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"disqusTitle": "Fentanyl Is Killing More People During the Pandemic. In Santa Clara County, Victims Are Getting Younger",
"title": "Fentanyl Is Killing More People During the Pandemic. In Santa Clara County, Victims Are Getting Younger",
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"content": "\u003cp>\u003cem>Go to resources:\u003c/em>\u003c/p>\n\u003cul>\n\u003cli>\u003cstrong>\u003ca href=\"#prevention\">How to spot and prevent a fentanyl overdose\u003c/a>\u003c/strong>\u003c/li>\n\u003cli>\u003cstrong>\u003ca href=\"#help\">Where to find help for addiction in the Bay Area\u003c/a>\u003c/strong>\u003c/li>\n\u003c/ul>\n\u003cp>\u003cspan style=\"font-size: 4.6875em; float: left; line-height: 0.733em; padding: 0.05em 0.1em 0 0; font-family: times, serif, georgia;\">H\u003c/span>oward’s son loved everything about the natural world, but especially the Earth’s soil.\u003c/p>\n\u003cp>“He grew vegetables in our backyard, experimented with different soils. That's what he was super passionate about,” said Howard, describing his 18-year-old son, who had been accepted to a California state university to study soil science.\u003c/p>\n\u003cp>Looking out on the lush garden from the living room of his Silicon Valley home, Howard recounted why that never happened.\u003c/p>\n\u003cp>Last fall, because of the COVID-19 pandemic, the teenager chose to defer for a semester, with the hope that in-person instruction would resume. During the wait, he went to stay with a friend in another state. Then, the day before Thanksgiving, Howard got a call from that friend’s family.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>“They were to go snowboarding,” Howard said. “They went to wake him and he had passed.”\u003c/p>\n\u003cp>Howard’s son died Nov. 25, 2020 from a single pill of what he thought was Percocet — a commonly prescribed painkiller that contains acetaminophen and the opioid medication oxycodone. A friend in Santa Clara County sent it to him.\u003c/p>\n\u003cp>A toxicology report later showed that the pill actually contained fentanyl, a synthetic opioid so strong that just 2 milligrams can kill a person in a matter of minutes.\u003c/p>\n\u003cp>Howard, a technology company executive, spoke to KQED on the condition that we not use his full name or identify his son, in order to preserve the privacy of his younger child. He said he’s also concerned about protecting an ongoing criminal investigation into his son’s death, but agreed to an interview because he wants to warn other parents and teenagers.\u003c/p>\n\u003cp>“We didn't know,” Howard said. “You read about fentanyl as if it's in some far-off place. ... It's not.”\u003c/p>\n\u003cp>The teenager’s death was part of a dramatic rise in deadly, fentanyl-related overdoses in Santa Clara County during the pandemic, particularly among school-aged children and young adults. In 2020, the number of fentanyl deaths in the county more than doubled, and the victims were younger, on average, than in the previous two years, according to an analysis by KQED and the \u003ca href=\"https://documentingcovid19.io/home\">Documenting COVID-19 project\u003c/a> at Columbia University’s Brown Institute for Media Innovation.\u003c/p>\n\u003cp>The Documenting COVID-19 project and KQED obtained data from the county medical examiner that showed 11 people died from a fentanyl overdose in 2018. That number grew to 27 people in 2019 and then shot up to 73 people in 2020.\u003c/p>\n\u003cp>\u003c!-- iframe plugin v.4.3 wordpress.org/plugins/iframe/ -->\u003cbr>\n\u003ciframe title=\"Total Number of Fentanyl-Related Overdoses By Year In 3 Counties \" aria-label=\"Interactive line chart\" id=\"datawrapper-chart-n2ut2\" src=\"https://datawrapper.dwcdn.net/n2ut2/1/\" scrolling=\"no\" frameborder=\"0\" style=\"width: 0; min-width: 100%; border: none;\" height=\"438\" width=\"100%\" class=\"iframe-class\">\u003c/iframe>\u003cbr>\n[datawrapper]\u003c/p>\n\u003cp>The increase mirrors a surge in drug overdoses in California and around the country during the pandemic. What’s notable about the victims in Santa Clara County is their youth. One was a 12-year-old girl.\u003c/p>\n\u003cp>According to county data available so far, the median age of those that died from fentanyl overdoses last year is just 26 years old, though authorities have not yet completed investigations of every case.\u003c/p>\n\u003cp>\u003c!-- iframe plugin v.4.3 wordpress.org/plugins/iframe/ -->\u003cbr>\n\u003ciframe title=\"Median Age of People Who Died From Fentanyl Overdoses \" aria-label=\"Interactive line chart\" id=\"datawrapper-chart-GHVSI\" src=\"https://datawrapper.dwcdn.net/GHVSI/1/\" scrolling=\"no\" frameborder=\"0\" style=\"width: 0; min-width: 100%; border: none;\" height=\"400\" width=\"100%\" class=\"iframe-class\">\u003c/iframe>\u003cbr>\n[datawrapper]\u003c/p>\n\u003cp>Overall, more than 20% more people died last year in Santa Clara County than in 2018 or 2019, according to the California Department of Public Health. The pandemic played a role but, strikingly, most of those deaths were not due to COVID-19. Of the 2,109 so-called excess deaths in the county, 932 have been attributed to the coronavirus, while more than half — 1,177 people — died from other causes, including drug overdoses.\u003c/p>\n\u003cp>Though they died from too much fentanyl, many people, including Howard’s son, thought that they were taking far less potent drugs, according to county officials.\u003c/p>\n\u003cp>That has led some families of the victims to say that “overdose” is the wrong word for what happened. Instead, they say their loved ones suffered poisoning, and their deaths should be prosecuted as such.\u003c/p>\n\u003ch3>Fentanyl Deaths Increased During Shelter in Place\u003c/h3>\n\u003cp>Fentanyl fatalities in Santa Clara County had already started to increase in 2019, but county officials believe the pandemic accelerated that trend.\u003c/p>\n\u003cp>Mira Parwiz Shamel, who directs addiction medical services for Santa Clara County, said the pandemic has increased younger people’s exposure to the drug.\u003c/p>\n\u003cp>“Because the schools were closed, kids at home had more access to the internet,” Shamel said. “A lot of these drug deals are happening through social media sites.”\u003c/p>\n\u003cp>Illicitly manufactured pills have been purchased on Snapchat, Instagram and WhatsApp, according to law enforcement.\u003c/p>\n\u003cp>The drugs cost as little as $20, roughly the price of a pizza — and just like a pizza are delivered to the home. “A cheap drug that gets you high very quickly is popular, however, unfortunately it's also very deadly in a small amount,” said Shamel.\u003c/p>\n\u003cp>Tragedy can happen fast: Fentanyl is 50 times stronger than heroin and 100 times stronger than morphine, according to the \u003ca href=\"https://www.cdc.gov/drugoverdose/data/fentanyl.html\">Centers for Disease Control and Prevention.\u003c/a>\u003c/p>\n\u003cfigure id=\"attachment_11874736\" class=\"wp-caption aligncenter\" style=\"max-width: 640px\">\u003ca href=\"https://ww2.kqed.org/app/uploads/sites/10/2021/05/M30-1.jpg\">\u003cimg class=\"size-full wp-image-11874736\" src=\"https://ww2.kqed.org/app/uploads/sites/10/2021/05/M30-1.jpg\" alt=\"\" width=\"640\" height=\"480\" srcset=\"https://ww2.kqed.org/app/uploads/sites/10/2021/05/M30-1.jpg 640w, https://ww2.kqed.org/app/uploads/sites/10/2021/05/M30-1-160x120.jpg 160w\" sizes=\"(max-width: 640px) 100vw, 640px\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">Fentanyl can be found in pill form. Santa Clara County officials say that many people who die from fentanyl thought they were taking far less potent drugs. \u003ccite>(Courtesy Santa Clara County)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003ch3>Pandemic Thwarted Access to Addiction Treatment\u003c/h3>\n\u003cp>The loss of access to treatment programs and other support for people addicted to opioids and other substances was another contributor to the increase in deaths. In Santa Clara County, and around the country, most of the patient therapy for people struggling with mental illness or addiction moved online last year.\u003c/p>\n\u003cp>“The pandemic has been hard for all of us,” Shamel said. “But those who also experienced more loneliness and depression and job losses — all of that has played a role to bring this to a higher level than usual.”\u003c/p>\n\u003cp>Another Silicon Valley tech professional who lost a teenage son to drugs last year sees a direct line from the pandemic to his 17-year-old’s death.\u003c/p>\n\u003cp>“COVID happened and it affected this whole globe,” said the father, who asked to be identified only by his middle name, Otto, and not to name his son, in order to protect the privacy of younger siblings and the ongoing criminal investigation. “It affected everyone on this planet, including him. I think it compounded his situation and I think that partially is to blame.”\u003c/p>\n\u003cp>Otto described his son as a charismatic and gifted high school athlete who made friends easily. But he said that during the pandemic he felt the teenager had too much time on his hands. He changed.\u003c/p>\n\u003cp>“I think there were pills that these kids got introduced to in parties and things like that. And I think he did start to develop issues in the last year,” Otto said, adding that by last June his son had become dependent on opioids.\u003c/p>\n\u003cp>Otto said he and his wife got their son into a 30-day inpatient treatment program for addiction, but he relapsed a few days after completing the program. The parents tried to send their son back, but the treatment center lacked the space to take him right away, and due to \u003cspan class=\"c-mrkdwn__highlight\">COVID-19\u003c/span>, local outpatient treatment options had an admission backlog of several weeks. As the family struggled to find another facility, their boy started disappearing for days at a time. When he returned home on July 22, he appeared stable to Otto.\u003c/p>\n\u003cp>“I talked to him a couple of hours before, and he seemed to be sober,” the father said.\u003c/p>\n\u003cp>But when Otto went to check on his son a couple of hours later, he found him dead in his bedroom. Otto said the memory of that moment haunts him.\u003c/p>\n\u003cp>“He took a pill that he assumed was a prescription pill or opioid,” Otto said. “It's very unlikely that he knew it contained fentanyl.”\u003c/p>\n\u003cp>[aside postID=\"arts_13893843,news_11837358,arts_13881725\" label=\"Find Help\"]Otto said that had he and his wife known about fentanyl poisoning they might have checked sooner or more often, or learned how to use naloxone, a drug that temporarily reverses an overdose.\u003c/p>\n\u003cp>Two days after his son’s death, staff from the drug treatment facility called to say they had a space available, he said.\u003c/p>\n\u003cp>Otto told KQED that he was reluctant to discuss his son’s struggles with addiction because that’s not how the family wants to remember him.\u003c/p>\n\u003cp>“That's such a small part of his life and we think of all these other things and all the richness and the greatness that he had in his life,” Otto said. “That last year is not what defines him at all.”\u003c/p>\n\u003ch3>Fentanyl Killing Across Bay Area Counties\u003c/h3>\n\u003cp>While the 170% increase in fentanyl deaths in Santa Clara County in 2020 was the most dramatic increase, fentanyl deaths were also rising in other Bay Area counties.\u003c/p>\n\u003cp>In San Francisco, at least 396 people died from the opioid in 2020, which is nearly 68% more than in 2019.\u003c/p>\n\u003cp>The actual number of deaths is likely much higher, per county officials.\u003c/p>\n\u003cp>In Alameda County, deaths rose 29% in 2020 to 62 people, according to data that the Documenting COVID-19 project and KQED obtained from county officials.\u003c/p>\n\u003cfigure id=\"attachment_11874732\" class=\"wp-caption alignright\" style=\"max-width: 240px\">\u003ca href=\"https://ww2.kqed.org/app/uploads/sites/10/2021/05/2019-Charlie-Ternan-age-21-with-Mom-Mary-IMG_3389.jpeg\">\u003cimg class=\"size-full wp-image-11874732\" src=\"https://ww2.kqed.org/app/uploads/sites/10/2021/05/2019-Charlie-Ternan-age-21-with-Mom-Mary-IMG_3389.jpeg\" alt=\"\" width=\"240\" height=\"320\" srcset=\"https://ww2.kqed.org/app/uploads/sites/10/2021/05/2019-Charlie-Ternan-age-21-with-Mom-Mary-IMG_3389.jpeg 240w, https://ww2.kqed.org/app/uploads/sites/10/2021/05/2019-Charlie-Ternan-age-21-with-Mom-Mary-IMG_3389-160x213.jpeg 160w\" sizes=\"(max-width: 240px) 100vw, 240px\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">Charlie Ternan, with his mother when he was 21. \u003ccite>(Courtesy of Ternan Family)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>But the victims in each of those counties were older. Based on available data, the median age of people who died from fentanyl overdose in Alameda was 33.5 and in San Francisco was 43, compared to Santa Clara County where the median age was 26.\u003c/p>\n\u003cp>Initial data from the three counties suggest that fentanyl deaths did not affect any one race or ethnicity disproportionately, but those county authorities are still completing death investigations for 2020, so the conclusions are preliminary.\u003c/p>\n\u003cp>Law enforcement officials say that fentanyl illegally manufactured in China and Mexico has flooded into the U.S. in recent years because it’s cheaper to produce and cannot be detected by sight or smell. Drug trafficking organizations initially used fentanyl to augment more expensive drugs, but now they are manufacturing pills that only contain fentanyl and disguising them as common prescription drugs like Percocet and Xanax, the brand name for the anti-anxiety drug alprazolam, which is also popular with teens.\u003c/p>\n\u003ch3>Hard to Prosecute\u003c/h3>\n\u003cp>The Santa Clara County District Attorney’s Office has created a special unit to combat the sale of illicitly manufactured opioids.\u003c/p>\n\u003cp>Brian Buckelew, a supervising deputy district attorney in the narcotics unit, said that the profile of fentanyl dealers in his county differs from dealers of methamphetamine, who are frequently users as well.\u003c/p>\n\u003cp>“Here, what we're seeing is young people aged 15 to 25, largely, they are the dealers,” Buckelew said. “They are not addicts. They are profiteering. They're selling small amounts to a lot of people and making money off of it.”\u003cbr>\n[aside postID=\"news_11771395,news_11766169\" label=\"Fentanyl\"]\u003c/p>\n\u003cp>In April, the Santa Clara County District Attorney’s Office filed murder charges against one of those alleged dealers for selling fake pills that killed an 18-year-old woman.\u003c/p>\n\u003cp>Grace Bhardwaj and her 17-year-old boyfriend had purchased what they thought were Percocet pills on Snapchat on April 5, according to the county's \u003ca href=\"https://www.santaclaraca.gov/Home/Components/News/News/40174/95?npage=15&arch=1\">District Attorney’s Office.\u003c/a>.\u003c/p>\n\u003cp>What the couple got instead, officials said, are known on the street as M-30s, little blue pills with an M inside a box on one side and the number 30 printed on the other side, fake oxycodone tablets that were actually laced with fentanyl.\u003c/p>\n\u003cp>After taking the drug that evening the boyfriend overdosed, paramedics were called to the scene and revived him using naloxone.\u003c/p>\n\u003cp>Bhardwaj, though, was found dead later that night in an upper bedroom of the house.\u003c/p>\n\u003cp>The alleged dealer, Anthony Minjares, 22, is in custody awaiting trial. If convicted, he faces 15 years to life imprisonment.\u003c/p>\n\u003cp>Murder charges against fentanyl dealers are rarely filed, though, according to Buckelew.\u003c/p>\n\u003cp>It’s difficult to prove that the dealer knowingly or intentionally poisoned a buyer, Buckelew said, referring to the legal threshold for charging murder. “This case is different because the defendant knew of the deadly properties of fentanyl. He knew that his drugs contained fentanyl and he did not share that information with the purchaser.”\u003c/p>\n\u003cp>The U.S. Attorney's Office for the Northern District of California recently filed indictments against alleged members of drug trafficking organizations selling fentanyl out of San Mateo County to dealers all over the Bay Area. Similar indictments were filed against dealers in the East Bay and Monterey County.\u003c/p>\n\u003ch3>Warning the Public\u003c/h3>\n\u003cp>While the families interviewed for this story want changes in the law to strengthen prosecutors’ ability to put dealers in prison, they say the best way to prevent more deaths in the short term is to raise public awareness about the substances dealers are actually selling.\u003c/p>\n\u003cp>“They're very good at pushing their products out in ways that make them look safe, with colorful menus and price lists,” said Ed Ternan, a financial adviser who worked in sales and marketing for most of his life.\u003c/p>\n\u003cp>Ternan said his son, Charlie, fell prey to that ruse, just three weeks before he was to graduate from Santa Clara University last spring.\u003c/p>\n\u003cp>In the early months of the pandemic, the campus shut down, so Charlie sheltered at home with his parents in Pasadena, Ternan said, but the 22-year-old returned to Santa Clara in early May because he wanted to spend time with his friends before graduating.\u003c/p>\n\u003cp>A week later, on May 14, Ternan said, he learned that Charlie had died in his room at his fraternity house from fentanyl poisoning.\u003c/p>\n\u003cp>At the time the family was baffled.\u003c/p>\n\u003cp>“Charlie was happy, he was not suicidal, he was not depressed. He didn't have a substance-use disorder,” Ternan said.\u003c/p>\n\u003cp>But as Ternan and his wife met other families whose children had died after trying drugs for the first time or using them occasionally, they saw a pattern.\u003c/p>\n\u003cp>“These are kids who are experimenting. They're not addicted yet,” said Ternan. “In the old days, you would experiment and you drink too much tequila and you'd say, ‘I'll never drink that much tequila again because I got really sick and hung over. I learned my lesson.’ These days, if you experiment with what you think are prescription pills, you don't get to learn a lesson. You die.”\u003c/p>\n\u003cp>Ternan and his wife, Mary, formed a nonprofit organization, \u003ca href=\"https://www.songforcharlie.org/\">Song for Charlie\u003c/a>, to get the word out to parents like themselves who had no idea that poison is being marketed and sold in the guise of prescription medication.\u003c/p>\n\u003cp>Ternan said parents need to recognize that their children’s generation grew up experimenting with prescription medications and that it’s common for friends to share them. They say parents should tell their kids: \"All these pills are likely fake. They're made with a deadly, powerful synthetic, and you need to tell all your friends.”\u003c/p>\n\u003ch3>Seek Treatment Early\u003c/h3>\n\u003cp>The fact that fentanyl is so widespread and so lethal makes it more urgent to intervene swiftly when someone is struggling with addiction, family members say.\u003c/p>\n\u003cp>Robin Dosskey told the story of her son Kyle, 38, who had recently lost his job at a law firm and was struggling to find treatment for his heroin addiction.\u003c/p>\n\u003cp>Dosskey said she had finally found Kyle a spot in a medication-assisted recovery program, but on Nov. 18, 2019 — the night before they were going to sign him up — he took heroin he did not know was laced with fentanyl in her Mountain View home.\u003c/p>\n\u003cfigure id=\"attachment_11874744\" class=\"wp-caption aligncenter\" style=\"max-width: 800px\">\u003ca href=\"https://ww2.kqed.org/app/uploads/sites/10/2021/05/RS48992_002_MountainView_RobinDosskey_05122021-qut.jpg\">\u003cimg class=\"size-medium wp-image-11874744\" src=\"https://ww2.kqed.org/app/uploads/sites/10/2021/05/RS48992_002_MountainView_RobinDosskey_05122021-qut-800x533.jpg\" alt=\"\" width=\"800\" height=\"533\" srcset=\"https://ww2.kqed.org/app/uploads/sites/10/2021/05/RS48992_002_MountainView_RobinDosskey_05122021-qut-800x533.jpg 800w, https://ww2.kqed.org/app/uploads/sites/10/2021/05/RS48992_002_MountainView_RobinDosskey_05122021-qut-1020x680.jpg 1020w, https://ww2.kqed.org/app/uploads/sites/10/2021/05/RS48992_002_MountainView_RobinDosskey_05122021-qut-160x107.jpg 160w, https://ww2.kqed.org/app/uploads/sites/10/2021/05/RS48992_002_MountainView_RobinDosskey_05122021-qut-1536x1024.jpg 1536w, https://ww2.kqed.org/app/uploads/sites/10/2021/05/RS48992_002_MountainView_RobinDosskey_05122021-qut.jpg 1920w\" sizes=\"(max-width: 800px) 100vw, 800px\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">Robin Dosskey holds a hat that belonged to her son Kyle while surrounded by his photos at her home in Mountain View on May 12, 2021. Kyle died in 2019 due to a fatal dose of fentanyl. \u003ccite>(Beth LaBerge/KQED)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>Kyle’s death was one of a cluster of fentanyl deaths Santa Clara County officials warned about in late 2019.\u003c/p>\n\u003cp>Dosskey said the toxicity of fentanyl means people like Kyle are dying before they can conquer addiction.\u003c/p>\n\u003cp>“He struggled with this addiction problem for a long time, whether it was alcohol or opioids. It is not something he was lazy about,” Dosskey said. “I want people to know it can happen to anyone's child — I don't care about their race, their gender, their economic status. It happens and it begins in high school.”\u003c/p>\n\u003cp>Dosskey, who is a retired teacher, wishes she had done more, early on, to help her son. And she wishes she had known more about where to get help.\u003c/p>\n\u003cp>“One of the things that happens is that you try to hide it and cover it up so that you take care of it yourself. Well, that doesn't work,” said Dosskey. “It's going to take a whole team of people to help a child that needs treatment.”\u003c/p>\n\u003cp>She’s part of a new support group in Santa Clara County called Moms Alliance that will help defendants referred from the drug courts and their families get connected with therapy and other services.\u003c/p>\n\u003ch3>Post-Pandemic Hopes\u003c/h3>\n\u003cp>The opioid crisis began well before the COVID-19 pandemic, and it’s not going away.\u003c/p>\n\u003cp>Howard and Otto, who met in a support group for bereaved families, say they hope that as COVID-19 vaccination rates rise and coronavirus deaths decrease more resources can be focused on the fentanyl crisis.\u003c/p>\n\u003cp>“A lot of the attention, of course, globally has been on the COVID pandemic,” said Otto, “while at the same time there is this silent killer that people haven't really necessarily known about.”\u003c/p>\n\u003cp>“It's hard to get resources and attention when there's clearly another, you know, raging epidemic globally,” Howard said. “I do hope with this (Biden) administration that we see a renewed focus on this.”\u003c/p>\n\u003ch3>\u003cb>FAQs About Fentanyl Addiction\u003c/b>\u003c/h3>\n\u003cp>\u003ca id=\"prevention\">\u003c/a>\u003cstrong>How Can Overdoses Be Prevented?\u003c/strong>\u003c/p>\n\u003cp>You can \u003ca href=\"https://www.facebook.com/SCCOverdosePrevention/\">prevent\u003c/a> a fatal opioid overdose using a drug called \u003ca href=\"https://www.drugabuse.gov/publications/drugfacts/naloxone\">naloxone\u003c/a> (also known by the brand name Narcan), which temporarily “attaches to opioid receptors and reverses and blocks the effects of other opioids.” According to the \u003ca href=\"https://www.nih.gov/\">National Institutes of Health\u003c/a>, naloxone does not cause any serious side effects.\u003c/p>\n\u003cp>You can get free \u003ca href=\"https://bhsd.sccgov.org/information-resources/opioid-overdose-prevention-project/rescue-and-training\">naloxone/Narcan training and kits\u003c/a> from Santa Clara County clinics, and staff will train you how to use it.\u003c/p>\n\u003cp>In San Francisco, the Drug Overdose Prevention and Education Project trains people how to recognize signs of an overdose, and refers people to the CVS pharmacy in downtown San Francisco for free naloxone kits.\u003c/p>\n\u003cp>Pharmacists are permitted to prescribe naloxone to you without a doctor’s prescription. Contact your local pharmacy to confirm if they have naloxone available.\u003c/p>\n\u003cp>\u003cstrong>What Are Common Signs of an Overdose?\u003c/strong>\u003c/p>\n\u003cp>Someone may be overdosing if they are groggy, lethargic or barely able to stand. The pupils in the person’s eyes may be constricted to the smallest point. These “pinpoint pupils” will not expand when exposed to light. The person’s breathing may become slow, become irregular or even stop.