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"content": "\u003cp>When a fire \u003ca href=\"https://www.eastbaytimes.com/2020/09/16/three-alarm-fire-burning-in-oakland/\">tore through a large commercial building\u003c/a> in the heart of Oakland’s Chinatown last month, Oakland Fire Department Captain Christopher Foley was one of the first on the scene, leading the battalion that quashed the flames within just a few hours.\u003c/p>\n\u003cp>That intense but brief firefight was a marked contrast to his experience the previous week on a strike team battling the massive \u003ca href=\"https://www.fire.ca.gov/incidents/2020/8/18/scu-lightning-complex/\">SCU Lighting Complex\u003c/a>, a blaze that burned for well over a month, devouring nearly 400,000 acres on the southeastern edges of the Bay Area before it was fully contained on Oct. 1 — one of the largest wildfires in California history.\u003c/p>\n\u003cp>“The fires in the urban areas, everybody is moving very, very quickly, whereas the wildland fires are more of a methodical [process],” said Foley, who’s based at Station 4 on International Boulevard. “You might be working four days ahead of the fire.”\u003c/p>\n\u003cp>[pullquote align=\"right\" size=\"medium\" citation=\"James Bowron, OFD battalion chief\"]‘These are the times where borders and boundaries drop and it’s all hands on deck and everyone has got to do their part to help bring these emergencies under control.’[/pullquote]\u003c/p>\n\u003cp>And when you’re working a wildfire, you don’t get any breaks.\u003c/p>\n\u003cp>“It’s a different pace because you are working literally for 24 hours straight,” he said. “You are on your feet, working a tool, working a saw, putting in hose line for 24 hours. Whereas, the fire [in Chinatown], which is the biggest fire the city has seen in this calendar year, the fire is over in two hours.”\u003c/p>\n\u003cp>For years, Foley has helped battle wildfires as part of California’s mutual aid system, a sprawling network of first responders from scores of local fire departments across the state, called on to assist Cal Fire and federal crews when extra hands are needed — which is almost always, these days.\u003c/p>\n\u003cp>First \u003ca href=\"https://www.caloes.ca.gov/FireRescueSite/Documents/CalOES%20-%20History%20and%20Organization%20-%2020141201ua.pdf\">conceived in the 1950s\u003c/a>, California’s Fire and Rescue Mutual Aid System is one of the oldest and most robust of its kind. And as fires here continue to grow bigger and more ferocious, the state is relying on it more than ever before.\u003c/p>\n\u003cp>[aside label=\"related coverage\" tag=\"2020-wildfires\"]In recent years, Foley, 51, has gotten used to being deployed for weeks at a time, fighting some of the state’s biggest and most destructive blazes, often having to hit the road with his Oakland engine crew within an hour of getting the call.\u003c/p>\n\u003cp>That experience includes the 2018 \u003ca href=\"https://www.kqed.org/news/tag/camp-fire\">Camp Fire\u003c/a>, which incinerated most of the northern California town of Paradise, killing 85 people.\u003c/p>\n\u003cp>“Having to do two-plus weeks of search and recovery efforts after two days of fighting fire is something I hope I never have to do again,” he said.\u003c/p>\n\u003cp>But despite the physical and emotional toll of the work, Foley, who has two young children, said he looks forward to heading into the wild.\u003c/p>\n\u003cp>“I love going out there. It’s just a whole different world — the challenge, it’s just a totally different playing field,” he said. “And then also it’s just an interesting opportunity to go help communities in need that you didn’t even know were on the map.”\u003c/p>\n\u003cp>California’s fire season started alarmingly early this year, thanks to intensely dry conditions and a barrage of lightning strikes in mid-August that ignited hundreds of blazes across the state. By the first week of October, flames had charred a record 4 million acres — more than double the area that burned all of last year — with about two months still left to go in the season. That unprecedented early onslaught of huge, simultaneous blazes, coupled with COVID-19 restrictions that have sidelined many inmate firefighter crews and other first responders, are stretching the state’s emergency resources.\u003c/p>\n\u003cp>“Definitely the drawdown of resources was extraordinarily apparent,” Foley said of his recent stint on the SCU Complex. “You know, a fire of that size by itself would probably have 3,000 people or more, and there were less than 2,000. So, with resources being spread so thin, it was very complicated because we just don’t have the ability to move as quickly as you might under different circumstances.”\u003c/p>\n\u003cp>For mutual aid assistance, the Oakland Fire Department deploys up to five of its engines, with 25 firefighters and command staff at any one time. This season, Foley said, the department has consistently “maxed out” its resources, with crews currently deployed to four fires around the state, including the \u003ca href=\"https://www.fire.ca.gov/incidents/2020/9/27/glass-fire/\">Glass Fire\u003c/a> in North Bay.\u003c/p>\n\u003cp>https://twitter.com/AlamedaCoFire/status/1311329622018068480\u003c/p>\n\u003cp>“We have a minimum staffing level [in Oakland] that we maintain regardless of the circumstances, regardless of what’s going on around us,” he said. But that often requires firefighters at home to work extra shifts to fill in the gaps, he said, and gives those returning from wildland assignments less time to recuperate. “As the seasons get longer and longer, you definitely do start to feel it.”\u003c/p>\n\u003cp>In late summer, at the peak of the fire siege, more than 800 engines and over 3,000 personnel, mostly from city and county fire departments, were helping battle blazes across the state, said Brian Ferguson, a spokesman for the California Office of Emergency Services, which oversees the mutual aid system.\u003c/p>\n\u003cp>“The mutual aid system is a really critical part of our ability to respond to wildfires,” he said. “It’s basically surge capacity for the state’s firefighting ability, particularly when we have great need, like this year.”\u003c/p>\n\u003cp>In addition to help from local departments, California has also become accustomed to requesting firefighting support from out of state, and even internationally, Ferguson said, noting that at one point in September, more than 18,000 firefighters — including those from local jurisdictions, National Guard troops and crews from Canada and \u003ca href=\"https://www.kqed.org/news/11839556/in-a-first-100-mexican-firefighters-arrive-in-california-to-help-battle-wildfires\">Mexico\u003c/a> — were battling blazes across the state.\u003c/p>\n\u003cp>There’s no doubt that current conditions are stretching the state’s firefighting system “to its limits,” he said. “There’s fears of what the impacts are on our system as a whole.”\u003c/p>\n\u003cp>That comes as little surprise to James Bowron, an OFD battalion chief from Station 17 in East Oakland, who in 2016, was the incident commander for the deadly \u003ca href=\"https://www.kqed.org/news/11747823/ghost-ship-trial-defense-accuses-fire-officials-of-shielding-city-from-civil-liability\">Ghost Ship fire\u003c/a>.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>“We did the math the other day. I think out of [the last] 42 days, I was deployed for 36 of them,” said Bowron, 43, who recently returned from two weeks on a strike team fighting the El Dorado Fire in San Bernardino National Forest. Shortly before that, he had worked the SCU Complex.\u003c/p>\n\u003cp>“I think everybody is pretty tired. I mean, back-to-back big fires; [the] season has been pretty relentless,” he said. “It’s really starting to tax the mutual aid system to the point that I haven’t seen before.”\u003c/p>\n\u003cp>Bowron had his first exposure to wildland firefighting more than 30 years ago, as part of a youth program in his hometown of Kenwood in rural Sonoma County, a region plagued by wildfires in recent years. At 18, just out of high school, he started working seasonally for Cal Fire before eventually finding longer-term jobs in city departments.\u003c/p>\n\u003cp>[pullquote align=\"right\" size=\"medium\" citation=\"Christopher Foley, OFD captain\"]‘It’s a different pace because you are working literally for 24 hours straight. You are on your feet, working a tool, working a saw, putting in hose line for 24 hours.’[/pullquote]Bowron acknowledges that he’s hired to serve the city of Oakland, but feels duty bound to fight fires wherever help is needed.\u003c/p>\n\u003cp>“The way I look at it is that, you know, even though each of us, we represent the city we work for, when the state gets to a level like this, I mean, really, we do represent a state fire department,” he said. “These are the times where borders and boundaries drop and it’s all hands on deck and everyone has got to do their part to help bring these emergencies under control.”\u003c/p>\n\u003cp>But that comes with some serious sacrifices. Bowron has three young daughters who he often doesn’t even get a chance to say goodbye to when having to deploy at a moment’s notice.\u003c/p>\n\u003cp>“It’s very taxing on the family,” said Bowron, whose wife, a nurse at a Vallejo hospital, is also steeped in emergency work. “I have been very upfront with our daughters about what I do and the importance of sacrifice for the community … And they’re aware of that. But, you know, still, it’s not easy to have dad be gone for long stretches of time. I mean, there are definitely times where I get on the phone and they ask me when I’m coming home. And, you know, I’ve got to be like, ‘I’m coming home when the fire’s done.'”\u003c/p>\n\u003cp>But even as California’s wildfires intensify year over year, claiming additional ground and threatening more communities, Bowron remains optimistic that the state will be able to meet the challenge.\u003c/p>\n\u003cp>“Our state mutual aid system is probably the best. I mean, it’s really good,” he said. “It’s probably a blessing and a curse that just by the sheer amount of times we get to do it, we get pretty good at it.”\u003c/p>\n\u003cp>Bowron pauses for moment.\u003c/p>\n\u003cp>“Is it sustainable? It kind of has to be. We don’t really have a lot of other choices.”\u003c/p>\n\u003cp>[ad floatright]\u003c/p>\n",
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"content": "\u003cdiv class=\"post-body\">\u003cp>In recent years, Foley, 51, has gotten used to being deployed for weeks at a time, fighting some of the state’s biggest and most destructive blazes, often having to hit the road with his Oakland engine crew within an hour of getting the call.\u003c/p>\n\u003cp>That experience includes the 2018 \u003ca href=\"https://www.kqed.org/news/tag/camp-fire\">Camp Fire\u003c/a>, which incinerated most of the northern California town of Paradise, killing 85 people.\u003c/p>\n\u003cp>“Having to do two-plus weeks of search and recovery efforts after two days of fighting fire is something I hope I never have to do again,” he said.\u003c/p>\n\u003cp>But despite the physical and emotional toll of the work, Foley, who has two young children, said he looks forward to heading into the wild.\u003c/p>\n\u003cp>“I love going out there. It’s just a whole different world — the challenge, it’s just a totally different playing field,” he said. “And then also it’s just an interesting opportunity to go help communities in need that you didn’t even know were on the map.”\u003c/p>\n\u003cp>California’s fire season started alarmingly early this year, thanks to intensely dry conditions and a barrage of lightning strikes in mid-August that ignited hundreds of blazes across the state. By the first week of October, flames had charred a record 4 million acres — more than double the area that burned all of last year — with about two months still left to go in the season. That unprecedented early onslaught of huge, simultaneous blazes, coupled with COVID-19 restrictions that have sidelined many inmate firefighter crews and other first responders, are stretching the state’s emergency resources.\u003c/p>\n\u003cp>“Definitely the drawdown of resources was extraordinarily apparent,” Foley said of his recent stint on the SCU Complex. “You know, a fire of that size by itself would probably have 3,000 people or more, and there were less than 2,000. So, with resources being spread so thin, it was very complicated because we just don’t have the ability to move as quickly as you might under different circumstances.”\u003c/p>\n\u003cp>For mutual aid assistance, the Oakland Fire Department deploys up to five of its engines, with 25 firefighters and command staff at any one time. This season, Foley said, the department has consistently “maxed out” its resources, with crews currently deployed to four fires around the state, including the \u003ca href=\"https://www.fire.ca.gov/incidents/2020/9/27/glass-fire/\">Glass Fire\u003c/a> in North Bay.\u003c/p>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\n\u003cp>“We have a minimum staffing level [in Oakland] that we maintain regardless of the circumstances, regardless of what’s going on around us,” he said. But that often requires firefighters at home to work extra shifts to fill in the gaps, he said, and gives those returning from wildland assignments less time to recuperate. “As the seasons get longer and longer, you definitely do start to feel it.”\u003c/p>\n\u003cp>In late summer, at the peak of the fire siege, more than 800 engines and over 3,000 personnel, mostly from city and county fire departments, were helping battle blazes across the state, said Brian Ferguson, a spokesman for the California Office of Emergency Services, which oversees the mutual aid system.\u003c/p>\n\u003cp>“The mutual aid system is a really critical part of our ability to respond to wildfires,” he said. “It’s basically surge capacity for the state’s firefighting ability, particularly when we have great need, like this year.”\u003c/p>\n\u003cp>In addition to help from local departments, California has also become accustomed to requesting firefighting support from out of state, and even internationally, Ferguson said, noting that at one point in September, more than 18,000 firefighters — including those from local jurisdictions, National Guard troops and crews from Canada and \u003ca href=\"https://www.kqed.org/news/11839556/in-a-first-100-mexican-firefighters-arrive-in-california-to-help-battle-wildfires\">Mexico\u003c/a> — were battling blazes across the state.\u003c/p>\n\u003cp>There’s no doubt that current conditions are stretching the state’s firefighting system “to its limits,” he said. “There’s fears of what the impacts are on our system as a whole.”\u003c/p>\n\u003cp>That comes as little surprise to James Bowron, an OFD battalion chief from Station 17 in East Oakland, who in 2016, was the incident commander for the deadly \u003ca href=\"https://www.kqed.org/news/11747823/ghost-ship-trial-defense-accuses-fire-officials-of-shielding-city-from-civil-liability\">Ghost Ship fire\u003c/a>.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>“We did the math the other day. I think out of [the last] 42 days, I was deployed for 36 of them,” said Bowron, 43, who recently returned from two weeks on a strike team fighting the El Dorado Fire in San Bernardino National Forest. Shortly before that, he had worked the SCU Complex.\u003c/p>\n\u003cp>“I think everybody is pretty tired. I mean, back-to-back big fires; [the] season has been pretty relentless,” he said. “It’s really starting to tax the mutual aid system to the point that I haven’t seen before.”\u003c/p>\n\u003cp>Bowron had his first exposure to wildland firefighting more than 30 years ago, as part of a youth program in his hometown of Kenwood in rural Sonoma County, a region plagued by wildfires in recent years. At 18, just out of high school, he started working seasonally for Cal Fire before eventually finding longer-term jobs in city departments.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "‘It’s a different pace because you are working literally for 24 hours straight. You are on your feet, working a tool, working a saw, putting in hose line for 24 hours.’",
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"content": "\u003cdiv class=\"post-body\">\u003cp>Bowron acknowledges that he’s hired to serve the city of Oakland, but feels duty bound to fight fires wherever help is needed.\u003c/p>\n\u003cp>“The way I look at it is that, you know, even though each of us, we represent the city we work for, when the state gets to a level like this, I mean, really, we do represent a state fire department,” he said. “These are the times where borders and boundaries drop and it’s all hands on deck and everyone has got to do their part to help bring these emergencies under control.”\u003c/p>\n\u003cp>But that comes with some serious sacrifices. Bowron has three young daughters who he often doesn’t even get a chance to say goodbye to when having to deploy at a moment’s notice.\u003c/p>\n\u003cp>“It’s very taxing on the family,” said Bowron, whose wife, a nurse at a Vallejo hospital, is also steeped in emergency work. “I have been very upfront with our daughters about what I do and the importance of sacrifice for the community … And they’re aware of that. But, you know, still, it’s not easy to have dad be gone for long stretches of time. I mean, there are definitely times where I get on the phone and they ask me when I’m coming home. And, you know, I’ve got to be like, ‘I’m coming home when the fire’s done.'”\u003c/p>\n\u003cp>But even as California’s wildfires intensify year over year, claiming additional ground and threatening more communities, Bowron remains optimistic that the state will be able to meet the challenge.\u003c/p>\n\u003cp>“Our state mutual aid system is probably the best. I mean, it’s really good,” he said. “It’s probably a blessing and a curse that just by the sheer amount of times we get to do it, we get pretty good at it.”\u003c/p>\n\u003cp>Bowron pauses for moment.\u003c/p>\n\u003cp>“Is it sustainable? It kind of has to be. We don’t really have a lot of other choices.”\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cp>Hundreds of nurses walked off their jobs Wednesday at three hospitals in Alameda County as part of a five-day strike to call attention to stalled contract negotiations and their concerns about workplace and patient safety.\u003c/p>\n\u003cp>“[Personal protective equipment] is probably the biggest thing that we want. And safe staffing levels. We definitely don’t want to be laid off,” said Adrian Jackson, a respiratory care nurse at Highland Hospital in Oakland. “We just want to keep what we do have and make sure that we’re safely staffed.”\u003c/p>\n\u003cp>Wages are at stake, too, said Pete Castelli, public sector director for the California Nurses Association (CNA), which represents some of the nurses on strike.\u003c/p>\n\u003cp>“We’re at an impasse because management refuses to offer any substantive gains for nurses or even a market price so they can retain nurses and keep them working here,” Castelli said.\u003c/p>\n\u003cfigure id=\"attachment_11841461\" class=\"wp-caption aligncenter\" style=\"max-width: 800px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-medium wp-image-11841461\" src=\"https://ww2.kqed.org/app/uploads/sites/10/2020/10/RS45249_011_KQED_Alameda_AlamedaHospitalStrike_10072020-qut-800x533.jpg\" alt=\"Alameda Health System employees and supporters march outside of Alameda Hospital on Oct. 7, 2020, during a planned five-day strike over COVID-19 safety concerns and stalled contract negotiations.\" width=\"800\" height=\"533\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2020/10/RS45249_011_KQED_Alameda_AlamedaHospitalStrike_10072020-qut-800x533.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2020/10/RS45249_011_KQED_Alameda_AlamedaHospitalStrike_10072020-qut-1020x680.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2020/10/RS45249_011_KQED_Alameda_AlamedaHospitalStrike_10072020-qut-160x107.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2020/10/RS45249_011_KQED_Alameda_AlamedaHospitalStrike_10072020-qut-1536x1024.jpg 1536w, https://cdn.kqed.org/wp-content/uploads/sites/10/2020/10/RS45249_011_KQED_Alameda_AlamedaHospitalStrike_10072020-qut.jpg 1920w\" sizes=\"(max-width: 800px) 100vw, 800px\">\u003cfigcaption class=\"wp-caption-text\">Alameda Health System employees and supporters march outside of Alameda Hospital on Oct. 7, 2020, during a planned five-day strike over COVID-19 safety concerns and stalled contract negotiations. \u003ccite>(Beth LaBerge/KQED)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>About 150 nurses at San Leandro Hospital and 175 at Alameda Hospital are represented by the CNA, while about 900 nurses at Highland Hospital are represented by the Service Employees International Union (SEIU) Local 1021, according to union representatives.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>In addition to nurses, other SEIU members at Highland Hospital who work as technicians, clerks, housekeepers and social workers are joining the strike, bringing the total number of striking employees there to about 3,200, according to John Pearson, an SEIU chapter president.\u003c/p>\n\u003cp>The unions said they worked together to coordinate strikes at the same time.\u003c/p>\n\u003cp>[aside tag=\"nurses-strike\" label=\"related coverage\"]\u003c/p>\n\u003cp>The organization that manages all three hospitals, Alameda Health System (AHS), said it has brought in hundreds of replacement workers but has had to adjust service levels by canceling elective procedures and rescheduling appointments.\u003c/p>\n\u003cp>“We apologize to our patients and community health partners for any inconvenience they may experience due to postponement or reduction of some services during the strike,” wrote Terry Lightfoot, director of public affairs and community engagement for AHS, in a statement.\u003c/p>\n\u003cp>“While we are disappointed that the unions called this strike at a time when there are already extraordinary strains on health care providers, we encourage them to return to the bargaining table, where we can resolve our differences and reach agreement on a fair, mutually beneficial contract.”\u003c/p>\n\u003cp>In a memo to the Alameda County Board of Supervisors, the hospital system’s CEO, Delvecchio Finley, shared details of the management’s offers, which include a 2.5% raise in wages every year for the next three years and an additional 12 weeks of paid leave for anyone needing to care for a family member because of the COVID-19 pandemic.\u003c/p>\n\u003cp>“I implore the unions to please call off these strikes and let’s get back to trying to work together,” Finley wrote.\u003c/p>\n\u003cfigure id=\"attachment_11841465\" class=\"wp-caption aligncenter\" style=\"max-width: 800px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-medium wp-image-11841465\" src=\"https://ww2.kqed.org/app/uploads/sites/10/2020/10/RS45244_006_KQED_Alameda_AlamedaHospitalStrike_10072020-qut-800x533.jpg\" alt=\"Alameda Health System employees and supporters march outside of Alameda Hospital on Oct. 7, 2020. About 175 nurses at Alameda Hospital and 150 at San Leandro Hospital are represented by the California Nurses Association, while about 900 nurses at Highland Hospital are represented by the Service Employees International Union Local 1021, according to union representatives. \" width=\"800\" height=\"533\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2020/10/RS45244_006_KQED_Alameda_AlamedaHospitalStrike_10072020-qut-800x533.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2020/10/RS45244_006_KQED_Alameda_AlamedaHospitalStrike_10072020-qut-1020x680.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2020/10/RS45244_006_KQED_Alameda_AlamedaHospitalStrike_10072020-qut-160x107.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2020/10/RS45244_006_KQED_Alameda_AlamedaHospitalStrike_10072020-qut-1536x1024.jpg 1536w, https://cdn.kqed.org/wp-content/uploads/sites/10/2020/10/RS45244_006_KQED_Alameda_AlamedaHospitalStrike_10072020-qut.jpg 1920w\" sizes=\"(max-width: 800px) 100vw, 800px\">\u003cfigcaption class=\"wp-caption-text\">Alameda Health System employees and supporters march outside of Alameda Hospital on Oct. 7, 2020. About 175 nurses at Alameda Hospital and 150 at San Leandro Hospital are represented by the California Nurses Association, while about 900 nurses at Highland Hospital are represented by the Service Employees International Union Local 1021, according to union representatives. \u003ccite>(Beth LaBerge/KQED)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>But union representatives said there are additional provisions they want to see, including guarantees of higher staffing levels, better access to PPE, more space for treating COVID-19 patients and better maintenance of hospital equipment.\u003c/p>\n\u003cp>“They have to respect the fact that we know what we need in order to take care of our patients,” said Karen Rothblatt, an operating room nurse at Alameda Hospital and a nurse’s representative for the CNA.\u003c/p>\n\u003cp>Representatives for both the CNA and SEIU are calling for the county Board of Supervisors to intervene in contract negotiations.\u003c/p>\n\u003cp>“We want to get back to work. We want to get back to taking care of our patients,” Rothblatt said. “The last thing nurses want to do is be on strike.”\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>\u003cem>KQED’s Shannon Lin contributed additional reporting to this story.\u003c/em>\u003c/p>\n\n",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>Hundreds of nurses walked off their jobs Wednesday at three hospitals in Alameda County as part of a five-day strike to call attention to stalled contract negotiations and their concerns about workplace and patient safety.\u003c/p>\n\u003cp>“[Personal protective equipment] is probably the biggest thing that we want. And safe staffing levels. We definitely don’t want to be laid off,” said Adrian Jackson, a respiratory care nurse at Highland Hospital in Oakland. “We just want to keep what we do have and make sure that we’re safely staffed.”\u003c/p>\n\u003cp>Wages are at stake, too, said Pete Castelli, public sector director for the California Nurses Association (CNA), which represents some of the nurses on strike.\u003c/p>\n\u003cp>“We’re at an impasse because management refuses to offer any substantive gains for nurses or even a market price so they can retain nurses and keep them working here,” Castelli said.\u003c/p>\n\u003cfigure id=\"attachment_11841461\" class=\"wp-caption aligncenter\" style=\"max-width: 800px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-medium wp-image-11841461\" src=\"https://ww2.kqed.org/app/uploads/sites/10/2020/10/RS45249_011_KQED_Alameda_AlamedaHospitalStrike_10072020-qut-800x533.jpg\" alt=\"Alameda Health System employees and supporters march outside of Alameda Hospital on Oct. 7, 2020, during a planned five-day strike over COVID-19 safety concerns and stalled contract negotiations.\" width=\"800\" height=\"533\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2020/10/RS45249_011_KQED_Alameda_AlamedaHospitalStrike_10072020-qut-800x533.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2020/10/RS45249_011_KQED_Alameda_AlamedaHospitalStrike_10072020-qut-1020x680.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2020/10/RS45249_011_KQED_Alameda_AlamedaHospitalStrike_10072020-qut-160x107.