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"slug": "cases-of-covid-19-and-new-syndrome-on-the-rise-among-kids-especially-latinos",
"title": "Cases of COVID-19 and New Syndrome on the Rise Among Kids, Especially Latinos",
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"content": "\u003cp>\u003ca href=\"https://www.kqed.org/news/11856999/casos-de-covid-19-nuevo-sindrome-en-aumento-entre-los-ninos-especialmente-los-ninos-latinos\">\u003cem>Leer en español\u003c/em>\u003c/a>\u003cbr>\n\u003cstrong>\u003cbr>\nEditor’s note\u003c/strong>\u003cem>: An earlier version of this story incorrectly stated the timing of one of the deaths at Children’s Hospital Los Angeles.\u003c/em>\u003c/p>\n\u003cp>At least seven California children have died from COVID-19 since the pandemic began, more than 350,000 have tested positive for the virus and the number of kids diagnosed with a new, rare inflammatory syndrome continues to grow.\u003c/p>\n\u003cp>All of these stats are on the rise just as a new, highly contagious strain of the virus is worrying parents and experts alike, and as the state tries to move toward \u003ca href=\"https://calmatters.org/education/2021/01/newsom-school-reopening-fund-proposal-problems/\">reopening schools next month\u003c/a>.\u003c/p>\n\u003cp>“We are at a critical time because the overall number of cases of COVID are increasing so much,” said Dr. Jackie Szmuszkovicz, pediatric cardiologist at Children’s Hospital Los Angeles. “We are seeing more children with MIS-C the last few weeks following that big increase (of cases) in the community.”\u003c/p>\n\u003cp>\u003ca href=\"https://calmatters.org/children-and-youth/2020/06/california-covid-kids-children-inflammatory-syndrome-kawasaki-schools-coronavirus/\">MIS-C\u003c/a>, or Multisystem Inflammatory Syndrome in Children, is the name of a new inflammatory syndrome that afflicts a small number of kids three to six weeks after they’ve had coronavirus, even if they had mild or no symptoms at all.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>[pullquote align=\"right\" size=\"medium\" citation=\"Dr. Erica Lawson, pediatric rheumatologist at USFC Benioff Children's Hospital\"]‘Kids do get COVID, they just don’t get very ill. If the new strain is more transmissible in humans then it’s highly likely that more kids would get it.’[/pullquote]\u003c/p>\n\u003cp>While children have been spared some of the worst effects of the coronavirus and the high death toll seen among adults, the youngest Californians are still at risk, especially given the current surge. Kids usually experience mild to no symptoms of the infection, but it’s what happens to a small number of them a few weeks afterward that has doctors worried. Pediatric doctors are preparing for a wave of inflammatory syndrome following the current surge, especially with the new more transmissible variant, said Szmuszkovicz.\u003c/p>\n\u003ch3 id=\"h-kids-do-get-sick\">Kids Do Get Sick\u003c/h3>\n\u003cp>Although severe cases of COVID-19 have been uncommon in kids, there has recently been a tiny uptick, said Dr. Erica Lawson, a pediatric rheumatologist at UCSF Benioff Children’s Hospital San Francisco.\u003c/p>\n\u003cp>“We are seeing more kids on the far end of the curve who are sick enough to be admitted,” she said. “It’s because of the higher numbers in the community. If you have a prevalence in the community, the more cases you have, the more severe cases you will have.”\u003c/p>\n\u003cp>\u003c!-- iframe plugin v.4.3 wordpress.org/plugins/iframe/ -->\u003cbr>\n\u003ciframe loading=\"lazy\" src=\"https://e.infogram.com/d3315863-f6e1-4971-99dc-ebfe3df4a013?src=embed\" title=\"Child Covid Numbers\" width=\"800\" height=\"800\" scrolling=\"no\" frameborder=\"0\" style=\"border:none;\" allowfullscreen=\"allowfullscreen\" class=\"iframe-class\">\u003c/iframe>\u003c/p>\n\u003cp>Dr. Behnoosh Afghani, a pediatric infectious disease expert at UCI Health in Orange County, hopes the new coronavirus vaccine will start to decrease the number of infections in adults and therefore also contribute to fewer infections among children. While children under 16 cannot be vaccinated, if more adults around them are vaccinated it will increase protection for children, she said.\u003c/p>\n\u003cp>California’s Department of Public Health reports that at least six minors have died from COVID-19 since the pandemic began. At least one more child has died in Southern California at Children’s Hospital Los Angeles that has not yet made the state’s count.\u003c/p>\n\u003cp>The state does not identify which of those children who died had the inflammatory syndrome and how many still had COVID-19 at the time of their death. It is also not releasing information about where they lived or their ages, although there has been one confirmed death in Orange County, one in the Central Valley, and two in Los Angeles.\u003c/p>\n\u003cp>MIS-C, the rare inflammatory syndrome, was discovered last year in children who had previously had coronavirus. Originally it was thought to be Kawasaki disease, a post-infection syndrome that afflicts young children, but physicians connected the new syndrome to COVID-19. It is marked by overwhelming inflammation in the body that sometimes impacts major organs and can lead to heart failure. Symptoms can include a fever, abdominal pain, vomiting, diarrhea, a rash, red eyes and severe fatigue.\u003c/p>\n\u003cp>So far, 176 children in California have been diagnosed with MIS-C.\u003c/p>\n\u003cp>“These kids develop a lot of inflammation in their bloodstream and could have multiple organ systems affected, including the heart,” said Lawson. The San Francisco hospital and its campus in Oakland have treated about 20 children so far with the syndrome, but have had no deaths, she said. Most of the children have been Latino.\u003c/p>\n\u003cp>\u003c!-- iframe plugin v.4.3 wordpress.org/plugins/iframe/ -->\u003cbr>\n\u003ciframe loading=\"lazy\" src=\"https://e.infogram.com/f12a81da-276b-46bd-988f-8353f4cef66b?src=embed\" title=\"Race/Ethnicity Kids/Covid\" width=\"800\" height=\"700\" scrolling=\"no\" frameborder=\"0\" style=\"border:none;\" allowfullscreen=\"allowfullscreen\" class=\"iframe-class\">\u003c/iframe>\u003c/p>\n\u003cp>Statewide, \u003ca href=\"https://calmatters.org/children-and-youth/2020/07/the-virus-and-the-vulnerable-latino-children-suffer-higher-rates-of-covid-19/\">Latino kids\u003c/a> account for 64% of COVID-19 cases among kids under 18 where race and ethnicity is known, but make up only 48% of the state’s children, \u003ca href=\"https://www.cdph.ca.gov/Programs/CID/DCDC/Pages/COVID-19/Race-Ethnicity.aspx\" target=\"_blank\" rel=\"noreferrer noopener\">according\u003c/a> to CDPH.\u003c/p>\n\u003cp>Lawson reasons that the child cases reflect what is going on with adults. In California, Latinos account for 54% of cases among adults. Those infected are most often essential workers — like drivers, restaurant cooks and grocery workers — and sometimes live together in crowded conditions with extended family members or other family groups where it is difficult to isolate.\u003c/p>\n\u003cp>Nationally, racial and ethnic trend lines among children are also mirroring adults, according to the Centers for Disease Control and Prevention. The majority of children in the U.S. who have been diagnosed with the infection and the inflammatory syndrome have been Latino or Black.\u003c/p>\n\u003cp>As of Jan. 8, there were \u003ca href=\"https://www.cdc.gov/mis-c/cases/index.html\" target=\"_blank\" rel=\"noreferrer noopener\">1,659 cases of MIS-C\u003c/a> in the U.S. among kids, and 26 deaths. The average age has been 8, and more than 70% of the cases occurred in Latino or Black children, according to the federal agency.\u003c/p>\n\u003cfigure id=\"attachment_11856382\" class=\"wp-caption aligncenter\" style=\"max-width: 1568px\">\u003ca href=\"https://ww2.kqed.org/app/uploads/sites/10/2021/01/01202021_KidsCOVID_SH_01_14.jpg\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-11856382\" src=\"https://ww2.kqed.org/app/uploads/sites/10/2021/01/01202021_KidsCOVID_SH_01_14.jpg\" alt=\"\" width=\"1568\" height=\"1045\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2021/01/01202021_KidsCOVID_SH_01_14.jpg 1568w, https://cdn.kqed.org/wp-content/uploads/sites/10/2021/01/01202021_KidsCOVID_SH_01_14-800x533.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2021/01/01202021_KidsCOVID_SH_01_14-1020x680.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2021/01/01202021_KidsCOVID_SH_01_14-160x107.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2021/01/01202021_KidsCOVID_SH_01_14-1536x1024.jpg 1536w\" sizes=\"(max-width: 1568px) 100vw, 1568px\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">Aaron Rodriguez plays at Lake Balboa Park in Van Nuys on Jan. 20, 2021. Pediatric doctors say even if the new U.K. variant doesn’t affect kids the way it does adults, they still expect that more children will still get sick. \u003ccite>(Shae Hammond/CalMatters)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>Pediatric experts advise parents to be on the lookout for the \u003ca href=\"https://www.chla.org/blog/health-and-safety-tips/what-parents-should-know-about-multisystem-inflammatory-syndrome\" target=\"_blank\" rel=\"noreferrer noopener\">signs of MIS-C\u003c/a> a few weeks after their children or they are sick with the virus. Some families may not realize their children had the virus until they show signs of the syndrome, said Szmuszkovicz.\u003c/p>\n\u003cp>“We really want to encourage people not to delay care because we are seeing earlier treatment leads to the best outcomes,” she said. “In some cases, the syndrome can, in its most severe form, affect the heart function and cause coronary aneurysm.”\u003c/p>\n\u003cp>Children’s Hospital Los Angeles has cared for the largest bunch of afflicted kids — at least 51 so far — ranging in age from 4 months to 17. Two children have died, one in December and one in January, according to the hospital. The hospital would not release any other information on the children due to patient privacy.\u003c/p>\n\u003cp>Treatment for MIS-C appears to work well if administered early on, she said. Most children get intravenous fluids and some also need medication like steroids and intravenous immunoglobulin. In more severe cases, some may also need respiratory support, including oxygen or a ventilator.\u003c/p>\n\u003cp>In Los Angeles, Alexis Winter has been keeping an extra close eye on her two young daughters. Her whole family, including her 3-year-old and 14-month-old, had COVID-19 last month.\u003c/p>\n\u003cp>“It’s terrifying and I try not to obsess over it,” Winter said, noting her children are nearly at the one-month mark since their infections.\u003c/p>\n\u003cp>She said she doesn’t know how the family got the infection and that they had been very careful not to interact with others because Winters is high risk.\u003c/p>\n\u003cp>Her husband got infected first, Winter said, and then she and the children got sick. Her older daughter threw up in bed and didn’t feel well the next day. Then her baby was super fussy and had a raspy voice. Neither of the girls had a fever, she said.\u003c/p>\n\u003cp>“For the kids, the complications are not worth the risk,” Winters said. “If I could go back in time and figure out what happened, I would. Because it’s scary to know they had the virus and were exposed to it.”\u003c/p>\n\u003ch3 id=\"h-is-the-new-variant-more-dangerous-for-kids\">Is the New Variant More Dangerous for Kids?\u003c/h3>\n\u003cp>As more kids get the virus, pediatric doctors are carefully looking for the new, more transmissible variant first found in the United Kingdom. The variant, known as B117, was first detected in California last month, and one study suggests that it is more contagious and affects younger people. But researchers at \u003ca href=\"https://www.bbc.com/news/uk-55406939\" target=\"_blank\" rel=\"noreferrer noopener\">Imperial College\u003c/a> in London who published the study said more research is needed.\u003c/p>\n\u003cp>Meanwhile, a \u003ca href=\"https://www.sfchronicle.com/bayarea/article/New-COVID-19-variant-increasingly-found-in-15878547.php\" target=\"_blank\" rel=\"noreferrer noopener\">second variant of the virus\u003c/a>, this one originating in Denmark, has also been responsible for an outbreak in the Bay Area in recent days. There is little information about the Denmark variant and its impact on children.\u003c/p>\n\u003cp>Pediatric doctors say that even if the new UK variant doesn’t affect kids the way it does adults, they expect more children will still get sick.\u003c/p>\n\u003cp>“If it is more contagious in general, then more children will also get it,” Lawson said. “Kids do get COVID — they just don’t get very ill. If the new strain is more transmissible in humans then it’s highly likely that more kids would get it.”\u003c/p>\n\u003cp>And that means more cases of the inflammatory syndrome a few weeks down the road, Szmuszkovicz said.\u003c/p>\n\u003cp>“We have to be open minded and very vigilant and be ready for anything that comes,” she said.\u003c/p>\n\u003cp>[aside label=\"Related Stories\" postID=\"news_11853664,science_1972290,news_11829755\"]The U.K. variant emerged in the Golden State right around the time Gov. Gavin Newsom \u003ca href=\"https://calmatters.org/education/2021/01/newsom-school-reopening-fund-proposal-problems/\">announced incentives\u003c/a> to get elementary schoolers back on campus by February.\u003c/p>\n\u003ch3 id=\"h-is-this-the-time-for-school-to-reopen\">Is This the Time for School to Reopen?\u003c/h3>\n\u003cp>Lawson said school is important and points to schools that have remained open or reopened with safety procedures in place.\u003c/p>\n\u003cp>“Kids are really suffering at home and families are suffering without the ability of kids to go to school,” she said. “I think for the health of our communities, mental health of our children and the priorities of parents it can be done and should be done safely.”\u003c/p>\n\u003cp>But, she acknowledged that if the new strain causes outbreaks among kids, then things will need to change again.\u003c/p>\n\u003cp>When the state does make the determination that kids can go back to school, Szmuszkovicz said, everyone has to follow the rules.\u003c/p>\n\u003cp>“All of us want kids back together with other kids and learning in school,” Szmuszkovicz said. “How we are going to get to that point safely is by each of us individually doing what we can do to stop the spread of COVID in the community.”\u003c/p>\n\u003cp>Gian Schwehr, a mother in Los Angeles, said she isn’t sure if she would send her 10-year-old son back to school, even though the family had COVID-19 over Christmas. His symptoms lasted about 24 hours.\u003c/p>\n\u003cp>Even so, Schwehr said, she still doesn’t want to put him in a situation where he might be around others who have it, especially if the new variant is easier for kids to contract.\u003c/p>\n\u003cp>“I’d have to think about it,” she said. “If he hadn’t had it I would not send him. There’s definitely no easy choice.”\u003c/p>\n\u003cp>[ad floatright]\u003c/p>\n\u003cp>\u003cem>\u003ca href=\"https://calmatters.org/\">CalMatters.org\u003c/a> is a nonprofit, nonpartisan media venture explaining California policies and politics. Its \u003c/em>\u003cem>coverage of early childhood issues is supported by grants from First 5 Los Angeles and The Ralph M. Parsons Foundation.\u003c/em>\u003c/p>\n\n",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>\u003ca href=\"https://www.kqed.org/news/11856999/casos-de-covid-19-nuevo-sindrome-en-aumento-entre-los-ninos-especialmente-los-ninos-latinos\">\u003cem>Leer en español\u003c/em>\u003c/a>\u003cbr>\n\u003cstrong>\u003cbr>\nEditor’s note\u003c/strong>\u003cem>: An earlier version of this story incorrectly stated the timing of one of the deaths at Children’s Hospital Los Angeles.\u003c/em>\u003c/p>\n\u003cp>At least seven California children have died from COVID-19 since the pandemic began, more than 350,000 have tested positive for the virus and the number of kids diagnosed with a new, rare inflammatory syndrome continues to grow.\u003c/p>\n\u003cp>All of these stats are on the rise just as a new, highly contagious strain of the virus is worrying parents and experts alike, and as the state tries to move toward \u003ca href=\"https://calmatters.org/education/2021/01/newsom-school-reopening-fund-proposal-problems/\">reopening schools next month\u003c/a>.\u003c/p>\n\u003cp>“We are at a critical time because the overall number of cases of COVID are increasing so much,” said Dr. Jackie Szmuszkovicz, pediatric cardiologist at Children’s Hospital Los Angeles. “We are seeing more children with MIS-C the last few weeks following that big increase (of cases) in the community.”\u003c/p>\n\u003cp>\u003ca href=\"https://calmatters.org/children-and-youth/2020/06/california-covid-kids-children-inflammatory-syndrome-kawasaki-schools-coronavirus/\">MIS-C\u003c/a>, or Multisystem Inflammatory Syndrome in Children, is the name of a new inflammatory syndrome that afflicts a small number of kids three to six weeks after they’ve had coronavirus, even if they had mild or no symptoms at all.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "‘Kids do get COVID, they just don’t get very ill. If the new strain is more transmissible in humans then it’s highly likely that more kids would get it.’",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>While children have been spared some of the worst effects of the coronavirus and the high death toll seen among adults, the youngest Californians are still at risk, especially given the current surge. Kids usually experience mild to no symptoms of the infection, but it’s what happens to a small number of them a few weeks afterward that has doctors worried. Pediatric doctors are preparing for a wave of inflammatory syndrome following the current surge, especially with the new more transmissible variant, said Szmuszkovicz.\u003c/p>\n\u003ch3 id=\"h-kids-do-get-sick\">Kids Do Get Sick\u003c/h3>\n\u003cp>Although severe cases of COVID-19 have been uncommon in kids, there has recently been a tiny uptick, said Dr. Erica Lawson, a pediatric rheumatologist at UCSF Benioff Children’s Hospital San Francisco.\u003c/p>\n\u003cp>“We are seeing more kids on the far end of the curve who are sick enough to be admitted,” she said. “It’s because of the higher numbers in the community. If you have a prevalence in the community, the more cases you have, the more severe cases you will have.”\u003c/p>\n\u003cp>\u003c!-- iframe plugin v.4.3 wordpress.org/plugins/iframe/ -->\u003cbr>\n\u003ciframe loading=\"lazy\" src=\"https://e.infogram.com/d3315863-f6e1-4971-99dc-ebfe3df4a013?src=embed\" title=\"Child Covid Numbers\" width=\"800\" height=\"800\" scrolling=\"no\" frameborder=\"0\" style=\"border:none;\" allowfullscreen=\"allowfullscreen\" class=\"iframe-class\">\u003c/iframe>\u003c/p>\n\u003cp>Dr. Behnoosh Afghani, a pediatric infectious disease expert at UCI Health in Orange County, hopes the new coronavirus vaccine will start to decrease the number of infections in adults and therefore also contribute to fewer infections among children. While children under 16 cannot be vaccinated, if more adults around them are vaccinated it will increase protection for children, she said.\u003c/p>\n\u003cp>California’s Department of Public Health reports that at least six minors have died from COVID-19 since the pandemic began. At least one more child has died in Southern California at Children’s Hospital Los Angeles that has not yet made the state’s count.\u003c/p>\n\u003cp>The state does not identify which of those children who died had the inflammatory syndrome and how many still had COVID-19 at the time of their death. It is also not releasing information about where they lived or their ages, although there has been one confirmed death in Orange County, one in the Central Valley, and two in Los Angeles.\u003c/p>\n\u003cp>MIS-C, the rare inflammatory syndrome, was discovered last year in children who had previously had coronavirus. Originally it was thought to be Kawasaki disease, a post-infection syndrome that afflicts young children, but physicians connected the new syndrome to COVID-19. It is marked by overwhelming inflammation in the body that sometimes impacts major organs and can lead to heart failure. Symptoms can include a fever, abdominal pain, vomiting, diarrhea, a rash, red eyes and severe fatigue.\u003c/p>\n\u003cp>So far, 176 children in California have been diagnosed with MIS-C.\u003c/p>\n\u003cp>“These kids develop a lot of inflammation in their bloodstream and could have multiple organ systems affected, including the heart,” said Lawson. The San Francisco hospital and its campus in Oakland have treated about 20 children so far with the syndrome, but have had no deaths, she said. Most of the children have been Latino.\u003c/p>\n\u003cp>\u003c!-- iframe plugin v.4.3 wordpress.org/plugins/iframe/ -->\u003cbr>\n\u003ciframe loading=\"lazy\" src=\"https://e.infogram.com/f12a81da-276b-46bd-988f-8353f4cef66b?src=embed\" title=\"Race/Ethnicity Kids/Covid\" width=\"800\" height=\"700\" scrolling=\"no\" frameborder=\"0\" style=\"border:none;\" allowfullscreen=\"allowfullscreen\" class=\"iframe-class\">\u003c/iframe>\u003c/p>\n\u003cp>Statewide, \u003ca href=\"https://calmatters.org/children-and-youth/2020/07/the-virus-and-the-vulnerable-latino-children-suffer-higher-rates-of-covid-19/\">Latino kids\u003c/a> account for 64% of COVID-19 cases among kids under 18 where race and ethnicity is known, but make up only 48% of the state’s children, \u003ca href=\"https://www.cdph.ca.gov/Programs/CID/DCDC/Pages/COVID-19/Race-Ethnicity.aspx\" target=\"_blank\" rel=\"noreferrer noopener\">according\u003c/a> to CDPH.\u003c/p>\n\u003cp>Lawson reasons that the child cases reflect what is going on with adults. In California, Latinos account for 54% of cases among adults. Those infected are most often essential workers — like drivers, restaurant cooks and grocery workers — and sometimes live together in crowded conditions with extended family members or other family groups where it is difficult to isolate.\u003c/p>\n\u003cp>Nationally, racial and ethnic trend lines among children are also mirroring adults, according to the Centers for Disease Control and Prevention. The majority of children in the U.S. who have been diagnosed with the infection and the inflammatory syndrome have been Latino or Black.\u003c/p>\n\u003cp>As of Jan. 8, there were \u003ca href=\"https://www.cdc.gov/mis-c/cases/index.html\" target=\"_blank\" rel=\"noreferrer noopener\">1,659 cases of MIS-C\u003c/a> in the U.S. among kids, and 26 deaths. The average age has been 8, and more than 70% of the cases occurred in Latino or Black children, according to the federal agency.\u003c/p>\n\u003cfigure id=\"attachment_11856382\" class=\"wp-caption aligncenter\" style=\"max-width: 1568px\">\u003ca href=\"https://ww2.kqed.org/app/uploads/sites/10/2021/01/01202021_KidsCOVID_SH_01_14.jpg\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-11856382\" src=\"https://ww2.kqed.org/app/uploads/sites/10/2021/01/01202021_KidsCOVID_SH_01_14.jpg\" alt=\"\" width=\"1568\" height=\"1045\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2021/01/01202021_KidsCOVID_SH_01_14.jpg 1568w, https://cdn.kqed.org/wp-content/uploads/sites/10/2021/01/01202021_KidsCOVID_SH_01_14-800x533.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2021/01/01202021_KidsCOVID_SH_01_14-1020x680.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2021/01/01202021_KidsCOVID_SH_01_14-160x107.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2021/01/01202021_KidsCOVID_SH_01_14-1536x1024.jpg 1536w\" sizes=\"(max-width: 1568px) 100vw, 1568px\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">Aaron Rodriguez plays at Lake Balboa Park in Van Nuys on Jan. 20, 2021. Pediatric doctors say even if the new U.K. variant doesn’t affect kids the way it does adults, they still expect that more children will still get sick. \u003ccite>(Shae Hammond/CalMatters)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>Pediatric experts advise parents to be on the lookout for the \u003ca href=\"https://www.chla.org/blog/health-and-safety-tips/what-parents-should-know-about-multisystem-inflammatory-syndrome\" target=\"_blank\" rel=\"noreferrer noopener\">signs of MIS-C\u003c/a> a few weeks after their children or they are sick with the virus. Some families may not realize their children had the virus until they show signs of the syndrome, said Szmuszkovicz.\u003c/p>\n\u003cp>“We really want to encourage people not to delay care because we are seeing earlier treatment leads to the best outcomes,” she said. “In some cases, the syndrome can, in its most severe form, affect the heart function and cause coronary aneurysm.”\u003c/p>\n\u003cp>Children’s Hospital Los Angeles has cared for the largest bunch of afflicted kids — at least 51 so far — ranging in age from 4 months to 17. Two children have died, one in December and one in January, according to the hospital. The hospital would not release any other information on the children due to patient privacy.\u003c/p>\n\u003cp>Treatment for MIS-C appears to work well if administered early on, she said. Most children get intravenous fluids and some also need medication like steroids and intravenous immunoglobulin. In more severe cases, some may also need respiratory support, including oxygen or a ventilator.\u003c/p>\n\u003cp>In Los Angeles, Alexis Winter has been keeping an extra close eye on her two young daughters. Her whole family, including her 3-year-old and 14-month-old, had COVID-19 last month.\u003c/p>\n\u003cp>“It’s terrifying and I try not to obsess over it,” Winter said, noting her children are nearly at the one-month mark since their infections.\u003c/p>\n\u003cp>She said she doesn’t know how the family got the infection and that they had been very careful not to interact with others because Winters is high risk.\u003c/p>\n\u003cp>Her husband got infected first, Winter said, and then she and the children got sick. Her older daughter threw up in bed and didn’t feel well the next day. Then her baby was super fussy and had a raspy voice. Neither of the girls had a fever, she said.\u003c/p>\n\u003cp>“For the kids, the complications are not worth the risk,” Winters said. “If I could go back in time and figure out what happened, I would. Because it’s scary to know they had the virus and were exposed to it.”\u003c/p>\n\u003ch3 id=\"h-is-the-new-variant-more-dangerous-for-kids\">Is the New Variant More Dangerous for Kids?\u003c/h3>\n\u003cp>As more kids get the virus, pediatric doctors are carefully looking for the new, more transmissible variant first found in the United Kingdom. The variant, known as B117, was first detected in California last month, and one study suggests that it is more contagious and affects younger people. But researchers at \u003ca href=\"https://www.bbc.com/news/uk-55406939\" target=\"_blank\" rel=\"noreferrer noopener\">Imperial College\u003c/a> in London who published the study said more research is needed.\u003c/p>\n\u003cp>Meanwhile, a \u003ca href=\"https://www.sfchronicle.com/bayarea/article/New-COVID-19-variant-increasingly-found-in-15878547.php\" target=\"_blank\" rel=\"noreferrer noopener\">second variant of the virus\u003c/a>, this one originating in Denmark, has also been responsible for an outbreak in the Bay Area in recent days. There is little information about the Denmark variant and its impact on children.\u003c/p>\n\u003cp>Pediatric doctors say that even if the new UK variant doesn’t affect kids the way it does adults, they expect more children will still get sick.\u003c/p>\n\u003cp>“If it is more contagious in general, then more children will also get it,” Lawson said. “Kids do get COVID — they just don’t get very ill. If the new strain is more transmissible in humans then it’s highly likely that more kids would get it.”\u003c/p>\n\u003cp>And that means more cases of the inflammatory syndrome a few weeks down the road, Szmuszkovicz said.\u003c/p>\n\u003cp>“We have to be open minded and very vigilant and be ready for anything that comes,” she said.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>The U.K. variant emerged in the Golden State right around the time Gov. Gavin Newsom \u003ca href=\"https://calmatters.org/education/2021/01/newsom-school-reopening-fund-proposal-problems/\">announced incentives\u003c/a> to get elementary schoolers back on campus by February.\u003c/p>\n\u003ch3 id=\"h-is-this-the-time-for-school-to-reopen\">Is This the Time for School to Reopen?\u003c/h3>\n\u003cp>Lawson said school is important and points to schools that have remained open or reopened with safety procedures in place.\u003c/p>\n\u003cp>“Kids are really suffering at home and families are suffering without the ability of kids to go to school,” she said. “I think for the health of our communities, mental health of our children and the priorities of parents it can be done and should be done safely.”\u003c/p>\n\u003cp>But, she acknowledged that if the new strain causes outbreaks among kids, then things will need to change again.\u003c/p>\n\u003cp>When the state does make the determination that kids can go back to school, Szmuszkovicz said, everyone has to follow the rules.\u003c/p>\n\u003cp>“All of us want kids back together with other kids and learning in school,” Szmuszkovicz said. “How we are going to get to that point safely is by each of us individually doing what we can do to stop the spread of COVID in the community.”\u003c/p>\n\u003cp>Gian Schwehr, a mother in Los Angeles, said she isn’t sure if she would send her 10-year-old son back to school, even though the family had COVID-19 over Christmas. His symptoms lasted about 24 hours.