\u003c/p>\n\u003cp>\u003ca id=\"help\">\u003c/a>\u003cstrong>Where Can a Person Get Help With Addiction in the Bay Area?\u003c/strong>\u003c/p>\n\u003cp>\u003ca href=\"https://bhsd.sccgov.org/information-resources/substance-use-resources-information\">Santa Clara County Behavioral Health Services\u003c/a> treats people struggling with stress and substance use issues, including fentanyl use, through a program called \u003ca href=\"https://bhsd.sccgov.org/get-help\">Gateway\u003c/a>. 1-800-488-9919\u003c/p>\n\u003cp>Youth Substance Use Treatment \u003ca href=\"https://bhsd.sccgov.org/information-resources/youth-substance-use-treatment-services\">Services\u003c/a> within Santa Clara County Behavioral Health Services provides medication-assisted treatment, case management, confidential counseling and mentoring. 408-272-6518 (Monday-Friday, 9 a.m. to 9 p.m.)\u003c/p>\n\u003cp>The Santa Clara County Suicide and Crisis Hotline at 1-855-278-4204 is open 24 hours a day/seven days a week. You can also text the word \"renew\" to 741741 (24 hours per day/seven days per week).\u003c/p>\n\u003cp>Mental Health Services can be accessed by calling 1-800-704-0900.\u003c/p>\n\u003cp>Elsewhere in the Bay Area, \u003ca href=\"https://sf-goso.org/health-treatment/health-care/san-francisco-behavioral-health-access-center-bhac-health-treatment/\">\u003cb>San Francisco County \u003c/b>offers behavioral health care\u003c/a> and \u003ca href=\"https://www.sfdph.org/dph/comupg/oservices/mentalHlth/SubstanceAbuse/default.asp\">services for addiction and substance abuse treatment\u003c/a>. \u003ca href=\"http://www.acbhcs.org/substance-use-treatment/\">\u003cb>Alameda County \u003c/b>offers similar services \u003c/a>\u003cb> \u003c/b>to people struggling with addiction.\u003c/p>\n\u003cp>You don't have to have an overdose to get \u003cb>medication-assisted treatment for opioid addiction\u003c/b>. Emergency medicine doctors can prescribe FDA-approved \u003ca href=\"https://www.fda.gov/drugs/information-drug-class/information-about-medication-assisted-treatment-mat\">drugs that treat opioid dependence \u003c/a>and arrange for the patient to follow up with an outpatient center. \u003cb>Santa Clara County clinics and hospitals \u003c/b>also have these medical treatments available and coordinate outpatient care. You or your loved ones can begin treatment while in county jail and receive outpatient care upon release.\u003c/p>\n\u003ch3>\u003cb>How We Did It\u003c/b>\u003c/h3>\n\u003cp>For more than a year, reporters from KQED and the Documenting COVID-19 project at Columbia University's Brown Institute for Media Innovation have been requesting and analyzing mortality data from Bay Area counties to better understand who has died, and why.\u003c/p>\n\u003cp>Our analysis revealed a 2020 spike in deaths across these counties that could not be explained by COVID-19 alone. We found an increase in deaths from natural causes, such as Alzheimer’s disease, diabetes and hypertension. But we also found an increase in drug overdoses.\u003c/p>\n\u003cp>For this report, we requested death records through the state’s Public Records Act and analyzed the local mortality data from the Santa Clara County Office of the Medical Examiner-Coroner, the San Francisco Office of the Chief Medical Examiner and the Alameda County Sheriff's Office Coroner’s Bureau for 2018, 2019 and 2020. These records include only deaths that were deemed “unnatural” — sudden, unexpected, violent or from contagious diseases, including COVID-19.\u003c/p>\n\u003cp>We compared the counties’ death records and data with statewide data collected and released by the California Department of Public Health, and cross referenced our data with an analysis of California Health and Human Services’ \u003ca href=\"https://data.chhs.ca.gov/dataset/statewide-death-profiles/resource/f8bb67bf-923d-4d74-8714-dc2bcf5609b7\">death \u003c/a>statistics for 2018, 2019 and 2020.\u003c/p>\n\u003cp>We focused our analysis on Santa Clara County because the data revealed a striking rise in deaths from fentanyl poisoning both in 2019 and, even more sharply, in 2020, and the age of the victims trended notably younger — the youngest among them a 12-year-old girl — indicating that the trend was not necessarily born of the pandemic, but might have been exacerbated by it.\u003c/p>\n\u003cp>Under California law, county medical examiner and coroner’s offices are responsible for investigating all sudden, violent and unnatural deaths, such as accidents including overdose, suicides and homicides. Thousands more deaths that occurred at home are not part of this data set, but those deaths are represented in state data.\u003c/p>\n\u003cp>While reporting on infectious disease deaths is normally considered the purview of the medical examiner or coroner, most counties in California assigned the tracking and reporting of COVID-19-related deaths to local health departments.\u003c/p>\n\u003cp>You can \u003ca href=\"http://kqed.org/news/11874753/\">learn more about our analysis\u003c/a>.\u003c/p>\n\u003cp>[ad floatright]\u003c/p>\n\u003cp>\u003cem>Kyra Senese and Eric Fan of the \u003ca href=\"https://documentingcovid19.io/home\">Documenting COVID-19 project\u003c/a> contributed to this report.\u003c/em>\u003c/p>\n\n",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>\u003cem>Go to resources:\u003c/em>\u003c/p>\n\u003cul>\n\u003cli>\u003cstrong>\u003ca href=\"#prevention\">How to spot and prevent a fentanyl overdose\u003c/a>\u003c/strong>\u003c/li>\n\u003cli>\u003cstrong>\u003ca href=\"#help\">Where to find help for addiction in the Bay Area\u003c/a>\u003c/strong>\u003c/li>\n\u003c/ul>\n\u003cp>\u003cspan style=\"font-size: 4.6875em; float: left; line-height: 0.733em; padding: 0.05em 0.1em 0 0; font-family: times, serif, georgia;\">H\u003c/span>oward’s son loved everything about the natural world, but especially the Earth’s soil.\u003c/p>\n\u003cp>“He grew vegetables in our backyard, experimented with different soils. That's what he was super passionate about,” said Howard, describing his 18-year-old son, who had been accepted to a California state university to study soil science.\u003c/p>\n\u003cp>Looking out on the lush garden from the living room of his Silicon Valley home, Howard recounted why that never happened.\u003c/p>\n\u003cp>Last fall, because of the COVID-19 pandemic, the teenager chose to defer for a semester, with the hope that in-person instruction would resume. During the wait, he went to stay with a friend in another state. Then, the day before Thanksgiving, Howard got a call from that friend’s family.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>“They were to go snowboarding,” Howard said. “They went to wake him and he had passed.”\u003c/p>\n\u003cp>Howard’s son died Nov. 25, 2020 from a single pill of what he thought was Percocet — a commonly prescribed painkiller that contains acetaminophen and the opioid medication oxycodone. A friend in Santa Clara County sent it to him.\u003c/p>\n\u003cp>A toxicology report later showed that the pill actually contained fentanyl, a synthetic opioid so strong that just 2 milligrams can kill a person in a matter of minutes.\u003c/p>\n\u003cp>Howard, a technology company executive, spoke to KQED on the condition that we not use his full name or identify his son, in order to preserve the privacy of his younger child. He said he’s also concerned about protecting an ongoing criminal investigation into his son’s death, but agreed to an interview because he wants to warn other parents and teenagers.\u003c/p>\n\u003cp>“We didn't know,” Howard said. “You read about fentanyl as if it's in some far-off place. ... It's not.”\u003c/p>\n\u003cp>The teenager’s death was part of a dramatic rise in deadly, fentanyl-related overdoses in Santa Clara County during the pandemic, particularly among school-aged children and young adults. In 2020, the number of fentanyl deaths in the county more than doubled, and the victims were younger, on average, than in the previous two years, according to an analysis by KQED and the \u003ca href=\"https://documentingcovid19.io/home\">Documenting COVID-19 project\u003c/a> at Columbia University’s Brown Institute for Media Innovation.\u003c/p>\n\u003cp>The Documenting COVID-19 project and KQED obtained data from the county medical examiner that showed 11 people died from a fentanyl overdose in 2018. That number grew to 27 people in 2019 and then shot up to 73 people in 2020.\u003c/p>\n\u003cp>\u003c!-- iframe plugin v.4.3 wordpress.org/plugins/iframe/ -->\u003cbr>\n\u003ciframe title=\"Total Number of Fentanyl-Related Overdoses By Year In 3 Counties \" aria-label=\"Interactive line chart\" id=\"datawrapper-chart-n2ut2\" src=\"https://datawrapper.dwcdn.net/n2ut2/1/\" scrolling=\"no\" frameborder=\"0\" style=\"width: 0; min-width: 100%; border: none;\" height=\"438\" width=\"100%\" class=\"iframe-class\">\u003c/iframe>\u003cbr>\n\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>The increase mirrors a surge in drug overdoses in California and around the country during the pandemic. What’s notable about the victims in Santa Clara County is their youth. One was a 12-year-old girl.\u003c/p>\n\u003cp>According to county data available so far, the median age of those that died from fentanyl overdoses last year is just 26 years old, though authorities have not yet completed investigations of every case.\u003c/p>\n\u003cp>\u003c!-- iframe plugin v.4.3 wordpress.org/plugins/iframe/ -->\u003cbr>\n\u003ciframe title=\"Median Age of People Who Died From Fentanyl Overdoses \" aria-label=\"Interactive line chart\" id=\"datawrapper-chart-GHVSI\" src=\"https://datawrapper.dwcdn.net/GHVSI/1/\" scrolling=\"no\" frameborder=\"0\" style=\"width: 0; min-width: 100%; border: none;\" height=\"400\" width=\"100%\" class=\"iframe-class\">\u003c/iframe>\u003cbr>\n\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>Overall, more than 20% more people died last year in Santa Clara County than in 2018 or 2019, according to the California Department of Public Health. The pandemic played a role but, strikingly, most of those deaths were not due to COVID-19. Of the 2,109 so-called excess deaths in the county, 932 have been attributed to the coronavirus, while more than half — 1,177 people — died from other causes, including drug overdoses.\u003c/p>\n\u003cp>Though they died from too much fentanyl, many people, including Howard’s son, thought that they were taking far less potent drugs, according to county officials.\u003c/p>\n\u003cp>That has led some families of the victims to say that “overdose” is the wrong word for what happened. Instead, they say their loved ones suffered poisoning, and their deaths should be prosecuted as such.\u003c/p>\n\u003ch3>Fentanyl Deaths Increased During Shelter in Place\u003c/h3>\n\u003cp>Fentanyl fatalities in Santa Clara County had already started to increase in 2019, but county officials believe the pandemic accelerated that trend.\u003c/p>\n\u003cp>Mira Parwiz Shamel, who directs addiction medical services for Santa Clara County, said the pandemic has increased younger people’s exposure to the drug.\u003c/p>\n\u003cp>“Because the schools were closed, kids at home had more access to the internet,” Shamel said. “A lot of these drug deals are happening through social media sites.”\u003c/p>\n\u003cp>Illicitly manufactured pills have been purchased on Snapchat, Instagram and WhatsApp, according to law enforcement.\u003c/p>\n\u003cp>The drugs cost as little as $20, roughly the price of a pizza — and just like a pizza are delivered to the home. “A cheap drug that gets you high very quickly is popular, however, unfortunately it's also very deadly in a small amount,” said Shamel.\u003c/p>\n\u003cp>Tragedy can happen fast: Fentanyl is 50 times stronger than heroin and 100 times stronger than morphine, according to the \u003ca href=\"https://www.cdc.gov/drugoverdose/data/fentanyl.html\">Centers for Disease Control and Prevention.\u003c/a>\u003c/p>\n\u003cfigure id=\"attachment_11874736\" class=\"wp-caption aligncenter\" style=\"max-width: 640px\">\u003ca href=\"https://ww2.kqed.org/app/uploads/sites/10/2021/05/M30-1.jpg\">\u003cimg class=\"size-full wp-image-11874736\" src=\"https://ww2.kqed.org/app/uploads/sites/10/2021/05/M30-1.jpg\" alt=\"\" width=\"640\" height=\"480\" srcset=\"https://ww2.kqed.org/app/uploads/sites/10/2021/05/M30-1.jpg 640w, https://ww2.kqed.org/app/uploads/sites/10/2021/05/M30-1-160x120.jpg 160w\" sizes=\"(max-width: 640px) 100vw, 640px\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">Fentanyl can be found in pill form. Santa Clara County officials say that many people who die from fentanyl thought they were taking far less potent drugs. \u003ccite>(Courtesy Santa Clara County)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003ch3>Pandemic Thwarted Access to Addiction Treatment\u003c/h3>\n\u003cp>The loss of access to treatment programs and other support for people addicted to opioids and other substances was another contributor to the increase in deaths. In Santa Clara County, and around the country, most of the patient therapy for people struggling with mental illness or addiction moved online last year.\u003c/p>\n\u003cp>“The pandemic has been hard for all of us,” Shamel said. “But those who also experienced more loneliness and depression and job losses — all of that has played a role to bring this to a higher level than usual.”\u003c/p>\n\u003cp>Another Silicon Valley tech professional who lost a teenage son to drugs last year sees a direct line from the pandemic to his 17-year-old’s death.\u003c/p>\n\u003cp>“COVID happened and it affected this whole globe,” said the father, who asked to be identified only by his middle name, Otto, and not to name his son, in order to protect the privacy of younger siblings and the ongoing criminal investigation. “It affected everyone on this planet, including him. I think it compounded his situation and I think that partially is to blame.”\u003c/p>\n\u003cp>Otto described his son as a charismatic and gifted high school athlete who made friends easily. But he said that during the pandemic he felt the teenager had too much time on his hands. He changed.\u003c/p>\n\u003cp>“I think there were pills that these kids got introduced to in parties and things like that. And I think he did start to develop issues in the last year,” Otto said, adding that by last June his son had become dependent on opioids.\u003c/p>\n\u003cp>Otto said he and his wife got their son into a 30-day inpatient treatment program for addiction, but he relapsed a few days after completing the program. The parents tried to send their son back, but the treatment center lacked the space to take him right away, and due to \u003cspan class=\"c-mrkdwn__highlight\">COVID-19\u003c/span>, local outpatient treatment options had an admission backlog of several weeks. As the family struggled to find another facility, their boy started disappearing for days at a time. When he returned home on July 22, he appeared stable to Otto.\u003c/p>\n\u003cp>“I talked to him a couple of hours before, and he seemed to be sober,” the father said.\u003c/p>\n\u003cp>But when Otto went to check on his son a couple of hours later, he found him dead in his bedroom. Otto said the memory of that moment haunts him.\u003c/p>\n\u003cp>“He took a pill that he assumed was a prescription pill or opioid,” Otto said. “It's very unlikely that he knew it contained fentanyl.”\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>Otto said that had he and his wife known about fentanyl poisoning they might have checked sooner or more often, or learned how to use naloxone, a drug that temporarily reverses an overdose.\u003c/p>\n\u003cp>Two days after his son’s death, staff from the drug treatment facility called to say they had a space available, he said.\u003c/p>\n\u003cp>Otto told KQED that he was reluctant to discuss his son’s struggles with addiction because that’s not how the family wants to remember him.\u003c/p>\n\u003cp>“That's such a small part of his life and we think of all these other things and all the richness and the greatness that he had in his life,” Otto said. “That last year is not what defines him at all.”\u003c/p>\n\u003ch3>Fentanyl Killing Across Bay Area Counties\u003c/h3>\n\u003cp>While the 170% increase in fentanyl deaths in Santa Clara County in 2020 was the most dramatic increase, fentanyl deaths were also rising in other Bay Area counties.\u003c/p>\n\u003cp>In San Francisco, at least 396 people died from the opioid in 2020, which is nearly 68% more than in 2019.\u003c/p>\n\u003cp>The actual number of deaths is likely much higher, per county officials.\u003c/p>\n\u003cp>In Alameda County, deaths rose 29% in 2020 to 62 people, according to data that the Documenting COVID-19 project and KQED obtained from county officials.\u003c/p>\n\u003cfigure id=\"attachment_11874732\" class=\"wp-caption alignright\" style=\"max-width: 240px\">\u003ca href=\"https://ww2.kqed.org/app/uploads/sites/10/2021/05/2019-Charlie-Ternan-age-21-with-Mom-Mary-IMG_3389.jpeg\">\u003cimg class=\"size-full wp-image-11874732\" src=\"https://ww2.kqed.org/app/uploads/sites/10/2021/05/2019-Charlie-Ternan-age-21-with-Mom-Mary-IMG_3389.jpeg\" alt=\"\" width=\"240\" height=\"320\" srcset=\"https://ww2.kqed.org/app/uploads/sites/10/2021/05/2019-Charlie-Ternan-age-21-with-Mom-Mary-IMG_3389.jpeg 240w, https://ww2.kqed.org/app/uploads/sites/10/2021/05/2019-Charlie-Ternan-age-21-with-Mom-Mary-IMG_3389-160x213.jpeg 160w\" sizes=\"(max-width: 240px) 100vw, 240px\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">Charlie Ternan, with his mother when he was 21. \u003ccite>(Courtesy of Ternan Family)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>But the victims in each of those counties were older. Based on available data, the median age of people who died from fentanyl overdose in Alameda was 33.5 and in San Francisco was 43, compared to Santa Clara County where the median age was 26.\u003c/p>\n\u003cp>Initial data from the three counties suggest that fentanyl deaths did not affect any one race or ethnicity disproportionately, but those county authorities are still completing death investigations for 2020, so the conclusions are preliminary.\u003c/p>\n\u003cp>Law enforcement officials say that fentanyl illegally manufactured in China and Mexico has flooded into the U.S. in recent years because it’s cheaper to produce and cannot be detected by sight or smell. Drug trafficking organizations initially used fentanyl to augment more expensive drugs, but now they are manufacturing pills that only contain fentanyl and disguising them as common prescription drugs like Percocet and Xanax, the brand name for the anti-anxiety drug alprazolam, which is also popular with teens.\u003c/p>\n\u003ch3>Hard to Prosecute\u003c/h3>\n\u003cp>The Santa Clara County District Attorney’s Office has created a special unit to combat the sale of illicitly manufactured opioids.\u003c/p>\n\u003cp>Brian Buckelew, a supervising deputy district attorney in the narcotics unit, said that the profile of fentanyl dealers in his county differs from dealers of methamphetamine, who are frequently users as well.\u003c/p>\n\u003cp>“Here, what we're seeing is young people aged 15 to 25, largely, they are the dealers,” Buckelew said. “They are not addicts. They are profiteering. They're selling small amounts to a lot of people and making money off of it.”\u003cbr>\n\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>In April, the Santa Clara County District Attorney’s Office filed murder charges against one of those alleged dealers for selling fake pills that killed an 18-year-old woman.\u003c/p>\n\u003cp>Grace Bhardwaj and her 17-year-old boyfriend had purchased what they thought were Percocet pills on Snapchat on April 5, according to the county's \u003ca href=\"https://www.santaclaraca.gov/Home/Components/News/News/40174/95?npage=15&arch=1\">District Attorney’s Office.\u003c/a>.\u003c/p>\n\u003cp>What the couple got instead, officials said, are known on the street as M-30s, little blue pills with an M inside a box on one side and the number 30 printed on the other side, fake oxycodone tablets that were actually laced with fentanyl.\u003c/p>\n\u003cp>After taking the drug that evening the boyfriend overdosed, paramedics were called to the scene and revived him using naloxone.\u003c/p>\n\u003cp>Bhardwaj, though, was found dead later that night in an upper bedroom of the house.\u003c/p>\n\u003cp>The alleged dealer, Anthony Minjares, 22, is in custody awaiting trial. If convicted, he faces 15 years to life imprisonment.\u003c/p>\n\u003cp>Murder charges against fentanyl dealers are rarely filed, though, according to Buckelew.\u003c/p>\n\u003cp>It’s difficult to prove that the dealer knowingly or intentionally poisoned a buyer, Buckelew said, referring to the legal threshold for charging murder. “This case is different because the defendant knew of the deadly properties of fentanyl. He knew that his drugs contained fentanyl and he did not share that information with the purchaser.”\u003c/p>\n\u003cp>The U.S. Attorney's Office for the Northern District of California recently filed indictments against alleged members of drug trafficking organizations selling fentanyl out of San Mateo County to dealers all over the Bay Area. Similar indictments were filed against dealers in the East Bay and Monterey County.\u003c/p>\n\u003ch3>Warning the Public\u003c/h3>\n\u003cp>While the families interviewed for this story want changes in the law to strengthen prosecutors’ ability to put dealers in prison, they say the best way to prevent more deaths in the short term is to raise public awareness about the substances dealers are actually selling.\u003c/p>\n\u003cp>“They're very good at pushing their products out in ways that make them look safe, with colorful menus and price lists,” said Ed Ternan, a financial adviser who worked in sales and marketing for most of his life.\u003c/p>\n\u003cp>Ternan said his son, Charlie, fell prey to that ruse, just three weeks before he was to graduate from Santa Clara University last spring.\u003c/p>\n\u003cp>In the early months of the pandemic, the campus shut down, so Charlie sheltered at home with his parents in Pasadena, Ternan said, but the 22-year-old returned to Santa Clara in early May because he wanted to spend time with his friends before graduating.\u003c/p>\n\u003cp>A week later, on May 14, Ternan said, he learned that Charlie had died in his room at his fraternity house from fentanyl poisoning.\u003c/p>\n\u003cp>At the time the family was baffled.\u003c/p>\n\u003cp>“Charlie was happy, he was not suicidal, he was not depressed. He didn't have a substance-use disorder,” Ternan said.\u003c/p>\n\u003cp>But as Ternan and his wife met other families whose children had died after trying drugs for the first time or using them occasionally, they saw a pattern.\u003c/p>\n\u003cp>“These are kids who are experimenting. They're not addicted yet,” said Ternan. “In the old days, you would experiment and you drink too much tequila and you'd say, ‘I'll never drink that much tequila again because I got really sick and hung over. I learned my lesson.’ These days, if you experiment with what you think are prescription pills, you don't get to learn a lesson. You die.”\u003c/p>\n\u003cp>Ternan and his wife, Mary, formed a nonprofit organization, \u003ca href=\"https://www.songforcharlie.org/\">Song for Charlie\u003c/a>, to get the word out to parents like themselves who had no idea that poison is being marketed and sold in the guise of prescription medication.\u003c/p>\n\u003cp>Ternan said parents need to recognize that their children’s generation grew up experimenting with prescription medications and that it’s common for friends to share them. They say parents should tell their kids: \"All these pills are likely fake. They're made with a deadly, powerful synthetic, and you need to tell all your friends.”\u003c/p>\n\u003ch3>Seek Treatment Early\u003c/h3>\n\u003cp>The fact that fentanyl is so widespread and so lethal makes it more urgent to intervene swiftly when someone is struggling with addiction, family members say.\u003c/p>\n\u003cp>Robin Dosskey told the story of her son Kyle, 38, who had recently lost his job at a law firm and was struggling to find treatment for his heroin addiction.\u003c/p>\n\u003cp>Dosskey said she had finally found Kyle a spot in a medication-assisted recovery program, but on Nov. 18, 2019 — the night before they were going to sign him up — he took heroin he did not know was laced with fentanyl in her Mountain View home.