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Murrow award for continuing coverage of the Trump Administration's family separation policy.\r\n\r\nThe Society for Professional Journalists recognized Julie's 2018 \u003ca href=\"https://www.kqed.org/news/11636262/the-officer-tased-him-31-times-the-sheriff-called-his-death-an-accident\">reporting\u003c/a> on the San Joaquin County Sheriff's \u003ca href=\"https://www.kqed.org/news/11634689/autopsy-doctors-sheriff-overrode-death-findings-to-protect-law-enforcement\">interference\u003c/a> in death investigations with an Excellence in Journalism Award for Ongoing Coverage.\r\n\r\nJulie's\u003ca href=\"https://www.kqed.org/news/11039666/two-mentally-ill-inmates-died-one-month-in-santa-clara\"> reporting\u003c/a> with Lisa Pickoff-White on the treatment of mentally ill offenders in California jails earned a 2017 regional Edward R. Murrow Award for news reporting and an investigative reporting award from the SPJ of Northern California.\r\n\r\nBefore joining KQED, Julie covered government and politics in Sacramento for Southern California Public Radio (SCPR). Her 2010 \u003ca href=\"https://www.scpr.org/specials/prisonmedical/\">series\u003c/a> on lapses in California’s prison medical care also won a regional Edward R. Murrow Award for investigative reporting and a Golden Mic Award from the RTNDA of Southern California.\r\n\r\nJulie began her career in journalism in 2000 as the deputy foreign editor for public radio's \u003cem>Marketplace, \u003c/em>while earning her master's degree in journalism from USC’s Annenberg School of Communication.","avatar":"https://secure.gravatar.com/avatar/4baedf201468df97be97c2a9dd7585d0?s=600&d=blank&r=g","twitter":"@SmallRadio2","facebook":null,"instagram":null,"linkedin":null,"sites":[{"site":"news","roles":["editor"]},{"site":"stateofhealth","roles":["author"]},{"site":"science","roles":["author"]}],"headData":{"title":"Julie Small | KQED","description":"KQED Contributor","ogImgSrc":"https://secure.gravatar.com/avatar/4baedf201468df97be97c2a9dd7585d0?s=600&d=blank&r=g","twImgSrc":"https://secure.gravatar.com/avatar/4baedf201468df97be97c2a9dd7585d0?s=600&d=blank&r=g"},"isLoading":false,"link":"/author/jsmall"}},"breakingNewsReducer":{},"campaignFinanceReducer":{},"firebase":{"requesting":{},"requested":{},"timestamps":{},"data":{},"ordered":{},"auth":{"isLoaded":false,"isEmpty":true},"authError":null,"profile":{"isLoaded":false,"isEmpty":true},"listeners":{"byId":{},"allIds":[]},"isInitializing":false,"errors":[]},"navBarReducer":{"navBarId":"news","fullView":true,"showPlayer":false},"navMenuReducer":{"menus":[{"key":"menu1","items":[{"name":"News","link":"/","type":"title"},{"name":"Politics","link":"/politics"},{"name":"Science","link":"/science"},{"name":"Education","link":"/educationnews"},{"name":"Housing","link":"/housing"},{"name":"Immigration","link":"/immigration"},{"name":"Criminal Justice","link":"/criminaljustice"},{"name":"Silicon Valley","link":"/siliconvalley"},{"name":"Forum","link":"/forum"},{"name":"The California Report","link":"/californiareport"}]},{"key":"menu2","items":[{"name":"Arts & Culture","link":"/arts","type":"title"},{"name":"Critics’ Picks","link":"/thedolist"},{"name":"Cultural Commentary","link":"/artscommentary"},{"name":"Food & Drink","link":"/food"},{"name":"Bay Area Hip-Hop","link":"/bayareahiphop"},{"name":"Rebel Girls","link":"/rebelgirls"},{"name":"Arts Video","link":"/artsvideos"}]},{"key":"menu3","items":[{"name":"Podcasts","link":"/podcasts","type":"title"},{"name":"Bay Curious","link":"/podcasts/baycurious"},{"name":"Rightnowish","link":"/podcasts/rightnowish"},{"name":"The Bay","link":"/podcasts/thebay"},{"name":"On Our Watch","link":"/podcasts/onourwatch"},{"name":"Mindshift","link":"/podcasts/mindshift"},{"name":"Consider This","link":"/podcasts/considerthis"},{"name":"Political Breakdown","link":"/podcasts/politicalbreakdown"}]},{"key":"menu4","items":[{"name":"Live Radio","link":"/radio","type":"title"},{"name":"TV","link":"/tv","type":"title"},{"name":"Events","link":"/events","type":"title"},{"name":"For Educators","link":"/education","type":"title"},{"name":"Support KQED","link":"/support","type":"title"},{"name":"About","link":"/about","type":"title"},{"name":"Help Center","link":"https://kqed-helpcenter.kqed.org/s","type":"title"}]}]},"pagesReducer":{},"postsReducer":{"stream_live":{"type":"live","id":"stream_live","audioUrl":"https://streams.kqed.org/kqedradio","title":"Live Stream","excerpt":"Live Stream information currently unavailable.","link":"/radio","featImg":"","label":{"name":"KQED Live","link":"/"}},"stream_kqedNewscast":{"type":"posts","id":"stream_kqedNewscast","audioUrl":"https://www.kqed.org/.stream/anon/radio/RDnews/newscast.mp3?_=1","title":"KQED Newscast","featImg":"","label":{"name":"88.5 FM","link":"/"}},"news_11838967":{"type":"posts","id":"news_11838967","meta":{"index":"posts_1591205157","site":"news","id":"11838967","score":null,"sort":[1600723413000]},"guestAuthors":[],"slug":"lots-of-drugs-lax-oversight-former-sf-medical-examiners-staffers-say-lab-analysts-meth-arrest-just-the-tip-of-the-iceberg","title":"Lots of Drugs, Lax Oversight: Former SF Medical Examiner Staffers Say Lab Analyst's Meth Arrest 'Just the Tip of the Iceberg'","publishDate":1600723413,"format":"audio","headTitle":"KQED News","labelTerm":{"site":"news"},"content":"\u003cp>A lab analyst for the San Francisco medical examiner's office had driven more than 700 miles east toting a sealed bag of drug evidence before he was pulled over for speeding in Washington County, Utah.\u003c/p>\n\u003cp>During the Aug. 31 traffic stop, sheriff’s deputies discovered a bag containing “a large crystal looking item,” along with other baggies with suspected crystal meth and white powder.[pullquote size=\"medium\" align=\"right\" citation=\"Former employee of the San Francisco medical examiner's office\"]‘Mr. Volk is just the tip of the iceberg with respect to poor management and bad forensic policy. He is a reflection of the unregulated, and unmonitored management at the office.’[/pullquote]\u003c/p>\n\u003cp>Deputies also found suspected meth pipes and 14 unidentified pills elsewhere in the car. There was also paperwork from the San Francisco Office of the Chief Medical Examiner. The analyst, Justin Volk, was arrested and charged with a misdemeanor for possession and intent to distribute drugs.\u003c/p>\n\u003cp>Several former employees of the San Francisco medical examiner said the apparent theft of drug evidence should have been prevented by the office’s own protocols.\u003c/p>\n\u003cp>Those procedures, however, were not followed in recent years, according to two former employees who worked with Volk. Each one spoke to KQED on the condition of anonymity because they feared that speaking out could lead to reprisal in their current jobs.\u003c/p>\n\u003cp>The former colleagues who worked at the toxicology lab until recently said the lab’s supervisors allowed illicit drugs to pile up in the evidence room, let protocols lapse designed to prevent evidence mishandling and ignored Volk’s increasingly erratic behavior.\u003c/p>\n\u003cp>“Mr. Volk is just the tip of the iceberg with respect to poor management and bad forensic policy,” one former employee said. “He is a reflection of the unregulated and unmonitored management at the office.”\u003c/p>\n\u003cp>Volk is on administrative leave and under investigation, according to the city administrator’s office, which oversees the medical examiner.\u003c/p>\n\u003ch3>\u003cstrong>Failure to Secure and Destroy Illicit Drugs\u003c/strong>\u003c/h3>\n\u003cp>When a person dies in a sudden, violent or unexpected way, investigators for the medical examiner’s office often collect and store any drugs found at the scene.\u003c/p>\n\u003cp>Security for that kind of evidence is crucial, according to Dr. Nikolas Lemos, the former chief toxicologist for the office, who established rules when he was hired in 2003 on how to treat drug evidence.\u003c/p>\n\u003cp>“We actually implemented very strict protocols for the medical examiner's investigators to account for every pill, every syringe, every crystal they brought into the office,” Lemos said.\u003c/p>\n\u003cp>[aside postID=\"news_11820340,news_11670624,news_11638866\" label=\"More on Death Investigations From Julie Small\" target=\"_blank\"]Investigators were supposed to create an inventory of the drugs, seal them into ziplock bags and drop them into a secure slot that could only be opened by technicians in the toxicology lab.\u003c/p>\n\u003cp>During Lemos’ tenure, two lab employees had to be present to retrieve the drugs from the locker, and they were supervised in the process.\u003c/p>\n\u003cp>“I was always present when junior staff were removing medications and pills,” Lemos said. “I was pretty much like a hawk because I knew that the temptation is great. And the fact is that without supervision, you could just mishandle the evidence.”\u003c/p>\n\u003cp>The protocols also included boxing up the evidence and in most cases setting a date for destruction after a year.\u003c/p>\n\u003cp>All of this took place in the lab, in plain sight of staff.\u003c/p>\n\u003cp>Lemos said the protocols were designed to prevent even well-trusted staff members from having access to drug evidence without supervision.\u003c/p>\n\u003cp>“I cannot imagine a worse situation than when you are about to destroy medications or pills or drugs, you let somebody into the vault by themselves and they just take whatever they want,” Lemos said. “The supervisor and the chief toxicologist both should be there, taking turns, hands-on supervising this process from start to end.”\u003c/p>\n\u003cp>Lemos resigned in 2016, alleging that he had been been pressured by supervisors to engage in “unlawful practices” at the office. He \u003ca href=\"https://www.ebar.com/news/news//266275\" target=\"_blank\" rel=\"noopener noreferrer\">reached a $100,000 settlement\u003c/a> with San Francisco in 2018 for wrongful termination.\u003c/p>\n\u003cp>According to one source, the office abandoned many of Lemos’ protocols after he left.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003ch3>\u003cstrong>Erratic Attendance\u003c/strong>\u003c/h3>\n\u003cp>Former colleagues said that Volk’s immediate supervisors, Dr. Luke Rodda and Sue Pearring, had received a number of complaints about the lab technician’s behavior over the last three years.\u003c/p>\n\u003cp>Whistleblower complaints about specific incidents of lax oversight at the lab, such as the illegal transport of drug evidence in 2017, had also been filed with the city controller, according to a former employee, but no disciplinary action was taken.\u003c/p>\n\u003cp>KQED sent a list of the former employees' specific allegations to the city administrator's office, the city's chief medical examiner, the city controller and Rodda and Pearring. None commented on those allegations.\u003c/p>\n\u003cp>The city administrator deferred questions about the toxicology lab’s protocols for drug disposal to the city controller, which launched a review of drug evidence procedures after Volk’s arrest. The controller is expected to make the findings of that review publicly available in mid-October.\u003c/p>\n\u003cp>The medical examiner’s current \u003ca href=\"https://www.documentcloud.org/documents/7213861-San-Francisco-Office-of-the-Chief-Medical.html\" target=\"_blank\" rel=\"noopener noreferrer\">protocols\u003c/a> require that two staff members log and sort drug evidence. After a year, that evidence should be “sorted and sent for disposal” by a pair of employees with different job classifications.[pullquote size=\"medium\" align=\"right\"]Despite repeated complaints to management about how Volk was forcing other employees to pick up the slack, his erratic behavior appeared to former employees to go unpunished.[/pullquote]Volk worked at the lab for 13 years, and during most of that time carried his own workload and got along well with his colleagues, two former co-workers said. But three years ago, his behavior began to change.\u003c/p>\n\u003cp>Sources close to Volk, including someone who helped train him, said that he was chronically tardy, arriving to work hours late on multiple days of the week, and that he would disappear for hours in the middle of his shift.\u003c/p>\n\u003cp>Despite repeated complaints to management about how Volk was forcing other employees to pick up the slack, his erratic behavior appeared to former employees to go unpunished.\u003c/p>\n\u003cp>Volk was at one point required to clock in for his shifts, but that “did not change the behavior,” the former employee said.\u003c/p>\n\u003cp>The employees were not aware of any other actions taken by supervisors to address problems with Volk.\u003c/p>\n\u003ch3>\u003cstrong>Access to Drug Evidence Without Oversight\u003c/strong>\u003c/h3>\n\u003cp>Volk was “highly favored,” according to former co-workers, who said supervisors allowed him to work alone in the toxicology lab outside of normal work hours, including on weekends. Other lab employees were told they had to get approval in advance to do that and could not enter the lab alone.\u003c/p>\n\u003cp>One section of the toxicology lab contains cubicles and offices. Toxicologists perform tests in another section, and a third, glass-enclosed room holds evidence, including illicit drugs. The evidence room is locked, according to former employees, but anyone with a badge to enter the lab can open it.\u003c/p>\n\u003cp>“During the week, there are plenty of people around who might observe someone going into the evidence stacks,” one source said, “but on the weekend, a person could retrieve drugs from evidence without being detected.”\u003c/p>\n\u003cp>Another source said that a security camera in the evidence room was not focused on the section where the drugs were kept.\u003c/p>\n\u003ch3>\u003cstrong>Backlog of Controlled Substances\u003c/strong>\u003c/h3>\n\u003cp>The scheduled destruction of drugs also fell by the wayside after Lemos’ departure, according to former staff.\u003c/p>\n\u003cp>“Pharmaceutical is actual evidence,” one former staff member said. “It wasn’t anything that was regularly tested by the lab, and ultimately just sat there and was an afterthought.”\u003c/p>\n\u003cp>The lab was moved to a new facility in 2017, and drugs that were no longer required to be stored were destroyed before the move.\u003c/p>\n\u003cp>That was the last time any drug evidence was destroyed, according to staff.\u003c/p>\n\u003cfigure id=\"attachment_11838978\" class=\"wp-caption alignnone\" style=\"max-width: 1920px\">\u003cimg class=\"size-full wp-image-11838978\" src=\"https://ww2.kqed.org/app/uploads/sites/10/2020/09/RS30495_alt_1026.jpg\" alt=\"\" width=\"1920\" height=\"1303\" srcset=\"https://ww2.kqed.org/app/uploads/sites/10/2020/09/RS30495_alt_1026.jpg 1920w, https://ww2.kqed.org/app/uploads/sites/10/2020/09/RS30495_alt_1026-800x543.jpg 800w, https://ww2.kqed.org/app/uploads/sites/10/2020/09/RS30495_alt_1026-1020x692.jpg 1020w, https://ww2.kqed.org/app/uploads/sites/10/2020/09/RS30495_alt_1026-160x109.jpg 160w, https://ww2.kqed.org/app/uploads/sites/10/2020/09/RS30495_alt_1026-1536x1042.jpg 1536w\" sizes=\"(max-width: 1920px) 100vw, 1920px\">\u003cfigcaption class=\"wp-caption-text\">The San Francisco medical examiner's office has been under fire in recent years for a large backlog in death investigations and the loss of its accreditation. \u003ccite>(Alex Emslie/KQED)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>“It's been three or four years since anything has been tossed out,” one former toxicologist said. “We shouldn't have a room piling up full of illicit drugs. We know that there's a lure to having that kind of stuff on hand and we just don't want to hold on to it any longer than we have to.”