\u003c/p>\n\u003cp>Even so, Schwehr said, she still doesn’t want to put him in a situation where he might be around others who have it, especially if the new variant is easier for kids to contract.\u003c/p>\n\u003cp>“I’d have to think about it,” she said. “If he hadn’t had it I would not send him. There’s definitely no easy choice.”\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cp>President-elect Joe Biden is nominating Pennsylvania health expert Dr. Rachel Levine to be assistant secretary for health in the U.S. Department of Health and Human Services, a move that could make her the first openly transgender federal official to win Senate confirmation.\u003c/p>\n\u003cp>Levine is currently the secretary of health in Pennsylvania, where she leads the state’s fight against COVID-19. She is also professor at the Penn State College of Medicine. Levine began her medical career as a pediatrician at Mount Sinai Medical Center in New York.\u003c/p>\n\u003cp>[aside label=\"related coverage\" tag=\"biden\"]“Dr. Rachel Levine will bring the steady leadership and essential expertise we need to get people through this pandemic — no matter their zip code, race, religion, sexual orientation, gender identity, or disability — and meet the public health needs of our country in this critical moment and beyond,” Biden said \u003ca href=\"https://buildbackbetter.gov/press-releases/president-elect-joe-biden-announces-dr-rachel-levine-as-assistant-secretary-for-health-at-the-u-s-department-of-health-and-human-services/\">in a statement\u003c/a> about the nomination.\u003c/p>\n\u003cp>Levine has previously won state Senate confirmation in Pennsylvania, including a \u003ca href=\"https://www.pennlive.com/midstate/2015/06/doctor_first_transgender_secon.html\">unanimous vote in 2015\u003c/a> to endorse her as Pennsylvania’s physician general. She then rose to the role of secretary of health, also with the state Senate’s approval.\u003c/p>\n\u003cp>In an \u003ca href=\"https://www.npr.org/sections/coronavirus-live-updates/2020/12/03/942184490/theres-no-quick-fix-for-covid-19-cautions-pennsylvania-secretary-of-health\">interview with NPR\u003c/a> last month, Levine said the federal government must help states conduct effective vaccine programs to clamp down on the rapid spread of the coronavirus. She also said that despite the promise of COVID-19 vaccines, they do not offer a “quick fix.”\u003c/p>\n\u003cp>“It will be essential for the federal government to provide more funding to the states, territories and cities that will be tasked with administering the vaccine,” Levine said.\u003c/p>\n\u003cp>She later added, “I think that it really shows that we all have to work together and stand united to stop the spread of this virus.”\u003c/p>\n\u003cp>[ad fullwidth]Levine is a graduate of Harvard College and the Tulane University School of Medicine. In addition to her work with children and adolescents, Levine’s expertise includes work on the opioid crisis, medical marijuana, eating disorders and LGBT medicine, according to \u003ca href=\"https://www.health.pa.gov/About/Pages/Leadership.aspx\">her official bio.\u003c/a>\u003c/p>\n\u003cdiv class=\"fullattribution\">Copyright 2021 NPR. To see more, visit https://www.npr.org.\u003cimg decoding=\"async\" src=\"https://www.google-analytics.com/__utm.gif?utmac=UA-5828686-4&utmdt=In+Historic+1st%2C+Biden+To+Nominate+Transgender+Doctor+As+Assistant+Health+Secretary&utme=8(APIKey)9(MDAxOTAwOTE4MDEyMTkxMDAzNjczZDljZA004)\">\u003c/div>\n\u003cp>\u003c/p>\n",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>President-elect Joe Biden is nominating Pennsylvania health expert Dr. Rachel Levine to be assistant secretary for health in the U.S. Department of Health and Human Services, a move that could make her the first openly transgender federal official to win Senate confirmation.\u003c/p>\n\u003cp>Levine is currently the secretary of health in Pennsylvania, where she leads the state’s fight against COVID-19. She is also professor at the Penn State College of Medicine. Levine began her medical career as a pediatrician at Mount Sinai Medical Center in New York.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>“Dr. Rachel Levine will bring the steady leadership and essential expertise we need to get people through this pandemic — no matter their zip code, race, religion, sexual orientation, gender identity, or disability — and meet the public health needs of our country in this critical moment and beyond,” Biden said \u003ca href=\"https://buildbackbetter.gov/press-releases/president-elect-joe-biden-announces-dr-rachel-levine-as-assistant-secretary-for-health-at-the-u-s-department-of-health-and-human-services/\">in a statement\u003c/a> about the nomination.\u003c/p>\n\u003cp>Levine has previously won state Senate confirmation in Pennsylvania, including a \u003ca href=\"https://www.pennlive.com/midstate/2015/06/doctor_first_transgender_secon.html\">unanimous vote in 2015\u003c/a> to endorse her as Pennsylvania’s physician general. She then rose to the role of secretary of health, also with the state Senate’s approval.\u003c/p>\n\u003cp>In an \u003ca href=\"https://www.npr.org/sections/coronavirus-live-updates/2020/12/03/942184490/theres-no-quick-fix-for-covid-19-cautions-pennsylvania-secretary-of-health\">interview with NPR\u003c/a> last month, Levine said the federal government must help states conduct effective vaccine programs to clamp down on the rapid spread of the coronavirus. She also said that despite the promise of COVID-19 vaccines, they do not offer a “quick fix.”\u003c/p>\n\u003cp>“It will be essential for the federal government to provide more funding to the states, territories and cities that will be tasked with administering the vaccine,” Levine said.\u003c/p>\n\u003cp>She later added, “I think that it really shows that we all have to work together and stand united to stop the spread of this virus.”\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>Levine is a graduate of Harvard College and the Tulane University School of Medicine. In addition to her work with children and adolescents, Levine’s expertise includes work on the opioid crisis, medical marijuana, eating disorders and LGBT medicine, according to \u003ca href=\"https://www.health.pa.gov/About/Pages/Leadership.aspx\">her official bio.\u003c/a>\u003c/p>\n\u003cdiv class=\"fullattribution\">Copyright 2021 NPR. To see more, visit https://www.npr.org.\u003cimg decoding=\"async\" src=\"https://www.google-analytics.com/__utm.gif?utmac=UA-5828686-4&utmdt=In+Historic+1st%2C+Biden+To+Nominate+Transgender+Doctor+As+Assistant+Health+Secretary&utme=8(APIKey)9(MDAxOTAwOTE4MDEyMTkxMDAzNjczZDljZA004)\">\u003c/div>\n\u003cp>\u003c/p>\n\u003c/div>\u003c/p>",
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"content": "\u003cp>\u003ca href=\"https://www.kqed.org/news/10524648/between-homelands-canoe-connects-a-tongva-woman-to-her-tribe\">Cindi Alvitre\u003c/a> is an indigenous mother, grandmother, weaver, writer, storyteller and traditional singer.\u003c/p>\n\u003cp>A Tongva descendant of the Moompetam (Salt Water) Clan – the original people of Los Angeles and the southern Channel Islands – she teaches American Indian Studies at Cal State Long Beach.\u003c/p>\n\u003cp>Her new children’s book, “\u003ca href=\"https://heydaybooks.com/waaaka/\">Waa’aka’: The Bird Who Fell in Love With The Sun\u003c/a>,” gives new life to a traditional story with a timely message about community, climate change and the danger of making selfish choices.\u003c/p>\n\u003cp>\u003cem>Alvitre spoke with The California Report Magazine’s host Sasha Khokha. This interview has been edited for length and clarity.\u003c/em>\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cfigure id=\"attachment_11853897\" class=\"wp-caption aligncenter\" style=\"max-width: 954px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-11853897\" src=\"https://ww2.kqed.org/app/uploads/sites/10/2021/01/RS46502_screen_shot_2020-12-11_at_9.47.53_am-qut.jpg\" alt=\"\" width=\"954\" height=\"1208\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2021/01/RS46502_screen_shot_2020-12-11_at_9.47.53_am-qut.jpg 954w, https://cdn.kqed.org/wp-content/uploads/sites/10/2021/01/RS46502_screen_shot_2020-12-11_at_9.47.53_am-qut-800x1013.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2021/01/RS46502_screen_shot_2020-12-11_at_9.47.53_am-qut-160x203.jpg 160w\" sizes=\"(max-width: 954px) 100vw, 954px\">\u003cfigcaption class=\"wp-caption-text\">The Cover of ‘Waa’aka’: the Bird Who fell in Love With The Sun,’ illustrations by Carly Lake. \u003ccite>(Courtesy of Heyday Books)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003ch3>On Dedicating the Book to her Father\u003c/h3>\n\u003cp>My father Bernard Alvitre was a skin diver, an abalone diver. He taught us about the connection to everything that lived among us, how everything has a story.\u003c/p>\n\u003cp>The seaweed, the seagulls, the water, the sand, the sand dollars, everything had a history and a story.\u003c/p>\n\u003cp>He cherished that. That was his way of teaching. It was through us and and the ability to be able to to memorize these stories.\u003c/p>\n\u003cfigure id=\"attachment_11853898\" class=\"wp-caption aligncenter\" style=\"max-width: 1573px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-11853898\" src=\"https://ww2.kqed.org/app/uploads/sites/10/2021/01/RS46501_Screen-Shot-2021-01-06-at-10.31.14-AM-qut.jpg\" alt=\"\" width=\"1573\" height=\"977\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2021/01/RS46501_Screen-Shot-2021-01-06-at-10.31.14-AM-qut.jpg 1573w, https://cdn.kqed.org/wp-content/uploads/sites/10/2021/01/RS46501_Screen-Shot-2021-01-06-at-10.31.14-AM-qut-800x497.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2021/01/RS46501_Screen-Shot-2021-01-06-at-10.31.14-AM-qut-1020x634.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2021/01/RS46501_Screen-Shot-2021-01-06-at-10.31.14-AM-qut-160x99.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2021/01/RS46501_Screen-Shot-2021-01-06-at-10.31.14-AM-qut-1536x954.jpg 1536w\" sizes=\"(max-width: 1573px) 100vw, 1573px\">\u003cfigcaption class=\"wp-caption-text\">Excerpts from ‘Waa’aka’: the Bird Who fell in Love With The Sun,’ illustrations by Carly Lake. \u003ccite>(Courtesy of Heyday Books)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003ch3>A Pre-Human Tale of Community Responsibility\u003c/h3>\n\u003cp>The pre-human characters had to find a way to get Tamet, the sun, up into the sky. Because every day he was growing larger and larger and larger, hotter and hotter, and was impacting and affecting all the life. The trees were beginning to shrivel, the water was beginning to dry up.\u003c/p>\n\u003cp>Waa’aka’ is the other main character. She is a black-crowned night heron. And she has a very vain streak about her. She found out that if the sun was with her, she could see her reflection [in ponds of water] and just gaze at how fabulous she was.\u003c/p>\n\u003cfigure id=\"attachment_11853895\" class=\"wp-caption aligncenter\" style=\"max-width: 936px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-11853895\" src=\"https://ww2.kqed.org/app/uploads/sites/10/2021/01/RS46504_screen_shot_2020-12-11_at_9.48.46_am-qut.jpg\" alt=\"\" width=\"936\" height=\"1208\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2021/01/RS46504_screen_shot_2020-12-11_at_9.48.46_am-qut.jpg 936w, https://cdn.kqed.org/wp-content/uploads/sites/10/2021/01/RS46504_screen_shot_2020-12-11_at_9.48.46_am-qut-800x1032.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2021/01/RS46504_screen_shot_2020-12-11_at_9.48.46_am-qut-160x206.jpg 160w\" sizes=\"(max-width: 936px) 100vw, 936px\">\u003cfigcaption class=\"wp-caption-text\">Excerpts from ‘Waa’aka’: the Bird Who fell in Love With The Sun,’ illustrations by Carly Lake. \u003ccite>(Courtesy of Heyday Books)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>The sun was growing hotter and hotter. The council decided they would toss him up into the sky. Waa’aka’ becomes very anxious about it because she’s realizing she will no longer be able to gaze at herself. She decides she’s going to ruin this whole plan, because when they toss him up into the sky, she’s going to grab the net and break it, and he’s going to fall back to Earth and be with her forever.\u003c/p>\n\u003cp>She grabs the net. The sun explodes into what he is today – this immense ball of fire and light and heat. She collapses as a burned bird back to the earth.\u003c/p>\n\u003cfigure id=\"attachment_11853893\" class=\"wp-caption aligncenter\" style=\"max-width: 984px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-11853893\" src=\"https://ww2.kqed.org/app/uploads/sites/10/2021/01/RS46505_screen_shot_2020-12-11_at_9.52.05_am-qut.jpg\" alt=\"\" width=\"984\" height=\"1214\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2021/01/RS46505_screen_shot_2020-12-11_at_9.52.05_am-qut.jpg 984w, https://cdn.kqed.org/wp-content/uploads/sites/10/2021/01/RS46505_screen_shot_2020-12-11_at_9.52.05_am-qut-800x987.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2021/01/RS46505_screen_shot_2020-12-11_at_9.52.05_am-qut-160x197.jpg 160w\" sizes=\"(max-width: 984px) 100vw, 984px\">\u003cfigcaption class=\"wp-caption-text\">Excerpts from ‘Waa’aka’: the Bird Who fell in Love With The Sun,’ illustrations by Carly Lake. \u003ccite>(Courtesy of Heyday Books)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>The rest of the community scolds her because she actually endangered everybody.\u003c/p>\n\u003cp>Her punishment is to forever stay in darkness and never see the light of day or see her reflection again.\u003c/p>\n\u003cp>She’s left with black streaks on her head, and she juts her head forward in shame.\u003c/p>\n\u003cfigure id=\"attachment_11854506\" class=\"wp-caption aligncenter\" style=\"max-width: 900px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-11854506\" src=\"https://ww2.kqed.org/app/uploads/sites/10/2021/01/Screen-Shot-2021-01-08-at-1.48.44-PM-e1610751672338.png\" alt=\"\" width=\"900\" height=\"1164\">\u003cfigcaption class=\"wp-caption-text\">Excerpts from ‘Waa’aka’: the Bird Who Fell in Love With The Sun,’ illustrations by Carly Lake. \u003ccite>(Courtesy of Heyday Books)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003ch3>On the Lessons the Story Has for Today:\u003c/h3>\n\u003cp>Sometimes, we have to sacrifice to provide and to extend generosity to others, so as to continue life and to give life to everybody else.\u003c/p>\n\u003cp>This is a very important message. Right now as human beings, not to exert our power or authority over the natural world, but to take care of [it].\u003c/p>\n\u003cp>That’s the indigenous philosophy: We ‘Take care of.’ We need to practice that – not to model it, not to understand it, not to intellectualize it, but to practice it. To take care of each other. Take care of those things that give us life.\u003c/p>\n\u003cfigure id=\"attachment_11853894\" class=\"wp-caption alignright\" style=\"max-width: 400px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-11853894\" src=\"https://ww2.kqed.org/app/uploads/sites/10/2021/01/RS46506_cindi_alvitre-qut.jpg\" alt=\"\" width=\"400\" height=\"400\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2021/01/RS46506_cindi_alvitre-qut.jpg 400w, https://cdn.kqed.org/wp-content/uploads/sites/10/2021/01/RS46506_cindi_alvitre-qut-160x160.jpg 160w\" sizes=\"(max-width: 400px) 100vw, 400px\">\u003cfigcaption class=\"wp-caption-text\">Cindi Alvitre, author of ‘Waa’aka’: The Bird Who Fell in Love With the Sun’ \u003ccite>(Photo Courtesy of Los Angeles County Arts and Culture)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>The only way we’re going to be able to push forward in a very healthy and collective way is to come together. To acknowledge that these these entities in the natural world, how important they are to indigenous people.\u003c/p>\n\u003cp>We cannot separate our relationship from these the sun, the nature, the birds, the medicinal plants, the Mother Earth, the water, the air. They are very much a part of us and they all have their own stories. They have their own lineage and their own genealogies, and they are their own tribes.\u003c/p>\n\u003cp>\u003cem>Alvitre also just finished working on an \u003ca href=\"https://www.lacountyarts.org/experiences/memory-and-futurity-yaangna\">art installation in response to the removal of the statue of Christopher Columbus in L.A.’s Grand Park.\u003c/a> In her artist’s statement, Alvitre wrote: “It is imperative that those concerned with social justice strip away that veneer of objectivity to challenge, interrogate, and sometimes invert the social relations and structures of power immortalized in public art and monuments. To re-signify public spaces is to conjure new opportunities to imagine something different. Something better. Something more intimately inclusive of the land and all of its people — past, present, and future\u003c/em>.”\u003c/p>\n\u003cp>\u003c/p>\n",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>\u003ca href=\"https://www.kqed.org/news/10524648/between-homelands-canoe-connects-a-tongva-woman-to-her-tribe\">Cindi Alvitre\u003c/a> is an indigenous mother, grandmother, weaver, writer, storyteller and traditional singer.\u003c/p>\n\u003cp>A Tongva descendant of the Moompetam (Salt Water) Clan – the original people of Los Angeles and the southern Channel Islands – she teaches American Indian Studies at Cal State Long Beach.\u003c/p>\n\u003cp>Her new children’s book, “\u003ca href=\"https://heydaybooks.com/waaaka/\">Waa’aka’: The Bird Who Fell in Love With The Sun\u003c/a>,” gives new life to a traditional story with a timely message about community, climate change and the danger of making selfish choices.\u003c/p>\n\u003cp>\u003cem>Alvitre spoke with The California Report Magazine’s host Sasha Khokha. This interview has been edited for length and clarity.\u003c/em>\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cfigure id=\"attachment_11853897\" class=\"wp-caption aligncenter\" style=\"max-width: 954px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-11853897\" src=\"https://ww2.kqed.org/app/uploads/sites/10/2021/01/RS46502_screen_shot_2020-12-11_at_9.47.53_am-qut.jpg\" alt=\"\" width=\"954\" height=\"1208\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2021/01/RS46502_screen_shot_2020-12-11_at_9.47.53_am-qut.jpg 954w, https://cdn.kqed.org/wp-content/uploads/sites/10/2021/01/RS46502_screen_shot_2020-12-11_at_9.47.53_am-qut-800x1013.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2021/01/RS46502_screen_shot_2020-12-11_at_9.47.53_am-qut-160x203.jpg 160w\" sizes=\"(max-width: 954px) 100vw, 954px\">\u003cfigcaption class=\"wp-caption-text\">The Cover of ‘Waa’aka’: the Bird Who fell in Love With The Sun,’ illustrations by Carly Lake. \u003ccite>(Courtesy of Heyday Books)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003ch3>On Dedicating the Book to her Father\u003c/h3>\n\u003cp>My father Bernard Alvitre was a skin diver, an abalone diver. He taught us about the connection to everything that lived among us, how everything has a story.\u003c/p>\n\u003cp>The seaweed, the seagulls, the water, the sand, the sand dollars, everything had a history and a story.\u003c/p>\n\u003cp>He cherished that. That was his way of teaching. It was through us and and the ability to be able to to memorize these stories.\u003c/p>\n\u003cfigure id=\"attachment_11853898\" class=\"wp-caption aligncenter\" style=\"max-width: 1573px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-11853898\" src=\"https://ww2.kqed.org/app/uploads/sites/10/2021/01/RS46501_Screen-Shot-2021-01-06-at-10.31.14-AM-qut.jpg\" alt=\"\" width=\"1573\" height=\"977\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2021/01/RS46501_Screen-Shot-2021-01-06-at-10.31.14-AM-qut.jpg 1573w, https://cdn.kqed.org/wp-content/uploads/sites/10/2021/01/RS46501_Screen-Shot-2021-01-06-at-10.31.14-AM-qut-800x497.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2021/01/RS46501_Screen-Shot-2021-01-06-at-10.31.14-AM-qut-1020x634.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2021/01/RS46501_Screen-Shot-2021-01-06-at-10.31.14-AM-qut-160x99.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2021/01/RS46501_Screen-Shot-2021-01-06-at-10.31.14-AM-qut-1536x954.jpg 1536w\" sizes=\"(max-width: 1573px) 100vw, 1573px\">\u003cfigcaption class=\"wp-caption-text\">Excerpts from ‘Waa’aka’: the Bird Who fell in Love With The Sun,’ illustrations by Carly Lake. \u003ccite>(Courtesy of Heyday Books)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003ch3>A Pre-Human Tale of Community Responsibility\u003c/h3>\n\u003cp>The pre-human characters had to find a way to get Tamet, the sun, up into the sky. Because every day he was growing larger and larger and larger, hotter and hotter, and was impacting and affecting all the life. The trees were beginning to shrivel, the water was beginning to dry up.\u003c/p>\n\u003cp>Waa’aka’ is the other main character. She is a black-crowned night heron. And she has a very vain streak about her. She found out that if the sun was with her, she could see her reflection [in ponds of water] and just gaze at how fabulous she was.\u003c/p>\n\u003cfigure id=\"attachment_11853895\" class=\"wp-caption aligncenter\" style=\"max-width: 936px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-11853895\" src=\"https://ww2.kqed.org/app/uploads/sites/10/2021/01/RS46504_screen_shot_2020-12-11_at_9.48.46_am-qut.jpg\" alt=\"\" width=\"936\" height=\"1208\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2021/01/RS46504_screen_shot_2020-12-11_at_9.48.46_am-qut.jpg 936w, https://cdn.kqed.org/wp-content/uploads/sites/10/2021/01/RS46504_screen_shot_2020-12-11_at_9.48.46_am-qut-800x1032.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2021/01/RS46504_screen_shot_2020-12-11_at_9.48.46_am-qut-160x206.jpg 160w\" sizes=\"(max-width: 936px) 100vw, 936px\">\u003cfigcaption class=\"wp-caption-text\">Excerpts from ‘Waa’aka’: the Bird Who fell in Love With The Sun,’ illustrations by Carly Lake. \u003ccite>(Courtesy of Heyday Books)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>The sun was growing hotter and hotter. The council decided they would toss him up into the sky. Waa’aka’ becomes very anxious about it because she’s realizing she will no longer be able to gaze at herself. She decides she’s going to ruin this whole plan, because when they toss him up into the sky, she’s going to grab the net and break it, and he’s going to fall back to Earth and be with her forever.\u003c/p>\n\u003cp>She grabs the net. The sun explodes into what he is today – this immense ball of fire and light and heat. She collapses as a burned bird back to the earth.\u003c/p>\n\u003cfigure id=\"attachment_11853893\" class=\"wp-caption aligncenter\" style=\"max-width: 984px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-11853893\" src=\"https://ww2.kqed.org/app/uploads/sites/10/2021/01/RS46505_screen_shot_2020-12-11_at_9.52.05_am-qut.jpg\" alt=\"\" width=\"984\" height=\"1214\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2021/01/RS46505_screen_shot_2020-12-11_at_9.52.05_am-qut.jpg 984w, https://cdn.kqed.org/wp-content/uploads/sites/10/2021/01/RS46505_screen_shot_2020-12-11_at_9.52.05_am-qut-800x987.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2021/01/RS46505_screen_shot_2020-12-11_at_9.52.05_am-qut-160x197.jpg 160w\" sizes=\"(max-width: 984px) 100vw, 984px\">\u003cfigcaption class=\"wp-caption-text\">Excerpts from ‘Waa’aka’: the Bird Who fell in Love With The Sun,’ illustrations by Carly Lake. \u003ccite>(Courtesy of Heyday Books)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>The rest of the community scolds her because she actually endangered everybody.\u003c/p>\n\u003cp>Her punishment is to forever stay in darkness and never see the light of day or see her reflection again.\u003c/p>\n\u003cp>She’s left with black streaks on her head, and she juts her head forward in shame.\u003c/p>\n\u003cfigure id=\"attachment_11854506\" class=\"wp-caption aligncenter\" style=\"max-width: 900px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-11854506\" src=\"https://ww2.kqed.org/app/uploads/sites/10/2021/01/Screen-Shot-2021-01-08-at-1.48.44-PM-e1610751672338.png\" alt=\"\" width=\"900\" height=\"1164\">\u003cfigcaption class=\"wp-caption-text\">Excerpts from ‘Waa’aka’: the Bird Who Fell in Love With The Sun,’ illustrations by Carly Lake. \u003ccite>(Courtesy of Heyday Books)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003ch3>On the Lessons the Story Has for Today:\u003c/h3>\n\u003cp>Sometimes, we have to sacrifice to provide and to extend generosity to others, so as to continue life and to give life to everybody else.\u003c/p>\n\u003cp>This is a very important message. Right now as human beings, not to exert our power or authority over the natural world, but to take care of [it].\u003c/p>\n\u003cp>That’s the indigenous philosophy: We ‘Take care of.’ We need to practice that – not to model it, not to understand it, not to intellectualize it, but to practice it. To take care of each other. Take care of those things that give us life.\u003c/p>\n\u003cfigure id=\"attachment_11853894\" class=\"wp-caption alignright\" style=\"max-width: 400px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-11853894\" src=\"https://ww2.kqed.org/app/uploads/sites/10/2021/01/RS46506_cindi_alvitre-qut.jpg\" alt=\"\" width=\"400\" height=\"400\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2021/01/RS46506_cindi_alvitre-qut.jpg 400w, https://cdn.kqed.org/wp-content/uploads/sites/10/2021/01/RS46506_cindi_alvitre-qut-160x160.jpg 160w\" sizes=\"(max-width: 400px) 100vw, 400px\">\u003cfigcaption class=\"wp-caption-text\">Cindi Alvitre, author of ‘Waa’aka’: The Bird Who Fell in Love With the Sun’ \u003ccite>(Photo Courtesy of Los Angeles County Arts and Culture)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>The only way we’re going to be able to push forward in a very healthy and collective way is to come together. To acknowledge that these these entities in the natural world, how important they are to indigenous people.\u003c/p>\n\u003cp>We cannot separate our relationship from these the sun, the nature, the birds, the medicinal plants, the Mother Earth, the water, the air. They are very much a part of us and they all have their own stories. They have their own lineage and their own genealogies, and they are their own tribes.\u003c/p>\n\u003cp>\u003cem>Alvitre also just finished working on an \u003ca href=\"https://www.lacountyarts.org/experiences/memory-and-futurity-yaangna\">art installation in response to the removal of the statue of Christopher Columbus in L.A.’s Grand Park.\u003c/a> In her artist’s statement, Alvitre wrote: “It is imperative that those concerned with social justice strip away that veneer of objectivity to challenge, interrogate, and sometimes invert the social relations and structures of power immortalized in public art and monuments. To re-signify public spaces is to conjure new opportunities to imagine something different. Something better. Something more intimately inclusive of the land and all of its people — past, present, and future\u003c/em>.”\u003c/p>\n\u003cp>\u003c/p>\n\u003c/div>\u003c/p>",