\u003c/p>\n\u003cfigure id=\"attachment_11874744\" class=\"wp-caption aligncenter\" style=\"max-width: 800px\">\u003ca href=\"https://ww2.kqed.org/app/uploads/sites/10/2021/05/RS48992_002_MountainView_RobinDosskey_05122021-qut.jpg\">\u003cimg class=\"size-medium wp-image-11874744\" src=\"https://ww2.kqed.org/app/uploads/sites/10/2021/05/RS48992_002_MountainView_RobinDosskey_05122021-qut-800x533.jpg\" alt=\"\" width=\"800\" height=\"533\" srcset=\"https://ww2.kqed.org/app/uploads/sites/10/2021/05/RS48992_002_MountainView_RobinDosskey_05122021-qut-800x533.jpg 800w, https://ww2.kqed.org/app/uploads/sites/10/2021/05/RS48992_002_MountainView_RobinDosskey_05122021-qut-1020x680.jpg 1020w, https://ww2.kqed.org/app/uploads/sites/10/2021/05/RS48992_002_MountainView_RobinDosskey_05122021-qut-160x107.jpg 160w, https://ww2.kqed.org/app/uploads/sites/10/2021/05/RS48992_002_MountainView_RobinDosskey_05122021-qut-1536x1024.jpg 1536w, https://ww2.kqed.org/app/uploads/sites/10/2021/05/RS48992_002_MountainView_RobinDosskey_05122021-qut.jpg 1920w\" sizes=\"(max-width: 800px) 100vw, 800px\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">Robin Dosskey holds a hat that belonged to her son Kyle while surrounded by his photos at her home in Mountain View on May 12, 2021. Kyle died in 2019 due to a fatal dose of fentanyl. \u003ccite>(Beth LaBerge/KQED)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>Kyle’s death was one of a cluster of fentanyl deaths Santa Clara County officials warned about in late 2019.\u003c/p>\n\u003cp>Dosskey said the toxicity of fentanyl means people like Kyle are dying before they can conquer addiction.\u003c/p>\n\u003cp>“He struggled with this addiction problem for a long time, whether it was alcohol or opioids. It is not something he was lazy about,” Dosskey said. “I want people to know it can happen to anyone's child — I don't care about their race, their gender, their economic status. It happens and it begins in high school.”\u003c/p>\n\u003cp>Dosskey, who is a retired teacher, wishes she had done more, early on, to help her son. And she wishes she had known more about where to get help.\u003c/p>\n\u003cp>“One of the things that happens is that you try to hide it and cover it up so that you take care of it yourself. Well, that doesn't work,” said Dosskey. “It's going to take a whole team of people to help a child that needs treatment.”\u003c/p>\n\u003cp>She’s part of a new support group in Santa Clara County called Moms Alliance that will help defendants referred from the drug courts and their families get connected with therapy and other services.\u003c/p>\n\u003ch3>Post-Pandemic Hopes\u003c/h3>\n\u003cp>The opioid crisis began well before the COVID-19 pandemic, and it’s not going away.\u003c/p>\n\u003cp>Howard and Otto, who met in a support group for bereaved families, say they hope that as COVID-19 vaccination rates rise and coronavirus deaths decrease more resources can be focused on the fentanyl crisis.\u003c/p>\n\u003cp>“A lot of the attention, of course, globally has been on the COVID pandemic,” said Otto, “while at the same time there is this silent killer that people haven't really necessarily known about.”\u003c/p>\n\u003cp>“It's hard to get resources and attention when there's clearly another, you know, raging epidemic globally,” Howard said. “I do hope with this (Biden) administration that we see a renewed focus on this.”\u003c/p>\n\u003ch3>\u003cb>FAQs About Fentanyl Addiction\u003c/b>\u003c/h3>\n\u003cp>\u003ca id=\"prevention\">\u003c/a>\u003cstrong>How Can Overdoses Be Prevented?\u003c/strong>\u003c/p>\n\u003cp>You can \u003ca href=\"https://www.facebook.com/SCCOverdosePrevention/\">prevent\u003c/a> a fatal opioid overdose using a drug called \u003ca href=\"https://www.drugabuse.gov/publications/drugfacts/naloxone\">naloxone\u003c/a> (also known by the brand name Narcan), which temporarily “attaches to opioid receptors and reverses and blocks the effects of other opioids.” According to the \u003ca href=\"https://www.nih.gov/\">National Institutes of Health\u003c/a>, naloxone does not cause any serious side effects.\u003c/p>\n\u003cp>You can get free \u003ca href=\"https://bhsd.sccgov.org/information-resources/opioid-overdose-prevention-project/rescue-and-training\">naloxone/Narcan training and kits\u003c/a> from Santa Clara County clinics, and staff will train you how to use it.\u003c/p>\n\u003cp>In San Francisco, the Drug Overdose Prevention and Education Project trains people how to recognize signs of an overdose, and refers people to the CVS pharmacy in downtown San Francisco for free naloxone kits.\u003c/p>\n\u003cp>Pharmacists are permitted to prescribe naloxone to you without a doctor’s prescription. Contact your local pharmacy to confirm if they have naloxone available.\u003c/p>\n\u003cp>\u003cstrong>What Are Common Signs of an Overdose?\u003c/strong>\u003c/p>\n\u003cp>Someone may be overdosing if they are groggy, lethargic or barely able to stand. The pupils in the person’s eyes may be constricted to the smallest point. These “pinpoint pupils” will not expand when exposed to light. The person’s breathing may become slow, become irregular or even stop.\u003c/p>\n\u003cp>\u003ca id=\"help\">\u003c/a>\u003cstrong>Where Can a Person Get Help With Addiction in the Bay Area?\u003c/strong>\u003c/p>\n\u003cp>\u003ca href=\"https://bhsd.sccgov.org/information-resources/substance-use-resources-information\">Santa Clara County Behavioral Health Services\u003c/a> treats people struggling with stress and substance use issues, including fentanyl use, through a program called \u003ca href=\"https://bhsd.sccgov.org/get-help\">Gateway\u003c/a>. 1-800-488-9919\u003c/p>\n\u003cp>Youth Substance Use Treatment \u003ca href=\"https://bhsd.sccgov.org/information-resources/youth-substance-use-treatment-services\">Services\u003c/a> within Santa Clara County Behavioral Health Services provides medication-assisted treatment, case management, confidential counseling and mentoring. 408-272-6518 (Monday-Friday, 9 a.m. to 9 p.m.)\u003c/p>\n\u003cp>The Santa Clara County Suicide and Crisis Hotline at 1-855-278-4204 is open 24 hours a day/seven days a week. You can also text the word \"renew\" to 741741 (24 hours per day/seven days per week).\u003c/p>\n\u003cp>Mental Health Services can be accessed by calling 1-800-704-0900.\u003c/p>\n\u003cp>Elsewhere in the Bay Area, \u003ca href=\"https://sf-goso.org/health-treatment/health-care/san-francisco-behavioral-health-access-center-bhac-health-treatment/\">\u003cb>San Francisco County \u003c/b>offers behavioral health care\u003c/a> and \u003ca href=\"https://www.sfdph.org/dph/comupg/oservices/mentalHlth/SubstanceAbuse/default.asp\">services for addiction and substance abuse treatment\u003c/a>. \u003ca href=\"http://www.acbhcs.org/substance-use-treatment/\">\u003cb>Alameda County \u003c/b>offers similar services \u003c/a>\u003cb> \u003c/b>to people struggling with addiction.\u003c/p>\n\u003cp>You don't have to have an overdose to get \u003cb>medication-assisted treatment for opioid addiction\u003c/b>. Emergency medicine doctors can prescribe FDA-approved \u003ca href=\"https://www.fda.gov/drugs/information-drug-class/information-about-medication-assisted-treatment-mat\">drugs that treat opioid dependence \u003c/a>and arrange for the patient to follow up with an outpatient center. \u003cb>Santa Clara County clinics and hospitals \u003c/b>also have these medical treatments available and coordinate outpatient care. You or your loved ones can begin treatment while in county jail and receive outpatient care upon release.\u003c/p>\n\u003ch3>\u003cb>How We Did It\u003c/b>\u003c/h3>\n\u003cp>For more than a year, reporters from KQED and the Documenting COVID-19 project at Columbia University's Brown Institute for Media Innovation have been requesting and analyzing mortality data from Bay Area counties to better understand who has died, and why.\u003c/p>\n\u003cp>Our analysis revealed a 2020 spike in deaths across these counties that could not be explained by COVID-19 alone. We found an increase in deaths from natural causes, such as Alzheimer’s disease, diabetes and hypertension. But we also found an increase in drug overdoses.\u003c/p>\n\u003cp>For this report, we requested death records through the state’s Public Records Act and analyzed the local mortality data from the Santa Clara County Office of the Medical Examiner-Coroner, the San Francisco Office of the Chief Medical Examiner and the Alameda County Sheriff's Office Coroner’s Bureau for 2018, 2019 and 2020. These records include only deaths that were deemed “unnatural” — sudden, unexpected, violent or from contagious diseases, including COVID-19.\u003c/p>\n\u003cp>We compared the counties’ death records and data with statewide data collected and released by the California Department of Public Health, and cross referenced our data with an analysis of California Health and Human Services’ \u003ca href=\"https://data.chhs.ca.gov/dataset/statewide-death-profiles/resource/f8bb67bf-923d-4d74-8714-dc2bcf5609b7\">death \u003c/a>statistics for 2018, 2019 and 2020.\u003c/p>\n\u003cp>We focused our analysis on Santa Clara County because the data revealed a striking rise in deaths from fentanyl poisoning both in 2019 and, even more sharply, in 2020, and the age of the victims trended notably younger — the youngest among them a 12-year-old girl — indicating that the trend was not necessarily born of the pandemic, but might have been exacerbated by it.\u003c/p>\n\u003cp>Under California law, county medical examiner and coroner’s offices are responsible for investigating all sudden, violent and unnatural deaths, such as accidents including overdose, suicides and homicides. Thousands more deaths that occurred at home are not part of this data set, but those deaths are represented in state data.\u003c/p>\n\u003cp>While reporting on infectious disease deaths is normally considered the purview of the medical examiner or coroner, most counties in California assigned the tracking and reporting of COVID-19-related deaths to local health departments.\u003c/p>\n\u003cp>You can \u003ca href=\"http://kqed.org/news/11874753/\">learn more about our analysis\u003c/a>.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>\u003cem>Kyra Senese and Eric Fan of the \u003ca href=\"https://documentingcovid19.io/home\">Documenting COVID-19 project\u003c/a> contributed to this report.\u003c/em>\u003c/p>\n\n\u003c/div>\u003c/p>",
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"content": "\u003cp>Santa Cruz and Santa Clara counties will move into the least restrictive tier of the state's \u003ca href=\"https://covid19.ca.gov/safer-economy/\">pandemic reopening system\u003c/a>, health officials said Tuesday.\u003c/p>\n\u003cp>The change to the yellow tier, which takes effect at 12:01 a.m. Wednesday, will enable both counties to expand indoor capacities for businesses like restaurants and gyms, as well as outdoor capacities for businesses like theme parks and large event venues.\u003c/p>\n\u003cp>Bars in both counties will also be allowed to reopen indoors at 25% capacity or 100 total people, whichever is fewer, without a requirement to serve meals with alcohol.\u003c/p>\n\u003cp>Santa Clara County Health Officer Dr. Sara Cody called the tier change a \"huge milestone\" for the county, which didn't reach the yellow tier last fall before the state's deadly winter surge.\u003c/p>\n\u003cp>\"Because so many members of our community are now fully vaccinated, COVID-19 case rates are at some of the lowest levels we've seen since the start of the pandemic,\" Cody said. \"We are now confident that vaccination not only prevents people from getting sick, it also prevents people from spreading COVID-19.\"\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>\"For a while it seemed uncertain to me whether the vaccines or the variants would win,\" Cody added. \"I think team vaccine is in the lead, holding the lead and will win.”\u003c/p>\n\u003cp>The tier changes come just under a month before the state plans to lift the tier system, formally called the Blueprint for a Safer Economy, allowing counties to reopen most businesses at full capacity on June 15.\u003c/p>\n\u003cp>As of Tuesday, 13 of the state's 58 counties were in the yellow tier. However, those counties — which also include \u003ca href=\"https://www.kqed.org/news/11872169/san-francisco-to-enter-states-least-restrictive-covid-tier-allowing-all-businesses-to-reopen\">San Francisco\u003c/a>, San Mateo and Los Angeles — account for 43.8% of the state's population.\u003c/p>\n\u003cp>Only one Bay Area county, Solano, remains in the second-most restrictive red tier, indicating substantial risk.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>\u003cem>— Bay City News and KQED's \u003ca href=\"https://www.kqed.org/author/lesleymcclurg\">Lesley McClurg\u003c/a>\u003c/em>\u003c/p>\n\n",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>Santa Cruz and Santa Clara counties will move into the least restrictive tier of the state's \u003ca href=\"https://covid19.ca.gov/safer-economy/\">pandemic reopening system\u003c/a>, health officials said Tuesday.\u003c/p>\n\u003cp>The change to the yellow tier, which takes effect at 12:01 a.m. Wednesday, will enable both counties to expand indoor capacities for businesses like restaurants and gyms, as well as outdoor capacities for businesses like theme parks and large event venues.\u003c/p>\n\u003cp>Bars in both counties will also be allowed to reopen indoors at 25% capacity or 100 total people, whichever is fewer, without a requirement to serve meals with alcohol.\u003c/p>\n\u003cp>Santa Clara County Health Officer Dr. Sara Cody called the tier change a \"huge milestone\" for the county, which didn't reach the yellow tier last fall before the state's deadly winter surge.\u003c/p>\n\u003cp>\"Because so many members of our community are now fully vaccinated, COVID-19 case rates are at some of the lowest levels we've seen since the start of the pandemic,\" Cody said. \"We are now confident that vaccination not only prevents people from getting sick, it also prevents people from spreading COVID-19.\"\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>\"For a while it seemed uncertain to me whether the vaccines or the variants would win,\" Cody added. \"I think team vaccine is in the lead, holding the lead and will win.”\u003c/p>\n\u003cp>The tier changes come just under a month before the state plans to lift the tier system, formally called the Blueprint for a Safer Economy, allowing counties to reopen most businesses at full capacity on June 15.\u003c/p>\n\u003cp>As of Tuesday, 13 of the state's 58 counties were in the yellow tier. However, those counties — which also include \u003ca href=\"https://www.kqed.org/news/11872169/san-francisco-to-enter-states-least-restrictive-covid-tier-allowing-all-businesses-to-reopen\">San Francisco\u003c/a>, San Mateo and Los Angeles — account for 43.8% of the state's population.\u003c/p>\n\u003cp>Only one Bay Area county, Solano, remains in the second-most restrictive red tier, indicating substantial risk.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>\u003cem>— Bay City News and KQED's \u003ca href=\"https://www.kqed.org/author/lesleymcclurg\">Lesley McClurg\u003c/a>\u003c/em>\u003c/p>\n\n\u003c/div>\u003c/p>",
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"content": "\u003cp>The Santa Clara Valley Transportation Authority on Monday opened a new vaccination site at the \u003ca href=\"https://www.vta.org/go/stations/santa-teresa\">Santa Teresa light rail station\u003c/a> in South San Jose. The new location comes shortly after Santa Clara County health officials \u003ca href=\"https://www.kqed.org/coronavirusliveupdates/news/11871904/santa-clara-county-officials-raise-concerns-about-declining-vaccine-demand\">raised concerns over the region’s decrease in vaccine demand\u003c/a> and the need to vaccinate younger residents.\u003c/p>\n\u003cp>“There’s plenty of supply, and anything we can do to help to make it easier for people who want to get vaccinated, we’re trying to do,” said Stacey Hendler Ross, a VTA spokesperson.\u003c/p>\n\u003cp>The new site has drive-thru and walk-up services where appointments are preferred, but not required. It is capable of administering around 900 to 1,000 vaccines a day, Hendler Ross said.\u003c/p>\n\u003cp>Bay Area Community Health, which is staffing the site (make an appointment \u003ca href=\"https://bach.health/vaccine/\">here\u003c/a>), had been operating out of a small clinic on Monterey Highway.\u003c/p>\n\u003cp>“They were being overwhelmed with people who wanted to get the vaccine, and they just did not have the capacity to treat everyone,” Hendler Ross said. \u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>San Jose Councilmember Sergio Jimenez suggested turning the Santa Teresa station’s parking lot into a new drive-thru vaccination location. \u003c/p>\n\u003cp>“They had been providing some vaccines over the past two weeks as they were sort of ramping up and working out the kinks,” Hendler Ross said. “And this is the first full week of vaccines that they’re providing.”\u003c/p>\n\u003cp>The site is expected to stay open through July, but the agency said it could remain open for longer if demand is still there. The transit agency is also offering free bus, light rail and paratransit rides for those going to receive their vaccines. \u003c/p>\n\u003cp>“We certainly hope that this helps make it easier for people who want to get a vaccine to just drive right through or get off the light rail train and walk right over to get a vaccine,” Hendler Ross said.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>\u003cem>- \u003ca href=\"https://twitter.com/gabriellasfren\">Gabriella Frenes\u003c/a> \u003c/em>\u003c/p>\n\n",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>The Santa Clara Valley Transportation Authority on Monday opened a new vaccination site at the \u003ca href=\"https://www.vta.org/go/stations/santa-teresa\">Santa Teresa light rail station\u003c/a> in South San Jose. The new location comes shortly after Santa Clara County health officials \u003ca href=\"https://www.kqed.org/coronavirusliveupdates/news/11871904/santa-clara-county-officials-raise-concerns-about-declining-vaccine-demand\">raised concerns over the region’s decrease in vaccine demand\u003c/a> and the need to vaccinate younger residents.\u003c/p>\n\u003cp>“There’s plenty of supply, and anything we can do to help to make it easier for people who want to get vaccinated, we’re trying to do,” said Stacey Hendler Ross, a VTA spokesperson.\u003c/p>\n\u003cp>The new site has drive-thru and walk-up services where appointments are preferred, but not required. It is capable of administering around 900 to 1,000 vaccines a day, Hendler Ross said.\u003c/p>\n\u003cp>Bay Area Community Health, which is staffing the site (make an appointment \u003ca href=\"https://bach.health/vaccine/\">here\u003c/a>), had been operating out of a small clinic on Monterey Highway.\u003c/p>\n\u003cp>“They were being overwhelmed with people who wanted to get the vaccine, and they just did not have the capacity to treat everyone,” Hendler Ross said. \u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>San Jose Councilmember Sergio Jimenez suggested turning the Santa Teresa station’s parking lot into a new drive-thru vaccination location. \u003c/p>\n\u003cp>“They had been providing some vaccines over the past two weeks as they were sort of ramping up and working out the kinks,” Hendler Ross said. “And this is the first full week of vaccines that they’re providing.”\u003c/p>\n\u003cp>The site is expected to stay open through July, but the agency said it could remain open for longer if demand is still there. The transit agency is also offering free bus, light rail and paratransit rides for those going to receive their vaccines. \u003c/p>\n\u003cp>“We certainly hope that this helps make it easier for people who want to get a vaccine to just drive right through or get off the light rail train and walk right over to get a vaccine,” Hendler Ross said.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>\u003cem>- \u003ca href=\"https://twitter.com/gabriellasfren\">Gabriella Frenes\u003c/a> \u003c/em>\u003c/p>\n\n\u003c/div>\u003c/p>",
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"content": "\u003cp>California state officials directed counties and other providers on Tuesday to \u003ca href=\"https://www.kqed.org/news/11869210/u-s-recommends-pausing-use-of-johnson-johnson-vaccine-over-blood-clot-concerns\">pause use of the Johnson & Johnson vaccine\u003c/a> as recommended by the Centers for Disease Control and Prevention and the Food and Drug Administration as agencies examine a possible and rare side effect that can cause blood clots.\u003c/p>\n\u003cp>On a visit to Butte County this morning, Gov. Gavin Newsom said that J&J vaccines represent about 4% of the state’s weekly allocation of vaccines from the federal government.\u003c/p>\n\u003cp>\u003cspan style=\"font-weight: 400\">“We are mindful that with the J&J, our ability to do as much as we had anticipated this week and over the next few weeks is impacted,” he said. “but our medium and long term goals are not.”\u003c/span>\u003c/p>\n\u003cp>The governor’s office also said on social media that the pause will not affect plans to open vaccination to all eligible teens and adults as scheduled on Thursday or its broader plan to reopen California’s economy in mid-June.\u003c/p>\n\u003cblockquote class=\"twitter-tweet\">\n\u003cp dir=\"ltr\" lang=\"en\">CA will follow CDC & FDA recommendations to temporarily pause use of the J&J COVID-19 vaccine, out of an abundance of caution.\u003c/p>\n\u003cp>Our vaccine allocations will not be significantly impacted.\u003c/p>\n\u003cp>Californians 16+ are eligible on April 15 and we remain set to fully reopen on June 15.\u003c/p>\n\u003cp>— Office of the Governor of California (@CAgovernor) \u003ca href=\"https://twitter.com/CAgovernor/status/1382016031275687943?ref_src=twsrc%5Etfw\">April 13, 2021\u003c/a>\u003c/p>\u003c/blockquote>\n\u003cp>Several Bay Area counties have already announced temporary halts to the use of the one-dose J&J vaccine. As of publication, this list includes San Francisco, Santa Clara, Alameda, Contra Costa, San Mateo, Sonoma, Alameda and Solano counties.\u003c/p>\n\u003cp>In Southern California, the city of Los Angeles has also announced its intention to pause the use of this vaccine.\u003c/p>\n\u003cp>The San Francisco COVID Command Center informed through its own statement that out of the 33,000 doses of the J&J vaccine that the city has administered so far, there are no reported cases of blood clotting.\u003c/p>\n\u003cp>“As this adverse event is reported to be extremely rare with just over six reported cases nationwide, we do not believe there is cause for immediate alarm,” city officials said, adding that anyone who has received the J&J vaccine should contact their care provider if they experience severe headache, abdominal pain, leg pain or shortness of breath within three weeks after vaccination.\u003c/p>\n\u003cp>Only 5% of the doses San Francisco received this week are of the J&J vaccine. Similarly, other counties have indicated that this vaccine makes up a very small proportion of their supplies.\u003c/p>\n\u003cp>In Marin County, J&J doses account for less than 3% of the county’s cumulative vaccine allocation, according to health officials. The county expects to use Pfizer and Moderna doses instead in its efforts to vaccinate harder-to-reach groups.\u003c/p>\n\u003cp>Similarly, Santa Clara County said in its own statement that it “anticipates being able to cover all scheduled appointments with the Pfizer or Moderna vaccines.”\u003c/p>\n\u003cp>[pullquote align=\"right\" size=\"medium\" citation=\"San Francisco COVID Command Center\"]‘The Pfizer and Moderna vaccines … are proven to be highly effective at preventing hospitalization or death from COVID-19.’[/pullquote]Contra Costa County, for its part, has made it clear that it does not plan to cancel any vaccination appointments, and residents who have already made an appointment should still show up to their vaccination time. The county also shared that it does not know of any cases of blood clots connected to the COVID-19 vaccines it has already administered.\u003c/p>\n\u003cp>However, the counties were clear in pointing out the safety of the other two vaccines. “The Pfizer and Moderna vaccines … are proven to be highly effective at preventing hospitalization or death from COVID-19,” said the San Francisco COVID Command Center.\u003c/p>\n\u003cp>The pause on J&J vaccines may now make it more difficult for public health officials to promote the use of this type of vaccine. Newsom and other high-profile California officials publicly received shots of the J&J vaccine in an attempt to demonstrate to the public that it was safe.