\u003c/p>\n\u003cp>Workers said they repeatedly urged lab supervisors Rodda and Pearring to destroy the drug evidence that was years past the date required for storage. The task was “not a priority for the office,” they were told.\u003c/p>\n\u003ch3>\u003cstrong>High Turnover\u003c/strong>\u003c/h3>\n\u003cp>A number of high-ranking people within the medical examiner’s office have resigned in the last decade over complaints of mismanagement and poor standards.\u003c/p>\n\u003cp>In 2013, death investigations were lagging, and some families were waiting six months to a year for results.\u003c/p>\n\u003cp>The office lost its accreditation with the National Association of Medical Examiners in January 2017.\u003c/p>\n\u003cp>Dr. Judy Melinek, a forensic pathologist, quit working for the office several years ago because, she says, the morale was low at the time and the credibility of the office had suffered.\u003c/p>\n\u003cp>“I left, because I saw that it was going to impact not just my work product, but my reputation,” Melinek said.\u003c/p>\n\u003cp>She continued, “The repeated problems are management problems. At some point, we have to either have a grand jury inquiry or someone has to look into the operations of the office and make major changes, because this seems to come up every few years.”\u003c/p>\n\u003cp>Following the arrest of Volk, San Francisco Public Defender Manohar Raju demanded a review of all criminal cases and convictions that relied on lab work performed by the accused lab analyst.\u003c/p>\n\u003cp>“Justice simply cannot happen when the Medical Examiner’s employees — tasked with providing objective and unbiased scientific evidence and opinion — lack integrity,” Raju said in a statement on Sept. 11.\u003c/p>\n\u003cp>In a letter that same day to San Francisco Mayor London Breed, District Attorney Chesa Boudin estimated that Volk was involved in “testing, collection and preservation of evidence in more than 2,500 law enforcement investigations” comprised of 500 death investigations, 1,200 sexual assault cases and 800 DUI investigations.\u003c/p>\n\u003cp>A spokesperson for the DA said Monday that the office is still investigating the Volk case.\u003c/p>\n\u003cp>\"Our office’s ability to prosecute cases is substantially undermined when individual law enforcement officers, or staff at the medical examiner’s office, engage in serious or potentially criminal misconduct,” the DA's office said in a statement after Volk’s arrest.\u003c/p>\n\u003cp>Boudin requested a supplemental budget appropriation of $455,731 to “review every case this analyst was involved in to ensure that no conviction or punishment has been improperly tainted,” and to handle an anticipated surge of appeals of prior convictions.\u003c/p>\n\u003cp>San Francisco Supervisor Aaron Peskin has called for a hearing to consider ways to restructure the medical examiner’s office to strengthen the integrity and efficiency of death investigations in San the city.\u003c/p>\n\u003cp>“There is no question that problems in the medical examiner's office have plagued San Francisco now for many years,” Peskin said. “It is time to bring about structural reform.”\u003c/p>\n\u003cp>Volk posted $10,000 bail the same day he was arrested in Utah and was released.\u003c/p>\n\u003cp>The San Francisco DA has so far not charged Volk with any crimes that may have occurred in the city.\u003c/p>\n\u003cp>[ad floatright]\u003c/p>\n","blocks":[],"excerpt":"The late August arrest of a long-time lab analyst carrying a sealed evidence bag with suspected crystal meth has exposed lax supervision in the medical examiner's office, according to former employees.","status":"publish","parent":0,"modified":1600795136,"stats":{"hasAudio":false,"hasVideo":false,"hasChartOrMap":false,"iframeSrcs":[],"hasGoogleForm":false,"hasGallery":false,"hasHearkenModule":false,"hasPolis":false,"paragraphCount":57,"wordCount":1987},"headData":{"title":"Lots of Drugs, Lax Oversight: Former SF Medical Examiner Staffers Say Lab Analyst's Meth Arrest 'Just the Tip of the Iceberg' | KQED","description":"The late August arrest of a long-time lab analyst carrying a sealed evidence bag with suspected crystal meth has exposed lax supervision in the medical examiner's office, according to former employees.","ogTitle":"","ogDescription":"","ogImgId":"","twTitle":"","twDescription":"","twImgId":"","schema":{"@context":"http://schema.org","@type":"NewsArticle","headline":"Lots of Drugs, Lax Oversight: Former SF Medical Examiner Staffers Say Lab Analyst's Meth Arrest 'Just the Tip of the Iceberg'","datePublished":"2020-09-21T21:23:33.000Z","dateModified":"2020-09-22T17:18:56.000Z","image":"https://cdn.kqed.org/wp-content/uploads/2020/02/KQED-OG-Image@1x.png","isAccessibleForFree":"Y","publisher":{"@type":"NewsMediaOrganization","@id":"https://www.kqed.org/#organization","name":"KQED","url":"https://www.kqed.org","logo":"https://cdn.kqed.org/wp-content/uploads/2020/02/KQED-OG-Image@1x.png"}}},"disqusIdentifier":"11838967 https://ww2.kqed.org/news/?p=11838967","disqusUrl":"https://ww2.kqed.org/news/2020/09/21/lots-of-drugs-lax-oversight-former-sf-medical-examiners-staffers-say-lab-analysts-meth-arrest-just-the-tip-of-the-iceberg/","disqusTitle":"Lots of Drugs, Lax Oversight: Former SF Medical Examiner Staffers Say Lab Analyst's Meth Arrest 'Just the Tip of the Iceberg'","audioUrl":"https://www.kqed.org/.stream/anon/radio/RDnews/2020/09/SmallSilerSFMedEx2Way.mp3","path":"/news/11838967/lots-of-drugs-lax-oversight-former-sf-medical-examiners-staffers-say-lab-analysts-meth-arrest-just-the-tip-of-the-iceberg","audioDuration":234000,"audioTrackLength":null,"parsedContent":[{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003cp>A lab analyst for the San Francisco medical examiner's office had driven more than 700 miles east toting a sealed bag of drug evidence before he was pulled over for speeding in Washington County, Utah.\u003c/p>\n\u003cp>During the Aug. 31 traffic stop, sheriff’s deputies discovered a bag containing “a large crystal looking item,” along with other baggies with suspected crystal meth and white powder.\u003c/p>\u003c/div>","attributes":{"named":{},"numeric":[]}},{"type":"component","content":"‘Mr. Volk is just the tip of the iceberg with respect to poor management and bad forensic policy. He is a reflection of the unregulated, and unmonitored management at the office.’","name":"pullquote","attributes":{"named":{"size":"medium","align":"right","citation":"Former employee of the San Francisco medical examiner's office","label":""},"numeric":[]}},{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>Deputies also found suspected meth pipes and 14 unidentified pills elsewhere in the car. There was also paperwork from the San Francisco Office of the Chief Medical Examiner. The analyst, Justin Volk, was arrested and charged with a misdemeanor for possession and intent to distribute drugs.\u003c/p>\n\u003cp>Several former employees of the San Francisco medical examiner said the apparent theft of drug evidence should have been prevented by the office’s own protocols.\u003c/p>\n\u003cp>Those procedures, however, were not followed in recent years, according to two former employees who worked with Volk. Each one spoke to KQED on the condition of anonymity because they feared that speaking out could lead to reprisal in their current jobs.\u003c/p>\n\u003cp>The former colleagues who worked at the toxicology lab until recently said the lab’s supervisors allowed illicit drugs to pile up in the evidence room, let protocols lapse designed to prevent evidence mishandling and ignored Volk’s increasingly erratic behavior.\u003c/p>\n\u003cp>“Mr. Volk is just the tip of the iceberg with respect to poor management and bad forensic policy,” one former employee said. “He is a reflection of the unregulated and unmonitored management at the office.”\u003c/p>\n\u003cp>Volk is on administrative leave and under investigation, according to the city administrator’s office, which oversees the medical examiner.\u003c/p>\n\u003ch3>\u003cstrong>Failure to Secure and Destroy Illicit Drugs\u003c/strong>\u003c/h3>\n\u003cp>When a person dies in a sudden, violent or unexpected way, investigators for the medical examiner’s office often collect and store any drugs found at the scene.\u003c/p>\n\u003cp>Security for that kind of evidence is crucial, according to Dr. Nikolas Lemos, the former chief toxicologist for the office, who established rules when he was hired in 2003 on how to treat drug evidence.\u003c/p>\n\u003cp>“We actually implemented very strict protocols for the medical examiner's investigators to account for every pill, every syringe, every crystal they brought into the office,” Lemos said.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>","attributes":{"named":{},"numeric":[]}},{"type":"component","content":"","name":"aside","attributes":{"named":{"postid":"news_11820340,news_11670624,news_11638866","label":"More on Death Investigations From Julie Small ","target":"_blank"},"numeric":[]}},{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>Investigators were supposed to create an inventory of the drugs, seal them into ziplock bags and drop them into a secure slot that could only be opened by technicians in the toxicology lab.\u003c/p>\n\u003cp>During Lemos’ tenure, two lab employees had to be present to retrieve the drugs from the locker, and they were supervised in the process.\u003c/p>\n\u003cp>“I was always present when junior staff were removing medications and pills,” Lemos said. “I was pretty much like a hawk because I knew that the temptation is great. And the fact is that without supervision, you could just mishandle the evidence.”\u003c/p>\n\u003cp>The protocols also included boxing up the evidence and in most cases setting a date for destruction after a year.\u003c/p>\n\u003cp>All of this took place in the lab, in plain sight of staff.\u003c/p>\n\u003cp>Lemos said the protocols were designed to prevent even well-trusted staff members from having access to drug evidence without supervision.\u003c/p>\n\u003cp>“I cannot imagine a worse situation than when you are about to destroy medications or pills or drugs, you let somebody into the vault by themselves and they just take whatever they want,” Lemos said. “The supervisor and the chief toxicologist both should be there, taking turns, hands-on supervising this process from start to end.”\u003c/p>\n\u003cp>Lemos resigned in 2016, alleging that he had been been pressured by supervisors to engage in “unlawful practices” at the office. He \u003ca href=\"https://www.ebar.com/news/news//266275\" target=\"_blank\" rel=\"noopener noreferrer\">reached a $100,000 settlement\u003c/a> with San Francisco in 2018 for wrongful termination.\u003c/p>\n\u003cp>According to one source, the office abandoned many of Lemos’ protocols after he left.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>","attributes":{"named":{},"numeric":[]}},{"type":"component","content":"","name":"ad","attributes":{"named":{"label":"fullwidth"},"numeric":["fullwidth"]}},{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003ch3>\u003cstrong>Erratic Attendance\u003c/strong>\u003c/h3>\n\u003cp>Former colleagues said that Volk’s immediate supervisors, Dr. Luke Rodda and Sue Pearring, had received a number of complaints about the lab technician’s behavior over the last three years.\u003c/p>\n\u003cp>Whistleblower complaints about specific incidents of lax oversight at the lab, such as the illegal transport of drug evidence in 2017, had also been filed with the city controller, according to a former employee, but no disciplinary action was taken.\u003c/p>\n\u003cp>KQED sent a list of the former employees' specific allegations to the city administrator's office, the city's chief medical examiner, the city controller and Rodda and Pearring. None commented on those allegations.\u003c/p>\n\u003cp>The city administrator deferred questions about the toxicology lab’s protocols for drug disposal to the city controller, which launched a review of drug evidence procedures after Volk’s arrest. The controller is expected to make the findings of that review publicly available in mid-October.\u003c/p>\n\u003cp>The medical examiner’s current \u003ca href=\"https://www.documentcloud.org/documents/7213861-San-Francisco-Office-of-the-Chief-Medical.html\" target=\"_blank\" rel=\"noopener noreferrer\">protocols\u003c/a> require that two staff members log and sort drug evidence. After a year, that evidence should be “sorted and sent for disposal” by a pair of employees with different job classifications.\u003c/p>\u003c/div>","attributes":{"named":{},"numeric":[]}},{"type":"component","content":"Despite repeated complaints to management about how Volk was forcing other employees to pick up the slack, his erratic behavior appeared to former employees to go unpunished.","name":"pullquote","attributes":{"named":{"size":"medium","align":"right","label":""},"numeric":[]}},{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>Volk worked at the lab for 13 years, and during most of that time carried his own workload and got along well with his colleagues, two former co-workers said. But three years ago, his behavior began to change.\u003c/p>\n\u003cp>Sources close to Volk, including someone who helped train him, said that he was chronically tardy, arriving to work hours late on multiple days of the week, and that he would disappear for hours in the middle of his shift.\u003c/p>\n\u003cp>Despite repeated complaints to management about how Volk was forcing other employees to pick up the slack, his erratic behavior appeared to former employees to go unpunished.\u003c/p>\n\u003cp>Volk was at one point required to clock in for his shifts, but that “did not change the behavior,” the former employee said.\u003c/p>\n\u003cp>The employees were not aware of any other actions taken by supervisors to address problems with Volk.\u003c/p>\n\u003ch3>\u003cstrong>Access to Drug Evidence Without Oversight\u003c/strong>\u003c/h3>\n\u003cp>Volk was “highly favored,” according to former co-workers, who said supervisors allowed him to work alone in the toxicology lab outside of normal work hours, including on weekends. Other lab employees were told they had to get approval in advance to do that and could not enter the lab alone.\u003c/p>\n\u003cp>One section of the toxicology lab contains cubicles and offices. Toxicologists perform tests in another section, and a third, glass-enclosed room holds evidence, including illicit drugs. The evidence room is locked, according to former employees, but anyone with a badge to enter the lab can open it.\u003c/p>\n\u003cp>“During the week, there are plenty of people around who might observe someone going into the evidence stacks,” one source said, “but on the weekend, a person could retrieve drugs from evidence without being detected.”\u003c/p>\n\u003cp>Another source said that a security camera in the evidence room was not focused on the section where the drugs were kept.\u003c/p>\n\u003ch3>\u003cstrong>Backlog of Controlled Substances\u003c/strong>\u003c/h3>\n\u003cp>The scheduled destruction of drugs also fell by the wayside after Lemos’ departure, according to former staff.\u003c/p>\n\u003cp>“Pharmaceutical is actual evidence,” one former staff member said. “It wasn’t anything that was regularly tested by the lab, and ultimately just sat there and was an afterthought.”\u003c/p>\n\u003cp>The lab was moved to a new facility in 2017, and drugs that were no longer required to be stored were destroyed before the move.\u003c/p>\n\u003cp>That was the last time any drug evidence was destroyed, according to staff.