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"content": "\u003cp>In certain circles of San Francisco, a case of syphilis can be as common and casual as catching the flu, to the point where Billy Lemon can’t even remember how many times he’s had it.\u003c/p>\n\u003cp>“Three or four? Five times in my life?” he struggles to recall. “It does not seem like a big deal.”\u003c/p>\n\u003cp>At the time, about a decade ago, Lemon went on frequent methamphetamine binges, kicking his libido into overdrive and silencing the voice in his head that said condoms would be a wise choice at a raging sex party.\u003c/p>\n\u003cp>“It lowers your inhibitions, and also your decision-making abilities are skewed,” Lemon says.\u003c/p>\n\u003cp>He’s sober now and runs the Castro Country Club in San Francisco, which is not a resort, but a place where gay men can get help with addiction, especially meth. Lemon says syphilis comes with the territory.\u003c/p>\n\u003cp>“In the 12-step community, if meth was your thing, everybody had syphilis,” he says.\u003c/p>\n\u003cp>[pullquote align=\"right\" size=\"medium\" citation=\"Billy Lemon, addiction counselor\"]‘In the 12-step community, if meth was your thing, everybody had syphilis.’[/pullquote]In 2000, syphilis rates were so low that public health officials believed eradication was on the horizon. But the rates started creeping up in 2001, grew steadily for the next two decades, then spiked 74% since 2015. There were nearly 130,000 cases nationwide in 2019, according to \u003ca href=\"https://www.cdc.gov/std/statistics/2019/overview.htm#Syphilis\">data\u003c/a> released Tuesday by the Centers for Disease Control and Prevention.\u003c/p>\n\u003cp>In California, and throughout the United States, about \u003ca href=\"https://www.cdph.ca.gov/Programs/CID/DCDC/CDPH%20Document%20Library/STD-Surveillance-Executive-Summary.pdf\">half of syphilis cases\u003c/a> are in men who have sex with men. More than \u003ca href=\"https://www.cdc.gov/mmwr/volumes/68/wr/mm6806a4.htm\">a third of women\u003c/a> in the western U.S. who have syphilis also use meth, a drug that has seen its own \u003ca href=\"https://www.kqed.org/news/11724407/meths-comeback-a-new-speed-epidemic-takes-its-toll-on-san-francisco\">surge\u003c/a> in recent years.\u003c/p>\n\u003cp>These are just some of the trends causing overall national cases of sexually transmitted diseases to hit all-time highs for the past six years in a row, reaching 2.5 million cases. And the consequences are now trickling down to babies who are contracting syphilis from their mothers; these congenital syphilis rates nearly quadrupled between 2012 and 2019.\u003c/p>\n\u003cp>This was all before the coronavirus pandemic took hold in the U.S., and with contact tracers and testing supplies diverted from STDs to COVID-19, the CDC is predicting 2020 numbers will be no better.\u003c/p>\n\u003cp>“We are quite worried about this and have seen this trend over time,” says Dr. Erica Pan, California’s state epidemiologist. “Unfortunately, with years of not having enough funding and infrastructure in public health, and then in this past year, of course, both at the local and state level, a lot of personnel who had been focusing on STDs and syphilis follow-up have really been redirected to the pandemic.”\u003c/p>\n\u003ch3>Multiple Factors Fueling Surge\u003c/h3>\n\u003cp>There are many factors that contribute to the rise of STDs, and syphilis in particular.\u003c/p>\n\u003cp>In the gay community in San Francisco, for example, the rise of mobile dating apps like Grindr and Tinder have made finding a date “faster than getting pizza delivered to your home,” says Dan Wohlfeiler, an STD prevention specialist and co-founder of \u003ca href=\"https://bhocpartners.org/\">Building Healthy Online Communities\u003c/a>, which uses these apps to improve gay men’s health.\u003c/p>\n\u003cp>When the dating apps first came on the scene around 2009, they made it harder for disease investigators to track the spread of STDs and notify people who may have been infected, because men don’t always know the names of the other men they hook up with.\u003c/p>\n\u003cp>“They sometimes only know their online handle,” says \u003ca href=\"https://fcm.ucsf.edu/people/ina-park-md\">Dr. Ina Park\u003c/a>, associate professor at UCSF School of Medicine and author of the book “\u003ca href=\"https://us.macmillan.com/books/9781250206626\">Strange Bedfellows\u003c/a>,” about the history of STDs. “And if the sex didn’t go well, then sometimes they will block the person from their app and they don’t even know how to reach that person again.”\u003c/p>\n\u003cp>Online dating began back in the late 1990s, which was around the same time effective medications to prevent the transmission of HIV became available: first, antiretrovirals that suppress the virus in those who are HIV-positive, and then later, in 2012, preexposure prophylaxis, or PrEP, which prevents new infections in people who are HIV-negative, but considered at risk for exposure to the virus.\u003c/p>\n\u003cp>With the risk of contracting a deadly disease falling to almost zero, condoms fell even more out of favor than they already were, says Park.\u003c/p>\n\u003cp>“If one man is taking PrEP and the other one is virally suppressed, there’s no HIV risk at all,” she says. “So why use condoms if you don’t mind having a touch of syphilis?”\u003c/p>\n\u003ch3>Diagnosing Syphilis Is Tricky\u003c/h3>\n\u003cp>While syphilis is not benign — it can cause blindness, deafness or brain damage — it is easy to treat. Typically, a shot of penicillin in the buttock will cure it.\u003c/p>\n\u003cp>But diagnosing syphilis can be tricky, says Park, who treats patients with STDs at the \u003ca href=\"https://www.sfcityclinic.org/\">San Francisco City Clinic\u003c/a>. She often finds herself crouched low in the exam room, “lifting up their scrotum and lifting up their penis,” craning her head to get a look from all angles.\u003c/p>\n\u003cp>She does these gymnastics to find rashes associated with syphilis. Some are obvious, others subtle. She says doctors in regular family medicine clinics often aren’t trained on where to look, or when.\u003c/p>\n\u003cp>“The patient came in saying, ‘I’m tired,’ ” Park says, referring to a common symptom of syphilis. “How many people are going to say, ‘Take off your pants and lift up your scrotum, I want to look? We only do that at the STD clinic because that’s what we do.”\u003c/p>\n\u003cp>But specialized public STD clinics, like the one where Park works, \u003ca href=\"https://pubmed.ncbi.nlm.nih.gov/28703733/\">have been shutting down\u003c/a> nationwide. One reason is persistent underfunding of public health programs, \u003ca href=\"https://khn.org/news/us-public-health-system-underfunded-under-threat-faces-more-cuts-amid-covid-pandemic/\">a trend laid bare\u003c/a> during the coronavirus pandemic. Another reason is the Affordable Care Act. In a strange way, the 2010 law intended to expand access to health care actually contributed to the closure of STD clinics.\u003c/p>\n\u003cp>[ad fullwidth]“Honestly, I think everyone thought they weren’t going to be necessary,” said \u003ca href=\"https://www.linkedin.com/in/karen-smith-a1293134/\">Dr. Karen Smith\u003c/a> in 2019, when she was the director of the California Department of Public Health. She says once Obamacare was in place, the thought was that STD testing would happen in primary care clinics.\u003c/p>\n\u003cp>“We sort of all assumed that if you’ve got health insurance and you’ve got access to a doctor, that’s all that you need,” she said. “It turns out that that’s not really all that you need.”\u003c/p>\n\u003cp>People still had affairs that they didn’t want to talk about with their family doctor. And some family doctors didn’t want to probe into their patients’ sex lives. Young people, in particular, prefer clinics geared to them, out of their parents’ purview.\u003c/p>\n\u003cp>“That loss of anonymous care really was a problem,” Smith said.\u003c/p>\n\u003ch3>Reaching Newborns\u003c/h3>\n\u003cp>When Christian Faulkenberry-Miranda decided to become a pediatrician, she never thought she’d become an expert in syphilis.\u003c/p>\n\u003cp>In 2010, shortly after finishing her medical training and starting work at the \u003ca href=\"https://www.communitymedical.org/\">Community Regional Medical Center\u003c/a> in Fresno, she began seeing babies with rashes on their tummies that looked like a blueberry muffin. At first she thought it was a common viral infection, until these babies tested positive for syphilis.\u003c/p>\n\u003cp>In those early days, Faulkenberry-Miranda saw perhaps a few instances of congenital syphilis each year. Now she sees two cases every week. It’s important to start the 10-day antibiotic treatment right away to avoid complications, but she still follows her patients through their first year of life, and often through their childhood, to watch for vision and hearing problems, developmental delays, attention deficits and learning disabilities, all of which can result from congenital syphilis infections. In 2019, 128 of these congenital syphilis cases resulted in stillbirth or neonatal death.\u003c/p>\n\u003cp>“The disappointing thing is that syphilis is very treatable,” she says. “This is something that’s completely preventable with proper screening and treatment of these moms during pregnancy.”\u003c/p>\n\u003cp>Congenital syphilis cases hit a troubling milestone in 2019, increasing 279% over the previous five years. That puts the number of mother-to-child transmissions of syphilis above what the peak of mother-to-child cases of HIV was \u003ca href=\"https://www.cdc.gov/media/pressrel/r020707b.htm\">in 1991\u003c/a>.\u003c/p>\n\u003cp>“How could this be happening? Testing is cheap and widely available. The same treatment we’ve been using since the ’40s still works,” says Park, who has also seen an increase in congenital syphilis cases in San Francisco. “And yet we have this completely out-of-control epidemic among the most vulnerable babies in our society.”\u003c/p>\n\u003cp>Many of the women who give birth to babies with syphilis have had no prenatal care. They often use drugs — \u003ca href=\"https://www.cdc.gov/mmwr/volumes/68/wr/mm6806a4.htm\">mainly meth\u003c/a> — and they are often homeless, said Dr. Karen Smith, the former CDPH director. This makes them more likely to trade sex for housing, food or drugs, a factor that prompts Smith to call congenital syphilis a “disease of despair.” Drug use, in particular, makes women less likely to recognize that they’re pregnant at all and less likely to seek health care if they do.\u003c/p>\n\u003cp>“They’re very concerned about what’s going to happen when they’re found to be pregnant and using drugs,” Smith said. “They’re concerned that their drug use will be reported and then CPS [Child Protective Services] will be involved and their children will be taken away.”\u003c/p>\n\u003cp>Romni Neiman is a veteran contact tracer with the CDC. Before she got redirected to COVID-19 last year, she was working on STD prevention in California, including the problem of congenital syphilis. Neiman says when she tries to reach pregnant women who may have been exposed to syphilis, it’s extremely challenging.\u003c/p>\n\u003cp>[aside label=\"related coverage\" tag=\"stds\"]Neiman remembers looking for one woman in the late 1980s in Chicago, who used drugs, was pregnant and had been exposed to syphilis. The woman’s housing was so unstable that Neiman went to three different places before finding her. The woman had no car, so Neiman offered to drive her to the clinic to get tested. The woman had no safe place to leave her toddler, because a man in the place she was staying was abusive, so Neiman took care of the child while the woman saw the doctor.\u003c/p>\n\u003cp>“She was just trying to do the best that she can, and she was really afraid,” Neiman remembers. “Sometimes it’s really taxing and really sad. And you come home at the end of the day and you’re like, ‘Wow. Wow.’ ”\u003c/p>\n\u003cp>Those challenges, combined with persistent underfunding for public health, are what led to the initial spike in congenital syphilis cases in Fresno County in the 2010s, says Park. Local contact tracers couldn’t keep up, and the state had to step in with reinforcements. After leveling off for a couple of years, congenital syphilis rates in Fresno \u003ca href=\"https://mail.google.com/mail/u/1/#search/faulkenberry/FMfcgxwKjdrspGtTMhDPrmQfzVvxQGbV?projector=1&messagePartId=0.1\">spiked 900%\u003c/a> in 2018.\u003c/p>\n\u003cp>The state is taking new measures to address the rates, says state epidemiologist Dr. Erica Pan, such as requiring women to be screened for syphilis twice during pregnancy, instead of just once. And rather than waiting for women to come in for prenatal care, the state is doing more outreach and screening pregnant women in the emergency room and in prisons and jails.\u003c/p>\n\u003cp>Pan believes the coronavirus pandemic has created an opportunity to invest in a more nimble response to emerging and reemerging public health issues such as syphilis and congenital syphilis.\u003c/p>\n\u003cp>“It’s been a really long, hard year responding to this pandemic, but people have really acknowledged and realized the impact of divesting in public health infrastructure,” Pan said. “I hope that a lot of the resources that we hope to bring to bear in the longer term after this pandemic will benefit STDs as well.”\u003c/p>\n\u003cp>\u003cem>This story was part of NPR’s health reporting partnership with \u003c/em>\u003ca href=\"https://www.kqed.org/\">\u003cem>KQED \u003c/em>\u003c/a>\u003cem>and \u003c/em>\u003ca href=\"https://khn.org/\">\u003cem>Kaiser Health News\u003c/em>\u003c/a>\u003cem>.\u003c/em>\u003c/p>\n\u003cdiv class=\"fullattribution\">\u003cimg decoding=\"async\" src=\"https://www.google-analytics.com/__utm.gif?utmac=UA-5828686-4&utmdt=Once+On+The+Brink+Of+Eradication%2C+Syphilis+Is+Raging+Again&utme=8(APIKey)9(MDAxOTAwOTE4MDEyMTkxMDAzNjczZDljZA004)\">\u003c/div>\n\u003cp>[ad floatright]\u003c/p>\n",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>In certain circles of San Francisco, a case of syphilis can be as common and casual as catching the flu, to the point where Billy Lemon can’t even remember how many times he’s had it.\u003c/p>\n\u003cp>“Three or four? Five times in my life?” he struggles to recall. “It does not seem like a big deal.”\u003c/p>\n\u003cp>At the time, about a decade ago, Lemon went on frequent methamphetamine binges, kicking his libido into overdrive and silencing the voice in his head that said condoms would be a wise choice at a raging sex party.\u003c/p>\n\u003cp>“It lowers your inhibitions, and also your decision-making abilities are skewed,” Lemon says.\u003c/p>\n\u003cp>He’s sober now and runs the Castro Country Club in San Francisco, which is not a resort, but a place where gay men can get help with addiction, especially meth. Lemon says syphilis comes with the territory.\u003c/p>\n\u003cp>“In the 12-step community, if meth was your thing, everybody had syphilis,” he says.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>In 2000, syphilis rates were so low that public health officials believed eradication was on the horizon. But the rates started creeping up in 2001, grew steadily for the next two decades, then spiked 74% since 2015. There were nearly 130,000 cases nationwide in 2019, according to \u003ca href=\"https://www.cdc.gov/std/statistics/2019/overview.htm#Syphilis\">data\u003c/a> released Tuesday by the Centers for Disease Control and Prevention.\u003c/p>\n\u003cp>In California, and throughout the United States, about \u003ca href=\"https://www.cdph.ca.gov/Programs/CID/DCDC/CDPH%20Document%20Library/STD-Surveillance-Executive-Summary.pdf\">half of syphilis cases\u003c/a> are in men who have sex with men. More than \u003ca href=\"https://www.cdc.gov/mmwr/volumes/68/wr/mm6806a4.htm\">a third of women\u003c/a> in the western U.S. who have syphilis also use meth, a drug that has seen its own \u003ca href=\"https://www.kqed.org/news/11724407/meths-comeback-a-new-speed-epidemic-takes-its-toll-on-san-francisco\">surge\u003c/a> in recent years.\u003c/p>\n\u003cp>These are just some of the trends causing overall national cases of sexually transmitted diseases to hit all-time highs for the past six years in a row, reaching 2.5 million cases. And the consequences are now trickling down to babies who are contracting syphilis from their mothers; these congenital syphilis rates nearly quadrupled between 2012 and 2019.\u003c/p>\n\u003cp>This was all before the coronavirus pandemic took hold in the U.S., and with contact tracers and testing supplies diverted from STDs to COVID-19, the CDC is predicting 2020 numbers will be no better.\u003c/p>\n\u003cp>“We are quite worried about this and have seen this trend over time,” says Dr. Erica Pan, California’s state epidemiologist. “Unfortunately, with years of not having enough funding and infrastructure in public health, and then in this past year, of course, both at the local and state level, a lot of personnel who had been focusing on STDs and syphilis follow-up have really been redirected to the pandemic.”\u003c/p>\n\u003ch3>Multiple Factors Fueling Surge\u003c/h3>\n\u003cp>There are many factors that contribute to the rise of STDs, and syphilis in particular.\u003c/p>\n\u003cp>In the gay community in San Francisco, for example, the rise of mobile dating apps like Grindr and Tinder have made finding a date “faster than getting pizza delivered to your home,” says Dan Wohlfeiler, an STD prevention specialist and co-founder of \u003ca href=\"https://bhocpartners.org/\">Building Healthy Online Communities\u003c/a>, which uses these apps to improve gay men’s health.\u003c/p>\n\u003cp>When the dating apps first came on the scene around 2009, they made it harder for disease investigators to track the spread of STDs and notify people who may have been infected, because men don’t always know the names of the other men they hook up with.\u003c/p>\n\u003cp>“They sometimes only know their online handle,” says \u003ca href=\"https://fcm.ucsf.edu/people/ina-park-md\">Dr. Ina Park\u003c/a>, associate professor at UCSF School of Medicine and author of the book “\u003ca href=\"https://us.macmillan.com/books/9781250206626\">Strange Bedfellows\u003c/a>,” about the history of STDs. “And if the sex didn’t go well, then sometimes they will block the person from their app and they don’t even know how to reach that person again.”\u003c/p>\n\u003cp>Online dating began back in the late 1990s, which was around the same time effective medications to prevent the transmission of HIV became available: first, antiretrovirals that suppress the virus in those who are HIV-positive, and then later, in 2012, preexposure prophylaxis, or PrEP, which prevents new infections in people who are HIV-negative, but considered at risk for exposure to the virus.\u003c/p>\n\u003cp>With the risk of contracting a deadly disease falling to almost zero, condoms fell even more out of favor than they already were, says Park.\u003c/p>\n\u003cp>“If one man is taking PrEP and the other one is virally suppressed, there’s no HIV risk at all,” she says. “So why use condoms if you don’t mind having a touch of syphilis?”\u003c/p>\n\u003ch3>Diagnosing Syphilis Is Tricky\u003c/h3>\n\u003cp>While syphilis is not benign — it can cause blindness, deafness or brain damage — it is easy to treat. Typically, a shot of penicillin in the buttock will cure it.\u003c/p>\n\u003cp>But diagnosing syphilis can be tricky, says Park, who treats patients with STDs at the \u003ca href=\"https://www.sfcityclinic.org/\">San Francisco City Clinic\u003c/a>. She often finds herself crouched low in the exam room, “lifting up their scrotum and lifting up their penis,” craning her head to get a look from all angles.\u003c/p>\n\u003cp>She does these gymnastics to find rashes associated with syphilis. Some are obvious, others subtle. She says doctors in regular family medicine clinics often aren’t trained on where to look, or when.\u003c/p>\n\u003cp>“The patient came in saying, ‘I’m tired,’ ” Park says, referring to a common symptom of syphilis. “How many people are going to say, ‘Take off your pants and lift up your scrotum, I want to look? We only do that at the STD clinic because that’s what we do.”\u003c/p>\n\u003cp>But specialized public STD clinics, like the one where Park works, \u003ca href=\"https://pubmed.ncbi.nlm.nih.gov/28703733/\">have been shutting down\u003c/a> nationwide. One reason is persistent underfunding of public health programs, \u003ca href=\"https://khn.org/news/us-public-health-system-underfunded-under-threat-faces-more-cuts-amid-covid-pandemic/\">a trend laid bare\u003c/a> during the coronavirus pandemic. Another reason is the Affordable Care Act. In a strange way, the 2010 law intended to expand access to health care actually contributed to the closure of STD clinics.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>“Honestly, I think everyone thought they weren’t going to be necessary,” said \u003ca href=\"https://www.linkedin.com/in/karen-smith-a1293134/\">Dr. Karen Smith\u003c/a> in 2019, when she was the director of the California Department of Public Health. She says once Obamacare was in place, the thought was that STD testing would happen in primary care clinics.\u003c/p>\n\u003cp>“We sort of all assumed that if you’ve got health insurance and you’ve got access to a doctor, that’s all that you need,” she said. “It turns out that that’s not really all that you need.”\u003c/p>\n\u003cp>People still had affairs that they didn’t want to talk about with their family doctor. And some family doctors didn’t want to probe into their patients’ sex lives. Young people, in particular, prefer clinics geared to them, out of their parents’ purview.\u003c/p>\n\u003cp>“That loss of anonymous care really was a problem,” Smith said.\u003c/p>\n\u003ch3>Reaching Newborns\u003c/h3>\n\u003cp>When Christian Faulkenberry-Miranda decided to become a pediatrician, she never thought she’d become an expert in syphilis.\u003c/p>\n\u003cp>In 2010, shortly after finishing her medical training and starting work at the \u003ca href=\"https://www.communitymedical.org/\">Community Regional Medical Center\u003c/a> in Fresno, she began seeing babies with rashes on their tummies that looked like a blueberry muffin. At first she thought it was a common viral infection, until these babies tested positive for syphilis.\u003c/p>\n\u003cp>In those early days, Faulkenberry-Miranda saw perhaps a few instances of congenital syphilis each year. Now she sees two cases every week. It’s important to start the 10-day antibiotic treatment right away to avoid complications, but she still follows her patients through their first year of life, and often through their childhood, to watch for vision and hearing problems, developmental delays, attention deficits and learning disabilities, all of which can result from congenital syphilis infections. In 2019, 128 of these congenital syphilis cases resulted in stillbirth or neonatal death.\u003c/p>\n\u003cp>“The disappointing thing is that syphilis is very treatable,” she says. “This is something that’s completely preventable with proper screening and treatment of these moms during pregnancy.”\u003c/p>\n\u003cp>Congenital syphilis cases hit a troubling milestone in 2019, increasing 279% over the previous five years. That puts the number of mother-to-child transmissions of syphilis above what the peak of mother-to-child cases of HIV was \u003ca href=\"https://www.cdc.gov/media/pressrel/r020707b.htm\">in 1991\u003c/a>.\u003c/p>\n\u003cp>“How could this be happening? Testing is cheap and widely available. The same treatment we’ve been using since the ’40s still works,” says Park, who has also seen an increase in congenital syphilis cases in San Francisco. “And yet we have this completely out-of-control epidemic among the most vulnerable babies in our society.”\u003c/p>\n\u003cp>Many of the women who give birth to babies with syphilis have had no prenatal care. They often use drugs — \u003ca href=\"https://www.cdc.gov/mmwr/volumes/68/wr/mm6806a4.htm\">mainly meth\u003c/a> — and they are often homeless, said Dr. Karen Smith, the former CDPH director. This makes them more likely to trade sex for housing, food or drugs, a factor that prompts Smith to call congenital syphilis a “disease of despair.” Drug use, in particular, makes women less likely to recognize that they’re pregnant at all and less likely to seek health care if they do.\u003c/p>\n\u003cp>“They’re very concerned about what’s going to happen when they’re found to be pregnant and using drugs,” Smith said. “They’re concerned that their drug use will be reported and then CPS [Child Protective Services] will be involved and their children will be taken away.”\u003c/p>\n\u003cp>Romni Neiman is a veteran contact tracer with the CDC. Before she got redirected to COVID-19 last year, she was working on STD prevention in California, including the problem of congenital syphilis. Neiman says when she tries to reach pregnant women who may have been exposed to syphilis, it’s extremely challenging.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>Neiman remembers looking for one woman in the late 1980s in Chicago, who used drugs, was pregnant and had been exposed to syphilis. The woman’s housing was so unstable that Neiman went to three different places before finding her. The woman had no car, so Neiman offered to drive her to the clinic to get tested. The woman had no safe place to leave her toddler, because a man in the place she was staying was abusive, so Neiman took care of the child while the woman saw the doctor.\u003c/p>\n\u003cp>“She was just trying to do the best that she can, and she was really afraid,” Neiman remembers. “Sometimes it’s really taxing and really sad. And you come home at the end of the day and you’re like, ‘Wow. Wow.’ ”\u003c/p>\n\u003cp>Those challenges, combined with persistent underfunding for public health, are what led to the initial spike in congenital syphilis cases in Fresno County in the 2010s, says Park. Local contact tracers couldn’t keep up, and the state had to step in with reinforcements. After leveling off for a couple of years, congenital syphilis rates in Fresno \u003ca href=\"https://mail.google.com/mail/u/1/#search/faulkenberry/FMfcgxwKjdrspGtTMhDPrmQfzVvxQGbV?projector=1&messagePartId=0.1\">spiked 900%\u003c/a> in 2018.\u003c/p>\n\u003cp>The state is taking new measures to address the rates, says state epidemiologist Dr. Erica Pan, such as requiring women to be screened for syphilis twice during pregnancy, instead of just once. And rather than waiting for women to come in for prenatal care, the state is doing more outreach and screening pregnant women in the emergency room and in prisons and jails.\u003c/p>\n\u003cp>Pan believes the coronavirus pandemic has created an opportunity to invest in a more nimble response to emerging and reemerging public health issues such as syphilis and congenital syphilis.\u003c/p>\n\u003cp>“It’s been a really long, hard year responding to this pandemic, but people have really acknowledged and realized the impact of divesting in public health infrastructure,” Pan said. “I hope that a lot of the resources that we hope to bring to bear in the longer term after this pandemic will benefit STDs as well.”\u003c/p>\n\u003cp>\u003cem>This story was part of NPR’s health reporting partnership with \u003c/em>\u003ca href=\"https://www.kqed.org/\">\u003cem>KQED \u003c/em>\u003c/a>\u003cem>and \u003c/em>\u003ca href=\"https://khn.org/\">\u003cem>Kaiser Health News\u003c/em>\u003c/a>\u003cem>.\u003c/em>\u003c/p>\n\u003cdiv class=\"fullattribution\">\u003cimg decoding=\"async\" src=\"https://www.google-analytics.com/__utm.gif?utmac=UA-5828686-4&utmdt=Once+On+The+Brink+Of+Eradication%2C+Syphilis+Is+Raging+Again&utme=8(APIKey)9(MDAxOTAwOTE4MDEyMTkxMDAzNjczZDljZA004)\">\u003c/div>\n\u003cp>\u003c/p>\u003c/div>",
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"disqusTitle": "US Recommends Pausing Use of Johnson & Johnson Vaccine Over Blood Clot Concerns",
