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"content": "\u003cp>San Francisco Supervisors Hillary Ronen and Matt Haney want the city to offer free mental health care and substance abuse treatment to any city resident in need.\u003c/p>\n\u003cp>The supervisors, along with state Assemblyman Phil Ting (D-San Francisco), on Tuesday are announcing a push for a November ballot measure to create what they say would be the first universal mental health care system in the nation.\u003c/p>\n\u003cp>[pullquote size=“small” align=”right” citation=\"San Francisco Supervisor Hillary Ronen\"]‘Mental health and substance use programs in San Francisco right now are completely uncoordinated and a mess. We all see it … when we walk on the street and see people in misery.’[/pullquote]\u003c/p>\n\u003cp>“We have a crisis of people who are severely addicted to drugs and that have severe mental health illnesses that are wandering the street and that desperately need help,” Ronen said in an interview Tuesday morning.\u003c/p>\n\u003cp>“San Franciscans are ready for a bold and big change. They’re sick of little measures around the edges. They want a fix to this crisis. The status quo is dangerous,” she said. “We can’t keep failing.”\u003c/p>\n\u003cp>The plan, which would be called Mental Health SF, would be similar to the city’s \u003ca href=\"https://healthysanfrancisco.org/\" target=\"_blank\" rel=\"noopener\">Healthy San Francisco\u003c/a> program that offers health care services to uninsured city residents. It would provide treatment to anyone who has a mental health illness or substance addiction and asks for help — even if they have health insurance.\u003c/p>\n\u003cp>The proposal, first reported on by the \u003ca href=\"https://www.sfchronicle.com/bayarea/heatherknight/article/Bold-plan-to-tackle-SF-s-crisis-on-the-streets-13899585.php?psid=34ve\" target=\"_blank\" rel=\"noopener\">San Francisco Chronicle\u003c/a>, would be paid for by state funding and a proposed tax increase on companies that pay their chief executive officers 100 times more than the median compensation paid to their employees.\u003c/p>\n\u003cp>“We have become one of the most unequal cities in the country, with CEOs making hundreds and hundreds times more than their average worker,” Haney said.\u003c/p>\n\u003cp>[aside postID=news_11742865,news_11741821 label='Homelessness and Mental Health']\u003c/p>\n\u003cp>The plan calls for a 24-hour, seven-days-a-week service center that accepts anyone no matter how severe their needs and an office that would coordinate care.\u003c/p>\n\u003cp>“Mental health and substance use programs in San Francisco right now are completely uncoordinated and a mess. We all see it … when we walk on the street and see people in misery,” Ronen said. “Every single day we see people being released onto the street with their hospital bands on who are still clearly in crisis and don’t know what to do and where to go,” she said.\u003c/p>\n\u003cp>The program would also expand residential treatment and housing services already operating in San Francisco for people with severe mental illness and substance abuse.\u003c/p>\n\u003cp>Ronen and Haney plan to put a separate measure on the fall ballot, dubbed the Excessive CEO Salary Tax, that would place an extra surcharge on businesses that have chief executives who make at least 100 times more than the firms’ typical workers. They believe the tax would generate about $80 million a year, adding to the city’s $370 million annual budget for mental health and substance abuse treatment.\u003c/p>\n\u003cp>Mental Health SF would rely on some state money as well. The state Medi-Cal program covers half the cost of services to low-income Californians enrolled in the program. Ronen said San Francisco should draw down more funding from Proposition 63, a tax approved by voters in 2004 to fund services for Californians with serious mental illnesses.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>The program would also use some funding from an IPO tax recently proposed by Supervisor Gordon Mar to raise the employer payroll tax on stock-based compensation.\u003c/p>\n\u003cp>A representative for a leading business lobbying group raised concerns about the idea.\u003c/p>\n\u003cp>“There’s little question that we need to do a far better job of providing mental health care services. It’s not just a San Francisco issue, it’s an issue across the entire Bay Area and California,” said Rufus Jeffris, a spokesman for the Bay Area Council.\u003c/p>\n\u003cp>“A big danger in this proposal is relying on highly volatile jobs and wealth taxes to fund an ongoing expansion of services. And given criticism about a lack of coordination and coherence in a system that some have described as ‘devastatingly broken,’ voters will need to decide whether spending more money is the right approach,” Jeffris said in an email.\u003c/p>\n\u003cp>Notably absent from the press conference announcing the plan were San Francisco’s mayor, London Breed, and anyone from the city’s department of public health.\u003c/p>\n\u003cp>Both offices said they couldn’t comment on the proposal yet because they both hadn’t seen it until Tuesday, when it was announced to the public.\u003c/p>\n\u003cp>Those offices have been trying to address shortfalls in mental health care. The mayor recently hired the city’s first ever director of mental health reform, Dr. Anton Nigusse Bland, who previously directed psychiatric emergency services at San Francisco General Hospital.\u003c/p>\n\u003cp>He is now tasked with evaluating the city’s mental health and substance abuse treatment services, particularly for homeless people, and making recommendations for changes.\u003c/p>\n\u003cp>The city is also participating in a pilot project overhauling the delivery of drug treatment services through Medi-Cal – a project that includes some features proposed in the Mental Health SF program.\u003c/p>\n\u003cp>But Ronen says it’s not nearly enough.\u003c/p>\n\u003cp>“We haven’t seen a single plan that comes out of the mayor’s office to deal with this crisis at the scale that we’re dealing with,” Ronen said. “We need a massive overhaul.”\u003c/p>\n\u003cp>To staff the program, Ronen believes the city can accomplish what the private health care industry can’t. Kaiser Permanente has been the target of numerous complaints about long wait times for mental health appointments, which clinicians there say is due to under staffing. Their union recently authorized a strike over the issue, following a five-day strike in December. Patients with Blue Shield coverage say when they call therapists listed on the insurer’s network, most are not taking new patients.\u003c/p>\n\u003cp>Both companies routinely explain this by saying there is a shortage of clinicians. But Ronen says this is an excuse.\u003c/p>\n\u003cp>“Part of Mental Health SF is we’re going to pay people what we need to pay them to attract them, and we’re going to have the revenue to do so,” she said.\u003c/p>\n\u003cp>The program will also rely heavily on peer counselors, who don’t carry the same high-level degree that demands such high salaries.\u003c/p>\n\u003cp>“Sometimes the best care, and the best coaching, it comes from people who’ve experienced the illness themselves,” she said.\u003c/p>\n\u003cp>The two supervisors plan to officially introduce the measure at next Tuesday’s board meeting. They need six supervisors to support the proposal, and currently five are backing it. Along with Ronen and Haney, Supervisors Mar, Shamann Walton and Norman Yee are on board. Ronen expects Supervisor Aaron Peskin to back it as well.\u003c/p>\n\u003cp>[ad floatright]\u003c/p>\n",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>San Francisco Supervisors Hillary Ronen and Matt Haney want the city to offer free mental health care and substance abuse treatment to any city resident in need.\u003c/p>\n\u003cp>The supervisors, along with state Assemblyman Phil Ting (D-San Francisco), on Tuesday are announcing a push for a November ballot measure to create what they say would be the first universal mental health care system in the nation.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>“We have a crisis of people who are severely addicted to drugs and that have severe mental health illnesses that are wandering the street and that desperately need help,” Ronen said in an interview Tuesday morning.\u003c/p>\n\u003cp>“San Franciscans are ready for a bold and big change. They’re sick of little measures around the edges. They want a fix to this crisis. The status quo is dangerous,” she said. “We can’t keep failing.”\u003c/p>\n\u003cp>The plan, which would be called Mental Health SF, would be similar to the city’s \u003ca href=\"https://healthysanfrancisco.org/\" target=\"_blank\" rel=\"noopener\">Healthy San Francisco\u003c/a> program that offers health care services to uninsured city residents. It would provide treatment to anyone who has a mental health illness or substance addiction and asks for help — even if they have health insurance.\u003c/p>\n\u003cp>The proposal, first reported on by the \u003ca href=\"https://www.sfchronicle.com/bayarea/heatherknight/article/Bold-plan-to-tackle-SF-s-crisis-on-the-streets-13899585.php?psid=34ve\" target=\"_blank\" rel=\"noopener\">San Francisco Chronicle\u003c/a>, would be paid for by state funding and a proposed tax increase on companies that pay their chief executive officers 100 times more than the median compensation paid to their employees.\u003c/p>\n\u003cp>“We have become one of the most unequal cities in the country, with CEOs making hundreds and hundreds times more than their average worker,” Haney said.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>The plan calls for a 24-hour, seven-days-a-week service center that accepts anyone no matter how severe their needs and an office that would coordinate care.\u003c/p>\n\u003cp>“Mental health and substance use programs in San Francisco right now are completely uncoordinated and a mess. We all see it … when we walk on the street and see people in misery,” Ronen said. “Every single day we see people being released onto the street with their hospital bands on who are still clearly in crisis and don’t know what to do and where to go,” she said.\u003c/p>\n\u003cp>The program would also expand residential treatment and housing services already operating in San Francisco for people with severe mental illness and substance abuse.\u003c/p>\n\u003cp>Ronen and Haney plan to put a separate measure on the fall ballot, dubbed the Excessive CEO Salary Tax, that would place an extra surcharge on businesses that have chief executives who make at least 100 times more than the firms’ typical workers. They believe the tax would generate about $80 million a year, adding to the city’s $370 million annual budget for mental health and substance abuse treatment.\u003c/p>\n\u003cp>Mental Health SF would rely on some state money as well. The state Medi-Cal program covers half the cost of services to low-income Californians enrolled in the program. Ronen said San Francisco should draw down more funding from Proposition 63, a tax approved by voters in 2004 to fund services for Californians with serious mental illnesses.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>The program would also use some funding from an IPO tax recently proposed by Supervisor Gordon Mar to raise the employer payroll tax on stock-based compensation.\u003c/p>\n\u003cp>A representative for a leading business lobbying group raised concerns about the idea.\u003c/p>\n\u003cp>“There’s little question that we need to do a far better job of providing mental health care services. It’s not just a San Francisco issue, it’s an issue across the entire Bay Area and California,” said Rufus Jeffris, a spokesman for the Bay Area Council.\u003c/p>\n\u003cp>“A big danger in this proposal is relying on highly volatile jobs and wealth taxes to fund an ongoing expansion of services. And given criticism about a lack of coordination and coherence in a system that some have described as ‘devastatingly broken,’ voters will need to decide whether spending more money is the right approach,” Jeffris said in an email.\u003c/p>\n\u003cp>Notably absent from the press conference announcing the plan were San Francisco’s mayor, London Breed, and anyone from the city’s department of public health.\u003c/p>\n\u003cp>Both offices said they couldn’t comment on the proposal yet because they both hadn’t seen it until Tuesday, when it was announced to the public.\u003c/p>\n\u003cp>Those offices have been trying to address shortfalls in mental health care. The mayor recently hired the city’s first ever director of mental health reform, Dr. Anton Nigusse Bland, who previously directed psychiatric emergency services at San Francisco General Hospital.\u003c/p>\n\u003cp>He is now tasked with evaluating the city’s mental health and substance abuse treatment services, particularly for homeless people, and making recommendations for changes.\u003c/p>\n\u003cp>The city is also participating in a pilot project overhauling the delivery of drug treatment services through Medi-Cal – a project that includes some features proposed in the Mental Health SF program.\u003c/p>\n\u003cp>But Ronen says it’s not nearly enough.\u003c/p>\n\u003cp>“We haven’t seen a single plan that comes out of the mayor’s office to deal with this crisis at the scale that we’re dealing with,” Ronen said. “We need a massive overhaul.”\u003c/p>\n\u003cp>To staff the program, Ronen believes the city can accomplish what the private health care industry can’t. Kaiser Permanente has been the target of numerous complaints about long wait times for mental health appointments, which clinicians there say is due to under staffing. Their union recently authorized a strike over the issue, following a five-day strike in December. Patients with Blue Shield coverage say when they call therapists listed on the insurer’s network, most are not taking new patients.\u003c/p>\n\u003cp>Both companies routinely explain this by saying there is a shortage of clinicians. But Ronen says this is an excuse.\u003c/p>\n\u003cp>“Part of Mental Health SF is we’re going to pay people what we need to pay them to attract them, and we’re going to have the revenue to do so,” she said.\u003c/p>\n\u003cp>The program will also rely heavily on peer counselors, who don’t carry the same high-level degree that demands such high salaries.\u003c/p>\n\u003cp>“Sometimes the best care, and the best coaching, it comes from people who’ve experienced the illness themselves,” she said.\u003c/p>\n\u003cp>The two supervisors plan to officially introduce the measure at next Tuesday’s board meeting. They need six supervisors to support the proposal, and currently five are backing it. Along with Ronen and Haney, Supervisors Mar, Shamann Walton and Norman Yee are on board. Ronen expects Supervisor Aaron Peskin to back it as well.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"title": "Trump Administration Proposes Rule to Reverse Protections for Transgender Patients",
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"content": "\u003cp>The federal Department of Health and Human Services is proposing to roll back an Obama-era policy intended to protect transgender people from discrimination in health care.\u003c/p>\n\u003cp>Roger Severino, director of the HHS Office for Civil Rights, said \u003ca href=\"https://www.hhs.gov/about/news/2019/05/24/hhs-proposes-to-revise-aca-section-1557-rule.html\">the proposed rule\u003c/a>, released Friday, would revise protections put into place in 2016 as part of the Affordable Care Act that defined discrimination “on the basis of sex” to include gender identity. Gender identity was interpreted as one’s “internal sense of being male, female, neither, or a combination of male and female.”\u003c/p>\n\u003cp>[aside postID=news_11739834,news_11736415,news_11713470,futureofyou_445189 label='Related Coverage']\u003c/p>\n\u003cp>Two lawsuits temporarily blocked that definition from being implemented. Today’s proposed action by HHS would go along with those court rulings and permanently remove gender identity from the classes protected from discrimination by the health care law.\u003c/p>\n\u003cp>Severino said at a press briefing that the proposed rule conforms with existing law.\u003c/p>\n\u003cp>“When Congress prohibited sex discrimination, it did so according to the plain meaning of the term, and we are making our regulations conform,” said Severino in a statement.\u003c/p>\n\u003cp>“We have concluded in our most recent filing with the court that discrimination on the basis of sex does not cover gender identity,” he said during a press briefing.\u003c/p>\n\u003cp>Jocelyn Samuels, the former head of HHS’s Office for Civil Rights, says that the 2016 policy defining sex to include gender identity was based on how the courts had treated sex discrimination laws in education and employment.\u003c/p>\n\u003cp>“We determined based on extensive analysis of the law, and the way that the law had been applied under employment discrimination laws and education discrimination laws, that sex discrimination included not just discrimination against women and men, but also discrimination based on sex stereotyping and gender identity,” says Samuels, who is now director of the \u003ca href=\"https://williamsinstitute.law.ucla.edu/\">Williams Institute\u003c/a> at the UCLA School of Law.\u003c/p>\n\u003cp>However, that rule had been on hold after a Texas judge, on the last day of 2016, \u003ca href=\"https://www.texastribune.org/2016/12/31/texas-judge-issues-injunction-transgender-health-p/\">ruled\u003c/a> that the Obama administration exceeded its authority by interpreting sex discrimination to include discrimination against transgender people. The Trump administration signaled that it intended to reverse the rule when it told the judge there was no need to issue a final ruling because it was rewriting the rule.\u003c/p>\n\u003cp>Samuels says the change is “extraordinarily damaging” to transgender people.\u003c/p>\n\u003cp>Research from the Williams Institute found that more than 780,000 transgender people live in states that lack legal protections from gender identity discrimination in public accommodations, such as health care facilities. Twenty-eight states lack such protections, according to the Williams Institute.