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2020/10/RS45249_011_KQED_Alameda_AlamedaHospitalStrike_10072020-qut-1536x1024.jpg 1536w, https://cdn.kqed.org/wp-content/uploads/sites/10/2020/10/RS45249_011_KQED_Alameda_AlamedaHospitalStrike_10072020-qut.jpg 1920w\" sizes=\"(max-width: 800px) 100vw, 800px\">\u003cfigcaption class=\"wp-caption-text\">Alameda Health System employees and supporters march outside of Alameda Hospital on Oct. 7, 2020, during a planned five-day strike over COVID-19 safety concerns and stalled contract negotiations. \u003ccite>(Beth LaBerge/KQED)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>About 150 nurses at San Leandro Hospital and 175 at Alameda Hospital are represented by the CNA, while about 900 nurses at Highland Hospital are represented by the Service Employees International Union (SEIU) Local 1021, according to union representatives.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>The organization that manages all three hospitals, Alameda Health System (AHS), said it has brought in hundreds of replacement workers but has had to adjust service levels by canceling elective procedures and rescheduling appointments.\u003c/p>\n\u003cp>“We apologize to our patients and community health partners for any inconvenience they may experience due to postponement or reduction of some services during the strike,” wrote Terry Lightfoot, director of public affairs and community engagement for AHS, in a statement.\u003c/p>\n\u003cp>“While we are disappointed that the unions called this strike at a time when there are already extraordinary strains on health care providers, we encourage them to return to the bargaining table, where we can resolve our differences and reach agreement on a fair, mutually beneficial contract.”\u003c/p>\n\u003cp>In a memo to the Alameda County Board of Supervisors, the hospital system’s CEO, Delvecchio Finley, shared details of the management’s offers, which include a 2.5% raise in wages every year for the next three years and an additional 12 weeks of paid leave for anyone needing to care for a family member because of the COVID-19 pandemic.\u003c/p>\n\u003cp>“I implore the unions to please call off these strikes and let’s get back to trying to work together,” Finley wrote.\u003c/p>\n\u003cfigure id=\"attachment_11841465\" class=\"wp-caption aligncenter\" style=\"max-width: 800px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-medium wp-image-11841465\" src=\"https://ww2.kqed.org/app/uploads/sites/10/2020/10/RS45244_006_KQED_Alameda_AlamedaHospitalStrike_10072020-qut-800x533.jpg\" alt=\"Alameda Health System employees and supporters march outside of Alameda Hospital on Oct. 7, 2020. About 175 nurses at Alameda Hospital and 150 at San Leandro Hospital are represented by the California Nurses Association, while about 900 nurses at Highland Hospital are represented by the Service Employees International Union Local 1021, according to union representatives. \" width=\"800\" height=\"533\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2020/10/RS45244_006_KQED_Alameda_AlamedaHospitalStrike_10072020-qut-800x533.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2020/10/RS45244_006_KQED_Alameda_AlamedaHospitalStrike_10072020-qut-1020x680.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2020/10/RS45244_006_KQED_Alameda_AlamedaHospitalStrike_10072020-qut-160x107.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2020/10/RS45244_006_KQED_Alameda_AlamedaHospitalStrike_10072020-qut-1536x1024.jpg 1536w, https://cdn.kqed.org/wp-content/uploads/sites/10/2020/10/RS45244_006_KQED_Alameda_AlamedaHospitalStrike_10072020-qut.jpg 1920w\" sizes=\"(max-width: 800px) 100vw, 800px\">\u003cfigcaption class=\"wp-caption-text\">Alameda Health System employees and supporters march outside of Alameda Hospital on Oct. 7, 2020. About 175 nurses at Alameda Hospital and 150 at San Leandro Hospital are represented by the California Nurses Association, while about 900 nurses at Highland Hospital are represented by the Service Employees International Union Local 1021, according to union representatives. \u003ccite>(Beth LaBerge/KQED)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>But union representatives said there are additional provisions they want to see, including guarantees of higher staffing levels, better access to PPE, more space for treating COVID-19 patients and better maintenance of hospital equipment.\u003c/p>\n\u003cp>“They have to respect the fact that we know what we need in order to take care of our patients,” said Karen Rothblatt, an operating room nurse at Alameda Hospital and a nurse’s representative for the CNA.\u003c/p>\n\u003cp>Representatives for both the CNA and SEIU are calling for the county Board of Supervisors to intervene in contract negotiations.\u003c/p>\n\u003cp>“We want to get back to work. We want to get back to taking care of our patients,” Rothblatt said. “The last thing nurses want to do is be on strike.”\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>\u003cem>KQED’s Shannon Lin contributed additional reporting to this story.\u003c/em>\u003c/p>\n\n\u003c/div>\u003c/p>",
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"title": "¿Cuándo debo vacunarme para la gripe?",
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"content": "\u003cp>\u003cem>\u003ca href=\"https://www.kqed.org/news/11838604/when-should-you-get-your-flu-shot\">Leer en ingl\u003cspan style=\"font-weight: 400\">és\u003c/span>\u003c/a>\u003c/em>\u003c/p>\n\u003cp>Los Centros para el Control y Prevención de Enfermedades (CDC por sus siglas en inglés) calculan que la influenza, o gripe, ha causado \u003ca href=\"https://espanol.cdc.gov/flu/about/burden/index.html\">entre 12,000 a 61,000 muertes\u003c/a> cada año desde 2010. La gripe es una enfermedad sumamente seria.\u003c/p>\n\u003cp>Además, con el impacto que ha tenido la pandemia este año, es importante hacer todo lo posible para mantenerse libre de la gripe.\u003c/p>\n\u003cp>Recibir una vacuna contra la gripe es la manera más segura para protegerse del virus de la influenza pero además reduce la probabilidad que transmita el virus a otras personas, en especial personas que corren un riesgo mayor de padecer complicaciones graves o hasta la muerte si es que son infectadas.\u003c/p>\n\u003cp>En una rueda de prensa el oficial ejecutivo del Condado de Santa Clara en la cual también presentó la disponibilidad de vacunas contra la influenza gratis, el Dr. Jeff Smith recalcó que esas vacunas no protegen contra el coronavirus que causa covid-19. Pero lo que la vacuna contra la influenza sí hará es “prevenir que acabes en el hospital”, lo que asegurará que las camillas en los centros médicos sigan disponibles para pacientes de covid-19.\u003c/p>\n\u003cp>Siga leyendo para saber si es mejor que reciba su vacuna para la gripe ahora o después, y también donde puede encontrar centros para vacunarse a bajo o sin costo cerca de usted.\u003c/p>\n\u003ch1>\u003cstrong>¿Debo vacunarme contra la gripe ahora o después?\u003c/strong>\u003c/h1>\n\u003cul>Toma dos semanas para que el sistema inmune desarrolle los anticuerpos luego de recibir la vacuna contra la gripe. Este hecho influye en las recomendaciones que expertos médicos hacen sobre cuándo vacunarse, según el profesor de medicina Dr. Peter Chin-Hong de UCSF.\u003c/ul>\n\u003cp>Los CDC \u003ca href=\"https://espanol.cdc.gov/flu/about/season/flu-season-2018-2019.htm\">recomiendan\u003c/a> que planeé recibir su vacuna contra la gripe “a inicios del otoño, antes de que inicie la temporada de gripe” y a más tardar antes de que termine octubre.\u003c/p>\n\u003cfigure id=\"attachment_11839377\" class=\"wp-caption alignnone\" style=\"max-width: 800px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-medium wp-image-11839377\" src=\"https://ww2.kqed.org/app/uploads/sites/10/2020/09/shots2-1-800x533.png\" alt=\"\" width=\"800\" height=\"533\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2020/09/shots2-1-800x533.png 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2020/09/shots2-1-1020x680.png 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2020/09/shots2-1-160x107.png 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2020/09/shots2-1-1536x1024.png 1536w, https://cdn.kqed.org/wp-content/uploads/sites/10/2020/09/shots2-1.png 1900w\" sizes=\"(max-width: 800px) 100vw, 800px\">\u003cfigcaption class=\"wp-caption-text\">Luego de recibir la vacuna, toma dos semanas para que el cuerpo humano desarrolle los anticuerpos necesarios para protegerlo del virus de la influenza. (Queen’s University/Flickr) \u003ccite>((Queen's University/Flickr))\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>\u003ca href=\"https://pubmed.ncbi.nlm.nih.gov/28039340/\">Existe evidencia\u003c/a> de que el riesgo de contraer la influenza aumenta cada mes después de recibir la vacuna, dice Chin-Hong. Esto se debe a que el nivel de anticuerpos disminuye a lo largo del tiempo. Por su parte el Dr. Anthony Fauci, director del Instituto Nacional de Alergias y Enfermedades Infecciosas, mencionó recientemente que \u003ca href=\"https://www.cnbc.com/2020/09/16/when-dr-anthony-fauci-gets-his-flu-shot-and-why.html\">él recibe su vacuna\u003c/a> a mediados o finales de octubre debido a su inmunidad decreciente.\u003c/p>\n\u003cp>Pero cuando expertos médicos mencionan que uno debe de esperar para recibir su vacuna contra la gripe, se refieren a personas que corren cierto riesgo de desarrollar complicaciones graves vinculadas a esta enfermedad, afirma Chin-Hong. Esto incluye a personas mayores de 65 años, personas con condiciones médicas crónicas, mujeres que planean un embarazo o que ya están embarazadas, y niños menores de 5 años.\u003c/p>\n\u003cp>La época ideal para que estas personas sean vacunadas es a mediados de octubre, recomienda Chin-Hong. Dos semanas después, al inicio de noviembre, el sistema inmune ha desarrollado los anticuerpos, justo a tiempo para cuando se intensifique la temporada de gripe. De esta manera, se aprovecha lo más que puede el impacto positivo de la vacuna, señala él.\u003c/p>\n\u003cp>¿Y si está en una de esas categorías vulnerables? Entonces sí puede considerar esperarse, dijo Chin-Hong. Quienes sean mayores de 65 años también pueden solicitar una vacuna diseñada en especial para este grupo demográfico, la cual contiene una dosis con cuatro veces más antígenos. Antígenos son las estructuras moleculares que inician la producción de los anticuerpos. Pero lo más importante es “no dudar tanto de que fecha es la ideal, ya que al final puede resultar que se le olvide recibir la vacuna”, dice Chin-Hong.\u003c/p>\n\u003cp>Pero si es que acaba demorando la fecha en que se vacuna, o simplemente se le olvida, no deje que esto prevenga que sea vacunado durante la temporada de gripe, dijo él. Chin-Hong se refiere a \u003ca href=\"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7453691/\">un estudio publicado por UCSF\u003c/a>, el cual revela que tan solo un tercio de 437,000 estadounidenses entrevistados en una encuesta recibieron la vacuna entre el 2017 al 2019. No importa cuándo se vacune, lo que importa es que lo haga.\u003c/p>\n\u003cp>El Dr. Jeff Smith del condado de Santa Clara también señaló en su rueda de prensa que cuanto más se espere, menos protección contra el virus de la gripe tendrá. Por esa razón, vacunese “lo más pronto posible” ya que “esperar sólo resultará en una probabilidad más alta que contraiga la enfermedad”.\u003c/p>\n\u003cp>\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-medium wp-image-11839378 alignnone\" src=\"https://ww2.kqed.org/app/uploads/sites/10/2020/09/shots3-1-800x533.png\" alt=\"\" width=\"800\" height=\"533\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2020/09/shots3-1-800x533.png 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2020/09/shots3-1-1020x680.png 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2020/09/shots3-1-160x107.png 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2020/09/shots3-1-1536x1024.png 1536w, https://cdn.kqed.org/wp-content/uploads/sites/10/2020/09/shots3-1.png 1900w\" sizes=\"(max-width: 800px) 100vw, 800px\">\u003c/p>\n\u003ch1>\u003cstrong>¿Dónde puedo recibir una vacuna contra la gripe si tengo seguro médico?\u003c/strong>\u003c/h1>\n\u003cul>Si tiene seguro médico, una vacuna contra la gripe es gratis ya que es considerada como un servicio de cuidado preventivo si se la administra su doctor regular o alguna de las farmacias que incluimos a continuación.\u003c/ul>\n\u003cp>Asegúrese de usar su cubrebocas, guardar el distanciamiento social mientras espera por su vacuna, y llevar puesta una camisa que tenga mangas que se puedan alzar fácilmente, para facilitar la inyección.\u003c/p>\n\u003cp>\u003cstrong>Lugares comunes en donde puede recibir su vacuna contra la gripe, que no requieren cita o que puede llegar en su vehículo.\u003c/strong>\u003c/p>\n\u003cul>\n\u003cli>\u003ca href=\"https://vaccinefinder.org/find-vaccine\">La herramienta de los CDC para encontrar centros de vacunaci\u003cspan style=\"font-weight: 400\">ón\u003c/span>\u003c/a> (en inglés)\u003c/li>\n\u003cli>\u003ca href=\"https://mydoctor.kaiserpermanente.org/ncal/cold-and-flu/prevention#/prevention\">Kaiser Permanente en el norte de California\u003c/a> (en inglés)\u003c/li>\n\u003cli>\u003ca href=\"https://es.cvs.com/immunizations/flu\">Vacunas para la gripe de CVS\u003c/a> (en espa\u003cspan style=\"font-weight: 400\">ñol)\u003c/span>\u003c/li>\n\u003cli>\u003ca href=\"https://www.walgreens.com/topic/pharmacy/seasonal-flu.jsp?ban=flu_fy21_influenzapage\">Vacunas para la gripe de Walgreens\u003c/a> (en espa\u003cspan style=\"font-weight: 400\">ñ\u003c/span>ol)\u003c/li>\n\u003cli>\u003ca href=\"https://www.costco.com/Pharmacy/adult-immunization-program.html\">Vacunas para la gripe de Costco Pharmacy\u003c/a> (en inglés)\u003c/li>\n\u003cli style=\"list-style-type: none\">\n\u003cul>\n\u003cli style=\"list-style-type: none\">\n\u003cul>\n\u003cli style=\"list-style-type: none\">\n\u003c/ul>\n\u003c/li>\n\u003c/ul>\n\u003c/li>\n\u003c/ul>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003ch1>\u003cstrong>¿Dónde puedo recibir una vacuna para la gripe si no tengo seguro médico?\u003c/strong>\u003c/h1>\n\u003cul>Si necesita una vacuna para la gripe pero no tiene seguro médico, puede recibir la vacuna sin costo alguno de ciertos proveedores de cuidado médico alrededor del Área de la Bahía. Si es que sí tiene seguro, también puede usar estos servicios pero puede elegir no hacerlo para que estos recursos sigan disponibles para quienes más los necesitan .\u003c/ul>\n\u003cp>El departamento de salud pública de su condado puede estar ofreciendo las vacunas. Por ejemplo, cada sábado hasta mediados de diciembre, el condado de Santa Clara está ofreciendo vacunas para la gripe gratis en los terrenos de la feria del condado en San José.\u003c/p>\n\u003cp>Cualquiera puede llegar a los terrenos de la feria caminando o en bicicleta (lugares de estacionamiento también están disponibles para personas con discapacidades), recibir su vacuna sin haber hecho cita y sin importar su estatus migratorio o falta de seguro médico. El único requisito es que lleve puesto su cubrebocas. El condado también ofrece vacunas contra la influenza en los centros Valley Health en San José y Sunnyvale.\u003c/p>\n\u003cp>Más información \u003ca href=\"https://www.sccgov.org/sites/covid19/Pages/home-es.aspx\">aquí\u003c/a>.\u003c/p>\n\u003ch1>\u003cstrong>Algunos lugares para recibir una vacuna contra la gripe gratis o de bajo costo en el Área de la Bahía:\u003c/strong>\u003c/h1>\n\u003cul>\n\u003cli>\u003ca href=\"https://www.sfcdcp.org/aitc/aitc-regular-prices-low-cost-or-free-vaccines/\">La clínica de salud p\u003cspan style=\"font-weight: 400\">ú\u003c/span>blica AITC de San Francisco\u003c/a> (ofrece una opción para que pague lo que pueda y sostiene que nadie será rechazado por no poder pagar)\u003c/li>\n\u003cli>\u003ca href=\"https://cchealth.org/immunization/clinics.php#Uninsured\">Clínica de salud pública e inmunización de Contra Costa\u003c/a> (vacunas para la gripe cuestan $15 para adultos mayores de 19 años pero no tiene que pagar si no puede pagar)\u003c/li>\n\u003cli>\u003ca href=\"http://www.acphd.org/media/394923/general-vaccinations-clinics-20200913-eng.pdf\">Clínicas de inmunización del condado de Alameda\u003c/a>\u003c/li>\n\u003c/ul>\n\u003ch1>\u003cb>Y recuerde…la vacuna para la gripe no lo puede contagiar de la gripe\u003c/b>\u003c/h1>\n\u003cp>\u003cspan style=\"font-weight: 400\">La vacuna para la gripe contiene un virus que ha sido inactivado o debilitado, y por esa razón uno no se puede “contagiar de la gripe” cuando se vacuna, \u003ca href=\"https://espanol.cdc.gov/flu/prevent/misconceptions.htm\">según los CDC\u003c/a>. La vacuna contra la gripe puede provocar efectos secundarios de la misma manera que cualquier otro producto médico pero \u003ca href=\"https://espanol.cdc.gov/flu/prevent/general.htm\">la dependencia sostiene\u003c/a> que estos “son generalmente leves y desaparecen por sí solos en pocos días”.\u003c/span>\u003c/p>\n\u003cp>\u003cspan style=\"font-weight: 400\">Algunos efectos secundarios comunes pueden ser dolores o inflamación cerca del sitio en donde fue inyectado, dolores de cabeza, fiebres, náusea o hasta dolores musculares. Pero nunca será la gripe. \u003c/span>\u003c/p>\n\u003cp>\u003cem>Este artículo fue traducido por el periodista, \u003ca>Carlos Cabrera-Lomelí\u003c/a>.\u003c/em>\u003c/p>\n\u003cp>\u003cem>\u003ca href=\"https://www.kqed.org/kqedenespanol\" target=\"_blank\" rel=\"noopener noreferrer\">Leer más reportajes de KQED en Español. \u003c/a>\u003c/em>\u003cbr>\n[ad fullwidth]\u003c/p>\n\u003cp>[ad floatright]\u003c/p>\n",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>\u003cem>\u003ca href=\"https://www.kqed.org/news/11838604/when-should-you-get-your-flu-shot\">Leer en ingl\u003cspan style=\"font-weight: 400\">és\u003c/span>\u003c/a>\u003c/em>\u003c/p>\n\u003cp>Los Centros para el Control y Prevención de Enfermedades (CDC por sus siglas en inglés) calculan que la influenza, o gripe, ha causado \u003ca href=\"https://espanol.cdc.gov/flu/about/burden/index.html\">entre 12,000 a 61,000 muertes\u003c/a> cada año desde 2010. La gripe es una enfermedad sumamente seria.\u003c/p>\n\u003cp>Además, con el impacto que ha tenido la pandemia este año, es importante hacer todo lo posible para mantenerse libre de la gripe.\u003c/p>\n\u003cp>Recibir una vacuna contra la gripe es la manera más segura para protegerse del virus de la influenza pero además reduce la probabilidad que transmita el virus a otras personas, en especial personas que corren un riesgo mayor de padecer complicaciones graves o hasta la muerte si es que son infectadas.\u003c/p>\n\u003cp>En una rueda de prensa el oficial ejecutivo del Condado de Santa Clara en la cual también presentó la disponibilidad de vacunas contra la influenza gratis, el Dr. Jeff Smith recalcó que esas vacunas no protegen contra el coronavirus que causa covid-19. Pero lo que la vacuna contra la influenza sí hará es “prevenir que acabes en el hospital”, lo que asegurará que las camillas en los centros médicos sigan disponibles para pacientes de covid-19.\u003c/p>\n\u003cp>Siga leyendo para saber si es mejor que reciba su vacuna para la gripe ahora o después, y también donde puede encontrar centros para vacunarse a bajo o sin costo cerca de usted.\u003c/p>\n\u003ch1>\u003cstrong>¿Debo vacunarme contra la gripe ahora o después?\u003c/strong>\u003c/h1>\n\u003cul>Toma dos semanas para que el sistema inmune desarrolle los anticuerpos luego de recibir la vacuna contra la gripe. Este hecho influye en las recomendaciones que expertos médicos hacen sobre cuándo vacunarse, según el profesor de medicina Dr. Peter Chin-Hong de UCSF.\u003c/ul>\n\u003cp>Los CDC \u003ca href=\"https://espanol.cdc.gov/flu/about/season/flu-season-2018-2019.htm\">recomiendan\u003c/a> que planeé recibir su vacuna contra la gripe “a inicios del otoño, antes de que inicie la temporada de gripe” y a más tardar antes de que termine octubre.\u003c/p>\n\u003cfigure id=\"attachment_11839377\" class=\"wp-caption alignnone\" style=\"max-width: 800px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-medium wp-image-11839377\" src=\"https://ww2.kqed.org/app/uploads/sites/10/2020/09/shots2-1-800x533.png\" alt=\"\" width=\"800\" height=\"533\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2020/09/shots2-1-800x533.png 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2020/09/shots2-1-1020x680.png 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2020/09/shots2-1-160x107.png 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2020/09/shots2-1-1536x1024.png 1536w, https://cdn.kqed.org/wp-content/uploads/sites/10/2020/09/shots2-1.png 1900w\" sizes=\"(max-width: 800px) 100vw, 800px\">\u003cfigcaption class=\"wp-caption-text\">Luego de recibir la vacuna, toma dos semanas para que el cuerpo humano desarrolle los anticuerpos necesarios para protegerlo del virus de la influenza. (Queen’s University/Flickr) \u003ccite>((Queen's University/Flickr))\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>\u003ca href=\"https://pubmed.ncbi.nlm.nih.gov/28039340/\">Existe evidencia\u003c/a> de que el riesgo de contraer la influenza aumenta cada mes después de recibir la vacuna, dice Chin-Hong. Esto se debe a que el nivel de anticuerpos disminuye a lo largo del tiempo. Por su parte el Dr. Anthony Fauci, director del Instituto Nacional de Alergias y Enfermedades Infecciosas, mencionó recientemente que \u003ca href=\"https://www.cnbc.com/2020/09/16/when-dr-anthony-fauci-gets-his-flu-shot-and-why.html\">él recibe su vacuna\u003c/a> a mediados o finales de octubre debido a su inmunidad decreciente.\u003c/p>\n\u003cp>Pero cuando expertos médicos mencionan que uno debe de esperar para recibir su vacuna contra la gripe, se refieren a personas que corren cierto riesgo de desarrollar complicaciones graves vinculadas a esta enfermedad, afirma Chin-Hong. Esto incluye a personas mayores de 65 años, personas con condiciones médicas crónicas, mujeres que planean un embarazo o que ya están embarazadas, y niños menores de 5 años.\u003c/p>\n\u003cp>La época ideal para que estas personas sean vacunadas es a mediados de octubre, recomienda Chin-Hong. Dos semanas después, al inicio de noviembre, el sistema inmune ha desarrollado los anticuerpos, justo a tiempo para cuando se intensifique la temporada de gripe. De esta manera, se aprovecha lo más que puede el impacto positivo de la vacuna, señala él.\u003c/p>\n\u003cp>¿Y si está en una de esas categorías vulnerables? Entonces sí puede considerar esperarse, dijo Chin-Hong. Quienes sean mayores de 65 años también pueden solicitar una vacuna diseñada en especial para este grupo demográfico, la cual contiene una dosis con cuatro veces más antígenos. Antígenos son las estructuras moleculares que inician la producción de los anticuerpos. Pero lo más importante es “no dudar tanto de que fecha es la ideal, ya que al final puede resultar que se le olvide recibir la vacuna”, dice Chin-Hong.\u003c/p>\n\u003cp>Pero si es que acaba demorando la fecha en que se vacuna, o simplemente se le olvida, no deje que esto prevenga que sea vacunado durante la temporada de gripe, dijo él. Chin-Hong se refiere a \u003ca href=\"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7453691/\">un estudio publicado por UCSF\u003c/a>, el cual revela que tan solo un tercio de 437,000 estadounidenses entrevistados en una encuesta recibieron la vacuna entre el 2017 al 2019. No importa cuándo se vacune, lo que importa es que lo haga.\u003c/p>\n\u003cp>El Dr. Jeff Smith del condado de Santa Clara también señaló en su rueda de prensa que cuanto más se espere, menos protección contra el virus de la gripe tendrá. Por esa razón, vacunese “lo más pronto posible” ya que “esperar sólo resultará en una probabilidad más alta que contraiga la enfermedad”.\u003c/p>\n\u003cp>\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-medium wp-image-11839378 alignnone\" src=\"https://ww2.kqed.org/app/uploads/sites/10/2020/09/shots3-1-800x533.png\" alt=\"\" width=\"800\" height=\"533\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2020/09/shots3-1-800x533.png 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2020/09/shots3-1-1020x680.png 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2020/09/shots3-1-160x107.png 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2020/09/shots3-1-1536x1024.png 1536w, https://cdn.kqed.org/wp-content/uploads/sites/10/2020/09/shots3-1.png 1900w\" sizes=\"(max-width: 800px) 100vw, 800px\">\u003c/p>\n\u003ch1>\u003cstrong>¿Dónde puedo recibir una vacuna contra la gripe si tengo seguro médico?\u003c/strong>\u003c/h1>\n\u003cul>Si tiene seguro médico, una vacuna contra la gripe es gratis ya que es considerada como un servicio de cuidado preventivo si se la administra su doctor regular o alguna de las farmacias que incluimos a continuación.\u003c/ul>\n\u003cp>Asegúrese de usar su cubrebocas, guardar el distanciamiento social mientras espera por su vacuna, y llevar puesta una camisa que tenga mangas que se puedan alzar fácilmente, para facilitar la inyección.\u003c/p>\n\u003cp>\u003cstrong>Lugares comunes en donde puede recibir su vacuna contra la gripe, que no requieren cita o que puede llegar en su vehículo.\u003c/strong>\u003c/p>\n\u003cul>\n\u003cli>\u003ca href=\"https://vaccinefinder.org/find-vaccine\">La herramienta de los CDC para encontrar centros de vacunaci\u003cspan style=\"font-weight: 400\">ón\u003c/span>\u003c/a> (en inglés)\u003c/li>\n\u003cli>\u003ca href=\"https://mydoctor.kaiserpermanente.org/ncal/cold-and-flu/prevention#/prevention\">Kaiser Permanente en el norte de California\u003c/a> (en inglés)\u003c/li>\n\u003cli>\u003ca href=\"https://es.cvs.com/immunizations/flu\">Vacunas para la gripe de CVS\u003c/a> (en espa\u003cspan style=\"font-weight: 400\">ñol)\u003c/span>\u003c/li>\n\u003cli>\u003ca href=\"https://www.walgreens.com/topic/pharmacy/seasonal-flu.jsp?ban=flu_fy21_influenzapage\">Vacunas para la gripe de Walgreens\u003c/a> (en espa\u003cspan style=\"font-weight: 400\">ñ\u003c/span>ol)\u003c/li>\n\u003cli>\u003ca href=\"https://www.costco.com/Pharmacy/adult-immunization-program.html\">Vacunas para la gripe de Costco Pharmacy\u003c/a> (en inglés)\u003c/li>\n\u003cli style=\"list-style-type: none\">\n\u003cul>\n\u003cli style=\"list-style-type: none\">\n\u003cul>\n\u003cli style=\"list-style-type: none\">\n\u003c/ul>\n\u003c/li>\n\u003c/ul>\n\u003c/li>\n\u003c/ul>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003ch1>\u003cstrong>¿Dónde puedo recibir una vacuna para la gripe si no tengo seguro médico?\u003c/strong>\u003c/h1>\n\u003cul>Si necesita una vacuna para la gripe pero no tiene seguro médico, puede recibir la vacuna sin costo alguno de ciertos proveedores de cuidado médico alrededor del Área de la Bahía. Si es que sí tiene seguro, también puede usar estos servicios pero puede elegir no hacerlo para que estos recursos sigan disponibles para quienes más los necesitan .\u003c/ul>\n\u003cp>El departamento de salud pública de su condado puede estar ofreciendo las vacunas. Por ejemplo, cada sábado hasta mediados de diciembre, el condado de Santa Clara está ofreciendo vacunas para la gripe gratis en los terrenos de la feria del condado en San José.\u003c/p>\n\u003cp>Cualquiera puede llegar a los terrenos de la feria caminando o en bicicleta (lugares de estacionamiento también están disponibles para personas con discapacidades), recibir su vacuna sin haber hecho cita y sin importar su estatus migratorio o falta de seguro médico. El único requisito es que lleve puesto su cubrebocas. El condado también ofrece vacunas contra la influenza en los centros Valley Health en San José y Sunnyvale.\u003c/p>\n\u003cp>Más información \u003ca href=\"https://www.sccgov.org/sites/covid19/Pages/home-es.aspx\">aquí\u003c/a>.\u003c/p>\n\u003ch1>\u003cstrong>Algunos lugares para recibir una vacuna contra la gripe gratis o de bajo costo en el Área de la Bahía:\u003c/strong>\u003c/h1>\n\u003cul>\n\u003cli>\u003ca href=\"https://www.sfcdcp.org/aitc/aitc-regular-prices-low-cost-or-free-vaccines/\">La clínica de salud p\u003cspan style=\"font-weight: 400\">ú\u003c/span>blica AITC de San Francisco\u003c/a> (ofrece una opción para que pague lo que pueda y sostiene que nadie será rechazado por no poder pagar)\u003c/li>\n\u003cli>\u003ca href=\"https://cchealth.org/immunization/clinics.php#Uninsured\">Clínica de salud pública e inmunización de Contra Costa\u003c/a> (vacunas para la gripe cuestan $15 para adultos mayores de 19 años pero no tiene que pagar si no puede pagar)\u003c/li>\n\u003cli>\u003ca href=\"http://www.acphd.org/media/394923/general-vaccinations-clinics-20200913-eng.pdf\">Clínicas de inmunización del condado de Alameda\u003c/a>\u003c/li>\n\u003c/ul>\n\u003ch1>\u003cb>Y recuerde…la vacuna para la gripe no lo puede contagiar de la gripe\u003c/b>\u003c/h1>\n\u003cp>\u003cspan style=\"font-weight: 400\">La vacuna para la gripe contiene un virus que ha sido inactivado o debilitado, y por esa razón uno no se puede “contagiar de la gripe” cuando se vacuna, \u003ca href=\"https://espanol.cdc.gov/flu/prevent/misconceptions.htm\">según los CDC\u003c/a>. La vacuna contra la gripe puede provocar efectos secundarios de la misma manera que cualquier otro producto médico pero \u003ca href=\"https://espanol.cdc.gov/flu/prevent/general.htm\">la dependencia sostiene\u003c/a> que estos “son generalmente leves y desaparecen por sí solos en pocos días”.\u003c/span>\u003c/p>\n\u003cp>\u003cspan style=\"font-weight: 400\">Algunos efectos secundarios comunes pueden ser dolores o inflamación cerca del sitio en donde fue inyectado, dolores de cabeza, fiebres, náusea o hasta dolores musculares. Pero nunca será la gripe. \u003c/span>\u003c/p>\n\u003cp>\u003cem>Este artículo fue traducido por el periodista, \u003ca>Carlos Cabrera-Lomelí\u003c/a>.\u003c/em>\u003c/p>\n\u003cp>\u003cem>\u003ca href=\"https://www.kqed.org/kqedenespanol\" target=\"_blank\" rel=\"noopener noreferrer\">Leer más reportajes de KQED en Español. \u003c/a>\u003c/em>\u003cbr>\n\u003c/p>\u003c/div>",