\u003c/p>\n\u003cp>\u003cspan style=\"font-weight: 400\">“We’ve administered some 6.85 million doses of the J&J vaccine but you’ve had 6 recorded incidents of serious conditions,” Newsom said today. \u003c/span>\u003c/p>\n\u003cp>\u003cspan style=\"font-weight: 400\">“Six. That’s one in quite literally a million. I had the J&J vaccine. I had no side effects, whatsoever.”\u003c/span>\u003c/p>\n\u003cp>[aside postID=\"science_1972627\" hero=\"https://ww2.kqed.org/app/uploads/sites/35/2021/02/RS47031_GettyImages-1230936684-qut-1020x668.jpg\"]But production issues have plagued the vaccine. State public health officials last week warned of significant drops in shipments, from 575,000 J&J doses last week to 67,000 doses this week and 22,000 doses next week.\u003c/p>\n\u003cp>As a result, California will receive 2 million doses of all vaccine doses this week and 1.9 million doses next week, in addition to doses provided directly to pharmacies and community health clinics by the federal government.\u003c/p>\n\u003cp>The CDC and the FDA said Tuesday they were investigating clots in six women that emerged in the days after they were vaccinated, in combination with reduced platelet counts. Federal officials recommended pausing use of the vaccine until they know more.\u003c/p>\n\u003cp>More than 6.8 million doses of the J&J vaccine have been administered in the U.S., the vast majority with no or mild side effects.\u003c/p>\n\u003cp>[aside label ='Related Coverage' tag='vaccines,vaccine']A CDC committee will meet Wednesday to discuss the cases, and the FDA has also launched an investigation.\u003c/p>\n\u003cp>State epidemiologist Dr. Erica Pan also said California will convene a regional scientific safety workgroup to review information provided by the federal government. The review group created by California and joined by Nevada, Washington and Oregon, approved the J&J vaccine for use in the states on March 3. California got its first shipment of the shots that week.\u003c/p>\n\u003cp>Newsom, a Democrat, created the group amid fears that former President Donald Trump’s administration would politicize the approval process. The group reviewed the FDA’s approval of the shot and deemed it safe and effective.\u003c/p>\n\u003cp>\u003cem>This post has been updated and\u003c/em>\u003cem> includes reporting from KQED’s \u003ca href=\"https://www.kqed.org/author/katewolffe\">Kate Wolffe\u003c/a>, \u003ca href=\"https://www.kqed.org/author/parcuni\">Peter Arcuni\u003c/a> and \u003ca href=\"https://www.kqed.org/author/tgoldberg\">Ted Goldberg\u003c/a>.\u003c/em>\u003cbr>\n[ad fullwidth]\u003c/p>\n\u003cp>\u003c/p>\n",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>California state officials directed counties and other providers on Tuesday to \u003ca href=\"https://www.kqed.org/news/11869210/u-s-recommends-pausing-use-of-johnson-johnson-vaccine-over-blood-clot-concerns\">pause use of the Johnson & Johnson vaccine\u003c/a> as recommended by the Centers for Disease Control and Prevention and the Food and Drug Administration as agencies examine a possible and rare side effect that can cause blood clots.\u003c/p>\n\u003cp>On a visit to Butte County this morning, Gov. Gavin Newsom said that J&J vaccines represent about 4% of the state’s weekly allocation of vaccines from the federal government.\u003c/p>\n\u003cp>\u003cspan style=\"font-weight: 400\">“We are mindful that with the J&J, our ability to do as much as we had anticipated this week and over the next few weeks is impacted,” he said. “but our medium and long term goals are not.”\u003c/span>\u003c/p>\n\u003cp>The governor’s office also said on social media that the pause will not affect plans to open vaccination to all eligible teens and adults as scheduled on Thursday or its broader plan to reopen California’s economy in mid-June.\u003c/p>\n\u003cblockquote class=\"twitter-tweet\">\n\u003cp dir=\"ltr\" lang=\"en\">CA will follow CDC & FDA recommendations to temporarily pause use of the J&J COVID-19 vaccine, out of an abundance of caution.\u003c/p>\n\u003cp>Our vaccine allocations will not be significantly impacted.\u003c/p>\n\u003cp>Californians 16+ are eligible on April 15 and we remain set to fully reopen on June 15.\u003c/p>\n\u003cp>— Office of the Governor of California (@CAgovernor) \u003ca href=\"https://twitter.com/CAgovernor/status/1382016031275687943?ref_src=twsrc%5Etfw\">April 13, 2021\u003c/a>\u003c/p>\u003c/blockquote>\n\u003cp>Several Bay Area counties have already announced temporary halts to the use of the one-dose J&J vaccine. As of publication, this list includes San Francisco, Santa Clara, Alameda, Contra Costa, San Mateo, Sonoma, Alameda and Solano counties.\u003c/p>\n\u003cp>In Southern California, the city of Los Angeles has also announced its intention to pause the use of this vaccine.\u003c/p>\n\u003cp>The San Francisco COVID Command Center informed through its own statement that out of the 33,000 doses of the J&J vaccine that the city has administered so far, there are no reported cases of blood clotting.\u003c/p>\n\u003cp>“As this adverse event is reported to be extremely rare with just over six reported cases nationwide, we do not believe there is cause for immediate alarm,” city officials said, adding that anyone who has received the J&J vaccine should contact their care provider if they experience severe headache, abdominal pain, leg pain or shortness of breath within three weeks after vaccination.\u003c/p>\n\u003cp>Only 5% of the doses San Francisco received this week are of the J&J vaccine. Similarly, other counties have indicated that this vaccine makes up a very small proportion of their supplies.\u003c/p>\n\u003cp>In Marin County, J&J doses account for less than 3% of the county’s cumulative vaccine allocation, according to health officials. The county expects to use Pfizer and Moderna doses instead in its efforts to vaccinate harder-to-reach groups.\u003c/p>\n\u003cp>Similarly, Santa Clara County said in its own statement that it “anticipates being able to cover all scheduled appointments with the Pfizer or Moderna vaccines.”\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>Contra Costa County, for its part, has made it clear that it does not plan to cancel any vaccination appointments, and residents who have already made an appointment should still show up to their vaccination time. The county also shared that it does not know of any cases of blood clots connected to the COVID-19 vaccines it has already administered.\u003c/p>\n\u003cp>However, the counties were clear in pointing out the safety of the other two vaccines. “The Pfizer and Moderna vaccines … are proven to be highly effective at preventing hospitalization or death from COVID-19,” said the San Francisco COVID Command Center.\u003c/p>\n\u003cp>The pause on J&J vaccines may now make it more difficult for public health officials to promote the use of this type of vaccine. Newsom and other high-profile California officials publicly received shots of the J&J vaccine in an attempt to demonstrate to the public that it was safe.\u003c/p>\n\u003cp>\u003cspan style=\"font-weight: 400\">“We’ve administered some 6.85 million doses of the J&J vaccine but you’ve had 6 recorded incidents of serious conditions,” Newsom said today. \u003c/span>\u003c/p>\n\u003cp>\u003cspan style=\"font-weight: 400\">“Six. That’s one in quite literally a million. I had the J&J vaccine. I had no side effects, whatsoever.”\u003c/span>\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>But production issues have plagued the vaccine. State public health officials last week warned of significant drops in shipments, from 575,000 J&J doses last week to 67,000 doses this week and 22,000 doses next week.\u003c/p>\n\u003cp>As a result, California will receive 2 million doses of all vaccine doses this week and 1.9 million doses next week, in addition to doses provided directly to pharmacies and community health clinics by the federal government.\u003c/p>\n\u003cp>The CDC and the FDA said Tuesday they were investigating clots in six women that emerged in the days after they were vaccinated, in combination with reduced platelet counts. Federal officials recommended pausing use of the vaccine until they know more.\u003c/p>\n\u003cp>More than 6.8 million doses of the J&J vaccine have been administered in the U.S., the vast majority with no or mild side effects.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>A CDC committee will meet Wednesday to discuss the cases, and the FDA has also launched an investigation.\u003c/p>\n\u003cp>State epidemiologist Dr. Erica Pan also said California will convene a regional scientific safety workgroup to review information provided by the federal government. The review group created by California and joined by Nevada, Washington and Oregon, approved the J&J vaccine for use in the states on March 3. California got its first shipment of the shots that week.\u003c/p>\n\u003cp>Newsom, a Democrat, created the group amid fears that former President Donald Trump’s administration would politicize the approval process. The group reviewed the FDA’s approval of the shot and deemed it safe and effective.\u003c/p>\n\u003cp>\u003cem>This post has been updated and\u003c/em>\u003cem> includes reporting from KQED’s \u003ca href=\"https://www.kqed.org/author/katewolffe\">Kate Wolffe\u003c/a>, \u003ca href=\"https://www.kqed.org/author/parcuni\">Peter Arcuni\u003c/a> and \u003ca href=\"https://www.kqed.org/author/tgoldberg\">Ted Goldberg\u003c/a>.\u003c/em>\u003cbr>\n\u003c/p>\u003c/div>",
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"content": "\u003cp>In addition to being on the front lines in one of the worst pandemics in history, many public health officials have to contend with \u003ca href=\"http://bit.ly/pubhealthharassment\">harassment and threats\u003c/a> against themselves and their families. \u003ca id=\"LPlnk797232\" class=\"OWAAutoLink\" href=\"http://bit.ly/pubhealthharassment\">\u003c/a>\u003c/p>\n\u003cp>It's one thing to gripe and complain about COVID-19 restrictions; it's another to maliciously target the very people who are saving our lives.\u003c/p>\n\u003cp>What a sad statement that the Santa Clara County health officer has had to have a 24-7 security detail.\u003c/p>\n\u003cp>Of all the times, during a deadly pandemic is when these dedicated health professionals should be treated like rock stars ... without the crowds.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>\u003c/p>\n",
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"content": "\u003cp>\u003ca href=\"https://www.kqed.org/news/11863146/puerta-por-puerta-como-lideres-de-la-comunidad-afroamericana-y-latina-luchan-contra-la-desconfianza-por-la-vacuna-del-coronavirus\">\u003cem>Leer en español\u003c/em>\u003c/a>\u003c/p>\n\u003cp>[dropcap]L[/dropcap]uz María Abonce arrived in San Jose more than 15 years ago. Over time, she’s been to graduations, quinceañeras, workshops and made dozens of friends throughout the eastern part of the city. Now she gets to see many of those neighbors and friends again when she knocks at their door.\u003c/p>\n\u003cp>“We go out into the streets, eager to knock on some doors. Sometimes they open the door for us, sometimes they don’t. But there we are, offering what we have, COVID-19 tests and information,” she said in Spanish.\u003c/p>\n\u003cp>Abonce is a promotora, a community outreach health worker with META, Mujeres Emprendedoras Tomando Acción (Entrepreneurial Women Taking Action) and SOMOS Mayfair, two nonprofit organizations that have partnered with Santa Clara County’s public health department.\u003c/p>\n\u003cp>“Promotoras are trusted leaders in the community,” said Analilia García, racial and health equity senior manager for Santa Clara County. “They have the trust and the relationships we as a county do not.”\u003c/p>\n\u003cp>[pullquote align=\"right\" size=\"medium\" citation=\"Janet Franco Orona, San Jose resident\"]‘When community comes together, they will open their doors to one of their own.’[/pullquote]Latinos \u003ca href=\"https://www.sccgov.org/sites/covid19/Pages/dashboard-demographics-of-cases-and-deaths.aspx\">account for 51% of COVID-19 cases\u003c/a> in Santa Clara County, despite only making up 25.8% of the county’s population. ZIP codes with predominantly Latino residents in East San Jose and Gilroy have \u003ca href=\"https://www.sccgov.org/sites/covid19/Pages/dashboard-cases-by-zip-code-and-city.aspx\">reported some of the county’s highest infection rates\u003c/a>.\u003c/p>\n\u003cp>As of Feb. 19, \u003ca href=\"https://www.sccgov.org/sites/covid19/Pages/dashboard-vaccine-CAIR2.aspx?mc_cid=fe1c613fca&mc_eid=555c140dcd\">according to county data\u003c/a>, 249,442 residents of Santa Clara County have now received at least one dose of the coronavirus vaccine. Just over 20% of those people are Latinos, a number that falls below the proportion of Latinos who have either been infected or died to COVID-19-related complications.\u003c/p>\n\u003cp>Health officials have expanded testing centers and pop-up vaccination sites \u003ca href=\"https://www.sccgov.org/sites/covid19/Pages/press-release-2-11-2021-SCC-launches-drop-in-vaccine-clinic-expand-in-areas-hardest-hit.aspx\">in highly impacted areas\u003c/a>, close to well-known neighborhood spots like La Placita Tropicana shopping center and in the Mexican Heritage Plaza in East San Jose, and the Gilroy Senior Center.\u003c/p>\n\u003cp>But the county acknowledges that opening up a pop-up in a hard-hit area does not necessarily result in more of its residents getting tested or vaccinated.\u003c/p>\n\u003cp>“For some people, it can be a digital divide. For others, it can be a matter of time because of work schedules or not feeling comfortable going to a location,” García explained.\u003c/p>\n\u003cp>The promotora program closes the gap that more traditional public health can’t reach.\u003c/p>\n\u003cfigure id=\"attachment_11860906\" class=\"wp-caption aligncenter\" style=\"max-width: 1920px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"wp-image-11860906 size-full\" src=\"https://ww2.kqed.org/app/uploads/sites/10/2021/02/RS47058_026_SanJose_COVIDTesting_02032021-qut.jpg\" alt=\"\" width=\"1920\" height=\"1280\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2021/02/RS47058_026_SanJose_COVIDTesting_02032021-qut.jpg 1920w, https://cdn.kqed.org/wp-content/uploads/sites/10/2021/02/RS47058_026_SanJose_COVIDTesting_02032021-qut-800x533.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2021/02/RS47058_026_SanJose_COVIDTesting_02032021-qut-1020x680.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2021/02/RS47058_026_SanJose_COVIDTesting_02032021-qut-160x107.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2021/02/RS47058_026_SanJose_COVIDTesting_02032021-qut-1536x1024.jpg 1536w\" sizes=\"auto, (max-width: 1920px) 100vw, 1920px\">\u003cfigcaption class=\"wp-caption-text\">Santa Clara County public health worker Rocío Ramos prepares a nose swab for Antonio Orona for a self-administered COVID-19 test at his home in San Jose on Feb. 3, 2021. The county hopes the personal relationships built during door-to-door testing can become a source of reliable information about COVID-19 and thus limit the impact of disinformation about the virus and the vaccine. \u003ccite>(Beth LaBerge/KQED)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>García points out that promotoras form personal relationships with the families they meet, something that doesn’t really happen on the county’s online testing portal. Quite frequently, promotoras end up testing entire families at once. One of those families was that of Janet Franco Orona, resident of East San Jose. She lives with her husband, mother-in-law and 1-year-old baby.\u003c/p>\n\u003cp>While she’s gotten tested before, she’s felt a bit hesitant to take her mother-in-law, a senior, to public testing spots. “Will there be a lot of people who are already infected? Will they charge? All these things worry us when we plan on leaving the house.” she said.\u003c/p>\n\u003cp>But the promotora who knocked at Franco Orona’s door turned out to be an old friend and former neighbor of her mother-in-law.\u003c/p>\n\u003cp>“When community comes together, they will open their doors to one of their own,” she said.\u003c/p>\n\u003cp>Along with Abonce, eight bilingual promotoras go knocking door-to-door across East San Jose, offering residents in some of the worst-affected areas in the city the chance to get tested for COVID-19 at their doorstep through a self-swab test.\u003c/p>\n\u003cp>While Abonce waits as residents get tested, she answers any questions they may have. Many want to know about the new strains of the virus or what help the county can provide if they test positive. But now she’s getting more questions about the COVID-19 vaccine.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>“We hear so many things that we really wonder where these ideas come from,” she explained. “Folks tell us things like, ‘I’m not going to get vaccinated because it was released so quickly,’ ‘they told me that the vaccine is just water,’ or ‘the vaccine has a chip in it.’ ”\u003c/p>\n\u003cp>Abonce worries that these beliefs may seriously reduce the number of people who get vaccinated in the communities that need immunity the most, places where her friends and loved ones live.\u003c/p>\n\u003cp>Relying on the relationships and trust she’s built over the years, Abonce has managed to convince many neighbors to let go of these anxieties. But there are still those who refuse the vaccine, regardless of what they hear.\u003c/p>\n\u003cp>“We say that these are simply myths, that when pandemics or sicknesses spread, myths also tend to spread. Sometimes people make up these myths to create fear,” she said. “So we try to resolve those fears but sometimes we just can’t.”\u003c/p>\n\u003cp>In these cases, “The best we can do is give them the information we have,” she said.\u003c/p>\n\u003cfigure id=\"attachment_11860907\" class=\"wp-caption aligncenter\" style=\"max-width: 1920px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-11860907\" src=\"https://ww2.kqed.org/app/uploads/sites/10/2021/02/RS47056_024_SanJose_COVIDTesting_02032021-qut.jpg\" alt=\"\" width=\"1920\" height=\"1280\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2021/02/RS47056_024_SanJose_COVIDTesting_02032021-qut.jpg 1920w, https://cdn.kqed.org/wp-content/uploads/sites/10/2021/02/RS47056_024_SanJose_COVIDTesting_02032021-qut-800x533.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2021/02/RS47056_024_SanJose_COVIDTesting_02032021-qut-1020x680.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2021/02/RS47056_024_SanJose_COVIDTesting_02032021-qut-160x107.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2021/02/RS47056_024_SanJose_COVIDTesting_02032021-qut-1536x1024.jpg 1536w\" sizes=\"auto, (max-width: 1920px) 100vw, 1920px\">\u003cfigcaption class=\"wp-caption-text\">After getting their COVID-19 test, residents can ask promotoras questions about the virus or resources the county offers for those who test positive. However, promotoras are now hearing more fears and disinformation from residents about the coronavirus vaccine. \u003ccite>(Beth LaBerge/KQED)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003ch3>‘I Would Take It but I Do Not Trust It’: History and Vaccine Anxiety\u003c/h3>\n\u003cp>Days before a COVID-19 vaccine received emergency authorization from the FDA, \u003ca href=\"https://www.kqed.org/news/11849892/california-may-consider-historical-injustice-in-deciding-how-to-allocate-coronavirus-vaccine\">advocates advised state authorities\u003c/a> that a vaccine distribution plan should take into account both the immediate impact the pandemic has had on Black and Latino communities in California and the lessons learned from coronavirus testing outreach in those populations.\u003c/p>\n\u003cp>While state authorities \u003ca href=\"https://www.kqed.org/news/11849892/california-may-consider-historical-injustice-in-deciding-how-to-allocate-coronavirus-vaccine\">acknowledged the need to include equity\u003c/a> in distribution plans, the latest vaccination data suggests that vaccines are reaching Black and Latino residents at rates lower than the impact the pandemic has had on those communities.\u003c/p>\n\u003cp>Out of the 6.7 million vaccine doses the state \u003ca href=\"https://covid19.ca.gov/vaccines/#California-vaccines-dashboard\">has administered so far\u003c/a>, 2.9% of those who’ve received at least one shot identify as Black, while this group accounts for 6.2% of the state’s total \u003ca href=\"https://covid19.ca.gov/state-dashboard/\">COVID-19-related deaths\u003c/a>. Latinos represent 46.2% of COVID-19 related deaths in California, but have received just 16% of vaccinations so far.\u003c/p>\n\u003cp>[aside postID=\"news_11855623\" hero=\"https://ww2.kqed.org/app/uploads/sites/10/2021/01/GettyImages-1230603226-1020x605.jpg\"]\u003ca href=\"https://www.kqed.org/news/11855623/where-can-i-get-a-covid-19-vaccine-in-the-bay-area-your-questions-answered\">Sudden changes in California’s vaccination plan\u003c/a> have resulted in confusion among residents statewide, and low dosage supply has limited the impact of massive vaccination centers, and may make it even harder for the vaccines to reach hard-hit populations.\u003c/p>\n\u003cp>Maurice Foster and Paula Petty, a married couple living in Oakland, fear getting sick and have done all they can to avoid exposing themselves to COVID-19. They said California’s vaccine rollout process has eroded the little trust they have in state and federal authorities to provide a safe vaccine.\u003c/p>\n\u003cp>“I would take it but I do not trust it,” Foster said. “I do not trust the government. I’ve seen the president and the first lady take it but still. I will take it because I don’t want to die, not because I trust it.”\u003c/p>\n\u003cp>He believes the vaccine research process was not transparent, and is concerned it may have been rushed by the Trump administration for political motives.\u003c/p>\n\u003cp>“I don’t think Black people are more vulnerable to COVID-19,” he added. “I think the government is more prejudiced towards Black people.”\u003c/p>\n\u003cfigure id=\"attachment_11860909\" class=\"wp-caption aligncenter\" style=\"max-width: 1973px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-11860909\" src=\"https://ww2.kqed.org/app/uploads/sites/10/2021/02/152258286_756817738286257_6296328330243481974_n.jpg\" alt=\"\" width=\"1973\" height=\"1482\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2021/02/152258286_756817738286257_6296328330243481974_n.jpg 1973w, https://cdn.kqed.org/wp-content/uploads/sites/10/2021/02/152258286_756817738286257_6296328330243481974_n-800x601.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2021/02/152258286_756817738286257_6296328330243481974_n-1020x766.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2021/02/152258286_756817738286257_6296328330243481974_n-160x120.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2021/02/152258286_756817738286257_6296328330243481974_n-1536x1154.jpg 1536w, https://cdn.kqed.org/wp-content/uploads/sites/10/2021/02/152258286_756817738286257_6296328330243481974_n-1920x1442.jpg 1920w, https://cdn.kqed.org/wp-content/uploads/sites/10/2021/02/152258286_756817738286257_6296328330243481974_n-1044x783.jpg 1044w, https://cdn.kqed.org/wp-content/uploads/sites/10/2021/02/152258286_756817738286257_6296328330243481974_n-632x474.jpg 632w, https://cdn.kqed.org/wp-content/uploads/sites/10/2021/02/152258286_756817738286257_6296328330243481974_n-536x402.jpg 536w\" sizes=\"auto, (max-width: 1973px) 100vw, 1973px\">\u003cfigcaption class=\"wp-caption-text\">Paula Petty, left, and Maurice Foster, Oakland residents, have done all they can to avoid getting COVID-19. They consider taking the vaccine a necessary but dangerous risk. \u003ccite>(Carlos Cabrera-Lomelí/KQED)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>In San Francisco, high school senior Dara Montejo Chel has learned about incidents of medical malpractice in communities of color, especially cases of unethical sterilizations among Black and Latina women.\u003c/p>\n\u003cp>When Dawn Wooten, a nurse at a migrant detention center in Georgia, \u003ca href=\"https://www.bbc.com/news/world-us-canada-54160638\">filed a whistleblower complaint\u003c/a> last September claiming that hysterectomies were being performed on detained migrant women without their fully informed consent, Montejo Chel felt her anxiety shoot up.\u003c/p>\n\u003cp>She knows the COVID-19 vaccine is not a sterilization tool and strongly believes in the science of immunity – but she said the history she’s learning weighs heavy on her mind.\u003c/p>\n\u003cp>“When it comes to medical research, we people of color are usually the ones put at greater risk,” she said. “For a long time, medicine has not shown it cares about us.”