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"content": "\u003cp>\u003cspan style=\"font-weight: 400;\">The crush of COVID-19 patients from post-holiday surges continues to overwhelm California hospitals. The state passed a grim milestone this week, with more than \u003c/span>\u003ca href=\"https://www.cdph.ca.gov/Programs/CID/DCDC/Pages/Immunization/nCOV2019.aspx#COVID-19%20by%20the%20Numbers\">\u003cspan style=\"font-weight: 400;\">31,000\u003c/span>\u003c/a>\u003cspan style=\"font-weight: 400;\"> people dead from the virus. The state recorded an average of more than \u003c/span>\u003ca href=\"https://www.latimes.com/projects/california-coronavirus-cases-tracking-outbreak/#cases-timeseries\">\u003cspan style=\"font-weight: 400;\">500\u003c/span>\u003c/a>\u003cspan style=\"font-weight: 400;\"> deaths over the past seven days. In the Bay Area, Santa Clara County has run out of morgue space, and three 65-foot trailers have been brought in to house the deceased; the county may soon activate a “mass fatality plan.”\u003c/span>\u003c/p>\n\u003cp>[pullquote citation=\"Dr. Clay Josephy, critical care fellow\"]‘To not believe in COVID at this point is the highest form of cognitive dysfunction, and by extension the pinnacle of insult to literally everyone, most especially health care workers.[/pullquote]\u003cspan style=\"font-weight: 400;\">Besides patients and their families, no one is feeling the pain of this catastrophe more than health care workers. The onslaught has exhausted them, but many also use the word “betrayed” to describe their feelings toward the public, and they have grown angry at people for skirting safety rules because they know much of the suffering is avoidable.\u003c/span>\u003c/p>\n\u003cp>Doctors, nurses and other front-line workers feel like they’re starting to crack.\u003c/p>\n\u003cp>\u003cspan style=\"font-weight: 400;\">“I have never lost so many patients in a short period of time,” said Dr. Dinora Chinchilla, an Orange County pulmonologist specializing in critical care. \u003c/span>\u003cspan style=\"font-weight: 400;\">We have checked in regularly throughout the pandemic, and she called me recently on her drive home after a long shift, fighting back tears. \u003c/span>\u003c/p>\n\u003cp>\u003cspan style=\"font-weight: 400;\">“I see sick, sick, sick, sick, sick and a lot of death,” she sputtered.\u003c/span>\u003c/p>\n\u003cp>\u003cspan style=\"font-weight: 400;\">Chinchilla described the horrific situation at her hospital: ambulances lined up around the block, day and night. Patients queued in big pop-up tents. Halls overflowing with sick people. The criteria for who is admitted to the ICU has changed because there aren’t enough beds, meaning patients must be sicker than usual to qualify for critical care. \u003c/span>\u003c/p>\n\u003cp>She and her colleagues are feeling it in a big way.\u003c/p>\n\u003cp>“We can see it in each other’s faces,” Chinchilla said. “I’ve had janitors look at me, and they’re like, ‘Oh, doc. You look so pale.’ ”\u003c/p>\n\u003cp>\u003cspan style=\"font-weight: 400;\">When Chinchilla arrives home at night, she tries to put on a good face for her 2-year-old daughter and 5-year-old son, but she often crumbles into a pile of tears as they rush toward her. \u003c/span>\u003c/p>\n\u003cp>\u003cspan style=\"font-weight: 400;\">“I don’t want them to see me sad,” she said. “They give me a big hug, and I try to smile even though I’m crushed inside from what we are seeing at the hospital.”\u003c/span>\u003c/p>\n\u003cp>\u003cb>‘It’s Very Demoralizing’\u003c/b>\u003c/p>\n\u003cfigure id=\"attachment_11855319\" class=\"wp-caption alignright\" style=\"max-width: 2186px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-11855319\" src=\"https://ww2.kqed.org/app/uploads/sites/10/2021/01/FD5FD900-2A2A-4A51-BD38-99C0393C148E-scaled.jpeg\" alt=\"\" width=\"2186\" height=\"2560\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2021/01/FD5FD900-2A2A-4A51-BD38-99C0393C148E-scaled.jpeg 2186w, https://cdn.kqed.org/wp-content/uploads/sites/10/2021/01/FD5FD900-2A2A-4A51-BD38-99C0393C148E-800x937.jpeg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2021/01/FD5FD900-2A2A-4A51-BD38-99C0393C148E-1020x1195.jpeg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2021/01/FD5FD900-2A2A-4A51-BD38-99C0393C148E-160x187.jpeg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2021/01/FD5FD900-2A2A-4A51-BD38-99C0393C148E-1311x1536.jpeg 1311w, https://cdn.kqed.org/wp-content/uploads/sites/10/2021/01/FD5FD900-2A2A-4A51-BD38-99C0393C148E-1748x2048.jpeg 1748w, https://cdn.kqed.org/wp-content/uploads/sites/10/2021/01/FD5FD900-2A2A-4A51-BD38-99C0393C148E-1920x2249.jpeg 1920w\" sizes=\"auto, (max-width: 2186px) 100vw, 2186px\">\u003cfigcaption class=\"wp-caption-text\">Dinora Chinchilla, an Orange County pulmonologist working in critical care, says she feels betrayed by the public’s selfishness. \u003ccite>(Ignacio Velazquez)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>\u003cspan style=\"font-weight: 400;\">Back in the spring, Chinchilla felt supported in her community as a kind of hero. Banners flew around town celebrating health care workers. But now she feels resentful of the public because of its lax attitude toward stopping transmission.\u003c/span>\u003c/p>\n\u003cp>\u003cspan style=\"font-weight: 400;\">“Every time I see people on social media having parties or gatherings, I literally say, ‘Unfriend, unfriend, unfriend.’ I just can’t take it anymore.”\u003c/span>\u003c/p>\n\u003cp>\u003cspan style=\"font-weight: 400;\">Dr. Victor Cisneros, an emergency medicine physician in Orange County, recently urged folks to stay home over the holidays in an Instagram post. He was met by a profane attack full of pandemic denial. \u003c/span>\u003c/p>\n\u003cp>\u003cspan style=\"font-weight: 400;\">He likens it to repudiating a soldier’s battlefield experience.\u003c/span>\u003c/p>\n\u003cp>\u003cspan style=\"font-weight: 400;\">“It’s like people who are not on the ground saying, ‘This isn’t real. You’re not being shot at. This is fake,” Cisneros said. \u003c/span>\u003c/p>\n\u003cp>\u003cspan style=\"font-weight: 400;\">He’s floored that people refuse to wear masks and continue to believe conspiracy theories like the idea that vaccines are laced with microchips. \u003c/span>\u003c/p>\n\u003cp>\u003cspan style=\"font-weight: 400;\">“It’s very demoralizing when you’re doing all the hard work as a health care provider, and then there’s a stronghold on the other side increasing the spread,” he said.\u003c/span>\u003c/p>\n\u003cp>\u003cb>‘The Pinnacle of Insult’\u003c/b>\u003c/p>\n\u003cp>\u003cspan style=\"font-weight: 400;\">Doctors and nurses describe a profound disconnect between the reality inside hospitals and life on the streets.\u003c/span>\u003c/p>\n\u003cp>\u003cspan style=\"font-weight: 400;\">“The public doesn’t see the people who are being rushed to the hospital who are like fishes out of water, who can’t breathe,” said Brittney Watson, an emergency room nurse in Oakland who says the current surge is upending her hospital. \u003c/span>\u003c/p>\n\u003cp>\u003cspan style=\"font-weight: 400;\">She remembers the first time she was alone with a COVID patient who was dying. Instead of being surrounded by a large circle of friends and family, the patient was met by a nurse covered in plastic from head to toe. \u003c/span>\u003c/p>\n\u003cp>\u003cspan style=\"font-weight: 400;\">“They couldn’t even see me smile,” said Watson. “They could only see this two-to three-inch window of my eyes and eyebrows above my mask.”\u003c/span>\u003c/p>\n\u003cp>\u003cspan style=\"font-weight: 400;\">She says it feels like the virus is infiltrating every crevice of her workplace, like the walls are falling in. The facility is in the midst of its second internal outbreak, and health care workers themselves are falling ill. \u003c/span>\u003c/p>\n\u003cp>\u003cspan style=\"font-weight: 400;\"> Dr. Clay Josephy, a critical care fellow in San Francisco, says the situation is practically made to order to send an already exhausted workforce over the edge.\u003c/span>\u003c/p>\n\u003cp>\u003cspan style=\"font-weight: 400;\">“To not believe in COVID at this point is the highest form of cognitive dysfunction, and by extension the pinnacle of insult to literally everyone, most especially health care workers,” he said.\u003c/span>\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>\u003cb>Glint of Hope\u003c/b>\u003c/p>\n\u003cp>\u003cspan style=\"font-weight: 400;\">The vaccine, at least, is here.\u003c/span>\u003c/p>\n\u003cp>\u003cspan style=\"font-weight: 400;\">“I can’t overestimate the excitement and the hope that I have attached to this vaccine, and that other people in my position have,” said Dr. Dawn Harris, the chief of medicine at Sierra Nevada Memorial Hospital. “It’s the first time that we’ve used the word ‘hope.’ ” \u003c/span>\u003c/p>\n\u003cp>\u003cspan style=\"font-weight: 400;\">At least one statistic, too, is pointing in the right direction. In the last few days, hospital admissions have dropped from about 3,500 per day to 2,500 across the state. \u003c/span>\u003c/p>\n\u003cp>\u003cspan style=\"font-weight: 400;\">“To see a reduction in our hospital numbers in terms of our rate of rise is a very encouraging sign, but we are not out of the woods,” cautioned Dr. Mark Ghaly, secretary of California Health and Human Services Agency. “We know that there’s still a lot of COVID in our communities and people can easily transmit it. We must continue to keep our guard up.”\u003c/span>\u003c/p>\n\u003cp>\u003cspan style=\"font-weight: 400;\">Plus, still ahead lies a possible New Year’s wave of cases to augment the Christmas surge.\u003c/span>\u003cspan style=\"font-weight: 400;\"> And there are more cold months to pass before the vaccine starts to slow the virus.\u003c/span>\u003c/p>\n\u003cp> \u003c/p>\n\u003cp>[ad floatright]\u003c/p>\n",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cspan style=\"font-weight: 400;\">Besides patients and their families, no one is feeling the pain of this catastrophe more than health care workers. The onslaught has exhausted them, but many also use the word “betrayed” to describe their feelings toward the public, and they have grown angry at people for skirting safety rules because they know much of the suffering is avoidable.\u003c/span>\u003c/p>\n\u003cp>Doctors, nurses and other front-line workers feel like they’re starting to crack.\u003c/p>\n\u003cp>\u003cspan style=\"font-weight: 400;\">“I have never lost so many patients in a short period of time,” said Dr. Dinora Chinchilla, an Orange County pulmonologist specializing in critical care. \u003c/span>\u003cspan style=\"font-weight: 400;\">We have checked in regularly throughout the pandemic, and she called me recently on her drive home after a long shift, fighting back tears. \u003c/span>\u003c/p>\n\u003cp>\u003cspan style=\"font-weight: 400;\">“I see sick, sick, sick, sick, sick and a lot of death,” she sputtered.\u003c/span>\u003c/p>\n\u003cp>\u003cspan style=\"font-weight: 400;\">Chinchilla described the horrific situation at her hospital: ambulances lined up around the block, day and night. Patients queued in big pop-up tents. Halls overflowing with sick people. The criteria for who is admitted to the ICU has changed because there aren’t enough beds, meaning patients must be sicker than usual to qualify for critical care. \u003c/span>\u003c/p>\n\u003cp>She and her colleagues are feeling it in a big way.\u003c/p>\n\u003cp>“We can see it in each other’s faces,” Chinchilla said. “I’ve had janitors look at me, and they’re like, ‘Oh, doc. You look so pale.’ ”\u003c/p>\n\u003cp>\u003cspan style=\"font-weight: 400;\">When Chinchilla arrives home at night, she tries to put on a good face for her 2-year-old daughter and 5-year-old son, but she often crumbles into a pile of tears as they rush toward her. \u003c/span>\u003c/p>\n\u003cp>\u003cspan style=\"font-weight: 400;\">“I don’t want them to see me sad,” she said. “They give me a big hug, and I try to smile even though I’m crushed inside from what we are seeing at the hospital.”\u003c/span>\u003c/p>\n\u003cp>\u003cb>‘It’s Very Demoralizing’\u003c/b>\u003c/p>\n\u003cfigure id=\"attachment_11855319\" class=\"wp-caption alignright\" style=\"max-width: 2186px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-11855319\" src=\"https://ww2.kqed.org/app/uploads/sites/10/2021/01/FD5FD900-2A2A-4A51-BD38-99C0393C148E-scaled.jpeg\" alt=\"\" width=\"2186\" height=\"2560\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2021/01/FD5FD900-2A2A-4A51-BD38-99C0393C148E-scaled.jpeg 2186w, https://cdn.kqed.org/wp-content/uploads/sites/10/2021/01/FD5FD900-2A2A-4A51-BD38-99C0393C148E-800x937.jpeg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2021/01/FD5FD900-2A2A-4A51-BD38-99C0393C148E-1020x1195.jpeg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2021/01/FD5FD900-2A2A-4A51-BD38-99C0393C148E-160x187.jpeg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2021/01/FD5FD900-2A2A-4A51-BD38-99C0393C148E-1311x1536.jpeg 1311w, https://cdn.kqed.org/wp-content/uploads/sites/10/2021/01/FD5FD900-2A2A-4A51-BD38-99C0393C148E-1748x2048.jpeg 1748w, https://cdn.kqed.org/wp-content/uploads/sites/10/2021/01/FD5FD900-2A2A-4A51-BD38-99C0393C148E-1920x2249.jpeg 1920w\" sizes=\"auto, (max-width: 2186px) 100vw, 2186px\">\u003cfigcaption class=\"wp-caption-text\">Dinora Chinchilla, an Orange County pulmonologist working in critical care, says she feels betrayed by the public’s selfishness. \u003ccite>(Ignacio Velazquez)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>\u003cspan style=\"font-weight: 400;\">Back in the spring, Chinchilla felt supported in her community as a kind of hero. Banners flew around town celebrating health care workers. But now she feels resentful of the public because of its lax attitude toward stopping transmission.\u003c/span>\u003c/p>\n\u003cp>\u003cspan style=\"font-weight: 400;\">“Every time I see people on social media having parties or gatherings, I literally say, ‘Unfriend, unfriend, unfriend.’ I just can’t take it anymore.”\u003c/span>\u003c/p>\n\u003cp>\u003cspan style=\"font-weight: 400;\">Dr. Victor Cisneros, an emergency medicine physician in Orange County, recently urged folks to stay home over the holidays in an Instagram post. He was met by a profane attack full of pandemic denial. \u003c/span>\u003c/p>\n\u003cp>\u003cspan style=\"font-weight: 400;\">He likens it to repudiating a soldier’s battlefield experience.\u003c/span>\u003c/p>\n\u003cp>\u003cspan style=\"font-weight: 400;\">“It’s like people who are not on the ground saying, ‘This isn’t real. You’re not being shot at. This is fake,” Cisneros said. \u003c/span>\u003c/p>\n\u003cp>\u003cspan style=\"font-weight: 400;\">He’s floored that people refuse to wear masks and continue to believe conspiracy theories like the idea that vaccines are laced with microchips. \u003c/span>\u003c/p>\n\u003cp>\u003cspan style=\"font-weight: 400;\">“It’s very demoralizing when you’re doing all the hard work as a health care provider, and then there’s a stronghold on the other side increasing the spread,” he said.\u003c/span>\u003c/p>\n\u003cp>\u003cb>‘The Pinnacle of Insult’\u003c/b>\u003c/p>\n\u003cp>\u003cspan style=\"font-weight: 400;\">Doctors and nurses describe a profound disconnect between the reality inside hospitals and life on the streets.\u003c/span>\u003c/p>\n\u003cp>\u003cspan style=\"font-weight: 400;\">“The public doesn’t see the people who are being rushed to the hospital who are like fishes out of water, who can’t breathe,” said Brittney Watson, an emergency room nurse in Oakland who says the current surge is upending her hospital. \u003c/span>\u003c/p>\n\u003cp>\u003cspan style=\"font-weight: 400;\">She remembers the first time she was alone with a COVID patient who was dying. Instead of being surrounded by a large circle of friends and family, the patient was met by a nurse covered in plastic from head to toe. \u003c/span>\u003c/p>\n\u003cp>\u003cspan style=\"font-weight: 400;\">“They couldn’t even see me smile,” said Watson. “They could only see this two-to three-inch window of my eyes and eyebrows above my mask.”\u003c/span>\u003c/p>\n\u003cp>\u003cspan style=\"font-weight: 400;\">She says it feels like the virus is infiltrating every crevice of her workplace, like the walls are falling in. The facility is in the midst of its second internal outbreak, and health care workers themselves are falling ill. \u003c/span>\u003c/p>\n\u003cp>\u003cspan style=\"font-weight: 400;\"> Dr. Clay Josephy, a critical care fellow in San Francisco, says the situation is practically made to order to send an already exhausted workforce over the edge.\u003c/span>\u003c/p>\n\u003cp>\u003cspan style=\"font-weight: 400;\">“To not believe in COVID at this point is the highest form of cognitive dysfunction, and by extension the pinnacle of insult to literally everyone, most especially health care workers,” he said.\u003c/span>\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>\u003cb>Glint of Hope\u003c/b>\u003c/p>\n\u003cp>\u003cspan style=\"font-weight: 400;\">The vaccine, at least, is here.\u003c/span>\u003c/p>\n\u003cp>\u003cspan style=\"font-weight: 400;\">“I can’t overestimate the excitement and the hope that I have attached to this vaccine, and that other people in my position have,” said Dr. Dawn Harris, the chief of medicine at Sierra Nevada Memorial Hospital. “It’s the first time that we’ve used the word ‘hope.’ ” \u003c/span>\u003c/p>\n\u003cp>\u003cspan style=\"font-weight: 400;\">At least one statistic, too, is pointing in the right direction. In the last few days, hospital admissions have dropped from about 3,500 per day to 2,500 across the state. \u003c/span>\u003c/p>\n\u003cp>\u003cspan style=\"font-weight: 400;\">“To see a reduction in our hospital numbers in terms of our rate of rise is a very encouraging sign, but we are not out of the woods,” cautioned Dr. Mark Ghaly, secretary of California Health and Human Services Agency. “We know that there’s still a lot of COVID in our communities and people can easily transmit it. We must continue to keep our guard up.”\u003c/span>\u003c/p>\n\u003cp>\u003cspan style=\"font-weight: 400;\">Plus, still ahead lies a possible New Year’s wave of cases to augment the Christmas surge.\u003c/span>\u003cspan style=\"font-weight: 400;\"> And there are more cold months to pass before the vaccine starts to slow the virus.\u003c/span>\u003c/p>\n\u003cp> \u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cp>\u003cb>Los Angeles District Attorney George Gascón\u003cbr>\n\u003c/b>\u003cspan style=\"font-weight: 400\">Did skin color make a difference in the police response to the insurrection in Washington, D.C.? G\u003c/span>\u003cspan style=\"font-weight: 400\">eorge Gascón, the newly elected district attorney of Los Angeles County, says absolutely yes. \u003c/span>\u003cspan style=\"font-weight: 400\">He shares with us his strategy for a more equitable criminal justice system.\u003c/span>\u003c/p>\n\u003cp>\u003cb>California COVID-19 Vaccine Update\u003cbr>\n\u003c/b>\u003cspan style=\"font-weight: 400\">Hundreds of thousands of the new COVID-19 vaccine have been stuck in warehouses or in transit, and Gov. Gavin Newsom has acknowledged that the state needs to do better. We get the latest on vaccine distribution from Stanford University infectious disease expert Dr. Yvonne Maldonado. \u003c/span>\u003c/p>\n\u003cp>\u003cb>Week in Politics: US Capitol Riots and Recall Efforts\u003cbr>\n\u003c/b>\u003cspan style=\"font-weight: 400\">From the armed insurgency at the U.S. Capitol to efforts to recall Gov. Gavin Newsom — we round up the week’s big political stories with KQED’s Scott Shafer and Marisa Lagos.\u003c/span>\u003c/p>\n\u003cp>\u003cb>Something Musical: ‘Georgia on My Mind’\u003cbr>\n\u003c/b>\u003cspan style=\"font-weight: 400\">East Los Angeles-based band Las Cafeteras dedicated a song to promote voter turnout in Georgia’s closely watched U.S. Senate race. It’s their version of Ray Charles’ classic rendition, “Georgia on My Mind,” sung in Spanish and English. Las Cafeteras are known for remixing iconic songs to tell modern-day stories about immigrants and BIPOC communities.\u003c/span>\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\u003cp>\u003c/p>\n",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>\u003cb>Los Angeles District Attorney George Gascón\u003cbr>\n\u003c/b>\u003cspan style=\"font-weight: 400\">Did skin color make a difference in the police response to the insurrection in Washington, D.C.? G\u003c/span>\u003cspan style=\"font-weight: 400\">eorge Gascón, the newly elected district attorney of Los Angeles County, says absolutely yes. \u003c/span>\u003cspan style=\"font-weight: 400\">He shares with us his strategy for a more equitable criminal justice system.\u003c/span>\u003c/p>\n\u003cp>\u003cb>California COVID-19 Vaccine Update\u003cbr>\n\u003c/b>\u003cspan style=\"font-weight: 400\">Hundreds of thousands of the new COVID-19 vaccine have been stuck in warehouses or in transit, and Gov. Gavin Newsom has acknowledged that the state needs to do better. We get the latest on vaccine distribution from Stanford University infectious disease expert Dr. Yvonne Maldonado. \u003c/span>\u003c/p>\n\u003cp>\u003cb>Week in Politics: US Capitol Riots and Recall Efforts\u003cbr>\n\u003c/b>\u003cspan style=\"font-weight: 400\">From the armed insurgency at the U.S. Capitol to efforts to recall Gov. Gavin Newsom — we round up the week’s big political stories with KQED’s Scott Shafer and Marisa Lagos.\u003c/span>\u003c/p>\n\u003cp>\u003cb>Something Musical: ‘Georgia on My Mind’\u003cbr>\n\u003c/b>\u003cspan style=\"font-weight: 400\">East Los Angeles-based band Las Cafeteras dedicated a song to promote voter turnout in Georgia’s closely watched U.S. Senate race. It’s their version of Ray Charles’ classic rendition, “Georgia on My Mind,” sung in Spanish and English. Las Cafeteras are known for remixing iconic songs to tell modern-day stories about immigrants and BIPOC communities.\u003c/span>\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"slug": "the-public-can-help-us-san-mateo-er-doctor-begs-people-to-use-masks-as-hospitalizations-soar",
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"content": "\u003cp>Health care workers across California are bracing for difficult days ahead as the latest coronavirus surge pummels the state. \u003ca href=\"https://covid19.ca.gov/state-dashboard/\" target=\"_blank\" rel=\"noopener noreferrer\">More than 22,800\u003c/a> total people were hospitalized with COVID-19 across California as of Wednesday.\u003c/p>\n\u003cp>“I feel like we are on the brink and we are truly worried about how we’re going to be able to care for more patients,” said Dr. Julie Hersk in an interview with KQED’s Brian Watt this week. \u003c/p>\n\u003cp>Hersk is an emergency medicine specialist and former chief of staff at San Mateo Medical Center, where \u003ca href=\"https://www.npr.org/sections/health-shots/2020/12/09/944379919/new-data-reveal-which-hospitals-are-dangerously-full-is-yours\" target=\"_blank\" rel=\"noopener noreferrer\">more than a third\u003c/a> of adult inpatient beds are being used to treat COVID-19 patients.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003ch3>‘Making Room Where We Can’\u003c/h3>\n\u003cp>Health officials say the impact of the recent holiday gatherings on the latest surge isn’t likely going to be known until mid-January.\u003c/p>\n\u003cp>Hersk said her hospital’s intensive care unit has gotten full over the last few weeks since Thanksgiving. That’s led her to care for patients in other areas of the hospital.\u003c/p>\n\u003cp>“We’re making room everywhere we can,” she said. “We are now seeing patients in chairs and in hallways. I saw a patient outside.”\u003c/p>\n\u003cp>Regionally, the Bay Area’s \u003ca href=\"https://www.kqed.org/news/11850757/california-icu-capacity-see-your-countys-available-beds\">ICU bed capacity\u003c/a> has remained below 10% over the past few days — still a far cry from the much more dire situation in \u003ca href=\"https://www.kqed.org/news/11853248/hard-hit-california-hospitals-receive-military-support\">Central and Southern California\u003c/a>. Dr. Grant Colfax, San Francisco’s health director, recently urged folks to keep their guard up — to avoid further straining the local hospital system.\u003c/p>\n\u003cp>“Unlike many parts of the state, hospitals in San Francisco have enough room to care for COVID-19 and other patients locally,” he said during a Tuesday briefing. “While we have those ICU beds now in San Francisco, it is plausible with our regional or statewide surge that those numbers of ICU capacity will drop sharply.”\u003c/p>\n\u003cp>By Thursday, California health officials had \u003ca href=\"https://www.kqed.org/coronavirusliveupdates/news/11854212/california-orders-hospitals-to-accept-covid-19-patients-from-hardest-hit-counties\">ordered hospitals\u003c/a> in less overwhelmed counties to accept patients from areas that have been hit the hardest.\u003c/p>\n\u003ch3>‘Giving 100% Every Day’\u003c/h3>\n\u003cp>Like many of her colleagues, Dr. Hersk said she has felt physically and emotionally drained.\u003c/p>\n\u003cp>“It’s really scary to watch the way people die from COVID-19 … short of breath and alone,” she said. “Personally, I believe our nurses have taken the brunt of the challenge. Having to be in the rooms with these patients for long periods of time undoubtedly increases their risk.”\u003c/p>\n\u003cp>[aside label='Coronavirus Coverage' tag='coronavirus']Burnout among health care workers has been an \u003ca href=\"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6367114/\" target=\"_blank\" rel=\"noopener noreferrer\">ongoing issue\u003c/a>. The pandemic has made that worse: A \u003ca href=\"https://mhanational.org/mental-health-healthcare-workers-covid-19\" target=\"_blank\" rel=\"noopener noreferrer\">survey\u003c/a> by Mental Health America found that 76% of health care workers were experiencing exhaustion and burnout last year.\u003c/p>\n\u003cp>The psychological toll is also apparent when Dr. Hersk and other medical professionals have had to treat patients who haven’t been taking the virus seriously.\u003c/p>\n\u003cp>“We all have experienced this,” she said. “It doesn’t feel good when you have a patient pulling down their mask and yelling at you for not being seen quickly. But that’s not the majority of our patients. People deal with crises in different ways. It doesn’t make them better. It doesn’t make them worse.”\u003c/p>\n\u003cp>Health experts say the pandemic is likely going to be felt for a while even as more people start to get vaccinated (an effort that’s faced \u003ca href=\"https://video.kqed.org/video/getting-the-vaccine-1609798366/\" target=\"_blank\" rel=\"noopener noreferrer\">challenges\u003c/a> lately).\u003c/p>\n\u003cp>Dr. Hersk called the response so far “a marathon.”\u003c/p>\n\u003cp>“We are giving 100% every day, but without the public, I think we’ll see more surges continuously,” she added. “I really believe the public can help us. Wear your mask. Social distance. Wash your hands.”\u003c/p>\n\u003cp>\u003c/p>\n",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>Health care workers across California are bracing for difficult days ahead as the latest coronavirus surge pummels the state. \u003ca href=\"https://covid19.ca.gov/state-dashboard/\" target=\"_blank\" rel=\"noopener noreferrer\">More than 22,800\u003c/a> total people were hospitalized with COVID-19 across California as of Wednesday.\u003c/p>\n\u003cp>“I feel like we are on the brink and we are truly worried about how we’re going to be able to care for more patients,” said Dr. Julie Hersk in an interview with KQED’s Brian Watt this week. \u003c/p>\n\u003cp>Hersk is an emergency medicine specialist and former chief of staff at San Mateo Medical Center, where \u003ca href=\"https://www.npr.org/sections/health-shots/2020/12/09/944379919/new-data-reveal-which-hospitals-are-dangerously-full-is-yours\" target=\"_blank\" rel=\"noopener noreferrer\">more than a third\u003c/a> of adult inpatient beds are being used to treat COVID-19 patients.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003ch3>‘Making Room Where We Can’\u003c/h3>\n\u003cp>Health officials say the impact of the recent holiday gatherings on the latest surge isn’t likely going to be known until mid-January.\u003c/p>\n\u003cp>Hersk said her hospital’s intensive care unit has gotten full over the last few weeks since Thanksgiving. That’s led her to care for patients in other areas of the hospital.\u003c/p>\n\u003cp>“We’re making room everywhere we can,” she said. “We are now seeing patients in chairs and in hallways. I saw a patient outside.”\u003c/p>\n\u003cp>Regionally, the Bay Area’s \u003ca href=\"https://www.kqed.org/news/11850757/california-icu-capacity-see-your-countys-available-beds\">ICU bed capacity\u003c/a> has remained below 10% over the past few days — still a far cry from the much more dire situation in \u003ca href=\"https://www.kqed.org/news/11853248/hard-hit-california-hospitals-receive-military-support\">Central and Southern California\u003c/a>. Dr. Grant Colfax, San Francisco’s health director, recently urged folks to keep their guard up — to avoid further straining the local hospital system.\u003c/p>\n\u003cp>“Unlike many parts of the state, hospitals in San Francisco have enough room to care for COVID-19 and other patients locally,” he said during a Tuesday briefing. “While we have those ICU beds now in San Francisco, it is plausible with our regional or statewide surge that those numbers of ICU capacity will drop sharply.”\u003c/p>\n\u003cp>By Thursday, California health officials had \u003ca href=\"https://www.kqed.org/coronavirusliveupdates/news/11854212/california-orders-hospitals-to-accept-covid-19-patients-from-hardest-hit-counties\">ordered hospitals\u003c/a> in less overwhelmed counties to accept patients from areas that have been hit the hardest.\u003c/p>\n\u003ch3>‘Giving 100% Every Day’\u003c/h3>\n\u003cp>Like many of her colleagues, Dr. Hersk said she has felt physically and emotionally drained.\u003c/p>\n\u003cp>“It’s really scary to watch the way people die from COVID-19 … short of breath and alone,” she said. “Personally, I believe our nurses have taken the brunt of the challenge. Having to be in the rooms with these patients for long periods of time undoubtedly increases their risk.”\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>Burnout among health care workers has been an \u003ca href=\"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6367114/\" target=\"_blank\" rel=\"noopener noreferrer\">ongoing issue\u003c/a>. The pandemic has made that worse: A \u003ca href=\"https://mhanational.org/mental-health-healthcare-workers-covid-19\" target=\"_blank\" rel=\"noopener noreferrer\">survey\u003c/a> by Mental Health America found that 76% of health care workers were experiencing exhaustion and burnout last year.\u003c/p>\n\u003cp>The psychological toll is also apparent when Dr. Hersk and other medical professionals have had to treat patients who haven’t been taking the virus seriously.\u003c/p>\n\u003cp>“We all have experienced this,” she said. “It doesn’t feel good when you have a patient pulling down their mask and yelling at you for not being seen quickly. But that’s not the majority of our patients. People deal with crises in different ways. It doesn’t make them better. It doesn’t make them worse.”\u003c/p>\n\u003cp>Health experts say the pandemic is likely going to be felt for a while even as more people start to get vaccinated (an effort that’s faced \u003ca href=\"https://video.kqed.org/video/getting-the-vaccine-1609798366/\" target=\"_blank\" rel=\"noopener noreferrer\">challenges\u003c/a> lately).\u003c/p>\n\u003cp>Dr. Hersk called the response so far “a marathon.”\u003c/p>\n\u003cp>“We are giving 100% every day, but without the public, I think we’ll see more surges continuously,” she added. “I really believe the public can help us. Wear your mask. Social distance. Wash your hands.”\u003c/p>\n\u003cp>\u003c/p>\n\u003c/div>\u003c/p>",
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"slug": "how-to-survive-the-pandemic-winter-9-creative-ways-to-socialize-safely",
"title": "How to Survive the Pandemic Winter: 9 Creative Ways to Socialize Safely",
