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"content": "\u003cp>\u003ca href=\"https://www.kqed.org/news/tag/california\">California\u003c/a> political leaders are rallying behind a Sonoma County doctor at the center of an interstate abortion dispute.\u003c/p>\n\u003cp>Louisiana officials have charged physician Dr. Rémy Coeytaux, a physician in Healdsburg, with providing abortion medication to a woman in the Gulf Coast state, where the procedure is banned. Leaders there asked California to send him back to face charges — a request Gov. Gavin Newsom refused, citing California laws designed to shield abortion providers from out-of-state prosecution.\u003c/p>\n\u003cp>The case tests how far abortion bans can reach beyond state borders — and the strength of California’s telemedicine abortion shield law, passed in September 2023. It’s part of a broader clash that’s deepened since the Supreme Court overturned Roe v. Wade in 2022, leaving states to chart opposing paths on abortion.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>“Louisiana should be ashamed for attempting to drag this country backward by criminalizing health care and threatening doctors for doing their jobs,” East Bay Assemblymember Mia Bonta said in a statement.\u003c/p>\n\u003cp>Coeytaux has not been charged in California in connection with the Louisiana allegations. He declined an interview request. In a statement provided by his attorney, Nancy Northup — president and CEO of abortion rights group Center for Reproductive Rights — wrote: “These allegations are just that: allegations. As such, they are unproven and should not be reported as fact.”\u003c/p>\n\u003cfigure id=\"attachment_11983101\" class=\"wp-caption aligncenter\" style=\"max-width: 1760px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"wp-image-11983101 size-full\" src=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2024/04/abortion-pill-661e839c21f49.jpg\" alt=\"abortion pill\" width=\"1760\" height=\"1220\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2024/04/abortion-pill-661e839c21f49.jpg 1760w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/04/abortion-pill-661e839c21f49-800x555.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/04/abortion-pill-661e839c21f49-1020x707.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/04/abortion-pill-661e839c21f49-160x111.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/04/abortion-pill-661e839c21f49-1536x1065.jpg 1536w\" sizes=\"auto, (max-width: 1760px) 100vw, 1760px\">\u003cfigcaption class=\"wp-caption-text\">A combination pack of mifepristone (L) and misoprostol tablets, two medicines used together for abortions. \u003ccite>(Elisa Wells Plan C/AFP via Getty Images)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>Northup argued the case reflects a broader conflict between states that protect abortion access and those that ban it. Louisiana is “going after doctors for allegedly harming women” while enforcing an abortion ban that “puts women’s lives at risk every day,” she said.\u003c/p>\n\u003cp>Doctors stress that abortion pills are widely used and safe, including when provided via telehealth. Many patients seek medication by mail because abortion is banned where they live.[aside postID=news_12069825 hero='https://cdn.kqed.org/wp-content/uploads/sites/10/2025/11/GettyImages-2244069197_qed.jpg']Legal experts say the case could have sweeping implications. Since the U.S. Supreme Court overturned Roe v. Wade in 2022, states have taken sharply divergent approaches to abortion.\u003c/p>\n\u003cp>California has passed a series of laws aimed at protecting providers and patients from out-of-state civil and criminal actions tied to abortion care. Louisiana, meanwhile, has one of the nation’s strictest abortion bans.\u003c/p>\n\u003cp>“Louisiana is a state that denies women the right to control their own bodies,” said Assemblymember Chris Rogers, who represents Sonoma County. “We will not accept their attempt to control when and how our medical professionals choose to render care as well.”\u003c/p>\n\u003cp>Rogers said the state went further by publicly posting the doctor’s personal information, a move he described as punitive and potentially dangerous.\u003c/p>\n\u003cp>Whether states can enforce their abortion laws beyond their borders is likely to face further court challenges. For now, California officials say they will not assist other states in prosecuting doctors for care that is legal here.\u003c/p>\n\u003cp>\u003c/p>\n",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>“Louisiana should be ashamed for attempting to drag this country backward by criminalizing health care and threatening doctors for doing their jobs,” East Bay Assemblymember Mia Bonta said in a statement.\u003c/p>\n\u003cp>Coeytaux has not been charged in California in connection with the Louisiana allegations. He declined an interview request. In a statement provided by his attorney, Nancy Northup — president and CEO of abortion rights group Center for Reproductive Rights — wrote: “These allegations are just that: allegations. As such, they are unproven and should not be reported as fact.”\u003c/p>\n\u003cfigure id=\"attachment_11983101\" class=\"wp-caption aligncenter\" style=\"max-width: 1760px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"wp-image-11983101 size-full\" src=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2024/04/abortion-pill-661e839c21f49.jpg\" alt=\"abortion pill\" width=\"1760\" height=\"1220\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2024/04/abortion-pill-661e839c21f49.jpg 1760w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/04/abortion-pill-661e839c21f49-800x555.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/04/abortion-pill-661e839c21f49-1020x707.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/04/abortion-pill-661e839c21f49-160x111.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/04/abortion-pill-661e839c21f49-1536x1065.jpg 1536w\" sizes=\"auto, (max-width: 1760px) 100vw, 1760px\">\u003cfigcaption class=\"wp-caption-text\">A combination pack of mifepristone (L) and misoprostol tablets, two medicines used together for abortions. \u003ccite>(Elisa Wells Plan C/AFP via Getty Images)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>Northup argued the case reflects a broader conflict between states that protect abortion access and those that ban it. Louisiana is “going after doctors for allegedly harming women” while enforcing an abortion ban that “puts women’s lives at risk every day,” she said.\u003c/p>\n\u003cp>Doctors stress that abortion pills are widely used and safe, including when provided via telehealth. Many patients seek medication by mail because abortion is banned where they live.\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>Legal experts say the case could have sweeping implications. Since the U.S. Supreme Court overturned Roe v. Wade in 2022, states have taken sharply divergent approaches to abortion.\u003c/p>\n\u003cp>California has passed a series of laws aimed at protecting providers and patients from out-of-state civil and criminal actions tied to abortion care. Louisiana, meanwhile, has one of the nation’s strictest abortion bans.\u003c/p>\n\u003cp>“Louisiana is a state that denies women the right to control their own bodies,” said Assemblymember Chris Rogers, who represents Sonoma County. “We will not accept their attempt to control when and how our medical professionals choose to render care as well.”\u003c/p>\n\u003cp>Rogers said the state went further by publicly posting the doctor’s personal information, a move he described as punitive and potentially dangerous.\u003c/p>\n\u003cp>Whether states can enforce their abortion laws beyond their borders is likely to face further court challenges. For now, California officials say they will not assist other states in prosecuting doctors for care that is legal here.\u003c/p>\n\u003cp>\u003c/p>\n\u003c/div>\u003c/p>",
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"slug": "as-california-silicosis-cases-rise-engineered-stone-industry-seeks-immunity-in-dc",
"title": "As California Silicosis Cases Rise, Engineered Stone Industry Seeks Immunity in DC",
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"content": "\u003cp>Facing \u003ca href=\"https://www.kqed.org/news/12064693/california-doctors-urge-ban-on-engineered-stone-as-silicosis-cases-surge\">hundreds of lawsuits by sick workers\u003c/a> in California, a major U.S. artificial stone manufacturer and other industry representatives testified in support of a bill in Congress that would immunize their companies from liability during a Republican-led hearing on Wednesday.\u003c/p>\n\u003cp>Artificial stone is linked to an aggressive form of an incurable lung disease diagnosed in more than 480 California stonecutters who inhaled toxic silica dust released when slicing and polishing the popular kitchen countertop material. Dozens have undergone lung transplants and 27 people have died from silicosis since 2019, according to \u003ca href=\"https://www.cdph.ca.gov/Programs/CCDPHP/DEODC/OHB/Pages/essdashboard.aspx\">state health authorities\u003c/a>. Reported cases nationwide are expected to surge as awareness and surveillance increase.\u003c/p>\n\u003cp>\u003ca href=\"https://www.congress.gov/bill/119th-congress/house-bill/5437/text\">H.R. 5437\u003c/a>, introduced by Republican Rep. Tom McClintock last September, would prohibit civil lawsuits against stone slab manufacturers or sellers for harm resulting from the alteration of their products, such as to make kitchen and bathroom countertops and other construction surfaces. The bill would also dismiss hundreds of pending lawsuits.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>Industry representatives, led by Minnesota-based Cambria, told lawmakers they are being unfairly targeted for damages they attribute to downstream employers at countertop fabrication shops that fail to follow required worker protections.\u003c/p>\n\u003cp>“Rather than hold the bad actors accountable, the lawsuits are being filed against dozens of innocent stone slab manufacturers,” Rebecca Schult, Cambria’s chief legal officer, said. “The wrong parties are being sued, and the lawsuits are overwhelming good companies throughout our industry.”\u003c/p>\n\u003cp>Republican members of the House Judiciary subcommittee seemed sympathetic to the companies’ plight. They denounced job safety regulators for insufficient enforcement and focused many of their questions on the impacts of mounting litigation and insurance costs for businesses, which jeopardize industry jobs.\u003c/p>\n\u003cfigure id=\"attachment_12033047\" class=\"wp-caption aligncenter\" style=\"max-width: 1999px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-12033047\" src=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2025/03/231017-StonecutterSilicosis-002-BL_qed.jpg\" alt=\"\" width=\"1999\" height=\"1333\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2025/03/231017-StonecutterSilicosis-002-BL_qed.jpg 1999w, https://cdn.kqed.org/wp-content/uploads/sites/10/2025/03/231017-StonecutterSilicosis-002-BL_qed-800x533.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2025/03/231017-StonecutterSilicosis-002-BL_qed-1020x680.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2025/03/231017-StonecutterSilicosis-002-BL_qed-160x107.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2025/03/231017-StonecutterSilicosis-002-BL_qed-1536x1024.jpg 1536w, https://cdn.kqed.org/wp-content/uploads/sites/10/2025/03/231017-StonecutterSilicosis-002-BL_qed-1920x1280.jpg 1920w\" sizes=\"auto, (max-width: 1999px) 100vw, 1999px\">\u003cfigcaption class=\"wp-caption-text\">A stone fabricator places his hand on a table that he cut at his home in San Francisco on Oct. 17, 2023. \u003ccite>(Beth LaBerge/KQED)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>Gary Talwar, vice president of Natural Stone Resources, said the Los Angeles area distribution company his family owns faces 65 silica lawsuits and higher insurance premiums. Many small operations are struggling to keep their doors open as well, he added.\u003c/p>\n\u003cp>“As far as a small business, I bring product in, I put it in a warehouse, and I ship it out. Once it leaves my warehouse, I don’t know who cuts it, how they cut it, or what happens,” Talwar said. “There’s hundreds of, maybe thousands of companies across the country, just like myself, that are being hammered with lawsuits. We’re fighting for our lives, and we can’t afford it anymore.”\u003c/p>\n\u003cp>During the two-hour hearing, Democrats slammed H.R. 5437 as a proposal seeking special treatment for artificial stone manufacturers and distributors and preventing injured workers from accessing justice in court.\u003c/p>\n\u003cp>“Congress would make a millionaire CEO’s problems go away just like that, while the workers who cut, grind, polish, and install this dangerous product struggle to make ends meet, struggle to stay alive,” said Rep. Hank Johnson, a Georgia Democrat, referring to Cambria’s CEO, Marty Davis, whose campaign donations have benefitted President Donald Trump and GOP candidates.[aside postID=news_12066901 hero='https://cdn.kqed.org/wp-content/uploads/sites/10/2025/11/251115-DEADLY-LUNG-DISEASE-MD-04-KQED-2.jpg']Artificial stone, also known as engineered stone or quartz, can contain more than 90% crystalline silica. Resins and other chemicals added to the factory-made slabs contribute to making engineered stone dust \u003ca href=\"https://www.kqed.org/news/12067166/health-emergency-california-doctors-urge-ban-of-countertop-material-linked-to-deadly-disease\">more dangerous than dust from natural stones\u003c/a> such as granite or marble, according to doctors.\u003c/p>\n\u003cp>Cambria faces 400 lawsuits from stoneworkers for silica-related injuries, most of them in California, Schult said. Other major manufacturers facing lawsuits, such as Israel-based Caesarstone and Cosentino, headquartered in Spain, have developed low or no-crystalline silica alternatives. But Cambria, which owns a quartz mine that supplies its high-silica products, has not.\u003c/p>\n\u003cp>Maryland Rep. Jamie Raskin said the courts should determine whether manufacturers have any responsibility for the impact of their products on stoneworkers. In one of the two cases against Cambria and other manufacturers that went to trial, the company was found \u003ca href=\"https://www.latimes.com/california/story/2024-08-07/jury-finds-stone-companies-at-fault-in-suit-by-countertop-cutter-with-silicosis\">partially liable\u003c/a> in a $52.4 million verdict for failing to adequately warn of the hazards. Cambria appealed the jury decision. In a separate case, a jury ruled in favor of the defendant manufacturers, a decision that is also on appeal.\u003c/p>\n\u003cp>“You are looking for categorical absolute immunity in all of these cases,” Raskin said in a testy exchange with Schult. “On your definition, there’s no defect on the product, right? So how could you ever be held liable?”\u003c/p>\n\u003cp>Cambria has emerged as a vocal opponent of a \u003ca href=\"https://www.kqed.org/news/12067166/health-emergency-california-doctors-urge-ban-of-countertop-material-linked-to-deadly-disease\">doctor’s petition\u003c/a> last month asking California to ban cutting and polishing of artificial stone. The Western Occupational and Environmental Medicine Association said such a ban would encourage the \u003ca href=\"https://www.dir.ca.gov/oshsb/documents/petition-609.pdf\">use of safer substitutes\u003c/a> developed by some manufacturers for the Australian market. That country was the world’s first to prohibit the sale and use of high-silica artificial stone in 2024.\u003c/p>\n\u003cp>Schult said Cambria’s own fabrication shops have cut artificial stone safely for more than 20 years, without a single silicosis case. A Cambria safety video played at the start of the hearing showed state-of-the-art facilities that use robotic machines to cut slabs in glass-enclosed areas. The company told KQED that Cambria’s fabrication practices include the use of handheld devices, but declined to specify how many of its cutting tasks are done by the robotic machines.\u003c/p>\n\u003cfigure id=\"attachment_12067172\" class=\"wp-caption aligncenter\" style=\"max-width: 2000px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-12067172\" src=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2025/12/StoneworkerGetty1.jpg\" alt=\"\" width=\"2000\" height=\"1334\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2025/12/StoneworkerGetty1.jpg 2000w, https://cdn.kqed.org/wp-content/uploads/sites/10/2025/12/StoneworkerGetty1-160x107.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2025/12/StoneworkerGetty1-1536x1025.jpg 1536w\" sizes=\"auto, (max-width: 2000px) 100vw, 2000px\">\u003cfigcaption class=\"wp-caption-text\">A stone countertop fabricator wears a mask to help protect against airborne particles, which can contribute to silicosis, at a shop on Oct. 31, 2023, in Sun Valley, California. \u003ccite>(Brian van der Brug/Los Angeles Times via Getty Images)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>Some silicosis experts and employers doubt the sophisticated and expensive measures needed to safely handle engineered stone are feasible or affordable for most fabrication shops, which are typically small businesses with fewer than 10 employees.\u003c/p>\n\u003cp>Cal/OSHA inspectors have found that about 95% of the fabrication operations they’ve visited were not following all of the state’s safety rules. California’s regulations, the nation’s strictest, require artificial stone to be cut or polished with machines that cover the material’s surface in water to suppress dust. Employers must also provide workers with sophisticated respirators that can cost more than $1,000 each, and a ventilation system to clean the air.\u003c/p>\n\u003cp>James Nevin, an attorney at Brayton Purcell LLP representing hundreds of stonecutters, said that workers are contracting silicosis in even the most sophisticated fabrication facilities.\u003c/p>\n\u003cp>“This epidemic starts and stops with crystalline silica artificial stone. It is entirely the uniquely toxic product that is the problem, not ‘a few bad actors’ in the countertop fabrication process,” Nevin told KQED in a statement.\u003c/p>\n\u003cp>Nearly all of the sick stoneworkers in California are Latino men, many of them undocumented immigrants. McClintock, whose district includes parts of California’s Central Valley, said fabrication shops that violate worker protections undercut law-abiding competitors while regulators fail to enforce existing rules.\u003c/p>\n\u003cfigure id=\"attachment_12064718\" class=\"wp-caption aligncenter\" style=\"max-width: 2000px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"wp-image-12064718 size-full\" src=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2025/11/251119-Miners-Lung-silicosis-01-KQED.jpg\" alt=\"\" width=\"2000\" height=\"1500\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2025/11/251119-Miners-Lung-silicosis-01-KQED.jpg 2000w, https://cdn.kqed.org/wp-content/uploads/sites/10/2025/11/251119-Miners-Lung-silicosis-01-KQED-160x120.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2025/11/251119-Miners-Lung-silicosis-01-KQED-1536x1152.jpg 1536w\" sizes=\"auto, (max-width: 2000px) 100vw, 2000px\">\u003cfigcaption class=\"wp-caption-text\">A photo of a pair of lungs with silicosis used in a Cal/OSHA presentation slide about the disease, and rising numbers of cases in California, at a public meeting on Nov. 13, 2025. \u003ccite>(Courtesy of Museomed via Wikimedia Commons)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>“It appears they’re just turning a blind eye to law-breaking by sweatshops that are breaking our immigration laws, labor, health and safety laws, exposing their employees to the dust that causes silicosis,” McClintock told Schult. “And it appears that instead of enforcing the law against these illegal practices, the Democrats prefer to drive you out of business.”\u003c/p>\n\u003cp>California is not the only state facing a growing silicosis problem. Dozens of additional cases have been identified in Washington, Utah, Colorado, Illinois, Massachusetts and other states where engineered stone is being cut. David Michaels, a former assistant secretary at the Occupational Safety and Health Administration, believes thousands more silicosis cases across the country have not been reported.\u003c/p>\n\u003cp>“Lawsuits play an important role in public health protection. If lawsuits by workers with silicosis are prohibited, these manufacturers will make no effort to prevent more workers from dying or becoming disabled by silicosis,” Michaels, an epidemiologist and professor at the George Washington University Milken Institute School of Public Health, said.\u003c/p>\n\u003cp>“We shouldn’t be discussing immunity from litigation. We should be discussing banning this product to make it safe for workers, and that would protect the manufacturers and the distributors as well,” he added. “We should not allow the carnage to continue.”\u003c/p>\n\u003cp>On Wednesday, fabrication workers not yet diagnosed with silicosis sued Cambria and other major manufacturers and distributors in federal court in San Francisco, seeking to require the companies to pay for medical monitoring for all California workers exposed to artificial stone dust.\u003c/p>\n\u003cp>[ad floatright]\u003c/p>\n",
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"excerpt": "Artificial stone manufacturers, facing hundreds of silicosis lawsuits in California, urged lawmakers in Washington, D.C., to pass a bill shielding the industry from liability as cases rise nationwide among countertop fabrication workers.",
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"title": "As California Silicosis Cases Rise, Engineered Stone Industry Seeks Immunity in DC | KQED",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>Facing \u003ca href=\"https://www.kqed.org/news/12064693/california-doctors-urge-ban-on-engineered-stone-as-silicosis-cases-surge\">hundreds of lawsuits by sick workers\u003c/a> in California, a major U.S. artificial stone manufacturer and other industry representatives testified in support of a bill in Congress that would immunize their companies from liability during a Republican-led hearing on Wednesday.\u003c/p>\n\u003cp>Artificial stone is linked to an aggressive form of an incurable lung disease diagnosed in more than 480 California stonecutters who inhaled toxic silica dust released when slicing and polishing the popular kitchen countertop material. Dozens have undergone lung transplants and 27 people have died from silicosis since 2019, according to \u003ca href=\"https://www.cdph.ca.gov/Programs/CCDPHP/DEODC/OHB/Pages/essdashboard.aspx\">state health authorities\u003c/a>. Reported cases nationwide are expected to surge as awareness and surveillance increase.\u003c/p>\n\u003cp>\u003ca href=\"https://www.congress.gov/bill/119th-congress/house-bill/5437/text\">H.R. 5437\u003c/a>, introduced by Republican Rep. Tom McClintock last September, would prohibit civil lawsuits against stone slab manufacturers or sellers for harm resulting from the alteration of their products, such as to make kitchen and bathroom countertops and other construction surfaces. The bill would also dismiss hundreds of pending lawsuits.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>Industry representatives, led by Minnesota-based Cambria, told lawmakers they are being unfairly targeted for damages they attribute to downstream employers at countertop fabrication shops that fail to follow required worker protections.\u003c/p>\n\u003cp>“Rather than hold the bad actors accountable, the lawsuits are being filed against dozens of innocent stone slab manufacturers,” Rebecca Schult, Cambria’s chief legal officer, said. “The wrong parties are being sued, and the lawsuits are overwhelming good companies throughout our industry.”\u003c/p>\n\u003cp>Republican members of the House Judiciary subcommittee seemed sympathetic to the companies’ plight. They denounced job safety regulators for insufficient enforcement and focused many of their questions on the impacts of mounting litigation and insurance costs for businesses, which jeopardize industry jobs.\u003c/p>\n\u003cfigure id=\"attachment_12033047\" class=\"wp-caption aligncenter\" style=\"max-width: 1999px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-12033047\" src=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2025/03/231017-StonecutterSilicosis-002-BL_qed.jpg\" alt=\"\" width=\"1999\" height=\"1333\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2025/03/231017-StonecutterSilicosis-002-BL_qed.jpg 1999w, https://cdn.kqed.org/wp-content/uploads/sites/10/2025/03/231017-StonecutterSilicosis-002-BL_qed-800x533.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2025/03/231017-StonecutterSilicosis-002-BL_qed-1020x680.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2025/03/231017-StonecutterSilicosis-002-BL_qed-160x107.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2025/03/231017-StonecutterSilicosis-002-BL_qed-1536x1024.jpg 1536w, https://cdn.kqed.org/wp-content/uploads/sites/10/2025/03/231017-StonecutterSilicosis-002-BL_qed-1920x1280.jpg 1920w\" sizes=\"auto, (max-width: 1999px) 100vw, 1999px\">\u003cfigcaption class=\"wp-caption-text\">A stone fabricator places his hand on a table that he cut at his home in San Francisco on Oct. 17, 2023. \u003ccite>(Beth LaBerge/KQED)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>Gary Talwar, vice president of Natural Stone Resources, said the Los Angeles area distribution company his family owns faces 65 silica lawsuits and higher insurance premiums. Many small operations are struggling to keep their doors open as well, he added.\u003c/p>\n\u003cp>“As far as a small business, I bring product in, I put it in a warehouse, and I ship it out. Once it leaves my warehouse, I don’t know who cuts it, how they cut it, or what happens,” Talwar said. “There’s hundreds of, maybe thousands of companies across the country, just like myself, that are being hammered with lawsuits. We’re fighting for our lives, and we can’t afford it anymore.”\u003c/p>\n\u003cp>During the two-hour hearing, Democrats slammed H.R. 5437 as a proposal seeking special treatment for artificial stone manufacturers and distributors and preventing injured workers from accessing justice in court.\u003c/p>\n\u003cp>“Congress would make a millionaire CEO’s problems go away just like that, while the workers who cut, grind, polish, and install this dangerous product struggle to make ends meet, struggle to stay alive,” said Rep. Hank Johnson, a Georgia Democrat, referring to Cambria’s CEO, Marty Davis, whose campaign donations have benefitted President Donald Trump and GOP candidates.