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"content": "\u003cp>The U.S. Centers for Disease Control and Prevention and the Food and Drug Administration said Tuesday they are recommending a \"pause\" in the use of the single-dose Johnson & Johnson COVID-19 vaccine out of an \"abundance of caution\" while a review of reports of rare, potentially dangerous blood clots is conducted.\u003c/p>\n\u003cp>In a joint statement on Tuesday, the two agencies said they are \"reviewing data involving six reported U.S. cases of a rare and severe type of blood clot in individuals after receiving the J&J vaccine.\"\u003c/p>\n\u003cp>https://twitter.com/US_FDA/status/1381925612743499778?s=20\u003c/p>\n\u003cp>\"In these cases, a type of blood clot called cerebral venous sinus thrombosis (CVST) was seen in combination with low levels of blood platelets (thrombocytopenia),\" said Dr. Anne Schuchat, principal deputy director of the CDC and Dr. Peter Marks, director of the Food and Drug Administration's Center for Biologics Evaluation and Research. \"All six cases occurred among women between the ages of 18 and 48, and symptoms occurred 6 to 13 days after vaccination.\"\u003c/p>\n\u003cp>\"Right now, these adverse events appear to be extremely rare,\" the statement added.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>Speaking at a virtual news briefing after the announcement, Marks said that symptoms averaged about a week to nine days after vaccination, but not longer than three weeks.\u003c/p>\n\u003cp>He said that it is important to make physicians aware that CVST together with low blood platelets in a patient — as the cases to date have shown — should not receive the standard treatment for blood clots, which in these cases \"can actually cause tremendous harm.\" A blood thinner called heparin is commonly used to treat clots like these under normal circumstances. \u003c/p>\n\u003cp>Schuchat described CVST as a \"stroke-like\" illness. She said the symptoms are different from the mild flu-like ones that many people experience after getting a coronavirus vaccine dose. \u003c/p>\n\u003cp>\"I know that the information we are providing today will be very concerning to Americans who already received the Johnson & Johnson or Jannsen vaccine,\" she acknowledged.\u003c/p>\n\u003cp>She said that the CDC's Advisory Committee on Immunization Practices (ACIP) would meet on Wednesday. Acting FDA Commissioner Janet Woodcock, who moderated the virtual briefing, said the review would likely take \"a matter of days.\" \u003c/p>\n\u003cp>Schuchat and Marks recommended that individuals who had already received the Johnson & Johnson vaccine who experience severe headache, abdominal pain, leg pain or shortness of breath within three weeks of getting the shot contact their health care provider.\u003c/p>\n\u003cp>[aside postID=news_11855623 hero='https://ww2.kqed.org/app/uploads/sites/10/2021/02/Vaccination-Prep-1020x680.jpg']Following the recommended pause in vaccination with the Johnson & Johnson vaccine, Jeffrey Zients, the White House coronavirus coordinator, said, \"we are working now with our state and federal partners to get anyone scheduled for a J&J vaccine quickly rescheduled for a Pfizer or Moderna vaccine.\"\u003c/p>\n\u003cp>Marks said the joint CDC/FDA recommendation was \"not a mandate.\" He said that on a case-by-case basis, a doctor and patient could make a determination whether the J&J vaccine was appropriate. \"We are not going to stop a provider from administering the vaccine,\" he added.\u003c/p>\n\u003cp>The New York state health commissioner, Dr. Howard Zucker, said the state would suspend its use of the vaccine pending results of the federal investigation.\u003c/p>\n\u003cp>In a \u003ca href=\"https://www.jnj.com/johnson-johnson-statement-on-covid-19-vaccine\">statement\u003c/a> sent to NPR, Johnson & Johnson said it was \"aware of an extremely rare disorder involving people with blood clots in combination with low platelets in a small number of individuals who have received our COVID-19 vaccine.\"\u003c/p>\n\u003cp>\"We have been working closely with medical experts and health authorities, and we strongly support the open communication of this information to healthcare professionals and the public,\" the company said.\u003c/p>\n\u003cp>Johnson & Johnson said it was also reviewing the cases with European health authorities and that in the meantime, it will \"proactively delay the rollout of our vaccine in Europe.\"\u003c/p>\n\u003cp>More than 6.8 million doses of the Johnson & Johnson vaccine have already been administered in the U.S., alongside tens of millions of doses of vaccines produced by Pfizer-BioNTech and Moderna. The Johnson & Johnson vaccine \u003ca href=\"https://www.npr.org/sections/coronavirus-live-updates/2021/02/26/971866357/fda-panel-votes-for-emergency-use-of-johnson-johnsons-covid-19-vaccine\">received FDA\u003c/a> emergency authorization for distribution in February.\u003c/p>\n\u003cp>Similar concerns over rare blood clots have been raised over the Oxford-AstraZeneca vaccine, which has been widely administered in the U.K., European Union and many other countries. Last week, the European Union's drug regulator said the benefits of the vaccine outweigh its risks.\u003c/p>\n\u003cp>Marks called the situation with the J&J vaccine that is currently under review was \"very similar\" to the one experienced with AstraZeneca's vaccine.\u003c/p>\n\u003cp>He said that among the people who've received 180 million doses of vaccine by Pfizer and Moderna, no cases of CVST with low blood platelets have been seen.\u003c/p>\n\u003cp>The recommended pause in U.S. inoculations using the Johnson & Johnson vaccine could further complicate the immunization drive against COVID-19, which has killed more than 562,000 people in the U.S., amid an uptick in new coronavirus infections and \"vaccine hesitancy\" among certain groups.\u003c/p>\n\u003cp>Zients, the White House coronavirus coordinator, said the vaccine distribution pause \"will not have a significant impact\" on the Biden administration's vaccine plan because the Johnson & Johnson doses make up \"less than 5 percent of the recorded shots in arms in the United States to date.\"\u003c/p>\n\u003cp>\"Over the last few weeks, we have made available more than 25 million doses of Pfizer and Moderna each week, and in fact this week we will make available 28 million doses of these vaccines,\" Zients said in a \u003ca href=\"https://files.slack.com/files-pri/T031C6G0U-F01UUUWG3CY/statement_from_jeff_zients__white_house_covid-19_response_coordinator_on_johnson___johnson_vaccine\">statement.\u003c/a> \"This is more than enough supply to continue the current pace of vaccinations of 3 million shots per day, and meet the President's goal of 200 million shots by his 100th day in office — and continue on to reach every adult who wants to be vaccinated.\"\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>Amid manufacturing issues at a facility in Baltimore, Johnson & Johnson has had difficulty ramping up production. It \u003ca href=\"https://www.npr.org/2021/04/09/985933526/why-there-will-be-fewer-johnson-johnson-covid-19-vaccines-next-week\">has promised\u003c/a> to deliver 100 million doses of its vaccine to the U.S. government by the end of May. \u003c/p>\n\u003cdiv class=\"fullattribution\">Copyright 2021 NPR. To see more, visit \u003ca href=\"https://www.npr.org\">NPR.org\u003c/a>.\u003cimg src=\"https://www.google-analytics.com/__utm.gif?utmac=UA-5828686-4&utmdt=U.S.+Recommends+Pausing+Use+Of+Johnson+%26+Johnson+Vaccine+Over+Blood+Clot+Concerns&utme=8(APIKey)9(MDAxOTAwOTE4MDEyMTkxMDAzNjczZDljZA004)\">\u003c/div>\n\n",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>Speaking at a virtual news briefing after the announcement, Marks said that symptoms averaged about a week to nine days after vaccination, but not longer than three weeks.\u003c/p>\n\u003cp>He said that it is important to make physicians aware that CVST together with low blood platelets in a patient — as the cases to date have shown — should not receive the standard treatment for blood clots, which in these cases \"can actually cause tremendous harm.\" A blood thinner called heparin is commonly used to treat clots like these under normal circumstances. \u003c/p>\n\u003cp>Schuchat described CVST as a \"stroke-like\" illness. She said the symptoms are different from the mild flu-like ones that many people experience after getting a coronavirus vaccine dose. \u003c/p>\n\u003cp>\"I know that the information we are providing today will be very concerning to Americans who already received the Johnson & Johnson or Jannsen vaccine,\" she acknowledged.\u003c/p>\n\u003cp>She said that the CDC's Advisory Committee on Immunization Practices (ACIP) would meet on Wednesday. Acting FDA Commissioner Janet Woodcock, who moderated the virtual briefing, said the review would likely take \"a matter of days.\" \u003c/p>\n\u003cp>Schuchat and Marks recommended that individuals who had already received the Johnson & Johnson vaccine who experience severe headache, abdominal pain, leg pain or shortness of breath within three weeks of getting the shot contact their health care provider.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>Following the recommended pause in vaccination with the Johnson & Johnson vaccine, Jeffrey Zients, the White House coronavirus coordinator, said, \"we are working now with our state and federal partners to get anyone scheduled for a J&J vaccine quickly rescheduled for a Pfizer or Moderna vaccine.\"\u003c/p>\n\u003cp>Marks said the joint CDC/FDA recommendation was \"not a mandate.\" He said that on a case-by-case basis, a doctor and patient could make a determination whether the J&J vaccine was appropriate. \"We are not going to stop a provider from administering the vaccine,\" he added.\u003c/p>\n\u003cp>The New York state health commissioner, Dr. Howard Zucker, said the state would suspend its use of the vaccine pending results of the federal investigation.\u003c/p>\n\u003cp>In a \u003ca href=\"https://www.jnj.com/johnson-johnson-statement-on-covid-19-vaccine\">statement\u003c/a> sent to NPR, Johnson & Johnson said it was \"aware of an extremely rare disorder involving people with blood clots in combination with low platelets in a small number of individuals who have received our COVID-19 vaccine.\"\u003c/p>\n\u003cp>\"We have been working closely with medical experts and health authorities, and we strongly support the open communication of this information to healthcare professionals and the public,\" the company said.\u003c/p>\n\u003cp>Johnson & Johnson said it was also reviewing the cases with European health authorities and that in the meantime, it will \"proactively delay the rollout of our vaccine in Europe.\"\u003c/p>\n\u003cp>More than 6.8 million doses of the Johnson & Johnson vaccine have already been administered in the U.S., alongside tens of millions of doses of vaccines produced by Pfizer-BioNTech and Moderna. The Johnson & Johnson vaccine \u003ca href=\"https://www.npr.org/sections/coronavirus-live-updates/2021/02/26/971866357/fda-panel-votes-for-emergency-use-of-johnson-johnsons-covid-19-vaccine\">received FDA\u003c/a> emergency authorization for distribution in February.\u003c/p>\n\u003cp>Similar concerns over rare blood clots have been raised over the Oxford-AstraZeneca vaccine, which has been widely administered in the U.K., European Union and many other countries. Last week, the European Union's drug regulator said the benefits of the vaccine outweigh its risks.\u003c/p>\n\u003cp>Marks called the situation with the J&J vaccine that is currently under review was \"very similar\" to the one experienced with AstraZeneca's vaccine.\u003c/p>\n\u003cp>He said that among the people who've received 180 million doses of vaccine by Pfizer and Moderna, no cases of CVST with low blood platelets have been seen.\u003c/p>\n\u003cp>The recommended pause in U.S. inoculations using the Johnson & Johnson vaccine could further complicate the immunization drive against COVID-19, which has killed more than 562,000 people in the U.S., amid an uptick in new coronavirus infections and \"vaccine hesitancy\" among certain groups.\u003c/p>\n\u003cp>Zients, the White House coronavirus coordinator, said the vaccine distribution pause \"will not have a significant impact\" on the Biden administration's vaccine plan because the Johnson & Johnson doses make up \"less than 5 percent of the recorded shots in arms in the United States to date.\"\u003c/p>\n\u003cp>\"Over the last few weeks, we have made available more than 25 million doses of Pfizer and Moderna each week, and in fact this week we will make available 28 million doses of these vaccines,\" Zients said in a \u003ca href=\"https://files.slack.com/files-pri/T031C6G0U-F01UUUWG3CY/statement_from_jeff_zients__white_house_covid-19_response_coordinator_on_johnson___johnson_vaccine\">statement.\u003c/a> \"This is more than enough supply to continue the current pace of vaccinations of 3 million shots per day, and meet the President's goal of 200 million shots by his 100th day in office — and continue on to reach every adult who wants to be vaccinated.\"\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>Amid manufacturing issues at a facility in Baltimore, Johnson & Johnson has had difficulty ramping up production. It \u003ca href=\"https://www.npr.org/2021/04/09/985933526/why-there-will-be-fewer-johnson-johnson-covid-19-vaccines-next-week\">has promised\u003c/a> to deliver 100 million doses of its vaccine to the U.S. government by the end of May. \u003c/p>\n\u003cdiv class=\"fullattribution\">Copyright 2021 NPR. To see more, visit \u003ca href=\"https://www.npr.org\">NPR.org\u003c/a>.\u003cimg src=\"https://www.google-analytics.com/__utm.gif?utmac=UA-5828686-4&utmdt=U.S.+Recommends+Pausing+Use+Of+Johnson+%26+Johnson+Vaccine+Over+Blood+Clot+Concerns&utme=8(APIKey)9(MDAxOTAwOTE4MDEyMTkxMDAzNjczZDljZA004)\">\u003c/div>\n\n\u003c/div>\u003c/p>",
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"content": "\u003cp>\u003cem>Lea este artículo en \u003ca href=\"https://calmatters.org/calmatters-en-espanol/2021/04/hogares-de-ancianos-california-covid/\" target=\"_blank\" rel=\"noopener noreferrer\">español\u003c/a>. \u003c/em>\u003c/p>\n\u003cp>After a devastating sweep that killed \u003ca href=\"https://www.cdph.ca.gov/Programs/CID/DCDC/Pages/COVID-19/SNFsCOVID_19.aspx\" target=\"_blank\" rel=\"noopener noreferrer\">more than 9,000\u003c/a> residents and workers, COVID-19 has nearly disappeared from California’s nursing homes.\u003c/p>\n\u003cp>At the height of the winter surge, more than 80 residents of nursing facilities died every day from COVID-19. In March, however, fewer than 15 new cases were reported each day, and deaths dropped to between one and six people daily, \u003ca href=\"https://www.cdph.ca.gov/Programs/CID/DCDC/Pages/COVID-19/SNFsCOVID_19.aspx\" target=\"_blank\" rel=\"noopener noreferrer\">according to\u003c/a> the California Department of Public Health.\u003c/p>\n\u003cp>Health experts credit a massive nationwide campaign to vaccinate elderly and frail residents and their caregivers. About 87% of the 85,000 people who live in California’s skilled nursing facilities have been fully vaccinated, according to the state health agency.\u003c/p>\n\u003cp>“There is no question whatsoever that the vaccine has made a huge difference,” said Dr. Mike Wasserman, a geriatrician and past president of the California Association of Long Term Care Medicine. “When you have a nursing home that is fully vaccinated, the residents are protected, and we are seeing a dramatic decrease in cases and deaths.”\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>Deaths and infections also have \u003ca href=\"https://calmatters.org/health/coronavirus/2021/03/when-will-nursing-homes-reopen-to-visitors-state-officials-wont-say/\" target=\"_blank\" rel=\"noopener noreferrer\">declined\u003c/a> in California’s \u003ca href=\"http://caassistedliving.org/about-assisted-living/assisted-living-in-california/assisted-living-by-numbers/\" target=\"_blank\" rel=\"noopener noreferrer\">more than 7,400\u003c/a> assisted living centers and other long-term care facilities. About 3,700 residents and staff there have died from COVID-19. Over the past week, there’s been \u003ca href=\"https://www.cdss.ca.gov/Portals/9/Additional-Resources/Research-and-Data/DSSDS/RCFE-03-29.pdf\" target=\"_blank\" rel=\"noopener noreferrer\">223\u003c/a> active COVID cases.\u003c/p>\n\u003cp>Nationwide, COVID-19 cases in skilled nursing and assisted living facilities have dropped 96% since Dec. 20, according to a report released Tuesday by two long-term care industry groups.\u003c/p>\n\u003cp>\u003c!-- iframe plugin v.4.3 wordpress.org/plugins/iframe/ -->\u003cbr>\n\u003ciframe loading=\"lazy\" src=\"https://flo.uri.sh/visualisation/5720972/embed\" title=\"Interactive or visual content\" frameborder=\"0\" scrolling=\"no\" style=\"width:100%;height:600px;\" sandbox=\"allow-same-origin allow-forms allow-scripts allow-downloads allow-popups allow-popups-to-escape-sandbox allow-top-navigation-by-user-activation\" width=\"100%\" height=\"500\" class=\"iframe-class\">\u003c/iframe>\u003c/p>\n\u003cp>Long-term care residents were first in line for vaccinations, along with health care workers, for the nation’s first, scarce doses of vaccines. More than \u003ca href=\"https://covid.cdc.gov/covid-data-tracker/#vaccinations-ltc\" target=\"_blank\" rel=\"noopener noreferrer\">830,000\u003c/a> COVID vaccine doses have been administered to residents and workers at nursing homes, assisted living facilities and group homes, according to the U.S. Centers for Disease Control and Prevention. That’s more than any other state.\u003c/p>\n\u003cp>For many long-term care residents, the pandemic’s ultimate toll remains grim, with higher rates of depression, incontinence and weight loss linked to long-term social isolation, according to a \u003ca href=\"https://www.jamda.com/article/S1525-8610(21)00306-6/pdf\" target=\"_blank\" rel=\"noopener noreferrer\">new study\u003c/a>.\u003c/p>\n\u003cp>Now California’s nursing homes are cautiously reopening. At some homes, fully vaccinated residents now can dine together in small groups, receive visitors and meet for group activities.\u003c/p>\n\u003cp>After a year of window visits, Ouida and David Dill reunited indoors on Monday for the first time since the lockdown a year ago at the Lincoln Glen Nursing Facility in San Jose, where David has lived for more than four years.\u003c/p>\n\u003cp>Ouida has been vaccinated, but her husband, who survived COVID-19 earlier this year, cannot be vaccinated for several more weeks, so they must remain 6 feet apart during their visit. “I can’t wait to just be able to touch him,” said Ouida.\u003c/p>\n\u003cfigure id=\"attachment_11867999\" class=\"wp-caption alignnone\" style=\"max-width: 800px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-medium wp-image-11867999\" src=\"https://ww2.kqed.org/app/uploads/sites/10/2021/04/032921_NursingHome_AW_sized_06-800x541.jpeg\" alt=\"Ouida and David Dill have to stay separated by six feet because he is not yet vaccinated. 'I can’t wait to just be able to touch him,' she said. Photo by Anne Wernikoff, CalMatters\" width=\"800\" height=\"541\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2021/04/032921_NursingHome_AW_sized_06-800x541.jpeg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2021/04/032921_NursingHome_AW_sized_06-1020x690.jpeg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2021/04/032921_NursingHome_AW_sized_06-160x108.jpeg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2021/04/032921_NursingHome_AW_sized_06.jpeg 1024w\" sizes=\"(max-width: 800px) 100vw, 800px\">\u003cfigcaption class=\"wp-caption-text\">Ouida and David Dill have to stay separated by 6 feet because he is not yet vaccinated. ‘I can’t wait to just be able to touch him,’ she said. \u003ccite>(Anne Wernikoff/CalMatters)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>Ouida Dill was allowed into a community room to see her husband of 60 years, seated in a wheelchair with a bright red and yellow plaid blanket on his lap.\u003c/p>\n\u003cp>“It was exhilarating,” said Ouida, 79. “Even though he was sleepy, I could tell it was a positive thing. It just feels more like normal.”\u003c/p>\n\u003cp>But as she read Shel Silverstein poems to her husband, they had to remain at least 6 feet apart. While she is fully vaccinated, her husband is not. The 83-year-old former satellite test engineer contracted COVID-19 during the nursing home’s outbreak, giving him some immunity, but because of the type of treatment he received, he cannot be vaccinated until mid-April, Ouida said.\u003c/p>\n\u003cp>She said that David, who cannot walk and suffers from dementia, regressed somewhat during his year of isolation. Before the pandemic, she ate at least one meal with him on most days.\u003c/p>\n\u003cp>The nursing home where David lives managed to avoid COVID-19 through most of the pandemic, according to administrator Rebecca Turner. But it was struck during the winter surge with an outbreak that infected 47 residents and killed 14.\u003c/p>\n\u003cp>Even as long-term care homes reopen, family members and health experts remain concerned about the number of workers who have been vaccinated, as they have been a primary conduit for infections.\u003c/p>\n\u003cp>Turner said about 72% of its residents and nearly all caregivers have been vaccinated, although some of her workers were hesitant at first.\u003c/p>\n\u003cp>Statewide, about 88% of workers in skilled nursing facilities have been fully vaccinated, according to state data. But that drops to \u003ca href=\"https://publicintegrity.org/health/coronavirus-and-inequality/vaccine-long-term-care-workers-refusing-shots-nursing-home/\" target=\"_blank\" rel=\"noopener noreferrer\">only 65%\u003c/a> of workers when other long-term care centers, such as assisted living homes, are included, according to federal data.\u003c/p>\n\u003cfigure id=\"attachment_11867998\" class=\"wp-caption alignnone\" style=\"max-width: 800px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-medium wp-image-11867998\" src=\"https://ww2.kqed.org/app/uploads/sites/10/2021/04/032921_NursingHome_AW_sized_11-800x554.jpeg\" alt=\"\" width=\"800\" height=\"554\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2021/04/032921_NursingHome_AW_sized_11-800x554.jpeg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2021/04/032921_NursingHome_AW_sized_11-1020x706.jpeg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2021/04/032921_NursingHome_AW_sized_11-160x111.jpeg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2021/04/032921_NursingHome_AW_sized_11.jpeg 1024w\" sizes=\"(max-width: 800px) 100vw, 800px\">\u003cfigcaption class=\"wp-caption-text\">Betty Carter, center, participates in group exercise with others from her cohort at Lincoln Glen Skilled Nursing Facility. \u003ccite>(Anne Wernikoff/CalMatters)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>Wasserman, the geriatrician, said state officials need to ensure that new patients and staff have access to vaccines and any boosters after the end of the federal long-term care vaccination campaign this winter. Fortunately, pharmacies that serve long-term care facilities now can get vaccinations directly through the federal government, he said.\u003c/p>\n\u003cp>“I think we are taking a short moment to feel relieved. And then we’re starting to worry again,” Wasserman said. “We’re not worried about the next three months. We’re worried about what comes after. If we are not prepared, we could go through this again.”\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>\u003cem>CalMatters COVID-19 coverage, translation and distribution is supported by generous grants from the Blue Shield of California Foundation, the California Wellness Foundation and the California Health Care Foundation.\u003c/em>\u003c/p>\n\n",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>\u003cem>Lea este artículo en \u003ca href=\"https://calmatters.org/calmatters-en-espanol/2021/04/hogares-de-ancianos-california-covid/\" target=\"_blank\" rel=\"noopener noreferrer\">español\u003c/a>. \u003c/em>\u003c/p>\n\u003cp>After a devastating sweep that killed \u003ca href=\"https://www.cdph.ca.gov/Programs/CID/DCDC/Pages/COVID-19/SNFsCOVID_19.aspx\" target=\"_blank\" rel=\"noopener noreferrer\">more than 9,000\u003c/a> residents and workers, COVID-19 has nearly disappeared from California’s nursing homes.\u003c/p>\n\u003cp>At the height of the winter surge, more than 80 residents of nursing facilities died every day from COVID-19. In March, however, fewer than 15 new cases were reported each day, and deaths dropped to between one and six people daily, \u003ca href=\"https://www.cdph.ca.gov/Programs/CID/DCDC/Pages/COVID-19/SNFsCOVID_19.aspx\" target=\"_blank\" rel=\"noopener noreferrer\">according to\u003c/a> the California Department of Public Health.\u003c/p>\n\u003cp>Health experts credit a massive nationwide campaign to vaccinate elderly and frail residents and their caregivers. About 87% of the 85,000 people who live in California’s skilled nursing facilities have been fully vaccinated, according to the state health agency.\u003c/p>\n\u003cp>“There is no question whatsoever that the vaccine has made a huge difference,” said Dr. Mike Wasserman, a geriatrician and past president of the California Association of Long Term Care Medicine. “When you have a nursing home that is fully vaccinated, the residents are protected, and we are seeing a dramatic decrease in cases and deaths.”\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>Deaths and infections also have \u003ca href=\"https://calmatters.org/health/coronavirus/2021/03/when-will-nursing-homes-reopen-to-visitors-state-officials-wont-say/\" target=\"_blank\" rel=\"noopener noreferrer\">declined\u003c/a> in California’s \u003ca href=\"http://caassistedliving.org/about-assisted-living/assisted-living-in-california/assisted-living-by-numbers/\" target=\"_blank\" rel=\"noopener noreferrer\">more than 7,400\u003c/a> assisted living centers and other long-term care facilities. About 3,700 residents and staff there have died from COVID-19. Over the past week, there’s been \u003ca href=\"https://www.cdss.ca.gov/Portals/9/Additional-Resources/Research-and-Data/DSSDS/RCFE-03-29.pdf\" target=\"_blank\" rel=\"noopener noreferrer\">223\u003c/a> active COVID cases.\u003c/p>\n\u003cp>Nationwide, COVID-19 cases in skilled nursing and assisted living facilities have dropped 96% since Dec. 20, according to a report released Tuesday by two long-term care industry groups.\u003c/p>\n\u003cp>\u003c!-- iframe plugin v.4.3 wordpress.org/plugins/iframe/ -->\u003cbr>\n\u003ciframe loading=\"lazy\" src=\"https://flo.uri.sh/visualisation/5720972/embed\" title=\"Interactive or visual content\" frameborder=\"0\" scrolling=\"no\" style=\"width:100%;height:600px;\" sandbox=\"allow-same-origin allow-forms allow-scripts allow-downloads allow-popups allow-popups-to-escape-sandbox allow-top-navigation-by-user-activation\" width=\"100%\" height=\"500\" class=\"iframe-class\">\u003c/iframe>\u003c/p>\n\u003cp>Long-term care residents were first in line for vaccinations, along with health care workers, for the nation’s first, scarce doses of vaccines. More than \u003ca href=\"https://covid.cdc.gov/covid-data-tracker/#vaccinations-ltc\" target=\"_blank\" rel=\"noopener noreferrer\">830,000\u003c/a> COVID vaccine doses have been administered to residents and workers at nursing homes, assisted living facilities and group homes, according to the U.S. Centers for Disease Control and Prevention. That’s more than any other state.\u003c/p>\n\u003cp>For many long-term care residents, the pandemic’s ultimate toll remains grim, with higher rates of depression, incontinence and weight loss linked to long-term social isolation, according to a \u003ca href=\"https://www.jamda.com/article/S1525-8610(21)00306-6/pdf\" target=\"_blank\" rel=\"noopener noreferrer\">new study\u003c/a>.\u003c/p>\n\u003cp>Now California’s nursing homes are cautiously reopening. At some homes, fully vaccinated residents now can dine together in small groups, receive visitors and meet for group activities.\u003c/p>\n\u003cp>After a year of window visits, Ouida and David Dill reunited indoors on Monday for the first time since the lockdown a year ago at the Lincoln Glen Nursing Facility in San Jose, where David has lived for more than four years.\u003c/p>\n\u003cp>Ouida has been vaccinated, but her husband, who survived COVID-19 earlier this year, cannot be vaccinated for several more weeks, so they must remain 6 feet apart during their visit. “I can’t wait to just be able to touch him,” said Ouida.\u003c/p>\n\u003cfigure id=\"attachment_11867999\" class=\"wp-caption alignnone\" style=\"max-width: 800px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-medium wp-image-11867999\" src=\"https://ww2.kqed.org/app/uploads/sites/10/2021/04/032921_NursingHome_AW_sized_06-800x541.jpeg\" alt=\"Ouida and David Dill have to stay separated by six feet because he is not yet vaccinated. 'I can’t wait to just be able to touch him,' she said. Photo by Anne Wernikoff, CalMatters\" width=\"800\" height=\"541\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2021/04/032921_NursingHome_AW_sized_06-800x541.jpeg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2021/04/032921_NursingHome_AW_sized_06-1020x690.jpeg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2021/04/032921_NursingHome_AW_sized_06-160x108.jpeg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2021/04/032921_NursingHome_AW_sized_06.jpeg 1024w\" sizes=\"(max-width: 800px) 100vw, 800px\">\u003cfigcaption class=\"wp-caption-text\">Ouida and David Dill have to stay separated by 6 feet because he is not yet vaccinated. ‘I can’t wait to just be able to touch him,’ she said. \u003ccite>(Anne Wernikoff/CalMatters)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>Ouida Dill was allowed into a community room to see her husband of 60 years, seated in a wheelchair with a bright red and yellow plaid blanket on his lap.\u003c/p>\n\u003cp>“It was exhilarating,” said Ouida, 79. “Even though he was sleepy, I could tell it was a positive thing. It just feels more like normal.”\u003c/p>\n\u003cp>But as she read Shel Silverstein poems to her husband, they had to remain at least 6 feet apart. While she is fully vaccinated, her husband is not. The 83-year-old former satellite test engineer contracted COVID-19 during the nursing home’s outbreak, giving him some immunity, but because of the type of treatment he received, he cannot be vaccinated until mid-April, Ouida said.\u003c/p>\n\u003cp>She said that David, who cannot walk and suffers from dementia, regressed somewhat during his year of isolation. Before the pandemic, she ate at least one meal with him on most days.\u003c/p>\n\u003cp>The nursing home where David lives managed to avoid COVID-19 through most of the pandemic, according to administrator Rebecca Turner. But it was struck during the winter surge with an outbreak that infected 47 residents and killed 14.\u003c/p>\n\u003cp>Even as long-term care homes reopen, family members and health experts remain concerned about the number of workers who have been vaccinated, as they have been a primary conduit for infections.\u003c/p>\n\u003cp>Turner said about 72% of its residents and nearly all caregivers have been vaccinated, although some of her workers were hesitant at first.\u003c/p>\n\u003cp>Statewide, about 88% of workers in skilled nursing facilities have been fully vaccinated, according to state data. But that drops to \u003ca href=\"https://publicintegrity.org/health/coronavirus-and-inequality/vaccine-long-term-care-workers-refusing-shots-nursing-home/\" target=\"_blank\" rel=\"noopener noreferrer\">only 65%\u003c/a> of workers when other long-term care centers, such as assisted living homes, are included, according to federal data.\u003c/p>\n\u003cfigure id=\"attachment_11867998\" class=\"wp-caption alignnone\" style=\"max-width: 800px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-medium wp-image-11867998\" src=\"https://ww2.kqed.org/app/uploads/sites/10/2021/04/032921_NursingHome_AW_sized_11-800x554.jpeg\" alt=\"\" width=\"800\" height=\"554\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2021/04/032921_NursingHome_AW_sized_11-800x554.jpeg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2021/04/032921_NursingHome_AW_sized_11-1020x706.jpeg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2021/04/032921_NursingHome_AW_sized_11-160x111.jpeg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2021/04/032921_NursingHome_AW_sized_11.jpeg 1024w\" sizes=\"(max-width: 800px) 100vw, 800px\">\u003cfigcaption class=\"wp-caption-text\">Betty Carter, center, participates in group exercise with others from her cohort at Lincoln Glen Skilled Nursing Facility. \u003ccite>(Anne Wernikoff/CalMatters)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>Wasserman, the geriatrician, said state officials need to ensure that new patients and staff have access to vaccines and any boosters after the end of the federal long-term care vaccination campaign this winter. Fortunately, pharmacies that serve long-term care facilities now can get vaccinations directly through the federal government, he said.\u003c/p>\n\u003cp>“I think we are taking a short moment to feel relieved. And then we’re starting to worry again,” Wasserman said. “We’re not worried about the next three months. We’re worried about what comes after. If we are not prepared, we could go through this again.”\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>\u003cem>CalMatters COVID-19 coverage, translation and distribution is supported by generous grants from the Blue Shield of California Foundation, the California Wellness Foundation and the California Health Care Foundation.\u003c/em>\u003c/p>\n\n\u003c/div>\u003c/p>",