\u003c/p>\n\u003cp>[pullquote size=“medium” align=”right” citation=\"Kris Hayashi, Executive Director at the Transgender Law Center\"]“It’s literally a matter of life and death for transgender people living with HIV, transgender people of color, transgender people with disabilities, for so many of us who already face intense discrimination, harassment, and violence.”[/pullquote]\u003c/p>\n\u003cp>“This proposed rule is yet another outright attack by the Trump administration on the health, the well-being, and the survival of transgender people in this country,” said Executive Director at the Transgender Law Center Kris Hayashi.\u003c/p>\n\u003cp>“This rule would endanger the lives of transgender people all across the country. It would make it harder for us to get all forms of health care — from flu shots to physicals to cancer screenings. It’s literally a matter of life and death for transgender people living with HIV, transgender people of color, transgender people with disabilities, for so many of us who already face intense discrimination, harassment, and violence.”\u003c/p>\n\u003cp>A 2017 \u003ca href=\"https://www.npr.org/documents/2017/nov/npr-discrimination-lgbtq-final.pdf\">NPR poll\u003c/a> found that 31% of transgender Americans lack regular access to health care. And 22% said they avoided doctors or health care for fear of being discriminated against. The poll is part of a partnership with the Robert Wood Johnson Foundation and the Harvard T.H. Chan School of Health.\u003c/p>\n\u003cp>The\u003ca href=\"https://www.hrc.org/\"> Human Rights Campaign\u003c/a> says fear of discrimination causes many LGBTQ people to avoid seeking medical care. The group cites studies that show 70% of transgender patients say they have experienced discrimination in a health care setting.\u003c/p>\n\u003cp>“Everyone deserves access to medically necessary care and should never be turned away because of who they are,” says David Stacy, the group’s director of government affairs.\u003c/p>\n\u003cp>“This is perhaps the single most damaging, dangerous policy change this administration has proposed,” said Shannon Minter, Legal Director of of the National Center for Lesbian Rights\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>This week, the Department of Housing and Urban Development also \u003ca href=\"https://www.reginfo.gov/public/do/eAgendaViewRule?pubId=201904&RIN=2506-AC53\">proposed a new rule\u003c/a> related to transgender people. It would undo protections for transgender people who go to federally funded homeless shelters. Critics say the change would allow shelter operators to turn transgender individuals away because of their gender identity, or to require transgender men to use women-only shelters and vice versa.\u003c/p>\n\u003cp>Today’s proposed rule from HHS’s Office for Civil Rights also proposes to reverse language in the Obama-era rule that included termination of pregnancy in the definition of sex discrimination.\u003c/p>\n\u003cp>It also would retain language in the 2016 rule that ensured protection for persons with disabilities in health care settings. It includes provisions to provide language access to non-English speakers. In addition, it rolls back regulation requiring the mailing of language access notices. HHS estimates it will save $3.6 billion in the first five years after finalization.\u003c/p>\n\u003cp>Severino said that his office would continue to vigorously enforce prohibitions of discrimination on the basis of race, color, national origin, disability, age and sex in health care.\u003c/p>\n\u003cp>\u003cem>KQED’s Hope McKenney contributed reporting to this story.\u003c/em>\u003c/p>\n\u003cdiv class=\"fullattribution\">Copyright 2019 NPR. To see more, visit \u003ca href=\"https://www.npr.org\" target=\"_blank\" rel=\"noopener\">NPR.org\u003c/a>.\u003cimg decoding=\"async\" src=\"https://www.google-analytics.com/__utm.gif?utmac=UA-5828686-4&utmdt=Trump+Administration+Proposes+Rule+To+Reverse+Protections+For+Transgender+Patients&utme=8(APIKey)9(MDAxOTAwOTE4MDEyMTkxMDAzNjczZDljZA004)\">\u003c/div>\n\u003cp>\u003c/p>\n",
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"excerpt": "A federal agency issued a proposed rule Friday that rolls back Obama-era protections for transgender patients. Advocates say the rule leaves transgender people vulnerable to discrimination.",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>The federal Department of Health and Human Services is proposing to roll back an Obama-era policy intended to protect transgender people from discrimination in health care.\u003c/p>\n\u003cp>Roger Severino, director of the HHS Office for Civil Rights, said \u003ca href=\"https://www.hhs.gov/about/news/2019/05/24/hhs-proposes-to-revise-aca-section-1557-rule.html\">the proposed rule\u003c/a>, released Friday, would revise protections put into place in 2016 as part of the Affordable Care Act that defined discrimination “on the basis of sex” to include gender identity. Gender identity was interpreted as one’s “internal sense of being male, female, neither, or a combination of male and female.”\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>Two lawsuits temporarily blocked that definition from being implemented. Today’s proposed action by HHS would go along with those court rulings and permanently remove gender identity from the classes protected from discrimination by the health care law.\u003c/p>\n\u003cp>Severino said at a press briefing that the proposed rule conforms with existing law.\u003c/p>\n\u003cp>“When Congress prohibited sex discrimination, it did so according to the plain meaning of the term, and we are making our regulations conform,” said Severino in a statement.\u003c/p>\n\u003cp>“We have concluded in our most recent filing with the court that discrimination on the basis of sex does not cover gender identity,” he said during a press briefing.\u003c/p>\n\u003cp>Jocelyn Samuels, the former head of HHS’s Office for Civil Rights, says that the 2016 policy defining sex to include gender identity was based on how the courts had treated sex discrimination laws in education and employment.\u003c/p>\n\u003cp>“We determined based on extensive analysis of the law, and the way that the law had been applied under employment discrimination laws and education discrimination laws, that sex discrimination included not just discrimination against women and men, but also discrimination based on sex stereotyping and gender identity,” says Samuels, who is now director of the \u003ca href=\"https://williamsinstitute.law.ucla.edu/\">Williams Institute\u003c/a> at the UCLA School of Law.\u003c/p>\n\u003cp>However, that rule had been on hold after a Texas judge, on the last day of 2016, \u003ca href=\"https://www.texastribune.org/2016/12/31/texas-judge-issues-injunction-transgender-health-p/\">ruled\u003c/a> that the Obama administration exceeded its authority by interpreting sex discrimination to include discrimination against transgender people. The Trump administration signaled that it intended to reverse the rule when it told the judge there was no need to issue a final ruling because it was rewriting the rule.\u003c/p>\n\u003cp>Samuels says the change is “extraordinarily damaging” to transgender people.\u003c/p>\n\u003cp>Research from the Williams Institute found that more than 780,000 transgender people live in states that lack legal protections from gender identity discrimination in public accommodations, such as health care facilities. Twenty-eight states lack such protections, according to the Williams Institute.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "“It’s literally a matter of life and death for transgender people living with HIV, transgender people of color, transgender people with disabilities, for so many of us who already face intense discrimination, harassment, and violence.”",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>“This proposed rule is yet another outright attack by the Trump administration on the health, the well-being, and the survival of transgender people in this country,” said Executive Director at the Transgender Law Center Kris Hayashi.\u003c/p>\n\u003cp>“This rule would endanger the lives of transgender people all across the country. It would make it harder for us to get all forms of health care — from flu shots to physicals to cancer screenings. It’s literally a matter of life and death for transgender people living with HIV, transgender people of color, transgender people with disabilities, for so many of us who already face intense discrimination, harassment, and violence.”\u003c/p>\n\u003cp>A 2017 \u003ca href=\"https://www.npr.org/documents/2017/nov/npr-discrimination-lgbtq-final.pdf\">NPR poll\u003c/a> found that 31% of transgender Americans lack regular access to health care. And 22% said they avoided doctors or health care for fear of being discriminated against. The poll is part of a partnership with the Robert Wood Johnson Foundation and the Harvard T.H. Chan School of Health.\u003c/p>\n\u003cp>The\u003ca href=\"https://www.hrc.org/\"> Human Rights Campaign\u003c/a> says fear of discrimination causes many LGBTQ people to avoid seeking medical care. The group cites studies that show 70% of transgender patients say they have experienced discrimination in a health care setting.\u003c/p>\n\u003cp>“Everyone deserves access to medically necessary care and should never be turned away because of who they are,” says David Stacy, the group’s director of government affairs.\u003c/p>\n\u003cp>“This is perhaps the single most damaging, dangerous policy change this administration has proposed,” said Shannon Minter, Legal Director of of the National Center for Lesbian Rights\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>This week, the Department of Housing and Urban Development also \u003ca href=\"https://www.reginfo.gov/public/do/eAgendaViewRule?pubId=201904&RIN=2506-AC53\">proposed a new rule\u003c/a> related to transgender people. It would undo protections for transgender people who go to federally funded homeless shelters. Critics say the change would allow shelter operators to turn transgender individuals away because of their gender identity, or to require transgender men to use women-only shelters and vice versa.\u003c/p>\n\u003cp>Today’s proposed rule from HHS’s Office for Civil Rights also proposes to reverse language in the Obama-era rule that included termination of pregnancy in the definition of sex discrimination.\u003c/p>\n\u003cp>It also would retain language in the 2016 rule that ensured protection for persons with disabilities in health care settings. It includes provisions to provide language access to non-English speakers. In addition, it rolls back regulation requiring the mailing of language access notices. HHS estimates it will save $3.6 billion in the first five years after finalization.\u003c/p>\n\u003cp>Severino said that his office would continue to vigorously enforce prohibitions of discrimination on the basis of race, color, national origin, disability, age and sex in health care.\u003c/p>\n\u003cp>\u003cem>KQED’s Hope McKenney contributed reporting to this story.\u003c/em>\u003c/p>\n\u003cdiv class=\"fullattribution\">Copyright 2019 NPR. To see more, visit \u003ca href=\"https://www.npr.org\" target=\"_blank\" rel=\"noopener\">NPR.org\u003c/a>.\u003cimg decoding=\"async\" src=\"https://www.google-analytics.com/__utm.gif?utmac=UA-5828686-4&utmdt=Trump+Administration+Proposes+Rule+To+Reverse+Protections+For+Transgender+Patients&utme=8(APIKey)9(MDAxOTAwOTE4MDEyMTkxMDAzNjczZDljZA004)\">\u003c/div>\n\u003cp>\u003c/p>\n\u003c/div>\u003c/p>",
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"content": "\u003cp>Staff at a psychiatric hospital in San Leandro were punched, slapped, spit on and kicked — mostly by patients — in at least 80 separate instances over the last year, according to records kept by the agency that operates the facility.\u003c/p>\n\u003cp>[aside label=\"related stories\" tag=\"john-george-psychiatric-hospital\"]\u003c/p>\n\u003cp>In some cases they were also bitten, scratched and had their hair pulled.\u003c/p>\n\u003cp>The union representing workers at John George Psychiatric Hospital has for years called for safer workplace conditions and more staffing, and is now pointing to the new data to cast light on the dangers of the job.\u003c/p>\n\u003cp>Overseen by the Alameda Health System, a public hospital authority that manages John George, the log details a litany of assaults on staff between May 2018 and the beginning of this month. The incidents occurred in several hospital units, including its emergency room, facility hallways and inpatient rooms, according to the log.\u003c/p>\n\u003cp>“It’s an incredible feeling of vulnerability and anxiety and distraction when this kind of thing can happen.” said Rachel Odes, a staff nurse at John George, who has studied workplace violence in healthcare settings.”We are short of staff, perpetually. We don’t have a deep enough bench to bring in replacement staff when someone gets hurt.”\u003c/p>\n\u003cp>The records include the time each assault happened, where in the hospital it occurred, the type of physical force used and whether the “aggressor” was a patient or a coworker. But no names or detailed descriptions are included.\u003c/p>\n\u003cp>“We are committed to providing a safe working environment that supports our staff’s ability to care for our patients, including staffing to state mandated staffing ratios at all facilities,” AHS said in a statement on Thursday.\u003c/p>\n\u003cp>AHS also said it would adhere to new workplace safety law requirements by reporting on a broader set of incidents to state regulators “including inappropriate touching or contact, and patients who resist hands-on staff assistance such as medication administration, restraint, seclusion or redirection.”\u003c/p>\n\u003cp>“In addition to this, we continue to implement various safety measures to ensure we are able to meet our patient needs and support our employees in delivering high quality care,” the statement said.\u003c/p>\n\u003cp>In \u003ca href=\"https://www.kqed.org/news/11692990/state-fines-psychiatric-hospital-in-attack-on-nurse-amid-renewed-staffing-concerns\" target=\"_blank\" rel=\"noopener\">an incident\u003c/a> on Sept. 13, 2017, a patient at the hospital punched a nurse in the face and continued hitting him after he fell down, slamming his head into the ground, fracturing his facial bones and inducing a seizure. David McElveen, the victim of the attack, later suffered from a stroke and short-term memory problems.\u003c/p>\n\u003caside class=\"pullquote alignright\">‘It’s an incredible feeling of vulnerability and anxiety and distraction when this kind of thing can happen.’ \u003ccite>Rachel Odes, staff nurse at John George Psychiatric Hospital\u003c/cite>\u003c/aside>\n\u003cp>California’s Division of Occupational Safety and Health (Cal/OSHA) subsequently fined AHS more than $11,000 in connection with the incident after identifying major shortcomings in the hospital’s mandated injury and illness prevention program.\u003c/p>\n\u003cp>The findings sparked calls by John George workers, represented by Service Employees International Union Local 1021, for additional staffing and more effective safety measures. AHS officials said then that creating and maintaining a safe environment for their workers, patients and visitors was a top priority.\u003c/p>\n\u003cp>But staff and union officials say the dangers are still present.\u003c/p>\n\u003cp>Odes said she witnessed an attack as recently as last weekend, when a nurse was discharging a patient who did not want to leave.\u003c/p>\n\u003cp>“He punched this nurse in the face,” she said.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>\u003c/p>\n",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>In some cases they were also bitten, scratched and had their hair pulled.\u003c/p>\n\u003cp>The union representing workers at John George Psychiatric Hospital has for years called for safer workplace conditions and more staffing, and is now pointing to the new data to cast light on the dangers of the job.\u003c/p>\n\u003cp>Overseen by the Alameda Health System, a public hospital authority that manages John George, the log details a litany of assaults on staff between May 2018 and the beginning of this month. The incidents occurred in several hospital units, including its emergency room, facility hallways and inpatient rooms, according to the log.\u003c/p>\n\u003cp>“It’s an incredible feeling of vulnerability and anxiety and distraction when this kind of thing can happen.” said Rachel Odes, a staff nurse at John George, who has studied workplace violence in healthcare settings.”We are short of staff, perpetually. We don’t have a deep enough bench to bring in replacement staff when someone gets hurt.”\u003c/p>\n\u003cp>The records include the time each assault happened, where in the hospital it occurred, the type of physical force used and whether the “aggressor” was a patient or a coworker. But no names or detailed descriptions are included.\u003c/p>\n\u003cp>“We are committed to providing a safe working environment that supports our staff’s ability to care for our patients, including staffing to state mandated staffing ratios at all facilities,” AHS said in a statement on Thursday.\u003c/p>\n\u003cp>AHS also said it would adhere to new workplace safety law requirements by reporting on a broader set of incidents to state regulators “including inappropriate touching or contact, and patients who resist hands-on staff assistance such as medication administration, restraint, seclusion or redirection.”\u003c/p>\n\u003cp>“In addition to this, we continue to implement various safety measures to ensure we are able to meet our patient needs and support our employees in delivering high quality care,” the statement said.\u003c/p>\n\u003cp>In \u003ca href=\"https://www.kqed.org/news/11692990/state-fines-psychiatric-hospital-in-attack-on-nurse-amid-renewed-staffing-concerns\" target=\"_blank\" rel=\"noopener\">an incident\u003c/a> on Sept. 13, 2017, a patient at the hospital punched a nurse in the face and continued hitting him after he fell down, slamming his head into the ground, fracturing his facial bones and inducing a seizure. David McElveen, the victim of the attack, later suffered from a stroke and short-term memory problems.\u003c/p>\n\u003caside class=\"pullquote alignright\">‘It’s an incredible feeling of vulnerability and anxiety and distraction when this kind of thing can happen.’ \u003ccite>Rachel Odes, staff nurse at John George Psychiatric Hospital\u003c/cite>\u003c/aside>\n\u003cp>California’s Division of Occupational Safety and Health (Cal/OSHA) subsequently fined AHS more than $11,000 in connection with the incident after identifying major shortcomings in the hospital’s mandated injury and illness prevention program.\u003c/p>\n\u003cp>The findings sparked calls by John George workers, represented by Service Employees International Union Local 1021, for additional staffing and more effective safety measures. AHS officials said then that creating and maintaining a safe environment for their workers, patients and visitors was a top priority.\u003c/p>\n\u003cp>But staff and union officials say the dangers are still present.\u003c/p>\n\u003cp>Odes said she witnessed an attack as recently as last weekend, when a nurse was discharging a patient who did not want to leave.\u003c/p>\n\u003cp>“He punched this nurse in the face,” she said.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"slug": "asbestos-in-your-makeup-legislature-rejects-proposal-to-ban-toxics-from-cosmetics",