\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>Artificial stone, also known as engineered stone or quartz, can contain more than 90% crystalline silica. Resins and other chemicals added to the factory-made slabs contribute to making engineered stone dust \u003ca href=\"https://www.kqed.org/news/12067166/health-emergency-california-doctors-urge-ban-of-countertop-material-linked-to-deadly-disease\">more dangerous than dust from natural stones\u003c/a> such as granite or marble, according to doctors.\u003c/p>\n\u003cp>Cambria faces 400 lawsuits from stoneworkers for silica-related injuries, most of them in California, Schult said. Other major manufacturers facing lawsuits, such as Israel-based Caesarstone and Cosentino, headquartered in Spain, have developed low or no-crystalline silica alternatives. But Cambria, which owns a quartz mine that supplies its high-silica products, has not.\u003c/p>\n\u003cp>Maryland Rep. Jamie Raskin said the courts should determine whether manufacturers have any responsibility for the impact of their products on stoneworkers. In one of the two cases against Cambria and other manufacturers that went to trial, the company was found \u003ca href=\"https://www.latimes.com/california/story/2024-08-07/jury-finds-stone-companies-at-fault-in-suit-by-countertop-cutter-with-silicosis\">partially liable\u003c/a> in a $52.4 million verdict for failing to adequately warn of the hazards. Cambria appealed the jury decision. In a separate case, a jury ruled in favor of the defendant manufacturers, a decision that is also on appeal.\u003c/p>\n\u003cp>“You are looking for categorical absolute immunity in all of these cases,” Raskin said in a testy exchange with Schult. “On your definition, there’s no defect on the product, right? So how could you ever be held liable?”\u003c/p>\n\u003cp>Cambria has emerged as a vocal opponent of a \u003ca href=\"https://www.kqed.org/news/12067166/health-emergency-california-doctors-urge-ban-of-countertop-material-linked-to-deadly-disease\">doctor’s petition\u003c/a> last month asking California to ban cutting and polishing of artificial stone. The Western Occupational and Environmental Medicine Association said such a ban would encourage the \u003ca href=\"https://www.dir.ca.gov/oshsb/documents/petition-609.pdf\">use of safer substitutes\u003c/a> developed by some manufacturers for the Australian market. That country was the world’s first to prohibit the sale and use of high-silica artificial stone in 2024.\u003c/p>\n\u003cp>Schult said Cambria’s own fabrication shops have cut artificial stone safely for more than 20 years, without a single silicosis case. A Cambria safety video played at the start of the hearing showed state-of-the-art facilities that use robotic machines to cut slabs in glass-enclosed areas. The company told KQED that Cambria’s fabrication practices include the use of handheld devices, but declined to specify how many of its cutting tasks are done by the robotic machines.\u003c/p>\n\u003cfigure id=\"attachment_12067172\" class=\"wp-caption aligncenter\" style=\"max-width: 2000px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-12067172\" src=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2025/12/StoneworkerGetty1.jpg\" alt=\"\" width=\"2000\" height=\"1334\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2025/12/StoneworkerGetty1.jpg 2000w, https://cdn.kqed.org/wp-content/uploads/sites/10/2025/12/StoneworkerGetty1-160x107.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2025/12/StoneworkerGetty1-1536x1025.jpg 1536w\" sizes=\"auto, (max-width: 2000px) 100vw, 2000px\">\u003cfigcaption class=\"wp-caption-text\">A stone countertop fabricator wears a mask to help protect against airborne particles, which can contribute to silicosis, at a shop on Oct. 31, 2023, in Sun Valley, California. \u003ccite>(Brian van der Brug/Los Angeles Times via Getty Images)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>Some silicosis experts and employers doubt the sophisticated and expensive measures needed to safely handle engineered stone are feasible or affordable for most fabrication shops, which are typically small businesses with fewer than 10 employees.\u003c/p>\n\u003cp>Cal/OSHA inspectors have found that about 95% of the fabrication operations they’ve visited were not following all of the state’s safety rules. California’s regulations, the nation’s strictest, require artificial stone to be cut or polished with machines that cover the material’s surface in water to suppress dust. Employers must also provide workers with sophisticated respirators that can cost more than $1,000 each, and a ventilation system to clean the air.\u003c/p>\n\u003cp>James Nevin, an attorney at Brayton Purcell LLP representing hundreds of stonecutters, said that workers are contracting silicosis in even the most sophisticated fabrication facilities.\u003c/p>\n\u003cp>“This epidemic starts and stops with crystalline silica artificial stone. It is entirely the uniquely toxic product that is the problem, not ‘a few bad actors’ in the countertop fabrication process,” Nevin told KQED in a statement.\u003c/p>\n\u003cp>Nearly all of the sick stoneworkers in California are Latino men, many of them undocumented immigrants. McClintock, whose district includes parts of California’s Central Valley, said fabrication shops that violate worker protections undercut law-abiding competitors while regulators fail to enforce existing rules.\u003c/p>\n\u003cfigure id=\"attachment_12064718\" class=\"wp-caption aligncenter\" style=\"max-width: 2000px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"wp-image-12064718 size-full\" src=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2025/11/251119-Miners-Lung-silicosis-01-KQED.jpg\" alt=\"\" width=\"2000\" height=\"1500\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2025/11/251119-Miners-Lung-silicosis-01-KQED.jpg 2000w, https://cdn.kqed.org/wp-content/uploads/sites/10/2025/11/251119-Miners-Lung-silicosis-01-KQED-160x120.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2025/11/251119-Miners-Lung-silicosis-01-KQED-1536x1152.jpg 1536w\" sizes=\"auto, (max-width: 2000px) 100vw, 2000px\">\u003cfigcaption class=\"wp-caption-text\">A photo of a pair of lungs with silicosis used in a Cal/OSHA presentation slide about the disease, and rising numbers of cases in California, at a public meeting on Nov. 13, 2025. \u003ccite>(Courtesy of Museomed via Wikimedia Commons)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>“It appears they’re just turning a blind eye to law-breaking by sweatshops that are breaking our immigration laws, labor, health and safety laws, exposing their employees to the dust that causes silicosis,” McClintock told Schult. “And it appears that instead of enforcing the law against these illegal practices, the Democrats prefer to drive you out of business.”\u003c/p>\n\u003cp>California is not the only state facing a growing silicosis problem. Dozens of additional cases have been identified in Washington, Utah, Colorado, Illinois, Massachusetts and other states where engineered stone is being cut. David Michaels, a former assistant secretary at the Occupational Safety and Health Administration, believes thousands more silicosis cases across the country have not been reported.\u003c/p>\n\u003cp>“Lawsuits play an important role in public health protection. If lawsuits by workers with silicosis are prohibited, these manufacturers will make no effort to prevent more workers from dying or becoming disabled by silicosis,” Michaels, an epidemiologist and professor at the George Washington University Milken Institute School of Public Health, said.\u003c/p>\n\u003cp>“We shouldn’t be discussing immunity from litigation. We should be discussing banning this product to make it safe for workers, and that would protect the manufacturers and the distributors as well,” he added. “We should not allow the carnage to continue.”\u003c/p>\n\u003cp>On Wednesday, fabrication workers not yet diagnosed with silicosis sued Cambria and other major manufacturers and distributors in federal court in San Francisco, seeking to require the companies to pay for medical monitoring for all California workers exposed to artificial stone dust.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"slug": "trump-eliminates-157-jobs-at-the-san-francisco-veterans-affairs-medical-center",
"title": "Trump Eliminates 157 Jobs at the San Francisco Veterans Affairs Medical Center",
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"headTitle": "Trump Eliminates 157 Jobs at the San Francisco Veterans Affairs Medical Center | KQED",
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"content": "\u003cp>The \u003ca href=\"https://www.kqed.org/news/tag/donald-trump\">Trump\u003c/a> administration has cut over 157 open roles at the \u003ca href=\"https://www.kqed.org/news/tag/san-francisco\">San Francisco\u003c/a> Veterans Affairs Medical Center and outpatient clinics across the Bay Area.\u003c/p>\n\u003cp>That’s according to the Federal Unionists Network, an association of federal workers, who say these jobs are critical. The SFVAMC employs physicians, nurses, social workers, psychologists and other healthcare professionals.\u003c/p>\n\u003cp>Frontline VA workers, veterans and union representatives from the National Federation of Federal Employees held a rally outside the Medical Center at 4150 Clement St. in San Francisco on Wednesday afternoon to protest the cuts.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>They warned that cuts will weaken the VA health care system by translating into higher strain on the medical center in the form of “longer wait times, heavier patient loads, reduced services and increased safety risks for the veterans who rely on the VA for care”.\u003c/p>\n\u003cp>Mark Smith, an occupational therapist and the NFFE Local 1 Union president, said the positions lost include peer support specialists — veterans hired to support fellow veterans’ access to mental health treatment — as well as psychologists, therapists and nurses.\u003c/p>\n\u003cfigure id=\"attachment_12069822\" class=\"wp-caption aligncenter\" style=\"max-width: 2000px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-12069822\" src=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2026/01/011426_SF-VA-CUTS-_GH_003-KQED.jpg\" alt=\"\" width=\"2000\" height=\"1333\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2026/01/011426_SF-VA-CUTS-_GH_003-KQED.jpg 2000w, https://cdn.kqed.org/wp-content/uploads/sites/10/2026/01/011426_SF-VA-CUTS-_GH_003-KQED-160x107.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2026/01/011426_SF-VA-CUTS-_GH_003-KQED-1536x1024.jpg 1536w\" sizes=\"auto, (max-width: 2000px) 100vw, 2000px\">\u003cfigcaption class=\"wp-caption-text\">Suzanne Gordon, an award-winning journalist and co-founder of the Veterans Healthcare Policy Institute, speaks during a rally opposing proposed staffing cuts at the San Francisco VA Medical Center on Jan. 14, 2026, in San Francisco. \u003ccite>(Gustavo Hernandez/KQED)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>That includes the SFVAMC’s singular emergency room social worker position.\u003c/p>\n\u003cp>“I think that one is just ludicrous frankly … They help ensure veterans get the resources that they need when they’re in a crisis. This is absolutely going to have an impact on Bay Area veterans.”\u003c/p>\n\u003cp>This month, the U.S. Department of Veterans Affairs has begun the process of cutting up to 37,000 vacant positions nationwide in what government officials have called a \u003ca href=\"https://news.va.gov/press-room/va-launches-veterans-health-administration-reorganization/\">“reorganization”\u003c/a> of the VA health care system.\u003c/p>\n\u003cp>“Since March, we’ve been conducting a holistic review of the department centered on reducing bureaucracy and improving services to Veterans,” VA Secretary Doug Collins said in a \u003ca href=\"https://news.va.gov/press-room/va-to-reduce-staff-by-nearly-30k-by-end-of-fy2025/\">statement\u003c/a> in July. “As a result of our efforts, VA is headed in the right direction — both in terms of staff levels and customer service. A department-wide [Reduction in Force] is off the table, but that doesn’t mean we’re done improving VA. Our review has resulted in a host of new ideas for better serving Veterans that we will continue to pursue.”[aside postID=news_12068953 hero='https://cdn.kqed.org/wp-content/uploads/sites/10/2026/01/230913-ChildCareCenterEviction-007-BL_qed.jpg']Collins is expected to \u003ca href=\"https://www.veterans.senate.gov/2026/1/chairman-moran-announces-committee-hearing-with-secretary-collins-on-reorganization-of-va-healthcare-system\">testify\u003c/a> before the Senate Committee on Veterans Affairs on the details surrounding proposed changes on Jan. 28.\u003c/p>\n\u003cp>The nationwide cuts were announced in December, targeting positions that have been vacant for at least a year. The VA has argued that the dissolution of these positions will not negatively affect care.\u003c/p>\n\u003cp>“No VA employees are being removed, and this will have zero impact on veteran care,” VA Press Secretary Pete Kasperowicz said. He called the positions “mostly COVID-era roles that are no longer necessary.”\u003c/p>\n\u003cp>“That’s sort of like saying that, you know, you could throw out your fire extinguisher because your house hasn’t caught fire lately, and you have a sink and a bucket,” Smith said.\u003c/p>\n\u003cp>The sunny afternoon rally in San Francisco’s Land End drew honks and cheers from passing cars. Suzanne Gordon, co-founder of the Veterans Healthcare Policy Institute, told the crowd that the administration’s decision will strangle the system and kill patients.\u003c/p>\n\u003cp>“It’ll end up depriving them of healthcare because of staff cuts and capping cuts … Every healthcare system has vacant positions, but a healthy healthcare system fills them quickly.”\u003c/p>\n\u003cp>The San Francisco rally followed one in New York City \u003ca href=\"https://www.nationalnursesunited.org/press/nurses-and-veterans-to-rally-against-trump-plan-to-eliminate-hundreds-of-va-jobs-in-nyc\">last week\u003c/a>. Nurses and Veterans rallied in the Bronx against the Trump administration’s cuts, after the VA eliminated at least 383 veterans-related health care positions across the five boroughs.\u003c/p>\n\u003cp>\u003c/p>\n",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>The \u003ca href=\"https://www.kqed.org/news/tag/donald-trump\">Trump\u003c/a> administration has cut over 157 open roles at the \u003ca href=\"https://www.kqed.org/news/tag/san-francisco\">San Francisco\u003c/a> Veterans Affairs Medical Center and outpatient clinics across the Bay Area.\u003c/p>\n\u003cp>That’s according to the Federal Unionists Network, an association of federal workers, who say these jobs are critical. The SFVAMC employs physicians, nurses, social workers, psychologists and other healthcare professionals.\u003c/p>\n\u003cp>Frontline VA workers, veterans and union representatives from the National Federation of Federal Employees held a rally outside the Medical Center at 4150 Clement St. in San Francisco on Wednesday afternoon to protest the cuts.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>They warned that cuts will weaken the VA health care system by translating into higher strain on the medical center in the form of “longer wait times, heavier patient loads, reduced services and increased safety risks for the veterans who rely on the VA for care”.\u003c/p>\n\u003cp>Mark Smith, an occupational therapist and the NFFE Local 1 Union president, said the positions lost include peer support specialists — veterans hired to support fellow veterans’ access to mental health treatment — as well as psychologists, therapists and nurses.\u003c/p>\n\u003cfigure id=\"attachment_12069822\" class=\"wp-caption aligncenter\" style=\"max-width: 2000px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-12069822\" src=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2026/01/011426_SF-VA-CUTS-_GH_003-KQED.jpg\" alt=\"\" width=\"2000\" height=\"1333\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2026/01/011426_SF-VA-CUTS-_GH_003-KQED.jpg 2000w, https://cdn.kqed.org/wp-content/uploads/sites/10/2026/01/011426_SF-VA-CUTS-_GH_003-KQED-160x107.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2026/01/011426_SF-VA-CUTS-_GH_003-KQED-1536x1024.jpg 1536w\" sizes=\"auto, (max-width: 2000px) 100vw, 2000px\">\u003cfigcaption class=\"wp-caption-text\">Suzanne Gordon, an award-winning journalist and co-founder of the Veterans Healthcare Policy Institute, speaks during a rally opposing proposed staffing cuts at the San Francisco VA Medical Center on Jan. 14, 2026, in San Francisco. \u003ccite>(Gustavo Hernandez/KQED)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>That includes the SFVAMC’s singular emergency room social worker position.\u003c/p>\n\u003cp>“I think that one is just ludicrous frankly … They help ensure veterans get the resources that they need when they’re in a crisis. This is absolutely going to have an impact on Bay Area veterans.”\u003c/p>\n\u003cp>This month, the U.S. Department of Veterans Affairs has begun the process of cutting up to 37,000 vacant positions nationwide in what government officials have called a \u003ca href=\"https://news.va.gov/press-room/va-launches-veterans-health-administration-reorganization/\">“reorganization”\u003c/a> of the VA health care system.\u003c/p>\n\u003cp>“Since March, we’ve been conducting a holistic review of the department centered on reducing bureaucracy and improving services to Veterans,” VA Secretary Doug Collins said in a \u003ca href=\"https://news.va.gov/press-room/va-to-reduce-staff-by-nearly-30k-by-end-of-fy2025/\">statement\u003c/a> in July. “As a result of our efforts, VA is headed in the right direction — both in terms of staff levels and customer service. A department-wide [Reduction in Force] is off the table, but that doesn’t mean we’re done improving VA. Our review has resulted in a host of new ideas for better serving Veterans that we will continue to pursue.”\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>Collins is expected to \u003ca href=\"https://www.veterans.senate.gov/2026/1/chairman-moran-announces-committee-hearing-with-secretary-collins-on-reorganization-of-va-healthcare-system\">testify\u003c/a> before the Senate Committee on Veterans Affairs on the details surrounding proposed changes on Jan. 28.\u003c/p>\n\u003cp>The nationwide cuts were announced in December, targeting positions that have been vacant for at least a year. The VA has argued that the dissolution of these positions will not negatively affect care.\u003c/p>\n\u003cp>“No VA employees are being removed, and this will have zero impact on veteran care,” VA Press Secretary Pete Kasperowicz said. He called the positions “mostly COVID-era roles that are no longer necessary.”\u003c/p>\n\u003cp>“That’s sort of like saying that, you know, you could throw out your fire extinguisher because your house hasn’t caught fire lately, and you have a sink and a bucket,” Smith said.\u003c/p>\n\u003cp>The sunny afternoon rally in San Francisco’s Land End drew honks and cheers from passing cars. Suzanne Gordon, co-founder of the Veterans Healthcare Policy Institute, told the crowd that the administration’s decision will strangle the system and kill patients.\u003c/p>\n\u003cp>“It’ll end up depriving them of healthcare because of staff cuts and capping cuts … Every healthcare system has vacant positions, but a healthy healthcare system fills them quickly.”\u003c/p>\n\u003cp>The San Francisco rally followed one in New York City \u003ca href=\"https://www.nationalnursesunited.org/press/nurses-and-veterans-to-rally-against-trump-plan-to-eliminate-hundreds-of-va-jobs-in-nyc\">last week\u003c/a>. Nurses and Veterans rallied in the Bronx against the Trump administration’s cuts, after the VA eliminated at least 383 veterans-related health care positions across the five boroughs.\u003c/p>\n\u003cp>\u003c/p>\n\u003c/div>\u003c/p>",
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"title": "Need Extra ‘Dry January’ Motivation Right About Now? Expert Advice on How to Keep Going",
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"headTitle": "Need Extra ‘Dry January’ Motivation Right About Now? Expert Advice on How to Keep Going | KQED",
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"content": "\u003cp>A new year, a fresh start — and for many, \u003ca href=\"https://www.kqed.org/news/12030278/things-to-do-bay-area-alcohol-free-evening\">a break from drinking alcohol\u003c/a>.\u003c/p>\n\u003cp>Approximately \u003ca href=\"http://anba.org/wp-content/uploads/2025/07/ANBA-Industry-Statistics-June-2025.pdf\">1 in 5 of U.S. adults\u003c/a> take on a challenge known as “Dry January”: committing themselves to not drinking for the first 31 days of the year. Some do it for the health benefits that come \u003ca href=\"https://www.cdc.gov/drink-less-be-your-best/drinking-less-matters/index.html\">with drinking less\u003c/a>, others as a promise to their loved ones, and some just do it to change up their drinking habits.\u003c/p>\n\u003cp>But breaking old habits can be hard. Alcohol Change UK — the London-based organization that trademarked the Dry January name — \u003ca href=\"https://alcoholchange.org.uk/blog/dry-january-the-evidence\">surveyed 54,000 British people\u003c/a> who took on the challenge at the start of 2019 and found that just 51% stayed completely dry the whole month. A much bigger number of people — roughly 90% —stayed dry for at least 22 days.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>Taking a month off from drinking may not resolve serious alcohol use disorders, but it can help people put themselves back in charge of how much they’re drinking, said Keith Humphreys, professor of psychiatry at Stanford University who studies addiction. “\u003c/p>\n\u003cp>As we reach the month’s halfway mark, it might be right about now that you’re finding yourself running out of steam to keep up your own dry January. If you’re looking for some extra motivation to keep going, read on to hear expert insights about the life benefits of staying the course through Jan. 31 — and beyond — and how to maintain your willpower.\u003c/p>\n\u003cul>\n\u003cli>\u003cstrong>Jump straight to: \u003ca href=\"#4ideasforfindingyourdryJanuarymotivationonceagain\">4 ideas for finding your dry January motivation once again\u003c/a>\u003c/strong>\u003c/li>\n\u003c/ul>\n\u003ch2>Think of what you’re gaining\u003c/h2>\n\u003cp>“Drinking can sneak up on people,” Humphreys said, adding that while someone may wake up and not have a plan to drink that day, spontaneous opportunities — like catching up with a coworker over a few drinks — can pop up very easily. “Dry January is about saying, ‘Don’t slide into this. Think about it. Decide what \u003cem>you\u003c/em> want to do,’” he said.\u003c/p>\n\u003cp>Instead of seeing this month as a moment without something — namely alcohol — it can be helpful to think of it as a moment where you’ve gained something pretty unique: an extended period of time to reflect on what life is like when you \u003cem>are\u003c/em> drinking.\u003c/p>\n\u003cfigure id=\"attachment_12069537\" class=\"wp-caption aligncenter\" style=\"max-width: 2000px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-12069537\" src=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2026/01/DryJanuaryGetty2.jpg\" alt=\"\" width=\"2000\" height=\"1333\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2026/01/DryJanuaryGetty2.jpg 2000w, https://cdn.kqed.org/wp-content/uploads/sites/10/2026/01/DryJanuaryGetty2-160x107.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2026/01/DryJanuaryGetty2-1536x1024.jpg 1536w\" sizes=\"auto, (max-width: 2000px) 100vw, 2000px\">\u003cfigcaption class=\"wp-caption-text\">For many, it’s not easy to get through a whole “dry January. \u003ccite>(Daniel Tamas Mehes/Getty Images)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>“Some people report that these dry periods can help them understand their relationship with alcohol or notice the impact their alcohol use has had on their life in different ways,” said Glenn-Milo Santos, professor at UC San Francisco, who conducts research on alcohol use and interventions to address alcohol use disorders.\u003c/p>\n\u003cp>“They might identify areas in their life where alcohol had an outsized effect or impact than they wanted to on their job performance or their relationships with their family, friends or partner,” he said.\u003c/p>\n\u003cp>(Speaking of performance, \u003ca href=\"https://alcoholchange.org.uk/help-and-support/managing-your-drinking/dry-january/about-dry-january/the-dry-january-story\">according to Alcohol Change UK\u003c/a>, the concept of Dry January \u003ca href=\"https://www.npr.org/2026/01/01/nx-s1-5662527/the-origins-of-dry-january\">originated in 2011\u003c/a> with their former deputy CEO Emily Robinson, who back then decided to give up alcohol for a month before her half-marathon. The benefits of cutting back on drinking were so significant for Robinson that she would later pitch the idea to the organization.)\u003c/p>\n\u003cp>You can also use this month to figure out how you want to drink for the rest of the year. Do you want to just drink on the weekends or on special occasions? When does it make sense for you to turn down that extra drink?\u003c/p>\n\u003cp>“A dry period can serve as a dry run for people’s long-term alcohol reduction strategy,” Santos said. “It can help people hone in on the skills that they use to navigate situations where there’s alcohol present.”\u003c/p>\n\u003ch2>Your body has already noticed some changes\u003c/h2>\n\u003cp>Multiple studies show that \u003ca href=\"https://health.ucdavis.edu/blog/cultivating-health/dry-january-why-cutting-out-alcohol-this-month-can-boost-your-health-sleep-mood-and-more/2025/12\">an extended break from alcohol\u003c/a> can help folks sleep better, exercise more and even lose weight. For some people, dry periods have even helped \u003ca href=\"https://pmc.ncbi.nlm.nih.gov/articles/PMC6118407/\">bring down their blood pressure\u003c/a>.[aside postID=news_12030278 hero='https://cdn.kqed.org/wp-content/uploads/sites/10/2025/03/GettyImages-1357042436-1020x680.jpg']Chief among the medical benefits: The health of your liver, the organ that processes your alcohol intake. “When you abstain from alcohol, your liver starts to heal itself,” Santos said. “That’s something that people won’t notice — but your liver will.”