\u003c/p>\n\u003cfigure id=\"attachment_11838978\" class=\"wp-caption alignnone\" style=\"max-width: 1920px\">\u003cimg class=\"size-full wp-image-11838978\" src=\"https://ww2.kqed.org/app/uploads/sites/10/2020/09/RS30495_alt_1026.jpg\" alt=\"\" width=\"1920\" height=\"1303\" srcset=\"https://ww2.kqed.org/app/uploads/sites/10/2020/09/RS30495_alt_1026.jpg 1920w, https://ww2.kqed.org/app/uploads/sites/10/2020/09/RS30495_alt_1026-800x543.jpg 800w, https://ww2.kqed.org/app/uploads/sites/10/2020/09/RS30495_alt_1026-1020x692.jpg 1020w, https://ww2.kqed.org/app/uploads/sites/10/2020/09/RS30495_alt_1026-160x109.jpg 160w, https://ww2.kqed.org/app/uploads/sites/10/2020/09/RS30495_alt_1026-1536x1042.jpg 1536w\" sizes=\"(max-width: 1920px) 100vw, 1920px\">\u003cfigcaption class=\"wp-caption-text\">The San Francisco medical examiner's office has been under fire in recent years for a large backlog in death investigations and the loss of its accreditation. \u003ccite>(Alex Emslie/KQED)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>“It's been three or four years since anything has been tossed out,” one former toxicologist said. “We shouldn't have a room piling up full of illicit drugs. We know that there's a lure to having that kind of stuff on hand and we just don't want to hold on to it any longer than we have to.”\u003c/p>\n\u003cp>Workers said they repeatedly urged lab supervisors Rodda and Pearring to destroy the drug evidence that was years past the date required for storage. The task was “not a priority for the office,” they were told.\u003c/p>\n\u003ch3>\u003cstrong>High Turnover\u003c/strong>\u003c/h3>\n\u003cp>A number of high-ranking people within the medical examiner’s office have resigned in the last decade over complaints of mismanagement and poor standards.\u003c/p>\n\u003cp>In 2013, death investigations were lagging, and some families were waiting six months to a year for results.\u003c/p>\n\u003cp>The office lost its accreditation with the National Association of Medical Examiners in January 2017.\u003c/p>\n\u003cp>Dr. Judy Melinek, a forensic pathologist, quit working for the office several years ago because, she says, the morale was low at the time and the credibility of the office had suffered.\u003c/p>\n\u003cp>“I left, because I saw that it was going to impact not just my work product, but my reputation,” Melinek said.\u003c/p>\n\u003cp>She continued, “The repeated problems are management problems. At some point, we have to either have a grand jury inquiry or someone has to look into the operations of the office and make major changes, because this seems to come up every few years.”\u003c/p>\n\u003cp>Following the arrest of Volk, San Francisco Public Defender Manohar Raju demanded a review of all criminal cases and convictions that relied on lab work performed by the accused lab analyst.\u003c/p>\n\u003cp>“Justice simply cannot happen when the Medical Examiner’s employees — tasked with providing objective and unbiased scientific evidence and opinion — lack integrity,” Raju said in a statement on Sept. 11.\u003c/p>\n\u003cp>In a letter that same day to San Francisco Mayor London Breed, District Attorney Chesa Boudin estimated that Volk was involved in “testing, collection and preservation of evidence in more than 2,500 law enforcement investigations” comprised of 500 death investigations, 1,200 sexual assault cases and 800 DUI investigations.\u003c/p>\n\u003cp>A spokesperson for the DA said Monday that the office is still investigating the Volk case.\u003c/p>\n\u003cp>\"Our office’s ability to prosecute cases is substantially undermined when individual law enforcement officers, or staff at the medical examiner’s office, engage in serious or potentially criminal misconduct,” the DA's office said in a statement after Volk’s arrest.\u003c/p>\n\u003cp>Boudin requested a supplemental budget appropriation of $455,731 to “review every case this analyst was involved in to ensure that no conviction or punishment has been improperly tainted,” and to handle an anticipated surge of appeals of prior convictions.\u003c/p>\n\u003cp>San Francisco Supervisor Aaron Peskin has called for a hearing to consider ways to restructure the medical examiner’s office to strengthen the integrity and efficiency of death investigations in San the city.\u003c/p>\n\u003cp>“There is no question that problems in the medical examiner's office have plagued San Francisco now for many years,” Peskin said. “It is time to bring about structural reform.”\u003c/p>\n\u003cp>Volk posted $10,000 bail the same day he was arrested in Utah and was released.\u003c/p>\n\u003cp>The San Francisco DA has so far not charged Volk with any crimes that may have occurred in the city.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>","attributes":{"named":{},"numeric":[]}},{"type":"component","content":"","name":"ad","attributes":{"named":{"label":"floatright"},"numeric":["floatright"]}},{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003c/div>\u003c/p>","attributes":{"named":{},"numeric":[]}}],"link":"/news/11838967/lots-of-drugs-lax-oversight-former-sf-medical-examiners-staffers-say-lab-analysts-meth-arrest-just-the-tip-of-the-iceberg","authors":["6625"],"categories":["news_6188","news_8"],"tags":["news_17725","news_27626","news_28574","news_23360","news_38","news_28573"],"featImg":"news_11838973","label":"news"},"news_11820340":{"type":"posts","id":"news_11820340","meta":{"index":"posts_1591205157","site":"news","id":"11820340","score":null,"sort":[1590238863000]},"guestAuthors":[],"slug":"is-sfs-covid-19-death-count-the-complete-picture","title":"Is SF's COVID-19 Death Count the Complete Picture?","publishDate":1590238863,"format":"audio","headTitle":"KQED News","labelTerm":{},"content":"\u003cp>So far, San Francisco has had a relatively small number of deaths from COVID-19, compared to most other large Bay Area counties. But hundreds of deaths in San Francisco are still being investigated by the medical examiner’s office, raising questions about whether the true death count is as low as it seems.\u003c/p>\n\u003cp>As of Friday, 40 people had died from COVID-19 in San Francisco, according to the city’s public health department. But the cause of 243 other deaths, reported to the county morgue from December through April, remain unresolved. And the medical examiner’s office had exceeded a 90-day deadline for closing more than a quarter of those cases.\u003c/p>\n\u003cp>San Francisco Supervisor Aaron Peskin suspects those pending results could push the COVID-19 death rate closer to other Bay Area counties, including Alameda, Santa Clara and San Mateo.\u003c/p>\n\u003cp>“I've been asking the same questions that many people are wondering: how many un-processed cases at the medical examiner's office that are pending investigation could be due to COVID-19?” said Peskin, who sits on the committee that oversees the medical examiner. “We have seen cities and countries around the world that have actually raised their official COVID-19 death counts as they've slowly gone back through unknown deaths.”\u003c/p>\n\u003cp>Backlogs at the medical examiner’s office have been a problem in the past.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>In 2014 then-Chief Medical Examiner Amy Hart stepped down from the top position after families complained of having to wait six months for the final results of autopsies on their loved ones. Dr. Hart is now the acting chief, since her boss took a job in another county.\u003c/p>\n\u003cp>Bill Barnes with the San Francisco City Administrator’s Office, said the cases pending now should not be considered a backlog.\u003c/p>\n\u003cp>“To the extent that in the past, the medical examiner had a fairly extensive backlog in services, I don't think this shows that,” Barnes said. “What it shows is that there are lots of cases that are actively being investigated.” Barnes said most of the pending cases are waiting on lab tests, which can take weeks to complete.\u003c/p>\n\u003cp>“You have a situation where the toxicologist has to review it, sign off on it, and then the forensic pathologist, a medical doctor has to review it,” Barnes explained. “People rely on the final cause of death to settle their family's affairs and so it's important that the final report be correct.”\u003c/p>\n\u003cp>Supervisor Peskin thinks that shouldn’t preclude the medical examiner from providing details about the pending cases. He said sharing information about the kinds of people who died, and the kinds of places they lived, could help San Francisco officials better respond to the pandemic.\u003c/p>\n\u003cp>“Were they people from congregate settings — be they nursing homes or S.R.O's (Single-Room Occupancy Hotels) — from the streets of San Francisco or other places?” Peskin asked. “The public has a right to know.”\u003c/p>\n\u003cp>At the start of the pandemic, the medical examiner’s office had to send tissue samples to the overwhelmed Centers for Disease Control and Prevention in order to find out if a person who died had COVID-19. But in March, officials began testing post mortem samples at the county’s own lab, which allowed for quicker results.\u003c/p>\n\u003cp>The San Francisco Department of Public Health is compiling the complete list of COVID-19 deaths, including those reported by hospitals and funeral homes, as well as those cases that are handled by the medical examiner, whose job is to investigate violent, sudden and unexplained deaths.\u003c/p>\n\u003cp>The first San Francisco resident confirmed to have died from the virus — on March 27 — was identified by the medical examiner. But most coronavirus deaths have been reported by doctors.\u003c/p>\n\u003cp>As of Thursday, the medical examiner had submitted 40 specimens for COVID-19 testing and four had come back positive, according to a spokeswoman for the city’s Department of Public Health.\u003c/p>\n\u003cp>One of those four cases is not being counted as a COVID-19 death because the person died of another cause, according to Barnes. [aside tag=\"coronavirus, san francisco\" label=\"More Coronavirus Coverage\"]\u003c/p>\n\u003cp>For now the confirmed COVID-19 fatalities in San Francisco remain far below some other Bay Area counties. In Santa Clara County 138 people had succumbed to the virus as of Friday, while San Mateo County reported 76 fatalities, and Alameda County reported 86.\u003c/p>\n\u003cp>“I suspect that San Francisco's COVID-19 death rate is higher than we know,” said Peskin, who pointed out that, in other countries, additional cases of coronavirus have been identified months later. “I suspect that there were a number of deaths as early as February and into March that were attributable to coronavirus that we have yet to discover.”\u003c/p>\n\u003cp>Public health officials say that if a person suspects their relative died from COVID-19, they should ask the attending physician to conduct a post mortem test for the virus and then report the result to their county’s public health department.\u003c/p>\n\u003cp>\u003cem>Lisa Pickoff-White contributed to this report. \u003c/em>\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>Matt Kiefer, a John S. Knight Journalism Fellow at Stanford, contributed to this report as part of COVID Public Info, a non-profit news collaboration.\u003c/p>\n\n","blocks":[],"excerpt":"There have been more than 200 deaths in SF since the pandemic began, and they are still being investigated by the medical examiner.","status":"publish","parent":0,"modified":1590294887,"stats":{"hasAudio":false,"hasVideo":false,"hasChartOrMap":false,"iframeSrcs":[],"hasGoogleForm":false,"hasGallery":false,"hasHearkenModule":false,"hasPolis":false,"paragraphCount":23,"wordCount":908},"headData":{"title":"Is SF's COVID-19 Death Count the Complete Picture? | KQED","description":"There have been more than 200 deaths in SF since the pandemic began, and they are still being investigated by the medical examiner.","ogTitle":"","ogDescription":"","ogImgId":"","twTitle":"","twDescription":"","twImgId":"","schema":{"@context":"http://schema.org","@type":"NewsArticle","headline":"Is SF's COVID-19 Death Count the Complete Picture?","datePublished":"2020-05-23T13:01:03.000Z","dateModified":"2020-05-24T04:34:47.000Z","image":"https://cdn.kqed.org/wp-content/uploads/2020/02/KQED-OG-Image@1x.png","isAccessibleForFree":"Y","publisher":{"@type":"NewsMediaOrganization","@id":"https://www.kqed.org/#organization","name":"KQED","url":"https://www.kqed.org","logo":"https://cdn.kqed.org/wp-content/uploads/2020/02/KQED-OG-Image@1x.png"}}},"disqusIdentifier":"11820340 https://ww2.kqed.org/news/?p=11820340","disqusUrl":"https://ww2.kqed.org/news/2020/05/23/is-sfs-covid-19-death-count-the-complete-picture/","disqusTitle":"Is SF's COVID-19 Death Count the Complete Picture?","source":"Coronavirus","sourceUrl":"https://www.kqed.org/coronavirus","audioUrl":"https://www.kqed.org/.stream/anon/radio/RDnews/2020/05/SmallSFMedicalExaminer.mp3","path":"/news/11820340/is-sfs-covid-19-death-count-the-complete-picture","audioTrackLength":null,"parsedContent":[{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003cp>So far, San Francisco has had a relatively small number of deaths from COVID-19, compared to most other large Bay Area counties. But hundreds of deaths in San Francisco are still being investigated by the medical examiner’s office, raising questions about whether the true death count is as low as it seems.\u003c/p>\n\u003cp>As of Friday, 40 people had died from COVID-19 in San Francisco, according to the city’s public health department. But the cause of 243 other deaths, reported to the county morgue from December through April, remain unresolved. And the medical examiner’s office had exceeded a 90-day deadline for closing more than a quarter of those cases.\u003c/p>\n\u003cp>San Francisco Supervisor Aaron Peskin suspects those pending results could push the COVID-19 death rate closer to other Bay Area counties, including Alameda, Santa Clara and San Mateo.\u003c/p>\n\u003cp>“I've been asking the same questions that many people are wondering: how many un-processed cases at the medical examiner's office that are pending investigation could be due to COVID-19?” said Peskin, who sits on the committee that oversees the medical examiner. “We have seen cities and countries around the world that have actually raised their official COVID-19 death counts as they've slowly gone back through unknown deaths.”\u003c/p>\n\u003cp>Backlogs at the medical examiner’s office have been a problem in the past.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>","attributes":{"named":{},"numeric":[]}},{"type":"component","content":"","name":"ad","attributes":{"named":{"label":"fullwidth"},"numeric":["fullwidth"]}},{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>In 2014 then-Chief Medical Examiner Amy Hart stepped down from the top position after families complained of having to wait six months for the final results of autopsies on their loved ones. Dr. Hart is now the acting chief, since her boss took a job in another county.\u003c/p>\n\u003cp>Bill Barnes with the San Francisco City Administrator’s Office, said the cases pending now should not be considered a backlog.\u003c/p>\n\u003cp>“To the extent that in the past, the medical examiner had a fairly extensive backlog in services, I don't think this shows that,” Barnes said. “What it shows is that there are lots of cases that are actively being investigated.” Barnes said most of the pending cases are waiting on lab tests, which can take weeks to complete.\u003c/p>\n\u003cp>“You have a situation where the toxicologist has to review it, sign off on it, and then the forensic pathologist, a medical doctor has to review it,” Barnes explained. “People rely on the final cause of death to settle their family's affairs and so it's important that the final report be correct.”\u003c/p>\n\u003cp>Supervisor Peskin thinks that shouldn’t preclude the medical examiner from providing details about the pending cases. He said sharing information about the kinds of people who died, and the kinds of places they lived, could help San Francisco officials better respond to the pandemic.