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"content": "\u003cp>\u003cstrong>\u003ci data-stringify-type=\"italic\">A note from KQED News staff: \u003c/i>This national NPR story contains a number of ideas for reducing your risks of spreading COVID-19 when interacting with other people. \u003c/strong>\u003c/p>\n\u003cp>\u003cstrong>However the \u003ca href=\"https://www.kqed.org/news/11849792/5-bay-area-counties-implement-strict-new-stay-at-home-orders-ahead-of-schedule\">Bay Area’s regional stay-at-home order\u003c/a>, mandated by the state of California because of ICU capacity, asks Californians to “stay at home as much as possible and to \u003ca href=\"https://covid19.ca.gov/stay-home-except-for-essential-needs/\">stop mixing between households\u003c/a> that can lead to COVID-19 spread.” Guidance issued jointly by Bay Area health officers specifically discourages meeting with anyone you don’t live with right now, even in small numbers and outside, and urges residents not to continue meeting with any social bubbles they may have formed. \u003c/strong>\u003c/p>\n\u003cp>\u003cstrong>If you choose to meet with people outside of your household, consider the following advice as a way of reducing the potential harm of doing so.\u003c/strong>\u003c/p>\n\u003cp>With COVID-19 cases still soaring across the U.S., it can be tempting to just ride the winter out on the couch, binging on Netflix. But psychologists say it’s important in 2021 for us all to keep up human contact.\u003c/p>\n\u003cp>“Isolation and particularly quarantines and lockdowns \u003ca href=\"https://www.thelancet.com/article/S0140-6736(20)30460-8/fulltext\" target=\"_blank\" rel=\"noopener noreferrer\">have been associated\u003c/a> with increases in distress, depression, anxiety,” says \u003ca href=\"https://www.faculty.uci.edu/profile.cfm?faculty_id=6362\" target=\"_blank\" rel=\"noopener noreferrer\">Dana Rose Garfin\u003c/a>, a psychologist at UC Irvine’s Sue and Bill Gross School of Nursing.\u003c/p>\n\u003cp>Social isolation and loneliness, Garfin notes, are also associated with \u003ca href=\"http://heart.bmj.com/content/heartjnl/102/13/1009.full.pdf\" target=\"_blank\" rel=\"noopener noreferrer\">health problems\u003c/a> such as coronary heart disease, stroke and even premature death.\u003c/p>\n\u003cp>“We don’t want to trade one risk for the other risk,” agrees \u003ca href=\"https://fhssfaculty.byu.edu/FacultyPage?id=jh67\" target=\"_blank\" rel=\"noopener noreferrer\">Julianne Holt-Lunstad\u003c/a>, a psychologist at Brigham Young University who studies isolation. “Ideally, what we want to do is find solutions that help reduce the overall risk” — of social isolation and of catching and spreading COVID-19.\u003c/p>\n\u003cp>But how to best do that? Get creative.\u003c/p>\n\u003ch3>\u003cstrong>Embrace the weather\u003c/strong>\u003c/h3>\n\u003cp>Just because it’s cold and rainy doesn’t mean we can’t continue spending time outside and even seeing friends at a safe distance.\u003c/p>\n\u003cp>“The biggest thing for our family is getting outside,” says Becky Kristal, who lives in a suburb of Minneapolis. They’ve all benefited from the exercise, and it has helped fight cabin fever and isolation, too.\u003c/p>\n\u003cp>Kristal’s two teenage sons have kept up their ice skating and cross-country skiing, and her older son meets his friends at the ski area. “They’re skiing at the same time,” Kristal says. “That’s really his only in-person outlet.” [pullquote size=\"medium\" align=\"right\" citation=\"Vaile Wright, senior director of health care innovation at the American Psychological Association\"]‘We need to start thinking about this going forward as ‘we’re in a long-distance relationship with everybody,’ … when you’re in a long-distance dating relationship, you don’t just rely on [physical] contact. You have to actually find other ways to connect.’[/pullquote]\u003c/p>\n\u003cp>She and her husband walk a lot, Kristal says, and those meanderings offer a chance to safely catch up with neighbors who are out and about. She says the couple bought winter pants with wind protection and winter walking shoes, as well as lights for night walking.\u003c/p>\n\u003cp>“We put an investment into those things so we could get outside more comfortably,” she says.\u003c/p>\n\u003cp>That’s the right approach, says psychologist \u003ca href=\"https://www.drvailewright.com/\" target=\"_blank\" rel=\"noopener noreferrer\">Vaile Wright\u003c/a>, senior director of health care innovation at the \u003ca href=\"https://www.apa.org/\" target=\"_blank\" rel=\"noopener noreferrer\">American Psychological Association\u003c/a>.\u003c/p>\n\u003cp>“I mean, if mail carriers can deliver in the snow, in the rain and sleet, we can put on hats and boots and gloves and scarves and still take that socially distant walk,” says Wright. “When things get harder, if you still have choices, ideally, you make that harder choice.”\u003c/p>\n\u003cp>Magali Le Bouder of San Ramon, California, says she and her family started doing more outdoor activities when temperatures dropped — such as taking appropriately distanced hikes with friends. “We’ll do active things, [so] we can stay warm,” she says.\u003c/p>\n\u003cp>She has also hosted a sedentary outdoor activity — a movie night — but this one involved bringing “tons of blankets,” she adds.\u003c/p>\n\u003cfigure id=\"attachment_11853484\" class=\"wp-caption alignnone\" style=\"max-width: 800px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-medium wp-image-11853484\" src=\"https://ww2.kqed.org/app/uploads/sites/10/2021/01/embrace-cold-1-e4cf840d2fa8b397cfe8dc874e19cc76637c34e4-800x599.jpg\" alt=\"\" width=\"800\" height=\"599\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2021/01/embrace-cold-1-e4cf840d2fa8b397cfe8dc874e19cc76637c34e4-800x599.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2021/01/embrace-cold-1-e4cf840d2fa8b397cfe8dc874e19cc76637c34e4-1020x764.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2021/01/embrace-cold-1-e4cf840d2fa8b397cfe8dc874e19cc76637c34e4-160x120.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2021/01/embrace-cold-1-e4cf840d2fa8b397cfe8dc874e19cc76637c34e4-1536x1150.jpg 1536w, https://cdn.kqed.org/wp-content/uploads/sites/10/2021/01/embrace-cold-1-e4cf840d2fa8b397cfe8dc874e19cc76637c34e4-1832x1374.jpg 1832w, https://cdn.kqed.org/wp-content/uploads/sites/10/2021/01/embrace-cold-1-e4cf840d2fa8b397cfe8dc874e19cc76637c34e4-1376x1032.jpg 1376w, https://cdn.kqed.org/wp-content/uploads/sites/10/2021/01/embrace-cold-1-e4cf840d2fa8b397cfe8dc874e19cc76637c34e4-1044x783.jpg 1044w, https://cdn.kqed.org/wp-content/uploads/sites/10/2021/01/embrace-cold-1-e4cf840d2fa8b397cfe8dc874e19cc76637c34e4-632x474.jpg 632w, https://cdn.kqed.org/wp-content/uploads/sites/10/2021/01/embrace-cold-1-e4cf840d2fa8b397cfe8dc874e19cc76637c34e4-536x402.jpg 536w, https://cdn.kqed.org/wp-content/uploads/sites/10/2021/01/embrace-cold-1-e4cf840d2fa8b397cfe8dc874e19cc76637c34e4.jpg 1847w\" sizes=\"(max-width: 800px) 100vw, 800px\">\u003cfigcaption class=\"wp-caption-text\">Psychologist Dana Garfin advises people to use technology to engage in activities that improve mental and physical health while connecting with others. \u003ccite>(Meredith Miotke/NPR)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003ch3>\u003cstrong>Join local outdoor organizations\u003c/strong>\u003c/h3>\n\u003cp>Another way to get yourself out of the house, Wright says, is to get a membership at an arboretum or botanical garden or any outdoor space that requires a small membership fee.\u003c/p>\n\u003cp>“That might motivate you to go and use it even when it’s cold out,” she says.\u003c/p>\n\u003cp>Try making the outing a weekly ritual with a friend. “There are hiking trails and usually things to see,” says Wright. “And so it’s different. It might give a different boost than your typical walk around the neighborhood and might become even more of a treat.”\u003c/p>\n\u003ch3>\u003cstrong>Consider ‘podding’\u003c/strong>\u003c/h3>\n\u003cp>Many people have created “COVID pods” to help them get through the winter. That’s when people from one household pick another family or friend to socialize with indoors, agreeing on \u003ca href=\"https://www.cdc.gov/coronavirus/2019-ncov/prevent-getting-sick/prevention.html\" target=\"_blank\" rel=\"noopener noreferrer\">shared social distancing practices and other COVID-19 precautions\u003c/a>.\u003c/p>\n\u003cp>Epidemiologists warn that in \u003ca href=\"https://www.npr.org/sections/health-shots/2020/09/01/816707182/map-tracking-the-spread-of-the-coronavirus-in-the-u-s\" target=\"_blank\" rel=\"noopener noreferrer\">communities with high rates of COVID-19\u003c/a>, any social contact beyond the members of your immediate household carries added risk, sometimes significant.\u003c/p>\n\u003cp>“But that risk can be mitigated and managed” with honesty and the right precautions, says \u003ca href=\"https://www.uofmhealth.org/profile/922/preeti-n-malani-md\" target=\"_blank\" rel=\"noopener noreferrer\">Dr. Preeti Malani\u003c/a>, chief health officer at University of Michigan. In pandemic times, she and her own family have been regularly getting together with one other family in this way.\u003c/p>\n\u003cp>“We share risk, but we also share [a sense of] responsibility to each other,” she says. “The core is trust.”\u003c/p>\n\u003cp>If done with care and a lot of communication, podding can make the pandemic a lot less isolating.\u003c/p>\n\u003cfigure id=\"attachment_11853485\" class=\"wp-caption alignnone\" style=\"max-width: 800px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-medium wp-image-11853485\" src=\"https://ww2.kqed.org/app/uploads/sites/10/2021/01/plant-scene-1-fba27432d8e0ae36250ad83999852a2cd2ae2b09-800x599.jpg\" alt=\"\" width=\"800\" height=\"599\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2021/01/plant-scene-1-fba27432d8e0ae36250ad83999852a2cd2ae2b09-800x599.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2021/01/plant-scene-1-fba27432d8e0ae36250ad83999852a2cd2ae2b09-1020x764.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2021/01/plant-scene-1-fba27432d8e0ae36250ad83999852a2cd2ae2b09-160x120.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2021/01/plant-scene-1-fba27432d8e0ae36250ad83999852a2cd2ae2b09-1536x1150.jpg 1536w, https://cdn.kqed.org/wp-content/uploads/sites/10/2021/01/plant-scene-1-fba27432d8e0ae36250ad83999852a2cd2ae2b09-2048x1534.jpg 2048w, https://cdn.kqed.org/wp-content/uploads/sites/10/2021/01/plant-scene-1-fba27432d8e0ae36250ad83999852a2cd2ae2b09-1920x1438.jpg 1920w, https://cdn.kqed.org/wp-content/uploads/sites/10/2021/01/plant-scene-1-fba27432d8e0ae36250ad83999852a2cd2ae2b09-1832x1374.jpg 1832w, https://cdn.kqed.org/wp-content/uploads/sites/10/2021/01/plant-scene-1-fba27432d8e0ae36250ad83999852a2cd2ae2b09-1376x1032.jpg 1376w, https://cdn.kqed.org/wp-content/uploads/sites/10/2021/01/plant-scene-1-fba27432d8e0ae36250ad83999852a2cd2ae2b09-1044x783.jpg 1044w, https://cdn.kqed.org/wp-content/uploads/sites/10/2021/01/plant-scene-1-fba27432d8e0ae36250ad83999852a2cd2ae2b09-632x474.jpg 632w, https://cdn.kqed.org/wp-content/uploads/sites/10/2021/01/plant-scene-1-fba27432d8e0ae36250ad83999852a2cd2ae2b09-536x402.jpg 536w\" sizes=\"(max-width: 800px) 100vw, 800px\">\u003cfigcaption class=\"wp-caption-text\">One way to get out of the house: Join a local outdoor organization like a botanical garden or arboretum. \u003ccite>(Meredith Miotke/NPR)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>“I don’t think, psychologically, my husband and I could be entirely isolated and not interact with any other human beings,” says Dahlia Shaewitz, a resident of Prince George’s County, Maryland. “I don’t think we could do that.”\u003c/p>\n\u003cp>And so, as summer turned to fall and coronavirus cases started rising again, she decided to limit her in-person interactions to three families on her street whom she considers part of her pod. It required a lot of upfront conversation about daily habits and COVID-19 precautions, she says, and a commitment to strict honesty about any symptoms of illness or possible coronavirus exposures.\u003c/p>\n\u003cp>Members of her pod meet indoors without masks, Shaewitz says, but they limit their gatherings to six people or fewer.\u003c/p>\n\u003cp>Beyond that group, Shaewitz only gets together with people outdoors, with masks and at a safe physical distance.\u003c/p>\n\u003cp>“There is no 100% safe way to prevent yourself from getting COVID-19,” notes psychologist Wright. The question to ask yourself: “Is it worth taking the small risk to pod with my neighbor versus … being completely isolated for the rest of this winter?”\u003c/p>\n\u003cp>Many people who are uncomfortable taking on the additional risk are choosing to forgo such pods, and that could be the best choice for them, Malani says.\u003c/p>\n\u003cp>Fortunately, there are other good ways to combat isolation.\u003c/p>\n\u003cfigure id=\"attachment_11853486\" class=\"wp-caption alignnone\" style=\"max-width: 800px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-medium wp-image-11853486\" src=\"https://ww2.kqed.org/app/uploads/sites/10/2021/01/working-together-1-a3713ee9bf983f39fcb42520e46fece082e8c17c-800x599.jpg\" alt=\"\" width=\"800\" height=\"599\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2021/01/working-together-1-a3713ee9bf983f39fcb42520e46fece082e8c17c-800x599.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2021/01/working-together-1-a3713ee9bf983f39fcb42520e46fece082e8c17c-1020x764.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2021/01/working-together-1-a3713ee9bf983f39fcb42520e46fece082e8c17c-160x120.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2021/01/working-together-1-a3713ee9bf983f39fcb42520e46fece082e8c17c-1536x1150.jpg 1536w, https://cdn.kqed.org/wp-content/uploads/sites/10/2021/01/working-together-1-a3713ee9bf983f39fcb42520e46fece082e8c17c-2048x1534.jpg 2048w, https://cdn.kqed.org/wp-content/uploads/sites/10/2021/01/working-together-1-a3713ee9bf983f39fcb42520e46fece082e8c17c-1920x1438.jpg 1920w, https://cdn.kqed.org/wp-content/uploads/sites/10/2021/01/working-together-1-a3713ee9bf983f39fcb42520e46fece082e8c17c-1832x1374.jpg 1832w, https://cdn.kqed.org/wp-content/uploads/sites/10/2021/01/working-together-1-a3713ee9bf983f39fcb42520e46fece082e8c17c-1376x1032.jpg 1376w, https://cdn.kqed.org/wp-content/uploads/sites/10/2021/01/working-together-1-a3713ee9bf983f39fcb42520e46fece082e8c17c-1044x783.jpg 1044w, https://cdn.kqed.org/wp-content/uploads/sites/10/2021/01/working-together-1-a3713ee9bf983f39fcb42520e46fece082e8c17c-632x474.jpg 632w, https://cdn.kqed.org/wp-content/uploads/sites/10/2021/01/working-together-1-a3713ee9bf983f39fcb42520e46fece082e8c17c-536x402.jpg 536w\" sizes=\"(max-width: 800px) 100vw, 800px\">\u003cfigcaption class=\"wp-caption-text\">Podding is when people from one household pick another family or friend to socialize with indoors, agreeing on shared social distancing practices and other precautions to keep each other safe. \u003ccite>(Meredith Miotke/NPR)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003ch3>\u003cstrong>Embrace the old-fashioned lessons of long-distance romance\u003c/strong>\u003c/h3>\n\u003cp>Seeing people in person is only one way to stay connected, say psychologists.\u003c/p>\n\u003cp>“I actually think we need to start thinking about this going forward as ‘we’re in a long-distance relationship with everybody,’ ” says Wright. “And when you’re in a long-distance dating relationship, you don’t just rely on [physical] contact. You have to actually find other ways to connect.”\u003c/p>\n\u003cp>Consider going beyond the phone or Zoom calls or text messages, which may start to feel one-dimensional. “It’s got to be about letter writing and sending notes and sending pictures and leaving care packages on people’s doors,” says Wright.\u003c/p>\n\u003ch3>\u003cstrong>A shared memories project\u003c/strong>\u003c/h3>\n\u003cp>When Vladimir Celestin and his extended family realized they couldn’t get together on Christmas, they got creative.\u003c/p>\n\u003cp>“My cousins on my father and my mother’s side, we decided to put a sort of presentation for my grandmother, as well as my other aunts and uncles,” says Celestin, who has only seen his parents and grandmother in Long Island, New York, once since the pandemic began.\u003c/p>\n\u003cp>The presentation included old photos and video clips from past holidays and vacations gathered by family members, who live in different places. He says the project, which they later shared in a live Zoom session with the whole family, was meant to be a reminder of the good times still ahead when they can be together in person again.\u003c/p>\n\u003cp>Not only did his grandmother love the gift, he says, but it also made him feel more connected to his extended family.\u003c/p>\n\u003cp>“We were learning all these stories that we grew up experiencing, but maybe from others’ perspectives — like my cousin’s perspective that I’d never heard before,” says Celestin. “I don’t think that I would have taken the initiative to seek this out on my own if I hadn’t been presented with a global pandemic that we’re all sitting in together.”\u003c/p>\n\u003ch3>\u003cstrong>Enough talk: Include activities in your virtual interactions \u003c/strong>\u003c/h3>\n\u003cp>Becky Kristal’s teens are attending school virtually and connected with friends via video chat earlier on in the pandemic. At this point, Kristal says, they are sick of virtual meetings.\u003c/p>\n\u003cp>“‘No more Zoom, no more Zoom!’ That’s what I hear,” she says.\u003c/p>\n\u003cp>If that’s the case for you, too, Wright says, try including an activity in video calls with the people you miss — perhaps a movie you can all watch together then talk about or a game you can play virtually.\u003c/p>\n\u003cp>“You get a lot more out of it than just kind of staring at each other in a relatively artificial way,” she says.\u003c/p>\n\u003cfigure id=\"attachment_11853487\" class=\"wp-caption alignnone\" style=\"max-width: 800px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-medium wp-image-11853487\" src=\"https://ww2.kqed.org/app/uploads/sites/10/2021/01/virtual-scene-1-77386848344070228f9260ecb41a1449c6b0495e-800x599.jpg\" alt=\"\" width=\"800\" height=\"599\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2021/01/virtual-scene-1-77386848344070228f9260ecb41a1449c6b0495e-800x599.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2021/01/virtual-scene-1-77386848344070228f9260ecb41a1449c6b0495e-1020x764.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2021/01/virtual-scene-1-77386848344070228f9260ecb41a1449c6b0495e-160x120.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2021/01/virtual-scene-1-77386848344070228f9260ecb41a1449c6b0495e-1536x1151.jpg 1536w, https://cdn.kqed.org/wp-content/uploads/sites/10/2021/01/virtual-scene-1-77386848344070228f9260ecb41a1449c6b0495e-2048x1534.jpg 2048w, https://cdn.kqed.org/wp-content/uploads/sites/10/2021/01/virtual-scene-1-77386848344070228f9260ecb41a1449c6b0495e-1920x1438.jpg 1920w, https://cdn.kqed.org/wp-content/uploads/sites/10/2021/01/virtual-scene-1-77386848344070228f9260ecb41a1449c6b0495e-1832x1374.jpg 1832w, https://cdn.kqed.org/wp-content/uploads/sites/10/2021/01/virtual-scene-1-77386848344070228f9260ecb41a1449c6b0495e-1376x1032.jpg 1376w, https://cdn.kqed.org/wp-content/uploads/sites/10/2021/01/virtual-scene-1-77386848344070228f9260ecb41a1449c6b0495e-1044x783.jpg 1044w, https://cdn.kqed.org/wp-content/uploads/sites/10/2021/01/virtual-scene-1-77386848344070228f9260ecb41a1449c6b0495e-632x474.jpg 632w, https://cdn.kqed.org/wp-content/uploads/sites/10/2021/01/virtual-scene-1-77386848344070228f9260ecb41a1449c6b0495e-536x402.jpg 536w\" sizes=\"(max-width: 800px) 100vw, 800px\">\u003cfigcaption class=\"wp-caption-text\">Make video calls less about conversation and more about activities, says psychologist Vaile Wright. Whether it’s cooking together or simultaneously watching a movie with an out-of-town friend, these kinds of interactions build memories. \u003ccite>(Meredith Miotke/NPR)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>Psychologist Dana Garfin’s family is spread out all across the country. Since the pandemic began, she says, they have had regular Sunday night dinners together on Zoom. “It’s been great because we’ve actually been connecting more that way than we would otherwise.”\u003c/p>\n\u003ch3>\u003cstrong>Work out or meditate together\u003c/strong>\u003c/h3>\n\u003cp>Garfin also advises people to use technology to engage in activities that improve mental and physical health while connecting with others. She recommends exercise or meditation apps that include a social sharing component, like \u003ca href=\"https://www.fitbit.com/global/us/home?utm_source=google&utm_medium=cpc&gclid=Cj0KCQiAlZH_BRCgARIsAAZHSBmLoRn1u_m0pI37XIs9Y-iZrL9oIhSi_ynQ8VRxVh0-TnFlBsXV-qAaAtYUEALw_wcB&gclsrc=aw.ds\" target=\"_blank\" rel=\"noopener noreferrer\">Fitbit\u003c/a> and \u003ca href=\"https://www.nike.com/nrc-app\" target=\"_blank\" rel=\"noopener noreferrer\">Nike Run Club\u003c/a>.\u003c/p>\n\u003cp>“So you can log on and you can have that connection with other people by engaging in meditation or mindfulness practices with other people at the same time,” says Garfin. “That can foster a sense of community during a time where people might feel very isolated.”\u003c/p>\n\u003cp>Some people are doing \u003ca href=\"https://runsignup.com/Events/Virtual\" target=\"_blank\" rel=\"noopener noreferrer\">virtual 5Ks or other races\u003c/a>, where you sign up with friends, do the race on your own and share results.\u003c/p>\n\u003ch3>\u003cstrong>Give help, time and love\u003c/strong>\u003c/h3>\n\u003cp>As you think of how to meet your own personal social needs, don’t forget to look out for others at this time. There’s a \u003ca href=\"https://ggsc.berkeley.edu/images/uploads/GGSC-JTF_White_Paper-Generosity-FINAL.pdf?_ga=2.11753270.38977004.1608835647-1616817560.1608835647\" target=\"_blank\" rel=\"noopener noreferrer\">body of research\u003c/a> showing that giving to others — whether it’s money or time — is a mood-booster.\u003c/p>\n\u003cp>“Whether that’s volunteering or whether that’s reaching out to somebody you know, letting them know that you care also makes you feel good,” Wright says.\u003c/p>\n\u003cp>To help others feel less isolated, consider simple things like sending flowers or cooking a meal for a friend or neighbor. Or, given that so many families are facing food shortages during the pandemic, consider donating to the local food pantry. [aside postID=\"news_11851193\"]\u003c/p>\n\u003cp>There are also many opportunities to volunteer your time online with charitable organizations. For example, the \u003ca href=\"https://www.onlinevolunteering.org/en\" target=\"_blank\" rel=\"noopener noreferrer\">United Nations Volunteers\u003c/a> has a list of online opportunities, many of them involving \u003ca href=\"https://www.onlinevolunteering.org/en/opportunities?f%5b0%5d=field_task_id:1527\" target=\"_blank\" rel=\"noopener noreferrer\">COVID-19 response\u003c/a>s in different countries. Inside the U.S., consider \u003ca href=\"https://www.idealist.org/en/volunteer?actionType=VOLOP&isCovid=YES&isVirtual=YES&q=&searchMode=true\" target=\"_blank\" rel=\"noopener noreferrer\">one of these volunteering options\u003c/a> listed by the New York-based nonprofit Idealist.\u003c/p>\n\u003cp>There are also many small ways you can help your loved ones. For instance, Garfin says one thing that could be meaningful right now is to help the people in your life get more comfortable using technology that makes keeping in touch easier.\u003c/p>\n\u003cp>“It’s really important for people who are tech savvy to make sure your dad knows how to use Zoom or if he has a caregiver, make sure that she knows how to help him,” she adds.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003ch3>\u003cstrong>Yes, saying thank you helps\u003c/strong>\u003c/h3>\n\u003cp>Whatever you do to combat isolation this winter, psychologists suggest thinking ahead before you get hit with serious doldrums.\u003c/p>\n\u003cp>“Brainstorm and think about things that could be helpful moving forward,” Garfin says, “before that kind of depression sets in.”\u003c/p>\n\u003cfigure id=\"attachment_11853488\" class=\"wp-caption alignnone\" style=\"max-width: 800px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-medium wp-image-11853488\" src=\"https://ww2.kqed.org/app/uploads/sites/10/2021/01/gratitude-1-8469f0b3818dac3eb4b663e9538c20ad003bcc27-800x600.jpg\" alt=\"\" width=\"800\" height=\"600\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2021/01/gratitude-1-8469f0b3818dac3eb4b663e9538c20ad003bcc27-800x600.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2021/01/gratitude-1-8469f0b3818dac3eb4b663e9538c20ad003bcc27-1020x765.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2021/01/gratitude-1-8469f0b3818dac3eb4b663e9538c20ad003bcc27-160x120.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2021/01/gratitude-1-8469f0b3818dac3eb4b663e9538c20ad003bcc27-1536x1152.jpg 1536w, https://cdn.kqed.org/wp-content/uploads/sites/10/2021/01/gratitude-1-8469f0b3818dac3eb4b663e9538c20ad003bcc27-1832x1374.jpg 1832w, https://cdn.kqed.org/wp-content/uploads/sites/10/2021/01/gratitude-1-8469f0b3818dac3eb4b663e9538c20ad003bcc27-1376x1032.jpg 1376w, https://cdn.kqed.org/wp-content/uploads/sites/10/2021/01/gratitude-1-8469f0b3818dac3eb4b663e9538c20ad003bcc27-1044x783.jpg 1044w, https://cdn.kqed.org/wp-content/uploads/sites/10/2021/01/gratitude-1-8469f0b3818dac3eb4b663e9538c20ad003bcc27-632x474.jpg 632w, https://cdn.kqed.org/wp-content/uploads/sites/10/2021/01/gratitude-1-8469f0b3818dac3eb4b663e9538c20ad003bcc27-536x402.jpg 536w, https://cdn.kqed.org/wp-content/uploads/sites/10/2021/01/gratitude-1-8469f0b3818dac3eb4b663e9538c20ad003bcc27.jpg 1920w\" sizes=\"(max-width: 800px) 100vw, 800px\">\u003cfigcaption class=\"wp-caption-text\">There’s a body of research showing giving to others — whether it’s money or time — is a mood booster. \u003ccite>(Meredith Miotke/NPR)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>It may sound obvious but taking the time to acknowledge what you’re grateful for really helps with the blues, notes Holt-Lunstad.\u003c/p>\n\u003cp>“\u003ca href=\"https://journals.sagepub.com/doi/abs/10.1177/0164027519845354?journalCode=roaa\" target=\"_blank\" rel=\"noopener noreferrer\">Research\u003c/a> has shown that expressions of gratitude actually are associated with lower loneliness,” she says. “Even if you can’t get together with your family … maybe reach out to them and make a special effort to express your gratitude for that person.”\u003c/p>\n\u003cp>That can “increase social bonding, reduce loneliness” and help you both focus on what you do have, instead of what you’ve lost because of the pandemic.\u003c/p>\n\u003cdiv class=\"fullattribution\">Copyright 2021 NPR. To see more, visit https://www.npr.org.\u003cimg decoding=\"async\" src=\"https://www.google-analytics.com/__utm.gif?utmac=UA-5828686-4&utmdt=Don%27t+Let+The+Pandemic+Winter+Get+You+Down%3A+9+Creative+Ways+To+Socialize+Safely&utme=8(APIKey)9(MDAxOTAwOTE4MDEyMTkxMDAzNjczZDljZA004)\">\u003c/div>\n\u003cp>[ad floatright]\u003c/p>\n",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>\u003cstrong>\u003ci data-stringify-type=\"italic\">A note from KQED News staff: \u003c/i>This national NPR story contains a number of ideas for reducing your risks of spreading COVID-19 when interacting with other people. \u003c/strong>\u003c/p>\n\u003cp>\u003cstrong>However the \u003ca href=\"https://www.kqed.org/news/11849792/5-bay-area-counties-implement-strict-new-stay-at-home-orders-ahead-of-schedule\">Bay Area’s regional stay-at-home order\u003c/a>, mandated by the state of California because of ICU capacity, asks Californians to “stay at home as much as possible and to \u003ca href=\"https://covid19.ca.gov/stay-home-except-for-essential-needs/\">stop mixing between households\u003c/a> that can lead to COVID-19 spread.” Guidance issued jointly by Bay Area health officers specifically discourages meeting with anyone you don’t live with right now, even in small numbers and outside, and urges residents not to continue meeting with any social bubbles they may have formed. \u003c/strong>\u003c/p>\n\u003cp>\u003cstrong>If you choose to meet with people outside of your household, consider the following advice as a way of reducing the potential harm of doing so.\u003c/strong>\u003c/p>\n\u003cp>With COVID-19 cases still soaring across the U.S., it can be tempting to just ride the winter out on the couch, binging on Netflix. But psychologists say it’s important in 2021 for us all to keep up human contact.\u003c/p>\n\u003cp>“Isolation and particularly quarantines and lockdowns \u003ca href=\"https://www.thelancet.com/article/S0140-6736(20)30460-8/fulltext\" target=\"_blank\" rel=\"noopener noreferrer\">have been associated\u003c/a> with increases in distress, depression, anxiety,” says \u003ca href=\"https://www.faculty.uci.edu/profile.cfm?faculty_id=6362\" target=\"_blank\" rel=\"noopener noreferrer\">Dana Rose Garfin\u003c/a>, a psychologist at UC Irvine’s Sue and Bill Gross School of Nursing.\u003c/p>\n\u003cp>Social isolation and loneliness, Garfin notes, are also associated with \u003ca href=\"http://heart.bmj.com/content/heartjnl/102/13/1009.full.pdf\" target=\"_blank\" rel=\"noopener noreferrer\">health problems\u003c/a> such as coronary heart disease, stroke and even premature death.\u003c/p>\n\u003cp>“We don’t want to trade one risk for the other risk,” agrees \u003ca href=\"https://fhssfaculty.byu.edu/FacultyPage?id=jh67\" target=\"_blank\" rel=\"noopener noreferrer\">Julianne Holt-Lunstad\u003c/a>, a psychologist at Brigham Young University who studies isolation. “Ideally, what we want to do is find solutions that help reduce the overall risk” — of social isolation and of catching and spreading COVID-19.\u003c/p>\n\u003cp>But how to best do that? Get creative.\u003c/p>\n\u003ch3>\u003cstrong>Embrace the weather\u003c/strong>\u003c/h3>\n\u003cp>Just because it’s cold and rainy doesn’t mean we can’t continue spending time outside and even seeing friends at a safe distance.\u003c/p>\n\u003cp>“The biggest thing for our family is getting outside,” says Becky Kristal, who lives in a suburb of Minneapolis. They’ve all benefited from the exercise, and it has helped fight cabin fever and isolation, too.\u003c/p>\n\u003cp>Kristal’s two teenage sons have kept up their ice skating and cross-country skiing, and her older son meets his friends at the ski area. “They’re skiing at the same time,” Kristal says. “That’s really his only in-person outlet.” \u003c/p>\u003c/div>",