"title": "Asbestos in Your Makeup? Legislature Rejects Proposal to Ban Toxics From Cosmetics",
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"content": "\u003cp>Vivian Song of Sacramento tries to keep up with the latest makeup trends. While she pays attention to the ingredients in her beauty routine, she says others are clueless.\u003c/p>\n\u003cp>“Not a lot of girls know what they’re putting on their face,” she said. “Whatever’s trending, they’re going to put it on.”\u003c/p>\n\u003cp>California’s Legislature considered banning the sale of of cosmetics containing any of at least 15 toxic chemicals and minerals — including formaldehyde, asbestos and mercury. But after major pushback from powerful players such as the California Chamber of Commerce, which put the bill on its annual list of “\u003ca href=\"https://advocacy.calchamber.com/policy/bill-tracking/job-killers/2019-job-killer-list/\" target=\"_blank\" rel=\"noopener\">job killers\u003c/a>,” \u003ca href=\"http://leginfo.legislature.ca.gov/faces/billTextClient.xhtml?bill_id=201920200AB495\" target=\"_blank\" rel=\"noopener\">Assembly Bill 495\u003c/a> failed to survive its first committee hearing.\u003c/p>\n\u003cfigure id=\"attachment_11748557\" class=\"wp-caption alignright\" style=\"max-width: 1280px\">\u003ca href=\"https://ww2.kqed.org/news/wp-content/uploads/sites/10/2019/05/toxic-cosmetics-photo-1.jpg\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"wp-image-11748557 size-full\" src=\"https://ww2.kqed.org/news/wp-content/uploads/sites/10/2019/05/toxic-cosmetics-photo-1.jpg\" alt=\"\" width=\"1280\" height=\"1070\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2019/05/toxic-cosmetics-photo-1.jpg 1280w, https://cdn.kqed.org/wp-content/uploads/sites/10/2019/05/toxic-cosmetics-photo-1-160x134.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2019/05/toxic-cosmetics-photo-1-800x669.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2019/05/toxic-cosmetics-photo-1-1020x853.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2019/05/toxic-cosmetics-photo-1-1200x1003.jpg 1200w\" sizes=\"(max-width: 1280px) 100vw, 1280px\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">Vivian Song, 19, says she wears organic makeup to alleviate breakouts. \u003ccite>(Elizabeth Castillo/CALmatters)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>“The goal of this bill is to bring California up to par with the majority of European and other nations that have already banned these cosmetics with highly toxic chemicals,” said Democratic Assemblyman Al Muratsuchi of Torrance, the bill’s author. “We certainly don’t want to kill jobs, but we want to make sure that these products are not being sold when there’s strong scientific evidence indicating there are harmful impacts on women, men and children.”\u003c/p>\n\u003cp>But the Chamber said it would have imposed “onerous and unnecessary economic burdens on California manufacturers and retailers by immediately banning thousands of personal care products from being sold in California….The mere presence of a chemical in a product cannot be a proxy for ‘exposure.’ Actual exposure at a level sufficient to cause harm, as determined via rigorous analysis, should be the standard for more regulation.”\u003c/p>\n\u003cp>Advocates said the bill would allow California to step in where the federal government had failed to protect consumers. \u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>In March, the federal Food and Drug Administration identified asbestos in makeup sold at Claire’s, a retailer located in malls nationwide. The agency asked Claire’s to recall the makeup, but it did not. Only after the FDA released a public statement did the retailer pull the product from its shelves.\u003c/p>\n\u003cp>“At Claire’s, customer safety is paramount, and we pride ourselves on providing our customers with the highest quality and safest products,” the retailer said in a \u003ca href=\"https://twitter.com/claires/status/1103303881776422912/photo/1?ref_src=twsrc%5Etfw%7Ctwcamp%5Etweetembed%7Ctwterm%5E1103303881776422912&ref_url=https%3A%2F%2Fcalmatters.org%2Farticles%2Fblog%2Ftoxics-in-cosmetics-california-legislature-rejects-makeup-ban%2F\" target=\"_blank\" rel=\"noopener\">statement\u003c/a>. “Out of an abundance of caution, we have removed the three products identified by the FDA from our stores, and are also removing any remaining talc based cosmetic products.”\u003c/p>\n\u003cp>https://twitter.com/claires/status/1103303881776422912?ref_src=twsrc%5Etfw%7Ctwcamp%5Etweetembed%7Ctwterm%5E1103303881776422912&ref_url=https%3A%2F%2Fcalmatters.org%2Farticles%2Fblog%2Ftoxics-in-cosmetics-california-legislature-rejects-makeup-ban%2F\u003c/p>\n\u003cp>Even so, the FDA \u003ca href=\"https://www.fda.gov/news-events/press-announcements/statement-fda-commissioner-scott-gottlieb-md-and-susan-mayne-phd-director-center-food-safety-and\" target=\"_blank\" rel=\"noopener\">noted\u003c/a>: “To be clear, there are currently no legal requirements for any cosmetic manufacturer marketing products to American consumers to test their products for safety.”\u003c/p>\n\u003cp>“It’s ultimately still the honor system,” said Scott Faber of the Environmental Working Group, a sponsor of the Muratsuchi’s bill in California.\u003c/p>\n\u003cp>There is no amount of contact with asbestos — a combination of six naturally occurring minerals — that is considered safe, according to multiple government agencies, including the federal \u003ca href=\"https://www.atsdr.cdc.gov/toxprofiles/tp61.pdf\" target=\"_blank\" rel=\"noopener\">Centers for Disease Control\u003c/a>. Asbestos also appears on California’s Proposition 65 \u003ca href=\"https://oehha.ca.gov/proposition-65/chemicals/asbestos\" target=\"_blank\" rel=\"noopener\">list\u003c/a> and is known to cause cancer.\u003c/p>\n\u003cp>Asbestos can sometimes be found in talc, a mineral frequently used in certain personal care products like baby powder and eye shadow. A Reuters \u003ca href=\"https://www.reuters.com/investigates/special-report/johnsonandjohnson-cancer/\" target=\"_blank\" rel=\"noopener\">report\u003c/a> concluded that Johnson and Johnson knew its baby powder was sometimes contaminated with asbestos and the company knowingly kept that information from the public and regulators. The company faced thousands of lawsuits from those who claimed the asbestos-tainted products caused cancer.\u003c/p>\n\u003cp>[aside postID='science_1941369,news_11732921,science_1937767' label='chemical regulation']\u003c/p>\n\u003cp>Others argue that there is enough cosmetic regulation and the bill would make it difficult for manufacturers and retailers.\u003c/p>\n\u003cp>“This bill proposes an outright \u003ca href=\"https://calmatters.org/articles/california-hotel-shampoo-bottles-plastic-toiletries/\" target=\"_blank\" rel=\"noopener\">ban\u003c/a> on many ingredients extensively reviewed by independent experts worldwide and found safe for use in cosmetics,” said Jay Ansell of the Personal Care Products Council at the bill’s committee hearing. (The Council also opposes a bill that plans to ban tiny hotel toiletries.) “The ban would adversely affect tens of thousands of products and potentially compromise the ability to provide consumers with the safe high-quality products they expect.”\u003c/p>\n\u003cp>More than a decade ago, the state launched the California Safe Cosmetics Program, which features an updated, searchable \u003ca href=\"https://safecosmetics.cdph.ca.gov/search/Default.aspx\" target=\"_blank\" rel=\"noopener\">database\u003c/a> of products containing potentially harmful chemicals and minerals. Last year then-Gov. Jerry Brown line-item vetoed money to update the program and boost staff.\u003c/p>\n\u003cp>It currently features more than two dozen common cosmetics containing lead, for instance, and nearly a dozen containing arsenic.\u003c/p>\n\u003cp>While companies are required to report harmful chemicals, there is no enforcement of company disclosure.\u003c/p>\n\u003cp>Lead, another element the bill sought to ban, is more difficult to navigate. The substance is commonly found in small amounts in water and soil, according to the federal \u003ca href=\"https://www.epa.gov/lead/learn-about-lead\">Environmental Protection Agency\u003c/a>. Opponents argued that companies wouldn’t intentionally add lead to products, but since it’s so commonplace, trace amount of the element can still be found in makeup.\u003c/p>\n\u003cp>So where do Californians go from here? Muratsuchi said he plans to try again next year.\u003c/p>\n\u003cp>\u003cem>\u003ca href=\"http://CALmatters.org\" target=\"_blank\" rel=\"noopener\">CALmatters.org\u003c/a> is a nonprofit, nonpartisan media venture explaining California policies and politics.\u003c/em>\u003c/p>\n\u003cp>\u003c/p>\n",
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"excerpt": "California lawmakers refused to bar the sale of cosmetics containing toxic chemicals after pushback from business interests, who said it would apply to trace amounts too small to be harmful.",
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"title": "Asbestos in Your Makeup? Legislature Rejects Proposal to Ban Toxics From Cosmetics | KQED",
"description": "California lawmakers refused to bar the sale of cosmetics containing toxic chemicals after pushback from business interests, who said it would apply to trace amounts too small to be harmful.",
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"nprByline": "\u003ca href= \"https://calmatters.org/articles/author/elizabeth-castillo/\"> Elizabeth Castillo \u003ca/>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>Vivian Song of Sacramento tries to keep up with the latest makeup trends. While she pays attention to the ingredients in her beauty routine, she says others are clueless.\u003c/p>\n\u003cp>“Not a lot of girls know what they’re putting on their face,” she said. “Whatever’s trending, they’re going to put it on.”\u003c/p>\n\u003cp>California’s Legislature considered banning the sale of of cosmetics containing any of at least 15 toxic chemicals and minerals — including formaldehyde, asbestos and mercury. But after major pushback from powerful players such as the California Chamber of Commerce, which put the bill on its annual list of “\u003ca href=\"https://advocacy.calchamber.com/policy/bill-tracking/job-killers/2019-job-killer-list/\" target=\"_blank\" rel=\"noopener\">job killers\u003c/a>,” \u003ca href=\"http://leginfo.legislature.ca.gov/faces/billTextClient.xhtml?bill_id=201920200AB495\" target=\"_blank\" rel=\"noopener\">Assembly Bill 495\u003c/a> failed to survive its first committee hearing.\u003c/p>\n\u003cfigure id=\"attachment_11748557\" class=\"wp-caption alignright\" style=\"max-width: 1280px\">\u003ca href=\"https://ww2.kqed.org/news/wp-content/uploads/sites/10/2019/05/toxic-cosmetics-photo-1.jpg\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"wp-image-11748557 size-full\" src=\"https://ww2.kqed.org/news/wp-content/uploads/sites/10/2019/05/toxic-cosmetics-photo-1.jpg\" alt=\"\" width=\"1280\" height=\"1070\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2019/05/toxic-cosmetics-photo-1.jpg 1280w, https://cdn.kqed.org/wp-content/uploads/sites/10/2019/05/toxic-cosmetics-photo-1-160x134.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2019/05/toxic-cosmetics-photo-1-800x669.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2019/05/toxic-cosmetics-photo-1-1020x853.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2019/05/toxic-cosmetics-photo-1-1200x1003.jpg 1200w\" sizes=\"(max-width: 1280px) 100vw, 1280px\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">Vivian Song, 19, says she wears organic makeup to alleviate breakouts. \u003ccite>(Elizabeth Castillo/CALmatters)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>“The goal of this bill is to bring California up to par with the majority of European and other nations that have already banned these cosmetics with highly toxic chemicals,” said Democratic Assemblyman Al Muratsuchi of Torrance, the bill’s author. “We certainly don’t want to kill jobs, but we want to make sure that these products are not being sold when there’s strong scientific evidence indicating there are harmful impacts on women, men and children.”\u003c/p>\n\u003cp>But the Chamber said it would have imposed “onerous and unnecessary economic burdens on California manufacturers and retailers by immediately banning thousands of personal care products from being sold in California….The mere presence of a chemical in a product cannot be a proxy for ‘exposure.’ Actual exposure at a level sufficient to cause harm, as determined via rigorous analysis, should be the standard for more regulation.”\u003c/p>\n\u003cp>Advocates said the bill would allow California to step in where the federal government had failed to protect consumers. \u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>In March, the federal Food and Drug Administration identified asbestos in makeup sold at Claire’s, a retailer located in malls nationwide. The agency asked Claire’s to recall the makeup, but it did not. Only after the FDA released a public statement did the retailer pull the product from its shelves.\u003c/p>\n\u003cp>“At Claire’s, customer safety is paramount, and we pride ourselves on providing our customers with the highest quality and safest products,” the retailer said in a \u003ca href=\"https://twitter.com/claires/status/1103303881776422912/photo/1?ref_src=twsrc%5Etfw%7Ctwcamp%5Etweetembed%7Ctwterm%5E1103303881776422912&ref_url=https%3A%2F%2Fcalmatters.org%2Farticles%2Fblog%2Ftoxics-in-cosmetics-california-legislature-rejects-makeup-ban%2F\" target=\"_blank\" rel=\"noopener\">statement\u003c/a>. “Out of an abundance of caution, we have removed the three products identified by the FDA from our stores, and are also removing any remaining talc based cosmetic products.”\u003c/p>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\n\u003cp>Even so, the FDA \u003ca href=\"https://www.fda.gov/news-events/press-announcements/statement-fda-commissioner-scott-gottlieb-md-and-susan-mayne-phd-director-center-food-safety-and\" target=\"_blank\" rel=\"noopener\">noted\u003c/a>: “To be clear, there are currently no legal requirements for any cosmetic manufacturer marketing products to American consumers to test their products for safety.”\u003c/p>\n\u003cp>“It’s ultimately still the honor system,” said Scott Faber of the Environmental Working Group, a sponsor of the Muratsuchi’s bill in California.\u003c/p>\n\u003cp>There is no amount of contact with asbestos — a combination of six naturally occurring minerals — that is considered safe, according to multiple government agencies, including the federal \u003ca href=\"https://www.atsdr.cdc.gov/toxprofiles/tp61.pdf\" target=\"_blank\" rel=\"noopener\">Centers for Disease Control\u003c/a>. Asbestos also appears on California’s Proposition 65 \u003ca href=\"https://oehha.ca.gov/proposition-65/chemicals/asbestos\" target=\"_blank\" rel=\"noopener\">list\u003c/a> and is known to cause cancer.\u003c/p>\n\u003cp>Asbestos can sometimes be found in talc, a mineral frequently used in certain personal care products like baby powder and eye shadow. A Reuters \u003ca href=\"https://www.reuters.com/investigates/special-report/johnsonandjohnson-cancer/\" target=\"_blank\" rel=\"noopener\">report\u003c/a> concluded that Johnson and Johnson knew its baby powder was sometimes contaminated with asbestos and the company knowingly kept that information from the public and regulators. The company faced thousands of lawsuits from those who claimed the asbestos-tainted products caused cancer.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>Others argue that there is enough cosmetic regulation and the bill would make it difficult for manufacturers and retailers.\u003c/p>\n\u003cp>“This bill proposes an outright \u003ca href=\"https://calmatters.org/articles/california-hotel-shampoo-bottles-plastic-toiletries/\" target=\"_blank\" rel=\"noopener\">ban\u003c/a> on many ingredients extensively reviewed by independent experts worldwide and found safe for use in cosmetics,” said Jay Ansell of the Personal Care Products Council at the bill’s committee hearing. (The Council also opposes a bill that plans to ban tiny hotel toiletries.) “The ban would adversely affect tens of thousands of products and potentially compromise the ability to provide consumers with the safe high-quality products they expect.”\u003c/p>\n\u003cp>More than a decade ago, the state launched the California Safe Cosmetics Program, which features an updated, searchable \u003ca href=\"https://safecosmetics.cdph.ca.gov/search/Default.aspx\" target=\"_blank\" rel=\"noopener\">database\u003c/a> of products containing potentially harmful chemicals and minerals. Last year then-Gov. Jerry Brown line-item vetoed money to update the program and boost staff.\u003c/p>\n\u003cp>It currently features more than two dozen common cosmetics containing lead, for instance, and nearly a dozen containing arsenic.\u003c/p>\n\u003cp>While companies are required to report harmful chemicals, there is no enforcement of company disclosure.\u003c/p>\n\u003cp>Lead, another element the bill sought to ban, is more difficult to navigate. The substance is commonly found in small amounts in water and soil, according to the federal \u003ca href=\"https://www.epa.gov/lead/learn-about-lead\">Environmental Protection Agency\u003c/a>. Opponents argued that companies wouldn’t intentionally add lead to products, but since it’s so commonplace, trace amount of the element can still be found in makeup.\u003c/p>\n\u003cp>So where do Californians go from here? Muratsuchi said he plans to try again next year.\u003c/p>\n\u003cp>\u003cem>\u003ca href=\"http://CALmatters.org\" target=\"_blank\" rel=\"noopener\">CALmatters.org\u003c/a> is a nonprofit, nonpartisan media venture explaining California policies and politics.\u003c/em>\u003c/p>\n\u003cp>\u003c/p>\n\u003c/div>\u003c/p>",
