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"content": "\u003cp>While protesters flooded the streets of cities across the country this weekend, community groups set up medical tents and distributed hand sanitizer at the playground of Leola M. Havard Early Education School in San Francisco’s Bayview neighborhood.\u003c/p>\n\u003cp>It was the first two days of COVID-19 testing in San Francisco’s District 10 — which includes parts of the Bayview-Hunters Point and Visitacion Valley neighborhoods — the result of weeks of coordination between community advocates, UCSF doctors and city agencies.\u003c/p>\n\u003cp>The work follows last month’s\u003ca href=\"https://unitedinhealth.org/\"> United in Health\u003c/a> initiative to\u003ca href=\"https://www.kqed.org/news/11813126/a-world-apart-ucsf-offers-free-mass-coronavirus-testing-to-residents-in-bolinas-and-sfs-mission-district\"> test every resident of the Mission District\u003c/a>, part of an effort to better understand how the virus spreads in some of San Francisco’s most vulnerable communities.\u003c/p>\n\u003cp>But no one involved in the new testing program anticipated it would launch in the middle of nationwide protests against police violence following the death of George Floyd, a black man killed by Minneapolis police on May 25, 2020.\u003c/p>\n\u003cp>[pullquote align=\"right\" size=\"medium\" citation=\"Michelle Pierce, executive director of Bayview Hunters Point Community Advocates\"]‘This is how we’re going to get a handle on just how deep the virus is in our community.’[/pullquote]\u003c/p>\n\u003cp>“Resources are being really challenged,” said Monique LeSarre, executive director of the Rafiki Coalition for Health and Wellness. “What COVID-19 has brought to the community is that we are already pressed. And now we’re really pressed.”\u003c/p>\n\u003cp>Despite the unrest, at least 850 people in the neighborhood turned out over the weekend to get tested. UCSF conducted both viral and antibody tests, working with the San Francisco Department of Public Health and other city agencies.\u003c/p>\n\u003cp>“This is how we’re going to get a handle on just how deep the virus is in our community,” said Michelle Pierce, executive director of Bayview Hunters Point Community Advocates, who helped organize the initiative. “And this is how we are going to slow and hopefully stop its progression completely throughout our community.”\u003c/p>\n\u003cp>Testing continues Monday and Tuesday at Herz Playground in Visitacion Valley. Additional testing will also be available for unhoused residents of District 10, as well as the people who assist them. The project is hoping to test a total of about 5,000 neighborhood residents.\u003c/p>\n\u003cp>District 10, home to San Francisco’s largest African American population, is among the lowest-income district’s in the city. It also has some of the\u003ca href=\"https://data.sfgov.org/stories/s/bj8f-r6sy\"> highest reported rates\u003c/a> of COVID-19 citywide, in addition to\u003ca href=\"https://sfenvironment.org/sites/default/files/fliers/files/sfe_ej_sfhh_community_health_status_assessment.pdf\"> disproportionately higher rates\u003c/a> of hospitalizations due to asthma, heart disease, diabetes and breast cancer.\u003c/p>\n\u003cp>“Disparities are not new,” said Dr. Kim Rhoads, professor of epidemiology and director of the Office of Community Engagement at UCSF, who helped implement the Bayview testing effort. “Coronavirus has really ripped the lid off of it.”\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>Rhoads said she thinks this kind of partnership with community organizations is vital to solving some of the biggest public health crises, including cancer, diabetes, asthma — and now, COVID-19. Too often, she says, medical institutions come up with solutions on their own that fall short of meeting the needs of specific communities.\u003c/p>\n\u003cp>“It’s rare that we ask the community, how should we do this?” Rhoads said. “We’ve been doing work on the cancer side for decades. And some of the disparities in terms of survival have gotten worse. It means we’re missing the mark in terms of our intervention.”\u003c/p>\n\u003cp>She added, “If we apply this kind of approach to other types of diseases we’re going to get different outcomes.”\u003c/p>\n\u003cp>The testing program in District 10 has focused on developing new ways that medical institutions can work with disenfranchised communities — one rooted in asking advocates for input and working with community organizers, like Pierce and LeSarre, to build trust and buy-in.\u003c/p>\n\u003cp>Pierce says that kind of engagement and outreach is essential for coronavirus testing to be successful in her community, which she says lacks trust in medical institutions and health experts.\u003c/p>\n\u003cp>“Let’s talk about stuff like medical experimentation during slavery and the Tuskegee syphilis studies and Henrietta Lacks,” Pierce said. That history of racial exploitation influences and shapes how her community interacts with medical institutions, she says, and results in a lack of trust and hesitation to go out, get tested and interact with bureaucracy.\u003c/p>\n\u003cp>[aside label=\"related coverage\" tag=\"coronavirus-testing\"]“It’s a very fraught, very interesting relationship,” Pierce said. To overcome that, “you need community in the lead,” she added. “You need to have them driving the process and you need to stop and listen to them.”\u003c/p>\n\u003cp>Rhoads turned to Pierce and LeSarre for input about where to locate the testing sites and which groups of residents to reach out to. Collectively, they picked the site in Bayview and one in Visitacion Valley, and opened up test screening to anyone who “works, stays, plays or prays” in the area. Pierce and LeSarre have also coordinated dozens of volunteers across the district.\u003c/p>\n\u003cp>Dr. Margot Kushel, a UCSF professor who is coordinating next week’s effort to test unhoused residents in the district, says doing this work against the backdrop of mass protests underscores why it matters now more than ever.\u003c/p>\n\u003cp>“We’ve seen that the toll of racism plays out in the incredibly disproportionate burden of COVID in black communities, Latinx communities and other communities of color in this country,” she said.\u003c/p>\n\u003cp>UCSF said it expects to return viral testing results in a matter of days, with those who test positive given the resources needed to self-isolate. The team plans to conduct extensive contact tracing efforts, too.\u003c/p>\n\u003cp>“There’s no perfect solution for stuff like homelessness or international pandemics,” Pierce, of Bayview Hunters Point Community Advocates, said. “These are really complicated issues. It takes complex, very flexible relationships in order to solve them.”\u003c/p>\n\u003cp>\u003cem>To volunteer or learn more about next weekend’s United in Health Unhoused Initiative, \u003ca href=\"https://www.unitedinhealthunhoused.org/\">click here\u003c/a>\u003c/em>.\u003c/p>\n\u003cp>\u003c/p>\n",
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"content": "\u003cdiv class=\"post-body\">\u003cp>“It’s a very fraught, very interesting relationship,” Pierce said. To overcome that, “you need community in the lead,” she added. “You need to have them driving the process and you need to stop and listen to them.”\u003c/p>\n\u003cp>Rhoads turned to Pierce and LeSarre for input about where to locate the testing sites and which groups of residents to reach out to. Collectively, they picked the site in Bayview and one in Visitacion Valley, and opened up test screening to anyone who “works, stays, plays or prays” in the area. Pierce and LeSarre have also coordinated dozens of volunteers across the district.\u003c/p>\n\u003cp>Dr. Margot Kushel, a UCSF professor who is coordinating next week’s effort to test unhoused residents in the district, says doing this work against the backdrop of mass protests underscores why it matters now more than ever.\u003c/p>\n\u003cp>“We’ve seen that the toll of racism plays out in the incredibly disproportionate burden of COVID in black communities, Latinx communities and other communities of color in this country,” she said.\u003c/p>\n\u003cp>UCSF said it expects to return viral testing results in a matter of days, with those who test positive given the resources needed to self-isolate. The team plans to conduct extensive contact tracing efforts, too.\u003c/p>\n\u003cp>“There’s no perfect solution for stuff like homelessness or international pandemics,” Pierce, of Bayview Hunters Point Community Advocates, said. “These are really complicated issues. It takes complex, very flexible relationships in order to solve them.”\u003c/p>\n\u003cp>\u003cem>To volunteer or learn more about next weekend’s United in Health Unhoused Initiative, \u003ca href=\"https://www.unitedinhealthunhoused.org/\">click here\u003c/a>\u003c/em>.\u003c/p>\n\u003cp>\u003c/p>\n\u003c/div>\u003c/p>",
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"slug": "from-camping-to-dining-out-heres-how-experts-rate-the-risks-of-14-summer-activities",
"title": "From Camping to Dining Out: Here's How Experts Rate the Risks of 14 Summer Activities",
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"headTitle": "From Camping to Dining Out: Here’s How Experts Rate the Risks of 14 Summer Activities | KQED",
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"content": "\u003cp>It’s been around two months of quarantine for many of us. The urge to get out and enjoy the summer is real. But what’s safe? We asked a panel of infectious disease and public health experts to rate the risk of summer activities, from backyard gatherings, to a day at the pool, to sharing a vacation house with another household.\u003c/p>\n\u003cp>\u003cstrong>One big warning:\u003c/strong> Your personal risk depends on your age and health, the prevalence of the virus in your area, and the precautions you take during any of these activities. Also, many areas continue to restrict the activities described here, so check your local laws.\u003c/p>\n\u003cp>And there’s no such thing as a zero-risk outing right now. As states begin allowing businesses and public areas to reopen, decisions about what’s safe will be up to individuals. It can help to think through the risks the way the experts do.\u003c/p>\n\u003cp>“We can think of transmission risk with a simple phrase: time, space, people, place,” explains \u003ca href=\"https://cph.osu.edu/people/wmiller\" target=\"_blank\" rel=\"noopener noreferrer\">Dr. William Miller,\u003c/a> an epidemiologist at Ohio State University.\u003c/p>\n\u003cp>Here’s his rule of thumb: The more time you spend and the closer in space you are to any infected people, the higher your risk. Interacting with more people raises your risk, and indoor places are riskier than outdoors.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>\u003ca href=\"https://www.uchicagomedicine.org/find-a-physician/physician/emily-landon\" target=\"_blank\" rel=\"noopener noreferrer\">Dr. Emily Landon\u003c/a>, hospital epidemiologist and infectious diseases specialist at University of Chicago Medicine, has her own shorthand: “Always choose outdoors over indoor, always choose masking over or not masking, and always choose more space for fewer people over a smaller space.”\u003c/p>\n\u003cp>Experts shared their thoughts via phone and email interviews.\u003c/p>\n\u003cfigure id=\"attachment_11820545\" class=\"wp-caption alignnone\" style=\"max-width: 800px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-medium wp-image-11820545\" src=\"https://ww2.kqed.org/app/uploads/sites/10/2020/05/RS42458_003_KQED_SanFrancisco_GGP_03302020-qut-1-800x533.jpg\" alt=\"\" width=\"800\" height=\"533\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2020/05/RS42458_003_KQED_SanFrancisco_GGP_03302020-qut-1-800x533.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2020/05/RS42458_003_KQED_SanFrancisco_GGP_03302020-qut-1-160x107.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2020/05/RS42458_003_KQED_SanFrancisco_GGP_03302020-qut-1-1020x680.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2020/05/RS42458_003_KQED_SanFrancisco_GGP_03302020-qut-1.jpg 1920w\" sizes=\"(max-width: 800px) 100vw, 800px\">\u003cfigcaption class=\"wp-caption-text\">A bicyclist goes past the Conservatory of Flowers in Golden Gate Park in San Francisco on March 30, 2020. \u003ccite>(Beth LaBerge/KQED)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003ch3>1. A BYOB backyard gathering with one other household: Low to medium risk\u003c/h3>\n\u003cp>Meeting in a spacious outdoor area with only a small group isn’t too risky. But our experts say that safety here depends on who you invite and what their behaviors have been. “If you have a gathering with one other household that [has] followed social distancing, this would be a low-risk activity,” says \u003ca href=\"https://www.ohsu.edu/providers/judith-a-guzman-cottrill-do\" target=\"_blank\" rel=\"noopener noreferrer\">Dr. Judith Guzman-Cottrill\u003c/a>, a pediatric infectious disease expert at Oregon Health & Science University.\u003c/p>\n\u003cp>\u003cstrong>What alters risk?\u003c/strong> To lower risk, avoid sharing food, drinks or utensils — make it a BYO everything party. \u003ca href=\"https://pediatrics.wustl.edu/Faculty/Janowski_A\" target=\"_blank\" rel=\"noopener noreferrer\">Dr. Andrew Janowski\u003c/a>, a pediatric infectious diseases expert at Washington University in St. Louis, notes the food itself isn’t the risk, but touching shared dishes or utensils could be.\u003c/p>\n\u003cp>Watch out for drinking, says \u003ca href=\"https://scholar.harvard.edu/abraarkaran/bio\" target=\"_blank\" rel=\"noopener noreferrer\">Dr. Abraar Karan\u003c/a>, a physician and public health researcher at Harvard Medical School, as it can make people sloppy about social distancing. It also increases the odds that people will want to use your bathroom. “Once you move into the house with others, the risk profile goes up,” he says.\u003c/p>\n\u003cp>Some experts suggest wearing a face covering, but Landon points out that you can’t realistically stay masked while eating and drinking. She suggests an alternative to a meal would be a backyard lawn tournament: That way, “the kids can play together, but still with their masks on.” It could be fun for the grownups too.\u003c/p>\n\u003cfigure id=\"attachment_11820546\" class=\"wp-caption alignnone\" style=\"max-width: 800px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-medium wp-image-11820546\" src=\"https://ww2.kqed.org/app/uploads/sites/10/2020/05/RS41668_004_KQED_ThreeBabesBakeshop_02282020_4489-qut-800x533.jpg\" alt=\"\" width=\"800\" height=\"533\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2020/05/RS41668_004_KQED_ThreeBabesBakeshop_02282020_4489-qut-800x533.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2020/05/RS41668_004_KQED_ThreeBabesBakeshop_02282020_4489-qut-160x107.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2020/05/RS41668_004_KQED_ThreeBabesBakeshop_02282020_4489-qut-1020x680.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2020/05/RS41668_004_KQED_ThreeBabesBakeshop_02282020_4489-qut.jpg 1920w\" sizes=\"(max-width: 800px) 100vw, 800px\">\u003cfigcaption class=\"wp-caption-text\">Baker Zoe Williams boxes pies at Three Babes Bakeshop in San Francisco on Feb. 28, 2020. \u003ccite>(Beth LaBerge/KQED)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003ch3>2: Eating indoors at a restaurant: Medium to high risk\u003c/h3>\n\u003cp>Indoor dining “is still amongst the riskier things you can do,” Landon warns. The trouble is, says Miller, “people tend to linger in restaurants. So even if spacing is okay, the duration of exposure is longer.” Also, he says, \u003ca href=\"https://www.npr.org/2020/04/06/827954898/is-covid-19-spread-by-talking-that-and-other-questions-are-answered\" target=\"_blank\" rel=\"noopener noreferrer\">talking\u003c/a> “appears to lead to some release of the virus.”\u003c/p>\n\u003cp>Karan notes that one outbreak in Guangzhou, China took place in a restaurant with no windows and poor ventilation, and the air conditioning appears to have blown droplets between tables.\u003c/p>\n\u003cp>\u003cstrong>What alters risk?\u003c/strong> Janowski says the risk level depends on how well the restaurant has adapted for the pandemic. Eateries should reduce and space out seating, require servers to wear masks, and offer easy access to hand-washing stations.\u003c/p>\n\u003cp>They should also provide single-use options for condiments so you don’t have to touch shared ones, says Janowski. And they should close all self-serve areas like soda fountains or buffet tables.\u003c/p>\n\u003cp>If you do go to a restaurant, look for outdoor seating. Landon says she would only go with members of her household, because “I don’t want to have to take my mask off in the close proximity of a bunch of other people.”\u003c/p>\n\u003cfigure id=\"attachment_11820548\" class=\"wp-caption alignnone\" style=\"max-width: 800px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-medium wp-image-11820548\" src=\"https://ww2.kqed.org/app/uploads/sites/10/2020/05/RS36461_IMG_8786-qut-800x600.jpg\" alt=\"\" width=\"800\" height=\"600\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2020/05/RS36461_IMG_8786-qut-800x600.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2020/05/RS36461_IMG_8786-qut-160x120.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2020/05/RS36461_IMG_8786-qut-1020x765.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2020/05/RS36461_IMG_8786-qut.jpg 1920w, https://cdn.kqed.org/wp-content/uploads/sites/10/2020/05/RS36461_IMG_8786-qut-1832x1374.jpg 1832w, https://cdn.kqed.org/wp-content/uploads/sites/10/2020/05/RS36461_IMG_8786-qut-1376x1032.jpg 1376w, https://cdn.kqed.org/wp-content/uploads/sites/10/2020/05/RS36461_IMG_8786-qut-1044x783.jpg 1044w, https://cdn.kqed.org/wp-content/uploads/sites/10/2020/05/RS36461_IMG_8786-qut-632x474.jpg 632w, https://cdn.kqed.org/wp-content/uploads/sites/10/2020/05/RS36461_IMG_8786-qut-536x402.jpg 536w\" sizes=\"(max-width: 800px) 100vw, 800px\">\u003cfigcaption class=\"wp-caption-text\">Stanford Memorial Church on the Main Quad at Stanford. \u003ccite>(Rachael Myrow/KQED)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003ch3>3. Attending a religious service indoors: High risk\u003c/h3>\n\u003cp>Worship services involve people from different households coming together indoors, for an extended time. “All of the ingredients are there for the potential for a lot of people becoming infected in the short amount of time,” says \u003ca href=\"https://sph.unc.edu/adv_profile/kimberly-powers-phd/\" target=\"_blank\" rel=\"noopener noreferrer\">Kimberly Powers\u003c/a>, an epidemiologist at the University of North Carolina at Chapel Hill. She points to outbreaks linked to churches: In one, 35 out of 92 people who attended a service at a \u003ca href=\"https://www.cdc.gov/mmwr/volumes/69/wr/mm6920e2.htm\" target=\"_blank\" rel=\"noopener noreferrer\">rural Arkansas church\u003c/a> developed COVID-19.\u003c/p>\n\u003cp>Singing — whether from the pews or the choir — is high risk, several experts noted, citing a \u003ca href=\"https://www.cdc.gov/mmwr/volumes/69/wr/mm6919e6.htm\" target=\"_blank\" rel=\"noopener noreferrer\">study of a choir practice\u003c/a> in Washington state where over half of attendees became infected.\u003c/p>\n\u003cp>\u003cstrong>What alters risk:\u003c/strong> If people are appropriately socially distanced, wear masks and avoid singing, it may reduce the risk, Karan says. Also avoid any shared worship items like hymnals, Janowski adds.\u003c/p>\n\u003cp>Risk goes down if places of worship adapt, Guzman-Cottrill says. “My parish began having in-person services last week,” she says. The church had advance sign-ups to limit attendance to 25 people. Attendees were required to be healthy, wear face coverings and sit at least six feet apart.\u003c/p>\n\u003ch3>4. Spending the day at a popular beach or pool: Low risk\u003c/h3>\n\u003cp>As long as you can stay socially distanced, this could be a pretty safe activity, our experts say.\u003c/p>\n\u003cp>The water itself is not a risk. “The sheer volume of water will dilute out the virus, making the water a highly unlikely source of infection,” says Janowski.\u003c/p>\n\u003cp>\u003cstrong>What alters risk?\u003c/strong> The key question is how close are you to others? “Can you ensure that you can stay six feet [or more] from anyone outside of your designated family?” asks Rebecca Katz, director of the Center for Global Health Science and Security at Georgetown University Medical Center.\u003c/p>\n\u003cp>Watch out for crowds at entry points and bathrooms. Maintain social distance both on land and in the water.\u003c/p>\n\u003cp>Landon says her biggest worry about pools and beaches is kids. At pools, “they make friends with everyone,” she says. “If you want to be able to see grandma for Sunday lunch, because that’s what’s really important to your family, then you don’t want your kids running around with other people’s kids.”\u003c/p>\n\u003cp>She says a beach is better than a pool in terms of space. Go early in the morning or late afternoon when crowds are lower, and look for beaches that mark off spots for people to set up their areas.