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"content": "\u003cp>Somewhere near his 56th straight hour of chasing flames, Cal Fire Capt. Matt Newberry and his crew were hitting a wall. They’d been dispatched to the wildfire days earlier in the middle of the night. By the next morning, the fire had already ripped across 11,000 acres of Napa County, tearing even through the night the way fires do now.\u003c/p>\n\u003cp>[pullquote size=\"medium\" align=\"right\" citation=\"Christine Eriksen, social impacts of wildfire researcher\"]‘Many of these firefighters who are often portrayed as heroes in media reportage, they don’t feel like heroes. They feel like they failed.’[/pullquote]\u003cbr>\nDespite everything they’d done, hundreds of homes were in smolders.\u003c/p>\n\u003cp>A good friend and fellow firefighter, “one of the toughest dudes in our unit,” Newberry said, broke down. “Just fall to his knees and cry. He couldn’t do it anymore.”\u003c/p>\n\u003cp>Newberry had been there himself: Exhausted. Exasperated. Overwhelmed.\u003c/p>\n\u003cp>Firefighting has always been hard work. But each year fires just seem to get worse. \u003ca href=\"https://www.npr.org/2020/10/07/921209244/four-million-acres-have-burned-in-california-why-thats-the-wrong-number-to-focus\" target=\"_blank\" rel=\"noopener noreferrer\">Four million acres\u003c/a> in California. Millions more in \u003ca href=\"https://www.opb.org/article/2020/09/21/oregon-wildfires-climate-change-role/\" target=\"_blank\" rel=\"noopener noreferrer\">Oregon\u003c/a>, Washington and\u003ca href=\"https://www.cpr.org/2021/01/25/colorados-east-troublesome-wildfire-may-signal-a-new-era-of-big-fire-blow-ups/\" target=\"_blank\" rel=\"noopener noreferrer\"> Colorado\u003c/a>. Flames sweeping across\u003ca href=\"https://www.npr.org/2020/03/28/820294861/fires-where-they-are-not-supposed-to-happen-in-australia-s-ancient-rainforest\" target=\"_blank\" rel=\"noopener noreferrer\"> Eastern Australia\u003c/a>, the \u003ca href=\"https://www.npr.org/2020/08/14/902659716/brazils-environmentalists-worry-fire-season-will-worsen-amazons-deforestation\" target=\"_blank\" rel=\"noopener noreferrer\">Amazon\u003c/a> and\u003ca href=\"https://www.npr.org/2020/12/18/943219856/2020-may-be-the-hottest-year-on-record-heres-the-damage-it-did\" target=\"_blank\" rel=\"noopener noreferrer\"> the Arctic\u003c/a>. Thousands of homes destroyed. Lives lost.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>“You just feel defeated,” said Newberry, who’s been fighting fire for more than 20 years. “The things that we used to do that worked 10 years ago are no longer working anymore.”\u003c/p>\n\u003cfigure id=\"attachment_11862267\" class=\"wp-caption alignnone\" style=\"max-width: 800px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-medium wp-image-11862267\" src=\"https://ww2.kqed.org/app/uploads/sites/10/2021/02/gettyimages-1228838218_custom-205ab31c5bf27c86c7ba965eed53535d4821c2d6-800x476.jpg\" alt=\"\" width=\"800\" height=\"476\">\u003cfigcaption class=\"wp-caption-text\">Firefighters work the scene as the Glass Fire continues to burn in Calistoga, California, on Oct. 1, 2020. The United States’ west coast experienced a record-breaking fire season, with five of the state’s six biggest blazes in history burning simultaneously, and nearly 4 million acres scorched. \u003ccite>(Josh Edelson/AFP via Getty Images)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>The warming climate is making fire seasons longer, and increasing the frequency, intensity and range of wildfires around the world. That’s put a growing psychological strain on the people tasked with trying to contain them. Society still expects firefighters to put fires out — a conviction demonstrated every time \u003ca href=\"https://www.pnas.org/content/115/13/3314\" target=\"_blank\" rel=\"noopener noreferrer\">a new subdivision or home\u003c/a> is built in a fire-prone area. Firefighters still expect to corral flames and protect homes.\u003c/p>\n\u003cp>“That becomes a very difficult tradition to uphold when something like climate change is completely obliterating all of the parameters that they used to live within,” said Christine Eriksen, a researcher who focuses on the social impacts of wildfire.\u003c/p>\n\u003cp>Overnight lows are getting hotter, \u003ca href=\"https://www.scientificamerican.com/article/one-climate-change-wildfire-risk-lurks-in-the-dark/\" target=\"_blank\" rel=\"noopener noreferrer\">fueling more active fires at night\u003c/a>. Warming temperatures and human development are making \u003ca href=\"https://www.npr.org/2020/03/28/820294861/fires-where-they-are-not-supposed-to-happen-in-australia-s-ancient-rainforest\" target=\"_blank\" rel=\"noopener noreferrer\">more parts of the world\u003c/a> susceptible to flame. Big fires, 10,000 acres and up, used to happen on Newberry’s unit a few times a year. “Now we’re burning 10,000 acres in a couple hours,” he said.\u003c/p>\n\u003cp>The change is unsettling.\u003c/p>\n\u003cfigure id=\"attachment_11857060\" class=\"wp-caption alignnone\" style=\"max-width: 800px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-medium wp-image-11857060\" src=\"https://ww2.kqed.org/app/uploads/sites/10/2021/01/RS44829_021_KQED_BigBasin_Fire_09102020-qut-800x533.jpg\" alt=\"\" width=\"800\" height=\"533\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2021/01/RS44829_021_KQED_BigBasin_Fire_09102020-qut-800x533.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2021/01/RS44829_021_KQED_BigBasin_Fire_09102020-qut-1020x679.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2021/01/RS44829_021_KQED_BigBasin_Fire_09102020-qut-160x107.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2021/01/RS44829_021_KQED_BigBasin_Fire_09102020-qut-1536x1022.jpg 1536w, https://cdn.kqed.org/wp-content/uploads/sites/10/2021/01/RS44829_021_KQED_BigBasin_Fire_09102020-qut.jpg 1920w\" sizes=\"(max-width: 800px) 100vw, 800px\">\u003cfigcaption class=\"wp-caption-text\">Redwood trees after the CZU Lightning Complex wildfires burned much of the area at Big Basin Redwoods State Park on Sept. 10, 2020. \u003ccite>(Beth LaBerge/KQED)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>“Many of these firefighters who are often portrayed as heroes in media reportage, they don’t feel like heroes. They feel like they failed,” Eriksen said. “So there are some real issues going on in terms of their well being.”\u003c/p>\n\u003cp>Firefighters are more likely to die from suicide than in the line of duty, according to the Firefighter Behavioral Health Alliance, a nonprofit that tracks first responder suicides in the U.S. and offers support to their families. Depression, addiction, anxiety, post-traumatic stress disorder aren’t uncommon. At times, the symptoms reveal themselves during fire season. More often, it’s in the weeks and months after the smoke has cleared.\u003c/p>\n\u003cp>[aside tag=\"wildfires\" label=\"More wildfire coverage\"]For Steve Hillyar, a volunteer firefighter in Australia’s New South Wales, it was sleepless nights and smoke detectors that got to him.\u003c/p>\n\u003cp>“Most people don’t realize that when a house is on fire, or multiple houses, that’s all you hear,” he said, standing by the charred wreckage of his home. “Smoke detectors.”\u003c/p>\n\u003cp>Sophie Taylor was having trouble sleeping, too. She’d been made a brigade captain on Australia’s South Coast just months before the historic wildfires chased people in her area from mountains to beach. Without the adrenaline rush, she said, “You just feel flat all the time.”\u003c/p>\n\u003cp>Ian Spall, a chaplain with New South Wales’ Rural Fire Service, was grappling with his faith after spending a summer talking to the families of dead and injured firefighters.\u003c/p>\n\u003cp>“From a spiritual and psychological perspective I found this space very confronting, because I have faith that God intervenes and I had faith that God would intervene,” Spall said. “And then it didn’t happen.”\u003c/p>\n\u003cfigure id=\"attachment_11862269\" class=\"wp-caption alignnone\" style=\"max-width: 800px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-medium wp-image-11862269\" src=\"https://ww2.kqed.org/app/uploads/sites/10/2021/02/dsc03113-edit_custom-3366a60d8f67df975beee1a1650613ba1d1d38cf-800x533.jpg\" alt=\"\" width=\"800\" height=\"533\">\u003cfigcaption class=\"wp-caption-text\">Sophie Taylor was made a brigade captain on Australia’s South Coast just months before historic wildfires chased people from mountains to the beach. She says she feels flat without the adrenaline rush of fighting an active fire. \u003ccite>(Nathan Rott/NPR)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003ch3>\u003cstrong>‘I Crumbled’\u003c/strong>\u003c/h3>\n\u003cp>For Newberry, it was an accumulation of events. He’d be shook up after a call, but just “sucked it up,” he said. “Because that’s how it’s been for 100 years.” Then in 2015, four firefighters, local guys, were badly burnt on the\u003ca href=\"https://www.pressdemocrat.com/article/news/burned-firefighters-were-out-gunned-by-valley-fire/?gallery=BA691395-0402-4683-9FE9-EA33C4981D37\" target=\"_blank\" rel=\"noopener noreferrer\"> Valley Fire\u003c/a>. One was a good friend. The next summer, on \u003ca href=\"https://www.kqed.org/news/11405049/widow-of-bulldozer-operator-killed-in-soberanes-fire-struggles-to-get-by\" target=\"_blank\" rel=\"noopener noreferrer\">the Soberanes Fire\u003c/a>, a bulldozer drove off a steep embankment right near Newberry, pinning its driver to the ground and killing him.\u003c/p>\n\u003cp>“At that point, I just wanted to quit,” Newberry said. “I crumbled.”\u003c/p>\n\u003cp>He started drinking and using drugs. His marriage was falling apart, as was his relationship with his four daughters. All of the joy he took from firefighting was gone.\u003c/p>\n\u003cp>His employer, California’s fire agency, helped check him into a post-trauma retreat for first responders, where he underwent a week of intense psychotherapy. “It probably saved my life,” Newberry said. “It definitely saved my marriage and my career.”\u003c/p>\n\u003cfigure id=\"attachment_11862270\" class=\"wp-caption alignnone\" style=\"max-width: 800px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-medium wp-image-11862270\" src=\"https://ww2.kqed.org/app/uploads/sites/10/2021/02/n0a2836_custom-6285c0700303ef18a67549e18bdaf986681a51d8-800x533.jpg\" alt=\"\" width=\"800\" height=\"533\">\u003cfigcaption class=\"wp-caption-text\">For Newberry, it was an accumulation of events. He’d be shook up after a call, but just “sucked it up,” he said. “Because that’s how it’s been for 100 years.” \u003ccite>(Talia Herman/NPR)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>Demand is growing for post-traumatic retreats for firefighters and first responders as awareness of mental health issues grows and fires worsen. Newberry guesses at least 40 people from his unit alone have been to a similar program.\u003c/p>\n\u003cp>During last year’s unprecedented fires in California, Newberry, who now doubles as a peer counselor, said he was taking three or four calls a day from colleagues looking for help. The calls continued weeks after fire season officially ended in December.\u003c/p>\n\u003cp>Men and women were having trouble adjusting to life back home after being away in some cases for more than a month. “You always think, ‘Oh yeah, it’ll be the same as it was before I left for work,’ ” Newberry said. “And it’s not. S… happened.”\u003c/p>\n\u003cp>For seasonal and volunteer firefighters, the offseason can bring isolation. They’re no longer with their crew; no longer around a community of people with shared experiences. Finances can grow tight. No fires, no money. Beneath all of it can be the post-adrenaline feeling of flatness that Taylor experienced.\u003c/p>\n\u003cp>Good statistics on firefighter mental health are hard to find. But a \u003ca href=\"https://www.samhsa.gov/sites/default/files/dtac/supplementalresearchbulletin-firstresponders-may2018.pdf\" target=\"_blank\" rel=\"noopener noreferrer\">recent research bulletin \u003c/a>posted by the U.S. Department of Health and Human Services says that firefighters are more likely than the public to suffer from depression, stress, substance abuse, post-traumatic stress disorder and suicidal thoughts.\u003c/p>\n\u003cfigure id=\"attachment_11862271\" class=\"wp-caption alignnone\" style=\"max-width: 800px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-medium wp-image-11862271\" src=\"https://ww2.kqed.org/app/uploads/sites/10/2021/02/n0a2764_custom-30c43087ec6fdf3e216da75d4b934e1d540998f2-800x533.jpg\" alt=\"\" width=\"800\" height=\"533\">\u003cfigcaption class=\"wp-caption-text\">California’s fire agency helped check Newberry into a post-trauma retreat for first responders, where he underwent a week of intense psychotherapy. ‘It probably saved my life,’ he said. \u003ccite>(Talia Herman/NPR)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>A \u003ca href=\"https://pubmed.ncbi.nlm.nih.gov/29573853/\" target=\"_blank\" rel=\"noopener noreferrer\">2018 study\u003c/a> out of Florida State University, which surveyed a small number of wildland firefighters, found that they experienced an even higher risk of suicide than their urban counterparts. The concern is that worsening fire seasons will only amplify the problem.\u003c/p>\n\u003cp>Mike Ming, the head of Cal Fire’s Employee Support Services, which focuses on the mental and physical health of the state’s roughly 8,000 firefighters, said the last three to five years — some of the worst fire seasons in state history — have been particularly bad.\u003c/p>\n\u003cp>They’ve seen increases in firefighters suffering from burnout, PTSD, depression, anxiety, domestic violence and divorce. The pandemic, he said, is only making all of those things worse.\u003c/p>\n\u003cp>“Even your 30-year veterans,” Ming said. “They’re being brought to their knees by the stuff that we’re seeing that’s atypical in our careers.”\u003c/p>\n\u003ch3>\u003cstrong>Support Expands as Demand Grows\u003c/strong>\u003c/h3>\n\u003cp>A decade ago there were four people in Ming’s health and wellness program. Today, they have 26 permanent positions, on top of peer support members and others.\u003c/p>\n\u003cp>The idea of the program is to not only help California firefighters get the support or counseling they need \u003cem>after\u003c/em> an incident, but to give them the tools they need to better process what they’re experiencing in the moment. They’re taught mindfulness and wellness, breathing techniques that are used by Navy SEALs.\u003c/p>\n\u003cp>“We tell them Navy SEALs do this and then they’re like, ‘OK cool, we can do that. You’re cool? I’m cool,’ ” Ming said.\u003c/p>\n\u003cfigure id=\"attachment_11862272\" class=\"wp-caption alignnone\" style=\"max-width: 800px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-medium wp-image-11862272\" src=\"https://ww2.kqed.org/app/uploads/sites/10/2021/02/n0a2419_custom-7242f70fda11bc53d00952c6b32e9aa84b26c5fe-800x533.jpg\" alt=\"\" width=\"800\" height=\"533\">\u003cfigcaption class=\"wp-caption-text\">Members of the Napa County Fire Rescue Team participate in training in Yountville. Demand is growing for post-traumatic retreats for firefighters and first responders as awareness of mental health issues grows and fires worsen. \u003ccite>(Talia Herman/NPR)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>There can be grumblings from older veterans. In both Australia and California, firefighters talked about an old guard — veteran firefighters who aren’t keen to share feelings or put up with people who do.\u003c/p>\n\u003cp>Ming thinks they’ve broken through that stigma at Cal Fire. Older veterans, shaken by recent fires, are more willing to listen. Younger recruits are open to the conversation from the start.\u003c/p>\n\u003cp>Bodie Ronk, the national system coordinator for fire at the Bureau of Land Management, said the same is true for their firefighters. The Bureau of Land Management and U.S. Forest Service are adding mental fitness to their preseason training regimens. It’s now a priority. A push, Ronk said, that was prompted by suicides.\u003c/p>\n\u003cp>“[We’re] really focusing time on having these conversations, and stressing the importance of [firefighters] being able to have those conversations amongst each other,” Ronk said.\u003c/p>\n\u003cp>The National Wildfire Coordinating Group, which coordinates federal, state, tribal and private firefighting groups, selected \u003ca href=\"https://www.nwcg.gov/sites/default/files/committee/docs/mhsc-newsletter-burnout-2021.pdf\" target=\"_blank\" rel=\"noopener noreferrer\">burnout as the topic \u003c/a>of its first newsletter in 2021.\u003c/p>\n\u003cp>“Burnout might occur if your work seems meaningless or if there is no end in sight under difficult work conditions,” it wrote.\u003c/p>\n\u003cp>A Forest Service employee who identifies as a smokejumper and former Hotshot wrote \u003ca href=\"https://www.change.org/p/united-states-department-of-agriculture-usda-improve-wildland-firefighter-mental-health-and-lower-our-suicide-rates?redirect=false\" target=\"_blank\" rel=\"noopener noreferrer\">a petition on the website Change.org\u003c/a>, asking Congress to address the issue by — among other things — hiring psychologists for every national forest.\u003c/p>\n\u003cfigure id=\"attachment_11862273\" class=\"wp-caption alignnone\" style=\"max-width: 800px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-medium wp-image-11862273\" src=\"https://ww2.kqed.org/app/uploads/sites/10/2021/02/n0a2259_custom-1fa7fba7bc35d4701d558e2847a8006b6a6ca2d9-800x533.jpg\" alt=\"\" width=\"800\" height=\"533\">\u003cfigcaption class=\"wp-caption-text\">Newberry (center) attends a training with his Napa County Fire Rescue Team. The wellness program aims to not only provide support after an incident, but also help firefighters better process what they experience in the moment. \u003ccite>(Talia Herman/NPR)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>“Don’t call us ‘Heroes’ either because when divorces, mental health problems and declining wages are the reality, we don’t feel like heroes at all,” the smokejumper wrote.\u003c/p>\n\u003cp>Researcher Eriksen, who’s worked with firefighters in the U.S. and Australia, agrees that more resources would help, especially as climate change makes wildfire seasons more difficult to manage. But she said there are also things everyone can do.\u003c/p>\n\u003cp>[ad floatright]\u003c/p>\n\u003cp>“As a society we really need to step up and become more emotionally literate and more emotionally intelligent in the way that we deal with the fright of these types of events,” Eriksen said. “We need to step up and provide avenues for people to say, ‘I’m not coping. I need help.’ ”\u003c/p>\n\u003cdiv class=\"fullattribution\">Copyright 2021 NPR. To see more, visit https://www.npr.org.\u003cimg decoding=\"async\" src=\"https://www.google-analytics.com/__utm.gif?utmac=UA-5828686-4&utmdt=As+Fires+Worsen%2C+A+Mental+Health+Crisis+For+Those+Battling+Them&utme=8(APIKey)9(MDAxOTAwOTE4MDEyMTkxMDAzNjczZDljZA004)\">\u003c/div>\n\n",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>Somewhere near his 56th straight hour of chasing flames, Cal Fire Capt. Matt Newberry and his crew were hitting a wall. They’d been dispatched to the wildfire days earlier in the middle of the night. By the next morning, the fire had already ripped across 11,000 acres of Napa County, tearing even through the night the way fires do now.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cbr>\nDespite everything they’d done, hundreds of homes were in smolders.\u003c/p>\n\u003cp>A good friend and fellow firefighter, “one of the toughest dudes in our unit,” Newberry said, broke down. “Just fall to his knees and cry. He couldn’t do it anymore.”\u003c/p>\n\u003cp>Newberry had been there himself: Exhausted. Exasperated. Overwhelmed.\u003c/p>\n\u003cp>Firefighting has always been hard work. But each year fires just seem to get worse. \u003ca href=\"https://www.npr.org/2020/10/07/921209244/four-million-acres-have-burned-in-california-why-thats-the-wrong-number-to-focus\" target=\"_blank\" rel=\"noopener noreferrer\">Four million acres\u003c/a> in California. Millions more in \u003ca href=\"https://www.opb.org/article/2020/09/21/oregon-wildfires-climate-change-role/\" target=\"_blank\" rel=\"noopener noreferrer\">Oregon\u003c/a>, Washington and\u003ca href=\"https://www.cpr.org/2021/01/25/colorados-east-troublesome-wildfire-may-signal-a-new-era-of-big-fire-blow-ups/\" target=\"_blank\" rel=\"noopener noreferrer\"> Colorado\u003c/a>. Flames sweeping across\u003ca href=\"https://www.npr.org/2020/03/28/820294861/fires-where-they-are-not-supposed-to-happen-in-australia-s-ancient-rainforest\" target=\"_blank\" rel=\"noopener noreferrer\"> Eastern Australia\u003c/a>, the \u003ca href=\"https://www.npr.org/2020/08/14/902659716/brazils-environmentalists-worry-fire-season-will-worsen-amazons-deforestation\" target=\"_blank\" rel=\"noopener noreferrer\">Amazon\u003c/a> and\u003ca href=\"https://www.npr.org/2020/12/18/943219856/2020-may-be-the-hottest-year-on-record-heres-the-damage-it-did\" target=\"_blank\" rel=\"noopener noreferrer\"> the Arctic\u003c/a>. Thousands of homes destroyed. Lives lost.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>“You just feel defeated,” said Newberry, who’s been fighting fire for more than 20 years. “The things that we used to do that worked 10 years ago are no longer working anymore.”\u003c/p>\n\u003cfigure id=\"attachment_11862267\" class=\"wp-caption alignnone\" style=\"max-width: 800px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-medium wp-image-11862267\" src=\"https://ww2.kqed.org/app/uploads/sites/10/2021/02/gettyimages-1228838218_custom-205ab31c5bf27c86c7ba965eed53535d4821c2d6-800x476.jpg\" alt=\"\" width=\"800\" height=\"476\">\u003cfigcaption class=\"wp-caption-text\">Firefighters work the scene as the Glass Fire continues to burn in Calistoga, California, on Oct. 1, 2020. The United States’ west coast experienced a record-breaking fire season, with five of the state’s six biggest blazes in history burning simultaneously, and nearly 4 million acres scorched. \u003ccite>(Josh Edelson/AFP via Getty Images)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>The warming climate is making fire seasons longer, and increasing the frequency, intensity and range of wildfires around the world. That’s put a growing psychological strain on the people tasked with trying to contain them. Society still expects firefighters to put fires out — a conviction demonstrated every time \u003ca href=\"https://www.pnas.org/content/115/13/3314\" target=\"_blank\" rel=\"noopener noreferrer\">a new subdivision or home\u003c/a> is built in a fire-prone area. Firefighters still expect to corral flames and protect homes.