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"content": "\u003cp>\u003cem>\u003ca href=\"https://www.kqed.org/news/11838604/when-should-you-get-your-flu-shot\">Leer en ingl\u003cspan style=\"font-weight: 400\">és\u003c/span>\u003c/a>\u003c/em>\u003c/p>\n\u003cp>Los Centros para el Control y Prevención de Enfermedades (CDC por sus siglas en inglés) calculan que la influenza, o gripe, ha causado \u003ca href=\"https://espanol.cdc.gov/flu/about/burden/index.html\">entre 12,000 a 61,000 muertes\u003c/a> cada año desde 2010. La gripe es una enfermedad sumamente seria.\u003c/p>\n\u003cp>Además, con el impacto que ha tenido la pandemia este año, es importante hacer todo lo posible para mantenerse libre de la gripe.\u003c/p>\n\u003cp>Recibir una vacuna contra la gripe es la manera más segura para protegerse del virus de la influenza pero además reduce la probabilidad que transmita el virus a otras personas, en especial personas que corren un riesgo mayor de padecer complicaciones graves o hasta la muerte si es que son infectadas.\u003c/p>\n\u003cp>En una rueda de prensa el oficial ejecutivo del Condado de Santa Clara en la cual también presentó la disponibilidad de vacunas contra la influenza gratis, el Dr. Jeff Smith recalcó que esas vacunas no protegen contra el coronavirus que causa covid-19. Pero lo que la vacuna contra la influenza sí hará es “prevenir que acabes en el hospital”, lo que asegurará que las camillas en los centros médicos sigan disponibles para pacientes de covid-19.\u003c/p>\n\u003cp>Siga leyendo para saber si es mejor que reciba su vacuna para la gripe ahora o después, y también donde puede encontrar centros para vacunarse a bajo o sin costo cerca de usted.\u003c/p>\n\u003ch1>\u003cstrong>¿Debo vacunarme contra la gripe ahora o después?\u003c/strong>\u003c/h1>\n\u003cul>Toma dos semanas para que el sistema inmune desarrolle los anticuerpos luego de recibir la vacuna contra la gripe. Este hecho influye en las recomendaciones que expertos médicos hacen sobre cuándo vacunarse, según el profesor de medicina Dr. Peter Chin-Hong de UCSF.\u003c/ul>\n\u003cp>Los CDC \u003ca href=\"https://espanol.cdc.gov/flu/about/season/flu-season-2018-2019.htm\">recomiendan\u003c/a> que planeé recibir su vacuna contra la gripe “a inicios del otoño, antes de que inicie la temporada de gripe” y a más tardar antes de que termine octubre.\u003c/p>\n\u003cfigure id=\"attachment_11839377\" class=\"wp-caption alignnone\" style=\"max-width: 800px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-medium wp-image-11839377\" src=\"https://ww2.kqed.org/app/uploads/sites/10/2020/09/shots2-1-800x533.png\" alt=\"\" width=\"800\" height=\"533\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2020/09/shots2-1-800x533.png 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2020/09/shots2-1-1020x680.png 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2020/09/shots2-1-160x107.png 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2020/09/shots2-1-1536x1024.png 1536w, https://cdn.kqed.org/wp-content/uploads/sites/10/2020/09/shots2-1.png 1900w\" sizes=\"(max-width: 800px) 100vw, 800px\">\u003cfigcaption class=\"wp-caption-text\">Luego de recibir la vacuna, toma dos semanas para que el cuerpo humano desarrolle los anticuerpos necesarios para protegerlo del virus de la influenza. (Queen’s University/Flickr) \u003ccite>((Queen's University/Flickr))\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>\u003ca href=\"https://pubmed.ncbi.nlm.nih.gov/28039340/\">Existe evidencia\u003c/a> de que el riesgo de contraer la influenza aumenta cada mes después de recibir la vacuna, dice Chin-Hong. Esto se debe a que el nivel de anticuerpos disminuye a lo largo del tiempo. Por su parte el Dr. Anthony Fauci, director del Instituto Nacional de Alergias y Enfermedades Infecciosas, mencionó recientemente que \u003ca href=\"https://www.cnbc.com/2020/09/16/when-dr-anthony-fauci-gets-his-flu-shot-and-why.html\">él recibe su vacuna\u003c/a> a mediados o finales de octubre debido a su inmunidad decreciente.\u003c/p>\n\u003cp>Pero cuando expertos médicos mencionan que uno debe de esperar para recibir su vacuna contra la gripe, se refieren a personas que corren cierto riesgo de desarrollar complicaciones graves vinculadas a esta enfermedad, afirma Chin-Hong. Esto incluye a personas mayores de 65 años, personas con condiciones médicas crónicas, mujeres que planean un embarazo o que ya están embarazadas, y niños menores de 5 años.\u003c/p>\n\u003cp>La época ideal para que estas personas sean vacunadas es a mediados de octubre, recomienda Chin-Hong. Dos semanas después, al inicio de noviembre, el sistema inmune ha desarrollado los anticuerpos, justo a tiempo para cuando se intensifique la temporada de gripe. De esta manera, se aprovecha lo más que puede el impacto positivo de la vacuna, señala él.\u003c/p>\n\u003cp>¿Y si está en una de esas categorías vulnerables? Entonces sí puede considerar esperarse, dijo Chin-Hong. Quienes sean mayores de 65 años también pueden solicitar una vacuna diseñada en especial para este grupo demográfico, la cual contiene una dosis con cuatro veces más antígenos. Antígenos son las estructuras moleculares que inician la producción de los anticuerpos. Pero lo más importante es “no dudar tanto de que fecha es la ideal, ya que al final puede resultar que se le olvide recibir la vacuna”, dice Chin-Hong.\u003c/p>\n\u003cp>Pero si es que acaba demorando la fecha en que se vacuna, o simplemente se le olvida, no deje que esto prevenga que sea vacunado durante la temporada de gripe, dijo él. Chin-Hong se refiere a \u003ca href=\"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7453691/\">un estudio publicado por UCSF\u003c/a>, el cual revela que tan solo un tercio de 437,000 estadounidenses entrevistados en una encuesta recibieron la vacuna entre el 2017 al 2019. No importa cuándo se vacune, lo que importa es que lo haga.\u003c/p>\n\u003cp>El Dr. Jeff Smith del condado de Santa Clara también señaló en su rueda de prensa que cuanto más se espere, menos protección contra el virus de la gripe tendrá. Por esa razón, vacunese “lo más pronto posible” ya que “esperar sólo resultará en una probabilidad más alta que contraiga la enfermedad”.\u003c/p>\n\u003cp>\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-medium wp-image-11839378 alignnone\" src=\"https://ww2.kqed.org/app/uploads/sites/10/2020/09/shots3-1-800x533.png\" alt=\"\" width=\"800\" height=\"533\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2020/09/shots3-1-800x533.png 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2020/09/shots3-1-1020x680.png 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2020/09/shots3-1-160x107.png 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2020/09/shots3-1-1536x1024.png 1536w, https://cdn.kqed.org/wp-content/uploads/sites/10/2020/09/shots3-1.png 1900w\" sizes=\"(max-width: 800px) 100vw, 800px\">\u003c/p>\n\u003ch1>\u003cstrong>¿Dónde puedo recibir una vacuna contra la gripe si tengo seguro médico?\u003c/strong>\u003c/h1>\n\u003cul>Si tiene seguro médico, una vacuna contra la gripe es gratis ya que es considerada como un servicio de cuidado preventivo si se la administra su doctor regular o alguna de las farmacias que incluimos a continuación.\u003c/ul>\n\u003cp>Asegúrese de usar su cubrebocas, guardar el distanciamiento social mientras espera por su vacuna, y llevar puesta una camisa que tenga mangas que se puedan alzar fácilmente, para facilitar la inyección.\u003c/p>\n\u003cp>\u003cstrong>Lugares comunes en donde puede recibir su vacuna contra la gripe, que no requieren cita o que puede llegar en su vehículo.\u003c/strong>\u003c/p>\n\u003cul>\n\u003cli>\u003ca href=\"https://vaccinefinder.org/find-vaccine\">La herramienta de los CDC para encontrar centros de vacunaci\u003cspan style=\"font-weight: 400\">ón\u003c/span>\u003c/a> (en inglés)\u003c/li>\n\u003cli>\u003ca href=\"https://mydoctor.kaiserpermanente.org/ncal/cold-and-flu/prevention#/prevention\">Kaiser Permanente en el norte de California\u003c/a> (en inglés)\u003c/li>\n\u003cli>\u003ca href=\"https://es.cvs.com/immunizations/flu\">Vacunas para la gripe de CVS\u003c/a> (en espa\u003cspan style=\"font-weight: 400\">ñol)\u003c/span>\u003c/li>\n\u003cli>\u003ca href=\"https://www.walgreens.com/topic/pharmacy/seasonal-flu.jsp?ban=flu_fy21_influenzapage\">Vacunas para la gripe de Walgreens\u003c/a> (en espa\u003cspan style=\"font-weight: 400\">ñ\u003c/span>ol)\u003c/li>\n\u003cli>\u003ca href=\"https://www.costco.com/Pharmacy/adult-immunization-program.html\">Vacunas para la gripe de Costco Pharmacy\u003c/a> (en inglés)\u003c/li>\n\u003cli style=\"list-style-type: none\">\n\u003cul>\n\u003cli style=\"list-style-type: none\">\n\u003cul>\n\u003cli style=\"list-style-type: none\">\n\u003c/ul>\n\u003c/li>\n\u003c/ul>\n\u003c/li>\n\u003c/ul>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003ch1>\u003cstrong>¿Dónde puedo recibir una vacuna para la gripe si no tengo seguro médico?\u003c/strong>\u003c/h1>\n\u003cul>Si necesita una vacuna para la gripe pero no tiene seguro médico, puede recibir la vacuna sin costo alguno de ciertos proveedores de cuidado médico alrededor del Área de la Bahía. Si es que sí tiene seguro, también puede usar estos servicios pero puede elegir no hacerlo para que estos recursos sigan disponibles para quienes más los necesitan .\u003c/ul>\n\u003cp>El departamento de salud pública de su condado puede estar ofreciendo las vacunas. Por ejemplo, cada sábado hasta mediados de diciembre, el condado de Santa Clara está ofreciendo vacunas para la gripe gratis en los terrenos de la feria del condado en San José.\u003c/p>\n\u003cp>Cualquiera puede llegar a los terrenos de la feria caminando o en bicicleta (lugares de estacionamiento también están disponibles para personas con discapacidades), recibir su vacuna sin haber hecho cita y sin importar su estatus migratorio o falta de seguro médico. El único requisito es que lleve puesto su cubrebocas. El condado también ofrece vacunas contra la influenza en los centros Valley Health en San José y Sunnyvale.\u003c/p>\n\u003cp>Más información \u003ca href=\"https://www.sccgov.org/sites/covid19/Pages/home-es.aspx\">aquí\u003c/a>.\u003c/p>\n\u003ch1>\u003cstrong>Algunos lugares para recibir una vacuna contra la gripe gratis o de bajo costo en el Área de la Bahía:\u003c/strong>\u003c/h1>\n\u003cul>\n\u003cli>\u003ca href=\"https://www.sfcdcp.org/aitc/aitc-regular-prices-low-cost-or-free-vaccines/\">La clínica de salud p\u003cspan style=\"font-weight: 400\">ú\u003c/span>blica AITC de San Francisco\u003c/a> (ofrece una opción para que pague lo que pueda y sostiene que nadie será rechazado por no poder pagar)\u003c/li>\n\u003cli>\u003ca href=\"https://cchealth.org/immunization/clinics.php#Uninsured\">Clínica de salud pública e inmunización de Contra Costa\u003c/a> (vacunas para la gripe cuestan $15 para adultos mayores de 19 años pero no tiene que pagar si no puede pagar)\u003c/li>\n\u003cli>\u003ca href=\"http://www.acphd.org/media/394923/general-vaccinations-clinics-20200913-eng.pdf\">Clínicas de inmunización del condado de Alameda\u003c/a>\u003c/li>\n\u003c/ul>\n\u003ch1>\u003cb>Y recuerde…la vacuna para la gripe no lo puede contagiar de la gripe\u003c/b>\u003c/h1>\n\u003cp>\u003cspan style=\"font-weight: 400\">La vacuna para la gripe contiene un virus que ha sido inactivado o debilitado, y por esa razón uno no se puede “contagiar de la gripe” cuando se vacuna, \u003ca href=\"https://espanol.cdc.gov/flu/prevent/misconceptions.htm\">según los CDC\u003c/a>. La vacuna contra la gripe puede provocar efectos secundarios de la misma manera que cualquier otro producto médico pero \u003ca href=\"https://espanol.cdc.gov/flu/prevent/general.htm\">la dependencia sostiene\u003c/a> que estos “son generalmente leves y desaparecen por sí solos en pocos días”.\u003c/span>\u003c/p>\n\u003cp>\u003cspan style=\"font-weight: 400\">Algunos efectos secundarios comunes pueden ser dolores o inflamación cerca del sitio en donde fue inyectado, dolores de cabeza, fiebres, náusea o hasta dolores musculares. Pero nunca será la gripe. \u003c/span>\u003c/p>\n\u003cp>\u003cem>Este artículo fue traducido por el periodista, \u003ca>Carlos Cabrera-Lomelí\u003c/a>.\u003c/em>\u003c/p>\n\u003cp>\u003cem>\u003ca href=\"https://www.kqed.org/kqedenespanol\" target=\"_blank\" rel=\"noopener noreferrer\">Leer más reportajes de KQED en Español. \u003c/a>\u003c/em>\u003cbr>\n[ad fullwidth]\u003c/p>\n\u003cp>[ad floatright]\u003c/p>\n",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>\u003cem>\u003ca href=\"https://www.kqed.org/news/11838604/when-should-you-get-your-flu-shot\">Leer en ingl\u003cspan style=\"font-weight: 400\">és\u003c/span>\u003c/a>\u003c/em>\u003c/p>\n\u003cp>Los Centros para el Control y Prevención de Enfermedades (CDC por sus siglas en inglés) calculan que la influenza, o gripe, ha causado \u003ca href=\"https://espanol.cdc.gov/flu/about/burden/index.html\">entre 12,000 a 61,000 muertes\u003c/a> cada año desde 2010. La gripe es una enfermedad sumamente seria.\u003c/p>\n\u003cp>Además, con el impacto que ha tenido la pandemia este año, es importante hacer todo lo posible para mantenerse libre de la gripe.\u003c/p>\n\u003cp>Recibir una vacuna contra la gripe es la manera más segura para protegerse del virus de la influenza pero además reduce la probabilidad que transmita el virus a otras personas, en especial personas que corren un riesgo mayor de padecer complicaciones graves o hasta la muerte si es que son infectadas.\u003c/p>\n\u003cp>En una rueda de prensa el oficial ejecutivo del Condado de Santa Clara en la cual también presentó la disponibilidad de vacunas contra la influenza gratis, el Dr. Jeff Smith recalcó que esas vacunas no protegen contra el coronavirus que causa covid-19. Pero lo que la vacuna contra la influenza sí hará es “prevenir que acabes en el hospital”, lo que asegurará que las camillas en los centros médicos sigan disponibles para pacientes de covid-19.\u003c/p>\n\u003cp>Siga leyendo para saber si es mejor que reciba su vacuna para la gripe ahora o después, y también donde puede encontrar centros para vacunarse a bajo o sin costo cerca de usted.\u003c/p>\n\u003ch1>\u003cstrong>¿Debo vacunarme contra la gripe ahora o después?\u003c/strong>\u003c/h1>\n\u003cul>Toma dos semanas para que el sistema inmune desarrolle los anticuerpos luego de recibir la vacuna contra la gripe. Este hecho influye en las recomendaciones que expertos médicos hacen sobre cuándo vacunarse, según el profesor de medicina Dr. Peter Chin-Hong de UCSF.\u003c/ul>\n\u003cp>Los CDC \u003ca href=\"https://espanol.cdc.gov/flu/about/season/flu-season-2018-2019.htm\">recomiendan\u003c/a> que planeé recibir su vacuna contra la gripe “a inicios del otoño, antes de que inicie la temporada de gripe” y a más tardar antes de que termine octubre.\u003c/p>\n\u003cfigure id=\"attachment_11839377\" class=\"wp-caption alignnone\" style=\"max-width: 800px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-medium wp-image-11839377\" src=\"https://ww2.kqed.org/app/uploads/sites/10/2020/09/shots2-1-800x533.png\" alt=\"\" width=\"800\" height=\"533\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2020/09/shots2-1-800x533.png 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2020/09/shots2-1-1020x680.png 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2020/09/shots2-1-160x107.png 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2020/09/shots2-1-1536x1024.png 1536w, https://cdn.kqed.org/wp-content/uploads/sites/10/2020/09/shots2-1.png 1900w\" sizes=\"(max-width: 800px) 100vw, 800px\">\u003cfigcaption class=\"wp-caption-text\">Luego de recibir la vacuna, toma dos semanas para que el cuerpo humano desarrolle los anticuerpos necesarios para protegerlo del virus de la influenza. (Queen’s University/Flickr) \u003ccite>((Queen's University/Flickr))\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>\u003ca href=\"https://pubmed.ncbi.nlm.nih.gov/28039340/\">Existe evidencia\u003c/a> de que el riesgo de contraer la influenza aumenta cada mes después de recibir la vacuna, dice Chin-Hong. Esto se debe a que el nivel de anticuerpos disminuye a lo largo del tiempo. Por su parte el Dr. Anthony Fauci, director del Instituto Nacional de Alergias y Enfermedades Infecciosas, mencionó recientemente que \u003ca href=\"https://www.cnbc.com/2020/09/16/when-dr-anthony-fauci-gets-his-flu-shot-and-why.html\">él recibe su vacuna\u003c/a> a mediados o finales de octubre debido a su inmunidad decreciente.\u003c/p>\n\u003cp>Pero cuando expertos médicos mencionan que uno debe de esperar para recibir su vacuna contra la gripe, se refieren a personas que corren cierto riesgo de desarrollar complicaciones graves vinculadas a esta enfermedad, afirma Chin-Hong. Esto incluye a personas mayores de 65 años, personas con condiciones médicas crónicas, mujeres que planean un embarazo o que ya están embarazadas, y niños menores de 5 años.\u003c/p>\n\u003cp>La época ideal para que estas personas sean vacunadas es a mediados de octubre, recomienda Chin-Hong. Dos semanas después, al inicio de noviembre, el sistema inmune ha desarrollado los anticuerpos, justo a tiempo para cuando se intensifique la temporada de gripe. De esta manera, se aprovecha lo más que puede el impacto positivo de la vacuna, señala él.\u003c/p>\n\u003cp>¿Y si está en una de esas categorías vulnerables? Entonces sí puede considerar esperarse, dijo Chin-Hong. Quienes sean mayores de 65 años también pueden solicitar una vacuna diseñada en especial para este grupo demográfico, la cual contiene una dosis con cuatro veces más antígenos. Antígenos son las estructuras moleculares que inician la producción de los anticuerpos. Pero lo más importante es “no dudar tanto de que fecha es la ideal, ya que al final puede resultar que se le olvide recibir la vacuna”, dice Chin-Hong.\u003c/p>\n\u003cp>Pero si es que acaba demorando la fecha en que se vacuna, o simplemente se le olvida, no deje que esto prevenga que sea vacunado durante la temporada de gripe, dijo él. Chin-Hong se refiere a \u003ca href=\"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7453691/\">un estudio publicado por UCSF\u003c/a>, el cual revela que tan solo un tercio de 437,000 estadounidenses entrevistados en una encuesta recibieron la vacuna entre el 2017 al 2019. No importa cuándo se vacune, lo que importa es que lo haga.\u003c/p>\n\u003cp>El Dr. Jeff Smith del condado de Santa Clara también señaló en su rueda de prensa que cuanto más se espere, menos protección contra el virus de la gripe tendrá. Por esa razón, vacunese “lo más pronto posible” ya que “esperar sólo resultará en una probabilidad más alta que contraiga la enfermedad”.\u003c/p>\n\u003cp>\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-medium wp-image-11839378 alignnone\" src=\"https://ww2.kqed.org/app/uploads/sites/10/2020/09/shots3-1-800x533.png\" alt=\"\" width=\"800\" height=\"533\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2020/09/shots3-1-800x533.png 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2020/09/shots3-1-1020x680.png 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2020/09/shots3-1-160x107.png 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2020/09/shots3-1-1536x1024.png 1536w, https://cdn.kqed.org/wp-content/uploads/sites/10/2020/09/shots3-1.png 1900w\" sizes=\"(max-width: 800px) 100vw, 800px\">\u003c/p>\n\u003ch1>\u003cstrong>¿Dónde puedo recibir una vacuna contra la gripe si tengo seguro médico?\u003c/strong>\u003c/h1>\n\u003cul>Si tiene seguro médico, una vacuna contra la gripe es gratis ya que es considerada como un servicio de cuidado preventivo si se la administra su doctor regular o alguna de las farmacias que incluimos a continuación.\u003c/ul>\n\u003cp>Asegúrese de usar su cubrebocas, guardar el distanciamiento social mientras espera por su vacuna, y llevar puesta una camisa que tenga mangas que se puedan alzar fácilmente, para facilitar la inyección.\u003c/p>\n\u003cp>\u003cstrong>Lugares comunes en donde puede recibir su vacuna contra la gripe, que no requieren cita o que puede llegar en su vehículo.\u003c/strong>\u003c/p>\n\u003cul>\n\u003cli>\u003ca href=\"https://vaccinefinder.org/find-vaccine\">La herramienta de los CDC para encontrar centros de vacunaci\u003cspan style=\"font-weight: 400\">ón\u003c/span>\u003c/a> (en inglés)\u003c/li>\n\u003cli>\u003ca href=\"https://mydoctor.kaiserpermanente.org/ncal/cold-and-flu/prevention#/prevention\">Kaiser Permanente en el norte de California\u003c/a> (en inglés)\u003c/li>\n\u003cli>\u003ca href=\"https://es.cvs.com/immunizations/flu\">Vacunas para la gripe de CVS\u003c/a> (en espa\u003cspan style=\"font-weight: 400\">ñol)\u003c/span>\u003c/li>\n\u003cli>\u003ca href=\"https://www.walgreens.com/topic/pharmacy/seasonal-flu.jsp?ban=flu_fy21_influenzapage\">Vacunas para la gripe de Walgreens\u003c/a> (en espa\u003cspan style=\"font-weight: 400\">ñ\u003c/span>ol)\u003c/li>\n\u003cli>\u003ca href=\"https://www.costco.com/Pharmacy/adult-immunization-program.html\">Vacunas para la gripe de Costco Pharmacy\u003c/a> (en inglés)\u003c/li>\n\u003cli style=\"list-style-type: none\">\n\u003cul>\n\u003cli style=\"list-style-type: none\">\n\u003cul>\n\u003cli style=\"list-style-type: none\">\n\u003c/ul>\n\u003c/li>\n\u003c/ul>\n\u003c/li>\n\u003c/ul>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003ch1>\u003cstrong>¿Dónde puedo recibir una vacuna para la gripe si no tengo seguro médico?\u003c/strong>\u003c/h1>\n\u003cul>Si necesita una vacuna para la gripe pero no tiene seguro médico, puede recibir la vacuna sin costo alguno de ciertos proveedores de cuidado médico alrededor del Área de la Bahía. Si es que sí tiene seguro, también puede usar estos servicios pero puede elegir no hacerlo para que estos recursos sigan disponibles para quienes más los necesitan .\u003c/ul>\n\u003cp>El departamento de salud pública de su condado puede estar ofreciendo las vacunas. Por ejemplo, cada sábado hasta mediados de diciembre, el condado de Santa Clara está ofreciendo vacunas para la gripe gratis en los terrenos de la feria del condado en San José.\u003c/p>\n\u003cp>Cualquiera puede llegar a los terrenos de la feria caminando o en bicicleta (lugares de estacionamiento también están disponibles para personas con discapacidades), recibir su vacuna sin haber hecho cita y sin importar su estatus migratorio o falta de seguro médico. El único requisito es que lleve puesto su cubrebocas. El condado también ofrece vacunas contra la influenza en los centros Valley Health en San José y Sunnyvale.\u003c/p>\n\u003cp>Más información \u003ca href=\"https://www.sccgov.org/sites/covid19/Pages/home-es.aspx\">aquí\u003c/a>.\u003c/p>\n\u003ch1>\u003cstrong>Algunos lugares para recibir una vacuna contra la gripe gratis o de bajo costo en el Área de la Bahía:\u003c/strong>\u003c/h1>\n\u003cul>\n\u003cli>\u003ca href=\"https://www.sfcdcp.org/aitc/aitc-regular-prices-low-cost-or-free-vaccines/\">La clínica de salud p\u003cspan style=\"font-weight: 400\">ú\u003c/span>blica AITC de San Francisco\u003c/a> (ofrece una opción para que pague lo que pueda y sostiene que nadie será rechazado por no poder pagar)\u003c/li>\n\u003cli>\u003ca href=\"https://cchealth.org/immunization/clinics.php#Uninsured\">Clínica de salud pública e inmunización de Contra Costa\u003c/a> (vacunas para la gripe cuestan $15 para adultos mayores de 19 años pero no tiene que pagar si no puede pagar)\u003c/li>\n\u003cli>\u003ca href=\"http://www.acphd.org/media/394923/general-vaccinations-clinics-20200913-eng.pdf\">Clínicas de inmunización del condado de Alameda\u003c/a>\u003c/li>\n\u003c/ul>\n\u003ch1>\u003cb>Y recuerde…la vacuna para la gripe no lo puede contagiar de la gripe\u003c/b>\u003c/h1>\n\u003cp>\u003cspan style=\"font-weight: 400\">La vacuna para la gripe contiene un virus que ha sido inactivado o debilitado, y por esa razón uno no se puede “contagiar de la gripe” cuando se vacuna, \u003ca href=\"https://espanol.cdc.gov/flu/prevent/misconceptions.htm\">según los CDC\u003c/a>. La vacuna contra la gripe puede provocar efectos secundarios de la misma manera que cualquier otro producto médico pero \u003ca href=\"https://espanol.cdc.gov/flu/prevent/general.htm\">la dependencia sostiene\u003c/a> que estos “son generalmente leves y desaparecen por sí solos en pocos días”.\u003c/span>\u003c/p>\n\u003cp>\u003cspan style=\"font-weight: 400\">Algunos efectos secundarios comunes pueden ser dolores o inflamación cerca del sitio en donde fue inyectado, dolores de cabeza, fiebres, náusea o hasta dolores musculares. Pero nunca será la gripe. \u003c/span>\u003c/p>\n\u003cp>\u003cem>Este artículo fue traducido por el periodista, \u003ca>Carlos Cabrera-Lomelí\u003c/a>.\u003c/em>\u003c/p>\n\u003cp>\u003cem>\u003ca href=\"https://www.kqed.org/kqedenespanol\" target=\"_blank\" rel=\"noopener noreferrer\">Leer más reportajes de KQED en Español. \u003c/a>\u003c/em>\u003cbr>\n\u003c/p>\u003c/div>",
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"content": "\u003cp>The Centers for Disease Control and Prevention estimates that the flu has caused between \u003ca href=\"https://www.cdc.gov/flu/about/burden/\">12,000 and 61,000 deaths\u003c/a> annually since 2010. So it’s always serious business.\u003c/p>\n\u003cp>But this year, amid the coronavirus pandemic, it’s especially crucial to do everything you can to stay flu-free. Especially as \u003ca href=\"https://www.kqed.org/coronavirusliveupdates/news/11839496/california-officials-warn-the-flu-covid-19-could-overwhelm-hospitals\">officials are already warning\u003c/a> that a severe flu season could overwhelm California hospitals that are preparing for an uptick in COVID-19 cases as the economy further reopens.\u003c/p>\n\u003cp>Getting your flu shot is the best, safest way to not only protect yourself against the influenza virus, but also to minimize the chance you will spread it to others — folks who could be at far higher risk for serious complications or even death if they were to become infected.\u003c/p>\n\u003cp>In a recent press conference announcing the availability of free flu shots in Santa Clara County, county Executive Officer Dr. Jeff Smith issued a reminder that the flu vaccine will not protect against the coronavirus that causes COVID-19. But what the flu vaccine \u003cem>will\u003c/em> do, he said, “is prevent you from ending up in the hospital,” which will help ensure that beds are available for COVID-19 patients.\u003c/p>\n\u003cp>Read on to find out if you should be getting your flu shot right now, and where to find free or low-cost flu shot options near you.\u003c/p>\n\u003ch3>Should you get a flu shot now, or wait?\u003c/h3>\n\u003cp>The recommendations medical professionals make about when to get a flu shot are based on the fact that it takes about two weeks after you get vaccinated for antibodies to develop and provide protection against the flu, says UCSF professor of medicine Dr. Peter Chin-Hong.\u003c/p>\n\u003cp>The CDC \u003ca href=\"https://www.cdc.gov/flu/about/season/flu-season-2018-2019.htm#:~:text=It%20takes%20about%20two%20weeks,by%20the%20end%20of%20October.\">recommends\u003c/a> that you plan to get your flu shot “early in fall, before flu season begins,” and definitely by the end of October.\u003c/p>\n\u003cfigure id=\"attachment_11838737\" class=\"wp-caption alignnone\" style=\"max-width: 1900px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-11838737\" src=\"https://ww2.kqed.org/app/uploads/sites/10/2020/09/shots2.png\" alt=\"\" width=\"1900\" height=\"1267\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2020/09/shots2.png 1900w, https://cdn.kqed.org/wp-content/uploads/sites/10/2020/09/shots2-800x533.png 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2020/09/shots2-1020x680.png 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2020/09/shots2-160x107.png 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2020/09/shots2-1536x1024.png 1536w\" sizes=\"auto, (max-width: 1900px) 100vw, 1900px\">\u003cfigcaption class=\"wp-caption-text\">It takes two weeks after your flu shot for your body to develop the antibodies it needs to protect you from the flu virus. \u003ccite>(Queen's University/Flickr)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>There is \u003ca href=\"https://pubmed.ncbi.nlm.nih.gov/28039340/\" target=\"_blank\" rel=\"noopener noreferrer\">evidence\u003c/a>, Chin-Hong says, that your risk of getting the flu increases every month after your flu shot, due to the antibodies waning over time. (Dr. Anthony Fauci, director of the National Institute of Allergy and Infectious Diseases, recently said he \u003ca href=\"https://www.cnbc.com/2020/09/16/when-dr-anthony-fauci-gets-his-flu-shot-and-why.html\">gets his shot\u003c/a> “towards the middle and end of October” because of this diminishing immunity.)\u003c/p>\n\u003cp>But when medical professionals talk about strategically “waiting” to get a flu shot, says Chin-Hong, they’re aiming that advice at those who are at particularly high risk for more serious complications related to the flu. That includes people over 65, those with chronic medical conditions, women who are pregnant or planning a pregnancy, and kids under 5.\u003c/p>\n\u003cp>Delaying inoculations for these populations is based on the idea of getting the shot at a time Chin-Hong calls “the sweet spot,” around mid-to-late October. Two weeks later, right around early November, the antibodies should have developed, just as flu season is getting serious. Think of it as getting the “biggest bang for your buck,” he said.\u003c/p>\n\u003cp>So if you’re in one of those vulnerable categories? Yes, you can think about waiting, says Chin-Hong. People over 65 might also consider requesting the special flu vaccines for this age group, which contain four times the dosage of antigens that trigger the production of antibodies. But ultimately, he says, “Don’t hem and haw about when to get it,” — because there’s a risk you may wind up forgetting to get it at all. ”\u003c/p>\n\u003cp>And if you do delay and change your mind, or just forget, that shouldn’t stop you from getting the shot at a later date in the flu season, he says. Chin-Hong references\u003ca href=\"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7453691/\"> a recent UCSF study\u003c/a> that found just one-third of 437,000 Americans interviewed in an annual survey reported getting a flu shot from 2017-19. So, anytime is better than no time.\u003c/p>\n\u003cp>Santa Clara’s Dr. Jeff Smith also pointed out in his press conference that the longer you wait to get your flu shot, the more unprotected exposure to the virus you’ll put yourself through. So get your flu shot “as early as you possibly can,” he said, because “waiting only means that you have a higher likelihood of getting the flu.”\u003c/p>\n\u003cp>\u003cimg loading=\"lazy\" decoding=\"async\" class=\"alignnone size-full wp-image-11838740\" src=\"https://ww2.kqed.org/app/uploads/sites/10/2020/09/shots3.png\" alt=\"\" width=\"1900\" height=\"1267\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2020/09/shots3.png 1900w, https://cdn.kqed.org/wp-content/uploads/sites/10/2020/09/shots3-800x533.png 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2020/09/shots3-1020x680.png 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2020/09/shots3-160x107.png 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2020/09/shots3-1536x1024.png 1536w\" sizes=\"auto, (max-width: 1900px) 100vw, 1900px\">\u003c/p>\n\u003ch3>Where can I get a flu shot if I have insurance?\u003c/h3>\n\u003cp>If you have health insurance, a flu shot is available free without cost as a preventive service from your usual doctor, or most pharmacies. (See below.)\u003c/p>\n\u003cp>Make sure you’re wearing your mask, maintain social distancing wherever possible while waiting for your shot, and dress in a top with sleeves you can easily pull up to your shoulder, to make receiving the injection even easier (and quicker.)\u003c/p>\n\u003cp>\u003cstrong>Common places to find a flu shot appointment, walk-in site or drive-thru flu shot:\u003c/strong>\u003c/p>\n\u003cul>\n\u003cli>\u003ca href=\"https://vaccinefinder.org/find-vaccine\">CDC’s Vaccine Finder tool\u003c/a>\u003c/li>\n\u003cli>\u003ca href=\"https://mydoctor.kaiserpermanente.org/ncal/cold-and-flu/prevention#/prevention\">Kaiser Permanente flu shots (Northern California) \u003c/a>\u003c/li>\n\u003cli>\u003ca href=\"https://www.cvs.com/immunizations/flu\">CVS flu shots\u003c/a>\u003c/li>\n\u003cli>\u003ca href=\"https://www.walgreens.com/topic/pharmacy/seasonal-flu.jsp?ban=flu_fy21_influenzapage\">Walgreens flu shots \u003c/a>\u003c/li>\n\u003cli>\u003ca href=\"https://www.costco.com/Pharmacy/adult-immunization-program.html\">Costco Pharmacy flu shots\u003c/a>\u003c/li>\n\u003c/ul>\n\u003ch3>Where can I get a flu shot if I \u003cem>don’t\u003c/em> have health insurance?\u003c/h3>\n\u003cp>If you want a flu shot but don’t have health insurance, you can get the vaccine free of charge from several providers and community clinics around the Bay Area. (You can also technically use these free services even if you do have insurance, but you may consider choosing to free up these particular resources for those who are not covered.)\u003c/p>\n\u003cp>For a start, your county’s own public health department might offer them. For example, Santa Clara County is now offering free flu shots at the County Fairgrounds in San Jose, every Saturday until mid-December.\u003c/p>\n\u003cp>Anyone can walk or bike up to the fairgrounds (parking is also available for those with disabilities) without an appointment and get vaccinated, regardless of insurance or immigration status; you only need to wear a mask. Free flu shots are also available from the county at the Valley Health Centers in San Jose and Sunnyvale.\u003c/p>\n\u003cp>More info \u003ca href=\"https://www.sccgov.org/sites/covid19/Pages/press-release-09-17-20-free-flu-shots.aspx\">here\u003c/a>.\u003c/p>\n\u003cp>\u003cstrong>Places to get a free or low-cost flu shot in the Bay Area include:\u003c/strong>\u003c/p>\n\u003cul>\n\u003cli>\u003ca href=\"https://www.sfcdcp.org/aitc/aitc-regular-prices-low-cost-or-free-vaccines/\">San Francisco Public Health’s AITC Clinic\u003c/a> (offers a pay-what-you-can option, and says that nobody will be refused for inability to pay)\u003c/li>\n\u003cli>\u003ca href=\"https://cchealth.org/immunization/clinics.php#Uninsured\">Contra Costa Public Health Immunization Clinic\u003c/a> (flu shots are $15 for adults over 19, but fees may be waived if you’re unable to pay)\u003c/li>\n\u003cli>\u003ca href=\"http://www.acphd.org/media/394923/general-vaccinations-clinics-20200913-eng.pdf\">Alameda County Immunization Clinics\u003c/a>\u003c/li>\n\u003c/ul>\n\u003cp>\u003cspan style=\"font-weight: 400;\">[ad fullwidth]\u003c/span>\u003c/p>\n\u003ch3>And a reminder … the flu vaccine can’t ‘give you the flu’\u003c/h3>\n\u003cp>The virus that the flu shot contains has been inactivated or severely weakened, so you just aren’t physically able to “get the flu” from your flu shot, according to the \u003ca href=\"https://www.cdc.gov/flu/prevent/misconceptions.htm#:~:text=Can%20a%20flu%20vaccine%20give,protein%20from%20the%20flu%20virus.\" target=\"_blank\" rel=\"noopener noreferrer\">CDC\u003c/a>. The flu vaccine can cause side effects like any medical product, but they’re “generally mild and go away on their own within a few days,” the agency \u003ca href=\"https://www.cdc.gov/flu/prevent/general.htm\" target=\"_blank\" rel=\"noopener noreferrer\">says\u003c/a>.\u003c/p>\n\u003cp>Common flu shot side effects can include soreness or swelling at the injection site, headache, fever, nausea and muscle aches. But not flu.\u003c/p>\n\u003cp>[ad floatright]\u003c/p>\n",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>The Centers for Disease Control and Prevention estimates that the flu has caused between \u003ca href=\"https://www.cdc.gov/flu/about/burden/\">12,000 and 61,000 deaths\u003c/a> annually since 2010. So it’s always serious business.\u003c/p>\n\u003cp>But this year, amid the coronavirus pandemic, it’s especially crucial to do everything you can to stay flu-free. Especially as \u003ca href=\"https://www.kqed.org/coronavirusliveupdates/news/11839496/california-officials-warn-the-flu-covid-19-could-overwhelm-hospitals\">officials are already warning\u003c/a> that a severe flu season could overwhelm California hospitals that are preparing for an uptick in COVID-19 cases as the economy further reopens.\u003c/p>\n\u003cp>Getting your flu shot is the best, safest way to not only protect yourself against the influenza virus, but also to minimize the chance you will spread it to others — folks who could be at far higher risk for serious complications or even death if they were to become infected.\u003c/p>\n\u003cp>In a recent press conference announcing the availability of free flu shots in Santa Clara County, county Executive Officer Dr. Jeff Smith issued a reminder that the flu vaccine will not protect against the coronavirus that causes COVID-19. But what the flu vaccine \u003cem>will\u003c/em> do, he said, “is prevent you from ending up in the hospital,” which will help ensure that beds are available for COVID-19 patients.\u003c/p>\n\u003cp>Read on to find out if you should be getting your flu shot right now, and where to find free or low-cost flu shot options near you.\u003c/p>\n\u003ch3>Should you get a flu shot now, or wait?\u003c/h3>\n\u003cp>The recommendations medical professionals make about when to get a flu shot are based on the fact that it takes about two weeks after you get vaccinated for antibodies to develop and provide protection against the flu, says UCSF professor of medicine Dr. Peter Chin-Hong.\u003c/p>\n\u003cp>The CDC \u003ca href=\"https://www.cdc.gov/flu/about/season/flu-season-2018-2019.htm#:~:text=It%20takes%20about%20two%20weeks,by%20the%20end%20of%20October.\">recommends\u003c/a> that you plan to get your flu shot “early in fall, before flu season begins,” and definitely by the end of October.\u003c/p>\n\u003cfigure id=\"attachment_11838737\" class=\"wp-caption alignnone\" style=\"max-width: 1900px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-11838737\" src=\"https://ww2.kqed.org/app/uploads/sites/10/2020/09/shots2.png\" alt=\"\" width=\"1900\" height=\"1267\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2020/09/shots2.png 1900w, https://cdn.kqed.org/wp-content/uploads/sites/10/2020/09/shots2-800x533.png 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2020/09/shots2-1020x680.png 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2020/09/shots2-160x107.png 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2020/09/shots2-1536x1024.png 1536w\" sizes=\"auto, (max-width: 1900px) 100vw, 1900px\">\u003cfigcaption class=\"wp-caption-text\">It takes two weeks after your flu shot for your body to develop the antibodies it needs to protect you from the flu virus. \u003ccite>(Queen's University/Flickr)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>There is \u003ca href=\"https://pubmed.ncbi.nlm.nih.gov/28039340/\" target=\"_blank\" rel=\"noopener noreferrer\">evidence\u003c/a>, Chin-Hong says, that your risk of getting the flu increases every month after your flu shot, due to the antibodies waning over time. (Dr. Anthony Fauci, director of the National Institute of Allergy and Infectious Diseases, recently said he \u003ca href=\"https://www.cnbc.com/2020/09/16/when-dr-anthony-fauci-gets-his-flu-shot-and-why.html\">gets his shot\u003c/a> “towards the middle and end of October” because of this diminishing immunity.)\u003c/p>\n\u003cp>But when medical professionals talk about strategically “waiting” to get a flu shot, says Chin-Hong, they’re aiming that advice at those who are at particularly high risk for more serious complications related to the flu. That includes people over 65, those with chronic medical conditions, women who are pregnant or planning a pregnancy, and kids under 5.