\u003c/p>\n\u003cp>Each day that you don’t drink is another opportunity for your liver to heal from the effects of alcohol. The liver is one of the few organs in the body that is able to replace damaged tissue with new cells and has shown \u003ca href=\"https://www.ucsf.edu/news/2025/03/429671/liver-disease-patients-dramatically-improve-thanks-new-approach\">a remarkable ability\u003c/a> to heal itself within short periods of time, but certain factors — like alcohol — \u003ca href=\"https://www.hepatitis.va.gov/basics/reversing-liver-damage.asp\">limit this ability\u003c/a>.\u003c/p>\n\u003cp>“Even if you’re drinking once or twice a week, it’s possible that you might be consuming alcohol that is potentially reaching harmful amounts,” Santos said. And “five or more drinks on a single occasion for men, and four or more drinks on a single occasion, for women: that elevates your blood alcohol level to harmful amounts to your body.”\u003c/p>\n\u003ch2>Less alcohol is probably helping you make healthier food choices …\u003c/h2>\n\u003cp>We also tend to cut back on other things when we’re not drinking, Humphreys said — what he called the “2,000 calorie glass of wine.”\u003c/p>\n\u003cp>Alcohol can “somewhat sap our self-control for super fatty types of things,” he said.\u003c/p>\n\u003cp>“You wouldn’t eat the double fudge forest cake at the restaurant, but then you have a glass of wine and think, ‘Ah, let me have that double fudge cake’,” he said.\u003c/p>\n\u003ch2>… and benefiting your wallet too\u003c/h2>\n\u003cp>As anyone who’s ever checked their credit card statement after a night out with friends, drinking — especially mixed drinks like craft cocktails — can be an increasingly expensive proposition. (Not to mention that \u003ca href=\"https://www.kqed.org/news/12064432/how-much-should-you-tip-for-a-drink-at-a-bar-in-the-bay-area\">expectations around tipping\u003c/a> have also shifted since the pandemic.)\u003c/p>\n\u003cp>Two weeks in, you can now check how much you’ve been able to save in 2026 already by not drinking.\u003c/p>\n\u003cp>By comparing your expenses from this month to last month’s, you may gain extra motivation to keep going with your dry January — and you may even want to buy something nice for yourself or a loved one at the end of the month with what you’ve saved.\u003c/p>\n\u003ch2>\u003ca id=\"4ideasforfindingyourdryJanuarymotivationonceagain\">\u003c/a>4 ideas for finding your dry January motivation once again\u003c/h2>\n\u003cp>\u003cstrong>Remind yourself why you’re doing this\u003c/strong>\u003c/p>\n\u003cp>Whether it’s changing your diet, going to the gym or even learning a new language, everybody struggles with big behavior changes, Humphreys said. “You should not kick yourself for that.”\u003c/p>\n\u003cp>He recommends thinking carefully about your original motivations for taking on dry January and writing them down somewhere, if you didn’t initially start on Jan. 1. “Part of the struggle is when we start thinking, ‘Why am I doing this? This is a pain’,” he said. “That’s when you go back to your motivation.”\u003c/p>\n\u003cp>\u003cstrong>Draw on nearby support\u003c/strong>\u003c/p>\n\u003cp>You can share these motivations with your family or friends so they can also understand how much this means to you — and support you by planning activities that they know you enjoy that are also alcohol-free. “We all need encouragement, because behavior change is so hard,” Humphreys said.\u003c/p>\n\u003cp>Something else to consider: reach out to folks you know who are also taking an alcohol break. “Having both the support and the accountability of somebody else doing the same thing is really helpful — and keeps each other honest,” added Humphreys. “It’s so much easier if you have fellow travelers.”\u003c/p>\n\u003cp>\u003cstrong>Be conscious of triggers\u003c/strong>\u003c/p>\n\u003cp>As you reflect on what life is when you \u003cem>do\u003c/em> drink, something else you can ask yourself: What situations, feelings or places make me want to drink?\u003c/p>\n\u003cp>“Maybe you had a long day, and you’re tired, or had an argument with somebody,” Humphreys said. “Or some people get very hungry, and their self-control wanes, and they want to consume something.” Even walking around town could be a trigger, he said — like passing a liquor store or running into friends at your favorite bar.\u003c/p>\n\u003cp>San Francisco ranks near the top of nationwide lists for most bars and \u003ca href=\"https://wallethub.com/edu/most-fun-cities-in-the-us/23455\">dance clubs per capita\u003c/a>, and most of the Bay Area — except for Alameda County — has \u003ca href=\"https://sfstandard.com/2023/01/20/san-francisco-bay-area-drinking-smoking-rates-maps/\">a larger percentage of residents who binge drink\u003c/a> than the national average of 15.5%.\u003c/p>\n\u003cp>So when alcohol is so easily available, it’s especially important to be conscious of what our triggers are, Santos said. “If you track these things, that could also provide you with some actionable steps,” he said. “You can make a plan to try to avoid those situations.”\u003c/p>\n\u003cp>\u003cstrong>Know it’s OK if you do miss a day\u003c/strong>\u003c/p>\n\u003cp>If you do end up drinking, that doesn’t mean your dry January is completely over, Humphreys said. “You can just start again tomorrow.”\u003c/p>\n\u003cp>“And if you make it 28 or 29 out of the 31 days, and that’s better than you usually do, I would still say that you didn’t get everything you wanted, but you \u003cem>did \u003c/em>make a change,” he said.\u003c/p>\n\u003ch2>How to seek professional support and community around drinking\u003c/h2>\n\u003cp>If you’re really struggling to keep your promise and stay motivated, this could be a good time to check in with someone you trust — like a doctor or mentor — to understand how alcohol is impacting your life, Humphreys said.\u003c/p>\n\u003cp>“If you find that you’re repeatedly drinking in situations that cause some harm to you or people that you care about, and you know that, but it’s just hard to stop,” he said, “that’s usually the sign that you have a drinking problem.”\u003c/p>\n\u003cfigure id=\"attachment_11876636\" class=\"wp-caption aligncenter\" style=\"max-width: 1920px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"wp-image-11876636 size-full\" src=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2021/06/RS49636_GettyImages-980583408-qut.jpg\" alt=\"\" width=\"1920\" height=\"1315\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2021/06/RS49636_GettyImages-980583408-qut.jpg 1920w, https://cdn.kqed.org/wp-content/uploads/sites/10/2021/06/RS49636_GettyImages-980583408-qut-800x548.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2021/06/RS49636_GettyImages-980583408-qut-1020x699.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2021/06/RS49636_GettyImages-980583408-qut-160x110.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2021/06/RS49636_GettyImages-980583408-qut-1536x1052.jpg 1536w\" sizes=\"auto, (max-width: 1920px) 100vw, 1920px\">\u003cfigcaption class=\"wp-caption-text\">For many, it’s not easy to get through a whole “dry January.” \u003ccite>(Justin Sullivan/Getty Images)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>“And that doesn’t mean you’re at the alcoholic end,” he said, “but you’ve got a problem because you’re doing damage to yourself, your marriage, your kids, or your coworkers, and you keep doing it because you prioritize drinking that much.”\u003c/p>\n\u003cp>The good news: If you want to make a long-term change to your drinking habits, there are a lot of ways to do that in the Bay Area. You can join a peer support group like \u003ca href=\"https://meetings.smartrecovery.org/meetings/\">SMART Recovery\u003c/a>, \u003ca href=\"https://womenforsobriety.org/\">Women for Sobriety\u003c/a> or \u003ca href=\"https://aasfmarin.org/\">Alcoholics Anonymous\u003c/a>. The San Francisco-based nonprofit \u003ca href=\"https://www.healthright360.org/get-help/\">HealthRIGHT 360\u003c/a> also offers support groups that specifically serve women, Asian Americans and the LGBTQ+ community.\u003c/p>\n\u003cp>Some groups also focus on moderation management for folks who want to keep drinking but in a healthier and controlled way. But what’s most important is finding people with whom you can talk about these challenges, Humphreys said.\u003c/p>\n\u003cp>Then, “you’ve got other people on the same journey,” he said.\u003c/p>\n\u003cp>Another option you can ask your primary doctor about is naltrexone: a medication approved by the FDA to treat alcohol use disorder. “Naltrexone works by blocking the opioid receptors and by doing so, it reduces the pleasurable effects that you experience from drinking alcohol,” said Santos, who has researched how the medication changes the way people drink. “It also reduces people’s craving for alcohol.”\u003c/p>\n\u003cp>[ad floatright]\u003c/p>\n",
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"excerpt": "About 1 in 5 U.S. adults will stop drinking for a “dry January,” but breaking old habits is hard — especially halfway through the month.",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>A new year, a fresh start — and for many, \u003ca href=\"https://www.kqed.org/news/12030278/things-to-do-bay-area-alcohol-free-evening\">a break from drinking alcohol\u003c/a>.\u003c/p>\n\u003cp>Approximately \u003ca href=\"http://anba.org/wp-content/uploads/2025/07/ANBA-Industry-Statistics-June-2025.pdf\">1 in 5 of U.S. adults\u003c/a> take on a challenge known as “Dry January”: committing themselves to not drinking for the first 31 days of the year. Some do it for the health benefits that come \u003ca href=\"https://www.cdc.gov/drink-less-be-your-best/drinking-less-matters/index.html\">with drinking less\u003c/a>, others as a promise to their loved ones, and some just do it to change up their drinking habits.\u003c/p>\n\u003cp>But breaking old habits can be hard. Alcohol Change UK — the London-based organization that trademarked the Dry January name — \u003ca href=\"https://alcoholchange.org.uk/blog/dry-january-the-evidence\">surveyed 54,000 British people\u003c/a> who took on the challenge at the start of 2019 and found that just 51% stayed completely dry the whole month. A much bigger number of people — roughly 90% —stayed dry for at least 22 days.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>Taking a month off from drinking may not resolve serious alcohol use disorders, but it can help people put themselves back in charge of how much they’re drinking, said Keith Humphreys, professor of psychiatry at Stanford University who studies addiction. “\u003c/p>\n\u003cp>As we reach the month’s halfway mark, it might be right about now that you’re finding yourself running out of steam to keep up your own dry January. If you’re looking for some extra motivation to keep going, read on to hear expert insights about the life benefits of staying the course through Jan. 31 — and beyond — and how to maintain your willpower.\u003c/p>\n\u003cul>\n\u003cli>\u003cstrong>Jump straight to: \u003ca href=\"#4ideasforfindingyourdryJanuarymotivationonceagain\">4 ideas for finding your dry January motivation once again\u003c/a>\u003c/strong>\u003c/li>\n\u003c/ul>\n\u003ch2>Think of what you’re gaining\u003c/h2>\n\u003cp>“Drinking can sneak up on people,” Humphreys said, adding that while someone may wake up and not have a plan to drink that day, spontaneous opportunities — like catching up with a coworker over a few drinks — can pop up very easily. “Dry January is about saying, ‘Don’t slide into this. Think about it. Decide what \u003cem>you\u003c/em> want to do,’” he said.\u003c/p>\n\u003cp>Instead of seeing this month as a moment without something — namely alcohol — it can be helpful to think of it as a moment where you’ve gained something pretty unique: an extended period of time to reflect on what life is like when you \u003cem>are\u003c/em> drinking.\u003c/p>\n\u003cfigure id=\"attachment_12069537\" class=\"wp-caption aligncenter\" style=\"max-width: 2000px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-12069537\" src=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2026/01/DryJanuaryGetty2.jpg\" alt=\"\" width=\"2000\" height=\"1333\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2026/01/DryJanuaryGetty2.jpg 2000w, https://cdn.kqed.org/wp-content/uploads/sites/10/2026/01/DryJanuaryGetty2-160x107.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2026/01/DryJanuaryGetty2-1536x1024.jpg 1536w\" sizes=\"auto, (max-width: 2000px) 100vw, 2000px\">\u003cfigcaption class=\"wp-caption-text\">For many, it’s not easy to get through a whole “dry January. \u003ccite>(Daniel Tamas Mehes/Getty Images)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>“Some people report that these dry periods can help them understand their relationship with alcohol or notice the impact their alcohol use has had on their life in different ways,” said Glenn-Milo Santos, professor at UC San Francisco, who conducts research on alcohol use and interventions to address alcohol use disorders.\u003c/p>\n\u003cp>“They might identify areas in their life where alcohol had an outsized effect or impact than they wanted to on their job performance or their relationships with their family, friends or partner,” he said.\u003c/p>\n\u003cp>(Speaking of performance, \u003ca href=\"https://alcoholchange.org.uk/help-and-support/managing-your-drinking/dry-january/about-dry-january/the-dry-january-story\">according to Alcohol Change UK\u003c/a>, the concept of Dry January \u003ca href=\"https://www.npr.org/2026/01/01/nx-s1-5662527/the-origins-of-dry-january\">originated in 2011\u003c/a> with their former deputy CEO Emily Robinson, who back then decided to give up alcohol for a month before her half-marathon. The benefits of cutting back on drinking were so significant for Robinson that she would later pitch the idea to the organization.)\u003c/p>\n\u003cp>You can also use this month to figure out how you want to drink for the rest of the year. Do you want to just drink on the weekends or on special occasions? When does it make sense for you to turn down that extra drink?\u003c/p>\n\u003cp>“A dry period can serve as a dry run for people’s long-term alcohol reduction strategy,” Santos said. “It can help people hone in on the skills that they use to navigate situations where there’s alcohol present.”\u003c/p>\n\u003ch2>Your body has already noticed some changes\u003c/h2>\n\u003cp>Multiple studies show that \u003ca href=\"https://health.ucdavis.edu/blog/cultivating-health/dry-january-why-cutting-out-alcohol-this-month-can-boost-your-health-sleep-mood-and-more/2025/12\">an extended break from alcohol\u003c/a> can help folks sleep better, exercise more and even lose weight. For some people, dry periods have even helped \u003ca href=\"https://pmc.ncbi.nlm.nih.gov/articles/PMC6118407/\">bring down their blood pressure\u003c/a>.\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>Chief among the medical benefits: The health of your liver, the organ that processes your alcohol intake. “When you abstain from alcohol, your liver starts to heal itself,” Santos said. “That’s something that people won’t notice — but your liver will.”\u003c/p>\n\u003cp>Each day that you don’t drink is another opportunity for your liver to heal from the effects of alcohol. The liver is one of the few organs in the body that is able to replace damaged tissue with new cells and has shown \u003ca href=\"https://www.ucsf.edu/news/2025/03/429671/liver-disease-patients-dramatically-improve-thanks-new-approach\">a remarkable ability\u003c/a> to heal itself within short periods of time, but certain factors — like alcohol — \u003ca href=\"https://www.hepatitis.va.gov/basics/reversing-liver-damage.asp\">limit this ability\u003c/a>.\u003c/p>\n\u003cp>“Even if you’re drinking once or twice a week, it’s possible that you might be consuming alcohol that is potentially reaching harmful amounts,” Santos said. And “five or more drinks on a single occasion for men, and four or more drinks on a single occasion, for women: that elevates your blood alcohol level to harmful amounts to your body.”\u003c/p>\n\u003ch2>Less alcohol is probably helping you make healthier food choices …\u003c/h2>\n\u003cp>We also tend to cut back on other things when we’re not drinking, Humphreys said — what he called the “2,000 calorie glass of wine.”\u003c/p>\n\u003cp>Alcohol can “somewhat sap our self-control for super fatty types of things,” he said.\u003c/p>\n\u003cp>“You wouldn’t eat the double fudge forest cake at the restaurant, but then you have a glass of wine and think, ‘Ah, let me have that double fudge cake’,” he said.\u003c/p>\n\u003ch2>… and benefiting your wallet too\u003c/h2>\n\u003cp>As anyone who’s ever checked their credit card statement after a night out with friends, drinking — especially mixed drinks like craft cocktails — can be an increasingly expensive proposition. (Not to mention that \u003ca href=\"https://www.kqed.org/news/12064432/how-much-should-you-tip-for-a-drink-at-a-bar-in-the-bay-area\">expectations around tipping\u003c/a> have also shifted since the pandemic.)\u003c/p>\n\u003cp>Two weeks in, you can now check how much you’ve been able to save in 2026 already by not drinking.\u003c/p>\n\u003cp>By comparing your expenses from this month to last month’s, you may gain extra motivation to keep going with your dry January — and you may even want to buy something nice for yourself or a loved one at the end of the month with what you’ve saved.\u003c/p>\n\u003ch2>\u003ca id=\"4ideasforfindingyourdryJanuarymotivationonceagain\">\u003c/a>4 ideas for finding your dry January motivation once again\u003c/h2>\n\u003cp>\u003cstrong>Remind yourself why you’re doing this\u003c/strong>\u003c/p>\n\u003cp>Whether it’s changing your diet, going to the gym or even learning a new language, everybody struggles with big behavior changes, Humphreys said. “You should not kick yourself for that.”\u003c/p>\n\u003cp>He recommends thinking carefully about your original motivations for taking on dry January and writing them down somewhere, if you didn’t initially start on Jan. 1. “Part of the struggle is when we start thinking, ‘Why am I doing this? This is a pain’,” he said. “That’s when you go back to your motivation.”\u003c/p>\n\u003cp>\u003cstrong>Draw on nearby support\u003c/strong>\u003c/p>\n\u003cp>You can share these motivations with your family or friends so they can also understand how much this means to you — and support you by planning activities that they know you enjoy that are also alcohol-free. “We all need encouragement, because behavior change is so hard,” Humphreys said.\u003c/p>\n\u003cp>Something else to consider: reach out to folks you know who are also taking an alcohol break. “Having both the support and the accountability of somebody else doing the same thing is really helpful — and keeps each other honest,” added Humphreys. “It’s so much easier if you have fellow travelers.”\u003c/p>\n\u003cp>\u003cstrong>Be conscious of triggers\u003c/strong>\u003c/p>\n\u003cp>As you reflect on what life is when you \u003cem>do\u003c/em> drink, something else you can ask yourself: What situations, feelings or places make me want to drink?\u003c/p>\n\u003cp>“Maybe you had a long day, and you’re tired, or had an argument with somebody,” Humphreys said. “Or some people get very hungry, and their self-control wanes, and they want to consume something.” Even walking around town could be a trigger, he said — like passing a liquor store or running into friends at your favorite bar.\u003c/p>\n\u003cp>San Francisco ranks near the top of nationwide lists for most bars and \u003ca href=\"https://wallethub.com/edu/most-fun-cities-in-the-us/23455\">dance clubs per capita\u003c/a>, and most of the Bay Area — except for Alameda County — has \u003ca href=\"https://sfstandard.com/2023/01/20/san-francisco-bay-area-drinking-smoking-rates-maps/\">a larger percentage of residents who binge drink\u003c/a> than the national average of 15.5%.\u003c/p>\n\u003cp>So when alcohol is so easily available, it’s especially important to be conscious of what our triggers are, Santos said. “If you track these things, that could also provide you with some actionable steps,” he said. “You can make a plan to try to avoid those situations.”\u003c/p>\n\u003cp>\u003cstrong>Know it’s OK if you do miss a day\u003c/strong>\u003c/p>\n\u003cp>If you do end up drinking, that doesn’t mean your dry January is completely over, Humphreys said. “You can just start again tomorrow.”\u003c/p>\n\u003cp>“And if you make it 28 or 29 out of the 31 days, and that’s better than you usually do, I would still say that you didn’t get everything you wanted, but you \u003cem>did \u003c/em>make a change,” he said.\u003c/p>\n\u003ch2>How to seek professional support and community around drinking\u003c/h2>\n\u003cp>If you’re really struggling to keep your promise and stay motivated, this could be a good time to check in with someone you trust — like a doctor or mentor — to understand how alcohol is impacting your life, Humphreys said.\u003c/p>\n\u003cp>“If you find that you’re repeatedly drinking in situations that cause some harm to you or people that you care about, and you know that, but it’s just hard to stop,” he said, “that’s usually the sign that you have a drinking problem.”\u003c/p>\n\u003cfigure id=\"attachment_11876636\" class=\"wp-caption aligncenter\" style=\"max-width: 1920px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"wp-image-11876636 size-full\" src=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2021/06/RS49636_GettyImages-980583408-qut.jpg\" alt=\"\" width=\"1920\" height=\"1315\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2021/06/RS49636_GettyImages-980583408-qut.jpg 1920w, https://cdn.kqed.org/wp-content/uploads/sites/10/2021/06/RS49636_GettyImages-980583408-qut-800x548.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2021/06/RS49636_GettyImages-980583408-qut-1020x699.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2021/06/RS49636_GettyImages-980583408-qut-160x110.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2021/06/RS49636_GettyImages-980583408-qut-1536x1052.jpg 1536w\" sizes=\"auto, (max-width: 1920px) 100vw, 1920px\">\u003cfigcaption class=\"wp-caption-text\">For many, it’s not easy to get through a whole “dry January.” \u003ccite>(Justin Sullivan/Getty Images)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>“And that doesn’t mean you’re at the alcoholic end,” he said, “but you’ve got a problem because you’re doing damage to yourself, your marriage, your kids, or your coworkers, and you keep doing it because you prioritize drinking that much.”\u003c/p>\n\u003cp>The good news: If you want to make a long-term change to your drinking habits, there are a lot of ways to do that in the Bay Area. You can join a peer support group like \u003ca href=\"https://meetings.smartrecovery.org/meetings/\">SMART Recovery\u003c/a>, \u003ca href=\"https://womenforsobriety.org/\">Women for Sobriety\u003c/a> or \u003ca href=\"https://aasfmarin.org/\">Alcoholics Anonymous\u003c/a>. The San Francisco-based nonprofit \u003ca href=\"https://www.healthright360.org/get-help/\">HealthRIGHT 360\u003c/a> also offers support groups that specifically serve women, Asian Americans and the LGBTQ+ community.\u003c/p>\n\u003cp>Some groups also focus on moderation management for folks who want to keep drinking but in a healthier and controlled way. But what’s most important is finding people with whom you can talk about these challenges, Humphreys said.\u003c/p>\n\u003cp>Then, “you’ve got other people on the same journey,” he said.\u003c/p>\n\u003cp>Another option you can ask your primary doctor about is naltrexone: a medication approved by the FDA to treat alcohol use disorder. “Naltrexone works by blocking the opioid receptors and by doing so, it reduces the pleasurable effects that you experience from drinking alcohol,” said Santos, who has researched how the medication changes the way people drink. “It also reduces people’s craving for alcohol.”\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cp>San Francisco Mayor \u003ca href=\"https://www.kqed.org/news/tag/daniel-lurie\">Daniel Lurie\u003c/a> is backing a proposed state law that would allow courts to authorize involuntary medication for people struggling with behavioral health issues.\u003c/p>\n\u003cp>Under current law, judges can order people to participate in assisted outpatient treatment, but they cannot require medication that officials said is “often essential” to stabilizing severe mental illness. This bill would allow courts to implement involuntary medication into an individual’s treatment plan “when clinically necessary,” and assign a psychiatrist to oversee case specifics like dosages and effectiveness over time.\u003c/p>\n\u003cp>Lurie, San Francisco Assemblymember Catherine Stefani — the bill’s author — and Supervisor Rafael Mandelman gathered with other local and state officials on the steps of City Hall on Monday to emphasize the need for additional care options for the city’s most vulnerable residents.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>“We have a situation where courts can mandate so-called treatment, but can’t actually mandate treatment like necessary medication that provides the relief that is desperately needed,” Stefani said. “The result is predictable: people fall off their care plans, they deteriorate, they cycle again through our emergency rooms, psychiatric holds, jails and back out onto the street. This is not compassion, it’s failure.”\u003c/p>\n\u003cp>The program marks the latest in the city’s recent efforts to curb a visible behavioral health crisis. Lurie last week announced the launch of the Rapid Enforcement, Support, Evaluation, and Triage Center — which offers an alternative to jail or hospitalization for individuals arrested for public intoxication. Last year, the mayor’s office consolidated the city’s 10 street outreach teams and opened a drop-in \u003ca href=\"https://www.kqed.org/news/12038376/tenderloin-welcomes-mental-health-clinic-demands-broader-city-action-on-homelessness\">mental health stabilization center\u003c/a> at 822 Geary Street in the Tenderloin as part of the city’s 2025 \u003ca href=\"https://www.kqed.org/news/12031581/first-look-sf-mayor-luries-yearlong-plan-homelessness-response\">Breaking the Cycle plan.\u003c/a>[aside postID=news_12068599 hero='https://cdn.kqed.org/wp-content/uploads/sites/10/2025/12/251230-SFSocialWorker-19-BL.jpg']“Too many people in San Francisco are falling into crisis when intervention could — and should — come sooner. At the center of this effort is a simple reality: Stability is the gateway to recovery,” Lurie said. “For many people with severe mental illness, medication is what allows treatment to work at all. Without it, housing placements fail, care plans break down, and crises repeat themselves — often with greater harm each time.”\u003c/p>\n\u003cp>Involuntary commitments and forced treatment of mental health in California \u003ca href=\"https://www.kqed.org/news/11944448/a-war-of-compassion-debate-over-forced-treatment-of-mental-illness-splits-california-liberals\">have long been controversial.