\u003c/p>\n\u003cp>“That becomes a very difficult tradition to uphold when something like climate change is completely obliterating all of the parameters that they used to live within,” said Christine Eriksen, a researcher who focuses on the social impacts of wildfire.\u003c/p>\n\u003cp>Overnight lows are getting hotter, \u003ca href=\"https://www.scientificamerican.com/article/one-climate-change-wildfire-risk-lurks-in-the-dark/\" target=\"_blank\" rel=\"noopener noreferrer\">fueling more active fires at night\u003c/a>. Warming temperatures and human development are making \u003ca href=\"https://www.npr.org/2020/03/28/820294861/fires-where-they-are-not-supposed-to-happen-in-australia-s-ancient-rainforest\" target=\"_blank\" rel=\"noopener noreferrer\">more parts of the world\u003c/a> susceptible to flame. Big fires, 10,000 acres and up, used to happen on Newberry’s unit a few times a year. “Now we’re burning 10,000 acres in a couple hours,” he said.\u003c/p>\n\u003cp>The change is unsettling.\u003c/p>\n\u003cfigure id=\"attachment_11857060\" class=\"wp-caption alignnone\" style=\"max-width: 800px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-medium wp-image-11857060\" src=\"https://ww2.kqed.org/app/uploads/sites/10/2021/01/RS44829_021_KQED_BigBasin_Fire_09102020-qut-800x533.jpg\" alt=\"\" width=\"800\" height=\"533\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2021/01/RS44829_021_KQED_BigBasin_Fire_09102020-qut-800x533.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2021/01/RS44829_021_KQED_BigBasin_Fire_09102020-qut-1020x679.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2021/01/RS44829_021_KQED_BigBasin_Fire_09102020-qut-160x107.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2021/01/RS44829_021_KQED_BigBasin_Fire_09102020-qut-1536x1022.jpg 1536w, https://cdn.kqed.org/wp-content/uploads/sites/10/2021/01/RS44829_021_KQED_BigBasin_Fire_09102020-qut.jpg 1920w\" sizes=\"(max-width: 800px) 100vw, 800px\">\u003cfigcaption class=\"wp-caption-text\">Redwood trees after the CZU Lightning Complex wildfires burned much of the area at Big Basin Redwoods State Park on Sept. 10, 2020. \u003ccite>(Beth LaBerge/KQED)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>“Many of these firefighters who are often portrayed as heroes in media reportage, they don’t feel like heroes. They feel like they failed,” Eriksen said. “So there are some real issues going on in terms of their well being.”\u003c/p>\n\u003cp>Firefighters are more likely to die from suicide than in the line of duty, according to the Firefighter Behavioral Health Alliance, a nonprofit that tracks first responder suicides in the U.S. and offers support to their families. Depression, addiction, anxiety, post-traumatic stress disorder aren’t uncommon. At times, the symptoms reveal themselves during fire season. More often, it’s in the weeks and months after the smoke has cleared.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>For Steve Hillyar, a volunteer firefighter in Australia’s New South Wales, it was sleepless nights and smoke detectors that got to him.\u003c/p>\n\u003cp>“Most people don’t realize that when a house is on fire, or multiple houses, that’s all you hear,” he said, standing by the charred wreckage of his home. “Smoke detectors.”\u003c/p>\n\u003cp>Sophie Taylor was having trouble sleeping, too. She’d been made a brigade captain on Australia’s South Coast just months before the historic wildfires chased people in her area from mountains to beach. Without the adrenaline rush, she said, “You just feel flat all the time.”\u003c/p>\n\u003cp>Ian Spall, a chaplain with New South Wales’ Rural Fire Service, was grappling with his faith after spending a summer talking to the families of dead and injured firefighters.\u003c/p>\n\u003cp>“From a spiritual and psychological perspective I found this space very confronting, because I have faith that God intervenes and I had faith that God would intervene,” Spall said. “And then it didn’t happen.”\u003c/p>\n\u003cfigure id=\"attachment_11862269\" class=\"wp-caption alignnone\" style=\"max-width: 800px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-medium wp-image-11862269\" src=\"https://ww2.kqed.org/app/uploads/sites/10/2021/02/dsc03113-edit_custom-3366a60d8f67df975beee1a1650613ba1d1d38cf-800x533.jpg\" alt=\"\" width=\"800\" height=\"533\">\u003cfigcaption class=\"wp-caption-text\">Sophie Taylor was made a brigade captain on Australia’s South Coast just months before historic wildfires chased people from mountains to the beach. She says she feels flat without the adrenaline rush of fighting an active fire. \u003ccite>(Nathan Rott/NPR)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003ch3>\u003cstrong>‘I Crumbled’\u003c/strong>\u003c/h3>\n\u003cp>For Newberry, it was an accumulation of events. He’d be shook up after a call, but just “sucked it up,” he said. “Because that’s how it’s been for 100 years.” Then in 2015, four firefighters, local guys, were badly burnt on the\u003ca href=\"https://www.pressdemocrat.com/article/news/burned-firefighters-were-out-gunned-by-valley-fire/?gallery=BA691395-0402-4683-9FE9-EA33C4981D37\" target=\"_blank\" rel=\"noopener noreferrer\"> Valley Fire\u003c/a>. One was a good friend. The next summer, on \u003ca href=\"https://www.kqed.org/news/11405049/widow-of-bulldozer-operator-killed-in-soberanes-fire-struggles-to-get-by\" target=\"_blank\" rel=\"noopener noreferrer\">the Soberanes Fire\u003c/a>, a bulldozer drove off a steep embankment right near Newberry, pinning its driver to the ground and killing him.\u003c/p>\n\u003cp>“At that point, I just wanted to quit,” Newberry said. “I crumbled.”\u003c/p>\n\u003cp>He started drinking and using drugs. His marriage was falling apart, as was his relationship with his four daughters. All of the joy he took from firefighting was gone.\u003c/p>\n\u003cp>His employer, California’s fire agency, helped check him into a post-trauma retreat for first responders, where he underwent a week of intense psychotherapy. “It probably saved my life,” Newberry said. “It definitely saved my marriage and my career.”\u003c/p>\n\u003cfigure id=\"attachment_11862270\" class=\"wp-caption alignnone\" style=\"max-width: 800px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-medium wp-image-11862270\" src=\"https://ww2.kqed.org/app/uploads/sites/10/2021/02/n0a2836_custom-6285c0700303ef18a67549e18bdaf986681a51d8-800x533.jpg\" alt=\"\" width=\"800\" height=\"533\">\u003cfigcaption class=\"wp-caption-text\">For Newberry, it was an accumulation of events. He’d be shook up after a call, but just “sucked it up,” he said. “Because that’s how it’s been for 100 years.” \u003ccite>(Talia Herman/NPR)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>Demand is growing for post-traumatic retreats for firefighters and first responders as awareness of mental health issues grows and fires worsen. Newberry guesses at least 40 people from his unit alone have been to a similar program.\u003c/p>\n\u003cp>During last year’s unprecedented fires in California, Newberry, who now doubles as a peer counselor, said he was taking three or four calls a day from colleagues looking for help. The calls continued weeks after fire season officially ended in December.\u003c/p>\n\u003cp>Men and women were having trouble adjusting to life back home after being away in some cases for more than a month. “You always think, ‘Oh yeah, it’ll be the same as it was before I left for work,’ ” Newberry said. “And it’s not. S… happened.”\u003c/p>\n\u003cp>For seasonal and volunteer firefighters, the offseason can bring isolation. They’re no longer with their crew; no longer around a community of people with shared experiences. Finances can grow tight. No fires, no money. Beneath all of it can be the post-adrenaline feeling of flatness that Taylor experienced.\u003c/p>\n\u003cp>Good statistics on firefighter mental health are hard to find. But a \u003ca href=\"https://www.samhsa.gov/sites/default/files/dtac/supplementalresearchbulletin-firstresponders-may2018.pdf\" target=\"_blank\" rel=\"noopener noreferrer\">recent research bulletin \u003c/a>posted by the U.S. Department of Health and Human Services says that firefighters are more likely than the public to suffer from depression, stress, substance abuse, post-traumatic stress disorder and suicidal thoughts.\u003c/p>\n\u003cfigure id=\"attachment_11862271\" class=\"wp-caption alignnone\" style=\"max-width: 800px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-medium wp-image-11862271\" src=\"https://ww2.kqed.org/app/uploads/sites/10/2021/02/n0a2764_custom-30c43087ec6fdf3e216da75d4b934e1d540998f2-800x533.jpg\" alt=\"\" width=\"800\" height=\"533\">\u003cfigcaption class=\"wp-caption-text\">California’s fire agency helped check Newberry into a post-trauma retreat for first responders, where he underwent a week of intense psychotherapy. ‘It probably saved my life,’ he said. \u003ccite>(Talia Herman/NPR)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>A \u003ca href=\"https://pubmed.ncbi.nlm.nih.gov/29573853/\" target=\"_blank\" rel=\"noopener noreferrer\">2018 study\u003c/a> out of Florida State University, which surveyed a small number of wildland firefighters, found that they experienced an even higher risk of suicide than their urban counterparts. The concern is that worsening fire seasons will only amplify the problem.\u003c/p>\n\u003cp>Mike Ming, the head of Cal Fire’s Employee Support Services, which focuses on the mental and physical health of the state’s roughly 8,000 firefighters, said the last three to five years — some of the worst fire seasons in state history — have been particularly bad.\u003c/p>\n\u003cp>They’ve seen increases in firefighters suffering from burnout, PTSD, depression, anxiety, domestic violence and divorce. The pandemic, he said, is only making all of those things worse.\u003c/p>\n\u003cp>“Even your 30-year veterans,” Ming said. “They’re being brought to their knees by the stuff that we’re seeing that’s atypical in our careers.”\u003c/p>\n\u003ch3>\u003cstrong>Support Expands as Demand Grows\u003c/strong>\u003c/h3>\n\u003cp>A decade ago there were four people in Ming’s health and wellness program. Today, they have 26 permanent positions, on top of peer support members and others.\u003c/p>\n\u003cp>The idea of the program is to not only help California firefighters get the support or counseling they need \u003cem>after\u003c/em> an incident, but to give them the tools they need to better process what they’re experiencing in the moment. They’re taught mindfulness and wellness, breathing techniques that are used by Navy SEALs.\u003c/p>\n\u003cp>“We tell them Navy SEALs do this and then they’re like, ‘OK cool, we can do that. You’re cool? I’m cool,’ ” Ming said.\u003c/p>\n\u003cfigure id=\"attachment_11862272\" class=\"wp-caption alignnone\" style=\"max-width: 800px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-medium wp-image-11862272\" src=\"https://ww2.kqed.org/app/uploads/sites/10/2021/02/n0a2419_custom-7242f70fda11bc53d00952c6b32e9aa84b26c5fe-800x533.jpg\" alt=\"\" width=\"800\" height=\"533\">\u003cfigcaption class=\"wp-caption-text\">Members of the Napa County Fire Rescue Team participate in training in Yountville. Demand is growing for post-traumatic retreats for firefighters and first responders as awareness of mental health issues grows and fires worsen. \u003ccite>(Talia Herman/NPR)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>There can be grumblings from older veterans. In both Australia and California, firefighters talked about an old guard — veteran firefighters who aren’t keen to share feelings or put up with people who do.\u003c/p>\n\u003cp>Ming thinks they’ve broken through that stigma at Cal Fire. Older veterans, shaken by recent fires, are more willing to listen. Younger recruits are open to the conversation from the start.\u003c/p>\n\u003cp>Bodie Ronk, the national system coordinator for fire at the Bureau of Land Management, said the same is true for their firefighters. The Bureau of Land Management and U.S. Forest Service are adding mental fitness to their preseason training regimens. It’s now a priority. A push, Ronk said, that was prompted by suicides.\u003c/p>\n\u003cp>“[We’re] really focusing time on having these conversations, and stressing the importance of [firefighters] being able to have those conversations amongst each other,” Ronk said.\u003c/p>\n\u003cp>The National Wildfire Coordinating Group, which coordinates federal, state, tribal and private firefighting groups, selected \u003ca href=\"https://www.nwcg.gov/sites/default/files/committee/docs/mhsc-newsletter-burnout-2021.pdf\" target=\"_blank\" rel=\"noopener noreferrer\">burnout as the topic \u003c/a>of its first newsletter in 2021.\u003c/p>\n\u003cp>“Burnout might occur if your work seems meaningless or if there is no end in sight under difficult work conditions,” it wrote.\u003c/p>\n\u003cp>A Forest Service employee who identifies as a smokejumper and former Hotshot wrote \u003ca href=\"https://www.change.org/p/united-states-department-of-agriculture-usda-improve-wildland-firefighter-mental-health-and-lower-our-suicide-rates?redirect=false\" target=\"_blank\" rel=\"noopener noreferrer\">a petition on the website Change.org\u003c/a>, asking Congress to address the issue by — among other things — hiring psychologists for every national forest.\u003c/p>\n\u003cfigure id=\"attachment_11862273\" class=\"wp-caption alignnone\" style=\"max-width: 800px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-medium wp-image-11862273\" src=\"https://ww2.kqed.org/app/uploads/sites/10/2021/02/n0a2259_custom-1fa7fba7bc35d4701d558e2847a8006b6a6ca2d9-800x533.jpg\" alt=\"\" width=\"800\" height=\"533\">\u003cfigcaption class=\"wp-caption-text\">Newberry (center) attends a training with his Napa County Fire Rescue Team. The wellness program aims to not only provide support after an incident, but also help firefighters better process what they experience in the moment. \u003ccite>(Talia Herman/NPR)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>“Don’t call us ‘Heroes’ either because when divorces, mental health problems and declining wages are the reality, we don’t feel like heroes at all,” the smokejumper wrote.\u003c/p>\n\u003cp>Researcher Eriksen, who’s worked with firefighters in the U.S. and Australia, agrees that more resources would help, especially as climate change makes wildfire seasons more difficult to manage. But she said there are also things everyone can do.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>“As a society we really need to step up and become more emotionally literate and more emotionally intelligent in the way that we deal with the fright of these types of events,” Eriksen said. “We need to step up and provide avenues for people to say, ‘I’m not coping. I need help.’ ”\u003c/p>\n\u003cdiv class=\"fullattribution\">Copyright 2021 NPR. To see more, visit https://www.npr.org.\u003cimg decoding=\"async\" src=\"https://www.google-analytics.com/__utm.gif?utmac=UA-5828686-4&utmdt=As+Fires+Worsen%2C+A+Mental+Health+Crisis+For+Those+Battling+Them&utme=8(APIKey)9(MDAxOTAwOTE4MDEyMTkxMDAzNjczZDljZA004)\">\u003c/div>\n\n\u003c/div>\u003c/p>",
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"content": "\u003cp>Color tiers are finally going in the right direction as two Bay Area counties \u003ca href=\"http://bit.ly/fiorepurpletored\">moved from the purple tier\u003c/a> to less restrictive red on Wednesday. \u003c/p>\n\u003cp>The California Department of Public Health moved Marin and San Mateo counties to the red tier, which indicates “moderate” spread of COVID-19.\u003c/p>\n\u003cp>Moderate spread still sounds bad but it sure beats “widespread” virus transmission designated in the purple tier.\u003c/p>\n\u003cp>San Francisco is still in that purple tier – but signs point to the city and county joining the red tier next week.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>\u003c/p>\n",
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"content": "\u003cp>A national health care provider has administered COVID-19 vaccinations to patients not yet eligible for the scarce vaccine, including those with connections to company leaders and customers of its concierge medical service, according to internal communications leaked to NPR.\u003c/p>\n\u003cp>San Francisco-based One Medical has been allocated thousands of vaccine doses by local health departments in some of the areas they provide medical services. People with connections to company leadership were set up with vaccine appointments, despite not yet being eligible under local public health guidelines, and some patients were permitted to skip the line ahead of other high-risk patients.\u003c/p>\n\u003cp>[aside postID=\"news_11855623\" hero=\"https://ww2.kqed.org/app/uploads/sites/10/2021/01/GettyImages-1230603226-1020x605.jpg\"]The problems have occurred in numerous company locations across several states. The Washington State Department of Health, citing a complaint it received this month, told NPR it had halted COVID-19 vaccine distribution to the company. Other regulators have also received complaints or stopped providing the vaccine.\u003c/p>\n\u003cp>One Medical brands itself a high-end health care provider serving a relatively affluent clientele that pays a $199 fee annually to receive easy online access to appointments, telemedicine and access to a streamlined, tech-focused medical experience. The company went public with an IPO in January 2020, with a valuation in the billions.\u003c/p>\n\u003cp>One Medical’s shortcomings take place amid broader anecdotal evidence that suggests patients of various health care providers throughout the country are \u003ca href=\"https://www.npr.org/sections/health-shots/2021/02/09/965841419/does-loose-enforcement-of-vaccine-eligibility-rules-encourage-line-jumping\">skipping the line\u003c/a> due in part to loose enforcement. The situation highlights a \u003ca href=\"https://www.npr.org/sections/health-shots/2021/02/06/964139633/is-it-ever-ok-to-jump-ahead-in-the-vaccine-line\">serious ethical issue\u003c/a>: determining who is entitled to a vaccine at a time of scarce availability and who is responsible for enforcing eligibility rules.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>Experts say an appropriate system for vaccine distribution focuses on first targeting those most at risk for serious consequences from COVID-19. “We’re trying to focus on those individuals who are most likely to develop severe illness or death, and to most likely be exposed to the virus,” said Gabriel Lázaro-Muñoz, who teaches medical ethics and health policy at the Baylor College of Medicine in Houston. “The overall goal is to save as many lives as possible, and with that we are not valuing any life over another.”\u003c/p>\n\u003cp>One Medical claims it does not allow for ineligible patients to be vaccinated knowingly, and that it was confident that it was “doing everything reasonably in our power to ensure … our adherence to state and local department of health vaccine eligibility guidelines.” But NPR obtained internal communications that tell a different story.\u003c/p>\n\u003ch3>\u003cstrong>‘We Are Not Policing’\u003c/strong>\u003c/h3>\n\u003cp>Messages between doctors, medical practitioners, administrative staff and leadership show that multiple staffers across One Medical locations in several states — Washington, Oregon and California — privately raised the alarm about what they believed were lax oversight and inappropriate practices within the organization. They also show what appear to be favors done for those close to the organization’s senior staff.\u003c/p>\n\u003cp>“It seems if you don’t screen out those jumping the [queue], then many will jump in the line and push those that need the vaccine further behind, delaying a potentially life saving injection. This could impact MANY members,” one doctor in California wrote to his colleagues in January, according to the internal documents.\u003c/p>\n\u003cp>“I have had two [patients] today, both in their 20-30s without risk factors and are tech workers who have gotten their covid vaccines. One was thru us,” wrote another One Medical doctor in Washington state. “I’m curious how these [people] are able to sign up for vaccines when we have a long list of higher priority [patients]? … I just want to understand how they can be prioritized for a vaccine when those at higher tiers have to wait.”\u003c/p>\n\u003cp>These internal communications indicate that ineligible friends and family of One Medical leadership were vaccinated, as were work-from-home administrative, support and IT staff at the company’s headquarters in San Francisco. While health care workers waited in line in January, One Medical made the decision to offer the vaccine to any of its San Francisco staff, regardless of whether they were front-line workers.\u003c/p>\n\u003cp>Lázaro-Muñoz, the ethics professor, said that offering the vaccine to all staff regardless of whether they see patients was unethical.\u003c/p>\n\u003cp>“There might not be regulations stopping this company from giving [the COVID vaccine] to their employees. But from an ethical standpoint, when you look at what is right and wrong, this is wrong,” Lázaro-Muñoz told NPR. “Your life and the life of your co-workers and those who work in this company is not any more valuable than the life of the elderly people that are not getting access to that vaccine, thanks to your criteria and system of distributing that vaccine.”\u003c/p>\n\u003cp>One Medical said that it had asked some of its staff to volunteer time in their clinics. However, all of its staff in San Francisco were provided an opportunity to receive the vaccine, regardless of the nature of their job.\u003c/p>\n\u003cp>[pullquote align=\"right\" size=\"medium\" citation=\"Gabriel Lázaro-Muñoz, Baylor College of Medicine ethics professor\"]‘There might not be regulations stopping this company from giving [the COVID vaccine] to their employees. But from an ethical standpoint, when you look at what is right and wrong, this is wrong.’[/pullquote]Further, patients of One Medical who were ineligible to be vaccinated based on local guidelines were also permitted to book vaccination appointments through an online portal. So was at least one executive of a partner organization with One Medical. Internal communications show that providers trying to get eligible health care workers vaccinated were instead told to put them on a waitlist.\u003c/p>\n\u003cp>“Why are young patients without health problems, on a trial membership … allowed to book and receive a covid vaccine while health care workers are being waitlisted?” one medical professional asked in January. “I just saw two appointments for such.”