\u003c/p>\n\u003cp>“Were they people from congregate settings — be they nursing homes or S.R.O's (Single-Room Occupancy Hotels) — from the streets of San Francisco or other places?” Peskin asked. “The public has a right to know.”\u003c/p>\n\u003cp>At the start of the pandemic, the medical examiner’s office had to send tissue samples to the overwhelmed Centers for Disease Control and Prevention in order to find out if a person who died had COVID-19. But in March, officials began testing post mortem samples at the county’s own lab, which allowed for quicker results.\u003c/p>\n\u003cp>The San Francisco Department of Public Health is compiling the complete list of COVID-19 deaths, including those reported by hospitals and funeral homes, as well as those cases that are handled by the medical examiner, whose job is to investigate violent, sudden and unexplained deaths.\u003c/p>\n\u003cp>The first San Francisco resident confirmed to have died from the virus — on March 27 — was identified by the medical examiner. But most coronavirus deaths have been reported by doctors.\u003c/p>\n\u003cp>As of Thursday, the medical examiner had submitted 40 specimens for COVID-19 testing and four had come back positive, according to a spokeswoman for the city’s Department of Public Health.\u003c/p>\n\u003cp>One of those four cases is not being counted as a COVID-19 death because the person died of another cause, according to Barnes. \u003c/p>\u003c/div>","attributes":{"named":{},"numeric":[]}},{"type":"component","content":"","name":"aside","attributes":{"named":{"tag":"coronavirus, san francisco","label":"More Coronavirus Coverage "},"numeric":[]}},{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>For now the confirmed COVID-19 fatalities in San Francisco remain far below some other Bay Area counties. In Santa Clara County 138 people had succumbed to the virus as of Friday, while San Mateo County reported 76 fatalities, and Alameda County reported 86.\u003c/p>\n\u003cp>“I suspect that San Francisco's COVID-19 death rate is higher than we know,” said Peskin, who pointed out that, in other countries, additional cases of coronavirus have been identified months later. “I suspect that there were a number of deaths as early as February and into March that were attributable to coronavirus that we have yet to discover.”\u003c/p>\n\u003cp>Public health officials say that if a person suspects their relative died from COVID-19, they should ask the attending physician to conduct a post mortem test for the virus and then report the result to their county’s public health department.\u003c/p>\n\u003cp>\u003cem>Lisa Pickoff-White contributed to this report. \u003c/em>\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>Matt Kiefer, a John S. Knight Journalism Fellow at Stanford, contributed to this report as part of COVID Public Info, a non-profit news collaboration.\u003c/p>\n\n\u003c/div>\u003c/p>","attributes":{"named":{},"numeric":[]}}],"link":"/news/11820340/is-sfs-covid-19-death-count-the-complete-picture","authors":["6625"],"categories":["news_457","news_6188","news_8","news_13"],"tags":["news_27350","news_27504","news_28005","news_27981","news_23360","news_38"],"featImg":"news_11820438","label":"source_news_11820340"},"news_11819411":{"type":"posts","id":"news_11819411","meta":{"index":"posts_1591205157","site":"news","id":"11819411","score":null,"sort":[1589986815000]},"guestAuthors":[],"slug":"californias-review-of-early-covid-19-deaths-falls-short","title":"How Early Did COVID-19 Actually Hit California? Full Picture May Never Come","publishDate":1589986815,"format":"standard","headTitle":"KQED News","labelTerm":{},"content":"\u003cp>Public health officials across California have begun a search to identify deaths from COVID-19 that occurred before widespread awareness of the disease. But the review could fall short because of inadequate state guidelines and stringent federal testing protocols, experts say, calling into question the effort to understand when and how the disease spread and how many people it killed.\u003c/p>\n\u003cp>Gov. Gavin Newsom called for a statewide review of deaths last month after the Centers for Disease Control and Prevention confirmed that the Feb. 6 death of a San Jose woman was the first known COVID-19 fatality in the United States. Patricia Dowd, 57, died a full month earlier than the Feb. 29 death of a Washington state man, previously believed to be the first U.S. fatality from the virus.\u003c/p>\n\u003cp>On April 22, the day after the CDC confirmed that Dowd had died from COVID-19, Newsom called on coroners and medical examiners across the state “to dig even deeper” into deaths that occurred as early as December “to ultimately help guide a deeper understanding of when this pandemic really started to impact Californians directly.”\u003c/p>\n\u003cp>Then on April 29, Dr. Sonia Angell, the state public health officer and director of the California Department of Public Health, issued the administration’s criteria for the review in a letter to county coroners and medical examiners, which stated: “The goal is to assess whether there were cases and deaths associated with COVID-19 in California during the pandemic at a time when testing was more limited and when wide community transmission of COVID-19 had not yet been recognized.”\u003c/p>\n\u003cp>[documentcloud url=\"https://www.documentcloud.org/documents/6895428-2020-04-29-Medical-Examiner-and-Coroner-Letter.html\" responsive=true]\u003c/p>\n\u003cp>Similar reviews of deaths are likely occurring all over the country, according to Dr. Sally Aiken, a medical examiner in Spokane, Washington, and president of the National Association of Medical Examiners.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>“We don't really know the full number of deaths because of limited post-mortem testing in some areas and we don't really know the denominator either,” Aiken said. “We don't know how many people have had COVID-19 infections, so that the actual mortality rate from COVID is unknown.”\u003c/p>\n\u003cp>Aiken said getting that data is crucial to understanding how to prevent more deaths.\u003c/p>\n\u003cp>As of May 18, 3,334 people are known to have died of COVID-19 in California.\u003c/p>\n\u003ch3>Focus On Early Months of COVID-19 Spread\u003c/h3>\n\u003cp>Angell, the California Department of Public Health director, instructed county officials to review death records for people who died between Dec. 17, 2019, two weeks before China officially identified COVID-19, and March 16, 2020, the date when six Bay Area counties implemented stay-at-home orders to slow the spread of the disease.\u003c/p>\n\u003cp>Angell told coroners and medical examiners in California’s 58 counties to look for cases where the cause of death was uncertain and the person had symptoms of the flu, viral pneumonia or acute respiratory distress, or a history of recent travel at the time of their death.\u003c/p>\n\u003cp>But the criteria she spelled out did not include several key symptoms that have come to be associated with the disease, according to Dr. Judy Melinek, a Bay Area independent forensic pathologist.\u003c/p>\n\u003cp>Patricia Dowd, the first known American to die of COVID-19, did not exhibit any of the symptoms on Angell’s list, according to Melinek, who reviewed the autopsy report of the woman’s death.\u003c/p>\n\u003cp>“She died of cardiac tamponade, which is a ruptured heart, and that's not on the search criteria,” Melinek said. “We wouldn't have even captured her using these guidelines.”\u003c/p>\n\u003cp>Melinek said the criteria should be expanded to include additional conditions and symptoms, including heart attacks, blood clots and a kind of body inflammation identified in some children with the virus.\u003c/p>\n\u003cp>“You're going to have to look for all of the symptoms, not just what we initially identified as the atypical pneumonia that COVID-19 was first described as,” Melinek said. “You have to look at all the potential things that it can cause.”\u003c/p>\n\u003ch3>Decedents’ Tissue Samples and Swabs Could be Used to Test for COVID-19\u003c/h3>\n\u003cp>Another challenge for county coroners and medical examiners seeking to identify previously overlooked deaths from the coronavirus is that their tissue sampling protocols don’t always align with the requirements of the CDC, which performs the post-mortem COVID-19 tests.\u003c/p>\n\u003cp>Santa Clara County’s medical examiner confirmed Dowd’s COVID-19 infection by submitting lung tissue, taken as part of the autopsy, to the CDC.\u003c/p>\n\u003cp>Even in cases where no autopsy is necessary, forensic pathologists will usually take some swabs and freeze them or preserve them. Those tissue samples can later be sent for testing, and that’s what officials are relying on to confirm previously overlooked COVID-19 deaths.\u003c/p>\n\u003cp>But in California, coroners and medical examiners in different counties can have differing policies on specimen and tissue collection – and they may not satisfy the CDC’s requirements.\u003c/p>\n\u003cp>For example, the CDC’s lab will not accept samples older than two weeks if they are submitted in formalin. But that mixture of water and formaldehyde is commonly used in California to store samples.\u003c/p>\n\u003ch3>The State Won’t Review Most Deaths at Hospitals or Nursing Homes\u003c/h3>\n\u003cp>Another weakness in California’s plan to identify earlier COVID-19 deaths is that it relies entirely on medical examiners and coroners to conduct the reviews. But those offices typically only handle unexpected, violent or sudden deaths that occur at home or in public.\u003c/p>\n\u003cp>Dowd died at home, so the Santa Clara County Office of the Medical Examiner-Coroner took jurisdiction of her case, performed an autopsy and sent tissue samples to the CDC to test for COVID-19.\u003c/p>\n\u003cp>[aside postID=news_11816135 hero='https://ww2.kqed.org/app/uploads/sites/10/2020/05/Santa-Clara-County-Medical-Examiner-1020x802.jpg']But most of the confirmed COVID-19 deaths in California have occurred in hospitals and nursing homes. That suggests that earlier deaths that may have been due to the coronavirus likely took place in those settings as well.\u003c/p>\n\u003cp>By law, physicians at hospitals and nursing homes are supposed to report to the county medical examiner or coroner any death they suspect was caused by a contagious disease. But in the search for early COVID-19 deaths, the California Department of Public Health doesn’t plan to investigate whether they’ve done so. Instead, officials say they’re relying on hospital doctors to correctly report suspected coronavirus deaths.\u003c/p>\n\u003cp>“The focus of this effort is on unexplained deaths,” a Public Health Department spokesperson told KQED. “Medical examiners and coroners would typically be informed of deaths with an unknown cause, including those in hospitals.”\u003c/p>\n\u003cp>If a person died in a hospital or nursing home and their family members suspect the deceased person had COVID-19, survivors can ask doctors there to conduct a post-mortem test if tissue samples or swabs were taken. Relatives can also report their suspicions to the county’s coroner or medical examiner.\u003c/p>\n\u003ch3>State to Update COVID-19 Count\u003c/h3>\n\u003cp>Once medical examiners and coroners compile lists of suspected COVID-19 deaths, state officials have requested that they work with their county public health departments to prioritize which cases should be tested first.\u003c/p>\n\u003cp>Staff at the Los Angeles County Medical Examiner-Coroner department have been reviewing cases going back to December and determining whether they have tissue samples that can be submitted to the CDC, according to spokeswoman Sarah Ardalani.\u003c/p>\n\u003cp>“At this time, there are a handful of cases that might work, but we are still assessing testing feasibility,” Ardalani wrote in a May 12 email. “We are looking at which cases are appropriate for testing, including the consideration of relevant history, symptoms, and available specimens.”\u003c/p>\n\u003cp>Of the 1,839 known COVID-19 deaths in Los Angeles County, as of May 18, the medical examiner has identified 30 of them.\u003c/p>\n\u003cp>[ad floatright]\u003c/p>\n\u003cp>If medical examiners and coroners discover additional people who died from the virus, they are expected to notify California’s Department of Public Health of a change to the person’s cause of death. The state will notify the CDC and the National Center for Health Statistics of any changes so those deaths are counted.\u003c/p>\n\n","blocks":[],"excerpt":"Narrow criteria, such as inadequate state guidelines and stringent federal testing protocols, hinders California's search for early COVID-19 deaths.","status":"publish","parent":0,"modified":1590008026,"stats":{"hasAudio":false,"hasVideo":false,"hasChartOrMap":false,"iframeSrcs":[],"hasGoogleForm":false,"hasGallery":false,"hasHearkenModule":false,"hasPolis":false,"paragraphCount":34,"wordCount":1427},"headData":{"title":"How Early Did COVID-19 Actually Hit California? Full Picture May Never Come | KQED","description":"Narrow criteria, such as inadequate state guidelines and stringent federal testing protocols, hinders California's search for early COVID-19 deaths.","ogTitle":"","ogDescription":"","ogImgId":"","twTitle":"","twDescription":"","twImgId":"","schema":{"@context":"http://schema.org","@type":"NewsArticle","headline":"How Early Did COVID-19 Actually Hit California? Full Picture May Never Come","datePublished":"2020-05-20T15:00:15.000Z","dateModified":"2020-05-20T20:53:46.000Z","image":"https://cdn.kqed.org/wp-content/uploads/2020/02/KQED-OG-Image@1x.png","isAccessibleForFree":"Y","publisher":{"@type":"NewsMediaOrganization","@id":"https://www.kqed.org/#organization","name":"KQED","url":"https://www.kqed.org","logo":"https://cdn.kqed.org/wp-content/uploads/2020/02/KQED-OG-Image@1x.png"}}},"disqusIdentifier":"11819411 https://ww2.kqed.org/news/?p=11819411","disqusUrl":"https://ww2.kqed.org/news/2020/05/20/californias-review-of-early-covid-19-deaths-falls-short/","disqusTitle":"How Early Did COVID-19 Actually Hit California? Full Picture May Never Come","source":"Coronavirus","sourceUrl":"https://www.kqed.org/coronavirus","path":"/news/11819411/californias-review-of-early-covid-19-deaths-falls-short","audioTrackLength":null,"parsedContent":[{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003cp>Public health officials across California have begun a search to identify deaths from COVID-19 that occurred before widespread awareness of the disease. But the review could fall short because of inadequate state guidelines and stringent federal testing protocols, experts say, calling into question the effort to understand when and how the disease spread and how many people it killed.\u003c/p>\n\u003cp>Gov. Gavin Newsom called for a statewide review of deaths last month after the Centers for Disease Control and Prevention confirmed that the Feb. 6 death of a San Jose woman was the first known COVID-19 fatality in the United States. Patricia Dowd, 57, died a full month earlier than the Feb. 29 death of a Washington state man, previously believed to be the first U.S. fatality from the virus.\u003c/p>\n\u003cp>On April 22, the day after the CDC confirmed that Dowd had died from COVID-19, Newsom called on coroners and medical examiners across the state “to dig even deeper” into deaths that occurred as early as December “to ultimately help guide a deeper understanding of when this pandemic really started to impact Californians directly.”