\u003c/p>\n\u003ch3>5. An outdoor celebration such as a wedding with more than 10 guests: Medium to high risk\u003c/h3>\n\u003cp>Family-oriented celebrations are usually a summer tradition, but they come with a lot of risk right now. Many weddings have been postponed, and with good reason.\u003c/p>\n\u003cp>“Outdoors reduces the risk, but as people are celebrating and drinking, it seems like they may not social distance as readily,” says Abraar Karan, the Harvard physician. “These types of events end up being large crowds where people are having extended face to face conversations.”\u003c/p>\n\u003cp>The larger the guest list, the greater the potential that one of them is infected, says Kimberly Powers, the UNC epidemiologist.\u003c/p>\n\u003cp>If you are considering hosting a celebration, make it a small one, with mostly local guests. “Bringing people from other communities,” is high risk, says Landon at the University of Chicago. “If people have to travel by car, by plane from other places, you’re really asking for it.”\u003c/p>\n\u003cp>And really think twice about inviting your relatives, particularly older family members or those with underlying conditions. People may feel pressure to attend, even though it’s hazardous to their health — and even more so if you emphasize that you’re going to try to make it safe, says Landon. One of the largest clusters of deaths from the virus in Chicago occurred after a funeral in which one of the attendees spread it to many of his family members.\u003c/p>\n\u003ch3>6. Using a public restroom: Low to medium risk\u003c/h3>\n\u003cp>Restrooms have been designed to prevent disease transmission, says Landon: “There are all sorts of things that you can catch from other people’s poop, and you almost never do because they’re set up with all hard surfaces that can be cleaned.”\u003c/p>\n\u003cp>The risk depends on the number of local COVID-19 cases and how clean the bathroom is, says Janowski at Washington University, noting that a bathroom involves multiple high-touch surfaces.\u003c/p>\n\u003cp>There isn’t yet sufficient data to know if there’s risk from toilet flushes aerosolizing the virus. Landon says that other viruses, like norovirus, can be aerosolized by flushing, but norovirus doesn’t often spread that way as long as bathrooms are cleaned. The CDC says it’s “unclear whether the virus found in feces may be capable of causing COVID-19.”\u003c/p>\n\u003cp>\u003cstrong>What alters risk?\u003c/strong> Miller says the main risk comes from restrooms that are small, busy, and poorly ventilated — like “those restrooms in a gas station off the highway where the restroom is outside.”\u003c/p>\n\u003cp>Choose a bathroom that looks clean and is well stocked with supplies like paper towels, soap and toilet paper. Avoid bunching up in a line to use the toilet or staying there long, if you’re within six feet of others. Wash your hands after you go, and sanitize them if you need to touch any surfaces after that.\u003c/p>\n\u003ch3>7. Letting a friend use your bathroom: Low risk\u003c/h3>\n\u003cp>Landon doesn’t think it’s a big risk: “What happens in the bathroom is going to be sucked out of the bathroom ventilation and you can clean all the hard surfaces really easily.”\u003c/p>\n\u003cp>Miller agrees: “You can run the fan, leave the door open after (so air flows), and clean the bathroom later. And if you use the bathroom after they do, just wash your hands.”\u003c/p>\n\u003cp>\u003cstrong>What alters risk?\u003c/strong> It’s possible that your friend is infected but asymptomatic, says Janowski. “It would be reasonable to decontaminate the bathroom after a friend uses it, including cleaning the high touch surfaces of the door, toilet, and sink.”\u003c/p>\n\u003ch3>8. Going to a vacation house with another family: Low risk\u003c/h3>\n\u003cp>Experts said that if both families have been quarantining and limiting their exposure to others, this is pretty safe. “If one family is very active or parents have higher exposure jobs, then the risk increases,” Miller says.\u003c/p>\n\u003cp>Landon thinks this arrangement could be a good idea, especially if the house is “in the woods where you’re not going to have a lot of contact with other people,” she says.\u003c/p>\n\u003cp>\u003cstrong>What alters risk?\u003c/strong> Landon suggests talking with the other family beforehand, to make sure you share the same expectations for the precautions everyone will take in the two weeks before arrival and while you’re there. Ensure that no one has signs of illness — if they do, they need to stay home. Miller recommends cleaning the major surfaces in the house on arrival. “And the more that people can reduce exposure in the days leading up to the trip, the better,” he adds.\u003c/p>\n\u003ch3>9. Staying at a hotel: Low to medium risk\u003c/h3>\n\u003cp>The consensus is that staying at a hotel is relatively low risk, especially once you’re in your room. It’s best to limit your time in the common areas such as the lobby, gym, restaurant and the elevator, where the risk of exposure is higher.\u003c/p>\n\u003cp>\u003cstrong>What alters risk?\u003c/strong> Bring disinfecting wipes to wipe down the TV remote and other common surfaces. You might also want to remove the bedspread since it may not be cleaned after every guest, suggests Miller. Ask about the hotel’s cleaning policies, as many have new COVID-19 protocols. “Beware of the elevators! Use the knuckle of your little or ring finger to press the buttons,” says Miller.\u003c/p>\n\u003cp>Other suggestions: Order room service rather than eating at the restaurant, avoid the exercise room, and wear a face covering in public spaces.\u003c/p>\n\u003cfigure id=\"attachment_11820549\" class=\"wp-caption alignnone\" style=\"max-width: 800px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-medium wp-image-11820549\" src=\"https://ww2.kqed.org/app/uploads/sites/10/2020/05/RS40559_IMG_6150-qut-800x533.jpg\" alt=\"\" width=\"800\" height=\"533\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2020/05/RS40559_IMG_6150-qut-800x533.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2020/05/RS40559_IMG_6150-qut-160x107.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2020/05/RS40559_IMG_6150-qut-1020x680.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2020/05/RS40559_IMG_6150-qut.jpg 1920w\" sizes=\"(max-width: 800px) 100vw, 800px\">\u003cfigcaption class=\"wp-caption-text\">Ernie’s Barber Shop in downtown Tulare, California. \u003ccite>(Alexandra Hall/KQED)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003ch3>10. Getting a haircut: Medium to high risk\u003c/h3>\n\u003cp>A haircut involves “close contact and breathing, that is extended for several minutes,” Karan notes. “This is the primary mode of transmission that we know happens. And cloth masks certainly are not perfect for this.”\u003c/p>\n\u003cp>Janowski says this is one of the highest-risk scenarios on this list, because there’s no way to keep six feet from someone cutting your hair. “All it takes is [having] one asymptomatic but infected worker and suddenly many customers are at high risk of infection,” he says.\u003c/p>\n\u003cp>\u003cstrong>What alters risk?\u003c/strong> Landon believes the risk is not terribly high if both you and your haircutter wear masks, and COVID-19 is not very prevalent in your area. Look for a salon or barbershop that has (and enforces) policies to protect its employees, like wearing protective gear and sanitizing hands, she says: “By protecting their employees, they’re protecting you, too.”\u003c/p>\n\u003cp>And make sure that your barber or stylist is all business, says Karan: “Stopping to chat at close distance like this is something we all love doing with our barbers normally. This is not the time for it.”\u003c/p>\n\u003ch3>11. Going shopping at a mall: Risk varies\u003c/h3>\n\u003cp>How risky this is depends on what kind of mall it is, how crowded it is, and how much time you spend there, our panel agreed. “Crowds with high density lead to substantial increase in risk,” says Miller. “The major mitigating factor is that people don’t mingle in a single place for long.”\u003c/p>\n\u003cp>\u003cstrong>What alters risk?\u003c/strong> Outdoor malls are preferable to indoor ones. And empty malls are better than crowded ones. Avoid the food court and go with purpose, not leisure, says Landon: “As much as you may like retail therapy, you should browse online before you go. Know what you’re going to pick up or try on. Wear your mask. Go in, look at it. Make your decision and get out.”\u003c/p>\n\u003cp>Be alert while you’re there to avoid close contact. “Maintain your space,” says Miller. “Try to go at off peak hours.” Bring hand sanitizer, says Guzman-Cottrill, and use it frequently, especially if you touch any shared surfaces like handrails or elevator buttons.\u003c/p>\n\u003ch3>12. Going to a nightclub: High risk\u003c/h3>\n\u003cp>There is consensus among the experts that going to a club is a very high-risk activity. Crowds, ultra-close contact, singing, sweating, and inhibition-loosening alcohol are a potent cocktail of risk factors. When drinking, people become less compliant with rules, Miller says, and they may breathe heavier from the dancing — “which means more virus is being shed,” he says. If there’s an infected person in the mix, the virus can spread easily.\u003c/p>\n\u003cp>“This is a very high risk situation for an outbreak, as we saw in South Korea just recently,” says Abraar Karan, referring to an outbreak tied to several nightclubs and bars. “Don’t go to bars or clubs right now.”\u003c/p>\n\u003cp>\u003cstrong>What alters risk?\u003c/strong> Nothing makes this a good idea right now. If you want to dance, have a dance party at home with the people in your intimate circle. If it’s a small outdoor gathering, dancing under the stars — six feet apart — would be much less risky, too.\u003c/p>\n\u003ch3>13. Going camping: Low risk\u003c/h3>\n\u003cp>“As far as summer activities go, this is least risky from a virus perspective,” says Rebecca Katz of Georgetown. You’re outdoors and isolated. Miller agrees. But, he says if you’re going with a group, be sure you can trust your fellow campers. Have they been social-distancing and following the guidelines? If not, they could be asymptomatic spreaders of the virus.\u003c/p>\n\u003cp>\u003cstrong>What alters risk?\u003c/strong> Of course, risks can creep in, depending on the particulars. “Are you camping in an isolated outdoor location with your family?” Katz asks — this is the lower risk scenario. It’s more dangerous if you’re at a crowded campground with a shared restroom and communal picnic areas, she says. “Sleeping in tents together with others [not in your household] can certainly be a setup for transmission,” adds Karan.\u003c/p>\n\u003cp>Bottom line: The activity itself is low-risk, but the people that you’ll be in close contact with during the trip could increase the hazard.\u003c/p>\n\u003cfigure id=\"attachment_11820547\" class=\"wp-caption alignnone\" style=\"max-width: 800px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-medium wp-image-11820547\" src=\"https://ww2.kqed.org/app/uploads/sites/10/2020/05/RS43248_005_KQED_SanFrancisco_GoldenGateCrossfit_05192020-qut-800x533.jpg\" alt=\"\" width=\"800\" height=\"533\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2020/05/RS43248_005_KQED_SanFrancisco_GoldenGateCrossfit_05192020-qut-800x533.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2020/05/RS43248_005_KQED_SanFrancisco_GoldenGateCrossfit_05192020-qut-160x107.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2020/05/RS43248_005_KQED_SanFrancisco_GoldenGateCrossfit_05192020-qut-1020x680.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2020/05/RS43248_005_KQED_SanFrancisco_GoldenGateCrossfit_05192020-qut.jpg 1920w\" sizes=\"(max-width: 800px) 100vw, 800px\">\u003cfigcaption class=\"wp-caption-text\">Danielle Rabkin, owner of Golden Gate Crossfit on Sutter Street in San Francisco, on May 19, 2020. \u003ccite>(Beth LaBerge/KQED)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003ch3>14. Exercising outdoors: Low risk\u003c/h3>\n\u003cp>Unless you’re playing group sports, exercising outdoors is a good way to burn off steam while staying socially distant. Our experts agree that sports such as golf and tennis are safer than contact sports such as basketball and football. “I would personally avoid contact sports until we have a better sense of transmission risk here,” Karan says.\u003c/p>\n\u003cp>And running? “If you’re not on a crowded path where people are brushing past each other, then I think that’s a great form of exercise right now,” says Powers.\u003c/p>\n\u003cp>\u003cstrong>What alters risk?\u003c/strong> The more people involved in the activity, the higher the risk. It’s possible to spread the virus when you’re in close proximity to others — even if you’re asymptomatic — so it’s best to wear a mask if you can’t stay socially-distanced.\u003c/p>\n\u003cp>[ad floatright]\u003c/p>\n\u003cp>The risk depends on the sport. A game like basketball is tricky, Landon says. “You’re touching the ball and you’re going to be breathing in each other’s faces,” so she suggests playing only with people in your household. Tennis carries a much lower risk: “You’re far apart on either side. That’s definite social distancing,” she says.\u003c/p>\n\n",
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"excerpt": "Expert opinion on many important summer activities: backyard gathering; restaurant; worship service; beach or pool; outdoor party; public restroom; vacationing with another family; camping; outdoor sports",
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"title": "From Camping to Dining Out: Here's How Experts Rate the Risks of 14 Summer Activities | KQED",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>It’s been around two months of quarantine for many of us. The urge to get out and enjoy the summer is real. But what’s safe? We asked a panel of infectious disease and public health experts to rate the risk of summer activities, from backyard gatherings, to a day at the pool, to sharing a vacation house with another household.\u003c/p>\n\u003cp>\u003cstrong>One big warning:\u003c/strong> Your personal risk depends on your age and health, the prevalence of the virus in your area, and the precautions you take during any of these activities. Also, many areas continue to restrict the activities described here, so check your local laws.\u003c/p>\n\u003cp>And there’s no such thing as a zero-risk outing right now. As states begin allowing businesses and public areas to reopen, decisions about what’s safe will be up to individuals. It can help to think through the risks the way the experts do.\u003c/p>\n\u003cp>“We can think of transmission risk with a simple phrase: time, space, people, place,” explains \u003ca href=\"https://cph.osu.edu/people/wmiller\" target=\"_blank\" rel=\"noopener noreferrer\">Dr. William Miller,\u003c/a> an epidemiologist at Ohio State University.\u003c/p>\n\u003cp>Here’s his rule of thumb: The more time you spend and the closer in space you are to any infected people, the higher your risk. Interacting with more people raises your risk, and indoor places are riskier than outdoors.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>\u003ca href=\"https://www.uchicagomedicine.org/find-a-physician/physician/emily-landon\" target=\"_blank\" rel=\"noopener noreferrer\">Dr. Emily Landon\u003c/a>, hospital epidemiologist and infectious diseases specialist at University of Chicago Medicine, has her own shorthand: “Always choose outdoors over indoor, always choose masking over or not masking, and always choose more space for fewer people over a smaller space.”\u003c/p>\n\u003cp>Experts shared their thoughts via phone and email interviews.\u003c/p>\n\u003cfigure id=\"attachment_11820545\" class=\"wp-caption alignnone\" style=\"max-width: 800px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-medium wp-image-11820545\" src=\"https://ww2.kqed.org/app/uploads/sites/10/2020/05/RS42458_003_KQED_SanFrancisco_GGP_03302020-qut-1-800x533.jpg\" alt=\"\" width=\"800\" height=\"533\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2020/05/RS42458_003_KQED_SanFrancisco_GGP_03302020-qut-1-800x533.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2020/05/RS42458_003_KQED_SanFrancisco_GGP_03302020-qut-1-160x107.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2020/05/RS42458_003_KQED_SanFrancisco_GGP_03302020-qut-1-1020x680.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2020/05/RS42458_003_KQED_SanFrancisco_GGP_03302020-qut-1.jpg 1920w\" sizes=\"(max-width: 800px) 100vw, 800px\">\u003cfigcaption class=\"wp-caption-text\">A bicyclist goes past the Conservatory of Flowers in Golden Gate Park in San Francisco on March 30, 2020. \u003ccite>(Beth LaBerge/KQED)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003ch3>1. A BYOB backyard gathering with one other household: Low to medium risk\u003c/h3>\n\u003cp>Meeting in a spacious outdoor area with only a small group isn’t too risky. But our experts say that safety here depends on who you invite and what their behaviors have been. “If you have a gathering with one other household that [has] followed social distancing, this would be a low-risk activity,” says \u003ca href=\"https://www.ohsu.edu/providers/judith-a-guzman-cottrill-do\" target=\"_blank\" rel=\"noopener noreferrer\">Dr. Judith Guzman-Cottrill\u003c/a>, a pediatric infectious disease expert at Oregon Health & Science University.\u003c/p>\n\u003cp>\u003cstrong>What alters risk?\u003c/strong> To lower risk, avoid sharing food, drinks or utensils — make it a BYO everything party. \u003ca href=\"https://pediatrics.wustl.edu/Faculty/Janowski_A\" target=\"_blank\" rel=\"noopener noreferrer\">Dr. Andrew Janowski\u003c/a>, a pediatric infectious diseases expert at Washington University in St. Louis, notes the food itself isn’t the risk, but touching shared dishes or utensils could be.\u003c/p>\n\u003cp>Watch out for drinking, says \u003ca href=\"https://scholar.harvard.edu/abraarkaran/bio\" target=\"_blank\" rel=\"noopener noreferrer\">Dr. Abraar Karan\u003c/a>, a physician and public health researcher at Harvard Medical School, as it can make people sloppy about social distancing. It also increases the odds that people will want to use your bathroom. “Once you move into the house with others, the risk profile goes up,” he says.\u003c/p>\n\u003cp>Some experts suggest wearing a face covering, but Landon points out that you can’t realistically stay masked while eating and drinking. She suggests an alternative to a meal would be a backyard lawn tournament: That way, “the kids can play together, but still with their masks on.” It could be fun for the grownups too.\u003c/p>\n\u003cfigure id=\"attachment_11820546\" class=\"wp-caption alignnone\" style=\"max-width: 800px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-medium wp-image-11820546\" src=\"https://ww2.kqed.org/app/uploads/sites/10/2020/05/RS41668_004_KQED_ThreeBabesBakeshop_02282020_4489-qut-800x533.jpg\" alt=\"\" width=\"800\" height=\"533\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2020/05/RS41668_004_KQED_ThreeBabesBakeshop_02282020_4489-qut-800x533.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2020/05/RS41668_004_KQED_ThreeBabesBakeshop_02282020_4489-qut-160x107.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2020/05/RS41668_004_KQED_ThreeBabesBakeshop_02282020_4489-qut-1020x680.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2020/05/RS41668_004_KQED_ThreeBabesBakeshop_02282020_4489-qut.jpg 1920w\" sizes=\"(max-width: 800px) 100vw, 800px\">\u003cfigcaption class=\"wp-caption-text\">Baker Zoe Williams boxes pies at Three Babes Bakeshop in San Francisco on Feb. 28, 2020. \u003ccite>(Beth LaBerge/KQED)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003ch3>2: Eating indoors at a restaurant: Medium to high risk\u003c/h3>\n\u003cp>Indoor dining “is still amongst the riskier things you can do,” Landon warns. The trouble is, says Miller, “people tend to linger in restaurants. So even if spacing is okay, the duration of exposure is longer.” Also, he says, \u003ca href=\"https://www.npr.org/2020/04/06/827954898/is-covid-19-spread-by-talking-that-and-other-questions-are-answered\" target=\"_blank\" rel=\"noopener noreferrer\">talking\u003c/a> “appears to lead to some release of the virus.”\u003c/p>\n\u003cp>Karan notes that one outbreak in Guangzhou, China took place in a restaurant with no windows and poor ventilation, and the air conditioning appears to have blown droplets between tables.\u003c/p>\n\u003cp>\u003cstrong>What alters risk?\u003c/strong> Janowski says the risk level depends on how well the restaurant has adapted for the pandemic. Eateries should reduce and space out seating, require servers to wear masks, and offer easy access to hand-washing stations.\u003c/p>\n\u003cp>They should also provide single-use options for condiments so you don’t have to touch shared ones, says Janowski. And they should close all self-serve areas like soda fountains or buffet tables.\u003c/p>\n\u003cp>If you do go to a restaurant, look for outdoor seating. Landon says she would only go with members of her household, because “I don’t want to have to take my mask off in the close proximity of a bunch of other people.”