\u003c/a> And past attempts by the city to place those struggling with mental health issues into involuntary medical treatment have been called “\u003ca href=\"https://www.sfchronicle.com/sf/article/modest-gains-effort-force-mentally-ill-treatment-20394450.php\">disappointing\u003c/a>” by city leaders — in part due to a shortage of facilities that can specifically address the combination of mental illness and addiction.\u003c/p>\n\u003cp>Officials are hopeful that this addition of medication authorization will provide care to individuals who may not need a full conservatorship.\u003c/p>\n\u003cp>“We certainly do not have the beds or the staffing capacity to provide full-blown conservatorships for all of those people,” Mandelman said. “So, this is a less-intrusive intervention to get medical care through assisted outpatient treatment to people who could benefit [from] it.”\u003c/p>\n\u003cp>\u003c/p>\n",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>San Francisco Mayor \u003ca href=\"https://www.kqed.org/news/tag/daniel-lurie\">Daniel Lurie\u003c/a> is backing a proposed state law that would allow courts to authorize involuntary medication for people struggling with behavioral health issues.\u003c/p>\n\u003cp>Under current law, judges can order people to participate in assisted outpatient treatment, but they cannot require medication that officials said is “often essential” to stabilizing severe mental illness. This bill would allow courts to implement involuntary medication into an individual’s treatment plan “when clinically necessary,” and assign a psychiatrist to oversee case specifics like dosages and effectiveness over time.\u003c/p>\n\u003cp>Lurie, San Francisco Assemblymember Catherine Stefani — the bill’s author — and Supervisor Rafael Mandelman gathered with other local and state officials on the steps of City Hall on Monday to emphasize the need for additional care options for the city’s most vulnerable residents.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>“We have a situation where courts can mandate so-called treatment, but can’t actually mandate treatment like necessary medication that provides the relief that is desperately needed,” Stefani said. “The result is predictable: people fall off their care plans, they deteriorate, they cycle again through our emergency rooms, psychiatric holds, jails and back out onto the street. This is not compassion, it’s failure.”\u003c/p>\n\u003cp>The program marks the latest in the city’s recent efforts to curb a visible behavioral health crisis. Lurie last week announced the launch of the Rapid Enforcement, Support, Evaluation, and Triage Center — which offers an alternative to jail or hospitalization for individuals arrested for public intoxication. Last year, the mayor’s office consolidated the city’s 10 street outreach teams and opened a drop-in \u003ca href=\"https://www.kqed.org/news/12038376/tenderloin-welcomes-mental-health-clinic-demands-broader-city-action-on-homelessness\">mental health stabilization center\u003c/a> at 822 Geary Street in the Tenderloin as part of the city’s 2025 \u003ca href=\"https://www.kqed.org/news/12031581/first-look-sf-mayor-luries-yearlong-plan-homelessness-response\">Breaking the Cycle plan.\u003c/a>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>“Too many people in San Francisco are falling into crisis when intervention could — and should — come sooner. At the center of this effort is a simple reality: Stability is the gateway to recovery,” Lurie said. “For many people with severe mental illness, medication is what allows treatment to work at all. Without it, housing placements fail, care plans break down, and crises repeat themselves — often with greater harm each time.”\u003c/p>\n\u003cp>Involuntary commitments and forced treatment of mental health in California \u003ca href=\"https://www.kqed.org/news/11944448/a-war-of-compassion-debate-over-forced-treatment-of-mental-illness-splits-california-liberals\">have long been controversial.\u003c/a> And past attempts by the city to place those struggling with mental health issues into involuntary medical treatment have been called “\u003ca href=\"https://www.sfchronicle.com/sf/article/modest-gains-effort-force-mentally-ill-treatment-20394450.php\">disappointing\u003c/a>” by city leaders — in part due to a shortage of facilities that can specifically address the combination of mental illness and addiction.\u003c/p>\n\u003cp>Officials are hopeful that this addition of medication authorization will provide care to individuals who may not need a full conservatorship.\u003c/p>\n\u003cp>“We certainly do not have the beds or the staffing capacity to provide full-blown conservatorships for all of those people,” Mandelman said. “So, this is a less-intrusive intervention to get medical care through assisted outpatient treatment to people who could benefit [from] it.”\u003c/p>\n\u003cp>\u003c/p>\n\u003c/div>\u003c/p>",
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"content": "\u003cp>A wastewater spill that spurred warnings to stay out of the Russian River this week after a storm \u003ca href=\"https://www.kqed.org/news/11938273/our-worst-nightmare-as-storms-raged-millions-of-gallons-of-sewage-spilled-into-bay-area-waterways-streets-and-yards\">drenched Sonoma County\u003c/a> was stopped Thursday morning, officials said.\u003c/p>\n\u003cp>Tuesday’s heavy rainfall overwhelmed a local wastewater treatment facility, the Russian River Treatment Plant in Guerneville, which received flows at a rate of around 4 million gallons per day — nearly six times its average dry-weather design of 710,000 gallons. With no additional storage available, millions of gallons of untreated wastewater traveled roughly a quarter-mile through a forested redwood grove before entering the mainstem of the river.\u003c/p>\n\u003cp>Sonoma Water spokesperson Stuart Tiffen told KQED that the spill persisted Wednesday as the river continued to run high.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>The spill was officially stopped at 6:50 a.m. Thursday, though warnings to stay out of the water remain in effect, according to Sonoma Water. District staff are now assessing the total volume of untreated wastewater released and are preparing reports for state regulatory agencies. Tiffen noted that a final estimate will not be available until those reports are submitted, adding that the massive volume of stormwater in the river makes testing for pathogens more difficult.\u003c/p>\n\u003cp>“It’s complicated by the amount of storm water and how that would affect testing regardless of a spill,” Tiffen said. “Because it tends to muddy the water, so to speak.”\u003c/p>\n\u003cp>County officials posted warning signs at river access points and coastal beaches from the Marin to Mendocino border. Residents and visitors were urged to avoid all contact with the water, which may contain bacteria, viruses and other pathogens that pose serious health risks.\u003c/p>\n\u003cp>Sonoma County Supervisor Lynda Hopkins said turbidity levels in the river were too high to deploy the facility’s ultraviolet sanitization system, which is used to disinfect the water.[aside postID=news_12068981 hero='https://cdn.kqed.org/wp-content/uploads/sites/10/2026/01/Hwy116Getty.jpg']“In my opinion, this facility was built poorly in the first place and was never equipped to really handle the amount of rain that we can get,” Hopkins said. “We just simply do not have the capacity to handle these severe atmospheric storm events.”\u003c/p>\n\u003cp>The Russian River County Sanitation District, which began operations in 1983, serves approximately 3,200 households. Hopkins noted that because the service area is small, the multimillion-dollar costs for necessary infrastructure upgrades would fall on a limited number of customers who already pay some of the highest sewer rates in the state.\u003c/p>\n\u003cp>“We’re really going to be looking to state and federal funds to try to come up with a long-term solution,” Hopkins said. “We need to use that sense of urgency to drive towards a bigger picture, longer-term solutions for the lower Russian River as a whole.”\u003c/p>\n\u003cp>As of Thursday, the Sonoma County Department of Environmental Health is continuing to coordinate water quality testing to determine when it will be safe for the public to return to the river.\u003c/p>\n\u003cp>\u003c/p>\n",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>The spill was officially stopped at 6:50 a.m. Thursday, though warnings to stay out of the water remain in effect, according to Sonoma Water. District staff are now assessing the total volume of untreated wastewater released and are preparing reports for state regulatory agencies. Tiffen noted that a final estimate will not be available until those reports are submitted, adding that the massive volume of stormwater in the river makes testing for pathogens more difficult.\u003c/p>\n\u003cp>“It’s complicated by the amount of storm water and how that would affect testing regardless of a spill,” Tiffen said. “Because it tends to muddy the water, so to speak.”\u003c/p>\n\u003cp>County officials posted warning signs at river access points and coastal beaches from the Marin to Mendocino border. Residents and visitors were urged to avoid all contact with the water, which may contain bacteria, viruses and other pathogens that pose serious health risks.\u003c/p>\n\u003cp>Sonoma County Supervisor Lynda Hopkins said turbidity levels in the river were too high to deploy the facility’s ultraviolet sanitization system, which is used to disinfect the water.\u003c/p>\u003c/div>",
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"content": "\u003cp>Zynners repent.\u003c/p>\n\u003cp>San Francisco secured a $1 million settlement with a retailer it accused of using online sales to \u003ca href=\"https://www.kqed.org/news/12002998/san-francisco-breaks-the-zyn-ternet-with-lawsuit-against-flavored-nicotine-sales\">flout the city’s ban\u003c/a> on flavored nicotine pouches, the city attorney announced Thursday.\u003c/p>\n\u003cp>The agreement, reached in October, requires the Los Angeles-based Lucy Goods Inc. to stop shipments of its products to San Francisco. The company is the fourth — along with Rogue Holdings LLC, Swisher International Inc. and Northerner Scandinavia Inc., all of which settled last year — named in a 2024 lawsuit against online sellers accused of violating state and local law and appealing to young people with fruity, minty flavors.\u003c/p>\n\u003cp>“The popularity of flavored nicotine pouches has skyrocketed, and we cannot risk hooking a new generation of young people on tobacco products,” City Attorney David Chiu said in a statement. “Online tobacco retailers are not above our laws and cannot ship banned products into our city.”\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>The judgment also requires all four companies to prohibit the use of San Francisco addresses in shipping or billing address fields, and post clear language on their websites stating that flavored tobacco products may not be sold in San Francisco. Between the four defendants, the lawsuit netted the city nearly $4 million in penalties and fees.\u003c/p>\n\u003cp>Lucy Goods did not respond to a request for comment in time for publication.\u003c/p>\n\u003cp>The settlement is the latest in the city’s ongoing battle against flavored tobacco and other addictive products. San Francisco’s 2019 comprehensive ban on the sale of all flavored e-cigarettes and menthols included nicotine pouches in the legal definition of a “tobacco product.” A 2020 study \u003ca href=\"https://www.sciencedirect.com/science/article/pii/S2352853220300134\">found\u003c/a> that the ban significantly reduced overall flavored tobacco use among people ages 18 to 34.\u003c/p>\n\u003cp>More recently, the popularity of Zyns and other nicotine pouches has grown as an alternative to smoking and vaping, especially among younger users, according to \u003ca href=\"https://keck.usc.edu/news/use-of-nicotine-pouches-increases-significantly-among-u-s-teens/\">research published last year\u003c/a> by a team at the USC Keck School of Medicine.[aside postID=news_12002998 hero='https://cdn.kqed.org/wp-content/uploads/sites/10/2024/09/ZynNicotinPouchesAP-1020x680.jpg']According to the 2023 California Youth Tobacco Survey, most high school respondents who used tobacco reported using flavored tobacco products, and nicotine pouches were the second-most common form of tobacco use among eighth-graders. Experts say the proliferation of flavored tobacco products, which are more attractive to young people, has threatened decades of progress in reducing youth tobacco use.\u003c/p>\n\u003cp>Zyn, a Swedish brand of nicotine pouches that has dominated the market, has been around for a decade and was initially marketed to help users kick smoking habits.\u003c/p>\n\u003cp>The pillow-shaped pouches, which sit in the mouth between the gum and lip, deliver a head rush or buzz as the bloodstream absorbs the nicotine. The products come in round plastic containers that resemble Ice Breakers mints, and often in a variety of fruit or mint flavors.\u003c/p>\n\u003cp>Philip Morris International acquired Zyn in 2022 as part of the tobacco giant’s pivot to smokeless products. Though the pouches don’t contain cancer-causing tobacco, nicotine is addictive, and experts have raised alarm bells about the consequences of nicotine exposure to developing adolescent brains.\u003c/p>\n\u003cp>Some of the hype has been attributed to the role of “\u003ca href=\"https://www.theguardian.com/business/2024/feb/12/meet-the-zynfluencers-how-nicotine-pouches-ignited-a-new-culture-war\">Zynfluencers\u003c/a>,” social media accounts that promote or meme the products’ use. The content, which skews to young men, links the products to masculinity, productivity and skepticism of the medical health establishment.\u003c/p>\n\u003cp>Right-wing media personality Tucker Carlson, who previously called himself a “Zyn power user” — recently launched his own brand of nicotine pouches, after Zyn said Carlson’s \u003ca href=\"https://www.politico.com/news/magazine/2025/02/07/tucker-carlson-nicotine-pouches-00200455\">claims\u003c/a> about the company’s products were not backed up by science.\u003c/p>\n\u003cp>The San Francisco settlement was announced the day after California \u003ca href=\"https://www.cspdailynews.com/tobacco/california-unveils-unflavored-tobacco-list-enforce-flavored-tobacco-ban\">unveiled\u003c/a> a list of tobacco products that can be legally sold in the state, following a statewide flavored tobacco ban in 2020 that voters upheld in a 2022 referendum.\u003c/p>\n\u003cp>Supervisor Shamann Walton said in a statement that the settlement sends “a clear message that San Francisco will enforce its flavored tobacco ban and hold corporations accountable.”\u003c/p>\n\u003cp>“Flavored nicotine products are designed to attract young people, and we cannot allow online retailers to bypass local protections and put another generation at risk,” he said.\u003c/p>\n\u003cp>\u003c/p>\n",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>Zynners repent.\u003c/p>\n\u003cp>San Francisco secured a $1 million settlement with a retailer it accused of using online sales to \u003ca href=\"https://www.kqed.org/news/12002998/san-francisco-breaks-the-zyn-ternet-with-lawsuit-against-flavored-nicotine-sales\">flout the city’s ban\u003c/a> on flavored nicotine pouches, the city attorney announced Thursday.\u003c/p>\n\u003cp>The agreement, reached in October, requires the Los Angeles-based Lucy Goods Inc. to stop shipments of its products to San Francisco. The company is the fourth — along with Rogue Holdings LLC, Swisher International Inc. and Northerner Scandinavia Inc., all of which settled last year — named in a 2024 lawsuit against online sellers accused of violating state and local law and appealing to young people with fruity, minty flavors.\u003c/p>\n\u003cp>“The popularity of flavored nicotine pouches has skyrocketed, and we cannot risk hooking a new generation of young people on tobacco products,” City Attorney David Chiu said in a statement. “Online tobacco retailers are not above our laws and cannot ship banned products into our city.”\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>The judgment also requires all four companies to prohibit the use of San Francisco addresses in shipping or billing address fields, and post clear language on their websites stating that flavored tobacco products may not be sold in San Francisco. Between the four defendants, the lawsuit netted the city nearly $4 million in penalties and fees.\u003c/p>\n\u003cp>Lucy Goods did not respond to a request for comment in time for publication.\u003c/p>\n\u003cp>The settlement is the latest in the city’s ongoing battle against flavored tobacco and other addictive products. San Francisco’s 2019 comprehensive ban on the sale of all flavored e-cigarettes and menthols included nicotine pouches in the legal definition of a “tobacco product.” A 2020 study \u003ca href=\"https://www.sciencedirect.com/science/article/pii/S2352853220300134\">found\u003c/a> that the ban significantly reduced overall flavored tobacco use among people ages 18 to 34.\u003c/p>\n\u003cp>More recently, the popularity of Zyns and other nicotine pouches has grown as an alternative to smoking and vaping, especially among younger users, according to \u003ca href=\"https://keck.usc.edu/news/use-of-nicotine-pouches-increases-significantly-among-u-s-teens/\">research published last year\u003c/a> by a team at the USC Keck School of Medicine.\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>According to the 2023 California Youth Tobacco Survey, most high school respondents who used tobacco reported using flavored tobacco products, and nicotine pouches were the second-most common form of tobacco use among eighth-graders. Experts say the proliferation of flavored tobacco products, which are more attractive to young people, has threatened decades of progress in reducing youth tobacco use.\u003c/p>\n\u003cp>Zyn, a Swedish brand of nicotine pouches that has dominated the market, has been around for a decade and was initially marketed to help users kick smoking habits.\u003c/p>\n\u003cp>The pillow-shaped pouches, which sit in the mouth between the gum and lip, deliver a head rush or buzz as the bloodstream absorbs the nicotine. The products come in round plastic containers that resemble Ice Breakers mints, and often in a variety of fruit or mint flavors.\u003c/p>\n\u003cp>Philip Morris International acquired Zyn in 2022 as part of the tobacco giant’s pivot to smokeless products. Though the pouches don’t contain cancer-causing tobacco, nicotine is addictive, and experts have raised alarm bells about the consequences of nicotine exposure to developing adolescent brains.\u003c/p>\n\u003cp>Some of the hype has been attributed to the role of “\u003ca href=\"https://www.theguardian.com/business/2024/feb/12/meet-the-zynfluencers-how-nicotine-pouches-ignited-a-new-culture-war\">Zynfluencers\u003c/a>,” social media accounts that promote or meme the products’ use. The content, which skews to young men, links the products to masculinity, productivity and skepticism of the medical health establishment.\u003c/p>\n\u003cp>Right-wing media personality Tucker Carlson, who previously called himself a “Zyn power user” — recently launched his own brand of nicotine pouches, after Zyn said Carlson’s \u003ca href=\"https://www.politico.com/news/magazine/2025/02/07/tucker-carlson-nicotine-pouches-00200455\">claims\u003c/a> about the company’s products were not backed up by science.\u003c/p>\n\u003cp>The San Francisco settlement was announced the day after California \u003ca href=\"https://www.cspdailynews.com/tobacco/california-unveils-unflavored-tobacco-list-enforce-flavored-tobacco-ban\">unveiled\u003c/a> a list of tobacco products that can be legally sold in the state, following a statewide flavored tobacco ban in 2020 that voters upheld in a 2022 referendum.\u003c/p>\n\u003cp>Supervisor Shamann Walton said in a statement that the settlement sends “a clear message that San Francisco will enforce its flavored tobacco ban and hold corporations accountable.”\u003c/p>\n\u003cp>“Flavored nicotine products are designed to attract young people, and we cannot allow online retailers to bypass local protections and put another generation at risk,” he said.\u003c/p>\n\u003cp>\u003c/p>\n\u003c/div>\u003c/p>",
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"content": "\u003cp>The \u003ca href=\"https://www.kqed.org/news/tag/united-states\">U.S.\u003c/a> took the unprecedented step Monday of dropping the number of \u003ca href=\"https://www.kqed.org/healthnews\">vaccines\u003c/a> it recommends for every child — cutting protection against a half-dozen diseases in a move slammed by the nation’s pediatricians.\u003c/p>\n\u003cp>The overhaul is effective immediately, meaning that the Centers for Disease Control and Prevention will now recommend vaccines against 11 diseases. What’s no longer broadly recommended is protection against \u003ca href=\"https://apnews.com/article/us-flu-cases-cdc-subclade-k-29cc5a68eb100585c8e0dbd2ec47b3eb\">flu\u003c/a>, rotavirus, hepatitis A, hepatitis B, some forms of meningitis or RSV. Instead, protections against those diseases are only recommended for certain groups deemed high-risk, or if their doctors recommend them in what’s called “shared decision-making.”\u003c/p>\n\u003cp>Trump administration officials said the overhaul, a move long sought by Health Secretary Robert F. Kennedy Jr., won’t result in families who want the vaccines losing access to them, and said insurance will continue to pay. But medical experts said the move increases confusion for parents and could increase preventable diseases.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>The change came after President Donald Trump in December \u003ca href=\"https://www.whitehouse.gov/presidential-actions/2025/12/aligning-united-states-core-childhood-vaccine-recommendations-with-best-practices-from-peer-developed-countries/\">asked the U.S. Department of Health\u003c/a> and Human Services to review how peer nations approach vaccine recommendations and consider revising its guidance to align with theirs.\u003c/p>\n\u003cp>HHS said its comparison to 20 peer nations found that the U.S. was an “outlier” in both the number of vaccinations and the number of doses it recommended to all children. Officials with the agency framed the change as a way to increase public trust by recommending only the most important vaccinations for children to receive.[aside postID=news_12068387 hero='https://cdn.kqed.org/wp-content/uploads/sites/10/2019/04/04242019_measles-vaccination-california-legislature-qut-1020x679.jpg']Among those left on the recommended-for-everyone list are measles, whooping cough, polio, tetanus, chickenpox and HPV.\u003c/p>\n\u003cp>“This decision protects children, respects families, and rebuilds trust in public health,” Kennedy said in a statement Monday.\u003c/p>\n\u003cp>Medical experts disagreed, saying the change without public discussion or a transparent review of the data would put children at risk.\u003c/p>\n\u003cp>Dr. Sean O’Leary of the American Academy of Pediatrics said countries carefully consider vaccine recommendations based on levels of disease in their populations and their health systems.\u003c/p>\n\u003cp>“You can’t just copy and paste public health and that’s what they seem to be doing here,” said O’Leary. “Literally children’s health and children’s lives are at stake.”\u003c/p>\n\u003cp>The new guidance also reduces the number of recommended vaccine doses against human papillomavirus from two or three shots to one for most children, depending on age.\u003c/p>\n\u003cp>The decision was made without input from an advisory committee that typically consults on the vaccine schedule, said senior officials at HHS. The officials spoke on the condition of anonymity because they weren’t authorized to discuss the changes publicly.\u003c/p>\n\u003cp>“Abandoning recommendations for vaccines that prevent influenza, hepatitis and rotavirus, and changing the recommendation for HPV without a public process to weigh the risks and benefits, will lead to more hospitalizations and preventable deaths among American children,” said Michael Osterholm of the Vaccine Integrity Project, based at the University of Minnesota.\u003c/p>\n\u003cp>\u003c/p>\n",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>The \u003ca href=\"https://www.kqed.org/news/tag/united-states\">U.S.\u003c/a> took the unprecedented step Monday of dropping the number of \u003ca href=\"https://www.kqed.org/healthnews\">vaccines\u003c/a> it recommends for every child — cutting protection against a half-dozen diseases in a move slammed by the nation’s pediatricians.\u003c/p>\n\u003cp>The overhaul is effective immediately, meaning that the Centers for Disease Control and Prevention will now recommend vaccines against 11 diseases. What’s no longer broadly recommended is protection against \u003ca href=\"https://apnews.com/article/us-flu-cases-cdc-subclade-k-29cc5a68eb100585c8e0dbd2ec47b3eb\">flu\u003c/a>, rotavirus, hepatitis A, hepatitis B, some forms of meningitis or RSV. Instead, protections against those diseases are only recommended for certain groups deemed high-risk, or if their doctors recommend them in what’s called “shared decision-making.”\u003c/p>\n\u003cp>Trump administration officials said the overhaul, a move long sought by Health Secretary Robert F. Kennedy Jr., won’t result in families who want the vaccines losing access to them, and said insurance will continue to pay. But medical experts said the move increases confusion for parents and could increase preventable diseases.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>The change came after President Donald Trump in December \u003ca href=\"https://www.whitehouse.gov/presidential-actions/2025/12/aligning-united-states-core-childhood-vaccine-recommendations-with-best-practices-from-peer-developed-countries/\">asked the U.S. Department of Health\u003c/a> and Human Services to review how peer nations approach vaccine recommendations and consider revising its guidance to align with theirs.\u003c/p>\n\u003cp>HHS said its comparison to 20 peer nations found that the U.S. was an “outlier” in both the number of vaccinations and the number of doses it recommended to all children. Officials with the agency framed the change as a way to increase public trust by recommending only the most important vaccinations for children to receive.\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>Among those left on the recommended-for-everyone list are measles, whooping cough, polio, tetanus, chickenpox and HPV.\u003c/p>\n\u003cp>“This decision protects children, respects families, and rebuilds trust in public health,” Kennedy said in a statement Monday.\u003c/p>\n\u003cp>Medical experts disagreed, saying the change without public discussion or a transparent review of the data would put children at risk.\u003c/p>\n\u003cp>Dr. Sean O’Leary of the American Academy of Pediatrics said countries carefully consider vaccine recommendations based on levels of disease in their populations and their health systems.\u003c/p>\n\u003cp>“You can’t just copy and paste public health and that’s what they seem to be doing here,” said O’Leary. “Literally children’s health and children’s lives are at stake.”\u003c/p>\n\u003cp>The new guidance also reduces the number of recommended vaccine doses against human papillomavirus from two or three shots to one for most children, depending on age.\u003c/p>\n\u003cp>The decision was made without input from an advisory committee that typically consults on the vaccine schedule, said senior officials at HHS. The officials spoke on the condition of anonymity because they weren’t authorized to discuss the changes publicly.\u003c/p>\n\u003cp>“Abandoning recommendations for vaccines that prevent influenza, hepatitis and rotavirus, and changing the recommendation for HPV without a public process to weigh the risks and benefits, will lead to more hospitalizations and preventable deaths among American children,” said Michael Osterholm of the Vaccine Integrity Project, based at the University of Minnesota.\u003c/p>\n\u003cp>\u003c/p>\n\u003c/div>\u003c/p>",