\u003c/p>\n\u003cp>[pullquote size=\"medium\" align=\"right\" citation=\"Dr. Alicia Fernández, UCSF\"]‘I acknowledge that there are many reasons patients have to not trust doctors with these sorts of issues. The history of health care abuses both in Puerto Rico, in the Dominican Republic and other places comes up.’[/pullquote]\u003ca href=\"https://profiles.ucsf.edu/alicia.fernandez\">Dr. Alicia Fernández\u003c/a>, professor of medicine at UCSF, has heard similar hesitations from her patients. Her research looks at expanding access to primary health care in immigrant and Latino communities, and she’s part of the \u003ca href=\"https://unitedinhealth.org/\">Unidos en Salud initiative\u003c/a> that’s brought COVID-19 testing into San Francisco’s Mission District and the Fruitvale District in Oakland.\u003c/p>\n\u003cp>Vaccine hesitancy, she points out, while present across different demographics, differs based on access to adequate medical information and lived experiences. She’s identified a couple broad categories so she can address these anxieties more effectively.\u003c/p>\n\u003cp>“The first bucket is misinformation,” she said. Misinformation includes believing that the vaccine has dangerous side effects (like infertility or mutations), or that it was developed too quickly.\u003c/p>\n\u003cp>The second bucket consists of what Fernández refers to as alternate health beliefs: deeply held ideas about professional medicine or different types of care that make it difficult for an individual to go out and seek immunization. Alternative understandings of wellness can sometimes come from family traditions or a desire to provide care when hospitals are inaccessible due to lack of coverage or language.\u003c/p>\n\u003cp>“These beliefs may include never getting a vaccination, never putting anything into their body,” she said.\u003c/p>\n\u003cp>Then there’s everything else, but Fernández explained that an overarching feeling of worry relating to health and receiving care explains many of these experiences.\u003c/p>\n\u003cp>“What I try to do is sort out what people are feeling. I acknowledge that there are many reasons patients have to not trust doctors with these sorts of issues,” she said. “The history of health care abuses both in Puerto Rico, in the Dominican Republic and other places comes up.”\u003c/p>\n\u003cp>[aside label ='Related Coverage' tag='vaccines']Throughout the mid-20th century, the Eugenics Board of Puerto Rico \u003ca href=\"https://www.pbs.org/independentlens/blog/unwanted-sterilization-and-eugenics-programs-in-the-united-states/\">encouraged and oversaw hundreds of thousands of sterilizations\u003c/a> of women on the island as a population-control mechanism. Many of these women were not properly informed by physicians about the procedure and believed that the operation was easily reversible.\u003c/p>\n\u003cp>One-to-one conversations between doctor and patient are critical, Fernández explains, because that is when physicians can meet their patients where they are.\u003c/p>\n\u003cp>“If the doctor is comfortable with it, it’s important to share a little bit of our own stories of why we came to take the vaccine,” she said.\u003c/p>\n\u003cp>Talking about his own vaccine experience has been effective for Dr. Adrian James, chief medical officer at the \u003ca href=\"https://westoaklandhealth.org/\">West Oakland Health Council\u003c/a>, who has cleared up vaccine worries not just with his patients but also with his staff.\u003c/p>\n\u003cp>WOHC sees almost 8,000 patients every year, many of them Black East Bay residents. Last December, WOHC announced a partnership with Covered California to tackle vaccine hesitancy among Black communities in the state.\u003c/p>\n\u003cp>“I let folks know that this is a community problem,” James said. “This is everyone. This is not the Tuskegee experiment, only dealing with African American men. This is a community issue, we’re asking everyone to get the vaccine.”\u003c/p>\n\u003cp>[pullquote align=\"right\" size=\"medium\" citation=\"Dr. Adrian James, chief medical officer, West Oakland Health Council\"]‘We as a people do have a reason to be hesitant. But this is not the time. There are too many people dying.’[/pullquote]James makes reference to a 1932 study conducted by the U.S. Public Health Service and the Tuskegee Institute on Black men working as sharecroppers in Alabama. These men were informed that they were signing up to receive free medical care – they weren’t told they would be part of a study looking at the effects of untreated syphilis.\u003c/p>\n\u003cp>When details of the experiment were leaked to the press 40 years later, hundreds of participants had died never knowing they had the disease or ever received treatment. Now, \u003ca href=\"https://www.npr.org/2021/02/16/967011614/in-tuskegee-painful-history-shadows-efforts-to-vaccinate-african-americans\">Black community leaders and health workers in Alabama\u003c/a> are organizing to regain the trust of residents who immediately think of the Tuskegee experiment when they hear about the COVID-19 vaccine.\u003c/p>\n\u003cp>“We as a people do have a reason to be hesitant,” James said. “But this is not the time. There are too many people dying.”\u003c/p>\n\u003ch3>‘I Want to Be One of Those People Taking the Vaccine’\u003c/h3>\n\u003cp>For the past nine months, the Latino Task Force, a coalition made up of dozens of community-based organizations, has partnered with the San Francisco Department of Public Health and UCSF’s Unidos en Salud to provide weekly pop-up COVID-19 testing sites.\u003c/p>\n\u003cp>During that time, Jon Jacobo, health chair of the task force, has been able to talk to the hundreds of Latino and immigrant residents while they wait in line to get tested for coronavirus or get their flu shot. He’s noticed that feelings about getting vaccinated, whether that is for the flu or COVID-19, can differ based on generation and immigration experience.\u003c/p>\n\u003cp>“When we had the pop-up for flu shots back in September, the folks that would be coming in to get vaccinated were predominantly monolingual Spanish speakers,” he said.\u003c/p>\n\u003cp>According to Jacobo, recently arrived immigrants in line were very enthusiastic.\u003c/p>\n\u003cp>“In our home countries, maybe you don’t have access to free quality health care. And so now that you’re in the U.S., and this is available, it could be very advantageous,” Jacobo explained.\u003c/p>\n\u003cp>[pullquote align=\"right\" size=\"medium\" citation=\"Jon Jacobo, health chair, Latino Task Force\"]‘I don’t think that any of us want to go back to ignoring the inequities and the painful, glaring realities lived by the have-nots in the city.’[/pullquote]On the other hand, it’s been among second-generation immigrants and younger residents where he’s noticed a cooler reception towards the COVID-19 vaccine.\u003c/p>\n\u003cp>“For folks who were born here and grew up here, a lot of misinformation is present on social media,” said Jacobo.\u003c/p>\n\u003cp>However, he points out that overall, these feelings are a lot less common than expected. While the results have not been released yet, the Latino Task Force managed to poll over 6,000 people at its testing site on the corner of Mission and 24th streets last month. Jacobo estimates that over 80% of those surveyed had a very favorable opinion of the vaccine.\u003c/p>\n\u003cp>He hopes his team can publish all the data from the survey in the coming months, but according to Jacobo, the initial findings signal that those surveyed trust local and state governments a lot less than physicians and community initiatives like the Latino Task Force.\u003c/p>\n\u003cp>“I think the city needs to learn that it’s OK to not have all the answers at the moment,” he said. “Sometimes we just don’t have an answer at the moment. And we need to be comfortable with saying, ‘We are working on it and we will get it.’ ”\u003c/p>\n\u003cp>Confusion about where vaccinations are offered and lack of accessibility to these places can end up sowing distrust for the vaccine when there wasn’t distrust before, he added.\u003c/p>\n\u003cp>The first neighborhood vaccination site in San Francisco opened up in the Mission District \u003ca href=\"https://www.kqed.org/coronavirusliveupdates/news/11858171/san-francisco-opens-mission-district-vaccine-site\">on Feb. 2\u003c/a>, thanks in part to the advocacy of the Latino Task Force, who sought to bring a vaccination center into the heart of the Mission and a block away from the 24th Street BART station, where COVID-19 tests are offered every week.\u003c/p>\n\u003cp>Community organizers need care providers and public health authorities as much as the latter needs the former to provide trust and credibility to vaccination efforts, Jacobo said. This coalition is effective when community members lead and shape the outreach while the other two partners actively follow and fund this work.\u003c/p>\n\u003cp>“As an academic physician, it’s really helped me to work more closely with community-based organizations,” said Dr. Fernández of UCSF. She thinks that the model built to combat the pandemic and provide access to the vaccine can be replicated to confront other health crises that disproportionately affect communities of color, like diabetes or obesity.\u003c/p>\n\u003cp>“We’re going to need a lot of structural change, a lot of changing the social determinants of health, and that’s going to require all of us to work together,” she said.\u003c/p>\n\u003cp>As for the coalition, that shouldn’t fall apart after the pandemic ends, Jacobo said. “I know that from here on out, we are going to be working in this city towards a new normal.”\u003c/p>\n\u003cp>He added, “I don’t think that any of us want to go back to ignoring the inequities and the painful, glaring realities lived by the have-nots in the city.”\u003c/p>\n\u003cfigure id=\"attachment_11861163\" class=\"wp-caption aligncenter\" style=\"max-width: 1920px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-11861163\" src=\"https://ww2.kqed.org/app/uploads/sites/10/2021/02/151211137_785673258823087_7892150034492824497_n-e1613784176552.jpg\" alt=\"\" width=\"1920\" height=\"1280\">\u003cfigcaption class=\"wp-caption-text\">Esteban Torres, a first-year student at City College of San Francisco, volunteers each week at the Mission Food Hub, where he’s heard from older community members how excited they are to get the vaccine. But it wasn’t until he saw task force members get vaccinated that he felt fully ready himself (when that’s an option for him). \u003ccite>(Carlos Cabrera-Lomelí/KQED)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>Back in January, Jacobo, along with a few other members of the Latino Task Force involved in testing efforts, were vaccinated. Some volunteers got to see the moment firsthand. Among those present was Esteban Torres, a freshman at City College of San Francisco.\u003c/p>\n\u003cp>Torres had felt unsure about taking the vaccine for a few weeks. But when he saw some of his friends and older relatives take the chance, he felt a flood of relief. But also a sense of responsibility.\u003c/p>\n\u003cp>“When I saw that, I told myself I want to be part of that. I want to be one of those people taking the vaccine, doing it for everyone in my family and doing the most I can for anyone in my community,” he said.\u003c/p>\n\u003chr>\n\u003cp>\u003cem>KQED has brought together information on how and where to get vaccinated for COVID-19 in the Bay Area and is answering questions you may have about the process. Check out our guide, available in \u003ca class=\"c-link\" href=\"https://www.kqed.org/news/11855623/where-can-i-get-a-covid-19-vaccine-in-the-bay-area-your-questions-answered\" target=\"_blank\" rel=\"noopener noreferrer\" data-stringify-link=\"https://www.kqed.org/news/11855623/where-can-i-get-a-covid-19-vaccine-in-the-bay-area-your-questions-answered\" data-sk=\"tooltip_parent\">English\u003c/a> and \u003ca class=\"c-link\" href=\"https://www.kqed.org/news/11856006/cuando-y-donde-puede-vacunarse-contra-covid-19-en-el-area-de-la-bahia-aqui-tiene-las-respuestas\" target=\"_blank\" rel=\"noopener noreferrer\" data-stringify-link=\"https://www.kqed.org/news/11856006/cuando-y-donde-puede-vacunarse-contra-covid-19-en-el-area-de-la-bahia-aqui-tiene-las-respuestas\" data-sk=\"tooltip_parent\">Spanish\u003c/a> here.\u003c/em>\u003cbr>\n[ad fullwidth]\u003c/p>\n\u003cp>[ad floatright]\u003c/p>\n",
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"title": "Trusted Leaders Are Fighting COVID-19 Vaccine Fears in Black and Latino Communities | KQED",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>\u003ca href=\"https://www.kqed.org/news/11863146/puerta-por-puerta-como-lideres-de-la-comunidad-afroamericana-y-latina-luchan-contra-la-desconfianza-por-la-vacuna-del-coronavirus\">\u003cem>Leer en español\u003c/em>\u003c/a>\u003c/p>\n\u003cp>\u003c/p>\u003cp>\u003cspan class=\"utils-parseShortcode-shortcodes-__dropcapShortcode__dropcap\">L\u003c/span>\u003c/p>\u003cp>uz María Abonce arrived in San Jose more than 15 years ago. Over time, she’s been to graduations, quinceañeras, workshops and made dozens of friends throughout the eastern part of the city. Now she gets to see many of those neighbors and friends again when she knocks at their door.\u003c/p>\n\u003cp>“We go out into the streets, eager to knock on some doors. Sometimes they open the door for us, sometimes they don’t. But there we are, offering what we have, COVID-19 tests and information,” she said in Spanish.\u003c/p>\n\u003cp>Abonce is a promotora, a community outreach health worker with META, Mujeres Emprendedoras Tomando Acción (Entrepreneurial Women Taking Action) and SOMOS Mayfair, two nonprofit organizations that have partnered with Santa Clara County’s public health department.\u003c/p>\n\u003cp>“Promotoras are trusted leaders in the community,” said Analilia García, racial and health equity senior manager for Santa Clara County. “They have the trust and the relationships we as a county do not.”\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "‘When community comes together, they will open their doors to one of their own.’",
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"content": "\u003cdiv class=\"post-body\">\u003cp>Latinos \u003ca href=\"https://www.sccgov.org/sites/covid19/Pages/dashboard-demographics-of-cases-and-deaths.aspx\">account for 51% of COVID-19 cases\u003c/a> in Santa Clara County, despite only making up 25.8% of the county’s population. ZIP codes with predominantly Latino residents in East San Jose and Gilroy have \u003ca href=\"https://www.sccgov.org/sites/covid19/Pages/dashboard-cases-by-zip-code-and-city.aspx\">reported some of the county’s highest infection rates\u003c/a>.\u003c/p>\n\u003cp>As of Feb. 19, \u003ca href=\"https://www.sccgov.org/sites/covid19/Pages/dashboard-vaccine-CAIR2.aspx?mc_cid=fe1c613fca&mc_eid=555c140dcd\">according to county data\u003c/a>, 249,442 residents of Santa Clara County have now received at least one dose of the coronavirus vaccine. Just over 20% of those people are Latinos, a number that falls below the proportion of Latinos who have either been infected or died to COVID-19-related complications.\u003c/p>\n\u003cp>Health officials have expanded testing centers and pop-up vaccination sites \u003ca href=\"https://www.sccgov.org/sites/covid19/Pages/press-release-2-11-2021-SCC-launches-drop-in-vaccine-clinic-expand-in-areas-hardest-hit.aspx\">in highly impacted areas\u003c/a>, close to well-known neighborhood spots like La Placita Tropicana shopping center and in the Mexican Heritage Plaza in East San Jose, and the Gilroy Senior Center.\u003c/p>\n\u003cp>But the county acknowledges that opening up a pop-up in a hard-hit area does not necessarily result in more of its residents getting tested or vaccinated.\u003c/p>\n\u003cp>“For some people, it can be a digital divide. For others, it can be a matter of time because of work schedules or not feeling comfortable going to a location,” García explained.\u003c/p>\n\u003cp>The promotora program closes the gap that more traditional public health can’t reach.\u003c/p>\n\u003cfigure id=\"attachment_11860906\" class=\"wp-caption aligncenter\" style=\"max-width: 1920px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"wp-image-11860906 size-full\" src=\"https://ww2.kqed.org/app/uploads/sites/10/2021/02/RS47058_026_SanJose_COVIDTesting_02032021-qut.jpg\" alt=\"\" width=\"1920\" height=\"1280\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2021/02/RS47058_026_SanJose_COVIDTesting_02032021-qut.jpg 1920w, https://cdn.kqed.org/wp-content/uploads/sites/10/2021/02/RS47058_026_SanJose_COVIDTesting_02032021-qut-800x533.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2021/02/RS47058_026_SanJose_COVIDTesting_02032021-qut-1020x680.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2021/02/RS47058_026_SanJose_COVIDTesting_02032021-qut-160x107.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2021/02/RS47058_026_SanJose_COVIDTesting_02032021-qut-1536x1024.jpg 1536w\" sizes=\"auto, (max-width: 1920px) 100vw, 1920px\">\u003cfigcaption class=\"wp-caption-text\">Santa Clara County public health worker Rocío Ramos prepares a nose swab for Antonio Orona for a self-administered COVID-19 test at his home in San Jose on Feb. 3, 2021. The county hopes the personal relationships built during door-to-door testing can become a source of reliable information about COVID-19 and thus limit the impact of disinformation about the virus and the vaccine. \u003ccite>(Beth LaBerge/KQED)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>García points out that promotoras form personal relationships with the families they meet, something that doesn’t really happen on the county’s online testing portal. Quite frequently, promotoras end up testing entire families at once. One of those families was that of Janet Franco Orona, resident of East San Jose. She lives with her husband, mother-in-law and 1-year-old baby.\u003c/p>\n\u003cp>While she’s gotten tested before, she’s felt a bit hesitant to take her mother-in-law, a senior, to public testing spots. “Will there be a lot of people who are already infected? Will they charge? All these things worry us when we plan on leaving the house.” she said.\u003c/p>\n\u003cp>But the promotora who knocked at Franco Orona’s door turned out to be an old friend and former neighbor of her mother-in-law.\u003c/p>\n\u003cp>“When community comes together, they will open their doors to one of their own,” she said.\u003c/p>\n\u003cp>Along with Abonce, eight bilingual promotoras go knocking door-to-door across East San Jose, offering residents in some of the worst-affected areas in the city the chance to get tested for COVID-19 at their doorstep through a self-swab test.\u003c/p>\n\u003cp>While Abonce waits as residents get tested, she answers any questions they may have. Many want to know about the new strains of the virus or what help the county can provide if they test positive. But now she’s getting more questions about the COVID-19 vaccine.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>“We hear so many things that we really wonder where these ideas come from,” she explained. “Folks tell us things like, ‘I’m not going to get vaccinated because it was released so quickly,’ ‘they told me that the vaccine is just water,’ or ‘the vaccine has a chip in it.’ ”\u003c/p>\n\u003cp>Abonce worries that these beliefs may seriously reduce the number of people who get vaccinated in the communities that need immunity the most, places where her friends and loved ones live.\u003c/p>\n\u003cp>Relying on the relationships and trust she’s built over the years, Abonce has managed to convince many neighbors to let go of these anxieties. But there are still those who refuse the vaccine, regardless of what they hear.\u003c/p>\n\u003cp>“We say that these are simply myths, that when pandemics or sicknesses spread, myths also tend to spread. Sometimes people make up these myths to create fear,” she said. “So we try to resolve those fears but sometimes we just can’t.”\u003c/p>\n\u003cp>In these cases, “The best we can do is give them the information we have,” she said.\u003c/p>\n\u003cfigure id=\"attachment_11860907\" class=\"wp-caption aligncenter\" style=\"max-width: 1920px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-11860907\" src=\"https://ww2.kqed.org/app/uploads/sites/10/2021/02/RS47056_024_SanJose_COVIDTesting_02032021-qut.jpg\" alt=\"\" width=\"1920\" height=\"1280\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2021/02/RS47056_024_SanJose_COVIDTesting_02032021-qut.jpg 1920w, https://cdn.kqed.org/wp-content/uploads/sites/10/2021/02/RS47056_024_SanJose_COVIDTesting_02032021-qut-800x533.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2021/02/RS47056_024_SanJose_COVIDTesting_02032021-qut-1020x680.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2021/02/RS47056_024_SanJose_COVIDTesting_02032021-qut-160x107.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2021/02/RS47056_024_SanJose_COVIDTesting_02032021-qut-1536x1024.jpg 1536w\" sizes=\"auto, (max-width: 1920px) 100vw, 1920px\">\u003cfigcaption class=\"wp-caption-text\">After getting their COVID-19 test, residents can ask promotoras questions about the virus or resources the county offers for those who test positive. However, promotoras are now hearing more fears and disinformation from residents about the coronavirus vaccine. \u003ccite>(Beth LaBerge/KQED)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003ch3>‘I Would Take It but I Do Not Trust It’: History and Vaccine Anxiety\u003c/h3>\n\u003cp>Days before a COVID-19 vaccine received emergency authorization from the FDA, \u003ca href=\"https://www.kqed.org/news/11849892/california-may-consider-historical-injustice-in-deciding-how-to-allocate-coronavirus-vaccine\">advocates advised state authorities\u003c/a> that a vaccine distribution plan should take into account both the immediate impact the pandemic has had on Black and Latino communities in California and the lessons learned from coronavirus testing outreach in those populations.\u003c/p>\n\u003cp>While state authorities \u003ca href=\"https://www.kqed.org/news/11849892/california-may-consider-historical-injustice-in-deciding-how-to-allocate-coronavirus-vaccine\">acknowledged the need to include equity\u003c/a> in distribution plans, the latest vaccination data suggests that vaccines are reaching Black and Latino residents at rates lower than the impact the pandemic has had on those communities.\u003c/p>\n\u003cp>Out of the 6.7 million vaccine doses the state \u003ca href=\"https://covid19.ca.gov/vaccines/#California-vaccines-dashboard\">has administered so far\u003c/a>, 2.9% of those who’ve received at least one shot identify as Black, while this group accounts for 6.2% of the state’s total \u003ca href=\"https://covid19.ca.gov/state-dashboard/\">COVID-19-related deaths\u003c/a>. Latinos represent 46.2% of COVID-19 related deaths in California, but have received just 16% of vaccinations so far.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003ca href=\"https://www.kqed.org/news/11855623/where-can-i-get-a-covid-19-vaccine-in-the-bay-area-your-questions-answered\">Sudden changes in California’s vaccination plan\u003c/a> have resulted in confusion among residents statewide, and low dosage supply has limited the impact of massive vaccination centers, and may make it even harder for the vaccines to reach hard-hit populations.\u003c/p>\n\u003cp>Maurice Foster and Paula Petty, a married couple living in Oakland, fear getting sick and have done all they can to avoid exposing themselves to COVID-19. They said California’s vaccine rollout process has eroded the little trust they have in state and federal authorities to provide a safe vaccine.\u003c/p>\n\u003cp>“I would take it but I do not trust it,” Foster said. “I do not trust the government. I’ve seen the president and the first lady take it but still. I will take it because I don’t want to die, not because I trust it.”\u003c/p>\n\u003cp>He believes the vaccine research process was not transparent, and is concerned it may have been rushed by the Trump administration for political motives.\u003c/p>\n\u003cp>“I don’t think Black people are more vulnerable to COVID-19,” he added. “I think the government is more prejudiced towards Black people.”\u003c/p>\n\u003cfigure id=\"attachment_11860909\" class=\"wp-caption aligncenter\" style=\"max-width: 1973px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-11860909\" src=\"https://ww2.kqed.org/app/uploads/sites/10/2021/02/152258286_756817738286257_6296328330243481974_n.jpg\" alt=\"\" width=\"1973\" height=\"1482\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2021/02/152258286_756817738286257_6296328330243481974_n.jpg 1973w, https://cdn.kqed.org/wp-content/uploads/sites/10/2021/02/152258286_756817738286257_6296328330243481974_n-800x601.