\u003c/p>\n\u003cfigure id=\"attachment_11820548\" class=\"wp-caption alignnone\" style=\"max-width: 800px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-medium wp-image-11820548\" src=\"https://ww2.kqed.org/app/uploads/sites/10/2020/05/RS36461_IMG_8786-qut-800x600.jpg\" alt=\"\" width=\"800\" height=\"600\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2020/05/RS36461_IMG_8786-qut-800x600.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2020/05/RS36461_IMG_8786-qut-160x120.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2020/05/RS36461_IMG_8786-qut-1020x765.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2020/05/RS36461_IMG_8786-qut.jpg 1920w, https://cdn.kqed.org/wp-content/uploads/sites/10/2020/05/RS36461_IMG_8786-qut-1832x1374.jpg 1832w, https://cdn.kqed.org/wp-content/uploads/sites/10/2020/05/RS36461_IMG_8786-qut-1376x1032.jpg 1376w, https://cdn.kqed.org/wp-content/uploads/sites/10/2020/05/RS36461_IMG_8786-qut-1044x783.jpg 1044w, https://cdn.kqed.org/wp-content/uploads/sites/10/2020/05/RS36461_IMG_8786-qut-632x474.jpg 632w, https://cdn.kqed.org/wp-content/uploads/sites/10/2020/05/RS36461_IMG_8786-qut-536x402.jpg 536w\" sizes=\"(max-width: 800px) 100vw, 800px\">\u003cfigcaption class=\"wp-caption-text\">Stanford Memorial Church on the Main Quad at Stanford. \u003ccite>(Rachael Myrow/KQED)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003ch3>3. Attending a religious service indoors: High risk\u003c/h3>\n\u003cp>Worship services involve people from different households coming together indoors, for an extended time. “All of the ingredients are there for the potential for a lot of people becoming infected in the short amount of time,” says \u003ca href=\"https://sph.unc.edu/adv_profile/kimberly-powers-phd/\" target=\"_blank\" rel=\"noopener noreferrer\">Kimberly Powers\u003c/a>, an epidemiologist at the University of North Carolina at Chapel Hill. She points to outbreaks linked to churches: In one, 35 out of 92 people who attended a service at a \u003ca href=\"https://www.cdc.gov/mmwr/volumes/69/wr/mm6920e2.htm\" target=\"_blank\" rel=\"noopener noreferrer\">rural Arkansas church\u003c/a> developed COVID-19.\u003c/p>\n\u003cp>Singing — whether from the pews or the choir — is high risk, several experts noted, citing a \u003ca href=\"https://www.cdc.gov/mmwr/volumes/69/wr/mm6919e6.htm\" target=\"_blank\" rel=\"noopener noreferrer\">study of a choir practice\u003c/a> in Washington state where over half of attendees became infected.\u003c/p>\n\u003cp>\u003cstrong>What alters risk:\u003c/strong> If people are appropriately socially distanced, wear masks and avoid singing, it may reduce the risk, Karan says. Also avoid any shared worship items like hymnals, Janowski adds.\u003c/p>\n\u003cp>Risk goes down if places of worship adapt, Guzman-Cottrill says. “My parish began having in-person services last week,” she says. The church had advance sign-ups to limit attendance to 25 people. Attendees were required to be healthy, wear face coverings and sit at least six feet apart.\u003c/p>\n\u003ch3>4. Spending the day at a popular beach or pool: Low risk\u003c/h3>\n\u003cp>As long as you can stay socially distanced, this could be a pretty safe activity, our experts say.\u003c/p>\n\u003cp>The water itself is not a risk. “The sheer volume of water will dilute out the virus, making the water a highly unlikely source of infection,” says Janowski.\u003c/p>\n\u003cp>\u003cstrong>What alters risk?\u003c/strong> The key question is how close are you to others? “Can you ensure that you can stay six feet [or more] from anyone outside of your designated family?” asks Rebecca Katz, director of the Center for Global Health Science and Security at Georgetown University Medical Center.\u003c/p>\n\u003cp>Watch out for crowds at entry points and bathrooms. Maintain social distance both on land and in the water.\u003c/p>\n\u003cp>Landon says her biggest worry about pools and beaches is kids. At pools, “they make friends with everyone,” she says. “If you want to be able to see grandma for Sunday lunch, because that’s what’s really important to your family, then you don’t want your kids running around with other people’s kids.”\u003c/p>\n\u003cp>She says a beach is better than a pool in terms of space. Go early in the morning or late afternoon when crowds are lower, and look for beaches that mark off spots for people to set up their areas.\u003c/p>\n\u003ch3>5. An outdoor celebration such as a wedding with more than 10 guests: Medium to high risk\u003c/h3>\n\u003cp>Family-oriented celebrations are usually a summer tradition, but they come with a lot of risk right now. Many weddings have been postponed, and with good reason.\u003c/p>\n\u003cp>“Outdoors reduces the risk, but as people are celebrating and drinking, it seems like they may not social distance as readily,” says Abraar Karan, the Harvard physician. “These types of events end up being large crowds where people are having extended face to face conversations.”\u003c/p>\n\u003cp>The larger the guest list, the greater the potential that one of them is infected, says Kimberly Powers, the UNC epidemiologist.\u003c/p>\n\u003cp>If you are considering hosting a celebration, make it a small one, with mostly local guests. “Bringing people from other communities,” is high risk, says Landon at the University of Chicago. “If people have to travel by car, by plane from other places, you’re really asking for it.”\u003c/p>\n\u003cp>And really think twice about inviting your relatives, particularly older family members or those with underlying conditions. People may feel pressure to attend, even though it’s hazardous to their health — and even more so if you emphasize that you’re going to try to make it safe, says Landon. One of the largest clusters of deaths from the virus in Chicago occurred after a funeral in which one of the attendees spread it to many of his family members.\u003c/p>\n\u003ch3>6. Using a public restroom: Low to medium risk\u003c/h3>\n\u003cp>Restrooms have been designed to prevent disease transmission, says Landon: “There are all sorts of things that you can catch from other people’s poop, and you almost never do because they’re set up with all hard surfaces that can be cleaned.”\u003c/p>\n\u003cp>The risk depends on the number of local COVID-19 cases and how clean the bathroom is, says Janowski at Washington University, noting that a bathroom involves multiple high-touch surfaces.\u003c/p>\n\u003cp>There isn’t yet sufficient data to know if there’s risk from toilet flushes aerosolizing the virus. Landon says that other viruses, like norovirus, can be aerosolized by flushing, but norovirus doesn’t often spread that way as long as bathrooms are cleaned. The CDC says it’s “unclear whether the virus found in feces may be capable of causing COVID-19.”\u003c/p>\n\u003cp>\u003cstrong>What alters risk?\u003c/strong> Miller says the main risk comes from restrooms that are small, busy, and poorly ventilated — like “those restrooms in a gas station off the highway where the restroom is outside.”\u003c/p>\n\u003cp>Choose a bathroom that looks clean and is well stocked with supplies like paper towels, soap and toilet paper. Avoid bunching up in a line to use the toilet or staying there long, if you’re within six feet of others. Wash your hands after you go, and sanitize them if you need to touch any surfaces after that.\u003c/p>\n\u003ch3>7. Letting a friend use your bathroom: Low risk\u003c/h3>\n\u003cp>Landon doesn’t think it’s a big risk: “What happens in the bathroom is going to be sucked out of the bathroom ventilation and you can clean all the hard surfaces really easily.”\u003c/p>\n\u003cp>Miller agrees: “You can run the fan, leave the door open after (so air flows), and clean the bathroom later. And if you use the bathroom after they do, just wash your hands.”\u003c/p>\n\u003cp>\u003cstrong>What alters risk?\u003c/strong> It’s possible that your friend is infected but asymptomatic, says Janowski. “It would be reasonable to decontaminate the bathroom after a friend uses it, including cleaning the high touch surfaces of the door, toilet, and sink.”\u003c/p>\n\u003ch3>8. Going to a vacation house with another family: Low risk\u003c/h3>\n\u003cp>Experts said that if both families have been quarantining and limiting their exposure to others, this is pretty safe. “If one family is very active or parents have higher exposure jobs, then the risk increases,” Miller says.\u003c/p>\n\u003cp>Landon thinks this arrangement could be a good idea, especially if the house is “in the woods where you’re not going to have a lot of contact with other people,” she says.\u003c/p>\n\u003cp>\u003cstrong>What alters risk?\u003c/strong> Landon suggests talking with the other family beforehand, to make sure you share the same expectations for the precautions everyone will take in the two weeks before arrival and while you’re there. Ensure that no one has signs of illness — if they do, they need to stay home. Miller recommends cleaning the major surfaces in the house on arrival. “And the more that people can reduce exposure in the days leading up to the trip, the better,” he adds.\u003c/p>\n\u003ch3>9. Staying at a hotel: Low to medium risk\u003c/h3>\n\u003cp>The consensus is that staying at a hotel is relatively low risk, especially once you’re in your room. It’s best to limit your time in the common areas such as the lobby, gym, restaurant and the elevator, where the risk of exposure is higher.\u003c/p>\n\u003cp>\u003cstrong>What alters risk?\u003c/strong> Bring disinfecting wipes to wipe down the TV remote and other common surfaces. You might also want to remove the bedspread since it may not be cleaned after every guest, suggests Miller. Ask about the hotel’s cleaning policies, as many have new COVID-19 protocols. “Beware of the elevators! Use the knuckle of your little or ring finger to press the buttons,” says Miller.\u003c/p>\n\u003cp>Other suggestions: Order room service rather than eating at the restaurant, avoid the exercise room, and wear a face covering in public spaces.\u003c/p>\n\u003cfigure id=\"attachment_11820549\" class=\"wp-caption alignnone\" style=\"max-width: 800px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-medium wp-image-11820549\" src=\"https://ww2.kqed.org/app/uploads/sites/10/2020/05/RS40559_IMG_6150-qut-800x533.jpg\" alt=\"\" width=\"800\" height=\"533\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2020/05/RS40559_IMG_6150-qut-800x533.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2020/05/RS40559_IMG_6150-qut-160x107.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2020/05/RS40559_IMG_6150-qut-1020x680.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2020/05/RS40559_IMG_6150-qut.jpg 1920w\" sizes=\"(max-width: 800px) 100vw, 800px\">\u003cfigcaption class=\"wp-caption-text\">Ernie’s Barber Shop in downtown Tulare, California. \u003ccite>(Alexandra Hall/KQED)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003ch3>10. Getting a haircut: Medium to high risk\u003c/h3>\n\u003cp>A haircut involves “close contact and breathing, that is extended for several minutes,” Karan notes. “This is the primary mode of transmission that we know happens. And cloth masks certainly are not perfect for this.”\u003c/p>\n\u003cp>Janowski says this is one of the highest-risk scenarios on this list, because there’s no way to keep six feet from someone cutting your hair. “All it takes is [having] one asymptomatic but infected worker and suddenly many customers are at high risk of infection,” he says.\u003c/p>\n\u003cp>\u003cstrong>What alters risk?\u003c/strong> Landon believes the risk is not terribly high if both you and your haircutter wear masks, and COVID-19 is not very prevalent in your area. Look for a salon or barbershop that has (and enforces) policies to protect its employees, like wearing protective gear and sanitizing hands, she says: “By protecting their employees, they’re protecting you, too.”\u003c/p>\n\u003cp>And make sure that your barber or stylist is all business, says Karan: “Stopping to chat at close distance like this is something we all love doing with our barbers normally. This is not the time for it.”\u003c/p>\n\u003ch3>11. Going shopping at a mall: Risk varies\u003c/h3>\n\u003cp>How risky this is depends on what kind of mall it is, how crowded it is, and how much time you spend there, our panel agreed. “Crowds with high density lead to substantial increase in risk,” says Miller. “The major mitigating factor is that people don’t mingle in a single place for long.”\u003c/p>\n\u003cp>\u003cstrong>What alters risk?\u003c/strong> Outdoor malls are preferable to indoor ones. And empty malls are better than crowded ones. Avoid the food court and go with purpose, not leisure, says Landon: “As much as you may like retail therapy, you should browse online before you go. Know what you’re going to pick up or try on. Wear your mask. Go in, look at it. Make your decision and get out.”\u003c/p>\n\u003cp>Be alert while you’re there to avoid close contact. “Maintain your space,” says Miller. “Try to go at off peak hours.” Bring hand sanitizer, says Guzman-Cottrill, and use it frequently, especially if you touch any shared surfaces like handrails or elevator buttons.\u003c/p>\n\u003ch3>12. Going to a nightclub: High risk\u003c/h3>\n\u003cp>There is consensus among the experts that going to a club is a very high-risk activity. Crowds, ultra-close contact, singing, sweating, and inhibition-loosening alcohol are a potent cocktail of risk factors. When drinking, people become less compliant with rules, Miller says, and they may breathe heavier from the dancing — “which means more virus is being shed,” he says. If there’s an infected person in the mix, the virus can spread easily.\u003c/p>\n\u003cp>“This is a very high risk situation for an outbreak, as we saw in South Korea just recently,” says Abraar Karan, referring to an outbreak tied to several nightclubs and bars. “Don’t go to bars or clubs right now.”\u003c/p>\n\u003cp>\u003cstrong>What alters risk?\u003c/strong> Nothing makes this a good idea right now. If you want to dance, have a dance party at home with the people in your intimate circle. If it’s a small outdoor gathering, dancing under the stars — six feet apart — would be much less risky, too.\u003c/p>\n\u003ch3>13. Going camping: Low risk\u003c/h3>\n\u003cp>“As far as summer activities go, this is least risky from a virus perspective,” says Rebecca Katz of Georgetown. You’re outdoors and isolated. Miller agrees. But, he says if you’re going with a group, be sure you can trust your fellow campers. Have they been social-distancing and following the guidelines? If not, they could be asymptomatic spreaders of the virus.\u003c/p>\n\u003cp>\u003cstrong>What alters risk?\u003c/strong> Of course, risks can creep in, depending on the particulars. “Are you camping in an isolated outdoor location with your family?” Katz asks — this is the lower risk scenario. It’s more dangerous if you’re at a crowded campground with a shared restroom and communal picnic areas, she says. “Sleeping in tents together with others [not in your household] can certainly be a setup for transmission,” adds Karan.\u003c/p>\n\u003cp>Bottom line: The activity itself is low-risk, but the people that you’ll be in close contact with during the trip could increase the hazard.\u003c/p>\n\u003cfigure id=\"attachment_11820547\" class=\"wp-caption alignnone\" style=\"max-width: 800px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-medium wp-image-11820547\" src=\"https://ww2.kqed.org/app/uploads/sites/10/2020/05/RS43248_005_KQED_SanFrancisco_GoldenGateCrossfit_05192020-qut-800x533.jpg\" alt=\"\" width=\"800\" height=\"533\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2020/05/RS43248_005_KQED_SanFrancisco_GoldenGateCrossfit_05192020-qut-800x533.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2020/05/RS43248_005_KQED_SanFrancisco_GoldenGateCrossfit_05192020-qut-160x107.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2020/05/RS43248_005_KQED_SanFrancisco_GoldenGateCrossfit_05192020-qut-1020x680.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2020/05/RS43248_005_KQED_SanFrancisco_GoldenGateCrossfit_05192020-qut.jpg 1920w\" sizes=\"(max-width: 800px) 100vw, 800px\">\u003cfigcaption class=\"wp-caption-text\">Danielle Rabkin, owner of Golden Gate Crossfit on Sutter Street in San Francisco, on May 19, 2020. \u003ccite>(Beth LaBerge/KQED)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003ch3>14. Exercising outdoors: Low risk\u003c/h3>\n\u003cp>Unless you’re playing group sports, exercising outdoors is a good way to burn off steam while staying socially distant. Our experts agree that sports such as golf and tennis are safer than contact sports such as basketball and football. “I would personally avoid contact sports until we have a better sense of transmission risk here,” Karan says.\u003c/p>\n\u003cp>And running? “If you’re not on a crowded path where people are brushing past each other, then I think that’s a great form of exercise right now,” says Powers.\u003c/p>\n\u003cp>\u003cstrong>What alters risk?\u003c/strong> The more people involved in the activity, the higher the risk. It’s possible to spread the virus when you’re in close proximity to others — even if you’re asymptomatic — so it’s best to wear a mask if you can’t stay socially-distanced.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>The risk depends on the sport. A game like basketball is tricky, Landon says. “You’re touching the ball and you’re going to be breathing in each other’s faces,” so she suggests playing only with people in your household. Tennis carries a much lower risk: “You’re far apart on either side. That’s definite social distancing,” she says.\u003c/p>\n\n\u003c/div>\u003c/p>",
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"content": "\u003cp>On Friday, March 13, Neal Mckenzie was sitting in his office when he got word that Sonoma County schools would be shifting to online learning the next week, due to the coronavirus pandemic.\u003c/p>\n\u003cp>“Okay so, what can I do? What is the most important thing?” he remembers thinking.\u003c/p>\n\u003cp>Mckenzie works for the Sonoma County Office of Education assisting 130 visually impaired students from kindergarten through high school. He realized one of the most important things he could do was to ensure he could still provide course materials to his students while sheltering in place, using special machines that print out braille materials.\u003c/p>\n\u003cp>“We’re talking about kids who really just need that braille and they need that tactile reference. There is really no stand-in for that,” Mckenzie said.\u003c/p>\n\u003cp>Mckenzie began by moving the large machines needed to produce braille content into his compact car: embosser, inkjet printer, tactile image maker and 3D printer, plus cables and embosser feed paper.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>“That first trip back to the office was crazy. I only had a 30 minute window to grab not only the machines but \u003cem>everything\u003c/em> to have this whole system run, produce and organize all these forms of tactile materials,” he said.\u003c/p>\n\u003cfigure id=\"attachment_11820371\" class=\"wp-caption alignnone\" style=\"max-width: 800px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-medium wp-image-11820371\" src=\"https://ww2.kqed.org/app/uploads/sites/10/2021/05/1920_Neal-McKenzie_v2-800x433.jpg\" alt=\"With Sonoma County schools closed due to the coronavirus pandemic, Neal Mckenzie set up braille printing machines in his garage to continue providing school materials to visually impaired students.\" width=\"800\" height=\"433\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2021/05/1920_Neal-McKenzie_v2-800x433.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2021/05/1920_Neal-McKenzie_v2-160x87.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2021/05/1920_Neal-McKenzie_v2-1020x552.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2021/05/1920_Neal-McKenzie_v2-1920x1038.jpg 1920w\" sizes=\"(max-width: 800px) 100vw, 800px\">\u003cfigcaption class=\"wp-caption-text\">With Sonoma County schools closed due to the coronavirus pandemic, Neal Mckenzie set up braille printing machines in his garage to continue providing school materials to visually impaired students. \u003ccite>(Courtesy of Neal Mckenzie)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>The machines are now set up in Mckenzie’s two-car garage, along the wall between his car and his laundry machines, effectively creating a make-shift tactile production center.\u003c/p>\n\u003cp>“We are constantly fighting the clock so none of our students fall behind waiting on accessible materials, so they can have materials at the same time as their classmates,” he said. “It’s a constant struggle.”\u003c/p>\n\u003cp>As an assistive technology specialist for the visually impaired, one of Mckenzie’s challenges was figuring out how to help sight-limited students adapt to virtual classroom technologies.\u003c/p>\n\u003cp>[pullquote size=\"medium\" align=\"right\" citation=\"Mario Chitwood, Quest Forward Academy student\"]“He drops off brailled math sheets that I need for school. Right now the math I’m doing has to do a lot with visuals and he prints out diagrams so that I can get the same information that a sighted person can get.”