\u003c/p>\n\u003cp>There were also shortcomings with the company’s vaccine sign-up system. A question asking patients whether they were in an eligible category was not added to the online portal until Jan. 14, though One Medical started vaccinating patients on Jan. 1. During this two-week period, \u003ca href=\"https://www.npr.org/sections/health-shots/2021/01/21/958870301/the-current-deadly-u-s-coronavirus-surge-has-peaked-researchers-say\">COVID-19 cases\u003c/a> in the United States reached their highest peak.\u003c/p>\n\u003cp>Following this, the internal documents show that in January, even if patients noted that they were not in an eligible category for vaccination, some could continue to book an appointment for the COVID-19 vaccine. Suggestions on how the tech-heavy company could use algorithms to scan for ineligible patients were turned down.\u003c/p>\n\u003cp>One Medical said that blocking ineligible patients from booking vaccination appointments would have called for a complete overhaul of their system and was too technologically difficult to rebuild in the required time frame.\u003c/p>\n\u003cp>The documents also show that in January, One Medical was not verifying the eligibility of patients it vaccinated by requiring ID or other evidence at the point of vaccine administration.\u003c/p>\n\u003cp>“I have questions about our approach of not requiring [patients] to bring proof of vaccine eligibility,” said a One Medical staffer. “A quick Google search indicates that this is not consistent with many states’ requirements. … I am concerned about advertising an overly permissive approach.”\u003c/p>\n\u003cp>As ineligible patients began to get vaccines, staff started raising concerns that word was spreading about One Medical’s lax enforcement of eligibility requirements.\u003c/p>\n\u003cp>“I’ve had a few patients straight up tell me that once they realized there was no screening that they would be telling their friends,” another medical provider in California wrote. “My partner and I were shocked when we got ours through One Med … that at no point were we asked if we met criteria — let alone asked to prove it.”\u003c/p>\n\u003cp>Employees were told not to try to enforce the rules barring ineligible patients. “Scanning schedules and cancelling appointments [for ineligible patients] is not recommended,” Spencer Blackman, the director of clinical education at the company said in a communication to a range of staff. He added in another note to a doctor, “If this person sees themself in a tier that is being vaccinated they can attest to that and make an appointment. You don’t get to make the decision if someone ‘gets’ [a] vaccine or not.”\u003c/p>\n\u003cp>“We are not policing,” Blackman wrote in January, setting off objections in internal company communications.\u003c/p>\n\u003cp>When asked why One Medical did not verify eligibility, Chief Medical Officer Andrew Diamond said, “There was never guidance that said ‘do not verify’… that would be counter to our principles.” When told NPR was in possession of communications that indicated otherwise, he responded, “That’s clearly not the guidance, nor is that the intent of the guidance. We’ve been far clearer since then.”\u003c/p>\n\u003cp>In fact, many localities require medical providers to check for eligibility documentation. In Los Angeles County, where One Medical has been provided thousands of doses, vaccination is limited currently to health care workers, long-term care facility residents and persons over the age of 65. Proper documentation of eligibility is required for vaccination. “Providers are then responsible for confirming eligibility responses and requesting accepted documentation of eligibility, once [the patient] arrives for onsite appointment,” an L.A. County Department of Public Health spokesperson said.\u003c/p>\n\u003cp>And in Alameda County, where the company was given close to 1,000 doses, the public health department said that personal ID and proof of a health care role is “required” for the vaccine doses that One Medical received.\u003c/p>\n\u003cp>As Forbes was preparing \u003ca href=\"https://www.forbes.com/sites/leahrosenbaum/2021/02/03/one-medical-let-people-jump-the-line-for-covid-19-vaccines/?sh=3de7af892350\">a story about One Medical’s practices\u003c/a>, One Medical leadership sent out a note to staff warning of consequences, threatening them with “disciplinary action, up to and including termination” if they leaked internal communications. One Medical disputed this characterization. “One Medical is not, and has never been an organization that threatens its staff,” a spokesperson said, characterizing the note as merely “reminders about our business code of conduct.”\u003c/p>\n\u003ch3>Regulators Take Action\u003c/h3>\n\u003cp>It is not clear how many ineligible vaccine doses were distributed, and One Medical declined to provide a figure on how many total doses it had administered. But the company has likely provided tens of thousands of doses: Of the few jurisdictions that produced information on the doses it allocated to One Medical, San Francisco said it had provided the company with 12,000 doses, while Los Angeles County said it had provided them nearly 6,000 doses.\u003c/p>\n\u003cp>[aside label=\"related coverage\" tag=\"vaccines\"]One Medical’s practices have not gone unnoticed by state and local regulators. The Washington State Department of Health told NPR that they had halted allocation of vaccine doses to One Medical due to a complaint received on Feb. 10. “We are currently in communication with One Medical regarding the complaint we received,” a state spokesperson said. “We are removing them from the state’s Vaccine Locations webpage and One Medical will not be receiving vaccine from us until this issue is resolved.” One Medical disputed the reason for the halt, and said that it was a misunderstanding.\u003c/p>\n\u003cp>Bob Ferguson, the attorney general of Washington state, is also concerned about the wider issue of ineligible patients receiving COVID-19 vaccinations. While not commenting on whether or not there were any ongoing investigations into the topic, or on any individual company, a spokesperson for the attorney general said that Ferguson was “extremely concerned. And he has had conversations with his team about this issue.”\u003c/p>\n\u003cp>Los Angeles County’s Department of Public Health has also received a complaint about One Medical — and has reached out to express a warning by phone and email. “Public Health told One Medical if there are breaches and they are not holding tight to our priority groups, and checking and validating groups, we could not allocate vaccine to them any longer,” a spokesperson said. “We reinforced the fact that we could not provide vaccine to any entity not following our partner guidance for checking and ensuring people getting vaccinated are part of our priority groups.” One Medical claimed that complaints and warnings are both common for medical providers.\u003c/p>\n\u003cp>The Alameda County Public Health Department said One Medical offices in the county had received 975 doses of the COVID-19 vaccine, but received no more after the health care company indicated its desire to vaccinate ineligible patients. “Alameda County did not fulfill One Medical’s next request in early February for additional doses when they indicated that they planned to vaccinate more than their health care workers (who were the only approved group prioritized for vaccinations at the time),” said a county spokesperson. One Medical said that this explanation was “categorically untrue,” but did not contest that their vaccine allocation has not continued beyond the original 975 doses.\u003c/p>\n\u003cp>The San Francisco Department of Public Health stressed, “One Medical was engaged primarily to provide vaccine to in-home support services (IHSS), other in-home care providers and health care workers … SF DPH expects all its vaccine provider partners to follow State and SF DPH vaccination eligibility guidelines.”\u003c/p>\n\u003cp>One Medical contested several elements of this story, claiming that it “does not allow for ineligible persons to be vaccinated knowingly.” It also said that it had fired several members of its clinical staff due to disregard for eligibility requirements.\u003c/p>\n\u003cp>[ad floatright]\u003c/p>\n\u003cp>“We are doing absolutely everything in our power to vaccinate as many eligible people as possible,” said Diamond, the chief medical officer of One Medical, attributing difficulties to the “fog of war” that occurs during a period of “myriad uncertainties, conflicting jurisdictional guidance and profound public anxieties.”\u003c/p>\n\u003cdiv class=\"fullattribution\">Copyright 2021 NPR. To see more, visit https://www.npr.org.\u003cimg decoding=\"async\" src=\"https://www.google-analytics.com/__utm.gif?utmac=UA-5828686-4&utmdt=High-End+Medical+Provider+Let+Ineligible+People+Skip+COVID-19+Vaccine+Line&utme=8(APIKey)9(MDAxOTAwOTE4MDEyMTkxMDAzNjczZDljZA004)\">\u003c/div>\n\n",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>A national health care provider has administered COVID-19 vaccinations to patients not yet eligible for the scarce vaccine, including those with connections to company leaders and customers of its concierge medical service, according to internal communications leaked to NPR.\u003c/p>\n\u003cp>San Francisco-based One Medical has been allocated thousands of vaccine doses by local health departments in some of the areas they provide medical services. People with connections to company leadership were set up with vaccine appointments, despite not yet being eligible under local public health guidelines, and some patients were permitted to skip the line ahead of other high-risk patients.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>The problems have occurred in numerous company locations across several states. The Washington State Department of Health, citing a complaint it received this month, told NPR it had halted COVID-19 vaccine distribution to the company. Other regulators have also received complaints or stopped providing the vaccine.\u003c/p>\n\u003cp>One Medical brands itself a high-end health care provider serving a relatively affluent clientele that pays a $199 fee annually to receive easy online access to appointments, telemedicine and access to a streamlined, tech-focused medical experience. The company went public with an IPO in January 2020, with a valuation in the billions.\u003c/p>\n\u003cp>One Medical’s shortcomings take place amid broader anecdotal evidence that suggests patients of various health care providers throughout the country are \u003ca href=\"https://www.npr.org/sections/health-shots/2021/02/09/965841419/does-loose-enforcement-of-vaccine-eligibility-rules-encourage-line-jumping\">skipping the line\u003c/a> due in part to loose enforcement. The situation highlights a \u003ca href=\"https://www.npr.org/sections/health-shots/2021/02/06/964139633/is-it-ever-ok-to-jump-ahead-in-the-vaccine-line\">serious ethical issue\u003c/a>: determining who is entitled to a vaccine at a time of scarce availability and who is responsible for enforcing eligibility rules.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>Experts say an appropriate system for vaccine distribution focuses on first targeting those most at risk for serious consequences from COVID-19. “We’re trying to focus on those individuals who are most likely to develop severe illness or death, and to most likely be exposed to the virus,” said Gabriel Lázaro-Muñoz, who teaches medical ethics and health policy at the Baylor College of Medicine in Houston. “The overall goal is to save as many lives as possible, and with that we are not valuing any life over another.”\u003c/p>\n\u003cp>One Medical claims it does not allow for ineligible patients to be vaccinated knowingly, and that it was confident that it was “doing everything reasonably in our power to ensure … our adherence to state and local department of health vaccine eligibility guidelines.” But NPR obtained internal communications that tell a different story.\u003c/p>\n\u003ch3>\u003cstrong>‘We Are Not Policing’\u003c/strong>\u003c/h3>\n\u003cp>Messages between doctors, medical practitioners, administrative staff and leadership show that multiple staffers across One Medical locations in several states — Washington, Oregon and California — privately raised the alarm about what they believed were lax oversight and inappropriate practices within the organization. They also show what appear to be favors done for those close to the organization’s senior staff.\u003c/p>\n\u003cp>“It seems if you don’t screen out those jumping the [queue], then many will jump in the line and push those that need the vaccine further behind, delaying a potentially life saving injection. This could impact MANY members,” one doctor in California wrote to his colleagues in January, according to the internal documents.\u003c/p>\n\u003cp>“I have had two [patients] today, both in their 20-30s without risk factors and are tech workers who have gotten their covid vaccines. One was thru us,” wrote another One Medical doctor in Washington state. “I’m curious how these [people] are able to sign up for vaccines when we have a long list of higher priority [patients]? … I just want to understand how they can be prioritized for a vaccine when those at higher tiers have to wait.”\u003c/p>\n\u003cp>These internal communications indicate that ineligible friends and family of One Medical leadership were vaccinated, as were work-from-home administrative, support and IT staff at the company’s headquarters in San Francisco. While health care workers waited in line in January, One Medical made the decision to offer the vaccine to any of its San Francisco staff, regardless of whether they were front-line workers.\u003c/p>\n\u003cp>Lázaro-Muñoz, the ethics professor, said that offering the vaccine to all staff regardless of whether they see patients was unethical.\u003c/p>\n\u003cp>“There might not be regulations stopping this company from giving [the COVID vaccine] to their employees. But from an ethical standpoint, when you look at what is right and wrong, this is wrong,” Lázaro-Muñoz told NPR. “Your life and the life of your co-workers and those who work in this company is not any more valuable than the life of the elderly people that are not getting access to that vaccine, thanks to your criteria and system of distributing that vaccine.”\u003c/p>\n\u003cp>One Medical said that it had asked some of its staff to volunteer time in their clinics. However, all of its staff in San Francisco were provided an opportunity to receive the vaccine, regardless of the nature of their job.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>Further, patients of One Medical who were ineligible to be vaccinated based on local guidelines were also permitted to book vaccination appointments through an online portal. So was at least one executive of a partner organization with One Medical. Internal communications show that providers trying to get eligible health care workers vaccinated were instead told to put them on a waitlist.\u003c/p>\n\u003cp>“Why are young patients without health problems, on a trial membership … allowed to book and receive a covid vaccine while health care workers are being waitlisted?” one medical professional asked in January. “I just saw two appointments for such.”\u003c/p>\n\u003cp>There were also shortcomings with the company’s vaccine sign-up system. A question asking patients whether they were in an eligible category was not added to the online portal until Jan. 14, though One Medical started vaccinating patients on Jan. 1. During this two-week period, \u003ca href=\"https://www.npr.org/sections/health-shots/2021/01/21/958870301/the-current-deadly-u-s-coronavirus-surge-has-peaked-researchers-say\">COVID-19 cases\u003c/a> in the United States reached their highest peak.\u003c/p>\n\u003cp>Following this, the internal documents show that in January, even if patients noted that they were not in an eligible category for vaccination, some could continue to book an appointment for the COVID-19 vaccine. Suggestions on how the tech-heavy company could use algorithms to scan for ineligible patients were turned down.\u003c/p>\n\u003cp>One Medical said that blocking ineligible patients from booking vaccination appointments would have called for a complete overhaul of their system and was too technologically difficult to rebuild in the required time frame.\u003c/p>\n\u003cp>The documents also show that in January, One Medical was not verifying the eligibility of patients it vaccinated by requiring ID or other evidence at the point of vaccine administration.\u003c/p>\n\u003cp>“I have questions about our approach of not requiring [patients] to bring proof of vaccine eligibility,” said a One Medical staffer. “A quick Google search indicates that this is not consistent with many states’ requirements. … I am concerned about advertising an overly permissive approach.”\u003c/p>\n\u003cp>As ineligible patients began to get vaccines, staff started raising concerns that word was spreading about One Medical’s lax enforcement of eligibility requirements.\u003c/p>\n\u003cp>“I’ve had a few patients straight up tell me that once they realized there was no screening that they would be telling their friends,” another medical provider in California wrote. “My partner and I were shocked when we got ours through One Med … that at no point were we asked if we met criteria — let alone asked to prove it.”\u003c/p>\n\u003cp>Employees were told not to try to enforce the rules barring ineligible patients. “Scanning schedules and cancelling appointments [for ineligible patients] is not recommended,” Spencer Blackman, the director of clinical education at the company said in a communication to a range of staff. He added in another note to a doctor, “If this person sees themself in a tier that is being vaccinated they can attest to that and make an appointment. You don’t get to make the decision if someone ‘gets’ [a] vaccine or not.”\u003c/p>\n\u003cp>“We are not policing,” Blackman wrote in January, setting off objections in internal company communications.\u003c/p>\n\u003cp>When asked why One Medical did not verify eligibility, Chief Medical Officer Andrew Diamond said, “There was never guidance that said ‘do not verify’… that would be counter to our principles.” When told NPR was in possession of communications that indicated otherwise, he responded, “That’s clearly not the guidance, nor is that the intent of the guidance. We’ve been far clearer since then.”\u003c/p>\n\u003cp>In fact, many localities require medical providers to check for eligibility documentation. In Los Angeles County, where One Medical has been provided thousands of doses, vaccination is limited currently to health care workers, long-term care facility residents and persons over the age of 65. Proper documentation of eligibility is required for vaccination. “Providers are then responsible for confirming eligibility responses and requesting accepted documentation of eligibility, once [the patient] arrives for onsite appointment,” an L.A. County Department of Public Health spokesperson said.\u003c/p>\n\u003cp>And in Alameda County, where the company was given close to 1,000 doses, the public health department said that personal ID and proof of a health care role is “required” for the vaccine doses that One Medical received.\u003c/p>\n\u003cp>As Forbes was preparing \u003ca href=\"https://www.forbes.com/sites/leahrosenbaum/2021/02/03/one-medical-let-people-jump-the-line-for-covid-19-vaccines/?sh=3de7af892350\">a story about One Medical’s practices\u003c/a>, One Medical leadership sent out a note to staff warning of consequences, threatening them with “disciplinary action, up to and including termination” if they leaked internal communications. One Medical disputed this characterization. “One Medical is not, and has never been an organization that threatens its staff,” a spokesperson said, characterizing the note as merely “reminders about our business code of conduct.”\u003c/p>\n\u003ch3>Regulators Take Action\u003c/h3>\n\u003cp>It is not clear how many ineligible vaccine doses were distributed, and One Medical declined to provide a figure on how many total doses it had administered. But the company has likely provided tens of thousands of doses: Of the few jurisdictions that produced information on the doses it allocated to One Medical, San Francisco said it had provided the company with 12,000 doses, while Los Angeles County said it had provided them nearly 6,000 doses.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>One Medical’s practices have not gone unnoticed by state and local regulators. The Washington State Department of Health told NPR that they had halted allocation of vaccine doses to One Medical due to a complaint received on Feb. 10. “We are currently in communication with One Medical regarding the complaint we received,” a state spokesperson said. “We are removing them from the state’s Vaccine Locations webpage and One Medical will not be receiving vaccine from us until this issue is resolved.” One Medical disputed the reason for the halt, and said that it was a misunderstanding.\u003c/p>\n\u003cp>Bob Ferguson, the attorney general of Washington state, is also concerned about the wider issue of ineligible patients receiving COVID-19 vaccinations. While not commenting on whether or not there were any ongoing investigations into the topic, or on any individual company, a spokesperson for the attorney general said that Ferguson was “extremely concerned. And he has had conversations with his team about this issue.”\u003c/p>\n\u003cp>Los Angeles County’s Department of Public Health has also received a complaint about One Medical — and has reached out to express a warning by phone and email. “Public Health told One Medical if there are breaches and they are not holding tight to our priority groups, and checking and validating groups, we could not allocate vaccine to them any longer,” a spokesperson said. “We reinforced the fact that we could not provide vaccine to any entity not following our partner guidance for checking and ensuring people getting vaccinated are part of our priority groups.” One Medical claimed that complaints and warnings are both common for medical providers.\u003c/p>\n\u003cp>The Alameda County Public Health Department said One Medical offices in the county had received 975 doses of the COVID-19 vaccine, but received no more after the health care company indicated its desire to vaccinate ineligible patients. “Alameda County did not fulfill One Medical’s next request in early February for additional doses when they indicated that they planned to vaccinate more than their health care workers (who were the only approved group prioritized for vaccinations at the time),” said a county spokesperson. One Medical said that this explanation was “categorically untrue,” but did not contest that their vaccine allocation has not continued beyond the original 975 doses.\u003c/p>\n\u003cp>The San Francisco Department of Public Health stressed, “One Medical was engaged primarily to provide vaccine to in-home support services (IHSS), other in-home care providers and health care workers … SF DPH expects all its vaccine provider partners to follow State and SF DPH vaccination eligibility guidelines.”\u003c/p>\n\u003cp>One Medical contested several elements of this story, claiming that it “does not allow for ineligible persons to be vaccinated knowingly.” It also said that it had fired several members of its clinical staff due to disregard for eligibility requirements.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>“We are doing absolutely everything in our power to vaccinate as many eligible people as possible,” said Diamond, the chief medical officer of One Medical, attributing difficulties to the “fog of war” that occurs during a period of “myriad uncertainties, conflicting jurisdictional guidance and profound public anxieties.”\u003c/p>\n\u003cdiv class=\"fullattribution\">Copyright 2021 NPR. To see more, visit https://www.npr.org.\u003cimg decoding=\"async\" src=\"https://www.google-analytics.com/__utm.gif?utmac=UA-5828686-4&utmdt=High-End+Medical+Provider+Let+Ineligible+People+Skip+COVID-19+Vaccine+Line&utme=8(APIKey)9(MDAxOTAwOTE4MDEyMTkxMDAzNjczZDljZA004)\">\u003c/div>\n\n\u003c/div>\u003c/p>",