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"slug": "state-makes-sex-ed-guidelines-more-inclusive-from-gender-fluidity-to-lgbtq-issues",
"title": "State Makes Sex-Ed Guidelines More Inclusive — From Gender Fluidity to LGBTQ Issues",
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"headTitle": "State Makes Sex-Ed Guidelines More Inclusive — From Gender Fluidity to LGBTQ Issues | KQED",
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"content": "\u003cp>California has overhauled its sex education guidance for public school teachers, encouraging them to talk about gender identity with kindergartners and give advice to LGBTQ teenagers for navigating relationships and having safe sex.\u003c/p>\n\u003cp>[pullquote size='small' align='right' citation='Tatyana Dzyubak, an elementary school teacher']‘I shouldn’t be teaching that stuff. That’s for parents to do.’[/pullquote]LGBTQ advocates praised the new recommendations for giving attention to a community that is often left out of sex education policies. But some parents and conservative groups assailed the more than 700-page document as an assault on parental rights, arguing it exposes children to ideas about sexuality and gender that should be taught at home.\u003c/p>\n\u003cp>Some school districts in the Bay Area, \u003ca href=\"https://www.kqed.org/news/11666223/fremont-ends-sex-ed-for-fourth-through-six-graders-after-curriculum-controversy\" target=\"_blank\" rel=\"noopener\">like Fremont\u003c/a>, have grappled in recent years with implementing sex ed instruction about LGBTQ people, transgender individuals and gender fluidity, as well as about addressing the emotional aspects of sex and sexual activity.\u003c/p>\n\u003cp>The guidance approved Wednesday by the California State Board of Education does not require educators to teach anything. It is designed as a guide for teachers to meet state standards on health education, such as nutrition, physical activity and combating alcohol and drug abuse.\u003c/p>\n\u003cp>But it’s the parts about sex that got the most attention during a public hearing Wednesday in Sacramento. The framework tells teachers that students in kindergarten can identify as transgender and offers tips for how to talk about that, adding “the goal is not to cause confusion about the gender of the child but to develop an awareness that other expressions exist.”\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>It gives tips for discussing masturbation with middle-schoolers, including telling them it is not physically harmful, and for discussing puberty with transgender teens that creates “an environment that is inclusive and challenges binary concepts about gender.”\u003c/p>\n\u003cp>“As the parent of three kids, we’re on a careful trajectory here not to be introducing things as though they are endorsed in some way,” board president Linda Darling-Hammond said.\u003c/p>\n\u003cp>[pullquote size='small' align='right' citation='Phoenix Ali Rajah, 16, a transgender boy']‘I’m never taught about how to be in a relationship with gay men. … (the) conversation with sex starts from a different place.’[/pullquote]But Patricia Reyes, a 45-year-old mother of six, doesn’t believe that. She traveled more than 400 miles from her home in Southern California to attend Wednesday’s hearing, bringing along her 4-year-old daughter, Angeline, who held a sign that said: “Protect my innocence and childhood.”\u003c/p>\n\u003cp>“It’s just scary what they are going to be teaching. It’s pornography,” Reyes said. “If this continues, I’m not sending them to school.”\u003c/p>\n\u003cp>Much of the pushback focused not on the framework, but on the books it recommends students read. An earlier draft of the document suggested high schoolers read the book: “S.E.X.: The All-You-Need-to-Know Sexuality Guide to Get You Through Your Teens and Twenties.” It includes descriptions of anal sex, bondage and other sexual activity.\u003c/p>\n\u003cp>Several parents read from the book and held it up so board members could see the pictures, which many described as “obscene.” The board responded by removing the book, plus a few others, from the guidance.\u003c/p>\n\u003cp>[aside tag='sex-ed' label='More Coverage of Sex Ed in California.']“It’s important to know the board is not trying to ban books. We’re not saying that the books are bad,” said board member Feliza I. Ortiz-Licon. “But the removal will help avoid the misunderstanding that California is mandating the use of these books.”\u003c/p>\n\u003cp>More than 200 people signed up to speak during a public hearing on Wednesday that lasted for several hours. Supporters and opponents mingled in the lobby of the California Department of Education, where parents handed out snacks to appease their young children while waiting for their number to appear on dry-erase board telling them it was their turn to get one minute of time at the microphone.\u003c/p>\n\u003cp>Speakers included 16-year-old Phoenix Ali Rajah, a transgender boy who said he is rarely taught information for people like him during sex education classes at his Los Angeles-area high school.\u003c/p>\n\u003cp>“I’m never taught about how to be in a relationship with gay men,” he said, adding that the “conversation with sex starts from a different place.”\u003c/p>\n\u003cp>Michele McNutt, 49, focused on the framework’s attention to healthy relationships and consent, something she said is never too soon to teach her two daughters in public school, ages 11 and 9.\u003c/p>\n\u003cp>[pullquote size='small' align='right' citation='Michele McNutt, parent']‘If you don’t give kids accurate information about their own body … how are they able to make good choices?’[/pullquote]\u003c/p>\n\u003cp>“Withholding medically accurate, scientific information from them actually causes more harm and does not actually protect innocence,” she said while wearing a purple T-shirt that read “protect trans students.” “If you don’t give kids accurate information about their own body … how are they able to make good choices?”\u003c/p>\n\u003cp>The guidance was developed with input from teachers across the state, and several spoke in favor of the recommendations on Wednesday. But not Tatyana Dzyubak, an elementary school teacher in the Sacramento area.\u003c/p>\n\u003cp>“I shouldn’t be teaching that stuff,” she said. “That’s for parents to do.”\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>\u003cem>KQED’s Miranda Leitsinger contributed to this report.\u003c/em>\u003c/p>\n\n",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>California has overhauled its sex education guidance for public school teachers, encouraging them to talk about gender identity with kindergartners and give advice to LGBTQ teenagers for navigating relationships and having safe sex.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>LGBTQ advocates praised the new recommendations for giving attention to a community that is often left out of sex education policies. But some parents and conservative groups assailed the more than 700-page document as an assault on parental rights, arguing it exposes children to ideas about sexuality and gender that should be taught at home.\u003c/p>\n\u003cp>Some school districts in the Bay Area, \u003ca href=\"https://www.kqed.org/news/11666223/fremont-ends-sex-ed-for-fourth-through-six-graders-after-curriculum-controversy\" target=\"_blank\" rel=\"noopener\">like Fremont\u003c/a>, have grappled in recent years with implementing sex ed instruction about LGBTQ people, transgender individuals and gender fluidity, as well as about addressing the emotional aspects of sex and sexual activity.\u003c/p>\n\u003cp>The guidance approved Wednesday by the California State Board of Education does not require educators to teach anything. It is designed as a guide for teachers to meet state standards on health education, such as nutrition, physical activity and combating alcohol and drug abuse.\u003c/p>\n\u003cp>But it’s the parts about sex that got the most attention during a public hearing Wednesday in Sacramento. The framework tells teachers that students in kindergarten can identify as transgender and offers tips for how to talk about that, adding “the goal is not to cause confusion about the gender of the child but to develop an awareness that other expressions exist.”\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>It gives tips for discussing masturbation with middle-schoolers, including telling them it is not physically harmful, and for discussing puberty with transgender teens that creates “an environment that is inclusive and challenges binary concepts about gender.”\u003c/p>\n\u003cp>“As the parent of three kids, we’re on a careful trajectory here not to be introducing things as though they are endorsed in some way,” board president Linda Darling-Hammond said.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>But Patricia Reyes, a 45-year-old mother of six, doesn’t believe that. She traveled more than 400 miles from her home in Southern California to attend Wednesday’s hearing, bringing along her 4-year-old daughter, Angeline, who held a sign that said: “Protect my innocence and childhood.”\u003c/p>\n\u003cp>“It’s just scary what they are going to be teaching. It’s pornography,” Reyes said. “If this continues, I’m not sending them to school.”\u003c/p>\n\u003cp>Much of the pushback focused not on the framework, but on the books it recommends students read. An earlier draft of the document suggested high schoolers read the book: “S.E.X.: The All-You-Need-to-Know Sexuality Guide to Get You Through Your Teens and Twenties.” It includes descriptions of anal sex, bondage and other sexual activity.\u003c/p>\n\u003cp>Several parents read from the book and held it up so board members could see the pictures, which many described as “obscene.” The board responded by removing the book, plus a few others, from the guidance.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>“It’s important to know the board is not trying to ban books. We’re not saying that the books are bad,” said board member Feliza I. Ortiz-Licon. “But the removal will help avoid the misunderstanding that California is mandating the use of these books.”\u003c/p>\n\u003cp>More than 200 people signed up to speak during a public hearing on Wednesday that lasted for several hours. Supporters and opponents mingled in the lobby of the California Department of Education, where parents handed out snacks to appease their young children while waiting for their number to appear on dry-erase board telling them it was their turn to get one minute of time at the microphone.\u003c/p>\n\u003cp>Speakers included 16-year-old Phoenix Ali Rajah, a transgender boy who said he is rarely taught information for people like him during sex education classes at his Los Angeles-area high school.\u003c/p>\n\u003cp>“I’m never taught about how to be in a relationship with gay men,” he said, adding that the “conversation with sex starts from a different place.”\u003c/p>\n\u003cp>Michele McNutt, 49, focused on the framework’s attention to healthy relationships and consent, something she said is never too soon to teach her two daughters in public school, ages 11 and 9.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>“Withholding medically accurate, scientific information from them actually causes more harm and does not actually protect innocence,” she said while wearing a purple T-shirt that read “protect trans students.” “If you don’t give kids accurate information about their own body … how are they able to make good choices?”\u003c/p>\n\u003cp>The guidance was developed with input from teachers across the state, and several spoke in favor of the recommendations on Wednesday. But not Tatyana Dzyubak, an elementary school teacher in the Sacramento area.\u003c/p>\n\u003cp>“I shouldn’t be teaching that stuff,” she said. “That’s for parents to do.”\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>\u003cem>KQED’s Miranda Leitsinger contributed to this report.\u003c/em>\u003c/p>\n\n\u003c/div>\u003c/p>",
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"content": "\u003cp>A fiery debate is breaking out across Beverly Hills as people at tony hair salons, gas stations and stores weigh in on whether the city of the rich and famous should become the first in the U.S. to outlaw the sale of tobacco products everywhere except for a few cigar lounges.\u003c/p>\n\u003cp>The City Council decided Tuesday night to make some changes to the proposal, such as allowing guests in the city’s luxury hotels to acquire cigarettes through their concierge or room service. Members indicated they plan to pass the amended measure May 21.\u003c/p>\n\u003cp>Abstainers have said yes to the idea, and the sooner the better, while smokers protested, no way.\u003c/p>\n\u003cp>“It’s a ridiculous idea,” hair stylist Giuseppe Franco shouted soon after lighting up a Marlboro Light on a breezeway just outside the upscale hair salon that bears his name.\u003c/p>\n\u003cp>“First off, let’s be honest. Smoking is bad. I don’t let my daughter smoke,” he said during a sometimes profane tirade delivered between puffs. “But it’s going to hurt my friends,” he said, pointing out that a 24-hour Rite Aid pharmacy down the street does big business in cigarettes that go for about $8 a pack.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>So does the Union 76 gas station a couple blocks away, where the cashier says they sell about 50 packs a day at $12 apiece.\u003c/p>\n\u003cp>[pullquote size='small' align='right' citation='Retired businessman John Davis']‘They’re going to chase the tourists out of here.’[/pullquote]\u003c/p>\n\u003cp>California is among at least 25 states that outlaw smoking in workplaces, restaurants and bars. It also has one of the highest cigarette taxes in the country at nearly $3 a pack.\u003c/p>\n\u003cp>Beverly Hills already restricts the sale of menthol cigarettes and other flavored tobacco products.\u003c/p>\n\u003cp>But the proposed ordinance would go much further, banning all tobacco products from grocery stores, pharmacies, hotels and gas stations in the city of 34,000 people between West Hollywood and Los Angeles.\u003c/p>\n\u003cp>“My celebrity clients smoke,” Franco fumed.\u003c/p>\n\u003cp>Like most Beverly Hills business people, Franco won’t name them, but he did pull out a copy of the hotel magazine Concierge featuring a photo of him with his buddy Arnold Schwarzenegger, a cigar aficionado.\u003c/p>\n\u003cp>Cigar smokers most likely won’t have to sacrifice if the ordinance is adopted. A city staff report recommends exempting three tony cigar lounges in Beverly Hills.\u003c/p>\n\u003cp>Still, the folks at one of them, Nazareth’s Fine Cigars, weren’t happy.\u003c/p>\n\u003cp>“They’re going to chase the tourists out of here,” said retired businessman John Davis as he relaxed in a lounge chair, cigar in hand.\u003c/p>\n\u003cp>The decision came after the five-member council heard two hours of sometimes emotional but always polite testimony from scores of people on both sides of the issue.\u003c/p>\n\u003cp>[pullquote size='small' align='right' citation='Councilman Julian Gold']‘We are charged with providing for the public health and that’s really what this conversation is about.’[/pullquote]Owners of gas stations and other small businesses said the ban could force them to lay-off people. Health advocates said while they regretted that possibility, people’s health was more important.\u003c/p>\n\u003cp>Scott McGuff, a regional manager for Rite Aide, said the Beverly Hills pharmacy draws many customers from nearby luxury hotels who pick up both cigarettes and other items and it will lose them with the ban.\u003c/p>\n\u003cp>“It’s going to affect layoffs, that’s how big of a deal it is for me,” he said.\u003c/p>\n\u003cp>While council members sympathized, they said the public’s health was too important for Beverly Hills not to take action.\u003c/p>\n\u003cp>“We are charged with providing for the public health and that’s really what this conversation is about, said Councilman Julian Gold.\u003c/p>\n\u003cp>[aside tag='smoking-bans' label='More Coverage of Smoking Bans']These days, many people visit Beverly Hills from Asia and Europe, where smoking is commonplace, Davis said earlier from the cigar lounge. They’ll have to head to West Hollywood to buy their smokes because cigarette sales would be banned in famous places like the Beverly Wilshire, the hotel where Julia Roberts’ character stayed in “Pretty Woman.”\u003c/p>\n\u003cp>Not everyone in Beverly Hills is a wealthy celebrity, of course. While the median price of a home is more than $2 million and the median annual income is more than $103,000, about 9% of the population falls below the poverty line, according to the U.S. Census.\u003c/p>\n\u003cp>The gas stations, pharmacies and other places offering modest jobs and cigarettes are tucked into corners just off Rodeo Drive and other fashionable streets. Only 28 sell tobacco products, according to the city staff report.\u003c/p>\n\u003cp>The city report cites the hazards of smoking and the desire of Beverly Hills to be a healthy city as reasons for the ban on tobacco sales.\u003c/p>\n\u003cp>For non-smokers Oscar Melendez and Cezar Diaz, that’s reason enough to support it.\u003c/p>\n\u003cp>“I can pick up cigarette smoke from 30 feet away,” Melendez said.\u003c/p>\n\u003cp>At the fashionable Sarah Pacini clothing store, it gets so bad that Diaz, the manager, said he sometimes has to close the door and ask smokers not to stand on the sidewalk out front.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>Most, he said, respond politely.\u003c/p>\n\n",