[/pullquote]\u003c/p>\n\u003cp>“I have to check in with almost all the students I work weekly with just to see, ‘Okay, how did the week go? What were the holes? What were the things we need to work on? What are the things that are coming up?'” Mckenzie said.\u003c/p>\n\u003cp>His first hurdle was making sure they could handle Zoom, the go-to tool for many teachers and students to meet in virtual classrooms.\u003c/p>\n\u003cp>“Some of them were like, ‘Oh, in three days I’m having my first Zoom class,'” Mckenzie recalled. “And it’s not going to wait for them to know how to use it.”\u003c/p>\n\u003cp>Mckenzie had to find a way to make Zoom meetings accessible to sight-limited students. His hack: create a tactile braille map of Zoom navigation so students could reference that while he walked them through the app. He compared this to a sighted person using Google Maps when traveling to a new place.\u003c/p>\n\u003cp>With this prep, Mckenzie said his students are more confident participating in Zoom classes and raising their hands or sharing a document.\u003c/p>\n\u003cfigure id=\"attachment_11819185\" class=\"wp-caption alignnone\" style=\"max-width: 512px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-11819185\" src=\"https://ww2.kqed.org/app/uploads/sites/10/2020/05/zoom-braille.jpeg\" alt=\"A screenshot of an adaptive technology that Neal Mckenzie created for visually impaired students.\" width=\"512\" height=\"397\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2020/05/zoom-braille.jpeg 512w, https://cdn.kqed.org/wp-content/uploads/sites/10/2020/05/zoom-braille-160x124.jpeg 160w\" sizes=\"(max-width: 512px) 100vw, 512px\">\u003cfigcaption class=\"wp-caption-text\">A screenshot of an adaptive technology that Neal Mckenzie created for visually impaired students. \u003ccite>(Courtesy Neal McKenzie)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003ch3>Lasting Relationships\u003c/h3>\n\u003cp>McKenzie has been working with the Sonoma County Schools for 11 years, and while other teachers see students come and go, he often maintains relationships with his students over their entire career.\u003c/p>\n\u003cp>He’s known 16-year-old Mario Chitwood since he was in third grade. Chitwood is now a sophomore at Quest Forward Academy in Santa Rosa. He was born with a genetic eye disease, and is completely blind, and he’s also the only blind student at his school. Since schools moved online, Chitwood said Mckenzie has been a life line.\u003c/p>\n\u003cp>“He drops off brailled math sheets that I need for school,” said Chitwood. “Right now the math I’m doing has to do a lot with visuals and he prints out diagrams so that I can get the same information that a sighted person can get.”\u003c/p>\n\u003cfigure id=\"attachment_11820374\" class=\"wp-caption alignnone\" style=\"max-width: 800px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-medium wp-image-11820374\" src=\"https://ww2.kqed.org/app/uploads/sites/10/2021/05/Mario2_v2-800x682.jpg\" alt=\"16-year-old Mario Chitwood does school work at home while sheltering in place.\" width=\"800\" height=\"682\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2021/05/Mario2_v2-800x682.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2021/05/Mario2_v2-160x136.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2021/05/Mario2_v2-1020x869.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2021/05/Mario2_v2.jpg 1600w\" sizes=\"(max-width: 800px) 100vw, 800px\">\u003cfigcaption class=\"wp-caption-text\">16-year-old Mario Chitwood does school work at home while sheltering in place. \u003ccite>(Courtesy of Cindy Chitwood)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>Chitwood and Mckenzie share an interest in figuring out how tech can be used to help other blind students become more independent.\u003c/p>\n\u003cp>“In third grade, I was a sponge for technology, so he would have to like learn the technology before he could teach it to me. And I made that very difficult because I would do learning real quick. We pushed each other,” Chitwood said.\u003c/p>\n\u003cp>It was Mckenzie who helped Chitwood get a new computer designed for the visually impaired, called a Polaris, after Chitwood’s family lost their home in the 2017 Tubbs fire. The family lived in Coffey Park, a subdivision that burned to the ground.\u003c/p>\n\u003cp>“He’s just a great guy to be around. He makes the people around him happy,” Chitwood said of McKenzie.\u003c/p>\n\u003cp>[aside tag=\"education\" label=\"Related Stories\"]\u003c/p>\n\u003cp>Mckenzie had also launched monthly hang outs for blind students and their parents at the \u003ca href=\"https://earlebaum.org\" target=\"_blank\" rel=\"noopener noreferrer\">Earl Baum Center for the Blind\u003c/a> in Santa Rosa, gatherings which Critwood said he misses, now that the pandemic has forced social distancing.\u003c/p>\n\u003cp>“It was the fact that all the people there knew what it was like to be blind — the struggles. And the parents can talk and bond. It was just a really nice space to be in,” Chitwood said.\u003c/p>\n\u003cp>It’s now been two months since Sonoma County closed its school campuses and it’s unclear when they will reopen. Mckenzie said there is a constant stream of new apps that teachers are incorporating that he has to adapt for the visually impaired.\u003c/p>\n\u003cp>Meanwhile, the braille printing presses in his garage keep running. He and the district braillist share delivery rounds — she takes Tuesdays and he takes Fridays.\u003c/p>\n\u003cp>[ad floatright]\u003c/p>\n\u003cp>“There’s no way that we can go all the way through the end of May without that,” Mckenzie said. “It’s their mode of learning.”\u003c/p>\n\u003ch3>\u003cstrong>Resources for Visually Impaired Students\u003c/strong>\u003c/h3>\n\u003cul>\n\u003cli>\u003ca href=\"https://www.perkinselearning.org/\" target=\"_blank\" rel=\"noopener noreferrer\">Perkins Learning technology\u003c/a>\u003c/li>\n\u003cli>\u003ca href=\"https://www.nfb.org/resources/distance-education-resources\" target=\"_blank\" rel=\"noopener noreferrer\">Distance education resources\u003c/a> from The National Federation of the Blind\u003c/li>\n\u003cli>\u003ca href=\"https://www.pathstoliteracy.org/resources/Virtual-ExCEL-Academy\" target=\"_blank\" rel=\"noopener noreferrer\">Paths to Literacy\u003c/a> Resources\u003c/li>\n\u003cli>Resources from \u003ca href=\"https://www.tsbvi.edu/coffeehour\" target=\"_blank\" rel=\"noopener noreferrer\">Texas School for the Blind and Visually Impaired\u003c/a>\u003c/li>\n\u003c/ul>\n\n",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>“That first trip back to the office was crazy. I only had a 30 minute window to grab not only the machines but \u003cem>everything\u003c/em> to have this whole system run, produce and organize all these forms of tactile materials,” he said.\u003c/p>\n\u003cfigure id=\"attachment_11820371\" class=\"wp-caption alignnone\" style=\"max-width: 800px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-medium wp-image-11820371\" src=\"https://ww2.kqed.org/app/uploads/sites/10/2021/05/1920_Neal-McKenzie_v2-800x433.jpg\" alt=\"With Sonoma County schools closed due to the coronavirus pandemic, Neal Mckenzie set up braille printing machines in his garage to continue providing school materials to visually impaired students.\" width=\"800\" height=\"433\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2021/05/1920_Neal-McKenzie_v2-800x433.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2021/05/1920_Neal-McKenzie_v2-160x87.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2021/05/1920_Neal-McKenzie_v2-1020x552.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2021/05/1920_Neal-McKenzie_v2-1920x1038.jpg 1920w\" sizes=\"(max-width: 800px) 100vw, 800px\">\u003cfigcaption class=\"wp-caption-text\">With Sonoma County schools closed due to the coronavirus pandemic, Neal Mckenzie set up braille printing machines in his garage to continue providing school materials to visually impaired students. \u003ccite>(Courtesy of Neal Mckenzie)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>The machines are now set up in Mckenzie’s two-car garage, along the wall between his car and his laundry machines, effectively creating a make-shift tactile production center.\u003c/p>\n\u003cp>“We are constantly fighting the clock so none of our students fall behind waiting on accessible materials, so they can have materials at the same time as their classmates,” he said. “It’s a constant struggle.”\u003c/p>\n\u003cp>As an assistive technology specialist for the visually impaired, one of Mckenzie’s challenges was figuring out how to help sight-limited students adapt to virtual classroom technologies.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "“He drops off brailled math sheets that I need for school. Right now the math I’m doing has to do a lot with visuals and he prints out diagrams so that I can get the same information that a sighted person can get.”",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>“I have to check in with almost all the students I work weekly with just to see, ‘Okay, how did the week go? What were the holes? What were the things we need to work on? What are the things that are coming up?'” Mckenzie said.\u003c/p>\n\u003cp>His first hurdle was making sure they could handle Zoom, the go-to tool for many teachers and students to meet in virtual classrooms.\u003c/p>\n\u003cp>“Some of them were like, ‘Oh, in three days I’m having my first Zoom class,'” Mckenzie recalled. “And it’s not going to wait for them to know how to use it.”\u003c/p>\n\u003cp>Mckenzie had to find a way to make Zoom meetings accessible to sight-limited students. His hack: create a tactile braille map of Zoom navigation so students could reference that while he walked them through the app. He compared this to a sighted person using Google Maps when traveling to a new place.\u003c/p>\n\u003cp>With this prep, Mckenzie said his students are more confident participating in Zoom classes and raising their hands or sharing a document.\u003c/p>\n\u003cfigure id=\"attachment_11819185\" class=\"wp-caption alignnone\" style=\"max-width: 512px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-11819185\" src=\"https://ww2.kqed.org/app/uploads/sites/10/2020/05/zoom-braille.jpeg\" alt=\"A screenshot of an adaptive technology that Neal Mckenzie created for visually impaired students.\" width=\"512\" height=\"397\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2020/05/zoom-braille.jpeg 512w, https://cdn.kqed.org/wp-content/uploads/sites/10/2020/05/zoom-braille-160x124.jpeg 160w\" sizes=\"(max-width: 512px) 100vw, 512px\">\u003cfigcaption class=\"wp-caption-text\">A screenshot of an adaptive technology that Neal Mckenzie created for visually impaired students. \u003ccite>(Courtesy Neal McKenzie)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003ch3>Lasting Relationships\u003c/h3>\n\u003cp>McKenzie has been working with the Sonoma County Schools for 11 years, and while other teachers see students come and go, he often maintains relationships with his students over their entire career.\u003c/p>\n\u003cp>He’s known 16-year-old Mario Chitwood since he was in third grade. Chitwood is now a sophomore at Quest Forward Academy in Santa Rosa. He was born with a genetic eye disease, and is completely blind, and he’s also the only blind student at his school. Since schools moved online, Chitwood said Mckenzie has been a life line.\u003c/p>\n\u003cp>“He drops off brailled math sheets that I need for school,” said Chitwood. “Right now the math I’m doing has to do a lot with visuals and he prints out diagrams so that I can get the same information that a sighted person can get.”\u003c/p>\n\u003cfigure id=\"attachment_11820374\" class=\"wp-caption alignnone\" style=\"max-width: 800px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-medium wp-image-11820374\" src=\"https://ww2.kqed.org/app/uploads/sites/10/2021/05/Mario2_v2-800x682.jpg\" alt=\"16-year-old Mario Chitwood does school work at home while sheltering in place.\" width=\"800\" height=\"682\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2021/05/Mario2_v2-800x682.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2021/05/Mario2_v2-160x136.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2021/05/Mario2_v2-1020x869.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2021/05/Mario2_v2.jpg 1600w\" sizes=\"(max-width: 800px) 100vw, 800px\">\u003cfigcaption class=\"wp-caption-text\">16-year-old Mario Chitwood does school work at home while sheltering in place. \u003ccite>(Courtesy of Cindy Chitwood)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>Chitwood and Mckenzie share an interest in figuring out how tech can be used to help other blind students become more independent.\u003c/p>\n\u003cp>“In third grade, I was a sponge for technology, so he would have to like learn the technology before he could teach it to me. And I made that very difficult because I would do learning real quick. We pushed each other,” Chitwood said.\u003c/p>\n\u003cp>It was Mckenzie who helped Chitwood get a new computer designed for the visually impaired, called a Polaris, after Chitwood’s family lost their home in the 2017 Tubbs fire. The family lived in Coffey Park, a subdivision that burned to the ground.\u003c/p>\n\u003cp>“He’s just a great guy to be around. He makes the people around him happy,” Chitwood said of McKenzie.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>Mckenzie had also launched monthly hang outs for blind students and their parents at the \u003ca href=\"https://earlebaum.org\" target=\"_blank\" rel=\"noopener noreferrer\">Earl Baum Center for the Blind\u003c/a> in Santa Rosa, gatherings which Critwood said he misses, now that the pandemic has forced social distancing.\u003c/p>\n\u003cp>“It was the fact that all the people there knew what it was like to be blind — the struggles. And the parents can talk and bond. It was just a really nice space to be in,” Chitwood said.\u003c/p>\n\u003cp>It’s now been two months since Sonoma County closed its school campuses and it’s unclear when they will reopen. Mckenzie said there is a constant stream of new apps that teachers are incorporating that he has to adapt for the visually impaired.\u003c/p>\n\u003cp>Meanwhile, the braille printing presses in his garage keep running. He and the district braillist share delivery rounds — she takes Tuesdays and he takes Fridays.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>“There’s no way that we can go all the way through the end of May without that,” Mckenzie said. “It’s their mode of learning.”\u003c/p>\n\u003ch3>\u003cstrong>Resources for Visually Impaired Students\u003c/strong>\u003c/h3>\n\u003cul>\n\u003cli>\u003ca href=\"https://www.perkinselearning.org/\" target=\"_blank\" rel=\"noopener noreferrer\">Perkins Learning technology\u003c/a>\u003c/li>\n\u003cli>\u003ca href=\"https://www.nfb.org/resources/distance-education-resources\" target=\"_blank\" rel=\"noopener noreferrer\">Distance education resources\u003c/a> from The National Federation of the Blind\u003c/li>\n\u003cli>\u003ca href=\"https://www.pathstoliteracy.org/resources/Virtual-ExCEL-Academy\" target=\"_blank\" rel=\"noopener noreferrer\">Paths to Literacy\u003c/a> Resources\u003c/li>\n\u003cli>Resources from \u003ca href=\"https://www.tsbvi.edu/coffeehour\" target=\"_blank\" rel=\"noopener noreferrer\">Texas School for the Blind and Visually Impaired\u003c/a>\u003c/li>\n\u003c/ul>\n\n\u003c/div>\u003c/p>",
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"title": "'It Just Burns Me Up': Disability Activist Alice Wong Reminds California This Pandemic Is Far From Over",
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"headTitle": "‘It Just Burns Me Up’: Disability Activist Alice Wong Reminds California This Pandemic Is Far From Over | KQED",
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"content": "\u003cp>Alice Wong is an influential disability rights activist, media maker and podcaster who hosts the podcast \u003ca href=\"https://disabilityvisibilityproject.com/podcast/\">Disability/Visibility \u003c/a>from her home in San Francisco.\u003c/p>\n\u003cp>Here are some highlights from her recent conversation with California Report Magazine host Sasha Khokha.\u003c/p>\n\u003cp>\u003cem>Comments have been edited for brevity and clarity. \u003c/em>\u003c/p>\n\u003cp>\u003cstrong>What’s most troubling about the COVID-19 pandemic:\u003c/strong>\u003c/p>\n\u003cp>Seeing so many people go outside and really, absolutely not social distancing, not wearing masks. It just burns me up, the way people are so ready to be over the pandemic. I don’t think we’re anywhere close to it. They’re going to actually create more infections and subsequently more deaths.\u003c/p>\n\u003cp>[pullquote size=\"medium\" align=\"right\" citation=\"Alice Wong, disability rights activist\"]“We’ve learned how to make do with living in a world that’s rather hostile and never designed for us in the first place. There’s a lot of lessons and insight that disabled folks have to share.”[/pullquote]\u003c/p>\n\u003cp>They’re still advising high-risk people like myself to just stay at home. I feel like this sets up this very unfair dynamic where the burden of staying safe and healthy falls upon those who are the most marginalized and the most impacted. It’s going to create additional complications, consequences that all of us are going to suffer.\u003c/p>\n\u003cp>\u003cstrong>On her recent \u003ca href=\"https://www.vox.com/first-person/2020/4/4/21204261/coronavirus-covid-19-disabled-people-disabilities-triage\">Vox essay\u003c/a>, “I’m Disabled and I need a ventilator to live. Am I expendable during this pandemic?”\u003c/strong>\u003c/p>\n\u003cp>It doesn’t surprise me that state guidelines or health systems would say, “We have only this many ventilators or this many staff or resources. You know, we really need to think about who are the most likely to benefit.” Any sort of calculus about who’s the most worthy often takes into account issues about quality of life. I do know that people see me with my wheelchair, with my ventilator on, and they just can’t imagine living this way. Some people just straight up feel like this kind of life is a life not worth living. These kinds of attitudes end up really excluding and discriminating against folks like me.\u003c/p>\n\u003cp>[aside tag=\"disability\" label=\"related coverage\"]\u003c/p>\n\u003cp>\u003cstrong>How the pandemic has highlighted the importance of accessibility:\u003c/strong>\u003c/p>\n\u003cp>I think it’s bittersweet. It’s wonderful that people are suddenly realizing, “Oh, you know, we should make this concert live streaming!” That working from home should be more flexible, or learning from home. Realizing and seeing how access really does benefit everyone.\u003c/p>\n\u003cp>But I also feel some concern, and also some irritation, because disabled people have been advocating for this kind of thing for 30 years after the passage of the Americans With Disabilities Act. There’s still this idea that requesting accommodations and advocating for them is somehow asking for something extra, some unfair advantage. These kinds of adaptations should absolutely remain and become a part of the default in the ways we organize and the ways we connect as people.\u003c/p>\n\u003cp>\u003cstrong>The importance of caregivers:\u003c/strong>\u003c/p>\n\u003cp>For a lot of us, like myself, it’s basically impossible to social distance and isolate ourselves. I can’t get out of bed without help. If I’m infected or if my [caregiver] is infected, there’s really no way to protect myself from exposure.\u003c/p>\n\u003cp>[pullquote size=\"medium\" align=\"right\" citation=\"Alice Wong, disability rights activist\"]“It’s so troubling to see people so ready to get the economy jump-started and just relaxing everything, while so many people are dying behind closed doors. I don’t understand why there isn’t more outrage over these deaths.”[/pullquote]\u003c/p>\n\u003cp>I want the people who help me to have all the protections, equipment and everything they need. This is a workforce that’s under the category of “essential workers,” but they truly aren’t valued in our society in terms of caregiving. This is a very gendered profession where so many of the workers are women of color or immigrants. I’d like to see an increase in wages and benefits for this workforce. Access to protective gear for anyone that does this kind of work, [including] family caregivers.\u003c/p>\n\u003cp>One thing that’s really distressing to me is the number of workers and people living at nursing homes and other long-term care facilities all over California and nationally that are dying and infected with COVID-19.\u003c/p>\n\u003cp>It’s so troubling to see people so ready to get the economy jump-started and just relaxing everything, while so many people are dying behind closed doors. I don’t understand why there isn’t more outrage over these deaths, because these systems, these institutions are broken. This a really important time to think about, to rethink, about why these systems exist and to really question them.