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"content": "\u003cp>Finding a vaccine appointment can be confusing and complicated — especially if you’re not particularly comfortable using the internet.\u003c/p>\n\u003cp>\u003ca href=\"https://www.kqed.org/news/11855623/where-can-i-get-a-covid-19-vaccine-in-the-bay-area-your-questions-answered#county\"> County public health webpages in the Bay Area\u003c/a> \u003cem>have\u003c/em> progressively gotten easier to navigate as vaccine information has become more available. But it wasn’t so easy a few months ago.\u003c/p>\n\u003cp>Zoelle Egner was working in the marketing department for a big tech company, from home in Oakland, and was also frantically trying to find vaccine information. Egner said she saw friends doing exactly the same, “calling 20, 30 locations, trying to understand [if they] were eligible for a vaccine, how they get an appointment — and over and over again, really hitting walls.”\u003c/p>\n\u003cp>So, \u003ca href=\"https://www.kqed.org/news/11856204/californias-clearest-covid-19-vaccine-appointment-dashboard-is-run-by-volunteers\">she and her friends decided to do something about it\u003c/a>. They created \u003ca href=\"https://www.vaccinateca.com/\">VaccinateCA.com\u003c/a>, an aggregator website that compiles data from clinics and pharmacies across the state. After typing in your ZIP code or county name, a list of sites will pop up with vaccination information for eligible people.\u003c/p>\n\u003cp>“If we call the people who can actually give you a vaccine and we write down what they say — do they have a vaccine, who is eligible and how do you get an appointment — then hopefully, hundreds or even thousands of phone calls don’t need to be made [by members of the public,” said Egner.\u003cspan style=\"font-weight: 400;\">[aside postID=\"news_11855623\"]\u003c/span>\u003c/p>\n\u003cp>VaccinateCA swiftly expanded as more volunteers signed up to help maintain the site. But Egner and her team weren’t the only people using technology to address information gaps around vaccination.\u003c/p>\n\u003cp>Adam Freemer created \u003ca href=\"https://www.vaxxmax.com/\">VaxxMax,\u003c/a> a website that fetches data from pharmacy websites, including Walgreens, CVS and Rite Aid, on the status of vaccination slots at each provider.\u003c/p>\n\u003cp>“I quickly became frustrated with the process you have to go through on the pharmacy sites,” Freemer said. “I brainstormed a bit and thought of a mechanism that could help in the process, originally only for my own personal use.” Freemer created a code and built a website that others could use, scraping code for Rite Aid stores. Eventually, the website expanded to other vaccine providers.\u003c/p>\n\u003cp>VaccinateCA and VaxxMax are just two of many sites that promise a clearer answer to the question on everyone’s mind: Where can I find a vaccine?\u003c/p>\n\u003cp>Some, like \u003ca href=\"https://vaccinefinder.org/\">VaccineFinder\u003c/a> and \u003ca href=\"https://www.vaccinespotter.org/CA/\">Vaccine Spotter\u003c/a>, scan available appointments at clinics and pharmacies near your ZIP code — essentially aggregating information that’s already available online.\u003c/p>\n\u003cp>Sign-up sites like \u003ca href=\"https://hidrb.com/\">Dr. B\u003c/a> go further, and will put you on a waitlist for a leftover vaccine that could be available near you at a moment’s notice.\u003c/p>\n\u003ch3>What \u003cstrong>— and Who — \u003c/strong>Gets Left Out?\u003c/h3>\n\u003cp>It’s worth clarifying that these kinds of sites aren’t run by public health departments, or the state itself. As such, their priorities — including speed and convenience — aren’t necessarily those of public health officials.\u003c/p>\n\u003cp>As a result, public health and internet ethics watchdogs have misgivings about some of these kinds of sites.\u003c/p>\n\u003cp>Irina Raicu, director of the \u003ca href=\"https://www.scu.edu/ethics/focus-areas/internet-ethics/\">internet ethics program at Santa Clara University’s Markkula Center,\u003c/a> worries that while these sites are easy to use for many Bay Area residents, they also require internet access and a fair amount of internet literacy.\u003c/p>\n\u003cp>“Anytime something is done through the internet, it means that it’s leaving some people out,” said Raicu.\u003cspan style=\"font-weight: 400;\">[aside postID=\"news_11856204\"]\u003c/span>\u003c/p>\n\u003cp>Her colleague Dr. Charles Binkley, the Markkula Center’s \u003ca href=\"https://www.scu.edu/ethics/focus-areas/bioethics/\">director of bioethics\u003c/a>, feels that the existence of \u003cem>multiple\u003c/em> sites is part of what’s confusing the public around vaccines. He also cautions that it’s impossible for people using these sites to be completely sure of their accuracy, despite the best efforts of those running them.\u003c/p>\n\u003cp>Of VaccinateCA’s method of volunteers calling vaccination sites to aggregate information, Binkley believes that “it’s very unlikely that the person who is answering the phone is going to have this global view of how many doses they have.”\u003c/p>\n\u003cp>“What I’d rather see are these engineers working within the system that’s already in place to make it better, rather than trying to duplicate it outside,” said Binkley.\u003c/p>\n\u003cp>Many of these volunteer or pop-up websites were created months ago, back when public health departments were scrambling to handle an influx of traffic from eager residents looking for vaccine information, all as eligibility shifted frequently.\u003c/p>\n\u003cp>Not only have counties somewhat improved the navigability of their public health websites, but in late January, the California Department of Public Health launched \u003ca href=\"https://myturn.ca.gov/\">My Turn \u003c/a>— a centralized place for Californians to assess their eligibility for a vaccine, and then find an appointment near them as supplies allow. And in light of these developments, Raicu believes privately created sites like VaccinateCA or Dr. B might have outlived their usefulness.\u003c/p>\n\u003cp>“It may be that this kind of site maybe made every ethical sense in the world for a week, while something better wasn’t around,” Raicu said. “And maybe it needs, at some point, to just go away — because it’s interfering with the efforts.”\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003ch3>The Ethics of Hunting Leftover Vaccines\u003c/h3>\n\u003cp>Sites like Dr. B have encouraged people, eager for their vaccine, but not yet eligible, to be on the lookout for a leftover dose. But while some sites \u003cem>will\u003c/em> dole out leftover vaccines to ineligible people at the end of the day, other vaccination sites — especially those operated by the Federal Emergency Management Agency — have strict regulations for where leftover vaccines can go.\u003c/p>\n\u003cp>For example, the \u003ca href=\"https://www.theoaklandarena.com/ring-central\">RingCentral Coliseum\u003c/a> in Oakland is a FEMA-operated site. According to officials from the California Governor’s Office of Emergency Services, site operators will call the Alameda Office of Education, the Sheriff’s Office and the Transportation Commission to give leftover vaccines to vulnerable individuals in high-risk jobs.\u003c/p>\n\u003cp>Other sites, like San Francisco’s \u003ca href=\"https://sf.gov/location/moscone-center-south-covid-19-vaccine-site\">Moscone Center\u003c/a>, operated through Kaiser Permanente, have different guidelines that allow them to be more loose with their leftover vaccines.\u003c/p>\n\u003cp>“Standard practice is that appointments are required at the Moscone vaccination hub,” a spokesperson from San Francisco’s COVID Command Center said — but “occasionally, when small amounts of unused vaccines are left over at the end of the day, vaccines may be made available to a limited number of people who do not have appointments.”\u003c/p>\n\u003cp>But Binkley is skeptical of this standby-line model for vaccine distribution.\u003c/p>\n\u003cp>“Is ‘first-come, first-served’ really a great ethical model? Well, no,” he said. “Typically the ‘first-comers’ are not the most vulnerable, or who need it the most.”\u003c/p>\n\u003cp>Binkley worries that when people wait in line for a leftover vaccine, the people who might need a vaccine, but \u003cem>can’t\u003c/em> wait in line, aren’t able to get that shot. And he worries that sites like Dr. B perpetuate this problem.\u003c/p>\n\u003cp>If Dr. B prioritized people not by who signed up first, but instead based prioritization on a person’s personal information and health circumstances, they could “prioritize you according to the phases and the tiers that have been decided on,” Binkley said.\u003c/p>\n\u003cp>“So, if you have a line forming for leftover doses at the end of the day and you have a healthy 22-year-old at the front of the line and a 89-year-old with diabetes at the end of the line, you would prioritize the 89-year-old over the 22-year-old, just based on phases,” he said.\u003c/p>\n\u003cp>In Binkley’s ideal ethical world, Dr. B would morph into a structure of volunteers who would get the vaccine — but who would also bring along people who don’t have access to transportation, or who are from more vulnerable populations, to get the vaccine \u003cem>with\u003c/em> them.\u003c/p>\n\u003cp>“What I would love to see is people saying, ‘OK, I’m going to get my vaccine, I’m going to reach out to people I know who don’t have transportation and see if they want to go with me,” Binkley said. “So that we not only think about ourselves, and we think about our neighbor.”\u003c/p>\n\u003cp>[ad floatright]\u003c/p>\n",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>Finding a vaccine appointment can be confusing and complicated — especially if you’re not particularly comfortable using the internet.\u003c/p>\n\u003cp>\u003ca href=\"https://www.kqed.org/news/11855623/where-can-i-get-a-covid-19-vaccine-in-the-bay-area-your-questions-answered#county\"> County public health webpages in the Bay Area\u003c/a> \u003cem>have\u003c/em> progressively gotten easier to navigate as vaccine information has become more available. But it wasn’t so easy a few months ago.\u003c/p>\n\u003cp>Zoelle Egner was working in the marketing department for a big tech company, from home in Oakland, and was also frantically trying to find vaccine information. Egner said she saw friends doing exactly the same, “calling 20, 30 locations, trying to understand [if they] were eligible for a vaccine, how they get an appointment — and over and over again, really hitting walls.”\u003c/p>\n\u003cp>So, \u003ca href=\"https://www.kqed.org/news/11856204/californias-clearest-covid-19-vaccine-appointment-dashboard-is-run-by-volunteers\">she and her friends decided to do something about it\u003c/a>. They created \u003ca href=\"https://www.vaccinateca.com/\">VaccinateCA.com\u003c/a>, an aggregator website that compiles data from clinics and pharmacies across the state. After typing in your ZIP code or county name, a list of sites will pop up with vaccination information for eligible people.\u003c/p>\n\u003cp>“If we call the people who can actually give you a vaccine and we write down what they say — do they have a vaccine, who is eligible and how do you get an appointment — then hopefully, hundreds or even thousands of phone calls don’t need to be made [by members of the public,” said Egner.\u003cspan style=\"font-weight: 400;\">\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/span>\u003c/p>\n\u003cp>VaccinateCA swiftly expanded as more volunteers signed up to help maintain the site. But Egner and her team weren’t the only people using technology to address information gaps around vaccination.\u003c/p>\n\u003cp>Adam Freemer created \u003ca href=\"https://www.vaxxmax.com/\">VaxxMax,\u003c/a> a website that fetches data from pharmacy websites, including Walgreens, CVS and Rite Aid, on the status of vaccination slots at each provider.\u003c/p>\n\u003cp>“I quickly became frustrated with the process you have to go through on the pharmacy sites,” Freemer said. “I brainstormed a bit and thought of a mechanism that could help in the process, originally only for my own personal use.” Freemer created a code and built a website that others could use, scraping code for Rite Aid stores. Eventually, the website expanded to other vaccine providers.\u003c/p>\n\u003cp>VaccinateCA and VaxxMax are just two of many sites that promise a clearer answer to the question on everyone’s mind: Where can I find a vaccine?\u003c/p>\n\u003cp>Some, like \u003ca href=\"https://vaccinefinder.org/\">VaccineFinder\u003c/a> and \u003ca href=\"https://www.vaccinespotter.org/CA/\">Vaccine Spotter\u003c/a>, scan available appointments at clinics and pharmacies near your ZIP code — essentially aggregating information that’s already available online.\u003c/p>\n\u003cp>Sign-up sites like \u003ca href=\"https://hidrb.com/\">Dr. B\u003c/a> go further, and will put you on a waitlist for a leftover vaccine that could be available near you at a moment’s notice.\u003c/p>\n\u003ch3>What \u003cstrong>— and Who — \u003c/strong>Gets Left Out?\u003c/h3>\n\u003cp>It’s worth clarifying that these kinds of sites aren’t run by public health departments, or the state itself. As such, their priorities — including speed and convenience — aren’t necessarily those of public health officials.\u003c/p>\n\u003cp>As a result, public health and internet ethics watchdogs have misgivings about some of these kinds of sites.\u003c/p>\n\u003cp>Irina Raicu, director of the \u003ca href=\"https://www.scu.edu/ethics/focus-areas/internet-ethics/\">internet ethics program at Santa Clara University’s Markkula Center,\u003c/a> worries that while these sites are easy to use for many Bay Area residents, they also require internet access and a fair amount of internet literacy.\u003c/p>\n\u003cp>“Anytime something is done through the internet, it means that it’s leaving some people out,” said Raicu.\u003cspan style=\"font-weight: 400;\">\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/span>\u003c/p>\n\u003cp>Her colleague Dr. Charles Binkley, the Markkula Center’s \u003ca href=\"https://www.scu.edu/ethics/focus-areas/bioethics/\">director of bioethics\u003c/a>, feels that the existence of \u003cem>multiple\u003c/em> sites is part of what’s confusing the public around vaccines. He also cautions that it’s impossible for people using these sites to be completely sure of their accuracy, despite the best efforts of those running them.\u003c/p>\n\u003cp>Of VaccinateCA’s method of volunteers calling vaccination sites to aggregate information, Binkley believes that “it’s very unlikely that the person who is answering the phone is going to have this global view of how many doses they have.”\u003c/p>\n\u003cp>“What I’d rather see are these engineers working within the system that’s already in place to make it better, rather than trying to duplicate it outside,” said Binkley.\u003c/p>\n\u003cp>Many of these volunteer or pop-up websites were created months ago, back when public health departments were scrambling to handle an influx of traffic from eager residents looking for vaccine information, all as eligibility shifted frequently.\u003c/p>\n\u003cp>Not only have counties somewhat improved the navigability of their public health websites, but in late January, the California Department of Public Health launched \u003ca href=\"https://myturn.ca.gov/\">My Turn \u003c/a>— a centralized place for Californians to assess their eligibility for a vaccine, and then find an appointment near them as supplies allow. And in light of these developments, Raicu believes privately created sites like VaccinateCA or Dr. B might have outlived their usefulness.\u003c/p>\n\u003cp>“It may be that this kind of site maybe made every ethical sense in the world for a week, while something better wasn’t around,” Raicu said. “And maybe it needs, at some point, to just go away — because it’s interfering with the efforts.”\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003ch3>The Ethics of Hunting Leftover Vaccines\u003c/h3>\n\u003cp>Sites like Dr. B have encouraged people, eager for their vaccine, but not yet eligible, to be on the lookout for a leftover dose. But while some sites \u003cem>will\u003c/em> dole out leftover vaccines to ineligible people at the end of the day, other vaccination sites — especially those operated by the Federal Emergency Management Agency — have strict regulations for where leftover vaccines can go.\u003c/p>\n\u003cp>For example, the \u003ca href=\"https://www.theoaklandarena.com/ring-central\">RingCentral Coliseum\u003c/a> in Oakland is a FEMA-operated site. According to officials from the California Governor’s Office of Emergency Services, site operators will call the Alameda Office of Education, the Sheriff’s Office and the Transportation Commission to give leftover vaccines to vulnerable individuals in high-risk jobs.\u003c/p>\n\u003cp>Other sites, like San Francisco’s \u003ca href=\"https://sf.gov/location/moscone-center-south-covid-19-vaccine-site\">Moscone Center\u003c/a>, operated through Kaiser Permanente, have different guidelines that allow them to be more loose with their leftover vaccines.\u003c/p>\n\u003cp>“Standard practice is that appointments are required at the Moscone vaccination hub,” a spokesperson from San Francisco’s COVID Command Center said — but “occasionally, when small amounts of unused vaccines are left over at the end of the day, vaccines may be made available to a limited number of people who do not have appointments.”\u003c/p>\n\u003cp>But Binkley is skeptical of this standby-line model for vaccine distribution.\u003c/p>\n\u003cp>“Is ‘first-come, first-served’ really a great ethical model? Well, no,” he said. “Typically the ‘first-comers’ are not the most vulnerable, or who need it the most.”\u003c/p>\n\u003cp>Binkley worries that when people wait in line for a leftover vaccine, the people who might need a vaccine, but \u003cem>can’t\u003c/em> wait in line, aren’t able to get that shot. And he worries that sites like Dr. B perpetuate this problem.\u003c/p>\n\u003cp>If Dr. B prioritized people not by who signed up first, but instead based prioritization on a person’s personal information and health circumstances, they could “prioritize you according to the phases and the tiers that have been decided on,” Binkley said.\u003c/p>\n\u003cp>“So, if you have a line forming for leftover doses at the end of the day and you have a healthy 22-year-old at the front of the line and a 89-year-old with diabetes at the end of the line, you would prioritize the 89-year-old over the 22-year-old, just based on phases,” he said.\u003c/p>\n\u003cp>In Binkley’s ideal ethical world, Dr. B would morph into a structure of volunteers who would get the vaccine — but who would also bring along people who don’t have access to transportation, or who are from more vulnerable populations, to get the vaccine \u003cem>with\u003c/em> them.\u003c/p>\n\u003cp>“What I would love to see is people saying, ‘OK, I’m going to get my vaccine, I’m going to reach out to people I know who don’t have transportation and see if they want to go with me,” Binkley said. “So that we not only think about ourselves, and we think about our neighbor.”\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cp>\u003cem>This story has been updated.\u003c/em>\u003c/p>\n\u003cp>\u003cstrong>Skip straight to:\u003c/strong>\u003c/p>\n\u003cul>\n\u003cli>\u003ca href=\"#automatic\">The federal benefits you may receive automatically\u003c/a>\u003c/li>\n\u003cli>\u003cstrong>\u003ca href=\"#applying\">What to know about reapplying for benefits\u003c/a>\u003c/strong>\u003c/li>\n\u003cli>\u003ca href=\"#noui\">Options for people not on regular unemployment\u003c/a>\u003c/li>\n\u003cli>\u003cstrong>\u003ca href=\"#reopening\">Reopening a claim vs. filing a new one\u003c/a>\u003c/strong>\u003c/li>\n\u003c/ul>\n\u003cp>We’re over a year into \u003ca href=\"https://edd.ca.gov/Newsroom/facts-and-stats/dashboard.htm#TotalUnemploymentClaims\">a deadly pandemic that has cost hundreds of thousands of Californians their jobs\u003c/a>, and caused claims for unemployment benefits to soar into the millions.\u003c/p>\n\u003cp>President Biden signed the \u003ca href=\"https://www.whitehouse.gov/american-rescue-plan/\">American Rescue Plan\u003c/a> into law in March 2021 to get more direct relief to people hit hardest by the pandemic and to help the economy. In addition to direct stimulus payments, the bill also extends federal unemployment support.\u003c/p>\n\u003cp>If you’re claiming unemployment insurance through the \u003ca href=\"https://edd.ca.gov/\">Employment Development Department\u003c/a> (EDD), the passing of this one-year milestone might mean you need to take action on your claim. But how do these pandemic federal benefits affect your California unemployment claims? And how can you make sure you’re getting the support you’re entitled to?\u003c/p>\n\u003cp>The most recent change: EDD has announced that starting June 5, some applicants who have passed the one-year mark on their claim who previously needed to refile now may no longer have to. \u003ca href=\"#applying\">Read more about this change.\u003c/a>\u003c/p>\n\u003cp>Please note that \u003ca href=\"https://www.kqed.org/news/11866438/after-a-string-of-bungled-tech-upgrades-california-tries-a-new-approach\">the EDD website has regularly been prone to glitches\u003c/a> for people trying to certify their claims for several months now. In addition, wait times for EDD’s \u003ca href=\"https://www.id.me/\">ID.me\u003c/a> identity verification platform can still be considerable. What’s more, the backlog of unemployment claims waiting on action from EDD continues to grow. These issues can mean that even if you do everything right, it still might be hard work to get your benefits.\u003cspan style=\"font-weight: 400;\">[aside postID=\"news_11870566\"]\u003c/span>\u003c/p>\n\u003cp>You’ll find \u003ca href=\"https://edd.ca.gov/about_edd/contact_edd.htm#:~:text=English%3A%201%2D800%2D480,480%2D3287)%20to%20the%20operator\">phone numbers to speak to EDD representatives here on their site.\u003c/a> But if you’re really struggling, you may find that contacting your legislator or a workers’ advocate group like the \u003ca href=\"https://www.rightscenter.org/\">Center for Workers’ Rights\u003c/a> could be a better bet than trying to call EDD customer service and waiting on the phone. We also have a list of \u003ca href=\"https://www.kqed.org/news/11860924/how-barriers-at-edd-keep-already-vulnerable-californians-from-their-benefits#resources\">multilingual resources for unemployment claimants.\u003c/a>\u003c/p>\n\u003cul>\n\u003cli>\u003cstrong>\u003ca href=\"https://www.edd.ca.gov/unemployment/pdf/benefit-flowchart.pdf\">Consult EDD’s California Unemployment Benefits Flowchart to See Your Eligibility\u003c/a> \u003c/strong>\u003c/li>\n\u003c/ul>\n\u003ch3>What Unemployment Benefits Are You Entitled to?\u003c/h3>\n\u003cp>\u003cstrong>\u003ca href=\"https://edd.ca.gov/unemployment/\">Unemployment Insurance\u003c/a>, or “Regular UI”:\u003c/strong> The state program that supports Californians with W-2 income who are fully or partially unemployed because of no fault of their own (including COVID-19, school closures or an expired unemployment claim).\u003c/p>\n\u003cp>\u003cstrong>\u003ca href=\"https://edd.ca.gov/about_edd/coronavirus-2019/pandemic-unemployment-assistance.htm\">Pandemic Unemployment Assistance\u003c/a>, or PUA:\u003c/strong> The federal program that supports business owners, independent contractors and self-employed workers. (If you only got a 1099 tax form, this is likely the program you’re on).\u003c/p>\n\u003cp>\u003cstrong>\u003ca href=\"https://www.edd.ca.gov/about_edd/coronavirus-2019/cares-act.htm#PEUC\">Pandemic Emergency Unemployment Compensation,\u003c/a> or PEUC:\u003c/strong> The federal program for people who were on regular unemployment but exhausted those funds. You can be put on PEUC more than once — but to qualify for a PEUC extension, your regular UI claim must have started on July 8, 2018 or after. Depending on when you filed your unemployment claim and if it has expired, you may need to reapply for unemployment.\u003cspan style=\"font-weight: 400;\">[aside postID=\"news_11862122\"]\u003c/span>\u003c/p>\n\u003cp>\u003cstrong>\u003ca href=\"https://www.edd.ca.gov/about_edd/coronavirus-2019/fed-ed.htm\">Federal-State Extended Duration\u003c/a>, or FED-ED:\u003c/strong> The federal program for people who’ve exhausted both regular UI and PEUC funds.\u003c/p>\n\u003cp>President Biden’s American Rescue Plan does the following:\u003c/p>\n\u003cul>\n\u003cli>Continues the federal increase for all unemployment benefits, which adds $300 to each week of benefits through Sept. 4, 2021.\u003c/li>\n\u003cli>Extends Pandemic Unemployment Assistance (PUA) and Pandemic Emergency Unemployment Compensation (PEUC) up to 29 weeks, through Sept. 4, 2021.\u003c/li>\n\u003cli>Continues the federally funded FED-ED through Sept. 11, 2021, providing up to 20 weeks of benefits.\u003c/li>\n\u003c/ul>\n\u003ch3>\u003ca id=\"automatic\">\u003c/a>Will I Get Any Federal Benefits Automatically?\u003c/h3>\n\u003cp>You might. For all applicants, for weeks of unemployment between Dec. 27, 2020 and Sept. 4, 2021, EDD will add $300 of federal Pandemic Additional Compensation (PAC) to benefit weeks, on top of the other benefits you certify for.\u003c/p>\n\u003cp>This money should come through automatically; applicants shouldn’t need to make any adjustments on their claims to get it.\u003c/p>\n\u003ch3>\u003ca id=\"applying\">\u003c/a>How Do I Know If I Need to Reapply For Benefits?\u003c/h3>\n\u003cp>\u003ca href=\"https://www.edd.ca.gov/about_edd/coronavirus-2019/benefit-year-end.htm\">Your benefits year ends 12 months after you first filed your claim. \u003c/a>Refiling usually means EDD can assess whether you are eligible for a new UI claim and, if you aren’t, decide which program makes most sense for you.\u003c/p>\n\u003cp>But starting June 5, some applicants who have passed the one-year mark on their claim who previously needed to refile now may no longer have to:\u003c/p>\n\u003cp>https://twitter.com/CA_EDD/status/1398763594788085760\u003c/p>\n\u003cp>If you haven’t made enough money in the last 18 months to warrant filing a new claim, \u003ca href=\"https://edd.ca.gov/About_EDD/pdf/news-21-34.pdf\">EDD now says it will process benefits, add a federal extension to an expired claim or continue an existing extension\u003c/a>. This system will apply to regular UI, federal extensions and PUA applications.\u003cspan style=\"font-weight: 400;\">[aside postID=\"news_11866438\"]\u003c/span>\u003c/p>\n\u003cp>EDD says this update to the reapplication process is in the name of “streamlining.” But Daniela Urban, executive director of the Center for Workers’ Rights, said she and other advocates are perplexed by this latest change, especially given that EDD had so recently released a video tutorial on how to reapply for unemployment.\u003c/p>\n\u003cp>Urban also warned unemployed Californians to be prepared for more updates from EDD in the wake of this transition.\u003c/p>\n\u003ch3>How Do I Know If I’m Eligible for a New Claim?\u003c/h3>\n\u003cp>According to Urban, in order to qualify for a new claim you have to have earned at least $1,300 in your \u003ca href=\"https://www.edd.ca.gov/pdf_pub_ctr/de8714ab.pdf\">base period\u003c/a> and made at least $1,250 since your last unemployment application. This figure, says Urban, represents “what’s considered ‘reattaching to the workforce.’ ”\u003c/p>\n\u003cp>If you have earned enough in the last 18 months to warrant a new claim, you do need to refile, even if you are on an extension. Once you do, EDD says it will establish a new regular UI claim or a federal extension for you. EDD says you will be notified by email, text and on UI Online if you need to reapply.\u003c/p>\n\u003cp>To figure out if you’ve made enough money that you’ll be required to reapply, log into UI Online and try to file a new claim. According to EDD, the new application process will only go forward if you need to refile.\u003c/p>\n\u003cp>If you haven’t worked at all throughout the pandemic, \u003ca href=\"https://www.edd.ca.gov/unemployment/pdf/benefit-flowchart.pdf\">EDD should automatically file a PEUC extension on your prior UI claim\u003c/a>, and you should be notified the agency has done this.\u003c/p>\n\u003cp>Though EDD suspended its work search requirement in March 2020 because of the COVID-19 pandemic, from July 2021 \u003ca href=\"https://www.kqed.org/coronavirusliveupdates/news/11878764/new-edd-requirement-may-clog-unemployment-claims-process-even-further-advocates-worry\">most unemployed Californians will need to show they are actively looking for work\u003c/a> to stay eligible for benefits.\u003c/p>\n\u003cp>https://twitter.com/CA_EDD/status/1407112356421947401\u003c/p>\n\u003cp>This means applicants will need to answer “Yes” on the \u003ca href=\"https://edd.ca.gov/Unemployment/Understanding_the_Continued_Claim_Certification_Questions.htm\">bi-weekly certification question\u003c/a> asking if they are looking for work. As one Twitter user succinctly put it, \u003ca href=\"https://twitter.com/HetJayfield/status/1405649751022870533\">“Just put ‘yes’ for number three and that’s it.”\u003c/a>\u003c/p>\n\u003cp>EDD spokesperson Loree Levy confirmed that applicants should start looking for work no later than July 11, and be prepared to declare that they are looking for work on their certification form starting July 18.\u003c/p>\n\u003cp>https://twitter.com/EmEffHarvin/status/1408506689125425154\u003c/p>\n\u003cp>What qualifies as “searching for work” will vary for those on regular unemployment or extensions versus those on Pandemic Unemployment Assistance (PUA.) That’s because PUA applicants are often self-employed and contract workers.\u003c/p>\n\u003cp>EDD says it will be sending notices to inform applicants what this reinstatement means for them, but \u003ca class=\"c-link\" href=\"https://edd.ca.gov/unemployment/return-to-work.htm\" target=\"_blank\" rel=\"noopener noreferrer\" data-stringify-link=\"https://edd.ca.gov/unemployment/return-to-work.htm\" data-sk=\"tooltip_parent\">a brief rundown can also be found on the agency’s website\u003c/a>.\u003c/p>\n\u003ch3>\u003ca id=\"noui\">\u003c/a>I’m Not on Regular UI. What Federal Support Does My Program Qualify Me for, and What Do I Need to Do to Get It?\u003c/h3>\n\u003cp>\u003cstrong>1. Existing and Exhausted PUA Claims \u003c/strong>\u003c/p>\n\u003cul>\n\u003cli>If you still had a balance remaining on your PUA claim on March 14, EDD says you should continue to get benefits without delays. EDD says around 95% of PUA recipients should be able to keep certifying without a break.\u003c/li>\n\u003cli>On a media call on March 26, EDD said everyone on existing PUA claims should have been able to start certifying for these benefits on Sunday, March 28.\u003c/li>\n\u003cli>For the around 5% of PUA recipients who exhausted all PUA benefits, EDD says you should be getting texts, UI Online notifications or mailed notices by April 10, 2021 — if not sooner — about when to certify for other benefits.\u003c/li>\n\u003c/ul>\n\u003cp>\u003cspan style=\"font-weight: 400;\">[aside postID=\"news_11860924\"]\u003c/span>\u003c/p>\n\u003cp>\u003cstrong>2. Existing and Exhausted PEUC claims\u003c/strong>\u003c/p>\n\u003cul>\n\u003cli>Still had a balance remaining on your PEUC claim on March 14? EDD says you should also continue to get benefits without delays. Around half of people with existing PEUC claims should be able to keep certifying without a break, says EDD.