\u003c/p>\n\u003cp>Delaying inoculations for these populations is based on the idea of getting the shot at a time Chin-Hong calls “the sweet spot,” around mid-to-late October. Two weeks later, right around early November, the antibodies should have developed, just as flu season is getting serious. Think of it as getting the “biggest bang for your buck,” he said.\u003c/p>\n\u003cp>So if you’re in one of those vulnerable categories? Yes, you can think about waiting, says Chin-Hong. People over 65 might also consider requesting the special flu vaccines for this age group, which contain four times the dosage of antigens that trigger the production of antibodies. But ultimately, he says, “Don’t hem and haw about when to get it,” — because there’s a risk you may wind up forgetting to get it at all. ”\u003c/p>\n\u003cp>And if you do delay and change your mind, or just forget, that shouldn’t stop you from getting the shot at a later date in the flu season, he says. Chin-Hong references\u003ca href=\"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7453691/\"> a recent UCSF study\u003c/a> that found just one-third of 437,000 Americans interviewed in an annual survey reported getting a flu shot from 2017-19. So, anytime is better than no time.\u003c/p>\n\u003cp>Santa Clara’s Dr. Jeff Smith also pointed out in his press conference that the longer you wait to get your flu shot, the more unprotected exposure to the virus you’ll put yourself through. So get your flu shot “as early as you possibly can,” he said, because “waiting only means that you have a higher likelihood of getting the flu.”\u003c/p>\n\u003cp>\u003cimg loading=\"lazy\" decoding=\"async\" class=\"alignnone size-full wp-image-11838740\" src=\"https://ww2.kqed.org/app/uploads/sites/10/2020/09/shots3.png\" alt=\"\" width=\"1900\" height=\"1267\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2020/09/shots3.png 1900w, https://cdn.kqed.org/wp-content/uploads/sites/10/2020/09/shots3-800x533.png 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2020/09/shots3-1020x680.png 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2020/09/shots3-160x107.png 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2020/09/shots3-1536x1024.png 1536w\" sizes=\"auto, (max-width: 1900px) 100vw, 1900px\">\u003c/p>\n\u003ch3>Where can I get a flu shot if I have insurance?\u003c/h3>\n\u003cp>If you have health insurance, a flu shot is available free without cost as a preventive service from your usual doctor, or most pharmacies. (See below.)\u003c/p>\n\u003cp>Make sure you’re wearing your mask, maintain social distancing wherever possible while waiting for your shot, and dress in a top with sleeves you can easily pull up to your shoulder, to make receiving the injection even easier (and quicker.)\u003c/p>\n\u003cp>\u003cstrong>Common places to find a flu shot appointment, walk-in site or drive-thru flu shot:\u003c/strong>\u003c/p>\n\u003cul>\n\u003cli>\u003ca href=\"https://vaccinefinder.org/find-vaccine\">CDC’s Vaccine Finder tool\u003c/a>\u003c/li>\n\u003cli>\u003ca href=\"https://mydoctor.kaiserpermanente.org/ncal/cold-and-flu/prevention#/prevention\">Kaiser Permanente flu shots (Northern California) \u003c/a>\u003c/li>\n\u003cli>\u003ca href=\"https://www.cvs.com/immunizations/flu\">CVS flu shots\u003c/a>\u003c/li>\n\u003cli>\u003ca href=\"https://www.walgreens.com/topic/pharmacy/seasonal-flu.jsp?ban=flu_fy21_influenzapage\">Walgreens flu shots \u003c/a>\u003c/li>\n\u003cli>\u003ca href=\"https://www.costco.com/Pharmacy/adult-immunization-program.html\">Costco Pharmacy flu shots\u003c/a>\u003c/li>\n\u003c/ul>\n\u003ch3>Where can I get a flu shot if I \u003cem>don’t\u003c/em> have health insurance?\u003c/h3>\n\u003cp>If you want a flu shot but don’t have health insurance, you can get the vaccine free of charge from several providers and community clinics around the Bay Area. (You can also technically use these free services even if you do have insurance, but you may consider choosing to free up these particular resources for those who are not covered.)\u003c/p>\n\u003cp>For a start, your county’s own public health department might offer them. For example, Santa Clara County is now offering free flu shots at the County Fairgrounds in San Jose, every Saturday until mid-December.\u003c/p>\n\u003cp>Anyone can walk or bike up to the fairgrounds (parking is also available for those with disabilities) without an appointment and get vaccinated, regardless of insurance or immigration status; you only need to wear a mask. Free flu shots are also available from the county at the Valley Health Centers in San Jose and Sunnyvale.\u003c/p>\n\u003cp>More info \u003ca href=\"https://www.sccgov.org/sites/covid19/Pages/press-release-09-17-20-free-flu-shots.aspx\">here\u003c/a>.\u003c/p>\n\u003cp>\u003cstrong>Places to get a free or low-cost flu shot in the Bay Area include:\u003c/strong>\u003c/p>\n\u003cul>\n\u003cli>\u003ca href=\"https://www.sfcdcp.org/aitc/aitc-regular-prices-low-cost-or-free-vaccines/\">San Francisco Public Health’s AITC Clinic\u003c/a> (offers a pay-what-you-can option, and says that nobody will be refused for inability to pay)\u003c/li>\n\u003cli>\u003ca href=\"https://cchealth.org/immunization/clinics.php#Uninsured\">Contra Costa Public Health Immunization Clinic\u003c/a> (flu shots are $15 for adults over 19, but fees may be waived if you’re unable to pay)\u003c/li>\n\u003cli>\u003ca href=\"http://www.acphd.org/media/394923/general-vaccinations-clinics-20200913-eng.pdf\">Alameda County Immunization Clinics\u003c/a>\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\u003ch3>And a reminder … the flu vaccine can’t ‘give you the flu’\u003c/h3>\n\u003cp>The virus that the flu shot contains has been inactivated or severely weakened, so you just aren’t physically able to “get the flu” from your flu shot, according to the \u003ca href=\"https://www.cdc.gov/flu/prevent/misconceptions.htm#:~:text=Can%20a%20flu%20vaccine%20give,protein%20from%20the%20flu%20virus.\" target=\"_blank\" rel=\"noopener noreferrer\">CDC\u003c/a>. The flu vaccine can cause side effects like any medical product, but they’re “generally mild and go away on their own within a few days,” the agency \u003ca href=\"https://www.cdc.gov/flu/prevent/general.htm\" target=\"_blank\" rel=\"noopener noreferrer\">says\u003c/a>.\u003c/p>\n\u003cp>Common flu shot side effects can include soreness or swelling at the injection site, headache, fever, nausea and muscle aches. But not flu.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cp>Dr. Jessica Zitter specializes in critical and palliative care medicine and practices at Highland Hospital in Oakland, where she helps people with serious illness talk about how they want to live, all the way to the end.\u003c/p>\n\u003cp>Zitter says those are conversations we all should be having with our loved ones — even if we’re healthy and young. She is the author of \u003ca href=\"https://protect-us.mimecast.com/s/GEp6CyPmRxsNByzzfZXprl?domain=jessicazitter.com\" target=\"_blank\" rel=\"noopener noreferrer\">Extreme Measures: Finding a Better Path to the End of Life,\u003c/a> and her work has been featured in the documentary \u003ca href=\"https://www.netflix.com/title/80106307\">“Extremis”\u003c/a> on Netflix, as well as the forthcoming film \u003ca href=\"https://protect-us.mimecast.com/s/YsLqCzpn0ysRjmppUXnBtw?domain=caregiveralovestory.com\">“Caregiver: A Love Story.” \u003c/a>\u003c/p>\n\u003cp>Here are three stories about her patients, followed by some concrete tools you can use for planning and talking about the end of your life with loved ones.\u003c/p>\n\u003ch3>Michael Thomas: ‘Enjoying Every Moment’\u003c/h3>\n\u003cp>Michael Thomas is 64 and has COPD, a lung disease that makes it hard to breathe. He has already been in and out of the hospital several times this year and is particularly vulnerable if he were to get sick with COVID-19.\u003c/p>\n\u003cp>When Zitter talked with him over Zoom this spring, she asked him what he wanted most. His answer? To be with his children and grandchildren in Ohio. But he also said he didn’t feel a sense of urgency to visit them, because he believed he had plenty of time left.\u003c/p>\n\u003cfigure id=\"attachment_11838731\" class=\"wp-caption alignnone\" style=\"max-width: 800px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-medium wp-image-11838731\" src=\"https://ww2.kqed.org/app/uploads/sites/10/2020/09/RS44913_Michael-Thomas-with-family_cropped-800x450.jpg\" alt=\"Michael Thomas' family visits him in an Ohio hospital.\" width=\"800\" height=\"450\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2020/09/RS44913_Michael-Thomas-with-family_cropped-800x450.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2020/09/RS44913_Michael-Thomas-with-family_cropped-1020x574.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2020/09/RS44913_Michael-Thomas-with-family_cropped-160x90.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2020/09/RS44913_Michael-Thomas-with-family_cropped-1536x864.jpg 1536w, https://cdn.kqed.org/wp-content/uploads/sites/10/2020/09/RS44913_Michael-Thomas-with-family_cropped.jpg 1920w\" sizes=\"(max-width: 800px) 100vw, 800px\">\u003cfigcaption class=\"wp-caption-text\">Michael Thomas’ family visits him in an Ohio hospital. \u003ccite>(Courtesy of Michael Thomas)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>“You are a more confident person than I am about myself!” Zitter told him. “I want to be totally frank with you, because I think you deserve that. I’m concerned you may not have as much time to live as you think you do. If someone told me, ‘Michael is going to die within the next six months,’ I would not be surprised.”\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>Zitter said she has to steel herself to deliver this kind of news. But she believes her patients deserve to know the truth.\u003c/p>\n\u003cp>“I know you have some serious goals, and they include being with family,” she told Thomas. “I would hate for you to miss that opportunity.”\u003c/p>\n\u003cp>[pullquote size=\"medium\" align=\"right\" citation=\"Dr. Jessica Zitter, critical and palliative care specialist\"]‘This is really what palliative care is all about. It’s about how people want to live their lives. That informs how people want to die. But it really starts with how they want to live.’[/pullquote]\u003c/p>\n\u003cp>Thomas has since moved to Ohio to be close to his family — a decision sparked by his conversation with Zitter and Highland Hospital’s chaplain, Pastor Betty Clark.\u003c/p>\n\u003cp>“I didn’t want to come home. I didn’t want my family to see me in the condition that I’m in,” Thomas told Zitter over zoom after his move to Ohio. “That’s why I was hesitant to come. But then I know they love me so much. And here I am today, enjoying every moment.”\u003c/p>\n\u003cp>“It just shows that if we can just bring ourselves to just face our mortality and plan for it, we can get what Michael got,” Zitter said. “We can get this precious time with the people that he loved the most or whatever it is that’s most important to you.”\u003c/p>\n\u003cfigure id=\"attachment_11838351\" class=\"wp-caption alignnone\" style=\"max-width: 800px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-medium wp-image-11838351\" src=\"https://ww2.kqed.org/app/uploads/sites/10/2020/09/RS44911_Jessica-Zitter-Evan-Rusoja-with-patient-qut-800x533.jpg\" alt=\"Dr. Jessica Zitter with a patient at Highland Hospital in Oakland. \" width=\"800\" height=\"533\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2020/09/RS44911_Jessica-Zitter-Evan-Rusoja-with-patient-qut-800x533.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2020/09/RS44911_Jessica-Zitter-Evan-Rusoja-with-patient-qut-1020x680.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2020/09/RS44911_Jessica-Zitter-Evan-Rusoja-with-patient-qut-160x107.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2020/09/RS44911_Jessica-Zitter-Evan-Rusoja-with-patient-qut-1536x1024.jpg 1536w, https://cdn.kqed.org/wp-content/uploads/sites/10/2020/09/RS44911_Jessica-Zitter-Evan-Rusoja-with-patient-qut.jpg 1920w\" sizes=\"(max-width: 800px) 100vw, 800px\">\u003cfigcaption class=\"wp-caption-text\">Dr. Jessica Zitter with a patient at Highland Hospital in Oakland. \u003ccite>(Courtesy of Jessica Zitter)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003ch3>Evelyn Jarillo: ‘It Makes You Think About Others’\u003c/h3>\n\u003cp>Evelyn Jarillo is a grocery store worker in Los Angeles who got sick with COVID-19 in March. She recovered, but her husband, who has diabetes, also tested positive and is still suffering from health complications. She’s also worried about her 22-year-old son.\u003c/p>\n\u003cp>“When you’re sick and you’re feeling the way you feel, it makes you think about others,” Jarillo told Zitter when they spoke by Zoom recently. “It made you think about what happens if my son gets sick, what happens if he doesn’t make it? No mother will be able to deal with [talking to] their kids about, ‘Son, if you die tomorrow, what do you want me to do?’ ”\u003c/p>\n\u003cp>“Wait, let me make sure I understand,” Zitter said. “Are you saying you can’t ask your son, ‘What you want me to do if you got COVID and you were in the hospital on a ventilator?’ You don’t feel like you could talk to him about that?”\u003c/p>\n\u003cp>“I can’t,” Jarillo told her.\u003c/p>\n\u003cp>“Evelyn saw something that most of us don’t get a chance to see,” said Zitter. “She saw the potential for death.”\u003c/p>\n\u003cp>Like many of us, when Jarillo thought about members of her family dying, she faced a mental block, Zitter said. It seemed easier for Jarillo to share her thoughts about flower arrangements for her own funeral than to think about tough topics like a do-not-resuscitate order or discussing it with her children.\u003c/p>\n\u003cp>[aside tag=\"end-of-life\" label=\"related coverage\"]\u003c/p>\n\u003cp>Zitter had a similar conversation with her own son on his 18th birthday by playing a game called \u003ca href=\"http://www.gowish.org/\">Go Wish\u003c/a>. The game helps families talk about their preferences around death and the important things they want to hold on to throughout the course of their life.\u003c/p>\n\u003cp>“Like Evelyn, the last thing I want to do is think about my children dying,” said Zitter. “It’s just grim. It’s horrifying. It feels in some ways like not what a mother does, right? A mother is supposed to focus on the positives, the weddings. We’re not supposed to focus on the deathbed moments of a child. But asking open-ended questions is something you can and should do with your family. Just leaving space for more.”\u003c/p>\n\u003cp>Zitter has conducted workshops on death and dying with teenagers. Just like sex education, she says, there should be a place for death education in high schools.\u003c/p>\n\u003ch3>Andrew Rich: ‘This Is Where I Want to Die’\u003c/h3>\n\u003cfigure id=\"attachment_11838192\" class=\"wp-caption alignnone\" style=\"max-width: 800px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-medium wp-image-11838192\" src=\"https://ww2.kqed.org/app/uploads/sites/10/2020/09/RS44908_Andrew-Neville-smiling-qut-800x803.jpg\" alt=\"\" width=\"800\" height=\"803\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2020/09/RS44908_Andrew-Neville-smiling-qut-800x803.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2020/09/RS44908_Andrew-Neville-smiling-qut-1020x1024.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2020/09/RS44908_Andrew-Neville-smiling-qut-160x161.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2020/09/RS44908_Andrew-Neville-smiling-qut-1530x1536.jpg 1530w, https://cdn.kqed.org/wp-content/uploads/sites/10/2020/09/RS44908_Andrew-Neville-smiling-qut.jpg 1904w\" sizes=\"(max-width: 800px) 100vw, 800px\">\u003cfigcaption class=\"wp-caption-text\">Andrew Rich with his dad, Neville Rich. \u003ccite>(Courtesy of Andrew Rich.)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>Andrew Rich traveled to Sonoma early in the pandemic to celebrate his dad’s 92nd birthday. During the visit, his father got sick. They didn’t realize it was COVID-19, and when his father had great difficulty breathing, the family decided to bring him to an emergency room. He spent two weeks on a ventilator and then died alone in the hospital, because COVID-19 rules meant no one could visit him.\u003c/p>\n\u003cp>Rich said that was not what his dad had planned when he imagined his death.\u003c/p>\n\u003cp>“If we could rewind the clock two weeks to that Sunday morning when he collapsed, if we could have put him back in bed and said, ‘Dad, there’s the high likelihood that you have COVID and you’re 92, what do you want to do?’ He absolutely would have said, ‘Leave me here. This is where I want to be. I want to be in this bedroom looking out in the valley. And if I die, this is where I want to die,’ ” Rich said.\u003c/p>\n\u003cp>“The best-laid plans can get completely upended in the face of fear and illness and symptoms and your family not being there with you,” said Zitter, who recommends that families talk proactively about their wishes. “These conversations have to happen early and frequently. We have to get over the fear of talking about it and make it part of our family’s conversations around the dinner table.”\u003c/p>\n\u003cp>Zitter said that she is “very much committed” to critical care medicine and said that it is “in some ways miraculous.” But Zitter says the medicine that keeps us alive should not distract us from the truth of our mortality.\u003c/p>\n\u003cp>“We’ve watched the rise of the hospital and the intensive care unit to the point that we’ve become enamored of the many interventions and treatments that we consider to be the offerings of our modern medical system,” she said. “We’ve really lost the discriminating power and allowed ourselves to get completely distracted from making the preparations we need to face death, from thinking about our deaths and how we want to live, right to the end.”\u003c/p>\n\u003cp>“This is really what palliative care is all about. It’s about how people want to live their lives,” Zitter said. “That informs how people want to die. But it really starts with how they want to live.”\u003c/p>\n\u003ch3>\u003cstrong>Resources\u003c/strong>\u003c/h3>\n\u003cp>Here are things you can do to prepare, no matter your age or health.\u003c/p>\n\u003cul>\n\u003cli>Play “\u003ca href=\"http://gowish.org/\">Go Wish\u003c/a>” with your loved ones. The game helps people start talking about what is most important to them in terms of health and life.\u003c/li>\n\u003cli>Have a conversation about death at the dinner table. The interactive website \u003ca href=\"https://deathoverdinner.org/\">Death Over Dinner\u003c/a> can help you plan your conversation.\u003c/li>\n\u003cli>Write up an \u003ca href=\"https://www.nhpco.org/patients-and-caregivers/advance-care-planning/advance-directives/downloading-your-states-advance-directive/\">Advance Directive\u003c/a> and give it to your doctors and your loved ones. This document should be reviewed whenever your medical condition changes or you learn new information about an illness or condition.\u003c/li>\n\u003cli>People with advanced illness who are considered to be at risk for a life-threatening clinical event should talk to their doctor about completing a \u003ca href=\"https://polst.org/form-patients\">POLST\u003c/a> form. A POLST form is a medical order that documents a person’s preferences for receiving or not receiving certain types of medical interventions (for example, chest compressions, a feeding tube or a breathing tube).\u003c/li>\n\u003cli>If needed, execute a \u003ca href=\"https://www.nolo.com/legal-encyclopedia/california-financial-power-of-attorney-31871.html\">Durable Financial Power of Attorney\u003c/a>, a simple way to arrange for someone to handle your finances, such a bills or insurance matters, if you are unable to do so yourself.\u003c/li>\n\u003cli>Write your \u003ca href=\"https://money.usnews.com/money/personal-finance/family-finance/articles/steps-to-writing-a-will\">last will and testament\u003c/a> and/or a \u003ca href=\"https://www.nextavenue.org/do-you-need-a-trust-for-your-estate-plan/\">revocable trust \u003c/a>to clarify and determine how your assets are distributed after death.\u003c/li>\n\u003cli>Consider what your preferences are for a memorial ceremony, and discuss it with your loved ones.\u003c/li>\n\u003c/ul>\n\u003cp>[ad floatright]\u003c/p>\n\u003cp>https://www.youtube.com/watch?v=TJiY8duVgz0\u003c/p>\n\n",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>Dr. Jessica Zitter specializes in critical and palliative care medicine and practices at Highland Hospital in Oakland, where she helps people with serious illness talk about how they want to live, all the way to the end.\u003c/p>\n\u003cp>Zitter says those are conversations we all should be having with our loved ones — even if we’re healthy and young. She is the author of \u003ca href=\"https://protect-us.mimecast.com/s/GEp6CyPmRxsNByzzfZXprl?domain=jessicazitter.com\" target=\"_blank\" rel=\"noopener noreferrer\">Extreme Measures: Finding a Better Path to the End of Life,\u003c/a> and her work has been featured in the documentary \u003ca href=\"https://www.netflix.com/title/80106307\">“Extremis”\u003c/a> on Netflix, as well as the forthcoming film \u003ca href=\"https://protect-us.mimecast.com/s/YsLqCzpn0ysRjmppUXnBtw?domain=caregiveralovestory.com\">“Caregiver: A Love Story.” \u003c/a>\u003c/p>\n\u003cp>Here are three stories about her patients, followed by some concrete tools you can use for planning and talking about the end of your life with loved ones.\u003c/p>\n\u003ch3>Michael Thomas: ‘Enjoying Every Moment’\u003c/h3>\n\u003cp>Michael Thomas is 64 and has COPD, a lung disease that makes it hard to breathe. He has already been in and out of the hospital several times this year and is particularly vulnerable if he were to get sick with COVID-19.\u003c/p>\n\u003cp>When Zitter talked with him over Zoom this spring, she asked him what he wanted most. His answer? To be with his children and grandchildren in Ohio. But he also said he didn’t feel a sense of urgency to visit them, because he believed he had plenty of time left.\u003c/p>\n\u003cfigure id=\"attachment_11838731\" class=\"wp-caption alignnone\" style=\"max-width: 800px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-medium wp-image-11838731\" src=\"https://ww2.kqed.org/app/uploads/sites/10/2020/09/RS44913_Michael-Thomas-with-family_cropped-800x450.jpg\" alt=\"Michael Thomas' family visits him in an Ohio hospital.\" width=\"800\" height=\"450\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2020/09/RS44913_Michael-Thomas-with-family_cropped-800x450.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2020/09/RS44913_Michael-Thomas-with-family_cropped-1020x574.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2020/09/RS44913_Michael-Thomas-with-family_cropped-160x90.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2020/09/RS44913_Michael-Thomas-with-family_cropped-1536x864.jpg 1536w, https://cdn.kqed.org/wp-content/uploads/sites/10/2020/09/RS44913_Michael-Thomas-with-family_cropped.jpg 1920w\" sizes=\"(max-width: 800px) 100vw, 800px\">\u003cfigcaption class=\"wp-caption-text\">Michael Thomas’ family visits him in an Ohio hospital. \u003ccite>(Courtesy of Michael Thomas)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>“You are a more confident person than I am about myself!” Zitter told him. “I want to be totally frank with you, because I think you deserve that. I’m concerned you may not have as much time to live as you think you do. If someone told me, ‘Michael is going to die within the next six months,’ I would not be surprised.”\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>Zitter said she has to steel herself to deliver this kind of news. But she believes her patients deserve to know the truth.\u003c/p>\n\u003cp>“I know you have some serious goals, and they include being with family,” she told Thomas. “I would hate for you to miss that opportunity.”\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "‘This is really what palliative care is all about. It’s about how people want to live their lives. That informs how people want to die. But it really starts with how they want to live.’",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>Thomas has since moved to Ohio to be close to his family — a decision sparked by his conversation with Zitter and Highland Hospital’s chaplain, Pastor Betty Clark.\u003c/p>\n\u003cp>“I didn’t want to come home. I didn’t want my family to see me in the condition that I’m in,” Thomas told Zitter over zoom after his move to Ohio. “That’s why I was hesitant to come. But then I know they love me so much. And here I am today, enjoying every moment.”\u003c/p>\n\u003cp>“It just shows that if we can just bring ourselves to just face our mortality and plan for it, we can get what Michael got,” Zitter said. “We can get this precious time with the people that he loved the most or whatever it is that’s most important to you.”\u003c/p>\n\u003cfigure id=\"attachment_11838351\" class=\"wp-caption alignnone\" style=\"max-width: 800px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-medium wp-image-11838351\" src=\"https://ww2.kqed.org/app/uploads/sites/10/2020/09/RS44911_Jessica-Zitter-Evan-Rusoja-with-patient-qut-800x533.jpg\" alt=\"Dr. Jessica Zitter with a patient at Highland Hospital in Oakland. \" width=\"800\" height=\"533\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2020/09/RS44911_Jessica-Zitter-Evan-Rusoja-with-patient-qut-800x533.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2020/09/RS44911_Jessica-Zitter-Evan-Rusoja-with-patient-qut-1020x680.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2020/09/RS44911_Jessica-Zitter-Evan-Rusoja-with-patient-qut-160x107.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2020/09/RS44911_Jessica-Zitter-Evan-Rusoja-with-patient-qut-1536x1024.jpg 1536w, https://cdn.kqed.org/wp-content/uploads/sites/10/2020/09/RS44911_Jessica-Zitter-Evan-Rusoja-with-patient-qut.jpg 1920w\" sizes=\"(max-width: 800px) 100vw, 800px\">\u003cfigcaption class=\"wp-caption-text\">Dr. Jessica Zitter with a patient at Highland Hospital in Oakland. \u003ccite>(Courtesy of Jessica Zitter)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003ch3>Evelyn Jarillo: ‘It Makes You Think About Others’\u003c/h3>\n\u003cp>Evelyn Jarillo is a grocery store worker in Los Angeles who got sick with COVID-19 in March. She recovered, but her husband, who has diabetes, also tested positive and is still suffering from health complications. She’s also worried about her 22-year-old son.\u003c/p>\n\u003cp>“When you’re sick and you’re feeling the way you feel, it makes you think about others,” Jarillo told Zitter when they spoke by Zoom recently. “It made you think about what happens if my son gets sick, what happens if he doesn’t make it? No mother will be able to deal with [talking to] their kids about, ‘Son, if you die tomorrow, what do you want me to do?’ ”\u003c/p>\n\u003cp>“Wait, let me make sure I understand,” Zitter said. “Are you saying you can’t ask your son, ‘What you want me to do if you got COVID and you were in the hospital on a ventilator?’ You don’t feel like you could talk to him about that?”\u003c/p>\n\u003cp>“I can’t,” Jarillo told her.\u003c/p>\n\u003cp>“Evelyn saw something that most of us don’t get a chance to see,” said Zitter. “She saw the potential for death.”\u003c/p>\n\u003cp>Like many of us, when Jarillo thought about members of her family dying, she faced a mental block, Zitter said. It seemed easier for Jarillo to share her thoughts about flower arrangements for her own funeral than to think about tough topics like a do-not-resuscitate order or discussing it with her children.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>Zitter had a similar conversation with her own son on his 18th birthday by playing a game called \u003ca href=\"http://www.gowish.org/\">Go Wish\u003c/a>. The game helps families talk about their preferences around death and the important things they want to hold on to throughout the course of their life.\u003c/p>\n\u003cp>“Like Evelyn, the last thing I want to do is think about my children dying,” said Zitter. “It’s just grim. It’s horrifying. It feels in some ways like not what a mother does, right? A mother is supposed to focus on the positives, the weddings. We’re not supposed to focus on the deathbed moments of a child. But asking open-ended questions is something you can and should do with your family. Just leaving space for more.”\u003c/p>\n\u003cp>Zitter has conducted workshops on death and dying with teenagers. Just like sex education, she says, there should be a place for death education in high schools.\u003c/p>\n\u003ch3>Andrew Rich: ‘This Is Where I Want to Die’\u003c/h3>\n\u003cfigure id=\"attachment_11838192\" class=\"wp-caption alignnone\" style=\"max-width: 800px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-medium wp-image-11838192\" src=\"https://ww2.kqed.org/app/uploads/sites/10/2020/09/RS44908_Andrew-Neville-smiling-qut-800x803.jpg\" alt=\"\" width=\"800\" height=\"803\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2020/09/RS44908_Andrew-Neville-smiling-qut-800x803.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2020/09/RS44908_Andrew-Neville-smiling-qut-1020x1024.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2020/09/RS44908_Andrew-Neville-smiling-qut-160x161.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2020/09/RS44908_Andrew-Neville-smiling-qut-1530x1536.jpg 1530w, https://cdn.kqed.org/wp-content/uploads/sites/10/2020/09/RS44908_Andrew-Neville-smiling-qut.jpg 1904w\" sizes=\"(max-width: 800px) 100vw, 800px\">\u003cfigcaption class=\"wp-caption-text\">Andrew Rich with his dad, Neville Rich. \u003ccite>(Courtesy of Andrew Rich.)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>Andrew Rich traveled to Sonoma early in the pandemic to celebrate his dad’s 92nd birthday. During the visit, his father got sick. They didn’t realize it was COVID-19, and when his father had great difficulty breathing, the family decided to bring him to an emergency room. He spent two weeks on a ventilator and then died alone in the hospital, because COVID-19 rules meant no one could visit him.\u003c/p>\n\u003cp>Rich said that was not what his dad had planned when he imagined his death.\u003c/p>\n\u003cp>“If we could rewind the clock two weeks to that Sunday morning when he collapsed, if we could have put him back in bed and said, ‘Dad, there’s the high likelihood that you have COVID and you’re 92, what do you want to do?’ He absolutely would have said, ‘Leave me here. This is where I want to be. I want to be in this bedroom looking out in the valley. And if I die, this is where I want to die,’ ” Rich said.\u003c/p>\n\u003cp>“The best-laid plans can get completely upended in the face of fear and illness and symptoms and your family not being there with you,” said Zitter, who recommends that families talk proactively about their wishes. “These conversations have to happen early and frequently. We have to get over the fear of talking about it and make it part of our family’s conversations around the dinner table.”\u003c/p>\n\u003cp>Zitter said that she is “very much committed” to critical care medicine and said that it is “in some ways miraculous.” But Zitter says the medicine that keeps us alive should not distract us from the truth of our mortality.\u003c/p>\n\u003cp>“We’ve watched the rise of the hospital and the intensive care unit to the point that we’ve become enamored of the many interventions and treatments that we consider to be the offerings of our modern medical system,” she said. “We’ve really lost the discriminating power and allowed ourselves to get completely distracted from making the preparations we need to face death, from thinking about our deaths and how we want to live, right to the end.”\u003c/p>\n\u003cp>“This is really what palliative care is all about. It’s about how people want to live their lives,” Zitter said. “That informs how people want to die. But it really starts with how they want to live.”\u003c/p>\n\u003ch3>\u003cstrong>Resources\u003c/strong>\u003c/h3>\n\u003cp>Here are things you can do to prepare, no matter your age or health.\u003c/p>\n\u003cul>\n\u003cli>Play “\u003ca href=\"http://gowish.org/\">Go Wish\u003c/a>” with your loved ones. The game helps people start talking about what is most important to them in terms of health and life.\u003c/li>\n\u003cli>Have a conversation about death at the dinner table. The interactive website \u003ca href=\"https://deathoverdinner.org/\">Death Over Dinner\u003c/a> can help you plan your conversation.\u003c/li>\n\u003cli>Write up an \u003ca href=\"https://www.nhpco.org/patients-and-caregivers/advance-care-planning/advance-directives/downloading-your-states-advance-directive/\">Advance Directive\u003c/a> and give it to your doctors and your loved ones. This document should be reviewed whenever your medical condition changes or you learn new information about an illness or condition.\u003c/li>\n\u003cli>People with advanced illness who are considered to be at risk for a life-threatening clinical event should talk to their doctor about completing a \u003ca href=\"https://polst.org/form-patients\">POLST\u003c/a> form. A POLST form is a medical order that documents a person’s preferences for receiving or not receiving certain types of medical interventions (for example, chest compressions, a feeding tube or a breathing tube).\u003c/li>\n\u003cli>If needed, execute a \u003ca href=\"https://www.nolo.com/legal-encyclopedia/california-financial-power-of-attorney-31871.html\">Durable Financial Power of Attorney\u003c/a>, a simple way to arrange for someone to handle your finances, such a bills or insurance matters, if you are unable to do so yourself.\u003c/li>\n\u003cli>Write your \u003ca href=\"https://money.usnews.com/money/personal-finance/family-finance/articles/steps-to-writing-a-will\">last will and testament\u003c/a> and/or a \u003ca href=\"https://www.nextavenue.org/do-you-need-a-trust-for-your-estate-plan/\">revocable trust \u003c/a>to clarify and determine how your assets are distributed after death.\u003c/li>\n\u003cli>Consider what your preferences are for a memorial ceremony, and discuss it with your loved ones.\u003c/li>\n\u003c/ul>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cp>\u003cb>Blazing New Paths to Better Study and Respond to Wildfires\u003cbr>\n\u003c/b>\u003cspan style=\"font-weight: 400\">Record-breaking, deadly wildfires are ripping through the West Coast, burning millions of acres, destroying thousands of structures and leading to the evacuation of half a million people in Oregon alone. In California, October is the month historically associated with the most destructive wildfires in the state. But this year, California wildfires have already burned more than 3 million acres, shattering the previous record set in 2018. According to Cal Fire, nearly 15,000 firefighters are currently battling 28 major blazes across the state that have claimed at least 12 lives and forced thousands of residents to flee their homes. But amid the destruction comes opportunity, guided by science. Last week, San José State University recently unveiled a new academic wildfire research center, the largest one of its kind in the nation. The scientists and professors there span a range of disciplines — from meteorology to ecology to social science — to pioneer new tools and techniques to better study, predict and adapt to living with wildfires made more intense by climate change. \u003c/span>\u003c/p>\n\u003cp>\u003cspan style=\"font-weight: 400\"> \u003c/span>\u003cb>Guests:\u003c/b>\u003c/p>\n\u003cul>\n\u003cli style=\"font-weight: 400\">\u003cspan style=\"font-weight: 400\">Craig Clements, professor of meteorology and director, Wildfire Interdisciplinary Research Center, San José State University\u003c/span>\u003c/li>\n\u003cli style=\"font-weight: 400\">\u003cspan style=\"font-weight: 400\">Amanda Stasiewicz, assistant professor of wildfire management, Wildfire Interdisciplinary Research Center, San José State University \u003c/span>\u003c/li>\n\u003c/ul>\n\u003cp>\u003cb>The COVID-19 Vaccine Arms Race\u003cbr>\n\u003c/b>\u003cspan style=\"font-weight: 400\">There are roughly 170 COVID-19 vaccine candidates being developed around the world right now, according to the World Health Organization. This week, a Phase 3 clinical trial of a vaccine candidate being developed by AstraZeneca and Oxford University was halted temporarily to investigate whether the vaccine was responsible for one of the study participants falling ill. Earlier this month, the Centers for Disease Control and Prevention informed public health officials across the U.S. to prepare to distribute a vaccine as early as October or November. The Trump administration has already spent $10 billion to invest in the development of a coronavirus vaccine with the goal of distributing 300 million doses by January 2021. But concerns are mounting that the race to develop a vaccine is being politicized and rushed out to help President Trump win reelection in November. Access to a safe and effective vaccine may also be an issue, with priority being given to health care workers and first responders but not necessarily to communities who have been disproportionately impacted by the coronavirus. \u003c/span>\u003c/p>\n\u003cp>\u003cspan style=\"font-weight: 400\"> \u003c/span>\u003cb>Guests:\u003c/b>\u003c/p>\n\u003cul>\n\u003cli style=\"font-weight: 400\">\u003cspan style=\"font-weight: 400\">Dr. Yvonne Maldonado, professor of pediatrics and infectious disease epidemiologist, Stanford University\u003c/span>\u003c/li>\n\u003cli style=\"font-weight: 400\">\u003cspan style=\"font-weight: 400\">Dr. Peter Chin-Hong, professor of medicine and infectious disease specialist, UCSF\u003c/span>\u003c/li>\n\u003c/ul>\n\u003cp>[ad fullwidth]\u003c/p>\u003cp>\u003c/p>\n",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>\u003cb>Blazing New Paths to Better Study and Respond to Wildfires\u003cbr>\n\u003c/b>\u003cspan style=\"font-weight: 400\">Record-breaking, deadly wildfires are ripping through the West Coast, burning millions of acres, destroying thousands of structures and leading to the evacuation of half a million people in Oregon alone. In California, October is the month historically associated with the most destructive wildfires in the state. But this year, California wildfires have already burned more than 3 million acres, shattering the previous record set in 2018. According to Cal Fire, nearly 15,000 firefighters are currently battling 28 major blazes across the state that have claimed at least 12 lives and forced thousands of residents to flee their homes. But amid the destruction comes opportunity, guided by science. Last week, San José State University recently unveiled a new academic wildfire research center, the largest one of its kind in the nation. The scientists and professors there span a range of disciplines — from meteorology to ecology to social science — to pioneer new tools and techniques to better study, predict and adapt to living with wildfires made more intense by climate change. \u003c/span>\u003c/p>\n\u003cp>\u003cspan style=\"font-weight: 400\"> \u003c/span>\u003cb>Guests:\u003c/b>\u003c/p>\n\u003cul>\n\u003cli style=\"font-weight: 400\">\u003cspan style=\"font-weight: 400\">Craig Clements, professor of meteorology and director, Wildfire Interdisciplinary Research Center, San José State University\u003c/span>\u003c/li>\n\u003cli style=\"font-weight: 400\">\u003cspan style=\"font-weight: 400\">Amanda Stasiewicz, assistant professor of wildfire management, Wildfire Interdisciplinary Research Center, San José State University \u003c/span>\u003c/li>\n\u003c/ul>\n\u003cp>\u003cb>The COVID-19 Vaccine Arms Race\u003cbr>\n\u003c/b>\u003cspan style=\"font-weight: 400\">There are roughly 170 COVID-19 vaccine candidates being developed around the world right now, according to the World Health Organization. This week, a Phase 3 clinical trial of a vaccine candidate being developed by AstraZeneca and Oxford University was halted temporarily to investigate whether the vaccine was responsible for one of the study participants falling ill. Earlier this month, the Centers for Disease Control and Prevention informed public health officials across the U.S. to prepare to distribute a vaccine as early as October or November. The Trump administration has already spent $10 billion to invest in the development of a coronavirus vaccine with the goal of distributing 300 million doses by January 2021. But concerns are mounting that the race to develop a vaccine is being politicized and rushed out to help President Trump win reelection in November. Access to a safe and effective vaccine may also be an issue, with priority being given to health care workers and first responders but not necessarily to communities who have been disproportionately impacted by the coronavirus. \u003c/span>\u003c/p>\n\u003cp>\u003cspan style=\"font-weight: 400\"> \u003c/span>\u003cb>Guests:\u003c/b>\u003c/p>\n\u003cul>\n\u003cli style=\"font-weight: 400\">\u003cspan style=\"font-weight: 400\">Dr. Yvonne Maldonado, professor of pediatrics and infectious disease epidemiologist, Stanford University\u003c/span>\u003c/li>\n\u003cli style=\"font-weight: 400\">\u003cspan style=\"font-weight: 400\">Dr. Peter Chin-Hong, professor of medicine and infectious disease specialist, UCSF\u003c/span>\u003c/li>\n\u003c/ul>\n\u003cp>\u003c/p>\u003c/div>",