\u003c/p>\n\u003cfigure id=\"attachment_11819587\" class=\"wp-caption alignnone\" style=\"max-width: 800px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-medium wp-image-11819587\" src=\"https://ww2.kqed.org/app/uploads/sites/10/2020/05/RS43260_podcast-katt-qut-800x600.jpg\" alt=\"Disability rights activist Alice Wong podcasting at her desk at home.\" width=\"800\" height=\"600\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2020/05/RS43260_podcast-katt-qut-800x600.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2020/05/RS43260_podcast-katt-qut-160x120.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2020/05/RS43260_podcast-katt-qut-1020x765.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2020/05/RS43260_podcast-katt-qut.jpg 1920w, https://cdn.kqed.org/wp-content/uploads/sites/10/2020/05/RS43260_podcast-katt-qut-1832x1374.jpg 1832w, https://cdn.kqed.org/wp-content/uploads/sites/10/2020/05/RS43260_podcast-katt-qut-1376x1032.jpg 1376w, https://cdn.kqed.org/wp-content/uploads/sites/10/2020/05/RS43260_podcast-katt-qut-1044x783.jpg 1044w, https://cdn.kqed.org/wp-content/uploads/sites/10/2020/05/RS43260_podcast-katt-qut-632x474.jpg 632w, https://cdn.kqed.org/wp-content/uploads/sites/10/2020/05/RS43260_podcast-katt-qut-536x402.jpg 536w\" sizes=\"(max-width: 800px) 100vw, 800px\">\u003cfigcaption class=\"wp-caption-text\">Disability rights activist Alice Wong podcasting at her desk at home. \u003ccite>(Eddie Hernandez Photography)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>\u003cstrong>What she’s hearing from her podcast listeners:\u003c/strong>\u003c/p>\n\u003cp>We really need more stories and perspectives by the people who are most impacted by this pandemic. I’m talking about multiply-marginalized people, like black, disabled, chronically ill folks. Because we can’t separate the racism and the ableism and classism from this experience. This wasn’t the first crisis that disabled folks faced. This is just one of a long kind of arc. We’ve learned how to make do with living in a world that’s rather hostile and never designed for us in the first place. There’s a lot of lessons and insight that disabled folks have to share.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>\u003cstrong>What it would take to build an inclusive future:\u003c/strong>\u003c/p>\n\u003cp>I think the future could look so different. I think so much of what’s happened during the pandemic and the flaws in the structures and systems we have are basically a failure of imagination. What if we designed ways that people could be integrated into society with the supports and services in place so they have as much autonomy as possible? This kind of work is already happening. By communities of color, queer communities, disabled communities, in the way that we provide \u003ca href=\"https://www.kqed.org/news/11806414/coronavirus-how-these-disabled-activists-are-taking-matters-into-their-own-sanitized-hand\">mutual aid\u003c/a> and care for one another.\u003c/p>\n\u003cp>There’s such an opportunity to kind of take these lessons and scale it up so that we really can have people living the lives that they want. I feel like that’s absolutely possible. But it’s just it’s a matter of a culture shift and political will.\u003c/p>\n\u003cfigure id=\"attachment_11819597\" class=\"wp-caption aligncenter\" style=\"max-width: 389px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"wp-image-11819597\" src=\"https://ww2.kqed.org/app/uploads/sites/10/2020/05/RS43259_Disability_Visibility6-qut.jpg\" alt=\"Alice Wong's book, Disability/Visibility: First Person Stories for the 21st Century, comes out in June 2020.\" width=\"389\" height=\"600\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2020/05/RS43259_Disability_Visibility6-qut.jpg 778w, https://cdn.kqed.org/wp-content/uploads/sites/10/2020/05/RS43259_Disability_Visibility6-qut-160x247.jpg 160w\" sizes=\"(max-width: 389px) 100vw, 389px\">\u003cfigcaption class=\"wp-caption-text\">Alice Wong’s book, “Disability/Visibility: First Person Stories for the 21st Century,” comes out in June 2020. \u003ccite>(Courtesy of Alice Wong)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>Wong’s book “\u003ca href=\"https://disabilityvisibilityproject.com/book/\">Disability/Visibility: First Person Stories for the 21st Century\u003c/a>” comes out in June.\u003c/p>\n\u003cp>[ad floatright]\u003c/p>\n",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>They’re still advising high-risk people like myself to just stay at home. I feel like this sets up this very unfair dynamic where the burden of staying safe and healthy falls upon those who are the most marginalized and the most impacted. It’s going to create additional complications, consequences that all of us are going to suffer.\u003c/p>\n\u003cp>\u003cstrong>On her recent \u003ca href=\"https://www.vox.com/first-person/2020/4/4/21204261/coronavirus-covid-19-disabled-people-disabilities-triage\">Vox essay\u003c/a>, “I’m Disabled and I need a ventilator to live. Am I expendable during this pandemic?”\u003c/strong>\u003c/p>\n\u003cp>It doesn’t surprise me that state guidelines or health systems would say, “We have only this many ventilators or this many staff or resources. You know, we really need to think about who are the most likely to benefit.” Any sort of calculus about who’s the most worthy often takes into account issues about quality of life. I do know that people see me with my wheelchair, with my ventilator on, and they just can’t imagine living this way. Some people just straight up feel like this kind of life is a life not worth living. These kinds of attitudes end up really excluding and discriminating against folks like me.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>\u003cstrong>How the pandemic has highlighted the importance of accessibility:\u003c/strong>\u003c/p>\n\u003cp>I think it’s bittersweet. It’s wonderful that people are suddenly realizing, “Oh, you know, we should make this concert live streaming!” That working from home should be more flexible, or learning from home. Realizing and seeing how access really does benefit everyone.\u003c/p>\n\u003cp>But I also feel some concern, and also some irritation, because disabled people have been advocating for this kind of thing for 30 years after the passage of the Americans With Disabilities Act. There’s still this idea that requesting accommodations and advocating for them is somehow asking for something extra, some unfair advantage. These kinds of adaptations should absolutely remain and become a part of the default in the ways we organize and the ways we connect as people.\u003c/p>\n\u003cp>\u003cstrong>The importance of caregivers:\u003c/strong>\u003c/p>\n\u003cp>For a lot of us, like myself, it’s basically impossible to social distance and isolate ourselves. I can’t get out of bed without help. If I’m infected or if my [caregiver] is infected, there’s really no way to protect myself from exposure.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "“It’s so troubling to see people so ready to get the economy jump-started and just relaxing everything, while so many people are dying behind closed doors. I don’t understand why there isn’t more outrage over these deaths.”",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>I want the people who help me to have all the protections, equipment and everything they need. This is a workforce that’s under the category of “essential workers,” but they truly aren’t valued in our society in terms of caregiving. This is a very gendered profession where so many of the workers are women of color or immigrants. I’d like to see an increase in wages and benefits for this workforce. Access to protective gear for anyone that does this kind of work, [including] family caregivers.\u003c/p>\n\u003cp>One thing that’s really distressing to me is the number of workers and people living at nursing homes and other long-term care facilities all over California and nationally that are dying and infected with COVID-19.\u003c/p>\n\u003cp>It’s so troubling to see people so ready to get the economy jump-started and just relaxing everything, while so many people are dying behind closed doors. I don’t understand why there isn’t more outrage over these deaths, because these systems, these institutions are broken. This a really important time to think about, to rethink, about why these systems exist and to really question them.\u003c/p>\n\u003cfigure id=\"attachment_11819587\" class=\"wp-caption alignnone\" style=\"max-width: 800px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-medium wp-image-11819587\" src=\"https://ww2.kqed.org/app/uploads/sites/10/2020/05/RS43260_podcast-katt-qut-800x600.jpg\" alt=\"Disability rights activist Alice Wong podcasting at her desk at home.\" width=\"800\" height=\"600\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2020/05/RS43260_podcast-katt-qut-800x600.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2020/05/RS43260_podcast-katt-qut-160x120.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2020/05/RS43260_podcast-katt-qut-1020x765.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2020/05/RS43260_podcast-katt-qut.jpg 1920w, https://cdn.kqed.org/wp-content/uploads/sites/10/2020/05/RS43260_podcast-katt-qut-1832x1374.jpg 1832w, https://cdn.kqed.org/wp-content/uploads/sites/10/2020/05/RS43260_podcast-katt-qut-1376x1032.jpg 1376w, https://cdn.kqed.org/wp-content/uploads/sites/10/2020/05/RS43260_podcast-katt-qut-1044x783.jpg 1044w, https://cdn.kqed.org/wp-content/uploads/sites/10/2020/05/RS43260_podcast-katt-qut-632x474.jpg 632w, https://cdn.kqed.org/wp-content/uploads/sites/10/2020/05/RS43260_podcast-katt-qut-536x402.jpg 536w\" sizes=\"(max-width: 800px) 100vw, 800px\">\u003cfigcaption class=\"wp-caption-text\">Disability rights activist Alice Wong podcasting at her desk at home. \u003ccite>(Eddie Hernandez Photography)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>\u003cstrong>What she’s hearing from her podcast listeners:\u003c/strong>\u003c/p>\n\u003cp>We really need more stories and perspectives by the people who are most impacted by this pandemic. I’m talking about multiply-marginalized people, like black, disabled, chronically ill folks. Because we can’t separate the racism and the ableism and classism from this experience. This wasn’t the first crisis that disabled folks faced. This is just one of a long kind of arc. We’ve learned how to make do with living in a world that’s rather hostile and never designed for us in the first place. There’s a lot of lessons and insight that disabled folks have to share.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>\u003cstrong>What it would take to build an inclusive future:\u003c/strong>\u003c/p>\n\u003cp>I think the future could look so different. I think so much of what’s happened during the pandemic and the flaws in the structures and systems we have are basically a failure of imagination. What if we designed ways that people could be integrated into society with the supports and services in place so they have as much autonomy as possible? This kind of work is already happening. By communities of color, queer communities, disabled communities, in the way that we provide \u003ca href=\"https://www.kqed.org/news/11806414/coronavirus-how-these-disabled-activists-are-taking-matters-into-their-own-sanitized-hand\">mutual aid\u003c/a> and care for one another.\u003c/p>\n\u003cp>There’s such an opportunity to kind of take these lessons and scale it up so that we really can have people living the lives that they want. I feel like that’s absolutely possible. But it’s just it’s a matter of a culture shift and political will.\u003c/p>\n\u003cfigure id=\"attachment_11819597\" class=\"wp-caption aligncenter\" style=\"max-width: 389px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"wp-image-11819597\" src=\"https://ww2.kqed.org/app/uploads/sites/10/2020/05/RS43259_Disability_Visibility6-qut.jpg\" alt=\"Alice Wong's book, Disability/Visibility: First Person Stories for the 21st Century, comes out in June 2020.\" width=\"389\" height=\"600\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2020/05/RS43259_Disability_Visibility6-qut.jpg 778w, https://cdn.kqed.org/wp-content/uploads/sites/10/2020/05/RS43259_Disability_Visibility6-qut-160x247.jpg 160w\" sizes=\"(max-width: 389px) 100vw, 389px\">\u003cfigcaption class=\"wp-caption-text\">Alice Wong’s book, “Disability/Visibility: First Person Stories for the 21st Century,” comes out in June 2020. \u003ccite>(Courtesy of Alice Wong)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>Wong’s book “\u003ca href=\"https://disabilityvisibilityproject.com/book/\">Disability/Visibility: First Person Stories for the 21st Century\u003c/a>” comes out in June.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cp>Last Thursday, after Rosalind Palmer Ono finished eating lunch — sausage, crackers and 7 Up — she went upstairs to do some ironing and started feeling gas pains.\u003c/p>\n\u003cp>She took a Gas-X and an aspirin, but the pain got worse. Her husband insisted on calling the advice nurse, who told them to call 911 and go to the hospital because people often confuse indigestion with symptoms of a heart attack. But Rosalind didn’t want to go.\u003c/p>\n\u003cp>“I said, ‘Oh, no. I don’t want to go down there where the coronavirus is. I don’t want to go down there where all the other people are,’ ” Palmer Ono recalled. “I said, ‘All I have is gas, let’s not bother.’ ”\u003c/p>\n\u003cp>She did go, but a new \u003ca href=\"https://www.nejm.org/doi/full/10.1056/NEJMc2015630\" target=\"_blank\" rel=\"noopener noreferrer\">data analysis\u003c/a> of Kaiser Permanente’s 4.4 million patients in Northern California shows that Palmer Ono is far from alone in her reluctance to go to the emergency room.\u003c/p>\n\u003cp>[pullquote size=\"medium\" align=\"right\" citation=\"cardiologist Matt Solomon\"]‘These patients were repeatedly messaged that they were higher risk if they did contract COVID-19, and we worry that they stayed at home and suffered their heart attacks without getting any care.’[/pullquote]\u003c/p>\n\u003cp>Since the first COVID-19 death was reported in early March, the number of weekly hospital admissions for heart attacks dropped 50%.\u003c/p>\n\u003cp>“There is no intervention that we know of that can reduce heart attack rates by 50%,” said cardiologist Matt Solomon, who conducted the study released Tuesday using Kaiser’s extensive electronic medical record system.\u003c/p>\n\u003cp>If anything, heart attack rates tend to go up in times of societal stress, he said, as they have after earthquakes or terrorist attacks.\u003c/p>\n\u003cp>During the shelter-at-home orders, patients over 65 and those with a history of heart disease were the least likely to come in, the Kaiser data showed.\u003c/p>\n\u003cp>“These patients were repeatedly messaged that they were higher risk if they did contract COVID-19, and we worry that they stayed at home and suffered their heart attacks without getting any care,” Solomon said.\u003cbr>\n[ad fullwidth]\u003c/p>\n\u003cp>That fear only compounded an existing trend of patients discounting or dismissing heart attack symptoms, especially if they’re mild.\u003c/p>\n\u003cp>“They may mimic indigestion, they may mimic musculoskeletal pain in the chest, and patients might be reluctant to follow up and seek care,” Soloman said. “But if it is truly a heart attack, those can be just as deadly as a severe heart attack.”\u003c/p>\n\u003cp>[aside postID=\"news_11815219\" label=\"Related coverage\" hero=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2020/04/RS42953_004_KQED_SanPablo_NohemiJimenez_04282020-qut-1020x680.jpg\"]\u003c/p>\n\u003cp>Now Solomon is trying to reframe the pandemic messaging to remind people that the hospital is safe. If people don’t get care right away, he said, they could suffer repeat heart attacks, heart failure or life-threatening arrhythmias — if they survive the heart attack at all.\u003c/p>\n\u003cp>Rosalind Palmer Ono said she got to the hospital just in time. She had a heart attack in the emergency room.\u003c/p>\n\u003cp>“They put the nitroglycerin under my tongue, and in 10 minutes, they’re pushing me into this area to perform this cardiac catheterization and put the stent in me,” she said.\u003c/p>\n\u003cp>Rosalind is at home recovering now, eager to get back to her retirement projects and neighborhood walks. Even after telling her friends what happened, some of them still confess they wouldn’t want to go to the hospital.\u003c/p>\n\u003cp>“Don’t hesitate,” she tells them. “I did, but I’m one of the lucky ones.”\u003c/p>\n\u003cp>\u003c/p>\n",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>Now Solomon is trying to reframe the pandemic messaging to remind people that the hospital is safe. If people don’t get care right away, he said, they could suffer repeat heart attacks, heart failure or life-threatening arrhythmias — if they survive the heart attack at all.\u003c/p>\n\u003cp>Rosalind Palmer Ono said she got to the hospital just in time. She had a heart attack in the emergency room.\u003c/p>\n\u003cp>“They put the nitroglycerin under my tongue, and in 10 minutes, they’re pushing me into this area to perform this cardiac catheterization and put the stent in me,” she said.\u003c/p>\n\u003cp>Rosalind is at home recovering now, eager to get back to her retirement projects and neighborhood walks. Even after telling her friends what happened, some of them still confess they wouldn’t want to go to the hospital.\u003c/p>\n\u003cp>“Don’t hesitate,” she tells them. “I did, but I’m one of the lucky ones.”\u003c/p>\n\u003cp>\u003c/p>\n\u003c/div>\u003c/p>",
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"content": "\u003cp>Doctors and women’s health advocates say they are “alarmed” and “disheartened” by Gov. Gavin Newsom’s decision to rollback his promise of health coverage for low-income women who are diagnosed with postpartum depression or anxiety.\u003c/p>\n\u003cp>It was one of many cuts to mental health funding the governor proposed in his \u003ca href=\"http://www.ebudget.ca.gov/2020-21/pdf/Revised/BudgetSummary/HealthandHumanServices.pdf\" target=\"_blank\" rel=\"noopener noreferrer\">revised budget\u003c/a> to close the $54 billion shortfall created by the coronavirus pandemic, which psychologists now say will likely be followed by a mental health pandemic.\u003c/p>\n\u003cp>“Two-thirds of minimum wage jobs are held by women, who are at risk of losing those jobs and childcare and are under enormous distress,” said Joy Burkhard, executive director of \u003ca href=\"https://www.2020mom.org/\" target=\"_blank\" rel=\"noopener noreferrer\">2020 Mom\u003c/a>, an advocacy group for maternal mental health. “We know that this population is at extreme risk for maternal mental health disorders.”\u003c/p>\n\u003cp>Burkhard’s group helped pass a state law in 2018 that now requires doctors to \u003ca href=\"https://www.kqed.org/stateofhealth/362850/to-screen-or-not-to-screen-doctors-debate-post-partum-depression-testing\" target=\"_blank\" rel=\"noopener noreferrer\">screen new moms\u003c/a> for postpartum depression and anxiety. Obstetricians soon noticed that the moms who were most vulnerable to the conditions were low-income women covered by Medi-Cal – \u003ca href=\"https://www.chcf.org/publication/2019-medi-cal-facts-figures-crucial-coverage/\" target=\"_blank\" rel=\"noopener noreferrer\">half of all births\u003c/a> in California are covered by the state’s Medicaid program.\u003c/p>\n\u003cp>But pregnancy-related Medicaid coverage ends six weeks after the baby is born.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>“Doctors were left in a precarious position to not be able to treat the disorder that they were identifying,” Burkhard said. [pullquote size=\"medium\" align=\"right\" citation=\"Michelle Doty Cabrera, executive director of the County Behavioral Health Directors Association\"]“With all the signs of a behavioral health pandemic now on the horizon, our state must summon the resources and the resolve to ensure the very same vulnerable Californians we spared from the coronavirus now have our support to recover from its emotional aftermath.”[/pullquote] \u003c/p>\n\u003cp>Last year, Governor Gavin Newsom agreed to change that. He allotted $34 million for the 2020 fiscal year budget so that women who were diagnosed with a maternal mental health disorder could stay on Medi-Cal for up to 12 months to get treated.\u003c/p>\n\u003cp>Now he’s taking it back.\u003c/p>\n\u003cp>“Nothing breaks my heart more than making budget cuts,” Newsom said at a press conference discussing his revised budget proposal on Thursday. “Because one thing I know about cuts: there’s a human being behind every single number.”\u003c/p>\n\u003cp>Legislators will now negotiate with the governor on how to balance the state’s finances, with a final budget due in June.\u003c/p>\n\u003cp>Doctors who lobbied for the extended Medi-Cal benefits are already urging the governor to reconsider the cuts, particularly in light of the nation’s longstanding and “unacceptable” maternal mortality crisis.\u003c/p>\n\u003cp>“Denying postpartum Medicaid coverage to new moms who face mental health concerns will exacerbate that crisis,” said Dr. Laura Sirott, state chair of the American College of Obstetricians and Gynecologists, or ACOG.\u003c/p>\n\u003cp>“With all the signs of a behavioral health pandemic now on the horizon, our state must summon the resources and the resolve to ensure the very same vulnerable Californians we spared from the coronavirus now have our support to recover from its emotional aftermath.” [aside tag=\"health, coronavirus\" label=\"More Related Coverage\"]\u003c/p>\n\u003cp>Mental health problems are one of the \u003ca href=\"https://www.kqed.org/news/11710961/she-strived-to-be-the-perfect-mom-and-landed-in-the-psych-ward\" target=\"_blank\" rel=\"noopener noreferrer\">leading causes of maternal mortality\u003c/a>. Sirott points to CDC data that shows all pregnancy-related suicides and unintentional drug overdoses were deemed preventable.\u003c/p>\n\u003cp>The looming mental health crisis is preventable, too, advocates say, if the state is willing to ensure safety net programs can meet the increased demand for depression, anxiety and substance abuse treatment.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>“To get ready for the COVID-19 pandemic, California took unprecedented action to prepare our hospitals, shelter in place, and mobilize a massive public health response,” said Michelle Doty Cabrera, executive director of the County Behavioral Health Directors Association. “With all the signs of a behavioral health pandemic now on the horizon, our state must summon the resources and the resolve to ensure the very same vulnerable Californians we spared from the coronavirus now have our support to recover from its emotional aftermath.”\u003c/p>\n\n",