\u003c/li>\n\u003cli>For the other half of applicants who’ve exhausted all PEUC extensions, you could be eligible for another 20 weeks of benefits under FED-ED Extension. If you are, EDD will automatically file a FED-ED extension on your claim. EDD says it will phase in these benefits between April 10 and April 30, and will notify you in your UI online account when it does. Not everyone is eligible, though, so take a look at \u003ca href=\"https://www.edd.ca.gov/unemployment/pdf/benefit-flowchart.pdf\">EDD’s Unemployment Benefit Programs flowchart\u003c/a> to work out if you are.\u003c/li>\n\u003c/ul>\n\u003cp>\u003cstrong>3. Regular UI and Existing FED-ED claims\u003c/strong>\u003c/p>\n\u003cul>\n\u003cli>If you have \u003cem>not\u003c/em> reached the end of your benefits year, you should continue to be able to continue to certify, in addition to receiving the $300 federal PAC bump without interruption.\u003c/li>\n\u003c/ul>\n\u003cp>\u003cstrong>4. New PUA Claims\u003c/strong>\u003c/p>\n\u003cul>\n\u003cli>Need to file a new PUA claim? You should be able to do so, but you will currently only be paid at the minimum level of $167 per week, plus the extra $300 federal payment.\u003c/li>\n\u003cli>By April 10, applicants may become eligible for a higher weekly benefit amount based on income information reported on their application, and any shift in benefit amount will be applied retroactively.\u003c/li>\n\u003c/ul>\n\u003ch3>How Many Weeks Will These New Benefits Carry Me Over for?\u003c/h3>\n\u003cp>EDD has a breakdown of how long these federal benefits will extend your support for, and how many weeks of benefits you can ultimately receive. \u003ca href=\"https://www.edd.ca.gov/unemployment/pdf/unemployment-benefits-chart.pdf\">See the breakdown of benefit lengths\u003c/a>.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003ch3>\u003ca id=\"reopening\">\u003c/a>Reopening a Claim vs. Filing a New One\u003c/h3>\n\u003cp>According to Daniela Urban, applicants should be on the lookout on their own for the ability to file a new claim, even if their old claim is allowing them to recertify. Some peoples’ accounts just say pending for a long time, when really, it’s time for \u003cem>them\u003c/em> to refile. Even though that option may have already popped up on their account, they may be overlooking it.\u003c/p>\n\u003cp>The option to “Reopen Claim” online is supposed to appear if it’s been more than 30 days since you last certified for benefits. If your benefit year hasn’t expired, EDD will put your account into a semi-dormant mode, instead of closing out your account. (Think of it like your computer going into sleep mode, instead of shutting down.)\u003c/p>\n\u003cp>https://twitter.com/CA_EDD/status/1366909465040220160\u003c/p>\n\u003cp>That said, there \u003cem>have\u003c/em> been glitches in the past and people have gotten this notification when they shouldn’t have. So if you get this “Reopen Claim” notice, but you have been certifying regularly, don’t click on that option until you’ve gotten more information about why you’re getting this notice.\u003c/p>\n\u003cp>https://twitter.com/CA_EDD/status/1350208664699891715\u003c/p>\n\u003cp>If you \u003cem>do\u003c/em> actually need to reopen your claim, \u003ca href=\"https://www.youtube.com/watch?v=3XbPUBshbyI\">EDD has a step-by-step video guide\u003c/a>:\u003c/p>\n\u003cp>https://www.youtube.com/watch?v=3XbPUBshbyI\u003c/p>\n\u003cp>[ad floatright]\u003c/p>\n",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>\u003cem>This story has been updated.\u003c/em>\u003c/p>\n\u003cp>\u003cstrong>Skip straight to:\u003c/strong>\u003c/p>\n\u003cul>\n\u003cli>\u003ca href=\"#automatic\">The federal benefits you may receive automatically\u003c/a>\u003c/li>\n\u003cli>\u003cstrong>\u003ca href=\"#applying\">What to know about reapplying for benefits\u003c/a>\u003c/strong>\u003c/li>\n\u003cli>\u003ca href=\"#noui\">Options for people not on regular unemployment\u003c/a>\u003c/li>\n\u003cli>\u003cstrong>\u003ca href=\"#reopening\">Reopening a claim vs. filing a new one\u003c/a>\u003c/strong>\u003c/li>\n\u003c/ul>\n\u003cp>We’re over a year into \u003ca href=\"https://edd.ca.gov/Newsroom/facts-and-stats/dashboard.htm#TotalUnemploymentClaims\">a deadly pandemic that has cost hundreds of thousands of Californians their jobs\u003c/a>, and caused claims for unemployment benefits to soar into the millions.\u003c/p>\n\u003cp>President Biden signed the \u003ca href=\"https://www.whitehouse.gov/american-rescue-plan/\">American Rescue Plan\u003c/a> into law in March 2021 to get more direct relief to people hit hardest by the pandemic and to help the economy. In addition to direct stimulus payments, the bill also extends federal unemployment support.\u003c/p>\n\u003cp>If you’re claiming unemployment insurance through the \u003ca href=\"https://edd.ca.gov/\">Employment Development Department\u003c/a> (EDD), the passing of this one-year milestone might mean you need to take action on your claim. But how do these pandemic federal benefits affect your California unemployment claims? And how can you make sure you’re getting the support you’re entitled to?\u003c/p>\n\u003cp>The most recent change: EDD has announced that starting June 5, some applicants who have passed the one-year mark on their claim who previously needed to refile now may no longer have to. \u003ca href=\"#applying\">Read more about this change.\u003c/a>\u003c/p>\n\u003cp>Please note that \u003ca href=\"https://www.kqed.org/news/11866438/after-a-string-of-bungled-tech-upgrades-california-tries-a-new-approach\">the EDD website has regularly been prone to glitches\u003c/a> for people trying to certify their claims for several months now. In addition, wait times for EDD’s \u003ca href=\"https://www.id.me/\">ID.me\u003c/a> identity verification platform can still be considerable. What’s more, the backlog of unemployment claims waiting on action from EDD continues to grow. These issues can mean that even if you do everything right, it still might be hard work to get your benefits.\u003cspan style=\"font-weight: 400;\">\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/span>\u003c/p>\n\u003cp>You’ll find \u003ca href=\"https://edd.ca.gov/about_edd/contact_edd.htm#:~:text=English%3A%201%2D800%2D480,480%2D3287)%20to%20the%20operator\">phone numbers to speak to EDD representatives here on their site.\u003c/a> But if you’re really struggling, you may find that contacting your legislator or a workers’ advocate group like the \u003ca href=\"https://www.rightscenter.org/\">Center for Workers’ Rights\u003c/a> could be a better bet than trying to call EDD customer service and waiting on the phone. We also have a list of \u003ca href=\"https://www.kqed.org/news/11860924/how-barriers-at-edd-keep-already-vulnerable-californians-from-their-benefits#resources\">multilingual resources for unemployment claimants.\u003c/a>\u003c/p>\n\u003cul>\n\u003cli>\u003cstrong>\u003ca href=\"https://www.edd.ca.gov/unemployment/pdf/benefit-flowchart.pdf\">Consult EDD’s California Unemployment Benefits Flowchart to See Your Eligibility\u003c/a> \u003c/strong>\u003c/li>\n\u003c/ul>\n\u003ch3>What Unemployment Benefits Are You Entitled to?\u003c/h3>\n\u003cp>\u003cstrong>\u003ca href=\"https://edd.ca.gov/unemployment/\">Unemployment Insurance\u003c/a>, or “Regular UI”:\u003c/strong> The state program that supports Californians with W-2 income who are fully or partially unemployed because of no fault of their own (including COVID-19, school closures or an expired unemployment claim).\u003c/p>\n\u003cp>\u003cstrong>\u003ca href=\"https://edd.ca.gov/about_edd/coronavirus-2019/pandemic-unemployment-assistance.htm\">Pandemic Unemployment Assistance\u003c/a>, or PUA:\u003c/strong> The federal program that supports business owners, independent contractors and self-employed workers. (If you only got a 1099 tax form, this is likely the program you’re on).\u003c/p>\n\u003cp>\u003cstrong>\u003ca href=\"https://www.edd.ca.gov/about_edd/coronavirus-2019/cares-act.htm#PEUC\">Pandemic Emergency Unemployment Compensation,\u003c/a> or PEUC:\u003c/strong> The federal program for people who were on regular unemployment but exhausted those funds. You can be put on PEUC more than once — but to qualify for a PEUC extension, your regular UI claim must have started on July 8, 2018 or after. Depending on when you filed your unemployment claim and if it has expired, you may need to reapply for unemployment.\u003cspan style=\"font-weight: 400;\">\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/span>\u003c/p>\n\u003cp>\u003cstrong>\u003ca href=\"https://www.edd.ca.gov/about_edd/coronavirus-2019/fed-ed.htm\">Federal-State Extended Duration\u003c/a>, or FED-ED:\u003c/strong> The federal program for people who’ve exhausted both regular UI and PEUC funds.\u003c/p>\n\u003cp>President Biden’s American Rescue Plan does the following:\u003c/p>\n\u003cul>\n\u003cli>Continues the federal increase for all unemployment benefits, which adds $300 to each week of benefits through Sept. 4, 2021.\u003c/li>\n\u003cli>Extends Pandemic Unemployment Assistance (PUA) and Pandemic Emergency Unemployment Compensation (PEUC) up to 29 weeks, through Sept. 4, 2021.\u003c/li>\n\u003cli>Continues the federally funded FED-ED through Sept. 11, 2021, providing up to 20 weeks of benefits.\u003c/li>\n\u003c/ul>\n\u003ch3>\u003ca id=\"automatic\">\u003c/a>Will I Get Any Federal Benefits Automatically?\u003c/h3>\n\u003cp>You might. For all applicants, for weeks of unemployment between Dec. 27, 2020 and Sept. 4, 2021, EDD will add $300 of federal Pandemic Additional Compensation (PAC) to benefit weeks, on top of the other benefits you certify for.\u003c/p>\n\u003cp>This money should come through automatically; applicants shouldn’t need to make any adjustments on their claims to get it.\u003c/p>\n\u003ch3>\u003ca id=\"applying\">\u003c/a>How Do I Know If I Need to Reapply For Benefits?\u003c/h3>\n\u003cp>\u003ca href=\"https://www.edd.ca.gov/about_edd/coronavirus-2019/benefit-year-end.htm\">Your benefits year ends 12 months after you first filed your claim. \u003c/a>Refiling usually means EDD can assess whether you are eligible for a new UI claim and, if you aren’t, decide which program makes most sense for you.\u003c/p>\n\u003cp>But starting June 5, some applicants who have passed the one-year mark on their claim who previously needed to refile now may no longer have to:\u003c/p>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\n\u003cp>If you haven’t made enough money in the last 18 months to warrant filing a new claim, \u003ca href=\"https://edd.ca.gov/About_EDD/pdf/news-21-34.pdf\">EDD now says it will process benefits, add a federal extension to an expired claim or continue an existing extension\u003c/a>. This system will apply to regular UI, federal extensions and PUA applications.\u003cspan style=\"font-weight: 400;\">\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/span>\u003c/p>\n\u003cp>EDD says this update to the reapplication process is in the name of “streamlining.” But Daniela Urban, executive director of the Center for Workers’ Rights, said she and other advocates are perplexed by this latest change, especially given that EDD had so recently released a video tutorial on how to reapply for unemployment.\u003c/p>\n\u003cp>Urban also warned unemployed Californians to be prepared for more updates from EDD in the wake of this transition.\u003c/p>\n\u003ch3>How Do I Know If I’m Eligible for a New Claim?\u003c/h3>\n\u003cp>According to Urban, in order to qualify for a new claim you have to have earned at least $1,300 in your \u003ca href=\"https://www.edd.ca.gov/pdf_pub_ctr/de8714ab.pdf\">base period\u003c/a> and made at least $1,250 since your last unemployment application. This figure, says Urban, represents “what’s considered ‘reattaching to the workforce.’ ”\u003c/p>\n\u003cp>If you have earned enough in the last 18 months to warrant a new claim, you do need to refile, even if you are on an extension. Once you do, EDD says it will establish a new regular UI claim or a federal extension for you. EDD says you will be notified by email, text and on UI Online if you need to reapply.\u003c/p>\n\u003cp>To figure out if you’ve made enough money that you’ll be required to reapply, log into UI Online and try to file a new claim. According to EDD, the new application process will only go forward if you need to refile.\u003c/p>\n\u003cp>If you haven’t worked at all throughout the pandemic, \u003ca href=\"https://www.edd.ca.gov/unemployment/pdf/benefit-flowchart.pdf\">EDD should automatically file a PEUC extension on your prior UI claim\u003c/a>, and you should be notified the agency has done this.\u003c/p>\n\u003cp>Though EDD suspended its work search requirement in March 2020 because of the COVID-19 pandemic, from July 2021 \u003ca href=\"https://www.kqed.org/coronavirusliveupdates/news/11878764/new-edd-requirement-may-clog-unemployment-claims-process-even-further-advocates-worry\">most unemployed Californians will need to show they are actively looking for work\u003c/a> to stay eligible for benefits.\u003c/p>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\n\u003cp>This means applicants will need to answer “Yes” on the \u003ca href=\"https://edd.ca.gov/Unemployment/Understanding_the_Continued_Claim_Certification_Questions.htm\">bi-weekly certification question\u003c/a> asking if they are looking for work. As one Twitter user succinctly put it, \u003ca href=\"https://twitter.com/HetJayfield/status/1405649751022870533\">“Just put ‘yes’ for number three and that’s it.”\u003c/a>\u003c/p>\n\u003cp>EDD spokesperson Loree Levy confirmed that applicants should start looking for work no later than July 11, and be prepared to declare that they are looking for work on their certification form starting July 18.\u003c/p>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\n\u003cp>What qualifies as “searching for work” will vary for those on regular unemployment or extensions versus those on Pandemic Unemployment Assistance (PUA.) That’s because PUA applicants are often self-employed and contract workers.\u003c/p>\n\u003cp>EDD says it will be sending notices to inform applicants what this reinstatement means for them, but \u003ca class=\"c-link\" href=\"https://edd.ca.gov/unemployment/return-to-work.htm\" target=\"_blank\" rel=\"noopener noreferrer\" data-stringify-link=\"https://edd.ca.gov/unemployment/return-to-work.htm\" data-sk=\"tooltip_parent\">a brief rundown can also be found on the agency’s website\u003c/a>.\u003c/p>\n\u003ch3>\u003ca id=\"noui\">\u003c/a>I’m Not on Regular UI. What Federal Support Does My Program Qualify Me for, and What Do I Need to Do to Get It?\u003c/h3>\n\u003cp>\u003cstrong>1. Existing and Exhausted PUA Claims \u003c/strong>\u003c/p>\n\u003cul>\n\u003cli>If you still had a balance remaining on your PUA claim on March 14, EDD says you should continue to get benefits without delays. EDD says around 95% of PUA recipients should be able to keep certifying without a break.\u003c/li>\n\u003cli>On a media call on March 26, EDD said everyone on existing PUA claims should have been able to start certifying for these benefits on Sunday, March 28.\u003c/li>\n\u003cli>For the around 5% of PUA recipients who exhausted all PUA benefits, EDD says you should be getting texts, UI Online notifications or mailed notices by April 10, 2021 — if not sooner — about when to certify for other benefits.\u003c/li>\n\u003c/ul>\n\u003cp>\u003cspan style=\"font-weight: 400;\">\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/span>\u003c/p>\n\u003cp>\u003cstrong>2. Existing and Exhausted PEUC claims\u003c/strong>\u003c/p>\n\u003cul>\n\u003cli>Still had a balance remaining on your PEUC claim on March 14? EDD says you should also continue to get benefits without delays. Around half of people with existing PEUC claims should be able to keep certifying without a break, says EDD.\u003c/li>\n\u003cli>For the other half of applicants who’ve exhausted all PEUC extensions, you could be eligible for another 20 weeks of benefits under FED-ED Extension. If you are, EDD will automatically file a FED-ED extension on your claim. EDD says it will phase in these benefits between April 10 and April 30, and will notify you in your UI online account when it does. Not everyone is eligible, though, so take a look at \u003ca href=\"https://www.edd.ca.gov/unemployment/pdf/benefit-flowchart.pdf\">EDD’s Unemployment Benefit Programs flowchart\u003c/a> to work out if you are.\u003c/li>\n\u003c/ul>\n\u003cp>\u003cstrong>3. Regular UI and Existing FED-ED claims\u003c/strong>\u003c/p>\n\u003cul>\n\u003cli>If you have \u003cem>not\u003c/em> reached the end of your benefits year, you should continue to be able to continue to certify, in addition to receiving the $300 federal PAC bump without interruption.\u003c/li>\n\u003c/ul>\n\u003cp>\u003cstrong>4. New PUA Claims\u003c/strong>\u003c/p>\n\u003cul>\n\u003cli>Need to file a new PUA claim? You should be able to do so, but you will currently only be paid at the minimum level of $167 per week, plus the extra $300 federal payment.\u003c/li>\n\u003cli>By April 10, applicants may become eligible for a higher weekly benefit amount based on income information reported on their application, and any shift in benefit amount will be applied retroactively.\u003c/li>\n\u003c/ul>\n\u003ch3>How Many Weeks Will These New Benefits Carry Me Over for?\u003c/h3>\n\u003cp>EDD has a breakdown of how long these federal benefits will extend your support for, and how many weeks of benefits you can ultimately receive. \u003ca href=\"https://www.edd.ca.gov/unemployment/pdf/unemployment-benefits-chart.pdf\">See the breakdown of benefit lengths\u003c/a>.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003ch3>\u003ca id=\"reopening\">\u003c/a>Reopening a Claim vs. Filing a New One\u003c/h3>\n\u003cp>According to Daniela Urban, applicants should be on the lookout on their own for the ability to file a new claim, even if their old claim is allowing them to recertify. Some peoples’ accounts just say pending for a long time, when really, it’s time for \u003cem>them\u003c/em> to refile. Even though that option may have already popped up on their account, they may be overlooking it.\u003c/p>\n\u003cp>The option to “Reopen Claim” online is supposed to appear if it’s been more than 30 days since you last certified for benefits. If your benefit year hasn’t expired, EDD will put your account into a semi-dormant mode, instead of closing out your account. (Think of it like your computer going into sleep mode, instead of shutting down.)\u003c/p>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\n\u003cp>That said, there \u003cem>have\u003c/em> been glitches in the past and people have gotten this notification when they shouldn’t have. So if you get this “Reopen Claim” notice, but you have been certifying regularly, don’t click on that option until you’ve gotten more information about why you’re getting this notice.\u003c/p>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\n\u003cp>If you \u003cem>do\u003c/em> actually need to reopen your claim, \u003ca href=\"https://www.youtube.com/watch?v=3XbPUBshbyI\">EDD has a step-by-step video guide\u003c/a>:\u003c/p>\u003c/p>\u003cp>\u003cspan class='utils-parseShortcode-shortcodes-__youtubeShortcode__embedYoutube'>\n \u003cspan class='utils-parseShortcode-shortcodes-__youtubeShortcode__embedYoutubeInside'>\n \u003ciframe\n loading='lazy'\n class='utils-parseShortcode-shortcodes-__youtubeShortcode__youtubePlayer'\n type='text/html'\n src='//www.youtube.com/embed/3XbPUBshbyI'\n title='//www.youtube.com/embed/3XbPUBshbyI'\n allowfullscreen='true'\n style='border:0;'>\u003c/iframe>\n \u003c/span>\n \u003c/span>\u003c/p>\u003cp>\u003cp>\u003c/p>\u003c/div>",
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"slug": "nursing-schools-turned-to-computer-simulations-during-the-pandemic-are-students-learning",
"title": "Nursing Schools Turned to Computer Simulations During the Pandemic. Are Students Learning?",
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"headTitle": "Nursing Schools Turned to Computer Simulations During the Pandemic. Are Students Learning? | KQED",
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"content": "\u003cp>Dressed in a white gown and hooked to an IV pump, Tina Jones was sitting on a hospital bed when nursing student Erin Abille greeted her.\u003c/p>\n\u003cp>Glancing at Jones’ chart, Abille saw that the patient came into the hospital for a foot infection and had a penicillin allergy.\u003c/p>\n\u003cp>“Are you in any pain?” Abille asked.\u003c/p>\n\u003cp>“Oh, OK,” Jones responded.\u003c/p>\n\u003cp>The bizarre response wasn’t the only unusual thing, Abille noted. The patient also had stilted facial and hand movements.\u003c/p>\n\u003cp>But those symptoms weren’t due to a medical condition — they were because Jones is not a real patient but a computer avatar in Shadow Health, a virtual simulation that has been widely adopted by nursing education programs across California since the start of the coronavirus pandemic.\u003c/p>\n\u003cp>The pandemic has restricted the number of clinical placements available to nursing students in hospitals, forcing them to practice their skills instead on mannequins, virtual patients like Jones, or at home with relatives and even stuffed animals.\u003c/p>\n\u003cp>California has relaxed regulations to allow for more virtual education, but some nursing students say they feel less confident in their skills, and others have had their graduation delayed, at a time when the state arguably needs nurses more than ever.\u003c/p>\n\u003cp>Hospitals have been reluctant to place nursing students at risk by having them enter a workplace filled with COVID patients, and more experienced nurses have been too busy with patient care to supervise them, said Loretta Melby, president of the California Board of Registered Nursing, a state agency that regulates nursing education.\u003c/p>\n\u003cp>“It was really difficult for all of our students when the facilities that they’ve relied on for years to do their clinical practice said, ‘We can’t have you here anymore,’ ” she said.\u003c/p>\n\u003ch3>What Practicing at Home Means\u003c/h3>\n\u003cfigure id=\"attachment_11866000\" class=\"wp-caption alignright\" style=\"max-width: 768px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-11866000\" src=\"https://ww2.kqed.org/app/uploads/sites/10/2021/03/012321_NursingStudent_AB_10.jpg\" alt=\"\" width=\"768\" height=\"1152\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2021/03/012321_NursingStudent_AB_10.jpg 768w, https://cdn.kqed.org/wp-content/uploads/sites/10/2021/03/012321_NursingStudent_AB_10-160x240.jpg 160w\" sizes=\"(max-width: 768px) 100vw, 768px\">\u003cfigcaption class=\"wp-caption-text\">Nursing student Erin Abille finds new ways to learn medicine by practicing techniques on a stuffed animal in Mulberry Park in Chula Vista on Jan. 23, 2021. \u003ccite>(Arlene Banuelos for CalMatters)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>Prior to the pandemic, nursing students were required to spend at least 75% of their clinical time providing direct care to patients in hospitals. The Board of Registered Nursing \u003ca href=\"https://edsource.org/2020/new-california-nursing-waiver-will-allow-some-students-to-complete-training-but-leaves-others-out/628170\">relaxed its regulations\u003c/a> in April 2020 to allow students to fulfill half of their clinical hours in simulated scenarios, but said it will reverse that decision when the pandemic is over.\u003c/p>\n\u003cp>For Abille, that means that instead of checking her patients’ vital signs with her stethoscope and thermometer, she now relies on the electronic health records shown at the bottom of her laptop screen.\u003c/p>\n\u003cp>Caring for faux-patient Jones, she said, is a stark contrast to the close relationships she developed with patients when working as a certified nursing assistant at a skilled nursing facility. There, she had emotional conversations with elderly patients on the geriatrics floor, many of whom were reflecting on the choices they’d made in life as they neared its end.\u003c/p>\n\u003cp>Abille wasn’t able to do that with Jones. “I couldn’t pry into her personal life, I couldn’t pry into her worries, I couldn’t pry even into her pain,” she said.\u003c/p>\n\u003cp>Before the pandemic, Abille would have received one-on-one mentorship from a senior nurse on how to do sensitive procedures, such as inserting a catheter into a patient’s urethra. Now, with her college’s skills lab closed and even mannequins unavailable, she practices at home. A unicorn Pillow Pet stands in as her patient and she uses a water bottle to replicate the urethra.\u003c/p>\n\u003cp>Abille said she worries that she might accidentally reinforce mistakes because she doesn’t have her instructor to immediately correct her. Having a catheter inserted is a scary procedure for many patients, who often wonder whether the procedure will hurt. That’s not a conversation she can have with her unicorn.\u003c/p>\n\u003cp>In person, nursing students can use all of their senses when caring for patients, but with simulations, they miss out on the physical cues that patients give to signify pain or discomfort, said Melby of the BRN.\u003c/p>\n\u003cp>“When I worked in the ICU, I could smell various things like a gastrointestinal bleed,” she said. In a simulation, “you’re not getting that kind of input. Your mannequin can’t grimace.”\u003c/p>\n\u003cfigure id=\"attachment_11866001\" class=\"wp-caption alignnone\" style=\"max-width: 1024px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"wp-image-11866001 size-full\" src=\"https://ww2.kqed.org/app/uploads/sites/10/2021/03/TINA-JONES.png\" alt=\"\" width=\"1024\" height=\"581\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2021/03/TINA-JONES.png 1024w, https://cdn.kqed.org/wp-content/uploads/sites/10/2021/03/TINA-JONES-800x454.png 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2021/03/TINA-JONES-1020x579.png 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2021/03/TINA-JONES-160x91.png 160w\" sizes=\"(max-width: 1024px) 100vw, 1024px\">\u003cfigcaption class=\"wp-caption-text\">A screenshot from a simulated patient interaction in Shadow Health, a computer program that colleges are using to train nurses during the pandemic. \u003ccite>(CalMatters)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003ch3>‘A Real-Life Situation in a Non-Threatening Environment’\u003c/h3>\n\u003cp>Despite the drawbacks, virtual simulations do have some upsides, said KT Waxman, director of the California Simulation Alliance at HealthImpact, a nonprofit focused on health workforce development.\u003c/p>\n\u003cp>Students can still develop their critical thinking and clinical judgement. When instructors create clinical scenarios over Zoom or show a video of a heart failure, debriefing allows students to grow more confident in their ability to handle those situations, Waxman said.\u003c/p>\n\u003cp>“You expose the students to a real-life situation in a non-threatening environment, where students know if they make a mistake that the life of the patient is not at stake,” said Salima Allahbachayo, director of the nursing program at Citrus College, which has relied on computer simulation to continue teaching during the pandemic.\u003c/p>\n\u003cp>She says her students were able to learn more through Zoom scenarios because repetition allows them to correct their mistakes.\u003c/p>\n\u003cp>Besides spurring a move toward more simulation, the pandemic has shrunk the number of available slots in colleges’ nursing programs, said Joanne Spetz, director of the Philip R. Lee Institute for Health Policy Studies at UCSF.\u003c/p>\n\u003cp>Some nursing programs in California didn’t admit any new students this year, at a time when the state is projected to have \u003ca href=\"https://bhw.hrsa.gov/sites/default/files/bureau-health-workforce/data-research/nchwa-hrsa-nursing-report.pdf\">a shortage of 44,500 full-time registered nurses by 2030\u003c/a>, according to the National Center for Health Workforce Analysis. And around one in 10 nursing programs in California has suspended admissions for 2021-2022, according to preliminary data from a survey Spetz is conducting.\u003c/p>\n\u003cp>“For those students, that’s another semester or quarter where they’re not able to get started,” said Spetz. “It slows down their graduation, and overall slows down the supply of nurses into our workforce.”\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003ch3>A Growing Demand for Nurses\u003c/h3>\n\u003cp>Alexis Hawkins, a nursing student at Grossmont College in El Cajon, said her nursing program paused classes halfway through the spring 2020 semester. She had to redo the entire first semester online and missed out on learning how to give IV injections, a skill that’s only taught in person and that she should have learned her first year.\u003c/p>\n\u003cp>[pullquote align=\"right\" size=\"medium\" citation=\"Joanne Spetz, director of Philip R. Lee Institute for Health Policy Studies at UCSF\"]‘If we end up losing a bunch of nurses who are in their 30s, those are nurses who had another 20 or 30 years of working life available for us and that’s a much bigger loss for the workforce.’[/pullquote]Coming back for her second semester, she said, was like trying to keep up with a moving conveyor belt; she was expected to perform as if she’d had clinical rotations her first semester, and ended up quitting her job to study harder.\u003c/p>\n\u003cp>“I do feel that my education is compromised,” Hawkins said. “I’m not getting the best education that I think I would be getting if we were in person.”\u003c/p>\n\u003cp>Even before the pandemic, nursing programs were \u003ca href=\"https://hechingerreport.org/when-nurses-are-needed-most-nursing-programs-arent-keeping-up-with-demand/\">reporting record numbers of applicants\u003c/a> but struggling to accommodate more students.\u003c/p>\n\u003cp>“Nursing is a particularly resource-heavy field,” said Rehman Attar, director of health care workforce development at California State University. Colleges need to find space for labs, attract faculty away from other well-paying jobs and compete with other schools for limited clinical placements, Attar said.\u003c/p>\n\u003cp>At the same time, the last year on the front lines of COVID-19 has led many older nurses to retire early and younger nurses to quit. Spetz said hospital leaders are concerned that senior nurses currently in the workforce will burn out before new graduates can be hired.\u003c/p>\n\u003cp>“Hospitals are losing nurses close to retirement a few years early … but we knew that they were going to retire,” Spetz said. “But if we end up losing a bunch of nurses who are in their 30s, those are nurses who had another 20 or 30 years of working life available for us and that’s a much bigger loss for the workforce.”\u003c/p>\n\u003cp>The situation is more acute in high-demand areas such as the emergency room and intensive care unit, Spetz said. Those departments have been off-limits to nursing students during the pandemic — and that’s experience that can’t be replicated in a virtual scenario.\u003c/p>\n\u003ch3>‘You Cannot Simulate the Fear and Dread of Some People’\u003c/h3>\n\u003cp>Even with clinical experience, the transition from being a nursing student to being a nurse working in a hospital can be jarring, said Gerard Brogan, the director of nursing practice at the California Nurses Association, a labor union that represents registered nurses.\u003c/p>\n\u003cp>[aside label ='Related Coverage' tag='nurses']“Lack of access to these specialty units, and this more generic simulation-based education, is not going to prepare these nurses on their own for a major shock,” Brogan said. He likened it to soldiers learning warfare on simulators, which has been linked to significant increases in post-traumatic stress disorder.\u003c/p>\n\u003cp>Union members are also concerned that colleges will rely heavily on virtual simulations even after the pandemic because software is cheaper than staff, Brogan said. Instruction that doesn’t prepare students to connect with patients on a human level, he said, threatens to compromise safety.\u003c/p>\n\u003cp>“You cannot simulate the fear and dread of some people,” Brogan said. “And frankly, we’re worried about the attempt to do so.”\u003c/p>\n\u003cp>Experts say the availability of clinical placements has recently begun to increase in California as \u003ca href=\"https://calmatters.org/health/coronavirus/2021/03/california-milestone-reopening-today/\">more vaccines are distributed\u003c/a> and coronavirus cases decline.\u003c/p>\n\u003cp>But Waxman, of the nonprofit California Simulation Alliance, agreed that the state is likely to see an expanded use of technology in nurse training post-pandemic, including a wider adoption of virtual reality that will replace some clinical experience.\u003c/p>\n\u003cp>Though cost has limited the use of virtual reality in nursing programs — each headset costs around $300, not including the price of the software — it overcomes some of the shortcomings of the 2D virtual simulations that colleges currently use, Waxman said, because it is immersive and students can use their sense of touch when practicing physical assessments and hands-on skills such as immunization.\u003c/p>\n\u003cp>“Once the pandemic is over, I believe that students will need to get back into the hands-on skills lab. I don’t think that will go away,” Waxman said. “But education is going to change dramatically.”\u003c/p>\n\u003chr>\n\u003cp>\u003cem>\u003ca href=\"https://calmatters.org/author/shehreen-karim/\">Shehreen Karim\u003c/a> is a fellow with the \u003ca href=\"https://calmatters.org/projects/college-journalism-network/\">CalMatters College Journalism Network\u003c/a>, a collaboration between CalMatters and student journalists from across California. \u003ca href=\"https://calmatters.org/author/charlotte-west/\">Charlotte West\u003c/a> contributed reporting. This story and other higher education coverage are supported by the College Futures Foundation.\u003c/em>\u003cbr>\n[ad fullwidth]\u003c/p>\n\u003cp>[ad floatright]\u003c/p>\n",