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2021/02/152258286_756817738286257_6296328330243481974_n-1020x766.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2021/02/152258286_756817738286257_6296328330243481974_n-160x120.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2021/02/152258286_756817738286257_6296328330243481974_n-1536x1154.jpg 1536w, https://cdn.kqed.org/wp-content/uploads/sites/10/2021/02/152258286_756817738286257_6296328330243481974_n-1920x1442.jpg 1920w, https://cdn.kqed.org/wp-content/uploads/sites/10/2021/02/152258286_756817738286257_6296328330243481974_n-1044x783.jpg 1044w, https://cdn.kqed.org/wp-content/uploads/sites/10/2021/02/152258286_756817738286257_6296328330243481974_n-632x474.jpg 632w, https://cdn.kqed.org/wp-content/uploads/sites/10/2021/02/152258286_756817738286257_6296328330243481974_n-536x402.jpg 536w\" sizes=\"auto, (max-width: 1973px) 100vw, 1973px\">\u003cfigcaption class=\"wp-caption-text\">Paula Petty, left, and Maurice Foster, Oakland residents, have done all they can to avoid getting COVID-19. They consider taking the vaccine a necessary but dangerous risk. \u003ccite>(Carlos Cabrera-Lomelí/KQED)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>In San Francisco, high school senior Dara Montejo Chel has learned about incidents of medical malpractice in communities of color, especially cases of unethical sterilizations among Black and Latina women.\u003c/p>\n\u003cp>When Dawn Wooten, a nurse at a migrant detention center in Georgia, \u003ca href=\"https://www.bbc.com/news/world-us-canada-54160638\">filed a whistleblower complaint\u003c/a> last September claiming that hysterectomies were being performed on detained migrant women without their fully informed consent, Montejo Chel felt her anxiety shoot up.\u003c/p>\n\u003cp>She knows the COVID-19 vaccine is not a sterilization tool and strongly believes in the science of immunity – but she said the history she’s learning weighs heavy on her mind.\u003c/p>\n\u003cp>“When it comes to medical research, we people of color are usually the ones put at greater risk,” she said. “For a long time, medicine has not shown it cares about us.”\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "‘I acknowledge that there are many reasons patients have to not trust doctors with these sorts of issues. The history of health care abuses both in Puerto Rico, in the Dominican Republic and other places comes up.’",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003ca href=\"https://profiles.ucsf.edu/alicia.fernandez\">Dr. Alicia Fernández\u003c/a>, professor of medicine at UCSF, has heard similar hesitations from her patients. Her research looks at expanding access to primary health care in immigrant and Latino communities, and she’s part of the \u003ca href=\"https://unitedinhealth.org/\">Unidos en Salud initiative\u003c/a> that’s brought COVID-19 testing into San Francisco’s Mission District and the Fruitvale District in Oakland.\u003c/p>\n\u003cp>Vaccine hesitancy, she points out, while present across different demographics, differs based on access to adequate medical information and lived experiences. She’s identified a couple broad categories so she can address these anxieties more effectively.\u003c/p>\n\u003cp>“The first bucket is misinformation,” she said. Misinformation includes believing that the vaccine has dangerous side effects (like infertility or mutations), or that it was developed too quickly.\u003c/p>\n\u003cp>The second bucket consists of what Fernández refers to as alternate health beliefs: deeply held ideas about professional medicine or different types of care that make it difficult for an individual to go out and seek immunization. Alternative understandings of wellness can sometimes come from family traditions or a desire to provide care when hospitals are inaccessible due to lack of coverage or language.\u003c/p>\n\u003cp>“These beliefs may include never getting a vaccination, never putting anything into their body,” she said.\u003c/p>\n\u003cp>Then there’s everything else, but Fernández explained that an overarching feeling of worry relating to health and receiving care explains many of these experiences.\u003c/p>\n\u003cp>“What I try to do is sort out what people are feeling. I acknowledge that there are many reasons patients have to not trust doctors with these sorts of issues,” she said. “The history of health care abuses both in Puerto Rico, in the Dominican Republic and other places comes up.”\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>Throughout the mid-20th century, the Eugenics Board of Puerto Rico \u003ca href=\"https://www.pbs.org/independentlens/blog/unwanted-sterilization-and-eugenics-programs-in-the-united-states/\">encouraged and oversaw hundreds of thousands of sterilizations\u003c/a> of women on the island as a population-control mechanism. Many of these women were not properly informed by physicians about the procedure and believed that the operation was easily reversible.\u003c/p>\n\u003cp>One-to-one conversations between doctor and patient are critical, Fernández explains, because that is when physicians can meet their patients where they are.\u003c/p>\n\u003cp>“If the doctor is comfortable with it, it’s important to share a little bit of our own stories of why we came to take the vaccine,” she said.\u003c/p>\n\u003cp>Talking about his own vaccine experience has been effective for Dr. Adrian James, chief medical officer at the \u003ca href=\"https://westoaklandhealth.org/\">West Oakland Health Council\u003c/a>, who has cleared up vaccine worries not just with his patients but also with his staff.\u003c/p>\n\u003cp>WOHC sees almost 8,000 patients every year, many of them Black East Bay residents. Last December, WOHC announced a partnership with Covered California to tackle vaccine hesitancy among Black communities in the state.\u003c/p>\n\u003cp>“I let folks know that this is a community problem,” James said. “This is everyone. This is not the Tuskegee experiment, only dealing with African American men. This is a community issue, we’re asking everyone to get the vaccine.”\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "‘We as a people do have a reason to be hesitant. But this is not the time. There are too many people dying.’",
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"content": "\u003cdiv class=\"post-body\">\u003cp>James makes reference to a 1932 study conducted by the U.S. Public Health Service and the Tuskegee Institute on Black men working as sharecroppers in Alabama. These men were informed that they were signing up to receive free medical care – they weren’t told they would be part of a study looking at the effects of untreated syphilis.\u003c/p>\n\u003cp>When details of the experiment were leaked to the press 40 years later, hundreds of participants had died never knowing they had the disease or ever received treatment. Now, \u003ca href=\"https://www.npr.org/2021/02/16/967011614/in-tuskegee-painful-history-shadows-efforts-to-vaccinate-african-americans\">Black community leaders and health workers in Alabama\u003c/a> are organizing to regain the trust of residents who immediately think of the Tuskegee experiment when they hear about the COVID-19 vaccine.\u003c/p>\n\u003cp>“We as a people do have a reason to be hesitant,” James said. “But this is not the time. There are too many people dying.”\u003c/p>\n\u003ch3>‘I Want to Be One of Those People Taking the Vaccine’\u003c/h3>\n\u003cp>For the past nine months, the Latino Task Force, a coalition made up of dozens of community-based organizations, has partnered with the San Francisco Department of Public Health and UCSF’s Unidos en Salud to provide weekly pop-up COVID-19 testing sites.\u003c/p>\n\u003cp>During that time, Jon Jacobo, health chair of the task force, has been able to talk to the hundreds of Latino and immigrant residents while they wait in line to get tested for coronavirus or get their flu shot. He’s noticed that feelings about getting vaccinated, whether that is for the flu or COVID-19, can differ based on generation and immigration experience.\u003c/p>\n\u003cp>“When we had the pop-up for flu shots back in September, the folks that would be coming in to get vaccinated were predominantly monolingual Spanish speakers,” he said.\u003c/p>\n\u003cp>According to Jacobo, recently arrived immigrants in line were very enthusiastic.\u003c/p>\n\u003cp>“In our home countries, maybe you don’t have access to free quality health care. And so now that you’re in the U.S., and this is available, it could be very advantageous,” Jacobo explained.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "‘I don’t think that any of us want to go back to ignoring the inequities and the painful, glaring realities lived by the have-nots in the city.’",
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"content": "\u003cdiv class=\"post-body\">\u003cp>On the other hand, it’s been among second-generation immigrants and younger residents where he’s noticed a cooler reception towards the COVID-19 vaccine.\u003c/p>\n\u003cp>“For folks who were born here and grew up here, a lot of misinformation is present on social media,” said Jacobo.\u003c/p>\n\u003cp>However, he points out that overall, these feelings are a lot less common than expected. While the results have not been released yet, the Latino Task Force managed to poll over 6,000 people at its testing site on the corner of Mission and 24th streets last month. Jacobo estimates that over 80% of those surveyed had a very favorable opinion of the vaccine.\u003c/p>\n\u003cp>He hopes his team can publish all the data from the survey in the coming months, but according to Jacobo, the initial findings signal that those surveyed trust local and state governments a lot less than physicians and community initiatives like the Latino Task Force.\u003c/p>\n\u003cp>“I think the city needs to learn that it’s OK to not have all the answers at the moment,” he said. “Sometimes we just don’t have an answer at the moment. And we need to be comfortable with saying, ‘We are working on it and we will get it.’ ”\u003c/p>\n\u003cp>Confusion about where vaccinations are offered and lack of accessibility to these places can end up sowing distrust for the vaccine when there wasn’t distrust before, he added.\u003c/p>\n\u003cp>The first neighborhood vaccination site in San Francisco opened up in the Mission District \u003ca href=\"https://www.kqed.org/coronavirusliveupdates/news/11858171/san-francisco-opens-mission-district-vaccine-site\">on Feb. 2\u003c/a>, thanks in part to the advocacy of the Latino Task Force, who sought to bring a vaccination center into the heart of the Mission and a block away from the 24th Street BART station, where COVID-19 tests are offered every week.\u003c/p>\n\u003cp>Community organizers need care providers and public health authorities as much as the latter needs the former to provide trust and credibility to vaccination efforts, Jacobo said. This coalition is effective when community members lead and shape the outreach while the other two partners actively follow and fund this work.\u003c/p>\n\u003cp>“As an academic physician, it’s really helped me to work more closely with community-based organizations,” said Dr. Fernández of UCSF. She thinks that the model built to combat the pandemic and provide access to the vaccine can be replicated to confront other health crises that disproportionately affect communities of color, like diabetes or obesity.\u003c/p>\n\u003cp>“We’re going to need a lot of structural change, a lot of changing the social determinants of health, and that’s going to require all of us to work together,” she said.\u003c/p>\n\u003cp>As for the coalition, that shouldn’t fall apart after the pandemic ends, Jacobo said. “I know that from here on out, we are going to be working in this city towards a new normal.”\u003c/p>\n\u003cp>He added, “I don’t think that any of us want to go back to ignoring the inequities and the painful, glaring realities lived by the have-nots in the city.”\u003c/p>\n\u003cfigure id=\"attachment_11861163\" class=\"wp-caption aligncenter\" style=\"max-width: 1920px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-11861163\" src=\"https://ww2.kqed.org/app/uploads/sites/10/2021/02/151211137_785673258823087_7892150034492824497_n-e1613784176552.jpg\" alt=\"\" width=\"1920\" height=\"1280\">\u003cfigcaption class=\"wp-caption-text\">Esteban Torres, a first-year student at City College of San Francisco, volunteers each week at the Mission Food Hub, where he’s heard from older community members how excited they are to get the vaccine. But it wasn’t until he saw task force members get vaccinated that he felt fully ready himself (when that’s an option for him). \u003ccite>(Carlos Cabrera-Lomelí/KQED)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>Back in January, Jacobo, along with a few other members of the Latino Task Force involved in testing efforts, were vaccinated. Some volunteers got to see the moment firsthand. Among those present was Esteban Torres, a freshman at City College of San Francisco.\u003c/p>\n\u003cp>Torres had felt unsure about taking the vaccine for a few weeks. But when he saw some of his friends and older relatives take the chance, he felt a flood of relief. But also a sense of responsibility.\u003c/p>\n\u003cp>“When I saw that, I told myself I want to be part of that. I want to be one of those people taking the vaccine, doing it for everyone in my family and doing the most I can for anyone in my community,” he said.\u003c/p>\n\u003chr>\n\u003cp>\u003cem>KQED has brought together information on how and where to get vaccinated for COVID-19 in the Bay Area and is answering questions you may have about the process. Check out our guide, available in \u003ca class=\"c-link\" href=\"https://www.kqed.org/news/11855623/where-can-i-get-a-covid-19-vaccine-in-the-bay-area-your-questions-answered\" target=\"_blank\" rel=\"noopener noreferrer\" data-stringify-link=\"https://www.kqed.org/news/11855623/where-can-i-get-a-covid-19-vaccine-in-the-bay-area-your-questions-answered\" data-sk=\"tooltip_parent\">English\u003c/a> and \u003ca class=\"c-link\" href=\"https://www.kqed.org/news/11856006/cuando-y-donde-puede-vacunarse-contra-covid-19-en-el-area-de-la-bahia-aqui-tiene-las-respuestas\" target=\"_blank\" rel=\"noopener noreferrer\" data-stringify-link=\"https://www.kqed.org/news/11856006/cuando-y-donde-puede-vacunarse-contra-covid-19-en-el-area-de-la-bahia-aqui-tiene-las-respuestas\" data-sk=\"tooltip_parent\">Spanish\u003c/a> here.\u003c/em>\u003cbr>\n\u003c/p>\u003c/div>",
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"title": "Mountain View Voters Passed Measure C. Now What Happens to RV Dwellers?",
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"content": "\u003cp>Jan Stevens was born and raised in Mountain View. She raised her son in the city, too. She’s disabled, unemployed and has relied on child support to help pay the bills. But once her son turned 18, the child support stopped and she began to run out of options.\u003c/p>\n\u003cp>“I wasn’t able to afford rent [in Mountain View] anymore, so the only choice I had was to get an RV and find someplace else to live,” Stevens said.\u003c/p>\n\u003cp>Stevens suffers from chronic fatigue syndrome. Shortly after buying her RV and dropping her son off at college, she was diagnosed with breast cancer as well. Now she sees many doctors, all of whom are in Mountain View.\u003c/p>\n\u003cp>[aside tag='homelessness' label='More on Homelessness']\u003c/p>\n\u003cp>“You know, I would have gladly gone somewhere else, but at this point, I can’t,” she said. “I have longtime friends that support me in many ways. If I ask for a ride to the hospital or to get me groceries, I have a tremendous amount of support here that, if I were to go somewhere else, I would be without.”\u003c/p>\n\u003cp>For the past two years, she has parked her RV on a cul-de-sac called Continental Circle, along with about 70 other RV dwellers.\u003c/p>\n\u003cp>\u003ca href=\"https://www.mountainview.gov/civicax/filebank/blobdload.aspx?BlobID=32778\">Measure C\u003c/a>, which passed with just 56% of the vote in Mountain View, bans oversized vehicles — defined as any “which exceeds 22 feet in length or 7 feet in width of 7 feet in height” — from parking on streets that are 40 feet or narrower, unless the vehicle is parked for short duration activities like loading and unloading.\u003c/p>\n\u003cp>\u003ca href=\"https://www.mountainview.gov/civicax/filebank/blobdload.aspx?BlobID=33419\">Mountain View officials spent six weeks measuring\u003c/a> the 140 miles of city streets to determine what streets would be subject to the rules of the new ordinance. They found that 110 miles, or 78.6% of streets, could potentially qualify as narrow streets.\u003c/p>\n\u003cp>“I will just drive around and park somewhere every night and then move, I guess,” Stevens said. “I really don’t know.”\u003c/p>\n\u003cp>Measure C was originally an ordinance adopted by the City Council in October 2019. But after several organizations — including the American Civil Liberties Union and the Law Foundation of Silicon Valley — sent a letter demanding the ordinance to be suspended and a petition was filed against the ordinance. It was suspended, and RV dwellers were still allowed to park their RVs on city streets.\u003c/p>\n\u003cp>Michael Trujillo, a staff attorney with the Law Foundation of Silicon Valley, signed the original letter opposing the ordinance.\u003c/p>\n\u003cp>“This ban on oversized vehicle parking in Mountain View is cruel and unusual punishment under the Eighth Amendment, and that comes from a decision called \u003ca href=\"http://cdn.ca9.uscourts.gov/datastore/opinions/2019/04/01/15-35845.pdf\">\u003cem>Martin v. Boise\u003c/em>\u003c/a>, which was decided in 2018,” Trujillo said.\u003c/p>\n\u003cp>In that case, the U.S. Supreme Court ruled that because the city of Boise, Idaho, hadn’t provided people with an adequate alternative to sleeping outside, they couldn’t be punished for being homeless. Trujillo feels this same argument can be applied to the RV dwellers in Mountain View.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>But a majority of voters in Mountain View don’t agree with that argument. Arnold Leon, \u003ca href=\"https://results.enr.clarityelections.com/CA/Santa_Clara/106043/web.264614/#/detail/103\">one of the 18,000 voters\u003c/a> who voted in favor of Measure C, has been a homeowner in the city for 50 years.\u003c/p>\n\u003cp>“If you truly can afford rent in Mountain View or elsewhere and that is an option, then I think people should consider that option,” Leon said. “Not all of those RV dwellers are really needy, truly needy people.”\u003c/p>\n\u003cp>[pullquote size=\"medium\" align=\"right\" citation=\"Jan Stevens, Mountain View RV dweller \"]‘I will just drive around and park somewhere every night and then move, I guess. I really don’t know.’[/pullquote]\u003c/p>\n\u003cp>Leon points to the city’s \u003ca href=\"https://www.mountainview.gov/depts/comdev/preservation/safe_parking_program.asp\">Safe Parking Program\u003c/a>, the largest program of its kind in the South Bay and the second largest in the Bay Area. The program offers 70 spaces across Mountain View for people to safely park their vehicles and receive social services and support to find permanent housing. The city plans to expand the program to about 100 spots eventually, but it recently counted more than 300 vehicles currently used as dwellings across Mountain View.\u003c/p>\n\u003cp>The city has to do more, says former Mountain View Mayor Lenny Siegel, who ran for a City Council seat opposing Measure C and lost.\u003c/p>\n\u003cp>“I don’t expect [the City Council] to try to undo the will of the voters, but I’m expecting them to find places in Mountain View for people who are living in motor homes, who are from Mountain View, to continue to park,” Siegel said.\u003c/p>\n\u003cp>The county of Santa Clara will certify the election results on Dec. 3 and the Mountain View City Council will discuss implementation plans during a meeting on Dec. 8. In the meantime, some RV dwellers, including Jan Stevens, say they are planning to sue the city over the measure and their resulting displacement out of the city.\u003c/p>\n\u003cp>\u003c/p>\n",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>Jan Stevens was born and raised in Mountain View. She raised her son in the city, too. She’s disabled, unemployed and has relied on child support to help pay the bills. But once her son turned 18, the child support stopped and she began to run out of options.\u003c/p>\n\u003cp>“I wasn’t able to afford rent [in Mountain View] anymore, so the only choice I had was to get an RV and find someplace else to live,” Stevens said.\u003c/p>\n\u003cp>Stevens suffers from chronic fatigue syndrome. Shortly after buying her RV and dropping her son off at college, she was diagnosed with breast cancer as well. Now she sees many doctors, all of whom are in Mountain View.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>“You know, I would have gladly gone somewhere else, but at this point, I can’t,” she said. “I have longtime friends that support me in many ways. If I ask for a ride to the hospital or to get me groceries, I have a tremendous amount of support here that, if I were to go somewhere else, I would be without.”\u003c/p>\n\u003cp>For the past two years, she has parked her RV on a cul-de-sac called Continental Circle, along with about 70 other RV dwellers.\u003c/p>\n\u003cp>\u003ca href=\"https://www.mountainview.gov/civicax/filebank/blobdload.aspx?BlobID=32778\">Measure C\u003c/a>, which passed with just 56% of the vote in Mountain View, bans oversized vehicles — defined as any “which exceeds 22 feet in length or 7 feet in width of 7 feet in height” — from parking on streets that are 40 feet or narrower, unless the vehicle is parked for short duration activities like loading and unloading.\u003c/p>\n\u003cp>\u003ca href=\"https://www.mountainview.gov/civicax/filebank/blobdload.aspx?BlobID=33419\">Mountain View officials spent six weeks measuring\u003c/a> the 140 miles of city streets to determine what streets would be subject to the rules of the new ordinance. They found that 110 miles, or 78.6% of streets, could potentially qualify as narrow streets.\u003c/p>\n\u003cp>“I will just drive around and park somewhere every night and then move, I guess,” Stevens said. “I really don’t know.”\u003c/p>\n\u003cp>Measure C was originally an ordinance adopted by the City Council in October 2019. But after several organizations — including the American Civil Liberties Union and the Law Foundation of Silicon Valley — sent a letter demanding the ordinance to be suspended and a petition was filed against the ordinance. It was suspended, and RV dwellers were still allowed to park their RVs on city streets.\u003c/p>\n\u003cp>Michael Trujillo, a staff attorney with the Law Foundation of Silicon Valley, signed the original letter opposing the ordinance.\u003c/p>\n\u003cp>“This ban on oversized vehicle parking in Mountain View is cruel and unusual punishment under the Eighth Amendment, and that comes from a decision called \u003ca href=\"http://cdn.ca9.uscourts.gov/datastore/opinions/2019/04/01/15-35845.pdf\">\u003cem>Martin v. Boise\u003c/em>\u003c/a>, which was decided in 2018,” Trujillo said.\u003c/p>\n\u003cp>In that case, the U.S. Supreme Court ruled that because the city of Boise, Idaho, hadn’t provided people with an adequate alternative to sleeping outside, they couldn’t be punished for being homeless. Trujillo feels this same argument can be applied to the RV dwellers in Mountain View.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>But a majority of voters in Mountain View don’t agree with that argument. Arnold Leon, \u003ca href=\"https://results.enr.clarityelections.com/CA/Santa_Clara/106043/web.264614/#/detail/103\">one of the 18,000 voters\u003c/a> who voted in favor of Measure C, has been a homeowner in the city for 50 years.\u003c/p>\n\u003cp>“If you truly can afford rent in Mountain View or elsewhere and that is an option, then I think people should consider that option,” Leon said. “Not all of those RV dwellers are really needy, truly needy people.”\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>Leon points to the city’s \u003ca href=\"https://www.mountainview.gov/depts/comdev/preservation/safe_parking_program.asp\">Safe Parking Program\u003c/a>, the largest program of its kind in the South Bay and the second largest in the Bay Area. The program offers 70 spaces across Mountain View for people to safely park their vehicles and receive social services and support to find permanent housing. The city plans to expand the program to about 100 spots eventually, but it recently counted more than 300 vehicles currently used as dwellings across Mountain View.\u003c/p>\n\u003cp>The city has to do more, says former Mountain View Mayor Lenny Siegel, who ran for a City Council seat opposing Measure C and lost.\u003c/p>\n\u003cp>“I don’t expect [the City Council] to try to undo the will of the voters, but I’m expecting them to find places in Mountain View for people who are living in motor homes, who are from Mountain View, to continue to park,” Siegel said.\u003c/p>\n\u003cp>The county of Santa Clara will certify the election results on Dec. 3 and the Mountain View City Council will discuss implementation plans during a meeting on Dec. 8. In the meantime, some RV dwellers, including Jan Stevens, say they are planning to sue the city over the measure and their resulting displacement out of the city.\u003c/p>\n\u003cp>\u003c/p>\n\u003c/div>\u003c/p>",