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"content": "\u003cp>\u003cem>Editor’s note: The following story was produced for \u003ca href=\"https://www.kqed.org/news/tag/youth-takeover\">Youth Takeover\u003c/a> week at KQED.\u003c/em>\u003c/p>\n\u003cp>I never expected to hear that my childhood best friend was pregnant.\u003c/p>\n\u003cp>My family and I were at the table eating dinner just like any other day. I notice my parents talking among themselves and think to myself that something’s a lil’ sus[picious].\u003c/p>\n\u003cp>“Your friend is pregnant.” Those were their words. I couldn’t fathom this information. My friend was only 15.\u003c/p>\n\u003cp>I rested my head in my hands and stared down at the table, thinking a billion thoughts, surrounded with fear.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>\u003cem>When will she have the baby? What will she name her baby? How will she finish school? Who’s the father? How could she be so stupid? What was she experiencing in her life that she wanted to avoid and not feel? Will she have time for me? How is our friendship going to change? I’m not a good friend. I could’ve done more. I should’ve done more. I regret not being there for her more. \u003c/em>\u003c/p>\n\u003cp>All these thoughts haunted my conscience, mind and spirit.\u003c/p>\n\u003cp>I was disappointed in her, and saddened by her poor decision-making. I even reached a point where I was angry. I felt justified about my feelings of anger toward her. I found a reason to be mad: she wasn’t thinking about how she could affect her whole family and friends.\u003c/p>\n\u003cp>It was selfish and proud of her to think nothing would happen. When we saw each other on Sundays at church, I couldn’t bring myself to even talk to her and say hi. I cried for the next two weeks, every day, until I let myself accept reality: My friend, who was just a few months younger than I, was pregnant.\u003c/p>\n\u003cp>Night and day I worried about my relationship with her. We had more or less drifted apart in middle school and high school, so in the moment it felt like this situation would only make our relationship more complicated.\u003cbr>\n[aside postID='news_11744347,news_11744837,news_11744489' label='more stories from the youth takeover']\u003cbr>\nI knew she was going to have to mature and grow up quicker for her son. In my mind, that meant that we couldn’t relate to each other, because she was going to be a mom, and I was just a teen in high school.\u003c/p>\n\u003cp>On top of that, we already had our differences. She was a very social, popular girl in school; I wasn’t as popular. Our personalities were very different; I was more reserved and quiet, while she was a lover of talking and making people laugh. She was going to be a mom, and I wasn’t.\u003c/p>\n\u003cp>Through this difficult time for both of us, I was able to get help from many, many friends who advised me on letting go of my anger and disappointment, loving her, and being her close friend again.\u003c/p>\n\u003cp>I couldn’t afford to make room for my anger and hurt anymore if it meant that I would lose my close relationship with her again. I knew she needed me to understand her, and all the embarrassment and shame she felt.\u003c/p>\n\u003cp>Though this situation was difficult, it ultimately brought us closer together. Because she lives so close to my school, I visit her more often. We have great talks over boba tea, and our friendship overall has turned into something I never I thought I’d have with her again: intimacy.\u003c/p>\n\u003cp>Since her son was born, we spend more time with each other. Her son is now 1 year old, and I’m happy to say he has been a great miracle for her family and mine. He has brought so much joy into our lives, and I’m glad my friend has a living, breathing being she can call hers for the rest of her life.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>The three of us have walking lessons and little dance parties, and plenty of smiling and laughter. And I’m happy to say that my friend will be graduating this spring, and attending the University of San Francisco in the fall.\u003c/p>\n\n",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>\u003cem>Editor’s note: The following story was produced for \u003ca href=\"https://www.kqed.org/news/tag/youth-takeover\">Youth Takeover\u003c/a> week at KQED.\u003c/em>\u003c/p>\n\u003cp>I never expected to hear that my childhood best friend was pregnant.\u003c/p>\n\u003cp>My family and I were at the table eating dinner just like any other day. I notice my parents talking among themselves and think to myself that something’s a lil’ sus[picious].\u003c/p>\n\u003cp>“Your friend is pregnant.” Those were their words. I couldn’t fathom this information. My friend was only 15.\u003c/p>\n\u003cp>I rested my head in my hands and stared down at the table, thinking a billion thoughts, surrounded with fear.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>\u003cem>When will she have the baby? What will she name her baby? How will she finish school? Who’s the father? How could she be so stupid? What was she experiencing in her life that she wanted to avoid and not feel? Will she have time for me? How is our friendship going to change? I’m not a good friend. I could’ve done more. I should’ve done more. I regret not being there for her more. \u003c/em>\u003c/p>\n\u003cp>All these thoughts haunted my conscience, mind and spirit.\u003c/p>\n\u003cp>I was disappointed in her, and saddened by her poor decision-making. I even reached a point where I was angry. I felt justified about my feelings of anger toward her. I found a reason to be mad: she wasn’t thinking about how she could affect her whole family and friends.\u003c/p>\n\u003cp>It was selfish and proud of her to think nothing would happen. When we saw each other on Sundays at church, I couldn’t bring myself to even talk to her and say hi. I cried for the next two weeks, every day, until I let myself accept reality: My friend, who was just a few months younger than I, was pregnant.\u003c/p>\n\u003cp>Night and day I worried about my relationship with her. We had more or less drifted apart in middle school and high school, so in the moment it felt like this situation would only make our relationship more complicated.\u003cbr>\n\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cbr>\nI knew she was going to have to mature and grow up quicker for her son. In my mind, that meant that we couldn’t relate to each other, because she was going to be a mom, and I was just a teen in high school.\u003c/p>\n\u003cp>On top of that, we already had our differences. She was a very social, popular girl in school; I wasn’t as popular. Our personalities were very different; I was more reserved and quiet, while she was a lover of talking and making people laugh. She was going to be a mom, and I wasn’t.\u003c/p>\n\u003cp>Through this difficult time for both of us, I was able to get help from many, many friends who advised me on letting go of my anger and disappointment, loving her, and being her close friend again.\u003c/p>\n\u003cp>I couldn’t afford to make room for my anger and hurt anymore if it meant that I would lose my close relationship with her again. I knew she needed me to understand her, and all the embarrassment and shame she felt.\u003c/p>\n\u003cp>Though this situation was difficult, it ultimately brought us closer together. Because she lives so close to my school, I visit her more often. We have great talks over boba tea, and our friendship overall has turned into something I never I thought I’d have with her again: intimacy.\u003c/p>\n\u003cp>Since her son was born, we spend more time with each other. Her son is now 1 year old, and I’m happy to say he has been a great miracle for her family and mine. He has brought so much joy into our lives, and I’m glad my friend has a living, breathing being she can call hers for the rest of her life.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>The three of us have walking lessons and little dance parties, and plenty of smiling and laughter. And I’m happy to say that my friend will be graduating this spring, and attending the University of San Francisco in the fall.\u003c/p>\n\n\u003c/div>\u003c/p>",
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"content": "\u003cp>When it comes to treating opioid addiction, most health care experts say nurses have a critical role to play in prescribing the lifesaving medication buprenorphine.\u003c/p>\n\u003cp>Buprenorphine can be prescribed by both doctors and nurses who have taken specific training and received a license from the Drug Enforcement Administration.\u003c/p>\n\u003cp>[pullquote size='small' align='right' citation='Dr.David Aizuss, California Medical Association']‘What we don’t support is sending nurse practitioners out into individual communities, opening up storefronts to practice essentially independent medicine, when they’re not trained for that.’[/pullquote]\u003c/p>\n\u003cp>In California, however, the role of nurses is limited: They can prescribe the medicine, but only under the oversight of a doctor. That requirement is controversial. Some say it is an extra hurdle that restricts access to medications, while others say it is an appropriate limit of a nurse’s scope of care.\u003c/p>\n\u003cp>A\u003ca href=\"https://jamanetwork.com/journals/jama/article-abstract/2730102?resultClick=1\" target=\"_blank\" rel=\"noopener\"> study\u003c/a> published in the medical journal JAMA in April found that states without a physician-oversight requirement to prescribe buprenorphine have more nurses getting licensed to distribute the medication — 75% more than nurse practitioners in states with the restriction.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>“An important part of addressing the opioid crisis is helping people access treatment when they need it,” said \u003ca href=\"https://healthforce.ucsf.edu/about-us/joanne-spetz\" target=\"_blank\" rel=\"noopener\">Joanne Spetz,\u003c/a> associate director of research at UCSF’s Healthforce Center, who co-authored the study.\u003c/p>\n\u003cp>And nurses play a big role in that.\u003c/p>\n\u003cp>“There are numerous studies that show that the quality of nurse practitioner care for primary care and for the areas in which they are trained and prepared is as good as a physician,” Spetz said.\u003c/p>\n\u003cp>[aside tag='opioids' label='More Coverage of the Opioid Crisis']\u003c/p>\n\u003cp>More than 47,000 people died from an opioid overdose nationwide in 2017, according to \u003ca href=\"https://www.cdc.gov/drugoverdose/data/index.html\" target=\"_blank\" rel=\"noopener\">the most recent data\u003c/a>. The gold standard for treating this addiction is medication and counseling. Yet the majority of the roughly 2 million people with opioid addiction \u003ca href=\"https://www.nap.edu/resource/25310/032019_OUDhighlights.pdf\" target=\"_blank\" rel=\"noopener\">cannot access these medications\u003c/a>, like buprenorphine.\u003c/p>\n\u003cp>California is the only Western state with this doctor supervision requirement as it applies to buprenorphine.\u003c/p>\n\u003cp>\u003ca href=\"https://a02.asmdc.org/\" target=\"_blank\" rel=\"noopener\">Assemblyman Jim Wood\u003c/a> authored \u003ca href=\"http://leginfo.legislature.ca.gov/faces/billNavClient.xhtml?bill_id=201920200AB890\" target=\"_blank\" rel=\"noopener\">a bill\u003c/a> that would authorize a nationally certified nurse practitioner to provide specific medical services without physician oversight, including prescribing buprenorphine.\u003c/p>\n\u003cp>Wood represents counties in the northwest part of the state, where opioid overdose death rates are \u003ca href=\"https://discovery.cdph.ca.gov/CDIC/ODdash/\" target=\"_blank\" rel=\"noopener\">higher than the national average\u003c/a>.\u003c/p>\n\u003cp>Some of the rural counties Wood represents have a dearth of health care providers.\u003c/p>\n\u003cp>“We’ve had primary care shortages, and over the last seven or eight years it’s actually gotten worse,” Wood said.\u003c/p>\n\u003cp>He sees nurse practitioners as an important way to fill that gap: “We need that workforce.”\u003c/p>\n\u003cp>Wood’s bill follows recommendations made by the \u003ca href=\"https://futurehealthworkforce.org/\" target=\"_blank\" rel=\"noopener\">California Future Health Workforce Commission\u003c/a>, a group of experts in the fields of health, labor and education. The coalition released \u003ca href=\"https://futurehealthworkforce.org/wp-content/uploads/2019/02/ExecutiveSummaryFinalReportCFHWC.pdf\" target=\"_blank\" rel=\"noopener\">a report\u003c/a> in February highlighting a mismatch between the state’s health care needs, and both the supply and type of health care workers available.\u003c/p>\n\u003cp>[pullquote size='small' align='right' citation='Joanne Spetz, UCSF’s Healthforce Center']‘An important part of addressing the opioid crisis is helping people access treatment when they need it.’[/pullquote]\u003c/p>\n\u003cp>The report predicts California will be short more than 4,000 doctors in the next decade. One of the group’s suggestions to address the deficiency in primary care? Expand the authority of nurse practitioners.\u003c/p>\n\u003cp>But Dr. David Aizuss, president of the California Medical Association, said the legislation was not the way to plug that gap.\u003c/p>\n\u003cp>“There’s no doubt in my mind that nurse practitioners have a role as part of team-based medical care for providing care for patients,” he said. “What we don’t support is sending nurse practitioners out into individual communities, opening up storefronts to practice essentially independent medicine, when they’re not trained for that.”\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>Aizuss said his group has worked on other solutions to the rural health care shortage, like creating more positions for primary care residents in California, and loan forgiveness programs for doctors who work with high numbers of low-income patients who rely on Medi-Cal.\u003c/p>\n\n",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>More than 47,000 people died from an opioid overdose nationwide in 2017, according to \u003ca href=\"https://www.cdc.gov/drugoverdose/data/index.html\" target=\"_blank\" rel=\"noopener\">the most recent data\u003c/a>. The gold standard for treating this addiction is medication and counseling. Yet the majority of the roughly 2 million people with opioid addiction \u003ca href=\"https://www.nap.edu/resource/25310/032019_OUDhighlights.pdf\" target=\"_blank\" rel=\"noopener\">cannot access these medications\u003c/a>, like buprenorphine.\u003c/p>\n\u003cp>California is the only Western state with this doctor supervision requirement as it applies to buprenorphine.\u003c/p>\n\u003cp>\u003ca href=\"https://a02.asmdc.org/\" target=\"_blank\" rel=\"noopener\">Assemblyman Jim Wood\u003c/a> authored \u003ca href=\"http://leginfo.legislature.ca.gov/faces/billNavClient.xhtml?bill_id=201920200AB890\" target=\"_blank\" rel=\"noopener\">a bill\u003c/a> that would authorize a nationally certified nurse practitioner to provide specific medical services without physician oversight, including prescribing buprenorphine.\u003c/p>\n\u003cp>Wood represents counties in the northwest part of the state, where opioid overdose death rates are \u003ca href=\"https://discovery.cdph.ca.gov/CDIC/ODdash/\" target=\"_blank\" rel=\"noopener\">higher than the national average\u003c/a>.\u003c/p>\n\u003cp>Some of the rural counties Wood represents have a dearth of health care providers.\u003c/p>\n\u003cp>“We’ve had primary care shortages, and over the last seven or eight years it’s actually gotten worse,” Wood said.\u003c/p>\n\u003cp>He sees nurse practitioners as an important way to fill that gap: “We need that workforce.”\u003c/p>\n\u003cp>Wood’s bill follows recommendations made by the \u003ca href=\"https://futurehealthworkforce.org/\" target=\"_blank\" rel=\"noopener\">California Future Health Workforce Commission\u003c/a>, a group of experts in the fields of health, labor and education. The coalition released \u003ca href=\"https://futurehealthworkforce.org/wp-content/uploads/2019/02/ExecutiveSummaryFinalReportCFHWC.pdf\" target=\"_blank\" rel=\"noopener\">a report\u003c/a> in February highlighting a mismatch between the state’s health care needs, and both the supply and type of health care workers available.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>The report predicts California will be short more than 4,000 doctors in the next decade. One of the group’s suggestions to address the deficiency in primary care? Expand the authority of nurse practitioners.\u003c/p>\n\u003cp>But Dr. David Aizuss, president of the California Medical Association, said the legislation was not the way to plug that gap.\u003c/p>\n\u003cp>“There’s no doubt in my mind that nurse practitioners have a role as part of team-based medical care for providing care for patients,” he said. “What we don’t support is sending nurse practitioners out into individual communities, opening up storefronts to practice essentially independent medicine, when they’re not trained for that.”\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>Aizuss said his group has worked on other solutions to the rural health care shortage, like creating more positions for primary care residents in California, and loan forgiveness programs for doctors who work with high numbers of low-income patients who rely on Medi-Cal.\u003c/p>\n\n\u003c/div>\u003c/p>",