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"title": "Nursing Schools Turned to Computer Simulations During the Pandemic. Are Students Learning? | KQED",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>Dressed in a white gown and hooked to an IV pump, Tina Jones was sitting on a hospital bed when nursing student Erin Abille greeted her.\u003c/p>\n\u003cp>Glancing at Jones’ chart, Abille saw that the patient came into the hospital for a foot infection and had a penicillin allergy.\u003c/p>\n\u003cp>“Are you in any pain?” Abille asked.\u003c/p>\n\u003cp>“Oh, OK,” Jones responded.\u003c/p>\n\u003cp>The bizarre response wasn’t the only unusual thing, Abille noted. The patient also had stilted facial and hand movements.\u003c/p>\n\u003cp>But those symptoms weren’t due to a medical condition — they were because Jones is not a real patient but a computer avatar in Shadow Health, a virtual simulation that has been widely adopted by nursing education programs across California since the start of the coronavirus pandemic.\u003c/p>\n\u003cp>The pandemic has restricted the number of clinical placements available to nursing students in hospitals, forcing them to practice their skills instead on mannequins, virtual patients like Jones, or at home with relatives and even stuffed animals.\u003c/p>\n\u003cp>California has relaxed regulations to allow for more virtual education, but some nursing students say they feel less confident in their skills, and others have had their graduation delayed, at a time when the state arguably needs nurses more than ever.\u003c/p>\n\u003cp>Hospitals have been reluctant to place nursing students at risk by having them enter a workplace filled with COVID patients, and more experienced nurses have been too busy with patient care to supervise them, said Loretta Melby, president of the California Board of Registered Nursing, a state agency that regulates nursing education.\u003c/p>\n\u003cp>“It was really difficult for all of our students when the facilities that they’ve relied on for years to do their clinical practice said, ‘We can’t have you here anymore,’ ” she said.\u003c/p>\n\u003ch3>What Practicing at Home Means\u003c/h3>\n\u003cfigure id=\"attachment_11866000\" class=\"wp-caption alignright\" style=\"max-width: 768px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-11866000\" src=\"https://ww2.kqed.org/app/uploads/sites/10/2021/03/012321_NursingStudent_AB_10.jpg\" alt=\"\" width=\"768\" height=\"1152\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2021/03/012321_NursingStudent_AB_10.jpg 768w, https://cdn.kqed.org/wp-content/uploads/sites/10/2021/03/012321_NursingStudent_AB_10-160x240.jpg 160w\" sizes=\"(max-width: 768px) 100vw, 768px\">\u003cfigcaption class=\"wp-caption-text\">Nursing student Erin Abille finds new ways to learn medicine by practicing techniques on a stuffed animal in Mulberry Park in Chula Vista on Jan. 23, 2021. \u003ccite>(Arlene Banuelos for CalMatters)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>Prior to the pandemic, nursing students were required to spend at least 75% of their clinical time providing direct care to patients in hospitals. The Board of Registered Nursing \u003ca href=\"https://edsource.org/2020/new-california-nursing-waiver-will-allow-some-students-to-complete-training-but-leaves-others-out/628170\">relaxed its regulations\u003c/a> in April 2020 to allow students to fulfill half of their clinical hours in simulated scenarios, but said it will reverse that decision when the pandemic is over.\u003c/p>\n\u003cp>For Abille, that means that instead of checking her patients’ vital signs with her stethoscope and thermometer, she now relies on the electronic health records shown at the bottom of her laptop screen.\u003c/p>\n\u003cp>Caring for faux-patient Jones, she said, is a stark contrast to the close relationships she developed with patients when working as a certified nursing assistant at a skilled nursing facility. There, she had emotional conversations with elderly patients on the geriatrics floor, many of whom were reflecting on the choices they’d made in life as they neared its end.\u003c/p>\n\u003cp>Abille wasn’t able to do that with Jones. “I couldn’t pry into her personal life, I couldn’t pry into her worries, I couldn’t pry even into her pain,” she said.\u003c/p>\n\u003cp>Before the pandemic, Abille would have received one-on-one mentorship from a senior nurse on how to do sensitive procedures, such as inserting a catheter into a patient’s urethra. Now, with her college’s skills lab closed and even mannequins unavailable, she practices at home. A unicorn Pillow Pet stands in as her patient and she uses a water bottle to replicate the urethra.\u003c/p>\n\u003cp>Abille said she worries that she might accidentally reinforce mistakes because she doesn’t have her instructor to immediately correct her. Having a catheter inserted is a scary procedure for many patients, who often wonder whether the procedure will hurt. That’s not a conversation she can have with her unicorn.\u003c/p>\n\u003cp>In person, nursing students can use all of their senses when caring for patients, but with simulations, they miss out on the physical cues that patients give to signify pain or discomfort, said Melby of the BRN.\u003c/p>\n\u003cp>“When I worked in the ICU, I could smell various things like a gastrointestinal bleed,” she said. In a simulation, “you’re not getting that kind of input. Your mannequin can’t grimace.”\u003c/p>\n\u003cfigure id=\"attachment_11866001\" class=\"wp-caption alignnone\" style=\"max-width: 1024px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"wp-image-11866001 size-full\" src=\"https://ww2.kqed.org/app/uploads/sites/10/2021/03/TINA-JONES.png\" alt=\"\" width=\"1024\" height=\"581\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2021/03/TINA-JONES.png 1024w, https://cdn.kqed.org/wp-content/uploads/sites/10/2021/03/TINA-JONES-800x454.png 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2021/03/TINA-JONES-1020x579.png 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2021/03/TINA-JONES-160x91.png 160w\" sizes=\"(max-width: 1024px) 100vw, 1024px\">\u003cfigcaption class=\"wp-caption-text\">A screenshot from a simulated patient interaction in Shadow Health, a computer program that colleges are using to train nurses during the pandemic. \u003ccite>(CalMatters)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003ch3>‘A Real-Life Situation in a Non-Threatening Environment’\u003c/h3>\n\u003cp>Despite the drawbacks, virtual simulations do have some upsides, said KT Waxman, director of the California Simulation Alliance at HealthImpact, a nonprofit focused on health workforce development.\u003c/p>\n\u003cp>Students can still develop their critical thinking and clinical judgement. When instructors create clinical scenarios over Zoom or show a video of a heart failure, debriefing allows students to grow more confident in their ability to handle those situations, Waxman said.\u003c/p>\n\u003cp>“You expose the students to a real-life situation in a non-threatening environment, where students know if they make a mistake that the life of the patient is not at stake,” said Salima Allahbachayo, director of the nursing program at Citrus College, which has relied on computer simulation to continue teaching during the pandemic.\u003c/p>\n\u003cp>She says her students were able to learn more through Zoom scenarios because repetition allows them to correct their mistakes.\u003c/p>\n\u003cp>Besides spurring a move toward more simulation, the pandemic has shrunk the number of available slots in colleges’ nursing programs, said Joanne Spetz, director of the Philip R. Lee Institute for Health Policy Studies at UCSF.\u003c/p>\n\u003cp>Some nursing programs in California didn’t admit any new students this year, at a time when the state is projected to have \u003ca href=\"https://bhw.hrsa.gov/sites/default/files/bureau-health-workforce/data-research/nchwa-hrsa-nursing-report.pdf\">a shortage of 44,500 full-time registered nurses by 2030\u003c/a>, according to the National Center for Health Workforce Analysis. And around one in 10 nursing programs in California has suspended admissions for 2021-2022, according to preliminary data from a survey Spetz is conducting.\u003c/p>\n\u003cp>“For those students, that’s another semester or quarter where they’re not able to get started,” said Spetz. “It slows down their graduation, and overall slows down the supply of nurses into our workforce.”\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003ch3>A Growing Demand for Nurses\u003c/h3>\n\u003cp>Alexis Hawkins, a nursing student at Grossmont College in El Cajon, said her nursing program paused classes halfway through the spring 2020 semester. She had to redo the entire first semester online and missed out on learning how to give IV injections, a skill that’s only taught in person and that she should have learned her first year.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>Coming back for her second semester, she said, was like trying to keep up with a moving conveyor belt; she was expected to perform as if she’d had clinical rotations her first semester, and ended up quitting her job to study harder.\u003c/p>\n\u003cp>“I do feel that my education is compromised,” Hawkins said. “I’m not getting the best education that I think I would be getting if we were in person.”\u003c/p>\n\u003cp>Even before the pandemic, nursing programs were \u003ca href=\"https://hechingerreport.org/when-nurses-are-needed-most-nursing-programs-arent-keeping-up-with-demand/\">reporting record numbers of applicants\u003c/a> but struggling to accommodate more students.\u003c/p>\n\u003cp>“Nursing is a particularly resource-heavy field,” said Rehman Attar, director of health care workforce development at California State University. Colleges need to find space for labs, attract faculty away from other well-paying jobs and compete with other schools for limited clinical placements, Attar said.\u003c/p>\n\u003cp>At the same time, the last year on the front lines of COVID-19 has led many older nurses to retire early and younger nurses to quit. Spetz said hospital leaders are concerned that senior nurses currently in the workforce will burn out before new graduates can be hired.\u003c/p>\n\u003cp>“Hospitals are losing nurses close to retirement a few years early … but we knew that they were going to retire,” Spetz said. “But if we end up losing a bunch of nurses who are in their 30s, those are nurses who had another 20 or 30 years of working life available for us and that’s a much bigger loss for the workforce.”\u003c/p>\n\u003cp>The situation is more acute in high-demand areas such as the emergency room and intensive care unit, Spetz said. Those departments have been off-limits to nursing students during the pandemic — and that’s experience that can’t be replicated in a virtual scenario.\u003c/p>\n\u003ch3>‘You Cannot Simulate the Fear and Dread of Some People’\u003c/h3>\n\u003cp>Even with clinical experience, the transition from being a nursing student to being a nurse working in a hospital can be jarring, said Gerard Brogan, the director of nursing practice at the California Nurses Association, a labor union that represents registered nurses.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>“Lack of access to these specialty units, and this more generic simulation-based education, is not going to prepare these nurses on their own for a major shock,” Brogan said. He likened it to soldiers learning warfare on simulators, which has been linked to significant increases in post-traumatic stress disorder.\u003c/p>\n\u003cp>Union members are also concerned that colleges will rely heavily on virtual simulations even after the pandemic because software is cheaper than staff, Brogan said. Instruction that doesn’t prepare students to connect with patients on a human level, he said, threatens to compromise safety.\u003c/p>\n\u003cp>“You cannot simulate the fear and dread of some people,” Brogan said. “And frankly, we’re worried about the attempt to do so.”\u003c/p>\n\u003cp>Experts say the availability of clinical placements has recently begun to increase in California as \u003ca href=\"https://calmatters.org/health/coronavirus/2021/03/california-milestone-reopening-today/\">more vaccines are distributed\u003c/a> and coronavirus cases decline.\u003c/p>\n\u003cp>But Waxman, of the nonprofit California Simulation Alliance, agreed that the state is likely to see an expanded use of technology in nurse training post-pandemic, including a wider adoption of virtual reality that will replace some clinical experience.\u003c/p>\n\u003cp>Though cost has limited the use of virtual reality in nursing programs — each headset costs around $300, not including the price of the software — it overcomes some of the shortcomings of the 2D virtual simulations that colleges currently use, Waxman said, because it is immersive and students can use their sense of touch when practicing physical assessments and hands-on skills such as immunization.\u003c/p>\n\u003cp>“Once the pandemic is over, I believe that students will need to get back into the hands-on skills lab. I don’t think that will go away,” Waxman said. “But education is going to change dramatically.”\u003c/p>\n\u003chr>\n\u003cp>\u003cem>\u003ca href=\"https://calmatters.org/author/shehreen-karim/\">Shehreen Karim\u003c/a> is a fellow with the \u003ca href=\"https://calmatters.org/projects/college-journalism-network/\">CalMatters College Journalism Network\u003c/a>, a collaboration between CalMatters and student journalists from across California. \u003ca href=\"https://calmatters.org/author/charlotte-west/\">Charlotte West\u003c/a> contributed reporting. This story and other higher education coverage are supported by the College Futures Foundation.\u003c/em>\u003cbr>\n\u003c/p>\u003c/div>",
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"content": "\u003cp>Mental health professionals say the toll of the pandemic on children and teenagers means schools will need extra resources to prepare for an influx of children in crisis as they reopen for in-person instruction.\u003c/p>\n\u003cp>“Reopening schools isn’t the answer,” to addressing the needs of kids experiencing mental health problems during the pandemic, said Marisol Cruz Romero, a psychologist at UCSF Benioff Children’s Hospital Oakland, where the number of suicide attempts coming into the emergency department doubled last fall compared to the previous year. [pullquote size=\"medium\" align=\"right\" citation=\"Marisol Cruz Romero, psychologist at UCSF Benioff Children’s Hospital Oakland\"]‘The stressors of the pandemic don’t go away when schools reopen. Schools need to be ready for dysregulation, depression, kids who can’t focus.’[/pullquote]\u003c/p>\n\u003cp>“The stressors of the pandemic don’t go away when schools reopen. Schools need to be ready for dysregulation, depression, kids who can’t focus,” Romero said.\u003c/p>\n\u003cp>Schools need to prepare and train their teachers and staff to recognize that some kids will need more help as they return to the routines of schooling, because distance learning was taxing and many families have suffered great losses from the virus, Romero said. She argues that schools should provide these mental health resources, but for children who are already in crisis, more targeted counseling services and psychiatric beds are needed.\u003c/p>\n\u003cp>Hospital beds, mental health programs, psychiatric beds and therapy services for young people were hard to find even before the pandemic, Romero said. Now the influx of children in crisis to hospital emergency rooms has put more pressure on a system that was already stretched thin.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>Romero described a 6-year-old boy who recently spent hours in the emergency room while waiting for a placement in a psychiatric hospital. The waitlist was long and his family became homeless due to the pandemic. The hospital reminded him of the recent death of a family member. Waiting in a small hospital room with loud noises and people coming and going was triggering to the boy and also a challenge for providers, creating “a lot of additional stressors in providers and not knowing really how to access these resources or what to do to improve the system.”\u003c/p>\n\u003cp>Some children in crisis have to wait two months to see a psychiatrist, Romero said. Telehealth is an option but it doesn’t work for many children. Kids are experiencing loss, grief and economic uncertainty as they watch their family members get sick, lose work and even die. Because of social distancing, it’s also harder for children and their caregivers to take breaks by going to a relative’s home.\u003c/p>\n\u003cp>“A lot of kids fall into the gap between needing a couple weeks of inpatient care at a psychiatric hospital or just a weekly therapist visit,” or partial hospitalization or behavioral therapy, Romero said.\u003c/p>\n\u003cp>Many of the programs designed to fill that gap are built around in-person or group therapy, like the hospital’s 30-day after-school program for children recently released from the hospital after experiencing mental health crises. But Romero says those programs are now carried out primarily online, which can be less effective.\u003c/p>\n\u003cp>“The program is still going on, but it’s not as successful via telehealth,” Romero said. “Some kids do well with telehealth, others don’t — just like at school, just like adults at work.”\u003c/p>\n\u003cp>Romero said there is also a need for more psychiatric beds. “I wish we could focus on prevention. But the reality is kids are in crisis and we don’t have enough beds,” she said.\u003c/p>\n\u003cp>With these added stressors, Children’s Hospital emergency room staff have instituted universal screening, to make sure they ask directly about self-harm and suicidal thoughts. That’s something a teacher in an in-person classroom might help identify, but with kids taking online classes, those interactions are happening less frequently.\u003c/p>\n\u003cp>“Many of the primary care providers have expressed concerns and sometimes hesitation around asking about suicide directly because it might put [self-harm] in their head or because it’s a really hard conversation. I want to advocate that it is important to ask. The research does show that it does not increase the risk of suicide. It actually reduces it,” she said. [aside tag=\"education, mental health\" label=\"More Related Stories\"]\u003c/p>\n\u003cp>Romero and her colleagues are bracing themselves for an increase in referrals, which have been delayed because of distance learning. She’s encouraged to see many large school districts finally rolling out plans for children to return to in-person instruction, but there’s already a backlog of children waiting for appointments and services.\u003c/p>\n\u003cp>Schools are in the best position to help the most children, and screen those who need more intensive support. School-based mental health resources can provide “a safe space for kids to address their emotional challenges,” Romero said. Plus, they target some barriers to care, like lack of transportation or insurance. “If kids have trauma or abuse at home, they only say something if someone asks. There’s a space for that at school and with teachers.”\u003c/p>\n\u003cp>Finally, if young people are feeling sadness or overwhelmed, Romero encourages caretakers to find ways to help them stay connected and communicate. “The most important thing to keep note is that communication is key for our youth and providing them a safe space to express their emotions,” she said.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>\u003cem>To get help for a child or teenager in crisis, call the National Suicide Prevention Lifeline: 1-800-273-8255.\u003c/em>\u003c/p>\n\n",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>Romero described a 6-year-old boy who recently spent hours in the emergency room while waiting for a placement in a psychiatric hospital. The waitlist was long and his family became homeless due to the pandemic. The hospital reminded him of the recent death of a family member. Waiting in a small hospital room with loud noises and people coming and going was triggering to the boy and also a challenge for providers, creating “a lot of additional stressors in providers and not knowing really how to access these resources or what to do to improve the system.”\u003c/p>\n\u003cp>Some children in crisis have to wait two months to see a psychiatrist, Romero said. Telehealth is an option but it doesn’t work for many children. Kids are experiencing loss, grief and economic uncertainty as they watch their family members get sick, lose work and even die. Because of social distancing, it’s also harder for children and their caregivers to take breaks by going to a relative’s home.\u003c/p>\n\u003cp>“A lot of kids fall into the gap between needing a couple weeks of inpatient care at a psychiatric hospital or just a weekly therapist visit,” or partial hospitalization or behavioral therapy, Romero said.\u003c/p>\n\u003cp>Many of the programs designed to fill that gap are built around in-person or group therapy, like the hospital’s 30-day after-school program for children recently released from the hospital after experiencing mental health crises. But Romero says those programs are now carried out primarily online, which can be less effective.\u003c/p>\n\u003cp>“The program is still going on, but it’s not as successful via telehealth,” Romero said. “Some kids do well with telehealth, others don’t — just like at school, just like adults at work.”\u003c/p>\n\u003cp>Romero said there is also a need for more psychiatric beds. “I wish we could focus on prevention. But the reality is kids are in crisis and we don’t have enough beds,” she said.\u003c/p>\n\u003cp>With these added stressors, Children’s Hospital emergency room staff have instituted universal screening, to make sure they ask directly about self-harm and suicidal thoughts. That’s something a teacher in an in-person classroom might help identify, but with kids taking online classes, those interactions are happening less frequently.\u003c/p>\n\u003cp>“Many of the primary care providers have expressed concerns and sometimes hesitation around asking about suicide directly because it might put [self-harm] in their head or because it’s a really hard conversation. I want to advocate that it is important to ask. The research does show that it does not increase the risk of suicide. It actually reduces it,” she said. \u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>Romero and her colleagues are bracing themselves for an increase in referrals, which have been delayed because of distance learning. She’s encouraged to see many large school districts finally rolling out plans for children to return to in-person instruction, but there’s already a backlog of children waiting for appointments and services.\u003c/p>\n\u003cp>Schools are in the best position to help the most children, and screen those who need more intensive support. School-based mental health resources can provide “a safe space for kids to address their emotional challenges,” Romero said. Plus, they target some barriers to care, like lack of transportation or insurance. “If kids have trauma or abuse at home, they only say something if someone asks. There’s a space for that at school and with teachers.”\u003c/p>\n\u003cp>Finally, if young people are feeling sadness or overwhelmed, Romero encourages caretakers to find ways to help them stay connected and communicate. “The most important thing to keep note is that communication is key for our youth and providing them a safe space to express their emotions,” she said.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>\u003cem>To get help for a child or teenager in crisis, call the National Suicide Prevention Lifeline: 1-800-273-8255.\u003c/em>\u003c/p>\n\n\u003c/div>\u003c/p>",