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"content": "\u003cp>Several surveys show that Black Americans are, on average, more hesitant to receive a COVID-19 vaccine compared with white people. And when it comes to Black communities showing less trust in the health care system overall, many journalists, politicians and experts point to one specific historical incident: the Tuskegee Syphilis Experiment.\u003c/p>\n\u003cp>But many people, including KQED reporter April Dembosky, are worried that Tuskegee has become a scapegoat for the many structural inequities in the health care system today. And it has real implications right now, especially for Black people who are disproportionately dying from COVID-19.\u003c/p>\n\u003cp>\u003cstrong>Guest:\u003c/strong> \u003ca href=\"https://twitter.com/adembosky\">April Dembosky\u003c/a>, KQED health correspondent\u003c/p>\n\u003cp>\u003c!-- iframe plugin v.4.3 wordpress.org/plugins/iframe/ -->\u003cbr>\n\u003ciframe loading=\"lazy\" frameborder=\"0\" height=\"200\" scrolling=\"no\" src=\"https://playlist.megaphone.fm?e=KQINC1159684077&light=true\" width=\"100%\" class=\"iframe-class\">\u003c/iframe>\u003c/p>\n\u003cp>\u003cem>Episode trasncript \u003ca href=\"http://bit.ly/3aA4MQ9\">here\u003c/a>. Subscribe to our newsletter \u003c/em>\u003ca href=\"https://docs.google.com/forms/d/e/1FAIpQLSfeiQTfCnzwvOkxyTf8kUNPHsaoishgMkbMpQ25W5UpHOn9bw/viewform\" target=\"_blank\" rel=\"noopener noreferrer\">\u003cem>here\u003c/em>\u003c/a>\u003cem>.\u003c/em>\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\u003cp>\u003c/p>\n",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>Several surveys show that Black Americans are, on average, more hesitant to receive a COVID-19 vaccine compared with white people. And when it comes to Black communities showing less trust in the health care system overall, many journalists, politicians and experts point to one specific historical incident: the Tuskegee Syphilis Experiment.\u003c/p>\n\u003cp>But many people, including KQED reporter April Dembosky, are worried that Tuskegee has become a scapegoat for the many structural inequities in the health care system today. And it has real implications right now, especially for Black people who are disproportionately dying from COVID-19.\u003c/p>\n\u003cp>\u003cstrong>Guest:\u003c/strong> \u003ca href=\"https://twitter.com/adembosky\">April Dembosky\u003c/a>, KQED health correspondent\u003c/p>\n\u003cp>\u003c!-- iframe plugin v.4.3 wordpress.org/plugins/iframe/ -->\u003cbr>\n\u003ciframe loading=\"lazy\" frameborder=\"0\" height=\"200\" scrolling=\"no\" src=\"https://playlist.megaphone.fm?e=KQINC1159684077&light=true\" width=\"100%\" class=\"iframe-class\">\u003c/iframe>\u003c/p>\n\u003cp>\u003cem>Episode trasncript \u003ca href=\"http://bit.ly/3aA4MQ9\">here\u003c/a>. Subscribe to our newsletter \u003c/em>\u003ca href=\"https://docs.google.com/forms/d/e/1FAIpQLSfeiQTfCnzwvOkxyTf8kUNPHsaoishgMkbMpQ25W5UpHOn9bw/viewform\" target=\"_blank\" rel=\"noopener noreferrer\">\u003cem>here\u003c/em>\u003c/a>\u003cem>.\u003c/em>\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cp>There’s hope that the coronavirus pandemic will end soon as the pace of COVID-19 vaccinations picks up in California. But we’re not out of the woods yet. The past year has already \u003ca href=\"https://www.kqed.org/news/11808968/coronavirus-is-impacting-the-bay-areas-mental-health-where-can-you-find-help\">taken a toll on mental health\u003c/a>, and it’s going to take fortitude to get through the rest of the year. Here are some tips from mental health experts on how to keep us grounded and healthy into a post-coronavirus future.\u003c/p>\n\u003ch3>Anxious? Break It Down\u003c/h3>\n\u003cp>At \u003ca href=\"https://www.crisissupport.org/\">Crisis Support Services of Alameda County\u003c/a>, the staff answers over 40,000 calls a year to their 24-hour hotline. One helpful strategy for folks feeling overwhelmed, says Executive Director Narges Zohoury Dillon, is to identify what is — and isn’t — within their control.\u003c/p>\n\u003cp>The key is to break down the amount of time you’re looking ahead. If worrying about what might happen a month from now is giving you a sense of looming doom, try focusing instead on the next few minutes or hours. Dillon says zooming in to a smaller amount of time helps us with that “sense of overwhelm that comes with what’s going to happen.”\u003c/p>\n\u003ch3>Keep Up Your Self-Care Routine\u003c/h3>\n\u003cp>At the start of the COVID-19 pandemic and the first shelter-in-place order, the \u003ca href=\"https://www.kqed.org/news/11807751/a-coronavirus-care-package-care-for-yourself-others-and-still-have-fun\">internet was full of creative ways people were taking care of themselves\u003c/a>. Livestream concerts, Zoom workouts and other self-care tips abounded.\u003c/p>\n\u003cp>Whatever worked to help you relax and take care of yourself then — whether it was yoga, adopting a pet or giving yourself a manicure — stick to that routine, says \u003ca href=\"https://profiles.stanford.edu/allison-thompson\">Allison Thompson\u003c/a>, a psychologist and a clinical associate professor at the Stanford University School of Medicine. Thompson understands it can be hard to stay resilient over the long term, but a consistent routine helps, she says.\u003c/p>\n\u003cp>[baycuriouspodcastinfo]\u003c/p>\n\u003cp>“I am a firm believer in self-care. For me, it’s making sure that I exercise and that I cook,” she added. But she stresses that self-care looks different for each of us, so do whatever makes you feel nourished and comforted. That might include setting boundaries in your work day, staying connected to the important people in your life and asking for support from friends and family when you need it.\u003c/p>\n\u003ch3>Don’t Avoid Things, Do What Feels Safe\u003c/h3>\n\u003cp>Maybe like me, you’ve avoided supermarkets during the pandemic and the idea of entering one still feels a little scary. Thompson, who specializes in treating post-traumatic stress disorder, says in a post-pandemic world we can learn from research-based treatments that work for trauma.\u003c/p>\n\u003cp>She says that people tend to deal with their anxiety by avoiding. “Avoidance is a wonderful short-term strategy, but an awful long-term strategy.”\u003c/p>\n\u003cp>Thompson tells her patients to make a list of the things they’ve been avoiding because of trauma. Then she has them go out and do those things mindfully.\u003c/p>\n\u003cp>[aside postID=\"news_11837358,arts_13881725\"]\u003c/p>\n\u003cp>“If someone says, ‘Oh, gosh, I used to love to go for hikes, but now I’m really afraid,’ take the precautions you need to,” she says. “Wear a mask, be socially distant from people who you don’t know. But you’ll probably find, ‘I feel better doing this than I feel staying inside of my home and avoiding this thing that I know that I really enjoy.’ ”\u003c/p>\n\u003ch3>Limit Your COVID Information to Trusted Sources\u003c/h3>\n\u003cp>If you find yourself getting confused about the changes in the vaccine rollout or feeling fearful about new variants of the disease, sticking to a few trusted sources for coronavirus information can ease the added stress of information overload. Look to guidance from your health care provider, local county health department, California Department of Public Health or Centers for Disease Control and Prevention, says Dillon.\u003c/p>\n\u003cp>“Conflicting information results in confusion,” she says. “And that’s a place where anxiety thrives.”\u003c/p>\n\u003cp>Even with these coping strategies, both Dillon and Thompson say there will be lingering mental health effects from this year, even after vaccinations become more accessible. Some people will be slow to return to public forums or crowded events, while others may feel heightened threat from even minor illness.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>And while there might be relief in getting to see friends and family in person again, even that could come with some anxiety, Thompson says. We’ve all had to navigate difficult conversations about exposure and risk over the past year — tensions that may persist into the future.\u003c/p>\n\u003cp>Ultimately, the lasting impact of the pandemic on mental health is a picture still coming into focus, especially because the economic repercussions \u003ca href=\"https://www.kqed.org/news/11840071/mental-health-and-racial-justice-why-advocates-want-to-get-police-out-of-crisis-responses\">could be felt for a long time to come\u003c/a>. Dillon says that data on the emotional and relationship challenges after a pandemic don’t exist yet. So researchers are learning what they can from other “community-wide trauma” events like natural disasters or the 2008 recession.\u003c/p>\n\u003cp>One thing we know: \u003ca href=\"https://www.apa.org/topics/covid-19/domestic-violence-child-abuse\">Incidents of violence increase\u003c/a> when families are under financial stress. “So that’s something that we worry about, depending on how long the economic recovery takes,” says Dillon.\u003c/p>\n\u003cp>There is one positive mental health outcome that both Dillon and Thompson agree on: \u003ca href=\"https://www.kqed.org/science/1963133/telehealth-is-having-a-huge-moment-during-coronavirus-crisis\">Telehealth is here to stay\u003c/a>. Thompson says that while the technology has existed for years, the pandemic forced mental health providers online fast. Though this may open the door for more patient access, some people might be left out.\u003c/p>\n\u003cp>“Not every patient has a smartphone to do a video visit or has a computer and internet to do a video visit,” Thompson says. “A lot of people, particularly those of color, might live in households with multiple generations and they have no privacy.”\u003c/p>\n\u003cp>But telehealth also helps with overcoming other barriers to access, like transportation, mobility and time, Dillon says. A one-hour appointment could turn into a three-hour commitment if you don’t have a car and take public transportation.\u003c/p>\n\u003cp>Both mental health providers say it’s important to recognize that even though life might feel more limited and boring in some ways right now, that could still be a mental health strain. We all need to be gentle with ourselves, look out for our loved ones and show empathy even after the “emergency” is over.\u003c/p>\n\u003ch3>More Resources\u003c/h3>\n\u003cp>\u003ca href=\"https://www.crisissupport.org/\">Crisis Support Services of Alameda County\u003c/a>\u003cbr>\n1-800-273-8255\u003c/p>\n\u003cp>\u003ca href=\"https://suicidepreventionlifeline.org/\">National Suicide Prevention Lifeline\u003c/a>\u003cbr>\n800-273-8255\u003c/p>\n\u003cp>\u003ca href=\"https://www.samhsa.gov/find-help/national-helpline\">Substance Abuse and Mental Health Services Administration Hotline\u003c/a>\u003cbr>\n800-662-4357\u003c/p>\n\u003cp>\u003ca href=\"https://safeandsound.org/for-parents/\">Safe & Sound’s Parental Stress TALK Line\u003c/a>\u003cbr>\n415-441-5437\u003c/p>\n\u003cp>\u003ca href=\"https://www.cuav.org/\">CUAV (Community Unite Against Violence) LGBTQ+ Support\u003c/a>\u003cbr>\n415-333-4357\u003c/p>\n\u003cp>\u003ca href=\"https://www.cpedv.org/member-service/family-violence-law-center-0\">Family Violence Law Center\u003c/a>\u003cbr>\n510-208-0220\u003c/p>\n\u003cp>[baycuriousquestion]\u003c/p>\n\u003cp>[ad floatright]\u003c/p>\n",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>There’s hope that the coronavirus pandemic will end soon as the pace of COVID-19 vaccinations picks up in California. But we’re not out of the woods yet. The past year has already \u003ca href=\"https://www.kqed.org/news/11808968/coronavirus-is-impacting-the-bay-areas-mental-health-where-can-you-find-help\">taken a toll on mental health\u003c/a>, and it’s going to take fortitude to get through the rest of the year. Here are some tips from mental health experts on how to keep us grounded and healthy into a post-coronavirus future.\u003c/p>\n\u003ch3>Anxious? Break It Down\u003c/h3>\n\u003cp>At \u003ca href=\"https://www.crisissupport.org/\">Crisis Support Services of Alameda County\u003c/a>, the staff answers over 40,000 calls a year to their 24-hour hotline. One helpful strategy for folks feeling overwhelmed, says Executive Director Narges Zohoury Dillon, is to identify what is — and isn’t — within their control.\u003c/p>\n\u003cp>The key is to break down the amount of time you’re looking ahead. If worrying about what might happen a month from now is giving you a sense of looming doom, try focusing instead on the next few minutes or hours. Dillon says zooming in to a smaller amount of time helps us with that “sense of overwhelm that comes with what’s going to happen.”\u003c/p>\n\u003ch3>Keep Up Your Self-Care Routine\u003c/h3>\n\u003cp>At the start of the COVID-19 pandemic and the first shelter-in-place order, the \u003ca href=\"https://www.kqed.org/news/11807751/a-coronavirus-care-package-care-for-yourself-others-and-still-have-fun\">internet was full of creative ways people were taking care of themselves\u003c/a>. Livestream concerts, Zoom workouts and other self-care tips abounded.\u003c/p>\n\u003cp>Whatever worked to help you relax and take care of yourself then — whether it was yoga, adopting a pet or giving yourself a manicure — stick to that routine, says \u003ca href=\"https://profiles.stanford.edu/allison-thompson\">Allison Thompson\u003c/a>, a psychologist and a clinical associate professor at the Stanford University School of Medicine. Thompson understands it can be hard to stay resilient over the long term, but a consistent routine helps, she says.\u003c/p>\n\u003cp>\u003c/p>\u003cp>\u003caside class=\"alignleft utils-parseShortcode-shortcodes-__bayCuriousPodcastShortcode__bayCurious\">\u003cimg src=https://cdn.kqed.org/wp-content/uploads/2023/02/bayCuriousLogo.png alt=\"Bay Curious Podcast\" loading=\"lazy\" />\n \u003ca href=\"/news/series/baycurious\">Bay Curious\u003c/a> is a podcast that answers your questions about the Bay Area.\n Subscribe on \u003ca href=\"https://itunes.apple.com/us/podcast/bay-curious/id1172473406\" target=\"_blank\" rel=\"noopener noreferrer\">Apple Podcasts\u003c/a>,\n \u003ca href=\"http://www.npr.org/podcasts/500557090/bay-curious\" target=\"_blank\" rel=\"noopener noreferrer\">NPR One\u003c/a> or your favorite podcast platform.\u003c/aside>\u003c/p>\u003cp>\u003c/p>\n\u003cp>“I am a firm believer in self-care. For me, it’s making sure that I exercise and that I cook,” she added. But she stresses that self-care looks different for each of us, so do whatever makes you feel nourished and comforted. That might include setting boundaries in your work day, staying connected to the important people in your life and asking for support from friends and family when you need it.\u003c/p>\n\u003ch3>Don’t Avoid Things, Do What Feels Safe\u003c/h3>\n\u003cp>Maybe like me, you’ve avoided supermarkets during the pandemic and the idea of entering one still feels a little scary. Thompson, who specializes in treating post-traumatic stress disorder, says in a post-pandemic world we can learn from research-based treatments that work for trauma.\u003c/p>\n\u003cp>She says that people tend to deal with their anxiety by avoiding. “Avoidance is a wonderful short-term strategy, but an awful long-term strategy.”\u003c/p>\n\u003cp>Thompson tells her patients to make a list of the things they’ve been avoiding because of trauma. Then she has them go out and do those things mindfully.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>“If someone says, ‘Oh, gosh, I used to love to go for hikes, but now I’m really afraid,’ take the precautions you need to,” she says. “Wear a mask, be socially distant from people who you don’t know. But you’ll probably find, ‘I feel better doing this than I feel staying inside of my home and avoiding this thing that I know that I really enjoy.’ ”\u003c/p>\n\u003ch3>Limit Your COVID Information to Trusted Sources\u003c/h3>\n\u003cp>If you find yourself getting confused about the changes in the vaccine rollout or feeling fearful about new variants of the disease, sticking to a few trusted sources for coronavirus information can ease the added stress of information overload. Look to guidance from your health care provider, local county health department, California Department of Public Health or Centers for Disease Control and Prevention, says Dillon.\u003c/p>\n\u003cp>“Conflicting information results in confusion,” she says. “And that’s a place where anxiety thrives.”\u003c/p>\n\u003cp>Even with these coping strategies, both Dillon and Thompson say there will be lingering mental health effects from this year, even after vaccinations become more accessible. Some people will be slow to return to public forums or crowded events, while others may feel heightened threat from even minor illness.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>And while there might be relief in getting to see friends and family in person again, even that could come with some anxiety, Thompson says. We’ve all had to navigate difficult conversations about exposure and risk over the past year — tensions that may persist into the future.\u003c/p>\n\u003cp>Ultimately, the lasting impact of the pandemic on mental health is a picture still coming into focus, especially because the economic repercussions \u003ca href=\"https://www.kqed.org/news/11840071/mental-health-and-racial-justice-why-advocates-want-to-get-police-out-of-crisis-responses\">could be felt for a long time to come\u003c/a>. Dillon says that data on the emotional and relationship challenges after a pandemic don’t exist yet. So researchers are learning what they can from other “community-wide trauma” events like natural disasters or the 2008 recession.\u003c/p>\n\u003cp>One thing we know: \u003ca href=\"https://www.apa.org/topics/covid-19/domestic-violence-child-abuse\">Incidents of violence increase\u003c/a> when families are under financial stress. “So that’s something that we worry about, depending on how long the economic recovery takes,” says Dillon.\u003c/p>\n\u003cp>There is one positive mental health outcome that both Dillon and Thompson agree on: \u003ca href=\"https://www.kqed.org/science/1963133/telehealth-is-having-a-huge-moment-during-coronavirus-crisis\">Telehealth is here to stay\u003c/a>. Thompson says that while the technology has existed for years, the pandemic forced mental health providers online fast. Though this may open the door for more patient access, some people might be left out.\u003c/p>\n\u003cp>“Not every patient has a smartphone to do a video visit or has a computer and internet to do a video visit,” Thompson says. “A lot of people, particularly those of color, might live in households with multiple generations and they have no privacy.”\u003c/p>\n\u003cp>But telehealth also helps with overcoming other barriers to access, like transportation, mobility and time, Dillon says. A one-hour appointment could turn into a three-hour commitment if you don’t have a car and take public transportation.\u003c/p>\n\u003cp>Both mental health providers say it’s important to recognize that even though life might feel more limited and boring in some ways right now, that could still be a mental health strain. We all need to be gentle with ourselves, look out for our loved ones and show empathy even after the “emergency” is over.\u003c/p>\n\u003ch3>More Resources\u003c/h3>\n\u003cp>\u003ca href=\"https://www.crisissupport.org/\">Crisis Support Services of Alameda County\u003c/a>\u003cbr>\n1-800-273-8255\u003c/p>\n\u003cp>\u003ca href=\"https://suicidepreventionlifeline.org/\">National Suicide Prevention Lifeline\u003c/a>\u003cbr>\n800-273-8255\u003c/p>\n\u003cp>\u003ca href=\"https://www.samhsa.gov/find-help/national-helpline\">Substance Abuse and Mental Health Services Administration Hotline\u003c/a>\u003cbr>\n800-662-4357\u003c/p>\n\u003cp>\u003ca href=\"https://safeandsound.org/for-parents/\">Safe & Sound’s Parental Stress TALK Line\u003c/a>\u003cbr>\n415-441-5437\u003c/p>\n\u003cp>\u003ca href=\"https://www.cuav.org/\">CUAV (Community Unite Against Violence) LGBTQ+ Support\u003c/a>\u003cbr>\n415-333-4357\u003c/p>\n\u003cp>\u003ca href=\"https://www.cpedv.org/member-service/family-violence-law-center-0\">Family Violence Law Center\u003c/a>\u003cbr>\n510-208-0220\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cp>California officials gave a nod to Kaiser Permanente’s reputation for efficiency when they \u003ca href=\"https://calmatters.org/wp-content/uploads/2021/02/Letter-of-Intent-with-Kaiser.pdf?_gl=1*18hxzr7*_ga*NzI4NDMzNTEuMTU4MjA0NjY1NQ..\" target=\"_blank\" rel=\"noopener noreferrer\">recently selected\u003c/a> it to help speed vaccine rollout. But a review of worker safety citations shows Kaiser has had its own pandemic troubles, failing to adequately protect its employees early on.\u003c/p>\n\u003cp>Kaiser Permanente has on multiple occasions failed to provide hospital employees the gear or training needed to protect them from COVID-19, \u003ca href=\"https://www.dir.ca.gov/dosh/COVID19citations.html\" target=\"_blank\" rel=\"noopener noreferrer\">according to 12 citations\u003c/a> issued by California’s enforcer of workplace safety laws, Cal/OSHA.\u003c/p>\n\u003cp>The agency has issued more citations against Kaiser than any other health care employer in California, fining it almost $500,000. In addition, Santa Clara County has separately penalized the hospital for not immediately reporting an outbreak in December.\u003c/p>\n\u003cp>Kaiser is appealing all 12 of the state’s citations, as well as the county-issued fine.