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"content": "\u003cp>More than 700 measles cases have been confirmed in 22 states so far this year, with 78 of those cases reported in the previous week, \u003ca href=\"https://www.cdc.gov/measles/cases-outbreaks.html\" target=\"_blank\" rel=\"noopener\">according to Monday’s update from the Centers for Disease Control and Prevention.\u003c/a> That’s the highest number reported in the U.S. since 1994.\u003c/p>\n\u003cp>[aside label=\"Related\" tag=\"measles\"]\u003c/p>\n\u003cp>Of those cases, more than 500 have been found in people who had not been vaccinated, the federal agency said, including about 400 in mostly Orthodox Jewish communities in the New York region. And late last week, a quarantine order was issued for \u003ca href=\"https://www.kqed.org/news/11742926/measles-quarantines-hit-2-los-angeles-universities-amid-nationwide-outbreak\" target=\"_blank\" rel=\"noopener\">hundreds of students and staff at two Los Angeles universities\u003c/a> who may have been exposed to measles and don’t have vaccination records.\u003c/p>\n\u003cp>With this latest outbreak comes plenty of angry finger-pointing at the small but notorious contingent of Americans who choose not to vaccinate their children (or themselves) against the highly contagious, yet preventable, disease.\u003c/p>\n\u003cp>As recently as three decades ago, measles was listed by the World Health Organization as one of the five leading causes of death on Earth. But by 2000, the disease\u003ca href=\"http://www.cdc.gov/measles/about/faqs.html\"> \u003c/a>was \u003ca href=\"http://www.cdc.gov/measles/about/faqs.html\" target=\"_blank\" rel=\"noopener\">declared “eliminated” in the U.S.\u003c/a>, largely due to the success of statewide public health campaigns to make the MMR (measles, mumps, rubella) vaccine mandatory for children enrolling in public schools.\u003c/p>\n\u003cp>Since then, however, the number of parents requesting religious or philosophical exemptions to state rules has gone up, as have reported measles cases. In 2014, the CDC reported what was then the highest number of cases in over a decade: 644 in 27 states, including one outbreak in an Amish community in rural Ohio infecting more than 300 people.\u003c/p>\n\u003cp>\u003ca href=\"https://www.nvic.org/vaccine-laws/state-vaccine-requirements.aspx\" target=\"_blank\" rel=\"noopener\">Forty-seven\u003c/a> states still permit parents to opt out of vaccinating their children on religious grounds, and 18 states allow exemptions based on personal or philosophical beliefs (until 2015, \u003ca href=\"https://www.nvic.org/vaccine-laws/state-vaccine-requirements/california.aspx\" target=\"_blank\" rel=\"noopener\">California allowed\u003c/a> both exemptions). Many parents who go this route say they doubt the effectiveness of the vaccine or have concerns that it may cause autism or other major health problems, even though no medical evidence actually supports these theories.\u003c/p>\n\u003cp>\u003c!-- iframe plugin v.4.3 wordpress.org/plugins/iframe/ -->\u003cbr>\n\u003ciframe loading=\"lazy\" src=\"https://apps.npr.org/dailygraphics/graphics/measles-20190429/\" width=\"700\" height=\"600\" scrolling=\"yes\" class=\"iframe-class\" frameborder=\"0\">\u003c/iframe>\u003c/p>\n\u003cp>These holdouts mark just the latest chapter in a long, robust history of anti-vaccination movements. Intermittent backlashes against compulsory government vaccination campaigns have arisen ever since the first series of vaccinations were given more than 200 years ago.\u003c/p>\n\u003cp>Most interesting are the striking cultural similarities and motives of today’s prototypical “anti-vaxers” and their 19th century forebears: Both have typically been cast as either deeply religious or affluent, well-educated and politically progressive, and intensely protective of civil liberties and personal choice.\u003c/p>\n\u003ch3>The First Vaccine Revolution\u003c/h3>\n\u003cp>If you know little or care less about smallpox, Edward Jenner’s the guy to thank for that.\u003c/p>\n\u003cp>Among the most gruesome and deadly diseases in human history, smallpox terrorized the world for centuries, ravaging entire civilizations and claiming millions of lives — particularly those of young children — during its sporadic outbreaks. Highly infectious, the disease typically covers the skin in large oozing, pus-filled bumps.\u003c/p>\n\u003cp>In 1796, Jenner, a rural British physician, tested a locally shared theory that milkmaids who contracted cowpox were immune from smallpox. Similar to smallpox but far less severe, cowpox is generally found in animals and can be transmitted to human handlers. \u003ca href=\"http://www.ndm.ox.ac.uk/edward-jenner-museum\" target=\"_blank\" rel=\"noopener\">Jenner extracted pus from a cowpox scab\u003c/a> and inserted it into an incision on the arm of an 8-year-old boy. Although the child contracted a mild virus, he recovered quickly, developing antibodies that built up his immunity to both cowpox and smallpox.\u003c/p>\n\u003cp>Jenner subsequently coined the term “vaccine,” from “vacca,” Latin for cow.\u003c/p>\n\u003cp>Although initially rejected by the British medical establishment, Jenner’s findings were eventually published after subsequent successful trials, and the field of modern immunology was born. The discovery paved the way for vaccine breakthroughs over the following two centuries, including inoculations for polio, tetanus, influenza, rabies, diphtheria and, yes, measles.\u003c/p>\n\u003cp>The smallpox vaccine and its later iterations proved so successful that the \u003ca href=\"https://www.who.int/features/2010/smallpox/en/\" target=\"_blank\" rel=\"noopener\">World Health Organization in 1980\u003c/a> declared it the first disease to be eradicated as a result of global vaccination efforts. To date, there is no cure or treatment for it; vaccination is the only means of prevention.\u003c/p>\n\u003ch3>Birth of the Backlash\u003c/h3>\n\u003cp>Protection from one of the most feared, miserable ailments in human history: Who wouldn’t raise a (sterilized) glass to that?\u003c/p>\n\u003cfigure id=\"attachment_16227\" class=\"wp-caption alignright\" style=\"max-width: 300px\">\u003ca href=\"http://ww2.kqed.org/lowdown/wp-content/uploads/sites/26/2015/02/wolr5328.f1.jpg\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"wp-image-16227 size-medium\" src=\"http://ww2.kqed.org/lowdown/wp-content/uploads/sites/26/2015/02/wolr5328.f1-300x228.jpg\" alt=' 1887 illustration from an anti-vaccination flier. Included in the text: \"This monster has been named vaccination; and his progressive havoc among the human race, has been dreadful and most alarming.\" ' width=\"300\" height=\"228\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">An illustration from an 1807 anti-vaccination flier. Included in the text: “This monster has been named vaccination; and his progressive havoc among the human race, has been dreadful and most alarming.” (Courtesy of National Institutes of Health)\u003c/figcaption>\u003c/figure>\n\u003cp>Turns out, lots of folks. As word of the procedure spread, Jenner was ridiculed by a host of angry critics, particularly members of the clergy, who charged that the idea of inoculating someone with pus from a diseased animal was not only revolting but blasphemous. Rumors abounded of vaccinated patients contracting bovine diseases and suffering grotesque reactions. Enough evidence, however, demonstrated the obvious advantages of the vaccination, and the procedure became increasingly accepted by the medical establishment in much of Europe.\u003c/p>\n\u003cp>By the mid-1800s, in the wake of several smallpox outbreaks, the United Kingdom enacted a set of laws making vaccinations compulsory, initially for infants, but eventually for all children up to 14 years old. Cumulative penalties were imposed on violators.\u003c/p>\n\u003cp>These measures, though, were met with staunch resistance, inciting a series of riots. The unrest prompted the creation of the Anti-Compulsory Vaccination League in 1867, whose founders were primarily concerned with what they considered a blatant infringement of personal choice and liberty.\u003c/p>\n\u003cp>The group’s seven-point mission statement, printed on the masthead of its newsletter, included the following pronouncement:\u003c/p>\n\u003cp>\u003cem>“As parliament, instead of guarding the liberty of the subject, has invaded this liberty by rendering good health a crime, punishable by fine or imprisonment, inflicted on dutiful parents, parliament is deserving of public condemnation.”\u003c/em>\u003c/p>\n\u003cp>By the 1870s and ’80s, even as smallpox vaccination techniques were rapidly advancing and helping to contain the disease’s spread, anti-vaccination campaigns continued to gain momentum in the U.K. and elsewhere. Propaganda literature proliferated as leaders of the movement adeptly tapped into the public’s understandable anxieties about the still nascent procedure. Some efforts were successful in temporarily lowering vaccination rates.\u003c/p>\n\u003cfigure id=\"attachment_11744701\" class=\"wp-caption alignnone\" style=\"max-width: 720px\">\u003ca href=\"https://ww2.kqed.org/news/wp-content/uploads/sites/10/2019/05/lead_720_405.jpg\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-11744701\" src=\"https://ww2.kqed.org/news/wp-content/uploads/sites/10/2019/05/lead_720_405.jpg\" alt=\"\" width=\"720\" height=\"405\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2019/05/lead_720_405.jpg 720w, https://cdn.kqed.org/wp-content/uploads/sites/10/2019/05/lead_720_405-160x90.jpg 160w\" sizes=\"(max-width: 720px) 100vw, 720px\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">A cartoon from a 1894 anti-vaccination publication. \u003ccite>(Courtesy of the Historical Medical Library of the College of Physicians of Philadelphia)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>One of the largest demonstrations, in Leicester, England, in 1885, drew upward of 100,000 people, with a child’s coffin and an effigy of Jenner among the props exhibited.\u003c/p>\n\u003cp>The rally prompted a government commission to investigate the protesters’ grievances, which eventually concluded that the vaccine was safe and effective. But in a political move to pacify detractors, the report also recommended the abolition of penalties for violators. In 1898, \u003ca href=\"http://www.ncbi.nlm.nih.gov/pmc/articles/PMC1123944/#B2\" target=\"_blank\" rel=\"noopener\">the passage of a new national vaccination act\u003c/a> removed such penalties and included a “conscientious objector” clause, allowing parents concerned with the safety of vaccinations to apply for an exemption certificate.\u003c/p>\n\u003ch3>The anti-vax fever spreads to America\u003c/h3>\n\u003cp>In the late 1800s, a series of smallpox outbreaks in the United States spurred a number of local government vaccine campaigns. That, in turn, prompted fierce opposition, including a visit from William Tebb, a prominent British anti-vaccine activist. By 1879, the Anti-Vaccination Society of America was established, followed by the emergence of several local leagues, including the New England Anti Compulsory Vaccination League and the Anti-Vaccination League of New York City. A second national league was formed in the early 1900s. Activists waged court battles to repeal vaccination laws in a number of states, including California, Illinois and Wisconsin.\u003c/p>\n\u003cp>In a response that inflamed tensions and helped further cast vaccination campaigns as an affront to civil liberties, public health officials commonly resorted to heavy-handed, inconsistent enforcement tactics, often vaccinating immigrants and minorities against their will during outbreaks, writes \u003ca href=\"https://www.tulsaworld.com/opinion/columnists/stephen-mihm-how-to-eradicate-outbreaks-of-anti-vaccine-fever/article_4660b867-3b84-58b1-8e2e-73e631c0bdd5.html\" target=\"_blank\" rel=\"noopener\">University of Georgia history professor Stephen Mihm\u003c/a>.\u003c/p>\n\u003cfigure id=\"attachment_11744718\" class=\"wp-caption alignnone\" style=\"max-width: 758px\">\u003ca href=\"https://ww2.kqed.org/news/wp-content/uploads/sites/10/2019/05/Anti-Vaccination_Society_of_America_advertisement_from_1902.jpg\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-11744718\" src=\"https://ww2.kqed.org/news/wp-content/uploads/sites/10/2019/05/Anti-Vaccination_Society_of_America_advertisement_from_1902.jpg\" alt=\"\" width=\"758\" height=\"441\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2019/05/Anti-Vaccination_Society_of_America_advertisement_from_1902.jpg 758w, https://cdn.kqed.org/wp-content/uploads/sites/10/2019/05/Anti-Vaccination_Society_of_America_advertisement_from_1902-160x93.jpg 160w\" sizes=\"(max-width: 758px) 100vw, 758px\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">An Anti-Vaccination Society of America advertisement from 1902. \u003ccite>(Wikimedia Commons)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>Fears were also legitimately stoked by the lack of oversight in the production of vaccines, a process primarily controlled by private industry that was loosely regulated and at times resulted in questionable, unsafe products. In one of the worst incidents, nine children in Camden, New Jersey, died after being inoculated with a batch of smallpox vaccine that had been contaminated with tetanus. News of the tragedy prompted Congress to pass the \u003ca href=\"https://history.nih.gov/exhibits/history/docs/page_03.html\" target=\"_blank\" rel=\"noopener\">Biologics Control Act\u003c/a> of 1902, increasing government oversight of the manufacturing process.s\u003c/p>\n\u003cp>Following a smallpox outbreak in 1902, the city of Cambridge, Massachusetts, mandated vaccinations for all residents. After one man refused to comply on the grounds that the law violated his right to care for himself, the city filed criminal charges against him. The case — \u003ca href=\"http://www.ncbi.nlm.nih.gov/pmc/articles/PMC1449224/\" target=\"_blank\" rel=\"noopener\">Jacobson v. Massachusetts\u003c/a> — eventually made its way to the U.S. Supreme Court, which ultimately sided with the state, ruling that it was within its power to enact mandatory vaccine laws in order to protect the public in the event of a communicable disease. \u003ca href=\"http://www.historyofvaccines.org/content/articles/history-anti-vaccination-movements\" target=\"_blank\" rel=\"noopener\">The decision\u003c/a> marked the first Supreme Court case determining the extent of state power in enacting public health law.\u003c/p>\n\u003ch3>Modern times\u003c/h3>\n\u003cp>Anti-vaccination fervor erupted again in England and spread abroad in the latter half of the 20th century, this time after an errant 1970s medical study alleged that the diphtheria, tetanus and pertussis (DTP) vaccine had caused neurological disorders in children. The report fueled a wave of public outcry and subsequent false analyses, leading to decreased vaccination rates and three major outbreaks of pertussis (whooping cough), despite an independent advisory committee confirming the safety of the immunization.\u003c/p>\n\u003cp>The controversy over DTP reached the United States after a 1982 documentary, “DPT: Vaccination Roulette,” and a 1991 book, “A Shot in the Dark,” alleged adverse reactions to the vaccine and questioned its effectiveness. Amid the ensuing media storm, scores of parents formed advocacy groups opposing the immunization and, in several cases, sued vaccine manufacturers. Hoping to not repeat England’s example, U.S. medical organizations, like the Academy of Pediatrics and the Centers for Disease Control and Prevention, aggressively countered the false claims, and more effectively stemmed the decrease in vaccination rates.\u003c/p>\n\u003cfigure id=\"attachment_11744712\" class=\"wp-caption alignnone\" style=\"max-width: 2048px\">\u003ca href=\"https://ww2.kqed.org/news/wp-content/uploads/sites/10/2019/05/GettyImages-1128753684.jpg\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-11744712\" src=\"https://ww2.kqed.org/news/wp-content/uploads/sites/10/2019/05/GettyImages-1128753684.jpg\" alt=\"\" width=\"2048\" height=\"1365\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2019/05/GettyImages-1128753684.jpg 2048w, https://cdn.kqed.org/wp-content/uploads/sites/10/2019/05/GettyImages-1128753684-160x107.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2019/05/GettyImages-1128753684-800x533.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2019/05/GettyImages-1128753684-1020x680.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2019/05/GettyImages-1128753684-1200x800.jpg 1200w, https://cdn.kqed.org/wp-content/uploads/sites/10/2019/05/GettyImages-1128753684-1920x1280.jpg 1920w\" sizes=\"(max-width: 2048px) 100vw, 2048px\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">An anti-vaccination parent holds up a prescription document as she waits to enter a hearing before the Senate Committee on Health, Education, Labor and Pensions on Capitol Hill in Washington, D.C., on March 5, 2019. \u003ccite>(Jim WATSON/AFP/Getty Images)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>And then came the \u003cem>anti\u003c/em> anti-measles movement.\u003c/p>\n\u003cp>Despite the MMR vaccine’s safe and effective application since it was introduced in the 1960s, fear over the inoculation spread like wildfire after a 1998 medical study, and a subsequent flurry of media coverage, suggested a connection between the vaccine and the onset of autism. The study was later discredited, and an independent medical board determined that its author, British doctor Andrew Wakefield, had a “fatal conflict of interest” \u003ca href=\"https://www.historyofvaccines.org/content/articles/history-anti-vaccination-movements\" target=\"_blank\" rel=\"noopener\">after revelations\u003c/a> that he had been paid by lawyers representing parents who believed the vaccine had harmed their children.\u003c/p>\n\u003cp>More than a decade later, after numerous subsequent studies that found no evidence of any link between the vaccine and autism, the paper was formally retracted by The Lancet, the journal that first published it, and \u003ca href=\"https://www.theguardian.com/society/2010/feb/02/lancet-retracts-mmr-paper\" target=\"_blank\" rel=\"noopener\">labeled “utterly false.”\u003c/a> Wakefield \u003ca href=\"https://www.mdmag.com/medical-news/autism_doctor/\" target=\"_blank\" rel=\"noopener\">was also stripped of his medical license\u003c/a>.\u003c/p>\n\u003cp>But the seed had been planted, and parents already skeptical about immunizing their children were further motivated to avoid the vaccine at all costs.\u003c/p>\n\u003cp>Since then, fears have been further inflamed by a number of anti-vaccination campaigns suggesting the linkage to an increased incidence of autism. Perhaps most well-known is the ongoing activism of \u003ca href=\"https://www.cnbc.com/2018/05/10/jenny-mccarthy-talks-to-cnbc-about-autism-and-her-family.html\" target=\"_blank\" rel=\"noopener\">actress and model Jenny McCarthy\u003c/a>, who became the veritable poster child of the anti-vax movement when she began publicly questioning the safety of vaccines after her 2-year-old son was diagnosed with autism.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>[ad floatright]\u003c/p>\n",