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"content": "\u003cp>\u003ca href=\"https://www.kqed.org/news/12069360/tengo-diabetes-precio-insulina-california-2026\">\u003cem>Leer en español\u003c/em>\u003c/a>\u003c/p>\n\u003cp>As of January, California is the first state in the country to partner with a nonprofit to \u003ca href=\"https://www.kqed.org/science/1998855/california-will-offer-deeply-discounted-insulin-in-january\">develop, produce and sell its own insulin\u003c/a> as a solution to the \u003ca href=\"https://diabetes.org/tools-resources/affordable-insulin\">widespread unaffordability\u003c/a> of the life-saving hormone that helps the body \u003ca href=\"https://diabetes.org/health-wellness/medication/insulin-basics\">process or store\u003c/a> blood sugar from food.\u003c/p>\n\u003cp>The nonprofit Civica will develop a CalRx Insulin Glargine pen — referred to as “biosimilar insulin,” meaning it references a U.S. Food & Drug Administration-approved product and has no “\u003ca href=\"https://calrx.ca.gov/biosimilar-insulin-initiative/\">clinically meaningful differences\u003c/a> from their reference product in terms of safety, purity, and potency.”\u003c/p>\n\u003cp>This CalRx pen can be substituted for Lantus and other branded insulin glargine, according to a spokesperson from the state’s Department of Health Care Access and Information (HCAI).\u003c/p>\n\u003cp>“California didn’t wait for the pharmaceutical industry to do the right thing — we took matters into our own hands,” Gov. Gavin Newsom said in an \u003ca href=\"https://www.gov.ca.gov/2025/10/16/governor-newsom-announces-affordable-calrx-insulin-11-a-pen-will-soon-be-available-for-purchase/\">October news release\u003c/a> about the CalRx insulin. “No Californian should ever have to ration insulin or go into debt to stay alive — and I won’t stop until health care costs are crushed for everyone.”\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>The initiative could provide major financial relief for \u003ca href=\"https://healthpolicy.ucla.edu/our-work/diabetes\">nearly 3.5 million Californians\u003c/a> who have been diagnosed with diabetes, a majority of whom have Type II diabetes — where the body cannot use insulin correctly. Type 1 is when the body produces little to no insulin.\u003c/p>\n\u003cp>\u003ca href=\"https://diabetes.org/health-wellness/medication/insulin-basics\">Type 1 or Type 2 diabetes\u003c/a> can impact \u003ca href=\"https://www.uvahealth.com/conditions/diabetes-types\">energy levels and organ functions\u003c/a>. Insulin shots — or, in some cases, diabetes pills — help with major body functions. The \u003ca href=\"https://www.cdc.gov/diabetes/php/data-research/index.html\">National Diabetes Statistics Report\u003c/a> found that 38.4 million people have diabetes — almost 12% of the country’s population.\u003c/p>\n\u003cp>Read on to learn more about changes to the price of insulin in California, how prescriptions will work and where to find more resources.\u003c/p>\n\u003ch2>What is the predicted price of CalRx Insulin?\u003c/h2>\n\u003cp>Difficulty accessing affordable insulin — specifically buying it — in America is a well-documented and \u003ca href=\"https://www.forbes.com/sites/brucelee/2022/11/12/fake-eli-lilly-twitter-account-claims-insulin-is-free-stock-falls-43/\">widespread issue\u003c/a> due to a market \u003ca href=\"https://medicine.yale.edu/news-article/the-price-of-insulin-a-qanda-with-kasia-lipska/\">dominated by three major companies\u003c/a>.\u003c/p>\n\u003cp>Insulin is \u003ca href=\"https://medicine.yale.edu/news-article/the-price-of-insulin-a-qanda-with-kasia-lipska/\">seven to 10 times more expensive in the United States\u003c/a> compared to other countries, despite being affordable to produce, according to a 2023 article by the Yale School of Medicine. In fact, it explains that “the same vial of insulin that cost $21 in the U.S. in 1996 now costs upward of $250.”[aside postID=science_1998855 hero='https://cdn.kqed.org/wp-content/uploads/sites/10/2023/01/GettyImages-1408757206.jpg']CalRx aims to be another competitor in the field by introducing a lower-cost alternative — and possibly put “pressure on other manufacturers to \u003ca href=\"https://calrx.ca.gov/biosimilar-insulin-initiative/\">lower their prices\u003c/a> as well.”\u003c/p>\n\u003cp>\u003ca href=\"https://calrx.ca.gov/biosimilar-insulin-initiative/\">According to the state and Civica\u003c/a>, the suggested retail price is:\u003c/p>\n\u003cul>\n\u003cli>No more than $30 for a 10mL vial of insulin\u003c/li>\n\u003cli>No more than $55 for a 5-pack of 3 mL pens\u003c/li>\n\u003c/ul>\n\u003cp>According to the HCAI spokesperson in an email to KQED, the “out-of-pocket cost may be lower, depending on insurance coverage.”\u003c/p>\n\u003cp>Advocates for people with diabetes see the production as a win.\u003c/p>\n\u003cp>“We look forward to the rollout of CalRx® insulin in January,” said Christine Fallabel, director of state government affairs at the American Diabetes Association, in an email to KQED. “Any meaningful step to improve insulin affordability and provide additional options is a win for people with diabetes.”\u003c/p>\n\u003cp>Fallabel also pointed to the \u003ca href=\"https://legiscan.com/CA/text/SB40/id/3030089\">recent passage of Senate Bill 40\u003c/a> — which prohibits high copayments for a month’s supply of insulin — as another state decision that helps with accessibility.\u003c/p>\n\u003cfigure id=\"attachment_12068562\" class=\"wp-caption aligncenter\" style=\"max-width: 2000px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-12068562\" src=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2026/01/GavinNewsomInsulinAP.jpg\" alt=\"\" width=\"2000\" height=\"1333\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2026/01/GavinNewsomInsulinAP.jpg 2000w, https://cdn.kqed.org/wp-content/uploads/sites/10/2026/01/GavinNewsomInsulinAP-160x107.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2026/01/GavinNewsomInsulinAP-1536x1024.jpg 1536w\" sizes=\"auto, (max-width: 2000px) 100vw, 2000px\">\u003cfigcaption class=\"wp-caption-text\">California Gov. Gavin Newsom announces CalRx-branded insulin glargine pens during a news conference Oct. 16, 2025, at Cedars-Sinai’s Mark Goodson Pharmacy in Los Angeles. (AP Photo/Damian Dovarganes)\u003c/figcaption>\u003c/figure>\n\u003ch2>What should I do if I am paying more than $55?\u003c/h2>\n\u003cp>According to the HCAI spokesperson, “CalRx and Civica cannot mandate the final price to the consumer as this would conflict with antitrust and competition law.”\u003c/p>\n\u003cp>But the spokesperson stated in the email that Civica is planning to include a QR code on the side of the boxes, so consumers can report if they have paid more than $55 for the product.\u003c/p>\n\u003cp>“At which point Civica would contact the pharmacy for remediation,” the spokesperson said.\u003c/p>\n\u003ch2>Where can I get CalRx insulin? Do I need a prescription?\u003c/h2>\n\u003cp>You \u003ca href=\"https://calrx.ca.gov/\">do not need to apply\u003c/a> to access the new insulin, and there are no eligibility requirements. You \u003ca href=\"https://calrx.ca.gov/biosimilar-insulin-initiative/\">do not need insurance\u003c/a>.\u003c/p>\n\u003cp>“Broad wholesale distribution will allow any California pharmacy to order CalRx insulin glargine,” the state explained in the email. Mail-order pharmacy outreach is still ongoing.\u003c/p>\n\u003cp>People interested in the CalRx insulin can “ask their pharmacist or doctor if they can switch their prescription to CalRx insulin glargine,” continued the HCAI spokesperson. Since the CalRx insulin is interchangeable with other brand names, you would \u003ca href=\"https://calrx.ca.gov/biosimilar-insulin-initiative/\">not need a new doctor’s prescription\u003c/a>.\u003c/p>\n\u003cp>“Health plans will be responsible for communicating about CalRx insulin glargine with their provider and patient networks,” HCAI said.\u003c/p>\n\u003ch2>Can people in other states access it?\u003c/h2>\n\u003cp>According to the HCAI spokesperson, “Yes, Civica Rx’s glargine insulin will be available in other states under \u003ca href=\"https://civicarx.org/\">Civica Rx’s label\u003c/a>.”\u003c/p>\n\u003cp>Where can I learn more information?\u003c/p>\n\u003cul>\n\u003cli>\u003ca href=\"https://calrx.ca.gov/\">CalRx website\u003c/a>\u003c/li>\n\u003cli>\u003ca href=\"https://calrx.ca.gov/uploads/2025/10/CalRx_Fact-Sheet.pdf\">CalRx fact sheet\u003c/a>\u003c/li>\n\u003cli>\u003ca href=\"https://diabetes.org/about-us/center-information\">American Diabetes Association’s Center for Information\u003c/a>\u003c/li>\n\u003cli>\u003ca href=\"https://diabetes.org/about-us/center-information\">Insulin Basics for Diabetes\u003c/a>\u003c/li>\n\u003cli>\u003ca href=\"https://civicainsulin.org/\">Civica Insulin\u003c/a>\u003c/li>\n\u003cli>\u003ca href=\"https://www.t1international.com/media/assets/file/Sept_2022_Update_-_T1International_Affordability_Resources.pdf\">T1International\u003c/a>\u003c/li>\n\u003c/ul>\n\u003cp>\u003cem>KQED’s \u003ca href=\"https://www.kqed.org/author/adembosky\">April Dembosky\u003c/a> contributed to this report\u003c/em>.\u003c/p>\n\u003cp>\u003c/p>\n",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>\u003ca href=\"https://www.kqed.org/news/12069360/tengo-diabetes-precio-insulina-california-2026\">\u003cem>Leer en español\u003c/em>\u003c/a>\u003c/p>\n\u003cp>As of January, California is the first state in the country to partner with a nonprofit to \u003ca href=\"https://www.kqed.org/science/1998855/california-will-offer-deeply-discounted-insulin-in-january\">develop, produce and sell its own insulin\u003c/a> as a solution to the \u003ca href=\"https://diabetes.org/tools-resources/affordable-insulin\">widespread unaffordability\u003c/a> of the life-saving hormone that helps the body \u003ca href=\"https://diabetes.org/health-wellness/medication/insulin-basics\">process or store\u003c/a> blood sugar from food.\u003c/p>\n\u003cp>The nonprofit Civica will develop a CalRx Insulin Glargine pen — referred to as “biosimilar insulin,” meaning it references a U.S. Food & Drug Administration-approved product and has no “\u003ca href=\"https://calrx.ca.gov/biosimilar-insulin-initiative/\">clinically meaningful differences\u003c/a> from their reference product in terms of safety, purity, and potency.”\u003c/p>\n\u003cp>This CalRx pen can be substituted for Lantus and other branded insulin glargine, according to a spokesperson from the state’s Department of Health Care Access and Information (HCAI).\u003c/p>\n\u003cp>“California didn’t wait for the pharmaceutical industry to do the right thing — we took matters into our own hands,” Gov. Gavin Newsom said in an \u003ca href=\"https://www.gov.ca.gov/2025/10/16/governor-newsom-announces-affordable-calrx-insulin-11-a-pen-will-soon-be-available-for-purchase/\">October news release\u003c/a> about the CalRx insulin. “No Californian should ever have to ration insulin or go into debt to stay alive — and I won’t stop until health care costs are crushed for everyone.”\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>The initiative could provide major financial relief for \u003ca href=\"https://healthpolicy.ucla.edu/our-work/diabetes\">nearly 3.5 million Californians\u003c/a> who have been diagnosed with diabetes, a majority of whom have Type II diabetes — where the body cannot use insulin correctly. Type 1 is when the body produces little to no insulin.\u003c/p>\n\u003cp>\u003ca href=\"https://diabetes.org/health-wellness/medication/insulin-basics\">Type 1 or Type 2 diabetes\u003c/a> can impact \u003ca href=\"https://www.uvahealth.com/conditions/diabetes-types\">energy levels and organ functions\u003c/a>. Insulin shots — or, in some cases, diabetes pills — help with major body functions. The \u003ca href=\"https://www.cdc.gov/diabetes/php/data-research/index.html\">National Diabetes Statistics Report\u003c/a> found that 38.4 million people have diabetes — almost 12% of the country’s population.\u003c/p>\n\u003cp>Read on to learn more about changes to the price of insulin in California, how prescriptions will work and where to find more resources.\u003c/p>\n\u003ch2>What is the predicted price of CalRx Insulin?\u003c/h2>\n\u003cp>Difficulty accessing affordable insulin — specifically buying it — in America is a well-documented and \u003ca href=\"https://www.forbes.com/sites/brucelee/2022/11/12/fake-eli-lilly-twitter-account-claims-insulin-is-free-stock-falls-43/\">widespread issue\u003c/a> due to a market \u003ca href=\"https://medicine.yale.edu/news-article/the-price-of-insulin-a-qanda-with-kasia-lipska/\">dominated by three major companies\u003c/a>.\u003c/p>\n\u003cp>Insulin is \u003ca href=\"https://medicine.yale.edu/news-article/the-price-of-insulin-a-qanda-with-kasia-lipska/\">seven to 10 times more expensive in the United States\u003c/a> compared to other countries, despite being affordable to produce, according to a 2023 article by the Yale School of Medicine. In fact, it explains that “the same vial of insulin that cost $21 in the U.S. in 1996 now costs upward of $250.”\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>CalRx aims to be another competitor in the field by introducing a lower-cost alternative — and possibly put “pressure on other manufacturers to \u003ca href=\"https://calrx.ca.gov/biosimilar-insulin-initiative/\">lower their prices\u003c/a> as well.”\u003c/p>\n\u003cp>\u003ca href=\"https://calrx.ca.gov/biosimilar-insulin-initiative/\">According to the state and Civica\u003c/a>, the suggested retail price is:\u003c/p>\n\u003cul>\n\u003cli>No more than $30 for a 10mL vial of insulin\u003c/li>\n\u003cli>No more than $55 for a 5-pack of 3 mL pens\u003c/li>\n\u003c/ul>\n\u003cp>According to the HCAI spokesperson in an email to KQED, the “out-of-pocket cost may be lower, depending on insurance coverage.”\u003c/p>\n\u003cp>Advocates for people with diabetes see the production as a win.\u003c/p>\n\u003cp>“We look forward to the rollout of CalRx® insulin in January,” said Christine Fallabel, director of state government affairs at the American Diabetes Association, in an email to KQED. “Any meaningful step to improve insulin affordability and provide additional options is a win for people with diabetes.”\u003c/p>\n\u003cp>Fallabel also pointed to the \u003ca href=\"https://legiscan.com/CA/text/SB40/id/3030089\">recent passage of Senate Bill 40\u003c/a> — which prohibits high copayments for a month’s supply of insulin — as another state decision that helps with accessibility.\u003c/p>\n\u003cfigure id=\"attachment_12068562\" class=\"wp-caption aligncenter\" style=\"max-width: 2000px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-12068562\" src=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2026/01/GavinNewsomInsulinAP.jpg\" alt=\"\" width=\"2000\" height=\"1333\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2026/01/GavinNewsomInsulinAP.jpg 2000w, https://cdn.kqed.org/wp-content/uploads/sites/10/2026/01/GavinNewsomInsulinAP-160x107.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2026/01/GavinNewsomInsulinAP-1536x1024.jpg 1536w\" sizes=\"auto, (max-width: 2000px) 100vw, 2000px\">\u003cfigcaption class=\"wp-caption-text\">California Gov. Gavin Newsom announces CalRx-branded insulin glargine pens during a news conference Oct. 16, 2025, at Cedars-Sinai’s Mark Goodson Pharmacy in Los Angeles. (AP Photo/Damian Dovarganes)\u003c/figcaption>\u003c/figure>\n\u003ch2>What should I do if I am paying more than $55?\u003c/h2>\n\u003cp>According to the HCAI spokesperson, “CalRx and Civica cannot mandate the final price to the consumer as this would conflict with antitrust and competition law.”\u003c/p>\n\u003cp>But the spokesperson stated in the email that Civica is planning to include a QR code on the side of the boxes, so consumers can report if they have paid more than $55 for the product.\u003c/p>\n\u003cp>“At which point Civica would contact the pharmacy for remediation,” the spokesperson said.\u003c/p>\n\u003ch2>Where can I get CalRx insulin? Do I need a prescription?\u003c/h2>\n\u003cp>You \u003ca href=\"https://calrx.ca.gov/\">do not need to apply\u003c/a> to access the new insulin, and there are no eligibility requirements. You \u003ca href=\"https://calrx.ca.gov/biosimilar-insulin-initiative/\">do not need insurance\u003c/a>.\u003c/p>\n\u003cp>“Broad wholesale distribution will allow any California pharmacy to order CalRx insulin glargine,” the state explained in the email. Mail-order pharmacy outreach is still ongoing.\u003c/p>\n\u003cp>People interested in the CalRx insulin can “ask their pharmacist or doctor if they can switch their prescription to CalRx insulin glargine,” continued the HCAI spokesperson. Since the CalRx insulin is interchangeable with other brand names, you would \u003ca href=\"https://calrx.ca.gov/biosimilar-insulin-initiative/\">not need a new doctor’s prescription\u003c/a>.\u003c/p>\n\u003cp>“Health plans will be responsible for communicating about CalRx insulin glargine with their provider and patient networks,” HCAI said.\u003c/p>\n\u003ch2>Can people in other states access it?\u003c/h2>\n\u003cp>According to the HCAI spokesperson, “Yes, Civica Rx’s glargine insulin will be available in other states under \u003ca href=\"https://civicarx.org/\">Civica Rx’s label\u003c/a>.”\u003c/p>\n\u003cp>Where can I learn more information?\u003c/p>\n\u003cul>\n\u003cli>\u003ca href=\"https://calrx.ca.gov/\">CalRx website\u003c/a>\u003c/li>\n\u003cli>\u003ca href=\"https://calrx.ca.gov/uploads/2025/10/CalRx_Fact-Sheet.pdf\">CalRx fact sheet\u003c/a>\u003c/li>\n\u003cli>\u003ca href=\"https://diabetes.org/about-us/center-information\">American Diabetes Association’s Center for Information\u003c/a>\u003c/li>\n\u003cli>\u003ca href=\"https://diabetes.org/about-us/center-information\">Insulin Basics for Diabetes\u003c/a>\u003c/li>\n\u003cli>\u003ca href=\"https://civicainsulin.org/\">Civica Insulin\u003c/a>\u003c/li>\n\u003cli>\u003ca href=\"https://www.t1international.com/media/assets/file/Sept_2022_Update_-_T1International_Affordability_Resources.pdf\">T1International\u003c/a>\u003c/li>\n\u003c/ul>\n\u003cp>\u003cem>KQED’s \u003ca href=\"https://www.kqed.org/author/adembosky\">April Dembosky\u003c/a> contributed to this report\u003c/em>.\u003c/p>\n\u003cp>\u003c/p>\n\u003c/div>\u003c/p>",
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"slug": "she-goes-to-police-calls-in-a-prius-its-part-of-new-approach-to-mental-health-emergencies",
"title": "She Goes to Police Calls in a Prius. It's Part of New Approach to Mental Health Emergencies",
"publishDate": 1766923252,
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"headTitle": "She Goes to Police Calls in a Prius. It’s Part of New Approach to Mental Health Emergencies | KQED",
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"content": "\u003cp>\u003cem>This story was originally published by \u003ca href=\"https://calmatters.org/\">CalMatters\u003c/a>. \u003ca href=\"https://calmatters.org/subscribe-to-calmatters/\">Sign up\u003c/a> for their newsletters.\u003c/em>\u003c/p>\n\u003cp>Briana Fair, a mental health clinician with the \u003ca href=\"https://www.kqed.org/news/tag/san-mateo\">San Mateo\u003c/a> Police Department, received a dozen voicemails from the same distressed caller over a single weekend this month.\u003c/p>\n\u003cp>She knew the voice. It was her client, saying that a celebrity has been hacking her phone, that she needed help moving into a different apartment and why was the process taking so long?\u003c/p>\n\u003cp>“Normally, she won’t call like this unless she’s starting to get towards a crisis,” Fair said.\u003c/p>\n\u003cp>If Fair keeps her close, it will ensure she is connected with the services she needs and prevent her from calling 911 dispatch, reducing the possibility of a full-blown crisis involving officers or unnecessary hospitalizations.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>“I fill in the gaps,” said Fair. “It’s just a matter of getting her the right supports.”\u003c/p>\n\u003cp>It’s working, according to a \u003ca href=\"https://www.nature.com/articles/s41562-025-02339-7\">new study of San Mateo County’s efforts\u003c/a> from Stanford’s John W. Gardner Center for Youth and Their Communities, which found that pairing \u003ca href=\"https://calmatters.org/justice/2022/03/mental-health-crisis-police/\">law enforcement officers with mental health clinicians\u003c/a> reduces the likelihood of costlier and more intrusive interventions.\u003c/p>\n\u003cfigure>\u003cimg decoding=\"async\" src=\"https://calmatters.org/wp-content/uploads/2025/12/121525-San-Mateo-RideAlong-MO-CM-15-1024x682.jpg\" alt=\"A close-up shows a person with short, tightly curled hair leaning forward and listening intently to another person whose back is in the foreground. Their face is partially lit, with a focused, serious expression, while a blurred laptop screen and desk items appear in the background, suggesting a work or interview setting.\">\u003cfigcaption>Briana Fair assists a client at the client’s apartment in San Mateo, after the client made multiple calls to her over the weekend, on Dec. 15, 2025. Photo by Manuel Orbegozo for CalMatters\u003c/figcaption>\u003c/figure>\n\u003cp>Fair was hired four years ago as part of a program to pilot this approach, also known as a “co-responder model,” across San Mateo County’s four largest cities — Daly City, San Mateo, Redwood City and South San Francisco. The idea was to free up police officers and provide alternatives to incarceration and hospital emergency rooms for people in a \u003ca href=\"https://calmatters.org/tag/mental-health/\">mental health crisis\u003c/a>. Since then, the model has rolled out to police departments in nearly every city in the county.\u003c/p>\n\u003cp>Researchers behind the Stanford study found the co-responder model decreased involuntary psychiatric holds by approximately 17% and reduced the likelihood of future mental health 911 calls among the four pilot cities. The hold allows a hospital to keep someone for up to 72 hours to determine if they are a danger to themselves or others. Given the reduction of roughly 370 involuntary psychiatric holds over the course of two years, researchers Tom Dee and Jaymes Pyne estimated an annual cost savings of roughly $300,000 to $800,000.[aside postID=news_12066395 hero='https://cdn.kqed.org/wp-content/uploads/sites/10/2025/12/San-Francisco-General-Hospital-Getty.jpg']“We’ve got to look to alternatives and really understand that police are not the best equipped to handle mental health crisis situations,” said San Mateo County Executive Officer Mike Callagy, who proposed the pilot after seeing cases that resulted in officers using force and in lawsuits.\u003c/p>\n\u003cp>During each visit with her client, Fair tries to help her check something off a list of things that have been bothering her. Today, they’re sitting next to one another as they call California’s social services department to ask about in-home care. They’re placed on hold and after five minutes, her client lets out a deep sigh.\u003c/p>\n\u003cp>“I know, it’s a lot,” Fair said. “That’s why I’m here.”\u003c/p>\n\u003cp>As jazz music plays in the background of the call, Fair picks up a bottle of dry shampoo from the desk, reads the label aloud and asks her how she likes it. She brought the product over during one of their last visits — a bandaid solution that she devised because her client was having trouble bathing herself.\u003c/p>\n\u003cp>“Have you tried it yet?” she asks. “Want me to spray it for you? Brush it first.”\u003c/p>\n\u003cp>Her client takes her hair out of its ponytail, brushes it with her fingers and runs her hands along the part. Fair stands up from her chair, shakes the bottle and mists it over her head.\u003c/p>\n\u003cp>“Does it feel better?” she asks.\u003c/p>\n\u003cp>“Yes, but you sprayed it in my mouth,” her client says, letting out a big laugh. “It feels fresh.”\u003c/p>\n\u003ch2>Rising number of mental health calls\u003c/h2>\n\u003cp>Stanford’s research adds to a \u003ca href=\"https://psychiatryonline.org/doi/10.1176/appi.ps.20240003\">growing body of evidence\u003c/a> about the positive impact of alternative first response programs, which have proliferated across the country amid calls for police reform in the aftermath of George Floyd’s murder in 2020. Those reforms are so nascent that not much is known about them, Dee said, and his study is one of a handful that provides a credible evaluation.\u003c/p>\n\u003cp>“This is a common-sense reform with a great deal of promise,” he said. “That being said, it’s not a cut-and-paste kind of reform. There are serious design and implementation details that matter for realizing the promise of these sorts of initiatives.”\u003c/p>\n\u003cfigure>\n\u003cfigure>\u003cimg decoding=\"async\" src=\"https://calmatters.org/wp-content/uploads/2025/12/121525-San-Mateo-RideAlong-MO-CM-03-1024x682.jpg\" alt=\"A motion-blurred street scene shows a uniformed officer moving quickly near an intersection, with another person partially visible nearby. A stop sign and street sign appear in the background alongside residential buildings and trees, conveying a sense of sudden movement and urgency.