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"content": "‘We need to start thinking about this going forward as ‘we’re in a long-distance relationship with everybody,’ … when you’re in a long-distance dating relationship, you don’t just rely on [physical] contact. You have to actually find other ways to connect.’",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>She and her husband walk a lot, Kristal says, and those meanderings offer a chance to safely catch up with neighbors who are out and about. She says the couple bought winter pants with wind protection and winter walking shoes, as well as lights for night walking.\u003c/p>\n\u003cp>“We put an investment into those things so we could get outside more comfortably,” she says.\u003c/p>\n\u003cp>That’s the right approach, says psychologist \u003ca href=\"https://www.drvailewright.com/\" target=\"_blank\" rel=\"noopener noreferrer\">Vaile Wright\u003c/a>, senior director of health care innovation at the \u003ca href=\"https://www.apa.org/\" target=\"_blank\" rel=\"noopener noreferrer\">American Psychological Association\u003c/a>.\u003c/p>\n\u003cp>“I mean, if mail carriers can deliver in the snow, in the rain and sleet, we can put on hats and boots and gloves and scarves and still take that socially distant walk,” says Wright. “When things get harder, if you still have choices, ideally, you make that harder choice.”\u003c/p>\n\u003cp>Magali Le Bouder of San Ramon, California, says she and her family started doing more outdoor activities when temperatures dropped — such as taking appropriately distanced hikes with friends. “We’ll do active things, [so] we can stay warm,” she says.\u003c/p>\n\u003cp>She has also hosted a sedentary outdoor activity — a movie night — but this one involved bringing “tons of blankets,” she adds.\u003c/p>\n\u003cfigure id=\"attachment_11853484\" class=\"wp-caption alignnone\" style=\"max-width: 800px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-medium wp-image-11853484\" src=\"https://ww2.kqed.org/app/uploads/sites/10/2021/01/embrace-cold-1-e4cf840d2fa8b397cfe8dc874e19cc76637c34e4-800x599.jpg\" alt=\"\" width=\"800\" height=\"599\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2021/01/embrace-cold-1-e4cf840d2fa8b397cfe8dc874e19cc76637c34e4-800x599.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2021/01/embrace-cold-1-e4cf840d2fa8b397cfe8dc874e19cc76637c34e4-1020x764.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2021/01/embrace-cold-1-e4cf840d2fa8b397cfe8dc874e19cc76637c34e4-160x120.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2021/01/embrace-cold-1-e4cf840d2fa8b397cfe8dc874e19cc76637c34e4-1536x1150.jpg 1536w, https://cdn.kqed.org/wp-content/uploads/sites/10/2021/01/embrace-cold-1-e4cf840d2fa8b397cfe8dc874e19cc76637c34e4-1832x1374.jpg 1832w, https://cdn.kqed.org/wp-content/uploads/sites/10/2021/01/embrace-cold-1-e4cf840d2fa8b397cfe8dc874e19cc76637c34e4-1376x1032.jpg 1376w, https://cdn.kqed.org/wp-content/uploads/sites/10/2021/01/embrace-cold-1-e4cf840d2fa8b397cfe8dc874e19cc76637c34e4-1044x783.jpg 1044w, https://cdn.kqed.org/wp-content/uploads/sites/10/2021/01/embrace-cold-1-e4cf840d2fa8b397cfe8dc874e19cc76637c34e4-632x474.jpg 632w, https://cdn.kqed.org/wp-content/uploads/sites/10/2021/01/embrace-cold-1-e4cf840d2fa8b397cfe8dc874e19cc76637c34e4-536x402.jpg 536w, https://cdn.kqed.org/wp-content/uploads/sites/10/2021/01/embrace-cold-1-e4cf840d2fa8b397cfe8dc874e19cc76637c34e4.jpg 1847w\" sizes=\"(max-width: 800px) 100vw, 800px\">\u003cfigcaption class=\"wp-caption-text\">Psychologist Dana Garfin advises people to use technology to engage in activities that improve mental and physical health while connecting with others. \u003ccite>(Meredith Miotke/NPR)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003ch3>\u003cstrong>Join local outdoor organizations\u003c/strong>\u003c/h3>\n\u003cp>Another way to get yourself out of the house, Wright says, is to get a membership at an arboretum or botanical garden or any outdoor space that requires a small membership fee.\u003c/p>\n\u003cp>“That might motivate you to go and use it even when it’s cold out,” she says.\u003c/p>\n\u003cp>Try making the outing a weekly ritual with a friend. “There are hiking trails and usually things to see,” says Wright. “And so it’s different. It might give a different boost than your typical walk around the neighborhood and might become even more of a treat.”\u003c/p>\n\u003ch3>\u003cstrong>Consider ‘podding’\u003c/strong>\u003c/h3>\n\u003cp>Many people have created “COVID pods” to help them get through the winter. That’s when people from one household pick another family or friend to socialize with indoors, agreeing on \u003ca href=\"https://www.cdc.gov/coronavirus/2019-ncov/prevent-getting-sick/prevention.html\" target=\"_blank\" rel=\"noopener noreferrer\">shared social distancing practices and other COVID-19 precautions\u003c/a>.\u003c/p>\n\u003cp>Epidemiologists warn that in \u003ca href=\"https://www.npr.org/sections/health-shots/2020/09/01/816707182/map-tracking-the-spread-of-the-coronavirus-in-the-u-s\" target=\"_blank\" rel=\"noopener noreferrer\">communities with high rates of COVID-19\u003c/a>, any social contact beyond the members of your immediate household carries added risk, sometimes significant.\u003c/p>\n\u003cp>“But that risk can be mitigated and managed” with honesty and the right precautions, says \u003ca href=\"https://www.uofmhealth.org/profile/922/preeti-n-malani-md\" target=\"_blank\" rel=\"noopener noreferrer\">Dr. Preeti Malani\u003c/a>, chief health officer at University of Michigan. In pandemic times, she and her own family have been regularly getting together with one other family in this way.\u003c/p>\n\u003cp>“We share risk, but we also share [a sense of] responsibility to each other,” she says. “The core is trust.”\u003c/p>\n\u003cp>If done with care and a lot of communication, podding can make the pandemic a lot less isolating.\u003c/p>\n\u003cfigure id=\"attachment_11853485\" class=\"wp-caption alignnone\" style=\"max-width: 800px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-medium wp-image-11853485\" src=\"https://ww2.kqed.org/app/uploads/sites/10/2021/01/plant-scene-1-fba27432d8e0ae36250ad83999852a2cd2ae2b09-800x599.jpg\" alt=\"\" width=\"800\" height=\"599\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2021/01/plant-scene-1-fba27432d8e0ae36250ad83999852a2cd2ae2b09-800x599.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2021/01/plant-scene-1-fba27432d8e0ae36250ad83999852a2cd2ae2b09-1020x764.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2021/01/plant-scene-1-fba27432d8e0ae36250ad83999852a2cd2ae2b09-160x120.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2021/01/plant-scene-1-fba27432d8e0ae36250ad83999852a2cd2ae2b09-1536x1150.jpg 1536w, https://cdn.kqed.org/wp-content/uploads/sites/10/2021/01/plant-scene-1-fba27432d8e0ae36250ad83999852a2cd2ae2b09-2048x1534.jpg 2048w, https://cdn.kqed.org/wp-content/uploads/sites/10/2021/01/plant-scene-1-fba27432d8e0ae36250ad83999852a2cd2ae2b09-1920x1438.jpg 1920w, https://cdn.kqed.org/wp-content/uploads/sites/10/2021/01/plant-scene-1-fba27432d8e0ae36250ad83999852a2cd2ae2b09-1832x1374.jpg 1832w, https://cdn.kqed.org/wp-content/uploads/sites/10/2021/01/plant-scene-1-fba27432d8e0ae36250ad83999852a2cd2ae2b09-1376x1032.jpg 1376w, https://cdn.kqed.org/wp-content/uploads/sites/10/2021/01/plant-scene-1-fba27432d8e0ae36250ad83999852a2cd2ae2b09-1044x783.jpg 1044w, https://cdn.kqed.org/wp-content/uploads/sites/10/2021/01/plant-scene-1-fba27432d8e0ae36250ad83999852a2cd2ae2b09-632x474.jpg 632w, https://cdn.kqed.org/wp-content/uploads/sites/10/2021/01/plant-scene-1-fba27432d8e0ae36250ad83999852a2cd2ae2b09-536x402.jpg 536w\" sizes=\"(max-width: 800px) 100vw, 800px\">\u003cfigcaption class=\"wp-caption-text\">One way to get out of the house: Join a local outdoor organization like a botanical garden or arboretum. \u003ccite>(Meredith Miotke/NPR)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>“I don’t think, psychologically, my husband and I could be entirely isolated and not interact with any other human beings,” says Dahlia Shaewitz, a resident of Prince George’s County, Maryland. “I don’t think we could do that.”\u003c/p>\n\u003cp>And so, as summer turned to fall and coronavirus cases started rising again, she decided to limit her in-person interactions to three families on her street whom she considers part of her pod. It required a lot of upfront conversation about daily habits and COVID-19 precautions, she says, and a commitment to strict honesty about any symptoms of illness or possible coronavirus exposures.\u003c/p>\n\u003cp>Members of her pod meet indoors without masks, Shaewitz says, but they limit their gatherings to six people or fewer.\u003c/p>\n\u003cp>Beyond that group, Shaewitz only gets together with people outdoors, with masks and at a safe physical distance.\u003c/p>\n\u003cp>“There is no 100% safe way to prevent yourself from getting COVID-19,” notes psychologist Wright. The question to ask yourself: “Is it worth taking the small risk to pod with my neighbor versus … being completely isolated for the rest of this winter?”\u003c/p>\n\u003cp>Many people who are uncomfortable taking on the additional risk are choosing to forgo such pods, and that could be the best choice for them, Malani says.\u003c/p>\n\u003cp>Fortunately, there are other good ways to combat isolation.\u003c/p>\n\u003cfigure id=\"attachment_11853486\" class=\"wp-caption alignnone\" style=\"max-width: 800px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-medium wp-image-11853486\" src=\"https://ww2.kqed.org/app/uploads/sites/10/2021/01/working-together-1-a3713ee9bf983f39fcb42520e46fece082e8c17c-800x599.jpg\" alt=\"\" width=\"800\" height=\"599\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2021/01/working-together-1-a3713ee9bf983f39fcb42520e46fece082e8c17c-800x599.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2021/01/working-together-1-a3713ee9bf983f39fcb42520e46fece082e8c17c-1020x764.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2021/01/working-together-1-a3713ee9bf983f39fcb42520e46fece082e8c17c-160x120.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2021/01/working-together-1-a3713ee9bf983f39fcb42520e46fece082e8c17c-1536x1150.jpg 1536w, https://cdn.kqed.org/wp-content/uploads/sites/10/2021/01/working-together-1-a3713ee9bf983f39fcb42520e46fece082e8c17c-2048x1534.jpg 2048w, https://cdn.kqed.org/wp-content/uploads/sites/10/2021/01/working-together-1-a3713ee9bf983f39fcb42520e46fece082e8c17c-1920x1438.jpg 1920w, https://cdn.kqed.org/wp-content/uploads/sites/10/2021/01/working-together-1-a3713ee9bf983f39fcb42520e46fece082e8c17c-1832x1374.jpg 1832w, https://cdn.kqed.org/wp-content/uploads/sites/10/2021/01/working-together-1-a3713ee9bf983f39fcb42520e46fece082e8c17c-1376x1032.jpg 1376w, https://cdn.kqed.org/wp-content/uploads/sites/10/2021/01/working-together-1-a3713ee9bf983f39fcb42520e46fece082e8c17c-1044x783.jpg 1044w, https://cdn.kqed.org/wp-content/uploads/sites/10/2021/01/working-together-1-a3713ee9bf983f39fcb42520e46fece082e8c17c-632x474.jpg 632w, https://cdn.kqed.org/wp-content/uploads/sites/10/2021/01/working-together-1-a3713ee9bf983f39fcb42520e46fece082e8c17c-536x402.jpg 536w\" sizes=\"(max-width: 800px) 100vw, 800px\">\u003cfigcaption class=\"wp-caption-text\">Podding is when people from one household pick another family or friend to socialize with indoors, agreeing on shared social distancing practices and other precautions to keep each other safe. \u003ccite>(Meredith Miotke/NPR)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003ch3>\u003cstrong>Embrace the old-fashioned lessons of long-distance romance\u003c/strong>\u003c/h3>\n\u003cp>Seeing people in person is only one way to stay connected, say psychologists.\u003c/p>\n\u003cp>“I actually think we need to start thinking about this going forward as ‘we’re in a long-distance relationship with everybody,’ ” says Wright. “And when you’re in a long-distance dating relationship, you don’t just rely on [physical] contact. You have to actually find other ways to connect.”\u003c/p>\n\u003cp>Consider going beyond the phone or Zoom calls or text messages, which may start to feel one-dimensional. “It’s got to be about letter writing and sending notes and sending pictures and leaving care packages on people’s doors,” says Wright.\u003c/p>\n\u003ch3>\u003cstrong>A shared memories project\u003c/strong>\u003c/h3>\n\u003cp>When Vladimir Celestin and his extended family realized they couldn’t get together on Christmas, they got creative.\u003c/p>\n\u003cp>“My cousins on my father and my mother’s side, we decided to put a sort of presentation for my grandmother, as well as my other aunts and uncles,” says Celestin, who has only seen his parents and grandmother in Long Island, New York, once since the pandemic began.\u003c/p>\n\u003cp>The presentation included old photos and video clips from past holidays and vacations gathered by family members, who live in different places. He says the project, which they later shared in a live Zoom session with the whole family, was meant to be a reminder of the good times still ahead when they can be together in person again.\u003c/p>\n\u003cp>Not only did his grandmother love the gift, he says, but it also made him feel more connected to his extended family.\u003c/p>\n\u003cp>“We were learning all these stories that we grew up experiencing, but maybe from others’ perspectives — like my cousin’s perspective that I’d never heard before,” says Celestin. “I don’t think that I would have taken the initiative to seek this out on my own if I hadn’t been presented with a global pandemic that we’re all sitting in together.”\u003c/p>\n\u003ch3>\u003cstrong>Enough talk: Include activities in your virtual interactions \u003c/strong>\u003c/h3>\n\u003cp>Becky Kristal’s teens are attending school virtually and connected with friends via video chat earlier on in the pandemic. At this point, Kristal says, they are sick of virtual meetings.\u003c/p>\n\u003cp>“‘No more Zoom, no more Zoom!’ That’s what I hear,” she says.\u003c/p>\n\u003cp>If that’s the case for you, too, Wright says, try including an activity in video calls with the people you miss — perhaps a movie you can all watch together then talk about or a game you can play virtually.\u003c/p>\n\u003cp>“You get a lot more out of it than just kind of staring at each other in a relatively artificial way,” she says.\u003c/p>\n\u003cfigure id=\"attachment_11853487\" class=\"wp-caption alignnone\" style=\"max-width: 800px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-medium wp-image-11853487\" src=\"https://ww2.kqed.org/app/uploads/sites/10/2021/01/virtual-scene-1-77386848344070228f9260ecb41a1449c6b0495e-800x599.jpg\" alt=\"\" width=\"800\" height=\"599\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2021/01/virtual-scene-1-77386848344070228f9260ecb41a1449c6b0495e-800x599.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2021/01/virtual-scene-1-77386848344070228f9260ecb41a1449c6b0495e-1020x764.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2021/01/virtual-scene-1-77386848344070228f9260ecb41a1449c6b0495e-160x120.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2021/01/virtual-scene-1-77386848344070228f9260ecb41a1449c6b0495e-1536x1151.jpg 1536w, https://cdn.kqed.org/wp-content/uploads/sites/10/2021/01/virtual-scene-1-77386848344070228f9260ecb41a1449c6b0495e-2048x1534.jpg 2048w, https://cdn.kqed.org/wp-content/uploads/sites/10/2021/01/virtual-scene-1-77386848344070228f9260ecb41a1449c6b0495e-1920x1438.jpg 1920w, https://cdn.kqed.org/wp-content/uploads/sites/10/2021/01/virtual-scene-1-77386848344070228f9260ecb41a1449c6b0495e-1832x1374.jpg 1832w, https://cdn.kqed.org/wp-content/uploads/sites/10/2021/01/virtual-scene-1-77386848344070228f9260ecb41a1449c6b0495e-1376x1032.jpg 1376w, https://cdn.kqed.org/wp-content/uploads/sites/10/2021/01/virtual-scene-1-77386848344070228f9260ecb41a1449c6b0495e-1044x783.jpg 1044w, https://cdn.kqed.org/wp-content/uploads/sites/10/2021/01/virtual-scene-1-77386848344070228f9260ecb41a1449c6b0495e-632x474.jpg 632w, https://cdn.kqed.org/wp-content/uploads/sites/10/2021/01/virtual-scene-1-77386848344070228f9260ecb41a1449c6b0495e-536x402.jpg 536w\" sizes=\"(max-width: 800px) 100vw, 800px\">\u003cfigcaption class=\"wp-caption-text\">Make video calls less about conversation and more about activities, says psychologist Vaile Wright. Whether it’s cooking together or simultaneously watching a movie with an out-of-town friend, these kinds of interactions build memories. \u003ccite>(Meredith Miotke/NPR)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>Psychologist Dana Garfin’s family is spread out all across the country. Since the pandemic began, she says, they have had regular Sunday night dinners together on Zoom. “It’s been great because we’ve actually been connecting more that way than we would otherwise.”\u003c/p>\n\u003ch3>\u003cstrong>Work out or meditate together\u003c/strong>\u003c/h3>\n\u003cp>Garfin also advises people to use technology to engage in activities that improve mental and physical health while connecting with others. She recommends exercise or meditation apps that include a social sharing component, like \u003ca href=\"https://www.fitbit.com/global/us/home?utm_source=google&utm_medium=cpc&gclid=Cj0KCQiAlZH_BRCgARIsAAZHSBmLoRn1u_m0pI37XIs9Y-iZrL9oIhSi_ynQ8VRxVh0-TnFlBsXV-qAaAtYUEALw_wcB&gclsrc=aw.ds\" target=\"_blank\" rel=\"noopener noreferrer\">Fitbit\u003c/a> and \u003ca href=\"https://www.nike.com/nrc-app\" target=\"_blank\" rel=\"noopener noreferrer\">Nike Run Club\u003c/a>.\u003c/p>\n\u003cp>“So you can log on and you can have that connection with other people by engaging in meditation or mindfulness practices with other people at the same time,” says Garfin. “That can foster a sense of community during a time where people might feel very isolated.”\u003c/p>\n\u003cp>Some people are doing \u003ca href=\"https://runsignup.com/Events/Virtual\" target=\"_blank\" rel=\"noopener noreferrer\">virtual 5Ks or other races\u003c/a>, where you sign up with friends, do the race on your own and share results.\u003c/p>\n\u003ch3>\u003cstrong>Give help, time and love\u003c/strong>\u003c/h3>\n\u003cp>As you think of how to meet your own personal social needs, don’t forget to look out for others at this time. There’s a \u003ca href=\"https://ggsc.berkeley.edu/images/uploads/GGSC-JTF_White_Paper-Generosity-FINAL.pdf?_ga=2.11753270.38977004.1608835647-1616817560.1608835647\" target=\"_blank\" rel=\"noopener noreferrer\">body of research\u003c/a> showing that giving to others — whether it’s money or time — is a mood-booster.\u003c/p>\n\u003cp>“Whether that’s volunteering or whether that’s reaching out to somebody you know, letting them know that you care also makes you feel good,” Wright says.\u003c/p>\n\u003cp>To help others feel less isolated, consider simple things like sending flowers or cooking a meal for a friend or neighbor. Or, given that so many families are facing food shortages during the pandemic, consider donating to the local food pantry. \u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>There are also many opportunities to volunteer your time online with charitable organizations. For example, the \u003ca href=\"https://www.onlinevolunteering.org/en\" target=\"_blank\" rel=\"noopener noreferrer\">United Nations Volunteers\u003c/a> has a list of online opportunities, many of them involving \u003ca href=\"https://www.onlinevolunteering.org/en/opportunities?f%5b0%5d=field_task_id:1527\" target=\"_blank\" rel=\"noopener noreferrer\">COVID-19 response\u003c/a>s in different countries. Inside the U.S., consider \u003ca href=\"https://www.idealist.org/en/volunteer?actionType=VOLOP&isCovid=YES&isVirtual=YES&q=&searchMode=true\" target=\"_blank\" rel=\"noopener noreferrer\">one of these volunteering options\u003c/a> listed by the New York-based nonprofit Idealist.\u003c/p>\n\u003cp>There are also many small ways you can help your loved ones. For instance, Garfin says one thing that could be meaningful right now is to help the people in your life get more comfortable using technology that makes keeping in touch easier.\u003c/p>\n\u003cp>“It’s really important for people who are tech savvy to make sure your dad knows how to use Zoom or if he has a caregiver, make sure that she knows how to help him,” she adds.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003ch3>\u003cstrong>Yes, saying thank you helps\u003c/strong>\u003c/h3>\n\u003cp>Whatever you do to combat isolation this winter, psychologists suggest thinking ahead before you get hit with serious doldrums.\u003c/p>\n\u003cp>“Brainstorm and think about things that could be helpful moving forward,” Garfin says, “before that kind of depression sets in.”\u003c/p>\n\u003cfigure id=\"attachment_11853488\" class=\"wp-caption alignnone\" style=\"max-width: 800px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-medium wp-image-11853488\" src=\"https://ww2.kqed.org/app/uploads/sites/10/2021/01/gratitude-1-8469f0b3818dac3eb4b663e9538c20ad003bcc27-800x600.jpg\" alt=\"\" width=\"800\" height=\"600\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2021/01/gratitude-1-8469f0b3818dac3eb4b663e9538c20ad003bcc27-800x600.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2021/01/gratitude-1-8469f0b3818dac3eb4b663e9538c20ad003bcc27-1020x765.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2021/01/gratitude-1-8469f0b3818dac3eb4b663e9538c20ad003bcc27-160x120.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2021/01/gratitude-1-8469f0b3818dac3eb4b663e9538c20ad003bcc27-1536x1152.jpg 1536w, https://cdn.kqed.org/wp-content/uploads/sites/10/2021/01/gratitude-1-8469f0b3818dac3eb4b663e9538c20ad003bcc27-1832x1374.jpg 1832w, https://cdn.kqed.org/wp-content/uploads/sites/10/2021/01/gratitude-1-8469f0b3818dac3eb4b663e9538c20ad003bcc27-1376x1032.jpg 1376w, https://cdn.kqed.org/wp-content/uploads/sites/10/2021/01/gratitude-1-8469f0b3818dac3eb4b663e9538c20ad003bcc27-1044x783.jpg 1044w, https://cdn.kqed.org/wp-content/uploads/sites/10/2021/01/gratitude-1-8469f0b3818dac3eb4b663e9538c20ad003bcc27-632x474.jpg 632w, https://cdn.kqed.org/wp-content/uploads/sites/10/2021/01/gratitude-1-8469f0b3818dac3eb4b663e9538c20ad003bcc27-536x402.jpg 536w, https://cdn.kqed.org/wp-content/uploads/sites/10/2021/01/gratitude-1-8469f0b3818dac3eb4b663e9538c20ad003bcc27.jpg 1920w\" sizes=\"(max-width: 800px) 100vw, 800px\">\u003cfigcaption class=\"wp-caption-text\">There’s a body of research showing giving to others — whether it’s money or time — is a mood booster. \u003ccite>(Meredith Miotke/NPR)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>It may sound obvious but taking the time to acknowledge what you’re grateful for really helps with the blues, notes Holt-Lunstad.\u003c/p>\n\u003cp>“\u003ca href=\"https://journals.sagepub.com/doi/abs/10.1177/0164027519845354?journalCode=roaa\" target=\"_blank\" rel=\"noopener noreferrer\">Research\u003c/a> has shown that expressions of gratitude actually are associated with lower loneliness,” she says. “Even if you can’t get together with your family … maybe reach out to them and make a special effort to express your gratitude for that person.”\u003c/p>\n\u003cp>That can “increase social bonding, reduce loneliness” and help you both focus on what you do have, instead of what you’ve lost because of the pandemic.\u003c/p>\n\u003cdiv class=\"fullattribution\">Copyright 2021 NPR. To see more, visit https://www.npr.org.\u003cimg decoding=\"async\" src=\"https://www.google-analytics.com/__utm.gif?utmac=UA-5828686-4&utmdt=Don%27t+Let+The+Pandemic+Winter+Get+You+Down%3A+9+Creative+Ways+To+Socialize+Safely&utme=8(APIKey)9(MDAxOTAwOTE4MDEyMTkxMDAzNjczZDljZA004)\">\u003c/div>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cp>Another Foster Farms employee in the Central Valley has died due to complications from COVID-19.\u003c/p>\n\u003cp>The Fresno plant worker’s death was confirmed by the California Division of Occupational Safety and Health in an email to KQED Wednesday. Cal/OSHA was notified of the death on Dec. 28, at which point they began the process of inspecting the Foster Farms facility on S. Cherry Avenue in Fresno. There is now a total of three COVID-related deaths at that facility.\u003c/p>\n\u003cp>A Foster Farms plant in Livingston was shut down for six days in September after an outbreak resulted in at least 392 workers testing positive for coronavirus, with nine dying from complications from COVID-19, \u003ca href=\"https://www.kqed.org/news/11850332/covid-19-again-sweeps-through-foster-farms-plants-in-central-valley\">KQED previously reported\u003c/a>.\u003c/p>\n\u003cp>“We are saddened by the death at our Cherry Street plant and, out of respect for the family and loved ones, can provide no further details,” the company said through a spokesperson.\u003c/p>\n\u003cp>The death follows an outbreak of at least 193 COVID-19 infections at the same poultry plant which was confirmed to KQED by the Fresno County Department of Public Health in early December, though it is not immediately clear if the death is related to that outbreak.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>Three separate Foster Farms facilities in the Central Valley reported outbreaks, including the S. Cherry Avenue plant.\u003c/p>\n\u003cp>On Dec. 23, a Merced County judge ordered Foster Farms to comply with health orders, after finding the company may have engaged in unfair business practices by failing to comply with an Aug. 28 health order issued by the Merced County Department of Public Health.\u003c/p>\n\u003cp>The ruling — which went into effect Monday — requires Foster Farms to provide face masks, stagger employee meal and start times, investigate close contacts of workers who test positive, to ensure infected employees do not come to work, and inform all employees of testing requirements and any outbreaks that occur, among other requirements.\u003c/p>\n\u003cp>The United Farm Workers of America and two employees of a Foster Farms poultry processing plant in the Central Valley filed a lawsuit against the company on Dec. 17, arguing the company is operating in “naked disregard of both national and local guidelines.”\u003c/p>\n\u003cp>Those orders stem from a lawsuit aiming to compel Foster Farms to improve safety protocols.\u003c/p>\n\u003cp>The complaint filed by the United Farm Workers and Foster Farms workers argues its workers are spaced “substantially less than six feet apart from each other for prolonged periods of time with no plastic divider or similar protection between them,” and that the company fails to “rigorously or effectively enforce social distancing or even to supply masks,” among other allegations.\u003c/p>\n\u003cp>The complaint also alleges Foster Farms “continues to ignore baseline workplace safety protocols, inexorably leading to further spread and infection in the Plant and community at large.”\u003c/p>\n\u003cp>For its part, Foster Farms defended its practices by saying it had already agreed to institute those changes.\u003c/p>\n\u003cp>After the most recent worker’s death, a Foster Farms spokesperson says “our positivity rate at the plant since mid-December continues to decline,” and the company is testing all of its employees twice a week. The spokesperson says Foster Farms employees have a positivity rate lower than the overall positivity rate in Fresno County.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>\u003cem>KQED reporter Alexandra Hall contributed to this report.\u003c/em>\u003c/p>\n\n",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>Another Foster Farms employee in the Central Valley has died due to complications from COVID-19.\u003c/p>\n\u003cp>The Fresno plant worker’s death was confirmed by the California Division of Occupational Safety and Health in an email to KQED Wednesday. Cal/OSHA was notified of the death on Dec. 28, at which point they began the process of inspecting the Foster Farms facility on S. Cherry Avenue in Fresno. There is now a total of three COVID-related deaths at that facility.\u003c/p>\n\u003cp>A Foster Farms plant in Livingston was shut down for six days in September after an outbreak resulted in at least 392 workers testing positive for coronavirus, with nine dying from complications from COVID-19, \u003ca href=\"https://www.kqed.org/news/11850332/covid-19-again-sweeps-through-foster-farms-plants-in-central-valley\">KQED previously reported\u003c/a>.\u003c/p>\n\u003cp>“We are saddened by the death at our Cherry Street plant and, out of respect for the family and loved ones, can provide no further details,” the company said through a spokesperson.\u003c/p>\n\u003cp>The death follows an outbreak of at least 193 COVID-19 infections at the same poultry plant which was confirmed to KQED by the Fresno County Department of Public Health in early December, though it is not immediately clear if the death is related to that outbreak.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>Three separate Foster Farms facilities in the Central Valley reported outbreaks, including the S. Cherry Avenue plant.\u003c/p>\n\u003cp>On Dec. 23, a Merced County judge ordered Foster Farms to comply with health orders, after finding the company may have engaged in unfair business practices by failing to comply with an Aug. 28 health order issued by the Merced County Department of Public Health.\u003c/p>\n\u003cp>The ruling — which went into effect Monday — requires Foster Farms to provide face masks, stagger employee meal and start times, investigate close contacts of workers who test positive, to ensure infected employees do not come to work, and inform all employees of testing requirements and any outbreaks that occur, among other requirements.\u003c/p>\n\u003cp>The United Farm Workers of America and two employees of a Foster Farms poultry processing plant in the Central Valley filed a lawsuit against the company on Dec. 17, arguing the company is operating in “naked disregard of both national and local guidelines.”\u003c/p>\n\u003cp>Those orders stem from a lawsuit aiming to compel Foster Farms to improve safety protocols.\u003c/p>\n\u003cp>The complaint filed by the United Farm Workers and Foster Farms workers argues its workers are spaced “substantially less than six feet apart from each other for prolonged periods of time with no plastic divider or similar protection between them,” and that the company fails to “rigorously or effectively enforce social distancing or even to supply masks,” among other allegations.\u003c/p>\n\u003cp>The complaint also alleges Foster Farms “continues to ignore baseline workplace safety protocols, inexorably leading to further spread and infection in the Plant and community at large.”\u003c/p>\n\u003cp>For its part, Foster Farms defended its practices by saying it had already agreed to institute those changes.\u003c/p>\n\u003cp>After the most recent worker’s death, a Foster Farms spokesperson says “our positivity rate at the plant since mid-December continues to decline,” and the company is testing all of its employees twice a week. The spokesperson says Foster Farms employees have a positivity rate lower than the overall positivity rate in Fresno County.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>\u003cem>KQED reporter Alexandra Hall contributed to this report.\u003c/em>\u003c/p>\n\n\u003c/div>\u003c/p>",