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"excerpt": "Gov. Gavin Newsom is withdrawing a budget promise to allow women diagnosed with postpartum depression to keep their Medi-Cal benefits so they can get treated.",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>Doctors and women’s health advocates say they are “alarmed” and “disheartened” by Gov. Gavin Newsom’s decision to rollback his promise of health coverage for low-income women who are diagnosed with postpartum depression or anxiety.\u003c/p>\n\u003cp>It was one of many cuts to mental health funding the governor proposed in his \u003ca href=\"http://www.ebudget.ca.gov/2020-21/pdf/Revised/BudgetSummary/HealthandHumanServices.pdf\" target=\"_blank\" rel=\"noopener noreferrer\">revised budget\u003c/a> to close the $54 billion shortfall created by the coronavirus pandemic, which psychologists now say will likely be followed by a mental health pandemic.\u003c/p>\n\u003cp>“Two-thirds of minimum wage jobs are held by women, who are at risk of losing those jobs and childcare and are under enormous distress,” said Joy Burkhard, executive director of \u003ca href=\"https://www.2020mom.org/\" target=\"_blank\" rel=\"noopener noreferrer\">2020 Mom\u003c/a>, an advocacy group for maternal mental health. “We know that this population is at extreme risk for maternal mental health disorders.”\u003c/p>\n\u003cp>Burkhard’s group helped pass a state law in 2018 that now requires doctors to \u003ca href=\"https://www.kqed.org/stateofhealth/362850/to-screen-or-not-to-screen-doctors-debate-post-partum-depression-testing\" target=\"_blank\" rel=\"noopener noreferrer\">screen new moms\u003c/a> for postpartum depression and anxiety. Obstetricians soon noticed that the moms who were most vulnerable to the conditions were low-income women covered by Medi-Cal – \u003ca href=\"https://www.chcf.org/publication/2019-medi-cal-facts-figures-crucial-coverage/\" target=\"_blank\" rel=\"noopener noreferrer\">half of all births\u003c/a> in California are covered by the state’s Medicaid program.\u003c/p>\n\u003cp>But pregnancy-related Medicaid coverage ends six weeks after the baby is born.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp> \u003c/p>\n\u003cp>Last year, Governor Gavin Newsom agreed to change that. He allotted $34 million for the 2020 fiscal year budget so that women who were diagnosed with a maternal mental health disorder could stay on Medi-Cal for up to 12 months to get treated.\u003c/p>\n\u003cp>Now he’s taking it back.\u003c/p>\n\u003cp>“Nothing breaks my heart more than making budget cuts,” Newsom said at a press conference discussing his revised budget proposal on Thursday. “Because one thing I know about cuts: there’s a human being behind every single number.”\u003c/p>\n\u003cp>Legislators will now negotiate with the governor on how to balance the state’s finances, with a final budget due in June.\u003c/p>\n\u003cp>Doctors who lobbied for the extended Medi-Cal benefits are already urging the governor to reconsider the cuts, particularly in light of the nation’s longstanding and “unacceptable” maternal mortality crisis.\u003c/p>\n\u003cp>“Denying postpartum Medicaid coverage to new moms who face mental health concerns will exacerbate that crisis,” said Dr. Laura Sirott, state chair of the American College of Obstetricians and Gynecologists, or ACOG.\u003c/p>\n\u003cp>“With all the signs of a behavioral health pandemic now on the horizon, our state must summon the resources and the resolve to ensure the very same vulnerable Californians we spared from the coronavirus now have our support to recover from its emotional aftermath.” \u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>Mental health problems are one of the \u003ca href=\"https://www.kqed.org/news/11710961/she-strived-to-be-the-perfect-mom-and-landed-in-the-psych-ward\" target=\"_blank\" rel=\"noopener noreferrer\">leading causes of maternal mortality\u003c/a>. Sirott points to CDC data that shows all pregnancy-related suicides and unintentional drug overdoses were deemed preventable.\u003c/p>\n\u003cp>The looming mental health crisis is preventable, too, advocates say, if the state is willing to ensure safety net programs can meet the increased demand for depression, anxiety and substance abuse treatment.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>“To get ready for the COVID-19 pandemic, California took unprecedented action to prepare our hospitals, shelter in place, and mobilize a massive public health response,” said Michelle Doty Cabrera, executive director of the County Behavioral Health Directors Association. “With all the signs of a behavioral health pandemic now on the horizon, our state must summon the resources and the resolve to ensure the very same vulnerable Californians we spared from the coronavirus now have our support to recover from its emotional aftermath.”\u003c/p>\n\n\u003c/div>\u003c/p>",
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"content": "\u003cp>Many restaurant bars in California – and bars that collaborate with restaurants – have found a way to stay open during the COVID-19 pandemic: selling “curbside” cocktails along with takeout food. It’s a combination required by law for to-go alcohol sales.\u003c/p>\n\u003cp>So what do you do when you run a straight-ahead bar that typically just sells alcohol? For some bar owners, it’s turning out to be a recipe for disaster.\u003c/p>\n\u003cp>Consider the story of Christos Louvis, who’s been running downtown San Jose’s \u003ca href=\"https://www.sjdivebar.com/\">Dive Bar\u003c/a> with his parents since 2012.\u003c/p>\n\u003cp>“We always joke in the bar business that it’s recession proof,” Louvis said. “If anything, people drink more because they have more problems. They’re trying to just get out and enjoy themselves.”\u003c/p>\n\u003cp>Dive Bar prides itself on being a neighborhood joint: sports on the televisions, pool tables in the back and drink specials for the students a few blocks away at San Jose State University.\u003c/p>\n\u003cp>The bar has a \u003ca href=\"https://www.abc.ca.gov/licensing/license-types/\">Type 48 liquor license\u003c/a>, which allows it to sell alcohol without food. Because of that, the bar can’t remain open under Santa Clara County’s \u003ca href=\"https://www.sccgov.org/sites/covid19/Pages/public-health-orders.aspx#faq\">shelter-in-place restrictions\u003c/a>.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>Louvis feels like he’s up against a wall.\u003c/p>\n\u003cp>“Allow us to [sell] a closed beer or a to-go cup of a drink,” he said. “Allow us to fight!”\u003c/p>\n\u003cp>Louvis did apply for a Paycheck Protection Program (PPP) loan through Wells Fargo, but his application was denied. He applied again for the second round of funding, but he’s now worried that if the loan does come through, his laid-off employees will refuse the money, because, with unemployment benefits, they can make \u003ca href=\"https://www.sfchronicle.com/business/networth/article/How-to-lure-back-California-workers-making-more-15258416.php\">roughly $2,400\u003c/a> a month – significantly more than he can afford to pay them.\u003c/p>\n\u003cp>“Our employees are like family. We’ve been with each other for so long,” Louvis said. “I don’t blame them, but I honestly don’t think they’d come back.”\u003c/p>\n\u003cp>[aside label='Coronavirus Coverage' tag='coronavirus']Teague Kernan can sympathize. He runs two bars in San Francisco’s North Beach neighborhood, \u003ca href=\"http://tupelosf.com/\">Tupelo\u003c/a>, which offers Southern soul food and creative cocktails, and \u003ca href=\"http://thebellecora.com/\">Belle Cora\u003c/a>, a bistro and bar for new American fare. Even though he’s allowed to sell to-go alcohol thanks to the food, Kernan said they’re still struggling hard and that stand-alone bars are in even bigger trouble.\u003c/p>\n\u003cp>“Bars will probably be closed longer than any other establishment or business,” Kernan said. “Owners are all looking at this like, if we can break even and not make any money in the next year, that would be a win.”\u003c/p>\n\u003cp>Kernan’s bars thrive when there are live concerts and sports seasons for people to watch together.\u003c/p>\n\u003cp>“We’re going to have to pretty much completely reconfigure our business model to try to adapt,” Kernan said.\u003c/p>\n\u003cp>After restrictions lift, Louvis isn’t sure he’ll even have customers left. His landlords have deferred rent for the next few months, but at some point, that rent will come due. In August, he’s also expecting a rent hike.\u003c/p>\n\u003cp>To save money, Louvis has moved out of his San Jose apartment and in with his parents. They’re also taking money out of their retirement savings to keep the lights on at Dive Bar for as long as they can.\u003c/p>\n\u003cp>“God forbid we lose the business without being able to sell it down the line,” Louvis said. “If they just take it from us, that’s it. That’s all we have.”\u003c/p>\n\u003cp>\u003c/p>\n",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>Many restaurant bars in California – and bars that collaborate with restaurants – have found a way to stay open during the COVID-19 pandemic: selling “curbside” cocktails along with takeout food. It’s a combination required by law for to-go alcohol sales.\u003c/p>\n\u003cp>So what do you do when you run a straight-ahead bar that typically just sells alcohol? For some bar owners, it’s turning out to be a recipe for disaster.\u003c/p>\n\u003cp>Consider the story of Christos Louvis, who’s been running downtown San Jose’s \u003ca href=\"https://www.sjdivebar.com/\">Dive Bar\u003c/a> with his parents since 2012.\u003c/p>\n\u003cp>“We always joke in the bar business that it’s recession proof,” Louvis said. “If anything, people drink more because they have more problems. They’re trying to just get out and enjoy themselves.”\u003c/p>\n\u003cp>Dive Bar prides itself on being a neighborhood joint: sports on the televisions, pool tables in the back and drink specials for the students a few blocks away at San Jose State University.\u003c/p>\n\u003cp>The bar has a \u003ca href=\"https://www.abc.ca.gov/licensing/license-types/\">Type 48 liquor license\u003c/a>, which allows it to sell alcohol without food. Because of that, the bar can’t remain open under Santa Clara County’s \u003ca href=\"https://www.sccgov.org/sites/covid19/Pages/public-health-orders.aspx#faq\">shelter-in-place restrictions\u003c/a>.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>Louvis feels like he’s up against a wall.\u003c/p>\n\u003cp>“Allow us to [sell] a closed beer or a to-go cup of a drink,” he said. “Allow us to fight!”\u003c/p>\n\u003cp>Louvis did apply for a Paycheck Protection Program (PPP) loan through Wells Fargo, but his application was denied. He applied again for the second round of funding, but he’s now worried that if the loan does come through, his laid-off employees will refuse the money, because, with unemployment benefits, they can make \u003ca href=\"https://www.sfchronicle.com/business/networth/article/How-to-lure-back-California-workers-making-more-15258416.php\">roughly $2,400\u003c/a> a month – significantly more than he can afford to pay them.\u003c/p>\n\u003cp>“Our employees are like family. We’ve been with each other for so long,” Louvis said. “I don’t blame them, but I honestly don’t think they’d come back.”\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>Teague Kernan can sympathize. He runs two bars in San Francisco’s North Beach neighborhood, \u003ca href=\"http://tupelosf.com/\">Tupelo\u003c/a>, which offers Southern soul food and creative cocktails, and \u003ca href=\"http://thebellecora.com/\">Belle Cora\u003c/a>, a bistro and bar for new American fare. Even though he’s allowed to sell to-go alcohol thanks to the food, Kernan said they’re still struggling hard and that stand-alone bars are in even bigger trouble.\u003c/p>\n\u003cp>“Bars will probably be closed longer than any other establishment or business,” Kernan said. “Owners are all looking at this like, if we can break even and not make any money in the next year, that would be a win.”\u003c/p>\n\u003cp>Kernan’s bars thrive when there are live concerts and sports seasons for people to watch together.\u003c/p>\n\u003cp>“We’re going to have to pretty much completely reconfigure our business model to try to adapt,” Kernan said.\u003c/p>\n\u003cp>After restrictions lift, Louvis isn’t sure he’ll even have customers left. His landlords have deferred rent for the next few months, but at some point, that rent will come due. In August, he’s also expecting a rent hike.\u003c/p>\n\u003cp>To save money, Louvis has moved out of his San Jose apartment and in with his parents. They’re also taking money out of their retirement savings to keep the lights on at Dive Bar for as long as they can.\u003c/p>\n\u003cp>“God forbid we lose the business without being able to sell it down the line,” Louvis said. “If they just take it from us, that’s it. That’s all we have.”\u003c/p>\n\u003cp>\u003c/p>\n\u003c/div>\u003c/p>",
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"content": "\u003cp>With so many Californians losing jobs and health insurance because of the pandemic, the state estimates 2 million more people will sign up for Medi-Cal coverage this year, bringing the total caseload in the health care program for low-income Californians to 14.5 million people.\u003c/p>\n\u003cp>To pay for the increase in enrollment, Gov. Gavin Newsom wants to cut back on some of the benefits patients will receive and the rates doctors will get paid to see them.\u003c/p>\n\u003cp>“There are areas where we clearly can’t do what we wanted to do,” Newsom said during a press conference on Thursday. “We wanted to make more progress with the January budget. Unfortunately, that progress will be delayed.” [pullquote size=\"medium\" align=\"right\" citation=\"Dr. Peter N. Bretan, president of the California Medical Association\"]“This budget will widen the inequality gap between those on public and private insurance at a time when more Californians are struggling, and an additional 2 million low-income Californians will be dependent on Medi-Cal.”[/pullquote]\u003c/p>\n\u003cp>Services like vision care, podiatry, hearing aids, and speech and physical therapy will no longer be covered by Medi-Cal under the governor’s \u003ca href=\"http://www.ebudget.ca.gov/FullBudgetSummary.pdf\" target=\"_blank\" rel=\"noopener noreferrer\">revised budget\u003c/a>. Dental services will also be greatly reduced.\u003c/p>\n\u003cp>Many of these benefits had just been restored – letters went out to recipients in January that some were now available again – after they were cut in the last economic downturn.\u003c/p>\n\u003cp>“We spent a lot of time trying to work our way out of the hole that we dug 10 years ago during the Great Recession,” said Anthony Wright, executive director of Health Access California, an advocacy group. “And we’re looking to repeat the exact same mistakes of making these cuts that have these unintended consequences throughout the health system.”\u003c/p>\n\u003cp>The governor is also proposing to reroute $1.2 billion raised from the state’s tobacco tax. Instead of \u003ca href=\"https://www.kqed.org/stateofhealth/339838/is-the-fight-over-tobacco-tax-money-about-helping-patients-or-enriching-doctors\" target=\"_blank\" rel=\"noopener noreferrer\">increasing payments to doctors\u003c/a> and clinics that treat Medi-Cal patients, as the money was intended when it was passed by voters in 2016 as Proposition 56, the state would like to redirect it to fund the growth in general Medi-Cal costs.[ad fullwidth]\u003c/p>\n\u003cp>Doctors groups, which spent millions to help pass the tobacco tax, say this cut to reimbursement rates will create more pressure and uncertainty on physician practices at a time when many are already facing big drops in revenue because of canceled surgeries and appointments. Doctors say this could force them to limit the number of Medi-Cal patients they see.\u003c/p>\n\u003cp>“This budget will widen the inequality gap between those on public and private insurance at a time when more Californians are struggling, and an additional 2 million low-income Californians will be dependent on Medi-Cal,” said Dr. Peter N. Bretan, president of the California Medical Association. “The governor’s proposal will make it harder for those patients to get the care they need when they need it.” [aside tag=\"health, coronavirus\" label=\"More Related Coverage\"]\u003c/p>\n\u003cp>In addition to the cuts in services and reimbursement rates, the state is also scrapping various plans to expand and protect Medi-Cal coverage for seniors, in particular, for undocumented adults over age 65, which was one of the governor’s main goals in bringing the state closer to universal health coverage. Undocumented children and young adults will still be eligible.\u003c/p>\n\u003cp>Tens of thousands of older Californians who are blind and disabled and earn between $16,332 and $17,609 per year will not be able to get Medi-Cal coverage, as was originally proposed in the governor’s January draft budget. And a policy that would have prevented the state from taking Medi-Cal beneficiaries’ homes or estates as payment was rescinded, serving as a deterrent for some seniors to sign up, said Health Access’ Anthony Wright.\u003c/p>\n\u003cp>“These are cuts to senior care and coverage that are really troubling,” he said, “especially since seniors are the most at risk population in this COVID-19 crisis.”\u003c/p>\n\u003cp>\u003c/p>\n",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>With so many Californians losing jobs and health insurance because of the pandemic, the state estimates 2 million more people will sign up for Medi-Cal coverage this year, bringing the total caseload in the health care program for low-income Californians to 14.5 million people.\u003c/p>\n\u003cp>To pay for the increase in enrollment, Gov. Gavin Newsom wants to cut back on some of the benefits patients will receive and the rates doctors will get paid to see them.\u003c/p>\n\u003cp>“There are areas where we clearly can’t do what we wanted to do,” Newsom said during a press conference on Thursday. “We wanted to make more progress with the January budget. Unfortunately, that progress will be delayed.” \u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>Services like vision care, podiatry, hearing aids, and speech and physical therapy will no longer be covered by Medi-Cal under the governor’s \u003ca href=\"http://www.ebudget.ca.gov/FullBudgetSummary.pdf\" target=\"_blank\" rel=\"noopener noreferrer\">revised budget\u003c/a>. Dental services will also be greatly reduced.\u003c/p>\n\u003cp>Many of these benefits had just been restored – letters went out to recipients in January that some were now available again – after they were cut in the last economic downturn.\u003c/p>\n\u003cp>“We spent a lot of time trying to work our way out of the hole that we dug 10 years ago during the Great Recession,” said Anthony Wright, executive director of Health Access California, an advocacy group. “And we’re looking to repeat the exact same mistakes of making these cuts that have these unintended consequences throughout the health system.”\u003c/p>\n\u003cp>The governor is also proposing to reroute $1.2 billion raised from the state’s tobacco tax. Instead of \u003ca href=\"https://www.kqed.org/stateofhealth/339838/is-the-fight-over-tobacco-tax-money-about-helping-patients-or-enriching-doctors\" target=\"_blank\" rel=\"noopener noreferrer\">increasing payments to doctors\u003c/a> and clinics that treat Medi-Cal patients, as the money was intended when it was passed by voters in 2016 as Proposition 56, the state would like to redirect it to fund the growth in general Medi-Cal costs.\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>Doctors groups, which spent millions to help pass the tobacco tax, say this cut to reimbursement rates will create more pressure and uncertainty on physician practices at a time when many are already facing big drops in revenue because of canceled surgeries and appointments. Doctors say this could force them to limit the number of Medi-Cal patients they see.\u003c/p>\n\u003cp>“This budget will widen the inequality gap between those on public and private insurance at a time when more Californians are struggling, and an additional 2 million low-income Californians will be dependent on Medi-Cal,” said Dr. Peter N. Bretan, president of the California Medical Association. “The governor’s proposal will make it harder for those patients to get the care they need when they need it.” \u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>In addition to the cuts in services and reimbursement rates, the state is also scrapping various plans to expand and protect Medi-Cal coverage for seniors, in particular, for undocumented adults over age 65, which was one of the governor’s main goals in bringing the state closer to universal health coverage. Undocumented children and young adults will still be eligible.\u003c/p>\n\u003cp>Tens of thousands of older Californians who are blind and disabled and earn between $16,332 and $17,609 per year will not be able to get Medi-Cal coverage, as was originally proposed in the governor’s January draft budget. And a policy that would have prevented the state from taking Medi-Cal beneficiaries’ homes or estates as payment was rescinded, serving as a deterrent for some seniors to sign up, said Health Access’ Anthony Wright.\u003c/p>\n\u003cp>“These are cuts to senior care and coverage that are really troubling,” he said, “especially since seniors are the most at risk population in this COVID-19 crisis.”\u003c/p>\n\u003cp>\u003c/p>\n\u003c/div>\u003c/p>",