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"excerpt": "A nationwide measles outbreak has prompted angry finger-pointing at the small but notorious contingent of Americans who choose not to vaccinate their children (or themselves). Here’s some history.",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>More than 700 measles cases have been confirmed in 22 states so far this year, with 78 of those cases reported in the previous week, \u003ca href=\"https://www.cdc.gov/measles/cases-outbreaks.html\" target=\"_blank\" rel=\"noopener\">according to Monday’s update from the Centers for Disease Control and Prevention.\u003c/a> That’s the highest number reported in the U.S. since 1994.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>Of those cases, more than 500 have been found in people who had not been vaccinated, the federal agency said, including about 400 in mostly Orthodox Jewish communities in the New York region. And late last week, a quarantine order was issued for \u003ca href=\"https://www.kqed.org/news/11742926/measles-quarantines-hit-2-los-angeles-universities-amid-nationwide-outbreak\" target=\"_blank\" rel=\"noopener\">hundreds of students and staff at two Los Angeles universities\u003c/a> who may have been exposed to measles and don’t have vaccination records.\u003c/p>\n\u003cp>With this latest outbreak comes plenty of angry finger-pointing at the small but notorious contingent of Americans who choose not to vaccinate their children (or themselves) against the highly contagious, yet preventable, disease.\u003c/p>\n\u003cp>As recently as three decades ago, measles was listed by the World Health Organization as one of the five leading causes of death on Earth. But by 2000, the disease\u003ca href=\"http://www.cdc.gov/measles/about/faqs.html\"> \u003c/a>was \u003ca href=\"http://www.cdc.gov/measles/about/faqs.html\" target=\"_blank\" rel=\"noopener\">declared “eliminated” in the U.S.\u003c/a>, largely due to the success of statewide public health campaigns to make the MMR (measles, mumps, rubella) vaccine mandatory for children enrolling in public schools.\u003c/p>\n\u003cp>Since then, however, the number of parents requesting religious or philosophical exemptions to state rules has gone up, as have reported measles cases. In 2014, the CDC reported what was then the highest number of cases in over a decade: 644 in 27 states, including one outbreak in an Amish community in rural Ohio infecting more than 300 people.\u003c/p>\n\u003cp>\u003ca href=\"https://www.nvic.org/vaccine-laws/state-vaccine-requirements.aspx\" target=\"_blank\" rel=\"noopener\">Forty-seven\u003c/a> states still permit parents to opt out of vaccinating their children on religious grounds, and 18 states allow exemptions based on personal or philosophical beliefs (until 2015, \u003ca href=\"https://www.nvic.org/vaccine-laws/state-vaccine-requirements/california.aspx\" target=\"_blank\" rel=\"noopener\">California allowed\u003c/a> both exemptions). Many parents who go this route say they doubt the effectiveness of the vaccine or have concerns that it may cause autism or other major health problems, even though no medical evidence actually supports these theories.\u003c/p>\n\u003cp>\u003c!-- iframe plugin v.4.3 wordpress.org/plugins/iframe/ -->\u003cbr>\n\u003ciframe loading=\"lazy\" src=\"https://apps.npr.org/dailygraphics/graphics/measles-20190429/\" width=\"700\" height=\"600\" scrolling=\"yes\" class=\"iframe-class\" frameborder=\"0\">\u003c/iframe>\u003c/p>\n\u003cp>These holdouts mark just the latest chapter in a long, robust history of anti-vaccination movements. Intermittent backlashes against compulsory government vaccination campaigns have arisen ever since the first series of vaccinations were given more than 200 years ago.\u003c/p>\n\u003cp>Most interesting are the striking cultural similarities and motives of today’s prototypical “anti-vaxers” and their 19th century forebears: Both have typically been cast as either deeply religious or affluent, well-educated and politically progressive, and intensely protective of civil liberties and personal choice.\u003c/p>\n\u003ch3>The First Vaccine Revolution\u003c/h3>\n\u003cp>If you know little or care less about smallpox, Edward Jenner’s the guy to thank for that.\u003c/p>\n\u003cp>Among the most gruesome and deadly diseases in human history, smallpox terrorized the world for centuries, ravaging entire civilizations and claiming millions of lives — particularly those of young children — during its sporadic outbreaks. Highly infectious, the disease typically covers the skin in large oozing, pus-filled bumps.\u003c/p>\n\u003cp>In 1796, Jenner, a rural British physician, tested a locally shared theory that milkmaids who contracted cowpox were immune from smallpox. Similar to smallpox but far less severe, cowpox is generally found in animals and can be transmitted to human handlers. \u003ca href=\"http://www.ndm.ox.ac.uk/edward-jenner-museum\" target=\"_blank\" rel=\"noopener\">Jenner extracted pus from a cowpox scab\u003c/a> and inserted it into an incision on the arm of an 8-year-old boy. Although the child contracted a mild virus, he recovered quickly, developing antibodies that built up his immunity to both cowpox and smallpox.\u003c/p>\n\u003cp>Jenner subsequently coined the term “vaccine,” from “vacca,” Latin for cow.\u003c/p>\n\u003cp>Although initially rejected by the British medical establishment, Jenner’s findings were eventually published after subsequent successful trials, and the field of modern immunology was born. The discovery paved the way for vaccine breakthroughs over the following two centuries, including inoculations for polio, tetanus, influenza, rabies, diphtheria and, yes, measles.\u003c/p>\n\u003cp>The smallpox vaccine and its later iterations proved so successful that the \u003ca href=\"https://www.who.int/features/2010/smallpox/en/\" target=\"_blank\" rel=\"noopener\">World Health Organization in 1980\u003c/a> declared it the first disease to be eradicated as a result of global vaccination efforts. To date, there is no cure or treatment for it; vaccination is the only means of prevention.\u003c/p>\n\u003ch3>Birth of the Backlash\u003c/h3>\n\u003cp>Protection from one of the most feared, miserable ailments in human history: Who wouldn’t raise a (sterilized) glass to that?\u003c/p>\n\u003cfigure id=\"attachment_16227\" class=\"wp-caption alignright\" style=\"max-width: 300px\">\u003ca href=\"http://ww2.kqed.org/lowdown/wp-content/uploads/sites/26/2015/02/wolr5328.f1.jpg\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"wp-image-16227 size-medium\" src=\"http://ww2.kqed.org/lowdown/wp-content/uploads/sites/26/2015/02/wolr5328.f1-300x228.jpg\" alt=' 1887 illustration from an anti-vaccination flier. Included in the text: \"This monster has been named vaccination; and his progressive havoc among the human race, has been dreadful and most alarming.\" ' width=\"300\" height=\"228\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">An illustration from an 1807 anti-vaccination flier. Included in the text: “This monster has been named vaccination; and his progressive havoc among the human race, has been dreadful and most alarming.” (Courtesy of National Institutes of Health)\u003c/figcaption>\u003c/figure>\n\u003cp>Turns out, lots of folks. As word of the procedure spread, Jenner was ridiculed by a host of angry critics, particularly members of the clergy, who charged that the idea of inoculating someone with pus from a diseased animal was not only revolting but blasphemous. Rumors abounded of vaccinated patients contracting bovine diseases and suffering grotesque reactions. Enough evidence, however, demonstrated the obvious advantages of the vaccination, and the procedure became increasingly accepted by the medical establishment in much of Europe.\u003c/p>\n\u003cp>By the mid-1800s, in the wake of several smallpox outbreaks, the United Kingdom enacted a set of laws making vaccinations compulsory, initially for infants, but eventually for all children up to 14 years old. Cumulative penalties were imposed on violators.\u003c/p>\n\u003cp>These measures, though, were met with staunch resistance, inciting a series of riots. The unrest prompted the creation of the Anti-Compulsory Vaccination League in 1867, whose founders were primarily concerned with what they considered a blatant infringement of personal choice and liberty.\u003c/p>\n\u003cp>The group’s seven-point mission statement, printed on the masthead of its newsletter, included the following pronouncement:\u003c/p>\n\u003cp>\u003cem>“As parliament, instead of guarding the liberty of the subject, has invaded this liberty by rendering good health a crime, punishable by fine or imprisonment, inflicted on dutiful parents, parliament is deserving of public condemnation.”\u003c/em>\u003c/p>\n\u003cp>By the 1870s and ’80s, even as smallpox vaccination techniques were rapidly advancing and helping to contain the disease’s spread, anti-vaccination campaigns continued to gain momentum in the U.K. and elsewhere. Propaganda literature proliferated as leaders of the movement adeptly tapped into the public’s understandable anxieties about the still nascent procedure. Some efforts were successful in temporarily lowering vaccination rates.\u003c/p>\n\u003cfigure id=\"attachment_11744701\" class=\"wp-caption alignnone\" style=\"max-width: 720px\">\u003ca href=\"https://ww2.kqed.org/news/wp-content/uploads/sites/10/2019/05/lead_720_405.jpg\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-11744701\" src=\"https://ww2.kqed.org/news/wp-content/uploads/sites/10/2019/05/lead_720_405.jpg\" alt=\"\" width=\"720\" height=\"405\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2019/05/lead_720_405.jpg 720w, https://cdn.kqed.org/wp-content/uploads/sites/10/2019/05/lead_720_405-160x90.jpg 160w\" sizes=\"(max-width: 720px) 100vw, 720px\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">A cartoon from a 1894 anti-vaccination publication. \u003ccite>(Courtesy of the Historical Medical Library of the College of Physicians of Philadelphia)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>One of the largest demonstrations, in Leicester, England, in 1885, drew upward of 100,000 people, with a child’s coffin and an effigy of Jenner among the props exhibited.\u003c/p>\n\u003cp>The rally prompted a government commission to investigate the protesters’ grievances, which eventually concluded that the vaccine was safe and effective. But in a political move to pacify detractors, the report also recommended the abolition of penalties for violators. In 1898, \u003ca href=\"http://www.ncbi.nlm.nih.gov/pmc/articles/PMC1123944/#B2\" target=\"_blank\" rel=\"noopener\">the passage of a new national vaccination act\u003c/a> removed such penalties and included a “conscientious objector” clause, allowing parents concerned with the safety of vaccinations to apply for an exemption certificate.\u003c/p>\n\u003ch3>The anti-vax fever spreads to America\u003c/h3>\n\u003cp>In the late 1800s, a series of smallpox outbreaks in the United States spurred a number of local government vaccine campaigns. That, in turn, prompted fierce opposition, including a visit from William Tebb, a prominent British anti-vaccine activist. By 1879, the Anti-Vaccination Society of America was established, followed by the emergence of several local leagues, including the New England Anti Compulsory Vaccination League and the Anti-Vaccination League of New York City. A second national league was formed in the early 1900s. Activists waged court battles to repeal vaccination laws in a number of states, including California, Illinois and Wisconsin.\u003c/p>\n\u003cp>In a response that inflamed tensions and helped further cast vaccination campaigns as an affront to civil liberties, public health officials commonly resorted to heavy-handed, inconsistent enforcement tactics, often vaccinating immigrants and minorities against their will during outbreaks, writes \u003ca href=\"https://www.tulsaworld.com/opinion/columnists/stephen-mihm-how-to-eradicate-outbreaks-of-anti-vaccine-fever/article_4660b867-3b84-58b1-8e2e-73e631c0bdd5.html\" target=\"_blank\" rel=\"noopener\">University of Georgia history professor Stephen Mihm\u003c/a>.\u003c/p>\n\u003cfigure id=\"attachment_11744718\" class=\"wp-caption alignnone\" style=\"max-width: 758px\">\u003ca href=\"https://ww2.kqed.org/news/wp-content/uploads/sites/10/2019/05/Anti-Vaccination_Society_of_America_advertisement_from_1902.jpg\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-11744718\" src=\"https://ww2.kqed.org/news/wp-content/uploads/sites/10/2019/05/Anti-Vaccination_Society_of_America_advertisement_from_1902.jpg\" alt=\"\" width=\"758\" height=\"441\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2019/05/Anti-Vaccination_Society_of_America_advertisement_from_1902.jpg 758w, https://cdn.kqed.org/wp-content/uploads/sites/10/2019/05/Anti-Vaccination_Society_of_America_advertisement_from_1902-160x93.jpg 160w\" sizes=\"(max-width: 758px) 100vw, 758px\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">An Anti-Vaccination Society of America advertisement from 1902. \u003ccite>(Wikimedia Commons)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>Fears were also legitimately stoked by the lack of oversight in the production of vaccines, a process primarily controlled by private industry that was loosely regulated and at times resulted in questionable, unsafe products. In one of the worst incidents, nine children in Camden, New Jersey, died after being inoculated with a batch of smallpox vaccine that had been contaminated with tetanus. News of the tragedy prompted Congress to pass the \u003ca href=\"https://history.nih.gov/exhibits/history/docs/page_03.html\" target=\"_blank\" rel=\"noopener\">Biologics Control Act\u003c/a> of 1902, increasing government oversight of the manufacturing process.s\u003c/p>\n\u003cp>Following a smallpox outbreak in 1902, the city of Cambridge, Massachusetts, mandated vaccinations for all residents. After one man refused to comply on the grounds that the law violated his right to care for himself, the city filed criminal charges against him. The case — \u003ca href=\"http://www.ncbi.nlm.nih.gov/pmc/articles/PMC1449224/\" target=\"_blank\" rel=\"noopener\">Jacobson v. Massachusetts\u003c/a> — eventually made its way to the U.S. Supreme Court, which ultimately sided with the state, ruling that it was within its power to enact mandatory vaccine laws in order to protect the public in the event of a communicable disease. \u003ca href=\"http://www.historyofvaccines.org/content/articles/history-anti-vaccination-movements\" target=\"_blank\" rel=\"noopener\">The decision\u003c/a> marked the first Supreme Court case determining the extent of state power in enacting public health law.\u003c/p>\n\u003ch3>Modern times\u003c/h3>\n\u003cp>Anti-vaccination fervor erupted again in England and spread abroad in the latter half of the 20th century, this time after an errant 1970s medical study alleged that the diphtheria, tetanus and pertussis (DTP) vaccine had caused neurological disorders in children. The report fueled a wave of public outcry and subsequent false analyses, leading to decreased vaccination rates and three major outbreaks of pertussis (whooping cough), despite an independent advisory committee confirming the safety of the immunization.\u003c/p>\n\u003cp>The controversy over DTP reached the United States after a 1982 documentary, “DPT: Vaccination Roulette,” and a 1991 book, “A Shot in the Dark,” alleged adverse reactions to the vaccine and questioned its effectiveness. Amid the ensuing media storm, scores of parents formed advocacy groups opposing the immunization and, in several cases, sued vaccine manufacturers. Hoping to not repeat England’s example, U.S. medical organizations, like the Academy of Pediatrics and the Centers for Disease Control and Prevention, aggressively countered the false claims, and more effectively stemmed the decrease in vaccination rates.\u003c/p>\n\u003cfigure id=\"attachment_11744712\" class=\"wp-caption alignnone\" style=\"max-width: 2048px\">\u003ca href=\"https://ww2.kqed.org/news/wp-content/uploads/sites/10/2019/05/GettyImages-1128753684.jpg\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-11744712\" src=\"https://ww2.kqed.org/news/wp-content/uploads/sites/10/2019/05/GettyImages-1128753684.jpg\" alt=\"\" width=\"2048\" height=\"1365\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2019/05/GettyImages-1128753684.jpg 2048w, https://cdn.kqed.org/wp-content/uploads/sites/10/2019/05/GettyImages-1128753684-160x107.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2019/05/GettyImages-1128753684-800x533.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2019/05/GettyImages-1128753684-1020x680.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2019/05/GettyImages-1128753684-1200x800.jpg 1200w, https://cdn.kqed.org/wp-content/uploads/sites/10/2019/05/GettyImages-1128753684-1920x1280.jpg 1920w\" sizes=\"(max-width: 2048px) 100vw, 2048px\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">An anti-vaccination parent holds up a prescription document as she waits to enter a hearing before the Senate Committee on Health, Education, Labor and Pensions on Capitol Hill in Washington, D.C., on March 5, 2019. \u003ccite>(Jim WATSON/AFP/Getty Images)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>And then came the \u003cem>anti\u003c/em> anti-measles movement.\u003c/p>\n\u003cp>Despite the MMR vaccine’s safe and effective application since it was introduced in the 1960s, fear over the inoculation spread like wildfire after a 1998 medical study, and a subsequent flurry of media coverage, suggested a connection between the vaccine and the onset of autism. The study was later discredited, and an independent medical board determined that its author, British doctor Andrew Wakefield, had a “fatal conflict of interest” \u003ca href=\"https://www.historyofvaccines.org/content/articles/history-anti-vaccination-movements\" target=\"_blank\" rel=\"noopener\">after revelations\u003c/a> that he had been paid by lawyers representing parents who believed the vaccine had harmed their children.\u003c/p>\n\u003cp>More than a decade later, after numerous subsequent studies that found no evidence of any link between the vaccine and autism, the paper was formally retracted by The Lancet, the journal that first published it, and \u003ca href=\"https://www.theguardian.com/society/2010/feb/02/lancet-retracts-mmr-paper\" target=\"_blank\" rel=\"noopener\">labeled “utterly false.”