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"content": "\u003cp>The Centers for Disease Control and Prevention estimates that the flu has caused between \u003ca href=\"https://www.cdc.gov/flu/about/burden/\">12,000 and 61,000 deaths\u003c/a> annually since 2010. So it’s always serious business.\u003c/p>\n\u003cp>But this year, amid the coronavirus pandemic, it’s especially crucial to do everything you can to stay flu-free. Especially as \u003ca href=\"https://www.kqed.org/coronavirusliveupdates/news/11839496/california-officials-warn-the-flu-covid-19-could-overwhelm-hospitals\">officials are already warning\u003c/a> that a severe flu season could overwhelm California hospitals that are preparing for an uptick in COVID-19 cases as the economy further reopens.\u003c/p>\n\u003cp>Getting your flu shot is the best, safest way to not only protect yourself against the influenza virus, but also to minimize the chance you will spread it to others — folks who could be at far higher risk for serious complications or even death if they were to become infected.\u003c/p>\n\u003cp>In a recent press conference announcing the availability of free flu shots in Santa Clara County, county Executive Officer Dr. Jeff Smith issued a reminder that the flu vaccine will not protect against the coronavirus that causes COVID-19. But what the flu vaccine \u003cem>will\u003c/em> do, he said, “is prevent you from ending up in the hospital,” which will help ensure that beds are available for COVID-19 patients.\u003c/p>\n\u003cp>Read on to find out if you should be getting your flu shot right now, and where to find free or low-cost flu shot options near you.\u003c/p>\n\u003ch3>Should you get a flu shot now, or wait?\u003c/h3>\n\u003cp>The recommendations medical professionals make about when to get a flu shot are based on the fact that it takes about two weeks after you get vaccinated for antibodies to develop and provide protection against the flu, says UCSF professor of medicine Dr. Peter Chin-Hong.\u003c/p>\n\u003cp>The CDC \u003ca href=\"https://www.cdc.gov/flu/about/season/flu-season-2018-2019.htm#:~:text=It%20takes%20about%20two%20weeks,by%20the%20end%20of%20October.\">recommends\u003c/a> that you plan to get your flu shot “early in fall, before flu season begins,” and definitely by the end of October.\u003c/p>\n\u003cfigure id=\"attachment_11838737\" class=\"wp-caption alignnone\" style=\"max-width: 1900px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-11838737\" src=\"https://ww2.kqed.org/app/uploads/sites/10/2020/09/shots2.png\" alt=\"\" width=\"1900\" height=\"1267\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2020/09/shots2.png 1900w, https://cdn.kqed.org/wp-content/uploads/sites/10/2020/09/shots2-800x533.png 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2020/09/shots2-1020x680.png 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2020/09/shots2-160x107.png 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2020/09/shots2-1536x1024.png 1536w\" sizes=\"auto, (max-width: 1900px) 100vw, 1900px\">\u003cfigcaption class=\"wp-caption-text\">It takes two weeks after your flu shot for your body to develop the antibodies it needs to protect you from the flu virus. \u003ccite>(Queen's University/Flickr)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>There is \u003ca href=\"https://pubmed.ncbi.nlm.nih.gov/28039340/\" target=\"_blank\" rel=\"noopener noreferrer\">evidence\u003c/a>, Chin-Hong says, that your risk of getting the flu increases every month after your flu shot, due to the antibodies waning over time. (Dr. Anthony Fauci, director of the National Institute of Allergy and Infectious Diseases, recently said he \u003ca href=\"https://www.cnbc.com/2020/09/16/when-dr-anthony-fauci-gets-his-flu-shot-and-why.html\">gets his shot\u003c/a> “towards the middle and end of October” because of this diminishing immunity.)\u003c/p>\n\u003cp>But when medical professionals talk about strategically “waiting” to get a flu shot, says Chin-Hong, they’re aiming that advice at those who are at particularly high risk for more serious complications related to the flu. That includes people over 65, those with chronic medical conditions, women who are pregnant or planning a pregnancy, and kids under 5.\u003c/p>\n\u003cp>Delaying inoculations for these populations is based on the idea of getting the shot at a time Chin-Hong calls “the sweet spot,” around mid-to-late October. Two weeks later, right around early November, the antibodies should have developed, just as flu season is getting serious. Think of it as getting the “biggest bang for your buck,” he said.\u003c/p>\n\u003cp>So if you’re in one of those vulnerable categories? Yes, you can think about waiting, says Chin-Hong. People over 65 might also consider requesting the special flu vaccines for this age group, which contain four times the dosage of antigens that trigger the production of antibodies. But ultimately, he says, “Don’t hem and haw about when to get it,” — because there’s a risk you may wind up forgetting to get it at all. ”\u003c/p>\n\u003cp>And if you do delay and change your mind, or just forget, that shouldn’t stop you from getting the shot at a later date in the flu season, he says. Chin-Hong references\u003ca href=\"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7453691/\"> a recent UCSF study\u003c/a> that found just one-third of 437,000 Americans interviewed in an annual survey reported getting a flu shot from 2017-19. So, anytime is better than no time.\u003c/p>\n\u003cp>Santa Clara’s Dr. Jeff Smith also pointed out in his press conference that the longer you wait to get your flu shot, the more unprotected exposure to the virus you’ll put yourself through. So get your flu shot “as early as you possibly can,” he said, because “waiting only means that you have a higher likelihood of getting the flu.”\u003c/p>\n\u003cp>\u003cimg loading=\"lazy\" decoding=\"async\" class=\"alignnone size-full wp-image-11838740\" src=\"https://ww2.kqed.org/app/uploads/sites/10/2020/09/shots3.png\" alt=\"\" width=\"1900\" height=\"1267\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2020/09/shots3.png 1900w, https://cdn.kqed.org/wp-content/uploads/sites/10/2020/09/shots3-800x533.png 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2020/09/shots3-1020x680.png 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2020/09/shots3-160x107.png 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2020/09/shots3-1536x1024.png 1536w\" sizes=\"auto, (max-width: 1900px) 100vw, 1900px\">\u003c/p>\n\u003ch3>Where can I get a flu shot if I have insurance?\u003c/h3>\n\u003cp>If you have health insurance, a flu shot is available free without cost as a preventive service from your usual doctor, or most pharmacies. (See below.)\u003c/p>\n\u003cp>Make sure you’re wearing your mask, maintain social distancing wherever possible while waiting for your shot, and dress in a top with sleeves you can easily pull up to your shoulder, to make receiving the injection even easier (and quicker.)\u003c/p>\n\u003cp>\u003cstrong>Common places to find a flu shot appointment, walk-in site or drive-thru flu shot:\u003c/strong>\u003c/p>\n\u003cul>\n\u003cli>\u003ca href=\"https://vaccinefinder.org/find-vaccine\">CDC’s Vaccine Finder tool\u003c/a>\u003c/li>\n\u003cli>\u003ca href=\"https://mydoctor.kaiserpermanente.org/ncal/cold-and-flu/prevention#/prevention\">Kaiser Permanente flu shots (Northern California) \u003c/a>\u003c/li>\n\u003cli>\u003ca href=\"https://www.cvs.com/immunizations/flu\">CVS flu shots\u003c/a>\u003c/li>\n\u003cli>\u003ca href=\"https://www.walgreens.com/topic/pharmacy/seasonal-flu.jsp?ban=flu_fy21_influenzapage\">Walgreens flu shots \u003c/a>\u003c/li>\n\u003cli>\u003ca href=\"https://www.costco.com/Pharmacy/adult-immunization-program.html\">Costco Pharmacy flu shots\u003c/a>\u003c/li>\n\u003c/ul>\n\u003ch3>Where can I get a flu shot if I \u003cem>don’t\u003c/em> have health insurance?\u003c/h3>\n\u003cp>If you want a flu shot but don’t have health insurance, you can get the vaccine free of charge from several providers and community clinics around the Bay Area. (You can also technically use these free services even if you do have insurance, but you may consider choosing to free up these particular resources for those who are not covered.)\u003c/p>\n\u003cp>For a start, your county’s own public health department might offer them. For example, Santa Clara County is now offering free flu shots at the County Fairgrounds in San Jose, every Saturday until mid-December.\u003c/p>\n\u003cp>Anyone can walk or bike up to the fairgrounds (parking is also available for those with disabilities) without an appointment and get vaccinated, regardless of insurance or immigration status; you only need to wear a mask. Free flu shots are also available from the county at the Valley Health Centers in San Jose and Sunnyvale.\u003c/p>\n\u003cp>More info \u003ca href=\"https://www.sccgov.org/sites/covid19/Pages/press-release-09-17-20-free-flu-shots.aspx\">here\u003c/a>.\u003c/p>\n\u003cp>\u003cstrong>Places to get a free or low-cost flu shot in the Bay Area include:\u003c/strong>\u003c/p>\n\u003cul>\n\u003cli>\u003ca href=\"https://www.sfcdcp.org/aitc/aitc-regular-prices-low-cost-or-free-vaccines/\">San Francisco Public Health’s AITC Clinic\u003c/a> (offers a pay-what-you-can option, and says that nobody will be refused for inability to pay)\u003c/li>\n\u003cli>\u003ca href=\"https://cchealth.org/immunization/clinics.php#Uninsured\">Contra Costa Public Health Immunization Clinic\u003c/a> (flu shots are $15 for adults over 19, but fees may be waived if you’re unable to pay)\u003c/li>\n\u003cli>\u003ca href=\"http://www.acphd.org/media/394923/general-vaccinations-clinics-20200913-eng.pdf\">Alameda County Immunization Clinics\u003c/a>\u003c/li>\n\u003c/ul>\n\u003cp>\u003cspan style=\"font-weight: 400;\">[ad fullwidth]\u003c/span>\u003c/p>\n\u003ch3>And a reminder … the flu vaccine can’t ‘give you the flu’\u003c/h3>\n\u003cp>The virus that the flu shot contains has been inactivated or severely weakened, so you just aren’t physically able to “get the flu” from your flu shot, according to the \u003ca href=\"https://www.cdc.gov/flu/prevent/misconceptions.htm#:~:text=Can%20a%20flu%20vaccine%20give,protein%20from%20the%20flu%20virus.\" target=\"_blank\" rel=\"noopener noreferrer\">CDC\u003c/a>. The flu vaccine can cause side effects like any medical product, but they’re “generally mild and go away on their own within a few days,” the agency \u003ca href=\"https://www.cdc.gov/flu/prevent/general.htm\" target=\"_blank\" rel=\"noopener noreferrer\">says\u003c/a>.\u003c/p>\n\u003cp>Common flu shot side effects can include soreness or swelling at the injection site, headache, fever, nausea and muscle aches. But not flu.\u003c/p>\n\u003cp>[ad floatright]\u003c/p>\n",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>The Centers for Disease Control and Prevention estimates that the flu has caused between \u003ca href=\"https://www.cdc.gov/flu/about/burden/\">12,000 and 61,000 deaths\u003c/a> annually since 2010. So it’s always serious business.\u003c/p>\n\u003cp>But this year, amid the coronavirus pandemic, it’s especially crucial to do everything you can to stay flu-free. Especially as \u003ca href=\"https://www.kqed.org/coronavirusliveupdates/news/11839496/california-officials-warn-the-flu-covid-19-could-overwhelm-hospitals\">officials are already warning\u003c/a> that a severe flu season could overwhelm California hospitals that are preparing for an uptick in COVID-19 cases as the economy further reopens.\u003c/p>\n\u003cp>Getting your flu shot is the best, safest way to not only protect yourself against the influenza virus, but also to minimize the chance you will spread it to others — folks who could be at far higher risk for serious complications or even death if they were to become infected.\u003c/p>\n\u003cp>In a recent press conference announcing the availability of free flu shots in Santa Clara County, county Executive Officer Dr. Jeff Smith issued a reminder that the flu vaccine will not protect against the coronavirus that causes COVID-19. But what the flu vaccine \u003cem>will\u003c/em> do, he said, “is prevent you from ending up in the hospital,” which will help ensure that beds are available for COVID-19 patients.\u003c/p>\n\u003cp>Read on to find out if you should be getting your flu shot right now, and where to find free or low-cost flu shot options near you.\u003c/p>\n\u003ch3>Should you get a flu shot now, or wait?\u003c/h3>\n\u003cp>The recommendations medical professionals make about when to get a flu shot are based on the fact that it takes about two weeks after you get vaccinated for antibodies to develop and provide protection against the flu, says UCSF professor of medicine Dr. Peter Chin-Hong.\u003c/p>\n\u003cp>The CDC \u003ca href=\"https://www.cdc.gov/flu/about/season/flu-season-2018-2019.htm#:~:text=It%20takes%20about%20two%20weeks,by%20the%20end%20of%20October.\">recommends\u003c/a> that you plan to get your flu shot “early in fall, before flu season begins,” and definitely by the end of October.\u003c/p>\n\u003cfigure id=\"attachment_11838737\" class=\"wp-caption alignnone\" style=\"max-width: 1900px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-11838737\" src=\"https://ww2.kqed.org/app/uploads/sites/10/2020/09/shots2.png\" alt=\"\" width=\"1900\" height=\"1267\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2020/09/shots2.png 1900w, https://cdn.kqed.org/wp-content/uploads/sites/10/2020/09/shots2-800x533.png 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2020/09/shots2-1020x680.png 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2020/09/shots2-160x107.png 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2020/09/shots2-1536x1024.png 1536w\" sizes=\"auto, (max-width: 1900px) 100vw, 1900px\">\u003cfigcaption class=\"wp-caption-text\">It takes two weeks after your flu shot for your body to develop the antibodies it needs to protect you from the flu virus. \u003ccite>(Queen's University/Flickr)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>There is \u003ca href=\"https://pubmed.ncbi.nlm.nih.gov/28039340/\" target=\"_blank\" rel=\"noopener noreferrer\">evidence\u003c/a>, Chin-Hong says, that your risk of getting the flu increases every month after your flu shot, due to the antibodies waning over time. (Dr. Anthony Fauci, director of the National Institute of Allergy and Infectious Diseases, recently said he \u003ca href=\"https://www.cnbc.com/2020/09/16/when-dr-anthony-fauci-gets-his-flu-shot-and-why.html\">gets his shot\u003c/a> “towards the middle and end of October” because of this diminishing immunity.)\u003c/p>\n\u003cp>But when medical professionals talk about strategically “waiting” to get a flu shot, says Chin-Hong, they’re aiming that advice at those who are at particularly high risk for more serious complications related to the flu. That includes people over 65, those with chronic medical conditions, women who are pregnant or planning a pregnancy, and kids under 5.\u003c/p>\n\u003cp>Delaying inoculations for these populations is based on the idea of getting the shot at a time Chin-Hong calls “the sweet spot,” around mid-to-late October. Two weeks later, right around early November, the antibodies should have developed, just as flu season is getting serious. Think of it as getting the “biggest bang for your buck,” he said.\u003c/p>\n\u003cp>So if you’re in one of those vulnerable categories? Yes, you can think about waiting, says Chin-Hong. People over 65 might also consider requesting the special flu vaccines for this age group, which contain four times the dosage of antigens that trigger the production of antibodies. But ultimately, he says, “Don’t hem and haw about when to get it,” — because there’s a risk you may wind up forgetting to get it at all. ”\u003c/p>\n\u003cp>And if you do delay and change your mind, or just forget, that shouldn’t stop you from getting the shot at a later date in the flu season, he says. Chin-Hong references\u003ca href=\"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7453691/\"> a recent UCSF study\u003c/a> that found just one-third of 437,000 Americans interviewed in an annual survey reported getting a flu shot from 2017-19. So, anytime is better than no time.\u003c/p>\n\u003cp>Santa Clara’s Dr. Jeff Smith also pointed out in his press conference that the longer you wait to get your flu shot, the more unprotected exposure to the virus you’ll put yourself through. So get your flu shot “as early as you possibly can,” he said, because “waiting only means that you have a higher likelihood of getting the flu.”\u003c/p>\n\u003cp>\u003cimg loading=\"lazy\" decoding=\"async\" class=\"alignnone size-full wp-image-11838740\" src=\"https://ww2.kqed.org/app/uploads/sites/10/2020/09/shots3.png\" alt=\"\" width=\"1900\" height=\"1267\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2020/09/shots3.png 1900w, https://cdn.kqed.org/wp-content/uploads/sites/10/2020/09/shots3-800x533.png 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2020/09/shots3-1020x680.png 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2020/09/shots3-160x107.png 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2020/09/shots3-1536x1024.png 1536w\" sizes=\"auto, (max-width: 1900px) 100vw, 1900px\">\u003c/p>\n\u003ch3>Where can I get a flu shot if I have insurance?\u003c/h3>\n\u003cp>If you have health insurance, a flu shot is available free without cost as a preventive service from your usual doctor, or most pharmacies. (See below.)\u003c/p>\n\u003cp>Make sure you’re wearing your mask, maintain social distancing wherever possible while waiting for your shot, and dress in a top with sleeves you can easily pull up to your shoulder, to make receiving the injection even easier (and quicker.)\u003c/p>\n\u003cp>\u003cstrong>Common places to find a flu shot appointment, walk-in site or drive-thru flu shot:\u003c/strong>\u003c/p>\n\u003cul>\n\u003cli>\u003ca href=\"https://vaccinefinder.org/find-vaccine\">CDC’s Vaccine Finder tool\u003c/a>\u003c/li>\n\u003cli>\u003ca href=\"https://mydoctor.kaiserpermanente.org/ncal/cold-and-flu/prevention#/prevention\">Kaiser Permanente flu shots (Northern California) \u003c/a>\u003c/li>\n\u003cli>\u003ca href=\"https://www.cvs.com/immunizations/flu\">CVS flu shots\u003c/a>\u003c/li>\n\u003cli>\u003ca href=\"https://www.walgreens.com/topic/pharmacy/seasonal-flu.jsp?ban=flu_fy21_influenzapage\">Walgreens flu shots \u003c/a>\u003c/li>\n\u003cli>\u003ca href=\"https://www.costco.com/Pharmacy/adult-immunization-program.html\">Costco Pharmacy flu shots\u003c/a>\u003c/li>\n\u003c/ul>\n\u003ch3>Where can I get a flu shot if I \u003cem>don’t\u003c/em> have health insurance?\u003c/h3>\n\u003cp>If you want a flu shot but don’t have health insurance, you can get the vaccine free of charge from several providers and community clinics around the Bay Area. (You can also technically use these free services even if you do have insurance, but you may consider choosing to free up these particular resources for those who are not covered.)\u003c/p>\n\u003cp>For a start, your county’s own public health department might offer them. For example, Santa Clara County is now offering free flu shots at the County Fairgrounds in San Jose, every Saturday until mid-December.\u003c/p>\n\u003cp>Anyone can walk or bike up to the fairgrounds (parking is also available for those with disabilities) without an appointment and get vaccinated, regardless of insurance or immigration status; you only need to wear a mask. Free flu shots are also available from the county at the Valley Health Centers in San Jose and Sunnyvale.\u003c/p>\n\u003cp>More info \u003ca href=\"https://www.sccgov.org/sites/covid19/Pages/press-release-09-17-20-free-flu-shots.aspx\">here\u003c/a>.\u003c/p>\n\u003cp>\u003cstrong>Places to get a free or low-cost flu shot in the Bay Area include:\u003c/strong>\u003c/p>\n\u003cul>\n\u003cli>\u003ca href=\"https://www.sfcdcp.org/aitc/aitc-regular-prices-low-cost-or-free-vaccines/\">San Francisco Public Health’s AITC Clinic\u003c/a> (offers a pay-what-you-can option, and says that nobody will be refused for inability to pay)\u003c/li>\n\u003cli>\u003ca href=\"https://cchealth.org/immunization/clinics.php#Uninsured\">Contra Costa Public Health Immunization Clinic\u003c/a> (flu shots are $15 for adults over 19, but fees may be waived if you’re unable to pay)\u003c/li>\n\u003cli>\u003ca href=\"http://www.acphd.org/media/394923/general-vaccinations-clinics-20200913-eng.pdf\">Alameda County Immunization Clinics\u003c/a>\u003c/li>\n\u003c/ul>\n\u003cp>\u003cspan style=\"font-weight: 400;\">\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/span>\u003c/p>\n\u003ch3>And a reminder … the flu vaccine can’t ‘give you the flu’\u003c/h3>\n\u003cp>The virus that the flu shot contains has been inactivated or severely weakened, so you just aren’t physically able to “get the flu” from your flu shot, according to the \u003ca href=\"https://www.cdc.gov/flu/prevent/misconceptions.htm#:~:text=Can%20a%20flu%20vaccine%20give,protein%20from%20the%20flu%20virus.\" target=\"_blank\" rel=\"noopener noreferrer\">CDC\u003c/a>. The flu vaccine can cause side effects like any medical product, but they’re “generally mild and go away on their own within a few days,” the agency \u003ca href=\"https://www.cdc.gov/flu/prevent/general.htm\" target=\"_blank\" rel=\"noopener noreferrer\">says\u003c/a>.\u003c/p>\n\u003cp>Common flu shot side effects can include soreness or swelling at the injection site, headache, fever, nausea and muscle aches. But not flu.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cp>Dr. Jessica Zitter specializes in critical and palliative care medicine and practices at Highland Hospital in Oakland, where she helps people with serious illness talk about how they want to live, all the way to the end.\u003c/p>\n\u003cp>Zitter says those are conversations we all should be having with our loved ones — even if we’re healthy and young. She is the author of \u003ca href=\"https://protect-us.mimecast.com/s/GEp6CyPmRxsNByzzfZXprl?domain=jessicazitter.com\" target=\"_blank\" rel=\"noopener noreferrer\">Extreme Measures: Finding a Better Path to the End of Life,\u003c/a> and her work has been featured in the documentary \u003ca href=\"https://www.netflix.com/title/80106307\">“Extremis”\u003c/a> on Netflix, as well as the forthcoming film \u003ca href=\"https://protect-us.mimecast.com/s/YsLqCzpn0ysRjmppUXnBtw?domain=caregiveralovestory.com\">“Caregiver: A Love Story.” \u003c/a>\u003c/p>\n\u003cp>Here are three stories about her patients, followed by some concrete tools you can use for planning and talking about the end of your life with loved ones.\u003c/p>\n\u003ch3>Michael Thomas: ‘Enjoying Every Moment’\u003c/h3>\n\u003cp>Michael Thomas is 64 and has COPD, a lung disease that makes it hard to breathe. He has already been in and out of the hospital several times this year and is particularly vulnerable if he were to get sick with COVID-19.\u003c/p>\n\u003cp>When Zitter talked with him over Zoom this spring, she asked him what he wanted most. His answer? To be with his children and grandchildren in Ohio. But he also said he didn’t feel a sense of urgency to visit them, because he believed he had plenty of time left.\u003c/p>\n\u003cfigure id=\"attachment_11838731\" class=\"wp-caption alignnone\" style=\"max-width: 800px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-medium wp-image-11838731\" src=\"https://ww2.kqed.org/app/uploads/sites/10/2020/09/RS44913_Michael-Thomas-with-family_cropped-800x450.jpg\" alt=\"Michael Thomas' family visits him in an Ohio hospital.\" width=\"800\" height=\"450\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2020/09/RS44913_Michael-Thomas-with-family_cropped-800x450.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2020/09/RS44913_Michael-Thomas-with-family_cropped-1020x574.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2020/09/RS44913_Michael-Thomas-with-family_cropped-160x90.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2020/09/RS44913_Michael-Thomas-with-family_cropped-1536x864.jpg 1536w, https://cdn.kqed.org/wp-content/uploads/sites/10/2020/09/RS44913_Michael-Thomas-with-family_cropped.jpg 1920w\" sizes=\"(max-width: 800px) 100vw, 800px\">\u003cfigcaption class=\"wp-caption-text\">Michael Thomas’ family visits him in an Ohio hospital. \u003ccite>(Courtesy of Michael Thomas)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>“You are a more confident person than I am about myself!” Zitter told him. “I want to be totally frank with you, because I think you deserve that. I’m concerned you may not have as much time to live as you think you do. If someone told me, ‘Michael is going to die within the next six months,’ I would not be surprised.”\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>Zitter said she has to steel herself to deliver this kind of news. But she believes her patients deserve to know the truth.\u003c/p>\n\u003cp>“I know you have some serious goals, and they include being with family,” she told Thomas. “I would hate for you to miss that opportunity.”\u003c/p>\n\u003cp>[pullquote size=\"medium\" align=\"right\" citation=\"Dr. Jessica Zitter, critical and palliative care specialist\"]‘This is really what palliative care is all about. It’s about how people want to live their lives. That informs how people want to die. But it really starts with how they want to live.’[/pullquote]\u003c/p>\n\u003cp>Thomas has since moved to Ohio to be close to his family — a decision sparked by his conversation with Zitter and Highland Hospital’s chaplain, Pastor Betty Clark.\u003c/p>\n\u003cp>“I didn’t want to come home. I didn’t want my family to see me in the condition that I’m in,” Thomas told Zitter over zoom after his move to Ohio. “That’s why I was hesitant to come. But then I know they love me so much. And here I am today, enjoying every moment.”