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"content": "\u003cp>The U.S. Senate on Thursday narrowly confirmed California Attorney General \u003ca href=\"https://apnews.com/article/joe-biden-politics-coronavirus-pandemic-california-xavier-becerra-23dfc30794f976ac9799b8ce04701068\">Xavier Becerra\u003c/a> as President Biden’s health secretary, filling a \u003ca href=\"https://apnews.com/article/joe-biden-biden-cabinet-coronavirus-pandemic-hispanics-california-3f3fbd24de4a57f324397d0d5b438cc8\">key position\u003c/a> in the administration’s coronavirus response and its ambitious push to lower drug costs, expand insurance coverage and eliminate racial disparities in medical care.\u003c/p>\n\u003cp>The 50-49 largely party-line vote — with just one Republican supporting his confirmation — makes the 63-year-old \u003ca href=\"https://oag.ca.gov/about\">Becerra\u003c/a> the first Latino to head the Department of Health and Human Services. The $1.4 trillion agency encompasses health insurance programs, drug safety and approvals, advanced medical research, substance abuse treatment, and the welfare of children, including \u003ca href=\"https://apnews.com/article/is-us-mexico-border-in-crisis-explained-aea57dde734f5cccb920e0d5d6111e65\">hundreds of Central American migrants now arriving daily\u003c/a> at the U.S.-Mexico border.\u003c/p>\n\u003cp>Becerra has been California’s attorney general since 2017. He sued the Trump administration 124 times on a range of policy issues, earning the ire of conservatives. Before that, he represented a Los Angeles-area district in the U.S. House for 24 years.\u003c/p>\n\u003cp>A lawyer, not a doctor, his main experience with the health care system came through helping to pass the Obama-era \u003ca href=\"https://www.healthcare.gov/glossary/affordable-care-act/\">Affordable Care Act\u003c/a> and defending it when Donald Trump was president.\u003c/p>\n\u003cp>[aside label=\"related coverage\" tag=\"xavier-becerra\"]Becerra\u003ca href=\"https://apnews.com/article/2a41bfdffd344b3a954a98bd44bd9ac9\"> comes from a working-class Mexican American family\u003c/a>; his father was in road construction and his mother was a secretary\u003ca href=\"https://apnews.com/article/2a41bfdffd344b3a954a98bd44bd9ac9\">.\u003c/a>\u003c/p>\n\u003cp>“I understand the enormous challenges before us and our solemn responsibility to be faithful stewards of an agency that touches almost every aspect of our lives,” he said recently at his confirmation hearing. “I’m humbled by the task, and I’m ready for it.”\u003c/p>\n\u003cp>Leading Republicans have dismissed Becerra as unfit. But the American Medical Association and the American Hospital Association supported his nomination. A powerful drug industry lobby, the Pharmaceutical Research and Manufacturers of America, congratulated Becerra on his confirmation and said it looks forward to a collaborative working relationship.\u003c/p>\n\u003cp>But to Senate Republican leader Mitch McConnell of Kentucky, “the distinguishing feature of this nominee’s resume is not his expertise in health, medicine or administration — that part of the resume is very brief. What stands out are Mr. Becerra’s commitment to partisan warfare and his far-left ideology.”\u003c/p>\n\u003cp>Although Becerra was reliably liberal in his nearly quarter-century stint in the House, he was not seen as a left-wing firebrand. His issues were education, immigration and equal treatment for minorities. His profile was of a low-key insider who could work with Republicans.\u003c/p>\n\u003cp>Senate Majority Leader Chuck Schumer, D-New York, said GOP arguments against Becerra “almost verge on the ridiculous.” Schumer said Republicans “complained loudly that he had no direct experience as a medical professional, even though Republicans voted in lockstep” to make pharmaceutical executive Alex Azar health secretary under Trump.\u003c/p>\n\u003cp>The Biden administration’s COVID-19 response is already in high gear, directed out of the White House. Biden has signed his $1.9 trillion relief bill into law and agencies are making announcements almost daily. But having a health secretary in the mix will make a big difference, said Kathleen Sebelius, who led HHS during much of President Barack Obama’s administration.\u003c/p>\n\u003cp>“Many of the assets that will be important to this effort are in HHS, and he’ll have the key coordinating role within the department,” Sebelius said. “It adds a force multiplier and expertise to the efforts already under way.”\u003c/p>\n\u003cp>[ad fullwidth]Core components of HHS are the boots on the ground of the coronavirus response.\u003c/p>\n\u003cp>The Food and Drug Administration oversees vaccines and treatments. Much of the underlying scientific and medical research comes from the National Institutes of Health. The Centers for Disease Control and Prevention takes the lead containing the spread of the virus and developing guidance to safely reopen schools and offices. The Centers for Medicare and Medicaid Services provides insurance coverage for more than 1 in 3 Americans, including vulnerable seniors, as well as many children and low-income people.\u003c/p>\n\u003cp>Becerra will also be the point man on Biden’s health care agenda, which includes insurance for all Americans, deputizing Medicare to negotiate prescription drug prices, and tackling persistent racial and ethnic disparities in the health care system.\u003c/p>\n\u003cp>Prescription drugs and health insurance will lead to major legislative battles. Democrats may have to go it alone and again use the special budget maneuver they relied on to muscle the COVID-19 relief bill through the Senate without Republican support.\u003c/p>\n\u003cp>Leslie Dach, a former senior adviser at HHS in the Obama administration, said Becerra appears poised to take advantage of a shift in the politics of health care.\u003c/p>\n\u003cp>“It’s a different time and it’s a time of tremendous opportunity in health care,” he said. “Whereas the Obama years were against a backdrop of tough politics and a [health care] law that still had to earn its stripes, he enters with a proven and popular law, an issue that won for the Democrats.” Dach now leads the advocacy group Protect Our Care, which pushes to expand coverage.\u003c/p>\n\u003cp>Becerra’s Senate confirmation was a defeat for religious and social conservatives who worked to derail it over his support for \u003ca href=\"https://apnews.com/article/xavier-becerra-health-secretary-nominee-abortion-rights-d62603802d5b5b5bcc752cf38ea953ee\">abortion rights\u003c/a>. During his confirmation hearings, Becerra tried to play down the issue, acknowledging Americans have deeply held differences on abortion and assuring senators that he would follow the law. The law says abortion is legal but also that taxpayer money cannot be used to pay for abortions except in cases of rape, incest or to save the life of the woman.\u003c/p>\n\u003cp>On the Senate floor Thursday, Republicans mostly closed ranks against Becerra. But during committee hearings, several indicated a willingness to work him with on prescription drugs, rural health care and other matters.\u003c/p>\n\u003cp>“Although there are issues where I strongly disagree with Mr. Becerra, I believe he merits confirmation as HHS secretary,” said Sen. Susan Collins, R-Maine, the only Republican to vote for him. “I look forward to working with the department to achieve bipartisan results on behalf of the American people.”\u003c/p>\n\u003cp>\u003c/p>\n",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>The U.S. Senate on Thursday narrowly confirmed California Attorney General \u003ca href=\"https://apnews.com/article/joe-biden-politics-coronavirus-pandemic-california-xavier-becerra-23dfc30794f976ac9799b8ce04701068\">Xavier Becerra\u003c/a> as President Biden’s health secretary, filling a \u003ca href=\"https://apnews.com/article/joe-biden-biden-cabinet-coronavirus-pandemic-hispanics-california-3f3fbd24de4a57f324397d0d5b438cc8\">key position\u003c/a> in the administration’s coronavirus response and its ambitious push to lower drug costs, expand insurance coverage and eliminate racial disparities in medical care.\u003c/p>\n\u003cp>The 50-49 largely party-line vote — with just one Republican supporting his confirmation — makes the 63-year-old \u003ca href=\"https://oag.ca.gov/about\">Becerra\u003c/a> the first Latino to head the Department of Health and Human Services. The $1.4 trillion agency encompasses health insurance programs, drug safety and approvals, advanced medical research, substance abuse treatment, and the welfare of children, including \u003ca href=\"https://apnews.com/article/is-us-mexico-border-in-crisis-explained-aea57dde734f5cccb920e0d5d6111e65\">hundreds of Central American migrants now arriving daily\u003c/a> at the U.S.-Mexico border.\u003c/p>\n\u003cp>Becerra has been California’s attorney general since 2017. He sued the Trump administration 124 times on a range of policy issues, earning the ire of conservatives. Before that, he represented a Los Angeles-area district in the U.S. House for 24 years.\u003c/p>\n\u003cp>A lawyer, not a doctor, his main experience with the health care system came through helping to pass the Obama-era \u003ca href=\"https://www.healthcare.gov/glossary/affordable-care-act/\">Affordable Care Act\u003c/a> and defending it when Donald Trump was president.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>Becerra\u003ca href=\"https://apnews.com/article/2a41bfdffd344b3a954a98bd44bd9ac9\"> comes from a working-class Mexican American family\u003c/a>; his father was in road construction and his mother was a secretary\u003ca href=\"https://apnews.com/article/2a41bfdffd344b3a954a98bd44bd9ac9\">.\u003c/a>\u003c/p>\n\u003cp>“I understand the enormous challenges before us and our solemn responsibility to be faithful stewards of an agency that touches almost every aspect of our lives,” he said recently at his confirmation hearing. “I’m humbled by the task, and I’m ready for it.”\u003c/p>\n\u003cp>Leading Republicans have dismissed Becerra as unfit. But the American Medical Association and the American Hospital Association supported his nomination. A powerful drug industry lobby, the Pharmaceutical Research and Manufacturers of America, congratulated Becerra on his confirmation and said it looks forward to a collaborative working relationship.\u003c/p>\n\u003cp>But to Senate Republican leader Mitch McConnell of Kentucky, “the distinguishing feature of this nominee’s resume is not his expertise in health, medicine or administration — that part of the resume is very brief. What stands out are Mr. Becerra’s commitment to partisan warfare and his far-left ideology.”\u003c/p>\n\u003cp>Although Becerra was reliably liberal in his nearly quarter-century stint in the House, he was not seen as a left-wing firebrand. His issues were education, immigration and equal treatment for minorities. His profile was of a low-key insider who could work with Republicans.\u003c/p>\n\u003cp>Senate Majority Leader Chuck Schumer, D-New York, said GOP arguments against Becerra “almost verge on the ridiculous.” Schumer said Republicans “complained loudly that he had no direct experience as a medical professional, even though Republicans voted in lockstep” to make pharmaceutical executive Alex Azar health secretary under Trump.\u003c/p>\n\u003cp>The Biden administration’s COVID-19 response is already in high gear, directed out of the White House. Biden has signed his $1.9 trillion relief bill into law and agencies are making announcements almost daily. But having a health secretary in the mix will make a big difference, said Kathleen Sebelius, who led HHS during much of President Barack Obama’s administration.\u003c/p>\n\u003cp>“Many of the assets that will be important to this effort are in HHS, and he’ll have the key coordinating role within the department,” Sebelius said. “It adds a force multiplier and expertise to the efforts already under way.”\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>Core components of HHS are the boots on the ground of the coronavirus response.\u003c/p>\n\u003cp>The Food and Drug Administration oversees vaccines and treatments. Much of the underlying scientific and medical research comes from the National Institutes of Health. The Centers for Disease Control and Prevention takes the lead containing the spread of the virus and developing guidance to safely reopen schools and offices. The Centers for Medicare and Medicaid Services provides insurance coverage for more than 1 in 3 Americans, including vulnerable seniors, as well as many children and low-income people.\u003c/p>\n\u003cp>Becerra will also be the point man on Biden’s health care agenda, which includes insurance for all Americans, deputizing Medicare to negotiate prescription drug prices, and tackling persistent racial and ethnic disparities in the health care system.\u003c/p>\n\u003cp>Prescription drugs and health insurance will lead to major legislative battles. Democrats may have to go it alone and again use the special budget maneuver they relied on to muscle the COVID-19 relief bill through the Senate without Republican support.\u003c/p>\n\u003cp>Leslie Dach, a former senior adviser at HHS in the Obama administration, said Becerra appears poised to take advantage of a shift in the politics of health care.\u003c/p>\n\u003cp>“It’s a different time and it’s a time of tremendous opportunity in health care,” he said. “Whereas the Obama years were against a backdrop of tough politics and a [health care] law that still had to earn its stripes, he enters with a proven and popular law, an issue that won for the Democrats.” Dach now leads the advocacy group Protect Our Care, which pushes to expand coverage.\u003c/p>\n\u003cp>Becerra’s Senate confirmation was a defeat for religious and social conservatives who worked to derail it over his support for \u003ca href=\"https://apnews.com/article/xavier-becerra-health-secretary-nominee-abortion-rights-d62603802d5b5b5bcc752cf38ea953ee\">abortion rights\u003c/a>. During his confirmation hearings, Becerra tried to play down the issue, acknowledging Americans have deeply held differences on abortion and assuring senators that he would follow the law. The law says abortion is legal but also that taxpayer money cannot be used to pay for abortions except in cases of rape, incest or to save the life of the woman.\u003c/p>\n\u003cp>On the Senate floor Thursday, Republicans mostly closed ranks against Becerra. But during committee hearings, several indicated a willingness to work him with on prescription drugs, rural health care and other matters.\u003c/p>\n\u003cp>“Although there are issues where I strongly disagree with Mr. Becerra, I believe he merits confirmation as HHS secretary,” said Sen. Susan Collins, R-Maine, the only Republican to vote for him. “I look forward to working with the department to achieve bipartisan results on behalf of the American people.”\u003c/p>\n\u003cp>\u003c/p>\n\u003c/div>\u003c/p>",
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"title": "COVID-19 and Personal Grief: Advice from Experts",
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"content": "\u003cp>\u003cem>Part of our series ‘\u003ca href=\"https://www.kqed.org/yearofcovid\">A Year of COVID\u003c/a>,’ marking a year of the coronavirus pandemic\u003c/em>\u003c/p>\n\u003cp>A year after the pandemic began, more than 2.6 million people globally have died from the coronavirus.\u003c/p>\n\u003cp>In the United States, COVID-19 has killed more than 530,000 people. And within California, more than 55,000 people have died.\u003c/p>\n\u003cp>These vast numbers remain hard to grasp — each one representing not just a person, but also a community of grieving friends and family.\u003c/p>\n\u003cp>Much has been written of both \u003ca href=\"https://www.npr.org/2021/01/01/949329416/steamrolled-us-in-every-direction-the-year-grief-hit-from-all-sides\" target=\"_blank\" rel=\"noopener noreferrer\">individual grief\u003c/a> and the ongoing feelings\u003ca href=\"https://www.theatlantic.com/ideas/archive/2020/04/were-not-ready-for-this-kind-of-grief/609856/\" target=\"_blank\" rel=\"noopener noreferrer\"> of collective loss during this period\u003c/a>. But what should be done about the indescribable brain fog and empty-heartedness that grief leaves a person with?\u003c/p>\n\u003cp>“All the ways that you cope and grieve with horrifying losses are kind of stripped during a crisis like this,” said journalist Sam Levin on \u003ca href=\"https://www.kqed.org/forum\" target=\"_blank\" rel=\"noopener noreferrer\">KQED Forum\u003c/a>‘s \u003ca href=\"https://www.kqed.org/forum/2010101881800/processing-the-grief-and-trauma-of-losing-a-loved-one-to-covid-19\">recent show dedicated to the grief and trauma\u003c/a> wrought by the COVID-19 death toll. “And it makes it just exponentially harder and really is sort of a trauma on top of trauma.”\u003c/p>\n\u003cp>Levin lost his grandmother, Debbie Hennessy, to COVID-19 in January, and wrote a \u003ca href=\"https://www.theguardian.com/us-news/2021/jan/31/my-grandmas-survival-in-america-defied-all-odds-then-covid-stole-her-from-us\">moving tribute to her in The Guardian\u003c/a>.\u003c/p>\n\u003cp>https://twitter.com/SamTLevin/status/1351590545836003328\u003c/p>\n\u003cp>For California Assemblyman James Ramos, D-Highland, who is the first Native American elected to the state Assembly, there’s a different sense of a loss when it comes to COVID-19 and elders.\u003c/p>\n\u003cp>“When we lose them, it’s a piece of our history and a piece of our knowledge that goes with them,” Ramos — a member of the of the Serrano/Cahuilla tribe in San Bernardino County — told KQED Forum.\u003cspan style=\"font-weight: 400;\">[aside postID=\"arts_13893843\"]\u003c/span>\u003c/p>\n\u003cp>“There’s things that aren’t written down,” Ramos said. And with each human loss, “a thread of the culture” is lost too, he said.\u003c/p>\n\u003cp>For those experiencing grief during the pandemic — and particularly Black and Indigenous people of color (BIPOC), \u003ca href=\"https://www.npr.org/sections/coronavirus-live-updates/2020/09/16/913365560/the-majority-of-children-who-die-from-covid-19-are-children-of-color\">who have been so disproportionately impacted by the coronavirus \u003c/a>— what are some concrete ways individuals can work through the enormity of losing someone to COVID-19?\u003c/p>\n\u003cp>KQED spoke with three experts who all professionally focus on end-of-life care and approach grieving from differing perspectives:\u003c/p>\n\u003cul>\n\u003cli>\u003ca href=\"https://www.oceanaendoflifedoula.com/end-of-life-doula\" target=\"_blank\" rel=\"noopener noreferrer\">Oceana Sawyer, \u003c/a>an end-of-life doula in the Bay Area,\u003c/li>\n\u003cli>\u003ca href=\"https://www.cardamomandkavate.com/\" target=\"_blank\" rel=\"noopener noreferrer\">Roshni Kavate, \u003c/a>healer and activist, and former palliative care nurse\u003c/li>\n\u003cli>\u003ca href=\"https://sbbh.net/provider/erika-felix/\" target=\"_blank\" rel=\"noopener noreferrer\">Erika Felix, \u003c/a>a licensed psychologist and associate professor of clinical psychology at UC Santa Barbara\u003c/li>\n\u003c/ul>\n\u003cp>And keep in mind when reading this: as Felix noted on KQED Forum, “grief is not a one size fits all thing.” Consider and take what works for you and leave the rest. Additional resources on processing grief \u003ca href=\"#anchor\">are listed at the bottom of this article\u003c/a>.\u003c/p>\n\u003ch3>Choose Someone You Can \u003cem>Really\u003c/em> Talk To\u003c/h3>\n\u003cp>“The first thing I would suggest is the person get themselves a therapist,” said \u003ca href=\"https://www.oceanaendoflifedoula.com/\" target=\"_blank\" rel=\"noopener noreferrer\">Oceana Sawyer, \u003c/a> who as an end-of-life doula provides supportive care to people during the dying process.\u003c/p>\n\u003cp>Sawyer hosts a virtual “death cafe” for the BIPOC community, as well as events focusing on grief and the Black experience. It’s important, Sawyer stresses, that the support you seek comes with the cultural competency you need. [pullquote size=\"medium\" align=\"right\" citation=\"Oceana Sawyer, death doula\"]‘You want to be able to communicate your experience to someone who can actually hear it and receive it and reflect it back to you in its entirety.’[/pullquote]\u003c/p>\n\u003cp>“You want to be able to communicate your experience to someone who can actually hear it and receive it, and reflect it back to you in its entirety,” Sawyer said — emphasizing the particular importance for BIPOC folks of doing so without the “need for code switching.” Ideally, anyone who is sharing their experiences should not be “impacted by microaggressions at a moment in time where you’re at your most vulnerable,” she added.\u003c/p>\n\u003cp>The importance of cultural competency in professional support was echoed on KQED Forum’s show by Los Angeles Times reporter Brittny Mejia, who has been personally been working through the death of her own loved ones from COVID-19 while simultaneously reporting on the pandemic in L.A.\u003c/p>\n\u003cp>Mejia said her therapist is also Mexican American, which has “been a huge help to me that she kind of understands my family dynamic.” “She gets it” Mejia said — emphasizing that “it makes a huge difference for me to have a therapist like her.”\u003c/p>\n\u003cp>All of this matters, Oceana Sawyer says, because the communities of color she works with have been dying from the virus at disproportionate rates. And that means their grief is also happening in “the context of medical racism, which doesn’t provide adequate care for Black and brown Indigenous bodies,” she says — and all amid the “ongoing racial oppression and white supremacy” in the United States.\u003c/p>\n\u003cp>“For us, it’s more complex,” Sawyer said. “All these different layers are happening.”\u003c/p>\n\u003cfigure id=\"attachment_11837589\" class=\"wp-caption alignnone\" style=\"max-width: 1900px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-11837589\" src=\"https://ww2.kqed.org/app/uploads/sites/10/2020/09/therapy.png\" alt=\"\" width=\"1900\" height=\"1280\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2020/09/therapy.png 1900w, https://cdn.kqed.org/wp-content/uploads/sites/10/2020/09/therapy-800x539.png 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2020/09/therapy-1020x687.png 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2020/09/therapy-160x108.png 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2020/09/therapy-1536x1035.png 1536w\" sizes=\"(max-width: 1900px) 100vw, 1900px\">\u003cfigcaption class=\"wp-caption-text\">Resources on finding culturally competent affordable therapy can be found below. \u003ccite>(Gender Spectrum Collection/Broadly)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003ch3>Remember That Grief Might Not Feel (or Look) Like You Think\u003c/h3>\n\u003cp>Erika Felix echoes the importance of having a support system. “We all know that there’s no words that can take away such a profound loss,” she said — and still, she notes, we \u003cem>need\u003c/em> our networks.\u003c/p>\n\u003cp>If it’s someone close to you going through grief, Felix recommends checking in, but staying adaptable on the support you offer.\u003c/p>\n\u003cp>“Maybe they want to talk that day, maybe they don’t,” Felix said. “Maybe it just feels good to have somebody remember that they’re going through this and grieving.” And just knowing that you’re “willing to walk through it with them,” she added, is important for a person’s healing.\u003c/p>\n\u003cp>While the five stages of grief may be more well known — denial, anger, bargaining, depression, acceptance — the fact that everyone goes through them differently can be hard to reconcile with close family and friends.\u003c/p>\n\u003cp>“We might go through phases of depression and eventually come out at the other end with acceptance and being able to hold the memories and move forward,” said Felix.\u003c/p>\n\u003cp>But people also move \u003cem>in and out\u003c/em> of each stage in many different ways, Felix said. “Depending on somebody’s culture and family, and how they process emotions, even within families, grief can look very different,” she said.\u003c/p>\n\u003cp>Each person’s grief and each family’s grief may look different and go through many continual phases. If you’re the one experiencing grief, be aware of this and be kind to yourself. And if you’re the one offering support, know that a loved one’s grief might not take the form or process you anticipated.\u003c/p>\n\u003ch3>\u003cstrong>Allow Your Body to Feel Your Grief \u003c/strong>\u003c/h3>\n\u003cp>“Grief is a full-body sport,” says Roshni Kavate, who grew up in India and worked for several years as an ICU and palliative care nurse in the Bay Area. “It shows up in your body and in your heart.”\u003c/p>\n\u003cp>Kavate now focuses on reclaiming nourishing practices rooted in ancestral wisdom, often working with people who are experiencing grief by mixing art and ritual.\u003c/p>\n\u003cp>Kavate says she left nursing after 12 years because she wanted to see a greater sense of caring in the bereavement process. “I want to do it with beauty and intention; with celebrating,” she said. And creating or recreating personal rituals for your body and brain to enact can allow those experiencing grief to rethink the shattered sense of meaning in their lives and regain a sense of control, she says.\u003c/p>\n\u003cp>“You cannot control grief. It dictates when it’s going to show up,” Kavate said. But with ritual, she said, “you can get curious in that space.”\u003c/p>\n\u003cp>She also sees it as a cyclical process. Healing is often thought of with an endpoint, but as Kavate says, you don’t need to try to get to the end — since there \u003cem>is\u003c/em> no end. “If we can really feel the depth of emotion in our body,” she notes, that will help the process.\u003c/p>\n\u003cp>Oceana Sawyer also highlights how both movement and sound — known as somatic or vocal processing — can be a way of moving through grief. This can be particularly powerful for BIPOC grievers, she says.\u003c/p>\n\u003cp>“The whole thing about the full-body wailing — the singing, the moving, the dancing … It’s part of how Black bodies actually metabolize grief,” Sawyer said. “When you move your body in a certain way — that rocking, that swing, you add a hum to it — those things together actually calm the nervous system, and allow the body to process big emotional experiences.”\u003c/p>\n\u003cfigure id=\"attachment_11835632\" class=\"wp-caption alignnone\" style=\"max-width: 1900px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-11835632\" src=\"https://ww2.kqed.org/app/uploads/sites/10/2020/08/stress-comp.png\" alt=\"\" width=\"1900\" height=\"1280\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2020/08/stress-comp.png 1900w, https://cdn.kqed.org/wp-content/uploads/sites/10/2020/08/stress-comp-800x539.png 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2020/08/stress-comp-1020x687.png 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2020/08/stress-comp-160x108.png 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2020/08/stress-comp-1536x1035.png 1536w\" sizes=\"(max-width: 1900px) 100vw, 1900px\">\u003cfigcaption class=\"wp-caption-text\">Listen to how you speak to yourself. Are you showing the same understanding and compassion that you’d extend to a friend? \u003ccite>(Ketut Subiyanto/Pexels)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003ch3>\u003cstrong>Move Your Body \u003cem>Into\u003c/em> Nature\u003c/strong>\u003c/h3>\n\u003cp>Paying attention to your grief through journaling or meditation has huge value, Sawyer said, “but I \u003cem>really\u003c/em> recommend that people start moving around: specifically for BIPOC folks.”\u003c/p>\n\u003cp>Sawyer recommends people notice and observe their body, “meditate, move — get out in nature and just start moving, noticing how it feels in your body, where the emotions are in your body,” she says.\u003c/p>\n\u003cp>Kavate agrees that nature is a wonderful remedy. This could be something as simple as taking care of a plant for a kitchen garden, taking a hike in nature, or a trip to the beach — anything you can do to tend to life, while going through loss.\u003c/p>\n\u003cp>“When [we] are grieving, we don’t take care of ourselves,” Kavate said. “An antidote to grief is life,” she said, and urges ways to find “a deeper kinship with living beings, and life.”\u003c/p>\n\u003ch3>\u003cstrong>Consider Connecting With Family and Ancestral Forms of Healing\u003c/strong>\u003c/h3>\n\u003cp>Delving deeper into ancestral wisdom can be useful for immigrants as well as first, second and third generation Americans, Kavate says. The question she advises asking: “What in your culture was medicine?”\u003c/p>\n\u003cp>If it was food-based, this could be answered by eating your grandmother’s favorite lamb meatballs, for example, or eating a mango. Kavate encourages people to particularly look into foods that bring you comfort — which could be traditional medicinal food, like stews, beans, rice and lentils. The smell of these foods, Kavate says, can also be powerful.\u003c/p>\n\u003cp>“Grief is really a calling for more joy and more life,” she said — and it’s important for people to “tend” to what is calling us and our bodies. “Our bodies are deeply intelligent and they have intelligence in how to navigate grief,” she adds.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003ch3>\u003cstrong>Finally, Say No to Guilt\u003c/strong>\u003c/h3>\n\u003cp>As Felix told KQED Forum, when it comes to housing inequities and work, sometimes people — particularly BIPOC folks — are given “impossible choices on survival” in terms of navigating exposure, work and a constantly changing and mutating viruses.\u003c/p>\n\u003cp>“You could do everything right, and somebody could still get it [COVID-19],” Felix said.\u003c/p>\n\u003cp>While guilt is understandable, Felix says it’s about not letting it stop a person moving forward. To reframe the perspective, Felix poses the question of how someone might treat a friend in a similar situation, — “what would they say to their best friend to comfort them?”\u003c/p>\n\u003cp>\u003ca id=\"anchor\">\u003c/a>\u003cbr>\n\u003cstrong>Resources:\u003c/strong>\u003c/p>\n\u003cul>\n\u003cli>\u003ca href=\"https://www.nctsn.org/\" target=\"_blank\" rel=\"noopener noreferrer\">National Child Traumatic Stress Network\u003c/a>\u003c/li>\n\u003cli>\u003ca href=\"https://www.apa.org/helpcenter\" target=\"_blank\" rel=\"noopener noreferrer\">American Psychological Association Help Center\u003c/a>\u003c/li>\n\u003cli>\u003ca href=\"https://www.nlpa.ws/find-an-expert#/\" target=\"_blank\" rel=\"noopener noreferrer\">National Latinx Psychological Association\u003c/a>\u003c/li>\n\u003cli>\u003ca href=\"https://abpsi.site-ym.com/search/custom.asp?id=5934\" target=\"_blank\" rel=\"noopener noreferrer\">Association of Black Psychologists, Find a Therapist\u003c/a>\u003c/li>\n\u003cli>\u003ca href=\"https://kara-grief.org/\" target=\"_blank\" rel=\"noopener noreferrer\">Kara Grief Support\u003c/a>\u003c/li>\n\u003cli>\u003ca href=\"https://www.facebook.com/groups/2032852766832910\" target=\"_blank\" rel=\"noopener noreferrer\">COVID-19 Loss Support Group for Young Adults, a Facebook group\u003c/a>\u003c/li>\n\u003cli>\u003ca href=\"https://www.facebook.com/groups/2032852766832910\" target=\"_blank\" rel=\"noopener noreferrer\">Motherless Daughters, Facebook group\u003c/a>\u003c/li>\n\u003cli>An \u003ca href=\"https://refugeingrief.com/helper-overview/\" target=\"_blank\" rel=\"noopener noreferrer\">overview on how to help a grieving friend\u003c/a> from Megan Devine\u003c/li>\n\u003cli>\u003ca href=\"https://www.covidgriefnetwork.org/\" target=\"_blank\" rel=\"noopener noreferrer\">The COVID Grief Network\u003c/a> offers free one-on-one and group grief support for young adults\u003c/li>\n\u003cli>More resources from \u003ca href=\"https://alicaforneret.com/aboutme\" target=\"_blank\" rel=\"noopener noreferrer\">Alica Forneret\u003c/a>, founder of Dead Mom’s Club\u003c/li>\n\u003cli>List of \u003ca href=\"https://bookshop.org/lists/books-for-a-grieving-friend\" target=\"_blank\" rel=\"noopener noreferrer\">books on grief,\u003c/a> curated by journalist Katie Hawkins-Garr\u003c/li>\n\u003cli>\u003ca href=\"https://letsreimagine.org/resources/\" target=\"_blank\" rel=\"noopener noreferrer\">Let’s Reimagine\u003c/a>, resources and community events\u003c/li>\n\u003cli>\u003ca href=\"https://open.spotify.com/show/75hicI0owzQKJmUuFwP4oc?si=oKkkEJ92TxWADTLrl2z2KQ\" target=\"_blank\" rel=\"noopener noreferrer\">Grief Out Loud\u003c/a>, a podcast on grief from \u003ca href=\"https://www.dougy.org/\" target=\"_blank\" rel=\"noopener noreferrer\">The Dougy Center\u003c/a>\u003c/li>\n\u003c/ul>\n\u003cp>[ad floatright]\u003c/p>\n",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>\u003cem>Part of our series ‘\u003ca href=\"https://www.kqed.org/yearofcovid\">A Year of COVID\u003c/a>,’ marking a year of the coronavirus pandemic\u003c/em>\u003c/p>\n\u003cp>A year after the pandemic began, more than 2.6 million people globally have died from the coronavirus.\u003c/p>\n\u003cp>In the United States, COVID-19 has killed more than 530,000 people. And within California, more than 55,000 people have died.\u003c/p>\n\u003cp>These vast numbers remain hard to grasp — each one representing not just a person, but also a community of grieving friends and family.\u003c/p>\n\u003cp>Much has been written of both \u003ca href=\"https://www.npr.org/2021/01/01/949329416/steamrolled-us-in-every-direction-the-year-grief-hit-from-all-sides\" target=\"_blank\" rel=\"noopener noreferrer\">individual grief\u003c/a> and the ongoing feelings\u003ca href=\"https://www.theatlantic.com/ideas/archive/2020/04/were-not-ready-for-this-kind-of-grief/609856/\" target=\"_blank\" rel=\"noopener noreferrer\"> of collective loss during this period\u003c/a>. But what should be done about the indescribable brain fog and empty-heartedness that grief leaves a person with?\u003c/p>\n\u003cp>“All the ways that you cope and grieve with horrifying losses are kind of stripped during a crisis like this,” said journalist Sam Levin on \u003ca href=\"https://www.kqed.org/forum\" target=\"_blank\" rel=\"noopener noreferrer\">KQED Forum\u003c/a>‘s \u003ca href=\"https://www.kqed.org/forum/2010101881800/processing-the-grief-and-trauma-of-losing-a-loved-one-to-covid-19\">recent show dedicated to the grief and trauma\u003c/a> wrought by the COVID-19 death toll. “And it makes it just exponentially harder and really is sort of a trauma on top of trauma.”\u003c/p>\n\u003cp>Levin lost his grandmother, Debbie Hennessy, to COVID-19 in January, and wrote a \u003ca href=\"https://www.theguardian.com/us-news/2021/jan/31/my-grandmas-survival-in-america-defied-all-odds-then-covid-stole-her-from-us\">moving tribute to her in The Guardian\u003c/a>.\u003c/p>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\n\u003cp>For California Assemblyman James Ramos, D-Highland, who is the first Native American elected to the state Assembly, there’s a different sense of a loss when it comes to COVID-19 and elders.