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"content": "\u003cp>When presidential candidate Joe Biden announced California Sen. Kamala Harris as his vice presidential pick, there was an outpouring of support from many Indian Americans who pledged their votes and dollars to the campaign. But since the news broke, Indian Americans have been having complicated discussions about Harris’ identity.\u003c/p>\n\u003cp>Many Indian Americans tend to lean left and vote for Democratic candidates, says \u003ca href=\"https://aapidata.com/\" target=\"_blank\" rel=\"noopener noreferrer\">AAPI Data founder and director\u003c/a> Karthick Ramakrishnan. He says \u003ca href=\"https://aapidata.com/infographic-2018-joe-biden/\" target=\"_blank\" rel=\"noopener noreferrer\">almost 68% of Indian Americans favor Joe Biden\u003c/a>. Now that Harris, who was born in California to an Indian mother and Jamaican father, is on the Democratic ticket, he believes that support will only get stronger.\u003c/p>\n\u003cp>“We’re probably going to see a lot of movement among Indian American donors increasing their support for the Democratic ticket,” Ramakrishnan said.\u003c/p>\n\u003cp>His research shows that Santa Clara County has the highest population of Indian Americans in the United States. Because of that, he believes a lot of money will flow from the county to the Biden-Harris campaign.\u003c/p>\n\u003cp>But apart from their financial support, some Indian Americans have mixed feelings about Kamala Harris. Ramakrishnan says some members of the Indian American community were skeptical about how much she talked about her Indian heritage during the presidential campaign.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>“She did not want to lead with her identity,” Ramakrishnan said. “Whenever she was asked about it, she would gladly answer and talk about her Indian heritage, but it’s not something that she wanted to lead with.” He believes that during her vice-presidential campaign she’ll be able to talk more freely about her background.\u003c/p>\n\u003cp>While on the presidential campaign trail, Harris did some campaigning targeting Indian Americans, including talking with \u003ca href=\"https://www.youtube.com/watch?v=2eiaJvIxpGg&ab_channel=PatriotAct\" target=\"_blank\" rel=\"noopener noreferrer\">Hasan Minhaj on the show “Patriot Act\u003c/a> about her Indian heritage and making dosas with Mindy Kaling in a campaign video that became popular after extensive shares on Facebook by Indian aunties and uncles.\u003c/p>\n\u003cp>https://twitter.com/KamalaHarris/status/1199115549705265152\u003c/p>\n\u003cp>Social media shares do not necessarily translate into votes for every Indian American. Pugal Anbu with the \u003ca href=\"https://www.bayareatamilmanram.org/\" target=\"_blank\" rel=\"noopener noreferrer\">SF Bay Area Tamil Manram\u003c/a>, a local group for Indian Americans from the Indian state of Tamil Nadu, believes that Harris’ Indian identity isn’t enough to sway right-leaning Indian Americans who plan to vote for President Trump in November.\u003c/p>\n\u003cp>“I personally see this as a battle between right wing versus left wing ideology,” Anbu said.\u003c/p>\n\u003cp>The Trump campaign has also been reaching out to Indian Americans. Trump visited India \u003ca href=\"https://www.cnn.com/2020/02/24/politics/donald-trump-india-narendra-modi-trade/index.html\" target=\"_blank\" rel=\"noopener noreferrer\">in February\u003c/a> and hosted a “\u003ca href=\"https://www.howdymodi.org/\">Howdy Modi event\u003c/a>” in 2019, in which Trump and Indian Prime Minister Narendra Modi met crowds in Houston. Anbu says Modi and Trump fall along the same political lines.\u003c/p>\n\u003cp>“Back in India, our prime minister, Narendra Modi, represents nationalism and right-wing policies,” Anbu said.\u003c/p>\n\u003cp>Anbu believes Indians who already lean to the right aren’t likely to change party lines solely because Harris is Indian, and Harmeet Dhillon, the national committeewoman of the \u003ca href=\"https://www.cagop.org/s/\" target=\"_blank\" rel=\"noopener noreferrer\">Republican National Committee for California\u003c/a>, agrees.\u003c/p>\n\u003cp>“My identity has nothing to do with my position on most issues: taxes, health care, education,” Dhillon said.\u003c/p>\n\u003cp>She also argues that, from a politician’s standpoint, there aren’t enough Indian Americans in the United States to sway an election in either direction.\u003c/p>\n\u003cp>“They can be helpful in financing, in certain messaging and grassroots organizing in those communities, but [the] 1% or 2% we’re talking about here are not enough to turn out the vote for your 51% that you need,” Dhillon said. “Pandering to them for political gain is not a winning proposition in the long term.” [aside tag=\"kamala-harris\" label=\"More Related Coverage\"]\u003c/p>\n\u003cp>Pugal Anbu agrees — Indian Americans aren’t going to vote in unison — noting there is Kamala Harris on one side and Nikki Haley, former ambassador to the United Nations and former Republican governor of South Carolina, on the other.\u003c/p>\n\u003cp>What excites him is that he’s slowly seeing his community represented on both sides of the political spectrum — that gives him hope that maybe someday he can see his teenage daughter up there, too.\u003c/p>\n\u003cp>“So far, she was interested in other activities like dance and music, now she seems to be listening to political news too,” Anbu said.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>He’s trying to encourage her to look up to Harris and other Indian American politicians who are making it big, and maybe run for office herself one day.\u003c/p>\n\n",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>When presidential candidate Joe Biden announced California Sen. Kamala Harris as his vice presidential pick, there was an outpouring of support from many Indian Americans who pledged their votes and dollars to the campaign. But since the news broke, Indian Americans have been having complicated discussions about Harris’ identity.\u003c/p>\n\u003cp>Many Indian Americans tend to lean left and vote for Democratic candidates, says \u003ca href=\"https://aapidata.com/\" target=\"_blank\" rel=\"noopener noreferrer\">AAPI Data founder and director\u003c/a> Karthick Ramakrishnan. He says \u003ca href=\"https://aapidata.com/infographic-2018-joe-biden/\" target=\"_blank\" rel=\"noopener noreferrer\">almost 68% of Indian Americans favor Joe Biden\u003c/a>. Now that Harris, who was born in California to an Indian mother and Jamaican father, is on the Democratic ticket, he believes that support will only get stronger.\u003c/p>\n\u003cp>“We’re probably going to see a lot of movement among Indian American donors increasing their support for the Democratic ticket,” Ramakrishnan said.\u003c/p>\n\u003cp>His research shows that Santa Clara County has the highest population of Indian Americans in the United States. Because of that, he believes a lot of money will flow from the county to the Biden-Harris campaign.\u003c/p>\n\u003cp>But apart from their financial support, some Indian Americans have mixed feelings about Kamala Harris. Ramakrishnan says some members of the Indian American community were skeptical about how much she talked about her Indian heritage during the presidential campaign.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>“She did not want to lead with her identity,” Ramakrishnan said. “Whenever she was asked about it, she would gladly answer and talk about her Indian heritage, but it’s not something that she wanted to lead with.” He believes that during her vice-presidential campaign she’ll be able to talk more freely about her background.\u003c/p>\n\u003cp>While on the presidential campaign trail, Harris did some campaigning targeting Indian Americans, including talking with \u003ca href=\"https://www.youtube.com/watch?v=2eiaJvIxpGg&ab_channel=PatriotAct\" target=\"_blank\" rel=\"noopener noreferrer\">Hasan Minhaj on the show “Patriot Act\u003c/a> about her Indian heritage and making dosas with Mindy Kaling in a campaign video that became popular after extensive shares on Facebook by Indian aunties and uncles.\u003c/p>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\n\u003cp>Social media shares do not necessarily translate into votes for every Indian American. Pugal Anbu with the \u003ca href=\"https://www.bayareatamilmanram.org/\" target=\"_blank\" rel=\"noopener noreferrer\">SF Bay Area Tamil Manram\u003c/a>, a local group for Indian Americans from the Indian state of Tamil Nadu, believes that Harris’ Indian identity isn’t enough to sway right-leaning Indian Americans who plan to vote for President Trump in November.\u003c/p>\n\u003cp>“I personally see this as a battle between right wing versus left wing ideology,” Anbu said.\u003c/p>\n\u003cp>The Trump campaign has also been reaching out to Indian Americans. Trump visited India \u003ca href=\"https://www.cnn.com/2020/02/24/politics/donald-trump-india-narendra-modi-trade/index.html\" target=\"_blank\" rel=\"noopener noreferrer\">in February\u003c/a> and hosted a “\u003ca href=\"https://www.howdymodi.org/\">Howdy Modi event\u003c/a>” in 2019, in which Trump and Indian Prime Minister Narendra Modi met crowds in Houston. Anbu says Modi and Trump fall along the same political lines.\u003c/p>\n\u003cp>“Back in India, our prime minister, Narendra Modi, represents nationalism and right-wing policies,” Anbu said.\u003c/p>\n\u003cp>Anbu believes Indians who already lean to the right aren’t likely to change party lines solely because Harris is Indian, and Harmeet Dhillon, the national committeewoman of the \u003ca href=\"https://www.cagop.org/s/\" target=\"_blank\" rel=\"noopener noreferrer\">Republican National Committee for California\u003c/a>, agrees.\u003c/p>\n\u003cp>“My identity has nothing to do with my position on most issues: taxes, health care, education,” Dhillon said.\u003c/p>\n\u003cp>She also argues that, from a politician’s standpoint, there aren’t enough Indian Americans in the United States to sway an election in either direction.\u003c/p>\n\u003cp>“They can be helpful in financing, in certain messaging and grassroots organizing in those communities, but [the] 1% or 2% we’re talking about here are not enough to turn out the vote for your 51% that you need,” Dhillon said. “Pandering to them for political gain is not a winning proposition in the long term.” \u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>Pugal Anbu agrees — Indian Americans aren’t going to vote in unison — noting there is Kamala Harris on one side and Nikki Haley, former ambassador to the United Nations and former Republican governor of South Carolina, on the other.\u003c/p>\n\u003cp>What excites him is that he’s slowly seeing his community represented on both sides of the political spectrum — that gives him hope that maybe someday he can see his teenage daughter up there, too.\u003c/p>\n\u003cp>“So far, she was interested in other activities like dance and music, now she seems to be listening to political news too,” Anbu said.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>He’s trying to encourage her to look up to Harris and other Indian American politicians who are making it big, and maybe run for office herself one day.\u003c/p>\n\n\u003c/div>\u003c/p>",
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"disqusTitle": "With Caltrain in Funding Crisis, Counties Strike Deal to Put Sales Tax on November Ballot",
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"content": "\u003cp>\u003cem>Updated 1:45 p.m. Tuesday\u003c/em>\u003c/p>\n\u003cp>Officials in San Mateo, San Francisco and Santa Clara counties have hammered out an agreement to put a Caltrain sales tax measure on the November ballot — a levy that supporters say is crucial for the rail agency to survive a pandemic-driven financial crisis and expand in the future. \u003c/p>\n\u003cp>The agreement, confirmed early Tuesday by officials from all three counties, resolves an impasse over how the rail agency is governed that had threatened to prevent voters from getting to decide on the one-eighth-cent sales tax. Assuming that all the agencies that must approve the ballot measure go along with the deal later this week, the levy still must win two-thirds approval at the ballot box. \u003c/p>\n\u003cp>San Jose Mayor Sam Liccardo, a member of the Santa Clara County Valley Transportation Authority board that will vote on the tax measure Wednesday, said the deal was the result \"of many hours of phone calls, shuttle diplomacy and redrafting by several of us through nights and weekends.\"\u003c/p>\n\u003cp>He said the agreement \"will enable Caltrain to expand its service with long-overdue reforms in governance that will enable greater accountability to taxpayers.\"\u003c/p>\n\u003cp>The deal provides the ballot measure will be \"clean,\" meaning that it will not include a series of last-minute conditions that San Francisco and Santa Clara officials had insisted upon to change how the rail agency is run. \u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>The conditions, approved by the San Francisco Board of Supervisors last week as part of its proposed ballot measure, would require the three-county Peninsula Corridor Joint Powers Board that oversees Caltrain to begin the process of enacting governance changes at the rail agency. Those provisions, authored by San Francisco Supervisors Shamann Walton and Aaron Peskin, would restrict the use of the sales tax proceeds while those governance talks were underway. \u003c/p>\n\u003cp>San Mateo County, whose SamTrans transit district has run Caltrain since 1991, resisted those ballot conditions and insisted they were illegal under the 2017 state law that authorized the ballot measure. \u003c/p>\n\u003cp>The issue has taken on added urgency with Caltrain facing a plunge in ridership and fare revenue due to the pandemic. System patronage plummeted as much as 98% after coronavirus shelter-at-home orders were imposed across the Bay Area in March. \u003c/p>\n\u003cp>The ridership loss is especially problematic for Caltrain, which gets 70% of its operating funds from passenger fares. Unlike most other transit agencies, the railroad has no dedicated source of funding and has depended on federal pandemic relief funds to continue operations. Agency officials have warned that the system will run out of cash this fall and could be forced to drastically curtail or even suspend service. \u003c/p>\n\u003cp>The agreement will require a furious scramble by the seven different boards that, under the state law authorizing the tax measure, must act by Friday to put the measure on the ballot. \u003c/p>\n\u003cp>[aside label='Related Coverage' tag='caltrain']San Mateo County's Board of Supervisors and the SamTrans board approved a \"clean\" version of the tax measure earlier this year and don't need a further vote. \u003c/p>\n\u003cp>The Santa Clara County Board of Supervisors approved the the tax measure on Tuesday morning, and the Santa Clara County Valley Transportation Authority board will consider it on Thursday. \u003c/p>\n\u003cp>In San Francisco, the Board of Supervisors will hold a special meeting Friday to pass a resolution without the Caltrain governance conditions approved last week. The city's Municipal Transportation Agency board, which voted down the tax measure last week, will meet Wednesday to reconsider it. \u003c/p>\n\u003cp>And the Joint Powers Board overseeing Caltrain will meet Thursday to formally approve the tax measure and pass \u003ca href=\"https://assets.documentcloud.org/documents/7013547/Caltrain-Joint-Powers-Board-Governance-Resolution.pdf\" rel=\"noopener noreferrer\" target=\"_blank\">a separate resolution\u003c/a> committing the agency to reforming its governance structure. \u003c/p>\n\u003cp>The San Mateo County Transit District, or SamTrans, runs Caltrain — largely the result of the county paying for the line and never having been fully repaid. San Francisco and Santa Clara counties have argued that with their counties expected to pay about 80% of the estimated $108 million the tax will raise each year, they need to have a more meaningful voice in running the agency. \u003c/p>\n\u003cp>Among the changes sought by San Francisco Supervisor Shamann Walton and Santa Clara County Supervisor Cindy Chavez — both of whom serve on the Caltrain board — is the power to hire and fire the agency's CEO.\u003c/p>\n\u003cp>The resolution will also incorporate language limiting use of the sales tax proceeds pending enactment of the governance changes — due by Dec. 31, 2021 — and provide for immediate retention of counsel and auditor independent of SamTrans. \u003c/p>\n\u003cp>The Tuesday agreement also includes an undertaking by the parties to repay the $19.8 million San Mateo County is still owed for purchasing the Caltrain right-of-way from Southern Pacific in 1991. The source for that reimbursement is unclear. \u003c/p>\n\u003cp>Charles Stone, vice mayor of Belmont and a member of the Caltrain board, expressed some reservations about the repayment language. \u003c/p>\n\u003cp>That section says the Caltrain board will \"initiate efforts\" to reimburse SamTrans, including by \"prioritizing the payment of the (SamTrans) investment ... if the Caltrain tax measure is approved.\"\u003c/p>\n\u003cp>\"If that's meant to say the revenues from the one-eighth-cent sales tax should be used to pay back the SamTrans investment, that's saying that San Mateo County taxpayer money should be used to pay back the San Mateo County taxpayers,\" Stone said. \"I hope that's not what it's meant to say. If it is, it's a real problem.\" \u003c/p>\n\u003cp>But Walton said that's not the resolution's intention.\u003c/p>\n\u003cp>\"There's nothing in the resolution that leads me to believe we are discussing sales tax money going toward reimbursement for San Mateo County,\" he said. \"We're going to focus on a solution to make SamTrans and San Mateo County whole.\" He added that repaying San Mateo County for the initial investment that made Caltrain possible \"has never been a point of contention for me.\" \u003c/p>\n\u003cp>He said his push for a new governance agreement is \"really about making sure that all three (Caltrain) counties have an equitable say in management.\" \u003c/p>\n\u003cp>\u003c/p>\n",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>\u003cem>Updated 1:45 p.m. Tuesday\u003c/em>\u003c/p>\n\u003cp>Officials in San Mateo, San Francisco and Santa Clara counties have hammered out an agreement to put a Caltrain sales tax measure on the November ballot — a levy that supporters say is crucial for the rail agency to survive a pandemic-driven financial crisis and expand in the future. \u003c/p>\n\u003cp>The agreement, confirmed early Tuesday by officials from all three counties, resolves an impasse over how the rail agency is governed that had threatened to prevent voters from getting to decide on the one-eighth-cent sales tax. Assuming that all the agencies that must approve the ballot measure go along with the deal later this week, the levy still must win two-thirds approval at the ballot box. \u003c/p>\n\u003cp>San Jose Mayor Sam Liccardo, a member of the Santa Clara County Valley Transportation Authority board that will vote on the tax measure Wednesday, said the deal was the result \"of many hours of phone calls, shuttle diplomacy and redrafting by several of us through nights and weekends.\"\u003c/p>\n\u003cp>He said the agreement \"will enable Caltrain to expand its service with long-overdue reforms in governance that will enable greater accountability to taxpayers.\"\u003c/p>\n\u003cp>The deal provides the ballot measure will be \"clean,\" meaning that it will not include a series of last-minute conditions that San Francisco and Santa Clara officials had insisted upon to change how the rail agency is run. \u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>The conditions, approved by the San Francisco Board of Supervisors last week as part of its proposed ballot measure, would require the three-county Peninsula Corridor Joint Powers Board that oversees Caltrain to begin the process of enacting governance changes at the rail agency. Those provisions, authored by San Francisco Supervisors Shamann Walton and Aaron Peskin, would restrict the use of the sales tax proceeds while those governance talks were underway. \u003c/p>\n\u003cp>San Mateo County, whose SamTrans transit district has run Caltrain since 1991, resisted those ballot conditions and insisted they were illegal under the 2017 state law that authorized the ballot measure. \u003c/p>\n\u003cp>The issue has taken on added urgency with Caltrain facing a plunge in ridership and fare revenue due to the pandemic. System patronage plummeted as much as 98% after coronavirus shelter-at-home orders were imposed across the Bay Area in March. \u003c/p>\n\u003cp>The ridership loss is especially problematic for Caltrain, which gets 70% of its operating funds from passenger fares. Unlike most other transit agencies, the railroad has no dedicated source of funding and has depended on federal pandemic relief funds to continue operations. Agency officials have warned that the system will run out of cash this fall and could be forced to drastically curtail or even suspend service. \u003c/p>\n\u003cp>The agreement will require a furious scramble by the seven different boards that, under the state law authorizing the tax measure, must act by Friday to put the measure on the ballot. \u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>San Mateo County's Board of Supervisors and the SamTrans board approved a \"clean\" version of the tax measure earlier this year and don't need a further vote. \u003c/p>\n\u003cp>The Santa Clara County Board of Supervisors approved the the tax measure on Tuesday morning, and the Santa Clara County Valley Transportation Authority board will consider it on Thursday. \u003c/p>\n\u003cp>In San Francisco, the Board of Supervisors will hold a special meeting Friday to pass a resolution without the Caltrain governance conditions approved last week. The city's Municipal Transportation Agency board, which voted down the tax measure last week, will meet Wednesday to reconsider it. \u003c/p>\n\u003cp>And the Joint Powers Board overseeing Caltrain will meet Thursday to formally approve the tax measure and pass \u003ca href=\"https://assets.documentcloud.org/documents/7013547/Caltrain-Joint-Powers-Board-Governance-Resolution.pdf\" rel=\"noopener noreferrer\" target=\"_blank\">a separate resolution\u003c/a> committing the agency to reforming its governance structure. \u003c/p>\n\u003cp>The San Mateo County Transit District, or SamTrans, runs Caltrain — largely the result of the county paying for the line and never having been fully repaid. San Francisco and Santa Clara counties have argued that with their counties expected to pay about 80% of the estimated $108 million the tax will raise each year, they need to have a more meaningful voice in running the agency. \u003c/p>\n\u003cp>Among the changes sought by San Francisco Supervisor Shamann Walton and Santa Clara County Supervisor Cindy Chavez — both of whom serve on the Caltrain board — is the power to hire and fire the agency's CEO.\u003c/p>\n\u003cp>The resolution will also incorporate language limiting use of the sales tax proceeds pending enactment of the governance changes — due by Dec. 31, 2021 — and provide for immediate retention of counsel and auditor independent of SamTrans. \u003c/p>\n\u003cp>The Tuesday agreement also includes an undertaking by the parties to repay the $19.8 million San Mateo County is still owed for purchasing the Caltrain right-of-way from Southern Pacific in 1991. The source for that reimbursement is unclear. \u003c/p>\n\u003cp>Charles Stone, vice mayor of Belmont and a member of the Caltrain board, expressed some reservations about the repayment language. \u003c/p>\n\u003cp>That section says the Caltrain board will \"initiate efforts\" to reimburse SamTrans, including by \"prioritizing the payment of the (SamTrans) investment ... if the Caltrain tax measure is approved.\"\u003c/p>\n\u003cp>\"If that's meant to say the revenues from the one-eighth-cent sales tax should be used to pay back the SamTrans investment, that's saying that San Mateo County taxpayer money should be used to pay back the San Mateo County taxpayers,\" Stone said. \"I hope that's not what it's meant to say. If it is, it's a real problem.\" \u003c/p>\n\u003cp>But Walton said that's not the resolution's intention.\u003c/p>\n\u003cp>\"There's nothing in the resolution that leads me to believe we are discussing sales tax money going toward reimbursement for San Mateo County,\" he said. \"We're going to focus on a solution to make SamTrans and San Mateo County whole.\" He added that repaying San Mateo County for the initial investment that made Caltrain possible \"has never been a point of contention for me.\" \u003c/p>\n\u003cp>He said his push for a new governance agreement is \"really about making sure that all three (Caltrain) counties have an equitable say in management.\" \u003c/p>\n\u003cp>\u003c/p>\n\u003c/div>\u003c/p>",