\u003c/p>\n\u003cp>“It just shows that if we can just bring ourselves to just face our mortality and plan for it, we can get what Michael got,” Zitter said. “We can get this precious time with the people that he loved the most or whatever it is that’s most important to you.”\u003c/p>\n\u003cfigure id=\"attachment_11838351\" class=\"wp-caption alignnone\" style=\"max-width: 800px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-medium wp-image-11838351\" src=\"https://ww2.kqed.org/app/uploads/sites/10/2020/09/RS44911_Jessica-Zitter-Evan-Rusoja-with-patient-qut-800x533.jpg\" alt=\"Dr. Jessica Zitter with a patient at Highland Hospital in Oakland. \" width=\"800\" height=\"533\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2020/09/RS44911_Jessica-Zitter-Evan-Rusoja-with-patient-qut-800x533.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2020/09/RS44911_Jessica-Zitter-Evan-Rusoja-with-patient-qut-1020x680.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2020/09/RS44911_Jessica-Zitter-Evan-Rusoja-with-patient-qut-160x107.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2020/09/RS44911_Jessica-Zitter-Evan-Rusoja-with-patient-qut-1536x1024.jpg 1536w, https://cdn.kqed.org/wp-content/uploads/sites/10/2020/09/RS44911_Jessica-Zitter-Evan-Rusoja-with-patient-qut.jpg 1920w\" sizes=\"(max-width: 800px) 100vw, 800px\">\u003cfigcaption class=\"wp-caption-text\">Dr. Jessica Zitter with a patient at Highland Hospital in Oakland. \u003ccite>(Courtesy of Jessica Zitter)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003ch3>Evelyn Jarillo: ‘It Makes You Think About Others’\u003c/h3>\n\u003cp>Evelyn Jarillo is a grocery store worker in Los Angeles who got sick with COVID-19 in March. She recovered, but her husband, who has diabetes, also tested positive and is still suffering from health complications. She’s also worried about her 22-year-old son.\u003c/p>\n\u003cp>“When you’re sick and you’re feeling the way you feel, it makes you think about others,” Jarillo told Zitter when they spoke by Zoom recently. “It made you think about what happens if my son gets sick, what happens if he doesn’t make it? No mother will be able to deal with [talking to] their kids about, ‘Son, if you die tomorrow, what do you want me to do?’ ”\u003c/p>\n\u003cp>“Wait, let me make sure I understand,” Zitter said. “Are you saying you can’t ask your son, ‘What you want me to do if you got COVID and you were in the hospital on a ventilator?’ You don’t feel like you could talk to him about that?”\u003c/p>\n\u003cp>“I can’t,” Jarillo told her.\u003c/p>\n\u003cp>“Evelyn saw something that most of us don’t get a chance to see,” said Zitter. “She saw the potential for death.”\u003c/p>\n\u003cp>Like many of us, when Jarillo thought about members of her family dying, she faced a mental block, Zitter said. It seemed easier for Jarillo to share her thoughts about flower arrangements for her own funeral than to think about tough topics like a do-not-resuscitate order or discussing it with her children.\u003c/p>\n\u003cp>[aside tag=\"end-of-life\" label=\"related coverage\"]\u003c/p>\n\u003cp>Zitter had a similar conversation with her own son on his 18th birthday by playing a game called \u003ca href=\"http://www.gowish.org/\">Go Wish\u003c/a>. The game helps families talk about their preferences around death and the important things they want to hold on to throughout the course of their life.\u003c/p>\n\u003cp>“Like Evelyn, the last thing I want to do is think about my children dying,” said Zitter. “It’s just grim. It’s horrifying. It feels in some ways like not what a mother does, right? A mother is supposed to focus on the positives, the weddings. We’re not supposed to focus on the deathbed moments of a child. But asking open-ended questions is something you can and should do with your family. Just leaving space for more.”\u003c/p>\n\u003cp>Zitter has conducted workshops on death and dying with teenagers. Just like sex education, she says, there should be a place for death education in high schools.\u003c/p>\n\u003ch3>Andrew Rich: ‘This Is Where I Want to Die’\u003c/h3>\n\u003cfigure id=\"attachment_11838192\" class=\"wp-caption alignnone\" style=\"max-width: 800px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-medium wp-image-11838192\" src=\"https://ww2.kqed.org/app/uploads/sites/10/2020/09/RS44908_Andrew-Neville-smiling-qut-800x803.jpg\" alt=\"\" width=\"800\" height=\"803\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2020/09/RS44908_Andrew-Neville-smiling-qut-800x803.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2020/09/RS44908_Andrew-Neville-smiling-qut-1020x1024.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2020/09/RS44908_Andrew-Neville-smiling-qut-160x161.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2020/09/RS44908_Andrew-Neville-smiling-qut-1530x1536.jpg 1530w, https://cdn.kqed.org/wp-content/uploads/sites/10/2020/09/RS44908_Andrew-Neville-smiling-qut.jpg 1904w\" sizes=\"(max-width: 800px) 100vw, 800px\">\u003cfigcaption class=\"wp-caption-text\">Andrew Rich with his dad, Neville Rich. \u003ccite>(Courtesy of Andrew Rich.)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>Andrew Rich traveled to Sonoma early in the pandemic to celebrate his dad’s 92nd birthday. During the visit, his father got sick. They didn’t realize it was COVID-19, and when his father had great difficulty breathing, the family decided to bring him to an emergency room. He spent two weeks on a ventilator and then died alone in the hospital, because COVID-19 rules meant no one could visit him.\u003c/p>\n\u003cp>Rich said that was not what his dad had planned when he imagined his death.\u003c/p>\n\u003cp>“If we could rewind the clock two weeks to that Sunday morning when he collapsed, if we could have put him back in bed and said, ‘Dad, there’s the high likelihood that you have COVID and you’re 92, what do you want to do?’ He absolutely would have said, ‘Leave me here. This is where I want to be. I want to be in this bedroom looking out in the valley. And if I die, this is where I want to die,’ ” Rich said.\u003c/p>\n\u003cp>“The best-laid plans can get completely upended in the face of fear and illness and symptoms and your family not being there with you,” said Zitter, who recommends that families talk proactively about their wishes. “These conversations have to happen early and frequently. We have to get over the fear of talking about it and make it part of our family’s conversations around the dinner table.”\u003c/p>\n\u003cp>Zitter said that she is “very much committed” to critical care medicine and said that it is “in some ways miraculous.” But Zitter says the medicine that keeps us alive should not distract us from the truth of our mortality.\u003c/p>\n\u003cp>“We’ve watched the rise of the hospital and the intensive care unit to the point that we’ve become enamored of the many interventions and treatments that we consider to be the offerings of our modern medical system,” she said. “We’ve really lost the discriminating power and allowed ourselves to get completely distracted from making the preparations we need to face death, from thinking about our deaths and how we want to live, right to the end.”\u003c/p>\n\u003cp>“This is really what palliative care is all about. It’s about how people want to live their lives,” Zitter said. “That informs how people want to die. But it really starts with how they want to live.”\u003c/p>\n\u003ch3>\u003cstrong>Resources\u003c/strong>\u003c/h3>\n\u003cp>Here are things you can do to prepare, no matter your age or health.\u003c/p>\n\u003cul>\n\u003cli>Play “\u003ca href=\"http://gowish.org/\">Go Wish\u003c/a>” with your loved ones. The game helps people start talking about what is most important to them in terms of health and life.\u003c/li>\n\u003cli>Have a conversation about death at the dinner table. The interactive website \u003ca href=\"https://deathoverdinner.org/\">Death Over Dinner\u003c/a> can help you plan your conversation.\u003c/li>\n\u003cli>Write up an \u003ca href=\"https://www.nhpco.org/patients-and-caregivers/advance-care-planning/advance-directives/downloading-your-states-advance-directive/\">Advance Directive\u003c/a> and give it to your doctors and your loved ones. This document should be reviewed whenever your medical condition changes or you learn new information about an illness or condition.\u003c/li>\n\u003cli>People with advanced illness who are considered to be at risk for a life-threatening clinical event should talk to their doctor about completing a \u003ca href=\"https://polst.org/form-patients\">POLST\u003c/a> form. A POLST form is a medical order that documents a person’s preferences for receiving or not receiving certain types of medical interventions (for example, chest compressions, a feeding tube or a breathing tube).\u003c/li>\n\u003cli>If needed, execute a \u003ca href=\"https://www.nolo.com/legal-encyclopedia/california-financial-power-of-attorney-31871.html\">Durable Financial Power of Attorney\u003c/a>, a simple way to arrange for someone to handle your finances, such a bills or insurance matters, if you are unable to do so yourself.\u003c/li>\n\u003cli>Write your \u003ca href=\"https://money.usnews.com/money/personal-finance/family-finance/articles/steps-to-writing-a-will\">last will and testament\u003c/a> and/or a \u003ca href=\"https://www.nextavenue.org/do-you-need-a-trust-for-your-estate-plan/\">revocable trust \u003c/a>to clarify and determine how your assets are distributed after death.\u003c/li>\n\u003cli>Consider what your preferences are for a memorial ceremony, and discuss it with your loved ones.\u003c/li>\n\u003c/ul>\n\u003cp>[ad floatright]\u003c/p>\n\u003cp>https://www.youtube.com/watch?v=TJiY8duVgz0\u003c/p>\n\n",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>Dr. Jessica Zitter specializes in critical and palliative care medicine and practices at Highland Hospital in Oakland, where she helps people with serious illness talk about how they want to live, all the way to the end.\u003c/p>\n\u003cp>Zitter says those are conversations we all should be having with our loved ones — even if we’re healthy and young. She is the author of \u003ca href=\"https://protect-us.mimecast.com/s/GEp6CyPmRxsNByzzfZXprl?domain=jessicazitter.com\" target=\"_blank\" rel=\"noopener noreferrer\">Extreme Measures: Finding a Better Path to the End of Life,\u003c/a> and her work has been featured in the documentary \u003ca href=\"https://www.netflix.com/title/80106307\">“Extremis”\u003c/a> on Netflix, as well as the forthcoming film \u003ca href=\"https://protect-us.mimecast.com/s/YsLqCzpn0ysRjmppUXnBtw?domain=caregiveralovestory.com\">“Caregiver: A Love Story.” \u003c/a>\u003c/p>\n\u003cp>Here are three stories about her patients, followed by some concrete tools you can use for planning and talking about the end of your life with loved ones.\u003c/p>\n\u003ch3>Michael Thomas: ‘Enjoying Every Moment’\u003c/h3>\n\u003cp>Michael Thomas is 64 and has COPD, a lung disease that makes it hard to breathe. He has already been in and out of the hospital several times this year and is particularly vulnerable if he were to get sick with COVID-19.\u003c/p>\n\u003cp>When Zitter talked with him over Zoom this spring, she asked him what he wanted most. His answer? To be with his children and grandchildren in Ohio. But he also said he didn’t feel a sense of urgency to visit them, because he believed he had plenty of time left.\u003c/p>\n\u003cfigure id=\"attachment_11838731\" class=\"wp-caption alignnone\" style=\"max-width: 800px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-medium wp-image-11838731\" src=\"https://ww2.kqed.org/app/uploads/sites/10/2020/09/RS44913_Michael-Thomas-with-family_cropped-800x450.jpg\" alt=\"Michael Thomas' family visits him in an Ohio hospital.\" width=\"800\" height=\"450\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2020/09/RS44913_Michael-Thomas-with-family_cropped-800x450.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2020/09/RS44913_Michael-Thomas-with-family_cropped-1020x574.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2020/09/RS44913_Michael-Thomas-with-family_cropped-160x90.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2020/09/RS44913_Michael-Thomas-with-family_cropped-1536x864.jpg 1536w, https://cdn.kqed.org/wp-content/uploads/sites/10/2020/09/RS44913_Michael-Thomas-with-family_cropped.jpg 1920w\" sizes=\"(max-width: 800px) 100vw, 800px\">\u003cfigcaption class=\"wp-caption-text\">Michael Thomas’ family visits him in an Ohio hospital. \u003ccite>(Courtesy of Michael Thomas)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>“You are a more confident person than I am about myself!” Zitter told him. “I want to be totally frank with you, because I think you deserve that. I’m concerned you may not have as much time to live as you think you do. If someone told me, ‘Michael is going to die within the next six months,’ I would not be surprised.”\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>Zitter said she has to steel herself to deliver this kind of news. But she believes her patients deserve to know the truth.\u003c/p>\n\u003cp>“I know you have some serious goals, and they include being with family,” she told Thomas. “I would hate for you to miss that opportunity.”\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "‘This is really what palliative care is all about. It’s about how people want to live their lives. That informs how people want to die. But it really starts with how they want to live.’",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>Thomas has since moved to Ohio to be close to his family — a decision sparked by his conversation with Zitter and Highland Hospital’s chaplain, Pastor Betty Clark.\u003c/p>\n\u003cp>“I didn’t want to come home. I didn’t want my family to see me in the condition that I’m in,” Thomas told Zitter over zoom after his move to Ohio. “That’s why I was hesitant to come. But then I know they love me so much. And here I am today, enjoying every moment.”\u003c/p>\n\u003cp>“It just shows that if we can just bring ourselves to just face our mortality and plan for it, we can get what Michael got,” Zitter said. “We can get this precious time with the people that he loved the most or whatever it is that’s most important to you.”\u003c/p>\n\u003cfigure id=\"attachment_11838351\" class=\"wp-caption alignnone\" style=\"max-width: 800px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-medium wp-image-11838351\" src=\"https://ww2.kqed.org/app/uploads/sites/10/2020/09/RS44911_Jessica-Zitter-Evan-Rusoja-with-patient-qut-800x533.jpg\" alt=\"Dr. Jessica Zitter with a patient at Highland Hospital in Oakland. \" width=\"800\" height=\"533\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2020/09/RS44911_Jessica-Zitter-Evan-Rusoja-with-patient-qut-800x533.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2020/09/RS44911_Jessica-Zitter-Evan-Rusoja-with-patient-qut-1020x680.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2020/09/RS44911_Jessica-Zitter-Evan-Rusoja-with-patient-qut-160x107.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2020/09/RS44911_Jessica-Zitter-Evan-Rusoja-with-patient-qut-1536x1024.jpg 1536w, https://cdn.kqed.org/wp-content/uploads/sites/10/2020/09/RS44911_Jessica-Zitter-Evan-Rusoja-with-patient-qut.jpg 1920w\" sizes=\"(max-width: 800px) 100vw, 800px\">\u003cfigcaption class=\"wp-caption-text\">Dr. Jessica Zitter with a patient at Highland Hospital in Oakland. \u003ccite>(Courtesy of Jessica Zitter)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003ch3>Evelyn Jarillo: ‘It Makes You Think About Others’\u003c/h3>\n\u003cp>Evelyn Jarillo is a grocery store worker in Los Angeles who got sick with COVID-19 in March. She recovered, but her husband, who has diabetes, also tested positive and is still suffering from health complications. She’s also worried about her 22-year-old son.\u003c/p>\n\u003cp>“When you’re sick and you’re feeling the way you feel, it makes you think about others,” Jarillo told Zitter when they spoke by Zoom recently. “It made you think about what happens if my son gets sick, what happens if he doesn’t make it? No mother will be able to deal with [talking to] their kids about, ‘Son, if you die tomorrow, what do you want me to do?’ ”\u003c/p>\n\u003cp>“Wait, let me make sure I understand,” Zitter said. “Are you saying you can’t ask your son, ‘What you want me to do if you got COVID and you were in the hospital on a ventilator?’ You don’t feel like you could talk to him about that?”\u003c/p>\n\u003cp>“I can’t,” Jarillo told her.\u003c/p>\n\u003cp>“Evelyn saw something that most of us don’t get a chance to see,” said Zitter. “She saw the potential for death.”\u003c/p>\n\u003cp>Like many of us, when Jarillo thought about members of her family dying, she faced a mental block, Zitter said. It seemed easier for Jarillo to share her thoughts about flower arrangements for her own funeral than to think about tough topics like a do-not-resuscitate order or discussing it with her children.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>Zitter had a similar conversation with her own son on his 18th birthday by playing a game called \u003ca href=\"http://www.gowish.org/\">Go Wish\u003c/a>. The game helps families talk about their preferences around death and the important things they want to hold on to throughout the course of their life.\u003c/p>\n\u003cp>“Like Evelyn, the last thing I want to do is think about my children dying,” said Zitter. “It’s just grim. It’s horrifying. It feels in some ways like not what a mother does, right? A mother is supposed to focus on the positives, the weddings. We’re not supposed to focus on the deathbed moments of a child. But asking open-ended questions is something you can and should do with your family. Just leaving space for more.”\u003c/p>\n\u003cp>Zitter has conducted workshops on death and dying with teenagers. Just like sex education, she says, there should be a place for death education in high schools.\u003c/p>\n\u003ch3>Andrew Rich: ‘This Is Where I Want to Die’\u003c/h3>\n\u003cfigure id=\"attachment_11838192\" class=\"wp-caption alignnone\" style=\"max-width: 800px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-medium wp-image-11838192\" src=\"https://ww2.kqed.org/app/uploads/sites/10/2020/09/RS44908_Andrew-Neville-smiling-qut-800x803.jpg\" alt=\"\" width=\"800\" height=\"803\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2020/09/RS44908_Andrew-Neville-smiling-qut-800x803.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2020/09/RS44908_Andrew-Neville-smiling-qut-1020x1024.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2020/09/RS44908_Andrew-Neville-smiling-qut-160x161.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2020/09/RS44908_Andrew-Neville-smiling-qut-1530x1536.jpg 1530w, https://cdn.kqed.org/wp-content/uploads/sites/10/2020/09/RS44908_Andrew-Neville-smiling-qut.jpg 1904w\" sizes=\"(max-width: 800px) 100vw, 800px\">\u003cfigcaption class=\"wp-caption-text\">Andrew Rich with his dad, Neville Rich. \u003ccite>(Courtesy of Andrew Rich.)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>Andrew Rich traveled to Sonoma early in the pandemic to celebrate his dad’s 92nd birthday. During the visit, his father got sick. They didn’t realize it was COVID-19, and when his father had great difficulty breathing, the family decided to bring him to an emergency room. He spent two weeks on a ventilator and then died alone in the hospital, because COVID-19 rules meant no one could visit him.\u003c/p>\n\u003cp>Rich said that was not what his dad had planned when he imagined his death.\u003c/p>\n\u003cp>“If we could rewind the clock two weeks to that Sunday morning when he collapsed, if we could have put him back in bed and said, ‘Dad, there’s the high likelihood that you have COVID and you’re 92, what do you want to do?’ He absolutely would have said, ‘Leave me here. This is where I want to be. I want to be in this bedroom looking out in the valley. And if I die, this is where I want to die,’ ” Rich said.\u003c/p>\n\u003cp>“The best-laid plans can get completely upended in the face of fear and illness and symptoms and your family not being there with you,” said Zitter, who recommends that families talk proactively about their wishes. “These conversations have to happen early and frequently. We have to get over the fear of talking about it and make it part of our family’s conversations around the dinner table.”\u003c/p>\n\u003cp>Zitter said that she is “very much committed” to critical care medicine and said that it is “in some ways miraculous.” But Zitter says the medicine that keeps us alive should not distract us from the truth of our mortality.\u003c/p>\n\u003cp>“We’ve watched the rise of the hospital and the intensive care unit to the point that we’ve become enamored of the many interventions and treatments that we consider to be the offerings of our modern medical system,” she said. “We’ve really lost the discriminating power and allowed ourselves to get completely distracted from making the preparations we need to face death, from thinking about our deaths and how we want to live, right to the end.”\u003c/p>\n\u003cp>“This is really what palliative care is all about. It’s about how people want to live their lives,” Zitter said. “That informs how people want to die. But it really starts with how they want to live.”\u003c/p>\n\u003ch3>\u003cstrong>Resources\u003c/strong>\u003c/h3>\n\u003cp>Here are things you can do to prepare, no matter your age or health.\u003c/p>\n\u003cul>\n\u003cli>Play “\u003ca href=\"http://gowish.org/\">Go Wish\u003c/a>” with your loved ones. The game helps people start talking about what is most important to them in terms of health and life.\u003c/li>\n\u003cli>Have a conversation about death at the dinner table. The interactive website \u003ca href=\"https://deathoverdinner.org/\">Death Over Dinner\u003c/a> can help you plan your conversation.\u003c/li>\n\u003cli>Write up an \u003ca href=\"https://www.nhpco.org/patients-and-caregivers/advance-care-planning/advance-directives/downloading-your-states-advance-directive/\">Advance Directive\u003c/a> and give it to your doctors and your loved ones. This document should be reviewed whenever your medical condition changes or you learn new information about an illness or condition.\u003c/li>\n\u003cli>People with advanced illness who are considered to be at risk for a life-threatening clinical event should talk to their doctor about completing a \u003ca href=\"https://polst.org/form-patients\">POLST\u003c/a> form. A POLST form is a medical order that documents a person’s preferences for receiving or not receiving certain types of medical interventions (for example, chest compressions, a feeding tube or a breathing tube).\u003c/li>\n\u003cli>If needed, execute a \u003ca href=\"https://www.nolo.com/legal-encyclopedia/california-financial-power-of-attorney-31871.html\">Durable Financial Power of Attorney\u003c/a>, a simple way to arrange for someone to handle your finances, such a bills or insurance matters, if you are unable to do so yourself.\u003c/li>\n\u003cli>Write your \u003ca href=\"https://money.usnews.com/money/personal-finance/family-finance/articles/steps-to-writing-a-will\">last will and testament\u003c/a> and/or a \u003ca href=\"https://www.nextavenue.org/do-you-need-a-trust-for-your-estate-plan/\">revocable trust \u003c/a>to clarify and determine how your assets are distributed after death.\u003c/li>\n\u003cli>Consider what your preferences are for a memorial ceremony, and discuss it with your loved ones.\u003c/li>\n\u003c/ul>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cp>\u003cb>Blazing New Paths to Better Study and Respond to Wildfires\u003cbr>\n\u003c/b>\u003cspan style=\"font-weight: 400\">Record-breaking, deadly wildfires are ripping through the West Coast, burning millions of acres, destroying thousands of structures and leading to the evacuation of half a million people in Oregon alone. In California, October is the month historically associated with the most destructive wildfires in the state. But this year, California wildfires have already burned more than 3 million acres, shattering the previous record set in 2018. According to Cal Fire, nearly 15,000 firefighters are currently battling 28 major blazes across the state that have claimed at least 12 lives and forced thousands of residents to flee their homes. But amid the destruction comes opportunity, guided by science. Last week, San José State University recently unveiled a new academic wildfire research center, the largest one of its kind in the nation. The scientists and professors there span a range of disciplines — from meteorology to ecology to social science — to pioneer new tools and techniques to better study, predict and adapt to living with wildfires made more intense by climate change. \u003c/span>\u003c/p>\n\u003cp>\u003cspan style=\"font-weight: 400\"> \u003c/span>\u003cb>Guests:\u003c/b>\u003c/p>\n\u003cul>\n\u003cli style=\"font-weight: 400\">\u003cspan style=\"font-weight: 400\">Craig Clements, professor of meteorology and director, Wildfire Interdisciplinary Research Center, San José State University\u003c/span>\u003c/li>\n\u003cli style=\"font-weight: 400\">\u003cspan style=\"font-weight: 400\">Amanda Stasiewicz, assistant professor of wildfire management, Wildfire Interdisciplinary Research Center, San José State University \u003c/span>\u003c/li>\n\u003c/ul>\n\u003cp>\u003cb>The COVID-19 Vaccine Arms Race\u003cbr>\n\u003c/b>\u003cspan style=\"font-weight: 400\">There are roughly 170 COVID-19 vaccine candidates being developed around the world right now, according to the World Health Organization. This week, a Phase 3 clinical trial of a vaccine candidate being developed by AstraZeneca and Oxford University was halted temporarily to investigate whether the vaccine was responsible for one of the study participants falling ill. Earlier this month, the Centers for Disease Control and Prevention informed public health officials across the U.S. to prepare to distribute a vaccine as early as October or November. The Trump administration has already spent $10 billion to invest in the development of a coronavirus vaccine with the goal of distributing 300 million doses by January 2021. But concerns are mounting that the race to develop a vaccine is being politicized and rushed out to help President Trump win reelection in November. Access to a safe and effective vaccine may also be an issue, with priority being given to health care workers and first responders but not necessarily to communities who have been disproportionately impacted by the coronavirus. \u003c/span>\u003c/p>\n\u003cp>\u003cspan style=\"font-weight: 400\"> \u003c/span>\u003cb>Guests:\u003c/b>\u003c/p>\n\u003cul>\n\u003cli style=\"font-weight: 400\">\u003cspan style=\"font-weight: 400\">Dr. Yvonne Maldonado, professor of pediatrics and infectious disease epidemiologist, Stanford University\u003c/span>\u003c/li>\n\u003cli style=\"font-weight: 400\">\u003cspan style=\"font-weight: 400\">Dr. Peter Chin-Hong, professor of medicine and infectious disease specialist, UCSF\u003c/span>\u003c/li>\n\u003c/ul>\n\u003cp>[ad fullwidth]\u003c/p>\u003cp>\u003c/p>\n",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>\u003cb>Blazing New Paths to Better Study and Respond to Wildfires\u003cbr>\n\u003c/b>\u003cspan style=\"font-weight: 400\">Record-breaking, deadly wildfires are ripping through the West Coast, burning millions of acres, destroying thousands of structures and leading to the evacuation of half a million people in Oregon alone. In California, October is the month historically associated with the most destructive wildfires in the state. But this year, California wildfires have already burned more than 3 million acres, shattering the previous record set in 2018. According to Cal Fire, nearly 15,000 firefighters are currently battling 28 major blazes across the state that have claimed at least 12 lives and forced thousands of residents to flee their homes. But amid the destruction comes opportunity, guided by science. Last week, San José State University recently unveiled a new academic wildfire research center, the largest one of its kind in the nation. The scientists and professors there span a range of disciplines — from meteorology to ecology to social science — to pioneer new tools and techniques to better study, predict and adapt to living with wildfires made more intense by climate change. \u003c/span>\u003c/p>\n\u003cp>\u003cspan style=\"font-weight: 400\"> \u003c/span>\u003cb>Guests:\u003c/b>\u003c/p>\n\u003cul>\n\u003cli style=\"font-weight: 400\">\u003cspan style=\"font-weight: 400\">Craig Clements, professor of meteorology and director, Wildfire Interdisciplinary Research Center, San José State University\u003c/span>\u003c/li>\n\u003cli style=\"font-weight: 400\">\u003cspan style=\"font-weight: 400\">Amanda Stasiewicz, assistant professor of wildfire management, Wildfire Interdisciplinary Research Center, San José State University \u003c/span>\u003c/li>\n\u003c/ul>\n\u003cp>\u003cb>The COVID-19 Vaccine Arms Race\u003cbr>\n\u003c/b>\u003cspan style=\"font-weight: 400\">There are roughly 170 COVID-19 vaccine candidates being developed around the world right now, according to the World Health Organization. This week, a Phase 3 clinical trial of a vaccine candidate being developed by AstraZeneca and Oxford University was halted temporarily to investigate whether the vaccine was responsible for one of the study participants falling ill. Earlier this month, the Centers for Disease Control and Prevention informed public health officials across the U.S. to prepare to distribute a vaccine as early as October or November. The Trump administration has already spent $10 billion to invest in the development of a coronavirus vaccine with the goal of distributing 300 million doses by January 2021. But concerns are mounting that the race to develop a vaccine is being politicized and rushed out to help President Trump win reelection in November. Access to a safe and effective vaccine may also be an issue, with priority being given to health care workers and first responders but not necessarily to communities who have been disproportionately impacted by the coronavirus. \u003c/span>\u003c/p>\n\u003cp>\u003cspan style=\"font-weight: 400\"> \u003c/span>\u003cb>Guests:\u003c/b>\u003c/p>\n\u003cul>\n\u003cli style=\"font-weight: 400\">\u003cspan style=\"font-weight: 400\">Dr. Yvonne Maldonado, professor of pediatrics and infectious disease epidemiologist, Stanford University\u003c/span>\u003c/li>\n\u003cli style=\"font-weight: 400\">\u003cspan style=\"font-weight: 400\">Dr. Peter Chin-Hong, professor of medicine and infectious disease specialist, UCSF\u003c/span>\u003c/li>\n\u003c/ul>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cp>\u003ca href=\"https://www.kqed.org/news/11838360/recursos-para-cuidar-su-salud-mental-durante-la-situacion-actual\">\u003cem>Leer en español\u003c/em>\u003c/a>\u003c/p>\n\u003cp>It’s been a week. A month. A year.