\">\u003c/figure>\n\u003cfigure>\u003cimg decoding=\"async\" src=\"https://calmatters.org/wp-content/uploads/2025/12/121525-San-Mateo-RideAlong-MO-CM-09-1024x682.jpg\" alt=\"Three people walk together across a residential street, including two uniformed police officers and a third person in plain clothes who gestures while speaking. Parked police vehicles line the curb behind them, and apartment buildings and trees with autumn leaves frame the scene in daylight.\">\u003c/figure>\u003cfigcaption>\u003cstrong>First: \u003c/strong>Briana Fair, San Mateo Police Department’s first-ever mental health clinician, responds to a mental health related 911 call that involved two police officers and resulted in no arrests, in San Mateo, on Dec. 15, 2025. \u003cstrong>Last: \u003c/strong>Police officers Dylan Kayzar, left, Jared Rogge, and mental health clinician Briana Fair chat after responding to a mental health related 911 call in San Mateo, on Dec. 15, 2025. Photos by Manuel Orbegozo for CalMatters\u003c/figcaption>\u003c/figure>\n\u003cfigure>\u003cimg decoding=\"async\" src=\"https://calmatters.org/wp-content/uploads/2025/12/121525-San-Mateo-RideAlong-MO-CM-01-1024x682.jpg\" alt=\"A person sits in the front seat of a car, shown in profile, with short curly hair softly lit by dim light from outside the vehicle. The interior is mostly dark, with the headrest, window frame, and a blurred structure visible beyond the window, creating a quiet, contemplative mood.\">\u003cfigcaption>Briana Fair, San Mateo Police Department’s first-ever mental health clinician, prepares to respond to a mental health-related 911 call in San Mateo on Dec. 15, 2025. Photo by Manuel Orbegozo for CalMatters\u003c/figcaption>\u003c/figure>\n\u003cp>Some of those details include having buy-in from the police, training dispatchers on how to triage calls, and integrating mental health staff.\u003c/p>\n\u003cp>San Mateo Police Chief Ed Barberini said it was a “risky proposition” when his agency decided to participate in the pilot program, worrying that his officers would push back. But mental health calls were on the rise, he said, and without clinical expertise, police officers were being put in a difficult position. That sentiment has been shared by law enforcement agencies across the state, some of which have recently \u003ca href=\"https://calmatters.org/health/mental-health/2025/04/mental-health-crisis-california-police-response/\">distanced themselves from mental health calls\u003c/a>.[aside postID=science_1999700 hero='https://cdn.kqed.org/wp-content/uploads/sites/35/2025/12/251211-DEATHCAPMUSHROOMS-10-BL-KQED.jpg']“We recognized that we were triaging problems and just finding short-term solutions,” said Barberini. “I’m pleasantly surprised with how things have turned out.”\u003c/p>\n\u003cp>Prior to the pilot program, San Mateo police officers who responded to mental health 911 calls had to decide whether to send the person to the hospital for a 72-hour involuntary hold, arrest them, or leave them to their own devices. By pairing them with a clinician, the agency has been able to provide safety planning, follow-up calls and connections to community partners for people in mental health crises.\u003c/p>\n\u003cp>Mariela Ruiz-Angel, director of Alternative Response Initiatives at Georgetown Law’s Center for Innovations in Community Safety, said a co-responder model is fantastic — but it’s just the beginning of what a progressive city looks like.\u003c/p>\n\u003cp>“This is really about evolving to a level in which we don’t have to send out cops or fire for basic-level need calls,” she said. “The idea was never about taking cops out of the equation altogether. The idea was that we don’t have to center them as the main response of 911. We don’t have to make public safety about cops. Public safety is about the appropriate response.”\u003c/p>\n\u003ch2>De-escalating a family feud\u003c/h2>\n\u003cp>The pilot program cost approximately $1.5 million over the course of two years, split between the county and the four participating cities. Once it ended, the San Mateo Police Department — an agency consisting of 116 sworn officers — converted Fair’s role to a permanent position as the agency’s first-ever mental health clinician. The city is also using grant money to employ an additional mental health clinician part-time. Every other participating city has also found a way to sustain its program.\u003c/p>\n\u003cp>On a Monday morning, Fair responds to emails from police officers who have asked her to follow up with people they interacted with over the weekend. This time of year has been busy, Fair says, because the holidays can be lonely. In the last week alone, she’s had to respond to a variety of crises: evaluating a kid who had an interrupted suicide attempt and responding to a transgender youth who wanted to stab themselves.\u003c/p>\n\u003cp>A radio sits next to her desk. She pauses to listen more intently as a dispatcher relays information about a person who thinks they’re being followed by a federal agent. A family member called in to report the episode. A few minutes later, Fair slings her backpack over her arm, sticks the radio in her pocket and quickly winds her way through the hallway to the garage. In the backseat of her county car – a white Toyota Prius – is a bulletproof vest, which she says she rarely uses.\u003c/p>\n\u003cp>Outside an apartment complex, Fair pulls over and turns on her flashers. The process, also referred to as “staging,” is when she parks two blocks away so police officers, who have already arrived, can vet the scene to make sure it’s safe for her arrival.\u003c/p>\n\u003cfigure>\u003cimg decoding=\"async\" src=\"https://calmatters.org/wp-content/uploads/2025/12/121525-San-Mateo-RideAlong-MO-CM-31-1024x682.jpg\" alt=\"A person with short, curly hair sits indoors near a window, hands clasped in their lap, with a calm expression. Sunlight falls across part of their face and shoulder, while the rest of the room remains in shadow. Small potted plants sit on a ledge beside them, and shelves with framed items and greenery are visible in the softly lit background.\">\u003cfigcaption>As the San Mateo Police Department’s first mental health clinician, Briana Fair connects people experiencing mental health crises with services to help prevent unnecessary hospitalizations or police involvement in San Mateo, on Dec. 15, 2025. Photo by Manuel Orbegozo for CalMatters\u003c/figcaption>\u003c/figure>\n\u003cp>A few minutes later, she opens the car door and jogs over in her black Nikes and tan cargo pants. An officer introduces her to the family and from there, Fair’s work unfolds. She moves back and forth between the family and their loved one, who’s sitting across the street on a bench, as she collects information from both parties: Is there a mental health history? What kind of substances have they used before? Are they currently receiving any treatment? Have they been hospitalized before? Did they make any threats? What do you want to see happen today?\u003c/p>\n\u003cp>After 10 minutes, Fair pulls one of the officers aside to let him know that the person doesn’t need to be hospitalized. “Let’s safety plan,” she tells him. It’s what the agency does if they receive a call that doesn’t rise to the level of an involuntary psychiatric hold. At that point, officers say, they’re “just playing peacemaker.”\u003c/p>\n\u003cp>Fair huddles beside the family to explain that the situation is no longer a police matter or a mental health crisis, but rather, a family matter. Still, she doesn’t want to leave them feeling alone. They create a “safety plan” that everyone can get on board with so that, as she later explains, “We don’t get another call in 10 minutes because they’re arguing down the street.”\u003c/p>\n\u003cp>“We get calls like this — where it sounds like it’s going to be wild — and then we get here and it’s just a family matter,” she said. “It happens.”\u003c/p>\n\u003cp>\u003cem>Cayla Mihalovich is a California Local News fellow. \u003c/em>\u003c/p>\n\u003cp>\u003cem>This article was \u003ca href=\"https://calmatters.org/justice/2025/12/police-mental-health-emergencies/\">originally published on CalMatters\u003c/a> and was republished under the \u003ca href=\"https://creativecommons.org/licenses/by-nc-nd/4.0/\">Creative Commons Attribution-NonCommercial-NoDerivatives\u003c/a> license.\u003c/em>\u003c/p>\n\u003cp>[ad floatright]\u003c/p>\n",
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"excerpt": "San Mateo adopted a new approach to mental health 911 calls by pairing police with mental health clinicians. Researchers found that it reduced the number of future mental health emergency calls and involuntary psychiatric holds by roughly 17%.\r\n",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>\u003cem>This story was originally published by \u003ca href=\"https://calmatters.org/\">CalMatters\u003c/a>. \u003ca href=\"https://calmatters.org/subscribe-to-calmatters/\">Sign up\u003c/a> for their newsletters.\u003c/em>\u003c/p>\n\u003cp>Briana Fair, a mental health clinician with the \u003ca href=\"https://www.kqed.org/news/tag/san-mateo\">San Mateo\u003c/a> Police Department, received a dozen voicemails from the same distressed caller over a single weekend this month.\u003c/p>\n\u003cp>She knew the voice. It was her client, saying that a celebrity has been hacking her phone, that she needed help moving into a different apartment and why was the process taking so long?\u003c/p>\n\u003cp>“Normally, she won’t call like this unless she’s starting to get towards a crisis,” Fair said.\u003c/p>\n\u003cp>If Fair keeps her close, it will ensure she is connected with the services she needs and prevent her from calling 911 dispatch, reducing the possibility of a full-blown crisis involving officers or unnecessary hospitalizations.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>“I fill in the gaps,” said Fair. “It’s just a matter of getting her the right supports.”\u003c/p>\n\u003cp>It’s working, according to a \u003ca href=\"https://www.nature.com/articles/s41562-025-02339-7\">new study of San Mateo County’s efforts\u003c/a> from Stanford’s John W. Gardner Center for Youth and Their Communities, which found that pairing \u003ca href=\"https://calmatters.org/justice/2022/03/mental-health-crisis-police/\">law enforcement officers with mental health clinicians\u003c/a> reduces the likelihood of costlier and more intrusive interventions.\u003c/p>\n\u003cfigure>\u003cimg decoding=\"async\" src=\"https://calmatters.org/wp-content/uploads/2025/12/121525-San-Mateo-RideAlong-MO-CM-15-1024x682.jpg\" alt=\"A close-up shows a person with short, tightly curled hair leaning forward and listening intently to another person whose back is in the foreground. Their face is partially lit, with a focused, serious expression, while a blurred laptop screen and desk items appear in the background, suggesting a work or interview setting.\">\u003cfigcaption>Briana Fair assists a client at the client’s apartment in San Mateo, after the client made multiple calls to her over the weekend, on Dec. 15, 2025. Photo by Manuel Orbegozo for CalMatters\u003c/figcaption>\u003c/figure>\n\u003cp>Fair was hired four years ago as part of a program to pilot this approach, also known as a “co-responder model,” across San Mateo County’s four largest cities — Daly City, San Mateo, Redwood City and South San Francisco. The idea was to free up police officers and provide alternatives to incarceration and hospital emergency rooms for people in a \u003ca href=\"https://calmatters.org/tag/mental-health/\">mental health crisis\u003c/a>. Since then, the model has rolled out to police departments in nearly every city in the county.\u003c/p>\n\u003cp>Researchers behind the Stanford study found the co-responder model decreased involuntary psychiatric holds by approximately 17% and reduced the likelihood of future mental health 911 calls among the four pilot cities. The hold allows a hospital to keep someone for up to 72 hours to determine if they are a danger to themselves or others. Given the reduction of roughly 370 involuntary psychiatric holds over the course of two years, researchers Tom Dee and Jaymes Pyne estimated an annual cost savings of roughly $300,000 to $800,000.\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>“We’ve got to look to alternatives and really understand that police are not the best equipped to handle mental health crisis situations,” said San Mateo County Executive Officer Mike Callagy, who proposed the pilot after seeing cases that resulted in officers using force and in lawsuits.\u003c/p>\n\u003cp>During each visit with her client, Fair tries to help her check something off a list of things that have been bothering her. Today, they’re sitting next to one another as they call California’s social services department to ask about in-home care. They’re placed on hold and after five minutes, her client lets out a deep sigh.\u003c/p>\n\u003cp>“I know, it’s a lot,” Fair said. “That’s why I’m here.”\u003c/p>\n\u003cp>As jazz music plays in the background of the call, Fair picks up a bottle of dry shampoo from the desk, reads the label aloud and asks her how she likes it. She brought the product over during one of their last visits — a bandaid solution that she devised because her client was having trouble bathing herself.\u003c/p>\n\u003cp>“Have you tried it yet?” she asks. “Want me to spray it for you? Brush it first.”\u003c/p>\n\u003cp>Her client takes her hair out of its ponytail, brushes it with her fingers and runs her hands along the part. Fair stands up from her chair, shakes the bottle and mists it over her head.\u003c/p>\n\u003cp>“Does it feel better?” she asks.\u003c/p>\n\u003cp>“Yes, but you sprayed it in my mouth,” her client says, letting out a big laugh. “It feels fresh.”\u003c/p>\n\u003ch2>Rising number of mental health calls\u003c/h2>\n\u003cp>Stanford’s research adds to a \u003ca href=\"https://psychiatryonline.org/doi/10.1176/appi.ps.20240003\">growing body of evidence\u003c/a> about the positive impact of alternative first response programs, which have proliferated across the country amid calls for police reform in the aftermath of George Floyd’s murder in 2020. Those reforms are so nascent that not much is known about them, Dee said, and his study is one of a handful that provides a credible evaluation.\u003c/p>\n\u003cp>“This is a common-sense reform with a great deal of promise,” he said. “That being said, it’s not a cut-and-paste kind of reform. There are serious design and implementation details that matter for realizing the promise of these sorts of initiatives.”\u003c/p>\n\u003cfigure>\n\u003cfigure>\u003cimg decoding=\"async\" src=\"https://calmatters.org/wp-content/uploads/2025/12/121525-San-Mateo-RideAlong-MO-CM-03-1024x682.jpg\" alt=\"A motion-blurred street scene shows a uniformed officer moving quickly near an intersection, with another person partially visible nearby. A stop sign and street sign appear in the background alongside residential buildings and trees, conveying a sense of sudden movement and urgency.\">\u003c/figure>\n\u003cfigure>\u003cimg decoding=\"async\" src=\"https://calmatters.org/wp-content/uploads/2025/12/121525-San-Mateo-RideAlong-MO-CM-09-1024x682.jpg\" alt=\"Three people walk together across a residential street, including two uniformed police officers and a third person in plain clothes who gestures while speaking. Parked police vehicles line the curb behind them, and apartment buildings and trees with autumn leaves frame the scene in daylight.\">\u003c/figure>\u003cfigcaption>\u003cstrong>First: \u003c/strong>Briana Fair, San Mateo Police Department’s first-ever mental health clinician, responds to a mental health related 911 call that involved two police officers and resulted in no arrests, in San Mateo, on Dec. 15, 2025. \u003cstrong>Last: \u003c/strong>Police officers Dylan Kayzar, left, Jared Rogge, and mental health clinician Briana Fair chat after responding to a mental health related 911 call in San Mateo, on Dec. 15, 2025. Photos by Manuel Orbegozo for CalMatters\u003c/figcaption>\u003c/figure>\n\u003cfigure>\u003cimg decoding=\"async\" src=\"https://calmatters.org/wp-content/uploads/2025/12/121525-San-Mateo-RideAlong-MO-CM-01-1024x682.jpg\" alt=\"A person sits in the front seat of a car, shown in profile, with short curly hair softly lit by dim light from outside the vehicle. The interior is mostly dark, with the headrest, window frame, and a blurred structure visible beyond the window, creating a quiet, contemplative mood.\">\u003cfigcaption>Briana Fair, San Mateo Police Department’s first-ever mental health clinician, prepares to respond to a mental health-related 911 call in San Mateo on Dec. 15, 2025. Photo by Manuel Orbegozo for CalMatters\u003c/figcaption>\u003c/figure>\n\u003cp>Some of those details include having buy-in from the police, training dispatchers on how to triage calls, and integrating mental health staff.\u003c/p>\n\u003cp>San Mateo Police Chief Ed Barberini said it was a “risky proposition” when his agency decided to participate in the pilot program, worrying that his officers would push back. But mental health calls were on the rise, he said, and without clinical expertise, police officers were being put in a difficult position. That sentiment has been shared by law enforcement agencies across the state, some of which have recently \u003ca href=\"https://calmatters.org/health/mental-health/2025/04/mental-health-crisis-california-police-response/\">distanced themselves from mental health calls\u003c/a>.\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>“We recognized that we were triaging problems and just finding short-term solutions,” said Barberini. “I’m pleasantly surprised with how things have turned out.”\u003c/p>\n\u003cp>Prior to the pilot program, San Mateo police officers who responded to mental health 911 calls had to decide whether to send the person to the hospital for a 72-hour involuntary hold, arrest them, or leave them to their own devices. By pairing them with a clinician, the agency has been able to provide safety planning, follow-up calls and connections to community partners for people in mental health crises.\u003c/p>\n\u003cp>Mariela Ruiz-Angel, director of Alternative Response Initiatives at Georgetown Law’s Center for Innovations in Community Safety, said a co-responder model is fantastic — but it’s just the beginning of what a progressive city looks like.\u003c/p>\n\u003cp>“This is really about evolving to a level in which we don’t have to send out cops or fire for basic-level need calls,” she said. “The idea was never about taking cops out of the equation altogether. The idea was that we don’t have to center them as the main response of 911. We don’t have to make public safety about cops. Public safety is about the appropriate response.”\u003c/p>\n\u003ch2>De-escalating a family feud\u003c/h2>\n\u003cp>The pilot program cost approximately $1.5 million over the course of two years, split between the county and the four participating cities. Once it ended, the San Mateo Police Department — an agency consisting of 116 sworn officers — converted Fair’s role to a permanent position as the agency’s first-ever mental health clinician. The city is also using grant money to employ an additional mental health clinician part-time. Every other participating city has also found a way to sustain its program.\u003c/p>\n\u003cp>On a Monday morning, Fair responds to emails from police officers who have asked her to follow up with people they interacted with over the weekend. This time of year has been busy, Fair says, because the holidays can be lonely. In the last week alone, she’s had to respond to a variety of crises: evaluating a kid who had an interrupted suicide attempt and responding to a transgender youth who wanted to stab themselves.\u003c/p>\n\u003cp>A radio sits next to her desk. She pauses to listen more intently as a dispatcher relays information about a person who thinks they’re being followed by a federal agent. A family member called in to report the episode. A few minutes later, Fair slings her backpack over her arm, sticks the radio in her pocket and quickly winds her way through the hallway to the garage. In the backseat of her county car – a white Toyota Prius – is a bulletproof vest, which she says she rarely uses.\u003c/p>\n\u003cp>Outside an apartment complex, Fair pulls over and turns on her flashers. The process, also referred to as “staging,” is when she parks two blocks away so police officers, who have already arrived, can vet the scene to make sure it’s safe for her arrival.\u003c/p>\n\u003cfigure>\u003cimg decoding=\"async\" src=\"https://calmatters.org/wp-content/uploads/2025/12/121525-San-Mateo-RideAlong-MO-CM-31-1024x682.jpg\" alt=\"A person with short, curly hair sits indoors near a window, hands clasped in their lap, with a calm expression. Sunlight falls across part of their face and shoulder, while the rest of the room remains in shadow. Small potted plants sit on a ledge beside them, and shelves with framed items and greenery are visible in the softly lit background.\">\u003cfigcaption>As the San Mateo Police Department’s first mental health clinician, Briana Fair connects people experiencing mental health crises with services to help prevent unnecessary hospitalizations or police involvement in San Mateo, on Dec. 15, 2025. Photo by Manuel Orbegozo for CalMatters\u003c/figcaption>\u003c/figure>\n\u003cp>A few minutes later, she opens the car door and jogs over in her black Nikes and tan cargo pants. An officer introduces her to the family and from there, Fair’s work unfolds. She moves back and forth between the family and their loved one, who’s sitting across the street on a bench, as she collects information from both parties: Is there a mental health history? What kind of substances have they used before? Are they currently receiving any treatment? Have they been hospitalized before? Did they make any threats? What do you want to see happen today?\u003c/p>\n\u003cp>After 10 minutes, Fair pulls one of the officers aside to let him know that the person doesn’t need to be hospitalized. “Let’s safety plan,” she tells him. It’s what the agency does if they receive a call that doesn’t rise to the level of an involuntary psychiatric hold. At that point, officers say, they’re “just playing peacemaker.”\u003c/p>\n\u003cp>Fair huddles beside the family to explain that the situation is no longer a police matter or a mental health crisis, but rather, a family matter. Still, she doesn’t want to leave them feeling alone. They create a “safety plan” that everyone can get on board with so that, as she later explains, “We don’t get another call in 10 minutes because they’re arguing down the street.”\u003c/p>\n\u003cp>“We get calls like this — where it sounds like it’s going to be wild — and then we get here and it’s just a family matter,” she said. “It happens.”\u003c/p>\n\u003cp>\u003cem>Cayla Mihalovich is a California Local News fellow. \u003c/em>\u003c/p>\n\u003cp>\u003cem>This article was \u003ca href=\"https://calmatters.org/justice/2025/12/police-mental-health-emergencies/\">originally published on CalMatters\u003c/a> and was republished under the \u003ca href=\"https://creativecommons.org/licenses/by-nc-nd/4.0/\">Creative Commons Attribution-NonCommercial-NoDerivatives\u003c/a> license.\u003c/em>\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"slug": "remembering-papa-northern-californias-elderly-face-hidden-epidemic-of-gun-suicides",
"title": "Remembering Papa: Northern California’s Elderly Face Hidden Epidemic of Gun Suicides",