\u003c/p>\n\u003cp>Then on April 29, Dr. Sonia Angell, the state public health officer and director of the California Department of Public Health, issued the administration’s criteria for the review in a letter to county coroners and medical examiners, which stated: “The goal is to assess whether there were cases and deaths associated with COVID-19 in California during the pandemic at a time when testing was more limited and when wide community transmission of COVID-19 had not yet been recognized.”\u003c/p>\n\u003cp>\u003c/p>\u003c/div>","attributes":{"named":{},"numeric":[]}},{"type":"component","content":"","name":"documentcloud","attributes":{"named":{"url":"https://www.documentcloud.org/documents/6895428-2020-04-29-Medical-Examiner-and-Coroner-Letter.html","responsive":"true","label":""},"numeric":[]}},{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>Similar reviews of deaths are likely occurring all over the country, according to Dr. Sally Aiken, a medical examiner in Spokane, Washington, and president of the National Association of Medical Examiners.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>","attributes":{"named":{},"numeric":[]}},{"type":"component","content":"","name":"ad","attributes":{"named":{"label":"fullwidth"},"numeric":["fullwidth"]}},{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>“We don't really know the full number of deaths because of limited post-mortem testing in some areas and we don't really know the denominator either,” Aiken said. “We don't know how many people have had COVID-19 infections, so that the actual mortality rate from COVID is unknown.”\u003c/p>\n\u003cp>Aiken said getting that data is crucial to understanding how to prevent more deaths.\u003c/p>\n\u003cp>As of May 18, 3,334 people are known to have died of COVID-19 in California.\u003c/p>\n\u003ch3>Focus On Early Months of COVID-19 Spread\u003c/h3>\n\u003cp>Angell, the California Department of Public Health director, instructed county officials to review death records for people who died between Dec. 17, 2019, two weeks before China officially identified COVID-19, and March 16, 2020, the date when six Bay Area counties implemented stay-at-home orders to slow the spread of the disease.\u003c/p>\n\u003cp>Angell told coroners and medical examiners in California’s 58 counties to look for cases where the cause of death was uncertain and the person had symptoms of the flu, viral pneumonia or acute respiratory distress, or a history of recent travel at the time of their death.\u003c/p>\n\u003cp>But the criteria she spelled out did not include several key symptoms that have come to be associated with the disease, according to Dr. Judy Melinek, a Bay Area independent forensic pathologist.\u003c/p>\n\u003cp>Patricia Dowd, the first known American to die of COVID-19, did not exhibit any of the symptoms on Angell’s list, according to Melinek, who reviewed the autopsy report of the woman’s death.\u003c/p>\n\u003cp>“She died of cardiac tamponade, which is a ruptured heart, and that's not on the search criteria,” Melinek said. “We wouldn't have even captured her using these guidelines.”\u003c/p>\n\u003cp>Melinek said the criteria should be expanded to include additional conditions and symptoms, including heart attacks, blood clots and a kind of body inflammation identified in some children with the virus.\u003c/p>\n\u003cp>“You're going to have to look for all of the symptoms, not just what we initially identified as the atypical pneumonia that COVID-19 was first described as,” Melinek said. “You have to look at all the potential things that it can cause.”\u003c/p>\n\u003ch3>Decedents’ Tissue Samples and Swabs Could be Used to Test for COVID-19\u003c/h3>\n\u003cp>Another challenge for county coroners and medical examiners seeking to identify previously overlooked deaths from the coronavirus is that their tissue sampling protocols don’t always align with the requirements of the CDC, which performs the post-mortem COVID-19 tests.\u003c/p>\n\u003cp>Santa Clara County’s medical examiner confirmed Dowd’s COVID-19 infection by submitting lung tissue, taken as part of the autopsy, to the CDC.\u003c/p>\n\u003cp>Even in cases where no autopsy is necessary, forensic pathologists will usually take some swabs and freeze them or preserve them. Those tissue samples can later be sent for testing, and that’s what officials are relying on to confirm previously overlooked COVID-19 deaths.\u003c/p>\n\u003cp>But in California, coroners and medical examiners in different counties can have differing policies on specimen and tissue collection – and they may not satisfy the CDC’s requirements.\u003c/p>\n\u003cp>For example, the CDC’s lab will not accept samples older than two weeks if they are submitted in formalin. But that mixture of water and formaldehyde is commonly used in California to store samples.\u003c/p>\n\u003ch3>The State Won’t Review Most Deaths at Hospitals or Nursing Homes\u003c/h3>\n\u003cp>Another weakness in California’s plan to identify earlier COVID-19 deaths is that it relies entirely on medical examiners and coroners to conduct the reviews. But those offices typically only handle unexpected, violent or sudden deaths that occur at home or in public.\u003c/p>\n\u003cp>Dowd died at home, so the Santa Clara County Office of the Medical Examiner-Coroner took jurisdiction of her case, performed an autopsy and sent tissue samples to the CDC to test for COVID-19.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>","attributes":{"named":{},"numeric":[]}},{"type":"component","content":"","name":"aside","attributes":{"named":{"postid":"news_11816135","hero":"https://ww2.kqed.org/app/uploads/sites/10/2020/05/Santa-Clara-County-Medical-Examiner-1020x802.jpg","label":""},"numeric":[]}},{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>But most of the confirmed COVID-19 deaths in California have occurred in hospitals and nursing homes. That suggests that earlier deaths that may have been due to the coronavirus likely took place in those settings as well.\u003c/p>\n\u003cp>By law, physicians at hospitals and nursing homes are supposed to report to the county medical examiner or coroner any death they suspect was caused by a contagious disease. But in the search for early COVID-19 deaths, the California Department of Public Health doesn’t plan to investigate whether they’ve done so. Instead, officials say they’re relying on hospital doctors to correctly report suspected coronavirus deaths.\u003c/p>\n\u003cp>“The focus of this effort is on unexplained deaths,” a Public Health Department spokesperson told KQED. “Medical examiners and coroners would typically be informed of deaths with an unknown cause, including those in hospitals.”\u003c/p>\n\u003cp>If a person died in a hospital or nursing home and their family members suspect the deceased person had COVID-19, survivors can ask doctors there to conduct a post-mortem test if tissue samples or swabs were taken. Relatives can also report their suspicions to the county’s coroner or medical examiner.\u003c/p>\n\u003ch3>State to Update COVID-19 Count\u003c/h3>\n\u003cp>Once medical examiners and coroners compile lists of suspected COVID-19 deaths, state officials have requested that they work with their county public health departments to prioritize which cases should be tested first.\u003c/p>\n\u003cp>Staff at the Los Angeles County Medical Examiner-Coroner department have been reviewing cases going back to December and determining whether they have tissue samples that can be submitted to the CDC, according to spokeswoman Sarah Ardalani.\u003c/p>\n\u003cp>“At this time, there are a handful of cases that might work, but we are still assessing testing feasibility,” Ardalani wrote in a May 12 email. “We are looking at which cases are appropriate for testing, including the consideration of relevant history, symptoms, and available specimens.”\u003c/p>\n\u003cp>Of the 1,839 known COVID-19 deaths in Los Angeles County, as of May 18, the medical examiner has identified 30 of them.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>","attributes":{"named":{},"numeric":[]}},{"type":"component","content":"","name":"ad","attributes":{"named":{"label":"floatright"},"numeric":["floatright"]}},{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>If medical examiners and coroners discover additional people who died from the virus, they are expected to notify California’s Department of Public Health of a change to the person’s cause of death. The state will notify the CDC and the National Center for Health Statistics of any changes so those deaths are counted.\u003c/p>\n\n\u003c/div>\u003c/p>","attributes":{"named":{},"numeric":[]}}],"link":"/news/11819411/californias-review-of-early-covid-19-deaths-falls-short","authors":["6625"],"categories":["news_457","news_8"],"tags":["news_27350","news_27980","news_27504","news_23360","news_27979"],"featImg":"news_11819494","label":"source_news_11819411"},"news_11769179":{"type":"posts","id":"news_11769179","meta":{"index":"posts_1591205157","site":"news","id":"11769179","score":null,"sort":[1566518756000]},"guestAuthors":[],"slug":"s-f-public-defenders-office-says-jeff-adachi-died-of-natural-causes-not-from-drugs","title":"S.F. Public Defender's Office Says Jeff Adachi Died of Natural Causes, Not From Drugs","publishDate":1566518756,"format":"audio","headTitle":"KQED News","labelTerm":{"site":"news"},"content":"\u003cp>The San Francisco Public Defender’s Office, pointing to reports by three independent experts, said Wednesday that Jeff Adachi died of natural causes and not from drugs, challenging the conclusion of the San Francisco Medical Examiner’s Office and criticizing that office as dysfunctional and untrustworthy.\u003c/p>\n\u003cp>[aside postID='news_11734850,news_11730451,news_11728381' label='Related Coverage']\u003c/p>\n\u003cp>The reviews found the cause of death was “sudden cardiac arrhythmia and acute myocardial infraction due to coronary artery disease” and the manner of death was “natural,” according to a press release from the San Francisco Public Defender's Office.\u003c/p>\n\u003cp>Robert Chan, an attorney for the Adachi family, released the autopsy reviews from Dylan V. Miller, an expert in cardiovascular and autopsy pathology, Dr. Nikolas Lemos, a forensic toxicologist, and James L. Norris, a consultant in forensic science.\u003c/p>\n\u003cp>But the cause of death, according the medical examiner's report released on March 22, was \"acute mixed drug toxicity with cocaine and ethanol, with hypertensive atherosclerotic cardiovascular disease as a contributing factor.\"\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>Norris said Thursday that the data doesn't support the finding that Adachi died from a mixture of alcohol and cocaine.\u003c/p>\n\u003cp>\"When I first read the report I thought somebody had made a typographical error and put the cause of death as the secondary and vice versa,\" Norris said. \"But apparently that's not the case.\"\u003c/p>\n\u003cp>The Medical Examiner’s office defended its findings in a statement, saying the “reports speak for themselves.”\u003c/p>\n\u003cp>San Francisco freelance journalist Bryan Carmody became wrapped up in events \u003ca href=\"https://www.kqed.org/news/tag/bryan-carmody/\" rel=\"noopener\" target=\"_blank\">after his home and office were raided by police\u003c/a> who were looking for information connected to what they say was the illegal release of a police report connected to Adachi's death.\u003c/p>\n\u003cp>Adachi, a Japanese American from Sacramento whose parents and grandparents were interned during World War II, died Feb. 22. He was 59. He served as public defender for 17 years.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>\u003cem>KQED's Don Clyde and Peter Jon Shuler contributed to this report.\u003c/em>\u003c/p>\n\n","blocks":[],"excerpt":"Challenging the conclusion of the San Francisco Medical Examiner’s Office and criticizing it as dysfunctional and untrustworthy, the Public Defender’s Office cited three experts who said Adachi died of natural causes.","status":"publish","parent":0,"modified":1566519534,"stats":{"hasAudio":false,"hasVideo":false,"hasChartOrMap":false,"iframeSrcs":[],"hasGoogleForm":false,"hasGallery":false,"hasHearkenModule":false,"hasPolis":false,"paragraphCount":13,"wordCount":334},"headData":{"title":"S.F. Public Defender's Office Says Jeff Adachi Died of Natural Causes, Not From Drugs | KQED","description":"Challenging the conclusion of the San Francisco Medical Examiner’s Office and criticizing it as dysfunctional and untrustworthy, the Public Defender’s Office cited three experts who said Adachi died of natural causes.","ogTitle":"","ogDescription":"","ogImgId":"","twTitle":"","twDescription":"","twImgId":"","schema":{"@context":"http://schema.org","@type":"NewsArticle","headline":"S.F. Public Defender's Office Says Jeff Adachi Died of Natural Causes, Not From Drugs","datePublished":"2019-08-23T00:05:56.000Z","dateModified":"2019-08-23T00:18:54.000Z","image":"https://cdn.kqed.org/wp-content/uploads/2020/02/KQED-OG-Image@1x.png","isAccessibleForFree":"Y","publisher":{"@type":"NewsMediaOrganization","@id":"https://www.kqed.org/#organization","name":"KQED","url":"https://www.kqed.org","logo":"https://cdn.kqed.org/wp-content/uploads/2020/02/KQED-OG-Image@1x.png"}}},"disqusIdentifier":"11769179 https://ww2.kqed.org/news/?p=11769179","disqusUrl":"https://ww2.kqed.org/news/2019/08/22/s-f-public-defenders-office-says-jeff-adachi-died-of-natural-causes-not-from-drugs/","disqusTitle":"S.F. Public Defender's Office Says Jeff Adachi Died of Natural Causes, Not From Drugs","audioUrl":"https://www.kqed.org/.stream/anon/radio/RDnews/2019/08/AdachiDeathFinding.mp3","audioTrackLength":65,"path":"/news/11769179/s-f-public-defenders-office-says-jeff-adachi-died-of-natural-causes-not-from-drugs","audioDuration":65000,"parsedContent":[{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003cp>The San Francisco Public Defender’s Office, pointing to reports by three independent experts, said Wednesday that Jeff Adachi died of natural causes and not from drugs, challenging the conclusion of the San Francisco Medical Examiner’s Office and criticizing that office as dysfunctional and untrustworthy.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>","attributes":{"named":{},"numeric":[]}},{"type":"component","content":"","name":"aside","attributes":{"named":{"postid":"news_11734850,news_11730451,news_11728381","label":"Related Coverage "},"numeric":[]}},{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>The reviews found the cause of death was “sudden cardiac arrhythmia and acute myocardial infraction due to coronary artery disease” and the manner of death was “natural,” according to a press release from the San Francisco Public Defender's Office.\u003c/p>\n\u003cp>Robert Chan, an attorney for the Adachi family, released the autopsy reviews from Dylan V. Miller, an expert in cardiovascular and autopsy pathology, Dr. Nikolas Lemos, a forensic toxicologist, and James L. Norris, a consultant in forensic science.\u003c/p>\n\u003cp>But the cause of death, according the medical examiner's report released on March 22, was \"acute mixed drug toxicity with cocaine and ethanol, with hypertensive atherosclerotic cardiovascular disease as a contributing factor.\"\u003c/p>\n\u003cp>\u003c/p>\u003c/div>","attributes":{"named":{},"numeric":[]}},{"type":"component","content":"","name":"ad","attributes":{"named":{"label":"fullwidth"},"numeric":["fullwidth"]}},{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>Norris said Thursday that the data doesn't support the finding that Adachi died from a mixture of alcohol and cocaine.\u003c/p>\n\u003cp>\"When I first read the report I thought somebody had made a typographical error and put the cause of death as the secondary and vice versa,\" Norris said. \"But apparently that's not the case.