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"slug": "it-was-already-hard-then-it-got-worse-resources-for-coping-right-now",
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"content": "\u003cp>\u003ca href=\"https://www.kqed.org/news/11838360/recursos-para-cuidar-su-salud-mental-durante-la-situacion-actual\">\u003cem>Leer en español\u003c/em>\u003c/a>\u003c/p>\n\u003cp>It’s been a week. A month. A year.\u003c/p>\n\u003cp>Even before wildfires devastated large parts of our home state, we were all dealing with a lot.\u003c/p>\n\u003cp>Most notably, a pandemic that continues to kill and sicken so many nationwide, and that’s turned our lives upside down. And much more besides.\u003c/p>\n\u003cp>If you’re feeling the strain right now, you’re in no way alone. So we compiled a list of KQED’s most useful, expert-verified resources and advice posts, for you to use and potentially share with your community.\u003c/p>\n\u003cp>Don’t find what you’re looking for? \u003ca href=\"#tellus\">Tell us what we can do to support you right now.\u003c/a>\u003c/p>\n\u003ch3>\u003ca href=\"https://www.kqed.org/arts/13881725/where-to-find-affordable-culturally-competent-therapy-in-bay-area-and-beyond\">Where to Find Affordable, Culturally Competent Therapy in Bay Area and Beyond\u003c/a>\u003c/h3>\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\">We have resources on finding culturally competent therapy that’s affordable \u003ccite>(Gender Spectrum Collection/Broadly)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>As KQED’s Nastia Voynovskaya writes in \u003ca href=\"https://www.kqed.org/arts/13881725/where-to-find-affordable-culturally-competent-therapy-in-bay-area-and-beyond\">this guide\u003c/a>, “As if being human in a world rife with systemic racism, patriarchy, homophobia, transphobia, ableism, environmental destruction and labor exploitation wasn’t already hard enough, the global pandemic and attendant economic crisis are making things that much more difficult for everyone, especially the most vulnerable among us.”\u003c/p>\n\u003cp>If you’re seeking professional support, or need extra assistance right now, consult the \u003ca href=\"https://www.kqed.org/arts/13881725/where-to-find-affordable-culturally-competent-therapy-in-bay-area-and-beyond\">list\u003c/a> of affordable and culturally competent therapy services and directories, as well as crisis hotlines. This guide focuses on low-cost and sliding scale practices, and how to find a therapist of color.\u003c/p>\n\u003cp>\u003cem>For further reading/listening: “\u003ca href=\"https://www.kqed.org/podcasts/461/youre-ok-im-not-black-men-and-therapy\">You’re OK, I’m Not: Black Men and Therapy\u003c/a>” from podcast Truth Be Told.\u003c/em>\u003c/p>\n\u003ch3>\u003ca href=\"https://www.kqed.org/news/11835324/managing-anxiety-in-the-age-of-everything\">Specific Advice for Managing Anxiety in the Age of… Well, Everything\u003c/a>\u003c/h3>\n\u003cfigure id=\"attachment_11835622\" class=\"wp-caption alignnone\" style=\"max-width: 1900px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-11835622\" src=\"https://ww2.kqed.org/app/uploads/sites/10/2020/08/Anxiety.png\" alt=\"\" width=\"1900\" height=\"1280\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2020/08/Anxiety.png 1900w, https://cdn.kqed.org/wp-content/uploads/sites/10/2020/08/Anxiety-800x539.png 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2020/08/Anxiety-1020x687.png 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2020/08/Anxiety-160x108.png 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2020/08/Anxiety-1536x1035.png 1536w\" sizes=\"(max-width: 1900px) 100vw, 1900px\">\u003cfigcaption class=\"wp-caption-text\">Amid so many stressors, how can you safeguard your mental health? \u003ccite>(Loannes Marc/Pexels)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>We consulted experts on anxiety and stress management for these \u003ca href=\"https://www.kqed.org/news/11835324/managing-anxiety-in-the-age-of-everything\">concrete tips\u003c/a> on how to cope when it feels like you can’t take any more of what 2020 has to throw at you. Everyone’s situation and personal stressors are different, of course. But hopefully these ideas can provide at least some ways of working with your experiences and emotions, including:\u003c/p>\n\u003cul>\n\u003cli>Why it’s actively harmful to “put on a brave face”\u003c/li>\n\u003cli>Why you should learn to talk to yourself in the same voice you talk to friends with\u003c/li>\n\u003cli>How to channel positivity in a way that doesn’t feel fake\u003c/li>\n\u003c/ul>\n\u003cp>\u003cem>Further reading/listening: “\u003ca href=\"https://www.kqed.org/podcasts/521/holding-on-to-joy\">Holding on to Joy\u003c/a>” from podcast Truth Be Told.\u003c/em>\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003ch3>Be Sure to Protect Your Body From Wildfire Smoke\u003c/h3>\n\u003cfigure id=\"attachment_11834613\" class=\"wp-caption alignnone\" style=\"max-width: 1920px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-11834613\" src=\"https://ww2.kqed.org/app/uploads/sites/10/2020/08/RS44514_GettyImages-1261921915-qut.jpg\" alt=\"3M brand N95 particulate respirators are displayed on a table on July 28, 2020 in San Anselmo, California.\" width=\"1920\" height=\"1280\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2020/08/RS44514_GettyImages-1261921915-qut.jpg 1920w, https://cdn.kqed.org/wp-content/uploads/sites/10/2020/08/RS44514_GettyImages-1261921915-qut-800x533.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2020/08/RS44514_GettyImages-1261921915-qut-1020x680.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2020/08/RS44514_GettyImages-1261921915-qut-160x107.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2020/08/RS44514_GettyImages-1261921915-qut-1536x1024.jpg 1536w\" sizes=\"(max-width: 1920px) 100vw, 1920px\">\u003cfigcaption class=\"wp-caption-text\">3M brand N95 particulate respirators are displayed on a table on July 28, 2020 in San Anselmo, California. \u003ccite>(Justin Sullivan/Getty Images)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cdiv>As if working to reduce your personal risk of transmitting or contracting COVID-19 wasn’t enough to preoccupy you, you’ve now got another very real threat to your lungs to consider: Wildfire smoke. The danger that unhealthy air quality poses to everyone affects everyone, so take the necessary steps protect your body’s health while you’re taking care of your mental wellbeing:\u003c/div>\n\u003cdiv>\u003c/div>\n\u003cul>\n\u003cli>Check the air quality near you with \u003ca href=\"https://www.kqed.org/science/1930023/map-heres-your-daily-air-quality-report-for-the-bay-area\">our map\u003c/a>\u003c/li>\n\u003cli>See how to \u003ca href=\"https://www.kqed.org/science/1926793/protecting-your-health-from-toxic-wildfire-smoke\">protect your home’s interior\u003c/a> from wildfire smoke\u003c/li>\n\u003cli>Check which \u003ca href=\"https://www.kqed.org/news/11834305/masks-for-smoke-and-covid-19-what-kind-is-best\">masks are best for smoke\u003c/a> and which are most effective at reducing the risk of transmitting COVID-19\u003c/li>\n\u003c/ul>\n\u003cp>\u003cem>Further reading: \u003ca href=\"https://www.kqed.org/news/11837317/not-everyone-can-escape-the-smoke-inside-heres-how-to-support-them\">How you can directly support \u003c/a>vulnerable groups that can’t escape the smoke outside right now, including unhoused people.\u003c/em>\u003c/p>\n\u003ch3>Find Resources (and Comfort) for Parents and Caregivers\u003c/h3>\n\u003cfigure id=\"attachment_11837561\" class=\"wp-caption alignnone\" style=\"max-width: 797px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-11837561\" src=\"https://ww2.kqed.org/app/uploads/sites/10/2020/09/Motion-Light-Lab.png\" alt=\"\" width=\"797\" height=\"550\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2020/09/Motion-Light-Lab.png 797w, https://cdn.kqed.org/wp-content/uploads/sites/10/2020/09/Motion-Light-Lab-160x110.png 160w\" sizes=\"(max-width: 797px) 100vw, 797px\">\u003cfigcaption class=\"wp-caption-text\">Find a wealth of educational support from Mindshift, including ASL resources for Deaf students \u003ccite>(Motion Light Lab/YouTube)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>With the start of the school year and the demands of supporting kids through remote, parents and caregivers are stretched beyond belief right now. And that’s not even \u003cem>including\u003c/em> how to explain to a child why the sky being smoky and dark doesn’t mean the world is ending. If that’s you, you might find the following helpful:\u003c/p>\n\u003cul>\n\u003cli>\u003ca href=\"https://www.kqed.org/podcasts/564/under-one-roof-doing-the-best-we-can\">Hear or read this episode\u003c/a> on “Doing the Best We Can” when you’re living, working and schooling under one roof during a pandemic, from our podcast Truth Be Told (and while you’re at it, take a look at the wisdom in their \u003ca href=\"https://www.kqed.org/podcasts/truthbetold\">archives\u003c/a>)\u003c/li>\n\u003cli>Check out \u003ca href=\"https://www.kqed.org/mindshift\">this wealth\u003c/a> of educational resources from our \u003ca href=\"https://www.kqed.org/mindshift\">Mindshift\u003c/a> team, from \u003ca href=\"https://www.kqed.org/mindshift/56220/why-deaf-students-need-access-to-asl-stories-during-distance-learning\">ASL resources\u003c/a> for Deaf students to \u003ca href=\"https://www.kqed.org/mindshift/56580/how-fan-fiction-inspires-kids-to-read-and-write-and-write-and-write\">how to use fan fiction\u003c/a> to encourage kids to write. (Mindshift also has a \u003ca href=\"https://www.kqed.org/podcasts/mindshift\">podcast\u003c/a>.)\u003c/li>\n\u003c/ul>\n\u003ch3>\u003ca id=\"tellus\">\u003c/a>Tell Us: How Can We Further Support You?\u003c/h3>\n\u003cp>[hearken id=\"5870\" src=\"https://modules.wearehearken.com/kqed/embed/5870.js\"]\u003c/p>\n\u003cp>\u003cem>This post has been updated.\u003c/em>\u003c/p>\n\u003cp>\u003c/p>\n",
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"excerpt": "Wildfires and choking smoke outside, during a pandemic. If you're feeling the strain right now, you're not alone. Here are some of our most useful resources.",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>\u003ca href=\"https://www.kqed.org/news/11838360/recursos-para-cuidar-su-salud-mental-durante-la-situacion-actual\">\u003cem>Leer en español\u003c/em>\u003c/a>\u003c/p>\n\u003cp>It’s been a week. A month. A year.\u003c/p>\n\u003cp>Even before wildfires devastated large parts of our home state, we were all dealing with a lot.\u003c/p>\n\u003cp>Most notably, a pandemic that continues to kill and sicken so many nationwide, and that’s turned our lives upside down. And much more besides.\u003c/p>\n\u003cp>If you’re feeling the strain right now, you’re in no way alone. So we compiled a list of KQED’s most useful, expert-verified resources and advice posts, for you to use and potentially share with your community.\u003c/p>\n\u003cp>Don’t find what you’re looking for? \u003ca href=\"#tellus\">Tell us what we can do to support you right now.\u003c/a>\u003c/p>\n\u003ch3>\u003ca href=\"https://www.kqed.org/arts/13881725/where-to-find-affordable-culturally-competent-therapy-in-bay-area-and-beyond\">Where to Find Affordable, Culturally Competent Therapy in Bay Area and Beyond\u003c/a>\u003c/h3>\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\">We have resources on finding culturally competent therapy that’s affordable \u003ccite>(Gender Spectrum Collection/Broadly)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>As KQED’s Nastia Voynovskaya writes in \u003ca href=\"https://www.kqed.org/arts/13881725/where-to-find-affordable-culturally-competent-therapy-in-bay-area-and-beyond\">this guide\u003c/a>, “As if being human in a world rife with systemic racism, patriarchy, homophobia, transphobia, ableism, environmental destruction and labor exploitation wasn’t already hard enough, the global pandemic and attendant economic crisis are making things that much more difficult for everyone, especially the most vulnerable among us.”\u003c/p>\n\u003cp>If you’re seeking professional support, or need extra assistance right now, consult the \u003ca href=\"https://www.kqed.org/arts/13881725/where-to-find-affordable-culturally-competent-therapy-in-bay-area-and-beyond\">list\u003c/a> of affordable and culturally competent therapy services and directories, as well as crisis hotlines. This guide focuses on low-cost and sliding scale practices, and how to find a therapist of color.\u003c/p>\n\u003cp>\u003cem>For further reading/listening: “\u003ca href=\"https://www.kqed.org/podcasts/461/youre-ok-im-not-black-men-and-therapy\">You’re OK, I’m Not: Black Men and Therapy\u003c/a>” from podcast Truth Be Told.\u003c/em>\u003c/p>\n\u003ch3>\u003ca href=\"https://www.kqed.org/news/11835324/managing-anxiety-in-the-age-of-everything\">Specific Advice for Managing Anxiety in the Age of… Well, Everything\u003c/a>\u003c/h3>\n\u003cfigure id=\"attachment_11835622\" class=\"wp-caption alignnone\" style=\"max-width: 1900px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-11835622\" src=\"https://ww2.kqed.org/app/uploads/sites/10/2020/08/Anxiety.png\" alt=\"\" width=\"1900\" height=\"1280\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2020/08/Anxiety.png 1900w, https://cdn.kqed.org/wp-content/uploads/sites/10/2020/08/Anxiety-800x539.png 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2020/08/Anxiety-1020x687.png 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2020/08/Anxiety-160x108.png 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2020/08/Anxiety-1536x1035.png 1536w\" sizes=\"(max-width: 1900px) 100vw, 1900px\">\u003cfigcaption class=\"wp-caption-text\">Amid so many stressors, how can you safeguard your mental health? \u003ccite>(Loannes Marc/Pexels)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>We consulted experts on anxiety and stress management for these \u003ca href=\"https://www.kqed.org/news/11835324/managing-anxiety-in-the-age-of-everything\">concrete tips\u003c/a> on how to cope when it feels like you can’t take any more of what 2020 has to throw at you. Everyone’s situation and personal stressors are different, of course. But hopefully these ideas can provide at least some ways of working with your experiences and emotions, including:\u003c/p>\n\u003cul>\n\u003cli>Why it’s actively harmful to “put on a brave face”\u003c/li>\n\u003cli>Why you should learn to talk to yourself in the same voice you talk to friends with\u003c/li>\n\u003cli>How to channel positivity in a way that doesn’t feel fake\u003c/li>\n\u003c/ul>\n\u003cp>\u003cem>Further reading/listening: “\u003ca href=\"https://www.kqed.org/podcasts/521/holding-on-to-joy\">Holding on to Joy\u003c/a>” from podcast Truth Be Told.\u003c/em>\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003ch3>Be Sure to Protect Your Body From Wildfire Smoke\u003c/h3>\n\u003cfigure id=\"attachment_11834613\" class=\"wp-caption alignnone\" style=\"max-width: 1920px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-11834613\" src=\"https://ww2.kqed.org/app/uploads/sites/10/2020/08/RS44514_GettyImages-1261921915-qut.jpg\" alt=\"3M brand N95 particulate respirators are displayed on a table on July 28, 2020 in San Anselmo, California.\" width=\"1920\" height=\"1280\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2020/08/RS44514_GettyImages-1261921915-qut.jpg 1920w, https://cdn.kqed.org/wp-content/uploads/sites/10/2020/08/RS44514_GettyImages-1261921915-qut-800x533.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2020/08/RS44514_GettyImages-1261921915-qut-1020x680.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2020/08/RS44514_GettyImages-1261921915-qut-160x107.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2020/08/RS44514_GettyImages-1261921915-qut-1536x1024.jpg 1536w\" sizes=\"(max-width: 1920px) 100vw, 1920px\">\u003cfigcaption class=\"wp-caption-text\">3M brand N95 particulate respirators are displayed on a table on July 28, 2020 in San Anselmo, California. \u003ccite>(Justin Sullivan/Getty Images)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cdiv>As if working to reduce your personal risk of transmitting or contracting COVID-19 wasn’t enough to preoccupy you, you’ve now got another very real threat to your lungs to consider: Wildfire smoke. The danger that unhealthy air quality poses to everyone affects everyone, so take the necessary steps protect your body’s health while you’re taking care of your mental wellbeing:\u003c/div>\n\u003cdiv>\u003c/div>\n\u003cul>\n\u003cli>Check the air quality near you with \u003ca href=\"https://www.kqed.org/science/1930023/map-heres-your-daily-air-quality-report-for-the-bay-area\">our map\u003c/a>\u003c/li>\n\u003cli>See how to \u003ca href=\"https://www.kqed.org/science/1926793/protecting-your-health-from-toxic-wildfire-smoke\">protect your home’s interior\u003c/a> from wildfire smoke\u003c/li>\n\u003cli>Check which \u003ca href=\"https://www.kqed.org/news/11834305/masks-for-smoke-and-covid-19-what-kind-is-best\">masks are best for smoke\u003c/a> and which are most effective at reducing the risk of transmitting COVID-19\u003c/li>\n\u003c/ul>\n\u003cp>\u003cem>Further reading: \u003ca href=\"https://www.kqed.org/news/11837317/not-everyone-can-escape-the-smoke-inside-heres-how-to-support-them\">How you can directly support \u003c/a>vulnerable groups that can’t escape the smoke outside right now, including unhoused people.\u003c/em>\u003c/p>\n\u003ch3>Find Resources (and Comfort) for Parents and Caregivers\u003c/h3>\n\u003cfigure id=\"attachment_11837561\" class=\"wp-caption alignnone\" style=\"max-width: 797px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-11837561\" src=\"https://ww2.kqed.org/app/uploads/sites/10/2020/09/Motion-Light-Lab.png\" alt=\"\" width=\"797\" height=\"550\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2020/09/Motion-Light-Lab.png 797w, https://cdn.kqed.org/wp-content/uploads/sites/10/2020/09/Motion-Light-Lab-160x110.png 160w\" sizes=\"(max-width: 797px) 100vw, 797px\">\u003cfigcaption class=\"wp-caption-text\">Find a wealth of educational support from Mindshift, including ASL resources for Deaf students \u003ccite>(Motion Light Lab/YouTube)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>With the start of the school year and the demands of supporting kids through remote, parents and caregivers are stretched beyond belief right now. And that’s not even \u003cem>including\u003c/em> how to explain to a child why the sky being smoky and dark doesn’t mean the world is ending. If that’s you, you might find the following helpful:\u003c/p>\n\u003cul>\n\u003cli>\u003ca href=\"https://www.kqed.org/podcasts/564/under-one-roof-doing-the-best-we-can\">Hear or read this episode\u003c/a> on “Doing the Best We Can” when you’re living, working and schooling under one roof during a pandemic, from our podcast Truth Be Told (and while you’re at it, take a look at the wisdom in their \u003ca href=\"https://www.kqed.org/podcasts/truthbetold\">archives\u003c/a>)\u003c/li>\n\u003cli>Check out \u003ca href=\"https://www.kqed.org/mindshift\">this wealth\u003c/a> of educational resources from our \u003ca href=\"https://www.kqed.org/mindshift\">Mindshift\u003c/a> team, from \u003ca href=\"https://www.kqed.org/mindshift/56220/why-deaf-students-need-access-to-asl-stories-during-distance-learning\">ASL resources\u003c/a> for Deaf students to \u003ca href=\"https://www.kqed.org/mindshift/56580/how-fan-fiction-inspires-kids-to-read-and-write-and-write-and-write\">how to use fan fiction\u003c/a> to encourage kids to write. (Mindshift also has a \u003ca href=\"https://www.kqed.org/podcasts/mindshift\">podcast\u003c/a>.)\u003c/li>\n\u003c/ul>\n\u003ch3>\u003ca id=\"tellus\">\u003c/a>Tell Us: How Can We Further Support You?\u003c/h3>\n\u003cp>\u003c/p>\u003c/div>",
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"slug": "dentists-at-san-quentin-say-their-pleas-to-reduce-risk-of-covid-19-spread-were-ignored",
"title": "Dentists at San Quentin Say Their Pleas to Reduce Risk of COVID-19 Spread Were Ignored",
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"headTitle": "Dentists at San Quentin Say Their Pleas to Reduce Risk of COVID-19 Spread Were Ignored | KQED",
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"content": "\u003cp>Dentists at the San Quentin State Prison clinic said they’d been pushing for crucial workplace safety improvements for months before state regulators intervened and shut down key operations.\u003c/p>\n\u003cp>Regulators with the California Division of Occupational Safety and Health (\u003ca href=\"https://www.dir.ca.gov/dosh/coronavirus/Health-Care-General-Industry.html\" target=\"_blank\" rel=\"noopener noreferrer\">Cal/OSHA\u003c/a>) had posted a red tag Wednesday at the clinic, declaring certain parts off limits and certain procedures as “dangerous.” Regulators said the hazardous work conditions “contributed to the spread of SARS-CoV-2 in the workplace.”\u003c/p>\n\u003cp>San Quentin has seen the largest coronavirus outbreak in the state prison system. More than 2,200 people incarcerated there have \u003ca href=\"https://www.cdcr.ca.gov/covid19/population-status-tracking/\" target=\"_blank\" rel=\"noopener noreferrer\">tested positive\u003c/a> for COVID-19 and 26 have died from the virus. More than 270 \u003ca href=\"https://www.cdcr.ca.gov/covid19/cdcr-cchcs-covid-19-status/\" target=\"_blank\" rel=\"noopener noreferrer\">staff\u003c/a> have been infected and one has died, according to the California Department of Corrections and Rehabilitation (CDCR).\u003c/p>\n\u003cp>The dental clinic, which treats people incarcerated at the prison, employs six dentists, three of whom agreed to share their concerns with KQED on the condition that they not to be named, for fear of losing their jobs.\u003c/p>\n\u003cp>The dentists, who are members of a public policy committee for the Union of American Physicians and Dentists, said San Quentin officials had repeatedly failed to address their concerns about the risks of spreading COVID-19 through dental exams and procedures.\u003c/p>\n\u003cp>“I could not trust my job to keep me safe,” one of the dentists said Friday. “I was terrified of bringing it home.”\u003c/p>\n\u003cp>A few days after statewide shelter-in-place orders were imposed, the California Dental Association issued \u003ca href=\"https://www.cda.org/Portals/0/pr_0320_CDA_recommends_suspending_nonurgent_care.pdf\" target=\"_blank\" rel=\"noopener noreferrer\">guidance\u003c/a> that dentists should immediately suspend all non-essential, non-emergency procedures for the next 14 days.\u003c/p>\n\u003cp>At San Quentin, however, the dentists said their supervisor ordered them to continue routine screenings of inmates transferring in from county jails, a task that entailed putting dozens of men together in holding cages and checking each person for broken jaw bones or signs of infection. Adding to their concerns, the dentists said incoming inmates were not being quarantined upon arrival for 14 days at that time.\u003c/p>\n\u003cp>“Just looking in their mouths is putting us at risk,” one dentist said. “We were just told, ‘Do your job.’ ”\u003c/p>\n\u003cp>On March 23, all but one of the San Quentin dentists refused to do the screenings.\u003c/p>\n\u003cp>One day later, on March 24, the head of dentistry at CDCR adopted a new policy to end non-urgent dental screenings.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>Nonetheless, a month later, the dentists who had refused to do the screenings said they were “written up” for defying orders, a first step in a progressive disciplinary process that can lead to a cut in pay or termination.\u003c/p>\n\u003cp>Some of the dentists said they were also disciplined for questioning the prison’s COVID-19 safety guidelines.\u003c/p>\n\u003cp>“We have a saying down there [in dental],” one of them said. “You want to get a write up? Ask a question, especially one about safety.”\u003c/p>\n\u003cp>Some of the questions the dentists said they asked included, “We don’t know what the level of filtration is for the air in the dental unit. Can you evaluate these rooms? Do we have proper ventilation? What is our risk?”\u003c/p>\n\u003cp>One dentist said, “They tried to muzzle us!”\u003c/p>\n\u003cp>In an email last Friday, CDCR spokeswoman Dana Simas called the health and safety of employees the agency’s “top priority.”\u003c/p>\n\u003cp>Simas said prison officials will work closely with the Department of Industrial Relations, Cal/OSHA’s parent agency, “to fully explain all of the actions San Quentin’s Dental Program has taken during the COVID-19 pandemic and to directly address OSHA’s concerns.”\u003c/p>\n\u003cp>[aside label=\"related coverage\" tag=\"cdcr\"]\u003c/p>\n\u003cp>Many emergency or urgent dental procedures, such as tooth extraction, involve drilling and spraying water and air inside a patient’s mouth and can produce droplets that can spread and infect others.\u003c/p>\n\u003cp>All three dentists who spoke with KQED said their repeated requests for better safety equipment protections were ignored or refused.\u003c/p>\n\u003cp>The dentists said they asked for specialized masks called PAPRs that include respirators to purify air for the wearer, but were told to make do with N95s.\u003c/p>\n\u003cp>They also asked for an auxiliary air filtering device that suctions and disinfects exhaled air from a patient’s mouth.\u003c/p>\n\u003cp>And they asked for air scrubbers to clean the air inside the dental clinic and prevent potentially infectious particles from being recirculated to the rest of the prison.\u003c/p>\n\u003cp>None of those requests were honored, they said.\u003c/p>\n\u003cp>“We went through this whole crisis at San Quentin and they didn’t give us one damn additional piece of equipment,” said one dentist.\u003c/p>\n\u003cp>In August, a Cal/OSHA inspector arrived at the dental clinic and started asking questions.\u003c/p>\n\u003cp>In a report last week, Cal/OSHA wrote that dental staff were being asked to perform “high-hazard” dental procedures that generated aerosols, or fine airborne particles, without the protection of specialized equipment, in locations that did not adequately limit the spread of airborne infections.\u003c/p>\n\u003cp>Cal/OSHA issued an Order Prohibiting Use, directing the clinic to stop all dental work that generates aerosols from a patient’s mouth, including drilling, until the prison can meet a list of safety conditions.\u003c/p>\n\u003cp>CDCR immediately requested a hearing, but after meeting with Cal/OSHA representatives Friday, said it is now working with the agency on an agreement.\u003c/p>\n\u003cp>Cal/OSHA is expected to issue an updated order this week.\u003c/p>\n\u003cp>\u003c/p>\n",
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"excerpt": "Requests for specialized masks and air purifiers designed for higher-risk dental procedures at San Quentin were not approved, several dentists said. Then Cal/OSHA shuttered part of the clinic's operations.",
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"title": "Dentists at San Quentin Say Their Pleas to Reduce Risk of COVID-19 Spread Were Ignored | KQED",
"description": "Requests for specialized masks and air purifiers designed for higher-risk dental procedures at San Quentin were not approved, several dentists said. Then Cal/OSHA shuttered part of the clinic's operations.",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>Dentists at the San Quentin State Prison clinic said they’d been pushing for crucial workplace safety improvements for months before state regulators intervened and shut down key operations.\u003c/p>\n\u003cp>Regulators with the California Division of Occupational Safety and Health (\u003ca href=\"https://www.dir.ca.gov/dosh/coronavirus/Health-Care-General-Industry.html\" target=\"_blank\" rel=\"noopener noreferrer\">Cal/OSHA\u003c/a>) had posted a red tag Wednesday at the clinic, declaring certain parts off limits and certain procedures as “dangerous.” Regulators said the hazardous work conditions “contributed to the spread of SARS-CoV-2 in the workplace.”\u003c/p>\n\u003cp>San Quentin has seen the largest coronavirus outbreak in the state prison system. More than 2,200 people incarcerated there have \u003ca href=\"https://www.cdcr.ca.gov/covid19/population-status-tracking/\" target=\"_blank\" rel=\"noopener noreferrer\">tested positive\u003c/a> for COVID-19 and 26 have died from the virus. More than 270 \u003ca href=\"https://www.cdcr.ca.gov/covid19/cdcr-cchcs-covid-19-status/\" target=\"_blank\" rel=\"noopener noreferrer\">staff\u003c/a> have been infected and one has died, according to the California Department of Corrections and Rehabilitation (CDCR).\u003c/p>\n\u003cp>The dental clinic, which treats people incarcerated at the prison, employs six dentists, three of whom agreed to share their concerns with KQED on the condition that they not to be named, for fear of losing their jobs.\u003c/p>\n\u003cp>The dentists, who are members of a public policy committee for the Union of American Physicians and Dentists, said San Quentin officials had repeatedly failed to address their concerns about the risks of spreading COVID-19 through dental exams and procedures.\u003c/p>\n\u003cp>“I could not trust my job to keep me safe,” one of the dentists said Friday. “I was terrified of bringing it home.”\u003c/p>\n\u003cp>A few days after statewide shelter-in-place orders were imposed, the California Dental Association issued \u003ca href=\"https://www.cda.org/Portals/0/pr_0320_CDA_recommends_suspending_nonurgent_care.pdf\" target=\"_blank\" rel=\"noopener noreferrer\">guidance\u003c/a> that dentists should immediately suspend all non-essential, non-emergency procedures for the next 14 days.\u003c/p>\n\u003cp>At San Quentin, however, the dentists said their supervisor ordered them to continue routine screenings of inmates transferring in from county jails, a task that entailed putting dozens of men together in holding cages and checking each person for broken jaw bones or signs of infection. Adding to their concerns, the dentists said incoming inmates were not being quarantined upon arrival for 14 days at that time.\u003c/p>\n\u003cp>“Just looking in their mouths is putting us at risk,” one dentist said. “We were just told, ‘Do your job.’ ”\u003c/p>\n\u003cp>On March 23, all but one of the San Quentin dentists refused to do the screenings.\u003c/p>\n\u003cp>One day later, on March 24, the head of dentistry at CDCR adopted a new policy to end non-urgent dental screenings.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>Nonetheless, a month later, the dentists who had refused to do the screenings said they were “written up” for defying orders, a first step in a progressive disciplinary process that can lead to a cut in pay or termination.\u003c/p>\n\u003cp>Some of the dentists said they were also disciplined for questioning the prison’s COVID-19 safety guidelines.\u003c/p>\n\u003cp>“We have a saying down there [in dental],” one of them said. “You want to get a write up? Ask a question, especially one about safety.”\u003c/p>\n\u003cp>Some of the questions the dentists said they asked included, “We don’t know what the level of filtration is for the air in the dental unit. Can you evaluate these rooms? Do we have proper ventilation? What is our risk?”\u003c/p>\n\u003cp>One dentist said, “They tried to muzzle us!”\u003c/p>\n\u003cp>In an email last Friday, CDCR spokeswoman Dana Simas called the health and safety of employees the agency’s “top priority.”\u003c/p>\n\u003cp>Simas said prison officials will work closely with the Department of Industrial Relations, Cal/OSHA’s parent agency, “to fully explain all of the actions San Quentin’s Dental Program has taken during the COVID-19 pandemic and to directly address OSHA’s concerns.”\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>Many emergency or urgent dental procedures, such as tooth extraction, involve drilling and spraying water and air inside a patient’s mouth and can produce droplets that can spread and infect others.\u003c/p>\n\u003cp>All three dentists who spoke with KQED said their repeated requests for better safety equipment protections were ignored or refused.\u003c/p>\n\u003cp>The dentists said they asked for specialized masks called PAPRs that include respirators to purify air for the wearer, but were told to make do with N95s.\u003c/p>\n\u003cp>They also asked for an auxiliary air filtering device that suctions and disinfects exhaled air from a patient’s mouth.\u003c/p>\n\u003cp>And they asked for air scrubbers to clean the air inside the dental clinic and prevent potentially infectious particles from being recirculated to the rest of the prison.\u003c/p>\n\u003cp>None of those requests were honored, they said.\u003c/p>\n\u003cp>“We went through this whole crisis at San Quentin and they didn’t give us one damn additional piece of equipment,” said one dentist.\u003c/p>\n\u003cp>In August, a Cal/OSHA inspector arrived at the dental clinic and started asking questions.\u003c/p>\n\u003cp>In a report last week, Cal/OSHA wrote that dental staff were being asked to perform “high-hazard” dental procedures that generated aerosols, or fine airborne particles, without the protection of specialized equipment, in locations that did not adequately limit the spread of airborne infections.\u003c/p>\n\u003cp>Cal/OSHA issued an Order Prohibiting Use, directing the clinic to stop all dental work that generates aerosols from a patient’s mouth, including drilling, until the prison can meet a list of safety conditions.\u003c/p>\n\u003cp>CDCR immediately requested a hearing, but after meeting with Cal/OSHA representatives Friday, said it is now working with the agency on an agreement.\u003c/p>\n\u003cp>Cal/OSHA is expected to issue an updated order this week.\u003c/p>\n\u003cp>\u003c/p>\n\u003c/div>\u003c/p>",
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"slug": "who-is-most-vulnerable-to-wildfire-smoke-poverty-and-racism-play-a-part",
"title": "Poverty and Racism Leave People More Vulnerable to Wildfire Smoke",