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"content": "\u003cp>A group of approximately 75 Department of Defense medical personnel have deployed to a handful of California hospitals in two of the state’s regions hardest hit by the pandemic.\u003c/p>\n\u003cp>Roughly 65 U.S. Air Force doctors, nurses and other medical staff from the 60th Medical Group at Travis Air Force Base and around 10 U.S. Army nurses from a Fort Carson, Colorado-based military medical unit, have arrived and begun onboarding at four hospitals: Adventist Health Lodi Memorial in Lodi, Dameron Hospital in Stockton, Community Regional Medical Center in Fresno and Arrowhead Regional Medical Center in Colton.\u003c/p>\n\u003cp>The deployment comes as California — and the entire country — is experiencing a devastating surge in COVID-19 cases. The hospitals selected are located in the San Joaquin Valley and Southern California, two regions of the state with 0% ICU bed capacity and currently under mandatory stay-at-home orders. On Tuesday, \u003ca href=\"https://www.kqed.org/coronavirusliveupdates/news/11853132/california-extends-stay-at-home-order-in-socal-san-joaquin-valley\">those orders were extended.\u003c/a>\u003c/p>\n\u003cp>“We are in the middle of a big surge and a crisis in our health care system,” Fresno County Interim Health Officer Dr. Rais Vohra said in a media briefing Tuesday. “We’ve seen more fatalities this month than through any other month of the pandemic here in Fresno County.”\u003c/p>\n\u003cp>During the briefing, Vohra highlighted a recent \u003ca href=\"https://www.cdph.ca.gov/Programs/CHCQ/LCP/Pages/AFL-20-91.aspx\">All Facilities Letter\u003c/a> from the California Department of Public Health, reminding hospitals to have and implement Crisis Care Continuum Guidelines if experiencing a surge in COVID-19 patients. Vohra said the standards indicate a disaster situation.\u003c/p>\n\u003cfigure id=\"attachment_11853269\" class=\"wp-caption aligncenter\" style=\"max-width: 1536px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"wp-image-11853269 size-full\" src=\"https://ww2.kqed.org/app/uploads/sites/10/2020/12/CRMC-2-e1609365306356.png\" alt='\"\"' width=\"1536\" height=\"1305\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2020/12/CRMC-2-e1609365306356.png 1536w, https://cdn.kqed.org/wp-content/uploads/sites/10/2020/12/CRMC-2-e1609365306356-800x680.png 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2020/12/CRMC-2-e1609365306356-1020x867.png 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2020/12/CRMC-2-e1609365306356-160x136.png 160w\" sizes=\"(max-width: 1536px) 100vw, 1536px\">\u003cfigcaption class=\"wp-caption-text\">Department of Defense military personnel begin onboarding at Community Regional Medical Center in Fresno. The U.S. Air Force and U.S. Army doctors, nurses and other medical staff will primarily focus on supporting the hospital’s intensive care unit. \u003ccite>(Courtesy of the Community Regional Medical Center)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>“We’ve experienced, and continue to experience, just really severe impacts to our health care system, both in the capacity to house patients and to take care of them, as well as resources related to personnel and staffing,” Vohra said.\u003c/p>\n\u003cp>Brooke McCollough, operations executive for Lodi Memorial and Dameron hospitals said the people who’ve contracted COVID-19 are often in the hospital for “many days” and can take a long time to recover.\u003c/p>\n\u003cp>“These patients are very sick,” McCollough said. “It’s not just old people, it’s all over the place, all over the board, as far as race, age. Of course people with more serious illnesses are more susceptible to having more serious illness. This is just something more than what we’ve ever been through in my career.”\u003c/p>\n\u003cp>[pullquote size='medium' align='right' citation='Fresno County Interim Health Officer Dr. Rais Vohra']‘We’ve experienced, and continue to experience, just really severe impacts to our health care system, both in the capacity to house patients and to take care of them, as well as resources related to personnel and staffing’[/pullquote]\u003c/p>\n\u003cp>Two physicians, two physician assistants, seven respiratory therapists, 24 registered nurses and other support staff arrived at the hospitals in San Joaquin County Tuesday, according to a Lodi Memorial hospital spokesperson.\u003c/p>\n\u003cp>McCollough said Lodi Memorial and Dameron hospitals are facilities that have space for greater ICU bed capacity, but not enough physicians and nurses to care for patients if they are admitted.\u003c/p>\n\u003cp>“This additional staff will allow us to accept patients in some of those beds,” McCollough said. “We’ve also tried to secure traveling nurses, but the whole country is after the same group of nurses, and so it’s very hard to get those nurses to accept a contract for your facility because they’re all being used by other places.”\u003c/p>\n\u003cp>McCollough said the additional staffing will allow the hospitals in Lodi and Stockton to double their ICU bed capacity and allow the facilities to accept patients transferred from other regional hospitals.\u003c/p>\n\u003cp>“That would be our first priority, to help offload some of their patients, COVID or non-COVID. This just allows us to accept more patients in general,” McCollough said. “Because we have beds, but we don’t have staff for those beds, this will allow us to put patients in those beds.” [aside tag=\"covid-19,coronavirus\" label=\"more coverage\"]\u003c/p>\n\u003cp>Approximately 15 U.S. Air Force and five U.S. Army military medical personnel, including doctors, nurses and respiratory technicians, began orientation at Community Regional Medical Center in Fresno on Tuesday, according to a military statement.\u003c/p>\n\u003cp>Dan Lynch, Fresno County’s director of emergency medical services, said the team’s primary mission is to support the hospital’s intensive care unit.\u003c/p>\n\u003cp>“Not only to sustain or maintain what they have available to them, but also to surge, to add in additional ICU beds to be used,” Lynch said, adding that the hospital does have the capacity to increase ICU bed availability.\u003c/p>\n\u003cp>“They just need the staffing and that’s what this will do,” Lynch said.\u003c/p>\n\u003cp>Col. Martin L. O’Donnell, public affairs officer with U.S. Army North (Fifth Army) said the personnel were expected to begin their first shifts Wednesday.\u003c/p>\n\u003cp>“The military medical personnel — doctors, nurses, respiratory therapists and others — are trained and certified in their respective fields. Many have deployed previously to support the whole-of-America response to the COVID-19 pandemic,” O’Donnell said. [ad fullwidth]\u003c/p>\n\u003cp>Assistance at these hospitals in Lodi, Stockton and Fresno was requested through the state by San Joaquin and Fresno counties’ emergency medical services agencies.\u003c/p>\n\u003cp>“States identify if and where they need federal support and then request it from [Federal Emergency Management Agency], which is the lead federal agency for the nation’s COVID-19 response, through what is called a mission assignment process. Once a mission assignment is approved, we work with U.S. Northern Command, the Department of Defense and the military services to quickly deploy forces to respond to affected areas,” O’Donnell said.\u003c/p>\n\u003cp>Several California facilities, including the hospitals in Lodi, Stockton and Fresno, \u003ca href=\"https://www.latimes.com/california/story/2020-07-19/military-medical-providers-california-hospitals-coronavirus-staffing-shortages\">previously received military support\u003c/a> to deal with the coronavirus surge over the summer.\u003c/p>\n\u003cp>Lynch said this assistance is critical at facilities like the Community Regional Medical Center in Fresno, which serves as the only Level 1 trauma center between Los Angeles and the Bay Area.\u003c/p>\n\u003cp>“Its ability to accept and care for critical patients must be preserved,” Lynch said.\u003c/p>\n\u003cp>The medical personnel are expected to be deployed for 30 days, with the opportunity to extend, McCollough said.\u003c/p>\n\u003cp>[ad floatright]\u003c/p>\n",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>A group of approximately 75 Department of Defense medical personnel have deployed to a handful of California hospitals in two of the state’s regions hardest hit by the pandemic.\u003c/p>\n\u003cp>Roughly 65 U.S. Air Force doctors, nurses and other medical staff from the 60th Medical Group at Travis Air Force Base and around 10 U.S. Army nurses from a Fort Carson, Colorado-based military medical unit, have arrived and begun onboarding at four hospitals: Adventist Health Lodi Memorial in Lodi, Dameron Hospital in Stockton, Community Regional Medical Center in Fresno and Arrowhead Regional Medical Center in Colton.\u003c/p>\n\u003cp>The deployment comes as California — and the entire country — is experiencing a devastating surge in COVID-19 cases. The hospitals selected are located in the San Joaquin Valley and Southern California, two regions of the state with 0% ICU bed capacity and currently under mandatory stay-at-home orders. On Tuesday, \u003ca href=\"https://www.kqed.org/coronavirusliveupdates/news/11853132/california-extends-stay-at-home-order-in-socal-san-joaquin-valley\">those orders were extended.\u003c/a>\u003c/p>\n\u003cp>“We are in the middle of a big surge and a crisis in our health care system,” Fresno County Interim Health Officer Dr. Rais Vohra said in a media briefing Tuesday. “We’ve seen more fatalities this month than through any other month of the pandemic here in Fresno County.”\u003c/p>\n\u003cp>During the briefing, Vohra highlighted a recent \u003ca href=\"https://www.cdph.ca.gov/Programs/CHCQ/LCP/Pages/AFL-20-91.aspx\">All Facilities Letter\u003c/a> from the California Department of Public Health, reminding hospitals to have and implement Crisis Care Continuum Guidelines if experiencing a surge in COVID-19 patients. Vohra said the standards indicate a disaster situation.\u003c/p>\n\u003cfigure id=\"attachment_11853269\" class=\"wp-caption aligncenter\" style=\"max-width: 1536px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"wp-image-11853269 size-full\" src=\"https://ww2.kqed.org/app/uploads/sites/10/2020/12/CRMC-2-e1609365306356.png\" alt='\"\"' width=\"1536\" height=\"1305\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2020/12/CRMC-2-e1609365306356.png 1536w, https://cdn.kqed.org/wp-content/uploads/sites/10/2020/12/CRMC-2-e1609365306356-800x680.png 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2020/12/CRMC-2-e1609365306356-1020x867.png 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2020/12/CRMC-2-e1609365306356-160x136.png 160w\" sizes=\"(max-width: 1536px) 100vw, 1536px\">\u003cfigcaption class=\"wp-caption-text\">Department of Defense military personnel begin onboarding at Community Regional Medical Center in Fresno. The U.S. Air Force and U.S. Army doctors, nurses and other medical staff will primarily focus on supporting the hospital’s intensive care unit. \u003ccite>(Courtesy of the Community Regional Medical Center)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>“We’ve experienced, and continue to experience, just really severe impacts to our health care system, both in the capacity to house patients and to take care of them, as well as resources related to personnel and staffing,” Vohra said.\u003c/p>\n\u003cp>Brooke McCollough, operations executive for Lodi Memorial and Dameron hospitals said the people who’ve contracted COVID-19 are often in the hospital for “many days” and can take a long time to recover.\u003c/p>\n\u003cp>“These patients are very sick,” McCollough said. “It’s not just old people, it’s all over the place, all over the board, as far as race, age. Of course people with more serious illnesses are more susceptible to having more serious illness. This is just something more than what we’ve ever been through in my career.”\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>Two physicians, two physician assistants, seven respiratory therapists, 24 registered nurses and other support staff arrived at the hospitals in San Joaquin County Tuesday, according to a Lodi Memorial hospital spokesperson.\u003c/p>\n\u003cp>McCollough said Lodi Memorial and Dameron hospitals are facilities that have space for greater ICU bed capacity, but not enough physicians and nurses to care for patients if they are admitted.\u003c/p>\n\u003cp>“This additional staff will allow us to accept patients in some of those beds,” McCollough said. “We’ve also tried to secure traveling nurses, but the whole country is after the same group of nurses, and so it’s very hard to get those nurses to accept a contract for your facility because they’re all being used by other places.”\u003c/p>\n\u003cp>McCollough said the additional staffing will allow the hospitals in Lodi and Stockton to double their ICU bed capacity and allow the facilities to accept patients transferred from other regional hospitals.\u003c/p>\n\u003cp>“That would be our first priority, to help offload some of their patients, COVID or non-COVID. This just allows us to accept more patients in general,” McCollough said. “Because we have beds, but we don’t have staff for those beds, this will allow us to put patients in those beds.” \u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>Approximately 15 U.S. Air Force and five U.S. Army military medical personnel, including doctors, nurses and respiratory technicians, began orientation at Community Regional Medical Center in Fresno on Tuesday, according to a military statement.\u003c/p>\n\u003cp>Dan Lynch, Fresno County’s director of emergency medical services, said the team’s primary mission is to support the hospital’s intensive care unit.\u003c/p>\n\u003cp>“Not only to sustain or maintain what they have available to them, but also to surge, to add in additional ICU beds to be used,” Lynch said, adding that the hospital does have the capacity to increase ICU bed availability.\u003c/p>\n\u003cp>“They just need the staffing and that’s what this will do,” Lynch said.\u003c/p>\n\u003cp>Col. Martin L. O’Donnell, public affairs officer with U.S. Army North (Fifth Army) said the personnel were expected to begin their first shifts Wednesday.\u003c/p>\n\u003cp>“The military medical personnel — doctors, nurses, respiratory therapists and others — are trained and certified in their respective fields. Many have deployed previously to support the whole-of-America response to the COVID-19 pandemic,” O’Donnell said. \u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>Assistance at these hospitals in Lodi, Stockton and Fresno was requested through the state by San Joaquin and Fresno counties’ emergency medical services agencies.\u003c/p>\n\u003cp>“States identify if and where they need federal support and then request it from [Federal Emergency Management Agency], which is the lead federal agency for the nation’s COVID-19 response, through what is called a mission assignment process. Once a mission assignment is approved, we work with U.S. Northern Command, the Department of Defense and the military services to quickly deploy forces to respond to affected areas,” O’Donnell said.\u003c/p>\n\u003cp>Several California facilities, including the hospitals in Lodi, Stockton and Fresno, \u003ca href=\"https://www.latimes.com/california/story/2020-07-19/military-medical-providers-california-hospitals-coronavirus-staffing-shortages\">previously received military support\u003c/a> to deal with the coronavirus surge over the summer.\u003c/p>\n\u003cp>Lynch said this assistance is critical at facilities like the Community Regional Medical Center in Fresno, which serves as the only Level 1 trauma center between Los Angeles and the Bay Area.\u003c/p>\n\u003cp>“Its ability to accept and care for critical patients must be preserved,” Lynch said.\u003c/p>\n\u003cp>The medical personnel are expected to be deployed for 30 days, with the opportunity to extend, McCollough said.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cp>Like many small business owners, Yuri Kim has seen a lot of highs and lows during the pandemic. She received a Paycheck Protection Program (PPP) loan for her San Jose plant shop, \u003ca href=\"https://www.fractalflora.com/\">Fractal Flora\u003c/a>, in May, which helped pay the rent for a few months, but she had to lay off her six part-time employees.\u003c/p>\n\u003cp>“Should I even continue this business, or does it make more sense to just close it down?” Kim said she asked herself, repeatedly. “I’m so happy that I have an opportunity to still be here.”\u003c/p>\n\u003cp>Fractal Flora was part of San Jose’s \u003ca href=\"https://www.moment-sj.com/\">Moment\u003c/a> program, a small-business incubator in the city’s downtown that provides subsidized rent in converted garage spaces in San Pedro Square. After two years, the shops have to move out and find their own spaces. As her involvement with Moment rolled to a close, Kim was able to open a new store just a few miles away in the Rose Garden neighborhood of San Jose.\u003c/p>\n\u003cfigure id=\"attachment_11853186\" class=\"wp-caption aligncenter\" style=\"max-width: 800px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-medium wp-image-11853186\" src=\"https://ww2.kqed.org/app/uploads/sites/10/2020/12/IMG_9181-800x600.jpeg\" alt=\"Kim's store is one of the few small businesses surviving during the pandemic. During the holidays, Kim noticed more people buying plants as gifts.\" width=\"800\" height=\"600\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2020/12/IMG_9181-800x600.jpeg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2020/12/IMG_9181-1020x765.jpeg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2020/12/IMG_9181-160x120.jpeg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2020/12/IMG_9181-1536x1152.jpeg 1536w, https://cdn.kqed.org/wp-content/uploads/sites/10/2020/12/IMG_9181-2048x1536.jpeg 2048w, https://cdn.kqed.org/wp-content/uploads/sites/10/2020/12/IMG_9181-1920x1440.jpeg 1920w, https://cdn.kqed.org/wp-content/uploads/sites/10/2020/12/IMG_9181-1832x1374.jpeg 1832w, https://cdn.kqed.org/wp-content/uploads/sites/10/2020/12/IMG_9181-1376x1032.jpeg 1376w, https://cdn.kqed.org/wp-content/uploads/sites/10/2020/12/IMG_9181-1044x783.jpeg 1044w, https://cdn.kqed.org/wp-content/uploads/sites/10/2020/12/IMG_9181-632x474.jpeg 632w, https://cdn.kqed.org/wp-content/uploads/sites/10/2020/12/IMG_9181-536x402.jpeg 536w\" sizes=\"(max-width: 800px) 100vw, 800px\">\u003cfigcaption class=\"wp-caption-text\">Yuri Kim’s store is one of the few small businesses surviving during the pandemic. During the holidays, Kim noticed more people buying plants as gifts. \u003ccite>(Adhiti Bandlamudi/KQED)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>During the first few months of the pandemic, Kim was selling less than what she was last year. But as the year wore on, sales slowly started to pick up.\u003c/p>\n\u003cp>“As you spend more time home and you’re less able to go outside, you want to make your space comfortable and beautiful,” Kim said. “Even the suppliers we purchase our plants from say their business has been better now than pre-pandemic because the interest in plants has grown so much.”\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>The sudden demand for succulents and pothos plants is no surprise to Rob Shibata, the owner of\u003ca href=\"http://www.mteden.com/\"> Mt. Eden Floral Company\u003c/a>, one of the largest floral wholesalers in the Bay Area.\u003c/p>\n\u003cp>“The millennials have shown a lot of interest in green plants,” Shibata said. “They’re apartment dwellers. They don’t have a lot of space, but they want to have something alive and meaningful to keep them company.”\u003c/p>\n\u003cfigure id=\"attachment_11853187\" class=\"wp-caption aligncenter\" style=\"max-width: 800px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-medium wp-image-11853187\" src=\"https://ww2.kqed.org/app/uploads/sites/10/2020/12/IMG_9186-800x600.jpg\" alt=\"Fractal Flora sells a collection of house plants and fresh flowers. While the plant industry has seen an uptick in sales, the flower industry is slowly struggling by as it's reliant on large events that are restricted during the pandemic.\" width=\"800\" height=\"600\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2020/12/IMG_9186-800x600.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2020/12/IMG_9186-1020x765.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2020/12/IMG_9186-160x120.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2020/12/IMG_9186-1536x1152.jpg 1536w, https://cdn.kqed.org/wp-content/uploads/sites/10/2020/12/IMG_9186-2048x1536.jpg 2048w, https://cdn.kqed.org/wp-content/uploads/sites/10/2020/12/IMG_9186-1920x1440.jpg 1920w, https://cdn.kqed.org/wp-content/uploads/sites/10/2020/12/IMG_9186-1832x1374.jpg 1832w, https://cdn.kqed.org/wp-content/uploads/sites/10/2020/12/IMG_9186-1376x1032.jpg 1376w, https://cdn.kqed.org/wp-content/uploads/sites/10/2020/12/IMG_9186-1044x783.jpg 1044w, https://cdn.kqed.org/wp-content/uploads/sites/10/2020/12/IMG_9186-632x474.jpg 632w, https://cdn.kqed.org/wp-content/uploads/sites/10/2020/12/IMG_9186-536x402.jpg 536w\" sizes=\"(max-width: 800px) 100vw, 800px\">\u003cfigcaption class=\"wp-caption-text\">Fractal Flora sells a collection of house plants and fresh flowers. While the plant industry has seen an uptick in sales, the flower industry is slowly struggling by since it’s reliant on large events that are restricted during the pandemic. \u003ccite>(Adhiti Bandlamudi/KQED)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>That said, even though Mt. Eden Floral Company has benefited some from the boom in plant sales, the 114-year-old company specializes in flowers. Shibata makes most of his money on orders for weddings, banquets and other large events that won’t be permitted for the foreseeable future.\u003c/p>\n\u003cp>“We have enough business to subsist,” Shibata said. “But we’re missing that event part to make us whole.”[aside postID=\"news_11852317,arts_13885663,science_1967293\" label=\"Related Coverage\"]\u003c/p>\n\u003cp>Shibata is waiting on Valentine’s Day and \u003ca href=\"https://www.kqed.org/news/11816925/bay-area-florists-wilting-under-shelter-in-place-restrictions\">Mother’s Day\u003c/a>, two of the biggest days of the year for the flower industry, to bring a bump to sales. In the meantime, he’s hoping people continue to buy flowers.\u003c/p>\n\u003cp>“I kind of had this imaginary conversation with my dad,” Shibata said. His late father ran the company before he died in 2015. “And I heard him say, ‘Well, [the pandemic] is not like the problem we had.’ ”\u003c/p>\n\u003cp>Shibata’s father ran the company during the 1940s and World War II. In 1942, after the attack on Pearl Harbor, more than 120,000 Japanese Americans, including Shibata’s father, were sent to concentration camps in California and beyond.\u003c/p>\n\u003cp>“He [would say], ‘When Japan bombed Pearl Harbor and the government came and we were forced to leave our business behind with one week’s notice and leave our homes behind with one week’s notice … that was a problem,’ ” Shibata said. “As terrible as it is for us, it wasn’t like … what they went through.”\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>Given that, Shibata says he’s determined to get Mt. Eden Floral Company to its 115th year of service.\u003c/p>\n\n",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>Like many small business owners, Yuri Kim has seen a lot of highs and lows during the pandemic. She received a Paycheck Protection Program (PPP) loan for her San Jose plant shop, \u003ca href=\"https://www.fractalflora.com/\">Fractal Flora\u003c/a>, in May, which helped pay the rent for a few months, but she had to lay off her six part-time employees.\u003c/p>\n\u003cp>“Should I even continue this business, or does it make more sense to just close it down?” Kim said she asked herself, repeatedly. “I’m so happy that I have an opportunity to still be here.”\u003c/p>\n\u003cp>Fractal Flora was part of San Jose’s \u003ca href=\"https://www.moment-sj.com/\">Moment\u003c/a> program, a small-business incubator in the city’s downtown that provides subsidized rent in converted garage spaces in San Pedro Square. After two years, the shops have to move out and find their own spaces. As her involvement with Moment rolled to a close, Kim was able to open a new store just a few miles away in the Rose Garden neighborhood of San Jose.\u003c/p>\n\u003cfigure id=\"attachment_11853186\" class=\"wp-caption aligncenter\" style=\"max-width: 800px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-medium wp-image-11853186\" src=\"https://ww2.kqed.org/app/uploads/sites/10/2020/12/IMG_9181-800x600.jpeg\" alt=\"Kim's store is one of the few small businesses surviving during the pandemic. During the holidays, Kim noticed more people buying plants as gifts.\" width=\"800\" height=\"600\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2020/12/IMG_9181-800x600.jpeg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2020/12/IMG_9181-1020x765.jpeg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2020/12/IMG_9181-160x120.jpeg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2020/12/IMG_9181-1536x1152.jpeg 1536w, https://cdn.kqed.org/wp-content/uploads/sites/10/2020/12/IMG_9181-2048x1536.jpeg 2048w, https://cdn.kqed.org/wp-content/uploads/sites/10/2020/12/IMG_9181-1920x1440.jpeg 1920w, https://cdn.kqed.org/wp-content/uploads/sites/10/2020/12/IMG_9181-1832x1374.jpeg 1832w, https://cdn.kqed.org/wp-content/uploads/sites/10/2020/12/IMG_9181-1376x1032.jpeg 1376w, https://cdn.kqed.org/wp-content/uploads/sites/10/2020/12/IMG_9181-1044x783.jpeg 1044w, https://cdn.kqed.org/wp-content/uploads/sites/10/2020/12/IMG_9181-632x474.jpeg 632w, https://cdn.kqed.org/wp-content/uploads/sites/10/2020/12/IMG_9181-536x402.jpeg 536w\" sizes=\"(max-width: 800px) 100vw, 800px\">\u003cfigcaption class=\"wp-caption-text\">Yuri Kim’s store is one of the few small businesses surviving during the pandemic. During the holidays, Kim noticed more people buying plants as gifts. \u003ccite>(Adhiti Bandlamudi/KQED)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>During the first few months of the pandemic, Kim was selling less than what she was last year. But as the year wore on, sales slowly started to pick up.\u003c/p>\n\u003cp>“As you spend more time home and you’re less able to go outside, you want to make your space comfortable and beautiful,” Kim said. “Even the suppliers we purchase our plants from say their business has been better now than pre-pandemic because the interest in plants has grown so much.”\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>The sudden demand for succulents and pothos plants is no surprise to Rob Shibata, the owner of\u003ca href=\"http://www.mteden.com/\"> Mt. Eden Floral Company\u003c/a>, one of the largest floral wholesalers in the Bay Area.\u003c/p>\n\u003cp>“The millennials have shown a lot of interest in green plants,” Shibata said. “They’re apartment dwellers. They don’t have a lot of space, but they want to have something alive and meaningful to keep them company.”\u003c/p>\n\u003cfigure id=\"attachment_11853187\" class=\"wp-caption aligncenter\" style=\"max-width: 800px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-medium wp-image-11853187\" src=\"https://ww2.kqed.org/app/uploads/sites/10/2020/12/IMG_9186-800x600.jpg\" alt=\"Fractal Flora sells a collection of house plants and fresh flowers. While the plant industry has seen an uptick in sales, the flower industry is slowly struggling by as it's reliant on large events that are restricted during the pandemic.\" width=\"800\" height=\"600\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2020/12/IMG_9186-800x600.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2020/12/IMG_9186-1020x765.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2020/12/IMG_9186-160x120.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2020/12/IMG_9186-1536x1152.jpg 1536w, https://cdn.kqed.org/wp-content/uploads/sites/10/2020/12/IMG_9186-2048x1536.jpg 2048w, https://cdn.kqed.org/wp-content/uploads/sites/10/2020/12/IMG_9186-1920x1440.jpg 1920w, https://cdn.kqed.org/wp-content/uploads/sites/10/2020/12/IMG_9186-1832x1374.jpg 1832w, https://cdn.kqed.org/wp-content/uploads/sites/10/2020/12/IMG_9186-1376x1032.jpg 1376w, https://cdn.kqed.org/wp-content/uploads/sites/10/2020/12/IMG_9186-1044x783.jpg 1044w, https://cdn.kqed.org/wp-content/uploads/sites/10/2020/12/IMG_9186-632x474.jpg 632w, https://cdn.kqed.org/wp-content/uploads/sites/10/2020/12/IMG_9186-536x402.jpg 536w\" sizes=\"(max-width: 800px) 100vw, 800px\">\u003cfigcaption class=\"wp-caption-text\">Fractal Flora sells a collection of house plants and fresh flowers. While the plant industry has seen an uptick in sales, the flower industry is slowly struggling by since it’s reliant on large events that are restricted during the pandemic. \u003ccite>(Adhiti Bandlamudi/KQED)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>That said, even though Mt. Eden Floral Company has benefited some from the boom in plant sales, the 114-year-old company specializes in flowers. Shibata makes most of his money on orders for weddings, banquets and other large events that won’t be permitted for the foreseeable future.\u003c/p>\n\u003cp>“We have enough business to subsist,” Shibata said. “But we’re missing that event part to make us whole.”\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>Shibata is waiting on Valentine’s Day and \u003ca href=\"https://www.kqed.org/news/11816925/bay-area-florists-wilting-under-shelter-in-place-restrictions\">Mother’s Day\u003c/a>, two of the biggest days of the year for the flower industry, to bring a bump to sales. In the meantime, he’s hoping people continue to buy flowers.\u003c/p>\n\u003cp>“I kind of had this imaginary conversation with my dad,” Shibata said. His late father ran the company before he died in 2015. “And I heard him say, ‘Well, [the pandemic] is not like the problem we had.’ ”\u003c/p>\n\u003cp>Shibata’s father ran the company during the 1940s and World War II. In 1942, after the attack on Pearl Harbor, more than 120,000 Japanese Americans, including Shibata’s father, were sent to concentration camps in California and beyond.\u003c/p>\n\u003cp>“He [would say], ‘When Japan bombed Pearl Harbor and the government came and we were forced to leave our business behind with one week’s notice and leave our homes behind with one week’s notice … that was a problem,’ ” Shibata said. “As terrible as it is for us, it wasn’t like … what they went through.”\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>Given that, Shibata says he’s determined to get Mt. Eden Floral Company to its 115th year of service.\u003c/p>\n\n\u003c/div>\u003c/p>",