\"\u003c/p>\n\u003cp>The Medical Examiner’s office defended its findings in a statement, saying the “reports speak for themselves.”\u003c/p>\n\u003cp>San Francisco freelance journalist Bryan Carmody became wrapped up in events \u003ca href=\"https://www.kqed.org/news/tag/bryan-carmody/\" rel=\"noopener\" target=\"_blank\">after his home and office were raided by police\u003c/a> who were looking for information connected to what they say was the illegal release of a police report connected to Adachi's death.\u003c/p>\n\u003cp>Adachi, a Japanese American from Sacramento whose parents and grandparents were interned during World War II, died Feb. 22. He was 59. He served as public defender for 17 years.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>\u003cem>KQED's Don Clyde and Peter Jon Shuler contributed to this report.\u003c/em>\u003c/p>\n\n\u003c/div>\u003c/p>","attributes":{"named":{},"numeric":[]}}],"link":"/news/11769179/s-f-public-defenders-office-says-jeff-adachi-died-of-natural-causes-not-from-drugs","authors":["236"],"categories":["news_457","news_6188","news_8"],"tags":["news_25680","news_122","news_23360","news_38","news_959"],"featImg":"news_11769183","label":"news"},"news_11693911":{"type":"posts","id":"news_11693911","meta":{"index":"posts_1591205157","site":"news","id":"11693911","score":null,"sort":[1537572166000]},"guestAuthors":[],"slug":"governor-vetoes-bill-that-sought-independence-in-death-investigations","title":"Governor Vetoes Bill That Sought Independence in Death Investigations","publishDate":1537572166,"format":"audio","headTitle":"The California Report | KQED News","labelTerm":{"term":72,"site":"news"},"content":"\u003cp>Gov. Jerry Brown vetoed a bill Tuesday that would have required six counties in California to change how they investigate sudden, suspicious or violent deaths, including deaths that happen during arrest or in jail or prison.\u003c/p>\n\u003cp>State Senate Bill \u003ca href=\"https://leginfo.legislature.ca.gov/faces/billTextClient.xhtml?bill_id=201720180SB1303\" target=\"_blank\" rel=\"noopener\">1303\u003c/a> would have forced non-charter counties with more than 500,000 residents to establish a medical examiner’s office to investigate deaths.\u003c/p>\n\u003cp>But in his Sept. 18 veto \u003ca href=\"https://www.gov.ca.gov/wp-content/uploads/2018/09/SB-1303-Veto-Message.pdf\" target=\"_blank\" rel=\"noopener\">message\u003c/a>, Brown wrote, “Counties have several options when delivering coroner services to the public. This decision is best left to the discretion of local elected officials who are in the best position to determine how their county offices are organized.”\u003c/p>\n\u003cp>The bill’s author, state Sen. Richard Pan, \u003ca href=\"https://sd06.senate.ca.gov/news/2018-09-19-governor-vetoes-senate-bill-1303-which-would-have-required-medical-experts-conduct\" target=\"_blank\" rel=\"noopener\">responded\u003c/a> Wednesday, “I am disappointed in the veto because it would have been an important step in ensuring the integrity of autopsy reports and achieving justice for people across California.”\u003c/p>\n\u003cp>In seven of California's largest counties — including San Francisco, Santa Clara and San Diego — a medical examiner, who is also a physician, investigates deaths. In the majority of other counties, that job falls to a \u003ca href=\"https://www.kqed.org/news/11670624/coroner-training-seeks-to-raise-standards-for-california-death-investigations\" target=\"_blank\" rel=\"noopener\">coroner\u003c/a>, who is also the elected sheriff.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>Dr. Pan, a pediatrician, believes that having the sheriff-coroner investigate deaths involving officers is a conflict of interest.\u003c/p>\n\u003cp>“Because of that, they can influence the findings of the autopsy,” Pan said. “They can even modify the reports.”\u003c/p>\n\u003cp>Pan introduced SB 1303 in response to accusations late last year that a county sheriff had in fact meddled in death investigations and altered findings.\u003c/p>\n\u003cp>\u003cstrong>Death Investigation Scandal in San Joaquin County\u003c/strong>\u003c/p>\n\u003cp>The chief forensic pathologist for San Joaquin County, Dr. Bennet Omalu, \u003ca href=\"https://www.kqed.org/news/11634689/autopsy-doctors-sheriff-overrode-death-findings-to-protect-law-enforcement\" target=\"_blank\" rel=\"noopener\">accused\u003c/a> Sheriff Steve Moore of overriding autopsy findings in cases where an officer of the law appeared to have killed someone.\u003c/p>\n\u003cp>Omalu, known for his discovery of the debilitating brain disease CTE in professional football players, resigned from his position as chief forensic pathologist Dec. 4, after a decade holding the position.\u003c/p>\n\u003cp>Among the reasons he said he could no longer work for Moore were several instances where he had determined a person’s death was a homicide, only to watch Moore override his findings and label the death an accident.\u003c/p>\n\u003cp>Omalu testified in support of Pan's bill, which was sponsored by the California Medical Association. The \u003ca href=\"https://www.calsheriffs.org/about-us/about-cssa-our-mission.html\" target=\"_blank\" rel=\"noopener\">California State Sheriffs' Association\u003c/a>, currently led by Moore, opposed the measure as costly and unnecessary, and the California State Association of Counties objected to the measure's interference with local autonomy.\u003c/p>\n\u003cp>While the legislation ultimately failed, San Joaquin County supervisors moved to \u003ca href=\"https://www.kqed.org/news/11664465/san-joaquin-county-sheriff-stripped-of-role-in-death-investigations\" target=\"_blank\" rel=\"noopener\">strip\u003c/a> the sheriff of his coroner duties and establish an independent medical examiner’s office. That effort is ongoing.\u003c/p>\n\u003cp>Moore \u003ca href=\"https://www.kqed.org/news/11672974/sheriff-accused-of-interfering-in-death-investigations-loses-re-election-bid\" target=\"_blank\" rel=\"noopener\">lost\u003c/a> his re-election in June.\u003c/p>\n\u003cp>Omalu recently opened new \u003ca href=\"https://www.bennetomalu.com/\" target=\"_blank\" rel=\"noopener\">offices\u003c/a> and is providing autopsies for several local entities and expert witness testimony in cases throughout the U.S.\u003c/p>\n\u003cp>Pan plans to keep trying to improve death investigations in California. Contrary to the governor’s veto message, the senator thinks that local officials are unlikely to challenge the sheriff-coroner system.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>“Sheriffs have tremendous political power in counties,” Pan said. “That’s why many counties have been very slow to address this issue.”\u003c/p>\n\n","blocks":[],"excerpt":"The bill that would have separated suspicious death investigations from county sheriffs was vetoed, despite revelations that a sheriff meddled with autopsy findings involving deaths at the hands of law enforcement.","status":"publish","parent":0,"modified":1537573206,"stats":{"hasAudio":false,"hasVideo":false,"hasChartOrMap":false,"iframeSrcs":[],"hasGoogleForm":false,"hasGallery":false,"hasHearkenModule":false,"hasPolis":false,"paragraphCount":20,"wordCount":548},"headData":{"title":"Governor Vetoes Bill That Sought Independence in Death Investigations | KQED","description":"The bill that would have separated suspicious death investigations from county sheriffs was vetoed, despite revelations that a sheriff meddled with autopsy findings involving deaths at the hands of law enforcement.","ogTitle":"","ogDescription":"","ogImgId":"","twTitle":"","twDescription":"","twImgId":"","schema":{"@context":"http://schema.org","@type":"NewsArticle","headline":"Governor Vetoes Bill That Sought Independence in Death Investigations","datePublished":"2018-09-21T23:22:46.000Z","dateModified":"2018-09-21T23:40:06.000Z","image":"https://cdn.kqed.org/wp-content/uploads/2020/02/KQED-OG-Image@1x.png","isAccessibleForFree":"Y","publisher":{"@type":"NewsMediaOrganization","@id":"https://www.kqed.org/#organization","name":"KQED","url":"https://www.kqed.org","logo":"https://cdn.kqed.org/wp-content/uploads/2020/02/KQED-OG-Image@1x.png"}}},"disqusIdentifier":"11693911 https://ww2.kqed.org/news/?p=11693911","disqusUrl":"https://ww2.kqed.org/news/2018/09/21/governor-vetoes-bill-that-sought-independence-in-death-investigations/","disqusTitle":"Governor Vetoes Bill That Sought Independence in Death Investigations","audioUrl":"https://www.kqed.org/.stream/anon/radio/tcr/2018/09/SmallSheriffCoronerVetoTCRAM180919.mp3","audioTrackLength":116,"path":"/news/11693911/governor-vetoes-bill-that-sought-independence-in-death-investigations","audioDuration":130000,"parsedContent":[{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003cp>Gov. Jerry Brown vetoed a bill Tuesday that would have required six counties in California to change how they investigate sudden, suspicious or violent deaths, including deaths that happen during arrest or in jail or prison.\u003c/p>\n\u003cp>State Senate Bill \u003ca href=\"https://leginfo.legislature.ca.gov/faces/billTextClient.xhtml?bill_id=201720180SB1303\" target=\"_blank\" rel=\"noopener\">1303\u003c/a> would have forced non-charter counties with more than 500,000 residents to establish a medical examiner’s office to investigate deaths.\u003c/p>\n\u003cp>But in his Sept. 18 veto \u003ca href=\"https://www.gov.ca.gov/wp-content/uploads/2018/09/SB-1303-Veto-Message.pdf\" target=\"_blank\" rel=\"noopener\">message\u003c/a>, Brown wrote, “Counties have several options when delivering coroner services to the public. This decision is best left to the discretion of local elected officials who are in the best position to determine how their county offices are organized.”\u003c/p>\n\u003cp>The bill’s author, state Sen. Richard Pan, \u003ca href=\"https://sd06.senate.ca.gov/news/2018-09-19-governor-vetoes-senate-bill-1303-which-would-have-required-medical-experts-conduct\" target=\"_blank\" rel=\"noopener\">responded\u003c/a> Wednesday, “I am disappointed in the veto because it would have been an important step in ensuring the integrity of autopsy reports and achieving justice for people across California.”\u003c/p>\n\u003cp>In seven of California's largest counties — including San Francisco, Santa Clara and San Diego — a medical examiner, who is also a physician, investigates deaths. In the majority of other counties, that job falls to a \u003ca href=\"https://www.kqed.org/news/11670624/coroner-training-seeks-to-raise-standards-for-california-death-investigations\" target=\"_blank\" rel=\"noopener\">coroner\u003c/a>, who is also the elected sheriff.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>","attributes":{"named":{},"numeric":[]}},{"type":"component","content":"","name":"ad","attributes":{"named":{"label":"fullwidth"},"numeric":["fullwidth"]}},{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>Dr. Pan, a pediatrician, believes that having the sheriff-coroner investigate deaths involving officers is a conflict of interest.\u003c/p>\n\u003cp>“Because of that, they can influence the findings of the autopsy,” Pan said. “They can even modify the reports.”\u003c/p>\n\u003cp>Pan introduced SB 1303 in response to accusations late last year that a county sheriff had in fact meddled in death investigations and altered findings.\u003c/p>\n\u003cp>\u003cstrong>Death Investigation Scandal in San Joaquin County\u003c/strong>\u003c/p>\n\u003cp>The chief forensic pathologist for San Joaquin County, Dr. Bennet Omalu, \u003ca href=\"https://www.kqed.org/news/11634689/autopsy-doctors-sheriff-overrode-death-findings-to-protect-law-enforcement\" target=\"_blank\" rel=\"noopener\">accused\u003c/a> Sheriff Steve Moore of overriding autopsy findings in cases where an officer of the law appeared to have killed someone.\u003c/p>\n\u003cp>Omalu, known for his discovery of the debilitating brain disease CTE in professional football players, resigned from his position as chief forensic pathologist Dec. 4, after a decade holding the position.\u003c/p>\n\u003cp>Among the reasons he said he could no longer work for Moore were several instances where he had determined a person’s death was a homicide, only to watch Moore override his findings and label the death an accident.\u003c/p>\n\u003cp>Omalu testified in support of Pan's bill, which was sponsored by the California Medical Association. The \u003ca href=\"https://www.calsheriffs.org/about-us/about-cssa-our-mission.html\" target=\"_blank\" rel=\"noopener\">California State Sheriffs' Association\u003c/a>, currently led by Moore, opposed the measure as costly and unnecessary, and the California State Association of Counties objected to the measure's interference with local autonomy.\u003c/p>\n\u003cp>While the legislation ultimately failed, San Joaquin County supervisors moved to \u003ca href=\"https://www.kqed.org/news/11664465/san-joaquin-county-sheriff-stripped-of-role-in-death-investigations\" target=\"_blank\" rel=\"noopener\">strip\u003c/a> the sheriff of his coroner duties and establish an independent medical examiner’s office. That effort is ongoing.\u003c/p>\n\u003cp>Moore \u003ca href=\"https://www.kqed.org/news/11672974/sheriff-accused-of-interfering-in-death-investigations-loses-re-election-bid\" target=\"_blank\" rel=\"noopener\">lost\u003c/a> his re-election in June.\u003c/p>\n\u003cp>Omalu recently opened new \u003ca href=\"https://www.bennetomalu.com/\" target=\"_blank\" rel=\"noopener\">offices\u003c/a> and is providing autopsies for several local entities and expert witness testimony in cases throughout the U.S.\u003c/p>\n\u003cp>Pan plans to keep trying to improve death investigations in California. Contrary to the governor’s veto message, the senator thinks that local officials are unlikely to challenge the sheriff-coroner system.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>“Sheriffs have tremendous political power in counties,” Pan said. “That’s why many counties have been very slow to address this issue.”\u003c/p>\n\n\u003c/div>\u003c/p>","attributes":{"named":{},"numeric":[]}}],"link":"/news/11693911/governor-vetoes-bill-that-sought-independence-in-death-investigations","authors":["6625"],"programs":["news_72"],"categories":["news_6188","news_8"],"tags":["news_22173","news_21742","news_23360","news_21047","news_22171","news_22846","news_22172"],"featImg":"news_11633434","label":"news_72"},"news_11670624":{"type":"posts","id":"news_11670624","meta":{"index":"posts_1591205157","site":"news","id":"11670624","score":null,"sort":[1527637206000]},"guestAuthors":[],"slug":"coroner-training-seeks-to-raise-standards-for-california-death-investigations","title":"Coroner Training Seeks to Raise Standards for California Death Investigations","publishDate":1527637206,"format":"audio","headTitle":"The California Report | KQED News","labelTerm":{"term":72,"site":"news"},"content":"\u003cp>Every year, hundreds of death investigators from across California travel to a unique training facility in Santa Ana to sharpen their skills and deepen their knowledge of the critical job.\u003c/p>\n\u003cp>The people responsible for investigating sudden, suspicious or violent deaths in a county take photos of the body, collect evidence, interview witnesses and prepare a report of their findings that ultimately contributes to a decision on how and why someone died, and what goes on a person's death certificate.\u003c/p>\n\u003cp>Decades ago the \u003ca href=\"https://www.coroners.org/\" target=\"_blank\" rel=\"noopener\">California State Coroners Association\u003c/a> and the Orange County Sheriff's Department recognized the need to standardize training for the job. In 1989 they began offering courses, often out of hotel ballrooms. But that limited what they could do. Years later they secured $15 million to build the \u003ca href=\"http://www.ocsd.org/divisions/fieldops/coroner/cctc\" target=\"_blank\" rel=\"noopener\">California Coroner Training Center\u003c/a>. The doors opened in 2004, and so did the opportunity to provide hands-on courses.