\u003c/p>\n\u003cp>Even before wildfires devastated large parts of our home state, we were all dealing with a lot.\u003c/p>\n\u003cp>Most notably, a pandemic that continues to kill and sicken so many nationwide, and that’s turned our lives upside down. And much more besides.\u003c/p>\n\u003cp>If you’re feeling the strain right now, you’re in no way alone. So we compiled a list of KQED’s most useful, expert-verified resources and advice posts, for you to use and potentially share with your community.\u003c/p>\n\u003cp>Don’t find what you’re looking for? \u003ca href=\"#tellus\">Tell us what we can do to support you right now.\u003c/a>\u003c/p>\n\u003ch3>\u003ca href=\"https://www.kqed.org/arts/13881725/where-to-find-affordable-culturally-competent-therapy-in-bay-area-and-beyond\">Where to Find Affordable, Culturally Competent Therapy in Bay Area and Beyond\u003c/a>\u003c/h3>\n\u003cfigure id=\"attachment_11837589\" class=\"wp-caption alignnone\" style=\"max-width: 1900px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-11837589\" src=\"https://ww2.kqed.org/app/uploads/sites/10/2020/09/therapy.png\" alt=\"\" width=\"1900\" height=\"1280\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2020/09/therapy.png 1900w, https://cdn.kqed.org/wp-content/uploads/sites/10/2020/09/therapy-800x539.png 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2020/09/therapy-1020x687.png 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2020/09/therapy-160x108.png 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2020/09/therapy-1536x1035.png 1536w\" sizes=\"(max-width: 1900px) 100vw, 1900px\">\u003cfigcaption class=\"wp-caption-text\">We have resources on finding culturally competent therapy that’s affordable \u003ccite>(Gender Spectrum Collection/Broadly)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>As KQED’s Nastia Voynovskaya writes in \u003ca href=\"https://www.kqed.org/arts/13881725/where-to-find-affordable-culturally-competent-therapy-in-bay-area-and-beyond\">this guide\u003c/a>, “As if being human in a world rife with systemic racism, patriarchy, homophobia, transphobia, ableism, environmental destruction and labor exploitation wasn’t already hard enough, the global pandemic and attendant economic crisis are making things that much more difficult for everyone, especially the most vulnerable among us.”\u003c/p>\n\u003cp>If you’re seeking professional support, or need extra assistance right now, consult the \u003ca href=\"https://www.kqed.org/arts/13881725/where-to-find-affordable-culturally-competent-therapy-in-bay-area-and-beyond\">list\u003c/a> of affordable and culturally competent therapy services and directories, as well as crisis hotlines. This guide focuses on low-cost and sliding scale practices, and how to find a therapist of color.\u003c/p>\n\u003cp>\u003cem>For further reading/listening: “\u003ca href=\"https://www.kqed.org/podcasts/461/youre-ok-im-not-black-men-and-therapy\">You’re OK, I’m Not: Black Men and Therapy\u003c/a>” from podcast Truth Be Told.\u003c/em>\u003c/p>\n\u003ch3>\u003ca href=\"https://www.kqed.org/news/11835324/managing-anxiety-in-the-age-of-everything\">Specific Advice for Managing Anxiety in the Age of… Well, Everything\u003c/a>\u003c/h3>\n\u003cfigure id=\"attachment_11835622\" class=\"wp-caption alignnone\" style=\"max-width: 1900px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-11835622\" src=\"https://ww2.kqed.org/app/uploads/sites/10/2020/08/Anxiety.png\" alt=\"\" width=\"1900\" height=\"1280\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2020/08/Anxiety.png 1900w, https://cdn.kqed.org/wp-content/uploads/sites/10/2020/08/Anxiety-800x539.png 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2020/08/Anxiety-1020x687.png 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2020/08/Anxiety-160x108.png 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2020/08/Anxiety-1536x1035.png 1536w\" sizes=\"(max-width: 1900px) 100vw, 1900px\">\u003cfigcaption class=\"wp-caption-text\">Amid so many stressors, how can you safeguard your mental health? \u003ccite>(Loannes Marc/Pexels)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>We consulted experts on anxiety and stress management for these \u003ca href=\"https://www.kqed.org/news/11835324/managing-anxiety-in-the-age-of-everything\">concrete tips\u003c/a> on how to cope when it feels like you can’t take any more of what 2020 has to throw at you. Everyone’s situation and personal stressors are different, of course. But hopefully these ideas can provide at least some ways of working with your experiences and emotions, including:\u003c/p>\n\u003cul>\n\u003cli>Why it’s actively harmful to “put on a brave face”\u003c/li>\n\u003cli>Why you should learn to talk to yourself in the same voice you talk to friends with\u003c/li>\n\u003cli>How to channel positivity in a way that doesn’t feel fake\u003c/li>\n\u003c/ul>\n\u003cp>\u003cem>Further reading/listening: “\u003ca href=\"https://www.kqed.org/podcasts/521/holding-on-to-joy\">Holding on to Joy\u003c/a>” from podcast Truth Be Told.\u003c/em>\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003ch3>Be Sure to Protect Your Body From Wildfire Smoke\u003c/h3>\n\u003cfigure id=\"attachment_11834613\" class=\"wp-caption alignnone\" style=\"max-width: 1920px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-11834613\" src=\"https://ww2.kqed.org/app/uploads/sites/10/2020/08/RS44514_GettyImages-1261921915-qut.jpg\" alt=\"3M brand N95 particulate respirators are displayed on a table on July 28, 2020 in San Anselmo, California.\" width=\"1920\" height=\"1280\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2020/08/RS44514_GettyImages-1261921915-qut.jpg 1920w, https://cdn.kqed.org/wp-content/uploads/sites/10/2020/08/RS44514_GettyImages-1261921915-qut-800x533.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2020/08/RS44514_GettyImages-1261921915-qut-1020x680.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2020/08/RS44514_GettyImages-1261921915-qut-160x107.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2020/08/RS44514_GettyImages-1261921915-qut-1536x1024.jpg 1536w\" sizes=\"(max-width: 1920px) 100vw, 1920px\">\u003cfigcaption class=\"wp-caption-text\">3M brand N95 particulate respirators are displayed on a table on July 28, 2020 in San Anselmo, California. \u003ccite>(Justin Sullivan/Getty Images)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cdiv>As if working to reduce your personal risk of transmitting or contracting COVID-19 wasn’t enough to preoccupy you, you’ve now got another very real threat to your lungs to consider: Wildfire smoke. The danger that unhealthy air quality poses to everyone affects everyone, so take the necessary steps protect your body’s health while you’re taking care of your mental wellbeing:\u003c/div>\n\u003cdiv>\u003c/div>\n\u003cul>\n\u003cli>Check the air quality near you with \u003ca href=\"https://www.kqed.org/science/1930023/map-heres-your-daily-air-quality-report-for-the-bay-area\">our map\u003c/a>\u003c/li>\n\u003cli>See how to \u003ca href=\"https://www.kqed.org/science/1926793/protecting-your-health-from-toxic-wildfire-smoke\">protect your home’s interior\u003c/a> from wildfire smoke\u003c/li>\n\u003cli>Check which \u003ca href=\"https://www.kqed.org/news/11834305/masks-for-smoke-and-covid-19-what-kind-is-best\">masks are best for smoke\u003c/a> and which are most effective at reducing the risk of transmitting COVID-19\u003c/li>\n\u003c/ul>\n\u003cp>\u003cem>Further reading: \u003ca href=\"https://www.kqed.org/news/11837317/not-everyone-can-escape-the-smoke-inside-heres-how-to-support-them\">How you can directly support \u003c/a>vulnerable groups that can’t escape the smoke outside right now, including unhoused people.\u003c/em>\u003c/p>\n\u003ch3>Find Resources (and Comfort) for Parents and Caregivers\u003c/h3>\n\u003cfigure id=\"attachment_11837561\" class=\"wp-caption alignnone\" style=\"max-width: 797px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-11837561\" src=\"https://ww2.kqed.org/app/uploads/sites/10/2020/09/Motion-Light-Lab.png\" alt=\"\" width=\"797\" height=\"550\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2020/09/Motion-Light-Lab.png 797w, https://cdn.kqed.org/wp-content/uploads/sites/10/2020/09/Motion-Light-Lab-160x110.png 160w\" sizes=\"(max-width: 797px) 100vw, 797px\">\u003cfigcaption class=\"wp-caption-text\">Find a wealth of educational support from Mindshift, including ASL resources for Deaf students \u003ccite>(Motion Light Lab/YouTube)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>With the start of the school year and the demands of supporting kids through remote, parents and caregivers are stretched beyond belief right now. And that’s not even \u003cem>including\u003c/em> how to explain to a child why the sky being smoky and dark doesn’t mean the world is ending. If that’s you, you might find the following helpful:\u003c/p>\n\u003cul>\n\u003cli>\u003ca href=\"https://www.kqed.org/podcasts/564/under-one-roof-doing-the-best-we-can\">Hear or read this episode\u003c/a> on “Doing the Best We Can” when you’re living, working and schooling under one roof during a pandemic, from our podcast Truth Be Told (and while you’re at it, take a look at the wisdom in their \u003ca href=\"https://www.kqed.org/podcasts/truthbetold\">archives\u003c/a>)\u003c/li>\n\u003cli>Check out \u003ca href=\"https://www.kqed.org/mindshift\">this wealth\u003c/a> of educational resources from our \u003ca href=\"https://www.kqed.org/mindshift\">Mindshift\u003c/a> team, from \u003ca href=\"https://www.kqed.org/mindshift/56220/why-deaf-students-need-access-to-asl-stories-during-distance-learning\">ASL resources\u003c/a> for Deaf students to \u003ca href=\"https://www.kqed.org/mindshift/56580/how-fan-fiction-inspires-kids-to-read-and-write-and-write-and-write\">how to use fan fiction\u003c/a> to encourage kids to write. (Mindshift also has a \u003ca href=\"https://www.kqed.org/podcasts/mindshift\">podcast\u003c/a>.)\u003c/li>\n\u003c/ul>\n\u003ch3>\u003ca id=\"tellus\">\u003c/a>Tell Us: How Can We Further Support You?\u003c/h3>\n\u003cp>[hearken id=\"5870\" src=\"https://modules.wearehearken.com/kqed/embed/5870.js\"]\u003c/p>\n\u003cp>\u003cem>This post has been updated.\u003c/em>\u003c/p>\n\u003cp>\u003c/p>\n",
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"headline": "It Was Already Hard, Then it Got Worse: Resources for Coping Right Now",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>\u003ca href=\"https://www.kqed.org/news/11838360/recursos-para-cuidar-su-salud-mental-durante-la-situacion-actual\">\u003cem>Leer en español\u003c/em>\u003c/a>\u003c/p>\n\u003cp>It’s been a week. A month. A year.\u003c/p>\n\u003cp>Even before wildfires devastated large parts of our home state, we were all dealing with a lot.\u003c/p>\n\u003cp>Most notably, a pandemic that continues to kill and sicken so many nationwide, and that’s turned our lives upside down. And much more besides.\u003c/p>\n\u003cp>If you’re feeling the strain right now, you’re in no way alone. So we compiled a list of KQED’s most useful, expert-verified resources and advice posts, for you to use and potentially share with your community.\u003c/p>\n\u003cp>Don’t find what you’re looking for? \u003ca href=\"#tellus\">Tell us what we can do to support you right now.\u003c/a>\u003c/p>\n\u003ch3>\u003ca href=\"https://www.kqed.org/arts/13881725/where-to-find-affordable-culturally-competent-therapy-in-bay-area-and-beyond\">Where to Find Affordable, Culturally Competent Therapy in Bay Area and Beyond\u003c/a>\u003c/h3>\n\u003cfigure id=\"attachment_11837589\" class=\"wp-caption alignnone\" style=\"max-width: 1900px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-11837589\" src=\"https://ww2.kqed.org/app/uploads/sites/10/2020/09/therapy.png\" alt=\"\" width=\"1900\" height=\"1280\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2020/09/therapy.png 1900w, https://cdn.kqed.org/wp-content/uploads/sites/10/2020/09/therapy-800x539.png 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2020/09/therapy-1020x687.png 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2020/09/therapy-160x108.png 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2020/09/therapy-1536x1035.png 1536w\" sizes=\"(max-width: 1900px) 100vw, 1900px\">\u003cfigcaption class=\"wp-caption-text\">We have resources on finding culturally competent therapy that’s affordable \u003ccite>(Gender Spectrum Collection/Broadly)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>As KQED’s Nastia Voynovskaya writes in \u003ca href=\"https://www.kqed.org/arts/13881725/where-to-find-affordable-culturally-competent-therapy-in-bay-area-and-beyond\">this guide\u003c/a>, “As if being human in a world rife with systemic racism, patriarchy, homophobia, transphobia, ableism, environmental destruction and labor exploitation wasn’t already hard enough, the global pandemic and attendant economic crisis are making things that much more difficult for everyone, especially the most vulnerable among us.”\u003c/p>\n\u003cp>If you’re seeking professional support, or need extra assistance right now, consult the \u003ca href=\"https://www.kqed.org/arts/13881725/where-to-find-affordable-culturally-competent-therapy-in-bay-area-and-beyond\">list\u003c/a> of affordable and culturally competent therapy services and directories, as well as crisis hotlines. This guide focuses on low-cost and sliding scale practices, and how to find a therapist of color.\u003c/p>\n\u003cp>\u003cem>For further reading/listening: “\u003ca href=\"https://www.kqed.org/podcasts/461/youre-ok-im-not-black-men-and-therapy\">You’re OK, I’m Not: Black Men and Therapy\u003c/a>” from podcast Truth Be Told.\u003c/em>\u003c/p>\n\u003ch3>\u003ca href=\"https://www.kqed.org/news/11835324/managing-anxiety-in-the-age-of-everything\">Specific Advice for Managing Anxiety in the Age of… Well, Everything\u003c/a>\u003c/h3>\n\u003cfigure id=\"attachment_11835622\" class=\"wp-caption alignnone\" style=\"max-width: 1900px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-11835622\" src=\"https://ww2.kqed.org/app/uploads/sites/10/2020/08/Anxiety.png\" alt=\"\" width=\"1900\" height=\"1280\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2020/08/Anxiety.png 1900w, https://cdn.kqed.org/wp-content/uploads/sites/10/2020/08/Anxiety-800x539.png 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2020/08/Anxiety-1020x687.png 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2020/08/Anxiety-160x108.png 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2020/08/Anxiety-1536x1035.png 1536w\" sizes=\"(max-width: 1900px) 100vw, 1900px\">\u003cfigcaption class=\"wp-caption-text\">Amid so many stressors, how can you safeguard your mental health? \u003ccite>(Loannes Marc/Pexels)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>We consulted experts on anxiety and stress management for these \u003ca href=\"https://www.kqed.org/news/11835324/managing-anxiety-in-the-age-of-everything\">concrete tips\u003c/a> on how to cope when it feels like you can’t take any more of what 2020 has to throw at you. Everyone’s situation and personal stressors are different, of course. But hopefully these ideas can provide at least some ways of working with your experiences and emotions, including:\u003c/p>\n\u003cul>\n\u003cli>Why it’s actively harmful to “put on a brave face”\u003c/li>\n\u003cli>Why you should learn to talk to yourself in the same voice you talk to friends with\u003c/li>\n\u003cli>How to channel positivity in a way that doesn’t feel fake\u003c/li>\n\u003c/ul>\n\u003cp>\u003cem>Further reading/listening: “\u003ca href=\"https://www.kqed.org/podcasts/521/holding-on-to-joy\">Holding on to Joy\u003c/a>” from podcast Truth Be Told.\u003c/em>\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003ch3>Be Sure to Protect Your Body From Wildfire Smoke\u003c/h3>\n\u003cfigure id=\"attachment_11834613\" class=\"wp-caption alignnone\" style=\"max-width: 1920px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-11834613\" src=\"https://ww2.kqed.org/app/uploads/sites/10/2020/08/RS44514_GettyImages-1261921915-qut.jpg\" alt=\"3M brand N95 particulate respirators are displayed on a table on July 28, 2020 in San Anselmo, California.\" width=\"1920\" height=\"1280\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2020/08/RS44514_GettyImages-1261921915-qut.jpg 1920w, https://cdn.kqed.org/wp-content/uploads/sites/10/2020/08/RS44514_GettyImages-1261921915-qut-800x533.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2020/08/RS44514_GettyImages-1261921915-qut-1020x680.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2020/08/RS44514_GettyImages-1261921915-qut-160x107.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2020/08/RS44514_GettyImages-1261921915-qut-1536x1024.jpg 1536w\" sizes=\"(max-width: 1920px) 100vw, 1920px\">\u003cfigcaption class=\"wp-caption-text\">3M brand N95 particulate respirators are displayed on a table on July 28, 2020 in San Anselmo, California. \u003ccite>(Justin Sullivan/Getty Images)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cdiv>As if working to reduce your personal risk of transmitting or contracting COVID-19 wasn’t enough to preoccupy you, you’ve now got another very real threat to your lungs to consider: Wildfire smoke. The danger that unhealthy air quality poses to everyone affects everyone, so take the necessary steps protect your body’s health while you’re taking care of your mental wellbeing:\u003c/div>\n\u003cdiv>\u003c/div>\n\u003cul>\n\u003cli>Check the air quality near you with \u003ca href=\"https://www.kqed.org/science/1930023/map-heres-your-daily-air-quality-report-for-the-bay-area\">our map\u003c/a>\u003c/li>\n\u003cli>See how to \u003ca href=\"https://www.kqed.org/science/1926793/protecting-your-health-from-toxic-wildfire-smoke\">protect your home’s interior\u003c/a> from wildfire smoke\u003c/li>\n\u003cli>Check which \u003ca href=\"https://www.kqed.org/news/11834305/masks-for-smoke-and-covid-19-what-kind-is-best\">masks are best for smoke\u003c/a> and which are most effective at reducing the risk of transmitting COVID-19\u003c/li>\n\u003c/ul>\n\u003cp>\u003cem>Further reading: \u003ca href=\"https://www.kqed.org/news/11837317/not-everyone-can-escape-the-smoke-inside-heres-how-to-support-them\">How you can directly support \u003c/a>vulnerable groups that can’t escape the smoke outside right now, including unhoused people.\u003c/em>\u003c/p>\n\u003ch3>Find Resources (and Comfort) for Parents and Caregivers\u003c/h3>\n\u003cfigure id=\"attachment_11837561\" class=\"wp-caption alignnone\" style=\"max-width: 797px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-11837561\" src=\"https://ww2.kqed.org/app/uploads/sites/10/2020/09/Motion-Light-Lab.png\" alt=\"\" width=\"797\" height=\"550\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2020/09/Motion-Light-Lab.png 797w, https://cdn.kqed.org/wp-content/uploads/sites/10/2020/09/Motion-Light-Lab-160x110.png 160w\" sizes=\"(max-width: 797px) 100vw, 797px\">\u003cfigcaption class=\"wp-caption-text\">Find a wealth of educational support from Mindshift, including ASL resources for Deaf students \u003ccite>(Motion Light Lab/YouTube)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>With the start of the school year and the demands of supporting kids through remote, parents and caregivers are stretched beyond belief right now. And that’s not even \u003cem>including\u003c/em> how to explain to a child why the sky being smoky and dark doesn’t mean the world is ending. If that’s you, you might find the following helpful:\u003c/p>\n\u003cul>\n\u003cli>\u003ca href=\"https://www.kqed.org/podcasts/564/under-one-roof-doing-the-best-we-can\">Hear or read this episode\u003c/a> on “Doing the Best We Can” when you’re living, working and schooling under one roof during a pandemic, from our podcast Truth Be Told (and while you’re at it, take a look at the wisdom in their \u003ca href=\"https://www.kqed.org/podcasts/truthbetold\">archives\u003c/a>)\u003c/li>\n\u003cli>Check out \u003ca href=\"https://www.kqed.org/mindshift\">this wealth\u003c/a> of educational resources from our \u003ca href=\"https://www.kqed.org/mindshift\">Mindshift\u003c/a> team, from \u003ca href=\"https://www.kqed.org/mindshift/56220/why-deaf-students-need-access-to-asl-stories-during-distance-learning\">ASL resources\u003c/a> for Deaf students to \u003ca href=\"https://www.kqed.org/mindshift/56580/how-fan-fiction-inspires-kids-to-read-and-write-and-write-and-write\">how to use fan fiction\u003c/a> to encourage kids to write. (Mindshift also has a \u003ca href=\"https://www.kqed.org/podcasts/mindshift\">podcast\u003c/a>.)\u003c/li>\n\u003c/ul>\n\u003ch3>\u003ca id=\"tellus\">\u003c/a>Tell Us: How Can We Further Support You?\u003c/h3>\n\u003cp>\u003c/p>\u003c/div>",
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"slug": "dentists-at-san-quentin-say-their-pleas-to-reduce-risk-of-covid-19-spread-were-ignored",
"title": "Dentists at San Quentin Say Their Pleas to Reduce Risk of COVID-19 Spread Were Ignored",
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"content": "\u003cp>Dentists at the San Quentin State Prison clinic said they’d been pushing for crucial workplace safety improvements for months before state regulators intervened and shut down key operations.\u003c/p>\n\u003cp>Regulators with the California Division of Occupational Safety and Health (\u003ca href=\"https://www.dir.ca.gov/dosh/coronavirus/Health-Care-General-Industry.html\" target=\"_blank\" rel=\"noopener noreferrer\">Cal/OSHA\u003c/a>) had posted a red tag Wednesday at the clinic, declaring certain parts off limits and certain procedures as “dangerous.” Regulators said the hazardous work conditions “contributed to the spread of SARS-CoV-2 in the workplace.”\u003c/p>\n\u003cp>San Quentin has seen the largest coronavirus outbreak in the state prison system. More than 2,200 people incarcerated there have \u003ca href=\"https://www.cdcr.ca.gov/covid19/population-status-tracking/\" target=\"_blank\" rel=\"noopener noreferrer\">tested positive\u003c/a> for COVID-19 and 26 have died from the virus. More than 270 \u003ca href=\"https://www.cdcr.ca.gov/covid19/cdcr-cchcs-covid-19-status/\" target=\"_blank\" rel=\"noopener noreferrer\">staff\u003c/a> have been infected and one has died, according to the California Department of Corrections and Rehabilitation (CDCR).\u003c/p>\n\u003cp>The dental clinic, which treats people incarcerated at the prison, employs six dentists, three of whom agreed to share their concerns with KQED on the condition that they not to be named, for fear of losing their jobs.\u003c/p>\n\u003cp>The dentists, who are members of a public policy committee for the Union of American Physicians and Dentists, said San Quentin officials had repeatedly failed to address their concerns about the risks of spreading COVID-19 through dental exams and procedures.\u003c/p>\n\u003cp>“I could not trust my job to keep me safe,” one of the dentists said Friday. “I was terrified of bringing it home.”\u003c/p>\n\u003cp>A few days after statewide shelter-in-place orders were imposed, the California Dental Association issued \u003ca href=\"https://www.cda.org/Portals/0/pr_0320_CDA_recommends_suspending_nonurgent_care.pdf\" target=\"_blank\" rel=\"noopener noreferrer\">guidance\u003c/a> that dentists should immediately suspend all non-essential, non-emergency procedures for the next 14 days.\u003c/p>\n\u003cp>At San Quentin, however, the dentists said their supervisor ordered them to continue routine screenings of inmates transferring in from county jails, a task that entailed putting dozens of men together in holding cages and checking each person for broken jaw bones or signs of infection. Adding to their concerns, the dentists said incoming inmates were not being quarantined upon arrival for 14 days at that time.\u003c/p>\n\u003cp>“Just looking in their mouths is putting us at risk,” one dentist said. “We were just told, ‘Do your job.’ ”\u003c/p>\n\u003cp>On March 23, all but one of the San Quentin dentists refused to do the screenings.\u003c/p>\n\u003cp>One day later, on March 24, the head of dentistry at CDCR adopted a new policy to end non-urgent dental screenings.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>Nonetheless, a month later, the dentists who had refused to do the screenings said they were “written up” for defying orders, a first step in a progressive disciplinary process that can lead to a cut in pay or termination.\u003c/p>\n\u003cp>Some of the dentists said they were also disciplined for questioning the prison’s COVID-19 safety guidelines.\u003c/p>\n\u003cp>“We have a saying down there [in dental],” one of them said. “You want to get a write up? Ask a question, especially one about safety.”\u003c/p>\n\u003cp>Some of the questions the dentists said they asked included, “We don’t know what the level of filtration is for the air in the dental unit. Can you evaluate these rooms? Do we have proper ventilation? What is our risk?”\u003c/p>\n\u003cp>One dentist said, “They tried to muzzle us!”\u003c/p>\n\u003cp>In an email last Friday, CDCR spokeswoman Dana Simas called the health and safety of employees the agency’s “top priority.”\u003c/p>\n\u003cp>Simas said prison officials will work closely with the Department of Industrial Relations, Cal/OSHA’s parent agency, “to fully explain all of the actions San Quentin’s Dental Program has taken during the COVID-19 pandemic and to directly address OSHA’s concerns.”\u003c/p>\n\u003cp>[aside label=\"related coverage\" tag=\"cdcr\"]\u003c/p>\n\u003cp>Many emergency or urgent dental procedures, such as tooth extraction, involve drilling and spraying water and air inside a patient’s mouth and can produce droplets that can spread and infect others.\u003c/p>\n\u003cp>All three dentists who spoke with KQED said their repeated requests for better safety equipment protections were ignored or refused.\u003c/p>\n\u003cp>The dentists said they asked for specialized masks called PAPRs that include respirators to purify air for the wearer, but were told to make do with N95s.\u003c/p>\n\u003cp>They also asked for an auxiliary air filtering device that suctions and disinfects exhaled air from a patient’s mouth.\u003c/p>\n\u003cp>And they asked for air scrubbers to clean the air inside the dental clinic and prevent potentially infectious particles from being recirculated to the rest of the prison.\u003c/p>\n\u003cp>None of those requests were honored, they said.\u003c/p>\n\u003cp>“We went through this whole crisis at San Quentin and they didn’t give us one damn additional piece of equipment,” said one dentist.\u003c/p>\n\u003cp>In August, a Cal/OSHA inspector arrived at the dental clinic and started asking questions.\u003c/p>\n\u003cp>In a report last week, Cal/OSHA wrote that dental staff were being asked to perform “high-hazard” dental procedures that generated aerosols, or fine airborne particles, without the protection of specialized equipment, in locations that did not adequately limit the spread of airborne infections.\u003c/p>\n\u003cp>Cal/OSHA issued an Order Prohibiting Use, directing the clinic to stop all dental work that generates aerosols from a patient’s mouth, including drilling, until the prison can meet a list of safety conditions.\u003c/p>\n\u003cp>CDCR immediately requested a hearing, but after meeting with Cal/OSHA representatives Friday, said it is now working with the agency on an agreement.\u003c/p>\n\u003cp>Cal/OSHA is expected to issue an updated order this week.\u003c/p>\n\u003cp>\u003c/p>\n",