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"content": "\u003cp>Ta’Kira Dannette Byrd is thin and lithe, like a blade of wild grass swaying in the wind. The little girl was diagnosed with asthma when she was 5 years old. Her first major health crisis came three years later.\u003c/p>\n\u003cp>She remembers being “really really sick” all day. Then, in the middle of the night, her cat went bounding into mom’s room, yowling, and woke her up.\u003c/p>\n\u003cp>“I guess, like, my face was all purple and stuff and I couldn’t breathe,” said Ta’Kira, now 11.\u003c/p>\n\u003cp>Her mom, Shawntierra Dolton, came running into the living room, where Ta’Kira sleeps. She took one look at her daughter’s face and “hurried up and put the treatment on her.” Then they rushed to the hospital.\u003c/p>\n\u003cp>In the years that followed, the routine became an all-too-regular part of life for the Vallejo family. And the massive wildfires that burned every year almost certainly played a role.\u003c/p>\n\u003cp>Extreme fire seasons seem to be the new normal in the American West. The spate of \u003ca href=\"https://www.kqed.org/news/11834132/see-where-wildfires-are-burning-in-california\">lightning-sparked blazes\u003c/a> that recently blanketed California in unhealthy smoke is just the most recent reminder.\u003c/p>\n\u003cp>But not everyone is affected equally. Just as we’ve seen with the coronavirus pandemic, place and race play a role.\u003c/p>\n\u003cp>Ta’Kira lives with her mom and two younger brothers at the Marina Vista Apartments — a low-income housing development comprised of blocky two-story buildings in downtown Vallejo. According to the \u003ca href=\"https://healthyplacesindex.org\">California Healthy Places Index\u003c/a>, developed by the Public Health Alliance of Southern California, their neighborhood is one of the least healthy in the entire state.\u003c/p>\n\u003cp>Among the poor health outcomes: high asthma rates.\u003c/p>\n\u003cfigure id=\"attachment_11836549\" class=\"wp-caption aligncenter\" style=\"max-width: 1920px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-11836549\" src=\"https://ww2.kqed.org/app/uploads/sites/10/2020/09/RS44653_TaKiraDrawing-qut.jpg\" alt=\"\" width=\"1920\" height=\"1080\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2020/09/RS44653_TaKiraDrawing-qut.jpg 1920w, https://cdn.kqed.org/wp-content/uploads/sites/10/2020/09/RS44653_TaKiraDrawing-qut-800x450.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2020/09/RS44653_TaKiraDrawing-qut-1020x574.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2020/09/RS44653_TaKiraDrawing-qut-160x90.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2020/09/RS44653_TaKiraDrawing-qut-1536x864.jpg 1536w\" sizes=\"(max-width: 1920px) 100vw, 1920px\">\u003cfigcaption class=\"wp-caption-text\">Ta’Kira, 11, colors in her notebook at home in Vallejo. \u003ccite>(Lee Romney/KQED)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>For Ta’Kira, living with a condition that regularly inflames her airways can be scary.\u003c/p>\n\u003cp>“When we have PE and I run a lot, it makes me feel kind of weak and stuff,” she said. “It feels like my lungs are just closing up.”\u003c/p>\n\u003cp>Still, Ta’Kira tends to put a positive spin on things — even during an emergency treatment of oxygen and helium that doctors administered during that first hospitalization, to open up her lungs. Known as Heliox, the treatment is reserved for the most serious cases.\u003c/p>\n\u003cp>“I was put on that for an hour,” she said in a playful sing-song, “and I couldn’t even talk because the thing was on my mouth and on my nose. It made me sound like a squeaky mouse.”\u003c/p>\n\u003cp>Days later, Ta’Kira went home with a bunch of new prescriptions. But her medical records, which Shawntierra shared with KQED, reveal that she ran out of some key maintenance meds over the next few years — partly because of hitches with her Medi-Cal, the state’s government insurance program that serves low-income families.\u003c/p>\n\u003cp>[pullquote size='medium' align='right' citation='Dr. John Balmes, professor of medicine and environmental health sciences at UCSF and UC Berkeley']‘Based on what we know from outdoor air pollution and about asthma biology in general, the effects can be cumulative.’[/pullquote]\u003c/p>\n\u003cp>Those hardships are just one example of how wealth can impact health — gaps in Ta’Kira’s treatment made controlling her asthma harder, and she landed back in the ER again and again. Then wildfires — record-breaking in their scope and devastation — started burning, beginning with \u003ca href=\"https://www.kqed.org/news/tag/tubbs-fire\">the Tubbs Fire in October 2017\u003c/a>.\u003c/p>\n\u003cp>The blaze raged through Sonoma and Napa counties, destroying several Santa Rosa neighborhoods. Even though it burned a ways from Vallejo, wildfires produce tiny particulate matter that can travel great distances and lodge deep in the lungs.\u003c/p>\n\u003cp>In the year that followed, Ta’Kira was rushed to the ER with bad asthma attacks every three to four months. But those visits didn’t happen on the days when the smoke was at its worst, though she felt it in her chest. Instead, Ta’Kira ended up visiting the ER repeatedly in the weeks and months that followed.\u003c/p>\n\u003cp>Dr. John Balmes, a professor of medicine and environmental health sciences at UCSF and UC Berkeley who studies the impact of air pollution on kids, said that’s not surprising.\u003c/p>\n\u003cp>“Based on what we know from outdoor air pollution and about asthma biology in general, the effects can be cumulative,” Balmes said.\u003c/p>\n\u003cp>The short-term impacts of wildfire smoke are well documented. Studies have shown that smoky days correlate with spikes in ER visits for lung and heart problems in real time.\u003c/p>\n\u003cp>As for long-term health effects, there’s a lot we still don’t know. A recent Stanford University study showed potentially lasting damage to the immune systems of kids who’d been exposed to fire smoke. And \u003ca href=\"https://www.revealnews.org/article/the-smokes-gone-but-hearts-and-lungs-still-may-be-in-danger-months-after-wildfires/\">an investigation by the Center for Investigative Reporting\u003c/a> found a spike in ER visits of adults and kids experiencing lung and heart ailments three to five months after the Tubbs Fire. [ad fullwidth]\u003c/p>\n\u003cp>So, like with daily air pollution, Balmes said, it’s pretty clear that inhalation of particulate matter from smoke can cause harm over time.\u003c/p>\n\u003cp>“A child could be exposed to wildfire smoke for a period and have some increase in airway inflammation,” he said, “which would then put them at greater risk of exacerbations from allergens that they’re sensitized to, or make them more at risk for having exacerbation when they get a cold.” [aside tag=\"wildfires\" label=\"more coverage\"]\u003c/p>\n\u003cp>New record-setting blazes would follow the Tubbs Fire. In November 2018, \u003ca href=\"https://www.kqed.org/news/tag/camp-fire\">the Camp Fire decimated the town of Paradise\u003c/a> in Butte County, spreading smoke laden with toxins from burning plastics and other industrial materials for hundreds of miles. Three months later, Ta’Kira was back in the hospital again. “Working very hard to breathe,” her medical notes say. “Unable to hold a long conversation.”\u003c/p>\n\u003cp>“I was scared because I had to get an IV,” she said. “They always put it in the same arm. But then this one nurse she knew I was scared so she took her time putting the fluid all the way in.”\u003c/p>\n\u003cp>Ta’Kira put on a brave face about that IV, and about the ambulance ride she took hours later, when she was transferred to the pediatric ICU in Oakland.\u003c/p>\n\u003cp>Her mom, Shawntierra, is a singer. And Ta’Kira says during that time in ICU, she often sang — especially during her long overnight stays on a pull-out couch next to her daughter’s bed.\u003c/p>\n\u003cp>For Shawntierra, these hospitalizations have been terrifying.\u003c/p>\n\u003cp>“I just remember crying a lot,” she said, “because they kept coming in the room doing extra stuff to her.”\u003c/p>\n\u003cp>Ta’Kira is not alone in her medical struggles. \u003ca href=\"https://minorityhealth.hhs.gov/omh/browse.aspx?lvl=4&lvlid=15\">Black children like her are disproportionately affected by asthma\u003c/a>, more likely to be hospitalized for it, and even to die from it. Especially in low-income neighborhoods like the Vallejo census tract where Ta’Kira has lived for her entire young life. Data show that more Black people live in that neighborhood than anywhere else in Vallejo.\u003c/p>\n\u003cfigure id=\"attachment_11836544\" class=\"wp-caption aligncenter\" style=\"max-width: 1920px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-11836544\" src=\"https://ww2.kqed.org/app/uploads/sites/10/2020/09/RS44654_MarinaGardens-qut.jpg\" alt=\"\" width=\"1920\" height=\"1441\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2020/09/RS44654_MarinaGardens-qut.jpg 1920w, https://cdn.kqed.org/wp-content/uploads/sites/10/2020/09/RS44654_MarinaGardens-qut-800x600.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2020/09/RS44654_MarinaGardens-qut-1020x766.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2020/09/RS44654_MarinaGardens-qut-160x120.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2020/09/RS44654_MarinaGardens-qut-1536x1153.jpg 1536w, https://cdn.kqed.org/wp-content/uploads/sites/10/2020/09/RS44654_MarinaGardens-qut-1832x1374.jpg 1832w, https://cdn.kqed.org/wp-content/uploads/sites/10/2020/09/RS44654_MarinaGardens-qut-1376x1032.jpg 1376w, https://cdn.kqed.org/wp-content/uploads/sites/10/2020/09/RS44654_MarinaGardens-qut-1044x783.jpg 1044w, https://cdn.kqed.org/wp-content/uploads/sites/10/2020/09/RS44654_MarinaGardens-qut-632x474.jpg 632w, https://cdn.kqed.org/wp-content/uploads/sites/10/2020/09/RS44654_MarinaGardens-qut-536x402.jpg 536w\" sizes=\"(max-width: 1920px) 100vw, 1920px\">\u003cfigcaption class=\"wp-caption-text\">Residents from downtown Vallejo’s Marina Vista Gardens say wildfire smoke easily permeates poor-quality aluminum window frames at the apartment complex, contributing to indoor pollution. \u003ccite>(Lee Romney/KQED)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>Those concerning asthma statistics for Black children, Balmes said, are due in part to higher exposure to air pollution in low-income neighborhoods from sources such as industry and freeway soot. But also, he said, because of more indirect factors including discrimination, poor housing, poverty, noise and garbage\u003c/p>\n\u003cp>Given what we know about those trends, he said, wildfire smoke is “likely to differentially impact kids in these neighborhoods.”\u003c/p>\n\u003cp>During every wildfire-related smoke event, Ta’Kira’s mom said, she has made sure to follow public health advice to keep the ground-floor apartment’s windows and doors closed. But that only helps if they keep the smoke out.\u003c/p>\n\u003cp>Marina Vista’s oldest apartment buildings were built about 50 years ago. And about half a dozen residents — including Shawntierra — said smoke comes right in through the flimsy aluminum window frames.\u003c/p>\n\u003cp>Garbage is a problem at Marina Vista, too. It attracts critters whose droppings are common asthma triggers. Large, bulky, open-topped garbage bins sit just feet from Shawntierra’s unit, across a narrow pathway.\u003c/p>\n\u003cp>Shawntierra said management should move them farther away from the living units, “or at least spray more often for roaches and mice. Sometimes we’ll see them all outside the apartments and inside. Just everywhere.”\u003c/p>\n\u003cp>Last October, Ta’Kira was back at the ER again, on a cardiac monitor, getting a continuous flow of asthma meds through a nebulizer. Her lungs were already compromised when, a week later, \u003ca href=\"https://www.kqed.org/news/11782314/what-you-need-to-know-sonoma-countys-kincade-fire\">the Kincade Fire\u003c/a> started burning within 100 miles of her home, blanketing Vallejo in smoke. Two weeks later, she was back at the ER.\u003c/p>\n\u003cp>This year has been a bit better for Ta’Kira when it comes to asthma attacks, her mother said. Maybe because she’s getting older. Maybe because the medicines she takes each day are doing their job.\u003c/p>\n\u003cp>[pullquote size='medium' align='right' citation='Ta’Kira Dannette Byrd, 11']‘I worry about fires a lot.’[/pullquote]\u003c/p>\n\u003cp>But last month’s lightning-triggered blazes bumped California into yet another unprecedented crisis: A record-breaking number of “Spare the Air” days led millions of residents — at least, those who were able — to take shelter indoors.\u003c/p>\n\u003cp>About a week into those bad-air days, I went back to Marina Gardens to visit Shawntierra and Ta’Kira. Even though Ta’Kira had only been to the ER once in the past few months, mom said she was “very, very worried” about the relentless smoke.\u003c/p>\n\u003cp>To be cautious, she and the kids had been taking refuge at Shawntierra’s mom’s home in Contra Costa County. Even though outside air quality there has been lousy, too, her place has higher-quality windows and doors.\u003c/p>\n\u003cp>“She lives in a two-story so it’s a lot more space for her,” Shawntierra said, “and when you enter in her house it’s just pure, clean. Clean air.”\u003c/p>\n\u003cp>Asthma has been a part of Ta’Kira’s life for years now. Inhaling tiny harmful particulate matter from wildfire smoke — that’s just one of her many triggers. But it’s joined the list of forces outside her control that cause her anxiety.\u003c/p>\n\u003cp>“I worry about fires a lot,” she said.\u003c/p>\n\u003cp>Ta’Kira was quiet on that last visit, saying she felt “fine.” But a few minutes later, Shawntierra called with an update: Ta’Kira, she said, had just told her that her chest had been hurting at night. She’d been keeping it to herself, because she was worried about going back to the hospital.\u003c/p>\n\u003cp>[ad floatright]\u003c/p>\n",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>Ta’Kira Dannette Byrd is thin and lithe, like a blade of wild grass swaying in the wind. The little girl was diagnosed with asthma when she was 5 years old. Her first major health crisis came three years later.\u003c/p>\n\u003cp>She remembers being “really really sick” all day. Then, in the middle of the night, her cat went bounding into mom’s room, yowling, and woke her up.\u003c/p>\n\u003cp>“I guess, like, my face was all purple and stuff and I couldn’t breathe,” said Ta’Kira, now 11.\u003c/p>\n\u003cp>Her mom, Shawntierra Dolton, came running into the living room, where Ta’Kira sleeps. She took one look at her daughter’s face and “hurried up and put the treatment on her.” Then they rushed to the hospital.\u003c/p>\n\u003cp>In the years that followed, the routine became an all-too-regular part of life for the Vallejo family. And the massive wildfires that burned every year almost certainly played a role.\u003c/p>\n\u003cp>Extreme fire seasons seem to be the new normal in the American West. The spate of \u003ca href=\"https://www.kqed.org/news/11834132/see-where-wildfires-are-burning-in-california\">lightning-sparked blazes\u003c/a> that recently blanketed California in unhealthy smoke is just the most recent reminder.\u003c/p>\n\u003cp>But not everyone is affected equally. Just as we’ve seen with the coronavirus pandemic, place and race play a role.\u003c/p>\n\u003cp>Ta’Kira lives with her mom and two younger brothers at the Marina Vista Apartments — a low-income housing development comprised of blocky two-story buildings in downtown Vallejo. According to the \u003ca href=\"https://healthyplacesindex.org\">California Healthy Places Index\u003c/a>, developed by the Public Health Alliance of Southern California, their neighborhood is one of the least healthy in the entire state.\u003c/p>\n\u003cp>Among the poor health outcomes: high asthma rates.\u003c/p>\n\u003cfigure id=\"attachment_11836549\" class=\"wp-caption aligncenter\" style=\"max-width: 1920px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-11836549\" src=\"https://ww2.kqed.org/app/uploads/sites/10/2020/09/RS44653_TaKiraDrawing-qut.jpg\" alt=\"\" width=\"1920\" height=\"1080\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2020/09/RS44653_TaKiraDrawing-qut.jpg 1920w, https://cdn.kqed.org/wp-content/uploads/sites/10/2020/09/RS44653_TaKiraDrawing-qut-800x450.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2020/09/RS44653_TaKiraDrawing-qut-1020x574.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2020/09/RS44653_TaKiraDrawing-qut-160x90.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2020/09/RS44653_TaKiraDrawing-qut-1536x864.jpg 1536w\" sizes=\"(max-width: 1920px) 100vw, 1920px\">\u003cfigcaption class=\"wp-caption-text\">Ta’Kira, 11, colors in her notebook at home in Vallejo. \u003ccite>(Lee Romney/KQED)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>For Ta’Kira, living with a condition that regularly inflames her airways can be scary.\u003c/p>\n\u003cp>“When we have PE and I run a lot, it makes me feel kind of weak and stuff,” she said. “It feels like my lungs are just closing up.”\u003c/p>\n\u003cp>Still, Ta’Kira tends to put a positive spin on things — even during an emergency treatment of oxygen and helium that doctors administered during that first hospitalization, to open up her lungs. Known as Heliox, the treatment is reserved for the most serious cases.\u003c/p>\n\u003cp>“I was put on that for an hour,” she said in a playful sing-song, “and I couldn’t even talk because the thing was on my mouth and on my nose. It made me sound like a squeaky mouse.”\u003c/p>\n\u003cp>Days later, Ta’Kira went home with a bunch of new prescriptions. But her medical records, which Shawntierra shared with KQED, reveal that she ran out of some key maintenance meds over the next few years — partly because of hitches with her Medi-Cal, the state’s government insurance program that serves low-income families.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>Those hardships are just one example of how wealth can impact health — gaps in Ta’Kira’s treatment made controlling her asthma harder, and she landed back in the ER again and again. Then wildfires — record-breaking in their scope and devastation — started burning, beginning with \u003ca href=\"https://www.kqed.org/news/tag/tubbs-fire\">the Tubbs Fire in October 2017\u003c/a>.\u003c/p>\n\u003cp>The blaze raged through Sonoma and Napa counties, destroying several Santa Rosa neighborhoods. Even though it burned a ways from Vallejo, wildfires produce tiny particulate matter that can travel great distances and lodge deep in the lungs.\u003c/p>\n\u003cp>In the year that followed, Ta’Kira was rushed to the ER with bad asthma attacks every three to four months. But those visits didn’t happen on the days when the smoke was at its worst, though she felt it in her chest. Instead, Ta’Kira ended up visiting the ER repeatedly in the weeks and months that followed.\u003c/p>\n\u003cp>Dr. John Balmes, a professor of medicine and environmental health sciences at UCSF and UC Berkeley who studies the impact of air pollution on kids, said that’s not surprising.\u003c/p>\n\u003cp>“Based on what we know from outdoor air pollution and about asthma biology in general, the effects can be cumulative,” Balmes said.\u003c/p>\n\u003cp>The short-term impacts of wildfire smoke are well documented. Studies have shown that smoky days correlate with spikes in ER visits for lung and heart problems in real time.\u003c/p>\n\u003cp>As for long-term health effects, there’s a lot we still don’t know. A recent Stanford University study showed potentially lasting damage to the immune systems of kids who’d been exposed to fire smoke. And \u003ca href=\"https://www.revealnews.org/article/the-smokes-gone-but-hearts-and-lungs-still-may-be-in-danger-months-after-wildfires/\">an investigation by the Center for Investigative Reporting\u003c/a> found a spike in ER visits of adults and kids experiencing lung and heart ailments three to five months after the Tubbs Fire. \u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>So, like with daily air pollution, Balmes said, it’s pretty clear that inhalation of particulate matter from smoke can cause harm over time.\u003c/p>\n\u003cp>“A child could be exposed to wildfire smoke for a period and have some increase in airway inflammation,” he said, “which would then put them at greater risk of exacerbations from allergens that they’re sensitized to, or make them more at risk for having exacerbation when they get a cold.” \u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>New record-setting blazes would follow the Tubbs Fire. In November 2018, \u003ca href=\"https://www.kqed.org/news/tag/camp-fire\">the Camp Fire decimated the town of Paradise\u003c/a> in Butte County, spreading smoke laden with toxins from burning plastics and other industrial materials for hundreds of miles. Three months later, Ta’Kira was back in the hospital again. “Working very hard to breathe,” her medical notes say. “Unable to hold a long conversation.”\u003c/p>\n\u003cp>“I was scared because I had to get an IV,” she said. “They always put it in the same arm. But then this one nurse she knew I was scared so she took her time putting the fluid all the way in.”\u003c/p>\n\u003cp>Ta’Kira put on a brave face about that IV, and about the ambulance ride she took hours later, when she was transferred to the pediatric ICU in Oakland.\u003c/p>\n\u003cp>Her mom, Shawntierra, is a singer. And Ta’Kira says during that time in ICU, she often sang — especially during her long overnight stays on a pull-out couch next to her daughter’s bed.\u003c/p>\n\u003cp>For Shawntierra, these hospitalizations have been terrifying.\u003c/p>\n\u003cp>“I just remember crying a lot,” she said, “because they kept coming in the room doing extra stuff to her.”\u003c/p>\n\u003cp>Ta’Kira is not alone in her medical struggles. \u003ca href=\"https://minorityhealth.hhs.gov/omh/browse.aspx?lvl=4&lvlid=15\">Black children like her are disproportionately affected by asthma\u003c/a>, more likely to be hospitalized for it, and even to die from it. Especially in low-income neighborhoods like the Vallejo census tract where Ta’Kira has lived for her entire young life. Data show that more Black people live in that neighborhood than anywhere else in Vallejo.\u003c/p>\n\u003cfigure id=\"attachment_11836544\" class=\"wp-caption aligncenter\" style=\"max-width: 1920px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-11836544\" src=\"https://ww2.kqed.org/app/uploads/sites/10/2020/09/RS44654_MarinaGardens-qut.jpg\" alt=\"\" width=\"1920\" height=\"1441\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2020/09/RS44654_MarinaGardens-qut.jpg 1920w, https://cdn.kqed.org/wp-content/uploads/sites/10/2020/09/RS44654_MarinaGardens-qut-800x600.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2020/09/RS44654_MarinaGardens-qut-1020x766.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2020/09/RS44654_MarinaGardens-qut-160x120.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2020/09/RS44654_MarinaGardens-qut-1536x1153.jpg 1536w, https://cdn.kqed.org/wp-content/uploads/sites/10/2020/09/RS44654_MarinaGardens-qut-1832x1374.jpg 1832w, https://cdn.kqed.org/wp-content/uploads/sites/10/2020/09/RS44654_MarinaGardens-qut-1376x1032.jpg 1376w, https://cdn.kqed.org/wp-content/uploads/sites/10/2020/09/RS44654_MarinaGardens-qut-1044x783.jpg 1044w, https://cdn.kqed.org/wp-content/uploads/sites/10/2020/09/RS44654_MarinaGardens-qut-632x474.jpg 632w, https://cdn.kqed.org/wp-content/uploads/sites/10/2020/09/RS44654_MarinaGardens-qut-536x402.jpg 536w\" sizes=\"(max-width: 1920px) 100vw, 1920px\">\u003cfigcaption class=\"wp-caption-text\">Residents from downtown Vallejo’s Marina Vista Gardens say wildfire smoke easily permeates poor-quality aluminum window frames at the apartment complex, contributing to indoor pollution. \u003ccite>(Lee Romney/KQED)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>Those concerning asthma statistics for Black children, Balmes said, are due in part to higher exposure to air pollution in low-income neighborhoods from sources such as industry and freeway soot. But also, he said, because of more indirect factors including discrimination, poor housing, poverty, noise and garbage\u003c/p>\n\u003cp>Given what we know about those trends, he said, wildfire smoke is “likely to differentially impact kids in these neighborhoods.”\u003c/p>\n\u003cp>During every wildfire-related smoke event, Ta’Kira’s mom said, she has made sure to follow public health advice to keep the ground-floor apartment’s windows and doors closed. But that only helps if they keep the smoke out.\u003c/p>\n\u003cp>Marina Vista’s oldest apartment buildings were built about 50 years ago. And about half a dozen residents — including Shawntierra — said smoke comes right in through the flimsy aluminum window frames.\u003c/p>\n\u003cp>Garbage is a problem at Marina Vista, too. It attracts critters whose droppings are common asthma triggers. Large, bulky, open-topped garbage bins sit just feet from Shawntierra’s unit, across a narrow pathway.\u003c/p>\n\u003cp>Shawntierra said management should move them farther away from the living units, “or at least spray more often for roaches and mice. Sometimes we’ll see them all outside the apartments and inside. Just everywhere.”\u003c/p>\n\u003cp>Last October, Ta’Kira was back at the ER again, on a cardiac monitor, getting a continuous flow of asthma meds through a nebulizer. Her lungs were already compromised when, a week later, \u003ca href=\"https://www.kqed.org/news/11782314/what-you-need-to-know-sonoma-countys-kincade-fire\">the Kincade Fire\u003c/a> started burning within 100 miles of her home, blanketing Vallejo in smoke. Two weeks later, she was back at the ER.\u003c/p>\n\u003cp>This year has been a bit better for Ta’Kira when it comes to asthma attacks, her mother said. Maybe because she’s getting older. Maybe because the medicines she takes each day are doing their job.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>But last month’s lightning-triggered blazes bumped California into yet another unprecedented crisis: A record-breaking number of “Spare the Air” days led millions of residents — at least, those who were able — to take shelter indoors.\u003c/p>\n\u003cp>About a week into those bad-air days, I went back to Marina Gardens to visit Shawntierra and Ta’Kira. Even though Ta’Kira had only been to the ER once in the past few months, mom said she was “very, very worried” about the relentless smoke.\u003c/p>\n\u003cp>To be cautious, she and the kids had been taking refuge at Shawntierra’s mom’s home in Contra Costa County. Even though outside air quality there has been lousy, too, her place has higher-quality windows and doors.\u003c/p>\n\u003cp>“She lives in a two-story so it’s a lot more space for her,” Shawntierra said, “and when you enter in her house it’s just pure, clean. Clean air.”\u003c/p>\n\u003cp>Asthma has been a part of Ta’Kira’s life for years now. Inhaling tiny harmful particulate matter from wildfire smoke — that’s just one of her many triggers. But it’s joined the list of forces outside her control that cause her anxiety.\u003c/p>\n\u003cp>“I worry about fires a lot,” she said.\u003c/p>\n\u003cp>Ta’Kira was quiet on that last visit, saying she felt “fine.” But a few minutes later, Shawntierra called with an update: Ta’Kira, she said, had just told her that her chest had been hurting at night. She’d been keeping it to herself, because she was worried about going back to the hospital.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cp>Nearly 20% of Californians know someone who has died of COVID-19, a rate that’s significantly higher for people of color and low-income residents, according to \u003ca href=\"https://www.chcf.org/blog/covid-19-tracking-poll-one-five-californians-know-someone-who-died-covid-19\" target=\"_blank\" rel=\"noopener noreferrer\">a new poll\u003c/a> from the California Health Care Foundation (CHCF).\u003c/p>\n\u003cp>Among respondents, 10% of white people reported knowing someone who had died of the virus, while that rate rose to 29% for Latinx people, 28% for African Americans and 19% for Asian Americans.\u003c/p>\n\u003cp>Meanwhile, 26% of low-income respondents of all races said they knew someone who had died.\u003c/p>\n\u003cfigure id=\"attachment_11836509\" class=\"wp-caption aligncenter\" style=\"max-width: 1920px\">\u003ca href=\"https://ww2.kqed.org/app/uploads/sites/10/2020/09/Screen-Shot-2020-09-03-at-10.00.11-AM.png\" rel=\"attachment wp-att-11836509\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"wp-image-11836509 size-full\" src=\"https://ww2.kqed.org/app/uploads/sites/10/2020/09/Screen-Shot-2020-09-03-at-10.00.11-AM.png\" alt=\"\" width=\"1920\" height=\"1214\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2020/09/Screen-Shot-2020-09-03-at-10.00.11-AM.png 1920w, https://cdn.kqed.org/wp-content/uploads/sites/10/2020/09/Screen-Shot-2020-09-03-at-10.00.11-AM-800x506.png 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2020/09/Screen-Shot-2020-09-03-at-10.00.11-AM-1020x645.png 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2020/09/Screen-Shot-2020-09-03-at-10.00.11-AM-160x101.png 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2020/09/Screen-Shot-2020-09-03-at-10.00.11-AM-1536x971.png 1536w\" sizes=\"(max-width: 1920px) 100vw, 1920px\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">California Health Care Foundation/Ipsos survey of California residents age 18+. \u003ccite>(Courtesy of CHCF)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>Those discrepancies are not surprising to Andrea Polonijo, a postdoctoral fellow at UC Riverside School of Medicine, where she studies health disparities.\u003c/p>\n\u003cp>“We know that Black and Latinx populations have disproportionately been diagnosed with the virus and disproportionately have died of the virus,” she said.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>Black and Latinx residents \u003ca href=\"https://www.kqed.org/news/11815391/in-bay-area-women-and-people-of-color-shoulder-most-front-line-work-during-pandemic\" target=\"_blank\" rel=\"noopener noreferrer\">make up the majority of California’s front-line workers\u003c/a>, and many have had to continue doing their jobs through the pandemic, often without appropriate personal protective equipment, she said. Consistent with the rest of the country, California has seen a spate of outbreaks at \u003ca href=\"https://calmatters.org/california-divide/2020/08/california-counties-wont-report-covid-essential-workplace-outbreaks/\">essential workplaces across the state\u003c/a> — from \u003ca href=\"https://www.kqed.org/news/11835677/foster-farms-ordered-to-shut-down-covid-stricken-central-valley-poultry-plant\" target=\"_blank\" rel=\"noopener noreferrer\">meatpacking plants\u003c/a> and farms to construction sites — exposing scores of workers to the virus.\u003c/p>\n\u003cp>“Every day when they go to work, they’re putting themselves at risk of getting the virus or potentially dying,” Polonijo said.\u003c/p>\n\u003cp>CHCF surveyed 1,209 people in either English or Spanish over five days in late August.\u003c/p>\n\u003cp>Poll respondents were also asked how they felt about sheltering in place and reopening the economy, with seven in 10 saying they strongly or somewhat strongly support stricter shutdown measures to slow the spread of the virus.\u003c/p>\n\u003cfigure id=\"attachment_11836522\" class=\"wp-caption aligncenter\" style=\"max-width: 1887px\">\u003ca href=\"https://ww2.kqed.org/news/2020/09/03/one-in-five-californians-know-someone-who-died-of-covid-19/screen-shot-2020-09-03-at-10-27-58-am-2/\" rel=\"attachment wp-att-11836522\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-11836522\" src=\"https://ww2.kqed.org/app/uploads/sites/10/2020/09/Screen-Shot-2020-09-03-at-10.27.58-AM-1.png\" alt=\"\" width=\"1887\" height=\"1059\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2020/09/Screen-Shot-2020-09-03-at-10.27.58-AM-1.png 1887w, https://cdn.kqed.org/wp-content/uploads/sites/10/2020/09/Screen-Shot-2020-09-03-at-10.27.58-AM-1-800x449.png 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2020/09/Screen-Shot-2020-09-03-at-10.27.58-AM-1-1020x572.png 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2020/09/Screen-Shot-2020-09-03-at-10.27.58-AM-1-160x90.png 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2020/09/Screen-Shot-2020-09-03-at-10.27.58-AM-1-1536x862.png 1536w\" sizes=\"(max-width: 1887px) 100vw, 1887px\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">California Health Care Foundation/Ipsos survey of California residents age 18+. \u003ccite>(Courtesy of CHCF)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>“That’s a clear message here,” said Kristof Stremikis, director of market analysis and insight at the CHCF. “The vast majority of the state is saying public health before economic health.” [aside tag=\"coronavirus\" label=\"More Related Coverage\"]\u003c/p>\n\u003cp>Poll respondents were also asked where they stood on shelter-in-place restrictions related to specific outcomes. When asked if they would like to see stricter rules if it meant fewer deaths, 85% said they would either strongly or somewhat support such measures.\u003c/p>\n\u003cp>“Californians are highly motivated, or highly supportive of stricter measures if they’re going to specifically prevent deaths,” Stremikis said.\u003c/p>\n\u003cp>But the survey also found stark demographic differences in who was most likely to support those more stringent measures that could prevent additional deaths, with strong support from 75% of Black and 65% of Latinx respondents, but only 54% support from white respondents.\u003c/p>\n\u003cfigure id=\"attachment_11836514\" class=\"wp-caption aligncenter\" style=\"max-width: 1920px\">\u003ca href=\"https://ww2.kqed.org/app/uploads/sites/10/2020/09/Screen-Shot-2020-09-03-at-10.28.52-AM.png\" rel=\"attachment wp-att-11836514\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"wp-image-11836514 size-full\" src=\"https://ww2.kqed.org/app/uploads/sites/10/2020/09/Screen-Shot-2020-09-03-at-10.28.52-AM.png\" alt=\"\" width=\"1920\" height=\"908\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2020/09/Screen-Shot-2020-09-03-at-10.28.52-AM.png 1920w, https://cdn.kqed.org/wp-content/uploads/sites/10/2020/09/Screen-Shot-2020-09-03-at-10.28.52-AM-800x378.png 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2020/09/Screen-Shot-2020-09-03-at-10.28.52-AM-1020x482.png 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2020/09/Screen-Shot-2020-09-03-at-10.28.52-AM-160x76.png 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2020/09/Screen-Shot-2020-09-03-at-10.28.52-AM-1536x726.png 1536w\" sizes=\"(max-width: 1920px) 100vw, 1920px\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">California Health Care Foundation/Ipsos survey of California residents age 18+. \u003ccite>(Courtesy of CHCF)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>Stremikis said that difference may well reflect higher rates of infection and death in Black and Latinx communities.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>“This (pandemic) is particularly tragic for people with low incomes, as well as Black and Latino Californians,” he said.\u003c/p>\n\n",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>Nearly 20% of Californians know someone who has died of COVID-19, a rate that’s significantly higher for people of color and low-income residents, according to \u003ca href=\"https://www.chcf.org/blog/covid-19-tracking-poll-one-five-californians-know-someone-who-died-covid-19\" target=\"_blank\" rel=\"noopener noreferrer\">a new poll\u003c/a> from the California Health Care Foundation (CHCF).\u003c/p>\n\u003cp>Among respondents, 10% of white people reported knowing someone who had died of the virus, while that rate rose to 29% for Latinx people, 28% for African Americans and 19% for Asian Americans.\u003c/p>\n\u003cp>Meanwhile, 26% of low-income respondents of all races said they knew someone who had died.\u003c/p>\n\u003cfigure id=\"attachment_11836509\" class=\"wp-caption aligncenter\" style=\"max-width: 1920px\">\u003ca href=\"https://ww2.kqed.org/app/uploads/sites/10/2020/09/Screen-Shot-2020-09-03-at-10.00.11-AM.png\" rel=\"attachment wp-att-11836509\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"wp-image-11836509 size-full\" src=\"https://ww2.kqed.org/app/uploads/sites/10/2020/09/Screen-Shot-2020-09-03-at-10.00.11-AM.png\" alt=\"\" width=\"1920\" height=\"1214\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2020/09/Screen-Shot-2020-09-03-at-10.00.11-AM.png 1920w, https://cdn.kqed.org/wp-content/uploads/sites/10/2020/09/Screen-Shot-2020-09-03-at-10.00.11-AM-800x506.png 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2020/09/Screen-Shot-2020-09-03-at-10.00.11-AM-1020x645.png 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2020/09/Screen-Shot-2020-09-03-at-10.00.11-AM-160x101.png 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2020/09/Screen-Shot-2020-09-03-at-10.00.11-AM-1536x971.png 1536w\" sizes=\"(max-width: 1920px) 100vw, 1920px\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">California Health Care Foundation/Ipsos survey of California residents age 18+. \u003ccite>(Courtesy of CHCF)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>Those discrepancies are not surprising to Andrea Polonijo, a postdoctoral fellow at UC Riverside School of Medicine, where she studies health disparities.\u003c/p>\n\u003cp>“We know that Black and Latinx populations have disproportionately been diagnosed with the virus and disproportionately have died of the virus,” she said.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>Black and Latinx residents \u003ca href=\"https://www.kqed.org/news/11815391/in-bay-area-women-and-people-of-color-shoulder-most-front-line-work-during-pandemic\" target=\"_blank\" rel=\"noopener noreferrer\">make up the majority of California’s front-line workers\u003c/a>, and many have had to continue doing their jobs through the pandemic, often without appropriate personal protective equipment, she said. Consistent with the rest of the country, California has seen a spate of outbreaks at \u003ca href=\"https://calmatters.org/california-divide/2020/08/california-counties-wont-report-covid-essential-workplace-outbreaks/\">essential workplaces across the state\u003c/a> — from \u003ca href=\"https://www.kqed.org/news/11835677/foster-farms-ordered-to-shut-down-covid-stricken-central-valley-poultry-plant\" target=\"_blank\" rel=\"noopener noreferrer\">meatpacking plants\u003c/a> and farms to construction sites — exposing scores of workers to the virus.\u003c/p>\n\u003cp>“Every day when they go to work, they’re putting themselves at risk of getting the virus or potentially dying,” Polonijo said.\u003c/p>\n\u003cp>CHCF surveyed 1,209 people in either English or Spanish over five days in late August.\u003c/p>\n\u003cp>Poll respondents were also asked how they felt about sheltering in place and reopening the economy, with seven in 10 saying they strongly or somewhat strongly support stricter shutdown measures to slow the spread of the virus.\u003c/p>\n\u003cfigure id=\"attachment_11836522\" class=\"wp-caption aligncenter\" style=\"max-width: 1887px\">\u003ca href=\"https://ww2.kqed.org/news/2020/09/03/one-in-five-californians-know-someone-who-died-of-covid-19/screen-shot-2020-09-03-at-10-27-58-am-2/\" rel=\"attachment wp-att-11836522\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-11836522\" src=\"https://ww2.kqed.org/app/uploads/sites/10/2020/09/Screen-Shot-2020-09-03-at-10.27.58-AM-1.png\" alt=\"\" width=\"1887\" height=\"1059\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2020/09/Screen-Shot-2020-09-03-at-10.27.58-AM-1.png 1887w, https://cdn.kqed.org/wp-content/uploads/sites/10/2020/09/Screen-Shot-2020-09-03-at-10.27.58-AM-1-800x449.png 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2020/09/Screen-Shot-2020-09-03-at-10.27.58-AM-1-1020x572.png 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2020/09/Screen-Shot-2020-09-03-at-10.27.58-AM-1-160x90.png 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2020/09/Screen-Shot-2020-09-03-at-10.27.58-AM-1-1536x862.png 1536w\" sizes=\"(max-width: 1887px) 100vw, 1887px\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">California Health Care Foundation/Ipsos survey of California residents age 18+. \u003ccite>(Courtesy of CHCF)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>“That’s a clear message here,” said Kristof Stremikis, director of market analysis and insight at the CHCF. “The vast majority of the state is saying public health before economic health.” \u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>Poll respondents were also asked where they stood on shelter-in-place restrictions related to specific outcomes. When asked if they would like to see stricter rules if it meant fewer deaths, 85% said they would either strongly or somewhat support such measures.\u003c/p>\n\u003cp>“Californians are highly motivated, or highly supportive of stricter measures if they’re going to specifically prevent deaths,” Stremikis said.\u003c/p>\n\u003cp>But the survey also found stark demographic differences in who was most likely to support those more stringent measures that could prevent additional deaths, with strong support from 75% of Black and 65% of Latinx respondents, but only 54% support from white respondents.\u003c/p>\n\u003cfigure id=\"attachment_11836514\" class=\"wp-caption aligncenter\" style=\"max-width: 1920px\">\u003ca href=\"https://ww2.kqed.org/app/uploads/sites/10/2020/09/Screen-Shot-2020-09-03-at-10.28.52-AM.png\" rel=\"attachment wp-att-11836514\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"wp-image-11836514 size-full\" src=\"https://ww2.kqed.org/app/uploads/sites/10/2020/09/Screen-Shot-2020-09-03-at-10.28.52-AM.png\" alt=\"\" width=\"1920\" height=\"908\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2020/09/Screen-Shot-2020-09-03-at-10.28.52-AM.png 1920w, https://cdn.kqed.org/wp-content/uploads/sites/10/2020/09/Screen-Shot-2020-09-03-at-10.28.52-AM-800x378.png 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2020/09/Screen-Shot-2020-09-03-at-10.28.52-AM-1020x482.png 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2020/09/Screen-Shot-2020-09-03-at-10.28.52-AM-160x76.png 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2020/09/Screen-Shot-2020-09-03-at-10.28.52-AM-1536x726.png 1536w\" sizes=\"(max-width: 1920px) 100vw, 1920px\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">California Health Care Foundation/Ipsos survey of California residents age 18+. \u003ccite>(Courtesy of CHCF)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>Stremikis said that difference may well reflect higher rates of infection and death in Black and Latinx communities.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>“This (pandemic) is particularly tragic for people with low incomes, as well as Black and Latino Californians,” he said.\u003c/p>\n\n\u003c/div>\u003c/p>",
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"content": "\u003cp>Some Bay Area property and development firms with billions of dollars in assets \u003ca href=\"https://www.kqed.org/news/11831660/ppp-payroll-protection-loans-landlords-mosser-maximus-emerald-fund\">received federal pandemic assistance loans\u003c/a> aimed to help small businesses.\u003c/p>\n\u003cp>While there is nothing wrong with getting a Paycheck Protection Program (PPP) loan, it doesn’t seem to pass the smell test if the recipient is sitting on billions of dollars while taking millions in pandemic assistance.\u003c/p>\n\u003cp>If you’re dealing in numbers that begin with a “b,” should you really be considered “small?”\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>\u003c/p>\n",
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"slug": "a-lot-of-trust-was-lost-what-losing-its-only-hospital-meant-to-an-east-bay-community",
"title": "'A Lot of Trust Was Lost': What Losing its Only Hospital Meant to an East Bay Community",