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"disqusTitle": "Santa Clara County to Put US Census Kiosks at Pop-up Coronavirus Testing Sites",
"title": "Santa Clara County to Put US Census Kiosks at Pop-up Coronavirus Testing Sites",
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"content": "\u003cp>Census 2020 electronic kiosks will soon be placed at pop-up COVID-19 testing sites throughout Santa Clara County, officials announced Wednesday.\u003c/p>\n\u003cp>The move, they said, is being made in part to mitigate the potential impact of President Trump's recently renewed efforts to exclude undocumented immigrants from the count.\u003c/p>\n\u003cp>The kiosks are also part of a larger effort to ensure that all county residents are counted in the once-a-decade survey, \u003ca href=\"https://2020census.gov/en/census-data.html\">which determines\u003c/a> congressional representation and redistricting and informs how hundreds of billions of dollars in federal spending are locally allocated each year. That funding is used for schools, roads and hospitals, among many other public resources.\u003c/p>\n\u003cp>[pullquote align=\"right\" size=\"medium\" citation=\"Nick Kuwada, Santa Clara County census manager\"]'When you fill out the census, you are helping yourself, you are helping your community, especially in this time of COVID-19.'[/pullquote]\u003c/p>\n\u003cp>Electronic tablets will be available for people to fill out their census forms while waiting to get tested.\u003c/p>\n\u003cp>“Our team is committed to make sure we have a full count here in Santa Clara County because that is our right,\" said Nick Kuwada, manager of the county's census effort. “When you fill out the census, you are helping yourself, you are helping your community, especially in this time of COVID-19.”\u003c/p>\n\u003cp>Thirty percent of households in Santa Clara County have not yet participated in this year's census, according to county data.\u003c/p>\n\u003cp>[ad fullwidth]\u003cbr>\n“Right now, we are using 2010 data to distribute COVID-19 resources and I can tell you that the effects of this pandemic range far beyond the next couple of years,” Kuwada said. “We need to be prepared, make sure our voice is heard and get the money we deserve so we can have equitable relief here in Santa Clara County.”\u003c/p>\n\u003cp>Last week, \u003ca href=\"https://www.usatoday.com/story/news/politics/2020/07/21/trump-tell-census-not-count-undocumented-immigrants/5459873002/\">Trump signed a memo\u003c/a> that seeks to have the U.S.\u003cbr>\nDepartment of Commerce, which oversees the Census Bureau, count only citizens and certain immigrants when determining congressional seats. The directive, though, won't have any practical impact because the census does not ask whether immigrants are undocumented, and federal law bars the use of estimates in redistricting.\u003c/p>\n\u003cp>In 2019, the U.S. Supreme Court \u003ca href=\"https://www.npr.org/2019/06/27/717635291/supreme-court-leaves-citizenship-question-blocked-from-2020-census\">rejected\u003c/a> the administration's efforts to place a citizenship question on the census.\u003c/p>\n\u003cp>“As we look across the country, we have watched on a national level the president of the United States try to erase voices,” Santa Clara Supervisor Cindy Chavez said. “Whether you are a citizen or not, making sure we are not erased is really important.”\u003c/p>\n\u003cp>[aside label=\"more census coverage tag=\"census-2020\"]Santa Clara County has about 200,000 undocumented residents, or roughly 10% of the population, according to a \u003ca href=\"https://www.pewresearch.org/hispanic/interactives/unauthorized-immigrants-by-metro-area-table/\">2019 Pew Research Center study\u003c/a>.\u003c/p>\n\u003cp>Information collected by the census is kept confidential, ensuring undocumented residents are not at risk if they participate, according to David Campos, Santa Clara's deputy county executive.\u003c/p>\n\u003cp>“To make it very clear, the motivations behind the president's\u003cbr>\nmemo are purely political,” said Efraín Delgado, a community organizer with the Asian Law Alliance, one of the groups working with the county to boost census participation. “He seeks to suppress census participation in order to skew the congressional map.”\u003c/p>\n\u003cp>In mid-March, invitations to participate in the census were mailed to every U.S. household, regardless of citizenship status. This is the first year the census questionnaire can be completed online — as well as by mail or phone. For households that have not yet completed it, Census Bureau employees will begin in-person interviews at people's homes starting on Aug. 11. Forms must be completed by Oct. 31.\u003c/p>\n\u003cp>Residents can complete the census questionnaire \u003ca href=\"https://my2020census.gov/\">online here\u003c/a> or by calling 844 330-2020, toll-free.\u003c/p>\n\u003cp>\u003c/p>\n",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>Census 2020 electronic kiosks will soon be placed at pop-up COVID-19 testing sites throughout Santa Clara County, officials announced Wednesday.\u003c/p>\n\u003cp>The move, they said, is being made in part to mitigate the potential impact of President Trump's recently renewed efforts to exclude undocumented immigrants from the count.\u003c/p>\n\u003cp>The kiosks are also part of a larger effort to ensure that all county residents are counted in the once-a-decade survey, \u003ca href=\"https://2020census.gov/en/census-data.html\">which determines\u003c/a> congressional representation and redistricting and informs how hundreds of billions of dollars in federal spending are locally allocated each year. That funding is used for schools, roads and hospitals, among many other public resources.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>Electronic tablets will be available for people to fill out their census forms while waiting to get tested.\u003c/p>\n\u003cp>“Our team is committed to make sure we have a full count here in Santa Clara County because that is our right,\" said Nick Kuwada, manager of the county's census effort. “When you fill out the census, you are helping yourself, you are helping your community, especially in this time of COVID-19.”\u003c/p>\n\u003cp>Thirty percent of households in Santa Clara County have not yet participated in this year's census, according to county data.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cbr>\n“Right now, we are using 2010 data to distribute COVID-19 resources and I can tell you that the effects of this pandemic range far beyond the next couple of years,” Kuwada said. “We need to be prepared, make sure our voice is heard and get the money we deserve so we can have equitable relief here in Santa Clara County.”\u003c/p>\n\u003cp>Last week, \u003ca href=\"https://www.usatoday.com/story/news/politics/2020/07/21/trump-tell-census-not-count-undocumented-immigrants/5459873002/\">Trump signed a memo\u003c/a> that seeks to have the U.S.\u003cbr>\nDepartment of Commerce, which oversees the Census Bureau, count only citizens and certain immigrants when determining congressional seats. The directive, though, won't have any practical impact because the census does not ask whether immigrants are undocumented, and federal law bars the use of estimates in redistricting.\u003c/p>\n\u003cp>In 2019, the U.S. Supreme Court \u003ca href=\"https://www.npr.org/2019/06/27/717635291/supreme-court-leaves-citizenship-question-blocked-from-2020-census\">rejected\u003c/a> the administration's efforts to place a citizenship question on the census.\u003c/p>\n\u003cp>“As we look across the country, we have watched on a national level the president of the United States try to erase voices,” Santa Clara Supervisor Cindy Chavez said. “Whether you are a citizen or not, making sure we are not erased is really important.”\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>Santa Clara County has about 200,000 undocumented residents, or roughly 10% of the population, according to a \u003ca href=\"https://www.pewresearch.org/hispanic/interactives/unauthorized-immigrants-by-metro-area-table/\">2019 Pew Research Center study\u003c/a>.\u003c/p>\n\u003cp>Information collected by the census is kept confidential, ensuring undocumented residents are not at risk if they participate, according to David Campos, Santa Clara's deputy county executive.\u003c/p>\n\u003cp>“To make it very clear, the motivations behind the president's\u003cbr>\nmemo are purely political,” said Efraín Delgado, a community organizer with the Asian Law Alliance, one of the groups working with the county to boost census participation. “He seeks to suppress census participation in order to skew the congressional map.”\u003c/p>\n\u003cp>In mid-March, invitations to participate in the census were mailed to every U.S. household, regardless of citizenship status. This is the first year the census questionnaire can be completed online — as well as by mail or phone. For households that have not yet completed it, Census Bureau employees will begin in-person interviews at people's homes starting on Aug. 11. Forms must be completed by Oct. 31.\u003c/p>\n\u003cp>Residents can complete the census questionnaire \u003ca href=\"https://my2020census.gov/\">online here\u003c/a> or by calling 844 330-2020, toll-free.\u003c/p>\n\u003cp>\u003c/p>\n\u003c/div>\u003c/p>",
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"info": "Every week, The California Report Magazine takes you on a road trip for the ears: to visit the places and meet the people who make California unique. The in-depth storytelling podcast from the California Report.",
"airtime": "FRI 4:30pm-5pm, 6:30pm-7pm, 11pm-11:30pm",
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"officialWebsiteLink": "/californiareportmagazine",
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"order": 10
},
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},
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"id": "city-arts",
"title": "City Arts & Lectures",
"info": "A one-hour radio program to hear celebrated writers, artists and thinkers address contemporary ideas and values, often discussing the creative process. Please note: tapes or transcripts are not available",
"imageSrc": "https://ww2.kqed.org/radio/wp-content/uploads/sites/50/2018/05/cityartsandlecture-300x300.jpg",
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"airtime": "SUN 1pm-2pm, TUE 10pm, WED 1am",
"meta": {
"site": "news",
"source": "City Arts & Lectures"
},
"link": "https://www.cityarts.net",
"subscribe": {
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"rss": "https://www.cityarts.net/feed/"
}
},
"closealltabs": {
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"info": "Close All Tabs breaks down how digital culture shapes our world through thoughtful insights and irreverent humor.",
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"officialWebsiteLink": "/podcasts/closealltabs",
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"order": 1
},
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"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 />",
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"meta": {
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"google": "https://podcasts.google.com/feed/aHR0cHM6Ly93d3cubnByLm9yZy9yc3MvcG9kY2FzdC5waHA_aWQ9NTEwMzEy",
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"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",
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"meta": {
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"source": "Commonwealth Club of California"
},
"link": "/radio/program/commonwealth-club",
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"google": "https://podcasts.google.com/feed/aHR0cDovL3d3dy5jb21tb253ZWFsdGhjbHViLm9yZy9hdWRpby9wb2RjYXN0L3dlZWtseS54bWw",
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},
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"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",
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"source": "kqed",
"order": 9
},
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"google": "https://podcasts.google.com/feed/aHR0cHM6Ly9mZWVkcy5tZWdhcGhvbmUuZm0vS1FJTkM5NTU3MzgxNjMz",
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"id": "freakonomics-radio",
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"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": {
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"apple": "https://itunes.apple.com/us/podcast/freakonomics-radio/id354668519",
"tuneIn": "https://tunein.com/podcasts/WNYC-Podcasts/Freakonomics-Radio-p272293/",
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},
"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.",
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"apple": "https://itunes.apple.com/WebObjects/MZStore.woa/wa/viewPodcast?s=143441&mt=2&id=214089682&at=11l79Y&ct=nprdirectory",
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"rss": "https://feeds.npr.org/381444908/podcast.xml"
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"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.",
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"rss": "https://feeds.npr.org/510051/podcast.xml"
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},
"hidden-brain": {
"id": "hidden-brain",
"title": "Hidden Brain",
"info": "Shankar Vedantam uses science and storytelling to reveal the unconscious patterns that drive human behavior, shape our choices and direct our relationships.",
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"officialWebsiteLink": "https://www.npr.org/series/423302056/hidden-brain",
"airtime": "SUN 7pm-8pm",
"meta": {
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"source": "NPR"
},
"link": "/radio/program/hidden-brain",
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},
"how-i-built-this": {
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"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": {
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"source": "npr"
},
"link": "/radio/program/how-i-built-this",
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"npr": "https://rpb3r.app.goo.gl/3zxy",
"apple": "https://itunes.apple.com/us/podcast/how-i-built-this-with-guy-raz/id1150510297?mt=2",
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"hyphenacion": {
"id": "hyphenacion",
"title": "Hyphenación",
"tagline": "Where conversation and cultura meet",
"info": "What kind of no sabo word is Hyphenación? For us, it’s about living within a hyphenation. Like being a third-gen Mexican-American from the Texas border now living that Bay Area Chicano life. Like Xorje! Each week we bring together a couple of hyphenated Latinos to talk all about personal life choices: family, careers, relationships, belonging … everything is on the table. ",
"imageSrc": "https://cdn.kqed.org/wp-content/uploads/2025/03/Hyphenacion_FinalAssets_PodcastTile.png",
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"officialWebsiteLink": "/podcasts/hyphenacion",
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"order": 15
},
"link": "/podcasts/hyphenacion",
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"spotify": "https://open.spotify.com/show/2p3Fifq96nw9BPcmFdIq0o?si=39209f7b25774f38",
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},
"jerrybrown": {
"id": "jerrybrown",
"title": "The Political Mind of Jerry Brown",
"tagline": "Lessons from a lifetime in politics",
"info": "The Political Mind of Jerry Brown brings listeners the wisdom of the former Governor, Mayor, and presidential candidate. Scott Shafer interviewed Brown for more than 40 hours, covering the former governor's life and half-century in the political game – and Brown has some lessons he'd like to share. ",
"imageSrc": "https://cdn.kqed.org/wp-content/uploads/2024/04/The-Political-Mind-of-Jerry-Brown-Podcast-Tile-703x703-1.jpg",
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"officialWebsiteLink": "/podcasts/jerrybrown",
"meta": {
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"source": "kqed",
"order": 18
},
"link": "/podcasts/jerrybrown",
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}
},
"latino-usa": {
"id": "latino-usa",
"title": "Latino USA",
"airtime": "MON 1am-2am, SUN 6pm-7pm",
"info": "Latino USA, the radio journal of news and culture, is the only national, English-language radio program produced from a Latino perspective.",
"imageSrc": "https://ww2.kqed.org/radio/wp-content/uploads/sites/50/2018/04/latinoUsa.jpg",
"officialWebsiteLink": "http://latinousa.org/",
"meta": {
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},
"link": "/radio/program/latino-usa",
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"apple": "https://itunes.apple.com/WebObjects/MZStore.woa/wa/viewPodcast?s=143441&mt=2&id=79681317&at=11l79Y&ct=nprdirectory",
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"rss": "https://feeds.npr.org/510016/podcast.xml"
}
},
"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. Updated Monday through Friday at about 3:30 p.m. PT.",
"airtime": "MON-FRI 4pm-4:30pm, MON-WED 6:30pm-7pm",
"imageSrc": "https://cdn.kqed.org/wp-content/uploads/2024/04/Marketplace-Podcast-Tile-360x360-1.jpg",
"officialWebsiteLink": "https://www.marketplace.org/",
"meta": {
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"source": "American Public Media"
},
"link": "/radio/program/marketplace",
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"rss": "https://feeds.publicradio.org/public_feeds/marketplace-pm/rss/rss"
}
},
"masters-of-scale": {
"id": "masters-of-scale",
"title": "Masters of Scale",
"info": "Masters of Scale is an original podcast in which LinkedIn co-founder and Greylock Partner Reid Hoffman sets out to describe and prove theories that explain how great entrepreneurs take their companies from zero to a gazillion in ingenious fashion.",
"airtime": "Every other Wednesday June 12 through October 16 at 8pm (repeats Thursdays at 2am)",
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"officialWebsiteLink": "https://mastersofscale.com/",
"meta": {
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"source": "WaitWhat"
},
"link": "/radio/program/masters-of-scale",
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"apple": "http://mastersofscale.app.link/",
"rss": "https://rss.art19.com/masters-of-scale"
}
},
"mindshift": {
"id": "mindshift",
"title": "MindShift",
"tagline": "A podcast about the future of learning and how we raise our kids",
"info": "The MindShift podcast explores the innovations in education that are shaping how kids learn. Hosts Ki Sung and Katrina Schwartz introduce listeners to educators, researchers, parents and students who are developing effective ways to improve how kids learn. We cover topics like how fed-up administrators are developing surprising tactics to deal with classroom disruptions; how listening to podcasts are helping kids develop reading skills; the consequences of overparenting; and why interdisciplinary learning can engage students on all ends of the traditional achievement spectrum. This podcast is part of the MindShift education site, a division of KQED News. KQED is an NPR/PBS member station based in San Francisco. You can also visit the MindShift website for episodes and supplemental blog posts or tweet us \u003ca href=\"https://twitter.com/MindShiftKQED\">@MindShiftKQED\u003c/a> or visit us at \u003ca href=\"/mindshift\">MindShift.KQED.org\u003c/a>",
"imageSrc": "https://cdn.kqed.org/wp-content/uploads/2024/04/Mindshift-Podcast-Tile-703x703-1.jpg",
"imageAlt": "KQED MindShift: How We Will Learn",
"officialWebsiteLink": "/mindshift/",
"meta": {
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"source": "kqed",
"order": 12
},
"link": "/podcasts/mindshift",
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"google": "https://podcasts.google.com/feed/aHR0cHM6Ly9mZWVkcy5tZWdhcGhvbmUuZm0vS1FJTkM1NzY0NjAwNDI5",
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}
},
"morning-edition": {
"id": "morning-edition",
"title": "Morning Edition",
"info": "\u003cem>Morning Edition\u003c/em> takes listeners around the country and the world with multi-faceted stories and commentaries every weekday. Hosts Steve Inskeep, David Greene and Rachel Martin bring you the latest breaking news and features to prepare you for the day.",
"airtime": "MON-FRI 3am-9am",
"imageSrc": "https://cdn.kqed.org/wp-content/uploads/2024/04/Morning-Edition-Podcast-Tile-360x360-1.jpg",
"officialWebsiteLink": "https://www.npr.org/programs/morning-edition/",
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"link": "/radio/program/morning-edition"
},
"onourwatch": {
"id": "onourwatch",
"title": "On Our Watch",
"tagline": "Deeply-reported investigative journalism",
"info": "For decades, the process for how police police themselves has been inconsistent – if not opaque. In some states, like California, these proceedings were completely hidden. After a new police transparency law unsealed scores of internal affairs files, our reporters set out to examine these cases and the shadow world of police discipline. On Our Watch brings listeners into the rooms where officers are questioned and witnesses are interrogated to find out who this system is really protecting. Is it the officers, or the public they've sworn to serve?",
"imageSrc": "https://cdn.kqed.org/wp-content/uploads/2024/04/On-Our-Watch-Podcast-Tile-703x703-1.jpg",
"imageAlt": "On Our Watch from NPR and KQED",
"officialWebsiteLink": "/podcasts/onourwatch",
"meta": {
"site": "news",
"source": "kqed",
"order": 11
},
"link": "/podcasts/onourwatch",
"subscribe": {
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"google": "https://podcasts.google.com/feed/aHR0cHM6Ly9mZWVkcy5ucHIub3JnLzUxMDM2MC9wb2RjYXN0LnhtbD9zYz1nb29nbGVwb2RjYXN0cw",
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}
},
"on-the-media": {
"id": "on-the-media",
"title": "On The Media",
"info": "Our weekly podcast explores how the media 'sausage' is made, casts an incisive eye on fluctuations in the marketplace of ideas, and examines threats to the freedom of information and expression in America and abroad. For one hour a week, the show tries to lift the veil from the process of \"making media,\" especially news media, because it's through that lens that we see the world and the world sees us",
"airtime": "SUN 2pm-3pm, MON 12am-1am",
"imageSrc": "https://ww2.kqed.org/radio/wp-content/uploads/sites/50/2018/04/onTheMedia.png",
"officialWebsiteLink": "https://www.wnycstudios.org/shows/otm",
"meta": {
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"source": "wnyc"
},
"link": "/radio/program/on-the-media",
"subscribe": {
"apple": "https://itunes.apple.com/us/podcast/on-the-media/id73330715?mt=2",
"tuneIn": "https://tunein.com/radio/On-the-Media-p69/",
"rss": "http://feeds.wnyc.org/onthemedia"
}
},
"pbs-newshour": {
"id": "pbs-newshour",
"title": "PBS NewsHour",
"info": "Analysis, background reports and updates from the PBS NewsHour putting today's news in context.",
"airtime": "MON-FRI 3pm-4pm",
"imageSrc": "https://cdn.kqed.org/wp-content/uploads/2024/04/PBS-News-Hour-Podcast-Tile-360x360-1.jpg",
"officialWebsiteLink": "https://www.pbs.org/newshour/",
"meta": {
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"source": "pbs"
},
"link": "/radio/program/pbs-newshour",
"subscribe": {
"apple": "https://itunes.apple.com/us/podcast/pbs-newshour-full-show/id394432287?mt=2",
"tuneIn": "https://tunein.com/radio/PBS-NewsHour---Full-Show-p425698/",
"rss": "https://www.pbs.org/newshour/feeds/rss/podcasts/show"
}
},
"perspectives": {
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