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"content": "\u003cp>As the U.S. grapples with the effects of systemic racism, some in the medical community are questioning whether the tools they use to assess patient health may be contributing to racial health disparities.\u003c/p>\n\u003cp>That debate is playing out most prominently in the world of kidney medicine. Black people are \u003ca href=\"https://www.kidney.org/atoz/content/minorities-KD\">almost four times\u003c/a> more likely to suffer from kidney failure than non-Hispanic whites. And once they get to that stage, Black patients \u003ca href=\"https://pubmed.ncbi.nlm.nih.gov/27555121/\">spend months longer waiting\u003c/a> for a kidney transplant than white patients.\u003c/p>\n\u003cp>For those who are in need of a kidney doctor, visit a site like \u003ca href=\"http://www.thekidneydocs.com/\">http://www.thekidneydocs.com/\u003c/a> to schedule a consultation today.\u003c/p>\n\u003cp>Now, some doctors are asking whether a diagnostic formula most commonly used to assess the health of patients with chronic kidney disease may be unintentionally contributing to those poor outcomes — and reinforcing racist thinking.\u003c/p>\n\u003cp>The tool in question is a formula used to estimate GFR, or glomerular filtration rate. It’s a measure of how fast a person’s kidneys filter blood. Lower kidney filtration rates suggest worse kidney function.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>The gold standard for measuring GFR is a burdensome process that involves urine collection over a 24-hour period as well as a blood sample. So instead, doctors and labs routinely estimate kidney function by measuring blood levels of creatinine, a waste product filtered by the kidneys, and then doing a calculation that also factors in the patient’s age and sex.\u003c/p>\n\u003cp>But if a patient is African American, the person’s race also plays into this calculation. Doctors and labs will routinely apply what’s called a “race correction” or “race adjustment” to their estimated GFR number so that Black patients with chronic kidney disease end up with higher values.\u003c/p>\n\u003cp>Critics say the practice is based on flawed scientific assumptions tinged with racism. And because higher filtration rates suggest better kidney function, critics argue that correcting for race may delay critical referrals to specialists, potentially leading to worse outcomes.\u003c/p>\n\u003cp>“Why are we on the side of overestimating [filtration rates] if it could result in Black patients getting less care, to put it bluntly?” says Dr. \u003ca href=\"https://physiciandirectory.brighamandwomens.org/details/12608/mallika-mendu-internal_medicine-renal_kidney_disease-boston\">Mallika Mendu\u003c/a>, a kidney specialist and executive director for critical care at Brigham and Women’s Hospital in Boston.\u003c/p>\n\u003cp>In fact, this June, Mendu’s hospital system, Mass General Brigham, became one of a growing number of medical institutions in the U.S. to abandon the use of race in estimating GFR, amid a movement driven by medical students.\u003c/p>\n\u003cp>But other kidney specialists argue that while the use of race in kidney medicine is flawed, the rush to abandon it might cause more harm than it cures.\u003c/p>\n\u003ch3>Is the use of race exacerbating disparities?\u003c/h3>\n\u003cp>Mendu co-authored a \u003ca href=\"https://link.springer.com/article/10.1007/s11606-020-06280-5\">study published this fall\u003c/a> that found that if the race correction were removed, up to one out of every three Black patients would be reclassified as having a more severe stage of chronic kidney disease. And up to one-quarter of Black patients would have been reclassified from stage 3 to stage 4 of the disease — the final stage before kidney failure, which can trigger more advanced care.\u003c/p>\n\u003cp>The findings suggest “there is real potential for exacerbating disparities” when a race correction is applied, Mendu says.\u003c/p>\n\u003cp>To conduct the study, the researchers turned to a registry of more than 56,000 patients with chronic kidney disease created by the Mass General Brigham hospital network. Of those, 2,225 self-identified as African American. The researchers then recalibrated the Black patients’ estimated GFR values to see what they would be without the race correction.\u003c/p>\n\u003cp>Mendu says perhaps the most striking finding was that when the race correction was removed, 64 Black patients had a kidney filtration rate lower than 20 — the threshold at which patients are referred for a kidney transplant. But Mendu says records showed that none of those 64 patients had actually been referred or evaluated for a transplant, because with the race correction applied, their GFR values were hovering above that threshold.[pullquote size=\"medium\" align=\"right\" citation=\"Dr. Vanessa Grubbs, UCSF kidney specialist\"]‘The suggestion that Black people and only Black people are different than every other human on the planet is just ludicrous.’[/pullquote]\u003c/p>\n\u003cp>That’s a really big deal, she says, because that means those patients lost critical time on the waiting list for a new kidney.\u003c/p>\n\u003cp>“The more time you spend on a waitlist, if you’re waiting for a kidney, the more likely you are to get a kidney,” Mendu says.\u003c/p>\n\u003cp>Given these existing disparities, Mendu says, kidney specialists should rethink the use of the race correction.\u003c/p>\n\u003cp>Dr. \u003ca href=\"https://profiles.ucsf.edu/neil.powe\">Neil Powe\u003c/a>, a kidney specialist at UCSF, is among those who caution against abandoning race in estimating GFR too quickly. He points out that racial disparities in outcomes for patients with chronic kidney disease existed long before the use of race to calculate kidney function became widespread two decades ago. And in the study from Mendu and her colleagues, he notes that 80% of the Black patients who did have an estimated GFR of 20 or lower with the race correction were not referred for a kidney transplant, either.\u003c/p>\n\u003cp>Powe says that this suggests the race-based equations “are a smaller part of what’s causing disparities in African Americans getting waitlisted [for a kidney transplant]. And those other things that cause disparities could be racism as well.”\u003c/p>\n\u003ch3>First, do no harm\u003c/h3>\n\u003cp>The use of race-adjusted algorithms to estimate kidney filtration rates dates back to 1999. It was \u003ca href=\"https://www.acpjournals.org/doi/10.7326/0003-4819-130-6-199903160-00002\">based on a study\u003c/a> that included 1,304 white people and 197 Black people. The researchers found that, on average, Black people in the study had higher kidney filtration rates than white people at the same blood creatinine concentrations, suggesting that the formula then used to estimate GFR was underestimating kidney function in Black people. So the authors introduced a race correction to the formula that better fit the data.\u003c/p>\n\u003cp>\u003ca href=\"https://www.acpjournals.org/doi/10.7326/0003-4819-150-9-200905050-00006\">Another much larger study, published in 2009\u003c/a>, revised the equation used to estimate GFR but also found that it more accurately reflected measured GFR when it adjusted values for Black patients.\u003c/p>\n\u003cp>Dr. \u003ca href=\"https://profiles.ucsf.edu/vanessa.grubbs\">Vanessa Grubbs\u003c/a>, a kidney specialist at UCSF and a longtime critic of using a race-adjusted GFR, says the originators of race adjustments in GFR algorithms were unable to explain why Black people might produce and clear creatinine from their bodies differently than white people do.\u003c/p>\n\u003cp>“The suggestion that Black people and only Black people are different than every other human on the planet is just ludicrous,” she says.\u003c/p>\n\u003cp>One explanation that is often cited is muscle mass, since creatinine is a breakdown product of muscles. In the 1999 study, the authors observed that three previous studies had found Black people on average have greater muscle mass than white people. But as Grubbs noted \u003ca href=\"https://cjasn.asnjournals.org/content/15/8/1201.long\">in a recent paper\u003c/a>, those studies, now decades old, were small and did not measure muscle mass directly. Yet the use of race as a proxy for muscle mass reinforces the notion that “black bodies are biologically different than white ones,” she wrote.\u003c/p>\n\u003cp>Mendu notes that in the 2009 study, the majority of all patients — not just Black ones — had a sizable difference between their measured and estimated GFRs, suggesting that GFR is an imprecise variable.\u003c/p>\n\u003cp>And she says that race itself is a poor marker of biological difference. “We know that there is more diversity within Black patients than there is genetic diversity between a Black person and a white person,” she says. “To say that somebody being Black is somehow a monolithic thing when it comes to genetics, when it comes to ancestry, I think is challenging.”\u003c/p>\n\u003cp>How, she asks, would you apply the race adjustment to someone biracial, like former President Barack Obama?\u003c/p>\n\u003ch3>A movement for change\u003c/h3>\n\u003cp>The debate in kidney medicine comes amid a broader examination of the use of race in clinical diagnostics in the medical community. That reckoning has been brought about in large part by medical students at institutions across the country who have questioned the scientific evidence justifying the use of race in diagnostic formulas and whether that might be perpetuating inequalities.\u003c/p>\n\u003cp>“From our social science and genetics faculty, we were getting a message loud and clear: Race is a social construct, and it’s not a reliable proxy for genetic difference. And then, on the other hand, our clinical faculty were turning around and teaching us that race is being used as a proxy for genetic difference every day in clinical medicine,” says Dr. Leo Eisenstein, a second-year medical resident at New York University and Bellevue hospitals.\u003c/p>\n\u003cp>As a medical student at Harvard University, Eisenstein was part of a coalition of students whose research and lobbying efforts convinced Beth Israel Deaconess Medical Center in Boston to abandon the use of race in GFR in 2017. The students zeroed in on race-adjusted estimated GFR, he says, in part because it seemed to be systematically correcting Black patients to a healthier level in a way that might be less protective.[pullquote size=\"medium\" align=\"right\" citation=\"Dr. Leo Eisenstein, NYU and Bellvue hospitals medical resident\"]‘From our social science and genetics faculty, we were getting a message loud and clear: Race is a social construct, and it’s not a reliable proxy for genetic difference.’[/pullquote]\u003c/p>\n\u003cp>Since then, Eisenstein and some of his former classmates have advised medical students at other universities who are seeking to convince their institutions to abandon race-based GFR as well. This summer, the \u003ca href=\"https://medicine.uw.edu/news/uw-medicine-exclude-race-calculation-egfr-measure-kidney-function\">University of Washington\u003c/a> health system and \u003ca href=\"https://news.vumc.org/2020/07/13/groups-efforts-lead-to-removal-of-race-as-a-variable-in-common-test-of-kidney-function/\">Vanderbilt University Medical Center\u003c/a> also dropped race from their estimated GFR equations after students teamed up with faculty to examine the strength of the evidence behind the use of race adjustments.\u003c/p>\n\u003cp>Eisenstein says for younger generations of medical students who see the world with a racial justice lens, the issue was clear — the race correction had to go.\u003c/p>\n\u003cp>“We’re possibly perpetuating or worsening racial health disparities without anyone intending to do so,” says Eisenstein.\u003c/p>\n\u003ch3>Seeking a new standard\u003c/h3>\n\u003cp>In August, the National Kidney Foundation and the American Society of Nephrology \u003ca href=\"https://www.kidney.org/newsletter/nkf-and-asn-form-joint-task-force-to-focus-use-race-egfr\">formed a task force\u003c/a> to debate the pros and cons of using race in estimated GFR. The group is expected to issue its interim recommendations in \u003ca href=\"https://www.kidney.org/news/public-forums-announced-to-provide-input-to-joint-task-force-to-reassess-inclusion-race\">January 2021\u003c/a>. Powe is co-chair of the panel; Mendu is on it as well. Both agree that if doctors do continue to use race-adjusted GFR, they need to be transparent with Black patients about it and they should not rely on GFR alone to make decisions about patient care.\u003c/p>\n\u003cp>Another member of the panel, Dr. \u003ca href=\"https://www.tuftsmedicalcenter.org/physiciandirectory/lesley-inker\">Lesley Inker\u003c/a>, is a kidney specialist at Tufts University who helped develop the revised 2009 GFR algorithm that includes a race correction. She too thinks that the reasons behind the observed differences in GFR values for Black and white patients are not well understood and that the use of race in such calculations has limitations.\u003c/p>\n\u003cp>“I think it’s appropriate these questions keep getting asked,” she says.[aside postID=\"news_11842376,news_11852147,news_11826872\" label=\"Related Coverage\"]\u003c/p>\n\u003cp>But Inker warns that moving to abandon the use of race in GFR too quickly could have widespread unintended consequences and could potentially lead to less care for Black patients.\u003c/p>\n\u003cp>Without the race correction, Inker says, Black patients’ kidney function might look worse than it actually is. For patients with other medical conditions, she says that could mean less access to treatments, clinical trials and medications that they would otherwise have qualified for. For example, metformin is the first drug of choice to treat diabetes in patients with chronic kidney disease, but those with a GFR of 30 or below cannot use the drug, which means they might have to turn to other medications with more side effects.\u003c/p>\n\u003cp>Powe notes that it could even affect Black patients’ ability to secure life insurance.\u003c/p>\n\u003cp>Powe says he sees why the use of race to estimate GFR is problematic, but when the data show actual racial and ethnic differences in kidney function, he asks, “Do we just ignore them?”\u003c/p>\n\u003cp>“There’s benefits and disadvantages on both sides,” Inker says. Her research group is working on a more precise formula to calculate GFR without the use of demographics, and it’s analyzing how eliminating the race correction could affect patients.\u003c/p>\n\u003cp>Ultimately, Inker says, doctors should be asking, “What’s the best outcome for each individual patient?”\u003c/p>\n\u003cp>Everyone interviewed for this story agrees that an ideal solution would be to use another biomarker to measure kidney function that does not rely on race. But Powe worries that doctors will start dropping race-corrected estimated GFR before the broader kidney specialist community agrees on what that biomarker should be. “We want to have a standardized approach so that we don’t have chaos in the medical community,” Powe says.\u003c/p>\n\u003cp>Meanwhile, the use of race in other clinical diagnostic tools has come to the attention of lawmakers. In September, the House Ways and Means Committee \u003ca href=\"https://waysandmeans.house.gov/media-center/press-releases/ways-and-means-committee-issues-request-information-misuse-race-within\">asked medical professional associations\u003c/a> to reexamine the use — and misuse — of race in clinical care.\u003c/p>\n\u003cp>Their inquiry was prompted in part by \u003ca href=\"https://www.nejm.org/doi/10.1056/NEJMms2004740\">an article published\u003c/a> this summer in the New England Journal of Medicine — co-authored by Eisenstein — that analyzed 13 clinical algorithms that incorporate a patient’s race in various specialties, from kidney medicine to pulmonology, obstetrics, urology and cardiology.\u003c/p>\n\u003cp>All of the examples cited had the potential to affect the quality of care that people of color receive — for example, by underestimating the risks of heart failure in hospitalized Black patients or by steering more pregnant women of color toward cesarean sections if they’d had one in the past.\u003c/p>\n\u003cp>“That’s perverse. The minorities are the ones who have the worst health outcomes,” says Dr. \u003ca href=\"https://histsci.fas.harvard.edu/people/david-s-jones\">David Jones\u003c/a>, a physician and medical historian at Harvard and a co-author of the NEJM article.\u003c/p>\n\u003cp>[ad floatright]\u003c/p>\n\u003cp>Jones stresses that he and others aren’t calling for medicine to abandon the collection of race data altogether, because it’s necessary in order to understand the racial health disparities that exist in the United States. Instead he says: “We’re calling to take a really close look at predictive uses of race, especially ones that exaggerate or accentuate health disparities.”\u003c/p>\n\n",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>As the U.S. grapples with the effects of systemic racism, some in the medical community are questioning whether the tools they use to assess patient health may be contributing to racial health disparities.\u003c/p>\n\u003cp>That debate is playing out most prominently in the world of kidney medicine. Black people are \u003ca href=\"https://www.kidney.org/atoz/content/minorities-KD\">almost four times\u003c/a> more likely to suffer from kidney failure than non-Hispanic whites. And once they get to that stage, Black patients \u003ca href=\"https://pubmed.ncbi.nlm.nih.gov/27555121/\">spend months longer waiting\u003c/a> for a kidney transplant than white patients.\u003c/p>\n\u003cp>For those who are in need of a kidney doctor, visit a site like \u003ca href=\"http://www.thekidneydocs.com/\">http://www.thekidneydocs.com/\u003c/a> to schedule a consultation today.\u003c/p>\n\u003cp>Now, some doctors are asking whether a diagnostic formula most commonly used to assess the health of patients with chronic kidney disease may be unintentionally contributing to those poor outcomes — and reinforcing racist thinking.\u003c/p>\n\u003cp>The tool in question is a formula used to estimate GFR, or glomerular filtration rate. It’s a measure of how fast a person’s kidneys filter blood. Lower kidney filtration rates suggest worse kidney function.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>The gold standard for measuring GFR is a burdensome process that involves urine collection over a 24-hour period as well as a blood sample. So instead, doctors and labs routinely estimate kidney function by measuring blood levels of creatinine, a waste product filtered by the kidneys, and then doing a calculation that also factors in the patient’s age and sex.\u003c/p>\n\u003cp>But if a patient is African American, the person’s race also plays into this calculation. Doctors and labs will routinely apply what’s called a “race correction” or “race adjustment” to their estimated GFR number so that Black patients with chronic kidney disease end up with higher values.\u003c/p>\n\u003cp>Critics say the practice is based on flawed scientific assumptions tinged with racism. And because higher filtration rates suggest better kidney function, critics argue that correcting for race may delay critical referrals to specialists, potentially leading to worse outcomes.\u003c/p>\n\u003cp>“Why are we on the side of overestimating [filtration rates] if it could result in Black patients getting less care, to put it bluntly?” says Dr. \u003ca href=\"https://physiciandirectory.brighamandwomens.org/details/12608/mallika-mendu-internal_medicine-renal_kidney_disease-boston\">Mallika Mendu\u003c/a>, a kidney specialist and executive director for critical care at Brigham and Women’s Hospital in Boston.\u003c/p>\n\u003cp>In fact, this June, Mendu’s hospital system, Mass General Brigham, became one of a growing number of medical institutions in the U.S. to abandon the use of race in estimating GFR, amid a movement driven by medical students.\u003c/p>\n\u003cp>But other kidney specialists argue that while the use of race in kidney medicine is flawed, the rush to abandon it might cause more harm than it cures.\u003c/p>\n\u003ch3>Is the use of race exacerbating disparities?\u003c/h3>\n\u003cp>Mendu co-authored a \u003ca href=\"https://link.springer.com/article/10.1007/s11606-020-06280-5\">study published this fall\u003c/a> that found that if the race correction were removed, up to one out of every three Black patients would be reclassified as having a more severe stage of chronic kidney disease. And up to one-quarter of Black patients would have been reclassified from stage 3 to stage 4 of the disease — the final stage before kidney failure, which can trigger more advanced care.\u003c/p>\n\u003cp>The findings suggest “there is real potential for exacerbating disparities” when a race correction is applied, Mendu says.\u003c/p>\n\u003cp>To conduct the study, the researchers turned to a registry of more than 56,000 patients with chronic kidney disease created by the Mass General Brigham hospital network. Of those, 2,225 self-identified as African American. The researchers then recalibrated the Black patients’ estimated GFR values to see what they would be without the race correction.\u003c/p>\n\u003cp>Mendu says perhaps the most striking finding was that when the race correction was removed, 64 Black patients had a kidney filtration rate lower than 20 — the threshold at which patients are referred for a kidney transplant. But Mendu says records showed that none of those 64 patients had actually been referred or evaluated for a transplant, because with the race correction applied, their GFR values were hovering above that threshold.\u003c/p>\u003c/div>",
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"content": "‘The suggestion that Black people and only Black people are different than every other human on the planet is just ludicrous.’",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>That’s a really big deal, she says, because that means those patients lost critical time on the waiting list for a new kidney.\u003c/p>\n\u003cp>“The more time you spend on a waitlist, if you’re waiting for a kidney, the more likely you are to get a kidney,” Mendu says.\u003c/p>\n\u003cp>Given these existing disparities, Mendu says, kidney specialists should rethink the use of the race correction.\u003c/p>\n\u003cp>Dr. \u003ca href=\"https://profiles.ucsf.edu/neil.powe\">Neil Powe\u003c/a>, a kidney specialist at UCSF, is among those who caution against abandoning race in estimating GFR too quickly. He points out that racial disparities in outcomes for patients with chronic kidney disease existed long before the use of race to calculate kidney function became widespread two decades ago. And in the study from Mendu and her colleagues, he notes that 80% of the Black patients who did have an estimated GFR of 20 or lower with the race correction were not referred for a kidney transplant, either.\u003c/p>\n\u003cp>Powe says that this suggests the race-based equations “are a smaller part of what’s causing disparities in African Americans getting waitlisted [for a kidney transplant]. And those other things that cause disparities could be racism as well.”\u003c/p>\n\u003ch3>First, do no harm\u003c/h3>\n\u003cp>The use of race-adjusted algorithms to estimate kidney filtration rates dates back to 1999. It was \u003ca href=\"https://www.acpjournals.org/doi/10.7326/0003-4819-130-6-199903160-00002\">based on a study\u003c/a> that included 1,304 white people and 197 Black people. The researchers found that, on average, Black people in the study had higher kidney filtration rates than white people at the same blood creatinine concentrations, suggesting that the formula then used to estimate GFR was underestimating kidney function in Black people. So the authors introduced a race correction to the formula that better fit the data.\u003c/p>\n\u003cp>\u003ca href=\"https://www.acpjournals.org/doi/10.7326/0003-4819-150-9-200905050-00006\">Another much larger study, published in 2009\u003c/a>, revised the equation used to estimate GFR but also found that it more accurately reflected measured GFR when it adjusted values for Black patients.\u003c/p>\n\u003cp>Dr. \u003ca href=\"https://profiles.ucsf.edu/vanessa.grubbs\">Vanessa Grubbs\u003c/a>, a kidney specialist at UCSF and a longtime critic of using a race-adjusted GFR, says the originators of race adjustments in GFR algorithms were unable to explain why Black people might produce and clear creatinine from their bodies differently than white people do.\u003c/p>\n\u003cp>“The suggestion that Black people and only Black people are different than every other human on the planet is just ludicrous,” she says.\u003c/p>\n\u003cp>One explanation that is often cited is muscle mass, since creatinine is a breakdown product of muscles. In the 1999 study, the authors observed that three previous studies had found Black people on average have greater muscle mass than white people. But as Grubbs noted \u003ca href=\"https://cjasn.asnjournals.org/content/15/8/1201.long\">in a recent paper\u003c/a>, those studies, now decades old, were small and did not measure muscle mass directly. Yet the use of race as a proxy for muscle mass reinforces the notion that “black bodies are biologically different than white ones,” she wrote.\u003c/p>\n\u003cp>Mendu notes that in the 2009 study, the majority of all patients — not just Black ones — had a sizable difference between their measured and estimated GFRs, suggesting that GFR is an imprecise variable.\u003c/p>\n\u003cp>And she says that race itself is a poor marker of biological difference. “We know that there is more diversity within Black patients than there is genetic diversity between a Black person and a white person,” she says. “To say that somebody being Black is somehow a monolithic thing when it comes to genetics, when it comes to ancestry, I think is challenging.”\u003c/p>\n\u003cp>How, she asks, would you apply the race adjustment to someone biracial, like former President Barack Obama?