\u003c/p>\n\u003cp>“It’s misleading to interpret these citations to signal any ongoing serious infractions of current public health guidelines at Kaiser Permanente,” Marc Brown, a Kaiser spokesman, said in an emailed statement. “In fact, these citations stem mainly from allegations much earlier in the pandemic, as health care systems including ours grappled with national shortages and evolving public health guidance.”\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>Kaiser’s medical centers, he added, are a safe place to work and receive care.\u003c/p>\n\u003cp>CalMatters \u003ca href=\"https://calmatters.org/health/2020/10/kaiser-cal-osha-citation-failing-to-treat-covid-airborne/\" target=\"_blank\" rel=\"noopener noreferrer\">first reported\u003c/a> an incoming wave of citations for Kaiser in October, following the first fine issued to its psychiatric hospital in Santa Clara.\u003c/p>\n\u003cp>The state imposed the largest penalty, $87,500, on Kaiser’s San Leandro Medical Center for not immediately reporting to Cal/OSHA when one employee was hospitalized in May and for not limiting the reuse of N95 respirators, among several other violations.\u003c/p>\n\u003cp>\u003c!-- iframe plugin v.4.3 wordpress.org/plugins/iframe/ -->\u003cbr>\n\u003ciframe loading=\"lazy\" src=\"https://e.infogram.com/9b5ce597-4fd5-43f5-bce6-57f47e20af6d?src=embed\" title=\"kaiser citations\" width=\"800\" height=\"712\" scrolling=\"no\" frameborder=\"0\" style=\"border:none;\" class=\"iframe-class\">\u003c/iframe>\u003c/p>\n\u003cp>Cal/OSHA began citing Kaiser facilities in October, months after receiving complaints. The short-staffed agency has been inundated with COVID-related complaints. Between February and September of last year, it conducted \u003ca href=\"https://calmatters.org/california-divide/2020/10/cal-osha-response-covid-complaints/\" target=\"_blank\" rel=\"noopener noreferrer\">on-site inspections for only 5%\u003c/a> of almost 7,000 pandemic complaints.\u003c/p>\n\u003cp>Almost half of Cal/OSHA’s citations to hospitals are directed at Kaiser. But it’s difficult to know for sure why Kaiser has been disciplined the most, said Laura Stock, director of the Labor Occupational Health Program at UC Berkeley. It could be its practices, but also its size, and its employees may be more willing to speak up about hazards, Stock said.\u003c/p>\n\u003cp>“If there is a citation it’s probably because someone filed an OSHA complaint,” Stock said. “Kaiser is a unionized workplace and there are workers who are educated on these issues and really on top of these things.”\u003c/p>\n\u003cp>One violation labeled as “serious” in Cal/OSHA’s citation to Oakland Medical Center, for example, found that the hospital did not provide employees from an oncology unit with N95 respirators when they entered an area with patients confirmed or suspected of having COVID-19. The hospital also failed to ensure each employee passed a “fit test” to ensure employees’ respirators fit properly, \u003ca href=\"https://www.dir.ca.gov/dosh/coronavirus/citations/11.06.2020_Kaiser-Permanente-Oakland-Medical-Center_1474630.pdf\" target=\"_blank\" rel=\"noopener noreferrer\">according to the citation.\u003c/a>\u003c/p>\n\u003cp>Cal/OSHA also found that Kaiser’s Redwood City Medical Center did not inform and train employees that surgical masks do not protect against inhalation of infectious aerosols — N95 respirators are needed instead.\u003c/p>\n\u003cp>Kaiser’s San Jose Medical Center failed to notify employees “with significant exposures in a reasonable timeframe” and didn’t provide a medical evaluation to those exposed, \u003ca href=\"https://www.dir.ca.gov/dosh/coronavirus/citations/11.23.2020-Kaiser-Foundation-Hospital-DBA-Kaiser-San-Jose-Medical-Center_1476073.pdf\">according to the citation\u003c/a>.\u003c/p>\n\u003cp>For a later and separate incident, Santa Clara County fined the San Jose hospital $43,000 for not immediately reporting an outbreak in its emergency department on Christmas Day. \u003ca href=\"https://www.mercurynews.com/2021/01/07/kaiser-san-jose-fined-43000-as-investigation-into-christmas-costume-covid-outbreak-continues/\">That incident\u003c/a> has been linked to an employee dressed in an air-powered inflatable tree costume, who was COVID positive but unaware of that. Kaiser is appealing that fine, too.\u003c/p>\n\u003cp>[aside tag=\"kaiser, kaiser permanente, health\" label=\"Related Stories\"]Federal health guidance about COVID-19 safety has evolved throughout the pandemic. Yet California already had strict workplace safety rules in place for hospitals and other health settings that should have protected employees from the very beginning, even when little was known about the virus, experts say.\u003c/p>\n\u003cp>In spring 2009, California adopted the Aerosol Transmissible Diseases (ATD) standard. Under development for several years, it was \u003ca href=\"https://www.dir.ca.gov/title8/5199.html\">unanimously approved\u003c/a> by the Cal/OSHA Standards Board soon after the first cases of the H1N1 virus were detected in the state. According to this \u003ca href=\"https://www.dir.ca.gov/title8/5199.html\">ATD standard\u003c/a>, any novel or unknown pathogen is to be handled as if it could be transmitted by aerosols until proven otherwise.\u003c/p>\n\u003cp>California is the only state in the country with this standard. And experts say this standard has helped Cal/OSHA hold health employers accountable during the pandemic.\u003c/p>\n\u003cp>The state’s aerosol standard requires employers to provide personal protective equipment that protects against aerosols, train employees about this type of transmission and notify them of any possible exposure. This state standard went beyond early pandemic guidance from the Centers for Disease Control and Prevention, which didn’t formally acknowledge the \u003ca href=\"https://www.cdc.gov/coronavirus/2019-ncov/more/scientific-brief-sars-cov-2.html\">airborne transmission\u003c/a> of coronavirus until October. For months, the federal agency focused on droplet transmission.\u003c/p>\n\u003cp>Special protection is required to protect against viruses that can transmit via smaller aerosolized particles. For example, in Cal/OSHA’s citation to Kaiser San Francisco, the agency notes that the hospital did not require employees to use \u003ca href=\"https://www.cdc.gov/coronavirus/2019-ncov/images/hcp/N95-infographic-What-Are-APR-508.png?noicon\">powered air-purifying respirators\u003c/a> during “high hazard” procedures that generate aerosols, like intubations. According to the ATD standard, N95 masks are not enough protection for those types of procedures.\u003c/p>\n\u003cp>At the San Leandro location, employees who were given powered air-purifying respirators were handed defective units held together by tape, \u003ca href=\"https://www.dir.ca.gov/dosh/coronavirus/citations/01.04.2021-Kaiser-Foundation-KaiserPermanenteSanLeandro_1479549.pdf\">according to the citation\u003c/a>. That same hospital also failed to investigate exposure incidents between May and August, the citation reads.\u003c/p>\n\u003cp>Throughout most of last year, nurses and other health workers organized rallies and protests demanding more protection from Kaiser and other hospitals. Amy Arlund, an intensive care nurse at Kaiser Fresno Medical Center and member of the California Nurses Association, said nurses aren’t as interested in fines as they are in enforcement and improvement.\u003c/p>\n\u003cp>She alleged that at her hospital, for example, when their battery-operated respirators break down, it’s hard to get replacements.\u003c/p>\n\u003cp>“A lot of nurses are carrying around their own rolls of duct tape to put these things back together when they’re falling apart,” Arlund told CalMatters in November. “We use what we have way beyond its usage.”\u003c/p>\n\u003cp>Employees at Kaiser Fresno have filed several complaints. Arlund said Cal/OSHA inspectors have visited her hospital, but as of Friday, no citations had been issued against Kaiser’s Fresno hospital.\u003c/p>\n\u003cp>[ad floatright]\u003c/p>\n\u003cp>\u003cem>CalMatters COVID-19 coverage, translation and distribution is supported by generous grants from the Blue Shield of California Foundation, the California Wellness Foundation and the California Health Care Foundation.\u003c/em>\u003c/p>\n\n",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>California officials gave a nod to Kaiser Permanente’s reputation for efficiency when they \u003ca href=\"https://calmatters.org/wp-content/uploads/2021/02/Letter-of-Intent-with-Kaiser.pdf?_gl=1*18hxzr7*_ga*NzI4NDMzNTEuMTU4MjA0NjY1NQ..\" target=\"_blank\" rel=\"noopener noreferrer\">recently selected\u003c/a> it to help speed vaccine rollout. But a review of worker safety citations shows Kaiser has had its own pandemic troubles, failing to adequately protect its employees early on.\u003c/p>\n\u003cp>Kaiser Permanente has on multiple occasions failed to provide hospital employees the gear or training needed to protect them from COVID-19, \u003ca href=\"https://www.dir.ca.gov/dosh/COVID19citations.html\" target=\"_blank\" rel=\"noopener noreferrer\">according to 12 citations\u003c/a> issued by California’s enforcer of workplace safety laws, Cal/OSHA.\u003c/p>\n\u003cp>The agency has issued more citations against Kaiser than any other health care employer in California, fining it almost $500,000. In addition, Santa Clara County has separately penalized the hospital for not immediately reporting an outbreak in December.\u003c/p>\n\u003cp>Kaiser is appealing all 12 of the state’s citations, as well as the county-issued fine.\u003c/p>\n\u003cp>“It’s misleading to interpret these citations to signal any ongoing serious infractions of current public health guidelines at Kaiser Permanente,” Marc Brown, a Kaiser spokesman, said in an emailed statement. “In fact, these citations stem mainly from allegations much earlier in the pandemic, as health care systems including ours grappled with national shortages and evolving public health guidance.”\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>Kaiser’s medical centers, he added, are a safe place to work and receive care.\u003c/p>\n\u003cp>CalMatters \u003ca href=\"https://calmatters.org/health/2020/10/kaiser-cal-osha-citation-failing-to-treat-covid-airborne/\" target=\"_blank\" rel=\"noopener noreferrer\">first reported\u003c/a> an incoming wave of citations for Kaiser in October, following the first fine issued to its psychiatric hospital in Santa Clara.\u003c/p>\n\u003cp>The state imposed the largest penalty, $87,500, on Kaiser’s San Leandro Medical Center for not immediately reporting to Cal/OSHA when one employee was hospitalized in May and for not limiting the reuse of N95 respirators, among several other violations.\u003c/p>\n\u003cp>\u003c!-- iframe plugin v.4.3 wordpress.org/plugins/iframe/ -->\u003cbr>\n\u003ciframe loading=\"lazy\" src=\"https://e.infogram.com/9b5ce597-4fd5-43f5-bce6-57f47e20af6d?src=embed\" title=\"kaiser citations\" width=\"800\" height=\"712\" scrolling=\"no\" frameborder=\"0\" style=\"border:none;\" class=\"iframe-class\">\u003c/iframe>\u003c/p>\n\u003cp>Cal/OSHA began citing Kaiser facilities in October, months after receiving complaints. The short-staffed agency has been inundated with COVID-related complaints. Between February and September of last year, it conducted \u003ca href=\"https://calmatters.org/california-divide/2020/10/cal-osha-response-covid-complaints/\" target=\"_blank\" rel=\"noopener noreferrer\">on-site inspections for only 5%\u003c/a> of almost 7,000 pandemic complaints.\u003c/p>\n\u003cp>Almost half of Cal/OSHA’s citations to hospitals are directed at Kaiser. But it’s difficult to know for sure why Kaiser has been disciplined the most, said Laura Stock, director of the Labor Occupational Health Program at UC Berkeley. It could be its practices, but also its size, and its employees may be more willing to speak up about hazards, Stock said.\u003c/p>\n\u003cp>“If there is a citation it’s probably because someone filed an OSHA complaint,” Stock said. “Kaiser is a unionized workplace and there are workers who are educated on these issues and really on top of these things.”\u003c/p>\n\u003cp>One violation labeled as “serious” in Cal/OSHA’s citation to Oakland Medical Center, for example, found that the hospital did not provide employees from an oncology unit with N95 respirators when they entered an area with patients confirmed or suspected of having COVID-19. The hospital also failed to ensure each employee passed a “fit test” to ensure employees’ respirators fit properly, \u003ca href=\"https://www.dir.ca.gov/dosh/coronavirus/citations/11.06.2020_Kaiser-Permanente-Oakland-Medical-Center_1474630.pdf\" target=\"_blank\" rel=\"noopener noreferrer\">according to the citation.\u003c/a>\u003c/p>\n\u003cp>Cal/OSHA also found that Kaiser’s Redwood City Medical Center did not inform and train employees that surgical masks do not protect against inhalation of infectious aerosols — N95 respirators are needed instead.\u003c/p>\n\u003cp>Kaiser’s San Jose Medical Center failed to notify employees “with significant exposures in a reasonable timeframe” and didn’t provide a medical evaluation to those exposed, \u003ca href=\"https://www.dir.ca.gov/dosh/coronavirus/citations/11.23.2020-Kaiser-Foundation-Hospital-DBA-Kaiser-San-Jose-Medical-Center_1476073.pdf\">according to the citation\u003c/a>.\u003c/p>\n\u003cp>For a later and separate incident, Santa Clara County fined the San Jose hospital $43,000 for not immediately reporting an outbreak in its emergency department on Christmas Day. \u003ca href=\"https://www.mercurynews.com/2021/01/07/kaiser-san-jose-fined-43000-as-investigation-into-christmas-costume-covid-outbreak-continues/\">That incident\u003c/a> has been linked to an employee dressed in an air-powered inflatable tree costume, who was COVID positive but unaware of that. Kaiser is appealing that fine, too.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>Federal health guidance about COVID-19 safety has evolved throughout the pandemic. Yet California already had strict workplace safety rules in place for hospitals and other health settings that should have protected employees from the very beginning, even when little was known about the virus, experts say.\u003c/p>\n\u003cp>In spring 2009, California adopted the Aerosol Transmissible Diseases (ATD) standard. Under development for several years, it was \u003ca href=\"https://www.dir.ca.gov/title8/5199.html\">unanimously approved\u003c/a> by the Cal/OSHA Standards Board soon after the first cases of the H1N1 virus were detected in the state. According to this \u003ca href=\"https://www.dir.ca.gov/title8/5199.html\">ATD standard\u003c/a>, any novel or unknown pathogen is to be handled as if it could be transmitted by aerosols until proven otherwise.\u003c/p>\n\u003cp>California is the only state in the country with this standard. And experts say this standard has helped Cal/OSHA hold health employers accountable during the pandemic.\u003c/p>\n\u003cp>The state’s aerosol standard requires employers to provide personal protective equipment that protects against aerosols, train employees about this type of transmission and notify them of any possible exposure. This state standard went beyond early pandemic guidance from the Centers for Disease Control and Prevention, which didn’t formally acknowledge the \u003ca href=\"https://www.cdc.gov/coronavirus/2019-ncov/more/scientific-brief-sars-cov-2.html\">airborne transmission\u003c/a> of coronavirus until October. For months, the federal agency focused on droplet transmission.\u003c/p>\n\u003cp>Special protection is required to protect against viruses that can transmit via smaller aerosolized particles. For example, in Cal/OSHA’s citation to Kaiser San Francisco, the agency notes that the hospital did not require employees to use \u003ca href=\"https://www.cdc.gov/coronavirus/2019-ncov/images/hcp/N95-infographic-What-Are-APR-508.png?noicon\">powered air-purifying respirators\u003c/a> during “high hazard” procedures that generate aerosols, like intubations. According to the ATD standard, N95 masks are not enough protection for those types of procedures.\u003c/p>\n\u003cp>At the San Leandro location, employees who were given powered air-purifying respirators were handed defective units held together by tape, \u003ca href=\"https://www.dir.ca.gov/dosh/coronavirus/citations/01.04.2021-Kaiser-Foundation-KaiserPermanenteSanLeandro_1479549.pdf\">according to the citation\u003c/a>. That same hospital also failed to investigate exposure incidents between May and August, the citation reads.\u003c/p>\n\u003cp>Throughout most of last year, nurses and other health workers organized rallies and protests demanding more protection from Kaiser and other hospitals. Amy Arlund, an intensive care nurse at Kaiser Fresno Medical Center and member of the California Nurses Association, said nurses aren’t as interested in fines as they are in enforcement and improvement.\u003c/p>\n\u003cp>She alleged that at her hospital, for example, when their battery-operated respirators break down, it’s hard to get replacements.\u003c/p>\n\u003cp>“A lot of nurses are carrying around their own rolls of duct tape to put these things back together when they’re falling apart,” Arlund told CalMatters in November. “We use what we have way beyond its usage.”\u003c/p>\n\u003cp>Employees at Kaiser Fresno have filed several complaints. Arlund said Cal/OSHA inspectors have visited her hospital, but as of Friday, no citations had been issued against Kaiser’s Fresno hospital.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>\u003cem>CalMatters COVID-19 coverage, translation and distribution is supported by generous grants from the Blue Shield of California Foundation, the California Wellness Foundation and the California Health Care Foundation.\u003c/em>\u003c/p>\n\n\u003c/div>\u003c/p>",
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"content": "\u003cp>Traditional Chinese Medicine has a complicated history in the Bay. The practice itself can be traced back thousands of years, and has evolved over time — but here in the US, it has a shorter history.\u003c/p>\n\u003cp>For a while, it was mainly kept within immigrant communities. But in 1974, a Chinese immigrant in Palo Alto named Miriam Lee was arrested and put on trial for practicing acupuncture — even though she learned it from a master in her hometown in China. The trial culminated in acupuncture becoming legal in California.\u003c/p>\n\u003cp>Today, Traditional Chinese Medicine is still often exoticized or dismissed. But now, some Asian Americans in the Bay Area are reconnecting with these practices, and building new communities in the process.\u003c/p>\n\u003cp>The Bay spoke to \u003ca href=\"https://twitter.com/cathyerway/\">Cathy Erway\u003c/a>, food writer and host of the podcast \u003ca href=\"https://selfevidentshow.com/\">Self Evident: Asian America’s Stories\u003c/a>, about how she came across the work of Sonoma County’s Adrian Chang and Erin Wilkins, who teach about Asian American folk traditions while weaving in personal history — and the connections to her own life she found within.\u003c/p>\n\u003cp>Read Cathy’s piece about this in the San Francisco Chronicle \u003ca href=\"https://www.sfchronicle.com/food/article/Wellness-foods-often-get-seen-through-a-Western-15906965.php\">here\u003c/a>.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>\u003cem>Episode transcript \u003ca href=\"http://bit.ly/3tQXSxD\">\u003cstrong>here\u003c/strong>\u003c/a>. This interview has been edited for length and clarity.\u003c/em>\u003c/p>\n\u003ch3>‘The Hearth and Home’\u003c/h3>\n\u003cp>\u003cem>Cathy Erway\u003c/em>: Adrian Chang — on Instagram as \u003ca href=\"https://www.instagram.com/mykitsunecafe/\">@mykitsunecafe\u003c/a> — and Erin Wilkins started up a workshop series about herbalism and folk traditions. It’s over Zoom, and they summarize it as “traditions that have to do with the hearth and home.’”\u003c/p>\n\u003cp>Adrian has walked us through kombu, which is a dried seaweed or kelp; he made a dashi stock, and he’s walked us through all of the energies of the winter vegetables. There’s a lot of cooking, some herbalism, and general wisdom around everyday living. It’s rooted in Eastern philosophies and Traditional Chinese Medicine, which is the bedrock of a lot of Eastern medicine.\u003c/p>\n\u003ch3>How Cathy Found Kitsune Cafe\u003c/h3>\n\u003cp>I wanted to know more about my heritage and my culture. I grew up with parents who practice qigong. They go to a Chinese medicine doctor when they need something to treat an ailment. But I felt like I didn’t really tap into that very well, and I have a lot of guilt around that.\u003c/p>\n\u003cp>I’d been wondering if anyone was doing something around Traditional Chinese Medicine, but I also love that they were taking it in an Asian American direction. They were acknowledging that we live in America, and we may be somewhat divorced from some of these traditions. That really spoke to me.\u003c/p>\n\u003cp>Adrian’s story is so fascinating because he grew up going to his grandfather’s apothecary shop in San Francisco Chinatown all the time, which was a Chinese apothecary.\u003c/p>\n\u003cp>\u003cem>\u003cstrong>“I remember floor to ceiling apothecary cabinets. We did not grow up traditional. I don’t even speak Chinese. I don’t speak Mandarin, Cantonese or any dialects of my family. After growing with that mentality, I viewed people like my grandfather and his herb shop as not bad at all, but just so foreign” — \u003c/strong>\u003c/em>\u003cstrong>Adrian Chang of Kitsune Cafe\u003c/strong>\u003c/p>\n\u003cp>It’s that classic story which comes around full circle. And now he’s trying to pick up the pieces and reclaim this heritage.\u003c/p>\n\u003cp>But it’s not like a tidy ending there. You know, Adrian will be the first to say that he’s constantly learning. He’s constantly evolving. We’re all on this journey.\u003c/p>\n\u003ch3>The 1974 Case of Miriam Lee\u003c/h3>\n\u003cp>Miriam was moonlighting as an acupuncturist while she worked in the Hewlett Packard factory in the Bay Area. She learned the ropes of acupuncture from this master acupuncturist in Shandong, so her services to the community were so welcome. It answered a huge need in that area.\u003c/p>\n\u003cp>The trial really publicized the idea of acupuncture, and it was recorded in newspapers that hundreds of her patients showed up to her trial to protest her arrest.\u003c/p>\n\u003cp>Miriam Lee is seen as a real legend and a pioneer in Traditional Chinese Medicine. She went on to found the Acupuncture Association of America. From there she ended up teaching most other acupuncturists in America.\u003c/p>\n\u003cp>The irony is that now it’s a profession that you can go to a major college or university and get a degree in and spend a lot of money on, too.