\u003c/a> Wakefield \u003ca href=\"https://www.mdmag.com/medical-news/autism_doctor/\" target=\"_blank\" rel=\"noopener\">was also stripped of his medical license\u003c/a>.\u003c/p>\n\u003cp>But the seed had been planted, and parents already skeptical about immunizing their children were further motivated to avoid the vaccine at all costs.\u003c/p>\n\u003cp>Since then, fears have been further inflamed by a number of anti-vaccination campaigns suggesting the linkage to an increased incidence of autism. Perhaps most well-known is the ongoing activism of \u003ca href=\"https://www.cnbc.com/2018/05/10/jenny-mccarthy-talks-to-cnbc-about-autism-and-her-family.html\" target=\"_blank\" rel=\"noopener\">actress and model Jenny McCarthy\u003c/a>, who became the veritable poster child of the anti-vax movement when she began publicly questioning the safety of vaccines after her 2-year-old son was diagnosed with autism.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cp>\u003cem>The following story was produced for \u003ca href=\"https://www.kqed.org/news/tag/youth-takeover\" target=\"_blank\" rel=\"noopener\">Youth Takeover\u003c/a> week at KQED.\u003c/em>\u003c/p>\n\u003cfigure id=\"attachment_11744190\" class=\"wp-caption alignright\" style=\"max-width: 283px\">\u003ca href=\"https://ww2.kqed.org/news/wp-content/uploads/sites/10/2019/05/Copy-of-Genevieve-Schweitzer-e1556735157404.jpg\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\" wp-image-11744190\" src=\"https://ww2.kqed.org/news/wp-content/uploads/sites/10/2019/05/Copy-of-Genevieve-Schweitzer-e1556735157404.jpg\" alt=\"\" width=\"283\" height=\"359\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">Genevieve Schweitzer is a 10th-grader at El Cerrito High School.\u003c/figcaption>\u003c/figure>\n\u003cp>When I was a young girl, I started donating general hygiene products to a women’s shelter in Berkeley. I would drop off things like soap, lotion and toothbrushes. But it never really crossed my mind that women in shelters might be in need of menstrual products too.\u003c/p>\n\u003cp>That changed when I started a feminist club with my friend at our high school. As I began to spend more time learning about relevant feminist issues, I found out about the real but rarely addressed issue of period poverty, in which poor women lack access to menstrual products.\u003c/p>\n\u003cp>A \u003ca href=\"https://www.slu.edu/news/2019/january/menstrual-products-access-research.php\" target=\"_blank\" rel=\"noopener\">recent survey\u003c/a> conducted by St. Louis University found that nearly two-thirds of low-income women in that city over the last year couldn’t afford menstrual hygiene products like tampons or pads. Respondents said they instead sometimes resorted to using cloth, rags, tissues, toilet paper and sometimes even diapers or paper towels from public bathrooms. Nearly half the women in the survey also said that there were times in the past year when they couldn’t afford both food and period products.\u003c/p>\n\u003cp>“I do know of women who have talked about using toilet tissue paper or paper towels,” said Wanda Johnson, a nurse practitioner at Alameda County Health Care for the Homeless. “One woman, she was telling me that she had a sock and she wrapped the paper towel around the sock because that was the best way to wick it away.”\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>Nadya Okamoto, a Harvard University student on leave, started the organization \u003ca href=\"https://www.period.org/\" target=\"_blank\" rel=\"noopener\">PERIOD: The Menstrual Movement\u003c/a> when she was 16 to raise greater awareness about this issue.\u003c/p>\n\u003cp>“People don’t talk about it and it’s not really something that people know about or think about beyond their own experiences with it,” she said.\u003c/p>\n\u003cp>Women feel ashamed asking for products because of this unspoken rule that they shouldn’t talk about their periods with other people, Okamoto explained.\u003c/p>\n\u003cp>[aside label=\"More Youth Takeover stories\" tag=\"youth-takeover\"]\u003c/p>\n\u003cp>“A big barrier, too, is that food stamps don’t cover period products as necessities,” Okamoto said. “So a lot of the time it makes it even less affordable for people who really can’t afford those necessities.”\u003c/p>\n\u003cp>Period products are \u003ca href=\"https://www.npr.org/sections/money/2019/03/06/700876425/tampons-that-bloody-sales-tax\" target=\"_blank\" rel=\"noopener\">currently taxed in 35 states\u003c/a> in the country, including California, which makes them even less affordable for people with limited incomes. Meanwhile, items that are considered basic necessities, like most food products and sunscreen, are often tax exempt.\u003c/p>\n\u003cp>Wanda Johnson’s experience has taught her that the medical field doesn’t adequately address the issue of menstrual hygiene, but notes that she’s noticed some positive changes.\u003c/p>\n\u003cp>“We offer hygiene kits,” she said, adding that she has seen a growing number of shelters starting to offer period products to women in need, including one that recently placed a basket of products in its bathroom.\u003c/p>\n\u003cp>Meanwhile, an increasing number of states are considering abolishing taxes on menstrual products, \u003ca href=\"https://www.sfchronicle.com/politics/article/Repealing-California-s-tampon-tax-Gender-13707290.php\" target=\"_blank\" rel=\"noopener\">including California\u003c/a>, where a bill to repeal the tax is being taken up in the state Legislature. Most recently, \u003ca href=\"https://www.vox.com/2018/11/7/18056648/nevada-question-2-tampon-tax-results\" target=\"_blank\" rel=\"noopener\">Nevada voters\u003c/a> in 2018 approved scrapping the “tampon tax,” making it the 10th state in the country to do so (five other states don’t have any sales taxes). And \u003ca href=\"https://www.bloomberg.com/graphics/2018-tampon-cost/\" target=\"_blank\" rel=\"noopener\">a growing list of countries\u003c/a> around the world, including Canada, India, Kenya and Ireland, have eliminated these taxes altogether.\u003c/p>\n\u003cp>These developments are a sure sign that women are making their voices heard and driving home the message that period poverty is a human rights issue. Period.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>\u003cem>Genevieve Schweizer is a 10th-grader at El Cerrito High School.\u003c/em>\u003c/p>\n\n",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>\u003cem>The following story was produced for \u003ca href=\"https://www.kqed.org/news/tag/youth-takeover\" target=\"_blank\" rel=\"noopener\">Youth Takeover\u003c/a> week at KQED.\u003c/em>\u003c/p>\n\u003cfigure id=\"attachment_11744190\" class=\"wp-caption alignright\" style=\"max-width: 283px\">\u003ca href=\"https://ww2.kqed.org/news/wp-content/uploads/sites/10/2019/05/Copy-of-Genevieve-Schweitzer-e1556735157404.jpg\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\" wp-image-11744190\" src=\"https://ww2.kqed.org/news/wp-content/uploads/sites/10/2019/05/Copy-of-Genevieve-Schweitzer-e1556735157404.jpg\" alt=\"\" width=\"283\" height=\"359\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">Genevieve Schweitzer is a 10th-grader at El Cerrito High School.\u003c/figcaption>\u003c/figure>\n\u003cp>When I was a young girl, I started donating general hygiene products to a women’s shelter in Berkeley. I would drop off things like soap, lotion and toothbrushes. But it never really crossed my mind that women in shelters might be in need of menstrual products too.\u003c/p>\n\u003cp>That changed when I started a feminist club with my friend at our high school. As I began to spend more time learning about relevant feminist issues, I found out about the real but rarely addressed issue of period poverty, in which poor women lack access to menstrual products.\u003c/p>\n\u003cp>A \u003ca href=\"https://www.slu.edu/news/2019/january/menstrual-products-access-research.php\" target=\"_blank\" rel=\"noopener\">recent survey\u003c/a> conducted by St. Louis University found that nearly two-thirds of low-income women in that city over the last year couldn’t afford menstrual hygiene products like tampons or pads. Respondents said they instead sometimes resorted to using cloth, rags, tissues, toilet paper and sometimes even diapers or paper towels from public bathrooms. Nearly half the women in the survey also said that there were times in the past year when they couldn’t afford both food and period products.\u003c/p>\n\u003cp>“I do know of women who have talked about using toilet tissue paper or paper towels,” said Wanda Johnson, a nurse practitioner at Alameda County Health Care for the Homeless. “One woman, she was telling me that she had a sock and she wrapped the paper towel around the sock because that was the best way to wick it away.”\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>Nadya Okamoto, a Harvard University student on leave, started the organization \u003ca href=\"https://www.period.org/\" target=\"_blank\" rel=\"noopener\">PERIOD: The Menstrual Movement\u003c/a> when she was 16 to raise greater awareness about this issue.\u003c/p>\n\u003cp>“People don’t talk about it and it’s not really something that people know about or think about beyond their own experiences with it,” she said.\u003c/p>\n\u003cp>Women feel ashamed asking for products because of this unspoken rule that they shouldn’t talk about their periods with other people, Okamoto explained.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>“A big barrier, too, is that food stamps don’t cover period products as necessities,” Okamoto said. “So a lot of the time it makes it even less affordable for people who really can’t afford those necessities.”\u003c/p>\n\u003cp>Period products are \u003ca href=\"https://www.npr.org/sections/money/2019/03/06/700876425/tampons-that-bloody-sales-tax\" target=\"_blank\" rel=\"noopener\">currently taxed in 35 states\u003c/a> in the country, including California, which makes them even less affordable for people with limited incomes. Meanwhile, items that are considered basic necessities, like most food products and sunscreen, are often tax exempt.\u003c/p>\n\u003cp>Wanda Johnson’s experience has taught her that the medical field doesn’t adequately address the issue of menstrual hygiene, but notes that she’s noticed some positive changes.\u003c/p>\n\u003cp>“We offer hygiene kits,” she said, adding that she has seen a growing number of shelters starting to offer period products to women in need, including one that recently placed a basket of products in its bathroom.\u003c/p>\n\u003cp>Meanwhile, an increasing number of states are considering abolishing taxes on menstrual products, \u003ca href=\"https://www.sfchronicle.com/politics/article/Repealing-California-s-tampon-tax-Gender-13707290.php\" target=\"_blank\" rel=\"noopener\">including California\u003c/a>, where a bill to repeal the tax is being taken up in the state Legislature. Most recently, \u003ca href=\"https://www.vox.com/2018/11/7/18056648/nevada-question-2-tampon-tax-results\" target=\"_blank\" rel=\"noopener\">Nevada voters\u003c/a> in 2018 approved scrapping the “tampon tax,” making it the 10th state in the country to do so (five other states don’t have any sales taxes). And \u003ca href=\"https://www.bloomberg.com/graphics/2018-tampon-cost/\" target=\"_blank\" rel=\"noopener\">a growing list of countries\u003c/a> around the world, including Canada, India, Kenya and Ireland, have eliminated these taxes altogether.\u003c/p>\n\u003cp>These developments are a sure sign that women are making their voices heard and driving home the message that period poverty is a human rights issue. Period.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>\u003cem>Genevieve Schweizer is a 10th-grader at El Cerrito High School.\u003c/em>\u003c/p>\n\n\u003c/div>\u003c/p>",
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"info": "What kind of no sabo word is Hyphenación? For us, it’s about living within a hyphenation. Like being a third-gen Mexican-American from the Texas border now living that Bay Area Chicano life. Like Xorje! Each week we bring together a couple of hyphenated Latinos to talk all about personal life choices: family, careers, relationships, belonging … everything is on the table. ",
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"marketplace": {
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"info": "Our flagship program, helmed by Kai Ryssdal, examines what the day in money delivered, through stories, conversations, newsworthy numbers and more. Updated Monday through Friday at about 3:30 p.m. PT.",
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"masters-of-scale": {
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},
"mindshift": {
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"info": "The MindShift podcast explores the innovations in education that are shaping how kids learn. Hosts Ki Sung and Katrina Schwartz introduce listeners to educators, researchers, parents and students who are developing effective ways to improve how kids learn. We cover topics like how fed-up administrators are developing surprising tactics to deal with classroom disruptions; how listening to podcasts are helping kids develop reading skills; the consequences of overparenting; and why interdisciplinary learning can engage students on all ends of the traditional achievement spectrum. This podcast is part of the MindShift education site, a division of KQED News. KQED is an NPR/PBS member station based in San Francisco. You can also visit the MindShift website for episodes and supplemental blog posts or tweet us \u003ca href=\"https://twitter.com/MindShiftKQED\">@MindShiftKQED\u003c/a> or visit us at \u003ca href=\"/mindshift\">MindShift.KQED.org\u003c/a>",
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"order": 12
},
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"google": "https://podcasts.google.com/feed/aHR0cHM6Ly9mZWVkcy5tZWdhcGhvbmUuZm0vS1FJTkM1NzY0NjAwNDI5",
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"info": "For decades, the process for how police police themselves has been inconsistent – if not opaque. In some states, like California, these proceedings were completely hidden. After a new police transparency law unsealed scores of internal affairs files, our reporters set out to examine these cases and the shadow world of police discipline. On Our Watch brings listeners into the rooms where officers are questioned and witnesses are interrogated to find out who this system is really protecting. Is it the officers, or the public they've sworn to serve?",
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"on-the-media": {
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"info": "Our weekly podcast explores how the media 'sausage' is made, casts an incisive eye on fluctuations in the marketplace of ideas, and examines threats to the freedom of information and expression in America and abroad. For one hour a week, the show tries to lift the veil from the process of \"making media,\" especially news media, because it's through that lens that we see the world and the world sees us",
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},
"pbs-newshour": {
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},
"perspectives": {
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"order": 14
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"info": "The economy explained. Imagine you could call up a friend and say, Meet me at the bar and tell me what's going on with the economy. Now imagine that's actually a fun evening.",
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"imageSrc": "https://ww2.kqed.org/radio/wp-content/uploads/sites/50/2018/04/planetmoney.jpg",
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},
"link": "/radio/program/planet-money",
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"politicalbreakdown": {
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"title": "Political Breakdown",
"tagline": "Politics from a personal perspective",
"info": "Political Breakdown is a new series that explores the political intersection of California and the nation. Each week hosts Scott Shafer and Marisa Lagos are joined with a new special guest to unpack politics -- with personality — and offer an insider’s glimpse at how politics happens.",
"airtime": "THU 6:30pm-7pm",
"imageSrc": "https://cdn.kqed.org/wp-content/uploads/2024/04/Political-Breakdown-2024-Podcast-Tile-703x703-1.jpg",
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"possible": {
"id": "possible",
"title": "Possible",
"info": "Possible is hosted by entrepreneur Reid Hoffman and writer Aria Finger. Together in Possible, Hoffman and Finger lead enlightening discussions about building a brighter collective future. The show features interviews with visionary guests like Trevor Noah, Sam Altman and Janette Sadik-Khan. Possible paints an optimistic portrait of the world we can create through science, policy, business, art and our shared humanity. It asks: What if everything goes right for once? How can we get there? Each episode also includes a short fiction story generated by advanced AI GPT-4, serving as a thought-provoking springboard to speculate how humanity could leverage technology for good.",
"airtime": "SUN 2pm",
"imageSrc": "https://cdn.kqed.org/wp-content/uploads/2024/04/Possible-Podcast-Tile-360x360-1.jpg",
"officialWebsiteLink": "https://www.possible.fm/",
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"source": "Possible"
},
"link": "/radio/program/possible",
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"spotify": "https://open.spotify.com/show/730YpdUSNlMyPQwNnyjp4k"
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},
"pri-the-world": {
"id": "pri-the-world",
"title": "PRI's The World: Latest Edition",
"info": "Each weekday, host Marco Werman and his team of producers bring you the world's most interesting stories in an hour of radio that reminds us just how small our planet really is.",
"airtime": "MON-FRI 2pm-3pm",
"imageSrc": "https://cdn.kqed.org/wp-content/uploads/2024/04/The-World-Podcast-Tile-360x360-1.jpg",
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},
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},
"radiolab": {
"id": "radiolab",
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