\u003c/p>\n\u003ch3>A movement for change\u003c/h3>\n\u003cp>The debate in kidney medicine comes amid a broader examination of the use of race in clinical diagnostics in the medical community. That reckoning has been brought about in large part by medical students at institutions across the country who have questioned the scientific evidence justifying the use of race in diagnostic formulas and whether that might be perpetuating inequalities.\u003c/p>\n\u003cp>“From our social science and genetics faculty, we were getting a message loud and clear: Race is a social construct, and it’s not a reliable proxy for genetic difference. And then, on the other hand, our clinical faculty were turning around and teaching us that race is being used as a proxy for genetic difference every day in clinical medicine,” says Dr. Leo Eisenstein, a second-year medical resident at New York University and Bellevue hospitals.\u003c/p>\n\u003cp>As a medical student at Harvard University, Eisenstein was part of a coalition of students whose research and lobbying efforts convinced Beth Israel Deaconess Medical Center in Boston to abandon the use of race in GFR in 2017. The students zeroed in on race-adjusted estimated GFR, he says, in part because it seemed to be systematically correcting Black patients to a healthier level in a way that might be less protective.\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>Since then, Eisenstein and some of his former classmates have advised medical students at other universities who are seeking to convince their institutions to abandon race-based GFR as well. This summer, the \u003ca href=\"https://medicine.uw.edu/news/uw-medicine-exclude-race-calculation-egfr-measure-kidney-function\">University of Washington\u003c/a> health system and \u003ca href=\"https://news.vumc.org/2020/07/13/groups-efforts-lead-to-removal-of-race-as-a-variable-in-common-test-of-kidney-function/\">Vanderbilt University Medical Center\u003c/a> also dropped race from their estimated GFR equations after students teamed up with faculty to examine the strength of the evidence behind the use of race adjustments.\u003c/p>\n\u003cp>Eisenstein says for younger generations of medical students who see the world with a racial justice lens, the issue was clear — the race correction had to go.\u003c/p>\n\u003cp>“We’re possibly perpetuating or worsening racial health disparities without anyone intending to do so,” says Eisenstein.\u003c/p>\n\u003ch3>Seeking a new standard\u003c/h3>\n\u003cp>In August, the National Kidney Foundation and the American Society of Nephrology \u003ca href=\"https://www.kidney.org/newsletter/nkf-and-asn-form-joint-task-force-to-focus-use-race-egfr\">formed a task force\u003c/a> to debate the pros and cons of using race in estimated GFR. The group is expected to issue its interim recommendations in \u003ca href=\"https://www.kidney.org/news/public-forums-announced-to-provide-input-to-joint-task-force-to-reassess-inclusion-race\">January 2021\u003c/a>. Powe is co-chair of the panel; Mendu is on it as well. Both agree that if doctors do continue to use race-adjusted GFR, they need to be transparent with Black patients about it and they should not rely on GFR alone to make decisions about patient care.\u003c/p>\n\u003cp>Another member of the panel, Dr. \u003ca href=\"https://www.tuftsmedicalcenter.org/physiciandirectory/lesley-inker\">Lesley Inker\u003c/a>, is a kidney specialist at Tufts University who helped develop the revised 2009 GFR algorithm that includes a race correction. She too thinks that the reasons behind the observed differences in GFR values for Black and white patients are not well understood and that the use of race in such calculations has limitations.\u003c/p>\n\u003cp>“I think it’s appropriate these questions keep getting asked,” she says.\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>But Inker warns that moving to abandon the use of race in GFR too quickly could have widespread unintended consequences and could potentially lead to less care for Black patients.\u003c/p>\n\u003cp>Without the race correction, Inker says, Black patients’ kidney function might look worse than it actually is. For patients with other medical conditions, she says that could mean less access to treatments, clinical trials and medications that they would otherwise have qualified for. For example, metformin is the first drug of choice to treat diabetes in patients with chronic kidney disease, but those with a GFR of 30 or below cannot use the drug, which means they might have to turn to other medications with more side effects.\u003c/p>\n\u003cp>Powe notes that it could even affect Black patients’ ability to secure life insurance.\u003c/p>\n\u003cp>Powe says he sees why the use of race to estimate GFR is problematic, but when the data show actual racial and ethnic differences in kidney function, he asks, “Do we just ignore them?”\u003c/p>\n\u003cp>“There’s benefits and disadvantages on both sides,” Inker says. Her research group is working on a more precise formula to calculate GFR without the use of demographics, and it’s analyzing how eliminating the race correction could affect patients.\u003c/p>\n\u003cp>Ultimately, Inker says, doctors should be asking, “What’s the best outcome for each individual patient?”\u003c/p>\n\u003cp>Everyone interviewed for this story agrees that an ideal solution would be to use another biomarker to measure kidney function that does not rely on race. But Powe worries that doctors will start dropping race-corrected estimated GFR before the broader kidney specialist community agrees on what that biomarker should be. “We want to have a standardized approach so that we don’t have chaos in the medical community,” Powe says.\u003c/p>\n\u003cp>Meanwhile, the use of race in other clinical diagnostic tools has come to the attention of lawmakers. In September, the House Ways and Means Committee \u003ca href=\"https://waysandmeans.house.gov/media-center/press-releases/ways-and-means-committee-issues-request-information-misuse-race-within\">asked medical professional associations\u003c/a> to reexamine the use — and misuse — of race in clinical care.\u003c/p>\n\u003cp>Their inquiry was prompted in part by \u003ca href=\"https://www.nejm.org/doi/10.1056/NEJMms2004740\">an article published\u003c/a> this summer in the New England Journal of Medicine — co-authored by Eisenstein — that analyzed 13 clinical algorithms that incorporate a patient’s race in various specialties, from kidney medicine to pulmonology, obstetrics, urology and cardiology.\u003c/p>\n\u003cp>All of the examples cited had the potential to affect the quality of care that people of color receive — for example, by underestimating the risks of heart failure in hospitalized Black patients or by steering more pregnant women of color toward cesarean sections if they’d had one in the past.\u003c/p>\n\u003cp>“That’s perverse. The minorities are the ones who have the worst health outcomes,” says Dr. \u003ca href=\"https://histsci.fas.harvard.edu/people/david-s-jones\">David Jones\u003c/a>, a physician and medical historian at Harvard and a co-author of the NEJM article.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>Jones stresses that he and others aren’t calling for medicine to abandon the collection of race data altogether, because it’s necessary in order to understand the racial health disparities that exist in the United States. Instead he says: “We’re calling to take a really close look at predictive uses of race, especially ones that exaggerate or accentuate health disparities.”\u003c/p>\n\n\u003c/div>\u003c/p>",
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"content": "\u003cp>Telemetry nurses in California normally take care of four patients at once. But after the state relaxed California’s unique nurse-to-patient ratios in mid-December, Nerissa Black has to keep track of six.\u003c/p>\n\u003cp>And those six patients are really sick: They all need constant electronic monitoring and many of them are being treated simultaneously for a stroke and COVID-19, or a heart attack and COVID-19. Black says she’s worried she’ll miss something or make a mistake.\u003c/p>\n\u003cp>“We are given 50% more patients and we’re expected to do 50% more things with the same amount of time,” says Black, who has worked at the Henry Mayo Newhall Hospital in Valencia, California for the last seven years. “I go home and I feel like I could have done more. I don’t feel like I’m giving the care to my patients like a human being deserves.”[pullquote align=\"right\" size=\"medium\" citation=\"Nerissa Black, telemetry nurse\"]‘We are given 50% more patients and we’re expected to do 50% more things with the same amount of time’[/pullquote]As COVID-19 patients continue to flood California emergency rooms, hospitals are increasingly desperate to find enough staff to care for all of them. Now the state is asking nurses to take care of more patients at once than they normally would, watering down their union’s most sacrosanct job protection: a nurse-to-patient ratio law that exists only in California.\u003c/p>\n\u003cp>“We need to temporarily — very short-term, temporarily — look a little bit differently in terms of our staffing needs,” said Gov. Gavin Newsom on Dec. 11, after quietly allowing hospitals to shift their nurse-to-patient ratios without first getting approval from the state.\u003c/p>\n\u003cp>Since then, 170 hospitals, mainly in Southern California, have been operating under the new pandemic ratios: ICU nurses can now care for three patients instead of two. Emergency room and telemetry nurses can now care for six patients instead of four. Medical-surgical nurses are looking after seven patients instead of five.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>Nurses have taken to the streets in protest, holding socially distant demonstrations across the state, shouting and carrying posters that read “Ratios Save Lives.” The union — the California Nurses Association — says the staffing shortage is a result of bad hospital management: It accuses hospitals of putting profits over preparing for a surge by laying off nurses over the summer, then not hiring or training enough for the winter.\u003c/p>\n\u003cp>“It seems hospitals have been more reactive than proactive in their staffing,” Black said.\u003c/p>\n\u003cp>But hospitals say this is an unprecedented pandemic that has spiraled beyond their control. Now, in the current surge, four times as many Californians are testing positive for the coronavirus as did during the summer peak. Up to 7,000 new coronavirus patients could soon be coming to California hospitals every day, according to Carmela Coyle, president and CEO of the California Hospital Association.\u003c/p>\n\u003cp>“This is catastrophic and we cannot dodge this math,” Coyle said. “We are simply out of nurses, out of doctors, out of respiratory therapists.”\u003c/p>\n\u003cfigure id=\"attachment_11852718\" class=\"wp-caption aligncenter\" style=\"max-width: 1920px\">\u003ca href=\"https://ww2.kqed.org/app/uploads/sites/10/2020/12/IMG_20201213_131326961.jpg\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-11852718\" src=\"https://ww2.kqed.org/app/uploads/sites/10/2020/12/IMG_20201213_131326961.jpg\" alt=\"\" width=\"1920\" height=\"1440\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2020/12/IMG_20201213_131326961.jpg 1920w, https://cdn.kqed.org/wp-content/uploads/sites/10/2020/12/IMG_20201213_131326961-800x600.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2020/12/IMG_20201213_131326961-1020x765.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2020/12/IMG_20201213_131326961-160x120.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2020/12/IMG_20201213_131326961-1536x1152.jpg 1536w, https://cdn.kqed.org/wp-content/uploads/sites/10/2020/12/IMG_20201213_131326961-1832x1374.jpg 1832w, https://cdn.kqed.org/wp-content/uploads/sites/10/2020/12/IMG_20201213_131326961-1376x1032.jpg 1376w, https://cdn.kqed.org/wp-content/uploads/sites/10/2020/12/IMG_20201213_131326961-1044x783.jpg 1044w, https://cdn.kqed.org/wp-content/uploads/sites/10/2020/12/IMG_20201213_131326961-632x474.jpg 632w, https://cdn.kqed.org/wp-content/uploads/sites/10/2020/12/IMG_20201213_131326961-536x402.jpg 536w\" sizes=\"(max-width: 1920px) 100vw, 1920px\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">Nerissa Black, a telemetry nurse at Henry Mayo Newhall Hospital in Valencia, California on December 13, 2020. ‘As you can see,’ she said, ‘that’s a lot of PPE that we’re donning and doffing in between each patient. It takes time to remove them safely (so we don’t contaminate ourselves), and then put a new set for the next patient.’ \u003ccite>(Courtesy of Nerissa Black)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>The state has asked the federal government to send additional staff, including 200 medical personnel from the U.S. Department of Defense. It’s also tried to revive the California Health Corps, an initiative to recruit retired health workers to come back to work, but that has yielded few people with the qualifications needed to care for COVID-19 patients.\u003c/p>\n\u003cp>And hiring contract nurses from temporary staffing agencies or other states is all but impossible, Coyle says.\u003c/p>\n\u003cp>“Because California surged early during the summer and other parts of the United States then surged afterwards,” she said, “those travel nurses are taken.”\u003c/p>\n\u003cp>The next step for hospitals is to try team nursing, Coyle says, which entails pulling nurses from other departments, like the operating room, for example, and partnering them with experienced critical care nurses to help care for COVID-19 patients.\u003c/p>\n\u003cp>Joanne Spetz, an economics professor and expert in health care workforce issues at UCSF, says hospitals should have started training nurses for team care over the summer in anticipation of a winter surge, but they didn’t, either because of costs – hospitals lost a lot of revenue from canceled elective surgeries that could have paid for training – or because of excessive optimism.\u003c/p>\n\u003cp>[aside label=\"related coverage\" tag=\"icu-capacity\"]“California was doing so well,” she said. “It was easy for all of us to believe that we kind of got it under control, and I think there was a lot of belief that we would be able to maintain that.”\u003c/p>\n\u003cp>The nurses union has reason to be defensive of the patient ratio law, Spetz says. It took 10 years before it was passed by the Legislature in 1999, then several more to get through multiple court challenges, including one from then-Gov. Arnold Schwarzenegger.\u003c/p>\n\u003cp>“\u003cspan style=\"font-weight: 400\">I’m always kicking their butt, that’s why they don’t like me\u003c/span>,” Schwarzenegger famously said of nurses, drawing broad ire from the union and its allies.\u003c/p>\n\u003cp>Nurses prevailed, in both the court of public opinion and the law, and the ratios took effect in 2004. But the long battle has made the union fiercely protective of its win. It’s even accused hospitals of “disaster capitalism;” using the pandemic to try to roll back ratios for good. Hospitals deny this and Spetz says it’s unlikely.\u003c/p>\n\u003cp>The public can see that nurses are overworked and burned out by the pandemic, she says, so there would be little support for cutting back their job protections once it’s over.\u003c/p>\n\u003cp>[ad floatright]\u003c/p>\n\u003cp>“To go in and say, ‘Oh, you clearly did so well without ratios when we let you waive them, so let’s just eliminate them entirely,’ I think would be just adding insult to moral injury to nurses,” Spetz said.\u003c/p>\n\n",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>Telemetry nurses in California normally take care of four patients at once. But after the state relaxed California’s unique nurse-to-patient ratios in mid-December, Nerissa Black has to keep track of six.\u003c/p>\n\u003cp>And those six patients are really sick: They all need constant electronic monitoring and many of them are being treated simultaneously for a stroke and COVID-19, or a heart attack and COVID-19. Black says she’s worried she’ll miss something or make a mistake.\u003c/p>\n\u003cp>“We are given 50% more patients and we’re expected to do 50% more things with the same amount of time,” says Black, who has worked at the Henry Mayo Newhall Hospital in Valencia, California for the last seven years. “I go home and I feel like I could have done more. I don’t feel like I’m giving the care to my patients like a human being deserves.”\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>As COVID-19 patients continue to flood California emergency rooms, hospitals are increasingly desperate to find enough staff to care for all of them. Now the state is asking nurses to take care of more patients at once than they normally would, watering down their union’s most sacrosanct job protection: a nurse-to-patient ratio law that exists only in California.\u003c/p>\n\u003cp>“We need to temporarily — very short-term, temporarily — look a little bit differently in terms of our staffing needs,” said Gov. Gavin Newsom on Dec. 11, after quietly allowing hospitals to shift their nurse-to-patient ratios without first getting approval from the state.\u003c/p>\n\u003cp>Since then, 170 hospitals, mainly in Southern California, have been operating under the new pandemic ratios: ICU nurses can now care for three patients instead of two. Emergency room and telemetry nurses can now care for six patients instead of four. Medical-surgical nurses are looking after seven patients instead of five.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>Nurses have taken to the streets in protest, holding socially distant demonstrations across the state, shouting and carrying posters that read “Ratios Save Lives.” The union — the California Nurses Association — says the staffing shortage is a result of bad hospital management: It accuses hospitals of putting profits over preparing for a surge by laying off nurses over the summer, then not hiring or training enough for the winter.\u003c/p>\n\u003cp>“It seems hospitals have been more reactive than proactive in their staffing,” Black said.\u003c/p>\n\u003cp>But hospitals say this is an unprecedented pandemic that has spiraled beyond their control. Now, in the current surge, four times as many Californians are testing positive for the coronavirus as did during the summer peak. Up to 7,000 new coronavirus patients could soon be coming to California hospitals every day, according to Carmela Coyle, president and CEO of the California Hospital Association.\u003c/p>\n\u003cp>“This is catastrophic and we cannot dodge this math,” Coyle said. “We are simply out of nurses, out of doctors, out of respiratory therapists.”\u003c/p>\n\u003cfigure id=\"attachment_11852718\" class=\"wp-caption aligncenter\" style=\"max-width: 1920px\">\u003ca href=\"https://ww2.kqed.org/app/uploads/sites/10/2020/12/IMG_20201213_131326961.jpg\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-11852718\" src=\"https://ww2.kqed.org/app/uploads/sites/10/2020/12/IMG_20201213_131326961.jpg\" alt=\"\" width=\"1920\" height=\"1440\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2020/12/IMG_20201213_131326961.jpg 1920w, https://cdn.kqed.org/wp-content/uploads/sites/10/2020/12/IMG_20201213_131326961-800x600.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2020/12/IMG_20201213_131326961-1020x765.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2020/12/IMG_20201213_131326961-160x120.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2020/12/IMG_20201213_131326961-1536x1152.jpg 1536w, https://cdn.kqed.org/wp-content/uploads/sites/10/2020/12/IMG_20201213_131326961-1832x1374.jpg 1832w, https://cdn.kqed.org/wp-content/uploads/sites/10/2020/12/IMG_20201213_131326961-1376x1032.jpg 1376w, https://cdn.kqed.org/wp-content/uploads/sites/10/2020/12/IMG_20201213_131326961-1044x783.jpg 1044w, https://cdn.kqed.org/wp-content/uploads/sites/10/2020/12/IMG_20201213_131326961-632x474.jpg 632w, https://cdn.kqed.org/wp-content/uploads/sites/10/2020/12/IMG_20201213_131326961-536x402.jpg 536w\" sizes=\"(max-width: 1920px) 100vw, 1920px\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">Nerissa Black, a telemetry nurse at Henry Mayo Newhall Hospital in Valencia, California on December 13, 2020. ‘As you can see,’ she said, ‘that’s a lot of PPE that we’re donning and doffing in between each patient. It takes time to remove them safely (so we don’t contaminate ourselves), and then put a new set for the next patient.’ \u003ccite>(Courtesy of Nerissa Black)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>The state has asked the federal government to send additional staff, including 200 medical personnel from the U.S. Department of Defense. It’s also tried to revive the California Health Corps, an initiative to recruit retired health workers to come back to work, but that has yielded few people with the qualifications needed to care for COVID-19 patients.\u003c/p>\n\u003cp>And hiring contract nurses from temporary staffing agencies or other states is all but impossible, Coyle says.\u003c/p>\n\u003cp>“Because California surged early during the summer and other parts of the United States then surged afterwards,” she said, “those travel nurses are taken.”\u003c/p>\n\u003cp>The next step for hospitals is to try team nursing, Coyle says, which entails pulling nurses from other departments, like the operating room, for example, and partnering them with experienced critical care nurses to help care for COVID-19 patients.\u003c/p>\n\u003cp>Joanne Spetz, an economics professor and expert in health care workforce issues at UCSF, says hospitals should have started training nurses for team care over the summer in anticipation of a winter surge, but they didn’t, either because of costs – hospitals lost a lot of revenue from canceled elective surgeries that could have paid for training – or because of excessive optimism.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>“California was doing so well,” she said. “It was easy for all of us to believe that we kind of got it under control, and I think there was a lot of belief that we would be able to maintain that.”\u003c/p>\n\u003cp>The nurses union has reason to be defensive of the patient ratio law, Spetz says. It took 10 years before it was passed by the Legislature in 1999, then several more to get through multiple court challenges, including one from then-Gov. Arnold Schwarzenegger.\u003c/p>\n\u003cp>“\u003cspan style=\"font-weight: 400\">I’m always kicking their butt, that’s why they don’t like me\u003c/span>,” Schwarzenegger famously said of nurses, drawing broad ire from the union and its allies.\u003c/p>\n\u003cp>Nurses prevailed, in both the court of public opinion and the law, and the ratios took effect in 2004. But the long battle has made the union fiercely protective of its win. It’s even accused hospitals of “disaster capitalism;” using the pandemic to try to roll back ratios for good. Hospitals deny this and Spetz says it’s unlikely.\u003c/p>\n\u003cp>The public can see that nurses are overworked and burned out by the pandemic, she says, so there would be little support for cutting back their job protections once it’s over.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>“To go in and say, ‘Oh, you clearly did so well without ratios when we let you waive them, so let’s just eliminate them entirely,’ I think would be just adding insult to moral injury to nurses,” Spetz said.\u003c/p>\n\n\u003c/div>\u003c/p>",
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"info": "Our flagship program, helmed by Kai Ryssdal, examines what the day in money delivered, through stories, conversations, newsworthy numbers and more. Updated Monday through Friday at about 3:30 p.m. PT.",
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"info": "The MindShift podcast explores the innovations in education that are shaping how kids learn. Hosts Ki Sung and Katrina Schwartz introduce listeners to educators, researchers, parents and students who are developing effective ways to improve how kids learn. We cover topics like how fed-up administrators are developing surprising tactics to deal with classroom disruptions; how listening to podcasts are helping kids develop reading skills; the consequences of overparenting; and why interdisciplinary learning can engage students on all ends of the traditional achievement spectrum. This podcast is part of the MindShift education site, a division of KQED News. KQED is an NPR/PBS member station based in San Francisco. You can also visit the MindShift website for episodes and supplemental blog posts or tweet us \u003ca href=\"https://twitter.com/MindShiftKQED\">@MindShiftKQED\u003c/a> or visit us at \u003ca href=\"/mindshift\">MindShift.KQED.org\u003c/a>",
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"info": "For decades, the process for how police police themselves has been inconsistent – if not opaque. In some states, like California, these proceedings were completely hidden. After a new police transparency law unsealed scores of internal affairs files, our reporters set out to examine these cases and the shadow world of police discipline. On Our Watch brings listeners into the rooms where officers are questioned and witnesses are interrogated to find out who this system is really protecting. Is it the officers, or the public they've sworn to serve?",
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"info": "Our weekly podcast explores how the media 'sausage' is made, casts an incisive eye on fluctuations in the marketplace of ideas, and examines threats to the freedom of information and expression in America and abroad. For one hour a week, the show tries to lift the veil from the process of \"making media,\" especially news media, because it's through that lens that we see the world and the world sees us",
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"tagline": "Politics from a personal perspective",
"info": "Political Breakdown is a new series that explores the political intersection of California and the nation. Each week hosts Scott Shafer and Marisa Lagos are joined with a new special guest to unpack politics -- with personality — and offer an insider’s glimpse at how politics happens.",
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"possible": {
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"info": "Possible is hosted by entrepreneur Reid Hoffman and writer Aria Finger. Together in Possible, Hoffman and Finger lead enlightening discussions about building a brighter collective future. The show features interviews with visionary guests like Trevor Noah, Sam Altman and Janette Sadik-Khan. Possible paints an optimistic portrait of the world we can create through science, policy, business, art and our shared humanity. It asks: What if everything goes right for once? How can we get there? Each episode also includes a short fiction story generated by advanced AI GPT-4, serving as a thought-provoking springboard to speculate how humanity could leverage technology for good.",
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"pri-the-world": {
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"info": "Each weekday, host Marco Werman and his team of producers bring you the world's most interesting stories in an hour of radio that reminds us just how small our planet really is.",
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"imageSrc": "https://cdn.kqed.org/wp-content/uploads/2024/04/The-World-Podcast-Tile-360x360-1.jpg",
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},
"radiolab": {
"id": "radiolab",
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"info": "A two-time Peabody Award-winner, Radiolab is an investigation told through sounds and stories, and centered around one big idea. In the Radiolab world, information sounds like music and science and culture collide. Hosted by Jad Abumrad and Robert Krulwich, the show is designed for listeners who demand skepticism, but appreciate wonder. WNYC Studios is the producer of other leading podcasts including Freakonomics Radio, Death, Sex & Money, On the Media and many more.",
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"reveal": {
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"info": "Created by The Center for Investigative Reporting and PRX, Reveal is public radios first one-hour weekly radio show and podcast dedicated to investigative reporting. Credible, fact based and without a partisan agenda, Reveal combines the power and artistry of driveway moment storytelling with data-rich reporting on critically important issues. The result is stories that inform and inspire, arming our listeners with information to right injustices, hold the powerful accountable and improve lives.Reveal is hosted by Al Letson and showcases the award-winning work of CIR and newsrooms large and small across the nation. In a radio and podcast market crowded with choices, Reveal focuses on important and often surprising stories that illuminate the world for our listeners.",
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"officialWebsiteLink": "https://www.revealnews.org/episodes/",
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},
"rightnowish": {
"id": "rightnowish",
"title": "Rightnowish",
"tagline": "Art is where you find it",
"info": "Rightnowish digs into life in the Bay Area right now… ish. Journalist Pendarvis Harshaw takes us to galleries painted on the sides of liquor stores in West Oakland. We'll dance in warehouses in the Bayview, make smoothies with kids in South Berkeley, and listen to classical music in a 1984 Cutlass Supreme in Richmond. Every week, Pen talks to movers and shakers about how the Bay Area shapes what they create, and how they shape the place we call home.",
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"order": 16
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},
"science-friday": {
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