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"content": "\u003cp>\u003cem>\u003ca href=\"https://www.kqed.org/trulyca/3185/bay-area-hospital-closure-impacted-explored-in-documentary-the-desert\" target=\"_blank\" rel=\"noopener noreferrer\">“The Desert”\u003c/a>, a documentary film recently released as part of \u003ca href=\"https://www.kqed.org/trulyca\" target=\"_blank\" rel=\"noopener noreferrer\">KQED’s Truly CA\u003c/a> series, looks at the ripple effects in a community after a hospital closes. Doctors Medical Center operated for 60 years, serving western Contra Costa County from its location in San Pablo, north of Richmond in the East Bay.\u003c/em>\u003c/p>\n\u003cp>\u003cem>When it \u003ca href=\"https://www.kqed.org/stateofhealth/24993/san-pablos-doctors-medical-center-to-close-tuesday\">closed in 2015\u003c/a>, after failing to bridge a stubborn $18-20 million annual deficit, it left nearly 250,000 mostly low-income residents more than a half-hour drive away from the closest hospital.\u003c/em>\u003c/p>\n\u003cp>\u003cem>\u003ca href=\"#film\">The film\u003c/a> was produced and directed by Bo Kovitz, who spoke with The California Report Magazine. Interview excerpts have been edited for length and clarity.\u003c/em>\u003c/p>\n\u003cfigure id=\"attachment_11830990\" class=\"wp-caption alignright\" style=\"max-width: 800px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-medium wp-image-11830990\" src=\"https://ww2.kqed.org/app/uploads/sites/10/2020/07/RS44121_Kovitz_Headshot-qut-800x533.jpg\" alt=\"\" width=\"800\" height=\"533\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2020/07/RS44121_Kovitz_Headshot-qut-800x533.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2020/07/RS44121_Kovitz_Headshot-qut-1020x680.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2020/07/RS44121_Kovitz_Headshot-qut-160x107.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2020/07/RS44121_Kovitz_Headshot-qut-1536x1024.jpg 1536w, https://cdn.kqed.org/wp-content/uploads/sites/10/2020/07/RS44121_Kovitz_Headshot-qut.jpg 1920w\" sizes=\"(max-width: 800px) 100vw, 800px\">\u003cfigcaption class=\"wp-caption-text\">Bo Kovitz produced and directed ‘The Desert’ as her thesis film while at UC Berkeley’s Graduate School of Journalism. \u003ccite>(Courtesy of Bo Kovitz)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003ch3>\u003cstrong>On what inspired her to make the film\u003c/strong>\u003c/h3>\n\u003cp>I had gone to a public forum about the planned closure of Alta Bates Summit Medical Center in South Berkeley. And there was a lot of discussion at the time about how we would lose another emergency room on a critical corridor of the Bay Area. There was reference to a hospital that had already closed in Richmond. It was sort of glossed over. It really piqued my interest.\u003c/p>\n\u003cp>We really take for granted this idea that we all have a hospital in our neighborhood. I thought, what does it look like to live in a community where there isn’t a hospital? I approached this wanting to hear from the doctors, the frontline workers, the patients, about what the tragedy was. They were never quite heard. And I wanted them to drive this story. I wanted them to be the storytellers.\u003c/p>\n\u003cp>I felt that the reporting and the knowledge around the closure of Doctors Medical Center was never really in the hands of the people who were living and breathing the impacts of what happened.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003ch3>\u003cstrong>On following patients who must plan a whole day around a hospital visit\u003c/strong>\u003c/h3>\n\u003cp>I think there’s been a lot of focus about the loss of (Doctors Medical Center) through the prism of emergency services and not having an emergency room in West Contra Costa County. But there’s another enormous deficit, which is specialty care.\u003c/p>\n\u003cp>There was a cancer center at Doctors Medical Center. Epigmenio Mayo and Angelica Lopez are a couple, both battling cancer. At the time the film was shot, they regularly made a trip where they would take three different buses to get to the county hospital in Martinez, where both of them were receiving cancer treatment. For them, this trip is an absolute necessity, but it’s something that they have to plan their entire day around. They are winded by the time they even show up to their appointments.\u003c/p>\n\u003cp>By the end of the film, the sun is already set. It’s a full day trip. They’ve talked a lot about how there’s no other option. As they say in the film, they prepare their minds and bodies for the trip because they know they have to take it. This is how they survive.\u003c/p>\n\u003cfigure id=\"attachment_11830987\" class=\"wp-caption aligncenter\" style=\"max-width: 800px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"wp-image-11830987 size-medium\" src=\"https://ww2.kqed.org/app/uploads/sites/10/2020/07/RS44118_desert_03-qut-800x800.jpg\" alt=\"\" width=\"800\" height=\"800\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2020/07/RS44118_desert_03-qut-800x800.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2020/07/RS44118_desert_03-qut-1020x1020.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2020/07/RS44118_desert_03-qut-160x160.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2020/07/RS44118_desert_03-qut-912x912.jpg 912w, https://cdn.kqed.org/wp-content/uploads/sites/10/2020/07/RS44118_desert_03-qut-550x550.jpg 550w, https://cdn.kqed.org/wp-content/uploads/sites/10/2020/07/RS44118_desert_03-qut-470x470.jpg 470w, https://cdn.kqed.org/wp-content/uploads/sites/10/2020/07/RS44118_desert_03-qut.jpg 1080w\" sizes=\"(max-width: 800px) 100vw, 800px\">\u003cfigcaption class=\"wp-caption-text\">Epigmenio Mayo and Angelica Lopez ride three buses to get to the hospital for their cancer treatment. \u003ccite>(Bo Kovitz)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003ch3>\u003cstrong>On the urgent care clinic now across the street from the former Doctors Medical Center site\u003c/strong>\u003c/h3>\n\u003cp>They’re serving the same population with just a quarter of the staff.\u003c/p>\n\u003cp>People like Millie Callen worked at Doctors Medical Center for more than a decade. She was one of the coordinators in the E.R., which is one of the most important roles. She’s making sure that everything’s moving smoothly, bringing people in, bouncing them to their doctors, making sure their insurance is covered.\u003c/p>\n\u003cp>Even before the hospital closed, Millie was caring for her own loved ones and understood the before and after of what it’s like to lose a hospital. Her mother has a heart condition. The urgent care where Millie now works is much busier with the spike of COVID-19 cases.\u003c/p>\n\u003cfigure id=\"attachment_11831438\" class=\"wp-caption aligncenter\" style=\"max-width: 800px\">\u003ca href=\"https://ww2.kqed.org/app/uploads/sites/10/2020/07/desert_still_06-copy.jpg\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-medium wp-image-11831438\" src=\"https://ww2.kqed.org/app/uploads/sites/10/2020/07/desert_still_06-copy-800x450.jpg\" alt=\"\" width=\"800\" height=\"450\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2020/07/desert_still_06-copy-800x450.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2020/07/desert_still_06-copy-1020x574.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2020/07/desert_still_06-copy-160x90.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2020/07/desert_still_06-copy-1536x864.jpg 1536w, https://cdn.kqed.org/wp-content/uploads/sites/10/2020/07/desert_still_06-copy.jpg 1920w\" sizes=\"(max-width: 800px) 100vw, 800px\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">Millie Callen worked at Doctors Medical Center, and now works at the urgent care clinic across the street from the former hospital site. \u003ccite>(Courtesy of Bo Kovits)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>For a while, they were one of the few locations that were doing COVID-19 testing. Not only are they answering a lot of patients needing primary care, but they are also dealing with an additional load of patients who were experiencing or showing symptoms of COVID-19. And then there’s that added stress of how do we sequester that person away from the rest of our patients? They had set up a tent in the back parking lot and they were running back and forth.\u003c/p>\n\u003ch3>\u003cstrong>On the firefighters and paramedics she follows in the film\u003c/strong>\u003c/h3>\n\u003cp>There isn’t a Richmond paramedic company. There’s no West Contra Costa County paramedic company. So the firefighters take on the role of being the first to arrive on scene. Firefighters can get on scene, but they’re limited in what they can do because in certain advanced or complicated cases, the ambulance and the paramedics are the ones who need to show up and then transport the person and have specialty training.\u003c/p>\n\u003cp>There are times of the day where highways are really, really congested. Wait times for the paramedics to show up can be up to 30 minutes depending on the day. And then those paramedics are often forced to transport patients outside the city or county for care.\u003c/p>\n\u003cfigure id=\"attachment_11831441\" class=\"wp-caption alignnone\" style=\"max-width: 800px\">\u003ca href=\"https://ww2.kqed.org/app/uploads/sites/10/2020/07/desert_04-wide.jpg\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-medium wp-image-11831441\" src=\"https://ww2.kqed.org/app/uploads/sites/10/2020/07/desert_04-wide-800x419.jpg\" alt=\"\" width=\"800\" height=\"419\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2020/07/desert_04-wide-800x419.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2020/07/desert_04-wide-1020x534.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2020/07/desert_04-wide-160x84.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2020/07/desert_04-wide-1536x804.jpg 1536w, https://cdn.kqed.org/wp-content/uploads/sites/10/2020/07/desert_04-wide.jpg 1920w\" sizes=\"(max-width: 800px) 100vw, 800px\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">Trevor Rogers and his fellow firefighters often care for critically ill patients — many of their calls are for health care emergencies, not fires.\u003c/figcaption>\u003c/figure>\n\u003cp>One of the paramedics that I had the opportunity to film with is Aimee Skaggs, and she has been in the community for years. She was around when Doctors Medical Center was there and brought a lot of patients there.\u003c/p>\n\u003cp>Aimee describes something that I think is unique to low income communities where 911 calls are really treated as primary care. Emergency responders are the ones who essentially are doing triage on the spot. They are having to navigate so many different layers of what it means to make the best decision for a patient.\u003c/p>\n\u003cp>It’s more than just ‘what’s the closest hospital?’ It’s ‘what makes the most financial sense? Where is going to be the closest place that the family can come without it being a hassle?’ And in cases where the issue is something really time-sensitive, paramedics like Aimee have to bring in another dimension to the decision making: how to get them somewhere fast when highways are clogged.\u003c/p>\n\u003cp>Some hospitals may not take them. Where do they go that is not going to also leave the patient riddled with hospital bills in the aftermath? [pullquote size=\"medium\" align=\"right\" citation=\"— Trevor Rogers, firefighter medic\"]‘If we happen to have three calls and there are three critical patients that need critical care, now you have three ambulances that are outside of our city… And that essentially depletes the city of our resources.’[/pullquote]\u003c/p>\n\u003ch3>\u003cstrong>On how hospital closures are playing out throughout the state\u003c/strong>\u003c/h3>\n\u003cp>There are more hospital closures that are happening in California. They’re mostly in rural communities.\u003c/p>\n\u003cp>I think the closure of Doctors Medical Center represents an accelerating trend in urban communities. Regions that are concentrated areas for Medi-Cal, Medicare or uninsured patients are losing hospitals because hospitals and ERs are trying to consolidate in urban centers where there are more privately insured patients.\u003c/p>\n\u003ch3>\u003cstrong>On the burden of shouldering COVID-19 patients now that the hospital has closed\u003c/strong>\u003c/h3>\n\u003cp>Right now, Bay Area hospitals haven’t been overwhelmed so far with COVID-19 cases — which is lucky. But if things were to get really over the top, I think people will wish Doctors Medical Center was there. There’s definitely concern about capacity. There’s also a concern that many people — especially those with chronic illnesses like diabetes, hypertension or asthma — may not be getting seen for illnesses that need to be managed right now.\u003c/p>\n\u003cp>We may never know how many people are in West Contra Costa County who may have died, who did not seek emergency care or did not seek health care, because they were afraid of being exposed to COVID-19.\u003c/p>\n\u003cp>When Doctors Medical Center closed, a lot of trust was lost among the community. A community that has historically been marginalized from the health care system now feels further marginalized because they lost a resource. They lost an institution that represented a lot of trust in the system.\u003c/p>\n\u003cp>I spoke about this with the ambulatory director at the county hospital in Martinez, Dr. Gabriela Sullivan. She says that health care is often left with the job of trying to plug all these holes that are in the social fabric of our country. And that if we are trying to leave social issues on the doorstep of health care, that’s a recipe for failure. A lot of people in the years leading up to the hospital closure said it will take a public health crisis of extreme proportions to reveal how essential Doctors Medical Center and other safety net hospitals are.\u003c/p>\n\u003cp>I think with this pandemic, it’s not just that Black and brown communities are dying and are more impacted. There’s also going to be a downstream increase of morbidity and mortality for years to come. There is a real worry that they’re holding back the dams right now in terms of acute care. The realities of the disparity are going to last far beyond this pandemic.\u003c/p>\n\u003cp>\u003cem>\u003ca id=\"film\">\u003c/a>Watch the full documentary here:\u003c/em>\u003c/p>\n\u003cp>https://www.youtube.com/watch?v=1bjKcfSmVxU\u003c/p>\n\u003cp>[ad floatright]\u003c/p>\n",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>\u003cem>\u003ca href=\"https://www.kqed.org/trulyca/3185/bay-area-hospital-closure-impacted-explored-in-documentary-the-desert\" target=\"_blank\" rel=\"noopener noreferrer\">“The Desert”\u003c/a>, a documentary film recently released as part of \u003ca href=\"https://www.kqed.org/trulyca\" target=\"_blank\" rel=\"noopener noreferrer\">KQED’s Truly CA\u003c/a> series, looks at the ripple effects in a community after a hospital closes. Doctors Medical Center operated for 60 years, serving western Contra Costa County from its location in San Pablo, north of Richmond in the East Bay.\u003c/em>\u003c/p>\n\u003cp>\u003cem>When it \u003ca href=\"https://www.kqed.org/stateofhealth/24993/san-pablos-doctors-medical-center-to-close-tuesday\">closed in 2015\u003c/a>, after failing to bridge a stubborn $18-20 million annual deficit, it left nearly 250,000 mostly low-income residents more than a half-hour drive away from the closest hospital.\u003c/em>\u003c/p>\n\u003cp>\u003cem>\u003ca href=\"#film\">The film\u003c/a> was produced and directed by Bo Kovitz, who spoke with The California Report Magazine. Interview excerpts have been edited for length and clarity.\u003c/em>\u003c/p>\n\u003cfigure id=\"attachment_11830990\" class=\"wp-caption alignright\" style=\"max-width: 800px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-medium wp-image-11830990\" src=\"https://ww2.kqed.org/app/uploads/sites/10/2020/07/RS44121_Kovitz_Headshot-qut-800x533.jpg\" alt=\"\" width=\"800\" height=\"533\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2020/07/RS44121_Kovitz_Headshot-qut-800x533.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2020/07/RS44121_Kovitz_Headshot-qut-1020x680.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2020/07/RS44121_Kovitz_Headshot-qut-160x107.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2020/07/RS44121_Kovitz_Headshot-qut-1536x1024.jpg 1536w, https://cdn.kqed.org/wp-content/uploads/sites/10/2020/07/RS44121_Kovitz_Headshot-qut.jpg 1920w\" sizes=\"(max-width: 800px) 100vw, 800px\">\u003cfigcaption class=\"wp-caption-text\">Bo Kovitz produced and directed ‘The Desert’ as her thesis film while at UC Berkeley’s Graduate School of Journalism. \u003ccite>(Courtesy of Bo Kovitz)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003ch3>\u003cstrong>On what inspired her to make the film\u003c/strong>\u003c/h3>\n\u003cp>I had gone to a public forum about the planned closure of Alta Bates Summit Medical Center in South Berkeley. And there was a lot of discussion at the time about how we would lose another emergency room on a critical corridor of the Bay Area. There was reference to a hospital that had already closed in Richmond. It was sort of glossed over. It really piqued my interest.\u003c/p>\n\u003cp>We really take for granted this idea that we all have a hospital in our neighborhood. I thought, what does it look like to live in a community where there isn’t a hospital? I approached this wanting to hear from the doctors, the frontline workers, the patients, about what the tragedy was. They were never quite heard. And I wanted them to drive this story. I wanted them to be the storytellers.\u003c/p>\n\u003cp>I felt that the reporting and the knowledge around the closure of Doctors Medical Center was never really in the hands of the people who were living and breathing the impacts of what happened.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003ch3>\u003cstrong>On following patients who must plan a whole day around a hospital visit\u003c/strong>\u003c/h3>\n\u003cp>I think there’s been a lot of focus about the loss of (Doctors Medical Center) through the prism of emergency services and not having an emergency room in West Contra Costa County. But there’s another enormous deficit, which is specialty care.\u003c/p>\n\u003cp>There was a cancer center at Doctors Medical Center. Epigmenio Mayo and Angelica Lopez are a couple, both battling cancer. At the time the film was shot, they regularly made a trip where they would take three different buses to get to the county hospital in Martinez, where both of them were receiving cancer treatment. For them, this trip is an absolute necessity, but it’s something that they have to plan their entire day around. They are winded by the time they even show up to their appointments.\u003c/p>\n\u003cp>By the end of the film, the sun is already set. It’s a full day trip. They’ve talked a lot about how there’s no other option. As they say in the film, they prepare their minds and bodies for the trip because they know they have to take it. This is how they survive.\u003c/p>\n\u003cfigure id=\"attachment_11830987\" class=\"wp-caption aligncenter\" style=\"max-width: 800px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"wp-image-11830987 size-medium\" src=\"https://ww2.kqed.org/app/uploads/sites/10/2020/07/RS44118_desert_03-qut-800x800.jpg\" alt=\"\" width=\"800\" height=\"800\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2020/07/RS44118_desert_03-qut-800x800.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2020/07/RS44118_desert_03-qut-1020x1020.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2020/07/RS44118_desert_03-qut-160x160.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2020/07/RS44118_desert_03-qut-912x912.jpg 912w, https://cdn.kqed.org/wp-content/uploads/sites/10/2020/07/RS44118_desert_03-qut-550x550.jpg 550w, https://cdn.kqed.org/wp-content/uploads/sites/10/2020/07/RS44118_desert_03-qut-470x470.jpg 470w, https://cdn.kqed.org/wp-content/uploads/sites/10/2020/07/RS44118_desert_03-qut.jpg 1080w\" sizes=\"(max-width: 800px) 100vw, 800px\">\u003cfigcaption class=\"wp-caption-text\">Epigmenio Mayo and Angelica Lopez ride three buses to get to the hospital for their cancer treatment. \u003ccite>(Bo Kovitz)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003ch3>\u003cstrong>On the urgent care clinic now across the street from the former Doctors Medical Center site\u003c/strong>\u003c/h3>\n\u003cp>They’re serving the same population with just a quarter of the staff.\u003c/p>\n\u003cp>People like Millie Callen worked at Doctors Medical Center for more than a decade. She was one of the coordinators in the E.R., which is one of the most important roles. She’s making sure that everything’s moving smoothly, bringing people in, bouncing them to their doctors, making sure their insurance is covered.\u003c/p>\n\u003cp>Even before the hospital closed, Millie was caring for her own loved ones and understood the before and after of what it’s like to lose a hospital. Her mother has a heart condition. The urgent care where Millie now works is much busier with the spike of COVID-19 cases.\u003c/p>\n\u003cfigure id=\"attachment_11831438\" class=\"wp-caption aligncenter\" style=\"max-width: 800px\">\u003ca href=\"https://ww2.kqed.org/app/uploads/sites/10/2020/07/desert_still_06-copy.jpg\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-medium wp-image-11831438\" src=\"https://ww2.kqed.org/app/uploads/sites/10/2020/07/desert_still_06-copy-800x450.jpg\" alt=\"\" width=\"800\" height=\"450\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2020/07/desert_still_06-copy-800x450.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2020/07/desert_still_06-copy-1020x574.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2020/07/desert_still_06-copy-160x90.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2020/07/desert_still_06-copy-1536x864.jpg 1536w, https://cdn.kqed.org/wp-content/uploads/sites/10/2020/07/desert_still_06-copy.jpg 1920w\" sizes=\"(max-width: 800px) 100vw, 800px\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">Millie Callen worked at Doctors Medical Center, and now works at the urgent care clinic across the street from the former hospital site. \u003ccite>(Courtesy of Bo Kovits)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>For a while, they were one of the few locations that were doing COVID-19 testing. Not only are they answering a lot of patients needing primary care, but they are also dealing with an additional load of patients who were experiencing or showing symptoms of COVID-19. And then there’s that added stress of how do we sequester that person away from the rest of our patients? They had set up a tent in the back parking lot and they were running back and forth.\u003c/p>\n\u003ch3>\u003cstrong>On the firefighters and paramedics she follows in the film\u003c/strong>\u003c/h3>\n\u003cp>There isn’t a Richmond paramedic company. There’s no West Contra Costa County paramedic company. So the firefighters take on the role of being the first to arrive on scene. Firefighters can get on scene, but they’re limited in what they can do because in certain advanced or complicated cases, the ambulance and the paramedics are the ones who need to show up and then transport the person and have specialty training.\u003c/p>\n\u003cp>There are times of the day where highways are really, really congested. Wait times for the paramedics to show up can be up to 30 minutes depending on the day. And then those paramedics are often forced to transport patients outside the city or county for care.\u003c/p>\n\u003cfigure id=\"attachment_11831441\" class=\"wp-caption alignnone\" style=\"max-width: 800px\">\u003ca href=\"https://ww2.kqed.org/app/uploads/sites/10/2020/07/desert_04-wide.jpg\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-medium wp-image-11831441\" src=\"https://ww2.kqed.org/app/uploads/sites/10/2020/07/desert_04-wide-800x419.jpg\" alt=\"\" width=\"800\" height=\"419\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2020/07/desert_04-wide-800x419.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2020/07/desert_04-wide-1020x534.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2020/07/desert_04-wide-160x84.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2020/07/desert_04-wide-1536x804.jpg 1536w, https://cdn.kqed.org/wp-content/uploads/sites/10/2020/07/desert_04-wide.jpg 1920w\" sizes=\"(max-width: 800px) 100vw, 800px\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">Trevor Rogers and his fellow firefighters often care for critically ill patients — many of their calls are for health care emergencies, not fires.\u003c/figcaption>\u003c/figure>\n\u003cp>One of the paramedics that I had the opportunity to film with is Aimee Skaggs, and she has been in the community for years. She was around when Doctors Medical Center was there and brought a lot of patients there.\u003c/p>\n\u003cp>Aimee describes something that I think is unique to low income communities where 911 calls are really treated as primary care. Emergency responders are the ones who essentially are doing triage on the spot. They are having to navigate so many different layers of what it means to make the best decision for a patient.\u003c/p>\n\u003cp>It’s more than just ‘what’s the closest hospital?’ It’s ‘what makes the most financial sense? Where is going to be the closest place that the family can come without it being a hassle?’ And in cases where the issue is something really time-sensitive, paramedics like Aimee have to bring in another dimension to the decision making: how to get them somewhere fast when highways are clogged.\u003c/p>\n\u003cp>Some hospitals may not take them. Where do they go that is not going to also leave the patient riddled with hospital bills in the aftermath? \u003c/p>\u003c/div>",
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"content": "‘If we happen to have three calls and there are three critical patients that need critical care, now you have three ambulances that are outside of our city… And that essentially depletes the city of our resources.’",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003ch3>\u003cstrong>On how hospital closures are playing out throughout the state\u003c/strong>\u003c/h3>\n\u003cp>There are more hospital closures that are happening in California. They’re mostly in rural communities.\u003c/p>\n\u003cp>I think the closure of Doctors Medical Center represents an accelerating trend in urban communities. Regions that are concentrated areas for Medi-Cal, Medicare or uninsured patients are losing hospitals because hospitals and ERs are trying to consolidate in urban centers where there are more privately insured patients.\u003c/p>\n\u003ch3>\u003cstrong>On the burden of shouldering COVID-19 patients now that the hospital has closed\u003c/strong>\u003c/h3>\n\u003cp>Right now, Bay Area hospitals haven’t been overwhelmed so far with COVID-19 cases — which is lucky. But if things were to get really over the top, I think people will wish Doctors Medical Center was there. There’s definitely concern about capacity. There’s also a concern that many people — especially those with chronic illnesses like diabetes, hypertension or asthma — may not be getting seen for illnesses that need to be managed right now.\u003c/p>\n\u003cp>We may never know how many people are in West Contra Costa County who may have died, who did not seek emergency care or did not seek health care, because they were afraid of being exposed to COVID-19.\u003c/p>\n\u003cp>When Doctors Medical Center closed, a lot of trust was lost among the community. A community that has historically been marginalized from the health care system now feels further marginalized because they lost a resource. They lost an institution that represented a lot of trust in the system.\u003c/p>\n\u003cp>I spoke about this with the ambulatory director at the county hospital in Martinez, Dr. Gabriela Sullivan. She says that health care is often left with the job of trying to plug all these holes that are in the social fabric of our country. And that if we are trying to leave social issues on the doorstep of health care, that’s a recipe for failure. A lot of people in the years leading up to the hospital closure said it will take a public health crisis of extreme proportions to reveal how essential Doctors Medical Center and other safety net hospitals are.\u003c/p>\n\u003cp>I think with this pandemic, it’s not just that Black and brown communities are dying and are more impacted. There’s also going to be a downstream increase of morbidity and mortality for years to come. There is a real worry that they’re holding back the dams right now in terms of acute care. The realities of the disparity are going to last far beyond this pandemic.\u003c/p>\n\u003cp>\u003cem>\u003ca id=\"film\">\u003c/a>Watch the full documentary here:\u003c/em>\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/1bjKcfSmVxU'\n title='//www.youtube.com/embed/1bjKcfSmVxU'\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": "vegan-food-is-big-in-s-f-but-will-the-scene-survive-covid-19",
"title": "Vegan Food Is Big In SF — But Will the Scene Survive COVID-19?",
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"headTitle": "Vegan Food Is Big In SF — But Will the Scene Survive COVID-19? | KQED",
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"content": "\u003cp>Eating a vegan diet used to be the opposite of cool, and vegans were often the butt of jokes. The classic line from the November 2000 episode of “The Simpsons” — “I’m a Level Five Vegan. I won’t eat anything that casts a shadow” — pretty much captures widely held beliefs about the misplaced militancy of the meat-and-dairy-eschewing crowd.\u003c/p>\n\u003cp>\u003ciframe loading=\"lazy\" title=\"Level 5 Vegan (Lisa the tree hugger)\" width=\"640\" height=\"480\" src=\"https://www.youtube.com/embed/RtuMIaOGRy8?feature=oembed\" frameborder=\"0\" allow=\"accelerometer; autoplay; clipboard-write; encrypted-media; gyroscope; picture-in-picture; web-share\" referrerpolicy=\"strict-origin-when-cross-origin\" allowfullscreen>\u003c/iframe>\u003c/p>\n\u003cp>But over the past few years, veganism has gone mainstream. Celebrities like Beyoncé and former President Bill Clinton have talked publicly about the benefits of eating a meat- and dairy-free diet.\u003c/p>\n\u003cp>“I live on beans, legumes, vegetables, fruit,” Clinton said in an interview on CNN. “And it changed my whole metabolism.”\u003c/p>\n\u003cp>\u003ciframe loading=\"lazy\" title=\"bill clinton on eating a plant based, whole foods diet\" width=\"640\" height=\"360\" src=\"https://www.youtube.com/embed/sNh1ICGNpbA?feature=oembed\" frameborder=\"0\" allow=\"accelerometer; autoplay; clipboard-write; encrypted-media; gyroscope; picture-in-picture; web-share\" referrerpolicy=\"strict-origin-when-cross-origin\" allowfullscreen>\u003c/iframe>\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>In the Bay Area, vegan eating habits have been popular for a long time. There are vegan caterers who will feed your wedding guests and vegan chefs who will deliver meals right to your door. Companies like \u003ca href=\"https://buy.impossiblefoods.com/\" target=\"_blank\" rel=\"noopener noreferrer\">Impossible Foods\u003c/a> and \u003ca href=\"https://www.memphismeats.com/\" target=\"_blank\" rel=\"noopener noreferrer\">Memphis Meats\u003c/a> — both big names in the meatless protein business — are headquartered here. And just last year, San Francisco came out as the nation’s most vegan-friendly city, \u003ca href=\"https://sanfrancisco.cbslocal.com/2019/11/15/peta-san-francisco-most-vegan-friendly-city/\" target=\"_blank\" rel=\"noopener noreferrer\">according to People for the Ethical Treatment of Animals, or PETA\u003c/a>.\u003c/p>\n\u003cp>But lately, as you can imagine, things have been pretty challenging for the Bay Area’s vegan businesses.\u003c/p>\n\u003cp>“Before coronavirus happened, business was fantastic. And that has obviously changed very significantly,” said Christina Stobing, co-owner of the Berkeley vegan deli \u003ca href=\"https://www.thebutchersveganson.com/\" target=\"_blank\" rel=\"noopener noreferrer\">The Butcher’s Son\u003c/a>.\u003c/p>\n\u003cp>[baycuriouspodcastinfo]\u003c/p>\n\u003cp>“Right now, I’m just trying to hang in there,” said Samuel Wong, the owner of \u003ca href=\"https://www.yelp.com/biz/layonna-vegetarian-health-food-market-oakland\" target=\"_blank\" rel=\"noopener noreferrer\">Layonna Vegetarian Health Food Market, \u003c/a> a vegan market in downtown Oakland.\u003c/p>\n\u003cp>“These times are about surviving,” said Alejandro Morgan, head of culinary of the Bay Area restaurant group \u003ca href=\"https://backofthehouseinc.com/\" target=\"_blank\" rel=\"noopener noreferrer\">Back of the House\u003c/a>, which owns the plant-based eatery \u003ca href=\"https://www.wildseedsf.com/\" target=\"_blank\" rel=\"noopener noreferrer\">Wildseed\u003c/a> in San Francisco’s Cow Hollow neighborhood. “These times are about being able to keep as many people you can employed, and pay the bills.”\u003c/p>\n\u003cp>KQED listener Mishi Ramos’ question, “What is the vegan food scene in the Bay Area like today?” came across the Bay Curious desk not long before the pandemic hit. Since then, the story of how vegan food businesses are faring today has become one that’s very much aligned with the fate of \u003cem>most\u003c/em> small, local restaurants during COVID-19 times. So, while we tackled the question by focusing on Bay Area vegan businesses, the answer applies more broadly.\u003c/p>\n\u003cp>\u003cstrong>The Growth of Vegan Culture\u003c/strong>\u003c/p>\n\u003cp>Though vegans only make up about 5-6% of the U.S. population, their numbers are growing, and more and more omnivores are starting to take an interest in vegan foods.\u003c/p>\n\u003cp>One reason for the trend is the perception that eating a plant-based diet is healthy. People claim cutting out meat and dairy cleared their skin, upped their energy levels and helped them lose weight.\u003c/p>\n\u003cp>Then there’s growing public awareness around the meat industry’s treatment of animals and its environmental footprint. A \u003ca href=\"https://josephpoore.com/Science%20360%206392%20987%20-%20Accepted%20Manuscript.pdf\" target=\"_blank\" rel=\"noopener noreferrer\">recent analysis from the journal Science\u003c/a> shows 60% of agriculture’s greenhouse gas emissions comes from meat and dairy production.\u003c/p>\n\u003cp>\u003ciframe loading=\"lazy\" title=\"Inside Meat Processing Plant Linked To Nearly 900 Coronavirus Cases | NBC Nightly News\" width=\"640\" height=\"360\" src=\"https://www.youtube.com/embed/cZOT9YOtl0U?feature=oembed\" frameborder=\"0\" allow=\"accelerometer; autoplay; clipboard-write; encrypted-media; gyroscope; picture-in-picture; web-share\" referrerpolicy=\"strict-origin-when-cross-origin\" allowfullscreen>\u003c/iframe>\u003c/p>\n\u003cp>Also, recent news headlines about the heavy impact of COVID-19 on the meat production industry have made more \u003ca href=\"https://www.npr.org/local/305/2020/05/04/850066429/the-pandemic-has-people-rethinking-their-relationship-with-food-especially-meat\">people question how much meat they should have in their diet\u003c/a> — even though meat scandals in the past haven’t had long-term sticking power, and the overwhelming majority of Americans will continue to eat meat.\u003c/p>\n\u003cp>It also helps the plant-based cause that vegan foods have become ubiquitous at grocery stores, restaurants and cafes, especially in the Bay Area, and that the region is well-known for its year-round abundance of produce.\u003c/p>\n\u003cp>Finally, non-vegans in particular are gravitating towards the new, high-tech wave of meatless proteins, from companies like Impossible Foods and \u003ca href=\"https://www.beyondmeat.com/\" target=\"_blank\" rel=\"noopener noreferrer\">Beyond Meat\u003c/a>.\u003c/p>\n\u003cp>\u003ca href=\"https://www.fooddive.com/news/study-consumers-try-plant-based-meat-because-theyre-curious/571615/\" target=\"_blank\" rel=\"noopener noreferrer\">A recent study from the food industry publication Food Dive\u003c/a> shows the number one factor driving non-vegans to eat products like meatless burgers is that they’re starting to taste more like meat. (Traditional veggie patties, which many vegans still prefer, taste more like nuts, grains and seeds.)\u003c/p>\n\u003cp>\u003cstrong>Vegan Food Businesses Struggle in the Pandemic\u003c/strong>\u003c/p>\n\u003cp>The growing popularity of meatless proteins is what’s driving business at many of the newer vegan eateries in the Bay Area, like \u003ca href=\"https://www.thebutchersveganson.com/\" target=\"_blank\" rel=\"noopener noreferrer\">The Butcher’s Son\u003c/a> in downtown Berkeley.\u003c/p>\n\u003cfigure id=\"attachment_11829827\" class=\"wp-caption aligncenter\" style=\"max-width: 640px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"wp-image-11829827 size-large\" src=\"https://ww2.kqed.org/app/uploads/sites/10/2020/07/chicken-and-bacon-sandwich-1020x765.jpg\" alt=\"\" width=\"640\" height=\"480\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2020/07/chicken-and-bacon-sandwich-1020x765.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2020/07/chicken-and-bacon-sandwich-800x600.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2020/07/chicken-and-bacon-sandwich-160x120.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2020/07/chicken-and-bacon-sandwich-1536x1152.jpg 1536w, https://cdn.kqed.org/wp-content/uploads/sites/10/2020/07/chicken-and-bacon-sandwich-1832x1374.jpg 1832w, https://cdn.kqed.org/wp-content/uploads/sites/10/2020/07/chicken-and-bacon-sandwich-1376x1032.jpg 1376w, https://cdn.kqed.org/wp-content/uploads/sites/10/2020/07/chicken-and-bacon-sandwich-1044x783.jpg 1044w, https://cdn.kqed.org/wp-content/uploads/sites/10/2020/07/chicken-and-bacon-sandwich-632x474.jpg 632w, https://cdn.kqed.org/wp-content/uploads/sites/10/2020/07/chicken-and-bacon-sandwich-536x402.jpg 536w, https://cdn.kqed.org/wp-content/uploads/sites/10/2020/07/chicken-and-bacon-sandwich.jpg 1920w\" sizes=\"(max-width: 640px) 100vw, 640px\">\u003cfigcaption class=\"wp-caption-text\">The Butcher’s Son’s take on a chicken and bacon sandwich — without meat. \u003ccite>(Chloe Veltman/KQED)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>The restaurant opened early in 2016, and co-owner Christina Stobing said it was an immediate hit with vegans and non-vegans alike.\u003c/p>\n\u003cp>“Going vegan, there’s not a lot of options,” Stobing said, who’s also vegan. “Like, you can’t just go and get a Philly cheesesteak sandwich or a Reuben. We wanted to provide all those things that we were missing in a restaurant.”\u003c/p>\n\u003cp>Stobing said business was going so well, and they were planning to expand. But when the coronavirus pandemic hit, they were forced to shrink. The restaurant let go of roughly two-thirds of its employees. A small business loan from the federal government has helped tide them over.\u003c/p>\n\u003cp>“We’ve had to to step back and say, ‘OK, can we stay open this week? Can we stay open next week?’ ” Stobing said. “Because things are changing.”\u003c/p>\n\u003cp>It’s not just popular vegan restaurants that now find themselves facing an unpredictable future. Vegan grocery stores are also having a hard time.\u003c/p>\n\u003cp>\u003ca href=\"https://www.yelp.com/biz/layonna-vegetarian-health-food-market-oakland\" target=\"_blank\" rel=\"noopener noreferrer\">Layonna\u003c/a> Vegetarian Health Food Market in Oakland’s Chinatown has been around since the 1990s. The store’s owner, Samuel Wong, said the market has a loyal following. He counts meat-abstaining members of the nearby Buddhist temple among his customers, as well as people who drive in from places like Santa Rosa.\u003c/p>\n\u003cfigure id=\"attachment_11829830\" class=\"wp-caption aligncenter\" style=\"max-width: 640px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"wp-image-11829830 size-large\" src=\"https://ww2.kqed.org/app/uploads/sites/10/2020/07/Layonna-crew-1020x765.jpg\" alt=\"\" width=\"640\" height=\"480\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2020/07/Layonna-crew-1020x765.