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"slug": "bay-area-florists-wilting-under-shelter-in-place-restrictions",
"title": "Bay Area Florists Wilting Under Shelter-In-Place Restrictions",
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"headTitle": "Bay Area Florists Wilting Under Shelter-In-Place Restrictions | KQED",
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"content": "\u003cp>Mother’s Day is the biggest day for flower shop sales — bigger than Valentine’s Day. But the sales bump may not come soon enough to save smaller stores already floundering because of the economic slump caused by COVID-19 shelter-in-place orders.\u003c/p>\n\u003cp>Yuri Kim runs \u003ca href=\"https://fractalflora.myshopify.com\" target=\"_blank\" rel=\"noopener noreferrer\">Fractal Flora\u003c/a>, a local flower shop based in downtown San Jose’s San Pedro Square neighborhood. The shop is so small, it’s housed in a converted garage parking space. In early March, Fractal Flora closed off its retail area but allowed people to walk up to the storefront and point out what they wanted from inside.\u003c/p>\n\u003cp>“And then when shelter in place came into effect [in \u003ca href=\"https://www.sccgov.org/sites/covid19/Pages/public-health-orders.aspx\" target=\"_blank\" rel=\"noopener noreferrer\">Santa Clara County\u003c/a>], we decided to close down the retail side completely,” Kim said.\u003c/p>\n\u003cp>As weddings across the region were canceled or postponed, their flower orders dried up as well. Kim and co-founder Sarah Lim had to lay off Fractal Flora’s six part-time employees.\u003c/p>\n\u003cfigure id=\"attachment_11816955\" class=\"wp-caption aligncenter\" style=\"max-width: 800px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-medium wp-image-11816955\" src=\"https://ww2.kqed.org/app/uploads/sites/10/2020/05/IMG_7883-800x1067.jpg\" alt=\"When social distancing started, San Jose flower shop Fractal Flora sectioned off their shop so customers couldn't enter the space, but could still window shop.\" width=\"800\" height=\"1067\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2020/05/IMG_7883-800x1067.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2020/05/IMG_7883-160x213.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2020/05/IMG_7883-1020x1360.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2020/05/IMG_7883-1920x2560.jpg 1920w, https://cdn.kqed.org/wp-content/uploads/sites/10/2020/05/IMG_7883-1122x1496.jpg 1122w, https://cdn.kqed.org/wp-content/uploads/sites/10/2020/05/IMG_7883-840x1120.jpg 840w, https://cdn.kqed.org/wp-content/uploads/sites/10/2020/05/IMG_7883-687x916.jpg 687w, https://cdn.kqed.org/wp-content/uploads/sites/10/2020/05/IMG_7883-414x552.jpg 414w, https://cdn.kqed.org/wp-content/uploads/sites/10/2020/05/IMG_7883-354x472.jpg 354w\" sizes=\"(max-width: 800px) 100vw, 800px\">\u003cfigcaption class=\"wp-caption-text\">When social distancing started, San Jose flower shop Fractal Flora sectioned off their shop so customers couldn’t enter the space, but could still window shop. \u003ccite>(Adhiti Bandlamudi/ KQED)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003ch3>Delivery Only, No Pickups\u003c/h3>\n\u003cp>To move some inventory, Kim partnered with \u003ca href=\"https://www.instagram.com/voyagercraftcoffee/?hl=en\" target=\"_blank\" rel=\"noopener noreferrer\">Voyager Coffee\u003c/a>, a local cafe in San Jose, where she sold bouquets of lilies, roses and small succulent kits for customers to pick up with their coffee. But a few weeks in, she got a call from the Santa Clara County District Attorney’s Office.\u003c/p>\n\u003cp>“We had been reported for doing these pickups, and it was unauthorized,” Kim said. “We had to stop immediately or we would be fined.”\u003c/p>\n\u003cp>On May 4, Santa Clara County announced that it would start easing restrictions, but not for flower shops. Kim can only deliver. She’s not allowed to offer curbside pickup. Because she’s the only employee left at Fractal Flora, she’s left to do all the deliveries herself, even as she receives an influx of orders for Mother’s Day.\u003c/p>\n\u003cp>“I can only do so much, so we’re putting a limit on how many orders we can accept,” Kim said.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003ch3>The Wholesale Flower Market\u003c/h3>\n\u003cp>The story is similar for flower shops throughout the San Francisco Bay Area, including wholesalers. Rob Shibata runs \u003ca href=\"http://www.mteden.com\" target=\"_blank\" rel=\"noopener noreferrer\">Mount Eden Floral Wholesale\u003c/a>, one of the largest wholesalers in the region. When shelter-in-place orders were announced, Shibata had to shut down his warehouse.\u003c/p>\n\u003cp>“We had to dump or give away our entire inventory of fresh flowers,” Shibata said. “That was well into six figures of what we had to discard.”\u003c/p>\n\u003cp>On May 4, Shibata was able to finally reopen, but only for delivery. He understands his warehouse is considered non-essential, and he doesn’t want the virus to spread further, but he’s confident he could maintain social distancing. What’s the difference, he wonders, between ordering a pizza versus ordering a bouquet of flowers?\u003c/p>\n\u003cp>“I think the difference to the government is that it’s simpler to make a one-size-all-fits rule, regardless of whether there’s a difference in the public health risk,” Shibata said.\u003c/p>\n\u003cp>Select wholesalers in California have been able to reopen for distribution, including the \u003ca href=\"https://www.sanfranciscoflowermart.com\" target=\"_blank\" rel=\"noopener noreferrer\">San Francisco Flower Mart\u003c/a>, which reopened on April 22, and the \u003ca href=\"http://originallaflowermarket.com\" target=\"_blank\" rel=\"noopener noreferrer\">Los Angeles Flower Market\u003c/a>, which reopened on May 8. Shibata is a vendor at both markets and is happy he can move inventory somewhere.\u003c/p>\n\u003cfigure id=\"attachment_11817166\" class=\"wp-caption aligncenter\" style=\"max-width: 800px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-medium wp-image-11817166\" src=\"https://ww2.kqed.org/app/uploads/sites/10/2020/05/RS43064_021_KQED_SanFrancisco_FlowerMart_05062020-qut-800x533.jpg\" alt=\"Roses at Chak Nursery in the San Francisco Flower Mart on May 5, 2020. The market is currently only open to those who are registered badgeholders making purchases for their business.\" width=\"800\" height=\"533\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2020/05/RS43064_021_KQED_SanFrancisco_FlowerMart_05062020-qut-800x533.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2020/05/RS43064_021_KQED_SanFrancisco_FlowerMart_05062020-qut-160x107.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2020/05/RS43064_021_KQED_SanFrancisco_FlowerMart_05062020-qut-1020x680.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2020/05/RS43064_021_KQED_SanFrancisco_FlowerMart_05062020-qut.jpg 1920w\" sizes=\"(max-width: 800px) 100vw, 800px\">\u003cfigcaption class=\"wp-caption-text\">Roses at Chak Nursery in the San Francisco Flower Mart on May 5, 2020. The market is currently only open to those who are registered badge holders making purchases for their business. \u003ccite>(Beth LaBerge/KQED)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>Officials in San Francisco, along with others across the Bay Area, say restaurants are allowed to offer pickup services because people “need calories to survive,” according to Gov. Gavin Newsom. But the rules are also about to loosen for retailers.\u003c/p>\n\u003cp>“You will have the capacity as a retailer to begin to reopen for pickup: clothing, bookstores, florists — with Mother’s Day coming up,” Newsom said in a press conference on May 4.\u003c/p>\n\u003cp>But those loosening restrictions don’t apply to Alameda, Contra Costa, Marin, San Francisco, San Mateo and Santa Clara counties, and the city of Berkeley — non-essential and non-outdoor businesses still can’t provide curbside pickup services.\u003c/p>\n\u003ch3>Good News, a Little Too Late\u003c/h3>\n\u003cp>Fractal Flora recently received good news — the shop will receive a $32,000 Paycheck Protection Program loan from Chase Bank. But the store owners must spend 75% of that loan on payroll within eight weeks. Otherwise, the loan won’t be forgiven, and she’ll be on the hook to pay the interest.\u003c/p>\n\u003cp>“It’s definitely a mixed bag, because, ‘Yay, we got the loan!’ ” Kim said. “But now I’m apprehensive about spending it because I don’t know if that loan will be forgiven.”\u003c/p>\n\u003cp>Again, Kim had to lay off her six part-time employees months ago.\u003c/p>\n\u003cp>“If I can’t spend 75% of that loan in two months,” Kim said. “I feel like I have no choice but to give it back.”\u003c/p>\n\u003cp>\u003c/p>\n",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>Mother’s Day is the biggest day for flower shop sales — bigger than Valentine’s Day. But the sales bump may not come soon enough to save smaller stores already floundering because of the economic slump caused by COVID-19 shelter-in-place orders.\u003c/p>\n\u003cp>Yuri Kim runs \u003ca href=\"https://fractalflora.myshopify.com\" target=\"_blank\" rel=\"noopener noreferrer\">Fractal Flora\u003c/a>, a local flower shop based in downtown San Jose’s San Pedro Square neighborhood. The shop is so small, it’s housed in a converted garage parking space. In early March, Fractal Flora closed off its retail area but allowed people to walk up to the storefront and point out what they wanted from inside.\u003c/p>\n\u003cp>“And then when shelter in place came into effect [in \u003ca href=\"https://www.sccgov.org/sites/covid19/Pages/public-health-orders.aspx\" target=\"_blank\" rel=\"noopener noreferrer\">Santa Clara County\u003c/a>], we decided to close down the retail side completely,” Kim said.\u003c/p>\n\u003cp>As weddings across the region were canceled or postponed, their flower orders dried up as well. Kim and co-founder Sarah Lim had to lay off Fractal Flora’s six part-time employees.\u003c/p>\n\u003cfigure id=\"attachment_11816955\" class=\"wp-caption aligncenter\" style=\"max-width: 800px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-medium wp-image-11816955\" src=\"https://ww2.kqed.org/app/uploads/sites/10/2020/05/IMG_7883-800x1067.jpg\" alt=\"When social distancing started, San Jose flower shop Fractal Flora sectioned off their shop so customers couldn't enter the space, but could still window shop.\" width=\"800\" height=\"1067\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2020/05/IMG_7883-800x1067.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2020/05/IMG_7883-160x213.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2020/05/IMG_7883-1020x1360.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2020/05/IMG_7883-1920x2560.jpg 1920w, https://cdn.kqed.org/wp-content/uploads/sites/10/2020/05/IMG_7883-1122x1496.jpg 1122w, https://cdn.kqed.org/wp-content/uploads/sites/10/2020/05/IMG_7883-840x1120.jpg 840w, https://cdn.kqed.org/wp-content/uploads/sites/10/2020/05/IMG_7883-687x916.jpg 687w, https://cdn.kqed.org/wp-content/uploads/sites/10/2020/05/IMG_7883-414x552.jpg 414w, https://cdn.kqed.org/wp-content/uploads/sites/10/2020/05/IMG_7883-354x472.jpg 354w\" sizes=\"(max-width: 800px) 100vw, 800px\">\u003cfigcaption class=\"wp-caption-text\">When social distancing started, San Jose flower shop Fractal Flora sectioned off their shop so customers couldn’t enter the space, but could still window shop. \u003ccite>(Adhiti Bandlamudi/ KQED)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003ch3>Delivery Only, No Pickups\u003c/h3>\n\u003cp>To move some inventory, Kim partnered with \u003ca href=\"https://www.instagram.com/voyagercraftcoffee/?hl=en\" target=\"_blank\" rel=\"noopener noreferrer\">Voyager Coffee\u003c/a>, a local cafe in San Jose, where she sold bouquets of lilies, roses and small succulent kits for customers to pick up with their coffee. But a few weeks in, she got a call from the Santa Clara County District Attorney’s Office.\u003c/p>\n\u003cp>“We had been reported for doing these pickups, and it was unauthorized,” Kim said. “We had to stop immediately or we would be fined.”\u003c/p>\n\u003cp>On May 4, Santa Clara County announced that it would start easing restrictions, but not for flower shops. Kim can only deliver. She’s not allowed to offer curbside pickup. Because she’s the only employee left at Fractal Flora, she’s left to do all the deliveries herself, even as she receives an influx of orders for Mother’s Day.\u003c/p>\n\u003cp>“I can only do so much, so we’re putting a limit on how many orders we can accept,” Kim said.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003ch3>The Wholesale Flower Market\u003c/h3>\n\u003cp>The story is similar for flower shops throughout the San Francisco Bay Area, including wholesalers. Rob Shibata runs \u003ca href=\"http://www.mteden.com\" target=\"_blank\" rel=\"noopener noreferrer\">Mount Eden Floral Wholesale\u003c/a>, one of the largest wholesalers in the region. When shelter-in-place orders were announced, Shibata had to shut down his warehouse.\u003c/p>\n\u003cp>“We had to dump or give away our entire inventory of fresh flowers,” Shibata said. “That was well into six figures of what we had to discard.”\u003c/p>\n\u003cp>On May 4, Shibata was able to finally reopen, but only for delivery. He understands his warehouse is considered non-essential, and he doesn’t want the virus to spread further, but he’s confident he could maintain social distancing. What’s the difference, he wonders, between ordering a pizza versus ordering a bouquet of flowers?\u003c/p>\n\u003cp>“I think the difference to the government is that it’s simpler to make a one-size-all-fits rule, regardless of whether there’s a difference in the public health risk,” Shibata said.\u003c/p>\n\u003cp>Select wholesalers in California have been able to reopen for distribution, including the \u003ca href=\"https://www.sanfranciscoflowermart.com\" target=\"_blank\" rel=\"noopener noreferrer\">San Francisco Flower Mart\u003c/a>, which reopened on April 22, and the \u003ca href=\"http://originallaflowermarket.com\" target=\"_blank\" rel=\"noopener noreferrer\">Los Angeles Flower Market\u003c/a>, which reopened on May 8. Shibata is a vendor at both markets and is happy he can move inventory somewhere.\u003c/p>\n\u003cfigure id=\"attachment_11817166\" class=\"wp-caption aligncenter\" style=\"max-width: 800px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-medium wp-image-11817166\" src=\"https://ww2.kqed.org/app/uploads/sites/10/2020/05/RS43064_021_KQED_SanFrancisco_FlowerMart_05062020-qut-800x533.jpg\" alt=\"Roses at Chak Nursery in the San Francisco Flower Mart on May 5, 2020. The market is currently only open to those who are registered badgeholders making purchases for their business.\" width=\"800\" height=\"533\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2020/05/RS43064_021_KQED_SanFrancisco_FlowerMart_05062020-qut-800x533.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2020/05/RS43064_021_KQED_SanFrancisco_FlowerMart_05062020-qut-160x107.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2020/05/RS43064_021_KQED_SanFrancisco_FlowerMart_05062020-qut-1020x680.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2020/05/RS43064_021_KQED_SanFrancisco_FlowerMart_05062020-qut.jpg 1920w\" sizes=\"(max-width: 800px) 100vw, 800px\">\u003cfigcaption class=\"wp-caption-text\">Roses at Chak Nursery in the San Francisco Flower Mart on May 5, 2020. The market is currently only open to those who are registered badge holders making purchases for their business. \u003ccite>(Beth LaBerge/KQED)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>Officials in San Francisco, along with others across the Bay Area, say restaurants are allowed to offer pickup services because people “need calories to survive,” according to Gov. Gavin Newsom. But the rules are also about to loosen for retailers.\u003c/p>\n\u003cp>“You will have the capacity as a retailer to begin to reopen for pickup: clothing, bookstores, florists — with Mother’s Day coming up,” Newsom said in a press conference on May 4.\u003c/p>\n\u003cp>But those loosening restrictions don’t apply to Alameda, Contra Costa, Marin, San Francisco, San Mateo and Santa Clara counties, and the city of Berkeley — non-essential and non-outdoor businesses still can’t provide curbside pickup services.\u003c/p>\n\u003ch3>Good News, a Little Too Late\u003c/h3>\n\u003cp>Fractal Flora recently received good news — the shop will receive a $32,000 Paycheck Protection Program loan from Chase Bank. But the store owners must spend 75% of that loan on payroll within eight weeks. Otherwise, the loan won’t be forgiven, and she’ll be on the hook to pay the interest.\u003c/p>\n\u003cp>“It’s definitely a mixed bag, because, ‘Yay, we got the loan!’ ” Kim said. “But now I’m apprehensive about spending it because I don’t know if that loan will be forgiven.”\u003c/p>\n\u003cp>Again, Kim had to lay off her six part-time employees months ago.\u003c/p>\n\u003cp>“If I can’t spend 75% of that loan in two months,” Kim said. “I feel like I have no choice but to give it back.”\u003c/p>\n\u003cp>\u003c/p>\n\u003c/div>\u003c/p>",
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"title": "While Some California COVID-19 Restrictions Ease, Most Bay Area Officials Hold Back",