\u003c/p>\n\u003ch3>After the Trial: The Modern Day Perception of Traditional Chinese Medicine\u003c/h3>\n\u003cp>It’s a really strange juxtaposition. Erin Wilkins has said that these services can be really expensive when you go to somebody who is accredited with a clinical acupuncture degree and practice. The access issue was something that really troubled her. And I can totally see why.\u003c/p>\n\u003cp>This was something that used to be done by well-trained people. It was passed around from one master to an apprentice by oral tradition. Now it’s something that has been institutionalized. That’s one of the reasons why Erin Wilkins wanted to do these workshops: to make it more accessible and affordable.\u003c/p>\n\u003ch3>Looking to the Future\u003c/h3>\n\u003cp>Honestly, there’s a sense of pride [around Traditional Chinese Medicine] because it comes from this realization that your elders had so much to offer. I think it just goes to show that Asian Americans have a lot to be proud of.\u003c/p>\n\u003cp>And that’s the other point about “Asian American-ness” — I think these workshops do a really great job of making clear that even if you’re not Asian American, we are all American. Let’s bring in our shared background in this context.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>I think that the biggest takeaway is that we can be on these different wavelengths of expertise, of interest, and we can continue to learn from others through a community that we forge. I just love that we can be real about that, and not feel like we have to be an expert. And find those connections between various different cultures and their roots — their heritage — when it comes to food and medicine.\u003c/p>\n\n",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>Traditional Chinese Medicine has a complicated history in the Bay. The practice itself can be traced back thousands of years, and has evolved over time — but here in the US, it has a shorter history.\u003c/p>\n\u003cp>For a while, it was mainly kept within immigrant communities. But in 1974, a Chinese immigrant in Palo Alto named Miriam Lee was arrested and put on trial for practicing acupuncture — even though she learned it from a master in her hometown in China. The trial culminated in acupuncture becoming legal in California.\u003c/p>\n\u003cp>Today, Traditional Chinese Medicine is still often exoticized or dismissed. But now, some Asian Americans in the Bay Area are reconnecting with these practices, and building new communities in the process.\u003c/p>\n\u003cp>The Bay spoke to \u003ca href=\"https://twitter.com/cathyerway/\">Cathy Erway\u003c/a>, food writer and host of the podcast \u003ca href=\"https://selfevidentshow.com/\">Self Evident: Asian America’s Stories\u003c/a>, about how she came across the work of Sonoma County’s Adrian Chang and Erin Wilkins, who teach about Asian American folk traditions while weaving in personal history — and the connections to her own life she found within.\u003c/p>\n\u003cp>Read Cathy’s piece about this in the San Francisco Chronicle \u003ca href=\"https://www.sfchronicle.com/food/article/Wellness-foods-often-get-seen-through-a-Western-15906965.php\">here\u003c/a>.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>\u003cem>Episode transcript \u003ca href=\"http://bit.ly/3tQXSxD\">\u003cstrong>here\u003c/strong>\u003c/a>. This interview has been edited for length and clarity.\u003c/em>\u003c/p>\n\u003ch3>‘The Hearth and Home’\u003c/h3>\n\u003cp>\u003cem>Cathy Erway\u003c/em>: Adrian Chang — on Instagram as \u003ca href=\"https://www.instagram.com/mykitsunecafe/\">@mykitsunecafe\u003c/a> — and Erin Wilkins started up a workshop series about herbalism and folk traditions. It’s over Zoom, and they summarize it as “traditions that have to do with the hearth and home.’”\u003c/p>\n\u003cp>Adrian has walked us through kombu, which is a dried seaweed or kelp; he made a dashi stock, and he’s walked us through all of the energies of the winter vegetables. There’s a lot of cooking, some herbalism, and general wisdom around everyday living. It’s rooted in Eastern philosophies and Traditional Chinese Medicine, which is the bedrock of a lot of Eastern medicine.\u003c/p>\n\u003ch3>How Cathy Found Kitsune Cafe\u003c/h3>\n\u003cp>I wanted to know more about my heritage and my culture. I grew up with parents who practice qigong. They go to a Chinese medicine doctor when they need something to treat an ailment. But I felt like I didn’t really tap into that very well, and I have a lot of guilt around that.\u003c/p>\n\u003cp>I’d been wondering if anyone was doing something around Traditional Chinese Medicine, but I also love that they were taking it in an Asian American direction. They were acknowledging that we live in America, and we may be somewhat divorced from some of these traditions. That really spoke to me.\u003c/p>\n\u003cp>Adrian’s story is so fascinating because he grew up going to his grandfather’s apothecary shop in San Francisco Chinatown all the time, which was a Chinese apothecary.\u003c/p>\n\u003cp>\u003cem>\u003cstrong>“I remember floor to ceiling apothecary cabinets. We did not grow up traditional. I don’t even speak Chinese. I don’t speak Mandarin, Cantonese or any dialects of my family. After growing with that mentality, I viewed people like my grandfather and his herb shop as not bad at all, but just so foreign” — \u003c/strong>\u003c/em>\u003cstrong>Adrian Chang of Kitsune Cafe\u003c/strong>\u003c/p>\n\u003cp>It’s that classic story which comes around full circle. And now he’s trying to pick up the pieces and reclaim this heritage.\u003c/p>\n\u003cp>But it’s not like a tidy ending there. You know, Adrian will be the first to say that he’s constantly learning. He’s constantly evolving. We’re all on this journey.\u003c/p>\n\u003ch3>The 1974 Case of Miriam Lee\u003c/h3>\n\u003cp>Miriam was moonlighting as an acupuncturist while she worked in the Hewlett Packard factory in the Bay Area. She learned the ropes of acupuncture from this master acupuncturist in Shandong, so her services to the community were so welcome. It answered a huge need in that area.\u003c/p>\n\u003cp>The trial really publicized the idea of acupuncture, and it was recorded in newspapers that hundreds of her patients showed up to her trial to protest her arrest.\u003c/p>\n\u003cp>Miriam Lee is seen as a real legend and a pioneer in Traditional Chinese Medicine. She went on to found the Acupuncture Association of America. From there she ended up teaching most other acupuncturists in America.\u003c/p>\n\u003cp>The irony is that now it’s a profession that you can go to a major college or university and get a degree in and spend a lot of money on, too.\u003c/p>\n\u003ch3>After the Trial: The Modern Day Perception of Traditional Chinese Medicine\u003c/h3>\n\u003cp>It’s a really strange juxtaposition. Erin Wilkins has said that these services can be really expensive when you go to somebody who is accredited with a clinical acupuncture degree and practice. The access issue was something that really troubled her. And I can totally see why.\u003c/p>\n\u003cp>This was something that used to be done by well-trained people. It was passed around from one master to an apprentice by oral tradition. Now it’s something that has been institutionalized. That’s one of the reasons why Erin Wilkins wanted to do these workshops: to make it more accessible and affordable.\u003c/p>\n\u003ch3>Looking to the Future\u003c/h3>\n\u003cp>Honestly, there’s a sense of pride [around Traditional Chinese Medicine] because it comes from this realization that your elders had so much to offer. I think it just goes to show that Asian Americans have a lot to be proud of.\u003c/p>\n\u003cp>And that’s the other point about “Asian American-ness” — I think these workshops do a really great job of making clear that even if you’re not Asian American, we are all American. Let’s bring in our shared background in this context.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>I think that the biggest takeaway is that we can be on these different wavelengths of expertise, of interest, and we can continue to learn from others through a community that we forge. I just love that we can be real about that, and not feel like we have to be an expert. And find those connections between various different cultures and their roots — their heritage — when it comes to food and medicine.\u003c/p>\n\n\u003c/div>\u003c/p>",
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"content": "\u003cp>State lawmakers want to square conflicting health care values between public University of California hospitals and Catholic hospitals that collaborate on patient care, under a new bill introduced Wednesday by state Sen. Scott Wiener, D-San Francisco.\u003c/p>\n\u003cp>Under longstanding agreements between UC Health and Catholic hospital systems like Dignity Health or St. Joseph Health, UC doctors and medical students who provide care inside Catholic hospitals must abide by Catholic Church directives that prohibit abortions, sterilizations, contraception, some end-of-life options and gender affirmation surgery.\u003c/p>\n\u003cp>Wiener says this makes the public university system complicit in discriminating against women and transgender patients.\u003c/p>\n\u003cp>“The fact that a UC medical professional would not be able to provide care, I just think is honestly completely outrageous,” he said. “It’s because of the pride that we all have in UC and, frankly, the love that we hold for the system that we want to make sure that UC lives up to its high aspirations of providing health care to everyone.”\u003c/p>\n\u003cp>\u003ca href=\"https://leginfo.legislature.ca.gov/faces/billTextClient.xhtml?bill_id=202120220SB379\" target=\"_blank\" rel=\"noopener noreferrer\">Senate Bill 379\u003c/a> would require UC health systems to renegotiate these agreements with Catholic hospitals to either allow UC staff to provide all care they deem medically necessary, or to end those affiliations altogether.\u003c/p>\n\u003cp>“Access to health care is fundamental to an equitable and successful society, and public institutions must lead by example in ensuring health care access,” Wiener said.\u003c/p>\n\u003cp>But Catholic hospitals said canceling these partnerships would likely harm health care access.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>Dignity Health and the UC Health system are the number one and two providers of care to low-income Medi-Cal patients in the state.\u003c/p>\n\u003cp>“It would absolutely devastate access to health care for the most vulnerable,” said Lori Dangberg, vice president of the Alliance of Catholic Health Care, a trade group for Catholic hospitals. “At a time when COVID-19 is placing unprecedented demands on our state’s health care providers, any effort to weaken the safety net would only harm the state’s most vulnerable patients.”\u003c/p>\n\u003cp>In recent years, UCSF officials have said the affiliation it has with Dignity Health is necessary to meet the demand for care in San Francisco. Instead of turning patients away for lack of beds, it can transfer them to a Dignity hospital.\u003c/p>\n\u003cp>Similar partnerships provide other hard-to-access care across the state, particularly in rural areas, Dangberg said. UC Davis and Mercy Medical Center in Merced, a Dignity hospital, jointly run a cancer center providing treatment for more than 12,000 patients a year. UCLA specialists have provided pediatric trauma services to more than 700 patients at Northridge Hospital Medical Center, another Dignity facility.\u003c/p>\n\u003cp>Wiener said he recognizes the importance of these partnerships in expanding access to care and that he is not opposed to them per se, but he believes public employees and students should practice by standards set by state law, even if they’re practicing within the walls of a Catholic hospital.\u003c/p>\n\u003cp>Catholic hospitals say their directives are protected by law, too, and that the state cannot force them to provide abortions or other services that conflict with their moral code.\u003c/p>\n\u003cp>“Tolerance is a two-way street,” Dangberg said. “You’re welcome to practice in our hospitals, but you follow the policies, whether those policies are based on quality issues, economic issues or religious issues, you practice based on a hospital’s policy.”\u003c/p>\n\u003cp>\u003c/p>\n",
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"excerpt": "UC doctors working at Catholic hospitals in California must abide by directives that prohibit certain kinds of care. A new bill could change that — but critics say it could also hurt health care access for low-income patients.",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>State lawmakers want to square conflicting health care values between public University of California hospitals and Catholic hospitals that collaborate on patient care, under a new bill introduced Wednesday by state Sen. Scott Wiener, D-San Francisco.\u003c/p>\n\u003cp>Under longstanding agreements between UC Health and Catholic hospital systems like Dignity Health or St. Joseph Health, UC doctors and medical students who provide care inside Catholic hospitals must abide by Catholic Church directives that prohibit abortions, sterilizations, contraception, some end-of-life options and gender affirmation surgery.\u003c/p>\n\u003cp>Wiener says this makes the public university system complicit in discriminating against women and transgender patients.\u003c/p>\n\u003cp>“The fact that a UC medical professional would not be able to provide care, I just think is honestly completely outrageous,” he said. “It’s because of the pride that we all have in UC and, frankly, the love that we hold for the system that we want to make sure that UC lives up to its high aspirations of providing health care to everyone.”\u003c/p>\n\u003cp>\u003ca href=\"https://leginfo.legislature.ca.gov/faces/billTextClient.xhtml?bill_id=202120220SB379\" target=\"_blank\" rel=\"noopener noreferrer\">Senate Bill 379\u003c/a> would require UC health systems to renegotiate these agreements with Catholic hospitals to either allow UC staff to provide all care they deem medically necessary, or to end those affiliations altogether.\u003c/p>\n\u003cp>“Access to health care is fundamental to an equitable and successful society, and public institutions must lead by example in ensuring health care access,” Wiener said.\u003c/p>\n\u003cp>But Catholic hospitals said canceling these partnerships would likely harm health care access.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>Dignity Health and the UC Health system are the number one and two providers of care to low-income Medi-Cal patients in the state.\u003c/p>\n\u003cp>“It would absolutely devastate access to health care for the most vulnerable,” said Lori Dangberg, vice president of the Alliance of Catholic Health Care, a trade group for Catholic hospitals. “At a time when COVID-19 is placing unprecedented demands on our state’s health care providers, any effort to weaken the safety net would only harm the state’s most vulnerable patients.”\u003c/p>\n\u003cp>In recent years, UCSF officials have said the affiliation it has with Dignity Health is necessary to meet the demand for care in San Francisco. Instead of turning patients away for lack of beds, it can transfer them to a Dignity hospital.\u003c/p>\n\u003cp>Similar partnerships provide other hard-to-access care across the state, particularly in rural areas, Dangberg said. UC Davis and Mercy Medical Center in Merced, a Dignity hospital, jointly run a cancer center providing treatment for more than 12,000 patients a year. UCLA specialists have provided pediatric trauma services to more than 700 patients at Northridge Hospital Medical Center, another Dignity facility.\u003c/p>\n\u003cp>Wiener said he recognizes the importance of these partnerships in expanding access to care and that he is not opposed to them per se, but he believes public employees and students should practice by standards set by state law, even if they’re practicing within the walls of a Catholic hospital.\u003c/p>\n\u003cp>Catholic hospitals say their directives are protected by law, too, and that the state cannot force them to provide abortions or other services that conflict with their moral code.\u003c/p>\n\u003cp>“Tolerance is a two-way street,” Dangberg said. “You’re welcome to practice in our hospitals, but you follow the policies, whether those policies are based on quality issues, economic issues or religious issues, you practice based on a hospital’s policy.”\u003c/p>\n\u003cp>\u003c/p>\n\u003c/div>\u003c/p>",
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"content": "\u003cp>Olegaria Ruiz is among scores of undocumented front-line workers who feel left out of California’s new age-based COVID-19 vaccination plan.\u003c/p>\n\u003cp>[pullquote size=\"medium\" align=\"right\" citation=\"Alex Sanchez, Garment Worker Center\" ]‘It might be funny to say, but maybe I needed to walk in somebody else’s shoes in order to understand what they’re going through.’[/pullquote]“More than anything, we need the government to help us get the vaccine, too,” said Ruiz, 46, who’s worked in the garment industry in Los Angeles for 27 years.\u003c/p>\n\u003cp>Ruiz says she doesn’t know of any co-workers, including those over 65, who have gotten the vaccine yet. A lot of them, she says, lack internet access and don’t know how to navigate the state’s complicated sign-up system.\u003c/p>\n\u003cp>Throughout the pandemic, Ruiz has worked 12-hour shifts, seven days a week to sew masks, hospital gowns and surgical hair nets for doctors and nurses, she says.\u003c/p>\n\u003cp>But she says she’s not always paid for all the hours she works and sometimes earns less than minimum wage.\u003c/p>\n\u003cfigure id=\"attachment_11858873\" class=\"wp-caption aligncenter\" style=\"max-width: 600px\">\u003ca href=\"https://ww2.kqed.org/app/uploads/sites/10/2021/02/94B2E043-0339-4F3B-8C38-A5A3EACDEB12.jpeg\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"wp-image-11858873 size-full\" src=\"https://ww2.kqed.org/app/uploads/sites/10/2021/02/94B2E043-0339-4F3B-8C38-A5A3EACDEB12.jpeg\" alt=\"\" width=\"600\" height=\"600\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2021/02/94B2E043-0339-4F3B-8C38-A5A3EACDEB12.jpeg 600w, https://cdn.kqed.org/wp-content/uploads/sites/10/2021/02/94B2E043-0339-4F3B-8C38-A5A3EACDEB12-160x160.jpeg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2021/02/94B2E043-0339-4F3B-8C38-A5A3EACDEB12-550x550.jpeg 550w, https://cdn.kqed.org/wp-content/uploads/sites/10/2021/02/94B2E043-0339-4F3B-8C38-A5A3EACDEB12-470x470.jpeg 470w\" sizes=\"auto, (max-width: 600px) 100vw, 600px\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">Ruiz sews face masks at her station in a garment factory. \u003ccite>(Courtesy of Estela Perez, a member of the Garment Workers Center.)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>At the same time, it’s difficult to socially distance in sweatshop factories, where upward of 50 seamstresses can often be sewing in one room. To make matters worse, Ruiz says many of her co-workers workers aren’t being provided face masks by their employers.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>[aside label=\"related coverage\" tag=\"essential-workers\"]“There’s no social distancing, and people don’t use masks,” Ruiz said. “[Some of my co-workers] sometimes can’t afford to buy masks because we aren’t being paid what we’re supposed to — a minimum salary.”\u003c/p>\n\u003cp>Ruiz worries about getting sick, but feels like she has no choice but to show up to work. As an undocumented worker, she doesn’t qualify for unemployment benefits or government stimulus payments. For now, she has to focus on keeping a roof over her family’s head.\u003c/p>\n\u003cp>“We’re afraid to work, but we have to do it,” said Ruiz. “How are we going to pay rent? How are we going to pay bills? We can’t force our children to live on the street.”\u003c/p>\n\u003cp>It’s hard to know how bad COVID-19 outbreaks have been in sweatshop factories because many of them operate in the shadows, and workers like Ruiz frequently move between jobs.\u003c/p>\n\u003cp>“I don’t believe the ICU numbers tell the whole story as far as how many people are going to live and die because of reopening [California’s economy],” said Alex Sanchez, a field organizer with the \u003ca href=\"https://garmentworkercenter.org/\">Garment Worker Center\u003c/a>, which advocates for the estimated 45,000 garment workers in Los Angeles. “I think it’s way too soon. And I don’t believe we are going to be able to flatten the curve if we still have people out there at high risk not having access to a vaccine.”\u003c/p>\n\u003cp>Sanchez, 44, contracted COVID-19 in late December, likely from his son, who works at an Amazon warehouse where there have been several outbreaks. He had no preexisting conditions, but was hospitalized in the ICU for nearly two weeks. He’s now home, recovering with the help of an oxygen machine.\u003c/p>\n\u003cblockquote class=\"twitter-tweet\">\n\u003cp dir=\"ltr\" lang=\"en\">I’ve been sick battling Covid and pneumonia since 12/27. I was hospitalized for two weeks. Even if anything reopens, please protect yourself. I am 44 years old with no pre-existing conditions and almost died. Please be safe. I’m now home on oxygen \u003ca href=\"https://t.co/BZ3lLryZNq\">pic.twitter.com/BZ3lLryZNq\u003c/a>\u003c/p>\n\u003cp>— Alex Sanchez (@LALiving213) \u003ca href=\"https://twitter.com/LALiving213/status/1353598378874085376?ref_src=twsrc%5Etfw\">January 25, 2021\u003c/a>\u003c/p>\u003c/blockquote>\n\u003cp>From his living room, he’s been trying to help older garment workers who meet the age requirements to secure vaccine appointments online.\u003c/p>\n\u003cp>In between doing hourly exercises to expand his lung capacity, Sanchez has also been advocating for all garment workers — and other low-wage essential workers who have to perform their jobs inside — to get the vaccine as soon as possible.\u003c/p>\n\u003cfigure id=\"attachment_11858875\" class=\"wp-caption aligncenter\" style=\"max-width: 640px\">\u003ca href=\"https://ww2.kqed.org/app/uploads/sites/10/2021/02/IMG_20210117_222540_6901.jpg\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"wp-image-11858875 size-large\" src=\"https://ww2.kqed.org/app/uploads/sites/10/2021/02/IMG_20210117_222540_6901-1020x1020.jpg\" alt=\"\" width=\"640\" height=\"640\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2021/02/IMG_20210117_222540_6901-1020x1020.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2021/02/IMG_20210117_222540_6901-800x800.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2021/02/IMG_20210117_222540_6901-160x160.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2021/02/IMG_20210117_222540_6901-1472x1472.jpg 1472w, https://cdn.kqed.org/wp-content/uploads/sites/10/2021/02/IMG_20210117_222540_6901-1104x1104.jpg 1104w, https://cdn.kqed.org/wp-content/uploads/sites/10/2021/02/IMG_20210117_222540_6901-912x912.jpg 912w, https://cdn.kqed.org/wp-content/uploads/sites/10/2021/02/IMG_20210117_222540_6901-550x550.jpg 550w, https://cdn.kqed.org/wp-content/uploads/sites/10/2021/02/IMG_20210117_222540_6901-470x470.jpg 470w, https://cdn.kqed.org/wp-content/uploads/sites/10/2021/02/IMG_20210117_222540_6901.jpg 1498w\" sizes=\"auto, (max-width: 640px) 100vw, 640px\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">Alex Sanchez, field organizer for the Garment Worker Center, who is recovering from COVID-19, holds his two children while breathing oxygen. \u003ccite>(Courtesy of Alex Sanchez.)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>“Those are the people that should be focused on first,” Sanchez said. “But it just seems like they don’t have a voice or big lobbying power, that they’re being excluded from the vaccine delivery, even though they are producing masks and gowns for the health care community.”\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>“I had the privilege of having health care to go to the doctor, but most folks don’t,” Sanchez added. “It might be funny to say, but maybe I needed to walk in somebody else’s shoes in order to understand what they’re going through. So maybe I had to live it in order for me to be able to preach it. So I’m glad I’m here. I’m just trying to do whatever I can to keep everybody safe.”\u003c/p>\n\n",