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2020/07/Layonna-crew-800x600.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2020/07/Layonna-crew-160x120.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2020/07/Layonna-crew-1536x1152.jpg 1536w, https://cdn.kqed.org/wp-content/uploads/sites/10/2020/07/Layonna-crew-1832x1374.jpg 1832w, https://cdn.kqed.org/wp-content/uploads/sites/10/2020/07/Layonna-crew-1376x1032.jpg 1376w, https://cdn.kqed.org/wp-content/uploads/sites/10/2020/07/Layonna-crew-1044x783.jpg 1044w, https://cdn.kqed.org/wp-content/uploads/sites/10/2020/07/Layonna-crew-632x474.jpg 632w, https://cdn.kqed.org/wp-content/uploads/sites/10/2020/07/Layonna-crew-536x402.jpg 536w, https://cdn.kqed.org/wp-content/uploads/sites/10/2020/07/Layonna-crew.jpg 1920w\" sizes=\"(max-width: 640px) 100vw, 640px\">\u003cfigcaption class=\"wp-caption-text\">Original Layonna owner Layonna Wang (left), present owner Samuel Wong, and store employee Jenny Liang pose outside the front of Layonna, a vegan market in Oakland’s Chinatown neighborhood. \u003ccite>(Chloe Veltman/KQED)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>Layonna’s customers include other vegan businesses, such as restaurants. Wong said the margins are normally pretty good. But that’s changed lately.\u003c/p>\n\u003cp>“The business, it dropped a lot,” Wong said.\u003c/p>\n\u003cp>The store laid off three of its seven workers and is operating at reduced hours. Wong said he’s had to make some adjustments to survive, like delivering to restaurant clients himself, and signing up for a food delivery service to get Layonna’s products out to individual customers.\u003c/p>\n\u003cp>“A lot of people don’t want to go out,” Wong said. “So I have to sign up for this kind of service, even though they charge 30%.”\u003c/p>\n\u003cp>\u003cstrong>The Challenge of Running \u003cem>Any\u003c/em> Small Food Business Right Now\u003c/strong>\u003c/p>\n\u003cp>Even at the best of times, the restaurant industry — no matter the cuisine — is a hard game.\u003c/p>\n\u003cp>Longtime Bay Area food writer \u003ca href=\"http://www.theperfectspotsf.com/\" target=\"_blank\" rel=\"noopener noreferrer\">Virginia Miller\u003c/a> said the margins are almost always on the thin side, and that’s particularly the case for independent businesses and small local chains.\u003c/p>\n\u003cfigure id=\"attachment_11829864\" class=\"wp-caption aligncenter\" style=\"max-width: 720px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"wp-image-11829864 size-full\" src=\"https://ww2.kqed.org/app/uploads/sites/10/2020/07/Virginia-Miller.jpg\" alt=\"\" width=\"720\" height=\"480\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2020/07/Virginia-Miller.jpg 720w, https://cdn.kqed.org/wp-content/uploads/sites/10/2020/07/Virginia-Miller-160x107.jpg 160w\" sizes=\"(max-width: 720px) 100vw, 720px\">\u003cfigcaption class=\"wp-caption-text\">Bay Area food and drink journalist Virginia Miller. \u003ccite>(Daniel Stumpf)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>“If they have any profit at all, usually 10% max, is the best most restaurants do,” Miller said.\u003c/p>\n\u003cp>Between line items like rent, labor and sourcing high-quality produce, Miller said the cost of feeding people in the Bay Area is especially high. Vegan outlets are no different from other kinds of small food businesses. They’ve all been hit by the pandemic in similar ways and are all trying to figure out how to come back.\u003c/p>\n\u003cp>“I’ve heard predictions of anywhere from 30% to 80% of our restaurants will not reopen,” Miller said.\u003c/p>\n\u003cp>Laurie Thomas, the executive director of the \u003ca href=\"http://ggra.org/\" target=\"_blank\" rel=\"noopener noreferrer\">Golden Gate Restaurant Association\u003c/a>, a San Francisco restaurant industry advocacy group, said reopening a restaurant is a long and complex process. Restaurant owners have to weigh many different factors as they consider how and when to reopen — or whether it’s worth reopening at all.\u003c/p>\n\u003cp>“People think restaurants can turn on a dime,” Thomas said. “It doesn’t work that way. You’ve got to get your employees. You’ve got to pay back your vendors. You’ve got about a week to two weeks of ordering the food and getting everything going again.”\u003c/p>\n\u003cp>If they do decide to fully reopen, restaurants are having to come to grips with a bunch of unforeseen factors to do with COVID-19.\u003c/p>\n\u003cfigure id=\"attachment_11829832\" class=\"wp-caption alignright\" style=\"max-width: 800px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"wp-image-11829832 size-medium\" src=\"https://ww2.kqed.org/app/uploads/sites/10/2020/07/wildseed-window-e1595288832681-800x1067.jpg\" alt=\"\" width=\"800\" height=\"1067\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2020/07/wildseed-window-e1595288832681-800x1067.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2020/07/wildseed-window-e1595288832681-1020x1360.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2020/07/wildseed-window-e1595288832681-160x213.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2020/07/wildseed-window-e1595288832681-1152x1536.jpg 1152w, https://cdn.kqed.org/wp-content/uploads/sites/10/2020/07/wildseed-window-e1595288832681-1122x1496.jpg 1122w, https://cdn.kqed.org/wp-content/uploads/sites/10/2020/07/wildseed-window-e1595288832681-840x1120.jpg 840w, https://cdn.kqed.org/wp-content/uploads/sites/10/2020/07/wildseed-window-e1595288832681-687x916.jpg 687w, https://cdn.kqed.org/wp-content/uploads/sites/10/2020/07/wildseed-window-e1595288832681-414x552.jpg 414w, https://cdn.kqed.org/wp-content/uploads/sites/10/2020/07/wildseed-window-e1595288832681-354x472.jpg 354w, https://cdn.kqed.org/wp-content/uploads/sites/10/2020/07/wildseed-window-e1595288832681.jpg 1440w\" sizes=\"(max-width: 800px) 100vw, 800px\">\u003cfigcaption class=\"wp-caption-text\">The walk-up window at Wildseed in San Francisco’s Cow Hollow neighborhood. \u003ccite>(Chloe Veltman/KQED)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>At \u003ca href=\"https://www.wildseedsf.com/\" target=\"_blank\" rel=\"noopener noreferrer\">Wildseed\u003c/a>, an upscale, plant-based restaurant in San Francisco’s Cow Hollow neighborhood, director of culinary Alejandro Morgan said it’s been tough to entice workers back at a time when many are making more money claiming unemployment benefits than from working their old jobs. Plus, they’re staying safer.\u003c/p>\n\u003cp>“If I got my job back, then I would have to weigh things, you know, and say, ‘OK, well, do I risk getting sick and getting my family sick for a job that probably won’t pay as much as before?’ ” Morgan said.\u003c/p>\n\u003cp>Then there’s navigating all the new health and safety restrictions, such as limiting the seating capacity to allow for physical distancing. Morgan said Wildseed has applied for a permit to put in extra outdoor seating. But even with the additional outdoor seating, they’ll still be operating at around 30% capacity.\u003c/p>\n\u003cp>There’s only so long that it makes sense to carry on that way, and many Bay Area counties have put reopening plans on hold for indoor dining. Given all the variables, Morgan said it’s hard to predict what it will take to reopen properly.\u003c/p>\n\u003cp>“We’ve made plans, but, you know, usually we scratch those plans and restart,” Morgan said. “There could be something tomorrow, like, ‘You guys gotta close back again.’ I’m really hoping that’s not the case, because that would be very devastating.”\u003c/p>\n\u003cp>\u003cstrong>Getting Creative in Order to Survive\u003c/strong>\u003c/p>\n\u003cp>With profits disappearing and things being so unpredictable right now, restaurants are having to get creative if they want to survive.\u003c/p>\n\u003cp>Takeout has obviously taken on a much larger role in restaurants’ core business as a result of the pandemic. That’s true for many high-end restaurants that would never have dreamed of boxing up their fancy dishes in the past.\u003c/p>\n\u003cp>The trend towards takeout means adjusting — not everything travels well in a box — and figuring out more efficient ways to work in the kitchen so restaurants can meet the demand for takeout as well as serve customers on-site.\u003c/p>\n\u003cp>With people preferring to eat at home, delivery services like \u003ca href=\"https://www.doordash.com/\" target=\"_blank\" rel=\"noopener noreferrer\">DoorDash\u003c/a> and \u003ca href=\"https://www.grubhub.com/\" target=\"_blank\" rel=\"noopener noreferrer\">Grubhub\u003c/a> are also becoming a must for restaurants, even though several owners interviewed for this story complained about the high fees.\u003c/p>\n\u003cp>And then there are the new advances in technology, which allow diners to do things like order meals from their tables using their phones. Wildseed’s Morgan said these systems appeal to restaurants because they reduce labor costs.\u003c/p>\n\u003cp>“And maybe for the guests, too, right, to feel comfortable,” he added. “They want to limit the amount of interaction they have with another person at this time.”\u003c/p>\n\u003cp>But he’s wary of going with the technology because he said human interaction is still a key part of good hospitality.\u003c/p>\n\u003cp>“One of the big problems with this whole COVID-19 era is that we are going to lose a lot of human elements to everything that we do,” Morgan said. “I have passion for hospitality. And that’s something that is going to hurt.”\u003c/p>\n\u003cp>\u003cstrong>Not to Be Underestimated: The Human Element\u003c/strong>\u003c/p>\n\u003cp>Some chefs are making personal connections the cornerstone of their new business model, even if it means lowering production.\u003c/p>\n\u003cp>One small food business KQED spoke with for this story, \u003ca href=\"https://www.facebook.com/pages/category/Vegetarian-Vegan-Restaurant/The-Presumptuous-Pepita-101321621272290/\" target=\"_blank\" rel=\"noopener noreferrer\">The Presumptuous Pepita, \u003c/a>relies entirely on building long-term, one-on-one relationships with customers — and it seems to be flourishing in spite of the pandemic.\u003c/p>\n\u003cfigure id=\"attachment_11829833\" class=\"wp-caption aligncenter\" style=\"max-width: 640px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"wp-image-11829833 size-large\" src=\"https://ww2.kqed.org/app/uploads/sites/10/2020/07/Victoria-and-Mary-1020x765.jpg\" alt=\"\" width=\"640\" height=\"480\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2020/07/Victoria-and-Mary-1020x765.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2020/07/Victoria-and-Mary-800x600.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2020/07/Victoria-and-Mary-160x120.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2020/07/Victoria-and-Mary-1536x1152.jpg 1536w, https://cdn.kqed.org/wp-content/uploads/sites/10/2020/07/Victoria-and-Mary-1832x1374.jpg 1832w, https://cdn.kqed.org/wp-content/uploads/sites/10/2020/07/Victoria-and-Mary-1376x1032.jpg 1376w, https://cdn.kqed.org/wp-content/uploads/sites/10/2020/07/Victoria-and-Mary-1044x783.jpg 1044w, https://cdn.kqed.org/wp-content/uploads/sites/10/2020/07/Victoria-and-Mary-632x474.jpg 632w, https://cdn.kqed.org/wp-content/uploads/sites/10/2020/07/Victoria-and-Mary-536x402.jpg 536w, https://cdn.kqed.org/wp-content/uploads/sites/10/2020/07/Victoria-and-Mary.jpg 1920w\" sizes=\"(max-width: 640px) 100vw, 640px\">\u003cfigcaption class=\"wp-caption-text\">Vegan personal chef Victoria Aguilar of the Presumptuous Pepita (left) delivers lunch to San Francisco resident Mary Samson. \u003ccite>(Chloe Veltman/KQED)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>The force behind The Presumptuous Pepita is personal vegan chef Victoria Aguilar, who describes themself as a “queer, non-binary, brown business owner who was born and raised on Ohlone Land.”\u003c/p>\n\u003cp>Aguilar said they launched The Presumptuous Pepita last December after tiring of the fixed hours and limited menus that usually come with restaurant work.\u003c/p>\n\u003cp>“I like the intimacy of being able to cook for folks and then to bring it to them, especially during this time when folks really can’t see many people,” Aguilar said. “And so we’ve already built relationships.”\u003c/p>\n\u003cp>Aguilar is The Presumptuous Pepita’s sole employee. So their overhead is low. And the chef said business has been booming since the stay-at-home orders went into place.\u003c/p>\n\u003cp>“I’m making a good amount of money,” they said. “I’m profiting more than I thought I would.”\u003c/p>\n\u003cp>Aguilar is proud of the fact that small, niche businesses like The Presumptuous Pepita are building community, even in the middle of a global pandemic. During the recent Black Lives Matter protests, Aguilar said they delivered free meals to protesters.\u003c/p>\n\u003cp>“A lot of small businesses like myself, and other vegan small businesses, are doing the work of supporting protesters who are on the front lines,” they said. “We’re feeding compassionately and giving the best that we can right now.”\u003c/p>\n\u003cp>[ad floatright]\u003c/p>\n\u003cp>[baycuriousquestion]\u003c/p>\n\n",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>Eating a vegan diet used to be the opposite of cool, and vegans were often the butt of jokes. The classic line from the November 2000 episode of “The Simpsons” — “I’m a Level Five Vegan. I won’t eat anything that casts a shadow” — pretty much captures widely held beliefs about the misplaced militancy of the meat-and-dairy-eschewing crowd.\u003c/p>\n\u003cp>\u003ciframe loading=\"lazy\" title=\"Level 5 Vegan (Lisa the tree hugger)\" width=\"640\" height=\"480\" src=\"https://www.youtube.com/embed/RtuMIaOGRy8?feature=oembed\" frameborder=\"0\" allow=\"accelerometer; autoplay; clipboard-write; encrypted-media; gyroscope; picture-in-picture; web-share\" referrerpolicy=\"strict-origin-when-cross-origin\" allowfullscreen>\u003c/iframe>\u003c/p>\n\u003cp>But over the past few years, veganism has gone mainstream. Celebrities like Beyoncé and former President Bill Clinton have talked publicly about the benefits of eating a meat- and dairy-free diet.\u003c/p>\n\u003cp>“I live on beans, legumes, vegetables, fruit,” Clinton said in an interview on CNN. “And it changed my whole metabolism.”\u003c/p>\n\u003cp>\u003ciframe loading=\"lazy\" title=\"bill clinton on eating a plant based, whole foods diet\" width=\"640\" height=\"360\" src=\"https://www.youtube.com/embed/sNh1ICGNpbA?feature=oembed\" frameborder=\"0\" allow=\"accelerometer; autoplay; clipboard-write; encrypted-media; gyroscope; picture-in-picture; web-share\" referrerpolicy=\"strict-origin-when-cross-origin\" allowfullscreen>\u003c/iframe>\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>In the Bay Area, vegan eating habits have been popular for a long time. There are vegan caterers who will feed your wedding guests and vegan chefs who will deliver meals right to your door. Companies like \u003ca href=\"https://buy.impossiblefoods.com/\" target=\"_blank\" rel=\"noopener noreferrer\">Impossible Foods\u003c/a> and \u003ca href=\"https://www.memphismeats.com/\" target=\"_blank\" rel=\"noopener noreferrer\">Memphis Meats\u003c/a> — both big names in the meatless protein business — are headquartered here. And just last year, San Francisco came out as the nation’s most vegan-friendly city, \u003ca href=\"https://sanfrancisco.cbslocal.com/2019/11/15/peta-san-francisco-most-vegan-friendly-city/\" target=\"_blank\" rel=\"noopener noreferrer\">according to People for the Ethical Treatment of Animals, or PETA\u003c/a>.\u003c/p>\n\u003cp>But lately, as you can imagine, things have been pretty challenging for the Bay Area’s vegan businesses.\u003c/p>\n\u003cp>“Before coronavirus happened, business was fantastic. And that has obviously changed very significantly,” said Christina Stobing, co-owner of the Berkeley vegan deli \u003ca href=\"https://www.thebutchersveganson.com/\" target=\"_blank\" rel=\"noopener noreferrer\">The Butcher’s Son\u003c/a>.\u003c/p>\n\u003cp>\u003c/p>\u003cp>\u003caside class=\"alignleft utils-parseShortcode-shortcodes-__bayCuriousPodcastShortcode__bayCurious\">\u003cimg src=https://cdn.kqed.org/wp-content/uploads/2023/02/bayCuriousLogo.png alt=\"Bay Curious Podcast\" loading=\"lazy\" />\n \u003ca href=\"/news/series/baycurious\">Bay Curious\u003c/a> is a podcast that answers your questions about the Bay Area.\n Subscribe on \u003ca href=\"https://itunes.apple.com/us/podcast/bay-curious/id1172473406\" target=\"_blank\" rel=\"noopener noreferrer\">Apple Podcasts\u003c/a>,\n \u003ca href=\"http://www.npr.org/podcasts/500557090/bay-curious\" target=\"_blank\" rel=\"noopener noreferrer\">NPR One\u003c/a> or your favorite podcast platform.\u003c/aside>\u003c/p>\u003cp>\u003c/p>\n\u003cp>“Right now, I’m just trying to hang in there,” said Samuel Wong, the owner of \u003ca href=\"https://www.yelp.com/biz/layonna-vegetarian-health-food-market-oakland\" target=\"_blank\" rel=\"noopener noreferrer\">Layonna Vegetarian Health Food Market, \u003c/a> a vegan market in downtown Oakland.\u003c/p>\n\u003cp>“These times are about surviving,” said Alejandro Morgan, head of culinary of the Bay Area restaurant group \u003ca href=\"https://backofthehouseinc.com/\" target=\"_blank\" rel=\"noopener noreferrer\">Back of the House\u003c/a>, which owns the plant-based eatery \u003ca href=\"https://www.wildseedsf.com/\" target=\"_blank\" rel=\"noopener noreferrer\">Wildseed\u003c/a> in San Francisco’s Cow Hollow neighborhood. “These times are about being able to keep as many people you can employed, and pay the bills.”\u003c/p>\n\u003cp>KQED listener Mishi Ramos’ question, “What is the vegan food scene in the Bay Area like today?” came across the Bay Curious desk not long before the pandemic hit. Since then, the story of how vegan food businesses are faring today has become one that’s very much aligned with the fate of \u003cem>most\u003c/em> small, local restaurants during COVID-19 times. So, while we tackled the question by focusing on Bay Area vegan businesses, the answer applies more broadly.\u003c/p>\n\u003cp>\u003cstrong>The Growth of Vegan Culture\u003c/strong>\u003c/p>\n\u003cp>Though vegans only make up about 5-6% of the U.S. population, their numbers are growing, and more and more omnivores are starting to take an interest in vegan foods.\u003c/p>\n\u003cp>One reason for the trend is the perception that eating a plant-based diet is healthy. People claim cutting out meat and dairy cleared their skin, upped their energy levels and helped them lose weight.\u003c/p>\n\u003cp>Then there’s growing public awareness around the meat industry’s treatment of animals and its environmental footprint. A \u003ca href=\"https://josephpoore.com/Science%20360%206392%20987%20-%20Accepted%20Manuscript.pdf\" target=\"_blank\" rel=\"noopener noreferrer\">recent analysis from the journal Science\u003c/a> shows 60% of agriculture’s greenhouse gas emissions comes from meat and dairy production.\u003c/p>\n\u003cp>\u003ciframe loading=\"lazy\" title=\"Inside Meat Processing Plant Linked To Nearly 900 Coronavirus Cases | NBC Nightly News\" width=\"640\" height=\"360\" src=\"https://www.youtube.com/embed/cZOT9YOtl0U?feature=oembed\" frameborder=\"0\" allow=\"accelerometer; autoplay; clipboard-write; encrypted-media; gyroscope; picture-in-picture; web-share\" referrerpolicy=\"strict-origin-when-cross-origin\" allowfullscreen>\u003c/iframe>\u003c/p>\n\u003cp>Also, recent news headlines about the heavy impact of COVID-19 on the meat production industry have made more \u003ca href=\"https://www.npr.org/local/305/2020/05/04/850066429/the-pandemic-has-people-rethinking-their-relationship-with-food-especially-meat\">people question how much meat they should have in their diet\u003c/a> — even though meat scandals in the past haven’t had long-term sticking power, and the overwhelming majority of Americans will continue to eat meat.\u003c/p>\n\u003cp>It also helps the plant-based cause that vegan foods have become ubiquitous at grocery stores, restaurants and cafes, especially in the Bay Area, and that the region is well-known for its year-round abundance of produce.\u003c/p>\n\u003cp>Finally, non-vegans in particular are gravitating towards the new, high-tech wave of meatless proteins, from companies like Impossible Foods and \u003ca href=\"https://www.beyondmeat.com/\" target=\"_blank\" rel=\"noopener noreferrer\">Beyond Meat\u003c/a>.\u003c/p>\n\u003cp>\u003ca href=\"https://www.fooddive.com/news/study-consumers-try-plant-based-meat-because-theyre-curious/571615/\" target=\"_blank\" rel=\"noopener noreferrer\">A recent study from the food industry publication Food Dive\u003c/a> shows the number one factor driving non-vegans to eat products like meatless burgers is that they’re starting to taste more like meat. (Traditional veggie patties, which many vegans still prefer, taste more like nuts, grains and seeds.)\u003c/p>\n\u003cp>\u003cstrong>Vegan Food Businesses Struggle in the Pandemic\u003c/strong>\u003c/p>\n\u003cp>The growing popularity of meatless proteins is what’s driving business at many of the newer vegan eateries in the Bay Area, like \u003ca href=\"https://www.thebutchersveganson.com/\" target=\"_blank\" rel=\"noopener noreferrer\">The Butcher’s Son\u003c/a> in downtown Berkeley.\u003c/p>\n\u003cfigure id=\"attachment_11829827\" class=\"wp-caption aligncenter\" style=\"max-width: 640px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"wp-image-11829827 size-large\" src=\"https://ww2.kqed.org/app/uploads/sites/10/2020/07/chicken-and-bacon-sandwich-1020x765.jpg\" alt=\"\" width=\"640\" height=\"480\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2020/07/chicken-and-bacon-sandwich-1020x765.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2020/07/chicken-and-bacon-sandwich-800x600.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2020/07/chicken-and-bacon-sandwich-160x120.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2020/07/chicken-and-bacon-sandwich-1536x1152.jpg 1536w, https://cdn.kqed.org/wp-content/uploads/sites/10/2020/07/chicken-and-bacon-sandwich-1832x1374.jpg 1832w, https://cdn.kqed.org/wp-content/uploads/sites/10/2020/07/chicken-and-bacon-sandwich-1376x1032.jpg 1376w, https://cdn.kqed.org/wp-content/uploads/sites/10/2020/07/chicken-and-bacon-sandwich-1044x783.jpg 1044w, https://cdn.kqed.org/wp-content/uploads/sites/10/2020/07/chicken-and-bacon-sandwich-632x474.jpg 632w, https://cdn.kqed.org/wp-content/uploads/sites/10/2020/07/chicken-and-bacon-sandwich-536x402.jpg 536w, https://cdn.kqed.org/wp-content/uploads/sites/10/2020/07/chicken-and-bacon-sandwich.jpg 1920w\" sizes=\"(max-width: 640px) 100vw, 640px\">\u003cfigcaption class=\"wp-caption-text\">The Butcher’s Son’s take on a chicken and bacon sandwich — without meat. \u003ccite>(Chloe Veltman/KQED)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>The restaurant opened early in 2016, and co-owner Christina Stobing said it was an immediate hit with vegans and non-vegans alike.\u003c/p>\n\u003cp>“Going vegan, there’s not a lot of options,” Stobing said, who’s also vegan. “Like, you can’t just go and get a Philly cheesesteak sandwich or a Reuben. We wanted to provide all those things that we were missing in a restaurant.”\u003c/p>\n\u003cp>Stobing said business was going so well, and they were planning to expand. But when the coronavirus pandemic hit, they were forced to shrink. The restaurant let go of roughly two-thirds of its employees. A small business loan from the federal government has helped tide them over.\u003c/p>\n\u003cp>“We’ve had to to step back and say, ‘OK, can we stay open this week? Can we stay open next week?’ ” Stobing said. “Because things are changing.”\u003c/p>\n\u003cp>It’s not just popular vegan restaurants that now find themselves facing an unpredictable future. Vegan grocery stores are also having a hard time.\u003c/p>\n\u003cp>\u003ca href=\"https://www.yelp.com/biz/layonna-vegetarian-health-food-market-oakland\" target=\"_blank\" rel=\"noopener noreferrer\">Layonna\u003c/a> Vegetarian Health Food Market in Oakland’s Chinatown has been around since the 1990s. The store’s owner, Samuel Wong, said the market has a loyal following. He counts meat-abstaining members of the nearby Buddhist temple among his customers, as well as people who drive in from places like Santa Rosa.\u003c/p>\n\u003cfigure id=\"attachment_11829830\" class=\"wp-caption aligncenter\" style=\"max-width: 640px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"wp-image-11829830 size-large\" src=\"https://ww2.kqed.org/app/uploads/sites/10/2020/07/Layonna-crew-1020x765.jpg\" alt=\"\" width=\"640\" height=\"480\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2020/07/Layonna-crew-1020x765.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2020/07/Layonna-crew-800x600.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2020/07/Layonna-crew-160x120.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2020/07/Layonna-crew-1536x1152.jpg 1536w, https://cdn.kqed.org/wp-content/uploads/sites/10/2020/07/Layonna-crew-1832x1374.jpg 1832w, https://cdn.kqed.org/wp-content/uploads/sites/10/2020/07/Layonna-crew-1376x1032.jpg 1376w, https://cdn.kqed.org/wp-content/uploads/sites/10/2020/07/Layonna-crew-1044x783.jpg 1044w, https://cdn.kqed.org/wp-content/uploads/sites/10/2020/07/Layonna-crew-632x474.jpg 632w, https://cdn.kqed.org/wp-content/uploads/sites/10/2020/07/Layonna-crew-536x402.jpg 536w, https://cdn.kqed.org/wp-content/uploads/sites/10/2020/07/Layonna-crew.jpg 1920w\" sizes=\"(max-width: 640px) 100vw, 640px\">\u003cfigcaption class=\"wp-caption-text\">Original Layonna owner Layonna Wang (left), present owner Samuel Wong, and store employee Jenny Liang pose outside the front of Layonna, a vegan market in Oakland’s Chinatown neighborhood. \u003ccite>(Chloe Veltman/KQED)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>Layonna’s customers include other vegan businesses, such as restaurants. Wong said the margins are normally pretty good. But that’s changed lately.\u003c/p>\n\u003cp>“The business, it dropped a lot,” Wong said.\u003c/p>\n\u003cp>The store laid off three of its seven workers and is operating at reduced hours. Wong said he’s had to make some adjustments to survive, like delivering to restaurant clients himself, and signing up for a food delivery service to get Layonna’s products out to individual customers.\u003c/p>\n\u003cp>“A lot of people don’t want to go out,” Wong said. “So I have to sign up for this kind of service, even though they charge 30%.”\u003c/p>\n\u003cp>\u003cstrong>The Challenge of Running \u003cem>Any\u003c/em> Small Food Business Right Now\u003c/strong>\u003c/p>\n\u003cp>Even at the best of times, the restaurant industry — no matter the cuisine — is a hard game.\u003c/p>\n\u003cp>Longtime Bay Area food writer \u003ca href=\"http://www.theperfectspotsf.com/\" target=\"_blank\" rel=\"noopener noreferrer\">Virginia Miller\u003c/a> said the margins are almost always on the thin side, and that’s particularly the case for independent businesses and small local chains.\u003c/p>\n\u003cfigure id=\"attachment_11829864\" class=\"wp-caption aligncenter\" style=\"max-width: 720px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"wp-image-11829864 size-full\" src=\"https://ww2.kqed.org/app/uploads/sites/10/2020/07/Virginia-Miller.jpg\" alt=\"\" width=\"720\" height=\"480\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2020/07/Virginia-Miller.jpg 720w, https://cdn.kqed.org/wp-content/uploads/sites/10/2020/07/Virginia-Miller-160x107.jpg 160w\" sizes=\"(max-width: 720px) 100vw, 720px\">\u003cfigcaption class=\"wp-caption-text\">Bay Area food and drink journalist Virginia Miller. \u003ccite>(Daniel Stumpf)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>“If they have any profit at all, usually 10% max, is the best most restaurants do,” Miller said.\u003c/p>\n\u003cp>Between line items like rent, labor and sourcing high-quality produce, Miller said the cost of feeding people in the Bay Area is especially high. Vegan outlets are no different from other kinds of small food businesses. They’ve all been hit by the pandemic in similar ways and are all trying to figure out how to come back.\u003c/p>\n\u003cp>“I’ve heard predictions of anywhere from 30% to 80% of our restaurants will not reopen,” Miller said.\u003c/p>\n\u003cp>Laurie Thomas, the executive director of the \u003ca href=\"http://ggra.org/\" target=\"_blank\" rel=\"noopener noreferrer\">Golden Gate Restaurant Association\u003c/a>, a San Francisco restaurant industry advocacy group, said reopening a restaurant is a long and complex process. Restaurant owners have to weigh many different factors as they consider how and when to reopen — or whether it’s worth reopening at all.\u003c/p>\n\u003cp>“People think restaurants can turn on a dime,” Thomas said. “It doesn’t work that way. You’ve got to get your employees. You’ve got to pay back your vendors. You’ve got about a week to two weeks of ordering the food and getting everything going again.”\u003c/p>\n\u003cp>If they do decide to fully reopen, restaurants are having to come to grips with a bunch of unforeseen factors to do with COVID-19.\u003c/p>\n\u003cfigure id=\"attachment_11829832\" class=\"wp-caption alignright\" style=\"max-width: 800px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"wp-image-11829832 size-medium\" src=\"https://ww2.kqed.org/app/uploads/sites/10/2020/07/wildseed-window-e1595288832681-800x1067.jpg\" alt=\"\" width=\"800\" height=\"1067\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2020/07/wildseed-window-e1595288832681-800x1067.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2020/07/wildseed-window-e1595288832681-1020x1360.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2020/07/wildseed-window-e1595288832681-160x213.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2020/07/wildseed-window-e1595288832681-1152x1536.jpg 1152w, https://cdn.kqed.org/wp-content/uploads/sites/10/2020/07/wildseed-window-e1595288832681-1122x1496.jpg 1122w, https://cdn.kqed.org/wp-content/uploads/sites/10/2020/07/wildseed-window-e1595288832681-840x1120.jpg 840w, https://cdn.kqed.org/wp-content/uploads/sites/10/2020/07/wildseed-window-e1595288832681-687x916.jpg 687w, https://cdn.kqed.org/wp-content/uploads/sites/10/2020/07/wildseed-window-e1595288832681-414x552.jpg 414w, https://cdn.kqed.org/wp-content/uploads/sites/10/2020/07/wildseed-window-e1595288832681-354x472.jpg 354w, https://cdn.kqed.org/wp-content/uploads/sites/10/2020/07/wildseed-window-e1595288832681.jpg 1440w\" sizes=\"(max-width: 800px) 100vw, 800px\">\u003cfigcaption class=\"wp-caption-text\">The walk-up window at Wildseed in San Francisco’s Cow Hollow neighborhood. \u003ccite>(Chloe Veltman/KQED)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>At \u003ca href=\"https://www.wildseedsf.com/\" target=\"_blank\" rel=\"noopener noreferrer\">Wildseed\u003c/a>, an upscale, plant-based restaurant in San Francisco’s Cow Hollow neighborhood, director of culinary Alejandro Morgan said it’s been tough to entice workers back at a time when many are making more money claiming unemployment benefits than from working their old jobs. Plus, they’re staying safer.\u003c/p>\n\u003cp>“If I got my job back, then I would have to weigh things, you know, and say, ‘OK, well, do I risk getting sick and getting my family sick for a job that probably won’t pay as much as before?’ ” Morgan said.\u003c/p>\n\u003cp>Then there’s navigating all the new health and safety restrictions, such as limiting the seating capacity to allow for physical distancing. Morgan said Wildseed has applied for a permit to put in extra outdoor seating. But even with the additional outdoor seating, they’ll still be operating at around 30% capacity.\u003c/p>\n\u003cp>There’s only so long that it makes sense to carry on that way, and many Bay Area counties have put reopening plans on hold for indoor dining. Given all the variables, Morgan said it’s hard to predict what it will take to reopen properly.\u003c/p>\n\u003cp>“We’ve made plans, but, you know, usually we scratch those plans and restart,” Morgan said. “There could be something tomorrow, like, ‘You guys gotta close back again.’ I’m really hoping that’s not the case, because that would be very devastating.”\u003c/p>\n\u003cp>\u003cstrong>Getting Creative in Order to Survive\u003c/strong>\u003c/p>\n\u003cp>With profits disappearing and things being so unpredictable right now, restaurants are having to get creative if they want to survive.\u003c/p>\n\u003cp>Takeout has obviously taken on a much larger role in restaurants’ core business as a result of the pandemic. That’s true for many high-end restaurants that would never have dreamed of boxing up their fancy dishes in the past.\u003c/p>\n\u003cp>The trend towards takeout means adjusting — not everything travels well in a box — and figuring out more efficient ways to work in the kitchen so restaurants can meet the demand for takeout as well as serve customers on-site.\u003c/p>\n\u003cp>With people preferring to eat at home, delivery services like \u003ca href=\"https://www.doordash.com/\" target=\"_blank\" rel=\"noopener noreferrer\">DoorDash\u003c/a> and \u003ca href=\"https://www.grubhub.com/\" target=\"_blank\" rel=\"noopener noreferrer\">Grubhub\u003c/a> are also becoming a must for restaurants, even though several owners interviewed for this story complained about the high fees.\u003c/p>\n\u003cp>And then there are the new advances in technology, which allow diners to do things like order meals from their tables using their phones. Wildseed’s Morgan said these systems appeal to restaurants because they reduce labor costs.\u003c/p>\n\u003cp>“And maybe for the guests, too, right, to feel comfortable,” he added. “They want to limit the amount of interaction they have with another person at this time.”\u003c/p>\n\u003cp>But he’s wary of going with the technology because he said human interaction is still a key part of good hospitality.\u003c/p>\n\u003cp>“One of the big problems with this whole COVID-19 era is that we are going to lose a lot of human elements to everything that we do,” Morgan said. “I have passion for hospitality. And that’s something that is going to hurt.”\u003c/p>\n\u003cp>\u003cstrong>Not to Be Underestimated: The Human Element\u003c/strong>\u003c/p>\n\u003cp>Some chefs are making personal connections the cornerstone of their new business model, even if it means lowering production.\u003c/p>\n\u003cp>One small food business KQED spoke with for this story, \u003ca href=\"https://www.facebook.com/pages/category/Vegetarian-Vegan-Restaurant/The-Presumptuous-Pepita-101321621272290/\" target=\"_blank\" rel=\"noopener noreferrer\">The Presumptuous Pepita, \u003c/a>relies entirely on building long-term, one-on-one relationships with customers — and it seems to be flourishing in spite of the pandemic.\u003c/p>\n\u003cfigure id=\"attachment_11829833\" class=\"wp-caption aligncenter\" style=\"max-width: 640px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"wp-image-11829833 size-large\" src=\"https://ww2.kqed.org/app/uploads/sites/10/2020/07/Victoria-and-Mary-1020x765.jpg\" alt=\"\" width=\"640\" height=\"480\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2020/07/Victoria-and-Mary-1020x765.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2020/07/Victoria-and-Mary-800x600.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2020/07/Victoria-and-Mary-160x120.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2020/07/Victoria-and-Mary-1536x1152.jpg 1536w, https://cdn.kqed.org/wp-content/uploads/sites/10/2020/07/Victoria-and-Mary-1832x1374.jpg 1832w, https://cdn.kqed.org/wp-content/uploads/sites/10/2020/07/Victoria-and-Mary-1376x1032.jpg 1376w, https://cdn.kqed.org/wp-content/uploads/sites/10/2020/07/Victoria-and-Mary-1044x783.jpg 1044w, https://cdn.kqed.org/wp-content/uploads/sites/10/2020/07/Victoria-and-Mary-632x474.jpg 632w, https://cdn.kqed.org/wp-content/uploads/sites/10/2020/07/Victoria-and-Mary-536x402.jpg 536w, https://cdn.kqed.org/wp-content/uploads/sites/10/2020/07/Victoria-and-Mary.jpg 1920w\" sizes=\"(max-width: 640px) 100vw, 640px\">\u003cfigcaption class=\"wp-caption-text\">Vegan personal chef Victoria Aguilar of the Presumptuous Pepita (left) delivers lunch to San Francisco resident Mary Samson. \u003ccite>(Chloe Veltman/KQED)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>The force behind The Presumptuous Pepita is personal vegan chef Victoria Aguilar, who describes themself as a “queer, non-binary, brown business owner who was born and raised on Ohlone Land.”\u003c/p>\n\u003cp>Aguilar said they launched The Presumptuous Pepita last December after tiring of the fixed hours and limited menus that usually come with restaurant work.\u003c/p>\n\u003cp>“I like the intimacy of being able to cook for folks and then to bring it to them, especially during this time when folks really can’t see many people,” Aguilar said. “And so we’ve already built relationships.”\u003c/p>\n\u003cp>Aguilar is The Presumptuous Pepita’s sole employee. So their overhead is low. And the chef said business has been booming since the stay-at-home orders went into place.\u003c/p>\n\u003cp>“I’m making a good amount of money,” they said. “I’m profiting more than I thought I would.”\u003c/p>\n\u003cp>Aguilar is proud of the fact that small, niche businesses like The Presumptuous Pepita are building community, even in the middle of a global pandemic. During the recent Black Lives Matter protests, Aguilar said they delivered free meals to protesters.\u003c/p>\n\u003cp>“A lot of small businesses like myself, and other vegan small businesses, are doing the work of supporting protesters who are on the front lines,” they said. “We’re feeding compassionately and giving the best that we can right now.”\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cp>\u003cstrong>Skip to:\u003c/strong>\u003c/p>\n\u003cul>\n\u003cli>\u003cstrong>\u003ca href=\"#sex\">Sex and Physical Contact Risks\u003c/a>\u003c/strong>\u003c/li>\n\u003cli>\u003cstrong>\u003ca href=\"#dating\">Dating During a Pandemic\u003c/a>\u003c/strong>\u003c/li>\n\u003cli>\u003cstrong>\u003ca href=\"#alts\">Temporary Alternatives for Sex and Dating\u003c/a>\u003c/strong>\u003c/li>\n\u003cli>\u003cstrong>\u003ca href=\"#cohabit\">Advice for Cohabiting Couples\u003c/a>\u003c/strong>\u003c/li>\n\u003c/ul>\n\u003cp>\u003cem>Note: This guide to sex and dating includes some graphic language.\u003c/em>\u003c/p>\n\u003cp>Let’s get this straight: during the COVID-19 pandemic, there \u003cem>is\u003c/em> no “safe way” to have sex with someone you don’t live and quarantine with.\u003c/p>\n\u003cp>But humans are humans, and we know some folks \u003cem>will\u003c/em> still make the choice to get physically intimate with other people, despite the presence of a highly contagious disease in our midst. So we \u003ca href=\"https://www.kqed.org/news/11826381/sex-and-dating-in-the-covid-19-era-what-do-you-want-to-know\">asked for your anonymous questions\u003c/a>, and created this guide to sex and dating during the coronavirus pandemic.\u003c/p>\n\u003cp>Because there’s no 100%-safe way to date or have sex outside your household right now, you’ll see the super-unsexy — yet \u003cem>super\u003c/em>-important — phrase “harm reduction strategies” throughout this guide. That’s because when it comes to engaging in social and physical intimacy, it’s all about weighing your risk factors, assessing them against the risk factors of the person (or people) you’d like to have sex with and doing everything you can to further \u003cem>reduce\u003c/em> the potential harm.