm-8pm",
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"source": "NPR"
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"info": "Guy Raz dives into the stories behind some of the world's best known companies. How I Built This weaves a narrative journey about innovators, entrepreneurs and idealists—and the movements they built.",
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"airtime": "SUN 7:30pm-8pm",
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"hyphenacion": {
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"tagline": "Where conversation and cultura meet",
"info": "What kind of no sabo word is Hyphenación? For us, it’s about living within a hyphenation. Like being a third-gen Mexican-American from the Texas border now living that Bay Area Chicano life. Like Xorje! Each week we bring together a couple of hyphenated Latinos to talk all about personal life choices: family, careers, relationships, belonging … everything is on the table. ",
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"jerrybrown": {
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"title": "The Political Mind of Jerry Brown",
"tagline": "Lessons from a lifetime in politics",
"info": "The Political Mind of Jerry Brown brings listeners the wisdom of the former Governor, Mayor, and presidential candidate. Scott Shafer interviewed Brown for more than 40 hours, covering the former governor's life and half-century in the political game – and Brown has some lessons he'd like to share. ",
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"order": 18
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},
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"id": "latino-usa",
"title": "Latino USA",
"airtime": "MON 1am-2am, SUN 6pm-7pm",
"info": "Latino USA, the radio journal of news and culture, is the only national, English-language radio program produced from a Latino perspective.",
"imageSrc": "https://ww2.kqed.org/radio/wp-content/uploads/sites/50/2018/04/latinoUsa.jpg",
"officialWebsiteLink": "http://latinousa.org/",
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},
"link": "/radio/program/latino-usa",
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"rss": "https://feeds.npr.org/510016/podcast.xml"
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},
"marketplace": {
"id": "marketplace",
"title": "Marketplace",
"info": "Our flagship program, helmed by Kai Ryssdal, examines what the day in money delivered, through stories, conversations, newsworthy numbers and more. Updated Monday through Friday at about 3:30 p.m. PT.",
"airtime": "MON-FRI 4pm-4:30pm, MON-WED 6:30pm-7pm",
"imageSrc": "https://cdn.kqed.org/wp-content/uploads/2024/04/Marketplace-Podcast-Tile-360x360-1.jpg",
"officialWebsiteLink": "https://www.marketplace.org/",
"meta": {
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"source": "American Public Media"
},
"link": "/radio/program/marketplace",
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"rss": "https://feeds.publicradio.org/public_feeds/marketplace-pm/rss/rss"
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},
"masters-of-scale": {
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"title": "Masters of Scale",
"info": "Masters of Scale is an original podcast in which LinkedIn co-founder and Greylock Partner Reid Hoffman sets out to describe and prove theories that explain how great entrepreneurs take their companies from zero to a gazillion in ingenious fashion.",
"airtime": "Every other Wednesday June 12 through October 16 at 8pm (repeats Thursdays at 2am)",
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"officialWebsiteLink": "https://mastersofscale.com/",
"meta": {
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"source": "WaitWhat"
},
"link": "/radio/program/masters-of-scale",
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"rss": "https://rss.art19.com/masters-of-scale"
}
},
"mindshift": {
"id": "mindshift",
"title": "MindShift",
"tagline": "A podcast about the future of learning and how we raise our kids",
"info": "The MindShift podcast explores the innovations in education that are shaping how kids learn. Hosts Ki Sung and Katrina Schwartz introduce listeners to educators, researchers, parents and students who are developing effective ways to improve how kids learn. We cover topics like how fed-up administrators are developing surprising tactics to deal with classroom disruptions; how listening to podcasts are helping kids develop reading skills; the consequences of overparenting; and why interdisciplinary learning can engage students on all ends of the traditional achievement spectrum. This podcast is part of the MindShift education site, a division of KQED News. KQED is an NPR/PBS member station based in San Francisco. You can also visit the MindShift website for episodes and supplemental blog posts or tweet us \u003ca href=\"https://twitter.com/MindShiftKQED\">@MindShiftKQED\u003c/a> or visit us at \u003ca href=\"/mindshift\">MindShift.KQED.org\u003c/a>",
"imageSrc": "https://cdn.kqed.org/wp-content/uploads/2024/04/Mindshift-Podcast-Tile-703x703-1.jpg",
"imageAlt": "KQED MindShift: How We Will Learn",
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},
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"filterData": {
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"filters": [
"Any Region"
]
},
"cuisine": {
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"userAgentReducer": {
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"requestOutcomesReducer": {
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"navPromosReducer": {
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"fetchFailed": false,
"hasFetched": true,
"promos": {
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"podcasts-radio": {},
"video-tv": {},
"events": {},
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}
}
}