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"content": "\u003cdiv class=\"post-body\">\u003cp>“More than anything, we need the government to help us get the vaccine, too,” said Ruiz, 46, who’s worked in the garment industry in Los Angeles for 27 years.\u003c/p>\n\u003cp>Ruiz says she doesn’t know of any co-workers, including those over 65, who have gotten the vaccine yet. A lot of them, she says, lack internet access and don’t know how to navigate the state’s complicated sign-up system.\u003c/p>\n\u003cp>Throughout the pandemic, Ruiz has worked 12-hour shifts, seven days a week to sew masks, hospital gowns and surgical hair nets for doctors and nurses, she says.\u003c/p>\n\u003cp>But she says she’s not always paid for all the hours she works and sometimes earns less than minimum wage.\u003c/p>\n\u003cfigure id=\"attachment_11858873\" class=\"wp-caption aligncenter\" style=\"max-width: 600px\">\u003ca href=\"https://ww2.kqed.org/app/uploads/sites/10/2021/02/94B2E043-0339-4F3B-8C38-A5A3EACDEB12.jpeg\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"wp-image-11858873 size-full\" src=\"https://ww2.kqed.org/app/uploads/sites/10/2021/02/94B2E043-0339-4F3B-8C38-A5A3EACDEB12.jpeg\" alt=\"\" width=\"600\" height=\"600\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2021/02/94B2E043-0339-4F3B-8C38-A5A3EACDEB12.jpeg 600w, https://cdn.kqed.org/wp-content/uploads/sites/10/2021/02/94B2E043-0339-4F3B-8C38-A5A3EACDEB12-160x160.jpeg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2021/02/94B2E043-0339-4F3B-8C38-A5A3EACDEB12-550x550.jpeg 550w, https://cdn.kqed.org/wp-content/uploads/sites/10/2021/02/94B2E043-0339-4F3B-8C38-A5A3EACDEB12-470x470.jpeg 470w\" sizes=\"auto, (max-width: 600px) 100vw, 600px\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">Ruiz sews face masks at her station in a garment factory. \u003ccite>(Courtesy of Estela Perez, a member of the Garment Workers Center.)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>At the same time, it’s difficult to socially distance in sweatshop factories, where upward of 50 seamstresses can often be sewing in one room. To make matters worse, Ruiz says many of her co-workers workers aren’t being provided face masks by their employers.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>“There’s no social distancing, and people don’t use masks,” Ruiz said. “[Some of my co-workers] sometimes can’t afford to buy masks because we aren’t being paid what we’re supposed to — a minimum salary.”\u003c/p>\n\u003cp>Ruiz worries about getting sick, but feels like she has no choice but to show up to work. As an undocumented worker, she doesn’t qualify for unemployment benefits or government stimulus payments. For now, she has to focus on keeping a roof over her family’s head.\u003c/p>\n\u003cp>“We’re afraid to work, but we have to do it,” said Ruiz. “How are we going to pay rent? How are we going to pay bills? We can’t force our children to live on the street.”\u003c/p>\n\u003cp>It’s hard to know how bad COVID-19 outbreaks have been in sweatshop factories because many of them operate in the shadows, and workers like Ruiz frequently move between jobs.\u003c/p>\n\u003cp>“I don’t believe the ICU numbers tell the whole story as far as how many people are going to live and die because of reopening [California’s economy],” said Alex Sanchez, a field organizer with the \u003ca href=\"https://garmentworkercenter.org/\">Garment Worker Center\u003c/a>, which advocates for the estimated 45,000 garment workers in Los Angeles. “I think it’s way too soon. And I don’t believe we are going to be able to flatten the curve if we still have people out there at high risk not having access to a vaccine.”\u003c/p>\n\u003cp>Sanchez, 44, contracted COVID-19 in late December, likely from his son, who works at an Amazon warehouse where there have been several outbreaks. He had no preexisting conditions, but was hospitalized in the ICU for nearly two weeks. He’s now home, recovering with the help of an oxygen machine.\u003c/p>\n\u003cblockquote class=\"twitter-tweet\">\n\u003cp dir=\"ltr\" lang=\"en\">I’ve been sick battling Covid and pneumonia since 12/27. I was hospitalized for two weeks. Even if anything reopens, please protect yourself. I am 44 years old with no pre-existing conditions and almost died. Please be safe. I’m now home on oxygen \u003ca href=\"https://t.co/BZ3lLryZNq\">pic.twitter.com/BZ3lLryZNq\u003c/a>\u003c/p>\n\u003cp>— Alex Sanchez (@LALiving213) \u003ca href=\"https://twitter.com/LALiving213/status/1353598378874085376?ref_src=twsrc%5Etfw\">January 25, 2021\u003c/a>\u003c/p>\u003c/blockquote>\n\u003cp>From his living room, he’s been trying to help older garment workers who meet the age requirements to secure vaccine appointments online.\u003c/p>\n\u003cp>In between doing hourly exercises to expand his lung capacity, Sanchez has also been advocating for all garment workers — and other low-wage essential workers who have to perform their jobs inside — to get the vaccine as soon as possible.\u003c/p>\n\u003cfigure id=\"attachment_11858875\" class=\"wp-caption aligncenter\" style=\"max-width: 640px\">\u003ca href=\"https://ww2.kqed.org/app/uploads/sites/10/2021/02/IMG_20210117_222540_6901.jpg\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"wp-image-11858875 size-large\" src=\"https://ww2.kqed.org/app/uploads/sites/10/2021/02/IMG_20210117_222540_6901-1020x1020.jpg\" alt=\"\" width=\"640\" height=\"640\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2021/02/IMG_20210117_222540_6901-1020x1020.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2021/02/IMG_20210117_222540_6901-800x800.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2021/02/IMG_20210117_222540_6901-160x160.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2021/02/IMG_20210117_222540_6901-1472x1472.jpg 1472w, https://cdn.kqed.org/wp-content/uploads/sites/10/2021/02/IMG_20210117_222540_6901-1104x1104.jpg 1104w, https://cdn.kqed.org/wp-content/uploads/sites/10/2021/02/IMG_20210117_222540_6901-912x912.jpg 912w, https://cdn.kqed.org/wp-content/uploads/sites/10/2021/02/IMG_20210117_222540_6901-550x550.jpg 550w, https://cdn.kqed.org/wp-content/uploads/sites/10/2021/02/IMG_20210117_222540_6901-470x470.jpg 470w, https://cdn.kqed.org/wp-content/uploads/sites/10/2021/02/IMG_20210117_222540_6901.jpg 1498w\" sizes=\"auto, (max-width: 640px) 100vw, 640px\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">Alex Sanchez, field organizer for the Garment Worker Center, who is recovering from COVID-19, holds his two children while breathing oxygen. \u003ccite>(Courtesy of Alex Sanchez.)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>“Those are the people that should be focused on first,” Sanchez said. “But it just seems like they don’t have a voice or big lobbying power, that they’re being excluded from the vaccine delivery, even though they are producing masks and gowns for the health care community.”\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>“I had the privilege of having health care to go to the doctor, but most folks don’t,” Sanchez added. “It might be funny to say, but maybe I needed to walk in somebody else’s shoes in order to understand what they’re going through. So maybe I had to live it in order for me to be able to preach it. So I’m glad I’m here. I’m just trying to do whatever I can to keep everybody safe.”\u003c/p>\n\n\u003c/div>\u003c/p>",
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"content": "\u003cp>\u003cstrong>I hate shots. Tell me the truth: How much is this vaccination going to hurt?\u003c/strong>\u003c/p>\n\u003cp>The honest, and short, answer appears to be: Not much! That’s according to people who have already been jabbed, including Vice President Harris, who said she “barely felt it,” Dr. Anthony Fauci, \u003ca href=\"https://www.cbsnews.com/news/fauci-covid-vaccine-watch-live-stream-today-2020-12-22/\" target=\"_blank\" rel=\"noopener noreferrer\">who didn’t flinch when he got his inoculation on live TV\u003c/a>, and my needle-averse son, who is in Moderna’s adolescent trial and says the poke hurt way less than any other he’s gotten.\u003c/p>\n\u003cp>“From my own experience, I didn’t even feel the needle go in,” says Dr. \u003ca href=\"https://www.bcm.edu/people-search/jill-weatherhead-32866\" target=\"_blank\" rel=\"noopener noreferrer\">Jill Weatherhead\u003c/a>, assistant professor of adult and pediatric infectious diseases at Baylor College of Medicine.\u003c/p>\n\u003cp>Experts say the coronavirus vaccine \u003cem>should\u003c/em> feel about the same as any other intramuscular vaccine shot when the needle pierces your skin en route to your deltoid, a muscle that has been deemed an easy target. But there’s some evidence to back up the anecdotal accounts that the Pfizer and Moderna vaccines hurt less: There is a range in the Centers for Disease Control and Prevention’s guidelines for needle size, and vaccine administrators may be opting for the smallest length and diameter within those limits in order not to waste any amount that clings to the needle, says Dr. \u003ca href=\"https://www.mayo.edu/research/faculty/virk-abinash-m-d/bio-00085382\" target=\"_blank\" rel=\"noopener noreferrer\">Abinash Virk\u003c/a>, co-chair of the COVID vaccination allocation and distribution for the Mayo Clinic in Rochester, Minnesota.\u003c/p>\n\u003cp>\u003ca href=\"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2769648/\" target=\"_blank\" rel=\"noopener noreferrer\">Previous research\u003c/a> has shown that smaller needles are more tolerable, Weatherhead says. And in case you’re a numbers nerd, the diameter range, which likely matter more than length in terms of potential pain, is 25-28 gauge — skinnier than a pencil point.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>“I’ve heard people say, I didn’t feel it!'” Virk says. “But it is a needle piercing through your skin, inserting a little bit of liquid into a spot that normally doesn’t have [liquid], so your body has to adjust: ‘What do I do with this .3 ml ?’ So it just causes a little bit of pain.”\u003c/p>\n\u003cp>Of course, people’s perceptions of pain vary widely.\u003c/p>\n\u003cp>“There’s so much individual variation,” Virk points out. “I’ve seen kids who don’t blink and others who bring the house down. Interestingly, I ran the trial clinic at Mayo Clinic for 17 years, and it was usually the young, very fit guys who were not doing well. For the most muscular, tough guys, here comes the needle and you hold on to them to make sure they don’t fall off the table.”\u003c/p>\n\u003cp>So what can the needle-phobic among us do to ease the experience? We asked Drs. Virks and Weatherhead for tips:\u003c/p>\n\u003cp>\u003cstrong>Look away\u003c/strong>\u003c/p>\n\u003cp>If you’re not a fan of needles, don’t watch, Weatherhead says. “Many do not like the look or feel of needles, so look away to quell fears and anxiety related to needles.”\u003c/p>\n\u003cp>Of course, it’s fine to keep your eye on things if you tolerate shots well. “My 5-year-old loves to watch,” Weatherhead says. “It’s all personal. Whatever makes you feel more comfortable and confident to get this done, do it.”\u003c/p>\n\u003cp>\u003cstrong>Don’t take a pain reliever beforehand (but afterward is fine if needed)\u003c/strong>\u003c/p>\n\u003cp>Some research on other vaccines suggests there could be “a slight blunting of the immune response” in kids who took Tylenol before their shots, Dr. Virk says. Even though a different study of older adults did not back that up, most experts are erring on the safe side and recommending not to take any pain relievers beforehand.\u003c/p>\n\u003cp>“You don’t want to be taking medicine you don’t need,” Weatherhead says. “If you develop symptoms afterward, then at that point it’s certainly OK to take some sort of pain relief to help control symptoms.”\u003c/p>\n\u003cp>\u003cstrong>Be honest with jittery offspring\u003c/strong>\u003c/p>\n\u003cp>If it’s your child who is nervous, the best strategy is honesty, Weatherhead says.\u003c/p>\n\u003cp>“Be honest with kids upfront that you’re going to get a vaccine that’s a shot in your arm, that it may hurt initially, but it’s helping your body get stronger to protect you from illnesses,” she says. “Give children honest answers. When they’re empowered around their own health, it’s really helpful.”\u003c/p>\n\u003cp>\u003cstrong>Chill (metaphorically)\u003c/strong>\u003c/p>\n\u003cp>In terms of potential pain, you don’t need to worry too much about whether your arm is tensed or relaxed, Weatherhead says, but “just being relaxed in general is helpful,” she says. If you relax your arm by your side, you’re less likely to flinch it or move it during the jab. That means the vaccinator can get the needle in and out in a flash.\u003c/p>\n\u003cp>\u003cstrong>Trust in nurses\u003c/strong>\u003c/p>\n\u003cp>Doctors are the first to admit that experienced nurses are expert at delivering painless jabs.\u003c/p>\n\u003cp>“Nurses are definitely the most talented and very valued, especially in the pediatrician world,” Weatherhead says. “It does take some practice to be fluid and quick. There’s a little hand coordination and muscle memory. The faster and smoother you can do it, the less discomfort and more tolerable it will be to the patient.”\u003c/p>\n\u003cp>This isn’t to say that there is no pain associated with the COVID-19 vaccine, doctors stress. Most side effects, including arm pain, begin hours after the poke – that’s when the actual immune response begins. To prevent as much interference with daily activities as possible, there are a few things you can do:\u003c/p>\n\u003cp>\u003cstrong>Offer your non-dominant arm\u003c/strong>\u003c/p>\n\u003cp>The vaccine instructs your cells to mimic the spike proteins of the SARS-CoV-2 virus to provoke an immune response. That will occur with equal efficiency in your left or right arm. But arm pain will likely be less annoying in your left arm if you’re right-handed and vice versa, says Weatherhead.\u003c/p>\n\u003cp>Most people will have some arm pain after getting the shot, Weatherhead stresses, and it’s really up to you which arm you’d rather experience it in.\u003c/p>\n\u003cp>\u003cstrong>Chill (literally)\u003c/strong>\u003c/p>\n\u003cp>If you rely on ice to ease other types of pain, you can certainly try it for a shot. There isn’t any data on it, Weatherhead says, but if it makes you feel better, go for it.\u003c/p>\n\u003cp>\u003cstrong>Other options are in development\u003c/strong>\u003c/p>\n\u003cp>If COVID-19 vaccines become an annual event, you can take some comfort knowing that there are oral vaccines in development. (No nasal sprays thus far.) There’s no guarantee they’ll come to fruition, however, and doctors remind us that any pain associated with the vaccine is a fraction of what many people experience with COVID-19.\u003c/p>\n\u003cp>Of course, many people have never been so excited for a vaccine, and that may outweigh any fear of being poked. Few people are complaining about sore arms in the vaccination clinics Dr. Virk has seen. The word nurses used to describe the scene, she says? Joy.\u003c/p>\n\u003cp>\u003cem>Each week, we answer “frequently asked questions” about life during the coronavirus crisis. If you have a question you’d like us to consider for a future post, email us at \u003ca href=\"mailto:goatsandsoda@npr.org\">\u003cstrong>goatsandsoda@npr.org\u003c/strong>\u003c/a> with the subject line: “Weekly Coronavirus Questions.”\u003c/em>\u003c/p>\n\u003cp>[ad floatright]\u003c/p>\n\u003cp>\u003cem>Sheila Mulrooney Eldred is a freelance health journalist in Minneapolis. She’s written about COVID-19 for Medscape, Mpls.St.Paul Magazine, Science News for Students and The Washington Post. More at \u003ca href=\"https://urldefense.com/v3/__http:/sheilaeldred.pressfolios.com__;!!Iwwt!EK3837L0Aze-xksfoR3K5AMElHCnihZwm5GA1qwGU6K4a94b-GMJup_1kYqv%24\">sheilaeldred.pressfolios.com\u003c/a>. On Twitter: @milepostmedia\u003c/em>\u003c/p>\n\u003cdiv class=\"fullattribution\">Copyright 2021 NPR. To see more, visit https://www.npr.org.\u003cimg decoding=\"async\" src=\"https://www.google-analytics.com/__utm.gif?utmac=UA-5828686-4&utmdt=Coronavirus+FAQ%3A+I%27m+Afraid+Of+Needles.+Does+The+COVID-19+Vaccine+Hurt%3F&utme=8(APIKey)9(MDAxOTAwOTE4MDEyMTkxMDAzNjczZDljZA004)\">\u003c/div>\n\n",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>\u003cstrong>I hate shots. Tell me the truth: How much is this vaccination going to hurt?\u003c/strong>\u003c/p>\n\u003cp>The honest, and short, answer appears to be: Not much! That’s according to people who have already been jabbed, including Vice President Harris, who said she “barely felt it,” Dr. Anthony Fauci, \u003ca href=\"https://www.cbsnews.com/news/fauci-covid-vaccine-watch-live-stream-today-2020-12-22/\" target=\"_blank\" rel=\"noopener noreferrer\">who didn’t flinch when he got his inoculation on live TV\u003c/a>, and my needle-averse son, who is in Moderna’s adolescent trial and says the poke hurt way less than any other he’s gotten.\u003c/p>\n\u003cp>“From my own experience, I didn’t even feel the needle go in,” says Dr. \u003ca href=\"https://www.bcm.edu/people-search/jill-weatherhead-32866\" target=\"_blank\" rel=\"noopener noreferrer\">Jill Weatherhead\u003c/a>, assistant professor of adult and pediatric infectious diseases at Baylor College of Medicine.\u003c/p>\n\u003cp>Experts say the coronavirus vaccine \u003cem>should\u003c/em> feel about the same as any other intramuscular vaccine shot when the needle pierces your skin en route to your deltoid, a muscle that has been deemed an easy target. But there’s some evidence to back up the anecdotal accounts that the Pfizer and Moderna vaccines hurt less: There is a range in the Centers for Disease Control and Prevention’s guidelines for needle size, and vaccine administrators may be opting for the smallest length and diameter within those limits in order not to waste any amount that clings to the needle, says Dr. \u003ca href=\"https://www.mayo.edu/research/faculty/virk-abinash-m-d/bio-00085382\" target=\"_blank\" rel=\"noopener noreferrer\">Abinash Virk\u003c/a>, co-chair of the COVID vaccination allocation and distribution for the Mayo Clinic in Rochester, Minnesota.\u003c/p>\n\u003cp>\u003ca href=\"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2769648/\" target=\"_blank\" rel=\"noopener noreferrer\">Previous research\u003c/a> has shown that smaller needles are more tolerable, Weatherhead says. And in case you’re a numbers nerd, the diameter range, which likely matter more than length in terms of potential pain, is 25-28 gauge — skinnier than a pencil point.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>“I’ve heard people say, I didn’t feel it!'” Virk says. “But it is a needle piercing through your skin, inserting a little bit of liquid into a spot that normally doesn’t have [liquid], so your body has to adjust: ‘What do I do with this .3 ml ?’ So it just causes a little bit of pain.”\u003c/p>\n\u003cp>Of course, people’s perceptions of pain vary widely.\u003c/p>\n\u003cp>“There’s so much individual variation,” Virk points out. “I’ve seen kids who don’t blink and others who bring the house down. Interestingly, I ran the trial clinic at Mayo Clinic for 17 years, and it was usually the young, very fit guys who were not doing well. For the most muscular, tough guys, here comes the needle and you hold on to them to make sure they don’t fall off the table.”\u003c/p>\n\u003cp>So what can the needle-phobic among us do to ease the experience? We asked Drs. Virks and Weatherhead for tips:\u003c/p>\n\u003cp>\u003cstrong>Look away\u003c/strong>\u003c/p>\n\u003cp>If you’re not a fan of needles, don’t watch, Weatherhead says. “Many do not like the look or feel of needles, so look away to quell fears and anxiety related to needles.”\u003c/p>\n\u003cp>Of course, it’s fine to keep your eye on things if you tolerate shots well. “My 5-year-old loves to watch,” Weatherhead says. “It’s all personal. Whatever makes you feel more comfortable and confident to get this done, do it.”\u003c/p>\n\u003cp>\u003cstrong>Don’t take a pain reliever beforehand (but afterward is fine if needed)\u003c/strong>\u003c/p>\n\u003cp>Some research on other vaccines suggests there could be “a slight blunting of the immune response” in kids who took Tylenol before their shots, Dr. Virk says. Even though a different study of older adults did not back that up, most experts are erring on the safe side and recommending not to take any pain relievers beforehand.\u003c/p>\n\u003cp>“You don’t want to be taking medicine you don’t need,” Weatherhead says. “If you develop symptoms afterward, then at that point it’s certainly OK to take some sort of pain relief to help control symptoms.”\u003c/p>\n\u003cp>\u003cstrong>Be honest with jittery offspring\u003c/strong>\u003c/p>\n\u003cp>If it’s your child who is nervous, the best strategy is honesty, Weatherhead says.\u003c/p>\n\u003cp>“Be honest with kids upfront that you’re going to get a vaccine that’s a shot in your arm, that it may hurt initially, but it’s helping your body get stronger to protect you from illnesses,” she says. “Give children honest answers. When they’re empowered around their own health, it’s really helpful.”\u003c/p>\n\u003cp>\u003cstrong>Chill (metaphorically)\u003c/strong>\u003c/p>\n\u003cp>In terms of potential pain, you don’t need to worry too much about whether your arm is tensed or relaxed, Weatherhead says, but “just being relaxed in general is helpful,” she says. If you relax your arm by your side, you’re less likely to flinch it or move it during the jab. That means the vaccinator can get the needle in and out in a flash.