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"excerpt": "Requests for specialized masks and air purifiers designed for higher-risk dental procedures at San Quentin were not approved, several dentists said. Then Cal/OSHA shuttered part of the clinic's operations.",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>Dentists at the San Quentin State Prison clinic said they’d been pushing for crucial workplace safety improvements for months before state regulators intervened and shut down key operations.\u003c/p>\n\u003cp>Regulators with the California Division of Occupational Safety and Health (\u003ca href=\"https://www.dir.ca.gov/dosh/coronavirus/Health-Care-General-Industry.html\" target=\"_blank\" rel=\"noopener noreferrer\">Cal/OSHA\u003c/a>) had posted a red tag Wednesday at the clinic, declaring certain parts off limits and certain procedures as “dangerous.” Regulators said the hazardous work conditions “contributed to the spread of SARS-CoV-2 in the workplace.”\u003c/p>\n\u003cp>San Quentin has seen the largest coronavirus outbreak in the state prison system. More than 2,200 people incarcerated there have \u003ca href=\"https://www.cdcr.ca.gov/covid19/population-status-tracking/\" target=\"_blank\" rel=\"noopener noreferrer\">tested positive\u003c/a> for COVID-19 and 26 have died from the virus. More than 270 \u003ca href=\"https://www.cdcr.ca.gov/covid19/cdcr-cchcs-covid-19-status/\" target=\"_blank\" rel=\"noopener noreferrer\">staff\u003c/a> have been infected and one has died, according to the California Department of Corrections and Rehabilitation (CDCR).\u003c/p>\n\u003cp>The dental clinic, which treats people incarcerated at the prison, employs six dentists, three of whom agreed to share their concerns with KQED on the condition that they not to be named, for fear of losing their jobs.\u003c/p>\n\u003cp>The dentists, who are members of a public policy committee for the Union of American Physicians and Dentists, said San Quentin officials had repeatedly failed to address their concerns about the risks of spreading COVID-19 through dental exams and procedures.\u003c/p>\n\u003cp>“I could not trust my job to keep me safe,” one of the dentists said Friday. “I was terrified of bringing it home.”\u003c/p>\n\u003cp>A few days after statewide shelter-in-place orders were imposed, the California Dental Association issued \u003ca href=\"https://www.cda.org/Portals/0/pr_0320_CDA_recommends_suspending_nonurgent_care.pdf\" target=\"_blank\" rel=\"noopener noreferrer\">guidance\u003c/a> that dentists should immediately suspend all non-essential, non-emergency procedures for the next 14 days.\u003c/p>\n\u003cp>At San Quentin, however, the dentists said their supervisor ordered them to continue routine screenings of inmates transferring in from county jails, a task that entailed putting dozens of men together in holding cages and checking each person for broken jaw bones or signs of infection. Adding to their concerns, the dentists said incoming inmates were not being quarantined upon arrival for 14 days at that time.\u003c/p>\n\u003cp>“Just looking in their mouths is putting us at risk,” one dentist said. “We were just told, ‘Do your job.’ ”\u003c/p>\n\u003cp>On March 23, all but one of the San Quentin dentists refused to do the screenings.\u003c/p>\n\u003cp>One day later, on March 24, the head of dentistry at CDCR adopted a new policy to end non-urgent dental screenings.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>Nonetheless, a month later, the dentists who had refused to do the screenings said they were “written up” for defying orders, a first step in a progressive disciplinary process that can lead to a cut in pay or termination.\u003c/p>\n\u003cp>Some of the dentists said they were also disciplined for questioning the prison’s COVID-19 safety guidelines.\u003c/p>\n\u003cp>“We have a saying down there [in dental],” one of them said. “You want to get a write up? Ask a question, especially one about safety.”\u003c/p>\n\u003cp>Some of the questions the dentists said they asked included, “We don’t know what the level of filtration is for the air in the dental unit. Can you evaluate these rooms? Do we have proper ventilation? What is our risk?”\u003c/p>\n\u003cp>One dentist said, “They tried to muzzle us!”\u003c/p>\n\u003cp>In an email last Friday, CDCR spokeswoman Dana Simas called the health and safety of employees the agency’s “top priority.”\u003c/p>\n\u003cp>Simas said prison officials will work closely with the Department of Industrial Relations, Cal/OSHA’s parent agency, “to fully explain all of the actions San Quentin’s Dental Program has taken during the COVID-19 pandemic and to directly address OSHA’s concerns.”\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>Many emergency or urgent dental procedures, such as tooth extraction, involve drilling and spraying water and air inside a patient’s mouth and can produce droplets that can spread and infect others.\u003c/p>\n\u003cp>All three dentists who spoke with KQED said their repeated requests for better safety equipment protections were ignored or refused.\u003c/p>\n\u003cp>The dentists said they asked for specialized masks called PAPRs that include respirators to purify air for the wearer, but were told to make do with N95s.\u003c/p>\n\u003cp>They also asked for an auxiliary air filtering device that suctions and disinfects exhaled air from a patient’s mouth.\u003c/p>\n\u003cp>And they asked for air scrubbers to clean the air inside the dental clinic and prevent potentially infectious particles from being recirculated to the rest of the prison.\u003c/p>\n\u003cp>None of those requests were honored, they said.\u003c/p>\n\u003cp>“We went through this whole crisis at San Quentin and they didn’t give us one damn additional piece of equipment,” said one dentist.\u003c/p>\n\u003cp>In August, a Cal/OSHA inspector arrived at the dental clinic and started asking questions.\u003c/p>\n\u003cp>In a report last week, Cal/OSHA wrote that dental staff were being asked to perform “high-hazard” dental procedures that generated aerosols, or fine airborne particles, without the protection of specialized equipment, in locations that did not adequately limit the spread of airborne infections.\u003c/p>\n\u003cp>Cal/OSHA issued an Order Prohibiting Use, directing the clinic to stop all dental work that generates aerosols from a patient’s mouth, including drilling, until the prison can meet a list of safety conditions.\u003c/p>\n\u003cp>CDCR immediately requested a hearing, but after meeting with Cal/OSHA representatives Friday, said it is now working with the agency on an agreement.\u003c/p>\n\u003cp>Cal/OSHA is expected to issue an updated order this week.\u003c/p>\n\u003cp>\u003c/p>\n\u003c/div>\u003c/p>",
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"content": "\u003cp>Ta’Kira Dannette Byrd is thin and lithe, like a blade of wild grass swaying in the wind. The little girl was diagnosed with asthma when she was 5 years old. Her first major health crisis came three years later.\u003c/p>\n\u003cp>She remembers being “really really sick” all day. Then, in the middle of the night, her cat went bounding into mom’s room, yowling, and woke her up.\u003c/p>\n\u003cp>“I guess, like, my face was all purple and stuff and I couldn’t breathe,” said Ta’Kira, now 11.\u003c/p>\n\u003cp>Her mom, Shawntierra Dolton, came running into the living room, where Ta’Kira sleeps. She took one look at her daughter’s face and “hurried up and put the treatment on her.” Then they rushed to the hospital.\u003c/p>\n\u003cp>In the years that followed, the routine became an all-too-regular part of life for the Vallejo family. And the massive wildfires that burned every year almost certainly played a role.\u003c/p>\n\u003cp>Extreme fire seasons seem to be the new normal in the American West. The spate of \u003ca href=\"https://www.kqed.org/news/11834132/see-where-wildfires-are-burning-in-california\">lightning-sparked blazes\u003c/a> that recently blanketed California in unhealthy smoke is just the most recent reminder.\u003c/p>\n\u003cp>But not everyone is affected equally. Just as we’ve seen with the coronavirus pandemic, place and race play a role.\u003c/p>\n\u003cp>Ta’Kira lives with her mom and two younger brothers at the Marina Vista Apartments — a low-income housing development comprised of blocky two-story buildings in downtown Vallejo. According to the \u003ca href=\"https://healthyplacesindex.org\">California Healthy Places Index\u003c/a>, developed by the Public Health Alliance of Southern California, their neighborhood is one of the least healthy in the entire state.\u003c/p>\n\u003cp>Among the poor health outcomes: high asthma rates.\u003c/p>\n\u003cfigure id=\"attachment_11836549\" class=\"wp-caption aligncenter\" style=\"max-width: 1920px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-11836549\" src=\"https://ww2.kqed.org/app/uploads/sites/10/2020/09/RS44653_TaKiraDrawing-qut.jpg\" alt=\"\" width=\"1920\" height=\"1080\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2020/09/RS44653_TaKiraDrawing-qut.jpg 1920w, https://cdn.kqed.org/wp-content/uploads/sites/10/2020/09/RS44653_TaKiraDrawing-qut-800x450.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2020/09/RS44653_TaKiraDrawing-qut-1020x574.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2020/09/RS44653_TaKiraDrawing-qut-160x90.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2020/09/RS44653_TaKiraDrawing-qut-1536x864.jpg 1536w\" sizes=\"(max-width: 1920px) 100vw, 1920px\">\u003cfigcaption class=\"wp-caption-text\">Ta’Kira, 11, colors in her notebook at home in Vallejo. \u003ccite>(Lee Romney/KQED)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>For Ta’Kira, living with a condition that regularly inflames her airways can be scary.\u003c/p>\n\u003cp>“When we have PE and I run a lot, it makes me feel kind of weak and stuff,” she said. “It feels like my lungs are just closing up.”\u003c/p>\n\u003cp>Still, Ta’Kira tends to put a positive spin on things — even during an emergency treatment of oxygen and helium that doctors administered during that first hospitalization, to open up her lungs. Known as Heliox, the treatment is reserved for the most serious cases.\u003c/p>\n\u003cp>“I was put on that for an hour,” she said in a playful sing-song, “and I couldn’t even talk because the thing was on my mouth and on my nose. It made me sound like a squeaky mouse.”\u003c/p>\n\u003cp>Days later, Ta’Kira went home with a bunch of new prescriptions. But her medical records, which Shawntierra shared with KQED, reveal that she ran out of some key maintenance meds over the next few years — partly because of hitches with her Medi-Cal, the state’s government insurance program that serves low-income families.\u003c/p>\n\u003cp>[pullquote size='medium' align='right' citation='Dr. John Balmes, professor of medicine and environmental health sciences at UCSF and UC Berkeley']‘Based on what we know from outdoor air pollution and about asthma biology in general, the effects can be cumulative.’[/pullquote]\u003c/p>\n\u003cp>Those hardships are just one example of how wealth can impact health — gaps in Ta’Kira’s treatment made controlling her asthma harder, and she landed back in the ER again and again. Then wildfires — record-breaking in their scope and devastation — started burning, beginning with \u003ca href=\"https://www.kqed.org/news/tag/tubbs-fire\">the Tubbs Fire in October 2017\u003c/a>.\u003c/p>\n\u003cp>The blaze raged through Sonoma and Napa counties, destroying several Santa Rosa neighborhoods. Even though it burned a ways from Vallejo, wildfires produce tiny particulate matter that can travel great distances and lodge deep in the lungs.\u003c/p>\n\u003cp>In the year that followed, Ta’Kira was rushed to the ER with bad asthma attacks every three to four months. But those visits didn’t happen on the days when the smoke was at its worst, though she felt it in her chest. Instead, Ta’Kira ended up visiting the ER repeatedly in the weeks and months that followed.\u003c/p>\n\u003cp>Dr. John Balmes, a professor of medicine and environmental health sciences at UCSF and UC Berkeley who studies the impact of air pollution on kids, said that’s not surprising.\u003c/p>\n\u003cp>“Based on what we know from outdoor air pollution and about asthma biology in general, the effects can be cumulative,” Balmes said.\u003c/p>\n\u003cp>The short-term impacts of wildfire smoke are well documented. Studies have shown that smoky days correlate with spikes in ER visits for lung and heart problems in real time.\u003c/p>\n\u003cp>As for long-term health effects, there’s a lot we still don’t know. A recent Stanford University study showed potentially lasting damage to the immune systems of kids who’d been exposed to fire smoke. And \u003ca href=\"https://www.revealnews.org/article/the-smokes-gone-but-hearts-and-lungs-still-may-be-in-danger-months-after-wildfires/\">an investigation by the Center for Investigative Reporting\u003c/a> found a spike in ER visits of adults and kids experiencing lung and heart ailments three to five months after the Tubbs Fire. [ad fullwidth]\u003c/p>\n\u003cp>So, like with daily air pollution, Balmes said, it’s pretty clear that inhalation of particulate matter from smoke can cause harm over time.\u003c/p>\n\u003cp>“A child could be exposed to wildfire smoke for a period and have some increase in airway inflammation,” he said, “which would then put them at greater risk of exacerbations from allergens that they’re sensitized to, or make them more at risk for having exacerbation when they get a cold.” [aside tag=\"wildfires\" label=\"more coverage\"]\u003c/p>\n\u003cp>New record-setting blazes would follow the Tubbs Fire. In November 2018, \u003ca href=\"https://www.kqed.org/news/tag/camp-fire\">the Camp Fire decimated the town of Paradise\u003c/a> in Butte County, spreading smoke laden with toxins from burning plastics and other industrial materials for hundreds of miles. Three months later, Ta’Kira was back in the hospital again. “Working very hard to breathe,” her medical notes say. “Unable to hold a long conversation.”\u003c/p>\n\u003cp>“I was scared because I had to get an IV,” she said. “They always put it in the same arm. But then this one nurse she knew I was scared so she took her time putting the fluid all the way in.”\u003c/p>\n\u003cp>Ta’Kira put on a brave face about that IV, and about the ambulance ride she took hours later, when she was transferred to the pediatric ICU in Oakland.\u003c/p>\n\u003cp>Her mom, Shawntierra, is a singer. And Ta’Kira says during that time in ICU, she often sang — especially during her long overnight stays on a pull-out couch next to her daughter’s bed.\u003c/p>\n\u003cp>For Shawntierra, these hospitalizations have been terrifying.\u003c/p>\n\u003cp>“I just remember crying a lot,” she said, “because they kept coming in the room doing extra stuff to her.”\u003c/p>\n\u003cp>Ta’Kira is not alone in her medical struggles. \u003ca href=\"https://minorityhealth.hhs.gov/omh/browse.aspx?lvl=4&lvlid=15\">Black children like her are disproportionately affected by asthma\u003c/a>, more likely to be hospitalized for it, and even to die from it. Especially in low-income neighborhoods like the Vallejo census tract where Ta’Kira has lived for her entire young life. Data show that more Black people live in that neighborhood than anywhere else in Vallejo.\u003c/p>\n\u003cfigure id=\"attachment_11836544\" class=\"wp-caption aligncenter\" style=\"max-width: 1920px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-11836544\" src=\"https://ww2.kqed.org/app/uploads/sites/10/2020/09/RS44654_MarinaGardens-qut.jpg\" alt=\"\" width=\"1920\" height=\"1441\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2020/09/RS44654_MarinaGardens-qut.jpg 1920w, https://cdn.kqed.org/wp-content/uploads/sites/10/2020/09/RS44654_MarinaGardens-qut-800x600.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2020/09/RS44654_MarinaGardens-qut-1020x766.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2020/09/RS44654_MarinaGardens-qut-160x120.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2020/09/RS44654_MarinaGardens-qut-1536x1153.jpg 1536w, https://cdn.kqed.org/wp-content/uploads/sites/10/2020/09/RS44654_MarinaGardens-qut-1832x1374.jpg 1832w, https://cdn.kqed.org/wp-content/uploads/sites/10/2020/09/RS44654_MarinaGardens-qut-1376x1032.jpg 1376w, https://cdn.kqed.org/wp-content/uploads/sites/10/2020/09/RS44654_MarinaGardens-qut-1044x783.jpg 1044w, https://cdn.kqed.org/wp-content/uploads/sites/10/2020/09/RS44654_MarinaGardens-qut-632x474.jpg 632w, https://cdn.kqed.org/wp-content/uploads/sites/10/2020/09/RS44654_MarinaGardens-qut-536x402.jpg 536w\" sizes=\"(max-width: 1920px) 100vw, 1920px\">\u003cfigcaption class=\"wp-caption-text\">Residents from downtown Vallejo’s Marina Vista Gardens say wildfire smoke easily permeates poor-quality aluminum window frames at the apartment complex, contributing to indoor pollution. \u003ccite>(Lee Romney/KQED)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>Those concerning asthma statistics for Black children, Balmes said, are due in part to higher exposure to air pollution in low-income neighborhoods from sources such as industry and freeway soot. But also, he said, because of more indirect factors including discrimination, poor housing, poverty, noise and garbage\u003c/p>\n\u003cp>Given what we know about those trends, he said, wildfire smoke is “likely to differentially impact kids in these neighborhoods.”\u003c/p>\n\u003cp>During every wildfire-related smoke event, Ta’Kira’s mom said, she has made sure to follow public health advice to keep the ground-floor apartment’s windows and doors closed. But that only helps if they keep the smoke out.\u003c/p>\n\u003cp>Marina Vista’s oldest apartment buildings were built about 50 years ago. And about half a dozen residents — including Shawntierra — said smoke comes right in through the flimsy aluminum window frames.\u003c/p>\n\u003cp>Garbage is a problem at Marina Vista, too. It attracts critters whose droppings are common asthma triggers. Large, bulky, open-topped garbage bins sit just feet from Shawntierra’s unit, across a narrow pathway.\u003c/p>\n\u003cp>Shawntierra said management should move them farther away from the living units, “or at least spray more often for roaches and mice. Sometimes we’ll see them all outside the apartments and inside. Just everywhere.”\u003c/p>\n\u003cp>Last October, Ta’Kira was back at the ER again, on a cardiac monitor, getting a continuous flow of asthma meds through a nebulizer. Her lungs were already compromised when, a week later, \u003ca href=\"https://www.kqed.org/news/11782314/what-you-need-to-know-sonoma-countys-kincade-fire\">the Kincade Fire\u003c/a> started burning within 100 miles of her home, blanketing Vallejo in smoke. Two weeks later, she was back at the ER.\u003c/p>\n\u003cp>This year has been a bit better for Ta’Kira when it comes to asthma attacks, her mother said. Maybe because she’s getting older. Maybe because the medicines she takes each day are doing their job.\u003c/p>\n\u003cp>[pullquote size='medium' align='right' citation='Ta’Kira Dannette Byrd, 11']‘I worry about fires a lot.’[/pullquote]\u003c/p>\n\u003cp>But last month’s lightning-triggered blazes bumped California into yet another unprecedented crisis: A record-breaking number of “Spare the Air” days led millions of residents — at least, those who were able — to take shelter indoors.\u003c/p>\n\u003cp>About a week into those bad-air days, I went back to Marina Gardens to visit Shawntierra and Ta’Kira. Even though Ta’Kira had only been to the ER once in the past few months, mom said she was “very, very worried” about the relentless smoke.\u003c/p>\n\u003cp>To be cautious, she and the kids had been taking refuge at Shawntierra’s mom’s home in Contra Costa County. Even though outside air quality there has been lousy, too, her place has higher-quality windows and doors.\u003c/p>\n\u003cp>“She lives in a two-story so it’s a lot more space for her,” Shawntierra said, “and when you enter in her house it’s just pure, clean. Clean air.”\u003c/p>\n\u003cp>Asthma has been a part of Ta’Kira’s life for years now. Inhaling tiny harmful particulate matter from wildfire smoke — that’s just one of her many triggers. But it’s joined the list of forces outside her control that cause her anxiety.\u003c/p>\n\u003cp>“I worry about fires a lot,” she said.\u003c/p>\n\u003cp>Ta’Kira was quiet on that last visit, saying she felt “fine.” But a few minutes later, Shawntierra called with an update: Ta’Kira, she said, had just told her that her chest had been hurting at night. She’d been keeping it to herself, because she was worried about going back to the hospital.\u003c/p>\n\u003cp>[ad floatright]\u003c/p>\n",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>Ta’Kira Dannette Byrd is thin and lithe, like a blade of wild grass swaying in the wind. The little girl was diagnosed with asthma when she was 5 years old. Her first major health crisis came three years later.\u003c/p>\n\u003cp>She remembers being “really really sick” all day. Then, in the middle of the night, her cat went bounding into mom’s room, yowling, and woke her up.\u003c/p>\n\u003cp>“I guess, like, my face was all purple and stuff and I couldn’t breathe,” said Ta’Kira, now 11.\u003c/p>\n\u003cp>Her mom, Shawntierra Dolton, came running into the living room, where Ta’Kira sleeps. She took one look at her daughter’s face and “hurried up and put the treatment on her.” Then they rushed to the hospital.\u003c/p>\n\u003cp>In the years that followed, the routine became an all-too-regular part of life for the Vallejo family. And the massive wildfires that burned every year almost certainly played a role.\u003c/p>\n\u003cp>Extreme fire seasons seem to be the new normal in the American West. The spate of \u003ca href=\"https://www.kqed.org/news/11834132/see-where-wildfires-are-burning-in-california\">lightning-sparked blazes\u003c/a> that recently blanketed California in unhealthy smoke is just the most recent reminder.\u003c/p>\n\u003cp>But not everyone is affected equally. Just as we’ve seen with the coronavirus pandemic, place and race play a role.\u003c/p>\n\u003cp>Ta’Kira lives with her mom and two younger brothers at the Marina Vista Apartments — a low-income housing development comprised of blocky two-story buildings in downtown Vallejo. According to the \u003ca href=\"https://healthyplacesindex.org\">California Healthy Places Index\u003c/a>, developed by the Public Health Alliance of Southern California, their neighborhood is one of the least healthy in the entire state.\u003c/p>\n\u003cp>Among the poor health outcomes: high asthma rates.\u003c/p>\n\u003cfigure id=\"attachment_11836549\" class=\"wp-caption aligncenter\" style=\"max-width: 1920px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-11836549\" src=\"https://ww2.kqed.org/app/uploads/sites/10/2020/09/RS44653_TaKiraDrawing-qut.jpg\" alt=\"\" width=\"1920\" height=\"1080\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2020/09/RS44653_TaKiraDrawing-qut.jpg 1920w, https://cdn.kqed.org/wp-content/uploads/sites/10/2020/09/RS44653_TaKiraDrawing-qut-800x450.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2020/09/RS44653_TaKiraDrawing-qut-1020x574.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2020/09/RS44653_TaKiraDrawing-qut-160x90.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2020/09/RS44653_TaKiraDrawing-qut-1536x864.jpg 1536w\" sizes=\"(max-width: 1920px) 100vw, 1920px\">\u003cfigcaption class=\"wp-caption-text\">Ta’Kira, 11, colors in her notebook at home in Vallejo. \u003ccite>(Lee Romney/KQED)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>For Ta’Kira, living with a condition that regularly inflames her airways can be scary.\u003c/p>\n\u003cp>“When we have PE and I run a lot, it makes me feel kind of weak and stuff,” she said. “It feels like my lungs are just closing up.”\u003c/p>\n\u003cp>Still, Ta’Kira tends to put a positive spin on things — even during an emergency treatment of oxygen and helium that doctors administered during that first hospitalization, to open up her lungs. Known as Heliox, the treatment is reserved for the most serious cases.\u003c/p>\n\u003cp>“I was put on that for an hour,” she said in a playful sing-song, “and I couldn’t even talk because the thing was on my mouth and on my nose. It made me sound like a squeaky mouse.”\u003c/p>\n\u003cp>Days later, Ta’Kira went home with a bunch of new prescriptions. But her medical records, which Shawntierra shared with KQED, reveal that she ran out of some key maintenance meds over the next few years — partly because of hitches with her Medi-Cal, the state’s government insurance program that serves low-income families.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "‘Based on what we know from outdoor air pollution and about asthma biology in general, the effects can be cumulative.’",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>Those hardships are just one example of how wealth can impact health — gaps in Ta’Kira’s treatment made controlling her asthma harder, and she landed back in the ER again and again. Then wildfires — record-breaking in their scope and devastation — started burning, beginning with \u003ca href=\"https://www.kqed.org/news/tag/tubbs-fire\">the Tubbs Fire in October 2017\u003c/a>.