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"content": "\u003cp>Provide outdoor break rooms, carry sanitation materials and enforce physical distancing: These are a few of the guidelines \u003ca href=\"https://www.kqed.org/coronavirusliveupdates/news/11816912/california-lays-out-additional-guidelines-for-counties-as-some-retailers-prepare-to-reopen\">laid out by the state on Thursday\u003c/a> as some California businesses prepare to reopen as part of the plan to ease stay-at-home restrictions.\u003c/p>\n\u003cp>But some Bay Area health officials say those changes will not extend to the revised \u003ca href=\"https://www.kqed.org/news/11814970/bay-area-shelter-in-place-orders-extended-through-may-31\">shelter-in-place orders\u003c/a> issued earlier this month, and said that they plan to study the new guidelines “carefully.”\u003c/p>\n\u003cp>“It is important that our local communities understand that the regional Health Orders that took effect May 4 are still in effect,” local health officials said in a press release issued shortly after Gov. Gavin Newsom’s daily press conference on Thursday.\u003c/p>\n\u003cp>These orders apply to Alameda, Contra Costa, Marin, San Francisco, San Mateo and Santa Clara counties, as well as the city of Berkeley.\u003c/p>\n\u003cp>Newsom first announced on Monday that the state would begin \u003ca href=\"https://www.kqed.org/news/11816082/most-retail-businesses-in-california-can-reopen-with-restrictions-by-friday-newsom-announces\">slowly easing into the second stage\u003c/a> of the recovery plan, which includes opening lower-risk non-essential businesses like retail stores and manufacturing so long as certain restrictions remain in place. Other businesses included in the full “stage two” reopening, like offices that cannot telecommute, will continue to remain closed for the time being.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>Local health officials further clarified that the Bay Area orders “do not currently permit curbside pickup from non-essential, non-outdoor businesses, and that is not allowed to begin on Friday, May 8.”\u003c/p>\n\u003cp>Newsom said on Monday that counties with stricter guidelines – such as those in effect across most of the Bay Area – will be allowed to continue enforcing their regulations. In their Thursday press release, Bay Area health officials emphasized that if a county order differs from a state order, “the more restrictive order takes precedence.”\u003c/p>\n\u003ch3>Statewide Restrictions Ease\u003c/h3>\n\u003cp>Dr. Mark Ghaly, secretary of the state’s Health and Human Services agency, explained that California is within the “range or zone of stability” for COVID-19-related deaths and hospitalizations, giving state officials confidence to move into this second stage.\u003c/p>\n\u003cp>“[Stage Two] does not mean a return to normal,” Ghaly cautioned. “We still know the virus is alive in California.”\u003c/p>\n\u003cp>Ghaly provided a few basic guidelines for what these newly reopened sectors should be doing when they restart on May 8:\u003c/p>\n\u003cul>\n\u003cli>\u003cstrong>Retailers\u003c/strong>: Increase pick up and delivery, encourage physical distancing during pick up, install hands-free devices\u003c/li>\n\u003cli>\u003cstrong>Manufacturers\u003c/strong>: Close indoor break rooms, provide outdoor break areas with physically distanced seating\u003c/li>\n\u003cli>\u003cstrong>Warehouses\u003c/strong>: Carry sanitation materials and personal protective equipment (PPE) for each stop during deliveries\u003c/li>\n\u003c/ul>\n\u003cp>Ghaly said this gradual move into stage two means that soon office buildings, restaurants, outdoor museums and shopping malls will be able to open with additional guidelines.\u003c/p>\n\u003cp>The state also provided a glimpse of industry-wide guidelines, which include requiring all industries to provide risk assessments and to provide training for employees on how to limit the spread of COVID-19 and implement protection plans.\u003c/p>\n\u003cfigure id=\"attachment_11816891\" class=\"wp-caption aligncenter\" style=\"max-width: 1920px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-11816891\" src=\"https://ww2.kqed.org/app/uploads/sites/10/2020/05/Screen-Shot-2020-05-07-at-12.31.57-PM-e1588881586805.png\" alt=\"\" width=\"1920\" height=\"1088\">\u003cfigcaption class=\"wp-caption-text\">The state provided industry-wide guidelines to help businesses get ready for easing COVID-19 restrictions across the state. \u003ccite>(Courtesy of the Office of the Governor of California)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003ch3>Regional Variances\u003c/h3>\n\u003cp>Newsom also noted that some localities would be able to move more quickly into the full roll out of stage two, but will have to meet certain criteria and follow additional guidelines.\u003c/p>\n\u003cp>“We’ll try to provide some flexibility but, again, it’s a health-first frame,” Newsom said. “And if [counties] can’t meet it on the basis of data and facts, on trend lines, on hospitalizations, on ICU data, on death data and positive data, then we’re not able to accommodate that. And we’ll be compelled to enforce it in a thoughtful and judicious way.”\u003c/p>\n\u003cp>Ghaly said the following regional variance criteria was developed with local public heath officials:\u003c/p>\n\u003cul>\n\u003cli>\u003cstrong>Epidemiological stability\u003c/strong>: Counties must be able to prove they’ve had no more than one case of COVID-19 per 10,000 people, and no COVID-19 deaths, in the past 14 days\u003c/li>\n\u003cli>\u003cstrong>Testing Capacity:\u003c/strong> Counties must have 1.5 tests available per 1,000 residents\u003c/li>\n\u003cli>\u003cstrong>Protection of Stage One Essential Workers\u003c/strong>: Localities must be able to support sick or exposed workers, and disinfectant supplies and PPE must be available\u003c/li>\n\u003cli>\u003cstrong>Containment Capacity\u003c/strong>: At least 15 contact tracers per 100,000 people and the ability to house at least 15% of county homeless population\u003c/li>\n\u003cli>\u003cstrong>Hospital Capacity\u003c/strong>: Regional areas must be able to accommodate a 35% surge in COVID-19 cases\u003c/li>\n\u003cli>\u003cstrong>Vulnerable Populations\u003c/strong>: Skilled nursing facilities must have PPE to last more than 14 days and the ability to order more when it runs out\u003c/li>\n\u003cli>\u003cstrong>Adjusting Modifications\u003c/strong>: Localities must have metrics that serve as “triggers” to either slow the pace or return to stricter restrictions\u003c/li>\n\u003c/ul>\n\u003cp>\u003c/p>\n\u003cp>The governor again encouraged caution as the state moves toward opening up, saying, “We are making progress, we are flattening the curve … but we’re not out of the woods yet.”\u003c/p>\n\n",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>Provide outdoor break rooms, carry sanitation materials and enforce physical distancing: These are a few of the guidelines \u003ca href=\"https://www.kqed.org/coronavirusliveupdates/news/11816912/california-lays-out-additional-guidelines-for-counties-as-some-retailers-prepare-to-reopen\">laid out by the state on Thursday\u003c/a> as some California businesses prepare to reopen as part of the plan to ease stay-at-home restrictions.\u003c/p>\n\u003cp>But some Bay Area health officials say those changes will not extend to the revised \u003ca href=\"https://www.kqed.org/news/11814970/bay-area-shelter-in-place-orders-extended-through-may-31\">shelter-in-place orders\u003c/a> issued earlier this month, and said that they plan to study the new guidelines “carefully.”\u003c/p>\n\u003cp>“It is important that our local communities understand that the regional Health Orders that took effect May 4 are still in effect,” local health officials said in a press release issued shortly after Gov. Gavin Newsom’s daily press conference on Thursday.\u003c/p>\n\u003cp>These orders apply to Alameda, Contra Costa, Marin, San Francisco, San Mateo and Santa Clara counties, as well as the city of Berkeley.\u003c/p>\n\u003cp>Newsom first announced on Monday that the state would begin \u003ca href=\"https://www.kqed.org/news/11816082/most-retail-businesses-in-california-can-reopen-with-restrictions-by-friday-newsom-announces\">slowly easing into the second stage\u003c/a> of the recovery plan, which includes opening lower-risk non-essential businesses like retail stores and manufacturing so long as certain restrictions remain in place. Other businesses included in the full “stage two” reopening, like offices that cannot telecommute, will continue to remain closed for the time being.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>Local health officials further clarified that the Bay Area orders “do not currently permit curbside pickup from non-essential, non-outdoor businesses, and that is not allowed to begin on Friday, May 8.”\u003c/p>\n\u003cp>Newsom said on Monday that counties with stricter guidelines – such as those in effect across most of the Bay Area – will be allowed to continue enforcing their regulations. In their Thursday press release, Bay Area health officials emphasized that if a county order differs from a state order, “the more restrictive order takes precedence.”\u003c/p>\n\u003ch3>Statewide Restrictions Ease\u003c/h3>\n\u003cp>Dr. Mark Ghaly, secretary of the state’s Health and Human Services agency, explained that California is within the “range or zone of stability” for COVID-19-related deaths and hospitalizations, giving state officials confidence to move into this second stage.\u003c/p>\n\u003cp>“[Stage Two] does not mean a return to normal,” Ghaly cautioned. “We still know the virus is alive in California.”\u003c/p>\n\u003cp>Ghaly provided a few basic guidelines for what these newly reopened sectors should be doing when they restart on May 8:\u003c/p>\n\u003cul>\n\u003cli>\u003cstrong>Retailers\u003c/strong>: Increase pick up and delivery, encourage physical distancing during pick up, install hands-free devices\u003c/li>\n\u003cli>\u003cstrong>Manufacturers\u003c/strong>: Close indoor break rooms, provide outdoor break areas with physically distanced seating\u003c/li>\n\u003cli>\u003cstrong>Warehouses\u003c/strong>: Carry sanitation materials and personal protective equipment (PPE) for each stop during deliveries\u003c/li>\n\u003c/ul>\n\u003cp>Ghaly said this gradual move into stage two means that soon office buildings, restaurants, outdoor museums and shopping malls will be able to open with additional guidelines.\u003c/p>\n\u003cp>The state also provided a glimpse of industry-wide guidelines, which include requiring all industries to provide risk assessments and to provide training for employees on how to limit the spread of COVID-19 and implement protection plans.\u003c/p>\n\u003cfigure id=\"attachment_11816891\" class=\"wp-caption aligncenter\" style=\"max-width: 1920px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-11816891\" src=\"https://ww2.kqed.org/app/uploads/sites/10/2020/05/Screen-Shot-2020-05-07-at-12.31.57-PM-e1588881586805.png\" alt=\"\" width=\"1920\" height=\"1088\">\u003cfigcaption class=\"wp-caption-text\">The state provided industry-wide guidelines to help businesses get ready for easing COVID-19 restrictions across the state. \u003ccite>(Courtesy of the Office of the Governor of California)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003ch3>Regional Variances\u003c/h3>\n\u003cp>Newsom also noted that some localities would be able to move more quickly into the full roll out of stage two, but will have to meet certain criteria and follow additional guidelines.\u003c/p>\n\u003cp>“We’ll try to provide some flexibility but, again, it’s a health-first frame,” Newsom said. “And if [counties] can’t meet it on the basis of data and facts, on trend lines, on hospitalizations, on ICU data, on death data and positive data, then we’re not able to accommodate that. And we’ll be compelled to enforce it in a thoughtful and judicious way.”\u003c/p>\n\u003cp>Ghaly said the following regional variance criteria was developed with local public heath officials:\u003c/p>\n\u003cul>\n\u003cli>\u003cstrong>Epidemiological stability\u003c/strong>: Counties must be able to prove they’ve had no more than one case of COVID-19 per 10,000 people, and no COVID-19 deaths, in the past 14 days\u003c/li>\n\u003cli>\u003cstrong>Testing Capacity:\u003c/strong> Counties must have 1.5 tests available per 1,000 residents\u003c/li>\n\u003cli>\u003cstrong>Protection of Stage One Essential Workers\u003c/strong>: Localities must be able to support sick or exposed workers, and disinfectant supplies and PPE must be available\u003c/li>\n\u003cli>\u003cstrong>Containment Capacity\u003c/strong>: At least 15 contact tracers per 100,000 people and the ability to house at least 15% of county homeless population\u003c/li>\n\u003cli>\u003cstrong>Hospital Capacity\u003c/strong>: Regional areas must be able to accommodate a 35% surge in COVID-19 cases\u003c/li>\n\u003cli>\u003cstrong>Vulnerable Populations\u003c/strong>: Skilled nursing facilities must have PPE to last more than 14 days and the ability to order more when it runs out\u003c/li>\n\u003cli>\u003cstrong>Adjusting Modifications\u003c/strong>: Localities must have metrics that serve as “triggers” to either slow the pace or return to stricter restrictions\u003c/li>\n\u003c/ul>\n\u003cp>\u003c/p>\n\u003cp>The governor again encouraged caution as the state moves toward opening up, saying, “We are making progress, we are flattening the curve … but we’re not out of the woods yet.”\u003c/p>\n\n\u003c/div>\u003c/p>",
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"content": "\u003cp>How does California plan to stem a personal protective equipment shortage? Hospitals will sterilize previously worn N95 respirator masks and reuse them.\u003c/p>\n\u003cp>Across California, hospitals are readying machines to spray down masks with disinfectant, but nurses fear wearing previously used respirators may expose them to COVID-19 infection.\u003c/p>\n\u003cp>Some nurses claim the sterilization machines are untested, unproven and could put their lives at risk — the California Nurses Association plans to protest their use at two Kaiser Permanente hospitals in the Bay Area this week.\u003c/p>\n\u003cp>The two sterilization machines that will be employed across the state were granted emergency authorization by the Food and Drug Administration in the last two months in response to the pandemic.\u003c/p>\n\u003cp>While the FDA authorized the use of the machines, \u003ca href=\"https://www.fda.gov/media/136884/download\">it issued a strict warning to producers of both machines\u003c/a> that they cannot “represent or suggest that this product is safe or effective for the prevention or treatment of COVID-19.”\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>Yet Gov. Gavin Newsom and the hospital chain Kaiser Permanente said the sterilization method is necessary to help shore up an ongoing shortage of personal protective equipment for health care professionals on the front lines of the pandemic.\u003c/p>\n\u003ch3>\u003cstrong>Nurses Outraged\u003c/strong>\u003c/h3>\n\u003cp>One of the machines is produced by defense contractor Battelle, which is based in Columbus, Ohio, and will be used in public hospitals. Another respirator sterilization machine, Sterrad, produced by the Irvine-based company Advanced Sterilization Products, will be used in Kaiser hospitals. Both machines sanitize single-use N95 masks with hydrogen peroxide up to two times.\u003c/p>\n\u003cp>The California Nurses Association is opposing the use of Sterrad in Kaiser hospitals across California. Similarly, nurses represented by Service Employees International Union Local 1021 fear the use of Battelle’s sterilization techniques in public hospitals.\u003c/p>\n\u003cp>https://twitter.com/Battelle/status/1245064345500999681\u003c/p>\n\u003cp>Kaiser Permanente has already issued nurses masks sterilized by Sterrad machines. One of Kaiser’s first California hospitals to get the machine was in Roseville.\u003c/p>\n\u003cp>“Battelle is providing critical support to our healthcare professionals across the country who are in desperate need for N95 respirator masks,” said Matt Vaughan, Battelle’s contract research president, in a press statement about its decontamination technology.\u003c/p>\n\u003cp>But Joanne Imwalle, a Kaiser Permanente nurse in Roseville, said the sterilization techniques for N95 masks haven’t been tested enough to grant her assurances that she won’t contract COVID-19 or spread the virus. Imwalle has worked in and out of hospitals for 37 years.\u003c/p>\n\u003cp>On the phone with KQED News, the nurse’s voice shook with fury.\u003c/p>\n\u003cp>“When I talk to my neighbor or go into a grocery store, could I infect my neighbors and community members? It’s so egregious to me it’s overwhelming at times,” Imwalle said. “I went into this to save lives, not to sacrifice mine.”\u003c/p>\n\u003cp>One representative of SEIU Local 1021, which represents roughly 4,000 nurses in the Bay Area, called the method “dangerous.”\u003c/p>\n\u003cp>“There is no plausible rationale for recycling (personal protective equipment),” said Sasha Cuttler, a nurse at San Francisco’s Laguna Honda Hospital, \u003ca href=\"https://www.kqed.org/news/11810126/sf-mayor-breed-explains-extending-shelter-in-place-order-discusses-laguna-honda-hospital\" target=\"_blank\" rel=\"noopener noreferrer\">which experienced an outbreak of COVID-19 in early April\u003c/a>. Cuttler, who is also the Registered Nurse Chair of SEIU Local 1021, warned sterilized masks may pose a new threat.\u003c/p>\n\u003ch3>\u003cstrong>Statewide Shortage\u003c/strong>\u003c/h3>\n\u003cp>Advanced Sterilization Products conducted its own tests of the Sterrad system in partnership with N95 mask manufacturers, a company spokesperson said, and submitted those test results to the FDA in order to obtain its emergency use authorization.\u003c/p>\n\u003cp>“FDA may issue an (emergency use authorization) when certain criteria are met, which includes that there are no adequate, approved, available alternatives, and based on the totality of scientific evidence available, it is reasonable to believe the ASP Sterrad Sterilization System may be effective at decontaminating compatible N95 respirators,” a company spokesperson wrote to KQED News. [pullquote size=\"medium\" align=\"right\" citation=\"Joanne Imwalle, Kaiser Permanente nurse\"]“I went into this to save lives, not to sacrifice mine.”[/pullquote]\u003c/p>\n\u003cp>Battelle did not respond to a request for comment.\u003c/p>\n\u003cp>The decontamination system produced by Battelle is based on research that Battelle itself performed for the FDA in 2015 to assess the feasibility to decontaminate N95 respirator masks in the event of a personal protective equipment shortage resulting from a pandemic, according to a public statement on the company’s website. [aside tag=\"coronavirus, COVID-19\" label=\"More Coronavirus Coverage\"]\u003c/p>\n\u003cp>While the first Battelle sterilization in California began in Burbank, Newsom told KQED News on Friday that “quite literally as we speak” another Battelle sterilization unit is being assembled in Northern California.\u003c/p>\n\u003cp>“One of those masks arrived that was sterilized off that line from Burbank today, and was presented and shared with our team in our morning meeting, and it looks as new as any other mask,” Newsom said.\u003c/p>\n\u003cp>But, addressing the nurses’ worries, the governor added, “I appreciate sterilization, up to 20 times per mask, is not everybody’s first choice.”\u003c/p>\n\u003cp>Battelle’s own reports show its technology had 99.9% efficiency in killing bacterial spores and sterilization could be performed up to 20 times before damaging a respirator, according to the Centers for Disease Control and Prevention.\u003c/p>\n\u003cp>Speaking on behalf of Kaiser Permanente, David Witt, MD, said Kaiser’s “top priority” is the safety of its patients, members and staff.\u003c/p>\n\u003cp>“Given the global shortage of protective masks during this pandemic, we are taking every action possible to make sure our staff have the equipment they need to deliver care safely,” Witt said in a statement. “Kaiser Permanente currently uses Sterrad to sterilize N95 masks, which aligns with the CDC guidance for decontamination methods.”[pullquote size=\"medium\" align=\"right\" citation=\"Gov. Gavin Newsom\"]“One of those masks arrived that was sterilized off that line from Burbank today, and was presented and shared with our team in our morning meeting, and it looks as new as any other mask.”[/pullquote]\u003c/p>\n\u003cp>Despite assurances from the CDC, nurses are concerned the FDA issued a list of risks to health care professionals for use of both sterilization methods, Sterrad and Battelle, which included the warning that “Reused respirators may not have been effectively decontaminated of SARS-CoV-2 or other pathogens.”\u003c/p>\n\u003cp>Unlike Kaiser, some California public hospitals issued assurances to staff that sterilization methods would not be used unless absolutely necessary. For now, they’ve said they have enough masks — but that’s dependent on the number of patients remaining low.\u003c/p>\n\u003cp>https://twitter.com/NNUBonnie/status/1256286520853491712\u003c/p>\n\u003cp>In an email to hospital staff obtained by KQED, UCSF, which runs departments at San Francisco General Hospital, wrote “UCSF remains committed to sourcing and distributing new N95 respirators. Redistribution of reprocessed N95 respirators will be initiated when UCSF reaches crisis levels and other options have been exhausted.”\u003c/p>\n\u003ch3>\u003cstrong>Shifting Standards\u003c/strong>\u003c/h3>\n\u003cp>That’s small comfort to Havilah Smith, a nurse at Kaiser Permanente San Francisco Medical Center on Geary Boulevard, who is the CNA’s chief nurse representative, and has herself treated COVID-19 positive patients.\u003c/p>\n\u003cp>Smith has been told Kaiser will begin distributing masks sterilized with Sterrad next week.\u003c/p>\n\u003cp>In the beginning, nurses disposed of an N95 mask after seeing each patient. Then they were guided to wear the masks with multiple patients and for longer periods, keeping their respirators in paper bags where Smith fears the virus may spread more easily.\u003c/p>\n\u003cp>“Nurses are being treated as more disposable as a health care professional than a mask,” Smith said.\u003c/p>\n\u003cp>As of Friday, 5,743 health care workers in California tested positive for COVID-19, according to the California Department of Public Health, with 31 health care workers confirmed dead from the virus.\u003c/p>\n\u003cp>[ad floatright]\u003c/p>\n\u003cp>\u003cem>KQED reporter Marisa Lagos contributed to this report.\u003c/em>\u003c/p>\n\n",
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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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"soldout": {
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"info": "The TED Radio Hour is a journey through fascinating ideas, astonishing inventions, fresh approaches to old problems, and new ways to think and create.",
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