\u003c/p>\n\u003cp>\u003cstrong>Trust in nurses\u003c/strong>\u003c/p>\n\u003cp>Doctors are the first to admit that experienced nurses are expert at delivering painless jabs.\u003c/p>\n\u003cp>“Nurses are definitely the most talented and very valued, especially in the pediatrician world,” Weatherhead says. “It does take some practice to be fluid and quick. There’s a little hand coordination and muscle memory. The faster and smoother you can do it, the less discomfort and more tolerable it will be to the patient.”\u003c/p>\n\u003cp>This isn’t to say that there is no pain associated with the COVID-19 vaccine, doctors stress. Most side effects, including arm pain, begin hours after the poke – that’s when the actual immune response begins. To prevent as much interference with daily activities as possible, there are a few things you can do:\u003c/p>\n\u003cp>\u003cstrong>Offer your non-dominant arm\u003c/strong>\u003c/p>\n\u003cp>The vaccine instructs your cells to mimic the spike proteins of the SARS-CoV-2 virus to provoke an immune response. That will occur with equal efficiency in your left or right arm. But arm pain will likely be less annoying in your left arm if you’re right-handed and vice versa, says Weatherhead.\u003c/p>\n\u003cp>Most people will have some arm pain after getting the shot, Weatherhead stresses, and it’s really up to you which arm you’d rather experience it in.\u003c/p>\n\u003cp>\u003cstrong>Chill (literally)\u003c/strong>\u003c/p>\n\u003cp>If you rely on ice to ease other types of pain, you can certainly try it for a shot. There isn’t any data on it, Weatherhead says, but if it makes you feel better, go for it.\u003c/p>\n\u003cp>\u003cstrong>Other options are in development\u003c/strong>\u003c/p>\n\u003cp>If COVID-19 vaccines become an annual event, you can take some comfort knowing that there are oral vaccines in development. (No nasal sprays thus far.) There’s no guarantee they’ll come to fruition, however, and doctors remind us that any pain associated with the vaccine is a fraction of what many people experience with COVID-19.\u003c/p>\n\u003cp>Of course, many people have never been so excited for a vaccine, and that may outweigh any fear of being poked. Few people are complaining about sore arms in the vaccination clinics Dr. Virk has seen. The word nurses used to describe the scene, she says? Joy.\u003c/p>\n\u003cp>\u003cem>Each week, we answer “frequently asked questions” about life during the coronavirus crisis. If you have a question you’d like us to consider for a future post, email us at \u003ca href=\"mailto:goatsandsoda@npr.org\">\u003cstrong>goatsandsoda@npr.org\u003c/strong>\u003c/a> with the subject line: “Weekly Coronavirus Questions.”\u003c/em>\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>\u003cem>Sheila Mulrooney Eldred is a freelance health journalist in Minneapolis. She’s written about COVID-19 for Medscape, Mpls.St.Paul Magazine, Science News for Students and The Washington Post. More at \u003ca href=\"https://urldefense.com/v3/__http:/sheilaeldred.pressfolios.com__;!!Iwwt!EK3837L0Aze-xksfoR3K5AMElHCnihZwm5GA1qwGU6K4a94b-GMJup_1kYqv%24\">sheilaeldred.pressfolios.com\u003c/a>. On Twitter: @milepostmedia\u003c/em>\u003c/p>\n\u003cdiv class=\"fullattribution\">Copyright 2021 NPR. To see more, visit https://www.npr.org.\u003cimg decoding=\"async\" src=\"https://www.google-analytics.com/__utm.gif?utmac=UA-5828686-4&utmdt=Coronavirus+FAQ%3A+I%27m+Afraid+Of+Needles.+Does+The+COVID-19+Vaccine+Hurt%3F&utme=8(APIKey)9(MDAxOTAwOTE4MDEyMTkxMDAzNjczZDljZA004)\">\u003c/div>\n\n\u003c/div>\u003c/p>",
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"title": "'So Angry, So Scared': California COVID-19 Vaccine Rollout Change Leaves Disabled People Behind, Say Advocates",
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"headTitle": "‘So Angry, So Scared’: California COVID-19 Vaccine Rollout Change Leaves Disabled People Behind, Say Advocates | KQED",
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"content": "\u003cp>When Alice Wong found out last week that younger people with disabilities in California may have to wait many more months to receive the COVID-19 vaccine, her heart sank.\u003c/p>\n\u003cp>“This really took my breath away,” said Wong, a San Francisco-based disability rights activist and host of the “\u003ca href=\"https://disabilityvisibilityproject.com/\">Disability Visibility\u003c/a>” podcast.\u003c/p>\n\u003cp>Wong has a rare neuromuscular disease that requires her to use an electric wheelchair and ventilator.\u003c/p>\n\u003cp>“I’m so angry, so sad and so scared. Not just for myself, but for the many people in my community that I care about,” Wong said. “I think a lot about very young, disabled, critically ill and immunocompromised people who could die before it’s their turn to be vaccinated.”[pullquote align=\"right\" size=\"medium\" citation=\"Alice Wong, disability rights activist\"]‘I think a lot about very young, disabled, critically ill and immunocompromised people who could die before it’s their turn to be vaccinated.’[/pullquote]Last week, the state shifted its vaccine allocation plan to prioritize recipients based on age, instead of occupation or underlying medical condition. That change, set to begin in mid-February, will prioritize residents 65 and older, potentially pushing back millions of younger people who thought they were getting close to the front of the line.\u003c/p>\n\u003cp>The new system, Gov. Gavin Newsom said last week in a somewhat discreet announcement of the shift, “will allow us to scale up much more quickly to get vaccines to impacted communities much more expeditiously.”\u003c/p>\n\u003cp>But that comes as cold comfort to Wong and many other people with disabilities, who say they are at particularly high risk of contracting and potentially dying from the virus because of chronic underlying medical conditions and frequent exposure to multiple outside caregivers.\u003c/p>\n\u003cp>Wong, who is in her late 40s, said she was already dismayed that the state had placed people with disabilities in a priority group that came after some 16.5 million seniors, health care workers and those in other essential front-line jobs.\u003c/p>\n\u003cp>“This already filled me with some anxiety and dread,” Wong said, “But I was holding tight. You know, just treading water. Trying to stay safe, trying to stay alive, until it’s my turn.”\u003c/p>\n\u003cp>Under the state’s revised plan, she may now have to wait until millions more seniors get their shots.\u003c/p>\n\u003cp>“I don’t understand the science and logic behind this decision, and I don’t understand why people do not see us and value us,” Wong said.\u003c/p>\n\u003cp>https://twitter.com/SFdirewolf/status/1353950768647159809\u003c/p>\n\u003cp>It’s still unclear if the new age-based vaccination guidelines will allow any exceptions.\u003c/p>\n\u003cp>Dr. Mark Ghaly, California’s Health and Human Services Agency secretary, suggested last week that could be the case when he said the new allocation formula would “reach other populations not just on age, but on exposure, to ensure that those populations are taken care of.” But he didn’t elaborate on what that would mean in practice, and state health officials have yet to offer further guidance.\u003c/p>\n\u003ch3>\u003cstrong>Lack of Data\u003c/strong>\u003c/h3>\n\u003cp>When it comes down to it, there’s just nowhere near enough vaccine to go around.\u003c/p>\n\u003cp>Health providers in California are now administering about 125,000 doses a day, and as of Monday, had gone through a total of more than\u003ca href=\"https://covid19.ca.gov/vaccines/#California-vaccines-dashboard\"> 3.4 million doses\u003c/a>.\u003c/p>\n\u003cp>And while that marks a three-fold increase over just a few weeks ago, at that rate it would likely take until June to vaccinate the state’s roughly 6.6. million residents who are 65 and older, according to an estimate by state epidemiologist Dr. Erica Pan. That pace, however, could speed up significantly under \u003ca href=\"https://www.kqed.org/coronavirusliveupdates/news/11857162/biden-administration-aims-to-buy-200-million-more-covid-19-vaccine-doses\">President Biden’s plan\u003c/a> to purchase and distribute 200 million additional doses.\u003c/p>\n\u003cp>For months, advocates have been pushing hard at meetings of the state’s Community Vaccine Advisory Committee for people with disabilities to be moved up in line to receive the vaccine.\u003c/p>\n\u003cp>“Our message is not to make people over 65 wait. Our message is don’t make everybody else wait while you’re doing people over 65,” said Andy Imparato, executive director of Disability Rights California and an advisory committee member, who spoke last week at an \u003ca href=\"https://myemail.constantcontact.com/URGENT--Town-Hall-to-Advocate-for-COVID-Vaccines-for-People-With-Disabilities.html?soid=1128084884794&aid=0ZDsd84fxug&fbclid=IwAR2MBFgrHhFfugf6HE5Rt15RJSY252dHPwtNoI0E6tRqguyfP7Q0YTDb2T4\">online town hall\u003c/a> on the issue.\u003c/p>\n\u003cp>People with disabilities who are most at risk should be prioritized alongside farmworkers, teachers and people over 65, he said. “We’re not trying to supplant those other groups, we want to have access at the same time as those other groups.”\u003c/p>\n\u003cp>But state health officials have consistently pushed back, arguing that there’s little reliable data showing people with disabilities are at significantly higher risk for hospitalization or death from COVID-19. Meanwhile, the data showing risk for people over 65 is unequivocal.\u003c/p>\n\u003cp>“People 85 years or older have a 630 times higher death rate,” said Pan, who co-chairs the committee, at the Jan. 20 meeting. “Those over 75 years of age have a 220 times rate higher, and then 90 times higher mortality rate for 65 and up.”\u003c/p>\n\u003cp>Officials have also been under intense pressure to speed up vaccinations across the state, prompting the opening of a number of mass vaccination sites, like the one at Dodgers Stadium in Los Angeles and the Cal Expo in Sacramento.\u003c/p>\n\u003cp>For this to work effectively, officials say, very simple eligibility criteria is needed. And someone’s age is a lot easier to verify than a person’s medical history.\u003c/p>\n\u003cp>“It may be more challenging in those settings for the vaccinators to be confirming a medical history if they don’t have access to the medical records,” said Nadine Burke Harris, the state’s surgeon general, who also co-chairs the committee.\u003c/p>\n\u003ch3>Balancing Equity and Efficiency\u003c/h3>\n\u003cp>[aside label=\"related coverage\" tag=\"disability-rights\"]But disability advocates say the state is \u003ca href=\"https://www.kqed.org/news/11856356/california-considers-prioritizing-speed-over-equity-in-vaccine-distribution-plan\">trading in equity\u003c/a> in its quest for efficiency.\u003c/p>\n\u003cp>“Just because something might pose unique challenges, does not mean that it is not a worthy goal that we must, must, must go after,” said Alyssa Burgart, a medical ethicist at the Stanford Center for Biomedical Ethics. “We cannot abandon this population.”\u003c/p>\n\u003cp>While there isn’t good data on the risk people with disabilities face, she said, that’s because of bias in the health care system that leads researchers to ignore that community.\u003c/p>\n\u003cp>“If you don’t have the data that you need, and then you punish that population because that data does not exist to the degree that you expected, that is just one more form of erasure of our disability community,” Burgart said.\u003c/p>\n\u003cp>The Centers for Disease Control and Prevention states on its \u003ca href=\"https://www.cdc.gov/coronavirus/2019-ncov/need-extra-precautions/people-with-disabilities.html\" target=\"_blank\" rel=\"noopener noreferrer\">COVID-19 site\u003c/a> that “most people with disabilities are not inherently at higher risk for becoming infected with or having severe illness from COVID-19.”\u003c/p>\n\u003cp>But it goes on to say they are three times more likely to have chronic underlying medical conditions like heart disease, stroke, diabetes or cancer, which would put them at a higher risk. The CDC also notes that some people with disabilities have conditions that prevent them from wearing masks or communicating symptoms, and that many are dependent on outside caregivers, whom they can’t avoid coming into close contact with.\u003c/p>\n\u003cp>That’s the case for Tim Jin, a disability advocate from Southern California, who also spoke at last week’s town hall.\u003c/p>\n\u003cp>Jin, who has cerebral palsy, said six caregivers come into his house throughout the week, greatly increasing his own risk of exposure.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>Health officials, Jin said, have again “neglected to account for the needs of Californians with disabilities.”\u003c/p>\n\u003cp>“Why would a healthy 60-something get the vaccine before me, a 45-year-old man with significant disabilities?” he said. “It’s a little ironic that the state has approved vaccines for caregivers who support people with disabilities, but has left out the people who need it the most.”\u003c/p>\n\u003cp>[ad floatright]\u003c/p>\n",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>When Alice Wong found out last week that younger people with disabilities in California may have to wait many more months to receive the COVID-19 vaccine, her heart sank.\u003c/p>\n\u003cp>“This really took my breath away,” said Wong, a San Francisco-based disability rights activist and host of the “\u003ca href=\"https://disabilityvisibilityproject.com/\">Disability Visibility\u003c/a>” podcast.\u003c/p>\n\u003cp>Wong has a rare neuromuscular disease that requires her to use an electric wheelchair and ventilator.\u003c/p>\n\u003cp>“I’m so angry, so sad and so scared. Not just for myself, but for the many people in my community that I care about,” Wong said. “I think a lot about very young, disabled, critically ill and immunocompromised people who could die before it’s their turn to be vaccinated.”\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>Last week, the state shifted its vaccine allocation plan to prioritize recipients based on age, instead of occupation or underlying medical condition. That change, set to begin in mid-February, will prioritize residents 65 and older, potentially pushing back millions of younger people who thought they were getting close to the front of the line.\u003c/p>\n\u003cp>The new system, Gov. Gavin Newsom said last week in a somewhat discreet announcement of the shift, “will allow us to scale up much more quickly to get vaccines to impacted communities much more expeditiously.”\u003c/p>\n\u003cp>But that comes as cold comfort to Wong and many other people with disabilities, who say they are at particularly high risk of contracting and potentially dying from the virus because of chronic underlying medical conditions and frequent exposure to multiple outside caregivers.\u003c/p>\n\u003cp>Wong, who is in her late 40s, said she was already dismayed that the state had placed people with disabilities in a priority group that came after some 16.5 million seniors, health care workers and those in other essential front-line jobs.\u003c/p>\n\u003cp>“This already filled me with some anxiety and dread,” Wong said, “But I was holding tight. You know, just treading water. Trying to stay safe, trying to stay alive, until it’s my turn.”\u003c/p>\n\u003cp>Under the state’s revised plan, she may now have to wait until millions more seniors get their shots.\u003c/p>\n\u003cp>“I don’t understand the science and logic behind this decision, and I don’t understand why people do not see us and value us,” Wong said.\u003c/p>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\n\u003cp>It’s still unclear if the new age-based vaccination guidelines will allow any exceptions.\u003c/p>\n\u003cp>Dr. Mark Ghaly, California’s Health and Human Services Agency secretary, suggested last week that could be the case when he said the new allocation formula would “reach other populations not just on age, but on exposure, to ensure that those populations are taken care of.” But he didn’t elaborate on what that would mean in practice, and state health officials have yet to offer further guidance.\u003c/p>\n\u003ch3>\u003cstrong>Lack of Data\u003c/strong>\u003c/h3>\n\u003cp>When it comes down to it, there’s just nowhere near enough vaccine to go around.\u003c/p>\n\u003cp>Health providers in California are now administering about 125,000 doses a day, and as of Monday, had gone through a total of more than\u003ca href=\"https://covid19.ca.gov/vaccines/#California-vaccines-dashboard\"> 3.4 million doses\u003c/a>.\u003c/p>\n\u003cp>And while that marks a three-fold increase over just a few weeks ago, at that rate it would likely take until June to vaccinate the state’s roughly 6.6. million residents who are 65 and older, according to an estimate by state epidemiologist Dr. Erica Pan. That pace, however, could speed up significantly under \u003ca href=\"https://www.kqed.org/coronavirusliveupdates/news/11857162/biden-administration-aims-to-buy-200-million-more-covid-19-vaccine-doses\">President Biden’s plan\u003c/a> to purchase and distribute 200 million additional doses.\u003c/p>\n\u003cp>For months, advocates have been pushing hard at meetings of the state’s Community Vaccine Advisory Committee for people with disabilities to be moved up in line to receive the vaccine.\u003c/p>\n\u003cp>“Our message is not to make people over 65 wait. Our message is don’t make everybody else wait while you’re doing people over 65,” said Andy Imparato, executive director of Disability Rights California and an advisory committee member, who spoke last week at an \u003ca href=\"https://myemail.constantcontact.com/URGENT--Town-Hall-to-Advocate-for-COVID-Vaccines-for-People-With-Disabilities.html?soid=1128084884794&aid=0ZDsd84fxug&fbclid=IwAR2MBFgrHhFfugf6HE5Rt15RJSY252dHPwtNoI0E6tRqguyfP7Q0YTDb2T4\">online town hall\u003c/a> on the issue.\u003c/p>\n\u003cp>People with disabilities who are most at risk should be prioritized alongside farmworkers, teachers and people over 65, he said. “We’re not trying to supplant those other groups, we want to have access at the same time as those other groups.”\u003c/p>\n\u003cp>But state health officials have consistently pushed back, arguing that there’s little reliable data showing people with disabilities are at significantly higher risk for hospitalization or death from COVID-19. Meanwhile, the data showing risk for people over 65 is unequivocal.\u003c/p>\n\u003cp>“People 85 years or older have a 630 times higher death rate,” said Pan, who co-chairs the committee, at the Jan. 20 meeting. “Those over 75 years of age have a 220 times rate higher, and then 90 times higher mortality rate for 65 and up.”\u003c/p>\n\u003cp>Officials have also been under intense pressure to speed up vaccinations across the state, prompting the opening of a number of mass vaccination sites, like the one at Dodgers Stadium in Los Angeles and the Cal Expo in Sacramento.\u003c/p>\n\u003cp>For this to work effectively, officials say, very simple eligibility criteria is needed. And someone’s age is a lot easier to verify than a person’s medical history.\u003c/p>\n\u003cp>“It may be more challenging in those settings for the vaccinators to be confirming a medical history if they don’t have access to the medical records,” said Nadine Burke Harris, the state’s surgeon general, who also co-chairs the committee.\u003c/p>\n\u003ch3>Balancing Equity and Efficiency\u003c/h3>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>But disability advocates say the state is \u003ca href=\"https://www.kqed.org/news/11856356/california-considers-prioritizing-speed-over-equity-in-vaccine-distribution-plan\">trading in equity\u003c/a> in its quest for efficiency.\u003c/p>\n\u003cp>“Just because something might pose unique challenges, does not mean that it is not a worthy goal that we must, must, must go after,” said Alyssa Burgart, a medical ethicist at the Stanford Center for Biomedical Ethics. “We cannot abandon this population.”\u003c/p>\n\u003cp>While there isn’t good data on the risk people with disabilities face, she said, that’s because of bias in the health care system that leads researchers to ignore that community.\u003c/p>\n\u003cp>“If you don’t have the data that you need, and then you punish that population because that data does not exist to the degree that you expected, that is just one more form of erasure of our disability community,” Burgart said.\u003c/p>\n\u003cp>The Centers for Disease Control and Prevention states on its \u003ca href=\"https://www.cdc.gov/coronavirus/2019-ncov/need-extra-precautions/people-with-disabilities.html\" target=\"_blank\" rel=\"noopener noreferrer\">COVID-19 site\u003c/a> that “most people with disabilities are not inherently at higher risk for becoming infected with or having severe illness from COVID-19.”\u003c/p>\n\u003cp>But it goes on to say they are three times more likely to have chronic underlying medical conditions like heart disease, stroke, diabetes or cancer, which would put them at a higher risk. The CDC also notes that some people with disabilities have conditions that prevent them from wearing masks or communicating symptoms, and that many are dependent on outside caregivers, whom they can’t avoid coming into close contact with.\u003c/p>\n\u003cp>That’s the case for Tim Jin, a disability advocate from Southern California, who also spoke at last week’s town hall.\u003c/p>\n\u003cp>Jin, who has cerebral palsy, said six caregivers come into his house throughout the week, greatly increasing his own risk of exposure.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>Health officials, Jin said, have again “neglected to account for the needs of Californians with disabilities.”\u003c/p>\n\u003cp>“Why would a healthy 60-something get the vaccine before me, a 45-year-old man with significant disabilities?” he said. “It’s a little ironic that the state has approved vaccines for caregivers who support people with disabilities, but has left out the people who need it the most.”\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"info": "Possible is hosted by entrepreneur Reid Hoffman and writer Aria Finger. Together in Possible, Hoffman and Finger lead enlightening discussions about building a brighter collective future. The show features interviews with visionary guests like Trevor Noah, Sam Altman and Janette Sadik-Khan. Possible paints an optimistic portrait of the world we can create through science, policy, business, art and our shared humanity. It asks: What if everything goes right for once? How can we get there? Each episode also includes a short fiction story generated by advanced AI GPT-4, serving as a thought-provoking springboard to speculate how humanity could leverage technology for good.",
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