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"content": "\u003cp>\u003cem>This story was originally published by \u003ca href=\"https://calmatters.org/\">CalMatters\u003c/a>. \u003ca href=\"https://calmatters.org/subscribe-to-calmatters/\">Sign up\u003c/a> for their newsletters.\u003c/em>\u003c/p>\n\u003cp>By the early afternoon of her 59th birthday, Kelly Frost had a \u003ca href=\"https://www.kqed.org/healthnews\">sinking feeling\u003c/a> in the pit of her stomach. She had lunch with girlfriends near her home in Douglas City — a rural community nestled among the ponderosa pines of the \u003ca href=\"https://www.kqed.org/news/tag/shasta-county\">Shasta\u003c/a>–\u003ca href=\"https://www.kqed.org/science/1942299/onetime-enemies-over-logging-are-now-a-community-to-prevent-wildfire\">Trinity National Forest\u003c/a> in Northern California. But she kept thinking about her “Daddy-o,” Jeffrey Butler, her 81-year-old father. He was not returning her calls.\u003c/p>\n\u003cp>As she drove home around 4 p.m., she stopped to check in on him. Her dad lived in a two-bedroom cabin just up the road from her place. “I was kind of feeling angry with him because he hadn’t answered all day,” Frost said.\u003c/p>\n\u003cp>When she opened the door, she glanced at the “Papa chair,” his favorite recliner, the spot where she usually found him. He wasn’t there. That’s when she noticed his feet on the kitchen floor. He was slumped over on his right side, a pool of blood around his head.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>Frost’s first thought was that her dad had taken a fall. She blew an air horn that she and her dad kept around in case they ever needed help. A neighbor met her promptly, and it was he who noticed the revolver.\u003c/p>\n\u003cp>“He said, ‘No, Kel, there’s a gun on the counter,’ and then I realized that he had shot himself,” Frost said.\u003c/p>\n\u003cp>Butler died on Dec. 18, 2024 from a self-inflicted gunshot to the head. His death is part of a dark reality — a public health crisis that often goes overlooked: older adults are increasingly turning to guns to end their lives.\u003c/p>\n\u003cfigure>\u003cimg decoding=\"async\" src=\"https://calmatters.org/wp-content/uploads/2025/12/120425_Trinity-Guns_SO_38-1024x695.jpg\" alt=\"\">\u003cfigcaption>A motel in Douglas City on Dec. 4, 2025. Photo by Salvador Ochoa for CalMatters\u003c/figcaption>\u003c/figure>\n\u003cp>In California, 5,825 adults aged 70 or older died by gun suicide between 2009 and 2023, according to mortality data from the Centers for Disease Control and Prevention \u003ca href=\"https://datahub.thetrace.org/dataset/gun-suicides-older-americans/\">provided by the Gun Violence Data Hub\u003c/a>. The numbers are especially stark among older white men in rural areas.\u003c/p>\n\u003cp>In Trinity County – population just over 15,600 – at least eight men 70 or older, including Butler, died from an apparent firearm suicide between 2020 and 2024, incident reports from the Trinity County Sheriff’s office show.\u003c/p>\n\u003cp>Trinity County isn’t alone. Rural Northern California counties have some of the nation’s highest rates of gun suicides among older adults. Over the course of 15 years, the gun suicide rate of adults 70 and older in Trinity, Tehama, Plumas, Lassen, Glenn, Calaveras, and Amador was 35.6 deaths per 100,000, more than triple the statewide rate.\u003c/p>\n\u003cdiv style=\"min-height:624px\" id=\"datawrapper-vis-lOl3X\">\u003cimg decoding=\"async\" src=\"https://datawrapper.dwcdn.net/lOl3X/full.png\" alt=\"Rural counties have the highest rates of suicide by firearm among seniors (Bar Chart)\">\u003c/div>\n\u003cp>Across the country, adults over 70 have the highest suicide rate of any age group. Experts say these deaths may get little attention because society empathizes with struggling older adults who want to control how their lives end.\u003c/p>\n\u003cp>“I think we sometimes don’t talk about them because I think people sort of brush it off as like, it’s understandable or it’s not preventable, and I think that’s the real piece of the narrative that we need to change,” said Dr. Emmy Betz, an emergency medicine doctor and a firearm injury prevention expert at the University of Colorado School of Medicine.\u003c/p>\n\u003cp>Behind the deaths are a number of factors, according to research and law enforcement incident reports. These include loneliness and social isolation, depression, financial struggles, illness and pain, and feeling like a burden.\u003c/p>\n\u003cp>In rural areas, easier access to guns is also a key contributor.\u003c/p>\n\u003ch2>Unresolved pain\u003c/h2>\n\u003cp>For more than a year before his death, Butler had been in pain. It radiated through his abdomen, making the simple act of urinating an ordeal, Frost said. Last year, in February, a CT scan revealed the problem: a crystal blockage in his urethra. He found a urologist in Redding, one county over. Each visit to the specialist required navigating the hour-long descent down Highway 299, scenic but winding. Frost drove him to the appointments.\u003c/p>\n\u003cp>A Bay Area native with Oklahoma roots, Butler had retired early to Trinity County, nearly 40 years ago. He had worked for large companies, including Hanes and Hostess, and done well in the stock market. Alongside the Trinity River, renowned for its steelhead trout and salmon, he bought cabins for himself and his daughter.[aside postID=news_12065708 hero='https://cdn.kqed.org/wp-content/uploads/sites/10/2025/04/250325-ApartmentsonWestside-06-BL_qed-1020x680.jpg']\u003c/p>\n\u003cp>It’s here where Frost’s kids grew up. Butler’s granddaughter Michaela Frost grew up to be a horse lover like her Papa. His grandson Jake Ritter said he could spend hours talking and fishing with his grandfather. His Papa was happiest fishing.\u003c/p>\n\u003cp>But the last months of his life brought Butler little joy.\u003c/p>\n\u003cp>In July of 2024, Butler had surgery in Redding to remove the blockage in his urethra. But the pain and discomfort continued through the summer. In September, he was admitted for three days to the emergency room in nearby Weaverville with a severe urinary tract infection. Frost said that during this time she tried to call her dad’s urologist several times to reschedule a follow-up appointment he missed while in the hospital, but she could only reach an answering machine.\u003c/p>\n\u003cp>Butler’s physician assistant in Weaverville called several times too, but no luck, Frost said. The physician assistant “literally threw her hands in the air and said, ‘I can’t get any response.’” That was one of the few times Frost saw her dad cry. “My dad never cried. He was a cowboy.”\u003c/p>\n\u003cp>After his death, first responders found an undated note in Butler’s home. It began:\u003c/p>\n\u003cp>The pain???????\u003cbr>\n!!!!!!!!!!\u003cbr>\nTo much to stand\u003cbr>\nNo Help\u003c/p>\n\u003cp>By mid-fall, the infections, desperation and heavy antibiotics use were changing her dad’s mental state, Frost said. He wasn’t interested in fishing. Or watching his 49ers. Or spending time with his wild mustang, Spade, or with the guys down at the Tangle Blue Saloon, where he would order a shot of whisky with a coke back.\u003c/p>\n\u003cp>His cabin grew darker; he no longer drew his camo-print curtains open. Frost estimates that in the span of about a year, Butler lost almost 100 pounds, transforming him from a stout 230-pound man to a fragile version of himself.\u003c/p>\n\u003cfigure>\u003cimg decoding=\"async\" src=\"https://calmatters.org/wp-content/uploads/2025/12/120425_Trinity-Guns_SO_03-1024x683.jpg\" alt=\"\">\u003cfigcaption>Kelly Frost and her father’s horse in Douglas City on Dec. 4, 2025. Photo by Salvador Ochoa for CalMatters\u003c/figcaption>\u003c/figure>\n\u003cfigure>\n\u003cfigure>\u003cimg decoding=\"async\" src=\"https://calmatters.org/wp-content/uploads/2025/12/120425_Trinity-Guns_SO_41-1024x682.jpg\" alt=\"\">\u003c/figure>\n\u003cfigure>\u003cimg decoding=\"async\" src=\"https://calmatters.org/wp-content/uploads/2025/12/120425_Trinity-Guns_SO_31-1024x701.jpg\" alt=\"\">\u003c/figure>\u003cfigcaption>\u003cstrong>First:\u003c/strong> Kelly Frost points to a photograph of her dad, Jeffrey Butler. \u003cstrong>Last:\u003c/strong> A collection of Jeffrey Butler photographs on a table at Kelly Frost’s home in Douglas City on Dec. 4, 2025. Photos by Salvador Ochoa for CalMatters\u003c/figcaption>\u003c/figure>\n\u003cp>Older adults are likely to plan suicide more carefully, and their attempts are more likely to be fatal, according to the National Council on Aging. In California, older women are more likely to overdose, while most older men will use guns, according to state public health data.\u003c/p>\n\u003cp>Pain and health issues are a common thread among older adults who die by gun suicide. State data show that 55% of people 70 and over who died this way had a contributing physical health problem, and 27% had a diagnosed mental health condition.\u003c/p>\n\u003cdiv id=\"datawrapper-vis-KyQjs\" style=\"min-height: 539px\">\u003cimg decoding=\"async\" src=\"https://datawrapper.dwcdn.net/KyQjs/full.png\" alt=\"Many older adults who died by gun suicide had a contributing physical health problem (Range Plot)\">\u003c/div>\n\u003cp>Among the eight older men that died by gun suicide in Trinity County between 2020 and 2024, two struggled with respiratory conditions. One had recently discovered a bladder tumor. One man’s antidepressants were found near his body, and another had reportedly been speaking about suicide for some time but did not meet the requirements for an involuntary psychiatric hold, according to incident reports.\u003c/p>\n\u003ch2>The rural divide\u003c/h2>\n\u003cp>Trinity County holds a deep beauty: the rush of the Trinity River, the rising fog on a chilly morning, the sprawling pines that make the rugged mountain sides their home.\u003c/p>\n\u003cp>But large supermarkets are a county over, a steep and twisty road away. And so is most of the medical care.\u003c/p>\n\u003cfigure>\u003cimg decoding=\"async\" src=\"https://calmatters.org/wp-content/uploads/2025/12/120425_Trinity-Guns_SO_05-1024x683.jpg\" alt=\"\">\u003cfigcaption>Clouds sweep the sky in Trinity County on Dec. 4, 2025. Photo by Salvador Ochoa for CalMatters\u003c/figcaption>\u003c/figure>\n\u003cp>“We have more limited access to essential services and resources compared to the rest of California,” said Cathy Tillman, a health services program manager at Trinity County Health and Human Services. “We have to travel further for all services, which plays a role in the ability for people to get their needs met.”\u003c/p>\n\u003cp>California’s rural counties have more older residents: about 25% compared to the state average of around 17%, according to the SCAN Foundation, an advocacy and research organization for older adults. By 2040, the 85-and-older population in rural California is \u003ca href=\"https://www.thescanfoundation.org/resource/aging-in-rural-california-policy-brief-series-on-long-term-care-health-and-housing/\">expected to grow 50 times faster\u003c/a> than the working age population. But access to medical and social services for seniors lag significantly when compared to larger, urban regions.\u003c/p>\n\u003cp>Trinity County has one 25-bed hospital, and a handful of clinics, largely in Weaverville, the county seat. But even reaching Weaverville from other Trinity County communities could take 30 minutes to an hour. For anything more specialized, residents here usually travel an hour to Redding, or two hours for providers in Eureka and Chico. With a small population, Trinity County can’t easily support specialists — like a neurologist or urologist — setting up practice.\u003c/p>\n\u003cp>Going further for care means people often miss appointments, or delay them, and live longer with pain.\u003c/p>\n\u003cp>Arina Erwin, deputy director of the county’s health and human services agency, said even some general practitioners who come to Trinity don’t stay long.\u003c/p>\n\u003cp>“Living in a small community and a frontier community can be a challenge on its own,” Erwin said. Doctors and specialists have student loans to repay, making cities where they can earn a significantly higher income seem more attractive. For years, the hospital and clinics in Trinity have \u003ca href=\"https://krcrtv.com/news/local/trinity-hospital-in-decade-long-struggle-to-hire-doctors\">reported trouble replacing retiring doctors\u003c/a>. Even virtual care here can be a challenge, because broadband is spotty, especially in pockets with only a few dozen residents, Erwin said.\u003c/p>\n\u003cp>People who live in rural areas also foster a cultural barrier — a rural spirit of sorts. Tillman said they tend to be more independent, and used to doing things on their own terms; they may also be less likely to seek help.\u003c/p>\n\u003cp>Frost said that sounds familiar. She saw first-hand how her proud, self-reliant, sometimes stubborn father lost his independence as the pain took hold.\u003c/p>\n\u003ch2>Remembering Papa\u003c/h2>\n\u003cp>In Frost’s living room – with the sun shining through the large windows on a December afternoon – memories of Butler, called Papa by his grandkids, stirred both laughter and tears.\u003c/p>\n\u003cfigure>\n\u003cfigure>\u003cimg decoding=\"async\" src=\"https://calmatters.org/wp-content/uploads/2025/12/120425_Trinity-Guns_SO_19-1024x683.jpg\" alt=\"\">\u003c/figure>\n\u003cfigure>\u003cimg decoding=\"async\" src=\"https://calmatters.org/wp-content/uploads/2025/12/120425_Trinity-Guns_SO_06-1024x758.jpg\" alt=\"\">\u003c/figure>\u003cfigcaption>\u003cstrong>First:\u003c/strong> A photograph of Jeffrey Butler is displayed next to holiday items at Kelly Frost’s home. \u003cstrong>Last:\u003c/strong> Jake Ritter takes a moment to remember his grandfather, Jeffrey Butler in Douglas City on Dec. 4, 2025. Photos by Salvador Ochoa for CalMatters\u003c/figcaption>\u003c/figure>\n\u003cp>As a kid, grandson Jake Ritter would get up before sunrise to go fishing with his Papa — sometimes begrudgingly — but by lunchtime they’d be happily eating their catch. He remembers cruising on Butler’s riding lawnmower and watching old westerns with him.\u003c/p>\n\u003cp>Ritter and his sister, Michaela, loved listening to his stories, like the time he shot a bobcat as it launched toward him while he was out deer hunting. He had the bobcat stuffed to prove it. Or how, as a teen in San Pablo, Butler chased and tackled a man trying to rob the Lucky store where he worked. The family still has the news clipping.\u003c/p>\n\u003cp>Michaela is glad her papa got to meet her first-born, Blake, and wishes her three-month-old, Daniella, could have as well.\u003c/p>\n\u003cp>Butler’s suicide left his family in turmoil and with so many questions. Ritter felt angry at his papa for the way he decided to go. Why do this on his mom’s birthday? Frost often wonders: What were her dad’s last thoughts?\u003c/p>\n\u003cp>After a suicide, families are more likely to experience a complicated grieving process, with feelings of guilt, confusion, shame, anger and trauma, research shows.\u003c/p>\n\u003cp>In the year since Butler’s death, Frost’s family has largely relied on each other through their grief. Ritter said his anger at his grandfather has subsided; he is now coming to terms with his Papa’s decision.\u003c/p>\n\u003cp>“I’m sad that he didn’t get the help that he needed, and I’m sad that he felt so strongly that this is the road that he chose,” Ritter said.\u003c/p>\n\u003cp>Frost said she gave herself a year to navigate the feelings on her own, but now with the encouragement of friends is considering seeking professional help.\u003c/p>\n\u003ch2>Warning signs and storing guns\u003c/h2>\n\u003cp>In Trinity County, health officials are preparing to launch an injury and suicide prevention program, said Tillman, the county health services program manager. A big component of the county’s strategy will be education to help reduce the stigmas associated with suicide and mental health. Tillman said the plan is to find and train trusted messengers in the small pockets where people live.\u003c/p>\n\u003cp>Dr. Amy Barnhorst, a psychiatrist and associate director of the \u003ca href=\"https://cvp.ucdavis.edu/\">Centers for Violence Prevention\u003c/a> at UC Davis, said that recognizing a sense of independence and self-reliance common to rural communities is essential to prevention programs. Education around safe gun storage is also key, she added.\u003c/p>\n\u003cp>“You can’t discount the fact that having access to a firearm, period, all other things being equal, increases the risk that somebody will die by suicide by a factor of more than three,” Barnhorst said.\u003c/p>\n\u003cp>She helps lead a state-funded curriculum at UC Davis called \u003ca href=\"https://www.bulletpointsproject.org/\">The BulletPoints Project\u003c/a>, which trains health providers on how to identify at-risk patients and speak to them about gun safety.\u003c/p>\n\u003cp>The project also trains people applying for and renewing concealed carry weapon permits. Under state law, that category of gun owners must complete at least an hour of mental health training.\u003c/p>\n\u003cp>The course aims to help these gun owners identify a mental health crisis. People who already own guns – like Jeff Butler – never had to take a course like this.\u003c/p>\n\u003cp>Kelly Frost said she doesn’t know if her dad would have accepted mental health help. It was not something they talked about. His will to live wrestled in the words found in his house, the note she still clings closely to. It ends:\u003c/p>\n\u003cp>What would you do?\u003cbr>\nEnd it???\u003cbr>\nThe pain not life\u003c/p>\n\u003cp>Since her dad’s passing, Frost has had many sleepless nights, pondering questions and thoughts. She feels she tried her best to get him care, but wishes access had been easier. What signs did she miss? But mostly: Why hadn’t she taken away the guns?\u003c/p>\n\u003cfigure>\u003cimg decoding=\"async\" src=\"https://calmatters.org/wp-content/uploads/2025/12/120425_Trinity-Guns_SO_28-1024x683.jpg\" alt=\"\">\u003cfigcaption>Kelly Frost is reflected in a mirror next to Jeffrey Butler’s fishing poles in Douglas City on Dec. 4, 2025. Photo by Salvador Ochoa for CalMatters\u003c/figcaption>\u003c/figure>\n\u003cp>Growing up around guns, it never crossed her mind that her Daddy-o would one day turn his revolver on himself.\u003c/p>\n\u003cp>“Had I known that he was capable of this, I probably would have worked a little harder to make sure that the guns were not accessible,” Frost said.\u003c/p>\n\u003cp>This Dec. 18, the one year anniversary of Butler’s death and Frost’s 60th birthday, she had a shot of Canadian whisky from the last bottle she gave him. His guns are now in a safe.\u003c/p>\n\u003cp>\u003cem>\u003cstrong>If you are having suicidal thoughts, you can get help from the National Suicide Prevention Lifeline by calling 988 or visiting \u003c/strong>\u003c/em>\u003ca href=\"https://suicidepreventionlifeline.org/\">\u003cstrong>\u003cem>https://suicidepreventionlifeline.org\u003c/em>\u003c/strong>\u003c/a>\u003c/p>\n\u003cp>\u003cem>Data shared by the \u003c/em>\u003ca href=\"https://datahub.thetrace.org/dataset/gun-suicides-older-americans/\">\u003cem>Gun Violence Data Hub\u003c/em>\u003c/a>\u003cem> by The Trace. Data analysis and visualizations by Natasha Uzcátegui-Liggett. Additional reporting by Aaron Mendelson. \u003c/em>\u003c/p>\n\u003cp>\u003cem>Supported by the California Health Care Foundation (CHCF), which works to ensure that people have access to the care they need, when they need it, at a price they can afford. Visit www.chcf.org to learn more.\u003c/em>\u003c/p>\n\u003cp>\u003cem>This article was \u003ca href=\"https://calmatters.org/health/2025/12/trinity-county-gun-suicide-rural/\">originally published on CalMatters\u003c/a> and was republished under the \u003ca href=\"https://creativecommons.org/licenses/by-nc-nd/4.0/\">Creative Commons Attribution-NonCommercial-NoDerivatives\u003c/a> license.\u003c/em>\u003c/p>\n\u003cp>[ad floatright]\u003c/p>\n",
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"excerpt": "Senior Californians in rural communities are dying by suicide at troubling rates—struggling with pain, cut off from doctors and mental health care, with guns at hand. Access to care and safety planning would help, experts say.\r\n",
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"title": "Remembering Papa: Northern California’s Elderly Face Hidden Epidemic of Gun Suicides | KQED",
"description": "Senior Californians in rural communities are dying by suicide at troubling rates—struggling with pain, cut off from doctors and mental health care, with guns at hand. Access to care and safety planning would help, experts say.\r\n",
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"headline": "Remembering Papa: Northern California’s Elderly Face Hidden Epidemic of Gun Suicides",
"datePublished": "2025-12-27T04:00:02-08:00",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>\u003cem>This story was originally published by \u003ca href=\"https://calmatters.org/\">CalMatters\u003c/a>. \u003ca href=\"https://calmatters.org/subscribe-to-calmatters/\">Sign up\u003c/a> for their newsletters.\u003c/em>\u003c/p>\n\u003cp>By the early afternoon of her 59th birthday, Kelly Frost had a \u003ca href=\"https://www.kqed.org/healthnews\">sinking feeling\u003c/a> in the pit of her stomach. She had lunch with girlfriends near her home in Douglas City — a rural community nestled among the ponderosa pines of the \u003ca href=\"https://www.kqed.org/news/tag/shasta-county\">Shasta\u003c/a>–\u003ca href=\"https://www.kqed.org/science/1942299/onetime-enemies-over-logging-are-now-a-community-to-prevent-wildfire\">Trinity National Forest\u003c/a> in Northern California. But she kept thinking about her “Daddy-o,” Jeffrey Butler, her 81-year-old father. He was not returning her calls.\u003c/p>\n\u003cp>As she drove home around 4 p.m., she stopped to check in on him. Her dad lived in a two-bedroom cabin just up the road from her place. “I was kind of feeling angry with him because he hadn’t answered all day,” Frost said.\u003c/p>\n\u003cp>When she opened the door, she glanced at the “Papa chair,” his favorite recliner, the spot where she usually found him. He wasn’t there. That’s when she noticed his feet on the kitchen floor. He was slumped over on his right side, a pool of blood around his head.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>Frost’s first thought was that her dad had taken a fall. She blew an air horn that she and her dad kept around in case they ever needed help. A neighbor met her promptly, and it was he who noticed the revolver.\u003c/p>\n\u003cp>“He said, ‘No, Kel, there’s a gun on the counter,’ and then I realized that he had shot himself,” Frost said.\u003c/p>\n\u003cp>Butler died on Dec. 18, 2024 from a self-inflicted gunshot to the head. His death is part of a dark reality — a public health crisis that often goes overlooked: older adults are increasingly turning to guns to end their lives.\u003c/p>\n\u003cfigure>\u003cimg decoding=\"async\" src=\"https://calmatters.org/wp-content/uploads/2025/12/120425_Trinity-Guns_SO_38-1024x695.jpg\" alt=\"\">\u003cfigcaption>A motel in Douglas City on Dec. 4, 2025. Photo by Salvador Ochoa for CalMatters\u003c/figcaption>\u003c/figure>\n\u003cp>In California, 5,825 adults aged 70 or older died by gun suicide between 2009 and 2023, according to mortality data from the Centers for Disease Control and Prevention \u003ca href=\"https://datahub.thetrace.org/dataset/gun-suicides-older-americans/\">provided by the Gun Violence Data Hub\u003c/a>. The numbers are especially stark among older white men in rural areas.\u003c/p>\n\u003cp>In Trinity County – population just over 15,600 – at least eight men 70 or older, including Butler, died from an apparent firearm suicide between 2020 and 2024, incident reports from the Trinity County Sheriff’s office show.\u003c/p>\n\u003cp>Trinity County isn’t alone. Rural Northern California counties have some of the nation’s highest rates of gun suicides among older adults. Over the course of 15 years, the gun suicide rate of adults 70 and older in Trinity, Tehama, Plumas, Lassen, Glenn, Calaveras, and Amador was 35.6 deaths per 100,000, more than triple the statewide rate.\u003c/p>\n\u003cdiv style=\"min-height:624px\" id=\"datawrapper-vis-lOl3X\">\u003cimg decoding=\"async\" src=\"https://datawrapper.dwcdn.net/lOl3X/full.png\" alt=\"Rural counties have the highest rates of suicide by firearm among seniors (Bar Chart)\">\u003c/div>\n\u003cp>Across the country, adults over 70 have the highest suicide rate of any age group. Experts say these deaths may get little attention because society empathizes with struggling older adults who want to control how their lives end.\u003c/p>\n\u003cp>“I think we sometimes don’t talk about them because I think people sort of brush it off as like, it’s understandable or it’s not preventable, and I think that’s the real piece of the narrative that we need to change,” said Dr. Emmy Betz, an emergency medicine doctor and a firearm injury prevention expert at the University of Colorado School of Medicine.\u003c/p>\n\u003cp>Behind the deaths are a number of factors, according to research and law enforcement incident reports. These include loneliness and social isolation, depression, financial struggles, illness and pain, and feeling like a burden.\u003c/p>\n\u003cp>In rural areas, easier access to guns is also a key contributor.\u003c/p>\n\u003ch2>Unresolved pain\u003c/h2>\n\u003cp>For more than a year before his death, Butler had been in pain. It radiated through his abdomen, making the simple act of urinating an ordeal, Frost said. Last year, in February, a CT scan revealed the problem: a crystal blockage in his urethra. He found a urologist in Redding, one county over. Each visit to the specialist required navigating the hour-long descent down Highway 299, scenic but winding. Frost drove him to the appointments.\u003c/p>\n\u003cp>A Bay Area native with Oklahoma roots, Butler had retired early to Trinity County, nearly 40 years ago. He had worked for large companies, including Hanes and Hostess, and done well in the stock market. Alongside the Trinity River, renowned for its steelhead trout and salmon, he bought cabins for himself and his daughter.\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>It’s here where Frost’s kids grew up. Butler’s granddaughter Michaela Frost grew up to be a horse lover like her Papa. His grandson Jake Ritter said he could spend hours talking and fishing with his grandfather. His Papa was happiest fishing.\u003c/p>\n\u003cp>But the last months of his life brought Butler little joy.\u003c/p>\n\u003cp>In July of 2024, Butler had surgery in Redding to remove the blockage in his urethra. But the pain and discomfort continued through the summer. In September, he was admitted for three days to the emergency room in nearby Weaverville with a severe urinary tract infection. Frost said that during this time she tried to call her dad’s urologist several times to reschedule a follow-up appointment he missed while in the hospital, but she could only reach an answering machine.\u003c/p>\n\u003cp>Butler’s physician assistant in Weaverville called several times too, but no luck, Frost said. The physician assistant “literally threw her hands in the air and said, ‘I can’t get any response.’” That was one of the few times Frost saw her dad cry. “My dad never cried. He was a cowboy.”\u003c/p>\n\u003cp>After his death, first responders found an undated note in Butler’s home. It began:\u003c/p>\n\u003cp>The pain???????\u003cbr>\n!!!!!!!!!!\u003cbr>\nTo much to stand\u003cbr>\nNo Help\u003c/p>\n\u003cp>By mid-fall, the infections, desperation and heavy antibiotics use were changing her dad’s mental state, Frost said. He wasn’t interested in fishing. Or watching his 49ers. Or spending time with his wild mustang, Spade, or with the guys down at the Tangle Blue Saloon, where he would order a shot of whisky with a coke back.\u003c/p>\n\u003cp>His cabin grew darker; he no longer drew his camo-print curtains open. Frost estimates that in the span of about a year, Butler lost almost 100 pounds, transforming him from a stout 230-pound man to a fragile version of himself.\u003c/p>\n\u003cfigure>\u003cimg decoding=\"async\" src=\"https://calmatters.org/wp-content/uploads/2025/12/120425_Trinity-Guns_SO_03-1024x683.jpg\" alt=\"\">\u003cfigcaption>Kelly Frost and her father’s horse in Douglas City on Dec. 4, 2025. Photo by Salvador Ochoa for CalMatters\u003c/figcaption>\u003c/figure>\n\u003cfigure>\n\u003cfigure>\u003cimg decoding=\"async\" src=\"https://calmatters.org/wp-content/uploads/2025/12/120425_Trinity-Guns_SO_41-1024x682.jpg\" alt=\"\">\u003c/figure>\n\u003cfigure>\u003cimg decoding=\"async\" src=\"https://calmatters.org/wp-content/uploads/2025/12/120425_Trinity-Guns_SO_31-1024x701.jpg\" alt=\"\">\u003c/figure>\u003cfigcaption>\u003cstrong>First:\u003c/strong> Kelly Frost points to a photograph of her dad, Jeffrey Butler. \u003cstrong>Last:\u003c/strong> A collection of Jeffrey Butler photographs on a table at Kelly Frost’s home in Douglas City on Dec. 4, 2025. Photos by Salvador Ochoa for CalMatters\u003c/figcaption>\u003c/figure>\n\u003cp>Older adults are likely to plan suicide more carefully, and their attempts are more likely to be fatal, according to the National Council on Aging. In California, older women are more likely to overdose, while most older men will use guns, according to state public health data.\u003c/p>\n\u003cp>Pain and health issues are a common thread among older adults who die by gun suicide. State data show that 55% of people 70 and over who died this way had a contributing physical health problem, and 27% had a diagnosed mental health condition.