\u003c/p>\n\u003cp>We’ve consulted with these sex and health experts:\u003c/p>\n\u003cul>\n\u003cli>\u003cstrong>Stephanie Cohen\u003c/strong>, medical director of San Francisco City Clinic\u003c/li>\n\u003cli>\u003cstrong>Nenna Joiner\u003c/strong>, owner of Oakland sex store Feelmore and former adult filmmaker\u003c/li>\n\u003cli>\u003cstrong>Julia Feldman\u003c/strong>, Bay Area sex educator and consultant at Giving the Talk\u003c/li>\n\u003c/ul>\n\u003ch1>\u003ca id=\"sex\">\u003c/a>Sex, Physical Contact and COVID-19\u003c/h1>\n\u003cfigure id=\"attachment_11828124\" class=\"wp-caption alignnone\" style=\"max-width: 1900px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-11828124\" src=\"https://ww2.kqed.org/app/uploads/sites/10/2020/07/kissing.jpg\" alt=\"\" width=\"1900\" height=\"1280\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2020/07/kissing.jpg 1900w, https://cdn.kqed.org/wp-content/uploads/sites/10/2020/07/kissing-800x539.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2020/07/kissing-1020x687.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2020/07/kissing-160x108.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2020/07/kissing-1536x1035.jpg 1536w\" sizes=\"(max-width: 1900px) 100vw, 1900px\">\u003cfigcaption class=\"wp-caption-text\">Kissing represents a high transmission risk for COVID-19 right now. \u003ccite>(Victoria Borodinova/Pexels)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003ch4>\u003cstrong>What bodily fluids can carry COVID-19?\u003c/strong>\u003c/h4>\n\u003cp>So many aspects of the coronavirus remain mysterious to scientists, and that includes the full scope of COVID-19’s relationship with sex. But here’s what we do know.\u003c/p>\n\u003cp>If someone has COVID-19, they can transmit the virus via particles in:\u003c/p>\n\u003cul>\n\u003cli>Their saliva\u003c/li>\n\u003cli>Their mucus\u003c/li>\n\u003cli>Their breath\u003c/li>\n\u003c/ul>\n\u003cp>The coronavirus has also been found in the semen and feces of people with COVID-19. It \u003cem>hasn’t\u003c/em> been found in vaginal fluid.\u003c/p>\n\u003cp>Can COVID-19 be spread through sex, whether vaginal or anal? The scientific community actually doesn’t know for sure yet. What we do know is that “sex is the definition of close contact,” as Stephanie Cohen puts it. So if you’re close enough to get physically intimate with someone with COVID-19, you’re \u003cem>definitely\u003c/em> close enough to have a high risk of being infected via those particles they’re exhaling.\u003c/p>\n\u003ch4>How dangerous is kissing?\u003c/h4>\n\u003cp>Kissing someone outside of your household is one of \u003cem>the\u003c/em> most risky things you can do right now, Cohen says, because of how much exchange of saliva it involves.\u003c/p>\n\u003cp>For this reason, she says, kissing might actually present a \u003cem>higher\u003c/em> risk of transmission than vaginal or anal sex. And anything that increases your respiration and your respiratory rate “will likely result in the release of more respiratory droplets,” thus increasing the risk of transmission — think heavy breathing.\u003c/p>\n\u003ch4>Are certain \u003cem>types\u003c/em> of sex riskier?\u003c/h4>\n\u003cp>Because the coronavirus has been found in feces — and because gastrointestinal symptoms like diarrhea can occur sometimes with COVID-19 infection — Cohen says there’s a likely chance that anal sex or oral-anal contact \u003cem>would\u003c/em> pose more of a transmission risk than other forms of sex such as penile-vaginal contact, for example.\u003c/p>\n\u003cp>That said, medical professionals just don’t know for sure. COVID-19 transmission risk would also be impacted by a number of other factors, such as the degree of face-to-face contact and how infectious the person with COVID-19 is at the time of the sexual encounter. Right now, there just isn’t enough data to be definitive, Cohen says — so it’s all about assessing those various risk indicators we \u003cem>do\u003c/em> know about.\u003c/p>\n\u003ch4>If I \u003cem>do\u003c/em> have sex, what are some things I can do to reduce my risk of catching COVID-19?\u003c/h4>\n\u003cp>If you’re utterly determined to have sex outside of your household right now, these precautions represent harm reduction strategies:\u003c/p>\n\u003cul>\n\u003cli>\u003cstrong>Wearing a mask:\u003c/strong> Remember, a mask protects the other person in how it limits the spread of \u003cem>your\u003c/em> respiratory droplets. For masks to truly reduce the risks of either sexual partner getting COVID-19, both people would have to wear a mask: a mutual masking, if you will. “It might not be a strategy that works for everyone,” Cohen says, “but certainly I think it’s one that \u003cem>could\u003c/em> reduce risk.” Remember though: as Nenna Joiner reminds us, masks are like condoms in the sense that you “still need to know how to put [them] on \u003cem>correctly\u003c/em>.”\u003c/li>\n\u003cli>\u003cstrong>Choosing positions that minimize face-to-face contact:\u003c/strong> Spooning sex, doggy-style, reverse-cowboy/cowgirl/cowperson — consider agreeing to stick to sexual arrangements that keep your faces far apart, and ideally with one person faced completely away from the other. (It’s a bit of a spontaneity-killer, yes, but it’s a good idea to agree to this one \u003cem>before\u003c/em> you start having sex, to avoid ‘the heat of the moment’ making the decisions for you.)\u003c/li>\n\u003cli>\u003cstrong>Remember cleanliness:\u003c/strong> “Washing up really well, both before and after sex” is another way sexual partners can potentially reduce their risk to each other, Cohen says. Wash your hands often with soap and water for at least 20 seconds. If you don’t have soap and water on hand, use a hand sanitizer that contains at least 60% alcohol and rub your hands together until they feel dry. \u003cem>Don’t\u003c/em> use sanitizer anywhere intimate — it will really irritate that delicate skin. If you have someone else’s bodily fluids on your body, be sure to wash them off thoroughly. You cannot “absorb” the coronavirus through your skin, but you might \u003cem>touch\u003c/em> your skin and then touch your face. If you’re using sex toys, wash those with soap and warm water.\u003c/li>\n\u003cli>\u003cstrong>Using condoms and other barriers:\u003c/strong> Wearing a condom during sex will decrease your exposure to saliva or feces. For oral sex, using a condom or dental dam similarly provides a barrier. This is especially important for any anal contact.\u003c/li>\n\u003cli>\u003cstrong>Keep it quick:\u003c/strong> Minimizing the length of a sexual encounter is a harm reduction strategy in how it’s reducing the amount of time you’re potentially being exposed to the virus.\u003c/li>\n\u003cli>\u003cstrong>Consider things that \u003cem>don’t\u003c/em> exchange fluids:\u003c/strong> Mutual masturbation could be considered a harm reduction strategy, Cohen says. But don’t forget that if you’re simultaneously making out, “that could actually be \u003cem>higher\u003c/em> risk than a quick session of oral sex,” she says.\u003c/li>\n\u003c/ul>\n\u003cp>And remember: Don’t forget to practice the safe sex you usually would before the pandemic.\u003cb>\u003c/b>\u003c/p>\n\u003cp>\u003cb>\u003c/b>With all this in mind, we’ll say it again: right now, during the COVID-19 pandemic, \u003cem>there is no way\u003c/em> of having sex with someone outside your household that carries zero risk of transmitting or obtaining the virus.\u003c/p>\n\u003cp>“Everyone’s looking for a magic loophole,” acknowledges Julia Feldman, “and it doesn’t really exist.”\u003c/p>\n\u003cp>And here’s \u003cem>another\u003c/em> tricky thing. Even if you and your partner agree to abide by all of the above harm reduction strategies in the cold light of day, things can shift in the heat of the moment. Previously agreed-upon plans can fall apart when inhibitions are lowered and you’re turned on, especially if alcohol is involved — and in these circumstances “you’re less likely to use your prefrontal cortex to really analyze the risk involved in the situation,” Feldman stresses. “Especially if you haven’t had sex in a long time and you’re very excited to do it.”\u003c/p>\n\u003cp>So if you’re concerned that your safety boundaries might be in any way reduced or made negotiable during sex… back away, and prioritize your health.\u003c/p>\n\u003cfigure id=\"attachment_11828141\" class=\"wp-caption aligncenter\" style=\"max-width: 1900px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-11828141\" src=\"https://ww2.kqed.org/app/uploads/sites/10/2020/07/Couple-Nicholas-Swatz-Pexels.jpg\" alt=\"\" width=\"1900\" height=\"1280\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2020/07/Couple-Nicholas-Swatz-Pexels.jpg 1900w, https://cdn.kqed.org/wp-content/uploads/sites/10/2020/07/Couple-Nicholas-Swatz-Pexels-800x539.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2020/07/Couple-Nicholas-Swatz-Pexels-1020x687.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2020/07/Couple-Nicholas-Swatz-Pexels-160x108.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2020/07/Couple-Nicholas-Swatz-Pexels-1536x1035.jpg 1536w\" sizes=\"(max-width: 1900px) 100vw, 1900px\">\u003cfigcaption class=\"wp-caption-text\">There’s no way to have sex with someone outside your household that’s risk-free for COVID-19 right now. \u003ccite>(Nicholas Swatz/Pexels)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003ch4>OK… I had sex anyway. How long should I wait to get a COVID-19 test?\u003c/h4>\n\u003cp>If you aren’t sure whether your sexual partner had COVID-19, the best time to get tested for the coronavirus would be between five and 14 days after the encounter, says Stephanie Cohen.\u003c/p>\n\u003cp>That’s because the median average time from exposure to coronavirus symptom onset is five days — so testing any earlier than that might not yield an accurate result — but the incubation period (the amount of time you can be infected before showing symptoms) is \u003cem>up to\u003c/em> 14 days.\u003c/p>\n\u003ch4>Is isolating for 14 days between sexual partners a good idea?\u003c/h4>\n\u003cp>Here’s the idea: you have sex with someone, and then wait for 14 days to see if you develop symptoms of COVID-19. If you don’t, you’re good to move on to a new partner safe in the knowledge you don’t have the disease and aren’t passing it on — right?\u003c/p>\n\u003cp>Not quite.\u003c/p>\n\u003cp>“It’s a good strategy; it’s a harm reduction strategy,” Cohen says, but “it’s not a zero-risk strategy.” That’s because of the large numbers of people who get COVID-19 but never show any symptoms.\u003c/p>\n\u003ch4>What about sex with more than one person?\u003c/h4>\n\u003cp>Having multiple people that you have sex with is a definite risk factor for transmitting COVID-19. These kinds of overlapping sexual relationships with different people — going back and forth between people, basically — is called “concurrency” in the sexual health world, and it’s something experts say \u003cem>will\u003c/em> heighten your risk of spreading the disease.\u003c/p>\n\u003cp>“To minimize that concurrency,” Cohen says, “decrease the network size — which decreases the spread of coronavirus.” Basically, consider reducing the number of people you’re having sex with during the pandemic.\u003c/p>\n\u003cp>Where does that leave you if you practice polyamory, which is all about having multiple sexual relationships?\u003c/p>\n\u003cp>Nenna Joiner says that yes, some folks \u003cem>are\u003c/em> deciding to take a break from polyamorous intimacy during the pandemic owing to the heightened risks of having different partners right now. But other poly people are choosing to isolate together “as a poly family,” they say, and agreeing to only have sex “within that sphere of people.” Ultimately, it’s about finding the solution that works best for your health, and that of others.\u003c/p>\n\u003ch4>What about group sex?\u003c/h4>\n\u003cp>If group sex (having sex with multiple people at the \u003cem>same\u003c/em> time) was your thing before the pandemic, Stephanie Cohen has a message for you: “The fewer people, the better.”\u003c/p>\n\u003cp>That’s because with every additional person in a situation — social \u003cem>or\u003c/em> sexual — you’re adding a potential COVID-19 case, whether they know they have it or not. In a group sex situation, that person is then potentially transmitting the coronavirus to multiple people at one time — who could then go on to infect others, who then go on to… you get the picture.\u003c/p>\n\u003cp>If you do continue to choose group sex, New York City’s public health department \u003ca href=\"https://www1.nyc.gov/assets/doh/downloads/pdf/imm/covid-sex-guidance.pdf\">advises you\u003c/a> to “Go with a consistent sex partner” in such a situation, and “pick larger, more open, and well-ventilated spaces.”\u003c/p>\n\u003ch4>What about sex workers? How can they make it work right now?\u003c/h4>\n\u003cp>Is there a way to safely engage in sex work in the midst of a pandemic?\u003c/p>\n\u003cp>It’s “a profession that certainly carries risk,” Cohen stresses, due to the amount of close physical contact involved. In addition to the other strategies discussed here, some additional harm reduction strategies sex workers might consider are to limit the number of clients they see during the pandemic, to opt for a smaller circle of regular clients and “more spacing out in-between partners.”\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003ch1>\u003ca id=\"dating\">\u003c/a>Dating During the Pandemic\u003c/h1>\n\u003cfigure id=\"attachment_11825760\" class=\"wp-caption aligncenter\" style=\"max-width: 1920px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-11825760\" src=\"https://ww2.kqed.org/app/uploads/sites/10/2020/06/GettyImages-1214738423_1920x.jpg\" alt=\"\" width=\"1920\" height=\"1078\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2020/06/GettyImages-1214738423_1920x.jpg 1920w, https://cdn.kqed.org/wp-content/uploads/sites/10/2020/06/GettyImages-1214738423_1920x-160x90.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2020/06/GettyImages-1214738423_1920x-800x449.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2020/06/GettyImages-1214738423_1920x-1020x573.jpg 1020w\" sizes=\"(max-width: 1920px) 100vw, 1920px\">\u003cfigcaption class=\"wp-caption-text\">As shelter-in-place order ease, Bay Area residents will have to negotiate new boundaries around who they hang out with, and how. \u003ccite>(Photo by JOSH EDELSON/AFP via Getty Images)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003ch4>Who is ‘safe’ to date right now?\u003c/h4>\n\u003cp>As if finding a match with someone you’re emotional and physically compatible with in all the \u003cem>expected\u003c/em> ways wasn’t fraught enough — you now have the coronavirus risk compatibility to consider, too.\u003c/p>\n\u003cp>This is, Feldman admits, “a really unfortunate layer to add to dating.”\u003c/p>\n\u003cp>Get ready for some frank communication with partners, both current \u003cem>and\u003c/em> potential ones, about your circumstances and behaviors around contact with other people. How many people are they seeing, socially or sexually? How does their daily life look in terms of interactions with other people? Are they an essential worker? If so, what kind of traffic does their place of work experience?\u003c/p>\n\u003cp>In a nutshell, this is not the time for mystery — and in many ways, you’ll have to be your own contact tracer, says Nenna Joiner.\u003c/p>\n\u003ch4>How much do I need to talk about COVID-19 with potential partners?\u003c/h4>\n\u003cp>Open, honest communication about your health has never been more crucial than right now. And, as Julia Feldman notes, if you’re getting sexually intimate with somebody, you \u003cem>should\u003c/em> already be talking to that person about your health and sexual health status. COVID-19 is now another communicable disease for you and your sexual partner(s) to be discussing, without holding anything back. (Remember though: somebody can have the coronavirus and have zero symptoms. Just because somebody thinks they don’t have COVID-19 doesn’t mean they are \u003cem>definitely\u003c/em> COVID-19-free.)\u003c/p>\n\u003cp>Starting these conversations can feel tricky, especially with someone you barely know, so Feldman advises you initiate the conversation by leading with your \u003cem>own\u003c/em> experience — a time you were concerned you might have been at risk for contracting COVID-19, perhaps, or a recent decision to seek out a test for the disease. Leading with your own vulnerability, she says, can really open up a conversation without putting your prospective partner on the spot. You don’t want them to feel grilled, or accused. “That definitely doesn’t set the mood, and it doesn’t build trust,” Feldman says.\u003c/p>\n\u003cp>“Ultimately, at the end of the day, people are trying to figure out how to get all of their needs met as safely as possible,” reminds Feldman. “That’s a lot to navigate! This is brand new stuff. We are going to be messy.”\u003c/p>\n\u003cp>In being thoughtful though, don’t forget to acknowledge your own boundaries — and forget about anyone who \u003cem>doesn’t\u003c/em> respect them, especially during a pandemic.\u003c/p>\n\u003cp>Being an advocate for your own safety — and working to limit community transmission of the coronavirus — means not letting any potential partners pressure you into meeting up in person, or engaging in any sexual contact you don’t want to have.\u003c/p>\n\u003cp>[pullquote size='medium' align='right' citation=\"Julia Feldman, sex educator\"]‘Ultimately, at the end of the day, people are trying to figure out how to get all of their needs met as safely as possible. That’s a lot to navigate!’[/pullquote]\u003c/p>\n\u003ch4>I live with other people. What do \u003cem>they\u003c/em> need to know about my dating and sex life?\u003c/h4>\n\u003cp>If you’re sharing your living situation with roommates or family, sorry: your business is now \u003cem>their\u003c/em> business, especially if their own health places them in a vulnerable category.\u003c/p>\n\u003cp>That means you should be as transparent as possible with the people you live with about your relationship(s), and the types of activities and the type of risks that you’re involved in, Feldman says.\u003c/p>\n\u003cp>The first step in navigating this should be talking with the person you’re dating or having sex with, to establish \u003cem>their\u003c/em> level of risk. You need to work out the potential COVID-19 risk their behavior and circumstances pose not just to you, but therefore to the people you cohabit with.\u003c/p>\n\u003cp>You should be prepared to discuss how you propose to minimize your roommates’ risk, whether that’s avoiding shared spaces in your home, relentless sanitizing of your living environment — or whether your cohabitees are prepared to \u003cem>not\u003c/em> do this and accept the heightened risk, and the potential consequences of that.\u003c/p>\n\u003cp>Basically, get used to communicating because “you need to have some very frank conversations about how you’re going to try to keep everyone safe, and prioritize \u003cem>everyone’s\u003c/em> health and well-being,” Feldman says. It’s \u003cem>that\u003c/em> big a deal that ultimately, Cohen says, your roommates or family “should have veto power in terms of you engaging in risky behavior and bringing it back to them.”\u003c/p>\n\u003ch1>\u003ca id=\"alts\">\u003c/a>Temporary Alternatives for Sex and Dating\u003c/h1>\n\u003cfigure id=\"attachment_11828122\" class=\"wp-caption aligncenter\" style=\"max-width: 1020px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-11828122\" src=\"https://ww2.kqed.org/app/uploads/sites/10/2020/07/NennaJoiner-1020x608-1.jpg\" alt=\"\" width=\"1020\" height=\"608\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2020/07/NennaJoiner-1020x608-1.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2020/07/NennaJoiner-1020x608-1-800x477.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2020/07/NennaJoiner-1020x608-1-160x95.jpg 160w\" sizes=\"(max-width: 1020px) 100vw, 1020px\">\u003cfigcaption class=\"wp-caption-text\">Nenna Joiner at Feelmore Adult Gallery in Oakland, which they founded in 2011. \u003ccite>(Pendarvis Harshaw/KQED)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003ch4>Is ‘distanced sex’ a thing?\u003c/h4>\n\u003cp>Totally, says Joiner: social distancing and forgoing physical touch does \u003cem>not\u003c/em> have to be a barrier to sexual intimacy. Sex toys which use Bluetooth connectivity can be used or worn by one partner and activated remotely by their partner from six feet or more away, without any physical contact. If you want to increase that distance, Joiner says you could use these kinds of toys in conjunction with phone sex, or voyeurism.\u003c/p>\n\u003cp>It might sound impersonal, but Joiner says distanced products actually require just as much effort and communication, if not more.\u003c/p>\n\u003cp>“You’ve got to turn on a person to make them feel confident and comfortable and warm like you’re there,” they say. (Joiner’s pro tip: If you’re purchasing this kind of remote toy for the first time, try it out solo first to really get to grips with it — and minimize any awkwardness when you come to use it with your partner.)\u003c/p>\n\u003ch4>I know I am ‘my own safest partner.’ How can I make the most of that?\u003c/h4>\n\u003cp>Nenna Joiner reminds that some people might actually welcome the break from active dating that COVID-19 enforces. Some people with anxiety can often find the machinery of dating — conversation, sex with someone new — stressful and anxiety-provoking. If that’s you, Joiner says to take advantage of this “buffer,” to get some respite. They also want to remind you that not everyone in the world is into self-pleasure — and if that’s you, that’s \u003cem>totally\u003c/em> fine.\u003c/p>\n\u003cp>If limiting your physical intimacy with others is something you’re committed to, you may be considering acquiring sex toys to concentrate on your personal pleasure instead. Joiner says many sex shops, including their own, offer online chat services, where you can consult with an expert about exactly what you’re looking for. Joiner says some of Feelmore’s live chats can get “crazy,” so don’t worry about being frank with the professionals. Online deliveries or courier services are also available in many stores, to enable you to maintain social distancing.\u003c/p>\n\u003cp>Joiner’s entry-level advice with your purchases: “Stay on the lower end (on price), figure your body out for yourself and \u003cem>then\u003c/em> progress from there.”\u003c/p>\n\u003ch4>What about taking everything online?\u003c/h4>\n\u003cp>If you decide to take your sex life fully online to eliminate any close contact or in-person elements, New York City’s public health experts advise that if you normally meet your sexual partners online (or make a living on the internet), “video dates, sexting, subscription-based fan platforms, sexy ‘Zoom parties’ or chat rooms may be options for you.”\u003c/p>\n\u003cp>If you choose this option, don’t forget to keep your environments clean in a way you would if someone else \u003cem>was\u003c/em> present, and disinfect any keyboards and touch screens you’re using that you share with other other people.\u003c/p>\n\u003cp>Also, don’t let the possibilities of the internet (and let’s face it, lockdown-induced frustrations) override your normal judgment around your online privacy and personal safety. Especially when it comes to sending nudes or other intimate material to someone you don’t know and trust.\u003c/p>\n\u003ch4>How can I ‘have’ intimacy if it’s not safe to touch someone right now?\u003c/h4>\n\u003cp>Don’t be deterred or dismayed by how new all this feels either, Joiner says. The pandemic means many of us have had to learn new ways of living in general, and these adaptations to our sexual lives are in many ways “an opportunity to create a new life sexually for ourselves as well,” they say.\u003c/p>\n\u003cp>Joiner believes that this might even be a spur to \u003cem>regain\u003c/em> intimacy for many people, because of the extra imagination and effort required. It’s a chance, they say, to make sure that you’re really focusing on your own emotional needs.\u003c/p>\n\u003cp>Julia Feldman advises that this is also a potential moment to redefine what intimacy means for \u003cem>you\u003c/em>, beyond mere physical touch: “We can’t say that intimacy is dead!” she says. “It just has to function slightly differently.”\u003c/p>\n\u003ch1>\u003ca id=\"cohabit\">\u003c/a>Advice for Cohabiting Couples\u003c/h1>\n\u003cfigure id=\"attachment_11826424\" class=\"wp-caption aligncenter\" style=\"max-width: 1920px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-11826424\" src=\"https://ww2.kqed.org/app/uploads/sites/10/2020/06/couple.jpg\" alt=\"\" width=\"1920\" height=\"1200\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2020/06/couple.jpg 1920w, https://cdn.kqed.org/wp-content/uploads/sites/10/2020/06/couple-800x500.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2020/06/couple-1020x638.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2020/06/couple-160x100.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2020/06/couple-1536x960.jpg 1536w\" sizes=\"(max-width: 1920px) 100vw, 1920px\">\u003cfigcaption class=\"wp-caption-text\">Cohabitating during a pandemic can present a whole new set of issues to tackle around sex. \u003ccite>(Retha Ferguson/Pexels)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003ch4>I \u003cem>live\u003c/em> with my partner but we’re not having much sex. Help!\u003c/h4>\n\u003cp>It’s not just single folks who aren’t \u003cem>necessarily\u003c/em> having the quantity or quality of physical contact they’d prefer during quarantine. For a couple who lives together, even a previously harmonious relationship can be severely tested by 24/7 cohabitation during COVID-19 — and result in a drop in intimacy.\u003c/p>\n\u003cp>It’s all about switching up your timing to reinvigorate a dynamic, Joiner says. They recommend taking separate breaks outside of your shared accommodation — like a solo lunch break at the park — but also occasionally meeting up in a fresh setting that’s not where you live together. Joiner recommends trying a joint picnic, or a driving date — shared experiences that “will actually lead you to have to know \u003cem>why\u003c/em> you’re in a relationship with your partner, and then to lead towards more intimacy, which leads to more sex.”\u003c/p>\n\u003cp>Don’t forget the power of dressing up slightly too, Joiner says, who warns against “the rut of seeing each other in certain clothes” (e.g. your work-from-home sweats.)\u003c/p>\n\u003cp>Even making a little effort for regular activities can go a long way, they say. “Like my partner: Yesterday we went to church online, and she puts on a dress. I’m like, ‘shit!'”\u003c/p>\n\u003ch4>My live-in partner is really bad at social distancing, and I’m worried to kiss or have sex with them. What can I do?\u003c/h4>\n\u003cp>If you’re covering your face in public and maintaining social distance, but your partner doesn’t, they’re not only heightening their own risk of contracting COVID-19 but bringing their risk home to you. How can you have that conversation in a way that makes change?\u003c/p>\n\u003cp>In a sense, this conversation is an extension of the dialogues you and your partner have already (hopefully!) had about trust and fidelity of all kinds within your relationship, and the things that matter to you, whether that’s strict monogamy or communication around other partnerships you may have. Agreeing to even be \u003cem>in\u003c/em> a relationship is about declaring an intent to care for that other person’s wellbeing and safety in certain regards, and any breach of that — like bringing home a risk of COVID-19 without discussion — represents a decision to disregard that agreement.\u003c/p>\n\u003cp>So if you’re in this situation, try explicitly framing this with your partner as a fidelity issue, Feldman recommends: “We made a commitment to protect each other through the good and bad, and right now this is pretty bad.”\u003c/p>\n\u003cp>She advises aiming to come to a reaffirmed agreement with your partner about “what level of risk you’re both willing to take on, and to really sign onto that.” Then, if there’s still a breach, you really need to talk about respect within your relationship, and whether you’re both really committed to each other.\u003c/p>\n\u003cp>When opening up these dialogues with your partner, Feldman also advises emphasizing that these are not “normal times,” and \u003cem>this is not forever\u003c/em>. These restrictions and limitations for which you’re advocating on the grounds of your shared health — and the trust in your relationship — are temporary. “You’re not saying your husband can never, for example, go play poker with the guys ever again, or whatever it is that he wants to do.”\u003c/p>\n\u003cp>\u003cem>If you still have questions about safe(r) sex and dating during the COVID-19 pandemic, submit them anonymously here — we may update this guide.\u003c/em>\u003c/p>\n\u003cp>https://docs.google.com/forms/d/e/1FAIpQLSfORlnLyeRwi5X3h-SJ8SwhVxUbu0-wfpkL0sGfMxWFLl2gvw/viewform?embedded=true\u003c/p>\n\u003cp>[ad floatright]\u003c/p>\n",
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"excerpt": "From kissing and testing to 'distanced sex,' there is no 100% safe way to date and have sex during the COVID-19 pandemic — but there are ways to reduce your risks.",
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"title": "Dating and Sex During Coronavirus: From Masks to Kissing, a Guide to Your Risks | KQED",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>\u003cstrong>Skip to:\u003c/strong>\u003c/p>\n\u003cul>\n\u003cli>\u003cstrong>\u003ca href=\"#sex\">Sex and Physical Contact Risks\u003c/a>\u003c/strong>\u003c/li>\n\u003cli>\u003cstrong>\u003ca href=\"#dating\">Dating During a Pandemic\u003c/a>\u003c/strong>\u003c/li>\n\u003cli>\u003cstrong>\u003ca href=\"#alts\">Temporary Alternatives for Sex and Dating\u003c/a>\u003c/strong>\u003c/li>\n\u003cli>\u003cstrong>\u003ca href=\"#cohabit\">Advice for Cohabiting Couples\u003c/a>\u003c/strong>\u003c/li>\n\u003c/ul>\n\u003cp>\u003cem>Note: This guide to sex and dating includes some graphic language.\u003c/em>\u003c/p>\n\u003cp>Let’s get this straight: during the COVID-19 pandemic, there \u003cem>is\u003c/em> no “safe way” to have sex with someone you don’t live and quarantine with.\u003c/p>\n\u003cp>But humans are humans, and we know some folks \u003cem>will\u003c/em> still make the choice to get physically intimate with other people, despite the presence of a highly contagious disease in our midst. So we \u003ca href=\"https://www.kqed.org/news/11826381/sex-and-dating-in-the-covid-19-era-what-do-you-want-to-know\">asked for your anonymous questions\u003c/a>, and created this guide to sex and dating during the coronavirus pandemic.\u003c/p>\n\u003cp>Because there’s no 100%-safe way to date or have sex outside your household right now, you’ll see the super-unsexy — yet \u003cem>super\u003c/em>-important — phrase “harm reduction strategies” throughout this guide. That’s because when it comes to engaging in social and physical intimacy, it’s all about weighing your risk factors, assessing them against the risk factors of the person (or people) you’d like to have sex with and doing everything you can to further \u003cem>reduce\u003c/em> the potential harm.\u003c/p>\n\u003cp>We’ve consulted with these sex and health experts:\u003c/p>\n\u003cul>\n\u003cli>\u003cstrong>Stephanie Cohen\u003c/strong>, medical director of San Francisco City Clinic\u003c/li>\n\u003cli>\u003cstrong>Nenna Joiner\u003c/strong>, owner of Oakland sex store Feelmore and former adult filmmaker\u003c/li>\n\u003cli>\u003cstrong>Julia Feldman\u003c/strong>, Bay Area sex educator and consultant at Giving the Talk\u003c/li>\n\u003c/ul>\n\u003ch1>\u003ca id=\"sex\">\u003c/a>Sex, Physical Contact and COVID-19\u003c/h1>\n\u003cfigure id=\"attachment_11828124\" class=\"wp-caption alignnone\" style=\"max-width: 1900px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-11828124\" src=\"https://ww2.kqed.org/app/uploads/sites/10/2020/07/kissing.jpg\" alt=\"\" width=\"1900\" height=\"1280\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2020/07/kissing.jpg 1900w, https://cdn.kqed.org/wp-content/uploads/sites/10/2020/07/kissing-800x539.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2020/07/kissing-1020x687.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2020/07/kissing-160x108.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2020/07/kissing-1536x1035.jpg 1536w\" sizes=\"(max-width: 1900px) 100vw, 1900px\">\u003cfigcaption class=\"wp-caption-text\">Kissing represents a high transmission risk for COVID-19 right now. \u003ccite>(Victoria Borodinova/Pexels)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003ch4>\u003cstrong>What bodily fluids can carry COVID-19?\u003c/strong>\u003c/h4>\n\u003cp>So many aspects of the coronavirus remain mysterious to scientists, and that includes the full scope of COVID-19’s relationship with sex. But here’s what we do know.\u003c/p>\n\u003cp>If someone has COVID-19, they can transmit the virus via particles in:\u003c/p>\n\u003cul>\n\u003cli>Their saliva\u003c/li>\n\u003cli>Their mucus\u003c/li>\n\u003cli>Their breath\u003c/li>\n\u003c/ul>\n\u003cp>The coronavirus has also been found in the semen and feces of people with COVID-19. It \u003cem>hasn’t\u003c/em> been found in vaginal fluid.\u003c/p>\n\u003cp>Can COVID-19 be spread through sex, whether vaginal or anal? The scientific community actually doesn’t know for sure yet. What we do know is that “sex is the definition of close contact,” as Stephanie Cohen puts it. So if you’re close enough to get physically intimate with someone with COVID-19, you’re \u003cem>definitely\u003c/em> close enough to have a high risk of being infected via those particles they’re exhaling.\u003c/p>\n\u003ch4>How dangerous is kissing?\u003c/h4>\n\u003cp>Kissing someone outside of your household is one of \u003cem>the\u003c/em> most risky things you can do right now, Cohen says, because of how much exchange of saliva it involves.\u003c/p>\n\u003cp>For this reason, she says, kissing might actually present a \u003cem>higher\u003c/em> risk of transmission than vaginal or anal sex. And anything that increases your respiration and your respiratory rate “will likely result in the release of more respiratory droplets,” thus increasing the risk of transmission — think heavy breathing.\u003c/p>\n\u003ch4>Are certain \u003cem>types\u003c/em> of sex riskier?\u003c/h4>\n\u003cp>Because the coronavirus has been found in feces — and because gastrointestinal symptoms like diarrhea can occur sometimes with COVID-19 infection — Cohen says there’s a likely chance that anal sex or oral-anal contact \u003cem>would\u003c/em> pose more of a transmission risk than other forms of sex such as penile-vaginal contact, for example.\u003c/p>\n\u003cp>That said, medical professionals just don’t know for sure. COVID-19 transmission risk would also be impacted by a number of other factors, such as the degree of face-to-face contact and how infectious the person with COVID-19 is at the time of the sexual encounter. Right now, there just isn’t enough data to be definitive, Cohen says — so it’s all about assessing those various risk indicators we \u003cem>do\u003c/em> know about.\u003c/p>\n\u003ch4>If I \u003cem>do\u003c/em> have sex, what are some things I can do to reduce my risk of catching COVID-19?\u003c/h4>\n\u003cp>If you’re utterly determined to have sex outside of your household right now, these precautions represent harm reduction strategies:\u003c/p>\n\u003cul>\n\u003cli>\u003cstrong>Wearing a mask:\u003c/strong> Remember, a mask protects the other person in how it limits the spread of \u003cem>your\u003c/em> respiratory droplets. For masks to truly reduce the risks of either sexual partner getting COVID-19, both people would have to wear a mask: a mutual masking, if you will. “It might not be a strategy that works for everyone,” Cohen says, “but certainly I think it’s one that \u003cem>could\u003c/em> reduce risk.” Remember though: as Nenna Joiner reminds us, masks are like condoms in the sense that you “still need to know how to put [them] on \u003cem>correctly\u003c/em>.”\u003c/li>\n\u003cli>\u003cstrong>Choosing positions that minimize face-to-face contact:\u003c/strong> Spooning sex, doggy-style, reverse-cowboy/cowgirl/cowperson — consider agreeing to stick to sexual arrangements that keep your faces far apart, and ideally with one person faced completely away from the other. (It’s a bit of a spontaneity-killer, yes, but it’s a good idea to agree to this one \u003cem>before\u003c/em> you start having sex, to avoid ‘the heat of the moment’ making the decisions for you.)\u003c/li>\n\u003cli>\u003cstrong>Remember cleanliness:\u003c/strong> “Washing up really well, both before and after sex” is another way sexual partners can potentially reduce their risk to each other, Cohen says. Wash your hands often with soap and water for at least 20 seconds. If you don’t have soap and water on hand, use a hand sanitizer that contains at least 60% alcohol and rub your hands together until they feel dry. \u003cem>Don’t\u003c/em> use sanitizer anywhere intimate — it will really irritate that delicate skin. If you have someone else’s bodily fluids on your body, be sure to wash them off thoroughly. You cannot “absorb” the coronavirus through your skin, but you might \u003cem>touch\u003c/em> your skin and then touch your face. If you’re using sex toys, wash those with soap and warm water.\u003c/li>\n\u003cli>\u003cstrong>Using condoms and other barriers:\u003c/strong> Wearing a condom during sex will decrease your exposure to saliva or feces. For oral sex, using a condom or dental dam similarly provides a barrier. This is especially important for any anal contact.\u003c/li>\n\u003cli>\u003cstrong>Keep it quick:\u003c/strong> Minimizing the length of a sexual encounter is a harm reduction strategy in how it’s reducing the amount of time you’re potentially being exposed to the virus.\u003c/li>\n\u003cli>\u003cstrong>Consider things that \u003cem>don’t\u003c/em> exchange fluids:\u003c/strong> Mutual masturbation could be considered a harm reduction strategy, Cohen says. But don’t forget that if you’re simultaneously making out, “that could actually be \u003cem>higher\u003c/em> risk than a quick session of oral sex,” she says.\u003c/li>\n\u003c/ul>\n\u003cp>And remember: Don’t forget to practice the safe sex you usually would before the pandemic.\u003cb>\u003c/b>\u003c/p>\n\u003cp>\u003cb>\u003c/b>With all this in mind, we’ll say it again: right now, during the COVID-19 pandemic, \u003cem>there is no way\u003c/em> of having sex with someone outside your household that carries zero risk of transmitting or obtaining the virus.\u003c/p>\n\u003cp>“Everyone’s looking for a magic loophole,” acknowledges Julia Feldman, “and it doesn’t really exist.”\u003c/p>\n\u003cp>And here’s \u003cem>another\u003c/em> tricky thing. Even if you and your partner agree to abide by all of the above harm reduction strategies in the cold light of day, things can shift in the heat of the moment. Previously agreed-upon plans can fall apart when inhibitions are lowered and you’re turned on, especially if alcohol is involved — and in these circumstances “you’re less likely to use your prefrontal cortex to really analyze the risk involved in the situation,” Feldman stresses. “Especially if you haven’t had sex in a long time and you’re very excited to do it.”\u003c/p>\n\u003cp>So if you’re concerned that your safety boundaries might be in any way reduced or made negotiable during sex… back away, and prioritize your health.\u003c/p>\n\u003cfigure id=\"attachment_11828141\" class=\"wp-caption aligncenter\" style=\"max-width: 1900px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-11828141\" src=\"https://ww2.kqed.org/app/uploads/sites/10/2020/07/Couple-Nicholas-Swatz-Pexels.jpg\" alt=\"\" width=\"1900\" height=\"1280\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2020/07/Couple-Nicholas-Swatz-Pexels.jpg 1900w, https://cdn.kqed.org/wp-content/uploads/sites/10/2020/07/Couple-Nicholas-Swatz-Pexels-800x539.