\u003c/p>\n\u003ch3>'There's No Real Dead People in Here'\u003c/h3>\n\u003cp>\"What we did is we built just one big wide open room,\" said Assistant Chief Deputy Coroner for Orange County Bruce Lyle on a recent tour. \"There's a drain in the floor in case we needed blood or fluids -- fake fluids -- to mock it.\"\u003c/p>\n\u003cp>Lyle, who teaches some of the courses, quickly added, \"There's no real dead people in here.\"\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>Contained inside the room is a set of a two-bedroom apartment built out of plywood. From the outside it doesn't look like much, but inside the place is decorated and furnished with furniture, props and eerily realistic latex dummies.\u003c/p>\n\u003cp>\"He's not a very clean person,\" Lyle said of one dummy. \"He's kind of grubby. He's got a 5 o'clock shadow. You can feel it on his face.\"\u003c/p>\n\u003cp>The dummy's name, Emmanuel Quin -- or \"Manny\" Quin for short -- provides comic relief to the otherwise grim task of identifying the decedent and determining how long ago he died.\u003c/p>\n\u003cp>\"There are certain changes in the body\" Lyle explained, \"and one of them is the decomposition.\"\u003c/p>\n\u003cp>The dummy was commissioned by Burbank's \u003ca href=\"https://www.burmanfoam.com/\" target=\"_blank\" rel=\"noopener\">Burman Studio\u003c/a> to exhibit signs of decomposition, including discoloration of the skin.\u003c/p>\n\u003cp>The trainers load the set with other clues, including cigarette butts, an empty bottle of tequila, a dated prescription for pills, and a dried-out slice of pizza in a box on the floor.\u003c/p>\n\u003cp>Lyle said the barrage of stimuli simulates what investigators typically encounter at the scene of someone's death.\u003c/p>\n\u003cp>\"We have to sort of teach people to cut through all that business and get to the important stuff,\" Lyle says.\u003c/p>\n\u003cfigure id=\"attachment_11671398\" class=\"wp-caption aligncenter\" style=\"max-width: 800px\">\u003cimg class=\"size-medium wp-image-11671398\" src=\"https://ww2.kqed.org/news/wp-content/uploads/sites/10/2018/05/CoronerTrainingBldg-800x488.jpg\" alt=\"The California Coroner's Training Facility in Orange County.\" width=\"800\" height=\"488\" srcset=\"https://ww2.kqed.org/app/uploads/sites/10/2018/05/CoronerTrainingBldg-800x488.jpg 800w, https://ww2.kqed.org/app/uploads/sites/10/2018/05/CoronerTrainingBldg-160x98.jpg 160w, https://ww2.kqed.org/app/uploads/sites/10/2018/05/CoronerTrainingBldg-240x146.jpg 240w, https://ww2.kqed.org/app/uploads/sites/10/2018/05/CoronerTrainingBldg-375x229.jpg 375w, https://ww2.kqed.org/app/uploads/sites/10/2018/05/CoronerTrainingBldg-520x317.jpg 520w, https://ww2.kqed.org/app/uploads/sites/10/2018/05/CoronerTrainingBldg.jpg 867w\" sizes=\"(max-width: 800px) 100vw, 800px\">\u003cfigcaption class=\"wp-caption-text\">The California Coroner Training Center in Orange County trains coroners from across California. \u003ccite>(Courtesy Orange County Sheriff's Dept.)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>When trainings are in session, actors play bereaved relatives or roommates with information the investigator has to elicit.\u003c/p>\n\u003cp>\"The last thing I want to do is have somebody come in and just look at the body and think that that's the extent of their investigation,\" Lyle says.\u003c/p>\n\u003cp>Most of the death investigators that come for the training work for one of 41 counties in California where the sheriff and coroner’s office are one.\u003c/p>\n\u003cp>Lyle, who is also incoming president of the California State Coroners Association, says the philosophy for the training is to get attendees to apply their experience investigating crimes to death investigations.\u003c/p>\n\u003cp>According to the Orange County Sheriff's Department website, \"The ultimate vision of the Training Center’s leadership is to 'raise the bar' in the coroner profession by improving the caliber of investigations conducted throughout the state.\"\u003c/p>\n\u003ch3>Varying Levels of Expertise\u003c/h3>\n\u003cp>The level of expertise in death investigations varies widely from county to county.\u003c/p>\n\u003cp>Some of the larger sheriff's departments in Orange County and San Bernardino County created a separate coroner's division and assigned dedicated deputies to investigate deaths, which allowed them to develop expertise over years, even decades.\u003c/p>\n\u003caside class=\"alignright\">\n\u003ch3>\u003ca href=\"https://www.kqed.org/news/11648821/how-families-in-san-joaquin-county-pay-for-coroner-mistakes\">How Families Pay for San Joaquin Coroner Mistakes\u003c/a>\u003c/h3>\n\u003cfigure>\u003ca href=\"https://www.kqed.org/news/11648821/how-families-in-san-joaquin-county-pay-for-coroner-mistakes\">\u003cimg src=\"https://ww2.kqed.org/news/wp-content/uploads/sites/10/2018/02/RS29311_alt_681-1180x1573.jpg\" alt=\"\">\u003c/a>\u003c/figure>\n\u003c/aside>\n\u003cp>Smaller counties such as San Joaquin County dedicated a handful of deputies for coroner's work who typically investigate more complex death scenes such as a homicide -- but often patrol deputies who received minimal training in death investigations respond to the scene of a death.\u003c/p>\n\u003cp>The Orange County Sheriff-Coroner's Office is working with the California State Coroners Association to establish an accreditation program for death investigators.\u003c/p>\n\u003ch3>Some Counties Could Be Required to End Sheriff's Role as Coroner\u003c/h3>\n\u003cp>Some of those offices could change under \u003ca href=\"https://leginfo.legislature.ca.gov/faces/billTextClient.xhtml?bill_id=201720180SB1303\" target=\"_blank\" rel=\"noopener\">state Senate Bill 1303\u003c/a>. The bill would force several large counties to create a completely separate medical examiner’s office for death investigations -- with a physician in charge.\u003c/p>\n\u003cp>The measure was introduced by Sen. Richard Pan in response to a scandal in Joaquin County that erupted last year.\u003c/p>\n\u003cp>Two forensic pathologists who worked for Sheriff-Coroner Steve Moore \u003ca href=\"https://www.kqed.org/news/11633330/autopsy-doctor-quits-alleges-sheriff-interfered-in-death-probes\" target=\"_blank\" rel=\"noopener\">accused him of pressuring them\u003c/a> to change their autopsy findings in deaths involving law enforcement officers. Moore denied the allegations.\u003c/p>\n\u003cp>The doctors also faulted the inexperience among deputies responding to coroner calls for driving up costs and \u003ca href=\"https://www.kqed.org/news/11648821/how-families-in-san-joaquin-county-pay-for-coroner-mistakes\" target=\"_blank\" rel=\"noopener\">creating backlogs and delays\u003c/a>.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>If passed, SB 1303 would not interfere with the plans to expand coroner training at the facility in Orange County.\u003c/p>\n\n","blocks":[],"excerpt":"Investigators practice on a \"dummy\" corpse inside a set built to look like a real apartment as they practice skills needed to identify the cause and manner of death.","status":"publish","parent":0,"modified":1527642012,"stats":{"hasAudio":false,"hasVideo":false,"hasChartOrMap":false,"iframeSrcs":[],"hasGoogleForm":false,"hasGallery":false,"hasHearkenModule":false,"hasPolis":false,"paragraphCount":29,"wordCount":883},"headData":{"title":"Coroner Training Seeks to Raise Standards for California Death Investigations | KQED","description":"Investigators practice on a "dummy" corpse inside a set built to look like a real apartment as they practice skills needed to identify the cause and manner of death.","ogTitle":"","ogDescription":"","ogImgId":"","twTitle":"","twDescription":"","twImgId":"","schema":{"@context":"http://schema.org","@type":"NewsArticle","headline":"Coroner Training Seeks to Raise Standards for California Death Investigations","datePublished":"2018-05-29T23:40:06.000Z","dateModified":"2018-05-30T01:00:12.000Z","image":"https://cdn.kqed.org/wp-content/uploads/2020/02/KQED-OG-Image@1x.png","isAccessibleForFree":"Y","publisher":{"@type":"NewsMediaOrganization","@id":"https://www.kqed.org/#organization","name":"KQED","url":"https://www.kqed.org","logo":"https://cdn.kqed.org/wp-content/uploads/2020/02/KQED-OG-Image@1x.png"}}},"disqusIdentifier":"11670624 https://ww2.kqed.org/news/?p=11670624","disqusUrl":"https://ww2.kqed.org/news/2018/05/29/coroner-training-seeks-to-raise-standards-for-california-death-investigations/","disqusTitle":"Coroner Training Seeks to Raise Standards for California Death Investigations","audioUrl":"https://www.kqed.org/.stream/anon/radio/tcr/2018/05/CoronerTrainingSmall180525.mp3","path":"/news/11670624/coroner-training-seeks-to-raise-standards-for-california-death-investigations","audioDuration":242000,"audioTrackLength":null,"parsedContent":[{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003cp>Every year, hundreds of death investigators from across California travel to a unique training facility in Santa Ana to sharpen their skills and deepen their knowledge of the critical job.\u003c/p>\n\u003cp>The people responsible for investigating sudden, suspicious or violent deaths in a county take photos of the body, collect evidence, interview witnesses and prepare a report of their findings that ultimately contributes to a decision on how and why someone died, and what goes on a person's death certificate.\u003c/p>\n\u003cp>Decades ago the \u003ca href=\"https://www.coroners.org/\" target=\"_blank\" rel=\"noopener\">California State Coroners Association\u003c/a> and the Orange County Sheriff's Department recognized the need to standardize training for the job. In 1989 they began offering courses, often out of hotel ballrooms. But that limited what they could do. Years later they secured $15 million to build the \u003ca href=\"http://www.ocsd.org/divisions/fieldops/coroner/cctc\" target=\"_blank\" rel=\"noopener\">California Coroner Training Center\u003c/a>. The doors opened in 2004, and so did the opportunity to provide hands-on courses.\u003c/p>\n\u003ch3>'There's No Real Dead People in Here'\u003c/h3>\n\u003cp>\"What we did is we built just one big wide open room,\" said Assistant Chief Deputy Coroner for Orange County Bruce Lyle on a recent tour. \"There's a drain in the floor in case we needed blood or fluids -- fake fluids -- to mock it.\"\u003c/p>\n\u003cp>Lyle, who teaches some of the courses, quickly added, \"There's no real dead people in here.\"\u003c/p>\n\u003cp>\u003c/p>\u003c/div>","attributes":{"named":{},"numeric":[]}},{"type":"component","content":"","name":"ad","attributes":{"named":{"label":"fullwidth"},"numeric":["fullwidth"]}},{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>Contained inside the room is a set of a two-bedroom apartment built out of plywood. From the outside it doesn't look like much, but inside the place is decorated and furnished with furniture, props and eerily realistic latex dummies.\u003c/p>\n\u003cp>\"He's not a very clean person,\" Lyle said of one dummy. \"He's kind of grubby. He's got a 5 o'clock shadow. You can feel it on his face.\"\u003c/p>\n\u003cp>The dummy's name, Emmanuel Quin -- or \"Manny\" Quin for short -- provides comic relief to the otherwise grim task of identifying the decedent and determining how long ago he died.\u003c/p>\n\u003cp>\"There are certain changes in the body\" Lyle explained, \"and one of them is the decomposition.\"\u003c/p>\n\u003cp>The dummy was commissioned by Burbank's \u003ca href=\"https://www.burmanfoam.com/\" target=\"_blank\" rel=\"noopener\">Burman Studio\u003c/a> to exhibit signs of decomposition, including discoloration of the skin.\u003c/p>\n\u003cp>The trainers load the set with other clues, including cigarette butts, an empty bottle of tequila, a dated prescription for pills, and a dried-out slice of pizza in a box on the floor.\u003c/p>\n\u003cp>Lyle said the barrage of stimuli simulates what investigators typically encounter at the scene of someone's death.\u003c/p>\n\u003cp>\"We have to sort of teach people to cut through all that business and get to the important stuff,\" Lyle says.\u003c/p>\n\u003cfigure id=\"attachment_11671398\" class=\"wp-caption aligncenter\" style=\"max-width: 800px\">\u003cimg class=\"size-medium wp-image-11671398\" src=\"https://ww2.kqed.org/news/wp-content/uploads/sites/10/2018/05/CoronerTrainingBldg-800x488.jpg\" alt=\"The California Coroner's Training Facility in Orange County.\" width=\"800\" height=\"488\" srcset=\"https://ww2.kqed.org/app/uploads/sites/10/2018/05/CoronerTrainingBldg-800x488.jpg 800w, https://ww2.kqed.org/app/uploads/sites/10/2018/05/CoronerTrainingBldg-160x98.jpg 160w, https://ww2.kqed.org/app/uploads/sites/10/2018/05/CoronerTrainingBldg-240x146.jpg 240w, https://ww2.kqed.org/app/uploads/sites/10/2018/05/CoronerTrainingBldg-375x229.jpg 375w, https://ww2.kqed.org/app/uploads/sites/10/2018/05/CoronerTrainingBldg-520x317.jpg 520w, https://ww2.kqed.org/app/uploads/sites/10/2018/05/CoronerTrainingBldg.jpg 867w\" sizes=\"(max-width: 800px) 100vw, 800px\">\u003cfigcaption class=\"wp-caption-text\">The California Coroner Training Center in Orange County trains coroners from across California. \u003ccite>(Courtesy Orange County Sheriff's Dept.)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>When trainings are in session, actors play bereaved relatives or roommates with information the investigator has to elicit.\u003c/p>\n\u003cp>\"The last thing I want to do is have somebody come in and just look at the body and think that that's the extent of their investigation,\" Lyle says.\u003c/p>\n\u003cp>Most of the death investigators that come for the training work for one of 41 counties in California where the sheriff and coroner’s office are one.\u003c/p>\n\u003cp>Lyle, who is also incoming president of the California State Coroners Association, says the philosophy for the training is to get attendees to apply their experience investigating crimes to death investigations.\u003c/p>\n\u003cp>According to the Orange County Sheriff's Department website, \"The ultimate vision of the Training Center’s leadership is to 'raise the bar' in the coroner profession by improving the caliber of investigations conducted throughout the state.\"\u003c/p>\n\u003ch3>Varying Levels of Expertise\u003c/h3>\n\u003cp>The level of expertise in death investigations varies widely from county to county.\u003c/p>\n\u003cp>Some of the larger sheriff's departments in Orange County and San Bernardino County created a separate coroner's division and assigned dedicated deputies to investigate deaths, which allowed them to develop expertise over years, even decades.\u003c/p>\n\u003caside class=\"alignright\">\n\u003ch3>\u003ca href=\"https://www.kqed.org/news/11648821/how-families-in-san-joaquin-county-pay-for-coroner-mistakes\">How Families Pay for San Joaquin Coroner Mistakes\u003c/a>\u003c/h3>\n\u003cfigure>\u003ca href=\"https://www.kqed.org/news/11648821/how-families-in-san-joaquin-county-pay-for-coroner-mistakes\">\u003cimg src=\"https://ww2.kqed.org/news/wp-content/uploads/sites/10/2018/02/RS29311_alt_681-1180x1573.jpg\" alt=\"\">\u003c/a>\u003c/figure>\n\u003c/aside>\n\u003cp>Smaller counties such as San Joaquin County dedicated a handful of deputies for coroner's work who typically investigate more complex death scenes such as a homicide -- but often patrol deputies who received minimal training in death investigations respond to the scene of a death.\u003c/p>\n\u003cp>The Orange County Sheriff-Coroner's Office is working with the California State Coroners Association to establish an accreditation program for death investigators.