\u003c/p>\n\u003cdiv id=\"datawrapper-vis-KyQjs\" style=\"min-height: 539px\">\u003cimg decoding=\"async\" src=\"https://datawrapper.dwcdn.net/KyQjs/full.png\" alt=\"Many older adults who died by gun suicide had a contributing physical health problem (Range Plot)\">\u003c/div>\n\u003cp>Among the eight older men that died by gun suicide in Trinity County between 2020 and 2024, two struggled with respiratory conditions. One had recently discovered a bladder tumor. One man’s antidepressants were found near his body, and another had reportedly been speaking about suicide for some time but did not meet the requirements for an involuntary psychiatric hold, according to incident reports.\u003c/p>\n\u003ch2>The rural divide\u003c/h2>\n\u003cp>Trinity County holds a deep beauty: the rush of the Trinity River, the rising fog on a chilly morning, the sprawling pines that make the rugged mountain sides their home.\u003c/p>\n\u003cp>But large supermarkets are a county over, a steep and twisty road away. And so is most of the medical care.\u003c/p>\n\u003cfigure>\u003cimg decoding=\"async\" src=\"https://calmatters.org/wp-content/uploads/2025/12/120425_Trinity-Guns_SO_05-1024x683.jpg\" alt=\"\">\u003cfigcaption>Clouds sweep the sky in Trinity County on Dec. 4, 2025. Photo by Salvador Ochoa for CalMatters\u003c/figcaption>\u003c/figure>\n\u003cp>“We have more limited access to essential services and resources compared to the rest of California,” said Cathy Tillman, a health services program manager at Trinity County Health and Human Services. “We have to travel further for all services, which plays a role in the ability for people to get their needs met.”\u003c/p>\n\u003cp>California’s rural counties have more older residents: about 25% compared to the state average of around 17%, according to the SCAN Foundation, an advocacy and research organization for older adults. By 2040, the 85-and-older population in rural California is \u003ca href=\"https://www.thescanfoundation.org/resource/aging-in-rural-california-policy-brief-series-on-long-term-care-health-and-housing/\">expected to grow 50 times faster\u003c/a> than the working age population. But access to medical and social services for seniors lag significantly when compared to larger, urban regions.\u003c/p>\n\u003cp>Trinity County has one 25-bed hospital, and a handful of clinics, largely in Weaverville, the county seat. But even reaching Weaverville from other Trinity County communities could take 30 minutes to an hour. For anything more specialized, residents here usually travel an hour to Redding, or two hours for providers in Eureka and Chico. With a small population, Trinity County can’t easily support specialists — like a neurologist or urologist — setting up practice.\u003c/p>\n\u003cp>Going further for care means people often miss appointments, or delay them, and live longer with pain.\u003c/p>\n\u003cp>Arina Erwin, deputy director of the county’s health and human services agency, said even some general practitioners who come to Trinity don’t stay long.\u003c/p>\n\u003cp>“Living in a small community and a frontier community can be a challenge on its own,” Erwin said. Doctors and specialists have student loans to repay, making cities where they can earn a significantly higher income seem more attractive. For years, the hospital and clinics in Trinity have \u003ca href=\"https://krcrtv.com/news/local/trinity-hospital-in-decade-long-struggle-to-hire-doctors\">reported trouble replacing retiring doctors\u003c/a>. Even virtual care here can be a challenge, because broadband is spotty, especially in pockets with only a few dozen residents, Erwin said.\u003c/p>\n\u003cp>People who live in rural areas also foster a cultural barrier — a rural spirit of sorts. Tillman said they tend to be more independent, and used to doing things on their own terms; they may also be less likely to seek help.\u003c/p>\n\u003cp>Frost said that sounds familiar. She saw first-hand how her proud, self-reliant, sometimes stubborn father lost his independence as the pain took hold.\u003c/p>\n\u003ch2>Remembering Papa\u003c/h2>\n\u003cp>In Frost’s living room – with the sun shining through the large windows on a December afternoon – memories of Butler, called Papa by his grandkids, stirred both laughter and tears.\u003c/p>\n\u003cfigure>\n\u003cfigure>\u003cimg decoding=\"async\" src=\"https://calmatters.org/wp-content/uploads/2025/12/120425_Trinity-Guns_SO_19-1024x683.jpg\" alt=\"\">\u003c/figure>\n\u003cfigure>\u003cimg decoding=\"async\" src=\"https://calmatters.org/wp-content/uploads/2025/12/120425_Trinity-Guns_SO_06-1024x758.jpg\" alt=\"\">\u003c/figure>\u003cfigcaption>\u003cstrong>First:\u003c/strong> A photograph of Jeffrey Butler is displayed next to holiday items at Kelly Frost’s home. \u003cstrong>Last:\u003c/strong> Jake Ritter takes a moment to remember his grandfather, Jeffrey Butler in Douglas City on Dec. 4, 2025. Photos by Salvador Ochoa for CalMatters\u003c/figcaption>\u003c/figure>\n\u003cp>As a kid, grandson Jake Ritter would get up before sunrise to go fishing with his Papa — sometimes begrudgingly — but by lunchtime they’d be happily eating their catch. He remembers cruising on Butler’s riding lawnmower and watching old westerns with him.\u003c/p>\n\u003cp>Ritter and his sister, Michaela, loved listening to his stories, like the time he shot a bobcat as it launched toward him while he was out deer hunting. He had the bobcat stuffed to prove it. Or how, as a teen in San Pablo, Butler chased and tackled a man trying to rob the Lucky store where he worked. The family still has the news clipping.\u003c/p>\n\u003cp>Michaela is glad her papa got to meet her first-born, Blake, and wishes her three-month-old, Daniella, could have as well.\u003c/p>\n\u003cp>Butler’s suicide left his family in turmoil and with so many questions. Ritter felt angry at his papa for the way he decided to go. Why do this on his mom’s birthday? Frost often wonders: What were her dad’s last thoughts?\u003c/p>\n\u003cp>After a suicide, families are more likely to experience a complicated grieving process, with feelings of guilt, confusion, shame, anger and trauma, research shows.\u003c/p>\n\u003cp>In the year since Butler’s death, Frost’s family has largely relied on each other through their grief. Ritter said his anger at his grandfather has subsided; he is now coming to terms with his Papa’s decision.\u003c/p>\n\u003cp>“I’m sad that he didn’t get the help that he needed, and I’m sad that he felt so strongly that this is the road that he chose,” Ritter said.\u003c/p>\n\u003cp>Frost said she gave herself a year to navigate the feelings on her own, but now with the encouragement of friends is considering seeking professional help.\u003c/p>\n\u003ch2>Warning signs and storing guns\u003c/h2>\n\u003cp>In Trinity County, health officials are preparing to launch an injury and suicide prevention program, said Tillman, the county health services program manager. A big component of the county’s strategy will be education to help reduce the stigmas associated with suicide and mental health. Tillman said the plan is to find and train trusted messengers in the small pockets where people live.\u003c/p>\n\u003cp>Dr. Amy Barnhorst, a psychiatrist and associate director of the \u003ca href=\"https://cvp.ucdavis.edu/\">Centers for Violence Prevention\u003c/a> at UC Davis, said that recognizing a sense of independence and self-reliance common to rural communities is essential to prevention programs. Education around safe gun storage is also key, she added.\u003c/p>\n\u003cp>“You can’t discount the fact that having access to a firearm, period, all other things being equal, increases the risk that somebody will die by suicide by a factor of more than three,” Barnhorst said.\u003c/p>\n\u003cp>She helps lead a state-funded curriculum at UC Davis called \u003ca href=\"https://www.bulletpointsproject.org/\">The BulletPoints Project\u003c/a>, which trains health providers on how to identify at-risk patients and speak to them about gun safety.\u003c/p>\n\u003cp>The project also trains people applying for and renewing concealed carry weapon permits. Under state law, that category of gun owners must complete at least an hour of mental health training.\u003c/p>\n\u003cp>The course aims to help these gun owners identify a mental health crisis. People who already own guns – like Jeff Butler – never had to take a course like this.\u003c/p>\n\u003cp>Kelly Frost said she doesn’t know if her dad would have accepted mental health help. It was not something they talked about. His will to live wrestled in the words found in his house, the note she still clings closely to. It ends:\u003c/p>\n\u003cp>What would you do?\u003cbr>\nEnd it???\u003cbr>\nThe pain not life\u003c/p>\n\u003cp>Since her dad’s passing, Frost has had many sleepless nights, pondering questions and thoughts. She feels she tried her best to get him care, but wishes access had been easier. What signs did she miss? But mostly: Why hadn’t she taken away the guns?\u003c/p>\n\u003cfigure>\u003cimg decoding=\"async\" src=\"https://calmatters.org/wp-content/uploads/2025/12/120425_Trinity-Guns_SO_28-1024x683.jpg\" alt=\"\">\u003cfigcaption>Kelly Frost is reflected in a mirror next to Jeffrey Butler’s fishing poles in Douglas City on Dec. 4, 2025. Photo by Salvador Ochoa for CalMatters\u003c/figcaption>\u003c/figure>\n\u003cp>Growing up around guns, it never crossed her mind that her Daddy-o would one day turn his revolver on himself.\u003c/p>\n\u003cp>“Had I known that he was capable of this, I probably would have worked a little harder to make sure that the guns were not accessible,” Frost said.\u003c/p>\n\u003cp>This Dec. 18, the one year anniversary of Butler’s death and Frost’s 60th birthday, she had a shot of Canadian whisky from the last bottle she gave him. His guns are now in a safe.\u003c/p>\n\u003cp>\u003cem>\u003cstrong>If you are having suicidal thoughts, you can get help from the National Suicide Prevention Lifeline by calling 988 or visiting \u003c/strong>\u003c/em>\u003ca href=\"https://suicidepreventionlifeline.org/\">\u003cstrong>\u003cem>https://suicidepreventionlifeline.org\u003c/em>\u003c/strong>\u003c/a>\u003c/p>\n\u003cp>\u003cem>Data shared by the \u003c/em>\u003ca href=\"https://datahub.thetrace.org/dataset/gun-suicides-older-americans/\">\u003cem>Gun Violence Data Hub\u003c/em>\u003c/a>\u003cem> by The Trace. Data analysis and visualizations by Natasha Uzcátegui-Liggett. Additional reporting by Aaron Mendelson. \u003c/em>\u003c/p>\n\u003cp>\u003cem>Supported by the California Health Care Foundation (CHCF), which works to ensure that people have access to the care they need, when they need it, at a price they can afford. Visit www.chcf.org to learn more.\u003c/em>\u003c/p>\n\u003cp>\u003cem>This article was \u003ca href=\"https://calmatters.org/health/2025/12/trinity-county-gun-suicide-rural/\">originally published on CalMatters\u003c/a> and was republished under the \u003ca href=\"https://creativecommons.org/licenses/by-nc-nd/4.0/\">Creative Commons Attribution-NonCommercial-NoDerivatives\u003c/a> license.\u003c/em>\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"slug": "south-bay-lawmaker-slams-trump-admins-1-6-million-hepatitis-b-study-in-west-africa",
"title": "South Bay Lawmaker Slams Trump Admin’s $1.6 Million Hepatitis B Study in West Africa",
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"content": "\u003cp>A \u003ca href=\"https://www.kqed.org/news/tag/zoe-lofgren\">Bay Area lawmaker\u003c/a> slammed a Trump administration plan to conduct research on the Hepatitis B vaccine on infants in Guinea-Bissau, where nearly one in five adults lives with the virus.\u003c/p>\n\u003cp> The grant, awarded to a group of Danish scientists with ties to the anti-vaccine movement, will fund a five-year randomized control trial in the West African nation. According to the House Science, Space, and Technology Committee, 14,000 newborns will either receive the vaccine at birth or after a six-week delay to compare health outcomes.\u003c/p>\n\u003cp>South Bay Rep. Zoe Lofgren (D-San José) called the decision to approve the $1.6 million dollar study — which followed the Centers for Disease Control and Prevention rollback of newborn Hepatitis B vaccine recommendations last week — “deplorable” and a “new low.” \u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>In a statement released Friday, Lofgren alleged the study is being used to promote U.S. Health Secretary Robert F. Kennedy Jr.’s “anti-vaccine agenda.”\u003c/p>\n\u003cp>“To withhold a lifesaving vaccine from babies across the globe to promote your anti-vaccine agenda at home is deplorable,” Lofgren said. “How has it come to this? RFK Jr. must be stopped.”\u003c/p>\n\u003cp>Since 1991, the CDC recommended newborns receive the Hepatitis B vaccine within 24 hours of birth. \u003c/p>\n\u003cfigure id=\"attachment_11901022\" class=\"wp-caption aligncenter\" style=\"max-width: 1024px\">\u003ca href=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2022/01/GettyImages-1341705981.jpg\">\u003cimg loading=\"lazy\" decoding=\"async\" src=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2022/01/GettyImages-1341705981.jpg\" alt=\"\" width=\"1024\" height=\"683\" class=\"size-full wp-image-11901022\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2022/01/GettyImages-1341705981.jpg 1024w, https://cdn.kqed.org/wp-content/uploads/sites/10/2022/01/GettyImages-1341705981-800x534.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2022/01/GettyImages-1341705981-1020x680.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2022/01/GettyImages-1341705981-160x107.jpg 160w\" sizes=\"auto, (max-width: 1024px) 100vw, 1024px\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">Rep. Zoe Lofgren (D-CA) speaks at a news conference at the U.S. Capitol on Sept. 21, 2021 in Washington, DC. \u003ccite>(Kevin Dietsch/Getty Images)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>In an email, U.S. Department of Health and Human Services spokesperson Emily G. Hilliard defended the award as an independent study designed to fill “evidence gaps” regarding the “broader health effects” of the vaccine. Hilliard noted that because Guinea-Bissau does not plan to officially introduce the birth dose until 2027, the infants not receiving the shot are still receiving the “current standard of care.”\u003c/p>\n\u003cp>Local medical experts, however, say the science behind the birth dose is already settled. Dr. Jake Scott, an infectious disease specialist at Stanford University, said waiting six weeks to vaccinate newborns in a region where Hepatitis B is common will lead to “preventable infections.”\u003c/p>\n\u003cp>According to Scott, infants infected at birth have about a 90% chance of developing chronic hepatitis, which can lead to liver failure and cancer. He said the administration is attempting to “manufacture doubt” to justify the recent rollbacks.[aside postID=news_12068383 hero='https://ww2.kqed.org/app/uploads/sites/10/2020/04/001_KQED_Oakland_HighlandHospital_041152020-1020x680.jpg']“They’re doing that to generate evidence for a policy they have already implemented,” Scott said. “It’s clearly going to cause far more harm than any benefits.”\u003c/p>\n\u003cp>Scott estimated that if the birth dose is successfully rolled back on a larger scale, it could lead to 1,400 additional chronic pediatric infections and nearly 500 preventable deaths annually.\u003c/p>\n\u003cp>According to background information from the House Science Committee staff, the research group did not apply for an award through a standard competitive process; instead, staff said Kennedy specifically sought out the researchers.\u003c/p>\n\u003cp>“The typical way of going about it is to put out a request for proposal … and fund the most rigorous study,” Arthur Reingold, a former professor of epidemiology at UC Berkeley and a former Chief of the Respiratory Diseases Branch at the CDC, said. “Obviously, that was not done in this case.”\u003c/p>\n\u003cp>Reingold added that without a detailed study protocol, it is impossible to know if the trial can actually measure the “broader health effects” HHS claims to be looking for. He warned that if a study lacks the statistical power to answer important questions, it is a “waste of money.”\u003c/p>\n\u003cp>The House Science Committee stated it is considering all oversight options, though staff noted their authority is currently limited by their status in the Minority.\u003c/p>\n\u003cp>\u003c/p>\n",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>In a statement released Friday, Lofgren alleged the study is being used to promote U.S. Health Secretary Robert F. Kennedy Jr.’s “anti-vaccine agenda.”\u003c/p>\n\u003cp>“To withhold a lifesaving vaccine from babies across the globe to promote your anti-vaccine agenda at home is deplorable,” Lofgren said. “How has it come to this? RFK Jr. must be stopped.”\u003c/p>\n\u003cp>Since 1991, the CDC recommended newborns receive the Hepatitis B vaccine within 24 hours of birth. \u003c/p>\n\u003cfigure id=\"attachment_11901022\" class=\"wp-caption aligncenter\" style=\"max-width: 1024px\">\u003ca href=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2022/01/GettyImages-1341705981.jpg\">\u003cimg loading=\"lazy\" decoding=\"async\" src=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2022/01/GettyImages-1341705981.jpg\" alt=\"\" width=\"1024\" height=\"683\" class=\"size-full wp-image-11901022\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2022/01/GettyImages-1341705981.jpg 1024w, https://cdn.kqed.org/wp-content/uploads/sites/10/2022/01/GettyImages-1341705981-800x534.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2022/01/GettyImages-1341705981-1020x680.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2022/01/GettyImages-1341705981-160x107.jpg 160w\" sizes=\"auto, (max-width: 1024px) 100vw, 1024px\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">Rep. Zoe Lofgren (D-CA) speaks at a news conference at the U.S. Capitol on Sept. 21, 2021 in Washington, DC. \u003ccite>(Kevin Dietsch/Getty Images)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>In an email, U.S. Department of Health and Human Services spokesperson Emily G. Hilliard defended the award as an independent study designed to fill “evidence gaps” regarding the “broader health effects” of the vaccine. Hilliard noted that because Guinea-Bissau does not plan to officially introduce the birth dose until 2027, the infants not receiving the shot are still receiving the “current standard of care.”\u003c/p>\n\u003cp>Local medical experts, however, say the science behind the birth dose is already settled. Dr. Jake Scott, an infectious disease specialist at Stanford University, said waiting six weeks to vaccinate newborns in a region where Hepatitis B is common will lead to “preventable infections.”\u003c/p>\n\u003cp>According to Scott, infants infected at birth have about a 90% chance of developing chronic hepatitis, which can lead to liver failure and cancer. He said the administration is attempting to “manufacture doubt” to justify the recent rollbacks.\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>“They’re doing that to generate evidence for a policy they have already implemented,” Scott said. “It’s clearly going to cause far more harm than any benefits.”\u003c/p>\n\u003cp>Scott estimated that if the birth dose is successfully rolled back on a larger scale, it could lead to 1,400 additional chronic pediatric infections and nearly 500 preventable deaths annually.\u003c/p>\n\u003cp>According to background information from the House Science Committee staff, the research group did not apply for an award through a standard competitive process; instead, staff said Kennedy specifically sought out the researchers.\u003c/p>\n\u003cp>“The typical way of going about it is to put out a request for proposal … and fund the most rigorous study,” Arthur Reingold, a former professor of epidemiology at UC Berkeley and a former Chief of the Respiratory Diseases Branch at the CDC, said. “Obviously, that was not done in this case.”\u003c/p>\n\u003cp>Reingold added that without a detailed study protocol, it is impossible to know if the trial can actually measure the “broader health effects” HHS claims to be looking for. He warned that if a study lacks the statistical power to answer important questions, it is a “waste of money.”\u003c/p>\n\u003cp>The House Science Committee stated it is considering all oversight options, though staff noted their authority is currently limited by their status in the Minority.\u003c/p>\n\u003cp>\u003c/p>\n\u003c/div>\u003c/p>",
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"info": "What kind of no sabo word is Hyphenación? For us, it’s about living within a hyphenation. Like being a third-gen Mexican-American from the Texas border now living that Bay Area Chicano life. Like Xorje! Each week we bring together a couple of hyphenated Latinos to talk all about personal life choices: family, careers, relationships, belonging … everything is on the table. ",
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"marketplace": {
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"info": "Our flagship program, helmed by Kai Ryssdal, examines what the day in money delivered, through stories, conversations, newsworthy numbers and more. Updated Monday through Friday at about 3:30 p.m. PT.",
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"masters-of-scale": {
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"mindshift": {
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"info": "The MindShift podcast explores the innovations in education that are shaping how kids learn. Hosts Ki Sung and Katrina Schwartz introduce listeners to educators, researchers, parents and students who are developing effective ways to improve how kids learn. We cover topics like how fed-up administrators are developing surprising tactics to deal with classroom disruptions; how listening to podcasts are helping kids develop reading skills; the consequences of overparenting; and why interdisciplinary learning can engage students on all ends of the traditional achievement spectrum. This podcast is part of the MindShift education site, a division of KQED News. KQED is an NPR/PBS member station based in San Francisco. You can also visit the MindShift website for episodes and supplemental blog posts or tweet us \u003ca href=\"https://twitter.com/MindShiftKQED\">@MindShiftKQED\u003c/a> or visit us at \u003ca href=\"/mindshift\">MindShift.KQED.org\u003c/a>",
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"order": 12
},
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"google": "https://podcasts.google.com/feed/aHR0cHM6Ly9mZWVkcy5tZWdhcGhvbmUuZm0vS1FJTkM1NzY0NjAwNDI5",
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"morning-edition": {
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"tagline": "Deeply-reported investigative journalism",
"info": "For decades, the process for how police police themselves has been inconsistent – if not opaque. In some states, like California, these proceedings were completely hidden. After a new police transparency law unsealed scores of internal affairs files, our reporters set out to examine these cases and the shadow world of police discipline. On Our Watch brings listeners into the rooms where officers are questioned and witnesses are interrogated to find out who this system is really protecting. Is it the officers, or the public they've sworn to serve?",
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"info": "Our weekly podcast explores how the media 'sausage' is made, casts an incisive eye on fluctuations in the marketplace of ideas, and examines threats to the freedom of information and expression in America and abroad. For one hour a week, the show tries to lift the veil from the process of \"making media,\" especially news media, because it's through that lens that we see the world and the world sees us",
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},
"pbs-newshour": {
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},
"perspectives": {
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"order": 14
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"info": "The economy explained. Imagine you could call up a friend and say, Meet me at the bar and tell me what's going on with the economy. Now imagine that's actually a fun evening.",
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"imageSrc": "https://ww2.kqed.org/radio/wp-content/uploads/sites/50/2018/04/planetmoney.jpg",
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"link": "/radio/program/planet-money",
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"politicalbreakdown": {
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"title": "Political Breakdown",
"tagline": "Politics from a personal perspective",
"info": "Political Breakdown is a new series that explores the political intersection of California and the nation. Each week hosts Scott Shafer and Marisa Lagos are joined with a new special guest to unpack politics -- with personality — and offer an insider’s glimpse at how politics happens.",
"airtime": "THU 6:30pm-7pm",
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"order": 5
},
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"possible": {
"id": "possible",
"title": "Possible",
"info": "Possible is hosted by entrepreneur Reid Hoffman and writer Aria Finger. Together in Possible, Hoffman and Finger lead enlightening discussions about building a brighter collective future. The show features interviews with visionary guests like Trevor Noah, Sam Altman and Janette Sadik-Khan. Possible paints an optimistic portrait of the world we can create through science, policy, business, art and our shared humanity. It asks: What if everything goes right for once? How can we get there? Each episode also includes a short fiction story generated by advanced AI GPT-4, serving as a thought-provoking springboard to speculate how humanity could leverage technology for good.",
"airtime": "SUN 2pm",
"imageSrc": "https://cdn.kqed.org/wp-content/uploads/2024/04/Possible-Podcast-Tile-360x360-1.jpg",
"officialWebsiteLink": "https://www.possible.fm/",
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"source": "Possible"
},
"link": "/radio/program/possible",
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"spotify": "https://open.spotify.com/show/730YpdUSNlMyPQwNnyjp4k"
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},
"pri-the-world": {
"id": "pri-the-world",
"title": "PRI's The World: Latest Edition",
"info": "Each weekday, host Marco Werman and his team of producers bring you the world's most interesting stories in an hour of radio that reminds us just how small our planet really is.",
"airtime": "MON-FRI 2pm-3pm",
"imageSrc": "https://cdn.kqed.org/wp-content/uploads/2024/04/The-World-Podcast-Tile-360x360-1.jpg",
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},
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},
"radiolab": {
"id": "radiolab",
"title": "Radiolab",
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