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2020/07/Couple-Nicholas-Swatz-Pexels-1020x687.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2020/07/Couple-Nicholas-Swatz-Pexels-160x108.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2020/07/Couple-Nicholas-Swatz-Pexels-1536x1035.jpg 1536w\" sizes=\"(max-width: 1900px) 100vw, 1900px\">\u003cfigcaption class=\"wp-caption-text\">There’s no way to have sex with someone outside your household that’s risk-free for COVID-19 right now. \u003ccite>(Nicholas Swatz/Pexels)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003ch4>OK… I had sex anyway. How long should I wait to get a COVID-19 test?\u003c/h4>\n\u003cp>If you aren’t sure whether your sexual partner had COVID-19, the best time to get tested for the coronavirus would be between five and 14 days after the encounter, says Stephanie Cohen.\u003c/p>\n\u003cp>That’s because the median average time from exposure to coronavirus symptom onset is five days — so testing any earlier than that might not yield an accurate result — but the incubation period (the amount of time you can be infected before showing symptoms) is \u003cem>up to\u003c/em> 14 days.\u003c/p>\n\u003ch4>Is isolating for 14 days between sexual partners a good idea?\u003c/h4>\n\u003cp>Here’s the idea: you have sex with someone, and then wait for 14 days to see if you develop symptoms of COVID-19. If you don’t, you’re good to move on to a new partner safe in the knowledge you don’t have the disease and aren’t passing it on — right?\u003c/p>\n\u003cp>Not quite.\u003c/p>\n\u003cp>“It’s a good strategy; it’s a harm reduction strategy,” Cohen says, but “it’s not a zero-risk strategy.” That’s because of the large numbers of people who get COVID-19 but never show any symptoms.\u003c/p>\n\u003ch4>What about sex with more than one person?\u003c/h4>\n\u003cp>Having multiple people that you have sex with is a definite risk factor for transmitting COVID-19. These kinds of overlapping sexual relationships with different people — going back and forth between people, basically — is called “concurrency” in the sexual health world, and it’s something experts say \u003cem>will\u003c/em> heighten your risk of spreading the disease.\u003c/p>\n\u003cp>“To minimize that concurrency,” Cohen says, “decrease the network size — which decreases the spread of coronavirus.” Basically, consider reducing the number of people you’re having sex with during the pandemic.\u003c/p>\n\u003cp>Where does that leave you if you practice polyamory, which is all about having multiple sexual relationships?\u003c/p>\n\u003cp>Nenna Joiner says that yes, some folks \u003cem>are\u003c/em> deciding to take a break from polyamorous intimacy during the pandemic owing to the heightened risks of having different partners right now. But other poly people are choosing to isolate together “as a poly family,” they say, and agreeing to only have sex “within that sphere of people.” Ultimately, it’s about finding the solution that works best for your health, and that of others.\u003c/p>\n\u003ch4>What about group sex?\u003c/h4>\n\u003cp>If group sex (having sex with multiple people at the \u003cem>same\u003c/em> time) was your thing before the pandemic, Stephanie Cohen has a message for you: “The fewer people, the better.”\u003c/p>\n\u003cp>That’s because with every additional person in a situation — social \u003cem>or\u003c/em> sexual — you’re adding a potential COVID-19 case, whether they know they have it or not. In a group sex situation, that person is then potentially transmitting the coronavirus to multiple people at one time — who could then go on to infect others, who then go on to… you get the picture.\u003c/p>\n\u003cp>If you do continue to choose group sex, New York City’s public health department \u003ca href=\"https://www1.nyc.gov/assets/doh/downloads/pdf/imm/covid-sex-guidance.pdf\">advises you\u003c/a> to “Go with a consistent sex partner” in such a situation, and “pick larger, more open, and well-ventilated spaces.”\u003c/p>\n\u003ch4>What about sex workers? How can they make it work right now?\u003c/h4>\n\u003cp>Is there a way to safely engage in sex work in the midst of a pandemic?\u003c/p>\n\u003cp>It’s “a profession that certainly carries risk,” Cohen stresses, due to the amount of close physical contact involved. In addition to the other strategies discussed here, some additional harm reduction strategies sex workers might consider are to limit the number of clients they see during the pandemic, to opt for a smaller circle of regular clients and “more spacing out in-between partners.”\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003ch1>\u003ca id=\"dating\">\u003c/a>Dating During the Pandemic\u003c/h1>\n\u003cfigure id=\"attachment_11825760\" class=\"wp-caption aligncenter\" style=\"max-width: 1920px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-11825760\" src=\"https://ww2.kqed.org/app/uploads/sites/10/2020/06/GettyImages-1214738423_1920x.jpg\" alt=\"\" width=\"1920\" height=\"1078\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2020/06/GettyImages-1214738423_1920x.jpg 1920w, https://cdn.kqed.org/wp-content/uploads/sites/10/2020/06/GettyImages-1214738423_1920x-160x90.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2020/06/GettyImages-1214738423_1920x-800x449.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2020/06/GettyImages-1214738423_1920x-1020x573.jpg 1020w\" sizes=\"(max-width: 1920px) 100vw, 1920px\">\u003cfigcaption class=\"wp-caption-text\">As shelter-in-place order ease, Bay Area residents will have to negotiate new boundaries around who they hang out with, and how. \u003ccite>(Photo by JOSH EDELSON/AFP via Getty Images)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003ch4>Who is ‘safe’ to date right now?\u003c/h4>\n\u003cp>As if finding a match with someone you’re emotional and physically compatible with in all the \u003cem>expected\u003c/em> ways wasn’t fraught enough — you now have the coronavirus risk compatibility to consider, too.\u003c/p>\n\u003cp>This is, Feldman admits, “a really unfortunate layer to add to dating.”\u003c/p>\n\u003cp>Get ready for some frank communication with partners, both current \u003cem>and\u003c/em> potential ones, about your circumstances and behaviors around contact with other people. How many people are they seeing, socially or sexually? How does their daily life look in terms of interactions with other people? Are they an essential worker? If so, what kind of traffic does their place of work experience?\u003c/p>\n\u003cp>In a nutshell, this is not the time for mystery — and in many ways, you’ll have to be your own contact tracer, says Nenna Joiner.\u003c/p>\n\u003ch4>How much do I need to talk about COVID-19 with potential partners?\u003c/h4>\n\u003cp>Open, honest communication about your health has never been more crucial than right now. And, as Julia Feldman notes, if you’re getting sexually intimate with somebody, you \u003cem>should\u003c/em> already be talking to that person about your health and sexual health status. COVID-19 is now another communicable disease for you and your sexual partner(s) to be discussing, without holding anything back. (Remember though: somebody can have the coronavirus and have zero symptoms. Just because somebody thinks they don’t have COVID-19 doesn’t mean they are \u003cem>definitely\u003c/em> COVID-19-free.)\u003c/p>\n\u003cp>Starting these conversations can feel tricky, especially with someone you barely know, so Feldman advises you initiate the conversation by leading with your \u003cem>own\u003c/em> experience — a time you were concerned you might have been at risk for contracting COVID-19, perhaps, or a recent decision to seek out a test for the disease. Leading with your own vulnerability, she says, can really open up a conversation without putting your prospective partner on the spot. You don’t want them to feel grilled, or accused. “That definitely doesn’t set the mood, and it doesn’t build trust,” Feldman says.\u003c/p>\n\u003cp>“Ultimately, at the end of the day, people are trying to figure out how to get all of their needs met as safely as possible,” reminds Feldman. “That’s a lot to navigate! This is brand new stuff. We are going to be messy.”\u003c/p>\n\u003cp>In being thoughtful though, don’t forget to acknowledge your own boundaries — and forget about anyone who \u003cem>doesn’t\u003c/em> respect them, especially during a pandemic.\u003c/p>\n\u003cp>Being an advocate for your own safety — and working to limit community transmission of the coronavirus — means not letting any potential partners pressure you into meeting up in person, or engaging in any sexual contact you don’t want to have.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "‘Ultimately, at the end of the day, people are trying to figure out how to get all of their needs met as safely as possible. That’s a lot to navigate!’",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003ch4>I live with other people. What do \u003cem>they\u003c/em> need to know about my dating and sex life?\u003c/h4>\n\u003cp>If you’re sharing your living situation with roommates or family, sorry: your business is now \u003cem>their\u003c/em> business, especially if their own health places them in a vulnerable category.\u003c/p>\n\u003cp>That means you should be as transparent as possible with the people you live with about your relationship(s), and the types of activities and the type of risks that you’re involved in, Feldman says.\u003c/p>\n\u003cp>The first step in navigating this should be talking with the person you’re dating or having sex with, to establish \u003cem>their\u003c/em> level of risk. You need to work out the potential COVID-19 risk their behavior and circumstances pose not just to you, but therefore to the people you cohabit with.\u003c/p>\n\u003cp>You should be prepared to discuss how you propose to minimize your roommates’ risk, whether that’s avoiding shared spaces in your home, relentless sanitizing of your living environment — or whether your cohabitees are prepared to \u003cem>not\u003c/em> do this and accept the heightened risk, and the potential consequences of that.\u003c/p>\n\u003cp>Basically, get used to communicating because “you need to have some very frank conversations about how you’re going to try to keep everyone safe, and prioritize \u003cem>everyone’s\u003c/em> health and well-being,” Feldman says. It’s \u003cem>that\u003c/em> big a deal that ultimately, Cohen says, your roommates or family “should have veto power in terms of you engaging in risky behavior and bringing it back to them.”\u003c/p>\n\u003ch1>\u003ca id=\"alts\">\u003c/a>Temporary Alternatives for Sex and Dating\u003c/h1>\n\u003cfigure id=\"attachment_11828122\" class=\"wp-caption aligncenter\" style=\"max-width: 1020px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-11828122\" src=\"https://ww2.kqed.org/app/uploads/sites/10/2020/07/NennaJoiner-1020x608-1.jpg\" alt=\"\" width=\"1020\" height=\"608\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2020/07/NennaJoiner-1020x608-1.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2020/07/NennaJoiner-1020x608-1-800x477.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2020/07/NennaJoiner-1020x608-1-160x95.jpg 160w\" sizes=\"(max-width: 1020px) 100vw, 1020px\">\u003cfigcaption class=\"wp-caption-text\">Nenna Joiner at Feelmore Adult Gallery in Oakland, which they founded in 2011. \u003ccite>(Pendarvis Harshaw/KQED)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003ch4>Is ‘distanced sex’ a thing?\u003c/h4>\n\u003cp>Totally, says Joiner: social distancing and forgoing physical touch does \u003cem>not\u003c/em> have to be a barrier to sexual intimacy. Sex toys which use Bluetooth connectivity can be used or worn by one partner and activated remotely by their partner from six feet or more away, without any physical contact. If you want to increase that distance, Joiner says you could use these kinds of toys in conjunction with phone sex, or voyeurism.\u003c/p>\n\u003cp>It might sound impersonal, but Joiner says distanced products actually require just as much effort and communication, if not more.\u003c/p>\n\u003cp>“You’ve got to turn on a person to make them feel confident and comfortable and warm like you’re there,” they say. (Joiner’s pro tip: If you’re purchasing this kind of remote toy for the first time, try it out solo first to really get to grips with it — and minimize any awkwardness when you come to use it with your partner.)\u003c/p>\n\u003ch4>I know I am ‘my own safest partner.’ How can I make the most of that?\u003c/h4>\n\u003cp>Nenna Joiner reminds that some people might actually welcome the break from active dating that COVID-19 enforces. Some people with anxiety can often find the machinery of dating — conversation, sex with someone new — stressful and anxiety-provoking. If that’s you, Joiner says to take advantage of this “buffer,” to get some respite. They also want to remind you that not everyone in the world is into self-pleasure — and if that’s you, that’s \u003cem>totally\u003c/em> fine.\u003c/p>\n\u003cp>If limiting your physical intimacy with others is something you’re committed to, you may be considering acquiring sex toys to concentrate on your personal pleasure instead. Joiner says many sex shops, including their own, offer online chat services, where you can consult with an expert about exactly what you’re looking for. Joiner says some of Feelmore’s live chats can get “crazy,” so don’t worry about being frank with the professionals. Online deliveries or courier services are also available in many stores, to enable you to maintain social distancing.\u003c/p>\n\u003cp>Joiner’s entry-level advice with your purchases: “Stay on the lower end (on price), figure your body out for yourself and \u003cem>then\u003c/em> progress from there.”\u003c/p>\n\u003ch4>What about taking everything online?\u003c/h4>\n\u003cp>If you decide to take your sex life fully online to eliminate any close contact or in-person elements, New York City’s public health experts advise that if you normally meet your sexual partners online (or make a living on the internet), “video dates, sexting, subscription-based fan platforms, sexy ‘Zoom parties’ or chat rooms may be options for you.”\u003c/p>\n\u003cp>If you choose this option, don’t forget to keep your environments clean in a way you would if someone else \u003cem>was\u003c/em> present, and disinfect any keyboards and touch screens you’re using that you share with other other people.\u003c/p>\n\u003cp>Also, don’t let the possibilities of the internet (and let’s face it, lockdown-induced frustrations) override your normal judgment around your online privacy and personal safety. Especially when it comes to sending nudes or other intimate material to someone you don’t know and trust.\u003c/p>\n\u003ch4>How can I ‘have’ intimacy if it’s not safe to touch someone right now?\u003c/h4>\n\u003cp>Don’t be deterred or dismayed by how new all this feels either, Joiner says. The pandemic means many of us have had to learn new ways of living in general, and these adaptations to our sexual lives are in many ways “an opportunity to create a new life sexually for ourselves as well,” they say.\u003c/p>\n\u003cp>Joiner believes that this might even be a spur to \u003cem>regain\u003c/em> intimacy for many people, because of the extra imagination and effort required. It’s a chance, they say, to make sure that you’re really focusing on your own emotional needs.\u003c/p>\n\u003cp>Julia Feldman advises that this is also a potential moment to redefine what intimacy means for \u003cem>you\u003c/em>, beyond mere physical touch: “We can’t say that intimacy is dead!” she says. “It just has to function slightly differently.”\u003c/p>\n\u003ch1>\u003ca id=\"cohabit\">\u003c/a>Advice for Cohabiting Couples\u003c/h1>\n\u003cfigure id=\"attachment_11826424\" class=\"wp-caption aligncenter\" style=\"max-width: 1920px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-11826424\" src=\"https://ww2.kqed.org/app/uploads/sites/10/2020/06/couple.jpg\" alt=\"\" width=\"1920\" height=\"1200\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2020/06/couple.jpg 1920w, https://cdn.kqed.org/wp-content/uploads/sites/10/2020/06/couple-800x500.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2020/06/couple-1020x638.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2020/06/couple-160x100.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2020/06/couple-1536x960.jpg 1536w\" sizes=\"(max-width: 1920px) 100vw, 1920px\">\u003cfigcaption class=\"wp-caption-text\">Cohabitating during a pandemic can present a whole new set of issues to tackle around sex. \u003ccite>(Retha Ferguson/Pexels)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003ch4>I \u003cem>live\u003c/em> with my partner but we’re not having much sex. Help!\u003c/h4>\n\u003cp>It’s not just single folks who aren’t \u003cem>necessarily\u003c/em> having the quantity or quality of physical contact they’d prefer during quarantine. For a couple who lives together, even a previously harmonious relationship can be severely tested by 24/7 cohabitation during COVID-19 — and result in a drop in intimacy.\u003c/p>\n\u003cp>It’s all about switching up your timing to reinvigorate a dynamic, Joiner says. They recommend taking separate breaks outside of your shared accommodation — like a solo lunch break at the park — but also occasionally meeting up in a fresh setting that’s not where you live together. Joiner recommends trying a joint picnic, or a driving date — shared experiences that “will actually lead you to have to know \u003cem>why\u003c/em> you’re in a relationship with your partner, and then to lead towards more intimacy, which leads to more sex.”\u003c/p>\n\u003cp>Don’t forget the power of dressing up slightly too, Joiner says, who warns against “the rut of seeing each other in certain clothes” (e.g. your work-from-home sweats.)\u003c/p>\n\u003cp>Even making a little effort for regular activities can go a long way, they say. “Like my partner: Yesterday we went to church online, and she puts on a dress. I’m like, ‘shit!'”\u003c/p>\n\u003ch4>My live-in partner is really bad at social distancing, and I’m worried to kiss or have sex with them. What can I do?\u003c/h4>\n\u003cp>If you’re covering your face in public and maintaining social distance, but your partner doesn’t, they’re not only heightening their own risk of contracting COVID-19 but bringing their risk home to you. How can you have that conversation in a way that makes change?\u003c/p>\n\u003cp>In a sense, this conversation is an extension of the dialogues you and your partner have already (hopefully!) had about trust and fidelity of all kinds within your relationship, and the things that matter to you, whether that’s strict monogamy or communication around other partnerships you may have. Agreeing to even be \u003cem>in\u003c/em> a relationship is about declaring an intent to care for that other person’s wellbeing and safety in certain regards, and any breach of that — like bringing home a risk of COVID-19 without discussion — represents a decision to disregard that agreement.\u003c/p>\n\u003cp>So if you’re in this situation, try explicitly framing this with your partner as a fidelity issue, Feldman recommends: “We made a commitment to protect each other through the good and bad, and right now this is pretty bad.”\u003c/p>\n\u003cp>She advises aiming to come to a reaffirmed agreement with your partner about “what level of risk you’re both willing to take on, and to really sign onto that.” Then, if there’s still a breach, you really need to talk about respect within your relationship, and whether you’re both really committed to each other.\u003c/p>\n\u003cp>When opening up these dialogues with your partner, Feldman also advises emphasizing that these are not “normal times,” and \u003cem>this is not forever\u003c/em>. These restrictions and limitations for which you’re advocating on the grounds of your shared health — and the trust in your relationship — are temporary. “You’re not saying your husband can never, for example, go play poker with the guys ever again, or whatever it is that he wants to do.”\u003c/p>\n\u003cp>\u003cem>If you still have questions about safe(r) sex and dating during the COVID-19 pandemic, submit them anonymously here — we may update this guide.\u003c/em>\u003c/p>\u003c/p>\u003cp>\u003cdiv class='utils-parseShortcode-shortcodes-__shortcodes__shortcodeWrapper'>\n \u003ciframe\n src='https://docs.google.com/forms/d/e/1FAIpQLSfORlnLyeRwi5X3h-SJ8SwhVxUbu0-wfpkL0sGfMxWFLl2gvw/viewform?embedded=true?embedded=true'\n title='https://docs.google.com/forms/d/e/1FAIpQLSfORlnLyeRwi5X3h-SJ8SwhVxUbu0-wfpkL0sGfMxWFLl2gvw/viewform?embedded=true'\n width='760' height='500'\n frameborder='0'\n marginheight='0' marginwidth='0'>\u003c/iframe>\u003c/div>\u003c/p>\u003cp>\u003cp>\u003c/p>\u003c/div>",
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"officialWebsiteLink": "/podcasts/closealltabs",
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"order": 1
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"id": "code-switch-life-kit",
"title": "Code Switch / Life Kit",
"info": "\u003cem>Code Switch\u003c/em>, which listeners will hear in the first part of the hour, has fearless and much-needed conversations about race. Hosted by journalists of color, the show tackles the subject of race head-on, exploring how it impacts every part of society — from politics and pop culture to history, sports and more.\u003cbr />\u003cbr />\u003cem>Life Kit\u003c/em>, which will be in the second part of the hour, guides you through spaces and feelings no one prepares you for — from finances to mental health, from workplace microaggressions to imposter syndrome, from relationships to parenting. The show features experts with real world experience and shares their knowledge. Because everyone needs a little help being human.\u003cbr />\u003cbr />\u003ca href=\"https://www.npr.org/podcasts/510312/codeswitch\">\u003cem>Code Switch\u003c/em> offical site and podcast\u003c/a>\u003cbr />\u003ca href=\"https://www.npr.org/lifekit\">\u003cem>Life Kit\u003c/em> offical site and podcast\u003c/a>\u003cbr />",
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"meta": {
"site": "radio",
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"link": "/radio/program/code-switch-life-kit",
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"google": "https://podcasts.google.com/feed/aHR0cHM6Ly93d3cubnByLm9yZy9yc3MvcG9kY2FzdC5waHA_aWQ9NTEwMzEy",
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"id": "commonwealth-club",
"title": "Commonwealth Club of California Podcast",
"info": "The Commonwealth Club of California is the nation's oldest and largest public affairs forum. As a non-partisan forum, The Club brings to the public airwaves diverse viewpoints on important topics. The Club's weekly radio broadcast - the oldest in the U.S., dating back to 1924 - is carried across the nation on public radio stations and is now podcasting. Our website archive features audio of our recent programs, as well as selected speeches from our long and distinguished history. This podcast feed is usually updated twice a week and is always un-edited.",
"airtime": "THU 10pm, FRI 1am",
"imageSrc": "https://cdn.kqed.org/wp-content/uploads/2024/04/Commonwealth-Club-Podcast-Tile-360x360-1.jpg",
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"meta": {
"site": "news",
"source": "Commonwealth Club of California"
},
"link": "/radio/program/commonwealth-club",
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"google": "https://podcasts.google.com/feed/aHR0cDovL3d3dy5jb21tb253ZWFsdGhjbHViLm9yZy9hdWRpby9wb2RjYXN0L3dlZWtseS54bWw",
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},
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"id": "forum",
"title": "Forum",
"tagline": "The conversation starts here",
"info": "KQED’s live call-in program discussing local, state, national and international issues, as well as in-depth interviews.",
"airtime": "MON-FRI 9am-11am, 10pm-11pm",
"imageSrc": "https://cdn.kqed.org/wp-content/uploads/2024/04/Forum-Podcast-Tile-703x703-1.jpg",
"imageAlt": "KQED Forum with Mina Kim and Alexis Madrigal",
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"source": "kqed",
"order": 9
},
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"google": "https://podcasts.google.com/feed/aHR0cHM6Ly9mZWVkcy5tZWdhcGhvbmUuZm0vS1FJTkM5NTU3MzgxNjMz",
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"freakonomics-radio": {
"id": "freakonomics-radio",
"title": "Freakonomics Radio",
"info": "Freakonomics Radio is a one-hour award-winning podcast and public-radio project hosted by Stephen Dubner, with co-author Steve Levitt as a regular guest. It is produced in partnership with WNYC.",
"imageSrc": "https://ww2.kqed.org/news/wp-content/uploads/sites/10/2018/05/freakonomicsRadio.png",
"officialWebsiteLink": "http://freakonomics.com/",
"airtime": "SUN 1am-2am, SAT 3pm-4pm",
"meta": {
"site": "radio",
"source": "WNYC"
},
"link": "/radio/program/freakonomics-radio",
"subscribe": {
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"apple": "https://itunes.apple.com/us/podcast/freakonomics-radio/id354668519",
"tuneIn": "https://tunein.com/podcasts/WNYC-Podcasts/Freakonomics-Radio-p272293/",
"rss": "https://feeds.feedburner.com/freakonomicsradio"
}
},
"fresh-air": {
"id": "fresh-air",
"title": "Fresh Air",
"info": "Hosted by Terry Gross, \u003cem>Fresh Air from WHYY\u003c/em> is the Peabody Award-winning weekday magazine of contemporary arts and issues. One of public radio's most popular programs, Fresh Air features intimate conversations with today's biggest luminaries.",
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"meta": {
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"link": "/radio/program/fresh-air",
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"apple": "https://itunes.apple.com/WebObjects/MZStore.woa/wa/viewPodcast?s=143441&mt=2&id=214089682&at=11l79Y&ct=nprdirectory",
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"rss": "https://feeds.npr.org/381444908/podcast.xml"
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"info": "A live production of NPR and WBUR Boston, in collaboration with stations across the country, Here & Now reflects the fluid world of news as it's happening in the middle of the day, with timely, in-depth news, interviews and conversation. Hosted by Robin Young, Jeremy Hobson and Tonya Mosley.",
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"rss": "https://feeds.npr.org/510051/podcast.xml"
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},
"hidden-brain": {
"id": "hidden-brain",
"title": "Hidden Brain",
"info": "Shankar Vedantam uses science and storytelling to reveal the unconscious patterns that drive human behavior, shape our choices and direct our relationships.",
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"officialWebsiteLink": "https://www.npr.org/series/423302056/hidden-brain",
"airtime": "SUN 7pm-8pm",
"meta": {
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"source": "NPR"
},
"link": "/radio/program/hidden-brain",
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},
"how-i-built-this": {
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"title": "How I Built This with Guy Raz",
"info": "Guy Raz dives into the stories behind some of the world's best known companies. How I Built This weaves a narrative journey about innovators, entrepreneurs and idealists—and the movements they built.",
"imageSrc": "https://ww2.kqed.org/news/wp-content/uploads/sites/10/2018/05/howIBuiltThis.png",
"officialWebsiteLink": "https://www.npr.org/podcasts/510313/how-i-built-this",
"airtime": "SUN 7:30pm-8pm",
"meta": {
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"source": "npr"
},
"link": "/radio/program/how-i-built-this",
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"npr": "https://rpb3r.app.goo.gl/3zxy",
"apple": "https://itunes.apple.com/us/podcast/how-i-built-this-with-guy-raz/id1150510297?mt=2",
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"hyphenacion": {
"id": "hyphenacion",
"title": "Hyphenación",
"tagline": "Where conversation and cultura meet",
"info": "What kind of no sabo word is Hyphenación? For us, it’s about living within a hyphenation. Like being a third-gen Mexican-American from the Texas border now living that Bay Area Chicano life. Like Xorje! Each week we bring together a couple of hyphenated Latinos to talk all about personal life choices: family, careers, relationships, belonging … everything is on the table. ",
"imageSrc": "https://cdn.kqed.org/wp-content/uploads/2025/03/Hyphenacion_FinalAssets_PodcastTile.png",
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"officialWebsiteLink": "/podcasts/hyphenacion",
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"order": 15
},
"link": "/podcasts/hyphenacion",
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"spotify": "https://open.spotify.com/show/2p3Fifq96nw9BPcmFdIq0o?si=39209f7b25774f38",
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},
"jerrybrown": {
"id": "jerrybrown",
"title": "The Political Mind of Jerry Brown",
"tagline": "Lessons from a lifetime in politics",
"info": "The Political Mind of Jerry Brown brings listeners the wisdom of the former Governor, Mayor, and presidential candidate. Scott Shafer interviewed Brown for more than 40 hours, covering the former governor's life and half-century in the political game – and Brown has some lessons he'd like to share. ",
"imageSrc": "https://cdn.kqed.org/wp-content/uploads/2024/04/The-Political-Mind-of-Jerry-Brown-Podcast-Tile-703x703-1.jpg",
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"officialWebsiteLink": "/podcasts/jerrybrown",
"meta": {
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"source": "kqed",
"order": 18
},
"link": "/podcasts/jerrybrown",
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"apple": "https://itunes.apple.com/us/podcast/id1492194549",
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}
},
"latino-usa": {
"id": "latino-usa",
"title": "Latino USA",
"airtime": "MON 1am-2am, SUN 6pm-7pm",
"info": "Latino USA, the radio journal of news and culture, is the only national, English-language radio program produced from a Latino perspective.",
"imageSrc": "https://ww2.kqed.org/radio/wp-content/uploads/sites/50/2018/04/latinoUsa.jpg",
"officialWebsiteLink": "http://latinousa.org/",
"meta": {
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},
"link": "/radio/program/latino-usa",
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"apple": "https://itunes.apple.com/WebObjects/MZStore.woa/wa/viewPodcast?s=143441&mt=2&id=79681317&at=11l79Y&ct=nprdirectory",
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"rss": "https://feeds.npr.org/510016/podcast.xml"
}
},
"marketplace": {
"id": "marketplace",
"title": "Marketplace",
"info": "Our flagship program, helmed by Kai Ryssdal, examines what the day in money delivered, through stories, conversations, newsworthy numbers and more. Updated Monday through Friday at about 3:30 p.m. PT.",
"airtime": "MON-FRI 4pm-4:30pm, MON-WED 6:30pm-7pm",
"imageSrc": "https://cdn.kqed.org/wp-content/uploads/2024/04/Marketplace-Podcast-Tile-360x360-1.jpg",
"officialWebsiteLink": "https://www.marketplace.org/",
"meta": {
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"source": "American Public Media"
},
"link": "/radio/program/marketplace",
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"rss": "https://feeds.publicradio.org/public_feeds/marketplace-pm/rss/rss"
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},
"masters-of-scale": {
"id": "masters-of-scale",
"title": "Masters of Scale",
"info": "Masters of Scale is an original podcast in which LinkedIn co-founder and Greylock Partner Reid Hoffman sets out to describe and prove theories that explain how great entrepreneurs take their companies from zero to a gazillion in ingenious fashion.",
"airtime": "Every other Wednesday June 12 through October 16 at 8pm (repeats Thursdays at 2am)",
"imageSrc": "https://cdn.kqed.org/wp-content/uploads/2024/04/Masters-of-Scale-Podcast-Tile-360x360-1.jpg",
"officialWebsiteLink": "https://mastersofscale.com/",
"meta": {
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"source": "WaitWhat"
},
"link": "/radio/program/masters-of-scale",
"subscribe": {
"apple": "http://mastersofscale.app.link/",
"rss": "https://rss.art19.com/masters-of-scale"
}
},
"mindshift": {
"id": "mindshift",
"title": "MindShift",
"tagline": "A podcast about the future of learning and how we raise our kids",
"info": "The MindShift podcast explores the innovations in education that are shaping how kids learn. Hosts Ki Sung and Katrina Schwartz introduce listeners to educators, researchers, parents and students who are developing effective ways to improve how kids learn. We cover topics like how fed-up administrators are developing surprising tactics to deal with classroom disruptions; how listening to podcasts are helping kids develop reading skills; the consequences of overparenting; and why interdisciplinary learning can engage students on all ends of the traditional achievement spectrum. This podcast is part of the MindShift education site, a division of KQED News. KQED is an NPR/PBS member station based in San Francisco. You can also visit the MindShift website for episodes and supplemental blog posts or tweet us \u003ca href=\"https://twitter.com/MindShiftKQED\">@MindShiftKQED\u003c/a> or visit us at \u003ca href=\"/mindshift\">MindShift.KQED.org\u003c/a>",
"imageSrc": "https://cdn.kqed.org/wp-content/uploads/2024/04/Mindshift-Podcast-Tile-703x703-1.jpg",
"imageAlt": "KQED MindShift: How We Will Learn",
"officialWebsiteLink": "/mindshift/",
"meta": {
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"source": "kqed",
"order": 12
},
"link": "/podcasts/mindshift",
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"apple": "https://podcasts.apple.com/us/podcast/mindshift-podcast/id1078765985",
"google": "https://podcasts.google.com/feed/aHR0cHM6Ly9mZWVkcy5tZWdhcGhvbmUuZm0vS1FJTkM1NzY0NjAwNDI5",
"npr": "https://www.npr.org/podcasts/464615685/mind-shift-podcast",
"stitcher": "https://www.stitcher.com/podcast/kqed/stories-teachers-share",
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}
},
"morning-edition": {
"id": "morning-edition",
"title": "Morning Edition",
"info": "\u003cem>Morning Edition\u003c/em> takes listeners around the country and the world with multi-faceted stories and commentaries every weekday. Hosts Steve Inskeep, David Greene and Rachel Martin bring you the latest breaking news and features to prepare you for the day.",
"airtime": "MON-FRI 3am-9am",
"imageSrc": "https://cdn.kqed.org/wp-content/uploads/2024/04/Morning-Edition-Podcast-Tile-360x360-1.jpg",
"officialWebsiteLink": "https://www.npr.org/programs/morning-edition/",
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"link": "/radio/program/morning-edition"
},
"onourwatch": {
"id": "onourwatch",
"title": "On Our Watch",
"tagline": "Deeply-reported investigative journalism",
"info": "For decades, the process for how police police themselves has been inconsistent – if not opaque. In some states, like California, these proceedings were completely hidden. After a new police transparency law unsealed scores of internal affairs files, our reporters set out to examine these cases and the shadow world of police discipline. On Our Watch brings listeners into the rooms where officers are questioned and witnesses are interrogated to find out who this system is really protecting. Is it the officers, or the public they've sworn to serve?",
"imageSrc": "https://cdn.kqed.org/wp-content/uploads/2024/04/On-Our-Watch-Podcast-Tile-703x703-1.jpg",
"imageAlt": "On Our Watch from NPR and KQED",
"officialWebsiteLink": "/podcasts/onourwatch",
"meta": {
"site": "news",
"source": "kqed",
"order": 11
},
"link": "/podcasts/onourwatch",
"subscribe": {
"apple": "https://podcasts.apple.com/podcast/id1567098962",
"google": "https://podcasts.google.com/feed/aHR0cHM6Ly9mZWVkcy5ucHIub3JnLzUxMDM2MC9wb2RjYXN0LnhtbD9zYz1nb29nbGVwb2RjYXN0cw",
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"stitcher": "https://www.stitcher.com/show/on-our-watch",
"rss": "https://feeds.npr.org/510360/podcast.xml"
}
},
"on-the-media": {
"id": "on-the-media",
"title": "On The Media",
"info": "Our weekly podcast explores how the media 'sausage' is made, casts an incisive eye on fluctuations in the marketplace of ideas, and examines threats to the freedom of information and expression in America and abroad. For one hour a week, the show tries to lift the veil from the process of \"making media,\" especially news media, because it's through that lens that we see the world and the world sees us",
"airtime": "SUN 2pm-3pm, MON 12am-1am",
"imageSrc": "https://ww2.kqed.org/radio/wp-content/uploads/sites/50/2018/04/onTheMedia.png",
"officialWebsiteLink": "https://www.wnycstudios.org/shows/otm",
"meta": {
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"source": "wnyc"
},
"link": "/radio/program/on-the-media",
"subscribe": {
"apple": "https://itunes.apple.com/us/podcast/on-the-media/id73330715?mt=2",
"tuneIn": "https://tunein.com/radio/On-the-Media-p69/",
"rss": "http://feeds.wnyc.org/onthemedia"
}
},
"pbs-newshour": {
"id": "pbs-newshour",
"title": "PBS NewsHour",
"info": "Analysis, background reports and updates from the PBS NewsHour putting today's news in context.",
"airtime": "MON-FRI 3pm-4pm",
"imageSrc": "https://cdn.kqed.org/wp-content/uploads/2024/04/PBS-News-Hour-Podcast-Tile-360x360-1.jpg",
"officialWebsiteLink": "https://www.pbs.org/newshour/",
"meta": {
"site": "news",
"source": "pbs"
},
"link": "/radio/program/pbs-newshour",
"subscribe": {
"apple": "https://itunes.apple.com/us/podcast/pbs-newshour-full-show/id394432287?mt=2",
"tuneIn": "https://tunein.com/radio/PBS-NewsHour---Full-Show-p425698/",
"rss": "https://www.pbs.org/newshour/feeds/rss/podcasts/show"
}
},
"perspectives": {
"id": "perspectives",
"title": "Perspectives",
"tagline": "KQED's series of daily listener commentaries since 1991",
"info": "KQED's series of daily listener commentaries since 1991.",
"imageSrc": "https://cdn.kqed.org/wp-content/uploads/2025/01/Perspectives_Tile_Final.jpg",
"imageAlt": "KQED Perspectives",
"officialWebsiteLink": "/perspectives/",
"meta": {
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"source": "kqed",
"order": 14
},
"link": "/perspectives",
"subscribe": {
"apple": "https://podcasts.apple.com/us/podcast/id73801135",
"npr": "https://www.npr.org/podcasts/432309616/perspectives",
"rss": "https://ww2.kqed.org/perspectives/category/perspectives/feed/",
"google": "https://podcasts.google.com/feed/aHR0cHM6Ly93dzIua3FlZC5vcmcvcGVyc3BlY3RpdmVzL2NhdGVnb3J5L3BlcnNwZWN0aXZlcy9mZWVkLw"
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},
"planet-money": {
"id": "planet-money",
"title": "Planet Money",
"info": "The economy explained. Imagine you could call up a friend and say, Meet me at the bar and tell me what's going on with the economy. Now imagine that's actually a fun evening.",
"airtime": "SUN 3pm-4pm",
"imageSrc": "https://ww2.kqed.org/radio/wp-content/uploads/sites/50/2018/04/planetmoney.jpg",
"officialWebsiteLink": "https://www.npr.org/sections/money/",
"meta": {
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"source": "npr"
},
"link": "/radio/program/planet-money",
"subscribe": {
"npr": "https://rpb3r.app.goo.gl/M4f5",
"apple": "https://itunes.apple.com/us/podcast/planet-money/id290783428?mt=2",
"tuneIn": "https://tunein.com/podcasts/Business--Economics-Podcasts/Planet-Money-p164680/",
"rss": "https://feeds.npr.org/510289/podcast.xml"
}
},
"politicalbreakdown": {
"id": "politicalbreakdown",
"title": "Political Breakdown",
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