\u003c/p>\n\u003cp>“When we lose them, it’s a piece of our history and a piece of our knowledge that goes with them,” Ramos — a member of the of the Serrano/Cahuilla tribe in San Bernardino County — told KQED Forum.\u003cspan style=\"font-weight: 400;\">\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/span>\u003c/p>\n\u003cp>“There’s things that aren’t written down,” Ramos said. And with each human loss, “a thread of the culture” is lost too, he said.\u003c/p>\n\u003cp>For those experiencing grief during the pandemic — and particularly Black and Indigenous people of color (BIPOC), \u003ca href=\"https://www.npr.org/sections/coronavirus-live-updates/2020/09/16/913365560/the-majority-of-children-who-die-from-covid-19-are-children-of-color\">who have been so disproportionately impacted by the coronavirus \u003c/a>— what are some concrete ways individuals can work through the enormity of losing someone to COVID-19?\u003c/p>\n\u003cp>KQED spoke with three experts who all professionally focus on end-of-life care and approach grieving from differing perspectives:\u003c/p>\n\u003cul>\n\u003cli>\u003ca href=\"https://www.oceanaendoflifedoula.com/end-of-life-doula\" target=\"_blank\" rel=\"noopener noreferrer\">Oceana Sawyer, \u003c/a>an end-of-life doula in the Bay Area,\u003c/li>\n\u003cli>\u003ca href=\"https://www.cardamomandkavate.com/\" target=\"_blank\" rel=\"noopener noreferrer\">Roshni Kavate, \u003c/a>healer and activist, and former palliative care nurse\u003c/li>\n\u003cli>\u003ca href=\"https://sbbh.net/provider/erika-felix/\" target=\"_blank\" rel=\"noopener noreferrer\">Erika Felix, \u003c/a>a licensed psychologist and associate professor of clinical psychology at UC Santa Barbara\u003c/li>\n\u003c/ul>\n\u003cp>And keep in mind when reading this: as Felix noted on KQED Forum, “grief is not a one size fits all thing.” Consider and take what works for you and leave the rest. Additional resources on processing grief \u003ca href=\"#anchor\">are listed at the bottom of this article\u003c/a>.\u003c/p>\n\u003ch3>Choose Someone You Can \u003cem>Really\u003c/em> Talk To\u003c/h3>\n\u003cp>“The first thing I would suggest is the person get themselves a therapist,” said \u003ca href=\"https://www.oceanaendoflifedoula.com/\" target=\"_blank\" rel=\"noopener noreferrer\">Oceana Sawyer, \u003c/a> who as an end-of-life doula provides supportive care to people during the dying process.\u003c/p>\n\u003cp>Sawyer hosts a virtual “death cafe” for the BIPOC community, as well as events focusing on grief and the Black experience. It’s important, Sawyer stresses, that the support you seek comes with the cultural competency you need. \u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>“You want to be able to communicate your experience to someone who can actually hear it and receive it, and reflect it back to you in its entirety,” Sawyer said — emphasizing the particular importance for BIPOC folks of doing so without the “need for code switching.” Ideally, anyone who is sharing their experiences should not be “impacted by microaggressions at a moment in time where you’re at your most vulnerable,” she added.\u003c/p>\n\u003cp>The importance of cultural competency in professional support was echoed on KQED Forum’s show by Los Angeles Times reporter Brittny Mejia, who has been personally been working through the death of her own loved ones from COVID-19 while simultaneously reporting on the pandemic in L.A.\u003c/p>\n\u003cp>Mejia said her therapist is also Mexican American, which has “been a huge help to me that she kind of understands my family dynamic.” “She gets it” Mejia said — emphasizing that “it makes a huge difference for me to have a therapist like her.”\u003c/p>\n\u003cp>All of this matters, Oceana Sawyer says, because the communities of color she works with have been dying from the virus at disproportionate rates. And that means their grief is also happening in “the context of medical racism, which doesn’t provide adequate care for Black and brown Indigenous bodies,” she says — and all amid the “ongoing racial oppression and white supremacy” in the United States.\u003c/p>\n\u003cp>“For us, it’s more complex,” Sawyer said. “All these different layers are happening.”\u003c/p>\n\u003cfigure id=\"attachment_11837589\" class=\"wp-caption alignnone\" style=\"max-width: 1900px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-11837589\" src=\"https://ww2.kqed.org/app/uploads/sites/10/2020/09/therapy.png\" alt=\"\" width=\"1900\" height=\"1280\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2020/09/therapy.png 1900w, https://cdn.kqed.org/wp-content/uploads/sites/10/2020/09/therapy-800x539.png 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2020/09/therapy-1020x687.png 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2020/09/therapy-160x108.png 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2020/09/therapy-1536x1035.png 1536w\" sizes=\"(max-width: 1900px) 100vw, 1900px\">\u003cfigcaption class=\"wp-caption-text\">Resources on finding culturally competent affordable therapy can be found below. \u003ccite>(Gender Spectrum Collection/Broadly)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003ch3>Remember That Grief Might Not Feel (or Look) Like You Think\u003c/h3>\n\u003cp>Erika Felix echoes the importance of having a support system. “We all know that there’s no words that can take away such a profound loss,” she said — and still, she notes, we \u003cem>need\u003c/em> our networks.\u003c/p>\n\u003cp>If it’s someone close to you going through grief, Felix recommends checking in, but staying adaptable on the support you offer.\u003c/p>\n\u003cp>“Maybe they want to talk that day, maybe they don’t,” Felix said. “Maybe it just feels good to have somebody remember that they’re going through this and grieving.” And just knowing that you’re “willing to walk through it with them,” she added, is important for a person’s healing.\u003c/p>\n\u003cp>While the five stages of grief may be more well known — denial, anger, bargaining, depression, acceptance — the fact that everyone goes through them differently can be hard to reconcile with close family and friends.\u003c/p>\n\u003cp>“We might go through phases of depression and eventually come out at the other end with acceptance and being able to hold the memories and move forward,” said Felix.\u003c/p>\n\u003cp>But people also move \u003cem>in and out\u003c/em> of each stage in many different ways, Felix said. “Depending on somebody’s culture and family, and how they process emotions, even within families, grief can look very different,” she said.\u003c/p>\n\u003cp>Each person’s grief and each family’s grief may look different and go through many continual phases. If you’re the one experiencing grief, be aware of this and be kind to yourself. And if you’re the one offering support, know that a loved one’s grief might not take the form or process you anticipated.\u003c/p>\n\u003ch3>\u003cstrong>Allow Your Body to Feel Your Grief \u003c/strong>\u003c/h3>\n\u003cp>“Grief is a full-body sport,” says Roshni Kavate, who grew up in India and worked for several years as an ICU and palliative care nurse in the Bay Area. “It shows up in your body and in your heart.”\u003c/p>\n\u003cp>Kavate now focuses on reclaiming nourishing practices rooted in ancestral wisdom, often working with people who are experiencing grief by mixing art and ritual.\u003c/p>\n\u003cp>Kavate says she left nursing after 12 years because she wanted to see a greater sense of caring in the bereavement process. “I want to do it with beauty and intention; with celebrating,” she said. And creating or recreating personal rituals for your body and brain to enact can allow those experiencing grief to rethink the shattered sense of meaning in their lives and regain a sense of control, she says.\u003c/p>\n\u003cp>“You cannot control grief. It dictates when it’s going to show up,” Kavate said. But with ritual, she said, “you can get curious in that space.”\u003c/p>\n\u003cp>She also sees it as a cyclical process. Healing is often thought of with an endpoint, but as Kavate says, you don’t need to try to get to the end — since there \u003cem>is\u003c/em> no end. “If we can really feel the depth of emotion in our body,” she notes, that will help the process.\u003c/p>\n\u003cp>Oceana Sawyer also highlights how both movement and sound — known as somatic or vocal processing — can be a way of moving through grief. This can be particularly powerful for BIPOC grievers, she says.\u003c/p>\n\u003cp>“The whole thing about the full-body wailing — the singing, the moving, the dancing … It’s part of how Black bodies actually metabolize grief,” Sawyer said. “When you move your body in a certain way — that rocking, that swing, you add a hum to it — those things together actually calm the nervous system, and allow the body to process big emotional experiences.”\u003c/p>\n\u003cfigure id=\"attachment_11835632\" class=\"wp-caption alignnone\" style=\"max-width: 1900px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-11835632\" src=\"https://ww2.kqed.org/app/uploads/sites/10/2020/08/stress-comp.png\" alt=\"\" width=\"1900\" height=\"1280\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2020/08/stress-comp.png 1900w, https://cdn.kqed.org/wp-content/uploads/sites/10/2020/08/stress-comp-800x539.png 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2020/08/stress-comp-1020x687.png 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2020/08/stress-comp-160x108.png 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2020/08/stress-comp-1536x1035.png 1536w\" sizes=\"(max-width: 1900px) 100vw, 1900px\">\u003cfigcaption class=\"wp-caption-text\">Listen to how you speak to yourself. Are you showing the same understanding and compassion that you’d extend to a friend? \u003ccite>(Ketut Subiyanto/Pexels)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003ch3>\u003cstrong>Move Your Body \u003cem>Into\u003c/em> Nature\u003c/strong>\u003c/h3>\n\u003cp>Paying attention to your grief through journaling or meditation has huge value, Sawyer said, “but I \u003cem>really\u003c/em> recommend that people start moving around: specifically for BIPOC folks.”\u003c/p>\n\u003cp>Sawyer recommends people notice and observe their body, “meditate, move — get out in nature and just start moving, noticing how it feels in your body, where the emotions are in your body,” she says.\u003c/p>\n\u003cp>Kavate agrees that nature is a wonderful remedy. This could be something as simple as taking care of a plant for a kitchen garden, taking a hike in nature, or a trip to the beach — anything you can do to tend to life, while going through loss.\u003c/p>\n\u003cp>“When [we] are grieving, we don’t take care of ourselves,” Kavate said. “An antidote to grief is life,” she said, and urges ways to find “a deeper kinship with living beings, and life.”\u003c/p>\n\u003ch3>\u003cstrong>Consider Connecting With Family and Ancestral Forms of Healing\u003c/strong>\u003c/h3>\n\u003cp>Delving deeper into ancestral wisdom can be useful for immigrants as well as first, second and third generation Americans, Kavate says. The question she advises asking: “What in your culture was medicine?”\u003c/p>\n\u003cp>If it was food-based, this could be answered by eating your grandmother’s favorite lamb meatballs, for example, or eating a mango. Kavate encourages people to particularly look into foods that bring you comfort — which could be traditional medicinal food, like stews, beans, rice and lentils. The smell of these foods, Kavate says, can also be powerful.\u003c/p>\n\u003cp>“Grief is really a calling for more joy and more life,” she said — and it’s important for people to “tend” to what is calling us and our bodies. “Our bodies are deeply intelligent and they have intelligence in how to navigate grief,” she adds.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003ch3>\u003cstrong>Finally, Say No to Guilt\u003c/strong>\u003c/h3>\n\u003cp>As Felix told KQED Forum, when it comes to housing inequities and work, sometimes people — particularly BIPOC folks — are given “impossible choices on survival” in terms of navigating exposure, work and a constantly changing and mutating viruses.\u003c/p>\n\u003cp>“You could do everything right, and somebody could still get it [COVID-19],” Felix said.\u003c/p>\n\u003cp>While guilt is understandable, Felix says it’s about not letting it stop a person moving forward. To reframe the perspective, Felix poses the question of how someone might treat a friend in a similar situation, — “what would they say to their best friend to comfort them?”\u003c/p>\n\u003cp>\u003ca id=\"anchor\">\u003c/a>\u003cbr>\n\u003cstrong>Resources:\u003c/strong>\u003c/p>\n\u003cul>\n\u003cli>\u003ca href=\"https://www.nctsn.org/\" target=\"_blank\" rel=\"noopener noreferrer\">National Child Traumatic Stress Network\u003c/a>\u003c/li>\n\u003cli>\u003ca href=\"https://www.apa.org/helpcenter\" target=\"_blank\" rel=\"noopener noreferrer\">American Psychological Association Help Center\u003c/a>\u003c/li>\n\u003cli>\u003ca href=\"https://www.nlpa.ws/find-an-expert#/\" target=\"_blank\" rel=\"noopener noreferrer\">National Latinx Psychological Association\u003c/a>\u003c/li>\n\u003cli>\u003ca href=\"https://abpsi.site-ym.com/search/custom.asp?id=5934\" target=\"_blank\" rel=\"noopener noreferrer\">Association of Black Psychologists, Find a Therapist\u003c/a>\u003c/li>\n\u003cli>\u003ca href=\"https://kara-grief.org/\" target=\"_blank\" rel=\"noopener noreferrer\">Kara Grief Support\u003c/a>\u003c/li>\n\u003cli>\u003ca href=\"https://www.facebook.com/groups/2032852766832910\" target=\"_blank\" rel=\"noopener noreferrer\">COVID-19 Loss Support Group for Young Adults, a Facebook group\u003c/a>\u003c/li>\n\u003cli>\u003ca href=\"https://www.facebook.com/groups/2032852766832910\" target=\"_blank\" rel=\"noopener noreferrer\">Motherless Daughters, Facebook group\u003c/a>\u003c/li>\n\u003cli>An \u003ca href=\"https://refugeingrief.com/helper-overview/\" target=\"_blank\" rel=\"noopener noreferrer\">overview on how to help a grieving friend\u003c/a> from Megan Devine\u003c/li>\n\u003cli>\u003ca href=\"https://www.covidgriefnetwork.org/\" target=\"_blank\" rel=\"noopener noreferrer\">The COVID Grief Network\u003c/a> offers free one-on-one and group grief support for young adults\u003c/li>\n\u003cli>More resources from \u003ca href=\"https://alicaforneret.com/aboutme\" target=\"_blank\" rel=\"noopener noreferrer\">Alica Forneret\u003c/a>, founder of Dead Mom’s Club\u003c/li>\n\u003cli>List of \u003ca href=\"https://bookshop.org/lists/books-for-a-grieving-friend\" target=\"_blank\" rel=\"noopener noreferrer\">books on grief,\u003c/a> curated by journalist Katie Hawkins-Garr\u003c/li>\n\u003cli>\u003ca href=\"https://letsreimagine.org/resources/\" target=\"_blank\" rel=\"noopener noreferrer\">Let’s Reimagine\u003c/a>, resources and community events\u003c/li>\n\u003cli>\u003ca href=\"https://open.spotify.com/show/75hicI0owzQKJmUuFwP4oc?si=oKkkEJ92TxWADTLrl2z2KQ\" target=\"_blank\" rel=\"noopener noreferrer\">Grief Out Loud\u003c/a>, a podcast on grief from \u003ca href=\"https://www.dougy.org/\" target=\"_blank\" rel=\"noopener noreferrer\">The Dougy Center\u003c/a>\u003c/li>\n\u003c/ul>\n\u003cp>\u003c/p>\u003c/div>",
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"title": "Bay Area Leaders Applaud Passage of $1.9 Trillion COVID Relief Package. Here's What's in It",
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"headTitle": "Bay Area Leaders Applaud Passage of $1.9 Trillion COVID Relief Package. Here’s What’s in It | KQED",
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"content": "\u003cp>House lawmakers on Wednesday gave final approval to President Biden’s $1.9 trillion coronavirus relief package, sending the legislation to Biden’s desk for his signature. The White House says Biden plans to sign it on Friday.\u003c/p>\n\u003cp>That’s welcome news to some Bay Area city leaders, who have advocated for more relief from the federal government.\u003c/p>\n\u003cp>San Francisco Mayor London Breed lauded the package, called the American Rescue Plan, for providing funding for vaccinations, direct support for families and people in need, and helping cities “maintain critical services and avoid layoffs.”\u003c/p>\n\u003cp>“This is what happens when we have a federal government that wants to invest in the success of states and cities,” Breed \u003ca href=\"https://twitter.com/LondonBreed/status/1369738349032828929?s=20\">said on Twitter\u003c/a> Wednesday. “The future of San Francisco and the country is brighter today as a result.”\u003c/p>\n\u003cp>San Jose Mayor Sam Liccardo and Oakland Mayor Libby Schaaf were also among Bay Area leaders pushing for more funding in the federal relief package.\u003c/p>\n\u003cp>“American cities like San Jose have been on the front lines of the #COVID19 pandemic & paid a steep price,” Liccardo \u003ca href=\"https://twitter.com/sliccardo/status/1364988774581592066?s=20\">tweeted\u003c/a> in February, joining more than 400 mayors across the United States calling on Congress to pass the relief plan.\u003c/p>\n\u003cp>The bill will direct a new round of aid to Americans — in the form of direct payments, extended unemployment benefits, an expanded child tax credit and more — almost a year after the pandemic first upended daily life in the United States.\u003c/p>\n\u003cp>https://twitter.com/LondonBreed/status/1369738349032828929\u003c/p>\n\u003cp>Biden said in remarks on Saturday at the White House that funding for the American Rescue Plan will “get the country in a place to get back to normal.”\u003c/p>\n\u003cp>“This plan puts us on a path to beating the virus,” he said, following the Senate’s vote. “This plan gives those families who are struggling the most the help and the breathing room they need to get through this moment.”\u003c/p>\n\u003cp>Biden also vowed to get the direct payments of up to $1,400 out the door starting “this month.”\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>The House voted 220-211 with no Republicans voting in favor of the bill, despite calls for bipartisan support from House Speaker Nancy Pelosi and other Democratic leaders. One Democrat, Rep. Jared Golden of Maine, voted against the bill.\u003c/p>\n\u003cp>The House passed a similar version of the plan last month, but had to approve changes to the legislation made by the Senate. One key difference is that the Senate’s version of the bill doesn’t include an increase to the federal minimum wage, a provision that was ruled out by the nonpartisan Senate parliamentarian.\u003c/p>\n\u003cp>[pullquote size=\"medium\" align=\"right\" citation=\"Sam Liccardo, mayor of San Jose\"]‘American cities like San Jose have been on the front lines of the [COVID-19] pandemic [and] paid a steep price.’[/pullquote]The Senate also tightened the caps for direct payments, narrowing who would qualify for them.\u003c/p>\n\u003cp>Beyond support for individuals and families — including an expanded child tax credit, the bill allocates billions of dollars to schools and to the distribution of COVID-19 vaccines, testing and supplies. \u003c/p>\n\u003cp>Though Republicans have largely opposed the plan since Biden introduced it in January, the budget reconciliation process allowed Democrats to push the bill forward without support from across the aisle.\u003c/p>\n\u003cp>The White House and congressional Democrats point to public opinion polls showing overwhelming support for the legislation, including the backing in some surveys from a majority of Republicans. While no GOP lawmakers in Congress voted for it, Democrats point out that some Republican state and local government officials are pressing for the aid.\u003c/p>\n\u003cp>Biden is expected to sign the bill swiftly; the current enhanced federal unemployment benefits expire Sunday. He’ll also deliver the first prime-time address of his term Thursday to mark the one-year anniversary of the pandemic.\u003c/p>\n\u003cp>Here’s a closer look at some of the big-ticket provisions in the Senate-amended bill:\u003c/p>\n\u003ch3>Direct Payments\u003c/h3>\n\u003cp>The bill allocates funds for a third economic impact payment to qualifying Americans.\u003c/p>\n\u003cp>Individuals earning up to $75,000 and couples earning up to $150,000 would receive the full direct payments of $1,400 per person. Individuals will also receive an additional $1,400 payment for each dependent claimed on their tax returns.\u003c/p>\n\u003cp>Senate Democrats agreed to lower the income cutoff at which payments phase out from $100,000 to $80,000 for individuals, and from $200,000 to $160,000 for couples filing jointly, following demands from \u003ca href=\"https://www.npr.org/2021/03/03/973367877/senate-democrats-white-house-agree-to-tighter-income-limits-for-stimulus-checks\">moderate Democrats\u003c/a>.\u003c/p>\n\u003ch3>Unemployment Benefits\u003c/h3>\n\u003cp>Under the Senate version, federal unemployment insurance payments will remain at $300 per week — \u003ca href=\"https://www.npr.org/2021/03/05/974020325/senate-democrats-agree-to-extend-unemployment-benefits-through-september\">down from $400 per week\u003c/a> in the earlier package passed by the House. The benefits will extend through Sept. 6. The Senate’s bill makes the first $10,200 in unemployment payments nontaxable for households with incomes under $150,000.\u003c/p>\n\u003ch3>Child Tax Credit\u003c/h3>\n\u003cp>The legislation would temporarily expand the \u003ca href=\"https://www.npr.org/2021/02/26/970999998/with-one-move-congress-could-lift-millions-of-children-out-of-poverty\">child tax credit\u003c/a>, increasing the amount to $3,000 for children ages 6 to 17 and $3,600 for children under age 6.\u003c/p>\n\u003cp>The amount is gradually reduced for couples earning over $150,000 and individuals earning over $75,000 per year. Families eligible for the full credit would get payments of up to $300 per child per month from July through the end of the year.\u003c/p>\n\u003cp>Congressional Democrats and the White House may want to figure out how to make the credit permanent.\u003c/p>\n\u003cp>[aside postID=news_11862122 hero='https://ww2.kqed.org/app/uploads/sites/10/2021/03/RS47577_iStock-915488206-qut-1020x538.jpg']\u003c/p>\n\u003ch3>Paycheck Protection Program\u003c/h3>\n\u003cp>The bill includes $7.25 billion in new money for the small-business loan program known as the Paycheck Protection Program and would allow more nonprofits to apply, including those groups that engage in advocacy and some limited lobbying. It also allows larger nonprofits to be eligible.\u003c/p>\n\u003ch3>Education\u003c/h3>\n\u003cp>There are over $128 billion in grants to state educational agencies, with 90% allocated to local educational agencies, plus $39 billion in grants to higher education institutions. Nearly $15 billion in funds are directed to the Child Care and Development Block Grant program to help support child care facilities, particularly in high-need areas.\u003c/p>\n\u003cp>The Senate version added a provision to make any student loan forgiveness passed between Dec. 31, 2020, and Jan. 1, 2026, tax-free — rather than having the forgiven debt be treated as taxable income.\u003c/p>\n\u003ch3>Support for Low-Income Families\u003c/h3>\n\u003cp>The bill includes $4.5 billion for the Low Income Home Energy Assistance Program, known as LIHEAP, to help families with home heating and cooling costs. One provision would give the agriculture secretary the authority and funding to temporarily boost the value of cash vouchers for the Special Supplemental Nutrition Program for Women, Infants, and Children (WIC) up to $35 per month for women and children for a four-month period during the pandemic.\u003c/p>\n\u003cp>There is $1.4 billion in funding for programs authorized under the Older Americans Act, including support for nutrition programs, community-based support programs and the National Family Caregiver Support Program.\u003c/p>\n\u003cp>The bill provides $37 million to the Commodity Supplemental Food Program for low-income seniors.\u003c/p>\n\u003ch3>Public Health\u003c/h3>\n\u003cp>The Centers for Disease Control and Prevention is set to receive $7.5 billion to track, administer and distribute COVID-19 vaccines. Another $46 billion would go toward diagnosing and tracing coronavirus infections, and $2 billion would go toward buying and distributing various testing supplies and personal protective equipment.\u003c/p>\n\u003cp>There’s a variety of provisions in the legislation to offer support to different industries. The Small Business Administration would get $25 billion for a new grant program for “restaurants and other food and drinking establishments.” Grants would be up to $10 million per entity and $5 million per physical location, with a maximum of 20 locations. The legislation sets aside $5 billion of the total money to be targeted to businesses with less than $500,000 in revenue in 2019. The bill includes another $1.25 billion for the Small Business Administration’s Shuttered Venue Operators Grant program.\u003c/p>\n\u003cp>To support the transportation sector, the bill allocates nearly $30 billion for transit costs, including payroll and personal protective equipment; $8 billion for airports; $3 billion for a temporary payroll support program to help support the aerospace manufacturing industry; and $1.5 billion to recall and pay Amtrak employees who were furloughed because of the pandemic and to restore various daily routes. Another $15 billion would also be allocated to support workers in the airline industry.\u003c/p>\n\u003ch3>Rental Assistance\u003c/h3>\n\u003cp>There is $25 billion for emergency rental assistance, including $5 billion for emergency housing vouchers for people experiencing homelessness, survivors of domestic violence and victims of human trafficking.\u003c/p>\n\u003cp>\u003cem>This story includes reporting from NPR’s \u003ca href=\"https://www.npr.org/people/728257568/chloee-weiner\">Chloee Weiner\u003c/a> and \u003ca href=\"https://www.npr.org/people/468259099/barbara-sprunt\">Barbara Sprunt\u003c/a>, and KQED’s \u003ca href=\"https://www.kqed.org/author/jrodriguez\">Joe Fitzgerald Rodriguez\u003c/a>.\u003c/em>\u003c/p>\n\u003cp>[ad floatright]\u003c/p>\n",
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"excerpt": "In welcome news to Bay Area city leaders, the House on Wednesday gave final approval to President Biden's $1.9 trillion coronavirus relief package. Biden plans to sign it on Friday.",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>House lawmakers on Wednesday gave final approval to President Biden’s $1.9 trillion coronavirus relief package, sending the legislation to Biden’s desk for his signature. The White House says Biden plans to sign it on Friday.\u003c/p>\n\u003cp>That’s welcome news to some Bay Area city leaders, who have advocated for more relief from the federal government.\u003c/p>\n\u003cp>San Francisco Mayor London Breed lauded the package, called the American Rescue Plan, for providing funding for vaccinations, direct support for families and people in need, and helping cities “maintain critical services and avoid layoffs.”\u003c/p>\n\u003cp>“This is what happens when we have a federal government that wants to invest in the success of states and cities,” Breed \u003ca href=\"https://twitter.com/LondonBreed/status/1369738349032828929?s=20\">said on Twitter\u003c/a> Wednesday. “The future of San Francisco and the country is brighter today as a result.”\u003c/p>\n\u003cp>San Jose Mayor Sam Liccardo and Oakland Mayor Libby Schaaf were also among Bay Area leaders pushing for more funding in the federal relief package.\u003c/p>\n\u003cp>“American cities like San Jose have been on the front lines of the #COVID19 pandemic & paid a steep price,” Liccardo \u003ca href=\"https://twitter.com/sliccardo/status/1364988774581592066?s=20\">tweeted\u003c/a> in February, joining more than 400 mayors across the United States calling on Congress to pass the relief plan.\u003c/p>\n\u003cp>The bill will direct a new round of aid to Americans — in the form of direct payments, extended unemployment benefits, an expanded child tax credit and more — almost a year after the pandemic first upended daily life in the United States.\u003c/p>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\n\u003cp>Biden said in remarks on Saturday at the White House that funding for the American Rescue Plan will “get the country in a place to get back to normal.”\u003c/p>\n\u003cp>“This plan puts us on a path to beating the virus,” he said, following the Senate’s vote. “This plan gives those families who are struggling the most the help and the breathing room they need to get through this moment.”\u003c/p>\n\u003cp>Biden also vowed to get the direct payments of up to $1,400 out the door starting “this month.”\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>The House voted 220-211 with no Republicans voting in favor of the bill, despite calls for bipartisan support from House Speaker Nancy Pelosi and other Democratic leaders. One Democrat, Rep. Jared Golden of Maine, voted against the bill.\u003c/p>\n\u003cp>The House passed a similar version of the plan last month, but had to approve changes to the legislation made by the Senate. One key difference is that the Senate’s version of the bill doesn’t include an increase to the federal minimum wage, a provision that was ruled out by the nonpartisan Senate parliamentarian.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>The Senate also tightened the caps for direct payments, narrowing who would qualify for them.\u003c/p>\n\u003cp>Beyond support for individuals and families — including an expanded child tax credit, the bill allocates billions of dollars to schools and to the distribution of COVID-19 vaccines, testing and supplies. \u003c/p>\n\u003cp>Though Republicans have largely opposed the plan since Biden introduced it in January, the budget reconciliation process allowed Democrats to push the bill forward without support from across the aisle.\u003c/p>\n\u003cp>The White House and congressional Democrats point to public opinion polls showing overwhelming support for the legislation, including the backing in some surveys from a majority of Republicans. While no GOP lawmakers in Congress voted for it, Democrats point out that some Republican state and local government officials are pressing for the aid.\u003c/p>\n\u003cp>Biden is expected to sign the bill swiftly; the current enhanced federal unemployment benefits expire Sunday. He’ll also deliver the first prime-time address of his term Thursday to mark the one-year anniversary of the pandemic.\u003c/p>\n\u003cp>Here’s a closer look at some of the big-ticket provisions in the Senate-amended bill:\u003c/p>\n\u003ch3>Direct Payments\u003c/h3>\n\u003cp>The bill allocates funds for a third economic impact payment to qualifying Americans.\u003c/p>\n\u003cp>Individuals earning up to $75,000 and couples earning up to $150,000 would receive the full direct payments of $1,400 per person. Individuals will also receive an additional $1,400 payment for each dependent claimed on their tax returns.