\u003c/p>\n\u003cp>The blaze raged through Sonoma and Napa counties, destroying several Santa Rosa neighborhoods. Even though it burned a ways from Vallejo, wildfires produce tiny particulate matter that can travel great distances and lodge deep in the lungs.\u003c/p>\n\u003cp>In the year that followed, Ta’Kira was rushed to the ER with bad asthma attacks every three to four months. But those visits didn’t happen on the days when the smoke was at its worst, though she felt it in her chest. Instead, Ta’Kira ended up visiting the ER repeatedly in the weeks and months that followed.\u003c/p>\n\u003cp>Dr. John Balmes, a professor of medicine and environmental health sciences at UCSF and UC Berkeley who studies the impact of air pollution on kids, said that’s not surprising.\u003c/p>\n\u003cp>“Based on what we know from outdoor air pollution and about asthma biology in general, the effects can be cumulative,” Balmes said.\u003c/p>\n\u003cp>The short-term impacts of wildfire smoke are well documented. Studies have shown that smoky days correlate with spikes in ER visits for lung and heart problems in real time.\u003c/p>\n\u003cp>As for long-term health effects, there’s a lot we still don’t know. A recent Stanford University study showed potentially lasting damage to the immune systems of kids who’d been exposed to fire smoke. And \u003ca href=\"https://www.revealnews.org/article/the-smokes-gone-but-hearts-and-lungs-still-may-be-in-danger-months-after-wildfires/\">an investigation by the Center for Investigative Reporting\u003c/a> found a spike in ER visits of adults and kids experiencing lung and heart ailments three to five months after the Tubbs Fire. \u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>So, like with daily air pollution, Balmes said, it’s pretty clear that inhalation of particulate matter from smoke can cause harm over time.\u003c/p>\n\u003cp>“A child could be exposed to wildfire smoke for a period and have some increase in airway inflammation,” he said, “which would then put them at greater risk of exacerbations from allergens that they’re sensitized to, or make them more at risk for having exacerbation when they get a cold.” \u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>New record-setting blazes would follow the Tubbs Fire. In November 2018, \u003ca href=\"https://www.kqed.org/news/tag/camp-fire\">the Camp Fire decimated the town of Paradise\u003c/a> in Butte County, spreading smoke laden with toxins from burning plastics and other industrial materials for hundreds of miles. Three months later, Ta’Kira was back in the hospital again. “Working very hard to breathe,” her medical notes say. “Unable to hold a long conversation.”\u003c/p>\n\u003cp>“I was scared because I had to get an IV,” she said. “They always put it in the same arm. But then this one nurse she knew I was scared so she took her time putting the fluid all the way in.”\u003c/p>\n\u003cp>Ta’Kira put on a brave face about that IV, and about the ambulance ride she took hours later, when she was transferred to the pediatric ICU in Oakland.\u003c/p>\n\u003cp>Her mom, Shawntierra, is a singer. And Ta’Kira says during that time in ICU, she often sang — especially during her long overnight stays on a pull-out couch next to her daughter’s bed.\u003c/p>\n\u003cp>For Shawntierra, these hospitalizations have been terrifying.\u003c/p>\n\u003cp>“I just remember crying a lot,” she said, “because they kept coming in the room doing extra stuff to her.”\u003c/p>\n\u003cp>Ta’Kira is not alone in her medical struggles. \u003ca href=\"https://minorityhealth.hhs.gov/omh/browse.aspx?lvl=4&lvlid=15\">Black children like her are disproportionately affected by asthma\u003c/a>, more likely to be hospitalized for it, and even to die from it. Especially in low-income neighborhoods like the Vallejo census tract where Ta’Kira has lived for her entire young life. Data show that more Black people live in that neighborhood than anywhere else in Vallejo.\u003c/p>\n\u003cfigure id=\"attachment_11836544\" class=\"wp-caption aligncenter\" style=\"max-width: 1920px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-11836544\" src=\"https://ww2.kqed.org/app/uploads/sites/10/2020/09/RS44654_MarinaGardens-qut.jpg\" alt=\"\" width=\"1920\" height=\"1441\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2020/09/RS44654_MarinaGardens-qut.jpg 1920w, https://cdn.kqed.org/wp-content/uploads/sites/10/2020/09/RS44654_MarinaGardens-qut-800x600.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2020/09/RS44654_MarinaGardens-qut-1020x766.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2020/09/RS44654_MarinaGardens-qut-160x120.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2020/09/RS44654_MarinaGardens-qut-1536x1153.jpg 1536w, https://cdn.kqed.org/wp-content/uploads/sites/10/2020/09/RS44654_MarinaGardens-qut-1832x1374.jpg 1832w, https://cdn.kqed.org/wp-content/uploads/sites/10/2020/09/RS44654_MarinaGardens-qut-1376x1032.jpg 1376w, https://cdn.kqed.org/wp-content/uploads/sites/10/2020/09/RS44654_MarinaGardens-qut-1044x783.jpg 1044w, https://cdn.kqed.org/wp-content/uploads/sites/10/2020/09/RS44654_MarinaGardens-qut-632x474.jpg 632w, https://cdn.kqed.org/wp-content/uploads/sites/10/2020/09/RS44654_MarinaGardens-qut-536x402.jpg 536w\" sizes=\"(max-width: 1920px) 100vw, 1920px\">\u003cfigcaption class=\"wp-caption-text\">Residents from downtown Vallejo’s Marina Vista Gardens say wildfire smoke easily permeates poor-quality aluminum window frames at the apartment complex, contributing to indoor pollution. \u003ccite>(Lee Romney/KQED)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>Those concerning asthma statistics for Black children, Balmes said, are due in part to higher exposure to air pollution in low-income neighborhoods from sources such as industry and freeway soot. But also, he said, because of more indirect factors including discrimination, poor housing, poverty, noise and garbage\u003c/p>\n\u003cp>Given what we know about those trends, he said, wildfire smoke is “likely to differentially impact kids in these neighborhoods.”\u003c/p>\n\u003cp>During every wildfire-related smoke event, Ta’Kira’s mom said, she has made sure to follow public health advice to keep the ground-floor apartment’s windows and doors closed. But that only helps if they keep the smoke out.\u003c/p>\n\u003cp>Marina Vista’s oldest apartment buildings were built about 50 years ago. And about half a dozen residents — including Shawntierra — said smoke comes right in through the flimsy aluminum window frames.\u003c/p>\n\u003cp>Garbage is a problem at Marina Vista, too. It attracts critters whose droppings are common asthma triggers. Large, bulky, open-topped garbage bins sit just feet from Shawntierra’s unit, across a narrow pathway.\u003c/p>\n\u003cp>Shawntierra said management should move them farther away from the living units, “or at least spray more often for roaches and mice. Sometimes we’ll see them all outside the apartments and inside. Just everywhere.”\u003c/p>\n\u003cp>Last October, Ta’Kira was back at the ER again, on a cardiac monitor, getting a continuous flow of asthma meds through a nebulizer. Her lungs were already compromised when, a week later, \u003ca href=\"https://www.kqed.org/news/11782314/what-you-need-to-know-sonoma-countys-kincade-fire\">the Kincade Fire\u003c/a> started burning within 100 miles of her home, blanketing Vallejo in smoke. Two weeks later, she was back at the ER.\u003c/p>\n\u003cp>This year has been a bit better for Ta’Kira when it comes to asthma attacks, her mother said. Maybe because she’s getting older. Maybe because the medicines she takes each day are doing their job.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>But last month’s lightning-triggered blazes bumped California into yet another unprecedented crisis: A record-breaking number of “Spare the Air” days led millions of residents — at least, those who were able — to take shelter indoors.\u003c/p>\n\u003cp>About a week into those bad-air days, I went back to Marina Gardens to visit Shawntierra and Ta’Kira. Even though Ta’Kira had only been to the ER once in the past few months, mom said she was “very, very worried” about the relentless smoke.\u003c/p>\n\u003cp>To be cautious, she and the kids had been taking refuge at Shawntierra’s mom’s home in Contra Costa County. Even though outside air quality there has been lousy, too, her place has higher-quality windows and doors.\u003c/p>\n\u003cp>“She lives in a two-story so it’s a lot more space for her,” Shawntierra said, “and when you enter in her house it’s just pure, clean. Clean air.”\u003c/p>\n\u003cp>Asthma has been a part of Ta’Kira’s life for years now. Inhaling tiny harmful particulate matter from wildfire smoke — that’s just one of her many triggers. But it’s joined the list of forces outside her control that cause her anxiety.\u003c/p>\n\u003cp>“I worry about fires a lot,” she said.\u003c/p>\n\u003cp>Ta’Kira was quiet on that last visit, saying she felt “fine.” But a few minutes later, Shawntierra called with an update: Ta’Kira, she said, had just told her that her chest had been hurting at night. She’d been keeping it to herself, because she was worried about going back to the hospital.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"title": "One in Five Californians Know Someone Who Died of COVID-19",
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"content": "\u003cp>Nearly 20% of Californians know someone who has died of COVID-19, a rate that’s significantly higher for people of color and low-income residents, according to \u003ca href=\"https://www.chcf.org/blog/covid-19-tracking-poll-one-five-californians-know-someone-who-died-covid-19\" target=\"_blank\" rel=\"noopener noreferrer\">a new poll\u003c/a> from the California Health Care Foundation (CHCF).\u003c/p>\n\u003cp>Among respondents, 10% of white people reported knowing someone who had died of the virus, while that rate rose to 29% for Latinx people, 28% for African Americans and 19% for Asian Americans.\u003c/p>\n\u003cp>Meanwhile, 26% of low-income respondents of all races said they knew someone who had died.\u003c/p>\n\u003cfigure id=\"attachment_11836509\" class=\"wp-caption aligncenter\" style=\"max-width: 1920px\">\u003ca href=\"https://ww2.kqed.org/app/uploads/sites/10/2020/09/Screen-Shot-2020-09-03-at-10.00.11-AM.png\" rel=\"attachment wp-att-11836509\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"wp-image-11836509 size-full\" src=\"https://ww2.kqed.org/app/uploads/sites/10/2020/09/Screen-Shot-2020-09-03-at-10.00.11-AM.png\" alt=\"\" width=\"1920\" height=\"1214\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2020/09/Screen-Shot-2020-09-03-at-10.00.11-AM.png 1920w, https://cdn.kqed.org/wp-content/uploads/sites/10/2020/09/Screen-Shot-2020-09-03-at-10.00.11-AM-800x506.png 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2020/09/Screen-Shot-2020-09-03-at-10.00.11-AM-1020x645.png 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2020/09/Screen-Shot-2020-09-03-at-10.00.11-AM-160x101.png 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2020/09/Screen-Shot-2020-09-03-at-10.00.11-AM-1536x971.png 1536w\" sizes=\"(max-width: 1920px) 100vw, 1920px\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">California Health Care Foundation/Ipsos survey of California residents age 18+. \u003ccite>(Courtesy of CHCF)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>Those discrepancies are not surprising to Andrea Polonijo, a postdoctoral fellow at UC Riverside School of Medicine, where she studies health disparities.\u003c/p>\n\u003cp>“We know that Black and Latinx populations have disproportionately been diagnosed with the virus and disproportionately have died of the virus,” she said.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>Black and Latinx residents \u003ca href=\"https://www.kqed.org/news/11815391/in-bay-area-women-and-people-of-color-shoulder-most-front-line-work-during-pandemic\" target=\"_blank\" rel=\"noopener noreferrer\">make up the majority of California’s front-line workers\u003c/a>, and many have had to continue doing their jobs through the pandemic, often without appropriate personal protective equipment, she said. Consistent with the rest of the country, California has seen a spate of outbreaks at \u003ca href=\"https://calmatters.org/california-divide/2020/08/california-counties-wont-report-covid-essential-workplace-outbreaks/\">essential workplaces across the state\u003c/a> — from \u003ca href=\"https://www.kqed.org/news/11835677/foster-farms-ordered-to-shut-down-covid-stricken-central-valley-poultry-plant\" target=\"_blank\" rel=\"noopener noreferrer\">meatpacking plants\u003c/a> and farms to construction sites — exposing scores of workers to the virus.\u003c/p>\n\u003cp>“Every day when they go to work, they’re putting themselves at risk of getting the virus or potentially dying,” Polonijo said.\u003c/p>\n\u003cp>CHCF surveyed 1,209 people in either English or Spanish over five days in late August.\u003c/p>\n\u003cp>Poll respondents were also asked how they felt about sheltering in place and reopening the economy, with seven in 10 saying they strongly or somewhat strongly support stricter shutdown measures to slow the spread of the virus.\u003c/p>\n\u003cfigure id=\"attachment_11836522\" class=\"wp-caption aligncenter\" style=\"max-width: 1887px\">\u003ca href=\"https://ww2.kqed.org/news/2020/09/03/one-in-five-californians-know-someone-who-died-of-covid-19/screen-shot-2020-09-03-at-10-27-58-am-2/\" rel=\"attachment wp-att-11836522\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-11836522\" src=\"https://ww2.kqed.org/app/uploads/sites/10/2020/09/Screen-Shot-2020-09-03-at-10.27.58-AM-1.png\" alt=\"\" width=\"1887\" height=\"1059\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2020/09/Screen-Shot-2020-09-03-at-10.27.58-AM-1.png 1887w, https://cdn.kqed.org/wp-content/uploads/sites/10/2020/09/Screen-Shot-2020-09-03-at-10.27.58-AM-1-800x449.png 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2020/09/Screen-Shot-2020-09-03-at-10.27.58-AM-1-1020x572.png 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2020/09/Screen-Shot-2020-09-03-at-10.27.58-AM-1-160x90.png 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2020/09/Screen-Shot-2020-09-03-at-10.27.58-AM-1-1536x862.png 1536w\" sizes=\"(max-width: 1887px) 100vw, 1887px\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">California Health Care Foundation/Ipsos survey of California residents age 18+. \u003ccite>(Courtesy of CHCF)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>“That’s a clear message here,” said Kristof Stremikis, director of market analysis and insight at the CHCF. “The vast majority of the state is saying public health before economic health.” [aside tag=\"coronavirus\" label=\"More Related Coverage\"]\u003c/p>\n\u003cp>Poll respondents were also asked where they stood on shelter-in-place restrictions related to specific outcomes. When asked if they would like to see stricter rules if it meant fewer deaths, 85% said they would either strongly or somewhat support such measures.\u003c/p>\n\u003cp>“Californians are highly motivated, or highly supportive of stricter measures if they’re going to specifically prevent deaths,” Stremikis said.\u003c/p>\n\u003cp>But the survey also found stark demographic differences in who was most likely to support those more stringent measures that could prevent additional deaths, with strong support from 75% of Black and 65% of Latinx respondents, but only 54% support from white respondents.\u003c/p>\n\u003cfigure id=\"attachment_11836514\" class=\"wp-caption aligncenter\" style=\"max-width: 1920px\">\u003ca href=\"https://ww2.kqed.org/app/uploads/sites/10/2020/09/Screen-Shot-2020-09-03-at-10.28.52-AM.png\" rel=\"attachment wp-att-11836514\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"wp-image-11836514 size-full\" src=\"https://ww2.kqed.org/app/uploads/sites/10/2020/09/Screen-Shot-2020-09-03-at-10.28.52-AM.png\" alt=\"\" width=\"1920\" height=\"908\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2020/09/Screen-Shot-2020-09-03-at-10.28.52-AM.png 1920w, https://cdn.kqed.org/wp-content/uploads/sites/10/2020/09/Screen-Shot-2020-09-03-at-10.28.52-AM-800x378.png 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2020/09/Screen-Shot-2020-09-03-at-10.28.52-AM-1020x482.png 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2020/09/Screen-Shot-2020-09-03-at-10.28.52-AM-160x76.png 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2020/09/Screen-Shot-2020-09-03-at-10.28.52-AM-1536x726.png 1536w\" sizes=\"(max-width: 1920px) 100vw, 1920px\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">California Health Care Foundation/Ipsos survey of California residents age 18+. \u003ccite>(Courtesy of CHCF)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>Stremikis said that difference may well reflect higher rates of infection and death in Black and Latinx communities.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>“This (pandemic) is particularly tragic for people with low incomes, as well as Black and Latino Californians,” he said.\u003c/p>\n\n",
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"title": "One in Five Californians Know Someone Who Died of COVID-19 | KQED",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>Nearly 20% of Californians know someone who has died of COVID-19, a rate that’s significantly higher for people of color and low-income residents, according to \u003ca href=\"https://www.chcf.org/blog/covid-19-tracking-poll-one-five-californians-know-someone-who-died-covid-19\" target=\"_blank\" rel=\"noopener noreferrer\">a new poll\u003c/a> from the California Health Care Foundation (CHCF).\u003c/p>\n\u003cp>Among respondents, 10% of white people reported knowing someone who had died of the virus, while that rate rose to 29% for Latinx people, 28% for African Americans and 19% for Asian Americans.\u003c/p>\n\u003cp>Meanwhile, 26% of low-income respondents of all races said they knew someone who had died.\u003c/p>\n\u003cfigure id=\"attachment_11836509\" class=\"wp-caption aligncenter\" style=\"max-width: 1920px\">\u003ca href=\"https://ww2.kqed.org/app/uploads/sites/10/2020/09/Screen-Shot-2020-09-03-at-10.00.11-AM.png\" rel=\"attachment wp-att-11836509\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"wp-image-11836509 size-full\" src=\"https://ww2.kqed.org/app/uploads/sites/10/2020/09/Screen-Shot-2020-09-03-at-10.00.11-AM.png\" alt=\"\" width=\"1920\" height=\"1214\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2020/09/Screen-Shot-2020-09-03-at-10.00.11-AM.png 1920w, https://cdn.kqed.org/wp-content/uploads/sites/10/2020/09/Screen-Shot-2020-09-03-at-10.00.11-AM-800x506.png 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2020/09/Screen-Shot-2020-09-03-at-10.00.11-AM-1020x645.png 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2020/09/Screen-Shot-2020-09-03-at-10.00.11-AM-160x101.png 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2020/09/Screen-Shot-2020-09-03-at-10.00.11-AM-1536x971.png 1536w\" sizes=\"(max-width: 1920px) 100vw, 1920px\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">California Health Care Foundation/Ipsos survey of California residents age 18+. \u003ccite>(Courtesy of CHCF)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>Those discrepancies are not surprising to Andrea Polonijo, a postdoctoral fellow at UC Riverside School of Medicine, where she studies health disparities.\u003c/p>\n\u003cp>“We know that Black and Latinx populations have disproportionately been diagnosed with the virus and disproportionately have died of the virus,” she said.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>Black and Latinx residents \u003ca href=\"https://www.kqed.org/news/11815391/in-bay-area-women-and-people-of-color-shoulder-most-front-line-work-during-pandemic\" target=\"_blank\" rel=\"noopener noreferrer\">make up the majority of California’s front-line workers\u003c/a>, and many have had to continue doing their jobs through the pandemic, often without appropriate personal protective equipment, she said. Consistent with the rest of the country, California has seen a spate of outbreaks at \u003ca href=\"https://calmatters.org/california-divide/2020/08/california-counties-wont-report-covid-essential-workplace-outbreaks/\">essential workplaces across the state\u003c/a> — from \u003ca href=\"https://www.kqed.org/news/11835677/foster-farms-ordered-to-shut-down-covid-stricken-central-valley-poultry-plant\" target=\"_blank\" rel=\"noopener noreferrer\">meatpacking plants\u003c/a> and farms to construction sites — exposing scores of workers to the virus.\u003c/p>\n\u003cp>“Every day when they go to work, they’re putting themselves at risk of getting the virus or potentially dying,” Polonijo said.\u003c/p>\n\u003cp>CHCF surveyed 1,209 people in either English or Spanish over five days in late August.\u003c/p>\n\u003cp>Poll respondents were also asked how they felt about sheltering in place and reopening the economy, with seven in 10 saying they strongly or somewhat strongly support stricter shutdown measures to slow the spread of the virus.\u003c/p>\n\u003cfigure id=\"attachment_11836522\" class=\"wp-caption aligncenter\" style=\"max-width: 1887px\">\u003ca href=\"https://ww2.kqed.org/news/2020/09/03/one-in-five-californians-know-someone-who-died-of-covid-19/screen-shot-2020-09-03-at-10-27-58-am-2/\" rel=\"attachment wp-att-11836522\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-11836522\" src=\"https://ww2.kqed.org/app/uploads/sites/10/2020/09/Screen-Shot-2020-09-03-at-10.27.58-AM-1.png\" alt=\"\" width=\"1887\" height=\"1059\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2020/09/Screen-Shot-2020-09-03-at-10.27.58-AM-1.png 1887w, https://cdn.kqed.org/wp-content/uploads/sites/10/2020/09/Screen-Shot-2020-09-03-at-10.27.58-AM-1-800x449.png 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2020/09/Screen-Shot-2020-09-03-at-10.27.58-AM-1-1020x572.png 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2020/09/Screen-Shot-2020-09-03-at-10.27.58-AM-1-160x90.png 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2020/09/Screen-Shot-2020-09-03-at-10.27.58-AM-1-1536x862.png 1536w\" sizes=\"(max-width: 1887px) 100vw, 1887px\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">California Health Care Foundation/Ipsos survey of California residents age 18+. \u003ccite>(Courtesy of CHCF)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>“That’s a clear message here,” said Kristof Stremikis, director of market analysis and insight at the CHCF. “The vast majority of the state is saying public health before economic health.” \u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>Poll respondents were also asked where they stood on shelter-in-place restrictions related to specific outcomes. When asked if they would like to see stricter rules if it meant fewer deaths, 85% said they would either strongly or somewhat support such measures.\u003c/p>\n\u003cp>“Californians are highly motivated, or highly supportive of stricter measures if they’re going to specifically prevent deaths,” Stremikis said.\u003c/p>\n\u003cp>But the survey also found stark demographic differences in who was most likely to support those more stringent measures that could prevent additional deaths, with strong support from 75% of Black and 65% of Latinx respondents, but only 54% support from white respondents.\u003c/p>\n\u003cfigure id=\"attachment_11836514\" class=\"wp-caption aligncenter\" style=\"max-width: 1920px\">\u003ca href=\"https://ww2.kqed.org/app/uploads/sites/10/2020/09/Screen-Shot-2020-09-03-at-10.28.52-AM.png\" rel=\"attachment wp-att-11836514\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"wp-image-11836514 size-full\" src=\"https://ww2.kqed.org/app/uploads/sites/10/2020/09/Screen-Shot-2020-09-03-at-10.28.52-AM.png\" alt=\"\" width=\"1920\" height=\"908\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2020/09/Screen-Shot-2020-09-03-at-10.28.52-AM.png 1920w, https://cdn.kqed.org/wp-content/uploads/sites/10/2020/09/Screen-Shot-2020-09-03-at-10.28.52-AM-800x378.png 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2020/09/Screen-Shot-2020-09-03-at-10.28.52-AM-1020x482.png 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2020/09/Screen-Shot-2020-09-03-at-10.28.52-AM-160x76.png 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2020/09/Screen-Shot-2020-09-03-at-10.28.52-AM-1536x726.png 1536w\" sizes=\"(max-width: 1920px) 100vw, 1920px\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">California Health Care Foundation/Ipsos survey of California residents age 18+. \u003ccite>(Courtesy of CHCF)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>Stremikis said that difference may well reflect higher rates of infection and death in Black and Latinx communities.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>“This (pandemic) is particularly tragic for people with low incomes, as well as Black and Latino Californians,” he said.\u003c/p>\n\n\u003c/div>\u003c/p>",
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"slug": "a-lot-of-trust-was-lost-what-losing-its-only-hospital-meant-to-an-east-bay-community",