\u003c/p>\n\u003ch3>Some Counties Could Be Required to End Sheriff's Role as Coroner\u003c/h3>\n\u003cp>Some of those offices could change under \u003ca href=\"https://leginfo.legislature.ca.gov/faces/billTextClient.xhtml?bill_id=201720180SB1303\" target=\"_blank\" rel=\"noopener\">state Senate Bill 1303\u003c/a>. The bill would force several large counties to create a completely separate medical examiner’s office for death investigations -- with a physician in charge.\u003c/p>\n\u003cp>The measure was introduced by Sen. Richard Pan in response to a scandal in Joaquin County that erupted last year.\u003c/p>\n\u003cp>Two forensic pathologists who worked for Sheriff-Coroner Steve Moore \u003ca href=\"https://www.kqed.org/news/11633330/autopsy-doctor-quits-alleges-sheriff-interfered-in-death-probes\" target=\"_blank\" rel=\"noopener\">accused him of pressuring them\u003c/a> to change their autopsy findings in deaths involving law enforcement officers. Moore denied the allegations.\u003c/p>\n\u003cp>The doctors also faulted the inexperience among deputies responding to coroner calls for driving up costs and \u003ca href=\"https://www.kqed.org/news/11648821/how-families-in-san-joaquin-county-pay-for-coroner-mistakes\" target=\"_blank\" rel=\"noopener\">creating backlogs and delays\u003c/a>.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>If passed, SB 1303 would not interfere with the plans to expand coroner training at the facility in Orange County.\u003c/p>\n\n\u003c/div>\u003c/p>","attributes":{"named":{},"numeric":[]}}],"link":"/news/11670624/coroner-training-seeks-to-raise-standards-for-california-death-investigations","authors":["6625"],"programs":["news_72"],"categories":["news_6188","news_8"],"tags":["news_21742","news_22434","news_23360","news_18371","news_5831","news_21047","news_22171","news_22846"],"featImg":"news_11671419","label":"news_72"}},"programsReducer":{"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/","meta":{"site":"news","source":"Possible"},"link":"/radio/program/possible","subscribe":{"apple":"https://podcasts.apple.com/us/podcast/possible/id1677184070","spotify":"https://open.spotify.com/show/730YpdUSNlMyPQwNnyjp4k"}},"1a":{"id":"1a","title":"1A","info":"1A is home to the national conversation. 1A brings on great guests and frames the best debate in ways that make you think, share and engage.","airtime":"MON-THU 11pm-12am","imageSrc":"https://ww2.kqed.org/radio/wp-content/uploads/sites/50/2018/04/1a.jpg","officialWebsiteLink":"https://the1a.org/","meta":{"site":"news","source":"npr"},"link":"/radio/program/1a","subscribe":{"npr":"https://rpb3r.app.goo.gl/RBrW","apple":"https://itunes.apple.com/WebObjects/MZStore.woa/wa/viewPodcast?s=143441&mt=2&id=1188724250&at=11l79Y&ct=nprdirectory","tuneIn":"https://tunein.com/radio/1A-p947376/","rss":"https://feeds.npr.org/510316/podcast.xml"}},"all-things-considered":{"id":"all-things-considered","title":"All Things Considered","info":"Every weekday, \u003cem>All Things Considered\u003c/em> hosts Robert Siegel, Audie Cornish, Ari Shapiro, and Kelly McEvers present the program's trademark mix of news, interviews, commentaries, reviews, and offbeat features. Michel Martin hosts on the weekends.","airtime":"MON-FRI 1pm-2pm, 4:30pm-6:30pm\u003cbr />SAT-SUN 5pm-6pm","imageSrc":"https://cdn.kqed.org/wp-content/uploads/2024/04/All-Things-Considered-Podcast-Tile-360x360-1.jpg","officialWebsiteLink":"https://www.npr.org/programs/all-things-considered/","meta":{"site":"news","source":"npr"},"link":"/radio/program/all-things-considered"},"american-suburb-podcast":{"id":"american-suburb-podcast","title":"American Suburb: The Podcast","tagline":"The flip side of gentrification, told through one town","info":"Gentrification is changing cities across America, forcing people from neighborhoods they have long called home. Call them the displaced. Now those priced out of the Bay Area are looking for a better life in an unlikely place. American Suburb follows this migration to one California town along the Delta, 45 miles from San Francisco. But is this once sleepy suburb ready for them?","imageSrc":"https://cdn.kqed.org/wp-content/uploads/2024/04/American-Suburb-Podcast-Tile-703x703-1.jpg","officialWebsiteLink":"/news/series/american-suburb-podcast","meta":{"site":"news","source":"kqed","order":"13"},"link":"/news/series/american-suburb-podcast/","subscribe":{"npr":"https://rpb3r.app.goo.gl/RBrW","apple":"https://itunes.apple.com/WebObjects/MZStore.woa/wa/viewPodcast?mt=2&id=1287748328","tuneIn":"https://tunein.com/radio/American-Suburb-p1086805/","rss":"https://ww2.kqed.org/news/series/american-suburb-podcast/feed/podcast","google":"https://podcasts.google.com/feed/aHR0cHM6Ly9mZWVkcy5tZWdhcGhvbmUuZm0vS1FJTkMzMDExODgxNjA5"}},"baycurious":{"id":"baycurious","title":"Bay Curious","tagline":"Exploring the Bay Area, one question at a time","info":"KQED’s new podcast, Bay Curious, gets to the bottom of the mysteries — both profound and peculiar — that give the Bay Area its unique identity. And we’ll do it with your help! You ask the questions. You decide what Bay Curious investigates. And you join us on the journey to find the answers.","imageSrc":"https://cdn.kqed.org/wp-content/uploads/2024/04/Bay-Curious-Podcast-Tile-703x703-1.jpg","imageAlt":"\"KQED Bay Curious","officialWebsiteLink":"/news/series/baycurious","meta":{"site":"news","source":"kqed","order":"4"},"link":"/podcasts/baycurious","subscribe":{"apple":"https://podcasts.apple.com/us/podcast/bay-curious/id1172473406","npr":"https://www.npr.org/podcasts/500557090/bay-curious","rss":"https://ww2.kqed.org/news/category/bay-curious-podcast/feed/podcast","google":"https://podcasts.google.com/feed/aHR0cHM6Ly93dzIua3FlZC5vcmcvbmV3cy9jYXRlZ29yeS9iYXktY3VyaW91cy1wb2RjYXN0L2ZlZWQvcG9kY2FzdA","stitcher":"https://www.stitcher.com/podcast/kqed/bay-curious","spotify":"https://open.spotify.com/show/6O76IdmhixfijmhTZLIJ8k"}},"bbc-world-service":{"id":"bbc-world-service","title":"BBC World Service","info":"The day's top stories from BBC News compiled twice daily in the week, once at weekends.","airtime":"MON-FRI 9pm-10pm, TUE-FRI 1am-2am","imageSrc":"https://cdn.kqed.org/wp-content/uploads/2024/04/BBC-World-Service-Podcast-Tile-360x360-1.jpg","officialWebsiteLink":"https://www.bbc.co.uk/sounds/play/live:bbc_world_service","meta":{"site":"news","source":"BBC World Service"},"link":"/radio/program/bbc-world-service","subscribe":{"apple":"https://itunes.apple.com/us/podcast/global-news-podcast/id135067274?mt=2","tuneIn":"https://tunein.com/radio/BBC-World-Service-p455581/","rss":"https://podcasts.files.bbci.co.uk/p02nq0gn.rss"}},"code-switch-life-kit":{"id":"code-switch-life-kit","title":"Code Switch / Life Kit","info":"\u003cem>Code Switch\u003c/em>, which listeners will hear in the first part of the hour, has fearless and much-needed conversations about race. Hosted by journalists of color, the show tackles the subject of race head-on, exploring how it impacts every part of society — from politics and pop culture to history, sports and more.\u003cbr />\u003cbr />\u003cem>Life Kit\u003c/em>, which will be in the second part of the hour, guides you through spaces and feelings no one prepares you for — from finances to mental health, from workplace microaggressions to imposter syndrome, from relationships to parenting. The show features experts with real world experience and shares their knowledge. Because everyone needs a little help being human.\u003cbr />\u003cbr />\u003ca href=\"https://www.npr.org/podcasts/510312/codeswitch\">\u003cem>Code Switch\u003c/em> offical site and podcast\u003c/a>\u003cbr />\u003ca href=\"https://www.npr.org/lifekit\">\u003cem>Life Kit\u003c/em> offical site and podcast\u003c/a>\u003cbr />","airtime":"SUN 9pm-10pm","imageSrc":"https://cdn.kqed.org/wp-content/uploads/2024/04/Code-Switch-Life-Kit-Podcast-Tile-360x360-1.jpg","meta":{"site":"radio","source":"npr"},"link":"/radio/program/code-switch-life-kit","subscribe":{"apple":"https://podcasts.apple.com/podcast/1112190608?mt=2&at=11l79Y&ct=nprdirectory","google":"https://podcasts.google.com/feed/aHR0cHM6Ly93d3cubnByLm9yZy9yc3MvcG9kY2FzdC5waHA_aWQ9NTEwMzEy","spotify":"https://open.spotify.com/show/3bExJ9JQpkwNhoHvaIIuyV","rss":"https://feeds.npr.org/510312/podcast.xml"}},"commonwealth-club":{"id":"commonwealth-club","title":"Commonwealth Club of California Podcast","info":"The Commonwealth Club of California is the nation's oldest and largest public affairs forum. As a non-partisan forum, The Club brings to the public airwaves diverse viewpoints on important topics. The Club's weekly radio broadcast - the oldest in the U.S., dating back to 1924 - is carried across the nation on public radio stations and is now podcasting. Our website archive features audio of our recent programs, as well as selected speeches from our long and distinguished history. This podcast feed is usually updated twice a week and is always un-edited.","airtime":"THU 10pm, FRI 1am","imageSrc":"https://cdn.kqed.org/wp-content/uploads/2024/04/Commonwealth-Club-Podcast-Tile-360x360-1.jpg","officialWebsiteLink":"https://www.commonwealthclub.org/podcasts","meta":{"site":"news","source":"Commonwealth Club of California"},"link":"/radio/program/commonwealth-club","subscribe":{"apple":"https://itunes.apple.com/us/podcast/commonwealth-club-of-california-podcast/id976334034?mt=2","google":"https://podcasts.google.com/feed/aHR0cDovL3d3dy5jb21tb253ZWFsdGhjbHViLm9yZy9hdWRpby9wb2RjYXN0L3dlZWtseS54bWw","tuneIn":"https://tunein.com/radio/Commonwealth-Club-of-California-p1060/"}},"considerthis":{"id":"considerthis","title":"Consider This","tagline":"Make sense of the day","info":"Make sense of the day. Every weekday afternoon, Consider This helps you consider the major stories of the day in less than 15 minutes, featuring the reporting and storytelling resources of NPR. Plus, KQED’s Bianca Taylor brings you the local KQED news you need to know.","imageSrc":"https://cdn.kqed.org/wp-content/uploads/2024/04/Consider-This-Podcast-Tile-703x703-1.jpg","imageAlt":"Consider This from NPR and KQED","officialWebsiteLink":"/podcasts/considerthis","meta":{"site":"news","source":"kqed","order":"7"},"link":"/podcasts/considerthis","subscribe":{"apple":"https://podcasts.apple.com/podcast/id1503226625?mt=2&at=11l79Y&ct=nprdirectory","npr":"https://rpb3r.app.goo.gl/coronavirusdaily","google":"https://podcasts.google.com/feed/aHR0cHM6Ly9mZWVkcy5ucHIub3JnLzUxMDM1NS9wb2RjYXN0LnhtbA","spotify":"https://open.spotify.com/show/3Z6JdCS2d0eFEpXHKI6WqH"}},"forum":{"id":"forum","title":"Forum","tagline":"The conversation starts here","info":"KQED’s live call-in program discussing local, state, national and international issues, as well as in-depth interviews.","airtime":"MON-FRI 9am-11am, 10pm-11pm","imageSrc":"https://cdn.kqed.org/wp-content/uploads/2024/04/Forum-Podcast-Tile-703x703-1.jpg","imageAlt":"KQED Forum with Mina Kim and Alexis Madrigal","officialWebsiteLink":"/forum","meta":{"site":"news","source":"kqed","order":"8"},"link":"/forum","subscribe":{"apple":"https://podcasts.apple.com/us/podcast/kqeds-forum/id73329719","google":"https://podcasts.google.com/feed/aHR0cHM6Ly9mZWVkcy5tZWdhcGhvbmUuZm0vS1FJTkM5NTU3MzgxNjMz","npr":"https://www.npr.org/podcasts/432307980/forum","stitcher":"https://www.stitcher.com/podcast/kqedfm-kqeds-forum-podcast","rss":"https://feeds.megaphone.fm/KQINC9557381633"}},"freakonomics-radio":{"id":"freakonomics-radio","title":"Freakonomics Radio","info":"Freakonomics Radio is a one-hour award-winning podcast and public-radio project hosted by Stephen Dubner, with co-author Steve Levitt as a regular guest. It is produced in partnership with WNYC.","imageSrc":"https://ww2.kqed.org/news/wp-content/uploads/sites/10/2018/05/freakonomicsRadio.png","officialWebsiteLink":"http://freakonomics.com/","airtime":"SUN 1am-2am, SAT 3pm-4pm","meta":{"site":"radio","source":"WNYC"},"link":"/radio/program/freakonomics-radio","subscribe":{"npr":"https://rpb3r.app.goo.gl/4s8b","apple":"https://itunes.apple.com/us/podcast/freakonomics-radio/id354668519","tuneIn":"https://tunein.com/podcasts/WNYC-Podcasts/Freakonomics-Radio-p272293/","rss":"https://feeds.feedburner.com/freakonomicsradio"}},"fresh-air":{"id":"fresh-air","title":"Fresh Air","info":"Hosted by Terry Gross, \u003cem>Fresh Air from WHYY\u003c/em> is the Peabody Award-winning weekday magazine of contemporary arts and issues. One of public radio's most popular programs, Fresh Air features intimate conversations with today's biggest luminaries.","airtime":"MON-FRI 7pm-8pm","imageSrc":"https://cdn.kqed.org/wp-content/uploads/2024/04/Fresh-Air-Podcast-Tile-360x360-1.jpg","officialWebsiteLink":"https://www.npr.org/programs/fresh-air/","meta":{"site":"radio","source":"npr"},"link":"/radio/program/fresh-air","subscribe":{"npr":"https://rpb3r.app.goo.gl/4s8b","apple":"https://itunes.apple.com/WebObjects/MZStore.woa/wa/viewPodcast?s=143441&mt=2&id=214089682&at=11l79Y&ct=nprdirectory","tuneIn":"https://tunein.com/radio/Fresh-Air-p17/","rss":"https://feeds.npr.org/381444908/podcast.xml"}},"here-and-now":{"id":"here-and-now","title":"Here & Now","info":"A live production of NPR and WBUR Boston, in collaboration with stations across the country, Here & Now reflects the fluid world of news as it's happening in the middle of the day, with timely, in-depth news, interviews and conversation. Hosted by Robin Young, Jeremy Hobson and Tonya Mosley.","airtime":"MON-THU 11am-12pm","imageSrc":"https://cdn.kqed.org/wp-content/uploads/2024/04/Here-And-Now-Podcast-Tile-360x360-1.jpg","officialWebsiteLink":"http://www.wbur.org/hereandnow","meta":{"site":"news","source":"npr"},"link":"/radio/program/here-and-now","subsdcribe":{"apple":"https://itunes.apple.com/WebObjects/MZStore.woa/wa/viewPodcast?mt=2&id=426698661","tuneIn":"https://tunein.com/radio/Here--Now-p211/","rss":"https://feeds.npr.org/510051/podcast.xml"}},"how-i-built-this":{"id":"how-i-built-this","title":"How I Built This with Guy Raz","info":"Guy Raz dives into the stories behind some of the world's best known companies. How I Built This weaves a narrative journey about innovators, entrepreneurs and idealists—and the movements they built.","imageSrc":"https://ww2.kqed.org/news/wp-content/uploads/sites/10/2018/05/howIBuiltThis.png","officialWebsiteLink":"https://www.npr.org/podcasts/510313/how-i-built-this","airtime":"SUN 7:30pm-8pm","meta":{"site":"news","source":"npr"},"link":"/radio/program/how-i-built-this","subscribe":{"npr":"https://rpb3r.app.goo.gl/3zxy","apple":"https://itunes.apple.com/us/podcast/how-i-built-this-with-guy-raz/id1150510297?mt=2","tuneIn":"https://tunein.com/podcasts/Arts--Culture-Podcasts/How-I-Built-This-p910896/","rss":"https://feeds.npr.org/510313/podcast.xml"}},"inside-europe":{"id":"inside-europe","title":"Inside Europe","info":"Inside Europe, a one-hour weekly news magazine hosted by Helen Seeney and Keith Walker, explores the topical issues shaping the continent. 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Download Chris’s Song of the Week plus other highlights from the broadcast. Produced by American Public Media.","airtime":"SAT 6pm-8pm, SUN 11am-1pm","imageSrc":"https://cdn.kqed.org/wp-content/uploads/2024/04/Live-From-Here-Podcast-Tile-360x360-1.jpg","officialWebsiteLink":"https://www.livefromhere.org/","meta":{"site":"arts","source":"american public media"},"link":"/radio/program/live-from-here-highlights","subscribe":{"apple":"https://itunes.apple.com/us/podcast/id1167173941","tuneIn":"https://tunein.com/radio/Live-from-Here-Highlights-p921744/","rss":"https://feeds.publicradio.org/public_feeds/a-prairie-home-companion-highlights/rss/rss"}},"marketplace":{"id":"marketplace","title":"Marketplace","info":"Our flagship program, helmed by Kai Ryssdal, examines what the day in money delivered, through stories, conversations, newsworthy numbers and more. 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