\u003c/p>\n\u003cp>Senate Democrats agreed to lower the income cutoff at which payments phase out from $100,000 to $80,000 for individuals, and from $200,000 to $160,000 for couples filing jointly, following demands from \u003ca href=\"https://www.npr.org/2021/03/03/973367877/senate-democrats-white-house-agree-to-tighter-income-limits-for-stimulus-checks\">moderate Democrats\u003c/a>.\u003c/p>\n\u003ch3>Unemployment Benefits\u003c/h3>\n\u003cp>Under the Senate version, federal unemployment insurance payments will remain at $300 per week — \u003ca href=\"https://www.npr.org/2021/03/05/974020325/senate-democrats-agree-to-extend-unemployment-benefits-through-september\">down from $400 per week\u003c/a> in the earlier package passed by the House. The benefits will extend through Sept. 6. The Senate’s bill makes the first $10,200 in unemployment payments nontaxable for households with incomes under $150,000.\u003c/p>\n\u003ch3>Child Tax Credit\u003c/h3>\n\u003cp>The legislation would temporarily expand the \u003ca href=\"https://www.npr.org/2021/02/26/970999998/with-one-move-congress-could-lift-millions-of-children-out-of-poverty\">child tax credit\u003c/a>, increasing the amount to $3,000 for children ages 6 to 17 and $3,600 for children under age 6.\u003c/p>\n\u003cp>The amount is gradually reduced for couples earning over $150,000 and individuals earning over $75,000 per year. Families eligible for the full credit would get payments of up to $300 per child per month from July through the end of the year.\u003c/p>\n\u003cp>Congressional Democrats and the White House may want to figure out how to make the credit permanent.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003ch3>Paycheck Protection Program\u003c/h3>\n\u003cp>The bill includes $7.25 billion in new money for the small-business loan program known as the Paycheck Protection Program and would allow more nonprofits to apply, including those groups that engage in advocacy and some limited lobbying. It also allows larger nonprofits to be eligible.\u003c/p>\n\u003ch3>Education\u003c/h3>\n\u003cp>There are over $128 billion in grants to state educational agencies, with 90% allocated to local educational agencies, plus $39 billion in grants to higher education institutions. Nearly $15 billion in funds are directed to the Child Care and Development Block Grant program to help support child care facilities, particularly in high-need areas.\u003c/p>\n\u003cp>The Senate version added a provision to make any student loan forgiveness passed between Dec. 31, 2020, and Jan. 1, 2026, tax-free — rather than having the forgiven debt be treated as taxable income.\u003c/p>\n\u003ch3>Support for Low-Income Families\u003c/h3>\n\u003cp>The bill includes $4.5 billion for the Low Income Home Energy Assistance Program, known as LIHEAP, to help families with home heating and cooling costs. One provision would give the agriculture secretary the authority and funding to temporarily boost the value of cash vouchers for the Special Supplemental Nutrition Program for Women, Infants, and Children (WIC) up to $35 per month for women and children for a four-month period during the pandemic.\u003c/p>\n\u003cp>There is $1.4 billion in funding for programs authorized under the Older Americans Act, including support for nutrition programs, community-based support programs and the National Family Caregiver Support Program.\u003c/p>\n\u003cp>The bill provides $37 million to the Commodity Supplemental Food Program for low-income seniors.\u003c/p>\n\u003ch3>Public Health\u003c/h3>\n\u003cp>The Centers for Disease Control and Prevention is set to receive $7.5 billion to track, administer and distribute COVID-19 vaccines. Another $46 billion would go toward diagnosing and tracing coronavirus infections, and $2 billion would go toward buying and distributing various testing supplies and personal protective equipment.\u003c/p>\n\u003cp>There’s a variety of provisions in the legislation to offer support to different industries. The Small Business Administration would get $25 billion for a new grant program for “restaurants and other food and drinking establishments.” Grants would be up to $10 million per entity and $5 million per physical location, with a maximum of 20 locations. The legislation sets aside $5 billion of the total money to be targeted to businesses with less than $500,000 in revenue in 2019. The bill includes another $1.25 billion for the Small Business Administration’s Shuttered Venue Operators Grant program.\u003c/p>\n\u003cp>To support the transportation sector, the bill allocates nearly $30 billion for transit costs, including payroll and personal protective equipment; $8 billion for airports; $3 billion for a temporary payroll support program to help support the aerospace manufacturing industry; and $1.5 billion to recall and pay Amtrak employees who were furloughed because of the pandemic and to restore various daily routes. Another $15 billion would also be allocated to support workers in the airline industry.\u003c/p>\n\u003ch3>Rental Assistance\u003c/h3>\n\u003cp>There is $25 billion for emergency rental assistance, including $5 billion for emergency housing vouchers for people experiencing homelessness, survivors of domestic violence and victims of human trafficking.\u003c/p>\n\u003cp>\u003cem>This story includes reporting from NPR’s \u003ca href=\"https://www.npr.org/people/728257568/chloee-weiner\">Chloee Weiner\u003c/a> and \u003ca href=\"https://www.npr.org/people/468259099/barbara-sprunt\">Barbara Sprunt\u003c/a>, and KQED’s \u003ca href=\"https://www.kqed.org/author/jrodriguez\">Joe Fitzgerald Rodriguez\u003c/a>.\u003c/em>\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"title": "A Push to Reopen California Schools and A Day in the Pandemic Life of a Teacher",
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"content": "\u003cp>\u003cem>\u003ca href=\"http://itunes.apple.com/us/podcast/the-california-report-magazine/id1314750545?mt=2\" target=\"_blank\" rel=\"noopener noreferrer\">Listen to this and more in-depth storytelling by subscribing to The California Report Magazine podcast.\u003c/a>\u003c/em>\u003c/p>\n\u003cp>We start the show with voices from California parents, teachers and students weighing in on the debate around schools reopening.\u003c/p>\n\u003ch2>\u003ca href=\"https://www.kqed.org/news/11863374/nightmares-of-black-zoom-boxes-a-day-in-the-life-of-an-oakland-remote-learning-teacher\">‘Nightmares’ of Black Zoom Boxes: A Day in the Life of an Oakland Remote Learning Teacher\u003c/a>\u003c/h2>\n\u003cp>It has been almost a year since schools shut down in-person classes, and distance learning is taking a toll on students and parents. It’s also taking a toll on teachers, especially those with their own kids at home. KQED’s Vanessa Rancaño asked one Oakland teacher to keep an audio diary for a day, documenting her every move.\u003c/p>\n\u003ch2>\u003ca href=\"https://www.kqed.org/news/11861142/hed-still-be-here-today-in-oakland-a-push-to-resume-school-sports-to-stem-rising-violence\">‘He’d Still Be Here Today’: In Oakland, a Push to Resume School Sports to Stem Rising Violence\u003c/a>\u003c/h2>\n\u003cp>California public health officials have given the green light for school sports to start up again, both outdoors and indoors, if they meet certain requirements. The pandemic had disrupted a lot of sports programs, some of which kept kids out of trouble. For some kids in Oakland, that sport was football. At the same time, 2020 marked one of the deadliest years on the streets of that city in the last decade. As KQED’s Marco Siler-Gonzales tells us, police officials and community activists say there’s a connection.\u003c/p>\n\u003ch2>\u003ca href=\"https://www.kqed.org/news/11861810/no-the-tuskegee-study-is-not-the-top-reason-some-black-americans-question-the-covid-19-vaccine\">No, the Tuskegee Study Is Not the Top Reason Some Black Americans Question the COVID-19 Vaccine\u003c/a>\u003c/h2>\n\u003cp>Surveys show that Black Californians are a lot more reluctant to get the coronavirus vaccine than white Californians. But most surveys don’t ask respondents why. The California Report’s health correspondent April Dembosky reports one hypothesis politicians and medical experts have widely embraced, may not be as widespread in the community.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\u003cp>\u003c/p>\n",
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"description": "Listen to this and more in-depth storytelling by subscribing to The California Report Magazine podcast. We start the show with voices from California parents, teachers and students weighing in on the debate around schools reopening. 'Nightmares' of Black Zoom Boxes: A Day in the Life of an Oakland Remote Learning Teacher It has been almost a year since schools shut down in-person classes, and distance learning is taking a toll on students and parents. It’s also taking a toll on teachers, especially those with their own kids at home. KQED’s Vanessa Rancaño asked one Oakland teacher to keep an audio",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>\u003cem>\u003ca href=\"http://itunes.apple.com/us/podcast/the-california-report-magazine/id1314750545?mt=2\" target=\"_blank\" rel=\"noopener noreferrer\">Listen to this and more in-depth storytelling by subscribing to The California Report Magazine podcast.\u003c/a>\u003c/em>\u003c/p>\n\u003cp>We start the show with voices from California parents, teachers and students weighing in on the debate around schools reopening.\u003c/p>\n\u003ch2>\u003ca href=\"https://www.kqed.org/news/11863374/nightmares-of-black-zoom-boxes-a-day-in-the-life-of-an-oakland-remote-learning-teacher\">‘Nightmares’ of Black Zoom Boxes: A Day in the Life of an Oakland Remote Learning Teacher\u003c/a>\u003c/h2>\n\u003cp>It has been almost a year since schools shut down in-person classes, and distance learning is taking a toll on students and parents. It’s also taking a toll on teachers, especially those with their own kids at home. KQED’s Vanessa Rancaño asked one Oakland teacher to keep an audio diary for a day, documenting her every move.\u003c/p>\n\u003ch2>\u003ca href=\"https://www.kqed.org/news/11861142/hed-still-be-here-today-in-oakland-a-push-to-resume-school-sports-to-stem-rising-violence\">‘He’d Still Be Here Today’: In Oakland, a Push to Resume School Sports to Stem Rising Violence\u003c/a>\u003c/h2>\n\u003cp>California public health officials have given the green light for school sports to start up again, both outdoors and indoors, if they meet certain requirements. The pandemic had disrupted a lot of sports programs, some of which kept kids out of trouble. For some kids in Oakland, that sport was football. At the same time, 2020 marked one of the deadliest years on the streets of that city in the last decade. As KQED’s Marco Siler-Gonzales tells us, police officials and community activists say there’s a connection.\u003c/p>\n\u003ch2>\u003ca href=\"https://www.kqed.org/news/11861810/no-the-tuskegee-study-is-not-the-top-reason-some-black-americans-question-the-covid-19-vaccine\">No, the Tuskegee Study Is Not the Top Reason Some Black Americans Question the COVID-19 Vaccine\u003c/a>\u003c/h2>\n\u003cp>Surveys show that Black Californians are a lot more reluctant to get the coronavirus vaccine than white Californians. But most surveys don’t ask respondents why. The California Report’s health correspondent April Dembosky reports one hypothesis politicians and medical experts have widely embraced, may not be as widespread in the community.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cp>The consequences are deepening for San Francisco-based concierge health care provider One Medical following an \u003ca href=\"https://www.kqed.org/news/11861872/sf-based-one-medical-let-well-connected-patients-skip-covid-19-vaccine-line\">NPR investigation\u003c/a> that found the company administered COVID-19 vaccinations to those with connections to leadership, as well as ineligible patients.\u003c/p>\n\u003cp>The House Select Subcommittee on the Coronavirus Crisis is launching its own investigation into the company’s practices, NPR has learned. The probe has plunged the publicly traded company, whose business model depends on patients paying a $199 annual fee for VIP health care services, into damage control mode.\u003c/p>\n\u003cp>“Despite being warned that the company’s lax oversight of vaccine eligibility rules was allowing ineligible patients to jump the line, One Medical has reportedly failed to properly implement an effective protocol to verify eligibility and instructed staff not to police eligibility,” wrote subcommittee Chairman James Clyburn, D-South Carolina, in a letter sent to One Medical late Monday night.\u003c/p>\n\u003cp>Clyburn cited multiple news reports, including NPR’s investigation, to denounce One Medical’s “irresponsible practices,” adding that “prioritizing the vaccination of Americans who are at higher risk from the coronavirus is critical to saving lives and controlling the pandemic.”\u003c/p>\n\u003cp>The letter demands documents and information on One Medical’s COVID-19 vaccination practices within two weeks, with a deadline of March 15. Among other topics, it seeks demographic breakdowns of COVID-19 vaccines administered to date and communications related to vaccination appointments arranged for those close to the company’s executives.\u003c/p>\n\u003cp>[pullquote size=\"medium\" align=\"right\" citation=\"Rep. James Clyburn, chairman of the House Select Subcommittee on the Coronavirus Crisis\"]‘[One Medical] may be exploiting the federally funded vaccine rollout to increase membership rates and generate fees, regardless of whether prospective fee-paying members are actually eligible for vaccination.’[/pullquote]One Medical responded to news of the probe overnight: “We remain dedicated to lending our time and resources to providing equitable and accessible care for the communities we serve, and are confident that we will be able to clear up these misunderstandings.”\u003c/p>\n\u003cp>As the congressional investigation begins, numerous local public health departments have halted cooperation with One Medical based on investigations that found vaccination line-skipping. Additional anecdotal reports of ineligible vaccinations were also submitted to NPR from various cities.\u003c/p>\n\u003cp>After reviewing internal communications, \u003ca href=\"https://www.npr.org/2021/02/24/970176532/high-end-medical-provider-let-ineligible-people-skip-covid-19-vaccine-line\">NPR found multiple instances\u003c/a> across multiple states in which medical staffers working for One Medical sounded the alarm about improper procedures and lax oversight over eligibility requirements. “We are not policing,” a top One Medical staffer told doctors and other medical providers after they raised concerns. One Medical claims that it does not knowingly permit ineligible patients to be vaccinated.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>Regulators have moved quickly. NPR contacted every jurisdiction in which One Medical has a location. At least eight local departments of health that were working with One Medical on COVID-19 vaccinations have suspended allocation of doses to the company or said they had no plans to provide any in the future. Santa Clara County, for example, said it had no plans to work with One Medical again on COVID-19 vaccination.\u003c/p>\n\u003cp>The Department of Public Health for San Francisco County, where One Medical is based, not only halted additional dosages of the vaccine to One Medical, but in a remarkable move demanded 1,620 doses back from the company. San Mateo County found that One Medical vaccinated 70 individuals who were not eligible for the vaccine, and it suspended work with the company, said Preston Merchant, a spokesperson for the county.\u003c/p>\n\u003cp>[aside postID=news_11861872 hero='https://ww2.kqed.org/app/uploads/sites/10/2021/02/IMG_2269-1020x783.png']Jurisdictions like Washington state and numerous Bay Area counties have stopped ongoing cooperation with One Medical on COVID-19 vaccine administration. Marin County spokesperson Laine Hendricks said the county has halted vaccine allocations to One Medical after reviewing data on the company’s vaccinations. “We have indefinitely suspended any further first dose allocations,” Hendricks said. “We have also removed One Medical from our website.”\u003c/p>\n\u003cp>Spokesperson Michael Workman said San Diego County stopped providing the vaccine to the company after “numerous complaints about charging for a membership to have access to vaccine appointments. We reported this to the state.”\u003c/p>\n\u003cp>One Medical has said that some of these objections from local departments of health are misunderstandings and that it was working to address any other concerns that have been raised. In some cases, the company claimed, they were not aware they had been cut off by counties until the press reported it. “We’re deeply disappointed, as many of the media reports about One Medical’s standing with departments of health are not reflective of our direct communication with our contacts at many of those departments,” said a company spokesperson.\u003c/p>\n\u003cp>One Medical claimed that the COVID-19 vaccinations of ineligible patients in San Mateo were done “in order to avoid spoilage” and that they were “not aware of any unresolved issues with the San Diego Department of Health prior to their statement to the media.” In San Francisco County, where the Department of Public Health said it had reason to believe that One Medical vaccinated ineligible patients, One Medical contradicted the county and said the county had only requested COVID-19 vaccinations back because One Medical’s “vaccine clinics were not in geographies that the DPH is currently considering the highest priority.”\u003c/p>\n\u003cp>One Medical also said it was not aware of any instances where “senior leadership … personally intervened to arrange for friends, family or business partners to receive vaccinations outside of eligibility requirements.”\u003c/p>\n\u003cp>Separately, there are also indications that One Medical is seeking a commercial benefit by collecting data from nonmembers it is vaccinating. In Washington, D.C., \u003ca href=\"https://www.popville.com/2021/02/dc-register-vaccine-one-medical/\">neighborhood blog PoPville\u003c/a> first gave voice to concerns that those who signed up for a vaccination site run by DC Health in conjunction with One Medical were pitched on a free trial membership with the concierge health care provider.\u003c/p>\n\u003cp>“There is very little clarity on the actual website. Instead, they make it appear as though you need a [One Medical] account or else your appointment will be canceled,” said Adam Peck, a D.C. resident who tried to navigate the system last week. “Needless to say, it’s resulted in a lot of confusion, and more than a few people who are signing up for [an account with] OM thinking that’s the only [way] to confirm their appointments.”\u003c/p>\n\u003cp>https://twitter.com/chaykak/status/1365309553089347585?s=20\u003c/p>\n\u003cp>This is one of the areas of the congressional probe. Chairman Clyburn wrote that he is concerned that One Medical “may be exploiting the federally funded vaccine rollout to increase membership rates and generate fees, regardless of whether prospective fee-paying members are actually eligible for vaccination.”\u003c/p>\n\u003cp>A One Medical spokesperson said that patients are asked to register on the company platform as a means to create a unique patient chart, akin to filling out paperwork in a doctor’s office. “We are not asking people to pay for a One Medical membership or asking them to register for a One Medical account to then convert them to annual dues-paying members. The primary focus is on a seamless care experience and NOT on converting people to annual paid members,” the spokesperson said. “That said, we do treat each of our vaccination patients just like any other patient who is new to One Medical by sharing information about our practice and about the benefits of our membership model so they can take full advantage if they’d like to.”\u003c/p>\n\u003cp>[aside label='Coronavirus Coverage' tag='coronavirus']One Medical has declined to acknowledge there is or was a problem with its COVID-19 vaccination procedures. Some of the rank and file are demoralized by this response.\u003c/p>\n\u003cp>“There is uniform agreement that what everyone has seen with their own eyes or read from colleagues … is in direct contrast with what OM leadership is saying now,” a One Medical staffer told NPR. “People found it demoralizing and frustrating that they are not owning the mistakes and instead … making excuses, and finger pointing (ranging from putting blame on DPHs to our patients).”\u003c/p>\n\u003cp>In an interview with NPR last week, One Medical Chief Medical Officer Andrew Diamond made a number of claims, then backtracked when presented with facts. Asked about being shut off from vaccine allocations in Alameda County, he said, “we continue to receive vaccine from Alameda County.”\u003c/p>\n\u003cp>Alameda County had earlier told NPR that it halted vaccine allocations to One Medical following a shipment in January, after the company indicated to the county that it had plans to vaccinate patients who were at that time ineligible to receive it. Informed of this, Diamond backpedaled from his prior statement that they “continue” to receive the vaccine from the county.\u003c/p>\n\u003cp>MAK: “You told me that the allocation is ongoing. Is it ongoing?”\u003c/p>\n\u003cp>DIAMOND: “Our understanding absolutely is that, I mean, we have not received any communication … to suggest that they don’t intend to fill any future orders.”\u003c/p>\n\u003cp>Later, Diamond said, “There was no guidance [to our staff] that said, ‘do not verify.’ That would be counter to our principles.” When told NPR had obtained \u003ca href=\"https://www.npr.org/2021/02/24/970176532/high-end-medical-provider-let-ineligible-people-skip-covid-19-vaccine-line\">internal communications\u003c/a> showing that medical staff were told not to verify eligibility requirements, Diamond responded, “That’s clearly not the guidance, nor is that the intent of the guidance. But we’ve been far clearer since then.”\u003c/p>\n\u003cp>One Medical CEO Amir Dan Rubin made no apologies when asked about the situation on a call with investors. He did not specifically address the allegations or describe how he might fix these problems. “Regarding the stories, we strongly refute these gross mischaracterizations. Any assertions that we broadly and knowingly disregard eligibility guidelines are not true, and in contradiction to our actual approach,” he said. \u003c/p>\n\u003cdiv class=\"fullattribution\">Copyright 2021 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=One+Medical%27s+Coronavirus+Vaccine+Practices+Spark+Congressional+Investigation&utme=8(APIKey)9(MDAxOTAwOTE4MDEyMTkxMDAzNjczZDljZA004)\">\u003c/div>\n\u003cp>[ad floatright]\u003c/p>\n",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>The consequences are deepening for San Francisco-based concierge health care provider One Medical following an \u003ca href=\"https://www.kqed.org/news/11861872/sf-based-one-medical-let-well-connected-patients-skip-covid-19-vaccine-line\">NPR investigation\u003c/a> that found the company administered COVID-19 vaccinations to those with connections to leadership, as well as ineligible patients.\u003c/p>\n\u003cp>The House Select Subcommittee on the Coronavirus Crisis is launching its own investigation into the company’s practices, NPR has learned. The probe has plunged the publicly traded company, whose business model depends on patients paying a $199 annual fee for VIP health care services, into damage control mode.\u003c/p>\n\u003cp>“Despite being warned that the company’s lax oversight of vaccine eligibility rules was allowing ineligible patients to jump the line, One Medical has reportedly failed to properly implement an effective protocol to verify eligibility and instructed staff not to police eligibility,” wrote subcommittee Chairman James Clyburn, D-South Carolina, in a letter sent to One Medical late Monday night.\u003c/p>\n\u003cp>Clyburn cited multiple news reports, including NPR’s investigation, to denounce One Medical’s “irresponsible practices,” adding that “prioritizing the vaccination of Americans who are at higher risk from the coronavirus is critical to saving lives and controlling the pandemic.”\u003c/p>\n\u003cp>The letter demands documents and information on One Medical’s COVID-19 vaccination practices within two weeks, with a deadline of March 15. Among other topics, it seeks demographic breakdowns of COVID-19 vaccines administered to date and communications related to vaccination appointments arranged for those close to the company’s executives.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>One Medical responded to news of the probe overnight: “We remain dedicated to lending our time and resources to providing equitable and accessible care for the communities we serve, and are confident that we will be able to clear up these misunderstandings.”\u003c/p>\n\u003cp>As the congressional investigation begins, numerous local public health departments have halted cooperation with One Medical based on investigations that found vaccination line-skipping. Additional anecdotal reports of ineligible vaccinations were also submitted to NPR from various cities.\u003c/p>\n\u003cp>After reviewing internal communications, \u003ca href=\"https://www.npr.org/2021/02/24/970176532/high-end-medical-provider-let-ineligible-people-skip-covid-19-vaccine-line\">NPR found multiple instances\u003c/a> across multiple states in which medical staffers working for One Medical sounded the alarm about improper procedures and lax oversight over eligibility requirements. “We are not policing,” a top One Medical staffer told doctors and other medical providers after they raised concerns. One Medical claims that it does not knowingly permit ineligible patients to be vaccinated.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>Jurisdictions like Washington state and numerous Bay Area counties have stopped ongoing cooperation with One Medical on COVID-19 vaccine administration. Marin County spokesperson Laine Hendricks said the county has halted vaccine allocations to One Medical after reviewing data on the company’s vaccinations. “We have indefinitely suspended any further first dose allocations,” Hendricks said. “We have also removed One Medical from our website.”\u003c/p>\n\u003cp>Spokesperson Michael Workman said San Diego County stopped providing the vaccine to the company after “numerous complaints about charging for a membership to have access to vaccine appointments. We reported this to the state.”\u003c/p>\n\u003cp>One Medical has said that some of these objections from local departments of health are misunderstandings and that it was working to address any other concerns that have been raised. In some cases, the company claimed, they were not aware they had been cut off by counties until the press reported it. “We’re deeply disappointed, as many of the media reports about One Medical’s standing with departments of health are not reflective of our direct communication with our contacts at many of those departments,” said a company spokesperson.\u003c/p>\n\u003cp>One Medical claimed that the COVID-19 vaccinations of ineligible patients in San Mateo were done “in order to avoid spoilage” and that they were “not aware of any unresolved issues with the San Diego Department of Health prior to their statement to the media.” In San Francisco County, where the Department of Public Health said it had reason to believe that One Medical vaccinated ineligible patients, One Medical contradicted the county and said the county had only requested COVID-19 vaccinations back because One Medical’s “vaccine clinics were not in geographies that the DPH is currently considering the highest priority.”\u003c/p>\n\u003cp>One Medical also said it was not aware of any instances where “senior leadership … personally intervened to arrange for friends, family or business partners to receive vaccinations outside of eligibility requirements.”\u003c/p>\n\u003cp>Separately, there are also indications that One Medical is seeking a commercial benefit by collecting data from nonmembers it is vaccinating. In Washington, D.C., \u003ca href=\"https://www.popville.com/2021/02/dc-register-vaccine-one-medical/\">neighborhood blog PoPville\u003c/a> first gave voice to concerns that those who signed up for a vaccination site run by DC Health in conjunction with One Medical were pitched on a free trial membership with the concierge health care provider.\u003c/p>\n\u003cp>“There is very little clarity on the actual website. Instead, they make it appear as though you need a [One Medical] account or else your appointment will be canceled,” said Adam Peck, a D.C. resident who tried to navigate the system last week. “Needless to say, it’s resulted in a lot of confusion, and more than a few people who are signing up for [an account with] OM thinking that’s the only [way] to confirm their appointments.”\u003c/p>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\n\u003cp>This is one of the areas of the congressional probe. Chairman Clyburn wrote that he is concerned that One Medical “may be exploiting the federally funded vaccine rollout to increase membership rates and generate fees, regardless of whether prospective fee-paying members are actually eligible for vaccination.”\u003c/p>\n\u003cp>A One Medical spokesperson said that patients are asked to register on the company platform as a means to create a unique patient chart, akin to filling out paperwork in a doctor’s office. “We are not asking people to pay for a One Medical membership or asking them to register for a One Medical account to then convert them to annual dues-paying members. The primary focus is on a seamless care experience and NOT on converting people to annual paid members,” the spokesperson said. “That said, we do treat each of our vaccination patients just like any other patient who is new to One Medical by sharing information about our practice and about the benefits of our membership model so they can take full advantage if they’d like to.”\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"info": "Possible is hosted by entrepreneur Reid Hoffman and writer Aria Finger. Together in Possible, Hoffman and Finger lead enlightening discussions about building a brighter collective future. The show features interviews with visionary guests like Trevor Noah, Sam Altman and Janette Sadik-Khan. Possible paints an optimistic portrait of the world we can create through science, policy, business, art and our shared humanity. It asks: What if everything goes right for once? How can we get there? Each episode also includes a short fiction story generated by advanced AI GPT-4, serving as a thought-provoking springboard to speculate how humanity could leverage technology for good.",
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"soldout": {
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"title": "SOLD OUT: Rethinking Housing in America",
"tagline": "A new future for housing",
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