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"content": "\u003cp>\u003cem>\u003ca href=\"https://www.kqed.org/trulyca/3185/bay-area-hospital-closure-impacted-explored-in-documentary-the-desert\" target=\"_blank\" rel=\"noopener noreferrer\">“The Desert”\u003c/a>, a documentary film recently released as part of \u003ca href=\"https://www.kqed.org/trulyca\" target=\"_blank\" rel=\"noopener noreferrer\">KQED’s Truly CA\u003c/a> series, looks at the ripple effects in a community after a hospital closes. Doctors Medical Center operated for 60 years, serving western Contra Costa County from its location in San Pablo, north of Richmond in the East Bay.\u003c/em>\u003c/p>\n\u003cp>\u003cem>When it \u003ca href=\"https://www.kqed.org/stateofhealth/24993/san-pablos-doctors-medical-center-to-close-tuesday\">closed in 2015\u003c/a>, after failing to bridge a stubborn $18-20 million annual deficit, it left nearly 250,000 mostly low-income residents more than a half-hour drive away from the closest hospital.\u003c/em>\u003c/p>\n\u003cp>\u003cem>\u003ca href=\"#film\">The film\u003c/a> was produced and directed by Bo Kovitz, who spoke with The California Report Magazine. Interview excerpts have been edited for length and clarity.\u003c/em>\u003c/p>\n\u003cfigure id=\"attachment_11830990\" class=\"wp-caption alignright\" style=\"max-width: 800px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-medium wp-image-11830990\" src=\"https://ww2.kqed.org/app/uploads/sites/10/2020/07/RS44121_Kovitz_Headshot-qut-800x533.jpg\" alt=\"\" width=\"800\" height=\"533\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2020/07/RS44121_Kovitz_Headshot-qut-800x533.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2020/07/RS44121_Kovitz_Headshot-qut-1020x680.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2020/07/RS44121_Kovitz_Headshot-qut-160x107.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2020/07/RS44121_Kovitz_Headshot-qut-1536x1024.jpg 1536w, https://cdn.kqed.org/wp-content/uploads/sites/10/2020/07/RS44121_Kovitz_Headshot-qut.jpg 1920w\" sizes=\"(max-width: 800px) 100vw, 800px\">\u003cfigcaption class=\"wp-caption-text\">Bo Kovitz produced and directed ‘The Desert’ as her thesis film while at UC Berkeley’s Graduate School of Journalism. \u003ccite>(Courtesy of Bo Kovitz)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003ch3>\u003cstrong>On what inspired her to make the film\u003c/strong>\u003c/h3>\n\u003cp>I had gone to a public forum about the planned closure of Alta Bates Summit Medical Center in South Berkeley. And there was a lot of discussion at the time about how we would lose another emergency room on a critical corridor of the Bay Area. There was reference to a hospital that had already closed in Richmond. It was sort of glossed over. It really piqued my interest.\u003c/p>\n\u003cp>We really take for granted this idea that we all have a hospital in our neighborhood. I thought, what does it look like to live in a community where there isn’t a hospital? I approached this wanting to hear from the doctors, the frontline workers, the patients, about what the tragedy was. They were never quite heard. And I wanted them to drive this story. I wanted them to be the storytellers.\u003c/p>\n\u003cp>I felt that the reporting and the knowledge around the closure of Doctors Medical Center was never really in the hands of the people who were living and breathing the impacts of what happened.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003ch3>\u003cstrong>On following patients who must plan a whole day around a hospital visit\u003c/strong>\u003c/h3>\n\u003cp>I think there’s been a lot of focus about the loss of (Doctors Medical Center) through the prism of emergency services and not having an emergency room in West Contra Costa County. But there’s another enormous deficit, which is specialty care.\u003c/p>\n\u003cp>There was a cancer center at Doctors Medical Center. Epigmenio Mayo and Angelica Lopez are a couple, both battling cancer. At the time the film was shot, they regularly made a trip where they would take three different buses to get to the county hospital in Martinez, where both of them were receiving cancer treatment. For them, this trip is an absolute necessity, but it’s something that they have to plan their entire day around. They are winded by the time they even show up to their appointments.\u003c/p>\n\u003cp>By the end of the film, the sun is already set. It’s a full day trip. They’ve talked a lot about how there’s no other option. As they say in the film, they prepare their minds and bodies for the trip because they know they have to take it. This is how they survive.\u003c/p>\n\u003cfigure id=\"attachment_11830987\" class=\"wp-caption aligncenter\" style=\"max-width: 800px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"wp-image-11830987 size-medium\" src=\"https://ww2.kqed.org/app/uploads/sites/10/2020/07/RS44118_desert_03-qut-800x800.jpg\" alt=\"\" width=\"800\" height=\"800\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2020/07/RS44118_desert_03-qut-800x800.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2020/07/RS44118_desert_03-qut-1020x1020.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2020/07/RS44118_desert_03-qut-160x160.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2020/07/RS44118_desert_03-qut-912x912.jpg 912w, https://cdn.kqed.org/wp-content/uploads/sites/10/2020/07/RS44118_desert_03-qut-550x550.jpg 550w, https://cdn.kqed.org/wp-content/uploads/sites/10/2020/07/RS44118_desert_03-qut-470x470.jpg 470w, https://cdn.kqed.org/wp-content/uploads/sites/10/2020/07/RS44118_desert_03-qut.jpg 1080w\" sizes=\"(max-width: 800px) 100vw, 800px\">\u003cfigcaption class=\"wp-caption-text\">Epigmenio Mayo and Angelica Lopez ride three buses to get to the hospital for their cancer treatment. \u003ccite>(Bo Kovitz)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003ch3>\u003cstrong>On the urgent care clinic now across the street from the former Doctors Medical Center site\u003c/strong>\u003c/h3>\n\u003cp>They’re serving the same population with just a quarter of the staff.\u003c/p>\n\u003cp>People like Millie Callen worked at Doctors Medical Center for more than a decade. She was one of the coordinators in the E.R., which is one of the most important roles. She’s making sure that everything’s moving smoothly, bringing people in, bouncing them to their doctors, making sure their insurance is covered.\u003c/p>\n\u003cp>Even before the hospital closed, Millie was caring for her own loved ones and understood the before and after of what it’s like to lose a hospital. Her mother has a heart condition. The urgent care where Millie now works is much busier with the spike of COVID-19 cases.\u003c/p>\n\u003cfigure id=\"attachment_11831438\" class=\"wp-caption aligncenter\" style=\"max-width: 800px\">\u003ca href=\"https://ww2.kqed.org/app/uploads/sites/10/2020/07/desert_still_06-copy.jpg\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-medium wp-image-11831438\" src=\"https://ww2.kqed.org/app/uploads/sites/10/2020/07/desert_still_06-copy-800x450.jpg\" alt=\"\" width=\"800\" height=\"450\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2020/07/desert_still_06-copy-800x450.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2020/07/desert_still_06-copy-1020x574.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2020/07/desert_still_06-copy-160x90.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2020/07/desert_still_06-copy-1536x864.jpg 1536w, https://cdn.kqed.org/wp-content/uploads/sites/10/2020/07/desert_still_06-copy.jpg 1920w\" sizes=\"(max-width: 800px) 100vw, 800px\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">Millie Callen worked at Doctors Medical Center, and now works at the urgent care clinic across the street from the former hospital site. \u003ccite>(Courtesy of Bo Kovits)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>For a while, they were one of the few locations that were doing COVID-19 testing. Not only are they answering a lot of patients needing primary care, but they are also dealing with an additional load of patients who were experiencing or showing symptoms of COVID-19. And then there’s that added stress of how do we sequester that person away from the rest of our patients? They had set up a tent in the back parking lot and they were running back and forth.\u003c/p>\n\u003ch3>\u003cstrong>On the firefighters and paramedics she follows in the film\u003c/strong>\u003c/h3>\n\u003cp>There isn’t a Richmond paramedic company. There’s no West Contra Costa County paramedic company. So the firefighters take on the role of being the first to arrive on scene. Firefighters can get on scene, but they’re limited in what they can do because in certain advanced or complicated cases, the ambulance and the paramedics are the ones who need to show up and then transport the person and have specialty training.\u003c/p>\n\u003cp>There are times of the day where highways are really, really congested. Wait times for the paramedics to show up can be up to 30 minutes depending on the day. And then those paramedics are often forced to transport patients outside the city or county for care.\u003c/p>\n\u003cfigure id=\"attachment_11831441\" class=\"wp-caption alignnone\" style=\"max-width: 800px\">\u003ca href=\"https://ww2.kqed.org/app/uploads/sites/10/2020/07/desert_04-wide.jpg\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-medium wp-image-11831441\" src=\"https://ww2.kqed.org/app/uploads/sites/10/2020/07/desert_04-wide-800x419.jpg\" alt=\"\" width=\"800\" height=\"419\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2020/07/desert_04-wide-800x419.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2020/07/desert_04-wide-1020x534.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2020/07/desert_04-wide-160x84.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2020/07/desert_04-wide-1536x804.jpg 1536w, https://cdn.kqed.org/wp-content/uploads/sites/10/2020/07/desert_04-wide.jpg 1920w\" sizes=\"(max-width: 800px) 100vw, 800px\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">Trevor Rogers and his fellow firefighters often care for critically ill patients — many of their calls are for health care emergencies, not fires.\u003c/figcaption>\u003c/figure>\n\u003cp>One of the paramedics that I had the opportunity to film with is Aimee Skaggs, and she has been in the community for years. She was around when Doctors Medical Center was there and brought a lot of patients there.\u003c/p>\n\u003cp>Aimee describes something that I think is unique to low income communities where 911 calls are really treated as primary care. Emergency responders are the ones who essentially are doing triage on the spot. They are having to navigate so many different layers of what it means to make the best decision for a patient.\u003c/p>\n\u003cp>It’s more than just ‘what’s the closest hospital?’ It’s ‘what makes the most financial sense? Where is going to be the closest place that the family can come without it being a hassle?’ And in cases where the issue is something really time-sensitive, paramedics like Aimee have to bring in another dimension to the decision making: how to get them somewhere fast when highways are clogged.\u003c/p>\n\u003cp>Some hospitals may not take them. Where do they go that is not going to also leave the patient riddled with hospital bills in the aftermath? [pullquote size=\"medium\" align=\"right\" citation=\"— Trevor Rogers, firefighter medic\"]‘If we happen to have three calls and there are three critical patients that need critical care, now you have three ambulances that are outside of our city… And that essentially depletes the city of our resources.’[/pullquote]\u003c/p>\n\u003ch3>\u003cstrong>On how hospital closures are playing out throughout the state\u003c/strong>\u003c/h3>\n\u003cp>There are more hospital closures that are happening in California. They’re mostly in rural communities.\u003c/p>\n\u003cp>I think the closure of Doctors Medical Center represents an accelerating trend in urban communities. Regions that are concentrated areas for Medi-Cal, Medicare or uninsured patients are losing hospitals because hospitals and ERs are trying to consolidate in urban centers where there are more privately insured patients.\u003c/p>\n\u003ch3>\u003cstrong>On the burden of shouldering COVID-19 patients now that the hospital has closed\u003c/strong>\u003c/h3>\n\u003cp>Right now, Bay Area hospitals haven’t been overwhelmed so far with COVID-19 cases — which is lucky. But if things were to get really over the top, I think people will wish Doctors Medical Center was there. There’s definitely concern about capacity. There’s also a concern that many people — especially those with chronic illnesses like diabetes, hypertension or asthma — may not be getting seen for illnesses that need to be managed right now.\u003c/p>\n\u003cp>We may never know how many people are in West Contra Costa County who may have died, who did not seek emergency care or did not seek health care, because they were afraid of being exposed to COVID-19.\u003c/p>\n\u003cp>When Doctors Medical Center closed, a lot of trust was lost among the community. A community that has historically been marginalized from the health care system now feels further marginalized because they lost a resource. They lost an institution that represented a lot of trust in the system.\u003c/p>\n\u003cp>I spoke about this with the ambulatory director at the county hospital in Martinez, Dr. Gabriela Sullivan. She says that health care is often left with the job of trying to plug all these holes that are in the social fabric of our country. And that if we are trying to leave social issues on the doorstep of health care, that’s a recipe for failure. A lot of people in the years leading up to the hospital closure said it will take a public health crisis of extreme proportions to reveal how essential Doctors Medical Center and other safety net hospitals are.\u003c/p>\n\u003cp>I think with this pandemic, it’s not just that Black and brown communities are dying and are more impacted. There’s also going to be a downstream increase of morbidity and mortality for years to come. There is a real worry that they’re holding back the dams right now in terms of acute care. The realities of the disparity are going to last far beyond this pandemic.\u003c/p>\n\u003cp>\u003cem>\u003ca id=\"film\">\u003c/a>Watch the full documentary here:\u003c/em>\u003c/p>\n\u003cp>https://www.youtube.com/watch?v=1bjKcfSmVxU\u003c/p>\n\u003cp>[ad floatright]\u003c/p>\n",
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"excerpt": "'The Desert' documentary reveals the physical and mental ripple effects on West Contra Costa County when Doctors Medical Center, the only hospital for 15 miles, shut down in 2015.",
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"title": "'A Lot of Trust Was Lost': What Losing its Only Hospital Meant to an East Bay Community | KQED",
"description": "'The Desert' documentary reveals the physical and mental ripple effects on West Contra Costa County when Doctors Medical Center, the only hospital for 15 miles, shut down in 2015.",
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"headline": "'A Lot of Trust Was Lost': What Losing its Only Hospital Meant to an East Bay Community",
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"source": "The California Report Magazine",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>\u003cem>\u003ca href=\"https://www.kqed.org/trulyca/3185/bay-area-hospital-closure-impacted-explored-in-documentary-the-desert\" target=\"_blank\" rel=\"noopener noreferrer\">“The Desert”\u003c/a>, a documentary film recently released as part of \u003ca href=\"https://www.kqed.org/trulyca\" target=\"_blank\" rel=\"noopener noreferrer\">KQED’s Truly CA\u003c/a> series, looks at the ripple effects in a community after a hospital closes. Doctors Medical Center operated for 60 years, serving western Contra Costa County from its location in San Pablo, north of Richmond in the East Bay.\u003c/em>\u003c/p>\n\u003cp>\u003cem>When it \u003ca href=\"https://www.kqed.org/stateofhealth/24993/san-pablos-doctors-medical-center-to-close-tuesday\">closed in 2015\u003c/a>, after failing to bridge a stubborn $18-20 million annual deficit, it left nearly 250,000 mostly low-income residents more than a half-hour drive away from the closest hospital.\u003c/em>\u003c/p>\n\u003cp>\u003cem>\u003ca href=\"#film\">The film\u003c/a> was produced and directed by Bo Kovitz, who spoke with The California Report Magazine. Interview excerpts have been edited for length and clarity.\u003c/em>\u003c/p>\n\u003cfigure id=\"attachment_11830990\" class=\"wp-caption alignright\" style=\"max-width: 800px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-medium wp-image-11830990\" src=\"https://ww2.kqed.org/app/uploads/sites/10/2020/07/RS44121_Kovitz_Headshot-qut-800x533.jpg\" alt=\"\" width=\"800\" height=\"533\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2020/07/RS44121_Kovitz_Headshot-qut-800x533.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2020/07/RS44121_Kovitz_Headshot-qut-1020x680.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2020/07/RS44121_Kovitz_Headshot-qut-160x107.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2020/07/RS44121_Kovitz_Headshot-qut-1536x1024.jpg 1536w, https://cdn.kqed.org/wp-content/uploads/sites/10/2020/07/RS44121_Kovitz_Headshot-qut.jpg 1920w\" sizes=\"(max-width: 800px) 100vw, 800px\">\u003cfigcaption class=\"wp-caption-text\">Bo Kovitz produced and directed ‘The Desert’ as her thesis film while at UC Berkeley’s Graduate School of Journalism. \u003ccite>(Courtesy of Bo Kovitz)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003ch3>\u003cstrong>On what inspired her to make the film\u003c/strong>\u003c/h3>\n\u003cp>I had gone to a public forum about the planned closure of Alta Bates Summit Medical Center in South Berkeley. And there was a lot of discussion at the time about how we would lose another emergency room on a critical corridor of the Bay Area. There was reference to a hospital that had already closed in Richmond. It was sort of glossed over. It really piqued my interest.\u003c/p>\n\u003cp>We really take for granted this idea that we all have a hospital in our neighborhood. I thought, what does it look like to live in a community where there isn’t a hospital? I approached this wanting to hear from the doctors, the frontline workers, the patients, about what the tragedy was. They were never quite heard. And I wanted them to drive this story. I wanted them to be the storytellers.\u003c/p>\n\u003cp>I felt that the reporting and the knowledge around the closure of Doctors Medical Center was never really in the hands of the people who were living and breathing the impacts of what happened.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003ch3>\u003cstrong>On following patients who must plan a whole day around a hospital visit\u003c/strong>\u003c/h3>\n\u003cp>I think there’s been a lot of focus about the loss of (Doctors Medical Center) through the prism of emergency services and not having an emergency room in West Contra Costa County. But there’s another enormous deficit, which is specialty care.\u003c/p>\n\u003cp>There was a cancer center at Doctors Medical Center. Epigmenio Mayo and Angelica Lopez are a couple, both battling cancer. At the time the film was shot, they regularly made a trip where they would take three different buses to get to the county hospital in Martinez, where both of them were receiving cancer treatment. For them, this trip is an absolute necessity, but it’s something that they have to plan their entire day around. They are winded by the time they even show up to their appointments.\u003c/p>\n\u003cp>By the end of the film, the sun is already set. It’s a full day trip. They’ve talked a lot about how there’s no other option. As they say in the film, they prepare their minds and bodies for the trip because they know they have to take it. This is how they survive.\u003c/p>\n\u003cfigure id=\"attachment_11830987\" class=\"wp-caption aligncenter\" style=\"max-width: 800px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"wp-image-11830987 size-medium\" src=\"https://ww2.kqed.org/app/uploads/sites/10/2020/07/RS44118_desert_03-qut-800x800.jpg\" alt=\"\" width=\"800\" height=\"800\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2020/07/RS44118_desert_03-qut-800x800.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2020/07/RS44118_desert_03-qut-1020x1020.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2020/07/RS44118_desert_03-qut-160x160.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2020/07/RS44118_desert_03-qut-912x912.jpg 912w, https://cdn.kqed.org/wp-content/uploads/sites/10/2020/07/RS44118_desert_03-qut-550x550.jpg 550w, https://cdn.kqed.org/wp-content/uploads/sites/10/2020/07/RS44118_desert_03-qut-470x470.jpg 470w, https://cdn.kqed.org/wp-content/uploads/sites/10/2020/07/RS44118_desert_03-qut.jpg 1080w\" sizes=\"(max-width: 800px) 100vw, 800px\">\u003cfigcaption class=\"wp-caption-text\">Epigmenio Mayo and Angelica Lopez ride three buses to get to the hospital for their cancer treatment. \u003ccite>(Bo Kovitz)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003ch3>\u003cstrong>On the urgent care clinic now across the street from the former Doctors Medical Center site\u003c/strong>\u003c/h3>\n\u003cp>They’re serving the same population with just a quarter of the staff.\u003c/p>\n\u003cp>People like Millie Callen worked at Doctors Medical Center for more than a decade. She was one of the coordinators in the E.R., which is one of the most important roles. She’s making sure that everything’s moving smoothly, bringing people in, bouncing them to their doctors, making sure their insurance is covered.\u003c/p>\n\u003cp>Even before the hospital closed, Millie was caring for her own loved ones and understood the before and after of what it’s like to lose a hospital. Her mother has a heart condition. The urgent care where Millie now works is much busier with the spike of COVID-19 cases.\u003c/p>\n\u003cfigure id=\"attachment_11831438\" class=\"wp-caption aligncenter\" style=\"max-width: 800px\">\u003ca href=\"https://ww2.kqed.org/app/uploads/sites/10/2020/07/desert_still_06-copy.jpg\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-medium wp-image-11831438\" src=\"https://ww2.kqed.org/app/uploads/sites/10/2020/07/desert_still_06-copy-800x450.jpg\" alt=\"\" width=\"800\" height=\"450\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2020/07/desert_still_06-copy-800x450.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2020/07/desert_still_06-copy-1020x574.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2020/07/desert_still_06-copy-160x90.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2020/07/desert_still_06-copy-1536x864.jpg 1536w, https://cdn.kqed.org/wp-content/uploads/sites/10/2020/07/desert_still_06-copy.jpg 1920w\" sizes=\"(max-width: 800px) 100vw, 800px\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">Millie Callen worked at Doctors Medical Center, and now works at the urgent care clinic across the street from the former hospital site. \u003ccite>(Courtesy of Bo Kovits)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>For a while, they were one of the few locations that were doing COVID-19 testing. Not only are they answering a lot of patients needing primary care, but they are also dealing with an additional load of patients who were experiencing or showing symptoms of COVID-19. And then there’s that added stress of how do we sequester that person away from the rest of our patients? They had set up a tent in the back parking lot and they were running back and forth.\u003c/p>\n\u003ch3>\u003cstrong>On the firefighters and paramedics she follows in the film\u003c/strong>\u003c/h3>\n\u003cp>There isn’t a Richmond paramedic company. There’s no West Contra Costa County paramedic company. So the firefighters take on the role of being the first to arrive on scene. Firefighters can get on scene, but they’re limited in what they can do because in certain advanced or complicated cases, the ambulance and the paramedics are the ones who need to show up and then transport the person and have specialty training.\u003c/p>\n\u003cp>There are times of the day where highways are really, really congested. Wait times for the paramedics to show up can be up to 30 minutes depending on the day. And then those paramedics are often forced to transport patients outside the city or county for care.\u003c/p>\n\u003cfigure id=\"attachment_11831441\" class=\"wp-caption alignnone\" style=\"max-width: 800px\">\u003ca href=\"https://ww2.kqed.org/app/uploads/sites/10/2020/07/desert_04-wide.jpg\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-medium wp-image-11831441\" src=\"https://ww2.kqed.org/app/uploads/sites/10/2020/07/desert_04-wide-800x419.jpg\" alt=\"\" width=\"800\" height=\"419\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2020/07/desert_04-wide-800x419.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2020/07/desert_04-wide-1020x534.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2020/07/desert_04-wide-160x84.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2020/07/desert_04-wide-1536x804.jpg 1536w, https://cdn.kqed.org/wp-content/uploads/sites/10/2020/07/desert_04-wide.jpg 1920w\" sizes=\"(max-width: 800px) 100vw, 800px\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">Trevor Rogers and his fellow firefighters often care for critically ill patients — many of their calls are for health care emergencies, not fires.\u003c/figcaption>\u003c/figure>\n\u003cp>One of the paramedics that I had the opportunity to film with is Aimee Skaggs, and she has been in the community for years. She was around when Doctors Medical Center was there and brought a lot of patients there.\u003c/p>\n\u003cp>Aimee describes something that I think is unique to low income communities where 911 calls are really treated as primary care. Emergency responders are the ones who essentially are doing triage on the spot. They are having to navigate so many different layers of what it means to make the best decision for a patient.\u003c/p>\n\u003cp>It’s more than just ‘what’s the closest hospital?’ It’s ‘what makes the most financial sense? Where is going to be the closest place that the family can come without it being a hassle?’ And in cases where the issue is something really time-sensitive, paramedics like Aimee have to bring in another dimension to the decision making: how to get them somewhere fast when highways are clogged.\u003c/p>\n\u003cp>Some hospitals may not take them. Where do they go that is not going to also leave the patient riddled with hospital bills in the aftermath? \u003c/p>\u003c/div>",
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"content": "‘If we happen to have three calls and there are three critical patients that need critical care, now you have three ambulances that are outside of our city… And that essentially depletes the city of our resources.’",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003ch3>\u003cstrong>On how hospital closures are playing out throughout the state\u003c/strong>\u003c/h3>\n\u003cp>There are more hospital closures that are happening in California. They’re mostly in rural communities.\u003c/p>\n\u003cp>I think the closure of Doctors Medical Center represents an accelerating trend in urban communities. Regions that are concentrated areas for Medi-Cal, Medicare or uninsured patients are losing hospitals because hospitals and ERs are trying to consolidate in urban centers where there are more privately insured patients.\u003c/p>\n\u003ch3>\u003cstrong>On the burden of shouldering COVID-19 patients now that the hospital has closed\u003c/strong>\u003c/h3>\n\u003cp>Right now, Bay Area hospitals haven’t been overwhelmed so far with COVID-19 cases — which is lucky. But if things were to get really over the top, I think people will wish Doctors Medical Center was there. There’s definitely concern about capacity. There’s also a concern that many people — especially those with chronic illnesses like diabetes, hypertension or asthma — may not be getting seen for illnesses that need to be managed right now.\u003c/p>\n\u003cp>We may never know how many people are in West Contra Costa County who may have died, who did not seek emergency care or did not seek health care, because they were afraid of being exposed to COVID-19.\u003c/p>\n\u003cp>When Doctors Medical Center closed, a lot of trust was lost among the community. A community that has historically been marginalized from the health care system now feels further marginalized because they lost a resource. They lost an institution that represented a lot of trust in the system.\u003c/p>\n\u003cp>I spoke about this with the ambulatory director at the county hospital in Martinez, Dr. Gabriela Sullivan. She says that health care is often left with the job of trying to plug all these holes that are in the social fabric of our country. And that if we are trying to leave social issues on the doorstep of health care, that’s a recipe for failure. A lot of people in the years leading up to the hospital closure said it will take a public health crisis of extreme proportions to reveal how essential Doctors Medical Center and other safety net hospitals are.\u003c/p>\n\u003cp>I think with this pandemic, it’s not just that Black and brown communities are dying and are more impacted. There’s also going to be a downstream increase of morbidity and mortality for years to come. There is a real worry that they’re holding back the dams right now in terms of acute care. The realities of the disparity are going to last far beyond this pandemic.\u003c/p>\n\u003cp>\u003cem>\u003ca id=\"film\">\u003c/a>Watch the full documentary here:\u003c/em>\u003c/p>\u003c/p>\u003cp>\u003cspan class='utils-parseShortcode-shortcodes-__youtubeShortcode__embedYoutube'>\n \u003cspan class='utils-parseShortcode-shortcodes-__youtubeShortcode__embedYoutubeInside'>\n \u003ciframe\n loading='lazy'\n class='utils-parseShortcode-shortcodes-__youtubeShortcode__youtubePlayer'\n type='text/html'\n src='//www.youtube.com/embed/1bjKcfSmVxU'\n title='//www.youtube.com/embed/1bjKcfSmVxU'\n allowfullscreen='true'\n style='border:0;'>\u003c/iframe>\n \u003c/span>\n \u003c/span>\u003c/p>\u003cp>\u003cp>\u003c/p>\u003c/div>",
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